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: 1005710
Sex: F
Age: 39
State: IL

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

Lab Data:

Allergies: BENADRYL; NO COLD MEDICATIONS D/T SEIZURES

Symptoms: This morning her temp at 8AM was 99.3 at 9:30AM her temp was 100.3. She got her PRN dose of Tylenol and now her temp is 99.8. She has no other symptoms.

Other Meds: DEPAKOTE 125MG ONE A DAY WOMENS MULTIVITAMIN VITAMIN C 500MG VITD3 2000 UNITS KEPPRA 1000MG PROBIOTIC GUMMY OYSCO + vIT D 500MG/200 UNITS

Current Illness: NA

ID: 1005711
Sex: F
Age: 42
State: WA

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

Lab Data:

Allergies: seasonal allergies, Keflex

Symptoms: Initially got a large local reaction up to 2inx2.5in 2 days post vaccine. It was painful and hot. This gradually receded, leaving the area looking bruised. But wheal and itching resolved by day 7. On day 9 it started to itch again and slowly get more red, although bruised area still visible. Today at day 13 the area of erythema is 3inx4in and continuing to spread. It is itchy and a bit painful.

Other Meds: Singulair, Zyrtec, Zoloft, naltrexone

Current Illness: none

ID: 1005712
Sex: F
Age: 44
State: MN

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies: Penicillin, Histamine

Symptoms: While in post-vaccination waiting room, 20 minutes after receiving vaccine, client reports she developed an itchy jawline. Waited approximately 25 more minutes and then left clinic. When she got to her car, she noticed her chest was red and her face was swollen. Client reports a history of similar response after drinking wine. No breathing issues noted. Upon returning to work at 12:00pm, client took a dose of Benadryl. 15 minutes later the symptoms resolved. The next morning, 1/15, client developed a baseball size swelling underneath injection site. This lasted approximately 4 days.

Other Meds:

Current Illness:

ID: 1005713
Sex: F
Age: 41
State: IN

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

Lab Data:

Allergies: None

Symptoms: Fever, severe body aches, joint pain, site pain, and chills started approximately 12 hours after injection. Lasted 24 hours. Fever continues now along with slight body aches, site redness, swelling, and itching along with sweating but no chills. 45 hours after injection . I have been alternating advil and tylenol about every 6 hours. Temperature has ranged with 101.7 being the highest to 99.4 being the lowest.

Other Meds: Hydrochlorothiazide Metformin Norgestimate and ethinyl estradiol L lysine

Current Illness: None

ID: 1005714
Sex: F
Age: 55
State: ID

Vax Date: 01/28/2021
Onset Date: 01/30/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: non

Allergies: Penicillin, Sulfa drugs, latex on site Mushrooms, Corn, Wheat, Oats, shell fish, eggs occasionally Material: polyester inside of sweats and leggings

Symptoms: ?Pfizer-BioNTech COVID-19 Vaccine EUA" (1st Dose) Muscle aches, severe head ache, hot flashes, rash and hives on scalp, back, stomach, arms, legs, face. Treated with topical prescription cream and allergy pills, ibuprophen

Other Meds: Buproprion, Clonopin, Prozac, multi Vitamin

Current Illness:

ID: 1005715
Sex: F
Age: 59
State: IN

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

Lab Data: None

Allergies: Beets, Carrots, Peas and Avocado

Symptoms: Sinus headache, general body aches and fatigue, fever

Other Meds: Levothyroxin, diclofenac, Metformin, Lipitor, Celexa, fish oil, calcium, B12, D3

Current Illness: None

ID: 1005716
Sex: F
Age: 76
State: IN

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

Lab Data:

Allergies:

Symptoms: sore are, night chills, nausea, headache, muscle aches, feeling unwell for one day

Other Meds: Atorvasrin, Dofilide, Eliquis, Tylenol

Current Illness:

ID: 1005717
Sex: M
Age: 70
State: FL

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

Lab Data: No

Allergies: None

Symptoms: Upper lid on my left eye is black and blue, but no blurred vision and no bleeding. Hurts when I blink.

Other Meds: (Closterol medicine) lipitor 0.05 mg daily

Current Illness: None

ID: 1005718
Sex: M
Age: 72
State: FL

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

Lab Data: None

Allergies: Buckwheat, Tree Nuts

Symptoms: Moderna COVID-19 Achiness in joints. Slight headache. Sweating

Other Meds: Atorvastatin, Lisinaprol, Certazine, Nature Thyroid, Paroxitine, Vitamin D, Fish Oil, Multivitamin, Omerprazole

Current Illness: None

ID: 1005719
Sex: F
Age: 53
State:

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

Lab Data:

Allergies: Demerol: passes out

Symptoms: Felt very hot after getting vaccine: drinking water> Then tasted metallic taste; BP slightly elevated 160/90; no other issues.Monitored; hot resolving, metal taste resolving

Other Meds:

Current Illness:

ID: 1005720
Sex: F
Age: 68
State: MI

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

Lab Data:

Allergies:

Symptoms: Patient began having chest pain initiating inferior to left breast and radiating upward through chest approximately 5 minutes after receiving Pfizer Covid-19 Vaccine. Blood pressure taken ~7 minutes from administration was 125/67 mmHg and Pulse: 65 BPM. Pain waxed and waned and was not relieved from sitting down or standing up. EMT were called for possible heart attack, BP and pulse ~17 minutes after administration was 136/76mmHg and 76 BPM. EMTs arrived and brought her to ambulance for EKG which was normal. Patient stated she felt better and refused going to the hospital for further work-up. Prior to vaccine administration patient was at the gym on the treadmill for 30 minutes. unknown how long before vaccine administration

Other Meds: Simvastatin 20mg, fluoxetine 40mg, aspirin 81mg, vitamin d3, CoQ10, flaxseed oil complex, multivitamin

Current Illness:

ID: 1005721
Sex: F
Age: 72
State: TX

Vax Date: 01/28/2021
Onset Date: 02/03/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies: sulfa drugs, smoke, unknown herb/spice

Symptoms: Injection site is red, a little raised, itchy with a little rash around site. This did not happen until Wednesday, 2/3/2021. Size of redness is a silver dollar. It is better today, worse on 2/4/2021. Rubbed alcohol and cortisone cream to ease itching at home.

Other Meds: jardiance, rosuvastatin, lexapro generic, lantus daily shot, multivitamin, vitamin D, calcium w/magnesium & D, CoQ10, NAC, acyclovir as needed (did take 6 pills this week)

Current Illness: external allergies, post nasal drip

ID: 1005722
Sex: F
Age: 35
State: LA

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

Lab Data: Patient reported event next morning to vaccination clinic on 2/5/2021 at 1055 to myself, RN, CNO. She was advised to go to the Emergency Department or Primary Care Provider ASAP.

Allergies: None listed on consent.

Symptoms: Patient complained of feeling hot and flushed with sweating and weakness in the evening and night after receiving the vaccine earlier in the day at 1311. Also stated having a sore throat and slight shortness of breath. She stated feeling better after lying down and resting.

Other Meds: Unknown

Current Illness: Unknown

ID: 1005723
Sex: F
Age: 90
State: IL

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

Lab Data: None

Allergies: Barium?Containing Compounds ?Swelling? Iodinated Diagnostic Agents ?Hives? Naproxen Procaine ?Swelling? Other ?Swelling? Penicillins Strawberry Extract

Symptoms: 02/04/2021 2:15pm Felt Buzzed.. Energized ..Up lifted in Spirit 02/05/2021 2:00am Set up to go restroom.. slight Forehead Headache.. upon standing Dizzy unstable. Weak.. Used walk and furniture for support.. after seated on the toilet head pain increased.. Felt Nausea (did not Vomit)..headache passed.. returned to bedroom. This took 35 minutes 02/05/2021 2:35am seated on the bed.. felt Dry throat.. smelled Feverish ..Aches in Legs ..Right hand up to shoulder Stiffness(10minute duration).. 02/05/2021 3:00am felt fatigued.. feel asleep 02/05/2021 9:00am Awoke no issues.. 02/05/2021 10:30am Injection site left arm itchy.. no swelling .. no bruising.. tender to touch.. itchy sensation over full body

Other Meds: Naphazoline?Pheniramine ?OPCON?A OP? Apply to eye. amLODIPine ?NORVASC? 5 MG tablet ?Started 5/22/2020? Take 1 tablet by mouth once daily. digoxin ?LANOXIN? 0.125 MG tablet ?Started 5/22/2020? Take 1 tablet by mouth once daily. furosemide ?

Current Illness: 4th nerve palsy ?Noted 12/30/2014? Atrial fibrillation?History of ? ? warfarin stopped by Cardiologist ?Noted 4/29/2015? Biceps tendinitis of both shoulders ?Noted 8/10/2018? Chronic midline low back pain without sciatica ?Noted 8/17/2018? Deafness in right ear ?Noted 1/11/2020? Edema of foot ?Noted 12/30/2014? Empty sella syndrome ?Noted 5/10/2019? Hearing disorder ?Noted 8/17/2018? High blood pressure disorder ?Noted 12/30/2014? History of TIA ?transient ischemic attack? ?Noted 9/13/2019? Numbness of face ? R sided since 1993 ?Noted 1/11/2020? Osteoarthritis ?arthritis due to wear and tear of joints? Osteoarthritis ?arthritis due to wear and tear of joints? ?Noted 12/30/2014? Petrous Apex Arachnoid cyst ?Noted 12/30/2014? Primary osteoarthritis of both knees ?Noted 8/10/2018? Ringing in the ears ?Noted 9/9/2019? Status post total right knee replacement ?Noted 8/17/2018? Varicose veins ?Noted 12/30/2014? Resolved Problems Cataract of left eye ?Noted 4/17/2015? Cataract of right eye ?Noted 11/7/2014? Cramp of both lower extremities ?Noted 3/18/2017? Hand cramps ?Noted 3/18/2017? Long term use of blood thinners ?Noted 12/30/2014?

ID: 1005724
Sex: F
Age: 35
State: GA

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

Lab Data:

Allergies: NKA

Symptoms: PT C/O AT APPROX 12PM THAT SHE FELT "FLUSHING" AND "TUNNEL VISION." STATES SHE FELT LIKE SHE WAS "GOING TO PASS OUT." 1203 :BP 180/98, P 120, R 14. BS CLEAR AND EQUAL. HAD PT LIE DOWN WITH FEET UP. 1210 : 159/116, P 104, R 14. 1215 : 144/111, P 104, R 16. 1215 : 144/111, 104. R 16. 1220 : 130/96, 83 , 14. 1225 : 133/90 P 83, R 14. PT FEELING MUCH BETTER. LEFT CLINIC W/O ASSISTANCE AND RETURNED TO WORK. SHE DID CONTACT CLINIC STAFF TO LET US KNOW SHE ARRIVED TO HER JOB WITHOUT PROBLEM AND FELT OK.

Other Meds: UNKNOWN

Current Illness: NONE KNOWN

ID: 1005725
Sex: F
Age: 69
State: AZ

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

Lab Data: na

Allergies: None

Symptoms: Moderna COVID-19 Covid Arm - Approximatly 2 inch red circle at injection site on day 9-10. Just appeared, note currently tender.

Other Meds: Prescription: Ibandronate, & Olopatadine OTC: Multi Vitamins, Colon Care, Calcium Supplements, Claritin or Benedryl. As needed, Aleve or asprin

Current Illness: None

ID: 1005726
Sex: F
Age: 67
State: CA

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

Lab Data: comp panel, cbc, TSH, CPK, CRP are ordered and are pending

Allergies: none

Symptoms: 12-15 minutes after the vaccine she noted tingling in both forearms, not extreme, lasting a few hours. 5 days later on 1/25 she had significant heaviness / fatigue in forearms and upper quads and profound fatigue. the fatigue lasted about one week. The muscle fatigue is gradually improving. she can walk and do her activities, but still has some less severe muscle heaviness and weakness.

Other Meds: none

Current Illness: none

ID: 1005727
Sex: F
Age: 57
State: CA

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

Lab Data: None

Allergies: ASA

Symptoms: Felt cold, chills, temp 99.7, eyes felt hot and body aches. Follow up with NP told Employee that these are normal side effect to vaccine.

Other Meds: Amlodipine

Current Illness: None

ID: 1005728
Sex: F
Age: 27
State: WI

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

Lab Data:

Allergies:

Symptoms: Fever, chills, bodyaches

Other Meds:

Current Illness:

ID: 1005729
Sex: F
Age: 52
State:

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

Lab Data:

Allergies: valium and demerol

Symptoms: Pt reported heart racing. Denies all other symptoms: chest pain, shortness of breath and respiratory symptoms.

Other Meds: none

Current Illness: none

ID: 1005730
Sex: F
Age: 32
State: PA

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

Lab Data: none

Allergies: none

Symptoms: Subjective: left arm numbness, tingling, feels cold in hand. Neuro exam in office is normal. Vaccine given in mid deltoid.

Other Meds: synthroid 100mcg, MVI

Current Illness: none

ID: 1005731
Sex: F
Age: 49
State: FL

Vax Date: 01/18/2021
Onset Date: 02/01/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: I went to the ER on Feb 2, 2021 and they ran blood tests. They stated that I have Celulitus in the injection area.

Allergies: Erythromycin and Cefider

Symptoms: Two weeks after getting the injection my arm swelled up, turned bright red, became painful, and was hot to the touch.

Other Meds: I take bariatric vitamins, insulin, propronalol, sinvastitin

Current Illness: none

ID: 1005732
Sex: F
Age: 32
State: AK

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

Lab Data:

Allergies: None

Symptoms: Patient developed generalized itching and mild rash.

Other Meds: None

Current Illness: None

ID: 1005733
Sex: F
Age: 49
State: NJ

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: No e at this time. Planned skin testi

Allergies: Benadryl, seafood environmental

Symptoms: Feeling of something caught in throat and persistant cough. Sent to emergency room for observation. Pre medicated with Xyzal for 2 days.

Other Meds: Xyzal, chlorpheneramine, crestor, folic acid, methotrexate and multivitamin

Current Illness: No e

ID: 1005734
Sex: F
Age: 44
State: PA

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

Lab Data: CT scan Lab work

Allergies: Latex, Amoxicillin, Phenobarbital, Viacin, Augmentin, Dilaudid, Numerous other antibiotics unable to recall

Symptoms: 15 min after vaccine administered patient stated she had a frontal headache radiating to her right side of head and tinglinig around her lips. She was instructed to stay for an additional 15 min for observation. She was placed on a stretcher to lie down. She was conversing and her S/S went unchanged. At approx 1 pm she became unresponsive, she did not wake with touch or verbal command Her eyelids were fluttering as if she was experiencing a seizure. A condition was called. Pulse ox 100 % blood sugar 90. Monitor NSR. She remained unresponsive and was taken to the ED. Upon arrival to the ED at approx 1:17 pm, the ED nurse stated she was awake. Evaluated by physician, labs and CT head ordered. Patient stated all lab work and CT scan was normal. Employee was discharged with a diagnosis of vasovagal near syncope.

Other Meds: Trintellix 20 mg QD, Topamax 100 mg QD, Flexeril 10 mg QD, Nortriptyline10 mg QHS, Gabapentin 600 mg QD, Trazadone 100 mh QD, Probiotic, Singular 10 mg QD, MVI QD, Hair skin nails, B12 OTC

Current Illness: none

ID: 1005735
Sex: F
Age: 45
State: ME

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

Lab Data: O2, BP, Pulse

Allergies:

Symptoms: patient had complaint of throat tightness. No Dyspnea. Chest Clear. O2 sat at 100%. BP 148/92, Pulse =72, all normal. Patient was observed for an additional 45 mins and was dismissed after saying she felt normal. No medication administered

Other Meds:

Current Illness:

ID: 1005736
Sex: F
Age: 44
State: IL

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

Lab Data:

Allergies: Allergic to Penicillin

Symptoms: Headache, chills, fever, severe muscle and joint pain in arms, back and legs.

Other Meds: Lorezapam .5 mg at night for anxiety Vitamin D, Vitamin C, multi vitamin, B12, fish oil, magnesium, Tibetan Herbal Pill

Current Illness: none

ID: 1005737
Sex: F
Age: 28
State: VA

Vax Date: 01/18/2021
Onset Date: 01/22/2021
Rec V Date: 02/05/2021
Hospital: Y

Lab Data: ER admission 1/22/21: CT scan - appendicitis. Labs and urine studies. Appendectomy same day.

Allergies: Seasonal and pet allergies

Symptoms: After Dose 1 - mild headache, fatigue, arm soreness for 2 days After Dose 2 - mild headache, fatigue, arm soreness for 2 days. Appendicitis resulting in appendectomy 4 days later

Other Meds: Zyrtec Multivitamin Vitamin D Fish Oil Zinc

Current Illness: Miscarriage 12/7/20. Spontaneous. No procedures necessary. First dose Pfizer 12/30/20, second dose Pfizer 1/18/21.

ID: 1005738
Sex: M
Age: 46
State: IN

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

Lab Data:

Allergies: None

Symptoms: On Feb 3 I experienced tiredness to a level that I had to take a half sick day from work. From 11 am cst till next morning at 9am I had cold chills and hot flashes. After that all adverse effects have disappeared. On 2/3 I had a regular scheduled appointment with Dr.

Other Meds: Aterovastatin, fiber gummie, vitamin D3, fish oil, emergen-c. Prilosec

Current Illness: None

ID: 1005739
Sex: F
Age: 69
State: CA

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

Lab Data:

Allergies: Sulfa

Symptoms: Fever of 103.7, vomiting, diarrhea, myalgia, shaking chills, called 911

Other Meds: Antihypertensives

Current Illness: No

ID: 1005740
Sex: F
Age: 78
State: CA

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

Lab Data:

Allergies: Penicillin, sulfa

Symptoms: Rash at injection site

Other Meds:

Current Illness:

ID: 1005741
Sex: F
Age: 48
State: UT

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

Lab Data: None yet.

Allergies: None

Symptoms: After I received the shot I went to the observation room. I could feel the shot move from my left arm (where I got the shot) to my right arm and down to my hand. After 10 minutes I felt the shot go down both legs at the same time and come back up close to my chest. About 5 minutes after that sensation, my chest got a little tight and I was having a hard time breathing and the right side of my face started to tingle. I looked down at my hands and the finger tips of my right hand were blue. I raised my hand and the nurse came over and took me to the back room. I thought maybe my hands were dirty, so I washed them off. My right fingertips were still blue. I could feel tingles all over the right side of my face and my lips went a little numb. I kept pressing them together to see if that would help. My throat started to feel swollen and the nurses gave me some benedryl. I left after an hour and went home. The tingling on the right side of my face stayed with me for another 2 days. I have no known allergies. That was my experience.

Other Meds: AZO

Current Illness: None

ID: 1005742
Sex: F
Age: 50
State: MA

Vax Date: 12/26/2020
Onset Date: 01/01/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: None

Allergies: Seasonal allergies

Symptoms: As the day progressed the injection site got itchier and itchier and later noted the site was red and hot to the touch, consulted with Employee health over the phone who advised to take a Benadryl since Walk Clinic was closed for the day. Started feeling better after the Benadryl, regarding the itchiness. The rash got bigger though, next morning visited with the Walk in Clinic at the hospital and no tests done but prescribed antibiotics and prescribed prednisone decided not to take it. I took Zyrtec as well. About 48/72 hours the symptoms started disappearing. On Monday I still had the rash but by Tuesday it was gone.

Other Meds: No

Current Illness: No

ID: 1005743
Sex: F
Age: 69
State: FL

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

Lab Data:

Allergies:

Symptoms: left deltoid site very painful during the night, better this morning; nausea, cold sweats, loss of appetite, fatigue started the next day Patient took 325mg Aspirin, Sudafed and chlorpheniramine

Other Meds: 1st 1/9/2021; 2nd 2/2/2021; Brand and lot of vaccine: #1 Moderna lot#011620A; #2Moderna Lot#012M20A

Current Illness:

ID: 1005744
Sex: F
Age: 36
State: CA

Vax Date: 01/07/2021
Onset Date: 01/12/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: sore arm, up neck and chest swollen lymph nodes. Still has one swollen lymph node as of 2/5/2021

Other Meds:

Current Illness:

ID: 1005745
Sex: F
Age: 64
State: OH

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

Lab Data: Pending when I'm feeling well enough to.go I plan to.ger checked.

Allergies: NSAIDs, ceclor, sulfa

Symptoms: Pain that was extreme and miscular 9 out of 10 over my entire body. The arm where I had the shot was most painful but it. Was not red or swollen. No joint swelling. The pain decreased to 6 out of 10 with Tylenol. I also had joint pain in the feet, the knees, the elbows, the fingers and the shoulders. Also had a sinus Headache that resolved with my nasal spray. I felt like I had the flu. No fever just aches this is still going on but it's reducing and I just started steroids today.

Other Meds: Rx Qvar inhaler, vitamins B COMPLEX, D3 5000,iu, zyrtec, singular, omeprazole, monteleucast

Current Illness: Pain with arthritis and allergy symptoms.

ID: 1005746
Sex: M
Age: 68
State: IN

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

Lab Data: None

Allergies: Darvocet

Symptoms: Was not able to sleep, low grade fever, chilling, nauseous, neck ache & headache. Was not able to sleep the evening of the vaccine. All of the other symptoms started in wee hours of morning of Feb 4th. Very strange acting- wouldn?t talk or answer questions when asked how he was feeling.

Other Meds:

Current Illness: None

ID: 1005747
Sex: F
Age: 29
State: NJ

Vax Date: 12/24/2020
Onset Date: 01/15/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: No test or laboratory results ordered, based soley on assessment and symptoms.

Allergies: no allergies

Symptoms: Starting last Thursday January 28th ,I started to experience shortness of breath at rest. Friday January 29th I was experiencing constant chest tightness/discomfort. Breath started to catch with speaking, fatigue. On Saturday January 30th at work in teh hospital I moved a heavy patient, became short of breath that the patient heard it and inquired about it, and my heart rate went up into the 120s. After a hot shower on January 31st, my heart rate went into the 110s, shortness of breath experienced. Vital signs have all been normal, no fever, normal blood pressure, normal oxygen saturation. My heart rate only increased on Saturday and Sunday and have been fine since. Negative fro Covid on January 29th and Negative for COVID, flu A and B and RSV on Monday February first. Saw to PCP on Wednesday February 3rd and with my symptoms states it is mild myocarditis from the vaccine, to rest and take an NSAID daily for two weeks.

Other Meds: 1000 mg of PO Tylenol and Pepcid 1 tablet before 2nd dose.

Current Illness: no illnesses

ID: 1005748
Sex: F
Age: 65
State: FL

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

Lab Data:

Allergies: NA

Symptoms: 8 days post injection developed swelling, redness and heated arm approximately 3"x3" around injection site. This is day 9, it may be a bit worse. Going to visit urgent care today.

Other Meds: Synthroid -daily Repatha 2x/mon. - shot taken one day before reaction on injection arm

Current Illness: NA

ID: 1005853
Sex: F
Age: 70
State: TX

Vax Date: 01/28/2021
Onset Date: 01/30/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies: Sulfa, Codeine

Symptoms: Major side effect: Paralysis in left foot. Weak left leg. Second vaccine - Jan 28, 2021 at 4:00 PM. Typical side effects were noticed on Jan 29, that being chills, fever, dizziness, weakness in both legs, itchy arm at vaccine site. Jan 30 side effects were dizziness, stumbly, chills and trouble walking with left leg. Legs were still weak, left was worse. I had paralysis in my left foot. My left foot would not move back, only forward so when I walked my toes drug the ground. I called Doctor. He told me to see a neurologist and go to ER if symptoms progressed. I have made the appointment for Feb 16, 2021. Foot is slowly improving. Left leg is still weak and there is some numbness in left leg and left foot.

Other Meds:

Current Illness:

ID: 1005857
Sex: F
Age: 93
State: OH

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

Lab Data:

Allergies:

Symptoms: Pt received Moderna COVID vaccine at 0850. RN responded when pt c/o dizziness at 0905 while sitting in observation area. Pt pink, warm and dry. RR easy and regular. Radial pulse 100, BP 174/108. Pt stated she took her morning meds including antihypertensives this am at 0800 on an empty stomach and then did not eat breakfast. Pt given water to hydrate and crackers. At 0910 pt denied dizziness. At 0910 BP 200/76 and pt stated I feel better. Both nurses remained with pt at all times. At 0918 BP 208/88. Pt encouraged to go to ER or her PCP for further evaluation. Pt's niece was in attendance and made an appt with pt to go to her PCP at 1215 today. At 0930 pt stood and ambulated and stated she felt fine to go to her doctor. Pt escorted by wheelchair to her car per volunteer staff. Pt discharged with her niece in attendance.

Other Meds:

Current Illness:

ID: 1005861
Sex: F
Age: 60
State: CO

Vax Date: 12/27/2020
Onset Date: 12/29/2020
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies: keflex

Symptoms: ended up with a big blot that I ended up marking with a sharpie to make sure it didn't spread and it did not. I was given antibiotics and it went away but it still itches every once in a while.

Other Meds: lirica, 7 day supply of antibiotics

Current Illness: no

ID: 1005864
Sex: F
Age: 71
State: AK

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

Lab Data:

Allergies:

Symptoms: Injection site pain and redness

Other Meds:

Current Illness:

ID: 1005868
Sex: F
Age: 80
State: WI

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

Lab Data: EKG

Allergies: Oxycontin [Oxycodone] ErythromycinDiarrhea Flexeril [Cyclobenzaprine]Other (See Comments) Hydrocodone

Symptoms: 80-year-old female with a history of atrial fibrillation and coronary artery disease, was obtaining her first dose of the Moderna COVID-19 vaccine today, and about 10 minutes afterwards began feeling warm and diaphoretic and developing left chest pains and nausea, at approximately 11 AM. This lasted about 5 minutes and then subsequently resolved. She then got up to leave and again began feeling the left chest pain, diaphoresis, and again lasting about 5 to 6 minutes and then subsequently resolving. She does state a history of anxiety but did take Xanax this morning preventatively. However, she states she has had similar pains in her chest over the past month. She states these are not necessarily associated with any exertion and seemed to be somewhat better after antacids. She notes she has not had anything to eat or drink this morning which is not unusual for her and her blood sugar was 117 this morning.

Other Meds: acetaminophen-codeine (TYLENOL #3) 300-30 mg per tablet TAKE 1 TABLET THREE TIMES A DAY AS NEEDED. amoxicillin (AMOXIL) 500 MG capsule 500 mg by mouth Daily . aspirin 81 MG EC tablet Take 1 tablet by mouth Nightly. atorvastatin (LIPITOR)

Current Illness: Will split between this and chronic: DM (diabetes mellitus), type 2 with renal complications (*) Pure hypercholesterolemia (*) Hypothyroidism (*) Postmenopausal atrophic vaginitis S/P partial colectomy Barrett esophagus (*) Osteoarthritis of right knee History of GI bleed CAD (coronary artery disease) (*) Presence of stent in right coronary artery Presence of stent in left circumflex coronary artery DDD (degenerative disc disease), cervical PND (post-nasal drip) GERD (gastroesophageal reflux disease) (*) Hoarseness or changing voice Seborrheic keratosis, inflamed Generalized anxiety disorder (*) CKD (chronic kidney disease) stage 3, GFR 30-59 ml/min (*)

ID: 1005870
Sex: F
Age: 28
State: CT

Vax Date: 01/08/2021
Onset Date: 01/16/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies: Shellfish, dust, cats

Symptoms: Round, itchy red rash in area of vaccination 1 week after vaccine. About the size of a baseball. Went away in less than 48 hours. No other symptoms

Other Meds: Vyvanse

Current Illness:

ID: 1005873
Sex: M
Age: 74
State: CA

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

Lab Data:

Allergies:

Symptoms: Felt lightheaded and was given apple juice. BP 146/60, pulse 61, and O2 sat of 100%.

Other Meds:

Current Illness:

ID: 1005875
Sex: F
Age: 83
State: NM

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

Lab Data: Covid Moderna vaccine

Allergies: none specified

Symptoms: pt first developed a swelling without redness, purple, that receded quickly with cold compress Pt within 5 minuted developed resp distress, sob, chest pain and crushing chest feeling along with lip tongue mouth tingling, difficulty swallowing, increasing anxiety and diaphoresis.

Other Meds: unknown

Current Illness: unknown

ID: 1005878
Sex: F
Age: 35
State: FL

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

Lab Data: Ekg, about to go get one

Allergies: Sulfa Percocet Soy milk

Symptoms: Tachycardia, up to 140. Woke up with it and then had trouble keeping heart rate below 95 or 100 even when laying down

Other Meds: Lexapro Errin

Current Illness: None

ID: 1005882
Sex: F
Age: 60
State: IA

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

Lab Data: PCP was notified and was instructed to check bp q15mins x1 hour. Case did not continue to do do this, however she began to feel better and blood pressure was better when she got home from work yesterday afternoon. Case reports bp this morning was 120/73.

Allergies: NKDA

Symptoms: Roughly 10 minuets after injection, case began to feel hot, sweaty, and slightly dizzy. Case was given cold water, taken sweater off, and was coached through slowing her breathing down. Case began to feel better. Case was found to have high blood pressure at the time 150/104.

Other Meds: Labetolol

Current Illness: N/A

ID: 1005886
Sex: F
Age: 71
State: IL

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: None

Allergies: none

Symptoms: about 14 hrs after receiving the second vaccine I had extreme chills, severe body aches and headache, pain in my eyes, moderate arm pain and fatigue. I began feeling better about 10 hrs later but continued to feel fatigued the rest of the day and had body and head ache a couple more days. I had had covid in Sept 2020 and felt worse those 10 hrs than when I had covid.

Other Meds: metformin, lotril, crestor, atenolol, aspirin, mutlivitamin, zinc/calcium/magnesium

Current Illness: type 2 diabetes, htn

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm