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: 0972979
Sex: F
Age: 78
State: OH

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

Lab Data:

Allergies: ivp dye (hives)

Symptoms: BOTH HANDS GOT BEET RED AND SKIN AROUND MOUTH ITCHES STARTING AT 9PM. TOOK 1 BENADRYL AT 9PM AND HANDS WENT BACK TO NORMAL AND MOUTH SKIN NO LONGER ITCHES. WARNED TO CALL EMS IF ANY MORE ISSUES.

Other Meds: unknown

Current Illness: none known

ID: 0972980
Sex: M
Age: 95
State: CA

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

Lab Data: none taken; heart has slowed

Allergies: aspirin; penicillin

Symptoms: Does not want to eat; sleeps 20 hours a day

Other Meds: Coumadin 2 gm; methenamine hippurate 2 gm; synthroid 75 mcg

Current Illness: none

ID: 0972981
Sex: F
Age: 86
State: NY

Vax Date: 01/14/2021
Onset Date: 01/22/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: CBC, BMP 1/25/2021

Allergies: Penicillin, Sulfa

Symptoms: Patient developed infection site rash that appears to be cellulitis. Responding to doxycycline.

Other Meds:

Current Illness:

ID: 0972982
Sex: F
Age: 32
State: CO

Vax Date: 01/15/2021
Onset Date: 01/21/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: None

Allergies: Sulfa

Symptoms: 6 days after receiving vaccine, injection site became red (rash appearance) and warm to touch, which lasted 3 days. Site was also slightly itchy and swollen 6 days after injection, which lasted about 1 day . Erythema was about 4 inches in height and 2 inches in width around the injection site.

Other Meds: Multivitamin

Current Illness: No

ID: 0972983
Sex: F
Age: 34
State: IL

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

Lab Data:

Allergies: Penicillin latex

Symptoms: Facial tingling/numbness and rash

Other Meds: Zoloft Ativan B12 Fish oils

Current Illness: None

ID: 0972984
Sex: F
Age: 42
State: VA

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

Lab Data: They ran EKG on my heart, pacemaker check, and blood withdrawal. Initially checked I had tachycardia.

Allergies: Penicillins Codeine Sulfa (Sulfonamide Antibiotics) Methocarbamol Oxycodone Levofloxacin Escitalopram Flecainide Citalopram Ketorolac Red Dye

Symptoms: About 8 minutes into shot, I got rapid heartbeats, sudden fatigue, chest pain, shortness of breath, and itching. I was taken to the hospital where I received Benadryl and compazine in an IV for nausea and headache and to fight reaction. Released at 5pm. Next three days felt like I was having panic attacks, very jittery, tired, body aches, nauseated, and a headache. Felt extremely bad. Today first day about to focus and fill out paperwork. I had COVID 10/27/2020. Fought it for 32 days and was given colchicine for paracarditist.

Other Meds: Neurontin 200mg, yazmin, Hydroxychloroquine 250, 5mg prednisone

Current Illness:

ID: 0972985
Sex: M
Age: 78
State: OK

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

Lab Data: NONE

Allergies: iodine and sulfa antibiotics

Symptoms: AROUND 9:30 PM I BECAME VERY WEAK AND FEVERISH. I HAD CHILLS AND I COULD NOT EAT OR DRINK. I COULD NOT GET OUT OF BED TO GO TO THE BATHROOM. I THREW UP TWO DIFFERENT TIMES. THE NEXT DAY I WAS STILL VERY WEAK. I TRIED TO GET OUT OF MY CHAIR AND I FEEL. I WAS UNABLE TO GET UP WITHOUT ASSISTANCE. THE WEAKNESS AND FEVER CONTINUED FOR THE NEXT THREE DAYS. I AM STILL VERY WEAK AND CAN'T HARDLY WALK. MY HIP FLARED UP AND CAUSED ME GREAT PAIN AND IMBALANCE. ALL THE AREAS THAT I HAD OCCASSIONAL OSTEOARTHRITIS I AM NOW IN CONSTANT PAIN. I CAN NO LONGER SLEEP ON MY RIGHT SHOULDER. BOTH OF FEET FLARED UP AND HURT ALL THE TIME.

Other Meds: acetaminophen, amlodipine, atorvastatin, b complex, clopidogrel, furosemide, hydrchlorothiazide, levothyroxine, losartan, meformin, multi vitamin, potassium chloride crys, primidone, tamsulosin, tramadol,

Current Illness: acute rt arterial ischemic stroke mca; beningn essential tremor, benign non nodular prostatic hyperplasia with loer urinary tract symptoms, benign prostratic hyperplasia, cerebral infaarcation due to embolism of vertebral artery, cvd, diabetes mellius, edema, epidiymitis right, hpercalcemia, hyperhomocystinemia, hypertension, hyporthyroidism, mixed hyperlipidemia, pfo, osteroarthritis multiple joints, scoliosis, inus bradycardia

ID: 0972986
Sex: F
Age: 33
State: WI

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

Lab Data:

Allergies: None

Symptoms: Febrile starting at 2am (13 hours post vaccine) with full body chills. Pain at injection site lasting about 36 hours post injection. Full body aches, weakness and over all fatigue starting 12 hours post vaccination until 30 hours post vaccination. Symptoms improved some with naps and two tablets of Aleve. Swollen lymph in right armpit which developed about 24 hours post vaccination and finally disappeared 4 days after vaccination.

Other Meds: Levothyroxine

Current Illness: None

ID: 0972987
Sex: F
Age: 58
State: NY

Vax Date: 01/05/2021
Onset Date: 01/17/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: None

Allergies: Walnuts diuladid codiene

Symptoms: Started On day number 12 after the vaccine thru day number 15 ( lasted 4 days ) the injection site became painful with a tennis ball size red area

Other Meds: Synthroid ,toprol,singular ,Allegra , vit d ,vit b12,ASA, probiotic , Nasonex, Asteline nose spray

Current Illness: Allergies ,r ear infection, sinusitis

ID: 0972988
Sex: F
Age: 65
State: CA

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

Lab Data: None

Allergies: PCN, Wellbutrin

Symptoms: At 1000, RRT was called in the post-vaccine recovery area for a 65 y/o female who complained of itchy throat and swollen upper lip. 2 RNs responded with stethoscope, pulse ox, and emergency kit. Head-to-toe assessment completed. Assessment WNL. Vitals: 02: 96%, HR: 65, manual BP: 180/100. Client took Losartan 100 mg in the AM, only. Fire Chief on site, activated 911 response. Paramedics arrived and completed their work-up. Vitals stable, client AA0x4, assessment continues to WNL. Client speaking in full sentences with no labored breathing. 2 RNs determined to have client wait in recovery area for 15 more minutes. EMS did not transport client to hospital. After 15-minute period, client was stable and left AMA.

Other Meds: In AM of vaccination, client took Losartan 10 mg.

Current Illness: Cold

ID: 0972989
Sex: F
Age: 75
State: CA

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

Lab Data: n/a

Allergies: Reported having warm feeling/hives with influenza vaccine in 2020

Symptoms: Felt flushed, warm sensation throughout body especially in upper thighs and face. Described feeling tongue tingling and swelling - but no physical signs of swelling or erythema on actual physical exam. This began 30 minutes after vaccine given. She was monitored for a total of 45 minutes and given 50 mg of Benadryl. She felt better after 45 minutes and described no difficulty breathing, walking, no dizziness or other concerning symptoms.

Other Meds: atorvastatin, lisinopril, metoprolol, Hctz, aspirin, vitamin D, atarax, losartan,

Current Illness: Fatty liver disease, nonalcoholic ? GERD (gastroesophageal reflux disease) ? Glaucoma ? Hypertension ? Obese ? Pulmonary nodules followed by CT scan at UCSF ? Thyroid cancer (CMS code) status post right diagnostic lobectomy for the right 3.8 cm follicular lesion

ID: 0972990
Sex: F
Age: 58
State: OH

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

Lab Data: None

Allergies: Codeine

Symptoms: Sore arm for 2 days which was expected. Went away. Then on day 8 the injection site got red, swollen, and hard and very sore and slightly itchy

Other Meds: Rebif Benazapril Estrace/Progesterone Vitamin D Multivitamin, Omega 3, CoQ10

Current Illness: None

ID: 0972991
Sex: F
Age: 39
State: NC

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

Lab Data:

Allergies: Pcn

Symptoms: Arm swelling and redness in circular bullseye growing started 14 days after injection

Other Meds: Ocp

Current Illness: None

ID: 0972992
Sex: F
Age: 77
State: IN

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

Lab Data:

Allergies: Amiodarone, Amlodipine, Cipro, Ace Inhibitors, Statins, Sulfa, Clopidogrel

Symptoms: Itching occurred around the injection site at 6:15 P.M. and has continued until today (1/25/21.) This has improved. Itching on back (rash formed) started Saturday (1/23/21) at 10:00 A.M. and continued until today. (1/25/21.). Improving some now.

Other Meds: Aspirin 81 mg. once daily, Metoprolol, 0.5 mg. once daily

Current Illness: Itching (rash) on back that started on Saturday, 1/23/21, at about 10:00 A.M. Itching around the injection area, Wednesday, 1/20/21, at 6:15 P.M.

ID: 0972993
Sex: F
Age: 32
State: IN

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

Lab Data:

Allergies: Penicillin, Minocycline

Symptoms: Redness, swelling, pain, and itching at the injection site Headache Muscle and joint pain Congestion Fatigue

Other Meds: Prilosec , diamox, otc ibuprofen

Current Illness:

ID: 0972994
Sex: M
Age: 48
State: OR

Vax Date: 01/13/2021
Onset Date: 01/22/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: none

Allergies: no known allergies

Symptoms: Experienced severe and persistent vertigo upon awakening that did not subside after ~1 hour. Took benadryl and went back to bed and it eventually went away. Have experienced vertigo previously, but previous experiences are infrequent, less severe, and transient (subsiding within a few minutes of onset)

Other Meds: Multi-vitamin, turmeric, resveratrol, melatonin

Current Illness: seasonal allergies

ID: 0972995
Sex: F
Age: 54
State: CA

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

Lab Data: so far none

Allergies: none

Symptoms: after 8 th day i got a big red rash at injection site .

Other Meds: antihistamine 10 mg Loratadine.

Current Illness: none

ID: 0972996
Sex: M
Age:
State: AZ

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

Lab Data:

Allergies:

Symptoms: None stated.

Other Meds:

Current Illness:

ID: 0972997
Sex: F
Age: 73
State: AK

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

Lab Data:

Allergies: sulfa antibiotics

Symptoms: Day 8 post vaccination patient started with rash on arm of vaccination. Rash also appeared right breast, stomach and small of back. Shown on 1/25/2021 Patient reported as VERY itchy.

Other Meds: amlodipine, duloxetine, metoprolol

Current Illness:

ID: 0972998
Sex: F
Age: 41
State: NY

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

Lab Data:

Allergies: None

Symptoms: Headache at about 20 minutes post shot. Took ibuprofen it worsened over the next hour. When that wore of off headache returned low throb this time. Mostly in the front. A low grade fever appeared.

Other Meds: Vitamin D. Zyrtec (Sam?s club brand) Medical Marijuana

Current Illness: None

ID: 0972999
Sex: M
Age: 57
State: MO

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

Lab Data:

Allergies: Penicillin

Symptoms: Chills, fever, joint pain, headache, lethargic, slight coughing.

Other Meds: Dr Christopher, sinus plus, Amlodipine.

Current Illness: None

ID: 0973000
Sex: F
Age: 44
State: CA

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

Lab Data:

Allergies: none

Symptoms: Infection at injection site. Patient went to urgent care for swelling and redness, fever, body ache, and headache. Patient was prescribed Keflex 2,000mg twice a day and ibuprofen for pain and swelling.

Other Meds: victoza

Current Illness: none

ID: 0973001
Sex: F
Age: 52
State: TX

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

Lab Data:

Allergies: Sulfadimidine

Symptoms: One hour after the application of the vaccine on the left arm, my jaw on the same side swells, then the eyelids and the upper lip of the mouth, this was for 6 days, the swelling of the eyelids going down to date, the lip continues inflamed.

Other Meds: Vitamins C, D, ZINC, Omega XL, lisinopril 2.5 mg. and metformin 400mg every other day.

Current Illness:

ID: 0973002
Sex: F
Age: 53
State: TX

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

Lab Data: Sent Msg to PCP 01/25/2021, pending response 01/26/2021. Plan to visit PCP or urgent care if no response from PC 01/26/2021 and reactions to not subside.

Allergies: Eletriptan Hbr Rizatriptan Benzoate Statins Hmg Coa Reductase Inhibitors Sumatriptan Succinate

Symptoms: RECEIVED 1ST COVIS-19 VACCINE \ ON 01/21/2021 AT 3:00PM. AT ~ 4:45PM STARTED FEELING DIZZY, LIGHT HEADED, JOINT AND BONES HURT, WAS NAUSEOUS WITH LIGHT HEADACHE. SLIGHT FATIGUE. Went to sleep hoping after 24hrs it would subside. reactions continued through Monday 01/25/2021 and did not worsen but did not get better. Continued to feel dizziness, fatigue, light headedness, joints and bones felt achy, mild nausea but did not throw-up. Do not feel confident driving or walking outside the I may pass out. Sent Msg to PCP this afternoon, pending response

Other Meds: 81 mg aspirin daily 10 mg montelukast daily 90 mcg albuterol HFA inhaler 2 puffs as needed 25 mg losartan daily 25 mg chlorthalidone daily 10 mg ezetimibe daily 200 mcg levothyroxine daily 0.75 mg/0.5 m l pni j dulaglutide weekly 10 mg gli

Current Illness: None

ID: 0973003
Sex: F
Age: 28
State: VA

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: At 0230 on 1/15/21, woke up with fever, headache, chills, body aches that were extremely debilitating. Could hardly get out of bed. Fever with chills continued until 1/16 at 2200. Body aches with joint stiffness continued until 1/17/21.

Other Meds: birth control, biotin, multivitamin

Current Illness: none

ID: 0973004
Sex: F
Age: 35
State: IA

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

Lab Data: In order to protect myself I had to call an ambulance to my home to maintain my airway. During the ambulance ride to the hospital my blood pressure was extremely low and pulse was extremely high. I was given A series of medications in the ER as stated above. Lab results were drawn in my creatinine levels were high.

Allergies: No known

Symptoms: On Saturday, January 23, 2021 I woke up around 5:30 in the morning with itchy hands and feet, after my second dose/ Just as I did with my first dose- Which subsided with Benadryl. However the second dose was given Thursday, January 21. The progressing of the itchy hands and feet lead to my bottom lip swelling excessively large , my tongue begin to swell, my upper lip begin to swell, my lungs begin to burn in my airway begin to tighten. I took two Benadryl and called my family to call 911 and take me to the emergency room. My blood pressure was very low pulse was very high. I had genital pain and swelling, dizziness , nausea vomiting, and extreme body pain. I was given epinephrine, breathing treatments, steroids, Benadryl, and IV fluids. Labs were drawn and my creatinine was high. After about four hours the swelling has gone down and I was able to go home. I have to take steroids for three days, Benadryl for seven , and famotidine. I have no history of severe allergies, in fact I was tested for food and environmental allergies about a year ago and everything came back negative. I have no history of reacting to any vaccine at any time.

Other Meds: Wellbutrin 100 mg a day Adderal xr 5 mg

Current Illness: During the initial vaccine administered on 12/31/20 - Two days after I received symptoms of itchy hands and feet and G.I. upset. I took two Benadryl and the symptoms subsided.

ID: 0973005
Sex: F
Age: 44
State: CA

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

Lab Data: No tests. Reported to our employee health and saw my PCP today to make sure I was fine to move forward with second dose on 2/12.

Allergies: Foods: milk, sweet potato, tuna, grass, guinea pigs, oysters, some other items I can?t recall right now but mostly food related

Symptoms: About 30 min after I received the vaccine in my left arm I began to have swelling on the left side of my mouth and tingling throughout my left arm. Took Claritin and eventually the swelling and tingling went away within an hour -hour and a half. That following Tuesday night around 7pm I had the swelling in my lip on the left side again and throughout my chin. This time it took longer after Claritin I felt it still even as I went to bed around 9. When I woke the next morning at 5:30 the swelling was down but the pressure in my chin was still present but did go away completely through the morning.

Other Meds: Ibuprofen about 2 hours prior

Current Illness: None

ID: 0973006
Sex: F
Age: 30
State: VA

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

Lab Data: none

Allergies: lactose intolerant

Symptoms: I am a 30 year old healthy person, I weigh 172lbs, I am 5'10", I work, resting heart rate is in the 60s, blood pressure usually around 115/70, never had a reaction to any other vaccine, 12/31- Vaccine at 0919; 2100 felt like I had the flue suddenly (body aches); 2130 my heart was beating so fast I checked my watch, my heart rate was 83, over the next few minutes my heart rate increased to 140, you could see my heart beating out of my chest, over the next hour my heart rate sustained in the 120s and 130s, then slowly came down to 100s and then to 80s by midnight. 1/1 I was lethargic with a headache and body aches throughout the day, treated with 800mg ibuprofen twice throughout the day; 2045 I noticed a rash on both sides of my neck, chest, abdomen, top of shoulders, sides of abdomen and inside my legs; I took 25mg Benadryl, no change in rash 1/2 I took Claritin at 1000 by 1400 rash was almost gone.

Other Meds: none

Current Illness: none

ID: 0973007
Sex: F
Age: 68
State: NY

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

Lab Data:

Allergies: none

Symptoms: 01/23 Eye discharge.Visit PA -01/23. Given Tobramycin.No improvement. 01/25 Eye area swollen with discharge. Dr. - switched to Maxitrol and Augmentin. Vaccine related? Dr. mentioned he saw somebody the same day with the identical symptoms.....

Other Meds: amlodopine; olmesartan; hctz; vitamin c, d, zinc

Current Illness: none

ID: 0973008
Sex: F
Age: 56
State: TX

Vax Date: 01/14/2021
Onset Date: 01/22/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: Na

Allergies: Penicillin

Symptoms: Severe itching and whelping at the injection site AFTER 8 days from injection date given and still lasting after 3 full days

Other Meds: Propranolol Protonix

Current Illness: Na

ID: 0973009
Sex: F
Age: 77
State: AK

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

Lab Data:

Allergies: Alendronate Indomethacin atorvastatin oxycodine

Symptoms: Sore arm and muscle aches less than 24 hours

Other Meds: Levothyroxine

Current Illness:

ID: 0973010
Sex: M
Age: 38
State: CO

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

Lab Data:

Allergies: None

Symptoms: 1 ml was accidentally administered to patient instead of .5ml. Patient has no reaction at this time.

Other Meds: None

Current Illness: None

ID: 0973011
Sex: M
Age: 27
State: PA

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

Lab Data:

Allergies: N/A

Symptoms: Chills, fever, body aches, headache, fatigue, night sweats. Lasted approx 24 hours after second dose.

Other Meds: Multivitamin

Current Illness: N/A

ID: 0973012
Sex: M
Age: 78
State: CA

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

Lab Data: None

Allergies: None

Symptoms: Severe chills, extreme dizziness, faint, felt like the worst days of my Covid infection. Outcome, other than fatigue, fine within 24 hours. For your information, I have never had an adverse reaction to vaccines, including pneumonia, shingles,etc. I am filing this primarily because I know there isn't a great deal of information about adverse reactions of previously infected Covid patients.

Other Meds: Plavix. 75mg Crestor 40mg HCTZ 25mg Zetia 10mg Dorzalamide 2%

Current Illness: Covid tested positive 17 Dec. No symptoms as of 1 January

ID: 0973013
Sex: F
Age: 42
State: TX

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

Lab Data:

Allergies:

Symptoms: Almost passed out in bathroom, had to get help to get back to bed. Foot cramps. Had been to the bathrroom 3 times that night w/ pale clear urine. Had a small dinner the evening before. Drank Gatorade the following morning.

Other Meds:

Current Illness:

ID: 0973014
Sex: F
Age: 60
State: AZ

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

Lab Data: Electrolytes - normal Troponin - 0.12, second and third levels normal COVID nasal swab negative CXR- normal EKG- normal Echocardiogram - normal

Allergies: None

Symptoms: Awoke in the early morning hours of 1/23/21 with severe vertigo, almost fell over twice while walking to the bathroom. Vertigo caused severe nausea and vomiting, with inability to drink or eat for 36 hours. I became dehydrated. Went to the ED and was admitted overnight for vertigo, orthostatic hypotension, dehydration.

Other Meds: Levothyroxine Pantoprazole

Current Illness: None

ID: 0973015
Sex: F
Age: 37
State:

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

Lab Data:

Allergies:

Symptoms: Patient presented with palpitations that subsided after receiving 1L of fluids.

Other Meds:

Current Illness:

ID: 0973016
Sex: F
Age: 77
State: CA

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

Lab Data:

Allergies: Butazodilin, Marcodantin, Lisinopril, Clonidine, Cozar

Symptoms: Some chest tightness. Sent patient to ER for evaluation.

Other Meds: Bisoprolol Funarate 10mg, Spironolactone 25mg, Amlodiprine Besylate 5mg, Crestor 10mg, Furosemide 40mg, Metolazone 5mg, Fluticasone Propionate 50mg, Voltaren 1% gel 100 GM

Current Illness: None

ID: 0973017
Sex: M
Age: 58
State: NY

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

Lab Data:

Allergies:

Symptoms: Body aches, fatigue, weakness

Other Meds:

Current Illness:

ID: 0973018
Sex: F
Age: 46
State: CA

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

Lab Data: None Previously healthy

Allergies: None

Symptoms: 20 minutes after the Moderna COVID vaccine, I had numbness in my upper lip, then a couple hours later, I have numbness in my lower lip. The next day, I had numbness in my left cheek, chin and upper neck. Most of my left face has been numb. I took Advil, Ibuprofen and Zyrtec with no improvement. I have taken 7 days of high dose prednisone with no improvement. It is very frustrating and I hope that I will feel better soon!

Other Meds: None

Current Illness: None

ID: 0973019
Sex: F
Age: 38
State: MI

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

Lab Data: NONE

Allergies: CODEINE, MOLD, DUST, SEASONAL ALLERGIES

Symptoms: SWELLING, REDNESS, ITCHING AT INJECTION SITE. THEY REDNESS AND SWELLING BEGAN TO SPREAD ON MY ARM, HEADACHE THE DOCTOR PUT ME ON PREDNISONE

Other Meds: ATENOLOL 50MG. ESCITALOPRAN 10MG, TAYULLA BIRTHCONTROL, HYDROCHLOROT 25MG, LEVOTHRYROXINE SODIUM 125 MCG

Current Illness: HAD GALLBLADDER & ENDOMETRIOSIS REMOVAL 12-14-2020

ID: 0973020
Sex: F
Age: 44
State: NH

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

Lab Data:

Allergies: NSAIDS, torodol, tramadol, Oxybutinin

Symptoms: Pelvic floor pain. Kidney pain.

Other Meds: Tylenol

Current Illness: No

ID: 0973021
Sex: M
Age: 57
State:

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

Lab Data: INFLUENZA (NEG)

Allergies:

Symptoms: presents with sudden onset of subjective fever, chills, headache, n/d/ since yesterday. received a COVID vaccine at the end of Dec 2020. denies chest pain, sob, abd pain. supposes to have 2nd vaccine on 28 Jan 2021.

Other Meds:

Current Illness:

ID: 0973022
Sex: M
Age: 39
State: MO

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: None

Allergies: none

Symptoms: Patient received MODERNA on 1/14/21 in right deltoid. He said he went rock climbing immediately after getting the shot and really exerted himself that day as well as on day 2. The golf ball size swelling appears suddenly on the evening of day 2. It lasted almost 24 hours to day 3 and was completely gone on day 4. I contacted him on day 9 and he states he's without problems, no swelling, no other concerns. I reviewed his return date of February 11, advised to eat and drink that am, let us know he?s here and to avoid strenuous activity after the second vaccination.

Other Meds: B12 vitamin

Current Illness: NONE

ID: 0973023
Sex: F
Age: 67
State: IN

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

Lab Data:

Allergies: Sulfate. Pain medications

Symptoms: The first 3 days i had chills weakness headache and small pimples on my tongue. My arm was soar .after the 3 days i went back to normal on Jan 22 i wake up with pain in left arm i thought it was due to my neck issue Sunday the 24 th noticed that my Arm is swollen and red check with a primary care provider and been told that i hv cellulitis that he thinks it is from the injection . The Physician prescribed immediately doxycycline 100 mg twice a day for 10 days .. on the 25 i informed my care provider . I started the Antibiotics Jan 24th at 8:00 pm.

Other Meds: Doxycycline 20mg twice a day Asperin 325 mg once a day Biotin 5000 mcg twice a day Multi V once a day Vitamin C once a day Calcium 'magnesium and Zinc once a day

Current Illness: None

ID: 0973024
Sex: F
Age: 27
State: CA

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

Lab Data: N/a

Allergies: NKDA

Symptoms: Pt states that she does not believe she received the vaccine. She believes that the syringe did not contain any vaccine as it appeared clear and she could not see any cloudy fluid in the vaccines. Her statement: I want to let you know that it took lots of courage for me to speak up, but as you said, we have to be our own health advocates. As you requested, I have included an account of my appointment that occurred yesterday, 01/14/2021. I was scheduled to receive the Moderna vaccine on 01/14/2021 at 1:20 pm. When I was finally attended, I sat at station. I was first patient that afternoon, and while she got acquainted with the template of the note, I focused my attention on the vial of Moderna vaccine that was placed in front of me. I noticed that the solution was a white, cloudy color, and being as excited as I was, I asked if it was okay to take a picture of it as a memory. After going through the entire vaccine questionnaire, then began to draw the syringe. As she drew the solution, I noticed that the syringe looked clear, as if the vaccine solution had not been drawn into the syringe, and instead, air filled the syringe. At that point, I had some doubt that may not have drawn the solution. However, given the power dynamic and the vulnerability of the moment, I did not speak up because I did not want to question technique, especially not in front of all the other people in the room. As she administered the vaccine on my left arm, I felt the needle pinch, and that was it. I was then taken to for the 30-minute observation, and after 30 minutes, I felt fine. My left arm felt heavy post-vaccination, but that feeling only lasted an hour. That night, I began to press on my left arm, and to my surprise, I felt no pain or soreness. However, I believed that the following morning I would feel the soreness that I experience after I get vaccines. Today, I have rubbed my arm, and I do not feel any pain or soreness associated with the site of vaccination. Further, I cannot distinguish where the vaccine was administered on my arm as I cannot sense pain, discomfort, and soreness. This added to my concern and suspicion that I perhaps did not receive a dose. The final incidents that led me to speak to you were when coworkers asked me if my arm was just as sore as their arm. Every person who shared their experience with me reported experiencing some level of local arm soreness and tenderness. It has now been more than 24 hours since I was administered the Moderna vaccine, and I still do not feel a sore arm, nor any of the common side effects. I understand that every person is different and that we all react differently; however, I cannot shake off the feeling that I might not have received a dose. As I posed the question earlier today, can an antibody test be done in a few weeks to determine if my body received the dose? I am aware that Dr. will be reaching out to Moderna, and I look forward to hearing from you soon. Lastly, I want to say that I have no doubts about as a provider, but mistakes can and do happen in this field all the time. I want to point out that eased my nerves during my appointment, and I am grateful for her warm and caring approach during my appointment. Nevertheless, given the heightened rates of COVID infections throughout the community, I want to be certain that I have some level of protection against this dangerous virus that has taken so many lives.

Other Meds: unknown

Current Illness: None

ID: 0973025
Sex: F
Age: 41
State: CA

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

Lab Data: None

Allergies: None reported

Symptoms: Patient reports that she received the vaccination on 1/15/21 at the outdoor clinic. One week after vaccination she developed induration and swelling in the left deltoid where the injection was administered. Patient reports that at the time of administration that she believed that the needle length was too short for penetration to the muscle in relation to the size of her upper arm and reported feeling the liquid from the injection flowing down her arm. Patient denies fever. Patient has been using Benadryl to manage the discomfort and presents to the clinic for advice and management. As per collaborating Dr. patient should continue the Benadryl and use Zyrtec to relieve swelling and itching sensation. Patient is advised by Dr. that this reaction should not preclude or contraindicate obtaining vaccine #2, but to specify that a needle of a minimum length of 1.5 inches be used to ensure IM penetration.

Other Meds: None reported

Current Illness: None reported

ID: 0973026
Sex: F
Age: 44
State: MD

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

Lab Data: not yet i have a appointment with my pcp tomorrowo

Allergies: no

Symptoms: itching of all over body, started on arms and head the day following the vaccination. The second day following the vaccination I woke up with a swollen face and later on in the day my hands started swelling a lot. On the third day in my feet swell very little compared to my hands. I took benadryl which seemed to help. I have an appointment with my pcp tomorrow to get checked out. Today is day 5 and my hands are still swollen but the severity has lessened over the day today. I am very itchy all over my body.

Other Meds: no

Current Illness: no

ID: 0973027
Sex: F
Age: 66
State: CA

Vax Date: 11/18/2020
Onset Date: 11/19/2020
Rec V Date: 01/25/2021
Hospital:

Lab Data: none

Allergies: levaquin, erthroomycin, penicillin mangos

Symptoms: Triggered auto immune response with intense pain in areas of the body that had only minor aches. Arm that received injection experienced severe pain for 24 hrs then was moderate (not at injection site) and lasted 2 weeks. Puncture on arm that was almost healed experience pain on touch. Fluid in ear (minor) experienced severe pain which lasted for 2 weeks then went to moderate pain which lasted another 2 weeks. Minor ache with crown became moderate pain which lasted one week. These symptoms lasted weeks then went away completely until left arm became sore with moderate pain. Two months later still have sore arm (mild) but no other symptoms.

Other Meds: none

Current Illness: none

ID: 0973028
Sex: F
Age: 42
State: IN

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

Lab Data: NA

Allergies: Erythromycin

Symptoms: 12 hours after receiving the first dose I started having chills. Shortly after that I begin to experience nausea vomiting bodyaches dizziness headache and arm soreness. This lasted for approximately 24 hours. After that symptoms went away except for arm soreness which lasted for a few more days.

Other Meds: Vitamin D3 Xyzal Pepcid Prednisone Singulair Hydroxyzine

Current Illness: NA

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm