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: 0939024
Sex: M
Age: 44
State: AL

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

Lab Data: ?

Allergies: ?

Symptoms: PATIENT BECAME DIZZY, LIGHTHEADED AND PALE. PATIENT LAYED IN SUPINE POSTION AND GIVEN FOOD. BP OF 99/69, HR 72, O2 100% RA BS 159. CALLED 911- PATIENT REFUSED TRANSPORT. PATIENT MONITORED AN ADDITIONAL 15 MINS WITHOUT ANY PROBLEMS. ALL SYMPTOMS RESOLVED.

Other Meds: ?

Current Illness: ?

ID: 0939025
Sex: M
Age: 26
State: AZ

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

Lab Data: CBC, CMP, chest x-ray, urinalysis and culture, mononucleosis

Allergies: sulfa

Symptoms: Fever, chills, headache, photophobia, swelling, tenderness in left arm

Other Meds: Singulair, dapson

Current Illness:

ID: 0939026
Sex: F
Age: 27
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:

Current Illness: N/A

ID: 0939027
Sex: F
Age: 43
State: NY

Vax Date: 01/04/2021
Onset Date: 01/06/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Redness at injection site a week later

Other Meds: Prilosec

Current Illness:

ID: 0939028
Sex: F
Age: 31
State: MN

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

Lab Data: none. Stayed home

Allergies: sulfa

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA Instructions to report effects after receiving COVID-19 vaccine. Symptoms of severe chills, muscle aches, fever, rapid heart rate, nausea, diarrhea all lasting 48hrs with nausea continuing thereafter. No treatment. Continued nausea, however otherwise recovered

Other Meds: none

Current Illness: none

ID: 0939029
Sex: F
Age: 28
State:

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

Lab Data:

Allergies: None

Symptoms: 12 hours from injection fatigue started. 14 hours past and chills and sweats started (highest measured temp 99.4F orally). Body aches occurred at 16 hours. Body aches and sweats and chills continued until hour 36. At hour 33 awoke from sleep with nausea but did not have emesis. At 48 hours all symptoms basically resolved.

Other Meds: OCP, vitamin C, MVI, probiotics

Current Illness: None

ID: 0939030
Sex: M
Age: 29
State:

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

Lab Data:

Allergies: N/A

Symptoms: Low-grade Fever (38.4 degrees C), Chills, muscle aches, vomiting for three hours

Other Meds: Pantoprazole 40mg

Current Illness: N/A

ID: 0939031
Sex: F
Age: 45
State: UT

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

Lab Data:

Allergies: Sulfa, Erythromycin

Symptoms: Sore arm, itching, swelling & bruise at injection site. Headache

Other Meds: Seroquel, Zoloft, Lamictal, Proprananol, Lithium, Clonazapam, Buspar,

Current Illness:

ID: 0939032
Sex: U
Age: 30
State: MD

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

Lab Data:

Allergies: None

Symptoms: Itching at injection site, 4 inch red ring around injection site, armpit pain on left arm

Other Meds: Lexapro 5mg

Current Illness: None

ID: 0939033
Sex: M
Age: 35
State: CA

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

Lab Data:

Allergies:

Symptoms: The vaccine leaked out from injection site immediately after the needle was removed. About 5 drops came out from injection site (around half of the vaccine injected). Despite of informing the health care provider who administered the vaccine about this issue, the health care provider (fire department officer) didn't inject more vaccine to cover the unsuccessful vaccination due to the leakage.

Other Meds:

Current Illness:

ID: 0939034
Sex: F
Age: 22
State: CO

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

Lab Data: Blood work, EKG, urine test on 1/7/21 and 1/10/21

Allergies:

Symptoms: Dramatic decrease in blood sugar levels that lead to loss of consciousness. Roommates brought to the ER for glucose levels to rise. Repeated ER visit two days later with a similar problem. PCP and ER physician deduced COVID vaccine interference. My body is burning through my food faster than I can normally replace it. Recommended frequent meals and rest until symptoms cease. Conducted blood work, urine samples, and EKG to rule out other factors during both ER visits.

Other Meds: 75mg of Amitriptyline, 250mg Magnesium, 225mg/1.5ml Ajovy Autoinjector

Current Illness:

ID: 0939035
Sex: F
Age: 45
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: 0939036
Sex: F
Age: 30
State: NM

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

Lab Data: None

Allergies: pine nuts

Symptoms: Received vaccine when 20 weeks pregnant. After vaccine, started feeling heart palpitations. The following evening felt heart palpitations, tachycardia, dizzy, shaky, and impending sense of doom. Called 911. Vitals (blood pressure, heart rate, oxygenation, temperature), blood glucose, and heart rhythm were normal. No interventions made. Continued to have intermittent palpitations the following 2 weeks.

Other Meds: Prenatal vitamin daily, fexofenadine 180mg daily, vitamin D 4000 units daily, aspirin 81mg daily, folic acid 800mcg daily

Current Illness: None

ID: 0939037
Sex: F
Age: 42
State: TN

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

Lab Data:

Allergies: Aspirin

Symptoms: One week after, my arm started to look like cellulitis.

Other Meds: Ibuprofen, lisinopril 10mg

Current Illness: Covid-19

ID: 0939038
Sex: F
Age: 69
State: CT

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

Lab Data: NOTE: I also had internal shingles many years ago.

Allergies:

Symptoms: Fatigue, Intermittent stabbing pains moving everywhere around my body continuously; skin sensative to touch with burning feeling, swollen glands under armpits, neck.. Lasting now over a week. Some lessening with GabaPenton prescription after telehealth consult. His thinking it was neuropathic pain.

Other Meds:

Current Illness:

ID: 0939039
Sex: F
Age: 27
State: CO

Vax Date: 12/30/2020
Onset Date: 01/07/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data:

Allergies: Sulfa drugs, wasps

Symptoms: On January 7 (approximately 1 week after getting the first dose of the Moderna vaccine), I experienced itching, hives, redness, and swelling at the injection site. None of these symptoms appeared immediately after getting the injection, and only first appeared on January 7. The symptoms subsided after 3 days and multiple doses of benadryl.

Other Meds:

Current Illness: None

ID: 0939040
Sex: F
Age: 60
State:

Vax Date: 12/18/2020
Onset Date: 12/27/2020
Rec V Date: 01/12/2021
Hospital:

Lab Data: Covid swab

Allergies: Penicillin.

Symptoms: Developed symptoms of COVID after vaccine and was positive.

Other Meds: lowsartin.

Current Illness:

ID: 0939041
Sex: F
Age: 52
State: CA

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

Lab Data:

Allergies: none

Symptoms: later that day, i felf flu like symptoms like body ache, very tired, chills, low grade fever (99.7), abd x1 episode of diarrhea in the morning. took tylenol and low grade fever resolved but still felt very tired.

Other Meds: none

Current Illness: none

ID: 0939042
Sex: F
Age: 32
State: OR

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

Lab Data: BP was 122/80. O2 sat was 98% . Pulse was 60 and then 56 when examined later. No lab tests necessary.

Allergies: none

Symptoms: Complaint of throat tightness and brought to the patient room. On exam she had mild swelling of the uvula and was given diphenhydramine 50 mg orally. Patient had normal vital signs and normal lung exam. She had tingling of her hands and lips and was given a brown paper bag to help with the hyperventilation. Vital signs remained stable. Lungs remained clear. The uvula swelling resolved. Patient was monitored and released to go home after 2 hours feeling well but tired.

Other Meds: none

Current Illness: none

ID: 0939043
Sex: F
Age: 35
State: FL

Vax Date: 01/06/2021
Onset Date: 01/08/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Diarrhea, chills, fever

Other Meds: None

Current Illness: None

ID: 0939044
Sex: F
Age: 58
State: OH

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

Lab Data: None

Allergies: ASA, sulfa

Symptoms: headache, fatigue, chills, muscular body pain, joint pain, low grade temp., nausea. Swelling,pain, redness, warm to touch at injection site Took prescription and over counter medication, in bed all day. Started gradually feeling better the next day

Other Meds: Norco, ambien, flexeril, prilosec

Current Illness: None

ID: 0939045
Sex: F
Age: 85
State: NE

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

Lab Data: unknown

Allergies: unknown

Symptoms: Patient wqs reported to have a general rash 2 hours after her vaccination. She was reported to have the rash from her mid chest area to her bottocks area. She did not have shortness of breath or any swelling in the throat. She was also reported to not have this reaction at the injection site on her arm. Nurses stated that she had also very recently had her chemotherapy infusion. An hour later, no additional symptoms were reported and the home was awaiting further direction from her physician's office.

Other Meds: unknown

Current Illness: cancer and unknown

ID: 0939046
Sex: M
Age: 57
State: AZ

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

Lab Data: none

Allergies: none

Symptoms: none

Other Meds: multi vitamins

Current Illness: none

ID: 0939047
Sex: M
Age: 89
State: OH

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

Lab Data:

Allergies: None reported

Symptoms: Several hours after vaccine patient had nausea, vomiting (green mucous), chills, diarrhea and confusion. Patient is in generally good health so confusion was concerning. Patient was taken to the hospital via ambulance. Do not know outcome.

Other Meds:

Current Illness:

ID: 0939048
Sex: M
Age: 55
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: accine 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: 0939049
Sex: F
Age: 51
State: NY

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

Lab Data:

Allergies: pennicillin

Symptoms: Less than 12 hours after the shot I became nauseous. I got the shot approximately around 12:45-50 pm........this began around 11:30 pm. I went to bed with no issues then within a short time I felt an instant burning in my stomach...before I could make it to the bathroom....I began vomiting uncontrollably...this lasted for 3 hours. I had 1 bout of bathroom issues but that was it. I thought I was going to go unconscious because I couldn't stop to catch a breath. Each time last about 7 minutes. As soon as I went back to bed....I got that feeling and had to rush back to the bathroom again. Today (24 hours later) my left arm is extremely sore. (no swelling or redness------very tight and sore to the touch). I cannot lift my arm more than 50%.

Other Meds: biotin (for hair and nails) Emergen-C (vitamin C)

Current Illness: NONE what so ever!

Date Died: 01/04/2021

ID: 0939050
Sex: F
Age: 32
State: NY

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

Lab Data:

Allergies: Unknown

Symptoms: Patient vaccinated on 12/28. Approximately one day later, develops cough and on azithromycin x 1 week. On 1/3, patient develops left-sided weakness and aphasia. Taken to the hospital, tested COVID+, required intubation -- acute hypoxic respiratory failure secondary to COVID - on H&P. Patient died on 1/4/21 at 7:20am.

Other Meds: Unknown

Current Illness: Unknown

ID: 0939051
Sex: F
Age: 36
State: CA

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

Lab Data: None. ER just gave meds to reduce swelling of the face.

Allergies: Contrast Dye Compazine Reglan

Symptoms: Received the second dose on 1/8- Felt tired with muscle aches and minor headache. Felt pain and soreness around injection site. On 1/9- had a severe migraine was unable to get out of bed due to migraine and extreme light sensitivity. Experienced severe muscle aches and chills. 1/10- started experiencing facial swelling especially of the left side. Extreme left eye swelling. With headache. Went to ER. Was given Benadryl to reduce swelling fluids and Prilosec for throat irritation. 1/11-started experiencing left arm numbness and tingling radiating down to fingertips. Experience left side facial numbness and tingling. 1/12- symptoms have begun to improve.

Other Meds: Metroprolol 50mg: once a day

Current Illness:

ID: 0939052
Sex: M
Age: 87
State: FL

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

Lab Data: no

Allergies: no

Symptoms: muscle and joint pain, weakness, difficulty walking

Other Meds:

Current Illness: no

ID: 0939053
Sex: F
Age: 54
State: NY

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

Lab Data: None

Allergies: None

Symptoms: Day 8 post injection - redness and itching below and to the side of injection site . Improved with topical hydrocortisone

Other Meds: Rosuvastatin, Amlodipine, Telmisartan, Montelukast, Nexium

Current Illness:

ID: 0939054
Sex: F
Age: 43
State: CA

Vax Date: 01/11/2021
Onset Date: 01/11/2021
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: 0939055
Sex: M
Age: 37
State: TX

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

Lab Data:

Allergies: N/A

Symptoms: Body shivers chills, head ache, dizziness, loss apatite. Self medication and home rest at this time.

Other Meds: N/A

Current Illness: Pink Eye prior

ID: 0939056
Sex: F
Age: 55
State: TX

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

Lab Data: Glucose Finger Stick 109

Allergies: No known allergies

Symptoms: Injection approximately 0855 Reaction at 0900 Dizziness, blurry vision, feeling of heaviness to body. Blood pressure slightly elevated 159/82 P 88 100% Os Sat RA. Provider notice slight swelling to uvula, however airway open, slight swelling noted to face. Slight cough noted. Patient was given oral Pepcid, and IM Benadryl. After monitoring for 1 1/2 hours patient felt better BP within normal range 128/73 P80 96-100 % 02 Sat RA. No redness, swelling or pain to injection site.

Other Meds: Tamsulosin, Omeprazole, metformin, Linagliptin, indomethacin, gabapentin, Flonase, fluticasone, empagliflozin, cetirizine, candersartan, atorvastatin, amitriptyline

Current Illness: NONE

ID: 0939057
Sex: F
Age: 32
State: CA

Vax Date: 01/11/2021
Onset Date: 01/11/2021
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: 0939058
Sex: M
Age: 49
State: TX

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

Lab Data: BP 129/81 P 96

Allergies: None

Symptoms: Pt c/o numbness to tip of tongue x 15 minutes than went away.

Other Meds: Tylenol

Current Illness: None

ID: 0939059
Sex: F
Age: 31
State: KY

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

Lab Data: Had to go back to work after injection ...never went to doctor or reported to physician.

Allergies: None

Symptoms: Moderna Covid 19 Vaccine EUA Aprox. 5 minutes after injection entire head went numb, aprox 45 minutes later numbness moved to being left eye, aprox 2 hours numbness was gone. No other symptoms to report.

Other Meds: Maloxicam 15mg, cetirizine hydrochloride 10mg

Current Illness: None

ID: 0939060
Sex: F
Age: 27
State: CA

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

Lab Data: na

Allergies: Aspirin

Symptoms: Non-anaphylactic reaction. Patient began to experience tingling/numbness on her fingers and Itching on chest area. Patient was given 4 ml of Benadryl at 6:15 patient was discharged home at 6:35 with improving signs and symptoms.

Other Meds: none

Current Illness: unknown

ID: 0939061
Sex: M
Age: 39
State: CA

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

Lab Data: N/a

Allergies: No

Symptoms: Metallic taste

Other Meds: Lisinapril Hctz

Current Illness: No

ID: 0939062
Sex: M
Age: 61
State: NY

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

Lab Data: none

Allergies: none

Symptoms: patch on your arm shaped like a square of 2x2x2x2 that red in the middle and the outside edge is yellow and blue like a tattoo, it was hard the first then, a little tender but mostly reddish, square and yellowish blue brushing.

Other Meds: HP meds: 300g Arbersontan , water pill hydoclorazide 12.5mg a day , VD3 300 IU a day, 50 mg of ZINC, B12 2000mg, Silodosin 8mg, Claritin daily

Current Illness: none

ID: 0939063
Sex: M
Age: 45
State: CA

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

Lab Data: na

Allergies: na

Symptoms: Patient had vertigo, dizziness, cold sewats, redness near side of neck repoerted agter 15 minutes of observation. HR was nor remarkable, went from 80's to 90's. After addiitonal 10 minutes rapid response was iniciated and patient was given water

Other Meds: na

Current Illness: na

ID: 0939064
Sex: M
Age: 60
State: AL

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data: N/A

Allergies: NKA

Symptoms: Unusual not adverse reaction. By 6:00 am the following day, knee pain reduced by about 90%. By 6:00 pm the following day rash cleared up.

Other Meds: 4 oz. black cherry juice; daily 400 mg magnesium; daily 50mcg vitamin D3; daily 350 mg krill oil; daily 542.5 mg agilease blend (Young Living brand)

Current Illness: knee pain left knee since Nov 2020 rash on forearms, shins, and upper right arm since Spring 2020 (April?) My reaction was a 90% reduction in knee pain and clearing of the rash

ID: 0939065
Sex: F
Age: 32
State: AK

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

Lab Data: No

Allergies: No

Symptoms: I experienced a rash shingles on 12/22/2020 the next day of vaccination. The rash lasted for a week in a half. I seen my primary care doctor on 12/29/2020

Other Meds: Daily Prenatal multivitamin Magnesium oxide Lansoprazole Levitra Metformin Domperidone Tresida Fisap

Current Illness: No

ID: 0939066
Sex: F
Age: 49
State: WA

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

Lab Data: Patients blood pressure was taken and showed slightly elevated. The ambulance was called afterwards.

Allergies: No allergies listed.

Symptoms: The patient received the vaccine at 10 am and an hour later the patient experienced slight dizziness, sweating, and shakiness. The ambulance was called just to be on the safe side. She was taken to the hospital via ambulance and was later discharged that same night as symptoms improved.

Other Meds: No medications on profile.

Current Illness: None listed on the profile.

ID: 0939067
Sex: F
Age: 68
State:

Vax Date: 01/04/2021
Onset Date: 01/06/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Sore arm Low grade fever between 101-102 F Really bad body aches Nausea and vomiting that lasted 24 hours Fever has continued in the afternoons

Other Meds:

Current Illness:

ID: 0939068
Sex: F
Age: 39
State: IL

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

Lab Data: None.

Allergies: None.

Symptoms: Fever 100.8 after Tylenol for 10-24 hours post vaccination. , extreme chills, shaking, waking from sleep. Severe fatigue, unable to work for 2 days post vaccination. Unable to do daily activities. 24 hours after vaccination fever resolved, temp elevated 99.5-99.8, fatigue is mild to moderate.

Other Meds: Protonix, prenatal vitamin

Current Illness: Gastritis.

ID: 0939069
Sex: M
Age: 44
State: CA

Vax Date: 01/11/2021
Onset Date: 01/11/2021
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: 0939070
Sex: F
Age: 23
State: VA

Vax Date: 01/03/2021
Onset Date: 01/10/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data: N/A

Allergies: Minor rash when given amoxicillin as an infant

Symptoms: 1/10/21 - Feeling of "pulling a muscle" in armpit in left upper extremity that limited movement. (around 8:00 am). New onset of hives, erythema, warmth, edema, pain, and itching experienced at injection site in left upper extremity (6:34 pm). Call was placed to NP, the provider on call at 6:46 pm. Under advisement of provider, application of hydrocortisone cream at injection site and X2 PO 25 mg benadryl self-administered (around 7:00 pm). Sensation of throat closing and hoarseness/change in voice surfaced (around 7:45 pm). Presented to ED, with complaints as listed (around 8:15 pm). Condition/symptoms treated at ED with 60 mg prednisone and pepcid (8:31 pm) followed by direct observation until 10:08 pm. Prescription for prednisone 20 mg X3/day for 5 days written by MD. 1/11/21 - Arm continued to appear slightly swollen with erythema and warmth at the site. Treatment included observation throughout the day. 1/12/21 - Follow-up appointment attended with provider at 2:10 pm. Told by provider that prednisone would only be necessary in the case of resurfacing symptoms of a hypersensitivity reaction. At this time the cause of said symptoms is undetermined. Tingling sensation experienced in face and direct observation of left-sided facial swelling noticed (5:59 pm). Call placed to provider on call (6:08 pm) . Provider advised to take X2 25 mg benadryl and to take X3 20 mg prednisone stat. Benadryl taken at 6:15 pm and prednisone taken at 6:30 pm. Tingling sensation minimized by 7:30 pm, but left sided facial swelling remains as of 7:40 pm. Plans to follow-up with PCP later in the week and potential for re-visiting ED if symptoms worsen or continue throughout the night.

Other Meds: Vyvanse, abilify, lamictal, mirena, dextroamphetamine

Current Illness: N/A

ID: 0939071
Sex: F
Age: 57
State: IN

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

Lab Data: None

Allergies: Allergic to phenergan. All other n/a

Symptoms: Fever, vomiting, body aches, headache

Other Meds: Lantus insulin, metformin, jardiance, gemfibrozil, meloxicam, glipizide, bydureon, Crestor, omeprazole,

Current Illness: None

ID: 0939072
Sex: F
Age: 50
State: VA

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

Lab Data: NO TEST

Allergies: Percocet

Symptoms: INJECTION SITE STARTED WITH RED BLOTCH AND ITCHING, THEN WOKE UP TO WHOLE BODY COVERED IN HIVES LEGS, ARMS, STOMACH. STATED 1/7/2021 - CONTINUING

Other Meds: Vit D, Fish oil, Vit C, B12, Celexa, and magnesium

Current Illness: none

ID: 0939073
Sex: F
Age: 50
State: CO

Vax Date: 12/19/2020
Onset Date: 01/09/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data: 1/9/2021 CTA Chest: Negative EKG: negative Troponin: negative 1/11/2021 Covid PCR Test: negative

Allergies: none

Symptoms: Woke up 1/9/2021 Saturday morning around 0700 with stabbing pain in my left chest/underarm area whenever I took a deep breath. No other symptoms. No fever no real shortness of breath only when inhaling deep and exhaling. Continued as a dull ache in the background. I was due for my 2nd covid vaccine which I proceeded to get at 1045am on 1/9/2021. The pain continued as a dull ache in the background. I took Ibuprofen 600mg and then later took a Pepcid 20mg. No real change with the pain and by 3:30pm in the afternoon it was starting to get worse so I when to ER. All tests were normal, I was diagnosed with Pleurisy but no cause was identified. Have taken Aleve 2 x a day for 3 days and tylenol as needed. I self scheduled a covid test 1/11/2021 which was negative. on 1/12/2021 I still have mild pain but it has slowly improved but has not resolved as of this date 1/12/21 Still no other symptoms.

Other Meds: Vit D 600u once a day

Current Illness: none

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm