VAERS 2021 Database www.vaers.hhs.gov

Main Page | All 2021 Deaths | Videos
VAERS Updated: 11/12/2021
** VAERS DATABASE Last updated: November 12, 2021**
PLEASE CHECK BACK SOON
Download the files above while you wait.







Manufacturers

Total Manufacturer
46,870MODERNA
532GLAXOSMITHKLINE BIOLOGICALS
353PFIZER\BIONTECH
231MERCK & CO. INC.
221UNKNOWN MANUFACTURER
62SEQIRUS, INC.
25DYNAVAX TECHNOLOGIES CORPORATION
13EMERGENT BIOSOLUTIONS
12SANOFI PASTEUR
9NOVARTIS VACCINES AND DIAGNOSTICS
5PFIZER\WYETH
5PAXVAX
2TEVA PHARMACEUTICALS
2PROTEIN SCIENCES CORPORATION
1BERNA BIOTECH, LTD.
1INTERCELL AG
1CSL LIMITED

COVID19 Lot Number

VAX LOT Total
2S9CL1,906
1,575
289
IMM209286
252
236
229
s029456178
171
UT7065MA166
155
149
145
S034636133
107
U62828AA103
100
98
P10025327596
U6737AA85
UJ446AA79
78
78
59
57
4BH3254
4F47253
52
27656352
50
PP9L548
49TM346
42
40
38
MENVEO38
4F47237
R1B252M36
34
C5763AA30
93362229
25
300057A24
UNK24
22
CW311621
18
17
15
UH894AB15
3Y7NL12
R1B743M12
EJ168611
el128410
10
10
10
9
ARBA141A9
UNK9
8
UNK8
8
1F4EB8
Unknown7
7
No batch number6
5
5
UJ090AA5
5
5
4
4
4
UNK4
JEV18K95E4
UNK3
A115A3
Z127A3
3
3333324181073
2
2
2
TAR352
1
1
1
1
1
A739081
1
1
1
1
1
037K20A68,542
EL128447,700
133

Incidents per State

State Total
15,185
CA14,096
NY7,507
TX7,196
FL6,939
IN5,527
PA4,560
IL4,179
OH4,054
AZ3,856
MI3,771
NJ3,411
MA3,278
VA3,208
NC3,114
WA3,034
GA2,864
MD2,652
MN2,534
CO2,532
WI2,457
MO2,029
OR1,943
TN1,715
CT1,693
KY1,603
OK1,226
AL1,201
KS1,162
IA1,157
SC1,106
NM1,065
UT973
AR951
LA945
NE829
NV797
ME795
MT789
NH756
ID674
AK661
WV661
PR650
MS585
HI536
RI510
VT441
SD361
ND356
DE350
DC239
WY209
GU32
AS16
VI13
MP9
MH3
FM2
QM1
XB1

ID: 1042518
Sex: F
Age: 77
State: CA

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: n/a

Allergies: n/a

Symptoms: chills

Other Meds: warfarin, digoxin, diltiazem

Current Illness: n/a

ID: 1042519
Sex: F
Age: 50
State: AK

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: did not seek medical care

Allergies:

Symptoms: On morning of 2/12 reported she had h/a, body aches, arm hurt up to her neck, REPORTED FACIAL SWELLING THAT BEGAN 2/11 (DAY OF VACCINATION). She states her face and lips were swollen as verified by family members. She did not want to go to ER and stated she had no trouble breathing. On evening of 2/12 she stated she was very sleepy, still had h/a, but thought facial swelling was beginning to resolve. On 2/13 she stated facial swelling was gone, but that she had chills and fever of 100.5. On 2/15 she was asymptomatic.

Other Meds:

Current Illness:

ID: 1042520
Sex: F
Age: 66
State: NY

Vax Date: 02/13/2021
Onset Date: 02/14/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies: levaquin and other quinolone, dust, cats

Symptoms: The morning after receiving the vaccine in my left arm, I woke up with more than moderate pain in my left hand when I tried to grip something, make a fist, or spread my fingers. I had no other symptoms besides a mildly sore arm - expected. Almost a week later, my arm is 100% (it was after a day or 2), but I still have pain in my hand. Had no pain at the time of the injection - barely felt it, so I don't think the needle hit a nerve. Could the vaccine substance have irritated the nerve? The pain seems to be focused on the center of my hand. If I press firmly on that spot, I can produce discomfort. My hand does not ache or hurt if it's at rest. The discomfort does not prevent me from carrying out the normal activities of life. Just thought I should report it. That said, happy for any thoughts about how to make it go away! Many thanks. Very grateful to be vaccinated.

Other Meds: inhaled albuterol (1 puff 2x/day), vitamin D, vitamin C, 1/2 zyrtec 1x/day

Current Illness: none

ID: 1042521
Sex: F
Age: 59
State: ID

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

Lab Data:

Allergies: CITRUS CAUSES ANAPHYLACTIC REACTION AND HAS HAD PREVIOUS POOR REACTION TO SHINGLES VACCINATION. SHINGLES VACCINATIONS MADE HER HAVE EMESIS AND WEAK THE PATIENT STATED.

Symptoms: Patient had vaccination administered at 1615 on Feb. 19 after being educated about the Moderna Vaccination and recieving the Moderna EUA and V-Safe Flyer. With her history of having an allergic reaction to citrus and having emesis after the shingles vaccination, it was decided that the patient would be monitored for 30 min after vaccination. at 1636 patient stated she didn't feel good and a rash started to break out on the outside of her throat. She went pale and stated her throat was starting to swell up. Patient was then laid down flat with feet elevated and was given an epi pen to her right thigh. Ice packs were applied to her upper chest and to the back of her neck. After 5 minutes, patient's throat cleared up and there was no rash. Breathing returned to normal. a FNP listened to her lungs and heart and stated she was getting good air flow. Continued to monitor patient. Offered to transport her to hospital for continued monitoring and the patient declined stating she has had this happen before with citrus and knows what to expect and look out for. Patient was monitored for an additional 30 minutes before being driven home by friend.

Other Meds:

Current Illness:

ID: 1042522
Sex: F
Age: 21
State: MI

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: None

Allergies: Keflex Wheat

Symptoms: Large spreading lump that went down after three days, started the day after the vaccine, 8 days following the vaccine injection site has puffed up and is itchy and painful

Other Meds: Methylphenidate 18 & 36 milligrams Escitalopram 10 milligrams Sprintec birth control

Current Illness: None

ID: 1042523
Sex: F
Age: 48
State: CA

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

Lab Data:

Allergies: no known allergies

Symptoms: within 10-15 minutes post vaccination the recipient notified nurse she had difficulty in breathing, complaining of rapid heart rate, not feeling well, lightheaded, chest pressure, tingling. No LOC. Called 911 , Epi auto injection given 0.3 mg; reported improvement in chest pressure and breathing shortly afterwards, taken to local hospital via EMS in stable condition. Total time in clinic: approximately 40 minutes from vaccination to EMS leaving.

Other Meds: unknown

Current Illness: unknown

ID: 1042524
Sex: F
Age: 31
State: OH

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

Lab Data: None

Allergies: Codeine

Symptoms: ?Covid arm.? Delayed redness/rash/itchiness at the injection site. Occurring 9 days after 1st injection. Lesion is 1-2 inches in width.

Other Meds: Multi-vitamin for women, zinc, vitamin c, vitamin d, fiber, hailey fe (birth control), Apple cider vinegar gummies

Current Illness: None

ID: 1042525
Sex: M
Age: 74
State: AZ

Vax Date: 02/18/2021
Onset Date: 02/19/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: NA

Allergies: Dilantin, betadine, Eliquis, Sulfa, contrast dye

Symptoms: Dizzy vertigo, weak. Note I fell when I got out of bed, My wife helped me back in bed, if I lived by myself I would had to call for help

Other Meds: Omega 3, Itami D, Atotvastin, aspirin, Esomprazole, L-Tyroxine, calcium

Current Illness: None

ID: 1042526
Sex: F
Age: 68
State: CA

Vax Date: 02/15/2021
Onset Date: 02/15/2021
Rec V Date: 02/19/2021
Hospital: Y

Lab Data: EKG's, blood tests, ECG, continual cardiac monitoring via wireless/remote monitor, Tee, and cardioversion procedure, all as described above in the adverse events timeline. These tests were performed on February 16 and 17 as described above at Hospital

Allergies: No known allergies to medications, food, or products. Seasonal allergies in the springtime when pollen count is high.

Symptoms: Moderna COVID-19 Vaccine EUA. Monday, 2-15-21. 11:45 am. ? Received first dose of Moderna Covid-19 vaccine. 12:30 pm. ? Headache developed. 8:00 pm. ? Watching TV noted irregular heartbeat, and a minute later, increase in respiration rate. That lasted 20 minutes at the most, and then went away. Went to bed at 10 pm and slept well. Tuesday, 2-16-21. 7:00 am. ? In kitchen. Lightheaded, increased respiration, feeling like I?m going to pass out, so I quickly sit down. Two minutes later feel fine. Went about making breakfast. This happened two more times. Realizing this might be a reaction to the vaccination, went to urgent care. Doctor listened to my heart, ordered EKG and result showed that I was in atrial fibrillation (A-Fib). NO previous cardiac issues, no high blook pressure, no diabetes, never a smoker, not obese. Ambulance was called to take me to Hospital. Another EKG confirmed still in A-Fib. Blood drawn. Hooked me up to a wireless/remote heart monitor. Still in A-Fib, elevated heart rate, higher than normal blood pressure. Kept overnight in hospital awaiting more test results, continuous monitoring, and with ECG ordered for Wednesday morning and then consultation with cardiologist. Wednesday, 2-17-21. 11:45 am., ECG done. Still in A-Fib. ECG shows no signs of blood pooling or clotting. Cardiologist proposed courses of action, starting with what makes sense based on current conditions: A cardioversion. Having done thousands (his words) and given my great state of health otherwise, and very low risk for complications, a cardioversion is agreed to. That would happen immediately after first doing a Tee (transesophageal echocardiography) to look at the back of my heart. Then if all looks clear, no clotting, proceed with the cardioversion procedure. 3:00 pm., anesthesiologist asks if I have any further questions. I didn?t. He sedates me. At 3:17 pm. I open my eyes, see the cardiologist standing at the foot of the gurney giving me thumbs up. I returned the thumbs up and said to him, ?good job.? Heartbeat successfully restored to normal rhythm by the cardioversion procedure. 6:00 pm. (approximately) - Discharged from hospital with prescription for Eliquis and Lopressor, and instructions for follow up appointments with primary care physician, and with cardiologist.

Other Meds: NO prescription medications. Dietary supplements: apple cider vinegar, vitamin C, 81 mg aspirin 3x per week, biotin, Centrum Silver multivitamin, vitamin D3, Co-Q10, fish oil capsules, kelp capsule, magnesium malate, melatonin, glucosamine

Current Illness: None. In great health.

ID: 1042527
Sex: M
Age: 75
State: AL

Vax Date: 02/15/2021
Onset Date: 02/16/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: NONE

Allergies: none known

Symptoms: After 2nd dose of Moderna Covid-19 vaccine, the next morning (February 16, 2021) around 4AM started having chills. Then around 6AM, vomiting started and lasted until around 10:30AM. From 6AM until 2PM, experienced extreme tiredness and weakness. Injection site sore and red around site. No treatment required. Drank fluids to keep from getting dehydrated. After about 36 hours, seemed to be back to normal.

Other Meds: lisinopril, aspirin, omeprazole, atorvastatin

Current Illness: recovering from rotator cuff surgery ll/23/2020

ID: 1042528
Sex: F
Age: 61
State: OR

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

Lab Data: Unknown. Asking House Supervisor for name of treating ED physician.

Allergies:

Symptoms: 15 minutes after receiving Pfizer 2nd dose COVID-19 vaccination developed swelling of tongue, stridor and respiratory distress. EPI pen administered right away and employee was transported to ED stat by rapid response team.

Other Meds: Unknown

Current Illness: Unknown

ID: 1042529
Sex: M
Age: 58
State: MN

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

Lab Data: No lab, just checked pulse

Allergies: None

Symptoms: Rush of hot flash through chest and throat. Rested until subsided for at least 10 minutes. At 30_35 minutes had a rapid fluttering in my chest. Once home 45 minutes after shot my wife who is a medical aide checked pulse at 130bpm. 4 hours after shot down to 104bpm

Other Meds: None

Current Illness: None

ID: 1042530
Sex: F
Age: 84
State: TN

Vax Date: 02/13/2021
Onset Date: 02/16/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Three days following injection I developed a red and swollen lump in my arm near the injection site. The swollen area was warm, itchy, and achy. It persisted for three days though gradually diminished. I continued to feel fatigued and slightly ill during this time.

Other Meds: Amlodopine 5 mg; furosemide 20 mg.; Klor-Con M10; Levetiracetam 1000 mg. Pulmcort; Fluticason Propionate Occuvite; Calcium and Vit D, Claritin, low dose aspirin

Current Illness: None

ID: 1042531
Sex: F
Age: 70
State: TX

Vax Date: 02/10/2021
Onset Date: 02/17/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: None

Allergies: IVP dye (iodine), Penicillin, Floxin, Biaxin

Symptoms: I didn't notice anything other than the kind of pain I get after a flu shot. On Wednesday, a week after the shot, the area on my arm began itching and I noticed a red 2" circle around the injection site. Today, Friday, it has grown to 4". It is sore to the touch.

Other Meds: Vitamins, Ibuprofen when needed, Azelastine HCI.0.1%, Estradiol Vaginal Cream USP 0.01%

Current Illness: Allergies to pollen

ID: 1042532
Sex: F
Age: 60
State: CA

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: tongue tingling

Other Meds:

Current Illness:

ID: 1042533
Sex: F
Age: 66
State: VA

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

Lab Data:

Allergies: Pepper, Codeine

Symptoms: Flushing, dizziness, nausea, headache, weird taste in the mouth. muscle ache.

Other Meds:

Current Illness:

ID: 1042534
Sex: F
Age: 72
State: NY

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

Lab Data: Saw dr but no tests done

Allergies: Penicillin and nsaids

Symptoms: Tingling in groin area, tongue, neck, chin and finger right after injection. Went away in about 15 min. 6 hrs later got hot spot burning under my skin in my chest, under my left arm pit to elbow and neck and lower legs. This continues when I get anxious. Like a sunburn just under the skin

Other Meds: Topomax, propranolol, valtrex, citalopram, baclofen,, primidone, vit b12, D3 2000, calcium 600,, multi vit, prolix, fosfomycin, flomax, Botox injections for tremors

Current Illness: None

ID: 1042535
Sex: F
Age: 67
State: NJ

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

Lab Data:

Allergies: Theophyllin

Symptoms: Modern covid-19 vaccine EUA Achy-ness; fatigue; slight headache. Tylenol for the first 24 hours (beginning 12 hours after injection). Lasted approximately 24 hours

Other Meds: Losartan, diltiazem; propafenone;vitamins D.,C and Zinc;baby aspirin; progesterone; estradiol patch

Current Illness:

ID: 1042536
Sex: F
Age: 48
State: MI

Vax Date: 02/18/2021
Onset Date: 02/18/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: All tests were completed by emergency on 2-18-2022. I had a CT angiography head neck with IV contrast, blood work, and a urine analysis. All tests were normal.

Allergies: Cefzil, Augmentin

Symptoms: I received my 2nd vaccine at 3:24pm. Around 3:30, I had a bitter taste in my mouth in the back of my throat. I didn?t associate this with the vaccine. I left the facility around 3:45pm and started driving home. The right side of my face started to feel funny and felt numb. By the time I got home at 4:20, the whole side of my face felt numb. I could smile and talk. It felt like I had received Novocain from the dentist. I immediately started looking for phone numbers to call and tried to figure out what was happening. I left a message with a nurse hotline and left a message with the answering service at my primary care doctor?s office. Doctor FaceTimed with me for 7 minutes at 5:04 and said to go to the hospital.

Other Meds: Aimovig, Venlafaxine, Minastrin 24, Vitamin D, Zinc

Current Illness: None

ID: 1042537
Sex: F
Age: 32
State: IN

Vax Date: 02/09/2021
Onset Date: 02/18/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Red, circular rash; slightly raised appearing approximately 10 days after vaccination; not painful or itchy

Other Meds: Sprintec Ceterizine 10mg Multivitamin

Current Illness:

ID: 1042538
Sex: F
Age: 56
State: IL

Vax Date: 02/11/2021
Onset Date: 02/19/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: None

Allergies: Amoxicillin

Symptoms: Covid arm. 1.25 inches red lesion around the injection site. When I touch it I feel little pain, itching and it is much warmer than my skin.

Other Meds: None

Current Illness: None

ID: 1042539
Sex: M
Age: 80
State: CA

Vax Date: 02/16/2021
Onset Date: 02/17/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: fever of 102, chills, headache

Other Meds: Bisoprolol Eliquis Spironolactone Atorvastatin Didoxin

Current Illness:

ID: 1042540
Sex: F
Age: 51
State: MI

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

Lab Data: None

Allergies: Bactrim,

Symptoms: Large red hard knot at injection site. Redness approximately 2 inches long 1 inch wide, warm to touch, itchiness, headache. Headache started at approximately 2-3 hours post shot. Red, hard knot began the next day and lasted approximately a week. Also chills and extreme fatigue began the next day which lasted a day and a half.

Other Meds: Metoprolol, Rosuvastatin Calcium, Ropinirole, Ozempic, Mirtazapine, Melatonin, Probiotic , Tylenol,

Current Illness:

ID: 1042541
Sex: F
Age: 36
State: IL

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

Lab Data: CBC was completed on 2/14. Slight increase in wbc , which pcp felt was due to steroids, otherwise labs normal.

Allergies: No known allergies but tend to have reaction to detergents.

Symptoms: Around 15 minutes after the injection my ear was red/hot. By the late evening I was itching.on 2/6 I had a migraine with nausea that went away Sunday. The itching continued Saturday2/6 and Sunday 2/7. I had experienced covid arm with the first injection. On 2/7 my pcp prescribed prednisone 2x a day for 5 days and to continue taking Benadryl. When itching, I would get blanching/broken blood vessels on my stomach and breasts. . I would also get hives at times. On 2/14 I went to the Clinic due to the itching/hives. I was prescribed a methyl prednisone taper pack and to continue Benadryl. On 2/16 I experienced increase heart rate, flushing and high blood pressure. I also had raised hives that covered my entire back. The hives seem to come and go and occur at random locations on my entire body. I continue to itch today. I am no longer taking a steroid but continue with Benadryl every 6 hours. Once the 6 hours passes, the itching returns and hives.

Other Meds: Gummy multi vitamin, Yaz generic birth control

Current Illness: None

ID: 1042542
Sex: F
Age: 35
State: NC

Vax Date: 02/12/2021
Onset Date: 02/19/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: 2/19/21 7 days after 1st dose. Late reaction at injection site. Swollen, itchy, hot to touch red lump size of a penny as of right now. Also, axillary pain/sligh edema. (Left arm same arm of vaccine). Self monitoring.

Other Meds: None

Current Illness: None

ID: 1042543
Sex: F
Age: 78
State: CA

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: none

Allergies: Penicillin, sulfa

Symptoms: 8-10 hrs post injection (this was the second dose) nausea, fever, chills, diarrhea, headache, weakness, dizziness, could not get out of bed or stand.

Other Meds: Premarin, labetalol

Current Illness: none

ID: 1042544
Sex: F
Age: 80
State: AZ

Vax Date: 02/03/2021
Onset Date: 02/08/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: Mammogram 2/8/2021 and Ultrasound 2/16/2021

Allergies: none

Symptoms: Prominent Large lymph nodes in the left Axillary .

Other Meds: Levothyroxine, Rosuvastatin

Current Illness: none

ID: 1042545
Sex: F
Age: 21
State: MI

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

Lab Data:

Allergies:

Symptoms: Diarrhea, fatigue, & headache approx 4.5 hours after vaccine

Other Meds: Celexa 40mg QPM

Current Illness: UTI last dose of ABX was 02/14/2021

ID: 1042546
Sex: F
Age: 77
State: FL

Vax Date: 02/11/2021
Onset Date: 02/18/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies: Sulfa, iodine, shellfish

Symptoms: Covid Arm. Red, swollen and itchy. Lethargic. Started approximately 7 days after Moderna vaccine injection.

Other Meds: Blood pressure

Current Illness: None

ID: 1042547
Sex: F
Age: 66
State: NC

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

Lab Data:

Allergies: Na

Symptoms: Swollen itchy rash several days after vaccine around injection spot for 2nd shot. No reaction after 1St shot on ja 21.

Other Meds: Prozac Zantac

Current Illness: Na

ID: 1042548
Sex: F
Age: 71
State: CT

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

Lab Data:

Allergies:

Symptoms: Hands turned bright red. Went to Emergency room Blood pressure was high.

Other Meds:

Current Illness:

ID: 1042549
Sex: M
Age: 56
State: MD

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

Lab Data:

Allergies: unknown

Symptoms: Patient complained of headache after receiving first dose; blood pressure monitored and was elevated. Patient was evaluated in the urgent care department and later discharged.

Other Meds: unknown

Current Illness: hypertension

ID: 1042550
Sex: F
Age: 44
State: CA

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

Lab Data:

Allergies: erythromycin based

Symptoms: s/p injection c/o tingling left side of neck, jaw, and below eye. Resolved with no intervention

Other Meds:

Current Illness:

ID: 1042551
Sex: M
Age: 61
State: IL

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

Lab Data:

Allergies:

Symptoms: No adverse effect, like a side effect, but I was instructed by Moderna to do a VAERS for an administration error. Patient recieved an invalid dose due to my syringe not being properly tight enough with safety needle packaged with syringe. Moderna COVID dose went outside the the syringe out the side in opening between the needle and syringe and not into the patient's deltoid IM like it was supposed to.

Other Meds:

Current Illness:

ID: 1042552
Sex: M
Age: 65
State: MO

Vax Date: 02/18/2021
Onset Date: 02/19/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: PATIENT CALLED PHARMACY ON 2/19/21 WITH BODY ACHES, NAUSEA, HEADACHE,AND FEVER OF GREATER THAN 100

Other Meds:

Current Illness:

ID: 1042553
Sex: F
Age: 39
State: AL

Vax Date: 01/06/2021
Onset Date: 01/11/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: CBC, thyroid panel, chemistry panel, folate, B12 MRI brain, C spine and Thoracic spine with and without contrast EKG

Allergies: NKDA

Symptoms: Ascending tingling that began in left foot and spread to bilateral upper legs/saddle within 30 minutes, bilteral arm tingling began 2 days later, still with random paresthesia of all extremities; 5 weeks post 2nd dose developed episodes of tachycardia, rapidly increase in BP, feeling of brain fog, pressure on head - episodes last for 5-6 hours and resolve spontaneously

Other Meds: Breo, QVAR, Nascort, Loratadine, Cryselle, Gummy multivitamin, Plexus Microbiome

Current Illness: None

ID: 1042554
Sex: M
Age: 79
State: AK

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: day after vaccine was administered to this Long Term Care resident, his arm was noted to have a rash over 22cm X 16cm area at the injection site. It became red, warm and painful. The redness and rash lasted approximately 4 days. Provider was consulted for evaluation.

Other Meds:

Current Illness:

ID: 1042555
Sex: F
Age: 56
State: CA

Vax Date: 02/18/2021
Onset Date: 02/19/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Woozy, high fever (100-102), body aches, chills, headache, congestion, joint pain, blurry eyesight, lethargy, pain at injection site.

Other Meds: None

Current Illness: None

ID: 1042556
Sex: F
Age: 73
State: WI

Vax Date: 02/13/2021
Onset Date: 02/14/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: on Saturday feb 13 2021 pt received covid 19 vaccine and next day morning at 8 am she woke up with Bells palsy

Other Meds: none

Current Illness: hyperlipidemia

ID: 1042557
Sex: M
Age: 31
State: TX

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Chills, Weariness and headache. After those symptoms subsided, my neck spasmed and locked up. Still a little tight a week and a half after second dose.

Other Meds:

Current Illness:

ID: 1042558
Sex: M
Age: 48
State: MN

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Swelling under left armpit. Believe swollen lymph node. Sore for about 3 days. Today is one week after vaccine, swelling is still present but no longer hurts.

Other Meds: Lisinopril, fexofenadine

Current Illness: None

ID: 1042559
Sex: F
Age: 71
State: NY

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

Lab Data: None. I felt fine after about 30 hours.

Allergies: Lisinopril

Symptoms: At about 9:30 pm I started getting chills. I went to bed and had a terrible night of severe chills, thirst and I think that I had a very high fever along with severe muscle aches. I was up and down the entire night feeling terrible with the severe chills. The next morning I felt better but I still had bad muscle aches. At about 2pm I took my temperature and it was 101.Bt 8Pm I was feeling much better and the aches were gone I did nit take any Advil or Tylenol because the nurse told me to fight it out if I could. If I couldn?t she said to take it &call my dr. I believe my fever during that first night was probably very high

Other Meds: Valsartan 80mg OD METOPROLOL 25mg OD

Current Illness: None

ID: 1042560
Sex: F
Age: 42
State: TX

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies: N/A

Symptoms: Itching bumps on the lower back, later developed itching burning 2 in rash on left side of waist.

Other Meds: Tylenol

Current Illness: N/A

ID: 1042561
Sex: F
Age: 69
State: CA

Vax Date: 01/24/2021
Onset Date: 01/24/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: WBC count low (no date available)

Allergies: Demerol, penicillin, walnuts, peanuts, latex

Symptoms: Swelling, itching at injection site and hand for 3 weeks, dizziness, chills, fever of 102F, severe nausea

Other Meds: No medication history available

Current Illness: no medical history available

ID: 1042562
Sex: F
Age: 52
State: CA

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: vaccine c/o nausea, dizziness, pressure on left side of neck

Other Meds:

Current Illness:

ID: 1042563
Sex: F
Age: 41
State: OR

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: Na

Allergies: None

Symptoms: Chills, headache, joint pain, nausea,

Other Meds: Na

Current Illness: No

ID: 1042564
Sex: F
Age: 42
State: PA

Vax Date: 02/04/2021
Onset Date: 02/19/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies: Erythromycin, latex

Symptoms: Developed shingles

Other Meds: Daily vitamin

Current Illness: None

ID: 1042565
Sex: M
Age: 73
State: CA

Vax Date: 02/05/2021
Onset Date: 02/14/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies: hay fever, amoxicillin

Symptoms: Patch of erythema around injection, pinkish red and itchy

Other Meds: amlodipine

Current Illness: hypertension

ID: 1042566
Sex: F
Age: 67
State: CA

Vax Date: 02/16/2021
Onset Date: 02/17/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Extreme pain in both ears. Sore throat, swollen tonsils, strong headaches, foggy vision that comes and goes.

Other Meds: Trulicity, ibuprfen 600, rubastatin, talmasartan, magnesium , zinc, daily multivitamin.

Current Illness:

ID: 1042567
Sex: F
Age: 74
State: FL

Vax Date: 02/01/2021
Onset Date: 02/17/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies: Codeine, soy, aspirin

Symptoms: Delayed response ... swollen arm and rash at site .. 8 days after vaccine was given

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm