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: 1059917
Sex: F
Age: 69
State: TX

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

Lab Data:

Allergies: none

Symptoms: ACHY ARM; JOINT PAIN; HEADACHE; FATIGUE; DIARRHEA

Other Meds: atorvastatin; prozac; timolol eye drops; latanaprost

Current Illness: none

ID: 1059918
Sex: F
Age: 44
State: IL

Vax Date: 02/25/2021
Onset Date: 02/26/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data:

Allergies: penicillin and sulfa

Symptoms: severe migraine, body aches, fever, arm so sore I could barely move it, lack of appetite all started about 15 hours after the shot, tylenol helped with fever, but not with the headache,

Other Meds: vitamin D, magnesium, ashwagandha

Current Illness: none

ID: 1059919
Sex: F
Age: 53
State: PA

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data: She discussed the issue of the arm tremors with her PCP then with her neurologist . Patient states they both recommended that she possibly reconsider getting the second dose but that the decision was up to her. She decided against getting the second dose out of fear of similar or worsening side effects.

Allergies: nka

Symptoms: Patient stated on second day her arm got increasing sore and experienced flu-like symptoms but her main concern/complaint was that she was experiencing tremors up and down the arm that the injection was given.

Other Meds: unknown

Current Illness: n/a

ID: 1059920
Sex: F
Age: 35
State: IA

Vax Date: 02/19/2021
Onset Date: 02/25/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data:

Allergies: Allergens to trees, weeds, pollens. Have also had skin reactions (lips) to some red dyes.

Symptoms: 2/25 Thursday night- itchy arm at injection site, small red circle. Very tired. 2/26 Friday night - still itchy at injection site, upper lip swelling/ allergic reaction, very tired. 2/27- still itchy at injection site, upper lip swollen and reacting on inside, hives starting on my face, arm, torso. Will be contacting quick care next as my doctor office is closed.

Other Meds: None

Current Illness: None

ID: 1059921
Sex: F
Age: 25
State: MI

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data: CT scan EKG Blood work X ray All test results came back normal.

Allergies: none

Symptoms: 9:00 am - vaccine 10:00 am - 5:00 pm - sore arm 5:00 pm - 8:30 pm - body aches chills fever 8:30 pm - passed out 8:45 pm - passed out again (ambulance came and took me to the ER) 9:00 pm - passed out for the third time in the ambulance 9:00 pm - 1:00 am - in the ER. tests were given. everything came back normal. discharged.

Other Meds: none

Current Illness: none

ID: 1059922
Sex: F
Age: 48
State: VA

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data: Thursday February 25th lasting even to today February 27th, still not improved

Allergies: Sulfa

Symptoms: 100 degree fever, increased blood pressure 153/70, bright red face reaction for 2 hours after the shot, two days of headache, uncontrollable chills and shaking, nausea and sore throat, aching all over my body, unable to think clearly, extreme thirst, drainage from nose to throat that wasn't a problem prior to shot

Other Meds: Sertraline

Current Illness: None

ID: 1059923
Sex: F
Age: 54
State: FL

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data: CBC, Bilirubin, chem panel 02-09-2021

Allergies: Ginger

Symptoms: Itching inside my body. Especially my breast

Other Meds: Losartan / hctz 100/25, pro tonic 40 mg

Current Illness: None

ID: 1059924
Sex: M
Age: 71
State: NY

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data:

Allergies: Walnuts, Mint, Latex (mild)

Symptoms: Arm soreness - No treatment

Other Meds: Xolair, Hydroxychloriquine, Tamsulosin, Finasteride, Omeprazole, Atorvastatin

Current Illness: None

ID: 1059925
Sex: F
Age: 53
State: CA

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Numbness of the face. Numbness started to subside by 2:30 pm.

Other Meds:

Current Illness:

ID: 1059926
Sex: M
Age: 20
State: MO

Vax Date: 02/19/2021
Onset Date: 02/26/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data: Haven't seen a doctor about it yet. Will make an appointment March 1, 2021

Allergies: Cats

Symptoms: Moderna COVID-19 EUA Large 3 inch hard knot. Red. Very hot to the touch, Sore and itches. NO treatment as of yet Noticed 2/26/2021

Other Meds: None

Current Illness: None

ID: 1059927
Sex: M
Age: 75
State: CT

Vax Date: 02/09/2021
Onset Date: 02/13/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data: no

Allergies: none

Symptoms: 5 days after my second shot (Feb. 13), I developed a staph infection (cellulitis) on my right chest. I had another similar infection about a year ago. Still undergoing treatment for the infection

Other Meds: Allipurinol, Hydrchlorothize, Flomax, Potassium Choloride, Multi vitamin, Vitamin D2

Current Illness: none

ID: 1059928
Sex: F
Age: 66
State: CT

Vax Date: 02/11/2021
Onset Date: 02/27/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data: Routine mammogram on 2/27/21

Allergies: pollen

Symptoms: I had a routine mammogram today, 16 days after my first moderna vaccine shot. I was told by the nurse doing the scans that I had 3 swollen lymph glands in my left armpit, which was the arm in which I had the shot. She explained that the link has recently been made between women who have had vaccinations just prior to their mammograms and the swollen lymph glands that have been showing up on their scans. Prior to making this discovery, these women were unnecessarily being sent for a second diagnostic mammogram based on the discovery of the swollen nodes, not realizing that this was a side effect of the vaccine. I am thankful that I have not had to endure a false cancer scare based on today's scans but I am still very concerned about this side effect. Had this side effect been made public, I might not have gotten the vaccine. What else is going to turn up in the days to come?

Other Meds: 750 mg metformin, B12, fish oil, Vitamin D3, Magnesium, 81 mg aspirin, 600 mg mucinex

Current Illness: None.

ID: 1059929
Sex: F
Age: 69
State: IL

Vax Date: 02/12/2021
Onset Date: 02/24/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Large blotchy rash (5" long, 4" wide) on arm at site of the injection, sensitive to touch and feels warm.

Other Meds: Synthroid, cytomel, prempro, centrum silver, vitamin d, calcium, magnesium, probiotic

Current Illness: None

ID: 1059930
Sex: F
Age: 38
State: GA

Vax Date: 02/27/2021
Onset Date: 02/27/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data:

Allergies: Codeine Morphine Contrast Dye

Symptoms: Swelling of face, tingling in mouth, all over body, Rapid Heart Rate, throat tightening. Hoarse Voice

Other Meds: Albuterol Breo Ellipta Multivitamins

Current Illness: N/A

ID: 1059931
Sex: F
Age: 53
State: OH

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

Lab Data: none

Allergies: none

Symptoms: These symptoms were from the 2nd dose. Tenderness at injection site, fever, body aches, vomiting, severe headache, fatigue, weakness - 3 days duration

Other Meds: none

Current Illness: none

ID: 1059932
Sex: F
Age: 66
State: NJ

Vax Date: 02/27/2021
Onset Date: 02/27/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data:

Allergies:

Symptoms: AIOU needle and hub broke off during start of administration - all of vaccine squirted out on patients arm. Needle and hub removed from arm. Dose re-administered. No adverse effect for patient.

Other Meds:

Current Illness:

ID: 1059933
Sex: F
Age:
State: AZ

Vax Date: 02/27/1921
Onset Date: 02/27/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data: NA

Allergies: Unknown

Symptoms: No immediate adverse event. Patient was given a 3rd dose of the vaccine. doses given on: 01/02/2021, 01/30/2021, and 02/27/2021.

Other Meds: Unknown

Current Illness: Unknown

ID: 1059934
Sex: F
Age: 77
State: VA

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data: Nothing

Allergies: penicillin, sulfa

Symptoms: 11 hours after the vaccination I felt achy all over, my legs felt limp and lump on my arm was sore. Temperature measured 98.6. I took two Tylenol and went to bed. I got up two times during the night to go to bathroom. I felt more achy all over and unsteady on my feet. Did not want to get out of bed next day, so slept until noon. At noon my temperature was 100.4. I took 2 Tylenol every 6 hours. Had a very achy, miserable day and just rested. Was somewhat better by bedtime and had a better next night of sleep. Next day am still achy but much better.

Other Meds: Repatha, Zetia, Tekturna, Keppra, Hydralazine, Bystolic, Crestor, Fluticasone propionate CBD oil, Magnesium oxide, B-12, aspirin, Tylenol, D3, Co Q-10, Glucosamine/Chondroitin

Current Illness: No

ID: 1059935
Sex: F
Age: 37
State: SC

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data: N/A

Allergies: N/A

Symptoms: Started the night of the second injection with chills. By 12:00am 1/22 the fever began. Fever up to 105.8 overnight. 1/22 fever stayed around 101 with fatigue. 1/23 fever was down to 99. By 1/24 symptoms had subsided.

Other Meds: Vitamins D & C

Current Illness: N/A

ID: 1059936
Sex: M
Age: 47
State:

Vax Date: 02/23/2021
Onset Date: 02/24/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Injection site muscle soreness, fatigue, palpable tender lymph nodes left axillary region.

Other Meds: None

Current Illness: No

ID: 1059937
Sex: F
Age: 70
State: UT

Vax Date: 02/15/2021
Onset Date: 02/22/2012
Rec V Date: 02/27/2021
Hospital:

Lab Data:

Allergies: Pennicillin, Erythromycin, Cipro. some foods trigger migraine

Symptoms: 2/22/21: armpits sore, bilat., L > R. 2/23/21: 3" red area at injection site through 2/24/21. 2/2/21: deltoid sore, sore up neck on L, achy joints, chills, fatigue. Temp 1 degree higher than usual at 98.7. 2/24/2: mild headache. 2/25/21: L deltoid area redness resolving. Armpits barely sore. 2/26/21: chills.

Other Meds: synthroid, pravastatin, tizanidine, citolopram, ASA, Vit D

Current Illness: none

ID: 1059938
Sex: F
Age: 80
State: AL

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data:

Allergies:

Symptoms: The patient received a third dose in error. The patient has not reported any adverse effects from the third dose.

Other Meds:

Current Illness:

ID: 1059939
Sex: F
Age: 66
State: MI

Vax Date: 02/26/2021
Onset Date: 02/27/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data:

Allergies: Per Doan and she?ll fish

Symptoms: Nausea Achy Chills Headache Sore arm at site Fatigue

Other Meds: Amlodapine Hydrochloizide

Current Illness:

ID: 1059940
Sex: F
Age: 71
State: FL

Vax Date: 02/01/2021
Onset Date: 02/26/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data:

Allergies: Demerol Versed

Symptoms: Very sore arm, temp 102, nausea over night

Other Meds: levothyroxine multivitamin Vitamin D Folic Acid baby aspirin

Current Illness: 2/18/21 nausea, vomiting & diahhrea

ID: 1059941
Sex: F
Age: 30
State: CT

Vax Date: 02/27/2021
Onset Date: 02/27/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data:

Allergies: penicillin allergy.

Symptoms: Patient reported itching, hive on back at approximately 30 minutes post vaccination. Also throat felt funny. She could speak and breath but swallowing was uncomfortable. EpiPen 0.3MG was given IM, and 911 was called. According to EMT, symptoms appeared to begin to resolve, but patient was taken to a hospital for follow up care.

Other Meds: unknown

Current Illness: unknown

ID: 1059942
Sex: M
Age: 74
State: AZ

Vax Date: 02/24/2021
Onset Date: 02/25/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data: none

Allergies: no known allergies

Symptoms: Chills, fatigue, headache, muscle/body aches. Went to bed feeling ok. Symptoms started during the night and lasted throughout the next day. I pretty much slept the entire day and night following the shot. The following day I was back to normal.

Other Meds: none

Current Illness: none

ID: 1059943
Sex: F
Age: 71
State: NC

Vax Date: 02/27/2021
Onset Date: 02/27/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data: None

Allergies: Antibiotics

Symptoms: Throat tight; itching on arms.

Other Meds: Prilosec

Current Illness: None

ID: 1059944
Sex: F
Age: 36
State: AZ

Vax Date: 02/25/2021
Onset Date: 02/26/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Extreme chills at night Overall body aches, including headache Fluctuating feelings of very warm to very cold General malaise Treated with Tylenol Lasted 24 hours

Other Meds:

Current Illness: None

ID: 1059945
Sex: F
Age: 35
State: TX

Vax Date: 02/13/2021
Onset Date: 02/15/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data: Xray , evaluation by Orthopedics

Allergies: Cypro

Symptoms: SIRVA started two days post. Unusual Pain, weakness, restricted movement

Other Meds: Vitamin d, biotin

Current Illness:

ID: 1059946
Sex: F
Age: 51
State: NJ

Vax Date: 02/27/2021
Onset Date: 02/27/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Syringe used for vaccine administration (at end of administration needle) hub broke off from syringe. All vaccine went in. Needle and hub removed from patients arm. No adverse effect

Other Meds:

Current Illness:

ID: 1059947
Sex: F
Age: 27
State: NH

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

Lab Data: None

Allergies: Peanut allergy

Symptoms: Persistent and painful lymphadenopathy in left armpit that started T+36 hours after vaccination. At 7 days after administration of the vaccine, lymphadenopathy in left armpit persists and remains painful. At 7 days post vaccination a 2 inch patch of swollen skin appeared at the injection site. This is accompanied by redness, itchiness, and pain.

Other Meds: None

Current Illness: None

ID: 1059948
Sex: F
Age: 68
State: NY

Vax Date: 02/12/2021
Onset Date: 02/19/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data: None

Allergies: No

Symptoms: One week after I received the shot, 2 round spots, approximately 1/4" round, showed up below the injection site. As each day went by, the redness came together to form a larger area. Exactly 2 weeks after the shot, I had a 6" x 5" bright red area just above my elbow, and it was very itchy. I started to ice it for relief and used Benadryl cream for the itch, to no avail. Went back to the pharmacy & saw the head pharmacist. I showed the rash to him. He suggested I use hydrocortisone cream. I used that for a couple of days, but it didn't stop the itch. On 2/26 I called my doctor's office & spoke to a doctor there. I described what I had. We both determined that it was most likely a side effect from the Covid vaccine shot. I was concerned because I'm due for the 2nd shot on March 12, and I want my arm healed. The doctor prescribed an oral antihistamine for 10 days, if needed. I started on that 2/26, once a day and continue to ice the area. The rash has just about stopped itching. The area is still the same size as of today. I'm hoping to see that start to lessen.

Other Meds: Anastrazole, Amlodopine, Hydrochlorothyazide, Benazapril, Levothyroxine, Calcium + Vit D

Current Illness: None

ID: 1059949
Sex: F
Age: 73
State: CA

Vax Date: 02/14/2021
Onset Date: 02/19/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Round red rash with white center. Hard and hot to touch. Has continued to be sore since vaccination 14 days ago.

Other Meds: Centrum multivitamin

Current Illness:

ID: 1059950
Sex: F
Age: 76
State: CO

Vax Date: 02/15/2021
Onset Date: 02/25/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data: none

Allergies: Erythromycin

Symptoms: 2/25 - very itchy and red 2/26 - red, sore, swollen and hot 2/27 - still red and swollen

Other Meds: Paxil, Vitamin C, CO Q 10, Vitamin E, Multivitamin, Omega #, Biotin

Current Illness:

ID: 1059951
Sex: F
Age: 62
State: VA

Vax Date: 02/19/2021
Onset Date: 02/27/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Redness, slightly raised mildly itchy. No fever. No tenderness.

Other Meds: Omega capsule, Activela .05mg, , Advil 600mg

Current Illness: None

ID: 1059952
Sex: F
Age: 38
State: CA

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Extreme pain at site of injection, unable to lift left arm, swollen redness at shot site about 3" diameter, lots of fatigue, headache, muscle pain all over like flu, fever and chills. Lasted about 24 hours. Next day arm still painful but able to touch and lift halfway. No more fevers or chills.

Other Meds: Zyrtec, pre natal vitamin, calcium

Current Illness:

ID: 1059953
Sex: F
Age: 52
State: MA

Vax Date: 02/19/2021
Onset Date: 02/25/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Swelling and inching a large bump at site of injection 6 days after I had the vaccine.

Other Meds: Wellbutrin Sertaline Multi vitamin Vitamin D Glucosamine chondroitin Fish oil Vitamin B complex Colase magnesium Probiotic

Current Illness: None

ID: 1059954
Sex: F
Age: 43
State: OK

Vax Date: 02/13/2021
Onset Date: 02/21/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Shingles 8 days after vaccination. Talking valacyclovir now.

Other Meds: Melatonin, zinc, miltivitamin

Current Illness: None

ID: 1059955
Sex: F
Age: 31
State: CO

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data:

Allergies: NKDA

Symptoms: 30 minutes after admin of IM, I developed tingling around the mouth and had a panic attack which I thought may be related to anxiety. However, I got the second shot and tingling around my mouth and tongue continued with some heighted anxiety but no panic attack. Two weeks after the last shot the tingling has continued on and off feeling like neuropathy of the tongue and mouth. It typically last thirty minutes or so and then subsides. This has happened 3 x since getting the second shot 3 weeks ago.

Other Meds: Celexa, Prenatal OTC

Current Illness: Panic disorder in remission (no panic attacks >8 years). Generalized anxiety in remission GAD-7 score less than 4.

ID: 1059956
Sex: F
Age: 79
State: AZ

Vax Date: 02/06/2021
Onset Date: 02/16/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data: NA

Allergies: Sulpha

Symptoms: Sore throat, headache, muscle aches and fatigue for two (2) days then gone. No treatment was sought.

Other Meds: Methotrexate Folic Acid Losartan Montelukast Gabapentin Famotidine Fluoxetine Multi Vitamin Vitamin C

Current Illness: None

ID: 1059957
Sex: F
Age: 89
State: CT

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Dizziness, extreme fatigue, headache, nausea

Other Meds:

Current Illness:

ID: 1059958
Sex: F
Age: 68
State: WV

Vax Date: 02/27/2021
Onset Date: 02/27/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data: Per emergency services: 11:12 am HR 74 BP 128/64 SaO2 96 glucose 123 11:25 am Resp 28 HR 72 BP 116/70 SaO2 95 Temp 97.3

Allergies: azithromycin, codeine, moxifloxacin, oxycodone, penicillamine, strawberry

Symptoms: Patient received vaccine at 1015 am. While waiting in the store for observation, she began to feel a racing heart, shaking from the inside out, and difficulty catching her breath around 10:30. 911 was called. She stated her throat started to feel tight, dry mouth, and metallic taste and was given an epi pen. The patient stated she started to feel better after the epi pen was administered and declined medical transport when emergency services arrived. Per emergency services, notable negatives include: no hives/rash, no localized reaction, no wheezing, no angioedema, no hypotension, no flushing.

Other Meds: alprazolam 0.25 mg, citalopram 20 mg, hydromorphone 1mg/ml, baclofen 10 mg, atorvastatin 10 mg, albuterol 0.083%, oxycontin 10 mg cr, gabapentin 100 mg, xtampza er 9 mg, vitamin d2 50,000 iu

Current Illness:

ID: 1059959
Sex: F
Age: 62
State: FL

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data: Na

Allergies: None

Symptoms: Patient face became flushed, lips got tingly and numb, then tongue felt tingly and numb. Patient has been able to eat drink and swallow. She also reports feeling nauseous

Other Meds: Unknown

Current Illness: None

ID: 1059960
Sex: M
Age: 53
State: NJ

Vax Date: 02/27/2021
Onset Date: 02/27/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Needle used for administration of vaccine. During administration, needle and hub broke off from syringe and vaccine squirted out on patient?s arm. Unclear how much went into arm. Needle and hub removed from arm. No adverse effect for patient. Dr. contacted- advised to re-administer full dose.

Other Meds:

Current Illness:

ID: 1059961
Sex: F
Age: 76
State: CA

Vax Date: 02/24/2021
Onset Date: 02/25/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data:

Allergies: Penicillin, Keflex, Cipro/Levaquin, Ace Inhibitors, some surgical adhesives

Symptoms: Extreme soreness at injection site. Major muscle soreness. Vomiting. Fatigue. Allover achiness.

Other Meds: Raloxifene, Triamterene, Tramadol, Synthroid, Allopurinol, Atorvastatin, Trazodone

Current Illness: none

ID: 1059962
Sex: F
Age: 90
State:

Vax Date: 02/13/2021
Onset Date: 02/14/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data: None

Allergies: Penicillin, Sulfa, Bacitracin Eye Ointment

Symptoms: Itching, inflamed, red patch below injection site upper right arm. Treated with Triamcinolone Steroid Ointment,. Ice, Benedryl. Slowly spread to about a 5 inch square section below the site. Started day 2 after injection. Continued for 14 days. Improved with treatment. Was treated for "infection" after first injection with DoxyCYCLINE Hyclate.. Symptoms were less severe and did not appear for 10 days after the first injection. This was not reported at the time. Due to the delay in the onset of symptoms (10 days) it was not diagnosed as Covid Arm.

Other Meds: Detrol, Crestor, Flonase, Erythromycin, Vit B, C, D3, Calcium, Magnesium & Potassium, Omega 3, CoQ 10,

Current Illness: None

ID: 1059963
Sex: F
Age: 75
State: IL

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Covid Arm

Other Meds: Losartan BP One A Day 65+ vitamins Viactiv

Current Illness: none

ID: 1059964
Sex: F
Age: 64
State: CA

Vax Date: 01/21/2021
Onset Date: 01/26/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data: None

Allergies: No allergies.

Symptoms: I started to develop difficulty in breathing just while speaking. It happens at random times of the day and I have had my second COVID vaccine, Moderna Lot#001A21A and the severity of the shortness of breath is worse. I have never had shortness of breath for any reason. I do cardio fitness routines and never have shortness of breath, this has just begun since my first vaccine and I would really like to know if this is a normal reaction and whether it would be expected to go away!

Other Meds: None besides Multivitamin and Multimineral.

Current Illness: None

ID: 1059965
Sex: M
Age: 37
State:

Vax Date: 02/25/2021
Onset Date: 02/26/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient felt dizzy, tired, and nauseous. Patient also had a temperature of 100.1, and was given a PRN medication.

Other Meds:

Current Illness:

ID: 1059966
Sex: F
Age: 80
State: FL

Vax Date: 02/24/2021
Onset Date: 02/25/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Vomiting, chills

Other Meds: Metropolol, metformin, Namibia, jardiance

Current Illness: diabetes

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm