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: 0983350
Sex: F
Age: 57
State: ND

Vax Date: 01/07/2021
Onset Date: 01/11/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies: penicillin

Symptoms: Patient experienced a blood clot on January 11th. She is unsure if it is related to the vaccine or not.

Other Meds:

Current Illness:

ID: 0983351
Sex: M
Age: 66
State: CA

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

Lab Data:

Allergies:

Symptoms: Aches, temperature 101. Chills, clammy then very sweaty. Feels like he?s been beat up, exhausted. Now this afternoon temperature is normal.

Other Meds:

Current Illness:

ID: 0983352
Sex: F
Age: 39
State: VT

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

Lab Data:

Allergies:

Symptoms: Unable to work 1/22, fatigue, HA, Chills, Fever, symptoms resolved on day 2

Other Meds:

Current Illness:

ID: 0983353
Sex: F
Age: 52
State: GA

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

Lab Data:

Allergies: Brimonidine Flagyl

Symptoms: ON 1/25/21, developed itching and rash at site of injection and down the arm

Other Meds: Vit D2 Protonix Albuterol Zalatan Effexor XR Corgard

Current Illness: Thyroid nodule Hyperlipidemia Abdominal Bloating Obstructive Sleep Apnea Asthma Diverticulosis GERD Bilateral primary glaucoma Hiatal Hernia Benign neoplasm of the stomach Constipation Colon Polyp Internal Hemorrhoids Hx of diverticulitis Anxiety Disorder Sinus Tachycardia Prediabetes Elevated Hgb A1C

ID: 0983354
Sex: F
Age: 82
State: NC

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

Lab Data: none

Allergies: none

Symptoms: pt stated the night after the covid vax she had chills, headache, nausea, fever, weakness. Pt stated in bed next day since she was unsteady on her feet and had 101 fever. Pt called PCP to let them know and will FU with regular scheduled appt.

Other Meds: Carvedilol 6.25 mg, Cephalexin 250 mg, Atorvastatin 20mg, baby aspirin

Current Illness: none

ID: 0983355
Sex: F
Age: 65
State: OH

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

Lab Data: Covid test negative at clinic 01/26/2021

Allergies: Lobster, sulfa, codeine, pcn & morphine

Symptoms: Dizziness, nausea, headache, loss of taste

Other Meds: Paxil, omeprazole, vitamin e, ibuprofen & glucosamine chondroitin w/msm

Current Illness: None

ID: 0983356
Sex: M
Age: 21
State: OH

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

Lab Data: 12/31/20- a stroke test was performed, conclusion negative

Allergies: None

Symptoms: Bells Palsy. Onset approx 8 hr post vaccination

Other Meds: None

Current Illness: None

ID: 0983357
Sex: F
Age: 33
State: NY

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

Lab Data:

Allergies:

Symptoms: About 8 hours after my vaccination, I started to get a headache and chills. Then an hour later, body aches and significant headache. I took 400mg ibuprofen and went to sleep. I believe I had a fever over night, but my temperature was never taken. I woke up the next morning with flu like symptoms, headache, chills, severe body aches and dizziness/fogginess. I took 400mg Ibuprofen every 4 to 6 hours. Then the symptoms started to subside that night around 8:30pm (about 32 hours after vaccination). The next morning when I woke up I had a slight headache and very mild body aches which continued to get better as the day went on. That night around 8pm I was fine.

Other Meds: Yasmin, Claritin 10mg, Vitamin D3 5,000 IU, Esomeprazole 20mg

Current Illness:

ID: 0983358
Sex: F
Age: 53
State: MI

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

Lab Data: Being referred for assessment by medical center allergy clinic.

Allergies: Atenolol Zolpidem Possibly walnuts and shrimp Possibly amoxicillin

Symptoms: Shaking in left arm 5-6 hours after vaccination, which later spread to abdomen and head. Felt like head was vibrating or shaking on the inside, accompanied by nervous energy and feeling that something was not right. Interfered with ability to sleep. Seemed better in the morning but not completely resolved. Developed lower back/flank pain 5 days after vaccine.

Other Meds: Omeprazole Levothyroxine Multi-vitamin

Current Illness:

ID: 0983359
Sex: F
Age: 54
State: KS

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

Lab Data:

Allergies:

Symptoms: On Saturday developed big round spot on arm, hot to touch. Other symptoms-Nausea, dizzy, no energy, slept all day, vomited, no appetite. On Monday developed blisters in mouth. Site where injection was given still hot to touch and purple in color.

Other Meds:

Current Illness:

ID: 0983360
Sex: F
Age: 42
State: NY

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

Lab Data: None

Allergies: NKA

Symptoms: Swelling 1:30 on 1/27/2021 Bruised at site on 1/27/2021 Joint pain everywhere 1/28/2021 Fingertips numbness 4:30 pm. 1/28/2021 Nausea 1:30 pm 1/28/2021

Other Meds: Amlodipine 5mg QD

Current Illness: None

ID: 0983361
Sex: F
Age: 62
State: WI

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

Lab Data: none

Allergies: none

Symptoms: approximately 10 minutes after receiving vaccine patient complained of fullness in throat and difficulty swallowing, also felt tremulous and like heart was racing, some visible swelling of lower lip, initial vitals revealed pulse ox of 99, bp 151/70 and hr of 107, lungs clear without wheezing, no urticaria, given 25mg po Benadryl with gradual resolution of symptoms and normalization of vital signs

Other Meds: thyroid compounded supplement

Current Illness: none

ID: 0983362
Sex: F
Age: 25
State: CA

Vax Date: 01/08/2021
Onset Date: 01/13/2021
Rec V Date: 01/28/2021
Hospital: Y

Lab Data: Troponin: 3.7 CKMB:>27 EKG findings with ST segment depression in III, aVF, V4, V5

Allergies: None

Symptoms: 7 Days after receiving the vaccine, patient developed generalized myalgia, fever, shortness of breath, and chest pain. Patient admitted to our hospital on 21JAN and diagnosed with myocarditis. Difficult to elucidate whether the myocarditis was secondary to Moderna vaccination or other viral etiologies.

Other Meds: Tylenol

Current Illness: None

ID: 0983363
Sex: F
Age: 63
State: NJ

Vax Date: 11/02/2020
Onset Date: 11/02/2020
Rec V Date: 01/28/2021
Hospital:

Lab Data: None

Allergies: None Known

Symptoms: I started to experience severe chest pains, starting slowly at around 9 PM. Took a baby aspiringand 2 tums- but the pain started to worsen. Thought I was experiencing a heart attack, so around 12:30 AM woke my husband to go to the hospital Changed, took 2 more tums and the chest pain started to subside. Did not go to the hospital. Question 1- Should I get the 2nd Shingrix shot? Question 2- I am not sure whose brand of the Quadrivalent Flu Shot I received, but was told by some health professionals both vaccines should not have been administered together. I contacted my health care provider (who I prefer not to identify) and was told it was perfectly safe. I now have concerns about the Covid vaccine and am scared to death to take the 2nd Shingrix shot. I need some professional guidance as to how to proceed. You should also know I tested positive for Covid 19 in April 2020.

Other Meds: Vitamin C Vitamin D Calcium Supplement

Current Illness: None

ID: 0983364
Sex: F
Age: 36
State: KS

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

Lab Data:

Allergies:

Symptoms: Tingling in left arm. Feels cold on top of left hand.

Other Meds:

Current Illness:

ID: 0983365
Sex: F
Age: 55
State: KS

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

Lab Data: None

Allergies: Scolaxin

Symptoms: Patient had numbness and tingling in the right arm, fingers didn't work, tingliness lasted for 6 hours.

Other Meds: None

Current Illness: None

ID: 0983366
Sex: F
Age: 29
State: OK

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

Lab Data:

Allergies:

Symptoms: body aches, fatigue, low grade temp lasting 24 hours

Other Meds:

Current Illness:

ID: 0983367
Sex: M
Age: 55
State: VT

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

Lab Data:

Allergies:

Symptoms: Chills, sweats, fever, fatigue. symptoms resolved on day 2

Other Meds:

Current Illness:

ID: 0983368
Sex: M
Age: 45
State: AZ

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

Lab Data:

Allergies: NKA

Symptoms: During the 15 minute post vaccination observation period patient developed a significant headache and did not feel well. His blood pressure was taken - 190/130 - and he was placed on a gurney in the vaccination area for observation. His blood pressure continued to remain elevated with a persistent headache. He was taken to the emergency department for further workup - triaged there at 1317 with a BP of 190/114. Medications given: APAP 1000mg p.o at 1335. Hydralazine 10mg IV at 1335. Hydralazine 25mg p.o. at 1350. Hydralazine 25mg p.o. at 1530. Discharged in stable condition to home at 1553 with a new prescription for Hydralazine 50mg TID (double his previous dose). Dx included non-compliance and anxiety.

Other Meds: Hydralazine 25mg TID Levothyroxine 150mcg/day Rosuvastatin

Current Illness: No acute illness

ID: 0983369
Sex: F
Age: 49
State: IL

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

Lab Data:

Allergies: None known

Symptoms: 1/21/21 Vaccine given at 4:30pm CST. By 11:30pm, felt feverish, started chills and headache. 1/22/21-3:30am- body and joint aches started and chills worsened, headache continued 6:30amCST-chills continued, body and joint pain worse. Took 2 Excedrin to help. 10:30am- fever of 100.3 noted. Continued with chills. Arm visibly red and sore. Swelling started in arm at injection site. 12:00pm- dizziness started. Tunnel vision, and almost passed out. 1:30pm- dizziness worsened, and weakness started in legs. 2:30pm unable to stand without assistance. Left work because unable to continue working and called the doctor. Went home, and started to drink electrolyte supplements. 5:30pm- fever went up to 102.5. Unable to stand without assistance and experienced extreme dizziness. Frequent urination at that time. Arm developed a very large swelling about the size of an egg at the injection site, and was very red. Glands under the arm started swelling, and experienced pain if I tried to lower my arm to my side. Chills continued, joint/muscle/bone pain continued. Became nauseated from the dizzyness. Took 2 additional Excedrin for fever and pain. Could not sleep due to the pain in my joints and bones, and pain under arm from glands. 1/23/21 3:30am- Frequent urination during the night. Finally regained ability to stand on my legs, and dizziness started to lessen. 8am Remained on the couch all day except to use bathroom. Fever reduced to 100.1. Continued to use Excedrin as needed for joint/muscle/bone pain. Arm too sore to touch, and swelling protruding from muscle size of a large egg. Very red, hot and itchy as well as pain. 1/24/21- A.M.- most of the dizziness subsided, with just occasional issues. Temperature went back to normal. Still severe pain at injection site with swelling, redness, and itching. Some joint/muscle pain still. 1/25/21- Mostly Arm/injection site issues. Still red/painful, swollen, and itching. very mild joint/muscle pain. 1/26/21- Arm/injection site issues more mild. Swelling reducing, pain & itching reducing. Glands under arm reduced, and pain reducing. 1/27/21- Slight redness at injection site. Swelling down to size of a grape. Slight pain & Itching. Glandular swelling & Pain completely gone. 1/28/21- A.M- No symptoms at all. By 9am, started having twitching/muscle spasms on Left side of scalp above ear. Progressed and worsened through day. By 4pm, spasms and twitching lasts bursts of 2-3 minutes. then stop for 15-20 seconds. Consulted with physician, and concerned about vaccine related issues. Muscle relaxer prescribed. **This is when I submitted the report- symptoms are continuing with the scalp spasms.

Other Meds: Venlafaxine 35mg 1 daily; omeprazole 20mg 1 daily; amlodipine besylate 2.5mg 2 daily; Multivitamins

Current Illness: none

ID: 0983370
Sex: F
Age: 65
State:

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

Lab Data:

Allergies:

Symptoms: shortly after vaccine administered pt c/o tightness in chest. No other complaints. EMS was called and patient was taken for further testing. no dizziness noted

Other Meds: na

Current Illness:

ID: 0983371
Sex: M
Age: 70
State: MI

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

Lab Data: None

Allergies: Contrast dye Sulfa

Symptoms: Pt had numbness and tingling in arms after vaccination. No treatments given besides monitor for 1 hour and tingling went away. No difficulty breathing, swallowing or chest pains. Vitals normal with slightly elevated (168/78) blood pressure which he stated was normal because he felt anxious. Sats 98% on room air, RR 16, HR 68. He was comfortable and wanted to go home after an hour of observation and tingling resolved .

Other Meds: Prilosec, Flomax, Xanax

Current Illness: Anxiety, depression, GERD, Sleep apnea, IBS

ID: 0983372
Sex: M
Age: 75
State: GA

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

Lab Data: None

Allergies: Doxycycline, Sulfa

Symptoms: Chills, fever (100), Fatigue, Muscle and Joint pain, Sore arm at the injection site.

Other Meds: Tylenol

Current Illness: None

ID: 0983373
Sex: M
Age: 69
State: TX

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

Lab Data: None

Allergies: None

Symptoms: Woke up in the middle of the night with severe chest and stomach cold/hot like symptoms without cold or hot reaction. My chest & stomach just kept shacking till I got comfortable in bed and took tylenol. Hands and feet became very cold for awhile. Temperature was 99.7 for (2) days Had slite headache for (2) days Oxygen level was 96 for (2) days.

Other Meds: Losartan Metformin Atorvastatin Rugby 81 Aspirin

Current Illness: None

ID: 0983374
Sex: F
Age: 49
State:

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

Lab Data:

Allergies:

Symptoms: The 2nd dose was given early. Was given on day 15.

Other Meds:

Current Illness:

ID: 0983375
Sex: M
Age: 47
State: VT

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

Lab Data:

Allergies:

Symptoms: Fatigue, HA, unable to work next day, symptoms resolved on day 2

Other Meds:

Current Illness:

ID: 0983376
Sex: F
Age: 41
State: HI

Vax Date: 12/23/2020
Onset Date: 12/27/2020
Rec V Date: 01/28/2021
Hospital:

Lab Data: One week later - CBC - all normal

Allergies: No

Symptoms: Felt a little fatigue and little tired. It was lymphadenopathy - super clavicle area - above clavicle and neck (above collarbone area) - painful lymph node inflammation - and tender, marble size inflammation. Gradually subsided within four weeks. Today it is very small size now but almost back to normal. I had consulted with a physician because in this area it can be a cancer concern and he said to watch and wait.

Other Meds: Zyrtec as needed for seasonal allergies

Current Illness: No

ID: 0983377
Sex: F
Age: 38
State: TN

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

Lab Data:

Allergies: None

Symptoms: Immediately after receiving the vaccine, patient noticed that she had a metallic taste in her mouth. Approximately 4 minutes later she called the attention of a staff member to alert them that her tongue felt tingly. The RN was called to come observe patient, blood pressure taken at this time, reading was 118/82. Patient began complaining that mouth and tongue both felt numb and it was becoming hard to swallow. EMS was called at this time along with MD. MD directed nurses to continue to monitor patient, while on the phone with MD, patient stated that her chest felt heavy. MD ordered patient to receive 0.5 ml of Epinephrine. Patient received dose of epinephrine. BP taken again at 1:18, 3 minutes after Epi injection, reading was 124/86. Patient began complaining of a "heaviness feeling" in legs at approximately 1:19. Ambulance and EMS staff arrived at 1:21. Ambulance left with patient at 1:26. Spoke with patient at 4:45 pm, patient has made a full recovery and is at work.

Other Meds: Effexor, Wellbutrin, Famotidine, Vitamin-D,

Current Illness: Had COVID in October 2020

ID: 0983378
Sex: M
Age: 58
State: MS

Vax Date: 01/09/2021
Onset Date: 01/16/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: No tests

Allergies: NKDA

Symptoms: Rash on ears and prickly feeling to back of neck after 7 days. Was evaluated at Urgent Care. Pt given a cream to apply to affected area BID. S/S resolved but came back a week later. Being evaluated again on 1/28/2021.

Other Meds: None

Current Illness: None

ID: 0983379
Sex: F
Age: 49
State: WA

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

Lab Data:

Allergies:

Symptoms: TENDERNESS AT INJECTION SITE AND DEFINED, HARD LUMP ON LEFT DELTOID (WHERE RECEIVED INJECTION) BEGINNING APPROXIMATELY 1 WEEK AFTER FIRST INJECTION.

Other Meds:

Current Illness:

ID: 0983380
Sex: M
Age: 40
State: MN

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

Lab Data: None

Allergies:

Symptoms: Administering vaccine, needle became loose, vaccine content partially leaked.

Other Meds:

Current Illness:

ID: 0983381
Sex: F
Age: 33
State: CA

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

Lab Data: NA

Allergies: INH

Symptoms: After receiving vaccine patient developed some pain and swelling. The swelling and pain didn't go away after 7 days. Patient complains the area of the swollen is red, hard, painful, and itchy. It's like a lumb that's about 7cm. Per patient the itchiness starts one day ago. Patient was hoping the swollen and pain will go away after 7 days but patient feels like the vaccinated area is getting worse. Patient will wait a few more days to see if the area will get better, if not patient will go see her primary care provider.

Other Meds: Quercetin 1000mg N Acetyl L Cysteine 600mg Vitamin D3 2000IU Echinacea Complex 450mg

Current Illness: NA

ID: 0983382
Sex: F
Age: 60
State: OK

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

Lab Data:

Allergies:

Symptoms: Red, warm rash around injection site cold sweat, chills, and swelling to Left arm

Other Meds:

Current Illness:

ID: 0983383
Sex: F
Age: 49
State: VT

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

Lab Data:

Allergies:

Symptoms: Unable to work 1/22, fatigue, HA, Chills, Fever, symptoms resolved on day 2

Other Meds:

Current Illness:

ID: 0983384
Sex: F
Age: 42
State: GA

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: Covid-19 testing negative. Patient was hospitalized for one week. Patient returned to work on 1-25-21.

Allergies: Sulfa drugs

Symptoms: MODERNA Covid-19 Vaccine EUA 1/8 Pain and tightness on right side from neck to flank. 1/9 Patient went to get a Covid -19 test. She could hear "bubbles" when she breathed. She was sent to the ER and diagnosed with a right pneumothorax.

Other Meds: None

Current Illness: None

ID: 0983385
Sex: F
Age: 75
State: GA

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

Lab Data: None

Allergies: Penicillins, sulfur drugs as Bactrum, dulera and flonase

Symptoms: Itch. Rash. Prickly feeling. Looked like hives trying to form on arms and thighs. Took Benadryl immediately in the car . Took another Benadryl after another half hours because rash was worse. Took Tylenol PM for 2 nights. Took one Benadryl Sat and Sun afternoons. Called dr. to ask about second shot. Reported to vsafe.cdc daily . Still feel very sluggish and nauseous, but rash very slight since Weekend.

Other Meds: Amlodipine-benazepril, rosuvastatin, baby aspirin, levothyroxine , myrbetriq, vit D3, vit C, melatonin

Current Illness: No

ID: 0983386
Sex: M
Age: 59
State: OH

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

Lab Data: none

Allergies: no known allergies

Symptoms: Temperture, generalized pain, Malaise, Fatigue,

Other Meds: No prescriptions medications taken. I did take 1000 mg tylenol (500 mg each tab) prior to the injection.

Current Illness: none

ID: 0983387
Sex: F
Age: 38
State: CA

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

Lab Data:

Allergies: None

Symptoms: Red raised rash/swelling occurred at injection sight with itching . Rash is 2.5x3inches in size. Still present 30 hours later with itching also occuring on neck.

Other Meds: None

Current Illness: None

ID: 0983388
Sex: M
Age: 79
State: NJ

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

Lab Data: none

Allergies: none

Symptoms: None stated.

Other Meds: Flomax-Soma-Omeprezol-simvastatin

Current Illness: none

ID: 0983389
Sex: F
Age: 39
State: KS

Vax Date: 01/15/2021
Onset Date: 01/24/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Swelling around injection site, injection site hot, itching

Other Meds: Vitamin D, Iron, duloxetine, topiramate, metformin

Current Illness: None

ID: 0983390
Sex: F
Age: 42
State:

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

Lab Data:

Allergies:

Symptoms: after waiting the 15 minutes patient started feeling palpitations. Registered Nurse took her pulse and noticed it was 120. Pt stated she felt dizzy but nothing else. walked pt over to vehicle where her husband was parked. pt decided to be taken to ED in her own vehicle for further eval

Other Meds:

Current Illness:

ID: 0983391
Sex: M
Age: 51
State: ME

Vax Date: 01/02/2021
Onset Date: 01/02/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: None

Allergies: Shellfish - shrimp

Symptoms: Pt several hours after vaccination experienced fatigued and malaise. Pt. went to sleep at home approximately 6 hours, upon waking had severe facial swelling, global itching, and continued malaise and fatigue. Pt took diphenhydramine, 50 mg. Resolved itching and swelling to a point where pt did not need to take additional antihistamines. Went back to sleep and slept for approximately 10 hours. 2nd day, called out sick from work, experienced malaise and fatigue, and slept for additional 6 hours during the day. Experienced fatigue and malaise for the next two additional days. Experiencing continued soreness in right shoulder, experienced with movement, not debilitating and does not affect activities of daily living.

Other Meds: Albuterol Inhaler - Seasonal allergies Alprazolam - insomnia Triamcinolone Acetonide - Ezcma

Current Illness: None

ID: 0983392
Sex: F
Age: 24
State: CA

Vax Date: 01/24/2021
Onset Date: 01/27/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Headache behind eyes

Other Meds: citalopram

Current Illness:

ID: 0983393
Sex: F
Age: 24
State: NY

Vax Date: 01/19/2021
Onset Date: 01/26/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Redness, itchiness, swelling ar injection site

Other Meds: Wellbutrin, levothyroxine, Apri

Current Illness:

ID: 0983394
Sex: F
Age: 30
State: NY

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

Lab Data:

Allergies: Ibuprofen Shrimp

Symptoms: Fever Bodyaches Myalgias Headache

Other Meds:

Current Illness:

ID: 0983395
Sex: M
Age: 69
State: NH

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

Lab Data:

Allergies: NA

Symptoms: Anxiety due to the second shot being cancelled and no way to reschedule! All appts are not accessible!! Fix it and restore public trust, this sucks!

Other Meds: NA

Current Illness: NA

ID: 0983396
Sex: F
Age: 65
State: MD

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

Lab Data: Covid

Allergies:

Symptoms: I ached and had a headache, very bad body aches. It lasted till that Sunday. I called hospital number and they set me up with an NP and to get Covid tested. Test came back negative. I had Covid back in June, and Covid is much worse than the vaccine.

Other Meds: Blood pressure medications Vitamin D, B12 Injection- Aimovig

Current Illness:

ID: 0983397
Sex: F
Age: 57
State: MI

Vax Date: 12/29/2020
Onset Date: 01/02/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: CBC W/DIFFERENTIAL 1/4/2021 WBC 4.8 10 4.00-11.00 Final RBC 3.57 10 3.80-5.50 L Final HEMOGLOBIN 10.7 g/dL 12.0-16.0 L Final HEMATOCRIT 32.2 % 36.0-46.0 L Final MCV 90 fL 80.0-97.0 Final MCH 30.0 pg/cell 26.0-32.0 Final MCHC 33.2 g/dL 32.0-37.0 Final RDW 16.9 % 11.5-14.5 H Final MPV 7.9 fl 7.5-11.2 Final PLATELET COUNT 403 10 130-400 H Final NEUTROPHIL% 32.0 % 40.0-74.0 L Final LYMPHOCYTE% 52.0 % 19.0-48.0 H Final MONOCYTES% 14.0 % 2.0-11.0 H Final EOSONOPHIL% 1.5 % 0.0-7.0 Final BASOPHIL% 0.5 % 0.0-1.5 Final NEUTROPHIL# 1.5 10 1.7-7.7 L Final LYMPHOCYTE# 2.5 10 1.0-4.8 Final MONOCYTE# 0.7 10 0.0-1.0 Final EOSINOPHIL# 0.1 10 0.04-0.45 Final BASOPHIL# 0.0 10 0.00-0.20 Final

Allergies: No Known Allergies

Symptoms: 1/2/2021: redness/warmth/induration to right arm. CBC w/diff ordered for 1/4/2021. 1/3/2021: redness/inudration improved. no visible s/s of pain resolved with no further action

Other Meds: Aquaphor Advanced Therapy Ointment (Emollient) Apply to arms/legs topically as needed for dry skin BID PRN Verbal Active 10/06/2020 12/29/2020 Calcium 500+D Tablet 500-200 MG-UNIT (Calcium Carb-Cholecalciferol) Give 1 tablet by mouth one ti

Current Illness: Facial Rash/Dermatitis 11/30/20--prescribed hydrocortisone cream. No compliactions

ID: 0983398
Sex: F
Age: 38
State: OR

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

Lab Data: Covid-19 test on 01/26: Negative

Allergies: Sulpha Dairy

Symptoms: Immediate aches on left side of neck, quickly spreading to the whole body. Since then, whole-body aches, sore throat, severe lethargy, sleepiness, quickly exhausted, odd feelings in the heart, nauseousness, deep chills.

Other Meds: Effexor 112.5mg Low-Dose Naltrexone 4.5mg Vitamin D

Current Illness: SIBO (Small Intestine Bacterial Overgrowth)

ID: 0983399
Sex: U
Age: 48
State: OK

Vax Date: 12/23/2020
Onset Date: 12/30/2020
Rec V Date: 01/28/2021
Hospital:

Lab Data: 1-20-21 Skin Testing using Moderna COVID-19 vaccine- positive skin test Labs ANA

Allergies: Percocet, Red Food Dye

Symptoms: Patient received 1st dose of Moderna covid 19 vaccination 12/23/20. Patient was seen by healthcare provider on 12/31/2020 for maculopapular pruritic rash and urticaria to bilateral hands, forearms, chest, neck, and face which started the evening of 12/30/20. Patient was given Depomedrol 40mg IM, cetirizine 25 mg PRN, Flonase 150mcg PRN, Pepcid. Symptoms did not improve and methylprednisolone 4 mg PO dose pack was started within 2 days. 1-20-21 Patient was skin tested by Dr. with an Allergy Clinic using the Moderna COVID-19 vaccine and tested positive to skin testing. Dr. noted patient should not receive second dose of Moderna COVID-19 vaccine.

Other Meds: Atorvastatin, ASA, Metformin,, Vitamin D, Multivitamin

Current Illness: NONE

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm