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: 1032379
Sex: F
Age: 67
State: CA

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

Lab Data: None.

Allergies: Ibuprofen

Symptoms: During screening, patient stated she has tested positive while in Ohio in early January, had symptoms of headaches and loss of taste. Upon returning to CA, tested positive again Feb. 1st and was diagnosed as a "long-hauler". Denies any symptoms at this time except for loss of taste. Approximately 10 minutes after injection in monitoring area, patient began complaining of dizziness, headache, nausea and feeling hot. After about 10 minutes more, patient then began complaining about chills and stated she felt the need to throw up, spit up a small amount of sputum. Offered to call for ambulance, patient stated she did not want to go to the hospital, just wanted to go home. Approximately 10 minutes later, patient felt stable enough move her to a wheelchair and assisted outside so that she could remove her mask. 02 applied at 2L via nasal cannula, patient stated immediate relief of nausea and dizziness once outside. After another 10 minutes, patient stated headache was now a dull ache and she felt well enough to go home. Spouse provided nurse call number for local hospital, patient transported to vehicle via wheelchair.

Other Meds: Tylenol 1000mg prn headache, Lipitor, Lexapro

Current Illness: States she has been diagnosed at a "long-hauler".

ID: 1032380
Sex: F
Age: 65
State: MN

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

Lab Data: Immediately sent to ER to rule out stroke. She went to ER where CT an dCTA negative. She wanted to be further worked up outpatient rather than inpatient. Neurology referral placed by Hospital provider.

Allergies: NKDA

Symptoms: Pt received COVID Moderna vaccine on 2/11 at Family Clinic. Documented given IM in RIGHT deltoid. However, she says in LEFT arm. After 20 minutes, no symptoms. About 5 hours later she had generalized weakness, especially noted when getting out of her car. Son in clinic with her appreciated worsened weakness. At midnight woke up with body aches, tripped in the bathroom, did not fall but leaned into wall. She did not hit head or face. She looked in mirror and her left side of face was red, swollen, tender, firm to touch and noted herleft arm and bilateral LE weaker. Denies paresthesias, changes in speech or cognition. After multiple clarifications with interpreter, pt states just discomfort/aching and weakness. However, her physical exam was with decreased sensation along left Cranial nerve V2 and all of left arm. Significant left arm drop/drift. Right extremity slight generalized weakness, bilateral lower extremities slight generalized weakness- no paresthesias.

Other Meds: Per med list: Sumitriptan PRN, Famotidine 20 mg daily, tylenol prn

Current Illness: recurrent herpes labialis with Acyclovir 400 mg PO q 8 hours x 5 days ordered on 1/26/2021

ID: 1032381
Sex: F
Age: 27
State: PA

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

Lab Data: N/a

Allergies: No known allergies

Symptoms: 12 hours after injection- mild fatigue, injection site pain 24 hours after injection - fatigue, joint pain, nausea 48 hours after injection - headache, fatigue, joint pain, nausea

Other Meds: amitriptyline, Seroquel, Buspar, Viibryd, Seasonique

Current Illness:

ID: 1032382
Sex: M
Age: 69
State: NY

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

Lab Data:

Allergies: NKA

Symptoms: Body aches, joint pain, muscle cramping, feverish for approximately 15 hours.

Other Meds: Verapamil, Metaprolol, xarelto, simvastatin, wellbutrin, escatalopram, Talicia, magnesium supplement, MVI supplement

Current Illness: none

ID: 1032383
Sex: F
Age: 80
State: VA

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

Lab Data:

Allergies:

Symptoms: Large(hand-size)black-and-blue hematoma starting 3" below injection site and extending to elbow

Other Meds:

Current Illness:

ID: 1032384
Sex: F
Age: 78
State: TN

Vax Date: 01/29/2021
Onset Date: 01/31/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: None

Allergies: Macrodantin

Symptoms: Huge red rash on arm below injection site

Other Meds: Lisinopril HCTZ Simvastatin Vitamins c, d, e, multivitamin, calcium Advil pm

Current Illness: None

ID: 1032385
Sex: M
Age: 66
State: GA

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

Lab Data: None

Allergies: Codiene

Symptoms: Second day: sore arm and neck (over by next morning), dizzy spells and nausea (ended by evening), temp 100 (normal by next morning).

Other Meds: Dilantin, atorvastin, Montelukast, Pantoprazole, low dose aspirin, Ibuprofen (as needed), vitamin C, Centrum multi vitamins.

Current Illness: None

ID: 1032386
Sex: F
Age: 49
State: ID

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

Lab Data: None

Allergies: Penicillins

Symptoms: I developed a red patch by the site of where i was injected. It is red and hot to the touch.

Other Meds: Metformin prozac sulfa drug

Current Illness: None

ID: 1032387
Sex: F
Age: 44
State: AZ

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

Lab Data:

Allergies: Penicillin, gluten

Symptoms: Itchy, redness, hives, pain at injection site. Observed on 2/15/21, vaccine received on 2/5/21

Other Meds: Birth control Probiotics Vitamin d Turmeric

Current Illness: N/a

ID: 1032388
Sex: F
Age: 81
State: GA

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

Lab Data:

Allergies:

Symptoms: Vomited within thirty minutes of receiving Moderna vaccine. Diarrhea began and lasted for one day.

Other Meds:

Current Illness:

ID: 1032389
Sex: F
Age: 67
State:

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

Lab Data: None

Allergies: Codeine (only a mild rash)

Symptoms: 1st day-A pinkish-red, the size of a quarter + headache + slightly tired (I still took my normal 45-minute brisk walk) 2nd day-more reddish, size of a silver dollar + swelling (hardness) + tenderness + headache + mild dizziness (less stable when doing balance yoga-type exercises & I was able to swim for 20 minutes in the evening) 3rd day-pinkish red, size of a silver dollar, + less swelling, but still hardness + less tender (I took my normal walk & lifted light weights, so I'm able to do my normal activities.) Taking 2 tabs of Ibuprofen seemed to do the trick to reduce headache & uncomfortableness on day 1 & 2. None taken today.

Other Meds: Atorvastatin 20 mg; Desvenlafaxine 50 mg; Levocetirizine 5 mg; Trazodone 50 mg. Multi-vitamin for Women D3, Calcium

Current Illness: None

ID: 1032597
Sex: M
Age: 81
State:

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

Lab Data: None

Allergies: Statins

Symptoms: Arm Ache but very minor. Not any more painful than a regular flu shot.

Other Meds: Losartan, calcium, colchicine,B12

Current Illness: None

ID: 1032598
Sex: F
Age: 56
State: NY

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data:

Allergies: Dogs, cats and dust

Symptoms: fatigue/sleepiness, nausea. At 2AM on 1/12/21 I woke up from acid reflux in the middle of the night and vomited. I thought I was done and then proceeded to vomit with incredible force. Stiff neck and achey. Temp of 99 degrees F. Joints ache. L Arm the site of the injection was sore for 3 days. That was nothing compared to all the other symptoms. It also caused my heart to race several times. This has not happened before. I also have not experienced swollen lymph nodes in my left armpit before either. I rescheduled my second shot b/c I am afraid of what the side effects will be like. I think the side effects that I experienced with the Modern shot are not safe. Please advise.

Other Meds: None

Current Illness:

ID: 1032599
Sex: F
Age: 72
State: MN

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

Lab Data:

Allergies: NKDA

Symptoms: 2/5- COVID vaccine administered in clinic in left arm 2/6- lump under right arm 2/7- 3 lumps under right arm, tried warm packs. 2/8- She started washing with hot water and now large right axilla abscesses ruptured and increasing tenderness, purulent drainage, and felt hot. Painful, cannot sleep. Denies sweating, chills.No thermometer at home. Doesn't shave armpits. This is the first time it's ever happened. She's never had similar presentation anywhere else on her body. Exam of right axilla with 4 x 4 cm area with 4 distinct very tender large, purulent draining, deep and raised abscesses with one close/unruptured abscess. Surrounding tenderness and swelling, no warmth or edema. Pt needed further imaging, at least US guidance for I/D if not further surgical management of abscess I/D. Referred to ER for pain management and abscess eval/management. Anaerobic and aerobic cultures taken today in clinic.

Other Meds: pravastatin, tizanidine, omeprazole, potassium chloride, hydrochlorothiazide, amlodipine, losartan

Current Illness: acute on chronic bilateral lower back pain

ID: 1032600
Sex: F
Age: 53
State: VA

Vax Date: 01/28/2021
Onset Date: 02/05/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: Bloodwork to check white blood count was normal.

Allergies: Sulfa Clindamycin Keflex

Symptoms: On day 8, I noticed a red, raised area about an inch below the injection site. The area was about 2 inches in diameter and warm to the touch. It was itchy and sore. There was a knot in my armpit and my arm was very sore from my armpit down the underside of my arm to my elbow. The next day the red rash had grown to about 4 inches in diameter. The soreness and swelling in the armpit continued to worsen. The rash went away after 4 days but the swelling on the lymph nodes in the arm pit and soreness under the arm towards the elbow have worsened.

Other Meds: Zyrtec Flonase

Current Illness: Sinus allergies

ID: 1032601
Sex: M
Age: 29
State: CA

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

Lab Data: Not known of

Allergies: None

Symptoms: Moderna COVID-19 Vaccine EUA. Patient came to get his first dose of the vaccine. He fainted while sitting at the post-vaccine observation area. I called 911 to ask for paramedics while the nurses from MinuteClinic checked up on the patient. After a few minutes, the patient's alertness came back, his color returned to normal. When paramedics arrived, patient could verify his infomation and whereabout. He denied help from the paramedics. Immunization pharmacist recommended him to be obsereved for at least 30 mins, and check in with the ER or primary care physician for check-up for any delayed response. Patient said he will follow up with his primary care physician. After 30 mins, his wife came to get him.

Other Meds: None

Current Illness: None

ID: 1032602
Sex: F
Age: 52
State: GA

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

Lab Data: None

Allergies: Shellfish allergy

Symptoms: Uncontrollabe shivering, muscle aches, fatigue, sweats, mild headache, very sore injection site

Other Meds: Focalin, synthroid, cytomel, wellbutrin, Zyrtec, spironolactone, ajovy

Current Illness: None

ID: 1032603
Sex: F
Age: 23
State: CA

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

Lab Data: none

Allergies: None

Symptoms: Patient reports having pain in left side of chest when breathing in deep or laughing that started 3 days after receiving the vaccine.

Other Meds: Cephalexin 500 mg qid

Current Illness: None

ID: 1032604
Sex: F
Age: 1
State: PA

Vax Date: 02/10/2021
Onset Date: 02/12/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: On 2/12/201: the night prior, woke up many times during the night; at daycare, was sleepy and did not want to bear weight and had to hold onto someone to walk; was sent to hospital. Vital signs were normal, was given apple juice to drink and perked up. Stayed for observation for 2 hours, ate applesauce and was discharged home. Symptoms have resolved and was checked in the office today 2/15/2021 and was fine.

Other Meds: none

Current Illness: diaper rash COVID-19: 1/19/2021

ID: 1032605
Sex: F
Age: 36
State: VA

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

Lab Data:

Allergies: PPD

Symptoms: Occurring within 5 minutes after injection Dizziness, fatigue, palpitations (HR>120), feeling hot. Occurring 3 days after injection and ongoing since for past 9 days abnormal vaginal bleeding (spotting)

Other Meds: Junel, aldactone, omeprazole, Vyvanse, turmeric, trazodone, vitamin D, vitamin B 12

Current Illness: Gerd, insomnia, adhd

ID: 1032606
Sex: F
Age: 60
State: CA

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: 2/13/2021 I went to Urgent Card because the chest pain, pressure and rapid heartbeat was very uncomfortable. It was taking my breath away. Very difficult to lay down. Ongoing joint and muscle pain that jumps from wrists and hands to spine, to legs. Seems that each day the pains change or rotate. Doctor performed an EKG. He believes I am experiencing inflammation and pressure around my heart. Prescribed Medrol and Atarax to help with the inflammation and reaction.

Allergies: Strawberries, pollen, grasses, flowers, Penicillin, Sulfa, Ceclor, Ceftin, Cipro, Erythramycin

Symptoms: Sore arm at injection site. Itchy throat and itchy body. Extreme Fatigue. Heavy and fast heartbeat with severe pressure and chest pain. Ongoing muscle and joint pain that moves from location to location. Redness on chest and facial - cheeks.

Other Meds: None

Current Illness: Sinus

ID: 1032607
Sex: F
Age: 55
State: AZ

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

Lab Data: NA

Allergies: Morphine, Percocet,Welbutrin,bee sting,peanuts

Symptoms: Sudden twitching of left foot, feeling idenical to electrical shock/tazer, numbness, tingling sensation from my feet going up my legs,lower back, spine, shoulders and neck .NEXT DAY severe aches all over same body parts, headaches,chills,dizziness, difficulty breathing, swollen left arm(injection site(

Other Meds: Vitamin C, D3, Calcium , Biotin, Collagen

Current Illness: DM,

ID: 1032608
Sex: F
Age: 31
State: AZ

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

Lab Data:

Allergies:

Symptoms: Patient failed to mention that her first Covid vaccine was Pfizer on 01/23 and knowingly received the Moderna vaccine on 02/13.

Other Meds:

Current Illness:

ID: 1032609
Sex: F
Age: 61
State: CA

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

Lab Data:

Allergies: Pineapple

Symptoms: Pt indicated that she'd had previous adverse event when administered vaccination. Pt reported "typically eat and use clonazepam for dentist, dermatologist, blood draws and vaccinations". Pt was w/o full meal in more than 9 hours and did not have above mentioned clonazepam with her as she was in a hurry to leave her home for vaccination. Pt advised clinician that symptoms were hand shaking post vaccination with no respiratory problems. "I shake for a while, and then I'm fine." Vaccination administered. Twenty minutes later Pt's hands began to tremble; she was placed supine on a gurney. BP/HR/Blood glucose were collected. Pt was lucent and in no respiratory distress. EKG was normal. Pt was given a glucose tablet and she ingested (while holding) 12 ounces of Coca Cola. After 45 minutes Pt's hands stopped shaking; she ambulated well, and left the clinic.

Other Meds: Vitamin C, Elderberry, Methyl Folate, Vitamin D, K, Lysine, Omega 3, Magnesium Tirosint, Armor Thyroid, Celexa

Current Illness: none

ID: 1032610
Sex: F
Age: 68
State: CA

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

Lab Data: Labs pending results: Tryptase C3 and C4 Ch50 total Hemolytic complement

Allergies: PCN

Symptoms: Moderna COVID-19 Vaccine EUA. Patient reported lightheadedness, flushing, and chest "heaviness". Patient vs stable WNL and transient lightheadedness. Persistent chest "heaviness". Patient transferred to ED for further evaluation via ambulance.

Other Meds: HCL, ASA, Levothyroxine, Pravastatin

Current Illness: unknown

ID: 1032611
Sex: F
Age: 96
State: AZ

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/15/2021
Hospital: Y

Lab Data: Unknown, check with hospital. Patient tested negative for Covid 19. Patient has previously tested positive for Covid 19 with no symptoms in August of 2020.

Allergies: Penicillin, Morphine

Symptoms: Fever of 104.5 at 330am. Reduced to 101.5 by 500am with Tylenol. Collasped at 830am on the floor unable to verbalize or move, 02sat =72. EMTs were called, checked vitals and transported to the ER.

Other Meds: Amlodipine, presdnisone, B12,

Current Illness: none

ID: 1032612
Sex: F
Age: 41
State: AZ

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

Lab Data: None

Allergies: None

Symptoms: Moderate Dizziness/Lightheaded - resolved within 12 hrs Arm soreness (whole arm) 5/10 pain scale - resolved within 48 hrs Fever of 101.7?F- resolved within 24 hrs body aches (mild to moderate)- resolved within 48 hrs Headache (moderate to severe)- resolved within 48 hrs Treated all of above with OTC NSAIDs (Acetaminophen; Ibuprofen)

Other Meds: None

Current Illness: None

ID: 1032613
Sex: F
Age: 37
State: PA

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

Lab Data:

Allergies: none

Symptoms: Developed a large, painful, red, hard, hot circle around the injection site starting the morning after my shot. It is now 3 days (2/15/21) after I received my second dose, and the area is still hard, painful and red. I had zero issues after my first dose, and have had a lot of reactions my second dose. Other reactions with this shot were chills, aches, fatigue and headache which mostly subsided 2/14/21.

Other Meds: none

Current Illness: none

ID: 1032614
Sex: F
Age: 44
State: CA

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

Lab Data:

Allergies: Latex, nickel, sensitive to lactose

Symptoms: Lump, itching and soreness in arm lasting at least a week later

Other Meds: Tirosint; zyrtec; nasonex; vit D, Multivitamin, zinc, selenium, probiotic, fish oil

Current Illness: N/a

ID: 1032615
Sex: F
Age: 56
State: NY

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

Lab Data:

Allergies: none

Symptoms: My arm is hard and feels like I have a knot in my arm. The area where I got the injection is warm

Other Meds: HTN meds

Current Illness: none

ID: 1032616
Sex: M
Age: 64
State: TX

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

Lab Data:

Allergies: None

Symptoms: Nausea painful abdomen

Other Meds: None

Current Illness: None

ID: 1032617
Sex: F
Age: 37
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: 1600: malaise 2200: body aches, chills, skin sensitivity, headache 0000: profuse diaphoresis, retching, dizziness, light-headedness 0020: chills, body aches, headaches unrelieved with 1G Tylenol 0200: profuse diaphoresis, retching, nausea, dizziness 0220: chills, body aches, skin sensitivity 0500: profuse diaphoresis, body aches, retching, dizziness 0515: chills, body aches, skin sensitivity 0730: profuse diaphoresis, retching, body aches, dizziness, anxiety 0745: fatigue, severe headache, chills, body aches. Take 1G Tylenol and 600mg ibuprofen drink 1 liter of water over next two hours. Sleep intermittently. Tylenol, ibuprofen and water are continued until 2/15/2021 1600: 2/14/21 urticaria noted to right upper arm at injection site. 50mg Benadryl taken; topical halobetasol applied; urticaria triples in size @ 2200 50mg Benadryl taken again. Body aches are resolved. Headache is much improved but persists. Urticaria almost completely resolved @ 2000 2/15/21. Other than mild headache other symptoms resolved.

Other Meds: Lexapro, atorvastatin, novolog, multivitamin

Current Illness: None

ID: 1032618
Sex: M
Age: 68
State: CA

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: None

Allergies: Crab, contrast dyes.

Symptoms: Migraine Headache.

Other Meds: Pravastatin, Losartan, Metformin, Metoprolol, Meloxicam, Multi vitamin, Garlic extract, Zinc Oxide, Fish oil, CoQ10, Glucosamine , vitamin C, D3.

Current Illness: None

ID: 1032619
Sex: F
Age: 36
State:

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

Lab Data:

Allergies: None

Symptoms: Symptoms began the morning after shots 1 and 2. They got worse throughout the morning. They began with fatigue, headache and chills. Then a fever and joint/body aches and pains. After shot two I have a red spot near injection site that is hard and itchy.

Other Meds: None

Current Illness: None

ID: 1032620
Sex: M
Age: 64
State: NY

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

Lab Data: 2-15-2021: Physical exam, ROM and pain evaluation, and ultrasound study.

Allergies: none

Symptoms: Excruciating right glenohumeral (shoulder) joint pain -- no muscle pain, along with greatly restricted range of motion. It is apparent that the hypodermic needle punctured the rotator cuff and bottomed out onto bone ("twinge" felt upon point of full insertion and upon injection). The injection site was too high on the upper arm (just below the subacromial space - I have photos with the location marked). Additionally, the 1-1/2 inch long hypodermic needle was fully inserted without manipulating the muscle to raise its height. The above was confirmed by examination by Doctor. Pain and diminished range of motion still evident, but somewhat subsiding as of 11:00PM 2-15-2021 (55 hours after onset).

Other Meds:

Current Illness:

ID: 1032621
Sex: F
Age: 28
State: CA

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: N/A. Just yesterday, I have reported these symptoms to my doctor. Doctor has not yet responded and as such, I have not yet scheduled any medical visits.

Allergies: N/A

Symptoms: After the vaccination, within a few hours, I felt soreness on my left arm. The soreness increased throughout the day and eventually expanded to my left hip and left neck. I think about a week or 2 later, I started to also feel a slight pain in my right chest (to the right of sternum) when I occasionally took deep breaths. For the past two weeks, in addition to the pain, I feel an overall tightness/heaviness across my chest. Sometimes, I push or gently pound on my chest to try to massage the area. That said, I do not have any difficulty breathing and am overall quite an active person (exercise at least 3x/wk).

Other Meds: N/A

Current Illness: N/A

ID: 1032622
Sex: F
Age: 75
State: CA

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

Lab Data:

Allergies: Codeine, Valerian

Symptoms: Moderna COVID-19 Vaccine EUA. Patient reported pain in left eye after covid vaccine. Patient noted to have elevated BP and redness/subconjunctival hemorrhage in left eye. persistent HTN. Allergist notified and Patient instructed to go to Emergency Dept. for further evaluation.

Other Meds: Hydralazine, neurontin, sulfasalazine, nifedipine, cozaar, pravachol, levothyroxine, Coreg

Current Illness: unknown

ID: 1336333
Sex: F
Age: 53
State: NC

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

Lab Data:

Allergies: Sulfa

Symptoms: R Arm swelling & discoloration ; pain & redness in area of injection ; non-aphylactic. Area of sweling & erythema on arm measures 8.5x6cm, with deeper nodular area measuring 4x2.5cm - no fluctuance to suggest abscess or soft tissue infection. TX with topical steroids & initate systemic steroids with prednisone x 5days.

Other Meds: CLOBETASOL PROPIONATE 0.05 % EXTERNAL FOAM (CLOBETASOL PROPIONATE) twice a day for scalp PRN; Route: EXTERNAL CYCLOBENZAPRINE HCL 10 MG ORAL TABLET (CYCLOBENZAPRINE HCL) Take 1 tablet TID; Route: ORAL FLAX SEED OIL CAPSULE (FLAXSEED (LI

Current Illness:

ID: 1336340
Sex: F
Age: 84
State: NY

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

Lab Data:

Allergies: injectable iodine dye

Symptoms: Waited the required 15 minutes. got to my car and drove one block. suddenly confused so stopped vehicle along a side street (I believe I had a TIA.) and didn't know my way home for only a couple of minutes. Within minutes recovered and drove on home. Not sure if this vaccine was the cause ( I have had a couple of TIAs many years ago) Not sure if I should get a second shot, it it is safe for me

Other Meds: atorvastin.amlodipine,aspirin, dyazide,hydralazine,valsartan

Current Illness: stage 3 kidney disease

ID: 1342666
Sex: F
Age: 40
State: IL

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 02/15/2021
Hospital:

Lab Data: CBC, CMP, EIC- all normal

Allergies:

Symptoms: 01-13-2021 C/o syncope and collapse Body aches- Transported per EMS. to ER. Sometime around 10:00 am. Arrival ER . 10:39

Other Meds:

Current Illness: None

ID: 1342670
Sex: M
Age: 66
State: MS

Vax Date: 09/22/2020
Onset Date: 09/22/2020
Rec V Date: 02/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: patient developed joint pain on the arm where the vaccine was administered. the shoulder joint pain is not constant but felt every now and then. patient will have it checked by the c0ctor

Other Meds: coQ10 vitamins aspirin viagra

Current Illness: none

ID: 1342677
Sex: F
Age: 84
State: NV

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

Lab Data:

Allergies: NKDA

Symptoms: Left posterior shoulder blade 2cm x 2cm patch of sloughing Now tender skin with welping. No surrounding erythema *Uses sign language for communication

Other Meds: Aspirin; Centrum Silver; Ginkgo Biloba; Hair Skin and Nails Formula; Levothyroxine Sodium; Magnesium; Silvadene; Vitamin C; Vitamin D; Vitamin D3

Current Illness: NONE

ID: 1342679
Sex: F
Age: 71
State: OH

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

Lab Data:

Allergies: Codoine, opioids

Symptoms: Sores on roof of Mouth & gums

Other Meds:

Current Illness:

ID: 1342680
Sex: M
Age: 74
State: CT

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

Lab Data:

Allergies: Bactrim DS/ Macrobid/ ACE-I

Symptoms: Pt called pharmacy on phone 2/15/21 @ 1215pm 1) Rec'd vaccine 2/12/21 @ 145pm 2) Started feeling bilateral "stiff, achy legs" on SAT 2/13/21 continuing until today 2/15/21 (had to call out from work) 3) Advised APAP/call MD for direction

Other Meds:

Current Illness:

ID: 1342685
Sex: F
Age: 38
State: NY

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

Lab Data: Urinalysis w/ microscopy (2/11/21) 50-60 RBCS/hpc

Allergies: NKDA

Symptoms: Patient developed gross hematuria w/ no obvious explanation (urine culture negative)

Other Meds: Omeprazole 40 mg daily

Current Illness: None

ID: 1342686
Sex: F
Age: 80
State: WI

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

Lab Data: Head CT scan, EKG, CBC, Chemistry Panel Procacitonin, troponin, COVID NAT- all without acute abnormalities.

Allergies: Penicillin, Sulfa , Latex

Symptoms: Pt awoke early the morning following vaccine with overall shaking, dizziness, and increased confusion and somnolence. Evaluated in ER; Back to baseline at end of ER visit.

Other Meds:

Current Illness: No acute illness

ID: 1342689
Sex: F
Age: 23
State: IN

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

Lab Data: None

Allergies: Allergies to sulfa, bacterium

Symptoms: Gold ball size to back of arm on (L) -Redness/warm to touch . She has put a cold compress & shape went down.

Other Meds: 0

Current Illness: 0

ID: 1342690
Sex: F
Age: 52
State: GA

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

Lab Data:

Allergies:

Symptoms: PATIENT COMPLAINS OF "FUNNY" DRIPPING FEELING IN HER THROAT. 1 TABLET DIPHENHYDRAMINE 25MG, PO, GIVEN AT 12:00PM. PATIENT MONITORED, VITALS EVERY 5 MINUTES, PATIENT REPORTS FEELING BETTER. PATIENT LEFT CLINIC AT 12:30PM, ALERT AND ORIENTED X3, AND WALKING.

Other Meds:

Current Illness:

ID: 1342692
Sex: F
Age: 78
State: GA

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

Lab Data:

Allergies:

Symptoms: Patient received Moderna COVID 19 vaccine EUA. Patient reported to nurse that she was "feeling weird" along with chest tightness at 10:30 am. Patient placed on non-rebreather and oxygen a 100% wide open. Vitals taken every minutes. EMS called at 10:36 am. Patient declined EMS. Patient monitored for one hours. Patient left clinic with her daughter.

Other Meds:

Current Illness:

ID: 1342705
Sex: M
Age: 74
State: FL

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

Lab Data: He is seeing his endocrinologist on February 16th

Allergies: Advil - severe bleeding diverticulosis

Symptoms: within 30 minutes of vaccine, sugar dropped 55mg to 60. Later in the day it went to 280+ and stayed there for extended time Also, since the vaccine he is experiencing extreme tiredness at times and difficulty focusing his mind. He said it's like he doesn't know what he is doing. Sometimes he seems fine, but most of the time he's a little off, more forgetful than usual and lack of concentration. Other medications that would not fit above, Atorvastatin, CoQ10, low dose aspirin, Furosomide, Trospium, Meloxicam, D3, Vitamin C, Vitamin B Complex, Zinc,. We had the list of meds at vaccinie location, but nurse said she did not need it, only wanted to know about blood thinners

Other Meds: Novolog, Tresiba, Metformin, Lisinopril, Metorpolol, Atorvasta

Current Illness: Severe joint pain - cortizone shot 2 weeks before

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm