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: 0985483
Sex: F
Age: 78
State: TN

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

Lab Data: None

Allergies: Penicillin

Symptoms: Red rash at injection site - very itchy. Appeared on the 4th day after injection lasted 4 days; the first day being the most reaction and each day thereafter the itchyness lessened.

Other Meds: Anastrozole, 1mg; Synthroid, 75mcg; Alendronate 70mg; Olmesartan Medoxomil 20mg; Synthroid,75mcg; Alendronate 70mg; Olmesartan Medoxomil 20mg; Anastrozole 1mg; Store brand Multi vitamin without i

Current Illness: No

ID: 0985484
Sex: F
Age: 34
State: AL

Vax Date: 01/25/2021
Onset Date: 01/27/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Injection was inproperly given in the back of my upper arm in the fleshy area. Unknown if it reached muscle or only subQ tissue. Significant Unilateral swelling and decreased sensation noted to left side of face 2 days after receiving vaccine. Resolved on its own in 2 days.

Other Meds: Zoloft Vyvanse

Current Illness: None

ID: 0985485
Sex: F
Age: 44
State: TX

Vax Date: 01/20/2021
Onset Date: 01/25/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: 1/25/2021 - Rapid test -Negative 1/26/2021 Rapid test and flu test -Negative 1/29/2021 2 day Covid test @CVS - Negative

Allergies: dust mites

Symptoms: On Monday afternoon I experienced low grade 99.5 and body aches. School nurse performed a Rapid Covid Test and results were negative. The next day I experienced fever 100.5, body aches, joint pain, chills, and cough so I went and had a rapid covid and flu test performed and both were negative. Family doctor suggested the two day covid test and the results were negative on Friday. If I don't have covid then are they side affects from vaccine.

Other Meds: Zyrtec (generic)

Current Illness: no

ID: 0985486
Sex: F
Age: 46
State: VA

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

Lab Data: My vital signs immediately after the fall were normal (HR 74//min, BP 123/83 mmHg, temp 37.3, sat 99% RA)

Allergies: NKDA

Symptoms: I only experienced mild arm pain after the injection. Five days later, I was walking down a hallway at the hospital (I am a physician) when all of a sudden I experienced vertigo (I was not dizzy, but I felt my vision shift to the left). I fell down, landing against 2 crash carts that were in the hallway. I did not lose consciousness. I had persistent dizziness and nausea for at least 10 days afterwards.

Other Meds: Levothyroxine 75 mcg QD, vitamin B/C/D QD

Current Illness: None

ID: 0985487
Sex: F
Age: 69
State: IL

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

Lab Data:

Allergies: Aspirin,penicillin,iodine,statins,nsaids,Zithromax,biaxin,tramadol,gabapentin,Celebrex,sulfa,gluten,ciprofloxacin.

Symptoms: Rash/welts and itching.

Other Meds: Prednisone, Tylenol 4

Current Illness: Diverticulitis

ID: 0985488
Sex: F
Age: 56
State: PA

Vax Date: 01/18/2021
Onset Date: 01/18/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient experienced localized swelling and hematoma following the injection. She reported no pain, no swelling of the lips or tongue, no difficulty breathing or swallowing upon initial evaluation by dr. She was given an ice pack to help address the swelling and she was asked to stay 30 minutes for observation. When she departed the clinic she reported feeling fine.

Other Meds:

Current Illness:

ID: 0985489
Sex: M
Age: 77
State: AZ

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

Lab Data:

Allergies: Morphine

Symptoms: Moderna COVID-19 Vaccine EUA First Maderna COVID vaccine No Symptoms at all Second Maderna COVID vaccine on Monday Monday: 12 hours after: Headache Some soreness at injection site Could not sleep at all that night Muscle, joint soreness Chills Tuesday Headache Fever Muscle ache Nausea, little appetite Lethargy Napped in the afternoon for a few hours Could not sleep that night. Took 2 Advil at 10:30pm, then slept Wednesday Felt normal on awaking. No headache A few sweats, so probably some fever. Thursday Normal in every way.

Other Meds: Testosterone IM, vitamins, minerals

Current Illness:

ID: 0985490
Sex: F
Age: 57
State: AZ

Vax Date: 01/15/2021
Onset Date: 01/17/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: none

Allergies: Scopalomine

Symptoms: Initially pain/swelling/red/hot localized (1/2 baseball). Rash began day 3 (again baseball size), Rash swelling spread from shoulder to 3" above elbow . Currently at 2 week post vaccine, Itchy, red bumpy rash, & swelling unchanged. No issues with resp, temp, or "covid-like" symptoms

Other Meds: Synthroid Wellbutrin

Current Illness: none

ID: 0985491
Sex: F
Age: 50
State: AZ

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Day of vaccine 1/25/21-no symptoms. Day 2-1/26/21-at 5 am started having excruciating pain in right shoulder, headache, body aches, nausea, fever, chills, and limited ROM with right arm soreness and stiffness. Day 3-1/27/21-right arm severe pain, could not lift arm, limited ROM, headaches and body aches. Day 4-1/28/21-nothing, no symptoms.

Other Meds:

Current Illness:

ID: 0985492
Sex: F
Age: 61
State: CA

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

Lab Data:

Allergies:

Symptoms: Fever 101 at 4am this morning, 101.8 later. Has headache, neck with stiffness, body aches with fatigue.

Other Meds:

Current Illness:

ID: 0985493
Sex: M
Age: 62
State: VA

Vax Date: 01/14/2021
Onset Date: 01/28/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Two weeks after the vaccination, the vaccination site is red, itchy, and swollen. The itchy red patch is about 3 inches in diameter and hard.

Other Meds: Metformin Ramipril Tamsukosin Jardiance Glimepiride Atorvasatin Bayer Asprin COQ10 Folate 400 B-Comlez Vitamin D-3

Current Illness:

ID: 0985494
Sex: F
Age: 39
State: LA

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: n/a

Allergies: biaxin, shellfish

Symptoms: The following day I had a headache, fatigue, upper body soreness bilaterally, dizziness, and increased PVC's. I called the cardiologist and she was not surprised and said I could take double the dose of my meds for 1-2 days and to do the same on the second dose. I felt much better the next day. Appx 8 days after the injection I developed a 2 in halo of inflamed skin, redness, and itchiness. I took Benadryl and it improved but returned today (day 9). It is mild and I will continue to watch this. It is similar to my flu shot reaction though delayed one week rather than immediate.

Other Meds: Propranalol 20 mg Dextroamp 20mg Juliber Baclofen 20 mg pm Biotin Saw Palmetto Fish Oil Hyaularonic Acid Fiber Powder

Current Illness: n/a

ID: 0985495
Sex: U
Age: 48
State: NJ

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

Lab Data:

Allergies:

Symptoms: Patient experiences fever over 100, T-max unknown, arthralgias, fatigue, and severe headache. Patient did not require medical treatment. Patient was unable to come to work as a result of condition which was treated with bedrest and over the counter ibuprofen.

Other Meds:

Current Illness:

ID: 0985496
Sex: F
Age: 55
State: IN

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

Lab Data: COVID-19, EKG, labs.

Allergies: Morphine Codeine

Symptoms: Soreness in left arm, fever, severe headache, nausea, weakness.

Other Meds: Prozac Armor Thyroid Ibuprofen

Current Illness: None

ID: 0985497
Sex: F
Age: 32
State: NC

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

Lab Data:

Allergies: None.

Symptoms: The vaccine was administered too low (as confirmed by several health care professionals). It was not administered in the deltoid but rather half way between by shoulder and elbow (below armpit level). Due to wanting to minimize the risk of exposure, pictures were sent to the healthcare professionals rather than a clinic visit. Of note, the vaccine was administered by the national guard. Side effects were pain, redness (3 inch diameter), and swelling at the injection site. Today is day 8 since the injection and there is still some swelling and redness as well as itchiness.

Other Meds: prenatal vitamins and birth control.

Current Illness: None.

ID: 0985498
Sex: M
Age: 48
State: NY

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

Lab Data: Not conducted

Allergies: Acute rhinitis elicited by mice and rats (I am a biomedical research scientist)

Symptoms: Within 6-8 h after receiving the vaccine, I noticed progressive pain on my left shoulder and upper arm. I could not sleep on my left side. At 22 h after the vaccine I could not abduct my arm due to the local pain, became prostrated (had to lay down all day), lost appetite (only ate 2 cookies all day) and became very fatigued (went to sleep at night at 7 pm instead of my 10 pm regular sleeping time). I measured my temperature twice and it was 37.5 C. I didn't take antiinflammatory nor analgesic medicine. At 48 h after the vaccine, I was already 80% better, and at 72 h has back to normal. I had short-lived (2-3 days) COVID-19 symptoms in March 2020 (anosmia, diarrhea, anorexia) and high titers of anti-SARS-CoV-2 serum IgG in May and October (I did the latter was part of an experiment to evaluate the duration of antibody persistence. I am fully vaccinated and this was by far my most severe vaccinal reaction.

Other Meds: Atorvastatin, vitamin D

Current Illness: None

ID: 0985499
Sex: F
Age: 33
State:

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

Lab Data:

Allergies:

Symptoms: Employee received 2nd dose Moderna lot 042L20A in left arm on 1-28-2021. A round red swollen spot appeared at insertion site that is warm and harder than surrounding skin.

Other Meds:

Current Illness:

ID: 0985500
Sex: F
Age: 78
State: GA

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

Lab Data:

Allergies:

Symptoms: fatigue, headache, muscle pain, joint pain nausea. Slept most of the day. No appetite, very little food consumed.

Other Meds:

Current Illness: Migraine

Date Died: 01/27/2021

ID: 0985501
Sex: F
Age: 89
State: OH

Vax Date: 01/18/2021
Onset Date: 01/22/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: none, no autopsy

Allergies: none

Symptoms: family states seemed short of breath since after the covid vaccine. Staff said beginning on 1/22/21 the patient seemed sluggish, more tired, and nausea noted. She stayed in her room more after the vaccine because worried about giving/getting COVID to others. was talking on the phone at 11:30 PM on 1/26/21 to staff person about temperature of room. at 12:15 AM on 1/27/21 staff noted not breathing, started CPR and called EMS. When EMS arrived they stopped the code because she was too long deceased.

Other Meds: Fish oil Aspirin Calcium + D Lisinopryl 10 mg methimazole 5 mg colase 100 mg Hydrochlorathiazide 25 mg amlodipine 5 mg atenolol 25 mg trazadone 50 mg

Current Illness: none

ID: 0985502
Sex: F
Age: 39
State: OK

Vax Date: 01/06/2021
Onset Date: 01/08/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: No tests done.

Allergies: NKDA

Symptoms: Starting with intense itching and uticaric rash and migraine 2 days following. Continued migraine and 4 days following, rash change from uticaric into a vesicular rash on ankles, blistering of mucosal membranes in mouth and eye irritations. Treated at home with diphenhydramine, certizine, naproxen, sumatriptan, caladryl lotion, mouth sores with debacteral, salt water and diphenhydramine rinses, Eyes with neomycin and dexamethasone ointment and keto fumarate. With some relief. Prednisone and mycolog started 9 days following taken until day 12 following. (Severe neck pain and fatigue day 13-15-possibly not related.)

Other Meds: None

Current Illness: none

ID: 0985503
Sex: M
Age: 73
State: CA

Vax Date: 01/21/2021
Onset Date: 01/24/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Chronic hiccups, started on 1/24 and have been continuous since. Contacted doctor yesterday and he prescribed thorazine 25 mg, I will begin taking them today.

Other Meds:

Current Illness: None

ID: 0985504
Sex: M
Age: 67
State: NJ

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

Lab Data:

Allergies: none

Symptoms: Severe and acute pain in left arm. Could not left arm initially. From date of vaccination to present. Pain is lessening with Tylenol and Muscle Pain cremes. I feel the shot was administered to high up.(Shoulder not arm)

Other Meds: Losartan, Chlorthalidone, Leabetalol, Minoxidil, Allopurinol, Finasterde Tasulosin, Atorvastatin, Aspirin, Multi-vitamins, Iron, De, Allegra, B12

Current Illness: Blood Pressure,

ID: 0985505
Sex: F
Age: 23
State: NY

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

Lab Data: None

Allergies: Environmental see below Allergies- Environmental- Dust, hay, weeds, cats, grass, trees, pollen. No food allergies. No product or medication allergies.

Symptoms: Patient received her second dose of Moderna Vaccine at 17:00 and at 17:09 reported developing lightheadedness, itchy throat and subsequently became SOB and diaphoretic. Tachycardia noted at 120 bpm, and BP 148/80, RR 26. Medical First Response called and Dr. present administering Epi 0.3 ml sq to left lateral thigh at 17:12. Benadryl 50 mg given in R. Deltoid at 15:14. Pt. vital improved- 17:28: BP 130/82 and HR 90 RR 18. Transferred to ED. Noted to be diaphoretic, SOB, ashen skin and wheezing in the ED. Given Epi, Pepcid, Deacadron, Benadryl in ED and pt. responded well and discharged when hemodynamically stable. Discharge with Predisone and Benadryl. PCP f/u 2/4/2021

Other Meds: Women 1 a day. Vit C+D, Allegra, Flonase, Azelestine, cont. DepoShot, Hydrozyzine, Effexor, Advair 250/50, Albuterol PRN, allergy shots.

Current Illness: Jan 4- Jan 7 Acute Asthma Exacerbation- unknown etiology

ID: 0985506
Sex: F
Age: 86
State: MN

Vax Date: 01/16/2021
Onset Date: 01/26/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies: Sulfonamides (Sulfa), tramadol hydrochloride (bulk)

Symptoms: 1 week later, a large rash, approximate 8cm in diameter appeared at vaccine site. Not raised, no itching, no pain.

Other Meds: Lexapro

Current Illness: None

ID: 0985507
Sex: F
Age: 83
State: FL

Vax Date: 01/19/2021
Onset Date: 01/24/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: Resident called her PCP on 1/28/2021 who did blood work and a CT scan of the chest which confirmed pneumonia.

Allergies: NKA

Symptoms: Resident received the COVID vaccine on 1/19/2021. On Sunday, 1/24/2021, she started to have chills and fever. She stated her fever was 100. On Tuesday, 1/26/2021, she went to Urgent Care, a CXR was done and MD said it was pneumonia. Resident was administered Ceftriaxone Sodium IM and has a prescription for Levofloxacin daily.

Other Meds: Methotrexate 2.5mg 6 tablets once a week; Folic Acid 1mg daily; Levothyroxine 75mcg and Albuterol inhaler every 4 hours as needed

Current Illness: None

ID: 0985508
Sex: M
Age: 59
State: PR

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

Lab Data: N/A

Allergies: No

Symptoms: Dizziness, numb hands, heavy tongue, and somnolence

Other Meds: Nothing

Current Illness: High blood pressure

ID: 0985510
Sex: F
Age: 26
State: IN

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

Lab Data: NA

Allergies: No

Symptoms: Severe headache, nausea, all-over muscle pain, joint stiffness, fatigue, temp went up but not enough for a fever. I took Bayer for the muscle pain and slept. Developed soreness of injection site approximately an hour after injection. Muscle stiffness and joint pain began that night. Other symptomst started Thursday morning and ended Friday morning.

Other Meds: Venlafaxine (225mg daily orally) Trazodone (150mg daily orally) Lamotrigine (100mg daily orally) Gianvi -birth control daily orally

Current Illness: No

ID: 0985511
Sex: F
Age: 32
State: CA

Vax Date: 01/04/2021
Onset Date: 01/17/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: HCG NEGATIVE PREGNANCY HOME TEST NEGATIVE AFTER

Allergies: NO ALLERGIES

Symptoms: 1/4 - RECEIVED MODERNA VACCINE, PREGNANCY TEST CAME OUT NEGATIVE. 1/8 - PREGNANCY TEST CAME OUT POSITIVE 1/18 - HAD MISCARRIAGE, SAW TISSUE, NEGATIVE PREGNANCY HOME TEST, NEGATIVE HCT

Other Meds: VITAMIN C PRENATAL

Current Illness: NO OTHER ILLNESSES

ID: 0985512
Sex: F
Age: 64
State: IN

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

Lab Data: None.

Allergies: Rocephin (hives).

Symptoms: The day at 7:00 PM symptoms started with headache, chills, temperature, fatigue, nausea. 48 hours later your feeling much better. Took Tylenol and also Ibuprofen and stayed hydrated. Also had arm soreness, which she had with 1st vaccine as well.

Other Meds: Metoprolol, Losartan/Hydrochlorathiazide, potassium, vitamin C, vitamin D3, zinc, Eldeberry.

Current Illness: None.

ID: 0985513
Sex: F
Age:
State: KS

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

Lab Data:

Allergies:

Symptoms: Post-injection, patient felt scratchy throat, had inability to speak, and was tachycardic. Rapid response team was called.

Other Meds:

Current Illness:

ID: 0985514
Sex: F
Age: 36
State: OR

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: None

Allergies: Penicillin, sulfa, oxycodone

Symptoms: The next day it was extremely painful and two days later I saw it was red, inflamed, swollen and itchy. The redness spread across my arm and down and persisted for six days. Since the day I got the injection I?ve had numbness in my left hand that has never gone away. I saw my doctor on 1/27/21 and he said it was an inflamed nerve from the injection and it should go away eventually.

Other Meds: Adderall

Current Illness: None

ID: 0985515
Sex: F
Age: 54
State: DC

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

Lab Data: N/A

Allergies: Known allergies include: Medication allergy: Sulfa Food allergy: mango

Symptoms: diarrhea for 2days , nausea day after vaccine, stomach cramps day after vaccine

Other Meds: 1. Montelukast 10mg,1 tablet at bedtime 2. Trazodone 50mg,1 at bedtime 3. Sumatriptan 100mg as needed for migraine, 4. Hydroxyzine Pamoate 25mg, 1 at bedtime 5. Desvenlafaxine Succinate Er 100mg tablet extended release 24hr, 1 a day 6. Azel

Current Illness: asthma, obesity, migraines, ptsd, sinus infection

ID: 0985516
Sex: U
Age: 33
State: DE

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

Lab Data:

Allergies:

Symptoms: Patient experienced a progressively worse headache that became a migraine. Patient was incapacitated and unable to work. Patient did not require medical care. Condition was treated with bedrest.

Other Meds:

Current Illness:

ID: 0985517
Sex: F
Age: 60
State: FL

Vax Date: 01/19/2021
Onset Date: 01/26/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: No known tests

Allergies: NO KNOWN ALLERGIES

Symptoms: Patient noted a itchy and inflamed area, warm to the touch, around the site of the vaccine administration. The patient reported the area continued to expand despite a trial of naproxen sodium 220 mg and diphenhydramine 25 mg. Patient sought out medical help and provider prescribed a Medrol dose pack on 1/28/2021.

Other Meds: ALEVE AS NEEDED

Current Illness: NONE

ID: 0985518
Sex: M
Age: 82
State: OH

Vax Date: 01/18/2021
Onset Date: 01/28/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: n/a

Allergies: sulfa

Symptoms: Redness swelling and warmth at the site

Other Meds: yes. elloquis, Lisinopril, Metroprolol, cartizim.

Current Illness: Yes, went into A-Fib on 1/12

ID: 0985519
Sex: F
Age: 28
State: WV

Vax Date: 01/21/2021
Onset Date: 01/28/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: Went to CAMC urgent care and they diagnosed as cellulitis

Allergies: NA

Symptoms: Sweeling in bicep...lymph swollen in armpit...redness...hot at injection site...

Other Meds: NA

Current Illness: NA

ID: 0985520
Sex: F
Age: 64
State: AZ

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

Lab Data:

Allergies:

Symptoms: Day of vaccine (1)-1/25/21-left arm soreness, limited ROM, could not lift arm at all, nausea, fever, chills, weakness, fatigue, fainting feeling, dizziness, body aches and headaches. Day 2-1/26/21-all same symptoms as those of day 1. Day 3-1/27/21-left side of body and left hip soreness, nausea, headaches, body aches, decreased appetite and left arm sore. Day 4-1/28/21-nothing, no symptoms.

Other Meds:

Current Illness:

ID: 0985521
Sex: F
Age: 34
State: NY

Vax Date: 12/30/2020
Onset Date: 01/07/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: none

Allergies: ceclor

Symptoms: Large red raised area that was warm and itchy for about 48 hours, 8 days after vaccine.

Other Meds: Vitamins, Symbicort, Albuterol PRN

Current Illness: none

ID: 0985522
Sex: F
Age: 60
State:

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

Lab Data:

Allergies:

Symptoms: Very sore upper left arm.

Other Meds:

Current Illness:

ID: 0985523
Sex: F
Age: 33
State: NY

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

Lab Data: Today, 01/29/2021, at 10:48am patient received 0.5 ml IM of Benadryl 50mg/mL. In 25 minutes, she still had some of the tingling on her tongue, and another 0.5mL IM of Benadryl 50mg/mL was administer at 11:15.

Allergies: Iodine Lamotrigine Proparacaine eye drops

Symptoms: The patient received her second dose of Covid-19 vaccine today at 10:18am. At around 10:43 am, the patient started to feel tingling of her tongue.

Other Meds: none

Current Illness: none

ID: 0985524
Sex: F
Age: 48
State: MI

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

Lab Data: Didn?t go to the doctor

Allergies: Sulfa drugs (Bactrim)

Symptoms: Metallic taste right after for 45minutes 6 days post injection @12pm bp 130/101 resting hr94, @ 2:30 bp 141/100 resting hr 96 palpitations and SOB untill3:30pm then again from 5pm-6:30. Diastolic has went down from the 80s and 90s but systolic has kept in the 140 range. My normal is around 120/80.

Other Meds: Multi-vitamin

Current Illness: Back pain

ID: 0985525
Sex: F
Age: 70
State: IN

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

Lab Data:

Allergies: dust and dander, sulfer antibiotic, azelastine sulfasalazine.

Symptoms: headache, nausea, low grade fever, muscle pain, chills, Right are extremely sore and painful to move.

Other Meds: acyclovior, simvastatin, synthroid, prozac, omeprozole. biotin, B12 injection , fibre gummies, merilax, calcium, allergy shot for dust and dander (monthly) flo naise as needed zanax 1/2 tablet as needed for sleep.

Current Illness: none

ID: 0985526
Sex: F
Age: 55
State: OH

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

Lab Data: Have not seeked medical help yet

Allergies: None

Symptoms: Dizziness for 4 days Swollen face Increased Heart Rate and Blood Pressure

Other Meds: Losartin 100mg, HCT 25mg

Current Illness: None

Date Died: 02/04/2021

ID: 0985527
Sex: M
Age: 96
State: KY

Vax Date: 01/06/2021
Onset Date: 01/23/2021
Rec V Date: 01/29/2021
Hospital: Y

Lab Data: CBC, BMP 1-23-2021

Allergies: ROCEPHIN

Symptoms: COVID-19 + ON 1-13-2021, TRANFERRED TO HOSPITAL ON 1-23-2021 DUE TO HYPONATREMIA

Other Meds: ALLOPURINOL CHOLECALCIFEROL DEBROX DOCUSATE SODIUM FLOMAX FLONASE GABAPENTIN KONSYL PACKET LASIX LORATIDINE MELATONIN MIRALAX SENNA

Current Illness:

ID: 0985528
Sex: M
Age: 87
State:

Vax Date: 01/22/2021
Onset Date: 01/26/2021
Rec V Date: 01/29/2021
Hospital: Y

Lab Data: COVID+ 1/26/21

Allergies:

Symptoms: Admitted with COVID-19 infection 1/26/2021.

Other Meds:

Current Illness:

ID: 0985529
Sex: F
Age: 31
State: AR

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

Lab Data: NONE

Allergies: ROCEPHIN

Symptoms: HEADACHE, NECK PAIN, RIGHT SIDED FACE PAIN, BODY ACHES, FEVER

Other Meds: PREDNISONE, ACOTHIAPINE, HYDROXYCHLORAQUIN, GABPENTIN, VARAPAMIL, MIDODRINE

Current Illness: NONE

ID: 0985530
Sex: M
Age: 61
State: NC

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

Lab Data:

Allergies: N/A

Symptoms: Tiredness, Headache, Sore muscles and joints, Chills

Other Meds: Multi-vitamin, vitamin C, Metamucil (pill)

Current Illness: none

ID: 0985531
Sex: F
Age: 49
State: CO

Vax Date: 01/21/2021
Onset Date: 01/25/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: 1/28/21 Immunology confirmation of shingles 1/29/21 primary care physician diagnosis of lymphangitis

Allergies: Adhesive allergy

Symptoms: Patient had second COVID vaccine by Moderna received in left arm on 1/21/21. (Lot: 042L20A), after 1st on 12/23/20 (lot:011J20A). 1/22 supraclavicular nodule appeared (typical for this patient after last 4 immunizations). 1/25 blisters appeared on left elbow (later diagnosed as shingles). 1/26 pain began in medial aspect of the elbow which radiated upwards at in increasing distance over the next 3 days. 1/29 streaking from shingles lesion traveling medially into left arm and into the axilla with diagnosis of lymphangitis secondary to COVID vaccination.

Other Meds: Levothyroxine, Vitamin B complex, Budesonide sinus rinse, Ipratropium Nasal Spray, Omeprazole, Multivitamin, Vitamin D, Probiotic, Calcium, Estradiol Patch.

Current Illness: Minor viral infection, without missed work, one week prior

ID: 0985532
Sex: F
Age: 56
State: AR

Vax Date: 01/21/2021
Onset Date: 01/28/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: None

Allergies: Bactrim

Symptoms: One week after vaccination the vaccination site became itchy and I developed a rash with raised red bumps. This lasted about 12-15 hours and then disappeared. Itchiness was intermittent, minor, and I did not take any medication for it.

Other Meds: Pravastatin 5 mg Cetrizine 10 mg Glucosamine (1500 mg) Chondroitin (1200 mg) Iron 65 mg Calcium 900 mg Women's multivitamin

Current Illness: None

ID: 0985533
Sex: F
Age: 57
State:

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

Lab Data:

Allergies:

Symptoms: Fever, chills, headache, stomach ache - started about 15 hours after vaccination and lasted for about 24 hours.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm