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: 0959714
Sex: F
Age: 43
State: LA

Vax Date: 12/23/2020
Onset Date: 12/24/2020
Rec V Date: 01/20/2021
Hospital:

Lab Data: Lab work & MRI on my head & everything came out normal

Allergies: Bee stings

Symptoms: About 24hrs later on the 12/24/2020 I started getting a headache it lasted until 12/30/2020. But on 12/27/2020 I stated feeling nauseas & I was vomiting. On 12/30/2020 I had to see a doctor.

Other Meds: Birth Control

Current Illness: No

ID: 0959715
Sex: F
Age: 27
State: CT

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: None

Allergies: Environmental allergies only

Symptoms: I took Benadryl before this dose per my allergist. About 3 minutes after the dose I felt a little light headed and dizzy that shortly resolved. About 10 minutes after that, I became light headed and dizzy again along with chest tightness, palpitations and an itchy throat. My heart rate was in the 110s. My symptoms would be on and off. I received more Benadryl in the ED with no resolution. I then was given an epi pen and prednisone. After this the itchy throat and light headedness resolved. I was observed in the ED for a total of 4 hours. I was discharged with 4 days of prednisone and 2 days of Benadryl.

Other Meds: Claritin and Benadryl taken before vaccine

Current Illness: None

ID: 0959716
Sex: F
Age: 35
State: DC

Vax Date: 01/06/2021
Onset Date: 01/13/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: None

Allergies: NKDA

Symptoms: Left arm was sore for about 2 days after getting vaccine. Then 1 week after receiving vaccine, noticed a red, hive like circle on left upper arm (right below injection site). It was itchy and warm to the touch. I didn't apply anything to it. Resolved gradually on its own after 2 days.

Other Meds: Balziva (OCP)

Current Illness: None

ID: 0959717
Sex: M
Age: 39
State: MS

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: CBC-awaiting results COVID-19 rapid negative COVID PCR pending results

Allergies: no

Symptoms: neck pain, aches, headache, dizziness, tachycardia, sweats, nausea

Other Meds:

Current Illness: no

ID: 0959718
Sex: F
Age: 37
State: OR

Vax Date: 01/08/2021
Onset Date: 01/14/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: CBC ordered on 1/18 and done on 1/19, test results were normal

Allergies: Oxycodone

Symptoms: 6 days post vaccine small circular rash appeared approximately 2-3cm below injection site. Following day rash was bigger and now solid, hot to touch and itchy. Over the course 6 days the rash has continued to spread down and up my arm in a circular shape. Lymph node located in my armpit also became swollen a day after the rash appeared. I saw the doctor on the 4th day after the rash had appeared. That doctor consulted with dermatology and infectious disease. They are saying that it is a "site" related reaction. Recommendation for treatment is OTC allergy med, ibuprofen and ice. I'm 12 days post first vaccine and 6 days post start of rash and it's still ongoing.

Other Meds: Labatelol

Current Illness: None

ID: 0959719
Sex: F
Age: 63
State: MI

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: bactrim and pcn

Symptoms: dizziness, faitgue, headache, feeling tightness in throat

Other Meds: clobetasol, vitamin d , claritin -d, and naproxen

Current Illness: unknown

ID: 0959720
Sex: F
Age: 90
State: MN

Vax Date: 01/16/2021
Onset Date: 01/16/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: N/A

Allergies: Aricept Seroquel

Symptoms: Multiple episodes of diarrhea

Other Meds: Tylenol 325mg take 3 tab po TID Calcium + Vitamin D 600mg/400IU take 1 tab po BID Colace 100mg take 1 cap po QD Miralax 17gm mix 17gm in 8oz of H20 and drink QD Multivitamin take 1 tab po QD

Current Illness: N/A

ID: 0959721
Sex: F
Age: 56
State: CA

Vax Date: 01/11/2021
Onset Date: 01/18/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: PTT, BNP, CBC with Auto Diff, CMP, CKMB, Drug Screen, High Sensitivity Troponin. Magnesium Level, PT, SARS CoV 2 Antigen CT Head without Contrast, CT Lumbar Spine without Contrast, XR Chest 1 View

Allergies: nka

Symptoms: Chest Pain, Fatigue, Shortness of Breath, Weakness to lower extremities Given pain medication Toradol, Morphine and Aspirin Patient stated had subsided and weakness had diminished

Other Meds: n/a

Current Illness: n/a

ID: 0959722
Sex: U
Age:
State: MI

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: Combivent Singular

Symptoms: Body aches and headache

Other Meds:

Current Illness: None

ID: 0959723
Sex: F
Age: 27
State: CT

Vax Date: 12/22/2020
Onset Date: 12/22/2020
Rec V Date: 01/20/2021
Hospital:

Lab Data: None

Allergies: Environmental Allergies

Symptoms: After about 15 minutes of receiving the vaccine I became light headed and dizzy. I was hypertensive with my systolic blood pressure up to 160s. This event resolved after about 10 minutes. I was resting and about an hour later the light headedness came back along with an itchy throat. I was taken to the ED and given Benadryl. My symptoms then resolved.

Other Meds: Claritin

Current Illness: None

ID: 0959724
Sex: F
Age: 42
State: GA

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: Allergies Allergen Reactions ? Gold And/Or Gold Compound True test patch testing (+); 3/12/14 ? Nickel True test patch testing (+), 3/12/14 ? Adhesive Tape ? Linzess [Linaclotide] Other HAs; dizziness

Symptoms: 42 year old female who presents for evaluation of her throat. She had the first COVID-19 vaccine (Moderna) yesterday and within an hour noted a globus sensation which has not resolved. Denies hoarseness, odynophagia or otalgia. Is able to eat and drink well. pt had COVID vaccine yesterday and on her way back started to feel intermittent throat tightness, which continues till today. On exam no throat or oral swelling, wheezing or hypoxia noted. VSS. Pt has tried benadryl as recommended by MD, but the concern continues.

Other Meds: Outpatient Medications Marked as Taking for the 1/14/21 encounter (Office Visit) with M.D. Medication Sig Dispense Refill ? Lactulose 10 gram/15 mL Oral Soln Take 30 mls by mouth one to three times per day for constipation 8,514 mL 0

Current Illness: Patient Active Problem List Diagnosis ? MIXED HYPERLIPIDEMIA ? GUTTATE PSORIASIS ? FATTY LIVER ? FHX OF COLON CANCER ? ELEVATED TRANSAMINASE ? ABNL HEAD CT SCAN ? ADULT OBSTRUCTIVE SLEEP APNEA, MODERATE ? BILAT KERATOCONJUNCTIVITIS SICCA, NOT IN SJOGRENS SYNDROME ? EYELID ROSACEA ? BILAT ALLERGIC CONJUNCTIVITIS ? BILAT UPPER DERMATOCHALASIS ? BILAT GLAUCOMA SUSPECT ? FHX OF GLAUCOMA ? HX OF ADENOMATOUS COLONIC POLYPS ? OVERWEIGHT

ID: 0959725
Sex: F
Age: 56
State: IA

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: none

Allergies: none other than seasonal

Symptoms: Severe body aches, dizziness, nausea, headache. Started approximately 10 hours after vaccination. Rest, Tylenol, Naproxen, fluids.

Other Meds: Lisinopril, Gabapentin, Levothyroxine, Paxil, Buproprion, Lasix, Risovastatin, fenofexadine, Singulair, Black Kohosh, Vit D, Flax Seed Oil, CoQ10, Zyrtec

Current Illness: no

ID: 0959726
Sex: F
Age: 43
State: LA

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: Bee stings

Symptoms: 24 hrs later of vaccination on 1/14/2021 my right eye got swollen until 1/16/2021 I went to the doctor on 1/15/2021 & I got steroid.

Other Meds: Birth Control

Current Illness: No

ID: 0959727
Sex: F
Age: 51
State: MN

Vax Date: 01/12/2021
Onset Date: 01/20/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: none

Allergies: latex

Symptoms: Injection was 1/12/2021. On 1/13/2021 injection site bruised. 1/20/2021 injection site still bruised, but turning yellow. Today 1/20/2021 at about 10 am I noticed a red ,hard, hot , round area just below my injection site.

Other Meds: Sertraline 150 mg/daily Trazadone

Current Illness: none

ID: 0959728
Sex: F
Age: 47
State: MI

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

Lab Data:

Allergies: PCN

Symptoms: Tingle in tongue Fullness in throat

Other Meds: Zoloft 150mg daily Eliquis 5mg bid Multivit Prevacid 15 mg daily Calcium + Vitamin D

Current Illness: Breast Cancer GERD DVT Pulmonary Emboli

Date Died:

ID: 0959729
Sex: M
Age: 82
State: MD

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/20/2021
Hospital:

Lab Data: unknown

Allergies: NKDA

Symptoms: Per Nursing Staff- patient died within 24 hours of receiving the vaccine. patient has hospice. Please contact director of nursing for more details.

Other Meds: unknown

Current Illness: Tachycardia, Hypertension

ID: 0959730
Sex: F
Age: 32
State: CA

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: MRI brachial plexus

Allergies: None

Symptoms: Vaccine given on Friday 1/8 at 10am. Started having significant fevers, chills, myalgias, rigors on 1/9 around 1pm. Symptoms lasted for about 8hrs. On 1/10 developed left upper arm, axillary, chest wall, and clavicular soft tissue swelling with significant lymphadenopathy. Lymphadenopathy was tender, multiple nodes ~2cm. Started experiencing severe sharp shooting pain and burning in similar region. On 1/11 started developing weakness in L arm and hand, with numbness in left hand. Went to urgent care on 1/11. Exam demonstrated 4/5 strength of left arm and hand. Started prednisone 40mg on 1/11. Swelling, pain, and weakness persisted. Seen in ER 1/15, exam with persistent weakness and lymphadenopathy. MRI brachial plexus performed which showed multiple enlarged nodes adjacent to brachial plexus. No overt inflammation or compression of brachial plexus. Received IV dexamethasone, and PO prednisone course. Finished 10d of prednisone 40mg with improvement in soft tissue edema, but still with residual weakness and pain. EMG pending. Diagnosed with brachial plexopathy secondary to compressive adenopathy from COVID 19 vaccine.

Other Meds: Lexapro

Current Illness: None

ID: 0959731
Sex: F
Age: 52
State: CA

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

Lab Data: NA

Allergies: Neproxin

Symptoms: Patient began to feel nauseous approximately 15 min after her shot (1339), observation increase to 30 min and began to feel weakness as well as nauseated at 1359. The medics did evaluate the patient and gave ODT Zofran for the nausea. The nausea subsided and patient was released with no further issues.

Other Meds: NA

Current Illness: NA

ID: 0959732
Sex: F
Age: 46
State: NH

Vax Date: 01/08/2021
Onset Date: 01/13/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: Md appt

Allergies: Sulfa

Symptoms: Latent onset shingles outbreak in female patient that has never had chicken pox, but has had the varicella vaccine . Was reported in the journal as well. Extreme shooting pain, 10/10, with herpetic sores outbreak on left leg . Managing symptoms with PO valacylovir, gabapentin and po NSAIDS . Note: covid vaccine did not cause the shingles outbreak, rather the immune response caused the antibodies to varicella (vaccine) to cause a shingles outbreak

Other Meds: Claritin

Current Illness: None

ID: 0959733
Sex: M
Age: 45
State: ID

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: None

Allergies: none

Symptoms: I was administering a Moderna COVD vaccine. As I was injecting the vaccine into the muscle, I noticed liquid coming out of the injection site, while the needle was still inserted in the patient's muscle. I checked to see if the liquid was coming from the needle/hub area and found nothing coming from that area. It is unknown exactly how much of the vaccine was administered and how much was running down the patient's arm.

Other Meds: none

Current Illness: none

ID: 0959734
Sex: F
Age: 69
State: OR

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

Lab Data: n/a

Allergies: Allergies Sulfa (Sulfonamide Antibiotics)Skin Rash and/or Hives, Shock and/or Unconsciousness GoldSkin Rash and/or Hives Leflunomide MethotrexateAnemia and/or Blood Disorders Mycophenolate MofetilNausea and/or Vomiting Prednisone Venlafaxine Hcl

Symptoms: Tongue swelling, coughing, treated with Benadryl and Epi - patient transported to the ER

Other Meds: Multiple

Current Illness: Problem List Collapse by Default Collapse by Default Non-Hospital RHEUMATOID ARTHRITIS MAJOR DEPRESSIVE DISORDER, RECURRENT EPISODE, IN PARTIAL REMISSION MODERATE PERSISTENT ASTHMA SARCOIDOSIS RHEUMATOID NODULES OF BILAT WRISTS ATHEROSCLEROSIS OF AORTA DM 2 W POLYNEUROPATHY DM 2 W DYSLIPIDEMIA THROMBOCYTOPENIA, UNSPECIFIED NONALCOHOLIC CIRRHOSIS MULTIPLE PULMONARY NODULES GERD CHRONIC PAIN NONALLERGIC RHINITIS ESSENTIAL HTN NEUROPATHIC PAIN RESTLESS LEGS. LEG LENGTH- UNEQUAL RIIGHT LONGER CHRONIC SINUSITIS HX OF TOTAL HYSTERECTOMY YELLOW ALERT ABNL CT SCAN ANGIOGRAM OF NECK, CHEST, ABDOMEN & PELVIS 2/13/13 HX OF RENAL DISEASE BILAT DRY EYE SYNDROME HX OF COLONIC POLYP BILAT PSEUDOPHAKIA MYCETOMA COUGH RECURRENT CYSTITIS OPIOID THERAPY PLAN GREEN LONG TERM TOCILIZUMAB THERAPY ANXIETY DISORDER POSTHERPETIC NEURALGIA ANEMIA LEUKOPENIA ASCITES SCREENING FOR HEPATOCELLULAR CARCINOMA

ID: 0959735
Sex: M
Age: 61
State: FL

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: nkda

Symptoms: shingles outbreak right hip. Last shingles outbreak 10 plus years ago. Have received the shingles vaccine

Other Meds: Toprol Prevacid

Current Illness: none

ID: 0959736
Sex: F
Age: 42
State: NM

Vax Date: 01/04/2021
Onset Date: 01/11/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: CBC, ESR, CMP

Allergies: Penicillin, ASA, immodium, demerol, shellfish

Symptoms: Patient developed a local reaction with an approximate size lump of 1in that was raised and hard. She also had some increase lymph nodes in her neck on the same side as the injection.

Other Meds: None

Current Illness: None

ID: 0959737
Sex: F
Age: 56
State: IL

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

Lab Data: two serum troponin

Allergies: none

Symptoms: Patient reports that she got her second COVID-19 vaccine dose today at 1100 hours. She states that she woke up from a nap around 1500 hours with constant, midsternal chest pain. Chest pain is non-exertional, non-pleuritic, and non-radiating. She states chest pain is exacerbated by certain movements. Patient endorses lightheadedness.

Other Meds: none

Current Illness: none

ID: 0959738
Sex: F
Age: 95
State: MN

Vax Date: 01/16/2021
Onset Date: 01/17/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: N/A

Allergies: NKA

Symptoms: 2 emesis episodes "a few" diarrhea episodes

Other Meds: Oscal 500mg take 1 tab po BID Prilosec 20mg take 1 tab po QD Senna S take 1 tab po QD Vit D 400 IU take 1 tab po BID Tylenol 500mg take 2 tabs po QD

Current Illness: N/A

ID: 0959739
Sex: F
Age: 46
State: GA

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: 100.5-101 Fever x 15 hrs thus far, chills, body aches, headache, fatigue-Ongoing

Other Meds: Famotidine

Current Illness: None

ID: 0959740
Sex: M
Age: 40
State: WA

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 5-10 minutes after dose 1, the patient reported feeling very dizzy and a massive headache. He stated that he never gets headaches and was on a pain scale of 7-8 at that time. Vitals were taken. BP 135/86, pulse 91, temp 96.4. We dosed the patient with 1000mg of Tylenol at 3:05pm. At 3:15, the patient stated that his headache had increased to a pain scale of 9. He wasn't doing well so the staff laid him down. At this point the staff felt it was a situation that needed more attention. They took the patient to the ER where he was given saline and something for headache. The also drew labs. Not sure what labs they drew.

Other Meds:

Current Illness:

ID: 0959741
Sex: F
Age: 56
State: NY

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: Sulfa Penicillin

Symptoms: 102.2 fever, chills, nausea, tiredness, fatigue, headache, site sore, blotchy rash across chest, neck, torso

Other Meds: Vitamin D Vitamin C Standard Process Organically Bound Minerals Standard Process Drenatrophin PMG

Current Illness:

ID: 0959742
Sex: F
Age: 48
State: GA

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: NA

Symptoms: First day, itchy near injection site Second day itchiness goes away, but lump forms and aches Fourth day pain goes away, lump remains Seventh day lump looks and feels bigger, itches and burns

Other Meds: Zoloft , Synthroid, Zyrtec, multivitamin

Current Illness: None

ID: 0959743
Sex: F
Age: 41
State: WI

Vax Date: 12/23/2020
Onset Date: 01/06/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: 3D mammogram and ultrasound done 1/8/2021

Allergies: None

Symptoms: Unknown if related but had preventative care mammogram 2 weeks after vaccination and showed lymph nodes swollen in same arm as injection. Had follow imaging and ultrasound that found various enlarged lymph nodes and 2 abnormal nodes. Arm soreness only noticed after injection and continues the intermittently ache even after 4 weeks. Provider to rescan axillary lymph nodes in 8 weeks and monitor. 2nd injection given in opposite arm

Other Meds: Metformin, spironolactone, vitamin d, spirulina, omega 3, baclofen, ibuprofen

Current Illness: Influenza vaccine 4 weeks prior and did not feel well after, fatigue and headache, nausea and vomited 4 days after influenza vaccine, unsure if related

ID: 0959744
Sex: F
Age: 25
State: NY

Vax Date: 01/15/2021
Onset Date: 01/20/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: n/a

Allergies: strawberries

Symptoms: Lymph nodes swollen on right side where shot was received

Other Meds: n/a

Current Illness: n/a

ID: 0959745
Sex: F
Age: 39
State: MD

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies:

Symptoms: continued redness, swelling, and pain near injection site continuing for over a week after injection.

Other Meds:

Current Illness:

ID: 0959746
Sex: F
Age: 43
State: ID

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/20/2021
Hospital:

Lab Data: Hooked up to BP monitor; may have done telemetry - and monitor kept buzzing off because my blood pressure kept spiking.

Allergies: Nuts; dairy; adhesives; Celiac disease - no gluten

Symptoms: Started itching within (left arm) 15 minutes. THey said I was fine and to go back to work. About an hour later, I started breaking out in hives and whole body itching. I went back in and they gave me to full strength Benadryl and it was not helping and my BP was 190/140 (stroke level) and they tried to bring that down. About 10:15 my face was starting to swell and I was short of breath and 10:30 they took me to ER - and gave me Cortisol shot. And IV fluids. And I was in ER for two hours. They wrote me a prescription for six days for 2 prednisone for every day for one week. The PA saw me at the ER and he prescribed. I went home but couldn't drive home because I couldn't see straight so got a ride home. They tested my O2 levels before they left me. Oxygen was 96. My blood pressure was down to 140/95 - so it was down but still elevated. I still had facial swelling for 3 days. But after three or four days it resolved the face swelling. Had a weakness from the shot and still itching but nothing like it was that day still after the four days. Dr. told me I couldn't get second dose. It was an anaphalactic reaction. Dr - prescribed me an EpiPen in case I have another bad reaction to anything.

Other Meds: Zoloft; Migravent; Namenda; Full Strength aspirin; Prilosec - off brand; Bustar; Zyrtec - took it that morning only before shot as dr directed

Current Illness: no

Date Died:

ID: 0959747
Sex: M
Age: 90
State: MD

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/20/2021
Hospital:

Lab Data: Unknown

Allergies: unknown - no

Symptoms: per staff at facility patient died 24 hours post vaccination. Please contact Director of Nursing for further details.

Other Meds: Unknown

Current Illness: Unknown

ID: 0959748
Sex: F
Age: 34
State:

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: arm ultrasound

Allergies: none

Symptoms: Pain, swelling, axillary mass, rash.

Other Meds: none

Current Illness: none

ID: 0959749
Sex: F
Age: 59
State: FL

Vax Date: 01/06/2021
Onset Date: 01/13/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: nka

Symptoms: urticaria all over arms and trunk (severe raised red rash) some mild/ mod rash on lower extremity worse at the knee joint

Other Meds: valsartan 160mg, amlodipine 2.5mg crestor 10mg estrogen patch

Current Illness: was sick with covid like symptoms appox 1 week prior to christmas. was tested for CoVID on approx 12/16 and tested negative

ID: 0959750
Sex: F
Age: 43
State: NC

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/20/2021
Hospital:

Lab Data: Neuro Exam

Allergies: N/A

Symptoms: 24 hours after vaccination I had tingling and numbness on right side of face, heavy eyelids, "pulling sensation" in neck. Unable to lay flat. Tingling and numbness would switch from right side to entire face but mostly on right side. Headaches and noticed increased heart rate two days after vaccine. One week after vaccine numbness and weakness extended down right arm and leg, able to move leg just felt "weak". I thought I was having a stroke or TIA. Made an appt. with the NP and she did full neuro exam and everything came back normal. Also, made an appt. with my PCP. Still continued to have headaches and weakness improved. Did get a COVID test since was still having headaches and it so long since vaccine, received test 1/12/2021 and it was negative. This past weekend was the 1st time I felt "pre vaccine" 17 days post vaccination. I am truly hesitant to take my 2nd dose scheduled on 1/26/2021.

Other Meds: None, at the time. I took Vitamin C that morning and a Tylenol 500mg 1 hour before vaccine

Current Illness: None

ID: 0959751
Sex: M
Age: 61
State: CA

Vax Date: 12/29/2020
Onset Date: 01/03/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Atypical numbness to hands and feet. Also complains of tinitis and positional vertigo

Other Meds:

Current Illness:

ID: 0959752
Sex: M
Age: 41
State: TX

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: N/a

Allergies: NKA

Symptoms: Body aches, chills, general exhaustion lasting 20 hours so far.

Other Meds: N/a

Current Illness: None

ID: 0959753
Sex: F
Age: 95
State: MN

Vax Date: 01/16/2021
Onset Date: 01/17/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: Client seen in ER d/t lethargy, confusion and was found on floor in apt.

Allergies: NKA

Symptoms: 2 episodes of emesis "a couple" episodes of diarrhea

Other Meds: Oscal 500mg take 1 tab po BID Prilosec 20mg take 1 tab po QD Senna S take 1 tab po BID Vit D 400IU take 1 tab po BID Tylenol 500mg take 2 tabs po QD

Current Illness: N/A

ID: 0959754
Sex: M
Age: 30
State: NY

Vax Date: 12/29/2020
Onset Date: 01/09/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: CBC All results fell in normal limits.

Allergies: Amoxicillin

Symptoms: About 11 days post vaccination I had noticed swelling of a left supraclavicular lymph node. The node was about the size of grape, tender to touch and caused some aching on left side of neck. Within 3 days the lymph node swelling started to subside however 11 days later, the lymph node is still swollen.

Other Meds: Xyzal

Current Illness:

ID: 0959755
Sex: F
Age: 20
State: NC

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: CBC 1/20/21 : WNL BMP 1/20/21 : WNL urine pregnancy 1/20/21 : negative

Allergies: Penicillin Sulfa amoxicillin

Symptoms: Headache, Syncopal episode, Nausea, Vomiting, Diarrhea, ears ringing, bodyaches, LUE pain/swelling

Other Meds: Ibuprofen

Current Illness: N/A

ID: 0959756
Sex: M
Age: 59
State: TX

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: none

Allergies: nka

Symptoms: Pt called and told me that within an after his shingrix shot, he got a red rash and tingling on the left torso to left buttock. He said it felt raised like a big bump. An hour later th patch spread eventually leading growing to front quad and outside left hip in addition to the torso and buttock. All raised and all tingling. He said he saw a teledoc who told him he had shingles. He was told he had shingles by the health care provider. He called and wanted to let us know because the provider told him to do so. Overall his symptoms are relatively mild as he said he heard shingles are a lot worse than what he is feeling. He still wants to get the second vaccination.

Other Meds: Lisinopril-HCT 20-25, celecoxib 100, simvastatin 40.

Current Illness: none

ID: 0959757
Sex: F
Age: 29
State: CA

Vax Date: 01/11/2021
Onset Date: 01/20/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: Severe headache since 1-11-21. Knot in arm at injection site. (Ongoing) Last night (1-19-21) I noticed injection site was hot and had redness. (Ongoing)

Other Meds: Larin birth control Zyrtec allergy pill Omeprazole

Current Illness: No

ID: 0959758
Sex: F
Age: 49
State: NC

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Increased fever to 99.6 degrees F. Achy - muscle. Chills Headache. Missed work.

Other Meds: Synthroid

Current Illness: None

ID: 0959759
Sex: F
Age: 59
State:

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Experienced weakness and dizziness immediately after the injection, which subsided in about 20 minutes. Two hours later, itching began on left leg and arms. Noted red blotches to these areas. Face began to feel very prickly and flushed, felt lower lip swelling and left eye began to feel funny. Observed one hive to cheek. Was able to take a Benadryl 25mg capsule within about 10-15 minutes after this developed. Symptoms began to subside after this. Felt back to normal the next day. Just moderate injection site pain for 1-2 days.

Other Meds:

Current Illness:

ID: 0959760
Sex: F
Age: 50
State: FL

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Fever, Chills, body aches, headaches

Other Meds: none

Current Illness: Covid 12/01/2020

ID: 0959761
Sex: F
Age: 55
State: MI

Vax Date: 01/09/2021
Onset Date: 01/10/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: none

Allergies: nkdanone

Symptoms: Aches and chills for 24 hours. Flu like symptoms.

Other Meds: zoloft and multi-vitamin

Current Illness: none

ID: 0959762
Sex: F
Age: 53
State: WA

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: none

Allergies: NONE

Symptoms: Moderna COVID-19 Vaccine EUA: After injection I had no symptoms until approx 4 hours later when I felt anxious, agitated and extremely irritable w/ very short temper. About an hour later while watching TV, a hot flash/flush came over my head and upper torso. I noticed bright red checks and nose which resolved within a couple hours (without any intervention). Temp was elevated per touch, and clammy. Blood pressure was elevated for several days 160-180s/86-100. A small scar on my finger from cyst removal 7 wks prior became inflamed and red w/ burning/tingling for 3 days. Anticipated SE did included head ache, sore arm, fatigue and sleepiness for 2.5 days. (previous vaccines only resulted in sore arm--all other SE above (esp becoming possessed with fury), were new experiences.

Other Meds: Estradiol transdermal patch .05mg. 3-5 times per week: Multivitamin (One-A-Day brand). L-Tyrosine 750mg. Ubiquinol 100mg. NAC 600mg. Leutein 25mg & Zeaxanthin 5mg. Liver Refresh (NOW brand of blend of herbal supplements)

Current Illness: NONE

ID: 0959763
Sex: F
Age: 32
State: SC

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: None

Allergies: Codeine makes my stomach hurt

Symptoms: 0710 January 19th I received the second does of the Covid -19 vaccine. The site was very sore all day. Around 2230 that night, I started having intermitted sharp pain in my leg arm pit. 0430 January 20th I woke up with sharp pains still in my left arm pit. By 1030 the pain was now constant and extreme. I called my doctor and he told me to come into the office to see him. NP saw me and explained that the lymph nodes in my left arm were swollen. Very tender to touch also. He prescribed me Prednisone twice a day for three days, Ibuprofen, and use hot compresses. So far the pain has gotten better.

Other Meds: Excedrin taken at 0630 the morning of the vaccine

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm