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**
PLEASE CHECK BACK SOON
Download the files above while you wait.







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: 0985382
Sex: F
Age: 34
State: IN

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies: Penicillin, sulfa drugs, adhesive tape, lisinopril, morphine

Symptoms: Chills, fever of 101.4, vomiting, body aches, headache, diarrhea

Other Meds: Insulin, valsartin, lexapro

Current Illness:

ID: 0985383
Sex: F
Age: 22
State: IN

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies: N/A

Symptoms: Chills and fever, nausea, headache, muscle and joint pain, headache lasting 36 hours after injection

Other Meds: Rizatriptan, 5-HTP

Current Illness: None

ID: 0985384
Sex: F
Age: 76
State: OH

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

Lab Data: None

Allergies: Levaquin

Symptoms: 1/28/21 vaccine received; couple mins after receiving numbing, tingling in arms, flush feeling, stabbing pain in chest area/back for about an hour, arm sore, lightheaded. PT has had to take Tylenol as needed

Other Meds: Macrobid-Generic Nitrofurantoin Monohydrate/Microcrystals 100 mg twice a day for 7 days

Current Illness: PT has bladder infection- prescribed medication 1/27/21

ID: 0985385
Sex: M
Age: 29
State: TX

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: EKG(I'm unsure what the reading showed since it wasn't disclosed to me) Blood was drawn from me and was placed in tubes, but the ER doc didn't order blood work. Blood was drawn from my arm by an ER nurse. I'm unsure what they did with blood plasma though.

Allergies: IV contrast media(ct scans) Cymbalta(experienced dysautonomia while briefly on it in May 2020)

Symptoms: Symptoms emerged around 7pm(1/27): body stiffness/aches, headache, warmness in body. Gradually throughout night, I was feeling worse body warmness, mild nausea, worst bodystiffness/aches. I checked my temperature at 1200am 1/28 and it was 101.5 and my pulse was elevated and I felt a sense of warmness/flush feeling in my body and had tachycardia-palpitations and pounding headache/body aches and nausea sensation. At that point, I decided to go the ER. I contacted my work. I work at Center and contacted a nurse on call who emailed my supervisor. I went to Hospital around 1245 AM and was seen by an ER Doc around 1am. In triage in the ER area, I had an elevated blood pressure(151/92) and pulse(158), my body temperature was 99.5. The ER doc said the vaccine itself caused the issues I was experiencing and he said he had similiar issues. He ordered IV of medications Zofran and Toradol to address the mild nausea and fever and pain I was experiencing . I was given an IV of sodium chloride as well. By 3am, I felt some slight improvement from the time I arrived at the ER department

Other Meds: Diazepam Gabapentin Multiviatmin(One a day men's multiviatin) Tylenol

Current Illness:

ID: 0985386
Sex: M
Age: 74
State: VA

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

Lab Data: No tests - nurses gave me Benadryl tablets with water, a doctor came in to check on me and I was observed in the waiting room for another 20 minutes. The symptoms subsided completely after additional 20 minutes or so.

Allergies: Have alpha gal, cannot eat mammal meat (not allergic to dairy products) Have gluten intolerance

Symptoms: About 15 minutes after receiving the vaccine, my face turned bright red and I had a rash on my upper chest. Then hives appeared on my face and upper chest as well. I did not experience any pain or respiratory symptoms.

Other Meds: insulin, spironolactone, hydrocholothiizide, fenofibrate, metformin, levimir, multivitamin, livalo

Current Illness: None

ID: 0985387
Sex: M
Age: 89
State:

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

Lab Data:

Allergies:

Symptoms: patient complained of dizziness and vitals were taken and bp was 179/47, spo2 99% on room air with numbness and tingling in left arm. retake of blood pressure was 194/47 and pt was transported to urgent care via wheel chair.

Other Meds:

Current Illness:

ID: 0985388
Sex: F
Age: 70
State:

Vax Date: 01/22/2021
Onset Date: 01/29/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies:

Symptoms: red swollen itchy at injection site starting 7 days after injection

Other Meds:

Current Illness:

ID: 0985389
Sex: M
Age: 76
State: MD

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies: None Known

Symptoms: Patient stated to feel "light headed". He was brought to cot in back of facility. VS were taken: BP 176/90, R 61, R 20, O2 96%. Patient states to have high blood pressure. He stated to have eaten this morning. Denies diabetes or low blood sugar. Denies any other health conditions. Copy of medications obtained. Juice and crackers given. Patient lied down on cot for 5-10 min, ate crackers and finished juice, stated to feel better. Called wife (who was in parking lot) to pick him up. Patient was stable, walked to vehicle. He was advised to rest today, no strenuous activity. Call 911 or go to nearest hospital if severe symptoms occur such as difficulty breathing, swelling of face or throat, r fast heart rate.

Other Meds: Levothyroxine Atenolol Olmesartan Medoxomil Rosuvastatin Calcium Diltiazon Hydrochloride Tamsulosin Amitriptyline Advair & albuterol Sulfate Vitamin D3, CoQ10,calcium, Claritin, Aspirin, Fluticasone

Current Illness: None Known

ID: 0985390
Sex: F
Age: 57
State: GA

Vax Date: 01/20/2021
Onset Date: 01/24/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: CBC CMP normal and urine

Allergies:

Symptoms: Woke up Sunday morning with vertigo. The room kept spinning the whole day with nausea and vomiting. Took Meclizine. Could not stand or eat. Monday still extremely tired could not hold my head up and still dizzy but room was not spinning. Tuesday a little better than Monday. Wed, Thur and Friday was able to function tired easily and was afraid to drive with occasional dizziness.

Other Meds: Loratadine 10mg; Metformin hcl 500mg; Losartan potassium 50mg; Azelastine HCI nasal solution; fish oil 1200mg.

Current Illness:

ID: 0985391
Sex: F
Age: 59
State: MI

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: 01272021 1700 left arm ache 01282021 0600 severe ache to left arm 01282021 1200 additional body aches 01282021 1700 aches continue to worsen, headache, trembling, chills, skin "pain", oral burning, temp 100.8. Alternated ibuprofen and tylenol throughout. 01292021 0500 All symptoms resolved, left arm pain, mild.

Other Meds: HRT, fish oil, magnesium, calcium, b12, vitamin d

Current Illness: None

ID: 0985392
Sex: F
Age: 24
State: TN

Vax Date: 01/01/2021
Onset Date: 01/29/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: None

Allergies: N/A, only Seasonal allergies

Symptoms: Vaccine dose 1 given in left deltoid at approx. 3:10 pm 1/28/21. No symptoms until 10:00 am 1/29/21. Symptoms include dizziness and nausea, left arm soreness near injection site, no redness or swelling.

Other Meds: Women?s multivitamin, Cetirizine Hydrochloride 10mg tablet for seasonal allergies

Current Illness: None

ID: 0985393
Sex: F
Age: 65
State: MA

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

Lab Data:

Allergies:

Symptoms: Patient experienced itching during initial 15 minute monitoring period, patient stayed for an extra 15 minutes of monitoring, symptoms improved patient left clinic on her own. Received Moderna lot# 026L20A.

Other Meds:

Current Illness:

ID: 0985394
Sex: F
Age: 27
State: IL

Vax Date: 12/31/2020
Onset Date: 01/15/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: None

Allergies: Biaxin

Symptoms: Severe migraine that needed a toradol shot, a few weeks later the injection site was red itchy and inflamed. Site still hurts but no longer has itchy Ed?s or inflammation.

Other Meds: Hydroxyzine,verapmil,melatonin,Advil

Current Illness: None

ID: 0985395
Sex: F
Age: 75
State:

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

Lab Data:

Allergies:

Symptoms: Patient states feeling nausea vomiting. BP 206/93 pulse 90 spo2 98% at 4:05 PM repeated BP 209/88 P 94 Sao2 98% Transferred to urgent care via w/c. Warm handoff given to urgent care staff.

Other Meds:

Current Illness:

ID: 0985396
Sex: M
Age: 74
State: IN

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Severe vomiting 90 min after shot.

Other Meds: Amlodipine; Besylate 2.5mg; Lisinopril; Hydrochloroth 20-25 tabs; D3 1000iu vitamin; Fish Oil; Eye Vitamin

Current Illness:

ID: 0985397
Sex: F
Age: 45
State:

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies: Dogs

Symptoms: Rash covering entire back, short of breath. Treated with Benadryl. Rash lasted about 12 hours. Shortness of breath lasted about 24 hours.

Other Meds: Singulair

Current Illness: none

ID: 0985398
Sex: M
Age: 70
State: IN

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

Lab Data: None - but my Dr recommends Tylenol and Advil taken alternately. Because I tested positive for Covid in October, he stated he would not recommend having taken the shot. Too late - took it yesterday. Further he recommends that I not take the second shot. What do the experts say about that ???

Allergies: no

Symptoms: Fever of 2-3 degrees higher than normal Minor achiness Loss of appetite Loss of energy

Other Meds: D, C, Zinc, Fish Oil, Multi, Cinnamon, Ginger, 81 aspirin, Omeprazole, Rosuvastin, Tumeric, CLUC/CHON

Current Illness: no

ID: 0985399
Sex: M
Age: 26
State:

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies:

Symptoms: fever of 101, vomiting and headache. Missed 3 days of work

Other Meds:

Current Illness:

ID: 0985400
Sex: F
Age: 61
State: NY

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies: PCN, Sulfa

Symptoms: Fever to 102.7, severe body aches & headache, chills, fatigue, nausea & vomitting.

Other Meds: MVI, Calcium supplement, vit C supplement

Current Illness: none

ID: 0985401
Sex: F
Age: 50
State: VA

Vax Date: 01/12/2021
Onset Date: 01/14/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies: sulfa antibiotics

Symptoms: Patient came to urgent care clinic 16 days after vaccination. Patient stated she received the Moderna vaccine on 1/12/2021 and began to develop a rash on her arms on 1/14/2021. Patient stated that she has been to see her primary care provider after onset of rash. Patient was prescribed a steroid injection and a Medrol dose pack. Patient stated that after completing these, the rash persisted and started to get worse. On presentation to urgent care, patient had rash on both arms, across her chest, on the left side of her neck going up to her ear, on her left eye lid and starting on her mouth. Patient's right hand was extremely red and excoriated. Patient gave a history of sebhhoric dermatitis.

Other Meds:

Current Illness:

ID: 0985402
Sex: F
Age: 73
State: NY

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: overall soreness, extreme soreness in arm, headache, flulike symptoms: chills, weakness, fatigue, nausea, dizziness (the last two symptoms were brief)

Other Meds: none

Current Illness: none

ID: 0985403
Sex: F
Age: 41
State: IA

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Chills; fatigue; body aches; nausea Left work early

Other Meds:

Current Illness:

ID: 0985404
Sex: M
Age: 81
State: FL

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: Blood pressure readings above

Allergies: none

Symptoms: 1/21/20 ,6 p.m. Queasiness and elevated heart rate. Blood pressure 192/97. 10 pm BP 209/119 1/22/20 M.D consulted. Started 25 mg HCTZ. Stopped hydrocodone/acetaminophen. Severe malaise until 1/24. 1/23 Blood pressure in acceptable range. Mild soreness in arm when touched. 1/25/20 Symptoms resolved

Other Meds: lisinopril 20mg; atrovastatin 80mg; fluticazone; hydrocodone-acetaminophen 5 - 325 mg

Current Illness: 1/20/2021 Mohs surgery for squamous cell carcinoma (6 hr)

ID: 0985405
Sex: F
Age: 52
State: TX

Vax Date: 01/23/2021
Onset Date: 01/27/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: Started to feel an irritation behand my right ear, then along my jaw line. Thought it was irritation from mask wearing. Then I had a burning sensation in my hair. Similar to a sunburn then getting chills. Wednesday night I noticed three pimple like bumps in my hair--right posteriorly. A bit itchy at times. Thursday right under my jaw line seems to have swelling. This morning it feels the same. Burning like irritation in my hair.

Other Meds: Vivelle dot Celebrex

Current Illness: Seasonal Allergies

ID: 0985406
Sex: F
Age: 58
State: FL

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: cxr, physical exam

Allergies:

Symptoms: pt is having ear pain bilaterally, back pain, sob, fatigue

Other Meds:

Current Illness:

ID: 0985407
Sex: F
Age: 25
State: NY

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: X-ray of lower back

Allergies: None

Symptoms: The day after the vaccine I started spotting and my back started getting numbness down my legs. I kept moving my legs because I was afraid I was going to lose feeling in them. I got an X-ray and it showed there is nothing wrong with my back and I concluded it has to be from the vaccine because it has resolved for the most part after 3 weeks. I was extremely fatigued for 3 days and my left cervical and right axillary lymph nodes were swollen. I had a huge welt at the injection site for 2 weeks and now there?s still a bruise there. I am afraid to get my second vaccine because I don?t want to lose feeling in my legs. I need guidance from someone who knows a lot about this vaccine because no one is able to give me guidance.

Other Meds: Omeprazole, propanol, cranberry pills, Prozac, zyxzol

Current Illness: Urinary Tract Infection 2-3 weeks prior

ID: 0985408
Sex: F
Age: 38
State: RI

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

Lab Data: N/A

Allergies: N/A

Symptoms: After receiving the vaccine patient C/o facial and tongue numbness. Patient states feels like I had anesthesia. no SOB, rash, or difficulty talking. States funny tastes in the mouth. OB served. Patient is here for 30 minutes stated is feeling better.

Other Meds: N/A

Current Illness: N/A

ID: 0985409
Sex: F
Age: 43
State: CA

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

Lab Data:

Allergies: None

Symptoms: Fever=102.9, 103.2, throughout night, chills, Severe body aches, severe fatigue, headache, nausea

Other Meds: Triamterene-Hctz 37.5-25mg (1 tab daily) Simvastatin 20 mg (1 tab daily) Smarty Pants Women?s Formula (6 gummies daily)

Current Illness: None

ID: 0985410
Sex: F
Age: 23
State: IN

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Fever, muscle aches, chills, headaches, fatigue

Other Meds: Advil

Current Illness: None

ID: 0985411
Sex: F
Age: 61
State: MN

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

Lab Data:

Allergies:

Symptoms: Complained of a "thick tongue" and tingling around the mouth. Treated with 25mg of benedryl. Symptoms resolved in approx. 20 minutes after receiving the benedryl.

Other Meds:

Current Illness:

ID: 0985412
Sex: F
Age: 40
State: MN

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies: Dulaglutide, lisnopril

Symptoms: approximately 10 minutes after vaccine patient had shortness of breath and felt wheezy. She also had intermittent itching and chills. Rapid Response team notified and she was observed for an additional 30 minutes with improvement in symptoms. She was dismissed at 1000 to home

Other Meds:

Current Illness:

ID: 0985413
Sex: F
Age: 70
State: WY

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Red swollen area of upper arm and rash around the injection site

Other Meds:

Current Illness: Penicillina and vicoden

ID: 0985414
Sex: F
Age: 47
State: NE

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

Lab Data:

Allergies:

Symptoms: Pruritis of face started 1/28 with facial edema and erythema. No tongue swelling, throat swelling or breathing difficulties. Pt seen in office on 1/29 and given Benadryl and instructed to continue Allegra.

Other Meds:

Current Illness:

ID: 0985415
Sex: F
Age: 70
State: NY

Vax Date: 01/16/2021
Onset Date: 01/23/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies: Codeine Keflex Neopolydex Neosporin

Symptoms: Small dime size red itchy spot on 1/23, increasing in size to approximately 3 inches by 2 inches until 1/27, faded on 1/28

Other Meds: atorvastatin10mg

Current Illness: None

ID: 0985416
Sex: F
Age: 34
State: IL

Vax Date: 01/27/2021
Onset Date: 01/29/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies: Gluten

Symptoms: Hives to chest

Other Meds: Zyrtec 10mg daily

Current Illness: Nons

ID: 0985417
Sex: F
Age: 27
State: MA

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

Lab Data:

Allergies: Bactrim

Symptoms: Chills, hypersensitivity of skin, burning of skin, fever

Other Meds: Sprintec birth control Herbalife shakes and teas

Current Illness:

ID: 0985418
Sex: M
Age: 60
State: CT

Vax Date: 01/13/2021
Onset Date: 01/19/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: N/A

Allergies: NONE

Symptoms: SEVERE ECZEMA ON LEGS SHOULDERS ARMS BACK SIDES , CORTAZONE 10 IS NOT WORKING AT ALL

Other Meds:

Current Illness: NONE

ID: 0985419
Sex: F
Age: 59
State: NC

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: None

Allergies: Bactrim

Symptoms: Pain in the arm pit of the arm vaccinated, painful to sleep with tired feeling next morning. Took Aleve which minimized the pain.

Other Meds: Atorvastatin 40mg Pantoprazol 40 mg Loratadine 10 m Pseudoephedrine 240 mg

Current Illness: None

ID: 0985420
Sex: M
Age: 34
State: CA

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Golf ball sized mass swelling, hot to the touch. Painful in movement and palpation. Extreme fatigue for 36 hours. By 72 hours after the shot the swelling has shrunk in height but spread out to about 4" wide circumference. Still hot to the touch but less painful on movement and palpation. A lot less

Other Meds: One a day daily vitamin

Current Illness: None

ID: 0985421
Sex: F
Age: 27
State: CA

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

Lab Data: 01/28/21: COVID Negative

Allergies: no known drug allergies

Symptoms: Employee described history of rash to hands, arms and abdomen that initiated after 1st dose, but didn't attribute to vaccine or report at time of 2nd dose vaccine administration. Was being treated as "eczema" due to hx of eczema. Three hours after receiving second Moderna dose developed a bloody nose, neck pain, back pain, chills; and rash to hands, arms, stomach "worsened" per employee. She reported to ER for evaluation and had COVID test which resulted negative; no additional treatment per employee. Has subsequently followed up with her primary and continues with eczema cream, no additional treatment.

Other Meds: Treamcinolone acetonide, ciprodex, unknown eczema creams reported by patient

Current Illness: eczema

ID: 0985422
Sex: F
Age: 38
State: KY

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: N/a

Allergies: N/a

Symptoms: Muscle aches, site injection pain, headache, nausea

Other Meds: Nexium, Lexapro

Current Illness: N/a

ID: 0985423
Sex: F
Age: 89
State: MN

Vax Date: 01/16/2021
Onset Date: 01/17/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies: Aspirin (ASA), codeine phosphate (bulk), Donnatal, methotrexate (bulk), oxycodone (bulk), Tetracyclines, Zoloft

Symptoms: Large reddened, raised area to injection site, approximately 8cmx5cm in size to right upper deltoid. Pain, swelling and itch noted to site, treated with PO Keflex for cellulitis which was effective.

Other Meds: ProAir HFA, Prilosec OTC, gabapentin, acetaminophen, propanolol, cetirizine, levothyroxine, colestipol celebrex.

Current Illness:

ID: 0985424
Sex: F
Age: 59
State: NJ

Vax Date: 01/20/2021
Onset Date: 01/26/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: 01/28/21 - Rapid Covid vaccine

Allergies: NKA

Symptoms: I experienced normal myalgia, headache and chills approximately 18-30 hours after the vaccine. After being side effect free for 3 days, on day 6, I developed a low grade (99.6) fever, flushed skin, headache and significant myalgia. I had a Rapid Covid test on day 7 which was negative.

Other Meds: Losartan Adderal Magnesium Collase

Current Illness: None

ID: 0985425
Sex: F
Age: 57
State: MI

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: The next day (1/20/21), I developed fever and chills. It was gone by the next morning (1/21/21).

Other Meds: Wellbutrin, Ability, Lunesta, multi-vitamin, Vitamin D, Calcium, Magnesium, baby aspirin, Zyrtec

Current Illness: eye floater

ID: 0985426
Sex: M
Age: 72
State: LA

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies: Penicillin, Sulfate, Iodine, Shellfish

Symptoms: the left side of tongue swollen up

Other Meds: Aspirin 325mg, Melatonin 10 mg, Flonase 0.05% Nasal Spray, Symbicort, Remeron, Sertraline, Vistaril, Ability, Lipitor, Albriterol Sulfate, Combivent 20mcg/100mcg

Current Illness:

ID: 0985427
Sex: F
Age: 69
State: TX

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 1/29/2021 Client called to day to report that she started feeling nauseous and chills around 6PM the night she received her vaccine and it lasted for 2 days. Says she felt like she was going to throw up the entire 2 days but never did. Reports she feels better today.

Other Meds:

Current Illness:

ID: 0985428
Sex: F
Age: 54
State: TX

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/29/2021
Hospital:

Lab Data: none

Allergies: Peanuts

Symptoms: Anaphylaxis

Other Meds: Premarin Pravastatin Carvedilol Methotrexate Folic Acid B12 Iron Vitamin D Pantoprazole Cyclobenzaprine Torsemide

Current Illness: None

ID: 0985429
Sex: F
Age: 50
State: TX

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 01/29/2021
Hospital: Y

Lab Data:

Allergies:

Symptoms: 10:50am shot was given, 11am patient started to get cold and having a headache, 11:10am patient started to have hard time breathing and severely cold and BP was rising. 911 was called and patient was transported to hospital where she was admitted.

Other Meds:

Current Illness:

ID: 0985430
Sex: F
Age: 39
State: VA

Vax Date: 01/21/2021
Onset Date: 01/29/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies: sulfa, cipro

Symptoms: Delayed injection site reaction began 8 days after vaccination. Red, raised, warm circle one inch in diameter around injection site. No pain or discomfort.

Other Meds: Stelara, Mirena, fluoxetine

Current Illness: none

ID: 0985431
Sex: F
Age: 77
State: WI

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

Lab Data: As stated above, pt complained of generalized weakness and feeling like she was going to pass out after receiving her first dose of covid vaccine approximately 10.5 hours earlier that day. Abnormal labs are reported above in Item 19.

Allergies:

Symptoms: Pt reported feeling like she was going to pass out at around 10pm on 1/26/21 and lowered herself to the floor in her bathroom. Was discovered on the floor around noon, 14 hours later, by staff after noticing her food tray was untouched . Arrived in ED via EMS. Pt was febrile with rectal temp 100.7 c/o weakness. Pt had a WBC count of 11.2, absolute neutrophil 9.9, and creatine kinase 3214. Pt was alert and oriented and reported having been hospitalized for a few weeks in November 2020 with Covid-19 and having received her first dose of covid vaccine at approximately 11:30 on 1/26/21. Hospitalist voiced concerns that this may be a reaction to covid vaccination.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm