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: 0936000
Sex: F
Age: 58
State: CA

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

Lab Data: symptomatic monitoring only

Allergies: Iodiine/IVP dye, Latex

Symptoms: significant redness and swelling at site of injection, gradually spread up to top of shoulder, over 4 days Patient had previously had COVID 19 disease, and recovered, in August 2020

Other Meds: none

Current Illness: none noted

ID: 0936001
Sex: F
Age: 53
State: DE

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: 2.5 hours after shot: Arm sore, Sinuses burning, chills, headache, lips tingling 12 - 36 hours after shot: unable to lift arm above shoulder, chills, body aches, headache, dizziness 48 hours after shot: all symptoms cleared up.

Other Meds: Zoloft, flint stone vitamins, vit D, omeprazole, rosuvastatin, Tysabri

Current Illness: MS, diabetes, hyperlipdemia

ID: 0936002
Sex: F
Age: 44
State: TX

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

Lab Data: EKG , BMP, cardiac enzymes - 12/28

Allergies: None

Symptoms: Day of vaccination (Day 0) - felt mild chest tightness/difficulty breathing, relieved with 1 puff of albuterol Day 1 - lymphadenopathy of left axilla lasted 2 days Day 2 - tachycardia HR 100, feeling faint, wanting to pass out for a couple of hours Day 4 - tachycardia HR 120 feeling faint, wanting to pass our for couple of hours

Other Meds: albuterol inhaler, ibuprofen 200mg

Current Illness: None

ID: 0936003
Sex: F
Age: 55
State: IN

Vax Date: 01/05/2021
Onset Date: 01/07/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies: Cleosin Amoxicillin Sulfa Tetracycline Keflex

Symptoms: Starting 48 hours after injection,Extreme fatigue, cold chills,Loss of appetite, nausea, weakness, moderate to severe muscle aches, especially upper and lower back and rib area. Only slight fever of 99.8 F. This lasted for Approximately 4 days. Now I have recovered.

Other Meds: Atenolol 100 mg Hydrochlorothiazide 12.5 mg Aspirin 81 mg Ompreazole 20 mg Famotidine 20 mg Vitamin D 3 125 mcg 5000 IU

Current Illness: UTI Infected cutaneous abscess

ID: 0936004
Sex: F
Age: 34
State: MA

Vax Date: 12/31/2020
Onset Date: 01/08/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: N/A

Allergies: None

Symptoms: Mild red rash

Other Meds: Vitamin D, MVI

Current Illness: none

ID: 0936005
Sex: F
Age: 56
State: TX

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

Lab Data: N/A

Allergies: N/A

Symptoms: My face broke out in a mild rash in the morning and progressed to my mid back and a few on my arm.

Other Meds: Blood pressure, gastritis, probiotic, thyroid, vitamin d, progesterone, magnesium

Current Illness:

ID: 0936006
Sex: F
Age: 57
State: HI

Vax Date: 12/17/2020
Onset Date: 12/17/2020
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: left sided axillary and cervical lymphadenopathy

Other Meds:

Current Illness:

ID: 0936007
Sex: F
Age: 79
State: WI

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies: EGGS

Symptoms: Patient's Daughter reports Nausea and Vomitting

Other Meds:

Current Illness:

ID: 0936008
Sex: F
Age: 38
State: RI

Vax Date: 01/02/2021
Onset Date: 01/08/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Started as the typical expected redness at injection site, warmth, slightly swollen and hard. After about 7-8 days it started to itch and the circumference expanded from the size of a nickel to about a 5? diameter, became hot, hurt if touched and had some red streaking coming from the border. I went to be seen at Urgent Care and was seen by the PA I stated in this report and was diagnosed with cellulitis and I am presently taking Cephalexin for treatment.

Other Meds:

Current Illness:

ID: 0936009
Sex: F
Age: 51
State: TN

Vax Date: 12/23/2020
Onset Date: 01/07/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: none

Allergies: No

Symptoms: Shingles, diagnosed on January 7 2021 by my PCP. First symptoms (pain and rash) first appeared January 5th.

Other Meds: Amlodapin 5mg, fish oil, multivitamins, zinc, magnesium, vitamin D, elderberry syrup, vitamin C, metamucil dietary fiber

Current Illness: High blood pressure

ID: 0936010
Sex: F
Age: 53
State: NC

Vax Date: 12/31/2020
Onset Date: 01/08/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: NONE

Allergies: sulfa, codeine, hydrocodone, cefprozil

Symptoms: DEVELOPED A RAISED RASH IN AREA OF INJECTION IN DELTOID MUSCLE 8 DAYS FOLLOWING IMMUNIZATION. RAISED RASH IS STILL PRESENT 4 DAY SINCE IT APPEARED ON ARM AND IS VERY RED, ITCHY, AND HOT TO TOUCH.

Other Meds: none

Current Illness: none

ID: 0936011
Sex: F
Age: 33
State: CA

Vax Date: 01/09/2021
Onset Date: 01/09/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: EKG changes, lab draw BMP showed potassium of 2.9 and I dont normally have hypokalemia so I assume it is linked to anaphylaxis especially since the last episode of anaphylaxis I had also resulted in hypokalemia.

Allergies: Possibly NSAIDs or unknown

Symptoms: Anaphylaxis within 5 minutes of dose given. Tachycardia 130-140s, hot body temperature, trouble swallowing, lightheaded/dizzy, ekg changes, feeling like I was going to pass out even when in bed. IV fluids, benedryl, soul-medrol, famotadine and IM epi given.

Other Meds: No change from dose #1

Current Illness: No

ID: 0936012
Sex: M
Age: 51
State: MI

Vax Date: 01/09/2021
Onset Date: 01/09/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Low grade fever(100.3), body aches, joint pain, rash, headache, swollen lymph nodes(left shoulder)

Other Meds: Omeprazole

Current Illness: None

ID: 0936013
Sex: F
Age: 58
State: IN

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 01/09/2021 0400 to 1100 severe muscle/joint ache, 99.4 temp, headache,chills/shivering. 01/09/2021 2100 muscle aches, 99 temp 01/10/2021 0500 mild muscle ache, mild headache

Other Meds: Lisinopril Estradiol Medroxyprogesterone

Current Illness:

ID: 0936014
Sex: M
Age: 47
State: CA

Vax Date: 12/30/2020
Onset Date: 01/06/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: none

Allergies: No Known Allergies

Symptoms: Patient developed itchy rash on injection site 7 days after receiving the vaccine. Patient self treated with Benadryl 25mg at bedtime and Allegra 60mg in the morning, patient also applied some clobetasol oint. On 1/11/21, the rash is not visible but patient still can feel some itchiness.

Other Meds: Xiidra 5% eye drop

Current Illness: None

ID: 0936015
Sex: F
Age: 41
State: CA

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies:

Symptoms: She felt dizzy immediately upon standing. She has a hx of SVT with cardiac ablation in Feb 2020. No medications noted. Experienced rapid heart beat within 10 minutes with dizziness and shortness of breath. Complained of chest pain, Rapid response team called. Per team - NSR, vital signs stable. Taken to ER for further evaluation.

Other Meds:

Current Illness:

ID: 0936016
Sex: F
Age: 38
State: MN

Vax Date: 12/29/2020
Onset Date: 12/01/2020
Rec V Date: 01/11/2021
Hospital:

Lab Data: NA

Allergies: Ibuprofen, levofloxacin, trees, grass, mold, mice, cats

Symptoms: Body wide pruritis starting 2-3 days after the vaccine and has not ebbed yet

Other Meds: Zyrtec, trazodone, fluoxetine, bupropion XL, vitamin D, Tylenol PM, albuterol inhaler, trelegy inhaler, cardio B, DHEA, adren-all, montalukast, progesterone, omeprazole

Current Illness: NA

ID: 0936017
Sex: M
Age:
State: IN

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies: latex

Symptoms: My left arm shoulder were shot was injected started turning red in injected area an then i felt small tingling that in shot area 7:00 am in the next morning on 01/O9/2021 WHICH by that midday my arm shoulder area had turn into a full scale 0f itching , That has continue itching an has not stop an is so annoying when will this ITCHING STOP!!its been 2days 24/7 HELP!

Other Meds: Tylenol . Arthritis

Current Illness: stomach Pain , Gas

ID: 0936018
Sex: F
Age: 31
State: IN

Vax Date: 01/09/2021
Onset Date: 01/10/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Started with aches and chills, progressed to being very hot and having a 99.5 fever, then had lingering headache. Arm was very very sore and painful. All symptoms disappeared next day.

Other Meds: None

Current Illness: None

ID: 0936019
Sex: F
Age: 39
State: SC

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: None

Allergies: No

Symptoms: Swelling, tenderness and redness at the site of the vaccination

Other Meds: Multivitamin, Fish Oil, Vitamin D

Current Illness: No

ID: 0936020
Sex: F
Age: 44
State: CA

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/11/2021
Hospital:

Lab Data: NONE

Allergies: NONE

Symptoms: AFTER 24 HOURS OF VACCINATION STAFF IS VERY LIGHTHEADED,COMPLAINED OF WEAKNESS,CLAMINESS,UNABLE TO PERFORM DAILY ACTIVITY FOR 2 DAYS AND PALPITATION.

Other Meds: NONE

Current Illness: NON

ID: 0936021
Sex: F
Age: 34
State: NY

Vax Date: 01/09/2021
Onset Date: 01/09/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: EKG at Emergency Department 01/09/2021

Allergies: None noted

Symptoms: 11:15 appointment, vaccinated 11:40, within a few minutes indicated that her hands "felt weird" , both arms tingling then numb, she noted nausea and abdominal cramps. Patient was weak required assistance to cot. Medical staff noted blood pressure 126/84 and Heart Rate 115, pale, glucose was 78, Pulse O2 Ok, Patient transported by ambulance to Hospital, symptoms resolved by 1300 hrs.

Other Meds: Vit D, B12

Current Illness: Runny nose few week ago

ID: 0936022
Sex: F
Age: 32
State: IL

Vax Date: 01/09/2021
Onset Date: 01/10/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: None

Allergies: Mango

Symptoms: Fever >102F, rigors, chills, myalgias

Other Meds: None

Current Illness: None

ID: 0936023
Sex: F
Age: 49
State: IN

Vax Date: 01/09/2021
Onset Date: 01/10/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: N/A

Allergies: Ciprofloxacin Latex sensitivity

Symptoms: Right armpit tender and swollen lymph nodes noted the next morning (01/10/2021) after 2nd IM injection administered. Fatigue and headache occurred by the same afternoon and low grade fever of 99.6? that evening at 8:30 PM. Right armpit tender and swollen lymph nodes remain present 2 days post 2nd IM injection and right arm injection site is warm to touch with redness and firmness to touch.

Other Meds: Escitalopram 10mg daily

Current Illness: N/A

ID: 0936024
Sex: F
Age: 42
State: ME

Vax Date: 01/01/2021
Onset Date: 01/11/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: none

Allergies: Many food allergies noted on intake - dairy, eggs

Symptoms: Patient reported itchy dry cough, slight tightness in back of throat & feeling her HR was high. Vitals taken by nursing staff x 3, 13:00-13:20 (140/89, 114/77, 120/81) 25mg of PO diphenhydramine administered 40minutes of observation complete

Other Meds: diphenhydramine 25mg

Current Illness: unknown

ID: 0936025
Sex: F
Age: 53
State: PR

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: None performed

Allergies: None

Symptoms: On January 8, 2021 Pt presented to the clinic, COVID-19 vaccination facility in support to the local Department of Health. She underwent the usual screening interview where she was explained and clarified on questions about the Moderna vaccine plus a written informative sheet was provided for her to keep. At the end of this explanation a consent with her signature was collected to document her desire to voluntary receive the vaccine. At this station she was told that in order to receive this vaccine she should not had been vaccinated within the previous 14 days. Patient was then moved to the actual vaccination station where she was explained on what to expect after the shot and how to treat for fever or pain and to seek medical care if needed. Again, questions were clarified to her satisfaction. She was then injected intramuscularly on her right deltoid without complications. When the medical personnel were about to hand patient the card with the vaccine information and the date for the next booster to receive, she told to the medical person that she already had that card. She showed us the card and at that moment we realized that the Pt had received 0.5 ml Moderna COVID-19 vaccine on December 23rd at another facility operated by the local Department of Health. She was informed that she was supposed to receive second dose on January 20th, 2021 instead of January 8th. She was informed that she had completed the two-immunization scheduled for COVID-19 vaccine, although earlier than recommended. Patient was observed for 15 minutes after that. During that time, she did not experience any adverse reactions. She was told to seek medical help should she experience any medical problems.

Other Meds: Unknown

Current Illness: None

ID: 0936026
Sex: F
Age: 37
State: ND

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: None

Allergies: Penicillin

Symptoms: Trouble swallowing, tingling around the mouth within 5 minutes of vaccine administration. IV started with 25mg Benadryl within 5 minutes of symptom onset. Transfer to ER at 1430. Symptoms unresolved, hr - 120, bp 140/100, O2 sats 100, resp: 21 Additional 25mg Benadryl, 125mg solumedrol, 1ml Ativan given IV at 1435. Symptoms began to resolve, patient discharged at 1600 to home with instructions to return if needed. Patient returned to ER Sunday January 10 at 1300 complaining of throat tightness. Patient was seen by doctor, no acute distress and airway issues seen. Patient elected to stay for 50mg benadryl and 40mg prednisone PO. Patient was discharged to home with script for 40mg prednisone q day for 3 days. Patient feels any remaining allergic symptoms have resolved.

Other Meds: Omeprazole Lexapro 10mg

Current Illness: None

ID: 0936027
Sex: F
Age: 43
State: IN

Vax Date: 01/09/2021
Onset Date: 01/11/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: Rapid covid test

Allergies: Augmentin and tetracycline drugs cause hives

Symptoms: Diarrhea, lasting 15 minutes. Skin rash at site of injection

Other Meds: none

Current Illness: no

ID: 0936028
Sex: F
Age: 86
State: WA

Vax Date: 12/29/2020
Onset Date: 12/31/2020
Rec V Date: 01/11/2021
Hospital:

Lab Data: Sed Rate = 12 CBC (not reported yet)

Allergies: Zostavax Neosporin = anaphylaxis tape = Rash Elidel = Face Burning Latex Aspirin Nitrofurantoin

Symptoms: Well demarcated area of redness present on the anterior L upper arm (see photos) from shoulder to elbow. No induration or tenderness present. Note that it seems to be clearing proximally. No heat compared to surrounding skin.

Other Meds: CARVEDILOL 3.125 MG TABS Twice per day Levothyroxine Sodium 25 MCG Tab sig: One by mouth daily on an empty stomach Tylenol PM sig: Use at bedtime as needed (occasional) Aleve 220 mg oral tablet sig: as needed cranberry oral capsule sig: one

Current Illness: None

ID: 0936029
Sex: F
Age: 38
State: NC

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies: NKDA, NKFA, Environmental allergies on SL immunotherapy

Symptoms: Developed throat itching and fullness approximately 45 minutes post vaccination. Between 1-1.5 hours, itching of head, neck, and face. No shortness of breath or rash identified. Diphenhydramine 50 mg PO and methylprednisolone 12 mg PO taken upon arriving home.

Other Meds: Escitalopram 5 mg, levocetirizine 5 mg, montelukast 10 mg, famotidine 20 mg, metformin ER 500 mg, levothyroxine 100 mcg, Integra plus, Ozempic 1 mg

Current Illness: None

ID: 0936030
Sex: F
Age: 28
State: KY

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: None

Allergies: None.

Symptoms: On 1/8/21 (day of injection): Severe bodyaches, fatigue, headache, and mild lymph node tenderness that started 10 hours after the second vaccine dose (booster dose 21 days post initial vaccine administration. ) On 1/11/21: Mild bodyaches, fatigue, headache, and worsening lymph node renderness and visible swelling.

Other Meds: Synthroid, adderall, mirena, and vitamin b subcutaneous monthly injection.

Current Illness: None.

ID: 0936031
Sex: M
Age: 57
State: MD

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: none

Allergies:

Symptoms: fever upto 99.8 and chills, myalgia and malaise on day 3

Other Meds: Ibuprofen

Current Illness:

ID: 0936032
Sex: M
Age: 58
State: OK

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies: lisinopril and amlodipine

Symptoms: Patient complained of non visible arm shaking. Shortly thereafter complained of feeling warm and was becoming flushed. Nurse checked NP with reading of 212/104. Patient complained of headache and was taken to emergency department where BP was 240/112.

Other Meds: metformin, atorvastatin, diltiazem, losartan, clonidine, asa

Current Illness: unknown

ID: 0936033
Sex: F
Age: 49
State: CA

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/11/2021
Hospital:

Lab Data: NONE

Allergies: NONE

Symptoms: A PREVIOUS POSITIVE STAFF; REPORTED SIDE EFFECTS OF HAVING ALL OF HER PREVIOUS SYMPTOMS DURING ACTIVE INFECTION AFTER 24 HRS OF VACCINATION,\.JOINT PAIN,SEVERE HEADACHE,SEVERE BODYCHE,FEVER OF 104,SWOLLEN LYMPHNODES,UNABLE TO DO DAILY ACTIVITIES FOR 2 DAYS. ORANGY URINE COLOR

Other Meds: NONE

Current Illness: NONE

ID: 0936034
Sex: F
Age: 46
State: GA

Vax Date: 01/10/2021
Onset Date: 01/10/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies: No known allergies

Symptoms: The patient began to experience heart palpitations about 10 minutes after receiving the Pfizer COVID vaccine (first dose). The HR was checked and marked to be 110bpm. The pt then began to experience tingling at the injection site as well as in the lower bilateral extremities. The pt was escorted to the holding area to lie down on the stretcher. VS checked (139/89 BP, HR 95, Temp 98.4, O2Sat 100%.). Dr in the ACC was called to assess and observe the patient. No further recommendation for treatment was given. Patient was observed for a total of thirty minutes. HR remained within normal limits and pt was cleared to be discharged to home safely. Pt ambulated to personal vehicle with nurse escort.

Other Meds: Outpatient Medications at End of Encounter on as of 1/10/2021 Disp Refills Start End Metoprolol Succinate (TOPROL XL) 25 mg Oral 24hr SR Tab 30 tablet 2/2 12/31/2020 12/31/2021 Sig - Route: Take one-half tablet by mouth daily - Oral Class

Current Illness: Problem List Date Reviewed: 2/19/2020 as of 1/10/2021 ICD-10-CM Priority Class Noted - Resolved UTERINE FIBROIDS 12/2/2017 - Present RIGHT OVARIAN CYST 12/2/2017 - Present IRON DEFICIENCY ANEMIA 7/18/2019 - Present

ID: 0936035
Sex: F
Age: 60
State: MD

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: none

Allergies: Ace inhibitors

Symptoms: Had shot at 11am on Fri. 1/8. Woke up at 230 am Sat. morning 1/9 with chills, fever 101, aches, headache and fatigue. Started to feel better later in the day, but still had fever 100, bad headache and very fatigued. Still had fever at bedtime at 830 of 100.2. Woke up at 430 am for work on Sunday 1/10 feeling better and no fever. I was still somewhat tired but that was it. Nothing since this writing.

Other Meds: Synthroid Dotti estradiol transdermal Progesterone

Current Illness: none

ID: 0936036
Sex: F
Age: 29
State: TX

Vax Date: 01/10/2021
Onset Date: 01/11/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Redness size of a quarter near injection site Tenderness and pain with touch Feels hard

Other Meds: None

Current Illness: None

ID: 0936037
Sex: F
Age: 64
State: NY

Vax Date: 01/02/2021
Onset Date: 01/09/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: I went to my PCP this afternoon and she took blood sample which will be available in a day or two.

Allergies: none

Symptoms: My left arm which is the location I received the vaccine became swollen , painful, red and itchy.

Other Meds: none

Current Illness: none

ID: 0936038
Sex: F
Age: 77
State:

Vax Date: 08/14/2020
Onset Date: 08/16/2020
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies:

Symptoms: patient complains of shoulder pain and decreased range of motion

Other Meds:

Current Illness:

ID: 0936039
Sex: F
Age: 57
State: CT

Vax Date: 12/31/2020
Onset Date: 01/08/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: Given augmented 875-125 one pill twice a day.

Allergies: None

Symptoms: One week after vaccination. Saw redness rash like near the injection site. Swelling and warm to the touch.

Other Meds: Altace 2.5mg

Current Illness: None

ID: 0936040
Sex: M
Age: 77
State: AZ

Vax Date: 01/20/2021
Onset Date: 01/11/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies:

Symptoms: COVID 19 vaccine on January 20,2021

Other Meds: Low dose aspirin, centrum silver multi vitamin, garlic pill Lisinopril Hctz, Metoprolol, Pravastatin Sodium, Gemfibrazil, Lisinopril Hctz, Metformin,

Current Illness: High cholesterol diabetes high blood pressure

ID: 0936041
Sex: F
Age: 33
State: OH

Vax Date: 01/09/2021
Onset Date: 01/09/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: n/a

Allergies: None

Symptoms: Immediately felt hot and dizzy with chest tightness. Chest tightness resolved within 20 seconds. Other symptoms resolved within 2-3 minutes after turning up air conditioning in the car.

Other Meds: Zoloft Pre-natal vitamins

Current Illness: None

ID: 0936042
Sex: F
Age: 28
State: NY

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: N/A

Allergies: N/A

Symptoms: About 2 hours after vaccine, experienced soreness down entire left arm. Later that evening low grade fever of 99.9, chills, headache, nausea and fatigue that persisted until Friday evening. Saturday I experienced a headache and nausea, loss of appetite and whole body fatigue and soreness in back, neck and arm. Headache, fatigue, loss of appetite and nausea persists till now (Monday/Day 4)

Other Meds: N/A

Current Illness: N/A

Date Died: 01/05/2021

ID: 0936043
Sex: F
Age: 98
State: CA

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies: PENICILLINS

Symptoms: RESIDENT 1ST DOSE OF MODERNA VACCINE ADMINISTERED ON 01/04/2021 AT 8:30PM, RESIDENT FOUND UNRESPONSIVE ON 01/05/2021.

Other Meds: atorvastatin,senna,MultiVitamin,Metamucil,metformin,Levothyroxine

Current Illness: S82.001D Unspecified fracture of right patella, subsequent encounter for closed fracture with routine healing(Primary, Admission), M62.81 Muscle weakness (generalized), R29.3 Abnormal posture, M19.90 Unspecified osteoarthritis, unspecified site, E11.9 Type 2 diabetes mellitus without complications, Z86.73 Personal history of transient ischemic attack (TIA), and cerebral infarction without residual deficits, E03.9 Hypothyroidism, unspecified, E78.5 Hyperlipidemia, unspecified, F03.90 Unspecified dementia

ID: 0936044
Sex: F
Age: 58
State: MD

Vax Date: 12/31/2020
Onset Date: 01/11/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: N/A

Allergies: none

Symptoms: 11 days after vaccination, developed redness, itching, warm area 3 inches in diameter at vaccination site. Also experienced minimal soreness of vaccine site.

Other Meds: Vitamin D

Current Illness: none

ID: 0936045
Sex: F
Age: 52
State: FL

Vax Date: 01/09/2021
Onset Date: 01/10/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: none

Allergies: Bactrim Azithromycin Gluten sensitivity

Symptoms: Migraine headache began the next morning about 7am and increased as the day progressed including nausea and light sensitivity. Waves of nausea and headache continued into the next day. I had not had a migraine in over 2 years prior to this event. Treated with OTC Excedrin at first on Jan 10th, then when that was ineffective took butabital at lunch time and when that was ineffective took Maxalt with phenergan about 5p. The next day on Jan 11th, thought I was better but by 630a nausea returned in waves and headache began building again. Took Maxalt with phenergan about 930a and again at 9p.

Other Meds: B12

Current Illness: hx of asthma hx of migraines

ID: 0936046
Sex: F
Age: 65
State: CO

Vax Date: 01/09/2021
Onset Date: 01/10/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: n/a

Allergies: None

Symptoms: Headache, fever (101.7), nausea, lethargy for several hours on day after vaccine was administered. Fever broke during the night. Energy level was still low second day after, slight headache that morning.

Other Meds: Atorvastatin, Fexofenadine, Metformin, Topiramate, Triamterene, Aspirin 81mg, Calcium, Colace, COQ10, Daily Multiple Vitamin, Fish oil, Vit C, Vit D3, Vit E

Current Illness: None

ID: 0936047
Sex: F
Age: 47
State: TX

Vax Date: 01/09/2021
Onset Date: 01/09/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: unknown

Allergies: Unknown

Symptoms: Patient had headache, diaphoresis, low blood pressure and seizure. Patient got Tylenol for her headache and was observed for a few minutes. She was offered Benadryl but patient was allergic to Benadryl. She exhibited grand mal seizure twice. The ambulance was called after the second grand mal seizure.

Other Meds: Unknown

Current Illness: Patient has a history of seizure

ID: 0936048
Sex: M
Age: 59
State: WI

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: Vitals, rapid covid swab.

Allergies: Sulfa

Symptoms: Moderna covid 19 vaccine Severe headache, pulse rate 122, temperature of 103f, shaking,weakness. Same symptoms I had while hospitalized for 7 days in May 2020 with covid. Vitals taken by employee health staff.

Other Meds: Atorvastin, 81 mg asa, daily vitamin.

Current Illness: None

ID: 0936049
Sex: M
Age: 36
State: TX

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Shortly after vaccination patient began to feel anxious, shaky hands, with a numb like feeling in the arm he was vaccinated in. Patient cleared by EMS. 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.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm