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: 1063242
Sex: F
Age: 65
State: CA

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

Lab Data:

Allergies: Nexium, pollen, bees, betadine, adhesive tape, maybe strawberries, mushrooms and seafood

Symptoms: Within a couple hours I had nausea my are hurt and I just didn't feel good. I woke up in the night with fever, chills, bad headache and body aches head to toe. Took Tylenol. Woke in the morning with fever (101.8), chills, bad headache, body aches head to toe, joint aches and nausea. Took Tylenol. Too sick to get up all of Saturday. Saturday afternoon vomited. Saturday evening fever broke and began feeling a little better. Sunday still had a bad headache, body aches and joint aches. Today, Monday, feeling better but still have a mild headache, body aches and joint aches. I also feel really week and tired.

Other Meds: Metoprolol Succ ER 12.5 mg. morning; Metoprolol Succ ER 25 mg. evening; D-3 2000 IU daily; B-12 sublingual 2500 mcg; Magnesium 250 mg daily; Rabeprazole SOD DR 20 mg every 3 days.

Current Illness:

ID: 1063243
Sex: F
Age: 36
State: NY

Vax Date: 01/20/2021
Onset Date: 01/28/2021
Rec V Date: 03/01/2021
Hospital: Y

Lab Data: - brain and cervical mri with and without contrast on 3/1

Allergies:

Symptoms: Headache , Dizziness, unsteadiness, diploplia, blurry vision started 1 week after second dose

Other Meds:

Current Illness:

ID: 1063244
Sex: F
Age: 31
State: IL

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

Lab Data: No

Allergies: No

Symptoms: At 12 hrs post vaccination, I had a headache. The next day, nausea and a headache. It took 3-5 days to feel completely back to normal. Estimated date of delivery is 08/2021 I am currently at 14 weeks gestation.

Other Meds: I take a prenatal vitamin, folic acid, zyrtec and pantoprazole.

Current Illness: No

ID: 1063245
Sex: F
Age: 60
State: CO

Vax Date: 02/23/2021
Onset Date: 02/24/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Pfizer. My right hand was swollen up like a catchers- mit. Very painful in thumb joint at a level 10. Was swollen for 5 days, then fever chills, body aches (fever 0f 100.2) Right hand was so painful was intolerable, truly had to wait for it to pass, nothing helped except for soaking in Epsom salt bath, which was short live. Have had arthritis in this thumb but not for approximately 8 years. Entire hand was swollen and not useable.

Other Meds: none

Current Illness: hashimoto thyroid disease

ID: 1063246
Sex: F
Age: 70
State: IN

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

Lab Data: no

Allergies: penicillin and codeine

Symptoms: pt stated the next day after receiving the 2nd dose of covid vax her temperature was 101.7, she felt bad w/flu like symptoms, fatigued, head ache, stuffy nose and her arm was sore at the injection site. Pt states by the second day that all of her symptoms disappeared.

Other Meds: hydrocodone/Tylenol 10/325 mg, Nafenopin 30mg, Aricept 5mg, Buspar 30 mg, atorvastatin 5mg, gabapentin 300mg, trazadone 50mg, Lisinopril/HTCZ 20/12.5 mg, levothyroxine 50 mg, lamoctal 50mg, esomeprazole 40mg,

Current Illness: no

ID: 1063247
Sex: F
Age: 41
State: MD

Vax Date: 02/20/2021
Onset Date: 02/23/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data:

Allergies:

Symptoms: ringing/buzzing in ear, pain/heaviness, headache

Other Meds:

Current Illness:

ID: 1063248
Sex: F
Age: 52
State: CA

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

Lab Data: none

Allergies: kna

Symptoms: Within 12 hours of receiving the vaccine pt had, malaise, h/a, n/v, fever (102.0), sore throat and cough.

Other Meds: Lexapro, wellbutrin, trazadone and metopropolol

Current Illness: none

ID: 1063249
Sex: F
Age: 70
State: OH

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

Lab Data: None

Allergies: PCN, mold and red dye

Symptoms: Persistant metallic taste, occurred with first dose and worse with second dose. Lasted 5 days with the first dose and still continuing with second dose.

Other Meds: Levothyroxine 0.05 mg, fluoxetine 20 mg, Losartin 25 mg, pantoprazole 40 mg

Current Illness: none

ID: 1063250
Sex: F
Age: 73
State: FL

Vax Date: 02/12/2021
Onset Date: 02/27/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data: n/a

Allergies:

Symptoms: 4x4 block of redness around injection site

Other Meds: multivitamins, amlodipine 2.5mg, hctz 25mg, carvedilol 12.5mg, klor-con8 meq, losartan potassium 100mg, pravastatin 40mg, citracel, iron

Current Illness:

ID: 1063251
Sex: F
Age:
State: AZ

Vax Date: 02/27/1921
Onset Date: 02/27/1921
Rec V Date: 03/01/2021
Hospital:

Lab Data:

Allergies: NA

Symptoms: Chills, fever, drowsiness, headache, loss of time. Body aches .

Other Meds: Vit c Calcium Vit D Magnesium Protein drinks

Current Illness: NA

ID: 1063252
Sex: F
Age: 34
State: CO

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

Lab Data: None

Allergies: NKA

Symptoms: Received first vaccine, Moderna, on 01/28 . Received 2nd vaccine, Pfizer, on 02/25.

Other Meds: Apri Sertraline

Current Illness:

ID: 1063253
Sex: M
Age: 66
State: NC

Vax Date: 02/04/2021
Onset Date: 02/11/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: A week after receiving the vaccine the injection site was red, warm, hard and very itchy. The symptoms disappeared within two days.

Other Meds: HCTZ, Lisinopril, Low Dose Aspirin, Vit D3, Vit A, L-Lysine, Lipo Flavinoid, Biotin, Glucosamine w/ MSM,

Current Illness: None

ID: 1063254
Sex: F
Age: 34
State: NC

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

Lab Data:

Allergies: None

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA lethargy, pain at the injection site (began several hours after injection), congestion

Other Meds: Zoloft, Welbutrin, Clairton, Vitamin B Complex, Vitamin D, Iron Supplement

Current Illness: None

ID: 1063255
Sex: F
Age: 28
State: IL

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

Lab Data:

Allergies:

Symptoms: Headache, achiness all over, join pain, exhaustion, hot flashes

Other Meds: Propranolol 20 mg 2x/daily

Current Illness:

ID: 1063256
Sex: F
Age: 70
State: NC

Vax Date: 02/08/2021
Onset Date: 02/17/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data: 2/22 - return visit to Urgent Care no tests 2/26 - Dermatology visit with Dr - no tests

Allergies: Penicillin, etc Flagyl

Symptoms: intense itching on torso , sudden skin eruption 3 days later on abdomen and lower back, rash and bumps, slowly spreading on breasts and upper back

Other Meds: synthroid 75 mcg Magnesium 800 estradiol patch .05 Amitiza 8mg progesterone 100 Miralax Vit C 1000 VitD 1000

Current Illness:

ID: 1063257
Sex: M
Age: 61
State: CA

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

Lab Data: None

Allergies: None

Symptoms: Heart rate became elevated from 7pm to 12:30am. Averaging around 100bpm. Had the chills during this time period with temperatures of 95.5 and 97. I feel asleep and woke up around 3:30am and deltas if I broke through.

Other Meds: Levothyroxine

Current Illness: None

ID: 1063258
Sex: F
Age: 36
State: CA

Vax Date: 01/22/2021
Onset Date: 01/29/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data: Testing me for Preeclampsia - do not know results yet

Allergies: gastro upset - gentamicin

Symptoms: I have increased swelling and hypertension and sciatica - all these things I have never had before. I have been taking Tylenol for sciatica - as needed - usually about 500 mg/day which helps. Estimated date of delivery - May 27, 2021; my first pregnancy - high risk for age/weight and comorbidities; Prior to vaccine - had an ER visit for bleeding but that resolved itself.

Other Meds: Synthroid - Levixithirine; Metformin - 500 mg am and pm; Lexapro; Prenatal Vitamin; baby aspirin at night; melatonin at night

Current Illness:

ID: 1063259
Sex: M
Age: 71
State:

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

Lab Data:

Allergies: NKDA

Symptoms: cough

Other Meds: ? allopurinol (ZYLOPRIM) 100 MG tablet ? amLODIPine (NORVASC) 5 mg tablet ? atenolol (TENORMIN) 25 MG tablet ? atorvastatin (LIPITOR) 40 MG tablet ? Cyanocobalamin (VITAMIN B12) ? ergocalciferol (VITAMIN D) ? gemfibrozil (LOPID

Current Illness:

ID: 1063260
Sex: M
Age: 67
State: AZ

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

Lab Data:

Allergies:

Symptoms: Flu-like symptoms, slight fever, fatigue, headache, body aches. Lasted 48 hours, full recovery

Other Meds:

Current Illness:

ID: 1063261
Sex: F
Age: 38
State: NC

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

Lab Data:

Allergies: sulpha

Symptoms: I was scheduled to get the vaccine at 9:30 on Feb. 27th, 2021 and most likely got it around 10 due to waiting. Around 6:30 that evening I got very dizzy and shaky and needed to sit down. The next day I was very tired, had a headache, very foggy minded, an upset stomach, and the injection site hurt bad. I slept a lot that day. On the 1st of March I am feeling tired and have an even worse headache and have had an upset stomach and am tired.

Other Meds: lexapro, nexium, wellbutrin, singulair, xyzol, tylonol,flonase

Current Illness: none

ID: 1063262
Sex: M
Age: 46
State: TX

Vax Date: 02/24/2021
Onset Date: 02/27/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Inflamed and painful lymph nodes in armpits, on breast bone and on ribs the the same side of body as injection.

Other Meds: Microgestin FE 1/20 and Mucinex

Current Illness: Chest congestion and cough that developed after the first shot

ID: 1063263
Sex: F
Age: 57
State: TX

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

Lab Data: blood work done Told to take zyrtex, claritin or benedryl. - took zyrtex

Allergies: none

Symptoms: First 24 hours - 6 hours after shot - headache, arm so sore couldnt sleep on it 36 hours - tired. flu like symptoms - skin tender to touch, irritable, arm better 48 hours - woke up .- 3am -sweated through my pjs and sheets. Woke up at 8am and had hives all over my legs, arms, back of neck. Shot arm (left) and right arm had big patch of puffy red hive marks. My legs inside/out had individual puffy bumps all over. My arms had fewer marks and less puffy. My neck red and puffy. My stomach and chest did not have any. NOT really itchy at all.

Other Meds: none

Current Illness: none

ID: 1063264
Sex: F
Age: 73
State:

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

Lab Data: none

Allergies: none

Symptoms: swollen lymph gland right underarm

Other Meds: none

Current Illness: none

ID: 1063265
Sex: F
Age: 51
State: MN

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

Lab Data: none

Allergies: Sulfa, Penicillin, Keflex, maxalt

Symptoms: 02-26-2021 I woke up at 3:30 am and had dizziness, then woke up at 8 am and had dizziness, headache, fatigued, very sore and swelling at injection site, loss of appetite, body aches, later afternoon I developed chills, extreme fatigue, worsening headache, all over body aches that hurt to the touch. could not sleep during the night and 02-27-2021 I had horrible teeth pain and body aches that were horrible, headache and chills subsided but the sweats started slept all day with all other symptoms mentioned. on 02-28-2020 most symptoms subsided except loss of appetite, extreme fatigue and then I ate a little bit and within 30 minutes I had a normal BM and then diarrhea started and happened a few times throughout the day after I would try and eat a little something. Today 03/01/2021 I am still fatigued, have another headache and no appetite and feel just kinda yucky.

Other Meds: Trazodone, pantoprazole, Duloxetine, zyrtec

Current Illness: none

ID: 1063266
Sex: M
Age: 75
State: NY

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

Lab Data: chest X-ray, Blood test

Allergies:

Symptoms: "Initially c/o nausea which resolved but then had a c/o SOB. Did not require epi pen. Taken to ED

Other Meds:

Current Illness:

ID: 1063267
Sex: F
Age: 48
State: TX

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

Lab Data:

Allergies: Euythromiacin

Symptoms: Started on 2/27/21: Swollen lymph nodes under left arm, in left neck, stiffness in left neck, swollen arm, blisters or raised areas forming at sight of injection. As of 3/1/2021 the redness has spread some.

Other Meds: Prilosec Cymbalta Tylenol PM Melatonin Fish Oil Vitamin D Pre and Pro Biotic

Current Illness: N/A

ID: 1063268
Sex: F
Age: 41
State: PA

Vax Date: 02/15/2021
Onset Date: 02/18/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data:

Allergies: Morphine, Wellbutrin

Symptoms: Patient received her first Covid-19 vaccine on 2/15. She did well with it. However, 3 days later she developed redness and itching at the site of vaccination on the left upper arm. It has slightly gotten worse since then.

Other Meds: None

Current Illness: None

ID: 1063269
Sex: M
Age: 22
State: CA

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

Lab Data: None

Allergies: None

Symptoms: 0936 vs 92/60, 58, 20, 98%. Pt c/o ringing in both ears, tightness in head and skins were pale and diaphoretic. Pt denies any SOB, rash, hives, dizziness. Pt?s father is here with him and is his driver. 0946 vs 120/82, 69, 20, 97%. Pt is feeling a bit better. The ringing in the ears and tightness to head is gone, BP has increased and skins are drying and color is returning. This is his first vaccine. Pt did not want any further medical attention/paramedics called. Pt and father were advised to call 911 if any further symptoms occur after leaving site. Pt is feeling back to normal with skins W/D, no other symptoms.

Other Meds: None

Current Illness: None

ID: 1063270
Sex: M
Age: 70
State: CA

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

Lab Data: None

Allergies: None

Symptoms: Started feeling a little tired shortly after shot was given. It has been 72 hours since the shot was given and I am still feeling tired like I did right after shot was given. I am a light sleeper and some nights I will toss and turn and get a poor nights sleep. Last night, Sunday 2-28-2021 was that kind of night. As I type this I am not sure if my tired feeling is from the vaccine shot or the poor nights sleep. I can still function as I always do but being sure I don't run myself ragged. I have called my primary doctor and I am supposed to be getting a call back tomorrow.

Other Meds: None

Current Illness: None

ID: 1063271
Sex: F
Age: 34
State: VA

Vax Date: 01/07/2021
Onset Date: 01/11/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data: CT scan showed my intestines were inflamed

Allergies: chloralhydrate, emytrax

Symptoms: all symptoms lasted less than 24 hours, I went to the ER because I thought it was my gallbladder, RUQ pain CT scan ordered and shows intestines were inflamed, they thought I was constipated. I went home and took tylenol for management. I had 4 sessions of severe projectile vomitting and felt relief right after. I never felt ill I only had pain and vomitting.

Other Meds: prenatal, probiotic, elderberry, zoloft (maybe)

Current Illness: no

ID: 1063272
Sex: M
Age: 55
State: CA

Vax Date: 02/18/2021
Onset Date: 02/27/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data: None

Allergies: Sulfa meds; some fresh fruit

Symptoms: Moderna COVID-19 Vaccine EUA On day 9 after receiving first dose of vaccine, redness, swelling, and itching -- aka "COVID arm" -- began near the injection site in left deltoid. On day 10 single small hive appeared on right deltoid. As of this report date (day 11) no other side effects have manifested other than soreness at the injection site and mild fatigue the day after receiving the first dose of vaccine. The COVID arm side effect seems to be resolving.

Other Meds: Omeprazole; Simvastatin; Truvada; zinc; vitamin C; Iodine; creatine; bronkaid

Current Illness: None

ID: 1063273
Sex: F
Age: 69
State: OH

Vax Date: 02/18/2021
Onset Date: 02/23/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data: None

Allergies: PCN, clindamycin

Symptoms: RA well controlled until after Moderna Covid vaccine injection #1. RA flares began several days after the vaccine. My doctor doesn't believe it's the vaccine but it seems worth reporting as I had not had any flares in 18 months until I received the vaccine.

Other Meds: Humira, sulfasalazine, Plaquenil, metoprolol, sertraline, Vit D, Vit C w/ Zinc, Biotin, colestipol, Protonix, amlopdipine

Current Illness: Rheumatoid Arthritis

ID: 1063274
Sex: M
Age: 51
State: OH

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

Lab Data: N/A

Allergies: N/A

Symptoms: Fever 100.6, headache, extremely sore arm, tired

Other Meds: N/A

Current Illness: N/A

ID: 1063275
Sex: F
Age: 73
State: CO

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

Lab Data: None

Allergies: Sulfa Ceclor Penicillin

Symptoms: Awakened at about 5 am , approximately 18 hours after the injection. Got out of bed to go to the bathroom and passed out. I am not sure how long I was unconscious,. but when I came to I was on the floor and unable to move. I called out to my husband and he got me up, but I could not walk. He got me back into bed. Several hours later he assisted me in walking and I am walking ok now.

Other Meds: Losartan Atorvastatin Penicillin

Current Illness: None

ID: 1063276
Sex: F
Age: 67
State: NY

Vax Date: 02/20/2021
Onset Date: 02/21/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: Mild flu symptoms: headache, chills, fatigue, aches

Other Meds: Prozac, 30mg/day; Lithium, 600 mg/day; lamictal, 100mg/day; Trazodone, 100mg/day; Myrbetriq, 50mg/day; Estradiol, 0.075/day.

Current Illness: Sinus Infectiion

ID: 1063277
Sex: U
Age:
State: WA

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

Lab Data: N/A

Allergies:

Symptoms: Chest pain radiating through to back and nausea. Treated by on-site staff and transported to local ER.

Other Meds:

Current Illness:

ID: 1063278
Sex: F
Age: 32
State: CA

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 03/01/2021
Hospital:

Lab Data: Will be sent in via additional material uploaded to the website.

Allergies: Anaven; Quinaldine (elevated heart rate)

Symptoms: Will be sent in via additional material uploaded to the website.

Other Meds: Prenatal vitamins/daily; Zoloft 75mg daily; Aleve and an antihistamine prn; Zyrtec daily

Current Illness: No

ID: 1063279
Sex: F
Age: 87
State: KY

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

Lab Data:

Allergies: Penicillin, Sulfa drugs

Symptoms: Friday I started having diarrhea, Friday night I was throwing up many times. It wasn't like I was sick from the the wrong type of food, it was all water. I had a fever and a headache. This lasted all day and night Saturday. I found some Phenergan from 2009 and I took and it helped. I do not have much of appetite and still feel really tired as of today. I did call and speak to the nurse at my doctor's office.

Other Meds: PM - Clopidogrel 75 MG daily, Citalopram 10 MG daily, Levocetirizine 5 MG daily, Ropinirole .25 MG daily, Simvastatin 40 MG daily, AM - Amlodipine 2.5 MG daily, Triamterene 37.5/25 MG daily, Vitamin D3 2000 IU, Fish Oil Gummies, Co-Que-10

Current Illness:

ID: 1063280
Sex: F
Age: 66
State: TX

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

Lab Data: none

Allergies: none

Symptoms: Moderna COVID-19 Vaccine EUA

Other Meds: none

Current Illness: none

ID: 1063281
Sex: F
Age: 39
State: MA

Vax Date: 01/30/2021
Onset Date: 01/30/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data: 3 telehealth appts with med trials for migraines. Recently tried prednisone which helped temporarily.

Allergies: none

Symptoms: I did not have an acute reaction immediately after the 1st or second shot. The adverse reaction followed hours after the second shot and have continued now for mover a month. Following the second shot, I had the normal, 2 day, in bed, flu-like symptoms only they were worse than a typical flu. Once the severity started to life, I was left with migraines every day for 1 month now. I have spoke to my primary care to try various medications that have not worked. I'm now scheduled to see a specialist on 4/30.

Other Meds: Paxil, adderall, allegra, acidophilous, ambien, benydryl

Current Illness: seasonal allergies

ID: 1063282
Sex: M
Age: 77
State: GA

Vax Date: 02/25/2021
Onset Date: 02/28/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data: None

Allergies: Codeine

Symptoms: Sudden development of rash all over body, flushed face, tired, weak, headache, temperature 97.8, blood pressure 108 over65, pulse 75. Sat down, took prednisone 20 mg and benedryl. Symptoms lasted for a couple of hours. Rash took several hours to reduce. Continued prednisone overnight. Next morning seemed very improved. IT TRULY SEEMED LIKE AN ANAPHALXIS REACTION. Waiting for Health Dept. nurse manager to call back. As noted, this Anaphalixis occurred 72 hours after the vaccination.

Other Meds: Tamsulosin, Finasteride, Simvastatin, Losartan, Vit C and B, Lutein, Benedrill

Current Illness: None

ID: 1063283
Sex: M
Age: 80
State:

Vax Date: 02/16/2021
Onset Date: 02/28/2021
Rec V Date: 03/01/2021
Hospital: Y

Lab Data:

Allergies:

Symptoms: Admitted to hospital on 2/28/21 for covid pneumonia and acute hypoxic respiratory failure, covid test positive. receiving dexamethasone 6 mg BID and received 1 dose of actemra. concern for bacterial infection.

Other Meds:

Current Illness:

ID: 1063284
Sex: M
Age: 49
State: GA

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

Lab Data: I am being prescribed valtrex

Allergies: None

Symptoms: Three days after receiving the vaccine I developed a massive cold sore on my upper lip. I have never had a cold sore in my life prior.

Other Meds: Fenofibrate, lexapro, testosterone cypionate, lamotrigine, NP thyroid.

Current Illness: None

ID: 1063285
Sex: M
Age: 79
State: NV

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

Lab Data: none

Allergies: some cough meds, not allergic to any foods,

Symptoms: Chills, Elevated temp, elevated heart rate , sore arm, tired.

Other Meds: Lisinopril/hctz 10-12.50mg, metoprol tar 1/2 25 mg, gabapentin 300 mg, d3 1000 mg, b-12 1000mg, 81 mg bayer.

Current Illness: none That is my age . Your auto calculated age is incorrect. That is my age..!

ID: 1063286
Sex: M
Age: 70
State: NY

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

Lab Data:

Allergies: Flomax

Symptoms: Had Covid in April of 2020 and was in hospital for 5 weeks. not sure if this is why i experienced what i did After vaccine i kept a fever the night after shot and it got to 101.3 and remained for 48 hours i had substantial swelling that got worse with my fever and began going down after two days and by the 3rd day it was gone. Over all body ache, and splitting headache behind my eyes.

Other Meds: yes

Current Illness:

ID: 1063287
Sex: F
Age: 49
State: AR

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: I started with severe chills all night to the point I could not quit shaking. That next morning I couldn't walk without legs going numb and my vision blacking out, also nausea. This happened 3-4 times before I got back in bed. After getting up about 2 hours later I didn't have the "blacking out" anymore, just body aches and fever rest of day.

Other Meds: none

Current Illness: none

ID: 1063288
Sex: F
Age: 41
State: NV

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Beginning immediately my head felt funny. From the day of my injection I have suffered intermittent migraines unlike any headache I've had previously. The duration has been from two hours up to an entire day. I have treated the headaches with Motrin, Flexeril and ice packs on my head. I saw a doctor and was prescribed Sumatriptan for the headaches. None of these helps. Tramadol helped a little. Today is 3/1/21, and i have another horrible headache now. I have never suffered from headaches prior to the vaccine.

Other Meds: Motrin

Current Illness: Flexeril

ID: 1063289
Sex: M
Age: 61
State: NY

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

Lab Data: n/a

Allergies: none

Symptoms: body ach

Other Meds: none

Current Illness: none

ID: 1063290
Sex: M
Age: 76
State: SD

Vax Date: 02/08/2021
Onset Date: 02/26/2021
Rec V Date: 03/01/2021
Hospital: Y

Lab Data: COVID positive 2/26/21

Allergies:

Symptoms: Patient started to not feel well on 2/21/2021. Symptoms progressed throughout the week. Patient was seen for a clinic appointment 2/26 and was then admitted to the hospital. Patient complains of generalized weakness, body aches, fever, chills, cough and increased shortness of breath at rest and with activity. He was diagnosed with Pneumonia due to COVID-19 infection and started on oxygen, dexamethasone and remdesivir.

Other Meds:

Current Illness:

ID: 1063291
Sex: F
Age: 43
State: MN

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

Lab Data: None

Allergies: None

Symptoms: I have a large red spot/inflammation on my upper arm, next to the site of my vaccination. It is about the size of the bottom of a soda can. It is red, swollen, firm to the touch (like a lump under the skin), painful and started feeling itchy today. I first noticed it 27 hours after the vaccination was injected. I did not have this reaction after vaccination #1 in the series.

Other Meds: Kratom, Medical Marijuana

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm