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: 1059362
Sex: F
Age: 72
State: NH

Vax Date: 02/12/2021
Onset Date: 02/24/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Redness, swelling, heat and itchiness at injection site. Spot rash on lower arm. Resolved in 48 hours

Other Meds: Leflunomide Omega 3 Glucosamine/Chondroitin curcumin

Current Illness:

ID: 1059363
Sex: M
Age: 79
State: TX

Vax Date: 02/04/2021
Onset Date: 02/09/2021
Rec V Date: 02/27/2021
Hospital: Y

Lab Data: MRI (with and without Contrast) / negative findings LP / negative findings EEP / negative findings Blood Panel revealed low white cells and vitamin deficiency, but recovered with fluids Infectious Disease tests of blood work also negative

Allergies: None

Symptoms: Several neurological impacts, including slurred speech, leg pain, tremors, slowed comprehension, and as days went by leading up to hospitalization, loss of ability to speak in complete sentences.

Other Meds: Blood Pressure medicine. Advil.

Current Illness: None

ID: 1059364
Sex: M
Age: 71
State: CO

Vax Date: 02/08/2021
Onset Date: 02/15/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: About a week after getting my second dose I developed a severe, very itchy, swelling and raised bumps on my front and back torso, my face and my arms. My doctor put me on hydroxyzine and Pep-Cid because they felt Prednisone would suppress my immune system. Two weeks later he has put me on Prednisone because the first course of action did not work. I've gotten through two days worth of Prednisone.

Other Meds: Eliqus, Fluoxetine, Baclofen, Omeprazole, Atorvastatin

Current Illness: None

ID: 1059365
Sex: F
Age: 49
State: PA

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Mild fever, tiredness and loose bowel which cleared up after 12 hours. Vaccine also seemed to provoke an MS-related response with pain in back, leg spasms and difficulty walking. Symptoms began to clear about 24 hours after onset (36 hours after vaccine injection). First vaccine was tolerated well with only mild and normal side effects (mild cough, soreness at injection site, etc.).

Other Meds: Copaxone, Biotin

Current Illness:

ID: 1059366
Sex: F
Age: 66
State: NH

Vax Date: 02/22/2021
Onset Date: 02/23/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data: I did not go to the hospital because of Covid. I have a previous scheduled doctors app on 3/9/2021

Allergies:

Symptoms: Woke up at midnight with fever, chills, thirst. Tossed and turned all night, cold and thirsty. Drank about 20 oz of Crystal Light Peach Tea over night. Got up at 5am to get more to drink and find another place to rest. went into my kitchen to fill container and passed out. Woke a few seconds later. Left side of my forehead was bruised and swollen above left eye. Over the last 4 days both eyes an cheeks are bruised. All day felt like I had the flu without the fever. I did not go to the hospital.

Other Meds: AM medications: Zoloft 150mg, Singulair 10mg, Celebrex 200mg, PM medications: Ambien 5mg, Trazadone 100mg, Benedryl 25mg

Current Illness: none

ID: 1059367
Sex: F
Age: 39
State: PA

Vax Date: 02/12/2021
Onset Date: 02/15/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data: Telehealth visit 2/16, 2/23

Allergies: None

Symptoms: Significant abdominal pain, diarrhea lasting 5 days

Other Meds: Prenatal vitamin

Current Illness: None

ID: 1059368
Sex: F
Age: 72
State: ME

Vax Date: 02/18/2021
Onset Date: 02/26/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data:

Allergies: Penicillin, radishes, bee stings, sensitive to eggs

Symptoms: Immediately a sore arm, under arm soreness, followed by light rash below injection site beginning 02/26/2021. Some joint pain.

Other Meds: fluoxetine, benadryl, ibuprofen, multivitamin

Current Illness: None

ID: 1059369
Sex: F
Age: 74
State: OH

Vax Date: 02/17/2021
Onset Date: 02/25/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data: N/A

Allergies: Tramadol, scallops

Symptoms: About 8 days after the shot I started to experience itching at the injection site and had a large red spot around the shot area. It is still itching a lot.

Other Meds: None

Current Illness: None

ID: 1059370
Sex: F
Age: 46
State: NY

Vax Date: 02/25/2021
Onset Date: 02/26/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Severe redness and hardening of the skin around injection site, fever 102F , fatigue , headache , chills within 24 hours of first dose

Other Meds: Synthoid 75mcg

Current Illness: None

ID: 1059371
Sex: F
Age: 38
State: NJ

Vax Date: 02/16/2021
Onset Date: 02/22/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data:

Allergies: Procardia

Symptoms: Shingles, started 6 days after vaccine. Prescribed Valtrex.

Other Meds: Zyrtec; Wellbutrin

Current Illness: None

ID: 1059372
Sex: F
Age: 49
State: PA

Vax Date: 02/25/2021
Onset Date: 02/27/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data: None

Allergies: Sulfa, latex, shellfish

Symptoms: Covid arm, red rash and red bullet type welt , swollen glands, hand, throat pain on same side of injection site.

Other Meds: Lexapro, klonopin, Prilosec, Flonase, Tylenol, ibuprofen

Current Illness: None

ID: 1059373
Sex: F
Age: 58
State: NJ

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

Lab Data:

Allergies: None

Symptoms: Sore arm at vaccination site

Other Meds: Zetia

Current Illness: None

ID: 1059374
Sex: F
Age: 45
State:

Vax Date: 01/10/2021
Onset Date: 02/20/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data:

Allergies:

Symptoms: The patient had a significant exposure after 2nd Pfizer vaccine, she developed mild symptoms and tested positive for COVID 19 on 2/23/21.

Other Meds:

Current Illness:

ID: 1059375
Sex: F
Age: 53
State: MA

Vax Date: 02/12/2021
Onset Date: 02/25/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data: will follow up with GYN and endocrine

Allergies: fragrance and nickle

Symptoms: after not having a menstrual cycle for 8 months ,2 weeks after 2nd injection I got a very heavy period and brutal cramps

Other Meds: ibuprofen was taken day after vaccine in the evening to help severe arm pain(arm pain is still present 2 weeks later after 2nd injection and never left after 1st injection)

Current Illness: after no menstrual cycle for 8 months I got a heavy period with the worst cramps ever after the 2nd vaccine

ID: 1059376
Sex: F
Age: 41
State: NV

Vax Date: 02/25/2021
Onset Date: 02/26/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data:

Allergies: Codeine makes nauseous

Symptoms: A few hours after the shot my arm hurt. Felt ok, otherwise, until about 20hrs after about. The right side of my face tingled and was a little numb and red; including part of my tongue, my check, and up my temple. Tingling subsided after a few hours. Then about 30 hours after the shot, a few hours after the tingle, the right side of my face got really hot, red, and slowly started to swell. It felt a little numb, including part of my tongue. I took benadryl, went to sleep, and woke up fine. I had a cousin and aunt with similar symptoms after their second moderna shot, I don't have their specific symptoms, but I do know their faces tingled, one 40 hours later the other a couple hours after the shot.

Other Meds: Ester c, vitamin d, multivitamin

Current Illness:

ID: 1059377
Sex: F
Age: 65
State: RI

Vax Date: 02/25/2021
Onset Date: 02/27/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data:

Allergies: Morphine, Sulfa drugs and Sodium Penthatol

Symptoms: Adverse: Left Arm soreness, Dizziness and medicinal smell upon urination

Other Meds: Attenolol, Bevespi inhaler

Current Illness: None

ID: 1059378
Sex: F
Age: 76
State: OH

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

Lab Data: none

Allergies: papaya , kiwi , honey dew , fresh figs Bactrim , Macrodantin

Symptoms: Sudden onset shaking chills , headache , body aches , joints pains , weakness. Chills relieved 30 minute after taking 500 mg Tylenal . No relief of headache , body aches and joint pains . IN pain , weak and losing balance at 7 am , temp 99 , mild nausea . Took 5/325 hydrocodone , paetial relief joint pains , headache persists .

Other Meds:

Current Illness: none

ID: 1059379
Sex: M
Age: 61
State: TX

Vax Date: 02/24/2021
Onset Date: 02/24/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Acute muscle spasm middle back left of spine

Other Meds: Lipitor

Current Illness:

ID: 1059380
Sex: F
Age: 31
State:

Vax Date: 02/23/2021
Onset Date: 02/24/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data:

Allergies: Wellbutrin

Symptoms: Lymph node swelling of armpit and supraclavicular nodes, fever of 100.9 on 02/24/21 (resolved 02/25/21)

Other Meds: Fluoxetine

Current Illness:

ID: 1059381
Sex: M
Age: 38
State: IL

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

Lab Data:

Allergies: Sulfa

Symptoms: Rash and burning sensation on head and neck an hour after the shot was administered and continued through the night. Sore throat also experienced. Both arms felt pain the next morning.

Other Meds: Allopurinol

Current Illness:

ID: 1059382
Sex: F
Age: 70
State: WI

Vax Date: 02/04/2021
Onset Date: 02/07/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data:

Allergies: Sulfa drugs, dust, mold, pollen

Symptoms: Lymph node swelling in left shoulder, clavicle and neck area

Other Meds: Levothyroxin

Current Illness:

ID: 1059383
Sex: F
Age: 30
State: NY

Vax Date: 02/08/2021
Onset Date: 02/12/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data: Hearing test 2/21 & 2/24 Videonystagmography 2/24

Allergies: none

Symptoms: I woke up 4 days later 2/12, with both ear clogged or ear fullness. I felt out of balanced and a little light headed. I also felt like my hearing was less. Next day 2/13 I only felt ear fullness on my left ear. 2/15 I woke up feeling fine. A week later 2/19 I woke up with the injection site hurting along with my leg ear clogged again. Again I felt out of balanced and light headed. I went to see an audiologist on the third day 2/21 while my ear was still clogged. They didn't see any wax or ear infection. They did a hearing test which showed normal hearing but worse on the left ear than the right. They told me I should see an ENT. 2/22 I woke up feeling fine. 2/24 I was asymptomatic when I went to see the ENT and my hearing test was normal but when they did a videonystagmography it showed significant positional nystagmus.

Other Meds: none

Current Illness: none

ID: 1059384
Sex: M
Age: 73
State: NY

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

Lab Data:

Allergies: Bee stings, poison ivy

Symptoms: 2 days after my 1st vaccine I felt no side effects except a sore arm. I did some exercise and checked my pulse afterwards, found the pulse elevated and missing beats. That night it returned to normal. My resting pulse has been steady at 58 beats per minute for the 2 weeks after the first vaccine. I checked it yesterday afternoon before going for my second vaccine and it was a steady 58 beats per minute. This morning I have a fever of 100F and resting pulse is 93 beats per minute and skipping 3 to 4 beats per minute. I've never had this problem in the past

Other Meds: Multi vitamin, fish oil, glucosamine, saw palette, vitamin C

Current Illness: None

ID: 1059385
Sex: F
Age: 70
State: MD

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

Lab Data:

Allergies:

Symptoms: Anxiety and tingling

Other Meds:

Current Illness:

ID: 1059386
Sex: F
Age: 66
State: GA

Vax Date: 02/25/2021
Onset Date: 02/26/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data:

Allergies: Pencillin

Symptoms: Ankle Swelling; entire body aching; headache

Other Meds: Vitamins

Current Illness: None

ID: 1059387
Sex: M
Age: 58
State: TX

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

Lab Data:

Allergies: None

Symptoms: Fever, headache, nauseous, body aches

Other Meds: Atorvastatin 40mg Clopidogrel 75 mg Metoprolol Tartrate 25mg Losartan 50mg CoQ10 100mg Aspirin 81mg Vitamin D3 125mcg Vitamin C 1000 mg

Current Illness: None

ID: 1059388
Sex: F
Age: 42
State: MI

Vax Date: 02/18/2021
Onset Date: 02/18/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data:

Allergies: Keflex, sensitive to melons, pineapple and raw green beans

Symptoms: Severe body aches, chills, sweating, massive headache, diarrhea, exhaustion, brain fog for 7 days

Other Meds: Citrucel

Current Illness: 2 weeks prior had Novasure procedure -uterine ablation for heavy and painful periods

ID: 1059389
Sex: F
Age: 78
State: TN

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data:

Allergies: Codeine, sulfa, penicillen, demeral, tetanus vaccine

Symptoms: "Pfizer-BioNTech COVID-19 Vaccine EUA" My left arm/shoulder had pain shortly after the vaccination. Tha pain has been there since day one (1). I have not been able to raise my arm above my shoulder level without pain. It has been difficult to perform a number of daily activities.

Other Meds: Priolsec, Ramipril, Amiodipine, Multivitamin

Current Illness:

ID: 1059390
Sex: F
Age: 25
State: WA

Vax Date: 02/17/2021
Onset Date: 02/25/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data:

Allergies: N/a

Symptoms: Red, swollen arm with itchy rash below injection site, started about 8 days after receiving first dose of vaccine (?covid arm?)

Other Meds: Magnesium supplement Birth control

Current Illness: N/a

ID: 1059391
Sex: F
Age: 31
State: CT

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Extremely sore arm

Other Meds:

Current Illness:

ID: 1059392
Sex: F
Age: 75
State: AZ

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

Lab Data: x-ray

Allergies: percocet

Symptoms: first dose in left arm couple of days later right hip is in pain all the time, had x-ray on 2/21 and going back to doctor to find out results

Other Meds: metoprolol 50 mg 1 x ropinirole 25 mg 3xday

Current Illness: none

ID: 1059394
Sex: M
Age: 58
State: NC

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

Lab Data:

Allergies:

Symptoms: fever, body aches, chills, rapid heart beat, headache,

Other Meds:

Current Illness: m.s.

ID: 1059395
Sex: F
Age: 72
State: CA

Vax Date: 02/23/2021
Onset Date: 02/23/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data: No tests done yet.

Allergies: Sulfa

Symptoms: Welts on right side of stomach area, then 2 broke out on each arm. Last night got one on left side of face, below ear. About size of dime, red, itchy.

Other Meds: Dilantin, Simvastatin, Benicar, 81 Aspirin, Calcium w/D, Vitamin C , chewable multi vitamin, Glucosamine Chondroitin.

Current Illness: None

ID: 1059396
Sex: F
Age: 43
State: FL

Vax Date: 02/12/2021
Onset Date: 02/25/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data: None to my knowledge

Allergies: None

Symptoms: "COVID-arm" - red circle around injection site that was mildly itchy. Resolved within 2 weeks post vaccination.

Other Meds: None

Current Illness: None

ID: 1059397
Sex: M
Age: 70
State: OR

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

Lab Data:

Allergies:

Symptoms: severe nausea and vomiting upon waking

Other Meds: Cymbalta, Calcium, amlopidine, omeprazole, lisiniprol, Vitamin D 3000 IU, levothyroxine, rosuvastatin None of these were taken today. Nausea onset as soon as he woke up.

Current Illness:

ID: 1059398
Sex: F
Age: 55
State: WA

Vax Date: 02/25/2021
Onset Date: 02/26/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data: None

Allergies: Celiac disease Demerol Multiple environmental allergies Bees/insect stings

Symptoms: Swollen lymph node (R axillary) burning sensation in armpit/radiating down arm, fatigue, joint pain.

Other Meds: Levothyroxine 100mcg SID Montelukast 10 mg SID IBGard ( otc) BID Fexofenadine 180 mg SID Naltrexone 4.5 mg SID

Current Illness: Long term aftereffects of COVID in April 2020, Celiac Fibromyalgia Rheumatoid arthritis

ID: 1059399
Sex: F
Age: 65
State: NC

Vax Date: 02/22/2021
Onset Date: 02/22/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data:

Allergies: Amoxicillin, latex

Symptoms: Fever (100), chills, fatigue, nausea, headache

Other Meds: Prednisone - 3 MG, aspirin - 81 MG, Rosuvastatin Calcium - 5 MG, Omeprazole - 40 MG

Current Illness: N/A

ID: 1059400
Sex: F
Age: 60
State: OH

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data: 2/18 - MRI showing brain swelling/inflammation on left side.

Allergies: latex

Symptoms: Immediately after the injection - fever within 24 hours, chills, achy, fatigue. Fever for 4 day and fatigue and achy/joint pain lasted for at least a couple weeks. On February 11/12, 2021 started with double vision, progressively getting worse and constant starting on 2/17. Sought medical treatment on 2/18 with emergent MRI ordered and completed on 2/18. MRI results showed swelling/inflammation in the brain, specifically on the left side. Treatment thus far has been antiviral medication, seeing specialists - Ophthalmologist and Neurologist on 2/24 and 2/25 respectively. Further treatment is ongoing but will include ongoing lab work, IVIG infusions starting 3/1 for 3 consecutive days, repeat MRI, potential LP and Quarantine for a minimum of 30 days following the first IVIG treatment. Neurologist diagnosis is ADEM at this time.

Other Meds: Lisinopril-hctz 20/25, vitamin D, 81 mg aspirin, multivitamin

Current Illness: n/a

ID: 1059401
Sex: M
Age: 70
State: NJ

Vax Date: 02/02/2021
Onset Date: 02/23/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data:

Allergies: NONE

Symptoms: I GOT HIVES AND HAD TERRIBLE ITCHING THAT LASTED 24 HOURS. NORMALLY I WOULD NOT MENTION THIS. BUT IM 70 YEARS OLD AND NEVER GOT HIVES OR ITCHING FROM HIVES SINCE IM BORN. I HAVE NEVER BEEN ALERGIC TO ANYTHING IN MY LIFE TO MY KNOWLEDGE. NEVER HAD A REACTION TO ANYTHING. I WAS FINE 24 HOURS LATER. MY WIFE GAVE ME BENEDRYL AND IT WORKED. I WOULD NOT HAVE REPORTED IT HAD IT NOT BEEN SOMETHING BRAND NEW FOR A 70 YEAR OLD MAN. QUITE UNUSUAL. RED BUMPS AND BLOTCHES ALL OVER MY BODY. NEVER HAPPENED BEFORE.

Other Meds: NONE

Current Illness: NONE

ID: 1059402
Sex: F
Age: 79
State: NH

Vax Date: 02/27/2021
Onset Date: 02/27/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data: none

Allergies: nka

Symptoms: Pt developed a flushed feeling, numbness in hands and palpitations(heart racing) several minutes after injection. Symptoms slowly subsided after 20-30 minutes of observation. HR: 100, SBP: 150, SP02: 99. EMS services/hospital evaluation was offered and pt declined. She elected to go home with her husband as the driver with a plan to self monitor at home.

Other Meds: Spiriva, Prolia, Omeprazole

Current Illness: none

ID: 1059403
Sex: F
Age: 77
State: NC

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

Lab Data:

Allergies: NKDA

Symptoms: LEFT ARM TINGLING AND ITCHING

Other Meds: OMEPREZOLE ATENOLOL LASIX COZAAR

Current Illness:

ID: 1059404
Sex: F
Age: 66
State: NY

Vax Date: 02/19/2021
Onset Date: 02/21/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Severe herpes simplex viral 1 reaction on lower lip with extreme swelling and 100?s of cold sores/blisters.

Other Meds: Armour thyroid

Current Illness: None

ID: 1059405
Sex: F
Age: 52
State: MI

Vax Date: 02/20/2021
Onset Date: 02/22/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data:

Allergies: penicillin, amoxicillin, erythromycin, cipro,

Symptoms: 12 hours later, extreme chills, 5 days later a bumpy red, itchy rash on upper chest, neck, face and itchy scalp. Scaly skin. Day 7 applied Cortizone 10 cream. Doctor appt. for March 8, 2021

Other Meds: Lexapro 10 mg

Current Illness: none

ID: 1059406
Sex: F
Age: 37
State: MD

Vax Date: 02/27/2021
Onset Date: 02/27/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data: Vital signs were stable and monitored.

Allergies: NKDA

Symptoms: Dizziness and diaphoresis that occurred approximately 5 minutes after receiving vaccine. Patient placed in supine position and symptoms resolved in approximately 5 minutes.

Other Meds: None

Current Illness: None

ID: 1059407
Sex: F
Age: 30
State: IL

Vax Date: 02/27/2021
Onset Date: 02/27/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data: None - likely vasovagal as pt reports this happened previously; this was discussed with the patient.

Allergies: No known allergies

Symptoms: Patient states approximately 5 minutes after her vaccination, she started to feel like her vision was slightly blurry, then experienced tunnel vision. Pt states felt almost like an "out of body" experience, but she did feel pressure to the left side of her head as she fell off of her chair and her head hit the floor. This fall was witnessed by another patient, who flagged the medical staff for help. A medical assistant notified me of the incident and I went to examine the patient, who was sitting on the floor, alert and conscious. I asked the staff to get the patient an ice pack, which was placed to patient's forehead and back of neck, and glass of water. Patient is able to swallow. A&O x 3, HR 81 and O2 sat 98% on room air. EOMI, PERRLA. Auscultation of heart & lungs was normal. No bony step-offs palpated. No tenderness upon palpation to patient's head, face and neck/c-spine. No visible contusions, abrasions noted. Normal ROM of all extremities and normal sensation. Observed patient over the course of 15 minutes and patient states she is feeling much better.

Other Meds: Aurovela 24 FE 1mg-20mcg (24)/75mg (4)

Current Illness: n/a

ID: 1059408
Sex: F
Age: 42
State: TX

Vax Date: 02/23/2021
Onset Date: 02/24/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data:

Allergies: Anzemet

Symptoms: Swollen lymph nodes on side of injection (left side). Swollen and very painful lymph node on left collarbone the size of large grape or pecan shell, swollen/tender lymph nodes on base of neck size of large blueberries. The entire area including under my left arm into armpit was tender, painful to touch and achy. Could not put any pressure on area. Area is still swollen but less painful on this date (2/27) 4 days later.

Other Meds: Synthroid

Current Illness: No

ID: 1059409
Sex: F
Age: 51
State: TN

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

Lab Data:

Allergies: Tylenol, cephalexin, diphenhydramine, loratadine

Symptoms: Less than 15 minutes after receiving vaccine, patient reported feeling dizzy, tingling in arm that was vaccinated, weak, heaviness of the arm that received vaccine. Patient also felt weak. Patient was given water, M&M's, and a bag of chips, as she stated she had only eaten crackers that morning and no lunch. After 30 minutes, patient began to feel nauseated and was unable to stand on her own. Patient was transported to EMS via wheelchair.

Other Meds: Unknown

Current Illness: Unknown

ID: 1059410
Sex: M
Age: 75
State: NC

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data:

Allergies: HYDROCODONE

Symptoms: PATIENT REPORTED FEELING AS IF LIPS WERE SWOLLEN. SHORTNESS OF BREATH AND DIFFICULTY SWALLOWING. RN ASSESSED AND GAVE 50 MG BENEDRYL AND EMS ALERTED.

Other Meds:

Current Illness:

ID: 1059411
Sex: F
Age: 91
State: MO

Vax Date: 02/18/2021
Onset Date: 02/26/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data: NA

Allergies: none

Symptoms: Injection site sore the day of the injection. Soreness went away the next day. Eight days after receiving the vaccine, the patient's arm became sore (2/26/2021) and is still sore today (2/27/2021). Called "Ask A Nurse" was told to apply heat or ice for about 20 minutes.

Other Meds: Antara 130MG, 1 daily. Metoprolol 25MG every other day. Omeprazole 40MG 1 daily. Aspirin 82MG 1 daily.

Current Illness: no

ID: 1059412
Sex: F
Age: 44
State: DE

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

Lab Data:

Allergies:

Symptoms: Patient reports fatigue and muscle soreness in arm through neck and shoulder area.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm