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: 0928632
Sex: F
Age: 43
State: FL

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Headache, muscle aches, weakness, low grade of fever

Other Meds: pravastatin

Current Illness: none

ID: 0928633
Sex: F
Age: 50
State: TX

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient complained of tingling in head, lightheaded and dizzy with a rapid heart rate. EMS on site for event, patient seen and released. Patient continued on site for an additional 30 minutes before heading home. Patient stated she feels better, closer to baseline but not completely normal. Referred her to sign up for v-safe and call 911 or go to the nearest emergency room if she has any further issues,

Other Meds:

Current Illness:

ID: 0928634
Sex: F
Age: 53
State: OR

Vax Date: 01/04/2021
Onset Date: 01/06/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data: Wednesday 1/6/21 COVID 19 nasal swab was collected and 24 hours later reported as negative.

Allergies: Vistaril, iodine, oxycodone

Symptoms: 48 hours after the COVID 19 Vaccine I experienced SOB, cough and sore throat (along with the expected low grade fever, body aches and fatigue).

Other Meds: None

Current Illness: None

ID: 0928635
Sex: F
Age: 62
State: IA

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies: cashew nut lisinopril sulfa drugs

Symptoms: Patient reported feeling flushed and shaky after injection. Episode was short lived. After second episode it was decided to transport patient to ED for evaluation via wheelchair. ED notes: patients states she felt very flushed, cheeks were flushed, very slight itchiness in her mouth and tongue and very slight nausea and very shaky. Denied shortness of breath or chest pain. Medications given: 1815 diphenhydramine 50mg IV 1820 methylprednisolone 125mg IV Normal saline bolus 1840 famotidine 20mg IV 1817 hydroxyzine hydrochloride 50mg IM 1841 epinephrine 0.3mg IM 1823

Other Meds: labetalol 200mg lisinopril 20mg salmon oil magnesium oxide multivitamin loratadine 10mg amlodipine

Current Illness:

ID: 0928636
Sex: F
Age: 43
State: CA

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

Lab Data: n/a.

Allergies: PCN, codeine

Symptoms: Numbness and tingling of lips, and jaw numb, noted on her way home from hospital. Checked in with vaccine clinic to report symptoms and be monitored for 30 minutes.Took 50mg Benedryl. Symptoms resolved 12/28/2020.

Other Meds: Motrin, prn.

Current Illness: Viral infections-- swollen lymph nodes. Unknown virus. Treated two weeks prior to vaccine.

ID: 0928637
Sex: F
Age: 58
State: IL

Vax Date: 12/17/2020
Onset Date: 12/17/2020
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies: IV contrast, aspirin

Symptoms: Swelling of the tongue, feeling "not right", tightening of the airway (all mild and short duration)

Other Meds:

Current Illness:

ID: 0928638
Sex: F
Age: 35
State:

Vax Date: 12/19/2020
Onset Date: 12/19/2020
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: COVID-19 vaccination administered IM in left deltoid around 6am. Patient called pharmacy around 10am and complained that the injection was delivered too high and she was experiencing pain at the site. Vaccine placed high on L shoulder, just below acromion process, at or above humeral head. Seemingly placed between acromion process and humeral head, near or in soft tissue/bursa. Site pain is inflammatory in nature and does not seem to affect muscles, but instead is contained within joint itself.

Other Meds:

Current Illness:

ID: 0928639
Sex: F
Age: 43
State: CO

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Per patient report: "Received my 2nd dose Jan. 5,2021 @ 1020 noticed pain and tenderness in Left arm injection site, armpit of the same side and radiating pain across neck and shoulder to right side by the next morning Jan.6. Late afternoon pain increased in left armpit significantly and noticed swelling, warmth and hardness along with stabbing pains in left forearm and hand throughout the night. "

Other Meds:

Current Illness:

ID: 0928640
Sex: F
Age: 50
State: OK

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/08/2021
Hospital:

Lab Data: unknown

Allergies: no known allergies

Symptoms: Immediately after client got her vaccine, she started feeling dizzy, and tingling "all over her body." She was monitored and placed in a reclining position which did not help her. At 11:30 am client reported feeling weak. EMS was called and client was transported to hospital. She was given IV fluids and monitored and released 2-3 hours after the incident. She has not had any other problems since taking the vaccine.

Other Meds: fluoxetine, gabapentin, flexeril, vitamin D

Current Illness: none

ID: 0928641
Sex: F
Age: 30
State: NJ

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data: N/A

Allergies: Longstanding seasonal and environmental allergies to grass, trees, pollen, dust, mold, dogs, and cats

Symptoms: Temperature increase day after vaccine from usual temp of 96.0 to 99.0 which decreased without medication after about 4 hours. Developed facial rash 2 days after vaccine that still remains on face. No issues breathing and no rash noted anywhere else on body.

Other Meds: Multivitamin, vitamin C, probiotic, biotin, zyrtec, nasonex

Current Illness: None

ID: 0928642
Sex: F
Age: 61
State: OH

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies: N/A: According to medical record and the vaccine pre-screening questionnaire, pt does not have a history of severe allergies or anaphylaxis.

Symptoms: Patient was brought to the ED after receiving the Moderna vaccine for difficulty breathing. Per RN progress note: "Pt arrived via wheelchair from auditorium, pt had received her first COVID vaccine left deltoid, approx. 10 minutes later pt appeared to have an anaphylactic reaction, pt arrives wheezing and tachypneic, labored breathing with accessory muscle use." The patient was placed on supp oxygen and received epinephrine 0.5mg IM x1, Benadryl 50mg IV x1, hydrocortisone 200mg IV x1, lorazepam 1mg IV x1. Pt discharged after 6 hour observation with Rx's for EpiPen, prednison, Benadryl, and famotidine.

Other Meds: Cymbalta, Breo Ellipta, Ventolin, carvedilol, amlodipine, lisinopril, dulaglutide

Current Illness:

ID: 0928643
Sex: F
Age: 37
State: PA

Vax Date: 12/17/2020
Onset Date: 12/18/2020
Rec V Date: 01/08/2021
Hospital:

Lab Data: none

Allergies: bees-severe swelling

Symptoms: developed raised striatians to abdomen and left and right flank area on 12/18/20 at 12 am, no treatment, resolved on 12/20/20 at 12 am.

Other Meds: multivitamin 20 mg prozac daily

Current Illness: denies

ID: 0928644
Sex: M
Age: 59
State: OK

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/08/2021
Hospital:

Lab Data: Rapid Covid-19 test 12/31/2020 (Negative Result), 24 hour Covid-19 test 1/4/2021 - 1/5/2021 (Negative Result), Flu Test 1/6/2021 (Negative)

Allergies: No

Symptoms: General Side effects: fatigue, headache, muscle pain, joint pain, chills, nausea and fever. I have experienced all these side effects every day for the last 10 days. Additional side effects are: Sweating profusely every night. Not being able to sleep very well nearly every night. Stomach upset if I eat or if I do not eat. I am only able to eat very bland food since anything else upsets my stomach. I can not drink carbonated beverages since they upset my stomach. As of yesterday I started getting little red sores on my back. This morning it moved to my chest in addition to my back.

Other Meds: Metformin 500 mg 2x a day, Lisinopril 2.5mg, Atorvastatin 20mg

Current Illness: None

ID: 0928645
Sex: F
Age: 55
State: MN

Vax Date: 12/30/2020
Onset Date: 01/07/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data: Attempting to get an appointment with my primary

Allergies: Bupropion , Metals, Kiwi, Indoor outdoor allergies

Symptoms: 9 6:30 Pm 01/07/2021 broke out into a rash on arm and leg , side headache and front headache, Waive of extreme tiredness . Arm at the site started to itch and swell huge , very hot and sensitive to the touch

Other Meds: Atenolol, Levothyroxine lisinopril, cranberry supplement Fish Oil Aspirin , CBD oil, B multi vitamin

Current Illness: No Possible Kidney stone

ID: 0928646
Sex: F
Age: 37
State: MI

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data: Went to er

Allergies: NKA

Symptoms: Rash on left arm and chest

Other Meds: Unknown

Current Illness: None at time of vaccination.

ID: 0928647
Sex: F
Age: 44
State: AL

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/08/2021
Hospital:

Lab Data: Described above. Rx Prozac and Xanax

Allergies: Sulfa drugs

Symptoms: Driving home 18-20 mins post injection, my heart started racing, my hands were shaking, it became hard to breathe, my fingers were tingling and my mouth got very dry. I pulled over and called 911. The paramedics stated my BP was within normal limits of around 140/80. My normal is closer to 90/65. Once symptoms resolved I attempted to drive home. Once again, the same symptoms returned. I pulled over. I then made my way to a safe location and waited for family to come. Since the event I have had times of mild labored breathing while walking. While driving I become very anxious and the feelings of an anxiety attack return. I saw my nurse practitioner 2 days ago who referred to the driving anxiety as a form of PTSD and prescribed Prozac and Xanax. I have not take the Xanax, but have taken two nighttime doses of Prozac. Yesterday, I did not feel as though I had taken medication. My drive to work was uneventful. My drive home involved tightening of the chest, labored breathing and anxiety. This morning I cannot tell if I am feeling the vaccine or Prozac in my system, but I feel off. Swimmy headed, watery mouth, heaviness in my arms and shoulders. I need guidance on taking the 2nd vaccine or if I should seek further medical treatment. I have added a vit B vitamin a day to my regimen since the date of the vaccine.

Other Meds: Bromalan, vit C, Zinc 25mg, women's multi vit, tumeric

Current Illness: None

ID: 0928648
Sex: M
Age: 40
State: NH

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data: positive Covid test prior to vaccine, November 10, 2019

Allergies: none

Symptoms: fever 101, severe body aches, nausea, loss of appetite, gi upset, fatigue x 2 days

Other Meds: none

Current Illness: none

ID: 0928649
Sex: F
Age: 40
State: CA

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Nausea, cold sweats, vomiting, mild hives

Other Meds: Amlodipine 10 mg daily

Current Illness: None

ID: 0928650
Sex: M
Age: 47
State: AZ

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: BACK/ABD. PAIN, IRREGULAR BOWEL MOVEMENT

Other Meds:

Current Illness:

ID: 0928651
Sex: F
Age: 0
State: MI

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Low grade fever and body aches

Other Meds:

Current Illness:

ID: 0928652
Sex: F
Age: 60
State: UT

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Dizziness with first dose of Pfizer-BioNTech COVID-19 vaccine 0.3 mL IM in left deltoid. Monitored vitals, which remained stable. Patient thought it was more of a mental effect because of something that a friend told her about the vaccine. Patient was reassured and when she felt better, was released back to work.

Other Meds:

Current Illness:

ID: 0928653
Sex: F
Age: 38
State: VA

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data: Treated with Tylenol, Zofran and rest- 1/6/21

Allergies: Aspartame

Symptoms: fever, body aches, vomiting, diarrhea. BP 210/110, felt "raspy" in chest

Other Meds: Bupropion 150mg 1 po BID Diclofenac 75mg PRN Hydrocodone5mg-Acetaminophen 325mg PRN Hyoscyamine 0.125mg PRN Methocarbamal 750mg TID Phentermine 30mg 1 po QD Prazosin 1mg q PO QHS

Current Illness:

ID: 0928654
Sex: F
Age: 36
State: CO

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data: n/a

Allergies: Avocado, possible sulfa

Symptoms: 1/7/21 @ 16:25 Dizziness, headache, nausea. Epinephrine administered

Other Meds: n/a

Current Illness: n/a

ID: 0928655
Sex: M
Age: 55
State: CO

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data: none

Allergies:

Symptoms: Chills, HA, body aches, back pain, upset stomach, fatigue, burning sensation in throat as he breathes in

Other Meds:

Current Illness: Past COVID 11/30/20 - symptomatic

ID: 0928656
Sex: F
Age: 38
State: MI

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: HTN, Blurry Vision, Blood shot eyes

Other Meds:

Current Illness:

ID: 0928657
Sex: F
Age: 55
State: NJ

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies: Bee venom protein

Symptoms: within 5 minutes became lightheaded, flushed, tachycardia , itching in both hands Given Benadryl 25 mg , Pepcid , solu-medrol

Other Meds:

Current Illness: Hypothyroid heart mumur

ID: 0928658
Sex: M
Age: 64
State: NM

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Vasovagal- Lightheaded, weakness with standing- patient said he was not dizzy. Stood up/ sat down 3x. Outcome: Rest, recovered.

Other Meds:

Current Illness:

ID: 0928659
Sex: F
Age: 32
State: OH

Vax Date: 12/31/2020
Onset Date: 01/05/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: First develop axillary pain starting on 1/5 then noticed that the injection site was becoming swollen. On 1/6 I was nauseous on and off throughout the day had to take Zofran. 1/7 the swelling on my arm worsened with redness and warm, axillary pain continued, and had some nausea with diarrhea as well. Today, 1/8 injection site is less red but still swollen with axillary pain, and I can palpate and enlarged axillary lymph node.

Other Meds: Sprintec oral contraceptive

Current Illness: None

ID: 0928660
Sex: F
Age: 37
State: PA

Vax Date: 12/17/2020
Onset Date: 12/18/2020
Rec V Date: 01/08/2021
Hospital:

Lab Data: denies

Allergies: bees-swelling

Symptoms: patient states that on 12/18/20 she developed a raised rash to abdomen and left and right flank area

Other Meds: multivitamin and prozac

Current Illness: denies

ID: 0928661
Sex: F
Age: 32
State: TX

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient complained of feeling anxious with a rapid heart rate immediately after immunization. Patient checked out by EMS, began feeling better shortly thereafter. Patient advised to call 911 or go to the nearest emergency room for any additional issues as needed. Also advised to sign up for v-safe. Patient left site stating he felt better.

Other Meds:

Current Illness:

ID: 0928662
Sex: F
Age: 50
State: NY

Vax Date: 12/23/2020
Onset Date: 01/01/2021
Rec V Date: 01/08/2021
Hospital: Y

Lab Data: January 3rd, Ddimer 763. Troponin .05, Troponin .06, January 5th Troponin .07, Troponin .03

Allergies: Penicillin Sulfa drugs

Symptoms: On December 25th I had mild chest pain and then on January 1st, 2021 I had severe chest pain that persisted and on January 3rd I was admitted into the hospital. My Ddimer was elevated and my Troponin levels were elevated. An angiogram was performed and Dr. injected nitro into my arteries because they were constricted from Coronary Spasms.

Other Meds: Synthroid Imitrex

Current Illness: None

ID: 0928663
Sex: F
Age: 20
State: AR

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data: n/a

Allergies: penicillin

Symptoms: 100.0 fever, aches, chills, nausea, headache, sore arm, fatigue. last night had trouble breathing

Other Meds: birth control

Current Illness: Covid19 positive 12/10

ID: 0928664
Sex: M
Age: 61
State: CO

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies: Allopurinol. Colcris Shellfish

Symptoms: Ache began in neck/shoulders after chills. This happened around lunch 1/7/21. Took acetomenphin . Chills and aches continued until into the night. Took Temperature around 2:30 am 1/8/21 and it registered 99.8. Took more acetomenphin and sweated it off. Aches and chills continue today, 1/8/21 into lunchtime. Taking acetomenphin approximately every 4-6 hours.

Other Meds: Lisinopril, Amlodipine, centrum vitamins

Current Illness: Hypertension, Gout

ID: 0928665
Sex: F
Age: 44
State: NH

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data: none

Allergies: amoxicillin, tree nuts, molds, animals, pollen, beets, grapes, cherries, dust, mites

Symptoms: nausea, lightheaded within 30 minutes no other symptoms

Other Meds: allegra, albuterol, nexium

Current Illness: none

ID: 0928666
Sex: F
Age: 26
State: IL

Vax Date: 12/18/2020
Onset Date: 12/19/2020
Rec V Date: 01/08/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: 24 hours later a 100.8 fever, chills, and muscle aches.

Other Meds: Birth control-apri Velaxfaxine Linzess Ferocon

Current Illness: None

ID: 0928667
Sex: F
Age: 64
State: TN

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies: penicillin

Symptoms: None stated.

Other Meds: OTC Zinc 50mg 1/day OTC D3 125 mg 1/day OTC Vitamin C 100mg 1/day Bupropion XL 300mg 1/day Amlodipine 5 mg 1/day Simvastatin 20mg 1/day Metoprolol ER 50mg 1/day Verapamil ER 240 mg 1/day

Current Illness:

ID: 0928668
Sex: F
Age: 35
State: IA

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: AT APPROXIMATELY 2:00PM, DEVELOPED TEMPERATURE (100.5), REMAINED ELEVATED AT 3:35PM SAME DAY.

Other Meds:

Current Illness:

ID: 0928669
Sex: F
Age: 30
State: TX

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data: NO Dr or ER visit

Allergies: NKDA

Symptoms: Pain(3/10) to injection site x24hours. Swelling x14hrs. Still currently, red swollen, No self treatment

Other Meds: Clomiphane

Current Illness: NO

ID: 0928670
Sex: F
Age: 51
State: TX

Vax Date: 12/22/2020
Onset Date: 12/22/2020
Rec V Date: 01/08/2021
Hospital:

Lab Data: Lab work, EKG, Stress Test

Allergies: Jelly Beeswax, Januvia, Baclofen, Latex (Band-Aids)

Symptoms: I started few hours later started feeling thought it was stress. The next morning around 9am high moderate pain left leg jaw, chest hurt, sudden panic attack and I had to calm down for minutes. I informed my coworker I was having a reaction and then it stopped. Then I scheduled an appt with my PCP had lab work, EKG results was normal. On 12/24 still exp high mild left jaw pain, heart racing and chest pain .I was scheduled stress test on 12/30 was normal.

Other Meds: Over the counter Vit, Allegra,Biotine,V6, V12, Zinc, Aspirin, Losartan, Topamax, Singular, Myrbetriq Metformin, Blood Thinner, Folic Acid, Calcium, Garlic, Vertex, Glucosamine with Vit D, 2 Nasal sprays, Flonase, Azelastine

Current Illness: No

ID: 0928671
Sex: F
Age: 32
State: WI

Vax Date: 12/28/2020
Onset Date: 12/31/2020
Rec V Date: 01/08/2021
Hospital:

Lab Data: None

Allergies: Atenolol, topamax

Symptoms: Pfizer-BioNTechCovid-19 vaccine EUA. Headache and migraine lasting approximately 36 hours.

Other Meds: Adderall XR, ibuprofen

Current Illness: None

ID: 0928672
Sex: F
Age: 19
State: UT

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Dizziness with Pfizer-BioNTech COVID-19 vaccine second dose 0.3 mL IM in right deltoid. Called RRT. Obtained vitals, which were stable. After monitoring, patient released without treatment.

Other Meds:

Current Illness:

ID: 0928673
Sex: F
Age: 32
State: IL

Vax Date: 01/03/2021
Onset Date: 01/04/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data: None

Allergies: Benadryl and Vicodin

Symptoms: Between 3am-6am on Monday, January 4th, I experienced chills, fever, body and joint pains, nausea, and vomitted. Throughout Monday, I was weak and tired with a fever and body ache.

Other Meds: Birth control and multivitamin

Current Illness: None

ID: 0928674
Sex: M
Age: 35
State: IA

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies: environmental allergens mri contrast has had "anaphylaxis"

Symptoms: hypertension, tachycardia,neck stiffness, anxiety

Other Meds: depakote symbalta

Current Illness:

ID: 0928675
Sex: F
Age: 37
State:

Vax Date: 01/01/2021
Onset Date: 01/05/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Night sweats, intermittent sweating for three days

Other Meds: None

Current Illness: None

ID: 0928676
Sex: M
Age: 57
State: CA

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies: NKDA

Symptoms: Extreme fatigue, upset stomach, vomiting several hours after injection. Fatigue lasted 3-4 days, felt week and tired.

Other Meds: Lisinopril, Statin.

Current Illness: None

ID: 0928677
Sex: F
Age: 28
State: TN

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data: None

Allergies: No

Symptoms: Fever Chills Body ache

Other Meds: Levothyroxine Lisinopril

Current Illness: No

ID: 0928678
Sex: F
Age: 56
State: TX

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data: None, and I don't know that this could be called an adverse advent since most everything I had could was listed as a possible side effect. I am only reporting this because my Chief Nursing Officer at the hospital where I work thought I should.

Allergies: IVP dyes

Symptoms: Moderna COVID-19 Vaccine EUA I had chills, low grade fever of 99.4 initially, fatigue, lightheaded and felt like I was moving in slow motion. As the evening progressed, I felt worse and worse, had no appetite, very slight nausea, but no vomiting. During the night, my fever went up. I only checked it once and it was 100.1, but I was having severe chills, my knee joints were aching, as well as some of my fingers. The next morning I had a headache, and was dizzy (which may have been from not eating the night before). The symptoms continued throughout the day, but were managed fairly well with Tylenol. Additionally, my arm was extremely sore. It hurt to move it in any way. Even worse arm pain than with a Tetanus shot, which has always caused me a great deal of pain. Thankfully the symptoms only lasted about 28 hours.

Other Meds: Synthroid, Rosuvastatin, Singulair, Zyrtec, Flonase, Omeprazole, Vitamin D3, Vitamin B12, Juice Plus Vitamins, Co-Q10

Current Illness: None

ID: 0928679
Sex: M
Age: 57
State: NC

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies: Oysters

Symptoms: accute Pancreatitis

Other Meds:

Current Illness:

ID: 0928680
Sex: F
Age: 39
State: CT

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data: I received a nasopharyngeal Covid swab which turned out negative (PCR)

Allergies: NKDA

Symptoms: At the 10-hour mark after receiving my second dose, I developed a blotchy rash on my chest and neck (no discomfort or itching). At the 12-hour mark I developed severe chills and body aches and exhaustion which came on very quickly. At (approx.) the 13-hour mark my temperature was 103.3 but it never got any higher than that. For the next 24 hours my temperature hovered around 101-102.

Other Meds: Buproprion, Lamictal, Concerta, multi-vitamin, Biotin, calcium +D

Current Illness: None

ID: 0928681
Sex: M
Age: 81
State: NC

Vax Date: 10/20/2020
Onset Date: 12/15/2020
Rec V Date: 01/08/2021
Hospital:

Lab Data: NA

Allergies: Penicillin, fish

Symptoms: Approx. 2 months after injection, patient boticied a red welt on his arm where the vaccine was given. It is not painful but he reports that it is the size of a golfball.

Other Meds: Centrum Silver, Tylenol

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm