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: 1021172
Sex: M
Age: 24
State: WA

Vax Date: 01/18/2021
Onset Date: 01/19/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: None known

Symptoms: Joint pain after vaccination, first noticed in knees. Tingling in hands and feet.

Other Meds: None

Current Illness: none known

ID: 1021173
Sex: M
Age: 32
State: IN

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: N/A

Allergies: Pencillin, Sulfa, Lamotrigine

Symptoms: Fever, chills, muscle aches, and headache. Symptoms caused insomnia. No treatment. Symptoms subsided in 16 hours.

Other Meds: Fenofibrate, Topiramate, Sertraline, Miratazapine, Gabapentin, Buspirone, Hydroxyzine, Propranolol, Lisinopril

Current Illness: N/A

ID: 1021174
Sex: F
Age: 48
State: MA

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: PCN, possible wheat, possible avocado

Symptoms: Cough started approximately 16 hours after 2nd dose

Other Meds: Iron, vitamin D, ibuprofen, Tylenol , multi vitamin

Current Illness: None

ID: 1021175
Sex: F
Age: 18
State: TX

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

Lab Data:

Allergies:

Symptoms: The day of the vaccine, my arm started to hurt, and the day after, I felt sore all over, and felt like I had a fever. Have been feeling very lethargic and have a headache as well.

Other Meds: 20 mg Citalopram

Current Illness:

ID: 1021176
Sex: M
Age: 44
State: VA

Vax Date: 02/02/2021
Onset Date: 02/06/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: Did not seek medical treatment

Allergies: Penicillin (mild rash)

Symptoms: Feb 2nd, experienced mild headache and hot flashes 10 hours after vaccination. On Feb 6, had chills, headache, and fever of 100.5. Went away without medication after about 6 hours.

Other Meds: None

Current Illness: None

ID: 1021177
Sex: F
Age: 44
State: MN

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Headache, Body aches, exhaustion, chills.

Other Meds: Duloxetine 60mg daily Lamotrigine 100 mg daily hydrochlorothyozide 25mg daily metropolol 50 mg TWICE daily Valocyclovire 1gm Omeprazole daily Vit.B complex Vit. E

Current Illness: Fibromyalgia

ID: 1021178
Sex: F
Age: 32
State: CA

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: N/A

Allergies: Walnuts and peanuts

Symptoms: Itchy Arm, itch throat, sore throat. swelling throat. Had covid19 shot 1/11/21 with itchy arm and no further reaction. Vaccination staff RNs and site manager encouraged the patient to see her medical provider and or telehealth ASAP. Patient discharged alert and oriented with no complaints and verbalized she is doing well, no SOB or respiratory discomfort. Itchiness has subsided and able to swallow water without complaints. Discharged with husband.

Other Meds: Albuterol PRN

Current Illness: None

ID: 1021179
Sex: F
Age: 45
State: WA

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: N/A

Allergies: dairy and egg intolerance - no allergy juniper allergy

Symptoms: Day following vaccine, woke to very sore arm, fatigue, headache. Hour after waking - chills, low grade fever, and exhaustion, nausea. Slept for 3 additional hours then woke with very little appetite and extreme fatigue. Took Tylenol for headache... ate small lunch. Did not move for the duration of the day at small dinner & had multiple mugs of herbal tea throughout the day, then took additional Tylenol to take pain away before going back to bed for the evening. Following day - 1/2 energy, mild pain at site of injection, some nausea in the morning. Noticed a mild rash across entire chest and stomach, though no pain or discomfort. Day three I felt back to normal.

Other Meds: Citalopram HBR 20mg Progesterone 100/200mg (days 14-28) Neurotransmitter Balance daily RelaxMax Neurotransmitter Hormone Support daily O.N.E Multivitamin daily (Pure Encapsulations) Omega-3 Once Daily Hair, Skin, & Nails supplement 5bil CFU

Current Illness: none

ID: 1021180
Sex: M
Age: 50
State: NY

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

Lab Data:

Allergies:

Symptoms: Low grade fever, achy all over, exhaustion

Other Meds:

Current Illness:

ID: 1021181
Sex: F
Age: 59
State: TX

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: Sulfa drugs, gluten

Symptoms: Rash seen on arm after first and second shot. After first shot rash appeared several days later and covered a smaller area. After second shot rash appeared next day and covers more of upper arm.

Other Meds: Synthroid, multi-vitamins, calcium, magnesium

Current Illness: No

ID: 1021182
Sex: F
Age: 60
State: KS

Vax Date: 01/27/2021
Onset Date: 02/02/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: none

Allergies: nka

Symptoms: 7 days after the shot the arm I got my vaccine in started itching very badly and becoming swollen around the injection site early on in the morning. By 8:00p.m. my entire upper arm (the one which got the shot) was extremely red all the way down to my elbow, into my armpit and up to my shoulder. It was very swollen as well. This lasted for about 4 to 5 days and the swelling subsided but it remains itchy and the flesh on my arm looks bumpy and marbled in color. It seems to be getting better as the days pass. A relative who is an ER doctor recommend I NOT receive the second vaccine.

Other Meds: none

Current Illness: none

ID: 1021183
Sex: F
Age: 52
State: CA

Vax Date: 02/07/2021
Onset Date: 02/07/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Swelling and pain under right armpit. I think swelling in lymph nodes.

Other Meds:

Current Illness:

ID: 1021184
Sex: M
Age: 73
State: UT

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: pending

Allergies: none

Symptoms: Neuralgias (tingling, burning) beginning 20 minutes following vaccine and continuing still one week following vaccine administration. Areas migrate and involve neck, shoulders, arms, trunk, and hands.

Other Meds: none

Current Illness: none

ID: 1021185
Sex: F
Age: 43
State: LA

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

Lab Data: CT head, CBC, BMP, EKG, CXR

Allergies: Compazine, adhesive

Symptoms: Dizziness, Headache

Other Meds: cholecalciferol (vitamin D3) 50 mcg (2,000 unit) Cap New, ato, rvastatin 40 mg tablet , HYDROcodone-acetaminophen (NORCO) 10-325 mg Tab per tablet , butalbital-acetaminophen-caff 50-300-40 mg Cap , irbesartan (AVAPRO) 150 MG tablet , Nurte

Current Illness:

ID: 1021186
Sex: F
Age: 34
State: MI

Vax Date: 01/30/2021
Onset Date: 02/01/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: I was subsequently tested for COVID to make sure even though I had no known exposure. This was negative.

Allergies: latex, sulfur, Zithromax, tetracycline

Symptoms: I started with extreme fatigue that turned into flu like symptoms. While many of my colleagues symptoms lasted for a few day my symptoms persisted for 9 days and I still have a sore throat. My most significant symptoms were fatigue and swelling and pain in my hands, and sore throat. I was unable to make a fist for almost 6 days post vaccination. I am getting better but I am not back to my normal routine yet.

Other Meds: Neurontin xyzal

Current Illness: none

ID: 1021187
Sex: F
Age: 40
State: NY

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: NA

Symptoms: Fever- 102.7, body aches (muscles and joints), headache, chills, dizziness

Other Meds: Wellbutrin, Adderall, omeprazole

Current Illness: NA

ID: 1021188
Sex: F
Age: 78
State: MS

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

Lab Data:

Allergies: none

Symptoms: Fever of 102, chills, headache, body aches, dizziness, sneezing, runny nose

Other Meds: Multivitamin, generic Claritin, 81mg baby aspirin,

Current Illness: none

ID: 1021189
Sex: M
Age: 61
State: FL

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: no

Allergies: no

Symptoms: headache radiating to teeth with eyes bulging and blurred vision. muscle aches radiating from shoulder down to the back. Aferbile with chills

Other Meds: no

Current Illness: no

ID: 1021190
Sex: F
Age: 74
State: AK

Vax Date: 02/04/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: None

Allergies: Meloxicam Severe - Tamsulosin HCl Severe - Oxycodone Moderate Other - Tramadol Moderate - LevoFLOXacin Mild

Symptoms: Extreme fatigue within 2 hours and which persisted for for 48 hours. Head to toe itchy red rash began at day 6 and is currently persistent but responds moderately well to an anti-histamine (Benadryl PO). Does not appear to be hives. Worse with heat and pressure. Better with cold.

Other Meds: Medications: Methotrexate (for RA) - .4cc 1x week injection (Tuesdays) Folic Acid (for RA) -4 mg. daily (2 in AM/2 in PM Atorvastatin tabs, l0mg., 1 tab daily - not taking now but will start again QOD. Low dose aspirin, 81 mg., 1 tab d

Current Illness: None

ID: 1021191
Sex: F
Age: 82
State: NY

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: n/a

Allergies: Sulphur

Symptoms: sore arm, nauseous, headache, stomach ache

Other Meds: vitamins, metformin, Synthroid, methotrexate, atorvastatin, folic acid

Current Illness: n/a

ID: 1021192
Sex: F
Age: 23
State: NV

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: The night after I was vaccinated I experienced knee and ankle pain as well as soreness at the vaccination site (left arm/shoulder). I experienced this throughout the night and this made sleeping difficult. The next morning, I took 2 500-mg tablets of acetaminophen. This relieved my pain for several hours. At about 1 pm, I became very fatigued. I slept the whole afternoon, ate dinner, took 2 more 500-mg tablets of acetaminophen, and slept for 11 hours. The next day, I felt good and have not had any symptoms since

Other Meds: None

Current Illness: None

ID: 1021193
Sex: F
Age: 70
State: GA

Vax Date: 01/16/2021
Onset Date: 01/16/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: None reported

Allergies: Hydrocodone

Symptoms: Patient stated that her arm started swelling on Saturday (the night she received the vaccine). The next day, the swelling was reduced, but she had pain that radiated to her leg. On Tuesday, she had a regular checkup at her doctor's office and she asked about the arm and leg pain. The doctor was not sure what the cause was, but said it could be related to the vaccine. The patient has been doing physical therapy and is still experiencing pain.

Other Meds: Metformin, Tylenol, blood pressure and cholesterol medications

Current Illness: None

ID: 1021194
Sex: F
Age: 37
State: CT

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Frontal headache, chills, nausea

Other Meds: Levothyroxine 125 mcg

Current Illness: None

ID: 1021196
Sex: F
Age: 29
State: IA

Vax Date: 02/02/2021
Onset Date: 02/08/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: Penicillin, ciclor, hydrocortisone (rash)

Symptoms: Red, hot, swelling, itching at injection site about 3 inches diameter, all started 7 days after injection and 4 days after initial side effects went away.

Other Meds: Zyrtec, Lexapro, ibuprofen, Tylenol

Current Illness:

ID: 1021197
Sex: F
Age: 46
State: NY

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: bodyaches, lymph node to the left arm

Other Meds:

Current Illness:

ID: 1021198
Sex: M
Age: 17
State: KS

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: this was a medication administration error. the patient was under the age of 18 and the dose was given. no other adverse events present

Other Meds:

Current Illness:

ID: 1021199
Sex: F
Age: 68
State: CA

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 12:50 Symptoms: itching lips, heat/itchy arms Signs: Hives, redness 12:55 Vitals: HR-88, O2 Sat-97.2, BP-138/72, RR-18, Treatment provided/observation: Benadryl 50mg 1 tab po 13:05-swollen tongue, lips, throat clearing 13:10-Admin of epipen R thigh, 911 call 13:15-HR:93 O2 sat 98, BP140/70, R-24 13:20-ice pack given 13:23-HR 110 O2:98, less itching, lip swelling going down, 0 throat clearing 13:30-paramedics arrived

Other Meds:

Current Illness:

ID: 1021200
Sex: F
Age: 26
State:

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

Lab Data:

Allergies:

Symptoms: complaint of palms of both hands turning red, her right palm started itching, left palm started tingling. patient given Benadryl 50 mg PO x once. Redness reduced; itching and mild tingling of hands persisted.

Other Meds:

Current Illness:

ID: 1021201
Sex: F
Age: 25
State: CA

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Within 15 minutes my vision began to blur, I became shaky and disoriented. My heart rate increased and it felt as though my blood pressure decreased rapidly. After 30 minutes my symptoms had worsened and I was so disoriented I was not able to seek medical attention while being observed. I exited the building and once I got into my car my face (specifically under my eyes and on my cheeks) began swelling and a red burning rash appeared. By the time I got home (10 more minutes) I needed Benadryl immediately, I was not able to complete my sentences and all other symptoms had become more intense. I continued to take Benadryl every 4 hours for the next few days due to the symptoms consistently rebounding. I had one episode of throat tightness but it passed without use of my epipen. I checked my pulse and blood pressure frequently with the lowest reading being 93/60. Lethargy, shakiness, confusion, high heart rate all are still present after 5 days. The rash went away after 48 hours.

Other Meds: Birth control patch, vitamin D, vitamin C, Zyrtec, nasal spray, Symbicort

Current Illness: None

ID: 1021202
Sex: M
Age: 56
State:

Vax Date: 01/31/2021
Onset Date: 01/31/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: Goldenseal NKDA

Symptoms: I also had a strong local soreness/swelling reaction in the PNEUMOVAX (right) arm, which isn't that common. It is still a little red, sore and swollen 8 days later. On 1/31 in the evening, I started to get a headache, slept poorly and noticed nasal dryness overnight with my BiPap that I thought was from new meds from my neurologist (cyclobenzaprine or maybe propranolol). Both arms really sore, red and swollen, right arm (Pneum) worse than left (Shingles). I had a mild fever the morning of 2/1 around 99F and headaches, weakness, body aches progressed all day with a fever around 100.5F by bedtime. Again, dry sinus and almost no sleep Monday night. Fever 101-102F, nausea, intense chills/headache/body aches all day 2/2 & 2/3, only got out of bed a few hours in evening to eat a little. Stayed hydrated throughout 10-12 glasses of water per day but almost every glass produced chills even though water tepid. Slept a little Wed night, fever down to 99-101 2/4, able to sit at computer most of day and did some work but still very weak and headache/stiff neck/nausea. Slept a little better Thursday night. Friday 2/5 left arm almost normal, just a little tender, right arm still very inflamed, red, painful - size of baseball (Monday was size of softball). Still weak but able to leave apartment for short walk for first time since Sunday. Fever 99-100, head/neckache late afternoon/evening. Progressively better sleep and less pain over the weekend. Today, right arm pain/redness/swelling size of golf ball. Temps around 98.5 (lately had typically been between 97.1 - 97.5. Still afternoon neck pain/headache.

Other Meds: MANY

Current Illness:

ID: 1021203
Sex: F
Age: 85
State: WA

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: Codeine, diazepam, nuts, hydrocodone, ketoprofen, ketorolac, oxycodone, peanut oil, prenatal vitamins, tramadol

Symptoms: Pt reported dizziness, flushing, numbness in both hands to patient monitor. This RN assessed pt, who also reported chest pain, described as "angina" but said she had not had this type of chest pain before. Said she takes nitro for other chest pain but that pain is sharp and stabbing. Pain today described as "dull" and on left side of chest. Also reported nausea. VS: BP 130/82, HR 86, SpO2 98%. EMS called due to chest pain. While waiting for EMS, patient reported that pain started radiating from chest around to left back. No SOB, talking in full sentences with RN and son. EMS arrived and brought patient to ambulance. Pt was not transported to ED, returned to car to go home (son driving). .

Other Meds:

Current Illness:

ID: 1021204
Sex: F
Age: 37
State: MD

Vax Date: 02/03/2021
Onset Date: 02/10/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: Initial (expected) soreness at injection site that went away by day 2, post vaxx#1. However, on 2/10/2021 (7 days after injection) my arm started to feel sore again, got swollen, hot, stiff and red at injection sight and lymph nodes in armpit are swollen and painful. Otherwise, I feel fine. On a side note, because I'm not sure if it's relevant, my husband got his second shot of Moderns on 2/9/21. He had expected side effects (fever, chills, headache and body aches). Not sure if it has any connection but wanted to report that I am in close contact with him.

Other Meds: Sertraline 150 mg daily fluticasone propionate

Current Illness: Ear infection

ID: 1021205
Sex: F
Age: 31
State:

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Shivering, low fever, headache, nausea, joint pain

Other Meds: none

Current Illness: none

ID: 1021206
Sex: F
Age: 23
State: CA

Vax Date: 01/13/2021
Onset Date: 01/21/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Started with underarm/side of body swelling and pain to touch on side I was vaccinated on, on 1/23. Progressed to full body soreness and swelling. Some burning to touch on underarm skin. Symptoms subsided by 1/28

Other Meds:

Current Illness:

ID: 1021207
Sex: F
Age: 79
State: OR

Vax Date: 02/01/2021
Onset Date: 02/05/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: None known

Symptoms: Dizziness and nausea began overnight on Feb 4-5, continuing throughout the day on Feb 5. Went to ER for treatment the evening of Feb. 5. IV fluids administered to treat mild dehydration. Symptoms eased temporarily, then increased on Feb 6. As of today (Feb 10), symptoms have steadily improved, but not yet fully recovered.

Other Meds: Several

Current Illness: None

ID: 1021208
Sex: F
Age: 50
State: FL

Vax Date: 01/23/2021
Onset Date: 01/24/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: None

Allergies: none

Symptoms: The next two nights, I could not sleep on left arm. The left deltoid was tender to touch. The left side of my neck was also achey for two or three days after vaccination. (That's all on the evening of Jan 24 & 25.) The following day (Jan 24), I was very itchy. I kept thinking a bug was crawling on me...but when I went to brush it off, nothing was there...

Other Meds: Allegra, Estroven, Vit D, iodine, astaxanthin, zinc

Current Illness: none

ID: 1021209
Sex: F
Age: 68
State: VA

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

Lab Data: None

Allergies: unknown

Symptoms: Client received her first dose of the Pfizer vaccine and during her 15 minutes post-vaccination wait, she felt a ?rushing through her system.? She had no other symptoms. Denied any itching, rash, difficulty breathing or difficulty swallowing. On evaluation, she stated that she felt fine, and did not want ?911? to be called.

Other Meds: Client reports taken medication for high blood pressure but can not recall the name

Current Illness: Client reports having diabetes, hypertension and heart valve transplant

ID: 1021210
Sex: F
Age: 36
State: WA

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

Lab Data: None

Allergies: Latex, iodine, IV contrast, morphine

Symptoms: I have had serious reactions to things in the past and wouldn?t so much say this was serious. So I do disagree but just wanted to give you both the heads up. I got vaccinated about 1500 (give or take 20 mins). About 1640 I felt my jaw/cheeks feel tight like they were swollen, my hands felt clammy and my heart felt like it was racing. They all happened within minutes of each other. I felt a little extra phlegmy in my throat but no itching or difficulty swallowing. No rashes, hives, difficulty breathing, etc. I took 1 Benadryl at around the 2hr mark post vaccine and about an hour later I improved drastically. I took another Benadryl at that the 3.5 hour post vaccine mark (this would make 2 total). I

Other Meds: None

Current Illness: None

ID: 1021211
Sex: F
Age: 29
State: VA

Vax Date: 01/20/2021
Onset Date: 01/27/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: None

Allergies: Seasonal Allergies

Symptoms: "Covid Arm": rash-like effect appeared about a week after the initial dose. Around the injection site, a raised lump formed about the size of a mango. It was super itchy, firm, red, swollen, and hot to the touch. In general, the arm that was injected was sore and achy.

Other Meds: Dextroamphetamine-Amphetamine XR Capsules Bupropion HCl XR Tablets Escitalopram Tablets Vitamin D3 Capsules

Current Illness: No known illnesses

ID: 1021212
Sex: F
Age: 25
State: OR

Vax Date: 01/29/2021
Onset Date: 02/05/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: development of erythematous ring at vaccination site that is pruritic

Other Meds:

Current Illness:

ID: 1021213
Sex: F
Age: 26
State: PA

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

Lab Data:

Allergies:

Symptoms: Patient lost consciousness (fainted) and was helped to the floor. Regained consciousness within 1 minute and was monitored for 45 minutes

Other Meds:

Current Illness:

ID: 1021214
Sex: F
Age: 11
State: CA

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: None reported

Allergies: NKDA or other allergy

Symptoms: Symptoms: Vasovagal Syncope and possible seizure/ fainting at time of injection. The symptom lasted for about 10 seconds. Patient felt faint and lost of consciousness with sudden muscle movements. Treatment: No medication treatment. Supportive therapy was given and kept patient hydrated Outcome: Patient regained consciousness and rest for a span of 20 minutes for observation then was released to guardian.

Other Meds: None

Current Illness: None reported

ID: 1021215
Sex: M
Age: 59
State:

Vax Date: 01/27/2021
Onset Date: 02/06/2021
Rec V Date: 02/10/2021
Hospital: Y

Lab Data: Lab tests, CT scans x2, MRI x1 , echocardiogram. Done between 2/6/2021- 2/8/2021

Allergies: NKDA, seasonal allergies

Symptoms: On Saturday 2/6 unwitnessed fall without loss of consciousness. Gait was unstable, weakness on right side (RUE, RLE) slurred speech, difficulty with finding words. Transported by POV to ED for evaluation of stroke - same sx with onset of parasthesia in right upper arm. Stroke protocol done - received tPA with resolution of symptoms during infusion. Stayed in hospital until protocol completed. Symptoms resolved over the course of the hopsitalization.

Other Meds: flomax, aspirin 81 gr, zyrtec, advair

Current Illness: none

ID: 1021216
Sex: F
Age: 28
State: VA

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Chills/soreness/body aches/fatigue/hot flashes continuous from 4 hours since shot lasting >48 hours

Other Meds: June FE

Current Illness: None

ID: 1021217
Sex: M
Age: 54
State: OR

Vax Date: 01/13/2021
Onset Date: 02/03/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: vesicular rash consistent with shingles in L1-L2 dermatome distribution

Other Meds: none

Current Illness:

ID: 1021218
Sex: F
Age: 28
State: NY

Vax Date: 02/03/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: No known allergies

Symptoms: I received the 2nd dose of the COVID-19 vaccine (Moderna) on 02/03/2021. Since then, I have experienced a number of side effects, including headache, fatigue, muscle aches, alternating between hot and cold, etc. Most recently, I have felt a pins and needles tingling in my lower body, more severe in my left leg. I have also been having difficulty walking, and going up and down the stairs. At first, I thought it was just muscle weakness and general fatigue from the vaccine. But now, it seems more like numbness, instead of just muscle weakness, in my legs. Also, when I use chopsticks to eat food, it seems like I have less control than I usually do. My doctor suspects it might be Guillain-Barre syndrome, though I am still waiting for a consultation with a neurologist to properly diagnose the issue.

Other Meds: Calcium + Vitamin D supplement, Ibuprofen

Current Illness: None

ID: 1021219
Sex: F
Age: 43
State: IL

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

Lab Data:

Allergies:

Symptoms: A large rash appeared around the injection site.

Other Meds: Zyrtec, Advair, Synthroid, B12, Multivitamin, Elderberry, Collagen

Current Illness:

ID: 1021220
Sex: F
Age: 71
State: AZ

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: Blood pressure. 114/72. 61 Sugar 164 (very high) Temp. 98

Allergies: Lactose intolerant Latex sensitivities Oxycontin Statens (severe)

Symptoms: 10 min after injection: Headache frontal lobe, physically weak, dizzy. slight nausea, 4 hours after Muscle pain at site of injection

Other Meds: Metropole 25mg Eliquis 5mg Omega3 CQ10 Cholestrol 360 Prevegin

Current Illness: None Wearing a MCOT 1st day

ID: 1021221
Sex: M
Age: 68
State: PA

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 02/10/2021
Hospital: Y

Lab Data: On 1/25/2021 i Had a cadiac catharization that indicated no blockages, or scar tissue. A defibrillator was surgically implanted in my chest on 1/27/21. MRI on 1/27/2021.

Allergies: none

Symptoms: cardiac arrest. Heart stopped, I fell to the ground, and was administered CPR by Police. I was admitted to hospital unresponsive and induced in a coma for two days. MRI results indicated I had a virus in my heart which caused Myocarditis. On 1/25/2021 i Had a cadiac catharization that indicated no blockages, or scar tissue. A defibrillator was surgically implanted in my chest on 1/27/21. Admitted to hospital 1/20/2021. Released 1/28/2021.

Other Meds: pantropazole, plavix, cialis, multi-vitamin, vitamin c, b-complex, zinc, glucosimine, pro-biotic, eldeberry,

Current Illness: none

ID: 1021222
Sex: U
Age:
State: CA

Vax Date:
Onset Date:
Rec V Date: 02/10/2021
Hospital:

Lab Data: None

Allergies:

Symptoms: One week after first vaccination a lump about the size of a lemon developed at injection site as well as extreme itching.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm