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: 0927039
Sex: F
Age: 24
State: CA

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

Lab Data: N/A

Allergies: Unknown

Symptoms: Patient complained of dizziness and fatigue during 20 minute post injection monitoring period. She had elevated BP 183/90 and HR 102. Paramedics were called and she was transferred to the hospital for further evaluation.

Other Meds: HTN medication

Current Illness: Unknown

ID: 0927040
Sex: F
Age: 23
State: TX

Vax Date: 12/31/2020
Onset Date: 01/07/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data: n/a

Allergies: no

Symptoms: On day of injection: axillary tenderness, resolved. 1 week after injection (1/7/21): redness, swelling, and warmth over site of injection, ongoing

Other Meds: Women's One-a-Day Cranberry supplement

Current Illness: no

ID: 0927041
Sex: M
Age: 27
State: PA

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

Lab Data:

Allergies:

Symptoms: Fever as high as 101.6, body aches, severe pain at injection site, convulsions/chills, nausea, cough, migraine

Other Meds: Lamotrigine 75mg daily

Current Illness:

ID: 0927042
Sex: F
Age: 23
State: UT

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies: xyzal, food-fruit and veggies

Symptoms: 10 minutes after receiving vaccine she began to feel itchy, dizzy and nauseas. She also had a lump in her throat but did not have respiratory distress. She was placed in supine position and monitored. She was given oral benadryl and Claritin and by 45-1 hr was feeling better. By 2 hours she was feeling normal and allowed to leave

Other Meds: zoloft, trazodone, omeprazole

Current Illness: Covid 19

ID: 0927043
Sex: F
Age: 55
State: NJ

Vax Date: 12/27/2020
Onset Date: 01/04/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: Received the Moderna COVID-19 vaccine EUA on 12/27/2020, the next day my arm was sore and red. Had minor muscle aches of my shoulders and neck. This went away by the second day. No more symptoms until the 8th day after injection (1/4/2021). Woke up in the morning with injection site swelling, itching, redness, arm pain, and minor sore throat which lasted 24-48 hours. No treatment was needed.

Other Meds: Vitamin D Osteo-Biflex Vitamin C

Current Illness:

ID: 0927044
Sex: F
Age: 52
State: CA

Vax Date: 12/30/2020
Onset Date: 01/07/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data: None

Allergies: Penicillin Amoxicillin Eyrthromycin Keflex

Symptoms: Got a slightly raised, itchy patch in area of injection site. Felt like a mosquito bite. Area was slightly hard to the touch. No pain.

Other Meds: Losartan HCTZ Pantoprazole Levothyroxine

Current Illness: None

ID: 0927045
Sex: F
Age: 61
State: WA

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data: None

Allergies: NKDA, no food allergies, allergy to nickel

Symptoms: 1/4 2pm stuffy sinuses/slight nausea, injection site hard, increased warmth, sore. 8pm - feeling very cold, intense chills and shaking by 10pm, temp 99.8, 100.4 @ midnight. Started dosing with 1000mg Tylenol q 6hours ATC. 1/5 6am - temp 102.8, cont with Tylenol. Temp never below 100.8 all day, slept a lot. Noted white circle around injection site, redness extending down deltoid, edema and firmness. 6 pm - temp at 102.3, by 9 pm finally feeling temp ?break? (started perspiring). 11 pm - temp at 99.9. 1/6 7 am temp at 100.6, injection site/arm still red but not as painful and is itchy now. 1 pm - temp at 98.9. Stopped taking Tylenol. 11 pm - temp 100.3. 1/7 8 am - temp 98.4 and have remained afebrile. L arm with decreased soreness, still red and itchy.

Other Meds: 1000mg calcium citrate QD, 125mcg D3 QD, 100mcg K2, QD, ES Hair, Skin and Nails - 3 capsules QD, AREDS 2 - 2 capsules QD, Melatonin 5 mg nightly, 1000mg Tylenol BID

Current Illness: No - but please note I was COVID + on 10/19/2020

ID: 0927046
Sex: F
Age: 61
State: MO

Vax Date: 12/29/2020
Onset Date: 01/06/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data: none so far

Allergies: Sulfa, Lodine, Adhesive, Nickel

Symptoms: Injection was given to me on 12/29/20. On 1/6/21, I noticed a small red area, under the bruise from where the injection had been given. It was about 2 inches by 3 inches in size. On 1/7/21, the area has increased in size - it's about doubled in size. No itching. It's soft. It is warm, but not hot.

Other Meds: Metformin, Valterx, Calcium, Vitamin D3, MVI, Vitamin B12, Melatonin, Mg+

Current Illness: none

ID: 0927047
Sex: F
Age:
State: TX

Vax Date: 12/29/2020
Onset Date: 01/06/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Patient reported felt injection site was red, hard, painful and itchy 8 days after injection. She was seen by her provider and he ordered her antibiotic Augmenten which she has not yet picked up from pharmacy.

Other Meds: None

Current Illness: HTN

ID: 0927048
Sex: F
Age: 31
State: HI

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

Lab Data:

Allergies: Codeine

Symptoms: 12-13 hours post injection experienced low grade fever (100 degrees) chills and body aches

Other Meds: Oral birth control Apri

Current Illness: None

ID: 0927049
Sex: F
Age: 37
State: MD

Vax Date: 12/01/2020
Onset Date: 01/01/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data: Saw UC virtually and they suggested I monitor the next 3-5 days to make sure no fever starts and I take Zyrtec and do warm and old compresses and Benadryl at night.

Allergies: NKA

Symptoms: Redness, swelling, welt, and warm to touch about 1 inch radius from injection site, more swelling located medial to injection site. It went down after about 3 days, and then on 1/7/21, I woke up with pain at the injection area and redness again. Around 3:30/4pm that same day, my arm had even more redness and swelling than the day after the shot and was hot to touch.

Other Meds: Vit D, B12, women daily vitamin.

Current Illness: None

ID: 0927050
Sex: F
Age: 24
State: TX

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

Lab Data:

Allergies:

Symptoms: 12 hours of chills, headache

Other Meds:

Current Illness:

ID: 0927051
Sex: F
Age: 46
State: IN

Vax Date: 01/03/2021
Onset Date: 01/07/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data: None

Allergies: Neomycin

Symptoms: Swollen knot about the size is a silver dollar at the injection site that lasted 3 days

Other Meds: None

Current Illness: None

ID: 0927052
Sex: F
Age: 39
State: IN

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

Lab Data:

Allergies: None

Symptoms: Fever Aches Headache Sore throat Weakness and fatigue

Other Meds: Sertraline Duloxetine Brio Albuterol

Current Illness: No

ID: 0927053
Sex: F
Age: 31
State: HI

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

Lab Data:

Allergies: Sulfa and Zithromax antibiotics (hives)

Symptoms: Fever to 102.7F Rigors Nausea Myalgia All began morning after second vaccine and worsened throughout day

Other Meds: None

Current Illness: None

ID: 0927054
Sex: F
Age: 40
State: CA

Vax Date: 12/30/2020
Onset Date: 01/07/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Eight days after the vaccine, I experienced a rash and swelling at the site.

Other Meds: B Complex, Vitamin D3

Current Illness: none

ID: 0927055
Sex: F
Age: 73
State: CA

Vax Date: 12/28/2020
Onset Date: 01/04/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data: no

Allergies: no

Symptoms: Itchy, bump, red, got bigger swollen, hard. Arm pain. Was given doxycycline.

Other Meds: Coreg, 12.5mg, Plavix75mg, Crestor5mg.

Current Illness: no

ID: 0927056
Sex: F
Age: 87
State: AR

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

Lab Data:

Allergies: Penicillin

Symptoms: Malaise, diarrhea, nausea

Other Meds: Hydrocodone, antibiotics, heart medication

Current Illness: None

ID: 0927057
Sex: F
Age: 28
State: OH

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data: can email test results. They took blood.

Allergies: Lactose Intolerant Sulfa

Symptoms: December 30- received shot: soreness in arm. December 31- Nightmares, suicidal thoughts, hearing voices, January 1- unable to stay awake slept entire day/night January 2- dizzy, nausea and vomiting, diarrhea, body aches, muscle spasms. 24 hours January 3- Weak and sore, I went to rapid care on the 2nd, they did a rapid covid test -negative, stated that it was possibility from the shot. I then received 1000 ml of fluid iv and 4mg Zofran IV push.

Other Meds: Lo Loestrin Fe allegra vit d 3 paxil metformin atarax

Current Illness: none

ID: 0927058
Sex: F
Age: 56
State: WI

Vax Date: 12/17/2020
Onset Date: 12/19/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data: None

Allergies: Amlodipine

Symptoms: Globus sensation in throat, was better the next day and gone on the day after

Other Meds: Losartan HCTZ, fish oil, garlic, calcium, multivitamin

Current Illness: None

ID: 0927059
Sex: F
Age: 26
State: IN

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

Lab Data:

Allergies: oxycodone

Symptoms: Sore arm for about 24 hours

Other Meds: Effexor, Apri

Current Illness:

ID: 0927060
Sex: M
Age: 57
State: CT

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

Lab Data: None

Allergies: NKDA

Symptoms: Fever 100.8, headache, chills, injection site pain, body aches

Other Meds: AM HCTZ -25 mg ASA 81 mg Losarten-100 mg Cardizam 120 mg Famotidine (Pepcid) 40 mg B12 5000 mcg Alpha Lipoic Acid 200 mg Chromium 800 mcg Vitamin C 1000 mg Folic Acid 800 mcg DHEA 50 mg X-Clear Nasal spray (Saline and Xyletol) TID QID P

Current Illness: None

ID: 0927061
Sex: F
Age: 47
State: CA

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data: None

Allergies: NKA

Symptoms: Patient C/O burning in the ear. systolic BP ranging between 176 and 200; Diastolic BP ranging between 100 and 118. Paulse ranging between 79 and 81.

Other Meds: Metoprolol 25 mg daily

Current Illness: Unknown

ID: 0927062
Sex: M
Age: 49
State: CA

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

Lab Data: none

Allergies: Lactose intolerant

Symptoms: pain at injection site, low grade fever 99.8, headache, chills, joint pan, fatigue/exhaustion all started about 24 hours after receiving vaccine, took Tylenol. felt better next day, still soreness at injection site but other symptoms improved.

Other Meds: Daily multi-vitamin, Goli apple cider vinegar gummy supplement, 500mg vitamin C

Current Illness: Tested positive for Covid on December 9, 2020

ID: 0927063
Sex: F
Age: 60
State: CA

Vax Date: 12/28/2020
Onset Date: 12/29/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data: None

Allergies: Sulfa Drugs Celebrex

Symptoms: Measured today 6cmX6cm swelling, redness, warm at injection site, reports itchy woke up with the follow day 12/29/20. Called clinic due to concern it has been a week and site still irritated. Recommended cold pack to arm will follow up on Monday 1/11/21. No other complaints.

Other Meds: Vit-D3 2000units daily Hydrocodone/Acetaminophen 10mg/325mg Baclofen 10mg PRN

Current Illness: None

ID: 0927064
Sex: F
Age: 29
State: TX

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

Lab Data: N/A

Allergies: Penicillin

Symptoms: Onset of chills at around 10pm (normal temperature). Early morning around 4am on 1/3/2021 I was woken up by severe arm pain (arm injected) and generalized body aches. Around 7am 1/3/2021 my temp was 99.7. Around 10am my temp rose to 100 and all morning I had chills. Chills and fever subsided after Tylenol but then I started having chills again around 3pm with my temp raising once again to 99.8. The whole day I also had a headache, generalized body aches, looked flushed, had moderate arm pain on arm injected. When I woke up on 1/4/21 all symptoms were gone.

Other Meds: Synthroid 88mcg daily taken at 5am same day

Current Illness:

ID: 0927065
Sex: F
Age: 37
State: MS

Vax Date: 12/21/2020
Onset Date: 12/21/2020
Rec V Date: 01/07/2021
Hospital: Y

Lab Data: Pneumonia - chest x-ray-29th test for it CT scan - negative

Allergies: none

Symptoms: woke up with fever and sore throat on 22nd; went to job and got tested and tested positive; on the 23rd developed right upper lobe pneumonia; on 27th was hospitalized with three lobe pneumonia; On 22nd received got zpack - azithromycin and sudafed; received at hospital doxicycleln IV ; ivermectin and went home with them, as well. Hospital

Other Meds: Flecinide 100 mg/day

Current Illness: none

ID: 0927066
Sex: F
Age: 56
State: IA

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

Lab Data: I took a Benadryl not sure if it is helping?

Allergies: Environmental allergies , black walnuts

Symptoms: Started with muscle aches and weakness in the right arm on Jan 7th, this afternoon I have a red lacy rash all down my arm a little itchy. Headache and lips tingle .

Other Meds: losartan, insulin, vitamin D, Trimethoprim Wellbutrin ,

Current Illness:

ID: 0927067
Sex: F
Age: 70
State: OR

Vax Date: 09/21/2020
Onset Date: 09/22/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies: Sulfa and Penicillin allergy

Symptoms: Patient states she experience peripheral neuropathy after receiving the vaccination. Initially presenting in her left hand and moving to her right hand over a period of 2.5 weeks. Neuropathy then moved to feet for additional week.

Other Meds: None known

Current Illness: None known

ID: 0927068
Sex: F
Age: 46
State: FL

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data: Went to ER

Allergies:

Symptoms: Within 5 minutes had pulse 160 and bp 180/100; five minutes after receiving the Moderna vaccine. The reaction lasted about 15 minutes and resolve without any medication or intervention. Reports she ?felt like garbage ?the rest of the day. Local medics are saying that this was an anaphylactic reaction and are refusing to offer the second vaccine dose . Patient states she felt more like an ?adrenaline dump? or maybe an ?infusion reaction?

Other Meds: Thyroid supplements

Current Illness: Hypothyroidism

ID: 0927069
Sex: F
Age: 19
State: UT

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Clammy, dizzy, nauseas, left arm pain and numb throat. She was monitored on exam table and she rested and was given Benadryl and Claritin and started to feel better by 45-60 minutes. By 2 hours she was completely normal and cleared to leave.

Other Meds: none

Current Illness: none

ID: 0927070
Sex: F
Age: 27
State: OR

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data: unknown

Allergies: raw honey, bee stings

Symptoms: Pt c/o hot flush and racing heart rate, BP was 132/78, P 86, R 18. Pt denied SOB, throat tightness, swelling of lips or tongue, nausea. HR was regular but became irregular after a few minutes. Pt transported to emergency room for treatment.

Other Meds: unknown

Current Illness: unknown

ID: 0927071
Sex: F
Age: 40
State: IL

Vax Date: 01/04/2021
Onset Date: 01/06/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: On Monday January 4th I received my Covid-19 vaccine at work, at 410pm. That evening went uneventful. The following day, Tuesday January 5th I woke up with a sore right arm and a slight headache. The headache increased in intensity throughout the day, developing also body aches and a fever of 100.4. The symptoms seemed to improve slightly after taking Tylenol. The next day, Wednesday January 6th I felt much better, the body aches were almost gone, I had no fever and no headache. When I got home from work I noticed hives all over my arms, anterior and posterior neck - going into the hairline, face, especially around my mouth, chest, abdomen, upper and lower back. The affected areas were itchy and I also felt a slight burning/stinging sensation on my neck. Even though I did not notice any hives on my legs, my right ankle was itchy, as well. I took Claritin 10 mg and I did not notice much difference. When I woke up today, Wednesday January 7th the hives were still present on my arms, chest, abdomen and back and they looked like dissipating. It is currently 6:12 pm on January 7th and my hives are almost gone

Other Meds: Vitamin C 1000 mg daily, Zinc 50 mg daily, Magnesium Glycinate 665 mg daily, Vitamin D3 5000 units daily, N-Acetyl-L- Cysteine 600 mg daily

Current Illness: None

ID: 0927072
Sex: F
Age: 27
State: CT

Vax Date: 12/30/2020
Onset Date: 01/07/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data: N/A

Allergies: None known

Symptoms: Delayed raised, red inflamed hive at injection site about 2 inches in diameter. Developed 8 days following injection.

Other Meds: Escitalopram

Current Illness: N/a

ID: 0927073
Sex: F
Age: 31
State: NY

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

Lab Data: None

Allergies: None

Symptoms: Significant arm pain at site of injection starting at 5pm. Then developed vague aching throughout lower back, shoulder, and hips. Progressed to shooting pains (mild) into both legs and down both arms into fingers and toes. muscle aches and pains persisted until 4pm on 1/7. Also developed inflamed lymph node under left arm pit.

Other Meds: None

Current Illness: None

ID: 0927074
Sex: F
Age: 72
State: MA

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

Lab Data: As a result of nausea and vomiting, I fainted while standing up (16 hours after injection), fell flat on my face and was unconscious for a few minutes. Taken by ambulance to ER at Hospital. CT scan normal, blood work normal except for elevated neutrophils, low lymphocytes, high glucose, high bilirubin, trace ketones and trace blood in urine; chest xray normal. Tests for COVID19 and flu negative.

Allergies: ampicillyn, ceftin, vicodin

Symptoms: Don't know lot #. Within 15 hours of injection: fever (100 degreees), chills, headache, pain along neck, shoulders, and face, severe nausea and vomiting, dizziness. The strength and degree of these symptoms was well beyond what should be considered "minor side effects" of a vaccine. I had NO side effects from the first Shingrix vaccine, given at Pharmacy, in October 2020. This vaccine is UNSAFE.

Other Meds: occuvite, calcium, estrace, clobetasol, systane

Current Illness: none

ID: 0927075
Sex: F
Age: 22
State: TX

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

Lab Data: EKG, bloodwork, urine sample for UTI

Allergies: NKA

Symptoms: received 2nd dose of Pfizer COVID-19 vaccine @ 1355. At approximately 1630 began to feel heart racing and lightheaded. Hear rate in 130's without exertion. Patient walked over to the ED, heart rate when up to 170's and patient was treated in ED and discharged at approx. 2200.

Other Meds: Olly Women's Multi-vitamin

Current Illness: was treated by emergency room for adverse event and was diagnosed with a UTI during visit.

ID: 0927076
Sex: M
Age: 26
State: MA

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

Lab Data: None

Allergies: No known allergies

Symptoms: At 4:00pm the patient became anxious immediately after receiving the COVID-19 Moderna vaccine and after a minute of being observed he complained of sweats, feeling feverish, light headedness, muffled hearing. seeing spots and sudden urge to urinate. Blood pressure was 132/80 at time of event. Immediately he was given Gatorade and water and visibly became less diaphoretic and anxious after five minutes. By 4:20 pm the patient stated he was feeling "back to normal" and was assessed by a physician and was released after 30 minute of observation.

Other Meds: Unknown

Current Illness: No illness at the time of vaccination, unknown prior history

ID: 0927077
Sex: F
Age: 34
State: IN

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

Lab Data:

Allergies:

Symptoms: Fever, headache, sore arm

Other Meds:

Current Illness:

ID: 0927078
Sex: F
Age: 34
State: WA

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

Lab Data: n/a

Allergies: pencillian

Symptoms: Fever, chills, tiredness, swollen lymph node (under armpit), upset stomach. This all occured after 10pm the day of the shot

Other Meds: n/a

Current Illness: n/a

ID: 0927079
Sex: F
Age: 28
State: IL

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data: EKG, CBC, CMP, Mg

Allergies: sumatriptan, escitalopram

Symptoms: She does note that she received the 1st dose of the Moderna vaccine earlier at about 0830 on 1/7. Patient reports that approximately 1-2 hours PTA in the ED, she began experiencing pain in her right wrist that has progressively worsened. She denies injury to the area and was not doing anything in particular when the pain 1st began. She states that she has not been sleeping any differently than usual. She denies a history of wrist pain or injury. She has not yet taken anything for the pain, but reports that is severe and present on the thumb side of her right hand over the pad and on the wrist. She does also have numbness in the right hand on both sides of the thumb and on the pointer finger as well as the area between the 2 digits on her hand. She states that she has a slight tingling sensation in her other fingers, but it is not numb. She states that she has trouble moving at her wrist and her thumb and pointer finger, but thinks it is because she is having so much wrist pain. She has not been experiencing any other symptoms. Patient also had 2 episodes of emesis in the ED. She was mildly tachycardic and had numbness to light touch and pinprick over the index finger and thumb on her right hand; also had weakness on flexion/extension at the wrist and index finger/thumb. She was ultimately given some IVF, diphenhydramine, methylprednisolone, famotidine, ketorolac, and fentanyl.

Other Meds:

Current Illness:

ID: 0927080
Sex: F
Age: 26
State: MA

Vax Date: 12/30/2020
Onset Date: 01/07/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data: None

Allergies: Sulfa meds, nickel, seasonal allergies, and some unknown contact allergies have appeared over time

Symptoms: The injection site is bright red, swollen, hot to the touch, itchy, and feels hard. There is some pain in the area and it hurts to lift my arm, and underneath in the armpit region. This is the first day this has happened since getting the injection.

Other Meds: Daily vitamins, Apri birth control, omeprazole

Current Illness: Anemia and eczema

ID: 0927081
Sex: F
Age: 49
State: CA

Vax Date: 12/28/2020
Onset Date: 01/05/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: 9 x 5 cm area of raised redness and pain left arm starting on on day 8

Other Meds: Duloxetine, estrogen, progesterone

Current Illness: None

ID: 0927082
Sex: F
Age: 40
State: OH

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

Lab Data: none

Allergies: NKA

Symptoms: Fever 101.1, headache, muscle soreness for 3 days

Other Meds: Gabapentin 300mg 1 capsule a day

Current Illness: COVID19 - symptoms started on 2020.12.21, positive test on 2020.12.23

ID: 0927083
Sex: F
Age: 43
State: FL

Vax Date: 12/28/2020
Onset Date: 01/02/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data: N/A

Allergies: NKA

Symptoms: I received my first vaccine dose (Modern) on Monday 12/28/20, and by Saturday morning 1/2/21 I woke with severe axillary lymph node swelling and soreness on the same side as the vaccine injection ( they were swollen to about softball size). The injection site was also very red, raised, itchy, and hot to the touch. By Monday morning 1/4/21, nothing had changed taking ibuprofen and I consulted with a female GI doctor I work for. She recommended that I see me PCP. I was able to get in that same morning to the PA, and she called the Dr for further consultation after examining me. He advised not getting the second dose of the vaccine and prescribed mthyprednisolone (medrol) 6 day pack.

Other Meds: Escitalopram20mg daily Vitamin D 2000units daily Vitamin B12 2000mcg daily

Current Illness: N/A

ID: 0927084
Sex: F
Age: 27
State: OH

Vax Date: 12/31/2020
Onset Date: 01/07/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies: Occasional allergy to bananas (mild angioedema)

Symptoms: Adverse reaction 7 days after vaccine: 1" diameter hard lump at vaccine injection site, no itching, slight warmth to touch after I massaged shoulder. No adverse reactions up to this point beyond slight tenderness at injection site for the 24 hours after injection.

Other Meds: Ibuprofen 400mg 2 hours prior to vaccine

Current Illness: No known

ID: 0927085
Sex: F
Age: 81
State:

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

Lab Data:

Allergies:

Symptoms: Patient developed aches, chills, sweating, fatigue, and dizziness starting approximately 12 hours after vaccination. Patient reported the dizziness the morning after vaccination resulted in a fall and minor head injury.

Other Meds:

Current Illness:

ID: 0927086
Sex: F
Age: 16
State:

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Moderna vaccine given to patient under the age of 18.

Other Meds:

Current Illness:

ID: 0927087
Sex: F
Age: 52
State: MI

Vax Date: 12/22/2020
Onset Date: 12/26/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data: EKG

Allergies: suptra, bacitracin

Symptoms: 12/22 vaccination. Felt fine. Arm sore 12 hours 12/26 - sudden sharp pain in chest, palpitations. HR irregular. waiting 15 min. Went to the ER. Frequent PVCs; occasionally over the years. Discharged home. Not sure if related to vaccine as under a lot of stress.

Other Meds: Xeljanz 5mg 2x daily; Xyzal 5 mg 1xday; vit d3, calcium supplement; aimovig 1/month

Current Illness: n/a

ID: 0927088
Sex: F
Age: 55
State: ID

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies: latex

Symptoms: within 10 minutes of receiving vaccine pt complained of itchiness on and around injection site, no swelling or redness so we gave Benadryl 25mg and pt was fine afterwards. monitored after for 30 minutes with no issues

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm