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: 1007298
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: No medical treatment sought. Slept all day and took Ibuprofen.

Allergies: None

Symptoms: Headache, nausea, chills, muscles that feel they need to be stretched. Loss of appetite but no vomiting.. Signs started 12 hours post vaccine.

Other Meds: None

Current Illness: None

ID: 1007299
Sex: F
Age: 38
State:

Vax Date: 01/13/2021
Onset Date: 01/18/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Swollen axillary lymph node on the same side of injection site (left arm), which was observed 5 days after the vaccination was given and accompanied by moderate pain upon contact. PCP was seen 12 days after receiving the vaccine as the size of the axillary bump was not decreasing. Continued monitoring and warm wet compresses were recommended to rule out possible cyst. The axillary bump increased in size again about 15 days out from vaccination before noticeably getting smaller 3 days later. It was determined to be a swollen lymph node the next day at the follow-up appointment and continues to decrease in size. Other symptoms that were experienced were hot flashes within 45 minutes of vaccination that lasted for a couple of hours and nausea the following morning.

Other Meds: Multivitamin Vitamin D Omega Lutein Glucosamine and Chondroitin Biotin and Collagen Cistanche and Ginkgo Biloba

Current Illness: None

ID: 1007300
Sex: F
Age: 36
State: CT

Vax Date: 01/15/2021
Onset Date: 01/23/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: None-self resolved

Allergies: Sulfa Shellfish

Symptoms: Circular red ring at injection site, about 2? inches 16 weeks pregnant at time of vaccine, EDC 6/28/2021

Other Meds: Synthroid Protonix Zoloft Prenatal Vitamin Omega 3?s Fiber

Current Illness: Pregnancy Obesity Hashimoto?s Acid refux

ID: 1007301
Sex: M
Age: 88
State: CA

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

Lab Data: None

Allergies: None

Symptoms: There were not any adverse events reported , but we noticed that there were 2 vaccine consent forms for the patient. He was checked in by the facility twice and then proceeded to 2 different pharmacists to receive his 2nd COVID vaccination at 2 different times The patient was assessed by RPH in charge and nurse on duty, with a follow up phone call to his PCP. No adverse events reported, as all vitals were normal. Doses were given at 9:30 am and 2:30 pm.

Other Meds: Patient on Lisinopril, Coreg, Namenda, Warfarin, Atorvastin

Current Illness: None

ID: 1007302
Sex: F
Age: 24
State: GA

Vax Date: 12/22/2020
Onset Date: 12/27/2020
Rec V Date: 02/05/2021
Hospital:

Lab Data: Covid rapid and send off, flu, strep testing done at urgent care on 12/30/2020. All test results were negative.

Allergies: PCN Almonds Cashews Hay

Symptoms: I received the first shot on a Tuesday and developed side effects starting the following Sunday. I woke up with a sore throat and fatigue and body aches and headache. I continued to have the same symptoms without relief from tylenol and Claritin around the clock for the next two days. When the symptoms were not relieved, that week following Thursday (12/30/2020) from the shot, I got rapid Covid tested, flu, and strep tested. All were negative and send off covid was negative as well. On Friday, 12/31/2020, all my symptoms had resolved and I felt 100% better.

Other Meds: Seasonique (?birth control?) One a day women vitamin Valsartan

Current Illness: None

ID: 1007303
Sex: F
Age: 46
State: NY

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

Lab Data: NA

Allergies: None

Symptoms: Moderna Covid-19 Vaccine Tenderness at vaccine injection site progressed to swelling and hard/firm bump around site that was slightly warm and painful on 2/5/21.

Other Meds: Synthroid 75mg Chewable multivitamin

Current Illness: None

ID: 1007304
Sex: F
Age: 86
State: CA

Vax Date: 01/18/2021
Onset Date: 02/04/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Extensive Rash developed over the injection site

Other Meds: None

Current Illness: None

ID: 1007305
Sex: F
Age: 30
State: KS

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

Lab Data:

Allergies: Penicillin

Symptoms: After my second dose I felt light headed, tired, then later had full body aches and pains, fever of 101 degrees, soreness in arm. Similar to having the flu

Other Meds: Birth control, anxiety medication, women's multivitamin, probiotics, and prescription allergy pill also flo nase

Current Illness: None

ID: 1007306
Sex: F
Age: 75
State: AZ

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

Lab Data: None.

Allergies: None

Symptoms: Severe shoulder pain. Unable to sleep. Developed over the course of the afternoon and it was 9/10 in severity by evening/bedtime.

Other Meds: Metformin, Levothyroxine, Escitalopram

Current Illness: None

ID: 1007307
Sex: M
Age: 33
State: AL

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

Lab Data:

Allergies: NA

Symptoms: Sporadic facial and arm numbness on vaccine side (left). Numbness locations in arm localized around shoulder, hand, and fingers. Noticeable Numbness in face localized to lower front jaw, top of left ear, and above left eye (around eyebrow)

Other Meds: NA

Current Illness: Depression/Insomnia/Anxiety

ID: 1007308
Sex: F
Age: 58
State: CA

Vax Date: 02/08/2019
Onset Date: 03/11/2019
Rec V Date: 02/05/2021
Hospital:

Lab Data: Full neurological workup and testing, along with comprehensive blood work to rule out all other options before final diagnosis.

Allergies: Honey bee venom, Ibuprofen

Symptoms: I'm not sure this is a result of the Shingrix vaccine, but about one month after my first Shingrix shot, I suddenly developed numbness, tingling and burning in my hands, which then spread to my arms (up to elbow) and my feet (up to my lower calf), and on both sides of my body. I was diagnosed with Idiopathic Peripheral Neuropathy. I told every medical professional I consulted with during this time, that the onset of the neuropathy occurred about one month after my first Shingrix shot. I didn't know I could report it until just now, so I am doing so just in case others have reported a similar issue.

Other Meds: Losartan, Levothyroxine, AREDS 2 vitamins

Current Illness: None

ID: 1007309
Sex: F
Age: 52
State: NV

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Dull headache for a day and a half Sore arm Muscle aches for day

Other Meds: Multivitamin Vitamin b supplement Calcium Magnesium

Current Illness: None

Date Died: 02/05/2021

ID: 1007310
Sex: F
Age: 78
State: PA

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

Lab Data: Rapid Covid test on 2/3/2021 for discharge- negative

Allergies: none

Symptoms: view 2/5/2021 09:23 e Progress Note Note Text: Patient passed away in the facility this morning. view 2/5/2021 08:39 Orders - Administration Note Note Text: Resident passed. view 2/5/2021 08:33 Nurses Note Note Text: Body released to funeral home at this time. Personal effects sent with resident include: 1 pair of glasses, 1 yellow wedding band, 1silver spoon ring, 1 ring with black and clear stones. Resident has own teeth view 2/5/2021 08:32 Nurses Note Note Text: cause of death per CRNP failure to thrive. view 2/5/2021 07:44 Orders - Administration Note Note Text: Take and document temp & PO2 every 4 hours for MONITORING Resident passed. view 2/5/2021 06:49 Nurses Note Note Text: Son returned call and was updated of resident's passing this am view 2/5/2021 06:33 Orders - Administration Note Note Text: Morphine Sulfate (Concentrate) Solution 20 MG/ML Give 0.25 ml by mouth every 2 hours as needed for pain/air hunger PRN Administration was: Unknown Resident expired @ 0604 [linked] view 2/5/2021 06:06 Nurses Note Note Text: Res found without pulse or respirations. Pronounced at 0604. Updated. N/o's for RN to pronounce, release body to funeral home, dispose of medications per facility policy. Daughter updated. Funeral Home called to release body. view 2/5/2021 05:26 Orders - Administration Note Note Text: Morphine Sulfate (Concentrate) Solution 20 MG/ML Give 0.25 ml by mouth every 2 hours as needed for pain/air hunger Pulse ox 60% on O2 @ 5L/min via mask. Resps 44 per minute. view 2/5/2021 01:57 Orders - Administration Note Note Text: Morphine Sulfate (Concentrate) Solution 20 MG/ML Give 0.25 ml by mouth every 2 hours as needed for pain/air hunger PRN Administration was: Effective Follow-up Pain Scale was: 2 [linked] view 2/5/2021 00:52 Orders - Administration Note Note Text: Morphine Sulfate (Concentrate) Solution 20 MG/ML Give 0.25 ml by mouth every 2 hours as needed for pain/air hunger Residents resps are 40 per minute, pulse ox 76% on O2 @ 5L/min via mask. Resps are labored, shallow and rapid. view 2/5/2021 00:48 Nurses Note Note Text: Nonresponsive to verbal and tactile stimulation. Appears comfortable. view 2/4/2021 22:01 Nurses Note Note Text: Resident resting comfortably, breathing becoming increasingly shallow, wearing O2 via mask at 5L via mask, no dyspnea noted, feet are mottled, oral and peri care provided Q2H. No s/s of pain or discomfort. view 2/4/2021 21:40 Orders - Administration Note Note Text: Morphine Sulfate (Concentrate) Solution 20 MG/ML Give 0.25 ml by mouth every 2 hours as needed for pain/air hunger PRN Administration was: Effective [linked] view 2/4/2021 19:32 Orders - Administration Note Note Text: Morphine Sulfate (Concentrate) Solution 20 MG/ML Give 0.25 ml by mouth every 2 hours as needed for pain/air hunger medicated for air hunger, RR 28 to 32/ min view 2/4/2021 19:22 Nurses Note Note Text: Daughter updated on N/O to increase Morphine Sulfate 20mg/mL 0.25mL to Q2H prn from Q6H prn. view 2/4/2021 18:06 Nurses Note Note Text: POA Daughter and daughter aware of residents current condition. view 2/4/2021 11:58 Orders - Administration Note Note Text: Morphine Sulfate (Concentrate) Solution 20 MG/ML Give 0.25 ml by mouth every 6 hours as needed for pain/SOB PRN Administration was: Effective Follow-up Pain Scale was: 2 [linked] view 2/4/2021 11:13 Nurses Note Note Text: Pt. noted to be lethargic at this time. Does respond to verbal and tactile stimuli by opening her eyes but non verbal currently. Skin warm and dry. No mottling or apnea observed at this time. O2 sat 88% with O2 at 2 LPM via n/c. On increased to 3 LPM via mask as pt. noted to be mouth breathing. Respirations 28. F/U O2 sat 93%. HOB elevated. Pt. medicated with morphine by LPN. Daughter updated on pt.'s condition. Does not want pt. sent out to hospital and would like comfort measures to continue. Daughter also in agreement with delay in d/c d/t pt.'s condition.CRNP updated on pt.'s condition, delay in d/c and daughter's wishes. No n/o's at this time. view 2/4/2021 10:56 Orders - Administration Note Note Text: Morphine Sulfate (Concentrate) Solution 20 MG/ML Give 0.25 ml by mouth every 6 hours as needed for pain/SOB Resident showing s/s of discomfort. SOB at this time and high respirations. Repositioned, changed for incontinence care and mouth care provided. view 2/4/2021 10:34 Progress Note Note Text: Spoke with RN regarding change in condition. Updated Sr Living regarding change. Recommendation to cancel d/c/transfer for today, see how resident does through the weekend and re-evaluate on Monday. Daughter updated on cancellation of d/c today. view 2/4/2021 10:04 Nurses Note Note Text: Daughter aware that resident's O2 sat was 88% on room air on 3-11 shift and that oxygen was applied via nasal cannula. view 2/4/2021 10:03 Nurses Note Note Text: N/O: Discharge 2/4/21 with scripts to Sr. Living. Daughter aware. view 2/4/2021 09:53 Nurses Note Note Text: Pt. to be d/c'd to another facility this am as per MD order. Pt. alert and responsive. Skin assessment done as per facility policy. No pressure areas noted at this time. No s/sx of pain or discomfort observed at this time. V.S. 97.0 67 20 O2 sat 95% with O2 at 2 LPM via n/c. view 2/4/2021 07:45 Nurses Note Note Text: Resident seen by Dr. for discharge. Orders pending at this time. view 2/4/2021 07:36 Nurses Note Note Text: CRNP and Dr. updated on O2 sat 88% on RA with f/u of 93% with O2 on at 2 LPM as well as rest of VS, 3-11 shift 2/3/21. No n/o's at this time. view 2/3/2021 21:17 Nurses Note Note Text: Resident Sp02 88% on RA. Pulse 124. Respirations 40. PRN morphine given and O2 applied via NC at 2L/min. After recheck pulse ox up to 93%, pulse 100, and respirations 22. Resident appears comfortable at this time. view 2/3/2021 20:05 Orders - Administration Note Note Text: Morphine Sulfate (Concentrate) Solution 20 MG/ML Give 0.25 ml by mouth every 6 hours as needed for pain/SOB PRN Administration was: Effective [linked] view 2/3/2021 19:48 Orders - Administration Note Note Text: Morphine Sulfate (Concentrate) Solution 20 MG/ML Give 0.25 ml by mouth every 6 hours as needed for pain/SOB PRN given for SOB after elevation of HOB not effective. view 2/3/2021 11:51 Nurses Note Note Text: CRNP updated rapid COVID test done for d/c tomorrow was negative. No n/o's at this time. view 2/3/2021 11:44 Nurses Note Note Text: Daughter notified of rapid covid swab being negative. view 2/3/2021 09:50 Orders - Administration Note Note Text: Obtain Rapid Covid test on 2/3/2021 for discharge. Please give copy of results to Social Worker every day shift for covid testing for 1 Day Completed and negative. view 2/3/2021 08:45 Skilled Nursing Note Reason for skilled service: Therapy describe skilled service: Nursing, therapy assessment: V.S. 97.8 79 18 138/84 Orientation: Oriented to self only. Oxygen: O2 sat 94% on RA Edema: Trace edema noted BLE. Pedal pulses present. Pain: Denies pain or discomfort at this time. Nursing note: Pt. alert and responsive. Skin warm and dry. Lung sounds diminished. No respiratory distress observed at this time. Abdomen soft. BS+ in all 4 quads. Continent/Incontinent of B&B. 1 assist with ambulation, transfers. 1 assist with ADL's. Working with therapy on gait training, therapeutic exercise, therapeutic activities & neuromuscular reeducation. view 2/2/2021 14:37 Progress Note Note Text: Per health professional at Sr Living, prepared to accept patient to their Memory Care Unit 2/4. Transportation arranged for 11 AM per family request. Daughter (POA) updated on d/c time on 2/4/21. Facility requesting rapid COVID test completed prior to d/c and results sent to them. All other information sent for continuity of care.

Other Meds: Morphine, lorazepam

Current Illness: ALTERED MENTAL STATUS, UNSPECIFIED CARDIAC ARREST, CAUSE UNSPECIFIED UNSPECIFIED DEMENTIA WITH BEHAVIORAL DISTURBANCE ESSENTIAL (PRIMARY) HYPERTENSION HYPERLIPIDEMIA, UNSPECIFIED ANEMIA, UNSPECIFIED PERIPHERAL VASCULAR DISEASE, UNSPECIFIED COVID-19 Resolved 1-1-21 AGE-RELATED COGNITIVE DECLINE CHRONIC ATRIAL FIBRILLATION, UNSPECIFIED ATHEROSCLEROTIC HEART DISEASE OF NATIVE CORONARY ARTERY UTI

ID: 1007311
Sex: F
Age: 24
State: GA

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

Lab Data: None

Allergies: PCN Almond Cashews Hay

Symptoms: Received the vaccine on the morning of 1/13/2021 and started feeling fatigued the night of 1/13/2021. My arm the injection was given in was swollen and raised and red and warm to the touch . The swelling lasted for about 5 days and started on the eve of the injection day. The next morning, 1/14/2021, I woke up with bone pain, body aches, fatigue, and a swollen lymph node on my left lower neck. I had chills, but never ran a fever. I also suffered from headache on 1/14/2021. On 1/15/2021, I woke up and all symptoms had resolved.

Other Meds: Seasonique One a day women?s multi- vitamin Valsartan

Current Illness: None, aside from reaction to first covid 19 injection

ID: 1007312
Sex: F
Age: 28
State: MA

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

Lab Data: None

Allergies: None

Symptoms: Arm pain started at 4:30pm the day of the injection. As the evening continued, I had muscle and joint aching of left side of my neck, shoulder, breast and felt very fatigued. During the night, I fell asleep quickly but woke up between 12-2 am sweating, with chills and muscle and joint aching all over my body specifically in my spine. The next morning I woke up with severe left arm pain and was unable to lift my left arm but I believe that is possibly due to the location of the injection site. (They injected me much closer to the AC joint rather than in the bulky part of the muscle.) The arm pain lasted 2 nights. I continued feeling fatigued and drained through the first full day and woke up after the second night feeling better. I had mild headaches on and off starting the second day after the injection and lasting about 5 days.

Other Meds: None

Current Illness: None

ID: 1007313
Sex: F
Age: 43
State: IN

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

Lab Data: Had a send out covid test done on 2/3/21. The test was negative.

Allergies: None

Symptoms: Fever (highest was 100.9), body aches, headache, blurry vision

Other Meds: Synthroid, Accutane, Welbutrin

Current Illness: None

ID: 1007314
Sex: F
Age: 77
State: NM

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

Lab Data: Ct of head wnl

Allergies: Morphine pcn asa cephasporins nsaids

Symptoms: Altered mental status, fever 102.7. Left sided weakness report. I did not see this on my h and p

Other Meds:

Current Illness: A fib DM OA thyroid disease

ID: 1007315
Sex: M
Age: 84
State: AZ

Vax Date: 01/22/2021
Onset Date: 01/28/2021
Rec V Date: 02/05/2021
Hospital: Y

Lab Data: None.

Allergies: None

Symptoms: Excessively tired during the week after the first vaccine. One week after an undiagnosed episodic atrial fibrillation was discovered when treating a stroke. Causation not researched.

Other Meds: Rosuvastatin 40mg, Carvedilol, baby Aspirin

Current Illness: None

ID: 1007316
Sex: F
Age: 24
State: OH

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

Lab Data:

Allergies: Zinc

Symptoms: Around 6pm I started to feel light headed and had a headache by 7:30pm my body ached and I had chills. By 10pm my temperature was 100 degrees F, it was uncomfortable to stand, I felt nauseous, aches, and continued to have chills

Other Meds: Lexapro Junel birth control Doxycycline Clindycin

Current Illness: N/A

ID: 1007317
Sex: F
Age: 42
State: TX

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

Lab Data: None

Allergies: None

Symptoms: Rash at injection site: First noticed 2/4/2021 at 9a (22 hours after vaccination). 2.25 inches, red, swollen, sensitive to touch, circular 2/5/2021 at 6a (43 hours) 3.25 inches, redness expanding distally, pain 1/10, warm 2/5/2021 at 3p 3.9inches, angry red, very warm. 2/5/2021 at 9p 3.9inches (no change) redness decreasing, swelling reduced

Other Meds: Lisinopril/HZTZ, 10/12.5

Current Illness: None

ID: 1007318
Sex: F
Age: 34
State: RI

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

Lab Data: 2 negative covid tests from 2/3/21

Allergies: Contact dermatitis- some detergents

Symptoms: Tingling of lips, face, tongue starting less than 1 hr after vaccine Rash starting on right arm at injection site, Hives on bilateral lower extremities , then back, torso, entire right arm and left arm Itching over entire body Temps up to 104 degrees F Temp 101.9-104 for 16 hours day after vaccine Extreme Dizziness for 3 days Heart palpitations Insomnia Extreme muscle aches, achey bones over entire body. Extreme fatigue Brain fog Forgetfulness Induration at injection site 7cmx4cm Rash at injection site 10cmx5cm Center of rash very warm Rash on lower extremities extremely warm starting on 2/4/21

Other Meds: Adderall Multivitamin

Current Illness:

ID: 1007319
Sex: F
Age: 43
State: NY

Vax Date: 01/17/2021
Onset Date: 01/19/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 2 days after vaccination my arm became swollen, red, hot, and itchy in and around the vaccination site. 2 weeks after vaccination redness has gone away, but there is a lump in my arm and occasional itch at the vaccination site.

Other Meds:

Current Illness:

ID: 1007320
Sex: F
Age: 42
State: TX

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

Lab Data:

Allergies: penicillins

Symptoms: Low fever (99-100.1), kidney pain

Other Meds: many

Current Illness:

ID: 1007321
Sex: F
Age: 41
State: NE

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

Lab Data:

Allergies: Na

Symptoms: 1 Week after shot I devoloped a knot the size of a quarter at shot site with several bruises around knot.

Other Meds: I take several medications and supplements. Nothing is new.

Current Illness:

ID: 1007322
Sex: F
Age: 34
State: NY

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

Lab Data:

Allergies: Denies

Symptoms: Patient started having redness on her chest at 8:45 PM. Benadryl 25 mg given at 9:15 PM as redness on chest spread to rash across chest. BP 110/82 HR 88 at 9:15PM. 9:30 PM BP 120/90 and HR 112 and rash resolved. 9:45 PM BP 124/90 and HR 92. 9:55 PM patient sent home in stable condition with husband and educated when to go to ED.

Other Meds: Zyrtec and Benadryl

Current Illness: Denies

ID: 1007323
Sex: F
Age: 48
State: NC

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

Lab Data: None

Allergies: Penicillin

Symptoms: Site reaction of swelling on the area , temperature 99.7, extreme fatigue

Other Meds: Progesterone, armore, aspirin, vitamin D, magnesium

Current Illness:

ID: 1007324
Sex: F
Age: 41
State: PA

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

Lab Data: None

Allergies: None

Symptoms: Redness, swelling, pain & itch around injection site, as well as mild rash on right side of upper body/face. Starting on day 8, lasting 36 hours so far.

Other Meds: None

Current Illness: None

ID: 1007325
Sex: F
Age: 38
State: IL

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

Lab Data:

Allergies: N/a

Symptoms: Covid vaccine: left arm injection site is sore and red-looks like a rash. It is warm and arm is sore.

Other Meds: Lo estrin fe, b complex, hair/skin/nails, centrum

Current Illness: None

ID: 1007326
Sex: F
Age: 52
State: PA

Vax Date: 01/30/2021
Onset Date: 01/31/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies: Tylenol

Symptoms: swollen lymph nodes in armpit, fever, hot and cold sweats, fatigue, swelling and redness at injection site

Other Meds: metformin, B12, Biotin, simvastin, furosemide

Current Illness: none

ID: 1007327
Sex: M
Age: 83
State: CA

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

Lab Data:

Allergies: No

Symptoms: 101 degree fever, trouble walking, loss of balance, and loss of appetite.

Other Meds: No

Current Illness: No

ID: 1007328
Sex: F
Age: 25
State:

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

Lab Data:

Allergies: Sulfa

Symptoms: 1st dose - moderate site injection pain lasting ~2 days, mild fatigue, mild headache 2nd dose - major site injection pain lasting ~3 days, moderate fatigue, moderate headache, mod Body/joint aches, low grade fever, insomnia

Other Meds: Vyvanse Alprazolam IUD

Current Illness:

ID: 1007329
Sex: F
Age: 74
State: FL

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

Lab Data:

Allergies: Cipro, codeine , bee stings

Symptoms: Day 1: nothing Day 2: dizzy, chills, extreme sleepy, fever of 102.2, fever broke during sleep at night Day 3: nothing

Other Meds: Revlamid, rosvatin, pregabalin, acyclovir, aspirin 81 mg, ,vitamins, D,

Current Illness:

ID: 1007330
Sex: F
Age: 61
State: CO

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

Lab Data: N/A

Allergies: Monostat

Symptoms: Significant itching around and including injection site. Got vaccine 9 days ago and still have periodic significant itching in that area

Other Meds: Levothyroxine Lamictal Latuda Prestiq Methotrexate Plaquenil Tropsium Folic acid Vitamin B Vitamin D

Current Illness:

ID: 1007331
Sex: F
Age: 38
State: WY

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

Lab Data:

Allergies: Penicillin

Symptoms: Covid ' arm" injection site swelling, redness, tenderness about 3 inches wide by 3 inches long.

Other Meds: Wellbutrin

Current Illness:

ID: 1007332
Sex: F
Age: 29
State: CA

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

Lab Data:

Allergies: Latex, and unknown allergies.

Symptoms: After the vaccine was administered, 5-10 minutes later I began to feel a rapid heart rate. One of the nurses came to check on me, I described to her my symptoms, and she let me know if they get worse to inform her. In the next 5 minutes, my head began to hurt, as well as, some chest pain. She checked on me again, and said to let her know if things got worse. Within the next 5-10 minutes after, I had difficulty swallowing and speaking. I raised my hand, and the nurse came over, then proceeded to get help. They then took my blood pressure and heart rate. My blood pressure was 185/103 and I believe my pulse was 156 bpm. I was still having a hard time swallowing and speaking. They proceeded to get an epi pen and the doctor on site, as well as suggested to send me over the ER/ call 911. The doctor checked my lungs, and they noticed my blood pressure and heart rate was not decreasing to a normal level. I was then put in a wheel chair and transferred to the ER. At the ER, my blood pressure and heart rate was still elevated, as well as difficulty swallowing. The doctor ordered Benadryl via IV, steroids, and the epi pen. After having a reaction to the Benadryl, the epi pen was put on hold. After about 15 minutes, I began to feel better. I was put on IV fluids and observation. I was able to leave the ER around 12 pm 2/05/21. At this time, 7:22 pm, I am feeling better with mild muscle aches, and fatigue.

Other Meds: Birth control pills. Took 5 ml of Benadryl at 8:30 am the morning of 2/05/21

Current Illness: No other illnesses/conditions.

ID: 1007333
Sex: F
Age: 69
State: CA

Vax Date: 01/27/2021
Onset Date: 02/03/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies: BACTRIM DS, FLAGYL, PENICILLIN, PERCOCET, ROXICET

Symptoms: PATIENT STATES RED ITCHY RASH AT INJECTION SITE APPEARED ON 02/03/2021. 7 DAYS AFTER RECEIVING THE MODERNA VACCINE. THE RASH SIZE WAS EQUIVALENT TO A SILVER DOLLAR. PATIENT APPLIED CORTISONE CREAM AND SYMPTOMS RESOLVED.

Other Meds: MOTRIN, CALRITIN-D, AMBIEN 5MG, TOPROL-XL 50MG, BENICAR 40MG, ESTRING 2MG

Current Illness: NONE

ID: 1007334
Sex: F
Age: 39
State: AZ

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

Lab Data:

Allergies: None

Symptoms: The site where I got the shot was red, swollen, and itchy when I woke up this morning. It feels much better now, but I wanted to report it.

Other Meds: None

Current Illness: None

ID: 1007335
Sex: F
Age: 64
State: NV

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

Lab Data:

Allergies: Penicillin

Symptoms: Arm soreness, fatigue, chills, aches, diarrhea

Other Meds: Levoxyl, estradiol, daily multi vitamin, biotin, ashawanga, elderberry

Current Illness: N/A

ID: 1007336
Sex: F
Age: 35
State: RI

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: no testing just prescribed medicine.

Allergies: Cold for prolonged periods, sulfur medications

Symptoms: Red itchy flaky dry rash on chin, neck, and upper chest. Most has cleared up except neck. I've used Benadryl cream, hydrocortisone cream 1/2 % and 1% with aloe, and went to see primary care's NP and got 2 prescription x 2 days ago. As of now 2/5/21 still have itch red dry rash on neck. Post 2nd shot also had cold sweats, chills, severe fatigue for over 3 days. Started feeling better Friday 1/29/21.

Other Meds: Levothyroxine 110mcg, liothyrine 5mg, Zyrtec 10mg, vieneva,

Current Illness: no

ID: 1007337
Sex: M
Age: 36
State: IN

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

Lab Data:

Allergies: None

Symptoms: Chills, headache, blurred vision, nausea, fatigue

Other Meds: Finasteride

Current Illness: None

ID: 1007338
Sex: F
Age: 43
State: TX

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

Lab Data:

Allergies: None

Symptoms: Fever x 5 hours, arthalgias, HA, chills. Right arm with 7cm area of induration, redness, pain, some itching with axillary lymphadenopathy.

Other Meds: Ibuprofen, Wellbutrin XL, vitamin C, Vitamin D3, Zinc

Current Illness: None

ID: 1007339
Sex: F
Age: 70
State:

Vax Date: 01/26/2021
Onset Date: 02/04/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Headache, body aches, red, itchy raised mark near injection site.

Other Meds:

Current Illness:

ID: 1007340
Sex: F
Age: 36
State: GA

Vax Date: 12/23/2020
Onset Date: 12/23/2020
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies: ceclor, latex, kiwi

Symptoms: Chills, body aches, shaking that last for 8 hrs. Extreme arm soreness (worse than any other vaccine) for 48 hrs

Other Meds: n/a

Current Illness: n/a

ID: 1007341
Sex: F
Age: 45
State:

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

Lab Data: None

Allergies: Droperidol

Symptoms: Fever Injection site soreness Extreme widespread muscle aches & spasms Widespread joint pain

Other Meds: Lamictal Propranolol Aleve

Current Illness: None

ID: 1007342
Sex: F
Age: 37
State: AZ

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

Lab Data:

Allergies: None Know Drug Allergies

Symptoms: EMS evaluated treated and transported- Difficulty breathing, tongue swelling, flushing, airway swelling 12:22 patient received covid 19 Pfizer vaccine 12:23 EMS called off to assess patient c/o of difficulty breathing, tongue swelling, flushing. 12:28: 50 mg IV diphenhydramine - some improvement seen- patient transferred to higher level of care per EMS

Other Meds: Adderall 14mg daily (took 7mg today)

Current Illness: none

ID: 1007343
Sex: F
Age: 31
State: FL

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

Lab Data:

Allergies: None

Symptoms: Flushed feeling in face within 3 hours of the injection, followed shortly by headache. 10 hours post injection, fever and chills were present. Profuse sweating most likely due to fever and extreme arm soreness for the first 24 hours. Headache remains through day 2 post injection. Fever and chills subsided around the 24 hour mark. Day 2 arm soreness, redness, and swelling at injection site. Pain in chest, shoulder blade, and shoulder of the injected side feels like muscle soreness similar to that experienced after a hard workout Day 2: discover presence of lump near neck just above collar bone I am inclined to believe it is an inflamed lymph node, but I am no doctor).

Other Meds: Birth control

Current Illness: None

ID: 1007344
Sex: F
Age: 49
State: TX

Vax Date: 01/29/2021
Onset Date: 02/03/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: None just spoke with my doctor the day of.

Allergies: NONE

Symptoms: This on my 2and vaccine. Had severe abdominal pains literally all day. I did work that day and when I got home and went to bed around 8PM when I got to for work the next day I felt fine. No more aches

Other Meds: Estradiol every morning and propranol every night

Current Illness: None

ID: 1007345
Sex: F
Age: 34
State: CT

Vax Date: 01/23/2021
Onset Date: 01/24/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies: Azithromycin Wheat

Symptoms: By the middle of the night after receiving the vaccine I woke up with flu like symptoms - cold, chills, fever, body aches. They lasted for about 2 full days. The other side effect I experienced was a severe migraine which lasted for about a week. Also experienced pain/soreness at the injection site but that was actually worse with the first shot than it was with the second. After those symptoms subsided I experience swollen lymph nodes in my body which were seen in an ultrasound but am unsure if this was unrelated to receiving the vaccine.

Other Meds: Tirosint, Cytomel - thyroid medication Metamucil - fiber supplement Biotin vitamins

Current Illness:

ID: 1007346
Sex: F
Age: 67
State: CA

Vax Date: 01/28/2021
Onset Date: 02/04/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Intense itching, redness and swelling at injection site

Other Meds: Losartan Calcium Vitamin D Cal Magnesium Probiotic

Current Illness: none

ID: 1007347
Sex: F
Age: 26
State: TX

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

Lab Data: N/A

Allergies: Amoxicillin, Shellfish

Symptoms: Dizziness presented 1hr post vaccination and resolved with rest. Headache presented with dizziness but persisted and still ongoing despite tx of Tylenol and Ibuprofen. Arthralgia, diffuse, presented approximately 2030 night of vaccination and remains ongoing issue despite tx with above listed medications, heat, and rest. Abdominal pain, diarrhea, and nausea. Abdominal pain and diarrhea presented night of vaccination and nausea approximately 2000 the following night. No relief with zofran 8mg. Chills with documented MTemp 99.9?F. Fatigue and overall malaise.

Other Meds: Adderall, Turmeric, Magnesium, Iron, Vitamin C, Vitamin D

Current Illness: Strep throat

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm