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: 0988319
Sex: F
Age: 41
State: SD

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

Lab Data:

Allergies: Corn, kiwi, gluten

Symptoms: Started within 2 hours of vaccination. Chills, fever, dizziness, nausea, widespread itching,/rash, swollen arm, joint pain, abdominal pain, diarrhea, tingling in arms and legs, tongue.

Other Meds: Lamotrigine, vraylar, magnesium, levothyroxine, spironolactone, Wellbutrin, baby aspirin, vitamin D, benedryl, Dramamine

Current Illness:

ID: 0988320
Sex: F
Age: 23
State: MS

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

Lab Data: COVID-19 nasal swab (PCR) collected on 1/30/21- results pending

Allergies: Codeine, Sulfa

Symptoms: Patient report that she received her 1st covid-19 vaccine yesterday (1/29). Today (1/30) having congestion, loss of taste, chills, headache. Denies fever.

Other Meds: Minastrin 24 Fe

Current Illness: none

ID: 0988321
Sex: F
Age: 77
State: NV

Vax Date: 01/21/2021
Onset Date: 01/28/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: On day 7 after vaccine a red rash ( dotted spots like pimples) developed at vaccine site covering Approx 4" in diameter. The next day the whole area turned into one large red spot approx. 4" in diameter. There is an itch and slight swelling with slight pain. Also warm to the touch.

Other Meds: synthroid

Current Illness: none

ID: 0988322
Sex: M
Age: 81
State: AZ

Vax Date: 02/03/2021
Onset Date:
Rec V Date: 01/30/2021
Hospital:

Lab Data:

Allergies:

Symptoms: COVID 19

Other Meds:

Current Illness:

ID: 0988323
Sex: F
Age: 64
State: CA

Vax Date: 01/08/2021
Onset Date: 01/16/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: none

Allergies: Sulfa

Symptoms: Severe rash on arm, near injection site, and extending to elbow. Very red, sore, and itchy. Lasted 3 days. No treatment.

Other Meds: Tymlos Vitamin D Calcium Magnesium

Current Illness:

ID: 0988324
Sex: F
Age: 58
State: NC

Vax Date: 01/05/2021
Onset Date: 01/19/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data:

Allergies: nkda

Symptoms: patient has terrible place on her arm where immunization was administered - bad skin reaction nearly one month later. still red with scabbing and itching.

Other Meds: levetiracetam

Current Illness: no

ID: 0988325
Sex: F
Age: 60
State: MI

Vax Date: 01/06/2021
Onset Date: 01/26/2021
Rec V Date: 01/30/2021
Hospital: Y

Lab Data: Punch biopsy of rash with result pending at time of report.

Allergies: Codeine and morphine intolerance Sulfa antibiotics-prior hives seen on administration in her 20s

Symptoms: Onset of Petechial/purpural rash along BLE starting in thighs B/L with spread to abdomen and BUE. Probable Type III Hypersensitivity vs vasculitis. Came to hospital 01/28/2021. Treated with PO steroids 60 mg PO prednisone with rapid improvement. Testing still pending.

Other Meds: Hydrochlorothiazide last taken 2 weeks prior to vaccine administration Levothyroxine Albuterol as needed Daily multivitamin

Current Illness: None.

ID: 0988326
Sex: F
Age: 51
State: MD

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: None

Allergies: No

Symptoms: Red hot lumpy site painful sore , like a sunburn Bones ache , redness spreading

Other Meds: Vitamin D 2 50,000 Thyroid NP 1.5 GR 90 MG Bupropion xl 150 mg Atomoxetine 60 MG Losartan /HCTZ 50/12.5mg Estradiol .05 mg/day patch

Current Illness: None

ID: 0988327
Sex: F
Age: 69
State: NY

Vax Date: 01/20/2021
Onset Date: 01/25/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data:

Allergies: unknown

Symptoms: Moderna COVID-19 vaccine EUA- Patient came to the pharmacy on 1/30/21 at 9:15am. Her left arm was red, itchy and swollen. The red area extended 5.5" wide and 3.5" tall. Patient states that this began on Monday 1/25/21, 5 days after receiving the Moderna COVID-19 vaccine and was getting red and bigger each day. I marked the margins with pen and told her she needed to see her primary care doctor or go to an emergency care center as I was concerned about it being possible cellulitis or an allergic reaction. I also wrote her a note to have her doctor make a determination if she should receive the second vaccine if this was an allergic reaction, and if so, if she should have it in a hospital or doctors office better equipped to handle a severe allergic reaction if one was to occur. She was able to see a Nurse Practitioner at her doctors office. He prescribed Cephalexin 500mg three times a day and took pictures of her arm. NP told her he could not tell if it was cellulitis or an allergic reaction. The "clinical visit summary of today's visit diagnosis" was "cellulitis of left upper limb, adverse effect of vaccines and biological substances". NP was going to forward the picture and information to her primary doctor Dr. She was told that Dr. would be contacting her on Monday or Tuesday and would make a determination if she should receive the second dose in the Moderna series and if so, if she would have to have it in a hospital type setting.

Other Meds: unknown

Current Illness: unknown

ID: 0988328
Sex: F
Age: 38
State: VA

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

Lab Data: Blood panel- elevated liver results

Allergies: None

Symptoms: A cute allergic reaction with hives, sweating. Diarrhea, vomiting, hives.

Other Meds: Wellbutrin Tylenol Zinc supplement Vitamin D Vitamin E Multi vitamin B12

Current Illness: None

ID: 0988329
Sex: F
Age: 41
State: VA

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data:

Allergies: Allergic to synthroid, penicillin, environmental allergies

Symptoms: Swelling of eyelids, burning, hives on eyes face arms and legs. Fatigue joint aches. Started the morning after. My eyes lids are still swollen and burning but body hives have subsided. Fatigue and joint pain continue

Other Meds: Zyrtec Singulair Tirosint Liothyronine Prilosec

Current Illness: None

ID: 0988330
Sex: F
Age: 44
State: CO

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient was scheduled for the 2nd dose of the Moderna covid19 vaccine. However, the nurse administering the vaccine grabbed a Pfizer syringe instead. Patient inadvertently received the wrong vaccine for the second dose. Patient has not reported any additional symptoms.

Other Meds:

Current Illness:

ID: 0988331
Sex: F
Age: 67
State: CA

Vax Date: 01/21/2021
Onset Date: 01/29/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data:

Allergies: sulfa

Symptoms: Swelling, redness hot to touch

Other Meds: actemra, zovirex, ambien, lamictal, D3, Calcium, rovastatin, well butrin

Current Illness:

ID: 0988332
Sex: F
Age: 69
State: MD

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: None

Allergies: Phenagren

Symptoms: Gout like in left hand and in left knee around my TKR

Other Meds: Valsartan, Gabapentin, Aggrenox, Zetia, Hydrochlorothiazide, Lipitor, Potassium, Travatan, Symbicort, Rescue Inhaler, Nitrofurantoi Calcium, Multi-Vitamin, Cranberry, Magnesium, Fish Oil, Glucosamine, CQ10

Current Illness: None

ID: 0988333
Sex: F
Age: 23
State:

Vax Date: 01/30/2021
Onset Date: 01/30/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data:

Allergies: shellfish, aspirin, nuts

Symptoms: short of breath, throat itching,

Other Meds:

Current Illness:

ID: 0988334
Sex: F
Age: 62
State: VA

Vax Date: 12/23/2020
Onset Date: 01/09/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: None

Allergies: Tramadol

Symptoms: Approx 10 days after first vaccine developed red, mildly indurated, warm, itchy area approx 3 x 6 inches which took 8 days to resolve

Other Meds: Lisinopril np thyroid cytomel zyrtec vit d magnesium fish oil turmeric baby asa calcium diltiazem areds 2 vitamin

Current Illness: None

ID: 0988335
Sex: F
Age: 66
State: CA

Vax Date: 01/22/2021
Onset Date: 01/28/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: none

Allergies: lactose intolerant and bad reaction to sulfa antibiotics

Symptoms: swelling around where shot was given, red, itchy, grew to approximate of size of baseball under skin, hard to the touch, sore and kinda numb at the same time. Swelling, redness and itching first noticed Thursday, 1/28. Today, Saturday the swelling appears to be going down a bit, still sore and numb and itchy. I applied anti-itch cream and took Tylenol.

Other Meds: None

Current Illness: not to my knowledge

ID: 0988336
Sex: F
Age: 60
State: TX

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: None

Allergies: NKA

Symptoms: Several hours later developed rash in lower neck area at clavicle region - 5.5" length and 2" height. Red and feel some burning sensation and slight itch.

Other Meds: Pravastatin, Spironolactone, NP Thyroid, Multi-vitamin, Claritin, Fish oil, Cosamin, escitalopram, Bupropion hydrochloride, vitamin D3, calcium

Current Illness: none

ID: 0988337
Sex: F
Age: 21
State: WI

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

Lab Data:

Allergies: n/a

Symptoms: Nausea, insomnia, abdominal pain, fatigue/exhaustion, fever, chills, overheating, dry eyes, muscle aches and joint pain (more/different than usual related to health condition)

Other Meds: Duloxetine 20 mg, Fluoxetine 20 mg, Bupropion Xl 300 mg, Gabapentin 300 mg, Celecoxib 200 mg, Cyclobenzaprine 5-10 mg, Propranolol ER 60 mg, Ivabradine 7.5 mg 2/day, Low-Dose Naltrexone 6 mg, magnesium, methylcellulose, chondroitin with MSM

Current Illness: n/a

ID: 0988338
Sex: F
Age: 65
State:

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

Lab Data:

Allergies:

Symptoms: developed numbness/tingling of tongue, headache and also pain across chest, as well as high BP and HR. Given water, benadryl 50 mg IM with improvement of everything except chest pain. Sent to CSMC ER for further evaluation.

Other Meds:

Current Illness:

ID: 0988339
Sex: F
Age: 57
State: TX

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data:

Allergies: Compazine

Symptoms: Severe body aches, malaise, nausea, chills, rash on chest.

Other Meds: Zonergan, viibryd, fosteum plus, vitamin d, Prilosec, hydroxyzine, gabapentin

Current Illness: Liver bleeding.

ID: 0988340
Sex: F
Age: 60
State: RI

Vax Date: 01/24/2021
Onset Date: 01/26/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: none

Allergies: sulfa

Symptoms: Moderna COVID-19 Vaccine EUA 5 cm X 2 cm irregular macular erythematous rash starting about 3 cm below the injection site 2 days after vaccine with peak redness and extent on day 3 post vaccine. Slightly pruritic. Also seen after 1st dose, but not as large

Other Meds: ocrevus IV monthly, levothyroxine daily, biotin , CoQ10 daily MVI and Calcium with D twice weekly

Current Illness:

ID: 0988341
Sex: F
Age: 49
State: IL

Vax Date: 01/21/2021
Onset Date: 01/29/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Swelling,redness,increased warmth, hardness at injection site, itching,burning

Other Meds: Losartan and hydrochlorothiazide

Current Illness: None

ID: 0988342
Sex: F
Age: 38
State:

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: NO

Allergies: Nuts, Sulfate, Aspirin

Symptoms: PAIN AND REDNESS AT SITE OF INJECTION, HEADACHE, FEVER, FATIGUE, CHILLS, MUSCLE AND JOINT PAIN, THEETH AND MOUTH PAIN, VOMITING, BODY PAIN, LOSS OF APPETITE. TIME COURSE- WORST SYMPTOMS - TWO DAYS MILD SYMPTOMS- ONE DAY

Other Meds: Synthroid 125mg

Current Illness: Morbid Obesity, Hypothyroidism, Asthma

ID: 0988343
Sex: M
Age: 27
State: MI

Vax Date: 01/22/2021
Onset Date: 01/24/2021
Rec V Date: 01/30/2021
Hospital: Y

Lab Data: CMP (from 1/24/21 daily while being admitted) WBC (from 1/24/21 daily while being admitted) Ultrasound of abdomen 1/24/21) CMP - physicians have been trending the bilirubin. (7.3 highest 1/26 to 5.2 lowest 1/30/21) WBC - they have been watching the HGB closely. Pt has required transfusions of PRBC Ultrasound- "probable hepatomegaly with questionable fatty infiltration. Moderate splenomegaly. Correlate clinically for portal hypertension vs infectious splenomegaly: Pt is still currently hospitalized and labs are being monitored.

Allergies: Amoxicillin Penicillin azithromycin

Symptoms: Jaundice, abdominal pain, body aches. headache,nausea - started 1/24/21. HGB 6.8, low haptoglobin Pt has a had a history of hereditary stomatocytosis. When the patient had the shingles vaccine 5/2019,he had a similar reaction. Pt is requiring IV pain medications.

Other Meds: Albuterol Inh, Xanax 0.25 mg, Zytrec 10mg, Hibiclenz, vibramycin 100 mg, folic acid, ibuprofren, Airborne (not recently taken), MVI,sertraline

Current Illness: none listed

ID: 0988344
Sex: F
Age: 25
State:

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Fever up to 101 F - began in early afternoon the day after vaccine was given. Improved by taking ibuprofen in evening and gone by morning. (Tried to report with vsafe, but ran into technical problems, so I am reporting here instead).

Other Meds: None

Current Illness: None

ID: 0988345
Sex: F
Age: 58
State: MO

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: Provider's evaluation of rash - diagnosed Shingles

Allergies: Shellfish, Amoxicillin, Lidocaine

Symptoms: On Monday, January 25th at 1:20pm I received my first dose of the Pfizer vaccine. On the afternoon 1/26 /21 around 2pm had mild back and shoulder pain on the left side which I though was a mild reaction to the vaccine so I took tylenol and it went away. On the evening of the 26th 2 bumps on my back on which I thought were zits. On 1/27 bumps/rash on my left side where my bra underwire would be on the side. I thought it was irritation from my bra. Put neosoprin on it the morning of the 28th and wore a sports bra. Did not have much change on the 29th yet when I went to bed it was itchy burning and my back hurt. I called and got an appointment at Urgent care on the 30th and was seen by staff at 10:30 am, who said it was Shingles and started me on a round of Valacyclovir 1gm for 7 days. I have never had Shingles before. She directed me to report this information to VAERS.

Other Meds: multi vitamin, b complex, C, D, Calcium, Turmeric, Zinc, melatonin, quercetin

Current Illness: None

ID: 0988347
Sex: F
Age: 67
State: IN

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Headache, muscle ache, severe chill, fever

Other Meds: Pravastatin, sertraline, levothyroxine, lisinopril

Current Illness:

ID: 0988348
Sex: F
Age: 77
State: CO

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

Lab Data:

Allergies: Kelflix

Symptoms: Dizziness, Chills, Diarrhea Nausea Weakness, Tiredness

Other Meds: Levothyroxine ,Lisinopril, Prednisone, Montelukast, Glipizide, Leflunomide, Potassium Chloride , Metoprol Tar, Metformin, Omeprazole, Atorvastatin, Aspirin 81mg, Calcium, Vit C.

Current Illness: None

ID: 0988349
Sex: M
Age: 58
State: NY

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

Lab Data:

Allergies:

Symptoms: fever,chills,pain in the arm

Other Meds: Metropolol 50 mg

Current Illness:

ID: 0988350
Sex: F
Age: 41
State: IL

Vax Date: 01/30/2021
Onset Date: 01/30/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: None

Allergies: Sulfa drugs

Symptoms: Rash, itchy all over body, fever, chills, headache

Other Meds: None

Current Illness: None

ID: 0988351
Sex: F
Age: 36
State: OR

Vax Date: 01/22/2021
Onset Date: 01/29/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: CBC DONE IN CLINIC

Allergies: PENICILLIN

Symptoms: HEADACHE, FEVER, FATIGUE, LOCALIZED SWELLING AND REDNESS AND PAIN IN LEFT ARM 6 DAYS POST VACCINE

Other Meds: NONE

Current Illness: NONE-HAD FEVER ONE WEEK PRIOR TO VACCINATION BUT WAS NEGATIVE FOR COVID, SO THEY PROCEEDED WITH VACCINE

ID: 0988352
Sex: F
Age: 26
State: KY

Vax Date: 01/16/2021
Onset Date: 01/16/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data:

Allergies: no known allergies

Symptoms: Pfizer COVID- 19 Vaccine Pt received Pfizer COVID vaccine lot #EL3249. Pt sat for about 10 minutes, arm became itchy, gave diphenhydramine x 1 dose. Pt continued to sit for assessment for another 15 min. Pt stated she felt hot, but is typical for her to feel warm. No chest pain, SOB, blurred vision. Pt cleared to leave facility.

Other Meds:

Current Illness:

ID: 0988353
Sex: F
Age: 60
State: PA

Vax Date: 01/22/2021
Onset Date: 01/29/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: None

Allergies: Morphine, Tetracycline

Symptoms: One week (1/29/21) after receiving vaccine the injection site got swollen, red and itchy. No issues with injection site following injection on 1/22/21.

Other Meds: Calcium with Vitamin D, Biotin, Colace

Current Illness: None

ID: 0988354
Sex: F
Age: 63
State: IN

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: None, did not seek treatment, took Tylenol 500 mg every 4 hours until fever gone which was morning of the 3rd day after injection.

Allergies: No Known

Symptoms: Late evening after shot felt like was getting a cold, runny nose, tired. Next day had fever, high of 100.0 F, joint pain, headache, fatigue. Lasted about 24 hours, improved by second day after shot with minor fatigue for another day, by 3rd day felt normal.

Other Meds: Lipitor 20 mg daily Paroxetine 30 mg daily Hyzaar 50-12.5 daily Bupropion 150 mg daily One-a-Day Women 's 50+ daily Magnesium 500 mg daily Vitamin C 1000 mg daily Krill Oil 1000 mg daily

Current Illness: None

ID: 0988355
Sex: F
Age: 82
State: GA

Vax Date: 01/17/2021
Onset Date: 01/30/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: patient stated that starting at the injection site and moving down her arm about halfway to elbow, the area is red and warm to the touch; she stated that she only noticed it today (1/30/2021).

Other Meds: unknown

Current Illness: unknown

ID: 0988356
Sex: F
Age: 75
State: MD

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

Lab Data:

Allergies: none

Symptoms: 4:30 - 6:30 pm on 1/29/2021 nausea, chills, dry heaved, bowel purge (not diarrhea) No treatment -slept Fine after this event but tired

Other Meds: losartan, metoprolol, gabapentin, 81mg aspiring

Current Illness: none

ID: 0988357
Sex: F
Age: 37
State: ID

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

Lab Data: Did not go to ER because I don't have insurance.

Allergies: Monk fruit

Symptoms: 01-28-2021 Hard to breath, wheezing and hyperventilating, finger, lips, and toes turned blue, severe headache and ringing tinnitus, fever up to 102, about 2in diameter red spot below injection site. All over body/muscle soreness and irritability to being touched by anything. Unable to sleep at all Took ibuprofen naproxen , benedryl 01-29-2021 Breathing returned to normal, fever 100-99 for entire day and all over body/muscle soreness and irritability to being touched by anything and red spot remains Took ibuprofen , naproxen , benedryl 1-30-2021 Fever gone, soreness mostly gone, red spot remains

Other Meds: Hydrochlorothiazide about 1hr prior

Current Illness: NA

ID: 0988358
Sex: F
Age: 73
State: CA

Vax Date: 01/30/2021
Onset Date: 01/30/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: None.

Allergies: None reported.

Symptoms: Patient arrived to observation room around 11am following vaccination with Moderna dose #1, no distress noted, sitting in back of room. Around 11:05am, patient was seen by observation RNs as putting head down into hands and started to wave for assistance. Per patient, she felt hot, light-headed and faint. Patient's lower extremities were elevated on adjacent chair and 10LPM 02 administered via bag mask. Vital signs measured: p64, R22, BP120/76, 02:99%. Patient stated she felt mild "scratchiness" in her throat, which dissipated in less than 5 minutes. No presence or reports of angioedema, wheezing, shortness of breath, hypotension, rash/redness. Benadryl was drawn up and prepared in case of need for administration, Epipen also nearby. After about 20 minutes of sitting with legs elevated and O2 flowing, client reports feeling better, no longer feeling "scratchy" throat. Patient states she was anxious to receive vaccine and thinks symptoms are due to anxiety. Patient's husband present and assisted patient to car around 11:30am. No further intervention needed.

Other Meds: Not available.

Current Illness: Not available.

ID: 0988359
Sex: M
Age: 65
State:

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data:

Allergies:

Symptoms: injection site paid; fatigue; headache; muscle pain; fever; chills; joint pain; muscle cramps.

Other Meds:

Current Illness:

ID: 0988360
Sex: F
Age: 56
State: IN

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: Have not gone to dr this time will wait to see if lymph node swelling decreases and pain lessens. If not will call physician on 2/1/21 to schedule appt

Allergies: N/A

Symptoms: Extremely swollen and painful lymph glands located on L side collar bone. Same lymph glands became swollen 5 days after 1st injection and Dr. wanted to me to report them and I did. This time the morning after the injection the glands were extremely swollen so much so that my coworkers could see them on my collar bone. I also had with the 2nd vaccinatation fever, chills, headache and fatigue that I considered a normal reaction.

Other Meds: Wellbutrin, Losartan, Potassium, Singulair, Chlortalidone, Baby Aspirin, Meloxicam, Prilosec

Current Illness: N/A

ID: 0988361
Sex: M
Age: 72
State: IN

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

Lab Data:

Allergies:

Symptoms: Severe flu-like symptoms Dizziness Vomiting Weakness

Other Meds:

Current Illness:

ID: 0988362
Sex: F
Age: 54
State: IA

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Woke up 11 hours after dose with upset stomach, body aches. By next morning around 9:00 am had high fever (103 degrees) as well, called in sick to work x2 days.

Other Meds:

Current Illness:

ID: 0988363
Sex: F
Age: 69
State: DE

Vax Date: 01/18/2021
Onset Date: 01/25/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: none

Allergies: Durazol, erythromycin

Symptoms: Reddened, itchy, circular patch on injected deltoid area approx 3 1/2" diameter

Other Meds: atorvastatin, hydrochlorothiazide, amlodipine, levothyroxin

Current Illness: none

ID: 0988364
Sex: M
Age: 47
State: NC

Vax Date: 01/06/2021
Onset Date: 01/22/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: COVID nasal swab on January 27 which came back negative.

Allergies: None

Symptoms: Red raised rash at injection site next day. Sore right arm for several days. January 22 sneezing, congestion and cough started. Then joint pain and body aches. January 25 extreme fatigue and nausea and had to leave work. Coughing worsened and lead to shortness of breath for three days. Developed red raised rash on my face January 28. January 29 cough, congestion, muscle pain and fatigue gone, continue with joint pain and rash.

Other Meds: None

Current Illness: None

ID: 0988365
Sex: F
Age: 26
State: WA

Vax Date: 01/01/2021
Onset Date: 01/01/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data:

Allergies: Sulfa medication

Symptoms: My first dose went well. I just had a sore arm. 8 days prior to my second dose I was covered in thick hives head to toe. I went to and urgent care, the ER, saw my PCP, and got established with a dermatologist within those eight days who put me on predisone and Pepcid. Nothing was helping and the day of my second dose I still had hives all over my body, but about three hours after my shot, they were almost completely gone. Not sure if the vaccine had something to do with that or if it was a coincidence. Other than that I felt fantastic after my second dose.

Other Meds: Prednisone, and pepcid

Current Illness: Hives for 8 days prior to getting my second dose of vaccine.

ID: 0988366
Sex: F
Age: 65
State: NJ

Vax Date: 01/20/2021
Onset Date: 01/27/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: One week after shot experiencing severe joint pain, especially in my wrists and fingers

Other Meds: Sertraline, Buspirone, Lipitor, Caltrate +D; Restasis, Align

Current Illness: Sjogrens

ID: 0988367
Sex: F
Age: 52
State: RI

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: Had rapid strep test on 1/28 at MD office which was negative

Allergies: None

Symptoms: Headache fever , temp 102 at 3 AM and hallucinations, red raised rash surrounding injection site, on 1/30 night sweats, sore throat

Other Meds: Triamterene Breo Albuterol

Current Illness: Positive for Covid on 1/4 Negative for Covid on 1/12

Date Died: 01/22/2021

ID: 0988369
Sex: M
Age: 82
State: IL

Vax Date: 01/19/2021
Onset Date: 01/21/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: aspiration pneumonia/death

Other Meds: Carvedilol Citalopram Phenytion Olanzapine

Current Illness:

ID: 0988370
Sex: F
Age: 57
State: MA

Vax Date: 01/04/2021
Onset Date: 01/11/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Developed red warm raised rash around injection site 1 week after injection. Site itchy and irritated for three days

Other Meds: Multi vitamin, Climara patch

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm