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: 1003055
Sex: F
Age: 26
State: TX

Vax Date: 01/25/2021
Onset Date: 01/31/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient presented to emergency department at Hospital on 2/03/21 with chief complaint of numbness and tingling over entire left side of body with pain level 9 out of 10. Patient reported that she received first dose of COVID vaccine on 1/25/21. On 1/31/21 numbness began in left lower extremity and progressed to left upper extremity over course of several days. Patient was afebrile, alert and ortiented. Circulation, range of motion and sensation intact. Lumbar puncture performed and appeared normal. Fentanyl 50mg IVP, Zofran 4mg IVP administerd and symptoms improved. Patient discharged home per doctor. Prescription provided for gabapentin 300mg 3 times daily. Follow up with PCP in 2-3 days recommended

Other Meds:

Current Illness:

ID: 1003056
Sex: M
Age: 30
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: 1003057
Sex: F
Age: 78
State: FL

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

Lab Data:

Allergies: none

Symptoms: Tingling in left hand from time of injection

Other Meds: Zegerid otc

Current Illness: none

ID: 1003058
Sex: F
Age: 30
State: PA

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 02/04/2021
Hospital:

Lab Data: 2 negative covid tests Normal blood work

Allergies: No

Symptoms: First vaccine: Fever x 11 days post first vaccine. Had extensive work up which was unremarkable. Second vaccine: currently on day 8 of fevers 100-102. No other symptoms.

Other Meds: Magnesium 400mg B2 400mg

Current Illness: No

ID: 1003059
Sex: F
Age: 57
State: NE

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: FEVER, CHILLS, AND BODY ACHES

Other Meds:

Current Illness:

ID: 1003060
Sex: F
Age: 35
State: VA

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

Lab Data:

Allergies: NKDA NKFA

Symptoms: Fever Chills Aches Headache

Other Meds: Tylenol Motrin

Current Illness: None

ID: 1003061
Sex: F
Age: 86
State: OR

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

Lab Data: none listed

Allergies: client reports allergy to PCN, states she had anaphylaxis reaction with epinephrine, states it was injected medication

Symptoms: Received report of resident under 30 minute observation complaining that tongue is swelling, EMS called by long term care facility, this nurse discussed client with caregiver monitoring client who reported client had tongue swelling, face flushed, and that client seemed "affected" client verified it felt like her tongue was swellling, like happened when she had previous allergic reaction to PCN in pas Epinephrine given at 1520 IM right vastus lateralis; EMS arrived and took over care and trasported to ED per hospital records client given diphenhydramine 25 mg capsue and dexamethasone 10 mg tablet, observed three hours after given epi and released back to long term care facility

Other Meds: none listed

Current Illness:

ID: 1003062
Sex: F
Age: 59
State: MI

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

Lab Data:

Allergies: NKA

Symptoms: Started with tightness / left shoulder discomfort started about 15 minutes after vaccination. About 40 minutes after vaccination developed itching on ears and face around the lips. Face and chest developed bright red blotches. Increased heart rate . Took Benedryl 25 mg about 1 hour after vaccination. Redness diminished about 45 minutes later. Mild itching on the face continued with intermittent episodes of increased heart rate throughout the night and the next day.

Other Meds: Lasix B 12 Elioquist Amiodorone Omeprezole Spirnalactalone

Current Illness: None

ID: 1003063
Sex: F
Age: 66
State: MI

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

Lab Data: None

Allergies: None, Sensitive to narcotics and anesthesia, when taken results in low BP, Nausea and Vomiting.

Symptoms: Approximately 6 hours after injection, I began feeling very tired. I was up walking around office working on some computer updates and then cam back to my office. About 15 minutes later while sitting at my desk my hand and feet began tingling, then about 10 minutes later my feet became numb, from toes to ankle, both ankles began to swell and had +Edema, and blood pressure was 123/50 , pulse low and undetected on my electronic BP cuff, taken by wrist it was 42, event lasted about 30 minutes, I forces fluids, took a Benedryl, and walked in my office when numbness subsided.

Other Meds: Synthroid 200 mcgs am Lisinopril 5mg the night before Metoprolol 12.5 the night before

Current Illness: None

ID: 1003064
Sex: F
Age: 26
State: VA

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

Lab Data: n/a

Allergies: nka

Symptoms: reported nausea, feeling chilled, lightheaded

Other Meds: altavera singulair zyrtec

Current Illness: cold a few weeks ago

ID: 1003065
Sex: F
Age: 61
State: PA

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

Lab Data:

Allergies:

Symptoms: She had swelling in her hands and feet that lasted for a couple of days.

Other Meds:

Current Illness:

ID: 1003066
Sex: F
Age: 31
State: MO

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

Lab Data: Unknown.

Allergies: N/A

Symptoms: Patient reporting feeling hot and had flushing to the face, neck, and arms. Patient denied shortness of breath and chest pain. Patient was evaluated, vitals obtained, and IM Benadryl administered. Ambulance was called for further evaluation and transported to the hospital.

Other Meds: N/A

Current Illness: None

ID: 1003067
Sex: F
Age: 37
State: WI

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

Lab Data:

Allergies:

Symptoms: Brain fog, extreme headache, vaccine site redness with hives and painful, severe fatigue, disoriented, hard to put words together, shaky, chills and sweating the next minute without fever, eczema increased, stinging in bones and dizziness

Other Meds:

Current Illness:

ID: 1003068
Sex: F
Age: 31
State:

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

Lab Data:

Allergies:

Symptoms: Red rash on arm of injection site Swollen lymph node in armpit of injection site

Other Meds:

Current Illness:

ID: 1003069
Sex: F
Age: 53
State: IL

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

Lab Data:

Allergies: Terbutaline, Fentanyl

Symptoms: Developed tightness in chest one day after vaccine with difficulty taking a deep breath.

Other Meds:

Current Illness:

ID: 1003070
Sex: F
Age: 40
State: TX

Vax Date: 12/23/2020
Onset Date: 12/24/2020
Rec V Date: 02/04/2021
Hospital:

Lab Data: No

Allergies: Morphine and Prednisone

Symptoms: Body aches, chills, muscles was sore and joint aching and stiffing , 100.9 temperature second day the same thing and took Ibuprofen for two to three days, sniffles, synise infection for a week.

Other Meds: Vitamins Zinc 50 mg, Vitamin C 1000 mg, B Complex

Current Illness: No

ID: 1003071
Sex: F
Age: 25
State: CA

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

Lab Data:

Allergies: KNA

Symptoms: 7:09 patient received COIVD 19 vaccine after vaccination patient monitored by medical staff 7:20 patient c/o lightheadedness, dizziness, SOB and difficulty swallowing. patient brought into exam room at that time. Sp02 at 7:25 was 99% on RA, pulse 133 patient assessed by RN, shaky, clammy skin, no visual swelling of neck or mouth, tachycardia noted. 50 mg benadryl IM given by RN at 7:25 vitals retaken at 7:30 pulse:99 SpO2:98 on RA, BP: 140/96 Patient D/C at 8:09 with VSS. NP states continue dosing 2-4 hours with benadryl 50 mg for the first and depending on how she feeling 25 to 50 mg there after.

Other Meds:

Current Illness: none

ID: 1003072
Sex: F
Age: 43
State: NJ

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

Lab Data: none

Allergies: none

Symptoms: 5 hours post administration - fatigue, mild headache, arm soreness at injection site 9 hours post administration - chills, achy body, fatigue, mild headache, full arm pain on injected arm 13 hours post administration - chills achy body, fatigue, full arm pain on injected arm, joint/bone pain all over 15 - 20 hours post administration - chills achy body, fatigue, fever 101.5 temporal, full arm pain on injected arm, joint/bone pain all over 24 -48 hours post administration - achy body, fatigue, soreness around injection site only 72 hours post administration - all resolved No treatment given other than rest and sleep.

Other Meds: women's multivitamin; hyaluronic acid; biotin; collagen peptides; probiotics

Current Illness: none

ID: 1003073
Sex: M
Age: 58
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: 1003074
Sex: F
Age: 82
State: IL

Vax Date: 01/22/2021
Onset Date: 01/30/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: none

Allergies: peanuts, bees, Cipro, Keflex, Sulfa, Erythamacine, Novacaine

Symptoms: Was slightly sore at the time of injection but went away after a day or so and then about 8 days after the administration, Injection site became very red, hot and very itchy. Site felt slightly harder than the other arm, redness receded gradually and arm became more pliable but after almost 2 weeks, area is still extremely itchy and still slightly reddish

Other Meds: Vitamins D3, Quercitan/C, C, Zinc - Rousastatin, baby aspirin

Current Illness: nond

ID: 1003075
Sex: F
Age: 35
State: TX

Vax Date: 01/05/2021
Onset Date: 02/03/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Fever: 102.1*F, Severe Body Aches, tender lymph nodes on left clavicle and left armpit.

Other Meds:

Current Illness:

ID: 1003076
Sex: F
Age: 65
State: IN

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

Lab Data: n

Allergies: n/a

Symptoms: super sore arm/feverish 103 and higher /extreme fatige.

Other Meds: n/a

Current Illness: n/a

ID: 1003077
Sex: M
Age: 36
State:

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

Lab Data: none

Allergies: none

Symptoms: aside from typical response (shaking chills, muscle aches, fatigue, headaches, nausea). patient became short of breath for approximately 2 hours (1230am-230am). chills and headaches started at the same time. no respiratory compromise/anaphylaxis/hives.

Other Meds: zoloft

Current Illness: none

ID: 1003078
Sex: F
Age: 54
State: NE

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: DEVELOPED SEVERE DIARRHEA

Other Meds:

Current Illness:

ID: 1003079
Sex: F
Age: 24
State: IL

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

Lab Data: None

Allergies: No

Symptoms: At night I started having body aches and extreme fatigue. The body aches went away by mid morning the next day. I experienced the extreme fatigue for about 2-3 days. I was exhausted. I also felt dizzy, almost like vertigo. I wanted to let you know I was COVID positive on 12/30/2020

Other Meds: Adderall, lobutren, disterol, Xanax, daily vitamin D as well as multivitamin. and B12

Current Illness: No

ID: 1003080
Sex: F
Age: 39
State: NC

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

Lab Data: None

Allergies: Rocefin iv

Symptoms: Very sore arm day 1 Tired and achy starting around 10am day 2....fever of 101.4 as of 2:50 pm

Other Meds: Adderall Benedryl

Current Illness: None

ID: 1003081
Sex: F
Age: 49
State: TX

Vax Date: 01/23/2021
Onset Date: 01/25/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: none yet

Allergies: nkda nkfa nka

Symptoms: I received my second dose of moderna vaccine on 1/23/2021. I had done well with the first one other than sore arm and fatigue. I felt ok day one, but day 2 arm injection site was painful. I took ibuprofen and went to bed. Woke up in the middle of the night with severe left shoulder pain that seemed to radiate to the clavicle and neck. Fever, chills also. I called off from work and slept until noon the next day, a full 48 hours post injection and felt much better with exception to the left shoulder. I have continued to have intermittent pain in the arm, that also now results in numbness and tingling of my fingers and left hand. I can hardly sleep at night due to the pain. there is not much that will relieve it, other than finding maybe a pillow for support, but that only lasts a short time and then I am awakened with pain again. It seems to be the joint itself that is affected. And instead of getting better it seems to be getting worse.

Other Meds: ibuprofen prn

Current Illness: none

ID: 1003082
Sex: F
Age: 49
State: LA

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

Lab Data: cov test on 1/21/2021 is positive. no any other further test done after that.

Allergies: none

Symptoms: I have routine cov-19 weekly test, no positive history and no any physical discomfort prior to following event. 1/4/2021, received cov-19 test, sampling through nose, the immediately received vaccine after test sampling. (test result came out 2 days after and was negative). started to feel moderate pain in left arm and low fever (temperature 99.4 , test under tongue), lost appetite for 10 days. feel better after 1/14/2021, weekly routine test on 1/12/2021, received positive result in 1/14/2021. no family member test positive, no contacted co-workers test positive at this period. I ASSUME the tested cov-19 positive IS related to the Vaccine I received.

Other Meds: Vit D

Current Illness: none

ID: 1003083
Sex: F
Age: 39
State: FL

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

Lab Data: None. I was not known to be allergic to any vaccine ingredients. The mast cell activation society website recommends mast cell patients premedicate with Benadryl and bring epinephrine if they are getting a covid vaccine, because some people with history of anaphylaxis have had anaphylaxis to covid vaccine. I normally do not use epinephrine but I brought it just in case. Mast cell patients have higher rates of anaphylaxis so this is wise. I will not be getting my second dose until I consult with an immunologist per the CDC guidelines to skip second dose if there is allergic reaction to first dose.

Allergies: Sulfa anaphylaxis Anaphylaxis to allergy shots

Symptoms: I had previous anaphylaxis events that were treated and did not require hospitalization. I brought epinephrine pen and premedicated with Xyzal 5mg 9 hours before and Benadryl 25mg 1.5 hours before vaccine. 20 minutes after vaccine I felt flushing, nausea, low blood pressure. They had released me from the drive through vaccination site and I was driving and felt panicky, so I pulled over. I waited 10 minutes because I wasn't sure if it was anaphylaxis or not. I felt OK after 10 minutes, so I drove to nearest ER and waited in parking lot several hours then drove home. I probably should have administered epinephrine and called 911 when I had that reaction. Continued with 25mg Benadryl every 4 hours and nightly Xyzal 5mg. The next morning (24 hours later) I woke up scratching my face. I had a diffuse sandpaper rash all over my head and neck and was very itchy. Doubled my dose of Benadryl to 50mg every 4 hours. Also took 400mg of quercetin. The itching resolved and the rash was gone the next day, which was 48 hours after vaccine. I was fatigued for several days but fatigue is my baseline as a narcoleptic plus I was taking benadryl. I continued the Benadryl for a total of 4 days. I normally do not develop rashes unless I rub against hay and I did not have any contact with hay.

Other Meds: Xyrem Adderall Xyzal Flonase Benadryl CBD

Current Illness: None

ID: 1003084
Sex: F
Age: 51
State: AL

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

Lab Data:

Allergies: none

Symptoms: Approx 30 min after administration- chest pressure, slight SOB, metallic taste in mouth. 4 hours after vaccination headache, nasal congestion, muscle pain, joint pain, redness to left arm (shoulder to elbow), fever up to 103, chills, shaking with the chills, nausea, sore arm

Other Meds: none

Current Illness: none

ID: 1003085
Sex: F
Age: 76
State: MD

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

Lab Data: none

Allergies: My allergies to medications are too extensive to list, but they include most antibiotics, thyroid meds other than Armour, flu shots, hepatitis A and B shots latex

Symptoms: I received this shot on Jan 30 and have been sick ever since. I Threw up for several days and and still sick to the stomach. I had severe diarrhea and my bowels are still messed up- they are light yellow verging on white. I have been having migraines and am very weak and shaky. Pain at injection site is trivial. Pain through out my body is not. I am often dizzy.

Other Meds: Armour Thyroid, digestive enzymes, fish oil, cranberry supplement, turmeric, ubiquinol. cinnamon, probiotics

Current Illness:

ID: 1003086
Sex: F
Age: 36
State: CA

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

Lab Data:

Allergies:

Symptoms: body aches fever sore throat

Other Meds:

Current Illness:

ID: 1003087
Sex: F
Age: 91
State: GA

Vax Date: 01/25/2021
Onset Date: 01/28/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: COVID-19 Pfizer on 1/25/2021

Allergies: Injected Iodine dye

Symptoms: On 1/28/2021, 3 days after her injection my mom started feeling unwell. She felt dizzy, drowsy and had no energy (fatigued). This went on for 4 days (until 1/31/2021). She called a nurse at her facility morning of 1/31/2021, who told her it was most likely a side effect from the vaccine. My mom did not feel reassured and called the front desk at her facility. Eventually 911 was called, the paramedics came afternoon of 1/31/2021 and they told her her blood pressure was not quite right, and if she wanted to go to the hospital. She said no. She was less upset though. She still didn't feel "normal" until 2/2/2021. She is prone to panic and PTSD if things don't feel right.

Other Meds: Amlodipine, Lisinopril, Vitamins A, B6, B12, C, D3, E, cal-mag, turmeric, melatonin, lutein

Current Illness: None

ID: 1003088
Sex: F
Age: 54
State: IL

Vax Date: 01/21/2021
Onset Date: 01/29/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies: Erythromycin

Symptoms: Developed site irritation, burning and sensitivity with pain radiating up the neck.

Other Meds:

Current Illness:

ID: 1003089
Sex: F
Age: 68
State: FL

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

Lab Data: None

Allergies: NONE

Symptoms: Beginning approx 72 hours after vaccination, right arm just above elbow (well below site of shot) developed a warm, red, itchy area about 3 inches in diameter. Ice packs helped relieve some of the discomfort temporarily. Symptoms gradually subsided over following 3 days. Now, 4 days after onset, issue is fully resolved.

Other Meds: OTC daily vitamin supplement; daily calcium with Vit D supplement

Current Illness: NONE

ID: 1003090
Sex: F
Age: 66
State: NC

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

Lab Data: Unknown

Allergies: paclitaxel (anaphylaxis); adhesive silicone tape

Symptoms: 66 yo WF with PMH asthma, allergic rhinitis, morbid obesity (112kg), chronic low back pain with sciatica, hyperlipidemia, CKD 3a, endometiral CA was at the clinic for COVID19 Moderna Vaccination. History of allergies to Paclitaxel (anaphylaxis) and adhesive tape (pruritis). Takes allergy shots 3 x week. Dose given in patient's left deltoid at 1600 (lot # 011J20A). At 1630 patient started to complain of dry eyes. Patient took 5mg levocetirizine from her own supply with no relief. Patient was registered to urgent care for further evaluation and management. Patient started to clear throat and complain her throat feels swollen and her mucus was thick. BP elevated 160's. Solumedrol 125mg IV given at 1702;

Other Meds: Albuterol inhaler; B complex; calcium; docusate; MVI; naprosyn

Current Illness:

ID: 1003091
Sex: F
Age: 44
State: AZ

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

Lab Data:

Allergies: Pineapple and pork

Symptoms: 15 mins after receiving the vaccine, patient experienced light headedness and dizziness and felt tongue swelling that lasted approximately 1 hour and then she was fine.

Other Meds: no

Current Illness: no

ID: 1003092
Sex: F
Age: 64
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: 1003093
Sex: F
Age: 61
State: MI

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

Lab Data: Mo

Allergies: Keflex, neospirin eyedrops

Symptoms: 3pm, day of injection, started getting real tired, no appetite, fell asleep at 7:30 pm on couch, left arm was hurting real bad, went to bed.. Tossed and turn and back hurting and arm all night. Woke up at 5am before alarm not feeling good. Had a real bad headache and sinus pressure in face area. My body was aching all over.. I took motrin 600 mil, at 5:30.. I had to go to leave for work at 8am. Feeling somewhat okay.. I'm a caregiver, i have clients who depends on me I started feeling sick, body aching. I left there at 10:30 am and arrived at next client .. My legs were not, i felt sick to my stomache and legs weighted down.. Went home very Fatigue. .

Other Meds: Extra strenght Tylenol, Vital Proteins Collagen Peptides

Current Illness: Tested positive for Covid 19, December 30th, 2020

ID: 1003094
Sex: M
Age: 61
State: PA

Vax Date: 01/13/2021
Onset Date: 01/17/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: NONE DID NOT SEE ANY MEDICAL PROFESSIONAL

Allergies: NO

Symptoms: PATIENT WOKE UP WITH PAIN IN HIS ARM FROM HIS SHOULDER SOCKET TO THE MID BICEP ON THE INJECTED ARM (LEFT). THERE WAS NO DISCOLORATION ANYWHERE OR BRUSING. THERE WAS NO HEAT. IT WAS DEFINATELY MUSCULAR PAIN. THE PAIN PERSISTED FOR 3 WEEKS TREATING WITH IBUPROFEN OVER THE COUNTER. THE ARM HURT SO MUCH HE COULD BARELY LIFT IT TO EVEN SHOWER OR WASH HIS HAIR.

Other Meds: BRILLINTA, METOPROLOL, CRESTOR, BABY ASPIRIN

Current Illness: NONE

ID: 1003095
Sex: F
Age: 35
State: NE

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

Lab Data:

Allergies:

Symptoms: FEVER, CHILLS, BODY ACHES

Other Meds:

Current Illness:

ID: 1003096
Sex: F
Age: 57
State: MD

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

Lab Data:

Allergies: IODINATED CONTRAST IV OR ORAL IODINE CONTRAST MEDIA OLANZAPINE EXEMESTINE METRIZAMIDE NUTS

Symptoms: Severe headache, nausea for 3 days, chills, body aches, fatigue, joint aches

Other Meds:

Current Illness:

ID: 1003097
Sex: F
Age: 51
State: ID

Vax Date: 01/23/2021
Onset Date: 01/24/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: Blood work, EKG, CT scan 1/25/2021

Allergies: Sulfa

Symptoms: Severe itching and hives, shortness of breath causing chest pain

Other Meds: Lantus, Metformin, Sertrline

Current Illness: None

ID: 1003098
Sex: F
Age: 77
State: ID

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

Lab Data: Vitals signs monitoring

Allergies: NKA/ NKDA

Symptoms: Patient immediately felt dizzy, lightheaded, faint after received vaccine, also experienced nausea. Monitored for approx 1 hr until patient felt better/ "back to normal." Vitals signs remained stable and SaO2 WNL throughout observation period. Patient was transported in w/c from waiting area to observation bay and laid on gurney, bottle of water provided, snacks provided. Pt remained A&O throughout observation period. Husband present.

Other Meds: Bupropion Paroxetine Hypothyroid med (could not recall name) Herbal supplements - D3, Vit C, others (they could not recall)

Current Illness: None

ID: 1003099
Sex: F
Age: 48
State: GA

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

Lab Data:

Allergies: none

Symptoms: 1-2 days after vaccination, swollen lymph nodes in arm pit of arm where vaccination administered. This lasted for one week. One week after vaccination, swelling and redness at injection site that lasted 2 days

Other Meds: multi-vitamin vitamin D supplement

Current Illness: none

ID: 1003100
Sex: M
Age: 28
State: TX

Vax Date: 01/12/2021
Onset Date: 01/14/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Sudden onset hearing loss started 48 hours after injection, ringing in ears, still ongoing two weeks later. Some hearing regained

Other Meds: None

Current Illness: Antibiotics for an infection on leg in December 2020.

ID: 1003101
Sex: F
Age: 33
State: KS

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

Lab Data:

Allergies: PCN

Symptoms: About 5 minutes after receiving the vaccine I felt a rush of numbness/tingling/cold starting from my feet that worked it's way up to my head. Once the feeling got to my chest my HR increased. Some SOA, suspected due to feeling of panic. Feeling passed after about 3 minutes but kept coming back in waves about every 10-15 minutes. Took Benadryl 25 mg at about 2:30 to see if it would help, symptoms calmed down at about 4:00. The following morning on 1/30, the immediate symptoms had gone away. By 1/30 evening, starting developing constant numbness to BLE below knee. As of today, 2/4. The numbness is still present.

Other Meds: Rhinocort nose spray Zyrtec Prenatal Vitamin Probiotic Pepcid Vitamin D 5000 IU

Current Illness:

ID: 1003102
Sex: M
Age: 73
State: MA

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

Lab Data: none

Allergies:

Symptoms: 20 hours after shot, I developed arm pain, excessive lethargy/need to sleep most of the day, abdominal pain, nausea, muscle aches, and at 30 hours after vaccination a core temperature of 103.5 degrees. Fever broke 42 hours after vaccination. Feeling back to normal at 68 hours.

Other Meds: thyroxine, lexapro, allopurinol, cialis, lisinopril, rosuvastatin, dulcolax

Current Illness: none

ID: 1003103
Sex: F
Age: 44
State: ME

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

Lab Data: None. I contacted my doctor's office and they recommended that I monitor it and to let them know if it worsens.

Allergies: sulfa-based medication

Symptoms: an approximately 4 inch diameter reddened, warm-to-the-touch area of skin directly under the injection site developed approximately 1 week following the injection.

Other Meds: levothyroxine 88mcg

Current Illness: no, none

ID: 1003104
Sex: M
Age: 75
State: OH

Vax Date: 01/14/2021
Onset Date: 01/21/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: None

Allergies: Aluminum, blue and green dyes, Iodine, Morphine or similar meds.

Symptoms: Redness, swelling (Covid arm), pain, minimal fever.

Other Meds: Covid Arm (Marked firmness, redness, hypersensitivity over skin and mild itching, turning into a target red rash over some days) after Moderna Covid -19 vaccine. It lasted for 14 days with redness and mild irritation still present. No loca

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm