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: 1057051
Sex: M
Age: 35
State: FL

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies: NKDA

Symptoms: Rash on vaccinated arm

Other Meds:

Current Illness: None

ID: 1057052
Sex: M
Age: 49
State: AL

Vax Date: 02/17/2021
Onset Date: 02/20/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: Evaluation by an otolaryngologist February 22, 2021 confirmed unilateral loss of hearing. A 42-day course of Prednisone 20 mg was prescribed with a follow up evaluation in one month.

Allergies: None

Symptoms: Sudden complete hearing loss in left ear. Severe leg cramping (both right and left thighs).

Other Meds: Metoprolol 50 MG/day Amlodipine 10 MG/day Multi-Vitamin 1/day Allegra 1/day Saw Palmetto 1/day Probiotic 1/day Vitamin B-6 1/day

Current Illness: None

ID: 1057053
Sex: F
Age: 45
State: TN

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

Lab Data: unknown

Allergies: Patient reports several oral medications, unknown medication names. With oral medication reactions patient reports rash, hives, itchy throat/eyes/ears

Symptoms: Approximately 5-15 minutes after injection patient informed health department staff she was feeling funny. Upon Assessment patient appeared alert, awake, and talking. Patients appeared red and flushed. Patient reports tingling of lips. Patient refused to go to ER and refused EMS treatment. Patient continued laughing and talking. Patient went to urgent care clinic. Upon follow up call patient states she received steroid injections at Urgent Care Clinic and reports feeling okay.

Other Meds: unknown

Current Illness: unknown

ID: 1057054
Sex: F
Age: 31
State: NY

Vax Date: 02/17/2021
Onset Date: 02/25/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: none

Allergies: Bactrim, food with citric acid, environmental allergies

Symptoms: Moderna COVID-19 Vaccine EUA I received my first dose of Moderna vaccine on 2/17/21, the arm of the injection site was tender for about two days and it eventually went away. On 2/25/21, I developed a reaction on my deltoid area near the injection site, it is red, firm and edematous. The redness and swelling measures about 12cm x 5cm. The area feels warm, tight, and tender to touch. I have been taking Advil and Loratadine to help with the symptoms, as well as ice to relieve the swelling.

Other Meds: Vitamin D3, Vitamin C

Current Illness: none

ID: 1057055
Sex: M
Age: 50
State: OH

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

Lab Data:

Allergies: Morphine; Amoxicillin

Symptoms: Tongue and gland swelling, fatigue, joint pain, chills, nausea, redness, soreness at injection site. Symptoms started approximately an hour and a half to two hours after injection. Symptoms lasted approximately three days then tapered off.

Other Meds: Lyrica; Bupropion; Clonazepam; Levothyroxine

Current Illness: None

ID: 1057056
Sex: M
Age: 73
State: NC

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

Lab Data: blood test , sugar test, XRAY, Pet Scan,

Allergies: lisinopril, bumetanide

Symptoms: pt woke up the next day after receiving the vax hurting in both shoulders. The pain spread to entire body. Pt had an appt already scheduled w/ Dr. to have blood work on 2/2/2021. Reactive Protein went from 128 to 246 and is now 259. He was given a shot, possibly steroid, for the pain. After getting home the pain got worse and moved down his back and his belly. Pt has had this pain since 2/2/2021. Pt now has muscle pain in both legs for last 3 days. He is using cannabis care cream for his body aches and pains. Pt is sick to his stomach all of the time and sugar is high now around 306. On 2/24/2021 pt went to the hospital for xray and pet scan w/ no new results found. Pt is to FU w/ Dr.

Other Meds: carvedilol 3.125 x 2 daily, Farxiga 10mg, spironolactone 25mg, levothyroxine 125 mg, citalopram 10mg, allopurinol 300 mg, torsemide 20mg x 2 daily, potassium 10mg x 2 daily, Tamsulosin 4mg, amiodarone 400mg, Simvastatin 40mg, glipizide 5

Current Illness: no

ID: 1057057
Sex: F
Age: 86
State: FL

Vax Date: 02/20/2021
Onset Date: 02/22/2021
Rec V Date: 02/26/2021
Hospital: Y

Lab Data: 02/25/2021 CBC, PT, PTT, CMP, blood and cross match

Allergies: Shrimp, Molds and Mildrew, Hives with Zocar/Zetia/Liptor

Symptoms: Petechia and bruising appeared approximately 2 days after receiving the Covid-19 Moderna vaccine. Patient was hospitalized for excessive petechia and bruising in bilateral lower extremities with platelet count of 2,000.

Other Meds: Alopurinol, Amlodipine, Hydralazine, Levothyroxine, Lisinopril, Omeprazole, OTC multivitamin, Vitamin B-12, and Vitamin D

Current Illness: None

ID: 1057058
Sex: F
Age: 78
State: GA

Vax Date: 02/19/2021
Onset Date: 02/20/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: None. As these items were included on the symptoms sheet, I didn?t go to ER.

Allergies: Tetanus shot, lamosil, Zocor, codeine, perfume, scents.

Symptoms: Fever (102+), chills, faintness, redness on arm the size of softball. Felt as if had flu. Could not eat. Lasted all day 2/20/2021. Redness on arm visible 7 days in large area. Still have visible signs. With first shot I had a metallic taste in mouth and nose about 30 minutes after, a wave of nausea the next day and felt bad the 3rd day. Then just sore arm for 2 weeks.

Other Meds: Blood pressure (4), cholesterol (2), Fosimax, Celebrex, omeprazole, Xanax, calcium, eye vitamins, aspirin, Tylenol, D3

Current Illness: None

ID: 1057059
Sex: F
Age: 72
State: SC

Vax Date: 02/13/2021
Onset Date: 02/20/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Large itchy rash and lump in upper arm below injection site appeared a week after vaccine. It has grown and spread to the size of a football about 6 inches by 4 inches over a weeks time. I've taken Equate, Allergy Relief one day but otherwise I've not done anything. It is not severely itchy or painful. Other side effects that may be related are some nausea and sneezing.

Other Meds: Simvastatin

Current Illness: None

ID: 1057060
Sex: F
Age: 78
State: NY

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

Lab Data: None

Allergies: penicillin Tetanus vaccine

Symptoms: Severe muscle and body aches throughout my body and fatigue. Tylenol relieved the symptoms but they lasted for 2 days.

Other Meds: Irbesartan calcium with D Benadryl

Current Illness: None

ID: 1057061
Sex: M
Age: 68
State: GA

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

Lab Data:

Allergies:

Symptoms: No adverse effects noted.

Other Meds:

Current Illness:

ID: 1057062
Sex: F
Age: 30
State: TX

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: blood panel; confirmed pregnancy 1/21 miscarriage

Allergies: Bactrum

Symptoms: 1/8 vaccination 1/9 I woke up with severe HA, muscle aches, and fatigue. That evening I got chest pains. 1/10 CP resolved. Everything resolved. 1/17 positive pregnancy test 1/22 miscarriage. First pregnancy. 2/10 finally able to see dr.

Other Meds: prenatal vitamins, vit D, magnesium

Current Illness: N/A

ID: 1057063
Sex: F
Age: 23
State: ME

Vax Date: 12/26/2020
Onset Date: 01/04/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: US Soft tissue LT of the clavicle region-no other finding US Breast LT-no other findings

Allergies: No

Symptoms: My left arm was super sore and then I noticed a lump in my left clavicle area that moved from either side of my clavicle and super uncomfortable. I also had a lump in my left arm pit that didn't move but was super tender.

Other Meds: N/A

Current Illness: No

ID: 1057064
Sex: M
Age: 68
State: IL

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

Lab Data:

Allergies:

Symptoms: NAUSEA, HEADACHE, AND CHILLS

Other Meds:

Current Illness:

ID: 1057065
Sex: F
Age: 26
State: LA

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

Lab Data:

Allergies: None

Symptoms: Large hive size of softball on injection site. It was hot and tender to the touch with bruising. Had chills and aches 12 hours after injection. Fatigued the day after injection.

Other Meds: Claritin be Pepcid

Current Illness: None

ID: 1057066
Sex: M
Age: 87
State: OH

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

Lab Data: none

Allergies: none

Symptoms: severe, overall pain and achiness

Other Meds: many go to Kettering Health network

Current Illness: none

ID: 1057067
Sex: F
Age: 57
State: GA

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

Lab Data:

Allergies: skin allergies to metals and bandages, elastic

Symptoms: sore arm and flu like feeling the next day after receiving the 1st Moderna covid19 vaccine after receiving the 2nd Moderna covid19 vaccine I started feeling ill that night and the next morning I had a fever 102.3, I was extremely nauseated, threw up 14 times even though I only had a little bit of soup that morning, ached all over, chills, fever all day and night. Today, day 2 after receiving the vaccine, my fever is down, I'm able to keep down Tylenol and toast, I have a rash on my left arm around the site of the injection and is still very tender and swollen

Other Meds: none

Current Illness: none

ID: 1057068
Sex: F
Age: 76
State: FL

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

Lab Data: MRI SUPPOSEDLY NORMAL, 2/25/3021

Allergies: SULPHA >NAUSEA, DIZZY INTERFERON

Symptoms: DIPLOPIA, CONTINUING TO TODAY HYPERTENSION, IMPROVING ON ADDITION OF AMLODIPINE

Other Meds: AMLODIPINE 5 MG 1 QD CALCITRIOL .5 MG 1 QOD ALLOPURINOL 100 1 QD B12 1 MG PO QD + B12 1 MG SC Q MONTH SODIUM BICARB 650 MG 3 QD STOPPED 2/12/2021

Current Illness: NONE

ID: 1057069
Sex: F
Age: 62
State: TN

Vax Date: 02/22/2021
Onset Date: 02/25/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies: Codeine

Symptoms: Could not inhale air and only could exhale through mouth and lasted around 45 seconds to 1 minute. She slowly was able to inhale and increased a little over 1 minute before full breathes were obtained. Total time course approximately 2 minutes.

Other Meds: vitamin d and aspirin

Current Illness: No

ID: 1057070
Sex: F
Age: 53
State: LA

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

Lab Data: N/A

Allergies: CODEINE;TRAMADOL;OXYCODONE

Symptoms: NO ADVERSE EVENT OCCURRED

Other Meds: YES

Current Illness: N/A

ID: 1057071
Sex: F
Age: 69
State: IA

Vax Date: 02/06/2021
Onset Date: 02/11/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: MRI on Tuesday, 2/16/2021 -- results normal CT on Thursday, 2/11/2021 -- results normal

Allergies: Amoxicillin

Symptoms: On the morning of 2/11/2021, I woke up with SUDDEN HEARING LOSS IN MY RIGHT EAR, was dizzy, had balance issues, and was nauseous. I went to the ER. I had a CT in the ER which also was negative for stroke. My hearing loss has NOT returned, and I still have some balance issues as well for which I am receiving PT.

Other Meds: Irbesartan-HCT 150-12.5 mg (two a day) Multi-vitamin Low dose aspirin Probiotic Calcium Citrate (630 mg) w/D-3 (500 mg ) Vitamin D-3 (2000 IU) Tums (1 tablet daily)

Current Illness: Prior to 2/11/2021, I had seen my GP regarding mild vertigo with ringing in the right ear. I was told I would benefit from hearing aids. My GP ordered an MRI -- which came back normal. HOWEVER, on the morning of 2/11/2021, I woke up with SUDDEN HEARING LOSS IN MY RIGHT EAR, was dizzy, had balance issues, and was nauseous. My hearing loss has NOT returned, and I still have some balance issues as well. I had a CT in the ER which also was negative for stroke.

ID: 1057072
Sex: M
Age: 64
State: WA

Vax Date: 02/18/2021
Onset Date: 02/19/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: 102 fever, swollen lymph nodes underarm ( side of injection), tenderness of swollen area. Skin rash

Other Meds: none

Current Illness: none

ID: 1057073
Sex: F
Age: 52
State: TN

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

Lab Data: None

Allergies: No known allergies

Symptoms: Shot administered at 3 pm 2/25. Woke up at 4:30 am 2/26 with fever chills nausea and muscle pain. I was initially diagnosed with Covid 12/12/2020. The reaction was worse than my symptoms when I had the virus

Other Meds: Medicine list 1. Atorvastatin 40 mg oral tablet 2. Fluoxetine HCL 20 mg capsule 3. Bupropion HCL xl 150 mg tablets 4. Imvexxy 10mcg vaginal insert

Current Illness: None

ID: 1057074
Sex: U
Age:
State: IL

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

Lab Data:

Allergies:

Symptoms: FEVER, NAUSEA, HEADACHE, AND CHILLS

Other Meds:

Current Illness:

ID: 1057075
Sex: F
Age: 82
State: VA

Vax Date: 02/06/2021
Onset Date: 02/09/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies:

Symptoms: rash in area of shot on left arm after one week, dr said it was Shingles, he precscribed valACYclovir 1 gram tablet

Other Meds: Vitamin D, rosuvastatin 5 mg tablet, Entresto 97-103 mg per tablet, metoprolol succinate XL 25 mg 24 hr tablet

Current Illness:

ID: 1057076
Sex: F
Age: 68
State: AZ

Vax Date: 03/16/2021
Onset Date: 03/25/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies: Sulfa, PCN, Dilantin

Symptoms: I had the expected 24-48 hours of injection site tenderness on my upper right extremity after the injection. No other symptoms. Then, eight days after, I woke up to a swollen, tender and VERY itchy injection site. No swollen lymph nodes detected. No other symptoms.

Other Meds: I take Vitamin B12, Biotin 2500 mcg, and 40 mg Prozac QD

Current Illness: None

ID: 1057077
Sex: F
Age: 38
State: TX

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

Lab Data:

Allergies: Codeine

Symptoms: soreness in arm (where shot was administered), headache, achiness in muscles and joints, severe fatigue, overall feeling of malaise

Other Meds: Hydroxychloroquine, Amlodipine, Prednisone

Current Illness:

ID: 1057078
Sex: M
Age: 64
State:

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

Lab Data: 02/04/2021 went to Urgent care as rash had grown and itching increased. Saw FNP Her note (given to me and also sent to PCP): "Reschedule your second dose or cancel it. I do not want you getting another Covid vaccine until this is cleared up. You may have a more exaggerated reaction next time so you may consider not getting a second dose. You do have about a 50 percentile chance of not getting Covid with just 1 dose." I cancelled the second dose and have no intention of getting the second dose.

Allergies:

Symptoms: Hives on upper body - particularly shoulders, chest, back. Severe itching. Prescribed Zyirtce / cetirizine 10 mg in morning; Pepcid or famotidine 20 mg twice daily; Benadryl or diphenhydramine 25 mg nightly (am still taking prescription - one month after injection - as slight symptoms still exist.

Other Meds:

Current Illness:

ID: 1057079
Sex: F
Age: 46
State: ID

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

Lab Data:

Allergies: Pineapple, Bee stings

Symptoms: Patient complained of a thick tongue , 20 minutes approx. after injection. (07:49am) Patient was offered Benadryl 25mg orally at 07:52 am and accepted. Patient stating she is feeling better at 08:00 am continued with observation Patient assisted out to her car at 08:21 am states she is much better and ready to go home.

Other Meds: Levothyroxine, Sertraline, Metformin, Birth control, Buproprion, Lorenza

Current Illness: None

ID: 1057080
Sex: F
Age: 50
State: MI

Vax Date: 01/14/2021
Onset Date: 01/19/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: 48 hour heart monitor, ECHO, 2 doctor appointments with PCP, new prescription for metropolis and new consult to cardiologist. Labs all wnl.

Allergies: Kiwi, codeine

Symptoms: I had an occasional irregular heart rhythm, but now have atrial flutter several times per day, per hour, even per minute during an episode. Worsened after covid vaccine, may be purely cooincidental.

Other Meds: Niacin 1000 mg, zyrtec 10 mg, pamelor 25 mg, krill oil 2 gm, melatonin 5 mg, aspirin 325 mg.

Current Illness: None

ID: 1057081
Sex: F
Age: 60
State:

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

Lab Data:

Allergies:

Symptoms: About 15 minutes after vaccination, patient reported symptoms of lightheadedness and feeling flushed. BP was high but otherwise vital signs within normal limits. Symptoms resolved.

Other Meds:

Current Illness:

Date Died: 02/19/2021

ID: 1057082
Sex: M
Age: 86
State: KY

Vax Date: 01/30/2021
Onset Date: 02/08/2021
Rec V Date: 02/26/2021
Hospital: Y

Lab Data: 2/8/21 - CXR - bilateral pulmonary opacifications. Had numerous CXRs during hospitalization. 2/8/21 - COVID-19 PCR Roche/Liot platform detected 2/9/21 - CTA chest - extensive bilateral groundglass opacities 2/8/21 - Blood cultures negative 2/9/21 - Legionella and Strep pneumo Ag negative Pt had frequent blood work including CBC, ABG, chemistry profiles, and inflammatory markers

Allergies: Pneumococcal vaccine - rash

Symptoms: Pt admitted to Hospital on 2/8/21 with 2-3 days of SOA and cough. His wife was diagnosed with COVID-19 at approximately the same time when the patient received 1st COVID-19 vaccine. Pt had not felt well since receiving the vaccine and had some changes in taste or smell. He became acutely worse 2-3 days p/t admission with DOE, productive cough, H/A, N/V, profound weakness and bilateral infiltrates on CXR. He was hypoxic on room air. During hospitalization, has gone back and forth from BiPAP to HFNC. Unable to prone. Pt and wife discussed goals of care and decided on comfort measure approach. Pt expired on 2/19/21.

Other Meds: Meds prior to admission: Amiodarone, ASA, Lipitor, Cymbalta, Lasix, Norco, Imdur, Lisinopril, Lopressor, Zofran, Potassium chloride, Xarelto

Current Illness: unknown

ID: 1057083
Sex: M
Age: 41
State:

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

Lab Data:

Allergies: None

Symptoms: Pt developed a rash on his chest and his abdomen approximately two weeks post vaccination to COVID Vaccination(Moderna). Rash started with multiple small papules that then subsided after three days. After papules subsided it turned into a pruritic red rash. Location was primarily on his chest and his abdomen. No treatments needed to manage symptoms. Since onset the rash has subsided. Pt did not do any extensive yard work, change his body wash or laundry detergent. Pt does not have a past history of rashes on his chest or abdomen.

Other Meds: None

Current Illness: None

ID: 1057084
Sex: M
Age: 67
State: MS

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

Lab Data:

Allergies: iodine in contrast dye, tamaflu

Symptoms: Moderna COVID-19 Vaccine EUA dizziness and weakness, lasting about 2 hr, onset about 30 min after shot

Other Meds: lisinopril, rabeprazole, tylenol, sambucol elderberry dietal supplement

Current Illness: blood pressure fluctuations, sinus infection (congestion)

ID: 1057085
Sex: M
Age: 78
State: AZ

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

Lab Data:

Allergies: Eliquis Cephalexin

Symptoms: None stated.

Other Meds: Xarelto

Current Illness: None

ID: 1057086
Sex: M
Age: 70
State: SC

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

Lab Data: elevated CK, IVFs

Allergies: none

Symptoms: Rhabdomyolysis

Other Meds: albuterol, glimepiride, insulin, levothyroxine, metFORMIN, naltrexone-bupropion, Qvar, rosuvastatin, valsartan-hydrochlorothiazide, atorvastatin, fluticasone, furosemide, LANTUS, pioglitazone

Current Illness: none

ID: 1057213
Sex: F
Age: 5
State: MO

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

Lab Data: None

Allergies: None

Symptoms: Right arm - Erythema, Induration, Warmth, Swelling. Left arm - Redness. Advised use of cold packs, acetaminophen, and ibuprofen as needed for discomfort until resolution.

Other Meds: None

Current Illness: None

ID: 1057214
Sex: F
Age: 70
State: CA

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

Lab Data:

Allergies: NO

Symptoms: last night around 10 my arm got heavy i started to get headache and chills. i started shacking so bad i couldn't brush my teeth. body aches. The headache that is severe. from my base of my head to my temple and i feel nauseas. I feel like i have the flu

Other Meds: vitamins D, the usual stuff in the morning.

Current Illness: No

ID: 1057215
Sex: M
Age: 83
State: AR

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

Lab Data:

Allergies: PCN

Symptoms: ITCHY RASH THE SIZE OF A BASEBALL

Other Meds:

Current Illness:

ID: 1057216
Sex: F
Age: 30
State: OH

Vax Date: 02/10/2021
Onset Date: 02/23/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: No conclusive results. Ekg came back normal, blood sugar and blood pressure also normal

Allergies: No

Symptoms: Experienced slight waves of dizziness after 1st vaccine. After 2nd vaccine, 13 days later, went to the ER with extreme vertigo/dizziness. Dizziness was non stop and lasted for 3+ days (still experiencing it)

Other Meds: Biotin supplement

Current Illness: No

ID: 1057217
Sex: M
Age: 30
State: FL

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

Lab Data:

Allergies: None

Symptoms: Headache, High Temps/Fever, Weakness/Fatigue, High Pain, Soreness, and Growing Redness in Right Arm at injection site.

Other Meds: None

Current Illness: None

ID: 1057219
Sex: F
Age: 71
State: MS

Vax Date: 02/08/2021
Onset Date: 02/22/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: No

Allergies: Codeine, Levaquin and Ace inhibitors

Symptoms: Two weeks after vaccine my arm turned red, swollen up, whelps and itching and raised area at the injection site but no pain.

Other Meds: Elista 60mg, Lorisartin, Hydrochloride, Glipizide / Metformin, Trigenta, OCT Calcium/D, Symbicort

Current Illness: No

ID: 1057220
Sex: F
Age: 45
State: OK

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

Lab Data:

Allergies: amoxicillin, codeine, Erythromycin, Tubersol

Symptoms: Pt states about an hour after she was given the vaccine, the back of her tongue started to get tingly and numb, also got nauseated. States the symptoms went away over an hour.

Other Meds: Ibuprofen, Benzonatate, Sodium chloride nasal spray, Tiotropium, Cetirizine, Fluticasone nasal spray

Current Illness:

ID: 1057221
Sex: F
Age: 68
State: NJ

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

Lab Data: none

Allergies: CT scan dye

Symptoms: extreme fatigue requiring modification in activity, sleepyness, heaviness of lower extremities, injection site pain (moderate), pain left side of neck and scapular area

Other Meds: atorvastatin 20 mg, qd; Oscal calcium +VitD 1 qd; Digestive advantage daily probiotic 1 tab qd

Current Illness: none

ID: 1057222
Sex: F
Age: 89
State: FL

Vax Date: 02/15/2021
Onset Date: 02/23/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Itchy red swollen area just below site of vacination

Other Meds: Levothyroxine Primidone

Current Illness: Nonr

ID: 1057223
Sex: F
Age: 49
State: NY

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

Lab Data: none

Allergies: none

Symptoms: No side effects with 1st dosage. within 8 hours of 2nd dose side effects included: rapid heart rate, insomnia, body pain, joint pain, lower back pain, severe chills, upset stomach, nausea, headache. Within 36 hours, most of the side effects were gone, except headache. 3 days later - still have headache, and flush feeling all over body with mild sore throat (as of 2/26/21 @ 11:27 a.m.)

Other Meds: metorprolol

Current Illness: none

ID: 1057224
Sex: M
Age: 75
State: IN

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Rundown & tired, sleeping too much

Other Meds:

Current Illness: Diverticulitis

ID: 1057225
Sex: F
Age: 83
State: UT

Vax Date: 02/16/2021
Onset Date: 02/19/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: Unknown.

Allergies: Unknown.

Symptoms: Three days after receiving 2nd dose the injection site of the 1st dose became swollen, red and itching. The swollen/red area is the size of 50 cent coin. No pain. Today it has been a week since the 2nd dose and it is still swollen and red, but no itching or pain felt.

Other Meds: Unknown.

Current Illness: Unknown.

ID: 1057226
Sex: F
Age: 70
State: NY

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

Lab Data:

Allergies:

Symptoms: Rapid heart beat for 20 hours. Normal hr 65-75. Rapid equaled 110-120.

Other Meds:

Current Illness:

ID: 1057227
Sex: M
Age: 17
State: FL

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

Lab Data: None

Allergies: None

Symptoms: Contract nurse administered Moderna vaccine to individual younger than 18 years of age.

Other Meds: Unknown

Current Illness: Unknown

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm