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: 1054208
Sex: M
Age: 72
State: MI

Vax Date: 02/18/2021
Onset Date: 02/19/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: none

Allergies: Sulfa

Symptoms: fever, headache, fatigue, digestive, body ache

Other Meds: Victoza, Lisinopril, Terazosin, Levothroxine, Amlodipine, Saw Palmetto, Apririn, Glucosamine/Chondroitin/, Salmon Omega, Januvia, Simvastatin, Magnesium, Allopurinol, Invokana

Current Illness: None

ID: 1054216
Sex: U
Age:
State: WI

Vax Date: 02/18/2021
Onset Date: 02/18/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: no additional AE; administration of MMR II post expiry; This spontaneous report was received from a medical assistant and refers to a patient of unknown gender and age. The patient's concurrent conditions, medical history and concomitant therapies were not provided. On 18-FEB-2021, the patient was vaccinated with an expired dose of measles, mumps, and rubella (wistar ra 27-3) virus vaccine, liverecombinant human albumin (rHA) (M-M-R II) 0.5 ml, lot # R036580, expiration date 17-DEC-2020 (route of administration was not provided) for prophylaxis. No adverse events were reported.

Other Meds:

Current Illness:

ID: 1054217
Sex: F
Age:
State: TX

Vax Date: 11/01/2020
Onset Date:
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Shot made her sick; Second shingles shot / body aches; Second shingles shot / fever for about 24 hours; This case was reported by a consumer via other manufacturer and described the occurrence of sickness in a 60-year-old female patient who received Herpes zoster (Shingrix) for prophylaxis. The patient's past medical history included hysterectomy (at the age of 42). Previously administered products included Shingrix (1st dose received on an unknown date and was fine). Concurrent medical conditions included irritable bowel syndrome. In November 2020, the patient received the 2nd dose of Shingrix. In November 2020, less than 2 months after receiving Shingrix, the patient experienced sickness, general body pain and fever. On an unknown date, the outcome of the sickness, general body pain and fever were recovered/resolved. It was unknown if the reporter considered the sickness, general body pain and fever to be related to Shingrix. Additional details were provided as follows: The age at vaccination was not reported but it could be 59 or 60 years old. The family of the patient had been all died for a long time. There were no relevants tests available. The patient did not have periods because the patient had hysterectomy. The patient received the Shingles vaccination 5 weeks before the COVID-19 vaccine. The batch number or expiry date of Shingles vaccine was unknown. The patient received the second shingles shot and that made her sick, she had body aches and fever for about 24 hours. The patient did not receive any prior vaccinations within 4 weeks of COVID-19 vaccine. The patient had received 1st dose of COVID-19 Vaccine (manufacturer unknown) with batch number EJ1685, expiry date March 2021 on 18th December 2020 15:00 at the right arm. The patient experienced headache immediately, within about 20 minutes after the injection on 18th December 2020 which was still there till the time of reporting. On 19th December 2020, the patient experienced strange lower abdominal pain which was different than IBS. Shortly after abdominal pain, the patient started having waves of nausea which began 24 hours after the COVID-19 vaccine. The abdominal pain lasted for a minute and a half. The reporter did not know if abdominal pain was coincidental. The reporter wanted to know how long the side effects would last. The reporter consented to follow-up via mail address.

Other Meds:

Current Illness: Irritable bowel syndrome

ID: 1054218
Sex: F
Age:
State: FL

Vax Date: 12/18/2020
Onset Date: 12/22/2020
Rec V Date: 02/25/2021
Hospital:

Lab Data: Test Date: 202012; Test Name: Pain assessment; Result Unstructured Data: (Test Result:15,Unit:unknown,Normal Low:,Normal High:)

Allergies:

Symptoms: herpes zoster blisters on my abdomen with the accompanying pain; accompanying pain / pain I am having which on a scale of 1-10 is a 15; herpes zoster blisters on my abdomen; This case was reported by a consumer and described the occurrence of herpes zoster in a 71-year-old female patient who received Herpes zoster (Shingrix) for prophylaxis. On 18th December 2020, the patient received the 1st dose of Shingrix. On 22nd December 2020, 4 days after receiving Shingrix, the patient experienced herpes zoster, pain and blister. The patient was treated with pregabalin (Lyrica). On an unknown date, the outcome of the herpes zoster, pain and blister were unknown. It was unknown if the reporter considered the herpes zoster, pain and blister to be related to Shingrix. Additional details were provided as follows: The age at vaccination was not reported but it could be 70 or 71 years. The patient received Shingrix and 4 days after receiving the injection developed herpes zoster blisters on abdomen with the accompanying pain. The patient been put on Lyrica to see if that would help with the pain which on a scale of 1 to 10 was a 15. The patient would not having the second injection.

Other Meds:

Current Illness:

ID: 1054219
Sex: M
Age:
State: FL

Vax Date: 01/08/2021
Onset Date: 02/02/2021
Rec V Date: 02/25/2021
Hospital: Y

Lab Data: Test Name: A1C; Test Result: Inconclusive ; Result Unstructured Data: percent

Allergies:

Symptoms: DKA; A spontaneous report was received from a physician concerning a male patient, who experienced diabetic ketoacidosis (DKA). The patient's medical history included pre-diabetes. Product known to have been used by the patient included metformin. On 08 Jan 2021, the patient received their first of two planned doses of mRNA-1273 (Lot number unknown) for prophylaxis of COVID-19 infection. ON 02 Feb 2021, the patient presented to the hospital with DKA. He had no obvious precipitating factors like infection, steroids, cardiac issues per endocrinologist. Patient is due to get his second dose on 15 Feb 2021. Treatment information was not provided. Action taken with mRNA-1273 in response to the event was not provided. The outcome for the event was unknown.; Reporter's Comments: Very limited information regarding this event has been provided at this time. The patient's medical history of pre-diabetes is a risk factor and confounds causality. Further information has been requested.

Other Meds: METFORMIN

Current Illness: Pre-diabetes

ID: 1054220
Sex: F
Age: 36
State: IN

Vax Date: 02/23/2021
Onset Date: 02/23/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: none

Allergies: contrast dye

Symptoms: hives , onset 4 hours post injection. Pt took benedryl 50 mg and hives resolved without recurrence

Other Meds: carbamazine, HCTZ, levetiracetam, medroxyprogesterone, potassium chloride

Current Illness: none

ID: 1054221
Sex: F
Age: 46
State: FL

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: CAME BACK APPROX. 4 HOURS LATER C/O PAIN IN BACK.

Other Meds:

Current Illness:

ID: 1054222
Sex: F
Age: 79
State: MN

Vax Date: 02/23/2021
Onset Date: 02/23/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: Unknown

Allergies: Sulfa

Symptoms: Patient received first dose on 2/11/2021. Presented for second dose on 2/23/21 and received vaccination which was too early. Error discovered while patient at site and she waited 30 minutes post vaccination with no reaction.

Other Meds: Unknown

Current Illness: Unknown

ID: 1054223
Sex: F
Age: 58
State: MA

Vax Date: 02/12/2021
Onset Date: 02/18/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: none

Allergies: NKDA

Symptoms: Skin itching - eventually small pinpoint sores - only over joint areas: shoulders (both) elbows, knees, mid back.

Other Meds: Vitamin D3, Magnesium

Current Illness: None

ID: 1054224
Sex: F
Age: 71
State: NJ

Vax Date: 02/23/2021
Onset Date: 02/24/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Chills, low-grade fever, headache, muscle aches, fatigue/weakness, nausea. Symptoms started about 18 hours after injection and lasting for 24 hours.

Other Meds: Atenolol Synthroid

Current Illness: None

ID: 1054225
Sex: F
Age: 53
State: UT

Vax Date: 02/23/2021
Onset Date: 02/23/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: None

Allergies: NSAIDS

Symptoms: Itching, swollen eye lids, chest tightness, body aches, fatigue. Treatment was antihistamines, rest, hydration, and tylenol. Symptoms persisting at about 48 hours post vaccine

Other Meds: Unknown

Current Illness: None acute

ID: 1054226
Sex: F
Age: 45
State: FL

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: My symptoms began yesterday with a slight headache and increasing as the day progressed. Last night, I experienced chills, fever, muscle pain, weakness, loss of taste (I don't mind that part:) and a severe headache which caused some nausea. I have taken, aleve 220mg x2 and phenergan 25mg for the nausea. My last temp as of 0900 was 100.2

Other Meds:

Current Illness:

ID: 1054227
Sex: M
Age: 74
State: NC

Vax Date: 02/13/2021
Onset Date: 02/14/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: For 12 days: all symptoms were extreme: dizziness, nausea, light sensitivity, motion sickness, constipation, difficulty lying down to sleep, inability to look at screens

Other Meds: Stelara (90mg shot every three months), metformin (2000)', glipizide (7mg), triam hctz The most recent stelara shot was on 2/11/2021

Current Illness: none, other than occasional episodes of vertigo

ID: 1054228
Sex: M
Age: 73
State: KY

Vax Date: 02/13/2021
Onset Date: 02/21/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: 1st dose vaccine 1/23/21; 2nd dose vaccine 2/13/21; developed sore throat, night sweats, chest tightness 2/21/21; seen at ICC for ongoing symptoms on 2/25/21

Other Meds:

Current Illness:

ID: 1054229
Sex: F
Age: 53
State: MD

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: None stated.

Other Meds:

Current Illness:

ID: 1054230
Sex: F
Age: 44
State: CA

Vax Date: 02/24/2021
Onset Date: 02/24/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies: Keflex, Neosporin, Betadine, Bleach, Shellfish and Nuts

Symptoms: severe shoulder / muscle pain; shoulder movement has been extremely limited

Other Meds: Levothyroxin

Current Illness: None

ID: 1054231
Sex: F
Age: 36
State: FL

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: AFTER RETURNING HOME, I WAS EXPERIENCING SORENESS IN THE ENTIRE RIGHT SIDE OF MY BODY FROM MY NECK DOWN TO MY SHINS. I WOKE UP AT LEAST EVERY HOUR WITH CHILLS. YESTERDAY I EXPERIENCEDA SORE THROAT, CHILLS, HEADACHE AND NECK PAIN ALONG WITH FATIGUE AND NAUSEA RIGHT BEFORE BEDTIME. THIS MORNING I THREW UP AND HAD DIARRHEA. I DO NOT HAVE A FEVER BUT I HAVE CHILLS, BODY ACHES, AND EXTREME NAUSEA/DIARRHEA/VOMITING

Other Meds:

Current Illness:

ID: 1054232
Sex: F
Age: 74
State: PA

Vax Date: 02/22/2021
Onset Date: 02/23/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: On second day of receiving vaccine my arm began to get itchy. Upon looking at it, I seem to have a rash about size of a half dollar where the injection was. It is red and extremely itchy. I have put some cortisone cream on the area. Upon searching the internet, I discovered it looks the rashes that have developed with Moderna but no mention of Pfizer so I thought I'd let you know.

Other Meds: amitryptaline 50 mg. nightly, propanolol 120mg 1x daily, simvistatin 20 mg. 1x daily, lexapro 20mg. 1xdaily, aspirin 81 mg daily, COQ10 100mg. daily, lisiniprol 20mg, daily, calcium w/D 500 mg. 2x every other day

Current Illness:

ID: 1054233
Sex: F
Age: 31
State: CA

Vax Date: 02/22/2021
Onset Date: 02/22/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: Patient declined to stay for further observation despite explained importance. Advised to take Benadryl at home as needed but she said it gives her anxiety. Advised to continue to monitor symptoms and if symptom worsens or failed to improve, to call or go to urgent care or ER or call 911 as appropriate. Dr. Advise Allergy ordered per protocol and message sent to PCP for follow up.

Allergies: Codeine, Gabapentin, Amphetamine, buspar, morphine

Symptoms: Patient developed itching and redness on forehead, no SOB, no hives.

Other Meds: Bupropion, Prozac, Methylphenidole, tramadol, Topamax, albuterol, trazodone, ibuprofen

Current Illness: none

ID: 1054234
Sex: M
Age: 86
State: IA

Vax Date: 02/11/2021
Onset Date: 02/16/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: unsure what date pt went to dr/hospital around or after 2-20-21

Allergies: nkma

Symptoms: Right arm swelling and pain(not arm injected), difficulty walking, very weak, some dyspnea, elevated blood sugars, total body aches, subjective fever, patient report fever 102 deg F. S/S lasting >4 days. Sent by nurse to PCP for covid-19 rule out. Tested at clinic for covid 19, then sent into hospital for CXR and labs that were all "normal" No other treatment reported. Patient not admitted, sent home and remains a little better but still weak.

Other Meds: insulin, unknown blood thinner

Current Illness: none noted

ID: 1054235
Sex: F
Age: 65
State: MI

Vax Date: 02/22/2021
Onset Date: 02/22/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies: Backtrim

Symptoms: Pain swelling hardness redness hot

Other Meds: Wellbutrin multivitamin omeprazole allergy relief calciumvitD3

Current Illness: Done

ID: 1054236
Sex: M
Age: 31
State: FL

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: He called out sick yesterday 1/7, but he did come into work today and is stilling feeling horrible with diarrhea and stomach cramps, sent home, scheduled for covid testing 1/9

Other Meds:

Current Illness:

ID: 1054237
Sex: F
Age: 30
State: NY

Vax Date: 02/01/2021
Onset Date: 02/22/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies: N/A

Symptoms: Moderna COVID-19 Vaccine EUA. I had flu like symptoms for about 24 hours, headache, chills the 1st night, and pain in arm. But after that I started sneezing, and have a running nose. I dont have any other symptoms, just these too.

Other Meds: N/A

Current Illness: N/A

ID: 1054238
Sex: F
Age: 69
State: PA

Vax Date: 02/24/2021
Onset Date: 02/25/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Strong headache, fever, chills, body aches, vomiting, diarrhea, dizziness, tiredness

Other Meds: Kelfex

Current Illness: Eye infection

ID: 1054239
Sex: F
Age: 80
State: OR

Vax Date: 02/15/2021
Onset Date: 02/15/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies: nka

Symptoms: 2" x 3" red, warm, slightly raised welt from day 2 to day 9 (ongoing)

Other Meds:

Current Illness:

ID: 1054240
Sex: F
Age: 74
State: SC

Vax Date: 02/19/2021
Onset Date: 02/20/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: I went to see family doctor on Wednesday2/24/2021 to see if I could get an antiviral prescription to help alleviate new fever blisters.

Allergies: Penicillin; Dust; Pollen

Symptoms: Feb. 19 upon going to bed about 10:00; muscle aches in shoulders, arms, legs, knees. Feb 20 upon waking about 5:00AM; headache, continuation of pain muscles and joints, fever 101.3. Feb22 I don't know if related to vaccine, but fever blisters.

Other Meds: Losartan 100mg; Rosuvastatin 10mg; Aspirin 81mg; Clopidogrel 75mg; Myrbetriq 50mg; Lumigan eyedrops; HTZ 10mg; Multivitamin; Calcium+D

Current Illness:

ID: 1054241
Sex: M
Age: 88
State:

Vax Date: 01/22/2021
Onset Date: 02/19/2021
Rec V Date: 02/25/2021
Hospital: Y

Lab Data:

Allergies:

Symptoms: Inpatient hospitalization

Other Meds:

Current Illness:

ID: 1054242
Sex: F
Age: 41
State: AZ

Vax Date: 02/09/2021
Onset Date: 02/16/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: Patient reported that she had an Eco Cardio Gram done in 2/21/2021 and EKG and her results came back normal.

Allergies: none reposrted

Symptoms: Patient reported Shortness of breath and that she almost passed out after walking up the stairs. She reported fluctuation of heart rate for about an hour, heart rate went up to 119 then drastically dropped to 36 then up to 147 then back to 119.

Other Meds: Thyroid medication, Inhaker

Current Illness: None

ID: 1054243
Sex: M
Age: 16
State: TX

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient had severe pain and swelling in a large portion of his deltoid.

Other Meds:

Current Illness:

ID: 1054244
Sex: F
Age: 47
State: FL

Vax Date: 01/05/2021
Onset Date: 01/08/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 1/8 developed swelling and pain to injection site and axilla. Ibuprofen. Nerve conduction study ordered.

Other Meds:

Current Illness:

ID: 1054245
Sex: F
Age: 44
State: NC

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: Studies pending

Allergies: egg, fish, iodinated contrast media, latex, peanut, tomato

Symptoms: Severe extremity joint pain since second Pfizer COVID vaccine dose 1/15/2021

Other Meds: furosemide, fluticasone allergy relief, glipizide, levocetirizine, liraglutide injection, Lisinopril, metformin, montelukast

Current Illness: none

ID: 1054246
Sex: F
Age: 63
State: IL

Vax Date: 01/13/2021
Onset Date: 01/15/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: CT scan blood panel

Allergies: Sulfa

Symptoms: 1/13 vaccination 3 days later, I got blurred vision. It got worse. 1/15 got worse with vision. Stayed at home. Had to stop driving, double vision. 1/18 really started to get bad with vision. Been like this ever since. I have been working from home for 3 weeks now. PCP; She gave me medicine to get sugar down; Jarviance 1/21 Blood sugar went up to 495; went to ER.Opthamologist; He told me nothing he could do for me. He told me I had vision reversed due to sugar being so high. He told me he couldn't give me any glasses as when sugar decreases, the vision will go back to normal.

Other Meds: n/a

Current Illness:

ID: 1054247
Sex: F
Age: 74
State: MO

Vax Date: 02/19/2021
Onset Date: 02/21/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies: NO

Symptoms: On Sunday i started to get Very light headed and off balance and very very tired.

Other Meds: Losartan, Atorvastatin, 81 mg Aspirin, Delsym cough syrup

Current Illness: Cough

ID: 1054248
Sex: F
Age: 53
State: PA

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies: medications, IV contrast

Symptoms: Employee had generalized rash (2/14)that evolved(2/17) into hives throughout body and lump sensation in throat with slight DOB.

Other Meds:

Current Illness: Espohageal reflux, migraine

ID: 1054249
Sex: F
Age: 72
State: TN

Vax Date: 02/23/2021
Onset Date: 02/24/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: NONE

Allergies: NKA

Symptoms: PATIENT STATES: "I HAD MY VACCINE ON 2/23/2021 AND A SMALL BUMP APPEARED LATER ON. ON 2/24/2021 I NOTICED THE BUMP BECAME LARGER LIKE WHEN I PLACE MY THUMB AND INDEX FINGER SPREAD OUT. THE SITE IS PINK, WARM, ITCHES AND WHEN I RAISE MY ARM I CAN FEEL IT PULSATING. I TOOK AN ADVIL AND LAID DOWN BUT IT DIDN'T HELP."

Other Meds: None

Current Illness: None

ID: 1054250
Sex: M
Age: 70
State: MI

Vax Date: 02/04/2021
Onset Date: 02/08/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: None

Allergies: Cipro

Symptoms: Began to experience symptoms of Trigeminal Neuralgia

Other Meds: Lisinopril 10 mg - 1 daily Vitamin D2 (ergocal) 1.25 mg-1 each week Black Cherry supplement 100mg- 1 daily 1200 mg calcium + 400IU Vitamin D-1 Daily

Current Illness: None

ID: 1054251
Sex: F
Age: 38
State: NH

Vax Date: 02/23/2021
Onset Date: 02/24/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: Have not reached out to doctor

Allergies: Tree nuts, shellfish

Symptoms: Gives on the injection site and severe ovary pain.

Other Meds: Hydroxyzine, doxycycline, valtrex, mucinex D, omeprazole

Current Illness: Only a flare up of hiddrenitis supperativa

ID: 1054252
Sex: F
Age: 67
State: IN

Vax Date: 02/23/2021
Onset Date: 02/23/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Headache from 2/23 until 2/ 26 and fever 101.9 for 4 days

Other Meds: Effexor Xr Celexa Norvase Hydrodiuril Centrum silver vitamins Juice plus vitamins Airborne Preservision Mega Red Omega-3 Krill Oil Tylenol PM Ibuprofen

Current Illness: none

ID: 1054253
Sex: F
Age: 70
State: WI

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: UNKNOWN TO PHARMACY

Allergies: NONE ON FILE

Symptoms: PT WAS GIVEN VACCINEE. WITHIN 3 TO 5 MINUTES, SHE APPEARED TO BE HAVING A SEIZURE. AID WAS ADMINISTERED. RPH HELD HER UPRIGHT (PT WAS FALLING OUT OF HER SCOOTER). 911 WAS CALLED AND ICE PACK APPLIED TO CHEST TO HELP WITH FIGHT OR FLIGHT FEELING. SHE WAS NAUSEOUS, LIGHT-HEADED, AND FAINTED. PT WAS HELD UNTIL EMT'S ARRIVE, AT WHICH POITN SHE WAS COHERENT. STAFF AT FACILITY BROUGHT THE PATIENT ORANGE JUICE. SHE WAS OK WITH SITTING AND STANDING BP O F96/62. SHE FELT BETTER AND REFUSED TO GO TO THE HOSPITAL.

Other Meds: UNKNOWN TO PHARMACY

Current Illness:

ID: 1054254
Sex: F
Age: 85
State: NJ

Vax Date: 02/16/2021
Onset Date: 02/24/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: None.

Allergies: Yellow jacket stings. Augmentin, Amoxicillin, Levaquin, Bactrim DS, Sulfandroxyl, Penicillin, IV dye, metronidazole, Prednisone, Erythromycin, Claquanicacid, Flagyl, Clindamycin.

Symptoms: Had the vaccine and had no problems until 2/24/21, her arm started hurting. It hurt to lay on that side last night. This morning it is red, swollen, itching, below the actual vaccine insertion site. It starts right below the dot where the vaccine was. The swelling goes down 4-5" and 1 1/2" wide, red, hard and hot to touch, and painful. She has not taken anything for it.

Other Meds: Furosemide, Metoprolol succinate ER, potassium CLER, Vitamin B complex, Biotin, osteobioflex, centrum silver.

Current Illness: None.

ID: 1054255
Sex: F
Age: 41
State: VA

Vax Date: 12/18/2020
Onset Date: 02/21/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: 3 Biopsy's done and diagnosed with Sweets Syndrome (auto immune disorder) Body CAT scan checking for cancer and it was fine. Blood work came back fine

Allergies: Honeydew melon, Neurontin, honey bees

Symptoms: Took the shot on 2/18 and on 2/21 that night about 10:30 my arm started itching below where I got the shot on left arm. Wen to bed and woke up next morning it was broken out with blisters all over body, itching everywhere. I went to see my doctor and she hadn?t seen anything like this. I went to the dermatologist they took 3 biopsy?s and came back with a diagnosis of Sweets Syndrome which is an auto immune disorder, paperwork from dermatologist states that it would be favored more likely due to the vaccine. Now I have no job because I cannot work like this, it breaks out or flares up any my allergies flare up or anything that causes my white blood cells to go up.

Other Meds: Vit D 50,000 units, Cymbalta, Levocetirizine, Atorvastatin, Omeprazole, Lyrica, Lisinopril , Diclofenac

Current Illness: no

ID: 1054256
Sex: F
Age: 39
State:

Vax Date: 02/23/2021
Onset Date: 02/23/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: N/A

Allergies: bananas and pitocin

Symptoms: I started with a very bad headache akin to a migraine, it developed into a 100-101 degree F about 12 hours after the shot which also included aches all over the body and nausea. The headache and fever had mostly subsided 40 hours later, but I'm still a bit nauseous over 52 hours since the shot.

Other Meds: N/A

Current Illness: none

ID: 1054257
Sex: F
Age: 78
State: CA

Vax Date: 02/16/2021
Onset Date: 02/18/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: SEE ABOVE

Allergies:

Symptoms: red Rash beginning at the breasts down to .the waist. I took 2 benadryl before bed and took claritin the next day. Note: rash did not itch. It crawled. NOTE; I HAVE GOTTEN THIS SAME RASH OVER THE LAST 15 YEARS. THE RASH COULD BE FROM AN OVER-THE-COUNTER DRUG AT ONE TIME AND NOT HAPPEN AGAIN THE NEXT TIME THE DRUG IS TAKEN. THAT IS TRUE FOR ANTI-BIOTICS; I.E. RASH AT ONE TIME, BUT NOT NECESSARILY THE NEXT. I HAVE BEEN EXAMINED BY AN ALLERGIST FOR THIS AND SHE FOUND NOTHING THAT SHE COULD DIAGNOSE (AFTER COMPLETING SKIN TESTS OF MEDICATIONS)

Other Meds: Levothyroxin, rusuvastatin, cold calm, fish oil, D3, iron plus vitaminC, multivitamin, tylenol ( 8 hours after vaccination), flonase

Current Illness: None

ID: 1054258
Sex: M
Age: 72
State: FL

Vax Date: 02/11/2021
Onset Date: 02/20/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Apparent "Covid arm." 3-inch diameter oblong red rash below the injection site. Not itchy but slightly warm. First appeared about a week after the injection.

Other Meds: Aspirin AM/PM 81 mg./81 mg. Ramipril AM 1.25 mg. Metformin ER AM/PM 1000 mg./1000 mg. Sitagliptin (Januvia) PM 100 mg. Rosuvastatin (Crestor) PM 40 mg. Metoprolol succinate ER PM 12.5 mg. blue-green algae Vitamin D3 Famotidine 20 mg. da

Current Illness: None

ID: 1054259
Sex: F
Age: 73
State: AR

Vax Date: 02/23/2021
Onset Date: 02/24/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: none

Allergies: Penecillin / Kefex

Symptoms: On the first day only mildly sore right arm. Woke up the next morning with nausea (no vomiting) , headache, chills, fever, malaise, muscle and body aches. And an extremely sore right arm. Went back to bed for a couple of hours, took #2 Tylenol, was extremely tired. Had to go to a luncheon but was not feeling well and had little appetite. When I got home in early afternoon continued with chills, fever (100.8), body hurt, malaise was extreme. Then diarrhea occurred. Took OTC's for pain/body aches , upset stomach and fever. Went to bed very early and sleep well with #2 nighttime Cold/Flu medications. Woke up on 3rd day post-vaccine and feeling much better. No major symptoms except a little tired.

Other Meds: Tylenol #2 / 500 mg. Did not take my routine Rx medication the day of my vaccine.

Current Illness: none

ID: 1054260
Sex: M
Age: 74
State: GA

Vax Date: 02/17/2021
Onset Date: 02/19/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: Blood work done at hospital 2/24. WBC and ANC elevated significantly from last blood work in 12/20.

Allergies: Zithromax

Symptoms: Extreme swelling of upper arm and shoulder extending to forearm . Redness and pain entire shoulder and arm. Temperature elevation to 102.4 lasting 5 days. Lethargic and no appetite. Contacted Md/oncologist on day two....tylenol and ice. Started amoxicillin-clav 875-125 mg 02/22. Saw dr.on 02/24 at hospital.. continuing to monitor.

Other Meds: Levothyroxine,apixaban,prasugrel,multivitamin

Current Illness: None

ID: 1054261
Sex: F
Age: 31
State: FL

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: TINGLE TONGUE 5 MINS, 25 MINS

Other Meds:

Current Illness:

ID: 1054262
Sex: F
Age: 50
State:

Vax Date: 02/21/2021
Onset Date: 02/21/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies: ibuprofen, aspirin

Symptoms: lightheadedness, nausea

Other Meds: allergy meds and vitamins

Current Illness:

ID: 1054263
Sex: F
Age: 40
State: NY

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies: Penicillin, vancomycine

Symptoms: 40 y/o female who developed anaphylaxis to Pfizer vaccine. Pt first developed itchiness of throat , followed by generalized pruritus and the sensation of "throat tightening." Received epi from medical team but initially refused ER visit. Symptoms resolved but returned 15 mins later with numbness of the lips and throat, sensation of throat closing being additonal symptoms. She was agreeable to transport after the second episode.

Other Meds:

Current Illness:

ID: 1054264
Sex: F
Age: 50
State: CA

Vax Date: 02/22/2021
Onset Date: 02/24/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies: Almonds; Pineapple

Symptoms: Red tender irregular splotch, upper left arm, beginning and inch below injection site, two days after 2nd vaccine. Some tingling sensation around thumb area.

Other Meds: Liothyronine 5mcg, Levothyroxine 88mcg, Multivitamin, Probiotic, C, D.

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm