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: 1002250
Sex: M
Age: 81
State: IN

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

Lab Data:

Allergies: none

Symptoms: We gave patient his second vaccinate at day 17 and not day 28. Patient was an inpatient in room, the clinic received request that his attending MD had approved him to receive a Covid vaccine. The RN up to the unit to vaccinate patient, she was not able to find patient in the system, and believed he may be a first dose, before vaccinating him she confirmed with the charge nurse he did need the vaccine, which the charge nurse did confirm. Nurse vaccinated patient and returned to the clinic to finish her system documentation . We were notified on 2.2.2021 that we had 2nd dose vaccinated patient sooner than recommended.- his first vaccine was on Jan 14th 2021,

Other Meds: none

Current Illness: none

ID: 1002251
Sex: F
Age: 26
State:

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: arm weak, warm and rash at injection site

Other Meds:

Current Illness:

ID: 1002252
Sex: M
Age: 45
State: MS

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies: None Known

Symptoms: Could not walk. Extreme pain. Contracted muscles in lower back, thighs, leg tendons, hip joints.

Other Meds: Atorvastatin 40 mg, Isosorbide mono 30 mg, Triam/ HCTZ, Carvedilol 3.125 mg, Aspirin 81 mg, Famotidine 20 mg, Cetirizine HCl 10 mg

Current Illness: None apparent, no symptoms

ID: 1002253
Sex: F
Age: 26
State: WV

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Fever of 103?F, chills, body aches, nausea, fatigue and headache for 12 hours starting 6 hours after receiving the vaccine

Other Meds:

Current Illness:

ID: 1002254
Sex: F
Age: 31
State: NJ

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies: Biactin

Symptoms: Pounding headache, nausea, full body aches, joint pain

Other Meds: Prozac, Buspar, Klonopin

Current Illness:

Date Died: 01/28/2021

ID: 1002255
Sex: F
Age: 76
State: FL

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 02/04/2021
Hospital: Y

Lab Data:

Allergies:

Symptoms: Death

Other Meds:

Current Illness:

ID: 1002256
Sex: F
Age: 74
State: CA

Vax Date: 01/26/2021
Onset Date: 02/03/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: none

Allergies: cipro, adhesive tape, multaq, amiodarone, bacitracin, digoxin, mold

Symptoms: on day 8, redness and warmth near injection site, approx. 1.5 x 2 cm in size. No pain, minimal itch

Other Meds: Basa, atorvastatin, furosemide, levothyroxine, magnesium, metoprolol, potassium, vitamin D

Current Illness: none

ID: 1002257
Sex: F
Age: 40
State: HI

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies: Unknown

Symptoms: Vaccine Administered: 1344hrs Reported Reaction: 1355hrs While in post-vaccination area, pt suddenly stood up and complained of feeling light headed and had some tightness in her chest. Ambulated outside of classroom for fresh air. Stated she felt better with fresh air. Chair made available for pt but would sit and then stand. She did this twice until just standing. Vital signs taken - stable. Water offered but refused. Chair offered but sat only for a little due to wanting to stand. Monitored until symptoms resolved. Discharged at 1413hrs.

Other Meds: Unknown

Current Illness: Unknown

ID: 1002258
Sex: F
Age: 66
State: WI

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

Lab Data:

Allergies: Bactrim Cipro Hibiclens Latex Levofloxacin Nexium Zantac

Symptoms: tingling in mouth and nose with metallic taste metallic taste also went down throat with heat sensation and sore throat

Other Meds: Acyclovir ASA Atorvastatin B complex biofreeze Calcium cholecalciferol Citrucel diclofenac dicyclomine docusate sodium famciclovir magnesium metformin metoprolol oxybutynin pantoprazole

Current Illness: none

ID: 1002259
Sex: M
Age: 63
State: CA

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Medication error 0.3ml was administered when 0.5ml was the recommended dose per manufacturer. Per CDC and the manufacturer no treatment, facility advised to follow up with 2nd dose of 0.5ml of Moderna 28 days post 1st dose administration.

Other Meds:

Current Illness:

ID: 1002260
Sex: F
Age: 54
State: TX

Vax Date: 01/28/2021
Onset Date: 02/01/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Right sided facial numbness and tingling started 4 days post vaccination. Treatment: OTC Zyrtec with mild improvement Outcome: Does not interfere with ADLs.

Other Meds:

Current Illness:

ID: 1002261
Sex: F
Age: 57
State: VA

Vax Date: 01/25/2021
Onset Date: 02/04/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Left arm has a red rash at injection site as of this morning, 2/4/21,

Other Meds: none

Current Illness: none

ID: 1002262
Sex: F
Age: 30
State: OR

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

Lab Data: Unknown, sent to ED.

Allergies: Unknown

Symptoms: [Tuesday 11:35 AM] 09:45 Second dose Moderna vaccine lot number 007M20A exp 7/2021 given at vaccine clinic. 10:00 Pt reports feeling light headed, dizzy, pt walked a few steps with supervision to stretcher. Vitals remain stable though hypertensive at 148/90. 10:20 BP 128/97 HR 92 Reports tingling to roof of mouth. Observed baseline oral exam due to pt past report of anaphylaxis in the setting of allergy shot, oral exam appears normal, pink mucosa, no swelling. Will continue to monitor on stretcher. Pt drinking water without any problems and does not appear in distress. 10:35 Noted hoarse voice, re-examined oral mucosa and patient's tongue, palate and, uvula now appears flushed, red and slightly but noticeably swollen, face is also now flushed. Lips appear same size and not swollen. Called RRT immediately. Advised transfer to ED. Pt remains in no distress. 10:40 RRT arrives to vaccine clinic in auditorium, gave report to RRT, reexamined oral mucosa which appears the same as 10:35 assessment (lightly but noticeably red, swollen tongue, palate and uvula). Face remains flushed as documented at 10:35. BP 128/90 HR 89. 10:45 Pt en route to ED with RT at bedside in no apparent distress.

Other Meds: Unknown

Current Illness: Unknown

ID: 1002263
Sex: F
Age: 32
State:

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient got her Covid-19 vaccine around 8:00 AM on 1/19/21. Around 10:00 AM patient presented at urgent care clinic. Reported red spots on her neck, face and chest. Patient also have throat discomfort, feels like she needs an extra effort to breath. Benadryl 25 mg po given per MD order.

Other Meds:

Current Illness:

ID: 1002264
Sex: F
Age: 51
State: VA

Vax Date: 01/09/2021
Onset Date: 01/10/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: n/a

Allergies: n/a

Symptoms: I had a reaction on the injection site one day after the first dose and disappeared after 2 days (redness, swelling) A week after another reaction at the same site (redness, swelling, hotness) but larger in size lasted for a week I still have a discoloration at the site of reaction I'm not sure if this is an actual reaction or the injection went subcutaneous rather than IM as it was given lower than the recommended site

Other Meds: n/a

Current Illness: n/a

ID: 1002265
Sex: F
Age: 26
State: IN

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

Lab Data:

Allergies: None

Symptoms: fever and chills for 12 hours headache for 24 hours nausea for 12 hours fatigue and weakness for 24 hours

Other Meds: None

Current Illness: None

ID: 1002266
Sex: F
Age: 67
State: NY

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

Lab Data:

Allergies: no known allergies

Symptoms: swelling around injection site (about 3 1/2 inches) and soreness. also complained of nausea and vomiting the day after the injection (2/2/2021) and drowsiness

Other Meds: tylenol

Current Illness: injection in foot on 02/01/2021 before she received the 2nd shingles vaccine

ID: 1002267
Sex: F
Age: 55
State: OR

Vax Date: 02/02/2021
Onset Date: 02/03/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Ongoing Dizziness, Slight Fever

Other Meds: Buspirone, Sertraline, Wellbutrin, Losartan

Current Illness: None

ID: 1002269
Sex: F
Age: 84
State: FL

Vax Date: 01/16/2021
Onset Date: 01/28/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: Punch test at dematologist

Allergies: PCN

Symptoms: Approximately 10 days after vaccine, she started to have itching around area. It became red, raised and extremely itchy. The area grew and grew over the next several days. Pictures were take to show the progression. We treated it with cortisone cream and oral Benadryl. By Monday (Feb 1), 5 days after it started, it was approximately 10"x 5" very red, raised welt, itching and burning. Was able to get appointment with dermatologist the next day (Tuesday Feb 2) He did a punch biopsy in office. By Wednesday Feb 3 it was starting to get better. Now everyday is getting much better

Other Meds: Eliquis 5 mg BID Fludrocortisone 0.1 mg 1/2 tab every other day Lovastatin 40mg QD Sotalol HCL 160 mg QD Vitamin D3 2000 units QD Preservison 2 QD

Current Illness: NONE

ID: 1002270
Sex: M
Age: 70
State:

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Body aches, fatigue, headache

Other Meds:

Current Illness:

ID: 1002271
Sex: M
Age: 77
State: NY

Vax Date: 01/22/2021
Onset Date: 01/28/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: 2/1/2021 more tests were done and concluded he has Hemolytic Anemia. 2/2/21 two pints of blood were transfused. During day, pt complained of chest pains and was moved to cardiac unit. After various blood and ekg?s heart attack was ruled out. Prednisone was prescribed by doctor in hospital.

Allergies: None

Symptoms: Started getting dark urine and continued getting darker. Went to Hospital emergency dept. and was admitted on 1/31/2021. Tested for Covid negative. Blood test revealed low red blood cells. Urine tests and blood tests were inconclusive on 1/31.

Other Meds: Folic acid 1mg,clopidogrel75mg,Metformin 500 mg, Pravastin 80 mg, Tamsulosin .04mg, Diltiazem 240mg, Pantoprazole 40mg, Metoprolol 12.5 mg, Glipizide 10mg,,Docusate Sodium 100mg, baby aspirin 80mg

Current Illness: None

ID: 1002272
Sex: F
Age: 77
State: OR

Vax Date: 01/28/2021
Onset Date: 02/02/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies: Penicillin, Kiss Bug (carries epi pen)

Symptoms: pt experiencing hives, itching, hot to touch--pt has had to take Benadryl

Other Meds:

Current Illness:

ID: 1002273
Sex: M
Age: 40
State: IN

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

Lab Data:

Allergies:

Symptoms: I was very tired on the first day. The second day I was even more tired, and felt like I was getting a cold. I slept it off and felt better the next day.

Other Meds:

Current Illness:

ID: 1002274
Sex: F
Age: 35
State: OH

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: N/A

Allergies: Sulfa and Keflex reported to medics at time of reaction

Symptoms: Patient arrived at Center, where public health clinic hosts the COVID-19 Vaccination POD on 2/3/21 at approximately 4:20pm. Patient received her 1st dose of COVID-19 vaccine-Pfizer Lot #EM9810. Patient reported having myasthenia gravis and having a history of allergies and carrying an EpiPen. Patient was advised by medic administering vaccine and RN administering questionnaire to wait for 30 mins in parking lot near medic vehicle and to honk her horn if she felt any sort of reaction. While waiting in her car, patient began to have trouble breathing and honked her horn. Medics identified her vehicle. Patient reported having trouble breathing, chest pain, tongue swelling, and a scratchy throat. Medics administered Epinephrine and Benadryl to patient and transported patient to Medical Center.

Other Meds: Unknown

Current Illness: Unknown

ID: 1002275
Sex: F
Age: 57
State: TX

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies: INJECTABLE DYE FLORESINE AND DYE FOR MRI/CT SCANS. ALSO ALLERGIC TO BOWEL PREP FOR COLLENOSCOPY

Symptoms: GUMS TINGLING, METAL TASTE, TOUNGE SWELLING, HARD TO SWALLOW, FLUSH HOT. I TOOK BENADRYL THAT I HAD IN MY PURSE, 2 25MG LIQUID GEL TABLETS. I WAS MONITORED BY EMT'S, VITALS WERE GOOD.I WAITED AN HOUR IN MY CAR AND GRADUALLY FELT NORMAL AND DROVE HOME. I NEED TO KNOW IF I TAKE DOSE TWO OR NOT. DO I TAKE BENEDRYL BEFORE? IS THERE A DOSE THAT DOES NOT CONTAIN THE INGREDIENT THAT GAVE THE REACTION. I BELIEVE IT WAS THE POLYETHYLENE GLYCOL THAT IS IN BOWEL PREP, NOT CERTAIN.

Other Meds: NONE

Current Illness: NONE

ID: 1002276
Sex: F
Age: 36
State: VA

Vax Date: 02/02/2021
Onset Date: 02/03/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies: Sulfa, ceclor, adhesive tape

Symptoms: Rapid heart rate 128, b/p 135/91, nausea, diarrhea, severe body and muscles aches, fever 102.6, heart palpitations

Other Meds: Venlafaxine, singular, vitamin d, Claritin, miralax

Current Illness:

ID: 1002277
Sex: F
Age: 69
State: NC

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: None

Allergies: Seasonal allergies

Symptoms: Fast heartbeat, dizziness, sore arm, trouble lifting and pain, still have problem 2 weeks later

Other Meds: Naproxen 500 mg, 1 tablet daily; Metoprolol ER succinate 50 mg, 1 tablet daily; Sertraline 50 mg, 1 tablet daily; Levothyroxine, 0.05 mg, 1 tablet daily; Rosuvastatin, 10 mg, 1 tablet daily; Valacyclovir, 1 GM, 1 tablet 3x daily as needed

Current Illness: None

ID: 1002278
Sex: F
Age: 67
State: FL

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies: Mango skin, Latex

Symptoms: Bullseye redness burning and itching at injection sight Around 2-21/2 inches in circumference

Other Meds: pravastatin

Current Illness: No

ID: 1002279
Sex: F
Age: 64
State: TN

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: no

Allergies: Penicillin, Percocet

Symptoms: Shortly after the vaccination I developed a really bad headache for the first 2 days. Stopped for a day and returned for another day and went away on its own. I had inside body chills, felt weak and tired and had a little sinus pressure but no fever which lasted for about 2 or 3 days. I took aspirin to help with the discomfort and today I still have just a little nagging headache that comes and goes but all other symptoms has since subsided. The injection site swole and developed a knot which stayed about a week and is still a little red.

Other Meds: Clonodine, 81 mg Aspirin, Hydralazine, Lorizipan, Lasix, Rena-Bite

Current Illness: bracycardia

ID: 1002280
Sex: M
Age: 43
State: WI

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: This employee wan unable to make it to work today due to vomiting

Other Meds:

Current Illness:

ID: 1002281
Sex: F
Age: 35
State: OK

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient received 1st of Pfizer COVID vaccine on 2.3.2021. Approximately 30 minutes after receiving the vaccine, the patient experienced dizziness that lasted around 1.5 hours. Patient also reports experiencing expected side effects such as fatigue, headache, and muscle pain. Symptoms have resolved.

Other Meds:

Current Illness:

ID: 1002282
Sex: F
Age: 75
State: FL

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: None.

Allergies: None.

Symptoms: Came home after vaccine, and felt bump in her arm where the injection was. Didn't think too much of it. The next morning her cousin came over and compared notes, and verified she had the bump. She kept rubbing it and massaging it to break it down, and got a little sore, but nothing severe. No sickness, a little pain over her eye. Then on Friday 1/29/21, noticed a small spot on her arm, by Saturday got bigger, and today it has started moving to the bottom side of her upper arm. Is applying ice and it's getting better. Has been exercising it and stretching it as literature she found to do that.

Other Meds: Metformin HCL, Ezetmbe, Atorvastatin, Atenolol, Hydrochlorothiazide, Pantoprazole, Lisinopril, Glipizide. Baby aspirin, zinc, vitamin B12, vitamin E, magnesium, Tylenol/Aleve.

Current Illness: None.

ID: 1002283
Sex: M
Age: 36
State: IL

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Headache, nausea and vomiting, chills

Other Meds: Wellbutrin 300mg; Rexulti 4mg

Current Illness:

ID: 1002284
Sex: M
Age: 75
State: DE

Vax Date: 01/25/2021
Onset Date: 01/27/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: None

Allergies: Sulfa

Symptoms: Drooping right eyelid. Symptom continues as of today, Feb. 4, 2021

Other Meds: Avodart; Vit. C; calcium +Vit. D; fish oil; multi-vitamin Aleve; anti-histamine

Current Illness: None

ID: 1002285
Sex: M
Age: 26
State: CT

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies: Sensitive to eggs

Symptoms: Woke up around 1:30AM shivering, cold sweats, indigestion and nausea that eventually lead to heavy vomiting at around 2:30AM. Later on around 8AM I got up for work and had a headache and moderate muscle fatigue.

Other Meds: N/A

Current Illness: N/A

ID: 1002286
Sex: M
Age: 68
State: VA

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies: Hayfever very occasionally

Symptoms: Slight fever, chills, slight headache, sore arm

Other Meds: Daily multi-vitamins, iron tablet

Current Illness: Covid-19 (initial exposure 12/23/2020)

ID: 1002287
Sex: M
Age: 47
State: OR

Vax Date: 01/31/2021
Onset Date: 02/02/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Bilateral rash in inner elbows that spread to the chest and upper stomach area

Other Meds: Truvada

Current Illness: None

ID: 1002288
Sex: F
Age: 74
State: CA

Vax Date: 01/21/2021
Onset Date: 01/28/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: None needed

Allergies: None

Symptoms: Rash: pink in color, oval around injection site, itched intermittently. According to column in paper, dermatologists are tentatively calling it "delayed cutaneous hypersensitivity." Treatment: None needed Outcome: itching gradually subsided; rash had entirely disappeared by 2/4/2021 (one week after it had appeared) I consider it more of an after-effect than an adverse event

Other Meds: Daily: Levothyroxine 75 mcg, Losartan 25 mg,, Simvastatin 20 mg,, Aspirin 81 mg, Multi-vitamin, As needed: Acetaminophine 325 mg

Current Illness: None

ID: 1002289
Sex: F
Age: 54
State: NE

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: approx. 15 minutes after injection c/o chest tightness, slightly lightheaded, HR increase. Vitals: 112/78, HR 69, 16 RR,A/0x3, As time progressed c/o achiness when she turns head side to side. 7:12pm c/o head felt foggy, improved chest tightness, heaviness in abdomen, achiness in R) arm pitdenies SOB, BP:110/78, Hr 66, 7:25: felt HR flutter occasionally, heaviness in legs increased and cont. light headed. but ROM WNL, Denies numbness/tingling, denies SOB, no swallowing problems during entire time. Couldn't go back to work and went home with nursing instructions if heaviness were to increase or other symptoms worsen to call 911 or go to ER. Taken home by mother and brother. called next day and symptoms improved.

Other Meds: aspirin 325mg metaformin trulicity Lipitor hydroxazine

Current Illness: none

ID: 1002290
Sex: F
Age: 24
State: AZ

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

Lab Data: NA, EMG testing scheduled.

Allergies: None

Symptoms: Moderna COVID-19 Vaccine EUA Swelling and stiffness in right armpit and right latissimus dorsi, with tingling/numbing sensation through to the fingers in the right hand (primarily third and fourth finger). Symptoms began 48 hours after the injection of the second dose. There has also been nerve problems in the left arm starting on 1/27, about 22 days after the first dose of the Moderna vaccine taken on 1/5, in the left arm. Loss of motor function and clawing of the fourth and fifth finger resulted in the left hand. As of 2/1 motor function returned, however forth and fifth fingers are still not able to enforce resistance against external pressure. The lot number of the first dose is #025J20-2A

Other Meds: Larissia

Current Illness: None

ID: 1002291
Sex: F
Age: 39
State: MS

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: Na

Allergies: Nka

Symptoms: Received my 2nd moderna vaccine on 2 3 2021 at approximately 940am. At approximately 11pm I woke up with severe freezing cold chills, shaking, generalized pain of 10/10 scale. This lasted to its severity until about 630am on 2 4 21. The symptoms are still present but the severity noted improved with 1000mg of acetaminophen.

Other Meds: Multivitamin Simvastatin

Current Illness: None

ID: 1002292
Sex: F
Age: 48
State:

Vax Date: 01/28/2021
Onset Date: 02/01/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Increasing palpitations over the past two days along with some diarrhea and nausea

Other Meds:

Current Illness:

ID: 1002293
Sex: M
Age: 73
State: MO

Vax Date: 10/27/2020
Onset Date: 10/27/2020
Rec V Date: 02/04/2021
Hospital:

Lab Data: Patient has had and xray and is scheduled for an MRI

Allergies:

Symptoms: Patient has reported that he has had pain in his arm since he received his flu shot on October 27,2020. Patient cannot sleep on his right side due to pain in the arm.

Other Meds:

Current Illness:

ID: 1002294
Sex: F
Age: 27
State: MA

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: None

Allergies: Allergic to Percocet and pseudophedrine

Symptoms: Experienced an increase in heart rate from 10 p.m. on 1/26/2021 for approximately 24 hours. According to the data on my fitness band, my heart rate averaged at 130 bpm during sleep and rest, and was approximately 170 bpm when standing despite taking metoprolol succinate. I usually take 12.5mg of the metoprolol, and took another 12.5 mg the morning of 01/27/2021, which seemed to help with the increase in heart rate. Despite normally experiencing an increase in heart rate due to my diagnosis of Inappropriate Sinus Tachycardia, my heart rate usually drops into the 60's at night and during the day if I am moving, is about 120-130 bpm. Additionally on 01/28/2021, I had difficulty standing due to feeling faint and dizzy upon standing. All symptoms appeared to resolve by 01/29/2021. Besides taking extra medication, I spent the day resting and hydrating with water.

Other Meds: Metoprolol succinate, Sprintec birth control, Vitamin D supplement, aspirin, melatonin

Current Illness: Tested positive for COVID-19 on 01/06/2021

ID: 1002295
Sex: M
Age: 30
State: IN

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

Lab Data:

Allergies: none.

Symptoms: headaches, spine and body pain, dizziness. Subsided after 36 hours

Other Meds: Sertraline, Buproprion, Omeprazole, vitamins, fish oil

Current Illness: none

ID: 1002296
Sex: F
Age: 50
State: NJ

Vax Date: 01/25/2021
Onset Date: 02/04/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Extreme soreness for 2 days following injection which improved. Now, 10 days later, swelling, itchiness, and redness at injection site.

Other Meds: iron supplement

Current Illness: none

ID: 1002297
Sex: F
Age: 34
State: CA

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Tongue numbness on right side. Mouth feels scalded then moved to feeling like a Novocain injection, only one one side. Numbness has moved to middle/back of tongue. Red bumps on tongue.

Other Meds: Trazadone Paroxetine

Current Illness: None known

ID: 1002298
Sex: M
Age: 59
State: CA

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Medication error 0.3ml was administered when 0.5ml was the recommended dose per manufacturer. Per CDC and the manufacturer no treatment, facility advised to follow up with 2nd dose of 0.5ml of Moderna 28 days post 1st dose administration.

Other Meds:

Current Illness:

ID: 1002299
Sex: F
Age: 42
State: CO

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

Lab Data:

Allergies:

Symptoms: 3 very swollen and painful lymph nodes left armpit, 1 swollen lymph node left side of neck. Unable to sleep due to pain and pain not completely relieved with Tylenol or Advil. She has been encouraged to follow up with family physician if they do not decrease by 2/5/2021 or pain doesn't lessen.

Other Meds:

Current Illness: none

ID: 1002300
Sex: F
Age: 80
State: MI

Vax Date: 01/19/2021
Onset Date: 01/26/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: none

Allergies: Peanuts and pollen in Spring and Autumn

Symptoms: Developed a stiff neck after a week or so and thought nothing of it until now because it is not going away. Also , I developed an itchy pimply rash on my lower back that is troublesome and for which I am using benedryl. The asprin nor the aleve seem to help the neck. The itchy is driving me nuts--benedryl helps a little. SHOULD I GET MY SECOND DOSE WHICH IS DUE FEBRUARY 10?

Other Meds: vitamins--Centrum Silver, MEga Red, Preservision, Citrical, Biotin, Niacin, Zinc, B12, D3, ----- Asprin for stiff neck and Benedryl for the itchy rash on lower back -- both started about the same time and I did not report it, thinking it t

Current Illness: None-- I am healthy

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm