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: 1049879
Sex: F
Age: 74
State: GA

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

Lab Data:

Allergies: Minocin tetracycline medicine

Symptoms: Headache first. Still off and on. Then fever. 101.4 around 5pm same day. 24 hours. Achy neck area. About 10 hrs later Arm redness still ongoing Tuesday 2-23-2021 large area .

Other Meds: lisinopril hctz. Pravastatin levothyroxine. Florstor probotic

Current Illness: None

ID: 1049880
Sex: F
Age: 85
State: AL

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

Lab Data:

Allergies:

Symptoms: About 12 hours after the receiving the vaccine, I started running a fever. I had mild body aches. That lasted about 36 hours. I had a lost of appetite. The next day (2/18/2021) my arm became swollen and itchy. As of today it slightly swollen, slightly red in color and itching occasionally around the injection site.

Other Meds: Fish Oil 100MG daily, Losartan 100 MG daily, Vitamin D3 1000 IU daily, Tum's 1000 MG daily, Baby Aspirin 81 MG daily, Magnesium 250 MG daily, Atenolol 25 MG daily,

Current Illness:

ID: 1049881
Sex: F
Age: 45
State: IA

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

Lab Data:

Allergies: Versed Haldol

Symptoms: The employee received her second COVID-19 Vaccine at 0744. At 820 she c/o dry mouth and a "funny feeling in her chest, but not pain." The employee was brought into the observation room and given 25mg of PO Benadryl. Her VS were 65-18-128/79-98%. Her lung sounds were clear. At 0825 Dr was notified and he came to the clinic. At 0831 the employee states that the chest feeling was improving, her lips and mouth were feeling better. 0910: 57-18-129/75-99% The employee states that she has had an allergic reaction to Versed and Haldol

Other Meds:

Current Illness:

ID: 1049882
Sex: F
Age: 33
State: NJ

Vax Date: 02/20/2021
Onset Date: 02/22/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Rash below injection site. Currently lasting 2+ days. Slight growth in size. Red, warm to touch, itchy, swollen.

Other Meds: None

Current Illness: None

ID: 1049883
Sex: F
Age: 78
State: AL

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

Lab Data: 2-23-2021 patient monitored by EMS with portable EKG

Allergies: Allergy to Sulfa

Symptoms: Patient,had received second dose of Moderna COVID vaccine and was waiting the 15 minutes post injection for observation. Patient reported that she felt her tongue swelling and had difficulty swallowing. Patient anxious, but in no respiratory distress. BP 130/72. Patient was instructed to take some slow deep breaths. Patient continued to c/o tongue feeling thick and she had hacking cough and c/o difficulty swallowing. Patient was given Epinephrine 0.3 auto injector to right thigh at 1:32 pm by RN. BP 150/92, P 90 R 20, Patient also given Diphenhydramine 50mg IM to left deltoid by RN, Supervisor. Patient remained alert and oriented. BP 176/92 at 1:37 pm. EMS arrived on site and monitored patient with EKG, Pulse oximeter, BP and pulse. Patient had some shaking. She remained alert and oriented. Patient refused transport by ambulance to ER. She did agree to go to ER by private car. Patient's husband resent and to transport patient by car to Medical Center. EMS followed patient to hospital. Confirmed that patient was taken to Medical Center ER, by RN.

Other Meds: Multivitamin Aspirin 81mg Probiotic

Current Illness: none

ID: 1049884
Sex: F
Age: 53
State: CA

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

Lab Data: None

Allergies: Tingling in lips, slightly numb tongue and had to clear throat.

Symptoms: Waited 30 minutes due to history in 2000 of allergic reaction to food. Shot received at 12pm, waited 30 minutes & returned to work. At1:30pm I experienced tingling sensation in lips, slightly numb tongue and had to clear throat, this lasted for about 1 hour. Next day I experienced sore arm & swollen right lymph node for 2 to 3 days

Other Meds: None

Current Illness: Covid 19 mild symptoms (headache, light headedness and light)nausea.

ID: 1049885
Sex: F
Age: 66
State: CO

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

Lab Data: none

Allergies: sulfa drugs

Symptoms: red patch 2" x 2" at edge of injection site; not itching : not raised; a little warm to the touch: no other symptoms, did not seek medical attention

Other Meds: unknown

Current Illness: unknown

ID: 1049886
Sex: F
Age: 72
State: CA

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

Lab Data:

Allergies: Levaquin [levofloxacin], Percocet [oxycodone-acetaminophen], Amoxicillin, Bactrim [sulfamethoxazole w-trimethoprim], Hydrocodone-acetaminophen, Keflex [cephalexin], Norco [apap-fd&c yellow #10 al lake-hydrocodone], Oxycodone, and Tramadol

Symptoms: Patient at Covid vaccine drive up clinic Patient with multiple medication allergies-confirmed with patient Allergies Allergen Reactions ? Levaquin [Levofloxacin] Hives ? Percocet [Oxycodone-Acetaminophen] Nausea and Vomiting ? Amoxicillin Nausea and Vomiting ? Bactrim [Sulfamethoxazole W-Trimethoprim] Other dizziness ? Hydrocodone-Acetaminophen Other ? Keflex [Cephalexin] Other Severe vertigo ? Norco [Apap-Fd&C Yellow #10 Al Lake-Hydrocodone] Nausea and Vomiting ? Oxycodone Nausea and Vomiting ? Tramadol Nausea and Vomiting patient reported tingling of face and lips after receiving vaccine @1630 States lips appeared more swollen then prior to vaccine Denies shortness of breath, wheeze, tongue/ throat swelling, chest pain, palpitation OBJECTIVE: Blood pressure :138/ 78 HR 77 Oxygen saturation 99% on room air Gen: sitting in car. No acute distress Eyes: Conjunctivae and sclera without injection/icterus and lids and lashes normal. Oropharynx moist and intact without lesions. HENT: Atraumatic. No facial droop. Minimal swelling of right upper lip without erythema. Oropharynx moist and intact without lesions. Neck: supple Pulm: No tachypnea, retractions or cyanosis. clear to auscultation bilaterally with symmetric air entry in all fields. Speaking in > 5 word sentences without difficulty. CV: regular rate and rhythm Psych: Speech fluent with normal volume, rate, and pitch alert and oriented x iii,pleasant affect/mood. Skin: Exposed areas warm,dry, without rash or jaundice ASSESSMENT/PLAN: 1. Tingling of face and lips 30 minutes after receiving Covid vaccine. No evidence of hypoxia or respiratory distress/ hemodynamic instability. Patient with history of multiple allergies to medications. Benadryl 25 mg orally x1 given @ 1640 Lot 201666 Exp 04/2023 Reassess in 15-20 minutes Addendum Reassessed at 1700 Patient reports increased swelling/tingling to lips and face right > left Denies shortness of breath, wheeze, difficulty swallowing , itching, hives Exam Gen: sitting in car- appears comfortable Eyes: Conjunctivae and sclera without injection/icterus and lids and lashes normal. HENT: Atraumatic. No facial droop -increased swelling to lips/ perioral right > left -mild erythema periorally -Oropharynx moist and intact without lesions. Neck: supple Pulm: No tachypnea, retractions or cyanosis. Speaking in > 5 word sentences without difficulty Psych: Speech fluent with normal volume, rate, and pitch alert and oriented x iii,pleasant affect/mood. Skin: Exposed areas warm,dry, without rash or jaundice ASSESSMENT/PLAN: 1. Increased edema and patient reports increased tingling of lips/ face ~ 60 minutes after receiving Covid vaccine. Not improved with benadryl 25 mg x1. Concerning for allergic reaction with history of multiple allergies. Urgent Care to continued monitoring and treatment Patient agrees Husband will transport via private care Urgent Care notified by clinic: Patient given EpiPen in case symptoms return. Instructed patient to go directly to the emergency department for any tongue swelling lip swelling trouble breathing or need to use of EpiPen. Patient is asymptomatic. Patient has additional Benadryl or will pick up from the pharmacy.

Other Meds:

Current Illness:

ID: 1049887
Sex: M
Age: 60
State: FL

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

Lab Data:

Allergies: No

Symptoms: Fever, muscle and joint pain, diarrhea, headache

Other Meds: No

Current Illness: None

ID: 1049888
Sex: F
Age: 66
State: NH

Vax Date: 02/18/2021
Onset Date: 02/19/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: no

Allergies: no

Symptoms: After vaccine she waited and was ok to leave. 11am she begin to feel cold and weak and went to bed, by noon she was so cold and couldn't get warm we put a heat blanket on her and around 2pm she started feeling nauseated and I gave her some nausea meds and Tylenol. It all lasted for 24 hours but the symptoms were identical to the virus she experienced.

Other Meds: Levothyroxine 25mcg, Losartan 50mg, Calafram HBR 10mg,

Current Illness: no

ID: 1049889
Sex: F
Age: 34
State: CA

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: no

Allergies: NSAIDS

Symptoms: About 15 minutes later - body felt like it was on fire; shortness of breath; heart rate was pounding very fast. I stayed in an observation room for about 3 hours. Next day, I couldn't feel my right arm. I started getting fever, chills. I had all symptoms of the coronavirus. Saturday at 03:00 am - I woke up and I couldn't feel my arm or my fingers on my right side. I called the Emergency number. I stayed home and took Tylenol. Couldn't feel my arm at all that Saturday - dead. Sunday - same thing. Monday morning, I woke up, I could feel a little bit of my fingers but I noticed that I had blisters full of blood between your index finger and your thumb. I didn't go to work that day. The doctor wrote me out of work for the rest of the week. I didn't have any sensation on my pinkie or ring finger. I had a little bit of sensation on the rest of my fingers. I stayed at home and I didn't do anything with my arm and it slowly started getting better. That whole week I was having symptoms that were just like coronavirus. They came and went. the following Saturday, I started being able to move my arm around and doing more stuff and slowly it came back but I'm not 100%. I can't lay on the right hand side too long - it starts feeling like my arm is asleep. I got the second dose February 12th. I spoke to an allergy doctor and an anesthesiology doctor (video and telephone visits) - they told me I was having common side affects that people were having from the vaccine but they didn't know why.

Other Meds: no

Current Illness: no

ID: 1049890
Sex: M
Age: 87
State:

Vax Date: 02/08/2021
Onset Date: 02/22/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Extemely sore left fore-arm muscles for a few hours, followed by fatigue and chills the next morning for about six hours

Other Meds: Benazepril, Eliquis

Current Illness: None

ID: 1049891
Sex: M
Age: 88
State: TN

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

Lab Data: NONE

Allergies: PENICILLIN

Symptoms: PATIENT RECEIVED FIRST MODERNA COVID VACCINE 1/18/21 AT PREMIER MEDICAL GROUP AND THEN SUBSEQUENTLY VISITED COUNTY HEALTH DEPARTMENT'S COVID VACCINATION SITE ON 1/26/21 AND RECEIVED A PFIZER COVID VACCINE. PATIENT THEN RETURNED TO MCHD ON 2/23/21 AND RECEIVED A SECOND DOSE OF PFIZER COVID VACCINE, RECEIVING A TOTAL OF 3 COVID VACCINATIONS WITHIN 5 WEEKS TIME.

Other Meds: UNK

Current Illness: UNK

ID: 1049892
Sex: M
Age: 69
State: CT

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

Lab Data:

Allergies: Penicillin

Symptoms: Patient was in to receive his second dose of the COVID vaccine. He reported no known issues after his first dose and remained in the pharmacy for the recommended 15 minute observation period following the vaccine without any problems. He reported to us today that around 45 minutes after having received the vaccine, he started to have a choking episode, something that he commonly experiences with his Parkinson's Disease, so he and his wife didn't think much of it. This seemed to evolve into nausea and dry heaves with excess mucus production that lasted for hours. Because of the duration, they decided to contact his insurance company's nurse line who recommended he go to the Emergency Department to rule out COVID and pneumonia He was admitted to the ED and ultimately found to be negative for both COVID and pneumonia, at which point they decided that his Parkinson's exacerbation might have been the result of having received the vaccine. He has since been discharged and is doing well.

Other Meds:

Current Illness:

ID: 1049893
Sex: F
Age: 65
State: CO

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

Lab Data: None

Allergies: Lisinopril (cough), Verapamil (rash), Metroprolol (tachycardia)

Symptoms: 2/18: Slightly sore arm. Awoke with headache. 1 hour later nausea began. Chills, temp which spiked at 102.4 degrees. Extreme fatigue. Slept 12 hours. 2/19: decreased headache, nausea, fever. Fatigue continued X 3 days.

Other Meds: Losartan, ASA, multivitamin, cetirizine, simethicone, activated charcoal, Vitamin D3, magnesium glycerinate, calcium chews, polyethelene glycol.

Current Illness: None

ID: 1049894
Sex: F
Age: 74
State: NE

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

Lab Data: n/a

Allergies: codeine

Symptoms: Approximately 20+ minutes after the vaccination , little twinges like electric points all over. Very mild and then they went away in about 8 minutes. After that light fatigue and slight headache. When woke up this a.m. just had a sore arm. Everything else is fine.

Other Meds: nothing AT the time of vaccination. 10:30 a.m. took morning dose of Synthroid, biotin, glucosine/condroitin, caltrate,

Current Illness: n/a

ID: 1049895
Sex: F
Age: 66
State: CA

Vax Date: 01/18/2021
Onset Date: 01/19/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: N/A

Allergies: Codeine

Symptoms: Very achy joints for 1 day, took tylenol

Other Meds: Levothyroxine, Lisinopril, Bupropion

Current Illness: N/A

ID: 1049896
Sex: F
Age: 16
State: WI

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

Lab Data:

Allergies:

Symptoms: Patient did not qualify for vaccine. She is 16 and she is a lifeguard.

Other Meds:

Current Illness:

ID: 1049897
Sex: F
Age: 67
State: IN

Vax Date: 02/08/2021
Onset Date: 02/19/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: mild arm soreness at the injection site (none with 1st shot) small unformed/ soft bowel movements for several days at end of second week after 2nd shot (similar but shorter/ day plus symptom after 1st shot)

Other Meds: Paroxetine prn Miralax prn

Current Illness: none

ID: 1049898
Sex: F
Age: 79
State: NC

Vax Date: 01/22/2021
Onset Date: 02/20/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data:

Allergies: Morphine, Levaquin, Valproic acid

Symptoms: allergic skin response with swelling and redness at the injection site and down the upper arm. fever, chills

Other Meds: Albuterol, Hydrocodone, Ambien, Atenolol, Paxil, Metformin

Current Illness: COPD, Diabetes

ID: 1049899
Sex: M
Age: 58
State: AR

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

Lab Data: none

Allergies: Patient stated no known allergies

Symptoms: Patient was to receive 2nd COVID 19 dose of vaccine today. Facility staff member instructed patient to receive dose after patient had refused initially. Patient verbally agreed. Vaccine was administered. Patient then reported that they had an additional Vaccination Record Card would we like to see it. The patient produced a card that had a dose record given. Upon looking into the records, patient was given a third dose of vaccine today as a result of facility confusion. Patient is doing well, no complaints at this time.

Other Meds: Unknown

Current Illness: Unknown

ID: 1049900
Sex: F
Age: 78
State: CA

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

Lab Data: unknown

Allergies: epinephrine, Iron Dextran

Symptoms: patient stated she had chest pain while in observation area, patient was alert and oriented, patient stated that she was nervous, emergency services were called and patient was taken to ED

Other Meds: unknown

Current Illness: unknown

ID: 1049901
Sex: F
Age: 35
State: MN

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

Lab Data:

Allergies:

Symptoms: patient was receiving 2nd dose of series, during the administration of dose, there was leakage from syringe and needle. Pharmacist proceeded to administer an additional dose without conversion with patient. Concerns regarding potential overdose.

Other Meds:

Current Illness:

ID: 1049902
Sex: F
Age: 17
State: VA

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

Lab Data:

Allergies:

Symptoms: Patient is 17yo here for COVID 19 Pfizer Vaccine; Within 15 minutes of the shot, she developed unresponsiveness. She has snoring, seizure disorders, OSA, hypertension, developmental delay, elective mutism. Her mother called us to the room Per mother , She was unresponsive, her lips were blue and she was pale She has had no recent seizure; compliant with Keppra She was very anxious prior to the vaccine. She was at baseline this am per mom prior to the shot.

Other Meds:

Current Illness:

ID: 1049903
Sex: M
Age: 39
State: CA

Vax Date: 01/29/2021
Onset Date: 02/19/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: No s

Allergies: None

Symptoms: Nurse/doctor hit blood vessel during vaccine injection. I bled afterwards but did not feel it. Immediately that evening I began to feel symptoms of fatigue. This grew into an overall feeling of sickness and 3 days later, I had major brain fog. This then developed into high anxiety. However after about day 6 I felt normal again. Then 20 days later, I am feeling the same symptoms again. My armpit is swollen and having brain fog and anxiety.

Other Meds: None

Current Illness: None

ID: 1049904
Sex: F
Age: 76
State: IA

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

Lab Data: No related testing done.

Allergies: Thioridazine (reaction: hives, tongue swelling), Prolia (reaction: facial swelling), donepezil (reaction: severe head pain).

Symptoms: This patient received dose one of Moderna covid19 vaccine on 2/10/21 at 110pm. At 330pm pt c/o sharp abdominal pain, nausea, vomiting, and diarrhea. She developed a rash to left deltoid area on 2/12/21. She continued to have these s/s. She was evaluated at Clinic by Dr on 2/16/21. He increased her Nexium to 40mg twice daily. Upon TC to patient on 2/23/21 she relates still having nausea, diarrhea, and occasional sharp abdominal pains.

Other Meds: prednisone 10 mg one tab po daily, triamterene/hydrochlorothiazide 37.5/25mg one po daily prn severe fluid in legs, esomeprazole 40mg one cap po bid, sertraline 50mg one po daily, levothyroxine 125mcg one po daily, docusate sodium 100mg one

Current Illness: No illness at time of vaccination or one month prior. Of note patient was confirmed to have Covid19 on 12/9/20 by PCR test.

ID: 1049905
Sex: F
Age: 80
State: OH

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

Lab Data: I cannot address this. Please contact the Emergency Department at the Hospital.

Allergies: aspirin, NSAIDS, morphine, dilaudid, tapes, cats, dogs, pollens, dust, scents, foods: almond family, squash family, bi-valves

Symptoms: Asthma attack began about 20 minutes after injection, with throat tightening, slight mouth swelling sensation and immediate wheezing which grew progressively worse. I had my inhalers (Levalbuterol and Flovent) with me, used Levalbuterol at the direction of medical people who surrounded me after I reported wheezing. They gave me a Benadryl, then brought a wheel chair and sent me directly to the ER. I was there about 3 hours during which I had a heart monitor, a "breathing treatment" by a respiratory therapist, and DUONEB, famotidine (PEPCID), and (DELTASONE). I was given a 3 day Rx for 20 mg. of prednisone, and released. My lungs felt "twitchy" the next day and my voice was muted, but was well otherwise. The only "normal" side effect I had was some soreness at the injection site for a couple of days, with some light sensitivity there for a few weeks.

Other Meds: Monte Lukast, Flonase, Preservision, multi-vitamins, Citra-Cal,, Malic Acid+Magnesium Levabuterol and Flovent as needed

Current Illness: None

ID: 1049906
Sex: F
Age: 71
State: DC

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: None

Allergies: Tylenol 3

Symptoms: The site where I received the shot is still giving me pain when I raise my arm. It has created a weakness or damage to my muscle perhaps.

Other Meds: Rovustatin, Vitamin D,Aleve when needed

Current Illness: None

ID: 1049907
Sex: F
Age: 17
State: VA

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

Lab Data:

Allergies: No known medication allergies, peanut/seafood/seasonal allergies

Symptoms: female here with mom mom multiple siblings for Covid vaccine. Within 30 minutes of the Covid vaccine patient had a vomiting episode. Pulse ox was 99. There is no labored respirations. She did not respond to commands but according to his sibling she does not always respond to commands. However when I took her hand to get her to squeeze my hand and gave it back to her she purposefully put it back on a CD which she was holding to her chest. Blood pressure was stable heart rate was approximately 130. The home care aide was not able to tell me whether or not this was her baseline. Her brother said that she does not does not answer questions depending on the day. However I am not sure he is the appropriate historian. She has a history of multiple medical issues including autism, quadriplegia, asthma, and food allergies. As such she was kept here for a full 30 minutes. At no time was there any color change. No labored breathing or wheezing on exam. There is a little bit of nystagmus and appeared to focus when questioned about how she was doing but without a verbal response. She will be transferred to the emergency room in stable condition emergency room has been notified.

Other Meds:

Current Illness:

ID: 1049908
Sex: M
Age: 80
State: FL

Vax Date: 01/12/2021
Onset Date: 02/03/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: Swab 2/4/21. Positive for covid

Allergies: None

Symptoms: Got COVID 3 Wk?s after 1st vacc

Other Meds: Elliquis , flrcnide, Lipitor, bp meds

Current Illness: None. Got COVID 3 weeks after first Madura shot

ID: 1049909
Sex: F
Age: 49
State: NY

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

Lab Data: no

Allergies: no

Symptoms: Employee received Moderna vaccine on 1/22/21 at 1:30 pm and later that day at about 5:00 pm she started having severe pain to her left leg and for three days she was dragging her left foot when walking. Today (2/23/2021) employee still have moderate pain to her left leg.

Other Meds: no

Current Illness: no

ID: 1049910
Sex: M
Age: 60
State: CA

Vax Date: 01/01/2021
Onset Date: 01/07/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Initially all joints (neck, shoulders, elbows wrists, etc) ached and stiff. Moved to Tendonitis/Arthritis wrists, hands, fingers and Left patellar knee tendon. SLOWLY improved but did not leave, despite treatment with Aleve, until 2nd vaccine 2/5/2021. Then, same symptoms worsened and included BOT patellar tendons, nd plantar tendons. Continues to present and are very painful at night, despite 2 Aleve BID daily, and cannot make fist or extend fingers on both hands and cannot walk on feet without pain at MTP's. Discussed with orthopedic surgeon who assured me that I was having "an immune reaction in tendons to vaccine. It should get better over time". It has not at present.

Other Meds: Albuterol, Aleve, Vitamin D, Antihistamine

Current Illness: none

ID: 1049911
Sex: M
Age: 60
State: IL

Vax Date: 01/28/2021
Onset Date: 02/22/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: See above. Pt was started on valacyclovir 1G TID x 7 days. Pt was advised to delay 2nd covid shot by 1-2 weeks.

Allergies: NKDA

Symptoms: Pt developed R arm rash concerning for herpes simplex vs herpes zoster, culture pending.

Other Meds:

Current Illness: None

ID: 1049912
Sex: F
Age: 76
State: WI

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

Lab Data: N/A

Allergies: N/A

Symptoms: Patient received the Moderna vaccine as second dose in vaccine series, but first dose was utilizing the Pfizer COVID vaccine. No specific adverse events have occurred, but given that a vaccine administration error occurred, I am submitting a VAERS report.

Other Meds: Alprazolam, amlodipine, aspirin, atorvastatin, carvedilol, estradiol, losartan, multivitamin, tolterodine

Current Illness: N/A

ID: 1049913
Sex: M
Age: 76
State: VA

Vax Date: 02/08/2021
Onset Date: 02/13/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: 2/15/2021 - Urgent Care - Cellulitis: medication Cephalexin

Allergies: None

Symptoms: COVID Arm: Redness, swelling, ichyness

Other Meds: None

Current Illness: None

ID: 1049914
Sex: M
Age: 85
State: MT

Vax Date: 02/05/2021
Onset Date: 02/13/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Symptoms started approximately 1 week after vaccination, symptoms include fatigue, shortness of breath, water retention, swelling in feet and lower legs, high blood pressure, cough.

Other Meds: Baby aspirin, Spironolactone, Carvedilol, Clopidogrel, Pantoprazole, Tylenol, Super B Complex, Vitamin D3

Current Illness: None

ID: 1049915
Sex: F
Age: 39
State: TN

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

Lab Data: TELEDOC DIRECTED ME TO THE WALKIN . CBC W/SLIGHTLY ELEVATED WBC, BUT OTHERWISE NORMAL. NEGATIVE COVID BY PCR, NEGATIVE FLU, NEGATIVE UTI, CLEAR LUNG XRAY, RECOMMENDED BLOOD CULTURE, BUT URGENT CARE AND PRIMARY CARE WAS UNABLE TO ORDER. INFECTION DISEASE NOTIFIED FOR CONSULT 2 WEEKS AGO, HAVE NOT BEEN ABLE TO SPEAK WITH ANYONE YET. THE OFFICE SAID IT COULD BE ANOTHER MONTH BEFORE I CAN BE SEEN, BUT WITHOUT MY REMICADE THAT I CANNOT RECEIVE WITH A FEVER, I'M EXPERIENCING INFLAMATION IN MY EYE, JOINTS, ETC. FEVER STILL NOT RESOLVED, CANNOT RECEIVE OR NOT SURE IF I SHOULD RECIVED 2ND MODERNA VACCINE.

Allergies: NONE

Symptoms: FEVER BEGAN 1/23, THE DAY FOLLOWING FIRST MODERNA INJECTION. I'VE HAD A FEVER BETWEEN 99-102.8 EVERY DAY SINCE THE VACCINE ALONG WITH A CONSTANT HEADACHE AND GENERALLY DON'T FEEL WELL. I'M EXPERIENCING LETHARGY AND BRAIN FOG. ALSO HAD A RASH SHOW UP ON MY CHEST - WARM TO TOUCH, BUT HAS SINCE RESOLVED. STILL FEELING QUITE UNWELL AND NONE OF MY DOCTORS KNOW WHAT TO DO. ADVISED TO HOLD OFF ON REMICADE INFUSIONS FOR MY AUTOIMMUNE CONDITIONS AND HOLD OFF ON 2ND DOSE MODERNA, ORIGINALLY SCHEDULED FOR 2/19 AT THE SAME LOCATION.

Other Meds: REMICADE INFUSION 400MG x6WEEKS ALPRAZOLAM 0.5 PRN AMLODIPINE 5MG ZEBETA 10MG WELLBUTRIN XL 150MG LISINOPRIL ZOLOFT 50MG

Current Illness: NO

ID: 1049916
Sex: F
Age: 45
State: CA

Vax Date: 02/23/2001
Onset Date: 02/23/2001
Rec V Date: 02/23/2021
Hospital:

Lab Data: None

Allergies: nkdaun

Symptoms: Mistakenly gave Moderna vaccine for 2nd dose after receiving Pfizer vaccine as 1st dose

Other Meds: unknown

Current Illness: none known

ID: 1049917
Sex: F
Age: 75
State: CA

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

Lab Data: None. Patient examined by MD, given Cetirizine 10mg PO, and experienced resolution of symptoms

Allergies: HydrocodoneNausea/Vomiting Aspirin Ciprofloxacin Keflex [Cephalexin] Salicylic Acid

Symptoms: Sensation of swelling in throat and difficulty swallowing

Other Meds: Clobetasol (OLUX) 0.05 % Top Foam Levothyroxine (LEVOTHROID/SYNTHROID) 88 mcg Oral Tab Fluorouracil (EFUDEX) 5 % Top Crea Albuterol (Ventolin HFA) 90 mcg/actuation Inhl HFAA EPINEPHrine (ADRENACLICK/EPIPEN) 0.3 mg/0.3 mL Inj AutoInj

Current Illness: None

ID: 1049918
Sex: M
Age: 43
State: MA

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

Lab Data:

Allergies:

Symptoms: Patient states he had a typical reaction the day of the vaccine (low fever, chills, aches, injection site pain) and when to bed earlier than usual because he was tired. He didn't sleep well, and this morning his sleep app indicated his heart rate during the night was between 100-110. After noticing his heart rate was between 130-140, he called the clinic and was told to go to the ER. Hospital ER administered several tests and did blood work. The MD's determined his heart was fine and it is likely vaccine related. He is home again and is feeling better (no chills, etc.) and his resting heart rate is now in the low-90's.

Other Meds:

Current Illness:

ID: 1049919
Sex: F
Age: 58
State: NJ

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

Lab Data:

Allergies: sulfa, kiwi, almond

Symptoms: Just a few hours after the vaccine was administered, my upper arm became swollen. I gradually became more fatigued, lost my appetite for food, and the left armpit lymph nodes began swelling. Then I started having chills and sweats. This lasted for approximately 2 and a half days. On day three, the fever broke, and all adverse side effects slowly began to reverse. On day four, theupper arm and lymph nodes were still slightly swollen, but no longer bothered me.

Other Meds: Calcium and Vitamin D supplements

Current Illness: none

ID: 1049920
Sex: F
Age: 35
State: NC

Vax Date: 12/23/2020
Onset Date: 01/05/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: haven't been seen by my doctor yet

Allergies: fresh fruit, bleach to touch, raw potatoes to touch

Symptoms: about a 1.5 weeks after first dose, I noticed my left hand felt swollen but didn't look swollen. I felt joint pain in my body but mostly my finger joints and wrist. Left hand strength had become weak and couldn't put any weight in it or grip. After 12 hrs the swollen feeling went away. The next day I noticed my index finger on left hand was very swollen but my hand didn't feel swollen like the day before. 2 days later I noticed my middle finger on the left hand was swollen. After 12 hours, the swelling is gone. The next week I notice my middle finger on the right hand was swollen. My hands are unable to make a fist when swollen feeling. Now both of my hands are swollen. A hot shower helps and sometime Motrin.

Other Meds: none

Current Illness: none

ID: 1049921
Sex: F
Age: 57
State: TX

Vax Date: 02/05/2021
Onset Date: 02/21/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: none

Allergies: Naproxin

Symptoms: on 2/21/2021, I noticed vaccination site was slightly sore again like it had been in days after receiving vaccine and felt a little firm. On 2/22 I felt a slight discomfort and looked at my arm, discovering redness. It looked like a welt approximately 2 inches in height by about 5 inches in length, from the injections site to the inside of my arm. today, on 2/23/2021, I can see that the welt is about 4 inches in height and about 6 inches in width from the inside of my arm to just past the injections site. The welt is not raised, nor does it have any signs of rash. It is just pink. The lower part of my arm below the elbow is 97.2 degrees and the pink area is 97.5 degrees, with an temperature gun.

Other Meds: Metformin, Glimeperide, Omeprazole, Hydroclorithyazide,

Current Illness: none

ID: 1049922
Sex: F
Age: 36
State: IA

Vax Date: 12/28/2020
Onset Date: 01/05/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: None

Allergies: Sulfa medications; Shellfish

Symptoms: Right arm was red and sore at injection site after dose given. This lasted for a few days just as it happens with other immunizations in the past. The area improved significantly. On day 8 the site got red, warm to touch, shiny, and skin tight, and very sore. It was very itchy.

Other Meds: Bupropion; Escitalopram; Vitamin D; Multiple vitamin; Ibuprofen, Acetaminophen

Current Illness: None

ID: 1049923
Sex: F
Age: 47
State: GA

Vax Date: 12/20/2020
Onset Date: 02/03/2021
Rec V Date: 02/23/2021
Hospital: Y

Lab Data: 2/9-EKG,Echocardiogram,CT Chest, bloodwork 2/16-EKG,CT Chest, bloodwork 2/22 -EKG,lab work

Allergies: Sulfa,ASA,Aleve,HCTZ

Symptoms: Tachycardia,fever,malaise,fatiuge,headache,congestion, inflamed thyroid

Other Meds: Allegra,Singulair,Nexium,Lisinopril,Nifedepine,Effexor,Amitriptyline,Exemestane,Restasis,Azelastine

Current Illness: None

ID: 1049924
Sex: F
Age: 60
State: MI

Vax Date: 01/24/2021
Onset Date: 01/27/2021
Rec V Date: 02/23/2021
Hospital: Y

Lab Data: creatinine (0.80 on 1/27), hsTnT 26 1/27, blood urea 25 1/27, pCO2 33 1/27, pH 7.48 1/27, CT neg for PE 1/27, cxr + bilateral pneumonia 1/27, bronchoscopy normal 1/28. Pt receiving CBC and CMP daily, chest xray + pleural-based abnormal density 1/30. pleural stent on 1/29, left thoracentesis 2/1, bronchoscopy + for persistent narrowing and necrotic appearing secretions with BI 2/12,

Allergies: reclast, crestor, codeine, norco, oxycodone, tramadol, vicodin

Symptoms: presented 1/27 to ED with rigors, dyspnea chest pain and R ear pain post COVID vaccine, thought to initially be systemic SEs from the vaccine but found to have re-collapse of the BI on chest CT with probable post obstructive pneumonia. still admitted as of 2/23/2021

Other Meds: prograf, prednisone, valcyte, singulair, muran, lexapro,

Current Illness:

ID: 1049925
Sex: M
Age: 34
State: CO

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

Lab Data:

Allergies: NA

Symptoms: headache, fever (presumed), extreme chills, extreme dizziness, extreme body aches. Worst of this was over by mid-day the following day. Chills, dizziness, and body aches continued mildly through Sunday. I also passed out/blacked out the night of getting the vaccine while using the bathroom. Unclear if this was simply due to standing too quickly while experiencing the above mentioned symptoms and blood rushing to my head or a true side effect of the vaccine.

Other Meds: NA

Current Illness: NA

ID: 1049926
Sex: F
Age: 52
State: NY

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

Lab Data: Heart

Allergies: None

Symptoms: Tachycardia/high blood pressure hours after vaccine admitted to hospital.

Other Meds: Metapropol

Current Illness: No

ID: 1049927
Sex: M
Age: 73
State: CA

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

Lab Data:

Allergies:

Symptoms: Patient had received first dose of Pfizer vaccine. Received 2nd dose with Moderna vaccine today by mistake.

Other Meds:

Current Illness:

ID: 1049928
Sex: M
Age: 63
State: AL

Vax Date: 02/10/2021
Onset Date: 02/16/2021
Rec V Date: 02/23/2021
Hospital:

Lab Data: no

Allergies: no

Symptoms: It like I was Burn bad on my shoulder . start like a fluid buildup

Other Meds: no

Current Illness: no

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm