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: 1006341
Sex: M
Age: 68
State: SC

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

Lab Data: None

Allergies: None

Symptoms: Moderna COVID 19 Vaccine EUA The day following the vaccine I had a fever, headache, significantly higher than normal blood pressure, increased heart rate, chills/sweats intermittent throughout the next 24 hours. Very much like a severe case of the flu. They subsided somewhat today, but to the loss of being able to sleep pretty weak today.

Other Meds: Allorpurinol. Simvastatin, Diclofenac, COQ10

Current Illness: None

ID: 1006342
Sex: M
Age: 20
State: TX

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

Lab Data: None

Allergies: None

Symptoms: After receiving vaccine, pt walked into the post vaccine observation room located outside the door of the vaccination room. Pt. sat down in chair, went to put his head down towards his knees, then patient slid out of chair and onto the floor. This RN was immediately at the patients side, and pt. immediately responded to his name. Pt. insisted on standing up against this RN's advice, and got back into the chair. Pt stated he didn't know what happened, so I explained to him that he had fainted. His mother and father were present. Pt stated he ate no breakfast today. Pt. states he has no health concerns, allergies, or issues. Pt.s stated that he is very afraid of needles and thinks he was just nervous. BP readings: 09:45 90/75 HR 60, 09:50 90/75 HR 60 10:00 BP 113/72 HR 65. Pt stated he was feeling fine. Pt. released to go home w/Parents at 10:30. This RN called this pt. to f/u at noon today, and patient stated he was feeling good and thinks he was just really nervous. Pt. thanked this RN for the phone call and call was ended.

Other Meds: None

Current Illness: None

ID: 1006343
Sex: F
Age: 49
State: OK

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

Lab Data: none

Allergies: Lortab, Ultram, Dermabond, Latex

Symptoms: 103.3 Fever started 19 hours after injection lasting until Tuesday AM around 6. Chest wheezing and burning started on day 2 post vaccination lasting for 3 additional days past fever ending. Extreme tiredness and body aches until the fever went away on Tuesday am.

Other Meds: Vesicare 5 mg, Prilosec 20mg, Hydroclorithiazide 25mg

Current Illness:

ID: 1006344
Sex: M
Age: 71
State: FL

Vax Date: 01/17/2021
Onset Date: 01/27/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: N/A

Allergies: N/A

Symptoms: 10 days (1/27/2021) after my Covid19 (Moderna) shot, my left arm around the shot location became a pinkish rash and was a little sore. The rash and minor soreness continued until yesterday (2/4/2021). My left arm is fine now.

Other Meds: Atorvastatin 20mg, Carvedilol 3.125mg, Amlodipine 2.5mg, Nexium 20mg, Claritin 10mg

Current Illness: N/a

ID: 1006345
Sex: F
Age: 97
State: NY

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

Lab Data: None.

Allergies: None

Symptoms: Joint pain in arms and back, increased pulse, (120-135) slight fever 100.4 - my temperature is usually around 97, the next morning temperature was 94.4. cough. These symptoms lasted, off and on for about a week. I had fever once. Feeling limp as a rag. No energy.

Other Meds: Eliquis, Cardizem, Rosuvastatin, Metoprolol Zuccina as needed for Atrial Fibrillation, Magox, Pepcid, Vitamin D3, Biotin, Multiple vitamin

Current Illness: Infrequent fibrillation, Gerd.

ID: 1006346
Sex: F
Age: 80
State: CA

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

Lab Data:

Allergies:

Symptoms: My arm was sore the next morning, and it still sore as of today. My arm is red, puffy and hot now, I noticed it this morning. The evening after receiving the vaccine I felt really cold all over my body and went to bed.

Other Meds: Levothyroxine daily, Lovastatin 20 MG every night, Lisinopril 5MG, Probiotic chewable twice a day, Magnesium, Vitamin C, Garlic 2000 MG daily, Zinc 50 MG daily, (Vitamin for hair, skin and nails), Vitamin B complex, Apple Cider Vinegar 3

Current Illness:

ID: 1006347
Sex: M
Age: 45
State: IL

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

Lab Data:

Allergies: NKA

Symptoms: Patient finished observation period and went to his car 50 minutes post vaccine where he then started feeling tingling to tongue and fat and fuzzy feeling. Returned to site - received Benadryl IM with good resolve. DC'd home to care of friend for further observation.

Other Meds:

Current Illness:

ID: 1006348
Sex: M
Age: 52
State: CA

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

Lab Data:

Allergies: none

Symptoms: lethargic, muscle pain, joint pain.

Other Meds: none

Current Illness: none

ID: 1006349
Sex: F
Age: 43
State: MO

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

Lab Data: n/a

Allergies: latex, viaxin

Symptoms: fever, chills, body pain

Other Meds: lantus, humolog, valium, metformin, allopurnol, prozac, gabapentine, loratadine, solifenacin, depo shot, trulicity

Current Illness: n/a

ID: 1006350
Sex: M
Age: 83
State: VA

Vax Date: 01/20/2021
Onset Date: 01/31/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies: NONE

Symptoms: PATIENT SOUGHT EVALUATION WITH PCP ON 2/5/21. PCP STATES THAT PATIENT REPORTS MINOR RASH BEGAN ON 1/31/21 THAT HAS CONTINUED TO WORSEN DAILY. PCP REPORTS THAT PATIENT HAS A RED RAISED BLISTERING RASH OVER MULTIPLE BODY SURFACE AREA THAT RESEMBLES SHINGLES. NO OTHER SYMPTOMS. PCP REPORTS THAT HE PLANS TO TREAT PATIENT WITH STEROIDS.

Other Meds: METROPROLOL 100 MG QD, VESCEPA 1 GM 2 CAPS BID, LEVOCYRTIZINE 5 MG QD, GLYPISIDE 5 MG QD, GABAPENTIN 800 MG TID, NEXIUM 40 MG QD

Current Illness: None

ID: 1006351
Sex: M
Age: 64
State: TX

Vax Date: 01/20/2021
Onset Date: 01/23/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: none

Allergies: codeine

Symptoms: He states that he received the vaccine on 2/20 and three days later developed a red rash on his chest and back that has not completely gone away. He states that on 1/25 he developed nausea and vomiting to the extent that he missed work both of those days - this has resolved.

Other Meds: None

Current Illness: No

ID: 1006352
Sex: F
Age: 37
State: IN

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

Lab Data:

Allergies: Na

Symptoms: Chills, fever, incredibly severe muscle aches for all the day after the vaccination

Other Meds: Cymbalta Tizanidine Meloxicam Gabapentin

Current Illness: Na

ID: 1006353
Sex: F
Age: 33
State: TX

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

Lab Data:

Allergies:

Symptoms: Report fever (101.1) HA, body aches, left arm pain 10 hours post vaccination and funny taste in mouth 10 minutes after vaccination. Funny taste resolved. Treatment: Tylenol with mild improvement. Outcome does not interfere with ADLs.

Other Meds:

Current Illness:

ID: 1006354
Sex: M
Age: 67
State: CT

Vax Date: 01/23/2021
Onset Date: 01/26/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: Covid test on 01/28/2021 Negative Covid test on 0202/2021 Negtive

Allergies: None

Symptoms: Vaccine was received on 01/23/2021 at ~4:00 PM. My wife was notified that she was exposed while administering vaccines at a site on the same day. On the afternoon of the 26th I began to feel a sore throat, headache and low grade fever. By the 27th. I continued with intermittent headaches, sore throat and fevers of between 99.8 and 101. On 01/28/2021 I was tested for Covid and it came back negative. I continued with the same symptoms and on 02/02/2021 I was retested and the results again came back negative. My symptoms have not deminished and today 02/05/2021 I had a virtual meeting with my primary PA. She has prescribed Zythromax and asked me to follow up with her in a few days.

Other Meds: Montellukast 10mg, Zolpidem 10 mg, Fluoxitine 40 mg, Losarton

Current Illness: None

ID: 1006355
Sex: F
Age: 44
State: CA

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

Lab Data: Blood work - labs. - Normal Chest X-ray - Normal

Allergies: None

Symptoms: Patient reported feeling heart racing; Assessed as tachycardic, HR 130, BP 134/64 @11:40, BP 150/80 @11:55, BP 167/105 @12:03, BP 181/96 @12:24; O2 sat 99%. Transported to the ED. Spent 3 hours in the ED BP down to 130/ Then discharged home. No recurrent episodes. Does not have history of high blood pressure.

Other Meds: Takes diary supplements but not sure she took that day

Current Illness: None

ID: 1006356
Sex: F
Age: 53
State: CT

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

Lab Data: none

Allergies: none

Symptoms: pt states later in the day after the vax she noticed her neck, arm and upper back was sore. She went to bed since she wasn't feeling well. She woke up feeling a little dizzy and foggy. Pt got up next day but fainted after getting out of bed. After coming to she stood up and then passed out again. She had intense fatigue and headache. Pt states that she is better but still has fatigue but has not appetite. Pt has not contacted her PCP since her symptoms were getting better.

Other Meds: Multivitamin

Current Illness: none

ID: 1006357
Sex: F
Age: 42
State: PR

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

Lab Data:

Allergies: Aspirin and latex

Symptoms: Inflammation in the trachea , headache, stomach pain , body pain

Other Meds:

Current Illness:

ID: 1006358
Sex: F
Age: 47
State: PA

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies: Penicillin, Codeine, Clindamycin

Symptoms: Metallic taste in mouth since vaccine

Other Meds:

Current Illness:

ID: 1006359
Sex: F
Age: 36
State: IL

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

Lab Data: None

Allergies: Peanuts, tree nuts

Symptoms: 9:00pm - headache. Took Tylenol. 2/3 6:30am. Woke with mild body aches and muscle aches. Headache. Took ibuprofen at 7:00am. Felt fatigue all day. Continued with body/muscle aches and intermittent headache all day 2/3. Alternated ibuprofen and Tylenol every 4 hours. Had hard time sleeping Wednesday night. Continued with body aches and fatigue on 2/4 with intermittent headache. Alternate ibuprofen and Tylenol every 5-6 hours. Symptoms Continued until 2/5. Mild body aches and headache. Treated with Tylenol.

Other Meds: Nuva ring

Current Illness: None

ID: 1006360
Sex: F
Age: 39
State: VA

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: N/A

Allergies: N/A

Symptoms: 102.4? fever the evening following vaccination (Saturday PM), fever fluctuating between 99.5-101.8? pretty consistently ever since. Most of the time it's been 100-101.4?. Headaches intermittently. Today is seven days since receiving the vaccine. Have taken acetaminophen fairly regularly - it reduces the fever some, usually not completely, and then it goes right back up.

Other Meds: Multivitamin daily, Imitrex as needed

Current Illness: N/A

ID: 1006361
Sex: F
Age: 22
State: IN

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

Lab Data:

Allergies: Penicillin

Symptoms: High fever, chills, aches, nausea, headaches

Other Meds: Humalog and adderall

Current Illness: None

ID: 1006362
Sex: M
Age: 2
State: CA

Vax Date: 01/18/2021
Onset Date: 01/19/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: none

Allergies: none previous

Symptoms: 1/18 - vaccine given. that night mother noted pea sized lump under vaccine with overlying redness.. 1/22 lump got bigger and by 1/24 was small sized avocado pit size with lavender coloration on skin. 1/23-diffuse red dots with itch. 1/25 - dots gone, nodule smaller to size of cherry . seen 1/26 by allergist - dx local hypersensitivity or foreign body arthus reaction likely to aluminum phosphate adjuvantin vaccine. Recommended not revaccinating untilk at least 5 years old. By 2/4 - lesions almost all gone without any treatment.

Other Meds: none

Current Illness: no

ID: 1006363
Sex: F
Age: 54
State: PA

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

Lab Data:

Allergies: Iodine, Latex, Penicillin, Sulfa, oranges

Symptoms: Pt states took prophylactic Benadryl prior to vaccine dose 1 reaction 9AM received IM injection @ let deltoid sat in waiting area 9:10 states "tongue feels weird" to Pharmacist. Pharmacist administered Pepcid 40 mg PO. Tongue continued to feel "tingly" generalized itching, anxious 0925-Taken to ED via wheelchair by LPN and pharamcist

Other Meds: Synthroid ,Norvasc, Hydrodiuril , Benadryl 50 mg prior to appointment

Current Illness: 12/24/20-Reaction to first COVID vaccine

ID: 1006364
Sex: M
Age: 78
State: FL

Vax Date: 01/31/2021
Onset Date: 02/03/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data:

Allergies: sulfa drugs, cipro

Symptoms: pruritic rash on left forearm, right calf, right medial aspect of lower leg bruising/petechiae

Other Meds: phenazopyridine, flomax, alprazolam, losartan

Current Illness: none

ID: 1006365
Sex: F
Age: 33
State: PA

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

Lab Data:

Allergies: Amoxicillin

Symptoms: Facial swelling, self-resolving.

Other Meds: Amlodipine Sertraline

Current Illness:

ID: 1006366
Sex: M
Age: 73
State:

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

Lab Data:

Allergies:

Symptoms: Progress Notes Nurse Practitioner Cosign Needed Expand All Collapse All Patient: DOB: 10/1/1947 Date: 2/4/2021 Subjective Patient is a 73 y.o. male who was seen at COVID Vaccine Clinic today for his first dose of the COVID 19 vaccination. He was given the Pfizer vaccination in the right deltoid muscle. During his 15 minute waiting period after the injection, the patient began to experience SOB and throat tightness and abdominal pain. He denied rash, hives, welts, difficulty swallowing, wheezing, throat tightness, hoarseness, stridor, itching, dizziness, facial swelling, lip swelling and tongue swelling. This provider was notified of patient reaction and he was then assessed in the emergency bay area. Monitored patient for severe reaction symptoms, including but not limited to abdominal pain, blood pressure abnormality , chest pain, collapse, drooling, hypotension, increased swelling, rapid progression of symptoms, respiratory distress, skin changes, tongue swelling and vomiting. Pt is a diabetic ate last at 8 am. Blood sugar 234 at 15:12. ALLERGY REVIEW OF SYSTEMS: Patient complains of shortness of breath and abdominal pain Previous Reactions: None Objective Vitals There were no vitals filed for this visit. Blood Sugar 234 collected at 1512 Physical Exam Constitutional: Appearance: Normal appearance. He is well-developed. HENT: Head: Normocephalic and atraumatic. Right Ear: External ear normal. Left Ear: External ear normal. Nose: Nose normal. Eyes: Conjunctiva/sclera: Conjunctivae normal. Pupils: Pupils are equal, round, and reactive to light. Neck: Musculoskeletal: Normal range of motion and neck supple. Cardiovascular: Rate and Rhythm: Normal rate and regular rhythm. Heart sounds: Normal heart sounds. Pulmonary: Effort: Pulmonary effort is normal. Breath sounds: Normal breath sounds. Abdominal: General: Bowel sounds are normal. Palpations: Abdomen is soft. Musculoskeletal: Normal range of motion. Skin: General: Skin is warm and dry. Capillary Refill: Capillary refill takes less than 2 seconds. Neurological: Mental Status: He is alert and oriented to person, place, and time. Assessment/Plan Treatment included: no therapy Follow up response to treatment: excellent. Patient discharge: Stable to go home and follow up with PCP. Differential Diagnosis: Vaccine-Related Anxiety (include misc mental health) Pt left at 15:28

Other Meds:

Current Illness:

ID: 1006367
Sex: F
Age: 62
State: NJ

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

Lab Data:

Allergies:

Symptoms: chills, fever, fatigue, headache, arm soreness

Other Meds:

Current Illness:

ID: 1006368
Sex: M
Age: 48
State: NJ

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

Lab Data: evaluation from allergist/immunologist.

Allergies:

Symptoms: After initial vaccination patient reported experiencing metallic taste in tongue and tingling. the tingling sensation persisted several weeks and the patient visited an allergist for further assessment. upon evaluation allergist noted sloughing on the tongue 4 weeks after the initial vaccination. patient was deemed ineligible for 2nd vaccination per recommendation from allergist.

Other Meds:

Current Illness:

ID: 1006369
Sex: F
Age: 66
State: NC

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

Lab Data: NA

Allergies: Soybean (hives), kiwi fruit (throat edema, anaphylaxis), trees/grasses/weeds (congestion, eustachian tube dysfunction), tramadol (hives), sulfa antibiotics (GI upset, diarrhea), dust (congestion)

Symptoms: Delayed localized cutaneous erythema with warmth occurring about 8 days following injection over left deltoid extending into upper anterior arm and clavicular region

Other Meds: Levothyroxine 50mcg QD, Vytorin 10-40mg QD, Zyrtec 10mg QD, Claritin 10mg QD, Ambien 5mg

Current Illness: NA

ID: 1006370
Sex: F
Age:
State: OK

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

Lab Data: CBC, Comprehensive Metabolic Panel,

Allergies: atenolol

Symptoms: Nausea and Diarrhea, Colitis. Received 1000cc normal saline, CT Scan of abd

Other Meds: Synthroid .75mg daily, Tricor 145mg 3 x a week, Prilosec 20mg daily, Norvasc 2.5mg Bid, ASA 81mg daily, Benicar 20mg daily, Basaglare 30 units daily, Livalo 1 mg 3x a week, Ozempic .25mg 1 x week, Calcium With Vitamins D 600mg Bid, Mag

Current Illness: None

ID: 1006371
Sex: F
Age: 77
State: NC

Vax Date: 01/16/2021
Onset Date: 01/17/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: None

Allergies: Codine

Symptoms: 4-5 inch red area around injection site with warmth and hardness in center.. This lasted 8-10 days before completely fading.

Other Meds: Multi Vitamin/ D3/Calcium/Probiotic/Fish Oil/81 mg aspirin/ Tylenol Arthritis/Colace Lisinopril Omperazole Lipitor

Current Illness: No

ID: 1006372
Sex: F
Age: 39
State: MA

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

Lab Data: Seen and diagnosed by Primary Care office on 2/3/21

Allergies: No

Symptoms: diagnosed at primary care office with SIRVA. 10/10 debilitating pain in left arm and shoulder. Tingling in left arm and neck. I have had pain and tingling in my arm since I received my second shot, I thought that that was to be expected until it worsened this week. It is now debilitating pain and I am out of work and having to use Earned Time to be out.

Other Meds: No

Current Illness: No

ID: 1006373
Sex: F
Age: 71
State: CA

Vax Date: 01/16/2021
Onset Date: 01/22/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: none

Allergies: all cillins mri contrast material gadolinium flourescein

Symptoms: Just a sore pink arm the first few days. About day 6 after the shot, it got angry pink, very hard, swollen, and very itchy. It was the size of a baseball. It stayed a localized reaction but was very uncomfortable for about 8 more days. By day 14 it was just an outline of what it was, skin colored inside, no longer hot but still a little bit itchy.

Other Meds: Potassium chloride, thyroxizine, zoloft, valsartin, cholesterol med, singulair, metforman, neuronton, Fish oil, multi vitamin Ventolin

Current Illness: none

ID: 1006374
Sex: F
Age: 72
State: FL

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

Lab Data:

Allergies:

Symptoms: initially patient had soreness in left arm, eight days later patient experienced fever of 101 degrees,redness, tenderness, swelling to left arm Dr put patient on antibiotics , patient states patient has a " bacterial infection " at the injection site. On doxycycline and Bactrium at this time. Patient stated PMD stated that site of injection " may not have been disinfected well before the shot was given".

Other Meds:

Current Illness:

ID: 1006375
Sex: M
Age: 25
State: MA

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

Lab Data:

Allergies:

Symptoms: Severe vasovagal response ~9 hours after injection. Got chills, 15 minutes later got up to get water. Made it about ~20 feet before getting severely lightheaded where I had to sit on the floor for 15+minutes. My roommate reported I was white as a ghost. I was on the cusp of fainting for roughly 15minutes.

Other Meds:

Current Illness:

ID: 1006376
Sex: F
Age: 67
State: CA

Vax Date: 01/22/2021
Onset Date: 01/23/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: No

Allergies: Neosporin

Symptoms: My doctor described it as ?Covid Arm?. Red, very itchy ?ring? around injection site. Warm to the touch. Still present and today is exactly 3 weeks post-injection Moderna 1st dose. Occasional Benadryl and topical steroid, but itchyness & redness persist. Am scheduled for Moderna 2nd dose next Fri, Feb 19. My doctor said to get 2nd dose in other arm (right arm).

Other Meds: Xarelto 10 mg; levothyroxine 100 mcg; vennlaflaxine 150 mg; rosuvastatin 10 mg; vitamin D 5,000 units; vitamin K2 100 mcg; Nature?s Way: Glucosamine 2000 mg Chondroitin 1,200 mg MSM & it D3; Coenzyme Q10 100 mg; Vitafusion Women?s energy,

Current Illness: No

ID: 1006377
Sex: M
Age: 31
State: CA

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

Lab Data: Received covid test 2/5/21. No results at this time

Allergies:

Symptoms: Received vaccine with only soreness to site day of (2/4/21). Roughly 12 hours after woke with temp of 100, chills, and body aches. About 6 hours later, temp of 100.4, body aches, headache and general malaise.

Other Meds: Fish oil, men's multivitamin

Current Illness: Congestion

ID: 1006378
Sex: M
Age: 67
State: FL

Vax Date: 01/22/2021
Onset Date: 01/30/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: none to date

Allergies: none

Symptoms: one day fever on 8th day, then six inch rash has formed around injection site on 14th day. Looks similar to cellulitis, red, itchy warm.

Other Meds: allopurinol, cardia, pradaxa, lexapro, lasix, multaq, vit d, b-12

Current Illness: none

ID: 1006379
Sex: F
Age: 66
State: FL

Vax Date: 01/19/2021
Onset Date: 01/27/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: N/A

Allergies: Penicillin, Erythromycin, Sulfa, Levaquin, Statins, Cipro, Oxycodone, Percocet, Prednisone, Egg Yolk, Shellfish, Peanuts, Mold, Ragweed, Pollen, Grass,

Symptoms: Extreme muscle pain in both upper arms (elbow to shoulder). Contstant throbbing and severe pain in moving arm. Started 10+ days after vaccine and still happening. Effects daily activity and sleep. red circle around site that was hot. Lasted 10 days. I felt like I was getting sick the day after the vaccine. Lasted 1 day.

Other Meds: Synthroid, Liothyronine, Losartan, Metoprolol er succinate, Aspirin 81, COQ10, Fish Oil, D3, B12, Vitamin C, Probiotic, Prilosec, Miralax, Echinacea

Current Illness: none

ID: 1006380
Sex: F
Age: 54
State: NJ

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

Lab Data:

Allergies: No

Symptoms: Spike in BP, feeling of a lump in throat, pt feels hot and nauseous, 50 mg of generic Benadryl orally administered with water, pt went by ambulance to the hospital

Other Meds: 50mg of generic Benadryl

Current Illness: No

ID: 1006381
Sex: F
Age: 31
State: WI

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

Lab Data:

Allergies:

Symptoms: Fever, chills, body aches, headache

Other Meds:

Current Illness:

ID: 1006382
Sex: F
Age: 59
State: OH

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

Lab Data: None

Allergies: Sulfa

Symptoms: 15 hours after vaccine started with chills, fever 102-103 x 48 hours. Took Tylenol every 4 hours with little improvement of following symptoms: severe headache, nausea, dizziness. Got out of bed only for bathroom and needed help to walk there. In and out of reality with very strange dreams. Still have foggy feeling and am not able to drive yet or go out.

Other Meds: Synthroid, escitalapram

Current Illness: None

ID: 1006383
Sex: F
Age: 26
State: TX

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

Lab Data: None

Allergies: None

Symptoms: Shortness of breath, migraine, Chest pain, abdominal pain, body aches, joint aches, fatigue and fever

Other Meds: Magnesium , women?s daily vitamin, fish oil

Current Illness: None

ID: 1006384
Sex: M
Age: 37
State: PA

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

Lab Data:

Allergies: SALMON-ITCHING

Symptoms: Pt. states that he received his second dose of moderna on 2/5/21 to his left arm at 9 am. Pt. states that he had to wait 15 minutes and started getting a light headache around 09:45 am. Then two hours later he developed a worsened headache, dizziness, and nausea. Pt. told manager that he was not feeling well around 1:00 pm. Pt. states that he left work a little bit after 1 pm. Pt. states that he took ibuprofen for headache. Pt. states that he did not get relief of symptoms after taking ibuprofen. Reported in VAERS by provider/reported in PURE. Pt. instructed to follow up with pcp. Pt. understands/agrees with plan. Questions/concerns addressed.

Other Meds: RITALIN, WELL-BUTRIN

Current Illness: DENIES

ID: 1006385
Sex: F
Age: 39
State: IN

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

Lab Data:

Allergies: None

Symptoms: Chills, body aches, headache, nausea started about 10 hours after vaccine administered. Most symptoms lasted 30 hours. Nausea lasted a few days.

Other Meds: Birth control pills

Current Illness: None

ID: 1006386
Sex: F
Age: 38
State: TX

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

Lab Data:

Allergies: Bactrim Augmentin

Symptoms: Sore/stiff arm with small welt for 2 days following injection. 8 days post vaccination, splotchy, warm, red spot with occasional itchiness. 9 days post vaccination, splotchy, warm, red spot is slightly larger, welt developed overnight still just occasional itchiness

Other Meds: Low estrogen birth control pills Vitamin D Biotin

Current Illness:

ID: 1006387
Sex: F
Age: 53
State: TX

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

Lab Data: unknown as this information is being entered be employer at this time.

Allergies: pollen, latex

Symptoms: right side face swelling (cheek), tachycardia and blood pressure of 161/121. Administered epinephrine and called 911, recipient was taken to an emergency room

Other Meds: unknown

Current Illness: unknown

ID: 1006388
Sex: M
Age: 46
State: MA

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Fever, chills, myalgias. Began 1/7/21 at 0130 and persisted until 1/7/21 at 2200.

Other Meds: None

Current Illness: Mild sore throat for 3-4 days

ID: 1006389
Sex: M
Age: 72
State: CA

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

Lab Data: I sent a picture of the wound site with rash to the doctor. No other tests were used.

Allergies: Cipro.

Symptoms: Approximately 8 hours after the vaccination I begin to feel itching, burning sensation in my left wrist area surrounding the site of the surgery on Jan. 4 for skin cancer. This increased over the next few hours and by the next morning my lower forearm was involved. The surgical site was about 2 inches long, stitches had been removed ten days before and the wound was mostly healed. The rash extended from the wound site toward the wrist about 2 inches, radiated laterally along the length of the wound about 2 inches on either side and up into the upper forearm another 3 inches. There were small blisters within the rash as well. I initially tried a cortisone cream I had left over from a previous wound. This seemed to inflame the rash even more and I stopped. I then applied some of the antibiotic cream I used when the wound was fresh and actively treated. This seemed to reduce the inflammation some. After 2 days I contacted my dermatologist who prescribed Triamcinolone Acetonide 0.1 % External Cream. I have been taking this for 24 hours, 3 applications and the rash is beginning to dissipate. My dermatologist indicated I was the third patient to have a rash on the same arm with a surgery and a Moderna shot, in the same arm.

Other Meds: Atorvistatin, Lisinopril, multivitamin, Allegra.

Current Illness: I had a skin cancer removed from my left wrist on January 4, stitches removed January 19, wound was healing excellently.

ID: 1006390
Sex: F
Age: 76
State: CA

Vax Date: 01/24/2021
Onset Date: 01/31/2021
Rec V Date: 02/05/2021
Hospital:

Lab Data: none

Allergies: codeine-- >vomiting

Symptoms: left arm redness started several days after receiving the vaccine, slightly swollen and itchy. c/w delayed hypersensitivity response.

Other Meds: Premarin vaginal cream

Current Illness: none

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm