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: 0991854
Sex: F
Age: 67
State:

Vax Date: 01/23/2021
Onset Date: 01/23/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies: nkda

Symptoms: sensation of swelling, shortness of breath

Other Meds:

Current Illness:

ID: 0991855
Sex: M
Age: 54
State: SC

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: None

Allergies: NKA

Symptoms: An immediate increase in heart rate, followed by a tingling in the back of the throat and tingling of the lips. Adverse reaction resolved after one hour and 30 minutes.

Other Meds: Benazepril, Lipitor, Xanax, Elavil, Levemir, Novolog

Current Illness: None

ID: 0991856
Sex: M
Age: 63
State: VA

Vax Date: 01/26/2021
Onset Date: 01/29/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: none, as problem has resolved

Allergies: sensitivity to Haldol

Symptoms: lip swelling

Other Meds: aspirin, Symbicort inhaler, Celexa, Depakote ER, Colace, ferrous sulfate, lisinopril, lorazepam, melatonin, simvastatin, Spiriva inhaler, tamsulosin, ibuprofen when necessary

Current Illness: hypertension, hyperlipidemia, benign prostatic hypertrophy, organic, impulse control disorder, organic affective disorder, chronic obstructive pulmonary disease

ID: 0991857
Sex: F
Age: 61
State: AK

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies:

Symptoms: pt c/o tingling in mouth, lips, throat approx 5 minutes post injection.

Other Meds:

Current Illness:

ID: 0991858
Sex: F
Age: 45
State: AZ

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

Lab Data: Vital signs monitoring by paramedics

Allergies: None

Symptoms: 1 minute after injection felt a very uncomfortable sensation of heat come over entire body, I felt heart palpitations and a sensation that my heart was racing. I then became lightheaded and dizzy and my hands and lips/cheeks became numb and tingling and I got very shaky. I summoned paramedics who came and took vitals and my heart rate was in 130s with blood pressure of 200/110, I have no prior history of high blood pressure or high resting heart rate. Blood pressure came down to 160/92 within 30 minutes, other symptoms improved and I was cleared to leave vaccination site. Intermittent numbness in face and hands and general shakiness persisted through the next 12 hours and heart rate stayed 100-120 and blood pressure was elevated for 12 hours before returning to my usual results.

Other Meds: Multivitamin Vitamin B complex Vitamin D Zinc

Current Illness: None

Date Died: 02/01/2021

ID: 0991859
Sex: M
Age: 89
State: IL

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

Lab Data:

Allergies:

Symptoms: Per granddaughter's report, pt became very weak within hours of receiving the first dose of the Moderna COVID-19 vaccine and could not get out of bed the next morning without assistance, reported difficulty seeing, and did not recognize some family members. By Sunday, 1/31, pt was unable to be awakened, would not eat, and had low urinary output. Granddaughter reports that the morning of 2/1 he was awake and ate a small amount and seemed to be improving although still weak and unable to get out of bed. Granddaughter reported he died 2/1 around 10am in the morning.

Other Meds:

Current Illness:

ID: 0991860
Sex: M
Age: 72
State: IN

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

Lab Data:

Allergies:

Symptoms: He received the 1st shot of Moderna vaccine at 8:15 am. Around 5:00 PM, he experienced chills (was not able to take temperature), nausea, and loss of appetite. This lasted throughout the first evening. No adverse side effects the second day.

Other Meds:

Current Illness:

ID: 0991861
Sex: F
Age: 40
State: CA

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies: Sulfa

Symptoms: Post Inj. day 3 swollen painful lymph nodes right axillary armpit. Day 9 pain has resolved but lymph is still swollen. Day 16- lymph nodes resolved.

Other Meds: None

Current Illness: None

ID: 0991862
Sex: F
Age: 47
State: NY

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 02/01/2021
Hospital:

Lab Data: Unknown

Allergies: Unknown

Symptoms: Vaccine administration error. It is suspected that a 1/2? needle syringe was used instead of a 1? needle syringe IM.

Other Meds: Unknown

Current Illness: Unknown

ID: 0991863
Sex: M
Age: 25
State: FL

Vax Date: 01/28/2021
Onset Date: 01/30/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies: Lactose Intolerance

Symptoms: Shortness of breath at rest, chest tightness, coughing with deep breathing: approx. 48 hours after the vaccination Otherwise, normal flu-like symptoms between 12 to 24 hours: - pounding headache - night sweats - feverish - muscle aches - fatigue

Other Meds: Multivitamins

Current Illness:

ID: 0991864
Sex: F
Age: 65
State: CA

Vax Date: 01/18/2021
Onset Date: 01/23/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies:

Symptoms: One Inch Diameter Oval Bruise around Injection Site which is Yellow, Blue and Red Blood Shots. It happened almost week after. Arm is still very sore. Sometimes throwing sensations. No fever. No chills. Can't see any swelling. Still Bruised up and Bloody spots around in the oval shape around injection site.

Other Meds: Ozempic, Synthroid, Crestor, AZOR

Current Illness: None

ID: 0991865
Sex: M
Age: 67
State: GA

Vax Date: 01/19/2021
Onset Date: 01/21/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: after having sex there is no sperm. this has never happened before. i just want you to know if i was planning on having any children i would not recommend takeing the shot

Other Meds: metormin 1000 mg twice a day lisinpril 40 mg once a day

Current Illness: none

ID: 0991866
Sex: F
Age: 65
State: CA

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

Lab Data: Just temperature readings

Allergies: Sulfa drugs, latex, eggs, milk products,

Symptoms: Started with a tight vice like headache about 2 hours after dose, Body aches and more severe headache as the afternoon wore on. No appetite or energy to do anything my lie in be. Woke up with from a deep sleep at 2:30 am with a fever of 102.2. Took Tylenol. Headache still present and very intense. Fever came down at about 7:30am. Headache still intense, Fever is back up to 101.6 took another Tylenol. Fever came down to 100.6 and stayed steady till 11:15p.m. Slept till 6:00am Monday morning fever is gone. Head ache is almost gone. Appetite is back These are the exact same symptoms I had when I had COVID-19 in March 2020. They just lasted 2 days rather than 6 days

Other Meds: Armour thyroid, estradiol patch, progesterone, fish oil, Vit D, multivitamin, zinc, chromium, bromalein

Current Illness: No illness

ID: 0991868
Sex: F
Age: 46
State: UT

Vax Date: 01/22/2021
Onset Date: 01/29/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: No tests yet Saw doctor on 1/30/21

Allergies: None

Symptoms: Itchy rash appeared on my bra line and within hours spread to my arms and stomach. Later in the night spread lower to my belly and groin and head/scalp. By the next day was all over my body, legs, and back in addition to the above. Red raised bumps and swelling, extremely itchy!! At this time it has been 3 days and no improvement. Saw a doctor he prescribed 3 days of prednisone and Benadryl. I have been taking both, no improvement. Have been soothing with oatmeal baths, have tried anti itch cream (doesn?t work), applying coconut oil with a couple drops of tea tree oil to help soothe itching.

Other Meds: Effexor; Prilosec; sumatriptan; vitamin c, B, D, creatine; magnesium; move free supplement; zinc with copper

Current Illness: No illness but I did cut my finger and have sutures 4 days prior to the vaccine

ID: 0991869
Sex: F
Age: 64
State: OK

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

Lab Data:

Allergies: Aspirin, penicillin, sulfa drugs, toradol - all unknown reactions per EHR

Symptoms: Patient received 2nd COVID vaccine on 1.28.2021. Patient states she experienced fever, vomiting, headache, and body aches beginning a few hours after receiving the second vaccine. Patient states all side effects except for the fever have resolved as of this morning. Patient also reports that she began having hallucinations this morning (2/1). She says she is seeing spiders all over her home. Put the patient on hold and reached out to family practice staff. Patient states that hospice nurse is coming at 1:30pm today. I told the patient about informing her PCP due to the hallucinations. The patient does not voice any other complaints. Instructed the patient to seek emergency care for severe/concerning symptoms

Other Meds:

Current Illness:

ID: 0991870
Sex: M
Age: 17
State: MI

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

Lab Data:

Allergies:

Symptoms: Error: Too Young for Vaccine

Other Meds:

Current Illness:

ID: 0991871
Sex: M
Age: 69
State: CA

Vax Date: 01/30/2021
Onset Date: 01/31/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: EKG and Sonogram - normal 1/31/2021 Covid Test - result after 72hrs. 1/31/2021

Allergies: None that I know of

Symptoms: Chill and fever

Other Meds: Amlodipine, Atorvastatin, Atenolol, Aspirin, Cetirizine, Allopurinol, Colchicine, Micardis. Emergen C, Align Probiotic

Current Illness: None

ID: 0991872
Sex: M
Age: 58
State: IN

Vax Date: 01/30/2021
Onset Date: 01/31/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: I received the second covid vaccine dose Sat afternoon. On Sunday I woke up with flu like symptoms, body-aches, temperature, headaches. I did not call my Dr. Drank fluids and slept. Monday morning started feeling better.

Other Meds: None

Current Illness: None

ID: 0991873
Sex: F
Age: 67
State: PA

Vax Date: 01/22/2021
Onset Date: 01/30/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies: Allergic to several antibiotics - reaction intestinal Allergy to adhesive on surgical tape

Symptoms: On day 8, I awoke with itching and when I looked at my arm, there was a circular red rashy area around shot site.

Other Meds: Simvistatin 20 mg once daily Vitamin D and Vitamin C daily

Current Illness: none

ID: 0991874
Sex: F
Age: 80
State: WI

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

Lab Data: none

Allergies: adhesive

Symptoms: Dull Headache coming and going. Nausea starting on Sunday, January 31, continuing on Monday, February 1. Pain in lower abdomen.

Other Meds: hydrochlorothiazide, metoprolol, multivitamin, vitamin e, potassium, vitamin C, zinc

Current Illness: cold

ID: 0991875
Sex: F
Age: 41
State: CO

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies: Drug allergies UTD per DOD records; since youth recurrent rash with cold water, also wine and beer can cause hives - has never gotten a flu vaccine; but no h/o adverse reaction to routine vaccines otherwise

Symptoms: morning after first Vaccine dose started early menstruation, exhaustion, HA, myalgias, arthralgias without fever; + nausea and lack of appetite without v/d- lasted ~48-72 hrs - rash started 1/21 on LT upper arm at previous injection site - redness, swelling and warmth; + itchy and tender; can't lay on LT side due to pain; with some chest heaviness

Other Meds: ibuprofen 400mg ~24hrs after vaccine

Current Illness: none

ID: 0991876
Sex: F
Age: 52
State: PR

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Headaches, soar throat, body aches, pain in the pulmonary area. 2 days now.

Other Meds: Clonopin, lipitol, zirtec, Pedsin,.

Current Illness: Unknown.

ID: 0991877
Sex: M
Age: 69
State:

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

Lab Data:

Allergies:

Symptoms: Rash at site area, low grade fever. muscle and joint pains, headache, fatigue, chills set in aprox 24 hours after receiving vaccine.

Other Meds:

Current Illness:

ID: 0991878
Sex: M
Age: 80
State: MD

Vax Date: 01/28/2021
Onset Date: 01/30/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies: mold dust

Symptoms: blurred vision chills white hands fever muscle pain confusion swelling and redness in limbs headache

Other Meds: oxycodone gavapentin selexa asprin

Current Illness: depression

ID: 0991879
Sex: F
Age: 38
State: RI

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

Lab Data:

Allergies: none known

Symptoms: Swelling of injection site two weeks after injection. Sustained tingly sensation in left pinky finger 3 weeks after vaccination.

Other Meds: Multi-vitamin Zinc

Current Illness: none known

ID: 0991880
Sex: F
Age: 61
State: WA

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

Lab Data: Pt left Ed without being seen.

Allergies: Aspirin, Ibuprofen, Nsaids, bactrim, chicken, contrast, corn, egg, gluten meal, Lamotrigine, reglan, sesame oil, soybean

Symptoms: Pt reported chest pain as well as headache, blurry vision and dizziness. BP was found to be 208/110. EMS was called and pt was transported to ED via private car due to pt not wanting to go by ambulance. Per chart notes, pt presented to ED and also reported hives however she left the ED without being seen.

Other Meds: Norvasc, Adderall, Pulmicort, Fioricet, Bentyl, Prozac, Lasix, Toradol, Synthroid, Skelain, Nucynta, Priolosec, Imitrex, Vitamin D, Ambien

Current Illness:

ID: 0991881
Sex: F
Age: 70
State: CA

Vax Date: 01/20/2021
Onset Date: 01/29/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: None

Allergies: Sulfa

Symptoms: swelling and large redness

Other Meds: Mg 500mg; fiber; Biotin; Omega 3; Tamoxifin; Vit. D 2000;

Current Illness: None

ID: 0991882
Sex: M
Age: 75
State: NC

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 02/01/2021
Hospital: Y

Lab Data: PAtient transfreed to a higher level of care hospital

Allergies: NKA

Symptoms: Patient had fever, chills, tachycardia and projectile vomiting.

Other Meds: 1) ACETAMINOPHEN TAB 650MG PO TID 2) AMLODIPINE TAB 5MG PO QDAY 3) ASPIRIN TAB,EC 81MG PO QDAY 4) ATORVASTATIN TAB 10MG PO AT BEDTIME 5) CARBOXYMETHYLCELLULOSE SODIUM SOLN,OPH 3 DROPS B

Current Illness: 1. Acute-on-chronic renal failure 2. COVID-19 3. Long-term current use of insulin16. Esophagitis 17. Cognitive impairment 4. Diabetic nephropathy 5. Dry eyes 6. Adhesive capsulitis of right shoulder 7. Oropharyngeal dysphagia 8. OA - Osteoarthritis (SCT 396275006) 9. COPD - Chronic Obstructive Pulmonary Disease (SCT 13645005) 10. Anemia of chronic disease 11. Debility 12. Major depressive disorder 13. Hyperparathyroidism due to renal insufficiency 14. Diabetes mellitus 15. Hyperlipidemia 16. Benign hypertension 17. Degeneration of lumbar intervertebral disc

ID: 0991883
Sex: M
Age: 56
State: NY

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 02/01/2021
Hospital:

Lab Data: Unknown

Allergies: Unknown

Symptoms: Vaccine administration error. It is suspected that a 1/2? needle syringe was used instead of a 1? needle syringe IM.

Other Meds: Unknown

Current Illness: Unknown

ID: 0991884
Sex: F
Age: 26
State: HI

Vax Date: 01/26/2021
Onset Date: 01/31/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Swollen lymph node in neck on left (injection) side

Other Meds: Sronyx brand birth control, Duloxetine, Bupropion

Current Illness: none

ID: 0991885
Sex: F
Age: 68
State: FL

Vax Date: 01/18/2021
Onset Date: 01/21/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Very itchy Rash that started in both arms and now spreading to chest, face and legs.

Other Meds:

Current Illness:

ID: 0991886
Sex: F
Age: 75
State: TX

Vax Date: 01/16/2021
Onset Date: 01/23/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: N/A

Allergies: N/A

Symptoms: On 01/23/2021, one week after getting vaccine, my arm was swollen, itchy, achy and red at injection site. As of 02/01/2021, it is no longer itchy or swollen, but it is still achy and slightly red. Most notably is the ache.

Other Meds: Ibandronate Sodium Vit E Vit C Vit D Omega 3,6,9 I-Caps w/Lutein & Zeaxanthin Via tic Calcium Vit B-Complex

Current Illness: N/A

ID: 0991887
Sex: F
Age: 22
State: NH

Vax Date: 01/22/2021
Onset Date: 01/31/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies: Tree nuts

Symptoms: Inflammation at the injection site. Redness, swelling, soreness, hot to the touch on day 1. 2in diameter circle around injection site. Pink, less swollen, larger surface area, warm to the touch on day 2. Down the entire bicep in splotches.

Other Meds: Junel Fe (birth control)

Current Illness: None

ID: 0991888
Sex: F
Age: 68
State: WI

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

Lab Data:

Allergies:

Symptoms: A patient was being administered the Moderna vaccine, however, the needle was not attached securely to the syringe. This caused the vaccine to leak during administration. The patient was a retired RN who verbalized she could feel the liquid running down her arm immediately and does not believe she received any of the vaccine. The patient stated she had 3 drops on her sleeve. Patient was questioned how many ml she would estimate the 3 drops were? and she stated 2 ml. Considering we only give 0.5 ml, most likely conclusion is she indeed the patient did not receive the vaccine. Per CDC If less than a full recommended dose of a vaccine is administered because of syringe, applicator, or needle leakage, the dose should be repeated. The patient has been rescheduled to return to the clinic this Wednesday February 3, 2021 to receive her first dose of Moderna as recommended.

Other Meds:

Current Illness:

ID: 0991889
Sex: F
Age: 75
State: OH

Vax Date: 01/30/2021
Onset Date: 01/31/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies: sulfa gives headache

Symptoms: chills bad headache weakness sensitive skin back pain aches all over

Other Meds: sertraline 100 mg atorvastatin 40mg prasugrel 5mg centrum silver

Current Illness: tested positive for covid december 30

ID: 0991890
Sex: F
Age: 64
State: VA

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

Lab Data: none

Allergies: Cipro Flagyl Augmentn Sulpha Ammoxicillian Gentimicin Zithromax Nuts Bees Tuna

Symptoms: Sever Headache, body aches, chills, Joint pain, Exhaustion, nausea for approximately 2 days. Still feeling extremely tired and rundown. I was told not to take Tylonel because my "immune system" needs to do its job. I have an Immune Deficiency (CVID) and infuse gamma globulin 2x weekly.. I believe that if I was able to take Tylonel at the onset my reactions wouldn't have been so severe. Immune Deficiency cannot fight off viruses.

Other Meds: none

Current Illness: Hypogammaglobulinemia Asthma Hypothyroidism

ID: 0991891
Sex: M
Age: 67
State: NJ

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: Yes

Allergies: Statins, pollen

Symptoms: Pain in the arm. While sitting watching TV the pain started moving around to different joints. Out of nowhere his blood pressure went to 178/127. Took 2 aspirins. and one of his prescriptions. It started going down. It took a day to normalize. Still having the joint pain. Went to the doctor they are running test.

Other Meds: Carvedilol 25mg , Livalo 2mg, Eplerenone 50mg, Digoxin 125mg, Furosemide 20mg, Eliquis 5mg, Losartan Potassium 100mg, Montelukast SOD 10mg, Plavix 75mg, Amlodipine Besylate10mg, Trilogy, Vitamin D3, B2 400mg, Magnesium 500mg, Airborne, mu

Current Illness: no

ID: 0991892
Sex: F
Age: 77
State: MI

Vax Date: 01/27/2021
Onset Date: 02/01/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies: Simvastatin

Symptoms: Patient arrived in ED with new onset A-fib w/RVR

Other Meds: Amlodipine, vitamin D, vitamin E, hydrochlorothiazide, meloxicam, potassium

Current Illness: none

ID: 0991893
Sex: F
Age: 29
State:

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

Lab Data:

Allergies:

Symptoms: Chills Body aches Fatigue Headache

Other Meds:

Current Illness:

ID: 0991894
Sex: F
Age: 75
State:

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

Lab Data:

Allergies:

Symptoms: Chills, nausea, fever(102) Saturday except for temperature of 100 all symptoms were gone.

Other Meds:

Current Illness:

ID: 0991895
Sex: M
Age: 67
State: UT

Vax Date: 12/17/2020
Onset Date: 12/17/2020
Rec V Date: 02/01/2021
Hospital:

Lab Data: None. Had routine physical in January with normal camp, psa, normal ldl, hdl, total cholesterol, mild elevated triglycerides, normal psa

Allergies: Seasonal allergies multiple (ragweed, sagebrush, dogs, cats, many pollens

Symptoms: Urticaria. Very mild about one week after first dose on December 17 (ignored and not linked to vaccine in retrospect. Went away after a week). More severe urticaria starting on January 29 ( with second vaccine on January 17. Urticaria, pruritic rashes on extremities, back, chest, behind ears. A sense of itching in throat. A sense of fullness in lips but no angioedema. Some fatigue and mild malaise

Other Meds: Celexa, Crestor, Zyrtec, Ocuvite, Mvi, Flonase, Monthly allergy shots,

Current Illness: Healthy.

ID: 0991896
Sex: F
Age: 60
State: MI

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

Lab Data: none

Allergies: Penicillin

Symptoms: Patient developed temperature of 101 degrees, weakness, and fatigue.

Other Meds: Ativan 0.5mg BID; Duloxetine HCI delayed release 30mg daily;

Current Illness: none

ID: 0991897
Sex: F
Age: 17
State: MI

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

Lab Data:

Allergies:

Symptoms: Error: Too Young for Vaccine

Other Meds:

Current Illness:

ID: 0991898
Sex: M
Age: 88
State: MT

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies:

Symptoms: PATIENT STATES HE HAS HAD SHORTNESS OF BREATH, AND NO ENERGY. PATIENT ALSO STATES HE FEELS WEAK.

Other Meds:

Current Illness:

ID: 0991899
Sex: M
Age: 62
State: TX

Vax Date: 01/30/2021
Onset Date: 01/31/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Fever, flu like symptoms

Other Meds: Lisinopril, synthroid, metformin, alogliptin

Current Illness: None

ID: 0991900
Sex: F
Age: 46
State: GA

Vax Date: 01/26/2021
Onset Date: 01/29/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: ER visit. Physical exam only done.

Allergies: Codeine/ Flexeril

Symptoms: Diagnosed with Bells Palsey

Other Meds: Lisinopril/HCTZ

Current Illness: Na

ID: 0991901
Sex: M
Age: 64
State: OH

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient complained of diaphoresis and light headedness about 5 minutes after receiving 2nd dose of Moderna Covid vaccine. Patient was able to ambulate to cot. Blood pressure, heart rate, and respirations all within normal limits. Patient given water and observed for an additional 30 minutes. All symptoms resolved.

Other Meds:

Current Illness:

ID: 0991902
Sex: F
Age: 87
State: VA

Vax Date: 01/20/2021
Onset Date: 02/01/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: None

Allergies: none

Symptoms: Left upper arm has a large red raised area. Area measures 4.5 inches X 3 inches . Area is not painful and patient is not running a temperature. Patient is 12 days out from receiving her vaccine.

Other Meds: Melatonin, Magnesium, B12, Procrit, Zoloft, Tylenol, Keppra, Lipitor

Current Illness: Myelodysplasiac Disease

ID: 0991903
Sex: F
Age: 59
State: OR

Vax Date: 01/19/2021
Onset Date: 01/28/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: N/A

Allergies: Sulfa

Symptoms: Moderna COVID-19 Vaccine EUA Approximately 1 1/2 weeks after the initial vaccine the vaccination sight in my right upper arm started to turn red. It was hard and swollen. about the size of a baseball. Warm to the touch. Each day the red area is enlarging and still hard and warm to the touch.

Other Meds: Wellbutrin, Vitamin D, Allegra, Calcium, Magnesium, Tumeric

Current Illness: N/A

ID: 0991904
Sex: F
Age: 81
State: VA

Vax Date: 01/23/2021
Onset Date: 01/31/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Large red mark at the site of the vaccination that is warm to touch and itchy.

Other Meds:

Current Illness: none

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm