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: 1030631
Sex: M
Age: 37
State: NJ

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Pfizer-BioNTech COVID-19 Vaccine: About 15 minutes after vaccination, patient started to feel tingling in throat and also weakness. Paramedic was on site and put patient on EKG monitor. Paramedic administered diphenhydramine 50 mg IV. Patient recovered and left site independently. Patient state no throat tickle or further issues.

Other Meds:

Current Illness:

ID: 1030632
Sex: F
Age: 63
State: CA

Vax Date: 02/06/2021
Onset Date: 02/14/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data:

Allergies: Sulfa

Symptoms: Large swollen area on site of injection one week later

Other Meds: Cymbalta, gabapentin, lovostatin,abilify

Current Illness: Na

ID: 1030633
Sex: F
Age: 70
State: NC

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: VERY sore arm. Could not raise arm at all. Arm feels warm. Today, 3 days later, starting to feel a little better but still hurts.

Other Meds: Albuterol sulfate hfa Amitriptyline Atenolol Carisoprodol Etodolac Fluticasone Hydrocodone/acetaminophen Lisinopril

Current Illness: cold

ID: 1030634
Sex: F
Age: 73
State: FL

Vax Date: 02/05/2021
Onset Date: 02/14/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: none

Allergies: compazine

Symptoms: Moderna Covid Vaccine EUA After almost two weeks, I developed an area of redness at injection site, approximately 2'x2" with tenderness, hot to touch,. Articles call it "Covid Arm"

Other Meds: Synthroid 112 mcg; Lisinopril 5mg

Current Illness: none

ID: 1030635
Sex: M
Age: 65
State: FL

Vax Date: 02/11/2021
Onset Date: 02/14/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: None

Allergies: Levequin, dilaudid

Symptoms: Rash on arm

Other Meds: None

Current Illness: None

ID: 1030636
Sex: M
Age: 75
State: AZ

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Error: Wrong Dose of Vaccine - Too High

Other Meds:

Current Illness:

ID: 1030637
Sex: M
Age: 71
State: IL

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: about 30 hours after first dose of covid 19 vaccine, the patient had a bad stomach aches and diarrhea for an hour. after that he went into anaphylatic shock-had itching, hives all over body, his tongue swelled up, and he couldnt talk. he went to the ER and received benadryl, decadron, and fluids

Other Meds: gabapentin, crestor, baby aspirin, flomax, lorazepam, omega 3

Current Illness: none

ID: 1030638
Sex: F
Age: 27
State: AZ

Vax Date: 02/13/2021
Onset Date: 02/14/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data:

Allergies: doxycycline

Symptoms: 12 hours after shot, woke up in the middle of the night with chills, body aches, very sore/swollen arm, headache, slight fever (100.4 degrees), fatigue. 12 hours after the symptoms first started, the headache, body aches, fever, chills ceased but intense fatigue, sore/swollen arm, and body changing from hot to cold to hot persisted. I also noticed at about 30 hours when I was showering that I had swollen lymph nodes the size of golf balls in my left armpit when I raised my arm above my head. Now, 45 hours later I feel more like myself but the sore arm and swollen lymph nodes still persist.

Other Meds: birth control, citalopram

Current Illness:

ID: 1030639
Sex: F
Age: 38
State: PA

Vax Date: 02/04/2021
Onset Date: 02/14/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data:

Allergies: No known allergies to food or medications.

Symptoms: The only immediate side effect I experienced was a slightly swollen and sore arm for approximately 2 days after dose one. On February 14 a 2 inch by 1 inch red patchy spot appeared at the injection site. It is warm to the touch, swollen and sore, but not as sore as the initial first two days.

Other Meds: .5 MG Alprazolam - take one nightly for sleep

Current Illness: N/A

ID: 1030640
Sex: F
Age: 28
State: CA

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: N/a

Allergies: Bactrim (reaction: red diffuse rash with some hives, severity: medium) Ibuprofen (intolerance, reaction: stomach ulcers)

Symptoms: Patient received the Pfizer-BioNTech COVID-19 Vaccine at 1734. Reported onset of symptoms at 1735 with immediate itching at injection site. Benadryl 25 mg po given and observed for 40 minutes. Felt better after further observation and left the clinic.

Other Meds: Unknown

Current Illness: Unknown

ID: 1030641
Sex: F
Age: 43
State: IN

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: N/A

Allergies: Sulfa

Symptoms: Low grade fever 99.7 (02/12/21 & 02/13/21 36+hrs) Severe body aches (02/12/21 24 hours) Nausea/ upset stomach (02/12/21, 02/13/21, 02/14/21 48hrs)

Other Meds: Zyrtec-seasonal allergies

Current Illness: N/A

ID: 1030642
Sex: F
Age: 69
State: NJ

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: None

Allergies: Sulfa and Ceclor

Symptoms: Flushing of face chest and arms with burning sensation. Resolved an hour after receiving an antihistamine(Zyrtec)

Other Meds: Lisinopril 2.5 mg. Atorvastin 20 mg., Multivitamin and Vitamin D 2000 mg. daily

Current Illness: None

ID: 1030643
Sex: F
Age: 62
State: IL

Vax Date: 12/18/2020
Onset Date: 01/07/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: Routine exam

Allergies: Penicillin and all Sulfur drugs

Symptoms: 01/07/2021 Started having low back pain on right low back took Advil on the 01/08/2021 horrible pain the radiates around pelvic area and across the whole lower back, called off work and went it to Physician in the afternoon. Examined for Muscular Cellular was prescribe Flexeril 10mg once a day at bedtime, Naproxen 500mg twice a day. Took them about three days was able to go back to work.

Other Meds: Lipitor 10 mg daily, Lexapro 10mg daily, Vitamin D 4,000 international units daily, Vitamin B complex 1 daily, Glucosamine Chondroitin 2 tabs daily, CoQ10 100mg daily

Current Illness: No

ID: 1030644
Sex: F
Age: 26
State: MA

Vax Date: 02/13/2021
Onset Date: 02/14/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: N/A

Allergies: Amoxicillin, nightshade vegetables - potato, tomato, eggplant, peppers

Symptoms: Swelling around injection site - size of golf ball and warm to the touch, concerned it may not have been injected deep enough

Other Meds: Albuterol, duloxetine, birth control, levocitirizine, montelukast, folic acid, hydrocchloroquine, spironolactone

Current Illness: Sinus infection - three weeks before

ID: 1030645
Sex: F
Age: 30
State: MI

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: SEE ABOVE

Allergies:

Symptoms: Patient reported Syncope/Fainting on site EMS was required. BP 112/72 Oximetry 100 HR 72. Refused care released against medical advice.

Other Meds:

Current Illness:

ID: 1030646
Sex: F
Age: 25
State: CT

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: I was administered the incorrect volume of Moderna Covid-19 Vaccine on Thursday, February 11, 2021. This was the second dose shot, I received 0.3 mL instead of 0.5 mL. This is an incorrect dosing error.

Other Meds: Spironolactone 50mg T PO BID

Current Illness:

ID: 1030647
Sex: F
Age: 45
State: CA

Vax Date: 02/03/2021
Onset Date: 02/10/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: Profuse itching around day 7. A lump formed again about 1.5 inches at the injection site. Injection site started bleeding, possibly from me scratching. The lump was reddish/ purple. It is slowly getting better.

Other Meds: None

Current Illness: None

ID: 1030648
Sex: F
Age: 21
State: FL

Vax Date: 02/14/2021
Onset Date: 02/14/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Patient stated she was feeling dizzy. As I started asking more questions, her head slowly tilted back and eyes became wide and had a distant look, like a mild seizure . She was talking slowly but clearly, During the event. She was sweating, even though it seemed chilly. Her BP was low and my monitor wouldn?t register result. EMTs quickly arrived and their monitor took a while to register a result . She came out of it after a few moments feeling weak. We have her some OJ and she seemed to steadily improve. The whole event from start to when she was ok to walk out on her own was about a half hour. She had a relative Come pick her up and take her home.

Other Meds:

Current Illness:

ID: 1030649
Sex: F
Age: 50
State: NY

Vax Date: 02/06/2021
Onset Date: 02/08/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: EKC, CBS, CT of Head.

Allergies: Cipro

Symptoms: 02/06/21-Received the vaccine . 02/08/21 -(48hrs post vaccine)developed severe head ache,brain fog, muscle pain,electric sensation across hands and legs, nausea,chills,tiredness, severe fatigue. Symptoms continue to persist. 02/11/21-Continued to have severe Headache,developed muscle twitching in arms and legs.

Other Meds:

Current Illness: Migraines

ID: 1030650
Sex: F
Age: 72
State: CA

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: No

Allergies: certain fruits- raw bananas, plums, peaches seasonal allergies (hay fever) dust

Symptoms: After my shot in my arm (right arm) I had no adverse affects after the shot until the next morning my arm was very sore and the muscle was swollen. It was very tender to the touch. About 3:00 that afternoon I noticed that the area that was swollen was now covered in a bright red rash, and it was very tender. And it was approximately 2x2 and it spread over the next few hours until it about 4x4 and it was bright red. But it wasn't exactly on the spot where she stuck the needle in. It was about an inch over from the injection site. That was on Friday. On Saturday it was still there, and it spread about 2 inches more on Saturday. On Sunday it continued to spread to about 6x4. Yesterday the pain started going away and the swelling went down, and the redness went way down. Today the pain is about the same as yesterday, and the redness is almost gone and there's about 2 inches of the redness still.

Other Meds: Levothyroxine 75 mcg; Letrozole 2.5 mg

Current Illness: None

ID: 1030651
Sex: F
Age: 81
State: FL

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: mri, eeg, blood tests, iv w/potasium

Allergies: ,

Symptoms: nausea, vomiting, diarrhea, confusion, amnesia, low potassium, dehydrated, upper arm pain and hospitalzation

Other Meds: propranolol,Eliquis,Klor-con,Pravastatin,chlorthalidon,

Current Illness:

ID: 1030652
Sex: M
Age: 76
State: CT

Vax Date: 02/13/2021
Onset Date: 02/14/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Chills, fever 100.7, tender/warm arm

Other Meds:

Current Illness:

ID: 1030653
Sex: F
Age: 68
State: FL

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data:

Allergies: none of these

Symptoms: Fever, muscle aches entire body, chills, shaking, headache, nausea

Other Meds: Amlodipine Omeprazole Omega 3 Vitamin D Multi vitamin

Current Illness: MS

ID: 1030654
Sex: F
Age: 47
State: PA

Vax Date: 02/09/2021
Onset Date: 02/12/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data:

Allergies: ZOLOFT

Symptoms: Moderna COVID-19 Vaccine EUA 3 days after my second vaccine, I rapidly developed what felt like a marble on my neck (moveable), then swelling appeared rapidly to about the size of 4 inches in diameter. I had a nurse at work check me out, sent me to urgent care. They couldn't confirm, had not seen that before, but told me to apply heat and if it gets worse go to ER. It didn't go down until evening, slowly until today 2-15, is barely noticeable. No pain, just panic.

Other Meds: PANTOPRAZOL, ELIQUIS, FLUTICASONE, CBD PATCH, MAGNESIUM, IRON

Current Illness: N/A

ID: 1030655
Sex: F
Age: 53
State: MD

Vax Date: 02/15/2021
Onset Date: 02/15/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Initially reported numbness and tingling of lips and ringer after first dose of vaccine. She was given Benadryl 50mg IM. Within 15 seconds she reported not feeling well. Then she started seizing for about 30 seconds. Initial BP 148/88 and pulse ox 98. After 5 mins BP of 125/77 and pulse ox 99%. Patient regained consciousness, was A&O x3 but felt weak/tired. She was transported to the hospital.

Other Meds:

Current Illness:

ID: 1030656
Sex: F
Age: 50
State: VA

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: diagnostic mammo with us of L breast, L axilla

Allergies: codeine, tramadol, oxycodone, hydrocodone, acetaminophen, cefoxitin, moxifloxacin, cortisone, hydrocortisone, ketorolac, gluten, cinnamon

Symptoms: swelling in L axilla hair loss swelling under L breast hives (happened after eating eggs, but never had any history of egg allergy in the past)

Other Meds: levothyroxine 112mcg po qd, vitamin d3 5000u qd, iron chews qd

Current Illness: none

ID: 1030657
Sex: F
Age: 23
State: CA

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: N/a

Allergies: No known allergies

Symptoms: Patient received the Pfizer-BioNTech COVID-19 Vaccine at 1000. Reported onset of symptoms at 1040 with tingling in upper body, headache, flash heat, and flash nausea. Given Benadryl 25mg PO and kept for additional observation.

Other Meds: Unknown

Current Illness: Unknown

ID: 1030658
Sex: M
Age: 78
State: NY

Vax Date: 02/05/2021
Onset Date: 02/11/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: none done.

Allergies: none

Symptoms: On Thursday following shot. Legs of both legs became itchy. Felt like they were on fire. skin was still clear. . After applying a some steroid cream it settled dawn and I went to sleep. Next morning I awoke with spots on my legs, and over the last few days, there were deliniated spots everywhere on my body - front and back - with the exception of my face. I thought it was measle, though my temperature was nomal (no fever) . I've not been able to contact my doctor. The spots have becom less definite and delineated, have grown into one another.. In general they're not teribly itchy, but they're everywhere. I'll see my Doctor tomorrow. I have spent the days in bed, not feeling my usual self. I feel a little better today but the spts (rash are everywhere.

Other Meds: allopurinol, Vasotec, levoxl,Metoprolol, warfarin, calcitriol, vit d,

Current Illness: none

ID: 1030659
Sex: F
Age: 55
State: MD

Vax Date: 02/05/2021
Onset Date: 02/10/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: Covid 19 2/11 neg Strep 2/12 neg Mono 2/12 neg Strep 2/12 neg Cbc wbc 14.6 Comp bili 0.5 ast 43 alt 72 phos 142 CT with contrast neck diffuse erythema swelling of tonsils

Allergies: None

Symptoms: Throat pain/swelling /exsoriation /erythema /drooling/ lose of voice/ fever /chills /diarrhea vomiting /elevated LFT/ and WBC/ negative for covid /strep and mono. No throat abscess. I was seen in urgent care treated with augmentin 875mg 36 hours later much worse nor drooling not able to talk drink or eat. Seen in ED. Given fluids steroids and pain meds.... felt much better. .... got home the next day started vomiting and diarrhea throat pain continues can only swallow liquids

Other Meds: Diovan Lasix Kdur Protonic Pepcid Lipitor Ambian Trillrindix Multiple vit Biotin Vit C

Current Illness: None

ID: 1030660
Sex: F
Age: 35
State: AZ

Vax Date: 02/07/2021
Onset Date: 02/07/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Fever (102F) for ~24 hours, chills, fatigue

Other Meds: Birth control, multivitamin

Current Illness: none

ID: 1030661
Sex: F
Age: 81
State: AL

Vax Date: 01/01/2021
Onset Date: 02/08/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data:

Allergies: Demerol

Symptoms: Rash on Lt arm approx size 3"X 5" with itching that started on 02/08/2021 and continues to be present and uncomfortable. Due to have 2nd injection on 03/01/2021. Recommendations state probably need to receive 2nd dose in Rt. arm, but can't due to having lymph node removed due to breast cancer.

Other Meds: Centrum multivitamins and Caltrate calcium

Current Illness:

ID: 1030662
Sex: F
Age: 66
State: NY

Vax Date: 02/05/2021
Onset Date: 02/14/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 3? red circle after one week. Lump. Sensitive to touch.

Other Meds:

Current Illness:

ID: 1030663
Sex: M
Age: 71
State: MN

Vax Date: 02/09/2021
Onset Date: 02/15/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: Injection site rash.

Other Meds: Multi vitamin, potassium supplement, D3 supplement, 160/4.5 Symbicort

Current Illness: Asthma, sleep apnea

ID: 1030664
Sex: F
Age: 89
State: IL

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data:

Allergies: Influenza Vaccine per long-term care facility

Symptoms: Patient was incorrectly identified and pharmacy staff hosting a vaccination clinic administered the vaccine. Patient had already received two doses of the Pfizer vaccine and this was the patient's third dose of the vaccine which is just a two dose series. Patient has experienced no side effects nor issues after receiving the vaccine for a third time.

Other Meds:

Current Illness:

ID: 1030665
Sex: F
Age: 95
State: FL

Vax Date: 02/05/2021
Onset Date: 02/13/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data:

Allergies: N/a

Symptoms: Itching and redness near injection site after 8 days.

Other Meds: Lithium, vimpat, metoprolol, losartan, sertraline, Eye supplements, vitamin d3, multivitamin, b12, turmeric, melatonin

Current Illness: N/a

ID: 1030666
Sex: F
Age: 77
State: CA

Vax Date: 02/07/2021
Onset Date: 02/10/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: none...I don't need to go to another doctor to let me know it's swollen and inflamed. I FEEL it and am using ice and elevating it and so far not walking . I have no idea if it will go away, but you need to inform the public to stop getting the Moderna if you've had a filler in your knees.

Allergies: many allergies to antibiotics, side effects from OTC anti inflammatories

Symptoms: This event , because so many elderly people have the fillers in their knees should be widely publicized! We have fillers that help so much to be able to walk without pain, but this vaccine has caused me to have extreme pain and burning and not be able to walk without pain for 4 days now. NO ONE has said anything about how this Moderna vaccine would affect us because of the Hyaronolic Acid injections to our knees. We should have been allowed to get Pfizer!!!! I am so upset about this and extremely disappointed in our government's lack of disclosure.

Other Meds: thyroid medication

Current Illness: none

ID: 1030667
Sex: M
Age: 28
State: NC

Vax Date: 02/14/2021
Onset Date: 02/15/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data:

Allergies: No known food or drug allergies.

Symptoms: Extreme fatigue, nausea, soreness, and muscle aches.

Other Meds: Pristiq 100 mg buproprion 150 mg x2 per day atomoxetine 80 mg metformin 1000 mg campral 666 mg x3 per day

Current Illness: None

ID: 1030668
Sex: F
Age: 76
State: MA

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: None

Allergies: Seasonal

Symptoms: Extreme chills, shakes, aches, fever sore arm

Other Meds: Eliquis, Losartan, Vitamin D, Celexa,,Synthroid

Current Illness: NONE

ID: 1030669
Sex: F
Age: 71
State: GA

Vax Date: 01/25/2021
Onset Date: 01/30/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: none

Allergies:

Symptoms: Patient states that about a week after receiving the Moderna she noticed a rash on her arms and L leg. Rash was red, painful and itchy.Patient states she had some prednisone at her house and she took that and some Benadryl at night. She called her primary care and was instructed to notify the Health Department.

Other Meds: Estrogen patch, Levothyroxine, Tumeric, Coconut oil, Vitamins

Current Illness: none

ID: 1030670
Sex: F
Age: 42
State: PA

Vax Date: 02/06/2021
Onset Date: 02/08/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient is having painful swelling of the lymph nodes in axillary region.

Other Meds:

Current Illness:

ID: 1030671
Sex: F
Age: 54
State: CO

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: 1. Allergic reaction, initial encounter - ondansetron ODT (ZOFRAN-ODT) disintegrating tablet 4 mg - diphenhydrAMINE (BENADRYL) capsule 50 mg - dexAMETHasone (DECADRON) tablet 8 mg

Allergies:

Symptoms: Pt with history of immune suppression due to rheumatoid arthritis and allergy to latex, was given a Moderna Covid-19 vaccination and approximately 2 minutes later developed redness and increased warmth in the right arm where she received the injection and developed nausea and felt like she needed to take a puff from her albuterol inhaler. She was immediately directed to the urgent care for treatment.

Other Meds: Unknown

Current Illness:

ID: 1030672
Sex: F
Age: 69
State: AZ

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data:

Allergies: Tolectin

Symptoms: 5:30pm: hands and feet felt very cold. Mild chills began. 6:10pm: temp was 98.3F Bundled up on the couch - socks, boots, leggings, sweatshirt, 2 blankets - and napped. 9:00pm; finally felt warm. Back and shoulder muscles were very sore. Temp had risen to 100.3F. Took 400mg ibuprofen and went to bed. Awoke the next morning feeling great. No residual effects.

Other Meds: Atorvastatin, Vitamin D, Biotin, Cranberry. Extract

Current Illness: None

ID: 1030673
Sex: F
Age: 85
State: IL

Vax Date: 02/14/2021
Onset Date: 02/14/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: Pharmacist gave the resident Benadryl

Allergies: Shell fish allergy

Symptoms: Numb tongue

Other Meds: Donepezil, Metoprolol, Amlodipine, Furosemide, Atorvastatin, Memantine, Clonidine, Lisinopril, Synthroid, B100 vitamin, 81 ml aspirin

Current Illness: None

ID: 1030674
Sex: F
Age: 61
State: FL

Vax Date: 02/01/2021
Onset Date: 02/03/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: I became light headed by 8 am and it continued all day long. By 2pm I developed a bad headache. I was really dizzy, nauseated really bad, my arm was hurting and swelling. The next day I woke up with the worst migraine headache I ever had. My arm was red at the injection site, painful and swollen. I had to take Prednisone to calm it down, it did not go completely away with the Prednisone, I still have a small uncomfortable area that hurts and is uncomfortable to touch. I had to get an ointment with Prednisone to help control the itching, it did not help very much since I feel the itching was coming from the muscle. I had a large hard knot on my arm, I finally had to give in an itch it, I felt the area about 5 hours later and the know had gotten vey small. I guess I broke up the knot but intensely itching it.

Other Meds:

Current Illness:

ID: 1030675
Sex: M
Age: 50
State: NJ

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Pfizer-BioNTech COVID-19 Vaccine: About 15 minutes after vaccination, patient started to feel that there is a lump in his throat and both hands had tingling. Paramedic was on site and put patient on EKG monitor and observed patient for 20 minutes. The patient left the site independently and stated no further issues.

Other Meds:

Current Illness:

ID: 1030676
Sex: F
Age: 45
State: CA

Vax Date: 02/12/2021
Onset Date: 02/15/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Swelling and large red rash around site. Hot to the touch. This may have happened sooner after vaccination but was not noticed until date reported. Prior was high fever, chills body aches. Those have passed.

Other Meds: Chlorthalidone 25mg Spironolactone 25mg Multi vitamin

Current Illness: None

ID: 1030677
Sex: M
Age: 76
State: AZ

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: none dont fell safe doing anything else at this time

Allergies: morphhine niacin prepasations levoflox acin

Symptoms: very bad abdomen pain and back kidney area pain chills and weakness for 24 hours and still four days later very week and unable to do much activity

Other Meds: 81 mg aspirin omega-3 fatty acid fish oil magnesium Q10 zyrtec multa vit vit d3

Current Illness: none

ID: 1030678
Sex: M
Age: 90
State: SC

Vax Date: 02/04/2021
Onset Date: 02/09/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Patient stated he got shortness of breath and rapid heartrate. Went to the hospital where they performed cardioconversion and shocked heart into rhythm.

Other Meds: none

Current Illness: none

ID: 1030679
Sex: F
Age: 40
State: NJ

Vax Date: 02/13/2021
Onset Date: 02/14/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data:

Allergies: Penicillin, Aspirin

Symptoms: Rash below injection site; redness, warm to the touch. Noticed 2/14/21. On 2/15/21, rash has grown in size towards bicep.

Other Meds: Xyzal, singulair, multi-vitamin

Current Illness: None

ID: 1030680
Sex: M
Age: 67
State: AZ

Vax Date: 02/13/2021
Onset Date: 02/15/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Patient felt dizzy, which passed quickly. Patient then had breakfast and became nauseous and vomited.

Other Meds:

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm