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: 1031975
Sex: M
Age: 54
State: FL

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

Lab Data: None

Allergies: None

Symptoms: Fever 101F, Chills, Shivering, Isolated Muscle Twitching, Slight Headache that lasted about 4-6 hours.

Other Meds: Lipitor

Current Illness: None

ID: 1031976
Sex: F
Age: 46
State: IL

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

Lab Data: None

Allergies: Flagyl, bactrim, cephalaxin

Symptoms: Chills, body ache, fever, pain at the injection site., headache

Other Meds:

Current Illness: Anemia

ID: 1031977
Sex: F
Age: 88
State: ME

Vax Date: 02/05/2021
Onset Date: 02/07/2021
Rec V Date: 02/15/2021
Hospital: Y

Lab Data: Met criteria for sepsis on admission with fever, mental status change, elevated WBC. No source identified other than recent vaccination. Workup included SARS CoV2 PCR negative x 2, UA negative on admission. Blood cultures x4 negative at 48 hours. CT abd/ pelvis without evidence of cholecystitis or occult abscess or diverticulitis. CT chest without evidence of pneumonia. No skin lesions concerning for cellulitis VSV or HSV identified. No joint pain typical for gout. Flu A/B PCR negative. Family declined lumbar puncture.

Allergies: NKDA

Symptoms: Patient started having fever 2 days after second dose of Pfizer mrna vaccine. First dose occurred January 19, 2021 and was uncomplicated. Fevers continued and she started to have delirium and increased neurologic symptoms that mimicked stroke 6 days after vaccination. She was admitted 6 days after vaccination with fever 102, delirium.

Other Meds: apixaban, hydrochlorothiazide, atorvastatin, Lisinopril, metoprolol, escitalopram, vitamin D, calcium

Current Illness:

ID: 1031978
Sex: F
Age: 68
State: AL

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

Lab Data: no

Allergies: penicillin

Symptoms: pt stated her left arm was itching, swollen, red and feverish after receiving the vax. Later in the day it was red and swollen but the itching had subsided. Pt said the next day the she could not move her arm since it was still swollen and painful. The following day the swelling had moved into the elbow and stayed swollen until the following. Pt stated she no longer has the symptoms.

Other Meds: Calcium 600mg, Vitamin C 500mg, Echinacea,

Current Illness: no

ID: 1031979
Sex: F
Age: 77
State: NJ

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

Lab Data: Drawn today CBC w/ diff, BMP, LFTs, Lipase, GGT, TSH, UA. EKG done showing coarse AFib w/ ventricular rate of 76. Abdominal US ordered.

Allergies: ceftriaxone, clarithromycin. latex, moxifloxacin

Symptoms: Pt developed chest pain (EKG shows she is back in AFIB), upper abdominal pain, jaundice (labs pending), and possibly enlarged liver and spleen (feel enlarged on exam, US ordered). Symptoms began about 28 hours after administration.

Other Meds: Xarelto 20mg QD, Tylenol 325mg , calcium 600mg QD , Metoprolol succinate ER 25mg QD, simvastatin 10 mg QD, Vitamin B complex, vitamin B12, multivitamin, Lasix 20mg QD, Evista 60mg QD, iron ER 325mg QD, L-lysine 500mg QD

Current Illness: Atrial fibrillation (recurrent) s/p cardioversion in January 2021

ID: 1031980
Sex: F
Age: 53
State: IA

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

Lab Data: NA

Allergies: None

Symptoms: About 2.5 hours after receiving the shot I started feeling achy and flu-ish, with a slight fever, about 100.2 degrees. I was extremely tired and felt worn out and went to bed early. Was fine by morning.

Other Meds: Fluoxetine, levothyroxine, probiotics, garcinia cambogia

Current Illness: A bit of nasal congestion at time of vaccination

ID: 1031981
Sex: F
Age: 75
State: FL

Vax Date: 02/04/2021
Onset Date: 02/11/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: COVID-19 PCR test on Saturday, 2/13/21 - negative result Flu (A & B) test on Saturday, 2/13/21 - negative result

Allergies: Penicillin Aspirin Sulfa Aspartame

Symptoms: Flu-like symptoms with headache, fever, chills, dry cough and extreme fatigue lasting 36 hours. Symptoms started Thursday, 2/11/21 in afternoon and lasted through Saturday morning, 2/13/21.

Other Meds: Nitrofurantoin Mono_MCR 100 mg Omeprazole 20 mg Lisinopril 20 mg Oxybutynin CL ER 10 mg Prasugrel 10 mg Atorvastatin 40 mg Calcium 1000 (2/day) Pure O.N.E. Multi-vitamins Omega B-Complex D-3 5000 Viviscal Zinc Glycinate Lipsomal Glutathio

Current Illness: Suspected UTI

ID: 1031983
Sex: F
Age: 29
State: MD

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

Lab Data: None

Allergies: None

Symptoms: Erythema, warmth to injection site starting on 2/12/21 (the day after the injection). Patient circled the area and monitored. On 2/15, pt noticed the area of erythema had spread slightly beyond the marked area, but without worsening pain, no fevers, no chills. + 9cm area of erythema with slight edema, warmth; no induration. Pt feels well overall. Given that this is a known reaction to the vaccine, pt was told to monitor the area; a new line was drawn around the erythema; plan to treat for cellulitis only if the area continues to worsen, or does not improve in the next 2-3 days.

Other Meds: None

Current Illness: None

ID: 1031984
Sex: M
Age: 86
State: NH

Vax Date: 08/21/2020
Onset Date: 08/22/2020
Rec V Date: 02/15/2021
Hospital:

Lab Data: Spinal Tap (Lumbar Puncture - without my mom's consent) (9/2 or 9/3 I believe). He had Dementia and was really not able to be his own advocate.

Allergies: None

Symptoms: Fever on 8/22 and diarrhea, taken by car to the ER, and they sent him home. It continued to get worse with diarrhea and fever, severe neck pain and other joint pain. 8/27/20 taken by ambulance to the ER and he never left there. He was transferred to a nursing home on Oct 2nd. He had never been out of bed at the hospital and by Oct was too weak to go home. His stomach and joint pain was better by Oct 2nd,.

Other Meds: Vitamin D; Methotrexate

Current Illness: None

ID: 1031985
Sex: F
Age: 64
State:

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

Lab Data:

Allergies: Penicillin

Symptoms: Back pain

Other Meds: None

Current Illness: None

ID: 1031986
Sex: F
Age: 30
State: NC

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: None- he did a complete eye exam on January 8th. No increase in intra-occular pressure.

Allergies: Propolis- bee glue.

Symptoms: Starting January 6th started having itching on my upper L eyelid. The itching/pain progressed despite warm compresses multiple times a day. The morning of January 8th had swelling and redness in upper eyelid which then lead to some extremely mild ptosis and inability to fully open eyelid. I got concerned at work on the 8th because of the pain due to the swelling of the eyelid. I was able to be seen by my eye doctor the afternoon the 8th . He prescribed me topical steroid (Desonide). Personally I felt like it felt different than a stye. He reported he didn't feel any bleb or any raised lesion that he felt was suspicious for a stye. I hadn't used any new products/soaps or makeup on that one eyelid. Of note, I did fine for the second vaccine.

Other Meds: IUD in place Vitamin D- 2000 IU daily

Current Illness: None. Healthy, no recent viral illnesses or any issues.

ID: 1031987
Sex: F
Age: 67
State: TX

Vax Date: 02/12/2021
Onset Date: 02/14/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: None

Allergies: Tylenol

Symptoms: I have a red rash under my breast area, on the side of my breast and right under my rib cage, navel and at shot sight.

Other Meds:

Current Illness: None at the time of the vaccination but I had chills, fever, and aches the day after the vaccine.

ID: 1031988
Sex: F
Age: 73
State: FL

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

Lab Data:

Allergies: penicillin

Symptoms: vomiting, nausea, headache, fever, chills, fatigue

Other Meds: lipitar ibandronate ginger multi-vitamin

Current Illness: none

ID: 1031989
Sex: M
Age: 29
State: CA

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

Lab Data:

Allergies:

Symptoms: Headache, body ache, fever, chills

Other Meds:

Current Illness:

ID: 1031990
Sex: F
Age: 67
State: CA

Vax Date: 02/10/2021
Onset Date: 02/14/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: none

Allergies: Penicillin, Ampicillin

Symptoms: I had no adverse reactions the first three days after receiving the Pfizer COVID-19 vaccination (first dose), except for a sore arm. On day four at 3pm in the afternoon I broke out in a rash in between and under my breasts, which I treated with Clobetasol cream, and the rash got better. At 3 am in the morning I broke out in severe hives (welts) on both sides of my abdomen (more pronounced on my left side), under my abdomen and in my groin area. Those areas were very red, raised, itchy and warm to touch. I did not experience any shortness of breath, swelling of face or throat, or fast heart rate. There were no changes in my diet, medications, laundry detergent, or bath soap. I took Benadryl (25 mg) at 3 am and again at 4 am because there was not much improvement. At 9 am that morning the hives were still present but less red and raised, and not itchy. I took another Benadryl (25 mg) in the afternoon because the hives had not completely vanished.

Other Meds: Losartan (100mg) 1 daily, Colace (100mg) 1 daily, Probiotic 10 1 daily Alleve, Motrin, Tylenol as needed

Current Illness: None

ID: 1031991
Sex: M
Age: 88
State: CA

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

Lab Data:

Allergies:

Symptoms: Pfizer-BIONTECH COVID 19 VACINE EUA 1. MUSCLE PAIN MAKES IT DIFFICULT TO MOVE AROUND 2. JOINT PAIN IN KNEES AND HIPS causes slip and fall issues

Other Meds: multi vityamin, losartin, simistatin

Current Illness: COPD

ID: 1031992
Sex: F
Age: 64
State: OH

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

Lab Data: None

Allergies: None

Symptoms: Pt. c/o nausea and being shaky. Pt was taken to observation room for assessment. Pt stated that last well visit was in November which Doctor Lower doses of some meds. Pt ate some peanut cracker and had some water and started feeling better. BP 160/90, Pt was escorted to her car and SPO2 98%. Pt texted my Supervisor stating she made home just fine.

Other Meds: metformin, lisinopril, albuterol, simbicourt

Current Illness: None

Date Died: 02/13/2021

ID: 1031993
Sex: M
Age: 89
State: MN

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

Lab Data: When check on next morning by staff patient was deceased.

Allergies: KNDA or other allergies listed

Symptoms: Patient reported mild flu like symptoms from vaccination later that evening. Next morning LTCF staff found pt deceased

Other Meds: Unkown

Current Illness:

ID: 1031994
Sex: F
Age: 50
State: MT

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

Lab Data: Pt sent to emergency room by ambulance

Allergies: Shellfish allergy and allergy to Amoxicillan

Symptoms: Moderna vaccine given at 1156 DOB 03/01/1970 IM to R deltoid. Lot number 015M20A, exp 7/29/2021. Pt had allergies to shellfish and amoxicillin (stating hives and anaphylaxis). Pt started itching at 1215 so sat by pt and monitored pt closely as she wasn?t sure if she was just being nervous. Pt was itching by her mouth under her mask and behind right ear. I couldn?t see anything that looked like rash or hives. At 1218 I noticed her R ear was now swollen and red. Pt continued to c/o of itching and states it has now progressed to her feet. She called the ambulance while this nurse gave 0.5mg SQ epinephrine L upper arm. VS: BP 140/82, HR 101, RR 20, 99% RA. Pt breathing easy and regular with no issues with airway. Pt states itching much better and was gone from her feet within a few seconds of giving the epinephrine. Pt questioning if she really needs to go by ambulance. This nurse did encourage going by ambulance as if anything happened that patient went unconscious on the way to the hospital that the ambulance staff could keep her safe by giving her more medications. 1223: Assisted patient by w/c to cot to lie down as she was feeling shaky from epinephrine. This nurse staying with pt at all times while waiting for ambulance. Pt called husband and is talking to this nurse throughout this situation. Pt breathing easy and regular. 1230: Pt states itching better, and redness on R ear is getting better. Husband has arrived to be with pt and wait for ambulance. Pt states still itches but still gone from her feet. Redness on ear remains good. Pt talked with husband about concern of taking ambulance. This nurse did state she thought it was safest way for pt to be transported in case anything happened further on the way to the hospital but the patient does have the right to refuse the ambulance. 1240: Pt states itching feels like increasing some. States itching to her hair, face, and feeling like all itching all over again. This nurse gave 50mg Benadryl IM to RUQ buttock. Pt tolerated well. No bleeding to site after injection. Ambulance arrived right after injection given. Report was given to ambulance staff after they had time to assess patient. Pt and husband agreed for pt to leave with the ambulance. Ambulance staff had pt walk to ambulance at 1245. Pt stable when leaving with ambulance staff.

Other Meds: Did not review all medications with pt

Current Illness: Denied being ill at time of vaccination

ID: 1031995
Sex: F
Age: 83
State: ID

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

Lab Data:

Allergies: All types of antibiotics

Symptoms: Woke the morning after vaccination with pain throughout body (Saturday the 13th). Sunday pain level had increased. Monday (Feb 15th) pain increased to the point of being unable to move or get out of bed. The only parts of the body not in high levels of pain are the lower arms. To see a doctor it would require an ambulance as the pain makes it impossible to move

Other Meds: Prevacid, Metamucil, Acetaminophen

Current Illness: None

ID: 1031996
Sex: F
Age: 67
State: OK

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

Lab Data: N/A

Allergies: NKDA

Symptoms: PATIENT CALLED AND STATED SHE WAS HAVING AND EPISODE OF FLUSHING IN THE FACE. CONFIRMED THAT NO SWELLING OR TINGLING SENSATION WAS PRESENT IN THE MOUTH OR THROAT. SUGGESTED SHE TAKE BENADRYL AT THE MOMENT AND CALL IF SHE NOTICES ANY WORSENING SYMPTOMS.

Other Meds: ATORVASTATIN 10 MG

Current Illness: N/A

ID: 1031997
Sex: F
Age: 53
State: WY

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: N/A

Allergies: penicillin

Symptoms: 1st day after vaccine: Fever of 99.9?F, Felt achy, Arm sore, Slight cough when exhaling -- Took extra strength acetaminophen and ibuprofen 800mg 2 days after vaccine: slight fever of 98.8?F, Didn't feel 100% better -- No meds

Other Meds: duloxetine, levothyroxine

Current Illness: none

ID: 1031998
Sex: M
Age: 22
State: ME

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: none

Allergies: NKDA

Symptoms: After about 15 minutes the subject asked to use a pulse oximeter, reading normal. Then said it was like looking in a tunnel. We asked him to sit an d applied an ice pack to the back of the neck. At the time this provider did not know the patient had a seizure disorder. He slid to the floor with full tonic clonic involvement. His head and neck were protected. 911 was called and an ambulance. After about 3 minutes the subject regained consciousness. He did not wish to be checked out at the hospital. He signed a release and his mother picked him up

Other Meds: Lamictal 200 mg QD

Current Illness: unknown

ID: 1031999
Sex: M
Age: 73
State: NH

Vax Date: 02/01/2021
Onset Date: 02/10/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: red area at vaccination site and area was very itchy

Other Meds: allopurinol, vitamin d3, lisinopril-hydrochlorothiazide, metformin, zocor

Current Illness: none

ID: 1032000
Sex: M
Age: 74
State: CA

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

Lab Data:

Allergies: No

Symptoms: Severe runny nose.

Other Meds: No

Current Illness: No

ID: 1032001
Sex: F
Age: 75
State: NV

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

Lab Data: Emergency Department Visit 2/15/21-diagnosed with degenerative muscles

Allergies: Penicillin, Cipro

Symptoms: 3 days after vaccination; pt woke up having hard time getting out of bed, she had to hang on furniture to move around, sitting down caused extreme pain when pt had to get up.

Other Meds:

Current Illness:

ID: 1032002
Sex: F
Age: 32
State: IL

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

Lab Data: EKG Labs COVID Chest CT

Allergies: Bactrim Peridium Amoxicillin Augmentin

Symptoms: I had chest discomfort later that night. I have a 101.8 fever Saturday and bad chest pain. Went to ER and they found large lymph nodes and I had surgery to remove them. Currently awaiting results and will see surgeon tomorrow.

Other Meds:

Current Illness:

ID: 1032003
Sex: F
Age: 31
State: PA

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

Lab Data: N/A

Allergies: N/A

Symptoms: I am experiencing what I saw online as "COVID arm". After the vaccination, the pain lasted for about 2-3 days and it was gone. Then after another 2 days, I realized that I had a huge red rash mark right under where I got the shot. It was a huge red patch of crazy itchiness and a little bit of dull pain, but it was extremely hot and swelled up. So that has been on going for a few days now.

Other Meds: Temazepam, duloxetine, vitamin B C D, MSM, L- Lysine, Hyaluronic Acid, Immunitone, Silymarin, ibuprofen

Current Illness: N/A

ID: 1032004
Sex: M
Age: 36
State:

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

Lab Data: none

Allergies: none

Symptoms: Light headache, loss of appetite, exhaustion

Other Meds: B12 and Calcium supplements

Current Illness: None

ID: 1032005
Sex: M
Age: 30
State: NY

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

Lab Data: CBC, CMP, immunology labs pending, covid antibody pending 2/15/21

Allergies: amoxicillin

Symptoms: Diffuse erythematous pruritic rash. Throat tightness ED treatment: Epinephrine, Solumedrol, Pepcid, Benadryl IV with resolution of symptoms Discharged home on prednisone, Pepcid, Benadryl and epipen

Other Meds: doxycyline

Current Illness: skin infection to umbilical region covid January 2021

ID: 1032006
Sex: F
Age: 34
State: NJ

Vax Date: 02/05/2021
Onset Date: 02/12/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: 7 days after vaccination with "covid arm" redness, swelling, itching, heat now 4th day of symptoms. recommended antihistamine, steroid cream 2.5% icing, monitoring. hope to see resolution in next 24 =48 hrs.

Other Meds: none

Current Illness: none

ID: 1032007
Sex: F
Age: 69
State: CA

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

Lab Data:

Allergies: Cold urtecaria

Symptoms: Ten days after vaccination, bruise, redness, tenderness at injection site. None before that day.

Other Meds: Amlodopine, Allegra, Multivitamin

Current Illness:

ID: 1032008
Sex: F
Age: 25
State: PA

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

Lab Data:

Allergies: Seasonal

Symptoms: Large red rash at injection site appearing 10 days post vaccination, burning sensation and hot to touch, rash associated with diarrhea

Other Meds: Sprintec, topical metronidazole on face

Current Illness: None

ID: 1032009
Sex: F
Age: 29
State: AZ

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

Lab Data:

Allergies: None

Symptoms: Swelling,heat, and redness at injection site. Severe headache, fever of at least 101.5, chills, aches, lethargy, inappetence.

Other Meds:

Current Illness: None

ID: 1032010
Sex: M
Age: 79
State: MA

Vax Date: 01/30/2021
Onset Date: 02/14/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: None

Allergies: None known

Symptoms: Large red rash on upper left arm appearing two weeks after vaccine administered No itching but painful.

Other Meds: Atorvastatin

Current Illness: None

ID: 1032011
Sex: F
Age: 50
State: OH

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

Lab Data: None

Allergies: Mango, glycerin, Viaxin, sulfa

Symptoms: 1500 Pt informed RN @ 1450, 5 min after injection her tongue went numb. States her chest was tight but she was asthma as well and took her Albuterol which helped. NO chest tightness at this time. Numbness improving.

Other Meds: "my PCP knows"

Current Illness: headache, asthma

ID: 1032012
Sex: F
Age: 70
State: WA

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

Lab Data: None

Allergies: Allergies to Ceftin (hives), prednisone (palpitations, headache, anxiety, GI cramping), and all antibiotics cause severe stomach cramping, diarrhea, and some nausea.

Symptoms: Extreme fatigue, weakness, muscle aches, steady headache, from 2 pm until next day. Still fatigued and some dizziness and weakness on second day. Headache diminished. Slight queasy feeling. On third day, one incident of weakness almost to point of fainting. Improved after lying down for 15 minutes. Sore arm. Almost 10 days after injection, raised welt and itching area at injection site. Still itchy 14 days after shot. No other symptoms.

Other Meds: None at time of vaccination. Last dose of any medication was one 20 mg simvastin tab 24 hours prior

Current Illness: None

ID: 1032013
Sex: F
Age: 40
State: NY

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

Lab Data:

Allergies: No

Symptoms: Red face, high blood pressure

Other Meds: Multivitamin, hydrochlorothiazide, atorvastatin

Current Illness: No

ID: 1032014
Sex: F
Age: 69
State: NY

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

Lab Data:

Allergies: None

Symptoms: I received the injection on 2/1/21 and on 2/14/21 a 3 x 2 inch red hive like area covered the injection site. It felt warm to the touch and was red and itchy. It ached a little bit and is better today 2/15/21 but is still there - not as red and not as itchy but still swollen. slightly.

Other Meds: Synthroid -75 mcg zinc vit. C , Vit B complex and Vit D multivitamin tumeric

Current Illness: None

ID: 1032015
Sex: F
Age: 0
State: CA

Vax Date: 10/05/2020
Onset Date: 10/05/2020
Rec V Date: 02/15/2021
Hospital:

Lab Data: NA

Allergies: NA

Symptoms: Flu vaccine administered to 2month old w/o any adverse outcomes/reaction

Other Meds: NA

Current Illness: NA

ID: 1032016
Sex: F
Age: 60
State: CO

Vax Date: 02/06/2021
Onset Date: 02/07/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Intermittent cramping and diahrrea from midnight Sunday through Monday 2/15 (so far)

Other Meds: Lexapro 40 mg., Levothyroxine 25 mcg, Fish Oil, Methyl Folate 1500 mcg, D3 5,000, Vit. B2- 400 mg, Co-Q 10, Melatonin 5 mg

Current Illness: Ear Infection 2 weeks earlier, Amoxycillin completed.

ID: 1032017
Sex: F
Age: 28
State: IL

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

Lab Data: CBC, CMP, LFT, TSH and vit D, 25 hydroxy level drawn ON 02/12/21

Allergies:

Symptoms: After receipt of her 2nd dose of the Moderna vaccine, the patient complained of her eyes feeling swollen. She also had hives her back. She was provided an icepack in the monitoring area for her eyes and was observed. She denied itching or throat tightness. Due to increasing hives and additional eye edema, she was taken to the ED. At the ED, she was examined and no hives were found upon examination, only a small area of redness on her chest. Patient was administered one dose of 50mg Benadryl in the ED. She was discharged and counseled to return for worsening signs/ symptoms which were described to patient. The patient indicated understanding and was advised to take Benadryl for symptom relief and follow up with her doctor within 1-2 days for worsening or continued problems. The patient discharged to her home.

Other Meds:

Current Illness:

ID: 1032018
Sex: F
Age: 56
State: AZ

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

Lab Data:

Allergies: None

Symptoms: 24 hours after receiving shot ,chills , muscle aches ,fatigue for about 6 hours

Other Meds: Multi vitamin, turmeric supplement, claritin

Current Illness: None

ID: 1032019
Sex: F
Age: 79
State: CO

Vax Date: 02/05/2021
Onset Date: 02/08/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: Cat- scan MRI Electrocardiogram and bubble study

Allergies: Sulpha Benedryll

Symptoms: On Monday February 8 , i was hospitalized for TIA.

Other Meds: Citalopram Lorazepam Rosustatin

Current Illness: None

ID: 1032020
Sex: F
Age: 72
State: PA

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

Lab Data:

Allergies: None

Symptoms: I developed a headache 30 minutes after receiving the vaccine. I had a headache every day following that for 8 consecutive days. Of moderate intensity. Advil helped, but did not alleviate.

Other Meds: Lipitor Lexro Lisinopril

Current Illness: None

ID: 1032021
Sex: F
Age: 81
State: WA

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

Lab Data:

Allergies:

Symptoms: Patient showed up for her 2nd dose. We were only giving 10 shots that day. The patient was not on our schedule and was not yet due for her second dose. This was not caught and patient received her 2nd dose 14 days after her first dose

Other Meds:

Current Illness:

ID: 1032022
Sex: F
Age: 61
State: GA

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

Lab Data:

Allergies:

Symptoms: Patient felt moderate hand pain following injection. was evaluated by clinician on site and instructed to take routine pain medication once patient was home.

Other Meds:

Current Illness:

ID: 1032023
Sex: F
Age: 56
State: CA

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

Lab Data:

Allergies: NKDA

Symptoms: PATIENT HAD C/O NAUSEA AND VOMITING WITH DIZZINESS

Other Meds: Baby aspirin, Norvasc, Metformin, Lipitor

Current Illness: N/A

ID: 1032024
Sex: F
Age: 54
State: OH

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

Lab Data: None

Allergies: PCN, Azithromicyn, Clindamicyn, Bactrim, Levaquin

Symptoms: 1533 Lightheaded post shot pt passed out. BP 182/120, 1540 148/108 pt lying on the floor, responding to nurse. Son was called to meet her at Hospital. 1542 911 called and squad arrived. 1545 Sitting in chair with EMS present. Oriented x3. 1548 Pt ambulated to squad with EMTS. Pt agreed to go to ER. Pt states she passes out after shots. She was advised to inform her PCP.

Other Meds: Amlodipine

Current Illness:

ID: 1032025
Sex: F
Age: 72
State: MO

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

Lab Data:

Allergies:

Symptoms: As I was administering the vaccine, the patient stated: "I feel" and then fainted on me. Her husband and I kept trying to get her to talk to us, she was squeezing my hand as we talked, I ran an alcohol pad under her nose. We got her to open her eyes a few times and decided to call 911. She was breathing and I could feel her pulse. 911 had us lay her on the floor where she started to come to and mentioned how bad her vertigo was before I gave the shot. She also said her blood pressure was really low this morning and didn't want us to call the news as she didn't want to be on the news

Other Meds: Trazodone Tizanidine Amlodipine tramadol gabapentin lorazepam

Current Illness: Low Blood pressure this morning and severe vertigo

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm