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: 1053952
Sex: M
Age: 41
State: IL

Vax Date: 02/18/2021
Onset Date: 02/20/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Persistent migraine not responsive to medication with onset approximately 48 hours after vaccine and proceeding to this report. I am a sufferer of migraines, but this is especially intense and persistent.

Other Meds: Adderral Famotidine Nexium

Current Illness: None

ID: 1053953
Sex: F
Age: 86
State: MA

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

Lab Data:

Allergies:

Symptoms: Patient reported tongue sensation after 15 minutes of observation. No evidence of facial swelling or tongue edema on exam. She denied throat tightness/itching, shortness of breath, or worsening symptoms. She declined to stay beyond 15 minute interval as she stated she was feeling anxious. Reviewed s/sx anaphylaxis, advised her to call 911 if these occur. She remained well appearing and was speaking clearly in full sentences throughout observation.

Other Meds:

Current Illness:

ID: 1053954
Sex: F
Age: 41
State: IA

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Pt got red and blotchy on bilateral arms. Not itchy, no swelling any where. Convient care provider in to check on patient. Kept any additional 20 minutes and then released.

Other Meds: Insulin lispro 5 units SQ TID w/meals Montelukast 10 mg tabs PO QD Fluticasone 50 mcg/inh nasal spray QD Albuterol 90 mcg/inh PRN Hydrochlorthiazide 25 mg PO QD Lisinopril 5 mg PO QD Atorvastatin 10 mg PO QD Metoprolol ER 50 mg PO QD

Current Illness:

ID: 1053955
Sex: F
Age: 61
State: TX

Vax Date: 02/23/2021
Onset Date: 02/24/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies: Tetracyclin

Symptoms: Woke up on 02/24/2021 with sweeling under the right arm (between armpit and breast). Swelling is stated to be the size of a softball in diameter. Client was asked to follow-up with her primary care physician.

Other Meds: Tylenol arthritis every night

Current Illness: None

ID: 1053956
Sex: M
Age: 87
State: SC

Vax Date: 02/09/2021
Onset Date: 02/23/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: 2 weeks after the vaccine, he has an injection site irritation. The arm is red, swollen, and warm to the touch.

Other Meds:

Current Illness: None

ID: 1053957
Sex: F
Age: 75
State:

Vax Date: 02/01/2021
Onset Date: 02/23/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: chills, sweats, fever, headache, body aches and pains, fatigue, nausea

Other Meds:

Current Illness:

ID: 1053958
Sex: M
Age: 69
State: CA

Vax Date: 02/01/2021
Onset Date: 02/07/2021
Rec V Date: 02/25/2021
Hospital: Y

Lab Data: Admitted ER 2/16/2021 Extensive Blood Work Hemoglobin low as 5.2

Allergies: None

Symptoms: Severe hemolytic anemia, drop in hemoglobin and red blood cells. Needed two units blood transfusion at Hospital 2/16-22/18 2021. Released under prednisone prescription

Other Meds: Omeprazole, Rosuvastatin, Centrum, Lutein, Fish Oil

Current Illness: None

ID: 1053959
Sex: F
Age: 76
State: TX

Vax Date: 12/30/2020
Onset Date: 01/15/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: Biopsy performed by my dermatologist, resulting in diagnosis of DRUG ERUPTION. (02/11/2021)

Allergies: none

Symptoms: I started noticing small blisters on my right lower leg on shin area that were very itchy. Day by day I noticed an incease of clusters of blisters forming below the first site. They then circled from front to back halfway up my lower leg. Large whelpy itchy places continued to form on my upper forearms and back of right arm elbow. Then the same effects started on my left leg on the back side between my knee and ankle. I have now a large circular area on my lower back at the waistline with solid itchy hard bumps that has increased in size and discomfort. I have red itchy blisters on both my left and right uper wrists. I am noticing small clrcular bumps on my right and left forehead.

Other Meds: Levothyroxine 0.125 mcg, multi-vitamin; vit. c; zinc; tumeric;

Current Illness: none

ID: 1053960
Sex: F
Age: 27
State: MD

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

Lab Data: none

Allergies: None

Symptoms: Patient received 1cc of COVID vaccine instead of 0.5cc. Patient was notified. Advised of potential side effects. State of MD was notified.

Other Meds: None

Current Illness: None

ID: 1053961
Sex: F
Age: 51
State: FL

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: none. My husband is a physician so he is aware and we were planning on having me go to see a primary care physician if the symptoms persisted.

Allergies: None

Symptoms: The initial symptoms started out as the typical potential side effects such as muscle aches, low grade fever, headache, and overall malaise. The symptoms progressed throughout the evening of the vaccine administration as pretty intense myalgia mostly in lower extremities. On day 3 post vaccine as I recovered from the typical symptoms I noticed some minor weakness in my legs as I resumed normal activity. That progressed to muscle spasms all over my body that were like rapid fire from one area to the next. It started primarily in my right thigh but then moved all over to upper and lower body as well as left and right sides of the body. This did not hurt but was a bit concerning and definitely out of the norm. I would say the spasms peaked on days 4-5 post vaccination and then gradually decreased in frequency over the following week. Each day got a little better until I had very intermittent spasms in my left shoulder until they went away completely.

Other Meds: Buproprion Synthroid Omega 3

Current Illness: None

ID: 1053962
Sex: F
Age: 58
State: MO

Vax Date: 02/22/2021
Onset Date: 02/23/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: None

Allergies: Penicillin

Symptoms: Shortness of Breath, Rapid Heartbeat

Other Meds: Metformin, Zolpidem, Diazapam, Glipizide, Linsinopril, Flonase, Aleve, Vit D, Estroven

Current Illness: None

ID: 1053963
Sex: M
Age: 65
State: NJ

Vax Date: 02/21/2021
Onset Date: 02/22/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies: Take vitamin. C. D zinc every day

Symptoms: Chills. Trembles hands. Headache aches shivering no energy

Other Meds: No

Current Illness: Had Covid 12/29/21

ID: 1053964
Sex: F
Age: 34
State: PA

Vax Date: 02/16/2021
Onset Date: 02/17/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies: denies allergies to medications has had "episodes of shortness of breath" with eating chocolate or gum

Symptoms: Developed diffuse pruritic rash 1 day after vaccination. Rash has persisted > 1 week. No associated shortness of breath, swelling of lips/tongue/ throat. No further symptoms. Rash improving with benadryl but not resolving.

Other Meds: synthroid, MVI

Current Illness: denies

ID: 1053965
Sex: F
Age: 66
State: NY

Vax Date: 02/20/2021
Onset Date: 02/20/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: No reaction to dose #1. Reaction to dose #1 started at roughly 11:00 PM 10 hours after injection. Slight fever 100, some chills, slight achiness. Went to bed and woke up the next day not feeling well. Took a tylenol. Slight fever, aches, chills, no appetite and fatigue. Adverse reaction was fully gone by Monday evening. And by Tuesday felt back to normal.

Other Meds: none

Current Illness: none

ID: 1053966
Sex: F
Age: 55
State: IA

Vax Date: 01/30/2021
Onset Date: 01/30/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: None

Allergies: Latex - unknown Metronidazole - listed as allergy but pt states she is not allergic

Symptoms: COVID-19 Vaccine Pt received her 1st dose of Covid-19 vaccination in her left deltiod at 1340. 12 min later, pt stuck her head out of the doorway of her room to notify LPN that she was feeling lightheaded. LPN went to pt's room to assess. Patient laid back in exam chair. Patient mask removed. Color palor. Skin clammy, Vitals obtained, patient reports tingling in arms, legs, and feet. Patient vitals 96/67. Provider at door for eval and advised EMS notification. Patient vitals monitored. 20G IV placed at 1358 left forearm by RN x1 NSL. Color begins to return. Patient tilted back up in chair, vitals obtained and WNL. At 1423 patient stood up with stand by assistance, placed mask on herself and reports does not feel can stand at this time. Patient A&O x4. Reports lightheadedness and dizziness. Patient asks what she is to do about her second vaccine and was advised that she needs to consult with her PCP. Pt states will take Benadryl. Pt again advised to check with her PCP before having second dose or taking Benadryl with second dose. Patient advised per EMS to bring second person with for transport if cleared to receive second dose. At 1428 reports no lightheadedness or dizziness with standing. At 1429 patient ate three PB crackers with water. At 1432 patient ambulatory in halls with Medic staff by side. At 1434 back to room, reports 95% better with head, tinglining in feet and hands 90% improvement. At 1445 vitals WNL patient A&O x4. At 1449 IV pulled by RN. At 1452 patient discharged to home per self.

Other Meds: Tramadol 50 mg Q6h Cyclobenzaprine 10 mg PO TID Multivitamin 1 tab PO QD Alprazolam 0.25 mg PO PRN Omeprazole 20 mg PO BID Meloxicam 15 mg PO QD

Current Illness:

ID: 1053967
Sex: F
Age: 73
State: FL

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies: Unknown

Symptoms: Within 15-minutes of vaccination, the patient reported swollen lips, tongue, eyes, or face. EMS monitored patient's condition on-site. No further details were given.

Other Meds: Unknown

Current Illness: None reported

ID: 1053968
Sex: F
Age: 53
State: IA

Vax Date: 01/31/2021
Onset Date: 01/31/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: None

Allergies: Wellbutrin - intracranial pressure, headache Macrodantin - dizziness Acetazolamide - unknown Atorvastatin - muscle pain Augmentin XR - blisters, skin sloughing on ears Benadryl - states she can take PO Benadryl but IV makes her "antsy" Codeine - vomiting Erythromycin - vomiting Inapsine - hallucinations Levaquin increased intracranial pressure Lupron Depot - anaphylaxis Metocloramide - unknown Nalbuphine - unknown Nubain - agitated Reglan - tongue thrusting Sonata - racing heart, anxiety Sulfa drugs - sunburn, red rash Zaleplon - anxiety, racing heart

Symptoms: Pfizer COVID-19 Vaccine EUA Pt received 1st dose of vaccine on 1/31/21. Afterwards, she developed a slight cough and chest pressure. Pressure is worse with deep breathing. Denies chest pain. Denies SOB or wheezing. Pt also had episode of loose stool x 1. States she has had an anaphylactic reaction in past, but it did not feel the same. Pt took diphenhydramine 50 mg PO before receiving her vaccine after consulting her PCP. When pt presented to convenient care, vitals WNL. Pt given methylpredisolone 125 mg IM x 1. Pt prescribed epinephrine 0.3 mg injectable 2-pak kit. Provider recommended pt not receive the 2nd dose of vaccine unless PCP says otherwise. Pt discharged to home. 2/1/21: Pt continued to endorse loose stools, fatigue, and body aches. 2/2/21: Pt's PCP told her not to receive 2nd dose of vaccine.

Other Meds: Promethazine 25 mg tab PO Q6h PRN Dulozetine 120 mg cap PO QD Fenofibrate 48 mg tab PO QD Metformin 500 mg tab PO TID w/meals Metoprolol ER 12.5 mg PO QD Pantoprazole 40 mg tab PO QD Rosuvastatin 20 mg PO QD Trazodone 100 mg Ubrogepant 100

Current Illness:

ID: 1053969
Sex: F
Age: 31
State: NM

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

Lab Data:

Allergies:

Symptoms: Ache body, Nocuous, Right arm sore, slight head ache

Other Meds:

Current Illness:

ID: 1053970
Sex: F
Age: 85
State: MD

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

Lab Data: none

Allergies: none

Symptoms: Patient received 1cc of Moderna COVID vaccine. Patient was notified, advised of potential side effects and what to do if they occurred. State of MD was notified.

Other Meds: none

Current Illness: none

ID: 1053971
Sex: F
Age: 45
State: PA

Vax Date: 02/17/2021
Onset Date: 02/22/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Redness, itchiness, firmness on injection site (2 inches diameter)

Other Meds: Motrin Multivitamins

Current Illness: None

ID: 1053972
Sex: F
Age: 42
State: AL

Vax Date: 01/11/2021
Onset Date: 01/14/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: CBC, physical exam- 02/21/21

Allergies: Demorol-hives Diflucan- anaphylaxis

Symptoms: Rash began on left leg on 01/14/21; rash progressively spread to entire both legs and left neck; became very itchy and nothing over-the-counter (topical or oral) helped or reversed symptoms; rash continued for over 5 weeks; also experienced dull, around-the-clock headache during this time; On the morning of 02/21/21 awoke to petechial rash on bilateral eyelids, cheeks, left and right neck; went to urgent care; placed on steroids- Steroid IM injection given on 02/21/21, Medrol Dose pack started on 02/22/21- all symptoms resolved quickly with steroid dosing

Other Meds: Synthroid, Xyzal, Sudafed, Lipitor, Prozac, Vitamin D Supplements, Ibuprofen, Nexium, Depo-Provera injections, topamax

Current Illness: Viral URI- December 29, 2020

ID: 1053973
Sex: F
Age: 36
State: NJ

Vax Date: 12/16/2020
Onset Date: 02/15/2021
Rec V Date: 02/25/2021
Hospital: Y

Lab Data: OBGYN D&C removal at same day surgery center

Allergies: none

Symptoms: Wife did not know she was pregnant at the time, had the vaccine and miscarried the child at 12 weeks. OBGYN stated baby had miscarried 2-3 weeks earlier. D&C procedure performed 2/23 to remove remains of fetus.

Other Meds: none

Current Illness: none

ID: 1053974
Sex: F
Age: 75
State: PA

Vax Date: 02/23/2021
Onset Date: 02/23/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: none

Allergies: PCN, sulfa, zetia, zoror

Symptoms: 1 to 2 minutes after injection began having heart palpitations and PVCs. Lasted 1 hour No treatment was required

Other Meds: olmesartan 20mg, lovastatin 10mg ASA 81mg daily prns acetaminophen 500mg prn, naproxin sodium 220mg prn, benadryl 25 prn

Current Illness: viral sinus infection without fever

ID: 1053975
Sex: F
Age: 46
State: TN

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

Lab Data: none yet

Allergies: NONE

Symptoms: swollen and sore lymph nodes in armpits - neck and groin area. not resolved at this time

Other Meds: NONE

Current Illness: NONE

ID: 1053976
Sex: F
Age: 21
State: IL

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: None

Allergies: Penicillin - unknown

Symptoms: Moderna COVID-19 Vaccine EUA Approximately 3 minutes after her vaccine pt became unconscious and unresponsive for a short time. Pt was quickly awoken by RN. Pt states that she has a history of syncope following venipuncture that she forgot to disclose. Approximately 15 post episode pt stated that her vision had been restored but her hearing still felt "off". Pt was given 12 oz water, crackers and juice. Pt called roommate to pick her up to bring her home. Approximately 25 minutes later, pt reports some left arm pain but was feeling better. At 1345 pt was discharged by her own choice and left with her roommate. Pt still felt "off" but reported that this was likely just due to anxiety. Pt and roommate given instructions to go to nearest ER if symptoms returned.

Other Meds: Kyleena IUD

Current Illness:

ID: 1053977
Sex: F
Age: 68
State: IN

Vax Date: 02/09/2021
Onset Date: 02/24/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: She was advised to watch for signs of infection, which were described to her and to call her PCP if concerned at the time of the initial report or if any other symptoms appeared that bothered her. Patient was called the next day and redness was unchanged.

Allergies: Penicillin

Symptoms: Two weeks after her injection, patient reported noticing after her morning shower a 2" slight redness at site of Moderna injection and "tender." Her temp has been "98.6 or 99.2." No itching or firmness, oozing or lines at the site. Not hot to the touch. No signs of illness. She stated that this reaction was not there before that day on 2/24/21. The first Moderna injection was on 2/9/21.

Other Meds: Levothyroxine, Liothyronine, fish oil, Vitamin C, Vitamin D, Magnesium, Trace mineral supplement,

Current Illness: None

Date Died: 02/24/2021

ID: 1053978
Sex: F
Age: 77
State: GA

Vax Date: 02/23/2021
Onset Date: 02/24/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies: NKDA

Symptoms: pt woke up at 0400 with fever, chills, and body aches progressing over 4 hours to the point when she became unresponsive. husband called 911, pt was declared dead at the time of EMS arrival around 1200

Other Meds: Albuterol sulfate inhaler, atenolol, ipatropium-albuterol nebulizer, Sensipar, lisinopril, Incruse Ellipta, lovastatin, pantoprazole, furosemide, trazodone, diclofenac gel, triamcinolone cream, fluticasone nasal spray

Current Illness: none

ID: 1053979
Sex: M
Age: 38
State: TX

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

Lab Data:

Allergies:

Symptoms: Approximately 15-20 minutes post vaccination patient began to feel "tingly" in his right arm extending from injection site to hand and all the the way up to his cheek. Moments later he began to have the same tingly feeling bilaterally in his feet. Shortly thereafter he also had some slight nausea/unsettled stomach feeling and also complained of dry mouth. Patient remained on-site for an additional 30 minutes before leaving the site.

Other Meds:

Current Illness:

ID: 1053980
Sex: F
Age: 71
State: TX

Vax Date: 02/23/2021
Onset Date: 02/24/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies: Avocado Black Beans Cilantro

Symptoms: Fever of 101.3 for 20 hours

Other Meds: Losartan Simvastatin Pepcid AC

Current Illness:

ID: 1053981
Sex: F
Age: 69
State: FL

Vax Date: 02/22/2021
Onset Date: 02/22/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Within 15-minutes of vaccination, the patient reported rash, hives, itchiness, and potential swollen lips, tongue, eyes or face. EMS monitored the patient on-site. No further details were provided from clinical site.

Other Meds:

Current Illness:

ID: 1053982
Sex: F
Age: 41
State: NC

Vax Date: 01/22/2021
Onset Date: 01/23/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Prolonged joint pain in hips, knees, ankles and feet. In the last month, I have only had 4 days of no pain. I did not have joint pain before getting the second dose of the COVID-19 vaccine. Approximately 12 1/2 hours after receiving the vaccine, I ran a low grade temp of 99.9, had chills, rigors, aching, and joint pain. Fever went away the next day. Joint pain remained.

Other Meds: Bupropion 150 mg

Current Illness: none

ID: 1053983
Sex: M
Age: 72
State: PA

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

Lab Data: None

Allergies: No

Symptoms: Around 9 hrs. after injection got a fever that eventually went to 103F. Lasted from 6PM till 5AM when the temperature came down to 100.1F. Back to normal by 9AM. No nausea or chills with the fever just very hot with loss of balance and strength Until early morning.

Other Meds: Prilosec 10 mg

Current Illness: No

ID: 1053984
Sex: F
Age: 56
State: TX

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: X-rays and physical examination by physician.

Allergies: Minocin

Symptoms: Shoulder soreness, day after shot. Arm soreness and painful for over two weeks with severe pain and arm mobility pain began after three and diagnosis of SIRVA, shoulder injury related to vaccination administration four weeks after vaccination.

Other Meds: Vitamins C and D and Nexium.

Current Illness: None

ID: 1053985
Sex: M
Age: 38
State: TX

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

Lab Data:

Allergies:

Symptoms: Approximately 15-20 minutes post vaccination patient began to feel "tingly" in his right arm extending from injection site to hand and all the the way up to his cheek. Moments later he began to have the same tingly feeling bilaterally in his feet. Shortly thereafter he also had some slight nausea/unsettled stomach feeling and also complained of dry mouth. Patient remained on-site for an additional 30 minutes before leaving the site.

Other Meds:

Current Illness:

ID: 1053986
Sex: F
Age: 37
State: NY

Vax Date: 02/17/2021
Onset Date: 02/25/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: "COVID Arm" - a large red lesion around the injection site. Approximately 2" wide and 3 1/4" tall. No pain, itching or swelling at this time.

Other Meds: None

Current Illness: None

ID: 1053987
Sex: F
Age: 74
State: MD

Vax Date: 02/14/2021
Onset Date: 02/25/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: None

Allergies: Relafen, Oxycodone, Hydrocodone

Symptoms: Muscular ache in left arm beginning the next morning and lasting for about 2 days. Secondary reaction first noticed 10 days after injection: Redness and swelling at the injection site. Warm to the touch.

Other Meds: Lostartan, Carvedilol, Levothyroxine, Atorvastatin, Vitamin D, Azelastine Hydrochloride, Ketoconazole Shampoo, Desonide, Soolantra, Tretinoin

Current Illness: None

ID: 1053988
Sex: F
Age: 32
State: NJ

Vax Date: 12/29/2020
Onset Date: 01/17/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: 1/18/2021 - transvaginal ultrasound and blood work. HCG level in the 700s. 1/20/2021 - repeat bloodwork. HCG level dropped to 600. 2/3/2021 - repeat transvaginal ultrasound and blood work. HCG level dropped to 1

Allergies: NKA

Symptoms: I received my first dose of the Moderna COVIDI19 vaccine on 12/29/2020 not knowing I was pregnant. I took a home pregnancy test the week of 1/3/2021, which came back positive. On 1/17/2021, I started having some spotting and saw my OBGYN on 1/18/2021. My OBGYN did a transvaginal ultrasound and estimated I was about 5 weeks pregnant. I went for bloodwork prescribed by my OBGYN on 1/18 and 1/20 to measure my HcG levels. By 1/20-1/21 the bleeding became heavy and my HcG levels dropped. I had a follow up appointment with my OBGYN on 2/3/2021 where they performed another transvaginal ultrasound and more bloodwork to confirm that I had miscarried.

Other Meds: prenatal daily vitamins

Current Illness: none

ID: 1053989
Sex: F
Age: 58
State: TX

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies: Nickle latex

Symptoms: Dizziness for more than three weeks

Other Meds:

Current Illness: bronchitis

ID: 1053990
Sex: F
Age: 28
State: MD

Vax Date: 02/03/2021
Onset Date: 02/15/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: Doctors appointment 2/24/2020 diagnosed with Bell?s palsy, icd code G51.0

Allergies: Azithromycin

Symptoms: Ballspalsy, right side Eye and facial movement issues, it started gradually a week and a half after my dose my eye was not blinking in sync with my left eye, gradually started to go down to my face where my lips my cheek or my eyebrows were not moving when I was talking all my words were slurred and off to the side of my mouth. When smiling one side trip the far far left the other side stay still. My job had me go to a doctors up where they diagnosed me with Bell?s palsy it and the doctor advised me to report this. My treatment plan is antiviral medication and steroids, Valacyclovir 1gm tid, methylprednisolone 4grams qid. I am very upset and heartbroken every time I look in the mirror I cry because I cannot recognize my face I did read online that Pfizer did have side effects of bells palsy but I never thought I would get it given my age and good medical history. I would love for someone to reach out to me I need to know what happens from here. As a result I have been off of work for a couple days.

Other Meds: Loratadine, nasal spray for allergies,Multivitamin

Current Illness: No

ID: 1053991
Sex: F
Age: 56
State: AR

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

Lab Data: NA

Allergies: Codeine

Symptoms: Fever, body aches, fatigue

Other Meds: Estradiol, Wellbutrin, probiotic, progesterone's, Mucinex D

Current Illness: Fluid behind ear

ID: 1053992
Sex: F
Age: 69
State: SC

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

Lab Data: None

Allergies: No

Symptoms: Arm sore for day or two and tired immoedially after first shot On day 9 left arm sore, red rash around shot area and itching.

Other Meds: Arthritis Tylenol, Restasis,fish oil,Lodine, Vitamin D and E, CQ10,

Current Illness: None

ID: 1053993
Sex: M
Age: 62
State: FL

Vax Date: 02/20/2021
Onset Date: 02/20/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: covid PCR

Allergies: none

Symptoms: Pt felt arm soreness 4 hours later than felt fatigued, leg heaviness, arm heaviness, and then felt faint with black spots in eyes and numbness down left extremity. Symptoms are still persisting 5 days later today 2/25/21. PT did not knowingly have COVID prior.

Other Meds: none

Current Illness: none

ID: 1053994
Sex: F
Age: 73
State: MD

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

Lab Data: none

Allergies: none

Symptoms: Patient may have inadvertently received 1cc of Moderna COVID vaccine instead of 0.5cc. Patient was notified, advised of potential side effects and treatment if needed. State of MD was notifed.

Other Meds: none

Current Illness: none

ID: 1053995
Sex: M
Age: 79
State: OH

Vax Date: 02/23/2021
Onset Date: 02/23/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies: Amlodipine

Symptoms: The next morning, I looked flushed and short of breath and had a temp pain was severe in my arm and all over. couldn't eat. Last night i was able to eat a little but it was hard to get down. i wasnt tasting things right. called Dr said to take a couple of Tylenol and to call vaers for advice. Was very weak.

Other Meds: clipidigril, musznex, loratadine

Current Illness:

ID: 1053996
Sex: M
Age: 73
State: VA

Vax Date: 02/20/2021
Onset Date: 02/22/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: none so far

Allergies: denies

Symptoms: fever (101), epigastric pain, voice weakness.

Other Meds: Eliquis 5mg BID Lisinopril 40mg qd Meloxicam 15mg qd Metformin 500mg BID Metoprolol 100mg BID Pravastatin 10mg HS

Current Illness: Denies

ID: 1053997
Sex: M
Age: 56
State: TX

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

Lab Data: ECG 2/25/2021

Allergies: Statins - muscle aches

Symptoms: Around 0530 on 2/25/2021 reported heart started to race. Received second dose of vaccine on 2/24/2021. Stated he did not feel good but the heart racing started the next morning. Came into medical for BP check. HR 159, ECG done, SVT at 153. Dr. able to convert to normal HR with vagal maneuver.

Other Meds: Testosterone injections weekly 0.7 ml Losartan daily (dose unknown) Allopurinol daily (dose unknown) Lunesta 3 mg daily MP thyroid (dose unknown)

Current Illness: NA

ID: 1053998
Sex: F
Age: 50
State: MO

Vax Date: 01/28/2021
Onset Date: 02/07/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: CBC SHOWED VIRAL INFECTION NEGATIVE COVID, A/B FLU AND STREP TESTS

Allergies: Erythromycin

Symptoms: FAST HEARTBEAT FEVER RASH ALL OVER FATIGUE

Other Meds: metoprolol 25mg/twice per day

Current Illness: none

ID: 1053999
Sex: F
Age: 39
State: AL

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

Lab Data:

Allergies: None

Symptoms: Fever (100.8), headache, nausea.

Other Meds: Metformin

Current Illness: None

ID: 1054000
Sex: M
Age: 73
State: IN

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

Lab Data:

Allergies: none that I know of.

Symptoms: 11 hours after vaccine at Hospital, started to get a severe case of chills. Almost uncontrollable for 1 and 1/2 hours. major soreness of joints and low grade fever which lasted most of the night. Temperature was 100 this morning, but has gone done some now. Beginning to feel better slow but sure! This is the second vaccine booster.

Other Meds: allopurinol 100 mg tablet, furosemide 40 mg tablet,metoprolol succinatte ER 50 mg tablet, multivitamin, pravastatin 40 mg tablet , synthroid 88 mcg tablet.

Current Illness: None

ID: 1054001
Sex: F
Age: 21
State: ID

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

Lab Data: None

Allergies: Bee stings (wasp): anaphylaxis

Symptoms: Numbness in neck began within 5 minutes of injection. 10 minutes later she started have difficulty with exhalation, tightness in the chest, and sensation of neck swelling. Patient was given 0.5 mL of epinephrine and EMS was called. Patient began to improve within 5 minutes of epinephrine injection. She refused to go to the ER. She was given 25 mg of Benadryl and was monitored for 20 minutes before going home with a friend picked her up. Patient signed an AMA for both the EMS and clinic.

Other Meds: Zoloft 100 mg, Methimazole

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm