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: 1067345
Sex: F
Age: 53
State: WV

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

Lab Data: N/A

Allergies: Peanut Butter

Symptoms: Nausea, extreme fatigue, diarrhea, muscle/body aches, headache chills then burning up all but headache lasted approx 48 hours, headache went for 5 days

Other Meds: None

Current Illness: none

ID: 1067346
Sex: F
Age: 46
State: IL

Vax Date: 02/16/2021
Onset Date: 02/23/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data: Made an appointment to see a chiropractor

Allergies:

Symptoms: One week after the vaccine I experienced lower back pain that has now lasted a week and has gotten worse.

Other Meds: Calcium, vitamin D, multivitamin with minerals, fish oil, zinc

Current Illness:

ID: 1067347
Sex: F
Age: 31
State: AZ

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

Lab Data:

Allergies: None

Symptoms: Fever of max 101.6. Strong chills. Loss of appetite. Second dose of Moderna. Didn?t know where else to submit the data.

Other Meds: None

Current Illness: None

ID: 1067348
Sex: F
Age: 76
State: WA

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

Lab Data: None to date.

Allergies: Sulfa antibiotics, Furadantin, turmeric, some dental materials (HEMA, PMMA, metals).

Symptoms: 2-3 days after 2nd Moderna vaccination a 10 inch area around injection site swelled and became hot, painful and hard, and a large bright red rash appeared . It persists without improvement today. I also had pain in the joints in my feet and ankles, hands. Some fatigue. No fever, no chills. I had NO reaction after 1st vaccination, although injection site was hot and very tender for days. Used left arm both times. I saw an online photo of "COVID arm" hypersensitivity reaction and looks exactly like mine. Really quite uncomfortable.

Other Meds: Vitamin D, calcium, vitamin C, multivitamin supplement; Lipitor

Current Illness: None

ID: 1067349
Sex: F
Age: 89
State: WA

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

Lab Data: Vitals were normal. Blood pressure low but in normal range. No fever.

Allergies: None

Symptoms: Slight headache, feeling extreme tiredness fairly suddenly, saying ?I feel like I could pass out? and then passing out. Slight movement of mouth for air, some drooling.

Other Meds: Thyroid medication

Current Illness: None

ID: 1067350
Sex: F
Age: 71
State: NY

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

Lab Data: none

Allergies: denies

Symptoms: erythema, itching to injection site that began few hours after injection. pt daughter states area has lessened. no further reactions, rashes, shortness of breath

Other Meds: cortisone cream

Current Illness: denies

ID: 1067351
Sex: F
Age: 26
State: NC

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

Lab Data:

Allergies: None

Symptoms: I had hives show up on my wrists about a day and a half after receiving the vaccine. There have been no other life changes.

Other Meds: None

Current Illness: None

ID: 1067352
Sex: F
Age: 50
State: CA

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

Lab Data: N/A

Allergies: Bee venom (carry Epi pen)

Symptoms: COVID Arm, ecchymosis, erythema, and induration at vaccine site

Other Meds: N/A

Current Illness:

ID: 1067353
Sex: F
Age: 52
State: NC

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

Lab Data: COVID test

Allergies: none listed

Symptoms: Patient described the injection site being itchy, having diarrhea, and being tired

Other Meds: trazodone

Current Illness: dental issue

ID: 1067354
Sex: F
Age: 42
State: CA

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

Lab Data:

Allergies: No

Symptoms: High fever, chills, body aches and tiredness

Other Meds: No

Current Illness: No

ID: 1067355
Sex: F
Age: 65
State: FL

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

Lab Data: Dental xrays

Allergies: Sulfa

Symptoms: Nerve pain mouth, right lower gum tooth area. Saw dentist and no issue with teeth. Xray done.

Other Meds: Diltiazem Levalbuteral

Current Illness: None

ID: 1067356
Sex: F
Age: 68
State: TX

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

Lab Data: none

Allergies: sulfa drugs, fish, shellfish, foods with high histamines, latex.

Symptoms: soreness @ injection site initiated 2 hours later & persisted for days: fatigue & sleepiness initiated after 2 hours & persisted for days after 16 hours of sleep; dull headache at base of skull initiated after 4 hours & dissipated after 48 hours.

Other Meds: lantus, humalog, ozympic, rezulin, spirolactone, metopropol succinate, aspirin 81g, gabapentin,glucosamine chondroitin sulfate, synthroid, monolukast sodium, areds 2 occuvite, prazosin hydrochloride.

Current Illness: none

ID: 1067357
Sex: F
Age: 51
State:

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

Lab Data:

Allergies: Sulfa

Symptoms: Fever 102 F, bone and joint pain, headache - started 12 h after vaccination, lasted 36 h

Other Meds:

Current Illness:

Date Died: 02/01/2021

ID: 1067358
Sex: M
Age: 64
State: TX

Vax Date: 01/23/2021
Onset Date: 01/25/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data: 1-29-2021- SARS-CoV02 viral RNA COVID-19 test 2/01/2021- test result positive

Allergies: Acetaminophen

Symptoms: 1-25-2021- Phone call: pt had cold and cough prior to vaccine. cough worsened 1-28-2021 Phone call: pt requesting provider visit, cough is same and taking tessalon pearls 1-29-2021 Provider in office visit: pt complain of cough and SOB for 6 days. Getting worse. Temp 101.2, pulse ox 87%, BP 128/70. level of distress- leaning forward to breath. appeared ill. diffuse rales throughout both lung fields, more at bases. Diagnosis Pneumonia due to COVID 19 virus. Sent to ER

Other Meds: Tessalon Perles 100 mg Tivicay 50mg ibuprofen 400mg cimduo 300mg peridex 0.12% mouthwash augmentin 500mg-125mg zyrtec 10mg Flonase allergy relief 50mcg diclofenac 1% topical gel

Current Illness: Mild respiratory symptoms with cough

ID: 1067359
Sex: M
Age: 40
State: CA

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

Lab Data: Vitals 3/2/2021

Allergies:

Symptoms: Dizziness. I was immediately, slightly dizzy after the dose. It seemed mild enough for me to drive home. After released I had to pull over because I was getting dizzier. I calle fly wife to pick me up to drive me home. We hung up and it seems to get worse. I called emergency services. When they arrived they checked my vitals and said all was normal. I chose not to go to hospital. At home I ate and slept. Still had a headache I to the evening, but feel fine. I still plan to get my second dose

Other Meds: Glatiramer

Current Illness:

ID: 1067360
Sex: M
Age: 53
State: KS

Vax Date: 02/18/2021
Onset Date: 02/21/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data: UA, blood tests, and ultrasound of renal system.

Allergies: PCN

Symptoms: Bleeding in urine started on days 3, 4, and 5 after the injection. Blood in urine cleared up on approximately the 6th day post injection.

Other Meds: Lisinopril; Atorvastatin

Current Illness: None

ID: 1067361
Sex: F
Age: 30
State: CA

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

Lab Data:

Allergies:

Symptoms: Moderna COVID?19 Vaccine EUA Swelling and rash at injection site a week after first dose. Looks like what?s known as covid arm

Other Meds:

Current Illness:

ID: 1067362
Sex: F
Age: 67
State: WI

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

Lab Data: None

Allergies: IVP Dye Ragweed

Symptoms: Started to develop soreness in my Left arm on Fri after receiving the vaccine on Thurs. My arm continued to be sore. On Monday which was 3/1 noticed that my left arm had a pink area measuring about 5 inches in length and encircled 3/4 around my arm Was warm, hard and itchy

Other Meds: Diltiazem Dyazide Clobetosol Ointment Vitamin D Tylenol Calcium with Vitamin D Multivitamin

Current Illness: None

ID: 1067363
Sex: F
Age: 90
State:

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

Lab Data:

Allergies:

Symptoms: Outbreak of rash all over body, causing rough, flaky skin; itchy, burning eyes. Neither antihistimine tablets nor eye drops provided any relief.

Other Meds:

Current Illness:

ID: 1067364
Sex: F
Age: 91
State: IL

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

Lab Data:

Allergies: Cobalt, codeine, copper, cobalt, contrast dye

Symptoms: After correct administration of the shot, patient described feeling "funny" almost immediately after shot. Felt she had pressure in chest, throat closing up, heart racing. Administered a dose of epinephrine to the IM thigh, roughly 5 minutes after administration of vaccine. Patient reported feeling better, advised her to seek medical attention at an emergency room to follow-up. She was driven there and PCP contacted by caretaker, who was present.

Other Meds: Amoxicillin, digoxin, furosemide

Current Illness: N/A

ID: 1067365
Sex: F
Age: 67
State: TX

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

Lab Data: None

Allergies: Allergic to sulfa drugs Sunflower seeds Corn Peanuts

Symptoms: Redness at injection sore and swelling; still have redness 7 days after injection. Extreme fatigue; flu like symptoms. Had to go to bed for the day, the day after injection.

Other Meds: Synthroid/Dexilent/Mydayis/Omnesarten/ Monolukast/Klondike-Con/Wellbutrin/Zoloft/Vitamin D/Vitamin C/Centrum Silver for Women multi-vitamin. Octagam

Current Illness: None

ID: 1067366
Sex: F
Age: 44
State: TN

Vax Date: 02/26/2021
Onset Date: 02/28/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data: None

Allergies: Nka

Symptoms: At the site of injection red streaks appeared on Sunday following a Friday night injection. By Monday they streaks had combined into one round area that is approximately 3.5-4 inches in diameter. They area is extremely painful like a bruise, red, hot and itchy.

Other Meds: Loratidine 10mg, famotidine 20mg, diclofenac 75mg, hydroxychloroquine 200mg, vitamin d3 5000units, bcomplex vitamins, nasocort nasal spray, metoprolol tartrate 50mg, Benlysta (7days from last shot)

Current Illness: No illnesses

ID: 1067367
Sex: F
Age: 66
State: MN

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

Lab Data: none

Allergies: NKA

Symptoms: At approximately 1 hr and 40 minutes after my injection, I had a chill, which almost immediately turned into total body shaking, rigors. The shaking was so severe that I was having trouble breathing between the shakes. I also had 1 emesis. At approximately 20 minutes of shaking, I called 911 at the advice of a nurseline. EMTs checked my vitals and my BP, pulse, O2 sat and blood sugar was all normal. I almost had another emesis. They offered to take me to an ER, but I declined as I couldn't see what could be done for me at that point. At about 40 minutes of symptoms they began to abate. I then slept for 11 hours straight.

Other Meds: Metformin Glipiizide Jardiance HCTZ Atenolol Lisinopril Methotrexate Folic Acid Naproxyn IV Actemra Calcium with D Biotin baby Aspirin Gabapentin

Current Illness: No

ID: 1067368
Sex: M
Age: 85
State: MD

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

Lab Data: None

Allergies:

Symptoms: Sore arm at injection site

Other Meds: Atorvastatin, cirtraline,

Current Illness: None

ID: 1067369
Sex: F
Age: 43
State: TX

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

Lab Data:

Allergies: none

Symptoms: after injection, pain at site, 4 hrs later, headache, 4 hrs after headache, arthralgia, 4 hrs after arthralgia, chills. In the morning at 0600, woke up with nausea and BM urgency. Shortly after N/V, chest pain and delerium start. Chest pain caused anxiety. No SOB. Upon standing, I blacked out and fell to ground. When I came to ( 5-10 minutes later ) nausea disappeared but arthralgia and chills still present. I did not take any OTC/ pain relief meds at all since I did not want to blunt my body's immune response. Nausea does not return and the CP/ hypotensive/shock episode made me stick to sitting on the couch for the remainder of the day. I took 400mg IBU around 8 am and all SX disappear by 1800.

Other Meds: none

Current Illness: none

ID: 1067370
Sex: F
Age: 52
State: OH

Vax Date: 02/06/2021
Onset Date: 02/27/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data: None yet.

Allergies: Latex Penicillin

Symptoms: Left Arm - bruising, swelling, redness, itching, hot to the touch. Right arm - rash that includes itching, red bumps, and warm to touch. I am very tired. My eyes are cloudy.

Other Meds: For Hormone Replacements Progesterone Thyroid DHEA D3 Fir Allergies Fexofenadine For Asthma Albuterol Sulfate

Current Illness: None

ID: 1067371
Sex: F
Age: 66
State: AL

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

Lab Data: Did'nt have any

Allergies: Pencillin

Symptoms: With the first shot hands started itching and continued for about a week and half. Did'nt go to Doctor just took otc Bendryl.Arm was a little sore. The second shot about 35 minutes later hands started itching but not as bad as the first shot and I did'nt take any otc Bendryl this time .shot was in same arm (left) it was more sore than the first shot and next day mild headache and sore throat by 3rd day felt better.

Other Meds: cipro

Current Illness: prior colon surgery , dealing with infected tooth

ID: 1067372
Sex: F
Age: 44
State: NC

Vax Date: 01/15/2021
Onset Date: 02/27/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data: None

Allergies: Tamiflu

Symptoms: Underarm and breast tenderness as well as swollen lymph nodes on the same side as vaccination

Other Meds: Lexapro 10mg daily

Current Illness: None

ID: 1067373
Sex: F
Age: 81
State: CA

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

Lab Data:

Allergies:

Symptoms: The area surrounding the injection site developed a round rash, hot to touch, and swollen. This occured about a week after vaccine.

Other Meds:

Current Illness:

ID: 1067374
Sex: F
Age: 49
State: OR

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

Lab Data:

Allergies:

Symptoms: received moderna vaccine for first dose but received pfizer vaccine for second dose today

Other Meds:

Current Illness:

ID: 1067375
Sex: F
Age: 69
State: WA

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

Lab Data: no known yet

Allergies: none

Symptoms: 72 hours later (feb 25) my gums became very sore and bloody and patchy and my teeth ached. feb 26 i was exhausted and blisters appeared on my lips and gums got worse and i stayed in bed exhausted. feb 27 i went to urgent care and they said probably just a reaction to the vaccine and mouth will clear up feb 28 mouth got worse and my torso developed a rash. i took one amoxycillin that night around 1100pm, worried that i had some infection in my gums as in periodontitis mar 1 i woke with a 103 degree fever and went back to urgent care where they took some blood tests for mono and for strep. then they sent me to the dermatologist, the doctor who ordered more blood tests (3 diffferent vials) took a biopsy of the rash. The doctor thought is that it may be a herpes simplex 1virus that has activated itself because my immune system was compromised by the covid shot. not usre about body rash. today mar 1 my rash is a LOT worse on torso and very itchy. i am taking valacyclovir 3 times a day and rinsing mouth with lidocaine hydrochloride viscous solution. we are still awaiting lab results.

Other Meds: none

Current Illness: none

ID: 1067376
Sex: M
Age: 73
State: NY

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

Lab Data: N/A

Allergies: Not known

Symptoms: Error made by vaccine administration nurse, 0.2 mL given by nurse on 3/2.21 at Vax Clinic. Client was called at 4:19 PM on 3/2/21 and incident was explained. Client understood situation and will be returning on 3/3/21 before 10 am. Pt daughter spoke on behalf of father who does not speak English.

Other Meds: Not known

Current Illness: Not known

ID: 1067377
Sex: M
Age: 86
State: FL

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

Lab Data: MRI 03/01/2021

Allergies: Nkda

Symptoms: Transverse myelitis, leg weakness, bladder/bowel dysfunction. Hospitalized, still recovering.

Other Meds: Coumadin, thyroid replacement, hypertension drugs, vit supplements, flomax

Current Illness: Sinus infection

ID: 1067378
Sex: F
Age: 67
State: MI

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

Lab Data:

Allergies: Sulfites Fentanyl

Symptoms: Red rash on arm, sore.

Other Meds: Omeprazole 20mg Sertraline 100 mg Atorvastatin 10mg Estradiol 0.1mg/gm

Current Illness:

ID: 1067379
Sex: F
Age: 73
State: CA

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

Lab Data:

Allergies: Codeine

Symptoms: Chills, nausea, fatigue soreness and stiff at shot site.

Other Meds: Too many. Xerelto, Metropolol, Chlorthalidone, Losartan Potass., Spronolactone, Atorvastatin, Cartia XT

Current Illness: Long list

ID: 1067380
Sex: F
Age: 82
State: FL

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

Lab Data:

Allergies: n/a

Symptoms: 2/19- woke to swollen, redness and itchy arm. It spreads to the lower arms the next day. By 2/23/21 found swollen lymph nodes on both arms and still there as of today. Pt will contact Md tomorrow for treatment options.

Other Meds: n/a

Current Illness: n/a

ID: 1067381
Sex: F
Age: 33
State: MN

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

Lab Data: None

Allergies: None

Symptoms: Lower back pain, body aches, chills, feeling run down.

Other Meds: Biohealth protein isolate powder

Current Illness: None

ID: 1067382
Sex: F
Age: 72
State: AZ

Vax Date: 02/13/2021
Onset Date: 02/14/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data: None

Allergies: Sulfa drugs Codeine Demerol Biaxin

Symptoms: Sore arm Headache Fatigue Dizziness Nausea Lasted 2 days

Other Meds: Trazodone 150mg at h.s Aspirin 160mg daily Multiple vitamin Vitamin C 500mg Vitamin D3 5000iu Melatonin 3mg at hs Zyrtec 10mg

Current Illness: None except seasonal allergies

ID: 1067383
Sex: M
Age: 76
State: AZ

Vax Date: 01/22/2021
Onset Date: 02/09/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data: ferritin, serum 846 CRP >9.0glucose level 109 high sodium 131 low potassium 4.1 chloride 96 low CO2 24 anion gap 11 BUN 28 high creatinine 1.4 high calcium 9.0 TP 7.5 albumin. level 4.6 T bili 0.9 alk phos 90 AST 204 high ALT 77 high lab test 48.46 normal

Allergies: none

Symptoms: weight loss, muscle weakness, abnormal crp level and liver test, loss of appetite, bed bound, falls, and unable to get up from floor. unable to make meals, dependent on care giver for food meals

Other Meds: levothyroid

Current Illness: none

ID: 1067384
Sex: F
Age: 49
State: NJ

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

Lab Data: N/A

Allergies: No

Symptoms: Covid arm- large (11cm long x 7.5cm wide) erythematous oval shaped patch with itching and approx 5cm x 3cm area of firmness within the eryhtematous patch.

Other Meds: OsteoBioflex with Vitamin D, biotin, symbicort

Current Illness: No

ID: 1067385
Sex: M
Age: 68
State: MI

Vax Date: 02/23/2021
Onset Date: 02/28/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data:

Allergies: NA

Symptoms: Paralysis of face

Other Meds: NA

Current Illness: NA

ID: 1067386
Sex: F
Age: 27
State: MD

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

Lab Data:

Allergies: Food- fruits

Symptoms: Numbness and tingling on left side of body, strong for 4 days then turned into sometimes but still happening

Other Meds: CEFDINIR, XYZAL, BRIO INHALER, LARIN BIRTH CONTROL

Current Illness: UTI

ID: 1067387
Sex: M
Age: 23
State: MA

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

Lab Data:

Allergies: seasonal allergies to pollen

Symptoms: fatigue: started day after injection, lasted 2 days nausea: started day after injection, lasted 2 days chills: started day after injection, lasted 1 day arm soreness: started night after injection, resolved by the morning after

Other Meds:

Current Illness:

ID: 1067388
Sex: F
Age: 45
State: NY

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

Lab Data: none

Allergies: Dairy ( Not lactose intolarance) Sulpha

Symptoms: Asthma flair - 6 hr till 36 hrs after shot. Fever 101.1 24 hrs after vaccine Body Aches Site of injection Red, welt, hot Itchy. Took Asthma medication,, Tylenol

Other Meds: Quvar Zyrtec Nasocort Cymbalta

Current Illness:

ID: 1067389
Sex: F
Age: 57
State: OK

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

Lab Data:

Allergies: sulfa

Symptoms: Moderna COVID-19 Vaccine EUA. 12 hours after the vaccination, I started having chills and my temperature was 99.8 degrees F. I experienced chills, fatigue and a fever ranging from 99-100.4 degrees F for about 36 hours. I also had some nausea after 24 hours. Within 48 hours of the vaccination, I was back to normal. I was diagnosed with COVID-19 2 months before the date of the vaccine, but had been symptom free for about 6 weeks.

Other Meds: levothyroxin, st. john's wort, calcium, magnesium, lutein, Zyrtec

Current Illness: stomach virus, allergies

ID: 1067390
Sex: M
Age: 70
State: NY

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

Lab Data:

Allergies: No

Symptoms: Error by vaccine administration nurse, 0.2 mL given by nurse on 3/2/21 at clinic. Client was called at 4:22 pm and did not answer. Voicemail explaining situation with call back number was left.

Other Meds: Not known

Current Illness: Not known

ID: 1067391
Sex: F
Age: 45
State: NY

Vax Date: 02/26/2021
Onset Date: 02/28/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data:

Allergies: None known

Symptoms: Saturday 2/27/21: 11:20am onset of chills, sweating and fever, cough and difficulty breathing, fatigue, nausea Sunday 2/28/21: fine Monday 3/1/21: symptoms reappeared Tuesday 3/2/21: fine

Other Meds: Levothyroxine

Current Illness: None

ID: 1067392
Sex: F
Age: 70
State: GA

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

Lab Data: ENT / Allergist

Allergies: sulfa seasonal

Symptoms: Severe systemic rash all body involved, random patches and striped .

Other Meds: none

Current Illness: dry eyes

ID: 1067393
Sex: F
Age: 27
State: KY

Vax Date: 02/13/2021
Onset Date: 02/14/2021
Rec V Date: 03/02/2021
Hospital: Y

Lab Data: Kidney Infection (results from a CT Scan w/ contrast), Pancreatitis (urine, blood samples)

Allergies: N/A

Symptoms: Fatigue, headache, chest pains, side pains, stomach cramps, ovary aches, high blood pressure

Other Meds: Synthroid 50 mg., Valacyclovir 1 gram, Adderall 20 mg., Junel Fe 120, Vitamin D & E, Cymbalta 90 mg.

Current Illness: None

ID: 1067394
Sex: F
Age: 45
State: NY

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

Lab Data: received neurological evaluation. 3/1/2021 Likely concussion.

Allergies: none

Symptoms: got up to go to the bathroom in the middle of the night - felt slightly nauseated but did not vomit, also felt off balance. Fainted while leaving the room, fell backward and hit my head, elbow, and shoulder on the door frame. My husband heard the fall, and when he came to see what happened I was unresponsive. Took several minutes for me to regain consciousness. Have a large bump/bruise on the right side of my skull, above the right ear, a bruise on my right shoulder, and a bruise, abrasion and bump on my right elbow.

Other Meds: lexapro 15mg daily

Current Illness: none

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm