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: 1066691
Sex: F
Age: 70
State: CA

Vax Date: 02/24/2021
Onset Date: 02/26/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data: None

Allergies: Pseudophedrine

Symptoms: Intense itching around the injection site on the left arm began in the afternoon on the third day after the shot. It would come and go throughout the afternoon and evening. I was only able to sleep about 5 hours and the itching woke me up and continued throughout the fourth day. I looked this up on the internet and found that massaging and exercising my arm help. The injection site had been sore the first three days, it was less swollen, sore and warm to the touch by the fifth day but there were three red patches around the injection site. All symptoms gone on the sixth day but a very mild itch is appearing occasionally today which is the seventh day. I also experienced itching after the first shot (Lot 042L20A) but it was very mild and went away by the fourth day.

Other Meds: Azopt 1% and Cephalexin 500mg

Current Illness:

ID: 1066692
Sex: F
Age: 54
State: TN

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

Lab Data:

Allergies: Sulfa

Symptoms: Received 1st dose 2/27/21. Fever of 102F started 2/28/21 with chills, resolved with tylenol. Redness at injection site started 2/27/21, then had spread to "the size of 2 half dollars." Not getting any bigger now on 3/2/21. Injection site was itchy too. 2/29/21, fever between 99 and 100.5 and took Tylenol again once getting chills. Suspect that patient had fever in response to COVID vaccine due to previous injection with COVID19 and patient confirmed she had previously had COVID19.

Other Meds: Unknown

Current Illness: Had COVID19 previously, a mild case.

ID: 1066693
Sex: F
Age: 79
State: IL

Vax Date: 02/12/2021
Onset Date: 03/01/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data: CBC w Auto Diff ONE TIME 03/01/21 2159 Comprehensive metabolic panel ONE TIME 03/01/21 2159 Lipase ONE TIME 03/01/21 2159 Urinalysis with reflex to culture, if indicated ONE TIME 03/01/21 2159 \Urinalysis with reflex to culture, if indicated [243725439] (Abnormal) Collected: 03/01/21 2224 Order Status: Completed Specimen: URINE,CLEAN CATCH (CCMS) Updated: 03/01/21 2236 Glucose UA NEGATIVE NEGATIVE MG/DL Protein UA NEGATIVE NEGATIVE MG/DL Bilirubin UA NEGATIVE NEGATIVE Urobilinogen UA 0.2 0.2 - 1.0 MG/DL pH UA 5.5 5.0 - 8.0 Blood UA NEGATIVE NEGATIVE Ketones UA NEGATIVE NEGATIVE MG/DL Nitrite UA NEGATIVE NEGATIVE Leukocyte Esterase UA NEGATIVE NEGATIVE UR Appearance SLIGHTLY CLOUDYAbnormal CLEAR Specific Gravity UA 1.020 1.000 - 1.030 Color YELLOW YELLOW Site CCMS Comment, Urine Culture NOT INDICATED RBC Urine 0 to 5 <3 /HPF WBC Urine 6 to 10 <5 /HPF Bacteria FEWAbnormal NONE /HPF Squamous Epithelial FEW <5 /HPF Comprehensive metabolic panel [243725437] (Abnormal) Collected: 03/01/21 2204 Order Status: Completed Specimen: Blood Updated: 03/01/21 2229 Glucose 138High 65 - 100 MG/DL Blood Urea Nitrogen 24High 7 - 18 MG/DL Creatinine 1.2High 0.5 - 1.0 MG/DL Sodium 143 136 - 145 MMOL/L Potassium 3.9 3.5 - 5.1 MMOL/L Chloride 105 98 - 107 MMOL/L Co2 27 21 - 32 MMOL/L Calcium 9.4 8.5 - 10.1 MG/DL Protein Total 7.2 6.4 - 8.2 G/DL Albumin 3.7 3.4 - 5.0 G/DL A/G Ratio 1.1 0.8 - 2.0 Alkaline Phosphatase 113 46 - 116 U/L Alt (SGPT) 60High 14 - 59 U/L AST(SGOT) 49High 15 - 37 U/L Bilirubin, Total 1.1High 0.2 - 1.0 MG/DL GFR Comment IF PATIENT IS AFRICAN AMERICAN, MULTIPLY RESULT BY 1.16 Est GFR 43Low >90 ML/MIN/1.73sq.m Lipase [243725438] Collected: 03/01/21 2204 Order Status: Completed Specimen: Blood Updated: 03/01/21 2229 Lipase 156 73 - 393 U/L CBC w Auto Diff [243725436] (Abnormal) Collected: 03/01/21 2204 Order Status: Completed Specimen: Blood Updated: 03/01/21 2210 White Blood Cell Count 8.0 4.3 - 10.5 THOUS/uL Red Blood Cell Count 3.89Low 3.93 - 5.07 MIL/uL Hemoglobin 12.4 11.8 - 14.8 GM/DL Hematocrit 35.9 35.6 - 45.0 % Mean Corpuscular Volume 92.3 83.5 - 95.9 FL Mean Corpuscular Hemoglobin 31.9 27.4 - 32.0 PG Mean Corpuscular Hemoglobin Conc 34.5 31.5 - 34.7 G/DL Rdwcv 12.2 11.8 - 14.2 % Rdwsd 41.6 37.2 - 47.8 FL Platelet Count 238 167 - 402 THOUS/uL Mean Platelet Volume 9.6 8.8 - 12.0 FL Nucleated Red Blood Cells 0.0 0.0 /100 WBC'S Abs NRBC 0.0 0.0 THOUS/uL Differential Type AUTO Neutrophils 50.4 34.0 - 67.9 % Lymphs 36.3 20.4 - 48.6 % Monocytes 9.6 5.0 - 11.5 % Eos 2.9 1.0 - 5.4 % Basos 0.4 0.2 - 1.3 % Neutrophils Absolute Count 4.0 2.1 - 6.6 THOUS/uL Lymphocytes Absolute Count 2.9 1.2 - 3.9 THOUS/uL Monocytes Absolute Count 0.8 0.3 - 0.8 THOUS/uL Eosinophils Absolute Count 0.2 0.1 - 0.4 THOUS/uL Basophils Absolute Count 0.0 0.0 - 0.1 THOUS/uL Imm Gran 0.4 0.1 - 0.7 % Abs Imm Gran 0.03 0.0 - 0.1 THOUS/uL

Allergies: Latex

Symptoms: CHIEF COMPLAINT Chief Complaint Patient presents with ? Abdominal Pain ? Headache a 79 y.o. female who presents with chief complaint of not feeling well. Patient is unable to be any more specific about what it is that is wrong. She denies fever chills nausea vomiting abdominal pain diarrhea constipation or urinary tract symptoms. She does state that she has been feeling somewhat weak. Her appetite has been fine.

Other Meds: Current Outpatient Medications: ? amLODIPine (NORVASC) 10 MG tablet, Take 1 Tab by mouth daily, Disp: , Rfl: ? atorvaSTATin (LIPITOR) 20 MG tablet, Take 1 Tab by mouth daily, Disp: , Rfl: ? doxazosin (CARDURA) 1 MG tablet, Take 1 Tab

Current Illness:

ID: 1066694
Sex: M
Age: 62
State: IL

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

Lab Data:

Allergies:

Symptoms: Records indicate patient had received a third dose of Moderna

Other Meds:

Current Illness:

ID: 1066695
Sex: M
Age: 25
State: NY

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

Lab Data: None

Allergies: I'm allergic to over a dozen meds, an ingredient in propel, dust, and pollen

Symptoms: Moderna COVID19 EUA A couple hours or so later headache/migraine lasting the night. Night waking

Other Meds: Guanfacine Wellbutrin Jatenzo Ritalin Savella Estradiol Gerd med (sorry I don't remember brand name)

Current Illness: I have chronic conditions, but nothing acute

ID: 1066696
Sex: F
Age: 81
State: NC

Vax Date: 02/17/2021
Onset Date: 02/18/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data:

Allergies: sulfa, pentathols, barbituates (AIP) gluten

Symptoms: extreme pain for five days followed by an apparent outbreak of shingles

Other Meds: Benicar, Liothyronine, multi vitamins

Current Illness: none

ID: 1066697
Sex: F
Age: 28
State: WA

Vax Date: 02/27/2021
Onset Date: 02/28/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data:

Allergies: n/a

Symptoms: Felt a pain/burning sensation when wiping after urinating on 2/28. Assumed it was an abrasion associated with shaving. When still occuring on 3/02, I used a mirror to check the area and discovered a single, white, blister-looking lesion on my labia minora (right side). The lymph nodes under the arm on my left side (injection site) and in my right groin are still swollen and have been since 2/28.

Other Meds: multivitamin, adderall (10mg 1-2x daily), junel 1.5/30 (1x daily), biotin (5000mcg daily), collagen (100mg daily)

Current Illness: n/a

ID: 1066698
Sex: F
Age: 100
State:

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

Lab Data:

Allergies: NKA

Symptoms: nausea, observed, vs stable, improved condition, discharged to home

Other Meds:

Current Illness:

ID: 1066699
Sex: F
Age: 33
State:

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

Lab Data: 8:41 am; BP 100 palp; HR-80; O2 99% on room air; breath sounds clear.

Allergies:

Symptoms: Lightheaded; tongue tingling; slight difficulty swallowing; occasional cough. Evaluated by emergency department.

Other Meds:

Current Illness:

ID: 1066700
Sex: F
Age: 35
State:

Vax Date: 02/01/2021
Onset Date: 02/28/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Pain in injected arm, body aches, fever, chills, fatigue

Other Meds:

Current Illness:

ID: 1066701
Sex: F
Age: 41
State:

Vax Date: 02/18/2021
Onset Date: 02/19/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data:

Allergies: Nickel

Symptoms: Chills, severe pain in arm the vaccine shot was given, intense fatigue the following two days enough to be completely immobilized. Muscle pain and fatigue that come and go even after two weeks

Other Meds: None

Current Illness: None

ID: 1066702
Sex: F
Age: 71
State: DE

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: Chills, Fever, Nausea, bodyaches, Headache, cramping, diarrhea,

Other Meds:

Current Illness:

ID: 1066703
Sex: F
Age: 38
State: WV

Vax Date: 02/28/2021
Onset Date: 03/02/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data:

Allergies: sulfa drugs

Symptoms: bilateral facial numbness/tingling, left more so than right

Other Meds: Albuterol PRN, Xanax 0.5 TID PRN, bupropion XL 150 mg

Current Illness:

ID: 1066704
Sex: M
Age: 67
State: OH

Vax Date: 02/28/2021
Onset Date: 02/28/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: had side effects on sunday , day of inoculation; felt like head cold , some fatigue , heavy chest ;started after ~ 3 hours , gone by next morning ; I believe that sleep helped ; My sleep schedule is problematic , so that may have contributed to this ; pain at site of inoculation , mostly gone now , 2 days later ;

Other Meds: Colchicine , metoprolol

Current Illness: none

ID: 1066705
Sex: F
Age: 68
State: CT

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

Lab Data:

Allergies:

Symptoms: Patient received less than intended amount of 0.3 mL. The vaccinator did not draw up the vaccine correctly, creating a large bubble in the barrel, leading to an underdosage of vaccine. No symptoms. Patient is being notified today by our physician to come and receive another dose per recommendations.

Other Meds:

Current Illness:

ID: 1066706
Sex: F
Age: 75
State: MI

Vax Date: 02/13/2021
Onset Date: 02/14/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data: none

Allergies: bee stings and PCN-not anaphylactic

Symptoms: During the night after received 1st Moderna vaccine woke up feeling like her left arm was "on fire", like it had hot needles inside of it. The next day after using ice and Benadryl the pain was gone.

Other Meds: unknown

Current Illness: unknown

ID: 1066707
Sex: F
Age: 76
State: MN

Vax Date: 02/26/2021
Onset Date: 02/27/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Injection site pain, tiredness, headache slight, joint pain, fever up to 101.6, feeling unwell

Other Meds: carvedilol, rovastatin, amlodipine, Vitamin D, Fish oil, Zyrtec, Tylenol, vitamin C, Calcium

Current Illness: None

ID: 1066708
Sex: F
Age: 64
State: PA

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

Lab Data:

Allergies:

Symptoms: Pt received first dose of COVID19 moderna vaccine today. After 15min observation period, patient felt well and was discharged. Was in lobby of the center when, per a witness, the patient fainted. The patient recovered consciousness without issue. An MA came to report incident to provider. Was going to bring the patient back to vaccine clinic for further observation. When the MA returned to the lobby, the patient had left.

Other Meds:

Current Illness:

ID: 1066709
Sex: F
Age: 41
State: TN

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

Lab Data: None.

Allergies: NKDA.

Symptoms: Patient reported that within a "couple of minutes" of receiving 1st dose of Pfizer on 03/01/21 her face bilateral became numb in addition to her right arm and right hand. Patient stated after 5 minutes, she got feeling back in her face. As of 03/02/2021, patient states the numbness in her face and arm/hand is intermittent. Patient stated she still has full ROM.

Other Meds: Spironolactone

Current Illness: None.

ID: 1066710
Sex: F
Age: 88
State: CA

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

Lab Data:

Allergies: Na

Symptoms: While administering vaccine, needle disconnected from the syringe. Faulty syringe with moderna ancillary kits. Only a portion of vaccine entered patient?s arm. Second full dose vaccine administered to patient with better syringe.

Other Meds: Na

Current Illness: Na

ID: 1066711
Sex: F
Age: 83
State: FL

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

Lab Data: None

Allergies: None Mentioned

Symptoms: Vaccine was administered in the right upper Gluteus Muscle. The recommended site for Covid -19 vaccination is intramuscular in the deltoid muscle of the arm or alternatively the anterolateral thigh.

Other Meds: None Mentioned

Current Illness: None Mentioned

ID: 1066712
Sex: F
Age: 69
State: FL

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data: none

Allergies: sulfa; latex

Symptoms: 30 minutes of chills; minor hot flash; did not take anything for it (no tylenol); resolved on its own

Other Meds: Ibandronate

Current Illness: none

ID: 1066713
Sex: F
Age: 79
State: CT

Vax Date: 02/25/2021
Onset Date: 02/27/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Two days after this second Moderna vaccination I noticed a large, red, oval-shaped area about 3 1/2 inches by 3 1/2 inches about 3 inches below the vaccination needle site. It was quite red and hot to the touch. It increased a bit over the next two days but is starting to fade a little bit. I have had no itching or pain except for the usual pain from an injection in an arm. (I researched the symptom and find it is called Covid Arm) I do have some photos of the arm if those would be helpful. I have had no other symptoms other than being more tired for a day after the vaccination. No fever.

Other Meds: Levothyroxine 50 MCG

Current Illness: none

ID: 1066714
Sex: F
Age: 52
State: CA

Vax Date: 02/28/2021
Onset Date: 02/28/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: ?Pfizer-BioNTech COVID-19 Vaccine EUA? fatigue, chills, fever (101 degrees), joint pain (all joints including fingers, headache, 2 inch bruise at injection site, lymph node/underarm swelling, insomnia

Other Meds: Lexapro

Current Illness: none

Date Died: 01/21/2021

ID: 1066715
Sex: M
Age: 85
State: IL

Vax Date: 12/29/2020
Onset Date: 01/21/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data: none

Allergies: NKA

Symptoms: epistaxis.

Other Meds: mvi, albuterol, invanz, macrobid, flomax, metoprolol, enalapril,

Current Illness: copd, prostate ca

ID: 1066716
Sex: M
Age: 96
State: IL

Vax Date: 02/24/2021
Onset Date: 03/02/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Received first dose of Moderna vaccine on 2/24/21. Was swabbed for a PCR on 2/25/21 and it was negative. On 3/1/21 was swabbed for a PCR and was reported on 3/2/21 that the results were positive for Covid-19. Had been positive from a PCR on 11/13/2020 prior and received Bamlanivimab on 11/19/2020.

Other Meds:

Current Illness:

ID: 1066717
Sex: F
Age: 71
State: VT

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

Lab Data: emergency medical providers assessed vital signs and the patient's blood glucose level on site.

Allergies: patient reported a Valium allergy

Symptoms: patient reported numbness in her upper deltoid muscle on the side of vaccination initially. After 5 minutes the patient reported feeling a little short of breath and that her heart rate felt fast. Patient remained alert and oriented throughout. Patient was given water and instructed to perform pursed lip breathing. When attempting to move patient to a private space, she reported weakness in her legs and required assistance to transfer to a wheel chair. 911 was called when patient reported trouble breathing that was not improving. Patient also reported a history of anxiety and congestive heart failure. Patient was transported to a local emergency department via ambulance for further evaluation. Patient was transported away from our clinic at 10:15am.

Other Meds:

Current Illness: patient reported having an inner ear issue that started in the morning of 3/2/2021.

ID: 1066718
Sex: F
Age: 72
State: SC

Vax Date: 02/24/2021
Onset Date: 02/28/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data: blood work

Allergies: suphur, penicillin,, statins most antibiotics

Symptoms: Swollen, blotchy, red, itchy face, eyelids, ears. General feeling of being warm and itchy all over.

Other Meds: tylenol arthritis, lovazo, CoQ10, allerest

Current Illness: none

ID: 1066719
Sex: F
Age: 59
State: TX

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data: n/a

Allergies: n/a

Symptoms: Low-grade fever (100 degrees), thirst, body/muscle aches and pains, moderate chills, pounding headache, loss of appetite, fatigue, sleepiness. Injection site on arm was swollen, warm, and tender. These side effects began about 9:00 pm Central time on the day of the injection, and lasted about 48 hours, with severity beginning to lessen at about 36 hours post-injection.

Other Meds: Nabumetone, hydrochlorothiazide, carvedilol, atorvastatin, Jardiance, omeprazole, Vitamin D3

Current Illness: n/a

ID: 1066720
Sex: M
Age: 74
State: VA

Vax Date: 02/23/2021
Onset Date: 02/24/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data: None - did not go to Dr.

Allergies: Illosone; aspirin, tree pollen, molds

Symptoms: Left arm became extremely sore down to fingertips. Patient could not hold onto anything as fingers hardly could move. After two days his hand swelled up. I almost took him to Urgent care but said he was getting g a little better.

Other Meds: Advair; Atorvastatin; cyclonebenzaprine; Doxycycline; janumet; Levemir FlexTouch; Montelukast; Novolog Flex Pen;

Current Illness: None

ID: 1066721
Sex: F
Age: 60
State: CA

Vax Date: 02/10/2021
Onset Date: 02/12/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data: I will send to the emergency Dept on February 18th where I was given an MRI and thereafter was sent to the other two Specialists; opthamologist specialist following day was sent to a retina specialist I've also had lab work done

Allergies: N/A

Symptoms: 2 days after the second dose of the moderna vaccine I suddenly started seeing blurry out of my right eye I let it go for about 4 days thinking it was something just in my eyes I sent after that went to an urgent care at my doctor's office where they sent me to the ER I had an MRI done nothing was found was then sent to opthamologist specialist who at first diagnosed me as a torn retina second day I went to a retina specialist who confirmed it was not a torn right now but swollen behind my eyes I wasn't to be seen until another week later and hopes the swelling would go down and February 25th I return back to dr. When the retina specialist who indicated that it was still swollen and it's a possibility I will not see clearly out of that high again still waiting for various specialties

Other Meds: Vitamins only

Current Illness: N/A

ID: 1066722
Sex: F
Age: 78
State: CA

Vax Date: 01/27/2021
Onset Date: 02/05/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Developed a large oval red spot around the injection's site approximately 9 days after the injection was administered and it lasted approximately a week but still have some rough skin now about 1 month after the injection. Temperature was sometimes higher (98.2) than my normal (97.7) - General muscle aches thru the whole body. The areas was slightly swollen, warm, a bit rough and hard around the vaccination puncture. It was very itchy and reminded me of when I have gotten insect bites (mosquitos, fleas, wasps, bees.) I get higher than usual reactions to these types of bites. I put some ice on it and used a hydrocortisone cream and it seemed to help.

Other Meds: Telmisartan (40 mg), Amlodipine (5 mg), Atorvastatin (20 mg) -

Current Illness: None

ID: 1066723
Sex: M
Age: 30
State:

Vax Date: 02/25/2021
Onset Date: 03/01/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data: LABS: Urine Toxicology (3/1/21): Negative Complete Blood Count (3/2/2021) WBC 6.6 K/uL 3.8-10.8 RBC 5.16 M/uL 4.20-5.80 Hemoglobin 15.7 g/dL 13.2-17.1 Hematocrit 47.4 % 41.0-50.0 MCV 92 fL 80-100 MCH 30.4 pg 27.0-33.0 MCHC 33.1 g/dL 32.0-36.0 RDW-CV 12.4 % 11.0-15.0 Platelets 315 K/uL 140-400 MPV 9.4 fL 7.5-11.5 Neutrophil % 60.2 % 45.0-70.0 Lymphocyte % 25.3 % 18.0-47.0 Monocyte % 8.5 High % 2.0-8.0 Eosinophil % 5.5 High % 1.0-5.0 Basophil % 0.5 % 0.0-1.0 Neutrophil Abs 3.96 K/uL 2.00-7.50 Lymphocyte Abs 1.66 K/uL 1.00-4.30 Monocyte Abs 0.56 K/uL 0.00-0.90 Eosinophil Abs 0.36 K/uL 0.04-0.40 Basophil Abs 0.03 K/uL 0.00-0.10

Allergies:

Symptoms: He was exhibiting abnormal movements, swinging his arms, squirming movements in his chair while he was in the day room. He seemed as if he was responding to internal stimuli according to staff since he was talking to himself and looking behind him. He was biting his hand at times. He told staff that he was feeling dizzy. He had a similar incident on 2/26/21 where he was flailing his arms

Other Meds:

Current Illness:

ID: 1066724
Sex: F
Age: 57
State: MN

Vax Date: 02/14/2021
Onset Date: 02/24/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Developed "Covid Arm" 10 days after the initial shot. It started with a raised red rash. On day 11, a ring started to form around the rash. The rash did not itch much. It faded away about 4 days later. Other than that, the arm had been very sore Day 1 and Day 2 after the shot. No other side effects.

Other Meds: multi-vitamin

Current Illness: none

ID: 1066725
Sex: F
Age: 45
State: IA

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data:

Allergies: Reglan

Symptoms: Leg cramps, swelling (R>L)- bothered her varicose veins- feel like she has developed planter fasciitis.

Other Meds: No

Current Illness: No

ID: 1066726
Sex: F
Age: 53
State: NY

Vax Date: 02/26/2021
Onset Date: 02/27/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data: none

Allergies: NO

Symptoms: high temperature (102.3 F) with flu like symptoms in the joints for 16 hours . disappeared after. swallen area where the injection was adminstred - for 2 days mild pain under the arm for less than 1 day

Other Meds: VITAMINE D

Current Illness:

ID: 1066727
Sex: M
Age: 64
State: AR

Vax Date: 02/25/2021
Onset Date: 02/28/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data: Look Above on Item 18

Allergies: None

Symptoms: Sunday, February 28, 2021 around 7:30 to 9:00 consumer said the left side of his mouth felt different. Then as time went by we both noticed the left side was different. Couldn't smile on left side like the right side. His right eye blinked a lot more than the left eye. We did FAST testing for strokes. He was fine with his arms & legs. We went to the medical center around 2:00 p.m. They checked him out did a CAT Scan, they seem to think it is Bell's Palsy. The put him on Prednisone and Valacyclovir and Eye Lubricant Drops. Consumer had a follow up with Dr on Tuesday March 2, 2021 at 8:45. He agrees with the diagnosis, however Dr wants consumer to Have an Ultra Sound on Neck and MRI Wednesday March 3, 2021 at 3:00 for US and 4:00 for MRI.

Other Meds: Trulicity, Janumet, Tamsulosin, Simvastatin, Centrum for Men over 50, Nexium

Current Illness: None

ID: 1066728
Sex: F
Age: 51
State: TX

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

Lab Data:

Allergies: Latex, penicillin, Naproxen ,seafood, black berries, raspberries, pineapples,

Symptoms: My arm swollen from my shoulder to my elbow. My doctor stated its cellulitis.

Other Meds: Tylenol, (2 capsule ) 500 mg, Montelukast (1 pill ) 10 mg at bedtime, Amlodipine- Benaz 5 / 10 mg (1 pill) at bedtime, Metoprolol ER Succinate 25 mg (1 pill) every morning, Doxycycline HYC 100 mg (2 pills) twice a day and Fluconazole

Current Illness: High Blood Pressure, hiatal hernia, acid reflux

ID: 1066729
Sex: F
Age: 24
State: WI

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

Lab Data:

Allergies: No

Symptoms: A medical student's first administration attempt resulted in < 50% of the dose administered to the vaccine recipient. The medical faculty precepting the student observed vaccine liquid running down the recipient's arm, at which time the faculty member reported <50% of the dose was administered to the recipient. A second dose was administered in the vaccine recipient's opposite arm, per CDC guidelines. The student was counseled by the faculty member on how to confirm once the skin is pierced by the needle, and the remaining doses administered by the medical student were fully administered with no technical difficulties. Previous experience with VanishPoint? syringes from Lot G201116 resulted in difficult administration reported by 2-3 experienced vaccinators. After the needle pierced the skin, the plunger stopped and required significant more force to complete administration of the full dose. However, these doses were able to be fully delivered. No VAERS report was required. The lot number of VanishPoint? syringe used by the medical student on 3/2/21 was Lot #G201226. Immunization Registry was updated to decrement inventory for the first dose (<50%) administered by the student. The full dose administered to the recipient was documented in the recipient's account and decremented from inventory automatically, per requirements for COVID vaccine administration.

Other Meds: N/A

Current Illness: No

ID: 1066730
Sex: F
Age: 28
State: CO

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data: Six days after vaccination: complete blood count all within normal ranges; COVID-19 testing negative

Allergies: latex, penicillin

Symptoms: Pfizer-BioNTech COVID-19 Vaccine: Thirty minutes after receiving vaccination developed trunk flushing, nausea, and tiredness. Flushing quickly resolved but patient reports nausea, abdominal pain, mild headache, and tremors since vaccination. Six days after vaccination noticed hip bruising in the absence of falls or trauma and a cut on the hand that bled more than expected. No respiratory distress or rash noted on exam. Vital signs all within normal ranges. Patient left clinic visit stable and advised to avoid non-steroidal anti-inflammatory medications.

Other Meds: levonorgestrel, meloxicam

Current Illness: None reported

ID: 1066731
Sex: F
Age: 60
State: NM

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data: 1/12/21: CBC with diff (wnl), ESR (wnl), CRP 1.0 (slightly elevated), PT/INR/APTT (wnl), electrolytes (wnl except glucose 189), LFT (wnl except alk phos 175), troponin (wnl), TSH/free T4 (wnl), CT head/neck/brain (no acute findings)

Allergies: latex (unknown reaction)

Symptoms: Left upper abdominal pain after receiving COVID vaccine radiating to left jaw rapid response, had patient remove mask and reported facial drooping. Transferred to ED for acute, painless, unilateral facial paralysis with no forehead sparing most likely secondary to Bell?s Palsy. Patient was monitored and discharged with prescriptions for valacyclovir 1000mg tid and prednisone 50mg qday x 7 days

Other Meds: metformin 500mg bid, levemir, aspirin 81mg qday, Flovent Diskus 50mcg, Genteal tears, Januvia 100mg qday, ketotifen 0.025% ophthalmic solution, losartan 50mg qday, vitamin de 25mcg qday

Current Illness: None

ID: 1066732
Sex: F
Age: 20
State: NC

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

Lab Data:

Allergies:

Symptoms: I have felt injection site pain since about 10:30pm on March 1st, 2021. At about 12:00pm on March 2nd, 2021 I started to feel tired and developed a mild headache. I felt chills at about 3:00pm on March 2nd, 2021.

Other Meds: Birth control pill

Current Illness:

ID: 1066733
Sex: M
Age: 73
State:

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

Lab Data:

Allergies:

Symptoms: syncope, hypotension and urinary incontinence

Other Meds:

Current Illness:

ID: 1066734
Sex: F
Age: 55
State: VA

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

Lab Data: n/a- I mentioned continued tingling of the tip of my tongue to my PCP at my annual visit, & she said that I should report it.

Allergies: Sulfa, PCN, ceclor, & avelox,

Symptoms: Approx 20 minutes after 2nd Moderna vaccine my tongue had an intense pins & needles sensation. Within a few minutes my lips had the same sensation, & then inside my ears. An area of my scalp the began to itch, & then changed to tingling. I developed a headache & became dizzy(was sitting). The worst of the pins & needles sensation lasted approx. 1.5 hours. The headache & dizziness were significant for 2 days. The tip of my tongue still has a mild pins & needles sensation.

Other Meds: Allegra, singulair, astepro, nasonex, glucosamine chondroitin with MSM, & magnesium.

Current Illness: n/a

ID: 1066735
Sex: F
Age: 69
State: CT

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

Lab Data:

Allergies:

Symptoms: Patient received less than intended amount of 0.3 mL. The vaccinator did not draw up the vaccine correctly, creating a large bubble in the barrel, leading to an underdosage of vaccine. No symptoms. Patient is being notified today by our physician to come and receive another dose per Pfizer recommendations.

Other Meds:

Current Illness:

ID: 1066736
Sex: F
Age: 66
State: CA

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

Lab Data:

Allergies:

Symptoms: Tingling of the tongue and throat; BP 101/54 (pulse 70); final BP 109/70 (pulse 65), 100% O2 sat. Benadryl 25 mg PO x 2.

Other Meds:

Current Illness:

ID: 1066737
Sex: F
Age: 59
State: TN

Vax Date: 02/02/2021
Onset Date: 02/04/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data: Dermatology did biopsy x 3

Allergies: NKA

Symptoms: On 2/4/21 pt noticed a red, raised rash on her right forearm that later spread to her left arm, then to her shoulders and torso. The rash does itch some. Pt saw her PCP on 2/26/21 and was given hydroxyzine and permethrin cream to treat for possible scabies. Pt returned to clinic on 3/1/21 and was told it was not scabies because the rash did not respond to the permethrin. PT saw her dermatologist on 3/2/21 and 3 biopsies were taken. Pt was told not to take the second vaccine before she returns to his office for results on 3/16/21.

Other Meds: Lisinopril 5mg daily, estradiol 0.25mg daily, trazodone 200mg Q HS, Vit D OTC, calcium OTC, Aspirin 81 mg daily

Current Illness: None

ID: 1066738
Sex: F
Age: 48
State: CT

Vax Date: 02/23/2021
Onset Date: 02/24/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data: NA

Allergies: NA

Symptoms: I woke up about 6 o?clock in the morning the day after my shot) until I went to bed at 10 PM that evening and I had a continuous fever

Other Meds: Probiotic, vitamin d, fiber, daily vitamin, folic acid, coQ10, aspirin, cranberry extract, b complex, fish oil

Current Illness: None

ID: 1066739
Sex: F
Age: 60
State: NJ

Vax Date: 02/16/2021
Onset Date: 02/24/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data:

Allergies: no

Symptoms: covid arm ...red rash about 6 inch in size ..no itching , no pain, no fever, no chills, no headche

Other Meds: no

Current Illness: no

ID: 1066740
Sex: F
Age: 18
State: WA

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data:

Allergies:

Symptoms: The next day of vaccination my lymph node was swollen. I saw a doctor the weekend after to get it evaluated to make sure it was not breast cancer related.

Other Meds: Birth Control Multi Vitamins

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm