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: 1017871
Sex: F
Age: 82
State: FL

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

Lab Data: EKG at Emergency Room

Allergies: Aspirin, Demerol, and IV Dye

Symptoms: Patient complained of shortness of breath, chest pain, and chest tightness after about 1 minute following vaccine. She was given Epi 0.3, Benadryl 25mg, and Solumedrol 125mg. She was transported to ER and was released after symptom resolution and normal EKG at the Hospital.

Other Meds: ProAir, Losartan, Simvastatin, Pantoprazole, Methocarbamol

Current Illness: NONE

ID: 1017872
Sex: F
Age: 72
State: MO

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: none

Allergies: nickel, bandage tape, food dyes, heparin, ace inhibitors,

Symptoms: 10 hours post vaccination, chills, joint and muscle pain, intense thirst, severe fatigue, headache, and slept 8 hours following morning still muscle and joint pain, fatigue improved, and remained tired throughout the day.

Other Meds: brilinta, amlodipine, torsimide,metoprolol, baby aspirin, prilosec, niacin, fish oils, tumeric, calcium, potassium, atorvastatin

Current Illness: none

ID: 1017873
Sex: M
Age: 66
State: IL

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

Lab Data: None

Allergies: penicillin, Tolectin, Tylenol 3, prednisone, Lipitor, Poison Ivy

Symptoms: Patient was waiting for 30 minutes post vaccination ( stated had previous had adverse effect ( fever) from infleunza vaccine. When patient was being approached to be discharge stated he was feeling lightheaded. At that time denied sob, dizziness, nausea, abdominal pain, trouble breathing, or wheezing. Patient immediatelt assessed by RN. Patient stated had eaten lunch and was feeling okay prior to visit. Patient was given 3 crackers and a juice box and after afew minutes stated was feeling better. Patient pulse was 89 and sats were 96% on room air. APRN notified doctor who had the patient come into exam room (patient was sitting out in waitin room). Patient uses a cane but was easily able to get and walk to room with only the assistance of the cane. In the room patient stated was feeling lightheaded when he was in the waiting room. Patient was asked if he felt short of breath and patient stated he would see and immediately took out albuterol inhaler he had in his pocket and performed 2 puffs. His b/p was 126/76, clear to auscultation, no wheeze, no dyspnea. Patient stated after taking albuterol inhaler felt dizzy and offered more crackers and juice which patient agreed to take. Patient was talking all throughout the incident easily with no signs of respiratory depression. Patient observed for 20 minutes and all symptoms resolved. Patient was walked out to the waiting room with no additional concerns.

Other Meds: Famotidine 20mg, Carvedilol 3,125mg, Duloxetine 60mg, Losartan Pot 25mg, Mag Glycinate 100mg, Advair Discus 500/50mcg, Spiriva 18mcg, Gabapentin 300mg, Aspirin 81mg, B-12 2500mcg, D3 2000IU, Fluticasone propionate 50mcg, Liothyronine 5mcg,

Current Illness: denies- last time used albuterol rescue inhaler was 2 weeks ago

ID: 1017874
Sex: F
Age: 68
State: NY

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies: No

Symptoms: Patient had multiple seizures that were treated with 5 mg Versed intranasally and 5 mg IVP. Seizures broke and weas transferred to Hospital

Other Meds: Keppra

Current Illness: None

ID: 1017875
Sex: F
Age: 58
State: ND

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies: possible latex sensitivity. no allergies.

Symptoms: 12 hours post vaccination spiked fever 103.9. dizzy, heart pounding with palpitations, chest heaviness, shortness of breath. moderate soreness at injection site. no nausea, body aches or stomach upset. drinking fluids. B/P 159/93. heart rate 87. 18 hours post injection temp 101-102. heart rate 130"s with palpitations and shortness of breath and dizziness. O2 sat 92% at rest. chest heaviness, aching. B/P 91/63. no nausea or body aches, minimal injection site soreness. drinking fluids. 24 hours post injection temp 99.0. heart rate 108. O@ sat 96% . mild chest heaviness, shortness of breath with exertion. 36 hours post injection temp 97.8. 134/74. 74. sat 99%.

Other Meds: latanoprost eye drop once daily right eye timolol eye drop twice daily right eye aleve as needed

Current Illness: wisdom tooth cut out 12/30/2020.

ID: 1017876
Sex: F
Age: 34
State: NY

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: none- stayed in bed all day

Allergies: ceclor

Symptoms: fever, neuropathy in feet, chills, night sweats, debilitating headache

Other Meds: Omeprazole singular advair Flonase drink tea daily - peppermintt, camomile

Current Illness: none

ID: 1017877
Sex: F
Age: 38
State: WV

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

Lab Data: Was told by primary nothing they could do. Was told I was having an adverse reaction and just go to E.R. For fluids. I didn?t want my husband and high risk daughter waiting in the car and me being at risk to get COVID at a hospital when they couldn?t actually offer help.

Allergies: Wellabutrin

Symptoms: Very ill , Fever high as 101.0 and over ,chills, Head ach, body ache, couldn?t walk or do daily activities , slept for 25 hours, my own body Odors wasn?t familiar to me. Lasted almost 3 days ... last day was headache and fever.

Other Meds: Triamterene 37.5mg once daily

Current Illness: None

ID: 1017878
Sex: F
Age: 87
State: IN

Vax Date: 01/21/2021
Onset Date: 02/02/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: n/a

Allergies:

Symptoms: On 2/2/21, the patient started to show redness and swelling at the injection site- about 2 inches in diameter. The nursing staff applied ice and monitored the patient's condition. By 2/4/21, the reaction was improving and resolved by 2/8/21. No additional medical attention was necessary.

Other Meds:

Current Illness:

ID: 1017879
Sex: F
Age: 59
State:

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Swelling at injection site, warm to the touch

Other Meds:

Current Illness:

ID: 1017880
Sex: F
Age: 45
State: FL

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Fever of up to 100.9, severe body aches, severe chills from 6:00am through 8:00pm. Treated with Tylenol which eased symptoms. All symptoms went away at 8:00pm.

Other Meds: none

Current Illness: none

ID: 1017881
Sex: F
Age: 66
State: KY

Vax Date: 02/05/2021
Onset Date: 02/08/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: 12 lead EKG CBC with auto differential, Comprehensive metabolic panel, troponin ER, TSH IV saline lock, EKG ED this is what was written on the papers they sent home with me

Allergies: reaction to tetanus vaccine in Dec 1999, delayed reaction 24 hrs after injection, hives worsening over a week before sought medical care penicillin- hives if even touch the medicine also vomiting with codeine and erythromycin

Symptoms: Had delayed itching about 30 hours after first dose but brief and minor. Had slight minor itching within 15 minutes of second dose but brief and minor, taking benadryl before injection and twice after. Then 3 days later (injection on Fri 5:00 pm) reaction Monday 3:00 pm) noticed hives on both hands and some small spots on arm and itching. Over next 2 hours noticed injection site had large irregular rash-y area. Was in another county getting first aid and cpr training ironically, even going over how to use an epi-pen. Could not take benadryl as had to drive 45 min home. Started driving home and began feeling very bad with chest tightness, more itching, decided better to go to ER half-way to home as I live out in the county. At triage bp was 180/111 and had tachycardia, I think they said 145 bpm. They did EKG labs etc. Dr. diagnosed allergic reaction and tachycardia. Administered oral and IV meds and IV fluids and was discharged and home by 8:15 pm. feel fine the next day, but taking steroid and antihistamine prescription level medications to control. Meds given at hospital listed: zyrtec tablet 10 mg Pepcid 20 mg Benadryl 50 mg Solu-Medrol 125 mg NS -0.9 1000ml Lopressor 5 mg Home medications Hydroxyzine HCL 25 mg 1 tab every 6 hrs prn Prednisone 20 mg 1 tablet 2x daily 5 days

Other Meds: levothyroxine, amylodipine besylate, aldenorate sulfate Vit D, Fish oil, Centrum multi vitamin,

Current Illness: none

ID: 1017882
Sex: F
Age: 55
State: OH

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: shoulder xray mri *doesn't think need surgery

Allergies: n/a

Symptoms: 1/5 vaccine. Twelve hours later, I woke up around 3am. My arm was really hurting. I got up and was sitting in bathroom, wave of nausea. I was standing, brushing teeth, felt weak from the inside out. I was leaning over the vanity, I hit the floor. My husband came in, I tore my non displaced fracture of clavicle; partial tear of rotator cuff and AC sprain. It took me a bit to 'come to', laid there for a little bit. I felt weak, shoulder pain. I had a HA for 3 weeks, neck injury. Don't know if due to vaccine or injury from syncope.

Other Meds: hydrochlorothiazide, gabapentin, potassium x2 daily, vit B complex, glucosamine, vit D

Current Illness: n/a

ID: 1017883
Sex: F
Age: 29
State: CA

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

Lab Data:

Allergies:

Symptoms: On 2/5/21 patient received Pzifer COVID-19 dose #2 early afternoon at workplace clinic. On 2/9/21 patient reported beginning 2/5/21 early evening she began having overall body rash and body ache that progressed over the next few days to sore/swollen throat, voice loss, nausea, intermittent fever, loss of taste and smell, headache, and diarrhea. Tested COVID-19 negative 2/9/21, still having symptoms. Stated has not seen her healthcare provider but will contact for care.

Other Meds:

Current Illness:

ID: 1017884
Sex: F
Age: 66
State: NY

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: None

Allergies: None known

Symptoms: Exhaustion, headache, chills, fever, cough, loss of taste, rash beginning 3hours after the injection and lasting about 48 hours. Treated with bed rest and tylenol. Pain at the injection site treated with ice.

Other Meds: Levothyroxine, amylodopine besylate

Current Illness: None

ID: 1017885
Sex: F
Age: 25
State: CA

Vax Date: 02/07/2021
Onset Date: 02/07/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Syncope/fainting 14 hours post vaccine. Fever began around 9 hours post vaccine and was 4 degrees above my normal temperature. Extreme chills and shaking, became dizzy and fainted, out for about a minute . Laid on ground for a while, returned to bed and took Advil for fever

Other Meds: Adderall, fluoxetine, Portia

Current Illness: None

ID: 1017886
Sex: F
Age: 40
State: AL

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

Lab Data:

Allergies:

Symptoms: About one week post vaccination, the patient complained of additional swelling, whelps, redness, and fever at the injection site that she did not experience immediately after the vaccine

Other Meds:

Current Illness:

ID: 1017887
Sex: M
Age: 65
State: AR

Vax Date: 01/12/2021
Onset Date: 01/31/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: Bilateral ear exams. Bilateral tympanograms normal type A Bilateral audiogram with profound loss across all speech ranges at 60 DB loss compared to baseline at same facility approx. 8 months earlier RESULTS: Immittance Measures: 226 Hz Right Ear: Type A tympanogram Left Ear: Type A tympanogram Acoustic Reflexes: DNT Reliability: good Transducer: Insert Pure Tone Audiometry: Right: Moderate to severe reverse slope SNHL Left: Mild to moderate SNHL Speech Audiometry: Right Ear: SAT was in agreement with best measured thresholds and SRT was unable to be obtained with masking Left Ear: SRT was in agreement with PTA Word Understanding: Right Ear: 0% at 90 dBHL (masked) Left Ear: 100% at 65 dBHL

Allergies: IVP dye (radio contrast), Ibuprofen

Symptoms: 2021 ICD-10-CM Diagnosis Code H90.41 Sensorineural hearing loss, unilateral, right ear, with unrestricted hearing on the contralateral side. Onset of right side diminshed hearing the morning of Sunday Jan. 31st, 2021. More pronounced by Wednesday am Feb. 3rd, 2021. Seen at the University for Medical Sciences in the outpatient clinic. No significant wax in either canal. Bilateral type A tympanograms. Markedly abnormal audiogram compared to base line obtained by same facility approx. 8 months earlier. 60 DB loss across all hearing ranges right ear only. Left unchanged.

Other Meds: Lisinopril 10 mg daily

Current Illness: None

ID: 1017888
Sex: F
Age: 54
State: TX

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: N/a

Allergies: Penicillins

Symptoms: Low grade fever, headache, sore throat, body aches, chest tightness, fatigue

Other Meds: Multivitamin, vit c, calcium, selenium, methy-protect, citolpram, probiotic, biotin, vit D, COQ10, pravastin, metoprolol, EPA-DHA 720 omega fish oil.

Current Illness: None

ID: 1017889
Sex: F
Age: 89
State:

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

Lab Data:

Allergies:

Symptoms: Patient had reaction to Moderna had hives around lips. Patient denied SOB and closing of throat. Administered benadryl 25mg po per protocol. Patient outcome stable. Advised patient to go to urgent care for further evaluation.

Other Meds:

Current Illness:

ID: 1017890
Sex: F
Age: 45
State: FL

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: n/a

Allergies: n/a

Symptoms: shortness of breath, fever 101.2, generalized body aches in joints, resting heart palpitations,

Other Meds: one a day, vitamin d 5000

Current Illness: n/a

ID: 1017891
Sex: M
Age: 49
State: CA

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

Lab Data: N/A

Allergies: unknown

Symptoms: Patient was given Moderna vaccine at a state hospital and was scheduled for a 2nd dose vaccine by a county representative. Patient had an appointment and came for his 2nd dose of vaccine. The patient received Pfizer vaccine for his 2nd dose.

Other Meds: N/A

Current Illness: unknown

ID: 1017892
Sex: M
Age: 68
State:

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

Lab Data:

Allergies:

Symptoms: Patient has refused second dose of vaccine due to adverse effects of the first. "Flu like symptoms, pain at the injection site."

Other Meds:

Current Illness:

ID: 1017893
Sex: M
Age: 43
State: IL

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 02/09/2021
Hospital: Y

Lab Data: The hospital did blood and urine cultures and EEG. They did full exams on him and kept him in the hospital for 4 nights. All tests came back normal.

Allergies: Zyprexa, doxicycline

Symptoms: My brother has epilepsy. His seizures can be triggered by low grade fever and exhaustion. He had covid in early October. His seizures are generally well controlled but he had several after the vaccine. I understand that the vaccine did not cause the seizures. The fever caused the seizure. I just think it?s important to neurologists to have this info to see how we can go about mitigating the seizures and if the 2nd dose is necessary. Keeping him hydrated may have helped and also giving him something immediately for the low grade fever. Just knowing these things may help others.

Other Meds: Depakote, keppra, primidone, acetazolamide, minocycline, anti depressant, respridol

Current Illness: None

ID: 1017894
Sex: M
Age: 1
State: OH

Vax Date: 02/18/2018
Onset Date: 02/18/2018
Rec V Date: 02/09/2021
Hospital:

Lab Data: Brain MRI EEG

Allergies: None at the time of vaccination

Symptoms: Fever, red rashes, swelling, hives, fatigue & appetite loss were immediate. After 24 hours staring spells began occurring several times a day, loss of speech, Decreased coordination & loss of eye contact.

Other Meds: None

Current Illness: None

ID: 1017895
Sex: F
Age: 72
State: VA

Vax Date: 01/28/2021
Onset Date: 01/31/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: blood work,

Allergies:

Symptoms: burning on back neck shoulders with rash, red break out on arm and face, tight feeling around the neck area, itching on skin and in ear, has continued off and on for two weeks now

Other Meds:

Current Illness: none

ID: 1017896
Sex: F
Age: 33
State: NJ

Vax Date: 02/07/2021
Onset Date: 02/07/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA: After receiving vaccination, patient became pale and felt weak. Pt hypotensive. EMS monitored patient for 30 minutes, no intervention required. Patient recovered with no intervention and ambulated out of building with spouse.

Other Meds:

Current Illness:

ID: 1017897
Sex: F
Age: 45
State: WA

Vax Date: 12/23/2020
Onset Date: 12/30/2020
Rec V Date: 02/09/2021
Hospital:

Lab Data: No

Allergies: Penicillin; erythromycin; sulpha; amoxicillin

Symptoms: Injection spot red the first two days. Day 7 - got an arm soreness - small little hard spot was there at injection site - hot from shoulder to elbow. It became hot and hard and it started to spread quite a bit. Ibuprofen helped. Benadryl didn't help at all. I drew the margins of it and go to ER (ER - but it wasn't documented visit -and they were able to see me quick) and I was diagnosed with a cellulitis - sulpha antibiotics (I couldn't stop vomiting - reaction to sulpha medication); felt so tired and felt the injection site got worse - body aches and injection site - because of delay in treatment with a new antibiotic and my next prescription was Clindamycin. Arm got better after I started Clindamycin. I couldn't take the whole course of the antibiotics - my gut was affected by the antibiotic - was having diarrhea and vomiting. Arm was better though so that's good. I'm just now to the point - in the last week or so that my bowel movements are better. I'm taking probiotics to introduce good bacteria. Did require treatment for vaginal yeast infection - my normal after having antibiotics. I took two Diflucan - and taking vaginal cream for it. Had second dose of vaccine.

Other Meds: No

Current Illness: no

ID: 1017898
Sex: F
Age: 73
State: AZ

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

Lab Data: None

Allergies: None

Symptoms: Redness, swelling, and hot at vaccination site approximately 2 diameter

Other Meds: Crestor, Cymbalta, Trazodone

Current Illness: None

ID: 1017899
Sex: F
Age: 60
State: IN

Vax Date: 02/07/2021
Onset Date: 02/08/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: none

Allergies: Drug Allergies: Codiene, Morphine, Cephalexin, Biaxin (Clarithromycin), Tramadol, Septra(Sulfamethoxazole W/trimethoprim), Nitrofur-macr, Cataflam/zipsor, Diclofenac, Doxycycline, & Zetia; Other Allergies: Silk Tape

Symptoms: Headache, Chills w/skin feeling like it was stinging, felt tired and achy all over

Other Meds: amLODPine BESYLATE 2.5mg, Atorvastatin 40mg, Paroxetine 10mg, all once daily, Elmiron 100mg 2-3 times daily; Prelief as needed, B6 100mg 3x's weekly

Current Illness: None

ID: 1017900
Sex: F
Age: 20
State: AL

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies: No

Symptoms: Severe headache, high fever, fatigue, and sinus drainage 12 hours after vaccination

Other Meds: Mydayis

Current Illness: None

ID: 1017901
Sex: F
Age: 23
State: MN

Vax Date: 02/07/2021
Onset Date: 02/08/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: 2/8- 0300 Temperature of 99.1, nausea, body aches. 2/8- 0600 Temperature of 100.4, nausea, body aches. (Tylenol 1000mg taken every 6 hours, Ibuprofen 400mg taken every 6 hours) 2/8- 2000 itching rash on both upper arms, took Benadryl and rash went away. 2/9- 0800 itching rash came back on upper arms, calves and ankles 2/9- 1000 appointment with virtual doctor and they prescribed over the counter Zyrtec, took Zyrtecp and rash went away after about 1 hour

Other Meds: Cryselle Vitamin D Multivitamin

Current Illness: None

ID: 1017902
Sex: F
Age: 67
State:

Vax Date: 02/03/2021
Onset Date: 02/08/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: SARS-COV-2 RT-PCR 2/8/2021

Allergies: none

Symptoms: Patient tested positive for COVID 2/8/2021. URI symptoms started before or around the time she received the vaccine.

Other Meds: statin aspirin carvedilol losartan vit-d sevelamer elipta inhaler

Current Illness: none

ID: 1017903
Sex: F
Age: 47
State: IL

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

Lab Data:

Allergies:

Symptoms: 1600 patient c/o left hand tingling. left sided neck numbness 1610 patient c/o lips tingling 1610 Benadryl 25mg PO given 1640 Discharged to home with symptoms resolved. Informed to notify PCP. Verbalized understanding.

Other Meds:

Current Illness:

ID: 1017904
Sex: F
Age: 50
State: PA

Vax Date: 01/24/2021
Onset Date: 02/02/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: 2/5/21 labs with Sed rate and CRP elevated, and hypocalcemia, hyponatremia, hypokalemia. Normal CPK ,urine, CBC. Electrolyte abnormalities corrected by 2/8 but ESR and CRP are more elevated. RF is negative. ANA and Lyme titer are pending. Rapid COVID and PCR were both negative. CXR is normal.

Allergies: Amoxil causes diarrhea

Symptoms: Started with chills, diffuse myalgias and arthralgias on 2/2/21 with subjective leg weakness requiring use of walker. No fever. No URI, UTI , cardiovascular or GI sxs. No rash. Sxs progressed to peak on 2/4 (requiring husband to carry her up steps) then gradually subsided and now with minimal arthralgias, myalgias remaining on2/9/21.

Other Meds: Monteluklast

Current Illness: None

ID: 1017905
Sex: F
Age: 83
State: MA

Vax Date: 02/06/2021
Onset Date: 02/07/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: No

Allergies: No

Symptoms: About 18hours after shot I felt my chest just ?froze-didn?t move? for a few seconds. After that there have been no episodes to the present time .

Other Meds: Metropolis 50, Valsartan 80, Levothyroxin 50, Myrbetriq 25, Multivitamin.

Current Illness:

ID: 1017906
Sex: F
Age: 38
State: WY

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

Lab Data:

Allergies: seasonal allergies animals

Symptoms: Fifteen minutes after vaccination patient started to feel dizzy, light headed, fatigued, and "foggy" (decreased mental clarity), patient orientated, denies SOB/difficulty breathing. Pt lungs clear bilaterally, O2 98% on room air, BP 118/80 and HR 80 bpm at 3:12 pm. Pt advised to see PCP for evaluation but unable to obtain appointment. Pt advised to go to ER/urgent care for further evaluation, pt's husband taking her to Urgent Care .

Other Meds: zoloft one a day women's vitamin zyrtec

Current Illness:

ID: 1017907
Sex: M
Age: 34
State: NV

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

Lab Data: 2/5/2021 EKG--sinus tachycardia @ 136/min. Echocardiogram--no abnormality. Rapid Covid-19 testing--not detected. Portable chest x-ray--no abnormality. CBC & CMP--no abnormality. Troponin elevated at 70, repeat in 2 hrs was 53. 2/7/2021 EKG--sinus tachycardia @ 102/min. CBC, CMP, troponin, TSH/Free T-4, D-Dimer, Est. GFR--no abnormality. Urine drug screen--+for cannabinoid metabolites.

Allergies: None known

Symptoms: 2/5/2021 Tachycardia up to 180 @ home w/ chest pressure about 24 hours following 2nd vaccine dose. Went to ER. Tachycardia resolved with IV fluids in ER. 2/7/2021 Tachycardia @ 162 @ home. Went to ER.

Other Meds: THC

Current Illness: None

ID: 1017908
Sex: F
Age: 41
State: OH

Vax Date: 01/26/2021
Onset Date: 02/09/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies: Alleve

Symptoms: I woke up this morning with my arm very red around injection site, approximately 4 inches around. There was also slight pain, less than days after injection. There was also numbness in the arm. Redness subsided by the end of my work day.

Other Meds: N/a

Current Illness: N/a

ID: 1017909
Sex: F
Age: 30
State: OR

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: None

Allergies:

Symptoms: Saturday evening, started having sharp pins and needles sensation in joints (knees, hips, elbows and shoulders). I couldn?t fall asleep that morning I woke up vomiting. Had a fever of 101.1F. Had a fever all Sunday, got as high as 103.3F. Had large red rash on the arm of the injection site that is hot to the touch, hard, itchy, and feels like a sunburn when you touch it (burns). Had really stiff and sore neck and shoulders, hard to move head from side to side. Headache all day Sunday. Couldn?t sleep Sunday night because of pins and needles in joints again. Got up at around 6am vomiting. Fever of 100.1F. Temp lowered to 99.1 by 7:30pm. Tuesday, no headache or vomiting. Slept through the night without any pins and needles pain. No fever, but really stiff and sore neck and shoulders still. Red spot of arm has grown.

Other Meds: Tylenol, ambien, fluoxetine, omeprazole

Current Illness:

ID: 1017910
Sex: F
Age: 48
State: OH

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

Lab Data: Mammogram 2/3/2021 Ultrasound (future-5/7/2021)

Allergies: lisinopril-vomiting, theophylline-wheezing

Symptoms: Golf ball size lymph node enlargement in right neck, right axilla, and right groin areas with severe body aches, lower back pain, chills, fever, nausea. These enlarged lymph nodes were only noted upon physical exam after 2nd dose of vaccine. However, employee did have a mammogram on 2/3/2021 which noted abnormalities in the right axilla area which was the day prior to 2nd dose of vaccine. The severity of the enlargement of lymph nodes became more apparent after the 2nd dose within 12 hours of injection. Thus, causing concern by the Radiologist with the changes noted in the axilla lymph nodes on mammogram imaging and future need for ultrasound surveillance.

Other Meds: Zanaflex, Namenda, Topamax, Cartia XT, Super B Complex, Biotin, Melatonin, D3, Cetirizine, Candesartan, Emgality, Cinnamon, Pepcid, Botox injection every 3 months for migraines, Ubrelvy, Fish Oil, prednisone prn (not taking currently)

Current Illness: none

ID: 1017911
Sex: M
Age: 35
State: CA

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 02/09/2021
Hospital:

Lab Data: CMP, CBC, ceruloplasmin, B6, folate, INR, CT scan of the neck (with contrast), and MRI of the brain (with and without contrast)

Allergies: none

Symptoms: Altered mental status and psychosis lasting several days which responded to therapeutic intervention including close psychiatry evaluation, PCP follow-up, and neurology consultation with medications including anti-psychotics (olanzepine 10 mg twice daily) and ramelteon (8 mg once daily at bedtime).

Other Meds: sertraline (200 mg daily) and clonazepam (0.25 mg daily)

Current Illness: none

ID: 1017912
Sex: M
Age: 16
State: TX

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

Lab Data:

Allergies:

Symptoms: Moderna COVID- 19 Vaccine EUA Patient received first dose of COVID-19 Vaccine utilizing MODERNA Vaccine on February 9, 2021 at the current age of 16 years. Moderna EUA is for patients 18 years of age and older.

Other Meds:

Current Illness:

ID: 1017913
Sex: F
Age: 27
State: FL

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: COVID tests 2/6- Negative (rapid and PCR) Urgent care visit- vitals normal, O2 normal, lung sounds normal

Allergies:

Symptoms: 1/30: Fever, chills, body aches, arm soreness, dizziness, headache, fatigue, nausea 1/31: Arm soreness, headache, fatigue, nausea, dizziness 2/1-2/4: headache, dizziness, fatigue 2/5: Fatigue, "weirdness" feeling, dry throat 2/6: Dry throat, couch, difficulty breathing 2/7: increase in 2/6 symptoms; weight in chest feeling

Other Meds: Nexplanon Implant; Mylan Birth control; Albuterol PRN, NSAIDs- PRN

Current Illness:

ID: 1017914
Sex: M
Age: 30
State: CA

Vax Date: 01/21/2021
Onset Date: 01/27/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: 1/2712021 SARS-CoV-2 PCR Positive

Allergies: No Known Allergies

Symptoms: Member was tested of COVID after receiving first vaccine and was positive for COVID.

Other Meds: Unknown

Current Illness: Unknown

ID: 1017915
Sex: M
Age: 34
State: MD

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

Lab Data: None.

Allergies: oysters

Symptoms: Near syncopal episode, cool and clammy.

Other Meds: none

Current Illness: None

ID: 1017916
Sex: F
Age: 45
State: CA

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

Lab Data:

Allergies:

Symptoms: legs felt like weights stomach hurt headache for 3 days congested fever chills congestion went into chest

Other Meds:

Current Illness:

ID: 1017917
Sex: M
Age: 17
State: TX

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

Lab Data:

Allergies:

Symptoms: Moderna COVID- 19 Vaccine EUA Patient recieved first dose of COVID-19 Vaccine utilizing MODERNA Vaccine on February 9, 2021 at the current age of 17 years. Moderna EUA is for patients 18 years of age and older.

Other Meds:

Current Illness:

ID: 1017918
Sex: F
Age: 71
State: NC

Vax Date: 01/28/2021
Onset Date: 02/07/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: None

Allergies: None known

Symptoms: 10 days post injection, injection site became swollen & itchy & developed a red rash.

Other Meds: Atorvastatin Fosinopril Metoprolol Multi vitamin Vitamin C

Current Illness: None known

ID: 1017919
Sex: F
Age: 78
State:

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient had reaction to COVID vaccine. Caused swelling lips, hives around the around the mouth and mild numbness. Was given benadryl 25mg, PO and was advised son to take patient to urgent care for further evaluation. Patient denied SOB and closing throat at the time of visited. Patient was in stable health condition before leaving.

Other Meds:

Current Illness:

ID: 1017920
Sex: F
Age: 34
State: NE

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: None at this time.

Allergies: Compazine.

Symptoms: Symptoms of nausea began day of, were moderate for several days. Did not eat much the day of the vaccine due to these symptoms. Numb feeling, tingling in extremities for 2-3 days post vaccination. Still some occasional numbness and tingling in nose, facial area, and back of head/neck. Diarrhea for a couple of days. Continue to experience mild nausea 1.5 weeks later. Did not have problems with nausea previously. Moderate fatigue for about a week following vaccination. Still noticing mild fatigue, getting tired easily and earlier than usual. Arm was sore from the day after vaccination until about 4-5 days had passed. Still otice an occasional pain when moving arm around a certain way. For 4-5 days following vaccination noticed various body pains. Pain in lower back- not muscle pain but something else. Chest wall pain when breathing in from 1-2 days to about a week post vaccination. Headache for a day. Brain fog feeling, forgetfulness beginning the day after vaccination and was noticeable for about a week. Still noticing this mildly and feeling more lightheaded than usual. Over the last few days, I've noticed chest tightness and some mild coughing. It's also below zero here, so this could be related to weather and dry air, or possibly related to the vaccine. Generally, I recognize that the above symptoms are possible after this vaccination. However, the existing literature seems to suggest these symptoms should last 1-3 days and be mild. My experience has been that they were worse than mild, most lasted at least a week, and some seem to be continuing. I am also breastfeeding a 19 month old. He had a brief bout of redness on about half of his body (underarms, forearms, thighs, knees) for about 30 minutes a week after I received the vaccine. He has never had that before for no apparent reason, and it did not continue, although he has reacted to lotions and certain brands of diaper wipes in this way previously. We have also noticed that he's been more irritable lately- throwing tantrums easily, sleeping more often, and getting inconsolable. We haven't tied this to any illness, although we do recognize that toddlers can through periods where they have more challenging behaviors. This is unusual for him though, he's generally happy and agreeable. I thought I'd mention it just in case there's been some sort of pattern that other breastfeeding moms have noticed.

Other Meds: Postnatal Vitamins- New chapter. Daily Vitamin D supplement.

Current Illness: None.

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm