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: 1052011
Sex: F
Age: 28
State: IA

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

Lab Data: none

Allergies: none

Symptoms: Moderna COVID-19 Vaccine EUA Joint aches, hot flashes, headache, mild dizziness, difficulty concentrating

Other Meds: Amphetamine 10mg Fluoxetine 20mg nexplanon implant

Current Illness: none

ID: 1052012
Sex: F
Age: 71
State: NM

Vax Date: 12/30/2020
Onset Date: 01/01/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: Negative Covid Test week of 4 January 2021

Allergies:

Symptoms: Initially on Friday onset of diarrhea, followed by fever to 101 if I remember correctly maybe slightly above that, cough, debilitating fatique and bone aches and chills and headaches lasting until almost 5 January. Second shot administered 01-18/2021 Pfizer Lot #EL3249 - again, significant fever, terrible chills and bone aches lasting approx 4-5 days.

Other Meds: Metroprolol Mo,ntelukast 81 aspirin Flovent

Current Illness:

ID: 1052013
Sex: F
Age: 71
State: NC

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

Lab Data:

Allergies:

Symptoms: swollen lymph node in neck on left side, same side as lymph nodes surgically removed

Other Meds:

Current Illness:

Date Died: 02/15/2021

ID: 1052014
Sex: F
Age: 91
State: TX

Vax Date: 02/06/2021
Onset Date: 02/15/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: N/A

Allergies: None

Symptoms: Extreme difficulty breathing upon exertion, collapsed shortly after walking started, loss of conciousness, and death

Other Meds: Digoxin, Levothyroxine, Atorvastatin, Pregabalin, Sertraline, Monteleucast, Tylenol, Aspirin 81 mg,, Vitamin D3, Vitamin C, probiotic, Benadryl

Current Illness: COPD exascerbation' UTI flare-up

ID: 1052015
Sex: F
Age: 33
State: OH

Vax Date: 12/29/2020
Onset Date: 01/08/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: 10 days after the first does of the moderna vaccine the injection site developed a hive - red, swollen, painful, slightly itchy. Notified work and my PCP via message with picture. PCP instructed me to use antihistamine such as zyrtec or claritin due to it seeming to be allergic reaction. I took benadryl that night and used hydrocortisone cream on the site. Symptoms were improved the next morning, and resolved by day 3.

Other Meds: Propranolol 80 mg QD Flecainide 50 mg BID Balcoltra Vitamin D 2000 IU QD Xyzal QD Flonase QD

Current Illness: none

ID: 1052016
Sex: F
Age: 56
State: TX

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

Lab Data:

Allergies: Pollen, dogs, cats, dust

Symptoms: swelling, redness, itching at injection site beginning 8 days after injection

Other Meds: Allegra, Lexapro, Nexium

Current Illness: none

ID: 1052017
Sex: M
Age: 64
State: MT

Vax Date: 02/12/2021
Onset Date: 02/16/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Chills & Upset Stomach

Other Meds:

Current Illness:

ID: 1052018
Sex: F
Age: 82
State: NC

Vax Date: 01/30/2021
Onset Date: 01/30/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: EKG

Allergies:

Symptoms: BODY FLUSHING, CHEST PAIN PATIENT EVAULATED BY EMS FOR 40 MIN VITALS STABLE AND SYMPTOMS RESOLVED

Other Meds:

Current Illness: DM, HTN

ID: 1052019
Sex: F
Age: 58
State: OH

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: Medical exam = everything in the ears looked fine

Allergies: Penicillin, Cipro, Pseudaphed

Symptoms: Tinnitus began approximately a day later but not sure on the exact date. Still present. Believe it is in both ears, although difficult to tell.

Other Meds: generic Synthroid and Crestor, 50,000 vitamin E, Daily: multivitamin, vitamin C, Calcium, Krill Oil

Current Illness: approaching pre-diabetic status

ID: 1052020
Sex: M
Age: 71
State: NY

Vax Date: 01/27/2021
Onset Date: 02/16/2021
Rec V Date: 02/24/2021
Hospital: Y

Lab Data:

Allergies:

Symptoms: Acute Myocardial Infarction on 2/16/2021 Patient had a CABG performed on 2/17/2021 Patient is post-surgery - remains hospitalized

Other Meds:

Current Illness:

ID: 1052021
Sex: F
Age: 35
State: IA

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

Lab Data:

Allergies: Fish and all seafood

Symptoms: Anaphylactic Shock. 10 minutes after injection - vomiting, shortness of breath, throat swelling, chest pain. Self-administered EpiPen and went to the ER, given multiple doses of epinephrine, solumedrol, Benadryl, Pepcid. was monitored overnight and sent prednisone and Pepcid.

Other Meds:

Current Illness:

ID: 1052022
Sex: M
Age: 55
State: TX

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

Lab Data:

Allergies:

Symptoms: Patient experienced a rash that started on chest & spread out, but only lasted about 2 minutes.

Other Meds:

Current Illness:

ID: 1052023
Sex: M
Age: 70
State: CT

Vax Date: 02/10/2021
Onset Date: 02/20/2021
Rec V Date: 02/24/2021
Hospital: Y

Lab Data: ultrasound, lower extremity; chest CT

Allergies: none

Symptoms: large lower extremity deep venous thrombosis and small pulmonary embolus; outcome: responded well to anti-coagulants, with decreased pain, swelling and improved oxygenation

Other Meds: cymbalta, gabapentin, zypraxa, diazepam, quinipril, vitamin D

Current Illness: none

ID: 1052024
Sex: F
Age: 53
State: PA

Vax Date: 01/27/2021
Onset Date: 02/20/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies: no

Symptoms: 3 weeks after getting the vaccine i developed breast tenderness along with my period. I have been in menopause for a year and a half with my last period at age 51. The same thing happened identically to my sister. She did receive the Pfizer vaccine.

Other Meds: none

Current Illness: no

ID: 1052025
Sex: F
Age: 59
State: WI

Vax Date: 01/19/2021
Onset Date: 01/26/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: none

Allergies:

Symptoms: One week after 1st vaccine dose, hard lump from lymph node in Right axillary with general pain/swelling. About 4 days later lymph node started to soften but the swelling and pain remained. AT time of 2nd dose the swelling and pain were less, but not fully resolved, so dose give in left thigh. Four days after second dose, right axillary lymph node harden with increased pain/swelling. Lymph node soften over the course of a week, but the swelling and pain continues 2 weeks post dose (2/24/21). Treated with lymph-edema message/exercises, ice, and NSAID (Celebrex alternating with Acetaminophen) throughout and continuing.

Other Meds:

Current Illness:

ID: 1052026
Sex: F
Age: 44
State: MT

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

Lab Data:

Allergies:

Symptoms: Fatigue, Fever, Chills, Body aches, Injection site pain

Other Meds:

Current Illness:

ID: 1052027
Sex: F
Age: 71
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 general malaise unknown cause. Onsite EMS was called vitals BP 178/82 96% O2 room air HR 76. Patient refused evaluation/care released against medical advice.

Other Meds: Insulin Degludec

Current Illness:

ID: 1052028
Sex: F
Age: 55
State: MO

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

Lab Data: None.

Allergies: None.

Symptoms: Soreness / tenderness of injection site on arm for each dose. The soreness did not present until I was in bed for the first does in my left arm (not dominant) and progressively got worse. It was not unbearable, but more intense than when I get the flu shot. The soreness lasted for about two days. The soreness for the 2nd does in my right arm (dominant arm) started almost immediately as I recall. It was did not get as sore as the first dose and lasted about 1 1/2 days. I was somewhat tired the evening of the second shot, but nothing dramatic and may be unrelated.

Other Meds: None

Current Illness: None.

ID: 1052029
Sex: F
Age: 68
State: VA

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

Lab Data:

Allergies: percocet

Symptoms: Beginning about 9pm increasing soreness and pain in arm -by midnight arm was too sore and stiff to lift above waist Beginning about 11pm headache, full body joint pain, full body body aches, chills, fever approaching 99 (NB - my typical body temp is 97.2 - 97.4). As night progressed the symptoms worsened - about 2am intense back pain between shoulder blades radiating to chest, heart was pounding, temperature increased to 101 About 3am was in extreme pain throughout entire body, severe chills/shaking, fever was 102.2, experienced minor urinary incontinence About 3:30am I finally had to take 2 Advil - within an hour the symptoms had lessened and temp had dropped to 100 By noon (22 hours after injection) I was experiencing only mild body aches, temperature was normal, left arm remained sore but I could move it - other side effects had resolved I am very stoic and have a fairly high pain tolerance. I had no side effects after shot 1. After shot 2 I was sicker than I have ever been in my life ?- for several hours I was concerned I was going to die.

Other Meds: atenolol, lisinopril, HCTZ, levothyroxin turmeric, ubiquinol, berberine, cinnamon, fish oil, Preservision AREDS2, tart cherry, bergamot

Current Illness: none

ID: 1052030
Sex: F
Age: 73
State: OH

Vax Date: 02/12/2021
Onset Date: 02/20/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies: No

Symptoms: 19 or 20th increase tenderness, and it was itching, redness that extending 2 inches across the arm and from shoulder down to my elbow. It is light pink area now. slowly getting better. per monderna they said it was a delayed reaction. I haven't put anything on it.

Other Meds: Lisinopril HCTZ, elderberry syrup

Current Illness: NO

ID: 1052031
Sex: F
Age: 79
State: MD

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

Lab Data: BP 154/73, P 75, RR 22, 94% O2 SAT

Allergies: PER PATIENT: ALLERGIC REACTION TO SHINGRIX VACCINE 2 MONTHS PRIOR TO COVID-19 VACCINE CORIANDER, PARLEY, BASIL

Symptoms: REPORTED SLIGHT LIP SWELLING AND SOME DIFFICULTY SWALLOWING, PATIENT TOOK BENADRYL 25 MG ORAL DR OFFICE NOTIFIED, SPOKE TO EMPLOYEE

Other Meds: LOSARTA, ATORVASTATIN, INDERAL, LEVOTHYROXINE

Current Illness: HTN, HYPOTHYRODISM, HLD

ID: 1052032
Sex: M
Age: 44
State: NC

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

Lab Data:

Allergies: PCN

Symptoms: Patient had seizure, provider could not find pulse, administered 2 rounds CPR and applied AED, EMS notified. Patient alert and awake after 2 rounds CPR and was admitted to hospital.

Other Meds: Multiple

Current Illness: Cancer

ID: 1052033
Sex: F
Age: 61
State: MT

Vax Date: 02/16/2021
Onset Date: 02/18/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Headache & Nausea

Other Meds:

Current Illness:

ID: 1052034
Sex: F
Age: 60
State: TX

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

Lab Data:

Allergies:

Symptoms: Patient complained of lightheaded/dizziness, resolved and left vaccine site.

Other Meds:

Current Illness:

ID: 1052035
Sex: F
Age: 32
State: CA

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: January 7 - COVID test - negative result. On the 10th - I got tested again for COVID - results again were negative.

Allergies: Food allergies - peanuts ,kiwi, strawberry, dairy; nickel allergy; allergic to bees;

Symptoms: After I got the vaccine, I started feeling warm and it felt like needle pricks in my muscles. Body was painful. I lost my appetite but wasn't vomiting or having nausea. I had a migraine and fever and body aches and chills (I was either freezing or hot) - couldn't get warm enough - these symptoms I noticed about midnight - it woke me up after a couple hours of sleep and then I couldn't sleep. These symptoms lasted through to Monday. Tuesday, I wasn't feeling fantastic but I went back to work. Fever broke on Sunday morning. Migraine lasted five days. I took Tylenol for fever and ibuprofen for other symptoms. I had a virtual Dr appt on Friday, the 8th. I took migraine medicine but it wasn't really helping. I met again with Dr on 11th - virtual. I chose to go back work even though I wasn't better - felt fatigue and the headache on and off for a couple of weeks. Just since the beginning of February do I feel like fatigue has gone away. When I work out, I do still notice that I get tired faster.

Other Meds: No

Current Illness: I had gotten sick after adverse dose 1 of vaccine - minor symptoms - I felt hot (flushed) and then cold; fatigue (which continued for awhile). I had mild body aches. It lasted about three days and then I was feeling better.

ID: 1052036
Sex: F
Age: 57
State: TX

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

Lab Data:

Allergies: N/A

Symptoms: Fever, chills, headache, joint pain, nausea, vomiting

Other Meds: N/A

Current Illness: N/A

ID: 1052038
Sex: M
Age: 82
State: WA

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

Lab Data:

Allergies:

Symptoms: Administration error, not adverse event. On 2/19/2021 patient reported that he had not (yet) been administered COVID-19 vaccine. This was confirmed by database lookup that revealed no COVID vaccine dose administration. Subsequent to administering the Moderna COVID-19 vaccine on 2/19/2021, it was discovered that the patient had in fact already received the first Moderna COVID-19 vaccine on 2/11/2021 at his home. The AFH was late in entering the dose into system, and the patient did not recall getting it. Thus, the second dose was administered 20 days early. The patient displayed no symptoms or adverse reactions as a result of the early dose.

Other Meds:

Current Illness:

ID: 1052039
Sex: M
Age: 75
State: MO

Vax Date: 02/08/2021
Onset Date: 02/11/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: no

Allergies: no

Symptoms: pt stated that 3 days after taking the covid vax that he started getting bad sores on left side above the groin area which is spreading. Pt went to his PCP on 2/12/2021. He was prescribed Nystatin cream100,000 usp and Cephalexin 500 mg x 2 daily for 7 days. Pt is going to FU w/ PCP on 2/25/2021 to get more antibiotics since they are not improving.

Other Meds: alprazolam 1mg x 4 daily, amlodipine 5mg x 2 daily, atorvastatin 40mg, carvedilol 25mg, duloxetine 30mg and 60mg, fenofibrate 145mg, Lisinopril 40mg x 2 daily, metformin 850mg x 2 daily, Omega-3 1 gm, viibryd 20mg, famotidine 40mg, hydrochl

Current Illness: no

ID: 1052040
Sex: M
Age: 78
State: NJ

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

Lab Data:

Allergies:

Symptoms: Extreme pain at the injection site and unable to lift my arm. Believe shot was not administered properly - into bursa sac and not the muscle

Other Meds: Levothyroxine

Current Illness:

ID: 1052041
Sex: F
Age: 57
State:

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

Lab Data:

Allergies:

Symptoms: Patient had second vaccination on 2/19, and later in the evening started to feel achy, and tired, and had swelling under arm, that is still there, though it has gone done. She satted it feels like it spread to her breast. She also stated she had a twitching on the side of her mouth that lasted a second. She denies, fever, SOB, chest pain, rash, or any other symptoms. She stated she is taking Tylenol every 6 hours which is helping. RN reviewed red flags to call 911. RN reviewed would folllow up tomorrow with her.

Other Meds:

Current Illness:

ID: 1052042
Sex: F
Age: 72
State: MT

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

Lab Data:

Allergies:

Symptoms: Chills & Body aches

Other Meds:

Current Illness:

ID: 1052043
Sex: F
Age: 33
State: CA

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

Lab Data:

Allergies:

Symptoms: 72 hours after vaccine #1, she experienced headaches, arm ache, nausea (vomiting x 24 hours only) also had fever to 99 (day#4), fatigue, light-headedness, trouble sleeping, gradually improved. General fatigue lasted 20-25 days after vaccine #1. Self care with rest, fluids, over the counter pain meds.

Other Meds:

Current Illness:

ID: 1052044
Sex: M
Age: 66
State: CA

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

Lab Data: N/A

Allergies: Allergy: Penicillin Food sensitivity: eggs, milk, wheat

Symptoms: Slight to moderate headache starting at 1:00 p.m. (3 hours after vaccination) that lasted for approximately 3 hours. Soreness at site of vaccination (left arm) ONLY when attempting to sleep on that (left) side for 1st night; otherwise, no pain.

Other Meds: Ibuprofen (200 mg. gel cap night before), Amlodipine (night before)

Current Illness: N/A

Date Died: 02/22/2021

ID: 1052045
Sex: F
Age: 85
State:

Vax Date: 02/12/2021
Onset Date: 02/22/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient passed away with in 60 days of receiving the COVID vaccine series

Other Meds:

Current Illness:

ID: 1052046
Sex: F
Age: 63
State: ID

Vax Date: 02/18/2021
Onset Date: 02/20/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Hives

Other Meds:

Current Illness:

ID: 1052047
Sex: F
Age: 69
State: SC

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

Lab Data: None

Allergies: None

Symptoms: Redness, slight itch near sight and swelling 7 days after injection. No doctor. Look up online after two days swelling down redness less red but slightly larger. No real problem

Other Meds: Levothyroxine25, Timolol maleate.25, Latanoprost .005 Daily Centrum silver, vit C 1000mg, super vit B-complex Twice a week vitA2400mcg

Current Illness: None

ID: 1052048
Sex: F
Age: 34
State: MI

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

Lab Data: SEE ABOVE

Allergies:

Symptoms: Patient complained of new headache . Onsite EMS was called vitals BP 103/70 98% O2 room air HR 74. Patient treated and released against medical advice.

Other Meds:

Current Illness:

Date Died: 02/23/2021

ID: 1052049
Sex: M
Age: 67
State: MN

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

Lab Data:

Allergies: None known

Symptoms: Patient was into the clinic on the afternoon of 2/23/21 for a COVID-19 vaccine. He had a podiatry clinic visit after his vaccine same day. It was reported by the patients family physician that patient stated he didn't feel well and suddenly collapsed at home at approximately 4:45 pm. Emergency medical personnel were not able to revive him. Patient died at approximately 4:45 pm on 2/23/21.

Other Meds: Multivitamin and Glucosamine. Started on Prednisone after the vaccine was administered

Current Illness: None known at the time of the vaccination. However, patient did have a podiatry visit after the vaccination for right foot pain and swelling

ID: 1052050
Sex: F
Age: 40
State: NJ

Vax Date: 02/08/2021
Onset Date: 02/13/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: No

Allergies: No

Symptoms: Rash began 5 days after receiving 2nd vaccine..Starting in stomach area and up the chest, stopping before neck. Then on upper arms and back. Before going to bed it had spread to thighs. Took Claritin and Benadryl 25mg prior to bed. In am , no better and now more pronounced and spread to lower legs.. Began on a medrol dose pack and took a Claritin. That evening not getting worse but no signs of improvent, took benadryl 50mg at bedtime... Rash was slightly itchy but not much. Fourth day into Medrol dose pack it began to subside. Completely cleared up a day after finishing..

Other Meds: B-12

Current Illness: No

ID: 1052051
Sex: F
Age: 79
State:

Vax Date: 01/29/2021
Onset Date: 02/13/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 2 weeks later, red localized rash shortness of breath foot swelling

Other Meds:

Current Illness:

ID: 1052052
Sex: F
Age: 78
State: MT

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

Lab Data:

Allergies:

Symptoms: Injection site pain, Nausea, Swollen Lymph nodes, Fatigue, Diarrhea

Other Meds:

Current Illness:

ID: 1052053
Sex: F
Age: 66
State: CA

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

Lab Data: None

Allergies: Several Antibiotics, Actifed, Shringrix Vaccine (serum sicknes

Symptoms: The second dose caused the reaction, the first being exactly 3 wks earlier. No major problem to that dose. (Had arm pain and mild chills and fatigue). The day after dose two above noted fullness and discomfort in feet, On the second day after, had early erythematous (non-puritic) rash, mild multi-joint discomfort, 100 deg fever, and shaking chills. Doctor on call said to use judgment on starting Prednisone, since hope that this would stabilize. However, progressed and at 9am on the third day after vaccine started prednisone 40mg. At the worst, had to be dressed by husband due to pain and stiffness in upper extremities, widespread erythematous rash, fullness of skin, joint swelling.

Other Meds: Synthroid, Centrum Silver, Calcium, Vit D3

Current Illness: None

ID: 1052054
Sex: F
Age: 72
State: NY

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

Lab Data: None

Allergies: no

Symptoms: Pain at injection site, fatigue, headache, myalgia, very cold, nausea and vomiting, fever, had insomnia, took Tylenol

Other Meds: None taken, the day before took a Statin

Current Illness: no

ID: 1052055
Sex: F
Age: 55
State: CO

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

Lab Data: EKG - Neg CT Head - Neg CT Chest - Neg Abnormal liver function and electrolye values. Due to follow up with MD for recheck.

Allergies: None

Symptoms: Received vaccine at 1130 AM, and at 0400 the following day, awoke from sleep feeling the worst dehydration she has ever had. Got up and went to bathroom and then took water bottle to kitchen to fill. Lost consciousness she believes for 20 minutes or longer . Awakened on the floor with a cut to her right eyebrow and a bruise to her left shoulder. She sustained a cut to her right eyebrow that required 7 sutures to close. In ED a complete work up was done with negative Head CT, negative EKG, elevated D-dimer, but no evidence on Chest CT of pulmonary embolus. ED diagnosis: Dehydration due to side effects from receipt of Moderna, COVID-19 vaccine.

Other Meds: Levothyroxine

Current Illness: Diagnosed with SARS CoV-2 illness on 1/14/2021. Mild to moderate symptoms with uneventful recovery. No lingering adverse response. Significant other also diagnosed with COVID-19, with preexisting health conditions died in the home 1/17/2021. Public Health provided caution regarding receiving vaccine within 90 period following illness, but felt compelled by employer to take vaccine on date offered to school district employees..

ID: 1052056
Sex: F
Age: 68
State: TX

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

Lab Data: N/A

Allergies: Sulfa

Symptoms: Within 2 hours of getting the vaccine my arm started feeling sore. Several hours after that the swelling started. Within 6 hours of the shot the injection site was swollen, red, sore, and itchy. By the time I went to bed, about 11 hours after the shot, I was exhausted, very itchy, had a headache and chills, and had a very sore arm. Took 2 Tylenols and that helped the chills and headache. When I awoke this morning I was so tired that I went back to sleep after having coffee. No headache, no chills but my arm is still swollen, red, and very itchy.

Other Meds: Baby aspirin, metformin, diltiazem, jardiance, tradjenta, rosuvastatin, lisinpril

Current Illness: N/A

ID: 1052057
Sex: F
Age: 78
State: MD

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

Lab Data:

Allergies:

Symptoms: 15 minutes after vaccination, Patient complained of non-radiating chest pain and "stomach discomfort." States chest pain 3-4 out of 10. Vital signs stable. Denies nausea or pain in other areas. States "a little" short of breath. Unable to determine pulse ox related to client nail polish. 911 was called, paramedics recommended client go for hospital evaluation, client refused. Client walked out with her husband. She was encouraged multiple times to go for evaluation, and to call her doctor to report symptoms.

Other Meds: Atorvastatin Metoprolol Losartan

Current Illness:

ID: 1052058
Sex: F
Age: 56
State: CA

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

Lab Data:

Allergies: PCN Epinephrine

Symptoms: Prior to receiving vaccine, vaccinator stated patient had increased ?anxiety? making statements such as ?I?m going to die! This vaccine is going to kill me!? Immediately after receiving vaccine (less than 3 seconds) patient slumped down in chair, writer to the patient, patient stating ?I can?t breathe, its going dark, I?m going to die! What about my daughter!? Writer and vaccinator attempted to talk patient down, ineffective. Patient V/S 100/60, 66-HR, 98%-O2, 22-Resp. Patient became limp in chair, unresponsive, episode of urinary incontinence, EMS activated. ~90 seconds into episode patient regained consciousness, A&Ox4, stating ?I?m back. I?m back.? Patient reports this last happened to her ?in college?. Patient also states ?my doctor told me not to get the vaccine, to wait until August since I have Lyme Disease.? Patient to ED with EMS.

Other Meds: Synthroid Hydrocortisone

Current Illness: Reports Lyme Disease

ID: 1052059
Sex: F
Age: 58
State:

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

Lab Data:

Allergies: None

Symptoms: Headache - moderate - 18 hours Chills - moderate - 18 hours Muscle aches - low - 18 hours Tiredness/sleepiness - high - 18 hours Soreness at injection site - moderate - 24 hours Treated with 2 extra strength Tylenol every 6 hours beginning at 6:45 AM Feb 23, 2021. Last dose 9:30PM Feb 23, 2021

Other Meds: supplement 1000mg Vitamin C daily supplement 50mg Zinc daily supplement 2000 IU D3 daily supplement 5000mcg Biotin daily

Current Illness: None

ID: 1052060
Sex: F
Age: 47
State: IA

Vax Date: 01/18/2021
Onset Date: 02/23/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: No test or lab done.

Allergies: NKA

Symptoms: Patient stated on 2/23 noticed a small red circle, 2/24 was very tired, nauseous, diarrhea, and HA. 2/27 redness bigger then a quarter, 2/28 measured 2inches width and 3 inches length with firmness, 2/29 redness larger but firmness went away, on 2/2 red mark was about the size of a tea cup saucer Had 2nd vaccine on 2/16/21

Other Meds: agestin, metoprolol, spironolactone, prevacid, amlodipine, benazepril

Current Illness: none

ID: 1052061
Sex: F
Age: 80
State: TX

Vax Date: 02/11/2021
Onset Date: 02/13/2021
Rec V Date: 02/24/2021
Hospital:

Lab Data: No

Allergies: No

Symptoms: I have a strange metallic taste in my mouth.

Other Meds: Water pill; Lasix; Potassium; Centrum Silver

Current Illness: no

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm