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: 0947223
Sex: F
Age: 87
State: TX

Vax Date: 01/04/2021
Onset Date: 01/11/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: None

Allergies: No Known allergies

Symptoms: Patient presents with itchy red rash since 1/11/21. Some relief with hydrocortisone. She does not remember any trauma to the area. No new meds/ soaps/ detergents. No close contacts with similar symptoms.

Other Meds: Advair, amiodarone, Vitamin C, biotin, Calcium Citrate w/D, Denosumab, Diclofenac, ferrous sulfate, Fluticasone nasal spray, Furosemide, Hydroxychloroquine, losartan, singulair, multivitamin, pantoprazole, PEG3350, Tramadol

Current Illness: None

ID: 0947224
Sex: F
Age: 52
State: IN

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies: sulfa drugs

Symptoms: I got my 2nd dose on Wednesday and felt fine all night. On Thursday, I started to have a low grade fever with body aches and tiredness. On Thursday night about 6pm, I developed severe swelling under my left arm and down the left side of my ribs.

Other Meds: Lisinopril 15mg daily, vitamins D and calcium

Current Illness: none

ID: 0947225
Sex: F
Age: 24
State: FL

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies: Amoxicillin, penicillin

Symptoms: Low-grade fever: 100 F less than 12 hours after, broke next morning Headache: Right after vaccination, still occurring Blurry vision: 1 hour after vaccination, ended around 5-6 hours later Sore arm: Right after vaccination, still occurring Body aches: Day after vaccination, still occurring Body chills: Less than 12 hours later, still occurring Out of breath: Day after vaccination, still occurring

Other Meds: Birth control, hydroxyzine

Current Illness: NA

ID: 0947226
Sex: F
Age: 44
State: NM

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies: bactrim, ciprofloxacin - rash/hives

Symptoms: itching, lip swelling - started ~45 minutes after vaccine administration, resolved w benadryl

Other Meds: methotrexate, Humira, folic acid, omeprazole

Current Illness: none known

ID: 0947227
Sex: F
Age: 57
State: NC

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: cbc comprehensive panel pt/ptt d dimer

Allergies: Sulfa

Symptoms: low grade fever Shakes Cold numb hands fingers blanch white blood pressure drop 70/40 severe body aches diarrhea nausea

Other Meds: Duloxetine Amitiza Sulindac Estradiol Vitamins A, E Glucosamine

Current Illness:

ID: 0947228
Sex: M
Age: 66
State:

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: Diaphoretic and dizzy

Other Meds: Messaline 2400mg , Amlodipine besylate 5mg, Lipitor 20mg, Advair

Current Illness: No

ID: 0947229
Sex: F
Age: 60
State: WI

Vax Date: 01/14/2021
Onset Date:
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies: sulfa and vicodin

Symptoms: About 8 hours after getting the vaccine, I got a headache , chills and body aches that lasted about 12 hours.

Other Meds: Iron, vitamin c , tums, baby asprin. d vitamin, cetirizine HCL

Current Illness: none

ID: 0947230
Sex: F
Age: 48
State: UT

Vax Date: 01/07/2021
Onset Date: 01/11/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: 4 days after getting the Moderna #1 vaccine, my left armpit has swelled up and in pain. Swelling seems to be the lymph node, but it also moving down the side of my armpit and is painful.

Other Meds: Amour 90 mg thyroid pill

Current Illness: none

ID: 0947231
Sex: F
Age: 30
State: OH

Vax Date: 01/07/2021
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: Covid pcr

Allergies: Egg Lettuce Lorabid

Symptoms: Cellulitis with fever & pain into left axillary. Benadryl & doxycycline prescribed. Severe symptoms started 7 days s/p injection

Other Meds: Prozac

Current Illness:

ID: 0947232
Sex: F
Age: 47
State: MN

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Symptoms began roughly 12 hours post vaccination Pain in left armpit into her chest and neck. Reports red solid rash in both armpits and a quarter sized red patch at the injection site. Notes One instance of diarrhea.

Other Meds:

Current Illness:

ID: 0947233
Sex: F
Age: 56
State: NY

Vax Date: 01/01/2021
Onset Date: 01/15/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: Covid 19 pcr

Allergies: None

Symptoms: Fever chills fatigue arm pain upset stomach bradycardia

Other Meds: Levothyroxine. Livalo

Current Illness: None

ID: 0947234
Sex: F
Age: 68
State:

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient reports sudden pain and loss of muscle control in the forearm. She says she would be doing regular functions and lose control. Also reports headache, sore throat and generally unwell, also reports body ache and fatigue.

Other Meds:

Current Illness:

ID: 0947235
Sex: M
Age: 63
State: KS

Vax Date: 12/31/2020
Onset Date: 01/01/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: None

Allergies: Adhesive - Clorospan

Symptoms: Started running, body aches, chills and experiencing extreme fatigue about 11 hours after injection. Took Tylenol and drink plenty of fluids. Reports being sick for about 48 hours.

Other Meds: metformin co-Q 10 Baby Aspirin Amloydipine Lisinopril Clonodine

Current Illness: None

ID: 0947236
Sex: F
Age: 49
State: FL

Vax Date: 01/06/2021
Onset Date: 01/09/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: fatigue, difficulty swallowing, runny nose

Other Meds: Levothyroxine 75mcg

Current Illness: N/A

ID: 0947237
Sex: F
Age: 27
State: NJ

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: severe nausea and vomiting for four hours. Aches and chills and fever.

Other Meds: Citalopram Birth control

Current Illness: none

ID: 0947238
Sex: F
Age: 65
State: TX

Vax Date: 12/20/2020
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: None.

Allergies:

Symptoms: Redness (size of silver dollar), tenderness and swelling at injection site occurred immediately after injection. Redness and tenderness went away after 3 days, however lump at injection site remained. Redness and skin irritation suddenly appeared 2 weeks after injection along with slight chill sensation up and down arm. Skin around injection site is very sensitive to touch. I can see exactly where the injection was given 2 weeks ago as the needle entrance point is red. I have applied Benadryl spray to the injection site and applied a bandage to prevent irritation from clothing rubbing site.

Other Meds: Omeprazole, Calcium, Vitamin D3, Magnesium, Multivitamin, Preservision, B12, Melatonin

Current Illness: None

ID: 0947239
Sex: F
Age: 43
State: OH

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: None

Allergies: Amoxicillin, Avelox, sulfa drugs, chromic sutures

Symptoms: Moderna COVID-19 Vaccine EUA Around 4pm on January 14th, left upper arm began to swell and feel sore, becoming very painful, radiating down left arm and up left shoulder and had pins and needles in my left hand and could not really lift my left arm. Around 5pm I began developing a headache. At 6:30pm I developed a 101 degree fever, and took ibuprofen 600mg, my headache was more severe, I had chills, body aches and my left clavicle became swollen. My heart was pounding and I felt short of breath. The racing heart and breathing resolved by 8pm. By 1am on January 15th my fever was 101.8, I had significant swelling in my left arm, left shoulder, back of my neck, upper back, and back of my head. I had a severe headache. I took ibuprofen 600mg at that time. The swelling improved by 3am. By 8:30 am my fever was 100.7. I took 600mg of ibuprofen again and by 9:30am my temperature was 99.8 degrees. I continue to have a mild headache and fatigue.

Other Meds: Hydroxychloroquine, estradiol

Current Illness: None

ID: 0947240
Sex: M
Age: 38
State: TX

Vax Date: 01/06/2021
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: small rash/redness 8 days after injection

Other Meds: Amlodipine 2.5 mg; multi vitamin

Current Illness: none

ID: 0947241
Sex: F
Age: 75
State: NC

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: NA

Allergies: NA

Symptoms: Patient reports tingling in Left arm following vaccine administration. Tingling went from site of injection down arm to 4th and 5th fingers on left hand. Declines any headache, dizziness, numbness. Can feel touch to hand/fingers

Other Meds: NA

Current Illness: NA

ID: 0947242
Sex: M
Age: 30
State: CA

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Redness, warmth, pronounced hard painful mass at site one day after and lasting for about 8 days. Generalized myalgia daily on arising in the morning lasting for a few hours in the morning. Occasional headaches with shoulder soreness.

Other Meds: None

Current Illness: None

ID: 0947243
Sex: F
Age: 28
State: CO

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: Blood culture X 2 (1/11/2021) - no growth to date

Allergies:

Symptoms: Around 7:30 PM on 1/11/2021, patient started to experience fever, diffuse sharp chest pain with body aches, and myalgias. Patient was COVID+ in October 2020. Patient presented to the emergency department and was treated as a sepsis alert and received fluids, ceftriaxone, and ibuprofen with good response. Labs were as follows: Bilirubin and transaminases are normal, D-dimer is normal, serum lactate is normal, EKG is nondiagnostic with prolonged QT, troponin is negative.

Other Meds: amoxicillin (vomiting), metronidazole (vomiting), oxycodone (itching)

Current Illness:

ID: 0947244
Sex: F
Age: 62
State: ME

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Second dose of Pfizer vaccine was administered too early, at day 15. Individual is reporting muscle pain, fever, and headache

Other Meds:

Current Illness:

ID: 0947245
Sex: F
Age: 56
State: MD

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: Eye exam

Allergies: No

Symptoms: Started right side of head sharp pain then developed multiple skin rash with blister. Went to Dr after 7dsys.confirmed as Shingle.

Other Meds: Vitamin D Omega3 Crill oil Calcium

Current Illness: No

ID: 0947246
Sex: F
Age: 28
State: CA

Vax Date: 12/18/2020
Onset Date: 12/18/2020
Rec V Date: 01/15/2021
Hospital:

Lab Data: echo ordered 1/14/21 not yet completed

Allergies: none

Symptoms: Hours after first COVID vaccine 12/18 developed facial and lip swelling then urticaria on arms and nonpruritic, erythematous rash chest to thighs. Woke that night with tachycardia to 220's. Tachycardia of varying degree and severe diaphoresis was constant through the next 72 hours. Did not seek care. Since then, for 3 weeks she has had multiple runs of SVT. Last one was Saturday 1/9 - went to ER, episode recorded. Given rx of xanax which did not resolve her tachycardia. Established care with me 1/14/2021 and noted to have 3/6 systolic murmur. Patient (who is a PA) states it is significantly louder than it was prior to vaccination. Given rx of prn propranolol for home, outcome pending

Other Meds: none

Current Illness: none

ID: 0947247
Sex: F
Age: 34
State: MN

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies: Penicillin, Nitrile gloves, adhesives, anything with nuts, oysters, poison ivy,

Symptoms: Half hour after vaccine complained of itchy chest, shoulders, back, arms, ears and neck. within 1 hour you blotchy non-raised rash to chest, front of shoulders, back. Seen in Urgent Care rash traveled down arms. Treated with Zyrtec, Pepcid. At bedtime Benadryl and Zyrtec x 7 addition days. 1/15 doing better, still has rash on neck and arms.

Other Meds: vitamin, birth control

Current Illness: none

ID: 0947248
Sex: M
Age: 36
State: MN

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: None

Allergies: NKDA

Symptoms: Pt had injection just below acromion, inappropriate site. Likely into subdeltoid bursa. Developed severe pain w/ AROM of left shoulder a few hours later that persisted into the next day .Suspect bursitis.

Other Meds: none

Current Illness: None

ID: 0947249
Sex: F
Age: 39
State: AR

Vax Date: 01/06/2021
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies: MORPHINE

Symptoms: RASH ON LEFT SIDE OF NECK FROM CHIN TO COLLAR BONE AND SWELLING OF LYMPH NODE AT EDGE OF COLLAR BONE AND NECK.

Other Meds: XARELTO 20MG CYCLOBENZAPRINE 10MG VENLAFAXINE ER 75MG AMLODIPINE 5MG LOSARTAN 50MG ATORVASTATIN 10MG

Current Illness: NONE

ID: 0947250
Sex: M
Age: 68
State: VA

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies: TB serum, tomatoes

Symptoms: A little less than 24 hours post administration patient presented with fever 102.9, "tight" feeling in chest and rigors Gave 650mg of Acetaminophen, 800mg of Ibuprofen, 50mg Benadyl IM and ice packs to grin/axilla Patient responding- fever decreasing

Other Meds: Omeprazole 20mg Chlorthalidone 50mg Vitamin C 500mg Vitamin D 2000 units Multivitamin with minerals simvastatin 20mg Glipizide 15mg Trazodone 25mg Aspirin 81mg Zyrtec10mg Farxiga 10mg Losartan 100mg Metformin 1000mg Lantus insulin Regular i

Current Illness: 12/08/2020 COVID-19

ID: 0947251
Sex: M
Age: 55
State: WI

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Low grade Fever fatigue nausea diarrhea

Other Meds: Omeprozole , losartan , hctz, amlodapine, montelukast,

Current Illness: None

ID: 0947252
Sex: F
Age: 48
State: PA

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: none

Allergies:

Symptoms: facial swelling/headache/nausea/dizziness/vomiting

Other Meds:

Current Illness:

ID: 0947253
Sex: F
Age: 70
State:

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient received Shingrix vaccination on 01/14 and reported soreness, swelling and redness at injection site on the following day 1/15 when she returned to pick up a different medication. Pt reported taking tylenol and was told to use a compress at the site and to report if additional symptoms appear or if gets worse and doesn't improve.

Other Meds:

Current Illness:

ID: 0947254
Sex: M
Age: 63
State: IN

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: About seven hours after I received the second vaccine I had migraine headache foggy feeling in my head a little bit of achiness, same thing the following day not as bad. Two days after the shot I am feeling fine

Other Meds: Simvastatin 40 mg, alavert D 12 hour, 120 mg , fish oil omega 3 1000 mg , baby aspirin 81 mg , Flonase spray 50 mg, men?s vitamin D3 25 MCG 1000 units , vitamin C 1000 units, zinc 50 mg

Current Illness: None

ID: 0947255
Sex: F
Age: 45
State: MI

Vax Date: 01/12/2021
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: swollen lymph nodes in arm pits and neck area, extreme fatigue

Other Meds: levothyroxine .100 mg, desvenlafaxine ER succinate 100 mg, omeprazole 20 mg, vitamin d 50,000 1/week, labetalol, 400 mg/day, losartin, 50 mg, zyrtec 10 mg, flonase

Current Illness: none

ID: 0947256
Sex: F
Age: 30
State: AK

Vax Date: 01/06/2021
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: N/A

Allergies: Penicillin-rash

Symptoms: Left axillary pain thought to be lymphadenopathy onset 1/11/2021. Then in afternoon of 1/14/2021 left arm sensation of deltoid swelling, burning, aching, and tingling radiating down the arm. That evening, a 1x2 inch erythematous induration appeared slightly distal of injection site. Swelling, burning and tingling resolved spontaneously. Aching resolved with warm compress. Felt feverish at 11pm, but Tmax 99F. The morning of 1/15/21 the induration is unchanged, but no associated symptoms.

Other Meds: Bausch & Lomb Soothe XP eye drops preservative free, Skyla IUD, Calcium plus Vit D, Melatonin, Clotrimazole and Betamethasone Dipropionate Cream (12/29 - 1/12/21)

Current Illness: Tinea pedis on right foot

ID: 0947257
Sex: F
Age: 51
State: NY

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: 1/9-elevated D Dimer, no evidence of DVT, multiple pulmonary emboli, small infarct

Allergies:

Symptoms: Received vaccine on 1/6, mild fever/achiness on 1/7. On 1/8 had some chest pain and SOB. This continued to get worse on Friday. By Saturday, patient felt she could not get comfortable and was more short of breath. She went to the ER and after multiple tests they found multiple pulmonary emboli. Of note, patient took a long flight on 1/6 and is on hormone replacement therapy.

Other Meds:

Current Illness:

ID: 0947258
Sex: F
Age: 40
State:

Vax Date: 01/07/2021
Onset Date: 01/13/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: None

Allergies: Balsam of Peru

Symptoms: Symptoms at injection site after 6-7 days are... redness, a little swelling, and itchy.

Other Meds:

Current Illness:

ID: 0947259
Sex: F
Age: 39
State: CA

Vax Date: 01/08/2021
Onset Date: 01/10/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: severe rash on breasts, neck, back and abdomen. No hives. No itching.

Other Meds: tylenol norethinone birth control pill

Current Illness: none

ID: 0947260
Sex: F
Age: 56
State: GA

Vax Date: 12/21/2020
Onset Date: 12/29/2020
Rec V Date: 01/15/2021
Hospital:

Lab Data: Doppler scan, x-rays, MRI, blood work.

Allergies: none

Symptoms: Left leg pain, increasing in intensity over 2 1/2 weeks requiring treatment. Sharp pain down leg, with an achiness in bones of entire leg, numbness in toes at times, with increasing weakness. Received Doppler scan, X-rays, and MRI with no know problems seen. Required treatment of prednisone, anti-inflammatory meds, Percocet, gabapentin, as well as epidural.

Other Meds: Synthroid, Premarin, Estrace, Testosterone, MTV

Current Illness: none

ID: 0947261
Sex: F
Age: 70
State: FL

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies: PCN

Symptoms: Numbness in throat and arm, bp 137/87, 100% oxygen heart rate 72.

Other Meds:

Current Illness: n/a

ID: 0947262
Sex: F
Age: 45
State: OR

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies: Demerol, walnuts, honey

Symptoms: Nausea, diarrhea, dizziness, rash on hand, muscle soreness in arms, arm pain at site of administration, and blurry vision. Still having blurry vision and diarrhea after 3 days

Other Meds:

Current Illness:

ID: 0947263
Sex: F
Age: 53
State: OH

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies: none known

Symptoms: Pt reports 24 hours after receiving vaccine having chills, fever of 101.9, arm pain. lethargy, and HA Pt reports she had to miss a day of work and never misses work. At time of interview on 1/14/21 patient was feeling back to normal and said she felt fine.

Other Meds: unknown

Current Illness: Recent recovery from Covid-19. Out of isolation only a few days prior. States at time of vaccination that she felt fine.

ID: 0947264
Sex: F
Age: 56
State: FL

Vax Date: 01/07/2021
Onset Date: 01/09/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: NA

Allergies: Grasses, trees, pollen, mold, mildew

Symptoms: Vaccine received on 1/7/21. Joint pain, nausea, gastric reflux started on 1/9/21. Generalized hives started on 1/11/21. Symptoms improved with Zofran, Pepcid and Benadryl. Symptoms resolved on 1/15/21. Patient had a history of COVID 19 virus infection in October 2020.

Other Meds: Epinephrine 0.3 mg/0.3 ml injection olopatadine 0.1% ophthalmic solution ipratropium 0.03% nasal spray cetirizine 10 mg fluticasone propionate 50 mcg/spray nasal spray

Current Illness: No

ID: 0947265
Sex: M
Age: 41
State: NY

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: Blood glucose 105.

Allergies:

Symptoms: During 15 minute observation period after administration of Moderna vaccine, patient reported feeling dizzy and nauseous. Patient was transferred into wheelchair and brought into an examination room with provider NP. Provider and staff collected vitals, blood sugars, and HPI. Patient reported he "felt like he was going to pass out" but did not actually syncopize. Patient was with staff for well over one hour for observation, and symptoms resolved within 15 minutes of the initial onset without intervention. It was deemed likely vasovagal response by the provider.

Other Meds:

Current Illness:

ID: 0947266
Sex: F
Age: 45
State: CA

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: not available

Allergies: None

Symptoms: Numbness & tingling of left arm. Loss of sensation to arm and fingertips. Redness to left palm and fingertips.

Other Meds: Multi Vitamin and Vitamin D3

Current Illness: No

ID: 0947267
Sex: M
Age: 63
State: CA

Vax Date: 01/12/2021
Onset Date: 01/12/1921
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Developed a fever of 101.8, night sweats, nausea, fatigue, for two days

Other Meds: daily multivitamin

Current Illness: none

ID: 0947268
Sex: M
Age: 28
State: MO

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: All tests were done on 1/14/21 at the Urgent Care. All tests came back with negative results Metlyte Panel Liver Function Panel Urinalysis CBC w/diff

Allergies: None

Symptoms: Symptoms of 2nd Covid vaccine lot EL 1284: numbness in feet, legs throbbing, muscle weakness in legs, overall tiredness I received my second Pfizer vaccine on 1/12/21 at 12:15 pm. After several hours, I felt weak and tired. By 7:00 pm, I had a migraine that wouldn?t go away and I had muscle ache in my feet and legs. On 1/13/21 I felt some numbness in my feet and my legs were throbbing. By 10:00 pm, both of my feet were completely numb and my legs were throbbing/radiating heat. It felt as if circulation was cut off from my feet entirely. On 1/14/21 I went into work where I?m constantly on my feet. I felt intense muscle weakness in my legs and thighs to point where I could barely stand up. I immediately went to an urgent care where they started me on an Sodium Chloride 0.9% intravenous IV solution drip. They ran blood tests and urine tests to rule out any other causes to my symptoms. All results came back negative. I was told to rest, hydrate, and recover for the next several days. If my symptoms did not subside within the next couple days, I was instructed to go to the ER for further examination.

Other Meds: None

Current Illness: None

ID: 0947269
Sex: F
Age: 60
State: NJ

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: Point of care glucose: 97 mg/dL

Allergies: Moxifloxacin- hives Penicillin- rash Cefaclor-rash Influenza vaccination- unclear reaction

Symptoms: This patient received her first dose of Moderna vaccine and was then sent to the observation area. Within 10 minutes of vaccine receipt, she began complaining of a fast heart beat and some tightness in the throat. Emergency services was called immediately and she was placed supine in a stretcher. Her initial vitals were: heart rate of 130 beats/minute and oxygen saturation of 95%. Repeated vitals were as follows: 11:25- BP 162/94,HR 123, SO2- 98% 11:30- BP 161/81 HR 101, SO2- 96% 11:35- BP 160/106 HR 95, SO2- 96% 11:35 - BP 157/96 HR 96, SO2- 95% complaining of tingling in fingers. 11:40- BP 162/79 HR 91, SO2- 96% 11:45- BP 152/84HR 92, SO2- 95% denies chest pain, shortness of breath, or throat tightness at this time. Patient felt better within 20 minutes and was taken to the emergency department for evaluation. In the emergency department, she was encouraged to obtain the remainder of the work up but declined and elected to go home. She denied rashes, respiratory distress, or itching at the time of discharge from the emergence department. She planned to follow up with her outpatient primary care provider.

Other Meds: Ergocalciferol (Vitamin D) 50,000 units- 1 capsule 3 days a week for 6 weeks Budesonide-Formoterol fumarate (Symbicort) 80-4.5 mcg inhaler- inhale 2 puffs 2 times daily Fluticasone (Flonase) 50 mcg nasal spray- 1 spray by nasal route daily

Current Illness: N/A

ID: 0947271
Sex: F
Age: 39
State: RI

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Erythema of injection site with warmth and tenderness. Area of erythema approximately 10 cm in circumference. Enlarged, tender lymph node on axilla of the same side. Breast tenderness on same side of vaccination.

Other Meds:

Current Illness: None

ID: 0947274
Sex: F
Age: 33
State: NY

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: None

Allergies: Bactrim Antibiotic and seasonal allergies.

Symptoms: Vaccinated 1/11/2021 at 11:30 AM, at approx. 10 PM experienced moderate pain scale diffuse body aches. This lasted a few hours, improved with advil. After body aches subsided at around 2 AM 1/12/2021 experienced mild allergic reaction of hives and lip swelling. This allergic reaction subsided by morning 1/12 with benadryl. I have never had any side effects or allergic reaction to a vaccine. I did experience similar mild allergic reaction with antibiotic bactrim, a sulfa based medication.

Other Meds: Estrogen pills Multivitamin

Current Illness: None

ID: 0947276
Sex: F
Age: 82
State: FL

Vax Date: 12/21/2020
Onset Date: 12/21/2020
Rec V Date: 01/15/2021
Hospital:

Lab Data: no

Allergies: no

Symptoms: after I received the shot I was sick for 3 days, chills, nausea, upset stomach

Other Meds: Blood pressure meds, thyroid medication

Current Illness: no

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm