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: 0996948
Sex: F
Age: 37
State: SC

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

Lab Data: ER evaluation, Benadryl and steroids

Allergies: Macrodantin

Symptoms: 12 hours after vaccine lips, tongue and neck started swelling requiring ER visit

Other Meds: Diazepam

Current Illness: None

ID: 0996949
Sex: M
Age: 33
State: OH

Vax Date: 01/06/2021
Onset Date: 01/11/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: Lab work performed.

Allergies: No known allergies.

Symptoms: ADR occurred prior to arrival. NKA. PT presented to ED 1/25/21 with nausea, decreased appetite that is documented to have started 2 weeks prior. PT received first Moderna Covid vaccine 1/6/21. Documentation in ED record notes patient tolerated Covid vaccine fine. No fever or chills, no vomiting or diarrhea. Patient was treated with normal saline bolus and discharged home same day with instruction to follow up with PCP. .PT seen by CNP 2/2. Documentation notes PT ?started prior to vaccines and became more severe after vaccine?. Documentation notes ?rash and then symptoms worsen. Took allergy relief".

Other Meds: None

Current Illness:

ID: 0996950
Sex: M
Age: 35
State: TX

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies: Wheat, corn, peanut, beef, fish, shellfish.... just found I was allergic 6 months ago after eating some kind of combination of all these types of foods on a ship. Wheat is listed as type 3, corn and peanut type 2, the reast are all 1 or 0 to scale.

Symptoms: I had a fast beating heart felt like anxiety as my pulse read regular on my watch. My right side of my face around the cheek, eye, and ear area began to tingle and feel numb around 20 to 30 min. After the shot was administered. It was only on the side of my face that Moderna covid vaccine was given. It ended up going away after 4 hours or so. The next day I had normal reactions to the shot for someone that had covid such as low fever, muscle inflammation, aches, and this brain fog, chills in my sleep.

Other Meds: Vitamin c. Omeprazole

Current Illness: I was tested positive for covid pcr test as well as antibodies test November 20th 2020. I believe I actually had covid starting on October 1st. I had to take the PCR test although I didn't not have symptoms at that time.

ID: 0996951
Sex: F
Age: 67
State:

Vax Date: 01/30/2021
Onset Date: 01/31/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies: None that are known

Symptoms: Large red injection site , whole body tingling sensation, face burning, eye lid and brow itching, eye itching, lymph nodes in neck, arms and especially groin area(hurt the most) burning on right side of foot and heal, all over body aches and tiredness, headache

Other Meds: None

Current Illness: None

ID: 0996952
Sex: F
Age: 42
State: OH

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

Lab Data:

Allergies:

Symptoms: Patient reports tingly fingers and worried injection was given too high on arm. Injection was given higher than deltoid.

Other Meds:

Current Illness:

ID: 0996953
Sex: F
Age: 41
State: KY

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

Lab Data:

Allergies: Molds, smuts

Symptoms: Fever of 102, muscle ache, chills

Other Meds: Gabapentin, prazosin,Wellbutrin, duluxotine, loratadine, trazodone,?fish oil

Current Illness:

ID: 0996954
Sex: M
Age: 35
State: IN

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

Lab Data:

Allergies:

Symptoms: Fever, chills, body aches, headaches, head congestion.

Other Meds:

Current Illness:

ID: 0996955
Sex: F
Age: 78
State: IN

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies: Augmentin

Symptoms: Felt tongue, roof of mouth, throat swelling, but observation did not show it.

Other Meds: Ibuprofen, Atenolol, Valsartin, aspirin

Current Illness:

ID: 0996956
Sex: F
Age: 90
State: PA

Vax Date: 01/27/2021
Onset Date: 01/30/2021
Rec V Date: 02/03/2021
Hospital: Y

Lab Data: Unknown

Allergies:

Symptoms: Positive Covid case investigation with the PA DOH. Spoke with case's daughter. States her mother recieved vaccine at clinic on 01/27/21. Had no complaints of illness or exposure to a positive case prior to vaccine. Daughter states she's independent and stays alone at night. Felt fine the day and the day after of the vaccine. Per daughter, case's last known well time was Friday 1/29/21 at 730pm. Daughter states they found her Saturday morning with stroke like symptoms and was admitted to Hospital step down unit. She was also informed by the doctor that her heart was irregular with atrial fibrillation.

Other Meds:

Current Illness: NONE

ID: 0996957
Sex: F
Age: 40
State: WI

Vax Date: 01/01/2021
Onset Date: 01/08/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies: Azithromycin Bactrim Amoxicillin

Symptoms: Fever, chills,severe body aches, fatigue. Headache for 7 days

Other Meds:

Current Illness:

ID: 0996958
Sex: F
Age: 33
State: KY

Vax Date: 01/06/2021
Onset Date: 01/11/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: none

Allergies: Localized reaction to Tuberculosis test

Symptoms: Days 1-4 - Very, very sore arm with localized redness, about half dollar in size. Another symptom was my arm was very itchy. Days 5 and 6- The soreness went away however the redness continued to stay and become a deeper shade of red and grow about a quarter inch. Itching continued. Day 7: I woke up and the redness had grown significantly in size. The size was approximately 3.5 inches in diameter, was red and bumpy and worse with itchiness. I ended up using a prescription hydrocortisone ointment which made it go away. For weeks later my arm was still itching and faint redness could still be visible.

Other Meds: Topomax (for migraines), Zoloft, Estarylla, Align, mutlivitamin, doxycycline succinate (low dose for acne)

Current Illness: none

Date Died: 02/01/2021

ID: 0996959
Sex: M
Age: 78
State: OH

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

Lab Data: NA

Allergies: None

Symptoms: Vaccine was administered Thursday and my father Died early Monday morning unexpectedly

Other Meds: Lasix, Morphine, Ernesto, Oxycodone, omeprazole Gabapentin

Current Illness: CHF. COPD Chronic Pain

ID: 0996960
Sex: F
Age: 65
State: FL

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: On 1/26/21 I felt chills, headache, body aches and very weak. These symptom's lasted five days.

Other Meds: None

Current Illness: None

ID: 0997089
Sex: F
Age: 67
State: NY

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: none

Allergies: erythromycin

Symptoms: Very sore are for 2 days. Extreme tiredness for 1 week I'm now at the 2 week mark and just developed swelling, redness, hardness & warmth at the injection site.

Other Meds: Olmesartan Medoxomil , Vit D 3, Lysine, Elderberry

Current Illness: none

ID: 0997091
Sex: F
Age: 49
State: IN

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: When the vaccine was administered, I felt a warm sensation move up my neck and then approx 3 hours later I started having left sided facial muscle twitching. Then I started having muscle twitching all over my body. To this day (3 weeks after vaccine) I am still having muscle twitching. It has improved some.

Other Meds: none

Current Illness: none

ID: 0997093
Sex: F
Age: 49
State: IL

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

Lab Data: None

Allergies: None

Symptoms: fever, chills, nausea

Other Meds: anastrozole, vitamin D3, vitamin E, magnesium, multivitamin, calcium, biotin, probiotic

Current Illness: None

ID: 0997096
Sex: F
Age: 83
State: MD

Vax Date: 01/26/2021
Onset Date: 02/02/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: None

Allergies: No

Symptoms: Redness, pain/tenderness, swelling/hardness, itching

Other Meds: Tresiba, Novolog, Eliquis, Xanax, Furosemide, Potassium Chloride sa, Provastatin, Nefedipine, Vitamin D, Vitron-C and Centrum Silver for Women

Current Illness: None

ID: 0997099
Sex: F
Age: 34
State: MA

Vax Date: 01/21/2021
Onset Date: 01/23/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies: Cefaclor, ceftriaxone

Symptoms: After having a fever, chills, and aches, as those symptoms faded away, I began to perceive a distinct odor. It was intermittent and then was constant from Sunday morning until Friday morning. The odor was strong and differed at times. It varied from a minty smell, to a musty basement type of smell, to a chemical/bleach smell, to something unidentifiable but unpleasant. At times I also could taste it in the back of my throat. It was so strong that I gagged frequently on Tuesday and Wednesday at its peak. I could smell and taste normally, but in the absence of an external smell, I had this other odor in my nose. On Friday, the smell was noticeably less strong and intermittent. 13 days after vaccination, I still sometimes smell it although it is brief and mild. I am tested for COVID weekly, so I know it was not due to the virus. 1/21/21 Vaccine dose #1 1/22-23 Fever, chills, aches, fatigue, mild cough 1/23 Intermittent smell began 1/24-28 Constant perception of bad odor from wake to sleep 1/25 Tested negative for COVID via PCR test 1/29-Present Gradual decline of smell intensity and frequency

Other Meds: None

Current Illness: None

ID: 0997102
Sex: F
Age: 72
State: CO

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies: Latex, sulfa meds, peanut butter

Symptoms: I woke up in the middle of night with extreme body heat and the next morning I had a beer red rash from my upper chest through the top of my face with itching along my jaw lines. This did not require any visit to ER although a call was made. The event lasted 24 hrs.

Other Meds: Vitamins C,D3, calcium pills, atorvastatin, losartan HCT,

Current Illness: Had a steroid injection in opposite shoulder that morning early, not realizing I shouldn't have .

ID: 0997106
Sex: F
Age: 45
State: FL

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

Lab Data: None

Allergies: None

Symptoms: Itching at the injection site with a rash that started to form around injection site. Patient started Clobetasol propionate 0.05% cream on 2/2/2021 as prescribed by dermatologist after the same reaction occurred after the first dose on 1/5/2021. Patient will continue the cream for a few more days and if the event does not resolve will go back to dermatologist. The cream worked within 4 days after first injection. First injection was on left arm and reported to VAERS.

Other Meds: None

Current Illness: None

ID: 0997108
Sex: F
Age: 52
State: FL

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

Lab Data: None

Allergies: Penicillin

Symptoms: Left arm pain, swelling at sight of injection, dizziness, passed out,bump on head

Other Meds: Zyertec,singular

Current Illness: None

ID: 0997110
Sex: M
Age: 71
State: FL

Vax Date: 01/20/2021
Onset Date: 01/27/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: None

Allergies: Penicillin & cephalosporin drugs

Symptoms: Right shoulder started itching, later the same day a lump arose and huge area with a red rash. Next day after contacting health provider I started using an ice pack several times daily and taking Bebadryl.

Other Meds: None

Current Illness: None

ID: 0997113
Sex: M
Age: 67
State: FL

Vax Date: 01/27/2021
Onset Date: 01/29/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Blood pressure spiked severely daily since

Other Meds: Zinc 50 mg, Co Q 10 with Cinnamon, Top Care stool softener, Turmeric Curcumin 500 mg, CVS daily fibre

Current Illness: none

ID: 0997115
Sex: M
Age: 36
State: NC

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

Lab Data: None

Allergies: Penicillin

Symptoms: Fatigue-18 hours, chills-Intermittent over 18 hours, sweats-Intermittent over 18 hours, headache-Light to Medium over 12 hours, arm soreness-36 hours and counting Taken ibuprofen to help with arm soreness over the last 2 days

Other Meds: Montelukast Wixela Inhub Omeprazole

Current Illness: None

ID: 0997118
Sex: M
Age: 62
State:

Vax Date: 01/14/2021
Onset Date: 02/02/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies: N/A

Symptoms: Patient received Pfizer COVID-19 vaccine on 1/14/2021. Presented for second dose on 2/2/2021 (Day +19) and was erroneously administered Moderna product.

Other Meds: N/A

Current Illness: N/A

ID: 0997121
Sex: F
Age: 73
State: NJ

Vax Date: 01/28/2021
Onset Date: 01/31/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: CBC - normal results

Allergies: none

Symptoms: Headache, nausea, vomiting, fever, chills, shortness of breath ER visit with IV fluids, Zofran

Other Meds: vitamins

Current Illness: none

ID: 0997124
Sex: M
Age: 77
State: AZ

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

Lab Data: None

Allergies: none

Symptoms: Slight Headache, Minor Body Ache

Other Meds: Crestor/Rosuvastin Calcium Eliquis Metoprolol Tartrate Levothyroxine Isosorbide MN/ER Ramexa 10 Spironolactone 11 Furosemide ELIQUIS Olmesartan Drug Vitamin Supplements 11-14-2018 ?Vitamin d3 2000 Vitamin D is used to treat and prevent

Current Illness: none

ID: 0997126
Sex: F
Age: 66
State: IN

Vax Date: 01/31/2021
Onset Date: 02/01/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: None. Waiting to see if it resolves on its own

Allergies: None

Symptoms: Large node swelling on left collar bone. No pain orredness

Other Meds: None

Current Illness: None

ID: 0997129
Sex: F
Age: 17
State: NM

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies:

Symptoms: No Adverse event occured, but patient in retrospective review of NJIIS data was discovered to have incorrectly been given Moderna vaccine while under 18 year old as approved in the EUA. The manufacturer was contacted and they provided information about an ongoing clinical trial in patients 12-18 years old receiving the same (100mcg) 2 dose series of Moderna COVID-19 vaccine, however this age group is not currently approved. This is being reported as an error having occurred with the Moderna COVID-19 vaccine. Patient/Guardian will be contacted by a prescriber to inform the patient of the historical event and explain when a 2nd dose can be given.

Other Meds:

Current Illness:

ID: 0997131
Sex: M
Age: 35
State: MD

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

Lab Data:

Allergies:

Symptoms: Throat tightness/ 50mg Benadryl

Other Meds:

Current Illness:

ID: 0997133
Sex: M
Age: 80
State: KY

Vax Date: 01/29/2021
Onset Date: 02/02/2021
Rec V Date: 02/03/2021
Hospital: Y

Lab Data: COVID positive 2/2/21

Allergies: NKA

Symptoms: hospitalized for GI Bleed and found to be COVID positive on admission.

Other Meds:

Current Illness:

ID: 0997138
Sex: F
Age: 49
State: UT

Vax Date: 01/30/2021
Onset Date: 01/31/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: I saw my doctor for a red swollen arm and redness kept grown and I was put on antibiotics

Allergies: Emycin, annaprox and solma

Symptoms: Moderna dose 2 (Covid 19)

Other Meds: Thyroid medication, Wellbutrin

Current Illness: None

ID: 0997141
Sex: F
Age: 49
State: NC

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

Lab Data:

Allergies: motor oil

Symptoms: Within 10 minutes of receiving vaccine I experienced a rash that spread very quickly all over my chest and traveled up the left side of my face and ear. Experienced tachycardia as well. I had to stay for an hour and be monitored. Later that evening I started running a fever of 102.7 at home and kept the fever for approx 24 hours.

Other Meds: multi-vitamin, Biotin, Tylenol,

Current Illness: none

ID: 0997143
Sex: U
Age: 21
State: NY

Vax Date: 01/16/2021
Onset Date: 01/16/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Administration error - 0.25mL administered

Other Meds:

Current Illness:

Date Died: 02/01/2021

ID: 0997145
Sex: F
Age: 85
State: NY

Vax Date: 01/21/2021
Onset Date: 02/01/2021
Rec V Date: 02/03/2021
Hospital: Y

Lab Data: CT 1/29/21 showed brain infarcts

Allergies:

Symptoms: 85 year old patient with multiple medical problems. PEA/asystolic arrest 5 days after receiving vaccine, hospitalized. Patient died on 2/1/2021. It is not clear whether the vaccine administration led to the patient's death or not. "...healthcare professionals are encouraged to report any clinically significant or unexpected events (even if not certain the vaccine caused the event)"

Other Meds:

Current Illness:

ID: 0997147
Sex: F
Age: 59
State: NC

Vax Date: 01/22/2021
Onset Date: 01/30/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: 8-9 days after the first vaccine I had flu-like symptoms. Chills, body aches and headaches. No fever. Lasted for 3 days

Other Meds: Synthroid, Celexa, Ritalin, Premarin, Abilify, Protonix

Current Illness: none

ID: 0997149
Sex: M
Age: 58
State:

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

Lab Data:

Allergies:

Symptoms: Flushed face after injection. oral mucosa intact, lungs clear & vitals stable monitored for every 15mins

Other Meds:

Current Illness:

ID: 0997152
Sex: F
Age: 56
State: IN

Vax Date: 01/29/2021
Onset Date: 01/31/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Very enlarged lymph nodes in left axilla size of a grapefruit

Other Meds: Amlodopine, diuretic, vitamin D, Biotin, Amoxicillin

Current Illness: Diverticulitis

ID: 0997155
Sex: F
Age: 25
State: NY

Vax Date: 01/16/2021
Onset Date: 01/16/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Administration error - 0.25mL administered

Other Meds:

Current Illness:

ID: 0997158
Sex: F
Age: 46
State: MI

Vax Date: 01/25/2021
Onset Date: 02/02/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: NONE

Allergies: None

Symptoms: On February 2, 2021 at approx 12pm I started to get a headache. Later that evening a stiff neck. This morning I woke at 4:30am with the right arm swollen, red and painful at the injections site. The pain radiates to my right shoulder and under my arm. Redness is approx 2.5 in diameter.

Other Meds: Zyrtec, Nasonex

Current Illness: None

ID: 0997161
Sex: F
Age: 68
State: PA

Vax Date: 01/25/2021
Onset Date: 01/30/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: 2/01/2021 had blood work- said it was okay

Allergies:

Symptoms: had swelling in the neck on opposite side of where i got the vaccine. pain in my throat when i would swallow . Dr said my throat was red. Still have the lump in my neck.

Other Meds: eye drops

Current Illness:

ID: 0997162
Sex: M
Age: 71
State: AL

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

Lab Data: None

Allergies: Nka

Symptoms: Awakened at night, unable to stand up from bed to walk to bathroom for 45 minutes. Sweating, felt viremic due to Covid vaccine administered approximately 20 hours earlier. BP normal, temp normal, could move extremities but could not bear weight. Incontinent of using. Was able to walk after 45 minutes. Returned to bed, slept, next morning felt flu like symptoms, but largely ok. No more weakness in 28 hours since. Walking fine for last 24 hours.

Other Meds: Lisinpril, chlorthalidone, metformin

Current Illness: Htn, prediabetic

ID: 0997166
Sex: F
Age: 68
State: NY

Vax Date: 01/16/2021
Onset Date: 01/16/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Administration error - 0.25mL administered

Other Meds:

Current Illness:

ID: 0997168
Sex: F
Age: 56
State: SC

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

Lab Data:

Allergies: Penicillin

Symptoms: I had zero problems with the 1st dose, besides a little soreness in my arm. The morning after receiving the 2nd dose my arm really really hurt. I just progressively got worse and worse. My joints were hurting. I was in bed all day besides for emergencies. I felt like I was ran over the by a truck. I was having chilly and sweating and but I never took my temperature. I just felt horrible. It lasted until about 3AM this morning. I got 95% normal today besides my joints are being a little achy.

Other Meds: One a day vitamin

Current Illness:

ID: 0997170
Sex: F
Age: 53
State: MN

Vax Date: 01/21/2021
Onset Date: 01/28/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: I went to the eye doctor for an eye exam after work that day.

Allergies: no

Symptoms: On 1/28/21, I experienced a temporary blind spot in my left eye, which lasted for about 30-45 minutes. When the vision was restored, I had a frontal headache.

Other Meds: Calcium with D, glucosamine chondritin, docusate

Current Illness: none

ID: 0997171
Sex: F
Age: 36
State: IA

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

Lab Data:

Allergies:

Symptoms: Headache; body aches; fatigue

Other Meds:

Current Illness:

ID: 0997173
Sex: F
Age: 65
State: TX

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

Lab Data:

Allergies: No

Symptoms: low grade fever....throughout the 1st night...next day fever, chills, and sweats throughout the night 2nd night

Other Meds: Tylnol

Current Illness: No

ID: 0997175
Sex: F
Age: 69
State: NY

Vax Date: 01/16/2021
Onset Date: 01/16/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Administration error - 0.25mL administered

Other Meds:

Current Illness:

ID: 0997178
Sex: M
Age: 58
State: NC

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

Lab Data: None

Allergies: Unknown

Symptoms: original appointment was the week before 2/2/2021. He rescheduled this appointment himself using a link thinking that we would be giving both Moderna and Pfizer vaccines. He brought his vaccination card with him, but in the midst of conversation it was overlooked that he had received Moderna as first dose. could not recall whether or not he was informed that the vaccine he was receiving was Pfizer instead of Moderna.

Other Meds: Unknown

Current Illness: Unknown

ID: 0997181
Sex: F
Age: 52
State: OH

Vax Date: 01/28/2021
Onset Date: 02/01/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: none

Allergies: NKDA

Symptoms: 4 days post vaccine developed front and back torso rash with burning and itching

Other Meds: Xarelto 20mg Lipitor 10mg

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm