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: 1051473
Sex: F
Age: 67
State: OR

Vax Date: 10/05/2020
Onset Date:
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies:

Symptoms: can't move it very well / can not lift arm above shoulders / can't put arm behind back to touch back; Left arm has been sore; This case was reported by a pharmacist via call center representative and described the occurrence of injected limb mobility decreased in a 67-year-old female patient who received Herpes zoster (Shingrix) (batch number B4527, expiry date 2nd May 2022) and (batch number 954K5, expiry date 2nd May 2022) for prophylaxis. On 5th October 2020, the patient received the 1st dose of Shingrix. On 5th October 2020, the dose was an unknown dose. On an unknown date, less than 4 months after receiving Shingrix, the patient experienced injected limb mobility decreased and pain in arm. On an unknown date, the outcome of the injected limb mobility decreased and pain in arm were unknown. It was unknown if the reporter considered the injected limb mobility decreased and pain in arm to be related to Shingrix. Additional details were reported as follows: The patient's left arm had been sore and she could not move it very well. She could not lift arm above shoulders and could put arm behind back to touch back. The reporter stated that the patient was due for second dose of Shingrix. The reporter did not consent to follow-up.

Other Meds:

Current Illness:

ID: 1051474
Sex: F
Age:
State: IN

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Rash on most of her body; This case was reported by a physician and described the occurrence of generalized rash in a 82-year-old female patient who received Herpes zoster (Shingrix) for prophylaxis. Previously administered products included Shingrix with an associated reaction of no adverse event (received 1st dose on an unknown date). On 21st January 2021, the patient received the 2nd dose of Shingrix. On 22nd January 2021, 1 days after receiving Shingrix, the patient experienced generalized rash. On 22nd January 2021, the outcome of the generalized rash was recovered/resolved. It was unknown if the reporter considered the generalized rash to be related to Shingrix. Additional information was provided as follows: The age at vaccination was not reported, but it could be 81 or 82 year. The patient received 2nd dose and experienced a rash on most of her body. The rash was resolved within a day. The reporter consented to follow up. Note: The event onset date was captured as per the vaccination date, as the TTO should be 1 day (mentioned in the narrative).

Other Meds:

Current Illness:

ID: 1051475
Sex: M
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Acute disseminated encephalomyelitis (ADEM); Initial information was received on 11-Feb-2021 regarding an unsolicited valid serious case received from a consumer or non-health care professional via media. This case involves a male patient (exact age unknown) who experienced acute disseminated encephalomyelitis, while he received vaccine INFLUENZA VACCINE. The patient's past medical treatment(s), concomitant therapy, vaccination(s) and family history were not provided. It was unknown if the patient had any medical history, concomitant disease or risk factor. On an unknown date, the patient received a dose of suspect INFLUENZA VACCINE produced by unknown manufacturer (lot number and expiry date not reported) via an unknown route at an unknown administration site for prophylactic vaccination. On an unknown date, the patient developed serious acute disseminated encephalomyelitis (ADEM) (acute disseminated encephalomyelitis) (Unknown latency) following the administration of INFLUENZA VACCINE. This event was assessed as medically significant. It was unknown if the patient experienced any additional symptoms/events. Details of laboratory data were not reported. It was not reported if the patient received any corrective treatment. At the time of reporting, outcome of the event was unknown. Information on the batch number was requested. Medication details and reason for taking the medicine: Product name was not provided. Since this was a public comment it was assumed that the consumer was referring to the Sanofi flu vaccine.; Sender's Comments: This case involves a male-patient (exact age unknown) who experienced acute disseminated encephalomyelitis after vaccination with INFLUENZA VACCINE. The time to onset is unknown. Further information regarding medical history, concurrent condition during vaccination, previous vaccination and tolerance, allergic history, laboratory investigations excluding alternative etiologies for the reported event are needed to fully assess this case. Based upon the reported information, the role of the suspect vaccine cannot be assessed.

Other Meds:

Current Illness:

ID: 1051476
Sex: U
Age:
State:

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

Lab Data:

Allergies:

Symptoms: sick hours; Initial information was received on 16-Feb-2021 regarding an unsolicited valid serious case from a consumer or other non-professional via media. This case involves an adult patient (age and gender unspecified) who got sick hours (illness), after receiving INFLUENZAVACCINE. The patient had received first vaccination of INFLUENZA VACCINE in 1973 as past vaccination after which patient got sick and hospitalized. The patient had no other medical history, concomitant disease or risk factor. Past medical treatment, family history and concomitant medication were not reported. On an unknown date, in 1975, the patient received a second dose of suspect INFLUENZA VACCINE (produced by unknown manufacturer) [lot number, expiry date and other dosing details were not reported] for prophylactic vaccination. On an unknown date, the patient got sick hours (illness) (unknown latency) following the administration of INFLUENZA VACCINE. The patient was hospitalized for this event. It was unknown if the patient experienced any additional symptoms/events. There were no laboratory data/results available. It was not reported if the patient received any corrective treatment. At the time of reporting, event outcome was reported as unknown for illness. There will be no information available on the batch number for this case.; Sender's Comments: This was a poorly documented social media case involving an adult patient (age and gender unspecified) who experienced illness, after vaccination with INFLUENZAVACCINE. The time to onset is unknown with the role of the vaccine. With previous first vaccination with same vaccine patient had developed similar event in past. Further information regarding concurrent condition during vaccination, laboratory investigations excluding alternative etiologies for the reported event are needed to fully assess this case. Based upon the reported information, the role of the suspect vaccine cannot be assessed.

Other Meds:

Current Illness:

ID: 1051477
Sex: F
Age: 23
State: GA

Vax Date: 01/07/2021
Onset Date: 02/09/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies:

Symptoms: dosing schedule needs to be re-started due to deviation from vaccination schedule; Initial information received on 09-Feb-2021 regarding an unsolicited valid non-serious case received from a other health professional. This case involves a 23 year old female patient who was vaccinated with first and second dose of RABIES (HDC) VACCINE [IMOVAX RABIES] (lot N1L47 and expiry date 23 May 2021) via unknown route in unknown administration site for prophylactic vaccination, first dose on 07 Jan 2021, second dose on 14 Jan 2021 (inappropriate schedule of product administration). The medical history, medical treatment(s), concomitant medications and family history were not provided. It was a case of an actual medication error due to inappropriate schedule of product administration (latency unknown). Patient presenting for 3rd dose of IMOVAX for pre exposure. Caller reporting patient was at 33 days since first dose. Caller with question on whether dosing schedule needs to be re-started due to deviation from vaccination schedule. Additional Description of event Adverse events :RN with patient presenting for 3rd dose of IMOVAX for pre-exposure. Since first dose. 1st dose: 07Jan2021 2nd dose: 14Jan2021. At the time of report, no adverse event was reported. This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.

Other Meds:

Current Illness:

ID: 1051478
Sex: M
Age: 5
State: WV

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient received Adacel instead of Daptacel/no AE; Initial information regarding an unsolicited valid non-serious case was received from a Nurse via Medical Information (Reference number- 00468279, other: US-SANOFI-00468279 and SAC20210211000976). This case involves a five-year-old male patient who received a 0.5 mL dose (total, once) of DIPHTHERIA-2/TETANUS/5 AC PERTUSSIS VACCINE [ADACEL] (lot C5630AA, expiry date 21-Nov-2021) via intramuscular route at left arm instead of DIPHTHERIA-15/TETANUS/5 AC PERTUSSIS VACCINE [DAPTACEL] for prophylactic vaccination on 09-Feb-2021 (wrong product administered). Medical history, past medical treatment, past vaccination and family history were not provided. Concomitant medications included HEPATITIS A VACCINE and MEASLES VACCINE, MUMPS VACCINE, RUBELLA VACCINE (MMR VACCIN) for prophylactic vaccination. This was a case of actual medication error due to wrong vaccine administered (latency was on same day). At the time of report, no adverse event was reported. This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holders compliance with the requirements. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.

Other Meds: HEPATITIS A VACCINE; MMR VACCIN

Current Illness:

ID: 1051510
Sex: M
Age: 82
State: UT

Vax Date: 02/02/2021
Onset Date: 02/05/2021
Rec V Date: 02/24/2021
Hospital: Y

Lab Data: on 2/23 had elevated creatinine to 1.66. AST was 298, ALT was 87. Troponin was 0.08, second check was 0.07.

Allergies: none

Symptoms: Patient developed persistent fevers and weakness and loss of appetite that continued for about 3 weeks after getting the vaccine. There was a delay of about a day from getting the vaccine that he developed symptoms. He came to the hospital at today, 2/23/2021 because of the persistence of his symptoms. Vitals were stable and within normal range, but he had elevated creatinine to 1.66, unknown baseline. Troponin was also elevated to 0.08 without symptoms of ischemic heart disease. EKG was normal.

Other Meds: amlodipine atorvastatin xeljanz carvedilol valium folate indapamide irbesartan potassium tamsulosin ambien

Current Illness: none

ID: 1051511
Sex: F
Age: 72
State: FL

Vax Date: 02/15/2021
Onset Date: 02/16/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: None

Allergies: Erythromycin

Symptoms: The morning following the vaccination, I woke up with a fever of 100.6, damp nightgown and sheets, very mild chills, some stomach bloating , and severe muscle aches and pains throughout my body. I was also so fatigued that I could do nothing all day except lay on the couch or in bed. I felt better that night around 8 PM. The injection site was also swollen, red and painful for about 5-6 days. Today, it was itchy.

Other Meds: Prozac, Montelukast, Calcium, Vit. D3, Vit. E, Vit. C, Magnesium, Glucosamine Chondroitin, Zinc - all taken at 9:45 AM

Current Illness: None

ID: 1051512
Sex: F
Age: 61
State: MA

Vax Date: 02/15/2021
Onset Date: 02/23/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: None

Allergies: Penicillin, Amoxicillin, Erythromycin

Symptoms: Large itchy sore welt appeared on day 8 after first vaccine below the injection site. Looked like a hive at first. Applied hydrocortisone cream with relief. This rash is,still present 12 hours later. In morning had some fleeting jaw,pain too. Arm was,sore few days then no symptoms until today. Read about this on Google, seems to fit COVID arm.

Other Meds: Vitamin D 2000mg daily

Current Illness: None

ID: 1051513
Sex: F
Age: 36
State: TX

Vax Date: 02/22/2021
Onset Date: 02/23/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies: Nkda

Symptoms: Tingling in injection arm, numbness and tingling in lips

Other Meds: Carvedilol, Pristque, metformin

Current Illness:

ID: 1051514
Sex: F
Age: 54
State: CA

Vax Date: 02/22/2021
Onset Date: 02/23/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies: No.

Symptoms: Very sore arm at injection site, fatigue, brain fog, shivering, neck and shoulder pain, headache

Other Meds: Duloxetine Hydroxyzine Hydrochlorothiazide Atorvastatin Acetomenophin

Current Illness: No.

ID: 1051515
Sex: F
Age: 50
State: TX

Vax Date: 02/02/2021
Onset Date: 02/12/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: obtain from Ambulance co and hospital

Allergies: latex, ancef, avocado, apple, strawberry, veal, shellfish, wheat,

Symptoms: 10 days post 2nd Covid-19 Vaccine administration I had an anaphylactic response of unknown origin. Extremely itchy eyes, palms of hands, soles of feet, progressed to shortness of breath, Bradycardic, oxygen saturation in 80s even after administration of IM epinephrin, hypotensive, swollen face, neck and tongue, severe vomiting. EMS transported me to hospital mentioned above. IV started in ambulance where IV epinephrin, IV fluids, IV Benadryl, IV solumedrol were all given prior to arrival at the ER. ER then administered more steroids and anti nausea meds and sent me home after observation and stabilization with prescription for epi pen and prednisone.

Other Meds: NP Thyroid Wellbutrin Adderall

Current Illness: None

ID: 1051516
Sex: F
Age: 76
State:

Vax Date: 02/19/2021
Onset Date: 02/20/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies:

Symptoms: The day after sx developed; severe chills, some nausea, some body aches, headache. Rested all day and by the next day (day 2 after injection) I felt 95%. Took 2 Tylenol at bedtime on the day with the sx. No other OTC drugs. Did not contact my physician or felt the need to; really not bad sx.

Other Meds: lisinopril, hydrochlorthiazide, amlodipine, atorvastatin

Current Illness: none

ID: 1051517
Sex: F
Age: 25
State: CA

Vax Date: 02/22/2021
Onset Date: 02/23/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Psychosis, altered sense of reality, fear of attack, distrust of partner, lasting about 4 hours.

Other Meds: None

Current Illness: Mononucleosis, C. Diff

ID: 1051518
Sex: F
Age: 57
State: WA

Vax Date: 01/27/2021
Onset Date: 02/21/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies: Penicillin, augmentin, sulfa

Symptoms: Localized swelling, heat, redness and itching from day of vaccination to 2/21/2021. At that point swelling went down and a depression and possible muscle atrophy at same site. Localized tenderness persists.

Other Meds: Multi-vitamin, Flonase

Current Illness: None

ID: 1051519
Sex: F
Age: 63
State: CA

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/24/2021
Hospital: Y

Lab Data: None.

Allergies: None.

Symptoms: The injection was at 10:06am. At 10:07am felt nauseated and dizzy. Waited 15 minutes before proceeding home. At 10:31am throat began to close and tongue became swollen. Lips and gums were numb. Breathing became difficult as was swallowing. Rapid heartbeat. Called 911. Pt was taken to the hospital. Administered Benedryl and possibly a steroid. Stayed overnight in the hospital.

Other Meds: None.

Current Illness: None.

ID: 1051520
Sex: F
Age: 27
State: CO

Vax Date: 02/13/2021
Onset Date: 02/22/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: None

Allergies: Erythromycin

Symptoms: Around 2/19-2/20: mildly painful in upper left arm, not at the injection site but more in the region of my triceps. 2/21: slight itchiness in the same region described above 2/22: ~10 days after the 1st vaccine began having red lesions (2) on my left upper arm. Not at the injection site, but the back portion of my arm. Lesions started out painful, firm, red, risen, hot to the touch and pruritic. Lesions got much larger throughly the day and overnight.

Other Meds: SprinTec

Current Illness: None

ID: 1051521
Sex: F
Age: 84
State: CA

Vax Date: 02/08/2021
Onset Date: 02/21/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies: Penicillin, codeine

Symptoms: Redness, itching, hot

Other Meds: Celebrex, tramadol, gabapenton, amlodopine, atenalol, levothroxine,

Current Illness: Noneirregular

ID: 1051522
Sex: M
Age: 88
State: WI

Vax Date: 02/22/2021
Onset Date: 02/23/2021
Rec V Date: 02/24/2021
Hospital: Y

Lab Data: CT of head did not show any acute changes. POC chem 8 with elevated potassium at 5.6, SCr 1.5 (pt baseline 0.9-1.1), BUN 48. CBC wnl INR of 1.2 (pt is on apixaban for afib)

Allergies: mold

Symptoms: Patient brought to emergency department at 2210 with concern for stroke d/t left sided weakness. Upon arrival patient appeared to have seizure like activity and was given 2mg of ativan and keppra 1000mg. Patient remained able to converse with providers during episode. Seizure activity/muscle twitching resolved after ativan/keppra administration. At the time of filing this report the patient is being admitted to the hospital.

Other Meds: allopurinol, amantadine, apixaban, vitamin C, atorvastatin, flonase, folic acid, mucinex, atrovent, irbesartan, multivitamin, methotrexate, metoprolol, montelukast, vitamin E

Current Illness: n/a

ID: 1051523
Sex: F
Age: 71
State: IL

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Experienced Chest pain and dizziness shortly after the first vaccine shot, but did not last too long. Is this a normal side effect of the vaccine shot?

Other Meds:

Current Illness:

ID: 1051524
Sex: F
Age: 37
State: MS

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: None

Allergies: Nystatin Allergy

Symptoms: Rash on arm, Itchy, sore

Other Meds: None

Current Illness: None

ID: 1051525
Sex: M
Age: 44
State: CA

Vax Date: 01/28/2021
Onset Date: 02/05/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: N/A

Allergies: None

Symptoms: Redness, swelling, hard and hot to the touch at injection site. Showed up 8 days post vaccination and lasted for a couple of days. Treated with ibuprofen and ice. No medical treatment sought.

Other Meds: None

Current Illness: None

ID: 1051526
Sex: M
Age: 45
State: AZ

Vax Date: 02/22/2021
Onset Date: 02/22/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: cbc - wbc 10.4, hgb 14.3, plt 374 trop < 0.012 cmp - na 134, k 3.3, cl 101, co2 22, bun 10, creat 0.8 ekg - no ischemia cxr - negative for infiltrate

Allergies: None

Symptoms: Roughly 30 minutes after administration of vaccine patient endorsed weakness, dizziness and shortness of breath. His blood pressure and heart rate increased during the event. He was treated with epinephrine 0.3mg IM due to concern for anaphylaxis and transferred to the ER via EMS. In the ER his vitals were stable and he was observed in the ER for 3 hours, with improvement in his symptoms. During the course of his stay he was treated with Benadryl, dexamethasone and albuterol. He presented with no hives, pharyngeal edema, wheezing, hypoxia or nausea/vomiting/diarrhea.

Other Meds: Amlodipine Lisinopril Omeprazole

Current Illness: None

ID: 1051527
Sex: M
Age: 74
State: CA

Vax Date: 02/14/2021
Onset Date: 02/22/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Had the red splotch and itchiness around the injection site at 8 days after. Still there slightly, but not a big bother.

Other Meds: atorvastatin (10mg daily) alendronate (70mg weekly) aspirin (325mg daily) vitamin d (1000iu)

Current Illness: none

ID: 1051528
Sex: M
Age: 68
State: UT

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

Lab Data:

Allergies: None

Symptoms: Fever of 102 at 10:30 pm; chills; fatigue. I had C19? in early Nov 2020 and was in hospital from Nov 19-22, 2020

Other Meds: Atorvastatin

Current Illness: Within 12 hours of vaccination I had a temp of 102. I am chilling, fatigue and arm soreness

ID: 1051529
Sex: F
Age: 71
State: CA

Vax Date: 02/19/2021
Onset Date: 02/23/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Welts on same arm as injection site. I am told it is hives. Six welts are linear and 1/4 - 1 1/2 inch long.

Other Meds: Rosuvastatin 5 mg; Vitamin D3 50 mcg; Centrum Silver (women 50+)

Current Illness: None

ID: 1051530
Sex: F
Age: 43
State: HI

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

Lab Data:

Allergies: None

Symptoms: Symptoms of anxiety, hand and face skin tingling, and mild SOB began at 2:50 PM. Patient stated she had a history of anxiety. BP 132/94, Pulse 124, O2: 98% (measured with finger pulse oximeter). At 3:12 symptoms progressed to blue lips, cramping of hands, complaint of "weight on the chest", EMS was called. Pulse was 112, O2 was 98%. No rashes, swelling, or nausea noted. Had patient lie down on a yoga mat and helped her with anxiety reduction strategies, gave her sips of water. Transferred to EMS at 3:26 PM. Patient was evaluated, recovered, and released on-site.

Other Meds: None

Current Illness: None

ID: 1051531
Sex: F
Age: 68
State: WI

Vax Date: 02/19/2021
Onset Date: 02/21/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: None

Allergies: Sulfa Penicillin

Symptoms: Diarrhea for two days and some weakness from the diarrhea

Other Meds:

Current Illness: None

ID: 1051532
Sex: M
Age: 33
State: CA

Vax Date: 02/22/2021
Onset Date: 02/22/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Low grade fever. Normal body temperature is 97.6?F, 99.8?F twenty four hours after injection.

Other Meds: Biktarvy, D-amphetamine, and Vyvanse

Current Illness: Food-borne gastroenteritis

ID: 1051533
Sex: F
Age: 46
State:

Vax Date: 02/09/2021
Onset Date: 02/19/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies: PCN - 'peeling skin rash'

Symptoms: Uniformly erythematous, warm rash spreading from the site of the injection and distally down the arm; started 10 days after injection. Clinically consistent with cellulitis however non painful and occasionally pruritic so concerned for allergic component still.

Other Meds:

Current Illness: None

ID: 1051534
Sex: F
Age: 69
State: CO

Vax Date: 02/13/2021
Onset Date: 02/18/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: None.

Allergies: Lamisil

Symptoms: "COVID arm": about 5 or 6 days after receiving the injection, a rash appeared, with itching and minor swelling. This lasted 2-3 days.

Other Meds: cevimeline 30 mg, levothyroxine 75 mcg, cyclosporine eye drops

Current Illness: None

ID: 1051535
Sex: F
Age: 70
State: IL

Vax Date: 02/19/2021
Onset Date: 02/19/2021
Rec V Date: 02/24/2021
Hospital: Y

Lab Data: Multiple CT Scans & MRI Scans

Allergies:

Symptoms: My mother complained of a severe headache within 1 hour of receiving the injection. 18 hours later she was rushed to the the ER with a Hemorrhagic stroke. Hospitalized for 3.5 days, cognitive impairment remains, resulting in the need for rehabilitation therapy.

Other Meds:

Current Illness:

ID: 1051536
Sex: F
Age: 40
State:

Vax Date: 02/13/2021
Onset Date: 02/20/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies: Latex Penicillin

Symptoms: Day 7 minor itching at injection site. Day 8 mild to moderate itching with tenderness. Day 9 hot red patch along with itch and tenderness. Day 10 itch less while redness is bigger and tender. Red patch is really hot it melt the ice fast.

Other Meds:

Current Illness:

ID: 1051537
Sex: F
Age: 79
State: MI

Vax Date: 02/17/2021
Onset Date: 02/23/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: None

Allergies: Iodine and Atorvastatin

Symptoms: Moderna COVID-19 Vaccine EUA

Other Meds: Quinapril and Rosuvastatin

Current Illness: Diabetes

ID: 1051538
Sex: U
Age:
State: UT

Vax Date:
Onset Date:
Rec V Date: 02/24/2021
Hospital:

Lab Data: Blood pressure taken 2/22 & 2/23. Blood pressure remains elevated 2/23

Allergies:

Symptoms: Dizziness, Vasovagal episode almost 2 hours post vaccine. Heart palpitations followed by high blood pressure. Treated with IM dexamethasone 8mg & Verapamil 40mg.

Other Meds:

Current Illness:

ID: 1051539
Sex: F
Age: 25
State: HI

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

Lab Data:

Allergies:

Symptoms: Partial dose administered. Vaccine leaked from the needle hub. Magellan syringe. Re-vaccinated in opposite arm.

Other Meds:

Current Illness:

ID: 1051540
Sex: F
Age: 63
State: HI

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

Lab Data:

Allergies:

Symptoms: Partial dose administered. Vaccine leaked from the needle hub. Magellan syringe. Re-vaccinated in opposite arm.

Other Meds:

Current Illness:

ID: 1051541
Sex: M
Age: 68
State: CA

Vax Date: 02/05/2021
Onset Date: 02/20/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies: penicillin

Symptoms: Red Rash on Left Arm about 3" -4" around injection site. Treated with Cortisone

Other Meds: metformin avorstatin

Current Illness:

ID: 1051542
Sex: F
Age: 43
State: CA

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: Started medrol dosepak today. Schedule hearing test for March 10th

Allergies: Amoxicillin, sulfa, vancomycin

Symptoms: Chills, fever, severe headache started 13 hours after vaccine. Mild tinnitus started 36 hours after vaccine then continued getting worse. On day 13 after vaccine now and still have tinnitus and occasional pain/pressure in ears.

Other Meds: None

Current Illness: None

ID: 1051543
Sex: F
Age: 39
State: CA

Vax Date: 02/04/2021
Onset Date: 02/06/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: No labs just doctors visits

Allergies: Sulfa Antibiotics/cause diarrhea

Symptoms: 2 days after the vaccine I developed a rash around the injection site 2/6/2021. After three days the rash was gone without treatment. Then on 2/14/2021 I started feeling burning pain all over my neck and chest. It was slightly red that night. The next morning my chest, neck, and upper back had a red rash . My chest was the worst of it. Felt like a chemical burn . I went to the Doctor on 2/17/2021 and was told it was a delayed hypersensitivity reaction to the vaccine. I continued to take Benadryl, Zyrtec and was given Kenalog. On Sunday 2/21/2021 the pain was so pain and the rash was only getting worse and now on my face so I went to urgent care. There I was given a steroid ( prednisone) , derma smoothe and Pepcid. It has been 10 days and no improvement yet.

Other Meds: Zoloft , Topamax, Flonase , Norvasc

Current Illness: No

ID: 1051544
Sex: F
Age: 73
State: CA

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

Lab Data: Cat scan to rule out stroke on 2/3/21

Allergies:

Symptoms: Bell's palsy. Watery left eye, facial paralysis on left side of face. Numbness Treatment - one week of steroids and antivirals. Eye cream

Other Meds:

Current Illness:

ID: 1051545
Sex: M
Age: 26
State: TX

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

Lab Data:

Allergies:

Symptoms: Fever (101.0), Chills, Headache, Insomnia, Pain At Injection Site

Other Meds:

Current Illness:

ID: 1051546
Sex: F
Age: 28
State: MI

Vax Date: 02/21/2021
Onset Date: 02/22/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: None

Allergies: Minor shellfish allergy

Symptoms: Walking around house doing chores after working from 9-6 with 90 minute lunch break as a dental hygienist. Could feel left foot start to go numb and tingling and feel very cold. Took thin sock off foot, pinky toe was purple. Took pictures. Could not get foot to warm up with warm/hot compresses. Started having slight discomfort in lower back/butt with pain going down leg to toe within the hour. I believe this could be coincidence and have sciatic pain, but thought I should report just in case there are few other reported cases on this. Purple discoloration was gone when woke in morning on 2/23/2021 It is now 2/24/2021 and I am still having sciatic pain and numb pinky toe.

Other Meds: Took Tylenol 6-8 hours after vaccine due to severe headache. I did not take any medication prior to vaccine.

Current Illness: None

ID: 1051547
Sex: F
Age: 65
State: FL

Vax Date: 02/14/2021
Onset Date: 02/22/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: None

Allergies: Allergic to penicillin, antidepressants, and corticosteroids steroids

Symptoms: On Sunday afternoon/Monday? 7 to 8 days into the injections, I had severe large hot and swollen and hives/cellulitis? Left upper arm. Today is day 10 and it is still hot/itchy/swollen and hard to the touch.

Other Meds: Metformin, estrogen patch, vitamin B complex, Eye vitamin, Ibuprofen

Current Illness: None

ID: 1051548
Sex: F
Age: 57
State: HI

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

Lab Data:

Allergies:

Symptoms: Patient had swelling of the upper lip. No other symptoms - no difficulty breathing, patient talking fine. Vital signs were stable. Patient shared she was burping. Patient decline Epi-Pen. Patient then stated that she "felt something in her throat." Epi-Pen administered and 911 called. Patient transported by Ambulance to hospital. No reactions to vaccines in the past. Allergic to Sulfa, zithromax, Avlox, peanuts, seafood, all nuts, aspirin, ibuprofen. VS: 14:06 BP 152/98, P 95, Resp 10, breath sounds clear, alert. 14:22 BP 124/85, P 85, Resp 10, breath sounds clear, alert. 14:34 BP 130/90, P 85, Resp 13, breath sounds clear, alert. Temp 99.1 F

Other Meds:

Current Illness:

ID: 1051549
Sex: F
Age: 51
State: CA

Vax Date: 02/05/2021
Onset Date: 02/08/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Starting from 2/8-2/9 I noticed itchiness on both my arms and started scratching without thinking too much of it. A few days later I noticed quite a few spots on both arms but mostly on the one where I had my shot (I have pictures to show, if needed). The itchiness continues through now (2/23/2021) and it is almost painful. It also spread to some areas around the neck, upper back and chest. Is it possible that I developed a minor form of chicken pox? I had it already when I was a child. I am wondering: is there something I can use as a relief for the itchiness to help me avoid scratching. Can it be contagious? Could the second dose cause the same side effect? How long do I need to wait to do the Covid test? If given the opportunity, could I take the Covid test in between the two Shingrix doses? Anything else I should know? Thank you in advance for your response.

Other Meds: Vitamin B

Current Illness:

ID: 1051550
Sex: M
Age: 48
State: HI

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

Lab Data:

Allergies:

Symptoms: Partial dose administered. When removing the Magellan syringe, vaccine leaked out. When injecting and depressing plunger, the needle loosened from syringe and almost the entire dose leaked out. Patient re-vaccinated.

Other Meds:

Current Illness:

ID: 1051551
Sex: F
Age: 75
State: CA

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

Lab Data: None

Allergies: Shellfish

Symptoms: Itchiness, hives, facial swelling

Other Meds: Zyrtec ASA 81 Amlodipine

Current Illness: None

ID: 1051552
Sex: M
Age: 76
State: GA

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

Lab Data:

Allergies: None

Symptoms: Woke up with fever 99.8 took 2 Tylenol.

Other Meds: One baby aspirin on 02/17/2021

Current Illness: None

ID: 1051553
Sex: F
Age: 43
State:

Vax Date: 02/17/2021
Onset Date: 02/18/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies: no

Symptoms: Headache, fever, body aches, exhaustion

Other Meds: Vitamin D3

Current Illness: no

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm