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: 0962577
Sex: F
Age: 42
State: ME

Vax Date: 01/12/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Circular urticaria lesion, blanching, raised around injection site.

Other Meds:

Current Illness:

ID: 0962578
Sex: F
Age: 27
State: IN

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: N/A

Allergies: None

Symptoms: First started off with a cold feeling around injection site. Around 11:30 at night I felt muscle aches in my calves. 30 minutes later my legs were having severe muscle aches and joint pain in my ankles. I was having cold chills and aches the whole night along with sweating. On 1/20/2021 (the next day) the muscle aches, chills, and joint pain continued through the whole day. I was nauseous at times and did not have an appetite. Around 5 o clock I felt some relief with my leg pain but it started again around 9 o clock. I continued switching Tylenol extra strength and ibuprofen. I went to bed on 1/20 at midnight with little leg pain but major neck and back aches. I did not have cold chills through the night or sweating. Today (1/21/2021) leg pain is near gone, but joint pain is still there in my left ankle and knee. My legs feel heavy and strange and is causing me to walk slowly because I feel like my legs are very fatigued and off balance. I have had neck and back aches all day. I have not had chills today

Other Meds: Tylenol an hour before

Current Illness: None

ID: 0962579
Sex: F
Age: 58
State: MD

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Shortly after the injection she was dizzy and very thirsty. She had itching and her tongue was numb for 3 days.

Other Meds:

Current Illness:

ID: 0962580
Sex: F
Age: 47
State: NY

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: Morphine Oxycodone Chantix

Symptoms: I started with body chills on the day of the vaccine around 1730 then woke up at 2 am on 1/21/2021 with a fever, chills, body aches and very sore Right upper arm. I have been running a fever most of the day with chills and body aches

Other Meds: Buspirone Trazodone Valacyclovir

Current Illness: None

ID: 0962581
Sex: F
Age: 62
State:

Vax Date: 12/22/2020
Onset Date: 12/23/2020
Rec V Date: 01/21/2021
Hospital:

Lab Data: n/a

Allergies:

Symptoms: headache treated with advil

Other Meds:

Current Illness:

ID: 0962582
Sex: M
Age: 65
State: CA

Vax Date: 01/12/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Delayed hypersensitivity reaction at site of injection, one week following injection. 5 x 6 cm raised red patch, slightly tender and indurated. Started with small erythematous macules, then coalesced. Reminiscent of a large + PPD reaction. No systemic symptoms. No prior history of documented COVID infection or exposure known.

Other Meds: B12 supplement, ibuprofen 200 mg/d, tylenol 500 mg/d

Current Illness: none

ID: 0962583
Sex: F
Age: 34
State: CT

Vax Date: 01/12/2021
Onset Date: 01/18/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: N/A

Allergies: Penicillin

Symptoms: Type IV delayed hypersensitivity reaction. Erythema, pain and swelling at vaccine site began 6 days after vaccination and increasing in severity and size.

Other Meds: Vitamin D

Current Illness: None

ID: 0962584
Sex: U
Age: 42
State:

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: My symptoms lasted for roughly 16 hours. I haven't had any issues since related to my vaccine since 1/15/21

Other Meds:

Current Illness:

ID: 0962585
Sex: F
Age: 36
State: DE

Vax Date: 01/15/2021
Onset Date: 01/16/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: Unknown.

Allergies: unknown

Symptoms: Patient is experiencing Right Axilla Lymph Node swelling as well as headache and body aches.

Other Meds: Unknown

Current Illness: unknown

ID: 0962586
Sex: F
Age: 29
State: MA

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: Lobster, shrimp, crab - anaphylaxis

Symptoms: 5 minutes after receiving the second Pfizer COVID19 vaccine, it reportedly felt difficult to swallow, tongue felt large. Epi Pen administered and IM Benadryl. She was then transported to ER. On route, felt throat irritation, sore and a little bit of itchiness all over but no hives. She was observed in ER x 4 hours and released.

Other Meds: Albuterol inhaler

Current Illness: Asthma - was taking Albuterol inhaler daily, has recently reached out to treating provider and was started on daily steroid inhaler

ID: 0962587
Sex: F
Age: 21
State: MO

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Fever, swollen lymph nodes on left side of neck and arm pit, headache

Other Meds:

Current Illness:

ID: 0962588
Sex: F
Age: 65
State: MD

Vax Date: 12/31/2020
Onset Date: 01/02/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: Rapid and PCR (x2) COVID testing and influenza testing negative on day 2 of symptoms PCR COVID testing on day 5 negative

Allergies: latex, sulfa

Symptoms: Day 2, red erythematous rash, non blanching multiple fingers, pain, swelling. Dermatologist evaluation suggested consistent with "COVID Fingers and Toes" rash. Symptoms increased over 3 weeks and are now abating Day 7: Fever 101.5, Head ache, malaise, muscle pain lasting 36 hours.

Other Meds: Synthroid, Ventolin, Dulera, Gammagaurd, Allegra

Current Illness: none

ID: 0962589
Sex: F
Age: 32
State: FL

Vax Date: 12/22/2020
Onset Date: 01/11/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: Hospitalized for throat continuously closing-allergic reaction 1/15

Allergies: Flax Seed

Symptoms: throat swelling, fever, chills, body aches

Other Meds: Montelukast, Zyrtec, Symbicort

Current Illness:

ID: 0962590
Sex: F
Age: 67
State: OR

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital: Y

Lab Data: Lab results were essentially normal. Due to fall, pt had a trauma work-up.

Allergies: Azithromycin, Codeine, Hydrocodone, Sulfa Antibiotics- all 4 reported as Anaphylaxis reactions

Symptoms: Pt presented to the ER 1/21/21 for a syncopal episode, approximately 36 hours after injection. She reported fatigue and dizziness the evening of 1/20/21, then had a syncopal episode and incontinence of diarrhea at that time. She also had hypotension that was corrected with IVF, lowest BP was 60/45 at 0200 on 1/21/21.

Other Meds: Fosamax, Atacand, Multivitamin, Tramadol, Valsartan

Current Illness: None

ID: 0962591
Sex: F
Age: 68
State: IN

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

Lab Data: NONE

Allergies: unknown

Symptoms: Patient was sitting in chair waiting for the 15 minute observation time, about 3 minutes after injection patient started convulsing, patients husband lowered patient to floor and myself and another nurse rolled patient to her left side, seizure lasted approximately 2 minutes , patient awakened and was disoriented and approximately a minute later had another seizure lasting one minute. EMS was called and arrived but patient and husband refused transport to ER.

Other Meds: unknown

Current Illness: unknown

ID: 0962592
Sex: M
Age: 32
State: AL

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: Possible allergy to penicillin reported in early childhood but not experienced since

Symptoms: I barely felt the shot and had plenty of energy all day, but by evening there was local pain/tenderness where the shot had been administered. The next day, I experienced severe fatigue and my temperature was over 99*. My arm was still tender and I also had a lot of nausea. Last night after work, I took two aspirin and slept 10 hours and now I feel much better with some energy.

Other Meds:

Current Illness:

ID: 0962593
Sex: F
Age: 43
State: NY

Vax Date: 01/11/2021
Onset Date: 01/14/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: Precautionary rapid and long covid tests taken (both negative), on 01/15/21 and 01/17/21 respectively

Allergies: Allergic to penicillins (rash)

Symptoms: Facial numbness, finger numbness on both hands (numbness developed 3 days after vaccine & has persisted 10 days post-vaccine), fatigue (marked 3 days post-vaccine through 10 days post-vaccine), left armpit pain/tenderness (developed 6 days post- vaccine), mild headache all 10 days post-vaccine

Other Meds: Cetirizine (OTC allergy meds)

Current Illness: None

ID: 0962594
Sex: F
Age: 38
State:

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Severe body aches and little headache,nausea started around 1715 on 01/14/2021.headache and nausea was gone another day but body aches ended around 3-4 days.

Other Meds:

Current Illness:

ID: 0962595
Sex: F
Age: 63
State: WA

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: none

Allergies: Albuterol

Symptoms: Injection Site pain, tenderness, swelling, immediately after shot, continuing as of report . Fatigue, within a few hours, continuing as of report. Headache, 8 hours after shot, continuing as of report. Muscle and joint pain 8 hours after shot, continuing as of report. Fever, 24 hours after shot, lasted 18 hours. Nausea, 30 hours after shot lasted 12 hours.

Other Meds: B12,CoQ10, N-Acetyl-L-Cysteine, Curcumin, Ginger, MSM, NAD, Resveratrol, Cistanche, Reishi, Pu-erh Tea, Bromelain, Omega-3 fish oil, Slippery Elm Bark, Life Extension Mix Tablets.

Current Illness: none

ID: 0962596
Sex: F
Age: 29
State: IL

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/21/2021
Hospital:

Lab Data: No lab work but they did do a neurology exam. I did go back and had labs run. Everything was normal.

Allergies: I am allergic to penicillin

Symptoms: I had tingling in the right side , opposite arm of the injection. I felt it from the forarm to my hand and the top of my foot.

Other Meds: No

Current Illness: No

ID: 0962597
Sex: F
Age: 22
State: IN

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: None, self treated at home with over the counter medication

Allergies: Poultry

Symptoms: Stiff joints, fever, body aches, severe fatigue, loss of appetite, headache, increased thirst, muscle weakness

Other Meds: Methylphenidate er 36mg, birth control, Allegra

Current Illness: None

ID: 0962598
Sex: M
Age: 77
State: MS

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/21/2021
Hospital: Y

Lab Data: bloodwork, UA, CXR, CT

Allergies: Morphine

Symptoms: After vaccination, could not sleep , hallucinations, didn't sleep until Friday night which he seemed to get a little better. Tuesday morning, he could not feed or dress himself. Went to see his PCP. He went to hospital for CT Scan. If he worsens, take him to the ER. Has appointment to see his Neurologist on Feb. 4.

Other Meds: Azathioprine, Meloxicam, Rytary, Rosuvastatin, Tyridostigmine, Quetiatine, Donetezil, Sertraline, Rasagile, Nuplazid, Myrbetriq, Folbee, Tylenol, Omeprazole, Low Dose Aspirin

Current Illness: no

ID: 0962599
Sex: F
Age: 28
State: AZ

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Heart rate between 130-135 for a whole day after Also had the common headache, body aches and extreme fatigue for more that 24 hours after.

Other Meds: None

Current Illness: None

ID: 0962600
Sex: F
Age: 66
State: IN

Vax Date: 12/27/2020
Onset Date: 12/27/2020
Rec V Date: 01/21/2021
Hospital:

Lab Data: CT scan

Allergies: PCN

Symptoms: Cough began 12/27/20 followed by severe migraine on 12/31/20.

Other Meds: Estrace 1 mg daily

Current Illness: NA

ID: 0962601
Sex: F
Age: 46
State: VA

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient received COVID vaccine on 12/30/2020. She had the following symptoms for 36 hours: severe headache, chill and fever (24 hours) body ache, fatigue and joint pain

Other Meds:

Current Illness:

ID: 0962602
Sex: F
Age: 77
State: FL

Vax Date: 01/12/2021
Onset Date: 01/19/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: Cinobac, NKFA

Symptoms: 1 week post vaccine, redness, swelling, itching/pain appeared , still remains

Other Meds: Inderal, Digoxin, Vesicare, Zoloft, Desyrel, Co-Q10, Slo-Mag, D3, B-12SL, Centrum Silver

Current Illness: Recent dog bites, tetanus vaccine

ID: 0962603
Sex: F
Age: 48
State: CA

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: None

Allergies: N/A

Symptoms: Patient received #2 COVID-19 vaccine 1/12/21 and slept through the night. When she was standing at the kitchen sink making breakfast at 10:00 am on 1/13/21 she fainted and woke up on the floor. Her child stated that she had fallen to the floor. She did not hit her head. Patient had an appointment to see her PCP the following day concerning something else. She did relay this information to her PCP who is asking that she follow up with a cardiologist. The PCP had no opinion if the vaccine may have caused her syncope. She currently has a appointment with a cardiologist.

Other Meds: N/A

Current Illness: N/A

ID: 0962604
Sex: F
Age: 52
State: MN

Vax Date: 01/12/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: Chest CT, UA, Troponin, CK, CKMB, C-reative protein, ESR, CBC, EKG, D-Dimer

Allergies: Niacin

Symptoms: The episode came on very quickly. Felt like I was going to pass out. Became very flushed, heart was racing and very shaky. I work at a clinic, so my blood pressure was taken and it was 160/100, pulse was 120. Had a bad head ache and continued to have waves of this for about an hour.

Other Meds: Prempro

Current Illness: None

ID: 0962605
Sex: F
Age: 55
State: PA

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient experience nausea same day as injection as well as numbness of tongue and pain when swallowing.

Other Meds:

Current Illness:

ID: 0962606
Sex: F
Age: 57
State: NY

Vax Date: 01/08/2021
Onset Date: 01/19/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: I went to see my physician. It appears to be a topical or surface allergy. I had no other symptoms.

Allergies: Seasonal allergies Bees, hornets, wasps Toxin in fish

Symptoms: 12 days after the vaccination I woke To see my arm was puffy, red and warm at the injection site. No pain at all. Later in the day it was itchy.

Other Meds: Singular Xeralto Melatonin Lisinopril Wellbutrin

Current Illness: None

ID: 0962607
Sex: F
Age: 54
State:

Vax Date: 01/08/2021
Onset Date: 01/16/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: ADR as described by patient: I experienced normal injection soreness for about 36 hours. There was no redness or swelling at the injection site, just soreness in the upper arm. After that, I felt completely fine without any soreness or flu-like symptoms. My injection arm was completely back to normal without the slightest after effect from the injection. On Sat., Jan 16 ? 8 days after the injection ? I woke up with a hard, red, swollen, warm lump at the injection site, the size of an avocado. The next day it was a larger red area, not quite as hard or warm, but still uncomfortable. It is now Jan 20 and the area is no longer red, but still a little swollen and sore.

Other Meds:

Current Illness:

ID: 0962608
Sex: F
Age: 33
State: IN

Vax Date: 01/08/2021
Onset Date: 01/15/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: In the middle of the night 1 week following the vaccination, my left deltoid became extremely itchy. Over the next day a circular red rash appeared about 3-4? long and 2? wide with some mild swelling and the area remained itchy. I only had soreness at the injection site that lasted 2-3 days before this developed. I never developed fever, or any other side effects. I did not take any medications for this rash because I am breastfeeding a 4 month old. The rash is still faintly present and mildly itchy still, nearly 2 weeks after receiving the first shot and 1 week after this side effect first appeared.

Other Meds: Prenatal vitamin

Current Illness: None

ID: 0962609
Sex: M
Age: 32
State: MI

Vax Date: 01/07/2021
Onset Date: 01/14/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: 1/20/21 urgent care visit for diagnosis.

Allergies: none

Symptoms: Shingles outbreak. Rash developed and increased in severity. 1/20/21 patient visited urgent care and was diagnosed with Shingles. Patient is a healthy 32 year old male with no recent history of immunosuppression or predisposition to shingles outbreak.

Other Meds: none

Current Illness: none

ID: 0962610
Sex: M
Age: 62
State: MN

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

Lab Data:

Allergies:

Symptoms: First dose was given 1/5/21 and second dose given 1/21/21. It was only 16 days apart.

Other Meds:

Current Illness:

ID: 0962611
Sex: F
Age: 58
State: VA

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: None

Allergies: Sulfa

Symptoms: Moderna COVID -19 Vaccine EUA ADR: chills, fatigue, muscle aches. Tylenol taken 30 mins ago

Other Meds: Headache Relief Medication (APAP/ASA/Caffeine

Current Illness: None

ID: 0962612
Sex: F
Age: 62
State:

Vax Date: 12/22/2020
Onset Date: 12/23/2020
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: headache - treated with advil

Other Meds:

Current Illness:

ID: 0962613
Sex: F
Age: 48
State: CA

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: None

Allergies: N/A

Symptoms: Employee received #2 COVID-19 vaccine 1/12/21 and slept through the night. When she was standing at the kitchen sink making breakfast at 10:00 am on 1/13/21 she fainted and woke up on the floor. Her child stated that she had fallen to the floor. She did not hit her head. This employee had an appointment to see her PCP the following day concerning something else. She did relay this information to her PCP who is asking that she follow up with a cardiologist. The PCP had no opinion if the vaccine may have caused her syncope. She currently has a appointment with a cardiologist.

Other Meds: N/A

Current Illness: N/A

ID: 0962614
Sex: F
Age: 46
State: PR

Vax Date: 01/11/2021
Onset Date: 01/13/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: CBC, PTT - normal

Allergies: none

Symptoms: nose hemorrhage for four days

Other Meds: none

Current Illness: Fibromyalgia

ID: 0962615
Sex: F
Age: 63
State: WA

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: NO Medical test / at the time of this report. 01/21/2021 12 pm

Allergies: none

Symptoms: Woke up with body aches, headache, threw-up once around 9:30 AM

Other Meds: none

Current Illness: none

ID: 0962616
Sex: M
Age: 20
State: AL

Vax Date: 11/18/2020
Onset Date: 11/18/2020
Rec V Date: 01/21/2021
Hospital:

Lab Data: None in our office. He was sent to the local ER Medical Center East where he was treated and I do not have a copy of those records.

Allergies: Advil- anaphylactic shock

Symptoms: Hives, shortness of breath, chest tightness within 5 minutes of receiving vaccines. Right arm had redness at the injection site the left arm site did not. He states he does not have an egg allergy that he is aware of. He received PO benadryl 50mg and pepcid 20mg and was given a shot of decadron/depomedrol 4/40mg IM once in office. EMS was called and he was transported to the ER.

Other Meds: No known medications

Current Illness: Seasonal allergies

ID: 0962617
Sex: F
Age: 48
State: CA

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: None

Allergies: N/A

Symptoms: Patient received #2 COVID-19 vaccine 1/12/21 and slept through the night. When she was standing at the kitchen sink making breakfast at 10:00 am on 1/13/21 she fainted and woke up on the floor. Her child stated that she had fallen to the floor. She did not hit her head. Patient had an appointment to see her PCP the following day concerning something else. She did relay this information to her PCP who is asking that she follow up with a cardiologist. The PCP had no opinion if the vaccine may have caused her syncope. She currently has a appointment with a cardiologist.

Other Meds: N/A

Current Illness: N/A

ID: 0962618
Sex: F
Age: 57
State: CA

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: Had cover test same day as vaccine; result was negative

Allergies: none

Symptoms: Cold hands at 1700 pm same day of vaccine, chills, by 3 am (Jan 20,2021)severe aches/pain in joints, difficulty moving arms and legs, Neuropathic -like pain, pins. needles with burning sensations. Aching throughout body, headache. Extremely fatigued, slept for hours. All came on quite suddenly. Every joint in body hurt. Jan 21st, runny nose, stomach ache mid morning. Mild aching, still with headache.

Other Meds: lexapro

Current Illness: none

ID: 0962620
Sex: F
Age: 47
State: NV

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: none

Allergies: Bactrim

Symptoms: woke up next morning with no sense of smell

Other Meds: Singulair, Zyrtec, Xanax, lidocaine patches

Current Illness: None

ID: 0962621
Sex: F
Age: 34
State: MI

Vax Date: 12/29/2020
Onset Date: 01/02/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: Had a covid test to rule out infection and it was negative

Allergies: None

Symptoms: Persistent severe nausea for 12 days straight, starting on the fourth day post injection. Also had diarrhea that started the same day but only lasted for two days

Other Meds: None

Current Illness: None

ID: 0962622
Sex: F
Age: 48
State: MN

Vax Date: 01/12/2021
Onset Date: 01/18/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Full feeling left arm pit, extreme fatigue, weakness, headache, joint pain, muscle aches, chills, nausea.

Other Meds: Vitamin D

Current Illness: None

ID: 0962623
Sex: F
Age: 63
State: CA

Vax Date: 01/18/2021
Onset Date: 01/18/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: None

Allergies: Sulfa allergy. Hx sensitivity to medications, generally titrat slowly. Hx severe delayed rxn to MMR vax 36 yrs ago, which was classified as rare.

Symptoms: Tachycardia (180+/-) starting approx 7-10min post injection. Was taken to medical monitoring area and held for approx 45min. Severe hypertension (approx 180/110 initially) was noted. Both improved over monitoring period, but did not resolved. Continuing to monitor both at home. Still experiencing random intermittent elevations to both parameters 3 days post injection. Also experiencing inj site rxn starting 12 hrs post and still present at 3 days post. Redness, swelling, pain (reducing), and now mild itching.

Other Meds: Lisinopril 40 mg 1po/q24h Amlodipine 5 mg 1po/q24h Red yeast rice, Vit C, Vit D & Calcium, Vit E, Krill oil, CoQ10

Current Illness: None

ID: 0962624
Sex: F
Age: 48
State: CA

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: None

Allergies: N/A

Symptoms: Employee received #2 COVID-19 vaccine 1/12/21 and slept through the night. When she was standing at the kitchen sink making breakfast at 10:00 am on 1/13/21 she fainted and woke up on the floor. Her child stated that she had fallen to the floor. She did not hit her head. This employee had an appointment to see her PCP the following day concerning something else. She did relay this information to her PCP who is asking that she follow up with a cardiologist. The PCP had no opinion if the vaccine may have caused her syncope. She currently has a appointment with a cardiologist.

Other Meds: N/A

Current Illness: N/A

ID: 0962625
Sex: F
Age: 35
State: WA

Vax Date: 01/08/2021
Onset Date: 01/15/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: no tests ordered

Allergies: Amoxicillin, Levofloxacin, Potassium clavulanate, Sulfa

Symptoms: Got vaccine at Clinic. Called to report her issues as was told to contact PCP. Was seen in office on 1/20/2021. She states arm sore the first 2 days. On 1/15 she noticed an erythematous round area at site of injection. Over the weekend she felt extremely fatigued, and some dizziness. She still feels tired and the erythema and warmth as increased to 3 in by 4 in over left deltoid. Denies fever, chills, swelling in mouth or throat , no SOB. Provider reviewed information from Moderna site with people in the original trial developed a delayed injection site similar to patients after day 8. Area on deltoid was outlined and patient instructed to return to clinic if site increases in size or induration. Informed to report to ER if any swelling, hives, throat swelling or difficult breathing occurs.

Other Meds: Magnesium, melatonin, Zyrtec, Nature-Throid, Lamotrigine

Current Illness: Exposed to COVID and tested. COVID 19 was not detected

ID: 0962626
Sex: M
Age: 59
State: PA

Vax Date: 01/15/2021
Onset Date: 01/18/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Systemic rash with hives, no respiratory or intraoral involvement.

Other Meds: Cardizem, Lipitor, aldactone, Zyrtec-D, ursodil,

Current Illness: none

ID: 0962627
Sex: F
Age: 29
State: PA

Vax Date: 01/12/2021
Onset Date: 01/19/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: yes

Symptoms: 1/19/21 07:30 developed redness and itching to left arm and increased in size throughout the day into the next day. Rash to left arm worse on 1/20. On 1/21/21 notices improvement in redness. Pt. states that raised are is still there.

Other Meds: yes

Current Illness: no

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm