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: 1069260
Sex: F
Age: 51
State: CA

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

Lab Data: N/A

Allergies: Vicodin

Symptoms: After the first dose for the Pfizer, I experienced a metal like taste in mouth, shortly after. However, that went away within an hour. I had the typical low side effects of localized injection soreness, swelling, redness, warmth feeling and it was red around the injection site. The following two days after vaccination (2/22/21) I experienced the expected low side effects. On the third day after vaccination, I was feeling well again. However, yesterday 3/2/21, I noticed the area where I received the Covid vaccine was red again, with itching, warmth feeling, redness, and a bit of burning sensation. This is only apparent on the injection site. I contacted the CDC today, 3/3/21 and they directed me to you to report this and also to contact my healthcare provider, which I have. The CDC was not able to tell me if it was considered normal to have the localized injection site side effects resurface again a week after receiving the 1st dose vaccine. Therefore, I was advised by the CDC to report it. It is also unclear to me if the reason for the localized injection site side-effects being more prominent because of where the injection was administered. There is a question about it having been administered closer to subcutaneously by the nurse than intramuscular, but I do not know.

Other Meds: Levothyroxine medicine

Current Illness: None.

ID: 1069261
Sex: M
Age: 27
State:

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

Lab Data:

Allergies:

Symptoms: Patient developed a rash to arms and chest after receiving vaccination. Patient declined Benadryl and any other medical treatment. He stated that he spoke with his father who is a doctor and that he will take Benadryl when he gets home. No other distress noted by observer.

Other Meds:

Current Illness:

ID: 1069262
Sex: M
Age: 74
State: WI

Vax Date: 02/17/2021
Onset Date: 02/25/2021
Rec V Date: 03/03/2021
Hospital:

Lab Data: 03/02/21, positive antigen test result for Covid 19.

Allergies: unknown

Symptoms: Client developed symptoms of Covid 19 on 02/25/21. Tested positive on 03/02/21.

Other Meds: unkown

Current Illness: unknown

Date Died: 02/16/2021

ID: 1069263
Sex: M
Age: 83
State: FL

Vax Date: 02/11/2021
Onset Date: 02/16/2021
Rec V Date: 03/03/2021
Hospital:

Lab Data: NO

Allergies: NA

Symptoms: DIED

Other Meds: NA

Current Illness: DIABETIS

ID: 1069264
Sex: F
Age: 40
State: WA

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

Lab Data: None

Allergies: None

Symptoms: Woke up the next morning with intense nausea and fatigue. The nausea resolved ~3 hours later after eating a small amount of food. 6/10 pain in the injection site throughout the entire day (2/5/2021) requiring 2-3 doses of ibuprofen for the pain to be tolerable. These symptoms resolved by the next morning (2/6/2021).

Other Meds: Nuva ring

Current Illness: None

ID: 1069265
Sex: F
Age: 87
State: NC

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

Lab Data: none just close observation

Allergies: sulfa

Symptoms: On Saturday after getting her2nd vaccine on Friday, patient slept most of the day. Not requesting food or needing to go to the toilet. After 5pm when offered dinner, it was noticed she wasn't quite appropriate mentally. Making disjointed sentences and thought patterns. I spoke with patient on the phone and could tell she was confused, and agitated at all our questioning and our insistence on getting her up because she had wet on herself. She has been confused twice before, once in 2012 at the hospital after being moved during the night, the other time in 2017 when she had the flu and her O2 was diminished. She had no signs of CVA. Because of the time of night, I thought it was "sundowners" AND related to the vaccine. She began to clear a little in around 3 hrs but wasn't completely herself till the next morning.

Other Meds: atenolol, neurontin, cymbalta, toviaz, low dose daily keflex, vit C, B, calcium, D3, advil

Current Illness: none

ID: 1069266
Sex: F
Age: 54
State: CA

Vax Date: 02/04/2021
Onset Date: 02/24/2021
Rec V Date: 03/03/2021
Hospital:

Lab Data: none

Allergies: nickel

Symptoms: I have extreme fatigue after receiving this vaccination. I did not realize that it had anything similar to do with monoclonal antibiodies, for which I have suffered horrible fatigue from in the past (Prolia). I am not sure if my symptoms started before 02/24/2021, however that is when it became overwhelming. After doing some research on the Moderna vaccination and how it affects your mRNA (just like monoclonal antibiodies), that I realized I probably should have not received the second vaccination. (My past experience with Prolia was similar - I was fine with the first injection, but every injection I received after that made me have overwhelming fatigue, and I had to discontinue the medication.)

Other Meds: multivitamin, vitamin C, evening primrose oil, riztriptan

Current Illness: none

ID: 1069267
Sex: F
Age: 69
State: CA

Vax Date: 02/11/2021
Onset Date: 02/13/2021
Rec V Date: 03/03/2021
Hospital:

Lab Data: NONE

Allergies: NONE

Symptoms: LEFT UPPER ARM PAINFUL, HOT TO TOUCH, RED FROM SHOULDER TO ELBOW; NO FEVER. PCP IS PATIENT'S DAUGHTER, AND GAVE RX ANTIBIOTIC FOR PROBABLE CELLULITIS AND CONDITION IMPROVED AFTERWARD.

Other Meds: NONE

Current Illness: NONE

ID: 1069268
Sex: F
Age: 21
State: LA

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

Lab Data:

Allergies:

Symptoms: Student reported to Campus health services on Friday, February 26th after receiving the COVID vaccination on the prior Wednesday. Student reported development of symptoms the Thursday after vaccination. Student presented with redness, firmness, induration, pain and warmth to injection site. Induration measured at 47mm diameter. Student reported back Monday, March 1st. Redness resolved. Still firmness at approx 50 mm in diameter. So pain, but improvement.

Other Meds:

Current Illness:

ID: 1069269
Sex: F
Age: 32
State: VA

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

Lab Data: N/A

Allergies: N/A

Symptoms: After retrieveing needle some of the vaccine drip down the arm. Patient reported leakage at the observation area. Recipient vaccinated in opposite arm by another nurse.

Other Meds: N/A

Current Illness: N/a

ID: 1069270
Sex: F
Age: 0
State: IA

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

Lab Data: Percutaneous skin test completed on 3/2/21

Allergies: None

Symptoms: Per telephone encounter on 2/26/21: Mother verbalizes that patient received 2-month vaccines on Tuesday 2/23/21. Injection sites were slightly red, and patient had a low-grade temperature, so they gave patient Infant Tylenol. Patient was okay afterwards and injection sites were no longer red. However, last night 2/25/21 mother noticed small red bumps on bilateral legs. This morning 2/26/21 the small red bumps are now also on bilateral arms and some on her neck. Mother is wondering if this is related to the vaccines or if it could be related to the Vitamin D drops, they also started on Tuesday 2/23/21. Afebrile. No other symptoms currently. Bumps do not seem to bother patient. Eating and sleeping normal. Denies drainage. Same day appointment scheduled with Dr. on 2/26/21. Dr.'s note after appointment on 2/26/21: 1. Rash and nonspecific skin eruption; Clinical Notes: 7-week-old infant presents to the office for follow-up evaluation of generalized rash which started 48 hours after her vaccine administration. Rash started as a few erythematous lesions and became generalized over the last 24 hours. She is eating well and does not have any vomiting or diarrhea. She has no URI symptoms cough or congestion. She has no fever. She appears well on today's exam. The appearance of rash after 48 hours of vaccination is concerning for a delayed hypersensitivity reaction but unlikely to be IgE mediated response. I would like to obtain consultation with allergy immunology regarding the etiology of the rash. The only booster that she has received is hepatitis B, other vaccines have been given for the first time on 2/23/2021. I will plan to report the rash to VAERS and also seek consultation from National advisory committee web portal via electronic communication. This will help us to figure out if the next set of vaccinations can be given safely. Referral sent To: Allergy/Immunology: Reason:7-week-old infant has generalized erythematous maculopapular rash almost like urticarial vasculitis. Please evaluate for allergic/drug reaction due to vaccination. Dr.'s note after appointment on 3/2/21: Clinical Notes: Patient recently had urticaria for 2 days, occurring 2 days after routine childhood vaccines. She was also feeding on milk-based formula, but the hives seemed to resolve after changing from milk (and also avoiding soy). Mother has a lot of soy in her diet. Still receiving some breast milk also. The reaction was unlikely due to any of the vaccines, and even if the vaccines were related, there were no symptoms to suggest an immediate anaphylactic reaction. Any vaccine can also cause some local swelling or rashes or low-grade fevers due to the normal immune response. Recommend continued vaccination according to the ACIP schedule. SPT for milk was positive and negative for soy, giving some evidence that the hives were due to cow's milk. Recommended to her mother continued avoidance of cow's milk and dairy, including in the mother's diet while still breastfeeding. Also discussed the signs/symptoms of anaphylaxis. Should this occur, use an Auvi-Q and go to the ER. If symptoms persist in 10-15 minutes, then use the second one. Carry 2 at all times. Proper use of Auvi-Q taught and also provided information for milk avoidance and referred to the website. Will f/u in 1 year to repeat SPT for milk. Call or f/u sooner PRN.

Other Meds: None

Current Illness: None

ID: 1069271
Sex: M
Age: 58
State: TX

Vax Date: 02/11/2021
Onset Date: 02/18/2021
Rec V Date: 03/03/2021
Hospital: Y

Lab Data: EKG/CAT SCAN/IV

Allergies: none

Symptoms: 2/11/21 wife and I both took 1st Vaccine Shot 2/23/21 Wife and I Both Tested Positive for Covid. Oxvgen level for patient 93. X-RAY SHOW COVID SPREAD 2/24/21 Admitted to (hospital). Low Oxygen/elevated heart enzymes 2/25/21 Released with Oxygen

Other Meds: Lisinopril-hydrochlorothiazide 20-25 mg tablet. Metoprolol succinate XL 50 mg tablet Omeprazole 40 mg capsule aspirin EC 81 EC tablet

Current Illness: none

ID: 1069272
Sex: M
Age: 70
State: CA

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

Lab Data: na

Allergies: morphine

Symptoms: 8 minutes after injection, pt c/o dizzness. Pt was escorted to lie on gurney. Pt c/o room spinning, blurred vision, chest tightness. 9:31- BP checked while in gurney was 180/96, HR 117, O2 Sat 99%. 9:40- VS while lying in gurney: 202/112, HR 131, 100% O2. 9:46- 216/112, HR 118, 100%. Pt agreed to be seen in ED. ED staff arrived to bring pt @ 10:00.

Other Meds: colchicine

Current Illness: na

ID: 1069273
Sex: F
Age: 83
State: MN

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

Lab Data: None

Allergies: codeine; penicillin; erythromycin; wasps; strawberries; chocolate; tomatoes; cucumbers; reaction from Lunesta

Symptoms: Red, swollen, itchy, painful arm from shot site to elbow and under arm. Started evening of shot, became worse, hindered sleep, etc. Called Nurse Line on Sunday (injection was Friday) and given information about icing area. Continued icing 4 or 5 times a day until symptoms eased on day 6 (Wednesday).

Other Meds: Lisinopril-HCTZ 20/25 mg. tablet; Metoprolol Tartrate-25 mg.; Citalopram 20 mg.; 81 mg. aspirin; multivitamin with larger B; Oscal +D 500 mg; C 500 mg.; Niacin-250 mg.; Ferrous Gluconate-27 mg.

Current Illness: None

ID: 1069274
Sex: M
Age: 71
State: MO

Vax Date: 02/11/2021
Onset Date: 02/18/2021
Rec V Date: 03/03/2021
Hospital:

Lab Data: i have an appointment on 03/11/2021

Allergies: none

Symptoms: painful joints and fingers in right hand and foot

Other Meds: none

Current Illness: none

ID: 1069275
Sex: F
Age: 63
State: PA

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

Lab Data: none

Allergies:

Symptoms: The patient became flushed and itchy. She is not having trouble breathing. I instructed her to call her md office and follow the directions they give. We got Benadryl from the shelf incase they want her to take some

Other Meds:

Current Illness:

ID: 1069276
Sex: F
Age: 23
State: OH

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

Lab Data:

Allergies:

Symptoms: I felt bad within a couple of hours. The upper part of my arm hurt on movement. The next morning it had a visible circle around the injection site. The whole arm was swollen for three or four days. There is still a mark on my arm with a shadow of the bruise. General fatigue and muscle soreness in arm which radiated into my back. Lingering weakness in my arm and pain on movement. I took Ibuprofen and used ice.

Other Meds:

Current Illness:

ID: 1069277
Sex: F
Age: 38
State: CA

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

Lab Data: none

Allergies: NKA

Symptoms: Chills, cold, anxiety, clammy

Other Meds: unknown

Current Illness: Anxiety

ID: 1069278
Sex: F
Age: 25
State: TX

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

Lab Data: None

Allergies: Wellbutrin

Symptoms: Vague complaint of left arm feeing colder than right and slowly moving throughout the body over 15-30min, also lightheadedness which resolved with positioning patient supine with feet propped up. Sensation of cold arm continued however physical exam and vital signs were normal so patient was discharged.

Other Meds: Prozac Adderall Zyrtec Flonase Singulair

Current Illness: None

ID: 1069279
Sex: F
Age: 79
State: AZ

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

Lab Data:

Allergies: none

Symptoms: CHILLS 3-4 HR DURATION,FATIGUE.AND MUSCLE ACHES

Other Meds: none

Current Illness: none

ID: 1069280
Sex: M
Age: 73
State: WI

Vax Date: 02/20/2021
Onset Date: 03/01/2021
Rec V Date: 03/03/2021
Hospital:

Lab Data: None

Allergies: I have a terrible time with medications - had the Genesight Test done a few years ago and MANY were in the Red. Also have Burning Mouth Syndrome. The issues with medications and the Burning Mouth Syndrome all started after taking 2 Gabapentin pills back in 2014 prescribed to me by a pain management doctor for the neuropathy in my legs. I've had issues ever since with medications, even a bad reaction to Voltaren Gel just recently. I also have some memory loss and a seizure condition. The memory loss started the day of the 2nd Gabapentin pill and the seizure condition in 2016 I believe it was, but wasn't diagnosed until 2018.

Symptoms: Rec'd #1 shot on 2/20/21. 1st day fine, 2nd day very sore arm, 3rd day arm fine. Then on March 1st around 7:00 pm my arm at the injection site starting itching really bad. Looked at arm and it was very red and very swollen at the injection site. The red/rash, swelling and extreme itching remained all night, the 2nd day and I woke up today, Wed. March 3rd and everything is fine. My wife looked this up online and it appears that it's a delayed reaction to the Moderna vaccine called "Covid Vaccine Arm" and the article said to report this. i

Other Meds: Losartan, Hydrochlorothiazide, Rosuvastatin, Levothyroxine, Oxycodone, Lamotrigine, Trazodone, Flonase Nasal Spray, Systane Eye Drops

Current Illness: No

ID: 1069281
Sex: M
Age: 69
State: NY

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

Lab Data:

Allergies: penicillin, aspirin, MRI contrast

Symptoms: Dizziness, weakness, fatigue, muscle pain (shoulders, neck and lower back), local shoulder/arm pain, joint pain, sunshine very strong (hurting) for eyes (had to squint).

Other Meds: Glucosamine & Chondroitin, Ca-Mg-Zn, 50+ Multi Vit, Aleve,

Current Illness:

ID: 1069282
Sex: M
Age: 60
State: CA

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

Lab Data: None at this time

Allergies: Sulfa Drugs

Symptoms: Patient was monitored for 30 minutes after first dose of Pfizer vaccine as he reported rash after taking PO Sulfa medication. Per pt he has had no reaction to flu vaccines in the past. Patient left clinic at 0932 but later returned at 0940 c/o feeling loopy. BP at 0940 180/97 HR 63, Radial Pulse 60, Oxygen saturation 100% RA. BP at 0945 172/96 HR 60 left arm. BP at 0958 left arm 167/82 HR 57. Patient monitored by NP and was advised to follow up with his primary care doctor. Pt reports he had derma filers a few weeks ago. Patient c/o feeling redness and numbing in his cheek bones and feeling loopy. Per pt denied history of hypertension only had 2 cups of coffee this morning. Patient?s husband will pick up patient and take him to Hospital as he was advised to do by his primary care doctor who he spoke with while in clinic. Temperature 97.5 F on forehead. Pt declined feeling any itching. Patient was picked up by husband and he will drive patient to Hospital. BP at 1043 184/94 HR 64 Apical Oxygen saturation 97% RA. Patient denied any itching, stated swelling in cheeks and tingling has improved. NP walked patient out of clinic.

Other Meds: Truvada Calcium Supplement Vitamin D

Current Illness: None

ID: 1069283
Sex: F
Age: 46
State: UT

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

Lab Data:

Allergies:

Symptoms: Red, swollen, itchy patch on injection site arm. About 2 1/2 inches in diameter

Other Meds: Multi Vitamin, Garlic, Selenium, CoQ10, Turmeric, Probiotic

Current Illness:

ID: 1069284
Sex: M
Age: 72
State: MN

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

Lab Data:

Allergies: None

Symptoms: Arm extremely sore and happened quickly taking a walk. Patient started to change his walking gait and was leaning forward , wheezing and breathing heavily , and sweating profusely. He tried to sit down and feel on his knees missing the park bench.

Other Meds: Lisinopril and altorvastin

Current Illness: No

ID: 1069285
Sex: F
Age: 69
State: MO

Vax Date: 02/12/2021
Onset Date: 02/22/2021
Rec V Date: 03/03/2021
Hospital:

Lab Data: none

Allergies: quinine

Symptoms: Bells palsy 10 days after vaccine given. Has resolved now.

Other Meds: unknown

Current Illness: none

ID: 1069286
Sex: M
Age: 71
State: IL

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

Lab Data:

Allergies: Wasp, ragweed, grasses, atorvastatin

Symptoms: Patient received first dose of COVID-19 Moderna vaccine on 1/28/2020. Due to his history of allergies and asthma, he took a dose of diphenhydramine 25mg (either 1 tablet or 2 tablet - patient is unsure) prior to receiving the first dose of the vaccine. He waiting for 30 minutes of observation afterwards. He did not have any problems other than a sore arm after the dose. The patient returned for his second dose of the COVID-19 Moderna vaccine on 2/25/2020. He forgot to take a dose of diphenhydramine prior to coming in for his second dose of the vaccine. He sat for the 30 minutes of observation with no issues. He drove home and after arriving home, 1 hour after receiving the dose, he started having a strange feeling around his mouth and tongue which moved from the right to left side. He then took two doses of diphenhydramine 25 mg. Then he started having difficulty swallowing so went to a Prompt Care. The staff there called an ambulance and he took an ambulance. In the ED, the physicians examined him and didn't find any issues with his throat. They noticed his left earlobe was bright red. They administered a high dose of steroid and observed him for 3 hours. The patient does not know the name of the steroid or dose received. The patient states that he felt normal again after 1.5 hours after receiving the steroid injection. The patient was discharged back home and has not had any issues since.

Other Meds: Lisinopril, hydrochlorothiazide, pregabalin, terazosin, rosuvastatin, celecoxib, cetirizine, ranolazine ER, albuterol inhaler, vitamin B12, vitamin E, vitamin B6

Current Illness:

ID: 1069287
Sex: F
Age: 34
State:

Vax Date: 01/30/2021
Onset Date: 01/31/2021
Rec V Date: 03/03/2021
Hospital:

Lab Data: Hearing test - normal

Allergies:

Symptoms: Ringing in both ears - tinnitus!

Other Meds:

Current Illness:

ID: 1069288
Sex: M
Age: 76
State: CA

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

Lab Data: n/a

Allergies: Shellfish

Symptoms: Initially night of the vaccine 3/2/2021 body felt hot, felt sweaty but temp was 98.0, unable to sleep through the night. just felt uncomfortable. Morning of 3/3/2021 woke up with extreme pain in injection sight, sweaty, but cold, dizzy and weak, no fever., Could not stand up. Was sat down on sofa for maybe 2 mins. all of a sudden shoulders drooped, head fell forward, I asked "dad are you ok" there was not a response, I walked closer to him and his head flew back, his eyes were slit open, and he started gasping for air 3 times then slumped forward and passed out. 911 was called paramedics checked all vitals including blood sugar, oxygen, heart rate etc everything registered as normal.

Other Meds: Atorvastatin 20 mg 1 daily Latanoprost 1 drop daily Timolol maleate 2 drops daily

Current Illness: None

ID: 1069289
Sex: F
Age: 58
State: MD

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

Lab Data:

Allergies:

Symptoms: Systemic: Exhaustion / Lethargy-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Hypotension-Severe, Systemic: Weakness-Severe

Other Meds:

Current Illness:

ID: 1069290
Sex: F
Age: 66
State: CA

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

Lab Data: none

Allergies: penicillin, gold sodium thiosulfate, palladium chloride, ethylenediamine dihydrochloride, lanolin, caine mix, potassium dichromate,

Symptoms: My injection site started itching around 1/2 hour after receiving it. About a week later I noted a 3 inch rectangular red raised itchy area around my injection site. 3/1/21 I noted a red raised rim around the itchy area.

Other Meds: Celexa 60mg

Current Illness: none

ID: 1069291
Sex: M
Age: 69
State: MI

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

Lab Data:

Allergies:

Symptoms: Patient had swelling of left arm index finger. It was difficult for the patient to move the finger. The following day it did resolve.

Other Meds:

Current Illness:

ID: 1069292
Sex: F
Age: 62
State: IN

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

Lab Data:

Allergies: Penicilin in childhood

Symptoms: One day after vaccine severe body aches and sore arm. I had covid 19 in October 2020 and found the body aches after the vaccine to be worse than having the virus itself. Second day after vaccine I noticed lymph node in my armpit to be very swollen. This was the same side of my body the shot was given. I am worried about getting the second dose but I am still going to get it.

Other Meds: Zyrtec, snythoid. buspar, calcium, vitamin D, multi vitamin

Current Illness:

ID: 1069293
Sex: M
Age: 17
State:

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

Lab Data:

Allergies:

Symptoms: Patient felt dizziness, weakness, and a fast heartbeat immediately after receiving injection. Patient was observed by EMS onsite and then went to ED for visit. Patient discharged from ED with no issues.

Other Meds:

Current Illness:

ID: 1069294
Sex: F
Age: 67
State: OH

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

Lab Data: none while in our care

Allergies: lidocaine

Symptoms: 1:32: patient reported throat feeling tight, dizziness, tingling in lips and tongue. Called squad. At 1:42 squad arrived, patient ambulated to squad with assistance.

Other Meds: unknown

Current Illness: none

ID: 1069295
Sex: F
Age: 86
State:

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

Lab Data:

Allergies:

Symptoms: Sore arm, at night chills and shaking. Tiredness. Second day a fever of 99, very tired as well.

Other Meds:

Current Illness:

ID: 1069297
Sex: F
Age: 71
State: FL

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

Lab Data: None

Allergies: none

Symptoms: Moderna Covid 19 Vaccine EUA Fever 101.1 with chills Body Aches Headache Nausea

Other Meds: Olmesartin

Current Illness: None

ID: 1069298
Sex: M
Age: 71
State:

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

Lab Data:

Allergies:

Symptoms: Round, red, hard lump under skin, red itchy rash about 3 inches diameter around injection site. Lasted about ten days. Used Lydaicane to relieve itching.

Other Meds:

Current Illness:

ID: 1069299
Sex: F
Age: 67
State: CA

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

Lab Data: None

Allergies: sulfa drugs - skin rash

Symptoms: Vaccine 5:30 pm 2/27, sensitive skin 10:30 am 2/28 - 1:30 pm 3/1, sore joints in hands and feet 3/1 and 3/2, sore armpit 3/1 to current (3/3), pain decreasing, sore and pink patch at and below injection area 3/1 to current.

Other Meds: Pravistatin 40 mg, Esomeprazole Mag 40 mg, Cetirizine hydrochloride 10 mg, Cosamine DS

Current Illness: None

ID: 1069300
Sex: F
Age: 67
State: CA

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

Lab Data: Sent to ER

Allergies: Allergies: Amlodipine, Aspirin, Hctz [Hydrochlorothiazide], Zithromax [Azithromycin

Symptoms: Pt had elevated BP and scratchy throat

Other Meds: not known

Current Illness: not known

ID: 1069301
Sex: M
Age: 80
State: OH

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

Lab Data:

Allergies: None

Symptoms: Red swollen arm six days after shot. Size of softball warm to touch

Other Meds:

Current Illness:

ID: 1069302
Sex: M
Age: 83
State: FL

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

Lab Data:

Allergies:

Symptoms: Systemic: Allergic: Rash Generalized-Mild, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Mild

Other Meds:

Current Illness:

ID: 1069303
Sex: F
Age: 38
State: PA

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

Lab Data: none. I did call my doctor's office. They said it was "normal." After I stated it's not normal to lose function of your arm, they changed the response to "it's common."

Allergies: no

Symptoms: I received the shot at 8am. By noon, the injection site was very sore. By 2pm, I could not move my arm without excruciating pain from my shoulder all the way down to my left ring and pinkie fingers. I was not able to lift my arm on my own, it was as if my muscles were not recognizing the brain signals. If I lifted my left arm using my right, I could move it about an inch. Anything more than that was so painful that it brought tears to my eyes. Pain relievers did not help. It took almost 5 days to regain function of my arm, and I am still experiencing muscle pain when I try to stretch my arm or lift a heavy weight.

Other Meds: Lexapro 10mg daily

Current Illness: none

ID: 1069304
Sex: M
Age: 65
State: CA

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

Lab Data:

Allergies:

Symptoms: Patient received his first Pfizer COVID vaccine on 3/3/21. Patient was conscious with no apparent issues after administration. Patient was asked to sit down for 15-minute observation afterwards. A few minutes later patient was swaying back and forth in his chair and saying he was feeling faint. I repeatedly addressed patient by his first name and asked if he could hear me and repeatedly asked if he was okay. Patient began slumping down in his chair but was still conscious. Patient was not responsive but made eye contact with me. Patient requested water. After giving patient water and observing him drink he began looking nauseous and threw up. Patient then passed out in his chair. I supported the patient upright in his chair and made sure he did not fall down or injure his head. I then immediately tapped him on both shoulders and repeatedly called his name. Patient then became responsive and 911 was called. While waiting patient said he was starting to feel better and was able to support himself in his chair. I did not observe any injuries due to fainting. When the ambulance came patient agreed to be taken to the hospital.

Other Meds:

Current Illness:

ID: 1069305
Sex: F
Age: 55
State: OH

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

Lab Data: none as of date of this completion

Allergies: none

Symptoms: initial fatigue, headache, brain fog for approximately 4-5 days . Severe muscle cramping and pain, immobility of injection arm 4 days after shot.

Other Meds: none

Current Illness: none

ID: 1069306
Sex: F
Age:
State: CA

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

Lab Data: None

Allergies: NKA

Symptoms: Chills, cold, anxiety, clammy

Other Meds: unknown

Current Illness: unknown

ID: 1069307
Sex: F
Age: 65
State: CO

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

Lab Data:

Allergies: pcn

Symptoms: Body aches and fatigue day of vaccination. 30 hours post vaccine experienced severe body aches, chills, fever of 102.5 (axillary -unresponsive to acetaminophen). These persisted for 24 hours. Redness, swelling and pain at injection site continued for 72 hours. I did not contact my oncologist as I have a monthly appointment prior to my next vaccination. Submitting this because of my MDS as informational.

Other Meds: gabapentin 300mg bid, estrace cream 1gm/week, atorvastatin 10mg daily, nexium daily, cyancobalamin injection montly.

Current Illness: MDS currently stable with thrombocytopenia (55,000). ANC has risen to 1.4 and WBCs have risen to 4200. My labs fluctuate and are tested monthly.

ID: 1069308
Sex: F
Age: 54
State: CA

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

Lab Data:

Allergies: Penicillin

Symptoms: Red spot size of palm, hot, tender to touch

Other Meds: None

Current Illness: None

ID: 1069309
Sex: F
Age: 80
State: CA

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

Lab Data: no

Allergies: Sodium Lumonal, Generic Lipitor, dye used for cat scan

Symptoms: The vaccine was given in lymphedema arm, they decided to give the shot in that arm because of the swelling, redness and pain still there in the opposite arm from 1st dose. Because the 2nd dose was given in my left lymphedema arm, it caused a flare up of lymphedema and I'm still working with it to bring it back down to where it was before the shot was given. I feel that those giving the injection should be made aware of pre existing conditions like lymphedema arms, there should be an alternative to give the vaccine in other arms.

Other Meds: Thyroid medicine - Armor Thyroid 90mg

Current Illness: no

ID: 1069310
Sex: M
Age: 31
State: NC

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

Lab Data: 3/2/21 positive for Covid-19 by PCR 3/2/21 Negative for Covid IgG Serology

Allergies: none

Symptoms: On 3/2/21, one month after second vaccination, sick with fever, nausea and fatigue. Tests positive for Covid-19 by PCR.

Other Meds: none

Current Illness: none

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm