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: 1054524
Sex: M
Age: 85
State: MN

Vax Date: 02/16/2021
Onset Date: 02/21/2021
Rec V Date: 02/25/2021
Hospital: Y

Lab Data: Head CT: No CT evidence for acute intracranial process, Negative chest XR, LP with normal cell count but with elevated protein levels, no growth in blood cultures

Allergies: NKA

Symptoms: Headache, worsening of his neurologic status, dizziness, change in gait, shuffling feet, then unable to walk, more sleepy, unable to move extremities, unable to speak, tremors

Other Meds: allopurinol, ASA, finasteride, losartan, Benicar, multivitamin

Current Illness: none

ID: 1054525
Sex: F
Age: 59
State: FL

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: complained of sore arm, N & V, slight fever resolving within 24 hours.

Other Meds:

Current Illness:

ID: 1054526
Sex: M
Age: 86
State: CA

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

Lab Data: none

Allergies: penicillin - rash

Symptoms: Constipation that started the day after the vaccine.

Other Meds: lisinopril 5mg daily, warfarin 5mg, potassium chloride 20meQ, vitamin D3 2,000 units, furosemide 20mg prn

Current Illness: none

ID: 1054532
Sex: F
Age:
State: NJ

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

Lab Data: Test Date: 20210210; Test Name: BP; Result Unstructured Data: Test Result:168/95; Test Date: 20210210; Test Name: BP; Result Unstructured Data: Test Result:180/110

Allergies:

Symptoms: BP measured 168/95. Currently experiencing malignant hypertension with blood pressures averaging 180/110; feel flushed; 10 weeks post partum; 10 weeks post partum; This is a spontaneous report from a contactable other healthcare professional (patient). This reporter reported information for both mother and fetus. This is the maternal report. A 37-year-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EN6201) at arm left via an unspecified route of administration on 08Feb2021 16:45 at single dose for covid-19 immunisation. Medical history included 10 weeks post partum vaginal delivery without complications. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, the patient was not diagnosed with COVID-19. Concomitant medication included colecalciferol (VITAMIN D), enzymes nos, fungi nos, herbal nos, minerals nos, nutrients nos, probiotics nos, proteins nos, vitamins nos (ATHLETIC GREENS), and prenatal vitamin. The patient, 10 weeks post partum without any PHMx of hypertension (HTN), received vaccine and immediately started to feel flushed, was laid supine and Blood pressure (BP) measured 168/95. Currently experiencing malignant hypertension with blood pressures averaging 180/110, unable to be controlled w amlodipine prescribed by MD. Event onset date was 10Feb2021 12:00. The adverse events resulted in doctor or other healthcare professional office/clinic visit, and Emergency room/department or urgent care. Since the vaccination, the patient has not been tested for COVID-19. The outcome of events malignant hypertension and feel flushed was not recovered.; Sender's Comments: Drug causality for suspect drug in the onset of the reported events cannot be excluded assuming a plausible temporal association and considering the known safety profile of the product. The impact of this report on the benefit/risk profile of the Pfizer drug is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees and Investigators, as appropriate ,Linked Report(s) : US-PFIZER INC-2021167922 mother/child cases

Other Meds: VITAMIN D; ATHLETIC GREENS

Current Illness:

ID: 1054533
Sex: F
Age: 74
State: MN

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

Lab Data: None

Allergies: Lisinopril

Symptoms: Moderna Cov-19 vaccine EUA. Two weeks after receiving first shot, woke up with red, hot, itchy patch on my left arm around the area of injection. Raised small bumps. Measures about 2 inches wide by 3.5 inches high. It does not hurt or impede activity.

Other Meds: Losartan; Hydrochlorothiazide; Bupropion; Levothyroxine; Calcitriol; Magnesium; Centrum Silver for women; Fish oil; Collagen

Current Illness: None

ID: 1054534
Sex: F
Age: 66
State: NH

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

Lab Data: The website said it should go away after a couple of days to greet it topically or take Benadryl.

Allergies: Codiene, amoxicillin, penicillin

Symptoms: 8 days after shot, a raised and itchy circle, appeared under shot site on my left upper arm. I checked internet and believe it is what is being allied Covid Arm. I have applied a topical inti-itch lotion made by Aveeno.

Other Meds: Metoprolol, Paxil, Fluicasone Propionate Nasal Spray, Estradol Vaginal Cream, Triamcinolone Acetonide Ointment, low dose aspirin,

Current Illness:

ID: 1054535
Sex: M
Age: 70
State: AZ

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

Lab Data: None

Allergies: None

Symptoms: Vomiting, severe body pain, flu like symptoms but no temperature issues

Other Meds: Centrum Multiple vitamin, Nature Made B-complex, Losartan 50 mg, Allertec 24hr, Ultra Omega-3 1000mg, 1/4 tab of Mucinex

Current Illness: Allergies, Asthma, Slight High Blood pressure

ID: 1054536
Sex: F
Age: 77
State: GA

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

Lab Data:

Allergies: Not listed

Symptoms: Redness and itching noted after second injection and after first injection on 01/27/2021. Injection on 01/27/2021 patient stated lasted for 3 weeks after injection. Stated she consults with her primary care provider and was advised to take Benadryl as needed.

Other Meds: Unkown

Current Illness:

ID: 1054537
Sex: F
Age: 38
State: FL

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

Lab Data:

Allergies:

Symptoms: TINGLING FINGERS-RESOLVED, She had developed body aches and a rash to the vaccine. Received vaccine 1/7. Rash is still present but it no longer itches

Other Meds:

Current Illness:

ID: 1054538
Sex: F
Age: 35
State: NJ

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

Lab Data: no

Allergies: Bactrim - specifically anything with sulfur

Symptoms: Symptoms about an hour AFTER injection, facial numbness and mild soreness at the injection site. A few hours (~8hours) symptoms started with fatigue, body soreness, chills, low fever, malaise, mild chest pains/tightness, headache, dizziness

Other Meds: no

Current Illness: no

ID: 1054539
Sex: M
Age: 74
State: CA

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

Lab Data:

Allergies: PCN G

Symptoms: vivid hallucinations the night of vaccination and the next morning

Other Meds: allopurinol, lassie, tramadol, Crestor, gabapentin

Current Illness:

ID: 1054540
Sex: F
Age: 20
State: MT

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

Lab Data: None

Allergies: None

Symptoms: Severe nasua and vomiting, petechiae on face and neck, bone pain in left arm (arm that vaccine was administered), fever, chills

Other Meds: None

Current Illness: None

ID: 1054541
Sex: F
Age: 84
State: IA

Vax Date: 02/19/2021
Onset Date: 02/20/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Swelling in right eye with pocket of liquid/blood around nose and eye area

Other Meds: Losartan 10mg, Amlodipine 5mg, Metoprolol 100mg, multivitamin, Zuralto, torsemide 20mg, azithroycin, potassium OTC

Current Illness: none

ID: 1054542
Sex: F
Age: 78
State: OH

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

Lab Data: 12:38PM O2 SAT 97%, HR94, BP 160/90. 12:47 SAT 99%.

Allergies: LODINE

Symptoms: 12:38PM PT C/O 'THROAT FEELS TIGHT-DENIES SOB OR DYSPNEA'. A/O, PINK, W/D, RESP WITHOUT DISTRESS. BENADRYL 50MG PO (1 CHEWED/1 SWALLOWED). 12:52PM 'FEELS A LITTLE BETTER'.RESP REG WITH EASE. 1:35PM STATES 'IMPROVED'. A/O, PINK, PINK, W/D, NO RESP DISTRESS. SUGGESTED TO TAKE BENADRYL 25-50MG AT 4PM AND 8PM THEN A CLARITIN AT BEDTIME. ALSO CHECK WITH PCP R/T DOSE #2. 2-25-21 10AM TC-PT STATES SHE 'FEELS BETTER, BUT THROAT IS NOW DRY FROM CLARITIN'. STATES SHE SAW HER PCP THIS AM AND WAS ADVISED NOT TO TAKE DOSE #2.

Other Meds:

Current Illness: NONE

ID: 1054543
Sex: F
Age: 69
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 possibly was inadvertently given 1cc of Moderna COVID vaccine instead of 0.5cc. Patient was notified. State of MD was notified.

Other Meds: none

Current Illness: none at time of vaccination

ID: 1054544
Sex: M
Age: 36
State: MN

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

Lab Data:

Allergies:

Symptoms: Vaccine had been thawed 1/08/21, had expired before giving not caught until after given

Other Meds:

Current Illness:

ID: 1054545
Sex: F
Age: 57
State: IL

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

Lab Data: i have an appointment scheduled with an allergist/immunologist on 03/03/2021.

Allergies: Angioedema - Shrimp, once in 2003. Positive skin prick test.

Symptoms: 02/20/2021 Immediate post-vaccination onset of intermittent lightheadedness & migrating sensation of tingling over body & face; at 45 minutes also experienced a sequence of coldness of feet, then hands (w/decreased perfusion), as those resolved then core/trunk, as trunk warmed then at 75 min upper gums, then eyelids, then nose; bowel urgency; at 2 hours warm flush, mind clearer, better color vision, feeling stronger; lightheadedness resolved within 3 hours of pharmacist observation. No urticaria, angioedema or respiratory distress. No treatment. Could stand and walk with assistance, though very fatigued. Rested at home. **Re-presentation of lightheadedness & tingling on 02/22 & again mildly on 02/24 while resting.**

Other Meds: Synthroid, Telmisartan/HCTZ, Prempro

Current Illness: none

ID: 1054546
Sex: M
Age: 37
State: FL

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

Lab Data:

Allergies:

Symptoms: DIZZINESS-RESOLVED

Other Meds:

Current Illness:

ID: 1054547
Sex: F
Age: 68
State: WA

Vax Date: 02/13/2021
Onset Date: 02/20/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: None

Allergies: Amoxycillan

Symptoms: One week after first vaccine, my left arm started to itch at vaccination site, then turned red and hot, sore and swollen. Red area was about 6" in diameter. It has slowly gotten better over the last six days. No treatment was necessary. The redness has almost gone away

Other Meds: Xeralto Multi vitamin

Current Illness: None

ID: 1054548
Sex: F
Age: 77
State: IN

Vax Date: 02/13/2021
Onset Date: 02/15/2021
Rec V Date: 02/25/2021
Hospital: Y

Lab Data: Went to hospital emergency room, stayed overnight and they took all sorts of heart tests. Don?t know results?sending them to Dr

Allergies: Sulfa Antibiotics

Symptoms: On February 15 when I got up I had rapid, pounding heartbeat, felt exhausted, and had panic attacks

Other Meds: Levothyroxine 75 mcg, colchicine .6 mg, hydroxychloroquine 200 mg

Current Illness:

ID: 1054549
Sex: F
Age: 68
State: NC

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

Lab Data:

Allergies: Sulfa meds & all Caffeine meds

Symptoms: 12 hrs. after vaccine, severe headache, nausea, vomiting. Severe Headache lasted 24 hr. Low grade headache 2 to 3 additional days. Nausea lasted 36 hrs. Vomiting, dry heaves 12 hrs. Exhaustion 36 hrs. Additional tiredness, malaise, another 3 days.

Other Meds: Mesalamine; Spironolactone; Lexapro; Diltiazem

Current Illness:

ID: 1054550
Sex: F
Age: 48
State: WY

Vax Date: 02/04/2021
Onset Date: 02/23/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies: Serevent, latex, oranges, peanuts, almonds, avocado

Symptoms: Excessive vaginal bleeding

Other Meds: Ventolin Flovent

Current Illness: No

Date Died: 02/19/2021

ID: 1054551
Sex: M
Age:
State: KY

Vax Date: 01/16/2021
Onset Date: 02/18/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: N/A

Allergies: NKA

Symptoms: Resident expired on 2/29/21.

Other Meds: N/A

Current Illness: N/A, under hospice care for end of life

ID: 1054552
Sex: F
Age: 47
State: CO

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

Lab Data: None

Allergies: None

Symptoms: Caused a flare up of fibromyalgia pain. Has lasted over a week. Pain is 8-[ out of 10. Headache that lasted over a week

Other Meds: Effexor. Gabapentin, ambien, flexeril. tramadol, multivitamin, magnesium complex, vitamin b complex, probiotic, senna+, colace, famotidine, claritin

Current Illness: None

ID: 1054553
Sex: F
Age: 67
State: IL

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

Lab Data:

Allergies:

Symptoms: patient states severe fatigue the first 2 days and continued fatigue for one week after, but not as severe

Other Meds:

Current Illness:

ID: 1054554
Sex: F
Age: 45
State: FL

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

Lab Data:

Allergies:

Symptoms: WEIRD TASTE - RESOLVED

Other Meds:

Current Illness:

ID: 1054555
Sex: F
Age: 45
State: VA

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

Lab Data:

Allergies: None

Symptoms: Diarrhea, Bell's palsy and drooling for 48-72 hours, extreme itchiness and heat left side, tingling left side, numbness left arm and face, nose

Other Meds: None

Current Illness: None

ID: 1054556
Sex: F
Age: 55
State: NC

Vax Date: 02/14/2021
Onset Date: 02/15/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: About 36 hours after the injection I woke up with swollen dry cracked lips. The swelling did not effect my breathing or airway. I did not need immediate attention. I took an antihistamine for 3 days. On day 3 I went to an urgent care. The PA felt it was a reaction and suggested taking a Pepcid as well as the zyrtec. It cleared up on 2/18. On Wednesday 2/24 at about 8 pm I noticed my lips were starting to swell again. I took a zyrtec and a pepcid. I woke up on 2/25. My lips were very swollen and itchy and red and the area around my lips were very red. I did not feel any breathing issues. I went to an urgent care. They felt it was a delayed reaction to the vaccine and gave me a shot of prednisone and I took 25mg of Benedryl.

Other Meds: albuterol inhaler, Vitamin D, B12,Calcium, Apple Cider Vinegar,Flonase

Current Illness: none

ID: 1054557
Sex: M
Age: 38
State: HI

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

Lab Data: Ekg, normal 2/24

Allergies: Sulpha, pineapple, cats

Symptoms: Flu like symptoms followed by two episodes of fainting and convulsions requiring ambulance 15 hours after vaccine.

Other Meds: Zyrtec

Current Illness:

ID: 1054558
Sex: F
Age: 47
State:

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

Lab Data:

Allergies: NSAIDS

Symptoms: Moderna COVID-19 Vaccine EUA Seven days after the shot, had enormous "bug bite" at the site of the shot. Measured roughly 2-3 inches in diameter (size of my palm). Hard, warm and extremely itchy. It eventually went away after 2-3 days. Took Zyrtec and it seemed to help

Other Meds:

Current Illness:

ID: 1054559
Sex: F
Age: 64
State: TX

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

Lab Data:

Allergies:

Symptoms: Patient states that she was not feeling right, stated could have been blood pressure, blood pressure was with in normal limits, patient stated that she was having shortness of breath and chest tightness, offered to call ems client refused stated that she had family here with her and that she would have them take her to the ER advised against offered to call ems again client still refused and left with family in private vehicle .

Other Meds: Patient states that she has to have iron infusions, as well as takes 81 mg aspirin daily

Current Illness:

ID: 1054560
Sex: M
Age: 84
State:

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

Lab Data:

Allergies:

Symptoms: Vaccine had been thawed 1/08/21, had expired before giving not caught until after given

Other Meds:

Current Illness:

ID: 1054561
Sex: F
Age: 60
State: FL

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

Lab Data:

Allergies:

Symptoms: DIZZINESS-RESOLVED

Other Meds:

Current Illness:

ID: 1054562
Sex: F
Age: 29
State: OK

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

Lab Data: N/A

Allergies: Latex, banana, tree nuts, flu vaccine.

Symptoms: Chills, aches, pains, soreness at injection site, lightheadedness, disorientation, headache and stomach ache.

Other Meds: Nexium,

Current Illness: N/A

ID: 1054563
Sex: M
Age: 73
State: OH

Vax Date: 02/11/2021
Onset Date: 02/19/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: My primary care physician confirmed that I Shingles on 02/22/2021.

Allergies: none

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA. Shingles contracted approximately one week after the first shot. I had received the Zoster (Zostavax) innoculation on 09/25/2015.

Other Meds: Metoprolol 25 mg

Current Illness: none

ID: 1054564
Sex: M
Age: 34
State: CA

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

Lab Data: None

Allergies: None

Symptoms: Blacked out: I was attempting to put on a sweater to go to the bathroom. I had my arms up and felt a lot of pain in my arm, and blacked out and fainted. I don't recall the events for the next 60 seconds. My wife said that I fell on the bed, was unresponsive, saw foaming at the mouth, had seizure, and urinated in my pants. She adjusted the bed so that my head is up, and threw cold water at my face, mouth and teeth, which made me responsive, and then walked me to the bathroom. During the night, I had fever, Chill, pain at injection site, vomit, nausea, headache, light-headed. I didn't have appetite in the morning and had nausea and headache. I felt better ~3pm when I could finally eat rice, yogurt and chicken. I am feeling well now, but worry that the seizure had caused any long term damage.

Other Meds: None

Current Illness: None

ID: 1054565
Sex: M
Age: 52
State: CA

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

Lab Data: none

Allergies: none

Symptoms: nausea, joint pain, feeling unwell, hard to swallow

Other Meds: none

Current Illness: none

ID: 1054566
Sex: F
Age: 37
State: CA

Vax Date: 01/16/2021
Onset Date: 01/17/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: None.

Allergies: None

Symptoms: Fatigue and muscle aches that interfered with normal daily activities, stayed in bed for about 2 days. Sore arm. No fever or other symptoms. Pregnant 30 weeks and 5 days at time of second dose administration. Estimated date of delivery 2021.

Other Meds: Prenatal vitamin, Vitamin D

Current Illness: None

ID: 1054567
Sex: F
Age: 63
State: MN

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

Lab Data:

Allergies:

Symptoms: 101 temp, body aches, and nausea

Other Meds:

Current Illness:

ID: 1054568
Sex: F
Age: 52
State: WI

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

Lab Data:

Allergies: No

Symptoms: 8 days after injection in left arm, injection site got red, sore and itchy along with gland swollen behind left ear. Still red and slightly itchy on 10th day. Immediately after injection, had headache for less than 30 mins and then arm was sore from shoulder to elbow but went away after 2 days.

Other Meds: Wellbutrian 300mg, centrum silver, sudafed sinus 12 hour pressure and pain

Current Illness: None

ID: 1054569
Sex: F
Age: 52
State: FL

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

Lab Data:

Allergies:

Symptoms: Increased HR, BILAT UE tingling-resolved.

Other Meds:

Current Illness:

ID: 1054570
Sex: F
Age: 83
State: MN

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

Lab Data: no

Allergies: morphine, lisinopril, Novak, cephalexin, duricef, tape and latex,

Symptoms: pt states the next day after receiving the vax her right shoulder swollen and it started itching badly. She called her pharmacist and he told her to use hydrocortisone and she used Benadryl as well. On the fourth day the itching moved from her right arm to her left arm which lasted for 2 days then moved to her right upper chest which lasted a couple of days before subsiding. Pt has not contacted her PCP at this time.

Other Meds: gabapentin 300mg x3 x 3 daily, levothyroxine 88mg, warfarin 5mg (Mon and Fri only take 1/2 dose) multivitamin, prese vision x 2 daily, Vitamin D3 125micrograms, Vitamin B12 2500 micrograms, Probiotic

Current Illness: no

ID: 1054571
Sex: F
Age: 63
State: NY

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

Lab Data: Vital signs taken by EMS

Allergies: None

Symptoms: Dizziness, Fainting, Loss of Consciousness, Low blood pressure -- duration several minutes followed by fatigue resting in bed.

Other Meds: Losartan 50mg

Current Illness: None

ID: 1054572
Sex: F
Age: 32
State: MO

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

Lab Data:

Allergies: n/a

Symptoms: Headache, dizzy, sore throat, sore neck, chills, sweats, low grade fever, clammy this all lasted for about 48 hours

Other Meds: zyrtec, flonase, azelestine, singular, omeprazole.

Current Illness: n/a

ID: 1054573
Sex: F
Age: 74
State: AZ

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

Lab Data: CXR reassuring. EKG in process with non-specific ST depressions. Done in ED during acute phase of event.

Allergies: statin drugs

Symptoms: Acute onset difficulty breathing with stridor/difficulty breathing. Tx as allergic rxn/anaphylaxis. Interventions from patient included albuterol breathing treatment. EMS provided Solu-Medrol, DuoNeb breathing treatment. Continued significant stridor on presentation to emergency department. Emergency department provided IM epinephrine, IV Benadryl, IV famotidine, racemic epinephrine breathing treatment. Symptoms improved. Stridor resolved.

Other Meds: Adderall Albuterol Patient otherwise initially unclear

Current Illness: none

ID: 1054574
Sex: F
Age: 63
State: TX

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

Lab Data: None

Allergies: Penicillin, Erythromycin, shellfish

Symptoms: 2;27 pm on 2/23 vaccine receivee; waited 30 minutes and had "shakes", but guessing it was just me, not the injection. Awoke at 3AM on 2/24 feeling achy and very sluggish and had chills. Fell back to sleep. 7:30AM, temp was 99.4 and I took Advil, 2 tabs, body aches and chills. 8:30 AM, feeling better, temp 99.3, not so achy. Left arm below injection site looking slightly red and blotchy. 3:30 PM, temp 99.6 feeling achy and took 2 Advil and slept for nearly 3 hours. Woke at 6:15PM, feeling tired. 7PM, temp 100.4, took 650 mg of Tylenol and went to a Zoom meeting. 9:00 temp 98.5, feeling more normal. 11:00 PM until 6:30AM slept well, no elevated temp, but my left arm is very red, blotchy about an inch below and to the right of the injection, 1.5 inch in diameter, not a perfect circle, warm to touch and tender. This was my second injection of the Moderna Covid vaccine and I had No reactions with the 1st injection, except a bruise at the site. Both injections given in the same arm; 28 days apart.

Other Meds: none

Current Illness: none

ID: 1054575
Sex: M
Age: 71
State:

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

Lab Data:

Allergies:

Symptoms: Vaccine had been thawed 1/08/21, had expired before giving not caught until after given

Other Meds:

Current Illness:

ID: 1054576
Sex: F
Age: 25
State: FL

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: That day are started getting itchy with no signs of rash or irritation. I ended up sleeping the entire day the next morning (15-16 hours) and felt a little lethargic (with body aches) until about Sunday/early Monday 1/11. TToday, I started getting very nauseous and vomited twice and started having chills with no fever and a headache. I am working from home today 1/13

Other Meds:

Current Illness:

ID: 1054577
Sex: F
Age: 65
State: MI

Vax Date: 02/17/2021
Onset Date: 02/24/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: None!

Allergies: penicillin, codeine. Olives, vanilla, bleu cheese, apples, mold, barley, none of these food items have been life threatening. Tide Detergent

Symptoms: 2/17/21: later in the afternoon had a bit of swelling and itchiness at the injection site. Later that evening it turned red. A couple days later, that subsided. 2/24/21: Itchiness at site reoccurred as well as swelling and redness and heat. Applied ice that evening and decided to send an email to my primary physician on 2/25/21. The Physician suggested I report this adverse event and sent me this link! 2/25/21: Arm is still red, itchy and swollen but has subsided a bit. I have not taken any form of analgesic or allergy medicine. Thus, the answer to Item 20 is still no as it has not yet fully subsided.

Other Meds: Effexor 37.5 mg. 2X a day

Current Illness: None

ID: 1054578
Sex: F
Age: 70
State: CT

Vax Date: 02/14/2021
Onset Date: 02/23/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: None

Allergies: Aspirin Penicillin

Symptoms: Redness and swelling left upper arm. Area is very warm and slightly itchy.

Other Meds: Levothyroxine Doxycycline Vitamin D

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm