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: 1041962
Sex: F
Age: 52
State: DC

Vax Date: 02/06/2021
Onset Date: 02/17/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: COVID arm: erythema in left upper arm. no fever, pain or warmth

Other Meds: cod liver oil, vitamin c, vitamin D

Current Illness:

ID: 1041963
Sex: F
Age: 0
State: NH

Vax Date: 02/10/2021
Onset Date: 02/18/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Received shot on Feb. 10. On Feb. 16, I developed rash (about 5 inches long). Red and raised bumps. Also, whole area is raised. Very itchy.I have only had 1 day.Info online said this is normal so I did not go to doctor.

Other Meds: Digoxin Meteprolol Vitamin D Calcium

Current Illness:

ID: 1041964
Sex: F
Age: 83
State: NY

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

Lab Data:

Allergies:

Symptoms: patient experienced no adverse event but a third dose was administered

Other Meds:

Current Illness:

ID: 1041965
Sex: F
Age: 48
State: MD

Vax Date: 01/30/2021
Onset Date: 02/03/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: I don't know if this is related, but shortly after getting the shot my sleep patterns have been disrupted. My bedtime is between 10-11pm and my wakeup time is 6:30am. For the last three weeks, since getting the shot, I wake up between 2:30-4:30am and as much as I try to fall back asleep, stay in a restless state until my alarm goes off. There have been no diet or medicine changes or stressful/traumatic events. The only change is getting the vaccine. Is this related?

Other Meds: birth control spironolactone zyrtec vitamin d

Current Illness: none

ID: 1041966
Sex: F
Age: 32
State: CA

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Recurrent mild dizziness, mild, short periods, sometimes occasional mild headache. Dizziness is daily since vaccine was given. Seen by PCP on 2/17/21, diagnosed with vertigo, Exercises given, and dizziness is less.

Other Meds:

Current Illness:

ID: 1041967
Sex: F
Age: 33
State: MN

Vax Date: 01/16/2021
Onset Date: 01/17/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: no

Allergies: sulfa drugs, grapefruit

Symptoms: Shortly after I developed chills and muscle aches. I went home and went to sleep but when I awoke I had a 100.7 fever which I took tylenol and motrin for and continued to rest and the next day it had broke. I was very fatigued but I was also 34 weeks pregnant at the time so that could have had a part in it as well.

Other Meds: prenatal vitamin, alovonox injections

Current Illness: no

ID: 1041968
Sex: F
Age: 48
State: PA

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

Lab Data: Covid vaccine given 2/5/2021- 1st dose moderna

Allergies: Rifadin, inh

Symptoms: 2 weeks after shot left arm was red around injection site, warm to the touch, a little swollen, and tender to touch.

Other Meds: Fish oil, vitamin d, vitamin b12, metformin, Prozac, gabapentin, lipitor

Current Illness: None

ID: 1041969
Sex: F
Age: 71
State: ID

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

Lab Data: Just called doctor - no tests run

Allergies: phenergan

Symptoms: Dizziness (severe), cannot sit up or stand up without passing out, convulsing (shaking) and severe nausea.

Other Meds: Gabepentin and Mecklazine (Dramanine type for under the tounge) took for nausea and dizziness

Current Illness: no

ID: 1041970
Sex: M
Age: 55
State: TX

Vax Date: 02/12/2021
Onset Date: 02/16/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: ct scan, mri, mra, chest and head xray, blood panel, urine sample, ultrasound, eeg, ekg,

Allergies: n/a

Symptoms: vision skewed, balance off, speech slurred, syncope,

Other Meds: metformin hcl 1000 mg, metoprolol 25mg, eliquis 2.5mg, vascepa 1gm, tradjenta 5mg, atorvastatin 20mg, jardiance 10mg, potassium 10 meq, losartan 100mg, montelukast 10mg, hydromorphone 12mg, hydrocodone 10 mg, melatonin 10mg, vitamin d 5000

Current Illness: diabetes, sleep apnea, pulmonary embolisms, no spleen, high blood pressure, high cholesterol, over weight

ID: 1041971
Sex: F
Age: 65
State: MI

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

Lab Data: N/A

Allergies: nkda

Symptoms: Vomiting beginning 1 day after vaccine. Vomiting has continued periodically for more than 24 hrs. Dr will be giving zofran.

Other Meds: tramadol, lisinopril, vitamin d, aspirin 81mg

Current Illness: sinus infection

ID: 1041972
Sex: M
Age: 55
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: Lactose Intolerance; Seasonal allergies

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 40 mg oral tablet 08/27/2020 take 1 tablet (40 mg) by oral route once daily for 90 days Breo Ellipta 100-25 mcg/dose inhalation blister with device 06/30/2020 inhale 1 puff by inhalation route once daily at the same time each

Current Illness: UNKNOWN

ID: 1041973
Sex: F
Age: 64
State: NM

Vax Date: 02/14/2021
Onset Date: 02/18/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: none taken

Allergies: Demerol, Bee stings, cipro and Doxycycline

Symptoms: I woke up in the early morning with a headache, diarheaa, dizzines, chills and vomitting

Other Meds: Lisinopril and Euthyrox

Current Illness: no

ID: 1041974
Sex: F
Age: 72
State: AZ

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

Lab Data: no

Allergies: bactrim

Symptoms: arm and back itchiness and redness 15 minutes after dose treated with benadryl and famotidine resolved

Other Meds: MTX, leucovorin, and hydroxychloroquin.

Current Illness: no

ID: 1041975
Sex: F
Age: 38
State: CA

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

Lab Data: None

Allergies: None known

Symptoms: Itchiness and redness at the injection site 10 days post vaccination

Other Meds: None

Current Illness: None

ID: 1041976
Sex: F
Age: 24
State: NY

Vax Date: 02/03/2021
Onset Date: 02/17/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: no

Allergies: latex

Symptoms: pt stated that her left arm started hurting very badly around the injection site but the pain moved down the entire arm by the next day. those symptoms subsided then on 2/16 she developed a itchy, red rash on entire body even the bottom of her feet.

Other Meds: birth control

Current Illness: no

ID: 1041977
Sex: F
Age: 59
State: SC

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

Lab Data: None

Allergies: Codeine Sulfa

Symptoms: 7 hours after injection body aches progressed over 3 hours to pain in all joints. Shivering, rigors, fever 101.3. Then 12 hours after injection sever migraine and nausea lasting 12 hours. 48 hours later diarrhea for 8 hours.

Other Meds: Lexapro 20 mg Multi Vitamin Vitamin E Calcium plus D Krill oil B complex

Current Illness: None

ID: 1041978
Sex: F
Age: 35
State:

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

Lab Data:

Allergies:

Symptoms: 2/17-2/18 congestion, chills, fever 101.8F, fatigue, body aches 2/18 nausea, sore throat, headache (intermittent) treated with Advil

Other Meds:

Current Illness:

ID: 1041979
Sex: F
Age: 36
State: IL

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

Lab Data:

Allergies: Latex

Symptoms: Shortness of breath and fatigue.

Other Meds:

Current Illness: Had a cold within the last month but no illnesses and was not sick at time of vaccination.

ID: 1041980
Sex: F
Age: 87
State: GA

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: N/A

Allergies: No known allergies

Symptoms: No adverse event. Patient received 3rd dose 4 days after 2nd dose.

Other Meds: N/A

Current Illness: Unknown

ID: 1041981
Sex: M
Age: 85
State: PA

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

Lab Data: 2/13/21: CBC, CMP, neck xray, EKG, strep and covid tests; steroids and IV fluids given 2/18/21 CBC; CMP; thrush diagnosed 2/19 CT scan head and neck

Allergies: Statins-muscle pain

Symptoms: headache, severe throat pain/pharyngitis/sinus pain, fatigue, chills, muscle pain. ER admission 2/13. Persistent severe throat pain and weakness thru today (2/19/21); covid test negative; strep test negative

Other Meds: ASA glipizide jardiance lisinopril metformin tamsulosin dorzolamide

Current Illness: No illnesses

ID: 1041982
Sex: F
Age: 21
State:

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

Lab Data:

Allergies: None

Symptoms: Fever of 100.4, dizziness, stomach ache, sweating, nausea, diarrhea

Other Meds: At Night: Monteleukast, Zyrtec, Symbicort, Spiriva, Birth Control

Current Illness: COVID on 1/5/2021

ID: 1041983
Sex: F
Age: 75
State: NV

Vax Date: 02/01/2021
Onset Date: 02/16/2021
Rec V Date: 02/19/2021
Hospital: Y

Lab Data:

Allergies: morphine

Symptoms: Admitted with covid pneumonia, Acute hypoxic respiratory failure, currently in ICU ventilator dependent respiratory failure. Patient tested 1/26 with 1/29 positive results. never symptomatic. presented to receive covid vaccine and received it on 2/1, ( reportedly discussed with a physician to make sure getting vaccine was ok) Then hospitalized 2/11 with urosepsis and discharged 2/14. 2/15 presented to oncology office with o2 sats 78% on RA. transported to Hospital.

Other Meds: unknown

Current Illness: During her admission to this facility on 2/16/21, it was noted that the patient was vaccinated 6 days after positive test.

ID: 1041984
Sex: M
Age: 56
State: OH

Vax Date: 02/05/2021
Onset Date: 02/12/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: I got a rapid COVID test 02/18/21 Results: NEGATIVE

Allergies:

Symptoms: Soreness at injection site and all of arm - within 6 hours through about 36 hours Fatigue - 6-8 hours Body aches, headache, chills, fever - one week after for about 48 hours

Other Meds: Cetirizine Vitamin C Vitamin D

Current Illness:

ID: 1041985
Sex: F
Age: 67
State: CA

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

Lab Data: NONE

Allergies: NONE

Symptoms: MEDICAL ASSISTANT GAVE 1ML INSTEAD OF 0.5 ML. SHE DID NOT NOTIFY US UNTIL AFTER THE LAST PATIENT WAS GIVEN THE SHOT. SHE OPENED A NEW VIAL TO COMPLETE THE PATIENTS. EMPLOYEE WAS TERMINATED AND WE CONTACTED PATIENTS TO SEE IF THEY WERE FIND AND TO ADVISE THEM ABOUT GOING TO E.R. IF CONDITION WORSENED. CALLED DAILY TO VERIFY WELL-BEING.

Other Meds: NONE

Current Illness: NONE

ID: 1041986
Sex: F
Age: 34
State: IA

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

Lab Data:

Allergies:

Symptoms: Prolonged Deltoid pain

Other Meds:

Current Illness:

ID: 1041987
Sex: F
Age: 65
State: WA

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

Lab Data:

Allergies: No

Symptoms: One day post vaccine 3 inch by 1 in red, swollen itchy skin lesion at site of injection

Other Meds: Levothyroxine, metformin, aards( eye vitamin), multivitamin

Current Illness: No

ID: 1041988
Sex: F
Age: 50
State: WA

Vax Date: 12/26/2020
Onset Date: 12/26/2020
Rec V Date: 02/19/2021
Hospital:

Lab Data: about ten days after vaccine - I had body aches and headache again (just for that one day) so I went and got a COVID test as required by my employer- negative result

Allergies: Latex

Symptoms: Body aches; fatigue; and then woke up the next day, in the morning with mild headache - muscle and joint pain/aches; headache; next day still had all of that. 3rd day - everything was slowly improving but still body aches muscles aches fatigue - that continued for about a week and that went away. Recurrence on 10th day for one day. Jan 23 - 2nd dose of vaccine.

Other Meds: Levothyroxine; Liothyronine

Current Illness: No

ID: 1041989
Sex: F
Age: 86
State: CT

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

Lab Data:

Allergies:

Symptoms: Covid19 vaccine clinic at pharmacy. Patient was listed as requiring her second dose, with her first given 1/29/21. Upon completion of the clinic, when the pharmacist returned to pharmacy to input all of the vaccines for the day, she noticed that the patient received her first dose on 1/8/21 and her second on 1/29/21 making the shot on 2/19/21 her third dose in a two dose series.

Other Meds:

Current Illness:

Date Died: 01/15/2021

ID: 1041990
Sex: F
Age: 83
State: KY

Vax Date: 12/28/2020
Onset Date: 01/15/2021
Rec V Date: 02/19/2021
Hospital: Y

Lab Data: CXRAY - COVID PNA bmp - SEVERE ACIDOSIS TEMPERTURE 94 BEAR WARMER HYPOTENSION LEVOPHED AND 3L OF ns O2 AT 3L inr 2.09 WITHOUT COUMIDIN

Allergies: nkda

Symptoms: PATIENT WAS ADMITTED TO ER FOR ALTERED MENTAL STATUS / UTI SEPSIS WITH SEPTIC SHOCK / COVID AND COVID PNA PATIENT WAS ADMITTED TO ICU AND DIED . POA WISH TO WITHDRAWL EXTRME MEASURES

Other Meds:

Current Illness: Covid IN NOVEMBER

ID: 1041991
Sex: F
Age: 55
State: NY

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

Lab Data:

Allergies:

Symptoms: Patient experienced an episode of vertigo, sudden increase in blood pressure, and feeling anxious. Patient had similar episodes at prior vaccinations.

Other Meds:

Current Illness:

ID: 1041992
Sex: F
Age: 75
State: ID

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

Lab Data: Vital signs stable

Allergies: Amoxicillin, Augmentin, Codeine, Iodinated contrast media, latex, medrol, minocycline, percocet, percodan, soap, duricef, lactose, sulfa, zyrtec, dilaudid

Symptoms: Patient described feeling of warmth, facial flushing, tremors, nausea, tingling in roof of mouth and hands 30 minutes following vaccine.

Other Meds: Bisacodyl, diazepam, cymbalta, estradiol, tramadol, voltaren

Current Illness:

ID: 1041993
Sex: F
Age: 67
State: IL

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

Lab Data:

Allergies: immune globulin (shortness of breath), sulfa (anaphylaxis)

Symptoms: Patient reported dizziness and trouble breathing following first dose of COVID-19 vaccine. The patient was tachypneic with respiratory rate of 30s (trach in place) on room air with HR 102, BP 175/85, and satting 100%. A code was called, and the patient was given IM epinephrine and transported to the emergency department for monitoring for possible allergic reaction versus trach issue. Workup in the ED was negative, and the patient was discharged.

Other Meds: acetaminophen, albuterol, atorvastatin, betamethasone ointment, budesonide nebulization, clotrimazole, docusate, fluticasone, guaifenesin, hydrocodone-acetaminophen, nystatin powder, pantoprazole

Current Illness:

ID: 1041994
Sex: F
Age: 72
State: IN

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

Lab Data:

Allergies: None

Symptoms: Chills, fever, body aches lasting approx 36 hours

Other Meds: Clopidegrel,Eloquis, Atorvasitatin,Diltiazem, Claritin

Current Illness: None

ID: 1041995
Sex: F
Age: 76
State: CO

Vax Date: 02/08/2021
Onset Date: 02/10/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: None

Allergies: Lisinopril

Symptoms: Patient developed brown spots above upper lip that appeared to crust over and itch; also developed these right below lower lip; these are getting better as of 2/19/21 but are still there; patient contacted doctor on 2/18/21 re this

Other Meds: HCTZ; Atorvastatin; Omeprazole; Meloxicam; Norvasc; Ciprocal; Vitamin D3; Omega fish oil; Zinc; Probiotic; Zyrtec

Current Illness: None

ID: 1041996
Sex: F
Age: 55
State: OK

Vax Date: 01/26/2021
Onset Date: 01/29/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: No

Allergies: No

Symptoms: Large amount of hair loss every day

Other Meds: No

Current Illness: No

ID: 1041997
Sex: F
Age: 77
State: NY

Vax Date: 02/06/2021
Onset Date: 02/13/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: none

Allergies: morphine

Symptoms: "brain Fog", anterograde amnesia to the events of the day. lost track of what she was doing and where she was for brief moments. Noted leg weakness on the right.

Other Meds: propranolol, timolol

Current Illness: COVID +

ID: 1041998
Sex: F
Age: 36
State: AZ

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

Lab Data:

Allergies: penicillin

Symptoms: Body aches for approximately 16 hours, extreme nausea and dizziness briefly leading to a single syncopal episode. Used Tylenol for body aches, no other treatment necessary. Nurse at Obgyn's office advised me to stay hydrated and monitor temperature. Feeling normal the day after episode. I am 16 weeks pregnant with pregnancy #2, estimated due date is 8/4/21

Other Meds: Synthroid, Zyrtec, prenatal

Current Illness:

ID: 1041999
Sex: U
Age: 52
State:

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

Lab Data:

Allergies: Sulpha drugs

Symptoms: The day after the vaccine, in the evening, patient experienced redness and swelling at injection; arm is still sore, but patient states she has this reaction with flu shots also. Patient has had some fatigue.

Other Meds: No

Current Illness: No

ID: 1042000
Sex: F
Age: 76
State: NY

Vax Date: 02/13/2021
Onset Date: 02/14/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: I received the Moderna vaccine on Saturday February 13th, 2021. I had no adverse event on that day. The next day when I woke up around 6:00 am I felt muscular pain in my upper left arm (arm of vaccine) when I moved my arm, and I could not raise my arm. Later that day I took an Ibuprofen and went out to eat Indian food at night. The pain went away. The following day the pain was almost all gone, and after that it went away completely.

Other Meds:

Current Illness:

ID: 1042001
Sex: F
Age: 47
State: NM

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

Lab Data:

Allergies:

Symptoms: Pt had hives, syncopal episode, and airway management issues within 30 minutes of receiving vaccine.

Other Meds:

Current Illness:

ID: 1042002
Sex: F
Age: 30
State: OH

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

Lab Data: no

Allergies: Zithromax - get hives

Symptoms: I took tylenol before I went in to get my vaccine. Around 4 pm I started get fatigued. At 9pm I started get chills, low grade fever, joint pain. I self medicated with tylenol for 14 hours around 6 pm the next day I felt better.

Other Meds: prenatal vitamin; fish oil; iron; fluoxetine 20 mg; vit B6

Current Illness: no

ID: 1042003
Sex: F
Age: 81
State: WI

Vax Date: 01/31/2021
Onset Date: 02/15/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: Evaluation in ER 2/17/2021

Allergies: amoxicillin (rash of unclear severity)

Symptoms: Severe L-sided Bell's Palsy, onset 2/15/2021. . Per CDC recommendations we are reporting this to VAERS.

Other Meds: amlodipine, aspirin, calcium supplement, multivitamin, Tums, vitamin-D, zinc

Current Illness: none significant

ID: 1042004
Sex: F
Age: 43
State: NY

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

Lab Data: Nonr

Allergies: Biaxin, latex, Shea butter in products

Symptoms: I had Covid from March 14, 2020- April 1, 2020. I treated positive for antibodies in May 2020. I received the first vaccine on 2/14/21 around 4:55 pm. 2/15-I awoke at 7am: sweating, headache, body aches/ pinging type sensation, fatigue, pain across my chest , no trouble breathing though. These are the same symptoms I had when I had Covid. 2/16 I was able to get out of bed, run errands, but still have headache, still feel achy, haven?t noticed a fever but I have had moments of sweating like one broke. Lymph nodes under my left arm are swollen and painful to touch. 2/17lymph nodes still very large and swollen, pings of 2/18: fatigue, weakness, 11pm- right arm became cold and numb like it was asleep, pinging muscle aches or more accurately pains where lymph nodes are located. Body seemed swollen overall too. 2/19: right arm and uncle still swollen and heavy Groin lymph area right side is painful today.

Other Meds: Paxil 40mg, Tri Lo Sprintec

Current Illness: None

ID: 1042005
Sex: F
Age: 49
State:

Vax Date: 01/20/2021
Onset Date: 01/28/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: pain in injection arm for 3 days hard lump in injection arm, appearing at day 8, gone the next day swollen lymph nodes in both armpits, lasting 2 days Moderna COVID?19 Vaccine EUA

Other Meds: none

Current Illness:

ID: 1042006
Sex: F
Age: 69
State: NM

Vax Date: 02/09/2021
Onset Date: 02/17/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: None. Went to the doctor and he said to monitor it and report to the CDC.

Allergies: None

Symptoms: Swelling at the site of the injection that started nine days after injection.. Area is also warm and red. Muscle pain in arm.

Other Meds: None

Current Illness: None

ID: 1042007
Sex: M
Age: 75
State: FL

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

Lab Data:

Allergies: NKA

Symptoms: Patient received 1st dose Moderna ; he was in state for a dermatology appointment which happened to be on the day of his 2nd dose; he came by our drive thru clinic for vaccine administration; he forgot his vaccine record card; administering nurse verified that note had been completed but did not read the contents nor review the Immunization tab prior to administration which showed that Moderna was given in clinic Charting on the event happened after he had completed his 15 observation period. He was observed for 15 minutes as required and did not report any side effects or adverse events

Other Meds: none

Current Illness: n/a

ID: 1042008
Sex: M
Age: 70
State: MN

Vax Date: 01/22/2021
Onset Date: 01/23/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: one day after vaccination; developed 4-5 days of headache, nausea, fatigue. Also had "hyperventilation" with difficulty completing deep breaths. No wheezes/ cough. No oral / throat swelling. Did have full body rash.

Other Meds: albuterol, aspirin, cetirizine, vitamin D, flexeril, fluticosone nasal spray, lysine, multivitamin, fish oil, sildenafil

Current Illness: none

ID: 1042009
Sex: F
Age: 90
State: FL

Vax Date: 02/11/2021
Onset Date: 02/18/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: None.

Allergies: Penicillin.

Symptoms: I noticed it felt itchy the next morning, she does get eczema at times, and thought that's what it was. She tried cortisone cream yesterday for the itching, but it did not help. This morning when she woke up the rash had spread and was all the way up her arm. She was putting cold compresses on it as well. She went to the UC at 1:00 this afternoon, who ordered an antibiotic and told her that there seemed to be an infection at the site of the needle. Told her not to use the cortisone cream, to use the cold packs.

Other Meds: Metoprolol, Losartan, Celebrex, Buspirone HCL, Hydrochlorothiazide, Amlodipine. Eye vitamins, multivitamin, vitamin D, Biotin.

Current Illness: None.

ID: 1042010
Sex: F
Age: 86
State: OH

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

Lab Data:

Allergies:

Symptoms: patient received a 3rd vaccination of Pfizer unknown to administrator at clinic. pt received doses on 1/8/2021 01/29/2021 and now 2/19/2021 per pharmacy records

Other Meds:

Current Illness:

ID: 1042011
Sex: F
Age: 79
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: heparin (bovine); Peanut; Tomato

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: acetaminophen 500 mg oral tablet take 2 tablets (1,000 mg) by oral route every 8 hours as needed albuterol sulfate 90 mcg/actuation inhalation HFA aerosol inhaler -- Aspir-81 81 mg oral tablet,delayed release (DR/EC) take 1 tablet (81

Current Illness: UNKNOWN

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm