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: 1070799
Sex: F
Age: 55
State: OR

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

Lab Data: Saw Dr. eventually (after urgent care) who believes may have triggered PMR.

Allergies: NKA

Symptoms: - second vaccine caused serious reaction - seen by UC - symptoms started first night after the vaccine with tingly hands, then itching all over, then hives, and by the next morning she was "pretty much a hive" - even in her mouth, one on head that turned into a "goose egg", joints swelled up, temperature to 101, skin fell off around her finger, blood blisters on palms that peeled off, ears swelled up, joints aching - pt states this was all very scary - was the Moderna vaccine - has been in touch with Dr. and he told her that she now has PMR, possibly triggered by the COVID vaccine - took prednisone and then felt much better - next visit is phone visit with Dr. on 3/11, then in person visit in 3-4 weeks

Other Meds: Current Outpatient Medications Medication Sig Dispense Refill ? predniSONE (DELTASONE) 10 mg tablet Take 20 mg by mouth once daily ? cyclobenzaprine (FLEXERIL) 10 mg tablet TAKE ONE TABLET BY MOUTH THREE TIMES A DAY AS NEEDED FOR MUSCL

Current Illness: ? Postoperative hypothyroidism ? Lupus (systemic lupus erythematosus) (HCC-CMS) ? Vitamin D deficiency ? Fibromyalgia ? Vaginal atrophy ? Failed back syndrome of lumbar spine ? Age-related osteoporosis with current pathological fracture with routine healing ? Atherosclerosis of aorta (HCC-CMS) ? Mild intermittent asthma ? Thyroid nodule ? Erosive osteoarthritis of both hands ? Dyslipidemia ? Neck tightness ? Cervical disc disorder with myelopathy ? Family history of colon cancer ? Lower abdominal pain ? Family history of melanoma ? Colon polyp

ID: 1070800
Sex: F
Age: 63
State: AZ

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

Lab Data: URINALYSIS, VITALS

Allergies: NKA

Symptoms: LOW GRADE FEVERS 100.1, LEFT UPPER QUADRANT ABDOMINAL PAIN

Other Meds: LEVOTHYROXINE, ADVAIR 250/50, MULTIVITAMIN, MONTELUKAST 10 MG, ASPIRIN 81MG, ALBUTEROL HFA INHALER, BUPROPION XL 300MG, QUETIAPINE 25MG, VIT D 75MCG, ESCITALOPRAM 20MG

Current Illness:

ID: 1070801
Sex: F
Age: 63
State: MO

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

Lab Data:

Allergies:

Symptoms: patient described symptoms of swelling and itching in her tips of fingers on hands, bottom of feet, and face that started about 1 hour after getting vaccine for which she took benadryl for and then it resolved

Other Meds:

Current Illness:

ID: 1070802
Sex: F
Age: 56
State: WA

Vax Date: 02/07/2021
Onset Date: 02/08/2021
Rec V Date: 03/03/2021
Hospital: Y

Lab Data: CT scan conducted on February 8, 2021 which determined a seizure occurred at home, also determined bleeding in the brain and a C2 fracture. Official injuries were declared: subarachnoid hemorrhage, traumatic brain injury, C2 fracture, seizure and forehead laceration

Allergies: None

Symptoms: On February 8th, 2021 patient came home early from work around noon due to not feeling well. She was feeling tired, slightly nauseous and very low energy. At about 4:50 PM that day, patient got up to walk to the pantry after eating some peanut butter toast. She suddenly stopped and shut her eyes and froze and then she began having a seizure (and she has never had a seizure before and seizures do not run in her family). After the shaking from the seizure ceased, her body tensed up and she fell flat backwards and she hit her head on the refrigerator. She then was going in and out of consciousness, she had a big laceration on her forehead and was bleeding rapidly. I, her daughter, witnessed this and then at 4:54 PM I called emergency services and paramedics arrived and took her to the hospital. Later that evening, the family was notified that the patient had bleeding in her brain, a concussion, a forehead laceration that received 15 stitches and a broken neck (C2 fracture). She was taken to the hospital that evening on February 8, 2021. Patuent experienced a second seizure while at the hospital during a CT scan. Patient later was able to come home February 11, 2021 in the afternoon. Patient now has to wear a neck brace for up to 12 weeks, cannot drive, cannot work for up to 12 weeks, and is still recovering cognitively from the concussion.

Other Meds: Buproprion XL (1 tablet 150 MG and 1 tablet 300 MG, both taken daily) and Venlafaxine ER 150 MG 1 tablet taken daily, fish oil, biotin, vitamin D, vitamin C, turmeric

Current Illness: None

ID: 1070803
Sex: F
Age: 31
State: CA

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

Lab Data: Lab work/stool studies were negative for any bacterial or viral infections. Labs completed on February 11: Stool occult blood, stool giardia, cryptosporidium and entamoeba, stool WBC, stool, bacteria GI Pathogen panel

Allergies: None

Symptoms: I was exclusively breastfeeding at the time of receiving both doses. My 4 month old son developed diarrhea on February 1st and it lasted 2 weeks. Lab work/stool studies were negative for any bacterial or viral infections.

Other Meds: Prenatal vitamin (Seeking Health brand)

Current Illness: None

ID: 1070804
Sex: F
Age: 66
State: AZ

Vax Date: 02/08/2021
Onset Date: 02/11/2021
Rec V Date: 03/03/2021
Hospital:

Lab Data: None, they gave me a strep test that was negative. Had a Covid test done also negative

Allergies: penicillin, Morphine

Symptoms: Sore throat, light sensitivity with my eyes, always tired (sleeping 10 hr nights and several naps a day), Headache, tongue and mouth sore

Other Meds: Lamotrigine 100 mg, Alprazolam .25, Pravastatin 100 mg, Nortriptyline 50mg, Melatonin 10mg, Lisinopril 20 mg, Duloxetine 30 mg, Clopidogrel 75 mg, Metoprolol 25 mg, Amlodipine 5 Mg

Current Illness: none

ID: 1070805
Sex: F
Age: 54
State: CA

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

Lab Data: Unknown

Allergies: Unknown

Symptoms: Pt c/o redness to face and chest and lightheadedness. Rash noted on checks, neck, and upper chest noted. Pt denied SOB, difficulty breathing, or chest heaviness. C/O mild itching. Pt declined referral to ER. Given 50 mg of oral Benadryl per protocol. Husband to drive home. Encouraged pt to call PMD and alert to reaction. Instructed to go to ER or call 911 if difficulty breathing develops or s/s worsen.

Other Meds: Unknown

Current Illness: Unknown

ID: 1070806
Sex: F
Age: 45
State: FL

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 03/03/2021
Hospital:

Lab Data: no

Allergies: no

Symptoms: About 5 am, I had symptoms and they were nausea, vomiting, extreme fatigue, chills, fever and about 3:00 pm was the peak of it. About 6:00 - 8:00 pm I started feeling better. I slept most of the day. But I did have all those symptoms all day - I had extreme malaise. I didn't do anything. I tried to rally but couldn't do anything. My arm hurt for about 5 - 6 weeks afterwards. I woke up at about 8:00 am the following day, the 23rd it was a lot better and about noon it was done. About 36 hours later for the majority of it.

Other Meds: multi-vitamin

Current Illness: no

ID: 1070807
Sex: F
Age: 54
State: NJ

Vax Date: 02/23/2021
Onset Date: 02/24/2021
Rec V Date: 03/03/2021
Hospital:

Lab Data: EKG- normal CBC- normal, no anemia , no infection CMP - normal except low potassium 3.2 and low Mg 1.2 Glucose 198 D-dimer 0.29 normal

Allergies: Levaquin, vicodin, Percocet, Lotrel

Symptoms: The patient received the vaccine on 2/23/21. The next day she experienced dyspnea and wheeezing which was relieved using her inhaler and nebulizer. On 2/27/21, 4 days after receiving the vaccine she developed hives of both arms, her back, and buttocks. She went to the emergency room and was treated with prednisone which relieved the hives. Today 3/3/21 she has just a small hive at the injection site and no further difficulty breathing.

Other Meds: Amlodipine 5 mg Lisinopril/HCTZ 20/12.5 mg Metformin 1000 mg BID Ventolin HFA

Current Illness: none

ID: 1070808
Sex: F
Age: 30
State: IL

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

Lab Data: N/A

Allergies: Dust, pollen, cat dander

Symptoms: Swollen arm pit gland

Other Meds: Pre-natal vitamins and Vitamin D supplements

Current Illness: N/A

ID: 1070809
Sex: F
Age: 72
State: CA

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

Lab Data: none

Allergies: Aspirin, Prinzide

Symptoms: ? PALPITATIONS pt getting vaccine this afternoon. +palp post-injection, denies CP/SOB/dyspahagia, AOx4, fsbs=119 Patient was released after observation

Other Meds: None known

Current Illness:

ID: 1070810
Sex: F
Age: 33
State: PA

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

Lab Data: none

Allergies: none

Symptoms: A few hours after the second dose of Moderna vaccine I began to feel achy. This was the beginning of a 24 hour period of systems. Fever, chills, sweats, body aches, could barely move my left arm, pain in my bones and joints, pain in my pelvis, couldn't sleep because my body hurt so badly.

Other Meds: tri-legest birth control

Current Illness: none

ID: 1070811
Sex: M
Age: 91
State: CA

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

Lab Data:

Allergies:

Symptoms: Patient was given a Pfizer vaccine as the 2nd dose and then it was realized that he had received Moderna as a 1st dose. This patient arrived with his screening form that he had filled out checking Pfizer as first dose given on 1/28/2021 and the vaccinator gave him his 2nd vaccination and then asked for his card--and then realized that the card with first dose had a Moderna vaccine given. Our vaccination site only gives Pfizer currently. This error was realized and I, the physician was notified. I explained the situation and error to the patient and gave him my contact information for reference.

Other Meds:

Current Illness:

ID: 1070812
Sex: F
Age: 38
State: CA

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

Lab Data:

Allergies: Possible Shrimp allergy

Symptoms: Heat and swelling at injection site

Other Meds: Vitamin D, Fiber, Calcium

Current Illness:

ID: 1070813
Sex: F
Age: 42
State: CO

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

Lab Data: n/a

Allergies: Tree nuts, coconut, citrus, melons, weed and grasses, cats, feathers, sulfite and adhesive sensitivity

Symptoms: anaphylaxis - throat tightness, hoarseness, coughing, trouble swallowing, nausea, dizziness, pallor, watery eyes, urinary incontinence, sense of impending doom

Other Meds: Synthroid, Cytomel, Zoloft, Wellbutrin, Prilosec, Vitamin D3

Current Illness: post COVID

ID: 1070814
Sex: M
Age: 44
State: OK

Vax Date: 02/22/2021
Onset Date: 03/01/2021
Rec V Date: 03/03/2021
Hospital:

Lab Data:

Allergies: N/A

Symptoms: Sore injection site Red rash (approx 4 inches) Ear pain Nasal irritation

Other Meds: Multi vitamin

Current Illness:

ID: 1070815
Sex: F
Age: 75
State: NM

Vax Date: 02/13/2021
Onset Date: 02/16/2021
Rec V Date: 03/03/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Moderna Covid-19 Vaccine EUA: SWOLLEN, PAINFUL LYMPH NODE near collarbone. This has been present for two-weeks. There has not been enough publicity or information provided about this side effect, which can be worrisome, especially to women. I had to do my own research to learn that this might continue for another two weeks and that I shouldn't get a mammogram until a few weeks after my second dose. This swollen lymph node might even be present when I get my second dose March 13, so I'm left wondering how that second dose might further impact lymph nodes that are already swollen. Please, please, add more information about this side effects to all your brochures, patient information, etc. Thank you.

Other Meds:

Current Illness:

ID: 1070816
Sex: F
Age: 30
State: MI

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

Lab Data: None

Allergies: none

Symptoms: Headaches, with some chills, nausea, and body aches, recurring nightly, lasting through the morning, then clearing up during the day. Did not appear to have a fever or any other outward signs. This pattern lasted four nights and mornings. After the fourth morning no further symptoms appeared.

Other Meds: estradiol, progesterone, adderall, possibly a women's multivitamin

Current Illness: none

ID: 1070817
Sex: F
Age: 42
State: CO

Vax Date: 02/10/2021
Onset Date: 02/18/2021
Rec V Date: 03/03/2021
Hospital:

Lab Data: None reported

Allergies: None reported

Symptoms: Moderna COVID- 19 Vaccine EUA: Patient received vaccine and had no immediate reaction. Patient feeling well without fevers, chills, shortness of breath, redness, or pain. Patient states eight days after vaccination felt a lump in left deltoid. It felt somewhat itchy and inflamed. Nine days after vaccination patient woke and arm was red and itchy: provider advised over the counter antihistamines and to closely monitor symptoms.

Other Meds: None reported

Current Illness: None reported

ID: 1070818
Sex: F
Age: 38
State: AZ

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

Lab Data:

Allergies:

Symptoms: Wanted to report that I was 2 weeks pregnant at time of first shot.

Other Meds:

Current Illness:

ID: 1070819
Sex: M
Age: 28
State: WA

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

Lab Data:

Allergies: Coconut

Symptoms: Rash over body within five minutes of injection. Given Benadryl and observed foe two hours

Other Meds: Truvada

Current Illness: Nond

ID: 1070820
Sex: F
Age: 83
State: OH

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

Lab Data: CHEST XRAY BLOOD WORK UNINALYSIS

Allergies: MACROBID SHELLFISH CODEINE

Symptoms: PAIN, SWOLLEN, RING OF INFLAMMATION, PURPLE KNOT AT INJECTION SITE. WENT TO ER 2/27 WITH TEMP OF 101.54. CHEST XRAY, BLOOD WORK, UNINALYSIS,. IV FLUIDS, IV ANTIBIOTIC, ZOFRAN FOR VOMITING. MD CONCLUDED REACTIN TO VACCINE. FILL RX FOR ZOFRAN LATER THAT EVENING

Other Meds: LISINOPRIL, OXYBUTYNIN, CENTRUM, XARELTO, LEVOTHYROXINE, POTASSIUM CHLORIDE.

Current Illness: N/A

ID: 1070821
Sex: F
Age: 75
State:

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

Lab Data:

Allergies:

Symptoms: heart racing shortly after vaccination

Other Meds:

Current Illness:

ID: 1070822
Sex: F
Age: 64
State:

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

Lab Data: none

Allergies: none

Symptoms: Pain all over body, fever, chills, sore arm, couldn't sleep because body hurt so badly. Only relieved by NSAIDs taken around the clock for 24 hours

Other Meds: none

Current Illness: none

ID: 1070823
Sex: F
Age: 45
State: GA

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

Lab Data: N/a

Allergies: No

Symptoms: Sore arm

Other Meds: Synthroid

Current Illness: No

ID: 1070824
Sex: F
Age: 42
State: IL

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 03/03/2021
Hospital:

Lab Data: unknown

Allergies: none known

Symptoms: When presenting to COVID vaccine clinic, patient reported a significant allergic reaction to dose 1 of the COVID vaccine. She reported SOB, itching, throat tightness. Was placed on steroids to remedy the reaction. Advised to not receive dose 2. She was in agreement to this plan.

Other Meds: unknown

Current Illness: none known

ID: 1070825
Sex: F
Age: 57
State: CA

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

Lab Data: none

Allergies: none

Symptoms: about 2pm today, which is about 24 hours from when I received my vaccination, I started seeing shadows and particles in my vision in my left eye. All the shadows and particles are showing up on the left side and top of my peripheral vision.... I'm not sure if it has anything to do with my covid vaccination, but this has never happened before. So I thought I should report it.

Other Meds: Losartan Potassium 100 MG tab, Hydrochlorothiazide 12.5 MG CP, over the counter kirkland brand Claritin D 24 hour Allergy pill, over the counter Estroven Vitamin Supplement for menopause symptoms.

Current Illness: none

ID: 1070826
Sex: F
Age: 69
State: CA

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

Lab Data:

Allergies: Latex

Symptoms: Never run fevers -but ran 102.5 for 24 hrs. Then 99.5 second day. Nausea, diarrhea , headache. Red area at vaccine site.Slept for 16 hrs. Had no reaction to first dose

Other Meds: 40mg citalopram ssri

Current Illness: None

ID: 1070827
Sex: M
Age: 69
State: ID

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

Lab Data: unknown, he said he would contact his doctor to see if they want to see him

Allergies: NONE KNOWN

Symptoms: Spots that look like bruises have come out on his right hand, between his knuckles and wrist, his left arm - inside forearm and upper abdomen, just below his sternum. He says on his arm it is a cluster of 4-5 splotches that sort of group together and there are some "satellite spots" in the same area. On his sternum it looks like a big circle, yellow and bluish like a bruise. He has not been in any accidents or had any falls. none of the spots are near the injection site itself.

Other Meds: ATORVASTATIN, METFORMIN, AMLODIPINE, LISINOPRIL, FLUTICASONE NASAL SPRAY, ANORO ELLIPTA INHALER, DOXAZOSIN, HYDROCHLOROTHIAZIDE, TAMSULOSIN

Current Illness: UNKNOWN

ID: 1070828
Sex: F
Age: 45
State: VA

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

Lab Data: 2/20, 2/22, 2/23, 2/25 - EKGs were completed 2/25 - CT Scan of lungs - nothing found 2/23, 2/25 - Blood Work High Glucose, Low Potassium, High D-Dimer, High WBC, High LYM

Allergies: Multiple Food Allergies, Allergies to Venoms, Allergies to Trees, Mold, Dust Mites

Symptoms: 2/20/2021 Within 10 minutes of receiving the vaccine, sinus congestion and thickening of the throat, coughing, lightheaded, tachycardia. Administered epinephrine from auto injector by nurse at clinic. Administered Benadryl by EMS & EKG was completed At ED administered IV steroid and Pepcid. Observed for four hours and sent home 2/22/2021 - @ 6:55 am Secondary reaction occurred with sinus congestion and thickening of the throat, coughing, lightheaded, tachycardia. Administered epinephrine from auto injector by nurse, EMS was called Administered Benadryl by EMS & EKG was completed At ED administered IV steroid and Pepcid. Observed for four hours and sent home

Other Meds: Vitamin C, Vitamin D

Current Illness: No illness at the time of the vaccine, but bronchitis two weeks prior

ID: 1070829
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: none

Allergies: Shell fish

Symptoms: pruritis, transient HTN 173/94 Given Benadryl 25mg IM x 1 Send to ED for further observation

Other Meds: none known

Current Illness:

ID: 1070830
Sex: F
Age: 74
State: WA

Vax Date: 02/15/2021
Onset Date: 02/16/2021
Rec V Date: 03/03/2021
Hospital:

Lab Data:

Allergies: Some antibiotics

Symptoms: Moderna COVID-19 Vaccine EUA Headache about 13 hours after the shot; nausea, body aches, chills, tiredness, sore arm about 16 hours after the injection. After taking a Tylenol, most symptoms were gone after a few hours, except the tiredness, which lasted about 10 days.

Other Meds: Alendronate 70 mg Ciclesonide

Current Illness: A cold

ID: 1070831
Sex: M
Age: 89
State: CA

Vax Date: 02/08/2021
Onset Date: 03/01/2021
Rec V Date: 03/03/2021
Hospital:

Lab Data: N/A

Allergies: Lactose

Symptoms: Patient received Pfizer COVID 19 Vaccine on 2/8/2021 Patient received 2nd COVID 19 vaccine on 3/1/2021, he received Moderna instead of Pfizer. Pt is well, no adverse reaction from event.

Other Meds: Pepcid, Lisinopril, Alvesco, Lipitor, Bisoprolol, Hytrin, Penlac, ASA

Current Illness: Known

ID: 1070832
Sex: F
Age: 41
State: AK

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

Lab Data:

Allergies:

Symptoms: Reports symptoms began 6pm , 1 hour after receiving vaccination, headache and feeling bumps on her tongue and roof of mouth, taste was off. on 3/3/21 midnight was awakened from sleep from pain in all of her joints, back and neck. Experienced dizziness and fatique in the morning.

Other Meds:

Current Illness:

ID: 1070833
Sex: F
Age: 34
State: NY

Vax Date: 01/16/2021
Onset Date: 01/23/2021
Rec V Date: 03/03/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: 7 days after receiving the vaccine - round red, swollen, itchy, hard at injection site

Other Meds: Atorvastatin; Claritin; Vitamin C; Zinc; Probiotic; Biotin; Vitamin D; Viviscal

Current Illness: none

ID: 1070834
Sex: M
Age: 66
State: OR

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

Lab Data: examined by physician.

Allergies: None known

Symptoms: About 2 1/2 weeks after my first COVID vaccine I developed a case of shingles, Herpes zoster.

Other Meds: None

Current Illness: None

ID: 1070835
Sex: F
Age: 55
State: MI

Vax Date: 02/10/2021
Onset Date: 02/18/2021
Rec V Date: 03/03/2021
Hospital:

Lab Data: All tests 2/18/21 ECG Apple Watch said atrial fibrillation Elevated heart rate at arrival in ER (130-151) Symptoms of a-fib including frequent urination All blood work and urinalysis WNL Electrolyte IV given Symptoms returned to normal within 5 hours Currently wearing Zio heart monitor

Allergies: None

Symptoms: 8 days after 2nd dose, ended up in ER with atrial fibrillation

Other Meds: Spironolactone Multivitamin

Current Illness: None

ID: 1070836
Sex: F
Age: 69
State: NC

Vax Date: 02/01/2021
Onset Date: 02/16/2021
Rec V Date: 03/03/2021
Hospital:

Lab Data:

Allergies: Tape

Symptoms: Itching on both hands and around injection site.Moderna COVID- Vaccine EUA

Other Meds: Olmesartan 20mg pantoprazole DR 40mg, venlafaxine Hydrochloride ER 37.5mg, Hyrochlorothiazide 12.5mg, Levothyroxine 75mg, Vitamin D3 5000IU

Current Illness: None

ID: 1070837
Sex: F
Age: 69
State:

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

Lab Data:

Allergies:

Symptoms: Week after vaccine, injection site became swollen, sore, red and itchy, stayed that way from Feb 9th through Feb 28th. Today March 3rd, still a little sore, second Covid vaccine scheduled for March 5th. Correction, first vaccine was on Feb 3, 2021

Other Meds:

Current Illness:

ID: 1070838
Sex: M
Age: 68
State: CA

Vax Date: 02/17/2021
Onset Date: 02/22/2021
Rec V Date: 03/03/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Numbness to left side of the face, drooping ness of left eye and eyebrow, not able to smile with left side, swelling of right side of the face.

Other Meds:

Current Illness:

ID: 1070839
Sex: F
Age: 66
State: AZ

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

Lab Data:

Allergies: Sulfites, dairy protein, gluten, mango, citrus, benzylakonium chloride, some perfumes and chemicals sensitivities, latex

Symptoms: Bad, strong chemical taste in mouth from approximately 10 minutes after vaccination for about 6 days after. Slight confusion from about 15 minutes after vaccination, lasting about 15 minutes. Second morning after vaccination woke up seeing a greenish tint to my vision. That cleared in about 5 minutes after drinking a cup of water. Besides these more unusual reactions, my vaccinated arm was sore for several days and I had a runny nose for about 30 -60 minutes on the 4th day afterward and some queasiness and upset stomach also for a day on the 4th day with some fatigue.

Other Meds: Armour thyroid taken that morning.

Current Illness:

ID: 1070840
Sex: F
Age: 63
State: AZ

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

Lab Data: EKG 02-09-2021

Allergies: None

Symptoms: 2/4/2021-Extreme rapid heart race 11:30pm until 4:00am . Skipping beats. Extreme heat sensation last all day. Shaking (not a chill feeling, body shaking so bad. Felt like Gallbadder inflamed and an Ovary had pain. No fever 2/5/2021_ Heart skipping. Extreme Heat/ Body Shaky (no chills) No Fever 2-6-2021- Heart racing. Extreme heat inside of body. Red blood dots on arms, chest and back. (not like rashes) Flat to feel. Extreme heat then shaking insides felt like it was being sucked out of body. Heart flutter. Muscle jumps. No Fever 2-7-2021- Body on fire again and shaking real bad all night. Feeling like insides were being sucked out. Heat fluttering. No fever. 2-8-2021- Heart Fluttering . Heat sensation. Went to doctor. EKG was performed. Doctor advised not to get the second dose. 2-9-2021 - Brain fog . Heart Flutter. I did not feel like myself until 3 weeks later. Kinda felt like my body was off or shutting down.

Other Meds: Metoprolol Succinate ER 24 hr 12.5mg Lisinopril 20mg

Current Illness: None

ID: 1070841
Sex: F
Age: 70
State: MD

Vax Date: 02/23/2021
Onset Date: 02/24/2021
Rec V Date: 03/03/2021
Hospital:

Lab Data: going to dr. tomorrow

Allergies:

Symptoms: burning pain on underside of left arm from elbow to 4 inches up arm. no redness some swelling. started day after vaccine and is still on going 8 days later. my husband also had the same side effect but his only lasted 4 days

Other Meds:

Current Illness:

ID: 1070842
Sex: F
Age: 26
State: OH

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

Lab Data:

Allergies: Dairy and soy

Symptoms: Slight anaphylactic reaction, not severe. Phlegmy throat, tight throat

Other Meds: Birth control

Current Illness: Asthma

ID: 1070843
Sex: F
Age: 70
State: OH

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

Lab Data: Patient spoke with her dermatologist (during a regularly scheduled visit, not specifically for the vaccine side effects) about her symptoms. No medical tests or laboratory results, but patient was given a prescription for triamcinolone 0.1% cream to use in case of the same reaction on dose 2.

Allergies: None

Symptoms: Approximately 10 days after receiving her first dose of Covid19 vaccine, patient began to experience swelling, redness, itching in the vaccination arm. She treated with ice.

Other Meds: Citalopram, Restasis

Current Illness: None

ID: 1070844
Sex: F
Age: 28
State: OR

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

Lab Data:

Allergies: Sesame

Symptoms: Pt received second Moderna COVID-19 immunization in L deltoid at 1020. Pt had reported hx of anaphylaxis to sesame, wait time was increased to 30 minutes. At 1026 pt alerted nurse in observation area of tightness in her throat, an itchy throat, and shakiness. Denied any change in breathing or tongue swelling/tingling. Pt was moved to a more private area with FNP and 2 RNs. At 1035 administered 50 mg IM diphenhydramine in L deltoid. Symptoms started to improve within 5 minutes. Between 1030-1100, BP 138-140/80-84, P 72-88, RR 18-22, O2 sats 98-99% throughout. Symptoms had improved by 1115 and pt was sent home with colleagues. Advised if symptoms worsened or if she had any difficulty breathing to call 911 or get to the closest ER immediately. Pt verbalized understanding and agreed with the plan of care.

Other Meds: Levothyroxine, Macrobid, Elinest, Bactrim

Current Illness: Unknown

ID: 1070845
Sex: M
Age: 29
State: KY

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

Lab Data: Pending 3/4/21

Allergies: No

Symptoms: Symptoms: extreme muscle pain, tenderness, visible swelling of muscles, headache, fatigue, lower back pain, joint pain, scrotal swelling

Other Meds: Men?s multi vitamin

Current Illness: No

ID: 1070846
Sex: F
Age: 73
State:

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 03/03/2021
Hospital:

Lab Data: None, I haven't been to the doctor.

Allergies: pennicillin, spinach, eggplant, mango

Symptoms: Chronic fatigue and feeling cold like I can't get warmed up, but no fever, tense, jittery feeling with the coldness and fatigue gets worse as day goes by. Hard to rest and relax because of the cold and tense feeling This lasted the entire 3 weeks between dose 1 and dose 2. I got dose 2 on Feb. 19 and have had same fatigue that isn't going away. Fatigue and coldness is not worse with 2nd dose, but I heard that side effects were only supposed to last a few days. To get warmed up I feel like I have to take a hot bath which also helps the tension. Also later in the day I feel like I can't move properly, I just have to stay still, moving is too much of an effort.

Other Meds: Concerta, ritalin 2.5mg, Acyclovir, aspirin 160mg (2 low dose chewable) - avoided aspirin before second dose, but didn't know I was not supposed to take before first dose, probiotics

Current Illness: urinary tract infection earlier in January, treated with Keflex (finished by the time of vaccination)

ID: 1070847
Sex: F
Age: 39
State: VA

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

Lab Data:

Allergies: N/A

Symptoms: Eight days after the first vaccine was administered, a red circle developed around the injection site on my left arm. The injection site also itched. The red circle is still present on my arm as of March 3rd and itches occasionally.

Other Meds: Arnuity Ellipta, Montelukast, Citalopram, Vitamin D2,

Current Illness: None

ID: 1070848
Sex: F
Age: 35
State: CA

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

Lab Data:

Allergies:

Symptoms: Generalized itching; BP 103/66 (pulse 67).

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm