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: 0972012
Sex: F
Age: 68
State: CO

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

Lab Data:

Allergies: Levothyroxine Penicillian

Symptoms: Rash and itching around neck to the scalp

Other Meds: Thyroid np Progesterone Estradial

Current Illness: None

ID: 0972013
Sex: F
Age: 44
State: KY

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

Lab Data:

Allergies: Sulfa

Symptoms: Severe headache, body aches, chills. Onset within 2-3 hours after shot. Resolved 24 to 30 hours after.

Other Meds: Vitamin C 500-1000mg per day Flint stone vitamin

Current Illness:

ID: 0972014
Sex: M
Age: 73
State: MI

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

Lab Data:

Allergies: oxycodone

Symptoms: VAERS report because patient hospitalized for COVID-19 after vaccination. Patient had a COVID test pre-procedure - because the test was positive and the patient had an organ transplant, he was admitted to the hospital.

Other Meds: ammonium lactate, aspirin, cholecalciferol, insulin, metformin, methazolamide, multivitamin, omeprazole, pravastatin, tacrolimus, tadalafil, tamsulosin, ursodiol

Current Illness: esophageal varices, cirrhosis, portal vein thrombosis, celiac artery stenosis, afib

ID: 0972015
Sex: F
Age: 57
State: MO

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

Lab Data:

Allergies:

Symptoms: 24 hours after the 2nd dose I became ill with heavy chills, temp of 100.2, joint and muscle pain, fatigue, hard, hot swollen, itchy left deltoid at the injection site, fatigue, headache and focus issues including light headedness affecting ability to walk. Symptoms lasted 24 hour with lingering fatigue, body aches and minor light headedness. 24 hours after injection I took ibuprofen and Benadryl. Applied cool compresses to the injection site.

Other Meds:

Current Illness:

ID: 0972016
Sex: M
Age: 29
State: NY

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

Lab Data: None noted per case

Allergies: Pseudoephedrine

Symptoms: States that at 1:30 am on 01/22/2021, he woke up with chills and sweating. He states that he was not able to get warm and that he put on more clothes prior to going back to sleep. He states that he then woke up a little while later and was soaking wet with sweat. He states that he had a fever (but did not take his temperature), he was nauseous, and had body aches. He states that he went to work on 01/23/2021 and was "80% recovered" and then on 01/24/2021 he was "100% recovered".

Other Meds: Zoloft, Clonidine

Current Illness: COVID-19 (States he was exposed on 01/01/2021, had symptoms start on 01/04/2021, tested on 01/06/2021 and was told he was positive on 01/09/2021). He states that he saw his physician on 01/18/2021 (after isolation period was completed) and was told that if he could get a vaccine - that he should get a vaccine.

ID: 0972017
Sex: F
Age: 30
State: WA

Vax Date: 01/08/2021
Onset Date: 01/15/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: No.

Allergies: N/A

Symptoms: Sore arm for 24 hours after initial vaccination. I am breastfeeding and starting on day 7 after vaccination my breastfed infant had diarrhea and fevers for a few days, and continues to have diarrhea without fevers despite not making any other changes in diet, etc.

Other Meds: Prenatal vitamin, cal-mag-zinc, ashwaganda, D3, fish oil, norethindrone

Current Illness: N/A

ID: 0972018
Sex: F
Age: 61
State: CA

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

Lab Data: 1/22/2021 physician visit and Carotid USG completed. Labs pending.

Allergies: None

Symptoms: Left fingers tingling 10 minutes post vaccine. Next day felt it spread to whole left side and left eye felt "weird." Took Advil, got better after no difference with Tylenol. Then stopped the Advil and symptoms persisted. Then had tingling of head and neck. Saw her physician and Carotid flow study was normal. Waiting for MRI approval. Has been working with the symptoms.

Other Meds: None

Current Illness: None

ID: 0972019
Sex: F
Age: 34
State: TX

Vax Date: 12/30/2020
Onset Date: 01/22/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: At the ER on 1/22/2021, they completed a CT scan which came back normal, a urinalysis which came back normal and a blood test which came back normal as well. The ER doctor diagnosed me with Bells Palsy due to my facial paralysis on the right side, but he advised me to see a neurologist to rule out a stroke, due to the CT scan unable to read a stroke because of the onset symptoms were outside of the time frame. On 1/22/2021, Around 10:30am, I saw a neurologist and he ruled out a stroke, and performed an EMG (Electromyography) which came back normal but the Neurologist told me that it was good to have come in between the 24-48 hour mark, he also confirmed the diagnosis of bells palsy.

Allergies: Penicillin

Symptoms: On Thursday 1/21/2021, around 10am: I felt my left lip and mouth had a numbing taste and effect, I was slowly throughout the day unable to drink out of a cup without dribbling, my right eye was constantly watering, around 4pm: my right arm started tingling and bothering me, around 9pm: I tasted a Novocain(numbing) like taste in my mouth, I showered and went to bed, while in bed around 10:30pm: I drank out of a water cup and immediately drooled water onto my shirt and my right arm was starting to tingle even more, I thought that was out of the ordinary and got up to look in the mirror, when I looked in the mirror, my first thought was to smile and the right side of my mouth drooped, my right eye was drooping and I was unable to smile or close my eye. At 12:30: I went to the ER for tingling on my face and right arm, I thought I was having a stroke. In between home and traveling to the ER, paralysis started on my right side of face

Other Meds: none

Current Illness: no other illnesses at this time

ID: 0972020
Sex: M
Age: 70
State: IN

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

Lab Data: None

Allergies: Pennecillin, barrium, certain vitamins

Symptoms: My arm was sore Still is right now. At about 10 pm last night I got ?the chills?

Other Meds: Doxozin

Current Illness: None

ID: 0972021
Sex: F
Age: 32
State: ME

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

Lab Data:

Allergies: allergy to MMR vaccine - GI symptoms

Symptoms: 11:15am - shortness of breath, rash on face and neck, HR 148, BP150/100 - EMS called 11:16am - increasing shortness of breath, rash on face and neck - Epinephrine EpiPen dose 1 given IM (Lot: 9GM432 Exp: 2/2021 11:17am - HR 152, BP, 170/82, O2sat 100% on room air 11:18am - HR 152, BP 180/90, O2sat 100% on Room air 11:22am - BP 170/98. Rash improving 11:26am - EMS transport arrived. patient walked to ambulance with 2 assist. Patient transported

Other Meds:

Current Illness: unknown

ID: 0972022
Sex: F
Age: 25
State: MO

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

Lab Data:

Allergies: lactose

Symptoms: Rash on trunk only started a few days after the first vaccine. Rash only got worse after the second. Rash is only on front and back of trunk, not present on extremities. Rash is red, round, scaly dry on the inside. Rash is not itchy. Rash is still present as of 1/25/21. Hydrocortisone cream has not helped. Starting taking an OTC antihystamine, Zyrtec.

Other Meds: citalopram spironolactone multivitamin mirena IUD

Current Illness: none

ID: 0972023
Sex: F
Age: 30
State: NE

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

Lab Data: 1/23 AM: pH 7.0, HCO3 7, pCO2 26, glucose 75, WBC 19.4 1/24 AM: (after IVF resuscitation in ICU): pH 7.27, HCO3 15, PCO2 33, glucose 126, WBC 8.8

Allergies: Gluten

Symptoms: High anion gap metabolic acidosis. Patient developed poor appetite, nausea, and vomiting. She was unable to tolerate oral intake. She presented to the emergency department after two days of vomiting and was found to have high anion gap metabolic acidosis with pH of 7.0 requiring ICU stay. She had no prior hx of diabetes and was noted to be euglycemic. Patient's acidosis resolved after IVF resuscitation.

Other Meds: Adderall, Albuterol, clonazepam, gabapentin, Kurvelo, Risperdal, Zoloft, Vyvanse

Current Illness: None

ID: 0972024
Sex: F
Age: 54
State: NY

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: The evenin of receiving vaccination I felt "normal" discomfort; pain, tender to touch and movement. The following morning I felt pain/discomfort radiating from should downward but also felt a tingling/numbing sensation radiating down left arm. Arm tingling subsided by end of day of 1/20/21, however, two fingers continue to have a tingling/numbing sensation - ring and middle finger of left hand

Other Meds:

Current Illness:

ID: 0972025
Sex: F
Age: 73
State: NC

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

Lab Data: none

Allergies: Sulfa drugs Galactose-alpha-1,3-galactose

Symptoms: Diarrhea 3 hours after injection. No other reactions until 1 week after injection . Then site of injection became hard, red, hot and itchy. Redness measuring 4.5 X 5.0 inches on 01/25/2021 (today)

Other Meds: none

Current Illness: none

ID: 0972026
Sex: F
Age: 49
State: MA

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

Lab Data:

Allergies: None known

Symptoms: Patient reported developing a red, raised, itchy, rash on her face and neck that started Mon 1/25/21 in early am.

Other Meds:

Current Illness:

ID: 0972027
Sex: F
Age: 61
State: NJ

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

Lab Data:

Allergies: yes

Symptoms: 1/14/21 8 AM patient noticed BILATERAL TEMPORAL RASH WITH PURITIS progressively getting worse spreading down and getting worse on both side meeting at nose. Pt. states that it is gradually getting worse. Pt. states that she has been taking zyrtec twice daily for one week. pt. states that rash developed on bilateral wrists. Pt. states that she started using hydrocortisone cream to face and wrists. Pt. states that this looked like plaque psoriasis. Pt. states that her rash is red and streaky and right side worse than left. No swelling, no throat closing. Puffy eyes as well.

Other Meds: zyrtec, b complex, calcium and vitamin d,

Current Illness: denies

ID: 0972029
Sex: F
Age: 49
State: MO

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

Lab Data:

Allergies:

Symptoms: Patient reports after receiving 2nd vaccination on 1/19/2021, around 8-9pm that same night she began feeling very tired and fatigued. At 4am reports being very cold, chills, headache, body aches all over. "Feels like I have the flu, don't feel well at all."

Other Meds:

Current Illness:

ID: 0972030
Sex: F
Age: 38
State: GA

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

Lab Data: n/a

Allergies: n/a

Symptoms: Itching and pain at injection site followed by pain for the next two days pain subsided, but itching persisted and worsened. Injection site went from splotchy red day 1 to enlarged/red by 5 days post injection. By 01/21/2021, the injection site was very red, raised, warm to touch and very itchy. This continued through the weekend and by Sunday, the redness had spread .5-.75 inches, and fever (99.4-100.1) developed. Fever subsided Monday morning but the injection spot redness continued to enlarge. Primary Care physician was seen 1/25/2021 (today) and topical steroid and antibiotic was prescribed.

Other Meds: birth control pill multi-vitamin

Current Illness: n/a

ID: 0972031
Sex: M
Age: 22
State: GA

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

Lab Data: none

Allergies: NKDA

Symptoms: Pt received first dose of Moderna Covid Vaccine in left arm; approximately 1345 Patient was sitting in waiting area when pt verbalized that he was experiencing swelling of the tongue and having difficulty breathing. Patient could be observed with profuse sweating. Epi Pen x1 0.3 mg IM was administered patient's right thigh, Emergency department immediately notified by medical staff and ER physician and Nurse arrive in approximately 3 minutes to assess patient. Pt transferred to ER for further care and observation.

Other Meds:

Current Illness: None

ID: 0972032
Sex: F
Age: 53
State: KY

Vax Date: 01/20/2021
Onset Date: 01/23/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: None

Allergies: No known allergies

Symptoms: Headache, rash on stomach, itching, skin peeling from the roof of the mouth.

Other Meds: Multi-vitamin

Current Illness: None

ID: 0972033
Sex: F
Age: 49
State: MI

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

Lab Data:

Allergies: Penicillin Keflex

Symptoms: Numbness/tingling in fingers and lips within a couple of minutes of injection. Flush face shortly following. All lasting upto an hour.

Other Meds: Zyrtec otc Melatonin (Both at bedtime the day before)

Current Illness: None

ID: 0972034
Sex: F
Age: 62
State: WV

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

Lab Data: BP: 172/88, Pulse:101 Respirations:18 Pulse ox on room air: 94%

Allergies: Codeine, duramorph, iodine

Symptoms: Pt reported ~ 30 minutes after vaccine that she had a funny feeling in her throat, felt like throat was swelling and tightness in her chest. She was given 0.3mg epi via epi pen, 50mg benadryl IM, 8mg dexamethasone IM, albuterol neb and O2 via nasal cannula. Pt reported improving sx. and was transported to local ER via EMS. She was monitored and released later that evening

Other Meds: Armour thyroid, medroxyprogesterone acetate, paroxetine, SM Vit B12, TR 2000mcg, Vit C , Vit D2, zyrtec

Current Illness: No

ID: 0972035
Sex: F
Age: 74
State: NY

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

Lab Data:

Allergies: Sulfa, PCN, Cipro, Cefalexan, Cyclins, Doxycycline

Symptoms: Slight numbness in the left cheek (face) down into the left arm, increased anxiety, Pt vitals checked and 1 25mg of Benadryl given PO, Pt rested approx. 2 hours before she felt comfortable to leave

Other Meds:

Current Illness:

ID: 0972036
Sex: F
Age: 53
State:

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: fever, chills, head ache, body aches, malaise

Other Meds:

Current Illness:

ID: 0972037
Sex: F
Age: 33
State: PA

Vax Date: 01/08/2021
Onset Date: 01/14/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: Pelvic ultrasounds

Allergies: Allergy macrobid

Symptoms: This a continuation from 1st dose on 1/14 exp heavy bleeding. I had a urgent visit on 1/15 since I haven't had any bleeding.(estimated date of delivery 9/7/2021)

Other Meds: Prenatal Vit,Vit D

Current Illness: No

ID: 0972038
Sex: M
Age:
State: SC

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

Lab Data: None

Allergies: None

Symptoms: Chills, fever, headaches and severe cystitis

Other Meds: Atenolol lisinopril

Current Illness: None

ID: 0972039
Sex: F
Age: 57
State: MO

Vax Date: 12/24/2020
Onset Date: 12/24/2020
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient reports swelling in arm vaccine given.

Other Meds:

Current Illness:

ID: 0972040
Sex: F
Age: 61
State: WY

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

Lab Data: Sent to ER for evaluation post reaction and epi administration.

Allergies: Shellfish (anaphylaxis)

Symptoms: Patient received Pfizer Vaccine #1 today at 0951 and was waiting her predetermined 30 minutes post vaccine secondary to history of anaphylaxis to shellfish. At 1015 patient reported that her "throat felt funny - like it was closing." Patient reported it was similar to when she had anaphylaxis to shellfish in the past. Patient observed for an additional 4 minutes where she reported it was worsening. Epi 0.3 mg SQ was given while waiting on the Rapid Response Team.

Other Meds: UNK

Current Illness: UNK

ID: 0972041
Sex: F
Age: 26
State: MD

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

Lab Data: none

Allergies: fresh fruits and vegetables (cooked okay)

Symptoms: At 2:05, when patient was ready to leave the post-vaccination observation room, she stated that she experienced a brief interval of symptoms, lasting less than 30 seconds; tingling at vaccination site, tingling finger tips both hands, mild dizziness, and brief shortness of breath. Resolved on its own. Took some fruit juice P.O. States she had not eaten since breakfast, 6 hours ago. Felt well and able to leave site independently.

Other Meds: none

Current Illness: none

ID: 0972042
Sex: F
Age: 37
State: CA

Vax Date: 12/28/2020
Onset Date: 01/19/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: 1/19/21: Bell's palsy-moderate, left facial muscle paralysis especially of the smile and upper cheek. Started prednisone 60mg po q7days on 1/20/21 and Valtrex 1g tid.

Other Meds: vitamin D, omega 3, turmeric

Current Illness: none

ID: 0972043
Sex: F
Age: 91
State: CO

Vax Date: 01/21/2021
Onset Date: 01/23/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: Blood work and scan of brain

Allergies: egg

Symptoms: Saturday night (4:45) 1-23-21 - swollen right ear, itchy head and some welts on upper body Sunday morning (8am) 1-24-21 - face and eyes swollen, itchy and welts or rash all over upper body

Other Meds:

Current Illness:

ID: 0972044
Sex: F
Age: 67
State: NJ

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

Lab Data:

Allergies: No

Symptoms: Between 10 and 12 minutes statutes to get tightness in head. Asked if normal- told to sit bp was 110/68 15 minutes headache 7/10. 16 mins headache 10/10 pain. Took bp again bp was 238/100 - ice packs on neck. Sent over medic. 3rd bp 240/100. Ice pack on left shoulder. Sat and breathed deeply. No loss of vision - no faintness. Staff wanted to call 911 - I refused ambulance. I was told I could leave when my bp went down to 186/90. Was escorted out to my husband,took bp every 2hrs. Went to bed 9hrs later and bp was 124/70. Upon waking it was 105/49(normal morning low bp). Did not take any blood pressure meds. Bp is usually low.

Other Meds: Replacement hormones - bio identical Magnesium Biotin Vitamin c Zinc

Current Illness:

ID: 0972045
Sex: F
Age: 60
State: MO

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

Lab Data:

Allergies:

Symptoms: The patient reported that the day of the vaccine she had body aches and chills. Within 3 days he developed an increasingly severe headache that caused extreme nausea, vomiting and loss of appetite. Patient has now recovered but is concerned about her second immunization.

Other Meds:

Current Illness:

ID: 0972046
Sex: M
Age: 48
State: GA

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

Lab Data:

Allergies: Seafood

Symptoms: Nausea, Vomiting, Fever, Headache, Chills, Muscle and Joint Pain, Fatigue- Felt like I had COVID Took Zofran from previous positive COVID test. Symptoms lasted about 8 hours.

Other Meds: Amlodipine 5 Mg Tablet Atorvastatin 20 Mg Tablet

Current Illness:

ID: 0972047
Sex: M
Age: 48
State: NY

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

Lab Data: none

Allergies: no known allergies

Symptoms: employee received moderna as dose #1 and pfizer as dose #2

Other Meds: blood pressure medication-candesartan cilexetil 16 mg tablet daily,, aspirin 325 mg, no medicines over the counter, vitamin D, vitamin c and b complex

Current Illness: covid pcr on 1/15/21 positive , symptoms were headache, coughing, temp of 100.

ID: 0972048
Sex: F
Age: 65
State: FL

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

Lab Data: None

Allergies: Penicillin

Symptoms: Severe fatigue slept 19 hours

Other Meds: Effexor, lamotrigine, telmasarten, Carvedilol, vitamin D, Zyrtec, insulin pump

Current Illness: None

ID: 0972051
Sex: F
Age: 36
State: CA

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

Lab Data: None

Allergies: No known Allergies

Symptoms: The healthcare worker (HCW) was vaccinated with Moderna COVID-19 vaccine for dose #2 instead of Pfizer COVID-19 Vaccine. The HCW reports nausea and and Headache approximately 2.5 hours post vaccination.

Other Meds: Lisinopril 10 mg Two times per day by Mouth Pepcid 40 mg Two times per day by Mouth

Current Illness: None voiced

ID: 0972052
Sex: F
Age: 56
State:

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Sore arm, change in taste and smell

Other Meds:

Current Illness:

ID: 0972053
Sex: F
Age: 42
State: UT

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

Lab Data:

Allergies:

Symptoms: Felt miserable, collapsed, blacked out for unknown length of time, diarrhea, sweating, hot flashes.

Other Meds:

Current Illness:

ID: 0972054
Sex: M
Age: 73
State: NY

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

Lab Data:

Allergies: Sporanox

Symptoms: patient received concentrated dose, when cycle count was done this was discovered - no adverse outcome, patient is symptom free

Other Meds: Allopurinol, Norvasc, Toprol XL, Crestor, Vit D, Levothyroxine, Zetia

Current Illness: none

ID: 0972055
Sex: F
Age: 38
State: CA

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

Lab Data: N/A

Allergies: Unknown

Symptoms: Severe Redness, Pain, Tenderness at site of injection for 10 days. Severe headache.

Other Meds: N/A

Current Illness: N/A

ID: 0972057
Sex: F
Age: 49
State: MA

Vax Date: 01/04/2021
Onset Date: 01/10/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: Gold, Balsam of Peru, Latex

Symptoms: Lymph nodes swollen

Other Meds: Iron

Current Illness: N/a

ID: 0972058
Sex: F
Age: 54
State: NM

Vax Date: 01/08/2021
Onset Date: 01/22/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: Physical examination completed by MD and CNP. Referral for PT and further tests are pending re-examination and response to care.

Allergies: Rash with Sulfa medication

Symptoms: On 1/8/21 received dose and had nausea <1 hour; Left shoulder pain. Swelling in pm and pain continued x 4 days, then, local tenderness persisted for additional week. Onset of HA 1/18/21 through 1/25/21 for 6 of the 7 days, for a few hours duration and relieved with Aleve qd to BID. On 1/22/21 noticed Left shoulder muscle weakness, visible atrophy of muscle and dull pain in shoulder/arm and neck. clicking in the joint with rotation movement. spoke with Director of Rehab and advised to contact and seek medical care. Call placed to PCP 1/23/21 with office closed for the weekend. due to non-urgent symptoms, opted to wait for appointment on Monday. Continued pain and symptoms through the weekend with feeling of instability in the shoulder. spoke to company for Q/A on 1/24/21 and sought medical attention with appointment for care on 1/25/21.

Other Meds: Levothyroxine 88 mcg; Colace BID; Gabapentin 300 mg BID, Atenolol 25 mg qd Multivitamins, Vit D, E, flaxseed oil

Current Illness: None

ID: 0972059
Sex: F
Age: 75
State: CT

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

Lab Data: EMG Hematology

Allergies: Shellfish Insensitive to corn syrup, gluten

Symptoms: Blood pressure elevation to 190/100

Other Meds: Synthroid 100mcg Amitriptine 10mg

Current Illness: None

ID: 0972060
Sex: M
Age: 64
State: MO

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient reports injection site pain, tiredness, headache, fever, and chills.

Other Meds:

Current Illness:

ID: 0972061
Sex: F
Age: 54
State: UT

Vax Date: 12/18/2020
Onset Date: 12/20/2020
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: I had a sore arm for the day and then it was gone. Sunday morning, I woke with my face hot and red with a rash on my chin, forehead and left cheek. The second week, my chin started burning and my face was covered in a dermatitis rash. I saw the dermatologist for this.

Other Meds:

Current Illness:

ID: 0972062
Sex: F
Age: 46
State: CA

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

Lab Data:

Allergies:

Symptoms: Where shot was given arm has red rash and a large hard bump and still painful

Other Meds: Yasmine

Current Illness:

ID: 0972063
Sex: F
Age: 58
State: WA

Vax Date: 12/28/2020
Onset Date: 12/29/2020
Rec V Date: 01/25/2021
Hospital:

Lab Data: No

Allergies: Codin Latex

Symptoms: On the second day on 12/29/2020 in the afternoon I started feeling fatigue, I hade nose bleeding, fevers & headaches. On the third day on 12/30/2020 I had hives I had them in my face they were the size of a dime they are lumping I had them on my eyebrows & on my right cheek, & continued nose bleeding, fever continued, fatigue continued, headaches continued, pain on my arm & I felt with no energy. I had a lot of nose bleeding. On 12/30/2020 I called the doctor and they gave me an appointment for 12/31/2020 & they gave me a zoom meeting. The doctor said every symptom I had was a normal reaction to the covid vaccine except the nose bleeding. The symptoms continued but the nose bleeding is the only thing it has stopped.

Other Meds: No

Current Illness: None

ID: 0972064
Sex: F
Age: 65
State: GA

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

Lab Data:

Allergies: None

Symptoms: Received vaccination at 8:30, was fine at dinner went to bed at 10:00 pm. Severe chills headache2:00 am chill stopped still cold and headache. Felt like I had been in a car wreck. Next day cold, headache diarrhea. Next day tired but better. I?m concerned, what will happen with the next vaccination.

Other Meds: Lexapro

Current Illness: None

ID: 0972065
Sex: F
Age: 49
State: FL

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

Lab Data: none

Allergies: sulfa

Symptoms: SOB x 1 day, nausea x 1 day, fatigue x 2 days, chills x 1 day, headache x 2 days , swollen lymph nodes started 3 days after vaccine x 1 day, swollen muscle where vaccine administered x 4 days

Other Meds: Protonix, chlorithiazide, xanax, advil

Current Illness: none

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm