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: 0955596
Sex: M
Age: 17
State: NY

Vax Date: 01/18/2021
Onset Date: 01/19/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Administration error. Patient was 17 when vaccine was administered (authorized for 18 and older). No known adverse events.

Other Meds:

Current Illness:

Date Died: 01/15/2021

ID: 0955597
Sex: M
Age: 50
State: NE

Vax Date: 01/13/2021
Onset Date: 01/15/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: Contrast media

Symptoms: Death

Other Meds: Levothyroxine Calcium Acetate Albuterol Clonidine Hydralazine Ropinirole Aspirin Ergocalciferol Metoprolol Ondansetron Rifaximin Hydroxyzine Mutlivitamins Buspirone Pantoprazole Oxycodone Atorvastatin

Current Illness:

ID: 0955598
Sex: F
Age: 51
State: CA

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: pain at site of injection , chills , fever 103

Other Meds:

Current Illness:

ID: 0955600
Sex: F
Age: 54
State: NC

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: Sulfa, levaquin, adhesive tape

Symptoms: Flushed, elevated heart rate

Other Meds: Divigel, zyrtec, protonix, atorvastatin, fish oil, vitamin D, probiotic

Current Illness: ear infection - finished course of 10 day augmentin 2 days ago

ID: 0955601
Sex: F
Age: 89
State: TX

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: PATIENT MENTIONED NO ALLERGIES TO MEDICATIONS FOOD, PEG BEFORE VACCINATION

Symptoms: Systemic: TINGLING SENSATION ON TONGUE, SHAKINESS. PATIENT ASKED FOR BENADRYL FROM FACILITY AND WAS FINE . COUNSELED ON FALL RISK BUT SHE SAID SHE DOES FINE WITH BENADRYL AND ASKED FOR IT AND WAS COUNSELED AND

Other Meds:

Current Illness:

ID: 0955602
Sex: F
Age: 51
State: PR

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: Chills, headache, fever, low back pain.

Other Meds: NO

Current Illness:

ID: 0955603
Sex: F
Age: 58
State: OR

Vax Date: 01/11/2021
Onset Date: 01/18/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: NA

Allergies: Clindamycin

Symptoms: Redness, slight swelling and itchiness appeared in the afternoon of 01/18/21 I am also feeling a bit tired and have some headache. Redness not itchiness were not there until 01/18/21

Other Meds: NA

Current Illness: NA

ID: 0955604
Sex: F
Age: 60
State: TX

Vax Date: 01/09/2021
Onset Date: 01/18/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: pineapple , strawberries, blueberries, and papaya will cause a rash if I eat even a small amount.

Symptoms: On the evening of 1/18/21, my left arm started itching in the section of my arm where the vaccine was given. I rubbed on the area with my hand. noticed a rash when I woke up this morning. the itchy feeling is no longer intense as the night before. rash not as red in color

Other Meds: Metformin, Enalapril, Pantoprazole, Montelukast, multivitamin for women 50+

Current Illness: none

ID: 0955605
Sex: F
Age: 58
State: WA

Vax Date: 01/15/2021
Onset Date: 01/17/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: reports new onset of upper lip swelling two days following the COVID-19 vaccination. The swelling is mildly painful under her nose but is otherwise not red or painful. She is not experiencing fevers. She is experiencing mild malaise. She most recently received cosmetic fillers in the upper lip and cheek in October 2020.

Other Meds: Adderall 30 mg oral daily, adalimumab 50 mg/ml

Current Illness: None. She did have fillers placed in her upper lip and cheek in October 2020.

ID: 0955606
Sex: F
Age: 69
State: WA

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Systemic: Nausea-Mild, Systemic: Eyes tearing (patient did also state she had this for a few days prior as well, just worse after receiving vaccine)

Other Meds:

Current Illness:

ID: 0955607
Sex: M
Age: 65
State: TX

Vax Date: 01/02/2021
Onset Date: 01/03/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: vertigo

Other Meds: Valsartin for B/P

Current Illness: high blood pressure

ID: 0955608
Sex: F
Age: 18
State: UT

Vax Date: 12/18/2020
Onset Date: 01/14/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: N/A

Allergies: N/A

Symptoms: Injection was given 12/18/2020. On 1/14/2021 at the sight, a pea-sized lump appeared which is painful to the touch and with movement.

Other Meds: Aviane 0.1-20 MG-MCG Tablet

Current Illness: N/A

ID: 0955609
Sex: M
Age: 37
State: MO

Vax Date: 01/18/2021
Onset Date: 01/18/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: Pet dander, mold

Symptoms: body rash---arms, legs, feet, hands and trunk

Other Meds: Errin 0.35mg

Current Illness: none

ID: 0955610
Sex: F
Age: 30
State: OR

Vax Date: 12/31/2020
Onset Date: 01/18/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: Tested for COVID-19 on 1.19.21, results are not back yet.

Allergies: None

Symptoms: 19 days after 1st dose-loss of taste and smell with congestion.

Other Meds: Fingolimide, Sprionolactone, Vit D, Acetazolamide, Biotion, Zoloft, Wellbutrin, Zyrtec,

Current Illness: None

ID: 0955613
Sex: F
Age: 44
State: IN

Vax Date: 01/16/2021
Onset Date: 01/16/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: none

Allergies: penicillin

Symptoms: Approx 10hours post vaccination, headache, nausea, dizziness, chills, fever, body aches, joint pain lasting approx 30 hours. Followed by diarrhea lasting an additional 48hours.

Other Meds: omeprazole

Current Illness: none

ID: 0955614
Sex: F
Age: 41
State: CA

Vax Date: 01/05/2021
Onset Date: 01/13/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: N/A

Allergies: None

Symptoms: Approximately nine days after receiving the vaccination the injection site became raised, hot, itchy and with a 3 inch rash. This lasted for three days.

Other Meds: None

Current Illness: None

ID: 0955616
Sex: F
Age: 56
State: CA

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: none

Allergies: Mango, Poison Oak, Quinine Sulfate, Fragrance, Red Dye #5

Symptoms: Red raised rash all the way around neck, also near eyes

Other Meds: Levoxyl, Spironolactone, Medroxyprogesterone, Metformin, Vit.C, Selenium, Magnesium, Doxycycline

Current Illness: No illness..more syndromes:thyroid, rosacea, arthritis, menopausal, uterine fibroids ,hot flashes.,water retention, insomnia ect..

ID: 0955619
Sex: F
Age: 74
State: MN

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: N/A

Allergies: HYDROCHLOROQUINE

Symptoms: BODY ACHES, NASAL CONGESTION, COUGH

Other Meds: Medications Schedule Med days Assigned Amlodipine 10MG by mouth AM Started: 11/5/20 1:00 PM Daily 1 x a day Self Aspirin 81MG by mouth AM Started: 11/5/20 1:00 PM Daily 1 x a day Self Bactrim DS 800/160 MG by mouth AM Started: 11/5/20 1:00

Current Illness: RA, COPD, HYPOTHYROID, PVD

ID: 0955621
Sex: F
Age: 66
State: AZ

Vax Date: 12/22/2020
Onset Date: 12/23/2020
Rec V Date: 01/19/2021
Hospital:

Lab Data: None

Allergies: NKA

Symptoms: Flu symptoms including high fever & shaking & trembling & perspiring & nauseated

Other Meds: Metatoprol HCTZ Lexapro Pregabalin baby ASA VitC Vit D3 B-complex

Current Illness: None

ID: 0955624
Sex: F
Age: 48
State: TX

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: PATIENT WAS ALLERGIC TO SHRIMP,SEA FOOD

Symptoms: Systemic: TONGUE TINGLING AND FEELING WEEK LIP TINGLING, TOOK BENADRYL WITHOUT CONCERNING PHARMACIST BUT FELT BETTER WITH IT. OBSERVED FEW MINUTES

Other Meds:

Current Illness:

ID: 0955625
Sex: F
Age: 57
State: AK

Vax Date: 01/06/2021
Onset Date: 01/19/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: codeine

Symptoms: I woke up from sleep with itchy palms & feet. When I itched my palms & feet, no rash but the itch continued until I took a hot shower. I took 25 mg benadryl prior to entering a hot shower. while in the shower, I became dizzy & sat down until I could exit the shower after 10 minutes. I was so dizzy I could not stand in the shower.. After the shower, I took another 25 mg benadryl & one ranitidine 150 mg tablet. At 6 am, the symptoms had resolved except for edema in both hands.

Other Meds: Magnesium, excedrin, diclofenac sodium

Current Illness: none

ID: 0955630
Sex: F
Age: 57
State: WV

Vax Date: 01/05/2021
Onset Date: 01/08/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: Evaluation and EKG in Dr. office 01/14/2021

Allergies: No known allergies

Symptoms: Palpitations, high blood pressure requiring higher doses of meds. Still the BP is staying up.

Other Meds: Metoprolol

Current Illness: None

ID: 0955632
Sex: M
Age: 27
State: TX

Vax Date: 01/12/2021
Onset Date: 01/17/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: none

Allergies: NONE

Symptoms: Sunday 1/17/21 at approximately 6pm began with cough, mild sinus headache, mild shortness of breath. Monday 1/18/21 morning around 8am, awoke with headache, continued coughing, began taking Tylenol and taking Vitamin C. Tuesday 1/19/21 morning woke up feeling worse. Pain to bilateral shoulders, body aches, cough and runny nose.

Other Meds: NONE

Current Illness: NONE

ID: 0955634
Sex: F
Age: 64
State: OH

Vax Date: 01/18/2021
Onset Date: 01/18/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Systemic: Nausea-Medium, Systemic: Flushing-Medium

Other Meds:

Current Illness:

ID: 0955637
Sex: F
Age: 52
State: CA

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: NONE

Symptoms: 3 HOURS AFTER GETTING VACCINE, I HAD BODYACHES, REDNESS, AND PAIN AT THE INJECTION SITE. THE FOLLOWING DAY (APPROX 16 HRS LATER), I HAD BACK PAIN, JOINT PAIN, HIGH FEVER OF 103.4F.

Other Meds: NONE

Current Illness: NONE

ID: 0955641
Sex: F
Age: 25
State: PA

Vax Date: 01/11/2021
Onset Date: 01/18/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: eggs

Symptoms: Pt. states that she noticed left arm redness, swelling on 1/18/21 at 8 am.

Other Meds: yes

Current Illness: denies

ID: 0955643
Sex: F
Age: 58
State: AZ

Vax Date: 01/16/2021
Onset Date: 01/18/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: TORSO, ARMS AND LEGS ARE COVERED IN A RASH

Other Meds: OXYBUTYNIN, ZOLOFT, HYDROCODONE

Current Illness:

ID: 0955646
Sex: F
Age: 20
State: HI

Vax Date: 12/29/2020
Onset Date: 01/12/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: Cilantro Kiwi

Symptoms: Syncopal episodes 2-4x daily Hot flashes 2-3x daily

Other Meds: Adderall 30mg QAM Adderall 7.5mg QHS Lexapro 10mg QAM

Current Illness: None

ID: 0955649
Sex: M
Age: 37
State: NC

Vax Date: 01/18/2021
Onset Date: 01/18/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: None

Allergies: Unknown

Symptoms: Pt. had a Syncope episode within 20 min. of getting immunization. BP dropped to 80's - Systolic. , and HR dropped to the 40's. Pt. placed on Ground-Legs elevated. Provided PO H2O, Rest, Cool packs and recovered well within 30 min. Left Hospital without incident.

Other Meds: Unknown

Current Illness: Unknown

ID: 0955651
Sex: F
Age: 16
State: NY

Vax Date: 01/18/2021
Onset Date: 01/19/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient was 16 when vaccine was administered . No known adverse events.

Other Meds:

Current Illness:

ID: 0955652
Sex: F
Age: 49
State: CA

Vax Date: 01/08/2021
Onset Date: 01/16/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Skin red, hot, and swollen down along arm. Was itchy but has resolved. Fatigue

Other Meds:

Current Illness:

ID: 0955653
Sex: F
Age: 76
State: IN

Vax Date: 01/15/2021
Onset Date: 01/16/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: none

Allergies: NKA

Symptoms: temp 101.4 axillary , nausea ,without emesis HR 108 . weakness fatigue

Other Meds: Prescription acetaminophen [OTC] capsule; 325 mg; amt: 2 tabs = 650 mg; oral Spec. Inst: pain secondary to arthritis Prescription ascorbic acid (vitamin C) [OTC] tablet; 500 mg; amt: 500 mg; oral Spec. Inst: Vitamin C Supplement 01/19/21

Current Illness:

ID: 0955656
Sex: F
Age: 30
State: NH

Vax Date: 12/31/2020
Onset Date: 01/07/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: None

Allergies: Peanuts Tree Nuts

Symptoms: Woke Up on Thursday and arm was swollen about half dollar sign amount at the injection site.. Tissue underneath the skin was harder Area was raised about a quarter of an inch Red and itchy Vomited Estimated date if delivery - 07/31/2021

Other Meds: Prenatal Vitamins

Current Illness: Nope

ID: 0955659
Sex: F
Age: 80
State: AZ

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: Penicillin, oregano, caffeine

Symptoms: My heart went into Atrial Fibrillation. I take Flecainaide when that happens, I took 100 mg. and 50 mg. one and one-half hours later. Episode lasted 2 1/2 hours. I had no other reason for episode. Usually get a-fib from food allergies.

Other Meds: Levothyroxine, Metoprolol, Zarelto, Simvistatin, Desarton, multi vitamin, glucosamin, condroitin, Vitamin E, Magnesium

Current Illness:

ID: 0955662
Sex: F
Age: 80
State: CT

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Error: Wrong Dose of Vaccine - Too High

Other Meds:

Current Illness:

ID: 0955671
Sex: F
Age: 78
State: AZ

Vax Date: 01/08/2021
Onset Date: 01/12/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: EKG, urinalysis, many blood tests I don't understand, chest X-Ray

Allergies: Codine

Symptoms: Patient became unresponsive, did not eat, little fluid, slept nearly 24 hours per day, became weak, took to ER, no infections, no COVID, no pneumonia, no flu, no heart problems, no recommended further treatments

Other Meds: Synthroid, Escitalopram, Myrbetriq

Current Illness: Altzheimers

ID: 0955675
Sex: F
Age: 37
State: IL

Vax Date: 01/15/2021
Onset Date: 01/16/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: Penicillin, morphine

Symptoms: Lymphadenopathy of left supraclavicular lymph node

Other Meds: Sprintec, Zyrtec (every other day), vitamin D, Motrin PRN

Current Illness: None

ID: 0955678
Sex: M
Age: 35
State: MI

Vax Date: 01/09/2021
Onset Date: 01/09/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: Pcn and sulfa

Symptoms: Fever, fatigue, body aches, sore arm, inability to sleep, chills

Other Meds: Methylphenidate

Current Illness: Na

ID: 0955682
Sex: F
Age: 33
State: RI

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Nausea, Chills, sweating, pallor

Other Meds: Venlafaxine, atorvastatin

Current Illness: none

ID: 0955685
Sex: F
Age: 51
State: PR

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: PENICILLIN

Symptoms: CHILLS HEADACHE FEVER LOW BACK PAIN

Other Meds: NO

Current Illness: NO

ID: 0955688
Sex: F
Age: 43
State: KY

Vax Date: 01/04/2021
Onset Date: 01/16/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: Cats, Ragweed

Symptoms: A circular rash around the injection site appeared 12 days following the first dose of the Moderna Vaccine (1/16/2021). I had no other symptoms. The rash was red and warm to the touch. Two days later (1/18/2021), the redness had begun to fade. I visited an urgent care clinic to be sure it was nothing more serious. The clinician stated that it looked like a typical site reaction. She prescribed Benadryl and methylprednisolone and advised me to report to the Health Department where I received the vaccine. At this point, I have only taken the Benadryl and I estimate that the rash has faded by 85% (1/19/2021).

Other Meds: NONE

Current Illness: NONE KNOWN

ID: 0955696
Sex: F
Age: 66
State: MS

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: Feldene I had an allergic reaction to it about 40 years ago I had an allergic reaction where my tongue began to swell after eating a prepackaged salad . I am not sure what I was allergic to in the salad. I took Benedryl and that stopped the reaction.

Symptoms: Less than 24 hours after getting the vaccine, on Thursday morning January 14th, I had a fever of 100.3, a sore arm, a headache, and felt tired. I did not notice redness where I received the vaccine. I took Zyrtec and Pepcid AC on the 14th. Friday; I was feeling a little better. Saturday, I noticed that I had a red area about two inches by three inches, beginning at the injection site and flowing downward. I took a picture of it. On Saturday, I continued to take Zyrtec and Pepcid AC. On Monday the 18th, the red area was quite a bit larger, looked inflamed, and felt solid or hard when touched. Around 4:30 on the 18th, I went to the express clinic and asked the Nurse to look at my arm. I was concerned that I had cellulitis. They took a picture and showed it to the NP. The clinic staff told me to take Benedryl, put a cold compress on my arm, and take Zyrtec and Advil. So, I took 25 mg Benedryl and also took Zyrtec and Pepcid AC. I kept an ice pack on it last night. This morning, January 19th, and six days after receiving the vaccine, I noticed that the area has spread, and I have a second red place near my neck. I went to work health and showed my arm to the Nurses there. They measured the red area and told me to take 12.5 Benedryl, Zyrtec, and 400 mg Advil. I am concerned and wonder if I should take the second vaccine. I do have pictures that I would be glad to send

Other Meds: Pepcid AC Vit C Vit D MVI

Current Illness:

ID: 0955697
Sex: M
Age: 49
State: TX

Vax Date: 01/08/2021
Onset Date: 01/18/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: soy lecithin

Symptoms: Vasculitis of hands and feet. Symptoms first noted in hands on 1/17/2021 - intermittent - adverse reaction on 1/18/2021 at 11:08 pm - hands became bright red as well as feet. Burning sensation (similar to taking Niacin) Color changed in feet from bright red to dark red with some purple in digits 2 and 3 of both feet. Appears swollen. I was informed on 1/12 (4 days after being vaccinated) that my daughter had been exposed to COVID. We family quarantined. The adverse reaction led me to go to an urgent care clinic to be tested for COVID. I had the POC test performed and came back positive. My temperature was recorded at 99.3 F.

Other Meds: Airborn; Vitamin D; Vitamin D 1000iu; cloves 1000mg ; Rutin 500mg, vitamin c 1000mg; psyllium husk 750mg; N-Acetyl Glucosamine 700mg; PepZin GI;

Current Illness: seasonal allergies

ID: 0955698
Sex: F
Age: 44
State: TX

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: None. Just stayed home and treated with vitamin C, ibuprofen, and Benadryl.

Allergies: norco

Symptoms: headache 2-hours post vaccination chills, low grade fever, tired (next day 24-30 hours post) swelling in arm at injection location, red, raised 2-3 days, took Benadryl that night chills and achy feeling (days 1-4) bruised and sore at injection site still (5 days later) No longer feel achy, on day 5 post injection. Still feel tired.

Other Meds: Wellbutrin, alprazolam, optsumit, sidinifil, verapamil, thyroid, lasix, potassium, vit D, multivitamin

Current Illness: Pulmonary hypertension (PAH) and Chronic Myeloid Leukemia (CML)

ID: 0955700
Sex: F
Age: 16
State: NY

Vax Date: 01/18/2021
Onset Date: 01/19/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Vaccine was administered when patient was 16 years old (authorized for 18 and older). No known adverse events.

Other Meds:

Current Illness:

ID: 0955703
Sex: F
Age: 42
State: FL

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: NONE

Allergies: SULFA

Symptoms: RIGHT ARM STILL SWOLLEN WITH VISIBLE RED WELT WITH ITCHINNG 11 DAYS AFTER RECEIVING

Other Meds: NEXIUM, MULTIVITAMIN

Current Illness: NONE

ID: 0955706
Sex: F
Age: 23
State: NJ

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: Received the vaccine at 10:52am, and was observed for 15 minutes in the clinic. After leaving the clinic, she noted slight shortness of breath on her way to her car a few blocks away. While in the car on the way home around 11:57am, she developed severe headache, nausea, chest pain, chest tightness and shortness of breath. Chest tightness is "terrible." History of asthma but has no recent exacerbation in last 3 years. Referred to urgent care at Cancer Center, which has emergency room capabilities.

Other Meds:

Current Illness:

ID: 0955710
Sex: F
Age: 44
State:

Vax Date: 01/11/2021
Onset Date: 01/13/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Minor small rash on the upper arm where vaccine was given that went away within a couple of days

Other Meds:

Current Illness:

ID: 0955715
Sex: F
Age: 29
State: NM

Vax Date: 01/12/2021
Onset Date: 01/16/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Received the Moderna shot Swollen lymph nodes in the left arm pit redness in the arm where the vaccination was administered Itchiness in ears

Other Meds: Melatonin, ibuprofen

Current Illness:

ID: 0955720
Sex: F
Age: 51
State: CA

Vax Date: 08/05/2020
Onset Date: 08/05/2020
Rec V Date: 01/19/2021
Hospital:

Lab Data: None.

Allergies: Sulfa: hives.

Symptoms: Patient reports feeling stable immediately after receiving the Shingrix vaccine. She began to feel dizzy and fatigued when she went to bed and also began to shiver uncontrollably. She was able to fall asleep, but woke up several hours later and continued to feel dizzy. When she woke the following morning still feeling dizzy and shivering. She sat down to continue resting and lost consciousness. She woke up on the floor. She states she had a mild injury and soreness to the hip and shoulder. Shivering, fatigue, dizziness resolved slowly throughout the morning.

Other Meds: Cabergoline 0.5 mg, 1/2 tablet 2 times weekly. Polyethylene Glycol 17 GM/scoop. Take 17 GM in 8 ox of water twice a week PRN for constipation.

Current Illness: Chronic constipation. Cervical radiculopathy. Hemorrhoids. Hyperprolactinemia. Overweight. Left upper back pain.

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm