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: 0987022
Sex: F
Age: 52
State: VA

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

Lab Data: None

Allergies: None

Symptoms: Headache first, Injection site swelling, then hives in the middle of the night at injection site, woke up with muscle aches everywhere, diarrhea started mid day, fever 100.4

Other Meds: Metformin xr, atorvastatin, baby aspirin, Claritin, CoQ10, Vitamin D, L Lysine,

Current Illness: None

ID: 0987023
Sex: F
Age: 44
State: MA

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

Lab Data: none

Allergies: just seasonal and some cleaning products

Symptoms: Severe headache, body ache, nausea, dizziness, inability to focus, joint pain,. Some numbness on left arm where vaccine was administered. Today 1/29 is day 5 and sx are still persistent only control by a liquid anti nausea medication combined with meclizine (rec by cvs pharmacy) plus Tylenol alt with Motrin 2x/day. Sx return once OTC are wearing off. The summarized description of how I felt was: Like i was dropped from a 3 story building and being constant hit on the head accompanied by terrible nausea/dizziness/dry heaves

Other Meds: Sertraline, trazadone, zinc, Vit C, Lo-Estrin

Current Illness: none

ID: 0987024
Sex: F
Age: 53
State: PA

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

Lab Data:

Allergies: N/A

Symptoms: Patient began to feel cold with severe headache and experienced nausea 5 minutes after injection. Benadryl was given. Blood pressure was 144/88. Patient was observed for 1 hour. Following 1 hour, she went to her office and planned to go home. Patient was later called to identify if symptoms were still occurring, but did not answer. Voicemail was left.

Other Meds: N/A

Current Illness: N/A

ID: 0987025
Sex: F
Age: 88
State: CA

Vax Date: 01/16/2021
Onset Date: 01/22/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies:

Symptoms: A rash at the injection place. Does not itch and is not bumpy. I didn?t know it was there until I looked at it in the mirror. It still is there. When I googled it, it said that it happens with the Moderna and it?s not anything to worry about.

Other Meds:

Current Illness:

ID: 0987026
Sex: F
Age: 54
State: CA

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

Lab Data:

Allergies: shellfish and adhesive

Symptoms: Patient felt anxious, flushed, and itchy. She reports hives over her chest and feeling lightheaded, though this was likely secondary to anxiety. Denies any other symptoms, SOB, throat swelling, abdominal pain, or nausea.

Other Meds: loratadine, pantoprazole, lisinopril, nifedipine, sulfasalazine, albuterol

Current Illness: "minor" heart attack about 1 month ago

ID: 0987027
Sex: M
Age: 40
State: CA

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

Lab Data: n/a

Allergies: Amitriptyline, gabapentin,

Symptoms: I received my Vaccine on 1/19/2021, on Friday 1/22/2021 my arm pit/Lymph node started to hurt. Then one week later on 1/26/2021 I started having vaccine shoulder itchiness I didn't think anything of it and then my arm swelled and got hot. The next day on 1/27/2021 it had a red area around it and was hot. I have never had a fever or anything else except minor pain the day after the vaccine. I continued ibuprofen and benadryl at night it took the itch away and was bearable. I want to know if I should get the second shot? I have it scheduled for 2-15-2021 @ 2:00 pm PST I also have pictures

Other Meds: Ibuprofen, famotadine

Current Illness:

ID: 0987028
Sex: M
Age: 35
State: VA

Vax Date: 01/08/2021
Onset Date: 01/10/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Muscular pain developed two days after the shot, limited range of motion in my left arm for the next ten days. My inner left bicep still has lingering discomfort

Other Meds: None

Current Illness: None

Date Died: 01/28/2021

ID: 0987029
Sex: M
Age: 86
State: NC

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

Lab Data: N/A

Allergies: Penicillins Green Food Dye Dust Mites Aricept Namenda

Symptoms: Resident passed away at 8:15 am on 1/28/21-found to be without pulse/respirations/DNR order in place.

Other Meds: Pepcid Aspirin Finasteride Stress Plus Zinc Tab Seroquel Pravastatin Sodium Amlodipine besylate Flomax

Current Illness: PRESSURE ULCER OF RIGHT HEEL, STAGE 2 ATHEROSCLEROSIS OF NATIVE ARTERIES OF LEFT LEG WITH ULCERATION OF OTHER PART OF FOOT ATHEROSCLEROSIS OF NATIVE ARTERIES OF LEFT LEG WITH ULCERATION OF HEEL AND MIDFOOT

ID: 0987030
Sex: F
Age: 40
State: WA

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

Lab Data:

Allergies: Dairy products

Symptoms: My body turned cold then followed by hot flashes coughing with blood. Low fever muscle pain but I had bronchitis two weeks prior next day cough wheezing completely gone and my lungs feel great I can breathe again with no mucus I have swollen lymph nodes but not to bad little headache but overall feeling ok just tired and some dizziness at times.

Other Meds: Oxicodone 5ml Ibuprofen

Current Illness: Bronchitis With a touch pneumonia

ID: 0987031
Sex: F
Age: 34
State: IN

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

Lab Data: BP 147/117, O2 SAT 99, PULSE 99

Allergies: PENICILLIN, SHELLFISH

Symptoms: PATIENT REPORTED LIGHT HEADEDNESS, BLURRY PERIPHERAL VISION, AND DIZZINESS.

Other Meds:

Current Illness:

ID: 0987032
Sex: F
Age: 48
State: KY

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

Lab Data:

Allergies:

Symptoms: CLIENT BEGAN TO HAVE RAPID HEART RATE, SCRATCHY THROAT, AND FELT TISSUE AROUND LEFT EYE SWELLING APPROX 10 MIN AFTER VACCINATION. HAD PREMEDICATED WITH DIPHENHYDRAMINE 25MG PRE-VACCINATION. WAS GIVEN 50 MG DIPHENYDRAMINE LIQUID PO 10 MIN POST VACCINATION WHEN CLIENT REPORTED S/S. HR WAS 160. CLIENT WAITED 30 MIN AFTER S/S ONSET. REPORTS S/S RESOLVED. HR 114. CLIENT LEFT CLINIC IN NO ACUTE DISTRESS. CLIENT WAS CONTACTED THAT EVENING AND REPORTED NO DISTRESS.

Other Meds:

Current Illness:

ID: 0987033
Sex: F
Age: 45
State: CA

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

Lab Data: Labwork done on 1/21/21; ESR, CK, iron, CBC, CMP, ANA, Vit B12, TSH all negative CBC, CMP, U/A, pregnancy test negative on 1/26 MRI brain, c-spine, t-spine - normal on 1/26 EMG normal on 1/28

Allergies: latex

Symptoms: 12 hours after my second dose I felt paresthesias in my extremities - particularly in my hands and feet - as well as my face. I also had chills and rigors. I felt lightheaded and nearly fainted. Day 1 post vaccine: I had chills and rigors and the hand/feet paresthesias were persisting. I also felt heavy and weak. Day 2 post vaccine: the chills had resolved but the hand/feet paresthesias were persisting as well and the generalized weakness got worse. I went to the ER and was sent home with instructions to follow up with neurology. That evening my hands became swollen and tight. Day 3 post vaccine: the weakness improved but the paresthesias were persisting. I went to work and on my drive home a I felt electric jolts throughout my body but especially my extremities - which caused me to shake. The rigors came back and I also had abdominal pain. Day 4 post vaccine: I still felt similar symptoms but milder than the night before. I got evaluated and tested for covid which was negative. Labwork and U/A were also negative. The symptoms resolved that evening but the paresthesias were persisting and started to become more painful. I had an MRI of my brain and spine which were negative. Day 5 post vaccine: The paresthesias had become more painful. I was started on Lyrica by my neurologist. Day 6 post vaccine: I felt chest pressure and a globus sensation in my chest, weakness, and jolts in my extremities. The dysthesias in my extremities were persisting. I was evaluated by my neurologist had an EMG which was normal and was diagnosed with small fiber neuropathy. I was told to continue Lyrica and titrate the dose up until the symptoms resolve. Day 7 post vaccine: I have been having heaviness, jolts in my extremities and face, and dysthesias in my hands and feet for most of the day. Lyrica helps a little. Throughout the entire time I have also had intermittent paresthesias in my face and jolts of pain in my face at times. I also had paresthesias in my face and intermittent dysthesias in my extremities 7-10 days after my first Moderna dose. Symptoms got a lot worse after the second one. Given the timing I am concerned that these symptoms are vaccine-related.

Other Meds: multivitamin, flonase nasal spray

Current Illness: 1) intermittent dysthesias in extremities - mainly hands and feet, 2) intermittent paresthesias to nose and upper lip. These both started about 7-10 days after Moderna Dose #1 3) intermittent headaches. these started before the Moderna Dose #1 but got worse afterwards. 4) chest pain and abdominal pain that occurred the day after Moderna Dose #1 - resolved in a few days.

ID: 0987034
Sex: F
Age: 38
State: UT

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

Lab Data: Covid and Influenza

Allergies: Sulfa

Symptoms: I received my injection on 12/29/2020 with no symptoms. The next morning, I woke with minor side effects body aches, chills, slight fever and arm sore from injection. As the day progressed, my symptoms got worse. By body aches were so severe that it hurt to stand, sit, bend and curl my toes. My head was so full of congestion by the end of the night. I was meeting with a small group of family for New Year's and thought that I would get checked to make sure that it was nothing. I was tested for COVID and for Influenza. I came back positive for Influenza A. I was sent home with a sample of Xofluza. I was in bed for 2 days and symptoms started subsiding. I went back to work the following week.

Other Meds: Vitamin Smarty pants ,CoQ10 Red Yeast Rice ,Linzess mcg 72

Current Illness: 11-2020 COVID

ID: 0987035
Sex: F
Age: 38
State: TX

Vax Date: 12/31/2020
Onset Date: 01/07/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies: Citalopram

Symptoms: My arm became quite sore about 8 hours after my initial vaccination. It was sensitive to the touch to the point that I couldn't sleep on that side of my body. It also hurt to raise my arm any higher than shoulder height. It went away on its own after about 36 hours. One week later, on January 7th, my husband noticed that I had a large red patch on my arm where I had gotten the vaccination. It was about 1.5-2" across, raised, red and warm to the touch. It was slightly itchy, but didn't hurt. My husband noticed this in the evening, but I am not sure how long it had been that way since I had had long sleeves on all day. By the morning, it had gone away. I didn't treat it in any way.

Other Meds: Baby aspirin, Ovavite vitamins, probiotics

Current Illness: N/A

ID: 0987036
Sex: F
Age: 67
State: NC

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

Lab Data:

Allergies:

Symptoms: Five days after receiving the vaccine, I had a the worst outbreak of herpes, both oral and genital, at the same time, that I have ever had.

Other Meds: linisopril, Lexipro

Current Illness:

ID: 0987037
Sex: M
Age: 93
State: CA

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

Lab Data: None

Allergies: None

Symptoms: Lightheaded, chills, headache,

Other Meds: Coumadin, metroprolol, Lasix, amodarone, tamsulosin, dutasteride

Current Illness: None

ID: 0987038
Sex: M
Age: 73
State: MI

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

Lab Data: None

Allergies: No allergies to food or mediations

Symptoms: Reaction was shortness of breath, headache, overall weakness, non-stop coughing with constant mucous, sore chest for a couple of days due to cough, injection site on L arm just a little sore Treated reaction with home remedies - Essential Oil Breathe cough drops, diffuser and drops in CPAP machine for several nights after the reaction. Breathe ointment in stick form on his chest Physician was contacted on 1/17/2021 and doctor advised him to go to the clinic. He did not go to the clinic due to improvement and the fact that he had an upcoming doctor appointment on 1/27/21

Other Meds: Baby aspirin 81mg; Zinc OTC 50mg; Lisinopril 20mg; Amlodipine 2.5mg - 1 time per day Metoprolol 75mg 2 times per day;

Current Illness: No illness in the prior month before vaccination

ID: 0987039
Sex: F
Age: 30
State: NV

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

Lab Data: None

Allergies: Suprex, Doxycycline, gluten

Symptoms: Right after receiving the vaccine waiting my 15 minutes it felt tingling and burning sensation from my shoulder across my clavicle bone towards my heart. First 5 day (Tuesday-Sunday) symptoms: swollen, sore, red, & bruised arm at injection spot; body aches, joint pain of knees, fatigue, no energy, loss of appetite, dry mouth, headache, chills, nausea. I felt better on the 6th day (Sunday), the injection site looked like it was healing and going back to normal on my shoulder. Then on 7th day (Monday) my injection spot started to itch and break out in a huge hive and little hives around it. It turned into a bright red circle around the injection spot. It was hot to touch and very swollen. On 8th to current day (11th) my arm keeps getting worse with the swelling, hotness, itching, & redness, and spreading down my arm.

Other Meds: Junel 24 FE 1/20mg

Current Illness: None

ID: 0987040
Sex: M
Age: 61
State: LA

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

Lab Data: None

Allergies: None

Symptoms: Developed facial shingles, mandibular branch of the trigeminal nerve, right face beginning 1/25/2021. Treatment begun by Dr.(not the administer of the vaccine) includes Valtrex 1gm tid x 10 days; this was begun 1/28/2021. Evaluated by Dr. to r/o eye involvement (negative exam).

Other Meds: Crestor, Qvar, Astelin, Nasocort, Singulair, Vitamin D, Centrum

Current Illness: None

ID: 0987041
Sex: M
Age: 26
State: AR

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

Lab Data: none

Allergies: unknown

Symptoms: headache

Other Meds: unknown

Current Illness: unknown

ID: 0987042
Sex: F
Age: 28
State: TX

Vax Date: 01/26/2021
Onset Date: 01/28/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies: Denies taking medication.

Symptoms: Redness in arm.

Other Meds: Denies taking medication.

Current Illness: Denies having illnesses.

ID: 0987043
Sex: M
Age: 31
State:

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

Lab Data:

Allergies: None

Symptoms: Drowsy, muscle pain, high fever, chills, fatigue

Other Meds: None

Current Illness: COVID-19. First symptoms on 1/12/21. Tested positive on 1/13/21

ID: 0987044
Sex: F
Age: 74
State: FL

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

Lab Data:

Allergies: No known allergies

Symptoms: Injection site reaction which include redness, swelling, and pain. Reaction spread from point of injection all the way down the arm to the elbow. Patient reports significantly more pain than when she normally gets vaccinated.

Other Meds: Paroxetine, dicyclomine, Tricor, lisinopril, esomeprazole

Current Illness:

ID: 0987045
Sex: F
Age: 37
State: CO

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

Lab Data: Seen in ER either evening of 1/19 or early am of 1/20. Patient reports having a CXR, EKG and labs which she states were normal.

Allergies: unknown

Symptoms: Initial call, patient reported she had severe chest pain. She became frightened by the intensity and was seen at the ER. She reported they did CXR, EKG and labs but everything was normal. Length of symptom unknown. Made multiple attempts by phone and email to obtains additional details of ER/provider but she has not responded.

Other Meds: unknown

Current Illness: unknown

ID: 0987046
Sex: F
Age: 29
State:

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

Lab Data: None

Allergies: None

Symptoms: Pt is a 29 yo who was given Moderna vaccine at 09:03 AM. 11:30 AM: Adverse effect symptoms : Itching all over the body, dizziness, itchy throat. 12:10PM: Benadryl 50mg IM given 12:25PM: V/S: B/P= 143/109, T=93.9, Pulse =92, RR= 24, Spo2=99%. 12: 30PM: Emergency Medical called 01:30PM . V/S: B/P=140/89, T97.1, Pulse=88, RR=24--Pt verbalized the itching stopped including itching throat, no more dizziness. Pt walked out of facility with no assistance.

Other Meds: Birth Control

Current Illness: None

ID: 0987047
Sex: F
Age: 30
State: WI

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

Lab Data:

Allergies:

Symptoms: Pt has hx of epilepsy but did not inform staff of this. Pt received vaccine. Approximately 12 minutes in to 15 minute observation period, pt expressed she began to feel an aura. RN tended to pt. Pt was safely lowered to the ground where she was placed on her right side. Pt was alert but not responding to RN questions, thus EMS was called as a precautionary. Seizure activity described as full body movements began and lasted approximately 30-40 seconds. EMS arrived post seizure. Post seizure, pt alert and answering questions appropriately. Declined going to hospital via EMS. RN placed call to pt boyfriend who came and picked up pt from the West Allis health department.

Other Meds: Pt states she takes several anti seizure medications

Current Illness:

ID: 0987049
Sex: F
Age: 76
State: CA

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

Lab Data:

Allergies: NKA

Symptoms: No anaphylaxis. Pt developed fatigue the day after and sore arm. Pt developed a red non-bumpy rash on site of shot, about 3-4 inches in diameter, which continue to remained 2-3 weeks after the shot

Other Meds: Levothyroxine

Current Illness:

ID: 0987050
Sex: F
Age: 41
State: CA

Vax Date: 01/07/2021
Onset Date: 01/15/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Rash on right upper arm that received the vaccine noted on day #8 post vaccination. Irregular red, blotchy rash, warm to touch. Applied cortisone cream which helped. Had a Telehealth visit with Primay Care Provider. Rash disappeared completely by 1/18/21.

Other Meds:

Current Illness:

ID: 0987051
Sex: M
Age: 32
State: AR

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

Lab Data: none

Allergies: unknown

Symptoms: fever

Other Meds: unknown

Current Illness: unknown

ID: 0987052
Sex: F
Age: 66
State: CA

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

Lab Data:

Allergies: Vibramyicen, Minocin, All Dairy Products !, Cantaloupe, Honeydew Melon, Pomegranates

Symptoms: Covid Arm

Other Meds: Verapamil, Wellbutrin, Lipitor, One a Day, Caltrate

Current Illness: None

ID: 0987053
Sex: F
Age: 67
State: WA

Vax Date: 01/20/2021
Onset Date: 01/27/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: none

Allergies: tetracycline, depakote, some dairy

Symptoms: During the first 24 hrs, symptoms included: redness, swelling and ache at site of injection; tiredness. On Jan 27th (7 days following vaccination) a large (2.5" X 4") red area formed around the injection site on my arm and it began to ache and itch. I also had diarrhea which began in the middle of the night (2 am on Jan 28), with a total of 3 episodes over 3 hours. That day I was very tired, experienced intestinal upset (w/ very small episodes of diarrhea) and my arm began to really ache and the swollen area became rather firm and hot. The intestinal episode is over but the hot red welt continues as of this report. Diarrhea is not a common condition for me.

Other Meds: Estradiol transdermal .025mg/day; Restasis .05%; fish oil,

Current Illness: none

ID: 0987054
Sex: F
Age: 32
State: FL

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: I tested negative for COVID-19 in March 2020. I was tested because I developed a sore throat and fever that broke within 48-72 hours. Approximately 3-4 months later I tested positive for antibodies.

Allergies: None

Symptoms: I had severe arm pain that radiates through my entire upper arm. I experienced fatigue, slight fever, chills, and malaise.

Other Meds: Wellbutrin, synthyroid, vitamins

Current Illness: None

ID: 0987055
Sex: F
Age: 53
State:

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

Lab Data:

Allergies:

Symptoms: COVID Vaccine Clinic. Upon staff member receiving second dose of vaccination, Team took staff member back to vestibule area for injection (proactive)due to previous reaction to first dose. Staff member was positioned supine on cart for injection. Within 5 minutes, staff member felt dizzy and became nauseated. Blood pressure 119/81 HR 90.Po2 at 100% on room air. Still complained of feeling faint and dizzy. Staff member remained supine and was monitored until symptoms subsided. 1550 Staff member was feeling much better. Symptoms gone per staff member. Staff member ambulated independently without dizziness. Staff member went home with husband in stable condition. Staff member encouraged to contact PCP for any further concerns. Staff member was evaluated in ED. fluids given, Zofran for nausea and Benadryl. CTOH was completed and resulted as no abnormalities. Staff member was discharged to home in stable condition.

Other Meds:

Current Illness:

ID: 0987056
Sex: M
Age: 70
State: CA

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

Lab Data: None

Allergies: Sulfa drugs

Symptoms: HE stated after he received his vaccine at 1301 and stood up he immediately felt dizzy and lightheaded. His vitals were taken- 138/85, O2 sat 98% RA, HR 69 (fluctuated between 65-69). He was given a bottle of water. He was alert, oriented, denies pain at the injection site. Admits to Hx of Afib which has resolved years ago, allergies to sulfur drugs and denies any other history. He was advised to wait another 20 min for observation. Patient also advised to diall 911 if he encounters issues later- verbalized understanding.

Other Meds: Neurotin

Current Illness: History of pinched nerve on right side of neck down to right arm

ID: 0987057
Sex: F
Age: 16
State: MT

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

Lab Data:

Allergies: NKA

Symptoms: Patient age is less than approved age of vaccine. She reported a very sore arm on 1/29/21 but no other side effects

Other Meds: Fluoxetine, Glucagon kit, Lamotrigine, BD insulin syringe

Current Illness: Type I Diabetic

ID: 0987058
Sex: F
Age: 47
State: NE

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

Lab Data: No medical treatment required at this time.

Allergies: Allergic to penicillin, compazine

Symptoms: Site where shot was given is red and warm to touch and slightly itchy. Symptoms began on day 8 following first dose of Moderna vaccine.

Other Meds: Women's multivitamin

Current Illness: None

ID: 0987059
Sex: F
Age: 67
State: NY

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

Lab Data:

Allergies: None

Symptoms: Moderna COVID?19 Vaccine EUA On the next day: Fever t=102.5 F, Severe fatigue, Nausea, Stomach Pain after taking Tylenol. Please note that in April 2020 I was sick with Covid-19 for almost 2 weeks. It might be possible that my reaction to the 1st dose is due to the presence of antibodies in my system, i.e. it's very similar to what many people experience after the 2nd dose.

Other Meds: Levothyroxine 88 mg Rosuvastatin 10 mg + CoQ10 200 mg Aspirin 81 mg Losartan Atenolol 12.5 mg Turmeric 1500 mg Multivitamins

Current Illness: None

ID: 0987060
Sex: F
Age: 66
State: ND

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

Lab Data: none

Allergies: Morphine Hives (High) High Allergic Reaction 9/16/2013 Past Updates... Contrast [Diagnostic X-ray Materials] Other (Specify in Comments) Not Specified Allergic Reaction 9/16/2013 Past Updates... IVP dye at one time but has had it since with no problem Nsaids

Symptoms: patient states that about 2-3 hours post vaccine arm became very swollen red , hot to touch and sore. Pt says that she iced and took Tylenol and day after is now much better

Other Meds: escitalopram (LEXAPRO) 5 mg tablet Take 1 tablet (5 mg) by mouth 1 time per day levothyroxine 50 mcg tablet (Expired) Take 1 tablet (50 mcg) by mouth 1 time per day clidinium-chlordiazePOXIDE (LIBRAX) 2.5-5 mg capsule TAKE ONE TO TWO TABL

Current Illness: No

ID: 0987061
Sex: M
Age: 81
State: IL

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

Lab Data: None

Allergies: None

Symptoms: chills, slight headache

Other Meds:

Current Illness: None

ID: 0987062
Sex: F
Age: 25
State: NC

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

Lab Data:

Allergies: Gluten intolerance

Symptoms: Numbness/tingling in bottom lip around 3 hours after shot, went away around 6 hours after shot Woke up next day with significant muscle aches, fatigue mainly in my upper body (arms, neck, back). As the day progressed, dizziness and brief period of accelerated HR (have had incidents of elevated HR a couple months ago before receiving the vaccine)

Other Meds: Paroxetine Sprintec

Current Illness: None

ID: 0987063
Sex: F
Age: 84
State: LA

Vax Date: 01/14/2021
Onset Date: 01/22/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: n/a

Allergies: penicillin

Symptoms: Approximately 8 days after 1st Covid 19 ( Moderna) vaccination, patient developed a large red area around injection site. she came by the pharmacy 7 days after this started and first informed the pharmacy. The patient commented the area has been getting larger each day. We measured the red area; the dimensions were 3.5" x 3". It was warm and hard. It was recommended to her to take diphenhydramine.

Other Meds: tylenol after vaccination crestor omeprazole amlodipine trazadone hydrochlorothiazide

Current Illness: n/a

ID: 0987064
Sex: M
Age: 52
State: IL

Vax Date: 01/22/2021
Onset Date: 01/27/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies: Pollen, dust, ragweed

Symptoms: headache fatigue nausea

Other Meds: Clonazepam .25mg, 1 per day Oxcarbazepine 300mg, 2 per day Trazodone 50mg, 1 per day Wellbutrin 150mg, 1 per day Albuterol sulfate (2 puffs per day)

Current Illness:

ID: 0987065
Sex: F
Age: 53
State: IN

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

Lab Data: N/A

Allergies: PCN

Symptoms: Body aches, fever, severe migraine headache Took Motrin Symptoms subsided

Other Meds: Multivitamin, Probiotic, Brisdell

Current Illness: N/A

ID: 0987066
Sex: F
Age: 37
State: CA

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 5 minutes after the injections, body warm with a flushed Sensation throughout entire body. Felt oozy, dizzy, sat about 5 minutes. At location where she did receive the injection, was juice, crackers. Sore arm for 2 days.

Other Meds:

Current Illness:

ID: 0987067
Sex: F
Age: 63
State: AZ

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

Lab Data:

Allergies:

Symptoms: Lightheadedness, Nausea, Vomiting,

Other Meds:

Current Illness:

ID: 0987068
Sex: F
Age: 36
State: IN

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

Lab Data:

Allergies:

Symptoms: Headache body aches fever. Now my arm is red and hot and my lymph node in that arm is swelled.

Other Meds:

Current Illness:

ID: 0987069
Sex: F
Age: 75
State: VA

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

Lab Data: none

Allergies: Cipro-stomach problem

Symptoms: I noticed that same afternoon one side of my mouth/throat was sore, in the back on the left. I tried gargling with salt water, then later with baking soda in water. Ate some yoghurt later. No real difference. Today (next day) I see white blotches on side of tongue in back. I feel fine other than this, no other adverse reactions. Hurts....bothersome still in the back of my throat when talking or eating.

Other Meds: Prozac 20, Wellbutrin 150xr, Singulair 10, Flonase

Current Illness: none

ID: 0987070
Sex: F
Age: 49
State: AZ

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

Lab Data: None performed

Allergies: Not aware of any allergies reaction to anything

Symptoms: Hives all over body, includes neck. Swollen lips and eyes.

Other Meds: No medications

Current Illness: No symptoms

ID: 0987071
Sex: F
Age: 35
State: HI

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

Lab Data: none

Allergies: Benzonatate

Symptoms: 830am vaccinated, 12pm mild-mod headache and fatigue (sore arm at inj site), persisted, 10pm worse headache, fatigue, mild body aches started at shoulders and upper back and neck, able to fall asleep by 11pm, woke up at 1am in severe pain, migraine, head pressure, joint pain of every joint in my body, hands were swollen, felt like my joints were pulsating, very painful to bend or move any of my joints, muscle aches so bad any tiny movement hurt, even lying still hurt my back because of the pressure onto my back, even my spine felt tender, stiff neck I could barely look down or up but i could turn head left and right, stomach ache and nausea, my arm that was given vaccine was severely in pain and tender to touch and swollen at area of inj. There was light headed sensation w/ movement and position, pressure in my head felt like my head was going to explode and my eyes were burning. Because so severe, I took 1000mg tylenol, lathered by entire body in eucalyptus oil and peppermint on my hands, I was able to fall asleep at 3am but it was restless sleep I kept waking up because any movement I made in bed I'd have severe pain. 6am I felt moderately better all symptoms 50% improved, applied eucalyptus oil on again, started work at 730am I could barely function at work I have brain fog, just thinking focusing eyes concentrating makes migraine worse, +photopphobia, phonophobia, just typing is very hard to do because it hurts my joints, the vertigo worsened and the slightest looking down to the keyboard while typing causes lightheaded sensation. No improvement and it's now almost 1pm. I didn't take any pain medication or apply any essential oils.

Other Meds: Wellbutrin XL, modafinil

Current Illness: None

ID: 0987072
Sex: M
Age: 34
State: IL

Vax Date: 01/10/2021
Onset Date: 01/11/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies: Sulfa

Symptoms: Tender mass the size of my fist developed on armpit under vaccine arm.

Other Meds: Zolpidem

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm