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: 0971086
Sex: M
Age: 37
State: CA

Vax Date: 01/14/2021
Onset Date: 01/21/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: Penicillin, amoxicillin, septra

Symptoms: Onset of soreness one week after administration. Soreness was more severe than after initial injection (soreness after initial injection lasted for one day). Soreness lasted 2 days. Shoulder is red and itchy. No other issues with any other parts or systems, localized entirely to left shoulder.

Other Meds:

Current Illness:

ID: 0971088
Sex: M
Age: 68
State: FL

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

Lab Data: None

Allergies: Penicillin, Codeine, Iodine Dye CT Contrast

Symptoms: Blood pressure spike to 180/110 within 15 minutes of being administered first dose of Pfizer Covid-19 Vaccine on 1/21/21. Observed by attending physician while resting reclined with head elevated. Provided hydration (water). Elevated blood pressure began to decline within 30 minutes thereafter. Was able to drive home. Have since been suffering with mild to moderate sinus headaches and stiffness in the joints of my hands/fingers on both left and right hands. Ears occasionally clogged. Taking Tylenol and Flonase.

Other Meds: Benicar, Lipitor, Omega 3, COQ10, Vitamin D3, Cinnamon, Vitamin C

Current Illness: Sinus Headache, Clogged Ears, Dizziness and Vertigo within 2-3 weeks of first Flu Shot in mid-December 2020

ID: 0971089
Sex: F
Age: 45
State: IL

Vax Date: 01/15/2021
Onset Date: 01/23/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: N/A

Allergies: Allergic to PCN

Symptoms: A week after injection Right deltoid became swollen with 2 knots in right arm. It has heat and itches. The next day woke up and it was still swollen, red, and itched but only had one knot in the right arm. Thought it was getting better. Then the following day 2 knots appeared.

Other Meds: xylia- allery medicine

Current Illness: None

ID: 0971090
Sex: M
Age: 41
State: NV

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

Lab Data:

Allergies: None

Symptoms: 2nd dose Moderna vaccine given 14 days after 1st dose. Negative symptoms at time of 2nd dose administration.

Other Meds: Adderal, Percocet, Nuycenta, Testosterone

Current Illness: None

ID: 0971091
Sex: M
Age: 32
State: CA

Vax Date: 01/20/2021
Onset Date: 01/24/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Joint pain, fatigue

Other Meds:

Current Illness:

ID: 0971092
Sex: M
Age: 56
State: AZ

Vax Date: 02/05/2021
Onset Date:
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: n/a

Symptoms: N/A

Other Meds: n/a

Current Illness: n/a

ID: 0971094
Sex: M
Age: 33
State:

Vax Date: 12/19/2020
Onset Date: 12/19/2020
Rec V Date: 01/25/2021
Hospital: Y

Lab Data:

Allergies:

Symptoms: Vaccine received 12/19, began to feel ill later that evening. Nightsweats and emesis. With confusions and hallucinations. Admitted to the hospital 12/21-12/27/20 for encephalitis.

Other Meds:

Current Illness:

ID: 0971096
Sex: F
Age: 33
State: VA

Vax Date: 01/09/2021
Onset Date: 01/16/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Local allergic type symptoms on my upper left arm: redness, itchy, a bit painful, firm/swollen, and warm. This lasted for about 48 hours. I also felt a little "off" systemically- no fever but I was a bit lethargic and dizzy. I took benadryl (either 25 or 50mg) at night before bed and this did not help the first night, but it helped immensely almost immediately the 2nd night I took it, and then the next morning it had pretty much gone away.

Other Meds: Lexapro 10mg daily Melatonin for sleep

Current Illness: None

ID: 0971097
Sex: F
Age: 40
State: CA

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

Lab Data: EKG Cardic Lab

Allergies: no

Symptoms: 5 minutes after I the vaccination I got light headed and heart palpations were felt in my throat, elevated BP of 148/92 which continued to increase to 159/109 which then Rapid Response was called in and I was transported to ER for about 4hrs. 2 EKGs - done 1st showed PVC, and Cardiac labs were drawn and was continued monitoring with elevated BP. About 3hrs later ,the 2nd EKG was done which looked better and I was released. I was advised I could return back to work on 1/1 but I still felt bad and had continued palpations and wasnt able to go bk to wk until 1/5. I did return to work on 1/5 and at 1:30am I got up and felt lightheaded and the palpations returned. I went to healthcare facility and got my bp taken which was 174/92 so I went to the ER. I was given presnisone and within the next 45min the palpations began to lessen and BP began to decrease. I was also prescribed a 7day course of predinsone and removed from work until 1/9. I had a virtual visit on 1/7 with my physician in which I showed her the injection site which was still very red, painful and bruised so she prescribed Bactrim and Benedryl causing her to further remove me from work until 1/14. I had a in person follow up appt on 1/14 which by that time all symptoms had subsided. My BP was back normal at 97/72 and my arm symptoms had subsided as well. An in office EKG was done which was normal. But from 1/6-1/14 the heart palpation and elevated BP remained. Although I will say they did lessened throughtout that time it was extremely hard on me during that time frame .

Other Meds: no

Current Illness: no

ID: 0971098
Sex: F
Age: 29
State: ME

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

Lab Data: none

Allergies: none

Symptoms: erythema with central clearing

Other Meds:

Current Illness: unknown

ID: 0971099
Sex: F
Age: 57
State: MN

Vax Date: 01/13/2021
Onset Date: 01/17/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient called Occ Health Office on 1/21 and was advised to be seen by HCP given the length of time that had passed since she received the vaccine. She was seen in urgent care. Notes from that encounter states, "...presents for swollen lymph nodes x 3 days, received second covid vaccine on 1/13/21 and had dental procedure that day, just finished bactrim. Physical exam as above; non-toxic, well-appearing, afebrile in NAD. Cervical adenopathy present along with L>R inguinal lymphadenopathy, bilateral inguinal lymphadenopathy. She has received the second covid vaccination and this seems consistent with post vaccination adenopathy. No dental abscess/infection or evidence of tonsillar exudates to suggest strep pharyngitis. Upon discussion with ED staff physician, she reports she has been working excessively and feels fatigued. She was encouraged to take the day off of work today and was given a work note. Encouraged PCP follow up to ensure improvement in symptoms. The ER research team was contacted and will chart review and follow up regarding adenopathy after second covid vaccine. Reviewed return to ED precautions. In ED labs were drawn, EE was given Ibuprofen and advised to follow up with PCP is symptoms persist or worsen.

Other Meds:

Current Illness:

ID: 0971100
Sex: F
Age: 71
State: IN

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

Lab Data: None

Allergies: Quinine, Shellfish [Iodine], Amoxicillin Clavulancte, Bactrim [Sulfa]

Symptoms: Muscle in lower area of throat started to feel slightly tight. Could still breath and swallow. Several staff members checked on me. Blood pressure top number was 175, ten minutes later it dropped to 155. Staff member stated my pulse was elevated. Although, I only felt the slight tightness in my throat. My oxygen level stayed at 98. They had me stay for an hour and then I went home. By then the tightness started to lessen. After an hour or two the feeling was total gone. My blood pressure had gone back to normal when I checked it at home. The next day at 2 pm [13 hours later] I had a temperature of 99.1, had the chills yet felt warm, started a slight headache and became very tired. At 2 am in the morning everything was over. I woke at my normal time and felt great. Have been doing well ever since.

Other Meds: Medication taken in the evening and morning of vaccination: evening of the 20th, Montelukast 10mg. Morning of the 21st at 7:30 am, Benazepril/HCI 12 mg/20mg, Loratadine 10 mg, Calcium + Vitamin D, Potassium, Nasacort spray.

Current Illness: Sinus congestion

ID: 0971102
Sex: F
Age: 31
State: WA

Vax Date: 01/16/2021
Onset Date: 01/24/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Itchy, hot, red circle formed around injection site over a week post injection.

Other Meds:

Current Illness:

ID: 0971103
Sex: F
Age: 53
State: AR

Vax Date: 12/18/2020
Onset Date: 12/19/2020
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: Latex Any adhesives Derma bond Zofran

Symptoms: My arm was red, swollen, hot to touch and swelled up about 1 inch around the injection site. I still have about a pea size knot there. It doesn't bother me unless I bump that spot.

Other Meds: Aldactone Benazepril Mutli vitamin Vitamin C -1000mg Depression medication (unknown of name) Trazadone (Sleep) Lipitor

Current Illness:

ID: 0971104
Sex: F
Age: 36
State:

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

Lab Data:

Allergies:

Symptoms: Moderna COVID-19 Vaccine EUA I experienced side effects including fever, nausea, headache, chills, fatigue, muscle and joint aching.

Other Meds:

Current Illness:

ID: 0971105
Sex: M
Age: 57
State: GA

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

Lab Data: 01/23/21 Covid-19 test. 01/24/21 Negative test results

Allergies: Sulfur

Symptoms: 01/21/21 achy joints, chills, 01/22/21 fever 101.5, achy joints, fatigue, pain and tingling in both feet and toes 01/23/21 fatigue, pain and tingling in both feet and toes,, both lower leg achy 01/24/21 and 01/25/21 pain and tingling in both feet and toes

Other Meds: Armodafinil, Anastrozole, Metformin, Testosterone Cypionate, HCG, Multi Vitamin

Current Illness: N/A

ID: 0971106
Sex: M
Age: 39
State: PR

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: None

Allergies: Crustaceans

Symptoms: Strong headache and tiredness

Other Meds: None

Current Illness: None

ID: 0971108
Sex: F
Age: 53
State: RI

Vax Date: 12/28/2020
Onset Date: 01/07/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: Additional testing pending.

Allergies: codeine, phentermine, thimerosal, sulfa

Symptoms: Pt received vaccination thru employer. Approximately 10 days later, she developed erythema nodosum of the legs.

Other Meds: zolpidem, topiramate, Premarin, ibuprofen, sumatriptan, albuterol, celexa, MVI, Macrobid, probiotic

Current Illness: none

ID: 0971109
Sex: F
Age: 40
State:

Vax Date: 01/14/2021
Onset Date: 01/17/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Diarrhea, stomach cramps, vomiting

Other Meds:

Current Illness:

ID: 0971110
Sex: M
Age: 27
State: MA

Vax Date: 01/13/2021
Onset Date: 01/15/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: No

Symptoms: Fever lasting 10 days, weak very tired , lower back pain

Other Meds: No

Current Illness: None

ID: 0971111
Sex: F
Age: 76
State:

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

Lab Data:

Allergies:

Symptoms: Chills, Body aches for 24 hours

Other Meds:

Current Illness:

ID: 0971112
Sex: F
Age: 41
State: AZ

Vax Date: 01/16/2021
Onset Date: 01/23/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Site reaction 1 week later after no initial reaction. Extensive redness and swelling. Radiating heat and slowly increasing is size of area. Super sore to move and touch. Slight itch to area

Other Meds: None

Current Illness: None

ID: 0971114
Sex: F
Age: 61
State: MN

Vax Date: 01/11/2021
Onset Date: 01/20/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Pt. stated about 9 days after receiving vaccine, the injection site become red with hives 2-3cm, itching, and a raised bump. This resolved itself around 2 days later.

Other Meds:

Current Illness:

ID: 0971115
Sex: F
Age: 61
State: NJ

Vax Date: 12/28/2020
Onset Date: 01/04/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: n/a

Allergies: no

Symptoms: Vaccine given on 12/28/20. Arm began to hurt and began experiencing cold like symptoms, ache, and sore arm at 4PM. Took Tylenol and felt better. The sore arm remained for 2 days and completely disappeared. The following week I developed vertigo for 4 days. I have never had vertigo.

Other Meds: Metformin 1500 mg/day

Current Illness: no

ID: 0971116
Sex: F
Age: 48
State: OH

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

Lab Data: None

Allergies: Percocet

Symptoms: Received 1st dose Moderna on 01/12/2021. Had low grade fever, headache and fatigue for 5 days. Arm was sore as well for 3 days but no redness at injection site. On 01/23/2021 noted red marks on fingers and palms., itiching to only 1 finger. Also noted on left wrist hives with itching. Also, had 2 red dots on both elbows mirroring each other. As well as 1 red spot on top of each foot and ankle both Left and Right again mirroring each other. Went to express clinic and given Cortisone cream 2.5%. Following day 01/24/2021 noted Right wrist with hives and in same location as Left wrist which was still with hives. Also noted numerous red dots 8-10 dots on Left hip no itching. Both days I had headache and fatigue, no fever.

Other Meds: Multivitamin (One a Day) Biotin Vitamin D3 Vitamin C Elderberry

Current Illness: None

ID: 0971117
Sex: F
Age: 71
State: FL

Vax Date: 01/19/2021
Onset Date: 01/21/2021
Rec V Date: 01/25/2021
Hospital: Y

Lab Data:

Allergies:

Symptoms: Two days following dose one of Moderna vaccine, patient loss consciousness due to buildup of CO2. Upon arrival at ED, it was discovered that patient was taking antibiotics for UTI, and was nonadherent with antibiotic regimen or breathing treatment for underlying COPD. Patient was intubated but has since recovered.

Other Meds:

Current Illness: UTI

ID: 0971118
Sex: F
Age: 41
State: FL

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

Lab Data: blood panel chest xray

Allergies: morphine; environmental allergies

Symptoms: 12/30 vaccine. Within minutes, HA. 'felt weird'. Dizziness and nausea within 30 minutes. Tx to the ED. provided zofran. Symptoms for about 3 days.

Other Meds: synthroid, wellbutrin, effexor, trazadone, zyrtec; all daily

Current Illness: n/a

ID: 0971119
Sex: M
Age: 42
State: VA

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

Lab Data:

Allergies: None

Symptoms: Cold chills, lethargy, body aches, and a lump in my right armpit.

Other Meds: Prozac

Current Illness: None

ID: 0971121
Sex: M
Age: 19
State: MO

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

Lab Data: none

Allergies: none

Symptoms: Patient Complained of heart racing, chest pain and felt like his blood pressure was up. Patient was taken to the ER and returned to work in approx 2 hours and then sent home for feeling faint. fine the next day

Other Meds:

Current Illness:

ID: 0971122
Sex: F
Age: 73
State: IN

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

Lab Data:

Allergies: Tetracycline

Symptoms: 25 minutes after I left from getting the injection, I started getting a headache when I got home I took an aspirin got really tired went to bed early Sunday woke up with another headache my arm hurts so bad I couldn?t lift it. I had such aches and pains in my joints.Took some more aspirin felt better after about three or four hours woke up this morning feeling refreshed. My doctor?s nurse said the booster might be a little worse. I emailed them told him how I felt after I had the injection and my doctor?s nurse called me this morning

Other Meds: Lisinopril 40 mg a day,Hydrochlothiazide12.5 mg, once a day,Senior multivitamin melatonin calcium magnesium glucosamine chondroitin

Current Illness:

ID: 0971124
Sex: M
Age: 28
State:

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

Lab Data:

Allergies: No

Symptoms: Left ear has gone mostly numb post-vaccination 1/24/21. When I tilt my head right I also feel a somewhat nerve shooting that goes up the ear, but is not painful. No loss in hearing is noticeable.

Other Meds: Adult Multivitamin and Melatonin OTC

Current Illness: None

ID: 0971125
Sex: F
Age: 73
State: CT

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

Lab Data: None

Allergies: No Known Allergies

Symptoms: Bilateral Tinnitus of the ears, no treatment.

Other Meds: Brukinsa, Lisinipril,Pantoprazole, Levothyroxine, Simvastation, Apixaban, Folic Acid, Vit D, Vit C, Calcium

Current Illness: None

ID: 0971126
Sex: M
Age: 43
State: TX

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

Lab Data: None

Allergies: React to Levaquin - nausea/vomiting/dizziness

Symptoms: Left Arm became very sore. Left Bicep had deep ache and spasm. I developed a large painful knot under the skin. As time went on the are immediately at injection site got red and inflamed. By Thursday the redness transversed the width of my arm. Friday a large red ring began to go around injection site and the center began to be less red and then appeared blanched. The Ring was maybe 4" x 8" which got more inflamed through Saturday. By Sunday the ring was still there, but less inflamed. I did not take any medication except Tylenol starting on Thursday at 10:00 AM as I developed 102.8 fever until Friday morning. I did experience Headache and chills, but I considered that minor compared to my arm and the local reaction that occurred. I did not go to Doctor, but rather waited to inform medical staff at my employer, as I am a healthcare worker.

Other Meds: Amlodipine 5mg 1x/day Dicylomine 20mg 2x/day Olmesarton 40mg 1x/day Trintellix 20mg 1x/day Macuhealth Vitamin 1x/day L-Theanine 1x/day

Current Illness: None

ID: 0971127
Sex: M
Age: 80
State: CA

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

Lab Data: none

Allergies: IVP dye

Symptoms: Sudden severe abdominal cramps and heavy diarrhea; after several minutes, problem subsided and has not recurred.

Other Meds: Metformin Tab 500mg 2x; Allopurinol Tab 300mg 1 daily; Pantoprazole tab 40mg 1 daily; Simvastatin Tab 40mg 1 daily; Levothyroxine Tab 50mcg 1 daily; Amlodipine Tab 10mg 1 daily; Finasteride 5mg 1 daily; Losartan 25mg 1 daily.

Current Illness:

ID: 0971128
Sex: F
Age: 44
State: UT

Vax Date: 01/13/2021
Onset Date: 01/21/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: Sensitive to Latex, No known allergies

Symptoms: 30 Mins after injection felt like I had consumed caffine, heart was racing. 1 week after the injection I still had migrains. 2 weeks after injection, injection site is still painful and the site has a bright red rash.

Other Meds: D3 2000, B complex, Omega 369, Magnesium, Vitamin C 2000

Current Illness: None

ID: 0971129
Sex: F
Age: 21
State: CA

Vax Date: 01/14/2021
Onset Date: 01/21/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: Wasps

Symptoms: 1/21/2021 - around 8pm the injection site (left arm) felt hot and itchy. I didn't notice until later that the injection site appeared red and swollen. 1/22/2021 - injection site was red but did not feel itchy. The redness seemed to go down. My body felt tired. Called medical advise line around 7/8pm. Nurse recommended I go to Urgent Care. Urgent cares in my network and in my area were closed, so I went to urgent care in nearby location. Was seen right away by physician. HCP informed me that I developed cellulitis at the site of injection. She ordered and administered antibiotics via IV and prescribed sulfamethoxazole, triamcinolone, and hibiclens.

Other Meds:

Current Illness: Stomach issues

ID: 0971130
Sex: M
Age: 41
State: FL

Vax Date: 01/14/2021
Onset Date: 01/16/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: 1/19/2021 UA normal; CBC WNL except glucose 109 (fasting). Comprehensive Metabolic Panel WNL except AST 41. CPK 1054. 1/22/2021 UA normal; CBC WNL. Comprehensive Metabolic Panel WNL except AST 51. CPK 401

Allergies: NKDA

Symptoms: Patient states received MODERNA vaccine 1/14/2021. 1/16/2021 developed severe muscle pain and fatigue starting in bilateral calves moving superiorly to the neck. Edema of BUE. Loss of strength in BUE. Pain in Bilateral groin. All progressively worsening . Sought medical evaluation on 1/19/2021. Labs drawn. Given NSAIDS and Cyclobenzaprine for muscle pain and tightness. Encouraged hydration. Revisit on 1/22/2021. Sx improvement, not resolutions. Muscle weakness present. Quick to fatigue, example writing name of form, extreme muscle fatigue and hand edema developed. Repeated labs.

Other Meds:

Current Illness:

ID: 0971131
Sex: F
Age: 40
State: NC

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Developed rash to lower left arm that spread to abdomen, chest and back

Other Meds: None

Current Illness: eczema

ID: 0971132
Sex: F
Age: 41
State: LA

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

Lab Data:

Allergies:

Symptoms: Complained of severe shortness of breath and chills night of vaccination; no treatment saught; resolved by 1/21/2020 with no intervention

Other Meds:

Current Illness:

ID: 0971133
Sex: F
Age: 46
State: TX

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Chills lasting approximately 1-2 hours, headache and fatigue last approximately 12 hours

Other Meds: Cymbalta, Zyrtec

Current Illness: None

ID: 0971134
Sex: F
Age: 68
State: NJ

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

Lab Data:

Allergies: Codeine

Symptoms: Sever e pain in my sinuses and in my head. Congestion in my sinuses. Vomiting from 11:00 p.m. to 6:00 a.m. my body was wrenching from nothing to throw up. Chills. No fever all of the mucus was clear. I've used hot compresses for my sinuses and cold compresses nothing helped. I took Mucinex DM and two Aleve about 6:00 a.m. and started to have some relief from the pain in my head.

Other Meds: Eliqus,cymbalta, oxybutinin,flecanide, amlodipine,carvedilol, valspartan

Current Illness: Coronavirus

ID: 0971135
Sex: F
Age: 29
State: VA

Vax Date: 01/07/2021
Onset Date: 01/21/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: N.A

Allergies: Penicillins

Symptoms: Residual moderate pain and tenderness at deltoid site with tingling and radiation down to left arm. 3 weeks post injection.

Other Meds: Junel-Fe

Current Illness: N/A

ID: 0971137
Sex: F
Age: 61
State: KS

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

Lab Data:

Allergies: codeine (all pain meds) morphine tramadol Percocet lortab

Symptoms: sore and swollen arm at injection site. rash on area around the injection side. Physical body aches . Shot was on a Friday, symptoms lasted through Saturday.

Other Meds: Elmiron Impramine pantoprazole estradiol alprazolam hydroxychloroquine propanonal Xolair injections CBD oil Gabepentin Vitamin C Zinc Breo Inhaler Restasis drops antihistamine Pepcid

Current Illness: internal hives arthritis interstitial cystitis asthma sjogrens syndome

ID: 0971138
Sex: F
Age: 70
State: TN

Vax Date: 01/02/2021
Onset Date: 01/02/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: Bactrim

Symptoms: At 6 hours feeling unusually fatigued and within 12 hours experienced problems with equilibrium, significant mylagias, arthralgias, headache, fever of 101.4, nausea. Symptoms subsided in about 36-48 hours.

Other Meds: Multi-vitamin

Current Illness: None

ID: 0971139
Sex: F
Age: 42
State: CA

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

Lab Data:

Allergies:

Symptoms: Started with a dull head ache the evening of the vaccine and it's progressively gotten worse. Today it is causing nausea.

Other Meds:

Current Illness:

ID: 0971140
Sex: F
Age: 73
State: CO

Vax Date: 01/11/2021
Onset Date: 01/24/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: None administered--I am presently awaiting call from my primary care physician.

Allergies: Statins lidocaine

Symptoms: 2 weeks after receiving vaccine I developed intense itching and redness at injection site. a series of small bumps in varying sizes appeared. The itching subsided after about an hour, but redness and inflammation continued. The next day I showered and the site became inflammed and very hot it then morphed into one solid thick abrasion. I had no redness just soreness when first injected and no other symptoms other than an increase in sciatica issues making it difficult at times to walk, sit, or, bend. The abrasion is approximately 3 inches in diameter.

Other Meds: Amlodipine&Olmesartan tablet 5/40 mg 1xdaily Aspirin (NSaid)81 mg coated tablet 4x weekly Latanaprost op. sol. 1 drop daily in each eye

Current Illness: none

ID: 0971141
Sex: F
Age: 45
State: NV

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

Lab Data: None

Allergies: None

Symptoms: Patient stated she felt clammy. At 1013 am: BP= 117/75, O2 Sats RA= 100%, HR= 120, Temp= 35.8; at 10:45 am BP= 128/84, O2 Sats RA= 198%, HR= 88, Temp= 35.8. After about 30 minutes, patient stated they felt fine and left the facility

Other Meds: Verapamil, Multivitamin, vitmain D, cyanocobalamin

Current Illness: Arrhythmia

ID: 0971143
Sex: F
Age: 31
State: FL

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

Lab Data: EKG done-Vital signs (onset) 80/50, O2 100%, HR 96. Patient given water. Second set of vitals 105/45,

Allergies: N/A-per patient

Symptoms: While being observed in waiting area, patient reported that she felt as if she was going to pass out. Patient was then lowered to the ground by 2 medics as patient briefly passed out. Patient was taken to medic area where she informed that she often has syncopal episodes.

Other Meds: None-per patient

Current Illness: None reported

ID: 0971144
Sex: F
Age: 23
State: IL

Vax Date: 01/15/2021
Onset Date: 01/24/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Immediately following the vaccine there was nausea after eating, diarrhea, and abdominal pain which lasted about 8 days. 9 days after receiving the vaccine the injection site area got itchy, hot and swollen. Redness appeared about an hour after icing the area down. Benadryl was taken within 30 minutes of symptoms starting and swelling did go down moderately, but redness and heat from area remained. Today being day 10 after the vaccine, the redness, swelling, hot temperature and itching are still present. The area is about 5 inches long and 3 inches wide. Redness is in the shape of a ring with the center of the swelling area being white and the outer edges being red. None of the symptoms have worsened since day 9 and self care with Benadryl and icing is being continued.

Other Meds: fluoxetine, Apri birth control

Current Illness: none

ID: 0971145
Sex: F
Age: 62
State: AK

Vax Date: 01/12/2021
Onset Date: 01/14/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: -

Allergies: none

Symptoms: Rash Red spots on arms and neck and upper back shoulder area. I spoke with Dr. today.. this reaction started on 1/14/2021 and I still have it.. He asked that I let you all know.. Nothing hurts but is still there. They are going to let my doctor know. I plan on still having the 2nd injection on 2/09/2021 as planned.

Other Meds: Benicar

Current Illness: none

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm