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: 1024245
Sex: M
Age: 65
State: CT

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: I have gone to my Primary Physician and she suggested a follow up with orthopedic doctor if adverse reaction continued. No positive effects from Benadryl and or Ibuprofen as suggested by Dr.

Allergies:

Symptoms: Swelling, pain and weakness of left wrist and hand. I have had this to date since adverse reactions started.

Other Meds:

Current Illness:

ID: 1024246
Sex: M
Age: 88
State: FL

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

Lab Data: None

Allergies: None

Symptoms: Rash at injection spot and surrounding area

Other Meds: Diabetes, heart and over the counter aspirin

Current Illness: None

ID: 1024247
Sex: F
Age: 44
State: CA

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

Lab Data:

Allergies: None

Symptoms: 10 minutes post second COVID vaccine, reported "floaters in vision," mild central chest pressure and elevated blood pressure 200sys/100dias and felt her "heart racing" pulse measured 101. after monitoring for approximately 30 min we decided to send to ER.

Other Meds:

Current Illness: ER visit 2/7/2021 for similar chest pressure radiating to left arm, negative cardiac work up, elevated blood pressure.

ID: 1024248
Sex: F
Age: 54
State: MO

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

Lab Data: NA

Allergies: Penicillin, Sulfa, Azithrycin

Symptoms: Irregular heart rhythm for 1 hour, bounding heart rhythm for 5 hours

Other Meds: Vitamin D-3 5000 IU daily

Current Illness: None

ID: 1024249
Sex: F
Age: 64
State: NM

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

Lab Data: None yet.

Allergies: penicillin clyndamicin imitrex sulfa

Symptoms: 2 weeks after first vaccine: Large rash suddenly appeared on upper arm (looks like subcontinent). Very stiff neck and shoulder on left too.

Other Meds: Celecoxib 200 Mg Capsule Lisinopril 10 Mg-hydrochlorothiazide 12.5 Mg Tablet Baclofen 10 Mg Tablet Zyrtec multivitamins probiotic Sam-E 400 mg

Current Illness: none

ID: 1024250
Sex: M
Age: 42
State: TX

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

Lab Data: None

Allergies: None

Symptoms: Lip numbness more on left, but bilateral. Onset 3 hr after injection, worsen over 6 hours. Improved after 12 hours but did not resolve after 1 month.

Other Meds: None

Current Illness: None

ID: 1024251
Sex: F
Age: 55
State: GA

Vax Date: 12/23/2020
Onset Date: 01/01/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: CT SCAN

Allergies: codeine gluten Augmentin cypro ALL SSRI

Symptoms: Tongue was sore on the left side. I had a knot under my chin.. In about 8 hours the knot tripled the size looked like a large lymph Node under my chin I went to see a ENT within a week and they stated that my lymph was clogged and congested around the tissue which caused saliva gland to become clogged which causes Salisbury stones in my tongue

Other Meds: Benztropine Meloxicam metoprolol trazadone gabapentin vitamin d calcium zinc magnesium easing fresno oil vitamin E EYE health vitamin

Current Illness: None

ID: 1024252
Sex: F
Age: 27
State: WI

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

Lab Data:

Allergies:

Symptoms: I was preparing Pfizer COVID-19 for administration. After adding the diluent to vile, I started drawing-up the doses in syringes. Due to the pressure in the vile, while drawing up the dose the vile sprayed me in both eyes. I finished drawing up all doses from that vile and went to the restroom to rinse out my eyes.

Other Meds:

Current Illness:

ID: 1024253
Sex: F
Age: 66
State: VA

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

Lab Data: N/A

Allergies: Shrimp, bee stings, reaction but not allergic to Tetracycline

Symptoms: Ringing in head to the point of distraction and mild confusion , body aches, headache (worse than usual), dizziness and some queasiness. Fluctuates very bad for 6-12 hours, then slightly better for a few hours, then pattern repeats. Unusual fatigue occasionally but not too severe.

Other Meds: Myfortic, Synthroid, Prednisone, vitamin B complex, Valacyclovir, Prograf, Amlodipine, Atorvastatin, Centrum Silver, vitamin D3, gabapentin, Fioricet

Current Illness: None

ID: 1024254
Sex: F
Age: 48
State: TX

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

Lab Data:

Allergies: Contrast Dye, Amlodipine, Gabapentin

Symptoms: first two days-pain at injection site, fatigue-- 2/10 pt has knot in arm where vaccination was given/tender

Other Meds: Oxybutynin 10 mg once daily, Leflunomide 10 mg once daily-immunosuppressing drug, Remicade 250 mg infusion once monthly, Calcium 1200 mg once daily, D-3 5000 iu once daily, NP Thyroid 60 mg once daily, Lisinopril 20 mg once daily, Metoprolo

Current Illness:

ID: 1024255
Sex: F
Age: 34
State: NJ

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

Lab Data: None

Allergies: None

Symptoms: Both legs achy, sore back, skin sensitive Treatment: Took two Advil(200mg each), went to bed. Woke up feeling fine in the morning

Other Meds: Vitamin B6

Current Illness: None

ID: 1024256
Sex: F
Age: 69
State: IL

Vax Date: 01/27/2021
Onset Date: 02/03/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: None

Allergies: Allergic to cats and wasp stings

Symptoms: Only soreness and tiredness noted for one week. One week later on the morning of Feb. 3, 2021, my left upper outer arm was itching a lot. Nothing else noticed. That evening, it was still itching and was slightly swollen. On Feb 4, it was still itching, swollen and sore and there was a reddened area just below the injection site the size of an inch circle and it was warm to touch. Feb. 5, Reddened area is larger, about 3.5 inches by 5 inches. It is still swollen, sore and very itchy. On Feb. 6, the red area is fading. It's still itchy but less sore and swollen. On Feb. 7 it feels and looks slightly better. On Feb 10, it's itching occasionally, the red area is fading and it's not swollen.

Other Meds: Escitalopram 20mg daily, Duloxetine 60mg daily, Losartan-HCTZ 50-12.5mg daily, Metoprolol Succ ER 25mg twice daily, Multi-vitamin, Citrical with Vitamin D3, Turmeric, probiotic

Current Illness: none

ID: 1024257
Sex: M
Age: 68
State: CA

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

Lab Data: None

Allergies: PCN

Symptoms: ~ 7 minutes post injection, patient reports ?warmness in throat?. ~10 minutes post injection patient reports to being asymptomatic, V/S BP-130/75, HR-78, O2-98%, Resp. 20. ~30 minutes post complaint patient continues reporting asymptomatic. Education provided to seek medical attention if symptoms worsen. Patient expresses understanding.

Other Meds: HCTZ

Current Illness: N/A

ID: 1024258
Sex: F
Age: 45
State: LA

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

Lab Data: None

Allergies: all sulfur drugs (septra) breaks out in hives

Symptoms: just a red spot about 1 1/2" in diameter. Doesn't bother her at all. Her arm is sore when moved or touch but not bad

Other Meds: atorvastatin, fenofibrate, levothyroxine, enalapril, fluticasone, gabapentin, breo ellitpa, vascepa, super B complex, osteo bi flex, selenium, cal mag zinc, complete mulitvitamin, vit d3, schiff digestive advantage probiotic gummie, levocer

Current Illness: none

ID: 1024259
Sex: F
Age: 90
State: OH

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

Lab Data:

Allergies: Tegaderm

Symptoms: 1st dose, tired about 5 HR after vaccine. Tired 2nd day after 1st dose. 2nd dose was 4 1/2hr ago, so far no symptoms. Bed rest.

Other Meds: Metoprolol Succ ER 25MG TA,. Eliquis2.5MGTablet, Furosemide 20 MG Tablet, Potassium CL ER MEQ Tablet, Atorvastain 40MG Tablet

Current Illness:

ID: 1024260
Sex: F
Age: 69
State: NJ

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

Lab Data: No

Allergies: No

Symptoms: Sore left arm when I move it in every direction. It does not hurt, when stationery.

Other Meds: levoxyl, nexium, metformin, centrum silver, allegra, colace, magnesium, vitamin D-3

Current Illness: No

ID: 1024261
Sex: F
Age: 66
State: NY

Vax Date: 01/28/2021
Onset Date: 02/05/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: COVID tease on 2/9/21. Results were reported as negative on 2/11/21

Allergies: Sensitivity to erythromycin

Symptoms: A week after the vaccine (1/28 9 pm) overnight on 2/5/21 I got a severe stomach bug. It started with a severe headache, heartburn and bloating. (At first I thought it was food poisoning because it came on suddenly within hours of eating. The severe discomfort was Followed by a fever of 100.5, and body aches. I took Tylenol. The next day I took gas-x and Mylanta. The next day my temp was down to 99.5 and I had severe diarrhea all day. The 3rd and 4th days I hydrated and tolerated soft foods. 6 days later I am feeling better and started eating more solid foods. I got tested for COVID on Tuesday 2/9/21 ans got the results today that I tested negative. I?m not sure if this was a vaccine Rection or a separate bug. I?m relieved that it wasn?t COVID.

Other Meds: Zoloft generic Sertraline (25 mg)

Current Illness: None

ID: 1024262
Sex: F
Age: 23
State: CA

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

Lab Data:

Allergies:

Symptoms: Fever / Night sweats

Other Meds: N/A

Current Illness: N/A

ID: 1024263
Sex: F
Age: 56
State:

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

Lab Data:

Allergies: None

Symptoms: MODERNA COVID 19 Vaccine EUA High fever, 101.9 , hardness of left deltoid,headache,

Other Meds: None

Current Illness: None

ID: 1024264
Sex: F
Age: 89
State:

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

Lab Data:

Allergies:

Symptoms: Patient became hot, dizzy and lightheaded. Placed supine on cart, observed x 40 minutes. Initial BP 180/70 HR 74 Sat 100. F/U BP 182/73 HR 77 sat 100%. Provided water and cold pack. Systems resolved ~ 15 minutes and patient denies further complaints. Last BP 170/68 HR 76 sat 100%

Other Meds:

Current Illness:

ID: 1024265
Sex: F
Age: 37
State: NC

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

Lab Data: Epi pen x 1, Decadron 10mg, Benadryl, Zyrtec, Albuterol

Allergies: Meperidine- nausea

Symptoms: Burnt sensation and itchiness to tongue, rash to face, neck and ears, shortness of breath

Other Meds: Albuterol HFA, Xanax, Zyrtec, Norel AD, Pepcid, Flonase, Ibuprofen

Current Illness: None

ID: 1024266
Sex: F
Age: 69
State: VA

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

Lab Data: 2/11/21: BNP, D-Dimer, CBC, EKG

Allergies: Codeine, Percocet, Darvocet

Symptoms: 2 days after vaccination, patient developed intermittent dry cough and palpitations that are worsening. Has not been diagnosed with COVID-19 prior.

Other Meds: Lisinopril-Hydrochlorothiazide 10-12.5 MG Tablet 1 tablet Orally Once a day. Metformin HCl 500 MG Tablet 1 tablet with meals Orally Twice a day. Aspir-81 81 MG Tablet Delayed Release 1 tablet Orally Once a day. Vitamin D3 1000 UNIT Capsul

Current Illness: no acute illnesses. Patient does have chronic illnesses which include: diabetes, hypertension, hyperlipidemia, GERD

ID: 1024267
Sex: F
Age: 72
State: ID

Vax Date: 02/05/2021
Onset Date: 02/10/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: none

Allergies: Motrin, Valium

Symptoms: Five days after immunization, she developed a warm, itchy, red patch just inferior to the injection site on her left arm measuring approximately 10 cm x 15 cm. We initially thought it was cellulitis due to the delay in presentation, but it spontaneously resolved less than 24 hours later without antibiotics.

Other Meds: Synthroid, aspirin, vitamin D, Siberian Ginsing, Malic Acid with magnesium

Current Illness: none

ID: 1024268
Sex: F
Age: 59
State: WA

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

Lab Data:

Allergies:

Symptoms: A few hours after receiving vaccine, patient reports extreme fatigue, headache, sore arm at injection site and nausea. This resolved around 18 hours after the vaccine.

Other Meds:

Current Illness:

ID: 1024269
Sex: M
Age: 85
State: MI

Vax Date: 01/28/2021
Onset Date: 02/06/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: None

Allergies: PCN

Symptoms: 9 days post vaccination pt developed a hard lump at injection site along with redness. States redness was itchy and warm like a "sunburn" approximately 3" x 2". As of date of report pt states symptoms are increasing.

Other Meds: Lovastatin, Timerol, otc vitamins

Current Illness: None

ID: 1024270
Sex: F
Age: 66
State: CA

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

Lab Data: None

Allergies: None

Symptoms: Small rash on hind that itched for a couple of hours. Once it stopped itching the rash turned in to what looked like a burn mark and the skin starting tearing and bleeding. I?ve been wearing a bandaid and I still have the mark today (1 week later), although it is slowly going away.

Other Meds: HRT (Estrogen, Testosterone, Progesterone), DHEA, BPC-157, Vitamins D, B?s, C, & Multi

Current Illness: None

ID: 1024271
Sex: M
Age: 60
State: NJ

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

Lab Data: No Medical Tests

Allergies: None

Symptoms: The arm where the shot was administered, underneath the armpit area was swollen (Lymph Nodes) also had body aches, slight fever.

Other Meds: Flomax

Current Illness: None

ID: 1024272
Sex: M
Age: 79
State: TX

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

Lab Data: N/A

Allergies: Unknown

Symptoms: Client presented to clinic, did not inform staff that he had received first dose on 1/30/2020 at another site. Second dose administered unknowingly outside of 28 day time frame.

Other Meds: Unknown

Current Illness: Unknown

ID: 1024273
Sex: F
Age: 72
State: MI

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

Lab Data: none

Allergies: Sulfa

Symptoms: Nausea, Vomiting, fever, chills, body aches, severe headache. (49) hours Fatigue, headache , lightheaded continue

Other Meds: Lisinopril, Coreg, Pantoprazole

Current Illness: Gastritis

ID: 1024274
Sex: F
Age: 72
State: LA

Vax Date: 01/21/2021
Onset Date: 01/26/2021
Rec V Date: 02/11/2021
Hospital: Y

Lab Data: lumbar puncture which was high in protein, MRI -multi lumbar spondylosis, blood work

Allergies: iodine

Symptoms: caller ( admitting physician) stated pt got the vax and then she got weak on 1/26/2021. Stated he felt like she was lifting weight blocks. She went to Medical Center ER and was discharged and fell and in the parking lot. Pt came back to same ER 2 days later and was admitted w/ Guillain-Barre dx. Pt was then treated with IV Immunoglobulins. Labs; Sodium 132. BUN7 , Albumin 2.7, Glucose 112, WBC 3.5 HGB 10.4

Other Meds: albuterol, q6, Norvasc 10, Vitamin C, aspirin 81, liptor 20mg once daily, cosopt 1 drop both eyes, Flonase, gabapentin 300 mg, latanoprost 1 drop hs both eyes, keppra 500mg, x 2 daily, ativan1mg prn, multivitamin, oxycodone 1q4 prn, Crestor

Current Illness: robotic procedure for resection of carcinoid tumor on lung on 1/5/2021

ID: 1024275
Sex: F
Age: 75
State: AZ

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

Lab Data:

Allergies: codeine

Symptoms: soreness at site of injection

Other Meds: multiple vitamins, D, B, C, anti histamine, co Q 10, calcium, 81 mg aspirin, elderberry, zinc Atorvastatin, omeprozole, oxybutinin, metropolol, acyclover,

Current Illness:

ID: 1024276
Sex: F
Age: 37
State: CA

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

Lab Data: Vitals right after injection were normal

Allergies: Cow dairy Oranges Latex Medical tape

Symptoms: 10/10 arm pain with injection, pain and burning in arm, became dizzy immediately for about 30 minutes. Persistent arm pain through day and into second day, myalgia overnight. In am developed raised circular rash at injection site, tender to touch.

Other Meds: Nuvigil 200mg Claritin 10mg Vitamin c and d

Current Illness: None

ID: 1024277
Sex: M
Age: 2
State: KS

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

Lab Data:

Allergies: none noted

Symptoms: Thigh swollen, red, pussy, tender to touch, low grade fever. Told to seek medical treatment at emergency room or urgent care

Other Meds: none noted

Current Illness: none noted

ID: 1024278
Sex: F
Age: 66
State: FL

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

Lab Data: None

Allergies: None

Symptoms: Shingles outbreak on abdomen - right side - in a vertical pattern (streak) from mid-abdomen to mid-back Fatigue, lethargy Stabbing pain in area

Other Meds: Fluoxitine, Wellbutrin XL, Zyrtec, Multivitamin

Current Illness: None

ID: 1024279
Sex: F
Age: 75
State: MA

Vax Date: 01/31/2021
Onset Date: 02/01/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 1/31/21: initially itchy within a few hours of vaccination 2/1/21: next day there was a raised rash on her Lt arm (3x2 inch patch) 2/11/21: rash still present no increase in size or severity

Other Meds:

Current Illness:

ID: 1024280
Sex: F
Age: 74
State: UT

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

Lab Data: full work up in ER 2/10/2021

Allergies: penicillin

Symptoms: acute urticarial occurred 7 days after vaccine unclear if related but no other exposures

Other Meds: none

Current Illness: none

ID: 1024281
Sex: F
Age: 69
State: CA

Vax Date: 02/01/2021
Onset Date: 02/08/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: n/a

Allergies: none

Symptoms: Arm pain around the shot area, large red inflamed area and itchy starting approximately 10 days after the vaccination

Other Meds: Atorvastatin 20MG, Daily supplements 1 each daily: C0Q10 100 mg, Centrum Silver, Super B Complex, Triple Action joint Health, Probiotic Supplement, Ibuprofen 600 mg as needed

Current Illness: none

ID: 1024282
Sex: F
Age: 83
State: TX

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: 1/18/21: Ear ache Virtua: Appt. with MD. Rec'd Azithromycin, Triamcinolone cream 1/20/21: Shingles rash behind right ear 1/25/21: Shingles spreads to right scalp to hairline brow to

Allergies: gluten, Lisinopril, Bacitracin

Symptoms: Significant dizziness for several mornings after vaccination. General malaise for several days. Possibly triggered Shingles virus to emerge as she got shingles the next day after the first dose of the COVID-19 vaccination. After the second dose of the COVID-19 vaccination, the dizziness and malaise returned the very next morning (today 02/10/2021).

Other Meds: attached

Current Illness: none

ID: 1024283
Sex: F
Age: 30
State: WI

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

Lab Data: N/A

Allergies: amoxicillin

Symptoms: Fever, Headache, Body Ache, Tiredness, Injection Site Pain

Other Meds: Sertraline. Probiotic.

Current Illness: N/A

ID: 1024284
Sex: F
Age: 42
State: MI

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies: None known

Symptoms: I started to have slight numbness in my left arm and hand. It persisted the entire evening. It was very slight, almost as if my arm had fallen asleep. Driving home (at about 1:25pm) my face felt slightly numb for bout 1-2 minutes.

Other Meds: Vitamin d-3; Probiotic; Multi-vitamin, L-Lysine Monolaurin, B12, Zinc, Ibuprofen

Current Illness: None

ID: 1024285
Sex: F
Age: 52
State: CA

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

Lab Data:

Allergies: Latex / codeine

Symptoms: Patient receive 2nd Moderna vaccine on 02/11/21 at 12:55pm. Patient experienced elevated heart rate of 120 within 15 minutes of receiving 2nd Moderna vaccine injections. Patient had complaints of dizziness and weakness. Blood pressure elevated at 180/87, 02 sat - 99%. 1:26pm Blood pressure 174/71, heart rate 98, O2 sat - 98%. 1:30pm Blood pressure 146/73, heart rate 89. Patient stated she was feeling better, no dizziness or weakness. Patient decline ER transport.

Other Meds:

Current Illness: N/A

ID: 1024286
Sex: F
Age: 61
State: TX

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

Lab Data: None

Allergies: Pollen,, Molds

Symptoms: Patient complained heart rasing 10 minutes after getting vaccine Moderna vaccine 2nd dose.

Other Meds: Cymbalta, singular, Mirtazapine, Lisinopril, Allegra, Omeprazole, Amlodipine, Aspirin

Current Illness: None

ID: 1024287
Sex: M
Age: 80
State: FL

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

Lab Data:

Allergies: none known

Symptoms: Enough tiredness to recognize as such on second day. tiredness gone by about 8 p.m. second day

Other Meds: armour thyroid

Current Illness: none

ID: 1024288
Sex: F
Age: 28
State: SC

Vax Date: 01/20/2021
Onset Date: 01/27/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: N/A

Allergies: Amoxicillin and Singulair

Symptoms: Extremely itchy and red at injection site

Other Meds: Levothyroxine, Prenatal Vitamin and Vitamin D3

Current Illness: None

ID: 1024289
Sex: F
Age: 42
State: PA

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

Lab Data: n/a

Allergies: adhesive and laytex Meds: Lamictal, Sertralin, Ephedrine, Singulair, QVAR, Ephexor,

Symptoms: Rash and intense itching on both arms Treatment: take allergy oral medication and a topical steroid cream

Other Meds: Advair 100/50 Valtrex 500mg Multivitamin, Cranberry, Vit C, Vit D, Lectithin, B6, probiotics Red Rasberry Leaf tea

Current Illness: None

ID: 1024290
Sex: F
Age: 68
State: IN

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

Lab Data:

Allergies: None

Symptoms: Headache, Injection site pain Fatigue

Other Meds: Multivitamin Vitamin d

Current Illness: None

ID: 1024291
Sex: F
Age: 40
State: CA

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

Lab Data:

Allergies: Cats

Symptoms: inflamed, red, hot to the touch, swollen and bruised area at sit of injection, continues through this day. 4 days later. also suffered intense headache and fatigue, with body aches for 24 hours after the injection.

Other Meds: VITAMIN D with Zinc

Current Illness: none

ID: 1024292
Sex: F
Age: 60
State: KY

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

Lab Data: none

Allergies: demerol, ceftin, compazine

Symptoms: For about 24 hours soreness in left arm near injection site, more swelling and a lump under left arm and burning sensation under left arm and chest area where I typically have swelling and numbness due to lymphedema post mastectomy. Resolved within 24 hours with no treatment.

Other Meds: lisinopril; atorvastatin, vitamin D, multi-vitamin

Current Illness: none

ID: 1024293
Sex: F
Age: 67
State: OR

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: none

Allergies: atrovent inhaler

Symptoms: The same day as receiving the vaccine, I started getting nervous and restless around 11pm after I went to bed. I started having generalized pain, all my muscles became achy and my R arm was so sore I could not move it. About 1 am the next morning, I became nauseated and retching. I stared sweating and chilling, my body was shaking so bad I could not hold my thermometer. That lasted possibly 5 minutes, fever 100.8. Episodes of sweating alternating with cold chills occurred the remainder of the night. Exhaustion set in and I could not get out of bed. I was on bedrest all morning and I began to feel better around 4-5pm the next day.

Other Meds: B complex, Vitamin C, Flaxseed oil, collagen

Current Illness: none

ID: 1024294
Sex: M
Age: 43
State: NY

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

Lab Data: antibody test in october =175

Allergies: penicillin.erythromycin

Symptoms: Fever 102, headache, nausea, chills, malaise, brain fog lasting 2 days. Patient had COVID in March 2020 and recovered.

Other Meds: allegra 180mg

Current Illness: n/a

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm