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: 0992356
Sex: F
Age: 56
State: NM

Vax Date: 12/01/2020
Onset Date: 01/11/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: got a rash all over my chest, and back of head. given: Triamcinolone 0.1-1 topical cream

Other Meds: none

Current Illness: none

ID: 0992357
Sex: M
Age: 82
State: CA

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: No

Allergies: Myrbetriq

Symptoms: Flare and exacerbation of symptoms of Polymyalgia Rheumatica. now on going for 3 weeks

Other Meds: Insulin, Prednisone, Tocilizumab, Alirocumab, Denosumab, Protonix, Colpidogril, Amlodipine, Protonix

Current Illness:

ID: 0992358
Sex: F
Age: 44
State: CA

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

Lab Data:

Allergies:

Symptoms: Woke fever, chill, body aches

Other Meds:

Current Illness:

ID: 0992359
Sex: F
Age: 67
State: WA

Vax Date: 01/19/2021
Onset Date: 01/29/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: none

Allergies: Penicillin Sulfur

Symptoms: After receiving the shot my arm was sore for just one day. About 12 days later, the site of the shot started itching. Upon looking at it noticed that it was/is red, warm and feels like a lump in the middle. The red site is approx. 6cm x 7cm

Other Meds: Zejula 100mg Omeprozole 40mg B12 Vitamin D Allegra

Current Illness: Anemic

ID: 0992360
Sex: M
Age: 65
State: MN

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

Lab Data:

Allergies:

Symptoms: Patient presented for Covid Vaccination. Nurse used Smiths Medical Hypodermic needle kit 4234 to administer vaccine. Needle broke off at hub after inserting into arm. Hub was tight. Nurse was able to remove needle and patient consented to revaccination. Patient revaccinated without incident. (Lot #3975524)

Other Meds:

Current Illness:

ID: 0992361
Sex: M
Age: 31
State:

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: N/A

Allergies: N/A

Symptoms: Approximately 15 minutes after the vaccine was administered, the patient reported feeling hot and lightheaded. They begin vomiting and sweating heavily within 30 minutes after the vaccine. They felt very dizzy and were unable to walk from the clinic to their car and had to find a ride home from the facility. They were unable to return to their shift that evening.

Other Meds: N/A

Current Illness: N/A

ID: 0992362
Sex: F
Age: 21
State: NY

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies: tree nuts

Symptoms: fever, sever chills all night, sore legs and abdomen, sore breasts

Other Meds: concerts 54mg

Current Illness:

ID: 0992363
Sex: F
Age: 41
State: CT

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies: amoxicillin, macrobid

Symptoms: fever 100.8, chills, headache, nausea, muscle aches, very sore painful arm. Symptoms lasted 12 hours

Other Meds:

Current Illness: no

ID: 0992364
Sex: F
Age: 77
State: GA

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies: Iodine

Symptoms: At 4:15 am, 1/30/2021 (8 hours after received dose 1 of Moderna, I was awakened with a very strong heart beat in my chest, fast and irregular heart rate, I had no arm, back, or jaw pain. Within 40 mins., the pounding heart sensation subsided yet the fast, irregular heart beat continued. I finally fell asleep again around 5:00 am that morning and awoke at 9:30 am. At that time my pulse rate was still fast and irregular yet not strong. On Oct. 31 in the morning, my pulse rate was back to normal at 60 bpm and regular.

Other Meds: CRESTOR, AMLODOPINE, LOSARTAN, CARVEDILOL LUMIGAN, TIMILOL, DOORZOLAMIDE, VITAMIN D3, Aspirin 81 mg.

Current Illness: None

ID: 0992365
Sex: M
Age: 33
State: MN

Vax Date: 01/23/2021
Onset Date: 01/30/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies: Eggs

Symptoms: Moderna COVID-19 Vaccine EUA Saturday night 1/30, one week after receiving the vaccine, I noticed the site of the injection felt warm to the touch. The next morning, 1/31, I noticed the area around the injection site was red, warm to the touch, and hurt when pressure was applied. The next morning, 2/1, the size of the red area increased slightly and it was still warm and hurt when pressure was applied. This afternoon, 2/1, I'm noticing feeling warmer and sweating more than usual. I'm not sure if that is related but I don't have another explanation for it.

Other Meds: Dexedrine, Trintellix, Propranolol, Vitamin D, Multivitamin

Current Illness: None

ID: 0992366
Sex: F
Age: 41
State: MT

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Fever, Chills, Body aches, Headache

Other Meds:

Current Illness:

ID: 0992367
Sex: F
Age: 94
State: MN

Vax Date: 01/26/2021
Onset Date: 01/29/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: pt states no symptoms until 1/29 pt stated she woke up w/ fever and did not feel. Pt called her PCP and spoke to the nurse and was told to rest and drink fluids and call if symptoms got worse.

Other Meds: Multivitamin and eye drops

Current Illness: none

ID: 0992368
Sex: M
Age: 30
State: NY

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Back pain and lethargy

Other Meds:

Current Illness:

ID: 0992369
Sex: F
Age: 30
State: MO

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: Na

Allergies: Allergic to sulfa

Symptoms: At 2:30 am I got up to use the restroom. I felt very dizzy and cold as if I were going to pass out. I got out my blood pressure machine and my BP was 80/60. It is usually 117/70 so this was way out of the ordinary. I felt like I was going to need to call 911 due to the weakness and not being able to stand up without wanting to pass out. Got some salt and water and relaxed until the about 7am when it subsided.

Other Meds: Duloxetine 60mg a day Women?s alive energy

Current Illness: Na

ID: 0992370
Sex: F
Age: 28
State: NY

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: I did not seek medical attention for my symptoms.

Allergies: Penicillin, sulfur-containing drugs

Symptoms: I received the second dose of the Moderna COVID19 vaccine at approximately 2pm on 1/28/21. Starting at 10am the next morning I noticed I was feeling fatigued and my heart rate was starting to increase. By 11am, I was experiencing diffuse myalgia, fatigue, and malaise. By the time I went home at 11:30am, I had a fever to at least 101F, chills, body aches, and headache. I rested in bed the whole rest of the day and the night. I felt better taking Tylenol but it only relieved my fevers somewhat. I had no GI symptoms, rash, or difficulty breathing. By the next morning my fever had abated and my energy level much improved.

Other Meds: Mirena IUD

Current Illness: None

ID: 0992371
Sex: F
Age: 38
State: FL

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: I stayed home in bed and my husband nursed me those 4 days however I did advice my boss as well as the work scheduler

Allergies: Penacylne, Bactrim

Symptoms: The same night as the second dose of Pfizer vaccine i was experiencing fever of 101.8 with chills,sweats, full body aches, migraine, nausea, stomach pain ,lower back pain and diarrhea for 4 days (01/27/2021 @11:45pm till 01/31/2021 pm)

Other Meds: ?)Lexapro 20 1x daily ?) Synthroid 112mcg 1x daily ?)Lorezapam. 5 as needed ?) Biotin daily ?)Iron daily ?) Vitamin D? ?)Tylenol extra strength and ?)Omeprazole 20 for GERD

Current Illness: I am a 38yr old female with Hashimoto/ Thyroiditis for 30yrs prior to Covid-19 and take good care of this illness

Date Died: 01/24/2021

ID: 0992372
Sex: F
Age: 73
State: OR

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 02/01/2021
Hospital: Y

Lab Data:

Allergies: (1) Etodolac (rxn = n/v, diarrhea, SOB) (2) Bee Pollen (3) Escitalopram (rxn = 'intolerance') (4) Paroxetine (rxn = 'ineffective') (5) Venlafaxine (rxn = 'ineffective')

Symptoms: This is a 73 year old female that received her 1st dose with Moderna vaccine on 1/8/21 at approximately 1600. Within one hour, the patient developed altered mental status and increasing weakness. She was transported to the hospital by the staff at her Assisted Living Facility for concern of a vaccine reaction. On admission, oxygen saturation was found to be 89% on room air, BP=137/86, HR=94. Labs were normal, with the exception of WBC=15 (leukocytes normal, chest xray clear, COVID test negative), and a detectable troponin=63. Head CT negative. Physical exam was only notable for 'slight superficial erythema over distal right forearm and dorsal hand. No significant edema.' The patient was treated for a possible allergic reaction to vaccine with NS bolus, methylprednisolone 125mg, famotidine 20mg, and aspirin 300mg PR. She was admitted for monitoring given continued altered mental status/weakness. The next day, she continued to show no improvement, so a head MRI was ordered. MRI showed " 1. Numerous acute cerebral and cerebellar infarcts involving both anterior and posterior circulations consistent with a central embolic source. 2. Minimal right parietal petechial hemorrhage. 3. Moderate atrophy and moderate nonspecific white matter signal abnormalities compatible with chronic microvascular ischemia " Neurology was consulted, who approved the start of aspirin and to continue DVT prophylaxis. The patient's advanced dementia and timeline preclude other intervention. The patient's status was DNR/DNI. The patient was discharged on hospice to her assisted living facility on 1/11/21 (with reports of continued somnolence). It was reported that date of death was 1/24/21.

Other Meds: (1) Acetaminophen 500mg PO Q4H PRN pain (2) Albuterol inhaler 1 puff Q4H PRN (3) Cyanocobalamin 1000mg PO daily (4) Diazepam 5mg PO daily PRN anxiety (5) Ergocalciferol 48,000 units PO daily (6) Fluoxetine 20mg PO daily (7) Arnicare cream 1

Current Illness:

ID: 0992373
Sex: M
Age: 17
State: TX

Vax Date: 01/16/2021
Onset Date: 01/16/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Moderna Covid Vaccine administered to individual under the age of 18

Other Meds:

Current Illness: High-risk per mother, had a Drs' note

ID: 0992374
Sex: F
Age: 48
State: VA

Vax Date: 01/06/2021
Onset Date: 01/27/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies: NKDA / No allergies

Symptoms: Atypical menstruation. AFter the first covid19 vaccine, I had abnormal spotting approximately 1.5 weeks post vaccine (and it was 2 weeks prior to me menstruating. I had my regular cycle at the right time. After the 2nd dose, I am 6 days late with my period. I know that I am not pregnant, nor have any other reason to go through amenorrhea. Speaking to other women, they have had similar side effects happen to them.

Other Meds: Calcium and Vitamin D; Omega 3 vitamins

Current Illness: none

ID: 0992375
Sex: F
Age: 65
State: NV

Vax Date: 11/10/2020
Onset Date: 11/10/2020
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies: Allergic to most antidepressants, and lisinapril and all its cousin blood pressure meds,I am very sensitive to all meds.

Symptoms: Throwing up,every muscle and joint in my whole body hurt, chills, sweats, couldn't eat. All this lasted 2hrs and then I started to get better, but I was so sick I debated about going to the hospital but decided not to due to covid lock down

Other Meds: Hysingla er 30mg,baclofen 10mg, carvedilol 6.25mg,amlodipine besylate 2.5mg,vit d3 1000mg,hair skin and nails 5000mg

Current Illness: None

ID: 0992376
Sex: M
Age: 21
State: MO

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

Lab Data: CMP, CBC, CK, alcohol, UDS, UA normal

Allergies: none known

Symptoms: Patient experienced muscular rigidity and carpal pedal spasms. He had increased DTRs and clonus on exam.

Other Meds: Citalopram, Pepcid, Insulin, Methylprednisolone

Current Illness: Uvulitis one month prior and not at time of vaccination

ID: 0992377
Sex: M
Age: 70
State: CO

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

Lab Data: ER tests (I was incoherent so don't know what they were), blood work, CT scan, MRI, lots of "follow the light/follow the finger). Nothing adverse was reported.

Allergies: None

Symptoms: Got shot at 8am 22 Jan. Slight soreness in arm developed later the same day, but no problem. Everything was normal and went to bed. Woke up approximately 2-3 h later with extreme vertigo, dizziness, imbalance, completely clogged left ear, tinnitus in left hear and nausea. Within about an hour I was hyperventilating and had cold tingling sensation in hands and feet. About 2am went to hospital. They did a bunch of tests including a CT scan which revealed nothing adverse. They kept me over night and gave me an MRI the next morning. Again nothing adverse found. I was released that next day with orders to see PCP. Got an appt 2 days later. PCP immediately started me on Prednisone and referred me to ENT doctor. Got an audio test 2 days later and because of the severity of my symptoms (sudden, acute tinnitus and complete hearing loss in left ear) ENT prescribed higher dose and duration of prednisone. I am on day 5 of the 24day course prescribed by ENT with no appreciable improvement. Still have no hearing in left ear and tinnitus, imbalance and trouble focusing and walking. No causal link has been ascribed to the vaccine, but I am terrified of having the booster shot which is schedule for 12 Feb.

Other Meds: Pseudophedrine, atorvastatin, joint supplement (chondroitin/glucosamine)

Current Illness: Very slight vertigo on 2 short occasions a few days prior to vaccination. Passed quickly so wasn't concerned and took pseudophendirine at night a couple of time to clear what I thought was simply sinus congestion. I had a knee inflamation due to osteo arthritis on 1 Jan and had taken a 5-d course of Prednisone beginning 1 Jan. Infmamation subsided and not further prednisone was taken between 6 and 22 Jan.

ID: 0992378
Sex: F
Age: 46
State: MT

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Diarrhea

Other Meds:

Current Illness:

ID: 0992379
Sex: F
Age: 26
State: IN

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: At 3am (Wednesday) the following day after my shot, I began having chills and a fever. My fever started at 100.5 and continued through out the entire day, reaching 102. degrees Fahrenheit. At the same time I was extremely weak and could hardly walk. I had a pounding headache and could not sit up. I had to lay down. I was very nauseous and couldn't eat much. I was dizzy and couldn't even look at my phone. at 9pm on Wednesday I was able to finally eat a substantial meal and finally took some Tylenol. Around 10:30pm my headache lessened and I was able to sit up. My temperature was around 99 degrees. I went to bed, then woke up at 1am (Thursday) freezing again with chills, then the sweats. By 3:45am I was able to sleep until 7am. 7am on Thursday morning my temperature was normal (98.6) but my head was hurting. I had some weakness but was able to stand long enough to shower. The biggest symptom I had all day Thursday was a lot of body aches. Mostly in my hips and back, but all over. My right arm was also extremely red and swollen. Wednesday and Thursday I stayed home from work. Friday I returned to work, but I had a headache, would get over heated easily and had body aches. This is when the injection site and surrounding area began itching. Saturday I had a stomach ache and head ache and continued to feel sluggish. I did not move around much and was exacerbated trying to grocery shop. Sunday I had pressure in my head (top of the head) especially when I would bend down. It is now Monday. My headache has cleared but my arm remains itchy, though there is no sign of swelling or redness. I do not have a history of Chronic Migraines and I have not had a cold/the flu in over a year.

Other Meds: None

Current Illness: None

ID: 0992380
Sex: M
Age: 57
State: FL

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Chills, slight headache, overall fatigue, injection site pain for approx 24 hours

Other Meds: none

Current Illness: none

ID: 0992381
Sex: F
Age: 66
State: CA

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

Lab Data:

Allergies:

Symptoms: say Vaccination In the Evening, chills, headache, fever, next day 100 fever , body aches, headache, taste is off.

Other Meds:

Current Illness:

ID: 0992382
Sex: F
Age: 34
State: TX

Vax Date: 01/04/2021
Onset Date: 01/25/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: benadryl medrol dos pak

Allergies: levaquin IV iodine

Symptoms: hives itching scratchy throa lip tingling

Other Meds: rocephin inj IM on 1/25 lexapro gabapentin clonazepam

Current Illness: csection 12/28/20

ID: 0992383
Sex: F
Age: 54
State: KS

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Moderna Lot 025L20A Four to Five days after this patient received the Moderan vaccine on 1/7/2021 a half dollar size red rash appeared at the injection site on arm. Patient did not take any medication for the itching. Pharmacist and on site vaccine clinic provider decided to give the patient 10mg of Zyrtec x1 dose prior to second Moderan vaccine shot, and have patient wait 30 minutes after vaccine was administered on 2/1/2021. Patient had not have any reaction during the 30 minute observation.

Other Meds:

Current Illness:

ID: 0992384
Sex: F
Age: 35
State: VA

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: CBC w/ differential 1/30/21 normal Comprehensive metabolic panel 1/30/31 normal C-reactive Protein 1/30/21 normal Sedimentation Rate 1/30/21 normal I have been to my PCP and the ER

Allergies: sulfa & penicilin

Symptoms: At approximately 11:45 a.m. on the date of the injection my hands became freezing cold. This lasted for approximately 16 hours. My skin has since been very sensitive to touch, this includes skin on my face, arms, hands, and chest. I am very sensitive to temperature changes, especially cold. My nervous systems feels very sensitive, especially my hands. Touching cold items (refrigerator, outside, etc.) makes me shiver. I have also been experiencing a covid fog. I do not feel like myself and am not experiencing joy. I cry daily for no reason.

Other Meds: metoporol

Current Illness: none

ID: 0992385
Sex: F
Age: 73
State: CA

Vax Date: 01/24/2021
Onset Date: 01/24/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: none

Allergies: Codeine

Symptoms: Flue like symptoms, right arm hurt and felt very cold, body ached, , felt dizzy like vertigo, had the chills, needed to sleep. went to bed early around 8 and slept through the night getting up once to go to the bathroom. Has breakfast just toast the next morning and had to get back into bed and slept 4 more hrs. Body still aching. slept with heating pad and iced my arm. I felt a little better the next day around 2 pm. I drank lots of fluids and rested the rest of the day. Next day still felt weak. 3 days later feeling ok. I am worried about my next vaccine due on the 14th of Feb. Would like to know what to take. My doctor referred me to you with no instructions......

Other Meds: Lipitor . night, Advil, Vit D, C, B, Zinc, Fish Oil, Vivisca, Calcium,

Current Illness: none

ID: 0992386
Sex: F
Age: 76
State: CA

Vax Date: 01/16/2021
Onset Date: 01/17/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies: Penicillin Quinolones

Symptoms: TWO ADVERSE EVENTS 1. Itchy red bumpy rash appearing on forearm in 3 spots about 2"-3" in size on 1-17-21, still visible, no longer itchy 2. Red itchy smooth rash 3"x5" around injection site appearing on 1-30-21

Other Meds: Valsartan Atorvastatin Coumadin Tylenol Multi Vitamin

Current Illness:

ID: 0992387
Sex: F
Age: 34
State: OH

Vax Date: 01/21/2021
Onset Date: 01/29/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: Na

Allergies: NKA

Symptoms: Large (about 3 in diameter) red, hot, raised and itchy mark on arm around injection site

Other Meds: Birth (mini pill), Claritin, prenatal vitamin, iron, sunflower lecithin (currently nursing my 8 month old daughter)

Current Illness: NA

ID: 0992388
Sex: F
Age: 89
State: CA

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: n/a

Allergies: Tetracycline

Symptoms: chills, lethargic, muscle pain-saturday felt tired, took tylenol,

Other Meds: prednisone 5mg, metetate0.6, folic acid 400mg, vitamin c 500mg, vitamin e 400 mg, vitamin d3

Current Illness: n/a

ID: 0992389
Sex: F
Age: 27
State: DC

Vax Date: 01/30/2021
Onset Date: 01/30/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies:

Symptoms: I experienced severe pain at the injection site. Mild soreness began immediately after injection but became progressively worse over the next 5-7 hours. The pain felt like a constant ache and sharp pain when I moved my arm at all. I eventually took Ibuprofen at around 9 or 10 pm, which helped somewhat. My arm was still sore the next day but the pain was more moderate.

Other Meds: Buproprion 300 mg Zoloft 75 mg Midodrine 10 mg Fludrocortisone .1 mg Hydrocortisone 10 mg Vitamin D Tri-Previfem Deplin

Current Illness:

ID: 0992390
Sex: F
Age: 87
State: CA

Vax Date: 01/29/2021
Onset Date: 01/31/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: None

Allergies: None that I am aware of.

Symptoms: Injection given Friday morning. On Saturday she was very tired all day. Sunday she was very tired and became light-headed around noon. By Sunday evening she was lethargic. Monday morning, still lethargic and light-headedness has increased. Feeling somewhat disoriented. No fever, blood oxygen at 93.

Other Meds: High blood pressure and thyroid meds. Uncertain of any others. I am a family member making this report on her behalf.

Current Illness: None that I am aware of.

ID: 0992391
Sex: F
Age: 59
State: NJ

Vax Date: 12/30/2020
Onset Date: 01/06/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Muscle aches in upper front thigh and hip , also right back - deep throbbing aches

Other Meds:

Current Illness:

ID: 0992392
Sex: F
Age: 43
State: TX

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: NONE

Allergies:

Symptoms: Left arm is swelling and redness, and the next day arm continued to be red (for 2 weeks) The skin on site is discolored as of today.

Other Meds:

Current Illness:

ID: 0992393
Sex: M
Age: 46
State: NE

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: NA

Allergies: PCN - hives Tomatoes - tongue swelling, Peanuts - hives Environmental allergies (dust, dust mites, dander, pollen) - undergone allergy testing

Symptoms: Friday - 10 pm, headache Saturday - 11:00 am, Severe headache, arm pain/ swelling/ reddened, stomach ache, fever 101, severe body aches & fatigue, sore throat, chills. Sunday - Severe headache, arm pain/ swelling/ reddened, stomach ache, fever 101, severe body aches & fatigue, sore throat, chills. Monday - Slight headache, slight stomach ache, fatigue, slight sore throat, arm pain/ swelling/ reddened

Other Meds: Ecinacea 1x/day, Cherry Extract 1x/day, Centriq Multivitamin 1x/day, Vitamin C 1x/day, Fish Oil 1x/day, Magnesium 1x/day, chia seeds1x/day, Vitamin B (unknow which one), Cinnamon capsule, Sal Palmetto 1x/day,

Current Illness: gout, ^ blood sugar (not diabetic per patient - has not been tested in awhile), arthritis

ID: 0992394
Sex: F
Age: 35
State: PA

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

Lab Data: PCR POC COVID-19 tests on 1/26 came back negative as per employer.

Allergies: Bactrim, iodine

Symptoms: From employer: "Reaction: Vaccine date 1/25 at approximately 1pm. On Tuesday afternoon 1/26 employee had body aches and left work early. She was PCR tested and POC tested for COVID as that is our routine testing day for all staff. Both tests came back negative. On Wednesday employee had severe body aches and a temp of 104 which did not break until Friday. Additional symptoms were severe headache and severe fatigue. She attempted to drive to the Drs on Sunday but had a car accident which put her in the Emergency room where the Doctor determined that there were no infections present and the symptoms were related to a reaction from the Vaccine." Spoke to pt on 2/1/21 and pt reported feeling better.

Other Meds: unknown

Current Illness: none noted

ID: 0992395
Sex: M
Age: 44
State: NY

Vax Date: 01/28/2021
Onset Date: 01/30/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Jan 28. 2nd dose vaccine, sore arm at injection site. Slight fever at night. Jan 29. Still sore arm, temp 99.7F Jan 30. 8pm rashes all over the body and scalp. Fever 100.7F. Tylenol and Benadryl taken. Jan 31 went to urgent care. Possible rashes due to covid vaccine. Methylprednisolone prescribed. HEart rate 115-130s Feb 1 still with rashes temp 99.1 heart rate 100-120s

Other Meds: Aspirin Artovastatin

Current Illness: None

ID: 0992396
Sex: M
Age: 43
State: NC

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: None

Allergies: No known allergies

Symptoms: Booster dose given early. Prior dose given 12MAY2020. No symptoms/signs of adverse reaction or consequential treatment. Patient notified of early booster dose administration.

Other Meds: Vitamin D3

Current Illness: none known

ID: 0992397
Sex: F
Age: 48
State: UT

Vax Date: 01/22/2021
Onset Date: 01/27/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Swollen lymph node and tenderness near left collarbone 5 days after vaccination.

Other Meds:

Current Illness:

ID: 0992398
Sex: F
Age: 82
State: NY

Vax Date: 01/14/2021
Onset Date: 01/19/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: None done. Recovering though not completely. answer to next question.

Allergies: Penicillin, Sulfur

Symptoms: Had a rash about 4" long by 2" wide. Occurred about 5 days after the first vaccination. It is fading and less itchy over time. Had the first vaccination 1/14 and scheduled for the second on 2/11. Should I take the second vaccination as scheduled? Are there any meds or herbs or supplements or food I shouldn't take before the vaccination?

Other Meds: Advair, Levalbuterol nebulizer and inhaler, NAC, HyperSal nebulizerfor asthma. Omeprazole for reflux. Calcium & Magnesium with Vit. D, Vit. D3 and Prolia for osteoporosis. Miralax for regularity. Tylenol, Advil, Tizanidine, turmeric tea a

Current Illness: None

ID: 0992399
Sex: F
Age: 57
State: NC

Vax Date: 01/28/2021
Onset Date: 01/31/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Swollen lymph nodes 6 days after shot. Enlarged, hardened, and will not dissipate

Other Meds:

Current Illness:

ID: 0992400
Sex: F
Age: 58
State: AL

Vax Date: 01/20/2021
Onset Date: 01/27/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: See above

Allergies: Wasps

Symptoms: Idiopathic thrombocytopenia Onset Jan 27; platelets dropped to <3000. Good response to decadron with rise to 100,000 by feb 1. No significant bleeding

Other Meds: None

Current Illness: None

ID: 0992401
Sex: F
Age: 72
State:

Vax Date: 01/14/2021
Onset Date: 01/24/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: None

Allergies: None known

Symptoms: Itchy rash developed at the vaccination site on my arm ten days after receiving vaccination. Rash and itchiness gradually disappeared after three to four days.

Other Meds: Daily -- 50 mg Losartan, Vitamin C, Vitamin D3

Current Illness: None

ID: 0992402
Sex: F
Age: 53
State: OR

Vax Date: 01/24/2021
Onset Date: 01/25/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: my doctor wasn't aware of loss of taste buds as a side effect and had me retake a covid test -- which came back negative.

Allergies:

Symptoms: about 20 hours after vaccine I started getting covid symptoms -- which I understand is typical. The aches, pains. But in an instant my tongue got all tingly like your arm when it falls asleep -- and I lost my taste buds. It came back the next day when all the aches left as well. I was diagnosed with covid a few months ago and am aware of the symptoms and lost my taste buds then as well.

Other Meds:

Current Illness:

ID: 0992403
Sex: F
Age: 57
State: NY

Vax Date: 10/21/2020
Onset Date: 10/21/2020
Rec V Date: 02/01/2021
Hospital:

Lab Data: unknown at this time

Allergies:

Symptoms: Patient indicated on 2/1/21 that she has had continued pain in her left arm with movement post vaccination. Her ability to move her left arm is limited to forward and backwards. Cannot lift upwards easily or to the side. Has an appointment with MD office to confirm diagnosis is related to the vaccine.

Other Meds:

Current Illness:

ID: 0992404
Sex: F
Age: 54
State: WI

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies: NKDA

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA Patient reported symptoms beginning on 1/28/2021 after receiving COVID vaccine on 1/27/2021. States that she had had increasing pain in her LUE, where she received the vaccine. States that there is discoloration and redness, warmth, and mild swelling around the injection site. Additionally reports tingling radiating from the injection site to her finger tips. Pt referred to emergency department and was treated for L shoulder pain consistent with localized inflammation secondary to recent vaccination

Other Meds:

Current Illness:

ID: 0992405
Sex: F
Age: 27
State: FL

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: N/A

Allergies: N/A

Symptoms: Within 24 hours of receiving the second dose of the COVID19 Moderna vaccine, I experienced a significant amount of tenderness at the injection site (right deltoid). I also noticed significant hypersensitivity within my skin, throughout my entire body. The best way I can describe it is that I felt as though I had the "pins and needles" sensation that one would experience after a limb has gone to sleep, but throughout my whole body from head to toe. I noticed this sensation when I woke around 6:30AM the day after I received the second dose, and it became progressively worse throughout the day. It lasted until about 7:00 PM, but only after I had taken some Tylenol about an hour or two before.

Other Meds: N/A

Current Illness: N/A

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm