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: 1064024
Sex: F
Age: 68
State: CA

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

Lab Data:

Allergies: no

Symptoms: Approximately 6 hours later, fever, chills (teeth chattering), mental blurriness, had to go to bed, tossed and turned all night, sweating, next day the same, and symptoms lasted from severe to moderate until the next night, and today, two days later, still feeling not quite "here." Put off working out for yesterday and today, because I was kind of pummeled from this. No one else had these issues, among the people I know. I would like to get me back and hope tomorrow is better.

Other Meds: Yes. Valsartan, amlodipine; multivitamin, COQ10, red yeast rice, milk thistle, biotin, brain supplement (omegas), HyAcid, Choline/Inositol, gluc/chron/MSM , turmeric/pepper, krill oil, collagen

Current Illness: no

ID: 1064025
Sex: F
Age: 16
State: CA

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

Lab Data: none

Allergies: Banana, Chicken, Kiwi, Nuts, Pineapple

Symptoms: 16 year old patient was administered Moderna vaccine rather than Pfizer vaccine

Other Meds:

Current Illness:

ID: 1064026
Sex: F
Age: 74
State: CA

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

Lab Data:

Allergies:

Symptoms: patient c/o tingling and numbness (slight) on L arm all the way to fingertips. No itching noted. No c/o pain V/S 98% RA 70 HR 19 cmp 130/60 BP @2:52pm v/s 97% RA 79 HR 19cmp 120/80 Patient stable symptoms improved left at 2:57pm

Other Meds:

Current Illness:

ID: 1064027
Sex: M
Age: 45
State: NY

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 1. Diaphoretic 10 minutes after vaccine administration 2. Tongue swelling 3. Right arm cold and left arm hot 4. Throat tightening Was treated with Bendryl and EpiPen then sent to the ER

Other Meds:

Current Illness:

ID: 1064028
Sex: F
Age: 40
State:

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

Lab Data:

Allergies: Sulfamethoxazole/trimethoprim Metronidazole Morphine Lamotrigine Topiramate Fluoxetine Oxycodone/acetminophen Ketorolac Azithromycin Vancomycin IV Dye Nuts Seafood

Symptoms: Anaphylactic reaction - patient intubated for airway protection.

Other Meds: Methadone 10 mg Q4H Insulin glargine 34 units once daily Liraglutide 1.8 mg once daily

Current Illness:

ID: 1064029
Sex: M
Age: 68
State: OR

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

Lab Data: n/a

Allergies: penicillin

Symptoms: Fever, chills, body aches, cough, weakness, and frequent urination.

Other Meds: Atorvastatin, fish oil, triple omega, multivitamin, trazodone

Current Illness: sinus infection

ID: 1064030
Sex: M
Age: 64
State: NH

Vax Date: 02/21/2021
Onset Date: 02/22/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data:

Allergies: Sulfa based drugs

Symptoms: Severe flu like symptoms, weakness, nausea, vomiting, muscle aches, dry throat, difficulty swallowing, 102 temperature

Other Meds: 02 on demand, Albuteral, Apixiban, Cellcept,Dicyclamine,Pantoprazole. Kepra, Ferrous gluconate, Vit D3, Vit C

Current Illness:

ID: 1064031
Sex: M
Age: 54
State: VA

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

Lab Data:

Allergies: None

Symptoms: Severe body aches, chills, headache Have had to take Motrin 200mg at 3 hour intervals for 9 hours and just began acetaminophen 250/Motrin 125

Other Meds: Ginseng

Current Illness: None

ID: 1064032
Sex: F
Age: 52
State: PA

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

Lab Data: Left breast US is ordered, Toradol 30 MG was given in office for pain.

Allergies: Tetracycline, Erythromycin, amoxicillin

Symptoms: Patient seen in office - pain, redness, lump, mottling of left breast breast. Fever.

Other Meds:

Current Illness: none

ID: 1064033
Sex: F
Age: 74
State: VA

Vax Date: 02/16/2021
Onset Date: 02/24/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data:

Allergies: scallops

Symptoms: Redness, slight swelling, itching on/around injection site started early morning of Feb. 24, 2021 or possibly during sleep on Feb 23/24. Applied cold compresses during the day. Itching and swelling stopped 2/25; slight redness still apparent 3/1/2021;

Other Meds: Amlodipine Besylate 2.5mg; Rosuvastatin calcium 10mg/day Metoprolol Succ 25mg Aspirin 85mg Vit D3 2000 Latanoprost eyedrop 0.005% 1 drop right eye evening

Current Illness:

ID: 1064034
Sex: F
Age: 68
State: NY

Vax Date: 02/22/2021
Onset Date: 02/23/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: pronounced swelling under left arm - lymph node. achiness. some discoloration. slight swelling under right arm (site of 2010 lumpectomy, with sentinal lymph node removed, so less swelling). swelling and achiness reduced but still present 1 week later.

Other Meds: anastrazole; prolia

Current Illness: none

ID: 1064035
Sex: F
Age: 85
State: CA

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

Lab Data: NA

Allergies: NKA

Symptoms: 1351: Complaint of nausea, diarrhea and not feeling well. Patient vomited yellowish phlegm. Patient denied dizziness, shortness of breath, pain and difficulty breathing. Patient alert and oriented x 3. Vitals T 97.2, O2 96%, P 86, BP 160/78, R 22. 1420: Vitals T 98.6, O2 97%, P 80, BP 120/62, R 20. Patient discharged from clinic.

Other Meds: Vitamin

Current Illness: None

ID: 1064036
Sex: M
Age: 74
State: CA

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

Lab Data: none

Allergies: Latex intolerant; Penicilan allergy; Lactose intolerant.

Symptoms: Day after the 2nd shot at about 0930 got extreme shivers while taking a hot shower. By mid-afternoon had a fever of 100-101. Flushed & shivery. Thereafter I have no recollection of the rest of the day till about 10:15 pm when my wife took me to bed. During the afternoon I called my sister & sent her a garbled text. I tried to talk to my wife but couldn't get the words out & didn't know how to ask for what I wanted. I had a dazed look. I have absolutely NO recollection of any of this. slept well that night. The next day Feb 27th I woke feeling largely improved, not feverish & still a bit heavy headed. But I was quite clumsy most of the day, dropping small items & bumping into things.

Other Meds: Pramipexole 50mg; Rosuvastatin 5mg

Current Illness: n/a

ID: 1064037
Sex: F
Age: 0
State: AL

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

Lab Data:

Allergies:

Symptoms: 125/72 97% 93 h itchy tongue difficulty swallig transported @ 1442

Other Meds:

Current Illness:

ID: 1064038
Sex: F
Age: 47
State: IL

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

Lab Data: MRI was done on 2/11/2021 @ 6:00pm, resulted indicated that there was a torn tendon and a ganglia about the size of a quarter on the site of injection.

Allergies: None

Symptoms: Chronic arm/shoulder pain on left arm that started on day of injection at about 8:00pm. Chronic arm pain lasted about 10 days. After 10 days pain subdued and now tolerable. But however, there's still pain and not able to move arm freely about. There was no fever for first vaccine given, just body aches and arm/shoulder pain.

Other Meds: Diabetic medication and for Asthma

Current Illness: None

ID: 1064039
Sex: M
Age: 39
State: WA

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

Lab Data: None

Allergies: Penicillin, avocado

Symptoms: Fatigue for 36 hours

Other Meds: Tysabri, sertraline, vitamin D

Current Illness:

ID: 1064040
Sex: F
Age: 53
State: NY

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

Lab Data:

Allergies:

Symptoms: Cellulitis, swelling to mid arm

Other Meds:

Current Illness:

ID: 1064041
Sex: M
Age: 46
State: PA

Vax Date: 01/06/2021
Onset Date: 01/09/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data: February 24, 2021 Skin biopsy (arrhythmia Nodusem result) - bloodwork normal (liver enzymes were elevated) - when they referred me to dermatology - results today from this. blood work - chest x-ray - to rule out a side affect of TB - that is scheduled for tomorrow - 3/2/2021

Allergies: no

Symptoms: I woke up on 1/9/2021 with my lower left leg swollen and red and DR said it could be a superficial blood clot. January 9 - ER - Diagnosed cellulitis - round of Ceflex for a week - things got worse. Since January 9, I've had two other separate ER visits and three rounds of CEFLEX. Was referred to Dermatology - Arrhythmia Nodusem - so now I'm off Ceflex and on a steroid regimen now. I just started it today. It hurts to even touch my skin and it hurts to walk.I'm in a lot of pain. I have no open wounds so no reason for this to happen.

Other Meds: Anti-HIV - Descovy - once a day

Current Illness: no

ID: 1064042
Sex: F
Age: 57
State: MO

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

Lab Data:

Allergies: None

Symptoms: Fatigue and body aches first 24 hours. Took Aleve and rest. Second and third day no body aches just still tired.

Other Meds: Levothyroxine 100 mcg daily Metformin 500 mg daily Gemfibrozil 600 mg 2 times day topirimate 25 mg 2 times daily lamotrigine 100 mg 2 times daily venlafexine 75 mg 2 times daily seroquel 600 mg daily trazadone 50 mg daily hydroxizine 50 mg

Current Illness: none

ID: 1064043
Sex: F
Age: 52
State: MI

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

Lab Data: None. Will call my doctor tomorrow if persists

Allergies: NKA

Symptoms: Left arm tingling slightly numb and left tip of my pinky is totally numb! It dissipated a bit mid day and now it is numb again so I thought I would fill this out because it?s abnormal

Other Meds: Daily vitamin

Current Illness: None

ID: 1064044
Sex: F
Age: 58
State: GA

Vax Date: 02/22/2021
Onset Date: 02/25/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data: None

Allergies: Cephalosporins; Penicillins; Quinolones; Vancomycin; Iodine

Symptoms: Patient experienced severe arm pain, pain in back of neck and shortness of breath a few days following the injection. The shortness of breath was brief (she used an albuterol inhaler once). She also experience redness and swelling that lasted at least a week (still ongoing at the time of reporting). She consulted her physician who prescribed some Benadryl orally to take. She also experienced some mild fever (99.8F) lasting 24-48 hours. She also had some achiness which lasted 24-48 hours.

Other Meds: Hydrocodone/APAP

Current Illness: None

ID: 1064045
Sex: F
Age: 57
State: TX

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

Lab Data: N/A

Allergies: Morphine Meperidine

Symptoms: Pt reported SOB, asthma like exacerbation, wheezing, feeling like throat was closing about 1 hour after vaccine. Reported taking home inhalers. Denied going to the emergency room or LOC Pt now feels good, at baseline

Other Meds: singulair, clonazepam, Advair diskus, albuterol, trintellix

Current Illness: Asthma exacerbation

ID: 1064046
Sex: F
Age: 30
State: TX

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

Lab Data: none

Allergies: none listed but says she has sensitive skin and will periodically have rashes

Symptoms: Red Rash appeared about 1 1/2 hours post vaccination. Itching was present. It resolved on it's own about 1 hour later. No medication or treatment was needed.

Other Meds:

Current Illness:

ID: 1064047
Sex: F
Age: 54
State: NY

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

Lab Data: 2/26/2021: ct scan without contrast, bloodwork, urine analysis all within normal limits 2/28/2021: ct scan with contrast

Allergies: n/a

Symptoms: Headache, followed by weakness, dizzyness and vomitting Went to the ED 2/26/2021 and 2/28/2021. Treatments Sodium Chloride 0.9% 1000md, Metoclopramide , Dexamethasone Sodium Phosphate and Diphenhydramine HCL

Other Meds: n/a

Current Illness: n/a

ID: 1064048
Sex: F
Age: 27
State: CA

Vax Date: 02/18/2021
Onset Date: 02/19/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data: Bloodwork

Allergies: no

Symptoms: Fever, chills, fatigue, body aches lasted about 2 days. Today, experiencing headaches, fatigue, lack of focus, dizziness, taking a lot of naps throughout the day, brain fog, body aches, bruising at injection, irritability and whole arm soreness. Got shot about 2 weeks ago. Went to Urgent Care for something unrelated but she did mention her symptoms. Had bloodwork done but have not gotten results back yet.

Other Meds: Abilify, Depacote, Trazadone, Gabitrol, Promeprazole

Current Illness: no

ID: 1064049
Sex: M
Age: 17
State:

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

Lab Data: Blood cultures, urine cultures negative (2/28) UA unremarkable

Allergies: Dorzolamide-timolol; difficulty breathing, nausea Tobradex: body aches, chills

Symptoms: Overnight 2/27-2/28 had low rectal temperatures to 33.8C. Was also undergoing rectal irrigations and bowel cleanout so unclear if low rectal temps due to this as oral temperatures later obtained at the same time were normal while rectal temps remained low. Infectious work up negative (blood, urine cultures UA; CXR not obtained as no respiratory symptoms). May also be secondary to underlying autonomic instability with neurologic dysfunction though previously has not had hypothermia outside of infections. Temperatures have since normalized

Other Meds: brinzolamide-brimonidine eye drops Vitamin C Vitamin D3 1000 units daily Esomeprazole 40 mg daily Neurontin 100 mg ID Xalatan drops daily Carafate 700 mg QID

Current Illness: Upper GI bleed from peptic esophagitis

ID: 1064050
Sex: F
Age: 79
State: CA

Vax Date: 01/20/2021
Onset Date: 02/17/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data:

Allergies: LATEX, GRASS & TREE POLLEN

Symptoms: SYSTEMIC HIVES. STARTED UNDERSIDE UPPER LEFT ARM AND BELOW ARMPIT. EXPANDED OVER 3 DAYS LEFT TO RIGHT AND TOP TO BOTTOM TO ARMS, CHEST, BACK, ABDOMEN AND THIGHS. SEVERE ITCHING. TREATED WITH BENADRYL AND CLARITIN. FADED OVER SEVERAL DAYS. I HAVE NEVER HAD MORE THAN A 1 DAY SORE ARM FROM ANOTHER VACCINE.

Other Meds:

Current Illness:

ID: 1064051
Sex: F
Age: 71
State: WA

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

Lab Data:

Allergies: -myicins

Symptoms: Overly tired Thursday night, Friday and Saturday after injection

Other Meds: Insulins, toprol, metformin, namuatone, Prilosec, baby aspirin, vitamins, carb-levo,singulair

Current Illness: None

ID: 1064052
Sex: F
Age: 69
State: CA

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

Lab Data:

Allergies: Fentanyl (vomiting) Bee stings in childhood (anaphylaxis) (not in adulthood)

Symptoms: I experienced symptoms commonly indicated as possible side effects: arm soreness, headache, low-grade fever, chills, and nausea. I also experienced an intensification of my chronic back pain. In addition I experienced about 20 hours of intense heart pounding with moderate labored breathing/shortness of breath. This is what I am identifying as the adverse event.

Other Meds: Celexa 20 mg/day Vitamin D3 multivitamin

Current Illness:

ID: 1064053
Sex: F
Age: 58
State: TX

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

Lab Data:

Allergies:

Symptoms: pain, joint aching, chills, fever, headache, sore arm, sore throat, nauseated, diarrhea

Other Meds: hydrochlorothiazide 25mg, lisinopril 20-40mg,

Current Illness:

ID: 1064054
Sex: F
Age: 55
State: AZ

Vax Date: 12/28/2020
Onset Date: 12/29/2020
Rec V Date: 03/01/2021
Hospital:

Lab Data:

Allergies: Ciprofloxian, influenza vaccine, banana, dates, melon.. almonds

Symptoms: Angioedema (both eyes swollen shut) took medication prescribed by primary care physician; resolved inn48 hours

Other Meds: Aubagio, myrbetriq, escitalopram. Modafinal, flomax, cevimeline, gabapentin, zanaflex, LDN

Current Illness: None

ID: 1064055
Sex: F
Age: 45
State: CA

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

Lab Data:

Allergies: cetirizine (Verified Allergy, Severe, DIZZINESS/VERITGO, 3/16/16) erythromycin base (Verified Allergy, Severe, HIVES, 3/16/16) hepatitis B virus vaccine (Verified Allergy, Severe, ANAPHYLAXIS , 3/16/16) tuberculin, purified protein deriva (Verified Allergy, Severe, ANAPHYLAXIS , 3/16/16) codeine (Verified Adverse Reaction, Severe, N/V , 3/16/16) propoxyphene (Verified Adverse Reaction, Severe, VOMITING/VERTIGO, 3/16/16)

Symptoms: Immediately after receiving Pfizer Covid vaccine, patient developed hoarseness and tried to clear her throat. She had mild flushing as well. The hoarseness was on and off for a few minutes. Pulse ox was 97-98% on room air and was given PO Pepcid 40mg and PO Benadryl 50mg while in vaccine clinic. She was transported to the ED (chief complaint recorded as "hoarseness, chest tightness, SOB, throat swelling") where she was given IV Pepcid 20mg, IV Benadryl 50mg and IV SoluMedrol 125mg. She remained on room air and vital signs remained within normal limits. The patient was monitored for 2h before discharged home. Patient was given an outpatient prescription for Medrol DosePak and Pepcid.

Other Meds: Eszopiclone (Lunesta) 2 Mg Tablet, 2 MG PO QHS/PRN Oxycodone/Acetaminophen (Percocet) 5 Mg/325 Mg Tab, 1 TAB PO Q4H PRN for PAIN OR DISCOMFORT Hydrocodone Bit/Acetaminophen (NORCO 5/325) 5 Mg/325 Mg Tab, 1 TAB PO Q4H PRN for PAIN OR DISCOMF

Current Illness: Past medical history: 1. History of lupus 2. Fibromyalgia 3. Multiple allergies to vaccinations

ID: 1064056
Sex: M
Age: 67
State: NY

Vax Date: 11/16/2019
Onset Date: 02/19/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: I got Shingles a little over a year after taking the vaccine. Vaccine doses taken on November 16,2019 and January 22,2020

Other Meds: atorvastatin, metformin

Current Illness: none

ID: 1064057
Sex: F
Age: 37
State: NC

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

Lab Data: CK 123360 on 2/26 Lactic acid 6 on 2/27 Troponin 7.36 on 2/25 AST 13512 2/26 ALT 9102 on 2/26 INR 2.7 2/27 Il6 1040 on 2/26 WBC 10.02 2/25 Hb 8.9 2/28 Plt 49 on 2/28 Arterial pH 7.13 2/25 Ferritin 41085 2/26

Allergies: Depakote Phenobarbital

Symptoms: Fever (max 105F), generalized tonic clonic seizure lasting >60minutes resulting in rhabdomyolysis , leukocytosis (16k) s/p ceftriaxone x 1 with COVID-19, Flu A/B, RSV all PCR negative followed by transfer to hospital (2/25/2021) with ongoing high fever (Tmax 104F), Admission labs found rhabdomyolysis (CK >100,000 on day 2), elevated lactate (4.4), acute liver injury (AST/ALT >5000), elevated Cr (3.8) requiring CVVHD, DIC, shock, and respiratory failure requiring urgent intubation.

Other Meds: Keppra 2500 mg orally twice a day, oxcarbazepine 900 mg bid and Xcopri 50 mg in AM and 200 mg in PM. Altace 10 mg daily, Zoloft 50 mg, Everolimus 10 mg

Current Illness: None known acute

ID: 1064058
Sex: F
Age: 61
State: CA

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

Lab Data: na

Allergies: NKA

Symptoms: Sudden onset flushness w/ slight hoarseness lasting approx. 3-5 min.130/70-84-18-97%. No stridor or drool. Resp. unlabored and even. No adventitious lung sounds noted. States PMH: HTN,, diabetes (diet controlled). hgA1c-6.9., "leaky valves". Meds-Lisinopril, Omeprazole. 1300-Water provided. Monitoring continued. Remains asymptomatic. 1320- 134/76-80-16-98%. Pt. stable. All symptoms resolved. Pt states "I want to go home, I'm fine".

Other Meds: Lisinopril, Omeprazole

Current Illness: HTN, DM (diet controlled)

ID: 1064059
Sex: F
Age: 79
State: KS

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

Lab Data: None

Allergies: None

Symptoms: "Moderna COVID-19 Vaccine EUA" Immediately felt routine pains in right arm at shot sight and just out of sorts. By 6 PM I felt nauceous , headache, pains in every joint of my old body , cough, chills, virgo, weakness , low grade fever, unsteady on my feet. Unable to sleep finally took Tylenol . This lasted 48 hours!

Other Meds: Simvastatin Trazodone tab Amitriptyline Montelukast SOD Fexofenadine Musinex Nasonex Low Dose Aspirin Stool Softner Vitamin C Cranberry With Vit C

Current Illness: None

ID: 1064060
Sex: F
Age: 71
State: HI

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

Lab Data: None

Allergies: sulfa drugs, NSAIDS (incl: Tylenol, ibuprofen, naproxen, ASA)

Symptoms: 3 days post injection, woke at 6am with severe body ache, all over. Felt like I had the "flu". Nasal congestion, clear mucus, copious amount. Chills, feverish but no temp above 98.6, using oral therm. Slept all day, took H2O, hot teas (ginger, peppermint, green). Unable to sweat to break fever. (My normal treatment if I have 'flu'). Sunday, 2/28, marked increase in nasal and sinus congestion. Used nebulizer with H2O and peppermint oil x 2 to break sinus congestion. Up 5 x at noc. Woke at 5am on Monday, back to sleep. Woke at 7am and felt almost back to normal. My body knows covid19 after this experience.

Other Meds: Spirulina, bio-astin, NAC, ubiquinol, D3

Current Illness: None

ID: 1064061
Sex: F
Age: 37
State: TX

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

Lab Data:

Allergies: Aspirin

Symptoms: I developed a golf ball sized lymph node under my armpit of the arm that I received my vaccine. I also had swelling in my fingers really bad on the same hand of the arm I got the vaccine. Other side effects were headache, body aches, and a little bit of chills but those were expected. I reached out to my PCP and she said to just monitor it to make sure it goes down in the next few days which I plan to do.

Other Meds: Magnesium, Vitamin B, C, D, Fish Oil, Zyrtec

Current Illness: None

ID: 1064062
Sex: F
Age: 57
State: ID

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

Lab Data:

Allergies: Cipro, amoxicillan, doxycycline No foods that i know if but have had an instance where body broke out in hives, stomach upset.

Symptoms: Thickening of flem and strange feeling in my throat. Had to keep swallowing. Not sore but swollen. Possibly a little sob. I was driving and about 20 min out in a rural area. I took an ibuprofen and kept drinking lots of water. By the time I got near a medical facility it was better.

Other Meds: advair discus (generic Wixela) Losartan 100 mg Bisoprolol/HCTZ 10mg/6.25 mg Zytec Albuterol prn

Current Illness:

ID: 1064063
Sex: M
Age: 71
State: TX

Vax Date: 02/13/2021
Onset Date: 02/26/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data: Went to Clinic on day 3 after symptoms. Recommended taking Zyrtec and Pepcid.

Allergies: None

Symptoms: Red, swollen, painful redness over a large area of arm. It started out as about a nickel-sized round redness around the injection site. Grew to a 3? x 3? Red patch by the next day. Approximately 4? x 4? red patch now, 24 hours later.

Other Meds: Xyzal, Vit.D3, zinc, NeuroHealth, Atorvastatin, Divalproex

Current Illness: Stroke/Dementia, Transesophagel Echocardiogram (TEE) procedure. Diagnosed with Patent Foramen Ovale

ID: 1064064
Sex: F
Age: 57
State: OR

Vax Date: 02/25/2021
Onset Date: 02/27/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: On day 2 I developed rash over entire body. Today is day 4, rash has worsened.

Other Meds: Multi vitamin, Iron

Current Illness: Sinus, sore throat, cold 2 weeks prior

ID: 1064065
Sex: F
Age: 71
State: CA

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

Lab Data:

Allergies: none known

Symptoms: within 4 hours I began to feel pain in my arm, a severe headache and was very tired ... that night it was worse. By the next morning (around 10) I could barely move, ached and hurt everywhere. No appetite. Felt like the worst flu I've ever experienced. This went on throughout the night and into the next morning. By 10am on the 2nd day of feeling very sick, the symptoms began to dissipate and by 4 pm I was fine.

Other Meds: nasal allergy spray eye allergy drops

Current Illness: none

ID: 1064066
Sex: F
Age: 76
State: CA

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

Lab Data:

Allergies:

Symptoms: pt. felt lightheaded and dizzy. alert and verbally responsive v/s 97% RA 72 bpm, 18 cpm, 160/90 bp @10:30am 10:55am vital signs 97% RA, 69 bpm, 19 cpm, 150/90 BP pt. stable symptoms improved left at 11:00am

Other Meds:

Current Illness:

ID: 1064067
Sex: M
Age: 60
State: TN

Vax Date: 02/09/2021
Onset Date: 02/21/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Had bad abdominal pains and diarrhea for 3 Days afterward. But the real issue is that now for the past week I've had diarrhea, bloating, abdominal pain and cramping, and some mild nausea. I don't know if this is related to the vaccine. That is my concern.

Other Meds: Metoprolol ER 100mg Lisinopril 40 mg Atorvastatin Calcium 40 mg Taltz 80 mg, monthly

Current Illness: None

ID: 1064068
Sex: F
Age: 44
State: IL

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

Lab Data:

Allergies: Dust, trees, mold

Symptoms: Thumbprint size welt on arm about an inch below injection site, similar to that of an allergic reaction to bug bites or allergy shots. Fever of 100 for 18 hours starting about 10 after shot as well as chills. Tylenol taken every 4 hours. Sinuses swelled shut as well and headache behind eyes.

Other Meds: Vitamin D, levociterizine, zileuton, lexapro, clonazepam

Current Illness: None

ID: 1064069
Sex: M
Age: 67
State: CA

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

Lab Data: None

Allergies: Augmentin, raw honey

Symptoms: Injection site pain, tiredness, headache, muscle pain, joint pain, nausea, feeling unwell, swollen lymph nodes.

Other Meds: Vitamin D3 50ug per day

Current Illness: None

ID: 1064070
Sex: M
Age: 20
State: MI

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

Lab Data:

Allergies: NKA

Symptoms: PATIENT PASSED OUT WITHIN 5 MINUTES OF RECEIVING THE VACCINE AND WAS OUT FOR APPROXIMATELY 1 MINUTE BEFORE COMING TO. PATIENT CLAIMS TO HAVE THE SAME THING HAPPEN TO HIM AFTER HAVING BLOOD DRAWN. PATIENT REMAINED LIEING DOWN FOR APPROXIMATELY 5 MINUTES BEFORE MOVING TO A SITTING POSITION WHERE HE STAYED FOR ABOUT 30 MORE MINUTES. HE THEN GOT UP AND WALKED AROUND BEFORE CALLING FOR A RIDE HOME.

Other Meds:

Current Illness:

ID: 1064071
Sex: M
Age: 69
State: CA

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

Lab Data: MRI brain, cervical, lumbar spine unrevealing. Myasthenia gravis lab in process

Allergies: No

Symptoms: Whole body weakness starting the next morning

Other Meds: Tamsulosin

Current Illness: None

ID: 1064072
Sex: F
Age: 66
State: NV

Vax Date: 02/25/2021
Onset Date: 02/27/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data: None

Allergies: No

Symptoms: Severe itching of both lower legs ( from knee to ankles) for an hour. Rubbed Itch Relief Lotion( Eucerin) on both legs several times within the hour. Legs finally stopped inching

Other Meds: No

Current Illness: None

ID: 1064073
Sex: F
Age: 41
State: DC

Vax Date: 02/19/2021
Onset Date: 02/26/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data: N/A

Allergies: potentially sulfa drugs (but extremely mild rash that lasted less than a day & we don't know if that was the cause of it)

Symptoms: Sorry, I couldn't read the pharmacist's handwriting for the lot number. If not MWA, maybe 420? Side effects were consistent with what I had read (slightly swollen arm & mild soreness around the site of insertion). This lasted 3-4 days & appeared to be lessening until day 7 (2/26), at which point, the site became extremely itchy with raised bumps. I accidently scratched it once without thinking about it. After that point, the bumps flattened out & only a large, red rash appeared (5" long x 4" wide) around my arm. To alleviate the itching, I took Benedryl overnight & have been icing it in the evenings only. It itches when I first wake up, but less during the day (likely because I'm distracted with work). I just picked up generic topical analgesic itch stopping cream after speaking to the pharmacist. He told me that if the rash doesn't start healing in the next day, that I should get an Rx for steroids for which I will need a dr's appt.

Other Meds: Metoprolol tartrate (50 mg BID); Tolterodine Tartrate (2mg QD); daily multiple vitamin

Current Illness: Nothing new

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm