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: 1070544
Sex: F
Age: 69
State: MI

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

Lab Data:

Allergies: None

Symptoms: All over body rash the afternoon after getting the vaccine. Extremely itchy legs. Symptoms dissipated by mid-morning the next day. Went to urgent care. Only had a little bit of rash at that time. Doctor suggested Benadryl and Zyrtec. Had a bad flare-up of redness on the back and under the arms on the way home from the appointment. Took Benadryl when I got home. That helped a lot. Took Zyrtec in the morning and Benadryl in the PM for the next 2 days. No more rash, just a little bit of itchiness.

Other Meds: Armour Thyroid, Pravastatin, multi-vitamin, fish oil, vitamin D-3

Current Illness: None

ID: 1070545
Sex: F
Age: 60
State: CO

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

Lab Data:

Allergies:

Symptoms: 7 days post-vaccination, patient states that the injection site had redness, itching and swelling. Patient notified her primary care provider and was informed that this is a common side effect.

Other Meds:

Current Illness:

ID: 1070546
Sex: M
Age: 26
State: NE

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

Lab Data: HOSPITAL DID NONE, all that was given was children?s liquid benedryl in the ambulance

Allergies: NKDA

Symptoms: Immediate burning in both arms. Unable to hold a pencil to fill out card after receiving vaccine. Weakness in upper extremities. Tingling, pain and numbness in both arms, red streaks appeared on the left arm going further up on to the shoulder, the were visible and painful for about 90 mins. Sweating. Nausea. Blurred vision. Loss of consciousness. Headache behind the eyes.

Other Meds: Vitamin D3 gummies 200mcg PO QD

Current Illness: None

ID: 1070547
Sex: F
Age: 36
State: CA

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

Lab Data: CT Head-no bleed, CTAngio Electrolytes, CBC, HCG, coags: all within normal limits

Allergies: Promethazine Reglan

Symptoms: presents to the hospital due to acute R sided weakness and numbness which developed a few minutes after receiving her 1st Covid-19 vaccine. Got 1st shot at POD. Patient not sure if it was the Pfizer or Moderna vaccine. Patient developed RUE weakness, R face and arm numbness and dysarthria shortly after receiving her vaccination. Mild hives were also observed along chest in the ED. Patient received Diphenhydramine and tenecteplase

Other Meds: norelgestromin/ethin.estradiol (Xulane) 150-35 mcg/24 hr TD Weekly Patch Propranolol (INDERAL) 10 mg Oral Tab 2 x day Zyprexa

Current Illness:

ID: 1070548
Sex: M
Age: 33
State: PA

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

Lab Data:

Allergies: None

Symptoms: within 15 minutes of immunization, patient experienced a feeling of fainting, lightheadedness, and ringing of the ears. Patient laid on the floor for an additional 30 minutes and was then released after feeling better.

Other Meds:

Current Illness:

ID: 1070549
Sex: F
Age: 77
State: ID

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

Lab Data: None.

Allergies: Eye doctor dilating drops causes blurry vision for 6-8 hours, has a hard time waking up from anesthesia after procedures like colonoscopy.

Symptoms: Got the vaccine, she went home around 3:30, and was very tired. She woke up after 6:00 PM. This morning she had swelling in her arms, real bumpy about 2 1/2" in diameter, looks like rocks, red/pink area 1 1/2". It is very painful throbbing area on her arms, getting worse. She has been taking Tylenol. She felt a little relief of the pain with the Tylenol. She rested all day yesterday. She left at 10:00 for her bridge club and that's where she noticed the reaction and has gotten home around 3:00 and not feeling well. They told her to call us as they did not have any side effects from the vaccine. She does have an appointment on 3/11/21 with her PCP.

Other Meds: Lisinopril, Rosuvastatin.

Current Illness: None.

ID: 1070550
Sex: M
Age:
State: MD

Vax Date: 01/31/2021
Onset Date: 02/01/2021
Rec V Date: 03/03/2021
Hospital:

Lab Data:

Allergies:

Symptoms: felt like i had the flu; arm got sore; threw up" in middle of night; achy weakness; achy weakness; low grade temp; chills; This is a spontaneous report from a contactable consumer. A male patient of an unspecified age received BNT162b2 ((Pfizer-BIONTECH Covid-19 Vaccine) , via an unspecified route of administration on 31Jan2021, as a single dose for COVID-19 immunization. Medical history and concomitant medications were not reported. The patient received 1st dose of vaccine on 31Jan2021 and was "fine for 2 days" then felt the effects in Feb2021: "threw up" in middle of night, achy weakness, chills, low grade temp. He stated, "soreness in arm, Achy and weak this morning when I got up. I am feeling better now." The patient reported that , "'my arm got sore and I felt like I had the flu for about 24 hrs.-took Tylenol" and was asking if he should be concerned the symptoms started more than 36 hours after getting the 1st dose. The outcome of the events was not reported. Information on lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1070551
Sex: F
Age: 62
State: AZ

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

Lab Data: None

Allergies: None

Symptoms: About 40 minutes after receiving the vaccine, I experienced shortness of breath for about 2 minutes, followed by flushing at which time the breathing returned to normal and has not reoccurred. No other symptoms have been experienced at this time.

Other Meds: Atorvastaton, Baclophen, Gabapentin, Metropolol, Zoloft, Isosorbide mononitrate, clopidegrel, multivitamin, Vitamin D, Omega 3, asprin

Current Illness: None

ID: 1070552
Sex: M
Age: 62
State: WA

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

Lab Data: several tests

Allergies: none

Symptoms: Woke up on 2/3/2021 and my right eye was blurry, with a lot of black spots floating around in my eye. Went to my eye doctor on 2/4/2021 and he did a series of tests, he was said my pressure in my eye was high and recommend that I go to a retinal specialist. I went a retinal specialist and he was not able to determine the problem and sent me to hospital. The doctor said I had acute retinal necrosis. I developed the HSV-1 virus in my right eye. The Doctor said it was maybe a coincidence that it happen

Other Meds: Doxyycycline Hyclate, Tamsulosin, Omeprazole, Durasteride

Current Illness: none

ID: 1070553
Sex: F
Age: 24
State: CA

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

Lab Data:

Allergies: Norco - causes nausea

Symptoms: First day after - muscle fatigue, dizziness, general fatigue (not localized), lower back pain Five days after - vertigo, nausea

Other Meds: Fluoxetine (Prozac), birth control

Current Illness:

ID: 1070554
Sex: F
Age: 75
State: IL

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

Lab Data:

Allergies: Mixed inhalants, dander, birds, cats , dogs, dust

Symptoms: headache, dizziness

Other Meds: Flovent 44mcg 2 puffs twice a day Ventolin90 mcg as needed (not taken in several months) Montelukast 10 mg once a day Fexofenadine HCl 60mg (Allegra) once a day in spring and summer (taking now) Furosemide 40 mg once a day Spironolactone 2

Current Illness: none

ID: 1070555
Sex: F
Age: 54
State:

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

Lab Data:

Allergies:

Symptoms: Patient started feeling lightheaded while walking from vaccination station to post observation area. Patient then started feeling nauseated while sitting in post observation area. Patient ate breakfast this morning. Not on any medication. Conversing with clinic staff and wondering if feeling lightheaded is normal after receiving the shot. Vital signs taken x2 - stable. Offered water but declined. Offered yoga mat to lay down but declined. Feeling better. Looking at phone. Conversing with clinic staff. Nausea resolved but still feeling "a little lightheaded." Steady gait after leaving clinic at 10:15 am.

Other Meds:

Current Illness:

ID: 1070556
Sex: F
Age: 84
State: AL

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

Lab Data: 02/22/2021 X-rays of head and spine. CT scan of head . No fractures on head, increased hematoma over both eyes - racoon eyes. Compression fracture of T12 vertebra. 02/24/2021 MRI of Thoracic and Lumbar spine to R/O other fractures in T11 and L1 02/25/surgery in back - Kyphoplasty of T12 performed .

Allergies: All-cillins, Keflex, ACEI, ARDS, Procardia, Demerol, Novocaine, Tramadol, Robaxin, Surgical tape

Symptoms: 02/20/2021 at 6:30am when getting up, dizziness, nausea, vomiting, fainted, fell and hurt back. 9:00am when getting up a second time, again - dizziness, nausea, fainting , falling and hitting head in bathroom. During day , hematoma over left eye, swelling, no Headache, no blurred vision, back pain increased. Treated with heat.

Other Meds: Bystolic, TRIAM/HCTZ, Amlodipine, Protonix, Claritine, Calcium/ Vit. D, Vitamin B complex. , Glucosamine/MSM, Tumeric, ASA 81mg, Azelastine HCL, Proair inhaler, Melatonin, Tylenol, Prednisone PRN

Current Illness: controlled Hypertension. Asthma

ID: 1070557
Sex: M
Age:
State: IL

Vax Date: 01/13/2021
Onset Date: 01/24/2021
Rec V Date: 03/03/2021
Hospital:

Lab Data: Test Date: 20210124; Test Name: Covid; Test Result: Positive

Allergies:

Symptoms: COVID-19 confirmed by positive COVID-19 test; This is spontaneous report from a contactable patient. A 30-years-old male patient received the first dose on bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE Batch/lot number: EL3247), via an unspecified route of administration on 13Jan2021 at single dose for COVID-19 immunisation, when 30 years old. Medical history was none. The patient's concomitant medications were not reported. The patient experienced got the first dose and then on 24Jan2021 tested positive for covid with outcome of unknown. The patient wanted to know when he could receive the second dose. The patient was treated with Tylenol.

Other Meds:

Current Illness:

ID: 1070558
Sex: F
Age: 51
State: GA

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

Lab Data:

Allergies: Ace inhibitors

Symptoms: High fever, chills, body aches, headache, sore arm, swollen arm, red rash on arm, lasted almost 48 hours. Worse than when I actually had covid in early January 2021. Arm still swollen and painful.

Other Meds: Valsartan, Effexor X-ray, Zyrtec

Current Illness: None

ID: 1070559
Sex: F
Age: 52
State: CA

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

Lab Data:

Allergies: Buckwheat, Kiwi, Almonds, Figs

Symptoms: Pain at injection site within hours same date Pain in armpit on same side of inject developing on first day but more severe day 2 (2/27)and resolving by end of day 3 (2/28) Body aches and fatigue day 2 (2/27) managed with 800mg ibuprofen resolved mostly by afternoon Virtigo from early morning on day 4(3/1) -day 5(3/2) worse while laying down when turn head Woke with left sided flank pain this morning (3/3) but had a physically stressful day prior while moving so not sure if this is related to vaccine, moving or UTI will notify primary if persists.

Other Meds: Multi Vitamin

Current Illness:

ID: 1070560
Sex: F
Age: 40
State: MN

Vax Date: 02/23/2021
Onset Date: 02/28/2021
Rec V Date: 03/03/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Following my vaccination on 2/23-I awoke at 5 am on 2/24/21 fever, body aches, chills, fatigue. On Sunday 2/28 in the evening, I developed a rash on my right buttock which at first just looked like a simple rash. As Monday 3/1 and Tuesday 3/2 progressed, the rash became, very painful, hot and it hurt to sit or even have clothing touch it. I went to the doctor today, 3/3/21 at 3 pm and was diagnosed with Shingles. I have been prescribed an anti-viral medication to treat the Shingles.

Other Meds: None

Current Illness: None

ID: 1070561
Sex: M
Age: 73
State: FL

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

Lab Data: Chest xray, blood work... was given Famotidine and Diphenhydramine

Allergies: Codene, keflex, penicillan and all statins

Symptoms: Burning sensation throughout body. Some tightness in throat difficult swallowing at times. Feel like my Blood is boiling. Watery eyes some. burning feeling not going away.

Other Meds: Metoprolol, Baby asprin and Pantoprazole and Boost supplement.

Current Illness: surgery on back near right shoulder. Cancer spot removed three weeks prior.

Date Died: 03/02/2021

ID: 1070562
Sex: M
Age: 77
State: CA

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

Lab Data:

Allergies:

Symptoms: The coroner called Dr. on 3.2.2021 to advise that he had a witnessed collapse and Mr. was taken to the ED where he was pronounced.

Other Meds:

Current Illness:

ID: 1070563
Sex: F
Age:
State:

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

Lab Data:

Allergies:

Symptoms: flu-like symptoms; head ache; This is a spontaneous report from a contactable consumer. A female patient of an unspecified age received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, lot number and expiration date were not reported), via an unspecified route of administration on Jan2021 at single dose for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. The patient experienced that after her first dose on Jan2021, about 4 weeks ago, she experienced flu-like symptoms and head ache for about 4 days. The outcome of the events was recovered on Jan2021. Information on the lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1070564
Sex: F
Age: 54
State: TX

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

Lab Data: N/A

Allergies: Sulpha

Symptoms: I experienced bad chills and body aches like having the flu and when I previously had Covid 19; headaches have been really bad. Chills and body aches are better as of today, 03/03/2021 but the headaches remains.

Other Meds: Flecinaide, Metropol

Current Illness: Bronchitis

ID: 1070565
Sex: F
Age: 60
State: CA

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

Lab Data:

Allergies:

Symptoms: Patient felt like she needed to cough, dry throat. Iniital BP 151/83. Final BP 137/88 (pulse 71). Given water.

Other Meds:

Current Illness:

ID: 1070566
Sex: F
Age: 100
State:

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

Lab Data:

Allergies:

Symptoms: tingling right hand

Other Meds:

Current Illness:

ID: 1070567
Sex: M
Age: 41
State: CA

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

Lab Data:

Allergies: NKA

Symptoms: 2 minutes after received 1st dose of Moderna COVID vaccine, patient stated unilateral headache, advised to drink water. 3 minutes after receiving vaccine, patient stated " I feel funny, I can't breathe" and lost consciousness x 5-10 seconds. Patient airway clear and breathing monitored. Patient regained consciousness, diaphoretic, oriented. Patient A&O x 4 after sternal rub. HR: 52, SPO2: 97% RA. Provided breath coaching, held patient in upright position, monitored breathing, had patient orally drink water. Manual B/P: 95/60, HR: 64. Patient became more coherent and stated prior to loss of consciousness he felt chest pain, denied any current chest pain, SOB, dizziness, headache, confusion, itching, rash, swelling. Consulted with MD on site who advised EMS called and to monitor patient vitals. Patient declined EMS. Patient placed in wheelchair and taken to private room to lay supine and orally drink fluids. 15 minutes later supine vitals: B/P: 117/77 HR: 68, SPO2: 99% RA. Patient rested for additional 15 minutes, sat upright for 5 minutes. Vitals sitting: B/P 117/79, HR: 69, SPO2: 99% RA. Per MD, patient approved to return home but advised not to drive. Patient stated had not eaten or been drinking water and driven 2 hours prior to vaccination. Patient stated all symptoms resolved except feeling fatigued. Advised patient's wife to drive, to eat/drink prior to leaving, if develops chest pain, SOB, facial swelling, hives, loss of consciousness, lethargy, confusion to go to ER or call 911. Patient and wife verbalized understanding. Patient monitored for 1 hour after loss of consciousness. Telephone call to patient 4 hours after vaccination. Patient stated "feeling much better," ate and drank water after leaving clinic, and resting. Patient denied SOB, chest pain, loss of consciousness, confusion, lethargy, HA, dizziness, lightheadedness. Patient advised to inform PCP of symptoms/reaction and discuss plan for when/if 2nd dose. Explained may have been vasovagal response. Patient stated several years ago having similar episode at ER when seeing blood, stated at vaccine clinic today, watched wife receive vaccine, then saw small drop of blood on his arm before loss of consciousness. Patient stated he will discuss with his PCP.

Other Meds: Unknown

Current Illness: None reported

ID: 1070568
Sex: F
Age: 38
State: IL

Vax Date: 02/10/2021
Onset Date: 02/24/2021
Rec V Date: 03/03/2021
Hospital:

Lab Data:

Allergies: Possibly banana

Symptoms: Shingles. About 1.5 weeks after shot had burning on lower left side. About 2 weeks after shot blistering rash appeared on front lower left abdomen (side still burns but no rash there). Rash area burns and stings. Random pinching and burning throughout body in evening. 3 weeks after shot, rash still burns but not quite as inflamed/raised. Centers of blisters are now darkly colored. Extremely tired. Neck feels like swollen glands.

Other Meds: Allegra(generic), ashwaghanda, D3, B complex, Zinc, Potassium

Current Illness: None

ID: 1070569
Sex: F
Age: 70
State: IA

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

Lab Data: None

Allergies: none

Symptoms: My arm has been red at the injection site for two weeks. There is no pain, minimal swelling, no hardness at site. I was concerned because the site has remained red for two weeks. The redness is approximately 3 inches in diameter with a jagged edge. I called my physicians resource nurse today to ask if this was common. The main reason for calling today was the fact that I reread the side effect section of the fact sheet. It was recommended ot call the vaccination provider or healthcare provider if you had side effects that did not go away. The resource nurse told me that this was a common side effect and that I should come in to see them if the redness spread or got hard or if I had a fever. None of these symptoms currently apply to me. I was advised to have the second vaccination in my left arm.

Other Meds: Prolia injection in November 2020

Current Illness: none

ID: 1070570
Sex: M
Age: 67
State: IL

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

Lab Data: Called my internal medicine doctor and I was told to drink fluids and take it easy. Dizziness has not gone away.

Allergies:

Symptoms: Had a slight fever 24 hours later. Two days later, felt great in the early morning, but around 9:00 a.m. experienced extreme vertigo, (over 4hours) vomiting, arms, hands and feet were tingling -- still dizzy. at 5:30 p.m., I have been drinking water all day to hydrate.

Other Meds:

Current Illness:

ID: 1070571
Sex: M
Age: 0
State: CA

Vax Date: 02/06/2021
Onset Date: 02/15/2021
Rec V Date: 03/03/2021
Hospital:

Lab Data: EKG - 2/26 - Talk to doctor. Said something going on so referred me to my cartioligest for stress test on 3/1. Results not in yet.

Allergies: Sulfa

Symptoms: Chest Discomfort, Pain, tightness, very tired, headache, irregular EKG, low blood pressure, stress test - no results yet. All this done end of February. Now better on 3/3.

Other Meds: Losartan Potassium, Atorvastatin, Metoprolol Tartrate, Clopidogrel Bisulfate, Doxazosin Mesylate. Centrum, Magnesium Oxide, Vitamin D3, Move Free Joint Health

Current Illness: None

ID: 1070572
Sex: F
Age:
State: OR

Vax Date: 01/31/2021
Onset Date: 02/01/2021
Rec V Date: 03/03/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Nauseousness; fatigue; diarrhea; This is a spontaneous report from a contactable consumer reported for herself. A 28-year-old female patient (non-pregnant) received first dose of BNT162B2 (Pfizer-BioNTech COVID-19 mRNA vaccine; lot number and expiry date were unknown), via an unspecified route of administration on the right arm on 31Jan2021 17:30 at a single dose for COVID-19 immunization. The patient has no other medical history. The patient has no known allergies to medications, food, or other products. Since the vaccination, the patient has not been tested for COVID-19. The patient was not pregnant at the time of the vaccination. The patient's concomitant medications were not reported. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. On 01Feb2021 at 08:00, the patient experienced nauseousness, fatigue, and diarrhea. No treatment was received for the reported adverse events. The outcome of the events was unknown. The case has been considered non-serious. Information on the lot number has been requested.

Other Meds:

Current Illness:

ID: 1070573
Sex: F
Age: 41
State: CA

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

Lab Data: experiencing intermittent chest pain and palpitations since day of reaction. undergoing cardiac evaluation currently.

Allergies: none

Symptoms: Tongue swelling and palpitations and difficulty with speech and swallowing, and throat tightness. onset within 30 minutes of vaccines. taken to Urgent care, received epinephrine injection, then transferred by ambulance to Hospital ER. given IV diphenhydramine and IV decadron. chest pain. normal ECG and troponin. They did not check tryptase.

Other Meds: none

Current Illness: none

ID: 1070574
Sex: F
Age: 68
State: CA

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

Lab Data: none

Allergies: quinine,

Symptoms: Headache-left side above ear and near temple-throbbing pain-two acetaminophen 500 mg 3xs a day since 2/26/21 for pain. tiredness

Other Meds: latanoprost 0.005 % ophthalmic solution, predniSONE 5 MG tablet, gabapentin 300 MG capsule, rosuvastatin 40 MG tablet, amLODIPine 5 MG tablet, levothyroxine 100 MCG tablet, ProAir HFA 108 (90 Base) MCG/ACT inhaler,

Current Illness: none

ID: 1070575
Sex: F
Age: 69
State: IL

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

Lab Data:

Allergies: None

Symptoms: Since 24 hours after injection moderate to sever itching and tingling. left upper arm and upper back. Currently using hydrocortisone cream 2 to 3 times a day to lessen itching. Continuous day and night. No issues before injections. I am a retired RN. No redness noted at injection site. Or anywhere.

Other Meds: Flecainide 50mg BID Lipitor 20mg daily Metoprolol ER 25mg daily Protonix 40mg daily Aspirin 325 mg daily Centrum silver 1 daily Vitamin d 3 2000 units Flovent inhaler BID

Current Illness: None

ID: 1070576
Sex: F
Age: 46
State: PA

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

Lab Data:

Allergies: Latex

Symptoms: Major soreness in arm starting 6pm day of vaccine, and continuing through 3/2. Fatigue and nagging headache 3/2. Resolved by 3/3.

Other Meds: None

Current Illness: None

ID: 1070577
Sex: F
Age: 64
State: WA

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

Lab Data:

Allergies: None

Symptoms: The feeling of throat constricting (tight).

Other Meds: None

Current Illness: None

ID: 1070578
Sex: F
Age: 70
State: CA

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

Lab Data:

Allergies: Unknown

Symptoms: Fire Medic Response 70 Y/O Female L Arm Tingling PT had just received her 2nd Dose of Moderna Vaccine into Left Arm Upon observation PT stated that her Left arm was tingling, Head Tingling Paramedics On Scene assessed PT and Began 911 EMS local response, Upon assessment PT had multi-focal PVC's, Positive Orthostatics. Transported PT via ambulance to Hospital "Moderna Covid19 EUA"

Other Meds: Unknown

Current Illness: Unknown

ID: 1070579
Sex: F
Age: 50
State: NY

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

Lab Data: none

Allergies: none

Symptoms: Sore & heavy arm, warmness at injection spot, slight rash on arm, extreme fatigue, body aches, low grade fever, foggy head. Treated with ibuprofen, ice compress, beneadryl and rest. Symptoms have mostly gone away 48 - 72 hours later.

Other Meds: Advil Cold & Sinus, Singulair, multi-vitamin, collagen, super green powder.

Current Illness:

ID: 1070580
Sex: F
Age: 71
State: CA

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

Lab Data: None

Allergies: Allergic to penicillin

Symptoms: 8 hours after injection I became extremely fatigued, with body and joint pain. Nauseated. Severe vomiting over several hours. Chills. Sweats. Headache. After 8 hours, I was better. Today I am a bit tired and have no appetite but will be fine.

Other Meds: None

Current Illness: None

ID: 1070581
Sex: M
Age: 54
State: TX

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

Lab Data: none

Allergies: none listed at time of visit

Symptoms: Vaccine was given at 21 day interval. Client was informed of vaccine being given too early. No vaccine recommended to be repeated at this time.

Other Meds: unknown

Current Illness: unknown

ID: 1070582
Sex: M
Age:
State: GA

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

Lab Data: Test Date: 20210123; Test Name: Rapid COVID-19 Test; Test Result: Positive

Allergies:

Symptoms: positive COVID-19 test; Arm was a bit sore; This is a spontaneous report from a contactable consumer (patient's wife) received from a Pfizer sponsored program. A 69-year-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EL3302), via an unspecified route of administration at arm left on 19Jan2021 (at the age of 69 years) at single dose for COVID-19 immunisation. Medical history included heart stent and blood pressure abnormal, both from an unknown date and unknown if ongoing. Concomitant medication included omeprazole (PROTONIX). The patient experienced COVID-19 test that was positive on 23Jan2021 and arm was a bit sore on Jan2021. The patient underwent lab tests and procedures which included SARS-COV-2 test: positive on 23Jan2021. Therapeutic measures were taken as a result of COVID-19 and included treatment with infusion of the monoclonal antibodies (Eli Lilly) on 27Jan2021. The patients outcome of the events was unknown.

Other Meds: PROTONIX [OMEPRAZOLE]

Current Illness:

ID: 1070583
Sex: M
Age: 66
State: KS

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

Lab Data: CT Scan

Allergies:

Symptoms: He complained of dizziness the evening of the shot. He went to bed and when he woke up the next morning he was having double vision. Is eye drifted off to the side and he was too dizzy to get up. He was taken to the hospital. They did a CT scan which didn't give a diagnosis, and they were unable to do a MRI scan due to a medical reason, so they could not determine for sure if he had a stroke. They are assuming that he did have a stroke and he has oculomotor nerve paralysis on the right side. The nurse practitioner saw him today and she reports he is doing very well now. He had been staying in a assisted living type facility when this occurred, but he is expected to return home tomorrow.

Other Meds:

Current Illness:

ID: 1070584
Sex: M
Age: 1
State: ID

Vax Date: 02/15/2021
Onset Date: 02/27/2021
Rec V Date: 03/03/2021
Hospital:

Lab Data:

Allergies: No allergies per mom

Symptoms: Rash, redness, and swelling on on the are of vaccines, and pain. Left thigh has erythematous base with 2 injection marks one bruised superiorly. The Erythema is approximately 3cm in diameter with surrounding papules in the perimeter. No vesicle. It is tender. Difficult to assess whether allergic reaction or early cellulitis.

Other Meds: Vitamin D

Current Illness: Teething, fussy.

ID: 1070585
Sex: F
Age: 56
State: TX

Vax Date: 12/22/2020
Onset Date: 12/23/2020
Rec V Date: 03/03/2021
Hospital:

Lab Data:

Allergies: penicillin; Sulphur - with Bactrim in particular

Symptoms: About 12 hours after, had a fever, body aches and tired. I took ibuprofen and that helped with the symptoms. These symptoms lasted about 24 hours.

Other Meds: Estradiol; Lisinopril with Hydoclorothiroroizde; Singular; CoQ10 -200 mg; Vit C; Vit D

Current Illness: no

ID: 1070586
Sex: F
Age: 71
State: CA

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

Lab Data:

Allergies: Melon, Mango, dust mites.

Symptoms: Patient's 15 min observation period completed, she got up to leave and c/o feeling dizzy while waiting for the elevator. Had patient sit down and assessed her VS. 2:10p BP 106/70 , HR 70, O2 sat 96% 2:25p BP 101/62, HR 74, O2 sat 96% 2:37p BP122/81, HR 82, O2 sat 96% Patient reported dizziness subsided and was DC'd home at 2:38p

Other Meds:

Current Illness:

ID: 1070587
Sex: F
Age: 41
State: CO

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

Lab Data:

Allergies: shellfish - anaphylaxis

Symptoms: 41 yo Female developed numbness and tingling in the tongue and mouth about 15 minutes after receiving 1st dose of Moderna vaccine. She reported a history of anaphylaxis to shellfish in the past and was being observed for 30 minutes. Member was brought over to care area to be monitored closer. After about 10 minutes, she reported progression of her symptoms with itchy throat and worsening tongue tingling. Exam and vitals remained normal. Based on her history and progression, team was concerned for early anaphylaxis. She was given an epipen shot and within 5 minutes all symptoms had resolved.

Other Meds: nasal steroids, mobic prn

Current Illness: none

ID: 1070588
Sex: M
Age: 71
State: AZ

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

Lab Data: None

Allergies: Valsartan HCTZ Met for in Nateglinide Simvastatin Tamsulosin Metoprolol ER Succinate Benefiber Triamcinolone 0.1% ointment Aspirin Vitamin C Magnesium Cetrizine Hydrochloride Melatonin Voltaren Gel

Symptoms: Feeling really are all over my body. Feels like I have a fever but I?ve check and I don?t have a fever. I started feeling like this at about 4 hours (9:00 pm) after the injection and it?s has continued as I write this at 5:00 pm the day after the injection.I don?t feel like doing anything including eating. All I want to do is lie down and try to sleep. I have not taken any medication for this but I?m about to try a Tylenol tablet.

Other Meds:

Current Illness: None

ID: 1070589
Sex: F
Age: 65
State: AZ

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

Lab Data: EKGs, blood tests, chest x-ray all on file at Hospital.

Allergies: Vicodin

Symptoms: Heart palpitations, lasting over 10 hours within 24 hours of injection each time. First dosage caused an ambulance trip to ER at hospital as it happened twice within 72 hours of injection; once within 24 hours and once 72 hours later. I did not go to hospital after 2nd injection even though my heart rate was over 140 bpm for 10 hours within 24 hours of injection. I had an appointment with a cardiologist, a few days later.

Other Meds: Relaxofene 60 mg Synthroid 88 mcg Doxepin 25 mg

Current Illness: none

ID: 1070590
Sex: F
Age: 52
State:

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

Lab Data: None

Allergies: Plasters and An antibiotic begging with T. Sorry don?t know how it?s spelt

Symptoms: Very sore arm. Red and very itchy. Feels like a dead arm

Other Meds: Aspirin Atorvastatin Bisoprolol Lansoprazole Lisinopril

Current Illness:

ID: 1070591
Sex: F
Age: 81
State: ID

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

Lab Data:

Allergies: Dapro

Symptoms: About 10 min post vaccination, patient reported "tingling in the mouth and lips" and "tightness in the throat". Patients vitals were taken and within normal limits. Patient was then monitored one-on-one and reported slight difficulty breathing about 10 min later. Patient was given diphenhydramine 25mg PO x 1 dose. Patients vitals were taken again 10 min later and were within normal limits. Patient reported improvement of symptoms and was monitored for an additional 15 minutes.

Other Meds: acetaminophen (TYLENOL) 325 mg Cap albuterol (PROAIR HFA) 90 mcg/actuation inhaler amLODIPine (NORVASC) 10 MG tablet apixaban (ELIQUIS) 2.5 mg Tab AZOPT 1 % ophthalmic suspension beclomethasone (QVAR) 40 mcg/actuation inhaler CA

Current Illness: N/A

ID: 1070592
Sex: M
Age: 23
State: OR

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

Lab Data:

Allergies: NKDA

Symptoms: Vaccine administered at 0939. At 0945 patient passed out in the observation area. Nursing staff responded to the situation. Patient woke up within one minute. VS upon regaining consciousness were as follows: BP-98/74, HR-74, O2 -98. Pt and his parents verify that he has had fainting spells in the past when getting a vaccine or seeing blood. Pt confirms this has happened at least 5 times in the past. Pt moved to a more private observation area. Pt given water and sat under observation for several minutes when he reported feeling unwell again and asked to lay down. Vital signs taken again at this time (0955) and were as follows BP - 94/55, HR - 50, 02-98.

Other Meds: NA

Current Illness: NA

ID: 1070593
Sex: F
Age: 64
State: MN

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

Lab Data:

Allergies: contrast dye

Symptoms: On Sunday, February 28 and Monday, March 1 my arm was itchy at injection site. On Tuesday, March 2 my arm had red spots from injection site and half way down the arm to the elbow. Slight red color to skin and also with the itchy skin. On Wednesday the red skin increased to the upper portion of the arm, not including the skin underneath. Itchy feeling stated to decrease. March 3, Per doctor, continue to watch and if the red skin spreads more, I will contact them and they will issue an antibody.

Other Meds: Eliquis, Levothyroxine, Pantoprazole, Triphrocaps, Sevelamer, Vitamin D3

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm