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: 1054052
Sex: F
Age: 62
State: MN

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

Lab Data:

Allergies:

Symptoms: Patient did fine the day of vaccination (2-23-21), but fell at 5:40am the next morning, and then fell again at 7:40am. As a result of the falls was less responsive after that

Other Meds:

Current Illness:

ID: 1054059
Sex: M
Age:
State: MO

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

Lab Data:

Allergies:

Symptoms: flu like symptoms after the 1st dose / same symptoms after the second dose / were more severe; This case was reported by a consumer and described the occurrence of influenza-like symptoms in a 62-year-old male patient who received Herpes zoster (Shingrix) for prophylaxis. Previously administered products included Shingrix with an associated reaction of influenza like illness (received 1st dose on an unknown date and experienced flu lie symptoms. For the tolerance of 1st dose, refer linked case US2021010485). On an unknown date, the patient received the 2nd dose of Shingrix. On an unknown date, unknown after receiving Shingrix, the patient experienced influenza-like symptoms. Rechallenge with Shingrix was positive. On an unknown date, the outcome of the influenza-like symptoms was recovered/resolved. It was unknown if the reporter considered the influenza-like symptoms to be related to Shingrix. Additional details were provided as follows: The reporter was the patient's friend. The age at vaccination was not reported. After receiving Shingrix, the patient had flu like symptoms, and they were more severe than the after 1st dose. The reporter did not consent to follow-up. This was 1 of 3 linked cases reported by the same reporter.; Sender's Comments: US-GLAXOSMITHKLINE-US2021010484:same reporter US-GLAXOSMITHKLINE-US2021010485:same patient, 1st dose

Other Meds:

Current Illness:

ID: 1054060
Sex: F
Age: 67
State: FL

Vax Date: 01/16/2021
Onset Date: 02/13/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: A lot of liquid running down the front and back of her arm; concerned there was a leak around the hub around the needle; concerned there was a leak around the hub around the needle; A spontaneous report was received from a consumer, who was also a 67-year-old female patient, who received Moderna's COVID-19 vaccine (mRNA-1273). There was a lot of liquid running down the front and back of arm (exposure via skin contact) and the patient was concerned that there was a leak around the hub around the needle (device connection issue, underdose). The patients' medical history was not provided. Concomitant product use was not provided. The patient received their first of two planned doses of mRNA-1273 (batch number: 013L20A) on 16 Jan 2021. On 13 FEB 2021 at 1 pm, the patient received their second dose of mRNA-1273 (batch number: 039K20A) for prophylaxis of COVID-19 infection. During the second dose, there was a lot of liquid running down the front and back of the patient's arm. She was concerned that there was a leak around the hub around the needle. The patient asked if she would have the same immunity effect if she did not receive the full second dose. Treatment information was not provided. The action taken with mRNA-1273 in response to the events was not applicable. The events, there was a lot of liquid running down the front and back of arm and concerned that there was a leak around the hub around the needle, were considered recovered/resolved on 16 Feb 2021.; Reporter's Comments: This report refers to a case of Underdose due to a leak around the hub around the needle for mRNA-1273, lot # 039K20A with no associated AEs.

Other Meds:

Current Illness:

ID: 1054061
Sex: F
Age:
State: PA

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

Lab Data:

Allergies:

Symptoms: patient received less than half the dose; experienced a needle and syringe detached; A spontaneous report was received from a physician concerning a patient who experienced a needle and syringe detached and patient received less than half the dose. The patient's medical history was not provided. Concomitant product use was not provided by the reporter. The patient received their first of two planned doses of mRNA-1273 (Batch number not provided) intramuscularly for prophylaxis of COVID-19 infection. Treatment information was not provided. Action taken with mRNA-1273 in response to the event(s) was not provided. The outcome of the event(s) was not reported.; Reporter's Comments: This report refers to a case of underdose and device connection issue for mRNA-1273 (lot # unknown) with no associated AEs reported.

Other Meds:

Current Illness:

ID: 1054062
Sex: F
Age: 81
State: FL

Vax Date: 01/17/2021
Onset Date: 01/19/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Received another Moderna dose two days later; A spontaneous report was received from a consumer regarding his wife, an 81-year-old female patient who received Moderna's COVID-19 vaccine (mRNA-1273) and then accidentally got the dose again two days later/inappropriate schedule of vaccine. The patient's medical history included Alzheimer's Disease. Concomitant medications were reported as unknown Alzheimer's drugs. On 17 Jan 2021, the patient received the first of two planned doses of mRNA-1273 (Lot number: unknown) intramuscularly for prophylaxis of COVID-19 infection. On 19 Jan 2021, the husband reported that the patient wandered off and received a second dose. Lot number for second dose reported as 013L20A. Treatment information was not provided. Action taken with mRNA-1273 was not applicable. The outcome of the events, patient accidentally received the first dose twice, is reported as resolved.; Reporter's Comments: This report refers to a case of inappropriate schedule of vaccine administered for mRNA-1273 (lot number 013L20A for second dose) with no associated AEs reported.

Other Meds:

Current Illness:

ID: 1054063
Sex: F
Age:
State:

Vax Date:
Onset Date: 02/10/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: now bump is from shoulder to elbow; looks bruised in the middle; dark outline of red; was itchy; burned; cellulitis; big red bump; A spontaneous report was received from a Consumer concerning a female patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced cellulitis (vaccination site cellulitis), big red bump (vaccination site reaction), bump is from shoulder to elbow (peripheral swelling), burned (vaccination site pain), looks bruised in the middle (vaccination site bruising), dark outline of red (erythema), and was itchy (vaccination site pruritis). The patient's medical history was not provided. No relevant concomitant medications were reported. On 03 Feb 2021 the patient received their first of two planned doses of mRNA-1273 (lot/batch: unknown) intramuscularly for prophylaxis of COVID-19 infection. On 10 Feb 2021, The patient experienced vaccination cellulitis (big red bump) and pruritus (itchy) with seriousness criteria of hospitalization Action taken with mRNA-1273 in response to the events was not reported. The outcome of the event is unknown; Reporter's Comments: Based on the current available information and temporal association between the use of the product and the start date of the reported event, a causal relationship cannot be excluded.

Other Meds:

Current Illness:

ID: 1054064
Sex: F
Age: 29
State: FL

Vax Date: 12/28/2020
Onset Date: 01/05/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: My arm was a little sore the day after 12/29 but yesterday 1/5 and today 1/6 my arm is more sore and swollen at site, sent to doctor's office for eval - has rash on arms and thighs also. ( Not to get vaccine per CS- SC 1/21/21)

Other Meds:

Current Illness:

ID: 1054065
Sex: F
Age: 68
State: MA

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

Lab Data:

Allergies: sulfur, milk

Symptoms: 3 hours after injection extreme pain in the muscle of my left shoulder. Can not raise my arm without extreme pain. (on a scale of 1-10, this is about an 8). Just a little sore when touched. Sleep last night was very difficult. Still painful to raise my arm this morning, still at least a 7.

Other Meds: entresto spironalactone metropolol

Current Illness:

ID: 1054066
Sex: F
Age: 66
State: MD

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

Lab Data: Audiogram.

Allergies: Wheat

Symptoms: Sudden sensorineural hearing loss in right ear with pure tone average of 72 dB and word recognition score of 24%, from baseline of normal hearing. No vertigo.

Other Meds: Rebif; Nitrofurantoin; Oxybutynin; Hydrochlorothiazide

Current Illness: Multiple sclerosis, well controlled; Diabetes Type 2; Obesity

ID: 1054067
Sex: F
Age: 21
State: WI

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

Lab Data: none

Allergies: none

Symptoms: Patient passed out just after getting to work. She hit her head - cheek & chin - causing abrasion/contusion. This was NOT wittnessed; she does NOT recall passing out or hitting her head. A co-worker noticed something wasn't right & had her sit down. They called my wife who picked her up & brought home & rested. Approximately 5.5 hours later, after feeling "better," she got up to get something to eat. While returning to bed (to rest & eat the small container of applesause) she felt as though she were going to pass out again & quickly sat down on the steps. However, she did not call for me (I was in the room nextdoor) for a few minutes... seemingly having "zoned out" but she does not think she lost consciousness.

Other Meds: none

Current Illness: none

ID: 1054068
Sex: F
Age: 54
State: GA

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

Lab Data: none

Allergies: Augmentin and pneumonia vaccine severe reaction

Symptoms: "Covid Arm" ... very sore, growing round bullseye ... the spot is now the size of a grapefruit... the spot if feverish.... left side of body itches.

Other Meds: none

Current Illness: none

ID: 1054069
Sex: F
Age: 74
State: NY

Vax Date: 02/16/2021
Onset Date: 02/23/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies: Can not take Flagyl or Erythromycin

Symptoms: Red rash, swelling and itching that appeared 7 days after the vaccination. The site of the rash is also warm.

Other Meds: Vitamin D, Vitamin B, Digoxin (125 MCG), Amlodipine (5 MG), Nexium (20mg), Clonazepam (.5mg)

Current Illness: None

ID: 1054070
Sex: F
Age: 76
State: OH

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

Lab Data: NA

Allergies:

Symptoms: Patient complained of racing pulse, anxiety, dizziness during 15 min observation time. BP elevated 175/91, HR 120-130. pOx 99% RA. talked patient through deep breathing, anxiety reducing exercises. Vitals started to come down (153/71, HR 96). Patient then complained that she was feeling unwell again, very dizzy, HR increased as well as BP again. 911 called to patient to go to ER for evaluation.

Other Meds:

Current Illness:

ID: 1054071
Sex: F
Age: 76
State: OH

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

Lab Data: None.

Allergies: Portabella mushrooms, bleach, phenyl and fragrances, glycerine, Z-Pak.

Symptoms: Immediately after the injection and got a pounding headache behind her eyes. Then about 7:30 PM she started to ache all over and very tired. She went to bed around 8:00 PM and then she couldn't sleep all night. She kept trying to drink liquid, running fever, hot and opened a window with temp being 30 outside. She could hardly walk to the bathroom due to the muscle weakness and fear of falling. She tossed and turned all night long. She got up and her temp was 99.8, and she was told not to go to PT this morning. She is being treated for a frozen shoulder. She feels dehydrated and is drinking water, and going to drink Ginger ale and crackers due to the nausea.

Other Meds: None.

Current Illness: None.

ID: 1054072
Sex: M
Age: 74
State: CT

Vax Date: 02/16/2021
Onset Date: 02/23/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: N/A

Allergies: Penicillin

Symptoms: Rash and itchy arm one week following first dose of Moderna COVID-19 vaccine.

Other Meds: Losartan 50 mg, atorvastatin 10 mg, 1000 iu vitamin D

Current Illness: N/A

ID: 1054073
Sex: F
Age: 32
State: OH

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

Lab Data: EMS transport to ED. Additional laboratory workup at that location not known.

Allergies: Bee venom

Symptoms: Within 2 minutes of vaccine receipt the patient became agitated. She was noted to have erythematous macules on her upper back consistent with hives. Her heart rate and respiration rates were normal. She was observed initially as the family reported that she gets hives with all injections. However, about 2 minutes later she began to retch and stated that her throat was burning and she couldn't breathe. She was administered 0.3mg of epinephrine via an autoinjector. Her shortness of breath and throat burning symptoms resolved almost immediately. She was then given 10mg of Cetirizine PO and transported via local EMS for evaluation at the Hospital ED.

Other Meds:

Current Illness:

ID: 1054074
Sex: M
Age: 45
State: AL

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

Lab Data: None. Called family doctor. Advised to take acentaminophen for fever and pain. Call back if not better in 48 hours.

Allergies: None

Symptoms: 103F fever. Severe muscle pain, chills and sweats, headache. Lasted for approximately 36 hours. Could only manage to get out of bed to go to bathroom and back. After fever broke, still have moderate muscle pain, headache, dizziness and diarrhea.

Other Meds: Sertraline 100mg once per day

Current Illness: None

ID: 1054075
Sex: F
Age: 66
State: FL

Vax Date: 02/13/2021
Onset Date: 02/22/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Rash presented 9 days after vaccine Rash on both arms, both legs, back, and face; rash is very itchy, after scrattching it would sting, it is red, hives were circular, red was all over. Symptoms are present but improving Was on antibiotic when rash occurred, started taking antb approximetly Feb 13th Benadryl since Saturday the 20th

Other Meds:

Current Illness:

ID: 1054076
Sex: F
Age: 60
State: TX

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: None. I sucked it up and prescribed myself Benadryl. I also, kept taking my temperature every hour and took my oxygen levels every hour and also my heart rate.

Allergies: Sulfa drugs Toradol tablets, not the injection Methotrexate tablets Plaquinil tablets Erythromycin tablets

Symptoms: 12 hours after dose felt pain, by 15 hours i was in severe arm pain, and lump on arm, and severe headache, chills, temperature 101.8, also tingling throughout body. felt warmth in the internal vaginal area, i was unsure if bladder or vaginal. Stayed in bed a couple of days and started to feel pain again in arm and I physically check and saw a whelp red rash, by then my face had a rash and i took some Benadryl for the next four days and helped. And much better. Now on 2/24/2021 and 2/25/2021, feeling pain again in my arm, and the itching on the injection site. On 2/20/2021 started with left hip pain. Had a phone visit with the Dr and she prescribed Flexaril 10mg tabs and Motrin 800 mg tabs. And Hip pain gone. Now all I have even after taking the Flexaril and Mortin I still have the arm pain and itching. Moderate pain on arm (injection site).

Other Meds: Lisinopril 20mg tablet once daily Zertek tablet once daily

Current Illness: none

ID: 1054077
Sex: F
Age: 54
State: MD

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

Lab Data:

Allergies:

Symptoms: DOSE#1: SLIGHT LOSS OF TASTE IN THE ROOF OF MY MOUTH FOR A COUPLE OF DAYS DOSE#2: TOOK 1000MG OF TYLENOL PRIOR TO DOSE GIVEN AT 16:00 ON 02.22.21 NO ISSUES UNTIL ON 02.23.21 AT 17:00 BEGIN TO HAVE SUDDEN CHILLS, SLIGHT DIZZY, TOOK TYLENOL AGAIN AT THAT TIME, CHILLS CONTINUED ALL THROUGH THE NITE, TEMP AT 98.5 WOKE VERY FATIGUED AND SLUGGISH THE NEXT DAY>>>RETURNED TO BASELINE ON 02.24.21 AT 19:00

Other Meds:

Current Illness:

ID: 1054078
Sex: F
Age: 35
State: LA

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

Lab Data:

Allergies: Perfumes, Scented Products: dermatitis

Symptoms: All over body itching, headache, insomnia.

Other Meds: Labetalol

Current Illness:

ID: 1054079
Sex: F
Age: 51
State: FL

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: I think I am having a local reaction to the vaccine. The site is red and is now itchy and indurated ( raised), It is similar to skin reaction when getting a PPD test.it got better after several days. I did see PCP who gave me steroids to help decrease the inflammation.

Other Meds:

Current Illness:

Date Died: 02/21/2021

ID: 1054080
Sex: M
Age: 67
State: MI

Vax Date: 02/18/2021
Onset Date: 02/21/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies: NKDA

Symptoms: cardiac arrest, death: 2/21/21

Other Meds: amlodipine, centrum silver, vitamin C, Vitamin D, vitamin E, zinc, Lexapro, Seroquel, trazodone.

Current Illness: none

ID: 1054081
Sex: F
Age: 44
State: OH

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

Lab Data:

Allergies:

Symptoms: Initial symptoms numbeness and tingleness in mouth anf face; hour after vaccine both hands dark blue

Other Meds: unknown

Current Illness:

ID: 1054082
Sex: F
Age: 68
State: FL

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

Lab Data:

Allergies: did not want to disclose

Symptoms: started: 2-16-21 after leaving had redness did not want to disclose information other than the reaction she had. informed her without knowing allergies, her medical conditions, or medication she's taking (that may interact with recommendation therapy) I would feel uncomfortable recommending medication. recommended she see her pcp for treatment. verbalized understanding.

Other Meds: did not want to disclose

Current Illness:

ID: 1054083
Sex: M
Age: 81
State: CA

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

Lab Data:

Allergies:

Symptoms: Rash at the injection site.

Other Meds:

Current Illness:

ID: 1054084
Sex: M
Age: 52
State: CO

Vax Date: 02/18/2021
Onset Date: 02/19/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies: Primaquine, Levofloxacin, Reglan

Symptoms: Second shot received at 4pm on Thursday. At approximately 2am on Friday, fever of 103.5 unresponsive to APAP or Ibuprofen for approximately 18 hours, severe body aches especially in both shoulders and hips, extreme fatigue, and headache. After 18 hours, fever was responsive to Ibuprofen but headache, aches, and fatigue still present with general malaise. Then, fever of 101.5 returned about 1am on Sunday and resolved in the morning following another dose of Ibuprofen. Headache and general malaise finally resolved on Monday. The post COVID second vaccination reactions appear to be under-reported and occurring at a greater percent than currently being relayed to the public.

Other Meds: Lisinopril 5mg qd

Current Illness: None

ID: 1054085
Sex: F
Age: 50
State: FL

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Waited 30 mins, Tounge tingly, no SOB or Tachycarida, clear speech

Other Meds:

Current Illness:

ID: 1054086
Sex: M
Age: 69
State: WI

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

Lab Data:

Allergies: meloxicam

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA Extreme sleepiness

Other Meds: acetaminophen, Multiple Vitamins-Minerals, fluticasone, ascorbic acid, celecoxib, vitamin D, amLODIPine, losartan, omeprazole (delayed-release), citalopram, zinc

Current Illness:

ID: 1054087
Sex: F
Age: 60
State: CA

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

Lab Data: no

Allergies: sulfa drugs, benzo peroxide,

Symptoms: pt states that the day after receiving the covid vax she was having flu like symptoms. She had itchy hives on her head that seam to come and go. On 2/18/2021 to 2/22/2021 she had a solid red itchy burning rash on both ears. On 2/23/2021 the rash on the ears moved to her face. On 2/22/2021 she had a virtual doctor appt. She was told to take antihistamine and hydrocortisone. On 2/24/2021 the rash was getting worse so she visited her PCP thought she was having an allergic reaction to the vax and was told to continue the hydrocortisone cream and to come back if it didnt get better. Pt still today 2/25/2021 has the rash on her face and some on her neck that she has aggravated it by scratching it in her sleep.

Other Meds: Multivitamin

Current Illness: no

ID: 1054088
Sex: F
Age: 82
State: ME

Vax Date: 02/17/2021
Onset Date: 02/18/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: Annual physical on 3/1/2021 at which time I will pursue the side effects if they are still bothering me.

Allergies: Sensitivity to sugar and carbohydrates

Symptoms: Fever 101+ for two days, severe aches in hips and pelvis, loss of appetite, loss of energy which is continuing. Intestinal upset which is continuing.

Other Meds: Maxine 37.5/25 25mg., Fiber Plus, bowel mover, vits C and D

Current Illness: None

ID: 1054089
Sex: F
Age: 24
State: AR

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

Lab Data: na

Allergies: none

Symptoms: Fatigue, fever, body aches

Other Meds: Macrobid- just finished

Current Illness: UTI, sinus infection

ID: 1054090
Sex: F
Age: 74
State: NY

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

Lab Data:

Allergies: bee stings

Symptoms: Redness, swelling, hot to touch in the area of the injection. This is the second shot. With the first one, the symptoms appeared a week and a day after the injection - itching and redness, followed by increasing spread of redness, hot to touch, and growing to nearly the entire upper arm. Doctor's visit 2 weeks after the inoculation. Week's worth of antibiotics - reaction was gone after 3 weeks. Second inoculation was Monday of this week, at 11:40 AM. By evening, a small red, hot swollen patch (not itchy) appeared. Spread the next two days. Today is Thursday, and it's larger and hotter and more achy. Was advised at Rite Aid to take Tylenol if symptoms occurred. It's not helping.

Other Meds: vitamins, no rx

Current Illness: none

ID: 1054091
Sex: F
Age: 51
State: TX

Vax Date: 08/15/2020
Onset Date: 08/15/2020
Rec V Date: 02/25/2021
Hospital:

Lab Data: ANA with reflex, ESR, vit b12, b1,E, immunofixation

Allergies: NA

Symptoms: I got my Shingle vaccine at A Pharmacy around 10:00 am on 08/15/20. All day I soreness around my injection site and by around 11:00pm or midnight when I went to bed my entire body from neck to my ankle was aching badly to the point that I was not able to move because of the severe pain. I reported my reaction to the pharmacist at Pharmacy and she asked me to reported to my doctor. I notified my Dr. office and they never got back with me, and couple of days later I started having internal tremors started in growing area and then few days later my whole body. This internal happens at night time and is still continuing. I saw neurologist and reported the issue and again followed up with different doctor and have another appointment with different neurologist to see if he can finds out.

Other Meds: Immitrex

Current Illness: NA

ID: 1054092
Sex: M
Age: 1
State: ME

Vax Date: 02/15/2021
Onset Date: 02/23/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: Pt had urinalysis, BMP, CBC, and Blood cx done as part of ED visit assoc with fever and febrile seizure.

Allergies: No known allergys

Symptoms: Delayed fever and febrile seizure 9 days post MMR vaccination. Pt had also received Dtap and Hep A vaccinations day of fever and febrile seizure.

Other Meds:

Current Illness: None

ID: 1054093
Sex: M
Age: 70
State: TN

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

Lab Data:

Allergies:

Symptoms: Patient was in hospital and received plasma December 10th 2020. While in rehab facility in January 2021, patient received first dose of Covid vaccine even though it hadn?t been 90 days since receiving plasma. No adverse effects reported.

Other Meds:

Current Illness:

ID: 1054094
Sex: F
Age: 68
State: FL

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

Lab Data:

Allergies: NKA

Symptoms: Symptoms started the night of the vaccine, symptoms included headache, soreness in arm, itching, yellow circle size of dime at injection site, red patch that goes down arm about 3-4 inches down, and chills.Has not tried seeing doctor or self medicate

Other Meds: Vitamin D3 Lorazepam for anxiety Alphagan Latanoprost for glaucoma

Current Illness:

ID: 1054095
Sex: F
Age: 71
State: NY

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

Lab Data: none

Allergies: penecillin, sulfa

Symptoms: 2/21 tired, achy legs 2/22 tired achy legs, 6 PM fever 100 degrees chills 2/22 PM fever 101.1 chills 2/23 tired in bed all day sleeping on/ off 2/24 red patch on arm under injection site ( about 4" x 2 ") but otherwise back to normal 2/25 patch fading

Other Meds: Effexor XL 75 mg, Amlodipine 5mg

Current Illness: none

ID: 1054096
Sex: F
Age: 30
State: FL

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 12/28 started having fever , chills cough, body aches, HA, went to ED 12/29, symptoms resolved 29th

Other Meds:

Current Illness:

ID: 1054097
Sex: F
Age: 39
State:

Vax Date: 02/10/2021
Onset Date: 02/13/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: left breast clogged for about 2-3 days left buttock/upper thigh broke out in hives left arm is still a bit sore

Other Meds: daily vitamin with iron, b12, vitamin d, vitamin e

Current Illness: none

ID: 1054098
Sex: M
Age: 72
State: FL

Vax Date: 02/04/2021
Onset Date: 02/14/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: None.

Allergies: Allergic to fire ants. No sure if answer applies here.

Symptoms: Swelling in throat. Transported self to hospital but sat in car outside. Took anxiety med. Fell asleep in car. When awoke felt better and returned home.

Other Meds: Ibuprofen

Current Illness: Some difficulty swallowing. Chronic headaches.

ID: 1054099
Sex: F
Age: 70
State: NY

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

Lab Data: none

Allergies: Penicillin, bee stings

Symptoms: Bell's palsey right side. Sharp pain in jaw, front of ear, headache over right eye. Advil releaved pain. re-eoccured in jaw and eye once also relieved with Advil. Eyebrow droop lasted 1 week. All symptoms gone after 1 week following dose 1 of Pfizer vaccine. Symptoms re-occurred following dose 2 of Pfizer vaccine which was on 2/20/2021. Began with right eyebrow droop 1 day/evening after vaccination. Next day right side headache, ear ache face pain. Advil relieved pain which recurred several times each time Advil wore off. Now 4 days after vaccination and symptoms seem to be lessening. Continue to have eyebrow droop.

Other Meds: Simvastatin, Synthroid, Risedronate, Celexa, Lorazepam, Caltrate, Vit D3, Vit C

Current Illness: none

ID: 1054100
Sex: M
Age: 42
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 inadvertently received 1cc of Moderna COVID vaccine instead of 0.5cc. Patient was notified. State of MD was notified.

Other Meds: none

Current Illness: none

ID: 1054101
Sex: M
Age: 53
State:

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

Lab Data:

Allergies:

Symptoms: Employee reports onset of fever, chills, and dizziness following second dose of vaccine. Employee has taken Motrin and Tylenol and reports mild improvement. Symptoms have not interfered with ADL's.

Other Meds:

Current Illness:

ID: 1054102
Sex: F
Age: 45
State: AZ

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

Lab Data:

Allergies: None.

Symptoms: Started my regular scheduled monthly period on Saturday following vaccination. I had stronger than normal cramping for 3 days following. My periods normally last 3-4 with a day or two of normal flow. I am on my 5th day of menstruating's and my bleeding is extremely heavy. I have also had clotting larger than a dime sometimes much larger than a quarter. I have never experienced a period like this. I have not been checked for uterine fibroids or anything else as this is the first month this has happened. I cannot say for sure that this is related to the vaccine but did feel I should report it since it is abnormal for me.

Other Meds: None.

Current Illness: None.

ID: 1054103
Sex: U
Age: 21
State: IN

Vax Date: 02/19/2021
Onset Date: 02/19/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: lot 9266 exp 05/31/21 shot administered 15:24 and reactions occurred 15:35. Severe sweating, dizziness, lightheadedness, fast HR. Taken to ED by wheelchair by RN.

Other Meds:

Current Illness:

ID: 1054104
Sex: F
Age: 63
State: PA

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

Lab Data: None.

Allergies: Penicillin and vicodin.

Symptoms: Muscle and joint aches with a low temp of 100?. Symptoms lasted 48 hours.

Other Meds: Taken Daily: Flucatasone nasal spray, Iprotroprium nasal spray, Vitamin E soft gels (180mg), Citracal tablets (slow release 1,200), Biotin tablets (5,000mcg), Zinc tablets (25 mg), Cetirizine Hydrochloride Tablets (10mg). NOTE: I took t

Current Illness: None.

ID: 1054105
Sex: M
Age: 15
State: LA

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

Lab Data: Glucose via fingerstick was 90 in the office soon after the episode occurred. Blood presure was 70/palpable in the office soon after the fainting episode. The patient was transported to the ER where further evauation was performed.

Allergies: NKDA

Symptoms: Patient fainted .

Other Meds: Adderall XR 30

Current Illness: None

ID: 1054106
Sex: F
Age: 69
State: CA

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

Lab Data: ultrasound of the left leg at medical center determined blood clot

Allergies: none

Symptoms: 2 hours after injection left leg from the knee down started to swell and the muscle turned rock hard Severe pain made it impossible to walk The swelling is not going down and is causing great discomfort went to the doctor yesterday and it was determined there is a blot clot

Other Meds: furosemide, levothyroxine, valsartan, oxycodone,diclofenac

Current Illness: sore throat

ID: 1054107
Sex: F
Age: 74
State: NY

Vax Date: 02/11/2021
Onset Date: 02/17/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Dizziness, terrible chills, headache, body aches

Other Meds: Carriage station 240mg, levothyroxne 100 mg,folic acid 1 mg, enalapril 25 mg, potassium citrate 15 mg, baby aspirin .81 mg, fish oil Also on that date I was on an antibiotic Ciprofloxacin 250 mg.

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm