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: 1051811
Sex: M
Age: 67
State: ND

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

Lab Data: NA

Allergies: NKDA

Symptoms: Pt c/o pain to left shoulder the evening after getting the injection. He was unable to lift his arm. Symptoms were worse the following day, which brought him to the urgent care clinic for evaluation.

Other Meds: multivitamin, levocetirizine, montelukast, omeprazole

Current Illness: NA

ID: 1051812
Sex: M
Age: 74
State: FL

Vax Date: 02/11/2021
Onset Date: 02/15/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: Advised that a topical antihistamine or analgesic would be ok to use.

Allergies:

Symptoms: Symptoms began aprox one week ago on 2/15/2021 described as a sharp neck pain lasting for aprox. for 2-3 minutes. Soon after, caller describes a puritic, warm, erythemic rash aprox 2 inches in diameter with mild swelling at injection site with continues symptoms thru today. C/o intermittent minor headaches; taking Tylenol. Denies chest pain, shortness of breath, difficulty breathing or any other symptoms.

Other Meds: eliquis bumex coreg eplerenone pravachol losartan OTC sinus med albuterol inhaler

Current Illness:

ID: 1051813
Sex: F
Age: 74
State: FL

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

Lab Data: None reported.

Allergies: None currently listed.

Symptoms: Weak, tired, cold, nausea, off balance, migraine headache, eye pain, blurry vision, foggy brain, face pain, trigeminal neuralgia, neck and face hot and red, sweating and shaking, threw up like acid, insomnia, frequent urination, diarrhea.

Other Meds: No records at this pharmacy.

Current Illness: No information available.

ID: 1051814
Sex: F
Age: 52
State: TX

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies: Shellfish, Vancomycin

Symptoms: I exp fatigue, arm soreness, body ache and flare of Psoriasis lasting 48 hours,

Other Meds: (medications being taken dint provide )

Current Illness: No

ID: 1051815
Sex: F
Age: 60
State: MD

Vax Date: 02/09/2021
Onset Date: 02/13/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: none

Allergies: unknown

Symptoms: 2/9: redness and blue color and pain around the shot site 2/13: fever 101F, body ache, headache, tiredness, - Tylenol every 5 hours 2/14: fever 99 F, body ache, headache, tiredness, hives on chest, stomach, back, arms, - Tylenol every 6 hours 2/15: no fever, hives fading out 2/16: tiredness, hives cleared up

Other Meds: Montelucast 10 mg Creon 3000UI / 5 ea/day ( due to Whipple surgery in 2019 - Finished chemotherapy Folfirinox on 2020 May) Super B complex Vitamin C 500 mg D 3 2000IU

Current Illness: none

ID: 1051816
Sex: M
Age: 38
State: TX

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

Lab Data: Denies

Allergies: Denies

Symptoms: Patient states on 2/23/2021 at about 0130 am , he began feeling " restless , body aches, and headache". Patient took some Excedrin at that time for headache. Sudden onset of pain to left kidney area as per patient , with chills and continued body aches. Denies urinary symptoms or hematuria. Onset of fever at about 5 am which was 99.7 temporal , at 1130 am patient stated his temperature was " 107.2 temporal" . Patient asked about high fever and states he was alert and oriented and repeated temperature at about 12pm and was 103 F. orally. Took 800mg of Motrin , called his PCM who instructed patient to go to Emergency Department. Stated his pulse on arrival to ER was 117 beats /minute , blood pressure was 101/55. States had a provider evaluation and was discharged from ER.

Other Meds: Excedrin

Current Illness: Denies

ID: 1051817
Sex: F
Age: 70
State:

Vax Date: 02/16/2021
Onset Date: 02/23/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies: Fragrance, some cleaning products ( Lysol, Clorox). Seasonal allergies, household dust. Night shade vegetables and whole wheat cause swelling of finger joints.

Symptoms: Rash on left arm about 2 inches itchy

Other Meds: Amlodipine 2mg at 8 am Multivit, calcium supplements, and fish oil capsule with breakfast at 10 a.m., green tea-ginger tea.

Current Illness: Traumatic knee bursitis since a month prior still in recovery. No medications taken. Referred to physical therap

ID: 1051818
Sex: M
Age: 17
State: AZ

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

Lab Data:

Allergies:

Symptoms: Patient received the 1st dose of Moderna on 1/22/2021; on 2/22/2021, the patient arrived for his 2nd dose and was admisitered the Pfizer vaccine.

Other Meds:

Current Illness:

ID: 1051819
Sex: F
Age: 80
State: AL

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

Lab Data: no

Allergies: Dust, indoor and outdoor allergies

Symptoms: pt stated that the day after the covid vax she had the dry heaves and body aches and pains. The second day she shaking and jerking, couldn't hold on to anything. Her blood pressure was up and down that day. She said she felt like she was dying and then she vomiting where she bruised both elbows on the toilet bowl due to the jerking movement she was experiencing. She took a nap and woke up confused. She was hallucinating saying she felt like she went from a small box to a blue box to red box and didnt recognize her room. Her sitter said her eyes were glazed but was able to recognize her sitter at that time. Blood pressure dropped so the sitter then called EMTs where they checked her out. Vital signs were good but she declined to be transported to the hospital via ambulance. The third day she was feeling some better where she was able to eat and get a sponge bath. Fourth day she was better so was able to shower. She states she is better now with just a little soreness and redness around the injection site. Pt has contacted her PCP and spoke with the nurse about her symptoms.

Other Meds: Gabapentin 600mg x 3 daily, decalin 10mg, pravastatin 40mg, amlodipine 5mg, fluoxetine 20mg x 2 daily, nadolol 40mg x 2 daily, lorazepam 1mg, hydrocodone x 2 daily, Nexium, Probiotic, B12, Caltrate 500+D3, Multivitamin, Prolia shot every 6

Current Illness: no

ID: 1051820
Sex: F
Age: 29
State: NC

Vax Date: 01/25/2021
Onset Date: 02/15/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies: Sulfur

Symptoms: Firs and Second dose done in left arm 2 days after second vaccine I had a fever and the top left of my mouth and teeth have been numb and I can?t feel anything. It?s the top 3 to 3 teeth and my gums that feel as if I was getting numbed at the dentist. It still hasn?t gone away I can?t feel my lip and my teeth hurt to chew anything and are sensitive to cold and hot and throbbing. I went to the dentist and they said it was fine. So I?m here reporting it and now I will be going to my PCP. Thank you

Other Meds: Remicade

Current Illness:

ID: 1051821
Sex: M
Age: 72
State: GA

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

Lab Data:

Allergies:

Symptoms: Patient tested positive for Covid at Dr's office on 2-1-2021

Other Meds:

Current Illness:

ID: 1051822
Sex: F
Age: 70
State: WA

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

Lab Data:

Allergies: None

Symptoms: Pt reports sudden onset of itchy palms. Pt denies any other symptoms. symptoms resolved with no treatment. PT denies Transport.

Other Meds:

Current Illness: None

ID: 1051823
Sex: F
Age: 72
State: FL

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

Lab Data:

Allergies:

Symptoms: 1st: 1/24/2021, 2nd: 2/21/2021 1st: 029L2019, 2nd: 039K20A Headache and dizziness with chills beginning last night around 1900. Took ibuprofen which seemed to help with symptoms. Denies chest pain, shortness of breath or difficulty breathing. No other complaints. Patient continues to have headaches and body aches, took Tylenol with some relief. Recommended to see primary provider if symptoms worsen.

Other Meds:

Current Illness:

ID: 1051824
Sex: F
Age: 50
State: FL

Vax Date: 02/09/2021
Onset Date: 02/13/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient got her COVID Vaccine on 2/9, on 2/13 she started having nausea, diarrhea, bad back pain, fever, chills, and a stuffy nose. Patient was on her way to the ED when we spoke 2/15. Patient was going to have them look at her because of her sx. Patient started with chills and diarrhea throughout the night. Fever went up to 100.2 seem to break a little with Tylenol. Still warm to the touch. Achy, diarrhea, nausea, headache, dizzy. Had 2nd shot Tuesday night 2/9 no apparent symptoms. Just tender at injection went away in 12 hours.

Other Meds:

Current Illness:

ID: 1051825
Sex: F
Age: 69
State: MA

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

Lab Data: EKG and lab work, chest x-ray and lab work in the ER which were all negative.

Allergies: Green dye, lots of household products and fragrances. Shellfish.

Symptoms: She got the vaccine which was fine, at the end of the 20 minute waiting period had a spot the size of a dime, really sore and pink. On her way home she started having bowel issues, got home and an hour to hour and half later got explosive diarrhea, which lasted 24 hours. The spot on her arm got larger, more tender and felt warm to touch. It got to be the size of a half softball size, no swelling. Then she started having trouble breathing, could not walk as far or fast without breathing problems. She then took it easy, and the breathing issues got worse for 36 hours. On Sunday her arm was better, less sore and the diarrhea had stopped. She then stopped improving and on Tuesday 2/16/21, she was told to go to the minute clinic on 2/18/21 and when she got there her pulse rate was 40, her oxygen level was 93, and her BP was elevated. The NP there she got her oxygen level up to 94, was real raspy in her lungs. She was sent to the UC and they sent her to the ER. She was seen in the ER and isolated her, did an EKG, had a chest x-ray, gave her breathing treatments, and waited on her results, which all came back fine. They gave her 150 mg of Prednisone, another breathing treatment and within 1 1/2 hours her oxygen level was up to 97 and all of her tests were negative and they sent her home. She has now been home since last Thursday with nebulizer treatments Ipratropium bromide and Albuteral sulfate 3 times a day, rescue inhaler 4 puffs every 6 hours, Advair twice a day as well. She does have a FU with her doctor tomorrow for recheck. She feels that she is almost back to normal.

Other Meds: Lisinopril, rescue inhaler as needed, Vitamin B, Vitamin D3, Vitamin C, Echinacea, CoQ10.

Current Illness: Typical asthma issues.

ID: 1051826
Sex: F
Age: 62
State: IL

Vax Date: 02/17/2021
Onset Date: 02/22/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: subsequent covid 19 PCR completed 2/22 - negative

Allergies: NKA

Symptoms: total loss of taste/smell for limited time period (several hours)

Other Meds: Norco; Morphine

Current Illness: chronic pain

ID: 1051827
Sex: F
Age: 66
State: IN

Vax Date: 12/21/2020
Onset Date: 12/21/2020
Rec V Date: 02/24/2021
Hospital:

Lab Data: none

Allergies: codeine, polymyxin

Symptoms: swelling of arm that injection was given in starting within a couple hours of vaccine. Patient waited a couple days before calling family physician. Was instructed to go to urgent care. Urgent care instructed patient to apply Benadryl cream, triamcinolone cream, and ibuprofen. Also instructed to use this same treatment for second dose if she opted into getting it. (urgent care said she could get the second, family doctor advised against it.)

Other Meds: alprazolam, calcium, vitamin d, escitalopram, ferrous sulfate, trelegy, combivent, midodrine, multivitamin, daliresp, rosuvastatin, duoneb.

Current Illness: other than chronic issues, none at the time

ID: 1051828
Sex: F
Age: 41
State: PA

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

Lab Data: none

Allergies: cinnamon

Symptoms: Large red circle around injection site, slightly hardened to the touch and itchy

Other Meds: Omeprazole 20mg

Current Illness: none

ID: 1051829
Sex: F
Age: 50
State:

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

Lab Data: none found as of this time

Allergies: Hydrocodone - itching Cipro - Chest pain Codeine - Rash Itching Anaprox - Nausea/vomiting penicillin - Rash Iodinated radiocontrast dye - Rash, itch Sulfa - rash/itching doxycycline - hives oxycodone - rash itching Amoxicillin - Hives Cefdinir - rash

Symptoms: Rash, erythema, and itching surrounding injection site - requiring emergency room visit plus steroid treatment course. Rash occurred two days after injection.

Other Meds: Fexofenadine, Anoro Ellipta, Dyazide, ibuprofen, duoneb, Flonase, Carafate, amitriptyline, Xanax, pantoprazole, diclofenac topical

Current Illness: Unknown

ID: 1051830
Sex: F
Age: 71
State: OK

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: None, pt declined

Allergies: Seasonal allergies only, except for a previous reaction to a shot she was taking as a child for seasonal allergies. One of the allergen shots gave her a severe reaction. She sts it was 60+ years ago and she is unsure of what is was that caused it.

Symptoms: Pt sts noting a slight tightness in her throat. It has been 23 minutes since her injection at the time that it was reported. She does not have tongue swelling, difficulty breathing, rash, itching, or any other symptoms, just a "slight throat tightness". Her vital signs were: HR of 71, BP 126/64, RR 16, Sats 100% on room air, AOX4. Pt declines all further treatment and evaluation. She declines ambulance. She declined to give PCP name and states she doesn't "want to get into all that." She has a benadryl tablet that she can take on the way home. She states her symptoms have not progressed and she feels "fine". She is encouraged to call 911 if her symptoms worsen and to follow up with her PCP.

Other Meds: Benazepril, esomeprazole, claritin, nasacort, Vit D3

Current Illness: None

ID: 1051831
Sex: F
Age: 54
State: PR

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

Lab Data: N/A

Allergies: UNKNOWN

Symptoms: Patient suffered a local left arm vaccine reaction with angioedema with myositis around 4% of the arm surface area and a syntomic reaction with fever, general malaise and severe orbital headaches after 12 hrs from the COVID vaccine administration 02/16/2021. The systemic symptoms lasted about 24 hrs. She was home in bed with treatments for her symptoms for 48 hrs. Patient left arm local symptoms are improving, but still with mild myositis and mild angioedema. She continue with PRN treatments for pain and inflammation. Currently stable on room air and fit for her duties. We will F/U as needed. Patient oriented.

Other Meds: UNKNOWN

Current Illness: HORMONAL THERAPY POST CANCER

ID: 1051832
Sex: F
Age: 67
State: NE

Vax Date: 02/12/2021
Onset Date: 02/23/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: I received my Covid-19 Moderna vaccine on February 12. Soon afterward, the pharmacy called and told me that they had accidently given me a double dose. They reported it to my primary care physician and both the pharmacy and my doctor stayed in close contact with me to monitor my health. I had the usual sore arm, a headache, and a little achy that evening, but nothing major. I noticed the next day that I had a hard lump about 3.5 inches below where my shot was given (not directly below, more toward the inside of my arm.) A small rash begin to develop, but after a few days the rash was gone, but the lump remained. Twelve days after my shot, the lump became very red and hot. The rash appeared again and basically moved up my arm. I kept putting a cortisone itch cream on it, but it was very uncomfortable. Two days after the rash appeared I became quite sick with what it felt like side effects ? chills that included violent shaking and temperature that reached 100.5. I had that for about 24 hours. Now the lump on my arm is gone, I no longer have rash, and my temperature is back to normal. I feel tired today, but probably because of the previous day?s temps and chills. I find it interesting that 2 weeks after my shot I would have those kind of reactions (unless this had nothing to do with the shot?) I thought you might want to have this data, as it is an interesting side effect. My doctor wasn?t sure how to explain it either. I would be interested to see if others that might have gotten an overdose of the shot experienced anything similar.

Other Meds: estradial patch - hormonal replacement hydrochlorothiazide - 25 mg

Current Illness: none

ID: 1051833
Sex: M
Age: 1
State: MI

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

Lab Data:

Allergies: NKDA

Symptoms: Adult dose Hep A vaccine given to pediatric patient. No know reaction at this time

Other Meds:

Current Illness:

ID: 1051834
Sex: F
Age: 39
State: WI

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

Lab Data: None

Allergies: Wasp venoms (& possible sensitivity to latex?)

Symptoms: 1 Welt/hive (redness, hot, itching, some raised area in center). Mild scratchy throat but unable to tell if from thirst from 45 min drive with no fluids or from vaccine. Observed for 30 min instead of standard 15. Given bottled water to drink. Released to work. Symptoms lasted about an hour from vaccination.

Other Meds: Duloxetine 120mg, Ibuprofen, Vit D, Fish oil, Multi Vit gummy

Current Illness: None

ID: 1051835
Sex: F
Age: 33
State: MA

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

Lab Data:

Allergies: nka

Symptoms: Pt complained of itching and warm feeling no sob or dizziness. Was evaluated by EMS, they recommended giving liquid benadryl 25mg. Pt vitals sign BP 132/78 R 20 P 78 o2 97%. PT reported feeling better after receiving the benadryl waited an additional 30 mins before leaving. Refused any other treatment.

Other Meds: None

Current Illness: None

ID: 1051836
Sex: F
Age: 62
State: MI

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

Lab Data: SEE ABOVE

Allergies:

Symptoms: Patient had generalized anxiety disorder after vaccination . Onsite EMS was called vitals BP 195/105 100% O2 room air HR 79. Patient Refused Evaluation/Care released against medical adive.

Other Meds:

Current Illness:

ID: 1051837
Sex: F
Age: 28
State: NM

Vax Date: 02/20/2021
Onset Date: 02/21/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies: Seasonal allergies

Symptoms: Hives on trunk of body that turned to welts. Later they spread to my face.

Other Meds: Vitamin d, vitamin B, iron, and multi vitamin

Current Illness: Recent colposcopy

ID: 1051838
Sex: F
Age: 37
State: TN

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

Lab Data:

Allergies:

Symptoms: Patient experienced severe dizziness when she woke up on 2/24/2021. The dizziness had lessened some when she called the pharmacy at around 9:20am. Recommended patient to call PCP to see if they wanted her to come in.

Other Meds:

Current Illness:

ID: 1051839
Sex: F
Age: 43
State: MD

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: No test done

Allergies: NO allergies

Symptoms: The area of my arm where the shot was administered became hot, swollen and red. This happened within 8 hours of shot. When I woke up the next morning, the site was raised and swollen more than the night before. It had the appearance of cellulitis. It was still hot to the touch. I marked the edges of the rash and it progressively got bigger over the course of 48 hours. I still have a mark on my arm where the rash was. I also had severe jaw and neck pain. I felt like my wisdom teeth were pulled with no lidocaine. I has boughts of nausea and was very tired. I tried to put ice on the area of my arm that was swollen, but it did not help.

Other Meds: Lysine, milk thislte, Ginger root, melatonin

Current Illness: None

ID: 1051840
Sex: F
Age: 17
State: CO

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies: None known

Symptoms: Fevers, can't move arm due to pain, nausea/vomiting, dizzy

Other Meds: N/A

Current Illness: N/A

ID: 1051841
Sex: M
Age: 67
State: OH

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: Direct and indirect ophthalmoscopy

Allergies: none

Symptoms: Sudden onset of brief, recurring flashing lights in left eye visual field for 2 hours, then sudden onset of ring shaped floater in same left eye on the afternoon of 02/13/2021; one day after receiving first Pfizer-BioNTech vaccine at the COVID vaccine clinic on 02/12/2021 . No further lightening flashes since the initial day of symptoms (02/13/2021). Floater has persisted. Seen by ophthalmologist on Monday 02/15/2021 confirming posterior vitreous detachment.

Other Meds: Wellbutrin, Cozaar, Crestor, aspirin, doxepin

Current Illness: none

ID: 1051842
Sex: F
Age: 55
State: NH

Vax Date: 02/09/2021
Onset Date: 02/12/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: none

Allergies: Flu Shot MRI Contrast Dye (starts with a G--?)

Symptoms: 3 days after vaccination I started to have intermittent localized "heat" sensation in right side of skull. It would only last for a short time, a minute or two, maybe a little longer and then disappear. It was an intense heat feeling but with no pain. I was sitting quietly doing a puzzle. Because of the weekend unable to contact Dr and on call Dr did not respond to my callback request. Monday 2/15/21 talked to Dr and he it's not a vaccine reaction and it'll go away. This continued occasionally for a few days until day 5 and 6 the heat sensation increased and duration of event was much longer, lasting most of the day with short time spans between episodes. Heat sensation moved from right side of skull to top of head and was very intense, having to use a icepack for some relief. Called Dr a second time and told me to wait it out and call him next week to report status. By day 7 there is a mild headache but intensity of the heat sensation in skull has decreased to milder and less frequent again. Day 13 symptoms were almost completely resolved but by 14/15 they have returned though milder than worst symptoms were. I called Dr's office on Friday 2/19 and they said to call back next week if symptoms do not get better will refer to nruology.

Other Meds: Flovent HFA 220 mcg Inhaler Ventolin HFA Inhaler Metoprolol Tartrate 25 mg Tablet Centrum Silver Multivitamin Tablet Tylenol 500 mg Slow Release Caplet V Magic Vulva Moisturizer Cream Nature Made Vitamin D3 supplement

Current Illness: Asthma, Fibromyalgia, SVT (Supraventricular Tachicardia)

ID: 1051843
Sex: M
Age: 65
State:

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

Lab Data:

Allergies:

Symptoms: Flushed and clammy; eleveated blood pressure; dizziness with rising

Other Meds:

Current Illness:

ID: 1051844
Sex: F
Age: 23
State:

Vax Date: 02/04/2021
Onset Date: 02/11/2021
Rec V Date: 02/24/2021
Hospital: Y

Lab Data: EBV IgG positive, IgM positive EBV CSF quant = 107 IU/mL

Allergies: seasonal allergies

Symptoms: Reactivation of EBV causing aseptic meningitis with recurrent fevers, bone marrow suppression, liver enzyme elevation

Other Meds: gabapentin, loratadine, ascorbic acid, cholecalciferol, omeprazole, oxybutynin XL

Current Illness:

ID: 1051845
Sex: F
Age: 26
State: GA

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

Lab Data: None

Allergies: Shellfish

Symptoms: Pt received Moderna COVID- 19 Vaccine at 8:30am and sent to observation lobby. Pt reports tingling and swelling symptoms of throat at 8:40. Pt was brought into exam room for further assessment. EMS called at 8:40 AM to further assess pt. Pt showing elevated BP and HR at 8:41. 0.3 mg of Epinephrine Auto-injector administered at 8:42. Pt reported immediate relief of symptoms. EMS arrived at 8:46 and began assessing. Pt refused transport to hospital. 25 mg Benadryl PO given at 8:45 AM. Pt report she is feeling fine and is okay to drive home. Pt left for home 9:00 AM. Pt called HD at 9:15 to report she arrived safely.

Other Meds: None

Current Illness: None

ID: 1051846
Sex: F
Age: 77
State: FL

Vax Date: 02/15/2021
Onset Date: 02/22/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: None

Allergies: Sulfonamide Antibiotics, lansoprazole, Oxycodone, Meloxicam, Tramadol, Percoset

Symptoms: Sounds like Covid Arm. Vaccine date : 2/15/21No treatment - just discovered it. pink arm with itch. Arm sore for 4 days

Other Meds: Zoloft, Prevident 5000 toothpaste, 81mg aspirin, 500 Tylenol, Calcium Citrate w/D, Refresh eye drops, fish Oil, , multi vitamin/mineral, Vitamin D3, Folic acid, glucosimine chodroitin, probiotic, psyllium fiber, polydextrose-xylitol, topi

Current Illness: Carpal Tunnel Sydrome

ID: 1051847
Sex: F
Age: 69
State: NJ

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

Lab Data: Unknown in acute care setting.

Allergies: Beestings

Symptoms: Patient waited 15 minutes after vaccine. Patient left building and started to c/o chills and 'felt like she was going to pass out' in vehicle. Patient complained of headache and 'labored breathing'. Brought back into building and placed on 0 2 via N/C. Ambulance called for transport to local ED. Epi given by EMS. Pulse ox 97 %. History of allergy to Bee Stings. PMH -diabetes. Patient provided Benadryl in ED, blood sugar elevated. held in ED for ~ approximately 4 hours and released to home.

Other Meds: Metformin and other unknown ?

Current Illness: Diabetes

ID: 1051848
Sex: F
Age: 70
State:

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

Lab Data:

Allergies:

Symptoms: 2 inch red, itchy spot on arm showed 8 days after vaccination. Fading on day 10 after vaccination

Other Meds:

Current Illness:

ID: 1051849
Sex: M
Age: 32
State: PR

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

Lab Data: NONE

Allergies: NO

Symptoms: SERVICE MEMBER HAD SYNCOPE EPISODE DUE TO MMR VACCINE ADMINSTERED AT FACILITY, HIT HIS NOSE NO BLEEDING. LOT S023656 EXP DATE 30 JUL 2021 LEFT ARM

Other Meds: UNKOWN

Current Illness: NONE

ID: 1051850
Sex: F
Age: 26
State: VA

Vax Date: 02/17/2021
Onset Date: 02/20/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: CMP was performed by nurse practitioner at clinic. All levels were normal.

Allergies: N/A

Symptoms: Orange-ish yellow color appeared on hands (color of iodine) was noticed on Saturday Night 2/20/21 and lump developed above left clavicle noticed Sunday Morning 2/21/21. No treatment was performed.

Other Meds: N/A

Current Illness: N/A

ID: 1051851
Sex: F
Age: 66
State:

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

Lab Data:

Allergies:

Symptoms: Elevated blood pressure: 140/90

Other Meds:

Current Illness:

ID: 1051852
Sex: F
Age: 76
State: NC

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

Lab Data: No

Allergies: Motrin Flagel

Symptoms: I had a sudden onset of diarrhea immediately after getting the vaccine. a couple hours later I had another onset of diarrhea. that evening I had chills so bad that I could not get warm. Left arm is sore and swollen but mobile.

Other Meds: Iron Calcium Aspirin Vitamin D3

Current Illness: No

ID: 1051853
Sex: F
Age: 72
State:

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

Lab Data:

Allergies:

Symptoms: high blood pressure and flushed; 152/90

Other Meds:

Current Illness:

ID: 1051854
Sex: F
Age: 67
State: IN

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

Lab Data:

Allergies: Lortab, Percocet, PCN; capsacin

Symptoms: Extreme dizziness; vertigo. Worse in the early part of day, lessens as day goes on.

Other Meds: lisinopril/hctz; glipizide; metformin; actos; amlodipine; duloxetine; keflex; gabapentin; euthyroxin;lovastatin; dicyclomine; CoQ10; D3; Fish oil; Calcium; Acetaminophen

Current Illness:

ID: 1051855
Sex: F
Age: 70
State: GA

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

Lab Data: None, did not need medical treatment.

Allergies: can't take codine, makes me vomit. I don't think that is an allergy, just an intolerance.

Symptoms: I woke up 2/22/2021 about 5:00 a.m. which is close to my normal time to get up. A little muscle soreness, a little tired feeling but not enough to keep me from my morning routine of going to church at 7:00 a.m. I got home around 8:00 am, muscles ache now, and tired feeling more pronounced. I took two Advil around 8:30 a.m.. but by 10:00 a.m. I had a low grade fever of 100.2. which subsided for a few hours, then returned late afternoon around 4:00 pm at 100.4 degrees. Tired and achy feeling continued the rest of 2/22/2021. Morning of 2/23/2021, did not get up at regular time nor go to church...general "washed out" feeling, muscle aches improved. Long nap in the afternoon and woke feeling better. Today, 2/24/2021 I am back to normal. Went to church, grocery store and plan on doing my 3 mile walk later today if it warms up enough!

Other Meds: Oxybutynin cl 5 mg 1 tablet daily Omeprazole DR 40 mg 1 capsule daily Aldendronate Sodium 70 mg 1 tablet once a week

Current Illness: None

ID: 1051856
Sex: U
Age:
State: GA

Vax Date: 12/24/2020
Onset Date: 12/24/2020
Rec V Date: 02/24/2021
Hospital:

Lab Data: None

Allergies:

Symptoms: Between 12/24/2020 and 2/8/2021, up to 81 individuals (staff and patients) may have received doses of the Moderna COVID-19 vaccine from vials that had been punctured >6 hours prior to administration. At the time, staff were unaware of this stipulation. On realizing the error, processes were shifted immediately and no further errors have occurred. All potentially affected individuals were contacted with the exception of 2 individuals who were unable to be reached despite repeated calls and voicemails. No adverse events were reported by anyone potentially affected. This has been reported and is being handled by their vaccine safety team.

Other Meds:

Current Illness:

ID: 1051857
Sex: F
Age: 50
State: DE

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: NA

Allergies: NA

Symptoms: Flu-like symptoms, chills, body aches 24 hours after dose; severe muscle pains in areas of body where prior injuries occurred 48-72 hours later; menstrual cycle started within 48 hours after dose received- 15 days earlier than scheduled; severe fatigue and continued joint and muscle pains 2 weeks after dose.

Other Meds: Valsartin, Benadryl, Flonase

Current Illness: NA

ID: 1051858
Sex: F
Age: 49
State: IN

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

Lab Data: Nona

Allergies: None

Symptoms: Bloody nose with nasal pressure and headache, burning and itchy eyes.

Other Meds: None

Current Illness: None

ID: 1051859
Sex: M
Age: 77
State: IL

Vax Date: 01/26/2021
Onset Date: 02/01/2021
Rec V Date: 02/24/2021
Hospital: Y

Lab Data:

Allergies:

Symptoms: Received 2nd dose of Moderna on 1/26/2021. Had a hospital visit 2/1/21-2/4/21 for anemia and colitis.

Other Meds:

Current Illness:

ID: 1051860
Sex: F
Age: 86
State: OH

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

Lab Data: None

Allergies: NKA

Symptoms: Rt arm is red and swollen in a 3 ? 3 area and hot to touch. This are is in front of site of shot. Received shot on 2/22/2021 and noticed reaction 2/23/2021 after second vaccine. Not sure to touch. Pain to lift arm first 24 hrs.

Other Meds: Synthroid, Amlodipine, baby aspirin, vitamin D, citracal, simvastatin

Current Illness: No

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm