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: 1023792
Sex: F
Age: 41
State: WA

Vax Date: 02/08/2021
Onset Date: 02/10/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Left arm pain starting the day after receiving vaccine - worsening pain, with light touch, decreased function as I have had trouble lifting things with affected arm. Interrupts sleep when I accidently roll over on the the left arm. Woke up this morning with an area of redness, firmness, and warmth to left arm just below where injection was given. Deep pain now radiating in to my axilla. Increased pain with arm movement today. Treatment: I have been taking ibuprofen 800mg every 8 hours since Tuesday morning 2/9/21.

Other Meds: women's daily MVI

Current Illness: None

ID: 1023793
Sex: F
Age: 69
State: IN

Vax Date: 02/08/2021
Onset Date: 02/10/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: On Feb 10th, After dinner at about 7pm, , within about 15 min I started throwing up and also had diarrhea . My injection site became inflated to the size of a ping pong ball and VERY dark pink in color and extended out from the injection about 4 inches. I also had an enormously terrible headache and my sinuses were very sore and burning. Approximately about every 15-20 minutes I was throwing up again until about 4am. This throw up was not chunky with food but more flemm and jello like. Finally around 4am I was able to get to sleep in a recliner chair until about 7am. Currently it is 2:30pm on Feb 11th and my headache is just about gone, the soreness is gone from my body and I feel much better. My major question is , Should I take the 2nd vaccination and will I have the same reactions to it. What can I do to make myself feel better if I do get the 2nd shot. ?

Other Meds: Irbesartan , Rosuvastatin calcium, Clopidogrel, Metoprolol Tartrate, amLodipine Besylate, Pantoprazole, Ofev Glutathione, Vitamin D, Magnesium, Vitamin K2MK7, Fibermucil, Omega 3

Current Illness:

ID: 1023794
Sex: F
Age: 33
State: CA

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Patient reported to recovery nurse burning in arm, warmness in BLE, and tightness in chest. VS WNL BP 120/70, HR-100, O2 - 98%, Resp. 18. Pt. Reports this is a chest pain she has experienced before, but never the ?warmness?. Writer offered to call EMS for further assessment/transportation, patient refused, patient states she will be able to transport herself to urgent care. VS obtained again prior to patient leaving, remain WNL BP 125/75, HR-95, O2-98%, Resp. 18.

Other Meds: Lamictal 200mg q HS

Current Illness: None

ID: 1023795
Sex: F
Age: 69
State: MD

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies: Tylenol w codeine , milk products , dogs , mold

Symptoms: Woke up at 3 am and could not rest on right arm too painful pain radiates and still does 12 hours later up and down entire right side arm neck to ear . Woke up again at 8! sneezing only right side sneezes lasted 3 hours sneezing constantly finally 2 pump in both nostril zicam nasal spray. But started back up nose dripping ... headache ... no fever ,

Other Meds: ArmpourThyroid, losartan, proleia, allergies shots

Current Illness:

ID: 1023796
Sex: F
Age: 36
State: WA

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Body Aches, Chills, Headaches, Fever (38.5)

Other Meds:

Current Illness:

ID: 1023797
Sex: F
Age: 31
State: CA

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 12/31 symptoms started: Chills,Fatigue,Fever,Muscle/Body Aches which lasted for 1 week. Took tylenol the first day which helped with the fever.

Other Meds:

Current Illness:

ID: 1023798
Sex: F
Age: 95
State: OH

Vax Date: 01/28/2021
Onset Date: 02/04/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: None.

Allergies: None.

Symptoms: The day of vaccine she had no problems. The following wee her arm was red, swollen and hot at the top. That reaction slowly went down and it's just above her elbow, she's 95 and it is kind of filled up with a hard mass in that area. Her arm looks like a sunburn with two different shades of skin, on the back side of her arm where it is red. She still has it on her arms today, 2/11/21. She has not taken anything for it or put anything on it. Her doctor told her to call us to see what we said she should do. There is no pain, but it just looks bad and she is concerned.

Other Meds: Lipitor, Allopurinol, Hydrochlorothiazide, centrum silver for women.

Current Illness: None.

ID: 1023799
Sex: F
Age: 24
State:

Vax Date: 02/03/2021
Onset Date: 02/10/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Swelling and pain at injection site 7 days after initial vaccine.

Other Meds:

Current Illness:

ID: 1023800
Sex: F
Age: 76
State: SD

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: none

Allergies: codeine

Symptoms: Patient reported symptoms started on 2/11/21 with low grade fever, "fuzzy head", sore arm and body aches. Patient will take tylenol or ibuprofen as needed.

Other Meds: Paxil, Synthroid

Current Illness: none

ID: 1023801
Sex: F
Age: 70
State: PA

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies: Sulfa drugs

Symptoms: Hives Claritin and topical anti-itch gel

Other Meds: Hydrochorothiazide, lisinopril, glucosamine chondroitin, multivitamin, Vitamin D, Claritin

Current Illness:

ID: 1023802
Sex: M
Age: 35
State: AL

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies: None.

Symptoms: Local: Mild redness and swelling at injection site 12 hours after injection along with moderate pain at site. Pain began to taper off 36 hours after injection but persists at mild level 69 hours after injection (current). Systemic: Mild chills, muscle, and joint aches 14 hours after injection. Mild fever, moderate chills, and moderate-severe muscle and joint aches 21 hours after injection. Moderate muscle and joint aches continued until 30 hours after injection reducing to occasional mild chills and aches 36 hours after injection persisting through 69 hours after injection (current). Slightly swollen and mildly, at times moderately, painful lymph nodes in neck and near armpit on injection side began 48 hours after injection persisting through 69 hours after injection. Treatment: occasional acetaminophen or ibuprofen (alternating) taken during onset of severe ache pain which reduced to moderate; four doses in total over the course of 24 hour period beginning 14 hours after injection. Mild, moderate, severe categories as described on CDC's reactogenicity page for the pfizer vaccine.

Other Meds: None.

Current Illness: None.

Date Died: 01/16/2021

ID: 1023803
Sex: F
Age: 92
State: IL

Vax Date: 01/04/2021
Onset Date: 01/06/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Was contacted by the person's daughter on 2/5/21. Patient started vomiting 2 days after vaccination. She aspirated and passed away 1/16/21. Patient had history of stroke and swallowing problems.

Other Meds:

Current Illness:

ID: 1023804
Sex: F
Age: 66
State: IN

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

Lab Data: none

Allergies: Cardizem, Lisinopril, Crestor, Ezetimibe cat dander, Dog dander, Grass pollen, Mold, Tree, shrub, and weed pollen

Symptoms: late after swelling and hot to touch, iced periodically, by evening did not want to move upper part of arm, husband called it a goose egg - it was round but close to size of chicken egg and very swollen -- could move arm and better by Saturday, it is Thursday now (over week later) and it is still hot to touch, red, and painful but I continue to use it and ice every now and then -- I haven't heard of anyone else last so long -- concerned that Im due for 2nd shot March 3!!!

Other Meds: Losartan, Osphena, Potassium chloride 10 mew capsule Calcium, vit D3, CoQ10, fish oil, flaxseed oil, B12, multivitamin, Allegra prn

Current Illness: none

ID: 1023805
Sex: F
Age: 49
State: RI

Vax Date: 01/25/2021
Onset Date: 02/05/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Facial and arm rash Friday 2/5 at 7:00 pm Facial and arm rash Saturday 2/6 @ 5:08 PM Benadryl taken / self medicated - rash went away

Other Meds: None

Current Illness: None

ID: 1023806
Sex: F
Age: 28
State: TX

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

Lab Data:

Allergies: Shellfish, phenergin

Symptoms: 8 days after injection itchy red, raised welt at injection site

Other Meds: Daily vitamin

Current Illness: None

ID: 1023807
Sex: F
Age: 65
State: FL

Vax Date: 01/23/2021
Onset Date: 01/24/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: Spoke with patient, she is doing well, her arm is fine. Patient's PCP recommended that she should premedicate with benadryl prior to the 2nd dose. Advised patient that she should try to avoid any medication that may reduce the body's immune response to the vaccine.

Allergies: Allergic to Codeine GI vomting. , Pcn swelling of eyes. Pollen resp running nose

Symptoms: 1/24/21 sx Red & sore at site for 2-3 days. 1/28/21 sx worsen Palm size rash and edema, hot & itchy for 4-5 days and subsided. Asx now. apap PM at HS and cortisone cream used. Plan to follow-up with PCP and if risk > 2nd vaccine benefits.

Other Meds: atorvastatin maxide

Current Illness:

ID: 1023808
Sex: F
Age: 50
State: NY

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: Blood work performed

Allergies:

Symptoms: I experienced a fever, chills, body aches. I do have a history of lupus and it felt like a had a lupus attack. I received treatment and blood work.

Other Meds: Prednisone 10mg, Coumadin 5mg, Topramax 400mg BID, Acedone 150mg at night

Current Illness: Lupus, systemic, anti phospholipid syndrome

ID: 1023809
Sex: F
Age: 63
State:

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

Lab Data:

Allergies:

Symptoms: Patient called and stated she got the Moderna vaccine on Monday. She stated she has a hard knot and red raised circle about an inch wide at injection site. She stated it is sore to touch. RN stated to call her provider since it has been several days. She is not sure if the red circle started yesterday but it was there today. RN asked if she had any other side effects. She stated the same evening she got the shot she was feeling weak, and had a headache. She stated she took Tylenol, which she stated helped, but has a headache again today. RN stated to call doctor today so he may advise. RN stated will follow up with her tomorrow.

Other Meds:

Current Illness:

ID: 1023810
Sex: M
Age: 38
State: PA

Vax Date: 01/30/2021
Onset Date: 01/30/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: FEB. 2, 2021 - HYPOGLYCEMIA, BGL 39MG/DL, BP 84/58; GIVEN 1L SODIUM CHLORIDE, IV AND DEXTROSE IV.

Allergies: CIPRO, KEFLEX, PCN, STATINS

Symptoms: FOLLOWING SECOND DOSE, RAPID ONSET OF SEVERE PAIN IN LEFT ARM AND SHOULDER, PAIN OF NECK, UPPER BACK, RIGHT SHOULDER. THE FOLLOWING DAY, 01/31, FEVER VARYING FROM 101 TO 105 FOR FOUR DAYS. ABDOMINAL AND CHEST PAIN, RUNNY NOSE, HEADACHE AND MIGRAINE SYMPTOMS. DIAHRREA, NAUSEA AND VOMITING. LOOSE STOOLS PERSISTED FOR ELEVEN DAYS FOLLOWING INJECTION OF SECOND DOSE OF THE MODERNA 030L2OA. AFTER EVERY MEAL, UNDIGESTED STOMACH CONTENTS PASSED VIA RECTUM, WITH WATERY MUCOUS. LOSS OF APPETITE, GENERAL MALAISE. ON DAY 3, NEAR SYNCOPE COUPLED WITH HYPOTENSION AND HYPOGLYCEMIA WITH DEHYDRATION. CONSUMED 1L OF PEDIALYTE/DAY, WITH 2L OF WATER/DAY. COVID-19 RAPID TEST WAS NEGATIVE.

Other Meds: METOPROLOL 25MG, SERTRALINE 50MG

Current Illness: NONE

ID: 1023811
Sex: M
Age: 84
State: IN

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

Lab Data:

Allergies: bee venom, cleocen

Symptoms: fever,joint pain, tired, restless headache / lasted 32 hours

Other Meds: metforman, simvastatan, lisiniprol, alipuronol

Current Illness: none

ID: 1023812
Sex: F
Age: 35
State:

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Unusual fatigue, Headache and feeling weak

Other Meds:

Current Illness:

ID: 1023813
Sex: M
Age: 85
State: OH

Vax Date: 01/22/2021
Onset Date: 01/26/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: Pt was seen in the Neurology Clinic where he was diagnosed with Injury of the Radial Nerve. Patient was given Pregabalin for pain, CBC, ESC, CRP were ordered for labs. Occupational Therapy was ordered. An MRI of the Brachial Plexus with and without contrast was ordered and an EMG was ordered.

Allergies: Adhesive bandages

Symptoms: Patient states he was not able to get his sleeve up far enough but the person that gave the injection went ahead and gave the injection in the bottom part of his arm. The patient began having pain and burning in his arm and it went into his back and neck area. The pain and burning continued until the patient sought medical care at an ER and was referred to Neurology Clinic.

Other Meds: CLOPIDOGREL 75 MG ORAL TAB BACLOFEN 10 MG ORAL TAB METOPROLOL SUCC 25 MG ORAL TB24 HYDROCORTISONE--TOP 2.5% OINT ASPIRIN ENTERIC COATED--PO 81MG TBEC APIXABAN 5 MG ORAL TAB ESOMEPRAZOLE (NEXIUM)--PO 40MG CAP ATORVASTATIN 40 MG ORAL TAB FINA

Current Illness:

ID: 1023814
Sex: M
Age: 40
State: TN

Vax Date: 01/25/2021
Onset Date: 02/03/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: Basic Metabolic Panel and Thyroid Function Test performed at PCP visit, results within normal limits.

Allergies: Adverse drug reaction to Diazepam

Symptoms: Moderately severe tonic/clonic seizure of approximately 60 second duration observed by nursing staff at approximately 7:00am on 2/3/21. Patient was awake sitting at the dining table. Patient has no previous history of seizures. The only immediate treatment was continued observation, with no further seizures noticed to date. Patient visited his PCP later that day for follow-up, no treatment advised.

Other Meds: Montelukast, Loratadine, Levothyroxine, Docusate, Fluticasone,

Current Illness: n/a

ID: 1023815
Sex: F
Age: 69
State: FL

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

Lab Data: None

Allergies: Pollen, Dust, Animal dander

Symptoms: Persistent Cough

Other Meds: Celexa, Crestor, Norvasc, Pronethazine, Glyburide, Novolog flexpen, Synthroid, Basaglar

Current Illness: None

ID: 1023816
Sex: F
Age: 49
State: TX

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

Lab Data: none

Allergies: asp caterpillars PCN Cpmpazine fentanyl

Symptoms: fever High heart rate difficulty breathing severe body aches Hot red arm for 3 days

Other Meds: Claritin D Singular

Current Illness: none

ID: 1023817
Sex: M
Age: 42
State: CA

Vax Date: 12/21/2020
Onset Date: 12/29/2020
Rec V Date: 02/11/2021
Hospital:

Lab Data: None

Allergies: Unknown

Symptoms: COVID + after 1st dose of vaccine.

Other Meds: Unknown

Current Illness: Unknown

ID: 1023818
Sex: M
Age: 63
State: CT

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: n/a

Allergies: NKDA

Symptoms: H/A - moderate to good relief with acetaminophen 750 mg , 2 doses over 24 hours; intermittent chills, generalized achiness - some relief with acetaminophen, some fatigue

Other Meds: none

Current Illness: none

ID: 1023819
Sex: F
Age: 48
State:

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Fever 100.8, chills, body aches, exhaustion, pain in left arm gradually spreading over entire left side of the body, numbness/tingling of left lower lip

Other Meds:

Current Illness:

ID: 1023820
Sex: F
Age: 82
State: FL

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

Lab Data:

Allergies:

Symptoms: Date and time of vaccination: (list both if they received both shots): 1/5/21 1st, 2/2/21 second Facility name where the vaccine was given. dizziness 3 days after the 2nd shot, resolving .

Other Meds:

Current Illness:

ID: 1023821
Sex: M
Age: 23
State: ME

Vax Date: 01/29/2021
Onset Date: 02/07/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies: Dust, Animal Fur, Some Wood/Grass

Symptoms: Red bumpy circle around injection site

Other Meds: Albuterol Inhaler(Taken as needed), Clobetasol ointment

Current Illness:

ID: 1023822
Sex: F
Age: 30
State: NJ

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

Lab Data: Appointment to see pulmonologist scheduled for 1 week from tomorrow (2/19/21)

Allergies:

Symptoms: Rapid heart rate above 100 beats per minute when normal is around 70. Hard to take a deep breath due to chest tightness. Started a few hours after vaccine and continued for over a week (still occurring today)

Other Meds: Wellbutrin XL 300 mg

Current Illness:

ID: 1023823
Sex: F
Age: 50
State: MD

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Not feeling good, stayed home from work on following day on 2/11/2021

Other Meds:

Current Illness:

ID: 1023825
Sex: M
Age: 36
State: IN

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: none

Allergies: sertraline

Symptoms: joint pain, fatigue, headache

Other Meds: diclofenac, nugenix, tylenol, omeprizole

Current Illness: none

ID: 1023826
Sex: F
Age: 0
State: GA

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies: Augmentin, Aspirin, Latex, banana, Codiene, Lidocaine

Symptoms: Dizziness, elevated blood pressure and heart rate. 20 mins after injection

Other Meds: Valtrex 500mg Prilosec 20mg Vit D3 25mcg

Current Illness: Shingles 2 weeks ago

ID: 1023827
Sex: F
Age: 59
State: NH

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies: tramodol penicillin

Symptoms: vomiting dizziness severe headache

Other Meds: lisinoprol amitripptylyn atenonol omepprezole

Current Illness: high bp

ID: 1023828
Sex: F
Age: 65
State:

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Chills, fatigue, headache, nausea

Other Meds:

Current Illness:

ID: 1023829
Sex: F
Age: 42
State: NC

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: n/a

Allergies: Aspirin

Symptoms: Numbness and tingly in right arm 5 min post vaccination

Other Meds: Latuda, Mulit-vitamin, Naproxen, Benztropine, Famotidine, Gabapentin, Iron, Citalopram

Current Illness: n/a

ID: 1023830
Sex: F
Age: 36
State:

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: Treatment refused, patient vitals and symptoms monitored for 1 hour post vaccination and followed up the following day.

Allergies:

Symptoms: At 15 minutes post vaccination right leg felt "heavy" followed by tingling of right side of face and tongue. Mostly, but not completely resolved at 24 hours post vaccination.

Other Meds:

Current Illness:

ID: 1023831
Sex: F
Age: 26
State: WI

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies: UNKNOWN

Symptoms: Client reported that she chest pain, pain on her "breast bone." Also reports her right arm is swollen, experiencing lymph node tenderness or pressure in right armpit. Called and made a doctor's appointment for today.

Other Meds: UNKNOWN

Current Illness: NONE

ID: 1023832
Sex: F
Age: 78
State: PA

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: none

Allergies: NKDA and no known food allergies, MD listed COVID-19 vaccine as an allergy after the reaction

Symptoms: Bilateral upper arms reddened, swollen and pain resident also presented with a temperature. No treatment rendered for the localized reaction however antipyretic medication given and resolution of temperature achieved. Primary care physician ordered allergy to the COVID-19 vaccine.

Other Meds: Vitamin D3 and Calcium tablet

Current Illness: Rhabdomyolysis

ID: 1023833
Sex: M
Age: 51
State:

Vax Date: 01/30/2021
Onset Date: 01/30/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Pfizer E18982 Vaccine adverse reaction. Hives over 90% of body, severe itching, short term chills, joint pain and teeth chattering. No fever or breathing issues. Vaccine on 1.30.21, doctor visit on 1.31.21eceived IM dexamethasone shot. Symptoms (hives/itching) not resolved. Went to PCP steroid changed to Prednisone twice a day x 5 days. My Allergy doctor advised nothing different however has advised not to get regular allergy shots this week until symptoms subside. The reaction did not occur after injection during the Employee Vaccination visit, it occurred later that evening.

Other Meds:

Current Illness:

ID: 1023834
Sex: F
Age: 76
State: CT

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies: Aspertame, sugar substitutes, codeine

Symptoms: Emergency Medical Technician was on-site during clinic performing medical observation of vaccine recipients. Patient complained of feeling light-headed and general uneasiness. BP taken by EMT was 170/90 and pulse 72. Patient was aware and able to walk on her own. Patient walked to her vehicle, assisted by EMT, but she returned to the building because she still wasn't feeling well. EMT contacted emergency services for transport of the patient to Hospital ED.

Other Meds: none

Current Illness: no

ID: 1023835
Sex: M
Age: 85
State: FL

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Date and time of vaccination: (list both if they received both shots): 1/5/21, 2/2/21 Facility name where the vaccine was given: Dizziness occurred 6 days after the 2nd vaccine

Other Meds:

Current Illness:

ID: 1023836
Sex: F
Age: 58
State: OH

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: None

Allergies: N/A

Symptoms: Developed fever of 102.5, with chills and muscle aches. Lasted about 36 hours

Other Meds: Buproprion, Synthroid, Wixela, Diltiazem, Eliquis, antihistamine nasal spray, Enterogam, low dose erythromycin Various vitamins and herbals: Mindease, Zyflamend, Calcium, Vitamin D, Osteobiflex, Selenium, Ocuvite, Fish oil, EMIQ, Acetyl L C

Current Illness: Had a cardiac ablation for atrial fibrillation on Jan 19.

ID: 1023837
Sex: F
Age: 45
State: OH

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: temperature of 100.7, chills, headache on the first night. temperature of 101.1, sweating, and headache on the second night.

Other Meds: tylenol, ginger root, tumeric curcumin, vit D, buspar, magnesium

Current Illness: none

ID: 1023838
Sex: F
Age: 53
State: MS

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 1/14/21- severe injection site muscle pain and feeling tired 1/15/21- very fatigued with low grade fever 1/16/21- fever to 100.4 with loss of taste and smell 1/17/21- no fever but still tired 1/18/21- taste and smell returned

Other Meds:

Current Illness:

ID: 1023839
Sex: F
Age: 27
State: IL

Vax Date: 02/10/2021
Onset Date:
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Diarrhea starting on 2/11/2021

Other Meds: Prozac

Current Illness:

Date Died: 02/11/2021

ID: 1023840
Sex: M
Age: 62
State: IL

Vax Date: 02/04/2021
Onset Date: 02/08/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: n/a

Allergies: NKDA, NKA

Symptoms: Pt was administered Moderna Covid-19 Vaccine on 2/4/2021. Pt exhbited no symptoms of an adverse reaction of any sort. Pt was ambulating alert and attentive. Pt was observed for the alloted 15 mins by pharmacist and case worker who had escorted pt to vaccination clinic. It was reported that Either on sunday 2/7/2021 or monday 2/8/2021 pt had passed away. Circumstances revolving patient death is still unknown.

Other Meds: Ziprasidone, divalproex, haloperidol, allopurinol, Lisinopril, atorvastatin, aspirin, carvedilol

Current Illness: Hypertension, Morbid Obesity, DMII, Neuropathy, Cardiomyopathy, Hyperurecemia, Glaucoma, Polyp, Foliculitis, Bi-Polar disorder.

ID: 1023841
Sex: F
Age: 25
State: NJ

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: N/A

Allergies: N/A

Symptoms: Fever, chills, nausea, diarrhea, vomiting lasting for over 12 hours.

Other Meds: Fluoxetine 20 mg

Current Illness: N/A

ID: 1023842
Sex: F
Age: 24
State: MA

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Connection between syringe and needle was not tight, contents of syringe leaked down patient's arm. Neither patient nor vaccinator believe that the patient got any vaccine administered.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm