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: 1068418
Sex: F
Age: 41
State: TX

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

Lab Data: 2/12/2021 dx of diverticulosis

Allergies: None

Symptoms: I?m not sure if it was related but a week after the vaccine, I developed bloat and loose stools that OTC meds didn?t help. After 2 weeks with no relief, I contacted my PCP for upper abdominal pain (2 inches above my belly button). I was given cipro for 1 week. After diagnostic testing found diverticulosis, I started 10 days of flagyl. The pain was gone after the cipro, stools returned to normal and no issues since.

Other Meds: Centrum for women daily, 5000 iu vitamin D daily, omeprazole otc daily, Thrive dietary supplement occasionally.

Current Illness: Heartburn but omeprazole has stopped that.

ID: 1068419
Sex: F
Age: 52
State: AR

Vax Date: 02/25/2021
Onset Date: 02/26/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Next morning, 2/26/2021 Approx. 2 degree fever, chills, diarrhea, body aches, extreme fatigue, chest congestion All except dinner muscle cramping gone by noon on the following day, 2/27/21

Other Meds: Eliquis Omeprazole Triamt/hctz Potassium Vitamin d Vitamin c Multi vitamin

Current Illness: None

ID: 1068420
Sex: F
Age: 32
State:

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

Lab Data:

Allergies:

Symptoms: rash on injection site two days after fever and chills a day after headaches on the night of receiving vaccine and day after

Other Meds:

Current Illness:

ID: 1068421
Sex: F
Age: 77
State: CA

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

Lab Data:

Allergies: Azithromycin Itraconazole Penicillin Macrodantin Gantrisin Diclofenac

Symptoms: I felt like I was hit by a ton of bricks. I got feverish, the chills, and muscle aches and pains to the point that all I wanted to do was sleep. So I went to bed, but just as I would be close to falling asleep I'd have to get up to empty my bladder. This was happening almost every 15 minutes for a few hours. I knew I probably should hydrate, but I chose not to because I wanted to get some uninterrupted sleep which I finally did at about 4:00am which only lasted a couple of hours. Then up at about 6:30am when I took some acetaminophin and went back to sleep. I was in bed all day, sleeping most of the time. When I'd wake up I'd take my temperature and most of the time I'd hydrate. I haven't had anything to eat because I wasn't feeling strong enough to even heat water for soup. My normal temperature is about 97.6 give or take. The highest temperature I had was 100 when I took another dose of acetaminophin. But one time it was 94.3!!! I started feeling better at about 8:30pm (3/1/21) and was able to make myself some chicken noodle soup and had some cereal and cottage cheese with it. I finally felt "normal" on Tuesday morning (3/2/21) after getting a good night's sleep.

Other Meds: Estradiol vaginal cream NeilMed Sinus Rinse RepHresh Vaginal Gel All-Zyme (DaVinci Labs) B-Replete? (NuMedica) Buffered Vitamin C Powder (Allergy Research Group) Collagen-Pep (OsteoNaturals) Co-Q10 (Jarrow Formulas) Cortisol Manager Allerg

Current Illness:

ID: 1068422
Sex: F
Age: 68
State: SC

Vax Date: 02/21/2021
Onset Date: 02/26/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data: None

Allergies: Fiorinol Phenobarbital Arthrogramdye

Symptoms: Covid arm. Skin rash And hard area Surrounding injection site, red skin, warm to touch, itchy And mildly sore to touch. Circumference was about 4 inches. Symptoms resolved In 60 hours.

Other Meds: Biotin Cranberry pill Aspirin 81 Calcium + D3 Metformin Losartan Glipizide Hydrochorothiaz

Current Illness: None

ID: 1068423
Sex: M
Age: 67
State: AZ

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

Lab Data: Took temperature

Allergies: Penicillen, kflex

Symptoms: Fever 100.9 fever, chills achy

Other Meds: Lisinopril, rosuvastatin,atenelol,metformen

Current Illness: None

ID: 1068424
Sex: F
Age: 41
State: NY

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

Lab Data: No

Allergies: No

Symptoms: Armpit swollen, fever, headache, all muscles sore starting 12h after 2nd shot of Moderna. F?ver and headaches disappeared 24h after vaccine thanks to Tylenol but arm still swollen and sore after 84 hours.

Other Meds: No

Current Illness: No

ID: 1068425
Sex: F
Age: 47
State: IL

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 03/02/2021
Hospital: Y

Lab Data: Currently in hospital being evaluated

Allergies: None

Symptoms: 2/05 fever,chills, body aches x 1day-no treatment 2/06 fell getting out of bed(off balance) no treatment Since shot noticed daily body aches in neck ,back. Short of air with exertion, fatigue. Week of 2/22 face and hands swelling 02/23 memory lapse at work 2/28 during yard work passed-out followed by fatigue 03/01 found unconscious for several hours, still in the hospital today.

Other Meds: Sertraline 100mg Clonazepam 0.5mg Atenolol 50mg Spironolactone/HCTZ Levothyroxine 50mg Ergocalceferal 1.25mg Tizanidine 4mg Losartan 100mg

Current Illness: Sinus imfection

ID: 1068426
Sex: F
Age: 53
State: CA

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

Lab Data:

Allergies: frozen food

Symptoms: Mild tingling sensation over the arm and redness over left hand right after receiving her second dose of Covid 19 vaccine. Adverse reaction occurred during observation. Benadryl 2 tabs (25 mg each) oral administered. Patient observed for 45 mins. Symptoms cleared. Patient left home verbalizing feeling safe and cleared of any symptoms.

Other Meds: unknown

Current Illness: unknown

ID: 1068427
Sex: F
Age: 34
State: AZ

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

Lab Data:

Allergies: sulfa

Symptoms: sore injection site. no treatment. fever of 100.0 lasting approximately 8 hours. no treatment.

Other Meds: multi-vitamin, vitamin D

Current Illness: no

ID: 1068428
Sex: F
Age: 81
State: MD

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

Lab Data: None

Allergies: None disclosed

Symptoms: Doctor self disclosed that he administered patient 0.1 ml IM of Moderna vaccine . Patient was notified via telephone and instructed to return to the site were she received a full dose (0.50 ml) of the Moderna vaccine as instructed by HCP. No side effects reported by patient after administration or during resting period of 15 minutes. Supervisor notified and all vaccinators reminded that 0.5ml is the recommended dose for the Moderna vaccine.

Other Meds: None disclosed

Current Illness: None disclosed

ID: 1068429
Sex: F
Age: 65
State: UT

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

Lab Data: none known

Allergies: sulfacetamide

Symptoms: patient started feeling dizzy and sweaty about 5 minutes after vaccine given and was sitting in chair and falling to the side. I tried talking to her and getting her attention and she would look at me and then close her eyes like she was going to pass out. She started talking to me and after a couple minutes then began to complain about a sick stomach and started vomiting and diarrhea on and off for about an hour. Patient would seem to feel better but then vomit again. After about an hour she had us call her daughter to come get her to take her home. Daughter came to get her and she was still complaining her stomach hurt. I called patients daughter a few hours later and she said her mom was still feeling sick and I told her to call her doctor or take her to the ER if she didn't start feeling better soon.

Other Meds: Metformin

Current Illness: none known

ID: 1068430
Sex: F
Age: 73
State: WA

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

Lab Data:

Allergies: penicillin

Symptoms: 30 minutes after vaccination, the patient's face developed a red, hot rash. The patient reported no other symptoms. She agreed to an IM injection of 50 mg diphenhydramine into the right deltoid. Paramedics were called, but the patient declined further evaluation and care.

Other Meds:

Current Illness:

ID: 1068431
Sex: F
Age: 56
State: LA

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

Lab Data:

Allergies: Sulfa

Symptoms: Body aches and chills Painful lymph nodes left breast

Other Meds:

Current Illness:

ID: 1068432
Sex: F
Age: 38
State: TX

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

Lab Data:

Allergies:

Symptoms: Very painful arm and back pain for 2 days. The day after the vaccine I had very bad headache and my eyes were hurting so much. The second day, I also had body aches. It's been about 3 weeks and I have some pain on my back and chest. I'm not sure if it's related. l seemed to have it after the vaccine. I also feel out of breath often. I am now fearful of getting the second vaccine, since the first one was so bad for me.

Other Meds: Vitamin Gummies Hair nails and skin.

Current Illness:

ID: 1068433
Sex: F
Age: 71
State: MD

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

Lab Data: None

Allergies: None disclosed

Symptoms: Dr. self disclosed that he administered 0.1 ml IM of Moderna vaccine . Patient was notified via telephone and instructed to return to the site were she received a full dose (0.50 ml) of the Moderna vaccine as instructed by MDH. No side effects reported by patient after administration or during resting period of 15 minutes. Supervisor notified and all vaccinators reminded that 0.5ml is the recommended dose for the Moderna vaccine.

Other Meds: None disclosed

Current Illness: None disclosed

ID: 1068434
Sex: F
Age: 37
State: CA

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

Lab Data: I happen to have labs drawn on March first that was routine . WBC were all within normal limits

Allergies: None

Symptoms: I had lymphadenopathy in my left armpit that started day 1 after vaccine of 2nd. Lymph nodes are still painful on day 2 but swelling of lymph nodes have decreased

Other Meds: Vitamin d , multi vitamin

Current Illness: No

Date Died: 02/09/2021

ID: 1068743
Sex: M
Age:
State: TN

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

Lab Data:

Allergies:

Symptoms: Bamlanivimab treatment under Emergency Use Authorization(EUA): Bamlanivimab treatment under Emergency Use Authorization(EUA). Patient received 1st dose of COVID vaccine on 01/28/2021, but he began to have COVID symptoms on 02/04/2021 and tested positive on 02/05/2021. The patient was treated with banlanivimab on 02/08/2021, and he passed away on 02/09/2021.

Other Meds: Bamlanivimab; Aspirin; Lumigan; Citracal + D3; Chondroitin sulfate a; gabapentin; ipratropium; levothyroxine; losartan; metoprolol; multivitamin; nitroglycerin; fish oil; ranolazine; viagra; simvastatin; maxzide

Current Illness:

Date Died: 02/06/2021

ID: 1068761
Sex: M
Age: 81
State:

Vax Date: 01/12/2021
Onset Date: 02/06/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data:

Allergies:

Symptoms: DEATH Narrative: patient was placed on hospice care following vaccine, unclear cause of death, not documented

Other Meds:

Current Illness:

Date Died: 03/02/2021

ID: 1068762
Sex: M
Age: 75
State:

Vax Date: 01/11/2021
Onset Date: 03/02/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data:

Allergies:

Symptoms: DEATH Narrative: patient's wife reported he had gone in an outside hospital, had held his brilinta as advised anticipating shoulder surgery "and he threw a big clot and died."

Other Meds:

Current Illness:

Date Died: 01/29/2021

ID: 1068882
Sex: M
Age: 84
State:

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

Lab Data:

Allergies:

Symptoms: DEATH Narrative: Son stated that patient was doing well, still working and driving places. He stated that he called his son and stated that he wasn't feeling well and died shortly after that.

Other Meds:

Current Illness:

Date Died: 02/05/2021

ID: 1068883
Sex: M
Age: 88
State:

Vax Date: 12/31/2020
Onset Date: 02/05/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data:

Allergies:

Symptoms: DEATH Narrative: PATIENT PASSED AWAY WHILE ON HOSPICE CARE

Other Meds:

Current Illness:

Date Died: 02/22/2021

ID: 1068884
Sex: M
Age: 84
State:

Vax Date: 02/08/2021
Onset Date: 02/22/2021
Rec V Date: 03/02/2021
Hospital: Y

Lab Data:

Allergies:

Symptoms: DEATH Narrative: Presented to ED via EMS c/o increasing shortness of breath, O2 sat mid to high 80s on 4L. When EMS arrived , pt was in distress, intubated by EMS and transported to ED. Pt had a PEA arrest en route but resuscitated w/ return of spontaneous circulation after receiving a dose of epinephrine and chest compressions. Pt was hypotensive on arrival to ED. He was started on sepsis protocol , volume resuscitation and empiric antibiotics. Once stabilized, he was admitted to icu at hospital. Removed from respirator 2/22/21

Other Meds:

Current Illness:

Date Died:

ID: 1068885
Sex: M
Age: 97
State:

Vax Date: 01/15/2021
Onset Date: 02/17/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data:

Allergies:

Symptoms: DEATH Narrative: PRIOR TO DEATH, spoke with pt's daughter and she reported that pt is unable to keep his appt for the second Covid vaccine appt because is sick today. Per daughter, pt has been lethargic, not enough sleep last night because of frequent urination at least every 30 to 45 minutes looks exhausted and with poor appetite. Pt has not been drinking fluids at least 6 to 8 glasses a day and daughjter tries to make sure pt drinks fluids, the best he can. Per daughter, pt's vitals signs are as follows: BP: 93/48mmhg PR: 93/min. Temp: 98.1 F and O2 sat: 95%.

Other Meds:

Current Illness:

Date Died: 02/26/2021

ID: 1068886
Sex: M
Age: 66
State:

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

Lab Data:

Allergies:

Symptoms: DEATH Narrative: Pt he reports he developed chills SOB body aches the same night as receiving the COVID vaccine on 1.26.2021-pt is currently reporting CheSt tightness and SOB Admitted to hosp: ICU with Bilateral Pulmonary Emboli, LLE DVT, NSTEMI, Arrhythmia.

Other Meds:

Current Illness:

Date Died: 02/13/2021

ID: 1068887
Sex: M
Age: 89
State:

Vax Date: 01/06/2021
Onset Date: 02/13/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data:

Allergies:

Symptoms: DEATH Narrative: UNSURE DETAILS OF EVENT, NO DOCUMENTATION IN PROGRESS NOTES

Other Meds:

Current Illness:

Date Died: 02/27/2021

ID: 1068888
Sex: M
Age: 88
State:

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

Lab Data:

Allergies:

Symptoms: DEATH

Other Meds:

Current Illness:

ID: 1293723
Sex: F
Age: 58
State:

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

Lab Data:

Allergies:

Symptoms: Dizziness, Palpitations, HYPOtension, Tachycardia, Feeling falling and losing balance.

Other Meds:

Current Illness:

ID: 1293724
Sex: F
Age: 69
State:

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 03/02/2021
Hospital: Y

Lab Data:

Allergies:

Symptoms: Confusion, Myalgia, Fever, Diarrhea, Nausea Vomiting, ElevatedLiverEnzymes, Jaundice, ElevatedBunSCr, , Continues to feel weak and following up with PCP. Reports had no health issues prior to her second vaccine dose. She reports had fever, joint pain and nausea with first dose. Patient reports receiving her first COVID vaccine 12-23-20 and developed nausea, joint pain and fever. She had her second dose on 01-11-21 and noted nausea,vomiting, weakness, become jaundiced and fevers that required hospitalization and developed autoimmune problems. She reports hepatitis and kidney problems and PCP following.

Other Meds:

Current Illness:

ID: 1301838
Sex: F
Age: 73
State: IA

Vax Date: 02/25/2021
Onset Date: 02/26/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data: None

Allergies: hibiclens, nickel, codeine, iron

Symptoms: Patient had a red, warm Lump starting day after. It is painful. Still continues today.

Other Meds: amlodipine, zolpidem, calcium, vit. D, volteran, hydrocodone, metoprolol, vit C, vit E

Current Illness: None

ID: 1306357
Sex: M
Age: 81
State:

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

Lab Data:

Allergies:

Symptoms: shortness of breath Narrative: Witin hours after 2nd COVID vaccine, patient began to have SOB,fever and lethargic. With hx of DVT and currently on Apixaban, patient was admitted for observation and was given Tylenol and fluids.

Other Meds:

Current Illness:

ID: 1306360
Sex: M
Age: 75
State:

Vax Date: 02/22/2021
Onset Date: 02/24/2021
Rec V Date: 03/02/2021
Hospital: Y

Lab Data:

Allergies:

Symptoms: Narrative:

Other Meds:

Current Illness:

ID: 1306361
Sex: M
Age: 80
State:

Vax Date: 02/07/2021
Onset Date: 02/07/2021
Rec V Date: 03/02/2021
Hospital: Y

Lab Data:

Allergies:

Symptoms: patient reported feeling dizzy and weak, admitted to local hospital. Continued to be weak and dizzy for several weeks Narrative: Patient reported not eating breakfast the day of his first vaccine, 02/7/21. He stated he waited the full observation time and upon leaving was told if he had any symptoms/side effects to call 911 or go to the ED. On his way home he pulled over because he was very dizzy and felt like passing out. Stated almost called but instead proceeded to drive to the ED. There he was admitted for cardiac workup. He states he continued to be weak and dizzy for several weeks, just now feeling better in the past week. He is currently wearing a holter at home. He reports never having any other reaction to any other drug or vaccine. States "that was a powerful shot"

Other Meds:

Current Illness:

ID: 1306362
Sex: M
Age: 71
State:

Vax Date: 02/19/2021
Onset Date: 02/27/2021
Rec V Date: 03/02/2021
Hospital: Y

Lab Data:

Allergies:

Symptoms: Narrative:

Other Meds:

Current Illness:

ID: 1306363
Sex: F
Age: 51
State:

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

Lab Data:

Allergies:

Symptoms: Approximately 20 minutes after the patients first COVID vaccine, patient began to get full body itching so was taken over to the emergency room where patient was given Benadryl and observed for an hour and then sent home.

Other Meds:

Current Illness:

ID: 1342672
Sex: M
Age:
State: GA

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

Lab Data: none

Allergies: none

Symptoms: Day after 2nd vaccination I felt lethargic and had a low grade fever if 99.9. Felt flu like s ymptoms with sight chills. This lasted for about 16 hours.

Other Meds: none

Current Illness: none

ID: 1342674
Sex: M
Age: 5
State: TN

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

Lab Data: None

Allergies: No Known Allergies

Symptoms: Patient Developed welts after influenza vaccine given in office. Pt had noteable hives and 3 spots become present in/at Left side of neck/hairline. Cheek redness, spots on back. No anaphylaxis reaction noted. Administered Benadryl, Zyrtec and Solu-Medrol per MD order. Continues to monitor pt after administering medications. Patient denied shortness of breath, pain, itching and/or trouble breathing. No fever present. Patient had no welts present 15 mins after visit. MD notified. Pt to continue 2 days of steroids and begin daily allergy medication. Encouraged to follow up with any concerns. reaction time total 1hour and 15 mins in office. Pt to be referred for allergy testing. Pt encouraged to go to ER if any symptoms of breathing complications become present.

Other Meds: Melatonin 3mg - 2 tabs at Bedtime

Current Illness: No Known Illnesses

ID: 1342675
Sex: F
Age: 66
State: MI

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

Lab Data: None

Allergies: Latex, Adhesive Morphine Nicotinamide Nickel, Polyester, Silver

Symptoms: Local reaction Lever body aches, muscle pain right neck and shoulder pain. Cellulitis at + around injection site.

Other Meds: Lipitor, Wellbutrin, Calcium, Desyrel, Aspirin 81, Vitamin D3

Current Illness: None

ID: 1342678
Sex: F
Age: 41
State: IL

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

Lab Data: 7:30 PM 100%, HR105 / 130/77

Allergies: -

Symptoms: 5 mins after receving vacine felt swells sweaty + tightness + closg in throat , difficulty swalling- brought to observation area. - given Benadryl 50 mg, Panent 7:05 PM- still feeling sensation on swallows but No swelling, does not feel fluid, no headache.

Other Meds: -

Current Illness: -

ID: 1342682
Sex: F
Age: 41
State: IL

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

Lab Data: 7:30PM 100%, HR105/130/77

Allergies: 0

Symptoms: 5 mins after receing vacene felt swells sweaty & tightnes & closig in throat, difficulty swalowing- brought to observation area. -given Benadryl 50mg. Panent 7:05PM - still feeling sensation on swallows but NO swelling, does no feel holad 0 headache

Other Meds: 0

Current Illness: 0

ID: 1342687
Sex: M
Age: 38
State: IL

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

Lab Data: N/A

Allergies: None

Symptoms: Patient received her Covid19 Vaccine and had and began to feel lightheaded approximately 5 minutes after vaccine administration. Paramedic assisted the patient to the bed where the patient sat down. Vital and patient history was obtained. Paramedic contacted Dr. and was instructed to monitor the patient for any changes in patient condition. The patient was continuously monitored and stated that she began to feel much better. Paramedic obtained three sets of vitals which were all within normal limits. The patient relayed that she was no longer feeling her symptoms. The patient was walked to the front door. BP 187/121 HR 98 RR18 / BP 84/112 HR 100 RR18 / BP 168/109 HR 87 RR 16

Other Meds: None

Current Illness: None

ID: 1342691
Sex: F
Age: 71
State: CO

Vax Date: 01/11/2021
Onset Date: 01/14/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data: Head cat scan 1-16-2021 blood test 1-16-2021

Allergies: Sulfas

Symptoms: Could not drink from a cup. Left side of my face was drooping. Eye Problems. The day of shot I got a bad headace on my left side of neck and back of head Diagnoses Predisone Bells Palsy Valacycolvir Renal Insufficiency

Other Meds: Levothyroxine 0.2, Omeprazole, Levothyroxine .025, Amlodipine Byssylate (over)

Current Illness: None

ID: 1342693
Sex: F
Age: 43
State: IL

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

Lab Data: None

Allergies: None

Symptoms: When giving the vaccine some of vaccine leaked out Per the vaccinator, 0/1ML leaked (leaked) out. out of aRm after vaccination. Examined PT No advers reastion. no fillers, no mass, etc.

Other Meds: None

Current Illness: None

ID: 1342695
Sex: M
Age: 36
State: IL

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

Lab Data: N/A

Allergies: None

Symptoms: Patient vaccinated at 5:30pm that she began to feel a tingling sensation on her tongue. The patient was assisted to the bed where she lied down and three sets of vitals were obtained. Contacted Dr. and was instructed to administer 25mg of Benydryl orally. Obtained 3 sets of vital signs. The patient relayed she would like to walk around and was assisted walking around the gym. The patient relayed that she no longer had any symptoms and was assisted to the door.

Other Meds: None

Current Illness: None

ID: 1342697
Sex: F
Age: 81
State: MO

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

Lab Data: chest xray- clear 3/1/2021

Allergies: Iodine, PCN, Sulfa, hydrocodone, adhesve, shellfish

Symptoms: Patient felt short of breath, lump in throat w/ difficulty swallowing, head ache & dizziness. Vitals 220/120, tachycardia, 98% on RA Treated w/ Benadryl 50, Pepcid 40 prednisone 60

Other Meds: VHD, probiotic, Voltaren gel Nifedipine, ASA, turmeric, B12, gluosamine

Current Illness: NA

ID: 1342698
Sex: F
Age: 75
State: FL

Vax Date: 02/13/2021
Onset Date: 02/27/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data:

Allergies:

Symptoms: On day of vaccination, painful arm, tired for 2 days. Then Feb 27, itching at site of vaccination, warm to touch, slightly swollen. As of today, symptoms still exist.

Other Meds: Rythmol 225, Levothyroxide 112, Vitamin D3

Current Illness: Irreg heart beat, Hoshimoto disease, IBS-C

ID: 1342701
Sex: M
Age: 78
State: UT

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

Lab Data:

Allergies: Dairy

Symptoms: 2nd SHOT Thur Feb. 18, 2021 2:30pm Fri. Feb 19 6:00 p.m Chills! Sun. Feb 21 lost taste Fri Feb 26 extreme weakness in legs Otho has had side effects THAT OTHERS HAVE NOT REPORTED. Otho received the first Pfizer shot on January 28, 2021 and only suffered a small ache in his arm. Otho received the second shot of Phizer on February 1 8, 2021 adminsted at the same location. Day 1 arm a little uncomftable Day 2 6:00 pm extreme chills Day 3 chills gone, tired, weak Day 4 LOST SENSE OF TASTE Day 9 Legs so weak, could not walk without a walker Day 13 TODAY Still very weak and still connot taste. Otho is a male age 78 yrs. Usually very active. He does suffer from Carcinod Caner of many years. We did visit with our doctor. He prescribed to take two Ibuprifen morning and night to help with inflammation. And if Legs weakness increases to get back to him.

Other Meds: Prescriptions: Levothyroxin, Allopurinol, Liothronine sodiu, Loperamide, Pantoprazole, Cholestyramine, Supplements: asprin, B-12, D-3, Aller-Flo

Current Illness: Carcinod Cancer (long turm)

ID: 1342702
Sex: M
Age: 80
State: CA

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data: none

Allergies: NKA

Symptoms: Tongue swelling, Benadryl was given and symptoms resolved. was observed for 3 hours with no further swelling.

Other Meds: flonase, Amlodipine, clonodine, Colchcine, Aspirin fluticonasone, metoprolol, irbesartin, multivitamin

Current Illness: none

ID: 1342707
Sex: F
Age: 68
State: CA

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

Lab Data: none

Allergies: Shellfish, Influenza Vaccine, Biaxin

Symptoms: Prior to #1 Moderna Vaccine @ 2/20/2021 Pt. being treated for stress & hives. Pt. had slight reaction to vaccine w/ c/o slight right arm x 5 days. 2/27/2020 (7 days later) c/o red, hot, sore, itchy, numb arm (right)

Other Meds: stopped @ 2/11/2021 Benadryl, gabapentin, MVI

Current Illness: she is/ hives

ID: 1342708
Sex: F
Age: 48
State: KY

Vax Date: 02/17/2021
Onset Date: 02/27/2021
Rec V Date: 03/02/2021
Hospital:

Lab Data:

Allergies: Allergic to Cats, tree, grass

Symptoms: Rash, itchy, red, rt arm . started 10 days after vaccine (Feb 27th) - still spreading.

Other Meds: Xyzal 5mg, Prilosec 40mg,

Current Illness: NO

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm