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: 1064074
Sex: F
Age: 80
State: CT

Vax Date: 02/13/2021
Onset Date: 02/17/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data: CAT scan Extensive blood work

Allergies: none

Symptoms: The mix of vaccine, dental anesthesia and Amoxicillin caused an enduring flu-like symptoms and tingling/pressure on left side of head where tooth was treated.

Other Meds: Rosuvastatin 40mg, Propranolol 10 mg, Repatha 140mg/ml

Current Illness: Infected molar #14 which was treated on February 8 and again on February 15 at noon, two days after the second Pfizer vaccine.

ID: 1064075
Sex: F
Age: 79
State: CA

Vax Date: 01/31/2021
Onset Date: 02/01/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data: None

Allergies:

Symptoms: Chills, fever, body aches for 2 days (1-2 Feb., 2021). Drank water as able. Felt like being hit/run over by a 10-ton truck. By the late afternoon of day 2, I began feeling better, but felt weak for the next day. I lost 2 1/2 pounds.

Other Meds: gabapentin, amlodipine, atrorvastatin, levothyroxine; vitamin B-12, vitamin D-3, fish oil, coated aspirin, melatonin

Current Illness:

ID: 1064076
Sex: M
Age: 36
State: CA

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data: Fasting blood draw labs 02/18/2021 inconclusive Stool collection sample 03/01/2021 unobtained

Allergies: No known drug/food/environment alleries.

Symptoms: Since feb 09 2021, i have had moderate to severe GI related illness. Bloating, gas, slow digestion. Belching, abnormal stool color and frequency, decreased food intake, vomiting, pain discomfort, weight loss.

Other Meds: Solaray brand 1000mg vitamin C Nature made brand 5000 iu vitamin D3 Natures truth brand sambucus elderberry 1000mg Jarrow formulas brand 15mg zinc Rainbow light brand mens multi vatamin gummies Zhou brand apple cider vinegar gummies

Current Illness: None

ID: 1064077
Sex: F
Age: 31
State: IL

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

Lab Data:

Allergies: Vicodin, doxycycline, and minocycline all cause nausea and vomiting

Symptoms: Beginning on or about January 16, 2021, about two weeks after my first dose of the Pfizer/BioNTech vaccine, I developed an itchy, dry red spot on my left forearm. It appeared similar to ringworm, so I began treating it with an OTC antifungal. There were no improvements after 4 weeks of treatment, and around February 12, I began to develop smaller but similar red spots on my right forearm. Over the following two weeks more patches began to appear. Today I was diagnosed by a dermatologist with Pityriasis rosea. The spots are now scattered across my arms, torso, and upper legs, and have continued to get worse since the first spot appeared. I am reporting this event as I know that often pityriasis rosea appears following a viral respiratory illness. I have had no symptoms of a respiratory illness in over a year, but I wondered if perhaps the event was triggered by the vaccine, as it mimics a viral infection for the immune system.

Other Meds: Fiber supplements, daily prenatal vitamin, daily vitamin D supplement, daily L-theanine supplement, daily Wellbutrin (150 mg XL), topical cream containing azealic acid, clindamycin, and zinc pyrithone (for acne, face only).

Current Illness: None

ID: 1064078
Sex: F
Age: 55
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: Widespread body aches (especially in the injection arm and various joints), diarrhea, tiredness, nausea, dizziness, shortness of breath, all starting on the evening of 2/27/21 and worsening 2/28 - 3/1 (at the submission of this report). Slight fever of 98.9 on 2/27 and 99.8 2/28 - 3/1.

Other Meds: Topiramate 25mg once daily, multivitamin

Current Illness: None

ID: 1064079
Sex: F
Age: 31
State: MD

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

Lab Data:

Allergies: None

Symptoms: Body aches, congestion

Other Meds: None

Current Illness:

ID: 1064080
Sex: F
Age: 79
State: NY

Vax Date: 01/14/2021
Onset Date: 02/16/2021
Rec V Date: 03/01/2021
Hospital: Y

Lab Data: CBC 2/22/21 showed WBC 96, 000, Hgb 8.9 Plt 93k CBC 5/2021 was normal. Bone marrow 2/23/2021 showed acute myelogenous leukemia

Allergies: NA

Symptoms: Patient was diagnosed with acute leukemia within 6 weeks of receiving first and 2 week of receiving second Covid Vaccine. I do NOT think vaccine caused the leukemia, but am reporting it in view of timing of her having received the vaccine and being diagnosed.

Other Meds: Levothyroxine Dyazide Crestor

Current Illness:

ID: 1064081
Sex: F
Age: 77
State: GA

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

Lab Data: None

Allergies: Sulfa, penicillin, naprosyn, Percocet, tetanus toxoid, zocor, Voltaren, Levaquin,

Symptoms: Chills, fever, weakness, aching for about 36 hours, Sore, painful arm, then 3 days post injection, swollen area covering a 2-3 inch on arm with severe itching, redness lasted about 2 days.

Other Meds: Aspirin 81 mg, metoprolol succinate XL, pantoprazole, pioglitazone , sertraline, lovastatin, levothyroxine sodium

Current Illness: Arthritis,

ID: 1064082
Sex: F
Age: 71
State: FL

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

Lab Data: none

Allergies: Penicillin, Levaquin and Morphine

Symptoms: Swollen and very red arm, Fever of 101, Nausea, Massive migraine headache for 36 hrs, broke out in rash and giant hives on side and thigh about 48 hours after shot.

Other Meds: Gabapentin 300 mg, Anastrozole 1 mg, Hydrochlorothiazide 25 mg, Pravastatin 20 mg. Aspirin 81 mg, D3 50 mcg, B12, 1,000 mcg, Biotin 5,000 mcg, Calcium Citrate 1,200 mg Glucosamine 1,500 mg/Chordroitin 1,200 mg., Omperazole 20 mg, Vitamin E

Current Illness: none

ID: 1064083
Sex: F
Age: 57
State: ID

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

Lab Data:

Allergies: Cipro, amoxicillan, Doxycycline Enviromental allergies

Symptoms: That night had golf ball size lump on arm - iced and better. At bedtime feeling crummy, ran a fever all night, headache, nausea. Slept most of the next day...just didn't feel well.

Other Meds: Advair Diskus (Wixela generic) Losartan 100 mg Bisoprolol/HCTZ 100mg/6.5 mg Zyrtec Albuterol

Current Illness:

ID: 1064084
Sex: M
Age: 73
State:

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

Lab Data:

Allergies:

Symptoms: Vanishing point syringe used for dose of 0.05mL . Pushed to retract and needle did not retract from arm. Slight reddness to Deltoid. Area marked and pt sent to local ER to have needle removed.

Other Meds:

Current Illness:

ID: 1064085
Sex: M
Age: 67
State: NY

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

Lab Data: none currently-hasnt been seen by a medical provider yet.

Allergies: None known

Symptoms: Chills, weakness, fatigue, muscle and body aches, headache, sweats and fever, (103.8, 102.7, 102.5). currently treating with Tylenol Cold and Flu severe.

Other Meds: Losartan 100mg Allopurinol 300 mg Colchicine 0.6mg Aspirin 81 mg

Current Illness: None

ID: 1064086
Sex: F
Age: 47
State: CA

Vax Date: 02/19/2021
Onset Date: 02/27/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data:

Allergies: No

Symptoms: A sudden red and itchy rash appeared on site of injection 8 days after it was given, it?s been lasting for three days and is getting bigger in size. Ice packs used for redness.

Other Meds: No

Current Illness: No

ID: 1064087
Sex: F
Age: 24
State: OR

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

Lab Data: none

Allergies: ativan

Symptoms: Severe sudden onset nausea with vomiting 8 hours after vaccine. She also had a HA, body aches and fever

Other Meds: Effexor 37.5 mg

Current Illness: none

ID: 1064088
Sex: M
Age: 66
State: SC

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

Lab Data: no

Allergies: Codeine

Symptoms: Little flashes or strings of light in the peripheral

Other Meds: no

Current Illness: no

ID: 1064089
Sex: F
Age: 75
State: OH

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

Lab Data: Just the vaccine

Allergies: Sulfa

Symptoms: Injection site pain, Chills, 102 fever 24 hours for 3 days, headache, tiredness, muscle pain, joint pain, feeling unwell

Other Meds: Pravastatin, Clonazepam, Gabapentin, Prevacid, Qvar, Fibercon, Aspirin, Levothyroxine, Vitamin D

Current Illness: None

ID: 1064090
Sex: F
Age: 26
State: CA

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

Lab Data: Na 137, K 4.1, Cl 105, CO2 24, BUN 15, Scr 0.71, Anion Gap 8, Gluc 91, Troponin <0.02, HCG intact, Negative,BUN 15, GFR >60, WBC 7.2, RBCs 4.66, HGB 13.1, HCT 39.8, MCV 85, RDW RBC 14.5, Plt 306, Neutrophils auto 59, ANC 4.2 , Lymphs % auto 33, Monos % auto 7, Basos % auto 1, Preg Negative, EKG HR 69, PR 126, QRS 97, QT 422, QTc 452

Allergies: nkda

Symptoms: 26 Y female who presents with a chief complaint of syncope. Pt says that pta, she passed out shortly after she got her covid vaccine. Says she received the vaccine, and stood up to go to the observation area. Was walking through the doorway when she started to get lightheaded. Says she grabbed ahold of the door frame, and slid down to the ground. Denies injury. Denies any prodromal symptoms, no sob, chest pain, rash, abd pain, back pain. No leg swelling or calf muscle pain. No other complaints. History/exam more consistent with vasovagal syncope as opposed to reaction from the vaccine. Canadian syncope rule puts her at very low risk (-3 points, 0.4% risk of 30-day serious adverse event). Pt without ectopy on ED monitoring during observation period. F/u with pmd in 3 days for recheck, pt agrees to return for any further concerning symptoms

Other Meds: Levonorgestrel 20mcg/24hrs

Current Illness: None known

ID: 1064091
Sex: F
Age: 65
State: NY

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

Lab Data: In ambulance did ekg

Allergies: None

Symptoms: Went to chair- very warm, sweating, clammy. Heart racing. Spoke to nurse- they had no crash box on site. Nurse had to call 911 to get assistance for me. Nurse told me to take deep breaths, gave me apple juice. Paramedics and ambulance came. Said my heart rate was 120, blood pressure was 166.

Other Meds: None

Current Illness: None

ID: 1064092
Sex: F
Age: 76
State: CA

Vax Date: 02/19/2021
Onset Date: 02/21/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data: TRANSTHORACIC ECHO COMPLETE WITH DOPPLER Feb 22, 2021 Imaging NM Myocardial Perfusion Scan Feb 22, 2021 Lab TROPONIN I (CARDIAC ENZYME) Feb 21, 2021 Lab TROPONIN I (CARDIAC ENZYME) Feb 21, 2021 Lab CORONAVIRUS 2019 NAA(COVID-19,SARS2) Feb 21, 2021 Imaging CHEST X-RAY, PORTABLE Feb 21, 2021 Lab COMPLETE BLOOD CELL COUNT Feb 21, 2021 Lab COMPREHENSIVE METABOLIC PANEL Feb 21, 2021 Lab TROPONIN I (CARDIAC ENZYME) Feb 21, 2021 Lab N-TERM PRO-BRAIN NATRIURETIC PEPTIDE (PROBNP) Feb 21, 2021 Lab PROTHROMBIN TIME/INR Feb 21, 2021 Lab PARTIAL THROMBOPLASTIN TIME (CLOTTING TEST) Feb 21, 2021 Lab MAGNESIUM LEVEL Feb 21, 2021 Other type of result ELECTROCARDIOGRAM (EKG) Feb 21, 2021 Other type of result ELECTROCARDIOGRAM, COMPLETE Feb 5, 2021

Allergies: Sulfa antibiotics, Erythromycin base, Flecainide Base, Fluocinonide Topical Solution,

Symptoms: Periodic pressure and tightness across chest and diaphragm especially on day of vaccination and following 2 days. Rapid heart beat followed by afib that was not terminated with normal medications. Dizziness and shortness of breath. Hospitalized with atrial fibrillation with rapid ventricular response. It resolved after getting two injections of a medication called diltiazem in the emergency department, after which I was monitored overnight in the hospital. Underwent stress test and echocardiogram - results normal. On the day I write this (March 1) continue to have shorter periods of rise in blood pressure and heart rate, diaphragm tightness, insomnia and lethargy.

Other Meds: Atenelol, Eliquis, Pepcid, Multi Vitamins, Tylenol

Current Illness: none

ID: 1064093
Sex: F
Age: 62
State: IN

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

Lab Data: None to date. Blood tests are planned.

Allergies: Vicodin

Symptoms: Moderate swelling of upper thighs. First right leg then both legs.

Other Meds: Arimidex, calcium, vitamin D

Current Illness: None

ID: 1064094
Sex: F
Age: 48
State: OR

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

Lab Data: Chest Xray done on 3/1/21- normal

Allergies: Penicillin Flagyl Sulfa

Symptoms: 5 hours later developed cough, wheezing, lightheadedness, "ringing in head" but not tinnitus

Other Meds: None

Current Illness: None

ID: 1064095
Sex: F
Age: 64
State: WA

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

Lab Data:

Allergies: Aspirin: stomach cramps

Symptoms: chills, myalgia, epigastric pain, nausea

Other Meds: Duloxetine 20mg qd CREON 12000 unit tid budesonide-formoterol fumarate (SYMBICORT) 160-4.5 mcg/act Aerosol

Current Illness:

ID: 1064096
Sex: M
Age: 68
State: MA

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

Lab Data: I had blood work done today 3/1/2021 to see if the levels were elevated pertaining to PMR disease . The results were normal.

Allergies: No

Symptoms: Woke up at 2:00 AM and every joint, every muscle, every tendon in my body was in excruciating pain. It was like it triggered an attack of Polymyalgia Rheumatica (PMR). I could not get out of Bed for 2 days. I had the shot on a Thursday and today is Monday and I am still exhausted and not back to normal. My arm was swollen for 48 hours with a big lump.

Other Meds: None.

Current Illness: I had surgery on 02/04/2021.. RIGHT ARTHRS KNEE W/MENISCECTOMY MED&LAT W/SHAVING

ID: 1064097
Sex: F
Age: 42
State:

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

Lab Data:

Allergies:

Symptoms: Within 5 minutes of getting the vaccine, felt HR going up. Walked straight for the door as she thought fresh air might help. Felt shaky and cold sweats. Was very itchy. No visible rash. Felt a lump in her throat and tightness in her chest. Paramedics sat with her outside. Dizzy and confused and had to sit for an hour before feeling comfortable driving home. Then slept for the entire day. Felt heart palpitations throughout the day. HR was up to 128 at home. 2 days later started to feel better. Felt normal 4 days later.

Other Meds:

Current Illness:

ID: 1064098
Sex: F
Age: 32
State: NY

Vax Date: 02/23/2021
Onset Date: 02/26/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data: None

Allergies: Allergic to sulfa drugs

Symptoms: Hives and a rash on my arms, legs, feet, torso, and face. Very itchy. Rash still present 3 days after onset but is helped by antihistamine medication.

Other Meds: Pre-natal vitamins, B12 vitamin

Current Illness: None

ID: 1064099
Sex: M
Age: 58
State: TX

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

Lab Data: none

Allergies: None

Symptoms: Almost immediately, my peripheral vision became filled with moving shapes. And, though I typically do have the black floaters, these are different. Most were white, and looked similar to pinwheel fireworks. Later, I noticed that my peripheral vision started included 'moving patterns' with zig-zag shapes, and these patterns would move in random directions. Finally, there are the stationary patterns, where, again, in my peripheral vision, random shapes would appear to filled with the zig-zag lines mentioned earlier, but the filled shape itself was stationary.

Other Meds: Olmesartan, Ropinerole

Current Illness:

ID: 1064100
Sex: F
Age: 53
State: CT

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

Lab Data: N/A

Allergies: Erythromycin gives me an upset stomach

Symptoms: I found it atypical the way this young man pinched my shoulder, how I never felt any pinch, and how quickly it was over. I didn't feel any of the usual uncomfortable feelings associated with getting a vaccine. I had the first Covid vaccine on 2/3/21, the shingles series 7/25/20 and 9/25/20, and the flu vaccine on 9/25/20. Each of these vaccinations were slightly uncomfortable, swelled almost immediately and were sore for at least a day. Today I am writing this at 6:30pm, and it doesn't feel like I've had a vaccine, despite being told by my vaccinator that I may feel flu like symptoms after this 2nd vaccine. I am wondering if it was administered at all, or if it was subcutaneous, or vaccine was accidentally sprayed out before going into my arm??? Something is not right.

Other Meds: Breo Ellipta inhaler and antihistamine taken at home, before leaving for vaccination appt. After asking young man who administered my vaccine if I should take Tylenol after vaccination while waiting 15 minutes to leave, I did take two Tyle

Current Illness: N/A

ID: 1064101
Sex: F
Age: 60
State: HI

Vax Date: 12/30/2020
Onset Date: 01/05/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data: none

Allergies: allergic to shrimp

Symptoms: Got the vaccine 8:37 am December 30 and six days later got sore arm and redness and itchiness. The sore arm for one or two days. The redness three to five days and itchy. I couldn't do strenuous work - but just too Tylenol and that helped a bit. I went to my doctor (on the 8th) and he gave me Alertec medicine and Prednisone. That resolved the symptoms.

Other Meds: no

Current Illness: no

ID: 1064102
Sex: F
Age: 29
State: MN

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

Lab Data: n/a

Allergies: Shellfish, Z-Pac, walnuts, peanuts

Symptoms: Estimated date of delivery: 9/9/2021. Symptoms: Left side of neck feels stiff. Left side of face feels slightly numb. Left eye a little watery. Upper left arm sore. Mild-moderate fatigue. Mild headache. Nausea

Other Meds: Prenatal vitamins, acetaminophen

Current Illness: None

ID: 1064103
Sex: F
Age: 78
State: NY

Vax Date: 02/20/2021
Onset Date: 02/27/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data:

Allergies: Barbiturates, sulfa

Symptoms: 7 days after second dose I began to get what seems to be hives. 9 days after multiple large red itchy swellings on both cheeks, on butt, on non-shot upper arm

Other Meds: Asmanax Vivelle Multi-vitamin, fish oil, magnesium, alpha-lipoic acid, Vitamin D, Elysium Basis, echinacea

Current Illness: none

ID: 1064104
Sex: M
Age: 36
State: CA

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

Lab Data:

Allergies:

Symptoms: After receiving the vaccine, client vomited twice, resolved

Other Meds:

Current Illness:

ID: 1064105
Sex: F
Age: 66
State: WA

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

Lab Data: None

Allergies: Sulfa drugs, barley, beef, turkey, melon, peanuts

Symptoms: 40-50 mins after shot, had difficulty swallowing, tongue felt swollen, sore throat, some face swelling. I went to the urgent care parking lot and sat for 30+ minutes in case symptoms worsened. Symptoms did not get progressively worse, I returned home and began to improve 8 hours later. Had slight symptoms for another 24-36 hours. I saw my doctor on 3/1/21

Other Meds: Synthroid .75, doxylamine succinate 12mg, vit C, D & B

Current Illness: None

ID: 1064106
Sex: F
Age: 40
State: NC

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

Lab Data:

Allergies: nkda

Symptoms: redness, itching

Other Meds: none

Current Illness: none

ID: 1064107
Sex: F
Age: 87
State: CA

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

Lab Data:

Allergies:

Symptoms: pt/ c/o dizziness, alert and verbally responsive , 0change LOC v/s 97%RA 81bpm, 19cpm, BP 140/90 Patient stable , symptoms improved. Patient sent home at 12:40pm

Other Meds: Pt c/o dizziness, alert and verbally responsive, zero change of LOC vitals 97% RA 81 bpm, 19cpm bp 140/90 patient stable , symptoms improved. Pt. sent home at 12:40pm

Current Illness:

ID: 1064108
Sex: F
Age: 76
State: CA

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

Lab Data: N/A

Allergies: Iron;

Symptoms: Chills, 101 fever , headache, body aches, swollen arm at injection site Symptoms present for 16 hours Tylenol taken - 2x500mg twice at 6-hr. intervals Sore arm lasted 5 days

Other Meds: HCTZ, K-TAB; Coreg; Pepcid; Losartan; Lipitor; Aspirin (81mg);

Current Illness: N/A

ID: 1064109
Sex: F
Age: 51
State: HI

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

Lab Data:

Allergies: Sulfa

Symptoms: Vaccination given in the joint of Left shoulder (Top of shoulder). Not Deltoid Muscle as recorded. Although I did not see the location of the vaccination given at that time, the location of the bandage indicated site of vaccination given. Pain in Left arm was excruciating for 3 days. Ice packs and Tylenol was taken but did not help. Pain continues since vaccination was given. Spoke to nurses and physicians since the incident occurred, and all sources has stated that vaccination should not have been given in the joint but in the muscle. I am reporting this so nurse can be corrected so that she does not cause unnecessary pain and trauma to other people.

Other Meds: Vitamins

Current Illness: None

ID: 1064110
Sex: M
Age: 17
State: IL

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

Lab Data: None

Allergies: Cats

Symptoms: Patient experienced a syncopal episode within a few minutes after administration of immunizations. He received Gardasil, Havrix, and Menactra. After leaving the exam room, he experienced an acute syncopal episode in the hallway. I evaluated the patient immediately afterwards and he regained consciousness within seconds and was able to ambulate back to the exam room within a few minutes. There was no associated chest pain, shortness of breath, abdominal symptoms, throat symptoms or difficulty swallowing. I conducted an exam of the patient and kept him in the room monitor. We observed him for about 30 to 40 minutes with frequent checking in. He reported complete resolution of symptoms and was doing well. On further questioning, he had stated that he is experienced previous episodes similar to this with donating blood, cuts, and immunizations. In addition, reported not having had p.o. intake since dinner last night. Vitals taken by me after patient was observed for 30 minutes in a standing position BP: 106/71. HR: 77.

Other Meds: None

Current Illness: Social anxiety disorder, depressive disorder, anorexia nervosa, right breast mass

ID: 1064111
Sex: F
Age: 53
State: MT

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

Lab Data: None - considered it a cold sore and gland a vaccine side effect.

Allergies: None

Symptoms: Large cold sore/lesion on top left lip - open - treated at home with abreva/hydrogen peroxide. Pain from top of lip to left eye, pain bottom lip, gland swollen under left side of mouth. Lips became very dry. Has not totally gone away, still treating at home no pain from lip to eye or mouth anymore gland not swollen. However intense pain lasted four days.

Other Meds: Lamictal 350mg 1x day Clinazipam 7 mg PRN

Current Illness: None

ID: 1064112
Sex: F
Age: 52
State: NC

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

Lab Data: None.

Allergies: penicillin - anaphylaxis reaction sulfa - rash, itching erythromycin for eye- eye swelled shut, burning in eye, red, hot skin around eye blue cheese - rash, itching mold - rash, difficulty breathing, itching

Symptoms: Extreme itching and burning Friday evening and night. By Saturday morning, there was a large hive-like rash across my chest. It took Benadryl (2 tablets) and used topical cortisone Saturday and Sunday. By Monday, the rash has gone down and the itching and burning has subsided.

Other Meds: Multi-vitamin, glimepiride, ibuprofen (800 mg), Vitamin A, B-12, Vitamin D, Aller-Tec (similar to Zyrtec), Calcium, naproxen

Current Illness: Two weeks prior, I had a mold reaction - hive-like rash across my chest and neck; it lasted about a week

ID: 1064113
Sex: F
Age: 23
State: NY

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

Lab Data:

Allergies: pistachios, skin allergy to nickel

Symptoms: auras (wiggly lines and severely blurred vision) pounding headache, similar to a migraine, that is worse with movement body aches and fatigue nausea that is worsened with smells of food

Other Meds: nexplanon arm implant womens daily vitamin magnesium Omega-3

Current Illness: no

ID: 1064114
Sex: F
Age: 37
State:

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

Lab Data:

Allergies:

Symptoms: Generalized itching, advised to take OTC Benadryl-Cleared by EMS

Other Meds:

Current Illness:

ID: 1064115
Sex: F
Age: 27
State: CA

Vax Date: 02/15/2021
Onset Date: 02/16/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Left armpit lymph began to swell to beyond normal measures stretching my Brachial artery and plexus causing loss Of blood flow to my hand and feeling

Other Meds: Birth control

Current Illness: None

ID: 1064116
Sex: F
Age: 54
State: CA

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

Lab Data:

Allergies: Sulfa

Symptoms: Developed sensation of increased heart rate about 10 minutes after injection along with anxiety. BP 144/88, p-93, O2sats- 99% on RA. Given water and symptoms resolved within 10 minutes. No chest pain, no shortness of breath, no sensation of tongue or lips swelling. Vitals rechecked 130/78, p-83 and O2sats- 99%. No further symptoms and patient expressed desire to leave.

Other Meds: none

Current Illness: none

ID: 1064117
Sex: F
Age: 56
State: OK

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

Lab Data: Hosp heart n chest xray

Allergies: Hydroxychloroquine

Symptoms: Achy no fever chills couldn't breathe anxiety chest hurts.

Other Meds: Lortabs

Current Illness: Fell; hurt back 2 weeks prior

ID: 1064118
Sex: F
Age: 65
State: NV

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

Lab Data: no

Allergies: no

Symptoms: Below the injection site, large egg size swelling and redness all day Saturday and Sunday. Today, swelling has gone down but still has redness and itching

Other Meds: no

Current Illness: no

ID: 1064119
Sex: F
Age: 66
State: WI

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

Lab Data: Monitored by EMTs

Allergies: Iodine.

Symptoms: Face flushing, " rolling hot flashes", head fullness. This lasted about 10 to 15 minutes, intermittently then dissipated.

Other Meds: Losartan 100 mg, Vit D3, Levothyroxine 175 MCG. Took these meds at 0900.

Current Illness: Nione

ID: 1064120
Sex: F
Age: 75
State: CO

Vax Date: 02/13/2021
Onset Date: 02/17/2021
Rec V Date: 03/01/2021
Hospital:

Lab Data:

Allergies: Demerol, Codien, tape

Symptoms: Itching rash on fourth day after injection administered. Rash still continues. It is dark pink in color and warm to touch. It is 7in. in length and 4in. in diameter at the widest point.

Other Meds: Synthroid, Wellbutrin, Losartin, vitamins, motrin

Current Illness: None

ID: 1064121
Sex: F
Age: 25
State: OH

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

Lab Data: 1/29/21: blood tests (rheumatoid factor, ANA, CCP, CRP, WSR

Allergies: Sulfa, tetracyclines

Symptoms: Within one month after vaccination, developed joint pain, joint stiffness, joint swelling in bilateral finger joints. Had labs, xrays and assessment completed. New finding and diagnosis of rheumatoid arthritis

Other Meds: Adderall XR 40mg daily Spironolactone 100 mg daily

Current Illness: None

ID: 1064122
Sex: M
Age: 70
State:

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

Lab Data:

Allergies:

Symptoms: Facial flushing-cleared by medics

Other Meds:

Current Illness:

ID: 1064123
Sex: F
Age: 40
State: KY

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

Lab Data: Ultrasound in hospital 2/28/2021 D&E scheduled 3/2/2021

Allergies: N/A

Symptoms: Fetal demise sometime between 15-18 weeks based on ultrasound findings. EDC 7/30/2021

Other Meds: Lantus Valtrex Phenergan Cyclobenzaprine Prenatal Vitamin Unisom

Current Illness: N/A

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm