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: 0917958
Sex: M
Age: 42
State: IN

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

Lab Data:

Allergies: Walnuts

Symptoms: Chills, fever up to 101.7, headaches, some body aches

Other Meds: Arnuity

Current Illness: None

ID: 0917959
Sex: F
Age: 30
State: CA

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

Lab Data: None at this time.

Allergies: Honey

Symptoms: About an hour after receiving Vaccine patient began to have a headache with photophobia as well as nausea and then later vomiting. She did take her migraine meds and Tylenol in the next few hours. However continue to have vomiting overnight and also fevers to 102. The next day about 24 hours after vaccine she continue to have nausea and headache. Took her second dose of migraine medication and will take Zofran for vomiting. She is able to keep fluids down.

Other Meds:

Current Illness: COVID-19 asymptomatic case. 12/8/2020 positive test

ID: 0917960
Sex: F
Age: 42
State: TX

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

Lab Data: None needed

Allergies: No known allergies

Symptoms: Moderna COVID?19 Vaccine EUA 18 hours after receiving vaccine, I experienced muscle and joint soreness all over the body with continued mild soreness at the injection site.

Other Meds: Lexapro

Current Illness: None

ID: 0917961
Sex: M
Age: 54
State: CA

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/03/2021
Hospital: Y

Lab Data: BASIC METABOLIC Jan 2, 2021 MAGNESIUM Jan 2, 2021 ECG 12-LEAD Jan 1, 2021 D-DIMER,QUANTITATIVE Jan 1, 2021 TROPONIN I Jan 1, 2021 COMPREHENSIVE METABOLIC PANEL Jan 1, 2021 CBC W/ DIFF Jan 1, 2021 C-REACTIVE PROTEIN Jan 1, 2021 US RENAL COMPLETE Jan 1, 2021 MRI BRAIN WO CONTRAST Jan 1, 2021 TROPONIN I Jan 1, 2021 SEDIMENTATION RATE, AUTOMATED Jan 1, 2021 TSH Jan 1, 2021 LIPID PANEL Jan 1, 2021 HEMOGLOBIN A1C Jan 1, 2021 HEMOGRAM 2 (H&H) Jan 1, 2021 PLATELET COUNT Jan 1, 2021 MAGNESIUM Jan 1, 2021 UA W MICROSCOPIC (C&S IF INDICATED) Jan 1, 2021 CT CEREBRAL PERFUSION Dec 31, 2020 CT ANGIOGRAM HEAD NECK W CONTRAST Dec 31, 2020 CT HEAD WO CONTRAST Dec 31, 2020 XR CHEST AP PORTABLE Dec 31, 2020 ECG 12-LEAD Dec 31, 2020 UPPER RESPIRATORY PATHOGEN PANEL W SARS-COV-2 (COVID-19) Dec 31, 2020 CBC W/ DIFF Dec 31, 2020 COMPREHENSIVE METABOLIC PANEL Dec 31, 2020 ER TROPONIN-I Dec 31, 2020 BNP (NT-PROBNP, NT-PRO B-TYPE NATRIURETIC PEPTIDE) Dec 31, 2020 C-REACTIVE PROTEIN Dec 31, 2020 SEDIMENTATION RATE, AUTOMATED Dec 31, 2020

Allergies: Losartan

Symptoms: I suffer from lingering SOB with exertion after COVID infection. On the night of 12/31/2020 I began to feel more SOB than usual and was unable to correct my SOB with rescue inhaler. Became more SOB with exacerbated tachycardia and tachypnea, My family had to call 911 because I became aphasic and showing signs of possible stroke. I was taken to the ER and admitted for respiratory recovery and to role out stroke. The stroke was ruled out and I recovered with IV prednisone therapy, twice daily and supplemental oxygen. Released after HR, BP, & respiratory effort returned to normal: 01/03/2021

Other Meds: Symbicort inhaler: 2-puffs / twice daily Metoprolol 25mg: 1-tab / daily Lipitor 80mg: 1-tab / daily Zestril 5mg: 1 tab / daily Brilinta 90mg: 1-tab / twice daily Prilosec 20mg: 1-tab / daily HCTZ 25mg: 1-tab / daily ASA 81mg: 1-tab / daily

Current Illness: June 22,2020: COVID19 positive July 2020: Diagnosed with restrictive airway disease, small airway disease, lung nodules November 11, 2020: STEMI, required angioplasty and stent placement

ID: 0917962
Sex: F
Age: 54
State: NV

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/03/2021
Hospital:

Lab Data: None

Allergies: Penicilin

Symptoms: 5pm 12-29-2020 slight headache, that lasted through Wednesday evening, 12-30-2020. Thursday, 12-31- 2020, no adverse reaction. Friday, 1-1-2021 , entire body, including internal organs were trembling. Saturday, 12-31-2020, extremley dizzy, unable to stand, function. Nauseated, extremely dehydrated, extreme exhaustion. This lasted 24 hours. Sunday, 1-3-2020, still exhausted, but not to extreme. All other symptoms have subsided.

Other Meds: Omeprazole, Furosimide, Folic Acid

Current Illness: None

ID: 0917963
Sex: F
Age: 50
State: CA

Vax Date: 12/23/2020
Onset Date: 12/24/2020
Rec V Date: 01/03/2021
Hospital:

Lab Data: None

Allergies: codeine

Symptoms: Moderate to severe left arm pain. for 12 days now post first covid vaccine shot. Mild neck stiffness also noted. The worse pain on left arm felt on first day, then slowly got better after. However still with Limited mobility (my left arm movement very guarded due to feeling of soreness on the affected arm), stiffness on left arm. Ice pack, advil and tylenol, and sometime with cyclobenzaprine, which I thought would help, but did not help.

Other Meds: advil, tylenol,cyclbenzaprine

Current Illness: none

ID: 0917964
Sex: F
Age: 61
State: TX

Vax Date: 12/26/2020
Onset Date: 01/02/2021
Rec V Date: 01/03/2021
Hospital:

Lab Data: None

Allergies: NKDA

Symptoms: Post vaccine day 7, "quarter-size" red area; on day 8, approx. 3 inches in diameter, red, warm, slightly tense, itchy. No lymphadenopathy, no fever. Telehealth visit

Other Meds: Losartan, Xanax 1 mg prn, OTC topical cortisone

Current Illness: None

ID: 0917965
Sex: F
Age: 41
State: NY

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/03/2021
Hospital:

Lab Data: None

Allergies: None only cats

Symptoms: 15 min after vaccine, I felt dizzy and lightheaded. 2 hours after vaccine, I felt nauseous and lost my appetite The following morning I felt like I had been run over by a truck. I had a low grade fever of 99.9 that went up to 100.0 measured by ear thermometer I had joint pain and over all muscle pain By the evening I had mucous in nose, post nasal drip and slight difficulty breathing. I took 2 advils which relieved the fever and body aches On Saturday and into Sunday, I continue to have an over arching malaise, I do not feel healthy. I feel like my body is fighting something, I developed a slight sore throat and my head feels heavy and foggy. I've continued to take advil.

Other Meds: None

Current Illness: None

ID: 0917966
Sex: F
Age: 30
State: CA

Vax Date: 12/27/2020
Onset Date: 01/02/2021
Rec V Date: 01/03/2021
Hospital:

Lab Data: none-referred to primary care physician

Allergies: No Known Allergies

Symptoms: Hard,swollen area at injection site. Denies redness, swelling or warmth or rash. Noticed 7 days post injection.

Other Meds: nONE

Current Illness: None known

ID: 0917967
Sex: F
Age: 54
State: NV

Vax Date: 12/30/2020
Onset Date: 01/01/2021
Rec V Date: 01/03/2021
Hospital:

Lab Data: When I went to the emergency room they did blood work EKG and chest x-ray all were normal all were done on Friday January 1st 2021

Allergies: Sulfa

Symptoms: Tingling feeling like I'm being stuck with pins/needles over my body- hands, fingers, feet, toes, arms, legs, lips, face, mouth. Started Friday morning January 1st 2021. I went to the ER on Friday January 1st 2021 and was given Prednisone. I'm still having symptoms today Sunday January 3rd 2021.

Other Meds: None

Current Illness: High Blood pressure , osteoarthritis

ID: 0917968
Sex: F
Age: 41
State: AZ

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

Lab Data: N/A

Allergies: N/A

Symptoms: Sore arm, diarrhea, low grade fever. No treatment.

Other Meds: Vitamin C, Vitamin D, omega 3, women?s multivitamin

Current Illness: N/A

ID: 0917969
Sex: F
Age: 22
State: IL

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

Lab Data: EKG, blood tests, UA on 01/03/21

Allergies: No

Symptoms: I received the 2nd dose of vaccine around 2pm on 01/02/21, was feeling fine until around midnight/1 am I felt chills and feverish but had a temp of 98.8 at that time, woke up around 4am with body aches, chills, fatigue, and a temp of 102.3. I was fine with these symptoms as I knew they were common side effects until my heart rate spiked from about 60 to the 160s and I began to have a throbbing headache. I could not get my heart rate to come down, I was calm and knew it was not anxiety so I went to the ER where they did blood tests, EKG, UA and gave me fluids. Everything came back normal but my heart rate continued to be elevated around 130s for a couple more hours, finally came down to about 100-110, HR is still slightly elevated and I still have a fever of 100.4 and migraine

Other Meds: Rizatriptan (PRN) Aerovela (BCP)

Current Illness: None

ID: 0917970
Sex: F
Age: 36
State: OR

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/03/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: muscle aches, fatigue, joint pain, headaches, abdominal pain, mild nausea

Other Meds: iud mirena

Current Illness: none

ID: 0917971
Sex: F
Age: 42
State: TN

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

Lab Data:

Allergies: Morphine, Lysol

Symptoms: 3" X 3.5" raised, red, swollen, tender.

Other Meds:

Current Illness:

ID: 0917972
Sex: F
Age: 34
State: WA

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/03/2021
Hospital:

Lab Data: N/A

Allergies: Anaphylaxis to shellfish Allergy to tree nuts (rash, itching)

Symptoms: 15 minutes post vaccination administration I developed tingling of the tongue and bilateral arms. I also had an increase in heart rate from 70 to 130. I felt a pounding in my chest. It felt difficult to talk to due tingling of the tongue. I took Benadryl 25 mg PO 30 minutes prior to vaccine due to history of anaphylaxis with shell fish.

Other Meds: Benadryl 25 mg PO 30 minutes prior to administration due to known severe shell fish allergy

Current Illness: None

ID: 0917973
Sex: F
Age: 45
State: CO

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/03/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Chills headache nausea vomiting still vomiting and nausea five days later

Other Meds: Ibuprofen, thyroid np, ambian

Current Illness: None

ID: 0917974
Sex: F
Age: 31
State: AZ

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/03/2021
Hospital:

Lab Data: n/a

Allergies: n/a

Symptoms: Major headache, swelling and redness and soreness on arm, severe rash around lips

Other Meds: None

Current Illness: COVID19 infection on 11/6/2020

ID: 0917975
Sex: F
Age: 51
State: TX

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/03/2021
Hospital:

Lab Data: None

Allergies: Sulfa

Symptoms: Hives - Benadryl

Other Meds: Hives on face, lip and hands

Current Illness: None

ID: 0917976
Sex: M
Age: 41
State: CA

Vax Date: 12/28/2020
Onset Date: 12/29/2020
Rec V Date: 01/03/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: My entire body felt really cold for the whole day on Tuesday. I couldn't get warm and had to put on extra clothing during the day and extra blankets when I went to sleep. I think this is considered to be chills. On both Tuesday and Wednesday, I ran out of energy by the afternoon. On both Tuesday and Wednesday, my head felt heavy.

Other Meds: Daily vegan multivitamin

Current Illness: None known.

ID: 0917977
Sex: M
Age: 61
State: NJ

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/03/2021
Hospital:

Lab Data:

Allergies: amoxicillin, Bactrim

Symptoms: Chills, body aches, headache, BP increased, pulse increased, lightheadedness, sweats the day after the vaccine. (The evening and the whole night.)

Other Meds: finasteride, lexapro.

Current Illness:

ID: 0917978
Sex: F
Age: 36
State: TN

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/03/2021
Hospital:

Lab Data:

Allergies: Latex sensitivity

Symptoms: First ever complex migraine with aura including right visual field deficits, tingling of the right hand and and right side of the mouth and difficulty speaking over the course of an hour that then resolved and was followed by a severe migraine headache when nausea. My migraines have never been associated with aura, paresthesias, etc., before.

Other Meds: Claritin, Tylenol, Motrin

Current Illness: Viral URI (COVID-19 negative) with sore throat and cough that started 5 days prior to the vaccination.

ID: 0917979
Sex: F
Age: 59
State: TX

Vax Date: 12/30/2020
Onset Date: 01/01/2021
Rec V Date: 01/03/2021
Hospital:

Lab Data: None. It was a Friday night and my physician clinic was closed.

Allergies: None

Symptoms: At 8:30 pm on 1/1/2021, I began to have right side pain in my back under rib area. Pain was pretty intense and I took 2 Extra Strength Tylenol 500 mg and went to bed. I had a restless night and pain continued until1:30 pm on 1/2/2021 when it subsided. I don?t know if it was related to vaccine. I don?t know if it was kidney pain.

Other Meds: None

Current Illness: None

ID: 0917980
Sex: F
Age: 53
State: CT

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/03/2021
Hospital:

Lab Data: Not applicable

Allergies: No Known allergies

Symptoms: I noticed swelling of the lymph nodes under my left armpit, when i called my doctor's office the nurse told me to put ice for 20 minutes. Ice was applied every day for 20 minutes, the swelling finally went down some today but the vein under my left arm is still tender.

Other Meds: Multivitamins

Current Illness: No known illness at the time of vaccination.

ID: 0917981
Sex: F
Age: 31
State: CA

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/03/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Left arm pain at injection site x 3 days

Other Meds: None

Current Illness: None

ID: 0917982
Sex: M
Age: 1
State: OH

Vax Date: 12/01/2020
Onset Date: 01/01/2021
Rec V Date: 01/03/2021
Hospital:

Lab Data: CBC, CMP POC

Allergies: NKA

Symptoms: Elevated glucose

Other Meds:

Current Illness: None

ID: 0917983
Sex: F
Age: 22
State: MI

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

Lab Data:

Allergies: Pineapple, penicillin, keflex

Symptoms: Swelling and sensitivity around eyes. Eczema flare up around eyes. Mild dizziness and general malaise.

Other Meds: Humalog, Lexapro, vitamin D, vitamin C, oral birth control

Current Illness:

ID: 0917984
Sex: F
Age: 28
State: CA

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

Lab Data: Blood pressure, oxygen saturation, heart rate and temperature

Allergies: dustmites

Symptoms: S: At 1557 patient c/o tongue swelling and itchiness. Given 25mg PO benadryl at 1557 ? O: Patient alert and oriented, airway patent. BP 129/88 HR 74 O2 98% 1617 Repeat O2 sat 98% HR 59. Patient c/o persistent tongue swelling. ? A/P: 28 F with history of nut allergy with tongue swelling after Pfizer vaccine. EMS notified 1620. Patient evaluated by EMS and declined further treatment by EMS and stated that she would walk over to ED for further evaluation.

Other Meds: fluoxetine

Current Illness: unknown

ID: 0917985
Sex: F
Age: 27
State: MO

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/03/2021
Hospital:

Lab Data: EKG- NSR Chest Xray- no acute disease CTA chest- normal UA- normal UPT- negative ISTAT- normal limits

Allergies: SULFA

Symptoms: Pt reports she has had an increased heart rate in the 110-120s for the past three days after receiving the COVID19 vaccination. Pt reports increased dizziness today, nausea, and in the past hour some chest tightness. Pt also reported recent travel to and from out of town, about 14 hours travel time in the past week and half. Pt given fluids, ruled out for illness and PE. Pt improved with fluids.

Other Meds: Lo Lestrin Fe; nortriptyline; paxil; wellbutrin SR

Current Illness: None

ID: 0917986
Sex: F
Age: 33
State: IN

Vax Date: 12/29/2020
Onset Date: 01/03/2021
Rec V Date: 01/03/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Per internal reported event: COVID vaccine (Pfizer) given 12/29/20 1440. Hx reactions to vaccines. started c/o throat tightness 1450, given 50mg Benadryl PO. Pt reports sx resolved at 1515. Pt went home.

Other Meds:

Current Illness:

ID: 0917987
Sex: M
Age: 65
State: GA

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

Lab Data: None yet

Allergies: None that I am aware

Symptoms: High fever continues into second day severe chills body aches constant headache and cannot sleep

Other Meds: Atenolol Levothyroid Lorazepam Tylenol

Current Illness: Hypertension Low thyroid Peripheral neuropathy

ID: 0917988
Sex: F
Age: 32
State: NM

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

Lab Data: N/A

Allergies: N/a

Symptoms: Left arm soreness and weakness for the first two days. Nausea, vomiting, chills lasting from 2pm the day following the vaccine until the next morning

Other Meds: Propranolol, Lexapro, mirena

Current Illness: N/a

ID: 0917989
Sex: F
Age: 47
State: WA

Vax Date: 12/26/2020
Onset Date: 01/01/2021
Rec V Date: 01/03/2021
Hospital:

Lab Data: None

Allergies: Bee stings-mild to moderate reactions

Symptoms: Day 8- New local erythema, itching at injection site. L arm 2" X 3" area. Past V-Safe.cdc check in.

Other Meds: None

Current Illness: None

ID: 0917990
Sex: F
Age: 29
State: MN

Vax Date: 12/21/2020
Onset Date: 12/22/2020
Rec V Date: 01/03/2021
Hospital:

Lab Data: 1/1/2021 I had CBC and CMP done, all normal.

Allergies: Nka

Symptoms: 12 hours after first dose, had extremely painful and swollen R lymph cervical node and fatigue. Continued for three days. On 12/25 awoke with painful gums, fevers of 102.1, chills in addition to symptoms. 12/26 had sore throat and worsening sores on tongue. Went to urgent care that morning, was tested for Covid, strep, influenza, RSV. All negative. Had overwhelming fatigue. 12/27 worsening tongue sores and thrush, had another appointment where given nystatin. At this appointment was diagnosed with an immune over response to the COVID-19 vaccine. The thrush still was not improving and extremely painful. Was started on Fluconazole for 14 days after another appointment on 12/29. No history of thrush, have good oral hygiene and follow all recommendations to prevent thrush with my inhaler. I lost 12 pounds due to the thrush and the extreme discomfort. Fever went away 8 days after vaccine dose, still have lingering thrush symptoms and R lymph node slightly enlarged.

Other Meds: Advair since age 6, once or twice a week.

Current Illness: None

ID: 0917991
Sex: M
Age: 25
State: CT

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/03/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Injection site tenderness: Started at 2 hours post vaccine, lasted approximately 48 hours Malaise: started at 4 hours post vaccine, lasted approximately 20hours Low-grade fever: started at 12 hours post vaccination, lasted approximately 12 hours Treated successfully with acetaminophen

Other Meds:

Current Illness:

ID: 0917992
Sex: M
Age: 33
State: IN

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/03/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Per internal reported event: COVID vaccine given 12/29/20 1500. Pt reports dizziness and feeling hot at 1515, diaphoretic. Vaso-vagal response. Assisted pt to wheelchair, given water and cool compress. Pt was monitored for an additional 15 minutes, and ambulated home with steady gait at 1534.

Other Meds:

Current Illness:

ID: 0917993
Sex: M
Age: 63
State: UT

Vax Date: 12/01/2020
Onset Date: 01/02/2021
Rec V Date: 01/03/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Hives on arms, legs, trunk 3 days after (started 1/2/21) vaccination. Itching controlled with Benadryl.

Other Meds: Fexofenadine, Omeprazole, tamulosin, minoxidil, synthroid, Vitamin D, dutasteride

Current Illness: None

ID: 0917994
Sex: M
Age: 72
State: CO

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

Lab Data:

Allergies:

Symptoms: None stated.

Other Meds:

Current Illness:

ID: 0917995
Sex: F
Age: 31
State:

Vax Date: 12/23/2020
Onset Date: 12/30/2020
Rec V Date: 01/03/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Moderna COVID-19 Vaccine Noticed a slightly raised warm red rash at area of injection site that expanded with a central clearing the next day then on the following day began to improve based on the marked area.

Other Meds:

Current Illness:

ID: 0917996
Sex: F
Age: 48
State: KS

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/03/2021
Hospital:

Lab Data:

Allergies: Food allergies, general allergies (indoor and outdoor), penicillin, amoxicillin, IV morphine

Symptoms: Weakness, tremors, fatigue, muscle pain, joint pain, scratchy throat, headache, neck and back pain, nausea, chills, heart racing/pounding, difficulty catching my breath

Other Meds: Metformin, levothyroxine, sertraline, trimethoprim, hydroxezine, tizanidine, unisom, pantaprazole, famotidine, tamsulosin, probiotic, multivitamins, turmeric, montelukast, tylenol

Current Illness: Two weeks of a virus between 12/15 and 12/25 as well as a sinus and ear Infection still ongoing at time of vaccination. In prior month, flare up of Mast Cell Activation Disease.

ID: 0917997
Sex: M
Age: 39
State: IN

Vax Date: 12/22/2020
Onset Date: 12/30/2020
Rec V Date: 01/03/2021
Hospital:

Lab Data: Swabbed 12/31/2020

Allergies: No

Symptoms: Low grade fever, body aches, one episode of vomiting, slight headache and eye sensitivity Swabbed 12/31/2020 COVID positive 1/2/2021

Other Meds: Celebrex, Prestiq, Claritin

Current Illness: No

ID: 0917998
Sex: M
Age: 52
State:

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

Lab Data:

Allergies:

Symptoms: Slight soreness at site of injection

Other Meds:

Current Illness:

ID: 0917999
Sex: F
Age: 33
State: AZ

Vax Date: 12/23/2020
Onset Date: 12/23/2020
Rec V Date: 01/03/2021
Hospital:

Lab Data: None

Allergies: Allergic to shellfish, onions, sulfates.

Symptoms: Within the first 12 hours I developed a fever of 102 - 103 degrees farenheit and chills with headache and substantial fatigue. The chills went away after the first day. The 2nd day I still had a fever. Day 3 I had significant nausea in conjunction with headache. These symptoms have continued from days 4 - today, day 11 post vaccine. While they are improving, after the initial fever/ chills my symptoms translated to into seemingly hormonal with nausea, strong food aversions, headaches (that felt hormonal) and 4+ days with substantial constipation and fatigue. It has mirrored the sickness I experienced with both pregnancies however I am not pregnant. I am still experiencing a mixture of fatigue, headaches, nausea and food aversions (food still does not taste normal).

Other Meds: Probiotic, omega 3.

Current Illness: None.

ID: 0918000
Sex: M
Age: 71
State: IN

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/03/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Per internal reported event: COVID Vaccine 12/30/20 @ 0940. reported feeling hot and unsteady 0948. assisted pt to wheelchair, given water. Monitored and offered to take to ED, pt declined. Reports sx resolved and ambulated home with steady gait at 1003.

Other Meds:

Current Illness:

ID: 0918001
Sex: F
Age: 34
State: CA

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

Lab Data: see above

Allergies: unknown

Symptoms: At 1606 Patient reporting lightheadedness, bilateral hand tingling and numbness. Also reporting generalized headache 6/10. States that she has not eaten any food today except coffee. BP 88/49. HR 45 Patient was laid flat and legs elevated. Repeat BP 1613 101/59. Patient reported bilateral arms feeling "cold". ? O: Patient alert and oriented, following commands, no focal weakness. BUE cool to touch. ? EMS called at 1609. ED arrival 1620. Repeat VS 1620 105/65 HR 55 ? Upon EMS arrival patient declined to receive further treatment and signed AMA paperwork. ? Discussed with patient to return to ED for any further worsening of symptoms.

Other Meds: unknown

Current Illness: unknown

ID: 0918002
Sex: F
Age: 37
State: CA

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/03/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Tenderness and swelling of left cheek at site of cosmetic filler (Juvederm Voluma, injected October 2018) starting within 30 minutes of first Moderna COVID-19 vaccine dose. Resolved fully within 48 hours

Other Meds: Nutrafol hair supplement

Current Illness: None

ID: 0918003
Sex: F
Age: 22
State: FL

Vax Date: 12/24/2020
Onset Date: 12/29/2020
Rec V Date: 01/03/2021
Hospital:

Lab Data:

Allergies: N/A

Symptoms: Single hive rash, about 2.5 inches in length, appeared on deltoid where injection took place exactly 5 days after initial dose of the Moderna COVID-19 Vaccine EAU. Rash will dissipate and reappear 1-2 times daily since initial formation. Very itchy. Exclusive to the deltoid muscle where the vaccine was injected.

Other Meds: Omeprazole, multi vitamin

Current Illness: N/A

ID: 0918004
Sex: F
Age: 46
State:

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

Lab Data:

Allergies:

Symptoms: Slight dizziness that lasted for 5 minutes and resolved spontaneously.

Other Meds:

Current Illness:

ID: 0918005
Sex: F
Age: 40
State: OR

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

Lab Data: EKG

Allergies: ? Adalimumab Skin reaction ? Infliximab TACHYCARDIA , CHEST RED, EYES BLOOD SHOT ? Vedolizumab Tachycardia

Symptoms: Pt developed racing heart rate about 5 minutes post injection. HR jumped as high as 156 recorded, stayed high for a few minutes then went back to normal. Over then next 30 minutes had multiple episodes of her HR jumping up again and then going back to normal. Pt received a dose of benedryl to treat symptoms. Pt monitored for 1 hour at which time she was felt to be stable. Pt provided with instructions to go to ER if symptoms reoccur.

Other Meds: TRI-SPRINTEC (28) 0.18/0.215/0.25 MG-35 MCG (28) ORAL TAB, Sig: Take 1 tablet by mouth daily ONDANSETRON 4 MG ORAL RAP DIS TAB, Sig: Dissolve 1 tablet by mouth every 8 hours as needed for nausea or vomiting STELARA 90 MG/ML SUBQ SYRINGE,

Current Illness:

ID: 0918006
Sex: F
Age: 43
State: TN

Vax Date: 12/23/2020
Onset Date: 12/24/2020
Rec V Date: 01/03/2021
Hospital:

Lab Data:

Allergies: Seasonal Allergies

Symptoms: Sever muscle aches and joint pain, headache radiating down into neck 6/10, sore throat, pain at injection site

Other Meds:

Current Illness:

ID: 0918007
Sex: F
Age: 52
State: WI

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

Lab Data: none

Allergies: bleach, strong smells, essential oils, perfumes, cleaning products

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA Slight chest pain and slight difficulty taking deep breath for a few seconds it - did not go past 15 minute observation. Felt nauseated for a brief time - did not go past the 15 minutes. About 25 minutes after the tip of my tongue, section of my bottom lip and sides of my tongue were tingly. The tip of my tongue continues to be like that day #2 after and there is a small blood blister underneath the tip of my tongue. Parts of my body feel a little itchy an hour after vaccine and continues very infrequently at this time and it disappears in seconds.

Other Meds: bisoprolol crestor aspirin choline pregnenolone magnesium

Current Illness: none

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm