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: 1055519
Sex: F
Age: 58
State: CA

Vax Date: 02/16/2021
Onset Date: 02/23/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies: Iodine, marcaine, morphine, tdap vaccination

Symptoms: Exactly 7 days after the vaccine, I developed a severe rash all over my body. Itchy, red and hot

Other Meds: Metformin, victoza, trulicity Spironolactone, pravastatin Carvedilol

Current Illness: None

ID: 1055520
Sex: F
Age: 40
State: OR

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

Lab Data: n/a

Allergies: latex, bee venom

Symptoms: 101 fever, chills, muscle aches and contractions, lasted for 20 hours, took aspirin, nausea

Other Meds: prenatal multi vitamin, vitamin d, b12,omega 3

Current Illness: n/a

ID: 1055521
Sex: M
Age: 71
State: FL

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

Lab Data:

Allergies: none known

Symptoms: LOW GRADE FEVER, CHILLS

Other Meds: primadone, astovastin

Current Illness: none

ID: 1055522
Sex: M
Age: 51
State: NC

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

Lab Data:

Allergies: None known

Symptoms: periodic headache lasting 7 days periodic high fever that would last up to an hour, and then dissipate for up to 4 hours, than return. This lasted from 2/20 until 2/22. Highest observed temp was 101.9, on 2/20 mid day. observed 99.9 on 2/21 at approximately 5pm.

Other Meds: GNC Male Multi-Vitamin, Citrazine

Current Illness: None known

ID: 1055523
Sex: F
Age: 57
State: CA

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

Lab Data: None

Allergies: Penicillin; Bee sting

Symptoms: Right after vaccine I felt tingly in neck and started sweating and then I was shaking and slumped forward in chair, at this point I didn't know where I was (thought I was dreaming) couldn't see or hear but felt my arms moving. Then I could see and hear and sat upright realizing where I was. I felt nauseous and strange and continued to be very clammy. I was given cranberry juice and watched for 30 mins. Felt much better. Husband drove me home and took my blood pressure which was first 70/50 did again 76/52. I layer down and retook about an hour later 89/59. no more adverse effects other than sore arm. Today Feb 25th feel fine, little tired, sore arm.

Other Meds: None

Current Illness: None

ID: 1055524
Sex: F
Age: 62
State: AL

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

Lab Data: None

Allergies: Aspirin, Darvon, Sulfur, & Codeine

Symptoms: Arm soreness, Chills and headaches

Other Meds: Vitamin C, Zinc, triple omega, Vitamin D3, Magnesium, & Centrum Silver-Women 50+

Current Illness: None

ID: 1055525
Sex: M
Age: 76
State: CA

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

Lab Data: none

Allergies: NKA

Symptoms: Left deltoid nodule s/p vaccination. Ice pack applied. Pt tol well. Decreased discomfort to sit

Other Meds: "b/p and diabetes meds".

Current Illness: same as above

ID: 1055526
Sex: F
Age: 44
State: NJ

Vax Date: 02/03/2021
Onset Date: 02/22/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: Pcr test on Feb 22nd

Allergies: None

Symptoms: I received the first vaccine on Feb 3rd. On Feb 22nd I took a precautionary COVID pcr test. I didn?t have any symptoms, just took the test because we were on vacation the week prior and I was getting my kids tested to go back to school next week. I was very surprised my test came back positive but all 3 of my children and my husband came back negative. We had been in close quarters all together in the same house since the kids were on break. I am a symptomatic, so we are following the doctors protocol for quarantining. Since the vaccines are still being studied, I wanted to make sure I share this info?

Other Meds: None

Current Illness: None

ID: 1055527
Sex: F
Age: 80
State: CA

Vax Date: 02/15/2021
Onset Date: 02/16/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies: Penicillin Erythromycin

Symptoms: Received the vaccine at 1:45 AM. At 9 PM I became very cold. The following 2 days I had fever (100.4 and 99.9), aches and was feeling lousy. My right arm was very red, warm and itchy. (Ten days after receiving my first vaccine my left arm became warm, red and itchy for about several days). On the 3rd day the discomfort began to diminish. Today I am fine.

Other Meds: Calcium citrate Vitamin D

Current Illness:

ID: 1055528
Sex: F
Age: 41
State: NJ

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies: Penicillin Darry Egg

Symptoms: On 1/12/2021 around 2 am I started feeling, chills, body aches, headaches, diarrhea & fatigue. They lasted 50 48-72 hours. I took Tylenol for my symptoms. I did have Covid-19 on May 2020.

Other Meds:

Current Illness:

ID: 1055529
Sex: F
Age: 87
State: CT

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

Lab Data: None

Allergies: Intolerance of multiple medications, principally some antibiotics

Symptoms: Injection site pain, onset 6 hours after injection, lasting for 24 hours; slight headache, onset after 24 hours, lasting 1/2 hour; slight fever on second day; muscle aches on second day

Other Meds: Synthroid

Current Illness: None

ID: 1055530
Sex: M
Age: 31
State: MI

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

Lab Data: None

Allergies: None reported

Symptoms: Patient felt lightheaded in the bathroom several minutes after injection. He laid down on the ground to avoid passing out. Light headedness persisted for 15 - 30 minutes. Ambulance was called but patient refused transport to ED. He was able to leave the clinic with minimal symptoms 30 - 45 minutes after vaccine. He has a history of panic disorder and fear of needles.

Other Meds: None reported

Current Illness: History of Panic Disorder and Fear of Needle Injections

ID: 1055531
Sex: F
Age: 60
State: CA

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

Lab Data: Doctors visit

Allergies: amoxicillin, vicodin

Symptoms: itchy, chickenpox type rash on armpit, back, and trunk

Other Meds: multi vitamin

Current Illness: none

ID: 1055532
Sex: F
Age: 42
State: NJ

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

Lab Data:

Allergies: Watermelon, melon, cantaloupe, melon, Ceclor

Symptoms: Two minutes after the vaccination I became extremely hot and my heart began to race. My mouth became very dry and felt like I couldn?t swallow. It passed after a couple of minutes. Red circular rash to the left of the injection site appeared 8 days after vaccination.

Other Meds: Junel, Singulair, claritin, elderberry, vitamin C

Current Illness:

ID: 1055533
Sex: M
Age: 61
State: VA

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

Lab Data:

Allergies:

Symptoms: Body Aches, Headache, upset stomach, weakness, loss of appetite, shortness of breath.

Other Meds:

Current Illness: Covid-19 Diagnosed 1/31/2020. Pneumonia Diagnosed 2/14/21.

ID: 1055534
Sex: F
Age: 67
State: FL

Vax Date: 02/11/2021
Onset Date: 02/22/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: At the Injection site, I have a 2?+ diameter red circle. It is slightly larger than when I first noticed it. It is slightly warm and slightly hard. It does not hurt. I have done nothing to treat it.

Other Meds: Vitamins

Current Illness:

ID: 1055535
Sex: F
Age: 70
State: WI

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

Lab Data:

Allergies:

Symptoms: Patient was alert and conversational throughout first COVID-19 Pfizer vaccination. During post vaccination waiting period, patient became unresponsive and exhibited convulsion like movements in her waiting chair. Pharmacist quickly evaluated patient and patient was only minimally responsive to painful stimuli only. Breathing was rapid, shallow, and irregular with an expiratory wheeze heard upon auscultation. Patient was slouched in chair but supporting self and had a strong grip with her left hand. Skin condition was warm but diaphoretic. Ambulance 911 service was called. No swelling of the throat, mouth, face, nor lips was seen. Patient continued to be non-responsive, with non-comprehensible sounds, and was not opening eyes or following commands. Due to worsening ability to breath and wheezing on expiration, epinephrine 0.3 mg was administered intramuscularly into the left thigh at 1230 on 2/25/2021. Approximately 5 minutes after epinephrine administration, the patient?s work of breathing improved, wheezing was diminished upon expiration, and respiratory rate had slowed to 16 breaths per minutes. BP was 160s/80s and HR 98 (after epinephrine administration). Patient began opening eyes spontaneously but was still not following commands. Ambulance service then arrived, report was given, and patient was transported to Hospital Emergency Department. Patient was under the care of Doctor at the emergency department and received albuterol/ipratropium nebulization, dexamethasone 10 mg Iv, famotidine 20 mg IV, and magnesium sulfate 2 g IV. After the physician evaluated the patient and talked with family, the patient?s family stated that the patient has a history of anxiety related reactions such as this with convulsion like activity. Doctor then determined that the patient did not have an anaphylactic/allergic reaction and instead had a anxiety related vasovagal type reaction. Doctor stated that the patient could receive the second COVID-19 vaccine dose in 3 weeks without issue. Patient then discharged from Emergency Department (unsure if AMA). Patient then presented to the pharmacy with her daughter after discharge to fill in staff on the outcome of the reaction. Patient appeared to be at baseline mentally and physically. Pharmacist contacted Emergency Department to discuss case with patient?s nurse to obtain information about medications received in the emergency department. Patient daughter stated that she would like to be present for second dose of vaccine to help avoid a similar anxiety related reaction from occurring.

Other Meds:

Current Illness:

ID: 1055536
Sex: F
Age: 42
State: NC

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

Lab Data: unknown

Allergies: unknown

Symptoms: The staff member was given a Covid-19 vaccination as part of the LTCF Covid-19 clinic scheduled on 2/25/2021. During the 20 minute observation period the patient lost consciousness and begin to have seizure-like shaking. An 0.3mg epi-pen was administered in the lateral thigh. The patient then experienced cardiac arrest at which point nurses from the LTCF began and completed 2 cycles of CPR before the staff member was resuscitated. EMS arrived and assessed the patient. Patient was taken to the hospital for further evaluation.

Other Meds: unknown, this was part of a LTCF covid clinic

Current Illness: unknown

ID: 1055537
Sex: F
Age: 86
State: VA

Vax Date: 02/15/2021
Onset Date: 02/16/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies: dairy products

Symptoms: Red, hot, swollen spot for over a week Kenalog ointment applied locally

Other Meds: crestor, combivent, dofetilide, Nexium, wheat dextrin, omega 3

Current Illness: none

ID: 1055538
Sex: F
Age: 64
State: CA

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

Lab Data: T 36.8, HR 80, BP 141/74, sat 98% on RA (2/25/21 at 09:32)

Allergies: NKDA

Symptoms: Patient complained of mild headache 15 minutes after injection and mild dizziness. 30 minutes after injection complained of right face numbness, right ear and right neck pain. Evaluated 1 hour later and denied symptoms

Other Meds: Tylenol PRN, Maalox PRN, Albuterol PRN, Calcium 500mg- Vitamin D 200IU, Diclofenac 1% gel, Colase 100mg PRN, Fenofibrate 200mg qDAY, Advair BID, Fluticasone nasal PRN, Gabapentin 300mg qDAY, Ketoconazole 2% topical cream, Loratadine 10mg PR

Current Illness: None

ID: 1055539
Sex: M
Age: 43
State: ID

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

Lab Data:

Allergies: None

Symptoms: A few days after COVID19 vaccine administration on the patient's L arm he developed a L eye stye and a new L upper lip herpes labias outbreak, patient has a history of cold sores in the past. Patient applied topical abreva to the cold sore which he has used in the past resulting in upper lip swelling. Unclear if the upper lip swelling is a result of the abreava or delayed from the vaccine.

Other Meds: Valtrex 1gm PO daily

Current Illness: None

ID: 1055540
Sex: F
Age: 33
State: MD

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

Lab Data:

Allergies:

Symptoms: Body rash with extreme itching. Has not gone away with steroids or antihistamines. Day 22 days out and the rash is still here. My skin feels like it?s crawling and itchy. Majority of the rash had been on my back, neck and recently my left back/armpit. Very painful and blistering.

Other Meds:

Current Illness:

ID: 1055541
Sex: F
Age: 64
State: OR

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

Lab Data: N/A

Allergies: None

Symptoms: Large red spot 4 to 5? in diameter

Other Meds: Riluzo, levithoroxin, Zoloft, sertrilizine

Current Illness: ALS/FTD

ID: 1055542
Sex: F
Age: 71
State:

Vax Date: 02/15/2021
Onset Date: 02/20/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient reported that she had very little reaction initially from the vaccine. She said that about 3-5 days after she received it, the injection site became very itch. The injection site swelled in an area that was about the size of a golf ball and became hard around the site of injection. It also became red and developed a rash that covered a larger area. It has now been 10 days since injection and she is first reporting these symptoms now. She says it has gotten a little better, but she is still experiencing symptoms.

Other Meds:

Current Illness:

ID: 1055543
Sex: F
Age: 79
State: NJ

Vax Date: 02/04/2021
Onset Date: 02/07/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Developed itchy rash..2-3 inches long....just below injection site; lasted about 6 days.

Other Meds: losartin Vit. C, D3, magn?sium, b complex, multivit, niacinamide, Curcumin,

Current Illness:

ID: 1055544
Sex: F
Age: 40
State: AK

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

Lab Data: None

Allergies: Codeine

Symptoms: Initially became flushed and warm, followed by rash that developed into hives on the face and chest. Acknowledged headache and blood pressure was elevated.

Other Meds: Omeprazole 20 mg Adult Multivitamin Vitamin B12 Vitamin D Fish Oil Metamucil

Current Illness: None identified

ID: 1055545
Sex: F
Age: 65
State: NV

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

Lab Data:

Allergies: no

Symptoms: Tiredness, headache, muscle pain, chills, fever, nausea, feeling unwell

Other Meds: none

Current Illness: none

ID: 1055546
Sex: F
Age: 77
State: TX

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

Lab Data:

Allergies: none known

Symptoms: per patient family report, patient was hospitalized in intensive care unit on a ventillator the day following covid-19 vaccination

Other Meds: albuterol, budesonide-formoterol, ipratropium-albuterol, warfarin

Current Illness: not known

ID: 1055547
Sex: F
Age: 67
State: TX

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

Lab Data: none

Allergies: ace inhibitors, solifenacin succinate, duloxetine hcl

Symptoms: MODERNA COVID-19 VACCINA EUA Shortly after injection, became bloated but was able to eat lunch & light dinner later. About 1:30 am on 2/24/21, I became nauseous, followed shortly after by vomiting until everything, including my lunch came out. That lasted until 5am. About 4:30 projectile diarrhea started for another 3 hours. About 8 am, diarrhea continued but it wasn't as bad and I still has nausea. The lessened symptoms lasted until about noon on 2/24. I was extremely weak and very dizzy. My normal temp is 97.2 but I had a fever that climbed to 99.9 by 3 pm and stayed at that level until it broke during the night. During the day I could only drink water. I tried a bite of banana but started feeling nauseous again. Today, 2/25, I was able to drink water as usual and have 2 light meals. I am gaining my strength back.

Other Meds: trazadone, venlafaxine, simvastin, losartan, metformin, levothyroxine, metoprolol tartate, hydrocodone-acetaminophen, prilosec, glucosamine chondrotin, calcium magnesium zinc d, B complex

Current Illness:

ID: 1055548
Sex: M
Age: 80
State: CA

Vax Date: 01/16/2021
Onset Date: 02/25/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: cbc, panel7, LFT, CPK, sed rate advise him to go to emergency for urgent evaluation on 2/25 due to concern for new onset leg weakness.

Allergies: NKDA

Symptoms: bilateral thigh pain, leg pain with whole body aches 10 days after vaccination follow by weakness of both lower limbs

Other Meds: Cardura 1 mg daily

Current Illness: allergic rhinitis, myopia, leg cramps

ID: 1055549
Sex: M
Age: 43
State: PA

Vax Date: 02/13/2021
Onset Date: 02/23/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: None

Allergies: Allergic to certain food colors

Symptoms: Red, itchy rash on the left arm, a few inches around the vaccination site, ten days after receiving the vaccine

Other Meds: None

Current Illness: Slight fever and diarrhea a few days before the vaccination. Tested negative for SARS-CoV-2. Felt better by the time I was vaccinated.

ID: 1055550
Sex: F
Age: 59
State: ME

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

Lab Data: none

Allergies: penicillins

Symptoms: vertigo, dull headache

Other Meds: lisinopril, vit D (5000), Claritin, prozac, B12

Current Illness: none

ID: 1055551
Sex: F
Age: 61
State: NJ

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

Lab Data:

Allergies: Significant allergies to food, touch and ingestion.

Symptoms: Patient about 12 min into observation began with signs of a mild itch, and noted red blotchy spots on inner arm. Patient with a significant allergy report which was properly flagged by clinical nurse for 30 minute observation. During initial assessment, patient denied any SOB, no chest pain, slight pruritus on upper arms and neck. No difficulty swallowing, no wheeze, pulses present and good capillary refill. Placed on Cardiac monitor - Normal Sinus 89, Pulse Ox 98% room air, 164/88. EMS present as support, patient refusing medical transport, EMS documented refusal. Patient will obtain Benadryl from the CVS up the road. Patient with no additonal extension of rash, no SOB, no additonal itch from rask on arms and back of the neck.

Other Meds: levothyroxine

Current Illness: No

ID: 1055552
Sex: F
Age: 54
State: WA

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

Lab Data: Blood test , MRI, Xrays, ECHO Grahm, EKG, Cardiac Catheter

Allergies: Codeine, Sulfas

Symptoms: First nigth sweats , body aches, chills, headache in the morning still not 100% went through the day until eveing headache really bad then chills and shaking uncontroably , body aches and then chest and arm and jaw pain. Hyperventalating , call 911 went to hospital had a levele of Tropion of 4 and went up to 10.5 spent 3 days in Cardovascular unit. I am now on heart medication

Other Meds: Stelara, Lexapro Multivit Vit D

Current Illness:

ID: 1055553
Sex: M
Age: 67
State: CO

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

Lab Data: E KG, CBC, Metabolic panel all on February 25, 2021

Allergies: IVP dye, penicillin, zetia, plaquenil, erythromycin, avocado, parmesan cheese, she'll fush

Symptoms: Tight throat, flushing stridors, bronchospasms

Other Meds: Levothyroxine, liothyronine, Hyzaar, crestor, protonix, and multiple supplements

Current Illness: Common Variable Immune Deficiency (CVID), Bronchomalacia

ID: 1055554
Sex: F
Age: 30
State: VA

Vax Date: 02/17/2021
Onset Date: 02/20/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Within 24 hours of receiving the second dose my right arm was very swollen, with a red ring around injection site. The muscle was very swollen compared to my left arm and very painful. Within 48 hours I noticed hives on my chest, stomach, upper and lower back, and shoulders. It has been over a week since the shot and I still have the body rash. It has not diminished in appear all. The hives do not itch though. Injection site continues to itch on right arm. I have applied hydrocortisone and took over the counter Benadryl a few times and rash is still present.

Other Meds: Multivitamin- new chapter , lactase when eating dairy

Current Illness: None

ID: 1055555
Sex: M
Age: 65
State:

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

Lab Data:

Allergies:

Symptoms: Patient states he received notice to return for 2nd dose. Given dose and then patient made a comment regarding how it didn't hurt like the first one. Discovered that client had received first Pfizer dose on March 3. Agency suspects that client had registered twice for clinics and actually he received another first dose clinic notice rather than the appropriate 2nd dose clinic notice. He states he had no adverse effects and did not seek medical care.

Other Meds:

Current Illness:

ID: 1055556
Sex: M
Age: 61
State: CA

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

Lab Data: None ordered.

Allergies: None noted

Symptoms: Gave 2nd dose or Moderna Covid vaccine significantly before scheduled due date. Nine days after 1st dose. To date, patient has not reported any side effects of this error. Daily monitoring by onsite medical staff will be conducted for the next 5 days. and patient has been instructed to seek medical attention at any time for any adverse effects.

Other Meds: Azelastine, Ketotifen, Docusate, Pantoprazole, Tylenol, Aspirin

Current Illness: None reported.

ID: 1055557
Sex: F
Age: 78
State: SC

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

Lab Data: no

Allergies: Augmentin

Symptoms: On the 13th had red spot. Got smaller on Saturday, the 20th. On the 21st it came back larger. Went to ER on the 22nd. Was told to take Benadryl and extra strength Tylenol.

Other Meds: none

Current Illness: Asthma

ID: 1055558
Sex: F
Age: 59
State: CA

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

Lab Data: None

Allergies: None

Symptoms: Large circular rash (larger than a typical cell phone in size) around injection site appearing 2 weeks after first dose. Rash is slightly itchy, but not painful.

Other Meds: Vitamin D, Immvexy

Current Illness: None

ID: 1055559
Sex: U
Age: 79
State: CA

Vax Date: 02/16/2021
Onset Date: 02/23/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: na

Allergies: Streptomycin

Symptoms: Injection site,Rt arm developed redness/swelling & itchiness 1 week after Injection

Other Meds: No

Current Illness:

ID: 1055560
Sex: F
Age: 60
State: NJ

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

Lab Data: None

Allergies: None

Symptoms: About 10 hours after the shot, I started feeling tired and achy. Went to bed and 1-2 hours later I started to feel nauseous and began vomiting. Continued for 3-4 hours. Woke up in the morning feeling like I?ve been hit by a bus and wanted to sleep. Woke up around 3:00 pm that day and started to feel better. By the next day all symptoms were gone and I felt fine.

Other Meds: Rovustatin 5mg

Current Illness: None

ID: 1055561
Sex: M
Age: 77
State: VT

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

Lab Data:

Allergies: facial swelling - cause not always apparent. Reactions to atorvastatin, hydrocodone, metformin, amlodipine, lisinopril, and hydrochlorothiazide

Symptoms: Numbness on left side of face. Still persisting since vaccination - currently about 8 1/2 hours

Other Meds: losartan potassium, chlorthalidone, glipizide ER, invokana, levoxyl, pravastatin sodium, tradjenta, finasteride, B complex vitamin, vitamin D3, cod liver oil, magnesium malate, DGL, CoQ 10

Current Illness:

ID: 1055562
Sex: F
Age: 75
State: VA

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

Lab Data: none

Allergies: none

Symptoms: fever, chills, abdominal pain, swelling at sight and very sore, fatigue, headache, muscle pain, joint pain, nausea, unable to sleep

Other Meds: turmeric, amitriptyline, aspirin, atorvastatin, calcium-magnesium- zinc, fish oil, lisinopril, metoprolol, mulivital, probiotic, zyrtec

Current Illness: none

Date Died: 02/18/2021

ID: 1055563
Sex: F
Age: 93
State: WA

Vax Date: 02/05/2021
Onset Date: 02/18/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Pt tested positive for COVID-19 on 2/10/2021 and died from illness related to COVID-19 on hospice at home on 2/18/2021, per care facility.

Other Meds:

Current Illness:

ID: 1055564
Sex: F
Age: 78
State: AZ

Vax Date: 02/03/2021
Onset Date: 02/08/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: My antidepressant, Sertraline has stopped working. After the shot, my eyes got blurry. About 5 days later I thought I had a headache from sinus. After medication and doctor visits, it is not sinus. No appetite. shaky, insomnia, no interest in ordinary activities. Constant headache. Feel very sick.

Other Meds: Sertraline 200 mg Armour thyroid 60 5 days a week, 120 2 days a week Enalapril 10 mg Vit d 5000 tylenol 2000/daily celebrex 200 daily biotin 10000 daily

Current Illness: Rheumatoid Arthritis High BP

ID: 1055565
Sex: F
Age: 35
State: NY

Vax Date: 01/16/2021
Onset Date: 01/17/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies: pineapples, iodine

Symptoms: 1/16 vaccination 1/17 Woke up at 3am. Fever 102.2. Called OBGYN. Body aches, fatigue, chills. Tylenol. Cold shower to bring fever down. Got fever down to 101. Fever lasted till afternoon; 4PM. 99-100 till Monday morning. EDD; May 9th 2nd pregnancy

Other Meds: prenatal, aspirin

Current Illness: n/a

ID: 1055566
Sex: F
Age: 12
State: PA

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

Lab Data:

Allergies: Amoxicillin Cantaloupe

Symptoms: immediate vasovagal seeming response; dizziness, nausea, headache. Then started with rigors. Gave gatorade. BP was systolic 94 (drop from 100 at start of visit prior to vaccination). Rigors continued and after first denying any throat changes reported feeling a sore throat and numbness in her cheeks and all extremities. Hyperventilation noted but O2 sat stable and normal at 99-100 but began posturing and tensing up. Ambulance called and transport to local ER.

Other Meds: Zoloft 20mg daily albuterol inhaler prn

Current Illness: N/A

ID: 1055567
Sex: M
Age: 1
State:

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

Lab Data:

Allergies:

Symptoms: Patient has a hard, warm, red circle around the injection site and a small brown scab in the middle. Patient's parents were advised to use warm compress on the site and start antibiotics for infection.

Other Meds:

Current Illness:

ID: 1055568
Sex: F
Age: 72
State: IL

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

Lab Data:

Allergies: None

Symptoms: Fever Tylenol Resolved 24 hrs

Other Meds: Pravastatin Lisinopril Spironolactate Brilinta Aspririn 81mg

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm