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: 1062523
Sex: F
Age: 81
State: FL

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data: none

Allergies: NKDA

Symptoms: Pt had lip and mouth swelling, discoloration and blisters in mouth

Other Meds: Hydrochlorothiazide 12.5 MG Tablet Benazepril HCl 40 mg Tablet Metoprolol Succinate 25 MG Capsule ER 24 Hour Sprinkle Amlodipine Besylate 5 MG Tablet Acetaminophen 325 MG Tablet Vitamin C 500 MG Tablet Chewable Fish Oil 1000 MG

Current Illness: none

ID: 1062524
Sex: F
Age: 70
State: OH

Vax Date: 02/22/2021
Onset Date: 02/22/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data:

Allergies: Gluten, dairy, latex, statins, asprin

Symptoms: 2-22 6PM extremely sore left arm 2-22 9PM could not move left arm up but about 8" 2-23 10AM-12PM Flushed hot to touch cheeks-normal temperature 2-24 9AM rash on left underarm....had scratched during the night & arm sore to touch in that area 2-25 9AM rash had subsided but arm still sore to touch

Other Meds: Triamterene, Vitamin C, Multi Vitamin, COQ10

Current Illness: none

ID: 1062525
Sex: F
Age: 56
State: FL

Vax Date: 02/18/2021
Onset Date: 02/25/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data:

Allergies: Chlorhexidine topical

Symptoms: started with itching on day 7 after vaccine the inching got worse on Day 10 and a large sized hive formed on my arm just below the injection area with a strip that wrapped to the back of my arm in the evening of day 10 and became extremely itchy.

Other Meds: Ibrutinib 140mg oral capsules, 3 capsules once a day Valtrex 1g oral tablet, 1 tablet once a day Premarin (conjugated estrogens) 3x?s a week Cranberry supplement Biotin 5000 mcg oral tablet, 1 a day Calcium 500 +D, 1 a day B-Complex 50, 1

Current Illness:

ID: 1062526
Sex: F
Age: 42
State: NC

Vax Date: 02/27/2021
Onset Date: 02/28/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data: PA put Eye drop to see if anything in eye or any scratches. Nothing looked good. 2/28/21 6:15 pm

Allergies: penicillan zofran

Symptoms: sore left arm shot area chemosis- thought I had something in my eye, a cat hair since I had been petting put cat. skin around right eye slightly swollen. Realized the liquid was under clear part of eye. Looked like some bubbled coming from top of eye, so weird. Could feel the liquid moving in eye when moving head. Touched the eye, liquid spread around iris and pupil not going over it. Was so weird. No pain. Felt that it had to be a reaction to the shot. My body seems to be pretty sensitive. I have had cold sore a few times back to back due to stress. My youngest has Cystic Fibrosis that is what allowed us to get the vaccine, in home caregiver of medically fragile child. Went to urgent care, just needed a professional to say it would go away in a few days and note the reaction. The PA said it was not a reaction to the vaccine, that it is not listed as a reaction in the data. Blah blah blah. I disagreed and left it at that. Had a benedylt last night and put a pataday drop in eye as recommended by PA

Other Meds: lamictal prozac methylphenidate women's daily vitamin vit d fish oil probiotic xanax as needed

Current Illness: cold sores

ID: 1062527
Sex: M
Age: 29
State:

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data: COVID-19, influenza- both negative CBC, TSH both wnl

Allergies:

Symptoms: Shortness of breath that resulted in ER visit, patient was treated for URI/Pneumonia with changes on xray (atelectasis but infection cannot be r/o) treated with azithromycin and albuterol, symptoms are improving

Other Meds:

Current Illness:

ID: 1062528
Sex: F
Age: 74
State: GA

Vax Date: 02/26/2021
Onset Date: 02/27/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data: NONE

Allergies: none

Symptoms: CHILLS, SEVERE HEADACHE LASTING OVER 24HRS, LOW GRADE FEVER, SORE ARM, SWOLLEN GOLF SIZE AREA AT SITE, REDNESS, PAIN 6/10

Other Meds: Relief factor, excedrin, vasotec, statin, sertraline

Current Illness: none

ID: 1062529
Sex: F
Age: 45
State: MA

Vax Date: 02/26/2021
Onset Date: 02/27/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data:

Allergies: Cipro

Symptoms: Swollen gland in armpit

Other Meds:

Current Illness:

ID: 1062530
Sex: F
Age: 64
State: NY

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data: Vital signs monitored all WNL, brought to cot to lay down, felt better after 25 minutes and left on own

Allergies: none know

Symptoms: dizziness,headache

Other Meds: HTN medication; ASA; tricor; pristique; coreg; klonopin; fish oil

Current Illness: none known

ID: 1062531
Sex: M
Age: 54
State: TX

Vax Date: 02/24/2021
Onset Date: 02/24/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: "s/p 2nd Moderna shot 02/24/2021. arm swelling, feverish, ache, w/o erythema. - f/c/ns, - myalgia, -cough/Wz/SOB, -n/v/d, Smell & taste intact, No rash. Eat/sleep well, BM/Urine OK."

Other Meds:

Current Illness: None

ID: 1062532
Sex: F
Age: 84
State: TX

Vax Date: 02/28/2021
Onset Date: 03/01/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data: None yet

Allergies:

Symptoms: Nausea, 1 am through the night. Still nauseated today 3/1/21

Other Meds: Amlodipine 10 mg 1x day Clopidogrel 75 mg 1x day Atorvastatin 20mg 1x day Lisinopril 40 mg 1x day Pantoprazole 40mg 1x day Furosemide 20 mg 1 x day Tolterodine 4 mg 1 x day Low dose aspirin 1x day

Current Illness:

ID: 1062533
Sex: F
Age: 25
State: NC

Vax Date: 02/18/2021
Onset Date: 02/22/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data: none

Allergies: NKDA

Symptoms: skin rash over bilateral hands, left leg and left toes

Other Meds: none

Current Illness: none

ID: 1062534
Sex: M
Age: 49
State: PA

Vax Date: 01/21/2021
Onset Date: 01/23/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data: Skin samples that showed nothing

Allergies: Iodine

Symptoms: I got my second COVID shot on 1/21/21 and a day or 2 later I started to lose my skin on my hands and the bottom of my feet. I went to my doctor and a dermatologist. They took skin samples and both doctors do not know what is cause my problems.

Other Meds: One a day men's vitamin

Current Illness: None

ID: 1062535
Sex: F
Age: 64
State: AZ

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data: None

Allergies: Many seasonal allergies.

Symptoms: Sweating, nausea, dizziness, aching joints. Effects seem to come in waves, sometimes feeling ok, and then completely down for a couple of hours, ending by day 3. Have been constipated for five days now, with no bowel movement since vaccine. I have had extreme insomnia since vaccine.

Other Meds: Synthroid, Pantroprazole, Prevastatin, Gabapentin, calcium

Current Illness: None

ID: 1062536
Sex: F
Age: 27
State: TX

Vax Date: 02/26/2021
Onset Date: 02/27/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Fever, body aches, HA and fatigue. Treatment: Tylenol, Outcome: Did not interfere with ADLs

Other Meds:

Current Illness:

ID: 1062537
Sex: M
Age: 68
State: MO

Vax Date: 02/27/2021
Onset Date: 02/28/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Puffiness around eyes. Bags under eyes. Some redness along bag lines under eyes. Glassiness of eyes.

Other Meds: None

Current Illness: None

ID: 1062538
Sex: F
Age: 46
State:

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Immediate swelling and edema that progressed to significant swelling in the area and extending into upper shoulder, anterior upper chest wall and axillary area. Noted on exam on 01Mar2021 to have a 2cm discrepancy when compared to her other arm with increased skin temperature and induration with non blanching erythema

Other Meds:

Current Illness:

ID: 1062539
Sex: F
Age: 65
State: FL

Vax Date: 02/28/2021
Onset Date: 02/28/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data: n/a

Allergies: none/nka

Symptoms: Client c/o chest tightness. Client states I am having a hard time breathing. Client seen by EMS. Vitals: B/P 133/85, HR 88, Client verbalized that she had been anxious about receiving vaccine and that she is now able to breathe now that it's over and was cleared to go home by EMS.

Other Meds: none

Current Illness: none

ID: 1062540
Sex: F
Age: 14
State: IN

Vax Date: 08/09/2018
Onset Date: 08/09/2018
Rec V Date: 03/01/2021
Hospital: Y

Lab Data: 2/15/19- heart monitor 6/5/19- pulmonary function test 6/7/19- endoscopy and biopsies 7/17/19- heart ultrasound 7/24/19- allergy testing, asthma testing 10/10/19- breast ultrasound 10/28/20- urinalysis 11/24/20- urinalysis 1/11/21- colonoscopy, endoscopy, biopsies 2/15/21- gastric emptying study There were many other labs drawn but I don't have the specific dates of those.

Allergies: Effexor

Symptoms: The first symptom was headache, followed by severe fatigue, loss of energy, and digestive discomfort. Later developed into difficulty breathing, tightness/pain in chest, silent reflux, chronic fatigue, dizziness, a full feeling in her throat, difficulty swallowing, heart palpitations, abdominal pain, loss of appetite, difficulty eating, nausea, body aches, weakness, especially in limbs, excessive bleeding during menstrual cycle, along with near-fainting, and vomiting, lumps in her breasts, rash on eyelids, which then spread to her chest, neck, scalp and right arm, pain after urinating, frequent urination, and kidney pain, moderate vaginal discharge/odor and pelvic pain.

Other Meds: None

Current Illness: None

ID: 1062541
Sex: F
Age: 66
State: OH

Vax Date: 02/28/2021
Onset Date: 03/01/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Chills, temperature, stomach nausea

Other Meds: None

Current Illness: None

ID: 1062542
Sex: F
Age: 70
State: NC

Vax Date: 02/24/2021
Onset Date: 02/25/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data:

Allergies: Iodine (contrast dye)

Symptoms: Patient received 1st dose of Moderna vaccine at approximately 11:30am. No issues reported until being awoken by her dog at 2am the following morning with trouble breathing with coughing. Patient denied tongue swelling/throat closure. Patient's symptoms persisted until 8am when she presented to the emergency department. Patient believes she was febrile and was started on fluids, but unaware of full course of action. Patient reported muscle weakness during her time at the emergency department. She was discharged later that day.

Other Meds:

Current Illness:

ID: 1062543
Sex: F
Age: 72
State: KS

Vax Date: 02/16/2021
Onset Date: 03/01/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data: None

Allergies: Nitrofurantoin Asprin

Symptoms: Slight swelling, redness and itching

Other Meds: Venlafaxine 75mg Rosuvastatin 40 mg 3/26/19 Lisinopril 20mg twice a day Pantoprazole Sod 40 mg for heartburn x2 a day Trazodone 50mg at night Estradiol vaginal cream .02 MG/ML - 3 times / week OTC Multi V

Current Illness: None

ID: 1062544
Sex: F
Age: 28
State: CT

Vax Date: 01/29/2021
Onset Date: 02/26/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient received Pfizer COVID vaccine but should have received Moderna COVID Vaccine for booster dose

Other Meds:

Current Illness:

ID: 1062545
Sex: M
Age: 77
State: OH

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: Client received Pfizer for the first dose of the series. He reports only a minor sore arm after receiving Moderna for the second dose. Pfizer EN5318 IM on 1/29/2021

Other Meds: Lisinopril, Metformin, Vitamin B, Atorvastatin

Current Illness: No

ID: 1062546
Sex: M
Age: 51
State: PA

Vax Date: 02/24/2021
Onset Date: 02/26/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data: Scheduled doctor visit today.

Allergies: None.

Symptoms: On Wednesday, February 24th I received the first dose of the Moderna vaccine. On Friday evening I developed joint pain and swelling in my left should blade, my right wrist and my left large toe. The pain in my shoulder and my wrist is excruciating and I have not been able to sleep properly. I have very limited mobility and cannot grip with or use my right hand. I started taking 200 mg of ibuprofen on Friday night with food but it did not seem to reduce the pain. Through the night that night I increased my dose to 400 mg and felt some relief in my shoulder but my hand is still very painful. My toe is uncomfortable but tolerable. I used tiger balm several times on my wrist but that did not help. I also put it on my back and it seemed to help as long as I did not move. If I moved a felt a very sharp pain under my shoulder blade. I used ice on my hand and it only benefited briefly. I couldn't apply it at night and therefore couldn't sleep. I am unable to move or function as I normally would due to the sharp pains in my back/shoulders and right hand. Unable to function without assistance and cannot go to work.

Other Meds: Type 1 diabetic. Inject Lantus and Novalog insulin daily via pen. Also taking tadalafil for prostate, lisinopril, atorvastatin, and amlodipine for blood pressure. Testosterone injection once a week. Multivitamin, vitamin D, and Zinc.

Current Illness: Hypertension

ID: 1062547
Sex: F
Age: 83
State: MD

Vax Date: 02/25/2021
Onset Date: 02/26/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: chills, fatigue, injection site swelling, nausea

Other Meds: fosamax, lipitor, D3, Calcium, cartia XT, HCTZ, ibuprofen, multivitamin

Current Illness: none

ID: 1062548
Sex: F
Age: 29
State: TX

Vax Date: 02/26/2021
Onset Date: 02/27/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Fatigue, fever, body aches, chills, HA. Treatment: Ibuprofen and Tylenol Outcome: Moderate improvement of symptoms did not interfere with ADLs

Other Meds:

Current Illness:

ID: 1062549
Sex: F
Age: 55
State: NJ

Vax Date: 02/15/2021
Onset Date: 02/15/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data:

Allergies: Erythromycin, Augmentin, Shrimp, Salmon

Symptoms: Moderna COVID-19 Vaccine EUA: About 15 minutes after receiving the vaccine, the vaccine recipient experienced dizziness and lightheadedness. They refused to go to the ED.

Other Meds: Atorvastatin, Zyrtec, Pantoprazole, Vitamin D3, and Vitamin C

Current Illness: None

Date Died: 02/18/2021

ID: 1062550
Sex: M
Age: 63
State: AL

Vax Date: 02/17/2021
Onset Date: 02/18/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient's daughter called to report that about 30 hours after receiving the vaccine he passed away at home. She said she didn't know the cause of death but she felt like she should let us know about it.

Other Meds:

Current Illness:

ID: 1062551
Sex: F
Age: 51
State: GA

Vax Date: 01/24/2021
Onset Date: 01/25/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data: 2/22/2021 - urgent care visit fdiclofrenacor headache with nausea. Received injection of Toradol and rx for 4mg decadron and diclofenac 75mg BID, with a referral to a neurologist. 2/23/2021 - visit to Neurologist. MRI scheduled for 3/18/2021

Allergies: Penicillin, Erythromycin, Ceftriaxone

Symptoms: Headaches started within 10 hours of receiving second dose. I have had continuous headaches since 1/24/2021

Other Meds: Vitamins, Zyrtec

Current Illness: NONE

ID: 1062552
Sex: F
Age: 57
State: IL

Vax Date: 02/17/2021
Onset Date: 02/25/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data: None

Allergies: none

Symptoms: On 2/24/2021 on arm felt itchy and red on the 2/25/2021 it hurt and had a rash, on 2/26 and 27 painful' 2/28 and 2/29 very painful, looked on CDC web site for info took antihistamine and Tylenol, Tylenol didn't help the pain so I took Advil. Today March Its better not as much pain and swelling has gone down some I I am reading that it is COVID arm

Other Meds: ANASTROZOLE multi vitamin , vitamin D, vitamin b12

Current Illness: Ear ache ear was felt full of fluid

ID: 1062553
Sex: F
Age: 70
State:

Vax Date: 03/01/2021
Onset Date: 03/01/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data:

Allergies:

Symptoms: "Sweaty" which lasted for 10 minutes and then resolved

Other Meds:

Current Illness:

ID: 1062554
Sex: F
Age: 45
State: NY

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data: Vital signs monitored all WNL, given water, felt better and left on own

Allergies: morphine, penicillin

Symptoms: feeling flushed, stated had a delayed reaction from previous dose

Other Meds: methel phenidate,BCP

Current Illness: none known

ID: 1062555
Sex: M
Age: 45
State: NC

Vax Date: 02/17/2021
Onset Date: 02/23/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data: Pending

Allergies: Sulpha drugs

Symptoms: Discomfort on left neck / collar bone area perceived a few days after injection and several bumps located on chest and collar bone area approximately 5-6 days after injection. Sought treatment with a general practitioner who has referred me to an oncologist for follow-up. That follow-up appointment is pending.

Other Meds: None

Current Illness: None

ID: 1062556
Sex: F
Age: 25
State: MI

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data: No

Allergies: mild nickel allergy seasonal allergies

Symptoms: That night I had severe itching, not at the injection site but just random areas. The next day I noticed scattered hives. I went to urgent care the next day and they gave me a steroid injection and then over the next seven days I took oral steroids on a taper.

Other Meds: setalpram (cyclexa) curvello (oral contraceptives)

Current Illness: No

ID: 1062557
Sex: F
Age: 28
State: NE

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Roughly 12 hours after the administration of my 2nd COVID vaccine (8:30 PM on February 26th, 2021), I developed a fever, chills, body ache, headache, dizziness, and a rash the size of a softball around the injection site. The flu-like symptoms lasted about 12 hours. The rash is still present.

Other Meds: escitalopram oxalate, viorele birth control, vitamin D, one a day women's multivitamin, youtheory collagen/biotin

Current Illness: none

ID: 1062558
Sex: F
Age: 57
State: MI

Vax Date: 02/03/2021
Onset Date: 02/17/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data:

Allergies: Sulfa

Symptoms: Swollen left lymph node under armpit

Other Meds: Estradiol, Provera, Vit D, Dhea, magnesium, fish oil, flaxseed oil, flexerill

Current Illness:

ID: 1062559
Sex: M
Age: 65
State: GA

Vax Date: 02/27/2021
Onset Date: 02/27/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data: N/A

Allergies: N/A

Symptoms: Patient Received 1 milliliter instead of 0.5milliliters injected intramuscularly. Patient reported no side effects at the time, left him the store number and my personal cell phone number to call with any adverse reactions to receiving.

Other Meds: N/A

Current Illness: N/A

ID: 1062560
Sex: M
Age: 80
State: TX

Vax Date: 02/26/2021
Onset Date: 02/27/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data:

Allergies:

Symptoms: full body soreness

Other Meds:

Current Illness:

ID: 1062561
Sex: F
Age: 37
State: TX

Vax Date: 02/26/2021
Onset Date: 02/27/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Raised red circular lump at the injection with left arm soreness. Treatment: Tylenol with improvement of soreness. Outcome: Continue to work does not interfere with ADLs. Recommend to use OTC hydrocortisone cream.

Other Meds:

Current Illness:

ID: 1062562
Sex: M
Age: 16
State: PR

Vax Date: 03/01/2021
Onset Date: 03/01/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data:

Allergies: No

Symptoms: PATIENT PRESENT ABDOMINAL PAIN, NAUSEA, VOMITING AND DIZZINESS AFTER THE ADMINISTRATION OF THE GARDASIL 9 VACCINE AND MENVEO.

Other Meds: Does not apply

Current Illness: No

ID: 1062563
Sex: M
Age: 18
State: KS

Vax Date: 02/26/2021
Onset Date: 02/27/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data: Taken to ER, COVID test came back negative. Given fluids. Parents had already given him Clonazapam

Allergies: Adhesive

Symptoms: Fever of 102.5 and seizures

Other Meds: 10 mg Rapamune, 200 mg Zonegran, 900 mg Trileptal, Allegra - morning 300 mg Zonegran, 900 mg Trileptal

Current Illness: None

ID: 1062564
Sex: F
Age: 25
State: NH

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data:

Allergies: bee stings and penicillin

Symptoms: Vaccinator verbally confirmed with the patient that she was due for a second dose of Pfizer and patient said "yes;" the patient received Pfizer. Patient did not have her vaccination card from her first dose with her. When charting the second dose, the vaccinator noted that she was charted in system as having received Moderna for her first dose. Patient was informed of this situation by the vaccinator. Patient was observed for twenty minutes, no adverse reaction noted, patient left the vaccine clinic in no distress.

Other Meds: birth control

Current Illness: none

ID: 1062565
Sex: M
Age: 77
State: FL

Vax Date: 02/26/2021
Onset Date: 02/27/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: next day, bad headaches, chill, fever,dizziness, swollen arm

Other Meds: atenolol, plavix, simvastin, norvasc, magnesium, calcium, glucosomine/condroitin, coq10, aspirin,

Current Illness: none

ID: 1062566
Sex: F
Age: 91
State: FL

Vax Date: 02/24/2021
Onset Date: 02/28/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data:

Allergies: pain meds

Symptoms: just yesterday my arm started itching. No rash. A little worm and it might be a little swollen.

Other Meds: yes and insulin

Current Illness:

ID: 1062567
Sex: F
Age: 74
State: NC

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data:

Allergies: sulfa, augmentin,

Symptoms: Moderna Covid-19 Vaccine EUA Extreme pain and swelling in the right shoulder joint the evening of the injection and tingling, numbness in hand. Unable to raise my arm. Extreme pain and swelling continued for several days. Pain began to subside and now able to move my arm but still have dull ache in joint and pain when arm is raised in certain directions. The injection site was very high on my arm and close to the joint. The day after the injection I had headache, nausea, chills, dizziness, fatigue. This lasted until the evening and by the second day was better. Still fatigued for several days.

Other Meds: acyclovir, multivitamin, vitamin D

Current Illness:

ID: 1062568
Sex: M
Age: 68
State: NY

Vax Date: 02/27/2021
Onset Date: 02/28/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data: none

Allergies: pistachios

Symptoms: The day after the vaccine patient experienced fatigue, muscular and joint pain and a fever.

Other Meds: Metoprolol Tartrate, Valsartan, baby aspirin, one a day vitamin (over 50), Vitamin C, Omega XL, Simvastatin,

Current Illness: None

ID: 1062569
Sex: F
Age: 29
State: NY

Vax Date: 02/27/2021
Onset Date: 02/28/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Painful red patch at site of injection appeared about 12 hours after injection. The red patch has become itchy and remains itchy two days after the injection.

Other Meds: Sertraline 150g, Vyvanse 50g, Altavera birth control

Current Illness: None

ID: 1062570
Sex: F
Age: 35
State: NY

Vax Date: 02/21/2021
Onset Date: 02/23/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data: none

Allergies: Penicillin, bees (relatively mild), seasonal/environmental, synthetic fragrances, possibly milk (I'm not sure because I've been vegan for almost 20 years, but I remember having stomach aches from dairy).

Symptoms: I had a hot, swollen, red area on my arm starting about 24 hours after my vaccine. Each day since, it's kind of gone up and down, from almost not there, to fairly swollen and red and itchy and again, sometimes with a rash around it. There's a hard lump below the red area that's tender if I touch it. The day after the vaccine, my arm was sore, but that only lasted a couple of days, like getting a regular vaccine, just a bit worse. I had a sore throat for two days, starting 2 or 3 days after the vaccine, and symptoms like I was about to come down with a cold- congestion, fatigue, raspy voice. Those symptoms lasted until a week after the vaccine, but seem to be subsiding.

Other Meds: Adderall

Current Illness: None

ID: 1062571
Sex: F
Age: 44
State: CA

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data:

Allergies: neomycin, neosporin

Symptoms: "44yoF c/o covid vaccine side effects - got 1st dose moderna vaccine yest. got vax in L arm. L arm soreness started immed after vax, last night started feeling other sx about 4 hrs after vax L arm very sore, having fatigue, chills, bodyaches, feels feverish, but no fever, c/o headache which turned into a migraine, has hx of migraine took tyl about 1 hour ago which is helping a little for ha ha 5-6/10, NOT WHOL."

Other Meds: only today took 1000mg tylenol, usually takes claritin, otc vit b2, coq10, mag, vit c , calcium, probiotic, mvi but not taken those since wed 2/24/21

Current Illness: 2wks ago ate omelettes both she and husb felt sick nausea x 5 days and cannot recall if had diarrhea? but thinks d/t food poisoning snice husband also got sick with same sx and ate same food.

ID: 1062572
Sex: F
Age: 71
State: MD

Vax Date: 02/15/2021
Onset Date: 02/28/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data:

Allergies: Adverse reaction (only) to codeine (makes me vomit)

Symptoms: Severe abdominal pain. Started as diffuse cramps, surged to the most severe pain I have ever experienced. The pain extended below my left rib through the area above my hip to my navel and then to my entire abdominal area. As noted, it ranged from severe cramps (maybe only a 4 on a NPRS) to searing pain that I would mark as a 10 on a NPRS. This subsided and then surged about 5 times in the space of 30 minutes. At one point, I got very hot, but I didn't have a fever. The pain was so bad and I felt so horribly sick that I was about to ask my husband to take me to the ER. I had a Cesarean section in 1978 followed by two natural, unmedicated VBAC births in 1981 and 1985, and, although I know we "can't remember pain," the pain I experienced last night was far, far worse than the pain of childbirth. After it went away, everything immediately went back to normal, as if it hadn't happened.

Other Meds: AmLODIPine Besylate 5 mg; Losartan Potassium 50 mg; C-1000mg Plus Bioflavonaoids; Methylcabalamin B12 + Pantethine + P-5-P (sold as "B-Right"); Magnesium Citrate 400 mg; kelp 600 mg;Vitamin D3 2000 IU;Zinc Picolinate 50 mg; Chletated Iron 1

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm