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: 1063471
Sex: F
Age: 75
State:

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

Lab Data: BS 110, BP 100 palp

Allergies:

Symptoms: Near syncope-dizzy, lightheaded, diaphoretic, blurred vision, decreased responsiveness. Evaluated by EMS-BP 100 palp, BS 110, decreased responsiveness. 2:36 pm-transported by rescue squad.

Other Meds:

Current Illness:

ID: 1063472
Sex: F
Age: 39
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: 15 minutes after the vaccine she started getting dizzy. lasted about 5 minutes and resolved on it's on. She was given a bottle of water, O2 sat 98% HR-72 no other issues noted. Instructed to follow up with MD as needed.

Other Meds: 15 minutes after the vaccine she started getting dizzy. lasted about 5 minutes and resolved on it's on. She was given a bottle of water, O2 sat 98% HR-72 no other issues noted.

Current Illness: no

ID: 1063473
Sex: F
Age: 67
State: MI

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

Lab Data: N/A

Allergies: N/A

Symptoms: I started to get cold/chills about 10:00 p.m. by 12:00/midnight I had uncontrollable chills and shivers (I've never been so cold in my life. I felt like my bones were going to break). At 1:00 a.m. my arm started to hurt and then throb. At injection area Simultaneously I started to get a headache and the pain and discomfort traveled down my entire body/shoulders-arms-HANDS (ached terribly)-chest-legs-feet At 4:00 a.m. everything all subsided and I was able to sleep 'til 7:30 a.m. On Saturday I took a 2 hr. nap n the afternoon and went to bed at 7 p.m. and slept for 11 hrs. Felt winded all day Sunday and joints ached Monday, still easily winded

Other Meds: Amlodipine Besylate 5Mg Lisinopril 20Mg

Current Illness: N/A

ID: 1063474
Sex: F
Age: 75
State:

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

Lab Data:

Allergies:

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA 2" diameter red and itchy area around injection site and 3" long by 1/4" wide red line from injection site to arm pit, that lasted 1 week. Also, 101 temp, some chills, light headache, upper teeth hurt (like in sinus infection) and tired that lasted 1 day.

Other Meds:

Current Illness:

ID: 1063475
Sex: M
Age: 51
State: GA

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

Lab Data: NA

Allergies: NKA

Symptoms: Pt. reported back to the HD front window after waiting 15 minutes post vaccination and leaving the HD. He reported that after he was finished with his 15 waiting period he was about to leave and he had a stinging sensation in the middle of his chest. Pt. denies any shortness of breath or any other symptoms. Pt. BP was taken at 10:09 and was 144/88 and again 5 minutes later and it was 137/ 85. Pulse was regular at 61 BPM. Pt. wife came to HD and stayed with husband while he was observed for another 20 minutes. Pt. reported that stinging pain was gone but he was just worried because he had never had a pain like that before. Denies any problems with first Moderna Covid-19 Vaccine EUA. Pt. was advised to contact primary care provider for further evaluation and follow up for his stinging chest pains. Pt left health deparment with wife unassisted and no distress on 03/01/2021 at 10:25 AM.

Other Meds: Mobic PRN

Current Illness: None

ID: 1063476
Sex: F
Age: 71
State: SC

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

Lab Data: none

Allergies: Quinine

Symptoms: Within first 30hrs of receiving vaccine: chills (twice), body aches, diarrhea (twice); fatigue, fever (did not exceed 100 degrees). Underarm pain, enlarged lymph node began within 2 days post 2nd vaccine. ( Friday-Sat. Feb. 26-27) Within four days (Sunday Feb. 28) redness, swelling, pain and itching began in upper arm. ....neck pain reduced. By Monday, March 1, I contacted my family practice clinic and received a video consult with Dr.

Other Meds: Synthroid 5x wk 88MCG and 2x wk 75 MCG Losartan/HTCZ (Hyzaar EQ)- - PO 50-12.5 MG daily- Zoloff 50mg daily Fosamax 1 x wk Calcium Vit D 200 IU Red Yeast Multi-vitamin

Current Illness: None

ID: 1063477
Sex: M
Age: 59
State: VA

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

Lab Data: none

Allergies: none

Symptoms: injection site pain, tiredness, injection site swelling.

Other Meds: Valtrex, Zetia, Crestor, colase, lisinopril, hydrochlorthiazide, coqu10, vitamin D, vitamin E, fish oil, flaxseed oil, multivitamin, potassium.

Current Illness: none

ID: 1063478
Sex: F
Age: 66
State: MI

Vax Date: 02/17/2021
Onset Date: 02/26/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data: None

Allergies: beef, cats

Symptoms: I received the first dose of the Moderna covid-19 vaccine at on February 17. My arm was a bit sore for a day or two, which is typical for me after I receive vaccinations. I had no other symptoms -- no fever, tiredness, or achiness. Then 10 days after the vaccination, on Feb. 26, my arm at the vaccination site began to itch, and I noticed a slightly raised, red patch about 2.5-3 inches in diameter there. I still do not have any other symptoms, and the redness appears to be fading.

Other Meds: bupropion SR, 200mg twice daily; multivitamin for adults 50+, once daily; estradiol vaginal cream, 0.01%, 1g twice per week.

Current Illness: none

ID: 1063479
Sex: M
Age: 59
State: MI

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

Lab Data:

Allergies: None

Symptoms: Patient received covid shot, was sitting in chair after shot, felt sudden urge to have BM, stood up and passed out. Bradycardia (Per ems reading of 58 and then 41, current in hospital 62), and Hypotension (Per ems 88/64 and then 68/42) He was required to stay for 15 mins afterward for symptom monitoring. He then proceeded to feel ill after the vaccine, became sweaty, lightheaded, and felt gassy. He then stood up to use the restroom, and stated he felt he was going to pass out and fell to the ground, hitting his head against the ground. He denies any full LOC. Did sustain a laceration to L forehead. He denies any preceding vertigo, chest pain, or DIB.

Other Meds: aspirin atorvastatin metoprolol pantoprazole ticagrelor

Current Illness: None

ID: 1063480
Sex: F
Age: 67
State: WI

Vax Date: 02/19/2021
Onset Date: 02/23/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data: none

Allergies: PCN, sylpha, TCN

Symptoms: Extreme fatigue lasting 5 days. Arm swelling, tightness, redness and itching which still persists 8 days following injection.

Other Meds: none

Current Illness: none

ID: 1063481
Sex: F
Age: 43
State: KS

Vax Date: 12/20/2020
Onset Date: 12/20/2020
Rec V Date: 03/01/2021
Hospital:

Lab Data:

Allergies: Codeine, Penicillin

Symptoms: I exp shortness of breath and sore arm (right). The shortness of breath lasted couple hours and soreness of right arm few days.

Other Meds: No

Current Illness: No

ID: 1063482
Sex: M
Age: 47
State: VA

Vax Date: 01/18/2021
Onset Date: 01/31/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data: EKG, Blood draw, Paramedic emergency medicine and IV. (1/31/21), Visited Cardio Dr on 2/1/21 they also did EKG and didn't seem very concerned. Did not do any other tests.

Allergies: none

Symptoms: SVT, heart rate at rest was over 200bpm, I laid down for 30 mins and couldn't get it under 180. Felt pressure in head and not very stable. Concerned, sweating, Bp was very high at that point. Don't have the exact number. Called for ambulance, paramedics ruled out WPW and gave me iv drug that brought rate down to 120 fairly quickly, Over the next hours resting rate slowly normalized to around 80 (normal for me is 72). For 2-3 days afterwards had some high resting pulses up to 118 but never as bad and normalized in a few days.

Other Meds: lisinopril, celebrex, trujeo, tradgenta, glimiperide, benedryl, zanaflex

Current Illness:

ID: 1063483
Sex: F
Age: 77
State:

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

Lab Data:

Allergies:

Symptoms: Admitted to hospital on 1/28/21 from nursing home with altered mental status and UTI. PMH of heart failure, CKD, afib, COPD. discharged on 2/2/21. COVID negative during this admission. Readmitted on 2/28/21 for AMS, family was unable to wake patient up for an hour prior to calling EMS. Upon admission, found COVID positive.

Other Meds:

Current Illness:

ID: 1063484
Sex: F
Age: 63
State: MO

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

Lab Data:

Allergies: Lisinopril

Symptoms: Top of mouth and tongue tingling and full. No meds given. Refused to go to ER

Other Meds:

Current Illness:

ID: 1063485
Sex: F
Age: 53
State: CA

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

Lab Data: EKG, creatine, glucose level, potassium, sodium, troponin, TSH, CK, Magnesium level, CKD screen, Hematology, Hct, Hgb, MCH, MCHC, MCV, MPV, NRBC, Platelet Count, RBC, RDW, WBC

Allergies: orange juice zilactin

Symptoms: First muscle soreness at site of injection, then severe redness at site, cherry electric red and pink, severe muscle aches, severe joint aches, severe headache, diarreah, dizzyness, the extreme rapid heart rate of 205 BPM. SEVERE SVT, SUPREVENTRICULAR TACHYCARDIA lasting from 9 p.m. Friday evening through the a.m. until I was transported from Urgent Care via Paramedics to Emergency Hospital. I was given an IV of a Medicine to restart my heart twice. I felt like I was dying.

Other Meds: tamoxifen

Current Illness: none

ID: 1063486
Sex: F
Age: 61
State: MI

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

Lab Data: None

Allergies: None

Symptoms: Nothing too horrible... Nasseau periods, and diarrhea for 2 days, slight headache. I took some pepto bismol today. Hope it helps. I am still not sure if these are due to the vaccine or not?

Other Meds: 1200 mg Calcium daily, Glucosamine Hydrochloride 1500 mg daily, Vitamin D 2000 mg daily, and a probiotic with 10 strains.

Current Illness: None

ID: 1063487
Sex: F
Age: 63
State: NC

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

Lab Data: NA

Allergies: Penicillin, Latex, and Sulfa

Symptoms: Patient reported tingling lips at about 20 minutes post injection. Her lips were also noted to be swollen. She was given Decadron 10 mg IM @ 0905. She was then given Benadryl 50mg IM @ 0915. She was monitored another 20 min. Her lip swelling and tingling resolved. She left the facility and was driven home by a friend.

Other Meds:

Current Illness: none

ID: 1063488
Sex: F
Age: 43
State: WI

Vax Date: 02/11/2021
Onset Date: 02/13/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data: Doctor visit 2/15

Allergies: None

Symptoms: Shingles flare starting 2 days post immunization to right neck, pain and soreness started next day but patient thought it was tenderness of lymph nodes due to immunization and typical muscle soreness from sleeping wrong.

Other Meds: Venlafaxine 75mg daily

Current Illness: None

ID: 1063489
Sex: F
Age: 78
State: PA

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

Lab Data: None

Allergies: Prochlorperazine, Bactrim, Phenergan, Statins, Sulfa Antibiotics, Tegaderm

Symptoms: Red raised rash under arms and torso, resident skin flushed and warm

Other Meds: Metformin, Abilify, Lyrica, Tums, Melatonin, Xanax, Prozac, MVI, Dicyclomine, Xarelto, Simethicone, Oxycodone, Fentanyl, Olopatadine, Vit D, Flonase, Senna, Protonix, Ducosate, Zofran

Current Illness: UTI,

ID: 1063490
Sex: M
Age: 75
State: AZ

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

Lab Data: None

Allergies: none

Symptoms: 7 a.m. the morning following the 2nd vaccination, pt. got out of bed, walked a few steps to the master bathroom. He was having some difficulty breathing so reached for his BREO & his legs wouldn't hold him up. He collapsed to the floor. His wife got him to bed where he stayed for a few minutes. He got up again & walked a few steps to the master bathroom, started brushing his teeth & his legs collapsed again where his wife caught him & helped with controlled descent. He could not remember some of the first collapse & none of the second collapse. He crawled to bed & stayed for 1/2 hour. Got up & felt fine the rest of the day & since then.

Other Meds: BREO Ellipta, Ipratropium Bromide Nasal Solution, Acetaminophen, Cilostazol, NifedipineER, Vision Formula 50+, Vitamin D3

Current Illness: none

ID: 1063491
Sex: M
Age: 68
State: GA

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

Lab Data:

Allergies: peanuts

Symptoms: Chills , Night Sweats, aches, collapsed a week after 2nd dose and then diagnosed with DVT - entire right leg involved.

Other Meds:

Current Illness: none

ID: 1063492
Sex: F
Age: 38
State: MD

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

Lab Data:

Allergies:

Symptoms: Patient noted chest tightness, has had this before related to MS medication, no other symptoms. Declined any intervention but monitoring.

Other Meds:

Current Illness:

ID: 1063493
Sex: M
Age: 34
State: WI

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

Lab Data: I did not get any tests done.

Allergies: None.

Symptoms: Approximately 12 hours after the shot I developed symptoms including, brain fog, chills, aches, and pain at the sight of the injection. Over the course of the night, I fell more ill and finally took my temperature in the morning around 7 AM and had a fever of around 100.4 F. I took Tylenol about every 6 hours for the next 24 hours with my temperature fluctuating between normal and 100.4 F. During this time, I was too ill to do anything more than sleep or lay in bed. The following day, my temperature broke, but I was still experiencing aches, chills, and brain fog, along with the pain at the injection site. After about 84 hours from the time of the vaccination, I felt normal enough to resume my daily activities.

Other Meds: None.

Current Illness: None.

ID: 1063494
Sex: F
Age: 64
State: IN

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

Lab Data:

Allergies: Itchiness with hydrocodine

Symptoms: Within 30-45 minutes after injection, I started to feel a tingling around my jaw area. Then 3 days later I have had several episodes of dizziness, weakness and nausea. This has continued until today (4 days) along with aching across sholders and behind eyes.

Other Meds: Simvastatin40mg, Levothyroxine Sodium 75Mcg, Vitamin D3, LipoFlavanoid

Current Illness: none

ID: 1063495
Sex: F
Age: 66
State: AL

Vax Date: 02/16/2021
Onset Date: 02/17/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data: none

Allergies: non known

Symptoms: headache, muscle and joint pain, nausea vomiting, diaraha, very hard chills shaking, bp 138/113 pulse 122- I took a water pill -around 5 am I had vilant vomiting at 8:15 am bp 130/76 pulse 107 I went to sleep and on 2/18 at 9:24 am bp 117/73 pulse 82 --my friend called and she call the pharmacy for me to see if I could take anything and said for me to take benyadryl after going back to sleep I felt much better

Other Meds: 1/2 tab Dicofenac sod 75mg, 1/2 tab Hydrochlorothiazide 25 mg, vit c

Current Illness: knee pain

ID: 1063496
Sex: F
Age: 60
State: TX

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

Lab Data: Vital Signs 97.7 oral temp 138-90 bp , right arm 72 pulse

Allergies: DENIES ALLERGIES

Symptoms: 1030am, 10 minutes after vaccine; Patient states "feeling hot", feeling a 'rush" through chest, lips felt tingling sensation, and had burping. Also felt like she needed some air. 10:45am vital signs taken. Temp-97.7, BP- 138/90 ( elevated, states normal for her and has not taken blood pressure medication today) , Pulse- 72. Patient observed in my office for another 15 minutes. 10:55 Patient states feeling better and symptoms have subsided. 11:00 am Pt states ready to go home. States will self- monitor for post- immunization symptoms. ER precautions given and confirmed verbal understanding. Released home.

Other Meds: Losaartan/HCTZ (100mg/25mg) QD, Albuterol HFA 90mcg omhaler, Advair Diskus Rabeprazole SOD 20mg

Current Illness: HTN, ASTHMA, GERD

ID: 1063497
Sex: F
Age: 37
State: CT

Vax Date: 02/16/2021
Onset Date: 02/19/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data: NONE

Allergies: None

Symptoms: 2/19/21 patient notice lump under Lt arm (painful), which resolved in 1 week. On 2/25/21 she felt tightness and pressure on Lt side of the neck and behind Lt ear which was progressing to numbness. On 2/28/21 she noticed LT facial droop and consulted her MD, who diagnosed her with Bell's Palsy and informed her that could be a side effect from Covid 19 vaccine.patient says that her Lt side of face is still numb and she cannot close her Lt eye, which causes dryness and discomfort. She was started on antiviral medication and steroids by mouth.

Other Meds: Multivitamins, fish oil, Vitamin C

Current Illness: none

ID: 1063498
Sex: F
Age: 77
State: TX

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

Lab Data: None

Allergies: None

Symptoms: Started with chills, fever. Next morning could hardly get out of bed. Very weak and throwing up black liquid. Could not take care of self for 2 and one-half days. Very weak for 4 days. I was sick with the 1st vaccine for a day one-half with chills and fever but nothing compared to the 2nd one. I will not taken another Pfizer vaccine ever.

Other Meds: Synthroid, Losartan, Atorvastatin, Tramadol

Current Illness: None

ID: 1063499
Sex: F
Age: 25
State: IL

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

Lab Data: Serology test (result: reactive) on 2/24/21, neurology visit on 2/24/21

Allergies: Sister and mom allergic to kiwi and augmentin, so I avoid both

Symptoms: Excruciating neck pain beginning at ~5:00am on 2/3. Turned into debilitating nerve pain down my left arm and eventually my right as well. Pain went down the back/side of both arms and into my hands (chilled hands, electric shock feeling, tingling and pain). Now on gabapentin 2x/day, nerve pain is still there (one month later) but much better than it was.

Other Meds: Paxil (20 mg daily), Linzess (145mcg daily), OrthoFlora Yeast Support (3 capsules/day, away from food), Saccharomyces boulardii (2 capsules/day, with food) , Multivitamin (1/day), Magnesium Citrate (150mg/day) Biomega 1000 (2 capsules/day

Current Illness: SIBO diagnosis

ID: 1063500
Sex: M
Age: 32
State: OH

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

Lab Data:

Allergies: bee sting

Symptoms: Moderna COVID-19 Vaccine EAU. The following day at 3AM I woke up with chills, a mild fever of 100.0, a headache, and back pain. Towards the end of the day I felt tired, however not sure if that was from the vaccine or because I did not sleep well. Tylenol reduced symptoms and they did not greatly interfere with my day. The following morning all side effects were gone and I was back to completely normal.

Other Meds: vitamin d supplement, "Emergen-C powder

Current Illness: none

ID: 1063501
Sex: F
Age: 54
State: TX

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

Lab Data: None

Allergies: None

Symptoms: Throat closing, severe headache, low grade fever, muscles and joint aches, chest pains, and stomachache

Other Meds: Symbacort Fluoxetine Albuteral Omega 3 vitamins

Current Illness: None

ID: 1063502
Sex: F
Age: 38
State: MO

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

Lab Data:

Allergies:

Symptoms: PT presented to ED with c/o nausea, vomiting, HA, chills and diarrhea

Other Meds:

Current Illness:

ID: 1063503
Sex: F
Age: 70
State: NY

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

Lab Data: none Suggestions of neuro workup by neurologist, told by psychiatrist that symptoms should abate soon. Internist gave me info on report these events

Allergies: Meclyzine, PCN

Symptoms: 2/14/21 experienced soreness at site of injection. 2/15/21 & 2/16/21 experienced flu-like symptoms (fever, extreme fatigue, muscle aches). 2/17/21 severe disorientation, feelings of dementia, nausea, difficulty walking, affecting L side, feelings of panic & agoraphobia, extreme fatigue, unable to complete any meaningful tasks. 2/18/21, 2/19,2/20,2/22 - continuation of symptoms on 2/17/21. 2/22/21 symptoms lessened but continued fatigue followed by 2/17/21 symptoms. These symptoms have continued intermittently until present day. (3/1/21)

Other Meds: Synthroid .75mcg daily, Vit D 5000iu BID, Depakote 250 mgs 9pm, Omeprozole 20 mgs 9pm, Klonopin 1mg HS, MCT oil, CBD oil,

Current Illness: none

ID: 1063504
Sex: F
Age: 68
State: NJ

Vax Date: 02/20/2021
Onset Date: 02/26/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: a red lesion developed on vaccinated arm and rash developed after that. At times rash was itchy. Currently 3 days of lesion and rash.

Other Meds: Labetalol, Simvastatin

Current Illness: None

ID: 1063505
Sex: F
Age: 44
State: AK

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

Lab Data:

Allergies: Ceflex

Symptoms: Tongue and lips tingling 10-15 mins after vaccine, the nurse on site took pulse/ox, blood pressure, blood sugar, and looked at my face and neck to see if she could see a reaction from the outside. These symptoms stopped 1 hr after vaccine. Then, very slight rash on neck and chest the next day (2/28) red spots (no itching), no treatment. Today (3/1) the rash is lighter and many spots are gone.

Other Meds: Novolog, Lantus

Current Illness: None

ID: 1063506
Sex: M
Age: 69
State: CA

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

Lab Data:

Allergies: ? Sulfasalazine EC ? full body maculopapular rash with itching ? Tape Adhesive (use paper tape only) ? contact dermatitis ? Tamsulosin Hydrochloride (Flomax) -- hypotension ? Venlafaxine (Effexor) -- somnolence & hypotension (including fainting) ? Raw Apples

Symptoms: The day after dose I experienced an unpleasant taste in my mouth of onions/garlic. This continued for 3 days. It still happens intermittently.

Other Meds: ? Ustekinumab (Stelara) 90mg sq QO Month ? Mesalamine (Apriso) 2.4gm po BID ? Atenolol (Tenormin) 50mg po QAM ? Pantoprazole Sodium (Protonix) 40mg po QAM ? Montelukast Sodium (Singular) 10mg po QAM ? Triamterene/Hydrochlorothiazide (Dya

Current Illness: ? Crohn?s Disease ? Sleep Apnea with GERD (on CPAP at 14cm of water pressure) ? Seasonal Asthma secondary to Mold Allergies ? Peronial Tendon Inflammation

ID: 1063507
Sex: M
Age: 52
State: NM

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

Lab Data: none

Allergies: Ibuprophen

Symptoms: Nausea, fever, controlled shaking, body aches - 24hrs nex day aches - 24hrs Aleve and fluids

Other Meds: Tamsulosin 4mg, Furosemide 40mg, Omeprazole 40mg, Potassium CL Micro 20mg, Gabapentin 300mg, Atorvastatin 10mg, Losartan 50mg, Levothyroxine 50mcg, B12 Vit Complex 1000mg, Vit D 1000 IU, Probiotic.

Current Illness: Cirrohsis

ID: 1063508
Sex: F
Age: 55
State: MI

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

Lab Data:

Allergies: KNA

Symptoms: Tingling on lips noticed right after vaccine on 02-25-21 then 02-26-21 reported tired and dizzy when bending over, lips still tingling then on 02-28-21 swelling of lips and inside roof of mouth took Benadryl at 9:30 am and every 4 hours until 11 pm, on 03-01-21 still some lips and mouth swelling but not as bad.

Other Meds: Ramipril 2.5mg, iron tablet, vitamin D, vitamin C, magnesium

Current Illness: no

ID: 1063509
Sex: M
Age: 17
State: MD

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

Lab Data:

Allergies:

Symptoms: Patient is 17 years old but received vaccination that is approved for 18 years and older under EUA

Other Meds:

Current Illness:

ID: 1063510
Sex: F
Age: 61
State: WA

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

Lab Data:

Allergies: Iodine (contrast): numbness

Symptoms: generalized myalgia, pruritus

Other Meds: montelukast 10mg qd buspirone 15mg qd duloxetine 60mg qd levothyroxine 75 mcg qd quetiapine 25mg qd metoprolol SR 25mg qd rosuvastatin 20mg qd hydroxychloroquine 200mg qd anastrozole 1mg qd

Current Illness:

ID: 1063511
Sex: F
Age: 25
State: PA

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

Lab Data:

Allergies: N/a

Symptoms: I was given my second dose of HPV vaccine today (4 days after my second dose of the moderna COVID vaccine)

Other Meds: N/a

Current Illness:

ID: 1063512
Sex: F
Age: 31
State: IL

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

Lab Data: Xray was taken, I am currently awaiting being assessed by my primary care physician.

Allergies: None

Symptoms: Unbearable pain in should joint; No OTC medications help. Limited range of motion still, 48 hours after injection. Cannot lift over head or behind me without excruciating pain and I had FULL function of my arm prior to this injection.

Other Meds: Desvenlafaxine, Mirtazapine, Omeprazole, Adderrall

Current Illness: None

ID: 1063513
Sex: M
Age: 0
State: ME

Vax Date: 02/19/2021
Onset Date: 02/19/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data:

Allergies: no known allergies

Symptoms: Episode of altered mental status post DTaP vaccine on 2/19/21. Pt was also sick with fever and URI symptoms. Unclear if symptoms were related to illness or to the DTaP vaccine.

Other Meds: hydrocortisone cream, triamcinonlone cream and aquaphor ointment

Current Illness: Runny nose and rash

ID: 1063514
Sex: F
Age: 43
State: OK

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

Lab Data: Na

Allergies: All NSAIDS (aspirin, naproxen, ibuprofen, etc)?Anaphylaxis Codeine ?Hives Hydrocodone ?Hives Tramadol?Serotonin syndrome Cefdinir Nickel Topical salicylic acid Acne products?redness and swelling Topical benzoyl peroxide Acne products?redness and swelling Flexeri?Serotonin syndrome Pepto-bismol (subsalicylate)?Anaphylaxis Carmex (salicylic acid?Redness and swelling

Symptoms: 30 minutes after injection I started itching (ears, nose, face, scalp, lips, various other body parts) Treatment: Benadryl 25mg, I?ve continued to take as needed for itching.

Other Meds: Am dose ??Pristique 100mg (1x daily) ??Lisinopril 10mg (1x daily) ??Xyzal 5mg (1x daily) Noon ??Metformin 500mg (2x daily) ??Women?s multivitamin (1x daily) ??Calcium citrate +D (1x daily) Dinner ??Metformin 500mg (2x daily) ??Crestor 5mg

Current Illness:

ID: 1063515
Sex: F
Age: 43
State: CA

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

Lab Data: Feb 5-7 EKG, CT head, Potassium IV/po, Hyralazine, Labetolol, Procardia xl, Zofran, Phenergen, Meclizine

Allergies: NKDA

Symptoms: I was driving & felt faint. I became nauseous & vomited, vertigo & had to be taken to the ED. Upon arrival my BP was really high. BP meds given, Nausea meds & Potassium IV administered. CT head, EKG ordered. Admitted overnight for Hypertensive Emergency.

Other Meds: Lolestin

Current Illness: no

ID: 1063516
Sex: F
Age: 57
State: WA

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

Lab Data: None.

Allergies:

Symptoms: RN, from specialty medical staffing agency came in to assist with COVID vaccine administration on 2/26/21. While administering vaccine, RN had difficulty injecting medication inside patient's arm and the needle was removed, changed and injected each time for a total of three times to inject vaccine into patient's arm. Due to multiple injection injuries, pharmacist contacted patient within 24 hours of injection to monitor injection site reaction and monitored patient's reaction for 72 hours after injection. Patient didn't report additional injection site pain 72 hours after injection.

Other Meds:

Current Illness:

ID: 1063517
Sex: F
Age: 44
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: Fever, chills, headache, body aches, dizzy, light headed, shortness of breath

Other Meds: Vitamin D 1500mg B-12 5,00 mg

Current Illness: none

ID: 1063518
Sex: M
Age: 24
State: PA

Vax Date: 02/10/2021
Onset Date: 02/20/2021
Rec V Date: 03/01/2021
Hospital: Y

Lab Data: XR,CT,MRI and US performed. CBC, CRP,ESR on 2/24.

Allergies: None

Symptoms: 10d post injection he first noted redness and swelling in L triceps. Low grade temps. Seen in urgent care 3d later started on Keflex, swelling and redness spread admitted to ER 1d later started on Vancomycin with rapid improvement in <24hrs. XR,CT,MRI and US performed. Small ill defined fluid collection on CT and MRI that could not be seen with US during attempted aspiration. CBC, CRP,ESR and blood cultures normal in ER.

Other Meds: None

Current Illness: None

ID: 1063519
Sex: F
Age: 51
State: SC

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

Lab Data:

Allergies: Allergic to penicillin.

Symptoms: Side effects included chills for nearly 15 hours, extremely sore back, especially lower back, injection site soreness of muscle area and back of legs were very sore. It was uncomfortable to walk. Could not get warm until I went to bed and wore fleece and used a down comforter and a fleece blanket. Laid on a heating pad to help ease the back pain. When I got up the following morning, all side effects were gone and nothing hurt. Also, I had Covid at the end of November, beginning of December 2020. I will not be getting the second vaccination - do not trust what is "not known". The side effects were worse than my experience with Covid.

Other Meds: Collagen pills, zinc, biotin.

Current Illness: N/A

ID: 1063520
Sex: F
Age: 43
State: CA

Vax Date: 02/10/2021
Onset Date: 02/25/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data:

Allergies: Noon

Symptoms: Severe headache. Body aches chills

Other Meds: Motrin Tylenol

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm