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: 0994369
Sex: F
Age: 41
State: MA

Vax Date: 01/22/2021
Onset Date: 01/30/2021
Rec V Date: 02/02/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: Patient reported delayed rash in the arm that started 7 days after receiving Moderna COVID vaccine.

Other Meds: calcium carbonate-vit D3-min 600 mg calcium- 400 unit Tab escitalopram oxalate (LEXAPRO) 5 MG tablet HUMALOG U-100 INSULIN 100 unit/mL injection SYEDA 3-0.03 mg per tablet

Current Illness:

ID: 0994370
Sex: F
Age: 28
State:

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

Lab Data:

Allergies:

Symptoms: Nausea Muscle pain Generalized weakness Tiredness

Other Meds:

Current Illness:

ID: 0994371
Sex: M
Age: 36
State: OH

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

Lab Data:

Allergies:

Symptoms: Chills, fever, body aches, head ache, and weakness.

Other Meds: Sulfamethoxazole-Tmp DS 800-160 Tab, Metformin Hcl 500 MG Tablet; Testosterone Enan 200 Mg/ML Mdv ; Lisinopril 5 MG Tablet; Pantoprazole Sod Dr40 Mg Tab; Citalopram Hbr 10 MG Tablet

Current Illness:

ID: 0994372
Sex: F
Age: 75
State: PA

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

Lab Data: unknown

Allergies: bactrim thimerosal

Symptoms: Dizziness and lightheadedness. BP was 104/66, HR 81. Placed on a litter and placed in Trendelenburg position. BP 94/59, HR 81, pulse ox 98%. BP in trendelenburg 126/71 Final bp 125/62, HR 65, pulse ox 99%. Placed in sitting position. BP was 118/63. Patient was cool to touch. Released after 30 minutes with no issues.

Other Meds: unkonwn

Current Illness: unknown

ID: 0994373
Sex: F
Age: 38
State: FL

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

Lab Data: none

Allergies: oak

Symptoms: ? Fever between 100.8 and 101.4 ? Chills ? Headache ? Neck ache ? Malaise ? fatigue ? Slight nausea ? Restless legs in the evening

Other Meds: albuterol inhaler

Current Illness: none

ID: 0994374
Sex: F
Age: 57
State:

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

Lab Data: COVID-19 nasopharyngeal swab done Tues, 1/26/2021 at 11am. Resulted negative or "not detected."

Allergies: sulfa, codeine

Symptoms: Fever 99.2 (normal temp 97.6), chills, headache, body aches, back pain. Lasted until the morning of 1/24/21. Took extra strength acetaminophen about 8 hours after symptoms began and then took Maxalt for migraine evening of 1/22/21 and 1/23/21.

Other Meds:

Current Illness:

ID: 0994375
Sex: F
Age: 44
State: IL

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

Lab Data: I have not gone to the doctor

Allergies: Erythromycin, Tetracycline, and Compazine

Symptoms: Left arm became extremely sore and achy around 6pm on 1/26/2021. I my head and body started feeling achy around 7:30 pm on 1/26/2021 so I went to bed. I woke up around 2am on 1/27/2021 with sore throat, severe head and body aches, stiff neck, chills, and took my temp it was 102.8. I had a fever off and on through 1/28/2021. In addition to those symptoms, on 1/28/2021 my teeth started hurting and 1 lymphnode in my right neck next to my jaw starting swelling and getting very hard. It was very painful. On Friday 1/29/2021 I felt a lot better and resumed normal activity. On Saturday 1/30/2021 at around 3pm my lymphnode started swelling off and on again, my body felt achy with it, I also, developed slight shortness of breath, a dry cough, and a slight headache. I took my temp and it was 99.9. This is still continuing today 2/2/2021.

Other Meds: none

Current Illness: None

ID: 0994376
Sex: M
Age: 21
State: FL

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

Lab Data: Troponin blood work Electrocardiogram Echocardiogram Cardiac catheterization

Allergies: Demerol, PCN, nuts, trees

Symptoms: Elevate blood pressure and pulse Abnormal EKG Mild heart attack

Other Meds: Zyretec 10 mg

Current Illness: No

ID: 0994377
Sex: F
Age: 57
State: FL

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

Lab Data:

Allergies: Soy, Lemongrass

Symptoms: During the 15 minute observation time post vaccine on January 25, 2021, my eye lids were itchy (this is a typical allergic reaction for me). Reaction reported to Nurse. On Sunday, January 31, 2021, 4:00 pm, my face became red and blotchy, eyelids slightly inflamed. On Monday, February 1, 2021, 6:00 p.m., eyelids were swollen, area around the eyes were red, irritated and itchy. Hydroxyzine Pamoate 25 mg taken Monday evening would normally alleviate any signs of allergic reaction. On Tuesday, February 2, 2021, upon waking and throughout the day the area around the eyes were red, irritated, itchy and eyelids swollen with red blotchy skin on forehead and cheeks. Possible consumption of small amounts of soy lecithin (a known allergen) present in baked goods consumed on February 1 at 12:30 pm. Normally, I do not have an allergic reaction to small amounts of soy.

Other Meds: Hydroxyzine Pamoate 25 mg; Progesterone 225 mg; BiOTe hormone replacement

Current Illness: None

ID: 0994378
Sex: F
Age: 47
State: OK

Vax Date: 12/19/2020
Onset Date: 12/20/2020
Rec V Date: 02/02/2021
Hospital:

Lab Data: No

Allergies: Penicillin

Symptoms: I exp muscle aches, joint pains, headaches, nausea, and chills.

Other Meds: Metamucil, Nixon, Vit D

Current Illness:

ID: 0994379
Sex: M
Age: 52
State: NY

Vax Date: 01/27/2021
Onset Date: 01/29/2021
Rec V Date: 02/02/2021
Hospital:

Lab Data: Went to ED for immediate care for BP related to Coivd 19 vaccine shot. There are case studies and trials that show BP is common with vaccine according the NP and PCP that have seen me since it started.

Allergies: nka

Symptoms: Bells Palsy after 2nd dose given on Jan 27th. Onset that Friday night with full effects of BP that Saturday

Other Meds: Atorvastin 10mg 3wk, mvi, vit d, vit c, vit b-12, b complex

Current Illness: none

ID: 0994380
Sex: F
Age: 16
State: TX

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

Lab Data:

Allergies:

Symptoms: Discovered on second shot that patient receiving Moderna which is not approved for patients under 18 YO.

Other Meds:

Current Illness:

ID: 0994381
Sex: F
Age: 46
State: IA

Vax Date: 01/21/2021
Onset Date: 01/23/2021
Rec V Date: 02/02/2021
Hospital:

Lab Data:

Allergies: Codeine, Bactrim, Macrodantin

Symptoms: Injection site became red and raised and swollen- patient describes as 2x2 oval area. Patient also noted body aches, headache, chills, rash across chest and upper back, sore throat and swollen glands in throat. Symptoms started within 6 hours of injection and came and went over the course of the next 5 days. Patient took acetaminophen and ibuprofen and noted relief. As of today- 02/02/2021, the only remaining symptoms are the injection site redness and swollen gland in her neck. Patient instructed to follow-up with her primary care physician for further evaluation.

Other Meds: Estroven

Current Illness: No

ID: 0994382
Sex: F
Age: 77
State: PA

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

Lab Data:

Allergies:

Symptoms: A few hours after receiving the vaccine my arm started to become sore. On 01/28/2021 my arm started to become pink and very itchy. The next couple of days it remained very itchy, started light pink and got pinker never got really red color. On Sunday 31st in the morning it looked normal but later in the day it got pink again. Yesterday and today it is fine besides it is itchy. I have not been scratching it. One day I put some Benadryl cream on it one time.

Other Meds: Omeprazole maybe 3-4 times a week (acid reflux), Eye drops Restasis twice a day, Magnesium 250 MG twice a day, Latanaphrost eye drops, Refresh Plus eye drops, Advil as needed for pain,

Current Illness:

ID: 0994383
Sex: F
Age: 88
State: IN

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

Lab Data:

Allergies:

Symptoms: After lunch today resident had c/o of nausea and poor vision

Other Meds:

Current Illness:

ID: 0994384
Sex: F
Age: 59
State: TN

Vax Date: 01/22/2021
Onset Date: 01/25/2021
Rec V Date: 02/02/2021
Hospital:

Lab Data: COVID-19-neg Flu-neg

Allergies: Sulfa

Symptoms: Couple days later began to feel fatigued again, ear pain, brain fog, 101.4 temp so was sent from work to and tested neg for COVID and Flu. I was advised I had fluid on my ears and was advised I may have and Upper Respriatory infection and was given antibiotics and advised if the symptoms didnt get any better to return but I am still taking the antibiotics to date and still experiencing the no taste and smell, brain fog, fatigued and tired but feeling a whole lot better today.

Other Meds: Robistatin, HCTZ, Valsortan, Baby Aspirin

Current Illness: no

ID: 0994385
Sex: F
Age: 76
State: VA

Vax Date: 01/19/2021
Onset Date: 01/26/2021
Rec V Date: 02/02/2021
Hospital:

Lab Data: None

Allergies: All opioids Prednisone Raw peanuts

Symptoms: Exactly one week after the vaccine, I awoke to feel the injection site very itchy and hot. When I looked, it was swollen around the injection area...previously no irritation at all. At the same time, I felt like I was catching a head cold: lots of postnasal drip and some coughing and general tiredness. Injection site symptoms lasted about 24 hours. Cold like symptoms lasted 3 days.

Other Meds: Omeprazole 10 mg/day Solifenacin 5mg/day Meloxicam 7.5 mg/day Premarin Cream 0.625 mg 3x/week Vitamin D3 2000/day

Current Illness: None

ID: 0994386
Sex: M
Age: 71
State: NV

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

Lab Data:

Allergies: NKA/NKDA

Symptoms: Systemic: Nausea-Medium, Systemic: Vomiting-Medium, Systemic: Other- Patient had ate lunch before vaccine administration and had emesis after 1 minute of receiving the vaccination

Other Meds:

Current Illness:

ID: 0994387
Sex: F
Age: 71
State: NY

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

Lab Data: None

Allergies: sulfa drugs, cefdinir, erythromycin

Symptoms: 1/29/2021 (day of injection): 2 PM, felt dizzy, developed headache which got worse over course of half hour. Took Tylenol, headache went away and didn't return. 1/30/2021 (day after injection): 4 PM, injection arm which had been only slightly tender to touch became so sore I could hardly bear to touch it, shoulder and upper arm became very stiff and painful, moving arm even slightly upward or across body was so painful that I could not continue with this motion. This got worse as day went on. Tylenol helped some but not much. 1/31/2021 (2 days after injection): Still experiencing above-noted pain and stiffness in arm. Also running low grade fever. Took Tylenol which helped. Fever did not return and arm was much easier to move by end of day. All reaction symptoms gone by 2/1/2021.

Other Meds: lisinopril, nifedipine ER, hydrocortisone, Calcium + D3, vitamin E, vitamin D3, Align probiotic, multivitamin

Current Illness: none

ID: 0994388
Sex: F
Age: 78
State: IN

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

Lab Data: Patient was found to need another stent placed

Allergies:

Symptoms: shortness of breath, chest pain

Other Meds:

Current Illness:

ID: 0994389
Sex: F
Age: 48
State: MD

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

Lab Data: none

Allergies: Sulpha drugs

Symptoms: I started running a fever of 101 on the day I received the vaccination. I had muscle aches, headache, nausea and arm pain. I have continuing night sweats soaking through my clothes multiple times a night it is now four days past the vaccine. The fever is broken at this time.

Other Meds: Lisinopril HCTZ 10-12.5 Xarelto 20mg Setraline HCL 50mg Monteelukast SOD 10mg

Current Illness: I had Covid 19 in the beginning of December.

ID: 0994390
Sex: F
Age: 73
State: GA

Vax Date: 01/11/2021
Onset Date: 01/17/2021
Rec V Date: 02/02/2021
Hospital:

Lab Data: None. Doctor prescribed a 7 day round of an antibiotic in case of underlying infection.

Allergies: seasonal allergies

Symptoms: Developed a bumpy rash at injection site that spread down arm to back with other spots where skin was sensitive and extremely itchy and with various shades of red. A lump also developed and lasted one for on day at that time at injection site. Area warm.

Other Meds: multivitamin biotin D-3 eye vitamin atorvastatin 10 mg

Current Illness: none

ID: 0994391
Sex: M
Age: 71
State: UT

Vax Date: 01/18/2021
Onset Date: 01/26/2021
Rec V Date: 02/02/2021
Hospital:

Lab Data:

Allergies: sulfa

Symptoms: On January 18, 2021, I received my first moderna vaccine. On Tuesday, I noticed a rash starting where I got my shot. I was a bit black and blue on my after the shot. The rash actually woke me up in the night because it was itching. It isn't itching now, but it seems to be getting bigger. I have contacted the doctor virtually. Doctor said to keep an eye on the rash. Took Benadryl to ease itching.

Other Meds: atorvastatin 80 mg tablet, losartan 25 mg tablet, metoprolol succinate ER 100 mg 24 hr sustained release tablet, lansoprazole 30 mg delayed release capsule, Multiple Vitamins-Minerals (MULTIVITAMIN PO)

Current Illness:

ID: 0994392
Sex: M
Age: 47
State: MO

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

Lab Data:

Allergies: none

Symptoms: Fatigued and light headed

Other Meds: none

Current Illness: none

ID: 0994393
Sex: M
Age: 32
State: VA

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

Lab Data: NONE

Allergies: NONE

Symptoms: 2 HOURS AFTER INJECTION I EXPERIENCED SORENESS AT THE INJECTION SITE. 13.5 HOURS AFTER INJECTION I WOKE UP WITH A FEVER AND CHILLS. I TOOK ONE TYLENOL WHEN THE FEVER AND CHILLS WOKE ME. THE FEVER AND CHILLS LASTED APPROXIMATELY 3 HOURS. THE SORENESS HAD SPREAD TO MY UPPER BODY BY 4AM, 17.5 HOURS AFTER INJECTION. THE SORENESS/BODYACHE PERSISTED FOR THE DAY FOLLOWING INJECTION. I DID NOT SEE A DOCTOR AS THE SYMPTOMS RESOLVED THEMSELVES.

Other Meds: NONE

Current Illness: NONE

ID: 0994394
Sex: M
Age: 70
State: FL

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

Lab Data: CBC with Diff Comprehensive Metabolic Panel EKG ED Troponin T HS

Allergies: none

Symptoms: Experienced atrial fibrillation- after leaving site. Went to Hospital and without treatment, restored heart rhythm after several hours and was released to follow up with primary doctor

Other Meds: Diltiazem; lisinipril; Xarelto, fenofibrate; pantaprazole, multi vitamin

Current Illness: none

ID: 0994395
Sex: F
Age: 66
State: ND

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

Lab Data:

Allergies: Sulfa, Iodine, Statin meds

Symptoms: Received vaccine at 4 pm and got instant Headache, and got funny taste in mouth. Sore arm started at 5 pm. Lost taste and smell and couldn't sense hot or cold. Weak, shaky with severe joint and muscle pain. Middle of night, full nasel congestion began. In the morning was able to taste cold and mouth does not feel funny any more.

Other Meds: Metformin, Lisinopril, Metoprolol, Lasix, aspirin 81 mg, Vit D3, Vit C, Vit B12

Current Illness:

ID: 0994396
Sex: M
Age: 47
State: AL

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

Lab Data: No lab work or medical tests

Allergies: Lortab - feels like his on fire Lorcet

Symptoms: 0825 flushed, nausea , slightly SOB, O2 sat 96%, RR24 HR 77 BP 137/97. Pepcid 40mg, Benadryl 50mg 0830 Dizzy, flushed, SOB 0835 Dizzy, not flushed feeling, slightly SOB. O2 sat 95% 0840 Throat scratchy - slight difficulty to swallow O2 sat 93-94% HR 90 RR 28 0850 Epi pen injection, Throat tight and scratchy, hard to catch breath after coughing 911 called 0900 Ambulance transported to ER 0909 Ambulance arrived to ER still somewhat SOB and scratchy throat and nauseated, Dizziness improved. No stridor or wheezing, no hives or itching, no swelling of tongue or lips or facial swelling Received IV Benadryl, IV Decadron, IV Pepcid and albuterol nebulizer treatment and observed for an extended amount of time. SOB cleared, throat issue resolved and was discharged with just a slight residual tiny scratchy throat. He was discharged on Benadryl every 6hours until symptoms are completely resolved and Prednisone for 3 days starting on 1/26 if any residual symptoms are felt. Also given Albuterol inhaler if develop any recurrent SOB. Released home at 1413 on 1/25. Follow up on 1/27 and he stated he had fully recovered

Other Meds: Allopurinol 300mg Latanoprost ophthalmic Lisinopril 20mg

Current Illness:

ID: 0994397
Sex: F
Age: 68
State: DE

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

Lab Data:

Allergies: Penicillin

Symptoms: Rash hives primary on feet (toes and heels)

Other Meds: Wellbutrin

Current Illness: None

ID: 0994398
Sex: M
Age: 28
State: IN

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

Lab Data: None

Allergies: None

Symptoms: I was feeling fine for most of the day. The next day I woke up in sweats and chills but I didn?t think much of it. As I was standing up I notice all of the following- headaches, body pain, fever, low energy (although this one went away fast). I also felt like puking most of the day. I woke up at 7am and After work I took a nap. I woke up at 7pm feeling a lot better. I still had some minor headache but it went away with Advil.

Other Meds: None

Current Illness: None

ID: 0994399
Sex: F
Age: 33
State: IL

Vax Date: 01/22/2021
Onset Date: 01/30/2021
Rec V Date: 02/02/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: 8 days after injection I had a quarter-size welt. 9 days after injection the welt grew to the size of my shoulder muscle. It was red, itchy, and very hot to the touch. It was sore if touched, but did not affect my movement. I managed it with ice and tylenol.

Other Meds: Hydrochlorothiazide 25 mg Levothyroxine 125 mcg Birth Control

Current Illness: None

ID: 0994400
Sex: F
Age: 52
State: KS

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

Lab Data:

Allergies:

Symptoms: Systemic: Rash (other than injection site)-Mild; symptoms lasted 1 day

Other Meds:

Current Illness: latex, penicillin

ID: 0994401
Sex: F
Age: 42
State: CA

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

Lab Data:

Allergies: Tegretal, amoxicillin, and salsa

Symptoms: on 2/1/21 patient started have redness and swelling; says the swelling is about 3 inches down the arm. Arm is painful, warm and tender to the touch. Patient continues to take Ibuprofin for pain.

Other Meds: Tylenol, Ibuprofin

Current Illness: NO

ID: 0994402
Sex: M
Age: 57
State: WI

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

Lab Data:

Allergies: penicillin, most fruits and vegetables uncooked

Symptoms: Nausea, Muscle aches, chills slight headache. Treated with soda and crackers, ibuprofen.

Other Meds: Lisinopril 20mg Omeprazol 10mg

Current Illness:

ID: 0994403
Sex: F
Age: 75
State: VA

Vax Date: 01/30/2021
Onset Date: 01/31/2021
Rec V Date: 02/02/2021
Hospital:

Lab Data: None

Allergies: Alpha Gal; penicillin; sulfa; hydrocodone; heparin

Symptoms: Low grade fever; chills; muscle aches; fatigue; rash

Other Meds: Lisinopril; VitD3; COQ10; magnesium; probiotics; lutein; oil of oregano; vitb12; melatonin

Current Illness: Intermittent fever

ID: 0994404
Sex: F
Age: 42
State: VA

Vax Date: 01/16/2021
Onset Date: 01/23/2021
Rec V Date: 02/02/2021
Hospital:

Lab Data: Ultrasound on 1/24/21

Allergies: Allergic to Shellfish

Symptoms: My left arm - around the injection site - suddenly became warm, itchy, red, and swollen on the evening of 1/23. I took some ibuprofen but was still unable to sleep that night due to the discomfort. The next morning the swelling and pain was worse - I called and spoke to a nurse. Gave her my symptoms and medical history. She shared my concern about a possible DVT (I previously had a DVT in my right arm in 2008). I then went to the ER to have an ultrasound - Dr did rule out a DVT and stated that it was likely just an adverse reaction to the vaccine. Over the next several days the swelling went down, but a red itchy rash continued for the next 7 days.

Other Meds: Venlafaxine XR 150mg Vitamin D gummies Daily Multivitamins

Current Illness: None

ID: 0994405
Sex: F
Age: 77
State: IN

Vax Date: 01/16/2021
Onset Date: 01/20/2021
Rec V Date: 02/02/2021
Hospital:

Lab Data:

Allergies:

Symptoms: SEVERE ITCHING, HIVES, SWELLING, REDNESS, SHE WENT TO THE DOCTOR WHO DREW A CIRCLE AROUND THE REACTION AREA TO MONITOR SPREAD, PRESCRIPTION MEDICATION WAS GIVEN FOR REACTION

Other Meds:

Current Illness:

ID: 0994406
Sex: F
Age: 55
State: MO

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

Lab Data:

Allergies: CODEINE

Symptoms: APPROXIMATELY 35 MINUTES AFTER INJECTION I BEGAN EXPERIENCING PRURITIS ON MY CHEST AND FOREARMS. WITHIN 3 HRS I HAD RED, SUNBURN-LIKE SPLOTCHY AREAS ON MY CHEST, JOWLS, EARS, NOSE, INNER & OUTER FOREARMS. THE REDNESS AND ITCHINESS LASTED FOR APPROX 36 HOURS. SELF TREATED WITH BENADRYL WITH ADEQUATE RESULTS.

Other Meds: URSODIOL; AZATHIOPRINE; CARVEDILOL; TRIAMTERENE/HCTZ; GABAPENTIN; IBUPROFEN; MULTIVITAMIN/MINERAL SUPPLEMENT (WOMEN 50+ FORMULA); VITAMIN D3

Current Illness:

ID: 0994407
Sex: F
Age: 42
State:

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

Lab Data:

Allergies:

Symptoms: patient presented for booster vaccine and visit noted for Pfizer booster. After administration it was noted in vaccine history and vaccine card that the initial dose was Moderna.

Other Meds:

Current Illness:

ID: 0994408
Sex: F
Age: 46
State: VA

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 02/02/2021
Hospital:

Lab Data:

Allergies: Bees, sulfa drugs

Symptoms: Fever, 102.7 fatigue, nausea, blood (probably myoglobin) in urine Treated with D5 and zofran in primary care office (treatment for any illness where oral intake cannot be maintained or if febrile and unable to maintain calories at home)

Other Meds: CoQ10, carnitine, evaMist

Current Illness:

ID: 0994409
Sex: F
Age: 47
State: OK

Vax Date: 01/09/2021
Onset Date: 01/09/2021
Rec V Date: 02/02/2021
Hospital:

Lab Data: No

Allergies: Penicillin

Symptoms: I exp muscle aches, joint pain, headaches, fever (101.4) and really bad chills.The headache was bordered on a migraine level.

Other Meds: Metamucil. Vita D, Nicin

Current Illness: No

ID: 0994450
Sex: F
Age:
State: MI

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

Lab Data: Test Name: CT scan; Result Unstructured Data: Confirmed small acute embolism

Allergies:

Symptoms: Pulmonary embolism; Chest pain; Shortness of breath; Arm swelling; Soreness in her arm; Local reaction in the lymph nodes of the axilla; A spontaneous report was received from a physician concerning a female patient who received Moderna's COVID-19 Vaccine (mRNA-1273) and developed pulmonary embolism, arm swelling and soreness, shortness of breath, chest pain and a reaction in the lymph nodes of the axilla The patient's medical history includes pulmonary embolisms. Relevant concomitant medications were not reported. On an unknown date, approximately five days prior to the onset of the events, the patient received their first of two planned doses of mRNA-1273 intramuscularly for prophylaxis of COVID-19 infection. The patient experienced a pulmonary embolism, arm swelling, arm soreness, a local reaction in the lymph nodes of the axilla, shortness of breath, and chest pain. CT scan showed small acute embolism. Action taken with mRNA-1273 in response to the events was not provided . The outcome of the events pulmonary embolism, arm swelling and soreness, shortness of breath, chest pain and a reaction in the lymph nodes of the axilla were not reported.; Reporter's Comments: Company Comment: This spontaneous report concerning a female patient who experienced unexpected serious event of pulmonary embolism and nonserious events of arm swelling and soreness, a reaction in the lymph nodes of the axilla, shortness of breath, and chest pain. The patient developed the events on an approximately 5 days after the first dose of the mRNA-1273 vaccine (Lot #: unknown, expiration date-unknown). Pulmonary embolism was confirmed via CT. There is not enough information to adequately evaluate and assess the event of pulmonary embolism. Swelling and soreness, a reaction in the lymph nodes of the axilla are temporally associated with the vaccine administration and in the absence of any other etiology, a causal association between these events and the administration of mRNA-1273 vaccine cannot be excluded. main field defaults to ?possibly related' for all events.

Other Meds:

Current Illness:

ID: 0994451
Sex: F
Age: 78
State: TX

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

Lab Data:

Allergies:

Symptoms: Pneumonia in left lung; Pain in neck; Acute serious pain under her ribs, all the way around her body; A spontaneous report was received from a consumer concerning a 78 year old female who received Moderna's COVID-19 Vaccine (mRNA-1273) and developed acute serious pain under her ribs, all the way around her upper body, pneumonia in her left lung and neck pain. The patient's medical history was not provided. Concomitant medications included non specified medication for blood pressure, calming down, dementia and thyroid. On 04 Jan 2021, approximately 2.5 hours prior to the onset of the events, the patient received their first of two planned doses of mRNA-1273 intramuscularly in the left arm for prophylaxis of COVID-19 infection. On 04 Jan 2021, the patient developed acute serious pain under her ribs, all the way around her upper body that lasted ten days. The patient also experienced neck pain. On an unknown date, she was treated in the emergency room for pneumonia in her left lung and given antibiotics. She later followed up with her primary care doctor and additional x-rays were taken and she was treated with prednisone. Action taken with mRNA-1273 in response to the events was not reported. The outcome of the event, acute pain under her ribs, all the way around her upper body, was considered resolved on 14 Jan 2021. The outcome of the event, pain neck was resolved on 19 Jan 2021. The outcome of the event, pneumonia in left lung, was unknown.; Reporter's Comments: Company Comment: This case concerns a 78-year-old female patient who experienced unexpected serious event of pneumonia and non-serious event of acute serious pain under her ribs, all the way around her upper body and neck pain. The event developed on the same day after the first dose and only dose of the vaccine mRNA-1273 vaccine (lot # unknown, expiration date-unknown). Although a temporal association exist between the event of pneumonia and the administration of the vaccine, in the absence of clinical details including diagnostic test, a definite diagnosis was not established. The events of acute serious pain under her ribs, all the way around her upper body and neck pain are also temporarily associated with vaccine administration and a causal association cannot be excluded. Main field defaults to ?possibly related' for all events.

Other Meds:

Current Illness:

ID: 0994452
Sex: F
Age:
State: VA

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

Lab Data: Test Date: 20210117; Test Name: body temperature; Result Unstructured Data: 99? F

Allergies:

Symptoms: she fell down and blacked out; dehydration; Dizzy; weak; woke up 3 different times to use the bathroom; Broke out in terrible sweat twice; was bruised up; Fever; Really sore arm; flu like symptoms; A spontaneous report was received from a consumer concerning an 82-year-old female patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced flu-like symptoms, a really sore arm, fever, woke up 3 different times to use the bathroom, felt like she would pass out, felt dizzy, weak, blacked out, bruised up, broke out in a terrible sweat twice, and dehydration. The patient's medical history was not provided. No relevant concomitant medications were reported. On 13 Jan 2021, approximately one day prior to the onset of the events, the patient received their first of two planned doses of mRNA-1273 intramuscularly in her left arm for prophylaxis of COVID-19 infection. On 14 Jan 2021, the patient experienced flu-like symptoms and a really sore arm. The following two days she "was okay". On 17 Jan 2021, the patient had a fever of 99 degrees F; it was reported that she was already taking acetaminophen. She woke up three times in the middle of the night to use the bathroom, which was unusual for her. The third time she woke up, she could not get off the toilet; she felt dizzy and weak, and thought she was going to pass out. While she was trying to return to the bedroom, she blacked out and fell down. She was bruised up and "broke out in terrible sweat twice". It was reported that she drank water and orange juice to help with dehydration. Action taken with mRNA-1273 in response to the events was not provided. The outcome of the events flu-like symptoms, a really sore arm, fever, woke up 3 different times to use the bathroom, felt like she would pass out, felt dizzy, weak, blacked out, bruised up, broke out in a terrible sweat twice, and dehydration were not reported.; Reporter's Comments: Company Comment: This spontaneous report concerns a 82-Year-old, female patient who experienced unexpected serious event of blacked out and non-serious events of flu-like symptoms, a really sore arm, fever, woke up 3 different times to use the bathroom, felt like she would pass out, felt dizzy, weak, bruised up, broke out in a terrible sweat twice and dehydration. The patient developed flu-like symptoms and a really sore arm 1 day after the first dose of the mRNA-1273 vaccine (Lot #: unknown, expiration date-unknown). The other events developed 4 days after vaccine initiation. No treatment was provided, and the outcome of the events was not reported. There is limited information to assess all events in the absence of the patient's medical history and advanced age. Based on the information provided which includes a temporal association and in the absence of any other etiology, a causal association between the other reported events and the administration of mRNA-1273 vaccine cannot be excluded. The event of fever is consistent with the safety profile of mRNA-1273 vaccine.

Other Meds: NEURONTIN; NORVASC

Current Illness:

ID: 0994454
Sex: F
Age:
State: NE

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

Lab Data: Test Date: 20210125; Test Name: blood pressure; Result Unstructured Data: Test Result:low

Allergies:

Symptoms: Anaphylactic reaction; Throat was swollen shut, couldn't talk or breathe; Throat was swollen shut, couldn't talk or breathe; Throat was swollen shut, couldn't talk or breathe; loss of consciousness; brain fog; headache; fever; severe body aches and joint aches that make movement difficult; severe body aches and joint aches that make movement difficult; severe body aches and joint aches that make movement difficult; persistent chest pain/pressure; low blood pressure; some swollen and tender bilateral lymph nodes in my neck/trapezius/left (injection site) axillary region; fatigue; decreased appetite due to nausea; decreased appetite due to nausea; This is a spontaneous report from a contactable healthcare professional. A 19-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration at the left arm on 25Jan2021 08:45 at a single dose for COVID-19 immunization at a hospital. Medical history included type 1 diabetes mellitus, Celiac disease, COVID-19, and heartburn. Concomitant medication included insulin lispro (HUMALOG), spironolactone, fluvoxamine, and alprazolam (XANAX XR). The patient previously took gluten, magnesium ,and iodine and experienced allergies. On 25Jan2021 09:00, patient had an anaphylactic reaction. Throat was swollen shut, couldn't talk or breathe, loss of consciousness, brain fog, headache, fever, severe body aches and joint aches that make movement difficult, persistent chest pain/pressure, low blood pressure, and some swollen and tender bilateral lymph nodes in my neck/trapezius/left (injection site) axillary region, fatigue, and decreased appetite due to nausea. Patient had a doctor or healthcare professional visit, went to emergency room/department or urgent care, and was considered life threatening illness (immediate risk of death from the event). Events was treated with epinephrine, diphenhydramine (BENADRYL), paracetamol (TYLENOL) and had oxygen. Patient was not tested post vaccination. The patient is not pregnant. The patient has not recovered from the events.; Sender's Comments: There is a plausible time relationship between vaccine administration and onset of the events in a subject with allergic diathesis. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to regulatory authorities, Ethics Committees, and Investigators, as appropriate.

Other Meds: HUMALOG; SPIRONOLACTONE; FLUVOXAMINE; XANAX XR

Current Illness:

ID: 0994455
Sex: M
Age:
State: NJ

Vax Date: 01/20/2021
Onset Date: 01/23/2021
Rec V Date: 02/02/2021
Hospital: Y

Lab Data:

Allergies:

Symptoms: cardiac arrest; This is a spontaneous report from a contactable consumer. An elderly ( older that 65-years-old) male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot number unknown), via an unspecified route of administration on 20Jan2021 as the second single dose for covid-19 immunization. The patient's medical history and concomitant medications were not reported. He was reported as with unspecified health issues, and no known allergies. The patient previously received BNT162B2 for immunization, on an unspecified date. The patient experienced cardiac arrest on 23Jan2021, at 20:30, which was serious as it was life-threatening and involved hospitalization (in the intensive care unit (ICU)). Details were as follows: after the patient received the 2nd dose of the vaccine on 20Jan2021. The reporter indicated that he was released to go on 23Jan2021. The patient went into cardiac arrest. Therapeutic measures were taken as a result of cardiac arrest. The patient was reported as in the ICU, and critical on life support. There was no note of COVID prior to vaccination. It was unknown if the patient has had a COVID tested post vaccination. The outcome of cardiac arrest was not recovered. The batch/lot number for the vaccine, BNT162B2, was not provided and will be requested during follow-up.

Other Meds:

Current Illness:

ID: 0994456
Sex: F
Age: 58
State: MA

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

Lab Data:

Allergies: no

Symptoms: Terrible headache for about 16 hours that started about 14 hours post vaccine. Day 3 developed rash and pain at and below injection site with itchiness, has not subsided yet, day 5 post

Other Meds: Celexa Trintellix Neurontin Simvastatin Vit. D MVI

Current Illness: none

ID: 0994457
Sex: M
Age: 78
State: GA

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

Lab Data: None

Allergies: None

Symptoms: Sore arm at site of injection; balance problems (from a couple hours after injection continuing and worsening somewhat morning after.

Other Meds: simvastatin 10mg; metropolol 25mg; enalapril maleate

Current Illness: None

ID: 0994458
Sex: M
Age: 57
State: NY

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

Lab Data: None

Allergies: None

Symptoms: First dose leaked out of needle and injection site, second dose was administered right after.

Other Meds: Blood pressure medication (doesn't remember the name)

Current Illness: None

ID: 0994459
Sex: F
Age: 49
State: NH

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 02/02/2021
Hospital:

Lab Data:

Allergies: Z-pack-critical Bactrim Sulfa drugs Environmental Animals

Symptoms: Started with lips tingling, then fingers, hands, toes, legs then throat. Face was numb with a ?pulling? sensation around my nose and mouth. Head felt ?full?. They had to call an ambulance. Symptoms started to resolve after about 20 mins. Been having headaches since. Also had fever/chills and slept for two days after it. I declined to get in ambulance and go to hospital as my symptoms were resolving and I didn?t want to risk getting sick at ER

Other Meds: Zyrtec D, singular, lisiniprol/hctz, atorvastatin, trazadone

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm