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: 1057284
Sex: F
Age: 51
State: NY

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

Lab Data:

Allergies: NO KNOWN ALLERGIES

Symptoms: Patient was sitting for 10minutes when husband reported she started to slurr speech and inability to communicate Upon entering the room patient has head tilted against wall with arms and legs spread out Patient was responsive, but weak, reporting she felt paralyzed and couldn't open eyes Vitals taken, vitals we're stable Pulse ox-98%, BP-144/90, Pulse 90, glucose-110 After 5 minutes, patient was still weak, unable to open eyes, pupils had no response to light EMS called Hospital 1 hour post vaccine, symptoms have improved as per husband ER doctor told patient symptoms should resolve over course of day

Other Meds: N/A

Current Illness: NONE REPORTED

ID: 1057285
Sex: F
Age: 68
State: KS

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

Lab Data:

Allergies: Tree nuts

Symptoms: Sore arm, low grade fever, chills, headache

Other Meds:

Current Illness:

ID: 1057287
Sex: F
Age: 73
State: TN

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

Lab Data:

Allergies:

Symptoms: Patient called to report that the area of her arm that she was given the vaccine has turned pink. She was given the vaccine 15 days ago and had no redness/pink in the area until today. She stated that the only symptoms she had after the vaccine initially were low grade fever, site soreness. Patient states the pink area on her arm does not hurt or itch. It feels slightly warm to the touch. We advised the patient to report the reaction through V-safe, to take oral Benadryl, apply a cold compress, and take Tylenol or Ibuprofen if needed. She was also told to inform our staff or her primary care provider if her symptoms worsen or do not resolve within a few days.

Other Meds:

Current Illness:

ID: 1057288
Sex: F
Age: 68
State: KY

Vax Date: 01/04/2021
Onset Date: 01/11/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies: Penicillin family

Symptoms: I exp redness, swelling from shoulder to elbow (right arm) tenderness and no lymph nodes.The symptoms lasted 48 hours.

Other Meds: Lisinopril, Crestor, Aspirin, Vit D, Toprol

Current Illness: No

ID: 1057289
Sex: F
Age: 65
State: NC

Vax Date: 02/16/2021
Onset Date: 02/23/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies: penicillin, codeine, seasonal pollens/molds

Symptoms: On February 23 (1 week after 2nd vaccine), I experienced sudden onset of swollen lymph node in left side of neck and sore throat, headache, difficulty swallowing, fatigue, some sinus symptoms and stuffy ears. Today is February 26 and I am still experiencing the same symptoms, somewhat less intense than initially. I called my primary care doctor's office and was told by the receptionist that this was a reaction to the vaccine and should subside in a few days and if not to call back.

Other Meds: metoprolol, metformin, lisinopril, rosuvastatin, fluticasone propionate, fexofenadine

Current Illness:

ID: 1057290
Sex: F
Age: 67
State: FL

Vax Date: 02/10/2021
Onset Date: 02/19/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: None

Allergies: Penicillin

Symptoms: Red, blotchy, oval, slightly raised rash at injection site 9 days after injection, 2/19/21, did not itch, slightly warm to the touch, about 4" in diameter. No treatment taken. Disappeared on 2/24/21.

Other Meds: Diphenoxylate-Atrop, Dicyclomine, Estradiol, Progestrone, Vitamin D3, Vitamin B12

Current Illness: None

ID: 1057291
Sex: F
Age: 33
State: NY

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies:

Symptoms: First 2 days upset stomach, then throbbing brain and ear clogged. On Saturday, I began to have sporadic sharp pain to the left side of my head and also experiencing stiffness/soreness of the left side of my neck; at times painful in my left ear when I swallow. 2/23 nausea and abdominal pain. ER visit on 2/24, meds ciprofloxacin optic, cyclobenzaprine and lidocaine patches. 2/26 pain in the back of my head.

Other Meds:

Current Illness:

ID: 1057293
Sex: M
Age: 77
State: IL

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

Lab Data:

Allergies: None

Symptoms: Excessive, frequent urination for a 24 hour period following the second vaccination. Lost 5 lbs in 24 hours. This is in addition to the more normal reactions mentioned on web sites

Other Meds: Trazodone, Atorvastatin, Omeprazole, L-Thyroxine, Duloxetine

Current Illness: None

ID: 1057294
Sex: F
Age: 34
State: AL

Vax Date: 02/23/2021
Onset Date: 02/23/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Sore arm

Other Meds:

Current Illness: None

ID: 1057295
Sex: F
Age:
State:

Vax Date: 02/13/2021
Onset Date: 02/14/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies: Bactrim

Symptoms: first day i was fine and the 3nd day i had high fever 101.8 the whole day. my head ached, the 2nd day my fever went down to 99 later in the day and then my head still ached though and the weird thing the 3rd day my temp went down to 95.5 for a while then it went to normal the same day all 3 days i was very tired and weak

Other Meds: No

Current Illness:

ID: 1057296
Sex: F
Age: 78
State: WA

Vax Date: 02/17/2021
Onset Date: 02/25/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: None

Allergies: Dairy, codeine, narcotics, iodine

Symptoms: 2 in square pink skin area with some red dots, itching

Other Meds: Isopropyl, elitist stochastic wave, cit c + d

Current Illness: None

ID: 1057297
Sex: F
Age: 47
State: TX

Vax Date: 02/13/2021
Onset Date: 02/20/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: None

Allergies: Penicillin

Symptoms: Covid arm on injection arm - rash that itches and red circle around it and on my other arm I have itchy, hot, raised bumps

Other Meds: Trulicity, Xigduo, Armour, Claritin, Lisinopril, Metropol, Dexilant

Current Illness: None

ID: 1057298
Sex: M
Age: 80
State: PA

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

Lab Data: None. Just giving him Tylenol, using intermittent ice and moist heat.

Allergies: Gluten, tomatoes

Symptoms: Approx, 4 hrs after receiving 2nd dose, started c/o pain in the rt shoulder joint. Pain continues today. Pt. Cannot even raise his arm. I want to emphazie the pain is in the shoulder joint not in the muscle

Other Meds: Verapamil, Timolol, Hydralazine, Sodium Bicarb, Allopurinol, Tamsulosin, B12,Glucosamine

Current Illness: None

ID: 1057299
Sex: F
Age: 62
State: IL

Vax Date: 02/17/2021
Onset Date: 02/24/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: none

Allergies: none known

Symptoms: "covid arm" 7 days post vaccine: vaccine site red, raised, warm, itchy 2.6 inches wide and about 2 inches long

Other Meds: Metoprolol Rosuvastatin Escitalopram Lisonpril OTC: aspirin vit D zinc Vit C Co-Q 10

Current Illness: none

ID: 1057301
Sex: F
Age: 59
State: MI

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

Lab Data:

Allergies:

Symptoms: 59 year old female started shaking after receiving vaccine. On site Ems responded. Vitals BP 160/98 HR 76 100% O2 on room air She had taken her medications this morning. She recovered and went home.

Other Meds: HTN, Anxiety Meds

Current Illness:

ID: 1057302
Sex: F
Age: 74
State: NH

Vax Date: 02/10/2021
Onset Date: 02/14/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: A baseball-size red rash at the injection site

Other Meds: Vitamin Calcium Vitamin D Propafeone Eliquis L-Thyroxine Fenofibrate Lansoprazole Metoprolol

Current Illness:

ID: 1057303
Sex: F
Age: 58
State: PA

Vax Date: 02/22/2021
Onset Date: 02/23/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: None

Allergies: sulfa, cipro

Symptoms: I developed a fever of 102, queasiness (unable to eat), body aches, headache, and fatigue. On day three after the vaccine, the previously mentioned symptoms ceased but I developed a series of sores in my left nostril, sinus/headache, constant runny nose...almost like a sinus infection but with sores the entire canal, and a twitch in my left eye. It's day 4 now and it's painful and uncomfortable.

Other Meds: None

Current Illness: None

ID: 1057304
Sex: F
Age: 38
State: NY

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

Lab Data:

Allergies: aspirin, ibuprofen, penicillin

Symptoms: mild lower lip swelling

Other Meds:

Current Illness:

ID: 1057305
Sex: F
Age: 67
State: NJ

Vax Date: 02/24/2021
Onset Date: 02/24/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies: Lactose sensitive, Erythromycin - upset stomach

Symptoms: I felt okay after the receiving the vaccine, besides I felt tired and just wanted to sleep. I woke up at 4AM and felt tired so I went back to bed, I woke up again about 7-8AM and I felt tired but I felt okay. Shortly after I developed chills, achy, dizzy, had a headache, sweaty, fatigued, no appetite and my temperature was 99.6. I took Ibuprofen shortly after and 6 hours later I switched to Tylenol. I tired to sleep, but I felt uncomfortable. This morning my fever was broke. I still feel achy , headache, tired feeling, no appetite as of today. I am getting back to normal but only feel about 80% recovered.

Other Meds: Lorazepam .05 MG as needed for anxiety, Olmesartan Mexdoxomil 20 MG daily, Bupropion XL 120 MG daily, Multi-vitamin, Magnesium 40 MG daily, Vitamin C 1000 MG daily, Zinc 50 MG daily, Vitamin D3 2000 IU daily, as needed for IBS (Linzess 290

Current Illness:

ID: 1057306
Sex: F
Age: 49
State:

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies: Hayfever, gluten intolerance

Symptoms: It's been 2 weeks since I had the 2nd dose of the Moderna COVID vaccine. During the first 2 days, I experienced 'typical' side effects--chills, fatigue, joint and muscle pain, and a headache. However, there is one effect that still lingers. Ever since having the shot, I have had a stiff neck on the right side. Where it's stiff, there is also a pinkish-purplish 'stripe' underneath the skin on my neck, which runs from my right ear to my clavicle. It's a few centimeters wide.

Other Meds: none

Current Illness: none

ID: 1057307
Sex: F
Age: 68
State: MD

Vax Date: 02/15/2021
Onset Date: 02/24/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: none

Allergies: single episode of urticaria after slow-release niacin

Symptoms: Day 9 after vaccine - local itching, erythematous hot ~9x6 cm area at site on L arm. Fading after 3 days.

Other Meds: levothytoxine, triamterene/HCTZ, KCL, Omega-3/FIsh oil, Calcium/Magnesium/Zinc, Vitamin D, stool softener

Current Illness: none

ID: 1057309
Sex: F
Age: 26
State: NE

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

Lab Data: No additional testing or lab was performed at ED

Allergies: Penicillin

Symptoms: Swelling of face and eyes, watery eyes, itchy throat with tingling and numbness in lips and nose, itchy hands and ears. Was given PO Benadryl at medical clinic and sent to ED for further evaluation.

Other Meds: Pristiq, Lamictal, Strattera, Sprintec

Current Illness: None

ID: 1057310
Sex: F
Age: 58
State:

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

Lab Data:

Allergies:

Symptoms: rash 30 minutes after COVID #2

Other Meds:

Current Illness:

ID: 1057311
Sex: F
Age: 46
State: GA

Vax Date: 02/22/2021
Onset Date: 02/22/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies: Skin reactions to some medical tapes and adhesives

Symptoms: General itching over body with extreme itching of the scalp. Took Claritin and Benadryl to no avail. Prednisone alleviated symptoms a little. Used a steroidal skin cream and natural remedies the following day for final relief. Reported symptoms to doctor over telephone.

Other Meds:

Current Illness:

ID: 1057312
Sex: F
Age: 63
State: IL

Vax Date: 02/18/2021
Onset Date: 02/19/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: None

Allergies: Sulfa drugs Biaxin Dust mites Cedar trees

Symptoms: Brain fog. Memory lapses and confusion for several days.

Other Meds: Zyrtec Prebiotics Probiotics Melatonin

Current Illness: None

ID: 1057313
Sex: F
Age: 70
State: CA

Vax Date: 02/23/2021
Onset Date: 02/25/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies: Seasonal allergies

Symptoms: General malaise (slight nausea, headache, weakness) for first two days, but on second day the injection sight began itching, has hardened about a 2 inch diameter around injection sight, and feels painful when pressed down.

Other Meds: Zyrtec, Benedryl, Dexilant, Wellbutrin

Current Illness:

ID: 1057314
Sex: F
Age: 38
State: IA

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: None

Allergies: Promethazine Cefaclor Prochlorperazine Clindamycin Erythromycin Chlorhexidine Nitrofurantoin Monohyd/M-Cryst Sulfamethoprim Ds

Symptoms: Experienced severe fatigue, chills, headache, fever (100.8), arm pain; on 2/11/21 began experiencing runny nose, congestion, cough, sinus pain, and return of shortness of breath similar to recent COVID infection; reached out to the Hospitals and Clinics COVID clinic where I was followed during my COVID infection; they explained that due to the recent COVID infection, the reaction would be more severe; they could not re-test for COVID since the test would come back positive due to recent infection; the duration of symptoms lasted for approximately 1 week; the fever, arm pain, and headache resolved with 48 hours, but the runny nose, congestion, sinus pain, cough, and shortness of breath lasted for another week

Other Meds: escitalopram oxalate 10mg fluticasone-salmeterol 250-50 mcg/dose diskus inhaler verapamil 40 mg tablet BID acebutolol 200 mg capsule BID montelukast 10 mg tablet celecoxib 200 mg capsule BID famotidine 40 mg tablet BID

Current Illness: Developed COVID several days after first vaccination - (first vaccination was 1/13/21) - became symptomatic with COVID on 1/19/21 and tested positive on 1/26/21; also developed bilateral bacterial pneumonia treated with doxycycline and augmentin for 10 days

ID: 1057315
Sex: F
Age: 31
State: MA

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: diagnostic mammo and ultrasound bilaterally

Allergies: Penicillin

Symptoms: Initial lymphadopathy then BL breast pain

Other Meds:

Current Illness: No

ID: 1057316
Sex: F
Age: 44
State: MN

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: None

Allergies: PCN, sulfa, SSI?s, latex, and pea pods

Symptoms: About an hour after the injection, it felt like someone was injecting the right side of my brain with warm saline. Then I had a dull headache in that same area fir three days. Also, 18 hours after receiving the second dose, I experienced what felt like hot, electric bugs crawling throughout my hands and feet. My feet also felt very weak, like they couldn?t hold my body weight. This lasted for about 24 hours, and then resolved. I still occasionally experience the pins and needles sensation in my feet on and off. I also experienced the more common side effects, such as headache, extreme fatigue, muscle aches, and sore arm.

Other Meds: Omeprazole

Current Illness: GERD

ID: 1057317
Sex: F
Age: 29
State: CO

Vax Date: 12/23/2020
Onset Date: 12/23/2020
Rec V Date: 02/26/2021
Hospital:

Lab Data: 12/24/20 Took prednisone 30mg for two days. Was given a epinephrine breathing treatment at the ER

Allergies: Unknown

Symptoms: Around 10 minutes after the dose, I started feeling my throat close up, I could not concentrate and felt very dizzy. 20 minutes later I felt a sharp stabbing pain in right side of my throat and my chest/lung area. I started feeling itchy in that area as well. I started getting bumps all over. I took 2 puffs of my Symbicort, Benadryl, and Loratadine. I continued taking the Symbicort and Benadryl. I fell asleep siting up. By 12/24 I could not swallow and it would hurt my chest to breath so I decided to go to the ER.

Other Meds: None at that time

Current Illness: Cold, allergies, asthma induced allergies

ID: 1057318
Sex: F
Age: 36
State: NC

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

Lab Data: N/A

Allergies: foods (unsure of what kind), morphine, meperidine, promethazine

Symptoms: Pt stated that she had experienced a goose-egg type lump that developed one week after the 1st dose that was erythematous. We advised patient that we would want to observe her for 30 minutes after her second dose as a precaution. Second dose was administered at 11 AM and at 11:07 AM patient reported tingling in lips and tongue, which was going numb. Administered 50 mg Diphenhydramine at 11:07 and advised patient that we would like to watch her for a full 30 minutes after diphenhydramine administration. At 11:32 patient stated that she was feeling much better and that the numbness had subsided and the tingling was lessening. Patient decided to leave the room, however was nearby in the facility as she was working and stated if she started to feel anything abnormal that she would return to staff for treatment/supervision.

Other Meds:

Current Illness: unknown

ID: 1057319
Sex: M
Age: 68
State: CO

Vax Date: 02/23/2021
Onset Date: 02/27/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Bell's palsy

Other Meds:

Current Illness:

ID: 1057321
Sex: F
Age: 36
State: TX

Vax Date: 02/11/2021
Onset Date: 02/16/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: Hives that come and go, and last 5-10 minutes, relieved with hydrocortisone cream. Hives are random and appear on different parts of my body. Hives are very itchy.

Other Meds: Ocella, Topiramate, Spironolactone Daily vitamin Collagen powder

Current Illness: N/A

ID: 1057322
Sex: M
Age: 57
State: ND

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

Lab Data: None

Allergies: None

Symptoms: Fatigue; headache; muscle pain; joint pain; chills.

Other Meds: None

Current Illness: None

ID: 1057323
Sex: F
Age: 55
State: KY

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies: celery, Metronidazole

Symptoms: one day after my first vaccine, I started to feel muscular pain in my legs, it felt as if they were extremely sore. At first I though t it was due to a personal training session but then it would not go away (also I have been swimming for 7 month almost every day, so I should not get sore. Then about a day before the second vaccine everything went back to normal, now after the second vaccine I had the same symptoms (2/3/21 was the second dose) and they are still persisting. If I take Aleve Muscular Pain, they symptoms go away completely but come back as soom as the medication wears off. It feels like I am constantly sore, if I am active it is fine but once I sit or lay for extended periods of time I have a problem getting up.

Other Meds: calcium, multivitamin

Current Illness: none

ID: 1057324
Sex: F
Age: 38
State: CA

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

Lab Data:

Allergies: Allergic to beer and hard cider

Symptoms: Significant muscle pain in the upper left arm, slightly below injection site. Pain became noticeable about 3 hours after the injection. Pain becomes worse when the arm is used and is severe enough to somewhat limit mobility. Pain responded well to over the counter medication. Pain decreased somewhat overnight but is still present and mobility is still limited.

Other Meds: 50mcg of Vitamin D3, 500 mg of Cranberry extract, Sertraline 50 mg tablet, Claritin-D (12 hour)

Current Illness: None

ID: 1057325
Sex: F
Age: 59
State: TX

Vax Date: 02/24/2021
Onset Date: 02/24/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Moderna COVID-19 Vaccine EUA Fever, chills, Head ache, Nausea

Other Meds: Lutein, Zyrtec, elderberry

Current Illness: none

ID: 1057326
Sex: F
Age: 38
State: OH

Vax Date: 02/01/2021
Onset Date: 02/07/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies: sulpha drugs

Symptoms: sore arm (no pain medication taken for it) fatigue ( has not improved since injection) night sweats (has not improved since injection)

Other Meds: Prozac Multi vitamin Vitamin D3

Current Illness: no

ID: 1057327
Sex: F
Age: 72
State: IL

Vax Date: 02/18/2021
Onset Date: 02/18/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: no

Allergies: eggs, nuts, codeine, Vicodin, contrast dye- iodine base, penicillin, gabapentin, Fetzima, meloxicam, glycol, Ultram, Prozac, Celebrex, Demerol,

Symptoms: pt stated that the same day after getting the vax she developed neck pain, fever, joint pain in arms, hands and knees, a splitting headache, also had pain in her ears, face, and upper back. Next day the pain was worse. Pt contacted her PCP and was told to report to VAERS. She still has pressure in her head, eye, ear ache and cant do regular every day activities.

Other Meds: Vitamin D 2000mg, Magnesium, Zinc, Xanax, Dicyclomine 10mg,

Current Illness: no

ID: 1057328
Sex: F
Age: 59
State:

Vax Date: 02/18/2021
Onset Date: 02/25/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: None

Allergies: None known

Symptoms: Hardening of area; two red patches; tichy; appeared to harder further after massage of arm

Other Meds: Metformin 500mg twice a day; Atorvastatin 40mg; Aspirin81 mg; Vitamin D3 50mcg; Vitamin C 1000mg

Current Illness: No illnesses

ID: 1057329
Sex: F
Age: 76
State:

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

Lab Data:

Allergies:

Symptoms: During administration the patients providing nurse, reported that the syringe leaked from the barrel and estimated the patient received approximately 50% or less of the dose. After consulting with other clinical team members it was decided that the best course of action was to consider the amount given a dose. This was based on the fact that we had no way to identify the exact amount to be given to complete a full 0.5ml dose. The manufacturer, Moderna, was then contacted for further guidance on the situation. Moderna medical information stated that they have no current protocol regarding partial doses and that at this time receiving another dose or a dose in excess of the EUA recommended regimen has not been studied or recommended.

Other Meds:

Current Illness:

ID: 1057330
Sex: F
Age: 46
State: TX

Vax Date: 02/23/2021
Onset Date: 02/24/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies: levaquin, clindamycin, Scopalomine, Domperidone, Reglan

Symptoms: Very Sore Arm began after shot and continued through morning of 2/26. Day after shot (2/24), fever of 100.3, chills, extreme fatigue, bone pain, headache, neckache. Everything other than sore arm resolved by morning of 2/25.

Other Meds: Metoprolol, Lorazepam, Phenergan, Lexapro, Xarelto, Omeprazole, Cyanocobalamin, Potassium

Current Illness: COVID 1/15/21

ID: 1057331
Sex: F
Age: 64
State: MO

Vax Date: 02/24/2021
Onset Date: 02/26/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies: Sulfa, codeine, demerol, morphine, valium

Symptoms: Lot # 011L20A- patient reported L arm reddness, swelling and warmth. Lot # 031L20A- patient reported L arm reddness, swelling and warmth, along with palsy of the L side of her face.

Other Meds: blood thinners

Current Illness: na

ID: 1057332
Sex: M
Age: 78
State: CA

Vax Date: 02/11/2021
Onset Date: 02/15/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Arm red, warm, and swollen from shoulder down to hand. Right side lymph nodes also enlarged. Some tightness, pain, and itching. Arm warm to touch. Today is 15 days after injection. Arm swelling has reduced every day, but still persists.

Other Meds: amlodopine 2.5mg, losartan 50mg, pravastatin 40mgNo

Current Illness: Stage 1 SLL. Not undergoing treatment -- early monitoring phase.

ID: 1057333
Sex: F
Age: 55
State:

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

Lab Data:

Allergies:

Symptoms: Pt received second dose of COVID 19 10:18 Am, aqt A aprox 1037 AM pt reported feeling her lips swelling and flushed and warm, administered Benadryl 50 mg Liq PO along with zyrtec 10 mg PO at 1039 AM BP 130/72, HR 72, After aprox 10 min pt reported slight trouble breathing, feeling strange and shaky, developed chills. Rapid response called, pt assessed and brought to Urgent care to be further observed.

Other Meds:

Current Illness:

ID: 1057334
Sex: M
Age: 71
State: AR

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies:

Symptoms: DIZZY, WEAK, NAUSEA, MUSCLE PAIN, BONE PAIN

Other Meds:

Current Illness:

ID: 1057335
Sex: F
Age: 81
State: IN

Vax Date: 02/22/2021
Onset Date: 02/23/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies: NONE

Symptoms: RECIEVED SHOT ON THE 22., FELT FINE THAT DAY. NEXT DAY TOWARD EVENING I FELT UNWELL, NO APPETITE. RESTED HAD A LITTLE CEREAL BEFORE I WENT TO BED. TOKE SOME TYLENOL, SLEPT WELL, FELT GREAT NEXT DAY AND AGAIN LATE AFTERNOON FELT SICKLY, MY LEFT JAW FELT SORE, NOTICED WHEN I WANTED TO EAT IT HURT TO OPEN MY JAW, VERY PAINFUL WHEN I NEEDED TO JAWN, WAS HUNGRY AND TRIED TO EAT A BANANA WHICH I WAS ABLE TO EAT BY LIKE SCRAPING THE FRUIT WITH MY TEETH. SINCE THEN THE PAIN LESSENED TODDAY I STILL HAVE PAIN WHEN I OPEN MY MOUTH WIDE, I FEEL IT IS GETTING BETTER DAILY AND SINCE I HAVE ONLY THE OTHER SIDEEFECT OF HAVING NOW AND THEN HOTFLASHES , I THINK I WILL BE FINE AGAIN IN A COUPLE OF DAYS.

Other Meds: ATORVSTATIN 20MG TAB, LISINOPRIL 5MG TAB

Current Illness: NONE

ID: 1057336
Sex: F
Age: 53
State: OH

Vax Date: 02/24/2021
Onset Date: 02/24/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Patient states immediately after vaccination she "felt vision was off". Returned to worksite at approximately 9:00 am and noticed bilateral pupils were pinpoint and had a slight headache, felt "vibrations" in body like a low blood sugar feeling and fogginess of brain. The next day, Feb. 25th, she returned to work feeling the same and blood pressure reading was 180/101 per school nurse. States last blood pressure taken at doctors office was 2 weeks ago with result of 118/72. She states she started to feel better around 9:30 am the next day, Feb. 25th except for the blood pressure being higher than normal. Consulted her fianc? who is a medical doctor. Blood pressure reading on 2/26/21 at 7:30 am was 137/92 with no other symptoms expressed.

Other Meds: Hydroxyzine 25 mg daily Lipitor 20 mg daily

Current Illness: none

ID: 1057337
Sex: F
Age: 68
State: MN

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

Lab Data: None

Allergies: None

Symptoms: Strong headache, slight nausea

Other Meds: Synthroid 1x/day

Current Illness: None

ID: 1057339
Sex: F
Age: 65
State: MD

Vax Date: 02/13/2021
Onset Date: 02/26/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies: None known

Symptoms: Red rash & itch on left upper arm Covid arm I notified pharmacy & Dr To

Other Meds: Hydrochlorothyazide 12.5 mg Dorzolamide HCL eye drop Vit D

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm