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: 0972929
Sex: F
Age: 62
State: PA

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

Lab Data: Took my own vitals, BP, pulse, temperature and O2 levels.

Allergies: Latex, Nitrous Oxide

Symptoms: FAST HEART BEAT (102-118 bpm in prone position - for 18 hours).

Other Meds: Vaccine Received 1/23/21 SHINGREX Taking Methotrexate 20mgs Taking Folic Acid 2mgs

Current Illness: Dermatomyositis

ID: 0972930
Sex: M
Age: 26
State: NJ

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

Lab Data: None

Allergies: None

Symptoms: I first noticed a slight red rash this morning, which is 10 days after I received the vaccine, on my left arm and precisely at the site where I received the shot. I took another look in the mirror at 8pm tonight and noticed the rash has become larger, slightly raised, warm, and more pronounced. The rash is not itchy and does not hurt.

Other Meds: None

Current Illness: None

ID: 0972931
Sex: M
Age: 42
State: CA

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

Lab Data:

Allergies: Sulfa

Symptoms: Stomach discomfort and headache

Other Meds: Na

Current Illness: Na

ID: 0972932
Sex: F
Age: 25
State: WI

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

Lab Data:

Allergies:

Symptoms: Phantom smell & phantom taste of a distinct strange odor/taste. Smell/taste is best described as a mix of onion + dirty socks.

Other Meds: Vitamin D2 50,000 units weekly Gentle Iron every other day

Current Illness: Started menstruating

ID: 0972933
Sex: F
Age: 36
State: VA

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

Lab Data:

Allergies: no

Symptoms: nausea, fatigue, arm extremely sore, dizziness, fever, chills, achy

Other Meds: Levothyroxine

Current Illness: no

ID: 0972934
Sex: F
Age: 24
State: UT

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

Lab Data:

Allergies: no

Symptoms: day of vaccine - red rash starting on chest and spread to parts of neck and face it felt like a buring sensation not itchy, no trouble breathing and no other signs/symptoms, took 1 benadryl and rash faded/died down days 2-5 - rash would flare up in the afternoon time, take 1 benadryl and it would fade days 6-7 - no noticable rash (mild headaches took tylenol) days 8-12 - small splotchy red rash like spots (mild headaches took tylenol) day 13 - same as day one and slightly worse, flaring on my arms as well, I went to urgent care and the doctor said "I can not say if this is from the injection or from her stresses" and to contact/report what has been happening and doc put me on prednisone

Other Meds: no

Current Illness: no

ID: 0972935
Sex: F
Age: 68
State: CT

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

Lab Data: Covid 19 nasal swab virus detected

Allergies: Morphine codeine Hydrocondone Hurricaine Spray Demerol E-mycin grass perfume

Symptoms: 9 days post vaccine HA dry nonproductive cough fever body aches positive (1/24/2021)

Other Meds: Listed in VAMS

Current Illness: None

ID: 0972936
Sex: F
Age: 42
State: FL

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

Lab Data:

Allergies: Sulfa; Macrobid

Symptoms: Muscle spasms throughout body but especially in hands feet and esophagus.. possible cardiac spasms that lead to brief loss of consciousness

Other Meds: Tylenol,advil

Current Illness: Not applicable

ID: 0972937
Sex: F
Age: 19
State: WA

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

Lab Data:

Allergies: Penicillin's, cephalosporins, oxycodone, oral clindamycin, and sulfa drugs

Symptoms: I got the injection around 8:45 and felt fine until around noon, where my arm started to get very sore and I started to get a headache. I felt very fatigue for a few hours and my head was out of it. Around 7:00 PM I started to get nauseous like I was going to be sick. All the symptoms were gone by the next day except for the soreness in my arm.

Other Meds: Junel birth control

Current Illness:

ID: 0972938
Sex: F
Age: 22
State:

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

Lab Data:

Allergies:

Symptoms: Report from patient as follows: Exactly 7 days after I received my vaccine, I woke up with a rash like red spot located on the injection site. It speads about 3-4 inchces across my arm. Hot to the touch and it has now formed a red ring my skin is raised from the swelling. I feel like a giant solid mass in my arm where I received the vaccine. I feel okay. I don't know if I have a fever.

Other Meds:

Current Illness:

ID: 0972939
Sex: F
Age: 48
State: VT

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

Lab Data: none

Allergies: NKA

Symptoms: fever,chills,fatigue,body aches,nausea, and headache, lingering for 2 days

Other Meds: unknowm

Current Illness: unknown

ID: 0972940
Sex: F
Age: 38
State: PA

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

Lab Data: n/a

Allergies: some antibiotics

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA On 1/23, I had a low-grade fever (highest measurement was 99.6), and my blood pressure was a bit low (92/58 by a home blood pressure measuring device). I also had some mild breast pain that could be related to my period. On 1/23 and 1/24, I had vaccine site muscle pain, fatigue, and dizziness.

Other Meds: gummy prenatal vitamins, liquid fluoxetine

Current Illness: none

ID: 0972941
Sex: F
Age: 26
State: CA

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

Lab Data: N/a

Allergies: Hx asthma, allergies to PCN, Toradol, Ibuprofen, other abx. unable to understand pt.

Symptoms: Patient advised staff she felt swelling of the throat, patient requested epi pen informing she left her's at home. Patient self administered epi, first set of vitals were taken with a blood pressure of 179/74, pulse of 105, oxygen stat of 98%, 16 on breaths, patient was reassessed every 5min, with a pulse of 116 and breaths of 20 only due to monitor going out of service, third assessment with a pulse of 146 and patient informed staff that condition was worse than the start, 911 was contacted, forth assessment withpulse of 152 and 20 on breaths, flight and fire squad on scene, where transfer of care took place with a last set of a blood pressure of 164/105, pulse of 118, O2 stat of 85% and breaths at 20. -EMT

Other Meds: None known

Current Illness: HX asthma

ID: 0972942
Sex: F
Age: 74
State:

Vax Date: 01/15/2021
Onset Date: 01/17/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: THIS FORM IS MORE DETAILED THAN I FEEL LIKE ANWERING. I GOT COVID 3 DAY AFTER GETTING THE VACINNATE ALSO THE LINK THAT COMES FROM VSAFE KEEPS SAYIN OOOPS IT WON'T CONNECT. SORRY THIS IS MORE TIME CONSUMING AND STRESSFUL THAT I CAN HANDLE RIGHT NOW

Other Meds:

Current Illness:

ID: 0972943
Sex: M
Age: 51
State: MN

Vax Date: 12/21/2020
Onset Date: 12/27/2020
Rec V Date: 01/25/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Alopecia areata on scalp

Other Meds: Lexapro, omeprazole, atorvastatin, Zyrtec, Dulera, nasacort, losartan

Current Illness: None

ID: 0972944
Sex: F
Age: 40
State: NY

Vax Date: 12/19/2020
Onset Date: 12/29/2020
Rec V Date: 01/25/2021
Hospital:

Lab Data: MRI 12/31 EMG 12/9 Lab work 1/6

Allergies: NKDA

Symptoms: On December 29th, I developed acute bilateral numbness of my fingers. This lasted for about 45 minutes, but since then, has remained as loss of sensation in all 10 of my fingertips.

Other Meds: Flonase, Magnesium, Vit D

Current Illness: None

ID: 0972945
Sex: M
Age: 44
State:

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

Lab Data:

Allergies: None

Symptoms: Rashes and blisters appeared on left side of the body on chest, arms and back side on next day after vaccination. All the clinical features were look like Shingles and treated with valacyclovir 3 times a day for a week. Now in the healing process.

Other Meds: None

Current Illness: None

ID: 0972946
Sex: F
Age: 57
State: AZ

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

Lab Data: None

Allergies: Erythromycin gives me a rash, Reglan makes me akisthetic, morphine gives me a rash and hypotention

Symptoms: Nausea, vomiting, fever, severe left arm pain with redness and swelling at injectionsite, muscle aches, body aches headache. Inability to function for 48 hours.

Other Meds: None

Current Illness: None

ID: 0972947
Sex: F
Age: 56
State: MI

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

Lab Data: None.. waiting for it to resolve. Contacted primary care physician upon event... I was told to monitor.

Allergies: Cephalosporins

Symptoms: Upon day 4 lymph node under left collar bone became swollen...midday through day 5...the supraclavicular lymph nodes became swollen and tender on the left side. At a week from the second occurrence there is still swelling. It was a sudden swelling half way through day 5...I felt for those lymph nodes in the am as I knew of their proximity to other.. nothing in a.m. but by afternoon - sudden at noticeable swelling and tenderness.

Other Meds: Meteprolol 25 mg

Current Illness: None

ID: 0972948
Sex: F
Age: 42
State: MI

Vax Date: 12/23/2020
Onset Date: 01/09/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: Negative pregnancy test

Allergies: Nkda

Symptoms: Amenorrhea

Other Meds: Levothyroxine, desvenlafaxine, oxybutynin, vitamin d, ashwaganda, CBD tincture

Current Illness: None

ID: 0972949
Sex: F
Age: 34
State: VT

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

Lab Data: none

Allergies: NKA

Symptoms: fever,chills,nausea,body aches,head ache, and fatigue

Other Meds: unknown

Current Illness: unknown

ID: 0972950
Sex: M
Age: 76
State: CA

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

Lab Data: 1/18: CBC, General Chemistry (not enough room and continuation page doesn't work) Microbiology/Serology for Influenza A&B, RSV, PCR, Coved2-SARS all negative.

Allergies:

Symptoms: Days 1-3: flushed, temp of 99-100, extreme pain in joints and muscles, dizziness, weakness, elevated blood sugar (400s), elevated blood pressure, couldn't stay awake. Treated with OTC cold/flu meds, no appetite~ Days 4-13 same plus wheezing cough, difficulty catching breath, difficulty talking, difficulty comprehension, focus, etc. Low oxygen level. Went to the ER on Day 8 with all of the above. Given oxygen and IV (of what another person had--as was my understanding), prescriptions: Promethazine-DM;methylPREDNISolone; albuterol;azithromycin. Currently--still difficulty breathing, coughing, difficulty focus, very weak. Treatment: walking, lots of water, cough syrup and albuterol

Other Meds:

Current Illness:

ID: 0972951
Sex: M
Age: 70
State: IN

Vax Date: 10/07/2020
Onset Date: 10/08/2020
Rec V Date: 01/25/2021
Hospital:

Lab Data: N/A

Allergies: NKA

Symptoms: Patient called pharmacy to report he was still having pain at injection site after 3 months. Pharmacist told him to contact PCP to rule out shoulder tendon injury. Patient said feels like knot in muscle and not shoulder. MD said to try to apply heat to arm to see if muscle issue.

Other Meds: Lasix 20 mg, Klor-Com 10 mcg, Lopressor 25 mg, Lipitor 40 mg

Current Illness: N/A

ID: 0972952
Sex: F
Age: 17
State: CA

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

Lab Data:

Allergies:

Symptoms: I did not realize the patient was age 17 . I gave the shot and then typed it up afterwards, and then at that time I realized she was not 18 . No bad effects, no problems, just that the patient is age 17.

Other Meds:

Current Illness:

ID: 0972953
Sex: M
Age: 49
State: NY

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

Lab Data: No tests. I sent photos to my dermatologist today.

Allergies: Vicodin Penicillin Ibuprofen

Symptoms: One week after shot I developed mild itch near injection site and noticed large patch of raised bumps. The following day it red but not itchy or painful. Today (day 3) it is red but improving, some itchiness at one time during the day but otherwise not bothersome. I?ve been taking Benadryl at night and Allegra during the day plus applying OTC hydrocortisone

Other Meds: Levothyroxine Testosterone IM Hydroxychloroquine Valsartan Lorazepam

Current Illness: Worsening back pain in context of chronic L5-S1 disc diseases.

ID: 0972954
Sex: F
Age: 47
State: IN

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

Lab Data:

Allergies:

Symptoms: Extreme body aches, swollen axillary lymph nodes of side of vaccine

Other Meds: Vitamin D3 5000iu daily Melatonin 10mg daily

Current Illness:

ID: 0972955
Sex: F
Age: 52
State: NJ

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

Lab Data: None

Allergies: Morphine Epinephrine

Symptoms: Fever of 101, body ache, headache, loss of taste and smell, congestion, cough.

Other Meds: Paroxetine 40 mg 1x per day Clonazepam 1mg 2x per day Latanoprost .005 o/o 1 drop each per day

Current Illness: None

ID: 0972956
Sex: F
Age: 58
State: AZ

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

Lab Data: n/a

Allergies: Vicodin

Symptoms: On Jan 25th, 2021 patient went to the Covid clinic to get the first dose of covid vaccine at 5:50 pm. After receiving the vaccine , patient was advised to wait at the waiting room to watch for any adverse reactions. Around 6:05 pm patient had a seizure and was around by the hospital staffs. The rapid response team came and took the patient to the Emergency Department on a wheelchair. Patent was alert when she left the Covid clinic.

Other Meds:

Current Illness: seizure

ID: 0972957
Sex: F
Age: 33
State: NV

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

Lab Data:

Allergies: Bactrim, floroscein, tuberculin

Symptoms: Sudden swelling and itching at injection site (previously resolved), mouth bumps and itching, lip swelling and itching, hives on face

Other Meds: Albuterol, advair. Plaquenil

Current Illness: None

ID: 0972958
Sex: F
Age: 59
State: CA

Vax Date: 01/15/2021
Onset Date: 01/22/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: None

Allergies: Penicillin, sulfa and macrodantin

Symptoms: Moderate COVID-19 Vaccine EUA On Friday 1-22-21 my left arm below injection site became very red hot and painful, I also felt like I had the flu, body aches and fever. It did not improve so I was seen by my PCP today 1-25-21 and diagnosed with an arm infection. I was started on doxycycline 1 twice a day for 7 days and told to use ice and ibuprofen.

Other Meds: Lisinopril/hctz calcium vitamin B and D potassium natures bounty hair skin and nails

Current Illness: Asthma

ID: 0972959
Sex: F
Age: 29
State: CA

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

Lab Data: None

Allergies: N/A

Symptoms: INJECTION RECEIVED 1/15/21 FEW DAYS LATER ABDOMINAL PAIN AND NAUSEA. CONTINUING NAUSEA HERE AND THERE. HEADACHES ALMOST EVERY OTHER DAY. TODAY 1/25/2021 RED LOCAL BIG SPOT ON INJECTION SITE ITCHY NOT PAINFUL

Other Meds: VITAMIN C VITAMIN D VITAMIN B12 VITAMIN BIOTIN. TYLENOL AND IBUPROFEN

Current Illness: None

ID: 0972960
Sex: M
Age: 75
State: GA

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

Lab Data:

Allergies: No

Symptoms: Pt. got very nauseous about 2 hours after eating supper. He vomited for several hours on and off. we got a RX from our General practitioner's office for Ondansetrton ODT 8 mg tablet. and gave it to him Sat. morning. He quit vomiting after that but wasn't hungry and mainly took liquids His blood sugar #s were higher than normal. Sunday he was rather lethargic and his appetite was still nill. Drank some liquids and sucked on chipped ice. Monday he was dead when I woke up.

Other Meds: Gabapentin 300Mg 1 3xday, Mirtazapine 15mg 1x daily, Warfarin 2mg 3 days a week; 1mg 4 days a wk, Pantoprazole sod 40mg 1x day, Citalopram 40 mg 1x day, simvastatin 40 mg 1x daily, tylonol as needed, Novalog insulin sliding scale, Tresiba i

Current Illness: No

ID: 0972961
Sex: F
Age: 72
State:

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

Lab Data:

Allergies: Pollen extracts

Symptoms: Pt developed Afib at 2AM on 1/23. Started on amiodarone and Xarelto

Other Meds: Rifampin, azithromycin, ethambutol, s/p RCHOP 8/2020

Current Illness: MAC

ID: 0972962
Sex: F
Age: 25
State: CA

Vax Date: 01/13/2021
Onset Date: 01/20/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: None.

Allergies: amoxicillin

Symptoms: At the time of the vaccination, I experienced a sore arm for about 48 hours, and muscle aches and chills for about 12 hours. 7 days after receiving the vaccination, I noticed a rash at the injection site. It was somewhat itchy for 2 days, and continue to grew in size for 4 days. The rash was improved by taking over the counter allergy medicine (Allegra 24 hour). It was slightly raised and swollen the first 2 days, but decreased over the following days although the rash itself got larger. I did not seek medical attention because I did not have any other symptoms or side effects with the rash, and was able to self-treat with allergy meds.

Other Meds: Ethinyl estradiol/norgestimate, Vitamin B complex, Fish oil, Vitamin D3

Current Illness: None

ID: 0972963
Sex: F
Age: 53
State: VT

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

Lab Data: none

Allergies: NKA

Symptoms: severe joint pain 1 hour after injection,fever,chills, muscle pain, and sweats

Other Meds: unknown

Current Illness: unknown

ID: 0972964
Sex: F
Age: 65
State: MN

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

Lab Data:

Allergies: Ace inhibitors, Bee venom

Symptoms: the patient appeared with a swollen face when the morning shift arrived at 7 am . no signs of respiratory concerns, vitals within normal limits . face swollen and warm to the touch. the patient was taken to urgent care by her POA. clinic transferred the patient to a local hospital where she admitted to be observed overnight. The Resident returned back to the facility the next day (1/21/21). Reported received verbal notification from POA that the patient's primary physician is recommending to not receive the second dose of the Moderna vaccine.

Other Meds: Atorvastatin 20mg, melatonin 6mg, memantine 10mg, Polyeth glyc 17g, quetiapine 25mg, venlafaxine 75mg, Haloperidol 1mg PRN, Acetaminophen 500 PRN.

Current Illness: none

ID: 0972965
Sex: F
Age: 56
State: CA

Vax Date: 01/15/2021
Onset Date: 01/22/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Swollen, red,hot muscle to the left of injection site. Mild soreness. It started exactly 2 weeks after the injection. I just started taking OTC Benadryl 25mg every 4-6 hours. No change

Other Meds:

Current Illness:

ID: 0972966
Sex: F
Age: 67
State: CA

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

Lab Data:

Allergies: None

Symptoms: Redness at the injection site

Other Meds: Losartan, anastrozole, solifenacin, lorazepam, centrum silver, caltrate+D, fish oil, glucosamine

Current Illness: None

ID: 0972967
Sex: M
Age: 79
State: PA

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

Lab Data: None

Allergies: Ativan

Symptoms: Generalized feeling of being ill. Greater sensitivity to pain in right index finger which is arthritic; Stomach upset. Oral body temp 97.3. Chills

Other Meds: Synthroid; Pantoprazole; Flecainide; furosemide; metoprolol; finesteride; doxazosin; rosuvastatin; aspirin; acetaminophen; D-3; calcium; B-12; B-complex; Slow release iron; cinnamon; travatan

Current Illness: None

ID: 0972968
Sex: F
Age: 29
State: ID

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

Lab Data: General vitals.

Allergies: NA

Symptoms: Extreme migraine starting at 3:00am. Took 600mg of Ibuprofen at 6:45 am. Visited Health due to increasing pain and intensity and received shot of Toradol at 8:50 am. Symptom relief at 10:00am and dull headache for remainder of the day. Took 600mg Tylenol at 7:30 pm. ***Have never suffered a migraine or any headache such as this prior.

Other Meds: YAZ birth control

Current Illness: NA

ID: 0972969
Sex: F
Age: 56
State: IA

Vax Date: 12/26/2020
Onset Date: 12/26/2020
Rec V Date: 01/25/2021
Hospital:

Lab Data: None at the ER visist.

Allergies: Amoxicillin-pruritis Clarithromycin- rash Gadobutrol-Pruritis, face flushing Levofloxacin-pruritis, hives, eyelid swelling Adhesive tape-rash, pruritus Allergic to most antibiotics-pruritis

Symptoms: I received the moderna vaccine at 1245 on 12/26/20 . I stayed in the hospital 15 minutes with no problems. When I was driving home at 1310, I developed itching to my face and head, I felt like my lower lip was numb and swollen. Like when you go to the dentist and get novocaine. I drove home and took 50 mg benadryl and called the ER. I went to the local ER and felt hot, diaphoretic, anxious and was given 40 mg Prednisone orally. I was observed for one hour. NO SOB occurred. I was discharged home with Prednisone 20 mg daily for 8 days, epi pen and told to take Benadryl and pepcid.

Other Meds: Alendronate 70 mg 1 tablet every Monday morning Citracal 500mg chew 2 chew in the morning & 1 chew in the evening. estradiol 0.01 % vaginal cream 3 times weekly as needed. Fluticasone 50 mcg 2 sprays to each nostril daily as needed. Hair, s

Current Illness: None

ID: 0972970
Sex: F
Age: 64
State:

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

Lab Data: None

Allergies: PCN, sulfa, keflex, zoloft, ciprofloxacin, flexeril, potassium containing compounds

Symptoms: 2 hours after vaccine pt started to feel like inside and outside of mouth burned and tingled. No facial swelling, throat or mouth swelling, sob, chest pain, or any other symptoms. Benadryl 25mg given upon rearrival to clinic (6 hours after vaccine)- pt noted improvement of symptoms after about 20 minutes. Stayed additional 40 minutes still feeling better, then went home.

Other Meds:

Current Illness: No acute

ID: 0972971
Sex: M
Age: 61
State: MA

Vax Date: 12/22/2020
Onset Date: 12/24/2020
Rec V Date: 01/25/2021
Hospital:

Lab Data: Brachial plexus MRI 1/7/21 EMG 1/13/21 Cervical Spine MRI 1/15/21 Started on oral steroids 12/31/20 with last dose 1/11/21. I have had significant improvement but have residual paresthesias ulnar side of distal forearm to hand and mild weakness of right wrist and hand.

Allergies: Voltaren causes a body rash feathers, cats, dust, pollens

Symptoms: Right Brachial plexopathy. Began with right periscapular muscle spasms x 5 days followed by right arm paresthesias on day 6 followed by right wrist and hand weakness on day 7 of adverse event.

Other Meds: Pravastatin 20mg QD Tamsulosin 0.4mg QD

Current Illness: none

ID: 0972972
Sex: F
Age: 43
State: NJ

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

Lab Data:

Allergies: none

Symptoms: Worsened tinnitus. I had tinnitus that had largely resolved and since the vaccine, it's been extremely loud - more loud than ever before. I don't have any other lifestyle issues that would've aggravated the tinnitus.

Other Meds: Multivitamin

Current Illness: none

ID: 0972973
Sex: F
Age: 64
State: PA

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Rash on my arms.

Other Meds: Effexor, vytorin , turmeric, probiotic

Current Illness: None

ID: 0972974
Sex: F
Age: 69
State: NY

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

Lab Data: EKG Monitored blood pressure X-rays of heart

Allergies: Metronidazole

Symptoms: Rapid heart beat in chest, neck and head, Elevated blood pressure Pounding head ache Chills with uncontrollable shaking

Other Meds: Levothyroxine, estrogen, progesterone, vitamin D, fish oil

Current Illness: None

ID: 0972975
Sex: F
Age: 57
State:

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

Lab Data:

Allergies: None known

Symptoms: 1/9/21 Fever 100.4, fatigue, and mild body aches lasting 1 day. 1/17/21 Began developing red areas on left arm, which eventually blistered and extended from upper arm to thumb tip. Also associated with pain in the arm and hand. Physician diagnosed shingles on 1/20/21. Treated with valacyclovir.

Other Meds: Levothyroxine

Current Illness: None

ID: 0972976
Sex: F
Age: 49
State: MD

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

Lab Data:

Allergies: None

Symptoms: Arm falling asleep several times a day since vaccination on 1/14. Mild Pain in clavicle area beginning yesterday 1/24 with increase in pain intensity today 1/25 along with radiating to lower portion of neck on right side.

Other Meds: None

Current Illness: None

ID: 0972977
Sex: F
Age: 71
State: CA

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

Lab Data:

Allergies: Sulfa, iodine

Symptoms: Redness, swelling, itchy left deltoid 8 days after vaccine given at another facility.

Other Meds: Vit D3, Lipitor

Current Illness:

ID: 0972978
Sex: M
Age: 28
State: MI

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

Lab Data:

Allergies: None

Symptoms: Moderna COVID-19 Vaccine EUA Received first dose of vaccine 1/15/21 around 11am. 1/16/21 woke up with rash across chest, abdomen, neck and along spine. Injection site was red, sore and hard. 1/16/21 had joint aches all throughout the night. Rash was still there 1/17/21. Took a Benadryl night of 1/17/21 and rash was gone morning of 1/18/21. Soreness, redness and hardness of injection site were also gone.

Other Meds: None

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm