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: 1066113
Sex: M
Age: 65
State: VA

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

Lab Data: None

Allergies: Erythromycin

Symptoms: Sever pain in left leg upper joint. Similar to Sciatic Nerve pain the shoots down from hip to knee at any position.

Other Meds: Vitamin over 50, Melatonin , Fish Oil, Flax Seed vitamins

Current Illness: None

ID: 1066114
Sex: F
Age: 76
State: WI

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

Lab Data: Stool specimen for C-diff and results were negative

Allergies: Amoxicillin, Cipro, Bactrim, and Lamodal

Symptoms: No discomfort with the shot itself, the reaction was the diarrhea that lasted 8-9 days and I tried over the counter things to help. I have an auto immune issue and the vaccine may have triggered what happened.

Other Meds: Morning pills - Protonic, Metoprolol, Thorsomide, Potassium, Prednisone 5mg and Spiriva inhaler Vitamins taken after vaccination

Current Illness: History of emphysema, and hydrotropic mild CHF, kidney issues

ID: 1066115
Sex: F
Age: 63
State: MA

Vax Date: 01/08/2021
Onset Date: 01/22/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data: NONE

Allergies: NKDA NK Food Allergies

Symptoms: Moderna COVID-19 Vaccine EUA, My legs were getting sore and tired at work. I sat down to tie my shoe and noted Pitting + 3 or 4 edema to BIL Calves. Redness , warmth in a few areas. R leg 1" larger than L. Then I mentioned it to another nurse and she said it could be side affect of Norvasc. I spoke with my PA about it on 2/12 she D'C'd Norvasc and perscribed Nefidepine 30 mg ER. I have not taken it yet I am monitoring my BP and it is WNL. The edema less in calves however continues in ankles. I have gotten MULTIPLE broken capillaries all over my legs. Long short it has to be a reaction to vaccine. And it continues almost 2 months after injection. I can't wear most of my socks. It is BAD.

Other Meds: norvasc,fosamax, Armour thyroid

Current Illness: none

ID: 1066116
Sex: M
Age: 72
State:

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

Lab Data:

Allergies:

Symptoms: right sided weakness with nausea and vomiting resulting in a trip to the emergency room and then he was transferred to a larger hospital which resulted in hospital stay.

Other Meds:

Current Illness:

ID: 1066117
Sex: F
Age: 66
State: IN

Vax Date: 02/20/2021
Onset Date: 02/28/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data: N/A

Allergies: Sulfa

Symptoms: Itching/redness at injection site. This lasted for approximately 24 hours.

Other Meds: Vitamins for Women, Vitamin C, Vitamin D3, CoQ10, Fish Oil, Calcium, Baby Aspirin, Lutein/Zeaxanthin

Current Illness: N/A

Date Died: 02/17/2021

ID: 1066118
Sex: M
Age: 46
State: PA

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

Lab Data:

Allergies: Apple, cherry, pear, pollen - throat swelling and itching

Symptoms: Patient had an unwitnessed cardiac arrest while outside walking his dog. AED in the field initially advised shock and was shocked 3 times without effect. At the time EMS ALS arrived, patient was in PEA arrest. He was transferred to Hospital with CPR in progress. Time of death called at 1857.

Other Meds: Atorvastatin Dulaglutide Glipizide Loratadine Losartan Metformin

Current Illness: None

ID: 1066119
Sex: F
Age: 78
State: TX

Vax Date: 02/05/2021
Onset Date: 02/14/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Red, itchy rash with specific outline covering upper arm. Sore lymph nodes under left arm.

Other Meds: PremPro, Synthroid, Red Yeast Rice, Fish Oil, probiotic

Current Illness: UTI

ID: 1066120
Sex: F
Age: 75
State: FL

Vax Date: 02/05/2021
Onset Date: 02/17/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data:

Allergies: Sulfa, Flagil, anything under anti-anxiety class, macrobid

Symptoms: Dentist believed she might have an oral infection, so they gave her antibiotic and didn't find anything to explain the pain Recommendations: Speak to your PCP so he could do a full workup, but I still recommend you get your second dose, benefits outway the risk. You could also get tested just in case you do have COVID prior to your second dose just to be 100% sure if you do come back positive you could either wait 90 days or get your second dose as soon as your symptoms subside.

Other Meds: Amoxicillin -Tylenol -Pepcid -Xanax

Current Illness:

ID: 1066121
Sex: M
Age: 55
State:

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

Lab Data: bedside ultrasound to rule out DVT

Allergies: nkda

Symptoms: right ankle swelling, DVT was evaluated through bedside manner and ruled out

Other Meds: n/a

Current Illness:

ID: 1066122
Sex: F
Age: 68
State: MD

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

Lab Data: None

Allergies: NKA

Symptoms: Extreme fatigue, sudden of onset. Mild nausea.

Other Meds: Tecfidera; Cerefolin; Co Q-10; Buproprion; Methylphenidate; Biotine; Calcium/magnesium/zinc; Pantoprazole; Naproxen; Alprazolam; Neurontin; Mirapex Lexapro; Vitamin D3; Fish Oil; Probiotic 10

Current Illness: Multiple Sclerosis

ID: 1066123
Sex: F
Age: 51
State: MA

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

Lab Data: You'd have to get this from the hospital.

Allergies: None

Symptoms: Within minutes of getting the vaccine I was on the floor. I was taken to the hospital and am still here. I can't feel anything below my knees and have weekness in my hands. I can't walk and have difficulty moving my legs. Doctors are saying that they don't know if I will ever walk again.

Other Meds: None

Current Illness: None

ID: 1066124
Sex: F
Age: 45
State: FL

Vax Date: 02/20/2021
Onset Date: 02/28/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data: March 1, 2021 - went to see PCP and was told the arm looked like an allergic reaction that also could be getting infected. The injection site was elevated, warm to palpate and red. Was prescribed Prednisone 20 mg BID, Clindomycin Antibiotic March 1, 2021 - went to also see allergist specialist, confirmed need to antihistamine (doubling dosage amount) and prednisone March 2, 2021- Burning has subsided but still significantly itchy with severe rash all over left arm and impressive on bilateral thighs as well. Have not taken antibiotics yet, took 2nd dose of prednisone and have taken 5 antihistamines to date)- still no complete relief. Am very concerned. Both suggested the allergy looked to be due to vaccine adversity or allergic reaction

Allergies: Shrimp

Symptoms: Feb 27, 2021 - Noticeable tenderness in arm began in the evening before bed. The soreness from initial injection days after had subsided and strangely seemed to return. Noticed when tried to lay on arm while in bed. Feb 28, 2021- Work up early and began to palpate some soreness at injection site. Within a few hours, the arm began to feel hot and "burning sensation" from deltoid radiating down to wrist. Rash began to accompany the sensation along with "itchyness'" as hours progressed. I took a Benadryl that evening. By 4:00am March 1, was awoken by itchy sensation all over my body with extreme burning sensation in the left arm. I inspected my body and had hives and a rash on all limbs (bilateral legs, bilateral arms with worse being the left arm and hand". I immediately went to see my Primary care physician who prescribed both antibiotics and prednisone. I was also told to continue with antihistamines (Zyrtec, Benadryl). I also went to see an allergist who added a topical ointment for itch relief. Did not recommend antibiotics.

Other Meds: Synthroid 100mcg

Current Illness:

ID: 1066125
Sex: F
Age: 23
State: NJ

Vax Date: 01/30/2021
Onset Date: 01/31/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data: none known

Allergies: Tree Nuts

Symptoms: Generalized hives

Other Meds: None

Current Illness: None

Date Died: 01/26/2021

ID: 1066126
Sex: F
Age: 66
State: PA

Vax Date: 01/21/2021
Onset Date: 01/26/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data:

Allergies:

Symptoms: death

Other Meds:

Current Illness:

ID: 1066127
Sex: F
Age: 37
State: FL

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

Lab Data: 2/26/21 rapid covid nasal swab- negative 2/26/21 pcr covid nasal swab- negative 3/01/21 rapid coivd nasal swab- negative 3/01/21 pcr covid nasal sawb - pending

Allergies: no

Symptoms: Shortly after the shot was administered my left arm started hurting. Nothing too bad. Later that night it became extreme. I took Ibuprofen for it and went to bed early. I had a hard time sleep because it hurt so badly. The next day I couldn't move my arm without assistance from the other arm. Thursday, 2/25/21, over night I developed a cough and woke up with a sore throat that progressively got worse as the day went on. Fatigue and body aches accompanied this as well. Friday morning, 2/26/21, my arm was 75% better, but my throat, cough, body aches, and overall fatigue were getting worse. I decided on getting a covid test before going to work that morning. I went to urgent care in and took a rapid test as well as a PCR test. Both rest resulted in negatives. Over the weekend my symptoms were staying the same. The sore throat and cough were progressing. By Monday, 3/1/21, mid morning the Doctor I work for sent me to a walk in clinic for another rapid and PCR covid test. Rapid came back negative and PCR is still pending. The girl assisting me suggested I report my symptoms. I haven't been since even with a minor cold since 2009. I woke up Tues. ,3/2/2021, with white pustules on my throat and very hard to swallow along with very heavy brain fog. I have not had any fever this whole time. I take my temperature multiple times a day. I am starting on a 3 day dose of a zpak today, 3/2/21.

Other Meds: Unithroid, Liothyronine, Venlafaxine

Current Illness: none

ID: 1066128
Sex: F
Age: 74
State: MO

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

Lab Data:

Allergies:

Symptoms: Patient received 3rd dose of Moderna Covid19 vaccine.

Other Meds:

Current Illness:

ID: 1066129
Sex: M
Age: 73
State: NC

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

Lab Data:

Allergies: No Known Allergies

Symptoms: Patient was scheduled to received the 2nd Moderna Vaccine, but instead received the Pfizer vaccine.

Other Meds: Hyzaar 100-25 mg Lopid 600 mg Pravachol 80 mg Valtaren Gel 1% ASA 81 mg Fish Oil 1000 mg Folate B12 Multivitamin

Current Illness: No

ID: 1066130
Sex: F
Age: 47
State: NC

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

Lab Data: none

Allergies: nkda

Symptoms: Pruritis to hands and erythema to right arm. Rapid response initiated, patient reported to ED waiting room. Reaction resolved prior to being seen and patient checked out of ed in stable condition

Other Meds:

Current Illness:

ID: 1066131
Sex: F
Age: 56
State: NJ

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

Lab Data: no

Allergies: no

Symptoms: pt stated that when she woke up today 3/2/2021 she had terrible aches all over her body and in her lymph nodes. She has chills, headache, and flu like symptoms. Pt has taken Tylenol for her symptoms but has not contacted her PCP at this time.

Other Meds: no

Current Illness: no

ID: 1066132
Sex: F
Age: 36
State: NC

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

Lab Data: No tests were conducted

Allergies: NONE

Symptoms: I developed Morbilliform rash over my entire chest, neck, stomach, groin, and back. Rash started developing within the first 12 hours and continued to worsen and grow in surface area. 54 hours after the vaccine I called medical professionals about advice and was advised to take Benadryl and Pepcid. within 12 hours of both medications, the rash was non existent.

Other Meds: Effexor Anti Depressant Claritin daily allergy medication Vitamin D supplement Doxycycline acne medication 10mg

Current Illness: NONE

ID: 1066133
Sex: F
Age: 82
State: FL

Vax Date: 02/05/2021
Onset Date: 02/15/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data:

Allergies: sulfa

Symptoms: Patient reports vaginal discharge started 10 days after receiving 2nd dose of Moderna vaccine. Discharge dark in color, not blood, odorless and no pain. Saw GYN 2/24/21. Had pessary removed, cleaned and reinserted; Will f/u to GYN in 4 weeks

Other Meds:

Current Illness:

ID: 1066134
Sex: F
Age: 74
State: OH

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

Lab Data: None

Allergies: Meclomen Macrodantin

Symptoms: Dizziness for two days, lightheaded ness for the next 5 days ,nausea for 5 days, vomiting, 1 day, lethargic 6 days. Unable to eat, 4 days In bed because of mentioned symptoms, 6 days Took Ibuprofen as tolerable Took anti nausea OTC. Called the doctor twice and was told to ? hang in there?. Have never felt worse for so long in my lifetime.

Other Meds: Sertraline 25 mg Pantoprazole 40 mg Daily vitamin

Current Illness: None

ID: 1066135
Sex: M
Age: 64
State: MS

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

Lab Data: none

Allergies: none

Symptoms: The following day I woke up with bad body aches. then around 4 pm I started feeling nauseous and vomited intermittently for about 2 hours. I spent the rest of the day in bed. I was supposed to go to work the next day, but I had to call out, just not feeling up to it. the next day I managed to go to work and was fine.

Other Meds: Metformin HCl 1000 MG 1 tablet with meals Orally twice a day LOSARTAN POTASSIUM 50 MG TAB 1 tablet orally once a day Rosuvastatin Calcium 20 MG 1 tablet in the evening Orally once a day Vitamin D3 5000 UNIT 1 tablet Orally once a day T

Current Illness: none

ID: 1066136
Sex: F
Age: 44
State:

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

Lab Data: NA

Allergies: Bactrim, Penicillin, Red Wine Extract

Symptoms: S: Adverse reaction following administration of COVID-19 vaccine B: Patient received COVID-19 vaccine at 1630 and was monitored for 15 minutes post vaccination. A: Before leaving following appointment, patient reported that her throat "felt scratchy" and "didn't feel right." Patient denies shortness of breath and stated that her scratchy throat was her only symptom and stated that maybe it was not a big deal. She was given a cup of water and took a drink. She then stated that she felt it was getting worse. She stuck her tongue out and stated that she felt like it was swelling up. Her lips appeared to be swelling as well. R: At 1648, epi pen was administered to patients right thigh. Patient was transported to the ER via wheelchair. Call placed to ER and report was given. Patient was not seen in the ER, reason unknown.

Other Meds: Aviane, Calcium citrate + D, and Multivitamin

Current Illness: NA

ID: 1066137
Sex: F
Age: 40
State: MD

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

Lab Data: Patient's vital signs were taken - Blood pressure 160/92, heart rate -75, pulse oxygenation -99. She was then taken to the post vaccination room and placed on the stretcher bed. Her vital signs were taken again after 15 min- BP 177/75, Heart Rate 70, Pulse ox 99. Pt remained stable. She was allowed to leave after 30 minutes. Her family was driving her home.

Allergies: none

Symptoms: The patient became light headed and fainted two minutes after the administration of the Covid vaccine. She then slipped off the chair. Upon her assessment, no injuries were noted. After a few seconds the patient was alert and oriented. She reported having similar previous experiences with vaccine administrations. She also stated she had the White coat syndrome.

Other Meds: none

Current Illness: none

ID: 1066138
Sex: M
Age: 71
State: PA

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

Lab Data: None

Allergies: Amoxicillin

Symptoms: Started 24 hours after receiving vaccine. Fever 3.4 degrees above normal, headache, vomiting, slept for 16 of 24 hours. Very sore arm, had 6" x 4" raised red area.

Other Meds: Ibrutinib, Venlafaxine HCL, Losartan, Melatonin, Multi-Vitamin, Vitamin D-3, Emergen-C

Current Illness:

ID: 1066139
Sex: F
Age: 60
State: CA

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

Lab Data: I have not

Allergies: allergic to latex and penicillin

Symptoms: I started to get mild nausea within about 15 mins. then a chemical taste in my mouth. Later I was getting some sputum or phlegm coming up,, no cough, on short of breath no nasal discharge. During the night I woke up because the phlegm was much worse and abundant I wanted to sleep so at first was swallowing it, then it was so much that I got up and went to the bathroom. That is when I noticed that the palms of my hands were scarlet red. on both hands and not on the wrists or any where else. by morning it was gone but I did have diarrhea and still a cold mild nausea feeling in my stomach. Yesterday , 3 days later, still had diarrhea and nausea and was tired,,symptoms are not severe, but since these are not typical symptoms for me. I figured they will go away, but also I figured that I should communicate the reaction . I am scheduled for my 2nd shot in 3 weeks,

Other Meds: that day I had not taken any of my vitamins or supplements cause I wanted the vaccine to have full affect

Current Illness: none

ID: 1066140
Sex: F
Age: 34
State: CA

Vax Date: 12/22/2020
Onset Date: 12/23/2020
Rec V Date: 03/02/2021
Hospital:

Lab Data:

Allergies:

Symptoms: My vaccine was 12/22/2020. I ended up with a sinus infection that required antibiotics. I didn't get tested because my symptoms carried on until 1/5/2021 (stuffy nose, fatigue).

Other Meds:

Current Illness:

ID: 1066141
Sex: F
Age: 57
State: OR

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

Lab Data: nerve biopsy and blood work examination neurological examination

Allergies: sulfa terbenafine lamictal

Symptoms: muscle weakness, stiffness, swelling, poor coordination, and muscle atrophy in the hands, shoulders and hip girdle muscles

Other Meds: levothyroxine 75 mcg liothyronine 5 mcg valcyclovir 500 mg estradiol 2 mg prometrium 100 mg

Current Illness: none

ID: 1066142
Sex: F
Age: 65
State:

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

Lab Data: None

Allergies: Hayfever & Eczema (also possible penicillin)

Symptoms: Chills, fever (100.5 -normal temperature 96.8-97.6), muscle aches, fatigue, headache Symptoms abated after 18 hours and were completely over by 36 hours.

Other Meds: Vitamins B, C, D, K2, Calcium, Acidopholus

Current Illness: None

ID: 1066143
Sex: F
Age: 69
State: FL

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

Lab Data: To date: EKG 2/26/21 Cardiology consult on 3/4/21

Allergies: None

Symptoms: Approximately 20 hours later I developed fever that climbed to 101.6. Took 500mg Tylenol. Fever abated. 24-36 hours after vaccine, I developed heart palpitations, high heart rate, increased blood pressure Visited primary care doctor and had EKG. Confirmed abnormal EKG, referred to cardiologist. Appointment on 3/4/21. Heart symptoms consistent until two weeks post vaccination, 3/2/21. Heart symptoms seem to be easing. No previously known heart problem or high blood pressure.

Other Meds: Pantoprazole Daily multi vitamin

Current Illness: None

ID: 1066144
Sex: M
Age: 17
State: AZ

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

Lab Data: None

Allergies: None

Symptoms: Administration error - Patient given first dose of Moderna vaccine 3 weeks before 18th birthday so outside of EUA criteria. Received second dose on 2/19/21 after his 18th birthday.

Other Meds: None

Current Illness: None

ID: 1066145
Sex: F
Age: 74
State: NC

Vax Date: 02/20/2021
Onset Date: 02/22/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Immediately after vaccination, this individual noticed that the arm was very sore and hot to the touch. Two days later, they noticed a long, vertical, irregular rash on the arm where the vaccine was administered. The rash has persisted over a week and is still present on 3/2/21. The individual has consulted with her primary care provider who instructed her to keep monitoring it and to notify the Health Department in her county.

Other Meds: Several prescriptions

Current Illness: None

ID: 1066146
Sex: M
Age: 1
State: MI

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

Lab Data:

Allergies:

Symptoms: Patient was to young to be given quadracel. There are no adverse affects. Patients parents were contacted and informed and will be vaccinated properly. Staff has been retrained regarding vaccines and appropriate ages.

Other Meds:

Current Illness:

ID: 1066147
Sex: F
Age: 73
State: WA

Vax Date: 02/23/2021
Onset Date: 02/27/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data:

Allergies: ADHESIVES

Symptoms: Rash, itch at injection site

Other Meds: Acyclovir; warfarin; Oxybutynin ER; Famotidine; Atorvastatin; Lutein & Zeaxanthin; D3; vitamin B12; Aleve; Tylenol Arthritis

Current Illness:

ID: 1066148
Sex: F
Age: 66
State: FL

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

Lab Data:

Allergies:

Symptoms: Horrible body aches, burning joints, fatigue, headache, earache, malaise, loss of appetite, constipation and difficulty urinating 102.1 left ear, 101.9 right ear, lasted 24 hours, felt like I was dying Thursday all day and night. Friday felt very weak, constipation continued, tired.

Other Meds:

Current Illness:

ID: 1066149
Sex: F
Age: 64
State: NY

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

Lab Data:

Allergies: none

Symptoms: About four hours after the innoculation, I began to get nauseous. Three hours after that, I had vomiting and diarreah that lasted most of the night. I had chills, aches and headache which tylenol helped relieve. I began to feel better 24 hours later but still experienced extreme fatigue. It is now Tuesday (vaccine on Sunday) and I am still fatigued and have trouble concentrating.

Other Meds: The night before I had taken my regular medications: Metformin Enalapril Simvastatin Folic Acid Vit D Nothing was taken that morning

Current Illness: None

ID: 1066150
Sex: F
Age: 71
State: DE

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

Lab Data:

Allergies:

Symptoms: pain, tenderness, left arm, swollen lymph nodes in axilla to primary provider if symptoms worsen

Other Meds: methotrexate, synthroid

Current Illness:

ID: 1066151
Sex: F
Age: 73
State: FL

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

Lab Data:

Allergies: PERCOCET TRAMADOL

Symptoms: Had the Moderna vaccine on 8 February, next day arm itchy and red circle. Still red on Thursday 11th February when I woke and had a terrible headache and aching neck, felt tired and had a sniffy nose, had rough day. Friday 12th February arm not so itchy and red. Saturday 13 February arm ok. Then 5 days later 18 February same are of vaccine site started itching again and by Friday morning arm itchy and very red again, and this lasted until Monday 22 February. By Wednesday 24th it was more or less ok. Still a bit red. So I had 2 reactions 5 days apart that each lasted 5 days.

Other Meds: LEVOTHYROXINE 88mcg SIMVASTATIN 20 mg VITAMIN D

Current Illness: NONE

ID: 1066152
Sex: F
Age: 34
State: OR

Vax Date: 02/20/2021
Onset Date: 02/28/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 7 days after my shot, I began to have swelling, redness, and heat around my injection site. The skin felt tight and my arm hurt. So far it has been about 48 hours and it is still red. The redness has slowly expanded around my upper arm. I did not have any reactions like this in the first week after the dose.

Other Meds:

Current Illness:

ID: 1066153
Sex: M
Age: 73
State: TX

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

Lab Data: None

Allergies: None

Symptoms: Moderna COVID-19 Vaccine EUA Symptoms: slight fever, deep muscle and joint ache, painful headache, slight diarrhea near the end of symptoms, tenderness and 4 to 5 cm in diameter of redness at the injection site and an area of rash on upper chest.

Other Meds: Prescription Meds ? Atorvastatin 40 mg Once per day ? Terazosin 5 mg Once per day ? Metoprolol Tabs 100 mg Once per day ? Lisinopril Tabs 10 mg Once per day ? Meloxicam 15 mg Once per day Non-Prescription ? Aspirin 81 mg

Current Illness: None

ID: 1066154
Sex: F
Age: 40
State: IN

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

Lab Data: None

Allergies: poison ivy and lexapro

Symptoms: I've only had 1 shot for the Maderna on 2/17. I started breaking out in a rash on 2/26 in the evening. Ive just been putting over the counter medication on it and trying to get it to quit itchy. It is very scaly and dry. It is on the left and right upper arm.

Other Meds: prozac, lisinipril

Current Illness: none

ID: 1066155
Sex: F
Age: 65
State: NC

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

Lab Data: NONE

Allergies: GI upset associated with Erythromycin

Symptoms: Sore arm, slight muscular aches and headache with minimal fatigue began 9 hours after dose and became profoundly exacerbated by the following morning (02/25/2021) with severe arm soreness, increased muscular discomfort, throbbing headache, and severe fatigue affecting mobility. There was no fever or chills but I was cold and could not get warm. The symptoms appeared consistent with a flu. These side effects began to dissipate slowly the following day (20/26/2021) and were completely resolved by 02/27/2021. The side affects from the first dose were insignificant by comparison. Other than the usual sore arm there was minimal muscular aches and slight fatigue and was not debilitating at all like the second dose.

Other Meds: Losaartan, Norvasc, Zetia, Crestor, Pepcid, Prilosec

Current Illness: NONE

ID: 1066156
Sex: M
Age: 66
State: NY

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

Lab Data:

Allergies:

Symptoms: Sleep disturbances. Insomnia

Other Meds: Omeprazole lipitor potassium citalopram hydrochlorizide

Current Illness:

ID: 1066157
Sex: F
Age: 71
State:

Vax Date: 02/17/2021
Onset Date: 02/28/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Herpes Zoster ~11 days post vaccination

Other Meds:

Current Illness: Adverse Event was HERPES ZOSTER

ID: 1066158
Sex: M
Age: 60
State: NY

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

Lab Data:

Allergies: none

Symptoms: after vaccination, patient felt dizzy. seated patient who stated "im dizzy" patient stated he only had milk in am which is his usual routine. patient also stated he felt weak. patient given cup of water to drink. patient observed for 30 minutes and patient felt better. was observed while standing with no dizziness ad weakness verbalized by patient. instructed to return to his home and rest, eat, drink liquids; also if any further reactions patient to call 911. patient verbalized understanding and left clinic ambulatory with no complaints

Other Meds: Percocet 5/325 mg Meloxicam 7.5mg cyclobenzaprine Hcl 5mg Plavix 75mg Atorvastatin 80mg

Current Illness:

ID: 1066159
Sex: F
Age: 66
State: WI

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

Lab Data: Blood panel

Allergies: penicillin, soy

Symptoms: 1/19/2021 vaccination *continued symptoms from 1st vaccine. Twitching in legs, can see the twitches in both legs. Weird strange pains that last 3-5 seconds on skin; come and go. Internist, Neurologist referrals; no diagnosis as of yet. Ongoing symptoms.

Other Meds: *does not wish to list

Current Illness: n/a

ID: 1066160
Sex: F
Age: 38
State: IL

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

Lab Data: I saw my primary care doctor on 3/1/21, but no tests were preformed.

Allergies: none

Symptoms: I received shot at 14.5 weeks pregnant. I am due 8/25/21. Hours after the injection, I developed a rash on my neck and back. The next day, the rash appeared all over my chest, abdomen, back, sides. Essentially I am covered in red bumps from behind my ears to my groin area. The bumps do not hurt but they are very itchy and have not responded to benedryl pills or caladryl oitment.

Other Meds: escritalopram, zyrtec, folic acid

Current Illness: none

ID: 1066161
Sex: F
Age: 82
State: GA

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

Lab Data:

Allergies: Codeine, Penicillin, Aspirin Products

Symptoms: Complain of extreme dizziness that started on yesterday, 3/1/2021 at 5:30 PM and stopped on this morning, 3/2/2021 at 1:00 AM. Initially felt tired and washed out after injection on 1/25/2021 and 1/26/2021. States she is currently is little lightheaded. Advised patient to seek healthcare is symptoms does not go away.

Other Meds: Vitamins

Current Illness: No

ID: 1066162
Sex: F
Age: 43
State: OH

Vax Date: 12/21/2020
Onset Date: 12/22/2020
Rec V Date: 03/02/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Very 'heavy' legs, extreme sore arm in first dose Extreme headache lasting around a week, chills, fatigue

Other Meds: Lamictal , Advil, Melatonin

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm