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: 0924744
Sex: F
Age: 51
State: NH

Vax Date: 12/16/2020
Onset Date: 12/16/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data: Monitoring vitals only.

Allergies: none

Symptoms: 15 minutes after the immunization I felt a little lightheaded. It was mild so I tried to leave, but then felt presyncopal. Sat down, drank water and ate a cookie. The feeling did not subside. After about another 20 minutes, felt tingly all over. After about 5 minutes of that, the tip of my tongue started too tingle. I alerted the staff and they checked my pulse (nl in the low 60s) and my BP (normal SBP 112). They gave me liquid Benadryl 25 mg and the tingling immediately stopped but I still felt lightheaded. They transported me to the ED. I was given 1 L of fluid and monitored and rested for about an hour, then I felt fine. No other tests or meds given

Other Meds: citalopram 10 mg daily

Current Illness: none

ID: 0924745
Sex: F
Age: 61
State: WA

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

Lab Data: normal Blood pressure 1st: 140/88 2nd: 120/88

Allergies: ALLERGIC TO BACTRIM AND FLAGYL

Symptoms: SWEATING AND DIZZINESS. SHE HAD TO LAY DOWN AND PUT HER FEET UP. NORMAL BLOOD PRESSURE VIALS.

Other Meds: none

Current Illness: Diabetes - managing by food

ID: 0924746
Sex: F
Age: 56
State: WA

Vax Date: 12/18/2020
Onset Date: 12/21/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data: SARS-CoV-s Antibody IgG to the spike protein is positive on 1/4/21.

Allergies: ASA Sulfa Adhesive and Tape

Symptoms: Lightheadedness was the first 2 days after the vaccine (arm discomfort). Felt numbness on the left upper lip 2-3 hours after vaccine, but noted facial droop 3 days later. Numbness is improving at this time. Some fatigue.

Other Meds:

Current Illness: N/A

ID: 0924747
Sex: F
Age: 34
State: FL

Vax Date: 12/16/2020
Onset Date: 01/04/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data: 1/6/2021 Hearing test at ENT's office: Moderate hearing loss on my right ear with poor speech recognition. Only 52% recognition of words on the right ear compared to 96% on the left ear.

Allergies: no known allergies

Symptoms: Since the vaccine I have been having right sided hearing loss. Two days after my first dose I felt like I was underwater when talking to people, as their speech was distorted. I also felt pressure in my ear, as if it was filled with fluid, and was unable to "pop" my ears. I was evaluated by an ENT and there was no infection or fluid in my ear. It started to get better a little. After my second dose, the symptoms worsen. My hearing loss was back worse than the original time and this time I had tinnitus constantly. I also had chills, fevers, myalgia, back pain, and headaches.

Other Meds: Flonase

Current Illness: none

ID: 0924748
Sex: F
Age: 49
State: AZ

Vax Date: 12/22/2020
Onset Date: 12/22/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Immediately following injection: warm flushing feeling to right side of my neck and face. One hour after: fatigue, dizziness and nausea 12 hours: fatigue (slept for 19 hrs post injection) , dizziness, nausea 24 hours: fatigue, dizziness 48 hours: dizziness Present day: dizziness

Other Meds: Zinc Vitamin B Vitamin C Vitamin D3 Turmeric

Current Illness: None

ID: 0924749
Sex: F
Age: 39
State: UT

Vax Date: 12/28/2020
Onset Date: 12/30/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Cellulitis like symptoms at site Of injection

Other Meds: Bupropion

Current Illness: None

ID: 0924750
Sex: F
Age: 49
State: MI

Vax Date: 12/26/2020
Onset Date: 12/26/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data: NONE

Allergies: NICKLE, HYDROMORPHONE , SHELLFISH, CLONIDINE,MORPHINE

Symptoms: THROAT TIGHTNESS, FINGERS WARM. EPI GIVEN. TRANSFERED TO ER

Other Meds: ASA, VUIT D,PEPCID,INSULIN (NOVOLOG AND GLARGINE)MOBIC,CRESTOR

Current Illness: NONE

ID: 0924751
Sex: F
Age: 42
State: UT

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

Lab Data:

Allergies: monistic 7

Symptoms: swelling at site of injection, itching, hot one week after injection.

Other Meds: lisinopril baby aspirin

Current Illness: none

ID: 0924752
Sex: F
Age: 42
State: IL

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

Lab Data: none

Allergies: None that I know of

Symptoms: Had soreness of the injection site for two days after the administration. Then no issues. On the 8th day noticed Swelling and pain at the injection site, difficulty in raising the arm. Contacted my healthcare provider who advised to report to CDC, take anti-inflammatory and cold compress

Other Meds: none

Current Illness: none

ID: 0924753
Sex: M
Age: 66
State: CA

Vax Date: 12/23/2020
Onset Date: 12/28/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data: No

Allergies: No

Symptoms: Became weak on Monday 12/28/20 in the evening and fell off the chair . Was semi-unconscious for 5 minutes . When I came to my wife took my BP 88/60 . I felt weak that evening and went to bed early. I woke up fine that next day. No symptoms since. No medical follow required,

Other Meds: Trazodone, lexapro, Effexor, atarax, Zyrtec

Current Illness: No

ID: 0924754
Sex: M
Age: 44
State: KS

Vax Date: 12/28/2020
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies: NKDA

Symptoms: Itchy and small red rash about the size of a silver dollar. No pain

Other Meds: Simvistatin

Current Illness: None

ID: 0924755
Sex: F
Age: 23
State: NY

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data: none

Allergies: None

Symptoms: Rash on dorsal surface of right hand Tx: lotion, Aleve Rash not yet resolved.

Other Meds: None

Current Illness: None

ID: 0924756
Sex: F
Age: 56
State: WV

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

Lab Data: I took 25 mg of Benadryl and within about 15 minutes the symptoms were gone.

Allergies: Wheat

Symptoms: Approximately 3 1/2 hours after I received my vaccine I was sitting and talking on the phone. All of a sudden my hands, arms and head became numb and I had a feeling of pressure. I took 25 mg of Benadryl and within about 15 minutes the symptoms were gone.

Other Meds: Armour thyroid 30 mg

Current Illness: None

ID: 0924757
Sex: M
Age: 28
State: CA

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies: Adhesives

Symptoms: Malaise, Headache, Fever

Other Meds: None

Current Illness: None

ID: 0924758
Sex: F
Age: 35
State: VA

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

Lab Data: None

Allergies: Soy, corn, wheat, almond

Symptoms: Hives on face, neck, arms Fatigue

Other Meds: None

Current Illness: None

ID: 0924759
Sex: F
Age: 41
State: TX

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Pain at injection site, body aches, chills

Other Meds: None

Current Illness: None

ID: 0924760
Sex: F
Age: 60
State: MI

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data: NONE

Allergies: SULFA

Symptoms: BLOTCHES OVER ENTIRE BODY NO OTHER SYMPTOMS. TREATED WITH BENADRLY OBSRVED 30 MIN AND RASH RESOLVED

Other Meds: ELEVIL

Current Illness: NO

ID: 0924762
Sex: F
Age: 38
State: AZ

Vax Date: 12/28/2020
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data: None

Allergies: NKA

Symptoms: Moderate skin reaction. Became raised, red, and slightly painful. Created a golf ball size circle of irritation.

Other Meds: Zoloft Iron

Current Illness: None

ID: 0924763
Sex: F
Age: 31
State: WA

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: reported all over body hives, swelling at vaccine site and slight swelling at the mouth around lips

Other Meds: none

Current Illness: none

ID: 0924764
Sex: F
Age: 33
State: UT

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: About 12 hours after I received the second dose of the covid vaccine, I started to get severe chills and headache followed by fever that lasted all night and was up to 101.4 F. The fever improved this morning around 9 am, however I continued to have headache, myalgia, and fatigue all day. I also have intermittent nausea and difficulty standing or walking around because of feeling like I will pass out. I feel slightly improved tonight but still not normal. I called the employee health this morning to inform them.

Other Meds: Vitamin B12, vitamin D

Current Illness: None

ID: 0924765
Sex: F
Age: 29
State:

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Jan. 4: felt dizzy and sluggish rest of day Jan. 5: injection site swollen, very painful where she was having difficulty raising the right arm, chills, headache, fever Jan. 6: fever and right arm soreness She?s taking over the counter meds

Other Meds:

Current Illness:

ID: 0924766
Sex: F
Age: 55
State: WA

Vax Date: 12/27/2020
Onset Date: 01/03/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: MODERNA COVID-19 Vaccine: Left arm below shot large red area appeared with tender spot in cneter or shot area. It is hot, raised with size has growing since Monday to size of hand over biceps area. I have applied cortozone -10 , and anti ich topical to area with out results. I took benadryl on 1..6.20. Honestly looks like a infected bug bite or skin infection. Intially had a solid fluid hard area.. no w area just tender.

Other Meds: multi vitamin

Current Illness: none at time, two weeks earlier cold

ID: 0924767
Sex: M
Age: 60
State: NY

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Shaking chills achy knees hurt

Other Meds: None

Current Illness: None

ID: 0924768
Sex: F
Age: 27
State: AR

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data: None

Allergies: Rosemary and alpha 1,3 alpha galactose

Symptoms: Woke up next day (12/30) with a hot red mark and bruising around injection site and soreness and pain. Later noticed lots of swelling in deltoid. Took the temperature of red spot that afternoon and it was 100.2 F. On 1/5 in the morning it appeared to be going away, but that night came back. 1/6 morning had soreness and now looks kind of like a bullseye

Other Meds: Montelukast 10, levocetirizine 5 two to three per day, venlafaxine ER 150, famotidine 40, azelistine nasal spray. Flovent 220

Current Illness: None

ID: 0924769
Sex: F
Age: 38
State: MO

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies: Compazine, Benzoin.

Symptoms: About 1 minute after receiving the vaccine, I suddenly felt hot and sweaty. After about 20 minutes, I began experiencing mild itching on my face, chest and upper body (no hives or rash) and my face was flush. At about 40 minutes, began experiencing nasal congestion, runny nose and and a slight tickle in the back of my throat. A few hours later, all symptoms resolved.

Other Meds: Depo provera, generic Zrytec, Berberine, Turmeric.

Current Illness: N/A

ID: 0924770
Sex: F
Age: 59
State:

Vax Date: 12/28/2020
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Jan. 5: developed redness (more than quarter size), itchiness and the site was warm to touch She?s taking over the counter meds.

Other Meds:

Current Illness:

ID: 0924771
Sex: F
Age: 52
State: MI

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

Lab Data: NONE

Allergies: CLINDAMYCIN,AMOX, BIAXIN, DOXYCYCLINE,ZITHROMAX PCN,, SULFA

Symptoms: RAPID HEART RATE 150-160, SHAKY FEELING 10 MIN POST VACINATION

Other Meds: ZOLOFT, LAMICTAL, SYNTHROID

Current Illness: NONE

ID: 0924772
Sex: M
Age: 69
State: IL

Vax Date: 12/18/2020
Onset Date: 12/18/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Moderate Left Arm for 3-4 days Pain Clear runny nose on day 4 post vaccine. Last 2 hours. disappear spontaneously

Other Meds: multivitamins

Current Illness: None

ID: 0924773
Sex: F
Age: 45
State: AZ

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Fatigue, dizzy, flu like ache

Other Meds: Fluoxetine HCL 20 MG, Levothyroxine 50MCG

Current Illness: None

ID: 0924774
Sex: M
Age: 51
State:

Vax Date: 12/29/2020
Onset Date: 01/01/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Jan. 1: developed redness & soreness to left upper arm (injection site) Jan. 5: injection site with increased redness and painful to touch He?s taking over the counter meds.

Other Meds:

Current Illness:

ID: 0924775
Sex: F
Age: 27
State: CA

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

Lab Data:

Allergies: None

Symptoms: Fever, Headache, Fatigue, and Stomach ache, Nausea, Muscular pain

Other Meds: None

Current Illness: None

ID: 0924776
Sex: F
Age: 46
State: NC

Vax Date: 01/04/2021
Onset Date: 01/06/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies: Latex

Symptoms: Red splotches on body - mainly arms

Other Meds:

Current Illness:

ID: 0924777
Sex: F
Age: 31
State: MI

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

Lab Data: NONE

Allergies: AMOX

Symptoms: SCRATCHY THROAT , FULL FEELING IN BACK OF THROAT , TREATED WITH BENADRYL. OBSERVED AND RELEASED FROM CLININC

Other Meds: NO

Current Illness: NO

ID: 0924778
Sex: M
Age:
State: AZ

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

Lab Data:

Allergies: None

Symptoms: None stated.

Other Meds:

Current Illness: none, haven't received vaccination yet.

ID: 0924779
Sex: F
Age: 46
State: CA

Vax Date: 12/29/2020
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: As of 1/5/2021 i experienced itchiness at the injection site. The next morning more itchiness and redness and swelling at the injection site.

Other Meds: pantoprazole, tylenol,

Current Illness: none

ID: 0924780
Sex: M
Age: 37
State: CO

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: I experienced fever, chills, muscle pain and fatigue. Took 3 doses of ibuprofen over a span of about 18 hours. Symptoms just went away about 36 hours after I received the vaccine.

Other Meds: vitamin d, ibuprofen

Current Illness:

ID: 0924781
Sex: F
Age: 44
State: OR

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies: Sulfa

Symptoms: Had tingling in feet shortly after vaccine. Waited 15 minutes, was cleared to go home, on walk to car, migraine aura started. I rarely get migraines. Got worse and worse as I drove home, could barely see. Severe headache followed.

Other Meds: Vitamin D, iron, vitamin C

Current Illness: None

ID: 0924782
Sex: M
Age: 28
State: CA

Vax Date: 12/31/2020
Onset Date: 01/04/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies: Mangos

Symptoms: Swollen lymph node in left armpit for the past 3 days. Somewhat sore.

Other Meds: None

Current Illness: None

ID: 0925669
Sex: F
Age: 36
State: MS

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data: None performed by Health Dept.

Allergies: None reported per patient

Symptoms: 01/05/2021 at 1451: Received Covid-19 Vaccine (Moderna) IM to L deltoid, during drive-thru 1512: Patient c/o feeling hot/flushed, confused/light-headed, states "heart racing." Appears pale in color. Patient was placed supine with legs elevated. BP 164/100, HR 94, RR 24, unable to determine O2sat, patient with gel manicure, would not register. Denies SOB. Denies chest pain. Patient remained A&O x4. Assisted and monitored by RN; second RN; third RN; and Fire Department. EMTs contacted. 1523: BP 142/86, HR 82, RR 20, color returned, A&O x4. Assited to sitting position. Reports "feeling better". Refused to go hospital/ER for further observation. 1523 patient contacted her father to come to Health Dept. to pick her up and take her home to avoid driving. Patient remained with RN until arrival of father. Fire Department remained with patient as well. 1545 Patient's father arrived to take her home, RN reports to writer that patient became SOB and light headed, and pain upon transfer to her father vehicle. EMS contacted, unable to obtain IV access x1 attempt. EMS placed patient on non rebreathing and transported to Emergency Department.

Other Meds: None reported per patient

Current Illness: None reported per patient

ID: 0925671
Sex: F
Age: 21
State: ME

Vax Date: 01/05/2021
Onset Date:
Rec V Date: 01/06/2021
Hospital:

Lab Data: Sent for COVID testing

Allergies: None

Symptoms: (Reported) Fever 100.2 degree F body aches/HA/pain at injection site/fatigue

Other Meds: BCP/ nasal saline

Current Illness: None

ID: 0925672
Sex: M
Age: 44
State: MN

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies: Reports allergies to: shellfish and bees

Symptoms: Employee reported throat was starting to swell; epinepherine was given at 9:30am.

Other Meds:

Current Illness:

ID: 0925673
Sex: F
Age: 87
State: TX

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data: COVID 19 rapid test

Allergies: PCN

Symptoms: Fever 100.3 degrees Ache body ARm swollen with rash

Other Meds: Clonazepam, ASA, Lovastatin, Losartan, Quetiapine, Escitalopram

Current Illness: No

ID: 0925674
Sex: F
Age: 73
State: TX

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data: COVID 19, Flu, CT scan chest

Allergies: Codeine

Symptoms: 12/31/2020 Weakness, acid reflux, 1/1/2021 Weakness, chills, diarrhea No fever, cramps in abd. 1/5/2021 1320 pm - Left message. 1/6/2021 1021 pm - " ".

Other Meds: Sucralfate, Calcium, Pantoprazole

Current Illness: GERD

ID: 0925675
Sex: F
Age: 24
State: IA

Vax Date: 12/29/2020
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data: None at this time

Allergies: None

Symptoms: right upper arm red, swollen, warm to touch and painful

Other Meds:

Current Illness:

ID: 0927797
Sex: F
Age: 44
State: VA

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

Lab Data:

Allergies:

Symptoms: Individual received COVID 19 vaccine. Started to feel dizzy approx. 15 minutes after vaccine. Pt then started to have hypertension and increased confusion. EMS called, pt transported to hospital.

Other Meds: blood thinner

Current Illness: (R) PE, Hypertension, leen+ transfusion for low H/N

ID: 0927808
Sex: F
Age: 59
State: NE

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data: N/A

Allergies: NKDA

Symptoms: Symptoms started about 3 hrs after receiving Moderna COVID vaccine. Lightheadedness, headache, extreme fatigue, body (back mainly, legs) feel heavy & leg heaviness started next day. heaviness resolved in 3 hours. Next day fever T=98.5 B/P=136/80, P=84 & fatigue is improved. Referred to Dr - PCP

Other Meds: Victoza injection daily

Current Illness: Diabetes Type 2

ID: 0927818
Sex: F
Age: 54
State: NY

Vax Date: 01/05/2020
Onset Date: 01/05/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies: Aspirin/PTU

Symptoms: 1/5 Chill-fever 101.6 @6:45A Reaction 9pm 116 Resolved. Went to ED, covid rapid (-) prior covid (-) Antibodies result (-) 2nd dose

Other Meds: Synthroid 75mg- Nexium Vit D

Current Illness: Cataract Sur Nov/Oct

ID: 0927827
Sex: F
Age: 43
State: MS

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data: None performed by Health Dept.

Allergies: PNC; Sulfa; Keflex

Symptoms: 01/05/2021 @ 15:41 Received COVID-19 Vaccine (moderna) IM to L deltoid 1543: Patient c/o "anxious feeling" and dizzy. pt placed supine with legs elevated. BP 106/60, patient reports is a normal BP for her; HR 74, RR 20. Denies SOB, denies Chest pain, 1545: Patient reports "feeling better," assisted to sitting position. Denies any further complaints, refuses need for EMS/ER refused to contact family member for transport. Report she has never had a reaction to a vaccine in the past. She reports hx of anxiety and feelings of anxiety "in these situations." Patient is A&O x4. VS stable. Patient reports "feeling ok to drive." No further s/sx.

Other Meds: Losartan 20mg daily; Prozac 40mg Daily

Current Illness: HTN; Anxiety; Panic Disorder

ID: 0927828
Sex: F
Age: 24
State: RI

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data: Sent for PCR testing on 1/5/21 - results pending

Allergies: None

Symptoms: C/o fever, chills, headache & stomach ache 1 day after receiving first dose

Other Meds: Unknown

Current Illness: Unknown

ID: 0927829
Sex: U
Age: 60
State: NY

Vax Date: 12/22/2020
Onset Date: 12/22/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Pt. reports (L) deltoid and arm soreness x 3 days following vaccine. Pt. states 'persistent lightheadedness and headaches unrelieved by Ibuprofen with slight double vision.'

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm