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: 0953178
Sex: F
Age: 28
State: CA

Vax Date: 01/15/2021
Onset Date: 01/17/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: full body erythematous rash on face, chest, shoulders, back of elbows, front of knees, and top of feet.

Other Meds: none

Current Illness: none

ID: 0953179
Sex: F
Age: 61
State: NC

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

Lab Data: None

Allergies: Anaprox

Symptoms: Dizziness and headache on 1/18

Other Meds: None

Current Illness: None

ID: 0953180
Sex: F
Age: 24
State: NY

Vax Date: 12/21/2020
Onset Date: 12/28/2020
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies: Oxycodene

Symptoms: Large, red, hard, itchy bump on the arm of the insertion site that spread across down the arm and hand

Other Meds: N/a

Current Illness: N/a

ID: 0953181
Sex: F
Age: 76
State: FL

Vax Date: 01/10/2021
Onset Date: 01/14/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: None

Allergies: Caffeine, Augmentin, Erythromycin, Hydrocodone,

Symptoms: Red welt about 2 inches in diameter at injection site, swelling itching hot to the touch. Currently treating with OTC Benadryl and hydrocortisone cream. Started treatment 1/18/2021 ( 8 days after injection, so results of treatment not yet known.

Other Meds: Atorvastatin 20 mg., Astlin, Chlorthalidone 25 mg., Fenofibrate 134 mg., Fluticasone, Lamisil 250 mg., Levothyroxine 25 mcg., Losartan 25 mg., Metformin 500 mg. , Omeprazole 20 mg., Terbinafine

Current Illness: None

ID: 0953182
Sex: M
Age: 58
State: WA

Vax Date: 01/17/2021
Onset Date: 01/17/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: None

Allergies: None (NKA)

Symptoms: Soreness started within 1 hour after injection; fatigue grew. Soreness in left arm increased, much worse than typical flu shot or even tetanus. Low-grade fever developed 5-6 hours after injection ; only 1-2 degrees (99F) . 2nd day no ongoing fever or nausea but soreness in L arm affects reaching; and mild fatigue remains.

Other Meds: None

Current Illness: None

Date Died: 01/14/2021

ID: 0953183
Sex: M
Age: 83
State: PA

Vax Date: 01/05/2021
Onset Date: 01/11/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 1/11/21 at 8:57 Resident with fever and at 11 am saturation down to 83 O2 to 10 liters. Resident continued to decline until CTB on 1/14/2021 at 1325

Other Meds:

Current Illness:

ID: 0953184
Sex: F
Age: 69
State: FL

Vax Date: 01/08/2021
Onset Date: 01/15/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies: Topical Iodine

Symptoms: 10 Days after the injection the left are is extremely red , swollen , fevered and itches. Both feet are experience extreme nuropothy pain in the toe next to the big toe and feel as though the blood flow is restricted.

Other Meds: Lisinopril 20 MG. Morning. Lisinopril 10MG at night Lipitor 40MG Ezetimibe 10MG Duloxetine 60 MG Bystolic 10MG

Current Illness: None

ID: 0953185
Sex: F
Age: 18
State: MN

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies: Amoxicillin

Symptoms: Patient felt dizzy and short of breath. Complained of feeling like her heart was racing and chest pain. Was seen in the ED and received antihistamines and was monitored. Continued to complain of symptoms 7 days after receiving the vaccine and called in to work that day as well.

Other Meds:

Current Illness:

ID: 0953186
Sex: F
Age: 35
State: ID

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: none

Allergies: Vicodin, Hydro-codene

Symptoms: 20 hours vomited about 7 times, diarrhea, headache lasted a week, muscle cramps -legs: flu like symptoms: 6 days after vaccine started getting an allergic reaction to the vaccine, red, itchy, hot this has lasted 8 days. Arm pain also.

Other Meds: Levothyroxine, Abilify, Lamictal, Vit D, Vit C,

Current Illness: NO

ID: 0953187
Sex: F
Age: 41
State: CA

Vax Date: 01/12/2021
Onset Date: 01/14/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: None just assessed

Allergies: Amoxicillin Lactose

Symptoms: Had sore arm quickly after Chills 24hours after 30 hours after woke up with serve left side jaw pain into cheekbone and facial swelling on left side of face. Sunday called my employee health who sent me to ER. Given steroids for 4 days for swelling and pain to left cheekbone and jaw area (especially at the joint) noted mild left side throat swelling on exam (internal)

Other Meds: Birth control Zyrtec

Current Illness: No

ID: 0953188
Sex: F
Age: 67
State: OR

Vax Date: 01/04/2021
Onset Date: 01/10/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: n/a

Allergies: none

Symptoms: On 1/10, noted GI symptoms, nausea, diarrhea and on 1/12 the arm became red and warm and itchy. The area of redness expanded on 1/13.

Other Meds: estradioL (Estring) 2 mg (7.5 mcg /24 hour) vaginal ring esomeprazole

Current Illness: none

ID: 0953189
Sex: F
Age: 27
State: CO

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

Lab Data: N/A

Allergies: Sulfa

Symptoms: Received vaccine at 1700, at 1715 started to feel a lump in her throat, itchy eyes, throat swelling, constantly clearing her throat. Epi-pen given, oral Benadryl sent to Urgent Care. In Urgent care given Pepcid and fluids. At 2030 patient felt throat was scratchy and tight, felt the need to clear throat and throat tightness. Second epi=pen given and transferred to Emergency Department via EMS

Other Meds: Singular, Pepcid, Xopenex, Xanax, Lexapro, Ritalin

Current Illness: Allergic to cat dander, dog, grass, molds, trees and weeds

ID: 0953190
Sex: F
Age: 49
State: WI

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: None

Allergies: Sulfa drugs

Symptoms: Patient has reddened area at injection site that increased in size.

Other Meds: Unknown

Current Illness: None

ID: 0953191
Sex: F
Age: 44
State: NY

Vax Date: 01/13/2021
Onset Date: 01/15/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: none

Allergies: na

Symptoms: on 1/15/21 woke with a rash all over my face and very itchy, took Benadryl and went on with my day around 9pm that night my face was swollen and left eye was swollen shut. Went to ER and was told a possible reaction to the Covid vaccine and was given a oral steriod in the er that night and sent home with a script for a steriod for 3 days. Went home and woke up (1/16/21 that morning 3 times as I had to change my clothes as I was soaking wet in sweat. Changed my clothes and took my meds and as the night went on the swollen in my face got worse and took more Benadryl. Sunday 1/17/21 swollen no better and the rash is worse. I took it easy and took meds.. Monday 1/18/2021 woke up with a very swollen face and very itchy. Face very warm to the touch (No fever 97.9) Called my primary Doctor and she told me to come over asap as the I was feeling any better and getting worse. Both eyes are almost swollen shout and my face is very hot to the touch. Doctor extended my dose of steriods and gave me a script for Pepcidfor 7 days.

Other Meds: blood pressure med singular sterilize

Current Illness: na

ID: 0953193
Sex: M
Age: 24
State: TX

Vax Date: 01/06/2021
Onset Date: 01/09/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Multiple gradually progressive apthous ulcers in my oropharynx that developed over the course of a week and have been painful and persistent for 6 days and counting. Painful to talk and painful in certain positions or if food touches them.

Other Meds: None

Current Illness: None

ID: 0953195
Sex: F
Age: 47
State: ME

Vax Date: 01/06/2021
Onset Date: 01/10/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Patient reports numbness and tingling of bilateral upper extremities that began 4 days post vaccination. Occasional lip tingling. Day of vaccination mild discomfort at injection site and headache. Resolved. No other systemic symptoms. On exam afebrile individual who is neurologically intact. Sensation, range of motion, and strength in all cervical dermatomes/myotomes intact. Given history of B12 deficiency, recommended screening with PCP. No other recent cervical trauma, no history of vaccine reactions, no history of neurologic conditions. Scheduled to follow-up and see if symptoms resolve or can be attributed to another condition besides vaccine reaction, since this is currently not known as a vaccine side effect in the research data provided by Moderna.

Other Meds: Tylenol and ibuprofen

Current Illness:

ID: 0953196
Sex: F
Age: 25
State: AR

Vax Date: 01/17/2021
Onset Date: 01/18/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies: Sensitivity to Opioids

Symptoms: Body aches, cold sensitivity, chills, headache, and arm pain.

Other Meds: Claritin, azelastine (Nose and eye), fish oil, collagen, multi-one a day vitamin, birth control pill

Current Illness: N/A

ID: 0953197
Sex: F
Age: 35
State: NY

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

Lab Data:

Allergies: Acetaminophen

Symptoms: She has a circle on the left deltoid area; the area is 7 cm. The area is warm to the touch. She has sweats; she is shaking. She has pain all over.

Other Meds: Amoxicillin-Clavulanate 875 mg-125 mg tablet, Propranolol, Amphetamine, Magnesium Chloride, predniSONE 20 mg tablet, and Cephalexin 500 mg capsule

Current Illness:

ID: 0953198
Sex: F
Age: 20
State: WI

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies: Penicillin, Sulfa, Temazepam.

Symptoms: I had pain in my arm when I received the vaccine. I also had nausea, a headache, joint pain, and body aches the day after and everyday since I received the vaccine. Today I vomited twice due to the headache and nausea.

Other Meds: Adderall XR, Lexapro, Wellbutrin XL, Prenatal Vitamin, Omeprazole, Metformin, Advair, Benadryl, Tylenol, Ibuprofen.

Current Illness:

ID: 0953199
Sex: F
Age: 80
State: IN

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: none

Allergies: Viscous Xylocaine (and react to other caine meds) Sulfa, Soma, Laytex. Most acidic fruits (strawberries, apples grapes, pineapple, oranges)

Symptoms: It has been 6 days - I am still nauseus; lite headed; throat feels tight; lack of energy. I'm this way off and on thru out the day. I have been using Mucinex to relieve the mucus in my throat and Benadrl to relieve other side effects. I have not been ill nor have I experienced any pain. I have an allergy to bee stings but have never been on medication for it.

Other Meds: Atrovastatin 20 mg; Levothyroxoin 125 mg: Meloxicam 15mg: Premarin .625 mg: Torsemide 10 mg: Trazadone 50 mg, Zyrtec 10 mg; B-Complex, C, COQ10, D3, Fish Oil, Lutein, Calcium, Multi Vitamin. Also took Benadryl Allergy 25 mg that day

Current Illness: none

ID: 0953200
Sex: F
Age: 33
State: MI

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

Lab Data: Benadryl 50 mg; Juice and crackers.

Allergies: Bees

Symptoms: Tingling in throat, and dizziness.

Other Meds: Unknown

Current Illness: Unknown

ID: 0953202
Sex: F
Age: 23
State: PR

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

Lab Data: none

Allergies: NONE

Symptoms: Patient reports edema and pain in the left deltoid

Other Meds:

Current Illness:

ID: 0953203
Sex: F
Age: 73
State: FL

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: I recently donated blood and the report came back with no covi antibodies, but it was 9 months after I had been sick.

Allergies: Naprosen, penicillin

Symptoms: A rash started developing about within a day or two of the vaccination. By day 4 or 5, the rash was spreading and appearing in other areas including scalp. By day 6, I was in complete distress. Saw Dermatologist on Day 6 and was prescribed Prednisone and increased antihistamines up to the day of the second injection scheduled for Feb 5, 2021. By today, Day 10, the rash has mostly receded while I continue meds prescribed. I believe that I had Covid early on starting March 28 accompanied by sudden fatigue, nausea, fever, chills, body aches, no appetite, for the first few days, then developed hives all over face and head until my eyes were swollen shut. My doctors, both derm and primary, didn't want me to be tested or come in or go to the hospital, perhaps because so early on in the pandemic, little was known and they feared if it wasn't Covid, I would contract it in those circumstances. They again prescribed creams and antibiotics and prednisone. I don't remember how the rash side effects lasted but I continue to have scalp problems since. I did not have a cough, but did experience instances of shortness of breath 7 to 10 days after the onset. The fatigue, body aches and brain fog continued for months. I was feeling much better by the time I got the vaccine and then returned to the rash symptoms I had had before.

Other Meds: Ezetimibe 10mg, L-thyroxine .75 mg, Metropolol 50mg, Celecoxib 100 mg, Prozac 50 mg, low dose apspirin, Eye vitamins, Zyrtec, opmeprezol20mg, flonase

Current Illness: None

ID: 0953204
Sex: F
Age: 60
State: CA

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies: Possible allergy to Benadryl and Demerol

Symptoms: Called to see pt in drive up lane 4 min post vaccination. She immediately felt after the vaccination, numbness and tingling of face, tongue, throat. Past med history of rheumatoid arthritis and HTN. Possible allergy to Benadryl and Demoral. Initial examination lungs CTA, regular tachycardia. Swelling of lips, and tongue, uvula midplane, not deviated. Pt moved to observation area. Initial vitals: BP: 185/87, HR 128, RR 20, 100% O2 at 10:25 EMS notified and first injection 3mg Epi pen injection given at 10:23am; 911 called. BP: 185/87, HR 128, RR 20, 100% O2 at 10:25. Second epinephrine 3mg injection given at 10:26am. BP 185/87, HR 134, O2 sat 100% at 10:29am. Benadryl 50 mg po given at 10:29am. Next dose of epi given at 10:34 failed, 4th dose given at 10:35am. EMS arrived and she was taken to hospital at 10:45.

Other Meds:

Current Illness:

ID: 0953205
Sex: F
Age: 58
State: CA

Vax Date: 01/11/2021
Onset Date: 01/14/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: Went to the ED they performed EKG, blood work, CXR and head CT. Scheduled for Echo later. Lab showed slight elevation ALT was 71, AST was 57. MD mentioned dehydration and Potassium was low normal 3.5 HCT 45.6 Total Protein 8.4, INR 0.9 All other labs within normal limits

Allergies: lactose intolerant, sensitive to narcotics Tylenol with codeine, Percodan, Norco - nausea,

Symptoms: Sore arm x 2-3 days, itching arm started on 1/15 through 1/16, tingling lips for the first hour after vaccine, felt fatigued the day of the vaccine for about an hour after, On 1/14 at 0530 woke up with a horrible right calf cramp was relieved by massage. Sat at side of bed began feeling extremely nauseated, diaphoretic then syncopal episode that lasted approximately 5 seconds.

Other Meds: Glucosamine chondroitin, Vitamin D3, Tylenol PRN, Aleve PRN

Current Illness: None reported

ID: 0953206
Sex: F
Age: 34
State: WI

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

Lab Data: Ultrasound left axilla nodes 1/11/2021 confirmed lymphadenopathy.

Allergies: Bactrim

Symptoms: Enlarged left axillary lymph nodes developed 6 days after first vaccine. Then approximately 10-15 min after 2nd injection, upper arms became numb and tingly. Became dizzy. Sweating. Upper thighs tingling. Thready pulse. Alerted staff. Pulse ox checked normal. Symptoms improved after 30 minutes. Very tender and enlarged left axillary lymph nodes followed, have not resolved.

Other Meds: Vitamin D, Zinc

Current Illness: None

ID: 0953207
Sex: M
Age: 34
State: NY

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Woke up following morning with soreness in arm, chills, and bad headache as well as congestion. Standing for more than a couple of minutes caused lightheaded feeling. A high fever started around 5 pm that night and lasted until midnight when it seemed to break while I was sleeping after taking Tylenol. The next day mild headache remained but was much better overall other symptoms did not remain.

Other Meds:

Current Illness: Took COVID-19 test on 12/29/20 and received positive result on 12/31/20. Had symptoms from 12/23-12/27/20 but nothing since then.

ID: 0953208
Sex: M
Age: 81
State: FL

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

Lab Data: Hospital observation for several hours Blood work, ekg

Allergies:

Symptoms: Heart rate slowed significantly down to 32bpm Tightness in chest, trouble breathing Elevated blood pressure

Other Meds:

Current Illness:

ID: 0953209
Sex: M
Age: 53
State: TX

Vax Date: 01/14/2021
Onset Date: 01/16/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Bruising/bleeding and pain on both hands. Appears to be ecchymosis. Began 2 days after vaccination.

Other Meds: Escitalopram, amlodipine-olmesartan, metformin, melatonin

Current Illness:

ID: 0953210
Sex: F
Age: 53
State: NH

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

Lab Data: NA

Allergies: none

Symptoms: 10 minutes after receiving vaccine pt reports "lump in throat" having difficulty swallowing and trouble taking deep breathes. This RN to car immediately, pulse 70, BP not assessed at this time. Monitored for additional 10 minutes pt reports unable to swallow. EMS notified, arrived 20 minutes (1912)post vaccine administration. Pt reports feeling better and like she can swallow but still lump in her throat. Monitored/assessed by EMS. Pt feels comfortable going home. Pt's son with her and able to drive. Pt reports feeling close to baseline. Pt discharged home and event ended.

Other Meds: levothyroxine

Current Illness: none

ID: 0953211
Sex: F
Age: 41
State: AR

Vax Date: 12/17/2020
Onset Date: 12/17/2020
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies: Penicillin Tomatoes

Symptoms: I became very weak, lethargic, vomiting, sore...flu like symptoms. Sent home. Lasted for two to three days. I was told that if symptoms got worse to go to ER, but they started getting better with time.

Other Meds: Diltiavem Flencanide Citolatram Feralsulfate Atenolol Lipitor

Current Illness:

ID: 0953212
Sex: F
Age: 64
State: IL

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: None

Allergies: Codeine, Zofran, Reglan, Contrast

Symptoms: Patient reported back pain, fatigue, difficulty taking a deep breath

Other Meds: Prednisone

Current Illness: None

ID: 0953213
Sex: M
Age: 34
State:

Vax Date: 12/28/2020
Onset Date: 12/30/2020
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: I recieved the moderna covid vaccine. I ate a few things that just tasted a little off. I thought the product may have just been bad. For instance, a few candies in a pack had a bitter aftertaste. Tortilla chips and corn chips had an off aftertaste. It is generally subtle for most items but certain things are more noticable. I asked others if the things that tasted different to me tasted different to them and they said it tasted normal. This has continued for about 3 weeks at this point. Last year I had a presumed case of covid where I completely lost taste and smell for 10 days. This is very different in that I can still taste, it just seems that my taste buds have changed and it is persistent thus far.

Other Meds: none

Current Illness: none

ID: 0953214
Sex: F
Age: 33
State: MD

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: Diagnosed with covid-19 on 1/13/2021 through pcr test

Allergies: Gluten Pollen Dust Cats Grass Ragweed

Symptoms: Sweating Arm pain Body aches Sore throat Dry cough Fatigue Abdominal pain Diaphragm pain Congestion Tightness in chest Red mark on arm (10 days later)

Other Meds: None

Current Illness: None

ID: 0953215
Sex: F
Age: 69
State: CA

Vax Date: 01/14/2021
Onset Date: 01/17/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: N/A

Allergies: No

Symptoms: 3 days later had an episode of faintness, as if I stood up quickly. Vision darkened but I never passed out. I was sitting and reading after eating about an hour after exercise. No further episodes.

Other Meds: Synthroid, Metoprolol, Amlodipine Besylate, Famotidine, Estradiol, calcium, multivitamin, Vitamin C.

Current Illness: Diverticulitis - went to urgent care 12/12 and 12/10/20.

ID: 0953216
Sex: F
Age: 31
State: VA

Vax Date: 12/31/2020
Onset Date: 01/07/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: Skin biopsy was done showing ?spongiotic vesicular dermatitis with eosinophils. These changes are fundamentally those of dermal hypersensitivity eruption, such as which can be seen secondary to a drug.? Microscopic description ?there is a perivascular mixed cell infiltrate including eosinophils. There is epidermal spongiosis with spongiotic vesiculation.?

Allergies: Amoxicillin: hives, Acyclovir: hives, Valacyclovir: mouth tingling, tongue swelling, Famciclovir: hives

Symptoms: Developed severe itching starting on my forearms overnight on Thursday going into Friday that week after I received the vaccine. The itching progressed to my stomach/trunk and back. The more I itched, the itching worsened and pink bumps would immediately appear. The left side by my rib and over my left breast were the worst impacted. The bumps later appeared to join. I went to the ER that Saturday 1/9/21 after two doses of Benadryl didn?t help. I was prescribed oral antibiotics starting at 60mg a day for two days, then tapered down 10mg every 10 days. I?m currently on day 1 of 20mg. Also took Benadryl as the itching was keeping me from sleeping. I was also prescribed clobetasol cream to administer twice a day. Symptoms have markedly improved. The rash is now the same feeling as my skin, not bumpy. Hyperpigmentation remains. I?m being followed by my dermatologist whom I saw Monday 1/11/21. She performed a punch skin biopsy.

Other Meds: None at the time. I had gotten routine bloodwork done which showed iron deficiency anemia and vitamin D deficiency. I started taking supplements Friday evening. The rash worsened the next day and spread over a large majority of my trunk are

Current Illness: I had a left-sided headache that developed about two weeks prior. I went to the ER on 12/17 where I was given Benadryl, Toradol, and Reglan - the "migraine cocktail". Otherwise no issues. The routine bloodwork I had done showed high cholesterol (I have a history of this), slightly elevated platelets at 509,000 and my provider said my ANA titer was slightly elevated but I have no family history of autoimmune disorders and no other symptoms of any autoimmune disorder. I also read low vitamin D levels can alter ANA results and mine are pretty low at 20.

ID: 0953217
Sex: M
Age: 75
State: WA

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

Lab Data: None.

Allergies: None

Symptoms: Feeling fatigue on January 15th and 16th, slight sore throat. Feeling better by Monday January 18th.

Other Meds: Metoprolal Succ ER 25mg; Atorvastatin 40mg; Tamsulosin HCL 0.4mg; Candesartan Citexetil 4 mg. Multi vitamin; Fiber; Calcuim; CoQ10; Baby asprin; Vitamin C.

Current Illness: None

ID: 0953218
Sex: F
Age: 79
State: NY

Vax Date: 01/13/2021
Onset Date: 01/15/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: No treatment sought

Allergies: Levaquin

Symptoms: Neuropathy - feet burning hot with stabbing pain in both feet and numb feeling in legs thru the night

Other Meds: Metoprolol Omeprazole Potassium citrate Atorvastatin Pearl probiotic Areds 2 Aspirin

Current Illness: -

ID: 0953219
Sex: F
Age:
State: IN

Vax Date: 01/06/2021
Onset Date: 01/14/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: NONE

Allergies: None

Symptoms: Day after vaccines arm sore, warm to touch and painful to touch. 01/07/2021 Right now on and off Headaches and nauseas for a long period of time. this starts on 1/15/2021

Other Meds: None

Current Illness: none

ID: 0953220
Sex: F
Age: 53
State: WA

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/18/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: 20 minutes after the shot, I developed chills. I took Tylenol and drove home. I went on to develop myalgias, and severe fatigue. The next day, my left arm hurt and I developed a red patch around where I received the shot. The important thing was that the red area spread all over my upper arm and became hard, indurated, mildly swollen and very itchy and didn?t resolve for at least 2 weeks. It?s 3 weeks out and the area is still mildly discoloured, (red), though I have no pain, hardness or swelling. I think antihistamines helped.

Other Meds: Propranolol Synthroid Vitamin D Biotin Kurvelo OCP

Current Illness: None

ID: 0953221
Sex: M
Age: 63
State: CA

Vax Date: 01/15/2021
Onset Date: 01/17/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Faint high pitch tone ringing in both ears'

Other Meds: none

Current Illness: None

ID: 0953222
Sex: F
Age: 54
State: TN

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

Lab Data: N/A

Allergies: none

Symptoms: Extreme tiredness began the evening I took the vaccine. The next morning on 1/16/21 I had a severe dizziness, flu-like symptoms of nausea, fatigue, fever, lack of appetite. Symptoms improved somewhat the next day. On 1/18/21 I still have dizziness and fatigue.

Other Meds: Meloxicam 15mg, Vesicare 10mg, Hydrochlorathiazide 50mg

Current Illness: Tested positive for Covid-19 on 12/23/20. Symptoms dated back to 12/18/2020

ID: 0953223
Sex: F
Age: 37
State: NY

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies: Allergic to cats, tree pollen, grass pollen, and mold. Had a suspected allergic reaction to the Tetanus vaccine at age 13.

Symptoms: Rapid heart rate, increased awareness of heart beat. At times, my heart felt like it was beating very strongly, even when I was sitting or at rest, to the point that I was hyper aware of how strong it felt.

Other Meds: Vitamin B12, Vitamin D, Tretinoin .025% gel (Topical)

Current Illness: No

ID: 0953224
Sex: F
Age: 57
State:

Vax Date: 12/21/2020
Onset Date: 12/21/2020
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Severe headache lasted first and second day after vaccination not relieved by Tylenol or ibuprofen

Other Meds:

Current Illness:

ID: 0953225
Sex: F
Age: 35
State: NH

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

Lab Data:

Allergies:

Symptoms: PT states that 1 min after receiving the vaccine that she felt very hot from the neck up and left arm became very tingly. RN had PT recline in her car. HR 95. Hot sensation disappeared quickly. Tingling slowly improved. PT felt much better and stated she felt well enough to leave. Left lot at 4:16 pm.

Other Meds:

Current Illness:

ID: 0953226
Sex: F
Age: 82
State: SC

Vax Date: 01/08/2021
Onset Date: 01/14/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: N/A

Allergies: NKA

Symptoms: Resident noted the injection site to be red, tender and warm to the touch. PCP notified and prescribed Keflex 500 mg BID for 7 days

Other Meds: Trazadone, acetaminophen

Current Illness:

ID: 0953227
Sex: F
Age: 72
State: FL

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

Lab Data:

Allergies: amoxicillin relafen No foods

Symptoms: I began vomiting at 3 AM, and continued vomiting often until 9:30 AM on 1/18/21 I am hoping it was not a reaction to the vaccine but I thought I should report it just in case.

Other Meds: Amlodipine 2.5 mg crestor 10 mg Lexipro 10 mg Aspirin - 81 mg Multi Vitamin Elderberry gummyies Fish Oil Vitamin B Vitamin D Turmeric Calcium with magnesium & zinc Claritin -

Current Illness:

ID: 0953228
Sex: F
Age: 51
State: MA

Vax Date: 12/28/2020
Onset Date: 12/29/2020
Rec V Date: 01/18/2021
Hospital:

Lab Data: No

Allergies: Nyquil, Sudafed - give me hyperactivity - tachycardia.

Symptoms: The day of the vaccine I just felt a little tired but the next morning I felt extremely tired, joint/body aches and chills. I also had fever and called my PCP and told them what was going on they suggested me to take Tylenol (100.2F) 500mg my doctor told me to take 600mg. The fever started going down. At night I took 1000mg and the fever went away I still felt very drained, tired and the next day as well. I did not go to work because of that. I have a mild pain on my neck, close to my spine cord and also I have a sore throat now. I also don't have sense of smell and my face is painful/sore - my doctor told me that my sinus cavities are all inflamed and that is why it is painful. Not sure if the vaccine made it worse or not, but it is happening. I also am having dry eyes for about a week and a half and it feels like I have "light" coming out of my eyes. Specially when I am in front of a computer for a long time. It is not double vision, it is like a "hologram light(?)" a colorful light coming from my eyes. It is also painful. About ten min after I took the vaccine I felt a "medicine taste" in my mouth, and in the back of my throat/tongue and that is when my throat started feeling scratchy/sore. I had Covid on 05/18/2020 (positive)

Other Meds: Multivitamins, Vitamin D

Current Illness: No

ID: 0953229
Sex: M
Age: 84
State: IN

Vax Date: 01/15/2021
Onset Date: 01/16/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: none

Allergies: Zestoretic

Symptoms: fatigue,

Other Meds: acetaminophen 650 prn, amlodipine 10 mg, aricept 10 mg, aspercreme prn, bisacodyl supp prn, celebrex 200mg, finesteride 5 mg, halls cough drops prn, hydroxychloraquen 200mg keppra 500mg, metroprplol 50mg, MOM 30 ml prn, mineral oil to ea

Current Illness:

ID: 0953230
Sex: F
Age: 63
State: CA

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

Lab Data: N/A

Allergies: None

Symptoms: chills, mild fever, aches, headache, mild cough

Other Meds: Felodipine Ec 5 mg, Pantoprazole Sodium Ec 40 mg

Current Illness: Npne

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm