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: 1034156
Sex: F
Age: 68
State: CA

Vax Date: 02/06/2021
Onset Date: 02/07/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies: no

Symptoms: Swelling of forehead and then eyes swollen, red, burning skin

Other Meds: Escitalopram 10 mg, Pantoprazole 40 mg

Current Illness: none

ID: 1034157
Sex: F
Age: 73
State: OH

Vax Date: 02/03/2021
Onset Date: 02/11/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies: quinolones

Symptoms: On day 8, patient experienced a red, swollen lump at the injection site, it is very itchy and burns

Other Meds:

Current Illness:

ID: 1034158
Sex: M
Age: 77
State: MT

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 02/16/2021
Hospital: Y

Lab Data: Blood work, EKG, CT of the chest

Allergies: No known allergies.

Symptoms: Chills, headache, body aches, oral mucous membrane burning, runny and stuffy nose, feet "hot", cough, chest pain, difficulty breathing, crampy abdominal pain, rash - Henoch-Schonlien purpura purpura and petechiae, edema, proteinuria, hematuria, decreased appetite, dizziness

Other Meds: Flonase, Metformin, losartan, flomax.

Current Illness: COVID-19 positive 01/07/2021.

ID: 1034159
Sex: F
Age: 35
State: CA

Vax Date: 02/15/2021
Onset Date: 02/15/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: no

Allergies: bee sting

Symptoms: Pt is 5 weeks pregnant. Does not know the estimate date of delivery, she just found out. Woke up around 2 a.m, body aches, arm pain, vomited, vertigo episode, kind of confused and difficulty getting out of bed. Today, she is having weakness and arm pain, low grade fever and stomach cramps.

Other Meds: no

Current Illness: no

ID: 1034160
Sex: F
Age: 33
State: KS

Vax Date: 02/04/2021
Onset Date: 02/09/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies: Red Dye #40

Symptoms: Large red and swollen welt at injection site lasting 1 week. Rash on shoulder and injection site lasting 3 days approx 5days after injection. Itchy and redness at injection site for approx. 1 week beginning 5 days after injection.

Other Meds: None.

Current Illness: None

ID: 1034161
Sex: M
Age: 71
State: CA

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: none

Allergies: none verbalized

Symptoms: Patient stated that he started having a headache after he received the vaccine. Patient reports a history of Hypertension and Diabetes, and states he did not take his medication this am. Patient was then escorted to the post vaccination area, where his vital signs were obtained. Vitals signs WNL @ this time, BP 136/92, HR 89, Sats on RA - 96 % on RA. Patient was observed, and given water and observed for an extra 10 minutes. Patient was then escorted to his car accompanied by his wife.

Other Meds: Metformin 1000 mg BID

Current Illness: none verbalized

ID: 1034162
Sex: F
Age: 36
State: CA

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: None

Allergies: Oxycodone, grass, pet dander, walnuts

Symptoms: Received the vaccine @15:20pm, c/o feeling tingling, slightly swelling to tongue and throat @15:55pm. Symptoms resolving @16:15pm

Other Meds: Unknown

Current Illness: unknown

ID: 1034163
Sex: F
Age: 68
State: NE

Vax Date: 02/07/2021
Onset Date: 02/07/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: none

Allergies: Penicilin

Symptoms: Red Face and burning lips/mouth. Lasted several hours, fine the next day.

Other Meds: Losartan 50mg, Carvedilol 3.125 mg 2xday, Pravastatin 20 mg, Cetirizine 10 mg, Aspirin 81 mg, multi vitamin, calcium 600 mg plus D3 500 ICU, D3 2000 ICU

Current Illness: None

ID: 1034164
Sex: F
Age: 66
State:

Vax Date: 02/12/2021
Onset Date: 02/15/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Received first dosage of moderna on Friday Feb. 12, 2021. Monday Feb. 15th both knees ached and i had trouble walking. I had a knee replacement in my right knee and major arthritis in my left knee. by Tuesday, Feb. 13th my right knee was back to normal. My left knee is better, but still achy.

Other Meds:

Current Illness:

ID: 1034165
Sex: F
Age: 37
State: CA

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient states she had body aches, chills for 2 days. Also had a rash all over her body, low grade fever, sore throat, cough and congestion.

Other Meds:

Current Illness:

ID: 1034166
Sex: F
Age: 70
State: AK

Vax Date: 02/13/2021
Onset Date: 02/14/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: None as of now

Allergies: penicillin-- > rash, vomiting, diarrhea sulfa drugs-- > body swelling clindamycin-- > body rash IGG infusion-- > seizures, heart problems

Symptoms: 12 hours after receiving the vaccine woke up with a fever of 103, extreme headache and body aches. Nothing would release fever or pain. Fever lasted 9 hours. Site of injection started to swell within 1 hour, continues to be swollen. Continues to have body aches and fatigue.

Other Meds: presto 40mg tenanol 25 mg twice daily Climara patch 0.06 mg weekly prometrium 200mg 10 days a month B12 injections every two weeks Probiotic daily, B12 daily, CoQ 10 200mg daily, gummies daily, D3 1000 units daily

Current Illness: none

ID: 1034167
Sex: F
Age: 59
State: SC

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: N/A

Allergies: codeine, compazine, and lisinopril

Symptoms: Vaccine given at 4:25 pm. At 4:30 pm, pt noted to feel hot, dizzy, and nauseated. Provider evaluated patient. BP 160/90, HR 100, O2 sat 100% on room air. Lungs CTA. Blood sugar was 145. Pt then noted to feel tight in the chest with reported difficulty breathing and feeling hard to swallow. Pt was given epinephrine0.3 mg IM dose #1 and solu medrol 125 mg IM. O2 applied at 2 L via NC. EMS was called to transport pt to ER. Pt continued to feel like it was hard to swallow and difficult to breathe so epinephrine dose #2 was given at 4:35 pm - at this time O2 sat 100%, BP 152/75 and HR 104. Pt then c/o feeling nauseated but no vomiting that resolved prior to giving any medication for nausea. Pt had relief of symptoms after second dose of epi pen. EMS arrived at 4:50 pm and pt was transported to ER for further eval and tx.

Other Meds: Advair, Albuterol, Amitiza, amlodipine, buspirone, crestor, cyclobenzaprine, gabapentin, janumet, multivitamin with iron, naproxen, percocet, protonix, Seroquel, sertraline, verapamil, zolpidem

Current Illness: No known

ID: 1034168
Sex: M
Age: 23
State:

Vax Date: 02/02/2021
Onset Date: 02/03/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: COVID: negative

Allergies:

Symptoms: Headache, myalgia, arthalgia, anosmia, nausa, vomiting and diarrhea.

Other Meds:

Current Illness:

ID: 1034169
Sex: F
Age: 25
State: OH

Vax Date: 02/09/2021
Onset Date: 02/16/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: N/A

Allergies: N/A

Symptoms: Large red spot/rash around the area I got the shot in

Other Meds: Lexapro

Current Illness: N/A

ID: 1034170
Sex: F
Age: 66
State: OH

Vax Date: 02/09/2021
Onset Date: 02/16/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies: bees, penicillin, bactrim

Symptoms: At site of injection, patient reports a red spot that is itchy, swollen and warm to the touch

Other Meds:

Current Illness:

ID: 1034171
Sex: M
Age: 88
State: CA

Vax Date: 02/05/2021
Onset Date: 02/07/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Rash on forearms noted 2 days later which spread cover torso, went to urgent care given cream and advised to take Benadryl. went back o6 days later and rcvd shot of steriod on 15th.

Other Meds:

Current Illness: none

ID: 1034172
Sex: F
Age: 41
State: VA

Vax Date: 12/30/2020
Onset Date: 01/07/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies: Tree nut

Symptoms: Day 1, I was fine. The next day, I felt like I had a fever but it wasn't showing per thermometer. I had shooting pain anywhere I scratched too hard. Two days later I still had nerve pain. Nine days after vaccine, I noticed the flat patch on my arm at vaccine site. Really wasn't itchy. Friday, the flat patch was elevated and swelling. Upper lip was itchy and my face was asymmetrical. I am allergic to most tree nuts, but not all. I can usually eat pecans and I did have one. The patch grew from Thursday, and the largest it got was 5 3/4 inches. I never got a fever during all of this. I took Pepcid along with ibuprofen for treatment.

Other Meds: Coenzyme Q 100mg - daily Folic Acid 400 micrograms - Magnesium 250mg - every other morning and also every night Duac - every morning Cymbecort 80/4.5 strength - 1 puff 2x a day Prenatal vitamin - daily Singulair 10mg - daily Claritin 10mg -

Current Illness:

ID: 1034173
Sex: F
Age: 63
State: VA

Vax Date: 02/10/2021
Onset Date: 02/13/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies:

Symptoms: A few days after receiving vaccine, I experienced rash and itching on my left shoulder area. The next day, a smaller rash area developed in right shoulder, but it does not itch. Today, I noticed the rash had spread to my upper chest area.

Other Meds: metformin 1000mg, Tums 1-2 per day

Current Illness:

ID: 1034174
Sex: F
Age: 34
State: WI

Vax Date: 12/27/2020
Onset Date: 01/08/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: Biopsy test taken with results pending.

Allergies: None

Symptoms: After the first vaccine within one week I had covid like symptoms and then devolped a small rash on my chest the after my 2nd vaccine thr rash exploded to a full body rash from my neck down. It's itchy red and some blisters.

Other Meds: Topamax 200 MG, gabapentin 100 MG

Current Illness: None

ID: 1034175
Sex: F
Age: 51
State: WA

Vax Date: 02/03/2021
Onset Date: 02/10/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: none

Allergies: none known

Symptoms: Arm swelling at injection site with hives. 7 days after dose received

Other Meds: buspar, alprazolam, for anxiety maloxicam, tylenol, for arthritis pain benadryl sleep aid calcium/magnesium/zinc supplement, multi vitamin, and vitamin d

Current Illness: none

ID: 1034176
Sex: F
Age: 51
State: VA

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Redness @site nd flushing chest and neck did the same with first shot. Used oral benadryl. 3:28 Decrease in flush and pinkies Released to home. Instruct to use benadryl prn.

Other Meds:

Current Illness:

ID: 1034177
Sex: F
Age: 41
State: MS

Vax Date: 02/04/2021
Onset Date: 02/13/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: None-- Hospital only given epinephrine, steroids, Benadryl and nothing helps it

Allergies: Bactrim, shrimp, ranch, dye/perfumes

Symptoms: Delayed hives reaction 9 days following injection; hives cover entire body with itchy blitches

Other Meds: Atenolol, Hydrochlorothiziade, Paxil, Meloxicam

Current Illness: Sickle cell trait, asthma, anxiety

ID: 1034178
Sex: M
Age: 56
State:

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies: Penicillin Codeine Nortriptyline

Symptoms: Headache, muscle aches, upset stomach and fatigue for 24 hours starting about 24 hours after shot. Maculopapular pruritic rash on torso and extremities starting 4 days after shot and lasting 5 days until gradual resolution.

Other Meds: Valacyclovir 1000 mg Propranolol 20 mg

Current Illness:

ID: 1034179
Sex: M
Age: 30
State: MD

Vax Date: 01/21/2021
Onset Date: 02/16/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Received his vaccine on 1/21/2021. I received notification from patient today 2/16/2021 that he was diagnosed with Bell's Palsy. He is following up with his doctor for management. I do not have further details at this time as that was all the information he has been able to provide me.

Other Meds:

Current Illness:

ID: 1034180
Sex: F
Age: 41
State: VA

Vax Date: 01/27/2021
Onset Date: 01/29/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies: Tree nuts

Symptoms: Two days after, my site was swollen, red, splotchy and hot. I took Benedryl and it felt a lot better the next day.

Other Meds: Coenzyme Q 100mg - daily Folic Acid 400 micrograms - Magnesium 250mg - every other morning and also every night Duac - every morning Cymbecort 80/4.5 strength - 1 puff 2x a day Prenatal vitamin - daily Singulair 10mg - daily Claritin 10mg -

Current Illness:

ID: 1034181
Sex: F
Age: 73
State: CA

Vax Date: 01/26/2021
Onset Date: 02/04/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: None

Allergies: nka

Symptoms: 10 days after the shot, she got a rash at injection site, red, swollen 5in oval over the arm got bumpy. lasted a week. itchy 3/10 discomfort. Resolved without treatment.

Other Meds: lamotrigine,

Current Illness: none

Date Died: 02/13/2021

ID: 1034182
Sex: M
Age: 82
State: CO

Vax Date: 01/29/2021
Onset Date: 02/01/2021
Rec V Date: 02/16/2021
Hospital: Y

Lab Data: Primary diagnosis of systolic CHF, mitral valve regurgitation, renal failure with tubular necrosis, abnormal liver function tests, elevated troponin, anemia, thrombocytopenia, atrial fibrillation/flutter, essential hypertension, CAD, dyslipidemia. Work-up with TCU admission. Discharged home on hospice.

Allergies: None Known

Symptoms: Approximately 2 weeks post vaccination developed rapid AF, CHF. Admitted to Medical Center. Discharged home on hospice. Patient died at home on 2/13/2021. Reported to this reporter at second dose clinic on 2/16/21. Other details not known. Unknown if related to vaccine.

Other Meds: Symbicort inhaler 2 puffs BID Cardura 8 mg PO daily Oxygen at night

Current Illness: OSA started on oxygen at night Dysphagia - work up

ID: 1034183
Sex: F
Age: 64
State: MI

Vax Date: 02/06/2021
Onset Date: 02/07/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: None

Allergies: Sulfa Empirin #3

Symptoms: On 2/7 at 01:00, woke up with headache, chills, fever, nausea and increased arm pain.

Other Meds: Lexapro Supplements-vitamin D, vitamin C, Elderberry, zinc, RevBiotics

Current Illness: No

ID: 1034184
Sex: F
Age: 83
State: IN

Vax Date: 02/07/2021
Onset Date: 02/07/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies: N/a

Symptoms: Fever Muscle aches Headache Diarrhea

Other Meds:

Current Illness: Covid

ID: 1034185
Sex: F
Age: 64
State: FL

Vax Date: 02/08/2021
Onset Date: 02/16/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Slight elevation in temperature overnight. Woke up to arm feeling sore and stiff just like the day after initial shot. It?s now the 8th day since I got shot. As day progressed the area around shot is red. Not feeling itchiness though so far.

Other Meds: Bystolic Amlodipine Multi vitamin Vit C Vit D Magnesium Fish oil Probiotics Calcium

Current Illness: None

ID: 1034186
Sex: F
Age: 54
State: NY

Vax Date: 02/13/2021
Onset Date: 02/13/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies: No

Symptoms: Fatigue, nausea, headache, sore arm, rash on neck

Other Meds: Zofran

Current Illness: No

ID: 1034187
Sex: M
Age: 28
State: CO

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies: NO KNOWN ALLERGIES

Symptoms: Patient was sitting in the 15 minute waiting area after receiving the vaccine. After sitting in the waiting area for roughly 5 minutes it looked like the patient was starting to fall asleep. He slid off of his chair and onto the floor where it looked like he was having mini seizures. He was unconscious for about 30 seconds to one minute. The paramedics were called.

Other Meds: UNKNOWN

Current Illness: UNKNOWN

ID: 1034188
Sex: F
Age: 45
State: AZ

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies: Cephalasporins

Symptoms: Sore arm, chills, fever, muscle aches, headache, fatigue for 48 + hours

Other Meds: Multi-vitamin, Vitamin D, Apple Cider Vinegar Gummies

Current Illness: Cold/Sore throat week prior

ID: 1034189
Sex: F
Age: 51
State: AZ

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies: statins - myalgias

Symptoms: patient with history allergies and asthma, DM and increased lipid, HTN immunized with Moderna vaccine at blitz event at TCHS. 15min post vaccination felt suddenly "light headed" and dizzy. history vertigo in past. was totally normal in AM prior to vaccination but had not eaten. BP 102/70 x 2 HR 85 RA sat normal . Was with 10yo son, no one to watch her at home so requested spouse to come and get her and take her to ED for obs. no signs of allergic reaction. ED not allergy dx vertigo.

Other Meds:

Current Illness:

ID: 1034190
Sex: M
Age: 73
State: CA

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Itching tongue

Other Meds:

Current Illness:

ID: 1034191
Sex: F
Age: 36
State: CA

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies: Allergic reaction to pertussis vaccination

Symptoms: Second dose of vaccine was inadvertently given 2 weeks after first dose was given on 2/2/21

Other Meds:

Current Illness:

Date Died: 02/16/2021

ID: 1034192
Sex: F
Age: 74
State: CO

Vax Date: 02/01/2021
Onset Date: 02/03/2021
Rec V Date: 02/16/2021
Hospital: Y

Lab Data: Too numerous to include

Allergies: none

Symptoms: Patient presented with spontaneous IVH of small vessel origin with essentially no past medical history. She then acutely developed mesenteric ischemia. Died due to all dead small bowel which also appeared to be small vessel disease and not embolic/thrombotic. This process started one week after

Other Meds: Fosamax, Cosopt soln, Emollient, Xalantan soln, Effient, Zocor

Current Illness: Glaucoma, HLD

ID: 1034193
Sex: F
Age: 68
State: KY

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: CT Scan (head), Chest Xray Labs Urinalysis

Allergies: none

Symptoms: Moderna COVID-19 Vaccine EUA. Patient got suddenly very hot, sweaty, shaky, heart palpitations, and proceeded to pass out and resulted in a head injury when head hit the floor.

Other Meds: lisinopril, premarin, omeprozole, levothyroxine, prevastatin, duloxetine, amlodipine

Current Illness: none

ID: 1034194
Sex: F
Age: 41
State: IN

Vax Date: 02/02/2021
Onset Date: 02/12/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies: None known

Symptoms: Day 1: mild sore throat Day 2: mild sore throat plus sniffles, mild fever Day 3: headache and congestion, lethargy, mild fever, runny nose, overall feelings of being unwell Day 4 (today): Milder symptoms from day 3

Other Meds: Multivitamins, vitamin C, vitamin D, omega 3, progesterone, CBD

Current Illness: None

ID: 1034195
Sex: F
Age: 83
State: CA

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies: NKDA

Symptoms: Paralysis of face, mouth pain

Other Meds: N/A

Current Illness:

ID: 1034196
Sex: F
Age: 75
State: FL

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: none

Allergies: None

Symptoms: Fever bet. 100 and 101 for 4 days, plus diarrhea, chills, nausea, tired, sleepy; Dr. was contacted by husband; recommended going to emergency room if I got worse.

Other Meds: Omeprazol Rx, Atorvastatin, Metoprolol Er, Levoxyl, Amloipine, Tolterodine; CoQ10, Vitamin D3, Multi-Vitamin (iron free),

Current Illness: None

ID: 1034197
Sex: F
Age: 16
State: UT

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies: None stated

Symptoms: Patient given vaccine out of age range. Patient was 16 years old at time of vaccination.

Other Meds: None stated

Current Illness: Unknown

ID: 1034198
Sex: F
Age: 37
State: CA

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Moderna COVID-19 Vaccine I received the second dose of the Moderna vaccine on 2/12/2021 around 2:30pm. I experienced some arm pain later that evening as expected. Around 2am on 2/13/2021, I was awakened by body pain and nausea. I woke up in a pool of sweat. Bodyaches, headache, nausea, and dizziness continued throughout the day. Late afternoon on 2/13 I started to itch and noticed hives all over my chest and abdominal area and also on my left arm just above the elbow, but not at the injection site. On 2/14/2021, my husband called an urgent care line for suggestions as over the counter topical creams such as hydrocortisone and benadryl were not helping. He was able to schedule a virtual appointment for me with a Health Clinic. She looked at the rash and prescribed Prednisone and Hydroxyzine. I started taking them on 2/14 and my rash is still present but improving. I no longer have a headache or bodyaches. I am still experiencing some nausea and dizziness but with significant improvement/relief.

Other Meds: Vitamin c and b-complex

Current Illness: None

ID: 1034199
Sex: F
Age: 54
State: NY

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: Saw a neurologist, going to my cardiologist

Allergies: Quinolone abx... neurotoxic reaction 9 years ago

Symptoms: Tachycardia beginning immediately, went away , came back middle of the night first day, in and off tachycardia for a month accompanied by peripheral neuropathy on and off and shifting locations. Been going on for 4 weeks, skipping 2nd shot

Other Meds: D2, magnesium threonate, medical marijuana, Benadryl

Current Illness:

ID: 1034200
Sex: F
Age: 70
State: CA

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: NONE

Allergies: UNKNOWN

Symptoms: ACCIDENTALLY GAVE PT 1 ML INSTEAD OF 0.5 ML. PT ONLY SAID SHE HAD SORE ARM NO OTHER SIDE EFFECTS AS OF NOW

Other Meds: UNKNOWN

Current Illness: UNKNOWN

ID: 1034201
Sex: F
Age: 40
State:

Vax Date: 02/10/2021
Onset Date: 02/15/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies:

Symptoms: pt had ear pain Feb 15 and feeling of ear fullness Feb 16

Other Meds:

Current Illness:

ID: 1034202
Sex: F
Age: 43
State: VA

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: None

Allergies: NKDA

Symptoms: Fever up to 102.2, fatigue for 24 hours, extreme arm soreness on injection side

Other Meds: Valcyclovir 1 gram daily, aspirin 81 mg daily

Current Illness: None

ID: 1034203
Sex: F
Age: 73
State: CA

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: Scheduled consultation with my gastro-enteritis specialist for Thursday Feb 18, to seek advice on care for Dose 2. I have Crohn's and primary immune-deficiency illnesses.

Allergies: Tramadol, sunflowers, msg

Symptoms: chills, sweats, (no fever), severe stomach cramping, vomiting for 24 hours, called immunologist, prescribed medication to stop nausea, son had to drive 4 hours to be with me for 48 hours until I could hold liquids. Day 4 after onset much better. Day 5, getting back to normal.

Other Meds: Asacol, Colestipol, Levothyroxin, immodium, vit B-12

Current Illness: none

ID: 1034204
Sex: F
Age: 49
State: ID

Vax Date: 01/30/2021
Onset Date: 01/30/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data:

Allergies: Promethazine - itching Penicillin - rash Nickel - mild skin reaction

Symptoms: Patient developed left thumb swelling with subsequent bruising and significant localized tenderness. This went away, but reoccurred on 2 separate occasions frequent to the vaccine. Resolved independently without evaluation or additional diagnostic testing/pharmacological therapy.

Other Meds: Lorazepam, lamotrigine, estradiol, levothyroxine, fish oil, omega-3, probiotic formula, xiidra 5% solution eyedrop, alrex 0.2% solution eyedrop, multivitamin, doxycycline, vitamin D, calcium and emergen-C

Current Illness: See below. No acute illness identified 1 month prior to vaccine.

ID: 1034205
Sex: F
Age: 35
State: CA

Vax Date: 02/12/2021
Onset Date: 02/14/2021
Rec V Date: 02/16/2021
Hospital:

Lab Data: No

Allergies: No

Symptoms: About 8PM (so roughly 8,5 hours) after the 2nd Pfizer dose, I started to experience chills, body aches, and a fever. It kept me up all night. At 7AM, I had 100.4 degree fever and took a 500 mg Tylenol and the symptoms subsided for about 5 hours. Around 12PM, had chills again and fever and took another 500 mg Tylenol. Fever went up to 101 at 7PM (almost 24 hours since first onset) and took another 500 mg Tylenol. Since Sunday night, I have been waking up in the middle of the night with weird, vivid dreams/images. The other symptoms don't worry me but this certainly does. The first night (Sunday) I woke up at 2AM and last night 12:50AM. I am hoping it doesn't continue but I have not done anything differently since the second Pfizer vaccine. No added stress nothing.

Other Meds: Probiotics (Enterogenic Intensive 100 Billion CFU)

Current Illness: No

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm