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: 1027716
Sex: F
Age: 45
State: WA

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

Lab Data:

Allergies:

Symptoms: patient reported localized pain at injection site day of shot 02/11/21. called into general advice line to report results worsening symptoms of whole body aches, fever, HA, whole body itchy rash with no shortness of breath or airway compromise. given delayed reaction, sounds most like side effect and is not consistent with anaphylaxis but recommended ED/911 if develops airway compromise, and discussed possibility could be allergic

Other Meds:

Current Illness:

ID: 1027717
Sex: M
Age: 76
State: NY

Vax Date: 01/22/2021
Onset Date: 02/02/2021
Rec V Date: 02/13/2021
Hospital:

Lab Data: Covid Rapid Test: 02/02/2020 Positive PCR Test: 02/03/2020 Positive

Allergies: None

Symptoms: Had major nausea beginning 4 days after vaccination. Then was tested positive for COVID 12 Days after Vaccination on 02/02/2020. Confirmed with Rapid test, Confirmed with PCR Test. Patient was 1 of 4 in a small group of elderly relatives who got vaccinated that day. 2 individuals received Moderna, 2 received Pfizer vaccine. His wife then also tested positive for COVID 1 week later. The Moderna Couple never tested positive for COVID. ( 3 Tests over 2 weeks. ) All 4 had practiced strong COVID preventative measures and did not ever let their guard down. Face Mask, Constant Hand Sanitizing, Washing, No Crowds. He started to worsen and was given Bamlanivimab infusion on 02/08/2020 which had an immediate positive affect. By end of 02/12/2020 he appears to have almost completely recovered.

Other Meds:

Current Illness: None

ID: 1027718
Sex: M
Age: 34
State: IN

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

Lab Data:

Allergies:

Symptoms: 1st shot: soreness at the injection site 2nd shot: soreness at the injection site, whole body aches, fatigue, headache, fever, chills, sweating, nausea (all symptoms only lasted one day after shot)

Other Meds:

Current Illness:

ID: 1027719
Sex: M
Age: 58
State: MA

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

Lab Data: None

Allergies: None

Symptoms: Redness at injection site; about 5 inches in circumference and warm;

Other Meds: Fluoxetine; Bupropion; Simvastatin; Vitamin D

Current Illness: None

ID: 1027720
Sex: F
Age: 34
State: VA

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

Lab Data: No

Allergies: Lactose, Iodine, Aspirin, and Penicillin.

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA. Pain on injection site 2/12/2021 around 9:30pm Chills 2/12/2021 around 9:45pm still on and off 2/13/2021 it is 10:35am Mild Headache around 9:45pm Body aches 2/13/2021 still at 10:35am Tingling on feet for several minutes 2/13/2021 around 8:30am Tingling on left hand 2/13/2021 around 8:30am Fever (102) 2/13/2021 noticed when wake up at 7am feeling better now at 10:39am temperature now is 98.8. A very mild chest pain on left side it was sharp last for 10 minutes 2/13/2021 around 10am Back pain on base of left lung for around 1 hour 2/13/2021 8:30am Tiredness 2/12/2021 around 8:30pm, still happening at 10:42am on 2/13/2021

Other Meds: Theravir (Vitamin D, C, Zinc, Cooper, Melantonin, Quercetin Dihydrate), Vit B12.

Current Illness:

ID: 1027721
Sex: F
Age: 80
State: OH

Vax Date: 02/13/2021
Onset Date: 02/13/2021
Rec V Date: 02/13/2021
Hospital:

Lab Data: NA

Allergies: latex, levaquin

Symptoms: complains for numbness and tingling of tongue, lips and thick tongue. 60mg Allegra given, observed, all vitals within normal limits. Patient stated her tongue and lips are better, still with "thick tongue" but also complains for funny feeling in back of throat. 911 called to transport to ER for observation/treatment.

Other Meds: Zocor, prinizide, Tenormin, Glucophage, synthroid, eye vitamin

Current Illness: NA

ID: 1027722
Sex: F
Age: 38
State: MI

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 02/13/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: I experienced intense nerve pain down my left leg and foot from about 8:15am-10:15am. I hadn?t experienced pain like that since my injury was new (7.5 years ago). After enduring for two hours I took ibuprofen which did help. The pain continued with reduced frequency for about 24 hours from onset.

Other Meds: None

Current Illness: None

ID: 1027723
Sex: M
Age: 54
State: PA

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/13/2021
Hospital:

Lab Data: Upon request

Allergies: Penicillin

Symptoms: 103+ fever. Blood work 2 days later the dropped wbc significantly. 3 days later the blood work came back to normal levels

Other Meds: Vitamin D (stopped taking a daily iron supplement about 2weeks earlier)

Current Illness: None

ID: 1027724
Sex: F
Age: 30
State:

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

Lab Data:

Allergies: Penicillin

Symptoms: Headache.. Chills and left underarm / breast swelling and pain

Other Meds:

Current Illness:

ID: 1027725
Sex: F
Age: 80
State: IN

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

Lab Data: none

Allergies: beef, pork, lamb, dairy (alpha-gal), gelatin

Symptoms: shaking, fever of 101.7, body felt like it had been beaten, very tired

Other Meds: calcium citrate, multi-vitamin, coenzyme Q10, curcumin, levothyroxine, probiotic, vitamin B 12, vitamin C

Current Illness: none

ID: 1027726
Sex: F
Age: 81
State: FL

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/13/2021
Hospital:

Lab Data: red arm and very itchy

Allergies: none

Symptoms: covid-19 vaccine EUA

Other Meds: Olmesarten Medoximil and Ezetimibe, colace and metimucil

Current Illness: possible infection in bladder or kidney. bleeding hemmorrhoids (under control)

ID: 1027727
Sex: F
Age: 62
State: MN

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

Lab Data: None

Allergies: None

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA Injection site pain Headach Chills Fever Injection site swelling Feeling unwell

Other Meds: None

Current Illness: None

ID: 1027728
Sex: F
Age: 66
State: IL

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

Lab Data: None

Allergies: No allergies to medications. Side effects in past to Codeine = chest pain and Aloxi = migraine.

Symptoms: Approximately 15 hours (7:00 am) post vaccine, experienced mild headache. Took 600 mg Ibuprofen. Approximately 5 hours later (noon), I experienced increasing headache, generalized body aches, and chills. Rest and alternating Tylenol and Ibuprofen. As of now, February 13, mild headache only.

Other Meds: Biotin, Vitamin D, Vitamin C. Tylenol after injection.

Current Illness: None

ID: 1027729
Sex: F
Age: 44
State: OH

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/13/2021
Hospital:

Lab Data: None

Allergies: Sulfa allergy-sores on tongue Pregabalin-headache, pain, dizziness

Symptoms: Tingly sensation in both arms and slow and heavy breathing. Mask and morning exertion could have been a cause of the slow and heavy breathing. Tingly sensation went away quickly. The breathing issues resolved after inhaler was used and the patient drank some water.

Other Meds: Vitamin C 500mg one tab daily Vitamin D3 5000IU once daily Multi Vitamin once daily Miralax as needed Docusate Sodium 100mg 1 capsule twice a day Lyrica 100mg 1 capsule three times Morphine Sulfate ER 30mg 1 tablet twice a day Norethindron

Current Illness: Fibromyalgia Spinal fusion Herniated disc

ID: 1027730
Sex: F
Age: 67
State: OK

Vax Date: 02/05/2021
Onset Date: 02/10/2021
Rec V Date: 02/13/2021
Hospital:

Lab Data: Called nurse she said normal. Did not see doctor

Allergies:

Symptoms: Large rash at injection site. Fist size bump at injection site. Itching and bump kind of burns

Other Meds: Effexor. Metroprlol. Crestor. Plavix. Ezetimibe

Current Illness:

ID: 1027731
Sex: F
Age: 45
State: CO

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/13/2021
Hospital:

Lab Data:

Allergies: NA

Symptoms: Chills, fever, body aches and pains in both muscles and joints

Other Meds: Birth control

Current Illness: NA

ID: 1027732
Sex: F
Age: 56
State: AZ

Vax Date: 01/07/2021
Onset Date: 02/07/2021
Rec V Date: 02/13/2021
Hospital:

Lab Data: See above

Allergies: Compazine, Topamax, Sulfa

Symptoms: Within 20 minutes I began to feel heart racing, shaky/jittery - resting heart rate was around 140 per FitBit watch; I was in the 30 minute observation line due to allergies with other medication; staff provided me with 50 mg. of liquid Benadryl - needing to help me hold/bring to lips due to shaking; called on-site medics - noted increased HR, increased BP, conducted EKG ; attempted IV x4; called paramedics for transport to the Hospital - attempted/placed IV but infiltrated; at hospital 6th attempt at IV was successful and provided Saline; PVC's were noted on monitor but EKG was normal; HR remained increased; BP gradually returned to normal; HR decreased but did not return to normal until 24+ hours post-vaccination; released from hospital after about 4 hours of observation

Other Meds: Losarten, Rosuvastatin, Omeprazole, Claritin, Nasocort, Osteo-bi-flex

Current Illness: None

ID: 1027733
Sex: F
Age: 73
State: NJ

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

Lab Data:

Allergies: Macrobid

Symptoms: Chills and headache

Other Meds: Metformin, lisinipril, benlodipine, folic acid, trulicity, CoQ10, cinnamon, vitamin D, Lipic Acid, krill oil

Current Illness: None

ID: 1027734
Sex: F
Age: 53
State: OH

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

Lab Data:

Allergies:

Symptoms: Fever, body aches, shivering, pain in arm

Other Meds:

Current Illness:

ID: 1027735
Sex: M
Age: 4
State: MA

Vax Date: 02/09/2021
Onset Date: 02/12/2021
Rec V Date: 02/13/2021
Hospital:

Lab Data:

Allergies: kna

Symptoms: left leg injection site with erythema 4 x 2.5 cm, no edema, no calor, no tenderness to touch, no masses palpated. no sign of infection and anaphylaxis reaction

Other Meds: n/a

Current Illness: n/a

ID: 1027736
Sex: F
Age: 73
State: NC

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/13/2021
Hospital:

Lab Data:

Allergies: Sulfa drugs, COX-2 Inhibitors (eg Celebrex), Black cohosh, Benadryl, Lactose, Soy Lecithin

Symptoms: Moderna COVID-19 Vaccine Chills, Aching all over, fever 99.9, fatigue, itching below injections site (still itching on 2/13/21) 6"x3", slight nausea and no appetite. Took Extra Strength Tylenol (2) every 6 hrs. Temp went to 102.3 several times on 2/10/21, slept most of the day. On 2/11/21 still had fever (99.7-99.6) and took Tylenol but feeling better, stomach still not right. On 2/12/21 Fever gone but stomach still not right and feeling better. Itching continues.

Other Meds: Multivitamin, Calcium Citrate 1,000mg, Melatonin 5mg, Prilosec OTC 20mg, Folic Acid 1mg, Prednisone 2mg, Azelastine 0.1 Nasal Spray 2xday, Fluticasone Propionate Nasal Sjpray 50mg 2xday, Colace 2-3xday, Gaviscon anti-acide. B&L PreserVision

Current Illness:

ID: 1027737
Sex: F
Age: 70
State:

Vax Date: 02/13/2021
Onset Date: 02/13/2021
Rec V Date: 02/13/2021
Hospital:

Lab Data:

Allergies: Keflex - anaphylaxis

Symptoms: Patient developed throat tightness but no other symptoms. No rash, flushing, swelling. Sxs self resolved with observation. Vitals remained stable with BP 110/70s Sat 98%. Patient discharged home in good condition.

Other Meds: Levothyroxine, tamoxifen

Current Illness: NA

ID: 1027738
Sex: F
Age: 29
State: VA

Vax Date: 02/04/2021
Onset Date: 02/12/2021
Rec V Date: 02/13/2021
Hospital:

Lab Data:

Allergies: Wheat, soy, casein, egg whites, beef, chicken, yeast, apples, oranges, bananas, kiwi, dragon fruit, cacao, potatoes, tomatoes, corn

Symptoms: While I?ve been report on the vsafe that I?ve often on had extreme exhaustion, starting last night 2/12/21, I started feeling pain in the injection site as bad as I did the first few days. It?s extremely red and feels like there?s a nodule beneath the skin. It?s hurts to move that arm.

Other Meds: Women?s multivitamin, iron, b-complex, probiotics, elderberry, generic Zyrtec, azelastine

Current Illness: None

ID: 1027739
Sex: F
Age: 70
State: FL

Vax Date: 02/04/2021
Onset Date: 02/12/2021
Rec V Date: 02/13/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Itchy, red rash around injection site starting on Day 8

Other Meds: Vitamin C, D3, Zinc, CoQ-10, Caltrate, Ocuvite, Rheumate

Current Illness: None

ID: 1027740
Sex: F
Age: 87
State: FL

Vax Date: 01/22/2021
Onset Date: 01/27/2021
Rec V Date: 02/13/2021
Hospital: Y

Lab Data: 2/7/21: CT Scan r/o stroke, labs, chest x-ray

Allergies: penicillin & sulfa

Symptoms: After only a couple days post-vaccine, patient was unable to sit up, walk or feed herself. Taken to ER via EMS on 2/7/21. Nothing remarkable discovered. Slight dehydration, scant UTI bacteria. She is now in the Hospice contracted bed at the hospital returning to hospice care at home with 24/7 aides to feed and car for her.

Other Meds: Carvidiol, Midodrine, Seroquel, Remeron, Vit D3, multi-vitamin, Xylatan

Current Illness: vascular dementia, glaucoma, macular degeneration

ID: 1027741
Sex: F
Age: 72
State: MN

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

Lab Data: 2/12/21: BP was elevated at 155/90 initially (3:54pm) then approx. 1 hour later 144/82 (4:45pm). Pt reported at 8pm 140/76 2/13/21: Patient reports feeling better, arm had slight redness. Pt reports BP 118/64 and chest tightness completely gone. Patient was instructed to follow up with her doctor to discuss the second dose. If indicated, she will receive at pharmacy closer to her home

Allergies: CIPRO, SULFA, ASPIRIN, PERCOCET

Symptoms: Patient was instructed to stay for observation for 30mins due to reported allergies. Approx 20mins after patient reported chest tightness/burning sensation in lungs/center of chest. Pt declined any signs of heart attack and no lightheadedness, swelling of tongue or throat or shortness of breath; and no hives. Patient took Benadryl 25mg tab, used cold cloth/ice pack on neck, drank water. Dose of Benadryl 25mg repeated in 25mins per patients preference. After 1 hour, patient reported just a slight burning in center of chest and took a dose of tums. Still no hives. Patient was comfortable going home at 5:10pm (husband driving)

Other Meds:

Current Illness:

ID: 1027742
Sex: F
Age: 35
State: IN

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

Lab Data: None

Allergies: None

Symptoms: I got my shot at 2:30 pm on 2/11. I woke up 2/12 slightly achy. By 2:00 pm on 2/12 I had a moderately severe headache, had chills, was a lot more achy, and had some neck pain. At about 7 pm, my headache was only minor and the aches were minor. Chills were gone and neck pain was minor. By 8, headache and aches were gone. I woke up this morning feeling back to normal. I never took Tylenol or ibuprofen.

Other Meds: Multivitamins

Current Illness: None

ID: 1027743
Sex: F
Age: 90
State: MI

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

Lab Data: None

Allergies: Nine really

Symptoms: I began to feel very tired and weak the same day slept through the night and all day the next day And all night the second night till 10 o?clock in the morning on the 13th. Within 12 hours my kidneys were working overtime I was running to the bathroom constantly. Couldn?t hold It at all. Made me incontinent for at least 24 hours up three or four times to go to the bathroom. Lack of appetite. Arm is aching at site of injection and a little red.

Other Meds: Losartan 25 mg Blood Pressure medicine Vitamin D and Oscal a calcium pill

Current Illness: None

ID: 1027744
Sex: M
Age: 80
State: NY

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

Lab Data:

Allergies: Doputamin

Symptoms: Fever, headache

Other Meds:

Current Illness:

ID: 1027745
Sex: F
Age: 67
State:

Vax Date: 02/13/2021
Onset Date:
Rec V Date: 02/13/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Did not have breakfast, felt dizzy after the shot that resolved after drinking juice

Other Meds: Lithium, Thyroxine, Wellbutrin

Current Illness:

ID: 1027746
Sex: F
Age: 49
State: TX

Vax Date: 02/13/2021
Onset Date: 02/13/2021
Rec V Date: 02/13/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient stated she felt like something was in her throat as they were parking immediately after her vaccine was administered. She was able to talk and breathe without difficulty, she just felt like her throat was closing. EMS checked her out and found her BP to be 193/109. Patient stated she was claustrophobic and the ambulance was causing anxiety. Patient moved to personal vehicle and monitoring equipment brought to patient's car. BP checked after she was feeling less claustrophobic . Repeat BP 181/113 (sitting). Patient complains of feeling "jittery". Patient refused EMS transport and said she would be going to the ER (to have her BP/symptoms checked out).

Other Meds:

Current Illness:

ID: 1027747
Sex: F
Age: 75
State: IN

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

Lab Data: None

Allergies: None

Symptoms: Diahhrea

Other Meds: Lipitor, Atenalol, Levothyroxine, 81 mg aspirin

Current Illness: None

ID: 1027748
Sex: M
Age: 46
State: VA

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

Lab Data:

Allergies: None

Symptoms: At 10:30pm (received vaccine shot #2 at 8:18am), i stood up and immediately felt chilled to the bones and started shaking/shivering uncontrollably for 5min. Took temp, no fever. No other issues

Other Meds: Losarten (Blood Pressure)

Current Illness: None

ID: 1027749
Sex: F
Age: 74
State: NJ

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/13/2021
Hospital:

Lab Data:

Allergies: shellfish

Symptoms: chills, fever, upset stomach, rash on face, fuzzy head

Other Meds: none

Current Illness: none

ID: 1027750
Sex: F
Age: 71
State: OH

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

Lab Data: 2 PCP doctor appointments. 2 EKG, blood work taken, wore a heart monitor for 3 days and are waiting the results.

Allergies: Latex Spermicide jelly Estrogen cream Iodine

Symptoms: Rapid heart beats, nausea, weakness. Tends to happen when I lay down at night to sleep, only sleeping about 6 hours a night. . I tend to feel better in the afternoon,

Other Meds: Calcium Vitamin D Probiotic Statin Elavil Multi vitamin

Current Illness: I had several rapid heart episodes in Jan. Nothing had been diagnosed

ID: 1027751
Sex: F
Age: 63
State: NH

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/13/2021
Hospital:

Lab Data: none

Allergies: sulfa

Symptoms: 8 days after shot. Red circle of rash and itching surrounding the injection site.

Other Meds: lisinopril, multivitamin, vitamin d, calcium, fish oil, cranberry, valocyclovir

Current Illness: none

ID: 1027752
Sex: F
Age: 25
State:

Vax Date: 01/31/2021
Onset Date: 02/01/2021
Rec V Date: 02/13/2021
Hospital:

Lab Data: None

Allergies:

Symptoms: Shaking chills, generalized fatigue, body aches, headache. Took 1500mg Tylenol every 6 hours with relief of chills only. Completely resolved in about 15 hours.

Other Meds: Sertraline 100mg Spironolactone 50mg

Current Illness:

ID: 1027753
Sex: F
Age: 26
State: OH

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

Lab Data: EKG echocardiogram

Allergies: NKDA

Symptoms: Passed out after receiving

Other Meds: Xanax

Current Illness: Anxiety

ID: 1027754
Sex: F
Age: 80
State: IL

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

Lab Data:

Allergies: None

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA

Other Meds: Losartan 100 mg Glucosamine HCL Turmeric 2 daily Aspirin 81 mg Vit D3 1000 ui Amlodipine Besylate 5 mg Ezetimibe 10 mg

Current Illness: None

ID: 1027755
Sex: F
Age: 65
State: IL

Vax Date: 02/04/2021
Onset Date: 02/11/2021
Rec V Date: 02/13/2021
Hospital:

Lab Data: None

Allergies: Shell fish (iodine), bee stings

Symptoms: After 1st vaccine I developed a very sore arm w a lump under my skin the size of a tennis ball. This was a Thursday by Monday it subsided. By the end of the 1st week, the site of the vaccine is very red about 2 inches in diameter and the lump is back w tenderness returning.

Other Meds: None

Current Illness: No

ID: 1027756
Sex: F
Age: 60
State: AZ

Vax Date: 01/28/2021
Onset Date: 01/31/2021
Rec V Date: 02/13/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Mild soreness on 1st & 2nd day.

Other Meds: None

Current Illness: None sore on vaccine minimum

Date Died: 01/28/2021

ID: 1027757
Sex: F
Age: 77
State: PA

Vax Date: 01/25/2021
Onset Date: 01/28/2021
Rec V Date: 02/13/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Death

Other Meds:

Current Illness:

ID: 1027758
Sex: F
Age: 42
State: TX

Vax Date: 02/02/2021
Onset Date: 02/13/2021
Rec V Date: 02/13/2021
Hospital:

Lab Data:

Allergies: No

Symptoms: Red arm rash at vaccine site started this morning day 11 post vaccine

Other Meds: Bupropion xl

Current Illness: No

ID: 1027759
Sex: F
Age: 29
State: AZ

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/13/2021
Hospital:

Lab Data: Covid test done 2/11/2021 negative.

Allergies:

Symptoms: Right after vaccine had rough patch of skin 2 inches below vx site- may be reaction to glove. 26 hours after vx experienced extreme lethargy, chills, temp rise to 99.3, mild congestion/cough that continued until 2/13/2021. Was out of breath/lightheaded if holding anything over 10lbs. Sleeping or spending 12-24 hrs in bed at a time.

Other Meds: 120mg Duloxetine sid 5mg Methylphenidate prn

Current Illness:

ID: 1027760
Sex: F
Age: 59
State:

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 02/13/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Starting around 9 am the following day, Feb 9th, I began to have body aches with chills and a headache. This lasted until 8:30 pm. I still had a headache the next day, Feb 10 but once I took Ibupropfen the headache went away.

Other Meds: Lexapro, vitamin D, Crestor

Current Illness: None

ID: 1027761
Sex: M
Age:
State: IN

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

Lab Data:

Allergies:

Symptoms: Sore arm fever chills

Other Meds:

Current Illness:

ID: 1027762
Sex: F
Age: 41
State: CO

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

Lab Data: EKG- reportedly normal BP- 180/100

Allergies: Anaphylaxis to bananas Allergic to morphine Environmental allergies

Symptoms: 7 minutes after vaccine, I felt my heart pounding heavily and checked my iwatch. It indicated that my Heart rate went from 88 to 141 in the past 5 minutes while sitting. I then felt flushing throughout my body. I had the sensation of tingling on my face and lips and told the present employees that I felt weird. They retrieved the doc, who then took my pulse ox - registered at 96/97. Then they took my blood pressure and it was 180/100 (I typically have low blood pressure 98/60). I started to feel disequalibrium and nauseous and the doc to be back to a room. She administered a dose of IM EPI and IM benedryl and called EMS. My symptoms persisted and the doc told the EMS workers I had urticaria on my face during her case presentation. I was transported to the ED, where I was monitored. My symtoms had reduced following epi and benedryl but returned when I was in the ED. The doctor administered pepcid and solu-medrol and zofran. They also conducted and EKG- reportedly normal. These medications helped control my symptoms and my BP had returned to normal (120/70) following meds. discharged on a tapering dose of steriod and zofran prn.

Other Meds: Cetirizine QHS Woman's daily vitamin

Current Illness: None

ID: 1027763
Sex: F
Age: 77
State: AZ

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

Lab Data:

Allergies: Sensitivity to morphine, percocet, amoxycillin, tree nuts

Symptoms: Moderna COVID-19 Vaccine EUA. One week after vaccination (Feb 9), area around site became red and itchy. By next day area was swollen, tender, very itchy and still red. Sept. 11 symptoms were easing. Saturday , Feb 13 itching & soreness are back.

Other Meds: One a day vitamins, low dose aspirin, align prebiotic, oxybutynin

Current Illness: none

ID: 1027764
Sex: F
Age: 47
State: OR

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

Lab Data: None

Allergies: Pyridium

Symptoms: Splitting headache, for about 12 hours .. I did take 200 mg ibruprofen Injection site was swollen, painful warm to touch for about 2 days after injection. Arm swelling resolved until 2/8/21. Severe itching at the injection site, readiness, heat and pain returned and is ongoing at time of reporting. A second headache developed 2/8/21 and resolved within 24 hours.

Other Meds: Vitamin D 1000IU daily

Current Illness: None

ID: 1027765
Sex: M
Age: 37
State: NY

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/13/2021
Hospital:

Lab Data:

Allergies: Allergic to most tree nuts

Symptoms: Day 1: 103F temperature, chills, headache, exhaustion Days 2-4: normal temperature, fatigue, headaches, difficulty sleeping

Other Meds: None, but took Tylenol the day after to address fever and headache

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm