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: 1048844
Sex: F
Age: 17
State: FL

Vax Date: 01/13/2021
Onset Date: 01/01/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient is less than 18 years of age when she received vaccine, however EUA is only for 18 years of age and older. No other adverse effects noted other than aches from vaccination.

Other Meds:

Current Illness:

ID: 1048845
Sex: F
Age: 51
State: PA

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

Lab Data:

Allergies:

Symptoms: extreme upper body muscle pain, joint burning, involuntary shaking, headache, vomiting, stomach lightning; 14 hour duration; 1,000 mg Tylenol/ 6 hours and ice packs were used; after symptoms subsided slept 24 hours

Other Meds:

Current Illness:

ID: 1048846
Sex: F
Age: 26
State:

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Anaphylaxis - tachycardia, palpitations, shortness of breath, skin itching. Received epi pen and ER transport. Now undergoing allergy testing.

Other Meds:

Current Illness:

ID: 1048847
Sex: F
Age: 58
State: MA

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

Lab Data: N/A

Allergies: NKA

Symptoms: Began feeling unwell around 1 am, with symptoms including uncontrolled chills, generalized body aches, low grade fever 100.1 (baseline always 98.6). Took 600 mg of Ibuprofen around 4 am, and this morning chills and fever have subsided, body aches are starting to minimize, and feeling generally better 9 am.

Other Meds: Lisinopril 5 mg, Magnesium 400 mg, Flaxseed Oil 1200 mg all daily

Current Illness: None - felt well.

ID: 1048848
Sex: F
Age: 60
State: UT

Vax Date: 01/10/2021
Onset Date: 01/10/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Pt came to the counsel window last night and said she needed to get her second dose of the Shingrix vaccine but was concerned because she said after receiving the vaccine she developed a red, itchy, 2 inch raised rash at the injection site that lasted about 2 weeks. I told her I would report the adverse event and contact both the manufacturer and her primary care doctor to see clinically if she should get the second dose or to not complete the series.

Other Meds:

Current Illness:

ID: 1048849
Sex: F
Age: 60
State: WI

Vax Date: 02/18/2021
Onset Date: 02/18/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: none

Allergies: strawberry allergy, Erythromycin, Bactrim, Penicillin, Crestor

Symptoms: This occurred while EMS was on standby at the COVID vaccination clinic. The patient stated she started getting itchy skin after her COVID vaccination. Her scheduled appointment time was 12:40pm, but she arrived later for her vaccine. Patient asked for Benadryl. Patient did not have any other symptoms besides itching. At 1:38pm the patient assessment was done and vitals taken. Patient HR was 60 and RR was 20, BP was not taken. Patient was given 25 mg oral Benadryl at 1:45pm. Patient was asked to stay an additional 15 minutes for observation, and after that time she felt fine. Patient stated she was staying at work and in her office which was close to the vaccination area. Patient denied further care and transport to

Other Meds: Unknown

Current Illness: unknown

ID: 1048850
Sex: F
Age: 39
State: NM

Vax Date: 01/22/2021
Onset Date: 01/27/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: I went to ER now they checked CBC,chest X-ray, EKG and thyroid as well as a few other things and all was ok i did mention i had received the vaccine and they didn?t say anything

Allergies: None

Symptoms: I?m not sure if this is from the vaccine but I have had bad panic and anxiety attacks with elevated heart rate I?ve even visited the ER they did a few tests said I was ok but I?m reporting this because I haven?t had this bad of panic and anxiety in years and want to make sure it?s not affecting me that way

Other Meds: Multi vitamin , B12, Iron with vitamin c

Current Illness: None

ID: 1048851
Sex: F
Age: 71
State: CT

Vax Date: 02/21/2021
Onset Date: 02/22/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies: Penicillin, Zocor, Rizatriptan Benzoate, Prozac, Tylenol, Anti-depressants, statins, sulfur drugs, Primecrolimus Cream, Parmesan Cheese, nuts, yeast, ginger, Berberine

Symptoms: About 15 hours after receiving the shot I started to experience nausea, headache, heavy sweating & freezing chills (at the same time), and then this morning about 36 hours after the shot, itching. Took Zomig nasal spray and oxycodone aspirin for the headache.

Other Meds: Pantoprazole Sodium EC 40mg/take 1 every 3rd day), Oxycodone 325mg (take as needed), Zomig Nasal Spray (take as needed), Ajovy (take 3 doses every 3 months), Baclofen 10mg (take as needed), Betamethasone Dipropionate Cream (use on exzema as

Current Illness:

ID: 1048852
Sex: F
Age: 52
State: NY

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies:

Symptoms: "10min after vaccine, experiencing chest tightness and feeling SOB, BP 124/82 HR 44-86 with abnormal heart rhythm on auscultation O2 sat 100% temp 36.8 . She expresses tingling to the tips of her fingers, left shoulder pain radiated to her neck. DR in urgent care immediately notified and arrived . EKG ordered "

Other Meds:

Current Illness:

ID: 1048853
Sex: F
Age: 55
State: AZ

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

Lab Data: None

Allergies: Hydrocortisone

Symptoms: Rash developed this morning on left arm. Doesn?t itch.

Other Meds: Pravastatin, magnesium,centrum silver, fish oil, calcium, Nature?s Bounty immune

Current Illness: None

ID: 1048854
Sex: M
Age: 81
State: NY

Vax Date: 02/13/2021
Onset Date: 02/14/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Shaking terrible for like 18 hrs about 24 hrs after shot, vomiting, diarrhea, disoriented. A week later he is very weak. Has decided not to do the 2nd shot

Other Meds:

Current Illness:

ID: 1048855
Sex: M
Age: 71
State: MD

Vax Date: 02/13/2021
Onset Date: 02/22/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Delayed cutaneous hypersensitivity (Covid arm). Red rash, warm to the touch at injection site. No treatment required. Occurred 8 days after injection.

Other Meds: Xarelto 20mg, Atorvastatin 10mg, Clonazepam 0.5 mg, Flecainide 50mg x2, Metoprolol 12.5mg, Centrum Silver, Vitamin D 1000iu.

Current Illness: None

ID: 1048856
Sex: F
Age: 67
State: OH

Vax Date: 02/12/2021
Onset Date: 02/20/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: None

Allergies: Sulfa, Penicillin, Macrodantin, Cipro

Symptoms: ?COVID arm? 2/20/21 I noticed a 2.5? (diameter) hard mass below injection site. Mass became deep red, painful and itchy. 2/20-2/22/21 I ran a low grade fever, burning eyes, malaise, and significant generalized muscle aches. On 2/21 the mass and redness had become larger 3.5?, remained tender and very red. 2/23, I was no longer febrile and had no extraneous symptoms other than my arm. The area became softer, still tender, redness was a lighter red but more diffuse. 2/24 much better but still noticeable.

Other Meds: Levothyroxine, multivitamin, tylenol

Current Illness: None

ID: 1048857
Sex: F
Age: 34
State: AZ

Vax Date: 01/31/2021
Onset Date: 01/31/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies:

Symptoms: This patient is a 34 y.o. female presenting to the emergency department with a chief complaint of anxiety onset 1130. The patient reports that she had her second dose of the COVID vaccine, and 4 minutes after, had chest tightness with palpitations. She had associated nausea, vomiting and a mild headache. She states that her symptoms come in waves and are similar to a panic attack. She has had panic attacks in the past. She reports that she had similar symptoms after her fist dose, but states that they were much more mild.

Other Meds:

Current Illness:

ID: 1048858
Sex: F
Age: 22
State: TN

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

Lab Data: None.

Allergies: PCN; Zithromycin

Symptoms: 9:40 am; person reported this person having problems after vaccination of the Moderna Covid-19 vaccine. Experiencing difficulty swallowing; "feels like a lump in my throat", headache. Proceeded to her vehicle and assessed, she reports having a little difficulty swallowing and felt a little funny, alert and oriented. BP 120/60, R 12 P62, continued to monitor - BP rechecked at 9:44 am 132/90, R 12 P 66. Pt. complained of itching around face and neck, 9:45 am EMS/911 contacted and Pt. given Benadryl 50 mg/ml 1cc IM to Rt. Deltoid. Pt. developed redness to face/chest and continued to complain of itching. 9:49 am EMS on scene and report given. PT. was able to walk to back of ambulance and enter for further evaluation and treatment as needed.

Other Meds: None

Current Illness: None

ID: 1048860
Sex: F
Age: 49
State: VA

Vax Date: 02/16/2021
Onset Date: 02/22/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies: PCN

Symptoms: Pain, tenderness, and swelling near the left collar bone. (Lymph node?)

Other Meds: Vitamin D

Current Illness: none

ID: 1048861
Sex: M
Age: 52
State:

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Itchy, erythematous rash. Did not go to ER or get treatment immediately but then saw allergy, received allergy testing and later received 2nd dose.

Other Meds:

Current Illness:

ID: 1048862
Sex: F
Age: 87
State: NY

Vax Date: 02/20/2021
Onset Date: 02/20/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient had trouble breathing after vaccination. Assessed by on-site EMT who determined she could return to home.

Other Meds:

Current Illness:

ID: 1048863
Sex: F
Age: 79
State: FL

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies:

Symptoms: First dose 4 weeks ago, second dose February 17th, 2021. Time 1000 Redness around injection site. She couldn't move her arm and it was sore when trying to move arm above mid chest. "Looks like someone sprayed red paint over her". These sx resolved today however she is still experiencing unbearable itchiness. Caller did mention that she has been having chronic itchiness for what she was taking daily Antihistamines (LORATADINE 5mg) but had d/c it prior to vaccine as she was told that taking antihistamines was not recommended. PCC Recommended to go ahead and take an antihistamine as it is not contraindicated. She usually takes Loratadine and was going to take a 10mg tablet. PCC will fu.

Other Meds: Synthroid 75mcg QD

Current Illness:

ID: 1048864
Sex: F
Age: 75
State: NJ

Vax Date: 02/13/2021
Onset Date: 02/18/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: NONE

Allergies:

Symptoms: SORENESS, ITCHINESS & MUCH SWELLING. THE TREATMENT I WENT TO THE DOCTOR ON 02/22/2019 AND WAS PRESCRIBE AMOX-CLAV 500-125 MG TWICE A DAY AND TRIAMCINOLONE ACETONIDE CREAM USP

Other Meds: CRESTOR, ASPIRIN, AND LUMIGAN

Current Illness: ASTHMATIC

ID: 1048865
Sex: F
Age: 70
State: IL

Vax Date: 02/10/2021
Onset Date: 02/18/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: None

Allergies: Penicilin, Codeine, Erythromycin, Darvon, Clinoril, Clindamycin, Ace Inhibitors

Symptoms: I developed a red, itchy rash at and below the vaccine site after 8 days on my upper right arm. It became itchier after 9 days, it disappeared after 10 and 11 days, and it reappeared after 12 days, spreading to the left upper arm and both thighs.

Other Meds: Anastrozole 1 mg, Atorvastatin 20 mg, Fluoxetine 20 mg, Hydrochlorotiaide 25 mg, Amlodipine 5 mg, Metoprolo Such Er 100 mg, Omeprazole 10 mg, Ca 600 mg + D3 500 IU, Women's One Daily Multivitamin - All Daily.

Current Illness: None

ID: 1048866
Sex: F
Age: 35
State: AL

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

Lab Data: NA

Allergies: NA

Symptoms: I started having minor body aches about six hours post vaccine. I woke up that night nauseous and dizzy. I passed out on the way to the kitchen to get water. My husband somehow heard me and helped me back to the bedroom where I passed out again. I was eventually able to get back in bed without passing out, though I couldn't get warm and had severe body aches for most of the night. It was like having a very high fever, only there was no fever. I was clammy, but no fever. Around 4:30 a.m. the 'non-fever' broke and the chills and body aches stopped. I was extremely fatigued for the next two days and felt myself again by the third. The arm in which I received the shot hurt pretty bad Friday too but that was the least of my concerns. I did not seek medical treatment for these symptoms.

Other Meds: Lexapro, Spironolactone

Current Illness: NA

ID: 1048867
Sex: F
Age: 51
State:

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Palpitations 18 hours after vaccine

Other Meds:

Current Illness:

ID: 1048868
Sex: F
Age: 57
State: SD

Vax Date: 02/18/2021
Onset Date: 02/20/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: none

Allergies: Clarithromycin, Lurasidone, Cipro, Montelukast

Symptoms: developed rash 56 hours after covid vaccine and it lasted 24 hours. Rash was on both legs. she also had fever, chills aches 10 hours after the vaccine and that lasted 24 hours.

Other Meds: Flonase, Acyclovir, probiotic, optivar

Current Illness:

ID: 1048869
Sex: F
Age: 71
State: FL

Vax Date: 02/12/2021
Onset Date: 02/20/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Initially, post vaccination on 2/12/21, patient experienced pain, and swelling at the injection site which then resolved. Yesterday on 2/20/21, patient started experiencing discomfort, redness and swelling at injection site (left deltoid). referred patient to primary provider if symptoms worsen

Other Meds: calcium, MVI

Current Illness:

ID: 1048870
Sex: M
Age: 2
State: MI

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

Lab Data:

Allergies: none

Symptoms: When looking at the MCIR I pulled out the Menactra instead of the MMR that should have been given to the patient at the time of the apt. When ordering the injection in the chart I did order MMR and pulled the wrong vaccine and administered this to the patient. I did call the health department right away to find out if this was okay for the patient besides it not counting toward his immunizations since it was done early. I also contacted the patient and spoke with the mother and let my office manager know of the events that occurred .

Other Meds: none

Current Illness: none

ID: 1048871
Sex: F
Age: 60
State: AL

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: None

Allergies: Cipro, Neosporin, Aleve

Symptoms: Moderna COVID-19 Vaccine EUA First 24 hours - headache, tiredness, nausea Second 24 hours - chills, headache and tiredness continued

Other Meds: Losartan Calcium Multivitamin plus iron-daily Azo cranberry supplement Cetirizine Estrace vagina cream Trimethoprim Zyrtec

Current Illness: None

ID: 1048872
Sex: F
Age: 45
State: NM

Vax Date: 02/17/2021
Onset Date: 02/18/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: None

Allergies: Zithromax, penicillin, sulfa, Trileptal, Haldol

Symptoms: Experiencing heightened psychosis with bouts of uncharacteristic anger with no other probable cause. Started calming down 5 days after onset. Peak psychosis at 4 days after vaccine. Still some residual effect today (6 days in), but psychotic symptoms are manageable, as before vaccine.

Other Meds: Abilify, Benztropine, Myrbetriq

Current Illness:

ID: 1048873
Sex: M
Age: 1
State:

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

Lab Data:

Allergies: Milk-containing products, peanuts

Symptoms: Patient in distress after receiving immunizations D Tap, pneumonia, Hib, Flu. RN arrived to see patient laying on exam room table, and appeared to be having a seizure. 911 was called. Monitored for approximately 4 minutes. Breathing rapidly at first then transitioned to shallow breathing and dusky around mouth, body limp at this time. Ambu bag applied with oxygen. O2 sat 100%, patient started to become more responsive. Respirations improved, changed oxygen to blown by oxygen. EMS arrived. Patient more alert and transferred to ER.

Other Meds:

Current Illness:

ID: 1048874
Sex: M
Age: 86
State: IL

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: None were done as dad is on hospice. Per his wishes he remained at home.

Allergies: Lamictal

Symptoms: Approximately 30 minutes after receiving the vaccination dad had a seizure, and he continued having seizures for 24 hours. He developed a low grade fever of 99.4 for 24 hours. He was very ill for 8 days and has been continuing to recover slowly.

Other Meds: Keppra, Vimpat, Lorazepam, Citralopram

Current Illness: None

ID: 1048875
Sex: F
Age: 50
State:

Vax Date: 02/20/2021
Onset Date: 02/20/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies: demerol

Symptoms: Shooting pain down the arm to the finger-tips and up to the neck, cannot lift arm over head. Headache.

Other Meds: Amlodipine

Current Illness:

ID: 1048876
Sex: F
Age: 61
State: NJ

Vax Date: 01/28/2021
Onset Date: 01/30/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies: sulfa

Symptoms: nausea, vomiting, headache, tired, chills, pain in injection site

Other Meds: nausea, dizzy, tired

Current Illness: 2nd vaccine shot after 48 hrs I had a 5 hr event of nausea, vomiting, headache, tired which quickly went away

ID: 1048877
Sex: F
Age: 66
State: FL

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

Lab Data:

Allergies:

Symptoms: patient claimed that she developed arm pain that radiate to the nick and ear aches after 1 hour from receiving the first dose and pain still occuring 3 days after her first dose. patient denies any allergies. patient is taking synthroid for low thyroid level, lipitor for high cholestrol, and effexor for depression. patient was instructed to take over the counter medication ibuprofen or acetaminophen and to perfom cold compression to help with the pain symptoms,

Other Meds: synthroid for low thyroid level, lipitor for high cholestrol, and effexor for depression.

Current Illness:

ID: 1048878
Sex: M
Age: 70
State: TX

Vax Date: 02/21/2021
Onset Date: 02/22/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies: NO

Symptoms: Fever of 101.6 had chills, headache, dizziness . Just like when i had covid.

Other Meds: NO

Current Illness: NO

ID: 1048879
Sex: F
Age: 42
State: NJ

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: 2/19/2021 Ultrasound done at Hospital

Allergies: No known allergies to medications, food or products. Seasonal allergies to pollen.

Symptoms: Client stated that her right side burned and was painful on the evening of 2/16/2021. The pain continued and she went to Hospital on 2/19/2021 , and had an ultrasound. She was not admitted. She stated that they said her spleen was inflamed. She will go for follow-up at Dr.

Other Meds: Multivitamins

Current Illness: None

ID: 1048880
Sex: F
Age: 74
State: FL

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

Lab Data:

Allergies: LATEX

Symptoms: PT RETURNED TO FACILITY ON 2/23/2021 TO REPORT SYMPTOMS OF REDNESS, WARM TO TOUCH, AND SWELLING AT INJECTION SITE - LEFT DELTOID NOTIFIED PTS PRIMARY PHYSICIAN, SET UP APPOINTMENT FOR 1130 TODAY TO BE SEEN

Other Meds:

Current Illness:

ID: 1048881
Sex: F
Age: 80
State: PA

Vax Date: 02/03/2021
Onset Date: 02/21/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient received vaccine on 2/3/21. Developed headache, fever and red warm rash to injection site on 2/21/2021. Applied ice and took Tylenol. Symptoms starting to resolve today

Other Meds:

Current Illness:

Date Died: 02/12/2021

ID: 1048882
Sex: F
Age: 71
State: MA

Vax Date: 02/01/2021
Onset Date: 02/12/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies: Augmentin (hives)

Symptoms: Vaccine was administered 2/1/2021 at approximately 9am. Due to self reporting of allergic reaction (hives) to Augmentin, patient was monitored on site for 30 minutes. After the monitoring period, she was cleared to go with no issues reported at the time. We were later informed that the patient passed away from a pulmonary embolism on 2/12/2021.

Other Meds:

Current Illness:

ID: 1048883
Sex: M
Age: 64
State: GA

Vax Date: 01/05/2021
Onset Date: 01/10/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: rash on chest and back

Other Meds: losatain proastatain

Current Illness: none

ID: 1048884
Sex: F
Age: 24
State: VA

Vax Date: 02/14/2021
Onset Date: 02/22/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: N/A

Allergies: Sulfa allergy

Symptoms: One week from the vaccine there is a large red welt at the vaccine site. My arm is also very sore and itchy. It?s not serious enough to see a provider but I wanted to document any adverse reactions as the vaccine is still being rolled out.

Other Meds: N/A

Current Illness: N/A

ID: 1048885
Sex: F
Age: 52
State: MD

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 02/23/2021
Hospital: Y

Lab Data: Covid test (results negative),Monitored SVT 150-160 for 4 hours

Allergies: Morphine, Diltide, Vancomycin. Lisinopril, Turkey, Peanuts

Symptoms: I had light headedness,breaking out severe sweats, nausea and vomited (1). I was transported to ER with a 103.5 fever lasted for 10 days, Covid test, Epipen,swollen lymph nodes(right arm) painful,increased fatigue.During the 10 day period I had went to the ER again 5th day got tested for Covid and rechecked symptoms.

Other Meds: Coreg, Intresta, Trumesmeride?

Current Illness:

ID: 1048886
Sex: F
Age: 70
State: NJ

Vax Date: 02/15/2021
Onset Date: 02/16/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: None

Allergies: Berries, iodine, latex, ibuprofen, nuts, tomatoes, seafood

Symptoms: COVID-19 Moderna Vaccine Patient received 2nd dose of Moderna COVID-19 vaccine on 2/15/2021 and developed urticaria the next day. Patient has a history of multiple allergic reactions, came to ED for evaluation of generalized hives after vaccine. Patient denies angioedema, throat swelling, SOB, voice change, difficulty swallowing, fever, chills, chest pain, chest tightness, nausea or vomiting. Patient given famotidine 20 mg, hydroxyzine 50 mg and then discharged at 3:13 am on 2/16/2021

Other Meds: Vit C, Zinc, Empagliflozinm sitagliptin, levothyroxine, Vytorin

Current Illness:

ID: 1048887
Sex: F
Age: 31
State:

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

Lab Data:

Allergies:

Symptoms: Near syncope, dizziness, unresponsive to sternal rub. RRT called and transported to ER where she regained adequate mentation without intervention.

Other Meds:

Current Illness:

ID: 1048888
Sex: F
Age: 63
State: MN

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

Lab Data:

Allergies: Flagyl

Symptoms: Sore injection site

Other Meds: Synthroid Restasis Atorvistatin

Current Illness:

ID: 1048889
Sex: M
Age: 70
State: SC

Vax Date: 02/18/2021
Onset Date: 02/21/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies: dofetilide

Symptoms: Injection site slightly swollen and itchy

Other Meds: lasix,, eliquis, metoprolol, cymbalta, acyclovir, revlimid

Current Illness: none

ID: 1048890
Sex: F
Age: 78
State: AZ

Vax Date: 02/21/2021
Onset Date: 02/21/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: None.

Allergies: Aspirin, penicillin

Symptoms: approx 6:00pm, front of left leg from knee to ankle went numb. No pain , strange like it fell asleep. After approx 24 hrs later started getting feeling back. Today, 2/23 back to normal.

Other Meds: None

Current Illness: None

ID: 1048891
Sex: F
Age: 30
State: PA

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies:

Symptoms: started with red and swollen right arm at injection site and symptoms went away; and then redness came back. Pt describes rash as red area without swelling, has improve pain since shot at injection site Rash is located on the; right arm

Other Meds:

Current Illness:

ID: 1048892
Sex: F
Age: 42
State: FL

Vax Date: 02/19/2021
Onset Date: 02/21/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies: codeine/penicillin

Symptoms: Second vaccine 02/19/2021 1150, first vaccine 01/29/2021@1150; Headache, aching and vomited once

Other Meds: Vitamins

Current Illness:

ID: 1048893
Sex: M
Age: 52
State: PA

Vax Date: 01/25/2021
Onset Date: 02/01/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: No testing completed. He was seen by pain specialist and clinical diagnosis was made.

Allergies: Denies

Symptoms: Patient states he had pain at the injection site initially but no further issues immediately after vaccination. He states that approximately 7-10 days after vaccination he developed significant pain of L arm and weakness in radial nerve distribution. He was diagnosed with radial nerve neuropathy and began on treatment with Neurontin and NSAIDs. Symptoms have improved significantly but not yet fully resolved.

Other Meds: Denies

Current Illness: Denies

ID: 1048894
Sex: F
Age: 44
State: VA

Vax Date: 02/21/2021
Onset Date: 02/21/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: N/A

Allergies: avelox, gapapentin, gadavist, Sulfa, IV contrast - rash, contrat Singulair - diarrhea Codeine , vicodin- nausea Foods - not IgE mediated because testing negative but cannot peanuts / walnuts

Symptoms: patient had itching of hands My symptoms were were primarily mild itching in the palms and throat and a rash on my chest and hands (was wearing a jacket and mask). On an itching scale of 1 to 10, I told them 2 to 3. According to my nurse, the rash on my chest and hands seemed to peak around 15-20 minutes after (not crimson) and when I finally got to go to the bathroom at the one hour mark and check myself in the mirror

Other Meds: Zyrtec in am, Flonase Takes Zyrtec / Pepcid

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm