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**
PLEASE CHECK BACK SOON
Download the files above while you wait.







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: 0998852
Sex: F
Age: 30
State: KY

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

Lab Data: N/a. Got covid swabbed after first injection made me sick and it came back negative.

Allergies: Zoloft. Tobramycin. Lactose intolerant.

Symptoms: Fatigue. Soreness at site. Swelling of bicep around puncture site. Redness and heat at injection site. Cough. Sore throat. Nasal drainage. Fever greater than 101. Weakness. Pain and swelling began about 6-7 hours after injection. Cough fatigue onset 12 hours after injection. Nasal congestion and fever onset 24 hours after injection. Treatment: otc tylenol, ibuprofen, trazadone to sleep. Increased fluid intake. Increased rest. Outcome: 48 hours post injection- still febrile. Head congestion. Cough. Weakness and body aches. Swelling decreased at injection site.

Other Meds: Effexor 75 mg daily. Abilify 2 mg daily. Birth control. Tylenol 1,000 mg a 6-8 hours. Trazadone 25 mg prn for sleep. Ibuprofen 800 mg q 6-8 hours

Current Illness: N/a

ID: 0998853
Sex: F
Age: 22
State: CA

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

Lab Data:

Allergies: Tylenol

Symptoms: Itching around vaccine site a week after- red circle around vaccine site

Other Meds: Trileptal Seroquel

Current Illness:

ID: 0998854
Sex: F
Age: 82
State: TX

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies: none known

Symptoms: Dizziness, severe headache, fainting

Other Meds: Losartan 25 mg, rosuvastatin 10 mg, alendronate 70 mg, famotidine 20 mg, trazodone 50 mg, levothyroxine 25 mcg, multivitamin, calcium, allegra

Current Illness: none

ID: 0998855
Sex: M
Age: 48
State: MI

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

Lab Data: none

Allergies: no known drug allergies single episode of mild posterior orpharyngeal (uvula) swelling reaction to pecans 5+ years ago

Symptoms: Peri-oral Angioedema: Mild but obvious angioedema of left lower lip started around 30 hours post-injection on 1/29/21, which subsided overnight and migrated to involve predominantly the right lower lip the following day (1/30/21), which similarly subsided spontaneously over a few hours, followed with very mild (noticeable to patient but less obvious to others) angioedema of the upper lip appearing on morning of 1/31/21, fully resolved by around noon that day and has not recurred.

Other Meds: none

Current Illness: none

ID: 0998856
Sex: F
Age: 56
State: OH

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

Lab Data: Pulse Ox: 97% (2/2/2021; 11:15 am)

Allergies: None reported

Symptoms: About 10 minutes after receiving the vaccine, Patient began experiencing chest tightness, shortness of breath, and dizziness. 911 was called. 50 mg of Benadryl was given at 11:00, then 1 EpiPen administered at 11:10 when her symptoms worsened. Pulse ox was taken and was 97%. EMT arrived and the patient was transported to a local hospital. The patient reported feeling better when contacted by a site administrator later that day.

Other Meds: Unknown

Current Illness: None reported

ID: 0998857
Sex: F
Age: 45
State: WA

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: numbness tingling lips, mouth, tongue Swallowing took more effort - "lump in my throat" Was given benadryl, sx's started improving a couple hours later.

Other Meds: none

Current Illness: none

ID: 0998858
Sex: F
Age: 82
State: GA

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

Lab Data: none

Allergies: none

Symptoms: The following symptoms began the day after the shot: headache, dizziness, tiredness, fever, complete loss of hearing in right ear, partial loss of hearing in left ear, Hearing loss lasted 6 hours before beginning to improve. Most symptoms were gone by end of 4th day. Tiredness remains along with occasional dizziness.

Other Meds: none

Current Illness: none

ID: 0998859
Sex: U
Age: 60
State: TX

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

Lab Data: None

Allergies: Penicillin (generalized rash), Bananas, Avocado, Pineapple

Symptoms: Patient started to experience nausea, flushing, lightheadedness after receiving 2nd dose of Moderna COVID-19 vaccine. Patient reports they did not experience these symptoms following the 1st dose of the vaccine four weeks prior. At 8:20am: 161/77 O2 sat=99% HR=86. At 8:24am: BP=160/79, At 8:29: nausea subsiding, continued lightheadedness. At 8:32am, BP=164/88. Patient clinically stable. Feels better. Patient released from clinic at 8:34am.

Other Meds: Mirapex, Aleve

Current Illness: None

ID: 0998860
Sex: F
Age: 39
State: CA

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

Lab Data:

Allergies: Cephalosporins, PCN

Symptoms: Patient voiced having metallic taste in mouth and had mild redness on chest and stated chest felt warm. Patient denied any itching.

Other Meds:

Current Illness:

ID: 0998861
Sex: F
Age: 49
State: CO

Vax Date: 01/18/2021
Onset Date: 01/28/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 10 days after receiving first dose of Moderna vaccine, patient developed a right arm nodule with right arm tenderness and erythema as well as a headache and dizziness. She reports that the dizziness, headaches, and nodule have resolved, but she continues to experience right arm erythema. Small amount of right arm erythema noted on exam. Small amount of tenderness noted at the injection site. No streaking erythema or discharge noted. Patient started on prednisone and hydroxyzine for 5 days

Other Meds:

Current Illness:

ID: 0998862
Sex: F
Age: 47
State: TX

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

Lab Data: None

Allergies: None

Symptoms: Patient experiencing headache approximately 5 to 10 minutes after receiving 2nd dose of Moderna COVID-19 vaccine. Patient reports having a headache that lasted for about an hour following the 1st dose of the vaccine four weeks prior. At 3:10pm: HR=71 O2 sat= 98% 122/65. At 3:21pm: BP=119/62. Headache subsiding. At 3:31pm: BP=105/59, HR=63 O2 sat=99%. Patient clinically stable. Patient released from clinic at 3:32pm.

Other Meds: Vitamin supplements

Current Illness: None

ID: 0998863
Sex: F
Age: 71
State: SD

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

Lab Data: Numerous tests and results

Allergies: No known allergies

Symptoms: Cardiac Arrest with in an hour of receiving Covid vaccine; Brought into ED by EMS doing CPR; resuscitation continued in ED for 20 minutes before ROSC was achieved. Pt admitted to Critical Care.

Other Meds:

Current Illness:

ID: 0998864
Sex: M
Age: 46
State: AK

Vax Date: 12/23/2020
Onset Date: 12/28/2020
Rec V Date: 02/03/2021
Hospital:

Lab Data: 1/13/2021 cbc, RFP, glucose, A1C. UA. all normal.

Allergies: statin drugs

Symptoms: headaches for 20+ days, fatigue; brain fog and vertigo that still continue 38 days now.

Other Meds: none

Current Illness: none

ID: 0998865
Sex: F
Age: 51
State: CA

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

Lab Data:

Allergies:

Symptoms: fever chills

Other Meds:

Current Illness:

ID: 0998866
Sex: M
Age: 58
State: MA

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

Lab Data: Nine

Allergies: None

Symptoms: Mild headache Pain and swelling in arm Mild RA pain in left hand

Other Meds: Xljan xr for RA Ibuprofen One a day senior vitamins

Current Illness: None

ID: 0998867
Sex: M
Age: 86
State: TN

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

Lab Data:

Allergies: NKA

Symptoms: Patient was up at 6 AM on morning following injection. Temp 101.7. Difficulty mobilizing. Could straight leg raise. O2 sat was 94. B/P 170/70. Through out day has had some improvement. Incontinent (rare for Him) Achy. Sensorium unchanged.

Other Meds: Crestor ASA B12

Current Illness: Degenerative joint disease. S/P stroke in 2019

ID: 0998868
Sex: F
Age: 39
State: NV

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

Lab Data: Urine cultures, CBC at the ER. Covid swab (negative) Blood work -abnormal.

Allergies: Covid 19 vaccine

Symptoms: Pain in arm was so bad I was unable to use my arm for several hours. Was treated five times for a bladder infection, was determined that their was blood in my urine. Being referred to urology. Had to take Benadryl and ibuprofen for swelling of face and neck. Burning of urinary tract has been extremely bad and still has not subsided. Still having very bad flare ups of these symptoms including severe nauseas and dizziness (vertigo). Having to eat bland foods and take Pepto everyday. Severe Fatigue. 10 days ago I was sent home from work due to feeling bad and looking ill (very pale). Hospital wanted to keep me overnight.

Other Meds: Xanax

Current Illness:

ID: 0998869
Sex: F
Age: 30
State: AK

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies: None.

Symptoms: 8am: fatigue, sore arm. 12pm: extreme fatigue, really sore arm, fever. 4pm: extreme fatigue, really sore arm, fever, nausea. 8pm: extreme fatigue, really sore arm, fever, nausea, headache. 8am 1/21: totally fine.

Other Meds: Daily generic Flonase nasal spray.

Current Illness: None.

ID: 0998870
Sex: F
Age: 45
State: ID

Vax Date: 01/24/2021
Onset Date: 02/02/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Red, blotchy rash at the injection site.

Other Meds: Synthroid 88; Spironolactone 200

Current Illness: none

ID: 0998871
Sex: M
Age: 37
State: NY

Vax Date: 01/28/2021
Onset Date: 01/31/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 3 days after receiving vaccine, started to have episodes of vertigo that last as long as 2 hours. 6 days after vaccination, he continues to have episodes of vertigo limiting his ability to return to work.

Other Meds:

Current Illness:

ID: 0998872
Sex: F
Age: 79
State: SC

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

Lab Data: Blood work done today, no results yet.

Allergies: Penicillin and Sulfa.

Symptoms: Felt fine the day of event, during the night she felt like she had a heavy head, but when she woke up around 8:00 and she realized that something was very wrong, she could not sit up due to nausea and the room spinning. She texted her daughter who is a nurse and got there about 1:00 PM, she was still in bed. When she tried to sit her up she felt like she was going to throw up. She put her legs over to the side of the bed, and she felt like somebody was pushing her with her daughter over a cliff, in a tornado and on a Ferris wheel. She started vomiting and having diarrhea. She had heard about an epley maneuver and after a time she sat her up again and still had the previous feeling of going off a mountain in a tornado. She did the epley maneuver and tilter her head to the left and was still very dizzy but not as bad. She then tilted her head to the right and it was not as bad. Things started to settle down and eventually she was able to get up, still nauseated but 90% better. She was able to go to the restroom with her daughter's help. She stayed in the bed all that day and finally in the evening was abler to keep food down. She limited her distance to the bed to the bathroom. Her doctor was notified and called in some nausea and vertigo medicine (meclizine), which he did and only took 2 doses of that. The next morning she went up and down the stairs to make sure she was able to. She was very, very cautious but each day has been better. On 2/2/21 she called and got an APT with ENT but will not see him in a couple of weeks. They are going to send a therapist tomorrow to evaluate her for the vertigo. She is scheduled for the 2nd vaccine on 2/11/21. Saw her internist today and he evaluated her and did 2 blood tests and sent the referral for the therapist to come tomorrow.

Other Meds: B-complex, flax oil capsule, glucosamine chondroitin with MSM, Omega 3 fish oil, calcium/magnesium, vitamin D3. Eliquis, Metoprolol XR, Lorazepam, Brio inhaler, Premarin cream 2 x monthly.

Current Illness: None.

ID: 0998873
Sex: F
Age: 72
State: WY

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

Lab Data: None

Allergies: Penicillin, Sulfa drugs - had reaction to these many years ago Raw broccoli, raw cauliflower, raw cabbage, crab - but no other shellfish Seasonal allergies, hay fever. Controlled by OTC medication.

Symptoms: One week from the vaccine injection I am getting itching hives at the injection site. All I have done so far is put cortisone on the hives. I don't seem to have any other symptoms. Just very itchy arm.

Other Meds: Calcium, Magnesium, Cranberry, Tumeric, Probiotic, Vit. C, Aspirin 81 No prescriptions or other medication taken at time of vaccination

Current Illness: Had migraine headache within the month before - took 20mg Relpax twice

ID: 0998874
Sex: F
Age: 61
State: NY

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

Lab Data:

Allergies: PCN, amoxicillin,bacitracin, levoquin

Symptoms: after the pain, itching and swelling subsided, I developed a 3 inch round red area that is hard, itchy and is tender to touch

Other Meds: Effexer, bactrimm meloxicam

Current Illness: phlebitis

ID: 0998875
Sex: M
Age: 43
State: TX

Vax Date: 01/27/2021
Onset Date: 01/30/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Ever since the 3rd day after taking the 2nd shot. I have had about a degree of fever during the day and night. Every night since last Tuesday January 27th I have woken up drenched in sweat multiple times a night. Assuming this is a fever breaking. I reported this to my doctor today and he advised me to go to this site. If it continues I will see him next week. I have also had chills and eyes burning during the day ever since the 2nd shot. The day after the 2nd shot my fever went to 101.5. But I did not think that irregular since I heard that was a possibility. The days after though I dont think are a regular vaccine event.

Other Meds: Alclometaone Dipronionate Cream .05%

Current Illness: None

ID: 0998876
Sex: F
Age: 46
State: MO

Vax Date: 12/22/2020
Onset Date: 12/24/2020
Rec V Date: 02/03/2021
Hospital: Y

Lab Data: COVID 19 PCR came back negative. Jan 1st went to ER Head CT and gave IV medication Toroidal, Magnesium, Compazine and Benadryl. Jan. 4th Medrol dose pack

Allergies: No

Symptoms: Had a severe headache that has never gone away. Jan 1st went to ER

Other Meds: Spironolactone 100 mg, Nitrofurantoin 50 mg 3x a week as needed, Tretinoin 0.1 cream

Current Illness: No

ID: 0998877
Sex: F
Age: 82
State: NC

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

Lab Data:

Allergies: None

Symptoms: Bodyache Chills Fever Headache Symptoms- headache and slight body ache began the first day but fever, chills and bodyache developed after 1 week from taking the vaccination.

Other Meds: - Vitamin C, D, Omega 3 supplements - Baby Aspirin - Amlodipine - Repatha - Omeprazole - Clopidogrel

Current Illness: None

ID: 0998878
Sex: F
Age: 52
State: NC

Vax Date: 01/13/2021
Onset Date: 01/19/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: Lab work & Ultrasound at ER on 1/21/2021 - blood clot ruled out, inflammatory markers were elevated, given dx was cellulitis. Morphine & steroids injected at ER. 10 days of antibiotics & painkillers were prescribed for use at home.

Allergies:

Symptoms: 1/19/2021 - sudden onset of chills, headache, muscle pain , joint pain (all joints) & extreme fatigue - continued thru 1/21/2021 1/21/2021 - joint pain resolved, headache & chills, headache & some muscle pain remained - but right groin & inside of right knee were intensely painful & a rash developed on right shin. Rash spread to back of right lower leg & because painful & hot. I called my PCP & went to the ER mid afternoon.

Other Meds: atorvastatin 40mg, Synthroid 150mcg, multivitamin

Current Illness:

ID: 0998879
Sex: F
Age: 65
State: GA

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

Lab Data: n/a

Allergies: none

Symptoms: 16 hours: awakened at 1:30am with joint pain; 19 hours 99.4 temp; 26 hours: 100.5 temp and chills continuing through day and night; 34 hours: 102 temp, fatigue; 40.5 hours: awakened with severe headache, fever continues; 46 hours (7am) sweating for about 10 minutes and then all symptoms were completely gone. I took Tylenol or Advil every 4-5 hours. The fever never went down even after taking the Tylenol.

Other Meds: Cranberry; Omega 7

Current Illness: none

ID: 0998880
Sex: F
Age: 78
State: KY

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

Lab Data:

Allergies:

Symptoms: Warm to touch, red, swollen rash.

Other Meds:

Current Illness:

ID: 0998881
Sex: F
Age: 69
State: TX

Vax Date: 01/15/2021
Onset Date: 01/22/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies: Had an allergic reaction to Plaquinil, all the skin on my body including palms and bottom of my feet shredded off, stopped taking it immediately when the reaction started

Symptoms: I started noticing a bumpy rash on upper arms about a week after the injection. It is not particularly itchy nor red, it?s many little bumps, but it?s persistent and now seems to be spreading to my lower arms.

Other Meds: Toprol 25 mg Spiro/hctz 25/25 Calcium supplement

Current Illness:

ID: 0998882
Sex: F
Age: 24
State: MT

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

Lab Data: None.

Allergies: Reaction to iv anesthetic at wisdom teeth removal. Low bp.

Symptoms: 12:30am-7:30am- Chills, fever, muscle aches, nausea, fatigue, soreness and red warm skin at injection site. 7:30-2:30pm Extreme fatigue. Temperature variability from fever to normal temp. Slept from 10:00am-2:30 which is extremely abnormal.

Other Meds: Vitamin d

Current Illness: None.

ID: 0998883
Sex: F
Age: 60
State: KY

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies: Adverse affect to contrast dye, and adhesive to EKG lead patches

Symptoms: Tingling in tongue, feet, fingers approx 5-10 immediately after injection. The day after injection. Feelings of Adrenaline rush, increase heart rate. Waking many times at night with same episodes. PCP Prescribed Predisone and Benadryl . some symptoms still remain 3 weeks out.

Other Meds: Irbesartan ,Bystolic,Wellbutrin,esomeprozol, Progesterone , Estrogen

Current Illness: None

ID: 0998884
Sex: F
Age: 21
State: CO

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

Lab Data: N/a

Allergies: NKDA

Symptoms: Maculopapular rash all over area where vaccine was given and has spread across chest, upper back, neck and other shoulder. Not painful, mildly itchy.

Other Meds: Amoxicillin

Current Illness: Strep throat

ID: 0998885
Sex: F
Age: 30
State: IL

Vax Date: 01/20/2021
Onset Date: 01/27/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: - Visited vaccination site to have doctor look at arm swelling on 01/28/21. Telehealth consultation re: arm swelling and addition of eye swelling on evening of 01/28/21. ER visit per recommendation of Telehealth Doctor later in evening of 01/28/21.

Allergies: Penicillin, Amoxicillin

Symptoms: Minimal side effects day of/after injection (01/20/21): headache, chills. No further side effects until 01/27/21: dull headache began; swelling, itching, redness, firmness around injection site lasting until 01/28; eye swelling evening of 01/28. Swelling brought under control with benadryl, but dull headache persists until today 02/03.

Other Meds: Claritin, Melatonin

Current Illness:

ID: 0998886
Sex: F
Age: 70
State: WA

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

Lab Data:

Allergies: PCN, Morphine, Sulfa Antibiotics, Ibuprofen, Lactose.

Symptoms: ModernaCOVID-19 Vaccine EUA

Other Meds: Aspirin, Lipitor, Plavix, Lopressor, Cozaar, Neurontin, Prilosec, Lasex, Aldactone, Ditropan, Provera, Estadiol, Multiple Vitamin, D-3, Calcium, Probiotic, Tylenol.

Current Illness: None

ID: 0998887
Sex: F
Age: 96
State: WI

Vax Date: 12/29/2020
Onset Date: 02/02/2021
Rec V Date: 02/03/2021
Hospital: Y

Lab Data: 2/2/2021: Positive SARS COV-2 PCR by NP swab 2/2/2021: Chest Xray with no indication of acute cardiopulmonary disease

Allergies: No Known Allergies

Symptoms: Pt receieved her first dose of the Moderna COVID-19 on 12/29/2020. Lot number, route, and site not specified in medical record. No record of 2nd dose was found on medical record review. Pt was admitted to reporting hospital 2/2/2021 with an admitting diagnosis of failure to thrive/poor oral intake. Pt was reported in ER to have a sore throat, cough, shortness of breath, and general recent decline. Reported that pt and others in family had GI like illness about a week ago. Admission test for COVID was positive per PCR NP swab on 2/2/2021. Pt still currently admitted.

Other Meds: Amiodarone, calcium supplement, vit B-12 supplement, fluticasone nasal, folic acid, furosemide, hydrocortisone 1% cream, levothyroxine, senna-docusate.

Current Illness:

ID: 0998888
Sex: F
Age: 69
State: CA

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

Lab Data: None

Allergies: tetanus shots, compozine, sulfur, melons, mushrooms, bees, tomatoes,

Symptoms: 3? by 2? red swelling, hot to touch, sore..this is 9 days after it is still the same

Other Meds: Xanax night before, vitamin D, spiralactone, Celebrex, miralax

Current Illness: None

ID: 0998889
Sex: M
Age: 33
State: CO

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

Lab Data:

Allergies:

Symptoms: After vaccination, patient felt light headed and sought us out. Patient had not eaten since breakfast, and then had a protein shake. He did have some water/fluids prior to arrival. Patient was flushed, dizzy, lightheaded, and tachycardic. Patient placed in recumbent position and Given water/juice Initial vitals- 145/85 pulse 115 O2 98% sats Patient felt much improved with fluids and a snack. Discharge Vitals- 135/85 Pulse 90; did not recheck O2 sat Patient discharged in stable condition.

Other Meds:

Current Illness:

ID: 0998890
Sex: F
Age: 81
State: FL

Vax Date: 01/12/2021
Onset Date: 01/27/2021
Rec V Date: 02/03/2021
Hospital: Y

Lab Data: Unknown completed at Hospital

Allergies: ginger

Symptoms: Around 1/27/21 patient noticed numbness of bilateral legs and progressive weakness. Admitted to hospital 1/29/21 and diagnosed with Guillen Barre. Initially paresthesia was from feet to groin and has been improving.

Other Meds: none

Current Illness: none

ID: 0998891
Sex: M
Age: 50
State: DE

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

Lab Data:

Allergies:

Symptoms: fevers followed by facial swelling and urticaria

Other Meds:

Current Illness:

ID: 0998892
Sex: F
Age: 37
State: IL

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 02/03/2021
Hospital:

Lab Data: Non

Allergies: Pamine

Symptoms: After 12 min of injection my ears were ringing and I felt weird, asked to lay down checked my BP which was elevated for me 160/90. Injection site swelled approx 20 cm x 15cm red hot swollen and itchy for 10 days. In those 10 days I had multiple unexplained ringing of the ears with same funny feeling and checked my BP which was low 105/56. Those episodes carried on for the length of 14 days after vaccine #1 and only lasted for 2-3 min at a time.

Other Meds: Multivitamin, vitamin D 3 10,000 iu

Current Illness: Non

ID: 0998893
Sex: F
Age: 35
State: CO

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

Lab Data:

Allergies: Sulfa

Symptoms: Wednesday evening Right arm felt heavy 3 hours after vaccination, right had went numb that night. Next day on Thursday, Left hand went numb and had swelling in both hands. On Friday. Right arm was numb from hand to elbow and left hand continued to be numb. Went to the emergency room and was given high dose steroids and sent home on prednisone.

Other Meds: Unknown

Current Illness: unknown

ID: 0998894
Sex: M
Age: 50
State: CA

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

Lab Data:

Allergies: None

Symptoms: 1day after shot:Fever,chills, body ache. 2 days after shot: Symptoms from day before gone but noticed a Tennis ball sized lump under left arm/pit area. One week and one day after shot: slight swelling under left arm/pit area.

Other Meds: NA

Current Illness: None

ID: 0998895
Sex: F
Age: 24
State: TX

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

Lab Data: None

Allergies: No

Symptoms: With the second dose I felt arm pain at the injection site and muscle pains, my whole body was aching, specially my arms, both of them. My upper body in general (from the waist up) it was very painful, very hard to carry stuff. The next day I started with nose bleeds. I was feeling a little dizzy throughout the day. I believe because of the blood loss (substantial). I had headache and felt nauseous throughout the day. The nose bleed was very very heavy, I don't have nose bleeds. It started getting better with each day and it lasted about 6 days.

Other Meds: no

Current Illness: No

ID: 0998896
Sex: M
Age: 77
State: IL

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

Lab Data: 1/22/21: BNP <20, troponin: 18, EKG: normal sinus rhythm, QTC: 439. Complete blood count and basic metabolic panel within normal limits

Allergies:

Symptoms: Patient began complaining of dizziness and changes in vision (but no loss of consciousness) following 1st dose of COVID-19 vaccine. Patient was also diaphoretic and hypotensive with blood pressures of 82/57, 80/36 mmHg. No wheezing or respiratory distress were noted, and the patient did not endorse any changes in sensation/tingling/itching to face, lip or mouth. Patient was taken to the ED for monitoring. Workup in the ED was negative, and the patient was discharged home.

Other Meds: tamsulosin, naproxen, metformin, simvastatin, hydrocortisone 2.5% ointment, losartan-hydrochlorothiazide, lactulose

Current Illness:

ID: 0998897
Sex: M
Age: 78
State:

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

Lab Data:

Allergies:

Symptoms: Incomplete amount administered

Other Meds:

Current Illness:

ID: 0998898
Sex: F
Age: 29
State: TX

Vax Date: 01/11/2021
Onset Date: 02/03/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: N/A

Allergies: N/A

Symptoms: 6 days post injection axillary lymph nodes in left arm became swollen and inflamed for 3 days. 8-12 days later rashes appeared on both forearms. On 3 February 2021, Muscle fatigue in both upper arms began, similar to after intense weightlifting. Muscle weakness in both arms starting in past 24hrs. Full body aches including neck and thoracic spine area. Noticeably more, painfully sore deltoids. Fatigue. Covid and fever negative. Temp 96.5

Other Meds: N/A

Current Illness: None

ID: 0998899
Sex: F
Age: 41
State: MA

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

Lab Data:

Allergies: None

Symptoms: Swollen, itchy, red bump near injection site.

Other Meds: None

Current Illness: None

ID: 0998900
Sex: F
Age: 49
State: TX

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

Lab Data:

Allergies: Morphine

Symptoms: Rash, raised and spreading at the injection site. Hot, to the touch.

Other Meds: Vitamin D3 1,000 IU AM/PM Menopause formula Omeprazole 20 mg Zyrtec 10 mg Lisinopril/HCTZ 20/12.5 mg Tamoxifen 20 Mg

Current Illness: Seasonal Allergies

ID: 0998901
Sex: F
Age: 73
State: ND

Vax Date: 01/20/2021
Onset Date: 01/29/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies: sulfa, cats, horses, iodine contrast dye

Symptoms: 9 days after injection site became red and itchy. The redness has now spread from the injection site near my shoulder almost to my elbow. It is still itchy and read 6 days after the first redness occurred. It is warm to the touch, but not painful. It is somewhat scaley.

Other Meds: Biotin. vitamin D3. ezetimibe, allegra, align probiotic

Current Illness: none

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm