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: 1040116
Sex: M
Age: 43
State: MD

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

Lab Data:

Allergies: None

Symptoms: Soreness in arm, headache, fatigue, body aches, fever

Other Meds: None

Current Illness: None

ID: 1040117
Sex: F
Age: 40
State: CA

Vax Date: 01/08/2021
Onset Date: 01/10/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: US neck: neg malignancy or abscbess

Allergies: NKDA

Symptoms: had second dose of COVID vaccine on 1/8/2021, notes initially with rash and swelling of face which went away when she got home. Since then, patient has had HA but noticed swelling to left shoulder on 1/9/21. neck: 3 cm x 3 cm left supraclavicular lymphadenopathy with tenderness to palpation give ibuprofen 600mg PO x1 and discharged with Ibuprofen

Other Meds:

Current Illness:

ID: 1040118
Sex: F
Age: 45
State: CA

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

Lab Data: 2/16/2021 - diagnosis of Bell's palsy at Hospital Emergency Room.

Allergies:

Symptoms: /20/2021 (day 0) - received Moderna vaccine (Lot 029L20A) at. ? 2/8/2021 (day 19) ? developed horrific headache. Started on the neck, hairline, and ears ? felt deep pressure, and made an analogy to a blanket covering her head. ? 2/9/2021 (day 20) ? severe stomach cramps, and start of debilitating diarrhea (not listed as adverse event in EUA) that made her concerned about soiling herself. ? 2/10/2021 (day 21) ? continued having severe diarrhea, every 1 hour. ? 2/11/2021 (day 22) ? continued having severe diarrhea. Also, start of having generalized body ache (entire body). Tested for COVID-19 at ED ? negative. ? 2/12/2021 (day 23) ? continued having severe diarrhea ? dehydrated and felt irregular heart rate. Went to ED for EKG (unremarkable), COVID-19 testing (negative), and CT scans (unremarkable). ED staff told patient that her symptoms matched other patients? reactions to COVID-19 vaccine (delayed onset, of a few weeks). ? 2/13/2021 (day 24) ? Diarrhea continued, continued body ache. ? 2/14/2021 (day 25) ? diarrhea resolved, along with body ache. ? 2/15/2021 (day 26) ? felt more alert and well, enough to eat more normal food. However, eyes looked glassy, and headache moved to her eye socket. Felt like a golf ball was behind her eyes. ? 2/16/2021 (day 27) ? 1:30 AM, noticed left side of mouth was droopy. Went to ED ? diagnosis of Bell?s Palsy. Given Rx of prednisone and valacyclovir. o Onset of Bell?s Palsy consistent with clinical trial of Moderna Vaccine. Patients had onset of 22, 28, and 32 days after vaccine.

Other Meds:

Current Illness:

ID: 1040119
Sex: F
Age: 43
State: ND

Vax Date: 01/26/2021
Onset Date: 02/04/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: Blood work on 2/11/2021, 02/15/2021, 02/16/2021, 02/17/2021

Allergies: Penicillin

Symptoms: I didn?t notice any symptoms right away. When they started, I didn?t think it was abnormal at first. I am female and still have my menstrual cycle. This time it appeared to be heavier than usual and had some blood clots. However, before I was on birth control it was always that way. Sometimes it is a little heavier when I have more stress or the weather is not ideal. My cycle started around 2/4/21. On 2/8/21, I combed my one cat. She scratched and bit me and has done so in the past. She and I both are vaccinated and I?ve never developed any infections because of it in the past. On 2/10/21, I noticed a cluster of red pinpoint dots underneath my skin on my arms and chest. They weren?t bumpy, warm to the touch, itchy or anything. It just looked odd and I didn?t know how it happened. I work with a Nurse Practitioner and she suggested I go into to a clinic as those usually indicate an infection is developing. I went to the Urgent Care and was treated. He did blood work on me and informed me that my glucose was a little low. It was suppertime so that didn?t surprise me. He told me there was no signs of infection in my blood work but was prescribing two antibiotics in case one developed. When I was getting my meds at the pharmacy, a call was coming through that I didn?t recognize so do to phone scams, I didn?t answer it. I started the antibiotics. Then over the course of 2/13/21 and 2/14/21 weekend days, I felt more fatigued than usual, nauseated, had a decreased appetite and still had my menstrual cycle. I still didn?t think much about it as a side effect of the antibiotics was nausea and decreased appetite and the fatigue could be related to it being so cold and winter usually affects my depression symptoms. Then on 2/14/21 I noticed my lower abdomen was covered in those red, pinpoint blood dot clusters and there were unexplained bruises on my body. I took a shower and when I went to wash my legs, my pelvic area was completely bloody and a blood clot dropped into the bathtub. Never has that occurred when I have my period. It looked like I had just given birth it was so much blood. I became nauseated and dry heaved several times. On 2/15/21, I sent a message to Dr asking what was happening to me. He called me and informed me that he had tried to call me the night he saw me because he saw my platelet count was only 11,000 and should be a minimum of 140,000. Dr asked that I return to Urgent Care as soon as possible. I arrived there around 12:30 pm that day. He had bloodwork done again on me. My platelets went down to 9,000. I explained that my menstrual cycle would not stop and it should?ve but I just keep bleeding. Dr contacted a Hematologist that informed him that recently the blood disorder Immune Thrombocytopenia (ITP) has been linked with the COVID19 vaccination in rare cases. I was scheduled to be seen by a Hematologist and put on the medication prednisone to build up my platelet count. I returned to Urgent Care for blood work again on 2/16/21. My platelets went up to 30,000. I met with Hematology on 2/17/21 and had blood work again, platelets 28,000. All providers looked over my medical record and noted that since my gastric bypass surgery in 2015, my health has been good, my blood work has been normal and I live a clean lifestyle. Again, the only issue showing up in my bloodwork was that my platelets were extremely low. Now I have weekly blood draws, take 80 mg of prednisone and have a Hematologist when just a few weeks ago my health was good.

Other Meds: buPROPion 150 mg SR (12 hr) tablet Commonly known as: WELLBUTRIN SR Take 150 mg by mouth 2 times a day magnesium oxide 400 mg tablet Commonly known as: MAG-OX 400 Take 400 mg by mouth 1 time per day. ferrous sulfate 325 (65 Fe) MG Tbec Co

Current Illness: None

ID: 1040120
Sex: F
Age: 45
State: CA

Vax Date: 02/03/2021
Onset Date: 02/08/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: n/a

Allergies: latex, rubber, wool

Symptoms: rash around eyes and upper lip, swelling, redness, severe itching

Other Meds: nuvaring

Current Illness: n/a

ID: 1040121
Sex: F
Age: 53
State: MS

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

Lab Data: none.

Allergies: strawberrys

Symptoms: Lip/tongue/gums tingling.

Other Meds: unknown

Current Illness: cervical spine pain with radiculopathy.

ID: 1040122
Sex: F
Age: 81
State: OH

Vax Date: 02/11/2021
Onset Date: 02/13/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: Na

Allergies: Penicillin

Symptoms: Started at 5 am throwing up, sore, weak, headache, freezing On Sunday 2 days after shot felt better, still weak and started canker sores in mouth and swelling. Still have symptoms as of today 2/18/21. Doctor calling in steroid.

Other Meds: Vitamin a, setraline hcl 25mg, amlodipine besylate, losartan, atorvastatin

Current Illness: None

ID: 1040123
Sex: M
Age: 78
State: FL

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

Lab Data: n/a

Allergies: None

Symptoms: Patient received the first Moderna vaccine after already having completed the full series for the Pfizer vaccine

Other Meds: Active D-3 50 (CHOL) 50,000 DONEPEZIL HCL 10MG TAB BYDUREON BCISE I TADALAFIL 20MG FREESTYLE LIBRE SENSOR 14D KIT

Current Illness: none

ID: 1040124
Sex: M
Age: 80
State: MT

Vax Date: 01/24/2021
Onset Date: 02/08/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Systemic: Confusion-Medium, Systemic: Fainting / Unresponsive-Medium, Additional Details: Patient found unresponsive sitting in recliner and breathing. Vitals normal. After 5min sternum rub patient became conscious and stated he could hear being spoken to but could not respond. Felt weak rest of the day. Although this occurred several days later there were 3 patients at same facility experiencing similar issues on same day

Other Meds:

Current Illness:

ID: 1040125
Sex: F
Age: 82
State: CA

Vax Date: 02/16/2021
Onset Date: 02/17/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: 2/18/2021 - CT head and neck - negative for fracture or bleed. CBC, BMP - within normal limits. Troponin - negative.

Allergies: Penicillin

Symptoms: Redness, swelling and pain @ injection site and syncopal episode resulting in injury to face.

Other Meds: Advil

Current Illness:

ID: 1040126
Sex: F
Age: 48
State: NE

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: None

Allergies: Penicillin, cats, fall hayfever

Symptoms: Red, swollen, sore area at injection site starting the next morning after vaccination. Area measured approximately 2" x 1.5" at its largest. Area started to resolve on day 3, but then flared up on day 7, area was red, swollen, and very itchy. Area began to resolve by day 11. I still had a slight dark mark on arm up until day 21, approximately 2"x 1".

Other Meds: Pantoprazole 40mg, Escitalopram 20mg, Vitamin D3 50mcg (2000 IU), Prenatal vitamin, Chromium 1000mcg

Current Illness: None

ID: 1040127
Sex: F
Age: 64
State: CA

Vax Date: 01/20/2021
Onset Date: 01/22/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: chills left breast lymph nodes were sore lymph nodes in neck below jaw swollen esophagus felt inflamed gut felt inflamed itchy scalp itchy legs and butt giant red blotch where injection was, it was hot, swollen and itchy

Other Meds:

Current Illness:

ID: 1040128
Sex: F
Age: 73
State: NV

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

Lab Data: I am mostly recovered today, 18 Feb 2021 due to taking 2 Aleve yesterday.

Allergies: Tetracycline, Flagyl, Neosporin, Rose Water, Mangos

Symptoms: Pain at sight of injection: deltoid muscle to the point I was not able to sleep on that side PLUS tender to touch. The next morning, I had total body aches: muscles and joints, fever of 100.3-degrees, head ache, fatigue most the day. Upon calling the "nurse hotline" through the nurse informed me that these were negative reactions to the COVID vaccine, that I could take Aleve or Tylenol and rest the rest of the day. I was preparing lunch at the time. I went to take Aleve and finished lunch. Rested the rest of the day. This morning, 18 Feb 2021, I felt much better, however, the sight of the injection is still tender.

Other Meds: 30mg NP Thyroid, 100mg Progesterone, multi-vitamin-mineral, garlic, Vit C, Coq10, B-complex,3000IU D3, FishOil, Turmeric.

Current Illness: None

ID: 1040129
Sex: F
Age: 97
State: MT

Vax Date: 01/24/2021
Onset Date: 02/08/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Systemic: Stroke like symptoms. ER evaluation ruled out stroke-Severe, Additional Details: Patient exhibited classic stroke like symptoms. Upon evaluation at ER stroke ruled out. This potential ADR is several days after administration, however, 2 other patients exhibited similar issues on same day that received vaccine. Patient stated she has had an episode of this nature previously

Other Meds:

Current Illness:

ID: 1040130
Sex: F
Age: 75
State: WI

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

Lab Data: Stat call made patient sent to the ER

Allergies:

Symptoms: Patient complained of feeling dizzy, difficulty swallowing and warm all over.

Other Meds: N/A

Current Illness:

ID: 1040131
Sex: F
Age: 77
State: MA

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

Lab Data: None

Allergies: Sulfa drugs, erythromycin, vancomycin, ibuprofen, vioxx,advil

Symptoms: Fever, splitting headache, nausea, vomiting

Other Meds: Omneprazole, hydrochlorazide, irbesartan, montelukast

Current Illness: No

ID: 1040132
Sex: F
Age: 24
State: MN

Vax Date: 02/16/2021
Onset Date: 02/17/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: None

Allergies: no known allergies

Symptoms: I felt fine for the time after the shot, but I woke up at about 4am with chills, nausea, vomiting (only once in the morning). These symptoms were better by around noon. Pain at the injection site, headache and muscle aches which lasted for most of the next day (17th). No symptoms besides pain at the injection site by the 18th.

Other Meds: xulane patches (birth control)

Current Illness: N/A

ID: 1040133
Sex: F
Age: 36
State: PA

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

Lab Data:

Allergies:

Symptoms: Error: Wrong Dose of Vaccine - Too Low

Other Meds:

Current Illness:

ID: 1040134
Sex: M
Age: 25
State: CA

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

Lab Data: None

Allergies: certain antibiotics, latex

Symptoms: Patient verbalized feeling dizzy during post-vaccination observation. Patient reported no other symptoms.

Other Meds: Patient stated he took Tylenol prior to vaccination at 1:30 PM.

Current Illness:

ID: 1040135
Sex: F
Age: 67
State: CO

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

Lab Data: Covid 19 vaccine

Allergies: Penicillin and it's family; injectable iodine; injectable contrasts; sulfa drugs; codine; latex sensivity; metals; insect bites; citrus fruit sensivities

Symptoms: Extreme itching and burning of skin, face, neck, skull, ears, back, limbs

Other Meds: Levothryroxine, morphine sulfate taken in the early morning of 2/17/2021

Current Illness:

ID: 1040136
Sex: F
Age: 57
State: OH

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

Lab Data:

Allergies: Sulfa drugs, Percocet, latex

Symptoms: Low grade fever 99.4

Other Meds: citalopram hydrobromide 10 mg tablet Vitamin D3, C, thyroid supplement, biotin, calcium

Current Illness: None

ID: 1040137
Sex: F
Age: 63
State: AK

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

Lab Data: None

Allergies: Sulfa drug

Symptoms: Had chills during the night after 2nd shot, enough to wake me, gone in morning.

Other Meds: Losartan 25mg x2 day Meloxicam 15mg x1 Atorvastatin 20mg x1 pm

Current Illness: None

ID: 1040138
Sex: F
Age: 57
State: CA

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

Lab Data: none

Allergies: no

Symptoms: Cough, swelling of eyelid fatigue, headache, soreness at arm

Other Meds: no

Current Illness: none

ID: 1040139
Sex: M
Age: 89
State: OH

Vax Date: 02/12/2021
Onset Date: 02/15/2021
Rec V Date: 02/18/2021
Hospital: Y

Lab Data:

Allergies: Cat hair, dust mites, grass seed, penicillin

Symptoms: The patient is positive for COVID-19 requiring hospital admission with supplementary oxygen and administration of dexamethasone. Symptoms of COVID-19 began on 2/15/21 and hospital presentation occurred on 2/18/21.

Other Meds: acetaminophen, albuterol, Eliquis, vitamin C, aspirin, atorvastatin, Coenzyme Q10, digoxin, ezetimibe, fenofibrate, finasteride, furosemide, nitroglycerin, sotalol, tamsulosin, vitamin D, zinc gluconate

Current Illness:

ID: 1040140
Sex: F
Age: 69
State: IL

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

Lab Data: none

Allergies: Penicillin

Symptoms: Swelling of Lymph on the left side of bottom of neck within a half hour. Then in evening of that day, swelling of face, eye lids, lips with tingling, hands, feet, tiredness, headache, muscle pain, neck pain real bad on the left side more, joint pain, feeling unwell, brain fog, dizziness, weakness, difficulty breathing at times. This lasted for 3 days, and after 15 days I now have Pink eye, swelling in hands yet and breathing is short at times.

Other Meds: Vitamin D and C, Pantopriazole, Ezcitmlbe, Ramipril, Metoprold, Asprin 81 mg, Novolog, Tresiba, Pzavastatin, Praluent, Synthroid

Current Illness: none

ID: 1040141
Sex: F
Age: 27
State:

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

Lab Data: Person was transferred to the Emergency Room for further evaluation.

Allergies: Cephalosporins, Penicillin/Sulfa

Symptoms: Complained of congestion and difficulty swallowing post-vaccination. Denied itching/coughing. Reported 1 episode of vomiting. Also complained of feeling light headedness. Reported feeling similar reaction from 1st dose of same vaccine and improved with Benadryl (person did not initially report having taken Benadryl and difficulty swallowing from 1st dose of same vaccine; prior to receiving 2nd vaccination, person had denied to clinic staff of having problems with 1st dose). Person also noted to have rash on left forearm. Vital signs stable. Provider gave person 2 tabs of Benadryl at 12:05pm. Person appears well but was transferred to the Emergency Room for further evaluation due to concern for difficulty swallowing.

Other Meds: None

Current Illness: Denies

ID: 1040142
Sex: F
Age: 87
State: VA

Vax Date: 02/14/2021
Onset Date: 02/15/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Very sore throat

Other Meds: irbesartan,(150 mg) amlodipine (5mg) prednisone (5 mg) fluticasone nasal spray, pantoprazole (20 mg) , levothyroxine (25 mcg), vitamin D 3 (2000),

Current Illness: RA

ID: 1040143
Sex: M
Age: 69
State: CA

Vax Date: 01/29/2021
Onset Date: 02/16/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: none

Allergies: Zanaflex

Symptoms: rash on same arm as shot (left)

Other Meds: Metoprolol Tartrate 25 Mg Asprin-Dipyridamole ER 25-200 Mg Dantrolene Sodium 50 mg Ezetimibe 10 Mg Simvastatin 80 Mg

Current Illness: none

ID: 1040144
Sex: F
Age: 89
State: OH

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Systemic: Body Aches Generalized-Medium, Systemic: Confusion-Medium, Systemic: Diarrhea-Medium, Systemic: Fever-Medium, Systemic: SLURRED SPEECH, INABILITY TO HOLD SELF UP IN CHAIR, INCONTINENCE-Medium, Additional Details: RN ADVISED PT HAD FEVER OF 101, DIARRHEA, WHOLE-BODY MUSCLE SORENESS, STROKE LIKE SYMPTOMS INCLUDING SLURRED SPEECH, INABILITY TO HOLD SELF UP WHILE SITTING IN A CHAIR, INCONTINENCE, AND CONFUSION ABOUT HER SURROUNDINGS, DATE, TIME, AND SITUATION. ALSO ADVISED THAT PT IS A GREAT HISTORIAN & NORMALLY KNOWS CURRENT DATE, TIME, AND SITUATION. SYMPTOMS LASTED ROUGHLY 72 HOURS, AND PATIENT DID COMPLETELY RETURN TO BASELINE AFTER 72 HOURS HAD PASSED

Other Meds:

Current Illness:

ID: 1040145
Sex: M
Age: 42
State: CA

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

Lab Data:

Allergies:

Symptoms: Itchiness with very light rash on arm. Most Itchiness occurred on head, ears, arms.

Other Meds: Wellbutrin, Concerta, Effexor, Norvasc, Buspar.

Current Illness:

ID: 1040146
Sex: M
Age: 74
State: OH

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: None

Allergies: NSAIDS

Symptoms: Next day-uti-sulfamethoxazole/trimethoprim 800-cleared up in a few days 2nd day-fever, chills, muscle and joint pain, extreme fatigue, fever 100+, lasted 2-3 days Day 4 itchy rash over entire body. Took benedryl. Faded away but still have feint blotches.

Other Meds: Metoprolol tart Xarelto Flecainide Centrum silver men?s 50+

Current Illness:

ID: 1040147
Sex: F
Age: 77
State: FL

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

Lab Data:

Allergies: n/a

Symptoms: patient received the first moderna shot after having already received the full dose of the pfizer vaccine 3 weeks ago

Other Meds: LISINOPRIL 20MG TAB; GABAPENTIN 300MG CAP AMLODIPINE 5MG TAB 90 SERTRALINE 100MG TAB

Current Illness: n/a

ID: 1040148
Sex: M
Age: 36
State: NC

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

Lab Data:

Allergies: None

Symptoms: Painful, slightly raised/tight area of skin. 4inch diameter circle around injection site that formed 18 hours after second dose of Moderna. Both injections were received in the left arm.

Other Meds: Allopurinol, amlodipine, citalopram, lisinopril

Current Illness: None

ID: 1040149
Sex: F
Age: 59
State: PA

Vax Date: 02/10/2021
Onset Date: 02/17/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies: None known

Symptoms: On the 7th day after vaccination my arm got a large rash like large Mark. It is hard, hot, and red.

Other Meds: Sim vastatin, daily vitamin, cinnamon supplement, turmeric cur cumin supplement, and hair, nails supplement

Current Illness: None

ID: 1040150
Sex: F
Age: 43
State: CA

Vax Date: 01/24/2021
Onset Date: 01/25/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: CTA of chest, NM myocardial perfusion, stress test. chest x-ray

Allergies: NKDA

Symptoms: Rash, headache, elevated blood pressure, Chest pain. tachycardia

Other Meds: atorvastatin, Flexeril, insulin, Norco

Current Illness: DM,

ID: 1040151
Sex: M
Age: 80
State: AZ

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

Lab Data: NONE

Allergies: MSG ( MONOSODIUM GLUITMATE) =PACS

Symptoms: ABOUT 12 HOUSR AFTER GETTING THE SHOT I GOT THE SHAKING CHILLS THAT LASTED ABOUT 20 MINUTES.. ON 02/18/2021 ABOUT 3 PM I CHKED MY TEMP, AND IT WAS 101.2 F. AT 4PM TOOK A TYLNOL ( 500MG) AND AT 4:45 MY TEMP WAS 98.5 F. FEELING BETTER.

Other Meds: NEXIUM 40MG/D, LIPITOR 10MG/D, NPTHYROID 60 MG/D, METOPROLO 25MG/D, ANASTROZOLE 1MG/3x week, TADALAFIL 10 MG /3 DAYS,TEATRONE PELETTS(10) . 1 INJ. / 5 MONTHS, TRIMIX ED INJECTION AS NEEDED. MULTI VITAMINES, 2 GM C /3 DAYS, KRILL OMEGA FA

Current Illness: NONE

ID: 1040152
Sex: M
Age: 83
State: SD

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

Lab Data: n/a

Allergies: NKA

Symptoms: Day of injection patient noticed increased redness at injection site, over the next few days the redness spread, became hot to touch. Patient was seen in the clinic and given keflex.

Other Meds: Vitamin D3, benazepril, carvedilol, nitroglycerin, rosuvastatin, glucosamine/ chondroitin, multivitamin, CO Q10, metamucil, miralax, ASA

Current Illness:

ID: 1040153
Sex: F
Age: 47
State: WA

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

Lab Data: none

Allergies: codeine, topical sulfa, some anesthesia

Symptoms: About 15 min after vaccination, throat started feeling "thick," swelling. I waited another 5-10 min or so but it was not getting better. (With 1st dose covid vaccine the throat swelling resolved on it's own and was more minor. This time it was very clearly swelling!) I took 25 mg Benadryl. It didn't improve but didn't get worse. After about another 20-30 min, the throat started swelling more and numbness and tingling started on the R side of my mouth and face. (This was my primary reaction with the 1st dose.) I took another 25 mg Benadryl. This took affect after 15-20 min. My throat felt better after this but minor swelling remained off and on for the next several days. Took Benadryl again in the days following vaccination.

Other Meds: levothyroxine, liothryonine, ER metformin (NOT diabetic), PNV, 5-HTP, vitamin D, fish oil, UBQH, maca, NAC.

Current Illness: no illnesses.

ID: 1040154
Sex: F
Age: 64
State: MI

Vax Date: 02/10/2021
Onset Date: 02/17/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: I received the vaccination on 2/10/21. I had the normal symptom I was warned about. Those symptoms were gone in two days. Everything was normal until 2/17/2021. I felt a knot on my arm where I received the vaccination. The next morning/through the night (2/18/2021) I felt pain in my arm and experienced swelling, redness and it is warm to touch. I am still feeling this at this time.. My concern is, I am having these symptoms a week after I had the first dose of the vaccine. Is this a normal reaction? Should I seek medical attention?

Other Meds: Elmiron, Zoloft, Wellbutrin

Current Illness: N/A

ID: 1040155
Sex: F
Age: 58
State: CA

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

Lab Data: None

Allergies: History of lip swelling to dried mango (only occurred once, but has never recurred even after consuming dried mango again, she stated "I probably just ate too many of it")

Symptoms: Patient complained of Left lateral chest extending to Left underbreast pain, 3/10, dull, that occurs only with deep inspiration and relieved by "not taking deep breaths." Patient denied pain on the area with normal breathing. Patient further described it as " a pulled muscle."

Other Meds: Levothyroxine daily for Hypothyroidism

Current Illness: Dx: Hypothyroidism (on prescription routine medication of Levothyroxine daily)

ID: 1040156
Sex: M
Age: 30
State: UT

Vax Date: 02/12/2021
Onset Date: 02/15/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: redness, tenderness and swelling at injection site, beginning 3 days post vaccine.

Other Meds:

Current Illness:

ID: 1040157
Sex: F
Age: 16
State: WI

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

Lab Data:

Allergies: Hx of anaphylaxis due to cashews and pistachios

Symptoms: A minute after receiving vaccine, client lost consciousness for approximately 30 seconds paired with facial twitching. No history of seizures and history of syncope due to holding breath and anxiety with medical procedures and vaccinations in the past.EMS was called, client was evaluated by EMS upon arrival, parent was called and history verified. It was discussed with parent that PCP and client have a plan in place for these kinds of reactions to go home and continue monitoring, so client was driven home by friend.

Other Meds:

Current Illness:

ID: 1040158
Sex: F
Age: 38
State: NJ

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

Lab Data: N/a

Allergies: None

Symptoms: Fever of 102.9 began about 12 hours after 2nd vaccine dose. Fever persisted for approx 48 hours. I took Tylenol at first sign of fever without relief. I took Advil 1 hour after Tylenol was ineffective with adequate relief of fever. Fever recurred approx every 8 hours for 48 hours. Other symptoms include fatigue and sore arm at injection site.

Other Meds: None

Current Illness: None

ID: 1040159
Sex: F
Age: 39
State: FL

Vax Date: 02/16/2021
Onset Date: 02/17/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Patient got moderna first injection on a Tuesday at 3:15 and the next day Wednesday at 3:00pm at work she was starting to feel cold chills and hot sweats. By that night at 7pm she had high fever of 101.9 when we check temp. No neausa. We have only ever heard of someone feeling like this in the second vaccine shot and thought you should know that she is a healthy person and had this happen to her on the first. Hoping that when she receives the next one in a month she won?t have it again. Patient temp finally went down my 6am Thursday morning. Just watching patient and how she is.

Other Meds: None

Current Illness: None

ID: 1040160
Sex: F
Age: 73
State:

Vax Date: 02/03/2021
Onset Date: 02/10/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: took covid nasal swab test 2/18, awaiting results

Allergies: penicillin

Symptoms: small blisters on gums 2/10. Then on 2/13 had swollen fingers w painful red blisters on fingers and palms of both hands, R hand greater than L hand. Got worse each day until 2/16, then swelling gradually subsided and blisters almost gone as of 2/18. the fingers looked like pictures of covid toes/fingers I saw online.

Other Meds: none

Current Illness: none

ID: 1040161
Sex: M
Age: 54
State: CA

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

Lab Data:

Allergies:

Symptoms: Patient arrived to observation area with caregiver, at 11:15am, no distress noted. Around 11:30am patient notified observation nurse that he felt dizzy and thought his blood sugar might be low. Patient has type 2 diabetes. Vitals stable: P82, R20, BP 108/76, 02:99% O2 administered via non-rebreather mask 10LPM. After 10 minutes, patient stated he felt better and wanted to take the O2 off. Patient stood up and left building with caregiver, no issues.

Other Meds:

Current Illness:

ID: 1040162
Sex: F
Age: 46
State: MN

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

Lab Data: None

Allergies: Tree nut allergy

Symptoms: Vaccine given at 5:50om. Itching started about 6:25pm and continued to get worse over the course of the evening. No rash ever appeared but was flush in the face. Morning hours came with flu like symptoms and more itching. Have had fever and chills off and on all day. Have been taking Benadryl to help with itching.

Other Meds: None

Current Illness: None

ID: 1040163
Sex: F
Age: 52
State: OH

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

Lab Data:

Allergies: codeine, sulfa

Symptoms: patient was waiting in vaccine observation area. patient reported to us not feeling well. instructed patient to sit down, as she was going back to her seat, she began to have what appeared to be seizure. Bystander and I held patient to prevent her from hitting head on ground until seizure stopped and put patient in recovery position. paramedics called by pharmacy staff and dispatched. paramedics took patient for further medical care

Other Meds: Gabapentin, Latuda, buspirone, vesicare, meloxicam, sumatriptan, montelukast, omeprazole, lamotrigine, diclofenac, amitriptyline,

Current Illness:

ID: 1040164
Sex: F
Age: 34
State: TX

Vax Date: 01/09/2021
Onset Date: 01/10/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: no

Allergies: sulpha based antibiotics

Symptoms: I started getting numbness on my right sight of my body - mostly in arm and leg. Could feel the coldness all down that arm and leg. It lasted about a week. As the week moved on I felt it in both of my legs (and not as much in the arm)- coldness with also a burning a sensation. I work in an EMT office, I was still having it at work on Monday. Drs (not an official visit, I just work there) at work gave me a steroid shot and put me on a 5 day course of oral steroids. Within 5 days it was better and by Sunday it had pretty much gone away.

Other Meds: Birth control - Marlissa; Zyrtec; Vit D supplement

Current Illness: no

ID: 1040165
Sex: F
Age: 70
State: RI

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

Lab Data:

Allergies: Keflex

Symptoms: Phlegm feeling in throat

Other Meds: Omeprazole, hydroxychloriquin, metoprolol

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm