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: 0997305
Sex: F
Age: 51
State: IN

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

Lab Data:

Allergies: None

Symptoms: Fever, body aches, headache, running fever, chills

Other Meds: Valtrex Women?s one a day multivitamin

Current Illness: None

ID: 0997306
Sex: F
Age: 41
State:

Vax Date: 01/30/2021
Onset Date: 01/30/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies: ciprofloxacin: Hives

Symptoms: ~ 4 hours after administration developed facial numbness, no weakness or other neurologic symptoms. Evaluated on 3Feb21 and symptoms had resolved, unremarkable neuro exam.

Other Meds: none

Current Illness: none

ID: 0997307
Sex: F
Age: 35
State: UT

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: None

Allergies: Cucumbers pickles

Symptoms: Red painful lump on arm the size of a baseball that was warm and itchy. Lump went away after 48 hours but itchiness and pain persisted for 5 days.

Other Meds: Magnesium progesterone levothyroxine phentermine liothyronine

Current Illness: None

ID: 0997308
Sex: M
Age: 75
State:

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

Lab Data:

Allergies: none

Symptoms: Your online text survey allows for a selection of "pain" but does not have an option for muscle soreness at the injection site. I experienced soreness for about 36 hours after the injection but did not consider this to be "pain." Thus I reported nothing. I'm confident others reported this same experience as "pain." Your text survey should make a distinction between "pain" and normal "muscle soreness" so that you get consistent results.

Other Meds: none

Current Illness: none

ID: 0997309
Sex: M
Age: 60
State: IN

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

Lab Data: n/a

Allergies: none

Symptoms: Diarrhea, fatigue, loss of taste

Other Meds: amlodipine, atenolol, lisinopril, hydrochlorothiazide, sertraline, levocetirizine, fish oil, vitamin D2, calcium polycarbophil, magnesium chloride

Current Illness: none

ID: 0997310
Sex: F
Age: 68
State: GA

Vax Date: 01/19/2021
Onset Date: 01/21/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: n/a

Allergies: none

Symptoms: PT reports day after vaccination experiencing body aches, fever 101, chills throughout day. improved overnight. next day experienced fatique and mild rash at vaccination site. rash persisted for 1 week and patient describes rash as expanding to palm size, NO itching, raised, warm and red. tenderness and pain at injection site accompanied rash. rash cleared after 1 week but pt reports arm was still sore and tender for days after rash cleared.

Other Meds: Singulair, Strattera, losartan, metoprolol, estradiol patch

Current Illness:

ID: 0997311
Sex: F
Age: 29
State: MA

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

Lab Data:

Allergies: Penicillins-> Hives; MEASLES,MUMPS,RUB,VARICEL(PF)-> Maculopapular Rash.

Symptoms: Received Pfizer first dose at 7:52am. While in Observation area of Vaccination Clinic (with a recommended 30 min observation time), within 15 min patient complained of "Itchy arms". I noticed red, blotchy rash on her chest. She stated her breathing was fine/no issues with breathing. Elevated her feet. BP= 123/85, O2Sats= 98%. Patient said she had pre-medicated with Benadryl and had an Albuterol inhaler and Epi Pen she had brought with her to her Vaccination appointment. She then started clearing her throat. Epi pen recommended for her to take-> she declined, stating her breathing was fine, and its too painful to take and bruises her skin and wasn't having trouble breathing. Patient brought to Emergency room within hospital.

Other Meds: She pre-medicated with Benadryl prior to vaccination

Current Illness:

ID: 0997312
Sex: F
Age: 65
State:

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

Lab Data:

Allergies:

Symptoms: Approximately 10 hours after injection started to feel queasy, hot/cold, achy and had a severe headache. Persisted for about 24 hours.

Other Meds:

Current Illness:

ID: 0997313
Sex: F
Age: 37
State:

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

Lab Data:

Allergies: NKA

Symptoms: Chills, fever, body aches, headache, lightheaded, fatigue. These symptoms began approx.. 3:45am lasting until about 11am. Extreme stomach pain/cramping that radiated into chest and back started at approx. 12:30pm and lasted until 8:15pm on 2/2/21. Vaccine given at 11:30am on 2/1/2021.

Other Meds: Pantoprazole

Current Illness: None

ID: 0997314
Sex: M
Age: 65
State: VA

Vax Date: 01/20/2021
Onset Date: 01/30/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies: Nkda

Symptoms: MRSA infection at injection site developed 11 days after inoculation.

Other Meds: Lisinopril, metoprolol, Vit. D3, zetia, magnesium, prilosec,

Current Illness: None

ID: 0997315
Sex: M
Age: 76
State: WV

Vax Date: 01/22/2021
Onset Date: 01/23/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: None

Allergies: Neosporin and Sulfa - both cause rash

Symptoms: Wife states day after injection client began coughing, weak, pain in joint, tires easily. Returns to bed at least two times per day, feel rested but upon rising to side of bed becomes weak again. Complaining of shortness of breath. Concerned about COVID infection; states had three negative tests with last test being in December. Was evaluated by Dr. with Family Medicine (his primary care provider was not available) and was prescribed Prednisone 20 mg QD x 5 days and Erythromycin 250 mg QD x 5 days; both have been completed. During office visit lungs were evaluated and reported as clear; physician mentioned a COVID test but none was obtained. Has continual cough with asthma, but feels symptoms have gotten worse since the COVID vaccine; "can't get his strength back". States the weakness, cough, shortness of breath, and joint pain have remained the same since first day noticed and has not seen any improvement since completing Prednisone and Erythromycin. Not on O2; states O2 sat is around 98 - 99%; uses a C Pap Machine. Wished to schedule a COVID test; appointment given for 2/3/2021. Denies dyspnea beyond usual SOB; instructed to seek emergency care if symptoms worsen; indicated understood and would do so if needed.

Other Meds: Geritol QD; Super B Complex QD; Aspirin 81 mg. QD; Osteobiflex QD; Magnesium Chloride BID; Tylenol PRN; Atorvastatin 60 mg QD; Ranolazine ER 500 mg BID; Buspirone HCL 10 mg BID; Potassium Chloride 10 mg QD; Torsemide 10 mg BID; Isosorbide -

Current Illness: Upper Respiratory Illness (reported as "cold")

ID: 0997316
Sex: F
Age: 50
State: NY

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

Lab Data:

Allergies:

Symptoms: 10 min after vaccine, started feeling like mouth was dry and hard to swallow, developed palpitations and chest tightness

Other Meds:

Current Illness:

ID: 0997317
Sex: M
Age: 67
State: FL

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

Lab Data:

Allergies: environmental

Symptoms: Started chills at 11 pm...At 3 AM chills subsided as I warmed up with a 100.4 fever...took Tylenol fever gone by 6 AM.

Other Meds: Losartan 12.5

Current Illness: none

ID: 0997318
Sex: F
Age: 55
State: FL

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

Lab Data:

Allergies:

Symptoms: Systemic: Headache-Mild, Systemic: Other- Patient stated that she was feeling hot from her feet to her head with sluggishness and headache 4/10 on pain scale.-Medium

Other Meds:

Current Illness:

ID: 0997319
Sex: F
Age: 39
State: CA

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

Lab Data:

Allergies: Penicillin, sulfur dioxide

Symptoms: Sore arm right after injection, followed by dIzziness and then headache. Fatigue set in about 4:30pm. Felt chills and couldn?t sleep well, woke up around 2pm with intense pain radiating down my arm and my headache was worse. Symptoms continued the next day but I took ibuprofen to help manage. Felt fine by 3pm the next day.

Other Meds: Multivitamin, sertraline, flaxseed oil, coq10, symbocort, rhinocort

Current Illness:

ID: 0997320
Sex: F
Age: 45
State: PR

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

Lab Data:

Allergies: no

Symptoms: Patient refers that He started to feel dizziness and loss of consciousness, was evaluated for paramedics who took her blood pressure having 80/50, Patient recovered, felt better and didn't wanted to go to the hospital.

Other Meds: Panadol, Norvasc, Ziac, Synthroid.

Current Illness: Thyroid, Hypertension.

ID: 0997321
Sex: F
Age: 32
State: MN

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: None, doctor visit on 1/29/2021

Allergies: Penicillin, Amoxicillin, Sulfa Drugs

Symptoms: Received the Vaccine on 1/21. Injection site was sore, red, and irritated the following 4 or 5 days, appeared to be getting smaller, then on 1/26 or 1/27 got larger, redder, more painful. Went to the doctor on 1/29 and was diagnosed with cellulitis at the injection site and given antibiotics

Other Meds: Trazodone, Melatonin, Oxybutinin, Vitamin D

Current Illness: None

ID: 0997322
Sex: M
Age: 64
State: TX

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

Lab Data: None

Allergies: Sulfameth, Ciproflaxacin

Symptoms: Soreness at injection site (mild) and Fever 99.7 started about 6 hours after injection. Still feverish at bedtime, No fever next morning

Other Meds: Centrum Silver vitamins 3 times a week

Current Illness: No illnesses, but Thyroid TSH was high 1 month prior.

ID: 0997323
Sex: F
Age: 32
State:

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

Lab Data:

Allergies:

Symptoms: The night of the injection I came down with a fever or 100.8 that would not subside with Tylenol or ibuprofen. It did lower temporarily but went right back up and lasted 24 hours. I also had nausea, swollen glands, headache, and body aches. 24 hours after the start of symptoms, my fever has subsided. I still have a slight head ache and general malaise, but I am able to work today.

Other Meds: Keppra,pantoprazole, amlodipine, and claritin

Current Illness: I had a cold one week prior to vaccine

ID: 0997324
Sex: M
Age: 76
State: MO

Vax Date: 01/30/2021
Onset Date: 02/03/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: COVID-19 Molecular PCR test on 2/3/21 that is positive

Allergies: Penicillin

Symptoms: Fever of 99.2

Other Meds: Amlodipine, Metoprolol, Pantoprazole, Simvastatin, Torsemide, Zolpidem

Current Illness: None

ID: 0997325
Sex: M
Age: 76
State: NY

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: NA

Allergies: LEVAQUIN GEFALEXIN

Symptoms: a sore developed under the end of the band aid strip used to cover the injection site. The injection hole disappeared but the sore and some redness around it still present. The sore is about 1/8" around. Both upper arms are sore.

Other Meds: METOPROLOL 50 TAMSULOSIN BAYER ASPERIN FUROSEMIDE CLOPIDOGREL PRAVASTATIN

Current Illness: NONE

ID: 0997326
Sex: F
Age: 32
State: FL

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: 10 hrs after receiving 2nd dose of Moderna vaccine into L deltoid, developed pain, numbness, and tingling in L wrist, hand, and 2nd, 3rd, 4th fingers. The next day she was unable to flex mentioned digits. She had no improvement and on 1/29/21 she was prescribed Medrol Dosepak which was effective and as of 2/3/21, patient is back to baseline.

Other Meds: None

Current Illness: None

ID: 0997327
Sex: F
Age: 74
State: VA

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: none

Allergies: Most Pain medication, Erythromycin, Biaxin, Toradol.

Symptoms: Itching all over body started night of vaccination 01/21/2021 and then 10 day post vaccination hive/itching at left arm injection site. Per patient she took over the counter Benadryl , no difficulty breathing, shortness of breath. She contacted her doctors office for follow up regarding her reaction vaccination. Patient did not receive vaccination via a health department clinic reported that she received the first vaccination at a Hospital clinic, advised her to contact them and let them know of her reaction as well. Per patient she was advised by her doctor to post pone the second vaccination at this time.

Other Meds: blood pressure medication

Current Illness: None

ID: 0997328
Sex: F
Age: 61
State: MI

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

Lab Data:

Allergies: N/A

Symptoms: Migraine headache chills and joint pain

Other Meds: N/A

Current Illness: N/A

ID: 0997329
Sex: F
Age: 36
State: SC

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

Lab Data: n/a

Allergies: sulfa

Symptoms: Immediate upper pain at injection site. Approximately 3 hours later, feeling of dizziness and feeling lightheaded. 12 hours later, extreme fatigue, increased dizziness and feeling lightheaded. 24 hours later, feeling normal again.

Other Meds: none

Current Illness: none

ID: 0997330
Sex: F
Age: 25
State: IN

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

Lab Data:

Allergies: Shellfish

Symptoms: Fever, chills, body ache, headache, fatigue

Other Meds: None

Current Illness:

ID: 0997331
Sex: F
Age: 70
State: MI

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

Lab Data: None

Allergies: mold, dust, sulfa drugs, stomach upset with aspirin

Symptoms: Sneezing, congestion, headache, pain at injection site. Slight upset stomach. Have taken acetaminophen and Sudafed.

Other Meds: Vitamin B complex, 250 mg. magnesium

Current Illness: none

ID: 0997332
Sex: F
Age: 34
State: VA

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: None

Allergies: Imitrex, z-pack,sulpha

Symptoms: Developed a rash 2 inches below injection site which went away with Benedryl but returned yesterday which was a week after my shot and a week after the first response . The new rash is larger and in 2 spots on my left arm.

Other Meds: Nuva ring

Current Illness: Cold

ID: 0997334
Sex: F
Age: 49
State:

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Had intense headache for 72 hours straight where I could not withstand any light - the best way I could describe it is my migraine had a migraine. Would get dizzy when I stood up. Nauseous and extreme fatigue for 3 days. Slept for 16 hours within 24 hours of receiving the vaccine, day 2 slept for 12 hours but then was up due to vomiting/diarrhea (for 6 hours) about 56 hours after injection and then slept another 12 hours on day 3 after injection. Had a slight sore throat as well. By day 4 all symptoms had resolved.

Other Meds: Fluoxetine, chlorthalidone, B-Complex vitamin

Current Illness:

ID: 0997335
Sex: F
Age: 49
State: VA

Vax Date: 01/15/2021
Onset Date: 01/21/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: NONE--

Allergies: None known

Symptoms: Lump in armpit muscular tissue. Felt slight pain, discomfort about 5 days, did armpit/breast check and felt lump about the size of a small grape deep in armpit musculature. Mentioned to doctor and she called back advised it could be a lymph node swelling and I have dr. appt next week on 2/10/2021 for my physical so we will see if it is better. It does seem to be getting less hard...softening and spreading out a little.

Other Meds: Culturelle, multi-vitamin

Current Illness: None

ID: 0997336
Sex: F
Age: 57
State: IN

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

Lab Data: None

Allergies: No

Symptoms: 24 hours of fever, left arm pain, achy all over, ears ringing, slight headache, sluggish

Other Meds:

Current Illness: None

ID: 0997337
Sex: M
Age: 39
State: NY

Vax Date: 01/01/2021
Onset Date: 01/22/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies: penicillin

Symptoms: Pain at injection site, difficulty sleeping, fatigue whole next day. bed rest, fatigue gone by 6pm day after, arm sore for 3 days

Other Meds: omeprazole

Current Illness: none

ID: 0997338
Sex: F
Age: 54
State: OH

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

Lab Data: none

Allergies: none

Symptoms: There was pain at the injection site which turned into a quarter sized swelling with redness on the morning of 02/02/202 and I was very tired and had total body aches. By 4 PM on 02/02/2021, the swelling had increased and the redness had spread to cover almost the whole shoulder area. Starting around 12:30 PM on 02/02/2021, I developed chills which lasted until approximately 8 PM. My temperature was checked at 4 PM on 02/02/2021 and it was 99.4 and at 7 AM on 02/03/2021, it was still 99.0. At 9:30 AM on 02/03/2021, the welling is going down but the redness is still covering the entire shoulder area.

Other Meds: none

Current Illness: none

ID: 0997339
Sex: F
Age: 31
State: VA

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

Lab Data:

Allergies:

Symptoms: patient had itching to second vaccine just like the reaction from previous vaccine and other medicines.

Other Meds:

Current Illness:

ID: 0997340
Sex: F
Age: 45
State:

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies: Aspirin

Symptoms: Extreme swelling, redness, and soreness in left arm, can barely lift.

Other Meds: Tylenol

Current Illness:

ID: 0997341
Sex: F
Age: 52
State: CT

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

Lab Data: None

Allergies: none

Symptoms: Received vaccine at 1030, My arm instantly began to hurt. Pain radiating to my neck. I had the same painful feeling that I had with the first vaccine dose, Unable to lay down on that arm and unable to push myself up. I would say pain with weakness. My chills, body aches and exhaustion began much sooner this time. Vaccine at 1030 symptoms began by 4pm and lasted over 24 hours. I slept for most of the next day and had a fever to 100.9 at 9pm nearly 36 hours post injection. It's almost 48 hours since I received the vaccine, I am back to work today but not 100% for sure. Taking Motrin helps. Dose #2 was worse then #1. Just a reminder I did have covid 18 in April of 2020.

Other Meds: Benicar, Lipitor, hydrochlorothiazide, Zyrtec

Current Illness: None

ID: 0997342
Sex: F
Age: 24
State: NJ

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

Lab Data:

Allergies: No

Symptoms: About 12 hours after vaccination, I woke up with chills and sweating with a fever and headache. Fever was at 101. Woke up next morning with my fever maintained at 101 and a pounding throbbing headache. The injection site is also hard and red, with the bump increasing in size. I took Tylenol and slept then woke again at 6pm 2/2 with a 100.7 fever and body aches. Took more Tylenol and went to bed. This morning 2/3 I feel about 90% back to normal. The bump on my arm however is growing in size and more painful.

Other Meds: Ocella, multivitamin, probiotic, vitamin D

Current Illness: No

ID: 0997343
Sex: F
Age: 49
State: OH

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

Lab Data: None

Allergies: Nka

Symptoms: Adverse event in second dose only. Chills,nausea, fatigue and administration site swollen and red. Two injection sites appeared with second dose.

Other Meds: Lisinopril

Current Illness: None

ID: 0997344
Sex: F
Age: 26
State: MA

Vax Date: 01/14/2021
Onset Date: 01/22/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: left deltoid rash, swelling, warmth, started 8 days after vaccination. seen 1/26/2021, resolved by 1/29/2021

Other Meds: none

Current Illness: none

ID: 0997345
Sex: F
Age: 23
State: MN

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

Lab Data:

Allergies: none

Symptoms: 5-10 minutes post injection, pt reported "I don't feel well" States feels hot/nauseous/weak. Assisted to chair. Had brief (15-20 second) episode of stiffening, apnea, dusky coloring, arched back with stiff extremeties and shaking and loss of consciousness. Spontaneous respirationss returned when stiffness/arching ended, with slow return of pale/pink skin coloring. Able to converse. Remained dizzy, diaphoretic. During event pulse thread and fast. BP 84/42 post return of consciousness. 911 called. Patient transferred via EMS to ER.

Other Meds: Fludrocortisone 0.1 mg 1 tab twice daily

Current Illness: none

ID: 0997346
Sex: F
Age: 60
State: FL

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: none

Allergies: None

Symptoms: I received my 2nd dose of the Moderna vaccination on1 /26/2020 @ 3:16 pm. The following day at 10 am I had severe throbbing headache (forehead). I took Tylenol but was unable to work the rest of the day due to the throbbing headache. One week later- 2/1/2021 my arm at the injection site is very bruised and sore.

Other Meds: Estradiol 1 mg daily Medroxyprogesterone 2.5 mg daily Atorvastatin 20 mg daily Trazodone 25 mg daily Aspirin 81 mg daily Vitafusion Women's Gummy vitamin 2 daily Vitamin D 3 50 mcg daily

Current Illness: None

ID: 0997347
Sex: F
Age: 26
State: NC

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: 2/2/2021- ekg and blood work- all insignificant

Allergies: Sulfa drugs

Symptoms: Heart palpitations and dizziness and chest pain

Other Meds: None

Current Illness: COVID-19 First symptom 11/20

ID: 0997348
Sex: F
Age: 89
State: IN

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

Lab Data:

Allergies: none

Symptoms: Felt fine after shot. Around 3:45pm she was sitting on the sofa, saw a flash of light (which quickly disappeared) and she started vomiting. No fever or muscle aches. She felt better after getting sick and has been drinking/eating light meals.

Other Meds: Simvastatin, lorazepam, Irbesartan and vitamins (not sure which ones)

Current Illness: no

ID: 0997349
Sex: F
Age: 35
State: MN

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

Lab Data:

Allergies: None

Symptoms: Seizure occurred about 22 hours after vaccine. Unclear if related to the vaccine or recent changes in medications. Patient does not typically have generalized clonic-tonic seizures but had a 2.5 minute GTC seizure the day after vaccination.

Other Meds: Synthroid Claritin Trileptal multivitamin calcium benefiber cranberry capsule Depakote Ferrous Sulfate C-pantoprazole Miralax Senexon Rufinamide

Current Illness:

ID: 0997350
Sex: F
Age: 67
State: LA

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

Lab Data:

Allergies:

Symptoms: Sore arm, fever, chills, felt like hit by truck.

Other Meds:

Current Illness:

ID: 0997351
Sex: F
Age: 59
State: IN

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

Lab Data: None

Allergies: Sulfa

Symptoms: Severe headache, joint aches, chills

Other Meds: Famotodine 40mg , cyclobenzaprine 5 mg , nasonex, Claritin, multi vitamin, 400mg CoQ10, occuvite

Current Illness: None

ID: 0997352
Sex: F
Age: 35
State: MN

Vax Date: 01/25/2021
Onset Date: 01/31/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies: Thimerosal, heavy metals, penicillin

Symptoms: Swollen lymph nodes both armpits, spreading redness, itchy rash around injection site

Other Meds: Multivitamins

Current Illness: None

ID: 0997353
Sex: F
Age: 65
State:

Vax Date: 01/23/2021
Onset Date: 01/31/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies:

Symptoms: About a week after the shot, and 3 days after original shot pain had diminished, I developed an itchy rash on the vaccinated arm. It has continued for 4 days so far.

Other Meds:

Current Illness:

ID: 0997354
Sex: F
Age: 44
State: KY

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

Lab Data:

Allergies: previous serious AE to influenza vaccine

Symptoms: Patient received initial dose of Covid-19 vaccine. During observation period, patient reported progressive pruritus in left arm. While evaluating patient, pruritus progressed to right arm. At that time, patient reported significant reaction previously to influenza vaccine with similar initial presentation. At no point did patient report SOB, increased heart rate, or chest tightness. While waiting for transport to ER, patient reported progressive burning while continuing to have pruritus

Other Meds: zyrtec 10 mg

Current Illness:

ID: 0997355
Sex: M
Age: 50
State: NJ

Vax Date: 01/31/2021
Onset Date: 01/31/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: 6 hours after shot, arm was in pain where i could hardly move, by morning felt like i had flu, by mon afternoon temperature went up to 101.8 before dropping tues evening.

Other Meds: None

Current Illness: 1st dose covid-19 taken on 01/10/2021

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm