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: 1037020
Sex: F
Age: 39
State: IL

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

Lab Data:

Allergies: aspirin and sulfa

Symptoms: Patient contacted me today 2/17/21 that on 2/16/21 she had a severe allergic reaction. On day of injection 2/12/21 she had some body itching and slight rash on left arm. She took benadryl and stated it helped. On the 2nd, 3rd, and 4th day nothing more noted. Then on the 5th day, 2/16/21, patient's rash moved down arm, throat was itchy and possibly some swelling. She stated she felt like body was burning internally. She took benadryl which helped.

Other Meds: none per pt

Current Illness: none

ID: 1037021
Sex: F
Age: 39
State: MI

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

Lab Data: No testing. Sent photos of rash to doctor and showed over telemedicine live.

Allergies: None

Symptoms: Shingles rash 5 days after 2nd shot. First two days after the shot I felt ill with general unwell, lymph nodes hurt, headache, tired. Day 4 noticed pain on stomach and back area and day 5 noticed rash. Day 6 rash was significantly worse and painful. Confirmed shingles on day 6 from doctor.

Other Meds: Lexapro, 5 mg

Current Illness: None

ID: 1037022
Sex: F
Age: 65
State: CA

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

Lab Data:

Allergies: allergic to latex, penicillin, Albuterol

Symptoms: S/p vaccination at 1110 at 1120 c/o dizziness , hx of acute anaphylaxis, able to walk to stretcher with use of cane. Responses verbally . Vitals signs abnormal to patient: @1135 137/68 HR 83 sp02 99%, @1140 BP 137/68 HR 80 sp02 98%, @1145 pt remains c/o dizziness. pt verbalized she was 'anxious' because her doctor wanted her to get the vaccine. BP increased slightly 160/79 HR 85 sp02 99%. @1149 RRT was called. Vitals taken @ 1150 BP 157/79 HR 81 sp02 99% . RRT arrived at 1155. Pt able to stand but was slightly unbalanced and was safely transferred to wheelchair and was transported to ED by RRT.

Other Meds: indicated she did take anti-hypertensive meds prior to arrival

Current Illness: denies

ID: 1037023
Sex: F
Age: 35
State: PA

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

Lab Data:

Allergies: None

Symptoms: Chills, nauseau, headache, weakness

Other Meds: Arimidex

Current Illness: None

ID: 1037024
Sex: F
Age: 56
State: NH

Vax Date: 02/05/2021
Onset Date: 02/12/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: N/A

Allergies: N/A

Symptoms: Shortly after vaccine, just like with 1st dose, I experienced right arm numbness and tingling. This did resolve by evening. On the morning of 2/12/21 I awoke with vertigo, emesis and headache. I'm not prone to frontal headache which progessed to migraine symptoms - i.e. sensitivity to noise, light and motion. The vertigo and headache lasted into the following morning. This resulted in a absence from work on 2/12/21.

Other Meds: N/A

Current Illness: N/A except reaction to 1st vaccine previously reported

ID: 1037025
Sex: F
Age: 75
State: CA

Vax Date: 01/15/2021
Onset Date: 01/24/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Covid19 Vaccine Moderna: FNP saw 75 yo female patient who had Moderna vaccine, Lot #027L20A on Jan 15, 2021 at one of the sites. About 9 days later, she developed fever with Tmax 101.9, headache, myalgias and arthralgias. She also developed an erythematous, pruritic area on her upper left arm, near the site of the injection. 1/26/2021 COVID test negative. She is taking acetaminophen with relief and the fever, HA, myalgias, arthralgias only lasted about 2 days but the left arm erythema and pruritus persist and have actually inc in size. She is on increased fexofenadine dose but have now started her on antibiotics for a possible localized cellulitis.

Other Meds:

Current Illness:

ID: 1037026
Sex: F
Age: 29
State: OR

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

Lab Data: 2/16/21 I had my tsh levels checked after the reaction. My TSH level was now .36 when my normal range is between 2-3. I believe the vaccine affected my thyroid sending me into a hyperthyroidism crisis.

Allergies: N/A

Symptoms: Immediately after administration I had heart palpitations and sweating. The area on my arm grew to a golf size ball lump. I had horrible anxiety and my depression pills felt like they were not working.

Other Meds: Levothyroxine 200mg PO Sertraline 100mg PO

Current Illness: None

ID: 1037027
Sex: M
Age: 71
State: CA

Vax Date: 01/22/2021
Onset Date: 01/24/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: None.

Allergies: Lidocaine Reactions: Asthma and/or Shortness of Breath. Naproxen Reactions: stomach pain Pollen. dust, cat sneezes and sometimes rash

Symptoms: shot spot had a mild reddish reaction and it became itchy from day-3 and lasted about a week. At the same time, I also had a dull headache, it's also gone now. On day-4, I started to have a very mild, spotty itchy rash around the front of my waist, it lasted about 12 days, when it became too itchy, I applied a thin coat of Triamcinolone acetonide 0.1% on the spots, it seemed to work for about a day or two, I had used it about 4 times.

Other Meds: Albuterol 90 mcg/actuation Hfaa Atorvastatin 80 mg Tab Clopidogrel 75 mg Tab Bisoprolol 5 mg Tab Aspirin 81 mg Brimonidine 0.2 % Drop Triamcinolone Acetonide 0.1 % Cream

Current Illness: HYPERLIPIDEMIA (HIGH BLOOD FATS) CORONARY ARTERY DISEASE HISTORY OF DRUG COATED STENT, CORONARY ARTERY ASTHMA, INTERMITTENT RIGHT OPEN ANGLE GLAUCOMA

ID: 1037028
Sex: F
Age: 42
State: NY

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

Lab Data:

Allergies: .

Symptoms: Acute headache, body aches, fatigue, chills

Other Meds: Arnuity Ozempic Metiformin Pantoprazole Zoloft

Current Illness: .

ID: 1037029
Sex: F
Age: 44
State: AZ

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

Lab Data: N/a

Allergies: Contrast dyes/lidocaine

Symptoms: Hives, tingly lips, itchy skin Not treatment other than time given.

Other Meds: Prilosec OTC. Flonase

Current Illness: N/a

ID: 1037030
Sex: F
Age: 46
State: MA

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

Lab Data:

Allergies: latex, iodine shellfisf

Symptoms: Pt had chest heaviness, coughj and itchy throat

Other Meds:

Current Illness:

ID: 1037031
Sex: F
Age: 41
State:

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

Lab Data:

Allergies:

Symptoms: Splotchy rash around injection site 11 days after injection. Itchy, hot to touch, hard. Large diameter of rash.

Other Meds:

Current Illness:

ID: 1037032
Sex: M
Age: 68
State: NY

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

Lab Data: N/A

Allergies: N/A

Symptoms: Shot #1 of my vaccine was given at 12:20 on 2/16. At 1 PM on 2/17 I went Lap swimming at the YMCA. Normally I swim 52 laps but on 2/17 after only 46 laps I exited the pool after feeling nauseous. I then vomited and then got dressed and went home. I then vomited after being at home for only 1 hour. After calling a doctor I was advised to get lots of rest, stay on a BRAT diet and to take an anti-nausea medication.

Other Meds: Elequis, Mirapex, Lipitor, Singular, Sucralfate, Singular, Protonix, Multivitamins, Vitamin-B12, Breo, Ventolin

Current Illness: N/A

ID: 1037033
Sex: M
Age: 69
State: WA

Vax Date: 01/30/2021
Onset Date: 02/05/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: o2 sats 92-93; blood sugar 97; BP 140/?; EKG ok

Allergies: none

Symptoms: fever chills uncontrollable tremors/shakes; recurrent near syncope/onset over 90 min; lasted 11hrs, then cleared as fast as it came on. Unable to converse clearly much of that time

Other Meds: Lisinopril

Current Illness: none

ID: 1037034
Sex: F
Age: 43
State: NY

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

Lab Data:

Allergies:

Symptoms: Large red itchy rash near the site of the injection

Other Meds: Amlodipine

Current Illness:

ID: 1037035
Sex: F
Age:
State: PR

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

Lab Data:

Allergies: Penicillin, ceclor, flagyl

Symptoms: Fourteen minutes after the administration, I felt my right ear plugged and the left side of my face went numb. The reaction passed but at home the numbness continued intermittently for up to three days and at some point I also felt my lips swollen. What worries me the most is that I do not know if I should go to administer the second dose.

Other Meds: None

Current Illness: Hypoglycemia

ID: 1037036
Sex: F
Age: 67
State: IN

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

Lab Data: Eye exam 2/16/2021

Allergies: latex kiwi avocado strawberries grapefruit high fructose corn syrup

Symptoms: On February 10, 2021 I awakened with an irritated left eye that was "glued" shut. My eyelid was also droopy and the eye appeared to be more closed than usual. My left pupil was also larger than that of my right eye. My vision was blurrier than normal in that eye also. In the past I have had herpes simplex episodes with this eye and believed that my eye was "acting up" again, although I had not had these exact type of symptoms before. I had hoped that the eye issue would resolve within a few days as I was already on maintenance drugs as mentioned previously. However, the symptoms did not improve. On February 16, 2021 I determined that I should consult my ophthalmologist. Upon examination, he saw a new dendrite had formed over the center of my eye; my eye pressure was elevated and the herpes virus once again resurfaced. Dr. asked if I had had a flu shot or been ill, as that can cause the herpes virus to re-establish. At that time I informed him that I had received my first Moderna Covid vaccine on 2/4/2021 and it was his belief that this shot caused my herpetic eye virus to re-erupt. I had filled out a previous VAERS report (temporary E-Report #297262) because I had developed "covid rash" on my left arm at the vaccine injection site. I completed that form on 2/11/2021, as the rash appeared on 2/10/2021. Apparently, the herpes/eye infection was another adverse reaction to the first Moderna vaccine, but at the time I did not "connect the dots"; my ophthalmologist did so for me at my 2/16/2021 visit.

Other Meds: acyclovir 400 mg/2x day calcium 600 mg/vitamin D 2x/day brimonidine tartrate ophthalmic solution 2x/day prednisolone acetate suspension 1% (ophthalmic drop) 2x/day

Current Illness: none

ID: 1037037
Sex: F
Age: 60
State: CA

Vax Date: 12/26/2020
Onset Date: 12/27/2020
Rec V Date: 02/17/2021
Hospital:

Lab Data: no

Allergies: Sulpha meds; cow's milk proteins

Symptoms: I woke up around 2:30 with chills and I took my temp and no fever. I woke in morning - my hip and my back (entire thoracic lumbar spine) was killing me. I was down! It was about 4:30 am. I got up and went into bathtub. I was very tired.The highest fever was 101. I took a hot bath and bed off and on all day. Sunday and into morning 36-48 hours later - bathtub to bed. Family helped me hydrate -soup broth/fluids. Stomach was constant pain. Hot bath helped it feel better. Stool pattern - colitis was happening - pencil diameter stools and passing gas. I haven't had colitis since I was 25. I called my provider - Tuesday after I got the vaccine; - he helped me with getting on anti-inflammatories. I started taking ibuprofen and it didn't help. I took more next time so it would help me. My lung were normal. On Wednesday - large bouts of cramping and diarrhea. Thursday and Friday my stomach pain and bowels were better but not completely gone. Thursday, I took off from work. Fever 100.2 (on Thursday or Friday). In bed on Friday for exhaustion. My Primary Care Doctor - told me to take Turmeric 2 capsules once a day- I started on Tuesday or Wednesday and Vit D3. I took Ibuprofen into following Monday or Tuesday - around 11 days after shot. In the 3rd week, I told me Allergy doctor (The second Tuesday after the vaccine) about my reaction and symptoms. I have a history of being sensitive to many meds, for ex: Robitussin etc - even if a baby dose. I took Ibuprofen 24 hrs second dose of vaccine. I stopped Turmeric 36 hours before vaccine. Abpit 5-7 days before 2nd dose I was back to normal. Date of 2nd dose - January 25th.

Other Meds: thyroid medication; Lipitor at night; Omega 3 fatty acids twice a day; Collagen tablets - 5 a day

Current Illness: no

Date Died: 02/14/2021

ID: 1037038
Sex: M
Age: 76
State: FL

Vax Date: 01/13/2021
Onset Date: 02/14/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: My brother died on 14 February 2021.

Allergies: None that I am aware of.

Symptoms: You need to ask the ALF for the above information.

Other Meds: Several medications taken daily. The ALF can provide you with names and doses, etc.

Current Illness: My brother contracted Covid-19 and was hospitalized on May 12, 2020 for a month. After returning to the ALF for one week, he was re-hospitalized for one more week before being released. Patient had his second vaccine in early February 2021.

ID: 1037039
Sex: F
Age: 54
State: GA

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

Lab Data:

Allergies: Cipro, penicillin, IV Phenergan, codeine.

Symptoms: Very painful and inflamed right arm for 3 days that started on Friday morning. Friday night on 2/12 at 9pm started hurting in all joints and at 2am on 2/13 started severe nausea and felt heart beating fast in my chest, almost went to emergency room, but zofran helped. Started feeling better afternoon. I have auto immune diseases bad and just wanted someone aware of what happened. I will be getting the 2nd dose when it is time.

Other Meds: Lortab 10/325, hydro morphone ER 30 mg, xeljanz xr 11 mg, Robaxin 750mg, Lisinopril 20mg, Zofran 8 mg, xyzal

Current Illness: Sinus allergies

ID: 1037040
Sex: F
Age: 39
State: CT

Vax Date: 12/22/2020
Onset Date: 01/12/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies: shellfish, tamarinds

Symptoms: Anaphylaxis: After my second dose of the vaccine within 3-5 minutes I stared feeling swelling of the thong, itchy throat, head, neck, sob. I immediately reported my symptoms to the MD that was in the room monitoring the recent vaccinated employees. Immediately he administered 50mg of Benadryl, 20mg of Pepcid, and salbutamol. I was rushed to the ED and stayed there for couple of hours headed back to my unit and then sent home by my manager.

Other Meds: vitamin d3, vitamin b12.

Current Illness: n/a

ID: 1037041
Sex: M
Age: 76
State: MO

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

Lab Data: none

Allergies: Unknown

Symptoms: Patient called 2/17/2021 to report he had a very stiff arm (unable to lift arm) and arm was very painful after injection 2/16/2021. Patient took acetaminophen through the night and arm was still stiff and sore morning of 2/17/2021. He required assistance doing his farm chores/work.

Other Meds: Unknown

Current Illness: Unknown

ID: 1037042
Sex: F
Age: 42
State:

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

Lab Data:

Allergies:

Symptoms: Within 15 min of shot, started with mild cramping, within 45 min had stronger cramping and nausea. Cramping and nausea resolved within 3-4 hours. Fatigue for 2 day.

Other Meds: zoloft, metformin

Current Illness:

ID: 1037043
Sex: M
Age: 72
State: CA

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

Lab Data: None

Allergies: none

Symptoms: Loss of equilibrium; dizziness.

Other Meds: Metformin, atorvastatin, lisinopril, tradjenta, zalaton, dutasteride, trazodone, aspirin, omega-3, levothyroxine

Current Illness: none

ID: 1037044
Sex: F
Age: 29
State: WI

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

Lab Data:

Allergies: N/A

Symptoms: Day 4 ? after second dose. Body aches, headache, extreme chills and then fever for less than 24hrs

Other Meds: Liquid collagen, iron

Current Illness: N/A

ID: 1037045
Sex: F
Age: 51
State: CA

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

Lab Data:

Allergies: Imitrex, Tetanus

Symptoms: Patient c/o headache light headed and tingle in left arm pain. Feeling some palpitations. No SOB, no N/V, No Diaphoresis

Other Meds: none

Current Illness: Unknown

ID: 1037046
Sex: M
Age: 92
State: NY

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

Lab Data:

Allergies:

Symptoms: Error: Wrong Dose of Vaccine - Too High

Other Meds:

Current Illness:

ID: 1037047
Sex: M
Age: 34
State: OH

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

Lab Data: None

Allergies: NKA

Symptoms: Hives, redness and itching to face. Cold compress applies and anti-histamine taken. Symptoms resolved within 10 minutes. Symptoms occurred again on 2/17/21.

Other Meds: None

Current Illness: None

ID: 1037048
Sex: F
Age: 68
State: MO

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

Lab Data:

Allergies:

Symptoms: patient called and reported elevated blood sugar

Other Meds:

Current Illness:

ID: 1037049
Sex: F
Age: 52
State: AZ

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

Lab Data:

Allergies: none

Symptoms: Migraine aura. It started the morning after the 2nd COVID vaccine dose. Continued for 10h. Responded to ibuprofen, but it comes back. Ongoing.

Other Meds: None

Current Illness: none

ID: 1037050
Sex: F
Age: 77
State: CA

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

Lab Data: None

Allergies: None

Symptoms: Moderna COVID-19 Vaccine EUA Chills and fatigue began at 11:45 pm. Chills ended at 2:30 am. Fatigue most of 02/17/2021

Other Meds: Losartan, Prevacid, Vitamin D3

Current Illness: None

Date Died: 02/14/2021

ID: 1037051
Sex: F
Age: 77
State: CA

Vax Date: 02/08/2021
Onset Date: 02/10/2021
Rec V Date: 02/17/2021
Hospital: Y

Lab Data:

Allergies: Ampicillin, Penicillin, shellfish,seafood

Symptoms: Diarrhea , fatigue on 2/10 Fall 2/12 out to hospital Resident Expired 2/14

Other Meds: UNKNOWN

Current Illness: Pyelonephritis, Nephrostomy in 2019

ID: 1037052
Sex: M
Age: 59
State: WA

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

Lab Data:

Allergies:

Symptoms: Error: Wrong Dose of Vaccine - Too Low

Other Meds:

Current Illness:

ID: 1037053
Sex: F
Age: 40
State: OR

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

Lab Data: unknown

Allergies: none

Symptoms: Approximately 90 minutes after vaccination, She developed severe vertigo and intractable nausea and vomiting. EMS was called and she was taken to ED.

Other Meds: none

Current Illness: none

ID: 1037054
Sex: F
Age: 45
State: CA

Vax Date: 01/20/2021
Onset Date: 02/16/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: Blood tests, CT Head

Allergies: Diphenhydramine, Ultram [Tramadol

Symptoms: She got her first messenger Moderna RNA Covid vaccine on 1/20/2021 through work Pt started having symptoms about a week ago she has had generalized body aches headache chest pain, myalgia, fatigue, cramps, Nausea and diarrhea. Pt went to ED on 2/12/2021. Pt has known Migraine and took left over Dilaudid, caffeine. Pt continued to have diarrhea until 2/14 and other symptoms gradually improved. Pt woke up today and noted that her eyes were glassy, still had the pulsating headache and Right retro orbital pain. Pt noted drooping of the lips, tongue was tight and unable to close left eyelids completely. The family was called 911 and taken to the ED Pt had Brain CT and Stroke was ruled out. Pt was diagnosed with Bells Palsy and discharged home on Valtrex and Prednisone

Other Meds: Levothroid 75 mcg daily

Current Illness: She got her first messenger Moderna RNA Covid vaccine on 1/20/2021 through work Pt started having symptoms about a week ago she has had generalized body aches headache chest pain, myalgia, fatigue, cramps, Nausea and diarrhea. Pt went to ED on 2/12/2021. Pt has known Migraine and took left over Dilaudid, caffeine. Pt continued to have diarrhea until 2/14 and other symptoms gradually improved. Pt woke up today and noted that her eyes were glassy, still had the pulsating headache and Right retro orbital pain. Pt noted drooping of the lips, tongue was tight and unable to close left eyelids completely. The family was called 911 and taken to the ED Pt had Brain CT and Stroke was ruled out. Pt was diagnosed with Bells Palsy and discharged home on Valtrex and Prednisone

ID: 1037055
Sex: F
Age: 31
State:

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

Lab Data:

Allergies: Bee Venom

Symptoms: Patient complained of numbness and tingling sensation in mouth and later complained of tongue swelling. Patient was observed, vital signs taken, given H20, O2 6L, and epinephrine. Patient then transported to Emergency Department.

Other Meds:

Current Illness:

ID: 1037056
Sex: F
Age: 21
State: PA

Vax Date: 01/09/2021
Onset Date: 01/10/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: CBC, CMP, D-DIMER, Troponin, Latic Acid, 12 Lead EKG x2

Allergies: Peanuts (sensitivity), Penicillins, Amoxicillin, Sulfamethoxazole-Trimethoprim, Latex, Adhesive Tape

Symptoms: January 10, 2021 around 1:00 AM i woke up from a sound sleep with 10/10 midsternal chest pains. I was seen in the emergency room for the chest pains. The emergency provider ruled out the chest pains as NOT being cardiac or Gastrointestinal related after doing countless blood tests and other various tests. I then followed up with my PCP and they said to keep an eye on it to see if it got any worse and to seek medical attention if the chest pains did get worse. After 4 days the pain went away.

Other Meds: Buspar, Zoloft, Trokendi XR, Singular, Loratadine, Vitamine D

Current Illness: Seasonal allergies

ID: 1037057
Sex: M
Age: 79
State: NM

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

Lab Data:

Allergies: macrolides, penicillin

Symptoms: soreness, red spot under shot location

Other Meds: duloxetine 40mg

Current Illness: none known

ID: 1037058
Sex: M
Age: 23
State: FL

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

Lab Data:

Allergies:

Symptoms: Patient fainted right after receiving the vaccine. He waited 30 minutes after and drank water, then was fine.

Other Meds:

Current Illness:

ID: 1037059
Sex: F
Age: 72
State: WA

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

Lab Data: None

Allergies: Allergic to oxy type pain meds

Symptoms: About 7 minutes after the injection my upper chest became tight. I went to the nurse and described my symptoms. She gave me a bottle of water and when I took a few sips I noticed that my throat also felt tight. I was the given 25mg of Benedryl. My symptoms went away after about 10 minutes. I stayed for about 35 minutes after I received the injection to make sure I was OK to drive home symptom free.

Other Meds: Lisinopril Vitamin C,E, D Zinc Elderberry B12

Current Illness: None

ID: 1037060
Sex: F
Age: 45
State: MI

Vax Date: 02/11/2021
Onset Date: 02/13/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: NA

Allergies: Bactrim

Symptoms: Extreme burning and sharp pain at the base of the skull, neck area, and both shoulders. Loss of ability to move the head to either side, up or down. The symptoms lasted approximately 10-12 hours, then slowly faded to mostly discomfort and tenderness. I used ice, laid flat on my back, slept and cried. Everything was back to normal, then on 2/16/21, approximately 3:00 PM, my neck started hurting, I had a terrible headache, muscle weakness and pain and no energy. I couldn't make it to work, I took some tylenol, iced my neck then slept over 11 hours, straight. Today things feel normal again.

Other Meds: None

Current Illness: None

ID: 1037061
Sex: F
Age: 61
State: CO

Vax Date: 02/04/2021
Onset Date: 02/06/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: None

Allergies: PCN

Symptoms: Swollen and painful supraclavicular lymph node and left axilla lymph node days 2 - 13 Red, itchy rash and firmness on left deltoid muscle, anterior aspect of left axilla and left subclavicular region on chest pronounced starting day 9. Lingering still day 13 but much less pronounced.

Other Meds: Levothyroxin Bio-identical hormones

Current Illness: None

ID: 1037062
Sex: F
Age: 30
State: MI

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

Lab Data:

Allergies:

Symptoms: Itchy welt-like rash. Oval- 3 inches by 2 inches

Other Meds:

Current Illness:

ID: 1037063
Sex: F
Age: 61
State:

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

Lab Data:

Allergies: Sulpha

Symptoms: Body aches, fever 101

Other Meds: Lisinopril,Clonazepam,Viibryd,Desvenlafaxine,Atorvastatin,Fluphenazine,One-A-Day Vitamin,Metformin, Fish Oil

Current Illness:

ID: 1037064
Sex: M
Age: 61
State: GA

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

Lab Data: today 2/17/2021 I went to urgent care , EKG, CAT scan, blood work, Doctor said that all test are normal large amount of fuild was discovered between ears

Allergies: none

Symptoms: * Lightheaded, achy joints and heavyness night of day two *lightheaded (unstable), tingling (electrodes in my brain day three * lightheaded unstable dizzy with head motions - now to present time * motion of head throws off balance, I have to rest to regain lightheadness (never hand this feeling before * on today 2/17/2021 I went to urgent care , EKG, CAT scan, blood work. it's said that all test are normal large amount of fuild was discovered between ear, never had this before, will seek a specialist opinion

Other Meds: OMEPRAZOLE 20MG, BUSPIRONE HCL 10MG, FLUOXETINE HCL 10MG, LISI

Current Illness: none

ID: 1037065
Sex: F
Age: 30
State: VA

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Headache, aches and pains, flu like symptoms, hot flashes, chills Pregnant

Other Meds: Multi-vitamin and prenatal vitamin

Current Illness:

ID: 1037066
Sex: M
Age: 24
State: MI

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

Lab Data: none

Allergies: none reported

Symptoms: patient fainted, passed out for 10 seconds

Other Meds: none reported

Current Illness: none reported

ID: 1037067
Sex: F
Age: 52
State: MA

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

Lab Data: None

Allergies: Lyrica, morphine, neurontin

Symptoms: Approximately 30 minutes after injection I had a metallic taste. It lasted for about hour and half. Also experienced a sensation of body flushing. Kind of like when you receive a pain shot at the hospital, you feel the flushing sensation. That lasted about the same amount of time. Slight sense of dizziness or spaced our with the body flushing. The flush felt from my arms to legs.

Other Meds: Lamictal, pristique, klonipin, wellbutrin

Current Illness:

ID: 1037068
Sex: F
Age: 60
State: CA

Vax Date: 02/05/2021
Onset Date: 02/14/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: None

Allergies: Sulfa, Cipro, Flagyl

Symptoms: 9 days after injection developed red, itchy, warm rash inferior to injection site. Resolved on it's own within 2 days

Other Meds: retin-A topical, acyclovir, armour thyroid

Current Illness: None

ID: 1037069
Sex: F
Age: 53
State: MI

Vax Date: 02/09/2021
Onset Date: 02/11/2021
Rec V Date: 02/17/2021
Hospital:

Lab Data: NA

Allergies: NA

Symptoms: Headache (lasting 6 days and counting), fever (101.8), extreme chills, night sweats, muscle ache, fatigue, pain injection site

Other Meds: Bupropion xl 450mg Lamotrigine 200mg Multi vitamin for women Vitamim d3 2000iu Super b complex with folic acid and vitamin c

Current Illness: NA

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm