VAERS 2021 Database www.vaers.hhs.gov

Main Page | All 2021 Deaths | Videos
VAERS Updated: 11/12/2021
** VAERS DATABASE Last updated: November 12, 2021**
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Manufacturers

Total Manufacturer
46,870MODERNA
532GLAXOSMITHKLINE BIOLOGICALS
353PFIZER\BIONTECH
231MERCK & CO. INC.
221UNKNOWN MANUFACTURER
62SEQIRUS, INC.
25DYNAVAX TECHNOLOGIES CORPORATION
13EMERGENT BIOSOLUTIONS
12SANOFI PASTEUR
9NOVARTIS VACCINES AND DIAGNOSTICS
5PFIZER\WYETH
5PAXVAX
2TEVA PHARMACEUTICALS
2PROTEIN SCIENCES CORPORATION
1BERNA BIOTECH, LTD.
1INTERCELL AG
1CSL LIMITED

COVID19 Lot Number

VAX LOT Total
2S9CL1,906
1,575
289
IMM209286
252
236
229
s029456178
171
UT7065MA166
155
149
145
S034636133
107
U62828AA103
100
98
P10025327596
U6737AA85
UJ446AA79
78
78
59
57
4BH3254
4F47253
52
27656352
50
PP9L548
49TM346
42
40
38
MENVEO38
4F47237
R1B252M36
34
C5763AA30
93362229
25
300057A24
UNK24
22
CW311621
18
17
15
UH894AB15
3Y7NL12
R1B743M12
EJ168611
el128410
10
10
10
9
ARBA141A9
UNK9
8
UNK8
8
1F4EB8
Unknown7
7
No batch number6
5
5
UJ090AA5
5
5
4
4
4
UNK4
JEV18K95E4
UNK3
A115A3
Z127A3
3
3333324181073
2
2
2
TAR352
1
1
1
1
1
A739081
1
1
1
1
1
037K20A68,542
EL128447,700
133

Incidents per State

State Total
15,185
CA14,096
NY7,507
TX7,196
FL6,939
IN5,527
PA4,560
IL4,179
OH4,054
AZ3,856
MI3,771
NJ3,411
MA3,278
VA3,208
NC3,114
WA3,034
GA2,864
MD2,652
MN2,534
CO2,532
WI2,457
MO2,029
OR1,943
TN1,715
CT1,693
KY1,603
OK1,226
AL1,201
KS1,162
IA1,157
SC1,106
NM1,065
UT973
AR951
LA945
NE829
NV797
ME795
MT789
NH756
ID674
AK661
WV661
PR650
MS585
HI536
RI510
VT441
SD361
ND356
DE350
DC239
WY209
GU32
AS16
VI13
MP9
MH3
FM2
QM1
XB1

ID: 1053259
Sex: F
Age: 42
State: IL

Vax Date: 02/23/2021
Onset Date: 02/24/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies: Coconut Blueberries Relpax

Symptoms: Moderate Asthmatic cough for about 5 hours. I used my Albuterol inhaler 2 puffs bid. Headache started same day of vaccine. Tylenol was taken 1000 mg every 6 hours. Switched over to Advil 800 mg every 6 hours. I still have a headache now. Nausea and Diarrhea started 02/24/21 @630am. Went to the restroom 5 times within a 4 hour period. Chills started around 10 am 02/24/21. Extremely tired. Fatigue and weak.

Other Meds:

Current Illness:

ID: 1053260
Sex: F
Age: 88
State: FL

Vax Date: 02/07/2021
Onset Date: 02/09/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: Lab test of feces. Negative

Allergies:

Symptoms: diarrhea for 2 weeks. Tested for infection. There was none.

Other Meds: Synthroid fosamax diuretic potassium mybetric centrum. vitamin D3

Current Illness:

ID: 1053261
Sex: F
Age: 37
State: CA

Vax Date: 02/02/2021
Onset Date: 02/03/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: N/A

Allergies: Ginger, aloe Vera, additives and preservatives, soy,

Symptoms: Rashes on my left side of body and face for a day and then was gone

Other Meds: Vitamin D, B12, B complex, Zoloft, vitamin C, zinc,

Current Illness: N/A

ID: 1053262
Sex: F
Age: 58
State: CA

Vax Date: 02/15/2021
Onset Date: 02/20/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Large, red, warm itchy rash around injection site

Other Meds: Levothyroxine

Current Illness: None

ID: 1053263
Sex: F
Age: 50
State: VA

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: All test performed on 02232021: SARS-CoV2 Antigen via nose negative, Covid-19 IgG/IgM Rapid Test both negative. Influenza A+B test negative. Mono negative. UA negative. RBC 4.15. Hematocrit 36.4. CRE 0.5.

Allergies: Ciprofloxacin, Bactrim (sulfamethoxazole and trimethoprim), and permethrin cream.

Symptoms: Side effects emerged approximately 12 hours after vaccinated. 1) temp that fluctuates from regular to 101F. 20 hrs after vaccination, T100.7F, then persisted up and down for about a week. 2) Musculoskeletal pain to Left side of body: Mainly left upper body. -- 17 hrs after, woke up with severe pain to Lt shoulder and clavicle (thought it was broken somewhere.) The injected site was sore but mild. The Musculoskeletal pain still continues, and the pain comes in various sites, various forms, and in various level. It can be at Left shoulder, scapula, armpit, rib, lumber, hip, knee, and foot. Once in a while, Left ear pain. Mostly Lt shoulder, scapula, armpit, rib lately (today is 0224/2021.) Level changes depends on how it hurts; severe-moderate/shooting and needle pain, moderate/radiating pain, moderate-mild/dull pain, mild/annoying persistent uncomfortable pain. 3) neck and jaw joint stiffness only on left side. Current. 4) Extreme fatigue and brain fog--Extreme fatigue started on the next day and persisted for 3 days, then it became randomly daily. No warning signs given, suddenly feels extremely tired. This fatigue often comes with intermittent confusion. When severe, unable to move while laying. Today is 3rd week from vaccinated and unresolved completely.

Other Meds: Ibuprofen 800mg taken one hour prior to vaccination.

Current Illness: n/a

ID: 1053264
Sex: F
Age: 72
State: CA

Vax Date: 02/23/2021
Onset Date: 02/24/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: N/A I am self treating at this time with steroid inhaler and will take small dose of methylprednisolone which I have on hand in the event of a severe asthmatic reaction. I sleep with Oxygen at night and can self administer in daytime if necessary. I can still breath but must work at consciously taking each breath as deeply as I can slowly. Activity causes more difficulty getting a deep breath.

Allergies: Tetracycline

Symptoms: Restricted breathing, light-headed, difficulty drawing a deep breath, minor chest pain and feeling weight on chest when inhaling. Increase in mucus production with difficulty clearing plugs.

Other Meds: Twice Daily Nebulizer Levoalbuterol, Nebulizer Glutathione(mucolxtic), zertec nightly

Current Illness: Severe Bronchiectasis, Asthma

ID: 1053265
Sex: F
Age: 45
State: CA

Vax Date: 01/18/2021
Onset Date: 01/23/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: None

Allergies: Carrots, sulfa, propylene glycol

Symptoms: Pain along lower spine, bilateral Achilles? tendon and bilateral heels. Decrease mobility.

Other Meds: Levothyroxine

Current Illness: None

ID: 1053266
Sex: F
Age: 72
State: IN

Vax Date: 01/29/2021
Onset Date: 02/04/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: None

Allergies: Septra, Ceclor, Levaquin, Biaxin

Symptoms: On Feb. 4, in the evening, the area about 3 inches below the injection site started to itch and was slightly reddened in an area about 3 inches across and 2 inches up and down. These symptoms continued about 8 days. I did not seek medical attention, but did treat the itching with Cortizone 10 cream a couple of times per day for about 4 or 5 of the 8 days.

Other Meds: Premarin .3mg, Lisinopril 7.5mg, Vitamin D, Citracal, Stool Softener, Diltiazem

Current Illness: Received the flu vaccine on Dec. 29, 2020

ID: 1053267
Sex: M
Age: 77
State: CO

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 02/24/2021
Hospital:

Lab Data: None

Allergies: Shellfish

Symptoms: Significant soreness at the injection site that persists now 2 months after the vaccination and does not seem to be going away.

Other Meds: Latanoprost; Tardjenta; Jardiance; Vitamin D3; Metformin; Lisinopril; Amlodipine Beslate; Synthroid; Allopurinol; Atorvastatin; Low does aspirin Omega 3; cinnamon, multi-vitamins

Current Illness: None

ID: 1053268
Sex: F
Age: 41
State: GA

Vax Date: 02/17/2021
Onset Date: 02/24/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies: No

Symptoms: Redness and itchy around shot site (left arm) 7 days after vaccine. I believe it?s called ?Covid arm?

Other Meds: Birth control pill

Current Illness: No

ID: 1053269
Sex: F
Age: 44
State: VA

Vax Date: 01/07/2021
Onset Date: 01/19/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: 2 Covid tests- Negative EBV test

Allergies: No

Symptoms: 10 days after the injection I developed a high fever and chills and aches. The fever became low grade and continued for 10 days. I was then diagnosed with reactivated Epstein bar virus. So it was an active virus but I had also previously been exposed to EBV

Other Meds: Escitalopram

Current Illness: No

ID: 1053270
Sex: F
Age: 38
State: UT

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies: NKMA

Symptoms: Pt presented with itching and heaviness in chest 15 min after vaccine administered. Pulse regular. Denies chest pain. 10cc liquid Benadryl given PO, 25 min later itching gone and chest heaviness decreased, 15 min later feeling much better with no itching and chest heaviness gone, VS stable. Released 15 min later at 7pm to father and instructed to notify dr. Pt called nurse hotline the next day (1/29/21) experiencing 102.5 fever, achy, hard time breathing, HA and chills, appt with MD in3 days. Given emergency protocol.

Other Meds: none

Current Illness: none

ID: 1053271
Sex: M
Age: 57
State: NJ

Vax Date: 02/22/2021
Onset Date: 02/23/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Next morning woke up with 103 temperature, chills, muscle aches, slight dizziness. No headache or nausea

Other Meds: Multivitamin

Current Illness:

ID: 1053272
Sex: F
Age: 77
State: CA

Vax Date: 02/09/2021
Onset Date: 02/15/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: None

Allergies: Lactose

Symptoms: COVID arm Chronic headaches

Other Meds:

Current Illness: None

ID: 1053273
Sex: F
Age: 45
State: TX

Vax Date: 02/09/2021
Onset Date: 02/16/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies: shellfish, cats, phenergan

Symptoms: One week after vaccine a red, swollen, painful, itchy patch appeared at injection site. It has lasted over a week so far.

Other Meds: N/A

Current Illness: N/A

ID: 1053274
Sex: F
Age: 34
State: AK

Vax Date: 02/12/2021
Onset Date: 02/21/2021
Rec V Date: 02/24/2021
Hospital: Y

Lab Data: CBC with platelet count of 5, normal PT/INR, normal CMP, normal crp

Allergies: none

Symptoms: thrombocytopenia, ITP

Other Meds: daily MV

Current Illness: none

ID: 1053275
Sex: M
Age: 77
State: TX

Vax Date: 02/23/2021
Onset Date: 02/24/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: None

Allergies: Bactrim

Symptoms: Moderna COVID-19 Vaccine EUA Fatigue, muscle pain, joint pain, chills, fever (100.4)

Other Meds: Metformin 500 mg, Losartan/Hctz 100/25 mg, Tylenol 500 mg, Equate Allergy Relief 20 mg

Current Illness: None

ID: 1053276
Sex: F
Age: 70
State: AR

Vax Date: 02/13/2021
Onset Date: 02/13/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies: N/A

Symptoms: My arm became red and swollen. It seemed to do better, but now it is day 11 and my arm is red and swollen. The area is now the size of a baseball. I have been taking Benadryl and applying a steroid cream for itching.

Other Meds: Losartan HCTZ 100/25 mg. Calcium Citrate 1200 mg Omeperazole 20 mg. Claratin 10 mg Low Dose Aspirin. Biotin 5000 mg

Current Illness: N/A

ID: 1053277
Sex: F
Age: 38
State: OH

Vax Date: 02/12/2021
Onset Date: 02/22/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies: Codeine

Symptoms: Sore, itchy, red at injection site on upper left arm; swollen, firm (like a bump) under skin; resembled hive. 10 days after vaccine; Applied topical Benadryl ointment for itching.

Other Meds: Prozac, Wellbutrin, turmeric, vitamin D

Current Illness:

ID: 1053278
Sex: F
Age: 48
State: GA

Vax Date: 02/18/2021
Onset Date: 02/23/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: None

Allergies: Latex, seasonal allergies

Symptoms: Swollen red itchy at injection site. Huge red spot

Other Meds: Fluoxetine, multivitamins, elderberry gummies, tylenol

Current Illness: None

ID: 1053279
Sex: M
Age: 70
State:

Vax Date: 02/01/2021
Onset Date: 02/03/2021
Rec V Date: 02/24/2021
Hospital: Y

Lab Data:

Allergies: None

Symptoms: Patient suffered severe short term memory loss starting at 7am on 2/3 and continuing until approximately 7pm on 2/3. Patient was stuck in a 2 minute or less loop for the entirety of the day. Patient went to ER and was checked into hospital overnight for monitoring. While patient MAY have taken a fall and suffered a concussion, MRI and CT scans showed nothing confirming this or any other indications of what was causing the short term memory loss.

Other Meds: Activated charcoal

Current Illness: None

ID: 1053280
Sex: F
Age: 77
State: WA

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: NA

Allergies: No

Symptoms: Due to equipment failure (syringe), while injecting, the entire dose ran down her arm. Per protocol, another full dose was administered.

Other Meds: Unknown

Current Illness: No

ID: 1053281
Sex: F
Age: 48
State: NJ

Vax Date: 02/17/2021
Onset Date: 02/24/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies: Na

Symptoms: 7 days after vaccine I have a large red itchy bump at the injection site

Other Meds: Omeprazole, Zyrtec, simvistatin, metoprolol

Current Illness: Na

ID: 1053282
Sex: M
Age: 50
State: NY

Vax Date: 01/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: Blood test taken 2/22/2021

Allergies: Hay fever

Symptoms: B12 deficiency, identified via neuropathy.

Other Meds: Allegra, Valsartan

Current Illness: None

ID: 1053283
Sex: F
Age: 59
State: MN

Vax Date: 02/22/2021
Onset Date: 02/24/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: None . took benedryl

Allergies: Walleye

Symptoms: Hives on neck both right, left and chest area

Other Meds: None

Current Illness: None

ID: 1053284
Sex: F
Age: 66
State: AZ

Vax Date: 02/03/2021
Onset Date: 02/15/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: Blood tests at Emergency department on 2-20-2021, blood pressure was: 151/85, it normally is low about 110/65 approximately, They did a blood panel. RDW-CV 15.1 -high Glucose-121-high Anion Gap-23-high C Reactive Protein 5.0mg/L -High

Allergies: Sulfa, epinephrine, strong antibiotics like Cipro.

Symptoms: I have very swollen feet. It started around 2-15-2021 the swelling in my feet. I went to see my primary doctor, and they put me on Keflex 500 mg for 10 days, it's now been 8 days & I still have swelling. I went to Emergency department on Saturday night because both of my feet were so swollen, and I was shivering, and was scared since I live alone. I was there for many hours, & the dr. prescribed Naproxen for 7 days twice a day. It's a very strong medication, which I don't normally take. They gave me 1 tablet when I was there, & it seemed to help a bit, so was hopeful it would help. I've now been taking the Naproxen for 4 days, along w/antibiotics for 8 days, & my feet are very swollen today, I'm very concerned. I also have a nodule in the inside of my right hand that I didn't have before. When I went to the doctor last Wednesday, 2-17-2021, I had so much pain on the ball of my feet, & could hardly walk very far, it hurt so bad just to walk on the ball of my feet, even in my home. Normally I'm very active, could walk my dog up & down my stairs & around the large complex several times, when this happened it hurt so bad to walk, I would have to stand on my tippy toes, take my dog out, & come right back in, since I work remotely.

Other Meds: Vitamin D3-1 capsule 50 mcg, Probiotic, 1 capsule daily, Omega-3 fatty acids, 1,000 mg, Tumeric capsule-2 daily, 1000 mg, zinc picolinate 25 mg

Current Illness: No illnesses.

ID: 1053285
Sex: F
Age: 44
State: NY

Vax Date: 02/15/2021
Onset Date: 02/24/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: none

Allergies: allergic to trileptal (rash)

Symptoms: Rash at injection site

Other Meds: norvasc, pristiq, depakote, vyvanse, vitamin d, magnesium, seroquel, abilify, lithium carbonate

Current Illness:

ID: 1053286
Sex: M
Age: 50
State:

Vax Date: 02/21/2021
Onset Date: 02/21/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies: nkda

Symptoms: dizziness, sweatiness, mild throat tightness

Other Meds:

Current Illness:

ID: 1053287
Sex: F
Age: 42
State: WA

Vax Date: 02/23/2021
Onset Date: 02/23/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies: NA

Symptoms: Pain at injection site, swollen lymph node on same side as injection, head ache, muscle ache, cold sweats, low grade fever, chills, diarrhea, nausea, fatigue

Other Meds: Zyrtec, Flonase

Current Illness: NA

ID: 1053288
Sex: F
Age: 74
State: FL

Vax Date: 02/13/2021
Onset Date: 02/20/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: None

Allergies: NKA

Symptoms: Pain in (L) upper arm first day. Hurt to raise my arm higher that my shoulder. Still mildly sore to the touch today. Last weekend my arm started to itch at the injection site and now there is a red circle around it.

Other Meds: One A Day Vitamins Vitamin D Calcium Vitamin C

Current Illness: Covid 19

ID: 1053289
Sex: F
Age: 43
State: LA

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: N/A

Allergies: Penicillin Peanuts

Symptoms: Headache immediately after injection Body aches and joint aches 3 hours after injection, lasting 24 hours 8 days after injection I had a red spot at injection site that was about 2? long by 1.5? wide, it was hot, hard, swollen, itchy. It lasted for 4 days.

Other Meds: Zetia 10mg daily Aspirin 162mg daily Vitamin D3 500iuds every other day Ativan 2mg Ferrous Gluconate 27 mg 3x a day Magnesium 250 mg every other day Vitamin B-12 500 mcg every other day Claritin 10mg Tylenol 500mg Pepcid complete

Current Illness: No

ID: 1053290
Sex: F
Age: 22
State: MA

Vax Date: 02/23/2021
Onset Date: 02/23/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies: Shellfish Penicillin Benadryl Decadron Animal dander Pollen Strawberries

Symptoms: Vaccination 1: (symptoms onset ~4-6hrs after injection) >>>following morning: severe pain throughout entire body, swelling in hands/feet, chills, tiredness, brain fog, nausea, cold sweats, and fever. Vaccination 2: Allergic reaction about 30+ mins after vaccination after heading back to the car. Cold, clammy, pale, disoriented, hives across skin, dry mouth, and itchiness >>>Next morning: severe pain throughout entire body, swelling in hands/feet, chills, tiredness, brain fog, nausea, cold sweats, and fever.

Other Meds: N/A

Current Illness: N/A

ID: 1053291
Sex: F
Age: 30
State: FL

Vax Date: 02/17/2021
Onset Date: 02/18/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies: Seasonal allergies

Symptoms: Skin discolorations on right arm and right hand.

Other Meds: Cryselle-28

Current Illness: None

ID: 1053292
Sex: M
Age: 22
State:

Vax Date: 02/20/2021
Onset Date: 02/21/2021
Rec V Date: 02/24/2021
Hospital: Y

Lab Data: Lipase 26,000

Allergies:

Symptoms: Patient developed severe abdominal pain Sunday night and was admitted to the hospital for treatment of acute pancreatitis.

Other Meds:

Current Illness:

ID: 1053293
Sex: M
Age: 66
State: OH

Vax Date: 02/17/2021
Onset Date: 02/18/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Sudden onset 14 hrs after injection. Severe nausea (exact presentation as Covid) Fever 103 12 hour duration 2 day recovery

Other Meds: None

Current Illness: Covid 19

ID: 1053294
Sex: F
Age: 68
State: MI

Vax Date: 01/29/2021
Onset Date: 02/17/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: THEY DID A CAT SCAN AND AN EKG TO DIAGNOS

Allergies: SULFA DRUGS

Symptoms: 19 DAYS AFTER RECEIVING VACCINE VERTIGO WITH NAUSEA - TREATED IN ER ON 2/19/21

Other Meds: METFORMIN HCL ER 500 MG 4 PER DAY ATOROVASTATIN 40 MG 1/DAY LISINOPRIL 20 MG 1/DAY ASPIRIN 81 MG 1/DAY

Current Illness: NONE

ID: 1053295
Sex: F
Age: 71
State: TX

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Moderate fever 12hrs after receiving dose Fever of 101.4 18hrs after dose Headache, body aches, chills, loss of appetite 18hrs after dose Tylenol given ever 8hrs after 18hrs Fever reduced to 100 24hrs after onset of fever All symptoms resolved by 36hrs after onset of symptoms No issues reported after 36hrs

Other Meds: Rivastigmine, memantine, anastrozole, escitalopram

Current Illness: None

ID: 1053296
Sex: F
Age: 58
State:

Vax Date: 02/05/2021
Onset Date: 02/23/2021
Rec V Date: 02/24/2021
Hospital: Y

Lab Data: LUE ultrasound and CTA chest 02/24/2021

Allergies: none

Symptoms: Left upper extremity DVT and pulmonary embolism diagnosed 2/24/2021. Arm swelling started 02/23/2021.

Other Meds: none

Current Illness: none

ID: 1053297
Sex: F
Age: 43
State: IL

Vax Date: 02/20/2021
Onset Date: 02/20/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies: None known

Symptoms: Right side of neck/shoulder. Muscle/nerve pain. Constant since onset.

Other Meds: None

Current Illness: None

ID: 1053298
Sex: F
Age: 69
State: VA

Vax Date: 01/30/2021
Onset Date: 02/11/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies: Cleocin, lisinopril, some b/p meds

Symptoms: Large rash starting at injection site and extending down to elbow. Rash wrapped around my entire arm.

Other Meds: Januvia, Glucophage, Norvasc, Claritin, fish oil, estradiol, vitamin b-12, glipizide, Cymbalta, Vitamin D, Centrum Silver, Lipitor, Topamax

Current Illness:

ID: 1053299
Sex: F
Age: 81
State: AR

Vax Date: 01/22/2021
Onset Date: 01/01/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient states she developed shingles after her first dose of the vaccine.

Other Meds:

Current Illness:

ID: 1053300
Sex: F
Age: 79
State: OH

Vax Date: 01/28/2021
Onset Date: 02/04/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies: PCN- reported "swelling in foot" after PCN shot when "very young"

Symptoms: Patient stated one week after first dose, sores appeared on upper portion of right arm. I saw about 4-5 scabs on right arm and one on left on date of second dose (2/24). She said they don't itch/bother her, but she was advised to consult physician since sores are still present.

Other Meds:

Current Illness:

ID: 1053301
Sex: F
Age: 70
State: TX

Vax Date: 02/23/2021
Onset Date: 02/23/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies: ginger, mushrooms, sunflower products, chlorine cipro, microbid, bactrim,fentenal, norco, valium, versed, demerol, petal, ultram, lyrica, requip

Symptoms: extreme cold internally, head ache and tremors within 10 or 15 mins. Sat for 20 more minutes, then walked to parking garage. Breathing became labored as I walked the block to car - no one was around. Pulled off mask and sat in car - it subsided in 15 minutes. Body temp was 94.5 remainder of the day. 96.5 today. Awoke nauseated, headache, left foot and hand pain and very sore left arm. Nausea stopped about 3:00 pm, when body tremors started again. Cold all day with no energy

Other Meds: levoxyl propranol ER

Current Illness:

ID: 1053302
Sex: M
Age: 51
State: WA

Vax Date: 02/23/2021
Onset Date: 02/23/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: none

Allergies: None

Symptoms: Arm pain, shivering, headache, muscle ache (tired)

Other Meds: None

Current Illness: None

ID: 1053303
Sex: F
Age: 46
State: WA

Vax Date: 02/18/2021
Onset Date: 02/19/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies: citrus, melons, latex, sulfa

Symptoms: headache, chills, hot sweats, loss of taste, loss of smell, pain around body--11:00 AM 2/19/2021--6:00 AM 2/20/2021

Other Meds: Lisinopril/Hctz 20/25 mg;Amlopdipine 5mg;Atorvastatin 40 mg; aspririn 81 mg

Current Illness: none

ID: 1053304
Sex: M
Age: 71
State: MI

Vax Date: 02/24/2021
Onset Date: 02/24/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: Initial vital signs were BP 109/66, HR 104, SpO2 94%, RR 16. Repeat vital signs x2 were about the same with very little variation.

Allergies:

Symptoms: The patient started having right sided chest pain/rib pain minutes after receiving the 2nd dose of Covid 19 vaccine. When he presented to the medical treatment area he was c/o this right sided chest pain that was worsened by inspiration. The pain was non-radiating and was also associated w/ shortness of breath. He has been experiencing shortness of breath intermittently over the past couple of weeks. The patient denied associated dizziness, lightheadedness, nausea, vomiting, abdominal pain, vision changes. He noted that he has a prior history of DVT and PE, but is not on any anticoagulation medications. He is currently being treated for bacteremia from a dog bite wound and receiving IV antibiotics through a port. He also has hx of CLL, currently on oral chemotherapy medication.

Other Meds:

Current Illness: Current bacteremia from dog bite wound requiring long-term IV antibiotics

ID: 1053305
Sex: F
Age: 37
State: TX

Vax Date: 02/13/2021
Onset Date: 02/14/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Physical arm pain, red ring around shot site, swelling, itching - for 1 week and 5 days after

Other Meds: None

Current Illness: None

ID: 1053306
Sex: F
Age: 53
State: WA

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/24/2021
Hospital: Y

Lab Data: Blood work, maybe a tryptase was run, not sure, some tests were run not pertinent - hospitalists confused by pathology as they had not seen before - I knew what to do as I have been the patient with this many years and am now a provider myself

Allergies: Compazine- dystonic Amitriptyline - rash Ampicillin - anaphylaxis

Symptoms: Within 8 hours of second vaccine I began having symptoms of autoimmune reactivity years under control. It started with hives and oral angioedema I was able to quell with some on hand steroids and high does Benadryl - I am an ARNP . This went on for a few weeks until a critical time on 2/19/2021 when a full flare was uncontrollable affecting my airway I was not able to stop the ongoing immunity as it built up over the 2 weeks. My temporary measures could not keep it at bay. I was emergently taken to ER trauma bay and aggressively treated with Epi 0.3 IM x 2 high dose solumedrol x 3 125 mg and 60 mg IV and 50 mg Benadryl IV X3 Pepcid IV X1 then admitted to telemetry for severity overnight

Other Meds: T3 T4 Turmeric Triazolam sleep Telmasartan - now stopped, didn't really need it, angioedema risk +

Current Illness: Hashimoto Dx formally in 2016 likely much longer

ID: 1053307
Sex: F
Age: 35
State: MI

Vax Date: 02/22/2021
Onset Date: 02/23/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: NA

Allergies: none

Symptoms: I received Moderna COVID-19 VACCINE EUA. The day after the vaccine my temperature varied from 98.2 to 100.3 degrees, going up and down. Two days after it varied from 97.5 to 99.5 degrees. I experienced pain at the injection site. I felt somewhat nauseous the first day after, and occasionally nauseous the second day. I experienced chills and sweats from 12 hours after the vaccine until 48 hours later. There were moments where my body felt extremely sensitive. Pain shot through various parts of me randomly (not often). The day after the vaccine I was exceptionally tired. I was only awake for a few hours before 2pm that day. (I'm typically awake for 8 hours at that point.) Also, I had a severe headache the day after the vaccine, and a mild headache the following day.

Other Meds: synthroid, generic Nuva Ring

Current Illness: none

ID: 1053308
Sex: F
Age: 67
State: FL

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies: N/A

Symptoms: Headache, chills, backache.

Other Meds: N/A

Current Illness: N/A

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm