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: 0954063
Sex: F
Age: 28
State: OH

Vax Date: 01/08/2021
Onset Date: 01/16/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies: Latex

Symptoms: One week following shot. Left arm began to swell. About the size of half dollar. Arm was red, so swollen hard to press down on the area. Slight itching. Still red today, not as swollen

Other Meds: Melatonin and birth control

Current Illness: None

ID: 0954064
Sex: M
Age: 87
State: MA

Vax Date: 12/26/2020
Onset Date: 12/30/2020
Rec V Date: 01/18/2021
Hospital:

Lab Data: Hospital records reviewed - dx UTI.

Allergies: NKDA

Symptoms: Reported due to being transferred to hospital within 3 days of vaccination. Patient sustained a fall and likely this is not related to COVID vaccine as he had no post vaccination symptoms and has a history of falls. He returned after being evaluated and hospitalized for 6 days Dx included urinary tract infection and acute kidney injury. We were instructed to report any hospitalizations within 3 days of vaccine.

Other Meds:

Current Illness:

ID: 0954065
Sex: F
Age: 37
State: MT

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

Lab Data:

Allergies:

Symptoms: The patient describes her symptoms as pins and needles on the right side of her body including burning of the right foot. The injection site is swollen as well. The patient also describes a right foot injury including fracture occurring on 1/7/21. Mild symptoms started on the evening of 1/15/21. On 1/16, she awoke with numbness on the right side of the body. On 1/18 the symptoms evolved into pins and needles. This was the second dose of the vaccination series. The first dose caused some chills lasting several hours. The patient was seen at an urgent care earlier in the day, but reports not receiving a conclusive answer as to the basis of her symptoms. She stated that she intends to be seen at the ER. As a pharmacist I can not provide any additional workup, which was explained to the patient.

Other Meds:

Current Illness: Foot injury with fracture

ID: 0954066
Sex: F
Age: 54
State: TX

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

Lab Data:

Allergies: Codeine, onions

Symptoms: First week just mild soreness because of bruise at injection site. On 1/15 started itching and swelling at injection site about 11AM. By 5PM swollen red patch and itching. On 1/16 til now 1/18 PM still swollen, red patch, hot and sore to the touch.

Other Meds: Zyrtec, metoprolol 150 mg, multivitamin

Current Illness:

ID: 0954067
Sex: F
Age: 85
State: IL

Vax Date: 12/29/2020
Onset Date: 01/09/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: 11 days post injection, upper Left arm large blotchy red area,hot. Red area below site of injection Site of injection hard but not red. Blotchy area faded but small presence on upper arm still seen.Never any fever. I took 2 Benadryl and used cold packs for 24 hours. Arm seen by doctor on 1-14-21 at time of scheduled visit. Doctor advised Benadryl before 2nd shot and 2 weeks of antihistamine after 2nd shot.

Other Meds: Fish oil capsule. Vit. D. Presser vision capsules

Current Illness: None

ID: 0954068
Sex: F
Age: 53
State: NJ

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

Lab Data: None

Allergies: Erythromycin- stomach sensitivity Barium Sulfate -sensitivity

Symptoms: Day 1 Sore arm in injection site. Day 2 approximately 24hrs after vaccination, extreme headache only on left side of head from mid forehead back to behind ear and extreme exhaustion. Symptoms subsided by end of day 3. Day 8 extreme tenderness in left armpit in lymph same arm as injection and exhaustion returned. Day 11 woke with hard swelling and warm to touch of injection site and continued exhaustion and mild headaches on and off. Symptoms finally subsided by day 14. Next dose scheduled for February 1, 2021 at 12:40PM.

Other Meds: Armour Thyroid 60mg., Simvastatin 20 mg.

Current Illness:

ID: 0954069
Sex: F
Age: 47
State: FL

Vax Date: 01/05/2021
Onset Date: 01/13/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: blood work and xray

Allergies: none

Symptoms: 7 days after having vaccine I had Covid symptomds on the 17th of Jan I tested positive for covid

Other Meds: none

Current Illness: none

ID: 0954070
Sex: M
Age: 33
State: VT

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: Lab Crystal Analysis Jan 14, 2021 Lab SYNOVIAL FLUID CELL COUNT Jan 14, 2021 Lab SYNOVIAL FLUID DIFFERENTIAL Jan 14, 2021 Imaging XR SHOULDER RIGHT 2 OR MORE VIEWS Jan 14, 2021 Lab COMPLETE BLOOD COUNT AND DIFFERENTIAL Jan 14, 2021 Lab CK Jan 14, 2021 Lab C REACTIVE PROTEIN Jan 14, 2021 Lab SED. RATE:

Allergies: None

Symptoms: 1/11-Received vaccine @ 11:55am and by 9pm my right shoulder started to hurt-centralized to the joint area. 1/12- Right shoulder pain continued to increase. Couldn't sleep or perform normal daily functions by next morning. 1/13-Shoulder pain continued to get worse and lost more range of motion. Went to the Emergency Room @ 3:30am and was there until 11:30am the next day. Ran a number of tests below. 1/14-pain had subsided a little bit due to prescriptions from Dr. at hospital. (Robaxin, Prednisone, Ibuprofan and Tylenol). 1/15- 9am Dr. appointment with primary care physician via telehealth. Received referral for a Dr. who specializes in Ultrasound Scans. 1/16-1/18(today) Pain had continued in right shoulder, centralized to joint area with no other symptoms. Went to physical therapy this morning @ 9:30am to do range of motion tests.

Other Meds: None

Current Illness: None

ID: 0954071
Sex: F
Age: 25
State: WI

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

Lab Data:

Allergies: Allergies to: dust, mold, pollen, unknown ingredient in alcohol, seasonal.

Symptoms: Immediately got redness of injection site feeling of nausea. Needed to take my mask off to get fresh air. Nurse moved me to reclining chair and I proceeded to get very hot and feel like my heart was racing and skipping. The nurse noted some hitching and fast pulse, instructed me to take some breaths. And monitored my vitals. Noted my eyes feeling weird. They had epinephrine ready to draw up if my throat closed.. After 30 minutes I felt much better and they said my heart rate had slowed , I was able to leave. About a half hour after leaving, I got very tired, and my eyes still felt odd. Could feel my heart rate increasing again. Began to get itchy/puffy eyes and nasal congestion with a tight chest. I took a benadryl and left work at the advisement of one our nurses to pull over and call emergency services if allergies turn anaphylatic. Within 30 minutes of the benadryl allergies cleared up and I just needed to sleep.

Other Meds: None

Current Illness: (COVID positive November 10th)

ID: 0954072
Sex: F
Age: 29
State: CA

Vax Date: 01/08/2021
Onset Date: 01/17/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: N/A

Allergies: Soy

Symptoms: Redness and hot at injection site

Other Meds: Birthcontrol

Current Illness: None

ID: 0954073
Sex: F
Age: 32
State: TX

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

Lab Data: Several test and labs during ER visits.

Allergies: Bananas

Symptoms: Immediately felt dizziness, shortness of breathe and left body numbness. Fainted in and out and left body tightness/pain for 2 hours post injection. fever, fatigue, headache, shortness of breathe, muscle fatigue, chest ache for several days after. 01/08/2021 all symptoms become worse and severe. Left body muscle tightness and fatigue, heart palpations, vomiting, chest pain, dizziness, syncope, difficult breathing, unable to walk. ER Visit 01/08/21, 01/09/21, 01/09/21, and 01/11/21 PCP visit 01/12/21 Cardiologist visit 01/15/21

Other Meds: Claritin

Current Illness: None

ID: 0954074
Sex: F
Age: 53
State: CA

Vax Date: 09/22/2020
Onset Date: 09/23/2020
Rec V Date: 01/18/2021
Hospital:

Lab Data: 12/03 - MRI completed as ordered by Pain Specialist, Dr. MRI Findings are: FINDINGS: *Moderate Supraspinatus and Infraspinatus Tendinosis with mild adjacent fluid in the subdeltoid subacromial bursa suggesting bursitis. *A 13 mm x 14 mm tear of the supraspinatus tendon. *Mild atrophy of the supraspinatus muscle. *Type 2 curved acromial configuration without undersurface spurring. *Advanced cartilage loss in the acromioclavicular joint with mild adjacent spurring. *Mild to moderate capsular thickening and increased signal suggesting adhesive capsulitis.

Allergies: Celiac Disease (gluten), latex

Symptoms: 09/22/2020 - I received a Flucelvax Quad 2020-2021 flu vaccine via syringe in my left shoulder at the pharmacy. The vaccine site was swollen and hot for about 7 days. Deep shoulder pain began along with excessive Ibuprofen use to try to manage pain. Sleep difficulties due to waking with severe, deep shoulder pain that lasted for hours. 10/05/2020 - Office Visit with PCP/NP due to shoulder pain. Diagnostic tests and referrals were discussed. Cause was unknown at the time. No previous history of shoulder pain and/or injury. X-rays were taken in the office to determine if a fracture or dislocation had occurred. Neither were present on the x-ray. PCP/NP prescribed Gabapentin and Lidocaine for pain. She instructed me to discontinue Ibuprofen due to concern that I was experiencing possible abdominal symptoms related to the overuse of Ibuprofen. PA discussed options, including MRI and PT, if pain continued. 10/23/2020 - Follow-up office visit with PCP/NP. Gabapentin was discontinued after first day due to side effects. Referred to a pain specialist. Flu vaccine prior to the shoulder pain was addressed. 12/03 - MRI completed as ordered by Pain Specialist, Dr. MRI Findings are: FINDINGS: *Moderate Supraspinatus and Infraspinatus Tendinosis with mild adjacent fluid in the subdeltoid subacromial bursa suggesting bursitis. *A 13 mm x 14 mm tear of the supraspinatus tendon. *Mild atrophy of the supraspinatus muscle. *Type 2 curved acromial configuration without undersurface spurring. *Advanced cartilage loss in the acromioclavicular joint with mild adjacent spurring. *Mild to moderate capsular thickening and increased signal suggesting adhesive capsulitis. 12/08/2020 - Follow-up visit with Dr. - recommendation of Physical Therapy 2-3 times weekly for 8 weeks to support self-healing of the supraspinatus tear if possible. Dr. stated that the "almost full thickness supraspinatus tear with absence of attachment distally" may require surgery. I continue to experience deep, left shoulder pain. Limited range of motion. Severe pain and "crunching" sound when arm is lifted or when it receives any pressure against it (lifting self from tub/bed, etc.). Follow-up appointment with Dr. will be scheduled for February 2021.

Other Meds: Adderall for ADD, Multi-Vitamins

Current Illness:

ID: 0954075
Sex: M
Age: 43
State: CT

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: Covid test Jan 17. Awaiting results

Allergies: None

Symptoms: 72 hours of body aches, fatigue, uncontrollable chills, fever and night sweats. Got vaccine 8am and symptoms appeared at 4am next morning.

Other Meds: Camera, telemistartin

Current Illness: None

ID: 0954077
Sex: F
Age: 62
State: MI

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

Lab Data: no

Allergies: no

Symptoms: I started running a low grade temp about 9 pm on 1/6/2021. Woke in a.m. (early) with 100.9 temp and swollen lymph nodes under my arm and along the side of my breast and a tingly right hand. Fever broke early am on friday (1/8/2021). I was very fatigued and tired and still had a very tingly hand on 8th. Tingly slowly got better and I didn't notice it anymore on Wednesday ,13th. Fatigue was better by Sunday the 1/9th. I felt pretty much back to normal by 11th except for my hand. No treatment.

Other Meds: Toprol; Hydrochlorothiazide; Lincaprol; Clindamycin; LLV -Herbal from Doterra

Current Illness: Had a root canal; abscess tooth

ID: 0954078
Sex: M
Age: 60
State: CA

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

Lab Data:

Allergies: None that I am aware of

Symptoms: Some time after vaccination noticed trouble breathing and shortness of breath. 2 days later ( Tuesday, 1-18-2021) still have difficulty breathing and heart beat is faster. Woke up in the middle of the night on Sunday with a rapid heartbeat.

Other Meds: Sam-e, naproxin sodium, generic equivelant of prilosec

Current Illness: None

ID: 0954079
Sex: F
Age: 43
State: MA

Vax Date: 01/04/2021
Onset Date: 01/12/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: 1/13 Covid test 1/15 CBC, BMP, mono, lyme, TSH panel, UA 1/15 Coovid test

Allergies: Scopolamine patch

Symptoms: Received vaccine on 1/4 in the morning and it was fine until the evening, then got the sore site and mild malaise, wen to be early and slept all night. Next several days feeling extra tired especially in the evenings. On 1/12 I got up at 05:30 feeling fatigued and super tired, i call out work. I slept for most of the day and called occupational health (OH) and they scheduled a PCR Covid test for the next day 1/13, which came back negative. (1/14) still feeling fatigued, having palpitations and noticed my heart rate increasing significantly with mild exertion such as walking and eating, so I reached out to my PCP, who ordered labs and a second PCR Covid test for 1/15. Labs returned the next day 1/15 with elevated WBC and second Covid test came back negative on 1/16. Felt a bit better on Sunday 1/17, but today 1/18, I am still very tired and my heart continues to increase when I get out of bed, eat, shower or do any simple thing, my heart rate jumps from 64-68 to 115-120s, called my PCP back and he is seeing me tomorrow morning for an EKG and other tests, and I have been out of work for a week. I take no prescriptions drugs and have no health problems.

Other Meds: Vitamin D 50 000 units weekly

Current Illness: None

ID: 0954080
Sex: F
Age: 38
State: ID

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

Lab Data: The er checked my platelet count, gave me iv fluids, benadryl and nausea meds.

Allergies: Latex

Symptoms: I got the shot on Tuesday. My arm was a little sore but then it got really sore. By Wednesday, my arm by the injection site was swollen, red, and really hot. As Wednesday went on, I got really nauseous. I ended up throwing up starting at around 5:30 pm until 12 midnight off and on. I woke up Thursday with a rash looking thing across my chest and the right side of my neck. My arm was still sore, hot and red and now itching. It had not gone down any. I felt like crap so I went to the er thinking it might have been an allergic reaction about 10:45 am. The dr at the er put me on iv fluids, benadryl and nausea medicine. The redness and swelling went down a tiny bit while at the er. From Thursday to today, the swelling and redness is almost gone. It does itch still and still nauseous.

Other Meds: Lamotrigine, citalopram, and acid reducer

Current Illness: Na

ID: 0954081
Sex: F
Age: 30
State: VT

Vax Date: 12/28/2020
Onset Date: 01/05/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Swelling, itches at the injection site.

Other Meds:

Current Illness:

ID: 0954082
Sex: M
Age: 87
State: MA

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

Lab Data:

Allergies: ASA, Codeine, Sulfa, Zithromax, Cephalexin, fluoromethalone

Symptoms: Developed temp 101.2 on 12/30/2020. Treated with Tylenol. The following day, the patient complained of chest pain and was sent to ED for evaluation. He was transferred to Hospital and admitted with altered mental status. He returned to the Nursing Home on 01/01/2021 with no acute findings and has been stable since that time - Dx was lethargy and altered mental status.

Other Meds:

Current Illness:

ID: 0954083
Sex: F
Age: 52
State: KY

Vax Date: 01/07/2021
Onset Date: 01/15/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies: erythromycin, aspirin sensitivity

Symptoms: 8 days later, swelling, redness, and slight pain at injection site - still ongoing on 11th day after injection. Those symptoms were not present for the first week after injection.

Other Meds: Dulera inhaler, Pro-Air inhaler, metformin, Wellbutrin, multivitamin, iron tablet, Lovastatin

Current Illness: sinus issues

ID: 0954084
Sex: F
Age: 41
State: IN

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

Lab Data: Negative Covid (PCR) on day 10 (01/14/2021) Day 14 (10/18/2021) to be scheduled for Covid testing as well as antibody testing, flu A&B, and mono.

Allergies: Nuts, tape, preservative

Symptoms: Within the hour of vaccination arm felt heavy and tight. Numbness and tingling in arm and hand. Soreness in arm. Took Ibuprofen. Day 3 reached out to physician and was told to continue with ibuprofen, likely lymph node swelling putting pressure on axillary nerves causing numbness/Tingling. Soreness resolved in a few days. Numbness/Tinging/tightness in approx 1 1/2 weeks. On day 7 notes severe lower back pain but was intermittent and worse with certain movements, lasting a few days. Day 9 noted fatigue during work hours, in the evening noted body aches/muscle fatigue/headache. Day 10 tested (PCR) for Covid which was negative. Day 14 extreme fatigue and intermittent headache still persist. Examined by PCP who wants to test again for Covid as well as do antibody testing. Also test to rule out flu and mono to be scheduled.

Other Meds: Sprinter, probiotic, Zyrtec

Current Illness: Seasonal allergies

ID: 0954085
Sex: F
Age: 28
State: TX

Vax Date: 01/13/2021
Onset Date: 01/16/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies: n/a

Symptoms: Moderna COVID-19 Vaccine EAU Swollen lymph nodes in neck, soreness in underarm, night sweats all occurring within the past 48 hours.

Other Meds: n/a

Current Illness: n/a

ID: 0954086
Sex: F
Age: 28
State: VA

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

Lab Data:

Allergies: Peanuts

Symptoms: After 1st dose, feeling of fatigue and extreme heat, soreness in left arm and headache After 2nd dose, headache, soreness of left arm, and night fever 24 hours later

Other Meds: Levothyroxine Vitamin d Magnesium Vitamin b6

Current Illness:

ID: 0954087
Sex: F
Age: 64
State: CA

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

Lab Data: none yet

Allergies: none

Symptoms: Rash on neck and upper chest area

Other Meds: Caltrate, Venflaxin

Current Illness: none

ID: 0954088
Sex: F
Age: 55
State: AL

Vax Date: 01/06/2021
Onset Date: 01/08/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: Platelet count 1/22/21 checked, result 150

Allergies: avelox, bactrim, macrobid

Symptoms: Petechiae rash both legs.

Other Meds: trazodone, zetia, pravastatin, vitamin c, fenofibrate, aspirin 81 mg, escitalopram, zinc,

Current Illness: none

ID: 0954089
Sex: F
Age: 47
State: CA

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: Had COVID-19 test done at primary caregivers office on 01/11/2021, results were negative.

Allergies: Hydrocodone and Pork.

Symptoms: Caregiver reported onset of itchy scalp and headache approximately 7 hours after receiving dose. Symptoms progressed to disorientation, fatigue, cough, shortness of breath and anxiety.

Other Meds: Vitamins: C, D3 and B12. Zinc, Turmeric, Tart Cherry.

Current Illness: Nothing acute .

ID: 0954090
Sex: F
Age: 75
State: TN

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

Lab Data: None

Allergies: None

Symptoms: Within 1 minute I started feeling a rush in my throat and a metallic taste, then a tingling in both arms. That subsided for a minute or two, then started again with a flush feeling down my body. Nurse took blood pressure 140/80. Breathing fine. Heart rate fine. Flush feeling started again, and blood pressure dropped to100/70. I was then given 50 mg of Benadryl and an ambulance was called. My blood pressure stabilized but I was very shaky. It was recommended that I go to the hospital for observation for a couple of hours, which I did. I only had the flush feeling once at the hospital. I was released after two hours.

Other Meds: Xarelto, propranolol, amlodipine, fosinopril, hydrochlorothiazide, amitriptylin, vitamin D, vitamin B, CoQ 10, magnesium

Current Illness:

ID: 0954091
Sex: F
Age: 50
State: CO

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

Lab Data:

Allergies: Latex, Bananas, Pineapple, Aspirin

Symptoms: Patient complained of dizziness which persisted for a while. She was given some water and some juice which she drank. She was awake and coherent while under monitor. Blood Pressure readings were 177/87 ( Pulse 59) at 1:30pm Right Arm. 203/93 , Pulse 57 at 2:15pm Right Arm, 147/95 Pulse 60 at 2:17pm Left Arm, 160/83 Pulse 58 at 2: 30pm Left Arm, , 170/93 Pulse 58 at 2/53pm Right Arm. Her Healthcare Provider was notified. She was assessed by her Health Care Provider who recommended she seek further evaluation at the ER

Other Meds:

Current Illness: High Blood Pressure, Hyperthyroidism, Graves Disease

ID: 0954092
Sex: F
Age: 75
State: NJ

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

Lab Data:

Allergies: Sulfa

Symptoms: Patient received vaccine then proceeded to stand. Upon standing, patient reported back pain that became chest pain. She rated the pain a 5 on a scale of 0-10. The pain was located in the substernal area and was reported as feeling like something was crushing her chest. Patient given oxygen @ 10L via nasal canula and began feeling better after 10 minutes. EMS was contacted and transported to Hospital.

Other Meds: Levothyroxin, Calcium, Vitamin

Current Illness:

ID: 0954093
Sex: F
Age: 63
State: VA

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

Lab Data:

Allergies: codeine

Symptoms: Red swollen fevered arm. Started approximately 2 or 3 in the morning. Same symptoms 18 hours later.

Other Meds: Glucosamine, Turmeric, Biotin, Collagen

Current Illness: None, very healthy

ID: 0954094
Sex: M
Age: 49
State: MI

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

Lab Data:

Allergies:

Symptoms: instant metallic taste in mouth, heaviness in chest, and fast HR. Taken to ED for further evaluation.

Other Meds:

Current Illness:

ID: 0954095
Sex: F
Age: 80
State: DC

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

Lab Data:

Allergies:

Symptoms: 1st day (10:30 am):- left arm sore/painful, overnight : freezing, burning sensation and extreme fatigue. 2nd day(01/15/21):- left arm still sore not painful but fatigue continued 3rd day(1/16/21):- 10:30 am, Temple left vein burst at the fore head from middle to left eye, covered with red dots bleeding from left temple eye until 6:00 pm throbbing pain all day and night. 4th day (01/17/21):- Swollen left side of face, internal bleeding around the left eye, slight throbbing pain, extreme fatigue. 5th day (01/08/21):- Swelling/bruises and internal bleeding visible. Less fatigue, able to go to pharmacy to report. *Report as presented by the Patient.

Other Meds: Levothyroxine 75mcg

Current Illness:

ID: 0954096
Sex: F
Age: 51
State: CO

Vax Date: 12/26/2020
Onset Date: 01/04/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: Went to see PCP no labs or testing

Allergies: ?flexoril - itch/ numb around mouth/ lips Seasonal allergy

Symptoms: Developed red itchy burning sensation area near injection site. Warm to touch slightly swollen - 9 Days after shot. Burning and itching subsided after about 2 days and redness gradually faded- maybe 4-5 days

Other Meds: Domperidone Prilosec Vitamin D Zinc Multi vitamin Juice plus

Current Illness:

ID: 0954097
Sex: F
Age: 65
State: WI

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

Lab Data: Heart Rate : 100?126 Resp Rate : 15?28 Blood Pressure : 102/89?131/84 SpO2 (%) : 98 % White Blood Cell Count: 16.8 (H) Lactate: 3.8

Allergies: Penicillins Experienced urticaria while taking penicillin. Sulfa (sulfonamide Antibiotics) Experienced urticaria while taking penicillin then was transitioned to Sulfa antibiotic and rash worsened along with fever.

Symptoms: Chief Complaint: low blood pressure, tachycardia, SOB after last Friday's Covid shot. Pt. meeting SIRS criteria with elevated lactate, WBCs, and tachycardia. Given fluid bolus and IV ABX.

Other Meds: alendronate (FOSAMAX) 70 mg tablet Take 1 tablet (70 mg total) by mouth every 7 (seven) days. cholecalciferol (Vitamin D3) 2,000 Unit capsule ? Take 1 tablet by mouth daily. ? estradioL (ESTRING) 2 mg (7.5 mcg /

Current Illness: N/a

ID: 0954098
Sex: F
Age: 34
State: VA

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

Lab Data: None

Allergies: Hx of delayed Mild Allergic Rxn to Augmentin, no other known allergies

Symptoms: on 1/10/21 there was mild to moderate swelling and soreness at the injection site, on 1/11/2021 swelling still present, pain resided but was very pruritic through 1/12/2021. By 1/13/2021 symptoms mostly resolved. No issues until 1/17/21 (8 days after initial vaccine) very firm swelling formed and increased throughout the day. Non responsive to NSAID, Diphenhydramine hydrocortisone cream, and cold compress. Very pruritic. Medical attention sought at Urgent Care Facility that evening. Treated with prescription strength topical Triamcinolone. Some improvement 24 hrs later, but still not completely resolved. Treatment is currently on going. Follow up indicated on 1/19/21 if not resolved per physician.

Other Meds: Nuva Ring, Multi-Vitamin, Vitamin-C, Cetirizine, Aleve

Current Illness: None

ID: 0954099
Sex: F
Age: 58
State: OR

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

Lab Data: During interim period where patient felt mildly ill. patient SP02 came back as 99%, pulse of 79 beats per minute. Patient blood pressure was roughly 130/80, although patient did mention that their baseline systolic was around 118 mmHG. Further readings taken by EMT and hospital staff are not currently available to our staff.

Allergies: Per information taken at vaccine clinic, patient does not have listed allergies.

Symptoms: Patient demonstrated signs of dizziness, nausea and feeling chills roughly five minutes after administration of vaccine. Patient became dizzy enough to lose balance and fall after attempting to stand up. At this point, EMT services were called in as a precaution. As EMT services arrived, patient felt potential difficulty breathing. After discussion with EMT team, epinephrine was not administered immediately; patient received an injection of Benadryl and then was transported to hospital. From second hand information obtained , the patient has been stabilized and is feeling better following their trip out to the hospital. No official paperwork or direct contact with the patient has been made at this time.

Other Meds: Current total prescription list is unknown at this time

Current Illness: Patient does not have any listed acute illnesses listed at the time of vaccine clinic.

ID: 0954100
Sex: F
Age: 58
State: TX

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

Lab Data: I did not see medical advise for that reaction.

Allergies: None

Symptoms: Unable to make out the Lot number due to illegible. The pain in my right arm and around the back of my head and neck increased all day on Saturday, latter that night the pain woke me out of my sleep, and as I attempted to go to the restroom, I passed out. I woke up on the floor where I had passed out face down, with a busted bloody lip and bruises and broken skin on both knees. Very frightening, Thank God that I woke up because I live alone. Thank you.

Other Meds: Not at the time of vaccination. I did take my blood pressure pill around 6:30 am that Friday morning. Nothing else.

Current Illness: None

ID: 0954101
Sex: M
Age: 61
State: OH

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

Lab Data: jan 14th cat scan , ekg ,bloodwork came back ok

Allergies: band aids

Symptoms: heavy sweating, then passed out twice ,hitting the floor 5 hours after getting shot . went to summa ed the next day , cat scan,bloodwork and ekg came back ok. on jan 16th i went to a dentist for a abscessed tooth.after i passed out i had a headache for 2 days and felt out of sorts.

Other Meds: advorstatin lisinopril baby aspirin

Current Illness: abscess

ID: 0954103
Sex: F
Age:
State: OR

Vax Date: 01/08/2021
Onset Date: 01/16/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: No symptoms at first. 8 days after, where shot was administered area turned red, warm to touch, itchy, sore when pressure applied and hard. Currently on day 10, still itchy and red. All other symptoms cleared.

Other Meds: Collegen

Current Illness: None

ID: 0954104
Sex: F
Age: 38
State: NE

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

Lab Data: Labs on 1/18: ESR:110, CRP: 5.1, ANA and rheumatoid are pending.

Allergies: Adhesive

Symptoms: (12/21/20)Dose #1: slight redness and swelling at the site for about 24 hours. Day 9-because extremely itchy, red and swollen. Headache, diarrhea, abdominal pain and nausea for about 6 hours. (1/15/21)Dose #2: less than 24 hours after injection, site was red, warm, swollen, itchy. Severe muscle/body aches. Temp was 100. Injection site developed the size of a softball red, warm, itchy and firm area. The entire next day, extremely fatigued and muscular pain. Today 1/18 (site is still inflamed and itchy)headache and neck stiffness. Prior to my injection I was having joint pain in my ankles and being right knee, so I made an appointment for today not realizing I was getting the vaccine on Friday. So lab tests were ran today.

Other Meds: Labetalol, Lyrica, vitamin D, Biotin, Zyrtec, Colace, Sertraline.

Current Illness: Low back pain, bilateral ankle pain

ID: 0954105
Sex: F
Age: 48
State: MA

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

Lab Data: Evaluation by pcp 1/14/21...no testing performed

Allergies: None

Symptoms: 1/4 Left side pain under my shoulder blade, across top of my left shoulder..woke me up. Site tenderness...then everyday, all day 1/4-1/10...lightheaded/dizziness(couldn't drive) Nausea ( thought i was pregnant) Diarrhea, headache, fatigue, night sweats, injection site became red, size of a half dollar and itching got worse as the week went on. On 1/10, most symptoms got better..On day 9 (1/2) I looked at sight and it was more red, and warm to touch...my face was also bright red...overnight the site grew to cover almost right around and the whole area was bright red. I went to my pcp who is treating as a cellulitis...itching persists, occasional dizziness but nausea and diarrhea have gotten worse..im guessing from antibotic?

Other Meds: Vit d3 500IU,

Current Illness: None

ID: 0954106
Sex: F
Age: 71
State: CA

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

Lab Data:

Allergies: unknown

Symptoms: CO SOB, light headedness and tachycardia HR 110 BP 150/palp, O2 Sat 94% on RA Provided O2 @ 2liters via NC. Patient reported reduction in symptoms within a few minutes and discharged to self with husband. At discharge HR 83, BP 150/96, O2 Sat 93% on RA

Other Meds: "Water Pill"

Current Illness: Hypertension

ID: 0954107
Sex: F
Age: 35
State: NJ

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

Lab Data:

Allergies:

Symptoms: Vasovagal. Complain of feeling hot shortly after vaccine injection.

Other Meds: Birth Control

Current Illness:

ID: 0954108
Sex: F
Age: 57
State: OK

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: None yet

Allergies: Keflex

Symptoms: Beginning at midnight the night of my vaccine I began to shiver uncontrollably. I took 2 Tylenol and was able to sleep for a few hours. I awoke around 6 am with severe body aches, shivering, severe fatigue, upset stomach and extremely disoriented. This lasted for the next 30 hours. I continued to take Tylenol as needed for headaches and body aches. Eventually, the body aches subsided, but the head aches and sense of confusion and disorientation lasted for 2 more days. It has been 4 days since the vaccine and I still am experiencing what I would call a brain fog. It?s very scary and concerning to me.

Other Meds: Metformin, lisinopril, atorvastatin calcium

Current Illness: None

ID: 0954109
Sex: F
Age: 39
State: CA

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

Lab Data: None

Allergies: None

Symptoms: 20 min after injection: lightheaded, dizziness, nausea, lowered blood pressure., chest pain. This lasted for about an hour. Then for several days after injection: flu-like symptoms of muscle/joint pain, mild fever, sore throat, chest pain, exhaustion, mild pain at injection site like a sore muscle. Patient is still feeling mild flu-like symptoms, 3 days after injection.

Other Meds: None

Current Illness: None

ID: 0954110
Sex: F
Age: 33
State: AZ

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

Lab Data:

Allergies: Ceclor, septra, keflex

Symptoms: Fast heartbeat/ sweaty/felt out of body/ shaky hands 3 minutes following vaccine injection- came on quickly and dissipated within 2-3 minutes. 20 minutes after injection had minor itching in lower right ankle/shin

Other Meds: Vitamin C/vitamin d3

Current Illness: N/a

ID: 0954111
Sex: F
Age: 73
State: TX

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

Lab Data: none

Allergies: Iodine in contrast dye and topical Mercury

Symptoms: One week after my initial vaccination (1/15), I had several mosquito size red welts on my right upper arm that itched. The next morning (1/16) it had turned into one large red area on my upper arm that was still itching. By 1/17 the red area was a bit larger and still itched. On 1/18 the area was a little bit larger but the redness was going away.

Other Meds: Xarelto 20 mg, Risedronate Sodium 150 mg. (Last taken 1/1/2021), Vitamin D3, B Complex, Fish Oil, PreserVision,

Current Illness:

ID: 0954112
Sex: F
Age: 35
State: GA

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

Lab Data: No medical professionals were contacted.

Allergies: None known

Symptoms: Numbness and tingling of the face and interior of mouth/tongue. Began 40-60 minutes after the injection, and lasted for 30-45 minutes. A 25mg Benadryl had been taken roughly ten minutes prior to the adverse event beginning. The Benadryl was taken for preventative reasons.

Other Meds: Unithroid 112

Current Illness: None

ID: 0954114
Sex: F
Age: 56
State: WA

Vax Date: 01/16/2021
Onset Date: 01/17/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Diarrhea Nausea

Other Meds: Zolpidem Levothyroxin

Current Illness: None

ID: 0954115
Sex: F
Age: 27
State: MI

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

Lab Data:

Allergies: none

Symptoms: Vaccination was on Wednesday: about a half hour after vaccine, I experiences increased heart rate, vision going black like I was going to pass out, it passed in about 5-10minutes of laying down; also had metallic taste in mouth the rest of that day. Thursday I just felt red, itchy, swollen L arm due to vaccination site. Friday morning my bottom lip was severely swollen with numbness and tingling. It went down by the next day and after taking Benadryl. I have not had an allergic reaction to anything in my life before. Was instructed to not get second vaccine as I may have a more increased reaction to it.

Other Meds: none

Current Illness: none

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm