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: 1055669
Sex: M
Age: 22
State: MI

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

Lab Data: n/a

Allergies: seasonal/environmental allergies

Symptoms: fever, headache, full-body muscle aches, generalized joint pain, injection-site pain, chills, purple, speckled rash bilateral arms, eczema flare on left arm around injection site

Other Meds: lexapro, multivitamin

Current Illness:

ID: 1055670
Sex: F
Age: 45
State: NC

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

Lab Data: none

Allergies: None

Symptoms: Patient noted small area of itching and erythema on neck approximately 10-15 minutes after her first COVID vaccination. No SOB, facial swelling or difficulty swallowing. Vitals at 1:50 BP 152/95, Pulse 60 and O2 sats 100% She received 25 mg oral benedryl and water and observed another 15 minutes. No progression of rash but continued itching on neck and chin,no facial swelling SOB or trouble swallowing. Stable vitals, she took second dose of benedryl 25 mg and will head home to rest. Will monitor for any change in symptoms- does have epi available at home (due to children with severe allergies). She was educated that current CDC recommendations are that with any allergic reaction within first 4 hrs, that the individual not go on to receive second vaccination. She was disappointed by will follow CDC for updates. She did enroll in vsafe. She was agreeable to me checking in on her later. Will submit VAERS for thoroughness tomorrow with update. I confirmed with patient on 2/25/21 that when she awoke today, she noted complete resolution of her itching and rash she experienced on 2/24/21 after vaccination. I invited her to visit with her PCP if she wanted to discuss further the safety of proceeding with second vaccination. She was appreciative.

Other Meds: None

Current Illness: None

ID: 1055671
Sex: F
Age: 83
State: DE

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

Lab Data:

Allergies: Naproxen Erythromycin Base

Symptoms: Red rash at injection site that is firm and may be causing some itchiness and/or soreness.

Other Meds: Galantamine, B12, D3

Current Illness:

ID: 1055672
Sex: F
Age: 62
State: NJ

Vax Date: 02/15/2021
Onset Date: 02/22/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: NONE

Allergies: METAL SENSITIVITY

Symptoms: RASH ON RIGHT ARM AROUND INJECTION SITE. ITCHINESS BEGAN ON 2/21 AND THE FOLLOWING MORNING DEVELOPED SMALL RASH THAT HAS SEEM TO HAVE GROWN. AS OF THURSDAY THE ARM STILL EXHIBITS THE RASH. HAVE HAD AN ON AND OFF AGAIN HEADACHE. NOT SURE IF THAT IS RELATED TO THE VACCINE.

Other Meds: NONE

Current Illness: NONE

ID: 1055673
Sex: F
Age: 48
State: NH

Vax Date: 02/15/2021
Onset Date: 02/17/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: 2/18/21. Chest X-ray -- clear no pulmonary embolisms ;2/22/21 Vascular Ultrasound left arm, neck and shoulder-- clear no blood clots. ;2/24/21 Cervical Spine X-ray -degenerative areas but not enough to pinch a nerve, no evidence of a bulging disc.

Allergies: Floxin

Symptoms: Started 2/17/21 two days after vaccine shot. Left arm and shoulder pain upon waking. Intense burning sensation across top of shoulder, down over shoulder blade and entire left arm, including hand. Sharp pain with cramping feeling. Difficulty finding a comfortable position because entire arm is tender, sore to the touch, as well burning feeling. Duration: 2/17/21 - still ongoing. 2 ER Visits. 2 PCP Visits

Other Meds: Jardine 25mg, Famotidine 40mg, Metformin 1000mg, Eliquis 2.5mg, Bupropion ER 300mg, Omeprazole 20mg, Venlafaxine XR 75mg, Simvastatin 40mg, Propranolol 10mg, Baclofen 10mg, Aimovig, Topiramate 100mg, Naproxen 550mg, Hydroxyzine 25mg,

Current Illness: Sinus infection

ID: 1055674
Sex: M
Age: 67
State: SC

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

Lab Data: BP 94/60 (per EMS)

Allergies: no known allergies

Symptoms: PT DENIED HAVING A REACTION TO ANY VACCINE PREVIOUSLY AND DENIED HAVING AN ALLERGY TO PEG OR POLYSORBATE. AFTER RECEIVING THE VACCINE AT 2:43PM PT STATED HE FELT DIZZY AND WOULD LIKE TO SIT DOWN. I WALKED HIM TO THE PATIENT CARE AREA AND SAT BESIDE HIM FOR HIS 15 MIN WAITING PERIOD. AT 2:45PM PATIENT STARTED TO SNORE LOUDLY AND COULD NOT BE WAKEN UP. CALL 911 . FTER PATIENT WAS ON THE GROUND HE GAIN CONSCIOUNESS. HE STATED HE TOOK A GREAT NAP AND WAS ABLE TO TELL ME HIS NAME, DOB, MY NAME AND WHERE HE WAS AT. HE BP WAS LOW UPON CHECKING THE FIRST TIME IT SPB WAS 74 THEN WHEN EMS ARRIVED WAS 94/60 WITH A PULSE OF 80BPM. HE ALSO STATED HE DID NOT WANT EMS TO TAKE HIM TO THE HOSPITAL. EMS ARRIVED AT 2:52PM. AT 4:07 PM EMS CAME BACK TO THE PHARMACY AND STATED THE PATIENT REFUSED TO GO TO THE HOSPITAL AND FOR HIPPA REASONS COULD NOT SHARE WHAT WAS GOING ON. CALLED THE PT LATER THIS EVENING AND HE SAYS HE IS DOING FINE AND HAS HAD NO FURTHER COMPLICATIONS.

Other Meds: sildenafil blood pressure medication (unknown) statin

Current Illness: none

ID: 1055675
Sex: F
Age: 67
State: MI

Vax Date: 02/13/2021
Onset Date: 02/18/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: None

Allergies: Chlorthalidone

Symptoms: Rash, very itchy, warm to touch, slight swelling

Other Meds: Cipro, Losartan, carvediol, Metformin, Multivitamin, Vit C

Current Illness: UTI

ID: 1055676
Sex: F
Age: 69
State: AZ

Vax Date: 02/11/2021
Onset Date: 02/24/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies: DILAUDID PERCOCET PERCODAN IODINE AUGMENTIN ASPRIN

Symptoms: Started out with just a sore where injection was given. then it started to swell and turn red and feel warm to the touch . Its now 3 inches long by 2 inches wide. I have contact agency and they advised me to see my doctor immediately. I hung up from them and contacted my doctor who can not see me until tomorrow at 1:15. Feb 26,2021

Other Meds: Metformin ER24hrtab Truclicity Levothyroxine Metopolol ERSuccinate Eliquis Dicyclomine Pravastatin Albuterol Sulfate Hfa Flovent HFA Omeprazole Alpha Lipoic Acid B12 Probiotic Claritin Biotin

Current Illness: None

ID: 1055677
Sex: F
Age: 29
State: NY

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

Lab Data:

Allergies: Shellfish

Symptoms: Prolonged dry mouth.

Other Meds: Prenatal vitamins

Current Illness:

ID: 1055678
Sex: F
Age: 58
State: OH

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

Lab Data: Took my own BP at home it was 117/57 pulse was 69 this was about 45 minutes after getting the vaccine.

Allergies: Walnuts, Pitocin, compazine, adhesive tape, Toradol,

Symptoms: Heart racing, fast pulse, heaviness in chest, light headed, short of breath, headache. Lasted about an hour, drank 20oz of water and rested.

Other Meds: Lisinopril, omeprazole, cilastizol,carisoprodol, lo dose aspirin, vitamin D, ezetimibe, rosuvastatin, probiotic, Tresiba, Humalog, Apidra, B12, Unisom

Current Illness: None

ID: 1055679
Sex: F
Age: 33
State: NJ

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: Ultrasound scheduled for 3/25/21

Allergies: N/A

Symptoms: Lymph node swelling in right side neck above clavicle. Showed up day after vaccine. 3 weeks later no change in shape or size. Going for ultrasound tomorrow 3/25/21.

Other Meds: Synthroid Birth control

Current Illness: N/A

ID: 1055680
Sex: F
Age: 41
State: NY

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

Lab Data:

Allergies: None

Symptoms: 2 weeks after my second dose of Moderna COVID vaccine I've started to develop a rash that will appear in different places all over my body. My neck, wrists, ankle and torso. The skin will get itchy then I will scratch it (lightly) and it will become very red and inflamed. It comes on quickly and also disappears quickly. I have gotten it on my face as well. I spoke with my primary care doctor yesterday (about a week after this reaction began ). I sent her pictures. She is pretty certain this is caused by the vaccine and has prescribed Zyrtec 10 mg twice daily for 14 days. I've only taken 2 dose and I'm still getting the rash. The rash appears in no predictable way in terms of where it appears on the body.

Other Meds: None

Current Illness: None

ID: 1055681
Sex: F
Age: 15
State: CO

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

Lab Data:

Allergies:

Symptoms: Patient is 15 years old. Was enrolled in a mass vaccination clinic by health department. Patient age was not noticed by pharmacist, and vaccine was given. Age was noticed later in the evening at processing pharmacy. Patient's mother, was contacted by me on 2/25/21 to inform her that the shot was not indicated for patient. She reported that patient was showing no symptoms, and would contact me if that changed. I informed her that patient is not eligible for dose 2.

Other Meds:

Current Illness:

ID: 1055682
Sex: F
Age: 61
State: FL

Vax Date: 02/12/2021
Onset Date: 02/20/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies: Penicillin, Iodine, lactose

Symptoms: Local hypersensitivity reaction that has extended from the shoulder to the elbow.

Other Meds: Pantoprazole, Cyclobenzaprine, Lisinopril, Atorvastatin

Current Illness:

ID: 1055683
Sex: F
Age: 62
State: NC

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

Lab Data:

Allergies: Lonsinpril

Symptoms: Rash ,nausea ,vomiting body aches tiredness ,extreme itching

Other Meds:

Current Illness: Esrd

ID: 1055684
Sex: F
Age: 48
State: MD

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

Lab Data: None

Allergies: Sulfa antibiotics

Symptoms: On day 8 mild redness & mild itching at injection site.

Other Meds: Mometasone Furoate 50mcg spray; Valacyclovir Hydrochloride 500mg tablet; Norethindrone Acetate/Ethinyl Estradiol/Ferrous Fumarate FE 1/20 tablet; Fish Oil 1400mg; Zyflamend supplement; TruBiotics daily probiotic

Current Illness: None

ID: 1055685
Sex: M
Age: 87
State: FL

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

Lab Data: None done.

Allergies: No known allergies

Symptoms: Swelling at site of injection. Started within 1 hour of injection (noted on ride home). Swelling increased, and pain increased, a day later. Arm still swollen, less so, two days after injection. Pain reduced but still present two days after injection. Advised ice pack yesterday. Swelling seems to have gone down by 56 hours after injection, only slight. (but has lasted past 48 hours.

Other Meds: Warfarin 3mg; Atorvastatin; Famotidine; Citalopram; Aspirin 81 mg; D3; B12

Current Illness: None

ID: 1055686
Sex: F
Age: 47
State: NC

Vax Date: 02/19/2021
Onset Date: 02/22/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: None. Scheduled visit with PCP on 3/1/21.

Allergies: PCN

Symptoms: Severe pain in shoulder joint not responding to anti inflammatory medications. Limited range of motion in left arm.

Other Meds: None

Current Illness: None

ID: 1055687
Sex: F
Age: 59
State: FL

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

Lab Data:

Allergies: None

Symptoms: Lips started to feel puffy, dry mouth, nausea, fever, chills, headache,rapid heartbeat, fast pulse, covid arm, unsteadiness

Other Meds: Levothyroxine 75 mcb

Current Illness: None

ID: 1055688
Sex: F
Age: 30
State: CA

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: The morning after I received the vaccine I woke up and could not breathe out of my nose I was completely clogged up. My body hurts so badly that I could not take my dog outside to use the bathroom. I was hobbling around like I was 80 years old and I?m only 30. I was very emotional and had bursts of crying episodes. I have never experienced body pain like this. I had chills like I had a fever. I slept the whole day into the night.

Other Meds: None

Current Illness: None that I?m aware of

ID: 1055689
Sex: F
Age: 35
State: CA

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

Lab Data:

Allergies: none

Symptoms: Early this morning while I was sleeping I began experiencing an itch/discomfort on my upper left arm where I received the injection. Around 6:30am I noticed that my arm was red and swollen in a circle around the injection site. I have continued to experience itching, and now around 6pm the circle has gotten larger and more swollen. My arm also feels sore. I haven't taken anything to treat it because I may be pregnant and don't want to jeopardize the pregnancy. I looked this up online and I guess it's called "Covid Arm" but from what I've read its very rare? I wanted to report it so that there is more data available about this adverse effect. I was not aware about Covid Arm and it was concerning to experience this side effect a week after I received the shot since I did not initially experience anything like this.

Other Meds: Pre-natal vitamins

Current Illness: none

ID: 1055690
Sex: F
Age: 36
State: MN

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

Lab Data: None.

Allergies: None

Symptoms: Moderna Covid19 Vaccine EUA. The day after i received the vaccine i got a red swollen circle on the injection site area. The circle was about 2 inches in diameter and very swollen. It felt warm to the touch. It was a little itchy at times. It felt a little sore if I touched the area. Everyday after that the swelling went down and became less red. On the 8th day I thought it would be gone but the swelling came back. It is about 2 inches in diameter, red in color, warm to the touch and a little itchy. It's not as swollen as before but still feels sore to the touch.

Other Meds: Lexapro

Current Illness: None

Date Died: 01/24/2021

ID: 1055691
Sex: M
Age: 93
State: MI

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 02/25/2021
Hospital: Y

Lab Data:

Allergies:

Symptoms: Massive ischemic stroke with aspiration, unable to arouse on the morning of 1/21/2021 and placed on Hospice with death 1/24/2021

Other Meds: Zoloft, ASA, Lipitor

Current Illness: dyslipidemia, mild dementia, lumbar stenosis with indwelling suprapubic catheter - no known infection/symptoms of infection

ID: 1055692
Sex: F
Age: 65
State: LA

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

Lab Data:

Allergies: Pennecilin, aspirin

Symptoms: Red, hot, swollen area at shot site. Extreme itching and jittery, antsy feeling in body starting 2/24/2021 and this evening on 2/25/2021 it is slightly worse with a bigger and redder lump and much itching. The nurse advised me to take two zertec and apply hydrocortisone cream which o have done. Applied the cream many times today.

Other Meds: Carvedilol, plaquenil, losartan/hct, zertec, magnesium, vitamin d plus k, B12 folate

Current Illness: None

ID: 1055693
Sex: F
Age: 76
State: FL

Vax Date: 02/06/2021
Onset Date: 02/12/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: At Clinic, my blood pressure, temperature and ears were checked. At Dr. office, my blood was drawn and they ordered an antibody test, to see if I had any antibodies. The test result for the antibodies came back yesterday and it was negative. I still have the rash today 2/25/21. It is going away but not gone yet.

Allergies: Latex

Symptoms: I woke up Friday 2/12 morning very dizzy. The dizziness subsided. Later Friday afternoon, I had severe dizziness and was vomiting when I got up. I went to Clinic Saturday 2/13, for being unbalanced and weak, but not so dizzy. Sunday 2/14 I was extremely weak with low blood pressure and fast heart rate. Monday 2/15, in the morning, my left arm started hurting, swelling, was feverish, red, itchy and I had a rash at the injection site. I went to my doctor on 2/19 and he stated that maybe I should not get the 2nd vaccine shot. He stated that he was not certain that everything that happened was a result of the vaccine, but that he couldn't say that it wasn't.

Other Meds: Nothing

Current Illness: None

ID: 1055694
Sex: F
Age: 47
State: AZ

Vax Date: 01/17/2021
Onset Date: 01/18/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: cbc,cmp,uric acid, creatine kinase, ESR, CRP negative. Positive for COVID antibody IgG

Allergies: xanax

Symptoms: Extreme myalgia and paresthsias, Pain 9/10. Similar presentation patient experienced with past meningitis event. Insomnia, vision changes, agitation. Prednisone is helpful in making pain bearable. Gabapentin started today. Labs pending.

Other Meds: Topiramate, Levoxyl, aspirin, multi-vitamin, Vitamin D, B-12, magnesium, melatonin prn

Current Illness:

ID: 1055695
Sex: F
Age: 45
State: IL

Vax Date: 02/17/2021
Onset Date: 02/23/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: None taken

Allergies: Dairy

Symptoms: 2 inch diameter rash at site with rough red skin, Aching large joints, muscle soreness/stiffness

Other Meds: Adderall

Current Illness: None

ID: 1055696
Sex: F
Age: 44
State: NE

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

Lab Data:

Allergies: Iodinated Contrast Media; Amoxicillin; Shellfish

Symptoms: Had reaction with first dose. Given Benadryl 50 mg oral at 17:00 just prior to vaccine administration. Within 10 minutes of vaccine administration she developed scratchy throat, felt like lump in throat, then progressed to itching all over body, no visible rash, became nauseated and dizziness. Denied any SOB or tongue swelling. About an hour after vaccine given began to vomit. Patient then transported to ED for further evaluation and treatment. Admitted to ED at 18:25 where she received Decadron 10mg IV, Pepcid 20mg IV and Zofran 4mg IV. Vomiting resolved as well as chest tightness, dizziness, headache, throat itching resolved. She was dismissed from ED at 20:03.

Other Meds:

Current Illness:

ID: 1055697
Sex: F
Age: 71
State: NY

Vax Date: 02/11/2021
Onset Date: 02/24/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: Rapid PCR test performed 2/25/2021 came back negative

Allergies: None known

Symptoms: Chills, aches, fever, nausea 24 h after the injection AND AGAIN 2 weeks after the injection. Lasted 48 hrs each time. The purpose of this report is to note the delayed side effect of the second dose injection-- 2 weeks

Other Meds: Lipitor

Current Illness: none

ID: 1055698
Sex: M
Age: 67
State: TX

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

Lab Data:

Allergies:

Symptoms: SOB, facial flushing

Other Meds:

Current Illness:

ID: 1055699
Sex: M
Age: 49
State: NH

Vax Date: 02/17/2021
Onset Date: 02/23/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data:

Allergies: Gluten and lactose intolerant Sulfamethoxazole Erythromycin

Symptoms: Swelling, itching and redness and soreness on left arm at injection site as well as a swollen lymph node near left clavicle.

Other Meds: Lexapro Pentasa Vitamin D Flonase Claritin

Current Illness:

ID: 1055700
Sex: F
Age: 75
State: MN

Vax Date: 02/15/2021
Onset Date: 02/21/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: none

Allergies: None

Symptoms: Patient said arm had a rash and was swollen and warm. It started about six days after the immunization. Patient went to the doctor & they are watching it to see if it worsens. The patient said the doctor did not think it was a secondary infection.

Other Meds: None

Current Illness: None

ID: 1055701
Sex: F
Age: 75
State: MD

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

Lab Data:

Allergies: Unknown

Symptoms: Complained of lightheadedness and dizziness. Blood sugar and vitals signs taken. Transported to ER.

Other Meds: Unknown

Current Illness: Unknown

ID: 1055702
Sex: F
Age: 20
State: TX

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

Lab Data:

Allergies: N/A

Symptoms: Diarrhea, nausea, major headaches and soreness near injection site

Other Meds: N/A

Current Illness: I was on my period.

ID: 1055703
Sex: M
Age: 24
State: NV

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

Lab Data:

Allergies:

Symptoms: Paleness, lightheadedness and dizziness.

Other Meds:

Current Illness:

ID: 1055704
Sex: F
Age: 60
State: WV

Vax Date: 01/08/2021
Onset Date: 01/12/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: x=ray spine 1/12/ 21 degenerative disk disease x-ray hip 1/13/21 mild osteoarthritis x-ray knee 2/1/21 mild osteoarthritis MRI of lumbar spine2/10 disk protrusion at l-5 s-1, mild bulging atl-4-4 with osteophytes and minimal bulging at l3-4

Allergies: NKA

Symptoms: 4 days after getting the shot, I began having severe pain in my left hip, thigh and knee hampering my ability to ambulate x 2/3 weeks. At this time I am able to walk slowly with a limp, I continue to have almost constant pain in my left knee and frequent pain in my left buttock and thigh. I went to a chiropractor x 4 weeks. I am currently in therapy x 3 days a week. I saw a surgeon with the recommendation to continue with therapy. I was not having any back or leg pain prior to this. Currently , unable to work.

Other Meds: Potassium. Zonagran, Dilantin, Protonix. Maxide, Spirolactone, Atoravastin

Current Illness: none

ID: 1055705
Sex: F
Age: 83
State: MI

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

Lab Data: NA

Allergies: penicillin

Symptoms: Five days ago, patient received her 2nd COVID vaccination. Following that she had myalgias and some sedation/confusion. She apparently stumbled and struck her head. She did not lose consciousness. She did recover from her symptoms by the next day. She has some soreness on her scalp in the scratch but no significant hematoma. However, she then developed some swelling and redness beneath her eyes. She is here to evaluate that. She she is back to her normal self. Comments: Patient has ecchymosis in swelling beneath both eyes and the bridge of her nose. It is nontender. Scalp-minor area of tenderness in the right vertex. There is a slight abrasion on the skin. No signs of hematoma. Assessment / Plan: 1. Contusion of scalp, initial encounter Contusion right scalp-I suspect patient's lungs are delicate skin informed a small hematoma. The swelling and bruising and 5th settle down into her eye sockets. I reassured patient that this will resolve the next 1-2 weeks. I believe patient had some severe myalgias and fatigue after a COVID shot. I do not think this is a longstanding problem. Expect her to get back to her normal self. Patient did have COVID-19 approximately 3 and half months ago. I told her that people have more significant reaction to the COVID vaccine after having had the illness. At this point, I do not agree need further workup.

Other Meds: aspirin, calcium carbonate, cholecalciferol, dorzolamide-timolol ophthalmic, latanoprost, metoprolol succinate XL, MVI, fish oil

Current Illness: NA

ID: 1055706
Sex: F
Age: 55
State: CA

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

Lab Data: none

Allergies: morphine and undiagnosed food allergy

Symptoms: 2/24 tired couldn't stay awake, body ached. It felt like when I had covid. Sstarted at 1:30 by 6:30 was sound asleep, 9:30 woke up to ok two Alieve, 12 woke up sweating but felt fine. 2/25 feeling better, body ached and still does a little injection site red hive like spot the size of a half dollar and is sore to touch

Other Meds: none

Current Illness: none

ID: 1055707
Sex: F
Age: 63
State: FL

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

Lab Data:

Allergies: Reglan other, severe ANXIOUS

Symptoms: Tingling right side of face - persistent Metallic taste - resolved Fatigue - ongoing

Other Meds: fluticasone propionate 50 mcg/actuation nasal spray,suspension USE 2 SPRAYS IN EACH NOSTRIL hydrOXYzine HCL 25 mg tablet 1/2 to 1 po at hs for sleep as needed meloxicam 15 mg tablet Take 1 tablet every day by oral route. mupirocin

Current Illness: None

ID: 1055708
Sex: F
Age: 32
State: CA

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

Lab Data:

Allergies: Anaphylactic allergy to parsley and cloves

Symptoms: I was supposed to get my period a day or two after I was vaccinated, but it was delayed by 10 days . My period has never been this late before, but luckily I got it today. Otherwise, my reactions were fine/mild, feeling tired and with a headache the evening of the shot and the next day.

Other Meds: N/a

Current Illness: N/a

ID: 1055709
Sex: F
Age: 71
State:

Vax Date: 02/15/2021
Onset Date: 02/20/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: My vaccination site is a red itchy 2" circle and is hot. It's been 9 days since my jab and it started about 5 days ago. It isn't painful, but if I push on it, I am aware of the injection spot.

Other Meds: Atorvastatin, Raloxifene, Multivitamin, Vitamin D3, Red Yeast Rice, Lutein, Calcium Citrate, CoQ-10, Fish Oil

Current Illness: None

ID: 1055711
Sex: F
Age: 27
State: LA

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

Lab Data:

Allergies: NKA

Symptoms: Chills, fever, body aches, headache, and fatigue / rotated ibuprofen and Tylenol / side effects lasted from 10:30 PM on Feb. 24 to 4:00 PM on Feb. 25

Other Meds: Ibuprofen

Current Illness: NA

ID: 1055712
Sex: F
Age: 66
State: HI

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

Lab Data:

Allergies: none

Symptoms: morning fatigue - bedrest, recovered by mid-afternoon neck rash, watery eyes - began a week after first shot. took loratadine this morning, now neck not itchy, eyes not watery. also had covid arm a week after first shot - went away in 3 days.

Other Meds: restasis

Current Illness: none

ID: 1055713
Sex: M
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: Diaphoretic immediately after receiving the shot; had something to eat and drink-diabetic. Denied any SOB; reported feeling legs felt swollen.

Other Meds:

Current Illness:

ID: 1055714
Sex: F
Age: 36
State: IL

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

Lab Data: None

Allergies: None

Symptoms: My armed burned when I got shot for about 5 minutes. I got the shot at 2pm on Monday. Monday night my arm was red and sore but nothing worth worrying about. Tuesday morning, I woke up with a very red, swollen, tender arm that was hot to touch. I also felt tired and generally not well. I knew these were symptoms that were common. By Tuesday night, the symptoms on my arm were getting worse. I was in pain and the redness was growing. By Wednesday morning it was the size of my open hand. I went to the doctor and they suggested putting ice on it and taking Tylenol. It should go away in a few days. By Wednesday night, it was extremely red and growing. It is now Thursday night, the redness, swelling and pain are going down, especially in the middle. The outer areas are still very red. The pain comes and go. It is not as hot. I get headaches on and off.

Other Meds: Prenatal vitamin Vitamin D3 Vitamin C Calcium Iron Ubiquinol

Current Illness: None

ID: 1055715
Sex: M
Age: 41
State: MN

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

Lab Data:

Allergies:

Symptoms: Pt reporting chills, muscle stiffness, sore arm and feeling light headed. Pt's tympanic temp was 99.0

Other Meds:

Current Illness:

ID: 1055716
Sex: M
Age: 57
State: MD

Vax Date: 02/15/2021
Onset Date: 02/21/2021
Rec V Date: 02/25/2021
Hospital:

Lab Data: N/A. I have not sought medical treatment for this issue.

Allergies: Gabapentin Lisonipril

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA A constant strange smell. It kind of smells stale with hint of ashtray/fireplace. It occurs anywhere I go. I can still the normal things that I usually have before this began. It?s really difficult to explain. I still smell and still taste with no problem. It is just very annoying that when I am breathing and not focusing on smelling something that I smell this strange stale smell.

Other Meds: Qnasl Caduet Modafinil Levocetirizine Dinydrochloride Meloxicam

Current Illness: N/A

ID: 1055717
Sex: F
Age: 66
State: IN

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

Lab Data:

Allergies: None

Symptoms: Redness, swelling, itching at site of injection

Other Meds: None

Current Illness: None

ID: 1055718
Sex: M
Age: 79
State: SD

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

Lab Data:

Allergies: NKDA

Symptoms: During administration of the shot, some of the vaccine leaked from the joint between the syringe and needle. It is unknown what amount of the dose was lost and what amount was injected into the patient (unable to quantify exact volume lost). Called Moderna line for healthcare providers and described the situation and was advised not to give a third dose. Contacted patient and informed him of information provided by Moderna.

Other Meds:

Current Illness: None Stated

ID: 1055719
Sex: F
Age: 22
State: MI

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

Lab Data: NA

Allergies: NKDA

Symptoms: Onset: Started 7:30 pm, had vaccine at 4 pm. Occurrence: acute. Symptoms: Dizziness, blurry vision - both eyes, headache, muscle aches, nausea. Patient then went to the Emergency Department - presents to the ED with a chief complaint of a headache that began today. The patient had her COVID-19 vaccine today around 1600 and began experiencing multiple side effects afterward. The worst symptoms for her are the headache and body aches. Her other symptoms include dizziness, blurred vision, nausea, weakness, and muscle soreness in the left arm where the shot. Eyes: Positive for visual disturbance. Gastrointestinal: Positive for nausea. Musculoskeletal: Positive for muscle pain. Neurological: Positive for headaches, dizziness and weakness DIAGNOSIS at time of disposition: 1. Adverse effect of vaccine, initial encounter Acute patient signs symptoms are consistent with an adverse reaction of COVID-19 vaccine. Patient is experiencing the immune response mediated by the vaccine. She is hemodynamically stable, nontoxic, afebrile, well-appearing. She is not taking any medication for symptoms. She is given oral meclizine here in the emergency department for dizziness and nausea. She is given a prescription for this to use at home in addition to Tylenol or Motrin. Patient was instructed to follow up with primary care provider for ongoing evaluation and treatment of current symptoms. Patient was instructed to return to the emergency department for new or worsening symptoms. Patient understood the results, agreed with the plan, and was discharged home in stable condition.

Other Meds: cholecalciferol, docusate, etonogestrel, ferrous sulfate, FLUoxetine, meclizine, MVI, prazosin, QUEtiapine

Current Illness: NA

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm