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: 1069981
Sex: F
Age: 24
State:

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

Lab Data: Tuesday 2/3/21 ECG, blood tests and BP monitoring performed. Awaiting results.

Allergies: N/A

Symptoms: Pfizer given on Friday evening 6.30pm waited for 12 mins as requested before leaving. Felt fine and well. Early saturday morning 1am woke up with acheing bruise sensation at injection site. Woken up twice during the night Saturday (1am-6am) feeling cold and covered in sweat. Saturday morning around 10am, bruised feeling and tender at the back of the injected arm. Sore to touch that area and also sore to touch injection site. Saturday Evening around 6pm pins and needles tingling sensation in both feet and also sharp stabbing pain on and off in left calf muscle. Saturday night waking from sleep sweaty and disoriented. Sunday morning 10am light foggy feeling headache. Taken paracetamol with no change. Same symptoms continued on and off but were manageable at home. Monday evening dizziness during the day time and fstigue. Feeling of being drunk, everything in slow motion. Chest tightness began monday evening 8pm aprox (like my asthma symptoms) tickle in throat but no cough. Woken up feeling cold but sweating. Tuesday morning mild headache again front of head. Chest tightness persisting but taken usual asthma medications. Tuesday evening 6pm Palpitations began. More of a hiding feeling than heart racing. Stronger than I have ever felt before and more frequent (6-8 times in 30 mins) Felt light headed again, hands and feet freezing cold and blue colour, body trembling, called NHS 111 advised A&E. Had blood tests, ECG and BP monitoring. ECG normal at the time but heart shows working harder than it should. Still waiting on blood results Weds (3/3/21)

Other Meds: Desogestrel mini pill Fluoxetine 60mg

Current Illness:

ID: 1069982
Sex: F
Age: 21
State:

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

Lab Data:

Allergies: cephzil

Symptoms: nausea, arm soreness, headache, fatigue, fever

Other Meds: plaquenil, lo estrin fe

Current Illness:

ID: 1069983
Sex: M
Age: 39
State: TX

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

Lab Data:

Allergies:

Symptoms: Vaccine administered 2021-02-26. Blister cluster formed on right eyebrow near temple on 2021-02-27. Lymph node swelling/tenderness and further inflammation of blister site noted on 2021-02-28. Teledoc called on 2021-03-01, Bactrim DS and Mupirocin 2% ointment for diagnosis of impetigo. In-person appointment with Dr on 2021-03-03 for second opinion. Resulting diagnosis is shingles outbreak near right eye.

Other Meds: Lisinopril 20mg

Current Illness:

ID: 1069984
Sex: F
Age: 56
State: HI

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

Lab Data: None taken. Just googled my symptoms and saw that people are saying it's a known side effect.

Allergies: none

Symptoms: Day 2, swelling, and sore on the base of my neck over a vein on the same side as the injection. (left side) Day 8, "COVID ARM" Itching, redness, swelling and tender at the injection site.

Other Meds: meloxicam

Current Illness: none

ID: 1069985
Sex: M
Age: 71
State: PA

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

Lab Data:

Allergies: None

Symptoms: Massive uncontrollable shaking, Body aches in joints Queasy stomach

Other Meds: ATORVASTATIN 80 MG TABLET METOPROLOL SUCC ER 25 MG TABLET OMEPRAZOLE DR 40 MG CAPSULE TAMSUKOSIN HCL 0.4 MG CAPSULE PRAZOSIN HCL 2MG CAPSULES SILDENAFIL CITRATE 100 MG TABLET MELATONIN 5MG CAPSULE FISH OIL 1000 MG 2 TABLETS BABY ASPR

Current Illness: None

ID: 1069986
Sex: F
Age: 44
State: AK

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

Lab Data: None

Allergies: Gluten, Niacin

Symptoms: 2/25/21 11:36 AM Patient states that her symptoms (swollen around left eye to her throat, right side of her face feels fine, tight through, light bumpy rash on her chin) increased over the last hour and now do not seem to be getting worse. She is able to breathe without difficulty. She will take 50 mg Benadryl and if symptoms progress she will go to the ER for further treatment and evaluation of an allergic reaction to COVID vaccine. She will call Dr. back later and may need note for work. 2/26 11:30 AM Received text message from patient. "I woke up with trouble breathing, hives on my neck and jaw and swollen face. Nausea and diarrhea. Trouble swallowing so I took Benadryl. Swelling went down on face but still tight in throat. . Dr. "instructed her to go to ER if symptoms worsen and told her I would check on her on Monday. I asked her if her symptoms were not changed, worse, or improved. She answered: "They got worse this am from 5 to 10 and feeling better now. As far as swelling and breathing feels better. 3/1 10:21 AM Dr. Spoke with patient 10:21 am. She states that she is feeling much better and no longer has difficulty breathing or feeling of throat tightness. She does still have nausea, with occasional vomiting, and diarrhea. She felt well enough to return to work today. 3/3 11:09 AM Dr. spoke with patient. She stated that she is finally feeling "back to normal". We discussed severity of side effects and recommendation to defer 2nd Pfizer vaccination. She stated that at one point she was "close to going to the ER".

Other Meds: Wellbutrin SR 150 MG Oral Tablet Extended Release

Current Illness: None

ID: 1069987
Sex: F
Age: 33
State: KS

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

Lab Data:

Allergies:

Symptoms: Around 10:00-11:00 pm on 03/02/2021, I woke up with extreme soreness on left arm bicep (where injection was received and all over bicep). I kept waking up about every hour will chills and sweats as well as muscle and joint aches. From this time until approximately 7am, I used the restroom and urinated approximately 5 times. On an average night, I may use the restroom/urinate once at the most around 5-6AM. This is usually only because the dog wakes me up to let her out at that time. At approximately 4am I took 40 mg (two 20mg pills) of DextroAmp-Amphet. At 7am I attempted to shower for work. During my shower I couldn?t barely lift my arm to wash with out severe soreness. I also became very dizzy and nauseous. I had to get out and sit in front of the toilet because I thought I would vomit. Fortunately I did not. I then proceeded to crawl back into bed and call in to work (notifying them I was too sick to come in). I had extreme chills, muscle aches, and joint pain. I began to cry from hurting so bad. At approximately 7:45 I took 400mg of ibuprofen to help relieve symptoms. My body felt feverish (hot/clammy). Around 8am I mustered up the strength to get dressed due to extreme chills. I then proceeded to eat a banana, peach yogurt, and a blueberry Benvita breakfast bar package with 4 wafers. I then took a nap and have been laying in bed ever since until approximately 4:30 PM (with the exception of getup twice to urinate). My body hurt so bad, I barely moved. At approximately 4:30PM I got up to get orange juice and take 600 mg of ibuprofen.

Other Meds: Dextroamp-Amphet ER 40mg once daily in AM Buspirone HCL 10mg twice daily (AM/PM) Citalopram 20mg once daily in AM Ibuprofen 300mg at 7:30AM and 4:00PM on 3/3/21

Current Illness:

ID: 1069988
Sex: F
Age: 40
State: TX

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 03/03/2021
Hospital:

Lab Data: Hormone levels taken last week were: FSH: 54, LH: 44, Progesterone: 0.2, Estrogen = less than 5. Previously, they were in the normal range.

Allergies: N/A

Symptoms: My regular menses have completely disappeared when I had previously been regular and my hormone levels went from normal to menopausal levels. I had my levels taken only a month before getting the first vaccine. I was fine after first dose and got very sick after the second dose and since that time have not had a menstrual cycle or ovulated.

Other Meds: CoQ10, multi-vitamin, Adderall

Current Illness: None

ID: 1069989
Sex: F
Age: 15
State: OK

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

Lab Data:

Allergies:

Symptoms: PATIENT WAS INADVERTENTLY ADMINISTERED PFIZER VACCINE WHEN SHE IS TOO YOUNG TO RECEIVE IT. SHE DOES HAVE MEDICAL CONDITIONS THAT QUALIFIED HER FOR IT.

Other Meds:

Current Illness:

ID: 1069990
Sex: F
Age: 49
State: CA

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

Lab Data:

Allergies: NKDA

Symptoms: Did not feel well. Had hives in the morning the morning the next day, post vaccination. Patient was given an epipen shot for allergic reaction. Patient was released and not hospitalized.

Other Meds:

Current Illness: None

ID: 1069991
Sex: F
Age: 52
State: TN

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

Lab Data:

Allergies:

Symptoms: within 15 minutes of receiving the vaccine patient reports nausea, dizziness and stated her tongue "felt weird"

Other Meds:

Current Illness:

ID: 1069992
Sex: M
Age: 68
State: ND

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

Lab Data: None

Allergies: Adhesive tape with rash

Symptoms: Itching and a morbilliform rash of bilateral hands starting the evening of the injection. No anaphylaxis, pustular rash, difficulty breathing, etc. Started on clopidogrel 2 weeks prior. No rash or itching until the vaccine administered but clopidogrel has a 6% listed incidence of rash.

Other Meds: Clopidogrel, albuterol, amiodarone, aspirin, atorvastatin, breo, Nexium, pramipexole

Current Illness: Coronary artery stent placed 2/17/21. Started on clopidogrel at that time.

ID: 1069993
Sex: F
Age: 69
State: IL

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

Lab Data: Ruled out bladder/urinary tract infection with urine culture done 2/25/21 and a urinalysis 3/2/21. Both WNL per patient.

Allergies: Declined to share

Symptoms: Bladder urgency that began night of second dose, 2/24/21, and has continued since. Reports mild improvement since 3/2/21.

Other Meds: Declined to share

Current Illness: None per patient report

ID: 1069994
Sex: F
Age: 53
State: LA

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

Lab Data: None

Allergies: Voltaren

Symptoms: Body aches, fatigue, mild headache, eyes hurt. Feel feverish but have no fever

Other Meds: Losarten 50 mg daily HCTZ 25 mg/daily Tramadol 50 mg TID Prem-pro daily Multivitamin daily Calcium Vit D 600mg/400/BID Vit D3 2000IU BID

Current Illness: none

ID: 1069995
Sex: F
Age: 56
State: KY

Vax Date: 12/23/2020
Onset Date: 01/03/2021
Rec V Date: 03/03/2021
Hospital:

Lab Data: none

Allergies: Bactrium

Symptoms: I contracted Covid 19 and was diagnosed on 01/06/2021

Other Meds: elequis, bisprolol, flecainide, losartan, celexa prilosec

Current Illness: seasonal allergies

ID: 1069996
Sex: F
Age: 56
State: CA

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

Lab Data: N/A

Allergies: NKDA

Symptoms: Initially, within the first 24 hours patient had slight aches and chills. This was to be expected. 52 hours after receiving the vaccine and feeling completely back to normal the entire day, suddenly had a onset of uncontrollable chattering of jaw. This chattering moved into her body and she started shivering uncontrollably. Fortunately the symptoms subsided around 20 minutes after taking an Ibuprofen.

Other Meds: Estradiol 0.1mg/g (0.01%) Cream, Biotin, Vitamin D-Vitamin K, ...-Calcium (Multi-Vitamin) Chew Omega-3 Fatty Acids (Fish Oil PO), cycloPORINE (RESTASIS) 0.05% Ophth Emulsion, Multiple Vitamins

Current Illness: N/A

ID: 1069997
Sex: F
Age: 61
State: MI

Vax Date: 02/19/2021
Onset Date: 02/21/2021
Rec V Date: 03/03/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Infection and swollen red arm, pain. Bubbling when received

Other Meds: Vitamin D, Flonase

Current Illness: None

ID: 1069998
Sex: F
Age: 49
State: IN

Vax Date: 01/04/2021
Onset Date: 01/12/2021
Rec V Date: 03/03/2021
Hospital:

Lab Data: No

Allergies: I am allergic to Morphine.

Symptoms: I had swelling, itching, pain and heat at the injection site that continued to grow to where it was almost my entire deltoid area.

Other Meds: I take Benedryl nightly.

Current Illness: No

ID: 1069999
Sex: F
Age: 36
State: TX

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

Lab Data:

Allergies:

Symptoms: The patient was given the vaccine about 1258PM, she started to report some SOB about 5 minutes later. I, became aware at about 1:15 there was some concern. I spoke with patient she was having some trouble answering questions and appeared in moderate distress. She reported to me having some SOB after her first dose. Dr. had been contacted already. At 1:19PM the patient appeared to have trouble catching her breath and reported SOB was worse than with first dose. At this point I decided to administer 0.3mg of epinephrine as a precaution due to significant SOB. Dr. came on the scene shortly after, the patient was monitored a bit longer, HR increased then decreased with oxygen. The decision was made to contact EMS.

Other Meds:

Current Illness:

ID: 1070000
Sex: F
Age: 63
State: NJ

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

Lab Data:

Allergies: Cipro, Bactrim, Avelox, sulpha drugs, cats, slight dairy sensitivity, Paxil, Zoloft

Symptoms: 4 days after getting the vaccine feeling extremely tired in the afternoon and like I was zoning out, and have had that feeling when my blood pressure has spiked before, but this was even worse--could barely keep my eyes open and felt weird, so measured my BP, and it initially read 190/151 which could not be right, but I know it was high. I took it again a little while after, and it was down to 140/90, but usually is not that high when I've taken my full medication in the morning, which I did. I then took my Spironoloactone. BP was high for about an hour and then came down. Don't know if it's related to the vaccine, but I haven't had it spike in quite a while, especially if I have taken my full amount of Losartan (which is 50mg), and while it may not have been 190, I know it was higher than it's ever spiked because I felt worse, and I can always feel when my BP goes up. (There are days when my BP is too low to take the full pill, so I take half, but this day, I had taken the full pill.) So, as I said, not sure if it's related to the vaccine or not, but was the worst I felt during a BP spike and lasted longer than ever did as well, but then came down without having to take any more medication except the Spironolactone, but it had come down a bit before that kicked in.

Other Meds: Symbicort, Spiriva inhalers; Losartan 50mg; Singulair 10mg; Low Dose Aspirin (81) every other day; Spironolactone as needed; Ativan as needed up to two .5 /day; Calcium, D, C, Biotin, Krill Oil, B12; on 2 liters of O2 at night only

Current Illness:

ID: 1070001
Sex: F
Age: 56
State: IL

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

Lab Data: None

Allergies: No

Symptoms: Immediately after I got the shot, my throat and tongue got extremely dry and scratchy, felt different

Other Meds: Omeprazole, hydrochlorothiazide, pravastatin, vitamin d, multi vitamin, tums for calcium

Current Illness: No

ID: 1070002
Sex: F
Age: 74
State: CA

Vax Date: 02/16/2021
Onset Date: 02/25/2021
Rec V Date: 03/03/2021
Hospital:

Lab Data: pulse oximeter reading decreased when climbing flight of stairs and pulse increased from 80 to 119. FEV increased from 1.87 to 2.40 after nebulizer with albuterol

Allergies: Penicillin Sulfa

Symptoms: Swollen red arm Dyspnea on exertion.....difficult to climb flight of stairs

Other Meds: Centrum silver, calcium carbonate, B-12 1000, Vitamin D 100 units,

Current Illness: none

ID: 1070003
Sex: F
Age: 79
State: IA

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

Lab Data: none

Allergies:

Symptoms: Arm erythema noted along the lateral right upper arm; there is slight warmth over the area. Pt attempted to treat at home with Benadryl cream and cold packs. It does seem more consistent with a cellulitis than an allergic reaction, as the erythema started below the injection site. I started her on cefadroxil 500 mg twice a day for 7 days and instructed her to hold her Keflex during this treatment course. I also sent her some Kenalog cream for itching relief.

Other Meds:

Current Illness:

ID: 1070004
Sex: F
Age: 68
State: TX

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

Lab Data:

Allergies: None

Symptoms: Mild localized erythema on the cheek, denies itching, sob, chest pain, sore throat. Seen and cleared by EMS

Other Meds: Unknown name: diabetes and blood pressure med

Current Illness:

Date Died: 02/03/2021

ID: 1070005
Sex: M
Age: 85
State: TX

Vax Date: 01/07/2021
Onset Date:
Rec V Date: 03/03/2021
Hospital:

Lab Data: Positive Covid Test

Allergies: NKA

Symptoms: Patient contracted Covid some period of time after receiving the vaccine.

Other Meds:

Current Illness: Hypertension, CAD, Hypothyroidism, Hypercholesterolemia

ID: 1070007
Sex: F
Age: 63
State: NY

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

Lab Data:

Allergies: Penicillin Latex Dairy

Symptoms: 2/28 6pm face flushed and puffy 10pm anxiety on guard, trouble sleeping 3/1 6am heart rate 108, no temp scratchy throat 10am diarrhea ; unease and rapid heart rate continue 5pm read about adverse events, called doctor, took Benadryl and began to feel better. 3/2 am communicated with doctor and she advised holding off on second shot, next steps tbd

Other Meds: Anastrozole 1mg Multivitamin 1000 vitamin d 100 coq10

Current Illness: None

ID: 1070008
Sex: F
Age: 58
State: TX

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

Lab Data: Finger stick glucose 90

Allergies: PCN - hives

Symptoms: Tingling sensation on the lips and tongue with mild light headedness. Experienced tingling sensation on her lips and tongue 15 minutes after receiving the COVID-19 vaccine #2. Also experienced mild lightheadedness. BP 117/61, HR 81, O2 sat 97%.

Other Meds: Experienced tingling sensation on her lips and tongue 15 minutes after receiving the COVID-19 vaccine #2. Also experienced mild lightheadedness. BP 117/61, HR 81, O2 sat 97%.

Current Illness:

ID: 1070009
Sex: F
Age: 54
State: CA

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

Lab Data: N/A

Allergies: Codeine

Symptoms: light headed, Flushed.

Other Meds: none

Current Illness:

ID: 1070010
Sex: F
Age: 65
State: IA

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

Lab Data: None

Allergies: Codeine makes me ill

Symptoms: Within 1 hour of injection I had numbing in my right face cheek. I liken the feeling to that of when your Dentist gives you a shot of Nava Caine and it begins to numb. After and hour or so it moved to my left forehead and eventually to my right forehead and was across the entire forehead. Later that night approximately 3 hours later it moved to the top of my head. I would say it lasted for approx 6 hours.

Other Meds: atenolol, L-Thyroid, caltrate, supplements

Current Illness: None

ID: 1070011
Sex: F
Age: 73
State: CA

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

Lab Data:

Allergies: gabapentin, bandage adhesive

Symptoms: Patient had previously received monoclonal antibody treatment for COVID-19 (bamlanivimab) on 1/8/21. Patient filled out the VAR, answering yes to the question "Have you been treated with antibody therapy for COVID-19 or convalescent plasma?" Answer to this question was overlooked and the vaccine was administered on 2/9/21. Second dose has not been administered.

Other Meds: unknown

Current Illness: unknown

ID: 1070012
Sex: F
Age: 66
State: FL

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

Lab Data: none

Allergies: none known

Symptoms: vaccine administration was perfect. About 1700 a severe pain started in the left mastiod bone. I tried Excedrin Migraine and massage, I applied cold and hot compresses to no avail, pain fluctuated, tried to sleep, pain became worse and more consistent; pain became less frequent Saturday and Sunday morning there was a noticiable difference in the sides of my face. Monday my eye wouldnt close properly and the left side of my mouth would not open so I went to the Urgent Care for treatment

Other Meds: losartin potassium; amlodipine besylate, escitalopram oxalate; montelukast sodium; omeprozole; d3, b12, biotin; Preservision AREDS (all daily) and Naproxen (prn)

Current Illness: none

ID: 1070013
Sex: F
Age: 75
State: OR

Vax Date: 02/18/2021
Onset Date: 02/28/2021
Rec V Date: 03/03/2021
Hospital:

Lab Data: none

Allergies: penicillin

Symptoms: rash going down upper arm extending from injection site, Covid arm

Other Meds: thyroid medication, vitamin, low dose aspirin, vit c, co-q-10,glucosamine msm,

Current Illness: none

ID: 1070014
Sex: F
Age: 68
State: NY

Vax Date: 02/14/2021
Onset Date: 02/23/2021
Rec V Date: 03/03/2021
Hospital:

Lab Data: none

Allergies: all berries, penicillin, percodan, percocet

Symptoms: Unremitting itching on scalp, back, abdomen, legs-especially behind knees, lungs - itching on the inside, as well as a hardening of the skin at the injections site on the right arm, and stiffness in the left shoulder followed the next day. Still uncomfortable, but about 70-80% recovered. Physician told me to change antihistamines from Zyrtec to Allegra, and that helped me turn the corner. I also added Benedryl over the counter for overnight if I could not sleep. Ointments did zero to help.

Other Meds: Singulair, 5 mgs. Adderall, 10 mgs.

Current Illness: none

ID: 1070015
Sex: F
Age: 35
State: WI

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

Lab Data:

Allergies: nkda

Symptoms: Patient requested vaccine be given in GM. Patient refused to have vaccine given in deltoid. Vaccine given in right GM. Alerted nursing supervisor, discussed with medical director, contacted patient and advised she would have to get 2nd dose in deltoid. Patient denies pain or adverse issues at this time.

Other Meds:

Current Illness:

ID: 1070016
Sex: M
Age: 1
State: TX

Vax Date: 02/19/2021
Onset Date: 03/01/2021
Rec V Date: 03/03/2021
Hospital:

Lab Data: Child came back into office on 03/01/21 with fever and and rash. Rapid strep and flu done in the office . Strep negative . Flu A / B negative

Allergies: No know drug or food allergies

Symptoms: Child red blotches on face , arms, legs , stomach and back

Other Meds: none

Current Illness: none

ID: 1070018
Sex: F
Age: 54
State: PA

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

Lab Data: None

Allergies: Sulfa, Aspirin, Wheat, Gluten, Spelt, Amaranth, Teff, Uncured Pork, Mustard, Kiwi Fruit Pollens, Molds, Dander

Symptoms: Significant Upper Body Itching experienced within 5 minutes after the injection Sent to Emergency Department immediately Administered 25mg Benadryl (Diphenhydramine), which reduced the itching Left Emergency Department after 2 hours Itching continued intermittently for approximately 10 days Primary Care Physician was notified and referred me to an Allergist Saw Allergist on 3/3/21 who recommended that I do not receive the second dose of the Moderna vaccine Follow-Up contact with Allergist scheduled for 4-6 weeks

Other Meds: Tylenol

Current Illness: None

ID: 1070019
Sex: F
Age: 54
State: GA

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

Lab Data:

Allergies: Pollen

Symptoms: Sore arm, tired

Other Meds: Vitamins B,C,D,E Albuterol Blood pressure medicine

Current Illness: none

ID: 1070020
Sex: M
Age: 36
State: MS

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

Lab Data: na

Allergies: Pcn- rash

Symptoms: on 3/2/2021 immediately after receiving moderna 2nd dose vaccine pt experienced rash to right arm and torso. Benadryl was administered and pt states rash began to look better. pt denies other s/sx experienced. pt has allergy to pcn- caused rash. on 3/3/2021 phoned pt for f/u. Pt states he is doing fine following event. States rash has resolved, no additional s/sx.

Other Meds: Paxil daily

Current Illness: none

ID: 1070021
Sex: F
Age: 41
State: CA

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

Lab Data:

Allergies:

Symptoms: s/p 2nd dose, c/o feeling itchy, and jaw tight

Other Meds:

Current Illness:

ID: 1070022
Sex: M
Age: 63
State: MD

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

Lab Data: unknown. he was taken to the hospital

Allergies:

Symptoms: patient passed out while waiting in the observation area after the vaccine administration. He passed out briefly about 1 minute then regained consciousness. He then responded to pharmacist questions. 911 arrived and took him to the hospital

Other Meds:

Current Illness:

ID: 1070023
Sex: F
Age: 76
State: WA

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

Lab Data:

Allergies:

Symptoms: 15 HOURS AFTER INJECTION: body ached all over. Body aches lasted for about 12 hours. 48 HOURS AFTER INJECTION: The area below the injection site, on the outside of the right arm, was red and slightly swollen. It was hot, and ached. The ache was stronger under pressure. I have never reacted to an injection like that before. MY IDIOT WORRY: Did the entire dose of vaccine pool below the injection site and thus got nowhere to the rest of my body to do any good? However, the same thing happened to a friend of the same age.

Other Meds: Metformin, Vitamin D, Calcium Citrate, Turmeric, Cinnamon, B-Complex

Current Illness:

ID: 1070024
Sex: F
Age: 69
State: MS

Vax Date: 01/25/2021
Onset Date: 02/09/2021
Rec V Date: 03/03/2021
Hospital:

Lab Data:

Allergies: Peniciilin years ago

Symptoms: After 2nd dose, malaise day after shot. No fever. No troubel breathing. No loss of vision. Did have 2nd cataract surgery between 1st and 2nd dose. Developed numbness on left side toward eye on or about 2 week prior to 2nd dose (on 2/29/21). Additional numbing sensation started across the face (around the mouth and across the eye area) the night after the 2nd dose. Still there. Doesn't seem to have worsed or improved at the time of this report. Had eye Dr. appointment today (3/3/21) and he stated he didn't have any answers as to why this was occurring. Patient didn't report until today thinking it was related to eye surgeries. 1st dose 1/25/2021 2nd dose 2/22/21

Other Meds: None

Current Illness:

ID: 1070025
Sex: M
Age: 66
State: NJ

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

Lab Data:

Allergies:

Symptoms: Cold-like symptoms: slight fever, headache, watery eyes, sore body.

Other Meds:

Current Illness:

ID: 1070026
Sex: F
Age: 74
State: CA

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

Lab Data: None

Allergies: None

Symptoms: Extreme swelling and pain in left arm, followed by nausea, vomiting and diarrhea after about 18 hours

Other Meds: Blood pressure meds, narcotic pain meds

Current Illness: None

ID: 1070027
Sex: F
Age: 76
State: MN

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

Lab Data: NA

Allergies: azithromycin, dye contrast

Symptoms: Reporting a breakthrough with vaccination. Resident tested 10/29/2020 - positive for COVID 19 01/28/2021 - negative for COVID 19 2/4/2021 - negative for COVID-19 2/11/2021 - negative for COVID-19 2/18/2021 - positive for COVID-19 Was vaccinated for COVID -19 on 12/28/2020 and 01/25/2021

Other Meds: Acetaminophen, hydrocodone, albuterol, ascorbing acid, atorvastatatin calcium, benzonatate, calcitonin salmon, cterizine HCL, ferrous sulfate, gabapentin, guaifenesin, lactobacillus acidophilus, levothyroxine sodium, lisinopril, loperamide

Current Illness: NA

ID: 1070029
Sex: F
Age: 36
State: CA

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

Lab Data:

Allergies: No known allergies

Symptoms: Lightheadedness, dizziness, tongue tingling and numbness, general weakness initial high blood pressure 200

Other Meds: Daily Multi-vitamin

Current Illness: None

ID: 1070030
Sex: F
Age: 59
State: TX

Vax Date: 02/18/2021
Onset Date: 02/25/2021
Rec V Date: 03/03/2021
Hospital:

Lab Data:

Allergies: Possible allergic to Amoxicillin .

Symptoms: Rash appeared at the injection site couple days after the injection. A week later, about an inch below the injection spot, a large egg size spot showed up, it was red, swollen. It was very itchy also painful when touching. It lasted about 2-4 day. Now sometimes, I feel a little itchy on that arm, but no redness.

Other Meds: Olmesartan, Vitamin C, D, Zinc, Calcium. ModuChol. half pill of Zyrtec

Current Illness: None

ID: 1070031
Sex: M
Age: 73
State: NY

Vax Date: 02/08/2021
Onset Date: 02/27/2021
Rec V Date: 03/03/2021
Hospital:

Lab Data: Blood tests, EKG, CAT Scan, MRI, X-RAY. Stroke ruled out. Diagnosis Bells Palsy!

Allergies: none

Symptoms: Facial droop and numbness on left side of face. Symptoms started morning of 02/27/2021 and continue as of today 03/03/2021.

Other Meds:

Current Illness: none

ID: 1070032
Sex: F
Age: 67
State: NY

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

Lab Data:

Allergies: none

Symptoms: By 11pm 3/2/21 - headache began. During the night - severe chills. 3/3/21 - Woke up with fever 103.3, extreme fatigue, headache, nausea. All symptoms lasted the whole day. Was taking 500 mg x 2 Tylenol every 6 hours, but in only reduced the fever to 101-102.

Other Meds: Levothyroxine Rosuvastatin Atenolol Losartan Aspirin 81 Multivitamins

Current Illness: none

ID: 1070033
Sex: F
Age: 81
State: SC

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

Lab Data: None.

Allergies: Forteo, and epidural steroid injection.

Symptoms: She got the vaccine, got dizzy, laid down in the bathroom floor and laid there for a while and when she tried to get back up she was not able to move. She does have life alert and the fire department broke into the house and she was taken to the ER. In the ER they gave her IV fluids, checked her vital signs. They did not do anything unusual to her. She was then released after 4-5 hours. She is feeling much better, still a little weak but otherwise fine.

Other Meds: Atenolol, Omeprazole, Losartan, Amlodipine, Lumigan, Timolol, Norco. ARIDES eye vitamin.

Current Illness: None.

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm