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: 0932540
Sex: F
Age: 34
State: VT

Vax Date: 12/31/2020
Onset Date: 01/08/2021
Rec V Date: 01/10/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: A have raised itself on 1/8/2021 at the injection site (left arm deltoid). The hive started at 2 inches diameter and is now about 3 inches diameter. Give us slightly sensitive to touch. On the left collarbone is also an inflamed lymph node.

Other Meds: Vitamin D, Lysine, GABA, Vitamin C, probiotic

Current Illness: None

ID: 0932541
Sex: F
Age: 38
State: IL

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/10/2021
Hospital:

Lab Data: None

Allergies: Penicillin

Symptoms: Started with chills about 10.5 hours after shot. Took temperature and noted a fever of 101.1F at the 12 hour mark along with a headache and fatigue. Improved moderately with taking ibuprofen and rest, fever ended after 24hours post vaccine. Lingering headache for the next 12 hours. Completely resolved at 36 hours.

Other Meds: Synthroid, biotin, ashwaganda, hyaluronic acid, Claritin,

Current Illness: None

ID: 0932542
Sex: M
Age: 31
State: TX

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/10/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Symptoms: 104.7 Fever, body aches, chills, headache, joint pain, fatigue. Sweating profusely at night. Treatment: Tylenol and ibuprofen Outcome: Tylenol would lower fever to about 100 degrees and then fever would come up again to 103 degrees plus.

Other Meds: Melatonin

Current Illness: Had Covid from 12/14 until 12/30

ID: 0932543
Sex: F
Age: 31
State: MN

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/10/2021
Hospital:

Lab Data: No labs done in ED, received Pred, Benadryl in ED, as well as perceptions for pred

Allergies: Walnuts and pineapple

Symptoms: Noticed burning in left forearm immediately after vaccine, within 1 min. Symptoms progressed to feeling hot, flushed, and tachycardia briefly around 5 min. 10 min developed a pressure in my chest, and dizziness. Within 20 min, developed itching, flushing and hives specifically on left arm, hand, and across chest. Within 45 min, both ears and forehead covered with hives. Hospital staff made me go to ED. Within ED hives continued to progress across the chest and bilateral arms and wrists. Received 50mg of Benadryl, and 40mg of prednisone. Symptoms improved but did not resolved. 3 hrs following vaccine, bilateral lip swelling. Took 40mg of percribed pred and 25mg of Benadryl again around 4pm. Within 12 hrs, significant diarrhea. Hives resurfaced on face, bilateral wrists, arms, and ears around 645 on the 12/29. Fever 100.3 noted on 12/29-12/30. Intermitted hives, and lip swelling remained until 1/1. Nausea diarrhea and body aches until 1/2.

Other Meds: Birth control pill

Current Illness: none

ID: 0932544
Sex: F
Age: 38
State: IN

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/10/2021
Hospital:

Lab Data:

Allergies: Bee venom

Symptoms: Developed body aches, fever and malaise at approximately 12 hours after vaccination that lasted until 36 hours post vaccination

Other Meds: None

Current Illness: COVID

ID: 0932545
Sex: F
Age: 78
State: CO

Vax Date: 12/27/2020
Onset Date: 12/27/2020
Rec V Date: 01/10/2021
Hospital:

Lab Data: no

Allergies: codeine, morphine, fentanyl.

Symptoms: Electric like jolt continuous from shoulder to hand. Later DX as a injury to the nerve at the site of the vaccination. Sent to urgent care told to take Tylenol, and ice the area. They referred to physical therapy.

Other Meds: Atorvastatin40mg, lamotrigine, Sumatriptan. Multivitamin, Vitamin D3, aspirin, turmeric, omega3, coq10,

Current Illness: no

ID: 0932546
Sex: F
Age: 51
State: MD

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/10/2021
Hospital:

Lab Data: None

Allergies: Latex, CT contrast

Symptoms: With in 6 hours a sore arm from shoulder to elbow with a large Angioedema under the skin protruding about the size of a soft ball. Edema slowly reduced to subcutaneous. Starting on 1/9/2021- a quarter size red Angioedema visible topically with a tennis ball size edema. On 1/10/2021 site is enlarged to the size of a half dollar. Currently tracking the size.

Other Meds: None

Current Illness: None

ID: 0932547
Sex: M
Age: 56
State: IN

Vax Date: 01/01/2021
Onset Date: 01/09/2021
Rec V Date: 01/10/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Fever of 102, waxed and waned over 12 hours with diffuse myalgias.

Other Meds: None

Current Illness: None

ID: 0932548
Sex: F
Age: 25
State: MA

Vax Date: 12/27/2020
Onset Date: 01/04/2021
Rec V Date: 01/10/2021
Hospital:

Lab Data: None

Allergies: Azithromycin Amoxicillin

Symptoms: Moderna COVID-19 Vaccine EUA 8 days post injection- erythematous, mildly hard, swollen, itchy reaction at injection site consistent with a vaccine given as a subcutaneous injection, not an intramuscular injection. Began 1/4/21 at night, grew in size overnight. 1/5/21, iced the area and took an antihistamine. By 1/6/21 reaction was resolved.

Other Meds: Vitamin D Vitamin C Zinc Calcium Iron Dexmethylphenidate

Current Illness: None

ID: 0932549
Sex: F
Age: 34
State: WI

Vax Date: 01/03/2021
Onset Date: 01/10/2021
Rec V Date: 01/10/2021
Hospital:

Lab Data: None

Allergies: Relpax

Symptoms: One week after injection, I developed swelling, hives, itching and redness at the site

Other Meds: Effexor, Mirena IUD, ibuprofen, lisinopril, amlodipine, bupropion

Current Illness: None

ID: 0932550
Sex: F
Age: 30
State: CA

Vax Date: 01/10/2021
Onset Date: 01/10/2021
Rec V Date: 01/10/2021
Hospital:

Lab Data: None

Allergies: Unknown

Symptoms: Five minutes after the injection patient became flushed and dizzy, with a report of minimal nausea. She was moved to a lab draw chair, placed in Trendelenburg position, vital signs were stable, including pulse, blood pressure and oxygen saturation. She was in this position for greater than 15 minutes, it took 30 minutes for her be able to stand. She remained another 15 minutes, and stated she felt back to baseline before leaving.

Other Meds: Unknown

Current Illness: None

ID: 0932551
Sex: F
Age: 37
State: WI

Vax Date: 12/24/2020
Onset Date: 12/25/2020
Rec V Date: 01/10/2021
Hospital:

Lab Data: Did not go in for a check up I just wanted to report the symptoms I had to help with research. I do not feel I had an adverse reaction. I filled out the v safe health check thing too late and was not able to report the symptoms I had initially had after vaccine. I feel fine now.

Allergies: Erythromycin-hives Keflex-hives Allergic to dust, pet dander, seasonal allergies

Symptoms: Just wanted to report symptoms I experienced which I don't think are necessarily adverse bit just side effects, which were sore arm starting same day, and then day after had body aches, fatigue requiring a nap, and intermittent headache mild but felt like burning near right occipital area which was different from my normal occasional headache, no fever, and had slight runny nose lasting for 2 days, then I felt fine, I plan to get the booster.

Other Meds: Levothyroxine Vit d 3 Multivitamin

Current Illness: None

ID: 0932552
Sex: F
Age: 73
State: IN

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

Lab Data: none

Allergies: opioids

Symptoms: pt reported inflammation of arm - swollen, red, tender. resolved after a couple of days on it own.

Other Meds: levothyroxine, zolpidem

Current Illness: unknown

ID: 0932553
Sex: M
Age: 66
State: ME

Vax Date: 01/02/2021
Onset Date: 01/02/2021
Rec V Date: 01/10/2021
Hospital:

Lab Data:

Allergies: Sulamyd eyedrops (rash), IV cefazolin (rash) Lisinopril caused cough

Symptoms: 5-10 minutes after receiving vaccine developed fullness and feeling of swelling in lower lip and throat. Persisted and given benadryl 25mg po and symptoms resolved within about 10 minutes. HR, BP, oxygen saturation, and lung exam all normal throughout the 90 minute monitoring period.

Other Meds: Losartan, Hydrochlorothiazide, Pantoprazole, Doxazosin

Current Illness: None

ID: 0932554
Sex: F
Age: 22
State:

Vax Date: 01/10/2021
Onset Date: 01/10/2021
Rec V Date: 01/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Headache. Monitored for 35 minutes post injection.

Other Meds:

Current Illness:

ID: 0932555
Sex: F
Age: 35
State: PA

Vax Date: 12/23/2020
Onset Date: 01/09/2021
Rec V Date: 01/10/2021
Hospital:

Lab Data: TBD, will call tomorrow.

Allergies: NKDFA

Symptoms: Left axillary swollen lumps/lymph nodes? Tender to touch. Hard to move left arm. Never hapepned before.

Other Meds: Escitalopram, spironolactone, amphetamine salts, naltrexone, trazodone, estradiol cream, tretinoin cream, clindamycin/benzoyl peroxide cream

Current Illness: None

ID: 0932556
Sex: F
Age: 31
State: IN

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/10/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Fever 102.2F fatigue Chills Body aches Nausea Headache

Other Meds: Prenatal vitamins

Current Illness: None

ID: 0932557
Sex: F
Age: 50
State: MD

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/10/2021
Hospital:

Lab Data: did not go to hospital yet, unsure if need to go ,waiting out symptoms a few more hours, symptoms are a little less now

Allergies: No

Symptoms: Lot number maybe a Number two or a Z, not sure by the writing, 01ZLZOA or 012L2OA Next day feeling tightness in chest and lightheaded, and shortness of breath, some right side jaw pain.

Other Meds: Vitamin D in AM

Current Illness: No

ID: 0932558
Sex: M
Age: 45
State: PA

Vax Date: 12/30/2020
Onset Date: 01/04/2021
Rec V Date: 01/10/2021
Hospital:

Lab Data:

Allergies: Dilantin

Symptoms: Patient developed chills/shivering/tingling day 4 post-injection. The episodes are occurring every 10 minutes and last 30-45 seconds. Symptoms continue at day 11 post injection. Symptoms are similar to the patients pre-ictal aura. However, no generalized seizures have occurred.

Other Meds: Lyrica, Vimpat, Lisinopril

Current Illness: none

ID: 0932559
Sex: F
Age: 21
State:

Vax Date: 01/09/2021
Onset Date: 01/09/2021
Rec V Date: 01/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: None stated.

Other Meds: Tri-li sprintec birth control pills Wellbutrin Fluoxetine

Current Illness:

ID: 0932560
Sex: F
Age: 60
State: OH

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/10/2021
Hospital:

Lab Data:

Allergies: cipro - muscle cramps

Symptoms: Red, swollen, hot, hard center, itchy, painful to touch. Started as a quarter size patch and each day increased in size to about 3 inch by 5 inch patch as of today (day 4). Used cold compress several times daily.

Other Meds: Losartan 50mg , levothyroxine 50mcg, Lantus insulin, Humalog insulin, omeprazole, ibuprofen, tylenol, asprin 81mg, zinc 50mg, vitamin c, one a day vitamin,

Current Illness: none

ID: 0932561
Sex: F
Age: 26
State: AL

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/10/2021
Hospital:

Lab Data: None

Allergies: Penicillin Pollen

Symptoms: 1/6 got vaccine don?t hurt- Initially slightly sore arm a few hours after vaccine 1/7 Next day when woke up very sore arm and shoulder and feeling not 100% 1/7 Mid morning, Headache, stuffy head, Body aches all over, joint pain all over, chills, low grade fever 99/100 by noon, all of these side effects lasted 1/8 and subsided into 1/9 feeling almost 100% better 1/10

Other Meds: Adderall Zoloft Yaz Xanax as needed

Current Illness: None

ID: 0932562
Sex: M
Age: 10
State: IN

Vax Date: 11/24/2020
Onset Date: 12/02/2020
Rec V Date: 01/10/2021
Hospital:

Lab Data:

Allergies: Amoxicillin

Symptoms: Hives over face, chest, back, extremities. Had been pretreating with Zyrtec 10 mg once daily. Dose increased to 3 times a day with continued break through hives and inching. Benedryl 25mg at night. Transitioned to Claritin redi tabs twice daily after 2 weeks. Continues to have break through hives after nearly 6 weeks. This is his 3rd time having this reaction after the flu shot. 2016 and 2017 he had similar reactions with hives starting within days to a week of the injection and lasting several weeks.

Other Meds: Had been taking 10 mg Zyrtec daily for 2 weeks prior due to previous reactions after flu shot. 36mg Concerta

Current Illness: None

ID: 0932563
Sex: F
Age: 56
State: IN

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/10/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: 1st vaccine: Approximately 24 hours after vaccine, I developed chills with fever of 100.2, fatigue, total body/muscle/joint aches, migraine headache, nausea, heart palpitations, as well as very sore, swollen arm. Had to spend the day in bed. Most symptoms relieved by the next 24 hours except arm pain and fatigue. 2nd vaccine: Similar, but worse symptoms developed approximately 12 hours after vaccine. All of the aforementioned symptoms, but fever of 101.4 and arm wasn't quite as sore. As above, had to spend a day in bed.

Other Meds: Centrum Silver multivitamin

Current Illness: none

ID: 0932564
Sex: F
Age: 63
State: FL

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/10/2021
Hospital:

Lab Data: none done

Allergies: Shrimp. Swordfish, Codeine, Lisinopril, Phenergan, Amoxicillin

Symptoms: Within 1 h, pain from injection site to neck. Neck pain felt like meningitis pain. Diarrhea, generalized not feeling fell. On awakening 01/09/21, low grade fever of 99.9, chills, fatigue, generalized malaise, brain fog, & confusion. I was in the shower & yelled for my husband to help me brush my wet hair & asking why it was wet. When I was brushing my teeth, I asked my husband to get me a toothbrush because I could not brush my teeth with "this noodle". Doing "goofy" things on 01/09/21 & 01/10/21. Realizing I am doing this which is not normal. I am an RN & this is not normal for me. On 01/07/21 @ 6:30 pm took 50mg Benadryl, 200mg Advil & Tylenol

Other Meds: Losartan, Zetia, Zocor, Vitamin D3, B12, Aspirin, Zinc with Elderberry,

Current Illness: steroid injection to knee on 1/3/21

ID: 0932565
Sex: F
Age: 34
State:

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/10/2021
Hospital:

Lab Data:

Allergies: Sulfa Amoxicillin Nickel

Symptoms: Myalgias x24h Nausea x 18h Chills x36h Fever (Tmax 103.8F) x28h Headache >48h

Other Meds: Buproprion Escitalopram Prenatal vitamin

Current Illness: None

ID: 0932566
Sex: F
Age: 36
State: PA

Vax Date: 01/09/2021
Onset Date: 01/10/2021
Rec V Date: 01/10/2021
Hospital:

Lab Data: None

Allergies: Sulfa drug allergies

Symptoms: Due date 1/20/21. No adverse events at this time

Other Meds: Prenatal vitamin

Current Illness: COVID-19 positive on 12/26/20. Tested for COVID 12/26/20 the same day COVID symptoms started. Received first dose of vaccine 12/18/20, had contact with a primary source 12/22/20.

ID: 0932567
Sex: F
Age: 38
State: KS

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/10/2021
Hospital:

Lab Data: None

Allergies: Vantin medication

Symptoms: Sore arm day 1-3, bruising occurred day 2. Mild fever (approximate 99 deg) beginning around 5:30pm-day of injection lasting 12 hours. Body Aches and Mild Headache beginning the evening of day of injection lasting through day 2. Body rash (non-itchy) on trunk, low back, inside of upper arms, upper chest beginning on day 2 post injection lasting until day 3. Treatment: IBU every 4-6 hours prn.

Other Meds: Women's MyKind Organic Daily Multivitamin, Toji daily vitamin, daily Calcium supplement, daily biotin supplement.

Current Illness: Experienced a bout of cold sores on lip 1 week prior to vaccine. Took oral Valacyclovir.

ID: 0932568
Sex: M
Age: 52
State: OH

Vax Date: 12/31/2020
Onset Date: 01/09/2021
Rec V Date: 01/10/2021
Hospital:

Lab Data: None

Allergies: I have observed none

Symptoms: 10 days after receiving the injection a dime sized bump appeared at the injection site - with slight redness and itching On day 11 it is not getting any worse and perhaps is slightly less

Other Meds: Coumadin Sertraline Lorazepam Hydrochlorothiazide Linsinopril Vitamin D Fish oil Multi vitamin CBD oil

Current Illness: None

ID: 0932569
Sex: F
Age: 32
State: TN

Vax Date: 12/22/2020
Onset Date: 01/05/2021
Rec V Date: 01/10/2021
Hospital:

Lab Data: Positive covid test

Allergies: Macrobid

Symptoms: Developed covid-19 infection

Other Meds: Ambien

Current Illness: None

ID: 0932570
Sex: M
Age: 59
State: IA

Vax Date: 01/05/2021
Onset Date: 01/09/2021
Rec V Date: 01/10/2021
Hospital:

Lab Data: none

Allergies: Non Known

Symptoms: Cold Sores across bottom lip, diarrah, vomiting, fever, tired

Other Meds: Omerprazole 20mg Tinolol Maleate eye drops

Current Illness: None

ID: 0932571
Sex: F
Age: 29
State: CA

Vax Date: 01/09/2021
Onset Date: 01/09/2021
Rec V Date: 01/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Muscle spasms and pain (pins and needles sensation), extreme fatigue, headache, debilitating body aches for 24+ hours, abdominal pain for 2 hours.

Other Meds: Omeprazole 20 mg

Current Illness:

ID: 0932572
Sex: F
Age: 32
State: NY

Vax Date: 01/09/2021
Onset Date: 01/09/2021
Rec V Date: 01/10/2021
Hospital:

Lab Data:

Allergies: bacitracin, benzalkonium chloride

Symptoms: Fever, chills, soreness at insertion site

Other Meds: N/A

Current Illness: N/A

ID: 0932573
Sex: F
Age: 49
State: NY

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/10/2021
Hospital:

Lab Data:

Allergies: seasonal allergies

Symptoms: Approx 35minutes after vaccine i experienced sneezing ,scratchy throat and itchy yes, took Allegra with good effect. Arm soreness developed about 8 hours after vaccine, woke next morning with fever 100.9, severe body aches, headache, nausea, weakness and fatigue, decreased appetite. In addition, as the day went on I experienced a shallow cough, high pulse rate (130), tongue twitching and just felt aweful. Slept on and off all day, sx lasted the entire day. Took Tylenol throughout the day for the the fever. I awoke 3:30 am today, 1/10/21 with fever 101.5, took more Tylenol, still headache and feel tongue twitchiness however muscle aches, body aches, nausea, decreased appetite and fatigue have subsided. I took 600mg Advil around 9am today and have been gradually feeling much better as of now 1:30pm. As a side note, I did have COVID 19 illness mildly in March 2020. It was dx'd with PCR testing and my sx were loss of taste/smell, nausea, weight loss, bursted eye vessel, slight respiratory sx, I recovered well and had a follow up negative test 2 weeks after. Thank you.

Other Meds: Losartan, Xifaxin, Vitamin D, Vitamin B, Colace, Lactobacillus

Current Illness: none

ID: 0932574
Sex: F
Age: 33
State: NY

Vax Date: 12/29/2020
Onset Date: 01/05/2021
Rec V Date: 01/10/2021
Hospital:

Lab Data: none

Allergies: None

Symptoms: Ipsilateral lymphadenopathy and axillary pain radiating to wrist along radial nerve

Other Meds: None

Current Illness: None

ID: 0932575
Sex: F
Age: 61
State: NC

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: flu like symptoms as she had for the first dose. Presented today with redness, swelling extending down arm to elbow area. Blotchy and patient reported itching as well. Recommended her to be evaluated at urgent care

Other Meds:

Current Illness:

ID: 0932576
Sex: M
Age: 39
State: MO

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/10/2021
Hospital:

Lab Data:

Allergies: Aspirin

Symptoms: Significan painful axillary adenopathy on the side of the injection.

Other Meds:

Current Illness:

ID: 0932577
Sex: F
Age: 58
State: IN

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/10/2021
Hospital:

Lab Data: None

Allergies: Latex, avelox, morphine, bananas, grapefruit, eggs.

Symptoms: 18 hours after vaccine wakened with severe headache lasted aprox 18 hours then was just mild for remainder of 30 hours.

Other Meds: Metoprolol, zyrtec,cymbalta, januvia, glumetza, estrogen.

Current Illness: None

ID: 0932578
Sex: F
Age: 51
State: WV

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/10/2021
Hospital:

Lab Data: None

Allergies: na

Symptoms: Sever muscle pain in shoulders, neck, and back. Severe headache and skin was sensitive to touch. Chills and sweats but no fever. Lasted about 36 hours. Some slight nausea and fatigue.

Other Meds: Venlafaxine ER 75mg, Metformin 500mg x 2 as a preventative, Loratadine 10mg,Hydrochlorithyzide 25mg, Vitamin D2 50,000IU,Cetirizine 10mg, Famotidine 40mg, Trulance 3mg, Vascepa 1gm x 4, NAC 600mg, Niacin 500mg, Potassium 99mg, Adults 50+ Mu

Current Illness: I was diagnosed with COVID-19 on December 5, 2020.

ID: 0932579
Sex: M
Age: 50
State: IN

Vax Date: 01/01/2021
Onset Date: 01/09/2021
Rec V Date: 01/10/2021
Hospital:

Lab Data:

Allergies: N/A

Symptoms: Chills nausea aches

Other Meds: Vitamins C/D K3

Current Illness: N/A

ID: 0932580
Sex: F
Age: 56
State: CA

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/10/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: left arm mild sore

Other Meds: Atorvastatin, Aspirin, centrum vit, B complex sup, hair vit

Current Illness: none

ID: 0932581
Sex: F
Age: 26
State: NJ

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/10/2021
Hospital:

Lab Data: n/a

Allergies: latex

Symptoms: FEVER 101, BODY aches, chills- 2 days took tylenol, dry cough, sore throat, runny nose, headache- 3 days took tylenol

Other Meds: advil cold and sinus, Tylenol, multivitamin, fluvoxamine, vyfemla, probiotic, zyrtec

Current Illness: n/a

ID: 0932582
Sex: F
Age: 58
State: IN

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/10/2021
Hospital:

Lab Data: None

Allergies: Erythromycin

Symptoms: 10 hours after shot - sore arm, 2 hours later headache, 2 hours later fever, muscle ache, chills, basically flu like symptoms. My skin hurt everywhere

Other Meds: Bupropion, low dose aspirin, chlorthalidone, estradiol, allergy tablet, potassium

Current Illness: None

ID: 0932583
Sex: F
Age: 40
State: IL

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/10/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Fever, chills, body aches, nausea, headache

Other Meds: B12 complex vitamin

Current Illness: None

ID: 0932584
Sex: F
Age: 54
State: IL

Vax Date: 12/19/2020
Onset Date: 12/20/2020
Rec V Date: 01/10/2021
Hospital:

Lab Data: Colonoscopy scheduled March 2021

Allergies: NONE

Symptoms: Diarrhea lasting for 22 day, RIGHT UPPER QUADRANT pain for 22 days

Other Meds: Venlafaxine 150 mg day Fish oil Vitamin C Vitamin D Multivitamin

Current Illness: None

ID: 0932585
Sex: U
Age: 40
State: CO

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/10/2021
Hospital:

Lab Data:

Allergies: None per patient report

Symptoms: COVID VACCINE MODERNA UNDER EUA During her 15 minute post-vaccination observation period, patient reported feeling lightheaded and very warm. She had flushing on her face and neck. No rash, hives, angioedema, or breathing difficulty. No fall, no loss of consciousness. The client denied allergy history but did say the same thing happened to her during a root canal when the local anesthetic was injected in to her gums. This RN along with another RN observed the client for approximately 25 minutes total then discharged her home. Approximately 15 minutes in to this observation period, the client reported improvement in her symptoms and the flushing appeared to be improving. The patient did not wish to call for a ride or seek EMS. At time of discharge, patient agreed to pull her vehicle to the side of the road and call for assistance if, at any time, she did not feel well on her drive home. Interventions implemented were lying down with feet elevated, smelling ammonia salts, application of cool compress to head and neck, drinking juice, and eating snack bar. I called the client two hours later to confirm she arrived home safely. The patient confirmed save arrival home and reported feeling much better. She said she was planning to follow up with her PCP about her response and also had a partner at home to observe her. Associate program manager notified of event details.

Other Meds: Unknown

Current Illness: Non per patient report

ID: 0932586
Sex: F
Age: 64
State: AZ

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/10/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Developed significant aching in lower extremities, HR 100, Temp 100.4, slight nausea, general flu like feeling

Other Meds: Synthroid Lisinopril Gemfibrozil

Current Illness: None

ID: 0932587
Sex: F
Age: 51
State: TX

Vax Date: 12/30/2020
Onset Date: 01/08/2021
Rec V Date: 01/10/2021
Hospital:

Lab Data: CBC on 01/08/2021 showed elevated RBC?s 5.11 post vaccination. I am seeing my PCP on Wednesday for a post lab follow up. I am not sure if the RBC?s elevated due to my having to wear a N95 mask so often or because of the vaccine.

Allergies: Sulfa, PCN, aspirin

Symptoms: No symptoms

Other Meds: Lisinopril, norvasc, lovastatin

Current Illness:

ID: 0932588
Sex: F
Age: 39
State: IN

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/10/2021
Hospital:

Lab Data:

Allergies: Clindamycin Monistay

Symptoms: Fever, chills, weakness, fatigue, headache

Other Meds: Fluconazole 150mg once weekly

Current Illness: None

ID: 0932589
Sex: F
Age: 31
State: SC

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/10/2021
Hospital:

Lab Data: N/a

Allergies: NKDA

Symptoms: Pfizer-BioNTech COVID-19 Vaccine Nausea, diarrhea, myalgias, cephalgia

Other Meds: Sertraline, Fexofenadine, Adderall

Current Illness: No

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm