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: 1043249
Sex: M
Age: 27
State: NC

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

Lab Data: N/A

Allergies:

Symptoms: Patient received Pfizer vaccine today after initially receiving the Moderna vaccine at another site on 29 January 2021. Event possibly due to patient knowledge deficit/lack of awareness and staff member error in the screening process. No adverse reactions noted. Event reported to Agency. Patient follow up as warranted.

Other Meds:

Current Illness:

ID: 1043250
Sex: F
Age: 77
State: VA

Vax Date: 02/03/2021
Onset Date: 02/15/2021
Rec V Date: 02/20/2021
Hospital:

Lab Data: N/A

Allergies: Shell fish products

Symptoms: red rash back of the neck, back of the left shoulder, then the front of the right shoulder. Muscles in these areas are sore. Now in the second week of the rash. Rash starts as a small red spot, enlarges to the size of a silver dollar. Seems to form a granulated surface.

Other Meds: Thyroid meds, Trelegy inhaler 100/mcg/62/5/25mg

Current Illness: NONE

ID: 1043251
Sex: M
Age: 62
State: SC

Vax Date: 02/18/2021
Onset Date: 02/19/2021
Rec V Date: 02/20/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Fever, headache, chills, rapid heart rate, fatigue, slightly lowered oxygen

Other Meds: Vitamins and probiotic

Current Illness: Covid 19 3 weeks before 2nd vavcine

ID: 1043252
Sex: F
Age: 45
State: CA

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

Lab Data:

Allergies: none

Symptoms: 12:48 Pt. arrived in observation area post injection with numbness in jaw( bilateral ) and tingling of tongue."Some swelling of tongue" stated by pt. 12:49 Vitals taken,(BP 166/100, O2sat.98, HR 74, respirations 22) Field supervisor notified and present. 12:50 Clinical assessment done -no respiratory distress but anxiety ,no increase in symptoms. Stayed with pt. for 30 mins as symptoms resolved within this time frame.All symptoms resolved before pt. was released. Pt. had passenger who could be with her for the rest of the day. Pt. was instructed to call EMS if symptoms returned. 1320 Pt. felt comfortable driving and left the clinic.

Other Meds: High blood pressure med , name unknown, dose 50 mg.qd

Current Illness: hypertension

ID: 1043253
Sex: F
Age: 41
State: TX

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

Lab Data:

Allergies: Seasonal, pet

Symptoms: Headache, fatigue, light headedness

Other Meds: Zyrtec, spironolactone, montelukast, symbicort,

Current Illness:

ID: 1043254
Sex: F
Age: 85
State: NE

Vax Date: 02/08/2021
Onset Date: 02/19/2021
Rec V Date: 02/20/2021
Hospital:

Lab Data:

Allergies:

Symptoms: patient complained of redness at the site of injection as well as itchiness

Other Meds: N/A

Current Illness: N/A

ID: 1043255
Sex: F
Age: 61
State: NC

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

Lab Data:

Allergies: no known allergies

Symptoms: Patient presented for COVID vaccination today, first dose. Prior to receiving dose, she mentioned to RN that she has a history of vasovagal syncope following her shingles vaccine. She routinely has flu vaccines without any adverse reaction. RN requested I standby and observe while patient receives vaccine. Within minutes of receiving vaccine, patient endorses prodromal symptoms lightheadedness, hot flashes, then lost consciousness while seated in the chair. After approximately 1 minute, the patient did regain consciousness. She was given orange juice and crackers and felt well enough to ambulate to a chair in the observation area. Vital signs were WNL and she was monitored closely in the observing area. She continued to complain of "queasiness" often stating that she just feels that she would like to go lay down and nap in her car. Rechecked her blood pressure which dropped to 94/64, patient states she usually runs low but systolic within the low 100's. She was taken to a private hallway where she laid down on a stretcher. Blood sugar checked reading 121. She was given more water but she was uninterested in any more food, as she questions if the orange juice and the crackers were the cause of the queasiness. Blood pressure was rechecked and she was again WNL. Given her persistent fatigue and "queasiness", team lead contacted ED charge nurse to discuss case. The recommendation was to have the patient further evaluated. Discussed with team lead, and it was agreed upon that this was best course of action given her persistent symptoms. EMS was called. Per EMS report, patient's blood pressure did rise which patient attributed to excitement/anxiety surrounding the situation. Patient ultimately declined EMS transfer to ED. Her husband arrived to drive her home. Discussed the importance of monitoring symptoms for the next 48 hours. If she has any worsening "queasiness", weakness, fatigue, nausea/vominting, throat swelling, wheezing, dyspnea then she is to call 911 immediately. Patient verbalizes understanding and is agreeable to emergency services should any of these problems occur.

Other Meds: n/a

Current Illness: denied

ID: 1043256
Sex: F
Age: 80
State: AZ

Vax Date: 02/13/2021
Onset Date: 02/13/2021
Rec V Date: 02/20/2021
Hospital:

Lab Data: Have not seen anyone about this problem.

Allergies: penicillan, codeine, latex

Symptoms: Red and warm area on left arm size of lemon that formed at the bicep level. Noticed this occurence on 2/14/21 . In a few days a minor rash developed as well, with this red area. As of 2/19/21, the area became itchy. I applied cortizone 10 to help relieve the itch, but it has not had any effect -- actually seems to be more irritated ?

Other Meds: levothyroxine, digestive enzyme, multivitamin, zinc , B50, D, potassium + magnesium,

Current Illness:

ID: 1043257
Sex: M
Age: 70
State: PA

Vax Date: 02/09/2021
Onset Date: 02/19/2021
Rec V Date: 02/20/2021
Hospital:

Lab Data:

Allergies: Penecillin, Daypro, Lumigan, Iodine, Betadine, Xalatan, Reglan, Grass pollen, Pine Tree Pollen, Molds

Symptoms: Severe itching especially in hands, feet, and back. Treated with Benadryl and cortisone 2% cream. Very dark orange urine.

Other Meds: Allegra, Lisinopril, Lexapro, Vitamin D, Vitamin C, Tylenol, Combivent, Flovent, Dorzolamide, Nasacort, Gamunex IVIG

Current Illness:

ID: 1043258
Sex: F
Age: 69
State: AZ

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

Lab Data: none

Allergies: none

Symptoms: No signs or symptoms developed during patient's 15 min observation

Other Meds: unknown

Current Illness: Unknown

ID: 1043259
Sex: F
Age: 73
State: CO

Vax Date: 02/13/2021
Onset Date: 02/13/2021
Rec V Date: 02/20/2021
Hospital:

Lab Data: None

Allergies: Allergies to most antibiotics , aspirin, hydrocodone, statins, eggs, insect stings, and grass pollen

Symptoms: 1st COVID Vaccine given on 2/13/2021 and 30 minutes after receiving burning , tingling, and then numbness in left side of face and lips. As of 2/20/2021 I still have numbness in the left cheek. I spoke to a doctor and they had no advice to give me because she said that the drug is new.

Other Meds:

Current Illness: None

ID: 1043260
Sex: M
Age: 78
State: NY

Vax Date: 02/18/2021
Onset Date: 02/19/2021
Rec V Date: 02/20/2021
Hospital:

Lab Data:

Allergies:

Symptoms: On the next day I had shaking chills but no fever.

Other Meds:

Current Illness:

ID: 1043261
Sex: F
Age: 65
State: CA

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

Lab Data: EMS called, ECG completed

Allergies: Penicillin - Anaphylaxis

Symptoms: PT was SOB after vaccine, seemingly related to anxiety.

Other Meds: Nebivolol, Prilosec

Current Illness:

ID: 1043262
Sex: F
Age: 71
State: CA

Vax Date: 02/18/2021
Onset Date: 02/18/2021
Rec V Date: 02/20/2021
Hospital:

Lab Data: none

Allergies: Penicillin

Symptoms: I received my first dose of Moderna Covid Vaccine about 10;20 am on Feb 18, 21. BY afternoon my arm hurt at injection site but otherwise I had not noticed any reaction. When I went to bed I had no reason to examine my body in a mirror. At 5:30 am Feb 19 when I was getting dressed I saw a large flat red rash covering the top portion of my chest on both side, wider area on the right side where I received shot. It did not itch. I had no other symptoms on the list. However I had the beginnings of a migraine. I took the migraine medication about an hour later (which interacts with a large number of meds). I monitored the rash and it faded gradually and was gone by evening. I have no idea when it began since I did not look in the mirror the day of the 18th.

Other Meds: synthroid 75mcg; desvenlafaxine 25mg; hydrodcodone 1/2 tab of 10/325

Current Illness:

ID: 1043263
Sex: F
Age: 70
State: NY

Vax Date: 02/14/2021
Onset Date: 02/15/2021
Rec V Date: 02/20/2021
Hospital:

Lab Data:

Allergies: Allergic to Betadine

Symptoms: Fasting Blood sugar - 141 on 2/15 - 6 AM. Fasting Blood sugar - 124 on 2/16 - 6AM, 2/20 - Blood sugar - 183, 2 hours after eating. 2/15 - Fever 100.1 and agitation all day and high pulse all day

Other Meds: Vitamin D, Magnesium, Calcium, Vitamin C

Current Illness: none

ID: 1043264
Sex: F
Age: 67
State: MS

Vax Date: 02/10/2021
Onset Date: 02/17/2021
Rec V Date: 02/20/2021
Hospital:

Lab Data: None

Allergies: Sulfa

Symptoms: Intense itching, puffiness, redness surround injection site began exactly two weeks after taking shot. Applied hydrocortisone cream 2.5% and took Benadryl which lessened itch. Much better on third day with only slight itch. Still have some redness and puffiness.

Other Meds: Omeprazole, hydrochlorothiazide, gabapentin, Premarin, diclofenac, baby aspirin, multi vitamin, calcium, biotin, hair, skin, nail vitamin, magnesium, potassium, super b, collagen, melatonin.

Current Illness: None

ID: 1043265
Sex: M
Age: 40
State: PA

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

Lab Data:

Allergies: cortisone tablets - sensation of throat swelling in past

Symptoms: Sensation of throat swelling, tingling in legs, nausea, flushing.

Other Meds:

Current Illness:

ID: 1043266
Sex: F
Age: 61
State: NV

Vax Date: 01/13/2021
Onset Date: 01/22/2021
Rec V Date: 02/20/2021
Hospital:

Lab Data: None

Allergies: Iodine Contrast

Symptoms: Large Red elongated area about the size of a stretched tennis ball on left arm around injection site - hot to the touch - iced off/on for 2days and subsided in temperature and size. Could not report on v-safe because my phone will not accept verification code by test for some reason and app did not allow verification by email unfortunately.

Other Meds: Norvasc, Wellbutrin, Famotadine, vit D, Vit C/B/Zinc immune combination

Current Illness:

ID: 1043267
Sex: F
Age: 46
State: MI

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

Lab Data: SEE ABOVE

Allergies:

Symptoms: Patient felt light headed after receiving the vaccine. Onsite EMS was called vitals BP 137/87 Blood Sugar HR 76. asked she about any allergies or meds she said none. She said she was feeling bettter. Patient left aginst medical advice .

Other Meds:

Current Illness:

ID: 1043268
Sex: F
Age: 68
State: MD

Vax Date: 09/09/2020
Onset Date: 09/09/2020
Rec V Date: 02/20/2021
Hospital:

Lab Data: None

Allergies: Penicillin, Mercury, Dental fillings, Thimerosal .

Symptoms: Patient experienced pain through entire shoulder, back and down the arm. Patient has limited range of movement from the shoulder as a result. Patient is experiencing physical pain throughout the region and has issues sleeping and with day to day activities (i.e. putting on clothes). Patient has claimed that the condition had worsened since September 2020 but has remained at a consistent level since.

Other Meds: Patient took some Tylenol to help with side effects of the vaccine.

Current Illness: Patient reports no other illnesses at the vaccination or for a month prior.

ID: 1043269
Sex: M
Age: 52
State: CA

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

Lab Data:

Allergies: None

Symptoms: None stated.

Other Meds: None

Current Illness: None

ID: 1043270
Sex: F
Age: 65
State: CA

Vax Date: 02/12/2021
Onset Date: 02/19/2021
Rec V Date: 02/20/2021
Hospital:

Lab Data: None

Allergies: Atenolol Erythromycin

Symptoms: On day seven, around 7:00 PM, my arm became very itchy, red, and bumpy. It had also been a bit swollen and hard all week. I put hydrocortisone cream on it and it helped a lot. As of now, the morning after, it is still red and itchy.

Other Meds: Ubiquinol

Current Illness: Currently being treated my endocrinologist for hypothyroidism. Not yet at correct level.

ID: 1043271
Sex: M
Age: 74
State: AZ

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/20/2021
Hospital:

Lab Data: None

Allergies:

Symptoms: Soreness at the injection site for about 3 days Diarrhea, began 02/11/2021, 10 AM and lasted through 02/13/2021, 5 PM.

Other Meds:

Current Illness:

ID: 1043272
Sex: F
Age: 72
State: CO

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

Lab Data:

Allergies: shrimp (shell fish) Penicillin Polymyxin B Budesenide Macrobid

Symptoms: Moderna Covid 19 Vaccine EUA Rt arm down to fingers hurt about 20 minutes after shot. BP went to 170/126, heart racing, clammy feeling, unwell 2 children's Bendryl taken , I stayed at facility for 1 1/2 hrs until my BP went down, EMT took BP., oxyimetry and heart rate during that time.

Other Meds: Toprol XL 12 and 1/2mg, candesartan 4mg, sertraline 25mg, cranberry cap, D3 5000 iu, zinc 30mg, Cal/Mag 500 mg, multi vitamin, ProBiotic , Curcumin, digestive enzymes

Current Illness: None

ID: 1043273
Sex: F
Age: 72
State: CA

Vax Date: 02/15/2021
Onset Date: 02/16/2021
Rec V Date: 02/20/2021
Hospital:

Lab Data: none- My Doctor was called and did not recommend any tests or labs.

Allergies:

Symptoms: Tuesday am: I woke up the next morning after the shot, feeling fine. I went to have my hair done around 10am and then by 11am it hit me hard. It began with vomiting and then I passed out. The next thing I recall I was on my home couch around 8pm feeling very weak. I'm told my husband came to get me.- It wasn't until today, Saturday, that I am starting to feel somewhat better. Still a little weak, but able to take of myself.

Other Meds: oxycotin, topamax, levothyroxine, escitalopram

Current Illness:

ID: 1043274
Sex: F
Age: 40
State: DE

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

Lab Data:

Allergies: None

Symptoms: Within 20 minutes of receiving my vaccine (2nd dose), I had a strange sensation in my left arm and flowing down into each of my fingers. It was not painful, just odd. Later that same night around 6pm (Friday), I could no longer stay awake and slept until the next morning. When I woke the next morning (Saturday), I experienced joint and muscle ache and complete fatigue and lethargy. I was unable to completely get out of bed until about 5:45pm that night. By the next morning (Sunday), I felt fine.

Other Meds: DepoProvera

Current Illness: None

ID: 1043275
Sex: F
Age: 73
State: OH

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 02/20/2021
Hospital:

Lab Data:

Allergies: Latex, dust and mold

Symptoms: Immediately after vaccination patient felt experienced stomach upset, then tingling around the mouth. No respiratory issues, but had facial flushing nd mild redness and swelling around the eyes with some itching. Benedryl capsule PO given and responded with in 15 minutes. Driven home by husband and advised to seek ER RX if needed. Advised not to seek 2nd does of vaccine.

Other Meds: Lisinopril, Lipitrol Gabapentin, and Seroquel

Current Illness:

ID: 1043276
Sex: F
Age: 69
State: FL

Vax Date: 02/18/2021
Onset Date: 02/19/2021
Rec V Date: 02/20/2021
Hospital:

Lab Data: None

Allergies: None known

Symptoms: Severe pain and itching in vaccinated arm. Large, round, red, swollen blotch at vaccination site.

Other Meds: Paxil, Magnesium, Vitamin B complex, Vitamin D, Probiotic, Presar Areds 2

Current Illness: None known

ID: 1043277
Sex: M
Age: 70
State: FL

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

Lab Data:

Allergies: None

Symptoms: Woke up every 1 1/2 hour all night. Sore joints, headache, body aches , tiredness, weakness,

Other Meds: Lorsartan amlodipine pantoprazole

Current Illness: None

ID: 1043278
Sex: F
Age: 66
State: CA

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/20/2021
Hospital:

Lab Data: none

Allergies:

Symptoms: Pain, tenderness, hardness at injection site for 7 days. Fatigue, muscle and joint pain for 36 hours. Full recovery from all adverse events.

Other Meds: Venlafaxine ER 75 mg cap Bupropion SR 100 mg tab

Current Illness:

ID: 1043279
Sex: F
Age: 74
State: CO

Vax Date: 01/30/2021
Onset Date: 02/05/2021
Rec V Date: 02/20/2021
Hospital:

Lab Data:

Allergies: Lipitor, Nickel

Symptoms: Patient present with growing, Red, rasied area L Upper arm beginning 6 days post Moderna COVID vaccine #1. Vaccine given 1/30/2021. Began with redness/itching on Fri 2/5/2021. Denies fever, no change energy - did a vigorous hike yesterday. Notes some itching. No pain. Never had reaction to any vaccine in past.

Other Meds:

Current Illness:

ID: 1043280
Sex: M
Age: 87
State: VA

Vax Date: 01/30/2021
Onset Date: 02/16/2021
Rec V Date: 02/20/2021
Hospital: Y

Lab Data:

Allergies: None

Symptoms: TIA like symptoms roughly 3 weeks after administration

Other Meds: Aspirin, metoprolol, Norvasc, Tylenol, Lipitor, senna, multivitamin

Current Illness: None

ID: 1043281
Sex: F
Age: 69
State: CA

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

Lab Data:

Allergies: Amoxicillin

Symptoms: Approximately 10.5 hrs after receiving the vaccinet, I completely lost control of my bladder function. Urine came out of my body and I was not able to control it. This lasted about 5 hrs.

Other Meds: Blood pressure and arthritis

Current Illness: Depression, asthma

ID: 1043282
Sex: F
Age: 79
State: IN

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

Lab Data:

Allergies:

Symptoms: Patient presented with shakiness/tremors about 15-20 min after receiving first dose of Moderna vaccine. Patient was alert and oriented. Patient representative stated patient does have issues with tremors, but not usually this bad. Patient rep also stated patient had history of heart issues and anxiety. Emergency services were called and patient was taken by ambulance for further evaluation.

Other Meds:

Current Illness:

ID: 1043283
Sex: F
Age: 80
State: CA

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 02/20/2021
Hospital:

Lab Data:

Allergies: Iodine Latex demerol

Symptoms: Got shot at 8:15am and got reaction at 9:45pm with violent chills-got into hot shower & got temp up to 95 degrees; went to bed with several blankets; temp went up to 100 degrees about 11pm with stomach ache, horrible headache, & loose stool; lasted all night all next day; day 3 Saturday 4am got up to pee dizzy & faint & fell into glass closet doors then into wooden door then to floor & broke nose & bruised several other areas besides face. Now 11am still dizzy & sick to stomach & loose stool so called CDC but no help so took meds on hand. Zofran 4mg & Loperamide 2mg.

Other Meds: 1 Zyrtec 2 Tylendol

Current Illness: None

ID: 1043284
Sex: F
Age: 47
State: AZ

Vax Date: 02/18/2021
Onset Date: 02/19/2021
Rec V Date: 02/20/2021
Hospital:

Lab Data: none

Allergies: mushrooms

Symptoms: my face swollen and painful

Other Meds: lexapro 20 mg,sprironolactone 150mg, amitriptyline 50mg, zinc, vitamin D,C, multivitamins, biotin,

Current Illness: no

ID: 1043285
Sex: F
Age: 92
State: MT

Vax Date: 02/18/2021
Onset Date: 02/19/2021
Rec V Date: 02/20/2021
Hospital:

Lab Data: None

Allergies: Nuts; citrus

Symptoms: Joint pains,Headache.Nausea,Tiredness low grade fever Time approximate 17 hours

Other Meds: Ibuprofen

Current Illness: None

ID: 1043286
Sex: F
Age: 38
State: OR

Vax Date: 02/14/2021
Onset Date: 02/15/2021
Rec V Date: 02/20/2021
Hospital:

Lab Data:

Allergies: Codeine

Symptoms: Fever 101.6, chills, sweats, nausea, muscle aches and pain, exhaustion,swollen itchy red ears, hives all over body

Other Meds: None

Current Illness: None

ID: 1043287
Sex: F
Age: 67
State: GA

Vax Date: 02/11/2021
Onset Date: 02/18/2021
Rec V Date: 02/20/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Nausea, throwing up (for 6 hours), dizzy, no fever, injection sight started to hurt Spoke with Drs office - Bed rest, liquids and Zofran (treated like a stomach virus) Drs office suggested I fill out this form since I had same symptoms exactly one week after first dose of vaccine

Other Meds: Synthroid, Cytomel , Calcium, Prednisone

Current Illness:

ID: 1043288
Sex: M
Age: 63
State: NV

Vax Date: 01/18/2021
Onset Date: 01/18/2021
Rec V Date: 02/20/2021
Hospital:

Lab Data: None yet

Allergies: None

Symptoms: Shoulder pain that does not subside and go away completely

Other Meds: None

Current Illness: None

ID: 1043289
Sex: F
Age: 74
State:

Vax Date: 02/05/2021
Onset Date: 02/19/2021
Rec V Date: 02/20/2021
Hospital:

Lab Data:

Allergies:

Symptoms: COVID-19 Vaccine EUA. Although the injection itself was very painful, my arm did not swell at first. I did feel weak following the shot, but that went away within 20-30 minutes. Exactly two weeks after I received the shot, I developed delayed cutaneous hypersensitivity. The morning I started having the reaction, my arm just itched. By the end of the day, I had started developing a rash which felt hard. The next day (today), the rash has grown to a few inches in size; however, it is not painful. Please note: correct birthdate is 08/03/1946. Have attempted multiple times to change it to the correct date on the form, but the form keeps switching it to 08/02/1946.

Other Meds:

Current Illness:

ID: 1043290
Sex: F
Age: 69
State: NY

Vax Date: 02/18/2021
Onset Date: 02/18/2021
Rec V Date: 02/20/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 10 pm Feb 18th, the evening of the vaccine I started having body aches, uneasiness, tiredness and possibly a slight fever which lasted thru fri, Feb 19.

Other Meds: pravastatin 40mg

Current Illness: intestinal cramps, diarrhea, vomiting, pain in abdomen from intestinal virus (1 week prior)

ID: 1043291
Sex: M
Age: 56
State: FL

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/20/2021
Hospital:

Lab Data: None at this moment

Allergies: None

Symptoms: About 9 days after first dose I started to notice hives and redness on both side of my stomach, on both front lower legs and arms. Went to primary care Dr and he said he didn?t know we?re it came from but to take allergy med. which I have been doing and it started to clear up some but then I got my second dose and it really came on after that. It is not really a itch rash but taking a shower seems to make it worse and itchy. It has not gotten any better and seems to burn a little bit at times. I plan on giving it another week are so and if not better will be going to dermatologist. As far as I can remember I have never had a rash besides poison oak. I do not nor can I find any information online about a rash starting several days after vaccine unlike the allergic reaction some people are having soon after receiving vaccine. So it does have me a little worried mainly because I do not know what it is but I?m pretty sure it is from the vaccine considering the fact it started 9 days after first dose and never really went away and the second dose seems to have aggravated it to we?re it is worse.

Other Meds: None

Current Illness: Had rash from first vaccine that never really went completely away. Second dose seemed to aggravate it more

ID: 1043292
Sex: F
Age: 54
State: OH

Vax Date: 01/26/2021
Onset Date: 02/02/2021
Rec V Date: 02/20/2021
Hospital: Y

Lab Data: Echocardiogram x2, Cardiac Catheterization, lab draws

Allergies: Allergy to PCN

Symptoms: I have a complete timeline of my series of events. I believe the Moderna, dose 1 may have contributed to my current medical diagnosis of severe Cardiomyopathy, EF 12, L bundle branch block. I would like for someone to look into this possibility. I am an O positive individual who has never been positive for CoVid-19. I have also been anti-body tested twice with no positive antibody results. Please call me if there is any relationship for cardiomyopathy and the Moderna vaccine. I have done a lot of research and am seeking any further information to help with my present medical condition.

Other Meds: Apple cider vinegar, b-complex vitamin, calcium, ceterizine, hctz 50mg po qd, Avapro 300mg po qd, Asa 325mg po qd, Myrbetiq 25mg po qd, tumeric oral, zinc oral.

Current Illness: Sinus, allergies-mold, Diastolic Htn

ID: 1043293
Sex: M
Age: 55
State: NJ

Vax Date: 02/11/2021
Onset Date: 02/16/2021
Rec V Date: 02/20/2021
Hospital:

Lab Data: None

Allergies: Bextra/Celebrex

Symptoms: 16-17 Feb: low fever (99.8), chills, headaches, dizziness, gas; no meds taken 18 Feb: intermittent abdominal pain for first 3 hrs upon waking, hasn't re-occurred, no meds taken 19 Feb: rash on chest, triceps, ankles, dissipated by end of day, no meds taken 20 Feb: upon waking had hives in groin area, inside of right arm, wrists, around waist area, dissipated after ~6 hrs, no meds taken 20 Feb: upper lip swollen, so far for 3.5 hrs, 25 mg Benadryl taken at 3 hr mark (1 hr ago), no impact yet

Other Meds: None

Current Illness: None

ID: 1043294
Sex: F
Age: 47
State: MI

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 02/20/2021
Hospital:

Lab Data: Have not done anything yet. Most likely will call my doctor

Allergies: none

Symptoms: started to get sore the same night of the shot. When I woke up in the morning I was getting stomach cramps (lasted for several hours), nausea, temperature, extremely tired, terrible body aches in arm pits, knees, groin area, neck, back, everywhere, Temperature of 100.4 chills. This lasted for 24 hours. Started to feel a little better, but then started to get pain in my neck, shoulder, and arm. The same side as the injection site. The neck on my right side was swollen and body ached. Saturday afternoon, 3rd day after the shot I am still experiencing body aches and my neck is sore on both sides.

Other Meds: welbutrin emgality straterra

Current Illness: none

ID: 1043295
Sex: F
Age: 57
State: WI

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/20/2021
Hospital:

Lab Data: NA

Allergies: NA

Symptoms: Soreness in the left arm/shoulder that required pain medication to tolerate. Back ache, muscle aches in legs, chills. I was scheduled to work the day after the second shot and worked the full shift with all the symptoms; we are a small facility and had no fill in coverage available, the fill in /prn staff quit working due to the pandemic due to over age 65 for one and another due to having an autoimmune disorder and not preferring to work.

Other Meds: D-mannose, multivitamin, calcium 600

Current Illness: NA

ID: 1043296
Sex: F
Age: 70
State: CA

Vax Date: 02/18/2021
Onset Date: 02/19/2021
Rec V Date: 02/20/2021
Hospital:

Lab Data: None

Allergies: Walnuts

Symptoms: Moderna COVID-19 Vaccine EUA Injection site swelling and redness. Extreme fatigue (slept 15 hours), frequent chills, bad headache, and nausea on1st day after shot. Lasted all day and into night. 2nd day after shot: Better- not as tired but still having some chills. Injection spot still swelled, red, and itching.

Other Meds: Losartan Protonix

Current Illness: Sinus Infection

ID: 1043297
Sex: M
Age: 70
State: FL

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 02/20/2021
Hospital:

Lab Data:

Allergies: IVP Dye; Clavulanic acid; Lactose

Symptoms: Feb 11: Sore arm at injection site that lasted about 10 - 12 hours. Feb 11: Was very tired in the afternoon and took a 2 hour nap; I do not usually take any naps. Feb. 12, afternoon: Temperature 100?F, mild sniffles similar to cold or pollen allergy, sinus headache; felt tired but not enough to nap. I took 2 aspirin. The fever subsided within an hour. I took 2 more aspirin every 6 hours on Feb. 12 and Feb. 13. Feb. 13: I still felt a little tired but not enough to take a nap. Outcome: The aspirin resolved the fever and it did not recur. The headache was very mild and I did not treat it after I stopped taking the aspirin on Feb. 13. The sniffles and mild cold symptoms went away after a few days and did not require any treatment.

Other Meds:

Current Illness:

ID: 1043298
Sex: F
Age: 43
State: TX

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

Lab Data: N/A

Allergies: None

Symptoms: Patient experienced Diaphoresis, Hypotension with Light headedness.

Other Meds: High blood pressure medication (unknown)

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm