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: 1022736
Sex: F
Age: 71
State: KY

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: no

Allergies: morphine codine sulfa hair color

Symptoms: On wednesday I had body aches and chills ( I have fibromyalgia and arthritis so I thought it was due to these ailments) I went to therapy that morning . then i got worse chills and i had a fever of 102 that afternoon. tylenol helped but it came back. fatigue, headache, muscle pain, joint pain, nausea, sore throat, ears hurt, my sinuses hurt, my mouth and teeth and tongue hurt. I have a dry cough.

Other Meds: levitiracetine clairthromycin venlafaxine cardivolol levothyroxine pantoprazole atorvastatine montelukast metformin amitriptyline dicyclomine oxycodone

Current Illness: no

ID: 1022737
Sex: F
Age: 47
State: CA

Vax Date: 01/29/2021
Onset Date: 02/05/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Covid-arm. Red, swollen ring around the vaccine arm site. It was sore and itchy. I took Claritin and resolved 3 days later.

Other Meds: None

Current Illness: None

ID: 1022738
Sex: F
Age: 39
State: WI

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Pt called on Monday 2/1/21 to say the day after her 2nd Covid 19 vaccine (vaccine 1/29/21) she had no recall of the events of 1/30/21. States her mother told her they had been at a hockey game, had a long conversation, and drove to several places that day. Patient reported she felt "kind of funky" on Sunday 1/31/21 and vomited X1 that eve. Monday when she called she said she felt fine. She did not reach out to anyone for medical care and did not feel it was necessary she "just wanted to report it to someone." Encouraged to reach out to PCP as necessary.

Other Meds:

Current Illness:

ID: 1022739
Sex: F
Age: 51
State: PA

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: no

Allergies: egg, corn, soy

Symptoms: pt stated that after her vax that on her left arm she developed swelling, red rash, pain around the injection site extending from her shoulder to her elbow. Pt contacted her PCP regarding her symptoms and advice regarding her second dose.

Other Meds: declined

Current Illness: no

ID: 1022740
Sex: F
Age: 65
State: FL

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: Adv that symptom onset matches what may be seen after covid-19 vaccine, symptoms ususally occur in the first few days and should start to resolve soon. I asked if she had tried any OTC tx but she doesn't want to take medications. Adv the following instead: ginger tea and or ice chips for nausea, warm baths, and warm compresses/heating pads, keeping hydrated. Seek medical attention if sx worsen or persist. If any resp sx (ex cough or sore throat, loss of smell of taste) this is consistent with covid infection versus the shot, as full immunity isn't noted immediately, adv to continue distancing/masking as before the shot was given. PCC will FU later in the week.

Allergies: percocet and servoset

Symptoms: Lethargy, nausea, headache, malaise and other flu like symptoms (other), Feeling a little weak

Other Meds:

Current Illness:

ID: 1022741
Sex: F
Age: 55
State: CA

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies: NONE

Symptoms: ITCHING ON R ARM IN THE MIDDLE OF THE NIGHT. NOTICED RED RAISED BUMPS ON R ARM 4 DAYS LATER. THESE RED RAISED BUMPS TURNED INTO PUSTULES AND ARE ON BOTH ARMS AND A FEW ON MY BODY LEGS, TORSO. TODAY I PUT LOTION ON AND THEN THEY BECAME MUCH MORE NOTICABLE. THEY FEEL HEAVY AND COULD POSSIBLY BECOME ITCHY IF I STARTED TO ITCH.

Other Meds: NONE

Current Illness: NONE

ID: 1022742
Sex: F
Age: 77
State: MA

Vax Date: 01/24/2021
Onset Date: 01/25/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies: Lisinopril

Symptoms: On 01-25-2021, I started to experience left arm soreness. I felt like my left arm was going to "drop-off" with extremely pain. I also had a high fever, was extreme cold, was disoriented, felt my brain foggy and these symptoms lasted up until 3AM. I also felt extremely fatigued. By Friday 01-29-2021, I was getting back to normal.

Other Meds: Extra strength Tylenol and Naproxen taken in the mornings and night because of oral surgery

Current Illness:

ID: 1022743
Sex: F
Age: 37
State: NE

Vax Date: 12/23/2020
Onset Date: 12/24/2020
Rec V Date: 02/11/2021
Hospital:

Lab Data: 1/3/21--CTA, CXR, EKG, labwork 1/5/21--CXR, EKG, labwork 1/10/21--CXR, EKG, labwork and UA

Allergies: none

Symptoms: Received my vaccine on 12/23, woke up 12/24 and was really tired as morning went on I got really cold and could not get warm, throat started to hurt, body aches and had low grade temp of 100.5, 12/25 felt the same but throat was really sore, 12/26 tested positive for Covid, 12/27 lost sense of taste and smell, 12/28 had horrible shortness of breath and burned when I breathed. 12/29 and 12/30--was very tired, body aches and generally did not feel well. 1/1 woke up and felt well, 1/2 had shortness of breath with activity and not feeling well in general. 1/3 had severe shortness of breath and tachycardia at rest--had to report to ER. 1/4-still had shortness of breath and burning while breathing and then had nausea, vomiting and diarrhea throughout the night. 1/5 went to er because I was so nausea and could not keep anything down and was having heart racing and chest pain. received fluids in er and nausea medications. 1/6, 1/7, 1/8 and 1/9 was very weak and still did not feel well, short of breath. 1/10 woke up and had lung burning, chest pain , shortness of breath and heart racing--was seen in ER for chest pain. week of 1/10 was very tired and short of breath. finally returned to work 1/18---still am short of breath, heart races and tire easily

Other Meds: none

Current Illness: none

ID: 1022744
Sex: F
Age: 28
State:

Vax Date: 01/22/2021
Onset Date: 01/24/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: none

Allergies:

Symptoms: Diarrhea that persisted for 3 weeks and still continuing

Other Meds:

Current Illness:

ID: 1022745
Sex: F
Age: 73
State: FL

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

Lab Data:

Allergies: no

Symptoms: red rash on my arm where the shot was given

Other Meds: levothroxine

Current Illness: none

ID: 1022746
Sex: F
Age: 44
State: LA

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Had fever, chills, body aches. I didn't take any medicine. I sweat out my fever that night (1/28/2021) and i felt better the next morning.

Other Meds: birth control pills

Current Illness: Ran a low fever January 13, 2021 (2 weeks prior to vaccination). Covid test was negative.

ID: 1022747
Sex: F
Age: 65
State: IN

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies: NA

Symptoms: Red, inflamed rash on both arms and chest. I took Benadryl and applied anti-itch cream.

Other Meds: Atorvastatin Citalopramm topiramate Cyclibenzapr Clonazepam Bupropion Propanol

Current Illness: NO

ID: 1022748
Sex: F
Age: 60
State: FL

Vax Date: 02/09/2021
Onset Date: 02/11/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Rash 36 hours after second dose of COVID. This also happened with dose #1, rash 48 hours after vaccine.

Other Meds: Sertraline Amlodipine Ibuprofen Vit D

Current Illness: None

ID: 1022749
Sex: F
Age: 59
State: FL

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

Lab Data:

Allergies:

Symptoms: Immediately after (10 minutes) injection, " felt funny" with her cheeks turning pink.

Other Meds:

Current Illness:

ID: 1022750
Sex: F
Age: 54
State: DE

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Error: Incorrect Reconstitution

Other Meds:

Current Illness:

ID: 1022751
Sex: F
Age: 43
State: VA

Vax Date: 02/05/2021
Onset Date: 02/08/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: Rapid Covid test Covid test

Allergies: None

Symptoms: Nausea, extreme fatigue, migraine

Other Meds: Losartan hctz 50 Escitalopram 20 mg Norethindrone .36 mg

Current Illness: None high blood pressure

ID: 1022752
Sex: F
Age: 72
State: FL

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: going to urgent care today 2/8/2021

Allergies:

Symptoms: colds/flu/headache sxs started about Feb 5, 2021 called number listed and spoke to pt herself. pt states she had fever and chills this past saturday and sunday. pt was tested for covid monday and was just contacted she was covid positive (unsure test performed). pt today only has nasal congestion. she has not contacted pcp about her positivity. she inquiring about her son who has downs syndrome and has a heart condition. rec: contact pcp for further treatment and or therapies, quarantine herself, wear masks, wash hands, and have son stay with family and limit exposure to her. contact his md for possible vaccination.

Other Meds:

Current Illness:

ID: 1022753
Sex: F
Age: 59
State:

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

Lab Data:

Allergies:

Symptoms: pain at injection site, body aches, headache, fatigue, and mild chills for about 28 hours post vaccination. Treated with Tylenol and rest.

Other Meds:

Current Illness:

ID: 1022754
Sex: F
Age: 47
State: MO

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: EKG done at the ER

Allergies: No

Symptoms: After 10 min receiving the second dose I passed out during observation at the vaccination site, was rushed to the ER. They monitored me, gave me fluids and performed an EKG.

Other Meds: Trazadone, Lemictil, Busfar, Zoloft, Omeprazole, Afrin, had the last dose of Hydrocodone due to a surgery the day before.

Current Illness: COVID positive after first dose (12/23/2020)

ID: 1022755
Sex: F
Age: 55
State: LA

Vax Date: 12/21/2020
Onset Date: 12/21/2020
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies: penicillin and Demerol

Symptoms: after about an hr i started to get shortness of breath and heart tachycardia, i felt like i was running. it lasted about two hrs. heart rate stayed in the 90s and its usually in the 60s for about an hour

Other Meds:

Current Illness:

ID: 1022756
Sex: M
Age: 62
State:

Vax Date: 02/05/2021
Onset Date: 02/09/2021
Rec V Date: 02/11/2021
Hospital: Y

Lab Data:

Allergies: none

Symptoms: sustained Atrial Fibrilation (AFIB)

Other Meds:

Current Illness: None

ID: 1022757
Sex: F
Age: 67
State: CA

Vax Date: 02/01/2021
Onset Date: 02/10/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies: Donnatal, Mobic, possibly penicillin

Symptoms: Red rash at injection site, first noticed 10 days after injection. No pain or itching. Sore at injection site for a few days after injection.

Other Meds: Ginger root, multi vitamin

Current Illness: None

ID: 1022758
Sex: F
Age: 44
State: TX

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: Has a kidney stone, no fever prior to vaccine.

Allergies:

Symptoms: Fever: 101.6*F, extreme flu like symptoms.

Other Meds:

Current Illness: Kidney stone, no fever.

ID: 1022759
Sex: M
Age: 70
State: FL

Vax Date: 02/06/2021
Onset Date: 02/09/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies:

Symptoms: BLEEDING IN MY RIGHT EYE

Other Meds: Acetaminophen, Aspirin 81mg

Current Illness: diabetic

ID: 1022760
Sex: F
Age: 82
State: CT

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Error: Wrong Dose of Vaccine - Too Low

Other Meds:

Current Illness:

ID: 1022761
Sex: F
Age: 40
State: IN

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: None

Allergies: NKDA

Symptoms: Headache, fever, chills, aching, abdominal pain ; 24 hours after dose 1 1/12 and 24 hours after dose 2 on 2/9.

Other Meds: Multivitamin Zyrtec

Current Illness: None

ID: 1022762
Sex: F
Age: 42
State: AR

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Employee states she developed a migraine the evening after receiving her 2nd COVID vaccine. She took medication which help dull the headache. She woke up the morning of 2/11/21 with hives on her face. She states her face was red and her eyelids swollen. The left eye lid more than the right. Employee took benedryl which helped, but her left eyelid remains red and swollen. Advised employee to contact her PCP.

Other Meds:

Current Illness:

ID: 1022763
Sex: F
Age: 36
State: VA

Vax Date: 01/03/2021
Onset Date: 01/06/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: They did a nasal swab with a NEG result.

Allergies: I am allergic to entire latex cross sensitive panel.

Symptoms: I developed a cough on 01/06/2021 that progressed on the 7th; 8th; 9th and the 10th was resolved.

Other Meds: I take zyrtec and singular.

Current Illness: No

ID: 1022764
Sex: F
Age: 76
State:

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Approximately 9:00 PM, experienced severe chills, after having zero side effects all day. She went to bed, and could not get warm. She was unable to use body muscles, could not stand without help, and was conscious, but was unaware of her surroundings. She started regaining muscle control about 12:30 AM, but still no awareness of things around her. Next morning, she was fine, with no remaining side effects. It should be noted that she had a small glass of red wine about 30 minutes before experiencing chills.

Other Meds: Travatan Eye Drops Simbrinza Eye Drops Omeprazole 25 MG Once Per Day Yuvafem 10 MG Calcium 250 MG Vitamin C/D3 500 MG Vitamin D3 50 MCG Rivastigmine Transdermal 4.6 MG Melatonin 5 MG Aspirin 81 MG

Current Illness: Mild Dementia

ID: 1022765
Sex: F
Age: 51
State: PA

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: no

Allergies: corn, soy, egg

Symptoms: pt stated that after her vax that her left arm developed swelling, red rash, pain around the injection site extending from her shoulder to her elbow. Pt had a slight fever with chills and body aches which kept her in bed the entire day after the injection. Pt has contacted her PCP and waiting to hear back from them for medical advice since she states she still has pain, swelling, redness and can hardly move her left arm.

Other Meds: declined

Current Illness: no

ID: 1022766
Sex: M
Age: 71
State: FL

Vax Date: 02/06/2021
Onset Date: 02/07/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Patient recieved second Moderna COVID vaccine on 02/06/2021 at 0940 at Hospital. Patient reported fever of 100.2 this morning 02/07/2021. patient did not take any medication for symptoms. patient denies any allergies. patient has hypertention. Patient reported he takes Olmesartan 20 mg. I instructed the patient to monitor his fever and to seek medical attention if fever persisted. I instructed the patient to take Tylenol if needed.

Other Meds: olmesartan 20 mg

Current Illness:

ID: 1022767
Sex: F
Age: 64
State: IN

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Patient called on 2/11/2021 and stated that she had some redness and swelling at the injection site. Patient also stated she had a baseball sized knot on her arm at the injection site. Patient was seen at the Clinic on 2/11/2021 at 9:40 am. Patient was prescribed Benadryl and Prednisone.

Other Meds: unknown

Current Illness: Unknown

ID: 1022768
Sex: M
Age: 73
State: GA

Vax Date: 02/02/2021
Onset Date: 02/07/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: No e

Allergies: None

Symptoms: I had no issues with the first Moderna dose, but 5 days after the 2nd dose I experienced chills, dizziness and slight nausea when up and moving. This lasted 2 days and started going away on day 3, but the dizziness is still slightly present. Also, during this time I?ve continually monitored my BP and pulse. My BP has been elevated averaging around 165/95 (my normal is close to 145/85). Pulse has been steady averaging around 66-68 which is normal for me. Today, my BP is around 150/90 so it?s slowly getting back to normal on day 9 (post vaccine #2). Also, I had no other symptoms and my temperature was steady at 97 degrees since the vaccination. Thank you

Other Meds: Baby Aspirin (81mg) every other day and not the day of vaccination. Metoprolol 25mg Protonix 40mg

Current Illness: None

ID: 1022769
Sex: F
Age: 75
State: CA

Vax Date: 02/01/2021
Onset Date: 02/10/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Nine days later has her skin turned red 2 inches around. Warm to touch. Itches.

Other Meds:

Current Illness:

ID: 1022770
Sex: M
Age: 54
State: MI

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

Lab Data: none

Allergies: lisinopril, provigil

Symptoms: Patient stating 2-4 hours after receiving vaccine, constant dizziness began. Was seen in office 3 days later, 2/8/21, at which time it continued. Has a headache as well, but a chronic problem for him, not new with dizziness. Had not been able to work and dizziness worsened as the day went on. No ear pain or hearing changes. Initially had ringing in ears, but that had resolved by time of visit. Positive dix hallpike as well at visit. Meclizine was prescribed. spoke with patient today, 2/11/21, and he states gradual improvement in vertigo.

Other Meds: Elavil, Vitamin C, Symbicort, Vitamin B12, flonase, multivitamin, Omega 3, omeprazole, sertraline, flomax, trazodone, albuterol, azelastine, cyclobenzaprine, fexofenadine-pseudoephedrine, tadalafil

Current Illness: none

ID: 1022771
Sex: F
Age: 42
State: MA

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: fever 101.5

Allergies: none

Symptoms: body aches in low back, legs around 12 hours post vaccine. followed by chills and fever between hours 15-20. diaphoresis , headache and aches continued for until following day around 11:00 am. Fever of 100 at 14:30 even 1 hour after 800 mg of ibuprofen. following date headache and brain fog continued along with fatigue.

Other Meds: none

Current Illness: none

ID: 1022772
Sex: F
Age: 68
State: WA

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

Lab Data: None, yet.

Allergies: Latex, Penicillin, Demerol

Symptoms: Active HSV2 lesions in buttock area, before shot received. Now have painful, bleeding sores appearing in random areas over entire body (left calf, right wrist, over vaginal and caudal area, and ESPECIALLY inside both nostrils- mostly the left nostril (resolved, then immediately returned). Extreme fatigue, sweating, hot-flushes, but no elevated temp.

Other Meds: Duloxetine, Premarin, Fenofibrate, Telmisartan, Amlodipine, Melatonin, Tylenol

Current Illness: HSV2 sores (2) (amount of, increasing greatly since Moderna Covid19 shot)

ID: 1022773
Sex: F
Age: 51
State: CA

Vax Date: 01/30/2021
Onset Date: 02/05/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: Only visual observation on 2/9/21

Allergies: Sulpha Walnuts Irish Spring Soap Grass/trees/cats

Symptoms: Rash over whole body except face. Worse on back and itchy on back. Lasting over a week so far, but it is resolving significantly.

Other Meds: Omeprazole Singulair Vitamin D

Current Illness: None

ID: 1022774
Sex: F
Age: 79
State: NY

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: n/a

Allergies: Actonel-nausea Amoxicillin -unsure of reaction Boniva- nausea Fosamax- nausea, GI upset Penicillins- unsure of reaction Prednisone - diarrhea, headache, vomiting, moderate to severe Risedronic acid- unknown

Symptoms: Patient reported she had second dose of COVID vaccine (moderna) on 2/8. She states later that evening developed severe headache, and vomiting- which lasted 36 hours. Nausea and slight chills during that time. Injection sight sore but no redness, swelling, rashes. Today patient has been able to eat and drink fine, and feels much better.

Other Meds: levothyroxine, rosuvastatin

Current Illness: n/a

ID: 1022775
Sex: M
Age: 52
State: CA

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Error: Booster Given Too Early

Other Meds:

Current Illness:

ID: 1022776
Sex: M
Age: 50
State: PA

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

Lab Data: n/a

Allergies: Fluphenazine

Symptoms: Patient received a 3rd dose of Moderna Covid-19 mRNA vaccine. Admitted to our facility on 2/3/21. Received per IIS 1st dose on 1/5/21 and booster dose 2/3/21 prior to leaving previous inpatient placement. Patient administered 3rd dose on 2/11/21 as part of our second round of vaccinations for patients who refused or were admitted since beginning vaccination process in late December, early January.

Other Meds: n/a

Current Illness: none

ID: 1022777
Sex: F
Age: 69
State: MS

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: N/A

Allergies: Penicillin , Codeine

Symptoms: Nausea with Vomiting X 1 Left side of tongue swelled but not enough to affect breathing

Other Meds: Lisinopril HCTZ 10/12.5mg daily Crestor 5mg daily Fenofibrate 160 mg daily Metformin 1000 mg bid ASA 81 mg daily Prilosec 40mg daily Citracal Multi vitamin Glucosamine/Chondroitin Cranberry Benefits

Current Illness: none

ID: 1022778
Sex: F
Age: 32
State: IL

Vax Date: 02/03/2021
Onset Date: 02/08/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: None. If the problem persists longer than a week or starts getting worse instead of better I will see my primary care physician.

Allergies: Allergies to sulfa drugs (specifically Septra, and shellfish (epi-pen)

Symptoms: Sometime between 02/07/21 and 02/08/21 I noticed slight pain and swelling of lymph nodes in my left armpit region and the left side of my neck, close to the collarbone. I spoke to a medical professional and they informed me that there can be swelling of lymph nodes after the vaccine. Currently (02/11/21) I have no more pain, but the lymph nodes in my neck are still slightly swollen. I have no more pain in my armpit. This only occurred on my left side, which is where I received the vaccine. Additionally, sometime between 02/09/21 and 02/10/21 I started itching my left shoulder around the injection site. When I looked in the mirror there was a big (2-3inch) red circle around the injection. The edge of the circle was slightly puffy, and the whole thing is super itchy and stupid. No pain associated with it, just a lot of itching.

Other Meds: None

Current Illness: None

ID: 1022779
Sex: F
Age: 49
State: PA

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: Covid test #1 - negative 2/07/21 Covid test #2 - negative 2/10/21

Allergies: N/A

Symptoms: Started with brain fog, unable to focus, fatigue, chills and body aches. Continued to progress to temp 101.8, shaking chills, EXTREME arm pain, upper back pain, chest pain, wheezing, SEVERE headache, nausea, vomiting, diarrhea, EXTREMELY swollen axillary lymph nodes enlargement. Symptoms started approx 2 hours after injection and proceeded for 6 days then started to slowly improved then resolve.

Other Meds: Amitriptyline; Prevacid; Probiotic, immune, gut health (OTC) Supplement (OTC) Motrin prn

Current Illness: No acute illness.

ID: 1022780
Sex: M
Age: 73
State: GA

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 2/9/2021 2nd dose moderna vaccine received; 2/10/21 3 AM nose bleed; 2/11/21 3-5 AM nose bleed

Other Meds: Amlodipine, Metoprolol, Lisinopril, Vitamin B, Vitamin D, B-Complex Vitamin

Current Illness:

ID: 1022781
Sex: F
Age: 62
State: NJ

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: N/A

Allergies: Penicillin Sulfa Aspirin Iodine Peanuts Hazelnuts Soft shell crab

Symptoms: Low grade fever (99.6 F) Chills Fatigue Myalgia Headache

Other Meds: Zetia 10 mg po qd Famotidine 20 mg po qd Culturelle Probiotic 1 tab po qd Fiberchoice 1 chewable tab qd Vitamin D 2000 u po qd Elderberry 300 mg po qd Zinc 2 mg po qd Vitamin C 100 mg po qd

Current Illness: N/A

ID: 1022782
Sex: F
Age: 76
State: AL

Vax Date: 01/29/2021
Onset Date: 02/06/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: Received steroid injection, Benadryl, Prednisone, and Famotidine

Allergies: Sulfur, Cefdinir 300mg, Levofloxacin, Crestor.

Symptoms: Severe pain with itching hives, that started ion back and spread with nausea.

Other Meds: Amlodipine-benapril 5-20mg, Centrum Vitamins, COq10 200mg, Vitamin D3 1000iu, Calcium 600mg, Thera tears, Probiotic, Simbrinza.

Current Illness: Sinus Infection

ID: 1022783
Sex: F
Age: 65
State: NH

Vax Date: 01/23/2021
Onset Date: 01/29/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data:

Allergies: Tetracycline, sulfa

Symptoms: Large red rash at injection site that spread to size of orange. Itchy and hot to the touch.

Other Meds: Metformin, januvia, zarelto, levothyroxine, vitamin d3, biotin,

Current Illness: None

ID: 1022784
Sex: M
Age: 46
State: KS

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: none

Allergies: No Known Allergies

Symptoms: I received my Moderna COVID-19 Vaccination at approximately 0800 am on February 10, 2021. At approximately 1800 hrs the same day, I experienced a sudden onset of muscle spasms to my lower back. I was at rest, sitting in a chair at the time of onset. The muscle spasm to my lower back was extremely intense and I had difficulty walking. This continued for about 1.5 hours. Also, during this time, I experienced cramping to the arches of both my feet. This was intermittent. I also had pain/soreness to my hips bilaterally. After approximately 1.5 hours the lower back spasms and cramping to my feet subsided. I do not have a history of lower back issues and this is my first experience of spasms of my lower back.

Other Meds: none

Current Illness: none

ID: 1022785
Sex: F
Age: 31
State: CA

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 02/11/2021
Hospital:

Lab Data: none

Allergies: None

Symptoms: About 2 hours after my first dose, I lost feeling in both my lower arms and hands. I was barely able to move my fingers or wrists. This lasted about 30 minutes. With my second dose, taken 2/1/2021, also the Pfizer vaccine, I was very ill in the middle night (vaccine taken at 11:15am). I had temperature of 102.5F, severe chills, trembling, and moving took too much effort. I was bedridden for about 8 hours. The symptoms improved quickly there after.

Other Meds: None, I did take lots of vitamins prior to the vaccination to have a strong immune system

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm