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: 1019986
Sex: F
Age: 75
State: AL

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Slight headache; joints aching mild; temperature -100.2

Other Meds: Meloxicam 7.5m;(2x); Centrum Silver - Adult; Nature Bounty -Hair & Nail Supplement

Current Illness: None

ID: 1019987
Sex: M
Age: 33
State: CT

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: Keflex medication

Symptoms: 102 fever for 36 hours, low grade 99-99.5 fever for another 24 hours, massive headache for 72 hours, arm pain for 5 days, tired for the first 24 hours after the 102 fever started.

Other Meds: Ventolin

Current Illness: N/A

ID: 1019988
Sex: F
Age: 19
State: MN

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: NKA per consent and client. Employee of living Center not a patient there.

Symptoms: Systemic: Other- Pt stated blurry vision, Full UE numbness and LE numbness, flacid, BP 100/50, cool, clammy, sob, dizziness. Lasted 1 day

Other Meds:

Current Illness:

ID: 1019989
Sex: M
Age: 84
State: OH

Vax Date: 01/21/2021
Onset Date: 01/23/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: NONE

Allergies: GETS ECZEMA + ITCHING DURING SUMMER WHEN OUTSIDE - SEES DERMOTOLOGIST

Symptoms: ITCHING, RASH, SWELLING, PAIN ALONG DELTOID TO INSIDE OF ELBOW. STARTED ~2 DAYS AFTER ADMINISTRATION. AS OF 2/10/21- STILL RED "LIKE SUBNURN TURNING TO SUNTAN" NO LONGER SWOLLEN, OCCASIONAL MUSCLE PAIN "IF [HE] BENDS IT THE WRONG WAY"

Other Meds: B12 (SL) 1000MCG, FINASTERIDE 5MG, HCTZ 12.5MG, LEVOTHYROXINE 50MCG, FOLIC ACID 1MG, TAMSULOSIN 0.4MG, LATANOPROST 0.005%

Current Illness: NONE

ID: 1019990
Sex: M
Age: 58
State: CA

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

Lab Data:

Allergies:

Symptoms: dose administered 0.3ml

Other Meds:

Current Illness:

ID: 1019991
Sex: F
Age: 71
State: WI

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: None

Allergies: Compazine and all phenothiazines, Indomethacin, Oxycodone

Symptoms: Within several minutes of injection my vision became very blurry and I was lightheaded. A nurse took my vitals and they were normal, although the BP was on the low side (I believe 95/54). They had me lie back in a recliner and kept checking me. After about 45 minutes my vision cleared and I sat up. About 10 minutes later I walked within the hospital to be sure I was safe to drive, and I was. The doctor on duty did also check me before I left.

Other Meds: Trulicity, Invokana, Metformin, Lisinopril, Pravastatin, Allegra, Multivitamin

Current Illness: Allergies causing sneezing and runny nose

ID: 1019993
Sex: M
Age: 70
State: TN

Vax Date: 02/05/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: Home administered blood pressure, blood glucose and 6-Lead Mobile ECG. The ECG was sent for review by a board certified cardiologist and the report indicated SVT.

Allergies: No life threating allergies.

Symptoms: Had a severe SVT episode of 170 bpm that lasted for 15 hours beginning at 10:00 am on Tuesday, February 9, 2021, and continuing until 1:30 am on the 10th of Feb. 2021. Subsequent muscle aches and general soreness without fever the following day (Feb. 10, 2021). Historical episodes of SVT typically last between 1-3 hours, and I had not had a recent SVT episode prior to vaccination. During the 15 hour SVT episode post vaccination, I experienced much higher than normal blood pressure readings and erratic blood glucose levels which cannot be explained by diet changes, even though I was still taking my prescribed medications on schedule.

Other Meds: Sotalol, Amlodipine Besylate, Levothyroxine, Eliquis, Vitamin D

Current Illness: One month prior, 1hr episode of tachycardia

ID: 1019994
Sex: F
Age: 84
State: AL

Vax Date: 02/08/2021
Onset Date: 02/10/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: Pt/INR 52.7/5.4

Allergies: Bactrim, Levaquin

Symptoms: ecchymosis inferior to injection site no hemarthrosis, full ROM, Neuro intact, 1/2 circumferencial,

Other Meds: Alprazolam, Flecainide, Lasix, Lisinopril, Momantine, Methenamine, Prilosec, Coumadin

Current Illness: None

ID: 1019996
Sex: F
Age: 52
State: MD

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

Lab Data:

Allergies: none

Symptoms: Felt nausea immediately after vaccine on 2/10. This resolved without intervention in a few minutes.

Other Meds:

Current Illness:

ID: 1019997
Sex: M
Age: 30
State: CA

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 02/10/2021
Hospital:

Lab Data: COVID test - January 6, 2021 - negative

Allergies: no

Symptoms: During afternoon, my left arm felt sore. At 10:00 pm started having body aches. I woke up around 2:00 am and I had a high fever and I was having trouble breathing. My fingertips had turned blue. My oxygen level was about 92%. I took ibuprofen and that brought the fever back down. I had body aches the next day. My cough had gotten worse (that I had at time of vaccination). I went to Urgent Care on January 6, 2021. They did the COVID test that day. I had a sinus infection - antibiotics were prescribed. It took about two weeks for symptoms to resolve.

Other Meds: No

Current Illness: I had a cough and some recurring headaches

ID: 1019998
Sex: M
Age: 55
State: CA

Vax Date: 12/20/2020
Onset Date: 12/20/2020
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: No known allergies

Symptoms: Patient received first dose of the Pfizer-BioNTech COVID-19 Vaccine EUA at 17:48 on 12/20/20. At 17:58, patient complained of eye irritation, eyes were red and itchy. No complaint of difficulty breathing, increased heart rate or dizziness. Pharmacist provided diphenhydramine 25mg tab and patient was observed for an additional 15 minutes. Irritation resolved and patient had no complaints at end of the observation period. Discharged to home.

Other Meds: Allopurinol 300mg tab qhs, amlodipine 5mg tab daily, aspirin 81mg chew daily, Salonpas patch daily, vitamin D3 1000 units daily, Claritin 10mg tab daily prn allergies, losartan 100mg tab daily, metoprolol succinate 100mg tab daily, nabiumet

Current Illness: Not available in medical chart

ID: 1019999
Sex: M
Age: 59
State: MO

Vax Date: 12/23/2020
Onset Date: 12/26/2020
Rec V Date: 02/10/2021
Hospital: Y

Lab Data: CBC, CMP, Chest X-ray, Flu A&B, Covid

Allergies: Rocephin, erythromycin, sulfa drugs, Penicillin

Symptoms: Tested positive for COVID on December 31, 2020, Symptoms started on December 26, 2020,

Other Meds: Metformin, lisinopril, simvastatin, Lantus, ASA, Claritin D, Vitamin D, Vitamin C, Elderberry Gummies,

Current Illness:

ID: 1020000
Sex: M
Age: 48
State: CA

Vax Date: 02/02/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: I experienced acute arm pain after injection that subsided within 48-72 hours. Last night, on day 8, after five+ days of no pain whatsoever, and through the night to today (day 9) I am again experiencing acute arm pain similar to the worst pain I felt in the days after the injection, both at the injection site and radiating down my arm and into my shoulder. I took Tylenol which has provided some relief, but my range of arm motion is still limited by sharp pain.

Other Meds: Vitamins C, D, B12 Prevacid Turmeric, Lipoic Acid

Current Illness: None

ID: 1020001
Sex: M
Age: 17
State: MN

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Error: Too Young for Vaccine

Other Meds:

Current Illness:

Date Died: 02/05/2021

ID: 1020002
Sex: M
Age: 74
State: OH

Vax Date: 01/19/2021
Onset Date: 02/05/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: None

Allergies: cyclobenzaprine

Symptoms: Given First Moderna covid vacc 1/19/2021. Doing well on multiple contacts from health care providers, then 2/5/2021 was driving, pulled over to the side of the road into a yard, got out of the car and told an observer that he could not breathe, collapsed face down in the snow, EMS called, unable to revive him.

Other Meds: Albuterol, Bumetanide, Metolazone, Candesartan, Carvedilol, Gabapentin, Insulin Pantoprazole, Tamsulosin, Warfarin

Current Illness: CHF

ID: 1020003
Sex: M
Age: 82
State: MD

Vax Date: 01/06/2021
Onset Date: 01/09/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: Horse Serum-Tetanus Shot reaction, Iodine-Contrast, Amoxycillin

Symptoms: 2.5 inch X 1 inch red/hard lump

Other Meds: Atorvastatin, Glipizide, Meclizine, Metoprolol, Metformin, Actos, Eliquis, Gabapentin, Glyburide, Lacosamide, Hydralazine

Current Illness: 12/1-12/15 COVID-19 POSITIVE-4 day hospital stay

ID: 1020004
Sex: F
Age: 47
State: WI

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: None

Allergies: No

Symptoms: Headache, nausea, chills, body aches, sore joints, overall felt horrible

Other Meds: Oral birth control

Current Illness: No

ID: 1020005
Sex: F
Age: 65
State: AZ

Vax Date: 02/06/2021
Onset Date: 02/08/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: None

Allergies: Dairy sensitivity.

Symptoms: Shot given 10:19pm on 2/6/21. Noticed rash on 2/8/21 11:55am. Rash was bilateral on face along madibles from TMJ to about 1" from lips and was 2" superior from jaw line towards the eyes. Rash was very red over skin area with multiple darker spots and by 2/7/21 those spots appeared open though no blisters or pustules were seen. Rash had burning sensation which was relieved by Vaseline. Once doctor was seen (PA), Tacrolimus ointment was prescribed BID. Rash no longer burns 2/9/21 pm and it appears to be resolving. Spots are still evident but erythemic area is gone.

Other Meds: Doxycycline hyclate 50mg, qd , Finesteride 2.5mg qd, Clobetasol Propionate foam0.05% to front hairline bid x4 days, rest x3 days, Niacidamide 1,000mg qd, multivitamin qd, Vitamin D3 5,000units qd, Calcium tablet qd.

Current Illness: None

ID: 1020006
Sex: F
Age: 39
State: CA

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Chills, fever shivering, also has headache , body aches which is continuing. Sweating during night, continuing today..

Other Meds:

Current Illness:

ID: 1020007
Sex: F
Age: 50
State: IN

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

Lab Data:

Allergies: None

Symptoms: Aches in neck arms shoulders and nasuea for about 4 hrs then subsided

Other Meds: Blood pressure medicine

Current Illness: None

ID: 1020008
Sex: F
Age: 27
State: PR

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 02/10/2021
Hospital:

Lab Data: None

Allergies: Cinnamon and eggs

Symptoms: Patient stated that had an itchy throat and developed a rash through the body. She also reported itchiness through the body.

Other Meds: None

Current Illness: None

ID: 1020009
Sex: F
Age: 74
State: FL

Vax Date: 02/05/2021
Onset Date: 02/07/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: CIPRO RED YEAST RICE

Symptoms: FATIGUE ON 2/7/2021 LEFT ARM UNDER INJECTION SITE VERY RED HOT AND SWOLLEN VERY PAINFUL

Other Meds: MULTIVITAMIN, ALPRAZOLAN .25 1 DAILY, LEVOTHYROXINE SODIUM TAB 0.88MG 1 DAILY,ROSUVASTATIN CALCIUM TAB 10MG 1 DAILY,VITAMIN D/3 2000 UNITS 1 DAILY,LISINOPRIL 10 MG 1 DAILY,OMEPRAZOLE 20MG 1 DAILY, ASPIRIN 81MG 1 DAILY, CVS NATURAL DAILY FI

Current Illness:

ID: 1020010
Sex: M
Age: 67
State: AZ

Vax Date: 01/22/2021
Onset Date: 01/25/2021
Rec V Date: 02/10/2021
Hospital: Y

Lab Data: COVID 19 positive test.

Allergies:

Symptoms: Pt c/o coughing and SOB pt states he received 1st dose of covid vaccine on the 01/22/21 presented to the ED with fever, chills and shortness of breath. He tested positive for covid. In the ED he was hypoxic to 87% on RA. # Hypoxic respiratory failure: 2/2 covid pna. Room air sats 87%, up to 92% on 4L # COVID pneumonia: no suspicion for bacterial etiology. REMDESIVIR administration started on 1/25/21. Transferred to Hospital, (2/3/21) for higher level of care Intubated COVID 19.

Other Meds:

Current Illness:

ID: 1020012
Sex: M
Age: 51
State: TX

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: No medical tests or lab results, just resting today to make sure that the light headedness that happened the first time doesn't happen again today. That and my whole body aches, but not as much as the injection shot which was put in my deltoid

Allergies: bee stings

Symptoms: I don't have lot number or dose number. It was a Moderna COVID 19 vaccine. I got my first dose on Jan 11, 2021, suffered light headedness the first day, and two days later, while at work I felt like I was going to pass out several times. I also suffered low grade fever and swelling of my lymph glands in my throat. I took my booster on Feb 8, 2021 at 1310, the next morning I was suffering nausea and overall malaise. I waited until fever started to take alternating tylenol and motrin. I was very weak, freezing to death, and fell asleep about 6 PM fully dressed with my coat on under covers. I woke up at 9 pm, still feeling horrible, wondering if it was 9 am or 9 pm, and went back to sleep until 715 am this morning with body feeling like it was ran through a hamburger grinder, no doubt a result of the shivering yesterday. I have not had fever today, but still feeling a little nauseous about eating anything.

Other Meds: omeprazole

Current Illness: none

ID: 1020013
Sex: F
Age: 32
State: MN

Vax Date: 02/07/2021
Onset Date: 02/08/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: Member states she has taken antihistamine which helps with the itching. Member was seen by Dr. at the Clinic today and was told to go to civilian PCM and allergist as a precaution.

Allergies: Intolerance to Alcohol

Symptoms: Day after vaccination member states left arm became very painful, warm to touch and hard to move. member stated other normal reactions ( headache, stomach ache that went away). members left arm has a 50+ mm rash that developed anterior of the vaccination site. The day after the vaccination that is still hurting and warm on day 3.

Other Meds:

Current Illness: N/A

ID: 1020014
Sex: F
Age: 47
State: CA

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: N/A

Allergies: Tramadol

Symptoms: The vial was punctured at 1551 on 2/8/21. The patient received their dose after the 6-hour time frame. The patient received her dose at 2230 on the same day. The patient has had no reaction since receiving the vaccine.

Other Meds: Olanzapine

Current Illness: N/A

ID: 1020015
Sex: F
Age: 53
State: KY

Vax Date: 02/02/2021
Onset Date: 02/03/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: Foot X-Ray positive for fracture Hip X-Ray negative Back X-Ray negative CBC negative BMP negative TSH- negative

Allergies: None

Symptoms: Muscle Aches, Weakness, Fatigue, Dizzy Spell (Resulted in fall, broken foot)

Other Meds: Buspar Synthroid Multi Vitamin Vitamin D Vitamin C Glucosamine Fish Oil Prevacid

Current Illness: None

ID: 1020016
Sex: F
Age: 56
State: NY

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: Penicillin, morphine, percocet, sulfa drugs, tamoxofen, exemestane.

Symptoms: Vertigo, Migraine ( light, sound sesitivity, movement causing severe crushing sensation, nausea), low grade fever, metallic taste,

Other Meds: Diclofenac Sod 75 mg

Current Illness: None

ID: 1020017
Sex: F
Age: 70
State: MD

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

Lab Data:

Allergies:

Symptoms: Felt dizzy immediately after vaccine. Waited 15 minutes and symptoms resolved without intervention. HR 81, O2 sat 99%

Other Meds:

Current Illness:

Date Died: 02/09/2021

ID: 1020018
Sex: M
Age: 74
State: NY

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: unknown

Allergies: unknown

Symptoms: Patient reported to be unresponsive on the morning after receiving his second dose of Moderna COVID-19 vaccine. Patient had expired during the night.

Other Meds: unknown

Current Illness: unknown

ID: 1020019
Sex: F
Age: 35
State: TX

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

Lab Data: none

Allergies: NKDA

Symptoms: HIVES - on chest and neck

Other Meds: Vitamins

Current Illness: NONE

ID: 1020022
Sex: F
Age: 39
State: TX

Vax Date: 01/21/2021
Onset Date: 01/23/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: red, raised, pimp rash to chest and back 2 days after injection continued up neck and face 1 week into rash. 2 weeks into rash was suggested to use nizoral anti-dandruff shampoo and let set for 5 mins. 2-3 days later rash was resoved.

Other Meds:

Current Illness:

ID: 1020023
Sex: M
Age: 47
State: ID

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Moderna shot 2 was yesterday. Joints around injection site started hurting within just a few minutes. Heavy pain at injection site. Overnight started getting body chills and heavy pain at joints and body aches. This morning I have a low grade fever and nausea and a cough. .

Other Meds:

Current Illness:

ID: 1020024
Sex: F
Age: 40
State: MA

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: blurry vision, kaleidoscope vision accompanied by a headache - entire body soreness, soreness at injection site

Other Meds: none

Current Illness: none

ID: 1020025
Sex: F
Age: 63
State: CA

Vax Date: 01/27/2021
Onset Date: 02/06/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: None

Allergies: Sulfa medications

Symptoms: Right Sided Bell's Palsy

Other Meds: none

Current Illness: None

ID: 1020026
Sex: F
Age: 62
State: OH

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

Lab Data:

Allergies:

Symptoms: Arm redness, 4" round at injection site, warmth, hardness x 4-5 days. Lump under right arm, Muscle aches

Other Meds:

Current Illness:

ID: 1020027
Sex: F
Age: 1
State: CA

Vax Date: 01/29/2021
Onset Date: 02/05/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: None

Allergies: None known

Symptoms: Patient developed low grade fever on 2/5/2021, then developed a varicella-like rash on 2/9/2021. By the reporting date, 2/10/2021, the patient had generalized papular-vesicular rash covering her entire body apart from palms and soles and mucous membranes. No fever after 2/6/2021, minimal itching or discomfort.

Other Meds: None

Current Illness: None

ID: 1020028
Sex: F
Age: 55
State: IN

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: Bactrim

Symptoms: Increasing soreness at site of injection accompanied by mild itch and mild body ache same say as vaccination. Increasing body aches and fever of 100.5 F within the first 24 hours accompanied by fatigue. Possible mild cough with sneezing, but not certain if this is normal seasonal allergies.

Other Meds: Multi vitamin, calcium, krill oil, iron, cetirizine, vitamin D

Current Illness: None

ID: 1020030
Sex: F
Age: 21
State: IN

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: N/A

Allergies: N/A

Symptoms: Headache, 2 hours Fever, 5 hours Chills, 18 hours Cold sweats, 8 hours Treated with Tylenol

Other Meds: N/A

Current Illness: N/A

ID: 1020031
Sex: F
Age: 72
State: MI

Vax Date: 01/25/2021
Onset Date:
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: Latex, Medrol, Bactrim, Quinnesafin, Bactrim

Symptoms: On my drive home, my face started burning. When I arrived at home the burning increased with redness I reported this information on Tuesday 1/26/21 to the provider of the vaccine. I was told to take Benadryl which I did immediately. On Wednesday, I continued to take Benadryl every 4 hours. On Thursday, my face continued to burn with redness and a rash. I then started to get a low grade fever and it appeared my face was swelling and then we decided to go to Urgent Care. The Doctor said my face was swollen and gave me a 1/2 dose of a steroid shot and a prescription for steroid pills. I saw my Primary Care Doctor 2/8/21 and he said I should not get the second dose of the vaccine.

Other Meds:

Current Illness:

ID: 1020032
Sex: F
Age: 51
State: PA

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: none

Allergies: Sulfites and any food drink containing trace amounts t of sulfites. Contrast Dye

Symptoms: MODERNA COVID-19 VACCINE EUA Vaccine administered at 3:00 Pm. At about 7:00 PM I started to notice my left arm hurting a bit and my left arm was swollen from the injection site all the way to my wrist. Swelling stopped right before the wrist. The skin on my left arm appeared like a veiny red rash, not raised however. I also started to get flushed with hot, red blotches all over my chest and face. Symptoms increased in intensity and didn't seem to be resolving so I took two Benadryl at 9:00 PM. After about 30 minutes the redness and flushing started to improve. Arm pain increased greatly to the point that I could not sleep. I took two Tylenol at 3:00 am and that took the edge off the pain. By the morning , the redness and flushing disappeared from chest and face. Left arm is still swollen and painful as I write this at 12;39 PM on Wednesday 2/10/2021. I had called the doctor on 2/9 but did not get in touch with them until 2/10. They told me to call 911 or go to ER if breathing issues.

Other Meds: Cymbalta, Montelucast, zyrtec, Trazedone (1/2 pill when needed for sleep), Vitamin D3

Current Illness: none

ID: 1020033
Sex: F
Age: 74
State: NC

Vax Date: 01/31/2021
Onset Date: 02/10/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Covid Arm

Other Meds:

Current Illness:

ID: 1020034
Sex: F
Age: 74
State: AZ

Vax Date: 01/28/2021
Onset Date: 02/02/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Pain and redness at the injection site of left deltoid s/p had Moderna Covid injection 01/28/21, noticed a bump on her arm 02/02/21 mostly discomfort lop 3/10 w/itching.

Other Meds:

Current Illness:

ID: 1020035
Sex: F
Age: 77
State:

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: None stated.

Other Meds:

Current Illness:

ID: 1020036
Sex: F
Age: 69
State: AZ

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: None

Allergies: Chlorhexidine

Symptoms: Injection site pain, redness, swelling continues today. Nausea, chills, muscle ache, headache for first 24 hours. Headache continued for another 16 hours.

Other Meds: None

Current Illness: None

ID: 1020037
Sex: M
Age: 75
State: MO

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: Lamisil,penicillin,naproxen,k-tech,codeine/opiates,sulfa,erythomycin,clendomycin,darvocet,cipro,levaquin,Food:eggwhites, soy,wheat,rice,barley,potatoes, Dsiry,tree nuts,peanuts,chocolate,palm,coconut,flax

Symptoms: Severe dizziness,disoriented,blurred vission, hot

Other Meds: Crestor,Zeita,Lyrica,aspirn,zinc,centrum siver vitamin,CoQ19,calcium citrate +D,valacyclovir,alphagan P,timolol,

Current Illness: Shingles

ID: 1020039
Sex: F
Age: 49
State: FL

Vax Date: 01/08/2021
Onset Date: 01/12/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: Laboratory test. CXR. EKG at ER 1/17/2021 CT with Calcium Score and Echocardiogram 1/22/2021 High Resolution CT Chest 2/2/2021

Allergies: Aleve, Advil

Symptoms: on and off chest pains, shortness of breath with little exertion,headaches, lightheaded, back pain (mid area)

Other Meds: Womens Multivitamins

Current Illness: None

ID: 1020040
Sex: M
Age: 1
State: CA

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

Lab Data: N/A

Allergies: None

Symptoms: As I was injecting the Varicella into the patient's left thigh (subcutaneously), the patient moved his leg slightly and while some of the vaccine went into his leg, he was not given a full dose. Vaccine administration error; should have held patient's leg more tightly.

Other Meds: Nasal Saline 0.65% solution, Cetirizine 1mg/mL (as needed), Motrin 100mg/5mL (as needed) & Tylenol 160mg/5mL (as needed)

Current Illness: None

ID: 1020041
Sex: F
Age: 67
State: NC

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: No

Allergies: amoxicillin pineapple kflex

Symptoms: when I got up Saturday morning (24 hours after I received my vaccine) my head was spinning and I couldn't walk straight and almost fell. I ate and felt better but was still dizzy. I was queasy nauseous and I went back to sleep. when I woke up I felt better. On Sunday I felt better but still have dizzy spells. the nausea also comes and goes.

Other Meds: omeprazole 40mg daily etodolac 60mg daily losartan HCTZ anastrozole Vit D Aspirin potassium metformin

Current Illness: no

ID: 1020042
Sex: F
Age: 81
State: MN

Vax Date: 01/13/2021
Onset Date: 01/15/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: None

Allergies: duloxetine

Symptoms: Itching, swelling, redness at injection site. Patient noted symptoms within a day or two. Staff noted redness and swelling on 1/23/21 (10 days after injection). Evaluated in clinic on 1/28/21. Felt to be either allergic response to vaccine or possibly resolving hematoma. Treatment: Benadryl cream.

Other Meds: omeprazole, calcitonin, spironolactone, torsemide, sertraline, acetaminophen, biotene, potassium, Refresh eye drops, meclizine, Symbicort, docusate, vitamin D, warfarin, mirtazapine, atorvastatin. PRN meds: mycostatin powder, senna, lotrimi

Current Illness: none

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm