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: 1033904
Sex: M
Age: 78
State: PA

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies: NONE

Symptoms: EXTREME TIREDNESS AND SOME NAUSEA

Other Meds: LISINOPRIL, ATORVASTATIN, TRAMADOL, 81MM ASPIRIN, coq 10

Current Illness: NONE

ID: 1033905
Sex: F
Age: 61
State: NC

Vax Date: 01/29/2021
Onset Date: 01/31/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: Upper lip numb and tingling in right hand

Other Meds: None

Current Illness: None

ID: 1033906
Sex: F
Age: 38
State: VA

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

Lab Data:

Allergies: peanuts, apples, clindamycin, alcohol (drinking)

Symptoms: Large knot under skin at injection site, redness, soreness. 10 days after injection. ("Covid arm")

Other Meds: birth control, multi-vitamin, vitamin D

Current Illness: none

ID: 1033907
Sex: M
Age: 35
State: CO

Vax Date: 01/18/2021
Onset Date: 01/20/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: Two medical exams and one CT scan of abdomen and pelvis

Allergies: none

Symptoms: Swollen lymph nodes following the injection lasting up to 5 weeks.

Other Meds: none

Current Illness: none

ID: 1033908
Sex: F
Age: 54
State: OH

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

Lab Data:

Allergies: Cefzil

Symptoms: 2/6/2021 3 hours post vaccine itching on face and scalp and burning on tongue and gums Resolved taking cetirizine 10mg tab 2/8/21 uvulitis

Other Meds: Levothyroxine, Liothyronine, duloxetine 8am day of vaccine

Current Illness: UTI

ID: 1033909
Sex: F
Age: 27
State: AZ

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: None

Allergies: Allergic to cow dairy and red meat.

Symptoms: Cold symptoms; Large painful swollen lymphnode lasted 4 days

Other Meds: Birth control Antidepressants

Current Illness: Cold symptoms and swollen lymphnode in the arm pit of the arm that was ejected. Large and painful. Lasted 4 days.

ID: 1033910
Sex: F
Age: 42
State: MO

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

Lab Data: I will be seeing my cardiologist on 2-22-21 before my second vaccine on 2-24-21

Allergies: Latex, percacet

Symptoms: Chest pressure/ pain

Other Meds: Atenolol, synthroid, zyrtec, Vit D3, Advair Discus, fluctacasone, advil

Current Illness:

ID: 1033911
Sex: F
Age: 48
State: AZ

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

Lab Data: Seen Chiropractor on 2/16/2021. Headache has lessened greatly, however bone pain persists.

Allergies: Codiene and any derivative of it Sulfa Drugs

Symptoms: Tiredness began upon return home from shot location. Severe bone pain in right hip, thigh, knee, both shoulders, chest pain when taking a deep breath and headache began approximately 15 hours after injection and continue at 3pm on Tuesday the 16th of February. Just not the "happy camper, I usually am. :(

Other Meds: Levonorgestrel-Ethinyl Estradiol Tablets; Vitamin D3; Zinc; Multivitamin Folate Sudafed Cetirizine Hyaluronic Acid

Current Illness: none

ID: 1033912
Sex: F
Age: 31
State: NE

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

Lab Data: No medical tests- but prescribed valacyclovir 1g q8hr x 10 days

Allergies: None

Symptoms: Shot was around 2:30p on Thursday 2/11 woke up with fever, nausea and an itchy thigh/side on 2/12 noticed a rash around noon on 2/12 which looked pimply. rash progressed to be extremely itchy looked like hives and kept spreading by 2/15 rash was sensitive and hurt to touch even when pulling clothes up and down. Now 2/16 it hurts/shoot pain. Rash is along a dermatome- Had telehealth visit with Dr and he dx Shingles with the likelihood that this was activated by the vaccination

Other Meds: None

Current Illness: None

ID: 1033913
Sex: F
Age: 67
State: IN

Vax Date: 02/04/2021
Onset Date: 02/12/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: No

Allergies: Penicillin as a child, Tang (Orange Drink)

Symptoms: On day 8 post injection, injection site started itching, then progressed to a 2 inch round, red, swollen, feverish, painful knot. Patient presented the reaction site for viewing, early on day 9 post injection. Patient took 12.5mg diphenhydramine the evening of day 9. On day 10, the site started improving over the next 3 days.

Other Meds: Lisinopril, Aspirin, Vitamin D3, Align, Crestor, Miralax

Current Illness: Rosacea

ID: 1033914
Sex: F
Age: 27
State: RI

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

Lab Data:

Allergies: unknown

Symptoms: 3:30 Rash w/ 25mg of Benadryl. Director of nurses observed rash; Observed til 4:30 - reviewed with director of nurses - was fine to go home

Other Meds: unknown

Current Illness: unknown

ID: 1033915
Sex: F
Age: 28
State: VA

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Both ears feel full 5 mins after sitting in monitoring area. EMS Evaluated. Stayed extra 10 minutes then felt better.

Other Meds:

Current Illness:

ID: 1033916
Sex: F
Age: 64
State: TX

Vax Date: 01/19/2021
Onset Date: 01/22/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: Per provider, The patient has a history of COVID infection. These are common side effects seen after getting the vaccine. Advice to increase fluids, rest, alternate Tylenol with Ibuprofen for body aches. Ordered labs: Hemoglobin A1c 3 Months 02/11/2021 TSH+Free T4 6 Weeks 02/11/2021

Allergies: NKA

Symptoms: 1st day - patient reports everything was ok. 2nd day - patient reports pain at the injection site, and it was painful to move her arm. 3rd day - patient reports that it was painful to move her arm, that she had to move slowly to avoid causing pain. She reports intermittent pain, level 8-9/10, caused by motion, that irradiated to her back and it was controlled using Advil. She reports a 6-7/10 pain level after taking Advil. She refers to experiencing this kind of pain on day 3 to 4 post-injection, did not feel it on day 4 to 5, but again on day 5 to 6 experienced it again. Now she reports "feeling like it's coming" but she rests and it gets better. 4th-5th day - patient reports abdominal discomfort, like the one caused when a "baby moves in your womb". To this day, she refers feeling weak, sometimes when lifting her LT arm she feels intermittent weakness from her hand to her elbow and has to rest her extremity. Today she reports waking up with a discomfort in the back of her neck that lasted 10 minutes and then was able to move her neck/head side to side and up and down.

Other Meds: levothyroxine sodium 112 mcg take 1 tablet by oral route every day lovastatin 20 mg take 1 tablet by oral route every day with the evening meal NORVASC 10 mg take half tablet by oral route every day ZESTORETIC 10 mg-12.5 mg take 1 table

Current Illness: COVID19 Infection (07/2020)

ID: 1033917
Sex: F
Age: 72
State: GA

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

Lab Data:

Allergies: Sulfa

Symptoms: Covid vaccine, Moderna, given in right deltoid. Immediate swelling and redness at site of injection. Benadryl 25 mg. given by mouth with no further swelling, no signs of anaphylaxis. Monitored patient x 30 minutes whereupon patient states feeling

Other Meds: None

Current Illness: none

ID: 1033918
Sex: F
Age: 76
State:

Vax Date: 02/03/2021
Onset Date: 02/12/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 9 days after the shot pt rcvd a rash on left arm from top of should to elbow. Rash is a little tender.

Other Meds:

Current Illness:

ID: 1033919
Sex: F
Age: 80
State: AZ

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

Lab Data: None

Allergies: Penicillin, Bactrim.

Symptoms: Itchy rash at injection site

Other Meds: Celexa, simvastatin, multi vitamin, calcium. Pro biotic, cranberry, baby aspirin

Current Illness: None

ID: 1033920
Sex: F
Age: 86
State: NE

Vax Date: 12/31/2020
Onset Date: 01/28/2021
Rec V Date: 02/16/2021
Hospital: Y

Lab Data: Resident was sent to the hospital at this time.

Allergies: PCN, Codeine, Sulfacetamide

Symptoms: Nausea, Confusion, fever, weakness, SOB, pain

Other Meds: Allopurinol, Breo, Calcium, Diclofenac, Potassium, Levothyroxine, Preservision, Ropinirole, Solifenacin, Toresemide, Vit. D3

Current Illness:

ID: 1033921
Sex: F
Age: 42
State: KS

Vax Date: 12/29/2020
Onset Date: 01/07/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: January 14th - Blood tests January 15, 2021 CT scan MRI - everything came back normal but I had high blood pressure

Allergies: no

Symptoms: I noticed on Thursday afternoon - Petechiae - rash on both legs, one area on arm and abdomen. I went to Clinic - walk-in care and was seen - the day of the 7th and I went back on the 9th (because more areas popped up). I developed extreme anxiety. The extreme anxiety lasted for about a week. I was seen in ER - twice (Jan 14 and 15)- I was treated with anxiety medicine for anxiety and panic attacks- Essoxer and Xanex. Petechiae rash is still there - lightened up but it's still there some. Did not get the second vaccine per doctor's advice.

Other Meds: Melatonin

Current Illness: no

ID: 1033922
Sex: F
Age: 46
State: OR

Vax Date: 01/27/2021
Onset Date: 02/12/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: Physical exam

Allergies: Penicillin, Zithromax, latex, environmental (trees, grasses, weeds, cats, mold)

Symptoms: Bell?s palsy. Numbness in front part of tongue started the afternoon of 2/12/2021. Morning of 2/13/2021 half of face was unresponsive and droopy. Talked to my doctor on call and she recommended I be seen at urgent care immediately for evaluation. Was seen at Urgent Care on 2/13/2021 and it was determined I had Bell?s palsy as a side effect of the COVID-19 vaccine. They still recommended to get my second vaccine as scheduled on 2/17/2021.

Other Meds: Zyrtec, singular, Wellbutrin, lexapro, doxycycline, advair, clobetasol, metronidazole, xanax

Current Illness: None

ID: 1033923
Sex: F
Age: 36
State: CA

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

Lab Data: None

Allergies: Unknown

Symptoms: Covid + 2/4/2021, tested positive same day second dose was administered

Other Meds: Unknown

Current Illness: Unknown

ID: 1033924
Sex: M
Age: 74
State: CT

Vax Date: 02/08/2021
Onset Date: 02/10/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies: percocet, viacoding

Symptoms: Outbreak of shingles.

Other Meds: Turmeric, lanaprost, pantaprazole sod, jalyn

Current Illness: None

ID: 1033925
Sex: F
Age: 70
State: FL

Vax Date: 01/29/2021
Onset Date: 02/08/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies: No

Symptoms: 8 or 9 days after receiving vaccine I developed a rash surrounding the injection site about the size of an egg. Slight swelling and itchiness and warm to touch. On the 15th area of rash has spread 2 to 3 times the size it was originally. It is red rimmed and mildly itchy. No swelling now.

Other Meds: Escitalapram, hydroxyzine, trazodone, carafate, ursodiol, pramipexole, vitamin E, vitamin D3, multivitamin

Current Illness: None

ID: 1033926
Sex: F
Age: 75
State: MO

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

Lab Data:

Allergies: Bactrim

Symptoms: Generalized ACHING, HEADACHE SEVERE REQUIRING OTC PAIN MEDICATIONS

Other Meds: Levothyroxin 112 mcg. daily Paxil 10 mg. Melatonin 5 mg. daily Cetirizine 10 mg. daily Amoxicillin-Ppt Clavul 500mg. tid x 5 days for UTI

Current Illness: UTI started 02/11/2021

ID: 1033927
Sex: F
Age: 32
State:

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

Lab Data:

Allergies:

Symptoms: Chest Tightness and Shortness of breath lasting 2 weeks

Other Meds:

Current Illness:

ID: 1033928
Sex: M
Age: 58
State: MO

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

Lab Data: NONE

Allergies: NONE

Symptoms: PATIENT REPORTS FEVER OF 103.3 F

Other Meds: VITAMIN D, CALCIUM, ASPIRIN 81MG

Current Illness: NONE

ID: 1033929
Sex: F
Age: 60
State: OH

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

Lab Data:

Allergies: None

Symptoms: Awakened from sleep Fri. night with fever, chills, muscle spasms of jaw and feet, dizziness, nausea. Only able to doze off and on rest of the night d/t symptoms. Foot muscle spasms occurred approximately every 2 hours and lasted 5-10 minutes each time. Muscle spasms of jaw only occurred initially and lasted approximately 5 minutes. Spent Saturday going from couch to bed as symptoms continued along with feeling unable to function mentally & extreme fatigue. Tried to drink fluids, took Tylenol, ate only 6 crackers all day. Fever broke the following night and other symptoms gradually dissapated by Sunday evening. Still felt fatigued for 4 more days. Noted cellulitis on left arm 2 inches below injection site on Monday which lasted 1 week (redness approximately 3 x 4 inches with hardened area approximately 1/2-3/4 inch with itching/soreness).

Other Meds: Multivitamin, B-Complex, Calcium, Magnesium

Current Illness: None

ID: 1033930
Sex: F
Age: 32
State: CA

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

Lab Data: none

Allergies: Midol, Tramadol and Ibuprofen

Symptoms: Patient received 1st dose of COVID vaccine today 2/16/21 at around 1009 am. Patient complained of dizziness and blurry vision after 30 minutes. Patient stated she is diabetic and has not eaten her meal yet. Patient also stated she was not able to have a good sleep a night ago. Vital signs taken and was stable. Po hydration (water) and hard candy given to patient. Apple juice was also given. Blood sugar taken and is 160 mg/dl. Patient monitored for 30 minutes and was stable after.

Other Meds: Insulin and Ferrous Sulfate

Current Illness: none

ID: 1033931
Sex: F
Age: 30
State: CA

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: None at this time.

Allergies: None

Symptoms: ADMINISTRATION OF PFIZER-BIONTECH COVID-19 VACCINE DOSE #2 INTO LEFT DELTOID OF PT. PT DENIES PAIN UPON INJECTION. PT COMPLAINS OF SHOULDER PAIN WHEN LIFTING ARM/SHOULDER IN CERTAIN POSITIONS. PAIN DESCRIBED AS SHARP, DEEP, AND RANKED AS 3-4 ON SCALE FROM 0 (NO PAIN) TO 10 (WORST PAIN) UPON ELEVATION OF LEFT ARM AT SHOULDER JOINT. PT DENIES PAIN WITH ARM/SHOULDER IN RELAXED, NEUTRAL POSITION. PT SUSPECTS VACCINE WAS INJECTED TOO HIGH AND/OR TOO DEEP INTO THE SHOULDER JOINT INSTEAD OF PROPERLY INTO THE DELTOID MUSCLE.

Other Meds: Protein supplements

Current Illness: None.

ID: 1033932
Sex: F
Age: 52
State: ID

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: None

Allergies: Latex and adhesive

Symptoms: Dizziness starting less than 24hrs after. Chills, arm pain and fatigue. On 2/16/21 arm became red, swollen, firm, warm to touch.

Other Meds: levothyroxine 150 mcg (0.15 mg) oral tablet Take 1 tablet by oral route once daily triamcinolone 0.1% topical ointment Apply thin to affected areas 2 times per day for max of 2 weeks. Wellbutrin SR 150 mg/12 hours oral tablet, ext

Current Illness: Allergies, migraines (these are chronic)

ID: 1033933
Sex: F
Age: 62
State: AL

Vax Date: 02/10/2021
Onset Date: 02/16/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies: Lamotile

Symptoms: Took Tylenol

Other Meds: Blood pressure, vitamin D, 81mg aspirin, iron,b-complex 100

Current Illness: No

ID: 1033934
Sex: M
Age: 66
State: CA

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

Lab Data: N/A. Since the conditions passed without further problems, I didn't seek medical attention.

Allergies: Codine, Vicodine, Tetracycline

Symptoms: About 2 hours after receiving the COVID shot, while seated in my recliner, watching TV, I began to feel a sickened feeling with tightness in my chest and heart area. The sensation lasted for about 15 minutes then completely subsided. About 4 hours later upon retiring to bed before falling asleep, I began to experience a abnormal sound in both my ears. I covered my ears and the sound remained unchanged. I do suffer tinnitus and am used to ringing in my ears. This was more of a rushing metallic sound similar to the rushing water but high pitched and metallic. This anomaly lasted for around 30 minutes.

Other Meds: Eliquis, Rosuvastatin, Tamsulosin, Folic Acid, Metamucil, B12

Current Illness: Healthy for the past two months.

ID: 1033935
Sex: F
Age: 78
State: NM

Vax Date: 02/10/2021
Onset Date: 02/12/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: No there's no way to get out of my gate because of the snow

Allergies: Narco pain meds only

Symptoms: Pt received the vaccine and had a breakout inside the mouth. 5-6 pronounced bumps that appeared on the same side as the injection and they lasted for a few hours and they just went away.

Other Meds: Lisinopril 10mg, Atvorstatin 10mg, thyroid med, Ibuprofen as needed

Current Illness: No

ID: 1033936
Sex: F
Age: 80
State: KS

Vax Date: 10/02/2020
Onset Date: 11/02/2020
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies: Shrimp

Symptoms: pt got shingles after on back, legs, toes

Other Meds:

Current Illness:

ID: 1033937
Sex: F
Age: 64
State: NC

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

Lab Data:

Allergies: None

Symptoms: Itchy rash at shot site 9 days later. Still present two weeks out from shot day.

Other Meds: None

Current Illness: None

ID: 1033938
Sex: F
Age: 58
State: AZ

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: none

Allergies: nkda

Symptoms: patient got itchy rash on arm and up the left side of her back

Other Meds: unknown

Current Illness: unknown

ID: 1033939
Sex: M
Age: 36
State: ID

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: none

Allergies: no known

Symptoms: Joint pain, muscle aches, pain at injection site, swollen axillary lymph nodes on same side as injection starting approx 8 hours after injection; additional symptoms following within the next 8 hours include fever, chills, GI upset (abdominal pain, nausea). Fever and chills resolved approx 36 hours following injection. Joint pain, muscle aches and GI upset persisted for approx 72 hours after onset, resolved approx 96 hours after injection.

Other Meds: adderall xr 30 mg daily adderall ir 10-20 mg daily venlafaxine er 75 mg daily vitamin d cal/mag/zinc multivitamin

Current Illness: none

ID: 1033940
Sex: F
Age: 51
State: TX

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

Lab Data:

Allergies:

Symptoms: Report dizziness, fatigue and sore throat day 1 post vaccination. Treatment: Aleve, Outcome: dizziness resolved, continues with sore throat and fatigue. possible exposure to COVID+ person. Referred for testing. Does not interfere with ADLs.

Other Meds:

Current Illness:

ID: 1033941
Sex: F
Age: 70
State: NY

Vax Date: 01/29/2021
Onset Date: 02/05/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies: adhesive

Symptoms: On 2/5, 8 days after the 1st Vaccine, I got a rash on my left arm, headache and stiff neck. I have had the rash for 11 days now, it is still not completely resolved. No headache, some neck stiffness.

Other Meds: Synthroid, Cytomel, Lipitor, Metformin, Spiraldactone

Current Illness: none

ID: 1033942
Sex: F
Age: 17
State: CO

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

Lab Data:

Allergies: PENICILLINS

Symptoms: PATIENT WAS GIVEN MODERNA COVID VACCINE, THEN WE REALIZE SHE IS UNDER 18. NO ADVERSE REACTION FOUND AT THIS POINT

Other Meds: NONE

Current Illness: NONE

ID: 1033943
Sex: F
Age: 70
State: AZ

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: NA

Allergies: Sulfa Drugs; Penicillins; Cat Scan Contrast; Rituxan

Symptoms: 2/10 I had pain at injection site, mild fever and some chills, and extreme fatigue. The fatigue continued through mid-day, 2/15

Other Meds: Lisinopril/HCTZ; Lipitor; Pantoprazole; Monteleukast; Estradiol; Methimazole; Tizanidine; levocetrazine; Travaan Z; Methimazole; Fentanyl Patch 25mcg; Hydroxychloroquine; Prednisone; Tylenol; Calcium; Vitamin C; Multivitami

Current Illness: None

ID: 1033944
Sex: F
Age: 75
State: CA

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

Lab Data:

Allergies: Erythromycin , Diflucan

Symptoms: Post Vaccination, patient started feeling dizzy. Alert and oriented x4, able to provide health information, denied SOB or respiratory discomfort. Patient's BP 96/62, Pulse 60, o2 sat 99%, RR 19. Patient came with her sister who will be the designated driver. Patient requested to stay outside for the rest of observation period. Patient repeatedly said the dizziness is not related to the vaccine, patient also mentioned she has chronic dizziness and its not something new. Patient education provided and encouraged to call her PCP ASAP. Patient was discharged with her sister in law, patient said she felt better, no complaints.

Other Meds: Ranexa, Elavisl, Synthroid, Toviaz, Gabapentin, Atorvastatin

Current Illness:

ID: 1033945
Sex: F
Age: 80
State: AR

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

Lab Data: None

Allergies: Yes, many

Symptoms: Severe pain ln neck, back, up the back of the head and behind the ears. Some rash around the waist. Chills for several hours one night. Pain lasted about 9 days. Yesterday and today, 15 and 16 February, no energy.

Other Meds: A lot.

Current Illness: No

ID: 1033946
Sex: F
Age: 72
State: FL

Vax Date: 02/10/2021
Onset Date: 02/13/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Itchy rash on back, chest, neck and upper arms

Other Meds: Effexor RX 75 mg, Synthroid 75 mcg Claritin Vitamins

Current Illness: Atopic dermatitis of groin area and genitals

ID: 1033947
Sex: F
Age: 49
State: KY

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

Lab Data: None

Allergies: NKA

Symptoms: Pt c/o shaky, dizziness, heart racing, @ 1204 BP 138/80, O2 99, HR 104. Brought in for observation. Pt stated being nervous about the vaccine. @1210 HR 80 per Dr. @ 1251 BP 122/70, HR 72, Pt stating feeling better. Dr. walked her to her husband.

Other Meds: Plaquenil, Flonase, Asteprol

Current Illness: None

ID: 1033948
Sex: F
Age: 74
State: NV

Vax Date: 02/04/2021
Onset Date: 02/11/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies: Shellfish

Symptoms: Rash at injection site

Other Meds: Xarelto, sotalol, Lipitor, xetia

Current Illness: None

ID: 1033949
Sex: F
Age: 36
State: MI

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 02/16/2021
Hospital:

Lab Data: None

Allergies: fenofibrate, tretinoin

Symptoms: Per ED 12/29/2020 at 1635 Patient who presented to the Emergency Department with difficulty breathing (wheezing) and difficulty swallowing (felt like throat was closing) after receiving her first dose of Moderna COVID-19 vaccine. Alert and oriented x3. Pulse: 128 regular, Respiratory rate: 28, Blood pressure: 135/103, Pulse ox: 100% room air. Pt. received diphenhydramine HCL 50mg IVP at 1644, Epinephrine 0.3mg IM at 1644 and Methylprednisolone Sodium Succinate/Pf 125mg IVP at 1644. Pt. gradually improved, wheezing gone, heart rate down to 124. Clinical Impression: Allergic reaction caused by a drug. D/C home; f/u with doctor. return if worse. benadryl/albuterol prn

Other Meds: metoprolol succinate, rabeprasole, meformin, montelukast, levo

Current Illness: Unknown

ID: 1033950
Sex: F
Age: 46
State: MN

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: EKG was normal and CT scan showed no broken jaw.

Allergies:

Symptoms: At 4:00 am on Thursday morning (12 hours after vaccination), I got up to use the bathroom and when I was finished, I fainted. My mom heard the loud noise and found me on the bathroom floor and could not arouse me. She called 911 and I came to when she was on the phone with them. She helped me up and I felt weak and flush. She gave me some cold towels and I felt better soon after. She then took me to ER because I had a gash on my chin and my jaw was very sore. I asked the ER doctor if my fainting could have something to do with the vaccine and he didn't think so. He did a CT scan to check my jaw and an EKG and they were both normal. I told him that I have been very busy at work the last week or so and I know that I haven't been eating or hydrating properly.

Other Meds: I take a multi vitamin.

Current Illness:

ID: 1033951
Sex: F
Age: 24
State: CA

Vax Date: 01/06/2021
Onset Date: 01/31/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: unknown

Allergies: Unknown

Symptoms: covid positive 2/05/2021 with symptom onset 1/31/2021 after first dose

Other Meds: Unknown

Current Illness: Unknown

ID: 1033952
Sex: F
Age: 72
State: MI

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

Lab Data: None

Allergies: amoxicillin, minocycline, cardiazem

Symptoms: On 2/10/21, intense itching started, on 2/11/21 redness developed in area. Intense itching stopped on 2/11/21 in PM but minor itching continued through 2/14/21

Other Meds: Lisinopril, Bystolic, fish oil, vitamin E, A, D, magnesium

Current Illness: None

ID: 1033953
Sex: F
Age: 68
State: MD

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

Lab Data: n/a

Allergies: n/a

Symptoms: tip of nose was numb, top lip, chin, forehead cheeks were also numb, eyes felt different

Other Meds: n/a

Current Illness: n/a

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm