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: 1051911
Sex: F
Age: 64
State: PA

Vax Date: 01/14/2021
Onset Date: 02/07/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: Blood work and MRI

Allergies: None

Symptoms: Moderna COVID-19 Vaccine: 02/07/2021 Total loss of hearing in right ear and diminished sense of taste. 02/10/2021 Hearing test and prednisone 60mg for 10 days. 02/19/2021: Hearing test Hearing did not improve, but further declined. Blood work, steroid injection into middle ear 02/26/2021: MRI, hearing test

Other Meds: Keflex, Synthroid, Protonix, Zoloft. Vit B complex, Aspirin 325 mg, Red Yeast Rice, Fiber, Tums

Current Illness: None

ID: 1051912
Sex: F
Age: 68
State: GA

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

Lab Data: none; sharing for science

Allergies: sulfa drugs

Symptoms: Chills at 1:00 am with fever of 101.3; severe headache, nausea, fatigue for the next 3 days.

Other Meds: synthroid mulit vitamin calcium & vit D3 biotin

Current Illness: none

ID: 1051913
Sex: F
Age: 68
State: FL

Vax Date: 02/18/2021
Onset Date: 02/19/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies: Allergic to some antibiotics

Symptoms: Moderna covid-19 vaccine EUA Flu symptoms - Fever, chills, aches, nausea, headaches - mild fever started first day, more and other symptoms started second day 2/20 - Rash on neck, pinkness and swelling on left arm below injection site

Other Meds: Crestor, synthroid, plavix, zyrtec, vitamins and calcium

Current Illness:

ID: 1051914
Sex: M
Age: 82
State: OH

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

Lab Data:

Allergies: none

Symptoms: Fever of 102.1, stiff, unresponsive

Other Meds: Eliquis, pravastatin, glycopyrrolate

Current Illness: none

ID: 1051915
Sex: F
Age: 59
State: NC

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

Lab Data: none

Allergies: PCN Sulfa

Symptoms: Difficulty walking, weakness and joint pain, extreme involuntary movement of right leg, burning sensation in all joints, extreme pain in right hip joint.

Other Meds: Amovig sq monthly

Current Illness: none

ID: 1051916
Sex: F
Age: 52
State: VA

Vax Date: 01/21/2021
Onset Date: 01/23/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: Increased Heart Rate, Shortness of Breath, Tinnitus and Rash - chest and trunk area. Started Saturday night. Took a Claritin (did not have Benadryl). Rash went away. SOB lasted off and on for several days. Heart rate was off when I was working out for a couple of weeks. I work out so we wear heart rate monitors. Heart rate did not recover as quickly as normal during my workouts. Took a couple of weeks for this to get back to normal for me. Just really felt "off" for awhile and not like myself. Did not feel comfortable getting second shot because of the above symptoms.

Other Meds: Levoxyl

Current Illness: None

ID: 1051917
Sex: F
Age: 27
State: AR

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

Lab Data:

Allergies: No

Symptoms: Swollen lymph node and itching

Other Meds: Birth Control Vit D

Current Illness: Endometriosis

ID: 1051918
Sex: M
Age: 65
State: CA

Vax Date: 01/21/2021
Onset Date: 01/25/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: Negative COVID and flu tests

Allergies: Sulfa, Penicillin

Symptoms: nausea, body aches, chills, sinus issues

Other Meds: Ondansetron, Azelastine, Rosuvastatin, Tamsulosin, Metformin, Pioglitazone

Current Illness: None

ID: 1051919
Sex: M
Age: 36
State: MA

Vax Date: 01/12/2021
Onset Date: 01/14/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: Hepatic Function Panel---Normal Basic Metabolic Panel---Normal CBC W/Auto Diff---Normal

Allergies: N/A

Symptoms: Had red blotches on left upper thigh and both left and right ankle. They were raised and warm and also itchy. Also flared up my psoriatic arthritis into a full blown attack where I was on prednisone for almost a month and was out of work for a month.

Other Meds: Embrel Flovent Albuterol

Current Illness: N/A

ID: 1051920
Sex: M
Age: 78
State: FL

Vax Date: 02/05/2021
Onset Date: 02/07/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: None.

Allergies: Chlorine

Symptoms: He got the vaccine, 2 days later patient stated that he had a full body red, itching rash. He went to the ER where they prescribed Famotadine, hydroxyzine and Prednisone for next 5 days. When the allergy clinic saw the patient on 2/16/21, the rash was already gone. He has subsequently recovered completely. He informed the allergy clinic that he tried to see his PCP but they referred him to the ER.

Other Meds: Desmopressin acetate spray, rosuvastatin, Uroxatral, magnesium, multivitamin, saw palmetto.

Current Illness: None.

ID: 1051921
Sex: F
Age: 62
State: AZ

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

Lab Data: none

Allergies:

Symptoms: Covid 19 Vaccine screening questionnaire reviewed , administered Covid vaccine; patient developed coughing spells, non productive after 2-3 minutes after the vaccine administration, she states she felt like fainting. Lung sound checked - no wheezing. Pulse Oximetry checked 96%. Observed for 30 mins in the field. Intermittent coughing still noted. Pulse oximetry remained 96%, no shortness of breath or difficulty breathing. After 3 0 mins, patient continue to cough , states she feels tickles in her throat that makes her cough and she has a headache. Patient given Benadryl 25 mg p.o. and monitored for 30 mins. Patient felt better after 25 mins of observation and minimal coughing , pulse oximetry @ 96-98% denies SOB or difficulty breathing . Patient sent home with husband and advised to rest at home and call 911 if she develops SOB or difficulty breathing. Followed up call over the phone at 5: 00 PM , patient states she fell asleep when she went home and no cough , no SOB or difficulty breathing.

Other Meds:

Current Illness:

ID: 1051922
Sex: F
Age: 32
State: UT

Vax Date: 02/20/2021
Onset Date: 02/23/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Had nausea, fever, chills, headache and body aches following vaccine. Symptoms resolved. On 2/23, 3 days post vaccine, she developed abdominal cramping and diarrhea.

Other Meds:

Current Illness:

Date Died: 02/21/2021

ID: 1051923
Sex: F
Age: 97
State:

Vax Date: 01/31/2021
Onset Date: 02/21/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient passed away within 60 days of receiving a COVID vaccine

Other Meds:

Current Illness:

ID: 1051924
Sex: F
Age: 75
State: DE

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

Lab Data: 02/22/2021 at 1455 PM, HR 74, RR 16, BP sitting 164/72 and BP standing 164/ 76.

Allergies: None reported

Symptoms: Patient received her second dose of Moderna Covid-19 vaccine on 02/22/2021 around 1430 PM, waited for 15 minutes post vaccination and started feeling dizzy upon standing up. RN and interdisciplinary team came in immediately, assessed patient and obtained HR 74, RR 16, BP sitting 164/72 and BP standing 164/ 76. Patient's daughter stated that "this is her baseline and normal for her to feel dizzy upon sanding up". RN recommended that patient go to ER for proper check up. Patient declines ER visit and stated, "please don't call Ambulance because am not going there, I will be fine". After about 10 minutes, patient states she feels better and ready to go home. RN and team escorted patient to car. Patient's vital signs stays the same the whole time.

Other Meds: Lasix, Amlodipine, Hydrochlorothiazide

Current Illness: HF, HTN

ID: 1051925
Sex: F
Age: 32
State: AR

Vax Date: 01/27/2021
Onset Date: 02/05/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Rash

Other Meds:

Current Illness:

ID: 1051926
Sex: F
Age: 36
State: VT

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

Lab Data: none- our protocol states test tomorrow if s/s continue

Allergies:

Symptoms: hours after receiving 2nd dose fever, chills ,HA, arthralgia, myalgia fatigue diarrhea continued thru 2/24/21

Other Meds:

Current Illness:

ID: 1051927
Sex: F
Age: 76
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 experienced pain headache or migraine after vaccination . Onsite EMS was called vitals BP 158/94 99% O2 room air HR 64. Patient Refused Evaluation/Care released against medical adive.

Other Meds: Lisinopril

Current Illness:

ID: 1051928
Sex: F
Age: 45
State: PA

Vax Date: 02/18/2021
Onset Date: 02/19/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: na

Allergies: shellfish, mold

Symptoms: 3:30 am 2/19- Extreme body ache, headache; 8:00 am couldn't stand up, fever, chills, elevated blood pressure & heart rate, dizziness, complete fatigue and meltdowns and very high blood glucose . This lasted till 2/20 until around 5:30 pm

Other Meds: Novolog Insulin, Tresiba, Dimethyl Fumarate,, Levothyroxine, Sertraline, VitaminD-3, Magnesium

Current Illness: none

ID: 1051929
Sex: M
Age: 35
State: CA

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: None

Allergies:

Symptoms: 101 fever, aches, chills, headache. Followed the next day diarrhea the following day.

Other Meds:

Current Illness:

ID: 1051930
Sex: M
Age: 60
State: WI

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

Lab Data: none

Allergies: None

Symptoms: Chills, joint pain and slight pain in bones. went to bed at 10 PM with chills, at midnight severe sweating. 5 AM woke with pains in joints and bones. Took three Tylenol extra strength. Woke at 8 AM, took two more Tylenol. Currently at 10:30 AM feel OK, a little tired from lack of sleep. most symptoms gone.

Other Meds: Centrex Vitamins, Trulicity, glimepiride, Vasepa, metformin, pentazole,

Current Illness: None

ID: 1051931
Sex: F
Age: 78
State: MI

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

Lab Data: No

Allergies: Sulfa and bacitracin zinc ointment

Symptoms: After vaccine I was fine went home and took a nap, when I woke up at 2pm I was a little dizzy. By 7pm I was dizzy and nauseated, and it got worse, I got chills and shook and shook and shook, I had a fever and the next day I tried to get out of bed, and I fell to the floor and couldn?t stand up, I had no energy or appetite. I had covid in August 2020 and the wasn?t made aware of the possible side effects if you had covid. They didn?t ask if I had covid in the past and the pharmacist told me later that people who has had covid has reported having bad side effects. I had gone a couple weeks ago to see if I had the covid antibodies and I was positive for antibodies and the injection works against the antibiotics. This part of the procedure was overlooked. I have no one else to help me and going through this alone, it would have been better to have been made aware of this ahead of time.

Other Meds: no, I stopped taking meds the day before

Current Illness: no

ID: 1051932
Sex: F
Age: 25
State:

Vax Date: 12/28/2020
Onset Date: 01/28/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: None. I was able to treat symptoms at home.

Allergies: None

Symptoms: -low grade fever -chills -muscle aches -nausea Symptoms began approximately 12 hours after second dose of vaccine. Symptoms resolved approximately 36 hours later. Treated with tylenol and ibuprofen.

Other Meds: Estyralla Zoloft

Current Illness: None.

ID: 1051933
Sex: F
Age: 49
State: PA

Vax Date: 02/17/2021
Onset Date: 02/19/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: n/a

Allergies: nuts, anaphylaxis (pt has Epi pen)

Symptoms: redness warmth & soreness to injection site

Other Meds: biotin, buproprion HCTZ lorazepam ambien, omepazole

Current Illness: n/a

ID: 1051934
Sex: F
Age: 40
State: TX

Vax Date: 02/08/2021
Onset Date: 02/17/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: MRI scheduled for March 4 (not yet completed at the time of submitting this report).

Allergies: none

Symptoms: On Wednesday, Feb 17, I experienced an earache in my left ear and an eye twitch in the left eye, which continued to Thursday , Feb 18. On Feb 18, also experienced extreme fatigue and a jabbing, throbbing pain behind my left ear that came and went all day. I also noticed when I brushed my teeth that I had a hard time swishing water in my mouth, especially on the left side. On Friday morning, I woke up and noticed my left eyelid was drooping and my smile was lopsided. As I have a history of hemiplegic migraine, I assumed I was experiencing a migraine, although this was not the usual course of these migraines, and I had not had one of these types of migraines in many years. The left side of my head, behind my ear, and wrapping from my neck to my temple continued to hurt (but not as painful as a normal migraine). Thinking I was in a chronic migraine state, I took 40 mg of Prednisone, as I have done before to 'cut through' the migraine. When the facial weakness did not resolve by the next day, I suspected this was not migraine and instead suspected Bell's Palsy and consulted my physician. Looking back in time, I also realized that I had experienced some adverse tingling/taste sensations on part of my tongue as far back as February 8, that felt similar to burning your tongue from drinking too hot liquids that I realized later could have also been part of the Bell's Palsy.

Other Meds: propranolol (60 mg); topiramate (50 mg)

Current Illness: none

ID: 1051935
Sex: M
Age: 83
State: KY

Vax Date: 02/16/2021
Onset Date: 02/17/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies: n/a

Symptoms: Patietnt fell 12 hours post shot and then had a seizure.

Other Meds: anti-seizure and anti-hypertensive medications

Current Illness:

ID: 1051936
Sex: F
Age: 34
State: OK

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

Lab Data:

Allergies: Penicillins

Symptoms: Flu symptoms (1 day), left side weakness/numbness/pins and needles (comes and goes), headache (comes and goes)

Other Meds:

Current Illness:

ID: 1051937
Sex: F
Age: 72
State: CT

Vax Date: 02/17/2021
Onset Date: 02/19/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: no

Allergies: no

Symptoms: pt states that the next day after her vax she had weakness, chills, fatigue and she still has these symptoms. Pt states that the injection site hurt for just a few days. Pt contacted her PCP regarding her symptoms and was told not worry about them at this time but has an appt next week for an annual check up and will FU w/ her about this at that time.

Other Meds: Lipitor, levothyroxine, Multivitamin

Current Illness: no

ID: 1051938
Sex: F
Age: 40
State: WA

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

Lab Data: unknown

Allergies: unknown

Symptoms: Patient had witnessed seizure like activity for 30 seconds. Patient transported to ER on Gurney with RN All extremities contracted with grunting Airway maintained After activity was alert pale diaphoretic

Other Meds: unknown

Current Illness: unknown

ID: 1051939
Sex: F
Age: 81
State: MD

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

Lab Data: none

Allergies: Lisinopril, tetracyclines, PCN, shellfish (muscles only can eat other shellfish)

Symptoms: fever, chills body aches, shortness of breath, urinary frequency, factigue, headache, body aches, water does not taste good.

Other Meds: tylenol, norvasc, multivitamin, amlodipine, lipitor, calcium and Vit D3, pradaxa, colace, estrace, synthroid, losartan, metoprolol, trazadone

Current Illness: none. had mammogram two weeks prior to the second vaccine. first vaccine 1/26/2021. had mammogram 2/9/2021.

ID: 1051940
Sex: F
Age: 76
State: MA

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

Lab Data: Sent to ER

Allergies: Bactrim Morphine

Symptoms: Reported that experienced the onset of dizziness, "full feeling in head" at 30 minute discharge time- stated that these symptoms had started @ 2 minutes after Covid-19 vaccine was administered but was not reported until discharge ( did have multiple check-ins in waiting area) "hoping it would go away" no SOB, no urticaria, no facial swelling

Other Meds: Unknown

Current Illness: Unknown/none reported

ID: 1051941
Sex: M
Age: 71
State: MI

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

Lab Data: GLUCOSE 167MG/DL BP 160/99 HR 90 96% o2 on room air

Allergies: ampicillin

Symptoms: After receiving the vaccine he felt his breathing was abnormal. He has not taken any of his medications this morning. HIS VITALS ARE BELOW. HE WAS ALL SET TO LEAVE TO GO HOME AND THEN HE STARRED INTO SPACE FOR A SECOND, HIS ENTIRE BODY SHOOK, AND IT SHOOK THE VEHICLE HE WAS IN. IT TOOK A SECOND FOR HIM TO COME OUT OF IT AND HE SAID IT WAS ANXIETY AND IT HAD HAPPENED ABOUT A YEAR AGO. WE EXPLAINED OUR CONCERN IF HE HAD BEEN ON THE ROAD WHEN THAT EPISODE OCCURED. HE AGREED TO GO TO THE EMERGENCY ROOM FOR FURTHER EVAL.

Other Meds: metformin, januvia, AMONG OTHERS

Current Illness:

Date Died: 02/22/2021

ID: 1051942
Sex: M
Age: 84
State: NY

Vax Date: 02/11/2021
Onset Date: 02/18/2021
Rec V Date: 02/24/2021
Hospital: Y

Lab Data: Partial autopsy. Results not complete

Allergies: Intolerance to Morphine, Propoxyphene, Statins, Bisphosphonates, Tramadol, Methadone, and Meperidine

Symptoms: Hepatorenal syndrome- Death

Other Meds: Casodex, Sinemet CR, Plavix, Namenda, Midodrine, Protonix, Crestor, Zoloft, Trazadone,

Current Illness: Acute Hepatitis,

ID: 1051943
Sex: F
Age: 71
State: WI

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

Lab Data:

Allergies:

Symptoms: approx. 15 minutes after vaccination client reported heart palpitations and feeling light headed. Client was assessed by EMS and found to have elevated blood pressure and pulse. 1st vital signs: BP-180/100, P-130, R-18 2nd vital signs: Bp-160/90, P-118, R-18 After 30 minutes of observation client continued to report feeling light headed. Client chose to go to urgent care to be assessed by a physician. Client transported to urgent care by her husband.

Other Meds:

Current Illness:

ID: 1051944
Sex: F
Age: 74
State: AL

Vax Date: 02/11/2021
Onset Date: 02/21/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: NONE

Allergies: NONE

Symptoms: 10 DAYS AFTER INJECTION ARM BELOW INJECTION SITE STARTED TO ITCH AND WAS BRIGHT RED. APPLIED LOTION AND ITCH STOPPED BUT REDNESS CONTINUES. NO PAIN BUT TENDERNESS.

Other Meds: 10 MG LISINOPRIL

Current Illness: NONE

ID: 1051945
Sex: F
Age: 55
State: TX

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

Lab Data: None

Allergies: Allergic to Penicillin; Food sensitivity to eggs

Symptoms: Severe Chills and shaking, fever of 103, Feeling exhausted and unable to perform normal activities for at least 12 hours

Other Meds: Amberen - OTC; Collagen Peptides

Current Illness: None

ID: 1051946
Sex: F
Age: 76
State: MI

Vax Date: 02/17/2021
Onset Date: 02/21/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: none have been done

Allergies: none

Symptoms: fast heartbeat, first experienced 2or 3days after injection, during early morning hours, 2 nights then the next night no fast heartbeat, the fourth night again the fast heartbeat two times during the same night. I originally thought it was possibly what I had eaten, or maybe my medication. After reading side effects of vaccine I decided to report this thinking it could possibly be the vaccine.

Other Meds: aspirin 81mg, spironlactone, famotidine,atorvastatin, losartan, carvedilol

Current Illness: congestive heart failure high blood pressure

ID: 1051947
Sex: F
Age: 66
State: WA

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

Lab Data: unknown

Allergies: unknown

Symptoms: tongue swelling, angioedema, denies SOB RR even, unlabored, no hives or rashes Taken to ER by wheelchair

Other Meds: unknown

Current Illness: unknown

ID: 1051948
Sex: F
Age: 69
State: SC

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

Lab Data: none

Allergies: none

Symptoms: developed Vertigo. States she gets Vertigo on occasion

Other Meds: none

Current Illness: none

ID: 1051949
Sex: F
Age: 74
State: OH

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

Lab Data: Complete blood work was done 2/22/21- very good

Allergies: Cefuroxime

Symptoms: About 10 minutes after receiving the Maderna vaccine my head started hurting which I reported to the doctor on site. She talked to me and said I was ok to go. My headache pain persisted all day and into the next. For the pain I took Tylenol and Advil. The pain has not let-up since the day of my vaccination. In addition to the head pain, I started sneezing and had terrible eye irritation with burning and watering. These side effects are still persisting. The worst, however, is the severe head pain which only settles down when I sleep. I am sleeping only 3-4 hours at night now. I wake up for a bathroom break at 3-4 A M and can't go back to sleep. My head pain starts after I get up every morning about 1/2 hour to an hour. My doctor recommended taking Extra Strength Tylenol and Advil alternating them and an antihistamine. Functioning day to day and making decisions has been very difficult. But, the pain is the worst!!!

Other Meds: Vit. C pantoprazole Vit. D lisinopril Vit. B-12 nortriptyline (for fibromyalgia) Zinc Calcium

Current Illness: No illnesses

ID: 1051950
Sex: F
Age: 80
State: NC

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

Lab Data: C1 esterase inhibitor and antigen lbs, C3, C4, tryptase, ESR/CRP done on 2/23 & 2/24

Allergies: Aggrenox - anaphylaxis Lisinopril - cough

Symptoms: Angioedema, onset began 8 hrs after vaccination. Did not have adequate response to steroids & antihistamines; required nasotracheal intubation, now with our team in the ICU. Unclear if secondary to vaccine or other cause.

Other Meds: Amlodipine, aspirin, B12, Lasix, hydralazine, Isordil, synthroid, cozaar, antivert, simvastatin, sodium bicarbonate tab, warfarin

Current Illness: Reports of a fall, decreased oral intake & nausea a few days prior to vaccination.

ID: 1051951
Sex: F
Age: 59
State: TX

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

Lab Data:

Allergies: Yes, sulpha based antibiotics, and I also had the same reaction at my arm, (swelling and rash plus itchiness) with tetanus shot

Symptoms: Rash and redness at arm injection site, itching and a small amount of swelling

Other Meds: Flecanide Valsartan Diltiazem Carvedilol Baby Aspirin

Current Illness: No

ID: 1051952
Sex: F
Age: 51
State: CO

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

Lab Data: No

Allergies: No

Symptoms: The arm is swollen and sore. My body hurt. Painful, chills, fever (101). I was nauseous and very tired. My arm and shoulder have been swollen for two weeks.

Other Meds: No

Current Illness: No

ID: 1051953
Sex: F
Age: 88
State: IA

Vax Date: 02/10/2021
Onset Date: 02/17/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: none

Allergies: Penicillin

Symptoms: skin around injection site with a 3 inch dm. was red, very itchy on 2/17 on 2/24 the area is less red but no decrease in size and there is a 6inch long, 3 inch wide red area extending down her arm to just above her elbow

Other Meds: Viactiv=Calcium 650mg, Vit D 12.5 mg/ Vit K 40 mg one a day

Current Illness: none

ID: 1051954
Sex: F
Age: 59
State: GA

Vax Date: 02/10/2021
Onset Date: 02/17/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies: PCN

Symptoms: JUST THE PAIN STATED BEFORE

Other Meds: GLYZIBDE 5 MG. METROPOL 25MG, NONERAMAPRIL 1.25MG

Current Illness: NONE

ID: 1051955
Sex: M
Age: 48
State: PA

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

Lab Data:

Allergies: denied

Symptoms: PT reports vaccine on a Tuesday morning at 930, at 6PM> 9 hours after injection L ear fullness/pain/pressure. Wednesday, L eye watery and pain behind L ear. Thursday dribbled when drinking water when working overnight shift. upon awakening Friday afternoon, speech was "off" noted L side of face drooped and unable to close L eye. went to Urgent care and referred to ED for suspected stroke due to High BP> member stopped HTN meds 8/2020. Seen at Holy Redeemer Hospital ED and dx Bell's palsy. now on steroids, eye ointment and metoprolol.

Other Meds: denied

Current Illness:

ID: 1051956
Sex: F
Age: 55
State: TX

Vax Date: 11/10/2020
Onset Date: 11/11/2020
Rec V Date: 02/24/2021
Hospital:

Lab Data: None

Allergies: Penicillin Food sensitivity to eggs

Symptoms: Severe Chills, shaking and fever of 102 Lathargic completely unable to get out of bed for at least 6 hours

Other Meds: Amberen - OTC

Current Illness: None

ID: 1051957
Sex: M
Age: 64
State: MI

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

Lab Data: BP 156/108

Allergies: NONE

Symptoms: HE FELT DIZZY AFTER RECEIVING THE VACCINE. HE BROUGHT HIS OWN BLOOD PRESSURE MACHINE. ON SITE EMS RESPONDED VITALS BELOW. HE HAD CRACKERS AND WATER. HE FELT BETTER AND WAS RELEASED TO HOME

Other Meds: HIGH BLOOD PRESSURE MEDICATION

Current Illness: TUMOR ON ADRENDAL GLAND

ID: 1051958
Sex: F
Age: 62
State: PA

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

Lab Data:

Allergies: Allergic to cat dander, cedar.

Symptoms: Sore arm

Other Meds: Atenolol/Chlorthalidone Nexium Vital Proteins Collagen Peptides Ezetimibe Omega + CoQ10 Multi Vitamin Zyflamend Apple Cider Vinegar Gumies

Current Illness: None

ID: 1051959
Sex: F
Age: 40
State: FL

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

Lab Data: none

Allergies: Allergies to injected or ingested alcohol

Symptoms: Hardening , itching and radiating heat at injection site. Pain when trying to use arm, especially when lifting it 90 degrees of higher. This has been ongoing for three days, with very minimal improvement each day.

Other Meds: none taken at time of vaccine

Current Illness: none

ID: 1051960
Sex: F
Age: 65
State: OH

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

Lab Data:

Allergies: Prednisone

Symptoms: Shaking from being cold. Chills, left ear pain, nausea, very tired and rundown fir 3 days afterwards. Couldn?t eat for / days afterwards. Bad dry cough still persists now 2 weeks later. Took Tylenol nothing helps the dry cough

Other Meds: Lisinopril. And Amlodipine

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm