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: 0975971
Sex: F
Age: 59
State: TX

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data: Visited with provider doctor today for assessment and has a follow-up appointment in 2 weeks. Provider feels it will improve with time.

Allergies: No reported. No allergies to vaccine or vaccine components

Symptoms: Patient reported experiencing extreme pain in her right arm approximately 4.5 hours after the injection which progressively became worse overnight. Limited mobility of right arm. Only with assistance and extreme pain can she move her arm above her head, in front of her outstretched, or behind her. Resting pain 2 days later still high at 6 and 10 with motion. Prickling sensations in her neck periodically as well. Taking 440 mg of naproxen for pain. 7 days later still in significant pain but slightly better. Migrating pain also now down the front of the arm, across the shoulder blade, and neck.

Other Meds: Calcium with D3 daily, 50+ Multivitamin daily, EmergenC daily, Progesterone, Estradiol, testosterone cream, losartan 100 mg daily, hydrochlorothiazide 25 mg daily, metoprolol ER 25 mg daily, sertraline 50 mg daily

Current Illness: None

ID: 0975972
Sex: F
Age: 41
State: IN

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

Lab Data:

Allergies: Keflex, Tacotere (chemotherapy) and Taxol (chemotherapy).

Symptoms: Itchy throat, sudden warmth, see spots, chest tightness.

Other Meds: Pantoprazole, Tamoxifen, Zyrtec

Current Illness: Breast cancer

ID: 0975973
Sex: F
Age: 56
State: NY

Vax Date: 01/24/2021
Onset Date: 01/24/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Symptoms began on (Sunday) about 6 hours after vaccine was received. They started fairly mild, with a sore arm, mild headache and fatigue. When I woke up the next morning (Monday) and I felt very ill. I could not move my arm without severe pain, I had shaking chills, I was weak, I was achy and I had a fever. My temperature went as high as 100.5. The next day (Tuesday) I woke up feeling better than I felt the previous day, but still felt weak, and achy I had no temperature when I woke up but by 10:00am my temp was up to 99.4. It is now 7:00 pm (Tuesday) my temp is 99.8. I feel much better than I have for the past two days, but I do still feel very tired. (my normal daily temperature runs low... 96.5 - 97.5)

Other Meds: none

Current Illness: none

ID: 0975974
Sex: F
Age: 48
State: KY

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/26/2021
Hospital:

Lab Data: When I went into the ER 01/22/2021 EKG, CT scan of the chest/abdomen/pelvis, cardiac enzymes,

Allergies: Mushrooms

Symptoms: Within a hour and a half my throat was on fire, and I called a virtual care through my insurance and saw a provider via telehealth. She gave me Augmentin and prednisone. My sinuses were irritated. I had flu like symptoms but no fever. I was treated for strep throat. I have had mild throat burning since and have not fully recovered. I have had a severe headache ever since and have had to rotate Tylenol and ibuprofen everyday. I went into the ER 01/22/2021 with severe chest pain and they said I had GERD.

Other Meds: Cardizem 30 mg as needed. for tachycardia, melatonin 6mg a night.

Current Illness: Strep throat

ID: 0975975
Sex: M
Age: 76
State: NJ

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data:

Allergies: iodine

Symptoms: Vaccine was thawed on 1/11/21, expired on 1/16/21 but was used to immunize a patient on 1/22

Other Meds:

Current Illness:

ID: 0975976
Sex: F
Age: 67
State: CA

Vax Date: 01/17/2021
Onset Date: 01/25/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Itch on injection site of left arm at noon of 8th day after vaccination. On morning of 9th day, still itchy and redness appeared about 3 inches long. At 3:30pm, still itchy and redness spread about 1 foot upward toward shoulder. Called Dr. who advised I take Benadryl tablet and report to VAERS.

Other Meds: Metformin Atorvastatin Levothyroxin Losartan w/HZT Escitalopram Loratadine

Current Illness: None

ID: 0975977
Sex: F
Age: 52
State: CA

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data: None

Allergies: Aspirin

Symptoms: Dizzy, light headed, tingling sensation, stomach/ nausea, cold sweats, shooting pain down right leg for 10 minutes.

Other Meds: Cetirizine, colace

Current Illness: None

ID: 0975978
Sex: F
Age: 37
State:

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 38y.o. female presented with complaints of chest tightness and tingling in left leg. Received COVID vaccine in right deltoid.

Other Meds:

Current Illness:

ID: 0975979
Sex: F
Age: 58
State: SC

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data: CMP 01/18/2021 showed elevated liver enzymes

Allergies: Lisinopril

Symptoms: Fever 102.5 with hard Rigors chills x 15 hours, back and hip pain, body aches, fatigue, elevated liver enzymes. I missed work the following day due to fevers and hard chills. Had fever x 48 hours .

Other Meds: Losartan, Metoprolol, Advair inhaler, Effexor, Vitamin D

Current Illness: N/A

ID: 0975980
Sex: F
Age: 33
State: NY

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

Lab Data:

Allergies: None

Symptoms: Moderna Covid 19 vaccine second dose. Experienced migraine within 5 hours, sore arm, fever up to 100.8F, fatigue, body aches

Other Meds: Multivitamin daily

Current Illness: None

ID: 0975981
Sex: F
Age: 39
State: TX

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data:

Allergies: Opiates/opioids

Symptoms: 40 minutes after my injection (as I drove home) on Friday, I began to feel tingling and numbness in my left hand and weakness in my left arm. Within an hour after my injection , I began to feel tingling and numbness on the left side of my face beginning with my jaw and chin area. Over the following hour, the tingling and numbness spread to my lips, nose, eyelid, eyebrow, and the entire left side of my face and head. Around this time, my husband and son came downstairs to check on me noticed a change in my face and asked me "What's wrong with your lip? It's like a different color or something different on one (left) side." Approximately 2 hours and 30 minutes after the injection, the left side of my mouth and tongue were tingling and went numb. The left side of my face was noticeably weaker than my right and it became difficult to control my left eyelid and lips. My injection site became extremely tender as the evening wore on and I took two tylenol before going to bed to help with the pain. By the next morning on Saturday, the tingling had stopped, and my mouth/tongue were no longer numb, however weakness and occasional numbness persisted on the left side of my face, most especially my jawline and chin area. I noticed my left eye felt dry, so I began using eye drops occasionally. My injection site remained extremely painful throughout the day and I took tylenol and ibuprofen periodically to help with the discomfort and to allow me to sleep. By Saturday evening, no outward signs remained of my facial weakness on the left side, although I could still "feel" the difference. By Sunday morning, the numbness was only sporadic around my jawline and chin and I realized that when taking tylenol or ibuprofen, it seemed to improve sensation in my face. My injection site discomfort abated as Sunday wore on, but a slight weakness on the left side of my face persisted, noticeable only to myself. The weakness has persisted through today (Tuesday evening), however, it does seem slightly improved each day and it is mild. I am able to work and function normally. I believe that I experienced a mild episode of Bell's Palsy following my Moderna vaccine, something that I have experienced (much more severely) once before <5 years ago after contracting a strain of antibiotic-resistant strep throat.

Other Meds: Allegra OTC, Omeprazole OTC, One-a-day Prenatal Vitamin, Paragard IUD

Current Illness: None

ID: 0975982
Sex: M
Age: 42
State: RI

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data:

Allergies: N/A

Symptoms: Entered observation @ 1832. @ 1836, stated that his throat was numb. Pt was with the nurse into clinic and had pt sit on the bed in clinic. @ 1838 Benadryl 25mg was given. Denies SOB or Trouble Breathing. @ 1843 pt states that s/s had been alleviated. Insist to this nurse that he has no trouble swallowing nor breathing. States that his throat does not feel as if it is closing up. Just states that his throat feels numb. @ 1850 remains to voice that he has no s/s of throat feeling numb. Pt left observation @ 1855. Denies this to this nurse SOB or Trouble Breathing.

Other Meds: Lisinopril 20mg BID, HCTZ 40mg BID

Current Illness: N/A

ID: 0975983
Sex: M
Age: 80
State:

Vax Date: 01/16/2021
Onset Date: 01/16/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data:

Allergies:

Symptoms: This patient may have received less than the standard 0.5mL dose. The vaccinator who administered the vaccine to this patient obtained over the expected 11 doses from a single vial. This was noted on reconciliation of vials and consents. Patient informed (or attempts are being made to contact them to inform them). Plan on second dose as scheduled as per guidance from CDC and Moderna.

Other Meds:

Current Illness:

ID: 0975984
Sex: F
Age: 64
State:

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

Lab Data:

Allergies:

Symptoms: 100.6?F, chills, severe headache, ?feels sick as a dog?

Other Meds:

Current Illness:

ID: 0975985
Sex: F
Age: 76
State: CA

Vax Date: 01/16/2021
Onset Date: 01/24/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data: None. Visited my doctor today to make sure there was not an infection. He said it was a late reaction. He suggested that I file this report.

Allergies: Percodan Sulfa

Symptoms: Moderna COVID-19 Vaccine EUA Swelling, redness, itching started on the 9th day after vaccination. Area of redness expanded on 10th day and again on 11th day (today).

Other Meds: None

Current Illness: None

ID: 0975986
Sex: F
Age: 27
State: CO

Vax Date: 01/21/2021
Onset Date: 01/24/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data:

Allergies: Doxycycline

Symptoms: Fever and extreme lethargy and nausea/ headache 3 days after shot

Other Meds: Zoloft and mirtazapine

Current Illness: No

ID: 0975987
Sex: M
Age: 65
State:

Vax Date: 01/16/2021
Onset Date: 01/16/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data:

Allergies:

Symptoms: This patient may have received less than the standard 0.5mL dose. The vaccinator who administered the vaccine to this patient obtained over the expected 11 doses from a single vial. This was noted on reconciliation of vials and consents. Patient informed (or attempts are being made to contact them to inform them). Plan on second dose as scheduled as per guidance from CDC and Moderna.

Other Meds:

Current Illness:

ID: 0975988
Sex: M
Age: 80
State:

Vax Date: 01/16/2021
Onset Date: 01/16/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data:

Allergies:

Symptoms: This patient may have received less than the standard 0.5mL dose. The vaccinator who administered the vaccine to this patient obtained over the expected 11 doses from a single vial. This was noted on reconciliation of vials and consents. Patient informed (or attempts are being made to contact them to inform them). Plan on second dose as scheduled as per guidance from CDC and Moderna.

Other Meds:

Current Illness:

ID: 0975989
Sex: F
Age: 74
State: NY

Vax Date: 01/17/2021
Onset Date: 01/24/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data: none

Allergies: penicillin sulfa cats swelling with insect bites

Symptoms: One week following injection, itching, hardness, heat, swelling and redness at injection site. Worsened overnight. No improvement with diphenhydramine. Some relief with topical hydrocortisone. Some improvement at 48 hours: no longer hot, still itchy and swollow, less red and hard

Other Meds: atorvastatin vitamin D calcium

Current Illness: none

ID: 0975990
Sex: F
Age: 37
State: AZ

Vax Date: 12/23/2020
Onset Date: 12/31/2020
Rec V Date: 01/26/2021
Hospital:

Lab Data: None

Allergies: Cephalexin - hives

Symptoms: Warm, red, swollen, and itchy in large area

Other Meds: Quail, fish oil, flax seed, vitamin d3, zinc, vitamin c, prenatal vitamin, biotin

Current Illness: No e

ID: 0975991
Sex: F
Age: 82
State:

Vax Date: 01/16/2021
Onset Date: 01/16/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data:

Allergies:

Symptoms: This patient may have received less than the standard 0.5mL dose. The vaccinator who administered the vaccine to this patient obtained over the expected 11 doses from a single vial. This was noted on reconciliation of vials and consents. Patient informed (or attempts are being made to contact them to inform them). Plan on second dose as scheduled as per guidance from CDC and Moderna.

Other Meds:

Current Illness:

ID: 0975992
Sex: F
Age: 52
State: DE

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data: Two different Covid nasal test performed with in twenty four hours came back negative

Allergies: None

Symptoms: Loss of Smell and Taste for about seventy two hours

Other Meds: Optavia essentials

Current Illness: None

ID: 0975993
Sex: F
Age: 57
State: NJ

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data: None

Allergies: Latex

Symptoms: Immediately upon vaccination, within about 30 seconds, I developed tight muscles around my jaw, facial areas (temples) , neck and trapezius with some headache symptoms. Tight fascia on head. I discussed with my MD and he suggested conservative management. Symptoms are still present today.

Other Meds: Just probiotics

Current Illness:

ID: 0975994
Sex: F
Age: 48
State: KY

Vax Date: 01/21/2021
Onset Date: 01/23/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data:

Allergies: Mushrooms

Symptoms: I woke up early that morning and both of my legs were aching and cramping. It was very painful. Lasted about a hour and stopped. I have burning in my throat still from the first injection.

Other Meds: Cardizem 30 mg as needed, melatonin 6 mg at night.

Current Illness:

ID: 0975995
Sex: M
Age: 78
State:

Vax Date: 01/16/2021
Onset Date: 01/16/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data:

Allergies:

Symptoms: This patient may have received less than the standard 0.5mL dose. The vaccinator who administered the vaccine to this patient obtained over the expected 11 doses from a single vial. This was noted on reconciliation of vials and consents. Patient informed (or attempts are being made to contact them to inform them). Plan on second dose as scheduled as per guidance from CDC and Moderna.

Other Meds:

Current Illness:

ID: 0975996
Sex: F
Age: 49
State: GA

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/26/2021
Hospital:

Lab Data: EKG- normal Physical exam by ED physician - unremarkable

Allergies: Bactrim- rash

Symptoms: Tightness in right jaw and neck; Burning sensation all over

Other Meds: HCTZ 25 once daily Vitamin D once daily

Current Illness: None

ID: 0975997
Sex: M
Age: 77
State: CO

Vax Date: 01/19/2021
Onset Date: 01/21/2021
Rec V Date: 01/26/2021
Hospital: Y

Lab Data: At hospital- 1/21/21- CXR - Multifocal lung opacities suspicious for viral infection such as Covid 19. At hospital- 1/21/21- U/A - positive for protein, blood, leukocyte esterase, white blood cells and red blood cells. No C&S. At hospital- COVID-19 test negative x 2.

Allergies: Cefepime, Morphine

Symptoms: On 1/20/21 the staff observed resident to be more restless constantly moving his legs. He had a decrease in his appetite and fluid intake and required assistance for consumption. His oxygen sats dropped to 89% on room air and was given oxygen at 2L. On 1/21/2021 the Resident observed moving restlessly, opened his eyes when this writer called his name, murmuring incoherent words, words were unclear, was observed taking off his Foley, attempting to grab something, dropped his hands and legs and at the same time restless. This writer was unable to auscultate lungs or heart, resident was moving uncontrollable. Resident positioned safely in bed. VS revealed high BP 147/101. MD ordered transfer to hospital. Resident was treated in the hospital for acute encephalopathy, sepsis with tachycardia and tachypenia and hypoxia.

Other Meds: Atorvastatin Calcium Tablet 40 MG, Bactrim Tablet 400-80 MG, Cyanocobalamin Tablet 1000 MCG, Cymbalta Capsule Delayed Release Particles 60 MG, Flonase Suspension 50 MCG/ACT, Lasix Tablet 40 MG (Furosemide), Lidocaine Patch 5 %, Metoprolol

Current Illness: Resident of a long term car facility with chronic illness. He was treated for fever of unknown origin on 12/18/2020 with negative CXR, CBC and COVID-19 test. He has recurrent UTIs and is on prophylactic antibiotics. He was treated for pneumonia on 12/23/2020. Resident received first dose of COVID-9 vaccine on 12/22/2020.

ID: 0975998
Sex: F
Age: 75
State:

Vax Date: 01/16/2021
Onset Date: 01/16/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data:

Allergies:

Symptoms: This patient may have received less than the standard 0.5mL dose. The vaccinator who administered the vaccine to this patient obtained over the expected 11 doses from a single vial. This was noted on reconciliation of vials and consents. Patient informed (or attempts are being made to contact them to inform them). Plan on second dose as scheduled as per guidance from CDC and Moderna.

Other Meds:

Current Illness:

ID: 0975999
Sex: M
Age: 91
State:

Vax Date: 01/16/2021
Onset Date: 01/16/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data:

Allergies:

Symptoms: This patient may have received less than the standard 0.5mL dose. The vaccinator who administered the vaccine to this patient obtained over the expected 11 doses from a single vial. This was noted on reconciliation of vials and consents. Patient informed (or attempts are being made to contact them to inform them). Plan on second dose as scheduled as per guidance from CDC and Moderna.

Other Meds:

Current Illness:

ID: 0976000
Sex: F
Age: 61
State: CT

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

Lab Data:

Allergies: Statins, oxycodone

Symptoms: Low grade temp. 100.5; chills, headache, leg/joint pain; nausea

Other Meds: Hydrochlorothiazide, ezetimibe, Tylenol, magnesium, calcium with Vit D

Current Illness:

ID: 0976001
Sex: F
Age: 56
State: MI

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

Lab Data: None

Allergies: Potential for anaphylaxis P penicillium (identical twin HO this).

Symptoms: Moderate headache immediately after vaccination, sore arm; Excedrin taken 1400 hrs. 12 Hours P vaccination: chills; light headedness w/subsequent syncope; ostensible "sneezing" during syncope (reported by family member); emesis; errythema over face, arms, chest (vasculitis-like appearance); severe headache, multiple joint pain. Vasovagal response continued 11 hrs later. Treatment: hydration as tolerated, sleep, Excedrin at 24 hrs P vaccination, and 4 hrs later. General fatigue and feeling of pre-syncope persisted between 24 hr mark and 32 hr mark P vaccination. Symptoms resolved by 36 hrs P vaccination.

Other Meds: Levothyroid, Lexapro, Singulair, Tamoxifen, Neurontin, multivitamin, calcium + D, glucosamine chondroitin, Vit D, E, fish oil, biotin, selenium, generic zyrtec.

Current Illness: None

ID: 0976002
Sex: F
Age: 43
State: CA

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/26/2021
Hospital:

Lab Data: No

Allergies: No

Symptoms: The next day when I woke up on 12/30/2020 I woke up with a rash all over my body but worst part was stomach. It was bumpy & itchy. I also had chills for about 1 day. I went to urgent care on 01/04/2020 & the doctor from said it could be pityriasis osis.

Other Meds: Paxl Valtrex

Current Illness: No

ID: 0976003
Sex: F
Age: 68
State:

Vax Date: 01/16/2021
Onset Date: 01/16/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data:

Allergies:

Symptoms: This patient may have received less than the standard 0.5mL dose. The vaccinator who administered the vaccine to this patient obtained over the expected 11 doses from a single vial. This was noted on reconciliation of vials and consents. Patient informed (or attempts are being made to contact them to inform them). Plan on second dose as scheduled as per guidance from CDC and Moderna.

Other Meds:

Current Illness:

ID: 0976004
Sex: F
Age: 40
State: PA

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data:

Allergies: Latex, kiwi, banana

Symptoms: First Moderna vaccine given on 12/22/2021 - nausea headache and body ache couple hours after shot was minister, and lasted till the next day. Second vaccine minister on 1/19/2021 - couple of hours after the vaccine I had chills that turn to a fever of 101.8 through the night till all day the next day, nausea headache, really bad body aches, a red rash allergic reaction on my upper left arm a little below where the vaccine was minister, and fatigue.

Other Meds: Tylenol

Current Illness: The first vaccine was minister on 12/22/2020, I had a nausea headache and mild body ache for one day. The second vaccine - Hours after getting the second Moderna covid vaccine on 1/19/2021, I had the reaction symptoms of chill that turn to fever of 101.8 all through the night till the next day, along with nausea headache, really painful body ache all through the body, a red allergic reaction on my upper left arm a little below where the vaccine was ministered, and fatigue.

ID: 0976005
Sex: F
Age: 47
State: CA

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

Lab Data: None

Allergies: Allergic to succinylcholine (pseudocholinesterase deficiency)

Symptoms: Severe N/V for about 2 hours. It was sudden onset, then I vomited about 12 times, then I had persistent nausea for another 12 hours. All was associated with chills and myalgia and subjective fever. Those symptoms were mild to moderate but the vomiting was severe.

Other Meds: Norethindrone

Current Illness: None

ID: 0976006
Sex: M
Age: 94
State:

Vax Date: 01/16/2021
Onset Date: 01/16/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data:

Allergies:

Symptoms: This patient may have received less than the standard 0.5mL dose. The vaccinator who administered the vaccine to this patient obtained over the expected 11 doses from a single vial. This was noted on reconciliation of vials and consents. Patient informed (or attempts are being made to contact them to inform them). Plan on second dose as scheduled as per guidance from CDC and Moderna.

Other Meds:

Current Illness:

ID: 0976007
Sex: F
Age: 45
State: CT

Vax Date: 01/20/2021
Onset Date: 01/26/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: I woke up at 1 am to go to bathroom , I fainted in hallway , waking up husband. I then came to , didn?t feel good and vomited 4 times with no energy. The following day facial swelling at 1 am . Could be from fall . Very bad migraine until Saturday afternoon.

Other Meds: VIIBRYD 40 mg Amlodipine 5 mg

Current Illness:

ID: 0976008
Sex: M
Age: 72
State: VA

Vax Date: 01/16/2021
Onset Date: 01/24/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data: None.

Allergies: None.

Symptoms: I am having a delayed reaction to Moderna vaccine 8 days after 1st shot. Upper left arm has rash and skin is raised and very red around the injection site. Very itchy but no pain or other symptoms. Concerned whether I should get the second shot.

Other Meds: None

Current Illness: None.

ID: 0976009
Sex: F
Age: 58
State: MD

Vax Date: 01/23/2021
Onset Date: 01/23/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data: None

Allergies: Aspirin, shrimp

Symptoms: Flu like symptoms, swollen armpit and shoulder pain. Treatment take Tylenol and ice the area. Currently still having symptoms.

Other Meds: Symbicort, lisinopril/hctz, dioxin, allopurinol, metformin

Current Illness: Gout

ID: 0976010
Sex: F
Age: 48
State: CA

Vax Date: 01/11/2021
Onset Date: 01/13/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Rash, redness, heat, itching , hives and headache seen Jan ,11, 2021

Other Meds:

Current Illness:

ID: 0976011
Sex: F
Age: 71
State: AK

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/26/2021
Hospital: Y

Lab Data:

Allergies: unknown

Symptoms: Began experiencing left sided weakness, Evaluated in ER, Medivac'd to other facility for stroke

Other Meds: unknown

Current Illness: unknown

ID: 0976012
Sex: F
Age: 68
State: CA

Vax Date: 01/18/2021
Onset Date: 01/23/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data: n/a

Allergies: none

Symptoms: Arm is swollen, warm and tender

Other Meds: Losartan, estradiol, synthyroid

Current Illness: none

ID: 0976013
Sex: M
Age: 88
State: NJ

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data:

Allergies:

Symptoms: vaccine was thawed on 1/11 and expired on 1/16 but was used to immunize patient on 1/22

Other Meds:

Current Illness:

ID: 0976014
Sex: F
Age: 36
State: NY

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data:

Allergies: N/a

Symptoms: Throat/tongue swelling initially. Took benadryl. Next day, I was very weak, in/off heachache. Mild temperature. Today is day 6 and I'm still very weak, get light headed at times

Other Meds: N/a

Current Illness: N/a

ID: 0976015
Sex: F
Age: 26
State: LA

Vax Date: 01/19/2021
Onset Date: 01/21/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 2 days after I got the COVID vaccine, I began smelling cigarette smoke without there being any smoke around me. It has been nonstop and is very distressing.

Other Meds: Lexapro Oral contraceptives

Current Illness: I had COVID 6 weeks previously.

ID: 0976016
Sex: M
Age: 45
State: CA

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/26/2021
Hospital:

Lab Data:

Allergies: Pcn

Symptoms: Very bad fatigue

Other Meds: Caffeine, I had not energy for 5 days. I mean no energy. Couldnt even get out of bed.

Current Illness:

ID: 0976017
Sex: F
Age: 0
State: CA

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data:

Allergies: no

Symptoms: Pt reported thingling in her throat, no sob no tachycardia hr 72, resp 16 no difficaulty breathing, no swollen lips, no rash. Pt was escortedted to ER in wheelhair, pt wasw verbally coherant all time

Other Meds: no

Current Illness: no

ID: 0976018
Sex: F
Age: 88
State: MI

Vax Date: 01/16/2021
Onset Date: 01/23/2021
Rec V Date: 01/26/2021
Hospital:

Lab Data: None

Allergies: Famvir 2009, Ampicillin (2006), Nitrous Oxide (1980s) Small Pox Vaccine (1967)

Symptoms: One week after receiving the first vaccination of Moderna in the upper right arm, a rash appeared around the injection site, the area is swollen and itchy. The rash has spread upward toward the shoulder. The condition remains as of this writing. No other symptoms attributed to vaccinations have occurred.

Other Meds: Losartan, Simvastatin, Cardizem, Valacyclovir, Betopic-S, Preservision, V-B Complex, V-D 3, Resveratrol, Salmon Oil, Co-Q-10, Alpha Lipoic Acid,. Grapeseed Extract

Current Illness: Cold sore

ID: 0976019
Sex: F
Age: 44
State: CO

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/26/2021
Hospital: Y

Lab Data:

Allergies: Pt denies any allergies to medications. Pt reports as a "teen I was l allergic to citrus, barley, wheat, rice". Pt states "my lips and tongue swelling and I would take Benadryl". Pt reports that she has "since outgrown those food allergies". Pt denies to her knowledge allergies to other products

Symptoms: Per summary of primary hospitalist. Pt admitted for acute hypoxic respiratory failure requiring mechanical ventilation secondary to angioedema from Moderna COVID-19 vaccination. Pt presented with a chief complaint of tongue and facial swelling approximately 10 minutes after receiving first dose of the vaccination. She did not respond to Benadryl or IM epinephrine. She was admitted to ICU and intubated. She was started on IVsteroids, famotidine and diphenhydramine. Swelling gradually improved and she was successfully extubated. Her hospital course was complicated by steroid-induced hyperglycemia requiring insulin.

Other Meds: Phenergan; Trileptal; Nortriptyline; Melatonin; Voltaren

Current Illness: None

ID: 0976020
Sex: F
Age: 50
State: MN

Vax Date: 01/28/2001
Onset Date: 01/27/2001
Rec V Date: 01/26/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: None stated.

Other Meds: atenol, vitamin D, echinacea, levothyroxine, losartan, multi-vitamin, elderberry

Current Illness: Breast Cancer....chemo treatment and radiation

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm