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: 1036768
Sex: F
Age: 51
State: CA

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

Lab Data: none

Allergies: dust, grass/tree pollen, cats, dogs

Symptoms: pain at injection site, muscle and joint aches, headaches, foggy feeling, chills, tiredness (much flu-like) - for about 48 hours

Other Meds: none

Current Illness: none. Please note, that this was a second vaccination for COVID-19.

ID: 1036769
Sex: F
Age: 19
State: CO

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

Lab Data: none

Allergies: none

Symptoms: Patient fainted in the chair shortly after vaccine administration. Patient regained consciousness 4 or 5 seconds later. She was nauseated for a short time, then was completely recovered. She had a friend with her because she has fainted before after a vaccination. She waited with her friend for 30 minutes outside the pharmacy. She was feeling fine when she left.

Other Meds: none

Current Illness: none

Date Died: 02/10/2021

ID: 1036770
Sex: F
Age: 90
State: OH

Vax Date: 01/19/2021
Onset Date: 02/10/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: None, she was found in her bed dead in the morning. She had no prior health issues.

Allergies: none

Symptoms: Feb 10th died in her sleep. No apparent reason.

Other Meds: generic multi vitamin

Current Illness: none

ID: 1036771
Sex: F
Age: 54
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: 1036772
Sex: F
Age: 59
State: NY

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

Lab Data: EKG- sinus tachycardia

Allergies: Clindamycin, Ciprofloxacin,codein, iodine, ketamine,levaquin,

Symptoms: Patient developed tachycardia almost immediately after she was given the vaccine. She recorded a heart rate of 142. She was further evaluated where she was noted to be dyspneic (diffuse wheezing in pt with history of asthma) and was noted to have a labile heart rate. Her heart rate increased from 80s at rest to 139 with ambulation. Given her dyspnea and very labile heart rate she was encouraged to go to the ED for further evaluation but patient declined. Cardiologist office alerted and she will follow up with him. EKG showing sinus tachycardia. Of note the pt is actively being treated for an arrythmia and recently adjusted her beta blocker.

Other Meds: Levothyroxine, lisinopril, Unknown name of beta blocker

Current Illness:

ID: 1036773
Sex: F
Age: 67
State: WI

Vax Date: 02/14/2021
Onset Date: 02/15/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: None as of Feb 17. I will continue reporting if further problems

Allergies: Allergic to all cephalosporins Iodine sensitivity to eggs Allergy test / referenced

Symptoms: After making my PCP aware of my allergies and got the ok I got a shot a covid - 19 shot. I made person who administered the shot that I had allergies and that it was best to stay for 30 minutes. The people at this facility were great and I left at 4:40.( no symptoms ) My arm was tender Sunday night but I didn't think anything of it. The next morning it was very sore and sleeping was difficult but I really didn't investigate till Tues 10AM when I felt a lump on the injection sight. ( It was 12 straight days of freezing temps so I was bundled up)) I called my PCP and spoke with and was not happy with the response that this happens a lot and nothing to worry about. (Covid - Arm 2% / 9% ) I read up on adverse effects and what to do on the internet and started an ice pack, and took an IBprophine and a Benadryl. Which Dr concurred per MyChart after viewing the picture of the injection site I sent her. So its day 3 and I will continue observation.

Other Meds: DESVENLAFAXINE SUCCNT ER 50.mg Melatonin 2 mg DESVENLAFAXINE SUCCNT ER 25.mg Dexmethylphenidate Hydrochloride 20 mg DILTIAZEM 30mg BUSPIRONE HYDROCHLORIDE 7 mg

Current Illness: none

ID: 1036774
Sex: F
Age: 25
State: WI

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

Lab Data:

Allergies: No known allergies

Symptoms: Soreness in arm has not subsided in just under two weeks. Patient has tried OTC analgesics, ice, and was referred to a Physical Therapist.

Other Meds: Microgestin (Oral Contraceptive)

Current Illness: No known illnesses

ID: 1036776
Sex: F
Age: 75
State:

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

Lab Data:

Allergies:

Symptoms: Worsening shortness of breath over 4 days with accompanying vomiting and chills

Other Meds:

Current Illness:

ID: 1036777
Sex: F
Age: 28
State: CA

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

Lab Data:

Allergies:

Symptoms: Burning at injection site

Other Meds:

Current Illness:

ID: 1036778
Sex: F
Age: 28
State: CT

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

Lab Data: None

Allergies: Sulfa, cefzil

Symptoms: Nausea, diarrhea, abdominal pain

Other Meds: Allegra, Jolessa, Sertraline, multivitamin

Current Illness: No

ID: 1036779
Sex: M
Age: 41
State: AZ

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Pt reported throat feeling tingly and tighter ~20 minutes after vaccine, thought it was normal. Later that day, pt experienced tongue swelling and trouble breathing. Went to urgent care, got steroid treatment. Still lasted after several days. Went to the hospital, got more steroid treatment. Pt reports it is "on and off" now, 4 weeks after first dose. No history of allergic reactions to other meds/vaccines.

Other Meds:

Current Illness:

ID: 1036780
Sex: F
Age: 54
State: IN

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

Lab Data: none- I took pictures

Allergies: PCN

Symptoms: Cellulitis at injection site with warmth, redness and pain. Continues even today but swelling is going down and it is not as red but it itches.

Other Meds: Aderral, lamictal, clonopin, celexa, wellbutrin, tylenol and bendryl

Current Illness: none

ID: 1036781
Sex: F
Age: 55
State: CA

Vax Date: 02/14/2021
Onset Date: 02/16/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies: no

Symptoms: Itchy feeling all over back and down arms. Feeling comes and goes. Feels like I'm wearing a very uncomfortable wool sweater.

Other Meds: Furosemide, Topiramate, B12, D3, MultiVitamin with Omega 3, Tumeric

Current Illness: no

ID: 1036782
Sex: F
Age: 65
State:

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

Lab Data:

Allergies: Insect bite

Symptoms: Fever Chills Body ache

Other Meds: Metformin Losartan Sim vastatine

Current Illness: No

ID: 1036783
Sex: F
Age: 78
State: FL

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

Lab Data: None

Allergies: None

Symptoms: Fever chills achy headache lightheaded

Other Meds: Amlopidine, Atorvastatin Eliquis Zetia IsosorbideER Lomotil Losartan-HCTZ Paroxetine Sotolol Synthroid Liw dose aspirin Xyzal Azelastine nasal spray Fluticasone nasal spray Breo Ellipta. Culturelle probiotic

Current Illness: None

ID: 1036784
Sex: M
Age: 43
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: 1036785
Sex: F
Age: 51
State: NM

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

Lab Data: none, n/a

Allergies: food sensitivity to eggs and some other foods, but not actual allergies.

Symptoms: My throat was a little itchy and I got a few hives on different parts of my body including arms, stomach, back and legs. There were only a few on each area and not all at the same time. Different patches on different days. I thought it could be allergies, so cleaned my house (I have a cat), but it persisted. On Tuesday night, I realized what was going on and took two Benedryl, which helped.

Other Meds: none

Current Illness: none

ID: 1036786
Sex: F
Age: 32
State: AZ

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

Lab Data: N/A

Allergies: Sulfa

Symptoms: Pt experienced dizziness, and arm tingling 20 minutes after administration of vaccine

Other Meds: Januvia, Ibuprofen, Vit C, Omeproxzole, cefdinir, Tylenol, Flonase, Proventil, Labatalol

Current Illness: Diabetes

Date Died: 02/05/2021

ID: 1036787
Sex: F
Age: 78
State: MN

Vax Date: 02/03/2021
Onset Date: 02/05/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: passed away 2 days after vaccine was given

Other Meds:

Current Illness:

ID: 1036788
Sex: M
Age: 68
State: FL

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: 4 hours after shot, patient's underarm lymph node swell. He is continuing to see his doctor regarding the lymph node. The lymph node is still swollen with not much improvement per patient.

Other Meds: don't know

Current Illness: none

ID: 1036789
Sex: F
Age: 53
State: AL

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: none

Allergies: I do have atopic eczema so soaps, detergents can irritate my skin Tongue swelled in the last 3 years with tamiflu, crestor, and augmentin

Symptoms: On evening of day of vaccine (Feb 6th) my left arm started to swell and got red and very sore at site. Arm did not hurt to move just hurt when touched at site. It continued to swell for 48 hours. I treated with Benadryl, zyrtec, tylenol, and ice. All went away by Tuesday Feb9th. It grew to be about the size of an orange. Then when I woke up Saturday Feb 13th, I noticed my arm was itchy at site and looked in the mirror and noticed that it was red and starting to swell again. Again treated the same way and the swelling and redness lasted until Monday Feb 15th. Did not swell as large as last time. Now it looks just like a purple bruise the size of a small tangerine/small apple around the site.

Other Meds: zyrtec atirvastatin losartan vitamin D Zinc, Calcium, Magnesium supplement Elderberry Vitamin C occasionally a benadryl---was given one before my shot due to reactions to medicines in the past 3 years

Current Illness: none

ID: 1036790
Sex: F
Age: 55
State: CA

Vax Date: 02/06/2021
Onset Date: 02/13/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: on day 7 my arm where I received the injection, swelled up, was red, warm to touch and it was itchy. The swelling was about 3 inches by 2 inches at the site. The reaction lasted about 36 hours total.

Other Meds: none

Current Illness: no

ID: 1036791
Sex: F
Age: 47
State: NC

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

Lab Data: none-did not due any testing - report of symptoms roughly 6 days after event to medical provider

Allergies: sulfa drugs

Symptoms: roughly 30 minutes after injection, you started to notice difficulty swallowing, tongue swelling. took benadryl which improved tongue symptoms, but throat still felt different x 3 hrs. back normal 10-12hr after injection.

Other Meds: lamictal

Current Illness: none

ID: 1036792
Sex: M
Age: 54
State: MI

Vax Date: 01/10/2021
Onset Date: 02/12/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: laryngoscopy done 2/16/2021

Allergies: no

Symptoms: vagus nerve neuropathy - began one month after vaccine; dysphagia; vocal cord partial paralysis

Other Meds: insulin; synthroid; aspirin; lisinopril; zinc

Current Illness: none

ID: 1036793
Sex: F
Age: 45
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: 1036794
Sex: F
Age: 33
State: OH

Vax Date: 02/08/2021
Onset Date: 02/15/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Both eyelids feel and look puffy. I Have to make an effort to open my eyes all the way. This occurred after the first dose, I thought it was due to old make up. After the second dose it is occurring more often and is more bothersome.

Other Meds: Klonopin

Current Illness:

ID: 1036795
Sex: F
Age: 38
State: IL

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies: sensitive to codeine

Symptoms: Day of injection: Sore arm at injection site, but extended length of the arm for the next three days. Hurt to even lift arm or lay on it. Day after injection: Pain on same side as injection from left ear all the way down left leg, headache, drowsiness, body aches. Slept about 12 hours that night.

Other Meds:

Current Illness:

ID: 1036796
Sex: F
Age: 25
State: CA

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

Lab Data:

Allergies:

Symptoms: Headache; BP 135/83 (pulse 72); repeat BP 126/80 (pulse 80).

Other Meds:

Current Illness:

ID: 1036797
Sex: F
Age: 61
State: CA

Vax Date: 01/25/2021
Onset Date: 02/03/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies: Meds: Augmentin, sulfa No food or environmental allergies.

Symptoms: "Covid arm" - delayed cutaneous hypersensitivity Large red circle patch, about 8" in diameter, itchy and hot to the touch. It lasted six days before it was completely gone. I used tylenol, aloe vera gel, hydrocortisone cream, and ice packs to ease symptoms.

Other Meds: Levothyroxine, vitamins C, D3, calicium, turmeric, DLPA, Bromelein, multi-vitamin

Current Illness: None

ID: 1036798
Sex: F
Age: 82
State: CA

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

Lab Data: None at vaccine site, may have had additional treatment when transported to the ED

Allergies: Aspirin, alendrenolate, hydrolizine

Symptoms: Patient received first dose of vaccine and felt dizzy about 15 minutes after administration. She felt like she was going to "pass out." She did not lose consciousness and her vital signs remained stable.

Other Meds: Lisinopril, diltiazem, latanoprost, trospium, flurandrenolide

Current Illness: None noted

ID: 1036799
Sex: F
Age: 47
State: CA

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

Lab Data:

Allergies:

Symptoms: Pt reported feeling throat tightness and difficulty swallowing, chest warmness, tachycardia and nausea with both legs elevated. Pt vomited and dry heaved. At 6:05pm, pt reported resolution of tightness. Be advised that the person involved requested to be released and denied further treatment by going to ER. Signed written document stating despite recommending being seen at ER, she wanted to leave on her own free will.

Other Meds:

Current Illness:

ID: 1036800
Sex: F
Age: 50
State: NY

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

Lab Data:

Allergies: No

Symptoms: Severe nausea, vomiting, headache

Other Meds: Bupropion XL

Current Illness: None

ID: 1036801
Sex: F
Age: 49
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: 1036802
Sex: F
Age: 53
State: NY

Vax Date: 02/13/2021
Onset Date: 02/14/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Twelve hours after receiving first dose, I started experiencing Chills, severe headache, sinus pressure, low grade fever, achy, This lasted 24 hours. Headache was reoccurring over the course of two days. A four days after receiving the vaccine I broke out in multiple cold sores all over my lips.

Other Meds: Omega 3, vitamin B12, Vitamin D3

Current Illness: No

ID: 1036803
Sex: F
Age: 74
State: OK

Vax Date: 01/27/2021
Onset Date: 01/31/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: none

Allergies: flagyl

Symptoms: 4 Painful sores in mouth on cheek, tongue and throat. One in nose. They look like ulcers. Today cheek and tongue ulcers are painless. throat is tender, but soothed by chewing "Aspergum" I cannot see the one in my nose, but all are is much improved. It took me several days to realize that the sores might be related to the vaccine. That is for you to consider. Hope this is helpful. I am frightened to take the booster , due 02/24/2021. I will take it.

Other Meds: Dilantin

Current Illness: none

ID: 1036804
Sex: F
Age: 17
State: PA

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

Lab Data: None

Allergies: None

Symptoms: This patient's mother requested the vaccine, following the publicized guidance that people from 16 to 64 with complicated medical conditions were eligible to receive COVID-19 vaccine in PA's group 1A. The vaccine was given as part of our COVID immunization clinic (2 patients scheduled every 5 minutes) before we noted that she was 5 months shy of her 18th birthday, which is the minimum age for the Moderna vaccine. The patient actually appeared to be in her mid 20's, and had absolutely no adverse reactions during her 15+ minute observation period.

Other Meds: None

Current Illness: None

ID: 1036805
Sex: F
Age: 17
State: WA

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

Lab Data:

Allergies:

Symptoms: Patient received the Moderna vaccine before the age of 18 years old.

Other Meds:

Current Illness:

ID: 1036806
Sex: F
Age: 78
State: CA

Vax Date: 02/05/2021
Onset Date: 02/10/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: None

Allergies: shellfish, some adhesive tapes

Symptoms: Redness, slight swelling, achy muscle, This occured immediately after vaccine, went away on its own. Reoccurred 10 days later with itching off and on

Other Meds: Losartan 50 mg Spironolactone 50 mg Oxybutynin 10 mg Carvedilol 12.5 mg Aspirin 81 mg Vit C 1000 mg Calcium + Vit D3 Probiotic Prilosec 20 mg

Current Illness: None

ID: 1036807
Sex: M
Age: 37
State: AZ

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

Lab Data: unknown

Allergies: unknown

Symptoms: immediately following inoculation the individual complained of left arm soreness with alternating cold and hot sensation; he also told the observation nurse that during his 15 minute observation he had "3 seizures." none of the seizures were observed by any of the clinic staff. The individual requested to be taken to the emergency department. The rapid response team assisted him to the ED.

Other Meds: gabapentin

Current Illness: unknown

ID: 1036808
Sex: F
Age: 21
State: CO

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

Lab Data: None needed.

Allergies: Walnuts

Symptoms: patient was given a Dtap instead of the Tdap that was ordered.

Other Meds: flovent, albuterol

Current Illness: None

ID: 1036809
Sex: F
Age: 60
State: NE

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

Lab Data: None

Allergies: None that are known

Symptoms: Underarm discomfort/inflammation in lymph nodes on arm where vaccination was given

Other Meds: Airebourne

Current Illness: No

ID: 1036810
Sex: F
Age: 82
State: NV

Vax Date: 02/08/2021
Onset Date: 02/12/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: None

Allergies: Gemfibrozil

Symptoms: Patient had a reaction 4 days after the 2nd Covid vaccination. She began to experience vomiting that lasted 24 hours, accompanied by extreme fatigue and dizziness. Fatigue and dizziness are still peristing in a mild manner.

Other Meds: Metformin 500 mg qd, Furosemide 40 mg qd, Atenolol 12.5 mg qd, Lipitor 20 mg qd and Cyclobenzaprine 10 mg bid Vitamin C 50 mg, Vitamin D 5000 IU and Vitamin E 50 mg

Current Illness: None

ID: 1036811
Sex: F
Age: 66
State: AZ

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

Lab Data: Blood work to check RA factor, which was normal.

Allergies: Cipro, Nitrofurantoin, Azithromycin, Keflex, Z-Pak, Penicillin, Sulfa, Doxycycline.

Symptoms: Had to be observed for 30 minutes following the vaccine due to her allergies. She had the expected arm tenderness, but 10 hours later she started experiencing severe pain to the point that she could hardly walk. The pain was in her legs, thighs, hips, shoulders, ankles, it was pretty bad. She also had a sense of malaise, and tiredness. She was frightened due to the pain. She was also having memory issues, could not remember things within 10 minutes. She went to bed and got up the next morning with the same pain and could not sleep due to that pain. Nine days after the vaccine she is still experiencing the pain, but the fatigue and memory issues were still present. She called the Covid 19 hotline who transferred her to a pharmacist, who told her that the reaction. He advised her to get blood work to get RA factors checked, and they were very very low and did not trigger that, but still experiencing the pain. it is less than it was, but still experiencing the pain. She is still also experiencing itching from the injection site. Has not slept due to the pain, and scared to get the 2nd vaccine.

Other Meds: Carvedilol, Elarginine, Natokinase, magnesium, NAC, melatonin, Coenzym Q10, calcium, glucosamine chondroitin, hyalluronic acid, vitamin D, zinc, tumeric, mullein, vitamin A, fish oil, B complex.

Current Illness: None.

ID: 1036812
Sex: F
Age: 33
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: 1036813
Sex: F
Age: 51
State: MA

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: Allergist left/right arm(muscular),Trip Taste?

Allergies: Polysorbate 80, PEG's(positive), Dilotide?, Penicillin, Sugars (sucrose)Nickel,Shellfish, MSG, Perfumes,Makeups,Cleaning(some chemicals that are in the following?), Tree nuts

Symptoms: After the vaccine dose 1 asked about allergies. I informed by the head of pharmacist and 7 different physicians based on my medical history was told to get Moderna vaccine. Also to bring my Epipen in case I needed to use it.I waited after 15 minutes started to ex cough I was placed on Oxygen and given a shot of Epipen .At the point I wasn't getting enough Oxygen to the brain called code blue until I was stabilized having a anaphylactic.I was discharged not to work 3 days and return to hospital for Prednisone injection. In late Jan I went to my Allergist got tested right and left arm skin test(muscular) it was PEG,Polysorbate 80 I was allergic.Im recommended to not get 2nd dose until Covid test that does contain PEG/Polycarbonate 80.

Other Meds: Centrum Women's, Zyrtec, Climentadine,B12,Vit D,Levothyroxine, Cinopril, Lexapro

Current Illness: No

ID: 1036814
Sex: F
Age: 22
State: LA

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

Lab Data:

Allergies: Medical adhesives

Symptoms: Foggy headed, feeling of pressure in ears, flu feeling, pain in left deltoid

Other Meds: n/a

Current Illness: n/a

ID: 1036815
Sex: F
Age: 36
State: OR

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies: Sulfa drugs or anything sulfur based

Symptoms: I came home and the next day, I felt super weak. I was lethargic, had a headache, chills, body aches. No ever. I laid on the couch all day and the next day I was fine. By 1/31, my symptoms had resolved.

Other Meds:

Current Illness: I had COVID one month prior.

ID: 1036816
Sex: F
Age: 75
State: WI

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

Lab Data: None

Allergies: No known

Symptoms: Patient felt tingling tongue, top lip felt tingly, Observed for 1 hr pulse ox 95-97%. BP 124/84. HR 65-85. Felt well and okay to leave.

Other Meds: Unknown

Current Illness: Unknown

ID: 1036817
Sex: M
Age: 17
State: WA

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

Lab Data:

Allergies:

Symptoms: was 17 when he received the first Moderna vaccine

Other Meds:

Current Illness:

ID: 1036818
Sex: F
Age: 54
State: KS

Vax Date: 02/04/2021
Onset Date: 02/12/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: none

Allergies: Medications-- Sulfa, morphine, steroids in injections , anything with tea tree oil

Symptoms: 2-12-2021 had lymph node enlargement in arm pit and arm pit felt swollen, then on 2-15-2021 itchy, red raised rash confined to left arm and left arm hot and feels "tight" 2-16-2021 left arm larger than day before. Did call Dr. and was instructed to take Benadryl and oatmeal bath. Also advised not to take the 2nd dose by APRN.

Other Meds: no meds

Current Illness: none

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm