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: 0981357
Sex: F
Age: 46
State: PA

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

Lab Data: None

Allergies: None

Symptoms: Fever, sore arm, swelling on injection site, headache, chills, body aches

Other Meds: Levothyroxine, calcium, multivitamins

Current Illness: None

ID: 0981358
Sex: F
Age: 34
State: NY

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

Lab Data: CT head and neck 1/26/2021 no abnormalities noted routine labs 1/26/2021 no abnormalities noted

Allergies: sulfa drug azithromycin shellfish pineapple peach

Symptoms: right hemiparesthesia of the face, seen at ED, given bolus LR, CT scan with contrast head and neck, routine labs

Other Meds: none

Current Illness: none

ID: 0981359
Sex: F
Age: 43
State: NC

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

Lab Data: EKG showed Sinus Tachycardia. A covid test was done as well, but results are pending.

Allergies:

Symptoms: Employee states she had low grade temp after the vaccine. The day after vaccination (1/27/21) her heart rate was between 140-150 and she described feeling she was short of breath. She was seen at an urgent care where an EKG was done and she was given 1 Liter of fluid. Employee feels better today and is resting at home. She says her HR was around 110 while resting in bed at home. She states she no longer has a fever.

Other Meds:

Current Illness:

ID: 0981360
Sex: F
Age: 38
State: DC

Vax Date: 01/08/2021
Onset Date: 01/12/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: None by this facility.

Allergies: None reported

Symptoms: Patient reported history as noted above. She relayed a coincident IVF cycle pregnancy loss. Further clinical details unknown by this facility. Submitted for consideration of possible association and further discussion with treating providers.

Other Meds: Patient is an IVF patient. Embryo transfer was 12/18/2020. She approximately 5 weeks pregnant based upon HCG levels obtained by her specialists the same day of her vaccination - 1/8/21. Her IVF physician, Dr. supported her decision to be va

Current Illness: None reported

ID: 0981361
Sex: F
Age: 45
State: NY

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

Lab Data:

Allergies:

Symptoms: High fever, body aches and pain. Lathergic. Headache

Other Meds:

Current Illness:

ID: 0981362
Sex: F
Age: 66
State: FL

Vax Date: 01/15/2021
Onset Date: 01/23/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Pt developed 2 in. x 3 in. red, slightly raised rash on arm vaccine was administered in 8 days after vaccine. No pain, no itching,

Other Meds:

Current Illness:

ID: 0981363
Sex: F
Age: 61
State: OH

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

Lab Data: none

Allergies: none

Symptoms: my second ( NOT THE FIRST ONE! ) vaccine received 0700hrs. 1/26/2021 ( my 2nd one ) By 2pm, extreme exhaustion, tiredness, mild achiness all over, persistent mild headache. By that evening, fever ( not checked nor confirmed but probable) 14 hours after the vaccine with rigors. Body aches for 24 + hours after receiving vaccine. plus intermittent headache. By 36 hours later, still having intermittent fever (100.1 ) with body aches and sheer exhaustion. I am a nurse in an I.C.U. I had to call off work today, 48 hours after the vaccine. was received. Mainly for this persistent exhaustion. Also this damn headache still hanging around...mild but irritating. I know none of this is what I would call ADVERSE but my co-workers insist I need to fill out this information so I am. I it 50 hours from the vaccine and I am tired, slow and have to lay down and rest. It's stupid. My first vaccine was NOTHING . I have not had covid and I don't plan on it. :)

Other Meds: maxide, prilosec, effexor, estradial, mobic, multivitamin, calcium with vite. D, vitamin C

Current Illness: none

ID: 0981364
Sex: F
Age: 24
State: CA

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: intense migraine for 10 days, redness at the injection site every single day, discoloration at the injection site after one week that has not gone away, nausea that lasted about 10 days pretty intense, injection site itchiness comes and goes

Other Meds: Wellbutrin, Celexa, Adderall, Spironolactone, levothyroxine, vitamin D three, iron, cranberry extract, magnesium, women?s multivitamin, Fish oil, zinc, melatonin.

Current Illness: seasonal cold and sinus infection

ID: 0981365
Sex: F
Age: 46
State: NE

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

Lab Data:

Allergies: nka

Symptoms: Large red rash, warm to the touch about 1 and 1/2 inches below the injection site.

Other Meds: Calcium, multivitamin, collagen, tumeric/curcurmin, biotin, magnesium

Current Illness: None

ID: 0981366
Sex: F
Age: 49
State: NC

Vax Date: 01/15/2021
Onset Date: 01/18/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: Patient presented to the ED approximately 2 days after receiving the 2nd dose of the COVID 19 vaccine. It is unknown where the patient received the vaccine, since it was outside our facility. The ED report states the patient woke up with eye swelling (bilateral). red rash on trunk. After contacting the patient, on 25 January 2021, the patient stated that she also began using a Lotus flower facial cream that she believes may have been the cause of the reaction.

Other Meds: Blue Lotus Facial Cream

Current Illness:

ID: 0981367
Sex: F
Age: 52
State: AK

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

Lab Data:

Allergies:

Symptoms: Customer received SECOND dose of COVID-19 vaccine at 0910 in medical center and transferred to post vaccine observation. At 0935 provider notified that customer was feeling sweaty with tingling in her tongue. Customer appears mildly flushed, calm. States that she chose to wait a little longer in the observation room because she does not ?feel right.? Customer moved to ante room, closer to emergency supplies. Customer denies feeling SOB, difficulty breathing or tongue/throat swelling. She reports ?tingling? in the middle of her tongue and is feeling hot and diaphoretic ? different from the same menopausal symptoms that has been experiencing prior to this appointment. BP 120/78, HR 71, O2 95% RA, RR 18. Lungs CTA, RRR. Customer accepts Benadryl 50mg PO @ 0939. No rash, hives noted on exposed skin or at site of injection in left arm. Customer monitored at site. Over the course of the next 40 minutes, she reports feeling better. BP 120/70, HR 78, O2 97% RA, RR 16 @ 1022. She states that her tongue is still a bit tingly but denies feeling other worrisome symptoms she was previously experiencing. She denies feelings of facial/tongue/throat swelling, CP, SOB. Reports slight dizziness that she feels is related to Benadryl. Customer's husband (medical provider) present to drive her home. Customer states she will not be home alone. Customer aware that this provider will notify PCP Team of incident for post vaccine check in. Customer denies questions/concerns at this time. Customer released from site at 1025 ambulating independently with steady gait, no escalation of symptoms reported, no obvious s/sx of distress.

Other Meds:

Current Illness:

ID: 0981368
Sex: F
Age: 65
State: MD

Vax Date: 01/13/2021
Onset Date: 01/22/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: N/A

Allergies: Bee venom, Cephalosporin antibiotic, Dilaudid.

Symptoms: No immediate reaction aside from sore arm after shot on 1/13/21. Then on 1/22/21 injection site became red with a 4" diameter raised reaction that was hot, tender and itchy. I called PCP and she saw me right away. She gave me Methylprednisolone tablets (21) to take over a 6 day period. As dosage decreased reaction has recurred. Spoke with DR on 1/26 and was told to take Allegra. Reaction continues. DR will see me on 1/29/20 before weekend to assess next steps. Maybe more prednisone? I carry EPI pen due to anaphylactic reaction to bee/wasp venom. Next step TBD - Please provide more info to people on how to treat this.

Other Meds: None

Current Illness: No

ID: 0981369
Sex: F
Age: 49
State: FL

Vax Date: 12/28/2020
Onset Date: 01/06/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies: Tree nuts, shellfish, pet dander, some fruits, environmental (pollen, grass, mold)

Symptoms: redness and itchy, in a circle at the injection site 7-8 days after first injection ("Covid-arm")

Other Meds: vitamin D

Current Illness:

ID: 0981371
Sex: F
Age: 59
State: IN

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

Lab Data: None Benedryl

Allergies: Nuts Celebrex Cats Cedar

Symptoms: Back and joint pain Lymph node swelling Injection site swellingf Fever

Other Meds: Benedryl

Current Illness: None. Previous hives to vaccine

ID: 0981372
Sex: F
Age: 59
State: MA

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

Lab Data:

Allergies:

Symptoms: Received second shot of vaccine at 10am 1/19/2021. developed muscle joint aches, fever, HA at 18:00 lasted for 48 hours

Other Meds: Levothyroxine

Current Illness:

ID: 0981373
Sex: F
Age: 52
State: IN

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

Lab Data:

Allergies: NKA

Symptoms: Fever up to 103, chills, body aches, nausea. Treated with tylenol 500 mg rotating 2 hours with ibuprofen 200 mg, and zofran 4 mg for nausea. Symptoms began at 7 pm on 1/26 and starting feeling better 1/28 at 8am

Other Meds: Loratadine 10 mg Atenolol/chlorthalidone 100/25 mg Lansoprazole 30 mg Tylenol 500 mg

Current Illness: Covid 12/21/2020

ID: 0981374
Sex: F
Age: 73
State: TX

Vax Date: 01/20/2021
Onset Date: 01/26/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: itching, pain and rash at site of shot spreading to upper arm

Other Meds: Simvastin, Meloxicam, Omniprazole, Zolpidem, Fluoxetine, Fluticasone, cranberry, vitamin D, Loritan

Current Illness: None except allergies

ID: 0981375
Sex: F
Age: 69
State: FL

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

Lab Data: None

Allergies: Phenobarbital

Symptoms: After about 12 hours I started having muscle aches in both arms which then became full body ache like flu symptoms. Fever chills during the night. Still had 99.5 fever at 7 this morning and dull headache. Took 2 Tylenol. Still sore but getting better.

Other Meds: Turmeric 500 mg Tylenol

Current Illness: None

ID: 0981376
Sex: F
Age: 70
State: NY

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies:

Symptoms: As soon as I was injected I began feeling dizzy, headachy, and queasy. These feelings have lasted a full week.

Other Meds: Rosuvastatin Calcium 5 MG 81MG Aspirin Multi Vitamin Calcium Citrate

Current Illness:

ID: 0981378
Sex: M
Age: 66
State: CT

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: Severe pain left arm and shoulder starting the day after injection pain still active in the same area. Injection was given in my right arm. Went to my PCP has EKG and blood work no issues reported.

Other Meds: Paxil Liptor

Current Illness: None

ID: 0981379
Sex: F
Age: 70
State:

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

Lab Data:

Allergies:

Symptoms: Ringing in the right ear for 1 hour Feeling a pressure in the left ear, similar to ear infection pain for 3 days

Other Meds:

Current Illness:

ID: 0981380
Sex: F
Age: 30
State: NY

Vax Date: 01/17/2021
Onset Date: 01/21/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies: Allergies to cats, dogs, dust mites

Symptoms: Sure if injection was sore right away even to slight touch. Red rash similar to a bug bite appeared on around say 3. Raised, red, warm to touch, and very itchy rash appeared by injection spot. Still there 10 days later.

Other Meds: Mini pull contraception, vitamin D

Current Illness:

ID: 0981381
Sex: F
Age: 66
State: FL

Vax Date: 01/15/2021
Onset Date: 01/23/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies:

Symptoms: patient developed a 2 in. x 3in. red, raised rash on upper arm where injection was administered. Rash developed 8 days after vaccine. No pain, no itching

Other Meds:

Current Illness:

ID: 0981382
Sex: F
Age: 74
State: CA

Vax Date: 01/14/2021
Onset Date: 01/27/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies: Sulpha, iodine dye, corticosteroids, latex, several antibiotics, bananas

Symptoms: 13days after vaccination my right arm developed a huge red rash warm to the touch downward from the injection site for about 5 inches

Other Meds: Albuterol nebulizer, multivitamin, Zyrtec, omega 3, Metamucil, ducosate sodium, 81aspirin, vitamin D3, Move Free, Align probiotic, Macrobid, Hizentra infusion

Current Illness: Started Macrobid for UTI about time of vaccination

ID: 0981383
Sex: F
Age: 47
State: IN

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Fatigue, sore arm, joint and body aches most significant in lower back

Other Meds: escitalopram 20mg, 1 tablet, every morning-0600 buproprion HCL SA, 200mg, 1 tablet twice daily-0600&2100 simvastatin 40mg, 1/2 tablet, 2100 melatonin 10mg, 1 tablet, 2100

Current Illness: none

ID: 0981384
Sex: M
Age: 58
State: OK

Vax Date: 01/23/2021
Onset Date: 01/24/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies: Aspirin

Symptoms: fatigue lasting 48 hours

Other Meds: Plavix, DDAVP, Lipitor, Xalatan, Neurontin, Flomax, Reglan, Omeprazole, Oxybutynin Chloride, Lisinopril, fluticasone propionate, Seroquel, Probiotic, Melatonin, Trazadone, Depakote, Vitamin C, Vitamin D3, Roxicodone

Current Illness:

ID: 0981385
Sex: M
Age: 66
State: FL

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

Lab Data:

Allergies: None

Symptoms: Apprx 7 minutes after receiving vaccine, I experienced a sensation in my chest, upper arms, and neck areas. I also experienced a slight metallic taste in my mouth. I also sensed a somewhat increased heart rate and some slight dizziness. I did NOT experience any breathing difficulties but maybe had a very slight wheeze sensation. These reactions lasted only about 8 to 10 minutes then started easing away. I was monitored a full 30 minutes and then released after reporting I felt ok then.

Other Meds: Atenolol 50 mg 2 X per day; Lisinopril 20 mg 2 X per day; Simvastatin 20 mg 1 per day; Aspirin 81 mg 1 per day; Cimetidine 200 mg or Famotidine 10 mg as needed for heartburn; Loratidine 10 mg as needed for nasal congestion; Vitamin D3 (1000

Current Illness: None

ID: 0981386
Sex: F
Age: 37
State: OH

Vax Date: 01/06/2021
Onset Date: 01/13/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: None

Allergies: NKA

Symptoms: Sore arm for a couple days but felt completely fine. Exactly a week after injection, the site became itchy, red, warm, and swollen. Used hydrocortisone cream and ice for relief but discovered heat helped more. Itchiness did not last long but redness and heat lasted a few days and spread around the injection site. Felt totally fine otherwise, no fever etc. It went away in its own in a couple of days.

Other Meds: 125 mcg Synthroid. Women?s multivitamin and Vitamin D supplement.

Current Illness: None

ID: 0981387
Sex: F
Age: 47
State: GA

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

Lab Data:

Allergies:

Symptoms: Dizziness, chills, fever and headache

Other Meds: None

Current Illness: None

ID: 0981388
Sex: F
Age: 50
State: AK

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

Lab Data:

Allergies: NSAIDs, Adhesive bandage, Latex, Toradol, Tylenol regular strength

Symptoms: Customer received FIRST COVID-19 vaccine at 1015 in medical center and transferred to post vaccine observation. At 1035 customer called out to provider. Customer reports feeling acute nausea and she states she feels as if she is going to throw up. She appears slightly pale and significantly anxious. Customer is moved to ante room, closer to emergency supplies. Customer denies feeling SOB, difficulty breathing or tongue/throat swelling. Reports feeling sweaty, with waves of nausea and intermittent ULQ pain that she describes as sharp and bandlike across the diaphragm. She episodically calls out in pain and clutches her left chest below her ribs stating that it feels better when she puts pressure at the site. Customer admits to having significant anxiety and a history of panic attacks. HR 102, 02 99%. Lungs CTA. Customer accepts Benadryl 50mg PO @ 1043. Customer monitored at site. Over the course of the next 15 minutes, she reports feeling better and more relaxed. Customer reports full resolution of symptoms @ 1100. BP 108/82, P 101, O2 100% RA, RR 16. Customer is agreeable to extended monitoring after receiving Benadryl. She has been driven to the vaccination site by a family member and states she will not be alone at home. She is instructed to watch for progressive s/sx of reaction including increase in throat symptoms, swelling, itching/rash, SOB, chest pain or any other symptoms that are outside her baseline. Instructed to contact EMS for transport to ED. Customer instructed to contact PCP Team prior to next vaccine appointment to discuss post vaccine course and discuss risks/benefits and/or pre-treatments prior to next vaccine. Customer agrees with plan and denies further questions/concerns. Customer released from site at 1115, ambulating independently with steady gait, no obvious s/sx of distress.

Other Meds:

Current Illness:

ID: 0981389
Sex: F
Age: 22
State: IN

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

Lab Data:

Allergies: Amoxicillin, Zithromax, cefaclor

Symptoms: Chest pains that come and go, my feet and hands itching, migraine, chills, nausea, rash

Other Meds: Nikki birth control

Current Illness: None

ID: 0981390
Sex: M
Age: 44
State: IN

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

Lab Data: None

Allergies: None

Symptoms: At approximately 2 AM, the next day, I started to have uncontrollable chills which results in excessive chattering of my teeth. I had trouble getting warm and had to utilize multiple blankets to gain heat, which is not normal. I was very warm and most likely developed a fever. I did not eat until 2 PM that day and the started feeling better later that night. I was forced to miss work to recover. I returned to work today, 1/28 but I remain tired and a little lethargic.

Other Meds: busprirone, Zoloft, metropol, multivitamin

Current Illness: No

ID: 0981391
Sex: F
Age: 59
State: NY

Vax Date: 01/19/2021
Onset Date: 01/27/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: N/A

Allergies: None

Symptoms: Eight days after inoculation, around 5:00 pm I noticed a red welt to the right and slightly below the injection site. I still have the red welt today. It does not hurt, but is tender to the touch and somewhat raised. For the initial 7 days post-vaccine there was no reaction whatsoever, not even a tiny red mark.

Other Meds: None, but took 2 Extra Strength Tylenol morning of 1/27/21 for a headache--first NSAID taken within 2 weeks of vaccination.

Current Illness: None

ID: 0981392
Sex: F
Age: 77
State: CT

Vax Date: 01/23/2021
Onset Date: 01/27/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: EKG (sinus tachycardia), labs (chronic hyponatremia, otherwise WNL, trop T neg x2), rapid COVID swab (negative), all done on 1/27/21.

Allergies: sulfa (vomiting), prednisone (facial swelling, itching, redness), lisinopril (raynaud's), boniva (vomiting).

Symptoms: Palpitation, shaking, weakness, sudden onset on 1/27/21 at 8:00am. Was seen in the ED and found to be in sinus tachycardia; resolved without intervention.

Other Meds: Atorvastatin Calcium 10 mg Tab sig: TAKE 1 TABLET BY MOUTH EVERY OTHER DAYView Betamethasone Dipropionate 0.05 % Oint sig: 1 application topically to affected area (finger) daily clonazePAM 0.5 mg Tab sig: TAKE 1/2 TO 1 (ONE-HALF TO ONE) TA

Current Illness: None

ID: 0981393
Sex: F
Age: 30
State: NY

Vax Date: 01/12/2021
Onset Date: 01/23/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: day # 11 developed pustular and vesicular rash at site of injection and over ipsilateral forearm. treated with topical steroid

Other Meds: fluoxetine, cyclobenzaprine, meloxicam

Current Illness: cervical cord compression

ID: 0981394
Sex: M
Age: 58
State: IN

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

Lab Data: N/A

Allergies: Penicillin

Symptoms: Late afternoon still working started with scratchy throat later on in shift @4pm started feeling yucky flu like symptoms. Went home and cleaned up and went to bed. I slept most of the next day. I work up the 2nd day and felt much better

Other Meds: Several. type 2 diabetes high blood pres. Cholesterol

Current Illness: None

ID: 0981395
Sex: F
Age: 32
State: TX

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

Lab Data:

Allergies:

Symptoms: On night of vaccine, the chills started. Lasted throughout the night. On the entire day of 1/27/2021- I had chills, my internal temp felt like 89?, even though I had a low grade fever. I had a migraine that felt like my head was going to explode. It caused body aches and neck pain, sinus pressure, dizziness, weakness, nausea, pain in arm at injection site.

Other Meds: Vitamin D, meloxicam

Current Illness:

ID: 0981396
Sex: F
Age: 80
State: OH

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies: metformin, glipize, losartan, loviastatin

Symptoms: High blood pressure going up and down

Other Meds: medforman,

Current Illness: no

ID: 0981397
Sex: F
Age: 49
State: AR

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

Lab Data: na

Allergies: none

Symptoms: Nausea, body aches, HA, fatigue, back pain

Other Meds: Methotrexate, Zofran, Gabapentin, Cymbalta,

Current Illness: none

ID: 0981398
Sex: F
Age: 54
State: OH

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: None

Allergies: Nka

Symptoms: 01/05/21 Sore arm, severe headaches which was worse if laying down, fatigue, and general aches & pains in joints the very next morning 8:00 am. I took 2 Tylenol 500 mg each & rested. My scalp felt like it was on fire & itched severely. My scalp was red but no lumps of bumps observed. That evening when changing into pajamas, I noticed both my legs had purple blotches from above my knees down to both feet. It looked worse when I stood. As a nurse, I knew this was mottling. I have never had this in my life. I immediately took 3 baby aspirin 81 mg each. I was so exhausted, I went to bed. 01/06/21 I woke up feeling better. My scalp still itched but not as bad. My legs were still mottled from above my knees down to feet, still worse when I stood. I took 3 baby aspirin 81 mg each at 08:00. My arm still was sore but less severe. Mild headache & ache and pains in joints. The mottling in my legs has continued & improved but I notice it mostly after showering now. I reported these symptoms to my doctor. He has advised not to get second dose & to continue aspirin 81mg daily. Prior to getting the vaccine I informed the infection control nurse about my symptoms that began 12/23/20 & the negative covid test taken on 01/04/21. She recommended I take the vaccine.

Other Meds: None

Current Illness: Sinus infection, loss of taste & smell for 2 weeks, headaches, fatigue, tested negative to covid virus (tested 01/04/21)

ID: 0981399
Sex: M
Age: 74
State: PA

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

Lab Data: Went to see family physician. He tested me and diagnosed it as Bell's Palsy. He gave me a steroid shot in the hip. He then prescribed Valtrex 1000mg po bid for one week. Gentamycin eye ointment to left. eye night time. 400mg Ibuprofen for 5 fays.

Allergies: None

Symptoms: Unable to blink left eye. Unable to smile with left side of mouth. Both appeared by the next morning. I noticed it around 10:00am. Left leg heavy cramp the night of around 5:30. It went away when I stretched it and did not return.

Other Meds: Rosuvastatin calcium 20mg morning Amiodipine besylate 5mg evening Bayer aspirin 80mg morning

Current Illness: None

ID: 0981400
Sex: F
Age: 43
State: SD

Vax Date: 01/17/2021
Onset Date: 01/18/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies:

Symptoms: The arm had a little knot then it went down the it continue to ache with pain, I started taking Tynelno 500 for pain and it didn?t calm down pain got worst, where my back started to pain on left side up my neck! My neck hurts so bad on the left side! When I turn my neck it hurts!

Other Meds:

Current Illness:

ID: 0981401
Sex: F
Age: 30
State: NY

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

Lab Data: None

Allergies: None

Symptoms: Symptoms started at 11 PM 11/27/21 (approx 12 hours from the 2nd vaccination). Symptoms mild at first with just fatigue and bodyaches. Progressively worsened throughout the night to a headache, severe chills, and fevers with Tmax 101.7. Fever kept rising, so Motrin 600mg was taken at 5AM. Fever went down, ongoing chills and low-grade fever persisted.

Other Meds: None

Current Illness: Diagnosed with covid-19 1/9/21. Symptom onset 1/8/21. I was out of quarantine 1/18/21.

ID: 0981402
Sex: F
Age: 38
State: AK

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

Lab Data:

Allergies: NKA

Symptoms: C-O was working in the vaccine clinic today assisting in scheduling customers. She obtained her second COVID-19 vaccine at approximately noon today. At 1330 she approached my desk with c/o left sided abdominal pain, scratchy throat, voice changes, and feeling tachycardic. Denied hx. Anaphylaxis or hx. Adverse reactions to any vaccines. She was given 50mg of diphenhydramine at 1332. At this time her pulse was 125, oxygen saturation 97%, unable to obtain BP due to small cuff size available. Med rec completed. Medical history taken, no contraindications to COVID-19 vaccine noted. She was advised to lay down during this time and reported feeling a little better within 30 minutes of taking diphenhydramine, though noted onset of headache starting and mentions hx migraines. By 1409 her pulse was reduced to 98 bmp. 1434 C-O reported feeling a little lightheaded upon standing from laying, pulse 92 and oxygen saturation 98. C-O was advised to sit and dangle for a time and then she decided to lay back down. At 1443 C-O reported improvement in symptoms except now had headache and drowsiness, BP 118/78, Pulse 90, oxygen saturation 98. C-O requested to leave to coordinate pickup from relative and I felt she was stable and did not require further treatment or monitoring at this time so agreed she could leave

Other Meds:

Current Illness:

ID: 0981403
Sex: F
Age: 41
State: IN

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Fever of 103, chills, soreness, exhaustion

Other Meds:

Current Illness:

ID: 0981404
Sex: F
Age: 40
State: NY

Vax Date: 01/14/2021
Onset Date: 01/21/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: After sharing my reaction with the school nurse where I work and a nurse practitioner I was told that it was nothing to worry about so I didn't get any medical tests or lab results.

Allergies: NONE

Symptoms: About 7 days after I received my first dose of the Moderna vaccine I began to have a delayed reaction. It started with an itch near the injection site that was red and looked like a hive. It itched and the rash increased in size over the next couple of days. As it healed, the itch decreased and the rash started to resemble the look of ring worm around the injection site. After about 72 hours it was almost completely gone. After about 4 days my arm was completely back to normal. I was never in pain from this, just a little bit of discomfort from the itching. I applied Cortisone cream which helped with that. It freaked me out more than anything. However after discussing it with a couple of healthcare professionals I wHowever after discussing it with a couple of healthcare professionals I was able to calm down. I can provide pictures of arm if needed.

Other Meds: NONE

Current Illness: NONE

ID: 0981405
Sex: F
Age: 36
State: OH

Vax Date: 01/18/2021
Onset Date: 01/27/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: n/a

Allergies: Penicillin and Sulfa medications

Symptoms: About one week after the vaccine had a 5-6 inch red rash at and around injection site. At this point I have had it about two day It is itchy, mild pain, and hot to the touch. At this point the rash is still present. It appears to be what is known as COVID arm or Hypersensitivity reaction.

Other Meds: none

Current Illness: none

Date Died: 01/18/2021

ID: 0981406
Sex: F
Age: 71
State: TN

Vax Date: 01/15/2021
Onset Date: 01/18/2021
Rec V Date: 01/28/2021
Hospital: Y

Lab Data:

Allergies: unknown

Symptoms: Stroke, death

Other Meds: multiple, unknown

Current Illness:

Date Died: 01/24/2021

ID: 0981407
Sex: F
Age: 48
State: MO

Vax Date: 01/06/2021
Onset Date: 01/24/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Expired in sleep on 1/24/21

Other Meds:

Current Illness:

ID: 0981408
Sex: F
Age: 58
State: MI

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

Lab Data:

Allergies:

Symptoms: soreness around the injection site, hot to the touch, swelling from half way down to the elbow to up and over the shoulder blade, thick feeling tongue, inability to raise the arm

Other Meds: estradiol, Vitamin C, Vitamin D, Calcium and vitamin D, Gabapentin

Current Illness: psoriatic arthritis

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm