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: 0941094
Sex: F
Age: 53
State: TX

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Pt c/o HA and vertigo. States she didn't take HTN or DM medication. She did not eat anything this morning and last time she ate was 8:00pm last night. Pt waited 30 minutes and symptoms continued to get worse. Pt was transported by EMS to ER.

Other Meds: Lisinopril- hydrochlorothiazide, Glumetza, Levemir

Current Illness: None

ID: 0941095
Sex: F
Age: 51
State:

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 1/8/21 fatigue, chills, cough, congestion, diarrhea. 1/8/21 Dx'd with Acute viral syndrome

Other Meds:

Current Illness:

ID: 0941096
Sex: F
Age: 33
State: MT

Vax Date: 01/11/2021
Onset Date: 01/13/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Redness and lump on injection site

Other Meds:

Current Illness:

ID: 0941097
Sex: M
Age: 38
State: TX

Vax Date: 01/02/2021
Onset Date: 01/11/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: Not tests

Allergies: None

Symptoms: Severe hives overnight both arms and palm of left hand. Left leg around knee

Other Meds: None

Current Illness: None

ID: 0941098
Sex: F
Age: 53
State:

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies:

Symptoms: muscle pain, sever joint pain. called in sick to work.

Other Meds:

Current Illness:

ID: 0941099
Sex: F
Age: 67
State: FL

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: NONE

Allergies: ALLERGIC TO DARK CHOCOLATE AND MINT - SNEEZE AS A RESULT

Symptoms: I IMMEDIATELY FELT LIGHT HEADED WITH A FAST HEARTBEAT AND UNSTEADY. MY HEAD FELT VERY HEAVY AND MY BLOOD PRESSURE ( WHICH IS NORMALLY LOW WENT TO 160/86). AFTER ABOUT 45 MINUTES I FELT WELL ENOUGH TO DRIVE HOME. MY LAST BP READING WAS 150/75. AGAIN TODAY ( 1 DAY LATER ) AT MID-MORNING I GOT UP FROM DESK AND FELT LIGHT-HEADED AND JUST A BIT UNSTEADY. NOT SURE IF THIS IS AN ALLERGIC REACTION BUT ACCORDING TO PFIZER'S FACT SHEET "FAST HEARTBEAT AND DIZZINESS / WEAKNESS" ARE CONSIDERED SEVERE ALLERGIC REACTIONS!

Other Meds: LEVOTHYROXINE 75 MCG VIT D 25 MCG ( 1000 IU ) X 2 ASPIRIN X 81 MG

Current Illness: COLD WITH A SORE THROAT AND SLIGHT RUNNY NOSE. HAD A NEGATIVE COVID TEST RESULT 24 HOURS PRIOR. NOT EXPOSED TO ANYONE WITH COVID.

ID: 0941100
Sex: F
Age: 29
State: KS

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Notes Emergency Medicine Expand All Collapse All 1/13/2021 Date: 1/13/2021 Subjective 29 y.o. female who was seen at COVID Vaccine Clinic today for her first dose of the COVID 19 vaccination. She denied any history of previous adverse reactions to vaccines. She was given the Moderna vaccination in the left deltoid muscle. During her 15 minute waiting period after the injection, the patient began to experience metallic taste and then felt lightheadedness. She denied rash, hives, difficulty breathing, difficulty swallowing, wheezing, throat tightness, itching, facial swelling and lip swelling. This provider was notified of patient reaction and she was then assessed in the emergency bay area. Monitored patient for severe reaction symptoms and worsening of symptoms. 9:53 AM On arrival to treatment room, patient is pale and diaphoretic. She states she feels very lightheaded. She is able to answer questions, but is easily wanting to fall asleep. She awakes easily to verbal stimuli, states she feels very tired. Denies shortness of breath, throat swelling, difficulty breathing, rash. Reports she ate cereal for breakfast. 10:05 AM Patient is more alert and no longer diaphoretic. She is alert and states she is feeling better. Will continue to monitor. 10:12 AM Patient is alert and texting on her phone. Vital signs have improved. 10:19 AM Patient is alert and oriented and continues to do well. She states she is feeling much better. No diaphoresis noted. States she still has a little bit of a metallic taste in her mouth, but otherwise denies any other symptoms. Vital signs continue to improve. 10:36 AM Patient continues to do well. Is drinking water and ate granola bar. Continues to feel well and reports metallic taste in improving and denies any other symptoms. 10:58 AM Patient continues to be alert and oriented. No longer pale and diaphoretic. States she is feeling well and back to baseline. Denies any complaints. Vital signs remain stable. She is able to ambulate with steady gait and denies dizziness/lightheaded with ambulation. Denies chest pain, shortness of breath, nausea, vomiting, difficulty breathing. 11:06 AM Patient's friend here to drive her home. She is ambulatory to the car and continues to feel well and denies symptoms. Discussed return precautions. Patient voiced understanding and denies any questions. ALLERGY REVIEW OF SYSTEMS: Patient denies facial swelling, puffy eyes, chest tightness, shortness of breath, rash, hives, itching of skin and vomiting Metallic taste in mouth: Diaphoresis : lightheaded: Previous Reactions: None Objective Vitals Vitals: 01/13/21 1033 01/13/21 1042 01/13/21 1057 01/13/21 1104 BP: 129/87 128/77 122/78 132/72 Pulse: 63 66 58 58 SpO2: 100% 100% 100% 100% Blood Sugar 98 collected at 10:00 AM Physical Exam Vitals signs and nursing note reviewed. Constitutional: Appearance: She is diaphoretic. HENT: Mouth/Throat: Pharynx: Oropharynx is clear. Uvula midline. No pharyngeal swelling, oropharyngeal exudate, posterior oropharyngeal erythema or uvula swelling. Cardiovascular: Rate and Rhythm: Regular rhythm. Bradycardia present. Heart sounds: Normal heart sounds. Pulmonary: Effort: Pulmonary effort is normal. No tachypnea, bradypnea, accessory muscle usage or respiratory distress. Breath sounds: Normal breath sounds. Skin: Coloration: Skin is pale. Comments: Diaphoretic and pale Neurological: Comments: Alert and able to answer questions, but wanting to fall asleep. Easily awakes to verbal stimuli. Moving all extremities and following commands. Assessment/Plan Treatment included: Given water to drink and monitored. Follow up response to treatment: excellent. Patient discharge: Stable to go home and follow up with PCP. Friend is going to drive her home. Electronically Signed 1/13/2021 11:07 AM

Other Meds:

Current Illness:

ID: 0941101
Sex: F
Age: 67
State: CO

Vax Date: 01/04/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: None

Allergies: Some anesthesia gives me nausea

Symptoms: Nine days after receiving shot. Itching, swelling and redness around the shot area. Prior to this only had swore arm for three days and a few hours of chills on the day of the shot. Only reporting incase someone else gets same symptoms but more serious in nature.

Other Meds: Lisinopril 10 MG

Current Illness: Biopsy on mole on ankle - negative for cancer 3 Dec 2020

ID: 0941102
Sex: F
Age: 29
State: KS

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: None

Allergies: Biaxin & Codiene

Symptoms: This person stated she felt like she was hit by a train starting about 8pm on 1/6/2021. She stated she had a fever of 102. Her body ached all over from head to toe. She had dizziness with an intermittant rash. She did go to the emergency room on Sunday 1/10/2021 with hypertension and tachycardia. Her BP was running at around 207/111 and her pulse has stayed around 165 even through today on 1/12/2021. She did state about 1.5 years ago she experienced tachycardia and hypertension but not since. She did not get any new medications upon her visit to the emergency room. She was going to try to see her physician today if possible on 1/12/2021.

Other Meds: Eliquis 5mg BID, LISINOPRIL 5MG DAILY

Current Illness: none

ID: 0941103
Sex: F
Age: 33
State: MA

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: patient received first dose on 1/5 L side. Wed 1/6: Unable to lift arm, 8/10 pain in whole upper arm and 1/3 forearm, and very drowsy/ "out of it" Thu 1/7: Mobility returned, injection site and upper arm still v sore (7/10 pain), 1 supraclavicular LN swollen to size of marble on L side. Fri 1/8: Injecting site still v sore (7/10 pain), supraclavicular LN swelling increased to size of gumball, more 3-4 supraclavicular LNs posterior cervical LNs swollen. Late Friday night noticed mild pain in armpit. Sat 1/9: still very swollen firm mobile and slightly larger, armpit pain now sharp 7/10 pain (felt like someone was stabbing me if moved too suddenly)- unable to palpate/ find a mass, injection site still sore (6/10 pain) now raised red rash (non-itchy) 4cm x 2cm, Sun 1/10: same as 1/9, armpit pain lessened (5/10), injection site less sore than 1/9 (5/10 pain), increasingly itchy as day progressed and very warm, rash borders raised 10cm x 7cm -measured at 12:00am (mon 1/11) Mon 1/11: same as 1/9, armpit pain lessened (4/10), injection site less sore than 1/10 (4/10 pain), significantly itchy and very warm, less red, rash border raised 12cm x 9cm -measured at 8:00am

Other Meds:

Current Illness:

ID: 0941104
Sex: F
Age: 48
State:

Vax Date: 12/23/2020
Onset Date: 12/30/2020
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Received the first injection of Moderna on 12/23/20. On 12/30/20 started with a red itchy rash that was warm to the touch. Went to urgent care that evening and was diagnosed with cellulitis and given a prescription for Keflex. Went back to urgent care on 12/31/20 because the cellulitis had spread and for an allergic reaction to the Keflex. The provider I saw the second time did not change the antibiotic because she felt it hadn't had enough of a dose. Went back again on 01/01/21 due to the rash was still spreading. The provider saw changed the antibiotic and said patient had a mixed medication reaction to the Keflex. The cellulitis has since cleared up.

Other Meds:

Current Illness:

ID: 0941105
Sex: F
Age: 38
State: FL

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: Penicillin (as a child not as adult), Environmental allergies

Symptoms: At 9:30 pm teeth chattering, joint pain, fatigue, headache, chills. I was exp nausea however I have that anyway with my pregnancy.(estimated date of delivery 8/3/2021).

Other Meds: Prenatal, Probiotic, Pepcid

Current Illness: No

ID: 0941106
Sex: M
Age: 53
State: TX

Vax Date: 11/18/2020
Onset Date: 11/26/2020
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Arm is still sore and brusing has occured, even two months later.

Other Meds: none

Current Illness: none

ID: 0941107
Sex: F
Age: 64
State: CA

Vax Date: 01/09/2021
Onset Date: 01/10/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient reports flu like symptoms, felt very cold and myalgia. Next day she self treated and went to work and had to leave. Patient reports night sweats, severe fatigue. Patient says the night sweats is the reason she is calling.

Other Meds:

Current Illness:

ID: 0941108
Sex: F
Age: 39
State: KY

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: none

Allergies: None

Symptoms: Nearly one hour after administration of the vaccine, my hands became slightly tingly and itchy. When I woke the next morning, my hands were red, swollen and extremely itchy and had whelps around some of the joints. This progressed up into my wrists and elbows as the day went on. This is similar to the symptoms that I experience when I had fifths disease.

Other Meds: Fluoxitine 40 mg daily, Premarin 0.625 mg daily, Topamax 50 mg daily, Vitamin D 50,000 IU daily, Zyrtec 10 mg daily

Current Illness: None

ID: 0941109
Sex: F
Age: 50
State: FL

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: over the counter Ibuprofen, warm compress

Allergies: Seasonal allergies: dust, dog dander, pollen

Symptoms: Red inflamed hard knot at injection site which continues to enlarge in size. Currently larger than a quarter, warm to touch with axillary lymphedema, low grade fever 100.9

Other Meds: Omeprazole, Allegra, Flonase, Hair, Skin & Nails Biotin & Antioxidants, Vitamin D3, Black Cohosh, Stool Softener, Daily Multivitamin, Ibuprofen

Current Illness: none

ID: 0941110
Sex: F
Age: 82
State: AZ

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: 1/12 in atrial fibrillation with RVR per EKG

Allergies: none

Symptoms: arrives to the emergency department by POV presenting with a chief complaint of tachycardia onset today. The patient received his COVID vaccine this morning. He states that he does not feel ill, but the only way he can describe how he is feeling is "being lousy". He has had associated palpitations without feeling like his heart is pounding. He denies ever having COVID. He typically takes one baby Asprin per day, and his last dose was this morning.

Other Meds: aspirin, atorvastatin, calcium polycarbaphil, coq10, ferrous sulfate, mag gluconate, multivitamin, vitamin d3

Current Illness:

ID: 0941111
Sex: F
Age: 43
State: NY

Vax Date: 01/06/2021
Onset Date: 01/10/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: NKDA Eczema -some contact allergies

Symptoms: Pruritic papules developed on dorsal (extensor) surface of bilateral elbows, different from my usual eczema. I don't know if it is related to the vaccine or not but I have never had this before. It is also strange in that the betamethasone ointment that typically eliminates my eczema after a single dose, has done nothing to alter this rash despite using it daily for 4 days. Mild. I am not concerned but thought I should report it since it occurred within a week of the vaccine.

Other Meds: Fluoxetine, Vitamin D

Current Illness: No

ID: 0941112
Sex: M
Age: 54
State: FL

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies:

Symptoms: headache, fever, muscle pain,

Other Meds:

Current Illness:

ID: 0941113
Sex: M
Age: 75
State: OK

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: NKDA

Symptoms: 1 day post vaccination- Soreness to injection site, cough, congestion, red eyes, irritability, sleeplessness, forgetfulness. 7 days post vaccination- sleeplessness, difficulties recalling short term information

Other Meds: Multivitamin Oral 1 Tab(s) Once daily. (Contains Zinc 20mg) MULTIVITAMINS11/22/2020Vitamin C Oral 500 MG 1 Tab(s) Once daily VITAMINS11/22/2020Vitamin D3 Oral 125 MCG (5000 UT) 1 Cap(s) Once daily VITAMINS03/11/2020Aricept Oral 10 MG 1/2 Ta

Current Illness: None

ID: 0941114
Sex: F
Age: 70
State: MI

Vax Date: 12/30/2020
Onset Date: 01/10/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: Penicillin Some general anesthetics

Symptoms: I noticed on about day 10 an erythema on my arm at injection site. I had no prior adverse reactions to this vaccine. At day 14, the erythema is dissipated and almost gone.

Other Meds: Lisinopril Hctz Lansoprozole Atorvastatin Metformin Calcium Citrate with Magnesium/Zinc Centrum Silver/Womens

Current Illness: None

ID: 0941115
Sex: F
Age: 55
State: MT

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Body aches, chills

Other Meds:

Current Illness:

ID: 0941116
Sex: F
Age: 43
State: MO

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: Ibuprofen

Symptoms: Patient started developing a fever the evening of the vaccine. Fever was 104 degrees and broke about 3am. Patient had extreme fatigue the next day, felt better 2 days after.

Other Meds:

Current Illness: none

ID: 0941117
Sex: F
Age: 42
State: TX

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Head pressure, runny nose, congestion. Tylenol with head pressure resolving. Referred for flu and COVID testing

Other Meds:

Current Illness:

ID: 0941118
Sex: M
Age: 52
State: LA

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: None

Allergies: No allergies.

Symptoms: At first I has some injection site pain and soreness nothing too bad. But around 01:30 I awoke with a really high fever. My fever was 102.8 when I first woke up. I was very nauseous and my fever felt worse. My thermometer would not read any more until my temp came down. I can only guess how high it got but at least 103 degrees. I took Advil Liquid Gells and then my fever broke. I was actually scare for my life. In March I actually caught coronavirus and developed anti bodies for Covid. I can only guess my body was fighting for it's life.

Other Meds: Lisinopril, Plavix, Wellbutrin, Eliquis, Atorvastatin, and Vitamin D 50,000 every 2 weeks

Current Illness: Hypertension

ID: 0941119
Sex: M
Age: 78
State: TX

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies:

Symptoms: on day of vaccination experienced "heavy duty shaking , HA, sore muscles, fever 101 - similar to symptoms of previous COVID+ event S/S lasted 1 day - Most concerning to patient is the insomnia and hallucinations he experienced the night of the vaccine, none since

Other Meds:

Current Illness:

ID: 0941120
Sex: M
Age: 38
State: OK

Vax Date: 01/09/2021
Onset Date: 01/11/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: Bells Palsy

Allergies: None

Symptoms: Less than 24 hours of receiving the vaccine I started to experience my jaw locking. Later in the day it began to get worst. I could not blink my left eye and my face started to drop. I went to the ER and they stated that due to vaccine I have Bells Palsy. I was given medication. It is now 4 days in and the symptoms are getting worst. My left eye is now dry due to can not blink. I have serve headaches behind my left eye. I can not eat or chew without having issues.

Other Meds: Biktarvy

Current Illness:

ID: 0941121
Sex: F
Age: 26
State: WI

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies:

Symptoms: ?Pfizer-BioNTech COVID-19 Vaccine EUA? Symptoms experienced: Lightheaded, Shortness of breath with hyperventilation. She was laying on the floor and appeared shaky with red blotching on face and neck. Actions taken: Medical Response called. Anaphylaxis Medication given epinephrine (adult) IM outer thigh. Patient was placed on stretcher and taken to ER. Pt also received diphenhydramine and famotidine in ER

Other Meds:

Current Illness:

ID: 0941122
Sex: M
Age: 64
State: WI

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: none

Allergies: NKA

Symptoms: Evening of injection started significant arm pain et flu like s/sx which lingered for ~ 48 hrs Was well hydrated et took tylenol 650mg q 6hrs.. Lots of sleep.. Feeling back to normal 1/13/2021..

Other Meds: Metformin 1000mg bid, Glipizide 10mg bid, lipitor 40mg 1/day.

Current Illness: none

ID: 0941123
Sex: F
Age: 26
State: FL

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: 1/13/2021 she went to hospital and all doctor did was take v/s and listen to heart which at the time was a normal heart beat.

Allergies: none

Symptoms: initially she had headaches and dizziness and chills and temperature of 99.7 blushed cheeks, rash on neck 1 week later with headaches and dizziness and now accelerated heartrate that wakes her from sleep at night for 2 consecutive nights.in a row.

Other Meds: none

Current Illness: none

ID: 0941124
Sex: F
Age: 25
State:

Vax Date: 12/30/2020
Onset Date: 01/04/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies:

Symptoms: COVID positive

Other Meds:

Current Illness:

ID: 0941125
Sex: F
Age: 39
State: CA

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: Chem panel, and CBC

Allergies: none

Symptoms: Approximately, 5 minutes after the injection, became dizzy with fullness in her head, a tight feeling in her neck. Stated that she felt like she was going to pass out. Nausea without vomiting and need to have a bowel movement. Was taken to the Emergency Department. Temp 38.5, given Ativan, Benadryl and IV fluids

Other Meds: unknown

Current Illness: none

ID: 0941126
Sex: F
Age: 57
State:

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient refers to have presented redness in the administration area, administration area warm to the touch and pain in the arm of the vaccine administration. Refers to after visiting the emergency room have cellulitis.

Other Meds:

Current Illness:

ID: 0941127
Sex: F
Age: 72
State: CT

Vax Date: 01/05/2021
Onset Date: 01/11/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Delayed reaction 5 days latter swelling, redness, heat, and hives surrounding vaccine site. 3 inches across and 6 inches down my arm. Also it hurts, stings and extremely itchy.

Other Meds: Fiber capsules, calcium, B12 ,flaxseed capsules

Current Illness: None

ID: 0941128
Sex: F
Age: 48
State: PA

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: No

Allergies: Onions, basil., pine, rabbits, Valium, Ultram, other spices unknown

Symptoms: Fever, body aches, uncontrolled chills, chest tightness, heart palpation, dizziness, lightheaded, vomiting, mind splitting headsche

Other Meds: Celexa, remeron, nortriptlyine, Atarax, gabapentin, protonix, Singulair, albuterol, pulmicort

Current Illness: None

ID: 0941129
Sex: F
Age: 31
State: OR

Vax Date: 12/22/2020
Onset Date: 12/25/2020
Rec V Date: 01/13/2021
Hospital:

Lab Data: COVID 19 NEG result on 12/21/2020 and 12/24/2020

Allergies: I am allergic to sulphur and something in food but we don't know what.

Symptoms: So on the night of the 25th, my lymph nodes were so swollen, my left eye was twitching, low grade fever that was constant from Friday through Sunday. My left leg was twitching and also my left bicep. I had left sided twitching that was off and on. I had fatigue and some aching in my knees.

Other Meds: I take birth contro, zyrtec and a multi vitamin.

Current Illness: No

ID: 0941130
Sex: F
Age: 82
State: WA

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: None

Allergies: Codeine

Symptoms: Starting 01/11 severe arm pain. Starting 01/12 rash from my ankles to knees , minimal on my arms. Rash doesn't itch and not sore. Rash is tiny red spots. I feel fine.

Other Meds: Synthroid Two 325 aspirin daily

Current Illness: None

ID: 0941131
Sex: F
Age: 64
State: IN

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: None

Allergies: Penicillin, compazine

Symptoms: Arm soreness @ 11pm 1/11/2021; continual headache starting @ 2am 1/12/2021 accompanied by chills, low grade temp of 99.7 , skin hurt all over & generally feeling unwell. These symptoms continued until 11 pm 1/12/2021. Took Tylenol, wet to bed & woke up 1/13/2021 without symptoms.

Other Meds: Zinc, vitamin D, Flonase nasal spray, Tylenol

Current Illness: None

ID: 0941132
Sex: F
Age: 66
State: MI

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: No labs in ED. Chest X-ray on 1/12/21 in ED showed, "FINDINGS: The soft tissues and bony thorax appear unremarkable. The heart and great vessels and hila are normal. The lungs are clear. IMPRESSION: Negative chest."

Allergies: sulfa antibiotics

Symptoms: Patient presents to ED on 1/12/21 with Allergic Reaction (pt received Moderna Covid-19 vaccine at SCH, and pt states about 10 minutes later she started to feel dizzy, sob, heart racing, and developed rash on hands and chest. ) Pt seen by Dr Pt was ordered NS 500 mL IV x1, diphenhydramine 25 mg IV x1, famotidine 20 mg IV x1, methylprednisolone 125 mg IV x1, and ondansetron 4 mg IV x1. Symptoms resolved prior to discharge from ED on 1/12/21. She was given scripts for diphenhydramine and prednisone with instructions to follow up with PCP.

Other Meds: Alprazolam, Aspirin-Acetaminophen-Caffeine, Cholecalciferol, Citalopram, Co-enzyme Q10, estradiol, melatonin, multivitamin, omega-3 fatty acids (fish oil), probiotic, rosuvastatin

Current Illness: none

ID: 0941133
Sex: F
Age: 57
State: PA

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies:

Symptoms: At 1:00 AM chills, fever of 101.2, body aches, extreme Migraine, extreme fatigue, could not move upper arm away from my body (Sever left arm muscle pain, for two and a half days after the first vaccine.

Other Meds: Buspar 5 Mg, Premarin 0.3 Mg, Paxil 20 Mg. Multi Vitamin, Fish Oil, Glucosamine Chondroitin, Vitamin D.

Current Illness:

ID: 0941134
Sex: F
Age: 33
State: MT

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: No

Allergies: None

Symptoms: Rapid heart beet and tingling sensation on lover extremities

Other Meds: None

Current Illness: Hypothyroid

ID: 0941135
Sex: F
Age: 73
State: CO

Vax Date: 01/09/2021
Onset Date: 01/09/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: EMS/911 called

Allergies: Unknown

Symptoms: Patient became dizzy, hypertensive (213/113), flushed, and nauseated post vaccination

Other Meds: Hypertension medications

Current Illness:

ID: 0941136
Sex: F
Age: 43
State: PR

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Patient started with rash and pruritus, that started in both hands and then disseminate trough all body and face. Pruritus got worst as time passed. The patient visited a medical office and an emergency room at the Hospital. A week after symptoms continues (dermatitis over skin and some pruritus, even with the use of antihistaminic).

Other Meds: None

Current Illness: None

ID: 0941137
Sex: F
Age: 53
State: NJ

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: N/A

Allergies: Quinolones

Symptoms: Moderna COVID-19 Vaccine Patient received first dose of vaccine on 1/11/2021, next day developed fever, chills and body aches and fever kept increasing during the day up to 103.4 Patient did not go to ED for evaluation

Other Meds: unknown

Current Illness:

ID: 0941138
Sex: F
Age: 33
State: IN

Vax Date: 01/03/2021
Onset Date: 01/04/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Received 2nd dose Sunday 3rd. Monday was extremely fatigued with muscle aches, headache, and injection site redness, pain, swelling, and itching developed on arm where vaccine was administered. Tuesday 1/05 fatigue improved however rash started to develop in right arm. Took Zyrtec and rash improved. Last reported a new rash developed improved on right and left thighs that is painful. Medications taken this time were Benadryl.

Other Meds: -LEVOTHYROXINE 125MCG DAILY -PRENATE MINI 18-1-350 1 CAPSULE DAILY

Current Illness:

ID: 0941139
Sex: F
Age: 57
State: KS

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: latex

Symptoms: Moderna COVID-19 vaccine EUA

Other Meds: ambien, flexeril, Pepcid, wellbutrin, ibuprofen,.

Current Illness:

ID: 0941140
Sex: F
Age: 42
State: NY

Vax Date: 01/06/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Reported Symptoms: low grade fever, hives ?head to toe? , fatigue, cold sweats and does not feel well at all, feeling tachycardic and palpitations Date of Onset: *most symptoms ongoing from 01/11; 01/12/2021 hives Medication taken for Symptoms: ?steroids and Benadryl?

Other Meds:

Current Illness:

ID: 0941141
Sex: M
Age: 35
State: MN

Vax Date: 01/12/2020
Onset Date: 01/13/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: PCN, naproxen

Symptoms: Fevers, chills, rigors, myalgia, headache

Other Meds: Tivicay 50 mg daily Truvada 200-300 mg daily

Current Illness: none

ID: 0941142
Sex: F
Age: 51
State: IN

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: None

Allergies: Sulfa Keflex

Symptoms: Left arm pain, armpit pain, body aches, shaking chills, nausea, extreme tiredness

Other Meds: Losartan 50 mg

Current Illness: None

ID: 0941143
Sex: F
Age: 63
State: WY

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/13/2021
Hospital:

Lab Data: None.

Allergies: Erythromycin

Symptoms: Almost immediately after receiving the vaccine, I felt a headache, throat scratchiness, numbness to fingers on right hand and discomfort at injection site. Within 2 hours, I could not continue to work and went home. Took motrin at home and rested. The following morning the headache was mild but the injection site was very painful. No reddness or swelling, not firm but extremely tender to touch. Pain at injection site was present for 2 days then resolved slowly..

Other Meds: N/A

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm