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: 1016058
Sex: F
Age: 33
State: IL

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Sore arm 4pm (2/8/2021) -12pm (2/9/2021) Muscle Aches 9pm (2/8/2021) -9am (2/9/2021) Chills and Fever 1030pm (2/8/2021) - 9am (2/9/2021) Headache 1am-9am (2/9/2021) Nausea 1030pm (2/8/2021) -9am (2/9/2021)

Other Meds: prenatal vitamin, vitamin d, dha

Current Illness: none

ID: 1016059
Sex: M
Age: 23
State: PA

Vax Date: 01/30/2021
Onset Date: 01/30/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies: n/a

Symptoms: Severe body aches, fever, headache and chills starting 8 hrs. after vaccine and lasting for 2 days. Could not get out of bed.

Other Meds: n/a

Current Illness: Tested COVID positive 01/12/2021 with very mild symptoms (slight fever, slight congestion, slight headache, slight body aches) Tested COVID negative 01/22/2021

ID: 1016060
Sex: M
Age: 69
State: NC

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies:

Symptoms: On 2/5 developed a body rash originally around the waist line and it spread to my flanks, thighs, knees, and arms.

Other Meds:

Current Illness:

ID: 1016061
Sex: F
Age: 37
State: OH

Vax Date: 01/23/2021
Onset Date: 01/29/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies: N/A

Symptoms: On January 29, I had Covid arm on the arm that the vaccination was given. Swollen lymph nodes on my armpit and a weakness feeling on the right side(arm and leg). On the evening of February 5, while taking a shower, I felt a stinging sensation on my right side and felt small bumps. I went to an Urgent Care the following day and was diagnosed with shingles. I was prescribed Valtrex for 7 days.

Other Meds: Daily multi-vitamin, Ginger 500 mg, D3, Depo-Provera,

Current Illness: N/A

ID: 1016062
Sex: M
Age: 45
State: MA

Vax Date: 01/26/2021
Onset Date: 01/28/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: After first dose of Moderna vaccine I was placed on Doxycycline (14 day regimen) for what i thought was Lyme Disease but the blood test came back negative from the lab.

Allergies: None

Symptoms: Severe Headache, Muscle cramping, Joint pain, and body chills for first 24 hours. Then severe rash over torso, arms, buttocks, thighs, and back consistent with what I experienced during Lyme Disease this past summer. Raised itchy rash in large red blotches over most of body. I didn't realize it at the time but the same (but less severe) reaction took place after the first Moderna Vaccine shot as well. I was prescribed Doxycycline by my local Urgent Care and stayed on it for 14 days following the first dose of Moderna. I didn't put the two things together immediately because I has gone hunting in the woods and assumed that I was bitten by another tick. Full body rash is what caused me to go seek attention at the Urgent Care. The symptoms following the second dose were much more severe and uncomfortable. The rash subsided in 4-5 days without medication.

Other Meds: None

Current Illness: None

ID: 1016063
Sex: F
Age: 70
State: MI

Vax Date: 02/03/2021
Onset Date: 02/06/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: On 2/6/2021 woke with neck pain and droopy eyelid on the left side of the face. Went to the ER and was diagnosed with Bell's Palsy.

Other Meds:

Current Illness:

ID: 1016064
Sex: F
Age: 53
State: WI

Vax Date: 01/27/2021
Onset Date: 01/29/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies: molds, ash trees

Symptoms: aches, chills, 103 fever, diarrhea, severe headache, photophobia, severe tinnitus. at about 1:30 am on the 29th severe lower back pain started: I was not able to get up normally and had to roll out of bed, then stand with all my strength clenching my butt muscles...this continued until sunday when it finally began to subside. I was taking tylenol for the pain which barely did anything for this. I also used other OTC muscle rub ointments. I still have lower back pain but I can walk without pain, however, still difficulty getting up from a sitting position; still have tinnitus but not severe. headaches on and off also. concerned about the back pain and will be calling MD about

Other Meds: qnasal, flovent, singulair, serevent, levothyroxine

Current Illness: none

ID: 1016065
Sex: M
Age: 62
State: TX

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies: Sulfa and Tetracyclines

Symptoms: Patient did feel itchy all over and ached some after first shot, but didn't say anything about that. Morning after 2nd shot became nauseated; ran fever and ached all over. He felt this was for 2 -3 days, and also very tired. Still very tired on 4th day after shot, but no fever or aching. Patient did take Tylenol, didn't help so also 1 dose of Ibuprofen. Take Prasugrel, so Ibuprofen wasn't really an option for him.

Other Meds: Prasugrel; Isosorbide Mononitrate; Simvastatin; Cartia XT; Sertraline; Irbesartan; Janumet XR; Budesonide

Current Illness:

ID: 1016066
Sex: M
Age: 71
State: CT

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: I administered 1 ml. the correct dose is 0.5 ml. Patient has no adverse event.

Other Meds: None

Current Illness: None

Date Died: 02/06/2021

ID: 1016067
Sex: F
Age: 84
State: MA

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies: Procaine, epinephrine

Symptoms: Resident was weak, fatigued and had a fever of 101. F the following morning after receiving the 2nd dose of vaccine. Later in the day she was feeling better and vital signs were WNL. The next morning, she was found unresponsive and pronounced dead by paramedics.

Other Meds: Metolazone, potassium CL, Torsemide, Acetaminophen, Loperamide, melatonin, tramadol, certirzine, Eliquis,

Current Illness: nasal congestion

ID: 1016068
Sex: F
Age: 63
State: WI

Vax Date: 01/28/2021
Onset Date: 02/05/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: None

Allergies: Gluten and lactose intolerance Digoxin, Plaquenil

Symptoms: Developed a rash erythematous and mildly painful and pruritic on right upper arm. Discomfort noted on 2/5/21 and noticed on 2/8/21

Other Meds: Vit D

Current Illness: 1/11/21 treated with oral Amoxicillin for 5 days for a sinus infection

ID: 1016069
Sex: F
Age: 55
State: WI

Vax Date: 01/31/2021
Onset Date: 02/01/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies: no

Symptoms: Injection site pain (for 2 days following shot), swelling (hardness), redness, and itchiness (for week after shot). Headaches on and off during the week following.

Other Meds: Low dose aspirin Multi Vitamin simvastatin

Current Illness: no

ID: 1016070
Sex: F
Age: 67
State: NC

Vax Date: 01/27/2021
Onset Date: 02/07/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Red, blotchy are at injection site. Swollen lymph nodes on left neck area

Other Meds: Carvedilol 12.5mg. (2 daily) Spironolactone 50mg. (.daily) Methimazole 5mg . (. every other day) Cymbalta 30 mg.( 2 daily Klor-Con 10ER 10MEQ (2 daily) Lutein 20 mg. (Daily) Vit.D3 125mg. (daily) Turmeric. 1000mg. (daily) Omega 3-6-9.

Current Illness: None

ID: 1016071
Sex: F
Age: 35
State: AL

Vax Date: 01/28/2021
Onset Date: 02/05/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: N/A

Allergies: I had a possible allergic reaction to the MMR vaccine at 6 months old in my left leg. My leg abscessed after the vaccine and became infected, but doctors were not able to explain the reaction. I was able to get further vaccinations with no problems later on.

Symptoms: Eight days after the first vaccine, I woke up and my left arm was itchy and sore again. My arm was also visibly swollen. I developed a rash throughout the day that spread to approximately 3-4 inches in diameter where I received the vaccine. The rash lasted 48 hours and gradually faded. The injection site still itches and is sore to the touch.

Other Meds: Sertraline (75mg/day), Tri-Estrylla, Dr. Axe Multi Collagen Protein (10g/day), Brock Beauty Hairfinity Healthy Hair Vitamins Dietary Supplement (2 capsules/day), Hairfinity Intense Shine Dietary Supplement (1 capsule/day)

Current Illness: N/A

ID: 1016073
Sex: M
Age: 78
State: VA

Vax Date: 01/30/2021
Onset Date: 02/03/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: itching and redness around injection site

Other Meds: multi-vitamin, Finasteride-5mg, Levothyroxine-.025mg

Current Illness: none

ID: 1016074
Sex: F
Age: 60
State: GA

Vax Date: 02/07/2021
Onset Date: 02/07/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: Urgent care center did not take any blood-work. Shrugged it off. Did test me for COVID-19 in the office, and flu. Both negative. A PCR COVID-19 test also taken. Results due back in a few days. COVID-19 is not near as likely as reaction to vaccine.

Allergies: all NSAIDs, specifically including codeine, tylox, parafon forte, naproxyn, bandage adhesive, egg in veins, lactose, casein, crab, feathers, down, fur-skin (known to include rabbit, alpaca, sheep, llama, goat), spiders' silk but not silk-worm silk, dust, molds, all grasses tested, some trees, all fragranced flowers, all artificial perfumes exposed to, pure cinnamon oil, digestively sensitive to gluten but not celiac

Symptoms: 4 hours after I received the vaccine, my muscles began to hurt. Within an hour, they were so tight and sore that I could only shuffle and move slowly. The muscles in my neck became rock hard. Horrid headache set in. Fever started. During the night, I had to shift my position over 30 times, due to the muscles supporting my mere 120lbs complaining. The next morning, all continued. Fever 99.9 degrees F. Horrible flatulence. Allergic rhynitis notched up a little. Urgent care center told me this was not really a problem. It IS a problem, because I am missing my second day of work, and do not know whether I should take the second does. Forgot to mention on previous screen that I am notorious for delayed allergic reactions, systemic allergic reactions, and have had anaphylaxis twice

Other Meds: duloxetine, armour thyroid, Lialda, progesterone, promethazine, probriotics, melatonin, multi-vitamin

Current Illness: very mild allergic rhynitis, bleeding behind the cornea of one eye, Chronic Variable Immune Disease - clinically deficient in IGG3, low in all other IGGs

ID: 1016075
Sex: M
Age: 57
State: PA

Vax Date: 01/28/2021
Onset Date: 02/04/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: none as of current date

Allergies: Bee Venom, Large doses of Naproxen

Symptoms: Subcutaneous grape sized lump at the injection site, with baseball sized rash and intense itching. Lump has subsided, rash and itching remain. Treated with Hydro-cortizone cream for itch, and Aquaphor skin care.

Other Meds: Lisinopril, Metoprolol, Metformin, Zocor, baby aspirin, Centrum Silver for men, Ceylon Cinnamon, Fish Oil, Vitamin C, Vitamin D3

Current Illness:

ID: 1016076
Sex: F
Age: 65
State: VA

Vax Date: 01/30/2021
Onset Date: 02/08/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: None

Allergies: Barium, penicillin

Symptoms: Ten days after my injection, I now have a large circle and rash at the injection site. The circle is warm to the touch. My doctor recommended Arnica cream to sooth the infection.

Other Meds: Trazodone, Levothyroxine

Current Illness: None

ID: 1016077
Sex: F
Age: 46
State: UT

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: None

Allergies: Ibuprofen, Codeine, Aspirin, Penicillins

Symptoms: Low grade fever and headache. Startin on day two redness, warmth, and itching at injection site. Growing erythema at the injection site. C/o swelling and pain at site. As of today (02/09/2021) erythema is about 70 mm.

Other Meds:

Current Illness:

ID: 1016078
Sex: F
Age: 47
State: IL

Vax Date: 01/31/2021
Onset Date: 02/08/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies: none known

Symptoms: Pt had Moderna Covid vaccine on 1/31/21. She reported injection site pain and no other side effects for the 2 days after receiving the vaccine. Yesterday 2/8/21 she began noticing itching and a red rash developing at the injection site and surrounding area of the arm which is continuing to today. Pt took OTC Zyrtec, contacted primary care provider, and is monitoring for changes.

Other Meds: Nuvaring (generic) vaginal ring, fluticasone nasal spray, Trulicity, cyclobenzaprine, metformin ER, benazapril/HCTZ, sertraline

Current Illness: pulled muscle in back

ID: 1016079
Sex: M
Age: 69
State: MD

Vax Date: 02/09/2021
Onset Date:
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies:

Symptoms: nausea for 10 minutes

Other Meds:

Current Illness:

ID: 1016080
Sex: F
Age: 44
State: CA

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: I?m nauseous, I have a headache and my body ache and I have the chills!

Other Meds: None

Current Illness: None

ID: 1016082
Sex: M
Age: 66
State: IN

Vax Date: 02/06/2021
Onset Date: 02/07/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: None

Allergies: No

Symptoms: Cold chills and Enlarged prostate, had trouble peeing. 4:30 till about 9:00 pm on 02/07/21.

Other Meds: Celebrex 200MG Montelukast 10MG Lisinopril 5MG Simvastatin 40MG

Current Illness: No

ID: 1016083
Sex: M
Age: 58
State: VA

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: None.

Allergies: None.

Symptoms: Chills, shivers, elevated pulse rate. Started about 12 hours after vaccination, lasted about three hours.

Other Meds: Nasacort, melatonin, tylenol.

Current Illness: None.

ID: 1016084
Sex: M
Age: 50
State: PA

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: EKG complete, PO Zofran administered.

Allergies: Seasonal allergies.

Symptoms: About 5 minutes post vaccine, reports vasovagal syncope. Was taken to ED and treated with Zofran for nausea. EKG showed HR of 30's but sinus rhythm. Hydrated with PO fluids and discharged home.

Other Meds: No medications.

Current Illness: No illnesses.

ID: 1016085
Sex: F
Age: 77
State: LA

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: patient arm was red, swollen, and warm to the touch. Injection site was hard to the touch. Symptoms started the evening of shot and continued the next few days. As of today, (2-9-21), she still had symptoms as stated above but stated she was improving. She also stated that she was going to the Dr. today for an unrelated issue and would get them to look at her arm.

Other Meds: Vitamin C, Vitamin D, Zinc, Colace, Trelegy, Trazodone, Montelukast, Pantoprazole

Current Illness: no

ID: 1016086
Sex: F
Age: 69
State: FL

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Within 15-minutes of vaccination, the patient reported an "odd" metallic taste in their mouth. EMS monitored the patient's condition on-site.

Other Meds:

Current Illness:

ID: 1016087
Sex: F
Age: 73
State: FL

Vax Date: 02/02/2021
Onset Date: 02/05/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies:

Symptoms: ?Covid arm?. Slight swelling and mottled rash. that I noticed about 3 or 4 days after the injection. Very little itching; moderate soreness. It has lasted about a week and is still visible though very faint.

Other Meds: Arimidex Diazepam Calcium Vitamin D Vitamin B Complex D-Mannose

Current Illness:

ID: 1016088
Sex: F
Age: 79
State: MN

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/09/2021
Hospital: Y

Lab Data: Unknown

Allergies: ACEI

Symptoms: Patient given vaccination at pharmacy around 11am Thursday 2/4/21. No problems at time of administration or 15 minutes following. Spouse reports patient experienced generalized weakness and joint pain at around 3am 2/5/21. She could "hardly get out of bed." They brought her to the ED and she was admitted to the hospital for observation. She was discharged on Sat 2/6/21 and sent home with Rx for prednisone.

Other Meds: Carvedilol 37.5mg BID Warfarin 5mg daily Furosemide 20mg daily Budesonide Neb 0.5mg/2ml BID Iprat/Albut Neb BID Entresto 97/103mg BID Hydralazine 50mg TID Duloxetine 60mg daily Omeprazole 40mg daily

Current Illness:

ID: 1016089
Sex: F
Age: 71
State: MI

Vax Date: 01/19/2021
Onset Date: 01/29/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: none.

Allergies: Latex- undetermined reaction. Zostavax- rash

Symptoms: Experienced a delayed type hypersensitivity reaction. She first noticed the onset of a rash and hives on her bilateral hands and wrists anywhere from 1/29/21- 2/01/21. The rash did move up her arms and she noticed it had moved to her abdomen and thighs on 2/06/21. The rash is very itchy, not painful, and was dry. She noticed a similar reaction when she got the zostavax immunization in October of 2014.

Other Meds: Calcium 600 mg daily, Tylenol PRN, Vitamin D3 2000 units daily, Lipitor 20 mg daily, zestoretic 20/25 mg daily, Toprol XL 100 MG daily, glyburide 5 mg BID, metformin 1000 MG BID.

Current Illness: no acute illnesses.

ID: 1016090
Sex: M
Age: 35
State: CA

Vax Date: 01/22/2021
Onset Date: 01/23/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Morning after vaccine, woke up with left jaw pain, which worsened in discomfort & pain over the next 5 days. Seen by dentist on 1/27/21, diagnosed with jam, gum, tooth infection. Treated with antibiotics.

Other Meds:

Current Illness:

ID: 1016091
Sex: F
Age: 71
State: NV

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Same night tried to to to bathroom and couldn't get out of bed. Upper arms and thigh muscles would not work. Weakness lasted for 4 days. Gradually got better. Still a little weak. 5th day arm got really red and itchy. Lasted for a week.

Other Meds: Levothyroxin, Advair, Fluticazone, Alendronate, Albuterole, Vit C, Zinc

Current Illness: none

ID: 1016092
Sex: F
Age:
State: TX

Vax Date: 01/12/2021
Onset Date: 01/15/2021
Rec V Date: 02/09/2021
Hospital: Y

Lab Data: Through the course of the week, CT scans, MRI'S, spinal tap, 2 EEG's and multiple blood draws.

Allergies: None

Symptoms: I became dehydrate and confused. This was noticeable in the hours leaving for the hospital at about 8:00 p.m. Once at the hospital, I was combatant and didn't recognize family. I continued in this state while the Dr's at the hospital ran tests. Around the 16th and/or 17th, after 2-3 days of steroids, I could answer Dr's questions and recognized family.

Other Meds: Saxenda Biotin Iron Vitamin D Tramadol Copaxone Baclofen Amitryptyline Lisinopril Amlodipine

Current Illness: none

ID: 1016093
Sex: F
Age: 36
State: MT

Vax Date: 02/02/2021
Onset Date: 02/05/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: Clinical evaluation only. Pt had been extensively tested in relation to the condition previously in life.

Allergies: None

Symptoms: Expected systemic immune response with fever, chills, skin sensitivity starting 12 hours post-vaccination and fully resolved by 48 hours after (this is not the adverse event). at 72 hours after vaccination, development of Lipschutz vulvar ulcers. Pt has a remote history of this but not since adolescence. She had no other ongoing symptoms post-vaccination aside from the ulcers. These are still present at the time of reporting (1 week post vaccination). Unlikely to be a vaccine adverse event per se, but a result of the intense immune response mounted as an expected response to the vaccine.

Other Meds: Prenatal vitamin, Krill Oil, baby aspirin

Current Illness: None

ID: 1016094
Sex: F
Age: 47
State: WI

Vax Date: 12/20/2020
Onset Date: 12/20/2020
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 1:30 pm EE felt woozy "doesn't feel right" HR 120 1:35 pm Throat felt ? HR 140 BP 130/60 SPO2 99% 1:40 pm Chest tightness HR 118 BP 146/67 SPO2 100% 1:48 pm Benadryl given po at 1:45pm HR 100 BP 127/68 SPO2 100% 1:55 pm HR 100 BP 125/68 SPO2 100% 2:00 pm HR 102 BP 122/67 SPO2 100% 2:05 pm "Feeling OK" HR 96 BP 125/66 SPO2 98% 2:15 pm HR 99 BP 121/64 SPO2 100%

Other Meds:

Current Illness:

ID: 1016095
Sex: F
Age: 46
State:

Vax Date: 02/07/2021
Onset Date: 02/07/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Severe pain on entire left side of body (same side as injection)-felt like I was in a car accident and badly bruised. Full body aches and joint pain (remainder of body) Headache and constant pressure Fatigue-could not stay awake Chills-Freezing could not get warm Called out of work for 2 days (First and second day after the vaccine) Experienced exact same side effects with the first dose of the vaccine and it lasted about 3 full days after the vaccine (not including the day I received the vaccine)

Other Meds: Wellbutrin 250 mg every day during winter months

Current Illness: Sinus infection 1 month ago (after first doe of the vaccine)

ID: 1016096
Sex: M
Age: 87
State: MA

Vax Date: 02/02/2021
Onset Date: 02/04/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: None

Allergies:

Symptoms: I have a circular red blotch, about three inches in diameter on my upper right arm that itches. The skin has pimples on it and I've had it for almost a week. I am putting cortisone cream on it to relieve the itching but so far it has done much to do so.

Other Meds: Various statins and high blood pressure drugs

Current Illness:

Date Died: 02/08/2021

ID: 1016097
Sex: M
Age: 70
State: IL

Vax Date: 01/20/2021
Onset Date: 02/08/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies: Hydrochlorothiazide, ACE inhibitors, Lisinopril, Valsartan, Angiotensin Receptor blockers

Symptoms: Patient died 02/08/21

Other Meds: Amlodipine, carvedilol, clopidrogrel, cyclobenzaprine, docusate sodium, ferrous sulfate, guaifenesin, norco, insulin nph, levothyroxine, magnesium, metformin, nitrostat, rosuvastatin, spironolactone, tramadol, warfarin

Current Illness:

ID: 1016098
Sex: F
Age: 82
State: TX

Vax Date: 01/14/2021
Onset Date: 01/22/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: nono

Allergies: Tetracycline

Symptoms: Awoke with itching and large redness at the vaccine shot site Lasted for 2 days. Applied Triamcinolone Acetonide Cream to site to relieve itching

Other Meds: propranolol, Effexor XR, bupropion SR, rosuvastatin, Lorazepam, ICaps Ared, tylenol

Current Illness: none

ID: 1016099
Sex: M
Age: 81
State: NE

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies: Sulfa drugs

Symptoms: Patient receives home health, the home health nurse came to patient's home and gave the vaccine. By the next morning he had sore arm and minor weakness. The Sunday 1/31/2021 he was fine till that evening around 6PM he became confused and experienced memory loss. That lasted all evening until he went to bed. The morning when he woke up he seemed okay.

Other Meds: Apixaban 5 MG twice day, Atrovastatin 20 MG daily, Carbidopa 25 Levodopa 100 MG one tablet every 5 hours, Clopidogrel 75 MG daily, Levothyroxine 50 MCG daily, Tramadol 50 MG twice a day, Sotalol 80 MG daily, Midodrine 2.5 MG daily, Fludroc

Current Illness:

ID: 1016101
Sex: F
Age: 44
State: CA

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: None

Allergies: Penicillin = pins and needles and lost consciousness after injection. Other antibiotics = hives and rash

Symptoms: Tingling and numbness around nose. Pins and needles on both arms and some numbness... especially around the injection site. Symptoms began around 18 minutes after injection and lasted an hour.

Other Meds: None

Current Illness: None

ID: 1016102
Sex: F
Age: 71
State: CT

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: none

Allergies: None

Symptoms: I administered 1 ml, the correct dose is 0.5 ml. Patient has no adverse event.

Other Meds: None

Current Illness: None

ID: 1016103
Sex: F
Age: 58
State: AZ

Vax Date: 02/06/2021
Onset Date: 02/07/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies: sulfa and cillins

Symptoms: Violent shivers, brutal headache, nausea, vomiting, fever

Other Meds: None

Current Illness: None

ID: 1016104
Sex: F
Age: 41
State: AZ

Vax Date: 02/07/2021
Onset Date: 02/07/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: none

Allergies: Imitrex Compazine latex (sensitivity) penicillin Ambien Ritalin

Symptoms: dizziness within first 20 min of administration resting heart rate in the 100's all night while trying to go to sleep. Started about 30 min after vaccination and lasted 5-6 hours. extreme exhaustion headache

Other Meds: Olumiant Hydroxyzine Clonazepam Botox for migraine lisinopril hydrochlorothiazide had taken dexamethasone 2 days prior for possible adrenal insufficiency

Current Illness: possible adrenal insufficiency (cortisol .05) Rheumatoid arthritis

ID: 1016105
Sex: F
Age: 69
State: MD

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: none

Allergies: Codeine, Percocet

Symptoms: Patient states she received the Moderna second vaccine around noon. Around 2 am she sent and drank some warm milk. As she walked up the stairs, she felt like vomiting and also felt like she could not move. Tried to crawl to the bathroom when she passed out. woke up with clothes full of vomit. Feeling better today.

Other Meds: azelastine nasal spray, biotin, Vit D3, Pepcid, flonase, Magnesium, sennosides, Gas-X, Triamcinolone

Current Illness: none

ID: 1016106
Sex: F
Age: 48
State: CO

Vax Date: 02/06/2021
Onset Date: 02/07/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Moderna Vaccine 3:30am, chills, fatigue, muscle aches, low grade fever, slight headache lasting for 24 hours post-dose

Other Meds: vitamin D, wellbutrin xl 150, atorvastatin 10mg

Current Illness: none

ID: 1016107
Sex: F
Age: 45
State: LA

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 02/09/2021
Hospital:

Lab Data: Blood work and chest x-ray performed.

Allergies: None

Symptoms: Developed fever, chills, loss of taste and smell, severe headaches, and body aches beginning 31 December. Went to urgent care on 3 January and tested positive for COVID-19. Cough developed and worsened. Scheduled an appointment with primary care on 6 January, pneumonia developed and course of treatment was given (Ivermectin, Doxycycline, Hydroxycholoroquine, and prednisone was prescribed). Low grade fever still present even after treatment was completed.

Other Meds: Women's One a Day Multivitamin

Current Illness: Sinus congestion-onset 28 December 2020, Loss of sense of taste and smell-30 December 2020

ID: 1016108
Sex: F
Age: 57
State: UT

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: N/A

Allergies: Percocet

Symptoms: Right arm pain, right axillary lymphadenopathy, arm swelling, body aches, chills, temp 99.

Other Meds: None

Current Illness: N/A

ID: 1016110
Sex: M
Age: 67
State:

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Resident woke up flushed appearing, he had the chills, pale looking. His gait was unsteady, lethargic, confusion, and complaints of shortness of breath.

Other Meds:

Current Illness:

Date Died: 02/06/2021

ID: 1016111
Sex: F
Age: 75
State: NC

Vax Date: 01/24/2021
Onset Date: 02/06/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: yes but unsure of what labs and tests she had. We don't have her death certificate yet.

Allergies: Penicillin Amoxicillin Sulfa Drugs

Symptoms: her arm was sore but no other adverse reactions until Saturday, Feburary 6th 2021 she had stroke between 4 and 6pm. She died within 6 to 7 hours later.

Other Meds: lipatore high blood pressure meds a-fib medications

Current Illness: no

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm