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: 1033498
Sex: M
Age: 50
State: KS

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Arm soreness and dizziness

Other Meds:

Current Illness:

ID: 1033500
Sex: F
Age: 74
State: FL

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies: no

Symptoms: CHILLS, 100.4 FEVER, NAUSEA, FATIGUE, LOSS OF APPETITE 5 DAYS

Other Meds: edarbi metoprolol metformin hydrochloride omeprazole

Current Illness: no

ID: 1033501
Sex: M
Age: 55
State: MA

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: N/A

Allergies: KNDA, NKFA

Symptoms: Vomiting, Headaches, Fever, Chills, Fatigue

Other Meds: Atorvastin, Escitalopram, Minocycline, Naltrexone, Hydrochlorothiazide, Pantoprazole,

Current Illness: NO

ID: 1033502
Sex: F
Age: 56
State: CA

Vax Date: 02/11/2021
Onset Date: 02/13/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: none

Allergies:

Symptoms: I felt tightness in my chest and had green mucas deep down in my chest as if I had a flu or cold. I could not cough it up on my own. I used my nebulizer with albuterol to alleviate the tightness in the chest and help loosen and expel the mucas. If this had been allergy related the mucas would not have been so deep in the chest and difficult to expel.

Other Meds: citalopram, iron, calcium, multi vitamin, dyphadramamine

Current Illness: none

ID: 1033503
Sex: F
Age: 80
State: AZ

Vax Date: 02/13/2021
Onset Date: 02/14/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies: sulphur

Symptoms: I had severe chills from early morning until about 5:00 pm. I did not feel good on Sunday, so I ate very little that day and my sugar was about 42 points higher than normal. On Monday, I had the same breakfast and lunch that I normally have -- no changes in routine and my sugar had jumped 60 points when checked just prior to dinner. Today it is still abnormally high (30 points higher), even when checked first thing in the morning. Since my sugar is pretty stable, if I watch what I eat this is extremly unusual. and occurred after the second vaccine shot. I believe the sugar readings are decreasing steadily and will see how they are today and tomorrow.

Other Meds: Advair,Atoristatin, Levothyroxine, Losartin

Current Illness: None

ID: 1033504
Sex: M
Age: 63
State: CA

Vax Date: 01/27/2021
Onset Date: 02/07/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies:

Symptoms: complains of developing bells palsy 2/7 /21

Other Meds:

Current Illness:

ID: 1033505
Sex: F
Age: 74
State: TN

Vax Date: 02/03/2021
Onset Date: 02/09/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies: DEMEROL

Symptoms: Received Vaccination on 02/03/21, on 02/09/21 patient reported swelling and itching around injection site. Localized area of 4-6 inches around injection site turned red. symptoms improving and decreasing redness and itching

Other Meds: VITAMIN D2 50,000UNITS, ALBUTEROL INHALER, BEVESPI INHALER, CITALOPRAM 20MG, LOSARTAN HCTZ 100-25MG, AMLODIPINE 10MG NAPROXEN 500MG

Current Illness: NONE

ID: 1033506
Sex: F
Age: 78
State: GA

Vax Date: 02/13/2021
Onset Date: 02/14/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: None

Allergies: Penicillin, Cipro

Symptoms: Day after injection-Chills, headache, nausea, body aches, diarrhea, dizziness, fainting, temperature. 2nd - 3rd day- headache, fatigue, slight temperature, tightness in chest

Other Meds: Lisinopril/Hctz TAB 10/12.5 - 1 daily Omeprazole CAP 40MG or Pantoprazole TAB 40MG- 1 daily Pravastatin Sodium TAB 20MG - 1 daily Sertraline Hcl TAB 25MG - 1/2 tab daily Estradiol TAB 0.5 MG - 1 tablet daily Dicyclomine Hcl CAP 10MG Vita

Current Illness: None

ID: 1033507
Sex: F
Age: 58
State: PA

Vax Date: 12/01/2020
Onset Date: 01/06/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: My doctor has ordered a panel of labs at this time, I do not have results yet, I just had done yesterday.

Allergies: Percocet Erthromycin PPD had a + reaction

Symptoms: Moderna Covid 19 Vaccine - dose 1 -12/29/20 dose 2 -1/26/21 The first dose I did get the Covid Arm reaction 1 week later....(redness, swelling, induration about 2.5-3inc. diameter, and also have had a weird feeling of coldness across my nose/face /lips that has continued, with progressive cold/burning of my feet that is going up the legs to about the knee. It is starting in my hands traveling up the arms. This has progressed since my 2nd dose on Jan. 26. I did see my PCP yesterday and now am reporting it...it is some kind of peripheral neuropathy like sx. Of note I did have more increased sx with the 2nd dose....ha, fatigue, lymphadenopathy under my arm, very sore arm, fever, sweating, rash development on my opposite arm at the first injection site.

Other Meds: Estrace 1mg. Multiviatamins for women over 50 + Super Vitamin B Complex Vitamin D3 10mcg/400IU Vit. C 500mg with Rose Hips

Current Illness: None

ID: 1033508
Sex: F
Age: 81
State: FL

Vax Date: 02/06/2021
Onset Date: 02/15/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies: penicillin, hctz, sulfa drugs, erythromycin, levaquin

Symptoms: redness, swelling, and itching around injection site

Other Meds: bisoprolol fumarate, magnesium, B12,

Current Illness: autoimmune disorders: plaque psoriasis, vitiligo, poliosis

ID: 1033509
Sex: M
Age: 55
State: CA

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: High fever during the first night. Next day : pain in injected arm; fatigue/drowsiness. Duration of symptoms: 2 days.

Other Meds: None

Current Illness: None

ID: 1033510
Sex: M
Age: 56
State: FL

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 02/16/2021
Hospital: Y

Lab Data: 1/27-2/3/21: Cont. blood work-wbc was abnormal, changes in magnesium/potassium levels (low). Cardiac enzymes-neg, EchoCard.-neg, Heart Cath.-neg; Cardiac MRI, EP Study, defib insert insertion. Follow-up appointments ongoing, unknown if any further tests at this time.

Allergies: None

Symptoms: 1/26/2021: Fatigue, Soreness & headache; Severe chills (0120 a.m.); Body aches, joint pain, nausea/vomiting, pale/cool/diaphoretic skin, chest tightness and lightheaded/Dizziness. Bed rest for remainder of day. 1/27/2021: Continued fatigue, soreness, more lightheaded/dizziness, onset of sustained Ventricular Tachycardia around 1400 hours,Tx at work with Advanced Cardiac Life Support, Emergency Transport to Emergency Room, Amiodarone Drip/Oxygen/IV-TKO,EKG. Emergency Room-Continue Cardiac Care with continued IV drip and Amiodarone. Echo-Cardiogram and admit to Hospital. 1/28/2021: Cont. Hospitalization-Cardiac Cath,monitoring on ICC floor. Hospitalization stay 1/27/2021-02/03/2021. Transfer to another hosp by ambulance. Transferred to Hospital (1/30/21). Further treatment and monitoring. Cardiology tests and procedures (Cardiac MRI, Electro-Physiological Study and defibrillator insertion). Discharged on 2/3/2021. Still under doctor's care during recovery for next 5 weeks and ongoing into the future.

Other Meds: Adult Multi-Vitamin, D-3, C, B-Complex, Zinc, Magnesium, Tumer

Current Illness: None

ID: 1033511
Sex: F
Age: 30
State: WI

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: None

Allergies: Penicillin's, Penicillamine, Gluten meal, Bovis

Symptoms: Per patient/employee: 5-6 minutes after her dose was administered, she felt her throat tightened, she was monitored in the clinic initially then taken to the ED. Treatment was fluids via IV. Patient/employee then followed up with her PCP & allergist; it was determined at that time that she should not receive her second dose.

Other Meds: None

Current Illness: None

ID: 1033512
Sex: M
Age: 58
State: KS

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Nausea, headache, flushed - cool towel on forehead and neck

Other Meds:

Current Illness:

ID: 1033513
Sex: F
Age: 68
State: VI

Vax Date: 02/14/2021
Onset Date: 02/15/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: None.

Allergies: Pineapple sometimes gives a rash.

Symptoms: Was fine on Sunday, while at work on Monday, starting to feel a little dizzy, her eyes became blurry. By the time that she looked in her rear view mirror her face was swelling up. Her face started to burn, fast heart beat, and dizziness. Her neck started to burn as well. She looked at the side effects. She called her doctor and took 2 Benadryl as she recommended, and took a nap. Her doctor told her to continue taking the Benadryl and to call us to report the reaction. She still has the swelling and the burning sensation in her face, and is still getting a little dizzy but it comes and goes. The fast heartbeat comes and goes as well.

Other Meds: Amlodipine, Losartan, multivitamin, calcium.

Current Illness: None.

ID: 1033514
Sex: F
Age: 50
State: CA

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: No labs or testing, patient evaluated via telehealth

Allergies: Medium Allergy 5/10/2016 Past Updates... No true allergy; occasionally exacerbates asthma Montelukast Other (See Comments) Medium 11/29/2017 Past Updates... Able to tolerate singulair Cefaclor Hives, Nausea And Vomiting Not Specified Allergy 5/10/2016 Past Updates... Cephalexin Hives, Nausea And Vomiting Not Specified Allergy 5/10/2016 Past Updates... Clarithromycin Drug Rash with Eosinophilia and Systemic Symptoms (DRESS) Not Specified 6/23/2016 Past Updates... Doxycycline Not Specified 8/29/2018 Past Updates... Meperidine Hives, Nausea And Vomiting Not Specified Allergy 5/10/2016 Past Updates... Promethazine Hives, Nausea And Vomiting Not Specified Allergy 5/10/2016 Past Updates... Shellfish Allergy Not Specified 2/23/2017 Past Updates... Adverse Reactions/Drug Intolerances Aspirin Shortness Of Breath High Intolerance 5/10/2016 Past Updates... Patient states motrin and aspirin make asthma slightly worse Polyethylene Glycol Other (See Comments) Not Specified Intolerance 1/29/2017 Past Updates... Abdominal pain Sulfamethoxazole-trimethoprim

Symptoms: Trouble breathing and extremely severe hives. Acute on chronic urticaria, improved over 5 days with high dose steroids. Breathing also improved slowly over same period.

Other Meds: amLODIPine 5 mg tablet 2.5 mg, Oral, Daily ATORVASTATIN 20 mg tablet benazepril 40 mg tablet 20 mg, Oral, Daily CYANOCOBALAMIN 1,000 mcg/mL injection docusate 100 mg capsule 250 mg, Oral, Daily

Current Illness: chronic urticaria

ID: 1033515
Sex: F
Age: 69
State: SC

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies: NKDA

Symptoms: Patient states she started experiencing heart palpitations and chest pain shortly after receiving the vaccine dose

Other Meds: Albuterol inhaler, Amitriptyline 25mg, Aspirin EC 81mg, Atorvastatin 80mg, Bupropion XL 300mg, Citalopram 10mg, Clonidine 0.3mg

Current Illness: History gathered in ER shows patient stated episodic chest pain over the past several months

ID: 1033516
Sex: F
Age: 32
State: MN

Vax Date: 01/29/2021
Onset Date: 02/15/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: On 2/16/21 I had an abdominal and vaginal ultrasounds, which confirmed absence of fetus in the uterus. Eptopic pregnancy was ruled out. MD was consulted on the same day regarding miscarriage.

Allergies: NKA

Symptoms: At the time of administration of the first does of Moderna vaccine, I was 6 weeks pregnant. I had confirmed pregnancy with home positive test and missed period. I had an estimated due date of 9/24/2021. This was my 4th pregnancy. I have had two uncomplicated pregnancies to term. In September 2020 experienced a chemical pregnancy with early pregnancy loss at 5 weeks. The first 24 hours after 1st dose of vaccine I experienced extreme arm soreness in the arm that was vaccinated, causing headache and unable to sleep. After 24 hours I felt "normal". 2 weeks and 3 days following the first dose of Moderna, I had a miscarriage. On the night of 2/15/21 I lost the pregnancy with vaginal bleeding, bright red blood, passing tissue, clots/ sac. I had an uneventful pregnancy up to that point, feeling well as I had with prior pregnancies.

Other Meds: prenatal multivitamin, iron supplement

Current Illness: On 1/20/2021 tested for Covid-19 via nasal swab due to having sore throat, fatigue, and headache. Test results came back negative that same day.

ID: 1033517
Sex: M
Age: 52
State: CA

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: none

Allergies: cats

Symptoms: Patient is allergic to cats, had tightness in chest, unable to breathe. Took a benadryl- it went away, eyelids was swollen. Sx did improve- eyelids are still swollen. Received #2 COVID 1/19/21 at 8am. Had a dental appt that afternoon for extraction, given Lidocaine w/out Epi, took Ibuprofen after visit. Reports acute onset chest tightness, SOB, audible wheezing at 5pm (approx 9 hrs post vaccine), then felt anxious. Took Benadryl 25mg and started feeling better in 20 min with resolution of wheezing and chest tightness after 1 hour. Also reports left eye swelling the same evening that has gradually decreased, now only mild with itching. Had similar eye swelling, however bilateral, after first vaccine dose. No SOB or wheezing noted since eve of 1/19/21. Denies hx asthma. NKDA. Allergic to cats. Denies swelling of lips, tongue, throat or rash. Reports feeling well today. Denies Covid-like sxs.

Other Meds: Unknown outpatient medication list. He went to the dentist and received lidocaine the same day as the vaccine and adverse reaction.

Current Illness: unknown

ID: 1033518
Sex: F
Age: 65
State: PA

Vax Date: 02/05/2021
Onset Date: 02/14/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: None

Allergies: Sulfa drugs Naprason

Symptoms: Moderna COVID-19 Vaccine EUA Itching, soreness, swelling, slight redness, warm to touch, all at injection site. Reaction occurred 9 days after injection.

Other Meds: Fenofibrate 134mg, Atorvastatin 10mg, ,Metoprolol Succ 50mg, Cymbalta 30mg, Levothyroxine 50 MCG

Current Illness: None

ID: 1033519
Sex: F
Age: 62
State: MN

Vax Date: 02/02/2021
Onset Date: 02/15/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: None

Allergies: Demerol allergy Gluten intolerant

Symptoms: Raised red area measure 2 3/4 inches x 2 1/2 inches. Area itchy. Noted on 2/15/2021. Vaccine given 2/2/2021.

Other Meds: Vitamin D3 2000 mg daily ASA 81 mg daily Zoloft 25 mg daily Zyrtec 10 mg daily Probiotics

Current Illness: None

ID: 1033520
Sex: F
Age: 51
State: WA

Vax Date: 02/14/2021
Onset Date: 02/14/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies: Food intolerances and sensitivities (not IgE allergies): sugar, potato, yeast, walnut, peanut, hazelnut, mint, flounder, wine, agave, bacon

Symptoms: Day of vaccine: Very sore at site an hour or so following injection Body aches, pains, fatigue a few hours after injection Sour stomach and mild headache that evening after dinner Body pain, aches, chills and mild fever during the night and into next morning Day 2: No appetite Worsening headache and fever (did not have thermometer) through the morning slept off and on uncomfortably all day Bad headache and fever by evening continued to bedtime Took one Tylenol and 5mg of Diazapam and went to bed at 7:30pm Woke at 9:30pm in pool of cold sweat, fever had broken Went back to sleep, slept restlessly Day 3: Feel weak, very mild headache, mild nausea, mild body aches. Able to shower and go to work.

Other Meds: Vitamin C Zinc Quercetin Melatonin Magnesium Glycinate Women's multi vitamin/mineral Omega 3s California Poppy Ashwagandha

Current Illness: None

ID: 1033521
Sex: F
Age: 38
State: CT

Vax Date: 02/15/2021
Onset Date: 02/16/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: None

Allergies: Prednisone

Symptoms: Dizziness, vertigo, fast heart beat, fatigue, restlessness, cough, fever,

Other Meds: None

Current Illness: Neuropathy, small fiber neuropathy, fibromyalgia, IBS, depression, and anxiety

ID: 1033522
Sex: F
Age: 33
State: AZ

Vax Date: 02/01/2021
Onset Date: 02/02/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: Sought treatment for eye pain and redness on 2/12/2021 and was diagnosed with pink eye. Followed up with an optometrist on 2/16/21 and diagnosis was changed to giant papillary conjunctivitis to be treated with steroids. Other symptoms related to autoimmune disorders were not confirmed via testing because I know they are generally related to the disorders I have had for many years.

Allergies: Sulfa drugs, tree nuts, peanuts, environmental allergies (molds, pollens, etc)

Symptoms: My autoimmune disorders were generally in remission. About a day after vaccination, I started experiencing severe joint pain in my hands, feet and sternum, my eczema on my stomach, chest and face, I began having bloody stools and developed giant papillary conjunctivitis (the last occurred 10 days after vaccination). Most have calmed down naturally within 2 weeks.

Other Meds: Vyvanse, Allegra, albuterol, benedryl

Current Illness:

ID: 1033523
Sex: M
Age: 66
State: CA

Vax Date: 02/06/2021
Onset Date: 02/16/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: None at this time

Allergies: Red wine.

Symptoms: Upon leaving morning shower, visually and physically experienced red spots/rash on shoulders and upper chest and arms.

Other Meds: Cetirizine, Prozac, Atorvastatin, Prilosec, Azelastine, fluticasone prop, one a day multiple vitamin, fish oil, ginseng capsules, COQ10

Current Illness: None

ID: 1033524
Sex: F
Age: 49
State: AL

Vax Date: 02/04/2021
Onset Date: 02/13/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: none

Allergies: None

Symptoms: Eight days after having the shot, my left arm developed a bull's eye type rash and was hot to touch. Furthermore, the site is itchy and I have taken Benadryl to calm the effects of the itching.

Other Meds:

Current Illness: None

ID: 1033525
Sex: F
Age: 40
State: CA

Vax Date: 12/27/2020
Onset Date: 12/27/2020
Rec V Date: 02/16/2021
Hospital:

Lab Data: no

Allergies: sulfa

Symptoms: Shortly after the vaccine I had a rush feeling like someone pushed IV fluids in really fast causing me to get dizzy and nauseaed. I went home and took benedryl and tylenol which I did until about Wed when I finally was able to get up and got nausea meds. By the Monday of the next week the dizziness and nausea returned. I visited my dr. on Tues who gave Zofran for the nausea and Meclozine for the dizzines and by Friday I felt a little better and was able to return to work. I experienced the up and down feeling within my body for about 2 1/2 weeks before all symptoms finally resided. My brain felt foggy thoughout the entire time as well

Other Meds: Premerin, Priolosec, Probiotic, Fish Oil, Vit. D

Current Illness: no

ID: 1033526
Sex: F
Age: 50
State: VA

Vax Date: 01/22/2021
Onset Date: 01/27/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: Called doctor after having the pain for 2 weeks. Was told to alternate Tylonol and Advil for 24 hours.

Allergies: Levaquin

Symptoms: shoulder pain for 2 weeks began a few days after vaccine

Other Meds: synthroid b12 injection folic acid

Current Illness: none

ID: 1033527
Sex: M
Age: 49
State: PA

Vax Date: 12/30/2020
Onset Date: 01/26/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: CVA work up at the ER 01/26/2021 , Lymes disease test( negative) 02/03/2021.

Allergies: Demerol, PCN

Symptoms: I developed a new onset of Bells Palsy on the right side of my face. It started the day before I was to be given the 2nd dose.

Other Meds: Bystolic, Crestor, Ozempic, Metformin, Multi-vitamin

Current Illness: none

ID: 1033528
Sex: F
Age: 40
State: IN

Vax Date: 02/07/2021
Onset Date: 02/08/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies: Viberzie macrobid flonase

Symptoms: Rash on chest and left shoulder and back. Still have it.

Other Meds: Janumet levothyroxine iron neuvigal lantus abilify escotalopram

Current Illness: No

ID: 1033529
Sex: F
Age: 60
State: KS

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Itchy and redness to left lower extremity and neck. Benadryl 25 mg IM given

Other Meds:

Current Illness:

ID: 1033530
Sex: F
Age: 68
State: CA

Vax Date: 02/02/2021
Onset Date: 02/16/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: none

Allergies: Bee stings (have Epi pen)

Symptoms: Two weeks after my first vaccine, I noticed a rash/raised area at the injection site on right arm.

Other Meds: Areds 2 Eye vitamins, and multi-vitamins.

Current Illness: none

ID: 1033531
Sex: F
Age: 78
State: MO

Vax Date: 02/13/2021
Onset Date: 02/14/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: chest feels like pt has croup, chest pain, body aches, headache

Other Meds: Klor-con 10 mg three times daily, Metformin 500 mg, Losartan 100 mg, Hydrochlorothiazide 25 mg, Amlodipine 5 mg, Simvastatin 20 mg, Metoprolol 100 mg, Aspirin 325 mg, Tums as needed, Vitamin D

Current Illness:

ID: 1033532
Sex: F
Age: 76
State: WI

Vax Date: 02/09/2021
Onset Date: 02/11/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Per Client received COVID 19 Vaccine in left arm on 02/9/2021 at 4:00 PM and by 2/11/2021 at 2:00 PM started having symptoms: Right arm painful, sore and left sided trapezius musle sore, achy and tender to touch. Per Client taking over the counter Aleve by mouth, applying ice and heat to site. per Client symptoms are still present in areas listed above and Client has already placed a telephone call to PCP for further follow up.

Other Meds: yes

Current Illness: none

ID: 1033533
Sex: M
Age: 59
State: GA

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Body aches, headache, fever, chills, loss of appetite 24-36 hours, headaches and fatigue continue, Tylenol, fluids, rest.

Other Meds: esomeprazole, lisinopril, fish oil

Current Illness: none

ID: 1033534
Sex: M
Age:
State: NY

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies: Na

Symptoms: Pt accidentally got three doses . Two at one facility and one at another facility. 1/19/21 1/26/21 2/8/21. No reaction occurred per pt

Other Meds: Na

Current Illness:

ID: 1033535
Sex: F
Age: 51
State: VA

Vax Date: 02/05/2021
Onset Date: 02/12/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: None

Allergies: codine

Symptoms: Moderna COVID-19 Vaccine initially no adverse reaction to injection (2/5/21). Beginning on 2/12/21, intermittent intense itching and burning sensation at site of injection. Rash developed around site of injection on 2/13/21. From about 11pm 2/13/21 until about 1pm 2/15/21 extreme fatigue (basically slept for 36 hours, no food, no liquid. Water tasted "funny"). Evening of 2/15/21 intermittent itching and burning sensation returned, but not as intense. Rash is diminishing.

Other Meds: flax seeds

Current Illness: none (to best of knowledge)

ID: 1033536
Sex: F
Age: 47
State: NY

Vax Date: 01/26/2021
Onset Date: 02/15/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies:

Symptoms: With the first dose I felt sick for 1 day. I called out. The morning after receiving the 2nd dose I had severe fatigue, joint pain, my wrist and my armpit was budging, I noticed swelling my clavicle on my left side, chills, and dizzy. I had to miss work for 2 days. I had to lay bed in for 2 days. By 3rd it was much improved but I still feel weak. About 4 days after receiving the vaccine I was back to feeling my self. On 2/14-15/2021, my face was itching, I scratched it, and there is a small abrasion. My face started to swell, around 2AM this morning I had to go to the ER because my eyes were getting small, the swelling was getting worse. I also had bumps that looked like hives on my face, there was some fluid coming out of my face. I went to early this morning, The ER doctor said she thinks it is not infected she thinks it is inflamed. I did not mention that I had recently received the COVID vaccine and did not realize that it may be linked to the vaccine until later in the day. She prescribed Hydrocortisone 0.5 % cream and Mupirocin 2% cream. Since I have been home the ER the swelling has worsened. My face is painful, it feels like an orange peel when you touch.

Other Meds: Advil right before receiving vaccine,

Current Illness:

ID: 1033537
Sex: F
Age: 85
State: NC

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: None noted

Allergies: Penicillin, Aspirin

Symptoms: Patient started having shortness of breath and tingling in fingers shortly (approximately 10 minutes) after receiving vaccine dose.

Other Meds: Memantine 5mg, Citalopram 20mg, Famotidine 20mg, Terazosin 1mg, Verapamil 80mg

Current Illness: None noted

ID: 1033538
Sex: F
Age: 62
State: MN

Vax Date: 02/02/2021
Onset Date: 02/15/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: None

Allergies: Allergy to demerol Intolerant to gluten

Symptoms: Red raised area in left deltoid where injection given. Area measures 2 3/4 inches x 2 1/2 inches. Itchy. First noted on 2/15/2021. Vaccine given 2/2/2021

Other Meds: Vitamin D3 1000 mg daily Zyrtec 10 mg daily ASA 81 mg daily Zoloft 25 mg daily Probiotic

Current Illness: None

ID: 1033539
Sex: F
Age: 26
State: MD

Vax Date: 02/15/2021
Onset Date: 02/16/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: Feeling slightly warm and tired

Other Meds: None

Current Illness: None

ID: 1033540
Sex: F
Age: 35
State: FL

Vax Date: 02/04/2021
Onset Date: 02/13/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: none

Allergies: Allergic to penicillin, codeine (and all derivatives). Multiple allergic reactions to TB skin test. Mild allergy/sensitive to eggs. Moderate environmental allergies (dust, pollen, cats).

Symptoms: About 7-8 days days after 1st dose, noticed a large area near injection site that looked like a bruise, the next day the area had expanded and turned red (the bruise & discomfort from the initial injection had resolved several days prior to this appearing). It was firm/mildly swollen and warm to the touch, and appeared to expand further throughout the day. When first measured it was approximately 2.75 inches across at it's widest point and a border was drawn to track changes. Two days later it was ~3.75 inches across at its widest part and we drew another border to track. It has continued to expand past the borders. Swelling also noticeably increased in my upper arm and axilla (also has intermittent itching). Treatment has consisted of benedryl at night and occasional ice packs. Ice decreases redness temporarily, but then returns and the area has continued to expand.

Other Meds: Adderall (generic) 20mg

Current Illness: none

ID: 1033541
Sex: F
Age: 58
State: NY

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies: Hot dogs, Bactrim, Morphine, bee stings - anaphylaxis; epinephrine pen prescription

Symptoms: Pt reported feeling symptoms approx 10 minutes after receiving injection. She complained of mild shortness of breath and "itchy throat." She was questioned about having any other symptoms and immediately escorted to the medical attention tent. She was seated, and EMS began evaluation; her vital signs were taken: RR 22, HR 82, BP 156/102, PULSE OX 98%. She then reported an increase in symptoms, as face itching, increased tightness in her throat. Objective symptoms observed by myself and EMS: cough/clearing of the throat, increased SOB/labored breathing, facial erythema, hoarseness. EMS asked for her consent to give her Benadryl and Epinephrine. She repeatedly refused this, and refused any attempt at IV placement. She eventually agreed to IM Benadryl, of which 50mg were administered by EMS. Both EMS and I suggested more than once that she allow us to transfer her to the hospital for further management and preparation in the event that she needs further care. I explained that she was having symptoms of anaphylaxis. She repeatedly refused transfer. She reported a decrease in symptoms, saying she felt well enough to go home. Her objective symptoms observed by myself: continued hoarseness and clearing of the throat. VS were repeated: RR 18, HR 68, BP 160/98, PULSE OX 99%. Airway remained patent and clear. Patient again requested to leave, and agreed to EMS escorting her to her car.

Other Meds: Synthroid

Current Illness:

ID: 1033542
Sex: F
Age: 58
State: IL

Vax Date: 01/08/2021
Onset Date: 02/05/2021
Rec V Date: 02/16/2021
Hospital: Y

Lab Data: Ct head, CTA head and neck, MRI brain received TPA, and hospitalized in ICU then to telemetry floor had echo TEE and loop recorder placed received OT in the hospital and will as outpt as well Physicians requested submission just in case this is the cause

Allergies: penicillin, sulfa Depakote and latex

Symptoms: I experienced and embolic Stroke that is currently not determined a cause for at this time

Other Meds: Zyrtec, Estridial, XHance and Melatonin

Current Illness: none

ID: 1033543
Sex: M
Age: 71
State: VI

Vax Date: 02/08/2021
Onset Date: 02/13/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: NA

Allergies: None known

Symptoms: Rash, urticaria, respiratory distress.

Other Meds: Aspirin 81mg, lisinopril 20mg, HCTZ 25mg

Current Illness: None known

ID: 1033544
Sex: M
Age: 65
State: FL

Vax Date: 02/08/2021
Onset Date: 02/15/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies: Daypro, latex

Symptoms: Rash, itching, swelling, heat. At 8:45 pm 2/15/2021 the red portion of the rash was approximately the size of a quarter with low level edema. Light warmth. Took Benedryl, lowest dose recommended on package. 1:00 pm 2/15/2021 the reddened portion of the rash was 2 1/4 inches, continuing to be itchy, red, warm. The area of swelling has extended now to approximately 3/4 beyond the area of the redness.

Other Meds: Prolia, multi-vitamin, D3, Calcium, testosterone

Current Illness: none

ID: 1033545
Sex: F
Age: 78
State: CA

Vax Date: 02/08/2021
Onset Date: 02/15/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies: Bovine & Porcine proteins, Griseoflavin, Gabapintin

Symptoms: REPORTING A REACTION: One week following the Moderna COVID-19 vaccination there is swelling (hardness), redness, and heat, about 2.5 inches in diameter at the vaccination site.

Other Meds: Synthroid, Losartan-100 MG, Rosuvastatin,-5MG, CoQ10, Zinc, C, B-6, D3, B12, Biotin, Iron, Areds 2, Fish Oil

Current Illness: none

ID: 1033546
Sex: M
Age: 39
State: CA

Vax Date: 01/06/2021
Onset Date: 01/13/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: none

Allergies: Unknown

Symptoms: TMM: Patient#1 COVID 1/6/21. Subsequently developed Covid (sx onset 1/13/21 and tested positive 1/14/21). Has competed 10 day quarantine and all sxs have resolved. Patient is back to work. Patient is scheduled for #2 vaccine dose 1/27/21.

Other Meds: Unknown

Current Illness: Unknown

ID: 1033547
Sex: F
Age: 73
State: MT

Vax Date: 02/08/2021
Onset Date: 02/14/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies: Sulfa (hives)

Symptoms: This nurse was alerted to call pt today due to pt had left message at department with concerns of a reaction. On talking to pt she states that she started to have hardness, itching, redness, and warmth to left arm under injection site on Feb 14th. Pt states that this area is now 5inches long and 2 1/2 inches wide. This nurse instructed pt to outline redness with a black marker to see if redness continues to increase. If redness does keep increasing pt go to a MD right away as she might need antibiotics. This nurse reviewed that pt should try neosporin and ice to site for now. Pt agrees with this plan. This nurse also gave pt her phone number for any further questions.

Other Meds:

Current Illness: Pt denies

ID: 1033548
Sex: M
Age: 43
State: KY

Vax Date: 02/12/2021
Onset Date: 02/15/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies: Cephalexin

Symptoms: Herpes Zoster, treated with Valacyclovir 1000mg PO qhs x7 days

Other Meds: n/a

Current Illness: n/a

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm