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: 1059513
Sex: F
Age: 71
State: NC

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

Lab Data: none

Allergies: Infliximab, Levofloxacin, Gemfibrozil, Niacin, Pentazocine Lactate, Cephalexin, Gadobenate Dimeglumine, Pactaxel

Symptoms: Nausea almost immediately but disappeared shortly, bad headache within a half hour of injection that lasted about 24 hours, low grade fever (100.5), joint pain, and fatigue which lasted about two days and itching at injection sight that has lasted for a week.

Other Meds: Humira, B12 inj, aspirin (81, mg), Simvastatin, Amlodipine, Acetaminophen/Codeine, Vitamin D, Meprobamate, Omeprazole

Current Illness: none

ID: 1059514
Sex: M
Age: 78
State: FL

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

Lab Data:

Allergies: Polysporin, Neosporin , methylprednisolone, shrimp (crustaceans),

Symptoms: Itching rash initially around waist that spread to lower back and the entire body trunk. Cannot be completely sure that initial symptom did not exist before vaccination.

Other Meds: Daily vitamins.

Current Illness: None

ID: 1059515
Sex: M
Age: 57
State: CT

Vax Date: 02/17/2021
Onset Date: 02/18/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: None

Other Meds: Too many to list

Current Illness: COPD CFH OBESITY

ID: 1059516
Sex: F
Age: 60
State: AL

Vax Date: 02/01/2021
Onset Date: 02/24/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data: N/a

Allergies: Cows milk, egg yoke

Symptoms: Chills, low grade fever, joint muscle pain, headache, extreme fatigue Lasted approximately 24 hours. Next day felt normal

Other Meds: Estridol patch , ambien , vitamin d, b complex, magnesium, dexilant

Current Illness: Hiatal hernia and esophagus valve reconstruction surgery 1/19/21

ID: 1059517
Sex: F
Age: 73
State: NC

Vax Date: 02/01/2021
Onset Date: 02/14/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data:

Allergies: Penicillin, mango

Symptoms: Worsening of neuropathy symptoms: burning in hands, feet, new symptoms: transient burning in other parts of my body, bad tinnitus in left ear, worsening of chronic neck pain , worsening of dry eye syndrome.

Other Meds: gabapentin, ALA, ALC, Vit. D, Naproxin

Current Illness: idiopathic small fiber neuropathy

ID: 1059518
Sex: F
Age: 66
State: AZ

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

Lab Data:

Allergies:

Symptoms: Headaches

Other Meds:

Current Illness:

ID: 1059519
Sex: F
Age: 61
State: NY

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

Lab Data: none

Allergies: seafood

Symptoms: Chills,body aches,fatigue,headache,muscle pain,nausea

Other Meds: multi vitamin, vitamin D, omeprazole 20mg, losartan 100mg, hydrochlorothiazide 25mg, 81 mg asprin, loratadine

Current Illness: Covid positive Jan. 19th

ID: 1059520
Sex: F
Age: 35
State: PR

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

Lab Data:

Allergies: Sulfa

Symptoms: Muscle pain, dizziness, nausea, vomiting, stomach pain, sweating

Other Meds: Multivitamin, amantadine, synthroid, plavix, aspir low, metoprolol, crestor, zetia, protonix, xyzal, tecfidera, humalog

Current Illness: Multiple sclerosis, type 1 diabetes, acute coronary syndrome, chronic sinusitis, hypothyroidism

ID: 1059521
Sex: F
Age: 38
State:

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

Lab Data:

Allergies:

Symptoms: Great pain in injection arm lasting up to 24hr

Other Meds:

Current Illness:

ID: 1059522
Sex: F
Age: 36
State:

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

Lab Data:

Allergies:

Symptoms: Tachycardia, Shaky, throat scratchy, cleared by EMS

Other Meds:

Current Illness:

ID: 1059523
Sex: F
Age: 82
State: PA

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

Lab Data:

Allergies: Lisinopril angioedema

Symptoms: tiredness , diarrhea onset 2/15/21

Other Meds: HCTZ25mg, VitD 50,000units, Mycophenolic acid 500mg, Metoprolol 50mg

Current Illness: N/A--on immunosuppressant for pemphigoid

ID: 1059524
Sex: F
Age: 74
State: IN

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

Lab Data:

Allergies: None

Symptoms: Chills gone next morning

Other Meds:

Current Illness: None

ID: 1059525
Sex: F
Age: 41
State: CA

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

Lab Data:

Allergies: N/A

Symptoms: patient that fainted today. She reported on her screening questionnaire of passing out after receiving a injection. She was placed for 30 minute observation. The patient fainted several minutes after being seated. It was observed that she fell over from the chair and hit her head. Patient denied any symptoms other than her right toe being sore.. A + O x 4 medically stable. VS stable. EMS was dispatched due to patient hitting her head and c/o feeling dizzy still...however, patient declined services. She was with her husband and he agreed to drive her home.

Other Meds: none

Current Illness: n/a

ID: 1059526
Sex: F
Age: 49
State: DE

Vax Date: 02/03/2021
Onset Date: 02/16/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: 2-16 - twelve days post vaccine I started with small itchy patch of raised red bumps on my lower back and 1 larger one in my forehead. Every day the rash multiplied and is now covering my entire upper body as well as scalp and upper thighs. Red large spots- similar to welts, with small red spots in between large ones. Have seen pcp who said it appears to be pityriosis rosea. Using steroid cream, Solumedrol injection, vistaril at night and antil bacterial soaps all with no relief.

Other Meds: Nexium 20 mg daily Flonase spray daily Zyrtec occasional for seasonal allergies Multi vitamin

Current Illness: None

ID: 1059527
Sex: M
Age: 70
State: CA

Vax Date: 02/17/2021
Onset Date: 02/23/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data: Blood pressure test at hospital on 02/26/2021 was 163/98

Allergies: None

Symptoms: Elevated blood pressure which is still continuing. Self monitoring.

Other Meds: Gabapentin, Mirtazapine, Morphine tablet, Nortriptylibe, Albuterol, Spiriva Respimat

Current Illness: None

ID: 1059528
Sex: F
Age: 39
State: MI

Vax Date: 01/29/2021
Onset Date: 02/06/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data: None

Allergies: Ceclor, augmentin, doxycycline, decongestants, severe dust allergy, seasonal allergies

Symptoms: Itchy, red rash from the end of shoulder to elbow. It lasted 7 days. I used benadryl lotion to help with the itching.

Other Meds: Cymbalta, 60 mg

Current Illness: None

ID: 1059529
Sex: F
Age: 37
State: MD

Vax Date: 02/19/2021
Onset Date: 02/26/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data:

Allergies: No

Symptoms: Raised, Red itchy rash at site of infection.

Other Meds: 6 mercaptopurine

Current Illness: No

ID: 1059530
Sex: F
Age: 38
State: NY

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

Lab Data: None

Allergies: None

Symptoms: At injection site reaction pain in the muscle joint pain, redness on the injection site and Sharp pain in the upper back.

Other Meds: None

Current Illness: None

ID: 1059531
Sex: F
Age: 54
State: MI

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

Lab Data: None

Allergies: Penicillin, sulfa, carboxymethylcellulose, sesame

Symptoms: 3x4 inch raised, warm, red swelling about 3 inches distal to the vaccination site. Purritic. Present for 3 days before slowly resolving.

Other Meds: Mucinex, Claritin, Pepcid, multivitamin, calcium supplement, lysine

Current Illness: None

ID: 1059532
Sex: F
Age: 83
State: WI

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

Lab Data: Have not been seen by anyone.

Allergies: Sulfa,histamine, & have a an intolerance but not allergic reaction but side effects.

Symptoms: Red circle about 3" round at the base of my neck with red line going from circle to each side of my neckIt did nt hurt unless touched but when touched felt like a burning sensation. Was still very red the next day but did not hurt anymore when touched . It is now two days later and redness is still their but much lighter. Called my doctor was told to watch it & come in if it got worse.l

Other Meds: amlodipine-benazepril, atenolol ,eliquis, hydrochlorothiazide, alprazolam, pantoprazole, vitamin D, fish oil

Current Illness: Frozen shoulder

ID: 1059533
Sex: M
Age: 79
State: AZ

Vax Date: 02/03/2021
Onset Date: 02/11/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data: None

Allergies: : 1.) ALLERGY TO AVELOX & CIPRO-RELATED DRUGS -- ANAPHYLAXIS RESULTED 2.) ALLERGY TO SULFA & RELATED DRUGS (Bactrim, etc,) ? SEVERE ALL-BODY RASH 3.) ALLERGY TO NOVOCAINE & ITS ESTERS ? ESOPHAGUS SWELLS & CLOSES 4.) ALLERGY TO ALL PREDNISONE DRUGS ? SEVERE CHEST PAIN

Symptoms: Joint pain in neck, muscle spasms in lower back, pain radiating onto upper legs

Other Meds: PRESCRIPTION MEDICATIONS (Effective February 24, 2021) Name Amount Purpose Frequency Hydroxychloroquine 200 mg Rheumatoid arthritis Twice daily Mometasone Furoate 50 mcg Allergies Twice daily AdVair Diskus 100/50 mg

Current Illness:

ID: 1059534
Sex: F
Age: 83
State: MD

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

Lab Data: None

Allergies: tetracycline; dilantin; mysoline.

Symptoms: Severe exhaustion lasting all day, every day since morning of 2/24/2021.

Other Meds: amitriptyline; Keppra; lisinopril; nifedipine; pantoprazole; prednisone; acetominophen-codeine #300; celecoxib; rosuvastatin; Konsyl; Cuturelle; NADH; calcium; magnesium; docusate sodium.

Current Illness: Hashimoto's thyroiditis

ID: 1059535
Sex: F
Age: 42
State: TX

Vax Date: 02/22/2021
Onset Date: 02/26/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data: None

Allergies: Accutane Tetracycline CT Contrast Latex

Symptoms: Hot, itchy rash at injection site appeared about 5 days after second vaccine

Other Meds: Bupropion 150 mg 3 pills 1x/day Adderall 15mg 3 pills 1x/day Tamulosin 0.4mg 1x/day Pilocarpine 5mg 3x/day Tizanidine 4mg 1.5 pills 1x/day Leflunomide 20mg 1x/day Sulfasalazine 500mg 2 pills 2x/day Gralise 600mg 1x/day Linzess 145mcg 1x/day

Current Illness: Rheumatoid Arthritis Hashimotos Sj?gren?s syndrome Osteoarthritis Asthma Depression Anxiety

ID: 1059536
Sex: F
Age: 34
State: RI

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

Lab Data:

Allergies: Nkda/nka

Symptoms: Nausea, vomiting , Pyrexia

Other Meds: None

Current Illness: None

ID: 1059537
Sex: F
Age: 69
State: NY

Vax Date: 02/15/2021
Onset Date: 02/16/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data: none

Allergies: Aspirin, red wine, mold, grass

Symptoms: Chills, fever, body aches, nausea, headache, mind fogginess, light headed, tired, sleepy ( 36 hours) Body aches, nausea, fogginess, light headed, tiredness (2 weeks)

Other Meds: Calcium + D 600-200 mg, Loratadine 10md, Cinnamon 500 mg, Cholecalciferol 1000 units, Glucosamine-Chondroitin complx, Citalopram 40 mg, simvastatin 20mg, cyanocogalamin 1000 mcg, Ginkgo Biloba, Multiple Vitamins 50+

Current Illness: none

ID: 1059538
Sex: F
Age: 53
State: FL

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

Lab Data: none

Allergies: Latex

Symptoms: Covid Arm, red swollen, sometimes itchy patch at injection site

Other Meds: None

Current Illness: None

ID: 1059539
Sex: M
Age: 68
State: AZ

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

Lab Data:

Allergies: None

Symptoms: Woke up at 2:30 am to urinate. While in the bathroom I began to shiver heavily. After returning to bed continued chills until 5:30 am. I had three blankets on and still could not warm up. After waking up at 5:30 chills were gone but I had dry mouth. No fever, temp at 2:45 am was 97.3 F, also at 9 am. Now at 9:30 am I am still cold even after putting on a jacket. Body temp is 98.0 F.

Other Meds: Atorvastatin, Losartan, CoQ10, Vitamin D3

Current Illness:

ID: 1059540
Sex: M
Age: 71
State: PA

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

Lab Data:

Allergies: MORPHINE

Symptoms: EYES SENSITIVE TO LIGHT, HEADACHE, WEAKNESS IN EXTREMITIES, ACHY JOINTS, RASH OR ITCHY ON ARMS, SHORTNESS OF BREATH. LOW GRADE TEMPERATURE. FATIGUE. TOOK TYLENOL .

Other Meds: OMEPRAZOLE, ATORVASTATIN, METOPROLOL SUCCINATE, MOMETASONE FUROATE, TESTOSTERONE, ASTEPRO, ASPIRIN 81 ML.

Current Illness:

ID: 1059541
Sex: F
Age: 62
State: NC

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

Lab Data: none

Allergies: demerol, codeine

Symptoms: Waited 15 minutes in clinic after vaccine. On the way home, notice slight numbness in left face and left side of neck. It never got worse and went away after approximately 2 hours. Woke up in the middle of the night with a metallic smell. Noticed metallic smell on hands, washed hands and this kept up the following day. Had a metallic taste in mouth that lasted all the following day.

Other Meds: Pravastatin 10mg Vit D3 2000IU Nature Made MVI

Current Illness: none

ID: 1059542
Sex: F
Age: 76
State: ME

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

Lab Data:

Allergies:

Symptoms: New onset of Afib

Other Meds:

Current Illness:

ID: 1059543
Sex: F
Age: 33
State: NY

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

Lab Data:

Allergies: Penicillin

Symptoms: Chills started at 9:30 pm. Then progressed to a fever, fatigue, muscle aches. Vomiting started at about 8:30 am. At 12:30 pm symptoma started to disappear and by 3:30 pm all symptoms were gone except fatigue.

Other Meds: Pre-natal Vitamin

Current Illness:

ID: 1059544
Sex: M
Age: 32
State: CO

Vax Date: 02/24/2021
Onset Date: 02/26/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: fever, chills, bodyaches, after first day and resolved in 24 hours. hives started 2 days after vaccine, took 50mg benadryl for this. Prescribed prednisone 40mg daily as well.

Other Meds: minocycline, levothyroxine, ibuprofen, lamisil

Current Illness: none

ID: 1059545
Sex: M
Age: 83
State: VA

Vax Date: 02/20/2021
Onset Date: 02/26/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data: None

Allergies: Doxycycline

Symptoms: Feb. 26, 2021, swollen and tender lymph gland on left side of throat. Feb. 27, 2021, swelling and tenderness is reduced. No other symptoms.

Other Meds: Simvastatin; Vitamin D 2000; Vitron C Iron supplement; Focus vitamin supplement for retinal health

Current Illness: None

ID: 1059546
Sex: F
Age: 63
State: MI

Vax Date: 02/17/2021
Onset Date: 02/18/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data: None

Allergies: Sulfa, Codeine, Penicillin, Erythromycin; Coconut

Symptoms: Chills began a little after midnight and lasted until 8 a.m. Fever of 101.8 for most of the night; Extreme muscle aches for 24 hours post injection; Headache and Fatigue for 36 hours post injection

Other Meds: Levothyroxine, Irbesartan, Clonazepam, Nexium, Low-Dose Aspirin, Multi-Vitamin, Vitamin D, Magnesium

Current Illness: None

ID: 1059547
Sex: M
Age: 62
State: OR

Vax Date: 02/11/2021
Onset Date: 02/26/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data:

Allergies: None.

Symptoms: Hives. First started with extremely itchy palms (both hands), spreading to forearms, then hives developed on trunk and backs of thighs. Symptoms improved after taking benadryl, but returned about 5 hours later.

Other Meds: escitalopram, lansoprazole (although not for several days before reaction), Calcium carbonate, Vitamin E, Vitamin C, fish oil (once a week), ibuprofen or naproxen (as needed), acetaminophen (as needed). Took one ranitidine the day before t

Current Illness: None.

ID: 1059548
Sex: F
Age: 50
State: GA

Vax Date: 02/17/2021
Onset Date: 02/18/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data: None- evaluated by dentist who is perplexed

Allergies: None

Symptoms: Within a 12 hours of injection I was running a fever of 101 which lasted 24 hours. Approximately the same time as the onset of fever my gums became severely inflamed and sensitive along with my lips being numb. Although the pain has moderated the symptoms of inflammation and numbness persist to this day approximately 10 days after injection. I was seen by dentist 6 days after injection and he has shared with colleagues the situation.

Other Meds: Synthroid, metformin,collagen

Current Illness: None

ID: 1059549
Sex: F
Age: 59
State: TX

Vax Date: 02/18/2021
Onset Date: 02/25/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data: 2-27-21 I called Pharmacy and they said I should be fine but to continue to monitor.

Allergies: none

Symptoms: Arm was fine first day but then extremely sensitive to touch for two days. On day7 the shot site became hard and warm to the touch. It was also very itchy and red.

Other Meds: Metformin HCL 500MG Rosuvastatin Calcium 10MG Olmesartan HCTZ 20-12.5 MG Levothyroxine 150MG

Current Illness: none

ID: 1059550
Sex: F
Age: 57
State: AZ

Vax Date: 02/10/2021
Onset Date: 02/19/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data: She did full CBC bloodwork and CRP and Erythrocyte bloodwork which all came back normal.

Allergies: Sulfa, Iodine, shellfish, nuts, Dogs

Symptoms: On Friday, February 19, 2021- Woke up to approximately one inch rash at Moderna injection site on upper left arm. During the day, the rash grew to approximately 3 inches in circular diameter. It was red, itchy with bumps and hot to the touch. The rash continued to spread down my arm over the weekend. On Monday, Feb 22- primary doctor had never heard of Covid arm and prescribed Amoxicillin for Cellulitis. On Tuesday, Feb 23- Went to Dermatologist who confirmed Covid arm and prescribed Triamcinolone Cream. Wednesday morning at 3am- rash on arm improved but developed severe burning, itching, pain swelling, throughout my entire body. All the skin throughout my body was red, especially the joints. I was developing sores in my mouth. Felt like third degree burn all over my skin. I returned to doctors office who advised was having a severe delayed allergic reaction to Moderna vaccine. She also advised that I had sores in my mouth and my tongue was swollen and I could get anaphylactic and to go to the emergency room immediately if I could not breathe. She prescribed Zyrtec and 8 days of Prednisone.

Other Meds: Lisinopril, Prolia, Calcium, Magnesium, Biotin, Vitamin D, Fish Oil

Current Illness: none

ID: 1059551
Sex: F
Age: 65
State: MO

Vax Date: 02/22/2021
Onset Date: 02/24/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data: n/a

Allergies: n/a

Symptoms: Headache off and on for three days so far; treatment--bed rest.

Other Meds: Paroxetine, fluticasone, artificial tears, multivitamin with iron, vitamin E, vitamin D3.

Current Illness: headache after first vaccine 2/01/2021

ID: 1059552
Sex: F
Age: 49
State: PA

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

Lab Data: Bloodwork:CMP, CBC, PTT, PT, Troponin EKG Chest X-ray

Allergies: NKA

Symptoms: 15 minutes after injection, I felt whole body flushing with tachycardia and palpitations that lasted for 5 minutes. The symptoms resolved and then 15 minutes later, the same symptoms occurred and lasted 10 minutes.

Other Meds: Zyrtec

Current Illness: None

ID: 1059553
Sex: F
Age: 53
State: MI

Vax Date: 02/24/2021
Onset Date: 02/25/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data:

Allergies: Sulfa

Symptoms: At approximately 9:30 pm on 02/26/21 (day 2) I noticed a lacy rash covering about a third of my left upper arm. There was a swollen area under the skin. Skin also felt warm to the touch. By 9:30 pm the next evening (day 3) the lacy rash was now solid red and covered the majority of the front of my upper arm. Very painful. and swollen, tight. Also hot to the touch. I treated it with Motrin. The next morning there had been no significant change. By the afternoon (this is now day 3), area had begun to have a burning, itch sensation. That evening I marked the area with a pen and took Benadryl. Today is day 4 and it is still painful, swollen and itchy. Area has not changed in size but is less red.

Other Meds: Ipratropium bromide spray, Omeprazole, multivitamin, vitamin D3

Current Illness: N/A

ID: 1059554
Sex: M
Age: 58
State: CA

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

Lab Data:

Allergies:

Symptoms: The patient woke up this morning with nausea and vomiting x10. improved after zofran 8 mg.

Other Meds:

Current Illness:

ID: 1059555
Sex: F
Age: 26
State: MI

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

Lab Data:

Allergies: None

Symptoms: 2 fainting episodes the next day after receiving the vaccine. The first time I realized I was losing consciousness but the second time I fainted I didn?t know what happened.

Other Meds: None

Current Illness: None

ID: 1059556
Sex: M
Age: 72
State: NY

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

Lab Data:

Allergies: Allergic to almost all fumes and particles in the air; getting shots for allergies to dust mites farina and pteronyssinus, mixed cockroach, Alternaria, Aspergillus mold, cat and dog dander, feathers, plantain, rag weed, oak and poplar tree pollen, Helminthosporium, Hormodendrum and Penicillium.

Symptoms: My arm was mildly sore at the injection site for about 36 hours. 2/18/21 (Thurs.) ? In the morning (only) there were rashes on my L arm, my neck and my back. While I have had a few itchy pimple areas for several weeks, and am generally sensitive to everything, this is not the same. It is also not the same as the transient flushing that I have in my face for a few minutes each morning after I take 500 mg. of Niacin. 2/23/21 (Tues.) ? At 8:30 a.m. I had flushing (not quite a noticeable rash) on my back, face, shoulders and both arms, esp. the L arm. (This was 20-30 minutes after I had taken Niacin, but the brief flushing, just in my face, resulting from the Niacin was long gone before these other rashes/flushing occurred.) Later, after 9:00 a.m., there was warmth and itching on my lower back. At 9:45 a.m. I felt flushing in my thighs and lower legs. At 10:00 a.m. there was an actual red rash on my chest and stomach. This all seems unusual for one week after the CoVID-19 shot. 2/27/21 (Sat.) ? Starting at 9:50 a.m. (30 minutes after taking 500 mg. of Niacin, which usually results in immediate flushing of my face, for only a few minutes at most), I had flushing and itching, and a slight rash, on my upper chest and upper back. After a few minutes the flushing and itching spread to my lower back, and my upper arms; my upper arms had a noticeable rash, which then spread down to my hands. In the next few minutes the flushing, itching and rash extended to my upper inner thighs and lower back (although I am only assuming, based on the feeling of flushing and itching, that my lower back had a rash, since I couldn?t see there). Over the next several minutes the itching and rash extended to the front and side of my thighs, down to my knees. The rash then extended, to a lesser extent, down to my ankles. As of 10:50 a.m. I still have this flushing, itching and/or rash in all the places mentioned, although it has started to decrease. This was mostly gone by 12:00 p.m. Other than 4 days ago, I don?t think I have previously experienced this generalized reaction in my 73 years.

Other Meds: 120 mg. Diltiazem Extended Release Tablet, daily 500 mg. Metformin daily (after supper) 10 mg. Amitriptyline (at bedtime) 20 mg. atorvastatin (generic Lipitor) daily s Tamsulosin 0.4 mg, once a day Myrbetriq, 50 mg. tablet/day guaifenesin,

Current Illness:

ID: 1059557
Sex: F
Age: 27
State: KY

Vax Date: 02/19/2021
Onset Date: 02/22/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Excessive Mucus Production, Bloody Mucus, Lethargy

Other Meds: Fluoxetine; Risperidone; Propranolol; Diclofenac; Loratidine

Current Illness:

ID: 1059558
Sex: M
Age: 24
State: MD

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

Lab Data: I have not received any paperwork yet since Patient is still admitted at this time. But he had labs and xrays on 2/25/21.

Allergies: Cats, dogs, dust and mold and other seasonal allergies

Symptoms: On 2/24/21 around 1:30 PM, Patient was not feeling well and temperature was 100.8. He was able to take Tylenol but then the staff noted his eyes rolled back in his head. 911 was called but he was not transported since his temperature was now normal and he seemed to be at baseline. He did not eat or drink much liquids later that night and in the morning of 2/25/21 around 9 AM, staff could not get him up from bed. He was incontinent and had temperature of 97.7. He was staring off and not talking or responsive. 911 was called and he was transferred to the ER and later admitted. All labs and Xrays were normal and later on 2/26/21 he was awake and alert. Of note, Patient also received news on the afternoon he got his second vaccine that a favorite staff person had been killed in a MVA. Patient was upset at this news at the time.

Other Meds: Benztropine, Clonidine, Divalproex, Doxepin, FLonase nasal spray, Chest rub, Levothyroxine, Loratadine, Montelukast,Paliperidone, Risperidone, Trazadone and Vitamin D.

Current Illness: None

ID: 1059559
Sex: F
Age: 42
State: NY

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

Lab Data: N/a

Allergies: Penecillin, peroxicam, latex

Symptoms: Swollen left armpit

Other Meds: Tylenol, methylphenidate, albuterol, Buspirone, celebrex, fluoextine, Mylan

Current Illness: None

ID: 1059560
Sex: F
Age: 34
State: TN

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

Lab Data:

Allergies: None

Symptoms: On my way home from getting the vaccine I started having facial tingling, cheeks flushed, then facial numbness, weird taste in mouth that then turned to numbness especially in gums of front top teeth, and numbness in throat. I can still breathe and eat and drink and control all of my facial muscles. Feels like when the drugs they give you for numbing during dental work are wearing off. Today (one day after first dose vaccination) I continue to have numbness, but it?s not worse, but I?m noticing that other parts of my skin including my forearms and scalp, left shoulder and neck are also feeling slightly numb and tingly.

Other Meds: Ritual pre-natal vitamin, cetirizine

Current Illness: None

ID: 1059561
Sex: F
Age: 77
State: MO

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

Lab Data:

Allergies: Statins

Symptoms: Very Sore arm, Bad headache, Muscle Soreness, especially in right hip and right shoulder. Arm better in the morning after, but headache lingers. Muscle pain a little less by 11:00 a.m.

Other Meds: Bone Health, V-c, V-B12, V-D, ,Red Rice Yeast, Focus Factor, CinSulin, Nattokinase, Zinc, CoQ-Clear Ubiquinone, Resveratrol, Selenium Complex, Magnesium Malate, Potassium Gluconate, DHEA, Resurge

Current Illness: None

ID: 1059562
Sex: F
Age: 76
State: NJ

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

Lab Data:

Allergies: Iodine

Symptoms: a fast heartbeat for about 15 minutes

Other Meds: Hydrochlorothiazide 25Mg; Lisinopril 40Mg; Airborne Elderberry gummies; B12 supplement 2,500 mcg; Vitamin D3 125mcg (5000 IU); Chewable C 500 mg

Current Illness: N/A

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm