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: 1005489
Sex: F
Age: 75
State: CO

Vax Date: 01/28/2021
Onset Date: 02/05/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Ache in entire upper arm where injection was administered, throbbing headache, extreme exhaustion, red facial skin rash. The headache and exhaustion lasted for one day. The ache in the arm lasted several days to the point of limiting use. The red facial rash lasted 9 days. The rash decreased over that time period with sections of the skin peeling on the 8th and 9th days.

Other Meds: atorvaSTATin 40 mg tablet losartan 100 mg tablet venlafaxine 37.5 mg 24 hr capsule prazosin 1 mg capsule Advair HFA 230-21 mcg/actuation inhaler OMEGA-3 FATTY ACIDS/FISH OIL (OMEGA 3 FISH OIL PO) calcium carbonate-vitamin D3 500 mg(1,250mg)

Current Illness: None

ID: 1005490
Sex: F
Age: 39
State: DC

Vax Date: 01/25/2021
Onset Date: 01/29/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies: Sulfa drugs

Symptoms: Swollen supraclavicular lymph note occurring on right side (same side as injection) persisting nearly two weeks post-vaccination

Other Meds: Lexapro

Current Illness: N/A

ID: 1005491
Sex: F
Age: 67
State: WA

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

Lab Data: none

Allergies: bee venom hazelnuts macadamia nuts mangoes

Symptoms: Loss of consciousness - fainted 18 hours after dose

Other Meds: none

Current Illness: none

ID: 1005492
Sex: F
Age: 38
State: IL

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

Lab Data: none

Allergies: Tegretol

Symptoms: Elevated temp 101.2 tachy 130

Other Meds: Prozac, folic acid, levothyroxine, norg ee, vit d,divalproex sod, famotidine, lactulose, Reglan, Miralax, Seroquel, Senna,Topamax, Tylenol

Current Illness: none

ID: 1005493
Sex: F
Age: 0
State: GA

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

Lab Data: none

Allergies: Shellfish and Latex

Symptoms: Patient states had tightness in chest, shortness of breath, headache and lightheaded. Flushing of the face, elevated blood pressure.

Other Meds: Yaz Generic Oxybutynin Multivitamin Probiotic Vitamin D3

Current Illness: none

ID: 1005494
Sex: F
Age: 19
State: MA

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

Lab Data:

Allergies:

Symptoms: states had 2nd covid vaccine yesterday, had waves of N yesterday; fever, aches chills overnight, took Tylenol overnight, took melatonin around 12 pm due to difficulty falling asleep this am woke, took temp -was 99.3, went to bathroom and urinated and then got in shower, felt a little nauseous and starting loosing vision , then fell hitting head on R side

Other Meds:

Current Illness:

ID: 1005495
Sex: F
Age: 51
State:

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

Lab Data:

Allergies:

Symptoms: Around 7 p.m. patient felt chest weakness & minor SOB. Took Ibuprofen 400 mg PO. Woke up in middle of the night, had increased SOB and chest weakness. Describes as felling "Not well." Drank water. Felt better. Went back to sleep. 2/4: Patient c/o nasal congestion, slight blurred vision, increased SOB/chest weakness, had body aches, slight swelling in neck lymph node (hx of swelling due to abscess). Felt better as day progressed but in afternoon @ 3:30 p.m. while at store with family, had to leave to sit in car due to fatigue and reoccurring SOB. Minor SOB episode throughout the day. Slept well at night. Took Ibuprofen 400 mg PO x1 which improved body ache.

Other Meds:

Current Illness:

ID: 1005496
Sex: F
Age: 31
State:

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: 1/22/2021: chills lasting 3 hours, right arm pain lasting 12 hours, fatigue lasting 12 hours. Axillary pain and tenderness beginning 1/22/2021 and still present today 2/5/2021. It is mild to moderate but doesn?t affect my ability to perform daily activities. Worse in morning after sleep. Still faint red patch at site of injection.

Other Meds: None

Current Illness: None

ID: 1005497
Sex: F
Age: 59
State: CA

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: None

Allergies: NKA

Symptoms: Painful upper arm lasting 4 days, General malaise lasting 48 hours

Other Meds: Lorstatin 20mg Multivitamin VitD Calcium

Current Illness: None

ID: 1005498
Sex: F
Age: 38
State: NJ

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies: Lactose intolerant, bee sting (anaphylactic reaction)

Symptoms: Approximately 7:00pm, I began to experience itching from head to toe. No rash noted. Had a little bit of throat scratchiness, took 50mg of Benadryl and two Tylenol pills for my arm soreness and went to bed. When I woke up the next morning it was resolved.

Other Meds: Singular (taken at bedtime), Tylenol, Multi-vitamins, Calcium 600mg with Vitamin D, Magnesium 500mg, Biotin 5000mcg, Claritin 10mg, Advair and Incurse (taken every morning)

Current Illness:

Date Died: 02/04/2021

ID: 1005499
Sex: F
Age: 80
State:

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 02/05/2021
Hospital: Y

Lab Data: Lactic Acid 5.6 on admission, WBC 9.2 on admission

Allergies: Adhesive tape-silicone celecoxib hydrocodone-acetaminophen pravastatin

Symptoms: Moderna Vaccine Lot 029K20A Patient received second dose of vaccine on 2/2/21. Within 30 minutes patient had a near syncopal episode. She felt lightheaded and shortly after had episode of nonbloody vomiting. Hypotensive 81/69 and started on levophed. Alert and orientated. Lungs clear, abdomen benign on admission. Patient had no reaction when received first dose of the vaccine. Patient developed worsening shortness of breath, tachypnea, Afib with RVR, hypotension and required intubation and multiple pressors.

Other Meds: Acetaminophen calcium carbonate/vitamin D3 fluoxetine ibuprofen cholecalciferol

Current Illness:

ID: 1005500
Sex: F
Age: 35
State: IN

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

Lab Data: N/A

Allergies: Scopalamine, Azithromycin

Symptoms: At about the 12 hour mark, extreme body aches and nausea began. At the 16 hour mark, fever over 103 set in. Fever and body aches continued for 24 hours.

Other Meds: Ibuprofen

Current Illness: N/A

ID: 1005501
Sex: F
Age: 53
State: MA

Vax Date: 01/15/2021
Onset Date: 01/24/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: b12 lab normal email communication with NP and PCP

Allergies: Bactrim

Symptoms: 7 days following 1st vaccine started with aches and pains in muscles and joints. At 9 days following 1st vaccine started having numbness/tingling and pins and needles in tips of toes and fingers. Over the next week this progressed into my feet and hands and is now up to my ankles and wrists. The aches and pains slowly got better, but did not resolve and worsened following second vaccine 2/4/21

Other Meds: IC lamotrigine ER 200mg premphase(conjugated estrogen/progesterone) valacyclovir 1gram

Current Illness: none

ID: 1005502
Sex: F
Age: 60
State: PA

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

Lab Data:

Allergies: Lodine

Symptoms: -pain, redness and swelling in right arm -achy all over, but especially in left hip joint area (where had a previous fracture), neck, and right scapula area. -headache -nausea (but no vomiting) - this may have been due to the Advil I took -shivering in bed

Other Meds: Caltrate - calcium supplement, Vitamin D, and Magnesium - all taken at 8 am on 2/3/2021

Current Illness: none

ID: 1005503
Sex: F
Age: 77
State: AZ

Vax Date: 01/22/2021
Onset Date: 01/31/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies: Sulfur

Symptoms: 1/22/21 vaccinated, 1/31/21 pt started having rash on top of arm (below injection site)

Other Meds: Varostatin 10 mg, Metoprolol 100 mg, Citalopram 10 mg, Calcium 1200 mg, Vitamin D 4000 mg

Current Illness:

ID: 1005504
Sex: M
Age: 74
State: NJ

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

Lab Data: None

Allergies: NONE

Symptoms: Stomach pain, Diarrhea, no treatment, both subsided during the night.

Other Meds: Aspirin 81mg, Metoprolol 12.5 mg, Atorvastatin 40 MG, Zetas 10 MG, Allopurinol 100 MG, Fish oil 1000MG.

Current Illness: None

ID: 1005505
Sex: F
Age: 66
State: PA

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

Lab Data: None

Allergies: None

Symptoms: Day after and next after vaccine : R shoulder very sore especially if hand raised above head. Occasional (4 x over 2 days) pain R side of neck and headache (different times). Congestion. General weakness although able to slowly do daily activities. Thank you for considering.

Other Meds: None

Current Illness: None

ID: 1005506
Sex: F
Age: 78
State: CA

Vax Date: 01/28/2021
Onset Date: 02/05/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: NO.

Allergies: NONE THAT I KNOW OF.

Symptoms: COVID ARM. RED, ITCHY HIVE AT VAX SITE.

Other Meds: ATENOLOL LOSARTAN POTASSIUM/HYDROC NORMAL VITAMINS

Current Illness: NO.

ID: 1005507
Sex: F
Age: 84
State: IN

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

Lab Data: None

Allergies: NoneNo

Symptoms: Nausea, hadache,low fever (100.9) deep fatigue - Slept 16 hours of last 25 hours. Still have slight fever -99.8

Other Meds: pantoprazole, alfalfa, CoQ10, iron, D3 Loratadine,PreserVision, Omega 3, Multivitimin, Niacin, Probiotic Calciium and L-Lysine

Current Illness: NoneNo

ID: 1005508
Sex: M
Age: 70
State: NC

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: none

Allergies:

Symptoms: Vaccination Error RECIPIENT RECEIVED FIRST DOSE PFIZER VACCINE ON 12/21/2020. Arrived to Moderna clinic for second shot, did not have his vaccine card, provider did not tell team member his first dose was Pfizer. Team member working clinic vaccinated patient with Moderna, did not recognize provider had received first dose Pfizer until she documented the administration of the Moderna dose in the state data base.

Other Meds:

Current Illness: none

ID: 1005509
Sex: M
Age: 42
State: MN

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

Lab Data:

Allergies: None

Symptoms: Vaccine was injected into subacromial space instead of deltoid. Severe subacromial bursitis symptoms developed rapidly.

Other Meds: None

Current Illness: None

ID: 1005510
Sex: F
Age: 63
State: NY

Vax Date: 01/23/2021
Onset Date: 01/24/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: 1/28 UA, negative.

Allergies: Eggs, Bananas

Symptoms: She had Moderna COVID vaccine on 1/23. The following few days she became very sleepy/fatigued. On Tuesday she developed acute dizziness, weaknes, tremors. Evaluated in ER. But also went to different hospital because of the symptoms. She received fluids at second evaluation and has been trying to keep the fluids up. She did not start feeling better until Saturday, and still has eposodes of feeling weak/fatigued and has some dizziness, but overall she has improved. The fatigue is similar, but more intense, than what she had when she eats eggs (she has an egg allergy).

Other Meds: One Daily multi vit Tablet 1 teaspoon Orally once a day. Prozac 10 mg Capsule 1 capsule Orally Once a day. MetFORMIN HCl ER 500 MG Tablet Extended Release 24 Hour take 1 tablet by mouth once daily Aspirin 325 MG tabl

Current Illness: None

ID: 1005511
Sex: F
Age: 55
State: AR

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

Lab Data:

Allergies:

Symptoms: Shortness of breath, felt like her throat was closing

Other Meds:

Current Illness:

ID: 1005512
Sex: F
Age: 25
State: VA

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

Lab Data:

Allergies:

Symptoms: Chills, elevated heart rate, fever, nausea, dizziness, back pain, body aches

Other Meds:

Current Illness:

ID: 1005513
Sex: F
Age: 59
State: CA

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

Lab Data:

Allergies: NKA

Symptoms: Five minutes after vaccine pt reported feeling very dizzy and "buzzed." VSS. Pt reported improvement in symptoms within 10 minutes and was able to walk out to go home.

Other Meds: Metformin Lisinpril Lipitor

Current Illness: No

ID: 1005514
Sex: F
Age: 35
State: TN

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

Lab Data:

Allergies: Nuts

Symptoms: Fever, chills, sore arm, headache, body aches. Took tylenol and ibuprofen. Resolved in about 36 hrs

Other Meds: Vit C. Prenatal vit. Singular 10mg PO daily, oral birth control

Current Illness: None

ID: 1005515
Sex: F
Age: 79
State: PA

Vax Date: 01/25/2021
Onset Date: 02/01/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Moderna COVID-19 Swelling and hardness at injection site. Red blotchy skin. Itchiness.

Other Meds: Prolia injection Lovastatin Levothyroxene Vitamin D Docusate sodium

Current Illness: None

ID: 1005516
Sex: F
Age: 57
State: AL

Vax Date: 01/27/2021
Onset Date: 02/04/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies: N/A

Symptoms: This is not a big deal at this time. The area of the vaccine is still slightly tender to the touch. Last night it started itching and has a red place on my skin.

Other Meds: metroprolol simvastatin welbutrin xanax vitamins C, zinc, one-a day

Current Illness: None

ID: 1005517
Sex: F
Age: 28
State: MD

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: None

Allergies: Nuts (hazelnuts, etc)- anaphylaxis Chocolate- oral itching

Symptoms: Patient reports onset of oral/throat itching about 10 minutes after dose, without any other symptoms. She took oral diphenhydramine about 1 hour later, and itching resolved after about 20 minutes (total time about 70-80 minutes). She did not seek any attention at the time, since she sometimes has similar symptoms when she eats in restaurants and is unsure of the ingredients, and attributed symptoms to anxiety. At this time, we are unsure if she should receive her 2nd dose, or wait for a different vaccine. Please reply if possible.

Other Meds: Omeprazole 20 mg daily Seroquel 25 mg prn

Current Illness: None

ID: 1005518
Sex: F
Age: 64
State: NE

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: will be getting Heart work up with cardiologist

Allergies: none

Symptoms: employee had fever, backache post vaccine but then also had a episode of fibrillation occur the next day that lasted 1 1/2 hours. Had not had episode for over 2 year when had stent placed.

Other Meds: xarelto, baby ASA, Metoprolol

Current Illness: None

ID: 1005519
Sex: F
Age: 57
State: MD

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

Lab Data: BP 130/83, Pulse 69, O2 97%, RR 20

Allergies: None

Symptoms: Patient c/o headache, dizziness and feeling shaky. States that she was feeling anxious prior to receiving vaccine. Patient appears well, in NAD. Had patient lie down for 15 minutes. Vital signs noted; wnl. After 15 minutes had her sit up and drink juice and eat crackers. Waited ten more minutes. Patient states that she feels fine and appears well. Had patient stand and ambulate in the observation room. Denies symptoms at this time. Discharged from clinic.

Other Meds: Albuterol, Breo, new ADD med - patient could not remember the name of med

Current Illness: C/o feeling like she was having trouble taking a deep breath 3 days ago and used Albuterol.

ID: 1005520
Sex: F
Age: 51
State: PA

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

Lab Data: NA

Allergies: sulfa

Symptoms: Nausea starting a few hours after injection (the start date, upon further reflection, should be 2/1). Nausea has continued to today (2/5). Vomitted first day, unable to eat much other than toast and ginger ale since. Periodic chills. significant fatigue. No fever. At time of submission, nausea is still occurring.

Other Meds: exemestane, saxenda, lipitor, xarelto, claritin, wellbutrin, buspar, calcium, vitamin d, move-free supplement, ashwanganda stress gummy, wellbutrin sleep gummy, bausch and lomb eye vitamin

Current Illness: none

ID: 1005521
Sex: M
Age: 68
State: AK

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: NONE

Allergies: NONE

Symptoms: I HAD COVID IN NOVEMBER AND HAD A FEVER FOR 10 DAYS AND AN ACHY BODY. WHEN I GOT THE VACCINE I HAD THE SAME SYMPTOMS FOR 2 DAYS AND FELT TIRED FOR ANOTHER 2 DAYS

Other Meds: LOSARTAN TESTOSERONE VIT D3 VIT B 12 PROBIOTICS RESTASIS B COMPLEX FISH OIL MULTI VIT GLUCOSIMINE DHEA PREGNENOLONE UBQH

Current Illness: NONE

ID: 1005522
Sex: F
Age: 49
State: GA

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: 1/29/2021. EKG, troponin and CMP completed.

Allergies: Narcotics, penicillin and pineapples.

Symptoms: After vaccine was given within the first 2 minutes began to feel light headiness, short of breath and heart palpitations. After 15 minutes symptoms persist and noted to become more short of breath and my heart continue to have feels of unease. I was given Benadryl 50 mg p.o. with water. The symptoms did not resolve and I was taken to the emergency room. My vital signs were obtained and I was noted to be hypertensive and bradycardic. My heart rate was 30 beats per minute and systolic blood pressure noted in 170's. A EKG was obtained and troponin was completed which results revealed sinus bradycardia and troponin 0.00. Please ask for records as I was in distress and not able to recall each occurrence.

Other Meds: Synthroid, Linsipril

Current Illness: none

ID: 1005523
Sex: M
Age: 44
State: TX

Vax Date: 01/05/2021
Onset Date: 01/11/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: audiogram

Allergies: penicillin

Symptoms: sudden hearing loss left ear

Other Meds: atenolol, fenofibrate, finestride

Current Illness: none

ID: 1005524
Sex: F
Age: 31
State: IL

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

Lab Data: None

Allergies: none

Symptoms: Patient was vaccinated for Covid in left deltoid. See immunization record. She immediately became pale and started breathing heavy. I had her remove her mask and breathe deeply, she also drank an apple juice and water. She started to feel better. She still c/o "waves" of dizziness and lightheadedness. Transferred patient to WC and placed in recliner with feet elevated. Patient did not lose consciousness or experience a fall.

Other Meds: None

Current Illness: none

ID: 1005525
Sex: F
Age: 46
State: IL

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

Lab Data: Do not know which tests and labs were done.

Allergies:

Symptoms: Became nauseous and started vomiting approximately 20 minutes after the vaccine. She initially refused to go to the emergency room by ambulance. The vomiting continued and she then passed out and became diaphoretic. 911 was called and she was transported to the emergency room. I later spoke with a nurse at the ER and tests were being ran. She said they did not feel it was vaccine related. She did say the doctor said she had a panic attack.

Other Meds:

Current Illness:

ID: 1005526
Sex: F
Age: 35
State: NY

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

Lab Data:

Allergies: PREVIOUS REACTION TO FLU VACCINE - 7 YEARS AGO, BUT NEVER SINCE WITH ANNUAL VACCINATION

Symptoms: APPROX 13 M INUTES AFTER RECEIVING INJECTION PATIENT BEGAN FEELING SUDDEN ITCHING SENSATION ON ARM AND CHEST. SHE STATED SHE FELT LIKE SHE WAS STARTING A REACTION, AND BEGAN SCRATCHING CHEST, ARMS, AND THROAT PATIENT TAKEN DIRECTLY TO EMERGENCY DEPARTMENT WHERE SHE WAS TREATED AS SOON AS SYMPTOMS STARTED. AT THE TIME OF THIS REPORT, PATIENT IS IN ER AND STABLE, PROJECTED TO BE DISCHARGED AFTER OBSERVATION.

Other Meds:

Current Illness:

ID: 1005527
Sex: F
Age: 73
State: MA

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

Lab Data:

Allergies: NKDA

Symptoms: 1 hour post vaccination, patient developed a rash on her arm that spread slightly to below her neck on the arm she was vaccinated on. given 2 doses of benadryl. 1 dose at clinic, 1 dose for later.

Other Meds: Pt has NKA but has significant polypharmacy

Current Illness: No documented problems 1 month before

ID: 1005528
Sex: F
Age:
State: FL

Vax Date:
Onset Date: 01/31/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: none

Allergies:

Symptoms: Diffuse rash on face; dry and scaly

Other Meds: rousastatin , plavix, tumeric

Current Illness:

ID: 1005529
Sex: M
Age: 62
State: WI

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: 24-hours after receiving second dose broke out with unilateral right sided rash. Rash extended up and down trunk and right arm. Completely resolved with 1 benadryl

Other Meds: atorvastatin (LIPITOR) 20 MG tablet Take one tablet by mouth daily levothyroxine (SYNTHROID) 125 MCG tablet TAKE 1 TABLET BY MOUTH EVERYDAY levothyroxine (SYNTHROID) 125 MCG tablet . losartan (COZAAR) 25 mg tablet Take as directed metop

Current Illness: None

ID: 1005530
Sex: M
Age: 70
State: MD

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

Lab Data:

Allergies: nkda

Symptoms: difficulty speaking with laryngospasm.

Other Meds: n/a

Current Illness: n/a

ID: 1005531
Sex: F
Age: 27
State: WA

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies: N/A

Symptoms: Right after the first dose, I experienced hot flashes, headache, and nausea. The next day I was extremely fatigued and my left arm hurt quite a bit. After the second dose, I didn't experience anything until that night when sleeping was difficult due to the pain in my arm. The following day, I had chills and body aches, stomach ache, and a head ache.

Other Meds: Sertraline 50ml

Current Illness: N/A

ID: 1005532
Sex: F
Age: 68
State: VA

Vax Date: 01/28/2021
Onset Date: 02/04/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: 8 days of the first injection of Moderna in my Buttocks, a lump, redness and soreness has occurred

Other Meds: metoprolol Vit D Atorvastatin anastrozole Pneumonia Vaccine January 13, 2021

Current Illness: none

ID: 1005534
Sex: F
Age: 51
State: CO

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

Lab Data: none

Allergies: Gluten intolerance/celiac disease, Inapsine given for food poisoning nausea caused cardiac arrest

Symptoms: Numbness in face, dizziness, tiredness, pain in muscle at injection site, joint pain

Other Meds: Venlafaxine

Current Illness: none

ID: 1005535
Sex: F
Age: 83
State: CA

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: None

Allergies: sulfa, extreme to codfish

Symptoms: Sore arm directly after and all day. In evening, heart suddenly started pounding and beating at 85 when typical resting pulse is 60. Can and does happen from time to time for a couple heart beats. Has all my life. This time did not stop for 20 or more minutes. I took an extra propranolol and it went back to normal in a few minutes. Not positive it was result of injection but thought I should mention.

Other Meds: 40 mg Propranolol, 81 mg aspirin, 5 mg Diazepam, Vit D, VitaminB complex, Famotitine

Current Illness: None

ID: 1005536
Sex: F
Age: 35
State: CA

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

Lab Data:

Allergies:

Symptoms: earlier report filed yesterday addendum to prior report (initial symptoms of HA, vertigo, sweating and then chills) - see prior report filed 2/4/2021 - as patient ready for discharge, she then developed Urticarial rash - treated with Epinephrine 0.3 mg IM, oral benadryl and famotidine with resolution of rash

Other Meds:

Current Illness:

ID: 1005537
Sex: M
Age: 61
State: TX

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

Lab Data:

Allergies: None

Symptoms: Moderna COVID?19 Vaccine EUA Extreme fatigue, visual hallucinations, anorexia. Symptoms worse at ~12 hours, significantly improved by 72 hours but not resolved.

Other Meds: Atorvastatin, Metformin, Losartan, Novolog insulin, Gabapentin, Furosemide, Ezetimibe, Metoprolol

Current Illness:

ID: 1005539
Sex: F
Age: 81
State: MN

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

Lab Data: n/a

Allergies: azithromycin, hydrochlorothiazide, levaquin, preservative, PCN, Sulfa, isosorbide, diltiazem

Symptoms: warm arm at the site, then 4 hours later chills, and having vomiting over night

Other Meds: senna, amlodopine, ferrous sulfate, lisinopril, atenolol, clonidine, ventolin inhaler

Current Illness: none

ID: 1005540
Sex: F
Age: 60
State: CA

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

Lab Data:

Allergies:

Symptoms: Radiating pain the first night in the arm and in the muscle behind her breast. Continual head ache with fatigue and sore throat swollen glands since the vaccine in the evenings.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm