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: 1041610
Sex: F
Age: 76
State: IL

Vax Date: 02/05/2021
Onset Date: 02/09/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: CT 02/09/21 and MRI 02/12/21. Patient was started on Aspirin 81 mg and Crestor 10 mg daily.

Allergies: Allergic to flowers, causes rash

Symptoms: Patient on 02/09/21 starting having slow thought process and weakness in left arm and hand and had little strength in left hand and was dropping things. patient was scheduled for ct scan for headaches later that week. Called and got ct scan to be done state. Patient had a CT scan on 02/09/21 which was negative and saw the doctor on 02/12/21 and he ordered an MRI which showed patient had a CVA, cerebrovascular accident-stroke, MRI results revealed the CVA.

Other Meds: Multivitamin, Zinc, Vitamin D3, Vision shield vitamins, oxybutynin

Current Illness: None

ID: 1041611
Sex: F
Age: 73
State: IL

Vax Date: 02/06/2021
Onset Date: 02/19/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies: None - only dust and mold and adhesive

Symptoms: Rash around injection site. Does not itch yet. About 2" in diameter.

Other Meds: Prilosec, Klonopin, Xanax, Serevent, Singulair, Claritin, Spironolactone, Glucosamine/Chondrioton, Magnesium, B12, Vit C, D, E, Flaxseed oil, Tramadol as needed.

Current Illness: None

ID: 1041612
Sex: M
Age: 34
State: TX

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

Lab Data:

Allergies: UNK

Symptoms: chills, fever,muscle pains, fatigue, swollen glands, arm pain Refused second dose. Recovered

Other Meds: UNK

Current Illness: UNK

ID: 1041613
Sex: F
Age: 68
State: NC

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

Lab Data: None

Allergies: Not known

Symptoms: Client states "left arm started to tingle and feel numb after the injection". She states " the injection was too low on my arm to be in the deltoid". No redness, swelling or distress noted. Injection site post vaccination was noted to be approx. 1 1/4 hand widths from the top of the shoulder.

Other Meds: Not known

Current Illness: No known

ID: 1041614
Sex: M
Age: 70
State: MO

Vax Date: 02/16/2021
Onset Date: 02/17/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: None

Allergies: Latex

Symptoms: Tiredness, muscle pain, joint pain, feeling unwell, fast heartbeat 114permin, dizziness/weakness.

Other Meds: Metoprolol, aspirin, zyrtec, omeprazole, tylenol, bush and lomb seeds 2.

Current Illness: None

ID: 1041615
Sex: F
Age: 65
State:

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

Lab Data:

Allergies:

Symptoms: Patient expressed to Clinical Site RN that she was feeling nausea and flushing 15 minutes after administration of COVID vaccine. Upon assessment, patient's blood pressure was 187/110. Patient began to develop rash across chest and arms. Mobile response called and patient was escorted to ED.

Other Meds:

Current Illness:

ID: 1041616
Sex: M
Age: 81
State: TX

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: EKG. They gave my a chest x-ray. Cat-scan , bloodwork and urine sample. everything came back normal. My imaging did not abnormity in one my abdomen arteries.

Allergies: I think I have an sulfur allergy

Symptoms: I have a scheduled appointment with my doctor the day of the vaccine at 3PM for my annual physical. When I got my doctor's my blood pressure was high, the top number was 210 I do not remember the bottom now. He said I needed to get over to the ER clinic as soon as possible which is joined to my doctor's hospital. When I made it to the ER the blood pressure was 240 now. They to put on blood pressure monitoring, EKG. They gave my a chest x-ray. Cat-scan , blood work and gave me something in my IV. I went home that about 9:30 PM that night. My blood pressure was 213/99 and started my new medicine Nifedipine 30 MG . The ER Doctor told me to schedule an appointment with my doctor ASAP. The appointment was scheduled for today but was canceled as my doctor's office still has no power and was rescheduled for Monday the 22nd. Prior to receiving the vaccine I have no had high blood pressure. I was feeling anxious once I was informed that my blood pressure was dangerous high.

Other Meds:

Current Illness:

ID: 1041617
Sex: M
Age: 32
State: GA

Vax Date: 02/02/2021
Onset Date: 02/03/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Per Patient Shoulder injured while receiving COVID Vaccine

Other Meds:

Current Illness:

ID: 1041618
Sex: F
Age: 39
State: WA

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

Lab Data: none. Referred to allergist.

Allergies: iodine, latex, Levaquin, adhesives

Symptoms: Shortly after receiving the first dose of moderna vaccine the patient described facial redness, itching, and rash. On exam, she did have facial redness but I did not appreciate rash. Regardless, she was given diphenhydramine 50mg x 1. She endorsed some benefit from her symptoms. Vitals remained normal throughout including 02 sat 98%.

Other Meds:

Current Illness: none

ID: 1041619
Sex: F
Age: 74
State: IL

Vax Date: 02/01/2021
Onset Date: 02/15/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies: Statins and Bactrim (Sulfa drugs)

Symptoms: About 10 days after the shot, my arm started itching. It itched from the elbow to the shoulder for about four days and then I?ve got a red circular rash that I googled and found listed as ?Covid arm?

Other Meds: Metoprolol, coenzyme Q10, D and pepsid

Current Illness: None

ID: 1041620
Sex: F
Age: 31
State: RI

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

Lab Data:

Allergies:

Symptoms: Pt developed lip and tongue numbness and tingling sensation 45 minutes after vaccine. Benadryl given PO with little to no improvement 30 minutes after dose. Pt transferred to ED for further monitoring

Other Meds:

Current Illness:

ID: 1041621
Sex: M
Age: 36
State: PA

Vax Date: 01/04/2021
Onset Date: 01/11/2021
Rec V Date: 02/19/2021
Hospital: Y

Lab Data: Echocardiogram x3, chest CT (2/14), CT abdomen (2/15), echocardiogram (2/17), daily CXR from 2/14-2/17; blood culture 2/14 and 2/16, EKG x multiple, Duplex lower extremities (2/14) ANA (2/16), beta2 glycoprotein (2/16), C3/4 (2/16), Rheumatoid factor (2/16), cyclic citrullinated peptide (2/16), factor V leiden (2/15), factor II prothrombin, protein S (2/15), EBV (2/15), Coxsackie (2/15), lipoprotein A (2/15), CA 19-9 (2/15), ANA (2/15), HIV (2/15), parvovirus B19 (2/15), quantiferon gold (2/15), drugs of abuse panel (2/14), fentanyl (2/14), troponin (2/14), TSh (2/14), hepatic function panel (2/14) were unremarkable. Didimer (2/14) elevated to 1276, CRP (2/14) elevated to 2.79, ESR (2/14) elevated to 16 Cytology of pericardial fluid (2/14) unremarkable for malignancy, showed high levels of RBC, neutrophils, reactive mesothelial cells and macrophages. SARS CoV-2 swab (2/14) and antibodies (2/15) negative; influenza (2/14) negative

Allergies: None

Symptoms: Vague onset of malaise, fever, exertional dyspnea, chest pain that progressed approximately 1-2 weeks after the 2nd dose of the Pfizer vaccine. Led to development of pericardial effusion with cardiac tamponade physiology, atrial flutter, and subsegmental pulmonary embolism. Workup of other causes of pericardial effusion (e.g., infection, malignancy, autoimmune), and hypercoagulability were otherwise negative. 2nd dose of vaccine was on 1/4/2021 and pericardial effusion was diagnosed and evacuated on 2/14/2021. Patient hospitalized from 2/14/2021-2/17/2021. Patient is also healthcare provider.

Other Meds: Multivitamin

Current Illness: None

ID: 1041622
Sex: F
Age: 45
State: MI

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

Lab Data:

Allergies: NA

Symptoms: Client received Moderna vaccine for dose number 1, inadvertently given Pfizer vaccine for dose #2. Client aware of vaccine error.

Other Meds: NA

Current Illness: NA

ID: 1041623
Sex: F
Age: 67
State: MD

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

Lab Data:

Allergies:

Symptoms: Fever nausea vomiting aches chills joint pain

Other Meds:

Current Illness:

ID: 1041624
Sex: M
Age: 80
State: IA

Vax Date: 02/15/2021
Onset Date: 02/17/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: None

Allergies: Bee stings

Symptoms: Hives developed 2 days later

Other Meds: Amlodipine, pantoprazole, and simvastatin

Current Illness: Has psoriasis

ID: 1041625
Sex: M
Age: 37
State: TX

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

Lab Data: NA

Allergies: Unknown

Symptoms: Injection site soreness/pain Fever and Chills Headache Bitter taste change

Other Meds: Unknown

Current Illness: Unknown

ID: 1041626
Sex: M
Age: 38
State: IN

Vax Date: 02/15/2021
Onset Date: 02/15/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: While in the Observation room after his 2nd dose of the Pfizer COVID-19 vaccine, Patient informed me that he was having a little bit of a headache. He inquired about having his blood pressure taken. His blood pressure at this time was 193/111. I gave him some water and discussed next steps. He agreed to remain in the Observation room to see if the water helped, and if trying to relax would help his symtoms. Patient has a history of high blood pressure. After an additional 30 minutes of observation, his blood pressure was taken again and this time it was 199/127. At this time, he agreed to be seen in the ER for an assessment by the ER physcian. At this time, his care was turned over to the ER staff.

Other Meds:

Current Illness:

ID: 1041627
Sex: F
Age: 31
State: IL

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies: None.

Symptoms: Approximately 4 hours after injection I experience an increased temperature of 99.5 and a headache, 12 hours later my fever increased to 103.5 and I began experiencing severe body aches. My fever remained at 103.5 and the body aches remained for 72 hours after injection. My fever was brought down only to 102.5 with Tylenol.

Other Meds: 1,500 mg Gabapentin, 81 mg aspirin, 100 mg sertraline, 10 mg Zyrtech, 30 mg baclofen - all daily.

Current Illness: None.

ID: 1041628
Sex: F
Age: 32
State: WA

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: no

Allergies: Sulfa

Symptoms: Severe arm pain Saturday and Sunday with the pain being tolerable Monday. I also had chills and body aches for 8 hours but no fever

Other Meds: Prenatal DHA

Current Illness: no

ID: 1041629
Sex: F
Age: 65
State: IL

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies: Levaquin, macrobid, amoxicillin.

Symptoms: 1 PM I received the vaccine and withing 5 minutes had a slight pain on the left side of my head which then continued to a pain in my neck. also left side, then back pain, then slightly short of breath. I remained in the waiting area for over a half hour and felt no worse, but did report it to the young woman at the exit who said that was odd and seemed the kind of response with the second dose. I presumed it might be due to my already having antibodies. As I continued my day those symptoms quickly dispersed and I felt fine, albeit with a light soreness at the site on my left arm. At approximately 6pm I felt very fatigued and rested until 10pm, when I began to have chills, a headache and nausea. My left arm was also so sore I could not lay comfortably. I took Tylenol and aspirin both at 11:30 pm and attempted to sleep, which was fitful and disturbing. I had strange neurological events, such as odd visions in my half sleep and bizarre semi dreams but could not waken. At 4:00 AM I finally was able to pull out of this state and the last thing in my mind was a conversation with someone trying to explain what was happening to me, in my mind not vocal, that was in Italian. That is my second language. All day I had unwanted words, ideas etc. floating about in my brain. I could no longer sleep and was very weak, had terrible head and body aches and my legs also ached terribly. I was also slightly nauseous.These were all symptoms, minus the disturbing neurological one, that I had with Covid. I was too weak to leave the bed until much later in the day. I am still having effects but much less and I am at the 72 hour mark. I remained at rest all day and ran a low fever, then again a fever

Other Meds: Flovent, Vitamin C, Ashwagandha, Florastor, mushroom complex for immunity, olive leaf extract, magnesium citrate.

Current Illness: Recovered from somewhat severe Covid which had a positive result after testing, 91 days prior to the vaccine.

ID: 1041630
Sex: F
Age: 42
State: IL

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

Lab Data: none, took tylenol at 1:00 pm today after fever was 103.0, not going down,

Allergies: None

Symptoms: Chills, fever of 103.0, weak, dizzy, headache, raised up painful welt at injection site - did not get that last time. sweating, naseau, I feel miserable

Other Meds: None

Current Illness: None

ID: 1041631
Sex: F
Age: 77
State: IL

Vax Date: 02/04/2021
Onset Date: 02/16/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: None

Allergies: Iodine contrast; shellfish; erythromycin

Symptoms: 11 days after first dose which was given February 4,2021. The area around vaccination site developed a red ring that is 3 inches in diameter. It is slightly itchy and does not hurt. No other symptoms. Right after vaccine was administered I had small red area for about 4 days and then it disappeared. This large red area developed about Feb 16 ,2021 and is still present.

Other Meds: Synthroid: verapamil er

Current Illness: None

ID: 1041632
Sex: F
Age: 74
State: ND

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

Lab Data:

Allergies: Sulfa and latex

Symptoms: 12:18pm: Client was complaining of hot face. Upon observation patients face was very red and a bit swollen. Clients temp was 97.1, BP 140/90. Asked client to pull down face mask, client was very red with darker red spots all over her cheeks. Client states she does have rosacea. Client also complains of throat tightness and tingling lips, dry throat. Face continues to stay red. .5ml of adrenalin given IM left thigh. 12:20 Client face looks slightly better but client still has tingling lips. 911 was called. Client able to have a conversation, no problems breathing. No worsening of symptoms of throat tightness or lips tingling. 12:28 BP 140/80, O2 sats 97 on room air, pulse 83. Client husband is at her side. Client states she is still doing ok, but this does feel like when she has had an allergic reaction before. Note per RN Ambulance arrived at approx. 12:23 pm - transported to Health facility, RN.

Other Meds: Meds for hypertension and high cholesterol

Current Illness: none known

ID: 1041633
Sex: F
Age: 82
State: KS

Vax Date: 02/13/2021
Onset Date: 02/16/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: None.

Allergies: Codeine, Brulanta, and others

Symptoms: Early in the morning on 2/16/21, she has palpitations off and on, but her heart was racing, and she just couldn't figure out what was going on as it was 3 days after the vaccine. It went on all day long, went to bed that night and as she was lying there she questioned whether she was having a reaction to the vaccine or not. She continued to have the racing heart beat since then and still has them, but the periods of having these are getting shorter and shorter.

Other Meds: Vitamin C, vitamin D, Losartan, Rosuvastatin, Clopidogrel bisulsate, baby aspirin, cranberry extract, kreel oil, Metoprolol, Furosemide, oxybutynin,

Current Illness: None.

ID: 1041634
Sex: F
Age: 34
State: MI

Vax Date: 01/08/2021
Onset Date: 01/11/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies: Terconozole

Symptoms: Pain in contralateral clavicular area and neck lasting at least 6 weeks

Other Meds: Multivitamin, calcium +D

Current Illness: None

ID: 1041635
Sex: F
Age: 0
State: CA

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies: NA

Symptoms: Patient had received her Covid vaccine 15 min later she reported feelingi a scratch throat and tongue starting to swell. Vital signs taken, pt reported she has had h/o allergic reactions to some antibiotics and foods. Pt assessed no signs of tongue swelling pt stated she gets white coat syndrome. given 25 mg of Benedryl and remained on site for 45 min at which time she declined to stay longer. advised to call 911 if problems occured

Other Meds: NA

Current Illness: NA

ID: 1041636
Sex: F
Age: 81
State:

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: elevated bp (240/104) , chills

Other Meds:

Current Illness:

ID: 1041637
Sex: F
Age: 62
State: NY

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies: Sulfa/Bactrim Amoxicillin

Symptoms: Fever 101.4. Body aches; chills; extreme weakness. No appetitive. Severe headache with second dose.

Other Meds: Losartan Hydrochlorothiazide

Current Illness: None

ID: 1041638
Sex: M
Age: 63
State: PA

Vax Date: 02/15/2021
Onset Date: 02/15/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: Pt will return to Facility on 3/1/21 to have lab work completed.

Allergies: NKDA

Symptoms: Pt possibly received normal saline diluent instead of the Pfizer vaccine. There was an error in preparation. Pt was contacted on 2/16/21. No adverse reaction reported.

Other Meds: Atorvastatin 40mg, Omeprazole 40mg, Trazodone 50mg

Current Illness: Unknown

ID: 1041639
Sex: F
Age: 38
State: WI

Vax Date: 01/28/2021
Onset Date: 02/13/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: CBC ordered by MD

Allergies: Unknown

Symptoms: 1/29/21 had mild arm pain and low grade temperature for 24 hours. Headache for multiple days after vaccine. 2/13/2021 noticed rash, like heat rash, on legs bilaterally. Put on hydrocortosone cream and then area burned and got very painful. Employee took zyertec for itching. Swelling noted in both lower legs and feet. Lower legs and feet showed petechaie and purpura from knees to toes. On 2/15/2021 saw MD and prescribed steroid. Petechaie improving but area is still red/purple and itchy. Will follow up with a dermatologist.

Other Meds: Zyertec

Current Illness:

ID: 1041640
Sex: F
Age: 66
State: SC

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

Lab Data:

Allergies:

Symptoms: Heart flutter, hypertension

Other Meds:

Current Illness:

ID: 1041641
Sex: M
Age: 53
State: NE

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: none

Allergies: vancomycin, percocet

Symptoms: Patient reports having chills and nausea six hours after receiving the vaccination

Other Meds: vitamin D, calcium carbonate, sertraline, prazosin, lithium, gabapentin, baclofen, warfarin, celecoxib

Current Illness: none

ID: 1041642
Sex: M
Age: 84
State: NJ

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

Lab Data:

Allergies: penicillin

Symptoms: my husband has been suffering with being light headed and a mild headache. he does not complain and has no history of headaches. he also has very weak legs .he is complaining of his legs feeling like rubber.

Other Meds: Aricept 10mg. 1 baby aspiring. 81 mg. risperidone 5 mg

Current Illness: dementia

ID: 1041643
Sex: F
Age: 66
State: WA

Vax Date: 02/12/2021
Onset Date: 02/15/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies: Gluten (Celiac Disease)

Symptoms: Beginning about 3 days following 2nd Covid-19 vaccination, experienced onset of nerve pain left side of neck, back left shoulder, radiating down left arm. Constant pain - much worse during sleep. Unable to sleep, changing positions little help - better sitting up or in high recline in bed. Treating with Tylenol, Ibupropfen periodically. Applying cold compress and warm compresses alternatively. Tried analgesic cream rub with little success. Able to exercise with little change. Rubbing of neck muscles helps somewhat.

Other Meds: Metformin Lisinopril Atorvastatin Lumigan Alphagan Vit B12 Vit D3 Multivitamin Fish Oil Capsule Flaxseed Oil Capsule Biotin Lutein

Current Illness:

ID: 1041644
Sex: F
Age: 1
State: NY

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

Lab Data:

Allergies: none

Symptoms: Pt developed pink, macular rash that was patchy and blanchable on face 1-5 min after she received her vaccines. Pt was given benadryl and monitored after. No other reactions noted, no redness or rash at injection site, no dyspnea, no stridor, no swelling around mouth or tongue.

Other Meds: none

Current Illness: none

ID: 1041645
Sex: F
Age: 35
State: HI

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

Lab Data:

Allergies: N/A

Symptoms: Body ache, chills, sore arm

Other Meds: N/A

Current Illness: N/A

ID: 1041646
Sex: F
Age: 71
State: MD

Vax Date: 02/13/2021
Onset Date: 02/17/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies: peanuts, sulfa,

Symptoms: No sign of reaction for four days, then itching, swelling, rash on body started.

Other Meds:

Current Illness: none

ID: 1041647
Sex: F
Age: 54
State: TX

Vax Date: 12/23/2020
Onset Date: 12/23/2020
Rec V Date: 02/19/2021
Hospital:

Lab Data: NA

Allergies: UNKNOWN

Symptoms: Right arm pain and swelling Fever and Chills Body aches and Headache Fatigue Nausea

Other Meds: UNKNOWN

Current Illness: UNKNOWN

ID: 1041648
Sex: F
Age: 45
State: VA

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies: Shrimp in past

Symptoms: Headaches, body aches, pain in arm

Other Meds: Headache medicine, naproxen as needed for cramps

Current Illness: None

ID: 1041649
Sex: F
Age: 42
State: CO

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

Lab Data: Normal labs Normal MRI

Allergies: Sulfa

Symptoms: Daily headaches Extreme fatigue Dizziness

Other Meds: Citalopram Buproprion

Current Illness: None

ID: 1041650
Sex: F
Age: 52
State: MA

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies: Unknown

Symptoms: Hives. Went home and returned to seek medical attention. IV started, given benadryl and transported to hospital. I spoke with her, she states fine and symptoms resolved that night.

Other Meds: Unknown

Current Illness: Unknown

ID: 1041651
Sex: F
Age: 66
State: CO

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

Lab Data:

Allergies: No Known Allergy

Symptoms: Patient received her first dose of Pfizer COVID. Lot # EN2600 Site: RD Patient started to develop swelling to her right shoulder at the injection site where she had a COVID-19 vaccinate. Patient was referred by the vaccinator staff to go to the ER for evaluation. During the examination, patient denied any itching, redness, or new rash. Patient also denied any sensation of tongue, throat, or neck swelling. Patient also denied SOB or palpitation during visit. She denied history of allergy to eggs. For the swelling at the injection area, she said it was mildly sore but not particularly painful.

Other Meds:

Current Illness:

ID: 1041652
Sex: F
Age: 38
State: PA

Vax Date: 01/09/2021
Onset Date: 01/09/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies: Avocados Artichokes Shrimp Penicillin

Symptoms: Severe pain pressure and burning in face radiating from jaw Neck stiffness Tingling and burning in feet and legs Numbness in toes and In fingers of injection arm

Other Meds: Biotin Magnesium

Current Illness: None

ID: 1041653
Sex: F
Age: 53
State: MN

Vax Date: 02/16/2021
Onset Date: 02/18/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: I was vaccinated Tuesday at 12:30 pm. Approximately 5 pm that evening and throughout my waking hours Wednesday I experienced the most common side effects (severe body aches, joint pain, chills, sweating, headache, fatigue). When I awoke Thursday, I still had minor aches and fatigue, but was pleased the severe symptoms had subsided. I took a drink of water from the glass on my nightstand, and several of my teeth were immediately uncomfortably sensitive to the temperature of the water, even though it was only room temperature. This happened throughout the day, and the same teeth were also uncomfortably sensitive to pressure when I was chewing food. In addition, I had a baseball to softball size spot on my scalp that was uncomfortably sensitive to touch. I have not had this sensitivity (teeth or scalp) before, nor did I have it when I went to bed the night prior. For this reason, I believe it might be vaccine related. Today (Friday), the scalp sensitivity is gone, but the teeth sensitivity remains.

Other Meds: levothyroxin, meloxicam

Current Illness:

ID: 1041654
Sex: F
Age: 45
State:

Vax Date: 12/17/2020
Onset Date: 12/21/2020
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Onset of blistering to arms a few days after receipt of vaccination, did not realize it was related until the same occured after receiving 2nd dose.

Other Meds:

Current Illness:

ID: 1041655
Sex: F
Age: 66
State: AL

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/19/2021
Hospital: Y

Lab Data: CT scan, Chest X-ray, blood work, and lumbar tap were all clean. Tests were performed on 02/09/2021.

Allergies: Sulfuric antibiotics

Symptoms: My mother came home after receiving the Moderna vaccine shot and did not feel well. She had confusion, pain in her left arm near the injection site. She attempted to relax for a while and then became very nauseous, faint, and vomited. She claimed she tried to lay down in her bed and then attempted to get up to vomit and could not physically move. On Tuesday, I found her at 2:30 PM unconscious in her bed. Vomit/blood all over the floor by the bed side, her face was very warm, her breathing was very short. I could not get her to respond to me through feel or communication so I called 911. She was taken to the ER by ambulance at this time. She was taken the hospital where she was placed on IVs (I think one for antibiotic and the other was a steroid). Hospital performed blood work, CT scan, chest x-ray, and lumbar tap. They did not find any issues with my mother other than she had an "elevated white blood counter". Lumbar tap did not yield any signs of infection or foreign bacteria. She was discharged on Wednesday (02/10/2021) evening and went home to rest. She has been very fatigue since her return home and reported to me today (02/19/2021) that she had symptoms of being faint, cold sweats, and overall weakness. I checked her blood pressure and temperature and did not see a concern.

Other Meds: Prednisone (5mg), Lorazepam (1.5mg) May have taken aspirin and a calcium supplement (500mg), but unsure.

Current Illness: Turbinate nose procedure ~2 weeks prior to vaccination

Date Died: 02/12/2021

ID: 1041656
Sex: F
Age: 103
State: OH

Vax Date: 02/06/2021
Onset Date: 02/12/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: no

Allergies: unknown

Symptoms: she died 2/12/2021 at close to 2pm

Other Meds: Water pills other medication unknown

Current Illness: no

ID: 1041657
Sex: F
Age: 69
State: FL

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: None done. I thought I had caught a cold. I realized those were the side effects of the vaccine after talking to a friend.

Allergies: Sudafed, Sulfates, Erythromycin.

Symptoms: Chills, headache, low fever, feeling dehydrated, dry mouth, aches all over my body. Lasted until about 12:00 noon on February 13th, 2021. I took one table of Alla-Seltzer Plus Cold, which helped.

Other Meds: Pulmicort, Welbrutin, Singulair, Calcium, Vita C, Vita B12, Vita E, Fish Oil, Turmeric, Clonazepan, Super Collagen+C, Citracal, Vita D-3, Osteo B-Flex and Magnesium.

Current Illness: None

ID: 1041658
Sex: F
Age: 25
State: TX

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

Lab Data:

Allergies: UNK

Symptoms: reported site pain, headache, joint pain, body aches, fatigue and nausea.

Other Meds: UNK

Current Illness: UNK

ID: 1041659
Sex: F
Age: 50
State: NJ

Vax Date: 02/14/2021
Onset Date: 02/15/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: No

Allergies: Penicillin

Symptoms: 2/14 soreness in arm, then felt tired and chest pains started later, the next day I was tired, I woke up on 2/16 had rapid heart rate/palpitations and on the 17th I had a headache and was nauseated. Today the headache is gone but I still feel a weirdness in my chest. I have implants and I'm not sure if the reaction could be because I have something foreign in my body.

Other Meds: Metformin 500mg, Nexium 40mg, Gabapintin 600mg, Celebrex 200mg, Dicyclomine 20mg, Oxycodone PRN, Valume PRN

Current Illness: No

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm