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: 1032229
Sex: F
Age: 60
State: FL

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

Lab Data:

Allergies: Morphine - pruritis Oxycodone - pruritis

Symptoms: Patient presented to emergency department on 2/14 complaining of neck swelling and vomiting, without associated shortness of breath. Received methylprednisolone, epinephrine, diphenhydramine, and famotidine and admitted for close observation. In the ICU, patient did not require supplemental oxygen or further medications. Symptoms resolved the next day and patient transferred out of the ICU. Patient received Moderna COVID-19 Vaccine on 2/12 (~48 hrs prior to symptoms of angioedema). Per patient report, she restarted her outpatient lisinopril a week prior to vaccination after being off of it for a year (was previously on lisinopril for several years prior to that). Of note, on 2/12 she had a negative COVID-19 test, however she did test positive for COVID-19 on 2/14. Patient was also taking metronidazole and ciprofloxacin when she received COVID-19 vaccine, however she has previously taken those medications without adverse reaction.

Other Meds: Lisinopril Diltiazem Carvedilol Omeprazole Gabapentin Metronidazole Ciprofloxacin Loratadine Cyanocobalamin

Current Illness: Diverticulitis

Date Died: 01/25/2021

ID: 1032230
Sex: M
Age: 66
State: KY

Vax Date: 08/19/2020
Onset Date: 08/20/2020
Rec V Date: 02/15/2021
Hospital:

Lab Data: Medical attention was not sought at the time of reaction, however, symptoms were mentioned to PCP during Annual physical, 10/1/2020.

Allergies: None known

Symptoms: Muscle aches, particularly neck; swollen lymph nodes left supraclavicular; headache; fatigue. These symptoms lasted for approximately two weeks.

Other Meds: Levothyroxin, 50 mg

Current Illness: None

ID: 1032231
Sex: M
Age: 66
State: FL

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

Lab Data:

Allergies: IVP contrast Certain types of Trees Pollin

Symptoms: For two days severe body aches, very tired, had to stay in bed most of the time. Nausea so didn?t eat much during this time. Headache too. Joins painfull.

Other Meds: Multi vitamin Cymbalta Voltaren Eliquis Metoprolol

Current Illness:

ID: 1032232
Sex: F
Age: 87
State: CA

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

Lab Data:

Allergies: 0

Symptoms: My right arm was red and warm from my shoulder to 2" above my elbow. It was tender but not painful. I hesitate to consider it an adverse reaction but it was not one I expected.

Other Meds: Celebrex 200mg

Current Illness: 0

ID: 1032233
Sex: F
Age: 42
State: VA

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data:

Allergies: allergic to codeine, shellfish

Symptoms: Within three hours of receiving the vaccine, patient's left arm became very stiff and painful. Any movement caused shooting pain through the arm. Range of motion was severely limited for four days following, after which pain started to lessen. Patient recovered full range of motion after four days. Dull ache in the upper arm is constant, with sharper pain resulting from any weight bearing movement. Tingling runs down the arm into the left hand, particularly after a lot of use.

Other Meds: none

Current Illness: none

ID: 1032234
Sex: F
Age: 46
State: NC

Vax Date: 01/20/2021
Onset Date: 01/22/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: MRI, Various blood test, office visit with PCP

Allergies: None

Symptoms: Two days after second shot I was hit and had onslaught of left side of head with sever migraine headaches, with intermittent pounding and spiking shot of even greater intensity of pain! It is non stop day and night preventing me from sleeping well and working / do my job. I immediately went to see my PCP who gave my tramdal but I could not handle it. Now I am on Prochlorperazine which is helping some with the pain, but migraine is still there. I had an MRI, and blood lab work! No growths seen in my head...but the symptoms I have are consistent with migraine which I never had until the second shot the of vaccine. I need help! Nothing is making this away yet - I need this migraine headache to go away!

Other Meds: Started having severe migraine headaches on the left side of the head -- pounding and spiking and continuing 95% of the time on the left side! No medications being taken before episode - healthy before incident. Now this is threatening my d

Current Illness: None

ID: 1032235
Sex: F
Age: 51
State: NY

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

Lab Data: None. The rash is still there, but reports indicate it will go away on its own. I am just monitoring.

Allergies: None

Symptoms: About 10 hours after injection, experienced arm pain at and around injection site, headache, nausea, weakness, chills, very low energy, loss of appetite. Lasted 18-20 hours. After 7-8 days a raised rash appeared at and near the injection site. It is still there.

Other Meds: Vitamins: multi, C, D3, B12, Iron. Norethindrone, Levothyroxine.

Current Illness: None.

ID: 1032236
Sex: M
Age: 74
State: CA

Vax Date: 01/28/2021
Onset Date: 02/03/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data:

Allergies: penicillin

Symptoms: Began with redness around injection site 6 days after injection. Continued to grow to cover upper arm and began to experience swelling around elbow and forearm. Went to urgent care clinic six days after onset of symptoms. Diagnosed as cellulitis infection, prescribed antibiotic. One week after starting antibiotics, symptoms 95% gone.

Other Meds: Atorvostatin, Finesteride, prilosec, pepcid complete, excedrin, ibuprofin

Current Illness:

ID: 1032237
Sex: F
Age: 62
State: CT

Vax Date: 01/07/2021
Onset Date: 01/25/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 18 days after receiving the vaccine I developed shingles. I did have the shingles vaccine, both doses, September and December 2019

Other Meds:

Current Illness:

ID: 1032238
Sex: F
Age: 58
State: VA

Vax Date: 02/03/2021
Onset Date: 02/09/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: no testing

Allergies: Keflex, sulfa.

Symptoms: Vaccine 2/3/21. Per pt, a small oval erythematous patch on 2/9/21. Office evaluation on 2/15 - erythematous patch measuring 11 x 16 cm; warm to touch; mild edema in L biceps region

Other Meds: Lexapro, Omeprazole, Lisinopril.

Current Illness: none noted

ID: 1032239
Sex: F
Age: 75
State: CA

Vax Date: 01/24/2021
Onset Date: 01/28/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: bleeding gums

Other Meds: Lipitor, fosinopril, Wellbutrin, aspirin, amlodipine, vit. c, vit d, multiple vitamin,fish oil, glucosamine & chondroitin, calcium,flexofenadine

Current Illness: controlled mild high blood pressure

ID: 1032240
Sex: F
Age: 45
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: Significant feeling of flu like symptoms. Fever, chills, body aches severe with rapid onset. Difficulty moving body and restlessness. Insomnia and malaise, fatigue. Severe injection site pain, could not lift arm. Symptoms severe until 8AM. Then moderate symptoms with fatigue as I did not sleep much until mid afternoon, chills and body aches continued until 9PM. I had a good nights sleep the following night and symptoms were gone by morning.

Other Meds: multi vitamin

Current Illness: none

ID: 1032241
Sex: F
Age: 57
State:

Vax Date: 02/03/2021
Onset Date: 02/11/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data:

Allergies: Keflex

Symptoms: After first shot no significant adverse effects until Day 8 my right upper arm started to exhibit severe pain and decreased mobility. Did NOT have redness, only minor swelling at injection area. Initially treated with Tylenol and ice with no relief. Day 9 increased pain, difficult to lift or move arm. Seen in clinic- Rx Motrin 600mg 3x daily, ice/heat. Day 10- returned to urgent care with severe right arm pain- could hardly move arm, unrelieved with Motrin. unable to sleep last 2 nights. RX with Medrol pack (6 days). Now day 3 have most arm function back and only mild pain in right arm.

Other Meds: Lisinopril, multiple vitamins, and calcium with vit D daily

Current Illness: none

ID: 1032242
Sex: F
Age: 43
State: ME

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

Lab Data: None

Allergies: None

Symptoms: Covid arm. Large, red area around injection site (size of my whole hand). Hot to the touch and tender as well. Itchy at times. Hard and raised like a large lump which seems to be subsiding. Still tender, hot and red but not as raised and am 3 1/2 days post injection.

Other Meds: None

Current Illness: None

ID: 1032243
Sex: F
Age: 31
State: OR

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

Lab Data: none

Allergies: adhesive

Symptoms: adenopathy, axilla

Other Meds: birth control pill, ibuprofen

Current Illness: none

ID: 1032244
Sex: F
Age: 84
State: FL

Vax Date: 01/28/2021
Onset Date: 02/10/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: CBC; various other blood tests; 02/10 2021

Allergies: Macrobid; Sulfa

Symptoms: Very large rash that spread over 3 days; 14 days after vaccination; still have it

Other Meds: Nexium; hctz; irbesaran; Ajovy; praluent; synthroid; myrbetiq;

Current Illness: None

ID: 1032245
Sex: M
Age: 48
State: NY

Vax Date: 02/11/2021
Onset Date: 02/13/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Large swollen painful lymph node udder the right arm and left arm also impacted to a lesser extent

Other Meds: daily multi vitamin, one daily vitamin D 1000iu

Current Illness:

ID: 1032246
Sex: M
Age: 69
State: CA

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

Lab Data: none, did not go to doctor. Would have called 911 paramedics during the episode but phone was upstairs and no way I could get up the stairs, I couldn't even walk across room without falling.

Allergies: Only Ace- inhibitors (cough)

Symptoms: Fine for 24 hours after. At almost exactly 24 hours after vaccine, had an EXTREME reaction that lasted about 45 minutes. Extreme dizziness (actually causing me to fall even when walking a few feet), extreme nausea (I think probably caused by the extreme dizziness), weakness, profound diaphoresis. I was sick like I have never been in my life, thought I might die, and when I was the most symptomatic actually wanted to die, I was so sick. Anyway, came on over about a 10 minute period gradually, and then was absolutely profoundly ill for about 45 minutes. After about 1/2 hour or so was able to negotiate the 25 feet or so to my den couch, closed my eyes and lied down, with gradual relief coming and severe illness totally gone in about 1-1/2 to 2 hours. No return of any similar episode since. 24 hours later, still a little lethargic and mildly "achey" with some weakness, but not so bad and kind of what I was expecting.

Other Meds: Insulin (by pump), losartin/Hctz, lovastatin, amlodopine, cyclopyoxine 8% solution (for nail fungus), eyedrops (for glaucoma), levothyroxine, Baby ASA, multivitamin, Vitamin D, Zinc, Garlic, Glucosamine/MSM, baclofen (10 day course only), i

Current Illness: Insulin dependent diabetes, HTN, hypothyroid, glaucoma, early COPD (not treated at present), venus insufficiency, benign prostate hypertropy, melanoma (one only, recently removed from cheek)

ID: 1032247
Sex: F
Age: 25
State: CA

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

Lab Data:

Allergies: Shellfish- rash and tongue swelling controlled with benadry., Spices in Takis-throat closing.

Symptoms: within 2 minutes felt tongue tingling and left side of face itching. No respiratory involvement. Gave Benadryl at 25 mg at 15:47 when made aware of the situation. Itching was 5/10 , 1/10 @16:20 less than one at 17:03. Denies tongue swelling at this time. No respiratory distress Lungs CTABL. Nia was referred to KP teledoc, could not offer advice at this time. Consulted with onsite MD ee released to call 911 PRN and difficulty breathing. EE verbalized understanding. To contact MD and Allergist for second dose.

Other Meds: supplements, iron, vitamin d zinc, omega 3, vit b 12, fish oil, magnesium d3, calcium

Current Illness: Anemia

ID: 1032248
Sex: F
Age: 48
State: CA

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

Lab Data:

Allergies:

Symptoms: Headache beginning within 6 hours Fever at 30 hours lasting about 12 hours at 100 degrees to 102 degrees then sought lingering headache by 48 hours Treated with Tylenol, hydration and sleep

Other Meds: Augmentin

Current Illness: Sinus infection

ID: 1032249
Sex: M
Age: 75
State: DE

Vax Date: 02/09/2021
Onset Date: 02/11/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: N/A

Allergies: None

Symptoms: Numbness in index finger of left hand starting 2 days after injection. Have not sought medical attention yet.

Other Meds: Eliquis 5 mg 2 X day Multi vitamin

Current Illness: None

ID: 1032250
Sex: F
Age: 48
State: FL

Vax Date: 02/01/2021
Onset Date: 05/03/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: None

Allergies: No

Symptoms: Fever 102.1 degrees Chills Body aches

Other Meds: Advil 200mg

Current Illness: No

ID: 1032251
Sex: F
Age: 63
State: MI

Vax Date: 02/01/2021
Onset Date: 02/09/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Eight days after I received my vaccination (2/9/21) I developed an itchy raised red rash at the injection site. It was hot to the touch and was itchy and measured about 3.5 inches across by 5 inches down. The rash diminished after 2 days and was completely gone in 4 days. I also experienced fatigue and muscle aches in my back, shoulders and neck for two days beginning on (2/9/21).

Other Meds: CoQ10, multivitamin, calcium-magnesium-vitD supplement, Tumeric,

Current Illness: None

Date Died: 01/30/2021

ID: 1032252
Sex: M
Age: 96
State: CA

Vax Date: 01/07/2021
Onset Date: 01/26/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: None

Allergies: No known allergies

Symptoms: Resident tested COVID-19 confirmed positive a few days after covid vaccination.

Other Meds: MetFORMIN HCl Tablet 500 MG bid with meals GlipiZIDE Tablet 5 MG bid ac meals PROSTAT SUGAR FREE 30cc tid ROBITUSSIN DM 10ml q4hrs prn Lipitor Tablet 10 MG (Atorvastatin Calcium qd at 5pm NX: DIABETIC ICE CREAM (EXTRA DESSERT) two times a

Current Illness: Loss of appetite and generalized body weakness

ID: 1032253
Sex: F
Age: 53
State: CA

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

Lab Data: None

Allergies: None

Symptoms: Immediate heaviness in arm where vaccine was administered. Moments later a nasal drip and metallic taste in my mouth. Reported symptoms to a medic on site. That evening, experienced muscle aches both arms, legs and lower back), headache, chills, nausea and fatigue. Symptoms continued for the following 24 hours. By Sunday, approximately 48 hours later, symptoms completely resolved with the exception of slight soreness at the injection site. A red rash on my abdomen and back appeared-slightly itchy but not bothersome. This resolved by the next day.

Other Meds: None

Current Illness: None

ID: 1032254
Sex: M
Age: 78
State: KS

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

Lab Data: None

Allergies: None

Symptoms: Head ache, fever, aching in joints, and very tired.

Other Meds: Amlodipine/atorvastatin, Pantoprazole, Naproxen, Tylenol, multi vitamin, Biotin

Current Illness: None

ID: 1032255
Sex: M
Age: 40
State: VA

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

Lab Data: A1C, Blood sugar, Comp Metabolic Panel 14,Lipid Panel, TSH

Allergies: none

Symptoms: Within a few days of the first dose of the vaccine patient noticed extreme thirst, then increased urination frequency. Patient noticed unintended weight loss starting 2 weeks after first dose, and totaled 20 pounds in 5 weeks. Patient noticed some burry vision at night. Symptoms seems to lessen 2-3 weeks after first dose, but returned with increased intensity after second dose. Patient consulted a physician and lab work and blood sugar testing was ordered. Blood sugars were as high as 400 and A1C of 11. Patient went on a low extremely low carb no sugar diet for three days while waiting to see physician. Patient continued to monitor blood sugars. Blood sugars started to lower remained in the 170-260 range. Physician ordered repeat lab work and suspects Adult Onset Type 1 diabetes. Patient was placed on a long acting and quick acting insulin on 2-15-21. 23 Days after second dose.

Other Meds: Airborn gummy vitamins

Current Illness: none

ID: 1032256
Sex: F
Age: 52
State: WI

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

Lab Data:

Allergies: No

Symptoms: Pain, swelling, rash at injection area. The area is tight and warm. Still swollen as of Monday 2/15.

Other Meds: No

Current Illness: No

ID: 1032257
Sex: F
Age: 82
State:

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

Lab Data:

Allergies: none

Symptoms: red patch, itchiness near site of injection 8 days after injection.

Other Meds:

Current Illness:

ID: 1032258
Sex: F
Age: 76
State: RI

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

Lab Data:

Allergies: Doxycycline, sulfa and melons

Symptoms: Covid arm rash at site with swelling, itch and pain

Other Meds: Atenolol, lisinipril, hydrochlorozide, states, acidophilus, calcium, aspirin, b12

Current Illness: None

ID: 1032259
Sex: F
Age: 27
State: FL

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

Lab Data: None

Allergies: None known

Symptoms: I was expecting a reaction, since I also had a reaction from the first dose but this time was way worse. For 48 hours I had very intense body aches, chills that would not go away, and off and on sweats. During the first 24 hours, I also experience a bad headache and throwing up. I had no appetite for the 48 hours and bad fatigue.

Other Meds: Effexor, Motrin

Current Illness: Cold the week prior

ID: 1032260
Sex: M
Age: 76
State: VA

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

Lab Data: none

Allergies: none

Symptoms: Patient was given dose of Moderna COVID-19 vaccine after stating they had not previously been vaccinated for COVID-19. Son called a day later to say that he had received one dose of "a COVID-19" vaccine on 1/29/2021 but does not know which one. Father has dementia and did not remember that he had already had his first dose. This does not follow along with recommended protocol for Moderna vaccine second dose. No reported side effects.

Other Meds: unknown

Current Illness: unknown

ID: 1032261
Sex: M
Age: 63
State: OR

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

Lab Data:

Allergies: None

Symptoms: Day three mild swollen tongue that lasted 5 hours, day five mild swollen upper right lip that lasted 5 hours, day six moderate swollen left face/cheek that lasted 24 hours, day seven swollen left hand/wrist that was extremely itchy that lasted 24 hours and counting.

Other Meds: None

Current Illness: None

ID: 1032262
Sex: F
Age: 55
State: HI

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data:

Allergies: Sulfa drugs

Symptoms: Employee describes experiencing flu-like symptoms that began the morning after vaccination (1/27/21). She called out of work for 2 days. She rested and drank fluids and was able to return to work 3 days post-vaccination.

Other Meds: Metformin Topamax Clopidogrel Lisinopril Propranolol Atorvastatin Wellbutrin Lexapro Magnesium Vitamin B12 Multivitamin CoQ10

Current Illness:

ID: 1032263
Sex: F
Age: 76
State: VA

Vax Date: 01/30/2021
Onset Date: 02/07/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data:

Allergies: Zestril caused extreme drop in bp Advil caused stomach leision

Symptoms: On day eight following vaccination itching on upper arm at site. Day nine redness at site. Redness and itching expanded down arm. Day 12 swelling in arm and lymph nodes?? above crease in left arm swollen. One slightly and the other golf ball size. Contacted doctor on day 13 (Friday morning) . Due to weather conditions advised to see him on the following Monday (today day 16) if not improved. Currently the redness and itching has stopped but swelling in one of the lymph nodes is still visible but much better than before. My concern is about worse reaction to second vaccine and if I should receive second vaccine in same arm.

Other Meds: Atorvastatin 10mg Trazadone 50mg Levothyroxin 88 MCG Vitamin D Hydrochlorothiazide 25mg Metropolol Tartrate 25mg 2xs Xarelto 20

Current Illness:

ID: 1032264
Sex: M
Age: 50
State: MD

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

Lab Data:

Allergies: None

Symptoms: I have an itchy light rash on my stomach around my belly button for over a day and some hours. I've been treating it w alcohol and benadryl ointment.

Other Meds: Atorvastatin Olmesartan Medoxomil Zinc 50mg Metamucil

Current Illness: None

Date Died: 01/29/2021

ID: 1032265
Sex: F
Age: 89
State: CA

Vax Date: 01/07/2021
Onset Date: 01/27/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: None

Allergies: NKA

Symptoms: Resident tested NEGATIVE for COVID-19 last 1/25/2021. She was on monitoring for desaturation and low blood pressure on Jan. 27,2021

Other Meds: PROSTAT SUGAR FREE Give 30 cc orally three times a day for SUPPLEMENT WITH MEDPASS TO PROVIDE 45G DSS 100 MG Give 1 tablet orally one time a day for (STOOL SOFTENER) HOLD FOR LBM HEALTHSHAKE 4OZ. PO three times a day for (SUPPLEMENT) BET

Current Illness: NONE

ID: 1032266
Sex: F
Age: 51
State: MN

Vax Date: 01/13/2021
Onset Date: 02/09/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: Doctor exam and antiviral meds

Allergies: None

Symptoms: Developed Shingles (never had before) a month after getting vaccine. Not sure if related but thought I should report

Other Meds: Levothyroxin, gabapentin, Prilosec, Prozac, vitamin D vitamin C Tylenol

Current Illness: None

ID: 1032267
Sex: F
Age: 76
State: NJ

Vax Date: 01/26/2021
Onset Date: 01/30/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: Moderna COVID-19 Vaccine

Allergies: strawberries, other citrus, compazine, haldol, some antibiotics

Symptoms: Rash/large itchy pimple-sore on back

Other Meds: none

Current Illness: none

ID: 1032268
Sex: F
Age: 61
State: GA

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

Lab Data: None

Allergies: None

Symptoms: 2/13 Pain down center of back, Sporadic head ache pain at right temple, itching on back, head, arms and legs, slight soreness at injection area 2/14 Slight fever, continued itching on back, head, arms and legs. Sporadic head ache pain at right temple. 2/15 No events

Other Meds: Multi vitamin

Current Illness: None

ID: 1032269
Sex: F
Age: 91
State: IN

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

Lab Data: Ultrasound

Allergies: Codeine,penicillin,sulfa

Symptoms: Blood clot right thigh

Other Meds: Acetaminophen per dr

Current Illness: None

ID: 1032270
Sex: F
Age: 37
State: OH

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

Lab Data: CTA head and neck negative at ED 2/4/21

Allergies: Tdap vaccine

Symptoms: The day after vaccination I lost vision for an hour then had onset migraine. Migraines continued and then had sudden onset of vertigo, ataxia, nausea, and vomiting 6 days following vaccine. I could not walk with the ataxia for several days and ended up in ED 8 days after vaccine for persistent vertigo, migraines, and nausea not improved with antivert and imitrex. I do have a history of migraines but I have never experienced this vertigo and migraines lasting days on end. I am now currently 19 days past vaccine and still with vertigo and migraines.

Other Meds: Synthroid and Imitrex

Current Illness: None

ID: 1032271
Sex: F
Age: 16
State: MI

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

Lab Data: none

Allergies: unknown

Symptoms: Dose given to a 16 year old

Other Meds: unknown

Current Illness: unknown

ID: 1032272
Sex: F
Age: 57
State: NY

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

Lab Data: none

Allergies: none

Symptoms: three days after the vaccine I developed shingles

Other Meds: cortisone, levythyroxine, fludocortisone

Current Illness: none

ID: 1032273
Sex: F
Age: 81
State: AK

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

Lab Data: None

Allergies: Sensitivity to morphine and barbiturates I had a reaction 60 years

Symptoms: Twice the first night I lost bladder control. Today I have sores inside my lower lip. Not serious but not a mention of the possibilities

Other Meds: Citalopram Vit. D3

Current Illness: None because I've been staying at home and wearing a mask if people come outside (in Alaska!)

ID: 1032274
Sex: F
Age: 59
State: AL

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

Lab Data: None.

Allergies: Erythromycin , Bee Stings and Lactose intolerant

Symptoms: My Fever lasted From Tuesday evening until Friday evening. It ranged from 99.2 through 103.4. It stayed between 101.0-103.4 even taking Tylenol from 101.0-103.4 until Friday morning and finally broke. I had a throbbing headache, shaking chills, and felt very weak to the point of feeling very dizzy. I was very weak through Saturday afternoon. I did have a red rash and itching at the injection site at least an inch in diameter .for 6 days. I was very tired from staying up the night before the vaccine with my mom who has dementia .

Other Meds: Vitamin D3 2000IU once day Vitamin D 600 mg once a day Multivitamin once a day

Current Illness: No acute illness

ID: 1032275
Sex: F
Age: 72
State: CA

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

Lab Data: Went to emergency room. Had EKG, Blood, covid test and chest xray. They then put some muscle relaxers in my IV. All were negative. They could not tell me if what I experienced was from the shot because they did not have enough data.

Allergies: Morphine Milk Essential Oil Cleaning Products

Symptoms: Woke up at 7 a.m. and had a very, very hard time breathing. When I could get a breath it hurt all over my chest and back. Had slight fever. The right side of my chest really hurt.

Other Meds: Gabapentin Fish Oil Cyclobenzaprine

Current Illness: Spinal Musculoskeletal

ID: 1032276
Sex: F
Age: 40
State: MO

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

Lab Data: D-dimer elevation,.

Allergies:

Symptoms: Chest pain, SOB.

Other Meds: Albuterol; Famotidine; Montelukast; Prenatal Vitamin; Vitamin D3; Xanax, Zyrtec

Current Illness:

ID: 1032277
Sex: M
Age: 41
State: NE

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

Lab Data:

Allergies: Allergic to codine and kiwi

Symptoms: Severe diarrhea and stomach/intestinal gas. Any time I eat or drink anything I expel it immediately.

Other Meds: None

Current Illness: None

ID: 1032278
Sex: F
Age: 73
State: MA

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

Lab Data: None

Allergies: None

Symptoms: Itchy and swollen (hardtop the touch) arm at site of injection 7?9 days after. Took antihistamine one time.

Other Meds: Low Thyroid. HRT, acid reflux, vitamin D

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm