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: 1039495
Sex: M
Age: 77
State: WY

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: No imaging test were done, however a BMP, CBC, PT/INR, PTT and Troponin were all ran.

Allergies: No known allergies

Symptoms: Client reports that approximately 75 minutes after his vaccine was administered he began to have a difficult time swallowing. He was driving at the time and drove to Hospital of where he was seen in the Emergency department. Patient continued to have a difficult time swallowing and was given a "spitoon" to spit in. He describes the saliva as "white and foamy. " He also reported that that over the course of the 4-5 hours he spent in the emergency department the saliva began to be stringy, and that he believed it was mucus. The client was treated for an "esophageal blockage - food". The client reports he was treated with valium but does not know what other medications he was given. He did report that none of the medications he was given made his heart race.

Other Meds: Entyvio Multivitamin Lutein Ferrous Sulfate ChlorOxygen Alkatrace Ionic Mineral Drops Enzyme Supplement Cholecalciferol Omega-3 fatty acids budesonide mesalamine probiotic Eliquis

Current Illness: No acute illness

ID: 1039496
Sex: M
Age: 73
State: IL

Vax Date: 02/15/2021
Onset Date: 02/16/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Cannot taste what he is eating and it is followed by a metallic/soapy aftertaste. This started one day after the vaccine and continues.

Other Meds:

Current Illness:

ID: 1039497
Sex: F
Age: 39
State: VA

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies: NA

Symptoms: spreading redness, ring around injection site, warm to touch, itchy, swollen lymph node under arm

Other Meds: Junel- birth control

Current Illness: NA

ID: 1039498
Sex: F
Age: 53
State:

Vax Date: 02/15/2021
Onset Date: 02/16/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Headache, joint pain, excessive thirst, loss of appetite, extreme fatigue

Other Meds:

Current Illness:

ID: 1039499
Sex: F
Age: 76
State: IL

Vax Date: 02/15/2021
Onset Date: 02/16/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: Non.e

Allergies: Penicillin (head to toe hives), Sulfa. Wheat, sugar, citric acids.

Symptoms: The first night after the vaccine had a headache and woke up with pain near her mouth. The 2nd night, Tuesday, 2/16/21 it got bad, woke up around the same time early morning, had pain on the right quadrant of her upper body, from her ear, eye, throat and down to right under her throat. When she swallows the pain is very severe with difficulty swallowing and that pain radiates to the upper part of her chest. Then on the third night, last night, all the same pain but the headache had disappeared. Today, 2/18/21 she is still having the same symptoms. The hardest thing to deal with is the ear pain in the right ear, and the pain under her right throat area. She has taken one Benadryl at 8:00 AM, and will take another at 8:00 PM. The Benadryl triggers her tinnitus so is limited with that. Her daughter is trying to find OTC medicine for the ear. She has not called her doctor as they are trying to treat it with OTC medicines. For additional information call her daughter: who takes care of all her medical information.

Other Meds: Depakote, Certraline, Spironolactone, vitamin D, acidophilus

Current Illness: None.

ID: 1039500
Sex: F
Age: 53
State: VA

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

Lab Data:

Allergies:

Symptoms: Systemic: Chills-Mild, Systemic: Dizziness / Lightheadness-Mild

Other Meds:

Current Illness:

ID: 1039501
Sex: M
Age: 76
State: NM

Vax Date: 02/14/2021
Onset Date: 02/16/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: X-ray- result: chondrocalcinosis Ultrasound- result: No DVT, suspect proteinaceous MRI- Result: Large lobulated fluid collection

Allergies: Celebrex

Symptoms: Patient woke up Tuesday 2/16/2021, 2 days after vaccine, and had aches in all his joints plus noticeable swelling in Left Knee and Left Wrist. Left side is where his vaccine was injected.

Other Meds:

Current Illness:

ID: 1039502
Sex: F
Age: 59
State:

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies: sulfonamide antibiotics, dermabond

Symptoms: Patient did not receive the vaccine at our facility, but reported to the ED. ED notes as follows. 59 y.o. female who arrived and presented to the emergency department for Left arm rash. Onset was Friday. Patient received her second dose of the Moderna vaccination on Thursday. Friday, she noticed some swelling of her left arm and so she applied some ice to it and the swelling went down. She also felt chilled and achy in general. Saturday, she went out shopping and was feeling tired and achy and noticed the upper arm was swollen again and red. She started taking benadryl. She took that a few times, the last was Saturday at 0300. Today, she went to work, her arm felt a little like it was burning and there was still some redness so she went to Employee Health and was referred to the ED for further evaluation. The patient is on minocycline for acne. She is not a diabetic. She denies any tongue, lip, or throat swelling during this. Patient's left deltoid region is slightly erythematous, minimally edematous compared to the right. It is also slightly warmer than the adjacent, non-erythematous skin. No area of induration or fluctuance. No streaking. Diagnosis management comments: 59-year-old female presents to the ED with left deltoid area erythema, swelling, burning pain following her 2nd Moderna vaccine in the same arm. She has not had any respiratory issues. She has taken benadryl and applied ice which have helped, however, the benadryl makes her really tired. She was instructed that she can switch to zyrtec which she has at home and can take that up to 2 times a day. A three day course of steroids was also prescribed.

Other Meds:

Current Illness:

ID: 1039503
Sex: F
Age: 40
State: TX

Vax Date: 02/13/2021
Onset Date: 02/15/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: COVID arm

Other Meds:

Current Illness:

ID: 1039504
Sex: F
Age: 26
State: GA

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

Lab Data: N/A

Allergies: N/A

Symptoms: Swollen left supraclavicular lymph nodes began 2/17/21; still present 2/18/21

Other Meds: Loestrin 24 Fe (birth control pills)

Current Illness: N/A

ID: 1039505
Sex: M
Age: 15
State: CA

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

Lab Data:

Allergies:

Symptoms: Error: Patient Too Young for Vaccine Administered

Other Meds:

Current Illness:

ID: 1039506
Sex: F
Age: 53
State: AL

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/18/2021
Hospital: Y

Lab Data: None here

Allergies: Unknown

Symptoms: Patient suffered a stroke the next day. She was hospitalized at Hospital.

Other Meds: Unknown

Current Illness: Unknown

ID: 1039507
Sex: F
Age: 31
State: CA

Vax Date: 02/07/2021
Onset Date: 02/07/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies: Sulfa

Symptoms: Covid19 Moderna Vaccine: lightheadedness, redness and numbness in left forearm, left chest tightness, diphenhydramine at 8:33am, vitals 133/28, improved within 30 mins

Other Meds:

Current Illness:

ID: 1039509
Sex: F
Age: 33
State: IL

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

Lab Data:

Allergies:

Symptoms: "Received vaccine around 12:30pm. Around 8pm lips/tongue started tingling and swelling. Tongue broke out in sores. Took 4-5 doses of Benadryl from 8pm on 1/19/21 to 1pm on 1/20/21, swelling resolved, some sores still present." The employee was placed "off work" from 1/20/21-1/23/21 and was prescribed one tablet daily of Zyrtec or Allegra over the counter.

Other Meds:

Current Illness:

ID: 1039510
Sex: M
Age: 80
State: CA

Vax Date: 02/18/2021
Onset Date: 02/18/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Pt experienced chest pain while waiting in line for vaccine. 5 out of 10 chest pain persisted post vaccination. Reported feeling nervous, anxious, cold sweats. Pt with hx of HTN, on cardizem. Denied hx of afib. Denied other past medical hx. Pt with elevated BP 160s with labile pulse, ranging from 30-80s. O2sat 99%. Pt escorted to ED.

Other Meds: Cardizem po daily (dose unknown) and vitamins.

Current Illness:

ID: 1039511
Sex: F
Age: 27
State: OH

Vax Date: 01/02/2021
Onset Date: 01/10/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: TSH: negative

Allergies: Amoxicillin/Penicillin/Latex

Symptoms: 1st dose: 1/2/2021 2nd dose 2/1/2021 First hives seen 1/10/2021 Went to allergist (does not think it is related to vaccine) but wanted to submit just in case it is since I have never had chronic hives in the past Currently taking 2 Allegra and 1 Pepcid in morning and 2 zyrtec, 1 singulair and 1 pepcid at night

Other Meds: Effexor XR

Current Illness: None

ID: 1039512
Sex: F
Age: 54
State: NJ

Vax Date: 02/08/2021
Onset Date: 02/15/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Swollen Left Arm, Rash and Itchiness at the site of the injection that started on 02/15/2021 and is currently still there. My understanding is this is something that last about 7 days.

Other Meds:

Current Illness:

ID: 1039513
Sex: M
Age: 72
State: SC

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: none

Allergies: sulphur

Symptoms: Swollen glands left side of neck. Soreness in joint of left shoulder ,elbow ,hand .Tingling in hand .Soreness down left side and the hip area .

Other Meds: Tylenol

Current Illness: none

ID: 1039514
Sex: F
Age: 39
State: CA

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

Lab Data: none

Allergies: Allergic to vancamycin. Food sensitive to fish

Symptoms: Day of vaccine I had a burning sensation at injection site. As day went on the burning sensation was felt through out my nervous system. It seemed every nerve and joint thru out my body was on fire. Every movement and touch burned. The pain became worse as evening hit. I also had nausea and headache. Day 2 the burning sensation had subsided but I now had muscle pain all over my body. I managed headache with exedrin but suffered through pain as I don't like to take to many meds at one time. Was still nauseas on day two. Ran a fever over night but broke by day 3. Today is day 3 and still suffering and fighting through headache and now fatigue. But that is to be expected with the amount of pain for past 2 days. Starting to get appetite back. Noticed some sneezing and some chest pain today but holding and doesn't seem to be getting worse. I treated my symptoms accordingly with over the counter meds. Try to drink plenty of water as I felt dehydrated form the ordeal. I read on the possible side effects and my experience seemed quite diffterent. So i thought I would report it.

Other Meds: used Tylenol, Ibuprofen and Excedrin. Not all at the same time but over past few days to manage symptoms. None were taken prior to vaccine.

Current Illness: no other illness a month prior to vaccination

ID: 1039515
Sex: M
Age: 68
State: GA

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

Lab Data:

Allergies:

Symptoms: Error: Wrong Dose of Vaccine - Too High

Other Meds:

Current Illness:

ID: 1039516
Sex: F
Age: 49
State: NE

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: Received email on day 12 after starting Prednisone, from red cross that when tested for Antibodies 2 weeks after my first Moderna vaccine, I had plenty of Covid antibodies. So I don't know if that's why I reacted so Harshly to the second shot.

Allergies: none

Symptoms: severe chills, muscle and joint aches and headache with fever up to 102 F X 48 hours, then continued chills, headache and fever with significant fatigue for 7 more days. On day 10 finally didn't have these symptoms but had itching and broke out in hives all over face and neck. Had to take benadryl and start prednisone the next day because they werent going away. Was full 24 hours after starting prednisone before symptoms went away. Day 14 is the first day that I actually feel completely normal again.

Other Meds: Tylenol, multivitamin, probiotic

Current Illness: none

ID: 1039517
Sex: F
Age: 38
State: FL

Vax Date: 02/18/2021
Onset Date: 02/18/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: none

Allergies: NKDA

Symptoms: Pain at the site of the injection after administration and for the remaining monitoring time: hot, red, infammed, raised area approx 3 cm in diameter : given 25 mg oral benadryl, ice to area with instructions to continue the benadryl , add oral pepcid and call MD for eval: to call 911 for any SOB or severe anaphylactic reaction; family notified and accompanied pt home

Other Meds: Buproprion, B12, levothyroxine, valcyclovir

Current Illness: none

ID: 1039519
Sex: F
Age: 75
State: NE

Vax Date: 02/04/2021
Onset Date: 02/10/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: No tests done except for physical exam by patient's primary care provider.

Allergies: Benadryl -- horrific dreams, sleepy

Symptoms: Redness and swelling, warmth in the area of injection site and stinging, itching, and burning pain (like an insect bite) 6 days following vaccination. Symptoms lasted about 4-5 days. Application of ice on the affected area, which helped the area feel better. Then on the evening of February 17, the signs and symptoms reappeared.

Other Meds: Aspirin 81 mg once a day Bydureon 1mg/0.65 mL once weekly Calcium 600 + D3 600mg Calcium - 200 unit capsule once daily CBD oil 1 drop under the tongue PRN Colesevelam 625 mg; 3 tablets BID Furosemide 40 mg; qAM PRN Lamictal 200 mg QPM Lexap

Current Illness: Sick for at least a week, fever for 3 days about 10 days before the vaccine.

ID: 1039520
Sex: F
Age: 34
State: VA

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

Lab Data:

Allergies: Clindamycin

Symptoms: Patient came back to pharmacy two days after she received the vaccine and admitted that immediately after receiving the vaccine, her heart was racing and she was having feelings of swollen throat and tongue. However, at the time, she did not say anything and went home after 30 minutes of observation. After the vaccine, her arm was first sore and a couple of days later, the soreness turned into an itching. The itch is local around injection site on left arm. Potential allergic reaction, lasting for days post injection.

Other Meds: none

Current Illness: n/a

ID: 1039521
Sex: M
Age: 73
State: CA

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

Lab Data: N/a

Allergies: Penicillin

Symptoms: Day after injection I woke up feeling achy all over muscle and joints, tired, slight fever

Other Meds: Multivitamins, potassium, Tamusin, metformin, atavastatin, buphrin

Current Illness: None

ID: 1039522
Sex: F
Age: 45
State: IL

Vax Date: 02/15/2021
Onset Date: 02/15/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: None

Allergies: Hx of allergies to avalox, dog dander, latex, pollen, trees weeds and ragweed.

Symptoms: Pt complained of general malaise, hives were noted on upper extremity after 20 min in observation. Pt also have consistent systolic elevated BP readings >200

Other Meds: Patient reports no medication or supplements

Current Illness: No reported illnesses one month prior to vaccine.

ID: 1039523
Sex: F
Age: 66
State: KS

Vax Date: 01/29/2021
Onset Date: 02/06/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: None

Allergies: Contrast dye in CT scan dye Fluoroquinolones Codeine in Tylenol 3

Symptoms: Day 8 post vaccination in upper right arm I awoke to a pink itchy blotch around the injection site - approximately 2 by 2 inches. Over the course of the day the blotch grew in size and in itch intensity and became sore, warm to the touch and somewhat hardened.. After reading about "Covid arm" in online sources, I treated with topical steroid cream. The blotch continued to increase in size on the following day but decreased somewhat in intensity. Final size approximately 5 inches long and 3 inches wide. Third day blotch was improved and continued to improve daily. Itching was much diminished. By Day 6 blotch could still be seen but was non-reactive. Today is Day 14 and I can still see a telltale sign of the original blotch but is totally non-reactive. I did contact my primary care MD and sent photos of issue. She suggested I report. Nurse followed up with phone call regarding recommendations for second dose.

Other Meds: Lisinopril, Hydrochlorothiazide, Progesterone, Cholestyramine Magnesium, Vitamin B Complex, Vitamin B12, Vitamin C, Vitamin D, Ubiquinol, Zinc Fish Oil, Curcumin, Rhodiola, NAC, Alpha Lipoid Acid, Digestive Enzymes, Probiotic, Astragalus, C

Current Illness: None

ID: 1039524
Sex: F
Age: 27
State: AK

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

Lab Data:

Allergies:

Symptoms: At 8 pm the day I had the shot I started having a headache and muscle aches on both hips. The following day I was nauseous, light-headed, had a headache, muscle aches around my hips, pain at injection site, and was weak. I passed out for an unknown amount of time around 11 am that Sunday. I was unable to eat more than two pieces of pilot bread, but I kept drinking water and was hydrated. I kept rolling around trying to get comfortable, but the muscle pains in my hips would not let me until I used a heating pd. The following day I was weak, but no longer as nauseous or have as bad a headache. On Tuesday, I was able to get up, but both arms felt very weak and it was a strain to carry my bag and computer. Wednesday I was still very tired, but more like myself. No symptoms today February 18.

Other Meds: advil

Current Illness:

ID: 1039525
Sex: F
Age: 72
State: GA

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

Lab Data:

Allergies:

Symptoms: Error: Wrong Dose of Vaccine - Too High

Other Meds:

Current Illness:

ID: 1039526
Sex: M
Age: 27
State: FL

Vax Date: 02/14/2021
Onset Date: 02/14/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Approximately two hours after injection, slight discomfort and soreness about 2 inches in radius below the the injection site, but not at the point of contact. Movement of the upper arm produced some levels of pain, but nothing noteworthy. It was uncomfortable to sleep on, though, so that was avoided. Lower arm unaffected. The following morning, the pain was immediately noticeable and made using the arm a severely difficult task. It was painful to move the forearm above stomach level, and essentially impossible to do any sort of heavy lifting with it. Pain relieving medication such as aspirin and ibuprofen helped in a minimal capacity, and was ultimately irrelevant in the healing process. These symptoms lasted the entirety of the day after the injection and most of the following day as well, subsiding mostly in the evening. Today (Thursday, third full day after), all pain and soreness/dullness are entirely gone. The second full day was easily the most intense in terms of pain.

Other Meds:

Current Illness:

ID: 1039528
Sex: M
Age: 22
State: NY

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

Lab Data: no medical treatment required

Allergies: Gluten. Casein. Soy

Symptoms: Developed fever at 4 am. Single dose of Tylenol worked to bring down fever. No further doses needed. Fever did not return. Next day after shot had slight runny/stuffy nose.

Other Meds: Risperidone. Prozac. Vitamin D

Current Illness: none

ID: 1039529
Sex: F
Age: 70
State: NY

Vax Date: 02/09/2021
Onset Date: 02/17/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Patient stated everything was ok until 2/17/2021 when the injection site became warm. swollen and painful. No other reactions were reported by patient

Other Meds: none

Current Illness: none

ID: 1039530
Sex: F
Age: 62
State: IN

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

Lab Data: N/A

Allergies: Penicillin Codeine Erythromycin Iodine Tetracycline Seafood/Shellfish

Symptoms: Swelling of tongue, medicinal taste, burning in nostrils following the vaccination. Next day headache, confusion in speech and thinking, constricted breathing in throat and chest, fatigue.

Other Meds: Levothyroxine Meloxicam Escitalopram Bupropion Diazepam Pravastatin Oxycodone-Acetaminophen Centrum Silver Vitamin D3 Ocuvite Lutein and Antioxidants

Current Illness: None

ID: 1039531
Sex: F
Age: 38
State: NE

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: N/A

Allergies: Nine

Symptoms: I woke with extreme chills. I had a low grade temp of 99.6, when I got up for work. I went to work. When I got there I started to sweat intensely. This cycle happened throughout the day. I went to bed at 8:30pm and woke up the next day at 9, feeling back to normal.

Other Meds: None

Current Illness: None

ID: 1039532
Sex: F
Age: 34
State: CA

Vax Date: 02/07/2021
Onset Date: 02/07/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies: NKDA

Symptoms: Covid19 Moderna Vaccine: throat itching, facial flushing, "cotton ball" in throat, left chest tightness, diphenhydramine at 2:07pm, reclined, 30 mins observation. resolved

Other Meds:

Current Illness:

ID: 1039533
Sex: M
Age: 53
State: OH

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

Lab Data:

Allergies:

Symptoms: Error: Wrong Patient (documentation in EMR)

Other Meds:

Current Illness:

ID: 1039534
Sex: F
Age: 44
State:

Vax Date: 02/18/2021
Onset Date: 02/18/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Dizziness,spinning, P83, 97% O2. 122/82

Other Meds:

Current Illness:

ID: 1039536
Sex: F
Age: 70
State: NJ

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

Lab Data: None

Allergies: Any fruit with edible skin

Symptoms: Tingling and numbness in right hand

Other Meds: Mercaptopurine, mesalamine, vita d, b complex, Omega 3, Preservision vitamin for eyes

Current Illness: None

ID: 1039537
Sex: F
Age: 66
State: IN

Vax Date: 02/10/2021
Onset Date: 02/18/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies: septra DS; Cefzil; Amoxil

Symptoms: No adverse effects on day of vaccine or days following. Today, 2/18/2021 feel swelling and warm to the touch at injection site

Other Meds: Prem-Pro .45-1.5 mg; D3 25 mcg; calcium 1200 mg; Centrum Silver multi vitamin

Current Illness: none

ID: 1039538
Sex: F
Age: 66
State: WA

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: none

Allergies: ciprofloxacin: planter fascitis, neuritis reaction, contrast m

Symptoms: per patient report: "103.5 fever with heart rate of 100-120s. Farmer's Lung activated with profound coughing. O2 sats went transiently low to 85 but mostly 91-92%. Became very unsteady on feet, requiring support of walls, furnishings and counters. Horrible chiari headache with bad nausea Neuropathy in BLE flared, legs were buzzing and I was getting intense spasms of bilateral feet and ankles that made it hard to use them. Visual decline Passed out twice cold in the bathroom [found myself in bathroom, when "I came to"] In bed for 3 days except to use the restroom and make tea. Could not attend to any other ADLs. Injection site red from shoulder to elbow, swollen and itchy with axillary lymph swelling". Symptoms

Other Meds: Vit D3, Mg, K2, CoQ10, B complex

Current Illness: no

ID: 1039539
Sex: F
Age: 69
State: CA

Vax Date: 02/09/2021
Onset Date: 02/17/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: None

Allergies: Septra.

Symptoms: Site of Moderna vaccine started slightly itching, 2/16/21. 2/17/21, after 4 mile run, same site are severe itch. Felt seizable lump. When looked, area very swollen (size of half golf ball), very red and rashy.

Other Meds: Focus Factor (brain); Omega-3 Fish Oil; B12: Flaxseed Oil; Lutein & Zeaxanthin (vision); probiotic; Turmeric.

Current Illness:

ID: 1039540
Sex: F
Age: 66
State: FL

Vax Date: 02/11/2021
Onset Date: 02/17/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: none

Allergies: Bactrim

Symptoms: 6 days after the 2nd vaccine suddenly my upper arm is very sore and hurts to move it. No pain at all until 6 days after the 2ndshot.

Other Meds: Calcium, Multi-vitamins, Atenolol

Current Illness: none

ID: 1039542
Sex: F
Age: 21
State:

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Patient did not receive the vaccine at our hospital, but reporting since she presented to the ED. Patient presents to ER. Reports is a student teacher through school and received Moderna COVID19 vaccine yesterday. States that she started having high heart rate today, between 120-160. On presentation, patient's heart rate was elevated, measuring from 110-160 in the ER. Patient also had 103F oral temperature. Patient denies taking any other medication. Patient ultimately had to have labwork and imaging done. Will give tylenol for fever and NS bolus. Labs imaging to include CBC, CMP, Mg, lactic acid, TSH/Free T4, UA, urine preg, CXR, and EKG. EKG with sinus tachycardia and S1Q3T3 pattern. CXR without evidence of acute cardiopulmonary process. D dimer 640. Mg 1.6, Na 133, K 3.4. TSH/T4 unremarkable. UA with trace leukocyte esterase. Given EKG findings and elevated d-dimer, will obtain CT w contrast to rule out PE. CT does not show evidence of acute PE. Patient is afebrile and stable for discharge. Discussed with patient that symptoms are likely due to inflammatory reaction following the COVID vaccine. Recommend symptomatic treatment at home and activity as tolerated.

Other Meds: None

Current Illness:

ID: 1039543
Sex: M
Age: 82
State: MA

Vax Date: 02/05/2021
Onset Date: 02/10/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: none

Allergies: sulfasalazine

Symptoms: rash appeared on torso day 5, diffuse blanching, slightly itchy, progressed, covering entire back by day 5 post vaccination.

Other Meds: none

Current Illness: none

ID: 1039544
Sex: F
Age: 73
State: NV

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: none

Allergies: penicillin, sulfa, ciprofloxacin, erythromycin

Symptoms: Rash started over chest, scalp, neck, and groin area

Other Meds: Famotidine, levothyroxine, atorvastatin, Vitamin D3, metoprolol tartrate, and irbesartan-hydrochlorathiazide

Current Illness: None

ID: 1039545
Sex: F
Age: 58
State: MO

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: while at the hospital staff/patient reported that the following tests were done cbc w/dif cmp CT image head w/o contrast EKG

Allergies: penicillin metformin

Symptoms: The Department came to the work place to give COVID19 vaccines. Approximately 4 hours after receiving the 1st dose of the COVID vaccine, the patient/staff c/o feeling dizzy / double vision/ headache . her Blood pressure was high / blood sugar wnl she was becoming sluggish lungs were clear she was sent out to ED via EMS . She reported to this RN after the event that she was kept in the hospital until just before 2:00 am where they had her on IV fluids to bring her BP down.

Other Meds: Trulicity Lipitor 10 mg Terbinafine for toe amlodipine 20 mg albuterol PRN

Current Illness: none reported

ID: 1039546
Sex: F
Age: 40
State: VA

Vax Date: 02/10/2021
Onset Date: 02/18/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Swelling at the injection site Redness Itching Warm in that area

Other Meds: Blood pressure medicine Prozac

Current Illness: None

ID: 1039547
Sex: F
Age: 65
State: CA

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

Lab Data:

Allergies:

Symptoms: Patient feels heart rate increased or pacing, dizziness and tightness on throat a little bit then went away. Vital signs 110/78 mmHg, 78bpm, 98% O2 RA, 18 cpm #21. pt was sent home

Other Meds:

Current Illness:

ID: 1039548
Sex: M
Age: 60
State:

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

Lab Data:

Allergies: penicillins

Symptoms: 60 y/o male presents to UC and reports itching rash on scrotum and swelling of both hands after he had the COVID vaccine two days ago. Patient denies chest pain, SOB, fever, chills, difficulties swallowing, testicular pain or other complaints or issues at this time.

Other Meds: Amlodipine, fluoxetine, hydrochlorothiazide, mirtazapine, naproxen

Current Illness:

ID: 1039549
Sex: F
Age: 74
State:

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies: latex, methylisothiazolinone, synthetic fragances: skin

Symptoms: 4 hrs after vaccination, noticed a buzzing in my rt ear - tinnitus, constant since. It may be in both ears, but predominantly the rt ear

Other Meds: Nattokinase, Lutein, B-12, Omega-3, Melatonin,

Current Illness: very wet cough, especially upon waking

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm