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: 1066843
Sex: M
Age: 66
State: TX

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

Lab Data: All vital signs were within range. Blood pressure was 145/80.

Allergies:

Symptoms: After getting my Pfizer second shot. 15 hours later I began to get itchy through I whole body. And the swelling of my glands in my throat. Went to the ER to get treated. I was medicated with different antihistamines. And I was observed for five hours. The swelling of the glands didn?t go down some what. But I am still itchy not as drastic as it was yesterday Monday, March 1 of 2021. But my body is still itchy. Medication?s are Benadryl, famotidine, and prednisone. I will be seeing my family doctor this afternoon as a follow up from yesterday because I am still itchy most around my body. No fever, no bodyaches, but the itching Has not some subsided.

Other Meds:

Current Illness:

ID: 1066844
Sex: F
Age: 66
State: CA

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

Lab Data: NONE

Allergies: N/A

Symptoms: PATIENT REPORTED MILD HEADACHE AND BODY ACHES. SHE REPORTS HER HANDS WERE REALLY SWOLLEN ALONG WITH THE REST OF HER BODY.

Other Meds: ASA 81MG, ATROVASTATIN 80MG,DSS, ESOMEPRAZOLE 40MG. GABAPANTIN 600MG,

Current Illness: POSTIVE FOR COVID 1/14/21 ACUTE HYPOXEMIC AFTER COVID

ID: 1066845
Sex: M
Age: 52
State: GA

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data:

Allergies: Shellfish

Symptoms: Extreme pain in right shoulder after receiving the COVID19 (Pfizer) vaccination.

Other Meds: MVI and Edarbyclor

Current Illness: None

ID: 1066846
Sex: M
Age: 40
State: MI

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

Lab Data:

Allergies:

Symptoms: Client's #1 dose was unknown at the time of vaccination for #2 dose; client also did not disclose that dose #1 was Moderna. Client denied any adverse event from either dose.

Other Meds:

Current Illness:

ID: 1066847
Sex: M
Age: 90
State: NC

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

Lab Data: n/a

Allergies: unknown

Symptoms: A vaccine was given to a long-term care patient by a pharmacist, who was informed (incorrectly) by a nurse that the patient had not received a dose yet. No adverse events were reported, however this resulted in a second dose being given earlier than its due date, which was discovered when billing the shot afterwards - an insurance rejection indicated that an initial dose was actually given on 2/4/21. The facility was informed and a quality event was reported.

Other Meds: unknown

Current Illness: unknown

ID: 1066848
Sex: F
Age: 53
State: NE

Vax Date: 02/24/2021
Onset Date: 02/25/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data: Blood tests-CBC with Diff, CMP, Altase, Lipase, UA with culture Chest Xray, AP only

Allergies: cephelaxin, kephlex

Symptoms: when woke on the 25th nauseated, fatigue, headache, body aches, sweating, went to school but felt terrible, continued experiencing all symptoms, started vomiting on 3-1 in the morning and went to the local er, was given zofran, tordal, morphine and fluids, had blood work and x-rays, was feeling better and was released. is still having nausea, vomiting and chills today.

Other Meds: potassium, glucosamine chondrotin, duloxetine, hydroxychloroquin, doxycycline,

Current Illness:

ID: 1066849
Sex: M
Age: 16
State: OR

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

Lab Data: None reported

Allergies: None reported

Symptoms: This form is to report that a vaccine shot was mistakenly administered to a person , info above) that was under the age of 18 y/o by me. There were no adverse reactions, allergic reactions, or any symptoms other than mild soreness at the injection site, confirmed with the individual receiving the vaccine.

Other Meds: Unknown

Current Illness: Unknown

ID: 1066850
Sex: F
Age: 81
State: MO

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

Lab Data: No tests conducted

Allergies:

Symptoms: Temperature of 101 degrees Fahrenheit lasting 3 days Severe chills Nausea and vomiting Headache with sensitivity to light, continuing to today's date. Rash on back developed on day 5, treated with diphenhydramine cream

Other Meds:

Current Illness:

ID: 1066851
Sex: F
Age: 50
State: IN

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

Lab Data: Physical therapy evaluation on 2/23/21

Allergies: Penicillin and sulpha

Symptoms: Severe arm pain in shoulder and interior deltoid that has not gone away. Receiving physical therapy for pain.

Other Meds: None

Current Illness: None

Date Died: 02/28/2021

ID: 1066852
Sex: M
Age: 76
State: KY

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

Lab Data:

Allergies: None

Symptoms: History of terminal cancer, entered hospice care 1/2021, expired 2/28/2021. No reported adverse events from patient or family after receiving vaccine

Other Meds: Steroids

Current Illness: None

ID: 1066853
Sex: M
Age: 67
State:

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

Lab Data:

Allergies:

Symptoms: Dizziness, lightheaded, HA-throbbing. Waited 15 mins extra. Evaluated by EMS- Cleared

Other Meds:

Current Illness:

ID: 1066854
Sex: M
Age: 37
State: WA

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

Lab Data: EKG - normal result

Allergies: N/A except seasonal allergies

Symptoms: On day three, I had redness and hot on the site. It felt thickened and it was swollen and itchy. I got right on Cepra - Urgent Care visit like I was given for last vaccine. The symptoms subsided after four days. I am having heart palpitations about two weeks - I notice it a lot - I notice it intermittently but often; Varies in intensity and I was woken up where my heart was beating very loudly - I tried to calm myself down because my heart rate wouldn't go down. That's never happened to me before. Even right now I can feel my heart palpate more than I should be able to feel it. Today at 01:00 PM I am going in for an EKG and have my heart monitored. I am gong to clinic where my Dr practices. I saw a PA for a work injury - for worker's comp from the vaccine - so I have had an EKG already- result was normal rhythm acutely at the time.

Other Meds: Bupripion, adult mens multivitamins, biotin, ibuprofen, diphenhydramine, vitamin e, vitamin d, vitamin c; methylcarbamol - do not take it every day but may have taken it that morning

Current Illness: adverse symptoms Dose 1 of COVID vaccine was tested for COVID - negative

ID: 1066855
Sex: F
Age: 70
State: TX

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 03/02/2021
Hospital: Y

Lab Data: CT angiography on 2/20 resulted multifocal groundglass and crazy pavement appearance involving nearly completely entire right lower lobe and subpleural regions of the right upper lobe right middle lobe and left lower lobe

Allergies:

Symptoms: Shortly after receiving the first dose of the vaccine, the patient started having profuse watery diarrhea on 2/11 and 2/12. She also stated she "fell out" on the same day. She was told to hydrate and then presented to the ED on 2/19 where she was found to be hypoxic down to the mid 80s. She was placed on 2L of O2 where her sat improved to 92%. She was febrile in the ED to 101.2 and had persistent fevers to 102.9 on the floor. COVID PCR testing negative x 2 and IgG positive. Patient received 6 days of antibiotics and supportive therapy. On 3/2 - Patient reports feeling better overall but still overall fatigue and not back to baseline. On 2-3 L NC. patient is still admitted

Other Meds:

Current Illness:

ID: 1066856
Sex: F
Age: 65
State: MI

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

Lab Data: CBC, TSH, ESR, CMP Normal with the exception of elevated eosinophils

Allergies: PCN; Sulfa; Effexor ;Ultram; Vicodin; Darvocet;

Symptoms: Total body papular rash with intense pruritus, chills, and fatigue.

Other Meds: fexofenadine; Singulair; Spiriva; Plaquenil; citalopram; Estrace; losartan; Flonase; psyllium; cyclobenzaprine; zinc

Current Illness: Recently diagnosed with Rheumatoid Arthritis

ID: 1066857
Sex: M
Age: 82
State: NC

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

Lab Data: no

Allergies: no

Symptoms: pt states after he got the covid vax he had pain in his right arm. Pt still has pain in left arm from 1st dose and now has pain in right arm from 2nd dose. Has had these symptoms since vaccinations. Pt has not contacted a doctor regarding this symptom at this time.

Other Meds: levothyroxine 25mcg, simvastatin 20mg, multivitamin, iron 65 mg,

Current Illness: no

ID: 1066858
Sex: M
Age: 75
State: TX

Vax Date: 02/10/2021
Onset Date: 02/26/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data: Vital signs normal. Complete Blood Count, normal.

Allergies:

Symptoms: Pt had onset of swelling and tenderness to underarms bilaterally. I examined him in my clinic, determined to moderate bilateral axillary lymphadenopathy. Lymph nodes were soft and tender. Pt had no fever or other symptoms. Treated with Tylenol as needed and supportive care. Symptoms improving, I believe prognosis to be good. Likely immune reaction, no allergic reaction in my professional opinion. Vaccine given at vaccine clinic, not at our facility.

Other Meds: Lisinopril Denavir cream Metformin Fluticasone Finasteride Tamsulosin Aspirin Metoprolol Atorvastatin Cinnamon Omega Fish oil

Current Illness:

ID: 1066859
Sex: M
Age: 70
State: GA

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

Lab Data: None

Allergies: Same exact reaction I had to amoxicillin with potassium caluvante 2 yrs earlier. Also reacted badly to topical and injected steroids in 2010-2011. I am a chemist. After hours & hours of research online I found that all these meds have PEG. I now am reacting badly to foods I commonly eat that have polysorbates, potassium sorbate, sorbic acid. In the past I have als reacted hydrocodone.

Symptoms: Extreme morbilliform pruritic rash. Attempting to self manage, have identified a number of foods that trigger a reaction. Sorbates common to all. Drinking copious amounts of water and vigorous exercise help, but am going from one flareup to another as I figure out what I can't eat or be exposed to. No lotions work, shampoo is a trigger, the extreme stress makes it worse. I had a very bad case of measles at ~4yrs old. Very sick for 2 weeks.

Other Meds: none

Current Illness: NONE

ID: 1066860
Sex: F
Age: 39
State:

Vax Date: 02/18/2021
Onset Date: 02/21/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Was fine until after I had the fever on Saturday. After that I had a brain fog. I had trouble with memory and articulating my thoughts verbally. I forgot my name when introducing myself on a conference call. Lose focus more when stressed. Was isolating before injection. It seemed to get better as the week progressed but not yet 100%.

Other Meds: Zyrtec

Current Illness: None

ID: 1066861
Sex: F
Age: 69
State: WA

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

Lab Data: None.

Allergies: Cipro

Symptoms: Got the vaccine, looked at the site to take the band-aide off and the whole area was a large red area, shocking to see. When she woke up in the morning the red area had turned the diameter of a grapefruit, about 5". She then woke up the next morning the injection site to the elbow was warm, round, itchy, tender and inflamed. She did not see anything that described what was going on with her arm on the internet. She did not take anything for the reaction, she put ice on it. As it was the weekend felt there was nothing much else she could do. She was afraid to take any Benadryl on it, so used warm compresses. She went to the UC on 2/28/21, and checked in with her PCP today, 3/2/21 on a video call. She informed her to report to us her reaction. It is getting a lot better, still very noticeable, slightly itchy.

Other Meds: Multivitamin, vitamin C.

Current Illness: None.

ID: 1066862
Sex: M
Age: 59
State: CA

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

Lab Data:

Allergies: None

Symptoms: One day after injection developed moderate to severe joint pain. Joint pain subsided after 24 hrs.

Other Meds: Sertraline 100 mg, Terazosin 10 mg, Trazadone 50 mg

Current Illness: Sinusitis

ID: 1066863
Sex: F
Age: 26
State: KY

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

Lab Data:

Allergies: PCN

Symptoms: Fever, chills, body aches, chest pain, shortness of breath, pain at site of injection.

Other Meds: Metoprolol Nuvaring

Current Illness: COVID-19 ~2 weeks prior to vaccination

ID: 1066864
Sex: M
Age: 66
State: MO

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

Lab Data: none

Allergies: oxycodone, benzonatate

Symptoms: "Moderna COVID-19 Vaccine EUA temp of 101.6, extreme letheragy, dizzy, weak, cognitive impairment, body aches, chills, loss of appetite

Other Meds: Warfarin, Keppra, Effexor XR, pantoprazole, Flomax, Astelin, Nasacort, Requip, memantine, multivitamin, calcium tabs, cellcept, glucosamine, prednisone,

Current Illness: none

ID: 1066865
Sex: F
Age: 88
State: IL

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

Lab Data: none

Allergies: none

Symptoms: Starting the morning after the injection experienced gastric upset and loose bowels and general malaise. Loose stools have subsided but still feeling very tired and having gastric cramping.

Other Meds: Mucinex, warfarin, has several medications but can't pronounce

Current Illness: no

ID: 1066866
Sex: F
Age: 28
State: NC

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

Lab Data:

Allergies: sulfa drugs, anaphylaxis, latex, codeine, hives

Symptoms: 1:50 patient developed itching on neck and chest as well as red splotchy rash on both legs. Due to history of anaphylaxis with other medications, patient was given 25 mg diphenhydramine orally. Pt is an employee in the LTC facility. 1:54 Patient's BP 166/94 (normally runs 120/80). Pt also complained of lip swelling. 1:58 pm: HR 86 1:59 pm Pulse Ox 98%. Itching continued to spread to her arms and neck. Therefore, administered an additional 25 mg diphenhydramine po. 2:00pm : Patient complained of ears beginning to itch. Healthcare team continued to monitor patient. 2:14 pm: Repeat BP 160/80. 2:17 pm: Patient questioned about any additional lip swelling or breathing compromise - none reported. Patient instructed to drink adequate fluids (water), rest and take acetaminophen as needed if flu-like symptoms developed. 2:20pm: patient continued to be observed by healthcare co-workers. Would be present at work site for additional 1.5 hours.

Other Meds:

Current Illness:

ID: 1066867
Sex: F
Age: 27
State: TX

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

Lab Data:

Allergies: PCN

Symptoms: Moderna COVID-19 Vaccine EUA

Other Meds: N/A

Current Illness: N/A

ID: 1066868
Sex: F
Age: 26
State: WA

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data:

Allergies: Latex

Symptoms: About an hour after receiving my first dose I had a sore arm but just a normal amount for any vaccine. The next morning I woke up and felt as if I had been hit by a bus. I had an immobilizing migraine, full body aches, I could hardly eat and get out of bed, I also had a mild fever and mild cough. That only lasted about a day and a half. I didn?t find it necessary to seek medical attention and just took some ibuprofen to help ease symptoms. After both doses I noticed some light spotting the two days after. Also I did just have a baby in November but I am not breastfeeding. I work in a Pharmacy and they got me the vaccine before I returned from maternity leave.

Other Meds:

Current Illness:

ID: 1066869
Sex: F
Age: 88
State: TN

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data: N/A

Allergies:

Symptoms: Patient noticed the evening after receiving the vaccine that her arm began to itch an develop a rash.

Other Meds:

Current Illness:

ID: 1066870
Sex: M
Age: 17
State: OH

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

Lab Data:

Allergies: Red Dye #40, Penincillin, Ativan, Shell fish

Symptoms: Extreme Irritability/Aggitation, increased impulsivity, Trouble controlling emotional outbursts, lump under armpit where vaccine was given for 3 days

Other Meds: Zoloft, Clonodine, Trazadone, Melatonin

Current Illness:

ID: 1066871
Sex: F
Age: 55
State:

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

Lab Data:

Allergies:

Symptoms: shaky, jittery. Waited 15 mins extra. Evaluated by EMS-Cleared

Other Meds:

Current Illness:

ID: 1066872
Sex: F
Age: 7
State: MI

Vax Date: 10/30/2020
Onset Date: 11/12/2020
Rec V Date: 03/02/2021
Hospital:

Lab Data: Dr preformed allergy profile bloodwork to make sure child did not have any allergies to food or environmental. Bloodwork was normal at this time

Allergies: not to our records

Symptoms: mom claims shortly after receiving Flu vaccine, child develops rash on face. Mom gave benadryl to child thinking it was common rash due to time of year,, rash seemed to disappear, than mom claims rash returned. Child received 2nd vaccine in December 2020.Mom did not bring child in to see the dr regarding rash until December 12,2020. claims the rash was from both flu shots.

Other Meds: We were not given any details about over the counter medications or dietary supplements

Current Illness: no

ID: 1066873
Sex: F
Age: 84
State: OH

Vax Date: 01/28/2021
Onset Date: 02/04/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data: No medical test or laboratory test

Allergies: Egg or milk, gluten,

Symptoms: Client describes a metallic taste after the first dose. She still is experiencing the metallic taste. She denies a change in medication or diet. Doctor instructed her to call an ENT. The nurse at the ENT office stated it was from the COVID vaccination.

Other Meds: Amiodarone, , Cardizem, Warfarin, Vit C and D, Multivitiam- One A Day, PreserVision, Flonase, Herbal teas

Current Illness: See Chronic health conditions

ID: 1066874
Sex: F
Age: 83
State: MN

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

Lab Data: 3/2 cbc, inr

Allergies: amlodipine, cephalexin, cipro, morphine, pcn, augmentin, lisinopril

Symptoms: red, swollen, large area 26x24cm, itching. Very painful at administration of shot.

Other Meds: warfarin, Toprol, chlothalidone, Zoloft, omeprazole, synthroid

Current Illness: none

ID: 1066875
Sex: F
Age: 59
State: AL

Vax Date: 02/23/2021
Onset Date: 02/25/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data: none only a virtual healthcare company evaluation

Allergies: None

Symptoms: This was my 2nd dose of the Moderna vaccine. I did not have any symptoms other than a sore arm on my first dose, however, I developed hives and 3 rashes with my 2nd dose 2 days after the injection. I started scratching my neck when I drove away from the health clinic and took a Benadryl as soon as I could but no rash appeared at that time. The major rash developed on my neck and felt like and looked like a severe sunburn. I contacted a virtual healthcare company on day 3 and included a photo of my neck and symptoms. The doctor called me and gave me an evaluation on the phone and she said I probably had a reaction form the vaccine.

Other Meds: Vitamin D3, Calcium, Biotin, Multivitamin, Xyzal, Miralax

Current Illness: Chronic Migraine, seasonal allergies

ID: 1066876
Sex: F
Age: 53
State: PA

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

Lab Data: No tests were conducted.

Allergies: Latex, Adhesives, Sulpha drugs, Otezla, Imitrex, Neosporin

Symptoms: Started to feel ill five hours after the shot--tired, migraine, fatigue. During the night, my lymphoids under my left arm and in my right side of my neck swelled--felt like a golf ball in both areas. The migraine stayed constant for over a day. I could barely walk the following morning after the shot. Incredible pain in my hips, knees, arms, and left shoulder blade. As the day went on, I started to experience coughing and some tightness in my chest. I called my doctor in order to get an inhaler. My asthma tends to become active when I am ill. Once I used the inhaler and laid down, the pressure in my chest eased. My joint and muscle pain and spasms didn't ease until the third day.

Other Meds: Methetrexate 2.5 (8 pills 1x/week), Aspirin 81 mg, Folic Acid 1 mg, Magnesium 200 mg, Flonase (daily), Flexerill 10 mg (daily)

Current Illness: Psoriatic Arthritis, A-Feb, Migraines

ID: 1066877
Sex: F
Age: 57
State: CA

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

Lab Data: N/A

Allergies: NKA

Symptoms: Patient given a stronger constituted dose of the vaccine.

Other Meds: Unknown

Current Illness: Unknown

ID: 1066878
Sex: M
Age: 77
State: TX

Vax Date: 02/19/2021
Onset Date: 02/20/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data: UA - normal

Allergies: NKDA

Symptoms: Fever to 104, diarrhea, decreased appetite

Other Meds: latanoprost opthalmic protonix 40mg daily losartan 50mg daily Pro Air as needed lasix 20mg once daily Potassium 10meq daily with lasix

Current Illness: Esophageal cancer HTN glaucoma diverticulosis

ID: 1066879
Sex: M
Age: 53
State: TN

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

Lab Data: None

Allergies: Penicillins

Symptoms: Patient called saying his left arm has been hurting him since he received the vaccine.

Other Meds: Omeprazole, Pravastatin, Lisinopril and Me;oxicam

Current Illness: None

ID: 1066880
Sex: F
Age: 46
State: NJ

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

Lab Data:

Allergies: soy, squid

Symptoms: Moderna COVID-19 Vaccine EUA: Vaccine recipient reported chest pain (7/10) 10 minutes after receiving the vaccine. They were sent to the emergency room. The chest pain lasted 1 hour. The EKG and cardiac labs were normal. The patient was discharged to home.

Other Meds: vitamins

Current Illness: None

ID: 1066881
Sex: M
Age: 74
State: GA

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

Lab Data:

Allergies: Percocet

Symptoms: FATIGUE, PAIN IN LEFT SHOLDER, LOSS OF MOVEMENTS AND 50% OF MUSCLE MASS ON LEFT SIDE

Other Meds: B-12 1000 mg

Current Illness:

ID: 1066882
Sex: F
Age: 71
State: IN

Vax Date: 02/02/2021
Onset Date: 02/21/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Patient notes previous COVID infection in November of 2020. Patient received first dose of Moderna Vaccine at 1:30P. At about 7PM, patient noted fever/chils and took acetimonophen with some improvement. The following the morning, the patient complained of severe chills and fevers which prevented her from leaving the bed for 48 hours except for food and bathroom. Upon the advice of her personal physician, patient request to defer 2nd dose due to the severity of symptoms.

Other Meds: Metformin, Tricor, Amlodipine

Current Illness:

ID: 1066883
Sex: M
Age: 67
State: IL

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

Lab Data: none

Allergies: Penicillins and amoxicillin (rash), chocolate (rash)

Symptoms: "Woke Monday morning at 9:00 a.m. with EXTREME pain in my ankles. I could not stand or walk at all for about 2 hors having taken Tylenol Extra strength 2 x 500 mg. I had pain all day, but less in the left. Took the Tylenol every 4 hours."

Other Meds: rosuvastatin, cholecalciferol, magnesium citrate tablet, fexofenadine, ibuprofen, aspirin 81 mg, omega-3 fatty acids, leutein supplement, multivitamin, B complex vitamin, ascorbic acid

Current Illness:

ID: 1066884
Sex: F
Age: 44
State: MA

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

Lab Data:

Allergies: None

Symptoms: Right under arm swelling/pain and Right breast pain/swelling.

Other Meds: Zinc Vitamin C Elderberry

Current Illness: None

ID: 1066885
Sex: F
Age: 38
State: CA

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

Lab Data: Vital signs: Temp 96.4, BP 139/90, pulse 78

Allergies: none

Symptoms: Patient c/o of tingling on roof of mouth, and slight throat and tongue swelling approximately 12 minutes after IM injection. Continued to monitor as patient stated symptoms were improving but then got worse so Benadryl was given at 12034. EMS was contacted concurrently. EMS transported to local ER at 12:30

Other Meds: none

Current Illness: none

ID: 1066886
Sex: F
Age: 41
State:

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

Lab Data:

Allergies:

Symptoms: 1150AM Swelling throat feels she cant breathe, she refuses Epi pen says it may anxiety 1203 pm Given Benadryl 25mg po vitals stable 1213 Given Benadryl 25mg po, rest in supine position. 1230 feels more relaxed swelling in throat still a little scratchy. 1300 scratchy/swelling resolved. 1320 Sat up on exam table feels fine. ER precautions given, Exited in stable condition.

Other Meds:

Current Illness:

ID: 1066887
Sex: M
Age: 74
State: MN

Vax Date: 02/12/2021
Onset Date: 02/18/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data: none

Allergies: Cipro family

Symptoms: Constant, muscle tightness, stiffness weakness of leg and back muscles. Sacroiliac pain, tightness bordering on the unbearable.

Other Meds: Plavix , Amlodipine, rosuvastatin, losartan,, famciclovir

Current Illness:

ID: 1066888
Sex: F
Age: 50
State: TX

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

Lab Data: Severe headache sore throat freezing cold Bad taste in my mouth

Allergies: A lot

Symptoms: Severe headache very sore I am freezing cold

Other Meds: Asthma allergy and thyroid medicine?s

Current Illness: None

ID: 1066889
Sex: F
Age: 66
State: PA

Vax Date: 04/29/2020
Onset Date: 04/29/2020
Rec V Date: 03/02/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Shoulder pain started at approximately 4 o'clock in the afternoon. Pain got progressively worse. Pain is at the top front of the shoulder. Limited mobility. It arm hangs down with no motion, there is no pain. Any slight movement emanating from the shoulder causes intense pain.

Other Meds:

Current Illness:

ID: 1066890
Sex: F
Age: 32
State: IA

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

Lab Data: multiple labs, chest xray, CT of the chest, US of the abdomen, US of the kidneys

Allergies: Penicillin

Symptoms: I am a healthcare worker that received my 2nd Covid vaccine on 2/17. I am now on day 13 days of fevers (up to 102 daily). I have had multiple infectious workups completed by my primary care provider and the emergency department with only etiology coming back with a UTI. Due to my continued fever, I am now being referred to Infectious Disease.

Other Meds: Excedrin migraine

Current Illness: Sinus infection diagnosed 2/11 with antibiotics

ID: 1066891
Sex: F
Age: 82
State: NV

Vax Date: 02/20/2021
Onset Date: 02/21/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data: None

Allergies: Penacilin Tetracycline, Bactrim, Levaquin

Symptoms: 5:00am 2/21/21 thru 5:00am 02/22/21 (24 hrs) chills, fever (99.7), headache, nausea, muscle/joint pain; For reainder of 2/22/21 thru 2/2/24/21 experienced Fatigue, lack of energy and did have swelling, soreness, redness/heat Upper Right Arm where had injection.

Other Meds: Bayer Aspirin 81 mg, Lisinopril 40 mg, Amlodipine 10 mg, Rosuvastatin 20 mg, Meclizine 12.5 mg taken as needed, Multi Vitamin

Current Illness: None

ID: 1066892
Sex: F
Age: 42
State: IA

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data: na

Allergies:

Symptoms: patient states that it "kick started" her period. Patient began period earlier than normal and is now on that 28 day cycle with no further changes.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm