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: 1060268
Sex: M
Age: 57
State: WI

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

Lab Data:

Allergies: Penicillin

Symptoms: Injection site pain, headache, fatigue

Other Meds: None

Current Illness:

ID: 1060269
Sex: F
Age: 48
State: WA

Vax Date: 01/27/2021
Onset Date: 02/03/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data: 2.5 weeks after the injection - MD visit to examine injection site and provide advice on how to treat. MD at that time advised against treatment. 3.5 weeks after injection - MD advised to continue with 2nd treatment, but only after following an immunity protocol at least 3 days prior to the injection including daily Claritn 24 tablets, daily application of hydrocortisone at planned injection site, daily Omega 3 tablet.

Allergies: Sulfa drugs Gluten

Symptoms: Day after injection there was muscle pain and soreness in the arm, difficulty to lift arm Large, red, hot, swollen area at sight of injection - swelling to size of golf ball approximately one week after injection Swelling decreased about 2 weeks after injection, but heat, redness and tingling pain continue for approximately 3.5 weeks after injection Redness gone after 4 weeks, but tingling continued for almost a month

Other Meds: Levothyroxine Liothyrine Progesterone Testosterone Traazodone Multi-vitamin Melatonin Probiotic

Current Illness: none

ID: 1060270
Sex: F
Age: 51
State: OH

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

Lab Data: None

Allergies: Compazine

Symptoms: Arm pain, fever, chills, sweats, fatigue. Loss of ability to complete normal activities for 24 hrs

Other Meds: Multivitamin

Current Illness: None

ID: 1060271
Sex: F
Age: 44
State: MT

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

Lab Data:

Allergies: Dairy, eggs, lisinopril,

Symptoms: Redness, itching, and swelling at injection site. It is also hot. Slight chills yesterday.

Other Meds: Zyrtec, metformin, mucinex, lovaza, nexium, jardiance, Cymbalta, spironolactone, victoza, np thyroid, singulair, plavix, fenofibrate, orphenadrine

Current Illness:

ID: 1060272
Sex: F
Age: 42
State: MI

Vax Date: 02/03/2021
Onset Date: 02/12/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data:

Allergies: Rice, garlic, dairy, gluten, Suprax, tegretol

Symptoms: Onset of rash and ring around shot site. Was swollen and warm to the touch

Other Meds: Dilantin, Pepcid, Tylenol

Current Illness:

ID: 1060273
Sex: F
Age: 48
State: CA

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

Lab Data: NA

Allergies: 30 min observation r/t history of severe allergic reactions. Pt experienced hives on lower back and bilateral shoulders, c/o itching. Pt offered benadryl for reaction but refused. Site Manager made aware. Pt educated on sever allergic reaction symptoms. Vitals: 134/90, 90, 100%, 97.2

Symptoms: 30 min observation r/t history of severe allergic reactions. Pt experienced hives on lower back and bilateral shoulders, c/o itching. Pt offered benadryl for reaction but refused. Site Manager made aware. Pt educated on sever allergic reaction symptoms. Vitals: 134/90, 90, 100%, 97.2. Reported being stable and with a friend to go back home with, to monitor as needed. Educated on notifying PCP with additional concerns. Notified to call 911 for respiratory distress. Pt verbalized understanding.

Other Meds: NA

Current Illness: Denied.

ID: 1060274
Sex: M
Age: 61
State: IN

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

Lab Data:

Allergies:

Symptoms: I had a severe case of COVID in October, with over 4 weeks in hospital. After first dose, I experience severe muscle and joint pain for 3 days

Other Meds:

Current Illness:

ID: 1060275
Sex: F
Age: 73
State: TX

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

Lab Data:

Allergies: Penicillin, Figs

Symptoms: Fatigue, 101? fever, chills, anaphylaxis, hives

Other Meds: Prevacid, Relafen, Prevacid, Progesterone, Singulair, Vitamin D

Current Illness: None

ID: 1060276
Sex: F
Age: 33
State: LA

Vax Date: 01/26/2021
Onset Date: 01/29/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data: Herpes Simplex 1 & 2 - negative (approximately 01Feb2021

Allergies: Nkda

Symptoms: Mouth ulceration

Other Meds: None

Current Illness: None

ID: 1060277
Sex: F
Age: 18
State: CA

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

Lab Data: none

Allergies: Unknown

Symptoms: Staff at facility informed staff that a staff member had passed out. RN from drug store found client sitting in a chair, awake and alert, no signs of injury. Had client lay down and elevated legs. BP at 1:50 PM is 122/86, HR is 100, regular and strong, color is good, mentation is good, no signs of injury, client state she feels "weird and tingling". Patinet monitored for over 30 minutes with multiple BP and HR checks and mentation checks. One dose of Bendaryl 25 mg given at 1:57 PM. Orthostatics completed at 2:00 PM. Both HR and BP remain WNL and client continjues to be awake and alert,. Ambulated to bathroom with RN at side. Patient declines need for EMT and went home with her boyfriend at 2:20 PM, BP at 132/88, HR at 80.

Other Meds: Unknown

Current Illness: Unknown

ID: 1060278
Sex: M
Age: 64
State: WA

Vax Date: 02/24/2021
Onset Date: 02/26/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data:

Allergies: Phenothiazine, Prochlorperazine, Risperidone

Symptoms: The patient called on 2/26/2021 9:15 AM, reporting that he experienced redness and hives all over his body and he has tightness of chest. He started that morning.

Other Meds: Spiriva 18 mcg, Aripiprazole 10 mg, Tamsulosin 0.4 mg, Gabapentin 300 mg, HCTZ 25 mg, Omeprazole 40 mg, Zolpidem 5 mg, Lorazepam 1 mg, Finasteride 5 mg, Donepezil 5 mg, Proair HFA, Trazodone 100 mg, Duloxetine 60 mg , Benztropine 0.5 mg,

Current Illness: None that I'm aware of.

ID: 1060279
Sex: M
Age: 21
State: TX

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

Lab Data:

Allergies: None

Symptoms: Two days after the shot, I developed Bells Palsy

Other Meds: None

Current Illness: Hypertension

ID: 1060280
Sex: F
Age: 34
State: MO

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

Lab Data: N/A

Allergies: N/A

Symptoms: Red lesion and itch 24+ hours after the vaccine

Other Meds: Gabapentin, Montelukast, Cymbalta, Zyrtec, Lamotrigine

Current Illness: N/A

ID: 1060281
Sex: F
Age: 37
State: NC

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

Lab Data: None

Allergies: Anaphylaxis to penicillin

Symptoms: I noticed achiness on right side of chest about 18 hours after vaccine. This was in addition to ache at the injection site. It progressively worsened and grew to up my side/chest to my armpit. It felt swollen and very sore and lasted about 48 hours. I googled the side effect and didn't seek medical attention.

Other Meds: None

Current Illness: None

ID: 1060282
Sex: M
Age: 71
State: NE

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

Lab Data:

Allergies: None

Symptoms: Arm is sore. swallon a little, and is red just below where the shot was given

Other Meds: insulin, blood pressure, water pill,

Current Illness: None

ID: 1060283
Sex: F
Age: 57
State: MO

Vax Date: 02/18/2021
Onset Date: 02/27/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data:

Allergies: penicillin; codeine

Symptoms: red rash in shape of rectangle at injection site,very itchy

Other Meds: bydureon; glimipiride; levothyroxine; metformin; vitamin d; vitamin c; zinc; atorvastatin

Current Illness: none

ID: 1060284
Sex: F
Age: 41
State: KY

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

Lab Data: N/A

Allergies: Demerol

Symptoms: Itching and redness at injection site one week following vaccine

Other Meds: Burth control; daily suppressive valtrex

Current Illness:

ID: 1060285
Sex: F
Age: 37
State: CA

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

Lab Data: None

Allergies: NKDA

Symptoms: Pt is a 37 yo female who reported fatigue and drowsiness 5 mins after getting the Moderna vaccine. Pt. did not report the effect until after 15 mins. Monitored pt for extra 15 mins. Gave pt a cup of water. Pt here with a family member. Pt was discharged after being monitored for a total of 30 mins. Pt states that she is "fine". Denied any fatigue or drowsiness. Pt was advised to go to closest E.R if symptoms resumes.

Other Meds: Multivitamin Zinc Elderberry

Current Illness: None

ID: 1060286
Sex: M
Age: 38
State: HI

Vax Date: 02/07/2021
Onset Date: 02/17/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data: neg SARS CO2 molecular testing. normal CBC< CMP, troponin, D dimer. EKG, CXR normal

Allergies: Augmentin

Symptoms: 2/17/2021 Patient called. noted 2/10/2021 started headache. 2/14/2021 started difficulty breathing.

Other Meds:

Current Illness: none

ID: 1060287
Sex: F
Age: 32
State: NY

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

Lab Data: None

Allergies: Codeine; Latex

Symptoms: I woke up at 3am with body aches and a headache and a 99.9 temperature taken via forehead. By 10am, I had chills and could not get warm. I have taken Advil and Tylenol alternating every 4-6hrs. At 12pm I was feeling very dizzy. I took my temperature and it was 95.6 via forehead. I took it twice and took the children's temps to verify that it was working correctly. I also used an oral thermometer and got 95.7. It is now almost 10pm and I still have a 95.6F temp, chills, body aches, headache and dizziness. At work daily my temperature is consistently 97.5 using a forehead thermometer each morning and after lunch.

Other Meds: Nifedipine

Current Illness: No

ID: 1060288
Sex: F
Age: 49
State: CA

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

Lab Data:

Allergies: Sulfa drugs

Symptoms: Dizziness

Other Meds:

Current Illness:

ID: 1060289
Sex: F
Age: 84
State: NC

Vax Date: 02/10/2021
Onset Date: 02/20/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data: N/A

Allergies: N/A

Symptoms: Vaccine injection site has rash on day 10 after first dose, resolved on day 15. No meds received.

Other Meds: N/A

Current Illness: N/A

ID: 1060290
Sex: F
Age: 47
State: NC

Vax Date: 01/27/2021
Onset Date: 03/01/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: 02/01/21- pain, tenderness and swelling under right arm 02/02/21- small (dime size) itchy red spot near injection 02/03/21- red spot increased (quarter size) itches more 02/04/21- red spot increased (2 inches wide) itchy, swollen, hot to touch, benedryl cream, ibuprofen 02/05/21- red spot same, underarm pain , and pain in right breast benedryl cream, ibuprofen 02/06/21- swelling, redness decreased, underarm pain decreased 02/21/21- pain, tenderness in right breast returned; has not gone away 02/24/21 second injection 02/25/21 - fatigue and body aches; Tylenol and rest 2/26/21- red itchy arm 2/27/21 red itchy arm

Other Meds: Tylenol Synthroid

Current Illness:

ID: 1060291
Sex: M
Age: 78
State: HI

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data:

Allergies: prevnar. codeine. gabapentin. influenza vaccine. sulfa drugs

Symptoms: severe back pain, pelvic pain for one week and hard time walking. irregular heart beat for 5 hours after the vaccine.

Other Meds:

Current Illness: none

ID: 1060292
Sex: M
Age: 39
State: TX

Vax Date: 01/04/2021
Onset Date: 01/30/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data:

Allergies:

Symptoms: I developed Shingles almost 4 weeks after first dose of Moderna COVID vaccine. I don?t know if the vaccine played any role or if it was just a coincidence.

Other Meds:

Current Illness:

ID: 1060293
Sex: M
Age: 72
State: OR

Vax Date: 02/16/2021
Onset Date: 02/26/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data: None

Allergies: Hay fever

Symptoms: 2/26/21 Red, tender spot appeared on Palmar surface of index finger of right hand 2/27/21 Awoke with multiple round red spots, up to 1/2 inch in diameter on both legs, but not on ankles or feet. A few on abdomen at the waist. Also now on both hands at multiple sites. Treatment is hydrocortisone cream.

Other Meds: Amlodipine, pantoprazole, alfuzosin, metaprolol, levothyroxine, Zyrtec, Flonase, lysine, Vit C, zinc, aspirin, oxycontin

Current Illness: None

ID: 1060294
Sex: F
Age: 44
State: NC

Vax Date: 01/31/2021
Onset Date: 02/08/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data: N/a

Allergies: N/a

Symptoms: For several days after shot had a spot the size of a half dollar that was red and sensitive. Lasted maybe 3 days. Day 8 developed a rash and swollen circle about the size of a softball in diameter. Lasted about 3 days.

Other Meds: Welbutrin, omeprazole, synthroid, vitamin D, zyzal

Current Illness: N/a

ID: 1060295
Sex: F
Age: 63
State: OH

Vax Date: 01/06/2021
Onset Date: 01/27/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data: 2/17/21 D-Dimer, Quant - high - 626 ng/mL 2/19/21 C-REACTIVE PROTEIN - high -141.00 mg/L 2/19/21 VL Upper Extremity Venous - There is evidence of a totally occluding acute superficial venous thrombosis in the left basilic vein.

Allergies: None

Symptoms: Cold chills, diarrhea, vomiting, shortness of breath, muscle soreness, light headed

Other Meds: Metoprolol er succinate 25mg womens vitamin

Current Illness: None

ID: 1060296
Sex: M
Age: 44
State: IN

Vax Date: 02/12/2021
Onset Date: 02/15/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data: CT Scan at Hospital

Allergies: None

Symptoms: My blood pressure shot up to 155/105, I got flush, dizzy and had a headache. I had a tingling sensation around my nose and upper lip. Prior to this, my blood pressure had been in the 120's / 70's. I went to the emergency room and was sent home 4 hours later. I had headaches every day, multiple times a day, for the next 10 days and my blood pressure was fluctuating between 130/90 to 150/99 during that time. On February 25, my blood pressure dropped back down to 123/88 in the morning, but shot back up to 152/93 by the evening. My blood pressure continues to fluctuate from 124/89 to 146/106.

Other Meds: Losartan 100mg, Omeprazole 20mg, Zurvita supplement Zeal drink, AdvoCare supplements: Probiotic Restore Ultra, Rehydrate, Omegaplex, Catalyst

Current Illness: None

ID: 1060297
Sex: F
Age: 80
State: AZ

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

Lab Data:

Allergies:

Symptoms: Chills, fever, headache, body aches, fatigue.

Other Meds: Losartan Areds 2

Current Illness:

ID: 1060298
Sex: F
Age: 74
State: MD

Vax Date: 02/14/2021
Onset Date: 02/20/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: erythematous, induration rash 1 in. below injection site, size about 3x4 in. with mild tenderness and pruritus and still existing until now. No fever or any other systemic symptoms accompany.

Other Meds: carvedilol6.125 mg, evista60 mg, metformin250 mg

Current Illness: none

ID: 1060299
Sex: F
Age: 30
State: CA

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

Lab Data:

Allergies: Sulfa, vistaril (hydroxyzine), Topomax, also diagnosed with idiopathic anaphylaxis (unknown allergy)

Symptoms: Feb 23rd beginning around 8 PM: High fever (102), full-body rash (hives) particularly around abdomen, chest, and neck, pain/swelling around injection site, nausea and vomitting. Feb 24th - fever and rash persisted Feb 25th - rash persisted around chest and throat, spread to under jawline, extreme fatigue, pain/swelling and redness increased at injection site, severe migraine (did not respond to max dosage of ibuprofin). Feb 26th - rash persisted just around throat/jawline, extreme fatigue persisted, pain/swelling, redness and itchiness around injection site increased, migraine persisted, large sheets of dead skin peeling off the inside of mouth (e.g., cheeks, tongue, roof of mouth) Feb 27th - rash around throat faded, pain/swelling/redness around injection site faded, increased itchiness around injection site, extreme fatigue persisted, migraine persisted, increased amounts of dead skin peeling off inside of mouth (e.g., cheeks, tongue, roof of mouth). *The skin peeling off of the inside of my mouth (e.g., cheeks, tongue, roof of mouth) happened to me once before several years ago after a week of taking a new anti-epileptic medication (Topamax), which my neurologist prescribed to me to treat seizures following a traumatic brain injury. After a week on Topamax, the inside of my mouth began to peel uncontrollably, and so my neurologist instructed that I stop the medication immediately as I appeared to be having an allergic reaction to it. Perhaps there are similar compounds in the Moderna vaccination to Topamax, to which I may be allergic.

Other Meds: Fexofenadine (Zyrtec 1x daily), Ribuflavin (400 mg daily) + Magnesium Oxide (400 mg daily), Nature Made 1xday Prenatal vitamin, Biotin supplement, Collagen supplement

Current Illness: None

ID: 1060300
Sex: F
Age: 26
State: IL

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

Lab Data:

Allergies: Lactose Intolerant

Symptoms: Swollen muscle where injection was given, hot to touch, redness around Injection mark

Other Meds: Multi-vitamin, birth control, sertralin, daily greens, fish oil, vitamin C, collagen

Current Illness:

ID: 1060301
Sex: F
Age: 72
State: IN

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

Lab Data:

Allergies: penicillin

Symptoms: large circular rash, about 3 inches diameter, at vaccination site, 48 hours after vaccine shot

Other Meds: nabumetone, levothyroxin

Current Illness:

ID: 1060302
Sex: F
Age: 63
State: IL

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

Lab Data:

Allergies: aspirin, peanuts, rag weed, nuts

Symptoms: 24 hours after receiving the shot started having COVID-19 symptoms: achiness, chills, fever 103, dry mouth with metal taste, weak, loss of appetite, soreness under armpit (lymph node developed). Took Tylenol and Aleve felt better after sleeping 12 hours straight. I have had COVID-19 twice and the antibodies are in my blood stream every time I go give blooded I receive a letter indicating such.

Other Meds: none

Current Illness: low iron 10.1

ID: 1060303
Sex: F
Age: 73
State: NC

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Onset of: Moderate to severe chills; moderate to severe malaise; mild palpitations; one day of not being able to move around house. Got shot on a Wednesday; felt improved by following Friday.

Other Meds: Simvastatin Azopt Latanoprost Preservision eye vitamin Vitamin D3 Biotin Various skin applications for dry skin Prevident toothpaste

Current Illness: None

ID: 1060304
Sex: F
Age: 64
State: VA

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

Lab Data:

Allergies: I react to bacterium (long term ulcers under tongue) erythromycin (vomiting and anxiety) pregnazone (acne) chocolate (acne), blueberries (itchy ankles)

Symptoms: Left arm extremity sore, sore knees, fever, fever blisters, extremely sleepy, extreme fatigue, annoying headache, glossy eyes, blurred vision, aching bones all over, I exercised mildly by walking after 2pm on Thursday shot by visiting memorial park and shopping. At 2am on Friday I awoke to headache and achy bones I took Tylenol 2 tablets and felt okay but at 9 am was feeling worse. And extremely sleepy. Took some dose of Tylenol and slept for 5 hours straight. Drank ginger ale for mild nausea. No appetite until Saturday. Felt good all day but achy at night. Especially knees.

Other Meds: None

Current Illness: None

ID: 1060305
Sex: F
Age: 71
State: IN

Vax Date: 02/18/2021
Onset Date: 02/18/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: I felt fine at 10pm..Within 2 min I was achy and cold. Went to sleep curled up in a ball. Felt better the next afternoon.

Other Meds: Levothyroxine Simvistatin Ca, vitamins Glucosamine condroitin Vesicare Generic restasis

Current Illness: None

ID: 1060306
Sex: F
Age: 64
State: MO

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

Lab Data:

Allergies: Seafood, sufla

Symptoms: Face flushed, head felt full. Other than that nothing until we started home. Upper lip began to itch a little. A little itching around eyes. About an hour after, felt tightness in my throat and neck, glands felt swollen. Became slightly hoarse, had to clear my throat often. Felt a little like asthma attack. Have had similar reaction when eating seafood

Other Meds: Topirimate Buproprion Buspirone Ozempic Rosuvastatin

Current Illness:

ID: 1060307
Sex: M
Age: 64
State: NY

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

Lab Data: 0 at time of completion of this form

Allergies: None

Symptoms: Shortness of breath and, pressure and or tightness in chest. Symptoms began to subside 1:15 after injection

Other Meds: Insulin ,Effient, Ramipril, Aspirin, Gabapentin

Current Illness: Diabetes Cardiovascular Disease 10 Cardiac Stents

ID: 1060308
Sex: F
Age: 56
State: KY

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

Lab Data: None

Allergies: No

Symptoms: Muscle aches, Fever, Headache, Teeth hurt, and on the 2nd day redness/heat, and itchy at shot site. Most symptoms went away after 24 hours. My arm is still experiencing the sore, red, heat and itch as of today.

Other Meds: Lisinopril, cymbalta, vitamin D, Cresscor, Multivitamin, Zinc

Current Illness: None

ID: 1060309
Sex: M
Age: 52
State: NJ

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

Lab Data: None

Allergies: None

Symptoms: Left jaw pain & soreness near left ear (difficult to open mouth, chew food) from 7 am day after injection (current as of 10pm, same day), mild nasal congestion (starting around 6pm day after injection, current as of 10pm), chills (lasted about an hour 6-7pm day after injection), flush (about an hour after chills ended). AM temp 97.7 (9 AM), PM temp 101.1 (10 PM).

Other Meds: None

Current Illness: None

ID: 1060310
Sex: F
Age: 67
State:

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

Lab Data:

Allergies:

Symptoms: 1 minute after vaccination, pt felt dizzy, pale, diaphoretic. Also had bleeding and bruising at site. Vital signs stable. Given water and granola bar. Band-aid applied to site. Monitored x 30 minutes and released without further symptoms

Other Meds:

Current Illness:

ID: 1060311
Sex: F
Age: 80
State: CA

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

Lab Data: None

Allergies: Morphine

Symptoms: No adverse events following the first dose on 02.05.2021 The second dose on 02.26.2021 : fever - highest 101.2 degrees; slight headache; nausea; deltoid pain; anorexia; loose stools; fatigue I was pleased to have a reaction suggesting to me that some immune response was being generated.

Other Meds: None

Current Illness: None

ID: 1060312
Sex: F
Age: 67
State:

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

Lab Data:

Allergies:

Symptoms: 1 minute after vaccination, pt felt dizzy, pale, diaphoretic. Also had bleeding and bruising at site. Vital signs stable. Given water and granola bar. Band-aid applied to site. Monitored x 30 minutes and released without further symptoms

Other Meds:

Current Illness:

ID: 1060313
Sex: F
Age: 73
State: WY

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

Lab Data: Patient has an MRI scan that shows punctate lesions in an atypical distribution in the parietal and frontal lobes. When I discussed with the neurologist the results of this finding, he suggested that its consistent with PRES syndrome. The MRI is to be repeated. Thus far CT scan of the abdomen and pelvis was negative, stress test, Lexiscan, was negative and normal. Preliminary echocardiogram report without the dictated report is normal with normal valve function and a normal ejection fraction. Her systolic blood pressures are now ranging fairly consistently in the 140s. Blood pressure is 1 15-1 40 recently. Laboratory work-up for secondary hypertension is all pending.

Allergies: hydrocodone

Symptoms: I am not 100% certain of this event being related to the vaccination with the Moderna COVID19 shot or not. However, in the interest of completeness and for investigative purposes, I am reporting to you the event in relation to the vaccination as the patient reported to me. She received the vaccination on 2/14/2021 and became very confused. She had significant left arm swelling much worse than when she had her first vaccination. Her husband brought her to the emergency room and she was eventually discharged, but she went on to develop significant hypertension and she reported that her blood pressures were normal prior to the vaccination. She had an emergency room visit in which her systolic pressures were well above 240. She revisited the emergency room and had elevated blood pressures of 240 and was diagnosed with hypertensive encephalopathy and later found to have posterior reversible encephalopathy syndrome or PRES. We have started the patient on medications, and started laboratory work-up for secondary hypertension and her blood pressures have improved with treatment. We discussed the case with the neurologist, who suggested that we repeat MRI scan to make sure that her punctate lesions noted on MRI on this admission on 2/25/2021, have resolved. It was advised that if they had not resolved that we should call neurology again. Hypertensive encephalopathy is rare and press syndrome as a result is also rare. It is for this reason that I am reporting this event as again, I am not trying to mislead anyone or distort information, but should this be an adverse effect of the vaccine I wanted to make sure that this was reported as the patient's history prior to the vaccination and developing this complication post vaccination are temporally related at a minimum. The patient is a known smoker but quit on the 14th of this month.

Other Meds: lotensin, amlodipine

Current Illness: none known

ID: 1060314
Sex: F
Age: 87
State: CA

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

Lab Data: None

Allergies: none

Symptoms: Mom woke up this morning and has lost all vision following #1 of 2 Covid-19 vaccination on 02/25/2021

Other Meds: Latanoprost Opthalmic Solution 0.005% eye drops Timolol Maleate Opthalmic Solution 0.5% eye drops

Current Illness: Actively being treated for open angle glaucoma

ID: 1060315
Sex: F
Age: 55
State: MN

Vax Date: 02/16/2021
Onset Date: 02/23/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data: N/A

Allergies: Mangoes, cashews, cats

Symptoms: Day 8 itching, redness and swelling about an inch below injection site - a quarter-sized spot and a nickel-sized spot. Lasted 2 days. Fatigue days 2 (mild), 8 & 9. Fatigue on days 8 & 9 was mild - moderate. Day 9, arm started to ache as if I had just gotten my shot. Lasted 1 day.

Other Meds: Thyroxine, calcitonin, vitamin D3, hydrochlorothiazide, losartan, magnesium, zinc, calcium carbonate, calcium citrate

Current Illness: None

ID: 1060316
Sex: F
Age: 37
State: HI

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

Lab Data:

Allergies:

Symptoms: At about 1:34pm, pt c/o feeling dizzy and lightheaded. Water given. VS taken x 2, stable. Monitored pt until symptoms resolved. Pt. released to self at 1:54pm

Other Meds:

Current Illness:

ID: 1060317
Sex: F
Age: 68
State: MA

Vax Date: 02/20/2021
Onset Date: 02/26/2021
Rec V Date: 02/27/2021
Hospital:

Lab Data:

Allergies: Shellfish

Symptoms: Itchy arm at injection site six days after injection.

Other Meds: Metformin; Tresiba; Repaglinide; Atorvastatin; Lisinopril; Omeprazole; Carvedilol; Zenpep; Align; Low Dose Aspirin; Vitamin D

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm