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: 1036869
Sex: F
Age: 38
State: AZ

Vax Date: 01/18/2021
Onset Date: 01/19/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies: Stadol

Symptoms: The night of the side effects were normal, over all fatigue. The next day my top, left upper lip started to go numb and swell, because of the timeline of the event and the lack of any other symptom I was not thinking allergic reaction, but took a benedryl just in case. I feel asleep and woke up a couple hour later and the top upper lip swelling had started to go down, but my bottom lip had swollen and looked like a sausage. At this point it was pretty late at night and figured the ER had bigger problems to deal with and this was either going to be better by morning or worse and would deal with it then. When I woke up the next day I had some submental pain, but the swelling in my lip had gone down considerable. At this point I noticed I had considerable pain in my collar bone, I felt the area, noticed a mass, went to the mirror and saw what looked like a golf ball under my skin at my collar bone. My lymph nodes were completely swollen. I went to urgent care who instructed me to follow up with my PCP if it didn't go down in a week, my PCP told me we would follow up with an ultrasound if it didn't go down in a month. At this point this is getting ridiculous. I understand that swollen lymph nodes are a side effect, but it should not be for a month. This is causing me discomfort and gets worse the more I move around and on top of that I have been getting numbness in my left arm and hand which is what side the swollen lymph node is on.

Other Meds: Trazodone, Xanax, Topamax

Current Illness: None

ID: 1036870
Sex: F
Age: 31
State: NJ

Vax Date: 02/17/2020
Onset Date: 02/17/2020
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies: Macrobid

Symptoms: About 30 minutes after vaccine delivery I had a very fast heartbeat and felt warmth and a tingle go down my right hand. I felt woozy and had to pull over. When the police arrived, my pulse, oxygen level, and blood pressure were all normal though my blood pressure was 98, on the high end of normal. It took about 30 minutes for my head to clear and I still feel slightly out of it. The paramedic said my description was consistent with an adrenaline rush. I felt a lesser version of this after the first dose but they said I was probably dehydrated and sent me on my way.

Other Meds:

Current Illness: Cold right after first vaccine dose

ID: 1036871
Sex: F
Age: 69
State: MO

Vax Date: 02/04/2021
Onset Date: 02/15/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: none

Allergies: ciprofloxin, contrast dye, linzolid, Inhalers, gabapentin

Symptoms: red itchy hot rash on right arm

Other Meds: Nifedipine ER , Indapamide, Cholestyramine, multi vitamin, calcium, baby aspirin, fish oil, eye itch drops

Current Illness: none

ID: 1036872
Sex: F
Age: 33
State: GA

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: Blood work, CT of brain, MRI brain, full body EMG, MRI C spine, 4 negative Covid tests. multiple physical exams and assessments. Blood work showed markers for Lupus but it is dormant. EMG ruled out GBS.

Allergies: Codeine and sulfa

Symptoms: Vertigo, dizziness, joint pain, rash, foggy brain, inability to speak, think and memorize as normal. Sore throat, fluid in ears and lungs. Muscle weakness, headaches...difficulty walking. Insomnia. Flu like symptoms for 2 weeks after dose2. Nerve pain (shooting sensation down both arms. Difficulty standing for more than a few minutes, light headed. Ear pain, nausea, night sweats and unable to grasp normally. Tingling in face. Numbness in face.

Other Meds: Klonopin

Current Illness: Migraines

ID: 1036873
Sex: M
Age: 17
State: AZ

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

Lab Data: N/A

Allergies: Unknown

Symptoms: Patient under recommended age at time of immunization. Patient returned for second dose and immunization was recommended for the patient to complete the series. Patient was 17 years (DOB:06/26/2003). Patient did not experience unusual side effects.

Other Meds: Unknown

Current Illness: Unknown

Date Died: 12/27/2020

ID: 1036874
Sex: F
Age: 64
State: KY

Vax Date: 12/17/2020
Onset Date: 12/20/2020
Rec V Date: 02/17/2021
Hospital: Y

Lab Data:

Allergies:

Symptoms: Patient developed pneumonia Admitted to hospital on 12/25. Determined to have pseudomonas bacteremia and passed away on 12/27.

Other Meds:

Current Illness:

ID: 1036875
Sex: F
Age: 24
State: NY

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

Lab Data:

Allergies: Pt denies

Symptoms: Pt was in observation room when she stated to me that she felt dizzy and like her heart was "beating fast." She stated it was approx 5-10 minutes after her vaccine was administered. I explained that I would like to extend her observation time to 30 minutes, and perhaps longer if she didn't feel better then. I offered her water and food. She declined water and asked for "a snack." I re-evaluated her approximately every 5 minutes over the next half hour.

Other Meds: None reported by pt

Current Illness: H/o panic attacks

ID: 1036876
Sex: F
Age: 46
State: MI

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

Lab Data:

Allergies:

Symptoms: This happened the first shot also but I thought it was just me being anxious. Immediately following my roof of my mouth felt big. Then my tongue and lips felt the tiniest bit swollen. I could breath fine. Then my face (especially my left side) was a bit numb. The same thing happened to my friend but we couldn?t find anything online about our symptoms. I ended up telling the nurse at the front and they told me to take Benadryl and call 911 if scared. They made sure I wasn?t going to be home alone. I felt better within a 1/2 hour of taking the meds. My throat feels a little sore right now along with my arm.

Other Meds:

Current Illness:

ID: 1036877
Sex: F
Age: 75
State: HI

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

Lab Data:

Allergies: Highly allergic to dust, flea bites, mosquito bites, and most of all, UV rays. Also allergic to some perfumes and makeup and skincare.

Symptoms: After getting the Moderna COVID-19 VACCINE EUA, I only felt a little pain at the site of the shot. However, several days later, it started to itch and I scratched my arm at little. Later, I looked in the mirror and there is a large area around the shot site that has turned red, and even a little area beneath it. It still itches.

Other Meds: Cosopt PF, Cromolyn Sodium Solution 4% OP, Rosuvastatin 5 mg.

Current Illness: None.

ID: 1036878
Sex: F
Age: 92
State: MN

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

Lab Data: N/A

Allergies: NKA

Symptoms: Febrile with Headache

Other Meds:

Current Illness: None

ID: 1036879
Sex: F
Age: 47
State: AZ

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

Lab Data:

Allergies: Cephalaxin, Food allergies

Symptoms: Pt c/o "dizziness" 20 mins after administration. VSS. Pt monitored for total of 40 mins. Discharged home.

Other Meds:

Current Illness:

ID: 1036880
Sex: F
Age: 44
State: NM

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

Lab Data:

Allergies: Ciprofloxacin and bactrim

Symptoms: First dose reaction was itchiness lips and face swelled was told by nurse to take benadryl . Before hand was told to take a benadryl Second dose reaction my body started to get tingly like 20 minutes after dose then got itchy and chest got tight skin got clammy nurse took my vitals heartbeat was a little elevated sat for a little bit longer checked vitals again all was well so left site did okay until about 6pm that evening my mouth started getting numb got itchy again called to IHS talked to doctor on call she told me to take 2 benadryls about half and hour later went away next few days. Unknown if this was documented in my hospital chart or not.

Other Meds: Humira,metraxate,folic acid and omeprazole

Current Illness: Nothing

Date Died: 01/20/2021

ID: 1036881
Sex: M
Age: 70
State: AK

Vax Date: 01/11/2021
Onset Date: 01/20/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies: Penicillins

Symptoms: Myocardial Infarction

Other Meds: Multiple cardiac medications including anticoagulation; medications for chronic lung condition

Current Illness:

ID: 1036882
Sex: M
Age: 71
State: WA

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

Lab Data: None

Allergies: Sulfa

Symptoms: 102 fever, chills, body aches, headache

Other Meds: Synthroid, Advil, Motrin. Vitamins and calcium

Current Illness: Arthritis of shoulder, back and hip

ID: 1036883
Sex: F
Age: 51
State: NY

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

Lab Data:

Allergies: PT HAS ANAPHYLAXIS TO HORSE AND TREE NUTS, PT HAS MULTIPLE OTHER ALLERGIES THAT SHE DOES NOT REMEMBER

Symptoms: PATIENT WAS OBSERVED FOR 30 MINUTES FELT FINE. AFTER SHE LEFT THE FACILITY STARTED FEELING THROAT IRRITATION AND ITCHING.

Other Meds: SYNTHROID AND XANAX

Current Illness: NONE

ID: 1036884
Sex: F
Age: 72
State: OH

Vax Date: 02/04/2021
Onset Date: 02/10/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies: sulfa

Symptoms: red circumferential rash just distal to the injection site left upper arm

Other Meds:

Current Illness:

ID: 1036885
Sex: F
Age: 54
State: IL

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

Lab Data: lab-2/16/21

Allergies: n/a

Symptoms: bells palsy

Other Meds: n/a

Current Illness: n/a

ID: 1036886
Sex: F
Age: 58
State: CA

Vax Date: 12/24/2020
Onset Date: 12/27/2020
Rec V Date: 02/17/2021
Hospital:

Lab Data: Saw PCP for yearly exam end of January and advised to return if the swollen lymph node in my neck did not reside over the next month or two.

Allergies: gabapentin, Lyrica, zofran

Symptoms: Took vaccine on Thursday: the following Sunday I was nausea/vomiting/ migraine/ weak/ near syncope. Had red raised rash with itching over my arms, chest and stomach. Took Benadryl 50mg without relief. The rash persisted for approximately 2 weeks but the itching subsided after a couple of day. Then end of January developed lymphadenopathy. Went to urgent care and received Augmentin for parotic gland the size of a golf ball and swollen lymph nodes in my neck by my primary doctor a week later.

Other Meds:

Current Illness: SLE, GERD, IBD

ID: 1036887
Sex: F
Age: 73
State: WI

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

Lab Data:

Allergies: sulfa

Symptoms: one week from the first vaccination my upper arm started itching. The area around the injection site was red and firm, about the size of my palm. It has been one week and is just now beginning to fade.

Other Meds: Levothyroxin Paxil

Current Illness:

ID: 1036888
Sex: F
Age: 71
State: NV

Vax Date: 02/06/2021
Onset Date: 02/09/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: COVID-19 TEST MRI of lungs

Allergies: IODINATED CONTRAST MEDIA, PENICILLINS

Symptoms: Patient states they were fine for 3 days, then on 4th day they started having breathing issues, severe abdominal pain, unable to get out of bed for 4 days. Made appointment with lung doctor, and sent patient to get covid test, mri of lungs.

Other Meds: Alprazolam, ciprofloxacin, metoprolol,, rosuvastatin, toujeo solostar, eliquis, insulin lispro, isosorbide mononitrate

Current Illness: Unknown

ID: 1036889
Sex: M
Age: 71
State: UT

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

Lab Data: None

Allergies: None

Symptoms: The day following the patient's injection he experienced neck pain in the trapezius with inability to touch chin to chest. Patient continues with pain now four days later. He reports taking acetaminophen for the pain. He came to see his PCP to evaluate the pain.

Other Meds: Sildenafil, ambrisentan, potassium chloride, Breo Ellipta, allopurinol, lisinopril, metoprolol tartrate, famotidine, atorvastatin, bumetanide, ezetimibe, omeprazole, fluticasone nasal spray, aspirin

Current Illness: Acute hepatitis, elevated gamma glutamyl transferase

ID: 1036890
Sex: F
Age: 54
State: IL

Vax Date: 02/04/2021
Onset Date: 02/10/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: none

Allergies:

Symptoms: Shingles to the right foot started 6 days after the vaccination. symptoms improving

Other Meds:

Current Illness:

ID: 1036891
Sex: M
Age: 66
State: MN

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: Covid 19 test 02/16: negative.

Allergies: NKA

Symptoms: Fatigue, headache, chills, muscle aches, runny nose, cough--first experienced about 36 hours after 2nd vaccination. Feeling okay mornings--symptoms begin early afternoon, some days earlier--will crawl into bed with covers overhead for ~ 12 hours--cycle recurs. Initially attributed this to "building immunity", but cycle has persisted, even worsened , with passage of time.

Other Meds: metformin, glimepiride, amlodipine, Trulicity, tolterodine, ASA 81, omeprazole, valacyclovir, atorvastin, hydrochlorothiazide, lisinopril, cetirizine, fish oil, multivitamin, Vitamin D3,

Current Illness: none

ID: 1036892
Sex: M
Age: 68
State: FL

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

Lab Data:

Allergies: Nonr

Symptoms: Fever Muscle aches Tenderness at injection site

Other Meds: Ramipril 2.5mg Rosuvastatin 10mg Metformin 1000mg x2

Current Illness: None

ID: 1036893
Sex: F
Age: 38
State: MA

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

Lab Data:

Allergies:

Symptoms: Site: Itching at Injection Site-Severe, Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Severe, Systemic: Chills-Medium, Systemic: Headache-Medium

Other Meds:

Current Illness:

ID: 1036894
Sex: F
Age: 56
State: AZ

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

Lab Data:

Allergies: Azithromycin

Symptoms: 30 mins post injection pt c/o "throat tightening and SOB". EMS attends. Eval and treatment by EMS. Pt transported for further eval.

Other Meds:

Current Illness:

ID: 1036895
Sex: M
Age: 68
State: CO

Vax Date: 02/10/2021
Onset Date: 02/15/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: None

Allergies: sulfa drugs

Symptoms: Headache, body (muscle) aches, stuffy head, runny nose, itchy/burning eyes, low grade fever, fatigue/lethargy, mild nausea, colon cramps. Symptoms were not severe. I just wanted to make you aware of them, since I understand that it is rare to have symptoms after the first dose (which this was). I was not in any place or around any people to be exposed to a oold or flu virus.

Other Meds: Rosuvaststin 20 mg, Losartan 50 mg, aspirin 81 mg, fish oil, z

Current Illness: None

ID: 1036896
Sex: F
Age: 74
State: WA

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

Lab Data:

Allergies:

Symptoms: Patient called into the pharmacy on 2/17/2021 to ask if she should seek help with symptoms seemingly related to getting her 1st dose of COVID-19 vaccine (Moderna). She says approximately 24 hours after her vaccination (she received the vaccination 2/13/21), a large, itching, burning rash developed on her chest. As time went on she says the rash grew in area and gradually appeared in the areas from her chest leading down to her legs. At the time I spoke with her on the phone (2/17/21), she says the rash was still present on her chest, and all the way down her legs, and still reported significant itching and burning sensation in these areas. At this time she denied any swelling or trouble breathing. Due to the progression of her symptoms, I recommended she be seen at an urgent care facility or emergency department.

Other Meds:

Current Illness:

ID: 1036897
Sex: F
Age: 53
State: NE

Vax Date: 01/22/2021
Onset Date: 01/29/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Hot, itchy arm at injection site.

Other Meds: Tylenol

Current Illness:

ID: 1036898
Sex: F
Age: 42
State: IL

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: none

Allergies:

Symptoms: Local reaction at the injection site with Erythema; induration and warmth.

Other Meds:

Current Illness:

ID: 1036899
Sex: M
Age: 36
State: WI

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

Lab Data:

Allergies:

Symptoms: Moderna COVID-19 vaccine, 0.5ml, was administed using supplied needles. During IM injection, the vaccine leaked from the hub where the syringe and the needle connect. A large drip was seen on patient's arm. Patient also felt the leakage. Moderna was contacted, and we were given the information that no data exists on what to do in this situation and to use professional judgement. It was decided to administer a second injection, in the same arm (left arm) on the same day, 20 minutes following the first, erroneous administration. We plan to give the second dose in the series as planned, four weeks later.

Other Meds:

Current Illness:

ID: 1036900
Sex: F
Age: 46
State: PA

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: COVID test on 2/13, negative

Allergies: Allergic to all alliums(onion,garlic) Allergic to DTP vaccine in 70s. Pertussis vaccine was the issue

Symptoms: On 2/4 through 2/7-arm pain 2/4-2/17 frequent bowel movement and occasional diarrhea, fatigue, poor sleep 2/16 COVID Arm - tender hot at injection site, 3x4 inch splotch, red outline slightly raised, arm and neck pain

Other Meds: Temazepam, Seroquel

Current Illness: Possible COVID-19 12/20 but negative test

ID: 1036901
Sex: F
Age: 62
State: NV

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

Lab Data:

Allergies: None

Symptoms: Swelling in both legs/feet and rash on left ankle.

Other Meds: amlodipine Besylate 10 MG Oral TAblet

Current Illness: None

ID: 1036902
Sex: F
Age: 75
State: CA

Vax Date: 02/06/2021
Onset Date: 02/10/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: None Yet.

Allergies: Penicillin, Adhesives

Symptoms: Mouth, gums, tongue and lips swollen, broken out, and sensitive with a burning sensation. I'm therefore I'm unable to eat, drink, tast or talk comfortably. Situation has been worsening daily.

Other Meds: Meloxicam 15mg, ChantixCentrum Silver Vitamin, Move Free Glucosamine+Chondroitin, Estroven, Black Cohosh, Zinc, Ginko Biloba, St. John Wart, Biotin, Tumeric, Flaxseed, Fish Oil, Calcium+Magnesium, and Vitamines C, E, B12, B Comples & D.

Current Illness: None.

ID: 1036903
Sex: F
Age: 78
State: CA

Vax Date: 02/03/2021
Onset Date: 02/12/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Eleven days after vaccine, full body internal itching and redness of hands and arms, also swelling of lips and tongue

Other Meds: Metoprolol, Ativan, Estrace Vaginal Cream, Vitamin E, Vitamin B6, Probiotics

Current Illness: none

ID: 1036904
Sex: F
Age: 53
State: WA

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

Lab Data: N/A

Allergies: Amoxicillin

Symptoms: Chills, fever 99.3 and headache from 8am-6pm the day following vaccination, on 2/12/21.

Other Meds: N/A

Current Illness: N/A

ID: 1036905
Sex: F
Age: 42
State:

Vax Date: 02/11/2021
Onset Date: 02/14/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Left sided facial pain/sensitivity

Other Meds:

Current Illness:

ID: 1036906
Sex: F
Age: 79
State: FL

Vax Date: 02/05/2021
Onset Date: 02/13/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies: None known

Symptoms: Itchy rash near vaccination site

Other Meds: Prolia Eliquis Flekanide Digoxin Atorvastatin Calcium Vitamin D

Current Illness: None

ID: 1036907
Sex: M
Age: 81
State: NC

Vax Date: 02/17/2020
Onset Date: 04/17/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient arrived at Health Dept. to received #2 dose Of Moderna. He denied any side effects from #1 vaccine. . Patient was transferred to "Holding area" for 15minutes. When time to leave he began to c/o dizziness with headache 2/10 . He denies blurred vision. No neuro deficits/ VVS 142/80,92HR,92% o2Sat. Fluids offered. . He remained alert and responsive throughout evaluation. Patient stated he would go to Clinic for further evaluation. Ambulated to car without assistance . Gait steady.

Other Meds:

Current Illness:

ID: 1036908
Sex: F
Age: 54
State: IL

Vax Date: 02/03/2021
Onset Date: 02/11/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: None

Allergies:

Symptoms: Local reaction to the injection site with warmth and erythema. Herpes labialis

Other Meds:

Current Illness:

ID: 1036909
Sex: F
Age: 80
State:

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

Lab Data:

Allergies:

Symptoms: Patient felt dizzy, no other sx. BP was 142/75 P79 O2sat96. Had her sit for 10 more minutes and gave her apple juice. She felt better afterwards and felt safe to leave with her daughter.

Other Meds:

Current Illness:

ID: 1036910
Sex: F
Age: 66
State: CA

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

Lab Data: Benadryl po, Decadron IM

Allergies: Sulfa, Iodine, Zetia, Demerol, Zanax, Plendil, Macrobid Allergic to lobster & shrimp

Symptoms: This person received the Moderna COVID-19 vaccine at 2:00pm; c/o dizziness, "sticky throat", itchy hands/palms, elevated BP; @ 2:31pm with BP 195/80; @2:49pm, BP 227/104. Took own BP medication Labetatol HCL 100 mg 1/4 tab (25mg) per primary care doctor's prescription when systolic BP over 180. At 2:56pm, transferred to Emergency Room for further follow up.

Other Meds: Lantus, Novolog Flex Pen, Losartan Potassium, Labetalol, Aspirin 8mg, Atorastatin, Calcium, Century 50 Plus

Current Illness: Diabetes type 2, hypertension, Benign paroxysmal positional vertigo, tension headache, migraines with vertigo

ID: 1036911
Sex: M
Age: 62
State: MI

Vax Date: 11/21/2020
Onset Date: 11/22/2020
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Per patient: Woke up the next morning and my left arm (arm that I got the injection in), left gluteus muscle, entire left leg, were all really burning. Rapidly worsening pain in left arm, all muscles in shoulder, clavicle, scapula, and socket where humerus meets the scapula. Near total loss of use of the left arm for 2.5 months. Unable to lift hand higher than waist (lifting forward with elbow at my side and forearm almost parallel to the ground), and unable to lift my arm sideways away from my body at all for the same amount of time. Currently (2/16/21) able to very slowly lift the arm past waist, although quite painful. Unable to lift anything with any weight, open jars, basically just do everyday things with left arm. Even dressing, putting on a coat, sleeping are extremely painful. Everything still burns a little bit. As of 2/17/21 patient is reporting pain in right arm on the bone between bicep, tricep and deltoid that woke him up in the middle of the night.

Other Meds:

Current Illness:

ID: 1036912
Sex: F
Age: 51
State: KY

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

Lab Data: CT Scan Multiple blood tests Hospital stay of two days

Allergies: None

Symptoms: Initial injection site pain for two days. Around day five, both armpits were discolored significantly. On day nine I was in the ER with left side abdominal cramps that was diagnosed after a CT Scan as a splenic infarction caused by a blot clot. I have not had a blot clot previously and have always been healthy with no surgeries or prescription medications except propranolol for anxiety (since the pandemic started).

Other Meds: Zyrtec

Current Illness: None

ID: 1036913
Sex: F
Age: 41
State: CO

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

Lab Data: physical exam by doctor

Allergies:

Symptoms: lip numbness and facial numbness only on right side of face

Other Meds: Levothyroxine 150mcg

Current Illness:

ID: 1036914
Sex: M
Age: 53
State: WI

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

Lab Data:

Allergies:

Symptoms: Moderna COVID-19 vaccine, 0.5ml, was administered using state-supplied Monojet needles. During IM injection, the vaccine leaked from the hub where the syringe and the needle connect. A large drip was seen on patient's arm. Patient also felt the leakage. Moderna was contacted, and we were given the information that no data exists on what to do in this situation and to use professional judgement. It was decided to administer a second injection, in the same arm (left arm) on the same day, 10 minutes following the first, erroneous administration. We plan to give the second dose in the series as planned, four weeks later.

Other Meds:

Current Illness:

ID: 1036915
Sex: F
Age: 78
State: NV

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

Lab Data: Went to ER

Allergies: IV contrast

Symptoms: Pt felt flushed, had a HA and was dizzy. Was taken to first aid and medic reported pt BP 200/99 several times. Pt transported to ER for high BP and dizziness

Other Meds: Metoprolol, Prevacid, Metformin, ramipril, Terazosin, atorvastatin, lansoprazole, robaxin

Current Illness: None

ID: 1036916
Sex: F
Age: 42
State: MI

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

Lab Data:

Allergies: Stomach issues with azythromyacin

Symptoms: Numb/Burning sensation developed on tongue, mostly on the left side. Comes and goes but has not completely stopped.

Other Meds: multi-vitamin, levothyroxine (50mcg), Claritin

Current Illness: None

ID: 1036917
Sex: M
Age: 71
State: TX

Vax Date: 02/04/2021
Onset Date: 02/16/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: See above.

Allergies:

Symptoms: Patient was shoveling snow and could not shut right eye, had jaw pain, was biting his tongue, and headache. Went to ER and diagnosed him with Bell's Palsy and said it might take 6 months to go away.

Other Meds:

Current Illness:

ID: 1036918
Sex: F
Age: 42
State: MI

Vax Date: 02/09/2021
Onset Date: 02/13/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: ultrasound done of soft tissue on neck

Allergies:

Symptoms: 1. I had Covid Arm, rash around injection site- still there. - No Treatment 2. Pain under my arm in my armpit area on the same arm as injection.- No treatment 3. right side of my neck i had an enlargement of my lymphoid, 3x2 cm- saw my Dr and was proscribed Bactrim and has ultrasound done.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm