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: 0995355
Sex: F
Age: 58
State: FL

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

Lab Data: None

Allergies: Minocycline, pollen

Symptoms: Patient had some expected side effects the day of the vaccine which included weakness, headache, body aches. At 24 hours post vaccination, patient been to feel worse and passed out. She woke up on the floor and had hit her head. She felt weak and dizzy and stayed in bed until 8 PM that night.

Other Meds: Multivitamins, Biotin, Vitamin B

Current Illness: No

ID: 0995356
Sex: M
Age: 51
State: NC

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

Lab Data:

Allergies:

Symptoms: Patient with known previous COVID illness in October, and received COVID-19 Pfizer vaccine (dose #1) on 26 Jan with an onset of localized urticaria within 30 minutes. Patient denies any systemic symptoms but clearly had localized urticaria at vaccination site within 30 minutes or so and lasted several hours, with recurrent episode the following day.

Other Meds:

Current Illness:

ID: 0995357
Sex: M
Age: 54
State: CA

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 02/02/2021
Hospital:

Lab Data: 01/28/21 tested negative for covid-19 (cheek swab test).

Allergies: Penicillin

Symptoms: The day after the shot developed a light mucus, continuous cough, which has been lessening, but still persists.

Other Meds: None

Current Illness: None

ID: 0995358
Sex: F
Age: 57
State: NY

Vax Date: 01/16/2021
Onset Date: 01/21/2021
Rec V Date: 02/02/2021
Hospital:

Lab Data:

Allergies: Shellfish, all fish, penicillin, aspirin, naproxen, Motrin

Symptoms: Delayed redness on the arm near vaccination on day 5 after shot; treated with Claritin for five days until redness decreased as prescribed by dermatologist

Other Meds: Levothyroxin, Vitamin D

Current Illness: None

ID: 0995359
Sex: F
Age: 32
State: VA

Vax Date: 01/07/2021
Onset Date: 01/12/2021
Rec V Date: 02/02/2021
Hospital:

Lab Data: No CT performed irt first trimester of pregnancy (6w2d). Sonogram revealed no gallbladder involvement. Appendicitis R/O in absence of fever and rebound pain. R/O ectopic/heterotopic pregnancy.

Allergies: Promethazine Bactrim Latex Mango

Symptoms: Severe RUQ pain of unknown etiology building in intensity from 8pm on 1/12 through 1/13.

Other Meds: Rainbow Light Prenatal Vitamin daily Sertraline 50mg daily 325mg Magnesium daily 50000 IU Cholecalciferol once weekly 25mg doxylamine daily 50mg pyridoxine daily 325mg Phosphatidylcholine daily 2g Fish Oil daily Tylenol PRN

Current Illness: None.

ID: 0995360
Sex: M
Age: 36
State: GA

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

Lab Data:

Allergies: No Known

Symptoms: Checking on patient after vaccine administered. Patient was lethargic & described head hurting. Patient has diabetes. Became diaphoretic shortly thereafter with a BP of 180/110, HR 115 and RR 26. LOC's decreased. Chest rubs began. Patient given Coke, but unable to drink effectively. 2 packs of granular sugar put under tongue. Patient began to slur words, skin clammy. Epi-pen administered in right arm and patient was moved out of car to the ground. Patient began to shiver and slurring words. We began to warm patient. EMS arrived and took over. Patient transported to Hospital.

Other Meds: Metformin 500, 1 tablet, BID; Amlodopine, mtoprolol,

Current Illness:

ID: 0995361
Sex: F
Age: 71
State: IL

Vax Date: 01/23/2021
Onset Date: 01/30/2021
Rec V Date: 02/02/2021
Hospital:

Lab Data:

Allergies: sulfa

Symptoms: Approximately one week after vaccination, at site of vaccination, left arm became very itchy, red and somewhat swollen. Itchiness and redness lasted 3 days and then began to dissipate.

Other Meds: synthroid, valsartan, fish oil, multi-vitamin

Current Illness: none

ID: 0995362
Sex: F
Age: 60
State: IA

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

Lab Data: None

Allergies: latex bacitracin ethanol furosemide neomycin nickel penicillins polymyxin B sulfadoxine

Symptoms: same day arm soreness. Next day diaphoretic, fever to 101F, myalgias. Day 2fever to 100.4, fatigue, erythema increasing from injection site. Day 3 erythema, warmth to 13x14cm left arm, indurated, less myalgia and fever to 100F. Day 4 (2/2/21)seen in clinic and 13x14cm erythema, warmth, induration, mild itch, tender to palp. Treated with clindamycin 450mg TID x 5 days

Other Meds: amlodipine 5mg daily cetirizine 20mg daily diphenhydramine 25mg PRN multivitamin with minerals

Current Illness: none

ID: 0995363
Sex: F
Age: 45
State: IN

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

Lab Data: None needed - just wanted to report for overall data

Allergies: Codeine lactose intolerant

Symptoms: The same night I began experiencing extreme soreness in the injection site. By the next morning it had gown to the size of a baseball and was hot, raised and very painful. It continued to get worse through Sunday 1/31/21, growing to a size larger than my hand (and I am 5'10"). As of 2/1 the swelling had gone and it isnt as red, but is still very tender and having clothing on it does irritate it.

Other Meds: None

Current Illness: None

ID: 0995364
Sex: F
Age: 35
State: NY

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

Lab Data:

Allergies: Penicillin allergy (trueallergy, mild hivesin the past)

Symptoms: 1) Fever up to 101.9 degrees for about 24 hours starting at 10:00 PM on evening of 1/26 (acetaminophen 1 g every 4 hours did not affect the fever) 2) Severe headache, severe muscle and joint pain for approximately 36 hours starting at 10:00 PM on evening of 1/26 3) Arm swelling beyond what would be considered normal (pictures available) with erythema I was unable to go to work on 1/27 and 1/28. More unusual adverse events: 1) Approximately 24 hours after receiving the shot, my Restylane Lyft fillers (tear troughs and cheekbones) became swollen and painful. The visible swelling lasted only about a day, but as of this report, the area is still tender. 2) I experienced bleeding gums when I brushed my teeth the morning and evening of the day after the vaccine and once more (less blood present) on the morning of 1/28. There was no more visible blood when I brushed my teeth on the evening of 1/28.

Other Meds: Acetaminophen Methylphenidate Sertraline Diazepam (intravaginal) Lorazepam Gabapentin Sprintec Bupropion (12 hr formulation)

Current Illness: None

ID: 0995365
Sex: F
Age: 21
State: IL

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

Lab Data:

Allergies: outdoor mold

Symptoms: I received the vaccine at 5:30 pm and had no symptoms until I awoke around 2:30 AM with chills, a fever, headache and muscle aches. I slept on and off until 12:30 pm drinking lots of fluids.

Other Meds: none

Current Illness: none

ID: 0995366
Sex: M
Age: 62
State: AZ

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

Lab Data:

Allergies: Peicillin

Symptoms: High temperature, difficulty breathing pain in abdomen and ribs. Shallow breathing to try and avoid cough as it hurts so much. Temp in the middle of the night reached 102.4F Chills and uncontrollable shaking.

Other Meds: Metformin Lisinopril Januvia Atorvastatin

Current Illness: Covid 21 days prior

ID: 0995367
Sex: M
Age: 82
State: OH

Vax Date: 01/25/2021
Onset Date: 01/27/2021
Rec V Date: 02/02/2021
Hospital: Y

Lab Data: General Hematology: 27-Jan-2021 04:20, CBC-Manual Diff If Ind., White Blood Cells: 4.9, [4.0 - 10.5 10*3/uL], Red Blood Cells: 3.24, [4.70 - 6.00 10*6/uL], Hemoglobin: 10.4, [13.5 - 18.0 g/dL], Hematocrit: 33.1, [42.0 - 52.0 %], MCV: 102.2, [78.0 - 100.0 fL], MCHC: 31.4, [32.0 - 36.0 g/dL], MCH: 32.1, [27.0 - 31.0 pg], RDW-CV: 18.1, [11.5 - 14.0 %], RDW-SD: 65.7, [36.0 - 50.0 fL], Platelet Count: 118, [150 - 450 10*3/uL], MPV: 9.9, [8.7 - 12.3 fL], Neutrophil %: 60.9, [47.0 - 76.0 %], Neutrophils, Total: 3.0, [1.5 - 6.6 10*3/uL], Immature Granulocyte: 0.2, [0.0 - 0.4 %], Immature Gran., Total: 0.01, [0.00 - 0.03 10*3/uL], The Immature Granulocytes, Total represents an automated count of Metamyelocytes, Myelocytes, and Promyelocytes, and is NOT included in the Neutrophils, Total count.; Lymphocyte-: 15.4, [22.0 - 69.0 %], Lymphocytes, Total: 0.8, [1.5 - 3.5 10*3/uL], Monocyte: 21.3, [2.0 - 14.0 %], Monocytes, Total: 1.0, [0.0 - 1.0 10*3/uL], Eosinophil: 1.6, [0.0 - 10.0 %], Eosinophils,Total: 0.1, [0.0 - 0.7 10*3/uL], Basophil: 0.6, [0.0 - 2.0 %], Basophils, Total: 0.0, [0.0 - 0.1 10*3/uL], Anisocytosis: 3+, [NONE - 1+ NA], Hypochromia: cancelled, [NONE - 1+ NA], Macrocytosis: cancelled, [NONE - 1+ NA], Microcytosis: cancelled, [NONE - 1+ NA]; 27-Jan-2021 05:20, Urine Dipstick, POCT, WBC -: Positive, large; General Coagulation: 27-Jan-2021 04:20, Prothrombin Time INR, INR: 1.9, [0.8 - 1.2 ratio], INR Therapeutic Ranges: Venous Thrombosis, DVT, Pulmonary Embolism, TIA, Atrial Fibrillation, Tissue Heart Valve or Myocardial Infarction = 2.0 - 3.0 (ratio), Prosthetic Heart Valve or Recurrent, Systemic Embolism = 2.5 - 3.5 (ratio); 28-Jan-2021 05:33, Prothrombin Time INR, INR: 2.1, [0.8 - 1.2 ratio], INR Therapeutic Ranges: Venous Thrombosis, DVT, Pulmonary Embolism, TIA, Atrial Fibrillation, Tissue Heart Valve or Myocardial Infarction = 2.0 - 3.0 (ratio), Prosthetic Heart Valve or Recurrent Systemic Embolism = 2.5 - 3.5 (ratio); General Chemistry: 27-Jan-2021 04:20, Basic Metabolic Panel, Glucose Level: 127, [74 - 99 mg/dL], Blood Urea Nitrogen: 24, [8 - 23 mg/dL], Creatinine -: 1.7, [0.7 - 1.2 mg/dL], Estimated Gfr: 41, [ mL/min], Multiply result by 1.21. Result normalized to 1.73 square meter body surface area. MDRD study calculation is less accurate at GFR estimates greater than 60 ml/min/1.73 m2, therefore values are reported as >60 ml/min normalized to 1.73 square meters BSA. Chronic Kidney Disease: <60 ml/min/1.73 square meters, Moderate decrease in GFR: 30-59 ml/min/1.73 square meters, Severe decrease in GFR: 15-29 ml/min/1.73 square meters, Kidney failure: <15 ml/min/1.73 square meters, *Based on Kidney Foundation recommendations. UN/Crea Ratio: 14, [12 - 20 ratio]; Sodium Level: 143, [136 - 145 mmol/L]; Potassium Level: 3.9, [3.5 - 5.1 mmol/L]; Chloride Level: 106, [98 - 107 mmol/L]; CO2 Level: 30.0, [25.7 - 33.2 mmol/L]; Calcium Level: 8.9, [8.8 - 10.2 mg/dL]; 27-Jan-2021 04:20, Brain Natriuretic Peptide, Brain Natriuretic Peptide: 1260, [0 - 1800 pg/mL], NT PRO-BNP cutoffs for ACUTE CO

Allergies:

Symptoms: PATIENT PRESENTED TO EMERGENCY DEPARTMENT WITH SYMPTOMS OF FEVER, CHILLS, AND GENERAL MALAISE TWO DAYS POST VACCINATION. PATIENT HAS HISTORY OF COVID+ IN NOVEMBER 2020. PATIENT WAS NOT GIVEN MEDICAITON AT HOME PRIOR TO ARRIVING TO EMERGENCY DEPARTMENT. PATIENT HAS PRIOR HISTORY OF SHORTNESS OF BREATH AND REQUIRES OXYGEN WHILE HOSPITALIZED BUTH HAS NOT HAD ANY ARTIFICIAL OXYGENATION SINCE. NO COUGH, NO SHORTNESS OF BREATH REPORTED AT EMERGENCY DEPARTMENT. PATIENT ADMITTED FOR FURTHER WORKUP. PATIENT STAYED 1 NIGHT - RECEIVED 2 DOSES OF CEFTRIAXONE IVPB FOR SUSPECTED PYELONEPHRITIS, WHICH WAS EVENTUALLY RULED OUT. PATIENT FOUND TO HAVE AKI. PATIENT DISCHARGED ON 1/28/2021 IN STABLE CONDITION AND RENAL FUNCTION IMPROVI

Other Meds:

Current Illness:

ID: 0995368
Sex: F
Age: 74
State: TX

Vax Date: 01/05/2021
Onset Date: 01/30/2021
Rec V Date: 02/02/2021
Hospital:

Lab Data:

Allergies: Cefpodoxime

Symptoms: Approximately 26 days after receiving the 1st vaccine dosage, I noticed that a BLISTER appeared on my LEFT arm, at or near the injection site. The blister was not painful, so I really don't know when it started. Two days later, the blister drained and left a bruise. Still no pain or any other symptoms. I had not thought that the delayed blister was significant, so I did not report it. My second vaccine was given today (02-02-2021). The nurse injected my RIGHT arm and told me to report the original blister as an Adverse Reaction to the 1st vaccine dosage. I am filing this report now as instructed, and will notify my Primary Care Physician too.

Other Meds: lisinopril/HCTZ 20-12.5MG Tab D3 Vitamin 2000IU Centrum Silver for Women 50+

Current Illness: none

ID: 0995369
Sex: F
Age: 78
State: VA

Vax Date: 01/19/2021
Onset Date: 01/26/2021
Rec V Date: 02/02/2021
Hospital:

Lab Data:

Allergies: Soft shell crab

Symptoms: After administration of the Covid-19 vaccine I had 2-3 days of chills, muscle aches, fatigue, sore arm. Symptoms gradually went away. Then about the 7th day I started experiencing an itchy arm and a 6 inch circle of intense red at the injection site, with a wide band of white surrounding it, that itched unbelievably, was hot and swollen. That lasted for several days, then began to subside and now is only slightly red, itches some and is no longer swollen or hot. My question is: Is it safe for me to get the 2nd dose, after experiencing this kind of reaction?

Other Meds: Vitamin C, B12, D, Areds2, Citracal, Magnesium, Zyrtec, Advil

Current Illness: None

ID: 0995370
Sex: F
Age: 59
State: MN

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

Lab Data:

Allergies:

Symptoms: Next day following 2nd dose of Pfizer vaccine, developed a sore left arm at the injection site. that evening felt exhausted after work, fell asleep around 6:30 pm woke up around 8 pm and went to bed around 9:30 pm took Aleve for achy body. Friday morning, Jan 27th woke up with left arm pit and side of left breast swollen, tender to touch. and left arm very sore to lift up. Apply cold packs, taking Tylenol and area of tenderness lasting multiple days.

Other Meds:

Current Illness:

ID: 0995371
Sex: F
Age: 28
State: TN

Vax Date: 01/18/2021
Onset Date: 01/28/2021
Rec V Date: 02/02/2021
Hospital:

Lab Data: N/A

Allergies: Amoxicillin - mild allergy (rash)

Symptoms: Bell's Palsy. Symptoms include right sided facial weakness, eye drooping. Onset was around 12:30 on 1/28. Went to walk in clinic where MD confirmed Bell's Palsy and prescribed Valacyclovir and Prednisone. Started medications around 5pm on 1/28.

Other Meds: Tri-sprintec birth control, multivitamin

Current Illness: N/A

ID: 0995372
Sex: F
Age: 69
State: FL

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 02/02/2021
Hospital:

Lab Data: None

Allergies: NKA Intolerant to Biaxin and Augmentin (protracted vomiting)

Symptoms: Left arm injection site tenderness from 01/12/2021 through 01/19/2021. Severity on 1-10 scale = 5. Resolved with no intervention. Fatigue from 01/12/2021 through 01/21/2021. Severity on 1-10 scale = 7. Resolved with rest. No residual. Received 2nd dose on 02/01/2021 in right deltoid at 1:22 pm. Temp on day of dosing was 97 degrees - normal for me. 02/02/2021 AM right arm soreness, achy all over, and chilled. By 1 PM temp was 100.1. Took 500 mg of Acetaminophen, fLuis?s and rest

Other Meds: Rosuvastatin Citalopram Levothyroxine ECASA Vit D Calcium Centrum

Current Illness: No issues

ID: 0995373
Sex: F
Age: 31
State: NY

Vax Date: 12/30/2020
Onset Date: 01/06/2021
Rec V Date: 02/02/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Pain and soreness was felt the fist 2 days after vaccine however on the 6th day pain 20/10, numbness, all the way to thumb was felt on L arm, swelling, redness, itching, hives and pain only on L arm and temp of 99.4. Pain in L thumb still hurts even more than a month later sometimes is even hard to pop out pill or open or hold stuff with that hand and thumb. Benadryl ibuprofen tylenol was taken for 1st and second dose. Did not help much!!

Other Meds:

Current Illness:

ID: 0995374
Sex: F
Age: 57
State: FL

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 02/02/2021
Hospital:

Lab Data:

Allergies: NONO

Symptoms: FEVER, CHILLS, BODY ACHES, LOSS OF APPETITE, HEADACHE

Other Meds:

Current Illness: NONE

ID: 0995375
Sex: F
Age: 38
State: TX

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

Lab Data:

Allergies: None

Symptoms: Itchy Rash (red and raised bumps) on neck and face that has not resolved. Over the counter Benadryl taken

Other Meds: Collagen

Current Illness: None

ID: 0995376
Sex: F
Age: 69
State: MO

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

Lab Data:

Allergies:

Symptoms: Flushing in face, rapid heart rate

Other Meds:

Current Illness:

ID: 0995377
Sex: F
Age: 68
State:

Vax Date: 01/12/2021
Onset Date: 01/22/2021
Rec V Date: 02/02/2021
Hospital: Y

Lab Data:

Allergies:

Symptoms: Patient was vaccinated on 1/12/21. She developed symptoms of COVID and diagnosed on 1/22. She was hospitalized for moderate coronavirus pneumonia and hypovolemic hyponatremia

Other Meds:

Current Illness:

ID: 0995378
Sex: F
Age: 44
State: AK

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

Lab Data: None

Allergies: None

Symptoms: Red rash around the injection site, itchy becoming more significant in presentation appearance of Delayed Cutaneious Hyper-sensitivity . Responded to Benadryl and warm compress.

Other Meds: Lisinopril 10 mg

Current Illness: None

ID: 0995379
Sex: F
Age: 23
State: WY

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 02/02/2021
Hospital: Y

Lab Data: Labs kidneys,blood work, Covid (negative), Flu vaccine (positive)

Allergies: Chlorine Bleach, Mushrooms, Coconut

Symptoms: I had severe headaches, abdominal pain, chills and fever 104. Later that week diagnosed with the flu and hive reaction at the injection site.

Other Meds: Metoprolol 25 mg, Folic Acid(over the counter), Prenatal Vit

Current Illness: No

ID: 0995380
Sex: F
Age: 79
State: MD

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

Lab Data: EKG, blood test on 01/30/2021 in hospital.

Allergies: Ciprofloxacin

Symptoms: Chest palpitations, thickness of tongue. Medic administered epinephrine injection and benadryl though IV in arm in tent on site. Taken by ambulance to hospital and observed for over 4 hours.

Other Meds: Irbesartan, Amlodipine, Atenolol, Simvastatin, Methylprednisolone, Aspirin 325mg, Potassium, Tylenol extra strength, Aspercreme, Vitamin D3, Calcium.

Current Illness: Sciatica and groin pain.

ID: 0995381
Sex: F
Age: 44
State: AL

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

Lab Data: none

Allergies: NKDA

Symptoms: Severe pain in right arm, heat, knot, swelling, redness and bruising to right upper arm area. Fever up to 102.9, chills, aches all over. freezing Antibiotics to be given for cellulitis of right arm, Tylenon and Motrin and Benadryl for symptom and fever relief.

Other Meds: Losartin Metoprolol Buspar Pramapexole cholesterol medication Aleve and Excedrin prn

Current Illness: none

ID: 0995382
Sex: F
Age: 45
State: NV

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 02/02/2021
Hospital: Y

Lab Data: Multiple lab testing completed

Allergies: None

Symptoms: 1/20/21 developed fever of 105 degrees, after Tylenol and Advil dropped to 104 which continued for 6 days. Also had nausea and vomiting which led to dehydration, hospitalized on 1/25/21 with Acute Cholecystitis without calculus, Hyperbilirubinemia, UTI, Acute kidney injury secondary to dehydration, Pyelonephritis. Surgery done for Cholecystectomy. 2 units of blood also administered.

Other Meds: None

Current Illness: None

ID: 0995383
Sex: F
Age: 85
State: MT

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

Lab Data: none

Allergies: Nitrofurantoin, oxybutynin, sulfa, gabapentin

Symptoms: Chills and body aches

Other Meds: unknown

Current Illness: none

ID: 0995384
Sex: F
Age: 38
State: FL

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

Lab Data:

Allergies: Sulfa

Symptoms: On 1/4/21 I got the covid-19 vaccine lot # 026L20A , only side effect was my arm was extremely sore. On 2/1/21 I received the moderne vaccine lot # 028L20A at 12:30 pm . By that evening My entire body was aching and right arm extremely sore difficulty lifting my arm. Very bad headache. When I woke up the next morning, body remained sore/achey with horrible headache still. Then around 9:30am my lips began to swell. ONLY the lips. My tongue etc were all normal, no difficulty breathing. I took one Benadryl 25mg and laid back down. Spoke w my physician who recommended steroids. I took prednisone 20mg at around 1pm. Lips remain extremely swollen . I did get LIP / dermal Fillers back in July 2020.

Other Meds: Multi vitamin

Current Illness: None

ID: 0995386
Sex: F
Age: 45
State: HI

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

Lab Data:

Allergies:

Symptoms: Symptoms: Dizziness Vitals stable. Monitored for a total of 40 minutes, received drinking water. Husband to drive patient home. RN discussed possible delayed adverse reactions and advised to call 911 or go to the nearest ER if needed.

Other Meds:

Current Illness:

ID: 0995387
Sex: F
Age: 49
State: NY

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

Lab Data: blood work- normal sonogram- normal

Allergies: none

Symptoms: pt stated the first day she had pain and swelling. next day she felt like she had flu systems but no fever. She had swollen lymph nodes on on neck and armpit on left side of her body. Pt had swelling on both left and right arm and left and right leg and her skin is hurting. pt saw her PCP which gave her medicine for inflammation. Pt stated she went to ER on 1/18 since her symptoms had not subsided. they blood work and sonogram on both legs. pt was diagnosed w/ erythema noduson. Pt had to return to the ER on 1/20. pt was given steriod meds since blood work came normal. pt is still on meds and has a FU apt w / rheumatologist in April.

Other Meds: lisinopril 5mg

Current Illness: no

ID: 0995388
Sex: F
Age: 68
State: CA

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

Lab Data:

Allergies: augmentin, apricots

Symptoms: muscle pain, weakness, tiredness, chills and I just feel like I have Covid all over again. I had it in Aug/Sept 2020

Other Meds: lovastatin 20mg, montelukast 10mg, acyclovir400mg, levothroxine 150mcg, aspirin 81mg, stool softener laxative 250mg, B12 5,00mcg, zinc 50mg, CoQ10 200mg ,biotin 10,000mcg, selenium 200mcg, centrum silver, magnesium 400mg

Current Illness: none

ID: 0995389
Sex: M
Age: 17
State: TX

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

Lab Data: N/A

Allergies: N/A

Symptoms: 1st Dose

Other Meds: N/A

Current Illness: N/A

ID: 0995390
Sex: M
Age: 63
State: CA

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

Lab Data:

Allergies:

Symptoms: Dizzy, nausea/vomiting within 5 minutes or receiving vaccine. BP - 169/89; O2 sat 100%. Pulse 53. Received small bottle of water and felt better, with pulse of 68. Vomiting stopped.

Other Meds:

Current Illness:

ID: 0995391
Sex: F
Age: 71
State: NY

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

Lab Data:

Allergies: gluten, dairy, Hydrocodone

Symptoms: Right after I got the shot within 2 minutes my whole mouth and throat became immediately dry. It lasted about 20 minutes. I did talk the EMT and doctor at the vaccine site before leaving and was asked to wait an additional 45 minutes before leaving by doctor.

Other Meds: NP Thyroid 15 MG twice a day, Zinc, Vitamin E, Eyelia injections every 12 weeks, Calcium, Vitamin D3, K2, Vitamin D, Red Yeast Rice, CoQ10

Current Illness:

ID: 0995392
Sex: F
Age: 49
State:

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

Lab Data:

Allergies:

Symptoms: developed chills, fever and body aches 1-29-21 Was feeling better 1-31-21 and went to work. That evening body aches worsened and on 2-2-21 she can hardly move due to back ache, body aches and stiffness

Other Meds:

Current Illness:

ID: 0995393
Sex: M
Age: 46
State: WA

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

Lab Data: None

Allergies: N/A

Symptoms: Around 11:30 pm on 1/28/21, patient reports waking up with a fever of 100 F. He felt like he had the fever most of the night, having to call out of work the following day on 1/29. He reports having mild body aches and injection site pain throughout the day on 1/29/21.

Other Meds: N/A

Current Illness: N/A

ID: 0995394
Sex: F
Age: 47
State: RI

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

Lab Data:

Allergies:

Symptoms: Dizziness

Other Meds:

Current Illness:

ID: 0995395
Sex: F
Age: 82
State: VA

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

Lab Data: went to ER at hospital on 01/28/2021. had tests. now in rehab unit for 6 to 8 weeks of rehab. possible fractured pelvis.

Allergies: shellfish

Symptoms: passed out without warning around 10pm. woke up on floor. couldn't move right leg. slept on floor all night.

Other Meds: high blood pressure medicine and high cholesterol medicine

Current Illness: none

ID: 0995396
Sex: M
Age: 58
State: IN

Vax Date: 01/20/2021
Onset Date: 01/23/2021
Rec V Date: 02/02/2021
Hospital:

Lab Data: None.

Allergies: None known.

Symptoms: On Saturday, 1/23, 72 hours after the vaccine; I experienced a severe headache with nausea around 1;30 PM. The pain persisted for several hours. I vomited around 4:30pm and began to feel better. I remained queasy until Monday, 1/25.

Other Meds: Daily: Glucosamine, baby aspirin, over-50 multivitamin.

Current Illness: None.

ID: 0995397
Sex: M
Age: 32
State: CA

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

Lab Data:

Allergies: None

Symptoms: Flue like symptoms, fever 101.8, chills, body ache, lethargy. Symptoms resolved within 72 hours.

Other Meds: None

Current Illness: Side effects from first dose of Moderna COVID Vaccine

ID: 0995398
Sex: F
Age: 51
State: TX

Vax Date: 12/23/2020
Onset Date: 12/23/2020
Rec V Date: 02/02/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Itching and rash reported within 15 minute observation time; seen in ER and given Benadryl; no admit; no further incident after release from ER

Other Meds:

Current Illness:

ID: 0995399
Sex: M
Age: 37
State: TX

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

Lab Data: None

Allergies: None

Symptoms: Mild fever 99.5 degrees F, fatigue, moderate pain to injection site.

Other Meds: None

Current Illness: None

ID: 0995400
Sex: F
Age: 25
State: CO

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

Lab Data:

Allergies:

Symptoms: Per Employee report: "Received COVID vaccine. Experiencing side effects (pain on left buttock, fatigue)"

Other Meds:

Current Illness:

ID: 0995401
Sex: M
Age: 57
State: IL

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

Lab Data: BMP,CBC,troponin,EKG,CXR all normal

Allergies: Penicillin- rash (as child)

Symptoms: Near-syncope - lightheaded, generalized weakness, thigh cramps beginning around 15' post vaccination Was placed supine, BP transiently elevated Pt transported to emergency dept. where he felt better, vitals normalized, observed In ED pt denied any focal weakness

Other Meds: None

Current Illness: None

ID: 0995402
Sex: F
Age: 54
State: CO

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

Lab Data: Slit lamp eye exam Jan 25th, diagnosed as above with iritis.

Allergies: NA

Symptoms: Diagnosed with iritis on Jan 25. I had had irritated eyes since having covid (diagnosed on Nov 17, fairly ill) so I am not sure if had iritis before, but definitely became more symptomatic after getting vaccine, formally seen by OD on Jan 25 and diagnosed with iritis of both eyes, right greater than left. I also had symptoms post vaccine x 3 days of chills, headache, myalgias, nausea and diarrhea (same symptoms I had with covid). Treatment for iritis ocular steroids, treatment ongoing.

Other Meds: Flonase Tylenol

Current Illness: I recently had covid (positive on Nov 17) and since have had irritated eyes. With vaccine, right eye got worse, diagnosed with iritis on Jan 25th

ID: 0995403
Sex: F
Age: 53
State: NJ

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

Lab Data: @11:05 P78 R 12 120/80 @11:33AM P66 R12 110/85

Allergies: PCN/ FRUIT

Symptoms: PATIENT FELT ITCHING AT THE INJECTION SITE, BENADRYL 50MG IMGIVEN, TOLERATED WELL, SYMPTOMS IMPROVED,ENCOURAGED TO F/U WITH PCP

Other Meds: PROZAC

Current Illness: N/A

ID: 0995404
Sex: M
Age: 25
State: WA

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 02/02/2021
Hospital:

Lab Data: Opthlamologist visit notes indicating abnormal exam noting L 6th nerve palsy on 1/30/21. Notable weakness of L lateral gaze on EOM's 2/1/21. CBC, CMP, and TSH drawn on 2/1/21 were all normal. Rapid Abbott ID now COVID19 test also negative on 2/1/21.

Allergies: None

Symptoms: Patient awoke the morning following the vaccination experiencing double vision, difficulty focusing vision. He presented to opthalmologist on 1/30/21 and was diagnosed with a L 6th nerve palsy. His symptoms have persisted and are accompanied by a HA.

Other Meds: Ibuprofen, Lidocaine 5% patch

Current Illness: None

ID: 0995405
Sex: F
Age: 74
State: GA

Vax Date: 01/13/2021
Onset Date: 01/26/2021
Rec V Date: 02/02/2021
Hospital:

Lab Data: none

Allergies: Sulfa, Erythromycin Glutin and dairy intolerance

Symptoms: 13 days after getting the vaccine, noticed arm was sore again on injection site, so looked in the mirror. There was a baseball size red ring around the site, with pink covering the inside. It went away in a couple days.

Other Meds: Synthroid 75mcg daily, Losarten 25 mg.daily, Diltiazem 120mg. daily, Hydrochlorothiazide 12.5 mg daily, Exetimbe 10mg daily, Dexilant 60 mg. daily Lexapro 15 mg daily, Pepcid 1 bid. Supplements: Vit. D 1000 units daily, Bioflavanoids 1 did

Current Illness: Had upper respiratory virus in December.

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm