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: 1069505
Sex: F
Age: 73
State: WI

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

Lab Data: N/A

Allergies: lisonopril - uncontrollable coughing triggering RAD/SOB, biaxin (vomiting), dust (tickle in throat), lorabid (puruitius).

Symptoms: Patient alerted staff after 30 minute wait time that she was feeling some fullness/swelling to throat and some minor itching. Patient denies any difficulty breathing, no rash or systemic itching noted. Treatment/intervention VSS - patient appears in no acute distress is calm. VS at 0955 Pulse 93, BP 142/82 spo2 93% RA. Patient given 50mg PO Benadryl per protocol with sips of water. Patient denies any issues with swallowing. Lungs are course however, patient significant hx of COPD. Patient able to take deep breath without overt difficulty. Patient states after 10 minutes that her s/sx have subsided and she is feeling better. Advised to wait at least 15 minutes longer to ensure she is feeling better. Patient agreed to additional observation at clinic. VS remained stable after administration of PO Benadryl. 1015 - bp 138/76, P 92, spo2 95 percent. Patient stated no intention to go to walkin or ED - plans to go home, feels well. Patient counseled to report to ED with new or worsening s/sx and to contact PCP to update. Patient verbalized understanding.

Other Meds: citalopram, amlodipine, pantoprazole, fexofenadine, fluticasone, albuterol HFA, asa, tiotropium-oldaterol, calcium/vit D, MVI

Current Illness: unknown

ID: 1069506
Sex: F
Age: 0
State: OR

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

Lab Data:

Allergies: None

Symptoms: Redness at injection site size of a dime. Tender to the touch. Lump under injection site. Warmth and swelling at injection site

Other Meds: None

Current Illness: None

ID: 1069507
Sex: F
Age: 41
State: IL

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

Lab Data:

Allergies: N/A

Symptoms: I have a rash on my face. Itchy face and top of the head.

Other Meds: n/a

Current Illness: N/A

ID: 1069508
Sex: M
Age: 70
State: TX

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

Lab Data:

Allergies: NKDA

Symptoms: First vaccine was administered 1/29/2021 and second dose was administered on 2/9/2021. No adverse event per patient when contacted.

Other Meds:

Current Illness:

ID: 1069509
Sex: F
Age: 31
State: OH

Vax Date: 02/21/2021
Onset Date: 02/23/2021
Rec V Date: 03/03/2021
Hospital:

Lab Data: None

Allergies: Penicillins

Symptoms: 2 days after 2nd dose, developed headache feeling pressure behind eyes and vision out of focus at random. Headache is current and has lasted longer than 8 days

Other Meds: Estradiol

Current Illness: None

ID: 1069510
Sex: F
Age: 77
State: FL

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

Lab Data:

Allergies: Latex High Doses Codeine

Symptoms: Next day severe heat, swelling and pain at site. 2nd day severe heat, swelling and pain of entire upper arm 3rd day difficulty breathing, wheezing 4th day spasmodic coughing 5 - 12 day continued pneumonia like symptoms PLEASE NOTE: I HAD PNEUMONIA IN BOTH LUNGS AND WAS HOSPITALIZED FOR FIVE DAYS IN JUNE 2017. I HAD EMBOLISMS IN BOTH LUNGS, FLUID ON THE LUNGS, AND WAS ON OXYGEN FOR ABOUT 6 MONTHS, DAILY INITIALLY AND OCCASIONALLY AFTER 4 MONTHS. Treatment: I could not reach my physician despite repeated attempts. My pulmonologist had previously prescribed a protocol of prednisone and a z-pack should those symptoms recur. Day 6 after vaccine I began the protocol. Day 10 saw improvement in breathing and coughing. Day 14 symptoms resolved. Day 14 (Feb. 16) to Present (March 3) no unusual symptoms. Some nasal congestion and mild occasional wheezing, consistent with pollen season and my usual COPD symptoms. Thank you.

Other Meds: Fluoxetine Hydrochlorothiazide Gabapentin Montelukast Albuterol Glucosamine Triple Strength Omeprazole Occuvite Preservision Vitamin D Oxycodone

Current Illness: None

ID: 1069511
Sex: F
Age: 59
State:

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

Lab Data:

Allergies:

Symptoms: Lightheaded, facial pressure, "feeling like something stuck in throat" - Evaluated by EMS-Cleared

Other Meds:

Current Illness:

ID: 1069512
Sex: F
Age: 73
State: NY

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

Lab Data: none

Allergies: Penicillin

Symptoms: Localized irritation at injection site

Other Meds: Metformin, Jardiance, Ferrous Sulfate, Lisinopril and aspirin

Current Illness: Type 2 Diabetes

ID: 1069513
Sex: F
Age: 68
State: HI

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

Lab Data: Cardiac cath results showed critical aortic stenosis + severe coronary artery disease. Pt underwent AVR and CABG on 3/1/21

Allergies: Erythromycin Tramadol Visken

Symptoms: None at the time of vaccination. Pt admitted to ER on 2/25 with chest pain.

Other Meds: Metformin Gentamicin eye drops Irbesartan Ibuprofen Vascepa Atorvastatin

Current Illness: Aortic stenosis Asthma BMI 26-26.9 Calculus of L ureter Colitis Diabetes Essential tremor H/O tubal ligation HTN Hx appendectomy Hx degenerative disc disease Hyperlipidemia Nephrolithiasis Obesity Polycythemia

ID: 1069514
Sex: F
Age: 63
State: OK

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

Lab Data: None

Allergies: NKDA

Symptoms: Received injection on 02/23/2021. Left arm painful red and warm to touch for 4 days. On day 8, redness and pain returned with clavicular lymph node edema on left side.

Other Meds: Benazepril/hctz 20/12.5 Estradiol 0.1mg CA DHEA 10 mg SR Progesterone 200 mg SR Buffered Ascorbic Acid B- complex plus Vitamin D3 25mcg Saw palmetto Hylauronic acid Amino acid Probiotic GI Zinc 30

Current Illness:

ID: 1069516
Sex: F
Age: 73
State: AZ

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

Lab Data: none

Allergies: Sulfa

Symptoms: Swelling and redness, warm and painful to the touch, in 2 inch diameter around injection site

Other Meds: Alendronate Vitamin B3

Current Illness: none

ID: 1069517
Sex: F
Age: 66
State: MI

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

Lab Data: None yet.

Allergies: SULFA

Symptoms: Started around 1 p.m. with flu-like symptoms, i.e., fatigue, body aches, neck pain, headache. Around 3-4 p.m., developed facial rash, face redness. Flu symptoms dissipated the next day, but facial rash appears to be morphing to hives. Other note - I had COVID-19 in February 2020.

Other Meds: Proliera, multi-vitamin, fish oil, calcium, COQ10, 2.5 Ambien, GluCosamine, Magneseum

Current Illness: No

ID: 1069518
Sex: F
Age: 79
State: VA

Vax Date: 01/16/2021
Onset Date: 01/18/2021
Rec V Date: 03/03/2021
Hospital:

Lab Data: None

Allergies: No

Symptoms: Initial tissue reaction with erythema to us change, swelling, and pain on injected site and place, left arm has not subsided even in 6 weeks duration. Second shot on the rt. arm didn?t cause any problem. No warm sensation on injection site. She feels heavy on lifting her left arm and pain on motion of left arm above injection site. She has used arm sling to support lt. arm and took Advil occasionally, but no help. No fever elicited. I am very curious . Not sure what specialty dr to take her for further assessment. Similar repoRt?

Other Meds: No

Current Illness: No

ID: 1069519
Sex: F
Age: 25
State: OH

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 03/03/2021
Hospital:

Lab Data:

Allergies: Penicillin and sulfa meds

Symptoms: The day after I received my vaccine, I had extreme fatigue, chills, body aches, and felt feverish. I also had severely painful swollen axillary lymph nodes on the same side that I received my injection. I was not able to work or do any of my daily activities for almost three days. Then on day 7 after receiving my first vaccine dose, I developed a itchy, painful, red rash and hives surrounding the injection site (about a two to three inch radius around the injection site. I also got hives and red itchy painful skin on my face. I went to an urgent care and was prescribed prednisone and a week of pepside and zyrtec. After a week I stopped taking the allergy meds and then the hives came back, so I kept taking the allergy meds until my second vaccine dose.

Other Meds: Oral contraceptive pills

Current Illness: None

ID: 1069520
Sex: F
Age: 52
State: LA

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

Lab Data:

Allergies: Morphine, Ciprofloxacin, Bactrim

Symptoms: Anaphylaxis. 2 EpiPens, 50 mg Benadryl PO. Was with patient for 2 hours before ambulance arrived. Tingling and numbness to lips, tongue and mouth. Swelling of lips. Pruritis of throat. Dry unproductive cough. "Feel like I'm being strangled". Grogginess (may have been due to Benadryl). Disorientation. Increase in blood pressure. Increased respiratory rate and labored breathing. Left chest discomfort (non-radiating). Hoarseness. Appeared syncopal and weak.

Other Meds: Advair Diskus albuterol sulfate cephalexin doxycycline hyclate fluconazole fluoxetine fluticasone propionate methylprednisolone nitrofurantoin monohyd/m-cryst phenazopyridine promethazine gel 25mg/ml

Current Illness:

ID: 1069521
Sex: F
Age: 61
State: ID

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

Lab Data:

Allergies:

Symptoms: Injection site pain developed the evening of the vaccine administration and continued for several days. Two days later she developed redness around the injection that over several days appeared to spread. Today the redness is subsiding as well as the pain.

Other Meds:

Current Illness:

ID: 1069522
Sex: F
Age: 49
State: FL

Vax Date: 01/09/2021
Onset Date: 01/10/2021
Rec V Date: 03/03/2021
Hospital:

Lab Data:

Allergies: Adhesive, Chlorhexidine

Symptoms: I exp rash in the same area as the injection site required a prescribed cream medication.

Other Meds: Omeprazole, Atenolol, Vit D, Vit C,Vit A, Creel Oil?,Baby Aspirin, Benadryl,Emgality

Current Illness: No

ID: 1069523
Sex: F
Age: 55
State: MN

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

Lab Data: None needed

Allergies: Penicillin Clindamycin

Symptoms: The day after the second dose, I felt flu-like symptoms including body aches, lack of energy, and nausea. The following day, the body aches and lack of energy persisted. By day three these symptoms had disappeared. I had a very sore arm (around site of the injection) for the first three days then a slightly sore arm for another three days. Unlike the first dose, I did not have a rash around the injection site with the second dose.

Other Meds: Levothyroxine Estrogen Progesterone

Current Illness: None

ID: 1069524
Sex: M
Age: 41
State: TX

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

Lab Data:

Allergies:

Symptoms: Patient was vaccinated with Pfizer #1 on Monday 3/1/2021. He received a second invitation for vaccine in error, signed up, and was vaccinated a second time with Pfizer #2 on 3/2/2021. Patient could not give a reason why he thought the vaccine was due the next day. No adverse outcomes or symptoms reported. Patient was advised to check wiht his regular doctor.

Other Meds:

Current Illness:

ID: 1069525
Sex: F
Age: 61
State: CA

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

Lab Data: None

Allergies: Mustard, pysillium

Symptoms: Severe malaise for 5 days, fever with chills 48 hours, headache for 36 hours, shortness of breath 4 days, hard grapefruit size lump on injection site, generalized muscular pain x e days

Other Meds:

Current Illness: None

ID: 1069526
Sex: M
Age: 58
State: MA

Vax Date: 02/25/2021
Onset Date: 02/28/2021
Rec V Date: 03/03/2021
Hospital:

Lab Data: None done.

Allergies: Latex, sulfonamides

Symptoms: 02/28/2021 9:30PM onset of fever 99.8-102F lasting to morning of 03/01/2021, onset of numbness in the oral cavity with numbness and swelling of the tongue on until end of 03/02/2021, onset of pain in the left deltoid injection site with traveling pain and numbness to left fingers 03/01/2021 until 03/02/2021. On 03/03/2021 symptoms are resolved.

Other Meds: aspirin, atorvastatin, Boost Oral supplement, vitamin D3, clonazepam, combivent respimat, vitaminB12 injection, dulcolax, flucanazole, lactobacillus acidophilus, lactulose, lisinopril, magnesium citrate, Tylenol extra strength, miralax, ola

Current Illness: Chronic abdominal pain

ID: 1069527
Sex: F
Age: 75
State: PA

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

Lab Data: VS: BP 172/88; P 76; RR 22; O2 Sat: 99%

Allergies: None

Symptoms: Patient experienced chills and flushing minutes after vaccine administration. Vital Signs stable. Spontaneous improvement. No medications offered.

Other Meds: Unknown

Current Illness: History of cancer and transplantation

ID: 1069528
Sex: F
Age: 45
State: CA

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

Lab Data: None

Allergies: None prior to vaccine. Noted 1-2 weeks after vaccine, having allergy symptoms to shrimp, fish, and beef.

Symptoms: Day after 2nd dose COVID19 vaccine, patient reports feelings cramps/pain in both legs/calves. Still persisting daily 1 month after 2nd dose vaccine. Did not have reaction after 1st dose COVID19 vaccine.

Other Meds: Nexplanon birth control implant

Current Illness: Headache for 2 weeks after 1st COVID19 vaccine dose

ID: 1069529
Sex: M
Age: 41
State: TX

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

Lab Data:

Allergies:

Symptoms: Patient was vaccinated with Pfizer #1 on Monday 3/1/2021. He received a second invitation for vaccine in error, signed up, and was vaccinated a second time with Pfizer #2 on 3/2/2021. Patient could not give a reason why he thought the vaccine was due the next day. No adverse outcomes or symptoms reported. Patient was advised to check wiht his regular doctor.

Other Meds:

Current Illness:

ID: 1069531
Sex: M
Age: 69
State: AZ

Vax Date: 02/16/2021
Onset Date: 02/20/2021
Rec V Date: 03/03/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Extremely high blood sugars and becoming insulin resistant four over two weeks after the shot

Other Meds: Insulin

Current Illness: None

ID: 1069532
Sex: F
Age: 72
State: TX

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

Lab Data: None.

Allergies: Codeine.

Symptoms: Chills beginning the night of the injection and continuing to today.

Other Meds: PreserVision, Baby Aspirin, Multivitamin, sleep-aid Diphenhydramine HCI 25 mg.

Current Illness: None.

ID: 1069533
Sex: F
Age: 45
State: MO

Vax Date: 03/02/2012
Onset Date: 03/03/2021
Rec V Date: 03/03/2021
Hospital:

Lab Data: no

Allergies: wasp

Symptoms: pt stated stated she woke up vomiting the next morning after receiving the vax. She also has developed flu like symptoms. Body aches, headache, chest pain, chills, abdominal cramps and diarrhea. Pt states she has not contacted her PCP at this time.

Other Meds: estradiol .5mg, losartan 25 mg, vitamin B12 1000 mcg, biotin 5000 mcg, multivitamin

Current Illness: no

ID: 1069534
Sex: F
Age: 52
State: IL

Vax Date: 02/06/2021
Onset Date: 02/07/2021
Rec V Date: 03/03/2021
Hospital:

Lab Data: None

Allergies: Medication - Sulfa

Symptoms: Headache, fatigue, and slight dizziness.

Other Meds: Perscriptions - Triamterene 37.5 Mg, Estradiol 1 Mg Supplments - B12 1000mcg, D3 2000 IU 50mcg, Biotin 1000 mcg, Turmeric Curcumin 1500mg, One a Day +50 Multivitamin. E 180 mg.

Current Illness: None

ID: 1069535
Sex: F
Age: 77
State: NJ

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

Lab Data:

Allergies: PENICILLIN CLYNDOMYACIN SHELLFISH

Symptoms: PAIN IN ARM VACCINATION SITE - TO DATE. RUNNY NOSE - TO DATE HEADACHE - TWO DAYS SHORTNESS OF BREATH - TO DATE RASH AND HIVES ON HANDS, RIGHT ARM, AND FACE. TO DATE

Other Meds: NONE, TOOK MEDICATION AFTER THE SHOT.

Current Illness: DIABETES HYPOTHYROIDISM ALLERGIES

ID: 1069536
Sex: F
Age: 47
State: ID

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

Lab Data: Blood test - 2/8/2021 - showed high blood glucose due to Prednisone administered in the second ED visit. All else normal.

Allergies: Penicillins: anaphylactic shock

Symptoms: SEVERE swelling of tongue, lips, mouth lining, throat; "waxy coating feeling" in lungs - began 20 minutes after vaccination to 4 days after - went to Emergency Department at 30 minutes after vaccination and received IV medication and epipen shot to R thigh. Subsided before leaving ED, but returned in more mild state the next day - managed by OTC Benadryl and allergy meds. Symptoms returned again at approx 39 hours and returned to Emergency Department again for more IV medications. Asthma attacks - started in the Emergency Department on first day and have continued to today 3/3/2021. Prior to vaccination, I used inhaler approx 1x every 60 days at most. Have gone more than a year without using one. After vaccination, used inhaler the same evening and then 12 times the next day, and several times before going to ED again, and have had to use it daily since. This morning 3/3/2021, woke at apprise 2:30-3:00 am with an attack that needed 2 doses to subside, and then again at 8:30 this am about 1.5 hours after waking. Burning on tongue with sores on outer sides, metallic/burning/no taste - began 20 minutes after vaccination continuing to today. Rash on face - began in Emergency Department on first day and continues to today. Began using Cortizone yesterday 3/3/2021. Rash and hives on neck, chest - began in Emergency Department on first day and subsided next day after allergy medications in ED and OTC allergy medications that night. Headache - sudden onset 25 minutes after vaccination. Returned that evening after first ED visit. Returned the following day. Returned the third day. Subsided the fourth day. Used ibuprofen and acetaminophen to manage.

Other Meds: All of these stopped that same day because of adverse reaction. Last taken the night before. Valsartan 160mg Trazodone 50mg Vitamin E 1000u Flaxseed 1000u Vitamin D3 10,000u Multivitamin 1 cap

Current Illness: None

ID: 1069537
Sex: F
Age: 68
State: TX

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

Lab Data:

Allergies:

Symptoms: First dose administered 1/29/21 and second dose was administered on 2/9/21. No adverse reaction reported by patient.

Other Meds:

Current Illness:

ID: 1069538
Sex: F
Age: 40
State: NC

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

Lab Data: 3/3/21: Solumedrol 125mg IV, Epi pen 0.3mg, Benadyrl 50mg IV, Pepcid 20mg IV-> resolution of symptoms after treatment discharged from ER with epi pen and scheduled for follow up with her primary care doctor

Allergies: Latex (angioedema)

Symptoms: 10 minutes after getting her first COVID-19 vaccine, patient experienced L sided numbness and tingling of her face, 5 minutes later this was followed by a globus sensation. Patient had CN 2-12 grossly intact and 5/5 muscle strength of the upper extremity. She had a patent airway without stidor. She was able to swallow liquids. Due to her history of angioedema, she was evaluated by EMS and sent to ED for further evaluation.

Other Meds: -WelChol 625mg - two tablets by mouth 2x per day (for IBS) - Zyrtec 10mg - 1 tablet by mouth once per day - Prilosec 20mg - 1 tablet 2x per day by mouth -Zofran 4mg - as needed for nausea -Zoloft 50mg - 2 tablets by mouth daily - Vitam

Current Illness:

ID: 1069539
Sex: F
Age: 25
State: OH

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

Lab Data:

Allergies: Penicillin and sulfa meds

Symptoms: I had severe nausea, a low grade fever, aches, chills, and moderate fatigue that prevented me from working or daily activities for two days. By day 1 after the vaccine I also had hives and a rash at the injection site. A week after my second dose, I also had more hives pop up on my face and a bit at the injection site. And every few weeks, I have a few come up at the injection site and on my face, and then they go away.

Other Meds: Oral contraceptive pills, zyrtec, pepsid, benedryl

Current Illness: Just my adverse reaction to the first vaccine dose which I reported in a separate report

ID: 1069540
Sex: F
Age: 70
State: NJ

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

Lab Data: none

Allergies: gluten, honey, strawberries, fragrances, food coloring, tapioca, ice cream, red meat, chemical additives, pollen, melon, tomatoes

Symptoms: fever, chills, itching at injection site followed by severe pain in upper and lower left arm, no urine output for 24 hrs, vertigo, fatigue, severe stabbing pains in face and head, stiff neck, no appetite, difficulty swallowing, pain in joints, chest pain, pain across upper back, stomach pain,. Symptoms lasted for 3 to 4 days. Severe head pain lasted 4 days. Could not raise left arm for 24 hrs after injection. After 6 days fatigue and general malaise still present. Stomach pain still comes and goes.

Other Meds: none

Current Illness: none

ID: 1069542
Sex: F
Age: 50
State:

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

Lab Data:

Allergies:

Symptoms: "The shot itself was very unpleasant, the vaccine stung. The nurse was concerned about this since it shouldn?t cause any discomfort at all. Other than immediate onset of a painful injection site no other symptoms occurred until later in the evening. I started feeling kind of yucky before I left work but nothing specific. By the early evening I was running a low grade fever and having muscle and joint pain. I didn?t sleep very well due to body aches and severe organ pain. At one point I woke up because my heart was beating so hard and fast I could feel it in my forehead. My lips and eyes were swollen and my neck was visibly swollen as well, I think due to the lymph nodes in my neck. My throat was some swollen but not enough to cause a breathing issue. The heartbeat issue didn?t last terribly long. I took a Benadryl to try and stop the reaction. I ran fever of a 102 give or take a few degrees either way for 2 ? days. In addition, the injection site and whole shoulder area was swollen and hot with redness that wrapped around the front of my arm."

Other Meds:

Current Illness:

ID: 1069543
Sex: F
Age: 56
State: NM

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

Lab Data: WBC 9.3, Sodium 139, Potassium 3.8, Chrloride 106, Creatinine 0.71, Glucose 141, Calcium 10.6

Allergies: N/A

Symptoms: Sensation of throat swelling/closing and shortness of breath

Other Meds: Citracal D3 slow release, Potassium Chloride, Ferrous Sulfate, Prenatal Vitamin

Current Illness: N/A

ID: 1069544
Sex: M
Age: 72
State: NC

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

Lab Data: None

Allergies: None

Symptoms: Sore arm, achiness and low-grade fever the afternoon following the date of second shot. Took Advil. Felt better by evening.

Other Meds: Zetia, Pravastatin, Omeprazole, Aspirin 81 mg, Omega 3Sildenafil Tab

Current Illness: Fluid build-up in left ear, took Amoxicillin and Flonase during month prior to second dose

ID: 1069545
Sex: M
Age: 50
State: CA

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

Lab Data: None

Allergies: Penicillin

Symptoms: The night of the vaccine woke up with chills, headache, muscle aches. Following evening I had a fever of 100.5, chills, headache, and fatigue.

Other Meds: Propanolol, ibuprofen, acetaminophen, flonase

Current Illness: None

ID: 1069546
Sex: F
Age: 49
State: FL

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

Lab Data:

Allergies: Adhesive,Chlorhexidine,Blood test allergic to Shellfish

Symptoms: I had extreme nausea, bone crushing pain, fever 100.2,chillshot flashes,sweats headaches, joint pain and chest pain. Also exp arm rash right arm at the injection site. The symptoms lasted 36 hrs.

Other Meds: the same as Dose 1 Pt stated

Current Illness: No

ID: 1069547
Sex: M
Age: 52
State: NC

Vax Date: 02/19/2021
Onset Date: 02/20/2021
Rec V Date: 03/03/2021
Hospital:

Lab Data: Comprehensive Metabolic Panel Site / Specimen 25 Feb 2021 1542 Albumin SERUM 4.6 Bilirubin SERUM 0.69 Calcium SERUM 9.0 Chloride SERUM 106 Creatinine SERUM 0.90 Carbon Dioxide SERUM 23 Glucose SERUM 113 (H) Alkaline Phosphatase SERUM 97 Potassium SERUM 4.3 Protein SERUM 6.8 Sodium SERUM 142 Aspartate Aminotransferase SERUM 16 Alanine Aminotransferase SERUM 20 Urea Nitrogen SERUM 10.0 Albumin/Globulin SERUM 2.1 GFR Calculated Non-Black SERUM >90 GFR Calculated Black SERUM >90 Osmolality Calculated SERUM 283 Anion Gap SERUM 17 CBC W/Diff Site / Specimen 25 Feb 2021 1542 WBC BLOOD 5.3 RBC BLOOD 4.48 Hemoglobin BLOOD 13.7 Hematocrit BLOOD 40.4 MCV BLOOD 90.2 MCH BLOOD 30.5 MCHC BLOOD 33.8 RDW CV BLOOD 14.1 Platelets BLOOD 183 MPV BLOOD 8.6 ABS Neutrophils BLOOD 2.2 Neutrophils BLOOD 42.7 (L) ABS Lymphocytes BLOOD 2.0 Lymphocytes BLOOD 37.8 ABS Monocytes BLOOD 0.9 Monocytes BLOOD 16.3 (H) ABS Eosinophils BLOOD 0.1 Eosinophils BLOOD 2.4 Basophils BLOOD 0.8 ABS Basophils BLOOD 0.0 Differential Manual Site / Specimen 25 Feb 2021 1542 Neutrophils Segmented BLOOD 41 (L) Lymphocytes % BLOOD 32.0 Monocytes % BLOOD 17.0 (H) Platelet Estimate BLOOD ADEQUATE Atypical Lymphocytes % BLOOD 9 RBC Morphology BLOOD ABNORMAL Anisocytosis BLOOD SLIGHT Microcytes BLOOD SLIGHT Macrocytes BLOOD SLIGHT Polychromasia BLOOD SLIGHT Ovalocytes BLOOD OCCASIONAL RBC Crenated BLOOD OCCASIONAL Neutrophils Band Form % BLOOD 1

Allergies: Amoxicillin

Symptoms: 52-year-old male reports developing multiple HSV simplex lesions around his upper lips within 24 hours of receiving the second Covid 19 vaccine. Patient has had HSV-1 lesions before but never to this extent; patient is otherwise stable and afebrile. He has no radicular pain. Labs are ordered for CBC and a CMP. The vaccine support center was called at approximately 3:35 PM and message left. The vaccine support center was called again on February 26, 2021 at approximately 9:20 AM. Provider spoke with NP for consultation. VAERS CDC report advised. No further action required. Antiviral medication was not offered due to the fact that patient was on day 6 post outbreak and out of the window of opportunity to treat acutely.

Other Meds: cholecalciferol (vitamin D3), 2,000 unit, TABLET, ORALTAKE ONE TABLET BY MOUTH EVERY DAY. - Metformin 500mg 24 Hr sustained release tablet, Oral TAKE TWO TABLETS BY MOUTH EVERY DAY WITH EVENING MEAL - Lipitor 40mg Oral Tablets; Take o

Current Illness: Fever and headache within 24 hours of second dose of COVID vaccine (2/20/21)

ID: 1069548
Sex: F
Age: 46
State: MD

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

Lab Data: COVID 19 neutralizing antibody

Allergies: Foods- Peanuts, Tree Nuts, Shrimp, Crab, Mango and pit fruits

Symptoms: Swelling, burning, pain and rash at the injection site Delayed hypersensitivity reaction- angioedema of the eyes and nose, redness and rash, nausea and GI distress

Other Meds: Junel FE B-Complex Vitamin Vitamin D 5000 IU

Current Illness:

ID: 1069549
Sex: F
Age: 84
State: CT

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

Lab Data:

Allergies:

Symptoms: CHEST TIGHTNESS, CHEST PAIN, DYSPNEA, MYALGIA BEGINNING 48 HRS AFTER VACCINE WAS GIVEN, LASTING > 48 HOURS. GRADUAL DISSIPATION IS NOTED.

Other Meds:

Current Illness:

ID: 1069550
Sex: F
Age: 67
State: IL

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

Lab Data: not known

Allergies: Gluten, Metronidazole, Furosemide, Cephalexin Monohydrate, Prednisone, Bee Sting, Cat Dander, Environmental

Symptoms: Immediate burning sensation to left deltoid. Patient given ice for application with positive effect. Patient remained in observation for 30 minutes and was without discomfort at discharge.

Other Meds: Famotidine, Montelukast, Rachel's Digestive Tea, Goli Apple Cider Vinegar Gummy, Vitamin C, Vitamin D3, Calcium-Magnesium-Zinc, Ipatropium Nasal Spray

Current Illness: Allergic rhinitis, IBS, pancolonic diverticulosis, GERD, sore throat, anxiety

ID: 1069551
Sex: M
Age: 35
State: CO

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 03/03/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Patient reports that he got the first COVID-19 vaccine on 2/9/2021 By that night some pain in injection site Around noon the next day he got hives everywhere, all over. +itchy They were super raised swollen and everywhere. There was swelling face and neck were starting to get puffy No shortness of breath or inside mouth swelling He took benadryl several times Took over 24 to 48 hours for the hives to resolve

Other Meds: RETIN-A 0.1 % Top Crea Apply a pea size amount to face daily at bedtime for cosmetic use FLUTICASONE 50 MCG/ACTUATION NASL SPSN inhale 2 sprays in each nostril once daily for allergies/nasal congestion

Current Illness: None

ID: 1069553
Sex: F
Age: 65
State: WA

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

Lab Data: COVID test pending.

Allergies:

Symptoms: Started having fatigue, low grade fever, headache, injection site pain and body aches 1 day after vaccination that lasted for three days. She had two days of feeling normal and symptoms started again yesterday with the addition nausea and diarrhea.

Other Meds:

Current Illness:

ID: 1069554
Sex: F
Age: 69
State:

Vax Date: 01/31/2021
Onset Date: 02/04/2021
Rec V Date: 03/03/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 5 days after receiving the first vaccine patients psoriasis flared up. Hands and feet were still itching at the time of this call (2/15/2021).

Other Meds:

Current Illness:

ID: 1069555
Sex: M
Age: 70
State: WA

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

Lab Data:

Allergies:

Symptoms: Low level flu like feelings-5 days. Persistent headache for 7 days. Blurred vision-7 days.

Other Meds: Prednisone, Atenolol, Felodipine, Plumicort, Certirizine, Montelukast Sodium, Spironolactone, Hydrocodone Acetaminophen, Albuterol Inhaler.

Current Illness: Liver Cancerous lesions, Cirrhosis, High Blood Pressure, COPD, severe environmental allergies-grasses-tree pollens.

ID: 1069556
Sex: F
Age: 31
State: WI

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

Lab Data:

Allergies: No known drug allergies. Sneezing with some environmental allergies -- details not available.

Symptoms: Background on first covid-19 vaccine dose: Patient received her 1st dose of Pfizer covid-19 vaccine at vaccine clinic on 1/12/21 (this clinic is outside of the Health- system). Pfizer vaccine lot# EN3249 left deltoid. She was sent to an emergency department due to dizziness, nausea (ondansetron given in route). Given diphenhydramine in ED. Work up in the ED suggested anxiety reaction/stress response surrounding vaccine rather than an allergic reaction to the vaccine itself. Reported incident related to 2nd dose: Patient received 2nd dose of Pfizer coivd-19 vaccine lot #EN6206 on 2/25/21 at Vaccine Clinic (seen there instead of Center) to allow for closer monitoring. She pre-medicated with 50mg of diphenhydramine on 2/25/21 at 1200 per her PCP's recommendation. She was monitored in the covid vaccine clinic waiting area where at 1310, she felt shaky, pressure headache, and body feeling tight. BP 155/110, HR 90, RR 24, SpO2 100%. had patient lie down. 1325: BP 155/103 HR 90, RR 24, O2 99%. same symptoms as listed above. 1340: BP 150/101. patient reports shorter quicker breathing. O2 WNL and RR 24. 1400: BP 143/98. Patient reports body feeling very exhausted which is what happened with the first shot. No other change in symptoms. 1430: patient up the bathroom using wheelchair, able to stand on own two feet to void, but reports feeling weak. 1445: BP 135/91. Pt not feeling better, but states she feels ok to go home. encouraged patient to continue to rest and find a ride home. Pt is in agreement. 1515: BP 135/99. Patient rested until 1615 and a friend came to pick her up. Wheeled out in wheelchair and able to get into car on own two feet. Seen in PCP clinic on 2/26/21 for BP monitoring/follow up. Pt?s BP 130/80. Pt reports feeling fine. Denied shortness of breath/chest pain/pressure/palpitations. Pt has never had this type of reaction to other vaccines. BPs in clinic over the past year have mostly been 120-130s/70-80s.

Other Meds:

Current Illness:

ID: 1069557
Sex: F
Age: 66
State: MA

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

Lab Data:

Allergies: Mango; adhesive tape; neomycin; PCN; sulfa; influenza vaccine 2009-2010 season

Symptoms: None stated.

Other Meds: Nystatin 100,000 units cream; albuterol 90mcg; oxybutynin 10mg; cholecalciferol 1000 units

Current Illness: None. Wellness visit on 2/1/2021

ID: 1069558
Sex: M
Age: 38
State: NY

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

Lab Data:

Allergies: Dust mites

Symptoms: 1 week after the vaccine my left arm/shoulder was sore and I noticed a firm itch welt at the site of the injection.

Other Meds: Descovy for prep, melatonin, antacids

Current Illness: Na

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm