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: 0970464
Sex: F
Age: 29
State: IL

Vax Date: 01/22/2021
Onset Date: 01/23/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: Cipro, Norco

Symptoms: 1//22 Received the shot in the early morning. Sore arm later in the day. 1/23 Sore arm, sore swollen armpit lymph node that's palpable. Fatigue. 1/24 sore arm and still a sore swollen armpit lymph node. 1/25 sore arm, sore swollen armpit lymph node and fever

Other Meds: Humira, Methotrexate, Plaquenil, Folic Acid, Zyrtec

Current Illness: Autoimmune Disease - Mixed Connective Tissue Disease (MCTD)

ID: 0970465
Sex: F
Age: 73
State:

Vax Date: 12/23/2020
Onset Date: 01/07/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Left arm pain, redness & swelling at injection site

Other Meds:

Current Illness:

ID: 0970466
Sex: M
Age: 76
State: MI

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: None

Allergies: tetracycline

Symptoms: Marked involuntary movements, of whole body and especially left arm and leg. Loss of ability to communicate and feed himself. Vomited medication.

Other Meds: Finasteride, Bactrim, Tamsulosin, Low dose Aspirin, Carbidopa/Levodopa, Citalopram, Divalproex, Melatonin, Quetiapine,

Current Illness: Lewy Body dementia

ID: 0970467
Sex: F
Age: 49
State: SC

Vax Date: 01/22/2021
Onset Date: 01/25/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: None

Allergies: Penicillin

Symptoms: I had the first dose on Friday afternoon and on Monday morning when I woke up it feels like my face has been sunburned. It is red and slightly puffy. No new skin products or foods. No difficulty breathing or other symptoms. I am also a nurse practitioner.

Other Meds: Birth control, Prestiq, Zyrtec, Diclofenac, Multivitamin, Probiotic

Current Illness: None

ID: 0970468
Sex: M
Age: 69
State: FL

Vax Date: 01/23/2021
Onset Date: 01/24/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Diarrhea

Other Meds: Allopurinol Irbesartin B12 Crestor Zinc

Current Illness:

ID: 0970469
Sex: M
Age: 81
State: IN

Vax Date: 01/22/2021
Onset Date: 01/25/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: none

Allergies: Cats, seasonal

Symptoms: Extreme chills lasting approx 2 hours Nausea briefly Fatigue ongoing

Other Meds: Allopurinol, Atorvastatin,Pantoprazole,ASA,Losartin,Metoprolol

Current Illness: none

ID: 0970470
Sex: F
Age: 53
State:

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: Given Benadryl 25 mg at the on-site clinic. BP and HR were still elevated after 45 mins. EMS was called and I taken to the nearest hospital for further evaluation. I was treated in the ER with a 1L NS bolus of IVF, Tylenol, Pepcid and Zofran, and labs drawn. After 2.5-3 hrs later my BP decreased and I was D/C to home with a Rx for Pepcid, Prednisone and an Epipen. I followed up with my HCP who stated that I should receive the second dose and preferably in a hospital detting for closer observation. He also suggested premedicating with Zyrtec and bringing my Epipen. My PCP was also updated on my condition and agreed with the treatment that was given.

Allergies: Erythromycin, Levaquin, Biaxin and Cefzil

Symptoms: 20 mins after the injection, my BP increased to 193/113 ( no h/o HTN), pulse was 134, flushing and a rash across my chest, headache, nausea, numbness/tingling in both hands and lightheaded.

Other Meds: Advair, Albuterol, Vitamin D3, Zinc, Estradiol-Noreth PRN Benadryl, Ibuprofen No medications were taken the morning of the vaccine.

Current Illness: URI in December, negative COVID test

ID: 0970471
Sex: F
Age: 25
State: IA

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: Amoxicillin, TDAP vaccination, seasonal allergies

Symptoms: My arm started to hurt at the injection site at about 7PM. It hurt to touch and put pressure on it. I woke up around 1AM on the 31st feeling cold and went back to sleep, but I couldn't lay on the arm that had the injection due to the pain in my muscle. I woke up again at 3AM with chills, cold sweats, and body aches; it felt like I had a fever but I don't own a thermometer so I can't say for sure. Later in the day on the 31st, I did not have an appetite and when I tried to eat, I experienced nausea. Even the slightest touch to the injection site caused pain and I couldn't raise that arm. My fatigue, aches, loss of appetite, nausea, and chills lasted until January 1st. The pain in my arm lasted for another week or so before I could lay on it or touch it. To this day, if I scratch the injection site or accidentally bump into it in the exact spot I received the shot, it will cause pain that I did not experience before.

Other Meds: Lutera -- birth control

Current Illness: None

ID: 0970472
Sex: F
Age: 46
State: NJ

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: n/a

Allergies: none that i am aware of. itchy reaction to nickel, bauxite metals

Symptoms: 1. Pain in arm at injection site that begin approximately 4 hours after injection. Gone approximately 36 hours after shot. 2. Most concerning adverse event is sensitivity and intermittent tingling on the left side of my body, including fingers, palm, toes, and bottom of foot. Currently (1.25.2021), five (5) days after shot, am still experiencing these symptoms. When I scratch my finger nail to the tip of fingers, the skin of the fingertips on my left hand feels thicker than than the ones on my right. They are less sensitive. This did not occur before the vaccination shot. 3. Occasional "pressure" in the head in the first couple of days, but would not describe it as pain or headache.

Other Meds: advair 250/50 albuterol (as needed) vitamins D (2,000 ius) vitamin C (1,000 iu) fish oil probiotic

Current Illness: none

ID: 0970473
Sex: F
Age: 46
State: CT

Vax Date: 01/24/2021
Onset Date: 01/24/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: Dirithromycin - anaphylaxis

Symptoms: Approximately 5-10 minutes after 1st dose of vaccine, patient complained of feeling sweaty, nauseous, and not feeling right. She was tachycardic and bradycardic soon after. She was transported to the ED for evaluation. She endorsed lightheadedness, chest pain, and trouble swallowing upon ED triage. She was given diphenydramine 25mg PO x 1 dose and observed for ~2.5 hours prior to discharge.

Other Meds:

Current Illness:

ID: 0970474
Sex: F
Age: 45
State: MI

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/25/2021
Hospital:

Lab Data: No

Allergies: Sensitive to stings

Symptoms: About 25 min after receiving the vaccine, I noticed a little tingling on my lips and my cheeks and my face felt heavy. I looked myself in the mirror, my face, cheeks and neck became very red like beet red and warm to the touch. I returned to the vaccine site and they observed me but the symptoms worsened, my eyes started getting puffy/ my cheeks started getting purple instead of red, and they sent me to the ER. At the ER they continued to monitor me and gave me IV Benadryl and IV Pepcid and IV steroids and said I had a delayed case of hives. Once I had all the IV medication the swelling went down and the hives on my arms and my back went away, the redness in my face and neck stayed until next day and I noticed after taking a warm shower the next day the redness returned on other parts of my body. I took a Benadryl. About after 2 days it was all resolved.

Other Meds: Lexapro

Current Illness: No

ID: 0970475
Sex: F
Age: 51
State: ID

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/25/2021
Hospital:

Lab Data: Labs (Chemistry panel-liver enzymes elevated)

Allergies: Penicillin, Sulfur, Morphine, Codeine, Hydrocodone, Benzolin, Latex

Symptoms: I started with sore throat,feeling like it was swelling and no difficulty breathing around 5pm. At 7 pm started exp chills, fever 101.9, the highest it got over next 2 days 100.5. The pain in my legs cause me to not be able to walk and severe headache. Due to the pain in my legs exp bruises in both legs of calf muscles. I felt as if I had Covid therefore I went to the doctor 4 days.

Other Meds: Synthroid,Tramadol

Current Illness: No

ID: 0970476
Sex: F
Age: 59
State: IN

Vax Date: 01/18/2021
Onset Date: 01/18/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: None

Allergies: Desyrel

Symptoms: On 1/18/21, 20minutes after receiving the shot, I started having numbness and tingling in my right arm, all the way down to my finger tips. it lasted for 10-20 minutes then slowly improved. This also happened after the first shot but I didn't think much about it because it only lasted for 3-5 minutes was mild and it was mostly just tingling.

Other Meds: Lexapro, multivitamin, Ca++ suppliment and Ibupro

Current Illness: None

ID: 0970477
Sex: F
Age: 55
State: NY

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Arm pain and sleepiness day of vaccine, then next day chest pain and SOB. Went to ED--chest CT clear and labs WNL Chest pain and SOB still lingering for multiple days. Denies hx of covid infection. Says ED did not swab for active Covid 19 infection.

Other Meds:

Current Illness:

ID: 0970478
Sex: F
Age: 49
State: GA

Vax Date: 01/11/2021
Onset Date: 01/18/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: pollen and cats

Symptoms: I have only had the first Moderna dose. I did not have any immediate reaction to it other than some soreness at the injection site. One week after receiving my first vaccine dose, I noticed a red, hot, itchy circular area around the injection site (about 2 inches in diameter). I notified my doctor. I am taking 2 benadryl at night, and Allegra during the day. Reddish area grew slightly in size over the next 2 days, then started to diminish. It is still slightly pink, but improving.

Other Meds: synthroid and birth control (mini pill - progestin only)

Current Illness: none

ID: 0970479
Sex: M
Age: 33
State: NY

Vax Date: 12/22/2020
Onset Date: 12/23/2020
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: chlorquine

Symptoms: 33M, patient denies PMH p/w uvula and L tonsil swelling (laying on top of tongue), soreness, and difficulty breathing since waking up the morning of 12/23/2020; sob now resolved; swelling unchanged; patient stated he got COVID vaccine 12/22/2020. No other complaints. Received diphenydramine, famotidine, epinephrine and dexamethasone. Patient admitted to the ED on 01/24/2021 with similar reaction after receiving second COVID-vaccine shot.

Other Meds: no active meds

Current Illness: No active problems

ID: 0970480
Sex: F
Age: 56
State: TX

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: chills, body aches, fever with a tmax of 101.3 started the next day. Treatment none, resolved by day 3. Aleve was taken after symptoms resolved. Outcome: Complete resolution of symptoms, did not interfere with ADL's.

Other Meds:

Current Illness:

ID: 0970481
Sex: F
Age: 42
State: AL

Vax Date: 01/18/2021
Onset Date: 01/19/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: The next day I had a low grade fever of 99.9, body aches, and chills. My left arm was significantly sore all day, pain from my shoulder to elbow and into my armpit/chest. On Wednesday, Jan 20th, I noticed a red mark, oval in shape, about 4 inches from the injections site that became warm to touch. During Wednesday and Thursday, the red mark got larger, wrapping around the outside of my arm and slightly swelled. It is still warm to touch but not as red today (Monday 1/25). I have applied ice to it twice a day for 20 minutes at a time.

Other Meds: MVI, baby ASA, Vitamin D3, benadryl

Current Illness: none

ID: 0970482
Sex: M
Age: 70
State: TX

Vax Date: 01/22/2021
Onset Date: 01/23/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: fatigue, headache,muscle pain,joint pain chills, nausea

Other Meds:

Current Illness:

ID: 0970483
Sex: F
Age: 49
State: MS

Vax Date: 01/15/2020
Onset Date: 01/18/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: Took the shot on a Friday, 1/15/2021 and felt fine on Saturday and Sunday. Woke up Monday with a low grade fever and sore throat. Ran fever for two days. Head congestion and started coughing on as well but not certain when that started. As of 1/25, I'm still congested with a sore throat my temp is 97.7.

Other Meds: estrogen, Allegra D, Synthroid, Omeprazole, escitalopram

Current Illness: none

ID: 0970484
Sex: F
Age: 77
State: TX

Vax Date: 01/15/2021
Onset Date: 01/16/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: none. My doctor referred me to you

Allergies: codeine, morphine, Compazine

Symptoms: Redness and swelling in site of injection still present 10 days after shot. My arm was sore for a couple of days as expected, no other symptoms following the shot. I began experiencing a headache January 24th and woke during the night sweating. No temperature last night or today.

Other Meds: Celecoxib, diltiazem hydrochloride, eliquis, gabapentin, hydrochlorothiazide, losartan potassium, D-3, pravastatin, montelukast, probiotic, biotin, b-12, omeprazole.

Current Illness:

ID: 0970485
Sex: F
Age: 53
State: CA

Vax Date: 01/17/2021
Onset Date: 01/24/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: Nothing only looked at it

Allergies: Pencillin

Symptoms: Noticed a week later. At injection site and surrounding area round red raised/bump size of quarter hive looking , painful, warm - whole arm painful as well and underneath armpit . Otherwise no other on my body . ER doctor treating it for cellulitis prescribed antibiotics and Tylenol and discharge

Other Meds: Propranolol Hydrochloride extended release 60mg

Current Illness: Nothing

ID: 0970486
Sex: F
Age: 60
State: IN

Vax Date: 01/23/2021
Onset Date: 01/24/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: N/A

Allergies: Vitamin E -oral

Symptoms: Fever, Headache, Chills, Vomiting

Other Meds: Paxil, Zinc, Vitamin D, Vitamin C, Folic Acid, B-12,

Current Illness: n/a

ID: 0970487
Sex: F
Age: 41
State: VA

Vax Date: 01/13/2021
Onset Date: 01/19/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: None.

Allergies: None

Symptoms: The area where I got the shot started itching. Then it developed a bump that looked like a large mosquito bite. Over the course of 3 hours it swelled into a lump the size of a baseball that was itchy, red, and hot. I put ice on it and the swelling went down overnight. It proceeded to get hot and itchy the next day and I went to urgent care. The redness preceded to spread in a diagonal area toward my bicep and got better over the next 4 days with ice.

Other Meds: Apri, Adderall, multivitamin

Current Illness: None

ID: 0970488
Sex: F
Age: 80
State: IN

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: severe diarrhea

Other Meds: None

Current Illness: None

ID: 0970489
Sex: F
Age: 70
State: GA

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: electrocardiogram

Allergies: Clindamycin, Sulfa, Tetanus, Bees, Wasps

Symptoms: PVC and tachycardia on ECG occurring within 30 minutes post injection. Metoprolol succinate ER 25 mg prescribed. Patient remained 96-99% O2 with HR 100-106. Patient discharged home in stable condition.

Other Meds: coconut oil, CoQ-10, Cyclobenzaprine, Epinephrine auto-injector, Estradiol, Flovent, Flonase, Hydrochlorothiazide, Magnesium, Metformin, Metoprolol, Miralax, Montelukast, Multivitamin, Omega 3-6-9, Pravastatin, Prednisone, Probiotic, Ramipr

Current Illness: none

ID: 0970490
Sex: F
Age: 32
State: TX

Vax Date: 12/30/2020
Onset Date: 01/21/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Miscarriage

Other Meds: My second first dose dose took place on 12/30 and second on 1/19. I had a miscarriage on 1/21.

Current Illness: Asthma

ID: 0970491
Sex: F
Age: 54
State: MO

Vax Date: 01/24/2021
Onset Date: 01/24/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: N/A

Allergies: none

Symptoms: Headache, Injection site pain, Tiredness, Joint pain, Chills

Other Meds:

Current Illness: none

ID: 0970492
Sex: F
Age: 62
State: MN

Vax Date: 01/12/2021
Onset Date: 01/20/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Itching, redness, swelling at injection site 8 days after injection.

Other Meds: Centrum Silver multi vitamin, fish oil 1000mg, calcium 600mg, melatonin

Current Illness: None

ID: 0970493
Sex: F
Age: 50
State: NC

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: EKG x 2, troponin x 2 WNL

Allergies: NKDA, no prior issues with vaccines

Symptoms: 1st vaccine - hypertension, tachycardia, full body tingling, lightheaded - resolved after 60 minutes of observation 2nd vaccine - within 2 minutes, similar symptoms started but gradually intensified. Additionally, had chest pressure, throat dryness, sensation of needing to breath faster (but not shortness of breath), presyncope, full body shaking (rigors) and hand numbness. Code medic called and wheeled down to ER. Symptoms (all of them) came in waves and intensified further in ER. Given IV solumedrol, benadryl and famotidine. Within a minute of IV meds, all symptoms resolved and felt fine for 15 minutes. The symptoms then returned in similar waves but with less intensity and further apart.

Other Meds: fluoxetine 30 mg daily hydrochlorthiazide 12.5 mg daily multivitamin

Current Illness: none

ID: 0970494
Sex: F
Age: 24
State: TN

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: I received the vaccine around 9:00am on 1/22/2021, and around 7:30pm, I began running a low grade fever of 99.1 which is pretty high compared to my normal body temperature. I also experienced muscle soreness and chills. After taking Tylenol, the symptoms subsided. Around 3:15am on 1/23/2021, I woke up with a 101.2 degree fever along with more intense muscle soreness, chills, and light-headedness. I felt slightly nauseous and had a headache. I took Tylenol again to lower the fever. When I woke up around 8:00am, the symptoms were gone except for lingering fatigue.

Other Meds: drospiernone (Yaz), women's multi-vitamin

Current Illness: none

Date Died: 01/16/2021

ID: 0970495
Sex: F
Age: 77
State: NC

Vax Date: 01/13/2021
Onset Date: 01/16/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: Unknown.

Allergies:

Symptoms: Patient expired three days after receiving first dose of Moderna COVID-19 vaccine. The death certificate states cause of death is sudden cardiac arrest.

Other Meds:

Current Illness:

ID: 0970496
Sex: M
Age: 30
State: PA

Vax Date: 01/21/2021
Onset Date: 01/24/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: Didn?t have an allergy before vaccine, post vaccine now allergic to shellfish

Symptoms: Allergic Reaction to shellfish, never had allergic reaction to anything before

Other Meds: None

Current Illness: Swollen glands in right eye

ID: 0970497
Sex: F
Age: 46
State:

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Itching bilateral hands, feeling warm for 2-3mins, anxiety, flushed ,Headache received Benadryl 25mg orally and chest tightness and heaviness received 2nd dose Benadryl 25mg . EMS /cardiac monitored and was transferred to a Hospital.

Other Meds: Losartan/HCTZ 100/25

Current Illness:

ID: 0970498
Sex: F
Age: 65
State: ND

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: N/A

Allergies: NONE

Symptoms: Headache, chills, body aches. Tylenol, ibuprofen and Benadryl Felt better after 24 hours

Other Meds: NONE

Current Illness: NONE

ID: 0970499
Sex: M
Age: 58
State: OH

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: None

Allergies: No known allergies

Symptoms: About an hour after he received his vaccine, he experienced tachycardia, tremors that lasted about an hour, his hands and face turned red, he experienced mental fogginess, and his vision "went out" for a short time. He ate a little bit of food, took some food, went home and rested and his symptoms calmed down. The next day (Saturday) he just felt fatigued. He did say that he had not ate breakfast before receiving his vaccine. He also spoke with a family member who is a doctor but did not actually go to a doctor's office/clinic.

Other Meds: Atenolol, Xanax, Atorvastatin, Amlodipine, Losartan

Current Illness: None

ID: 0970500
Sex: F
Age: 46
State: MO

Vax Date: 01/06/2021
Onset Date: 01/09/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: none

Allergies: shrimp

Symptoms: on Jan 9-11 experienced significant muscle fatigue Jan 12-17 body aches, headache requiring over the counter NSAID for some relief Jan. 18 to present, mild symptoms of headache, muscle fatigue persist although not as severe

Other Meds: bupropion HCL 300mg desvenlafaxine 50 mg clonozapam .5 mg multi vitamin zinc, vitamin D through Emergen c dietary supplement

Current Illness: none

ID: 0970501
Sex: F
Age: 77
State: IN

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: N/A

Allergies: Seafood, Sulfa, Nitrofuracin

Symptoms: While waiting 15 min. following vaccine administration in clinic waiting room per clinic protocol, pt. began experiencing numbness and tingling in arm where vaccine was administered. Symptoms went down patient's arm into hand/fingers. Pt. declined need for medical attention at the hospital and reported she just wanted to return home. Encouraged pt. to call HCP with any further symptoms or worsening of numbness/tingling. Pt. left clinic. Follow-up phone call made to patient in afternoon at approx. 1520 (01/21/2021). Pt. reported that symptoms had resolved at time of follow-up phone call and denied further need for medical attention.

Other Meds: Unknown

Current Illness: Unknown, not ill at time of vaccination

ID: 0970502
Sex: M
Age: 55
State: TX

Vax Date: 12/23/2020
Onset Date: 01/13/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: n/a

Symptoms: joint Pain

Other Meds: n/a

Current Illness: n/a

ID: 0970503
Sex: F
Age: 42
State: CA

Vax Date: 01/20/2021
Onset Date: 01/22/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: none, I phoned my doctor. He advised to report my reaction.

Allergies: SULFA; PEACHES

Symptoms: Lymph nodes in right armpit became swollen approx. 36 hours after injection. The area became very tender and painful. The injection site also became painful, warm to touch and slightly swollen. The lymph nodes on the my neck were also bothersome and gave me a constant headache for 3 days. Starting Sunday, 4 days post 2nd vaccine, I found 6 red spot on the side of my torso. Same side of body as the vaccine. It's not itchy, just there. Day 4, still experiencing muscle aches in back and arm.

Other Meds: AMLODIPINE 10 MG/DAILY; ZYRTEC 20MG DAILY; MULTI VITAMIN

Current Illness: NONE

ID: 0970504
Sex: F
Age: 24
State: IN

Vax Date: 01/23/2021
Onset Date: 01/25/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: Toradol Imitrix

Symptoms: Bell?s palsy in left side of face Pain and tightness from under injection site to forehead Burning pain in left nostril when breathing in that travels up into left eye to left eyebrow

Other Meds: EMGALITY 120 MG/ML PEN PEN INJECTOR In Process EMGALITY 120 MG/ML PEN PEN INJECTOR for Kayetlyn Details History opens modal dialogMove to Archive In Process Last filled on 01/15/2021 UBRELVY 50 MG TABLET In Process UBRELVY 50 MG TABLE

Current Illness:

ID: 0970505
Sex: F
Age: 50
State: MD

Vax Date: 01/15/2021
Onset Date: 01/20/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: I received the Moderna injection on 1/15/21, had some sligh arm soreness, last week I noticed a small raised area at injection site, arm was a little sore, then on last week on 1/20-21/21 my arm injection site was larger warm to touch. no discolorations. on 2/24/21 injection site is itching and burning.

Other Meds: spironolactone, candesartan, St. johns wart, vit d, biotin, protonix.

Current Illness: none

ID: 0970506
Sex: M
Age: 27
State: IN

Vax Date: 01/23/2021
Onset Date: 01/24/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Fever, fatigue, nausea, diarrhea

Other Meds: Amlodipine

Current Illness: None

ID: 0970507
Sex: F
Age: 52
State: ND

Vax Date: 01/22/2021
Onset Date: 01/23/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Body aches, headache, nausea. Tylenol, ibuprofen and Benadryl. Lasted 24 hours

Other Meds: None

Current Illness: None

ID: 0970508
Sex: F
Age: 39
State: ND

Vax Date: 01/22/2021
Onset Date: 01/25/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: None.

Allergies: Penicillin

Symptoms: Local reaction at injection site: Rash.

Other Meds: HCTZ, Zolaft, Loestrin, Tylenol PRN

Current Illness: Sinus infection 3 weeks prior to vaccination.

ID: 0970509
Sex: F
Age: 59
State: NC

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: none

Allergies: sulfa Hep B vaccine statins

Symptoms: First day:chills, sore throat, nausea, fatigue, H/A starting about 2 pm Second day: fatigue, less nausea, chills, H/A Third day: Extreme fatigue and Fever 100.9 oral

Other Meds: xiidra 5% Vit D 2000IU Levothyroxine .05 mg Lansoprazole 15 mg Ezetimibe 10 mg Bupropion SR 100-mg Fluticasone Propionate and Salmeterol Inhalation powder 250/50 Metoprolol ER Succinate 25 mg Montelukast 10 mg Aripiprazole 2mg

Current Illness:

ID: 0970510
Sex: F
Age: 27
State: MI

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: N/A

Allergies: N/A

Symptoms: Pityriasis rosea

Other Meds: prenatal Zyrtec mini pill (birth control)

Current Illness: N/A

ID: 0970511
Sex: F
Age: 56
State: FL

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: None

Allergies: Mango

Symptoms: In the first 24 hours I had chills and mild muscle aches like I was coming done with the flu. ( no big deal I knew that) It after the 24 hours that the injection site and below the site became warm and red. Felt like a case of cellulitis the size of a peice of toast. It?s 4 days out and it?s finally subsiding.

Other Meds: Spironalactone, vit c d zinc, methyl factors, DIM, progesterone calcium

Current Illness: None, red tide irritation

ID: 0970512
Sex: F
Age: 34
State:

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: muscle aches, back pains, and chills

Other Meds:

Current Illness:

ID: 0970513
Sex: F
Age: 41
State: MN

Vax Date: 01/14/2021
Onset Date: 01/25/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Notice rash at injection site on 1/25/21

Other Meds: Buspirone 10mg, synthyroid 88 mcg, Sky-rize

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm