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: 1056899
Sex: F
Age: 64
State: IL

Vax Date: 02/15/2021
Onset Date: 02/24/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: none

Allergies: Multiple drug allergies especially antibiotics.

Symptoms: Red itchy spot at injection site that was 2in. wide and 4 in. long on the first day it appeared. on the second day it grew to 2in. wide and 6 in. long. As i am writing this, today, which is the third day after it appeared, the area is barely visible. took Benadryl for two days for treatment. I also notified my physicians office, but as of this morning, i have not heard back from them.

Other Meds: Omeprazole 300mg; Pioglitazone 30 mg; multivitamins

Current Illness: none

ID: 1056900
Sex: M
Age: 7
State: NY

Vax Date: 12/17/2020
Onset Date: 12/17/2020
Rec V Date: 02/26/2021
Hospital: Y

Lab Data: ultrasound blood work

Allergies: No

Symptoms: Two hours after receiving the vaccine he became lethargic and he had fever. He became very weak to the point that he could not walk. His heart rate was increased. He had a high fever, blurry vision, nausea and vomiting. We went into the doctor the next day and he sent us back home. Sunday we went to the emergency room. They did a sonogram and found that he was suffering from something burst into his stomach. He had to have surgery because they thought it was appendicitis, but it was not. He did receive an appendectomy.

Other Meds: No

Current Illness: No

ID: 1056901
Sex: F
Age: 39
State: TX

Vax Date: 02/01/2021
Onset Date: 02/26/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies: Penicillin, lemongrass

Symptoms: Sleep paralysis

Other Meds: Synthroid, venlavaxine, Vyvanse, aripriprozal, trazodone, Zyrtec, Pepcid, pepto bismal, hydroxyzine

Current Illness: None

ID: 1056902
Sex: F
Age: 62
State: CO

Vax Date: 02/24/2021
Onset Date: 02/24/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Have a round red circular mark the size of a silver dollar where injection was given. It is raised and painful and hard to the touch. Started the evening after receiving the injection, still have it 2 days later

Other Meds: Mybetriq, Urogesic Blue, Triamterene HCL

Current Illness: none

ID: 1056903
Sex: F
Age: 52
State: IN

Vax Date: 02/25/2021
Onset Date: 02/26/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: After vaccination in the evening patient has a mild complaint of throat burning. Patient went to bed and awoke at 4AM with severe arm pain which was managed with an ice pack. Patient was able to sleep for about an hour, awoke with headache, body aches, sore kidneys, and a queasy stomach. Also complain of metallic taste on her tongue. Patient has taken tylenol and cough suppressants for symptoms. Had similar symptoms after first vaccine, but these are worse. Patient likely would not have gone to work except for strict attendance policy.

Other Meds: Vitamin b

Current Illness:

ID: 1056904
Sex: F
Age: 58
State: NJ

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: n/a

Allergies: None

Symptoms: A few hours after receiving my 2nd dose of Moderna I noticed my arm was very itchy under the band-aid. Before going to bed I noticed that I had a red welt at the injection site that was warm to the touch and very uncomfortable. I took some tylenol for the discomfort and put topicle benedryl on the affected site as well. At 4 am the next morning my arm was even more sore so I got ice and kept it on there until I woke up a few hours later. The welt did grow a bit bigger but seems to have stayed the same size and today is 48 hours after. It is still a little itchy, and warm to the touch. I will continue to put ice on it and apply the anti itch cream as well.

Other Meds: Allegra, Probiotic, Metrotoprol, Singulair, Hydrochlorothiazide, Sotolol, Baby, Aspirin, Cranberry Pills, Flonase, Asmanex

Current Illness: None

ID: 1056905
Sex: F
Age: 51
State: OR

Vax Date: 02/17/2021
Onset Date: 02/18/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: CBC, metabolic panel normal

Allergies: hydrocodone, oxycodone

Symptoms: had severe fever, chills, headache 12 hours after vaccination requiring emergency room services.

Other Meds: Fluoxetine 20 mg daily, B12 injections, botox for migraines

Current Illness: chronic migraine headache

ID: 1056906
Sex: F
Age: 33
State: AZ

Vax Date: 02/24/2021
Onset Date: 02/24/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Fever, chills, severe nausea, headache, body aches.

Other Meds: Birth control, Metformin

Current Illness: Miscarriage 3 weeks prior to vaccine.

ID: 1056907
Sex: F
Age: 70
State: FL

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: 2/25/21-vitals signs taken, all WNL 2/25/21-blood glucose checked-128

Allergies: mobic, celebrex

Symptoms: At 1100, pt complained of headache and dizziness. Pt began shaking in her extremities. Upon RN exam, pt had ataxia in bilateral upper extremities. MD examined pt, pt appeared to be hypoglycemic. Pt continud to snack on foods from RN team, appeared to decrease shaking. Pt continued to complain of headache. Pt sat for 30 more minutes of observation. Pt left with brother and sister in law. Advised pt and family to seek medical treatment at emergency room if symptoms persist.

Other Meds: Rosuvastatin 10mg 3 x weekly, lorazepam 0.5mg qhs, lortab 7.5/325 bid prn, calcium +vitamin d, aspirin 81mg 3 x weekly

Current Illness: none

ID: 1056908
Sex: F
Age: 67
State: DE

Vax Date: 02/24/2021
Onset Date: 02/26/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: 101 temp with body aches early on second day after injection - lessened with time

Other Meds: Atorvastatin Sertraline Bupropion

Current Illness: None

ID: 1056909
Sex: F
Age: 68
State: OH

Vax Date: 01/28/2021
Onset Date: 01/30/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies: Patient states she is allergic to some meds, but did not remember what those are. She claims her face swells and swelling in her mouth

Symptoms: 2-4 days after vaccination: wheezing, cough, sore throat, headache, chills, extreme exhaustion, and sweating last up to 4 days post-vaccination

Other Meds:

Current Illness: n/a

ID: 1056910
Sex: F
Age: 13
State: NJ

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: Vitals taken: BP- 445pm 109/80 5pm 139/90 525pm 119/82 559pm 133/81 O2- stayed stable between 95-100% entire time Pulse- Elevated to 116-157 after the 10-15 minute wait then stabilized to 80-86 for the majority of the hour. 96 at 559pm. We also checked her Glucose POC which came out at 96.

Allergies: No Known Medication Allergies

Symptoms: Mom requested BP be taken due to being elevated at another office earlier today. Taken at 445pm it was 109/80. Patient sat for 10-15 minutes with mom. When I went back to check on her she was very dizzy and could not keep her eyes open. Got a provider, laid her down and rechecked her BP it was 139/90. Staff grabbed some water and sprite and some sugary snacks okayed by mom to try and give to the patient. Patient sipped some of the water and sprite but felt like she was going to get sick. Monitored for 1 hour with some sips of water here and there. Dr. and NP came in to monitor the patient as well. Vitals taken- oxygen stayed stable, heart rate was elevated and came down after a bit. Patient complaining of abdominal pain, feeling hot, nauseous, and dizzy with sitting up. BP taken again at 559pm 133/89. Staff called ambulance to take the patient to hospital as instructed by Dr. since no improvement for an hour.

Other Meds: albuterol (albuterol 0.63 mg/3 mL (0.021%) inhalation solution) albuterol (ProAir HFA 90 mcg/inh inhalation aerosol)

Current Illness: Asthma Sleep apnea Tonsillar enlargement

ID: 1056911
Sex: F
Age: 39
State: NY

Vax Date: 02/15/2021
Onset Date: 02/24/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: None

Allergies: Allergic to nightshade foods (tomatoes, peppers, strawberries...) Adverse reactions to: Benadryl (hallucinations), Claritin ('ill feeling', lightheaded), Allegra ('ill feeling', lightheaded), and Vicodin.

Symptoms: Event: Allergic reaction on 3/24. The injection site began to itch around 9:30pm after taking a hot shower. Approximately 10 minutes later the injection site area swelled and became "hard" to the touch, then turn red, hot, and tender to the touch. The area affected was approximately 3 inches wide and 4 inches long - it covered the upper arm (deltoid muscle area). Within 5 minutes the itching sensation spread over the upper back on the left side and to the left side of my neck. Approximately 20 minutes later my bottom lip on the left-hand side swelled slightly and turned red and I had a slight difficulty swallowing. My breathing was not impeded. The reaction did not progress further (I had taken allergy medication to stop any further reaction). By 11pm the difficulty swallowing disappeared and the swelling in my lip reduced. By 5:30am I had no trouble with swallowing and there was no facial swelling. The swelling in my arm was reduced by half - although it was still warm, sensitive, and itched. Throughout the day (on 3/25) the swelling and redness at the injection site reduced. Two days after the start of the event, the area is still warm to the touch and will itch on occasion as will my lower left lip. Treatment: as soon as I recognized it was an allergic reaction, when the area swelled, I took half a Wal-Zyr 10mg tablet (so I took 5mg of Walgreen's generic brand of Zyrtec) - approximately 9:45pm on 3/24. I took the other half (5mg) of the tablet at 5:30am the next morning on 3/25. No additional medication has been taken since. Outcomes: The reaction was managed with the Wal-Zyr medication. Currently the injection area is slightly warm and itches on occasion, as does my lower left lip. There has been no change in this condition in the past 20 hours.

Other Meds: Women's One-A-Day multivitamin (1 cap/day) Ocuvite Performance - 1cap/day Vitamin D3, 50mgc - 1 cap/day Digestive Advantage Daily Probiotics - 2 gummies/day Green tea powder - 2cap/day Turmeric, 500mg - 2cap/day Oregano oil (NOW brand) - 1

Current Illness: None

ID: 1056912
Sex: F
Age: 14
State: MO

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: NO adverse reaction, reporting due to giving it to a 14 year old

Other Meds: unknown

Current Illness: no

ID: 1056913
Sex: F
Age: 70
State: NJ

Vax Date: 02/02/2021
Onset Date: 02/04/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: CBC with diff

Allergies:

Symptoms: I had the usual side effects the day after the vaccine, sore arm, fatigue, achiness and slightly elevated temp. Two days after the vaccine, I had routine bloodwork. I found out that afternoon that my white blood count was lower than all my previous tests, around 2. The test was repeated one week later and it was around 4 at that time. My doctor felt that the vaccine could have caused that.

Other Meds:

Current Illness: None

ID: 1056914
Sex: F
Age: 74
State: FL

Vax Date: 02/23/2021
Onset Date: 02/24/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Swelling in arm below injection site, feels hot , very sore, somewhat itchy

Other Meds: Multivitamin, magnesium citrate, calcium, lutein Metformin 500mg, pravastatin 10mg

Current Illness: None

ID: 1056915
Sex: M
Age: 47
State: LA

Vax Date: 02/25/2021
Onset Date: 02/26/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Tenderness at injection site, swelling on left side of face

Other Meds: multi-vitamen , milk thistle, tumeric, garlic

Current Illness: None

ID: 1056916
Sex: F
Age: 74
State: FL

Vax Date: 02/22/2021
Onset Date: 02/23/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies:

Symptoms: I was fine the first day. The 2nd day I wasn't feeling well, my stomach was bothering me. At 8:30 PM I went to bed because I didn't feel good, I laid in bed for a few minutes and then jumped up because I began to violently vomit. After I vomited I felt weak, I was sitting with my back against the wall my husband came to check on me. He walked away and when he came back I was unresponsive, laying on the floor and he said my eyes rolled in the back in of head. He called 911. I was unresponsive for about a 1-2 minutes. EMS arrived, by the time they had arrived I had crawled into bed, and they took my vitals and they were fine, they asked me if I wanted to go to the hospital but I declined as I was afraid to go. I went to sleep. The next day I felt weak and tired, I had a burning feeling in my stomach, I took some TUMS, I didn't much that day. I rested most of the next day. Yesterday I felt a little better and today I am fine. I have a doctor's appointment 2/26/2021 at 2PM to see the ARNP at my doctor's office.

Other Meds: Potassium Chloride 10 MG daily, Cyclobenzaprine HCI 5 MG daily, Zetia 10 MG daily, Hydrochlorothiazide 12.5 MG daily, Losartan 50 MG daily, Sertraline HCL 50 MG daily, Metoprolol 25 MG daily, Vitamin D3 2000 units daily, Aspirin 81 MG daily

Current Illness:

ID: 1056917
Sex: F
Age: 42
State: NC

Vax Date: 02/22/2021
Onset Date: 02/23/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: I have two lymph nodes on top of my left clavicle that are swollen and slightly painful since Tuesday, which is one day post my second injection and are still here today at Day 4 post administration

Other Meds: None

Current Illness: None

ID: 1056918
Sex: F
Age: 72
State: AZ

Vax Date: 02/24/2021
Onset Date: 02/25/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies: Pennicillin, sulfa

Symptoms: Painful swelling of lymph nodes in left arm pit.

Other Meds: Vivelle patch .025 mg. twice weekly, Multivitamin, vitamin C, Gucosamine chondroitin, fish oil, turmeric.

Current Illness: none

ID: 1056919
Sex: F
Age: 73
State: FL

Vax Date: 02/09/2021
Onset Date: 02/16/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: the only thing I took was adarax (which is like benedriyl) a topical cream. also took zyrtec (antihestimine)

Allergies:

Symptoms: seven days after the first shot I experienced a rash size was 9 inches around my arm and 13 inches long from the injection site. It was red, swollen and itching!! the itching was the worse! it was from the injection site to almost my elbow. it went away within about 4 days. but the injection site was still sore. I was told from my doctor to take the second shot but get it in my other arm which will be my right arm. not looking forward to it.

Other Meds:

Current Illness:

ID: 1056920
Sex: F
Age: 24
State: MN

Vax Date: 02/19/2021
Onset Date: 02/22/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies: sulfa - hives

Symptoms: developed an itchy rash a couple days after the vaccine. It's been flaring up throughout the week

Other Meds: Vy-libra = birth control

Current Illness:

ID: 1056921
Sex: F
Age: 55
State: AZ

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies: penicillin, sulfa, levoquin, "natural flavors" food additives

Symptoms: extreme joint paint (whole body, spine, legs, arms, hands, feet, hips) 12+hours, extreme chills/ shivering 8 hrs,, headache 12+hours, muscle aches in shoulders/neck 8+hours. My joints were so sore, it was extremely painful to turn over in bed or try to get out of bed. Used a heated blanket and still had chills even though house was 71 degrees. Didn't actually sleep, just shivered and moaned in pain for 6-8 hours. Certainly had a fever but in too much pain to go get a thermometer.

Other Meds: metformin, wellbutrin, Elysium, DHEA, multivitamin, Vitami B, Fenugreek, Moringa, Cod Liver Oil, potassium, cacium, magnesium, zinc

Current Illness: none

ID: 1056922
Sex: F
Age: 40
State: MN

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: None

Allergies: None reported

Symptoms: RN drew a 0.5ml dose into a syringe using a 25 gauge, 1" needle from ancillary supply kit. Nurse injected patients left deltoid and began to administer vaccine, when syringe/needle malfunctioned and dose came out of the syringe, spilling onto nurses hands and outside of patients arm. Patient did not receive any dose, there was still more than half a dose remaining in the syringe. Nurse removed needle from patients arm, and drew up another dose of 0.5ml (per CDC guidelines) and administered that full dose to patient in left deltoid.

Other Meds: None reported

Current Illness: none reported

ID: 1056923
Sex: F
Age: 84
State: NJ

Vax Date: 02/23/2021
Onset Date: 02/24/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies: Pennicillian

Symptoms: at injection site, Black & Blue- Redness 1/4 of way to elbow

Other Meds: Gabapaten-Lisinopril-Carvedilol-Amlodipine Besylate- Cinacalcet- AtorvSTATIN

Current Illness: BLOOD PRESSURE

ID: 1056924
Sex: F
Age: 88
State: TX

Vax Date: 02/23/2021
Onset Date: 02/24/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: n/a

Allergies: some statin, codeine and other pain meds, i.e. morphine

Symptoms: on s-2-4-2020 - Low grade fever (100), chills, muscle aches in both legs, from top to bottom of leg. Fever last 1/2 day, chills subsided as day went on but lasted for full day. leg muscle aches until next day. fatigue for 36 hours. As of 2/25 patient is fine.

Other Meds: amiodarone, eliquis, carvedilol, hyralazine, levothyroxine, toresemide, potassium cl, pravastatin, omeprazole, calcium vit d, allegra, preservision, coQ10, allign

Current Illness: n/a

ID: 1056925
Sex: F
Age: 69
State: OH

Vax Date: 02/17/2021
Onset Date: 02/24/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies: Doxycycline Hydrate, Zithromax

Symptoms: Red, warm, itchy patch around injection site starting a week after injection. This is the third day of reaction.

Other Meds: Ambien, Calcium +D, senior multivitamin, CoQ 10

Current Illness:

ID: 1056926
Sex: F
Age: 43
State: PA

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies: yes

Symptoms: After receiving vaccine started with heaviness to vaccinated site arm, felt hot and flushed

Other Meds: unknown

Current Illness: unknown

ID: 1056927
Sex: F
Age: 78
State: OH

Vax Date: 01/26/2021
Onset Date: 01/29/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: to different US on my legs with blood pressure cuffs on my ankles and one with gel

Allergies: anilox

Symptoms: in the middle of the night my toes turned beat red/purplish color and numb and cold started to form blisters took almost a week to get over it still have rough spots where the blisters were. Went to the dr. took my blood pressure and it was high. went for several test at the Cardiologist my blood pressure was still high and i was also having some discomfort and chest pain

Other Meds: losartan 100/25, Dexilant 60 mg, trazadone, baby aspirin

Current Illness: none

ID: 1056928
Sex: F
Age: 91
State: NH

Vax Date: 02/18/2021
Onset Date: 02/24/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: itching and small red marks then red spot under vaccine administretion point. {size of rednes about the size of palm of hand] hand] Still red and warm

Other Meds: verapmil360mg doxepin 10mg acetaminophen 2 per day more if needed

Current Illness: none

ID: 1056929
Sex: F
Age: 26
State: NE

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies: No

Symptoms: That night my fever 102 took Tylenol to bring it down, shakes, chills , nausea, muscle aches and swollen lymph nodes (right armpit).The symptoms lasted to Sunday. My estimated date of delivery was Sept.14 I miscarried at 5 wks.

Other Meds: No

Current Illness: No

ID: 1056930
Sex: F
Age: 72
State: NJ

Vax Date: 02/01/2021
Onset Date: 02/20/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Fever 5am through midnight Headache Nausea am Tired

Other Meds: Carvedilol. Escitalopram. Furosemide. Lorsartan. Simvastatin Pantoprazole. Bupropion. Potassium. Cholestyramine. Albuterol

Current Illness: None

ID: 1056931
Sex: F
Age: 29
State: CA

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: No

Allergies: No

Symptoms: Two hours after I received the vaccine I started feeling really sick, nausea and headache. And my skin would get really hot and feverish.

Other Meds: No

Current Illness: No

ID: 1056932
Sex: F
Age: 74
State: NC

Vax Date: 01/27/2021
Onset Date: 01/29/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies: latex

Symptoms: Painful shoulder and arm continues still, one month later

Other Meds: vitamins

Current Illness:

ID: 1056933
Sex: F
Age: 61
State: MD

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: None.

Allergies: NKDA

Symptoms: Headache, bodyaches, dizziness, oral temp 99.0F

Other Meds: 1. Rosuvastatin 2. Lisinopril 3. Vitamin D 50,000 international units 4. Odefsey 5. Elderberry 6. Multivitamin

Current Illness: Reported headache, bodyache, and fever after first COVID-19 vaccine on 2/3/2021, which resolved the next day after rest and Tylenol.

ID: 1056934
Sex: F
Age: 67
State: MD

Vax Date: 02/14/2021
Onset Date: 02/15/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Severe tremors throughout body lasting about 2 hours. Then, headache, ear pressure, sore throat lasting about 36 hours. Low grade fever around 100.9. Red, swollen, itchy at injection site.

Other Meds: Pravastatin 40 mg, gabapentin 300 mg, aspirin 81mg, osteo bi-flex, multivitamin, CoQ10 200mg, vitamin B complex, vitamin D3 50mcg

Current Illness: None

ID: 1056935
Sex: F
Age: 28
State: WI

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: none

Allergies:

Symptoms: Pt reported lip and facial swelling after first dose. Spoke with primary MD. Was given a course of steroids and benadryl. MD recommended second dose. Pt took ppx steroids and benadryl. Had similar swelling with second dose.

Other Meds:

Current Illness:

ID: 1056936
Sex: U
Age: 63
State: MD

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Throat tightness

Other Meds:

Current Illness:

ID: 1056937
Sex: F
Age: 22
State: IL

Vax Date: 02/17/2021
Onset Date: 02/24/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Large hard lump at vaccination site; swelling; heat at vaccination site; itchiness and redness at vaccination site

Other Meds: Junel (Birth Control)

Current Illness:

ID: 1056938
Sex: F
Age: 37
State: LA

Vax Date: 02/12/2021
Onset Date: 02/20/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: none

Allergies: iodine, azithormycin

Symptoms: swelling, pain, warmth, redness to injection site x 6 days. this started 8 days after injection

Other Meds: mirena

Current Illness: none

ID: 1056939
Sex: F
Age: 69
State: FL

Vax Date: 02/24/2021
Onset Date: 02/24/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: n/a

Allergies: nka

Symptoms: Client c/o dryness of mouth, flushness to face, proceed by hyper salivation (spittle). Client verbalized that she felt anxious and nervous about taking vaccine but started to feel decrease in sensation. Client seen by EMS and vitals are BP-168/89, Heart Rate76, O2-97. Client then cleared by EMS to go home.

Other Meds:

Current Illness: no

ID: 1056940
Sex: F
Age: 65
State: AZ

Vax Date: 02/24/2021
Onset Date: 02/25/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: na

Allergies: penicillin

Symptoms: Fever, muscle aches, head ache, last for the day after vaccination

Other Meds: Ibrance, Xgeva, Fossamax,

Current Illness: Metastatic breast cancer in bones

ID: 1056941
Sex: F
Age: 29
State: KS

Vax Date: 02/23/2021
Onset Date: 02/23/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Muscle pain across shoulders starting at 2pm after 9 am shot on 2/23. COVID arm, large red bump on arm, warm to touch and hot following morning, noticed at 7 am on 2/24. Under arm, armpit and down into rib area sore when arm is raised, noticed 7 am 2/24 pain gets worse throughout day. Pain in upper back across shoulders as well during day. All listed above is still ongoing at the same pain level.

Other Meds: Hydrochlorothiazide; Levothyroxine; Simvastatin; Lisinopril; Vyvanse; Folic Acid; Melatonin; Hair, Skin and Nails vitamin; birth control

Current Illness: None

ID: 1056942
Sex: F
Age: 52
State:

Vax Date: 02/24/2021
Onset Date: 02/25/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Chills Sensitive skin Severe headache

Other Meds: Duloxetine

Current Illness:

ID: 1056943
Sex: F
Age: 37
State: PA

Vax Date: 02/19/2021
Onset Date: 02/19/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies: turkey

Symptoms: Received moderna- unsure of lot information, wasn't administered here. Localized hives; noted less than 24 hours after the second covid vaccine; no respiratory or GI symptoms reported; advised that she continue use of benadryl 50 mg every 6 hours as needed and may substitute benadryl with zyrtec in the mornings to reduce sedation; may apply sarna for comfort; prednisone would not be advisable as it may reduce the effectiveness of the vaccine

Other Meds: vitamin d 3 124mcg daily Flonase nasal spray metformin multivitamin omeprazole spironolactone

Current Illness:

ID: 1056944
Sex: M
Age: 80
State: CT

Vax Date: 02/22/2021
Onset Date: 02/24/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: none

Allergies: Sulpha drugs

Symptoms: Swollen left arm, red, tender and hot. Ice pack and 2 Advil daily.

Other Meds: Advair Aspirin 81 ng Enal/HCTZ 10-25mg Simvistatin 20mg Vitamun D 1000mg

Current Illness: none

ID: 1056945
Sex: F
Age: 77
State: MI

Vax Date: 02/16/2021
Onset Date: 02/25/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Itchy rash about the size of an orange near injection site

Other Meds: Levothyroxine, metoprolol, losartan vagifem Senior multivitamin, calcium, eye vitamin, megared joint

Current Illness:

ID: 1056946
Sex: F
Age:
State: IN

Vax Date:
Onset Date: 02/24/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies: GI issues with Amoxicillin

Symptoms: COVID Arm

Other Meds: MacuHealth, Calcium, Magnesium, Zinc, 333 Mg Acetyl L-Carnitine, 1000 mg Vitamin C., 500 MG Vitamin B 12, 1000 mg, Probiotic

Current Illness: No

ID: 1056947
Sex: F
Age: 70
State: OH

Vax Date: 02/23/2021
Onset Date: 02/25/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: CBC Auto Differential, CBC w/Diff, COVID 19/Influenza A, B Molecular, Chem 7, Hepatic Function Panel (Lft), Lipase, Urinalysis, Cardiac monitoring, IV, Pulse Oximetry

Allergies: Sulfa drugs

Symptoms: Headache, nausea with vomiting, emesis; Medications: Diphenhydramine at 4:26 AM; Ketorolac at 4:30 AM, metoclopramide at 4:28 AM, Sodium Chloride 0.9%.

Other Meds: Dexilant 60 mg - 1x a day, AM; Atorvastatin 40 mg, 1x a day PM; Levothyroxine 25 MCG 1x per day, AM

Current Illness: None

ID: 1056948
Sex: F
Age: 61
State: TN

Vax Date: 02/22/2021
Onset Date: 02/22/2021
Rec V Date: 02/26/2021
Hospital: Y

Lab Data: Unknown

Allergies: Patient states took oral Sulfa medication several years ago and layed out in sun, then developed a rash. Unsure if allergic.

Symptoms: Received notification from county director that patient is currently hospitalized beginning two days after Moderna vaccination, spoke to patient today 2/26/2021. Patient received vaccine Monday morning 2/22/2021 around 9:07am, by 9pm Monday evening patient reports weakness, fatigue, sore arm, fever, chills, and no appetite. Patient states symptoms persisted all day Tuesday 2/23/2021. On Wednesday 2/24/2021 at 11:30am patient was eating a peanut butter sandwich and felt something inside mouth. Upon looking in mouth patient noticed "black sores." Patient then called husband and was taken to ER and was then transferred to Hospital. Patient states she has been diagnosed with ITP idiopathic thrombocytopenic purpura.

Other Meds: Primpro 1.5mg once daily, lisinopril/HCTZ 12.5mg once daily, OTC Prilosec every other day, OTC B6 200 mg once daily, OTC MagOx400 once daily,

Current Illness: unknown

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm