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: 0992206
Sex: F
Age: 63
State: GA

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

Lab Data:

Allergies: Amitiza, Bentyl, Codeine N & V, Lactose sensitive

Symptoms: Hoarseness for 3 hrs in the morning.

Other Meds: Amlodipine. Vitamin D, Vit. B Complex?kMVI. Nexium

Current Illness:

ID: 0992207
Sex: F
Age: 36
State: MN

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

Lab Data: None

Allergies: Penicillin Amoxicillin Cefzil Augmentin

Symptoms: 7 days after vaccine woke up to itching the arm right where I was given the injection. Red spot about the size of a penny and tender to the touch. 1.5 days later now is fist size tender red puffy and warm to the touch. Not as itchy now. Other that slight tenderness, that had gone away a couple days prior to the reaction, I had no side effects until 7days later.

Other Meds: Effexor XR 150mg Vyvanse 60mg Lisinapril 20mg Omeprazol 40mg Activated charcoal 1x/week

Current Illness: No

ID: 0992208
Sex: F
Age: 25
State: MI

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

Lab Data: Elevated WBC and elevated blood glucose.

Allergies: Bee Venom

Symptoms: Around approximately 8:30 started having rigors, muscle aches, headache, and chills. Then at approximately 12:00 am worsening symptoms of rigors, muscle aches, headache, and chills. New onset of nausea, vomiting, diarrhea, sweating, fever of 103 degrees fahrenheit, SOB, racing heart, and fatigue. Multiple episodes of vomiting and diarrhea from 12:00 am until 4:30 am. Unable to tolerate anything by mouth. Mouth dry, lips dry, and limited urine output. At approximately 5:00 am client admitted to ER. Client received 2 liter's of fluid and IV Reglan. Labs draw and elevated WBC noted but all other labs within normal limits. Blood glucose elevated at 237. Client administered insulin via insulin pump per physician request. Client has history of insulin dependent type one diabetes. Client discharged to home at approximately 8:00 am. Prescription given for oral Reglan and to return to work after 01/24/2021.

Other Meds: Humalog Augmentin

Current Illness: Type 1 Diabetes Toe Infection

Date Died: 01/30/2021

ID: 0992209
Sex: F
Age: 82
State: AK

Vax Date: 01/08/2021
Onset Date: 01/30/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: N/A

Allergies: NKDA, NKFA

Symptoms: Death

Other Meds: Lorazepam, Haloperidol, Morphine

Current Illness: Hyperlipidemia

ID: 0992210
Sex: F
Age: 36
State: IN

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

Lab Data: None

Allergies: Penicillin, sulfa, eggs, seafood and fish, nuts

Symptoms: Severe joint pain, severe chills, feverish, headache, severe fatigue; all resolved within 48 hours. Tenderness, swelling and redness at local injection site, all still present. Redness about 4" diameter. Required me to take a sick day for work

Other Meds: Prozac, adderall, dupixent

Current Illness: None

ID: 0992211
Sex: F
Age: 42
State: OH

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

Lab Data: none

Allergies: none

Symptoms: chills, severe shaking that started at 8:30pm and lasted about three hours. Body aches and joint pain that started at 8:30 pm and lasted about six ours. Severe headache that started about 7am on 1/31/2021 (the day after my vaccination) and lasted about 12 hours. Fatigue that lasted until 1/31/2021 around 7pm.

Other Meds: none

Current Illness: none

ID: 0992212
Sex: F
Age: 72
State:

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

Lab Data:

Allergies:

Symptoms: Patient felt like she was getting a headache or light headed 15mins after vaccinations, She took all of her daily meds this morning and ate breakfast. VS at 11:30 were 159/87 P 84 o2sat 98. Had patient sit for 15 more min and gave her water. Was talking to her and she seemed fine and she reported headache had gone away. Life was very stressful recently. VS at 11:45 were 176/98 P 82 O2sat 99. She felt better and felt safe to go home. She is a healthcare worker and can f/up with PCP re high BP later.

Other Meds:

Current Illness:

ID: 0992213
Sex: F
Age: 33
State: MI

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

Lab Data: N/A

Allergies: None (I suspect I have an allergy to the dye in GREEN Jolly Ranchers - only green - they always make me cough)

Symptoms: Approximately one week after my first dose of the COVID vaccine, I noticed a large area around my where I got my shot that is red and raised. One day later it appeared to have grown a bit. It is not sore. When I touch it, it itches.

Other Meds: Vitamin D3

Current Illness: None

ID: 0992214
Sex: M
Age: 76
State: FL

Vax Date: 01/20/2021
Onset Date: 01/27/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: after 6-7 days of receiving the shot I have a sore arm and a rash from the point of the shot running down my arm about 3 inches, the concern is the reaction occurred 6-7 days after receiving the shot ,Will I be able to take the second shot on 2/17/21 . Have not gone to a doctor , realize this is a normal reaction ,but wonder way it occurred 6-7 days later, concerned about taking the second shot on 2/17/21

Other Meds: Culturelle prebiotics, Heart Savior, Osteo Bi-Flex , Omega-3

Current Illness: none

ID: 0992215
Sex: F
Age: 39
State: CO

Vax Date: 12/18/2020
Onset Date: 12/30/2020
Rec V Date: 02/01/2021
Hospital:

Lab Data: I had blood done on 1.12.2021 and everything came back normal.

Allergies: None

Symptoms: I received numbness all down my right side from my finger tips to my toes, my upper and lower back and my right thigh get super warm when I am more active though out the day. My left arm became weak and I could not lift my arm above my head. This all occurred after the first vaccine. After the second vaccine I just got chills and muscle aches the following day. I am still experience some numbness on my right side and I still can not lift my arm above my head. 2.1.2021

Other Meds: Kelnor Phentermine Multi-Vitamin

Current Illness: None

ID: 0992216
Sex: F
Age: 62
State: MT

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

Lab Data:

Allergies:

Symptoms: Body aches and Headache

Other Meds:

Current Illness:

ID: 0992217
Sex: M
Age: 27
State:

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

Lab Data: At the ER, patient had lab work done and an EKG. The provider determined it was due to the vaccine.

Allergies:

Symptoms: please see VARS E-report number: 277022 for additional information. Due to reaction to 1 dose, I requested he come back after 1 hour and 2 hours respectively to check vitals. He came back after 1 hour stating he feels "different and funny." Complained of a froggy throat and that he could feel a heart beat in his ears. At 3:53 PM, pulse was 98 and BP 150/103. Regular respirations=16. skin was warm and dry. no rash or redness noted. no shortness of breath or difficulty swallowing noted. At 4:10 PM, continues to deny pain. BP 165/108 with pulse of 102. 4:17 PM, 147/98, pulse in the 90s. Continued feeling of heart rate in ears. 4:20 PM, 147/94 P 94. remains alert and oriented. continued frogginess in throat and sensation of heart rate in ears. Denies shortness of breath or chest pain. O2 sats are 99%. Refuses need for ambulance. Agreed to have family member transport to ER for further evaluation. 4:24 PM, 148/103 P 96 Respirations 18. Skin remains warm and dry. Denies pain or shortness of breath. sensation in ears continues. 4:30 PM. 139/99 pulse 84 resp 18. no shortness of breath or chest pain. skin warm and dry. oriented and alert. continued sensation of beating in the ears. 4:32 PM, picked up and taken to ER.

Other Meds:

Current Illness:

ID: 0992218
Sex: F
Age: 65
State: OH

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

Lab Data: None

Allergies: Erythromyocin

Symptoms: Initially shoulder was sore, difficult lifting arm or abducting shoulder, 4 hours later had mild sore throat, after 6 hrs began having body aches. During the night ( at least 8hrs after shot) developed a fever 101.2, body aches, especially low back, and mild headache. Had no appetite the next day, 1/29,21, queasy stomach, temp hovered between 99-100 most of the day, back ache was most problematic, no energy, slept most of the day, mild headache remained. Symptoms disappeared after 30-36 hours. Had some digestive distress after this but was probably related to not having eaten for over 24 hours & then resuming.

Other Meds: raloxofene, vitamin D, calcium, omperozole

Current Illness: none

ID: 0992219
Sex: F
Age: 75
State: WA

Vax Date: 01/13/2021
Onset Date: 01/16/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies: Fosamax (bone pain)

Symptoms: She developed symptoms of headache, malaise, and UTI 48 hours following vaccination and then continued developed worsening fatigue, shakiness, and weakness which is ongoing to date, now three weeks following vaccination and successful treatment of UTI.

Other Meds: Ursodiol 500 mg, Premarin, vitamin D3, vitamin B complex, 5 days Macrobid

Current Illness: UTI developed 48 hours post vaccination.

ID: 0992220
Sex: F
Age: 60
State: OH

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

Lab Data: N/A

Allergies: Allergy to flu shot

Symptoms: Patient received first dose Moderna vaccine on 1/13/21. Pt reported feeling itching to left hand approx 45 minutes after dose. Patient was instructed to ED if symptoms worsened. No further reaction was reported from patient. Patient had stated she had previous allergic reaction with Flu vaccine this year that resulted in ER visit. Pt did take a dose of benadryl when hand itching started

Other Meds: N/A

Current Illness: N/A

ID: 0992221
Sex: F
Age: 81
State: AZ

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies: SULFA MEDICATIONS

Symptoms: GENERAL MYALGIA SINCE THE MORNING AFTER VACCINATION THAT HAS STILL NOT RESOLVED

Other Meds:

Current Illness:

ID: 0992222
Sex: F
Age: 74
State: PA

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

Lab Data:

Allergies: nka

Symptoms: Advised patient to contact PCP and seek immediate medical attention. Told her to call 911 for ambulance transport if she did not have someone to get her to the hospital,

Other Meds: Husband called and said patient was experiencing fatigue and fell due to fatigue. I then ask to speak to patient and she indicated she could not stand and was unable to make it to the bathroom. I reviewed common side effects such as sore

Current Illness: none

ID: 0992223
Sex: F
Age: 68
State: NC

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

Lab Data: Did not get any tests. Should I?

Allergies: eggs, all antibiotics

Symptoms: Time- about half hour after receiving vaccine. Symptoms - tongue got numb, itched all over my body. Took benadryl when I got home. Called my doctor but they never called back. 1/29/21 morning - took a Zyrtec and that helped a lot. Still kind of itchy but symptoms are lessening.

Other Meds: Isinipril, pepcid, vitamin D

Current Illness: none

ID: 0992224
Sex: F
Age: 36
State: CA

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Dizzy, blur vision, HA observed 45mins. 1/13/21 6 lb weight gain. Hx of autoimmune dz.

Other Meds:

Current Illness:

ID: 0992225
Sex: F
Age: 50
State: MN

Vax Date: 01/20/2021
Onset Date: 01/28/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: None

Allergies: Penicillin

Symptoms: The injection site started to itch, the next day the area was red, and there was a bump under the skin and the skin was warm to the touch. I went to my doctor who diagnosed me with Cellulitis. I am taking cephalexin 3x/day for seven days. I was told that it is perfectly fine to receive the 2nd dose of the vaccine that the cellulitis was not caused by the vaccine itself but rather by bacteria getting under my skin when the shot was given.

Other Meds: Yes

Current Illness: No

ID: 0992226
Sex: M
Age: 68
State: AZ

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

Lab Data: None

Allergies: none

Symptoms: Approximately 11:30 pm same days as vaccination (8 hours post shot), I lost the ability to detect hot liquids in my mouth. Normally rinse mouth with warm water after brushing teeth. When I rinsed mouth, water was cool. Put very hot water in cup,; too hot to immerse finger, but water still felt cool in my mouth. The next day, symptom had subsided, but it took 2 days for temp sensation in mouth to return to normal.

Other Meds: Janumet, Ramapril, Atorvastatin, cranberry, vitamin d, Airborne, EmergenC, flaxseed, 3 in 1 joint compound, baby aspirin.

Current Illness: None

ID: 0992227
Sex: F
Age: 31
State: UT

Vax Date: 01/08/2021
Onset Date: 01/11/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies: buproprion wheat diary

Symptoms: headaches every day. Take ibuprofen, naproxen and Toradol. Toradol has helped some but the others haven't helped at all. Not sleeping- I take promethazine, trazodone and they haven't helped at regular doses. I've increased the doses and it has helped increased nausea.

Other Meds: NP throid Trazodone Vitamin D3 sertraline probiotic promethazine

Current Illness: chronic nausea

ID: 0992228
Sex: M
Age: 1
State: NY

Vax Date: 01/05/2021
Onset Date: 01/21/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies: NONE

Symptoms: CHICKEN POX RASH NOTED ON TORSO/BACK AND PROXIMAL EXTREMETIES AND GENITAL AREA. SUPPORTIVE CARE OF ZYRTEC AND TYLENOL AND IBUPROFEN AS NEEDED

Other Meds: NONE

Current Illness: DIAPER RASH

ID: 0992229
Sex: F
Age: 47
State: CO

Vax Date: 01/21/2021
Onset Date: 01/27/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: n/a

Allergies: n/a

Symptoms: on 1/27/21 I starting seeing a rash on my face. It has worsened each day since the 27th. I have taken Benadryl 25mg for 3 days with no relief. I have consulted the Rheumatologist to see if this could be a result of the prednisone and the vaccine together.

Other Meds: at the time of the vaccination, I was taking prednisone which concluded 1/24/21.

Current Illness: n/a

ID: 0992230
Sex: F
Age: 52
State: NE

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

Lab Data: NA

Allergies: PCN; Augmentin

Symptoms: Increased BP, flushing, metallic taste in mouth, fever up to 101.0

Other Meds: Pro-Air HFA; Culturelle; Metformin ER; Ondansetron; Ibuprofen; vitamin E; Ipratropium bromide; Bupropion HCL XL; Omeprazole; Dilaudid; Breo Ellipta; Vitamin D3; Xanax; Symbicort

Current Illness:

ID: 0992231
Sex: F
Age: 27
State: MT

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

Lab Data:

Allergies:

Symptoms: Headache and Body Aches

Other Meds:

Current Illness:

ID: 0992232
Sex: U
Age: 15
State:

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

Lab Data:

Allergies:

Symptoms: patient is under the FDA approval use of 16 years of age and older. Contacted CDC, Pfizer, and NDDOH. CDC stated to not give another dose until the patient turns 16 years of age.

Other Meds:

Current Illness:

ID: 0992233
Sex: M
Age: 44
State: AZ

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

Lab Data: vital signs 97.6, 74, 12, 160/100

Allergies: NKDA

Symptoms: Employee complained of feeling hot flashes, sudden body chill and numbness tingling sensation to his arm where the injection was given. Blood pressure was elevated and employee says he has hypertension but its not usually that high. Employee takes Lisinopril.

Other Meds: Lisinopril, Muscle relaxer

Current Illness: pinched nerve low back

ID: 0992234
Sex: F
Age: 26
State: CA

Vax Date: 01/15/2021
Onset Date: 01/17/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Rash all over left arm > 72 hours, HA, myalgia x3 days. Rash went away x7 days post vaccine.

Other Meds:

Current Illness:

ID: 0992235
Sex: F
Age: 61
State: KS

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 02/01/2021
Hospital:

Lab Data: COVID - two different PCR tests

Allergies: Pencillin; tylenol; Glyphsofed; Zyrophsofed

Symptoms: Headache the next morning; Headache the day after that, as well (Jan 1). January 2 - developed a little bit of a cough. Got a PCR COVID test and that was on the Jan. 2; on January 3 - achy; tired and that night - low grade fever - (took ibuprofen); January 4 - negative test came back for COVID; Got a different test on the 4th - Posterior -Positive; my symptoms continued (but no fever) - and very tired and really achy. Tuesday - still coughing (5th); on 8th - lost sense of smell for 24 hours and it came back. Continued coughing for a month. Just stopped having cough and chest tightness at end of January. Got second dose on 27th - symptoms repeated except no cough yet.

Other Meds: Multi-Vitamin; Allegra

Current Illness: no

ID: 0992236
Sex: M
Age: 70
State: ME

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

Lab Data: None

Allergies: Perhaps Pennicillin

Symptoms: Chills, headache, sore eyes, fatigue, diarrhea, loss of appetite - lasted in decreasing measure for three days.

Other Meds: 40 mg/day Lovastatin

Current Illness: Tested Positive for Covid-19 @ 3-1/2 weeks prior to vaccine

Date Died: 01/29/2021

ID: 0992237
Sex: M
Age: 42
State: MO

Vax Date: 01/25/2021
Onset Date: 01/29/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: Bag valve mask and intubation prior to arrival to ED. Epi x3 and defibrillation x2.

Allergies: None

Symptoms: 1/28/2021- Seen by FNP for indigestion, chest pressure and palpitations. EKG reviewed and referral made to Cardiology. 1/29/2021-1800 Presented to ED in cardiac arrest-onset PTA. Patient was found unresponsive by his wife at their home. The last known well was at 1530 when she called him on the phone. The patient was pronounced at ~1850.

Other Meds: Nebivolol 5mg; Pantoprazole 40 mg; Levocetirizine dehydrochloride 10 mg

Current Illness:

Date Died: 01/29/2021

ID: 0992238
Sex: M
Age: 70
State: MI

Vax Date: 12/16/2020
Onset Date: 01/05/2021
Rec V Date: 02/01/2021
Hospital: Y

Lab Data:

Allergies: Plavix

Symptoms: Tested positive for COVID19 on 12-30-2020, Admitted to Hospital on 1/5/2021 with active COVID, Patient died 1/29/2021.

Other Meds: Metoprolol sitagliptin/metformin glipizide pioglitazone folic acid rivaroxaban tadalafil aspirin atorvastatin lisinopril nephrocaps omeprazole

Current Illness:

ID: 0992239
Sex: F
Age: 17
State: TN

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

Lab Data:

Allergies:

Symptoms: No adverse event. Reporting immunization error: under age, Patient is 17 years and 4 months old at day of immunization.

Other Meds:

Current Illness:

ID: 0992240
Sex: F
Age: 32
State: MD

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 12 hours after the vaccine she started having chills and hot flashes. Overnight and the next day she had a fever up to 100.8, chills, hot flashes, nasal congestion, muscle aches, joint pain and headache. She took Tylenol for the symptoms.

Other Meds:

Current Illness:

ID: 0992241
Sex: M
Age: 78
State: KS

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Moderna 025L20A Ten days after received the 1st Moderna vaccine this patient had a paretic rash on arms and legs. Around that same time the patient sprayed his home with pest control. Patient called his PCP and reported that they could not tell if the rash was from the bug spray or the Moderna vaccine. The patient's PCP advised him it would be fine for him to receive his second vaccine, but to take Zytec 10mg x1 the day of his second vaccine and to observed for 30 minutes after that vaccine was given. Patient did not have any problems immediately after the second moderna vaccine on 2/1/2021.

Other Meds:

Current Illness:

ID: 0992242
Sex: F
Age: 35
State: IN

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

Lab Data:

Allergies: Nka

Symptoms: Severe vomiting- began 24 hours after receiving vaccine. Was unable to keep fluids down. Sought medical assistance to stop the vomiting.

Other Meds: Bupropion XL 300mg Escitalopram 5mg Estradiol 2mg Zyrtec

Current Illness: None

ID: 0992243
Sex: F
Age: 38
State: MT

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

Lab Data:

Allergies:

Symptoms: Headache & Body aches

Other Meds:

Current Illness:

ID: 0992244
Sex: M
Age: 48
State: IL

Vax Date: 12/18/2020
Onset Date: 12/01/2020
Rec V Date: 02/01/2021
Hospital:

Lab Data: Unknown

Allergies: no

Symptoms: Bells Palsy

Other Meds:

Current Illness: unknown

ID: 0992245
Sex: M
Age: 59
State: AZ

Vax Date: 01/11/2021
Onset Date: 01/19/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: 01/27/2021 ultrasound diagnosed the condition at the ER.

Allergies: wheat

Symptoms: Superficial and deep vein thrombosis was diagnosed on 27th of January. Symptoms had been going on for around 2 weeks.

Other Meds: clonazepam, propranolol, krill oil, curcumin, liposomal vitamin C, glutathione, zinc, vitamin D, tadafinal

Current Illness: none

ID: 0992246
Sex: F
Age: 59
State: TX

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

Lab Data:

Allergies:

Symptoms: Started out as a little knot and now it is red and swollen at the injection site and hot. It is almost 6 inches in Diameter.

Other Meds: Vitamins D, Calcium

Current Illness:

ID: 0992247
Sex: F
Age: 87
State: WI

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

Lab Data:

Allergies: Latex (Environmental)PRURITUS, Other (See Comments) PenicillinsRASH TalcRASH

Symptoms: After receiving vaccine (within 30 minutes), pt began complaining of chest palpations and diaphoresis. Rapid response was called and pt was brought to the ER for follow-up.

Other Meds:

Current Illness:

ID: 0992248
Sex: F
Age: 32
State: VA

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

Lab Data: None

Allergies: None

Symptoms: Fever 101.1, nausea, insomnia

Other Meds: Protonix

Current Illness: None

ID: 0992249
Sex: M
Age: 74
State: IN

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: slight chills and muscular aches. no fever. lasted 2.5 days. took (1) 200mg Ibuprofen on 01/30, 01/31, and 02/01 Chills only on 02/1

Other Meds: Lovastatin

Current Illness: none

ID: 0992250
Sex: M
Age: 20
State: CA

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

Lab Data: exam performed, no tests or labs

Allergies: None

Symptoms: Patient developed mid to low back pain, followed by shooting pains down his legs that were 8/10 level of discomfort. generalized faitgue, low grade temp. But the shooting pain down the legs persisted for 3 days. This was accompanied by some numbness and tingling of the legs. Felt unsteady on his feet. Back pain resolved within 12 hours but the shooting pains persisted. Ibuprofen did help

Other Meds: PRN ibuprofen

Current Illness: None

ID: 0992251
Sex: F
Age: 23
State:

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

Lab Data:

Allergies:

Symptoms: 1/29/21/after vaccination reported "numbness and tingling around her mouth and lips area and described it as feeling swollen. Pulse 80, breathing unlabored and red cheeks." reported neck pain in the back left which was similar reaction after 1st dose. She also reports having congestive heart failure. Observation for 20mins no swelling noted on mouth, tongue or lips. reported tingling has subsided. She was instructed to call doctor if symptom worsened and to return to ER. She stated that she text her heart doctor . Pt left with mother.

Other Meds:

Current Illness:

ID: 0992252
Sex: F
Age: 71
State: FL

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

Lab Data: NONE

Allergies: PCN

Symptoms: FEVER (100.8 ORAL), CHILLS, BODY ACHES STARTED ABOUT 10-12 HOURS AFTER INJECTION- RESOLOVED IN 12 HOURS. REDNESS, PAIN AND SWELLING IN RIGHT ARM ABOUT 1- 2 INCHES BELOW INJECTION SITE. HAS INCREASINGLY ENLARGED IN PAST 4 DAYS, RED, WARM TO TOUCH AND ITCHY. TOOK BENADRYL 25 MG PO ON FRIDAY EVENING WITH SOME RELIEF OF ITCHING. STILL REMAINS RED, SWOLLEN AND WARM TO TOUCH. HAVE NOT SEEN PCP OR MEDICAL PROFESSIONAL AS OF THIS DATE.

Other Meds: Raloxifene daily Vit D 2000 units daily Citalopram 20 mg daily

Current Illness: none

ID: 0992253
Sex: F
Age: 73
State: WI

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: None

Allergies: shellfish, possibly penicillin

Symptoms: Patient had a fever on Saturday 1-30-2021, from about Noon until about 8 pm. Highest fever was 101.7. I treated it with Ibuprophen, and that successfully reduced the fever. The fever had an adverse affect on her Alzheimer's. the condition was temporary, and by Sunday morning, 1-31-2021, she was back to normal.

Other Meds: Klor-ConM-15 ER, Propranolol ER ,Metformin ER, Atorvastatin, Loartan?HCTC, Memantine, Donepezil, Mirtazapine,Escitalopram

Current Illness: None

ID: 0992254
Sex: F
Age: 89
State: NY

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

Lab Data:

Allergies:

Symptoms: Patient complained of a tingling in her tongue. Has a history of allergic reactions to other medications and foods. Vital signs taken and remained stable throughout time. Patient was given Benadryl 25 mg po at 12:45 and states relief. Stated that symptoms were lessening/improving. Patient was discharged with daughter to be driven home in personal vehicle.

Other Meds:

Current Illness:

ID: 0992255
Sex: F
Age: 29
State: TX

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

Lab Data:

Allergies: Bandaids, nuvaring

Symptoms: Fever over 100.00, chills, nausea, exhaustion, body aches, head ache

Other Meds: Lamotrigine

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm