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: 1054265
Sex: M
Age: 71
State:

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

Lab Data:

Allergies:

Symptoms: Received first COVID-19 vaccine on 2/18/21. Tested positive for COVID-19 on 2/21/21.

Other Meds:

Current Illness:

ID: 1054266
Sex: M
Age: 76
State: IL

Vax Date: 02/08/2021
Onset Date: 02/15/2021
Rec V Date: 02/25/2021
Hospital: Y

Lab Data: MRI, CT, Blood Work

Allergies: no

Symptoms: caller stated he developed neurological issues a week after receiving the covid vax. Pt became weak, confused, unable walk, hallucinating. He fell 3 times in that week. Symptoms got worse to the point that 911 was called and he was admitted to the Hospital. He had a MRI and CT of brain. MRI on spine. Both had abnormal results w/ no bleeding. Blood Work was normal. He was treated and will be released on Hospice 2/25/2021.

Other Meds: lantus insulin daily, metoprolol, torsemide, spironolactone, carbidopa/levodopa, fludrocortisone, Vitamin D,

Current Illness: no

ID: 1054267
Sex: F
Age: 35
State: GA

Vax Date: 12/30/2020
Onset Date: 01/02/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: ,

Allergies: none

Symptoms: 3 days after the first dose was received, rashes developed under my chin and necks area with itching, and stinging sensation. The symptoms went away a couple days later. The same symptoms would appear a couple more times spacing out about 2- 3 weeks after the initial reaction. Then on 2/17/2021, the same symptoms appear again but this time it would spread out to my entire neck and also my face. Symptoms included facial swelling, redness, blisters, along with stinging, burning, and itching sensation. I did not crossed my mind that it was a reaction, but come to think of it, all of these happened after the vaccinations. I did seek medical treatment on 2/18/21 and was treated with steroid pack. Although the medication treatment regime had completed, I still have symptoms of itchiness under my chin and neck as well as the rashes are still visible.

Other Meds: birth control.

Current Illness: none

ID: 1054268
Sex: F
Age: 26
State: MN

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

Lab Data: Unknown

Allergies: Unknown

Symptoms: Patient presented for second dose of covid vaccine. She was administered Pfizer vaccine. Patient fainted approximately 1 minute after administration of vaccine. Started as syncopal episode then patient started seizing - tonic/clonic. Patient was still seated in chair and seizing lasted about 1 minutes. 911 called. BP 138/78. P 115. Patient moved to cot after she was alert and oriented. By the time paramedics arrived patient was awake and oriented. She refused transport by EMS. She left with fianc? who was driving patient.

Other Meds: Unknown

Current Illness: Unknown

ID: 1054269
Sex: F
Age: 65
State: SC

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

Lab Data:

Allergies: Cipro, Lumigan, Keflex, Tobradex

Symptoms: 8 days after vaccine I have developed a Red swollen itchy rash at injection site

Other Meds: Lisinopril

Current Illness:

ID: 1054270
Sex: M
Age: 40
State: NH

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

Lab Data: Required albuterol, oral steroids, antihistamines.

Allergies: Allergy to shellfish

Symptoms: Diffuse allergic reaction with urticaria, mild difficulty breathing the next day, right upper arm swelling.

Other Meds: Albuterol inhaler as needed; Flovent daily; Tadalafil as needed

Current Illness: N/A

ID: 1054271
Sex: F
Age: 33
State: FL

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

Lab Data:

Allergies:

Symptoms: I can?t move my arm nor move my body . I?ve had fever all night and the body aches I can?t even deal with. ER visit 1/7

Other Meds:

Current Illness:

ID: 1054272
Sex: M
Age: 33
State: OR

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

Lab Data:

Allergies: NONE

Symptoms: Approximately eight minutes post vaccination Client became pale and very diaphoretic, saying he did not feel well, looked hypotensive. 4:05PM B/P was 55/32 Pulse -48 R-14 C/O dizziness. Called 911. Gave him 6.7oz apple juice, retook VS at 4:10PM 99/53 P-64 R-16 placed in supine position. 4:15PM EMTs arrived. O2 sat 99% Vital signs continued to improved to B/P 110/80 . Orthostatic B/P done, no change. Client declined to go to hospital. Wife is MD she escorted him home

Other Meds: NONE

Current Illness: NONE

ID: 1054273
Sex: F
Age: 77
State: MD

Vax Date: 02/20/2021
Onset Date: 02/23/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: none

Allergies: Amoxicillin Aspirin-caffeine ... Codeine Diazepam Erythromycin Iodine Isosorbide Dinitrate Morphine Penicillins Propoxyphene N-acetaminophen Sulfasalazine Terfenadine

Symptoms: Pt received injection on 02/20/2021 and tolerated well. Pt contacted PCP office and spoke with triage RN on 02/23/2021. Pt woke up on 02/23/2021 and after taking her shower noticed redness, swelling and warmth at the injection site. area was 4" and now appears to be approx. 2.5" in diameter. Pt monitored the area and in the afternoon the symptoms resolved. Pt denies chest pain, shortness of breath, fevers, chills, rash/blisters and swollen glands at the time of the triage call. RN provided pt with home care instructions for her to continue to monitor for reaction to COVID vaccine, take Tylenol as needed and apply cool compresses tot he area with barrier between skin/ice as needed. Pt returned telephone call to the PCP office and spoke with triage RN on 02/25/2021 and advised the area of redness has extended to her left elbow. Pt reports no " red streak noted" its only red, warm to touch and with no swelling/pain or fever. RN sent message to PCP and recommendations received and RN contacted pt. RN advised pt to continue with ice as needed, Tylenol as needed and reviewed instructions for worsening symptoms and when to present to hospital ( increase redness/warmth/fever) and ED ) red streak/increase pain/swelling/high fever/decreased movement to left arm).

Other Meds: Anoro Ellipta 62.5-25 mcg inhale 1 inhaler into the lungs daily Aspirin 81 mg EC daily Chlordiazepoxide 10 mg one capsule three times a day as needed for anxiety Ezetimibe 10 mg - take one tablet daily Flavoxate 100 mg tablet - take one ta

Current Illness: none

ID: 1054274
Sex: M
Age: 11
State: AL

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

Lab Data: 2/24/2021 WHEN SEEN AT DR OFFICE WAS TOLD TO TAKE 350 MG MOTRIN Q 6 HOURS PRN PAIN. FOLLOW UP VISIT PRN.

Allergies: NKDA

Symptoms: RETURNED TO DR OFFICE ON 2/24/2021 WITH RIGHT ARM PAIN, HURTS TO MOVE OR TOUCH THE RIGHT ARM. NO CELLUITIS.

Other Meds: CETIRIZINE 10MG 1 PO Q DAY INTUNIV ER 1 MG 1 TAB PO QHS VYVANSE 20MG 1 CAPSULE PO Q AM CYPROHEPTADINE 4MG 1 TAB BID FLUTICASONE PROPRIONATE 50 MCG/ACTUATION NASAL SPRAY SPRAY EACH NOSTRIL BID

Current Illness: 2-4-21 ACUTE SEROUS OTITIS MEDIA BILATERAL 2-8-21 ACUTE NONINFECTIVE OTITIS EXTERNA BILATERAL 2-18-21 ALLERGIC RHINITIS

ID: 1054275
Sex: F
Age: 75
State: FL

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

Lab Data:

Allergies: unknown

Symptoms: red swollen and itchy at shot site, suddenly nearly 2 weeks after shot

Other Meds: Vit C, D, B12, fish oilnknow

Current Illness:

ID: 1054276
Sex: F
Age: 25
State: WA

Vax Date: 02/20/2021
Onset Date: 02/22/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: On Monday February 22, the lymph nodes in my right arm pit started to swell but not too much and is one of the side effects. Wednesday February 24 the lymph nodes in my right arm pit started to get sore and you could see lumps under my skin. Thursday February 25th I woke up with bad pinching pain in my right arm pit and the lymph nodes are about twice the size that they were yesterday and more painful. One feels bigger than pea sized.

Other Meds: Lamotrigine Prenatal vitamin plus low iron Acetaminophen

Current Illness:

ID: 1054277
Sex: F
Age: 81
State: MO

Vax Date: 02/09/2021
Onset Date: 02/17/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: none

Allergies: none reported

Symptoms: 8 days after vaccination pt noted a 1.5 - 2 in diameter pale red area with speckled dots around her injection site. 4 days later on 2/22/2021 area was larger at 2.5in x 3in area that was pale red with red dots dispersed around the injection site. Pt did take antihistamine on 2/21/2021 for headache and sinus. Reported very minor itch or irritation to the area but not pain, warmth or swelling. Pt saw her primary provider on 2/24/2021 due to area still present. No treatment course given per her primary provider. Pt reported on 2/25/2021 that the area was not a pale pink color and less noticeable but the size was the same. She feels it is starting to subside. No other s/s of reaction reported.

Other Meds: unknown

Current Illness: none reported

ID: 1054278
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: "A LITTLE WARM FROM BEING ANXIOUS", WAITED 20 MINS

Other Meds:

Current Illness:

ID: 1054279
Sex: M
Age: 62
State: LA

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

Lab Data:

Allergies: banana

Symptoms: feaver,body akes,chills.

Other Meds: multivitamin

Current Illness: none

ID: 1054280
Sex: F
Age: 65
State: FL

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

Lab Data:

Allergies:

Symptoms: YAWNING

Other Meds:

Current Illness:

ID: 1054281
Sex: F
Age: 26
State: CA

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies: Sesame Oil

Symptoms: These symptoms all began approximately at 8am (2/11) and lasted until approximately 12:30am (2/12) Extremely lightheaded (difficulty standing for longer than 2 minutes-almost lost consciousness 4 times). Nausea Chills Body Aches Soreness in left arm beginning approximately 3 hours after receiving the vaccine and lasted for approximately 5 days

Other Meds: Magnesium supplement, Hair Skin & Nails Supplement; Vitamin D; Turmeric supplement

Current Illness: None

ID: 1054282
Sex: F
Age: 26
State: DC

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

Lab Data:

Allergies: None

Symptoms: Fever; Chills; Body Aches; Headache.

Other Meds: None

Current Illness: None

ID: 1054283
Sex: M
Age: 52
State: CO

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

Lab Data: None

Allergies: none

Symptoms: Day 1: Immediately (1015am) after injection a low grade headache. Soreness in injection site. During the evening some aches in joints. Day 2: Next morning was difficult getting out of bed. Skin was very sensitive to warm/hot shower water. Achy joints all over. Even my left injection site was sore even though I was injected on the right side. Fatigue at work. I was very wide eyed as described by co-worker. I was a little loopy as I was very giggly and things made me laugh way more than usual. I may have been a little delirious but I was able to work. This lasted until I went to bed. Day 3: When I awoke I felt like a fever had broke, Cooling sweat, but my temp was never over 98.5 degrees. My normal morning temp is usually 97.3 every day, but that one degree made a difference. I feel normal today and realize I was not well the day before.

Other Meds: psyllium husk

Current Illness: none

ID: 1054284
Sex: F
Age: 50
State: CA

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

Lab Data:

Allergies:

Symptoms: First Fever, body aches, joint pain. Second Fever, head ache, body aches, joint pain, hot flashes and has missed work for 3 weeks.

Other Meds:

Current Illness:

ID: 1054285
Sex: F
Age: 50
State: CT

Vax Date: 02/11/2021
Onset Date: 02/15/2021
Rec V Date: 02/25/2021
Hospital: Y

Lab Data: CBC was normal. no eosinophilia CXR was normal Ct of the neck showed tonsilar edema Chemisties were normal

Allergies: cephalosporins, anaphalaxis

Symptoms: The day after the vaccine she experienced malaise, fever and chills. That resolved. Four days later she developed angio-edema that developed over the course of 6 hours with shortness of breath and weakness and confusion. She had laryngeal edema. she was treated with epinephrine, steroids and antibiotics. symptoms improved within 24 hours and resovled by 48 hours to 72 hours. she was discharged after 3 days in the hospital

Other Meds: dasatinib, 100 mg, Oral, Nightly escitalopram, 20 mg, Oral, Nightly loratadine, 10 mg, Oral, Daily LORazepam, 1 mg, Oral, Nightly Lisinopril 10 mg oral daily

Current Illness: Multiple sclerosis Chronic Myelocytic leukemia Hypertension GERD

ID: 1054287
Sex: F
Age: 63
State: NH

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

Lab Data:

Allergies: Allergy to iodine and shellfish. MSG causes migraines. Allergic to acyclovir. Clarithromycin causes diarrhea.

Symptoms: Ten minutes after injection to left arm the entire arm was cold and experienced numbness, tingling and pain to left hand, which resolved approximately 8 hours later. Took 2 Tylenol extra strength 4 hours after injection. Experienced chills for 24 hours. Experienced body aches and fatigue for 4 days. By the 5th day felt better after going to acupuncture. Did not require doctor visit.

Other Meds: Levothyroxine, hydrochlorothiazide, Celebrex, trazodone, Zoloft, baclofen, and Advair.

Current Illness:

ID: 1054288
Sex: M
Age: 53
State: NJ

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

Lab Data: There were no tests done, I just woke up and looked in the mirror to see the blood in my eye.

Allergies: Pennicillin

Symptoms: Day 1 and 2 were fine with no issues. Day 3 woke up with a subconjunctival hemorrhage on my left pupil.

Other Meds: Triumeq

Current Illness: None

ID: 1054289
Sex: M
Age: 42
State: FL

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

Lab Data: None.

Allergies: None

Symptoms: Syncopal Episode.

Other Meds: None

Current Illness: None

ID: 1054290
Sex: F
Age: 67
State: IN

Vax Date: 02/10/2021
Onset Date: 02/18/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Kept waking up with itching at injection site, 8 days after receiving the shot. Noticed a 1 1/2 inch diameter dark pink circle slightly raised around injection site. Put topical anti-itch cream on but the itch kept getting worse until I had to call my Dr. for a recommended treatment. Was told to take 10 mg of Zyrtek which I did. Only one dose needed to subside the itch. Pink skin patch continued to grow to about 2 inches but no longer itched badly. Completely gone by day 12.

Other Meds: vitamin D and OTC Systane eye drops

Current Illness:

ID: 1054291
Sex: M
Age: 40
State: FL

Vax Date: 01/06/2021
Onset Date: 01/08/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: had a ?massive ? panic attack 2 days after receiving the covid vaccine. He did not miss work.He also has a stated history of panic attacks.

Other Meds:

Current Illness:

ID: 1054292
Sex: F
Age: 72
State: AZ

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

Lab Data:

Allergies: Nickel in knee replacement. Eggs; milk; almonds.

Symptoms: Joint pain, fatigue, muscle pain, weakness, headache, rash.

Other Meds:

Current Illness: Hashimotos. Autoimmune.

ID: 1054293
Sex: F
Age: 43
State: WA

Vax Date: 02/12/2021
Onset Date: 02/24/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Red, itchy rash in mostly a circle around the injection site.

Other Meds: Elderberry vitamins

Current Illness:

ID: 1054294
Sex: F
Age: 84
State: IL

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

Lab Data: NONE

Allergies: NONE KNOWN DRUG ALLERGY AND NO OTHER ALLERGY NOTED

Symptoms: PT RECEIVED THE MODERNA VACCINE FOR COVID19 ON MONDAY FEBRUARY 22. SHE STATED THAT AT NIGHT SHE STARTED WITH NAUSEA AND HEADACHES. TUESDAY MORNING AROUND 3:00AM SHE STARTED WITH RASH THAT STARTED AT FEET AND STARTED GOING UPWARDS THE ENTIRE BODY BY WEDNESDAY.

Other Meds: FENOFIBRATE 160MG AND LIPITOR 40MG

Current Illness: 01/05/2021: PITYRIASIS ROSEA 02/03/2021: HYPERLIPIDEMIA

ID: 1054295
Sex: F
Age: 48
State: FL

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: She emailed on 1/7/21 about dizziness.

Other Meds:

Current Illness:

ID: 1054296
Sex: F
Age: 22
State: MA

Vax Date: 02/01/2021
Onset Date: 02/07/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 2/1/2021 Vaccinated C/o "foggy" after vaccine, but otherwise felt well 2/7/2021 felt tired 2/8/2021 vomited 2/11/2021 vomited several times during night and went to the Emergency Dept. 2/11 had emergency appendectomy

Other Meds:

Current Illness:

ID: 1054297
Sex: F
Age: 65
State: RI

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

Lab Data:

Allergies: Cherries

Symptoms: Recipient of her first dose developed isolated perioral numbness without any pruritus or other sense of swelling,, without shortness of breath, chest tightness, nausea, rash, or headache. Her blood pressure was taken several times with systolic pressures in 210 plus range and diastolics near 100. She is under a physicians care,, takes no medications, and has never been hypertensive, including a meaurement at her recent physical. She declines further evaluation today but will contact her primary care physician for followup advice. She has not had similar reactions to injections and was asymptomatic after 5-10 minutes.

Other Meds: None

Current Illness: None

ID: 1054298
Sex: F
Age: 38
State: IL

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

Lab Data:

Allergies: None known

Symptoms: Fever close to 103 Chills Aches Vertigo Headache Shortness of breath

Other Meds: Multi vitamin, sertraline

Current Illness: None known

ID: 1054299
Sex: M
Age: 71
State: WA

Vax Date: 02/17/2021
Onset Date: 02/18/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Skin became red, puffy, itchy, and inflamed around entire body. Rashes appeared all over body as well.

Other Meds:

Current Illness:

ID: 1054300
Sex: F
Age: 64
State: KY

Vax Date: 02/21/2021
Onset Date: 02/22/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: Received the Vaccine on Sunday, February 21, 2021 at approximately 12:30pm. Started feeling the illness at about the same time the next day, Monday, February 22, 2021. It gradually got worse over a two day period. I read that taking Tylenol, believe it or not, and taking Emergen-C was a good treat meant. I already took the Tylenol and since I have Chronic kidney disease and have vitamins dictated by a doctor, I bought Power Aid instead on Wednesday, February 24 and felt much better. (Also, took this when going through Chemo Therapy for the Breast Cancer.) Don't know if the Power Aid and the Tylenol helped, but it didn't hurt. Could have been that the illness ran it's course in 48 hours.

Allergies: Percocet.

Symptoms: Pfizer Was the manufacturer 24 hours after receiving the vaccine, I started having headaches followed by illness that remined me somewhat of getting the flu. Also, very tired and lack of appetite.

Other Meds: I took Tylenol in the early morning , as always, for arthritis along with prescription vitamin B-12 500 mcg, Calcium 600 mg plus D3 20 mcg vitamin, a prescription vitamin D3 50 mcg, and a Wellbutrin 300 mg.

Current Illness: None

ID: 1054301
Sex: F
Age: 49
State: MA

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies: Penicillin, Urethromycin (anything with mycin family- get allergies)

Symptoms: After my first vaccine, I experienced right arm soreness and within 48 hours it went away. Then on day six in the morning, I experienced swelling around the injection site. it was hard, swelling and warm to touch.

Other Meds: Vitamin D, Acidophilus pills, tumeric

Current Illness:

ID: 1054302
Sex: F
Age: 46
State: CA

Vax Date: 02/03/2021
Onset Date: 02/05/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: Check up with doctor on 02/12/2021.

Allergies: penicillin

Symptoms: pins and needles left side of face, pins and needles right arm and hand, pins and needled left arm and hand. Ongoing

Other Meds: Nexium, daily vitamin

Current Illness: N/A

ID: 1054303
Sex: F
Age: 82
State: TX

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

Lab Data:

Allergies:

Symptoms: Dizziness, R side chest pain radiating to R side of neck and R arm. Evaluated by EMS, cleared.

Other Meds:

Current Illness:

ID: 1054304
Sex: F
Age:
State: CT

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

Lab Data: Stress test, Heart cath

Allergies: CAT scan dye

Symptoms: Temp- 102, chest pain, body aches, headaches, vomiting. Saw primary in the AM and went to the ER from there.

Other Meds: Metoprolol, 25 mg, losartan 100 mg, rosuvastatin 40 mg, Synthroid 75 micrograms, indor 30 mg, Vitamin super b complex and aspirin.

Current Illness:

ID: 1054305
Sex: F
Age: 51
State: FL

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Heart Rate 106, resolved

Other Meds:

Current Illness:

ID: 1054306
Sex: F
Age: 67
State:

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

Lab Data:

Allergies:

Symptoms: vomiting, chest tigthness and shortness of breath, tongue swelling and difficulty swallowing

Other Meds:

Current Illness:

ID: 1054307
Sex: F
Age: 64
State: WA

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

Lab Data: none

Allergies: codeine- nausea/vomitiing

Symptoms: Moderna COVID-19 Vaccine EUA. Insomnia 12 hours after vaccine. headache 24 hours after the vaccine, progressed to body aches, fatigue, chills, fever 101.6 Resolved after 48 hours. Red arm 6 inches by three inches started 24 hours after the vaccine, still there 36 hours after vaccine

Other Meds: levothyroxine 0.112 mg one QD Vitamin D3 1000 iu one QD Preservision eye vitamin and mineral supplement one QD

Current Illness: none

ID: 1054308
Sex: F
Age: 36
State: FL

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

Lab Data:

Allergies: Pencilllin Sulfa

Symptoms: Fever Body ache Chills Neck pain Finger pain Severe headache

Other Meds: Birth control Synthriod Metformin Ozempic

Current Illness: None

ID: 1054309
Sex: F
Age: 55
State: OH

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: At my eye exam on February 12th I told my eye doctor that I was having some trouble with my left eye feeling like my contacts were not fitting correctly. During the exam he noted that my left cornea was swollen and I was put on a steroid drop for 7 days.

Allergies: Allergic to penicillin, amoxicillin

Symptoms: Five minutes after the vaccine was administered, my throat tightened and I was having difficulty swallowing. I took Benadryl and the symptoms minimized.

Other Meds: Levothyroxine 75mcg (1 tablet taken at 4:30 am).

Current Illness: None

ID: 1054310
Sex: F
Age: 75
State: IN

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

Lab Data:

Allergies:

Symptoms: Patient developed a nodule with redness and warmth at injection site about 5 minutes after receiving their second dose of COVID-19 vaccine. The reaction subsided after patient received a dose of oral diphenhydramine. and released from the vaccine clinic without requiring any further intervention.

Other Meds:

Current Illness:

ID: 1054312
Sex: F
Age: 63
State: WA

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

Lab Data:

Allergies: Bactrim, antihistamines cause racing heart

Symptoms: Covid arm, large red , itchy knot at vaccine site

Other Meds: Metoprolol, pantaprazole, aspirin 325, vit D3, viviscal, potassium, b-complex, magnesium citrate, magnesium oxide

Current Illness: None

ID: 1054313
Sex: M
Age: 71
State: IN

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

Lab Data: Portable chest x-ray showed right upper lobe pneumonia. CT scanning of the brain showed no acute changes. Initial CBC had a white blood cell count of 16.1 and followup today was 18.1, remainder of the CBC was okay. Chem profile was normal in the emergency room and followup today, sodium 136 and glucose 103. Troponin was normal. Urinalysis had 25 to 50 RBCs, marked bacteriuria, positive nitrites, small blood, moderate leukocyte and urine culture has been sent and blood culture has been sent x 2.

Allergies: aspirin

Symptoms: HISTORY OF PRESENT ILLNESS: The patient is a 71-year-old male patient with a complex medical history with multiple problems and cancers and debilities. He received a second dose of COVID vaccine yesterday about midday. Shortly thereafter, he started having shivers and shakes. The concern that I had when he called the office was a possible bacteremia. He was sensitive emergency room for evaluation. He was noting that he was chilled and was unable to get warm. He said his temperature was up to 100.5. He had generalized weakness and inability to get up and walk and had malaise. He has no known exposures to pneumonia or other illnesses. He has basically been homebound for the past year with the COVID. He was evaluated in the emergency room and found to have an elevated white blood cell count on the right upper lobe pneumonia on portable chest x-ray. Blood cultures and urine culture were obtained since he had a urine abnormality as well. The patient was admitted to observation while we wait on cultures and we treat the pneumonia with antibiotics.

Other Meds: none

Current Illness: 1 Gabapentin 300 mg 2 p.o. b.i.d. 2. Alprazolam 0.5 mg 1 p.o. b.i.d. p.r.n. and 1 p.o. at bedtime. 3. Clopidogrel 75 mg daily. 4. Rosuvastatin 20 mg daily. 5. Nitroglycerin 0.4 mg sublingual p.r.n. chest pain. 6. Advil 200 mg p.r.n. pain. Topical powder used in the _____ area of the lower abdomen around the suprapubic catheter p.r.n.

ID: 1054314
Sex: F
Age: 84
State: TX

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

Lab Data:

Allergies:

Symptoms: None stated.

Other Meds: metroprolol;l-thyroxine;atorvastatin;telmisarten

Current Illness:

ID: 1054315
Sex: F
Age: 63
State: VA

Vax Date: 01/06/2021
Onset Date: 01/08/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies: NKDA

Symptoms: first shot- starting two days after and lasting 2 weeks- when I turn my head it feels like it takes a few seconds for my eyes to catch up. second shot-starting two days after and now I'm on my fourth week post vaccination- have the same feeling that when I turn my head it feels like it takes a few seconds for my eyes to catch up. I'm an RN and felt that the manufacturer needed to know this is happening. I'm able to function, but the feeling is still there.

Other Meds: lisinopril levothyroxine escitalpram propranolol atorvastatin mirtazapine

Current Illness: none

ID: 1054316
Sex: F
Age: 58
State: MA

Vax Date: 02/15/2021
Onset Date: 02/23/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies: Peanuts, Sunflower/Soybean/Palm Oils, Avalox(antibiotic)

Symptoms: 8days after the vaccination, at the site of the injection (left upper arm), a bright red, raised, hot and itchy rash appeared out of no where. I feel itchy all over and achey. My arm is extremly sore and feels hot/burning. Now two days since the onset of the ?rash? the affects area has expanded to my entire left upper arm (shoulder to elbow) still bright red and raised and itchy, all symptoms have remained the same. It is not improving with time.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm