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: 1018071
Sex: F
Age: 40
State: KY

Vax Date: 12/28/2020
Onset Date: 12/29/2020
Rec V Date: 02/09/2021
Hospital:

Lab Data: COVID PCR swab negative 1/1/21

Allergies: Ace inhibitors, meloxicam, amlodipine, gabapentin, ibuprofen, sulfa drugs, ambien

Symptoms: Received vaccine on 12/28/2020. started having muscle aches, ear pain, chest congestion, cough, fatigue, nasal drainage, HA, nausea and vomiting, chills on 12/29/20. Went to urgent care on 1/1/21 and diagnosed with viral upper respiratory tract infection.

Other Meds:

Current Illness:

ID: 1018072
Sex: F
Age: 46
State: CO

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

Lab Data:

Allergies: Lamisil

Symptoms: Deep joint pain (hips, fingers and ankles toes). Mild fever, and headache. Lethargy

Other Meds: Bcp, levothyroxine, trintellix, vitamin B, biotin

Current Illness:

ID: 1018073
Sex: F
Age: 74
State: WA

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

Lab Data: unknown

Allergies: none reported to this pharmacist

Symptoms: Patient's spouse called today 2/9/21 to report that the patient experienced muscle weakness, especially in the right lower extremity, which led to a fall. Patient reportedly went to emergency department . Patient's spouse says that she continues to experience right sided weakness as of today's date, and she saw her primary care provider yesterday 2/8/21 who suspects vaccine-related muscle weakness. I advised patient's spouse to contact her neurologist as she has a history of left-brain stroke and brain tumor and I am concerned that the patient may have experienced another cardiovascular event.

Other Meds: unknown

Current Illness: none reported to this pharmacist

ID: 1018074
Sex: F
Age: 47
State: GA

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

Lab Data: None

Allergies: None

Symptoms: Having redness, swelling and site of injection is warm to the touch still today 2/9 .. 2 days after injection. Yesterday 2/8 I had flu like symptoms all day including hot flashes followed by cold sweats, body aches all over body and extreme fatigue.

Other Meds: None

Current Illness: None

ID: 1018075
Sex: M
Age: 60
State: OH

Vax Date: 10/01/2020
Onset Date: 10/01/2020
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies: PCN

Symptoms: Arm pain started shortly after flu shot was administered in his left arm, it was injected high in muscle. Pain with lifting arm up. Minimal pain with moving back and forth. Has knots in his deltoid muscle.. Has not been able to work well with this. Not able to sleep more then an hour or two at most. Large joint/bursa injection was done on 10/26/2020. Patient developed symptoms of steroid flare about 3 hours after the procedure, PCP added Norco, since tramadol offered no relief.

Other Meds: crestor, zetia, lisinopril, zanaflex, gabapentin, daily vitamin, 81 mg aspirin, garlic, vitamin c, fish oil, zinc

Current Illness: none

ID: 1018076
Sex: F
Age: 63
State: IN

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

Lab Data: na

Allergies: Shellfish, lavender, and red dye

Symptoms: Patient felt flush, lips and face tingling while waiting her 15 minutes. We brought her back to monitor vitals. At 5 min post vacine BP 166/87 HR 98 O2 99%, 10 min post vaccine 143/80, 88 and 99%, 30 min post 140/76, 86 and 99%. Pt was then discharged to home feeling "much better"

Other Meds: unknownn

Current Illness: na

ID: 1018077
Sex: F
Age: 80
State: OH

Vax Date: 01/27/2021
Onset Date: 02/05/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies:

Symptoms: The patient reported that she has a red, itchy spot below her injection site that appeared days after her vaccination. She has been using an over the counter topical on the site to control the itch. It has been visible and itchy for a couple days, so far.

Other Meds:

Current Illness:

ID: 1018078
Sex: F
Age: 27
State: CA

Vax Date: 01/20/2021
Onset Date: 02/06/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: No medical tests or laboratory results. Saw healthcare provider on 2/9/2021 for physical evaluation.

Allergies: Lactose intolerant, allergy to mango, allergy to pantoprazole, allergy to chlorohexadine

Symptoms: Dizziness, lightheaded, nausea, fatigue, headache for four days. Treated with meclizine and zofran. Symptoms have continued.

Other Meds: Lexapro, busparone, mirena IUD, advair inhaler, terbinafine cream

Current Illness: None

ID: 1018079
Sex: M
Age: 41
State: WI

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

Lab Data: None

Allergies: Flexerall

Symptoms: Moderna COVID?19 Vaccine EUA Fatigue lasted for around 6 hours Nasal congestion ongoing still 8.5 hours after injection Slight headache, may be from nasal congestion

Other Meds: None

Current Illness: None

ID: 1018080
Sex: F
Age: 67
State: WI

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

Lab Data: none

Allergies: none known

Symptoms: Patient complained of GERD going from her epigastric area through to her back. Vital signs monitored. Symptoms resulolved within a few minutes. Pt states that she had not eaten lunch and this was not an uncommon thing for her to experience GERD, but had never experienced with vaccination. Monitored patient for 30 minutes post vaccination. Telephoned patient at home at 1822. She is feeling well with no further issues.

Other Meds: none

Current Illness: none

ID: 1018081
Sex: F
Age: 56
State: OR

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

Lab Data:

Allergies: Sulpha, penecilin

Symptoms: Extreme head ache, nausea, body aches and extreme fatigue. Most concerning though, three massive nose bleeds. The first one took 30 minutes to stop and I lost a lot of blood, paramedics were called. The second bleed was 4 days after the vaccine and the third was 6 days after the vaccine. Both were excessive bleeds but not as bad as the first one. I have also been having unusual bouts of high blood pressure. 911 was called for the first bleed. The bleed was stopped and transport was not needed.

Other Meds: Omeprosole

Current Illness: None

ID: 1018082
Sex: M
Age: 34
State: TX

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

Lab Data: None

Allergies: None

Symptoms: I had COVID-19 and tested positive on December 23rd, 2020. I had a loss of taste and smell. It was not a complete loss. More like an 80% loss. I received my first COVID vaccine dose on 01/08/2021. By about mid January, however, I had almost all, if not all, of my taste/smell back. But after my second Moderna COVID-19 Vaccine dose, I lost my sense of taste and smell again. When I was at about 90-100% recovered, as of the 2 or 3 days following my 2md vaccine dose, I had lost almost all taste and smell again. As of today, 4 days after the vaccine, I'm back to around 80% again. I have not had any other congestion, etc. that might explain my loss of taste and smell.

Other Meds: None.

Current Illness: None

ID: 1018083
Sex: F
Age: 37
State: CA

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

Lab Data:

Allergies:

Symptoms: Patient experienced dizziness

Other Meds:

Current Illness:

ID: 1018084
Sex: F
Age: 57
State: AZ

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

Lab Data: No tests run

Allergies: Iodine, sulfa, Celebrex, erythromycin, preservatives in flu vaccine, food and chemical allergies, nuts

Symptoms: 20 minutes post injection started to feel clammy, increased heart rate and rash appearance on both arms and hands. Reported to doctor at site and EMS was called. Heart rate was 98, BP 218/110 taken three times by EMS. Administered Benadryl liquid by EMS and monitored for thirty minutes. Rash stopped spreading and improved heat rate and B/P. Was released to go home by EMT. While traveling home had to stop by roadside because of vomiting and nausea. Next morning rash still present on arms and fingers.

Other Meds: Gabapentin, methocarbamol, ramipril, montelukast, levothyroxine, Zyrtec, atorvastatin, lantus solostar, hydroxychloroquine, vitamin D3, Januvia

Current Illness: Connective tissue disease, hypertension, Hashimoto's disease, asthma, diabetes

ID: 1018085
Sex: F
Age: 74
State: IN

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

Lab Data:

Allergies: mulitipal

Symptoms: swelling, itching at injection site

Other Meds: none

Current Illness:

ID: 1018086
Sex: F
Age: 25
State: MA

Vax Date: 01/08/2021
Onset Date: 01/15/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Got my 1st dose on December 20 2020 no side effects just a sore arm. Got my 2nd dose on January 8 2021 just a sore arm. A week later on January 15 I started to itch from head to toe all over my body. On January 25 woke up with hives/rash that is on and off all over my body. I am still itchy and still occasionally have the rash. Have been to my pcp and a dermatologist and as of 1/9/21 they do not have a reason to how or why this happened. Nothing in my daily life has changed soaps, detergent, food, drink, work gloves.

Other Meds: Aranelle, birth control

Current Illness:

ID: 1018087
Sex: M
Age: 65
State: GA

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

Lab Data: None

Allergies: None

Symptoms: Fatigue and mild nausea

Other Meds: Blood pressure meds and cholesterol meds. Don't know the names.

Current Illness: I had an upper respiratory infection a few weeks ago but have recovered.

ID: 1018088
Sex: F
Age: 33
State: TX

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

Lab Data:

Allergies: None

Symptoms: Red, itchy, circular lump at injection site with some tenderness

Other Meds: Prenatal

Current Illness:

ID: 1018089
Sex: F
Age: 74
State: CA

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

Lab Data: N/A

Allergies: Ciprofloxacin, Motrin, Sulfa, Dye, Latex, Diclofenac

Symptoms: Tingling of the lips, mouth without any weakness or muscle deficit or any after neurological deficit. part 21. only if symptoms persist.

Other Meds: Losartan, Atenolol, Acyclovir, Diazepam, Centrim, Ayr, Hydrocream

Current Illness:

ID: 1018090
Sex: F
Age: 74
State: NJ

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

Lab Data: None

Allergies: Cats, dogs, and some grasses, nothing else

Symptoms: I have a large 1 1/2 inch diameter red ..slightly swollen but hot to touch. It itches and seems harder than other parts of my arm.

Other Meds: Zyrtec D, 2 Advil, one daily vitamin, one collagen supplement, one 3 milligram of estrogen (Premarin).

Current Illness: None

ID: 1018091
Sex: F
Age: 41
State: UT

Vax Date: 12/29/2020
Onset Date: 01/27/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: None

Allergies: Cipro and Bactrim

Symptoms: Itchiness, headache

Other Meds: Mobic, Zoloft

Current Illness: none

ID: 1018092
Sex: F
Age: 58
State: IL

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

Lab Data: no

Allergies: no

Symptoms: Pain at the base of skull. It went to her forehead and pain in temples, stomach cramps, nausea. Has not eaten anything. Felt better this morning.

Other Meds: Multivitamins, Diclosenac

Current Illness: no

ID: 1018093
Sex: F
Age: 55
State: OH

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

Lab Data: None

Allergies: Allergic to shellfish

Symptoms: Slight swelling and tingling of lips, cheeks, and tongue. Lasted about 20 - 30 minutes from onset. Consulted EMTs onsite but as no difficulty breathing and symptoms were reducing, nothing administered by EMTs.

Other Meds: None

Current Illness: Flu like symptoms 3 weeks prior to vaccine. Tested negative for COVID-19.

ID: 1018094
Sex: M
Age: 63
State: UT

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

Lab Data:

Allergies: None.

Symptoms: Patient experienced a grand mal seizure approximately 4 hours after receiving his first dose of the Moderna vaccine.

Other Meds: AFLUZOSIN SULFAMETHOXAZOLE MOTOPROLOL

Current Illness: None.

ID: 1018095
Sex: F
Age: 45
State: MI

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

Lab Data: N/A

Allergies: N/A

Symptoms: Patient claimed felt lightheaded about an hour after vaccinated. Around 3 hours after vaccine administered she fainted and EMS came.

Other Meds: N/A

Current Illness: N/A

ID: 1018096
Sex: F
Age: 56
State: CA

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

Lab Data:

Allergies:

Symptoms: fatigue arm hurt at site fever

Other Meds:

Current Illness:

ID: 1018097
Sex: F
Age: 80
State: TX

Vax Date: 02/04/2021
Onset Date: 02/08/2021
Rec V Date: 02/09/2021
Hospital: Y

Lab Data: ekg, eeg, CT scan of brain and heart, sonogram of heart, results currently uknown

Allergies: none known

Symptoms: Three days after first dose, I awoke in the early morning hours to go to bathroom. I lost all strength in my body and fell injuring my rib, arms, head and shoulder I have been hospitialized for two days now.

Other Meds: motoprelol; warfarin

Current Illness: heart arythmia; excessive fluid buildup, blood pressure elevated

ID: 1018098
Sex: F
Age: 70
State: AZ

Vax Date: 02/03/2021
Onset Date: 02/05/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: None

Allergies: Codeine

Symptoms: Swollen lymph nodes and breast pain. Only lasted the day.

Other Meds: Lipitor, Synthroid, Eliquis, flecainide. anastrozole, metformin, metoprolol, lisinopril, zinc, vitamin D.

Current Illness: None

ID: 1018099
Sex: F
Age: 78
State: CA

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

Lab Data: n/a

Allergies: Sulfa

Symptoms: Approx 5 min after injection complained of lip swelling. Denied any sob or throat tightness. Resp even/nonlabored. Speaks full sentences. Doctor notified. VO given for Benadryl 50 mg IM. Benadryl 50 mg given in L glute and patient was taken to Urgent Care for evaluation Doctor. Taken to Urgent Care via wheelchair for evaluation. Symptoms improving upon arrival and report given to Doctor and LVN.

Other Meds: n/a

Current Illness: n/a

ID: 1018100
Sex: F
Age: 78
State: SC

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

Lab Data: 2/7/2021 Blood work Urine Test MRI with and without contrast I have to have and additional MRI, but it was scheduled for the day after the ER visit and I had to call and get to get me a Pre-authorizion form for it. The doctor or nurse didn't mention anything unusual results from the blood work, the urine test and the MRI of my neck.

Allergies: CYCLIZINE, ZOFRAN ZINC OR SULFA

Symptoms: Late Saturday I noticed my lip dropping to the right and by morning my right eye was dropping. On the way to theER my eye felt like it had sand in it and I had to hold my hand over it and my mouth and lips felt like I had a shot of novicane and it was hard to pronounce certain words. I have to eat small things because it is difficult puttinng food in my mouth and I can not feel the food in my mouth on the right side and if food gets over there it gets between my gums and my cheek, to drink I have to position a straw in my mouth on a certain point and some goes back down in the straw.

Other Meds: Venlafaxine 150mg Zoloft 100mg Quetiapine 400mg Propranolo 140mg Gabapentin 400mg Metformin 500mg Hydrochlorothiazide 25mg. Byspirone Hydroxyzine HCL 25mg Preseer Vision Ar

Current Illness: NONE

ID: 1018101
Sex: F
Age: 30
State: CA

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

Lab Data: Vitals normal BP 128/83, Pulse 69, Resp 20.

Allergies: latex- facial swelling

Symptoms: Pt's hands are swollen and red, and felt numbness to face. Pt also c/o feeling a scratchy throat, like she swallowed something. Pt went to the UC -received benadryl 50mg IM occurred 15 minutes after the second administration of the covid 19 vaccine. Given methylprednisolone 125mg IV, benadryl 50mg IV. Prescribed zyrtec x 3 days and medrol dose pack and discharged home.

Other Meds: none

Current Illness:

ID: 1018102
Sex: F
Age: 74
State: CA

Vax Date: 02/03/2021
Onset Date: 02/06/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: None

Allergies: NKDA, NKFA

Symptoms: Received Pfizer vaccine on 2-3-2021, checked blood pressure on Saturday 2-6-2021, she noticed her blood pressure was a bit elevated. Later 2/8/2021 went to ER due to home systolic BP in 200s, no other symptoms reported. Discharged from ER same day, reports was told by hospital staff possibly from recent vaccine. Did not have labs or other testing while at ER she states. Today 2/9/2021 blood pressure improving 150s systolic, pending to restart her blood pressure medication.

Other Meds: Pravastatin, aspirin, omeprazole, folic acid, vitamin D, topical diclofenac, calcium carbonate.

Current Illness: UTI 1/29/2021, completed Levofloxacin 500mg

ID: 1018103
Sex: F
Age: 44
State: MO

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

Lab Data:

Allergies: Latex, soy (food), Peanuts (food)

Symptoms: Injection was in non-dominant UE. 2 days post vaccine, redness and swelling increasing in non-dominant (LUE) 3CM greater than RUE at deltoid insertion, along with pain at 3-4/10 on 0-10 pain rating scale. Pain at post vaccine day 2 not related to movement or pressure. Regular ibuprofen use at 600 mg TID to alleviate pain, unsure of impact on inflammation and edema. Redness and swelling noted from scapula to mid humerus, lateral aspect of UE. Tenderness to touch migrating from injection site on day one, through scapula-deltoid-triceps region through biceps and anterior aspect of UE on day 4, without redness noted, appears to be mild swelling day 4 of biceps with discomfort in palpation. Symptoms at this time reported by patient, who is a physical therapist - doctor, Plan to consult MD tomorrow if symptoms are not improved. Similar clinical presentation to progressing cellulitis or response to allergic reaction to bee-sting. Plan to follow up with MD on 2/10 if symptoms do not significantly resolve.

Other Meds: Birth Control, flonase, zolpidem

Current Illness: None

ID: 1018104
Sex: M
Age: 62
State: CA

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

Lab Data: None

Allergies: Blue crab

Symptoms: Muscle cramps through body, hot flashes, sore throat, and upset stomach.

Other Meds: Benazepril 10 mg

Current Illness: None

ID: 1018105
Sex: F
Age: 64
State: NV

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

Lab Data: none

Allergies: none

Symptoms: What is being described as Covid arm. Red itchy rash at site of injection as well as swelling and bruising. Rash and swelling began around 5 days after injection. No treatment has been needed.

Other Meds: Ocuvite

Current Illness: none

ID: 1018106
Sex: F
Age: 36
State: MI

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

Lab Data: Not testing has been performed. I?ve had a similar reaction to the last dose of my recent hepatitis shot about a year ago. I also had a flu shot in September and didn?t have this reaction.

Allergies: Ceclor, morphine, pineapple

Symptoms: It?s been 12 days and for the past 9 days I?ve had a red, warm, dense, itchy, painful lump at my injection site that is about 2 inches in diameter. It is mostly round with what looks like a 2 inch wide paintbrush stroke coming off of the side of it that wraps around my arm towards my body to my under arm. The swelling, warmth and firmness has gone down slightly over the past few days. I put triamcinolone on it and it reduced the symptoms slightly.

Other Meds: Iron and magnesium

Current Illness: Migraines, common cold

ID: 1018107
Sex: F
Age: 31
State: CA

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

Lab Data: None known

Allergies: Vicodin, shrimp, and mushrooms

Symptoms: Adverse event: Within minutes of the patient receiving the Moderna vaccine she became dizzy and then began coughing. Following those symptoms, patient then began having difficulty swallowing and breathing. Treatment: Patient was given water for her cough. When she could not tolerate PO fluid it was decided to take her to the hospital ED. Outcome: Patient was treated with Benadryl, Solumedrol, and Pepcid. She was monitored and released from the ED to home with follow-up with her PCP.

Other Meds: None known

Current Illness: None known

ID: 1018108
Sex: F
Age: 39
State: TX

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

Lab Data:

Allergies:

Symptoms: While PT was waiting during her 15 minutes observation period post covid-19 vaccine administration PT began to experience siezure like activity lasting about 5 minutes. PT has a PMH of seizures, is compliant with her prescribed medications, and suffered a seizure a week prior. An IV was established and PT VS were monitored while PT was transported to the hospital. Prior to transport PT was COAX4 and remained stable through out transport. Run # 21-0766

Other Meds:

Current Illness:

ID: 1018109
Sex: F
Age: 35
State: NC

Vax Date: 01/13/2021
Onset Date: 01/20/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: none

Allergies: NKA

Symptoms: On seventh day following vaccination, I was awoken at 4am by severe right deltoid pain. The area was extremely hot to the touch. I had full body aches that day as well as the following day (day 8 post vaccine). On day 8, a large red rash appeared on the upper third of the arm. The rash did not extend over the site of the injection. Day 27 post vaccine, the rash is still present and itchy at times. All other adverse effects subsided by day 10 post vaccine.

Other Meds: bupropion, eszopiclone, lo loestrin

Current Illness: none

ID: 1018110
Sex: F
Age: 55
State: OR

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

Lab Data:

Allergies: Sulfa medication

Symptoms: Fever over 102F, muscle ache, headache, ear ache, weakness and fatigue. Tylenol 500 mg tabq 8 hrs, and 650mg suppository( one time, when higher fever of 106F), and Ibuprofen 600 mg tab.

Other Meds: Vitafusion Women's vitamins

Current Illness:

ID: 1018111
Sex: F
Age: 15
State: OR

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 15 year old minor received first and second doses of Pfizer vaccine. No adverse effects

Other Meds:

Current Illness:

ID: 1018112
Sex: F
Age: 35
State: NY

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

Lab Data:

Allergies: Erythromycin

Symptoms: Fever of up to 102.5 F, convulsions (with absolutely no control over my muscles), migraine, chills, extreme fatigue, stomach cramps and nausea.

Other Meds: N/A

Current Illness: N/A

ID: 1018113
Sex: U
Age: 73
State: KY

Vax Date: 02/04/2021
Onset Date: 02/07/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies:

Symptoms: On 2/7 new bilateral leg weakness and progressive inability to walk x several days. Legs weak and cannot hold her. She fell 2-3 days ago bruising her right chest and left knee. Denies loss of consciousness. At baseline she states she was able to get around within her home.

Other Meds:

Current Illness:

ID: 1018114
Sex: F
Age: 66
State: MO

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

Lab Data:

Allergies: NKA

Symptoms: Upper left arm extremely red, soreness, hot to touch with approx 4 inch circular redness, dark center approx 3/ 4 inch, with small blister like area at center and site of injection

Other Meds: Losarten, Hctz, Protonix

Current Illness: NONE

ID: 1018115
Sex: F
Age: 75
State: NC

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: MRI spine MRI brain Blood work Lumbar puncture

Allergies:

Symptoms: Numbness in lower extremities, not able to walk independently, headaches, dizziness, hypertensive, sleeping 16+hours a day, and poor to no reflexes.

Other Meds:

Current Illness:

ID: 1018116
Sex: F
Age: 65
State: TX

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

Lab Data: None

Allergies:

Symptoms: My right arm at the injection started aching during the first night. The next day my underarm and shoulder started hurting and feeling stiff. Hurts to raise my arm.

Other Meds:

Current Illness:

ID: 1018117
Sex: F
Age: 67
State: PA

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

Lab Data:

Allergies: Cocaine, Procainamide, Succinylcholine

Symptoms: Patient stated that she experienced a rash across her chest, face (specifically around her mouth and cheeks), as well as on both hands and around her knuckles within 24 hours of receiving the vaccination. Patients rash has since subsided.

Other Meds: Citalopram 20 mg and Hydrochlorothiazide 25 mg

Current Illness: None

ID: 1018118
Sex: F
Age: 51
State:

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

Lab Data: I did not go to the Dr, I self-treated as I am a physician and took days off in January and February

Allergies: No

Symptoms: I am sicklemic, and after two doses and 5 days later started a painful acute crisis, everywhere, thorax. The first dose in January was on my left deltoid and after some days my arm hurt and thorax, I thought after years without a crisis due to my illness, this was an isolated event but after the second dose, received in my right deltoid, I had a repeat crisis on my thorax which made me think the vaccine could have caused it. I had spent years without a crisis that required me to rest for three days and taking analgesics at a maximum dose and 3 liters of water daily.

Other Meds: No

Current Illness: No

ID: 1018119
Sex: F
Age: 61
State: IN

Vax Date: 12/22/2020
Onset Date: 02/09/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: It happens just today (none). Right now I am uninsured

Allergies: none

Symptoms: I got Bell Palsy after 3 weeks (#2) vaccine.

Other Meds: none

Current Illness: none

ID: 1018120
Sex: F
Age: 40
State: CA

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

Lab Data: None

Allergies: None

Symptoms: Feeling fatigue and arm pain. 02/06/21 - Woke up with body shakes, chills, muscle ache and pain. 02/07/21 - Vomitting & fatigue 02/08/21 - Chest tightness

Other Meds: Advair, Albuterol as needed, Lisinorpril and Singulair

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm