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: 0982339
Sex: F
Age: 1
State: MA

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

Lab Data:

Allergies:

Symptoms: RN accidentally administered MMRV instead of just MMR in addition to a Varicella vaccine. Pt received double dose of Varicella. Patient's family was notified and follow up visit scheduled. No adverse side effects noted at the time of reporting error.

Other Meds:

Current Illness:

ID: 0982340
Sex: F
Age: 27
State: FL

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

Lab Data:

Allergies: none

Symptoms: Patient reports that approximately 10 hours after receiving 2nd dose of Moderna COVID vaccine, she experienced arm pain, fatigue, low grade fever and nightsweats and dizziness with strange sensation in chest. The following morning (<24 hours after dose), she presented to ED with sinus tachycardia (rates ranging 114 - 136). She started continuous IV fluids and got 2 saline boluses. Symptoms improved dramatically the second night after the vaccine. No medication was needed to improve heart rate or treat dizziness.

Other Meds: none

Current Illness: none

ID: 0982341
Sex: F
Age: 45
State: TX

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

Lab Data: vitals and reassurance

Allergies: Bupropion and Vicodin

Symptoms: Mild throat swelling, flushed, slight shortness of breath, symptoms subsided after evaluation

Other Meds: Antibiotics, Asprin and Lipitor

Current Illness: Diabetes and Bronchitis

ID: 0982342
Sex: F
Age: 32
State: NJ

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

Lab Data:

Allergies: Gavapentin, Carafate, sensitive to latex

Symptoms: anxiety, eye swelling. Client left at 2:07 pm feeling tored but well without symptoms.

Other Meds: Adderall

Current Illness:

ID: 0982343
Sex: F
Age: 71
State:

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

Lab Data:

Allergies:

Symptoms: Patient experience nausea and sweating. 911 contacted and paramedics arrived and remained with patient until patient felt better. No ER transport required.

Other Meds:

Current Illness:

ID: 0982344
Sex: F
Age: 56
State: OH

Vax Date: 12/24/2020
Onset Date: 12/30/2020
Rec V Date: 01/28/2021
Hospital:

Lab Data: none

Allergies: None

Symptoms: Had an outbreak of Shingles, Never had Shingles before.

Other Meds: dietary supplements: vit D, B2, B12, Omega 3, Mitocore, zinc,

Current Illness: none

ID: 0982345
Sex: F
Age: 45
State: AL

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

Lab Data: none

Allergies: Venom allergy: fire ants, bee stings, wasps, hornets, yellow jackets

Symptoms: Moderna COVID-19 Vaccine EUA General headache beginning at 1630, transitioning to migraine level by 2200. Low level head ache next day, following with joint pain, muscle and body aches, and fatigue

Other Meds: Vitamin D3

Current Illness: no known

ID: 0982346
Sex: M
Age: 35
State: MA

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

Lab Data:

Allergies: none

Symptoms: chills, rigors, fever 100.4, myalgias, epistaxis 9 hours after second dose.

Other Meds: modafinil, minoxidil

Current Illness: none

ID: 0982347
Sex: F
Age: 46
State: TX

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

Lab Data: No labs were atken at ER

Allergies: No

Symptoms: at 3:00 pm, patient started to feel tingling around lips and mouth, felt foggy, could not focus, and slurring words. Vaccine clinic nurses were contacted shortly after to go assess the patient. Vitals were taken; BP 159/93, HR 94, O2 99%, RR 18, temp 98.7, IV was started for emergencies. Patient was layed down and then later sent to ER for monitoring

Other Meds: Rosuvastatin 20 mg daily; Pantoprazole 40 mg daily; Venlafaxine 150 mg daily

Current Illness: No

ID: 0982348
Sex: F
Age: 37
State: CA

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

Lab Data: None

Allergies: cephalexin, compazine, Nickle, Allegra

Symptoms: Adverse Events: Day of Injection: tingling throughout body and headache Day 1-5: headaches/migraines Day 2-4: sore arm at injection site Day 8-11: developed a red blotch on injection site about 3" in diameter that was warm, itchy and swollen Treatment for headache/migraines: Rizatriptan and Ibuprofen

Other Meds: Morning of Vaccine: Rizatriptan 30-60mis Prior to Vaccine: Ibuprofen Daily: Nora-B

Current Illness: BV and yeast infection

ID: 0982349
Sex: F
Age: 24
State: KS

Vax Date: 12/30/2020
Onset Date: 01/11/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies:

Symptoms: CNA tested positive for COVID 1-11-2021

Other Meds:

Current Illness:

ID: 0982350
Sex: M
Age: 38
State: AK

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: none

Allergies: None

Symptoms: chills and a fever of 100.9 roughly 12 hours after the shot. Fever and chills lasted about 15 hours

Other Meds: Micardis - 40mg Zrytec Vitamin D Vitamin C

Current Illness: None

ID: 0982351
Sex: F
Age: 71
State: FL

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

Lab Data: Went to the UC and they gave her Albuterol breathing treatment, which made her worse.

Allergies: Lisinopril (anaphylaxis 2/11/15), ACE inhibitors, penicillin drugs, Codeine, latex, aspirin, sulfa drugs.

Symptoms: 1/20/21 had injection, told them about her health concerns which they consulted other people and they let her get the injection, she had to sit for 35 minutes due to history. At about 8:00 PM her head started hurting bad, having fever and chills, body started aching all over which lasted to Friday 1/22/21, took Tylenol which helped. Friday her headache was lingering, but not as severe, chills and fevers remained. On Saturday, 1/23/21 could not breath, stayed around the house. Her husband had to go to the Dr on 1/26/21 and was still having breathing problems, kept taking Tylenol. After his APT she could not breath, went to UC, gave her a breathing treated, Albuterol and it seemed to make it worse. Was wheezing a few weeks early and had scheduled her an APT for a pulmonologist which was on 1/27/21. Went to the pulmonologist who felt it could have been stress related or if it was from the vaccination or not. He prescribed her steroids and breathing treatments at home. has FU in 2 weeks with him. Still having difficulty breathing.

Other Meds: Metoprolol, Amlodipine, Klonopin, vitamin D, Synthroid.

Current Illness: None.

ID: 0982352
Sex: F
Age: 31
State: UT

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

Lab Data:

Allergies: Medications/Antibiotics: Omnicef, Zosyn and Macrobid

Symptoms: 1/27 After receiving the second dose of Moderna she developed a systemic skin rash. It was all over her body, but was the worst around her wrists/hands. It was very itchy. He skin appeared to have a raised rash and her face flushed. Her airway remained open, her respirations remained even and unlabored. She made no complaint of difficulty breathing. She was given 50mg of Benadryl and she had to sit with the nurse for another hour prior to leaving Covid clinic sight. 1/28 the rash has almost completely resolved, some blotchy/rash spots left today, but "nothing like it was yesterday"

Other Meds:

Current Illness: No Symptoms

ID: 0982353
Sex: F
Age: 36
State: AZ

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

Lab Data: NONE

Allergies: none

Symptoms: HEADACHE, FEVER, PAIN AND SWELLING IN THE AREA OF THE VACCINE, CHILLS, MUSCLE PAIN, DIZZINESS, FATIGUE. I TAKE IBUPROFEN PILL AND REST.

Other Meds: none

Current Illness: none

Date Died: 01/23/2021

ID: 0982354
Sex: M
Age: 91
State:

Vax Date: 12/29/2020
Onset Date: 01/23/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies:

Symptoms: patient received COVID vaccine on 12/29/2020 and passed away on 1/23/2021

Other Meds:

Current Illness:

ID: 0982355
Sex: F
Age: 41
State: NY

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

Lab Data:

Allergies:

Symptoms: 40 min after vaccine, noticed that her throat red, hives, flushed, elevated heart rate to 120s-130s. Took Tylenol and Benadryl which improved. Mild lip tingling. Symptoms now resolved. She believes the heart rate was due to "anxiety" After the first dose, only felt flushed.

Other Meds:

Current Illness:

ID: 0982356
Sex: F
Age: 56
State: VA

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

Lab Data: na

Allergies: na

Symptoms: Baseball size red area with swelling at the injection site, Sharp, stabbing deep intermittent pain in L side back under L shoulder blade

Other Meds: Cozaar Unisom vit D3 Iron supp

Current Illness: na

ID: 0982357
Sex: F
Age: 36
State: WA

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: None

Allergies: No allergies.

Symptoms: Immediately after administration, flushed face, tingling in hands and feet, mild shortness of breath. Resolved after 15 minutes.

Other Meds: Multivitamins

Current Illness: None

ID: 0982358
Sex: F
Age: 53
State: CA

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

Lab Data: none

Allergies: none

Symptoms: Within 10 minutes after the administration of the vaccination, I started to sweat and stared to have a headache. My left side of body was feeling cold and tingling (feeling of goosebumps) which lasted all night. I had body aches as well throughout the night and developed some degree of fever.

Other Meds: none

Current Illness: none

ID: 0982359
Sex: F
Age: 32
State: PA

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

Lab Data:

Allergies: bactrim

Symptoms: I have a huge red spot and its about the size of my hand, my doctor is treating me with a steroid an if that does not work we will start a antibiotic, my arm is very swollen and hot to touch

Other Meds:

Current Illness:

ID: 0982360
Sex: F
Age: 44
State: OH

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

Lab Data: None

Allergies: None

Symptoms: Within an hour I had a headache. By 4 hours my arm was very sore. At 8-13 hours I felt like I had the flu with body aches, chills, and sweating. Between hours 14-44 my experience was intense with fever >102 (that was not responsive to Tylenol or Motrin), uncontrollable shaking with an episode of urinary incontinence, fainting, rash on chest/neck, right facial twitching, right arm twitching, nausea, vomiting, diarrhea, chills, profuse sweating, flashing lights in both eyes (open and closed), intense body aches, the sensation that my skin was burning, muscle spasms (back), joint pain (knees/hips), dizziness, agitation, and insomnia. After 44 hours the intense symptoms resolved and I had fatigue, right facial twitching, right arm pain/itching/redness. I went to see my doctor on 1/28/2021 to document my experience.

Other Meds: None

Current Illness: None

ID: 0982361
Sex: F
Age: 53
State: CA

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

Lab Data: Temp normal

Allergies: None

Symptoms: Uncontrollable chills and unable to sleep starting around 14 hours after vaccination administered, fatigue approximately 23 hours after vaccination administered along with elevated heart rate of 93bpm

Other Meds: None

Current Illness: None

ID: 0982362
Sex: F
Age: 46
State: MA

Vax Date: 01/20/2021
Onset Date: 01/24/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Day 4 after injection developed severe gastrointestinal symptoms, including diarrhea, vomiting, decreased appetite lasting 5+ days

Other Meds: Lemon balm 300 ml 2x/day Birth control Juna

Current Illness: None

ID: 0982363
Sex: M
Age: 50
State: PA

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

Lab Data: None. Did not seek medical care.

Allergies: NKDA

Symptoms: Date these symptoms started was 1/27/2021: About 12 hours after injection, developed fatigue and slight nausea as expected. Oral temperature 98.0. Commuted to work without issue. ~ 1400: As day progressed, nausea subsided, but fatigue grew more profound and developed pain in the right subscapular area with exertional shortness of breath walking any length of time. (Injection of initial and second doses were both in right deltoid). 1540 - 1800: Fatigue increased, developed a burning/tearing pain with every yawn and deep breath from the top of my trachea into both left and right mainstem bronchi and radiated to right arm. It literally felt like someone was trying to tear out my bronchial tree with each breath. 1800: Arrived home and medicated self-medicated with Motrin 400mg. 1800 -2030: rested at home with still some breathing pain, no shortness of breath, but incredibly tired. 2045: Went to bed and slept for the next 12.5 hours without any issued during the night. 0800: Woke up nearly all symptoms were gone, only some minor residual fatigue. No breathing pain, no nausea, no subscapular pain. I did not seek medical attention for symptoms, nor did I contact my provider. I experienced fatigue and a headache with the first dose, but no other symptoms. I never experienced fever or chills

Other Meds: Flovent inhaler (1 puff BID); Motrin 600mg PO one time Pravastatin 40mg PO q.d. Niacin 1GM PO in AM Multivitamin

Current Illness: None

ID: 0982364
Sex: F
Age: 74
State: MI

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

Lab Data: none

Allergies: none

Symptoms: Patient states right after she received the vaccine, she had a small "coughing spell" for the first 15 minutes. The coughing stopped. When the patient went home she noticed hives on her face and upper chest that lasted 1-2 hours and went away on their own.

Other Meds: none

Current Illness: kidney stone

ID: 0982365
Sex: F
Age: 33
State: NY

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

Lab Data:

Allergies: none

Symptoms: This dose coincided with my period. However, along with the arm pain which I expected from my first dose, I have had really bad stomach cramps, headaches and tiredness. My period is also much heavier than normal and has already lasted 7 days when it usually lasts 4 and and is light to spotting due to birth control pills.

Other Meds: Norethin Ace-Eth Estrad-FE 1-20 MG-MCG(24) Tablet Chewable (1 daily), phentermine hcl 37.5 MG Tablet (.5 daily before breakfast), topiramate 100 MG Tablet (1 daily at night), liothyronine 5 MCG Tablet (1 daily), Ozempic (1 MG/DOSE) 2 MG/1.5

Current Illness: none

ID: 0982366
Sex: F
Age: 67
State: TX

Vax Date: 01/14/2021
Onset Date: 01/25/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: None so far

Allergies: Fluoriquinolones Streotomyacin

Symptoms: Ten days following vaccine I developed a red, warm blotch that increased in size. It began about 2 inches below the injection site. I am having a virtual visit today to determine what if anything I should do. This is day 5 of the single blotch.

Other Meds: Synthroid Bisoprolol Vitamin D

Current Illness:

ID: 0982367
Sex: F
Age: 59
State: NV

Vax Date: 01/09/2021
Onset Date: 01/14/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: None

Allergies: Sulfa

Symptoms: Itchy, sore when touched, hot, red and swollen. Lasted 2 days went away for 1 day then returned for 3 days and reduced in severity.

Other Meds: Simponi Aria, Methotrexate, Folic Acid, Vitamin D

Current Illness:

ID: 0982368
Sex: F
Age: 40
State: TN

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

Lab Data: I did not seek care although I was close to after the first dose, as the numbness was more pronounced. My cranial nerves were grossly intact and symmetrical, I had no trouble breathing, no symptoms that made me think I was having a stroke. Just rather startling.

Allergies: Raw carrots and other normal environmental allergies

Symptoms: I experienced an immediate (within 1 minute) one sided facial numbness after the shot that lasted for about an hour after the injection. This occurred after my first Covid vaccine as well, but I did not recognize it as related to the shot at the time. I thought it was psychosomatic and thought nothing of it until it happened again. My first dose was in my left arm and affected my left face. My second dose was in my right arm and affected my right face.

Other Meds: Levothyroxine, lexapro, Womens multivitamin, nasocort

Current Illness: None

ID: 0982369
Sex: F
Age: 61
State: AL

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

Lab Data: NONE

Allergies: NKA

Symptoms: FEVER, CHILLS, NAUSEA, FATIGUE, FLU-LIKE SYMPTOMS, TREATED WITH TYLENOL 650MG BID, EFFECTIVE - SYMTPOMS RESOLVED

Other Meds: Estradiol, Calcium, Vit D , Zinc, Lysine

Current Illness: None

Date Died: 01/16/2021

ID: 0982370
Sex: M
Age: 93
State: KY

Vax Date: 01/14/2021
Onset Date: 01/16/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient died at hospital on j/16/2021 approximately 48 after receiving vaccination. Believe death related to fall at home prior to vaccination.

Other Meds:

Current Illness: Patient fell at home night before vaccination.

ID: 0982371
Sex: F
Age: 35
State: ID

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies: Pneumococcal vaccine vaccine, Embryo

Symptoms: About 15 mins after the vaccine feeling light headed, throat swelling(difficulty swallowing,). I notified someone at the clinic they gave me juice and crackers(dizziness) placed me in a observation room . I was given Benadryl to help with the potential swelling. The symptoms was similar to when I exp arthritis flare .After 15 minutes the swallowing felt better and my husband picked up.

Other Meds: Cymbalta, Meloxicam,Folic Acid, Humera

Current Illness: A couple weeks prior arthritis flare.

ID: 0982372
Sex: F
Age: 48
State: OR

Vax Date: 01/20/2021
Onset Date: 01/27/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Red welt starting the second day lasted for 3 days. Red thick skin mild itchy starting day 7 (still on going as of reporting)

Other Meds: pro biotics losartan vitamin D3

Current Illness: none

ID: 0982373
Sex: F
Age: 72
State: FL

Vax Date: 01/16/2021
Onset Date: 01/27/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Circular reddish "rash" in area of vaccine injection. About 3 - 4 inches in diameter.

Other Meds:

Current Illness:

ID: 0982374
Sex: F
Age: 78
State: AZ

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

Lab Data:

Allergies: Sulfate, codine

Symptoms: None stated.

Other Meds: Cymbalta,valsartin, metformin, fluconazole potassium, Donepezil furosemide, metroprelol, flexeril,

Current Illness:

ID: 0982375
Sex: F
Age: 48
State: IN

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

Lab Data:

Allergies:

Symptoms: Chills, headache, body aches. I took Tylenol and Ibuprofen

Other Meds:

Current Illness:

ID: 0982376
Sex: M
Age: 26
State: CA

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: none

Allergies: None

Symptoms: 1/25/21 @ 12:30PM: Spoke with client who stated on day 2 after injection, he woke up with body aches, fever, and chills that lasted until 1/24/21. Client denies any symptoms at this time. Client informed to call PCP for advise prior to next dose of vaccine. Client was agreeable.

Other Meds: None

Current Illness: No

ID: 0982377
Sex: F
Age: 74
State: WA

Vax Date: 01/22/2021
Onset Date: 01/23/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Headache, myalgias, fever up to 100.4F, erythema and swelling of injection site. Seen at family medicine clinic day 7, improving. Prescription for prednisone and recommended Benadryl

Other Meds:

Current Illness:

ID: 0982378
Sex: F
Age: 68
State: MN

Vax Date: 01/14/2021
Onset Date: 01/17/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Moderna Covid-19 Vaccine EUA: fatigue: shortness of breath; heart pain; high blood pressure; runny nose; chills; stomach pain; nausea; body ache

Other Meds: acetaminophen ashwaganda calcium vitamin D and Bcomplex magnesium glucosamine

Current Illness:

ID: 0982379
Sex: F
Age: 28
State: MT

Vax Date: 01/14/2021
Onset Date: 01/22/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies: ceclore, nickel, erythromycin

Symptoms: Moderna COVID-19 Vaccine EUA gave me a delayed, localized immune response. I experienced symptoms 8 days after the vaccine delivery. It was at the site of injection, left arm, and was the size of 1"x3". It included redness, itchiness, and some hive-like bumps. It lasted for 24 hours.

Other Meds: multivitamin, vitamin D, zinc

Current Illness: None

ID: 0982380
Sex: M
Age: 25
State: CA

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

Lab Data:

Allergies:

Symptoms: First vaccine very sore arm and fatigue. Second on Congestion, Runny nose feels like he is going to get a sore throat.

Other Meds:

Current Illness:

ID: 0982381
Sex: F
Age: 27
State: NJ

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

Lab Data:

Allergies: N/K

Symptoms: nauseous, hx of vasovagal syncope. Resloved with rest and cold pack. VS- BP 110/80

Other Meds: N/K

Current Illness: N/K

ID: 0982382
Sex: M
Age: 70
State: KS

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

Lab Data:

Allergies:

Symptoms: Pain at injection site, low-grade temp, myalgias, generalized mild malaise, fatigue. Sore injection site started within an hour of injection. Other symptoms started ~12 hrs later. These symptoms, largely relieved with Ibuprofen, continued for ~48 hrs.

Other Meds:

Current Illness:

ID: 0982383
Sex: F
Age: 29
State: PR

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

Lab Data: NO

Allergies: None

Symptoms: Pain and swelling at the injection site and at the axillary lymph nodes. Fever, chills and a headache. Swollen maxillary lymph nodes and pain of the extremities. Fatigue Treatment: acetaminophen every 4 hours

Other Meds: Sprintec

Current Illness: None

ID: 0982384
Sex: F
Age: 26
State: NJ

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

Lab Data: BP-99/68 SPO2- 100% HR- 54bpm

Allergies: No

Symptoms: Immediately after vaccine administration, Patient reported feeling warm and requested for a chair to elevate her legs. Patient was provided with a chair and elevated her legs with assistance. While elevating legs, patient began leaning to the side and sliding down in the chair. RN held patient to prevent a fall and called for help. We tried communicating with patient but she only produced humming sounds. Approximately 10 seconds later patient verbalized her name upon questioning. Patient reported later that she "blacked out" while her eyes were open. Patient verbalized that she has a history of sweating and vaso-vagal response to blood draws and vaccine administrations.

Other Meds: Lexapro Aurovela Birth control Multivitamins

Current Illness: No

ID: 0982385
Sex: M
Age: 49
State: MI

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

Lab Data:

Allergies: none

Symptoms: swollen left arm pit.

Other Meds: eliquis blood thinner

Current Illness: none

ID: 0982386
Sex: M
Age: 74
State: MI

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

Lab Data: none

Allergies: nsaids, penicillin, aspirin

Symptoms: Flushed, reddened cheeks, itchy, tingling eyes, slight swelling, tingling lips, slight swelling 20 minutes after injection Untreated symptoms significantly reduced after 3-4 hours except itchy, watery eyes Itchy, watery eyes is ongoing a week after the injection, now being treated with Lotemax steroid eye drops

Other Meds: cetirizine , lisinopril, metoprolol, hydrochlorothiazide, apixaban

Current Illness: none

ID: 0982387
Sex: M
Age: 54
State: IN

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

Lab Data: none

Allergies:

Symptoms: I woke up around 4am and was running 102 temp and body aches with headache

Other Meds:

Current Illness:

ID: 0982388
Sex: M
Age: 45
State: MI

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: I had blood tests, an ultrasound and a CT of my chest revealing a pulmonary embolism. My ER visit was on 01/14/21 *I have had a previous HX of DVT 5 years earlier from an injury. After speaking with my DR, they suggested that it would be a good idea to document this. Thank you.

Allergies: Emycin

Symptoms: The next morning I started to have some pain in my right calf which worsened throughout the day. The following day I went to the ER with a DVT. I was given Xarelto for treatment.

Other Meds: Amlodipine, Fenofibrate, omeprazole, vitamin D, fish oil.

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm