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: 1025289
Sex: F
Age: 37
State: IL

Vax Date: 02/04/2021
Onset Date: 02/12/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: none

Allergies: Penicillin , bee venom

Symptoms: Injection site was initially sore for two days and then pain became minimal. Today I awoke to find my injection site raised, bumpy, hot to the touch, and very itchy. Today is day 8 following my injection.

Other Meds: alprazolam, lansoprozole, sertraline, lamitrogine, bupropion XL

Current Illness: None known

ID: 1025290
Sex: F
Age: 70
State:

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

Lab Data:

Allergies:

Symptoms: Pt c/o tingling sensation of tongue and throat after receiving 2nd vaccine dose. No facial edema or difficulty swallowing or breathing. States this also happened with the first dose and it lasted 4-5 days. She only reported that episode to her pcp who advised her to premedicate with Benadryl for 2nd dose which she did. Facility gave her an additional Benadryl 12.5 mg and monitored for 60 min without any worsening symptoms. Called pt next day and symptoms had improved somewhat. Denied facial swelling, difficulty swallowing or breathing .Advised to follow up with her pcp or call 911 if swelling or difficulty breathing occurred.

Other Meds:

Current Illness:

ID: 1025291
Sex: F
Age: 64
State: MS

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: Strep, flu, and COVID results were neg. on 10 Feb 21.

Allergies: None

Symptoms: Moderna COVID 19 Vaccine EUA

Other Meds: Plendil, Micardis, Zoloft, Abilify, atenolol, Janumet

Current Illness: None

ID: 1025292
Sex: F
Age: 51
State: NJ

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: n/a

Allergies: nkda

Symptoms: Patient developed rash and also lymphadenopathy, supraclavicular after injection with 2nd dose of moderna covid vaccine

Other Meds: 50mg sertraline

Current Illness: unknown

ID: 1025293
Sex: F
Age: 51
State: NC

Vax Date: 02/03/2021
Onset Date: 02/12/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: none

Allergies:

Symptoms: Nine days post vaccine, injection site has large (approx. 2x3 inches oval) red welp. Shoulder, arm, upper back is weak, warm, and achy.

Other Meds: Keppra Zoloft Synthroid Magnesium Calcium + Vit D

Current Illness:

ID: 1025294
Sex: M
Age: 25
State:

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Continued headache and fatigue 8 days after vaccine administration.

Other Meds:

Current Illness:

ID: 1025295
Sex: F
Age: 36
State: OH

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies: amoxicillin

Symptoms: fever, muscle aches, fatigue, headache.

Other Meds:

Current Illness:

ID: 1025296
Sex: M
Age: 71
State:

Vax Date: 02/10/2021
Onset Date: 02/12/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Same crap I had first shot, check your records

Other Meds:

Current Illness:

ID: 1025297
Sex: F
Age: 54
State: VA

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: N/A

Allergies: Protonix, Celebrex, Flagyl Bees Floor wax, stripper

Symptoms: Injection just before noon on Tuesday. Very tired that night after the injection. Starting at 0300 the following morning, had hard shaking chills. Fever got as high as 103.8. Generalized aches, bad headache. Fever finally broke Thursday afternoon.

Other Meds: Levothyroxine, Betahist, Allegra, Ibuprofen

Current Illness: Sudden neurological hearing loss, intermittent

ID: 1025298
Sex: F
Age: 50
State: LA

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: blood work 1/30/21

Allergies: none

Symptoms: Left side of face started going numb and tingling, jaw hurt and felt still, began rapid breathing and had watery eyes, then left side of body had less sensation

Other Meds: Amlodipine Besylate, Colesevelam. Eliquis, fluoxetine Hcl, Gralise, Levocetirizine, Metanx, Metoprolol Succ Er, Omeprazole, Pramipexole, Tizanidine, Vitamin D2

Current Illness: none

Date Died:

ID: 1025299
Sex: F
Age: 86
State: FL

Vax Date: 02/07/2021
Onset Date: 02/10/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Systemic: Other- Patient died - cause unknown; 1 day

Other Meds:

Current Illness:

ID: 1025300
Sex: M
Age: 75
State: WI

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

Lab Data: Multiple labs and chest X-ray

Allergies: Remicade [Infliximab]Itching RosuvastatinOther (See Comments) SimvastatinOther (See Comments) NaproxenItching, Rash

Symptoms: 75 year old M, worsening weakness for the past several weeks. Seems to have gotten worse since Monday when he had his first Covid vaccine here at the hospital. Denies any headaches or neck pain. No fevers or chills. No cough or shortness of breath. No abdominal pain. No vomiting or diarrhea. No black or bloody stools. No dizziness. Today he almost fell and the son had to catch him. He did not suffer any trauma. He offers no symptoms of pain. Here he is fully awake and alert. Nothing to clinically suspect a stroke. His vitals are stable. Chest x-ray shows nothing acute. Creatinine is better than baseline. Electrolytes are stable. Troponin reassuring. He had no chest pain or shortness of breath to suspect angina. Spoke to the wife via telephone, he is getting so weak that he was unable to walk. Paramedics report they had lift him as he could not take a step. He was unable to ambulate here in the emergency room. At this time it does not seem like I can safely discharge him home.

Other Meds: allopurinoL (ZYLOPRIM) 300 MG tablet Take 300 mg by mouth Daily. amiodarone (PACERONE) 200 MG tablet 1 tablet by mouth Daily. aspirin 81 mg chewable tablet Take 81 mg by mouth Daily. bisacodyl (DULCOLAX) 5 mg EC tablet 10 mg by mouth Dai

Current Illness: See chronic problem list below

ID: 1025308
Sex: F
Age: 28
State: CA

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

Lab Data:

Allergies:

Symptoms: No other details provided; She took the product while pregnant; This spontaneous, prospective pregnancy report was received from a consumer and refers to herself, a 28-year-old, female patient. She had no pertinent medical history, no concomitant medications, drug reactions or allergies. On 09-DEC-2020, the patient was vaccinated with varicella virus vaccine live (oka/merck) (VARIVAX) injection, first dose of two scheduled doses (exact dose, strength, exact route of administration, anatomical location, lot # and expiration date were unknown) for lack of antibodies. The patient stated, that she took the vaccine after getting pregnant and at the administration time she did not know that she was pregnant (exposure during pregnancy). The patient wanted to know, if the vaccination would affect her pregnancy, although she did not search medical attention. The last menstrual period (LMP) was on approximately unknown date in 2020. The estimated delivery date (EDD) or gestational period were not provided. The pregnancy outcome was pending (unknown fetal outcome). The therapy was reported as discontinued on 13-JAN-2021, as the patient took only one of the two scheduled injections. No adverse event was reported.

Other Meds:

Current Illness: Prophylaxis

ID: 1025310
Sex: U
Age:
State: IA

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies:

Symptoms: expired dose of Pneumovax 23 was administered to a patient; This spontaneous report was received from a nurse and refers to a patient of unknown age and gender. The patient's pertinent medical history, drug reactions, allergies and concomitant medication were not reported. On 08-FEB-2021, the patient was vaccinated with an expired dose of pneumococcal vaccine, polyvalent (23-valent) (PNEUMOVAX23) lot # S005856 has been verified to be a valid lot number, expiration date was not reported, but upon internal validation, it was established as 03-DEC-2020, 0.5 ml administered intramuscularly for prophylaxis. The reporter confirmed that the vaccine has had no temperature excursions and has been stored according to the recommended temperature range. No other information provided. combinationproductreport: Yes; brandname: PNEUMOVAX23 SYRINGE (DEVICE); commondevicename: Pneumococcal Vaccine, Polyvalent (23-valent); productcode: FMF; devicetype: SYRINGE, PISTON (FMF); manufacturername: Merck Sharp & Dohme Corp.devicelotnumber: S005856; expirationdate: 03-DEC-2020; deviceage and unit: 0 ; malfunction: Unknown; deviceusage: Initial; reasonfornoneval: 81 Other; labeledsingleusedevice: No; mdcpreportability: No; mdcpreprationale: Case information does not meet the criteria for Reportability

Other Meds: PNEUMOVAX23 SYRINGE (DEVICE)

Current Illness:

ID: 1025311
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Fever; arm red; arm red; required antibiotics; This case was reported by a consumer via other manufacturer and described the occurrence of fever in a female patient who received Herpes zoster (Shingrix) for prophylaxis. On an unknown date, the patient received the 1st dose of Shingrix. On an unknown date, less than a year after receiving Shingrix, the patient experienced fever, injection site erythema, erythema of extremities and infection. The patient was treated with antibiotics nos (Antibiotics (Brand Names Not Known)). On an unknown date, the outcome of the fever, injection site erythema, erythema of extremities and infection were unknown. It was unknown if the reporter considered the fever, injection site erythema, erythema of extremities and infection to be related to Shingrix. Additional details were provided as follows: The age at vaccination was not reported. The reporter was calling on behalf of someone else. The person received Shingrix in left arm. The reporter stated that, it was told on the news that if a person had an adverse event to other vaccines, that person should not receive Covid vaccine. The reporter was calling for information as to whether this person should receive the Covid vaccine. The reporter wanted to know how she would know if the ingredients in Covid-19 vaccine and Shingrix vaccine were similar. The reporter was inquiring if it was accurate that someone who had an adverse event to any other vaccine should not take the Shingrix vaccine. The reporter mentioned a reaction to a previous Shingrix vaccine, on 1st occasion experienced redness on injection site and experienced fever and required antibiotics. The reporter consented to follow up. For the tolerance of 2nd dose, refer linked case US2020AMR249487.; Sender's Comments: US-GLAXOSMITHKLINE-US2020AMR249487:2nd shot

Other Meds:

Current Illness:

ID: 1025312
Sex: M
Age:
State:

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

Lab Data: Test Name: Blood pressure; Result Unstructured Data: (Test Result:Normal,Unit:mmHg,Normal Low:,Normal High:); Test Name: Blood pressure; Result Unstructured Data: (Test Result:80,Unit:mmHg,Normal Low:,Normal High:); Comments: Diastolic bp; Test Name: Blood pressure; Result Unstructured Data: (Test Result:70,Unit:mmHg,Normal Low:,Normal High:); Comments: Diastolic bp; Test Name: Blood pressure; Result Unstructured Data: (Test Result:90,Unit:mmHg,Normal Low:,Normal High:); Comments: Diastolic bp; Test Name: Blood pressure; Result Unstructured Data: (Test Result:90,Unit:mmHg,Normal Low:,Normal High:); Comments: Diastolic bp; Test Date: 202011; Test Name: Blood pressure; Result Unstructured Data: (Test Result:Up,Unit:mmHg,Normal Low:,Normal High:); Test Date: 202011; Test Name: CT scan; Result Unstructured Data: (Test Result:Reduction of 46% in the size of tumors,Unit:unknown,Normal Low:,Normal High:); Comments: LabComments: Blood pressure : Diastolic bp, Blood pressure : Diastolic bp, Blood pressure : Diastolic bp, Blood pressure : Diastolic bp

Allergies:

Symptoms: chills; fever; skin abscess and had to have an incision and drainage performed; This case was reported by a consumer via other manufacturer and described the occurrence of chills in a adult male patient who received Herpes zoster (Shingrix) for prophylaxis. The patient's past medical history included decreased appetite, weight loss (lost 15 lbs), abscesses of skin, loss of energy, diarrhea and constipation. Previously administered products included Shingles vaccine. Concomitant products included lenvatinib mesilate (Lenvima). On an unknown date, the patient received Shingrix. On an unknown date, unknown after receiving Shingrix, the patient experienced chills, fever and skin abscess drainage. On an unknown date, the outcome of the chills, fever and skin abscess drainage were unknown. It was unknown if the reporter considered the chills, fever and skin abscess drainage to be related to Shingrix. Additional details were received as follows: The patient's spouse reported that patient received the lenvima 20 mg in past on 14th October 2020 for differentiated thyroid cancer. Patient had past history of skin abscesses. On unknown date patient received the shingles vaccine. Patient had lab tests in end of November such as CT scan which showed a reduction of 46 percent in the size of his tumors. Patient's blood pressure was measured and it was going up a little bit but currently normal. Patient received the welcome kit and has been checking his blood pressure daily (diastolic usually in 80s, occasionally in 70s and twice at 90) Patient's appetite was decreased and he has lost 15 lbs since starting on Lenvima. On October 2020 patient had nutrition consult,also patient experienced overall lack of energy, diarrhea a couple of times, but mostly experienced constipation. On unknown date patient received the dose of Shingrix and on December 2020 patient experienced chills and fever with skin abscess and which had to have an incision and drainage performed along with Antibiotics. The reporter consented to follow up.

Other Meds: LENVIMA

Current Illness:

ID: 1025313
Sex: M
Age:
State: PA

Vax Date: 01/05/2021
Onset Date:
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies:

Symptoms: DRESS syndrome; Presistant fever; Rash; Eosinophilia; A spontaneous report was received from a physician concerning a male patient who received Moderna's COVID-19 vaccine (mRNA-1273) and subsequently developed Drug reaction with eosinophilia and systemic symptoms (DRESS) syndrome. The patient's medical history was not provided. Concomitant product use was not reported. On 05 Jan 2021, prior to the onset of the event, the patient received their first of two planned doses of mRNA-1273 intramuscularly for prophylaxis of COVID-19 infection. After vaccine administration, the patient subsequently developed persistent fevers, rash, and new eosinophilia. The reporter stated being concerned for possible DRESS related to the vaccine. The patient was urgently referred to dermatology for a skin biopsy. No treatment information was provided. Action taken with mRNA-1273 in response to the event was not provided. The outcome of the event, DRESS, was unknown.; Reporter's Comments: This case concerns a male patient of unknown age who experienced a serious unexpected event of eosinophilia and systemic symptoms (DRESS) syndrome, including persistent fevers, rash, and new eosinophilia. The event occurred with unknown latency after first dose of mRNA-1273 on 05 Jan 2021. No further information available. Based on the current available information and temporal association between the use of mRNA-1273 and the start date of the events, a causal relationship cannot be excluded.

Other Meds:

Current Illness:

ID: 1025314
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies:

Symptoms: arm was sore; Initial information received on 25-Jan-2021 regarding an unsolicited valid non-serious case received from a consumer/non-healthcare professional. This case involves a 77 year old female patient who had arm was sore (pain in extremity), while she received vaccine INFLUENZA VACCINE. Medical history, medical treatment(s), vaccination(s), concomitant medications and family history were not provided. On an unknown date, the patient received a dose of suspect INFLUENZA VACCINE produced by unknown manufacturer (lot number and expiry date not reported) via unknown route in unknown administration site for prophylactic vaccination. On an unknown date, the patient developed a non-serious arm was sore (pain in extremity) unknown latency following the administration of INFLUENZA VACCINE. No laboratory data was provided. It was not reported if the patient received a corrective treatment. At the time of reporting, the outcome of event was unknown. There will be no information available on the batch number for this case

Other Meds:

Current Illness:

ID: 1025315
Sex: M
Age: 0
State: VA

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

Lab Data:

Allergies:

Symptoms: A patient received only the liquid portion of Pentacel without reconstituting, no AE; Initial information regarding an unsolicited valid non-serious case was received from a nurse via Regulatory Authority (Reference number- 00448757) and transmitted to Sanofi on 27-Jan-2021. This case involves a seven-month-old male patient who received only the liquid portion of pentacel without reconstituting the Hib powder portion (product preparation issue), while he received DIPHTHERIA/TETANUS/5 HYBRID AC PERTUSSIS/IPV(MRC5)/HIB(PRP/T) VACCINE [PENTACEL]. The patient's medical history, medical treatment(s), vaccination(s) and family history were not provided. Concomitant medications included PNEUMOCOCCAL VACCINE CONJ 7V (CRM197) (PREVNAR), ROTAVIRUS VACCINE (ROTAVIRUS VACCINE), INFLUENZA VACCINE INACT SPLIT 4V (FLUZONE QUADRIVALENT) and NA (sodium). On 27-Jan-2021, the patient received a dose of suspect DIPHTHERIA/TETANUS/5 HYBRID AC PERTUSSIS/IPV(MRC5)/HIB(PRP/T) VACCINE (lot U6890AA and expiry date: 08-Mar-2022) via an unknown route in right thigh for prophylactic vaccination. This was a case of actual medication error due to inappropriate reconstitution technique (latency same day). At the time of reporting, no adverse event was reported. This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holders compliance with the requirements set out in Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.

Other Meds: PREVNAR; ROTAVIRUS VACCINE; FLUZONE QUADRIVALENT; NA

Current Illness:

ID: 1025316
Sex: F
Age: 87
State: CO

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies: Penicillin Amoxicillin clavulanate 875-125

Symptoms: Nausea, Headache, 100.3? Fever, fatigue

Other Meds: Levothyroxine Sodium 125 Mcg. 1 Tab daily Hydrochlorothiazide 12.5 mg .5 Tab daily Premarin .625 mg. 1/2 Tab daily Citalopram Hydrobromide 10 mg 1 Tab Daily

Current Illness: None

ID: 1025317
Sex: F
Age: 51
State: FL

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: I had an EKG with normal findings.

Allergies: I am allergic to seafood/shellfish and topical betadine.

Symptoms: I felt like I had tunnel vision, dizzy, wasn't functioning very well. I had fatigue as well. I went to the ED for observation.

Other Meds: I take a multivitamin, vitamin D and I take vitamin C.

Current Illness: No

ID: 1025318
Sex: F
Age: 45
State: WI

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Received 2/2 COVID-19 vaccine 1/26/21 near 8:30 am. Shortly before 5 am the next morning (1/27) employee woke up & noticed tongue hurt, then discovered left unilateral tongue swelling and was having difficulty speaking clearly. Employee was unable to find Benedryl at home & tongue was continuing to swell and was having some difficulty swallowing so proceeded to ED. Employee also had 3 additional episodes of angioedema - 1st right upper and lower lip, 2nd left upper lip and 3rd right outer foot near heal and developed a 1/2 gumball size lump. Additional episodes occurred within 10 days after receiving the vaccination and all resolved with use of benadryl po and resolved within 24 hours.

Other Meds:

Current Illness:

ID: 1025319
Sex: M
Age: 41
State: VA

Vax Date: 02/03/2021
Onset Date: 02/11/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: None

Allergies: none known

Symptoms: injection site and lower on the left arm. Redness, swelling, soreness, warm to touch started 8 days after injection. Day 9 redness is larger.

Other Meds: none

Current Illness: none

ID: 1025320
Sex: F
Age: 36
State: IL

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Developed severe shooting pain in L arm. Unable to move arm.

Other Meds:

Current Illness:

ID: 1025321
Sex: F
Age: 70
State: MN

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

Lab Data:

Allergies:

Symptoms: The employee wrote: "Needle not screwed in tightly enough to syringe, some vaccine sprayed out when vaccine administered."

Other Meds:

Current Illness:

ID: 1025322
Sex: F
Age: 48
State: MD

Vax Date: 02/03/2021
Onset Date: 02/11/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: None yet

Allergies: Allergic to penicillin and naprosyn

Symptoms: On the day of the injection 2/3/2021, the site was sore, red and swollen. I also had a headache for 3-4 days afterwards. The redness and swollen area went away. Yesterday morning on 2/11/2021 (8 days after the injection) the injection site began to itch terribly. Then the site turned red and irritated. Last night, the site swelled and the red area and swollen area is the size of a baseball. It itches and is sore.

Other Meds: Vitamins only and iron supplement

Current Illness: NONE

ID: 1025323
Sex: F
Age: 85
State: IN

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies: MOXIFLOXACIN

Symptoms: SHOT WAS RECEIVED AT10:10AM ON FEBRUARY 10, 2021.. 12:30 PM THE FIRST REACTION WAS DIZZINESS TO THE POINT THAT MOM COULD NOT GET UP ALONE. NEXT SYMPTOM WAS SEVERE CHILLS. PAIN SWELLING AT INJECTION SITE. DAY TWO AFTER SHOT (FEB 11,2021) DIZZINESS CONTINUED AND SEVERE CHILLING. FINGERS TURNED BLUEISH AND WERE EXTREMELY COLD. MOM WAS ALSO NAUSEATED THE 2ND DAY AND KEPT A VOMIT BAG CLOSE TO HER. AT NO POINT DID SHE HAVE A FEVER.

Other Meds: NONE

Current Illness: NONE

ID: 1025324
Sex: F
Age: 72
State: SC

Vax Date: 01/18/2021
Onset Date: 01/20/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: Doctor did blood work to determine if the joint pain was from arthritis. Negative. Need to contact doctor for specifics

Allergies:

Symptoms: Patient stated that 2 days after receiving Moderna he had severe joint pain. Could not lift arms above shoulders, make a fist, hard to stand after sitting. He saw doctor beginning of following week and prescribed a round of prednisone. I spoke with patient today and said that he is feeling better and strength is returning but, still weak. Doctor told him to delay taking his 2nd dose of Moderna for 1 month.

Other Meds:

Current Illness:

ID: 1025325
Sex: F
Age: 66
State: FL

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

Lab Data:

Allergies: none

Symptoms: Fever,

Other Meds: Divigel, Trazadone, Calcium w/VitD, singular, Boiltin

Current Illness: none

ID: 1025326
Sex: F
Age: 23
State: IN

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies: N/a

Symptoms: Sore arm, fever, body aches, head ache and fatigue

Other Meds: N/a

Current Illness: N/a

ID: 1025327
Sex: M
Age: 71
State: FL

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Systemic: Other- blood pressure and heart rate dropped and patient was dizzy

Other Meds:

Current Illness:

ID: 1025328
Sex: F
Age: 53
State: GA

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: n/a

Allergies: none

Symptoms: Started itching and breaking out with hives all over body. Went to ER on 02/09/2021 and was given a steroid shot. Was told by ER doctor to take antihistamine over the counter.

Other Meds: no

Current Illness: none

ID: 1025329
Sex: F
Age: 63
State: PA

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Pfizer BioNTech COVID-19 Vaccine EUA left armpit lymph node swelling injection site pain headache nausea joint pain

Other Meds:

Current Illness:

Date Died: 02/10/2021

ID: 1025330
Sex: M
Age: 87
State: AZ

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 02/12/2021
Hospital: Y

Lab Data: I have been told by his daughter that he had aspiration pneumonia.

Allergies: None

Symptoms: On 1/26 at breakfast table began vomiting. Continued thru am when at noon a caregiver did his O2 saturation and found it was 75%. This was confirmed, and resent sent to ER .

Other Meds: Amlodipine 5 mg po daily, docusate 100 mg BID,Eliquis 5 mg po BId, Omeprazole 20 mg po daily,Zinc 220mg po daily

Current Illness: None

ID: 1025331
Sex: F
Age: 66
State: IN

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies: Sulfa

Symptoms: Red, Swelling and itching at injection site about 2" in dia.

Other Meds: Famotidine 20mg twice day metoprolol, tart 50mg twice day Vitamin D3 4000iu daily melatonin 20 mg day amlodipine 10mg day hydroxychlor 200 mg day hydrochilorot 25 mg day losartan 50mg day naproxen sodium 220 mg x 2 when needed tums antacid

Current Illness:

ID: 1025332
Sex: F
Age: 42
State: IN

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: none

Allergies: None

Symptoms: 2/10/21 10 :00pm - Body Aches started - night sweats - very tired throughout the night and next day - 2/11/21 9:00pm - All symptoms had stopped

Other Meds: Daily Multi-Vitamin

Current Illness: None

ID: 1025333
Sex: F
Age: 41
State: MA

Vax Date: 01/27/2021
Onset Date: 01/31/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies: tree nuts, otc hair dye, nickel, rash from amoxicillin

Symptoms: Persistent dizziness on getting out of bed followed by repeated dizzy spells every few minutes throughout the day. Repeated spells lasting several seconds each throughout the entire day. Less frequent and less intense by evening. Resolved entirely by waking on following morning. No nausea, lightheadedness, or blood-rushing in ears experience. Just visual spinning. No history of this symptom ever before. Or since. No obvious correlation that was unusual or different in health or environment other than the vaccine earlier in that week.

Other Meds:

Current Illness:

ID: 1025334
Sex: F
Age: 57
State: PA

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies: bee stings.flu vaccine

Symptoms: body aches,headache,temperature,upset stomache.

Other Meds: Xultophy,magnesium,farxiga,losartan/wpotassium,pantoprazole,fish oil,acidophilus,b complex,cranberry,turmeric

Current Illness: diabetes,gastropheresis

ID: 1025335
Sex: M
Age: 94
State: MN

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Excessive bleeding from a small scratch, blood appeared very thin and did not want to clot

Other Meds: Atenolol 25 mg, Tylenol 500 mg

Current Illness:

ID: 1025336
Sex: F
Age: 50
State: IL

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: Medical attention was not required.

Allergies: None

Symptoms: About fifty minutes after shot I experienced a metallic taste in my mouth (my mouth was very dry), mild swelling in my throat, and mild difficulty swallowing. The symptoms subsided after thirty minutes. My throat was sore for two days. I did not require medical attention.

Other Meds: Pantoprazole (acid reflux), multivitamin, vitamin b supplement, biotin

Current Illness: None

ID: 1025337
Sex: F
Age: 71
State: AZ

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: nausea, temperature 101 controlled by Tylenol, body aches, chills, fatigue

Other Meds: Atorvastatin, Dexilant, Plavix, Meloxicam, Vitamin, Ferrous Sulfate, Vitamin C

Current Illness: COVID 19

ID: 1025338
Sex: M
Age: 83
State: IN

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: No written reports so far.

Allergies: airborne allergens

Symptoms: 22 hours after injection; extreme weakness. Inability to stand, walk, rise from chair. Fell to floor of home, lay there. Wife called 911. In ER: some fever and high B.P. discovered. IV. Chest x-ray. After 2-3 hours felt improved. Discharged after about 5 hours. Diagnosis: "Vaccine reaction. Fatigue." Slept normally. Feel well, normal now (10:00 a.m. 2/12/21)

Other Meds: simvastatin lisinopril

Current Illness: melanoma, post-op.

ID: 1025339
Sex: F
Age: 76
State: WI

Vax Date: 01/26/2021
Onset Date: 01/29/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: no

Allergies: penicillin and sulfa

Symptoms: pt states that she developed terrible stomach cramps, chills and change in stools. She says so far today she is no longer having the stomach cramps.

Other Meds: aspirin 81mg, ezetimibe 10mg, amlodipine 2.5 mg,

Current Illness: no

ID: 1025340
Sex: F
Age: 68
State: GA

Vax Date: 01/30/2021
Onset Date: 02/11/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies:

Symptoms: I developed a rash on my arm several inches below the injection site 12 days after the first dose of the vaccine.

Other Meds:

Current Illness:

ID: 1025341
Sex: M
Age: 27
State: NY

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

Lab Data:

Allergies:

Symptoms: First Attempt- Inserted needle into arm, nurse said that the fluid didn't work getting injected into the arm. The needle and syringe weren't screwed together tightly enough and the vaccination liquid was dripping between the two. So we tried another shot as she was sure nothing ever got inside the shoulder. Second Attempt - To the patient, it was unclear if the second syringe was ever filled up with vaccination fluid or there was just an injection of the needle into the arm with no vaccine. (If there is an antibody test to check if the vaccine was administered correctly after these two errors, that would be preferred)

Other Meds:

Current Illness:

ID: 1025342
Sex: F
Age: 73
State: CA

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: none

Allergies: shellfish, latex bandaids, penicillin

Symptoms: beginning with itchy soles of my feet and both palms, and progressing through the day with the addition of grotesquely swollen knees and hives on legs, arms, and a few on my back. The hives presented as large welts all very itchy. I applied Calamine lotion and took a Loratadine pill, and the hives and itch subsided dramatically. I also developed flu-like symptoms of malaise and wheezing. At no time did I have a fever nor did my throat swell or close. Saturday, 24 hours after the first Loratadine pill, the hives and swelling reappeared but disappeared within 15 minutes of taking another Loratadine pill. Sunday through today, the swollen knees and wheeze remain but diminished in severity

Other Meds: Excedrin, Tylenol, Omeprazole, Rosuvastatin, Align, Calcium,

Current Illness:

ID: 1025343
Sex: F
Age: 36
State: TX

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Report of sore throat, left tonsil swelling, redness and pain with swallowing. Treatment: Cold and flu medication. Outcome: Recommend she follow-up with primary doctor and or UC to be swabbed for strep. Does not interfere with ADLs.

Other Meds:

Current Illness:

ID: 1025344
Sex: F
Age: 48
State: IN

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data: N/A

Allergies: N/A

Symptoms: Pain and Swollen supraclavicular Lymph Nodes on left side

Other Meds: Escitalopram 10mg one tablet per day

Current Illness: None

ID: 1025345
Sex: F
Age: 40
State: PA

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

Lab Data:

Allergies: none

Symptoms: Systemic: Other- cold finger tips, raised bloodpressure; lasted 1 day

Other Meds:

Current Illness:

ID: 1025346
Sex: F
Age: 76
State: MA

Vax Date: 02/01/2021
Onset Date: 02/10/2021
Rec V Date: 02/12/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Red area around injection site and itching

Other Meds: Advair

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm