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: 1004680
Sex: M
Age:
State: VA

Vax Date: 09/04/2020
Onset Date:
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: itching; hives; This case was reported by a pharmacist and described the occurrence of pruritus in a male patient who received Herpes zoster (Shingrix) (batch number 7434N, expiry date 24th April 2022) for prophylaxis. On 4th September 2020, the patient received Shingrix (intramuscular). On an unknown date, less than 2 weeks after receiving Shingrix, the patient experienced pruritus and hives. On an unknown date, the outcome of the pruritus and hives were recovered/resolved. It was unknown if the reporter considered the pruritus and hives to be related to Shingrix. Additional details were provided as follows: The age at vaccination was not reported. The batch number was updated from 74342 to 7434N, as per sales data sheet. The patient experienced event and it could be on same day or a week after was not sure. The patient did not had hives or itching any more. The reporter did not consent to follow up. The reporter did not want to prove further details and did not agree to follow up and was not happy providing details. The reporter did not want to provide address and no further information provided.

Other Meds:

Current Illness:

ID: 1004681
Sex: F
Age: 43
State: WY

Vax Date: 12/21/2020
Onset Date: 12/21/2020
Rec V Date: 02/05/2021
Hospital:

Lab Data: Test Date: 20201221; Test Name: body temperature; Result Unstructured Data: (Test Result:102,Unit:degree F,Normal Low:,Normal High:)

Allergies:

Symptoms: Fever; Flu like symptoms; This case was reported by a other health professional via call center representative and described the occurrence of fever in a 43-year-old female patient who received HBV (Engerix B) (batch number H2T35, expiry date 29th May 2022) for prophylaxis. On 21st December 2020, the patient received the 1st dose of Engerix B. On 21st December 2020, less than a day after receiving Engerix B, the patient experienced fever and influenza-like symptoms. On an unknown date, the outcome of the fever and influenza-like symptoms were unknown. It was unknown if the reporter considered the fever and influenza-like symptoms to be related to Engerix B. Additional details were provided as follows: The patient received Engerix B and later went to the emergency room as she developed a fever of 102 degree F and had flu-like symptoms. No additional details as to duration of symptoms. The reporter consented to follow up.

Other Meds:

Current Illness:

ID: 1004682
Sex: F
Age:
State: WA

Vax Date:
Onset Date:
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: pain in sinus; pain in jaw; pain in her face; top and back of head; Pain neck; sore in both arms, head and face; severe pain in her arms; Initial information regarding an unsolicited valid non-serious case was received from a consumer/non healthcare professional via Medical Information (Reference number- 00436627) and transmitted to Sanofi on 22-Oct-2020. This case involves a female patient (age not reported) who had pain in sinus (sinus pain), pain in jaw, pain in her face (facial pain), pain in top and back of head (headache), pain neck (neck pain), sore in both arms , head and face (ulcer) and severe pain in her arms (pain in extremity), while she received INFLUENZA QUADRIVAL A-B HIGH DOSE HV VACCINE [FLUZONE HIGH-DOSE QUADRIVALENT]. The patient's medical history, past medical treatment(s), vaccination(s) and family history were not provided. Concomitant medications included PARACETAMOL (TYLENOL). On an unknown date (past year on a Saturday afternoon), the patient received a dose of suspect INFLUENZA QUADRIVAL A-B HIGH DOSE HV VACCINE (lot number and expiry date not reported) via an unknown route in an unknown administration site for prophylactic vaccination. On an unknown date (on Sunday at 4 am), the patient developed a non-serious pain in sinus (sinus pain), pain in jaw, pain in her face (facial pain), pain in top and back of head (headache), pain neck (neck pain), sore in both arms , head and face (ulcer) and severe pain in her arms (pain in extremity), (unknown latency) following the administration of INFLUENZA QUADRIVAL A-B HIGH DOSE HV VACCINE. The reporter would like to know if there had been adverse events (AE's) associated with patients taking the Fluzone High Dose vaccine who had underlying conditions such as myalgia's or rheumatological disorders. The reporter also wanted to know if there is a difference between last season Fluzone HD and these seasons. She would like to know how the vaccine works and if it caused inflammation or increased inflammation if a patient had an autoimmune condition. She wanted to know more information about the coronavirus disease of 2019 (COVID-19) vaccines. The patient took the flu shot the year before that it didn't bother her. She took Tylenol and it took 4 hours to subside but then for the next month off and on she experienced face pain. It was unknown if she had any underlying conditions or not. She went to a lot of doctors, but they could not really diagnosis these disorders. She took Prednisone and all her pain went away and had no inflammation markers. The details of laboratory data were not reported. It was not reported if the patient received a corrective treatment. At the time of reporting, the outcome was unknown for all the events. There will be no information available on batch number for this case.

Other Meds: TYLENOL

Current Illness:

ID: 1004683
Sex: M
Age: 68
State: NY

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: I developed chills, fever, and generalized aching

Other Meds: Rosuvastatin 5mg, Metformin/Januvia 850mg/50mg, Losartan 100mg

Current Illness: Diabetes type 2, HTN, Hyperlipidemia

ID: 1004684
Sex: F
Age: 31
State:

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies: NKDA

Symptoms: Chills, fever to 101F, myalgia, sore arm (no local swelling) for 36 hours post vaccination.

Other Meds: Pre dosed vaccine with 650mg Tylenol, 600mg Ibuprofen. Otherwise no scheduled medications.

Current Illness: None

ID: 1004685
Sex: F
Age: 86
State: FL

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: n/a

Allergies: n/a

Symptoms: Client was assessed by EMD due to chief complaint of tingling of the left hand and fingers after receiving the vaccine. Client states the sensation (tingling) has gone away. Client was cleared by EMT to go home.

Other Meds: n/a

Current Illness: n/a

ID: 1004686
Sex: M
Age: 58
State:

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Nausea, vomiting, 101.5 fever, full body pain

Other Meds: Pantoprozole, lisinopril

Current Illness: None

ID: 1004687
Sex: M
Age: 70
State: AZ

Vax Date: 02/01/2021
Onset Date: 02/04/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: severe heart burn - felt like heart attack - overall feeling unwell

Other Meds: Blood pressure medication

Current Illness: none

ID: 1004688
Sex: F
Age: 42
State: NY

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: injection site- swelling, PAIN, redness. hot to touch, itchy

Other Meds:

Current Illness:

ID: 1004689
Sex: F
Age: 33
State: NY

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: No

Allergies: Penicillin

Symptoms: Shot given at 1045a at about 115am on 2/5/2021 chills, body aches, headache and nausea started. Chills wore off. Headache, aches and nausea remain at 530am

Other Meds: None

Current Illness: None

ID: 1004690
Sex: F
Age: 53
State: NJ

Vax Date: 02/01/2021
Onset Date: 02/05/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: None

Allergies: Penicillin and react to red dye Mold pollen dander

Symptoms: Working 7 hours 10pm I had fever of 101.6 Right arm is swollen and sore to the point I can not move it without wincing Extreme fatigue Body Ans joint aches could not get out of bed Migraine like headache Sore throat

Other Meds: Did not take any medications 24 hours to vaccination

Current Illness: Torn rotator cuff Virus in December thats was not COVID or flu was tested

ID: 1004691
Sex: F
Age: 50
State: MI

Vax Date: 02/02/2021
Onset Date: 02/03/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: None yet

Allergies: Duramorph, darvacet

Symptoms: Injection site pain, Fever, chills, tiredness, injection site swelling, injection site redness, injection site warm/hot to touch. Tylenol and Motrin for fever. Contacting Dr today to see if I need to be seen for cellulitis.

Other Meds: Synthroid, Premarin, provera

Current Illness: None

ID: 1004692
Sex: F
Age: 35
State: MA

Vax Date: 01/27/2021
Onset Date: 02/04/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies: Nuts, stone fruits

Symptoms: Redness/swelling (approx. 2 inches in diameter) at injection site 8 days after first shot. No treatment/has not resolved at this time.

Other Meds: None

Current Illness: None

ID: 1004693
Sex: F
Age: 71
State: NC

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: BA

Allergies: Codeine

Symptoms: Sore arm at injection site and slight bruise - resolved within 48 hours

Other Meds: NA

Current Illness: NA

ID: 1004694
Sex: F
Age: 34
State: MA

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Body aches, chills, fever, joint pain, headache

Other Meds: no

Current Illness: none

ID: 1004695
Sex: F
Age: 47
State: NC

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies: Tomato basil garlic

Symptoms: Sever chills, fever, feeling of being cold, headache, exhaustion and terrible body aches

Other Meds: Flonase

Current Illness:

ID: 1004696
Sex: F
Age: 59
State: NY

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Got the chills really bad, bad headache and fever

Other Meds: No

Current Illness:

ID: 1004697
Sex: F
Age: 81
State: FL

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: None

Allergies: Many antibiotics, Contrast Dyes, some nsaids, Demerol, codeine,

Symptoms: Two nights after injection, had terrifying nightmare, 3 nights a bad dream, nightmares, bad dreams waking me up with a rapid heart beat and fast pressured breathing, and vivid dreams continued for approximately 10 -12 nights had 2 nights with vivid dreams. On 2/5/21, woke at about 4:50 am with rapid heart beat that changed into AFib and elevated blood pressure. Heart beat reached 151 bpm and subsided about 30 minutes after getting out of bed.

Other Meds: Rythmol, Cardizem, Synthroid, Liothyronine, Coumadin, Mobic, Pravachol, Claritin, Pepcid complete, Singulair, centrum Silver women, Vitamins B12, B Complex,C, Glucosamine Chondroitin with MSM, Mega Red CoQ10, Metamucil

Current Illness: None

ID: 1004698
Sex: M
Age: 32
State: FL

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Fatigue, headache, muscle pain, joint pain, nausea, vomiting, and fever 100.8 F

Other Meds:

Current Illness:

ID: 1004699
Sex: F
Age: 61
State: TX

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Difficulty swallowing, tongue swelling, headache, Epi pen 0.3mg, 25 mg Benadryl Improvement in tongue swelling

Other Meds:

Current Illness:

ID: 1004700
Sex: M
Age: 66
State: VA

Vax Date: 12/20/2020
Onset Date: 01/04/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: CXR negative, EKG NSST changes WBC minimally elevated Blood cultures negative Iron deficiency anemia noted in October (which was originally thought to be source of dsypnea) had resolved at time of first ER eval 1/31/21 A total of 4 negative COVID tests, two rapid antigen, two pcr LE Doppler as above; PE dx clinical based on dyspnea, hypoxia; CT angio deferred as not affecting management Dx of thrombophlebitis is firm; association with covid vaccine is speculative Initial onset of dyspnea was within 10 days of first COVID vaccine, definite phlebitis and hypoxia with 10 days of second covid vaccine.

Allergies: None

Symptoms: DVT and probable pulmonary embolus based on hypoxia Patient is physician who cares for patients in NH and ALF where there is documented COVID First dose COVID vaccine 12/20/20, second dose 1/10/20 Some shortness of breath developed about 1/10, not severe 1/30 Leg pain, fever to 101.6 abrupt onset extreme fatigue, ER eval 1.31 negative eval including neg rapid and PCR COVID tests Persistent sx led to repeat ER eval including LE dopper confirming occlusive femoral vein thromboxis; no hypoxia at rest but desat to 85% on exertion (climbing one flight of steps) Started anticoagulants 2/4/21 on home treatment; not working since 1/30/21

Other Meds: Iron 325 mg once daily

Current Illness: None

ID: 1004701
Sex: F
Age: 69
State: FL

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies: fish, sulfur, neosporin, contrast dye

Symptoms: flushed face, headache, hives on right thigh approx. 1 hour or sooner after vaccine. Called 911 and when they came told me to take benadryl. Next morning the hives were gone.

Other Meds: Metoprol succ er 25mg, atorvastin 10mg

Current Illness:

ID: 1004702
Sex: F
Age: 40
State: AZ

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: An ER visit on 2/4 at 0930. Labs were drawn and chest X-ray and ekg completed. All within normal limits.

Allergies: No

Symptoms: Sustained tachycardia at rest 120-130 heart rate for two hours and high blood pressure accompanied it on the morning of 2/4/21. Resting heart rate for 24 hours was 100.

Other Meds: Birth control pills, multi vitamin, cranberry, supplements

Current Illness: No

ID: 1004703
Sex: F
Age: 71
State: SC

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: None

Allergies: codeine

Symptoms: I walk 3 miles everyday. I went out for my walk around 4 pm and after walking about 10 minutes I realized I was short of breath this increased the longer I continued to walk. I have never had it happen before and I believe it is a side effect of the vaccine. I walked the next day and though I was still short of breath it was not as severe.

Other Meds: Levothyroxine Sodium 75 MCG

Current Illness: none

ID: 1004705
Sex: U
Age:
State: CO

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: No additional AEs; an expired dose of V AQT A was inadvertently administered today 20 JAN 2021; This spontaneous report was received from a registered nurse who was reporting on patient of unknown age and gender. There was no information about the patient's concurrent conditions, medical history, drug reactions or allergies and concomitant therapies provided. 20-JAN-2021, the patient was vaccinated with a single expired dose of hepatitis a vaccine, inactivated (VAQTA) (lot number S034296 was confirmed to be valid; expiration date 09-JAN-2021; dose, route of administration, anatomical location and strength were not provided) for prophylaxis. The patient did not experienced additional adverse events. combinationproductreport: Yes; brandname: VAQTA SYRINGE (DEVICE); commondevicename: Hepatitis A Vaccine, Inactivated; productcode: FMF; devicetype: SYRINGE, PISTON (FMF); manufacturername: Merck Sharp & Dohme Corp.; devicelotnumber: S034296; expirationdate: 09-JAN-2021; deviceage and unit: 0 ; malfunction: Unknown; deviceusage: Initial; reasonfornoneval: 81 Other; labeledsingleusedevice: No; mdcpreportability: No; mdcpreprationale: Case information does not suggest a causal association with the device or device constituent

Other Meds: VAQTA SYRINGE (DEVICE)

Current Illness:

ID: 1004706
Sex: U
Age:
State:

Vax Date: 12/08/2020
Onset Date: 12/01/2020
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: chills; muscle aches; slight nausea; bad head ache esp in my right temple n towards the front on that side; This case was reported by a consumer and described the occurrence of chills in a adult patient who received Herpes zoster (Shingrix) for prophylaxis. On 8th December 2020 09:00, the patient received the 2nd dose of Shingrix. In December 2020, less than a day after receiving Shingrix, the patient experienced chills, muscle pain, nausea and headache. On an unknown date, the outcome of the chills and headache were unknown and the outcome of the muscle pain and nausea were not recovered/not resolved. It was unknown if the reporter considered the chills, muscle pain, nausea and headache to be related to Shingrix. Additional details were provided as follows: The age at vaccination was not reported. The patient had the 2nd Shingrix shot at 9 am. Later that day the patient had muscle aches and chills. Eighteen hours after receiving vaccination, the patient woke up at 3 with a bad head ache especially in the right temple n towards the front on that side . The patient had slight nausea and still had the muscle aches.

Other Meds:

Current Illness:

ID: 1004707
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: swelling; redness; This case was reported by a consumer and described the occurrence of swelling in a adult patient who received Herpes zoster (Shingrix) for prophylaxis. On an unknown date, the patient received the 2nd dose of Shingrix. On an unknown date, unknown after receiving Shingrix, the patient experienced swelling and erythema. On an unknown date, the outcome of the swelling and erythema were unknown. It was unknown if the reporter considered the swelling and erythema to be related to Shingrix. Additional details were provided as follows: Age at vaccination was not reported. The age group was selected as adult as per vaccine indication. The patient had a lot of redness and some swelling from 2nd dose of Shingrix. The patient asked if anything need to be done for these reactions.

Other Meds:

Current Illness:

ID: 1004708
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: flu; Initial information received on 22-Jan-2021 regarding an unsolicited valid non-serious case received from a consumer (patient). This case involved a patient of unknown age who experienced flu (influenza), while patient received vaccines INFLUENZA VACCINE. Medical history, past medical treatment(s), vaccination(s) and family history were not provided. Concomitant medications were not reported. On an unknown date, the patient received INFLUENZA VACCINE [lot number: unknown and expiration date: unknown] at an unknown dose via unknown route in an unknown administration site for prophylactic vaccination. On an unknown date, patient who experienced flu (influenza) (latency: unknown) following the administration of suspect vaccine. No laboratory data was reported. It was not reported if the patient received a corrective treatment. Outcome of the event was unknown. There will be no information available regarding batch number in this case.

Other Meds:

Current Illness:

ID: 1004709
Sex: F
Age: 45
State: IN

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: I noticed the arm soreness about 2 hours after the vaccine was given. I woke up the next morning at about 0500 with a fever highest at 99.8 and it stayed all day long along with extreme fatigueness. I awoke on 02/05/2021 at 0500 with no fever and fatigue gone!!

Other Meds: Areds, lexapro, Vitamin d3, calcium, zinc, vitamin c, olive oil leaf extract, b complex, woman?s mv

Current Illness:

ID: 1004710
Sex: F
Age: 49
State: TX

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Bilateral Jaw tension Nausea Zofran Improvement of symptoms

Other Meds:

Current Illness:

ID: 1004711
Sex: F
Age: 51
State: AZ

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: None

Allergies: IVP Dye and Keflex

Symptoms: Uncontrollable body shakes and I am very, very cold with no fever.

Other Meds: None

Current Illness: None

ID: 1004712
Sex: F
Age: 44
State: MA

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: on 1/29/21 states had 2nd covid vaccine on 1/26/21- felt faint after the clinic, on 1/28/21 didn't want to eat or drink, hrt rate 110, BP nl, laid down to rest, Hrt rate was 80-100, had EKG which was nl with pulse 90, went hone and rested, noted going up stairs pulse would inc to 130, felt dizzy, pulse would then go down to 80's after, has now been eating and hydrating; communication 1/30/21-sx resolved

Other Meds:

Current Illness:

ID: 1004713
Sex: F
Age: 42
State: GA

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies: Poison ivey

Symptoms: Mild-Moderate Muscle/nerve spasms through out body every 15-45 seconds for the past 12 hours. Otherwise symptoms are listed as common.

Other Meds: Zoloft 100, Adderall XR 30, women?s otc MVI.

Current Illness: None

ID: 1004714
Sex: F
Age: 51
State: MA

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies: PCN NSAIDS ASA Sulfa Drugs

Symptoms: 10:16 Pt came up to me and said she worked downstairs. She had her vaccine earlier and was feeling very itchy, like hives all over. She stated she was shaky and felt anxious. I walked her over to the AMR team. 10:17 epinephrine given by AMR in Right Arm 10:20 VS:140/81, 137, 100% 1025 EKG leads applied 1025 IV L arm with flush 1028 Benadryl 50 mg IV given by AMR 1029 BS 156 Patient had a blank expression and when asked to respond she stated it felt like she couldn't take a breath. We asked if she wanted some water and she said yes. We gave her water but she didn't drink any. AMR transferred her to stretcher and transported to ED at 1035. 1034 VS HR128, 100% She stated that she had a hx of anaphylaxis of unknown cause Pfizer vaccine dose #1 given 1/6/21 in right arm- only side effects were fever and chills

Other Meds: escitalopram venlafaxine

Current Illness:

ID: 1004715
Sex: F
Age: 57
State: FL

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Rigor chills. Body aches. Low grade fever. Head ache. Fatigue. All resolved 2 days later except headache which is persisting 4 days later without resolving

Other Meds: Advil

Current Illness: None

ID: 1004716
Sex: M
Age: 27
State: TX

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies: Advair, Xopenex, Azithromycin

Symptoms: Chest tightness and difficulty breathing

Other Meds: albuterol

Current Illness:

ID: 1004717
Sex: F
Age: 65
State: FL

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: None

Allergies: Penicillin Sometimes- pineapple, mango, peach

Symptoms: At 11:30 pm, I experienced body aches ( neck, back, legs, and head) and insomnia. 3:00 am I took Advil. Woke up a bit better. Just headache remained. Totally exhausted though. Took 2 naps. Went to sleep at 9:30 pm-6:00, second night. Today, day 3, so far so good

Other Meds: Baby aspirin 81mg Amlodipine Hydrochlorothiazid PreserVision Atorvastatin Stool softener Benadryl Advil Melatonin

Current Illness: None

ID: 1004718
Sex: F
Age: 95
State: MI

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies: UNKNOWN

Symptoms: WITHIN SEVERAL HOURS OF VACCINATION CHEEKS BECAME FLUSHED AND BLOOD PRESSURE BECAME ELEVATED

Other Meds: MEDS FOR HIGH BLOOD PRESSURE

Current Illness:

ID: 1004719
Sex: F
Age: 56
State: VA

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies: Ilosone Mold Mildew Pine

Symptoms: Side of the body which received the vaccine: Shoulder blade, under arm and side of upper torso was sore/painful and tender for two weeks. The same side of neck was sore. The side of the upper torso that received the vaccine felt as if muscles were over worked.

Other Meds: Adv-air Fluticasone Levothyroxin Vitamin D3 Women's Multivitamin Estovern

Current Illness:

ID: 1004720
Sex: F
Age: 47
State: TX

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies: Iodine,shellfish

Symptoms: Patient felt like a rash was developing Symptoms improved

Other Meds: Advair Albuterol Atenolol Metformin Enalapril

Current Illness:

ID: 1004721
Sex: F
Age: 49
State: SC

Vax Date: 12/28/2020
Onset Date: 01/09/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies: delsym

Symptoms: I began experiencing pain on the back of my head parallel to my left ear about 2 weeks after the vaccine. It started after I woke up in the morning, It hurt when I touch it and if I bend my head forward. I took 600mg of Motrin and it went away. The next morning I experienced the same thing. I took Motrin again and it went away. Since it kept happening I went to see my Dr on January 14th. He concluded it was muscular related and told me to ice/heat it. I proceeded to do that but that didn't help. I received my 2nd shot on 1/23/21. I called my Dr again 2/3-21 and he prescribed a muscle relaxer. So far it is not working. The pain is most intense after laying down for a while and then getting up. It only happens on the left side of my head.

Other Meds: levothyroxine metoprolol er protonix fiber gummy probiotic vitamin c fish oil

Current Illness:

ID: 1004722
Sex: F
Age: 60
State:

Vax Date: 01/06/2021
Onset Date: 01/27/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies: NA

Symptoms: 12 hours after shot, all over body aches, sore arm and shoulder, fever. Shortly after, a headache occurred. The symptoms lasted all day and were mostly gone except for a small headache and fuzzy brain after 30 hours. All clear after about 36 hours.

Other Meds: Multi vitamin, glucosamine chondroitin, Vitamin D

Current Illness:

ID: 1004723
Sex: M
Age: 33
State: NY

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient complained not being able to raise left arm above shoulder right since 1/8/21 because of pain in shoulder. He recevied moderna dose one on 1/7, same side inj IM in deltiod. Exam: hand and arm strength equal right/left. Biceps reflex 2+ billateral. No swelling/pain on palpation of left deltiod. Over injection skin is intact. no point tenderness. No palpable Left acillary lymph nodes. MD search, no description of similar event so the pain may be temporarally after the vax, but no correlation. Disposition: Explained to patient, agreed to give him second shot on the other shoulderdeltiod. Ask him to to consult his physician re the the incidental symptoms on left shoulder.

Other Meds:

Current Illness:

ID: 1004724
Sex: F
Age: 52
State: VA

Vax Date: 01/29/2021
Onset Date: 01/31/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: None

Allergies: Sulfa drugs (vomiting) Nickel (bad rash) Penicillin (moderate rash) Aluminum in deodorant (severe rash) Regular tampons (severe itching) -but NOT allergic to organic tampons

Symptoms: Moderna COVID?19 Vaccine EUA Severe swelling, redness, and itching/burning under eyes less than 2 days later, tiny knots appearing around upper lip, 2 flat red lesions appearing on face, Has lasted 6 days so far, and does not seem to be getting better.

Other Meds: None

Current Illness: None - I am never sick

ID: 1004725
Sex: F
Age: 45
State: MA

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Fever, headaches, & heavy feeling in body.

Other Meds:

Current Illness:

ID: 1004726
Sex: F
Age: 70
State: PA

Vax Date: 01/21/2021
Onset Date: 01/24/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies: Sensitive to scented products, Chemically sensitive years ago allergic reaction to Darvon

Symptoms: stiffness and pain lower back left hip achiness trouble sleeping, tired intermittent bloating

Other Meds: All Daily Amla Fruit Atorvastatin 10 mg Vitamin D3 1000 IU /day Macula 30 Eye health - 30 mg Luteun, 6mg Zeaxanthin, 400 mg Omega 3 250 mg vit c, 168 mg Vitamin 3zinc 15 mg Coenzyme Q10 1000 mg Bone Strength - D3 1000 IU K1 35 mcg, K2 4

Current Illness:

ID: 1004727
Sex: F
Age: 70
State: FL

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies: Nalfon Pennicillin Motrin

Symptoms: A very large red bumpy rash developed at the site of the injection. It continued to get larger over the next several days and lasted 3 weeks. I also suffered extreme fatigue for a couple of days.

Other Meds: Synthroid Bactrim Fluoxetine Lisinopril Cardevilol Pantaprazole

Current Illness:

ID: 1004728
Sex: F
Age: 66
State: MA

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: EMT exam monitoring, epi 1/29 920-955 am

Allergies:

Symptoms: Noticed pt had a red face while waiting in the post vaccination area I asked if this her normal She said no She reported , nausea, dizzy. I brought to the EMT area They assessed her Hr 75 oxygen sat 95% BP 179/93 epi administered Iv insertion attempted by EMT x2 no results Glucose 91 by EMT Pt sent to ED 955

Other Meds:

Current Illness:

ID: 1004729
Sex: F
Age: 39
State: MA

Vax Date: 01/28/2021
Onset Date: 02/05/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies: Shellfish and penicillin allergies

Symptoms: On day 8 after the moderna vaccine I woke up with my arm being red, itchy and hot at the injection site.

Other Meds:

Current Illness:

ID: 1004730
Sex: F
Age: 63
State: CT

Vax Date: 01/02/2021
Onset Date: 01/16/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: oral HSV PCR negative. WBC normal. Hgb 13.8

Allergies: augmentin, metronidazole,

Symptoms: 14 days after vaccine patient developed prgoressively worsening lip, buccal and lingual ulcerations c/w either aphthous stomatitis or Stevens-Johnson syndrome

Other Meds: Metopralol, Coumadin, mycophenolic acid, Mg, Sirolimus, Losartan, Clenpiq, Melatonin

Current Illness: Liver transplant history (7 years ago) for Budd chiari; nephrolithiasis; myeloproliferative disease

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm