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: 0931286
Sex: F
Age: 57
State: MA

Vax Date: 01/04/2020
Onset Date: 01/05/2021
Rec V Date: 01/09/2021
Hospital: Y

Lab Data: brain MRI negative including auditory canals, blood work and EKG negative, audiogram showing profound hearing loss more at high frequencies and loss of discrimination in R ear.

Allergies: Sulfa, SSRI

Symptoms: I am a physician and I got dose 2 at 1:30pm on Jan 4. Next afternoon, Jan 5, I got severe myalgias, fever up to 100, severe fatigue, went home after work and slept til the next morning, went to work, took ibuprofen, and the myalgias improved and felt better. But around 3 pm, Jan 6, I got mild vertigo. By about 7pm Jan 6, I noticed my L ear didn't hear well. I changed the battery in my hearing aide and cleaned it but It made no difference. I woke up on Jan 7 with severe vertigo and hearing loss. I did Epley's maneuvers with no effect. I have had similar episodes. I went to work, but gave up when I could not hear patients talking to me. I went to the Emergency Dept and got admitted. I was too unsteady on my feet. Audiogram showed profound hearing loss both ears and almost complete loss of discrmination in R ear. I was put on high dose steroids. Also having tinnitus (mostly whooshing sound of my own pulse). MRI negative. Blood work negative. Some mild improvement now, after 1 dose steroids.

Other Meds: Topiramate, Nortriptline, ibuprofen, Excedrin migraine, Zolmitriptan, Estrace cream

Current Illness: none

ID: 0931287
Sex: M
Age: 41
State: CA

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Low grade fever (100 deg F), body ache, chills and some dry cough. Lasted for a day. Took over the counter tylenol and woke up feeling better next day.

Other Meds: None

Current Illness: None

ID: 0931288
Sex: M
Age: 33
State: IN

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Fever to 102, severe body aches, nausea and headache for 48 hours Responded well to Tylenol

Other Meds: None

Current Illness: None

ID: 0931289
Sex: F
Age: 29
State: MI

Vax Date: 12/29/2020
Onset Date: 01/05/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data: No reported medical tests or labs reported

Allergies: None Known or reported

Symptoms: Client reported that on 12/30/2020 noted dime size red area around injection site then on 12/31/2020 noted golf ball size now was itchy and warm to touch then reported went away. On 1/5/2021 woke up with a red and swollen, hard area in same area that was itching and warm to touch. On 1/6/2021 Contacted Urgent Care and was seen and given Bactrim x10 days and instructed could put ice pack on area and to not receive dose #2. On 1/7/2021 noted area now looked like "bulls eye" reporting red in middle then white then red ring around it. Reports on 1/8/2021 area has faded, still see some redness with red border but no "bulls eye." Denied ever running a fever, having pain or overall ill feeling. Is currently on 10 days of Bactrim and Ibuprofen 600mg 3xdx2 days as directed by Medical Director. Client did take Benadryl on 1/6/2021 to help with itching and reported "it did help." Client will continue to follow up with her PCP at Medical Clinic as needed. No other issues reported at this time.

Other Meds: unknown

Current Illness: None Known or reported

ID: 0931290
Sex: F
Age: 38
State: FL

Vax Date: 01/02/2021
Onset Date: 01/08/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data:

Allergies: Sulfa

Symptoms: Injection site is red, swollen, very itchy. Redness has spread a bit swelling is getting better. This occurred 7 days post vaccine. Currently just monitoring.

Other Meds: Hydroxychloroquine One a day vitamin Zyrtec

Current Illness:

ID: 0931291
Sex: F
Age: 45
State: TN

Vax Date: 12/23/2020
Onset Date: 12/23/2020
Rec V Date: 01/09/2021
Hospital:

Lab Data: None

Allergies: Ciprofloxacin, Erthromycin (vomiting) Oxycodone (itching)

Symptoms: Sore arm and low-grade headache for 3-4 days. Day 1, approx 4 hours after Pfizer dose 1, got headache. Took Aleve, headache gone. Day 2 at 1am, woke up with pretty bad arm pain ("why does my arm hurt so bad? Have I lifted too much weight at the gym?") and headache Did nothing; went back to sleep. Day 3, took Aleve again in the evening; headache gone. Day 4, mild headache. Day 5 and on, feeling fine. On Jan 5, for 4 days straight, I fell asleep at 6 and 7 pm. Normally I go to bed at 9am ( I get up at 4am). Felt fine enough to work, just tired at night more than usual. My 2nd dose is scheduled Jan 15 at noon.

Other Meds: Levothyroxine 50mcg daily Atorvastatin 10mg daily Vitamin D3 5000 IU daily Doctors Best Folate, 800mcg daily Emergen-C packets (1000 mg of Vitamin C plus B-complex and mulitvitamin)

Current Illness: None

ID: 0931292
Sex: F
Age: 40
State: TN

Vax Date: 01/02/2021
Onset Date: 01/07/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data: none

Allergies: nuts

Symptoms: Swollen left tonsillar lymph node and left sore throat

Other Meds: Lexapro 10mg Zinc, Vitamin D, pre/probiotic, multivitamin, collagen, hyaluronic acid

Current Illness: Runny nose symptoms, exposed to covid from family member and quarantined appropriately; however, never tested

ID: 0931293
Sex: M
Age: 59
State: NJ

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data:

Allergies: IV Contrast Shellfish

Symptoms: Approximately 3 minutes after the injection I began to experience palpitations and felt flushed. My heart rate increased from about 70 to 110. This lasted for approximately 5 minutes and then recurred about 10 minutes later. After the second event I took Benadryl 50mg po. I experienced palpitations and felt flush a third time about 5 minutes after taking Benadryl lasting about 2 minutes. Approximately 40 minutes after the injection I began to feel cold and clammy, this lasted about 35 minutes. My pulse was about 75 and BP 140/90 during this last event. Approximately 90 minutes after the injection I went home and experienced intermittent chills for a few hours then I was asymptotic.

Other Meds: Toprol XL 50mg qd

Current Illness:

ID: 0931294
Sex: F
Age: 59
State: IN

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data: Unknown

Allergies: Tetracycline

Symptoms: Itching all over

Other Meds: Previcid, Metformin, pepcid, Jardiance

Current Illness: None

ID: 0931295
Sex: F
Age: 37
State: FL

Vax Date: 01/03/2021
Onset Date: 01/03/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data: N/A

Allergies: None

Symptoms: After a few minutes of administration, I felt tingling down my right arm, my right side of the face, and my tongue. My eye started to hurt with pressure. The tingling in my arm and hand went away after 30 minutes or so but there was still some tingling of my face, toungue and the pressure of the eye still remained. That night I took a Zyrtec and felt better for a few days. on 1/8 I started to feel tinging in my tongue and pressure in my right eye again. I took Zyrtec that night and it went away. Currently this morning I feel okay and hope it wont come back.

Other Meds: Vitamin B Stress Complex, Vitamin D3 1000units

Current Illness: Had Headaches previously

ID: 0931296
Sex: F
Age: 39
State: OH

Vax Date: 12/28/2020
Onset Date: 01/06/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data: N/a

Allergies: Venofer, imitrex

Symptoms: Swelling, itching, warmth, redness at injection site started at day 8 and spread through day 12 s/p vaccine (today). No fever or chills.

Other Meds: Zyrtec, levoxyl, metformin, singulair, protonix, spironolactone, Benadryl, ozempic, b12

Current Illness: None

ID: 0931297
Sex: M
Age: 31
State: CA

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data: N/a

Allergies: N/a

Symptoms: Fever (101.2) Nausea Muscle and Joint aches Lethargic

Other Meds: Max Muscle Whey Isolate/casein powder

Current Illness: Contracted COVID-19 w/symptoms and tested positive on 5 Dec 2020.

ID: 0931298
Sex: F
Age: 43
State: NY

Vax Date: 01/09/2021
Onset Date: 01/09/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data: normal cbc, bmp. tryptase obtained (will not result prior to discharge)

Allergies: shellfish

Symptoms: tongue tingling, hot flashes, sweating, tachycardia, hypertension. improved after benadryl

Other Meds: synthroid, lexapro

Current Illness: none

ID: 0931299
Sex: F
Age: 47
State: MN

Vax Date: 01/06/2021
Onset Date: 01/08/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data:

Allergies: KNDA

Symptoms: About 36 hours after vaccination, I experienced incredible "brain" fatigue/fog. My physical body did not seem affected by the fatigue but my brain/head felt very "fuzzy". I had a hard time getting words out. Similar feeling to etoh intoxication. I was a bit off balance and dizzy. I remember shaking my head to try to clear it. I also had a very"plastic" taste in my mouth and felt nauseous. At the 48 hour mark (almost exactly) I felt better. At 60 hour mark brain/head symptoms completely resolved. Only experienced a very slight nauseated feeling.

Other Meds: N/A

Current Illness: N/A

ID: 0931300
Sex: F
Age: 58
State: IL

Vax Date: 01/05/2021
Onset Date:
Rec V Date: 01/09/2021
Hospital:

Lab Data:

Allergies: Allergic: Shellfish

Symptoms: Pt reported onset of "quivering" lips & Headache 15 min after vaccine. Vitals recorded. MD contacted & interviewed (Dr.) patient. Ambulance called. Vitals re checked Benadryl 25 mg PO given. Paramedic & Ambulance arrive 4:35 59 y/o who states she had anaphylaxis before her symptoms started the same as today. C/o quivering lips & H/A No rash or respiratory comp (EMT's exam - normal except ? movement. Assessment - Possible allergic RXN Plan - Ambulance transport to ED

Other Meds: Humira for spondylitis

Current Illness:

ID: 0931301
Sex: M
Age: 46
State: NY

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data:

Allergies: denies

Symptoms: - pt came into the clinic after being vaccinated 24 hours ago at another facility with fever, body aches and lost of tase

Other Meds: denies

Current Illness: denies

ID: 0931302
Sex: F
Age: 41
State: NY

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/09/2021
Hospital:

Lab Data: None.

Allergies: None

Symptoms: Few minutes after injection - unusual taste in the mouth and sense of palpitation About 8 hours after - rash on the back of both hands, not itchy, lacy faint rash rapidly spreading limited to the hands, associated with tingling and paresthesia on both palms.

Other Meds: Levothyroxine

Current Illness: Breastfeeding

ID: 0931303
Sex: F
Age: 58
State: CT

Vax Date: 01/01/2021
Onset Date: 01/01/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data: None

Allergies: Sulphur, Skin allergy to latex, nickel, perfume, bactracin

Symptoms: I have a five inch by five inch red, swollen injection site reaction. That lasted from 1/1/21 to 1/8/21. As of today, it is a faint 5 X 5 injections site pink reaction. I also am still occasionally getting zapping pain that feels like a needle. The pain was bad the night of the injection until 1/7/21. I took 800 MG of Ibuprofen every 6 hours. I also could not use my left arm due to the pain and inflammation from 1/1/21 to 1/3/21. When I rolled over on it at night, it would wake me up. I also the first four days, felt tired, and unwell. I called the pharmacy and was told my reaction was normal. Therefore, I did not call my GP doctor.

Other Meds: Methotrextater, daily vitamin, pristiq, rosuvastatin, Gabapent

Current Illness: Psoriatic Arthitis, Psoriasis, Eczema, Chronic Migraines

ID: 0931304
Sex: F
Age: 35
State: CA

Vax Date: 12/22/2020
Onset Date: 12/22/2020
Rec V Date: 01/09/2021
Hospital:

Lab Data:

Allergies: At time of vaccination, employee stated no allergies. After report of reaction, employee stated new allergy to nuts and sunflower seeds. Also states allergy to Sulfa class medications.

Symptoms: Employee reported 2 episodes where she felt she had an elevated heart rate. Vital Signs: 139/94 HR 81, O2 Sat 98% Observed employee x 30 minutes. At report of second episode, employee sent to ER. Patient reports cleared by ER physician, condition stable, no further episodes of elevated heart rate.

Other Meds:

Current Illness:

ID: 0931305
Sex: F
Age: 50
State: OR

Vax Date: 01/09/2021
Onset Date: 01/09/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data:

Allergies: Sulfa

Symptoms: Pain at infection sit, swelling, large lump, hot. Concerned that side effects have not gone away. Injection site is still hot, swollen and now itches but doesn?t hurt.

Other Meds: Cozaar, vit d, vit c, calcium, multi vit

Current Illness: Na

ID: 0931306
Sex: F
Age: 24
State: TX

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: Starting at 4am the following morning of vaccine, sweats, aching arm at injection site(no pain prior), sore throat on right side when swallowing(possibly swollen right lymph node), sore muscles including neck,shoulders and back, headache.

Other Meds: Adderall, lexapro

Current Illness:

ID: 0931307
Sex: M
Age: 70
State: MO

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/09/2021
Hospital:

Lab Data: Have been to ER. All typical lab results were within normal limits

Allergies: tetanus, clindamycin

Symptoms: Severe weakness and fatigue, headaches and "cloudy" . Severe gastritis. Unable to perform normal duties as a dentist.

Other Meds: Amlodipine, omeprozole

Current Illness:

ID: 0931308
Sex: M
Age: 46
State:

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data:

Allergies:

Symptoms: - fever - bodyaches - lost of taste and smell - positive rapid covid 19 test

Other Meds:

Current Illness:

ID: 0931309
Sex: F
Age: 41
State: OR

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/09/2021
Hospital:

Lab Data:

Allergies:

Symptoms: employee received the vaccine at 3:45 PM, and at 4:00 PM began feeling a sensation in her mouth of having lots of saliva. Did not get nauseated. Also experienced metallic taste in mouth. 5 minutes later felt dizzy, then 5 minutes later felt shaky BP was 159/93, HR 107 felt well enough to finish out shift, and went home. Following day felt lethargic, but recovered from that at home.

Other Meds:

Current Illness:

ID: 0931310
Sex: F
Age: 32
State: CA

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Extreme arm pain at site of injection (couldn?t raise arm). Body aches, slight fever overnight.

Other Meds: Sertraline 50

Current Illness: None

ID: 0931311
Sex: M
Age: 25
State: SC

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Hot flashes, chills, cold like symptoms, some elevated heart rate, injection site warm to the touch, red ring around injection sight the size of two quarters length wise, was feeling foggy headed.

Other Meds: Tylenol, Vitamin D, Mens 1 a day Vitamin, Benadryl

Current Illness: None

ID: 0931312
Sex: M
Age: 39
State: IL

Vax Date: 12/18/2020
Onset Date: 01/07/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Left knee pain and stiffness 1/7 which is resolving, right knee pain and severe stiffness as of yesterday. Hard to bend leg.

Other Meds:

Current Illness:

ID: 0931313
Sex: F
Age: 52
State: IL

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data: n/a

Allergies: n/a

Symptoms: Day after vaccine symptoms that presented themselves were the following: redness, swelling and warm to the touch at the injection site, migraine, body ache, loss of appetite and very lethargic. Followed up with Primary Care Doctor for exam and confirmed rapid heartbeat of 171/83 (no high blood pressure in medical history), physician confirmed case of Cellulitis of right upper extremity. Physician prescribed 500mg of CephaLEXIN 2x daily until medication is completely gone.

Other Meds: n/a

Current Illness: n/a

ID: 0931314
Sex: F
Age: 62
State: NV

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data: NONE

Allergies: none

Symptoms: THE NEXT DAY I FEEL TOOO BAD I HAVE HIGH FIVER, BODI PAIN, HEADACHE, NECK PAIN , AND TOO COOL I TAKE TYLENOL AND AVIL EVERY 4 HOURS I DONT GO TO THE HOSPITAL BECAUSE I SCARE

Other Meds: none

Current Illness:

ID: 0931315
Sex: F
Age: 44
State: WA

Vax Date: 12/30/2020
Onset Date: 01/06/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data:

Allergies: Macrodantin and latex

Symptoms: Latent edema, urticaria and erythema in injection seem one week prior that was new

Other Meds: None

Current Illness: None

ID: 0931316
Sex: F
Age: 28
State: NV

Vax Date: 12/29/2020
Onset Date: 01/06/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data: None. Took 440 mg of Aleve when pain started. All symptoms subsided at the end of the day. Slight redness still noted until the next day.

Allergies: No known allergies

Symptoms: Exactly one week later, bumpy redness/rash, itchiness, swelling and tenderness right below injection site. Left upper and forearm started hurting 5 hours after initial symptom was noticed.

Other Meds: Acetaminophen 1000 mg Aleve 220 mg Taken 8 hours apart as a prophylactic measure.

Current Illness: None

ID: 0931317
Sex: F
Age: 47
State: IN

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Chills, low grade fever to start at 98.1, full body aches, fatigue, temperature rose to 101.1 then about 9:00 pm fever broke and back down to 98.0 and felt fine ever since.

Other Meds: Enzyme, probiotic, b12, CBD 1000mcg

Current Illness: None

ID: 0931318
Sex: F
Age: 81
State: FL

Vax Date: 01/02/2021
Onset Date: 01/07/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: On Jan 7, 2021 I developed a low fever (100.1), chills, scratchy throat, stuffy nose, and headache. On Jan 8, I was tested positive for Covid with the quick result test. Fever and headache are now gone, but I continue to have scratchy throat and nasal congestion. No medical treatment sought but I am now quarantined for 2 weeks.

Other Meds: Primidone Solifenacin

Current Illness: none

ID: 0931319
Sex: F
Age: 57
State: FL

Vax Date: 12/31/2020
Onset Date: 01/01/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data:

Allergies: Bactrim Bee venom Fish

Symptoms: Pain redness and swelling at injection site. Redness about the size of a baseball. Pain and swelling went away on day 4 On Day 6 swelling and redness came back with itchy sensation, area the size of a baseball. Redness and swelling continued to grow and still exists at day 9. It is now the size of my hand, fingertips to my wrist. Taking benedryl and using hydrocortisone cream. Redness is fading on the inside of the area, but continuing to spread on the outer edges. I have concerns about getting the second shot. I am due to get it Jan 28

Other Meds: Multi vitamin Rosuvastatin 10mg Levothyroxine 88 mcg Venlafaxine 225 mg

Current Illness: None

ID: 0931320
Sex: F
Age: 62
State: FL

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/09/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Area still swollen and still hurts when touched

Other Meds: Pradaxa. Lisinopril, atorvastatin, buprophion

Current Illness: None

ID: 0931321
Sex: F
Age: 71
State: PR

Vax Date: 01/04/2021
Onset Date: 01/08/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data: NOT KNOWN

Allergies: NONE KNOWN

Symptoms: THE PATIENT IS CALLING TELLING US THAT SHE HAD DIARREA, NAUSEA, JOINT PAIN SPECIALLY IN LEGS, FEVER AND HEAD ACHE.

Other Meds:

Current Illness:

ID: 0931322
Sex: F
Age: 36
State: KS

Vax Date: 12/30/2020
Onset Date: 01/01/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data: None as of 01/09/21

Allergies: None

Symptoms: Severe migraine occurred within 2 days of taking vaccine and lasted three days (rescue migraine medication Rizatriptan did not help). Also began experiencing vivid nightmares. Never experienced vivid nightmares before receiving Moderna vaccine. Vivid nightmares occurring nightly and including racing heart beat, sweating, shaking and ridged muscles, taking 1-2 hours to fall back asleep, continuing to increase in intensity.

Other Meds: Nortriptyline, Robaxin

Current Illness: None

ID: 0931323
Sex: M
Age: 28
State: OH

Vax Date: 12/28/2020
Onset Date: 12/30/2020
Rec V Date: 01/09/2021
Hospital:

Lab Data: CBC within normal limits

Allergies: None

Symptoms: Supraclavicular lymph node (mobile, initially mildly tender, 1-2cm, soft) occurring on left side (same side as the vaccine). This was first noted 2 days after vaccination. Associated symptoms including tenderness at the left deltoid (injection site). No fevers, fatigue, night sweats noted.

Other Meds: None

Current Illness: None

ID: 0931324
Sex: M
Age: 28
State: MI

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Myalgia's, Fatigue, Chills

Other Meds: None

Current Illness: None

ID: 0931325
Sex: F
Age: 45
State: MA

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data: none

Allergies: No known allergies

Symptoms: Patient reported increased fatigue a few hours after receiving first dose. Fatigue worsened over the next couple of days and had a couple episodes of vomiting. Consulted with PCP and advised to monitor over next couple of days. Symptoms resolved by 1/8.

Other Meds: Unknown

Current Illness: Unknown

ID: 0931326
Sex: F
Age: 57
State:

Vax Date: 01/09/2021
Onset Date: 01/09/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient reported feeling itchy during 15 min observation, nothing noted on skin. Resolved at end of obs period.

Other Meds:

Current Illness:

ID: 0931327
Sex: F
Age: 37
State: TX

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data: NONE

Allergies: NKDA

Symptoms: EMPLOYEE HAD RECEIVED FIRST DOSE OF PFIZER VACCINE ON 12/9/2020. PRESENTED TO CLINIC AND WAS VACCINATED WITH MODERNA FIRST DOSE ON 1/8/2021. EMPLOYEE ADMITTED SHE CIRCUMVENTED THE REGISTRATION PROCESS BECAUSE SHE DID NOT WANT TO DRIVE TO THE ORIGINAL LOCATION NOT REALIZING THIS WAS A DIFFERENT VACCINE. MONITORED FOR A 30 MINUTE PERIOD AND WAS RELEASED.

Other Meds:

Current Illness:

ID: 0931328
Sex: F
Age: 55
State: IL

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: 1/08 12pm- Diarrhea 11pm- Nausea throughout the night 1/09 6am- Vertigo

Other Meds: Prempro Protonix Singulair

Current Illness: None

ID: 0931329
Sex: F
Age: 59
State:

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data: Covid-19 vaccine

Allergies: Sulfa

Symptoms: 12 noon Jan. 9/2021- feeling achey all over- feels like I'm coming down with something.

Other Meds: D, C, probiotics, Zn, CoQ10, montelukast, incruse, qvar, rosuvastatin, lexapro, omeprazole, diltiazem

Current Illness: None

ID: 0931330
Sex: F
Age: 47
State: OR

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/09/2021
Hospital:

Lab Data:

Allergies:

Symptoms: employee received the vaccine 12/31/2020. 15 minutes later she stated she felt very sleepy. Stated it was hard to keep her eyes open. She was observed for 30 minutes and sent home. Telephone calls to her during the day indicate she felt sleepy until late afternoon. She stated she felt sleepy for the rest of the afternoon. She stated she woke next day feeling fine.

Other Meds:

Current Illness:

ID: 0931331
Sex: F
Age: 59
State: NJ

Vax Date: 12/21/2020
Onset Date: 12/22/2020
Rec V Date: 01/09/2021
Hospital:

Lab Data: None as of yet. Making appointment with physician for this week.

Allergies: none

Symptoms: Developed fever/chills next day and following day which resolved but also began having having purple/blue fingertips - both pads and nails - when my hands are cold. This began on day after vaccine and continues to date.

Other Meds: n/a

Current Illness: none

ID: 0931332
Sex: F
Age: 53
State: PR

Vax Date: 01/04/2021
Onset Date: 01/08/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data:

Allergies: UNKNOWN

Symptoms: PATIENT REFERS STRONG HEADACHE AND INSOMNIA BECAUSE OF THE HEADACHE

Other Meds: NOT KNOWN

Current Illness: UNKNOWN

ID: 0931333
Sex: F
Age: 30
State: OH

Vax Date: 12/31/2020
Onset Date: 01/07/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Red rash and swelling medial and distal slightly to injection site. noted symptoms one week after injection of vaccine

Other Meds: birth control. Zoloft

Current Illness:

ID: 0931334
Sex: F
Age: 56
State: NY

Vax Date: 12/28/2020
Onset Date: 01/05/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data: No tests

Allergies: NKDA

Symptoms: 1/5/21 itching of left arm pit, soreness of arm 3cms below injection 1/6/21 bruise noted at the site of soreness previously (not the injection) rash on the arm below bruise 1/7/21 seen by employee health, rash slightly warmer, 1% hydrocortisone applied to rash 1/8/21 no change except rash is not warm, hydrocortisone applied 1/9/21 rash extended down the arm toward the elbow, bruise lightening, hydrocortisone applied

Other Meds: Synthroid, aspirin, Wellbutrin, vitamin D, fish oil, eye vitamin, famotidine, tension headache relief, turmeric, vitamin C

Current Illness:

ID: 0931335
Sex: F
Age: 49
State: ME

Vax Date: 12/29/2020
Onset Date: 01/08/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Developed pruritic annular raised erythematous with central clearing rash at injection site about 10 days after injection received.

Other Meds: None

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm