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**
PLEASE CHECK BACK SOON
Download the files above while you wait.







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: 1002301
Sex: F
Age: 19
State: IN

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

Lab Data:

Allergies: Celiac disease

Symptoms: Nausea, headache, light headed, and fatigued. all in morning when first woke up at 6:30ish am. Lasted throughout the day until about 3 pm.

Other Meds:

Current Illness:

ID: 1002302
Sex: M
Age: 26
State:

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

Lab Data:

Allergies:

Symptoms: Body aches, Chills x 24 hrs

Other Meds:

Current Illness:

ID: 1002303
Sex: F
Age: 17
State: ME

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

Lab Data: None

Allergies: None

Symptoms: Moderna COVID?19 Vaccine EUA The patient received the 1st Moderna vaccine at age 17. The Moderna EUA states that it is authorized for emergency use for age 18 and over only. The patient did not experience any adverse reactions from the vaccine. The parent of the patient signed the consent prior to vaccine administration. The parent (-Mother) and patient have been notified that they received the vaccine outside of the EUA guidelines. The patient reports only mild arm discomfort and mild headache. No adverse reactions noted. Patient's mother advised to wait until her 18th birthday to recieve the 2nd dose of the vaccine and consult her provider for further guidance.

Other Meds: None

Current Illness: None

ID: 1002304
Sex: F
Age: 54
State: PA

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

Lab Data: None

Allergies: Artificial sweetener, mold, dust, cats, dogs, ragweed, golden rod, egg yolk intolerance.

Symptoms: I had Moderma vaccine on 1/22 @ 7:30 am. 15-20 minutes after injection, I had metal taste in my mouth, tongue tingling & felt like I burned it. The metal taste has gone away, but I still have tingling & raw feeling of my tongue & have ulcers in my mouth & nose. I also felt like , I had taken speed. I was very jittery. I took benadryl. My arm was sore for 4 days. On 1/31-2/1 I had horrible headache that lasted 2 days, chills, fever , nausea & more mouth & nose ulcers. I called off work 2 days. I am a RN ( 33Yrs) I had allergic reaction to flu vaccine 3-4 yrs ago. Huge 3-4 inch hives, abnormal labs, rash that lasted 1 month.

Other Meds: plaquenil, procardia xl, claritan 24 hr, Robaxin, probiotic, weekly allergy shots. Botox every 3 months for migraines. Relpax as needed

Current Illness: none

ID: 1002305
Sex: F
Age: 68
State: NC

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

Lab Data: patient does not know

Allergies: sulfa, keflex, lisinopril

Symptoms: adverse reaction: within minutes felt faint and dizzy, deep pain in neck, heart rate went up, fullness in lips and tingling, face underskin felt swollen, pressure on side of neck,

Other Meds: 25mg hydrochlorothiazide, diltiazem 24h er 120mg, isosorbide mononit er 30mg, metoprolol succ er 1/2 25 mg, rosuvastatin calcium 5mg

Current Illness: n/a

ID: 1002306
Sex: F
Age: 60
State: KS

Vax Date: 12/19/2020
Onset Date: 12/21/2020
Rec V Date: 02/04/2021
Hospital:

Lab Data: x-ray of right shoulder around 1/28/21. Evaluation with orthopedic surgeon on 2/8/21.

Allergies: sulfa

Symptoms: Right upper arm/shoulder pain, including pain within joint. Limitations to move arm and weakness continue even after 1 month.

Other Meds: NA

Current Illness: Diagnosed w/ covid around thanksgiving time

ID: 1002307
Sex: F
Age: 29
State:

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

Lab Data: None

Allergies: NKA

Symptoms: Stomach ache w/ diarrhea: started about 12 hours after vaccination and last for approximately 3 hours Body Aches/joint pains: started about 14 hours after vaccination and last approximately 36 Exhaustion: started about 14 hours after vaccination and lasted approximately 48 hours Large red "goose egg" that was warm to touch at the site of injection: started about 24 hours after vaccination and lasted approximately 52 hours Sore arm: started about 12 hours after vaccination and lasted approximately 52 hours

Other Meds: Fentynal Patch Norco Flexeril Paxil Atrovastatin Sprintec Multivitamin

Current Illness: Kidney/Upper UTI-Diagnosed on 1/1

ID: 1002308
Sex: M
Age: 76
State:

Vax Date: 01/17/2021
Onset Date: 01/18/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: fever blisters in mouth and on lips

Other Meds: none

Current Illness:

ID: 1002309
Sex: F
Age: 72
State: WA

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

Lab Data: none

Allergies:

Symptoms: On 8th day injection site became red, deeply itchy and tender to touch. Extreme fatigue, no appetite

Other Meds:

Current Illness:

ID: 1002310
Sex: F
Age: 75
State: FL

Vax Date: 01/22/2021
Onset Date: 01/29/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies: Sulfa Aspirin

Symptoms: Red, itchy , hot upper arm on day 7 Red rash on chest day 13

Other Meds: Advair Xarelto Levothyroxine Omeprazole Metoprolol Vit D MVI Magnesium Calcium

Current Illness:

ID: 1002311
Sex: F
Age: 19
State:

Vax Date: 01/30/2021
Onset Date: 02/01/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies: Peanut/Tree nut allergy

Symptoms: Sore arm (resolved), weakness, fatigue, racing heart, nasal congestion, swollen lymph nodes, severe sinus headache and pressure continuing past day 5.

Other Meds: N/A

Current Illness: N/A

ID: 1002312
Sex: F
Age: 37
State: HI

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

Lab Data:

Allergies: Unknown

Symptoms: At about 3:22 pm, patient complained of feeling light headed. Requested to raise her lower limbs, which another chair was provided and was able to do so. Water was offered but refused. Vital signs were taken. Monitored until symptoms resolved.

Other Meds: Unknown

Current Illness: Unknown

ID: 1002313
Sex: M
Age: 64
State: MN

Vax Date: 01/27/2020
Onset Date: 02/02/2021
Rec V Date: 02/04/2021
Hospital: Y

Lab Data: complete blood count, comprehensive chemistry panel, lactic acid, CRP, IV fluids, Protonix

Allergies: Chantix

Symptoms: Black stools leading to Melena and blood loss .

Other Meds: Lipitor, vancomycin, Xanax, Lantus, Coumadin, Prilosec, Inderal, Glucophage,

Current Illness: none reported

ID: 1002314
Sex: F
Age: 77
State: CO

Vax Date: 01/22/2021
Onset Date: 01/29/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: none

Allergies: Versed Demoral Dilziatem Penicillen Shot Erythromycin Sulfa Aciphex Prilosec Metoprolol Cozaar Atacand Advair Inhalatot Contrast Fioricet Restoril Ambien Mobic Betopic-S Azopt Cosopt Tobradex Peppermint Poinsettas Lillies

Symptoms: On January 29, my arm swelled, turned red, was hot and sore. Lasted till February 2. Took photos. Patch was 4" long and 1-1/2" wide

Other Meds: Levothyroxine Lumigan Rhopressa Repatha Flecainide Vitamin D Calcium/Magnesium

Current Illness: None

ID: 1002315
Sex: F
Age: 69
State: FL

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

Lab Data: CBC/CMP (2/3/21): Elevated transaminases EKG (2/3/21): Unremarkable

Allergies: Demerol, Keflex, Penicillin, Phenothiazines, Sulfa drugs, Valium

Symptoms: Within 15-minutes of vaccination, the patient became nauseous, clammy, dizzy, and had a near syncopal episode. EMS reported the patient's blood pressure being 70/40 mmHg. EMS administered IV saline and transported patient to emergency department. In the emergency department, patient stabilized and was discharged shortly after.

Other Meds: Amlodipine, Losartan, Synthroid

Current Illness: Unknown

ID: 1002316
Sex: F
Age: 29
State:

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

Lab Data:

Allergies: none

Symptoms: fever, chills, headache on the night the vaccine was given that continued to Wednesday night. The next day following the vaccine administration nausea occurred and on the following day vomiting occurred/

Other Meds: levothyroxine prenatal vitamins progesterone only birth control

Current Illness: breast feeding hypothyroidism

ID: 1002317
Sex: F
Age: 37
State: HI

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

Lab Data: None

Allergies: History of Zoloft and Amoxicillin allergies

Symptoms: Vaccine administered: 1150hrs Adverse Event: 1222hrs Pt complained of feeling dizzy and nauseous as she stood up to exit clinic. Pt able to ambulate to chair and sit down. Water given to pt. Vital signs taken. Monitored pt until symptoms resolved. Pt steady on feed upon standing after symptoms resolved. Able to ambulate on own. Released from clinic at 1245hrs.

Other Meds: Unknown

Current Illness: Unknown

ID: 1002318
Sex: F
Age: 25
State: IN

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

Lab Data: N/A called my Primary care physician about lump on arm at 9 am 2/4/2021, still have not hear a response. Plan to call again at 2 pm.

Allergies: Erythromycin

Symptoms: 12hours after 2 dose of vaccine I woke up with a headache and some muscle soreness. 18 hours I had a low grade fever of 99.6 and felt extremely fatigued. I noticed a large, halved lime sized, lump under my injection site after 36 hours. It has now been 45 hours all my symptoms remain he same, constant headache even with Tylenol, fever reduced with Tylenol, very tired, mild muscle aches.

Other Meds: Norethindrone 5 mg, escitalopram 5 mg

Current Illness:

ID: 1002319
Sex: F
Age: 38
State: NC

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

Lab Data: epi pen administered 0.3mg

Allergies: morphine

Symptoms: patient reported throat tightness, dizziness and nausea

Other Meds: Gabapentin

Current Illness: none

ID: 1002320
Sex: M
Age: 66
State: CA

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

Lab Data: None

Allergies: NONE

Symptoms: Moderate injection site pain with mild localized swelling and injection site is warm to touch.

Other Meds: Omeprazole, Metformin, Glipizide, Verapamil, Xanax, Zovirax, Aspirin

Current Illness: NONE

ID: 1002321
Sex: F
Age: 38
State:

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

Lab Data:

Allergies:

Symptoms: Moderna COVID-19 Vaccine EUA Weird sensation radiated up side of neck into head. Very brief episode several hours after the injection. 2 days later noticed 2 peas size lumps . One in neck and other near collar bone. Have not gotten larger but are not shrinking either.

Other Meds:

Current Illness:

ID: 1002322
Sex: F
Age: 58
State:

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

Lab Data:

Allergies:

Symptoms: temp of 101.1F, body aches, Chills, Headache

Other Meds:

Current Illness:

ID: 1002323
Sex: F
Age: 37
State: GA

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

Lab Data: ALT > 13000 AST > 9000 troponin peak 8.9 on february 1st. INR peak 5.6

Allergies: morphine adhesive

Symptoms: development of acute liver injury and troponin leak with hepatic encephalopathy. patient ultimately transferred from local facility to Hospital for liver transplant evaluation. received steroids and Acetadote

Other Meds: Tylenol Klonopin Lexapro

Current Illness: none

ID: 1002324
Sex: F
Age: 23
State: CA

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

Lab Data:

Allergies:

Symptoms: headache fever chills body aches

Other Meds:

Current Illness:

ID: 1002325
Sex: F
Age: 51
State: WA

Vax Date: 12/23/2020
Onset Date: 12/23/2020
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: This employee sent me an email on 12/23/20. "Subject: Re: Attention Covid Vaccine Volunteers Hello, I had received my vaccine earlier today and just awoken to chest pains. I do not think it wise to be there for my shift in the next 8 hrs. I will stay and observe for additional symptoms. I was on vacay and had out-of-office notice set for my email. I discovered this email yesterday while catching up on emails. I immediately called her. She described the details of the events; stated she has not sought medical care; all symptoms resolved spontaneously but still has some intermittent, mild SOB> She sent me this email describing the reaction: Here explanation of the reaction: Thank you for the follow up. Below is a list of symptoms I experienced after I received my initial dose of the Pfizer vaccine. I am scheduled to receive my 2nd dose next week on the 13th of January. following up: I received my shot at 8:15 am, within approximately 45 min I felt a very slight heaviness to my breathing something similar to allergy season breathing, and a slight headache on my rt temple. This was nothing that stopped me or slowed me down that day. At ~ 10:30pm I awoke from a deep sleep with SHARP chest pains, at 11pm chills, 1am fever and discomfort, 2am muscle aches. I slept on my left side to keep blood circulating to my heart which seemed to ease some of my discomfort. My first night was rough. I awoke Thurs (12/24) with a swollen left foot and leg. some rt leg pain, joint pain in my left knee. I pushed myself to get up and move and go about my day. Friday, I still had a little left foot swelling and pain, knee pain, but kept pushing. The handout says if symptoms persist for longer than 24-48 to seek medical care, I have not. Friday, (12/25/20)was Christmas and much of the day was non eventful. At ~ 530pm. I felt a bulging not in the center of my chest which was tender to the touch. This concerned me. I gently messaged the area, rested a bit but continued to move up and down the stairs. That discomfort and the bulge decreased within a few hours. Saturday, (12/26) 4:am and I noticed much of the swelling in my foot and legs has decreased, however, I now have bruising. The sore arm is gone, and I am hopeful that all is well. I forgot to mention, I have had intermittent persistent cough with slight sob, something similar to the start of allergy season, but it is brief. I have been coughing at night." I advised she contact her PCP to determine if follow up is indicated given persistent, intermittent cough and SOB.

Other Meds:

Current Illness:

ID: 1002326
Sex: M
Age: 37
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: 1002327
Sex: F
Age: 42
State: AK

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

Lab Data: none

Allergies: Ceclor

Symptoms: Pt with fever to 101- , chills, malaise, diarrhea

Other Meds: melatonin Vit D3 Tumeric Magnesium

Current Illness: none

ID: 1002328
Sex: F
Age: 33
State: WI

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

Lab Data:

Allergies:

Symptoms: resident went to the hospital for vomiting and is now back home.

Other Meds:

Current Illness:

ID: 1002329
Sex: F
Age: 66
State: OK

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

Lab Data: None at this time.

Allergies: I am taking allergy shots for 45 out of 50 allergens in the allergy panel.

Symptoms: Felt injection pain in opposite arm. Took several hours to feel injection in arm vaccine was given in. Resolved. 14 days later, rash all over torso.

Other Meds: Gabapentin, Lisinopril, Estradiol, Levothyroxine, HCTZ, Allergy shots N-Acetyl Cysteine

Current Illness: None.

ID: 1002330
Sex: U
Age: 29
State:

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

Lab Data:

Allergies:

Symptoms: Headache in front of head that traveled to top of head.

Other Meds:

Current Illness:

ID: 1002331
Sex: F
Age: 49
State: TX

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

Lab Data:

Allergies: doxycycline latex iodine shellfish

Symptoms: Employee reported hives, chest tightness, rash, pruritus and lip tingling 2 hours post injection. She was given Benadryl 50 mg IM at 1117

Other Meds: none

Current Illness:

ID: 1002332
Sex: F
Age: 31
State: NC

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

Lab Data: None

Allergies: No

Symptoms: Fever. Chills body ache. Chest tightness. Nonproductive cough. Runny nose. Neck swollen. Tired

Other Meds: Lexapro 10. Also breastfeeding

Current Illness: None

ID: 1002333
Sex: F
Age: 49
State: VA

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

Lab Data:

Allergies: latex, codeine, corn

Symptoms: Have had intermittent difficulty catching my breath and heart beating fast since administration of the 2nd vaccine. Symptoms started the day after the vaccine and have continued for 4 days.

Other Meds: Thrive - vitamin supplements Ashwagandha - 500mg 1x daily Vitamin D - 5,000 IU 1x daily Ginger Root - 550mg 1x daily Vitamin C+ - 1x daily Calm - magnesium as needed Albuterol inhaler as needed

Current Illness: none

ID: 1002334
Sex: M
Age: 22
State: NY

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

Lab Data:

Allergies: No

Symptoms: Fever, body aches , fatigue , and headache

Other Meds: No

Current Illness: No

ID: 1002335
Sex: M
Age: 73
State: CA

Vax Date: 01/27/2021
Onset Date: 02/03/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: I WAS SICK (NON-RESPIRATORY) WITH COVID FOR TWO WEEKS, THEN FATIGUE FOR TWO WEEKS. RECEIVED THE COVID VACCINE ~ 5 WEEKS AFTER COVI D SYMPTOMS/DX. ONE WEEK AFTER VACCINATION ONSET OF A GENERALIZED ERYTHEMATOUS, BLANCHING RASH, AND SWELLING OF HANDS AND FEET; NO ITCHING OR PAIN. NO SYSTEMIC SIGNS (NO CONJECTIVAL OR MUCOUS MEMBRANE INVOLVEMENT). IS THIS A LATE COVID RASH OR A RASH 7 DAYS AFTER VACCINATION IN SOMEONE WHO RECENTLY HAD COVID?

Other Meds: Lipitor ASA 81 mg MVI

Current Illness: I had clinical Covid Dec 31st/Jan 1st

ID: 1002336
Sex: F
Age: 30
State: NY

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

Lab Data:

Allergies: nka

Symptoms: The full 0.5 cc of the vaccine was not administered. A couple of drips dripped out onto the patient's arm.

Other Meds:

Current Illness:

ID: 1002337
Sex: F
Age: 58
State: CA

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

Lab Data:

Allergies:

Symptoms: @0825am received Dose #2 of Pfizer, resting/lying on the gurney. (due to the experience/adverse reaction from Dose #1), water offered. @0835am pt C/o HA, ice pack offered w/ mild relief. still lying on the gurney. @0845am noted pt's voice changed, + coarse/weak, + episode of dry coughing, + "weird feeling inside throat but breathing fine", + HA, + severe fatigue, but denies Dizzniess/N/V/epigastric pain. VS: 36.8(o), 85, 151/95, 20. 99%RA, no s/s of resp distress/swelling/rash noted. pt continue to resting/lying on gurney @0900am pt 's voice slowing returning, coughing less, + HA, continue to deny N/V,dizziness,epigastric pain. pt states "feeling a bit better but very tiring". VS: 36.8(o), 79,140/93, 20, 99%RA, no s/s of resp distress/swelling/rash noted. pt continue to rest on gurney. @0915am pt asleep, no coughing noted. no s/s of resp distress/swelling/rash noted. VS: 77, 139/93,18,98%RA @0930am pt asleep, no coughing noted. no s/s of resp distress/swelling/rash noted. VS: 76, 138/91,20,97%RA @0945am pt asleep, no coughing noted. no s/s of resp distress/swelling/rash noted. VS: 79, 130/90,20,98%RA @10am pt woke up and claimed feeling a lot better, no more HA, no more weird feeling inside throat. + tiredness, but much better. VS: 78, 138/92, 20, 98%RA RN recommends pt to rest at home. strict return precaution explained and discussed.

Other Meds:

Current Illness:

ID: 1002338
Sex: F
Age: 32
State:

Vax Date: 01/07/2021
Onset Date: 01/19/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Per history pt received Moderna vaccine on 1/7/21 at an outside vaccination facility (lot # 025L20A). However when pt presented at our urgent care, she reports " receiving Moderna dose on 01/11/2021. Denies any symptoms 3 days after receiving vaccination. Started with persistent headache on 01/19/2021. Also reports chills and lightheadedness. Not better with Ibuprofen at home. patient was given ketorolac 30mg x1 during visit but provided no adequate relief. Patient advised to go to ED for additional work-up. Patient verbalized understanding. Patient offered assistance to call ambulance but she refused and would go to ED by herself. She states she was not dizzy at the time and stated she was stable to drive herself to ED.

Other Meds:

Current Illness:

ID: 1002339
Sex: F
Age: 42
State: CA

Vax Date: 11/10/2020
Onset Date: 11/16/2020
Rec V Date: 02/04/2021
Hospital:

Lab Data: None

Allergies: Fluconazole

Symptoms: Prickly sensation (like electricity but worse) all through body associated with elevated heart rate. The sensation has subsided substantially but still noticeable.

Other Meds: None

Current Illness:

ID: 1002340
Sex: F
Age: 46
State: PA

Vax Date: 01/15/2021
Onset Date: 01/16/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient received vaccine and shortly after developed redness, swelling, pain similar to cellulitis in the days after. She was treated by PCP with Keflex and symptoms did resolve.

Other Meds:

Current Illness:

ID: 1002341
Sex: F
Age: 56
State: MN

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

Lab Data:

Allergies:

Symptoms: I woke up at 5AM this morning and I felt nauseous and lightheaded. I went to work this morning but told my boss that I would do the morning route but I could not do the afternoon route. Fever of 100.4. I am have gotten worse since this morning and now I have muscle and body aches that are out of this world. I feel fatigued.

Other Meds: Valtrex as needed for cold sores (I took this on Monday 2/1/2021), fiber pills,

Current Illness:

ID: 1002342
Sex: F
Age: 85
State: AL

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: PT was scheduled for check up 2/4/21 PCP told her to call and report it.

Allergies: Morphine, Dolodin

Symptoms: blotchy red/itching/swollen/hard at vaccination site, also growing in size

Other Meds: Lovastatin 20 mg, Losartan 100 mg, Fish Oil 300 mg, Vitamin D, Magnesium 250 mg, Baby Aspirin 81 mg, Atenolol 25 mg, Tums 1000 mg

Current Illness:

ID: 1002343
Sex: F
Age: 34
State: ME

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

Lab Data: None

Allergies: Mangoes

Symptoms: Nausea, diaphoresis, cool, pale, light headed started 5 minutes after vaccination. Felt better after 10 minutes. Did not throw up or pass out. Vitals 106/70, pulse 81, RR: 12, o2 sat 99 %

Other Meds: None

Current Illness: None

ID: 1002344
Sex: F
Age: 38
State: GA

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

Lab Data:

Allergies: none

Symptoms: continued to have joint pain after other effects resolved . I also had breakthrough menstrual bleeding which I have never had irregular cycle.

Other Meds: Tylenol/aleve

Current Illness: none

ID: 1002345
Sex: F
Age: 57
State: NE

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

Lab Data:

Allergies:

Symptoms: EXTREMELY SORE ARM (UNABLE TO LIFT ARM), FEVER, CHILLS, UNABLE TO STAND LONGER THAN A MINUTE

Other Meds:

Current Illness:

ID: 1002346
Sex: F
Age: 60
State: TX

Vax Date: 01/27/2021
Onset Date: 02/03/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: None

Allergies: NKA

Symptoms: 7 days after I received the first dose, my arm swelled, red spot the size of a baseball and very itchy with whelps. Up until this point I had no side effects.

Other Meds: Vitamin D, Zinc, Gabapentin 300 mg, Amitriptyline, lasix 40 mg, potassium,

Current Illness: None

ID: 1002347
Sex: F
Age: 39
State: AZ

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

Lab Data:

Allergies:

Symptoms: Fever of 104.8F. Chills and fever began at 0830, Tylenol taken at 0930 with a temp of 102F. By 1100 temp was 104.8F (infared forehead). Unable to take Ibuprofen because of extreme nausea. Chest/abdomen temp reading with infared thermometer was 107F. Took 8mg Zofran at 1100 and was able to take 400mg of Ibuprofen at 1140. By 1300 temp down to 103F (infared forehead). Other side effects were normal body aches, migraine, fatigue, joint pain. Only reporting due to the extremely high temp.

Other Meds:

Current Illness:

ID: 1002348
Sex: F
Age: 52
State: OR

Vax Date: 01/05/2021
Onset Date: 01/19/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies: Unknown

Symptoms: Cg reported being dx w/shingles 2 weeks after her first covid vaccine dose. she states she is sure it is d/t the vaccine and requested a VAERS report be completed.

Other Meds: Unknown

Current Illness: Unknown

ID: 1002349
Sex: M
Age: 46
State: NY

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 02/04/2021
Hospital: Y

Lab Data:

Allergies: NKDA

Symptoms: Patient had a stroke 12 hours after getting the vaccine and was hospitalized at Medical Center

Other Meds: None

Current Illness:

ID: 1002350
Sex: F
Age: 57
State: MA

Vax Date: 01/28/2021
Onset Date: 01/31/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: COVID-19 TEST 02/04/2021

Allergies: none

Symptoms: LINGERING FATIGUE, CHEST TIGHTNESS, UPPER BACK PAIN, NAUSEA, DIARRHEA, HEADACHE

Other Meds: none

Current Illness: none

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm