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**
PLEASE CHECK BACK SOON
Download the files above while you wait.







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

Date Died: 01/11/2021

ID: 0938974
Sex: M
Age: 88
State: OH

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

Lab Data: Labs contacted facility with critical lab, Hemoglobin 4.8, at 9:45am after resident passed

Allergies: NKDA

Symptoms: Hospice Resident received first Covid 19 vaccine dose on 1/6/21. 1/7/21 resident had decreased appetite noted in am but ate 100% of meal at dinner. 1/9/21 resident had decreased appetite with emesis x 2, loose BM x 2. Call placed to hospice. 1/10/21 5:44 am resident able to take HS meds, ingest 2 cups of shake. No emesis or loose stool noted. 12PM nurse noted resident not eating meals but ingesting milkshake and medications without any problems. Hospice contacted for change in condition. 1:00 pm hospice ordered Phenergan 12.5 mg Q 6 hrs PRN. Labs to be drawn 1/11/21. Hospice notified POA. 1/11/21 12:24am Resident had blood in stool. Resident denies any pain, on 2L of O2 for comfort.

Other Meds:

Current Illness: Hospice

ID: 0938975
Sex: M
Age: 51
State: FL

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

Lab Data: None

Allergies: None

Symptoms: Headaches , body and back ache, nausea, nausea started about 10 hrs after the second Pfizer covid vaccine dose , lasted almost 72 hrs. Took tyelenol, zofran to help

Other Meds: None

Current Illness: None

ID: 0938976
Sex: F
Age: 56
State: CA

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

Lab Data: COVID 19 test completed 01-11-2020 the test was negative.

Allergies: NKDA

Symptoms: The client developed blisters on toes ( Right foot 3rd toe, Left foot 3rd and 4th toe)of her bilateral feet and Achilles tendons she also had a rash on bilateral feet that was very itchy. The rash and blisters appeared two days after being vaccinated. The client also reports having a head ache but is not sure if it is related to the vaccine.

Other Meds: Metphormin HCL 1000 mg QD Naproxen OTC 1 tab twice a day

Current Illness: None

ID: 0938977
Sex: M
Age: 69
State: FL

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data: none

Allergies: compazine, tequin, penicillin, bee stings, clindamycin

Symptoms: Excessive swelling and Hives on right side of face, right eye, neck back, right arm. Benedryl 25mg, at 11pm. EpiPen injection at 12 midnight. continued 50mg benedryl on 1/8; continued 50mg benedryl on 1/9 and Cetirizine 10mg. 1/10 10mg Cetirizine; 1/11 10mg Cetirizine 1/12 Patient is calmer and swelling is decreasing; pimply rash on forehead and top of head. Followup with Pharmacist phone call on 1/11

Other Meds: Vit D3, Multiple Vit, Furosemide, Metoprolol, Valsartan, more; amlodinpine, Potassium, Metformin, Nugenix, Rivaroxaban, Atorvastatin, Gabapentin

Current Illness: none

ID: 0938978
Sex: F
Age: 29
State: CA

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

Lab Data: none

Allergies: none

Symptoms: Abdominal cramping within one hour of receiving the first dose of the vaccine lasting for up to 12 hours. Felt better next day.

Other Meds: unknown

Current Illness: none

ID: 0938979
Sex: F
Age: 26
State: IL

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

Lab Data:

Allergies: Tramadol

Symptoms: Developed a headache 48-72 hours post vaccine

Other Meds:

Current Illness:

ID: 0938980
Sex: F
Age: 44
State: GA

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

Lab Data:

Allergies: Wellbutrin

Symptoms: 24 hours after vaccine injection I experienced swelling, heat, tenderness and nodules to my chin and cheeks where I had dermal filler injections in March 2020. This did not resolve with Benadryl 50mg. On 1/10/21 I was given a Rx for prednisone and the tenderness and swelling resolved with 40 mg of Prednisone.

Other Meds: None

Current Illness: Tested Covid positive 12/22/20

ID: 0938981
Sex: F
Age: 50
State: AK

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

Lab Data:

Allergies: None that I am aware of

Symptoms: Fever, headache, nausea, muscle spasms, sensitive to noise and light, loss of appetite, very tired

Other Meds: Methadone 145 mlg a day Ibuprofen 800 mlg. when needed

Current Illness: None

ID: 0938982
Sex: F
Age: 28
State: NJ

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

Lab Data: N/A

Allergies: N/A

Symptoms: Arm pain on Day 1. Difficult to lift even light objects, painful to the touch. Applied ice and took a pain reliever. Red blotchy rash on chest and cheeks that subsided after 1-2 hours. Arm only slightly sore by Day 2. On day 2 fatigue and dizziness in the morning. Headache, body aches, and advanced fatigue by afternoon. Day 3 all symptoms subsided.

Other Meds: Birth control- Junel Fe 24

Current Illness: N/A

ID: 0938983
Sex: F
Age: 37
State: TX

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

Lab Data: none

Allergies: Sulfa, Biaxen, Penicillan

Symptoms: tongue swelling with bumps on tongue (felt fuzzy) knot in throat reported to firefighter on duty and they encouraged me to go see my doc where he gave me a steroid shot as well as a benadryl tongue swelling went down in 15-20 minutes but knot in throat still present as well as now a headache

Other Meds: Vitamin D, multivitamin

Current Illness: allergies

ID: 0938984
Sex: M
Age: 40
State: CA

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

Lab Data:

Allergies: N/A

Symptoms: Vaccine administration staff did not follow Moderna vaccine instructions for handling leftover vaccine doses. Specifically, Moderna handling instructions state that vaccines should be used within 6 hours of the first puncture or be discarded after 6 hours. We administered this patient Moderna dose that was from punctured of longer than 6 hours. Of note, although the vials have been out of the fridge past 6 hours, they were stored in the fridge at the recommended storage temperature of 2-8 degrees Celsius.

Other Meds: N/A

Current Illness: N/A

ID: 0938985
Sex: F
Age: 22
State: CA

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

Lab Data: n/a

Allergies: n/a

Symptoms: Vaccine administration staff did not follow Moderna vaccine instructions for handling leftover vaccine doses. Specifically, Moderna handling instructions state that vaccines should be used within 6 hours of the first puncture or be discarded after 6 hours. We administered this patient Moderna dose that was from punctured of longer than 6 hours. Of note, although the vials have been out of the fridge past 6 hours, they were stored in the fridge at the recommended storage temperature of 2-8 degrees Celsius.

Other Meds: n/a

Current Illness: n/a

ID: 0938986
Sex: F
Age: 28
State: CO

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

Lab Data:

Allergies: No

Symptoms: Skin reaction to the opposite forearm (right). Looks like stretch marks/wrinkles, the area is also itchy. Has been coming and going about 24 hours since I had the injection to present. Have not been able to identify any other cause.

Other Meds: Multivitamin, collagen powder, acidophilus

Current Illness:

ID: 0938987
Sex: F
Age: 28
State: FL

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

Lab Data:

Allergies: Penicillin

Symptoms: Lower back pain, starting at 36 hours

Other Meds: Fluoxetine Probiotics Collagen Birth control

Current Illness: None

ID: 0938988
Sex: F
Age: 26
State: IL

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

Lab Data:

Allergies: tramdol

Symptoms: Developed a headache 48-72 hours post vaccine

Other Meds:

Current Illness:

ID: 0938989
Sex: F
Age: 42
State: NY

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

Lab Data:

Allergies: Nsaid, pcn

Symptoms: Started getting fever as high as 102.1, felt like me spine was crushed and I couldn't get up, massive headache with pressure in my eyes.

Other Meds: Tylenol

Current Illness:

ID: 0938990
Sex: M
Age: 28
State: WA

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

Lab Data: none

Allergies: nka

Symptoms: Patient was feeling hot and appeared to be diaphoretic Pulse was 68 BPM, Respirations 12/minute Oxygen saturation 98% room air No c/o SOB and no difficulties breathing or swallowing Was given 250ml Orange juice and 200ml Water then another 150ml of soya milk within a one hour period Patient monitored closely with oversight by ARNP Patient felt improved and able to leave area approximately 2 hours later and was access last by ARNP

Other Meds:

Current Illness: none

ID: 0938991
Sex: F
Age: 29
State: CA

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

Lab Data: none

Allergies: none

Symptoms: Abdominal cramping starting one hour after receiving vaccine and lasting up to 12 hours, but felt better next day.

Other Meds: unknown

Current Illness: none

ID: 0938992
Sex: F
Age: 37
State: IN

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

Lab Data:

Allergies: Morphine, Penicillin, Percocet, Cleocin

Symptoms: Chills, about 12 hours afterwards for the next 24 hours. Headache, day 3. Runny Nose, day 3.

Other Meds: Vyvanse, Vitamin C, B6, Benadryl, Magnesium, Colace

Current Illness: Sinus Infection, Laryngitis

ID: 0938993
Sex: F
Age: 37
State: CA

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

Lab Data: None

Allergies: No Allergies

Symptoms: I started getting a mild headache as soon as I got home last night after I got vaccinated. I rested, but this morning im still having headache. My body feels aching , chills and very fatigue, slightly soar. A mild mild cough has even occurred. Including Soar Arms all the way down to my hands.

Other Meds: No medications Taken. Only doing Depo Shot

Current Illness: None

ID: 0938994
Sex: F
Age: 31
State: MI

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

Lab Data:

Allergies: None

Symptoms: 4 minutes after the vaccine I had difficulty swallowing and numbness and tingling in my lips. The difficulty swallowing lasted approximately 2 minutes and the numbness/tingling lasted about 20 minutes. Both self resolved.

Other Meds: Diflunasal Prevacid Prenatal vitamin Vitamin D

Current Illness: None

ID: 0938995
Sex: F
Age: 44
State: NC

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

Lab Data: ER routine.

Allergies: Medications. Flu vaccine. reglan, codone, and sulfa.

Symptoms: I had a reaction 20 minutes after the shot. My heart rate jumped up. The numbness and tingling was in my arm and up into my chest and back. I felt like I was going to pass out. The numbness and tingling still hasn't gone away and my heart still races.

Other Meds: Yes, omeprazole. Metholsenidate. Meclazne. Inhaler. Symbicort

Current Illness:

ID: 0938996
Sex: M
Age: 23
State: CA

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

Lab Data:

Allergies:

Symptoms: Vaccine administration staff did not follow Moderna vaccine instructions for handling leftover vaccine doses. Specifically, Moderna handling instructions state that vaccines should be used within 6 hours of the first puncture or be discarded after 6 hours. We administered this patient Moderna dose that was from punctured of longer than 6 hours. Of note, although the vials have been out of the fridge past 6 hours, they were stored in the fridge at the recommended storage temperature of 2-8 degrees Celsius.

Other Meds:

Current Illness:

ID: 0938997
Sex: F
Age: 45
State: TX

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

Lab Data: None as of today, scheduled for imaging

Allergies: Latex, Celecoxib

Symptoms: Swelling/Mass Supraclavicular lymph nodes, large knot and swelling at injection site that started today 1 week post vaccination.

Other Meds: None

Current Illness: None

ID: 0938998
Sex: F
Age: 55
State: CA

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

Lab Data:

Allergies:

Symptoms: Stomach issues. Cramping in lower stomach. Tired. My GERD started to bother me and still not feeling well.

Other Meds: Multi Vitamin Biotin Vitamin D3

Current Illness:

ID: 0938999
Sex: F
Age: 45
State: TX

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

Lab Data:

Allergies: Newly developed shellfish allergy after taking tamoxifen for 3 months

Symptoms: Day of vaccination: Headache, extreme fatigue, whole body muscle ache, chills, fever Day 2: headache, fatigue, chills Day 3: chills, headache, nausea and vomiting Day 4 to currently still ongoing: headache, nausea and vomiting

Other Meds: Bupropion, vyvanse, tamoxifen daily; Xanax as needed

Current Illness: None

ID: 0939000
Sex: F
Age: 29
State: NY

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

Lab Data:

Allergies:

Symptoms: Headache, bodyaches

Other Meds:

Current Illness:

ID: 0939001
Sex: F
Age: 26
State: WI

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

Lab Data:

Allergies: Vancomycin Iodine

Symptoms: Pt reported shortly after receiving her vaccine that she had tingling feeling on the top of her head, bilateral wrists, mid back, and right lower extremity. This was coming and going and had not happened the last about 10 minutes she was in the clinic.

Other Meds:

Current Illness:

ID: 0939002
Sex: F
Age: 25
State: AZ

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

Lab Data: Received Covid NP swab 1/11/2020 report came back positive 1/12/2020.

Allergies: Shellfish, corn, soy No drug allergies

Symptoms: Not sure if this needed in Vaers, But I ended up getting Covid 5 days after my first dose of the moderna. Symptoms include cough, congestion, sore throat, body aches, headaches, loss of smell and fever. Symptoms started 1/11/2020 around 3pm, got tested around 5pm and got the results 1/12/2020 around 8am.

Other Meds: Effexor 75mg, zonisimide 25mg

Current Illness: None

ID: 0939003
Sex: M
Age: 24
State: CO

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

Lab Data: none

Allergies: none

Symptoms: Hives appearing on chest/thighs/back after 30-48hrs, progressing on the 2nd day rapidly across whole body. Itchy and red. Went to urgent care evening of 2nd day, received 50mg diphenhydramine that suppressed itching enough to sleep. Woke up itching and red at 6am of 3rd day, took 25mg diphenhydramine. Took 40mg prednisone at 8am. Went to urgent care at 10am for worsening hives, spreading and covering torso and onto face. Received dexamethasone injection into glute and prednisone prescription was upped to 50mg daily for the next week. Took OTC Zyrtec and Pepcid once following the second urgent care visit. Hives responded well after 2hrs post visit, assuming due to prednisone and dexamethasone. Day 4 (1/12/20) woke up with widespread hives that became further inflamed until an hour after prednisone taken with breakfast. Also woke up with slight sore throat and wheezing, both of which subsided. Currently scheduled to see an allergist on 1/13/20. No known allergies and no other known introduction of allergens in the past week.

Other Meds: escitalopram

Current Illness: none

ID: 0939004
Sex: F
Age: 38
State: WA

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

Lab Data: no

Allergies: no

Symptoms: 12:20 spouse woke PT up because she was gargling. Passed out twice when trying to walk.

Other Meds: Lexapro

Current Illness: no

ID: 0939005
Sex: F
Age: 52
State: OK

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

Lab Data:

Allergies: oxycodone, tetanus shots, morphine, fruits whit skin like peaches, plums, nectarines, pears etc

Symptoms: injection site hot and swollen, itching on left arm belly and face, tingling on upper lip, numbness on tong, headache, pain on back of neck, body pain down the back, diarrhea, stomach cramps, very tired, nausea, stomach bloating

Other Meds: Allegra D-12, Metformin HCL 500 mg, Pantoprazole SOD Dr 40 mg, BusPIRone 5mg

Current Illness:

ID: 0939006
Sex: F
Age: 45
State: IL

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

Lab Data: no

Allergies: Hep B

Symptoms: Severely dizzy, left hand totally numb but painful, cold to touch. Felt better before she got to ER.

Other Meds: Vitamins

Current Illness: no

ID: 0939007
Sex: F
Age: 19
State: IN

Vax Date: 01/09/2021
Onset Date: 01/11/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data:

Allergies: No

Symptoms: Reaction to sticker/adhesive on skin. Only has happened after vaccine, even from bandaid

Other Meds: Duloxetine and lo estrin-fe

Current Illness: No

ID: 0939008
Sex: F
Age: 37
State: CA

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

Lab Data: None.

Allergies: No Allergies

Symptoms: I have a headache. My body is feeling fatigue, aching, and very soar. My arms are very heavy , soar all the way down to my hands. A Slight cough has even occurred since the vaccine.

Other Meds: No Medications. Only Depo Shot

Current Illness: None.

ID: 0939009
Sex: F
Age: 53
State:

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

Lab Data:

Allergies: sulfa antibiotic

Symptoms: tingling lips and tongue, itchy arms

Other Meds: insulin, metformin, fluticasone, omeprazole, albuterol, pravastatin, cyanacobalamin, turmeric root, aspirin

Current Illness:

ID: 0939010
Sex: F
Age: 50
State: CA

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

Lab Data: COVID, STREP, FLU; negative

Allergies: n/a

Symptoms: 12/26/2020 vaccination. 4-5 hours later I suddenly got achy, sore, painful arm. Couldn't lift arm. body aches, chills, could feel it in my back from shoulder to shoulder when had vaccination. I started to feel 'like i had something/ flu. 'Something isn't right'. I had every single side affect that was listed; HA, pain in side of head, stiff, painful, body aches, couldn't control pain period. Tylenol. BC powder for HA. *history of aneurisym. Check in with doctor time to time; headaches. 'weathered the storm' tried to go to sleep. NO SOB. had major fatigue, body aches, CRAZY nausea. These symptoms last for a week and a half. Were unable to work. talking to doctors, not able to come to conclusion on what was happening to me. Questions regarding 2nd shot. couldn't eat for almost 2 weeks. My nausea is so bad, i am scare to eat.

Other Meds: N/A

Current Illness: n/a

ID: 0939011
Sex: F
Age: 49
State: IN

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

Lab Data:

Allergies: none---remote history of lower dose vaccination as a child

Symptoms: rash and diffuse itching

Other Meds: none

Current Illness: none

ID: 0939012
Sex: F
Age: 61
State: OH

Vax Date: 01/04/2021
Onset Date: 01/11/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data: Patient given antibiotics no testing done.

Allergies: pecans, nickel, darvon, cipro

Symptoms: Cellulitis of left upper arm

Other Meds: fish oil, aspirin, ibuprofen, multivitamin, vitamin c, acyclovir

Current Illness: none

ID: 0939013
Sex: F
Age: 23
State: CA

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

Lab Data:

Allergies: N/A

Symptoms: Vaccine administration staff did not follow Moderna vaccine instructions for handling leftover vaccine doses. Specifically, Moderna handling instructions state that vaccines should be used within 6 hours of the first puncture or be discarded after 6 hours. We administered this patient Moderna dose that was from punctured of longer than 6 hours. Of note, although the vials have been out of the fridge past 6 hours, they were stored in the fridge at the recommended storage temperature of 2-8 degrees Celsius.

Other Meds: N/A

Current Illness: N/A

ID: 0939014
Sex: F
Age: 61
State: CT

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

Lab Data:

Allergies:

Symptoms: After patient had received vaccine, a vaccinator was called by a member of the healthcare facility to assess the patient. The patient was jittery and exhibited signs of confusion approximately 20 minutes (3PM) after her vaccination. The vaccinator asked if she was diabetic and the patient replied "yes" and takes metformin. Further questioning revealed that the patient had not eaten since 9AM - it was then around 3PM. The ambulance was called and the patient went to the hospital. Probe revealed that she had not taken her diabetic medication and that the patient had not eaten or drink. Patient was encouraged by vaccinator to eat on time and take her medicine as prescribed.

Other Meds:

Current Illness:

ID: 0939015
Sex: F
Age: 54
State: CA

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

Lab Data: N/A

Allergies: N/A

Symptoms: (severe chills, 2 hrs) (aching shoulders and neck, 1 day) (fever, nausea, severe light and smell sensitivity, 2 days) (Severe headache, 3 days)

Other Meds: N/A

Current Illness: N/A

ID: 0939016
Sex: F
Age: 38
State: CA

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

Lab Data: N/A

Allergies: Shellfish

Symptoms: Approximately 35 minutes after receiving the vaccine staff reported the arm that she received injection on "felt heavy then she started to have SOB, hard to breath, wants air, felt hands on her chest and chocking". Staff noticed that she was tearing, wouldn't talk and was not responding for approximately 5 minutes. Her arms and legs were uptight. Staff also noticed some pale red patches on her neck. Diphenhydramine solution 50mg was given to the patient orally at approximately 9:10am. Patient started to improve in her symptoms at approximately 9:25am. Patient refused to go to the ER when offered to her by 911 staff. Per staff she was nearly 100% better at 9:45am.

Other Meds: N/A

Current Illness: N/A

ID: 0939017
Sex: F
Age: 46
State: MI

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

Lab Data: None

Allergies: Sulfa

Symptoms: The patient had an apparent allergic reaction along the lower lip - in line with the location of dermal filler injected in March 2020. The reaction was minor and localized. This is known with Moderna but to my knowledge hadn't yet been reported with the Pfizer vaccine.

Other Meds: Metformin

Current Illness: None

ID: 0939018
Sex: F
Age: 54
State: WI

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

Lab Data:

Allergies: erythromycin

Symptoms: 9 min post injection pt felt her heart rate increase, was pale and diaphoretic. Vitals signs were taken with BP being 183/113, HR 103 and respirations 22. Pt was sat down, given cool water and apple juice. She reported having not eaten much for the day. Her symptoms began to subside within 10 min and she required no further intervention. She was observed for a total of about 1 hr post injection . Her BP was 136/ 98, HR 83 and respirations 17 when she left for home with her husband.

Other Meds: Hyrdochlorothiazide, Steroid inhaler for asthma, antibiotic

Current Illness: High blood pressure. Asthma, Hysterectomy and tumor debulking on 12-21-2020

ID: 0939019
Sex: F
Age: 48
State: PA

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

Lab Data: C-19 test done weekly for my job on 1/9/21 was negative. Another test done by PCP on 1/12 pending result.

Allergies: Seasonal, metals, aerosols

Symptoms: On 1/11/21, site became swollen, red and itchy. Diameter of a pingpong ball, hard with induration of a few centimeters Starting the evening of 1/10/21 Also with localized reaction, significant nasal congestion, watery eyes , pressure in both ears and more shortness of breath than typical with my asthma.

Other Meds: Lisinopril 20mg QD, Vyvanse 40mg QD, allegra 180mg Qd, Symbicort 80, 2 puffs BID, Pro air inhaler PRN, benadryl 25mg QDhs, colace 100mg QDhs

Current Illness: Asthma, severe allergies from environmental stuff i.e. pets, sprays chemicals

ID: 0939020
Sex: F
Age: 75
State: FL

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

Lab Data:

Allergies: None

Symptoms: 2 days after receiving the Moderno Vaccine for Covid-19 I started having a red rash on my face. It then progressed to my throat and chest. It is very bad under my breasts. It has now broken out in red dots on both of my arms.

Other Meds: None

Current Illness: None

ID: 0939021
Sex: F
Age: 74
State: IN

Vax Date: 01/03/2021
Onset Date: 01/11/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data:

Allergies: no

Symptoms: After 9 days I had a swelling and itchy reaction at the injection site

Other Meds: bupropion xl 300 mg

Current Illness:

ID: 0939022
Sex: F
Age: 31
State: CA

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

Lab Data:

Allergies: None.

Symptoms: Cervical lymphadenopathy diagnosed by Urgent Care doctor on day 8 post vaccine.

Other Meds: Pre-natal vitamins.

Current Illness: None.

ID: 0939023
Sex: F
Age: 45
State: CA

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

Lab Data:

Allergies:

Symptoms: 1. Left Arm soreness at shot site for 2-3 days (01/07/21 - 01/10/21). 2. Fatigue lasting 4 days from date of injection. Worsening on day 2 (01/8/2021). Subsided on day 5 (01/12/2021). 3. Neck soreness with swollen lymph nodes on left side of neck started on day 4 (01/10/21) . Continues on day 5 (1/12/2021).

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm