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: 1036718
Sex: F
Age: 36
State: AL

Vax Date: 02/10/2021
Onset Date: 02/16/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies: None known

Symptoms: Itchy, red, swollen spot at the spot of the injection. It's approximately 2 inches in diameter.

Other Meds: One-a-Day Prenatal Vitamin Levocetirizine Norethindrone

Current Illness: None

ID: 1036719
Sex: M
Age: 55
State: MD

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies:

Symptoms: vitals: 15:27 patient complained of dizziness, slight head ache, sweaty, light headed. Dr was made aware, checked BP. 162/114, HR 108, 02 99%. Advised patient lay down and 15:35 bp went down to 156/103, HR 79, 02 100%. at 15:40 while laying BP 144/87, HR 70, O2 100%. 15:45 laying BP 123/75, HR 77, O2 100%. 15:50 while sitting BP is 134/82, HR 82, O2 98%. at 16:00 BP is 129/84, HR78, O2 99%. Patient stated dizziness was gone. Dr charted: dizzy and lightheaded after 1st shot, bp elevated over baseline. Monitored and transfered to stretcher. BP improved and symptoms resolved with rest. No itching, rash, shortness of breath or chest pain. Patient was able to walk around asymptomatic prior release.

Other Meds:

Current Illness:

ID: 1036720
Sex: F
Age: 66
State: LA

Vax Date: 02/12/2021
Onset Date: 02/16/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Red bumps/rash on back of both hands and left arm with a burning sensation. We are snowed in so could not leave home. Took benadryl and rubbed down with coconut oil and lotion spoke with nurse at local ER she said common side effect of vaccine. Continue benadryl If started having trouble breathing find way to ER if not call Dr and report in AM. Took another benadryl was better by morning but still hasnt gone away.

Other Meds: Armour thyroid. Metoprolol. Xanax Aspirin 81gr. Magnesium Ultimate omega. Vitamin C.

Current Illness: Cellulitis in Right arm from 1st vaccine took Rocephine IV for 3 days and Bactrim 800 for 7 days. For this reason 2nd vaccine was given in left thigh

ID: 1036721
Sex: F
Age: 46
State: MN

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: NA

Allergies: Unknown

Symptoms: After vaccination, a reconstitution error was discovered, the vaccination received was slightly more concentrated. The employee has been contacted, made aware of the incident, educated on reporting signs and symptoms.

Other Meds: Unknown

Current Illness: No

ID: 1036722
Sex: M
Age: 77
State: AZ

Vax Date: 01/22/2021
Onset Date: 01/23/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies: Cipro, sulfa drugs

Symptoms: Insomnia for one night onlyn

Other Meds: Klonopin, zyrtec

Current Illness: No

ID: 1036723
Sex: M
Age: 31
State: OR

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: The patient began experiencing symptoms 30 mins. after the vaccination was given. He reported sudden sense of nausea, tunnel vision, headache and light sensitivity. He returned to the clinic shortly after leaving due to his condition. We had him rest in one of the outpatient rooms while monitoring his vitals, was also given an instant ice pack for his head. The pt. was prescribed Banophen (anti-histamine), Ondansetron for nausea and Ibuprofen 800mg for pain relief. He was given 6 TAB of both the Ondansetron and Ibuprofen but took 1 tablet of each of the 3 medications after coming into the exam room. Our patient relaxed in the room and was closely monitored for 45mins.-1hr. following coming back. Pt. began feeling better about 30mins. into his stay where he waited another 20-30mins. to ensure symptoms resided and he felt better. He was free to leave once better. Instructions were to contact our clinic or return if the headache or nausea returned or if his symptoms worsened.

Other Meds: None

Current Illness: None

ID: 1036724
Sex: F
Age: 26
State: MI

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: Blood tests; CT scan - 02/12/21

Allergies: Lactose intolerant

Symptoms: Day 1: low grade fever, headache, abdominal pain. Went away with Ibuprofen. Day 2: severe abdominal pain; decreased with IV anti-inflammatory in hospital. Tests revealed colitis.

Other Meds: Lexapro 20mg, zofran 4mg, Imodium

Current Illness: None

ID: 1036725
Sex: M
Age: 61
State: NY

Vax Date: 02/16/2021
Onset Date: 02/17/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: no

Allergies: no

Symptoms: pt states when he woke up that he felt like he had fever but when he checked his temp on forehead it was 99 and when he checked his temp around the ear it was 101.

Other Meds: no

Current Illness: no

ID: 1036726
Sex: F
Age: 60
State: KY

Vax Date: 02/02/2021
Onset Date: 02/04/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: February 17, 2021-CBC, CMP, sed rate, CRP were done. CT head and neck were ordered

Allergies: Sulfa, codeine, methylene blue

Symptoms: 2 days after vaccine patient developed acute GI symptoms to include nausea, vomiting, diarrhea. This was associated with generalized body aches and temperature T-max of 100.6. She had associated headaches at the time. Patient had chills and aches of all joints. Patient was seen at a urgent care clinic and had a CO VID test that was negative. On February 15 patient also reported neurologic symptoms to include a "electric shock" sensation running down her spine and her legs when she bends her head forward. She reports it is bilateral legs but wraps around her right calf,. Patient reports decreased sensation of her right foot.

Other Meds: Femara, Protonix, Keppra

Current Illness: None

ID: 1036727
Sex: F
Age: 33
State: CA

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Reported loss of smell 24 hours in, headaches, and fatigue.

Other Meds:

Current Illness:

ID: 1036728
Sex: F
Age: 93
State: ID

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies: melon. bananas. avacado

Symptoms: Patient received 3rd Dose of Pfizer Covid vaccine, Given on 1/6/21, 1/27/2 and 2/17/21

Other Meds:

Current Illness:

ID: 1036729
Sex: F
Age: 62
State: IL

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: Covid test X3 - patient reports all were negative - dates unknown

Allergies: unknown

Symptoms: Patient came to site for scheduled appointment to receive 2nd dose of Pfizer Covid. States she would like to reschedule because she was not feeling well. Reports she has not felt well since the first dose. States initially she felt dizzy and had a headache - the symptoms progressed to dizziness, headache unable to be relieved by medication, stomach pain and nausea. States she has consulted with PCP and lab tests will be ordered, she anticipates she will receive an order for a MRI of the brain. She also stated because of her symptoms she was considered by her work as a presumptive positive for Covid and was required to complete three Covid tests - all were negative. Encouraged patient to continue consulting with PCP and possibly an allergist. She will reschedule when she is feeling better.

Other Meds: unknown

Current Illness: unknown

ID: 1036730
Sex: F
Age: 75
State: MN

Vax Date: 01/27/2021
Onset Date: 02/10/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies: Pcn, sulfa

Symptoms: Diagnosed with Bell's Palsy 2 wks after vaccination. But I must also admit to having a cold sore about a week before the vaccination. I feel it is necessary to report both factors for accuracy.

Other Meds: Many

Current Illness: Cold sore

Date Died: 02/16/2021

ID: 1036731
Sex: F
Age: 88
State: NH

Vax Date: 02/04/2021
Onset Date: 02/14/2021
Rec V Date: 02/17/2021
Hospital: Y

Lab Data: Unknown

Allergies: Novacaine, ampicillin, sulfa

Symptoms: SOB, DOE, oxygen desaturation, nausea. Ems transport to ER for eval

Other Meds:

Current Illness: CHF, venous stasis ulcers

ID: 1036732
Sex: F
Age: 75
State: PA

Vax Date: 02/11/2021
Onset Date: 02/16/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: No tests. Spoke to dr as was extremely unusual pain to get a MRI and he ascribed it to COVID affect

Allergies: Sulfa, NSAIDS, aspirin, cortisone, doxycycline and Bee stings

Symptoms: Woke up st 2 am w sweating and severe pain in left frontal head. Spasm about 30 seconds apart for 5 minutes. Had to pass a stool as well. Next day hurt to even chew on that side or lie on left side and residual pain in affected are (not a headache) day three pain in head subsided

Other Meds: Levothyroxine

Current Illness: None

ID: 1036733
Sex: F
Age: 72
State: NY

Vax Date: 02/15/2021
Onset Date: 02/15/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: I telephoned my primary care physician and reported the symptoms, and his conclusion was that I had an allergic reaction to the Moderna.

Allergies: Penicillin, eggs, mold, dust, tree pollen, grass pollen, various shampoos, cosmetics. Sensitive (but not known allergy) to Wella hair color.

Symptoms: 10 to 15 mins. after the injection, my tongue began to feel strange. I thought maybe it was because I was uncomfortable with my mask. I left at 1:25 PM without informing the pharmacy because they were running behind with Covid injections and were getting ready to close for the lunch hour. By the time I reached home, my tongue definitely felt "thick" but I was able to eat and drink. The tongue thickness lasted approx. one and a half hours. Then for the next two hours, I felt tingling or itching under my scalp -- like it was under my skull. By 5 PM the reactions were gone. These reactions were similar to when I had allergy immunization shots years ago.

Other Meds: Centrum Silver (Women) Citracal (slow release 1200) Vit. C (500 mg) Vit D 50 mcg (2000 IU)

Current Illness: none

ID: 1036734
Sex: F
Age: 24
State: NV

Vax Date: 02/15/2021
Onset Date: 02/16/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Multiple swollen lymph nodes in left neck/collar bone. One lymph node noticed at 7pm on 02/16. On the morning of 02/17 there were 3 and the original had grown in size. Original swollen lymph node is red and uncomfortable.

Other Meds: None

Current Illness: None

ID: 1036735
Sex: F
Age: 74
State: NJ

Vax Date: 02/08/2021
Onset Date: 02/16/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies:

Symptoms: I have dermatitis, but a few days after shot , the itch and rash intensified. 9 days after shot I got COVID ARM i.e. yesterday. too early to answer below, if I have recovered

Other Meds: Amlodipine 5mg

Current Illness:

ID: 1036736
Sex: F
Age: 68
State: WA

Vax Date: 01/26/2021
Onset Date: 02/17/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies: Penicillin Codeine Thorazine Neomycin Negative reactions to all families of SSRIs and SNRIs

Symptoms: Eleven days after injection, raised, red, hot, painful lesion appeared on left arm about 2" from injection site. Over the next two days, a rash spread to cover most of the upper arm, but was only itchy. After five more days (16 days after injection), center of initial lesion began to turn normal skin color. Skin color back to normal after four more days (20 days after injection). No fever, no aches, but more fatigue than usual and some diarrhea.

Other Meds: Estradiol Methimazole 5 mg Latanoprost 1 drop each eye/day FloVent 110mcg 2x/day Multivitamin Calcium 800 mg/day Magnesium 800 mg/day Vit D3 4000 IU/day Lithium orotate 10 mg/day Milk thistle AREDS 2/day

Current Illness:

ID: 1036737
Sex: F
Age: 46
State: TN

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies: Aspirin allergy at age 5

Symptoms: Fillings in my teeth on the left side of mouth began to hurt after shot. Pain continued for over 2 hours post shot and while completing this form.

Other Meds: Prozac

Current Illness: None

ID: 1036738
Sex: F
Age: 67
State: MA

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: No medical tests were performed. I spoke by telehealth conference with my primary care doctor on February 1, described the reaction above. The tingling was an experience familiar from a previous allergic type reaction to foods in the past. She instructed me to refrain from getting the second vaccine shot. As I had completely recovered from the episode described above, there was no indication for testing immediately. I have subsequently contacted an allergic, and have followup plans for a 2 step challenge test to receive my second dose of vaccine on February 24, 2021. She believes that I had a mild/moderate allergic reaction but does not feel that I need more allergy testing, does not feel that PEG allergy is likely.

Allergies: Penicillin, Cephalosporins, Doxycycline, Topical Neosporin/Polymixin, Kiwi Fruit, Walnuts, Bee Sting

Symptoms: One and a half hours after I received my injection, while driving home, my mouth, lips and face began to tingle. This lasted for almost two hours. I experienced some brief tingling of the skin on my chest as well and on the skin of my upper thighs. I did not have trouble breathing, and did not develop a rash anywhere on my body. The tingling remained localized to my face and the upper part of my mouth. There was no swelling of my lips or redness of my lips. Immediately after I received my injection I briefly felt the slightest bit of light headedness, but this resolved before I left the vaccination site. I felt tired later in the evening and then began to experience headache and nausea, the typical side effects that I had anticipated and previously heard about.

Other Meds: Topiramate, Protonix, Pepcid, Mucinex, Claritin, Vitamin D3, Colace, Lorazepam

Current Illness: No active illnesses at time of vaccination

ID: 1036739
Sex: F
Age: 74
State: AZ

Vax Date: 01/20/2021
Onset Date: 01/27/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: N/A

Allergies: Unknown

Symptoms: Patient complained that a small rash developed below the shoulder. Patient was instructed to take diphenhydramine to treat rash. Rash resolved within 24 hours.

Other Meds: Unknown

Current Illness: Unknown

ID: 1036740
Sex: F
Age: 62
State: TX

Vax Date: 02/04/2021
Onset Date: 02/11/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Sore arm for one day. Rash started with pain left upper torso on day 7, diagnosed as shingles.

Other Meds:

Current Illness:

ID: 1036741
Sex: F
Age: 74
State: SC

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: Chills fever nausea diarrhea. Headache

Other Meds: Synthroid. Vitamin c. Magnesium?s

Current Illness:

ID: 1036742
Sex: F
Age: 68
State: FL

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: Saw primary physician on 2/16 (4 days after this vaccination)

Allergies: Sulfa and Keflex; never a reaction to the flu shot

Symptoms: 2/12- got vaccine 2/13- chills, headache, achiness- took Tylenol 2/14- only had a big red area beneath the injection site, very round, warm to touch and hard, very itchy; Googled COVID vaccination side effects- ?COVID arm? was what it was referenced as- it recommended to put an ice/cold compress on the area and drink fluids- she did that 2/15- still very itchy, less red, more pink 2/16- still pink like 2/15, took a shower, got big/red and itchy again. She went to volunteer at Villages (4 hours) but developed a headache. She normally gets sinus issues, but took Tylenol. She was worried so she called her primary doctor. He diagnosed an allergic reaction but could tell that the margins were decreasing and improved. He gave a prescription for a prednisone pack. The headache may have been due to weather changes- she takes a nasal spray so the physician recommended to increase it from daily to twice a day 2/17 (today)- less red/pink, itchy and improving

Other Meds: Fluticasone nasal spray once daily for allergies

Current Illness: None

ID: 1036743
Sex: M
Age: 60
State: MN

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: NA

Allergies: NO

Symptoms: After vaccination, a reconstitution error was discovered, the vaccination received was slightly more concentrated. The employee has been contacted, made aware of the incident, educated on reporting signs and symptoms.

Other Meds: No

Current Illness: NO

ID: 1036744
Sex: F
Age: 68
State: CT

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: Chest X-ray clear, heart enzymes 0. Released at 6 pm

Allergies: Sulfa drugs (Bactrin) Trulicity Ace inhibitors Carbocaine Dust/PollenY

Symptoms: High bp and chest pain 10 minutes after vaccine. Aspirin and 2 nitroglycerin administered over 10 minutes. Transferred from vaccine facility by ambulance to Hospital.

Other Meds: Fluticasone 50 mcg Fosamax 70 mg Isosorbide mononitrate 30 mg Losartan potassium 50 mg Metformin 1000 mg Rivaroxaban 20 mg Rosuvastatin 40 mg Sotalol hydrochloride 80 mg Aspirin 81 mg

Current Illness: Diabetes AFIB

ID: 1036745
Sex: F
Age: 39
State: NE

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Fever of 100.8, myalgia, severe headache, fatigue

Other Meds: None

Current Illness: None

ID: 1036746
Sex: F
Age: 57
State: NY

Vax Date: 02/12/2021
Onset Date: 02/14/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: 36 hours after shot, sever sweats chills shaking, constant throwing up and diarrhea. Could keep not even liquids down. Finally went away today, but feel weak as a newborn. This is 5th day! Is that normal?

Other Meds: Fuerosomide, carvedilol, lexapro, atorvastatin, trulicity, metformin, etezembe, lisinopril, wellbutrin, epleronone, clopidigrel, cilostizol

Current Illness: None

ID: 1036747
Sex: M
Age: 66
State: MI

Vax Date: 02/15/2021
Onset Date: 02/15/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies: Sulphur drugs

Symptoms: None stated.

Other Meds: None

Current Illness: Copd, hypertension, liver damage

Date Died: 01/18/2021

ID: 1036748
Sex: M
Age: 83
State: IL

Vax Date: 01/13/2021
Onset Date: 01/18/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: 1/14/21 WBC 25.38; bun 23; cr 2.92; total protein 7.7; albumin 2.0; globulin 5.7; a/g ratio 0.4; total bili 3.6; alk phos 1743; SGOT 193; SGPT 82; lymph 7%

Allergies:

Symptoms: Sent to ER 1/14/2021 due to drop in blood pressure with LOC during dialysis. Imaging revealed right lower lobe pneumonia given script for amoxicillin. According to staff patient was on dialysis had pneumonia and was on hospice, dialysis stopped resulting in death.

Other Meds: Tylenol prn; aspirin daily; atorvastatin daily; calcium carbonate daily; cholecalciferol twice daily; diltiazem; eliquis; ferrous sulfate; norco; melatonin; miralax; namenda; tamsulosin; tramadol every 6hrs.

Current Illness: ER visit 1/7 due to fall, CT negative current Dialysis, pneumonia, hospice patient.

ID: 1036749
Sex: F
Age: 44
State: MI

Vax Date: 02/05/2021
Onset Date: 02/16/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: None

Allergies: Allergic to penicillin, amoxicillin, and sulfa drugs

Symptoms: On day 1-3 fatigue and injection site soreness On day 11 large itchy hot welt around injection site

Other Meds: Generic Claritin OTC, vitamin d , daily vitamin

Current Illness: None

ID: 1036750
Sex: F
Age: 74
State: GA

Vax Date: 02/15/2021
Onset Date: 02/17/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: None

Allergies: Penicillin

Symptoms: Moderna COVID 19 Vaccine EUA . VERY TIRED/ some weakness, no appetite

Other Meds: Omeprazole Atorvastatin Duloxetine Montelukast Citracal maximum plus 3D Ipratropium Bromide Meloxicam

Current Illness:

ID: 1036751
Sex: F
Age: 51
State: NE

Vax Date: 02/15/2021
Onset Date: 02/15/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Low grade fever and large axillary lymph node under injection arm.

Other Meds: Nuva-Ring; Multi-Vitamin; A-D-K vitamin; probiotic; Cleanse and Lean

Current Illness: none

ID: 1036752
Sex: F
Age: 36
State: WI

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: None Managed symptoms at home

Allergies: None

Symptoms: 12/16: 1200 - dizziness 1700 - headache, fatigue 2000 - 101.9 fever, body aches, fatigue, dizziness, nausea 12/17: 0600 - dizziness, nausea 0800 - nausea, diarrhea - lasted throughout whole day

Other Meds: None

Current Illness: None

ID: 1036753
Sex: F
Age: 67
State: PA

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies: multiple adverse drug reactions: Zoloft, hydroxychloroquine, simvastatin, ACE inhibitors, metronidazole, prednisone, moxifloxacin, cefpodoxime, all novel oral anticoagulants, heparin, Lovenox, Zocin, lidocaine, EMLA cream, cadexomer iodine, multiple wound covers and topical treatments, multiple antifungals.

Symptoms: Neck pain and stiffness, headache unlike any previous headache, fever, myalgia, somnolence, mental confusion, anorexia, eye pain, photophobia: worst during the first 24 hours after vaccination, but ongoing to present. Feels like meningitis symptoms.

Other Meds: fondaparinux nebivolol

Current Illness: Sjogrens with vasculitis multiple clotting disorders immunodeficency Antiphospholipid Syndrome

ID: 1036754
Sex: F
Age: 56
State: CA

Vax Date: 02/16/2021
Onset Date: 02/17/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies: sulfa vicodin

Symptoms: massive headache, 11 hours post vaccination at midnight. Extreme arm pain, throbbing, burning, joints felt swollen, extreme abdominal pain (like someone wrenching my intestines and organs), aching neck, body pains and felt like I was freezing btwn midnight and 3 am. Had lay still in a fetal position for it to calm down at 3am.

Other Meds: estradiol, progesterone, pregnenalone, vitamin D vit c melatonin

Current Illness:

ID: 1036755
Sex: F
Age: 54
State: FL

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: NONE

Allergies: stadol

Symptoms: ?Moderna COVID-19 Vaccine EUA, NAUSEA AND WAS FOUND TO HAVE A BLOOD PRESSURE OF 84/55, HEADACHE, WEAK, BRAIN FOG. HAD SYMPTOMS FOR SEVERAL DAYS. EVEN 5 DAYS AFTER THE EVENT I AM NOT ABLE TO TAKE MY FULL DOSE OF BLOOD PRESSURE MEDICATION AS IT DROPS MY BLOOD PRESSURE. ALSO HAD A SIGNIFICANT REACTION AT THE INJECTION SITE.

Other Meds: amlodipine 10mg qhs, omeprazole 40mg qhs, synthroid 200mcg q am, estradiol 1mg qhs, progesteron 100mg po qhs, escitalopram 20mg qhs, robaxin 1000mg qhs

Current Illness: none

ID: 1036756
Sex: M
Age: 73
State: MI

Vax Date: 02/16/2021
Onset Date: 02/17/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Chills, fever of 100.00

Other Meds: None

Current Illness: None

ID: 1036757
Sex: F
Age: 49
State: VA

Vax Date: 02/03/2021
Onset Date: 02/16/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Developed rash at the injection site one week after the injection that lasted for about a week. Then, developed a larger rash on towards the inside of the same arm. This rash did not appear until two weeks after the injection.

Other Meds: Estradiol

Current Illness: None

ID: 1036758
Sex: F
Age: 58
State: MA

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient received COVID-19 vaccine. AFter 5 minutes of observation she got itchy and started getting a red rash on her throat area. She was very calm and asked for help. Paramedics noticed she was turning discolored and provided Benadryl p.o 4mL. They asked to transport her to a nearby hospital and she agreed. They were in transport at 4:35pm to the hospital to get her treatment for adverse reaction.

Other Meds: unkown

Current Illness: unkown

ID: 1036759
Sex: F
Age: 74
State: MO

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies: NKDA or Food Allergies

Symptoms: Patient was previously in a rehab facility who was in communications with the patients long term care facility. However, the patient received her first dose of the COVID vaccine (Moderna) through the rehab facility on 1/27/2021, which they did not communicate with the long term care facility. Therefore, when the COVID vaccine clinic team went to the long term care facility for our second trip (first trip was 1/20/21), the patient was listed as getting dose 1. Therefore, the patient got the vaccine on day 21. No adverse events have been reported.

Other Meds: Unknown

Current Illness: Unknown

ID: 1036760
Sex: F
Age: 23
State: CA

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: None

Allergies: None.

Symptoms: Employee states that adverse events started on the second day after vaccine( Feb. 9th) and they continue to persist as of today. She has following symptoms: Hives on the left arm (injection site), face is swollen, upper lip is swollen, mouth is really itchy, chills, sweats.

Other Meds: None.

Current Illness: None.

ID: 1036761
Sex: M
Age: 68
State: NC

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: Called Dr office. Just a verbal conversation. No medication or lab testing was done.

Allergies: no

Symptoms: 2/12/21 - Recieved the Covid 19 vaccine 2/13/21 - 5 pm. Fever, chills, no appetite, no taste, no smell, fatigue - was gone by 8 am the next day. Took Tyenol and rest. Taste and smell returned. 2/14/21 - 5 pm. Was eating and had a sip of wine. Felt like I was choking and had a strange sensation in the head. Felt like I blacked out for 2 seconds and was drolling. This is the only time that I have experienced this.

Other Meds: Lisinopril astorvastin

Current Illness: Hormone shot taken 02/04/21 for prostate cancer Tested positive for COVID on 1/22/21

ID: 1036762
Sex: F
Age: 40
State: CA

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies: None reported

Symptoms: Approx 10 minutes post vaccine patient reported she felt a c " cold rush" through her whole body, felt like she was shaking, developed hand tremors and then bilateral feet and calf numbness

Other Meds: Unknown

Current Illness: None reported 2 weeks prior to vaccination

ID: 1036763
Sex: F
Age: 41
State: MN

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: No tests performed.

Allergies: Milk and Cipro

Symptoms: Went to get the vaccine, sat down and received it in her left arm, and while waiting for the 15 minutes and after 10 minutes she stood up and coughed, a nurse came to her and asked if she could help her, she grabbed her throat and told her she could not breathe. She gave her an Epi-pen shot in her right thigh and then she put oxygenation on her finger, around 5 minutes later they took her to the ER. She felt fine immediately after the. The nurse then gave her an IV but they did not give her any medicine. She also had her BP monitored and checked her vitals signs, and a doctor talked to her and kept her for an hour for monitoring, and then released from the ER.

Other Meds: Centrum adult, Vitamin D3, Hydroxyzine HCL, Sluvoxamine Maleate.

Current Illness: None.

ID: 1036764
Sex: F
Age: 35
State: CA

Vax Date: 01/05/2021
Onset Date: 01/07/2021
Rec V Date: 02/17/2021
Hospital: Y

Lab Data: Abdominal ultrasound, chest xray, CT scan, blood work (CBC,BMP, LFTs, coags)

Allergies: Penicillin- unknown reaction Shellfish- anaphylaxis

Symptoms: Lower back pain that then was only localized to the right flank. Worse when breathing. Ibuprofen helped with symptoms a bit. I visited the ED and on US a gallstone was detected, not obstructing ducts but the decision was made to have it removed.

Other Meds: None

Current Illness: Crohn's disease

ID: 1036765
Sex: F
Age: 23
State: PA

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies: Avocado Acidic Fruit Seasonal

Symptoms: Chest pain

Other Meds: None

Current Illness: None

ID: 1036766
Sex: M
Age: 78
State: OH

Vax Date: 01/25/2021
Onset Date: 02/16/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 22 days after injection, my right arm muscle started to hurt seriously. Any movement caused pain. On the second day, the pain comes only when I flex that muscle. There is no pain in my other my arm.

Other Meds:

Current Illness: none

ID: 1036767
Sex: F
Age: 79
State: CA

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 02/17/2021
Hospital: Y

Lab Data: Tested at hospital between 2/3 to 2/5. MRI, CT, Bloodwork, Urine all turned out ok. Waiting on EEG results.

Allergies: Penicillin

Symptoms: 4 seizure type episodes (including shaking, eyes rolling back for about 15-30 seconds long) after being moved out of bed - lasted 4 days Fever up to 102.5 - lasted 5 days Could not stand - 8 days Body aches - 8 days Could not walk - 9 days Weakness - on going since vaccine Shaking - on going since vaccine

Other Meds: BASAGLAR 100 UNIT/ML KWIKPEN INSULIN PEN ? 21 units JANUMET XR 50-1,000 MG TABLET, ER MULTIPHASE ? ? tablet

Current Illness: n/a

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm