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: 0942009
Sex: F
Age: 38
State: CA

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

Lab Data:

Allergies: Crab, Lobster

Symptoms: Strong arm soreness unable to flex shoulder at 90 deg. mild sinus ache and headache

Other Meds: Vit D, Milti Vit, Fish oil, Magnesium, Calcium, Zinc,

Current Illness: NONE

ID: 0942010
Sex: F
Age: 38
State: TX

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

Lab Data:

Allergies: sulfa

Symptoms: flushed, n/v

Other Meds: sertraline, esmoprazole

Current Illness: n/a

ID: 0942011
Sex: M
Age: 80
State: NC

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

Lab Data: no

Allergies: environment, Delota

Symptoms: Nausea, H/A, took 2 Tylenol. At 10pm started feel ill, achy, Had trouble breathing over night. The albuterol didn't help. Heart beat was fast. 1/13/20 in the am had a H/A, took 2 Tylenol. The breathing got better around noon.

Other Meds: Eloquis, Rosuvastatin, Metformin, Clopidogrel, Fluoxetine, Metoprolol, Albuterol, Allegra, Stool Softener, Iron, Shot of Tresiba, Potassium, furosemide.

Current Illness: no

ID: 0942012
Sex: F
Age: 33
State: CA

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

Lab Data:

Allergies:

Symptoms: Body aches, chills, migraine, nausea, fatigue >48 hours.

Other Meds:

Current Illness:

ID: 0942013
Sex: F
Age: 43
State: TX

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

Lab Data:

Allergies: spectroceph, azythromycin

Symptoms: All of the general side effects: migraine, nausea/vomiting, muscle aches, chills, fever, pain at injection site (couldn't raise the arm more than 45 Degress at it's worst). Treatment: fluids, Advil, rest Symptoms have persisted for 30 hours.

Other Meds: zyertec, nexium, excedrin

Current Illness: N/A

ID: 0942014
Sex: F
Age: 21
State: MI

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

Lab Data: COVID-19 Vaccination, pfizer dose 1

Allergies: Sulfa, bees

Symptoms: Spiked a fever of 101.1, aches, muscle fatigue, general fatigue, nausea, abdominal pain, joint pain, loss of concentration, chills, dizziness. Symptoms came on very suddenly

Other Meds: None

Current Illness: COVID-19 just over a month ago (positive on November 29th)

ID: 0942015
Sex: F
Age: 37
State: KS

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

Lab Data:

Allergies: None

Symptoms: Headache for 11 days, muscle Soreness at injection side

Other Meds: Vyvanse,Claritin, lexapro

Current Illness: None

ID: 0942016
Sex: F
Age: 30
State: CA

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

Lab Data: None

Allergies: Morphine

Symptoms: Extreme pain above and below injection site, sore to even have a tshirt on, extreme headache for hours (ibuprofen did help take it away) and metallic taste for hours ? I woke up and everything but the sore arm was gone

Other Meds: Protonix 40mg

Current Illness: None

ID: 0942017
Sex: F
Age: 21
State:

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

Lab Data: none

Allergies: Nickel Allergy

Symptoms: My hand keeps twitching. It's been happening for 2 days now.

Other Meds: none

Current Illness: none

ID: 0942018
Sex: F
Age: 19
State: IL

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

Lab Data: none

Allergies: NKA

Symptoms: Rash to body and face. Diarrhea

Other Meds: Depo, Tizanidine, hydroxyzine, clobetasol, valacyclovir, cephalexin, metformin, pseudoephedrine

Current Illness: COVID 12/01/2021

ID: 0942019
Sex: F
Age: 37
State:

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

Lab Data: None

Allergies: NKA

Symptoms: Reports she felt flushed about 10 minutes after she received the vaccine. Also states she felt a little "spacy". States she was talking with the RN who gave her the shot and states "I felt like she had to concentrate more to have a conversation". She reports the flushing subsided while she was in the observation area, but still left a little spacy that night. She was feeling back to normal this morning and able to work. She states she was nervous going in to the appointment. Had ate a good lunch. Hydrated well before injection.

Other Meds: Omega-3-6-9 Cap levothyroxine (SYNTHROID) 125 MCG tablet cholecalciferol (VITAMIN D3) 1000 UNIT tablet

Current Illness: None

ID: 0942020
Sex: F
Age: 55
State: CA

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

Lab Data:

Allergies:

Symptoms: Fever, body aches.

Other Meds:

Current Illness:

ID: 0942021
Sex: F
Age: 41
State: ID

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

Lab Data: none at this time

Allergies: none

Symptoms: injection site red, hot to touch and itchy since 1/12/21

Other Meds: none

Current Illness: none

ID: 0942022
Sex: M
Age: 78
State: NC

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

Lab Data: None

Allergies: None

Symptoms: Loud ringing in the ear and headache

Other Meds: B-complex, zinc, D-vitamins, echinacea

Current Illness: Sciatica

ID: 0942023
Sex: F
Age: 36
State: CO

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

Lab Data: None

Allergies: Unknown

Symptoms: Patient received Moderna Covid 19 vaccine. Immediately following administration she experiences chest pressure, shortness of breath, flushing. She was seen in urgent care and found to have hypertension and tachycardia. Symptoms attributed to allergic reaction to the vaccine. Treatment in urgent care with Benadryl and extended observation with resolution of symptoms.

Other Meds: Unknown

Current Illness: Unknown

ID: 0942024
Sex: F
Age: 38
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, Fatigue, Injection site pain

Other Meds:

Current Illness:

ID: 0942025
Sex: F
Age: 57
State: IA

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

Lab Data: unknown

Allergies: No allergies to food. No allergies to medications. Allergy to latex which is described by patient as hives, fingers swell in the past but nothing severe.

Symptoms: 1:45 pm she received the vaccine. 2:10 pm she started to have the following signs and symptoms; red swollen arms, dizziness, blurred vision, gastrointestinal symptoms, blood sugar 143, blood pressure 86/40, pulse 87, oxygen 88. We gave diphenhydramine 50mg at 2:16 pm. Then at 2:35 pm her symptoms were not improved her blood pressure was 80/40 so we gave one dose of 0.3mg epinephrine by auto-injector and called an ambulance. Post epinephrine her vision improved but her skin was still red and starting to itch. She was talking and said she was feeling a little better. She was taken by ambulance to the hospital for additional treatment. There was not reaction visible at the injection site it appeared to be all systemic.

Other Meds: unknown

Current Illness: Not ill.

ID: 0942026
Sex: M
Age: 34
State: AZ

Vax Date: 12/23/2020
Onset Date: 12/27/2020
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Sunday Morning (27th) and felt like my tonsils was touching my tongue. I ended up going to an Urgent Care. They gave me Isalemedral, they sent me home with a prescription of Predisone.

Other Meds:

Current Illness: Two days before I had dizziness and nausea .

ID: 0942027
Sex: F
Age: 44
State: CA

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

Lab Data:

Allergies:

Symptoms: Fever, body aches, headache. Resolved.

Other Meds:

Current Illness:

ID: 0942028
Sex: F
Age: 46
State: NY

Vax Date: 01/05/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data:

Allergies: Contrast dye

Symptoms: Large red hard swollen area around and on injection site. Very warm. Armpit soreness and arm soreness. Injection site painful. Rash starting around injection site.

Other Meds: Apriso, pantoprazole, melatonin, Zoloft, vitamin

Current Illness: None

ID: 0942029
Sex: F
Age: 43
State: TN

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/13/2021
Hospital: Y

Lab Data:

Allergies: Contrast dye, triptans, Topamax, imitrex,reception, pravastatin, CATS( HAIR AND DANDER, pfizer-biontech covid 19 vaccine

Symptoms: I received my covid vaccine on 12/29/2020 at 4:42pm. In 10 minutes after the shot, I went into anaphylactic shock, I broke out in hives, and my throat was closing

Other Meds: Zoloft, Valsartan, propranolol, lasix,

Current Illness: None

ID: 0942030
Sex: F
Age: 45
State: OR

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

Lab Data: n/a

Allergies: penicillin

Symptoms: Pt reported chest tightness and throat tightness following vaccination. Time course following vaccination unknown.

Other Meds: unknown

Current Illness: unknown

ID: 0942031
Sex: F
Age: 48
State: AZ

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

Lab Data:

Allergies:

Symptoms: (1035 VAC. ADMINISTERED); 1415- RETURNED TO VACC. CENTER- C/O RT ARM VAC. SITE REACTION OF HIVES. EMS ON SCENE. VS: 98.5 F, 02 SAT: 96% R.A.; P: 74; BP: 159/85; 1422: NO C/O. VSS. 1426: LEFT AND WENT TO ER.

Other Meds:

Current Illness:

ID: 0942032
Sex: F
Age: 42
State: CA

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

Lab Data:

Allergies:

Symptoms: Nausea, dizziness, chills, headache

Other Meds:

Current Illness:

ID: 0942033
Sex: F
Age: 44
State: TX

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

Lab Data: BP 142/80 P 92

Allergies: NKDA

Symptoms: Left arm numbness x 10 min

Other Meds: Linzess, Losartan

Current Illness:

ID: 0942034
Sex: F
Age: 55
State: IL

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

Lab Data: N/A

Allergies: Tetanus, Hu-Tet

Symptoms: The middle of the night 1/8/2021, awoke with fever, severe chills and teeth chattering, body aches, rapid heart rate 120s, headache, severe arm pain and very swollen and hot. A few hours later diarrhea started. By Saturday morning 1/9/2021, everything had resolved but dull headache and continued diarrhea which lasted for about 3 days. I rested, used ice on the arm, and took Tylenol.

Other Meds: HCTZ, Duloxetine, Metoprolol, Tylenol

Current Illness: Covid lung issues and rapid heart rate and palpitations 4 1/2 months post-Covid-19.

ID: 0942035
Sex: M
Age: 37
State: NM

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

Lab Data: none

Allergies: NKA

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA? 1st vaccine 12/21/2020, 2nd vaccine 1/10/2021 ED visit 1/11/2021: Chief Complaint: Pt. reports facial droop that started at 1200 yesterday. Pt. reports that he is unable to raise left eyebrow or control left side of face/lips. Pt. states that symptoms began approx. 4 hours after his COVID booster was administered Patient, 37 y.o male with hx DM, presents with left sided tongue numbness that began 2 days ago and left sided facial droop that began yesterday around noon. He reports difficulty raising his left eye brow and controlling the left side of his face. Pt also reports slight hearing and visual changes on the left side and tearing from the left eye. He denies any extremity weakness, rashes, and any other concerns at this tiem. Clinical Impression: Final diagnoses: Bell's palsy (Primary) Patient's history, physical exam and clinical work-up are consistent with Bells Palsy. Patient's symptoms of unilateral facial weakness with forehead involvement of relatively sudden onset are c/w peripheral seventh nerve palsy (lack of nasolabial folds, unfurrowing of the forehead and drooping corner of the mouth). Patient has not had recent rashes, arthralgias, or fevers or exposure to ticks. The ear canal, mouth and parotid gland are otherwise normal. The patient has been instructed to complete a 7 day course of oral steroids and anti-virals, and to use copious amounts of re-wetting eye drops, tape the affected eyelid while sleeping and follow up a primary care physician. The patient is to return to the ER immediately if symptoms progress or the patient becomes concerned for any reason.

Other Meds: dulaglutide 1.5 mg Subcutaneous WEEKLY lisinopril 10 mg Oral DAILY metformin HCl 1,000 mg Oral 2 TIMES DAILY

Current Illness: none

ID: 0942036
Sex: F
Age: 29
State: NY

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

Lab Data:

Allergies: none

Symptoms: after receiving vaccine patient complain of dizzy, feeling flush and tinnitus. bradycardia 48 lasting 4-5 mins. BP 118/66. patient monitored for 30 mins. prior to discharge patient states she feeling better , HR increase 62, bp 120/70

Other Meds: none

Current Illness: none

ID: 0942037
Sex: F
Age: 79
State: MA

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

Lab Data:

Allergies:

Symptoms: patient stated she had a headache about 15 minutes after the vaccine. she took Tylenol and the headache was relieved

Other Meds:

Current Illness:

ID: 0942038
Sex: M
Age: 74
State: MT

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

Lab Data:

Allergies:

Symptoms: Body Aches, Headache

Other Meds:

Current Illness:

ID: 0942039
Sex: F
Age: 32
State: OR

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

Lab Data:

Allergies: Keflex

Symptoms: 30 minutes after vaccine administration patient experienced transient tingling in her left hand. Otherwise patient was stable so patient declined offer of oral diphenhydramine. After checking in with patient an hour after we offered diphenhydramine tingling seemed to have gone away/patient did not report any symptoms.

Other Meds:

Current Illness:

Date Died: 01/13/2021

ID: 0942040
Sex: M
Age: 78
State: IA

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

Lab Data:

Allergies: unknown

Symptoms: little bit of a reaction light headed after 5 minutes. vitals were low, so observed for 30 minutes after being light headed. Patient was found unresponsive and pronounced dead later that day.

Other Meds: unknown

Current Illness: none

ID: 0942041
Sex: F
Age: 31
State: KY

Vax Date: 12/26/2020
Onset Date: 12/26/2020
Rec V Date: 01/13/2021
Hospital:

Lab Data: N/A

Allergies: NONE

Symptoms: Pt developed post COVID vaccine side effects at 1000. Pt received COVID vaccine at 0932 by LVN. Pt complained of a numb throat, and said, "I cant seem to swallow my saliva well." This writer did an immediate assessment of patient's throat with flashlight, and no swelling, abnormal discharge, or discoloration noted. Pulse-ox that was available on hand was used on pt, and sats were 96% and HR 78. MA on site was asked to grab a complete VS machine for somewhere stat, for there was none on site. This writer reassured pt was going to be okay and to breathe normally, for assessed pt was breathing fast. This writer called every doctor listed on the "Contact List for COVID Vaccine Clinic," but there was no response. This writer then called Urgent Care and Minor Injury Clinic, but the doctors were busy with patients. Asked MAs from those areas to have a doctor call immediately for a patient here was symptomatic. Once VS got here, VS were taken, and pt was assessed again. Pt said there was no more numbness in her throat, but tongue was feeling itchy, and her body temp went from hot to cold. Intitial VS: Temp: 98.3 BP: 122/80 HR: 77 O2: 99% RR: 18 Dr from Urgent Care finally called. Background story given, and she ordered Diphenhydramine Cap 25mg (Benadryl) which this writer had on hand in the emergency kit. Order was on computer, but could not acknowledge or scan, so order detail was printed, and pt and I signed form together. Benadryl given at 1025. Dr also suggested that ID doctor be called. At 1030, I got a hold of Dr., gave her a background story, and she advised that the pt stay for another 30 mins to be observed and she would come see the pt. Dr. arrived at 1100, assessed the patient, and ordered Cetrizine Tab 10mg (Zyrtec) to give to pt, which Dr. had to get from another department. There was no Zyrtec available in emergency kit. Again, order was on computer, but could not acknowledge or scan, so order detail was printed, and pt and I signed form together. Zyrtec given at 1128. An additional Zrytec Tab 10mg was given at same time at 1128 "for home use" per Dr and per her order. VS set #2 taken at 1133 Temp: 98.1 BP: 133/94 HR: 63 O2: 100% RR: 16 Dr suggested that she schedule an appt to see an allergist and to get an allergy test done prior to the next dose of the COVID vaccine. Patient was feeling a lot better and more at ease. Pt left comfortably with no symptoms at 1200.

Other Meds: N/A

Current Illness: NONE

ID: 0942042
Sex: F
Age: 27
State: MI

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

Lab Data: None

Allergies: Allergy to Amoxicillin

Symptoms: Within 8 hours of receiving dose #2 of COVID19 Pfizer, I experienced pain/stiffness at injection site, body chills, body aches and a fever of 102 F. Symptoms subsided after Motrin was administered (in about an additional 8 hours to recover fever). Body aches, pain at injection site and lingering headache still present 24 hours after vaccination.

Other Meds: None

Current Illness: None

ID: 0942043
Sex: F
Age: 48
State: VA

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

Lab Data: Blood test resulting in increased eosinophils (01/10/2021)

Allergies: None

Symptoms: My left arm was sore on day of and day after vaccine. I took Aleve (2 tabs q 12 hrs) on 12/31/2020. I didn?t notice or look for anything after that. On approximately 01/07/2021 I noticed area around injection was raised/hard/red and warm. I took more Aleve on that day and the day after. Area remained red/warm/hard and red area had gotten larger until 01/10/2021 when I went to an urgent care/walk in clinic. The PA who tended to me took blood. Reports showed increase in eosinophils. She prescribed Augmentin 875 (1 tab BID) and Hydroxyzine HCL 50mg (1 tab TID). I?ve been taking the hydroxyzine at bedtime only on 01/10, 11, and 12 bc of drowsiness side effect. Started the TID dosing 01/13. On 01/12 the warmth and hardness/swelling around the injection site had disappeared. On 01/13 redness has diminished above the elbow ,however, redness has traveled to elbow and under. I have 7 days left on antibiotic and 3 days on antihistamine.

Other Meds: Dexilant (occasional use) . Not taken on day of vaccination.

Current Illness: GERD

ID: 0942044
Sex: F
Age: 27
State: FL

Vax Date: 12/14/2020
Onset Date: 12/14/2020
Rec V Date: 01/13/2021
Hospital:

Lab Data: ER did some lab work and everything was normal.

Allergies: penicillin, amoxicillin, Zofran, gluten

Symptoms: Immediately after I got it I started feeling flush and hot in my face, I got dizzy and lightheaded, my HR went to 180, my legs felt weak, I was having chest palpitations and chest pain. I felt really dizzy and nauseated, I felt like I could not walk. I felt like I hit by a bus. The next day I had heavy flu symptoms, high fever, continuous chest pain and high HR, at the ER they gave me a high dose of Benadryl, steroids and fluids. I took Benadryl for about 7 days and I still felt light headed palpitations and fever for almost 2 weeks. I also was tested for COVID and it was negative. I was advised to not take the second vaccine. I still have a really bad fatigue. It is the symptom that is still on and off.

Other Meds: metamizole, vitamin c

Current Illness: no

ID: 0942045
Sex: M
Age: 71
State: CA

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

Lab Data:

Allergies:

Symptoms: Patient describes diarrhea, sinus headache, congestions which turns into a headache. Patient also report odd cramping in legs, especially in the rear thigh muscles. Slight nausea but cause unknown.

Other Meds:

Current Illness:

ID: 0942046
Sex: F
Age: 31
State: AL

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

Lab Data:

Allergies: none

Symptoms: patient was educated about the risk of receiving Moderna COVID 19 vaccination. Patient had no symptoms of COVID19 and was afebrile at time of visit. Patient desires to continue with vaccination. Vaccine was administered at 11:08 CST. Patient remained in clinic for 15 minutes after injection, voiced no problems. Patient called within 24 hours complaining of Chills, Nausea, Severe headache, muscle aches and pain in right arm. Advised patient to follow up with PMD, encouraged patient to enroll in V-SAFE

Other Meds: unknown

Current Illness: patient stated she had been in contact with family member who was positive for COVID. patient stated she had a COVID 19 test on 12/30/2020 and it was negative. Patient was out of her quarantine period

ID: 0942047
Sex: F
Age: 46
State: CA

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

Lab Data: None

Allergies: None

Symptoms: After waiting in the waiting area for about 20 minutes following the vaccination, I left to return to my car and go home. While walking through the hospital, I started to feel weird - almost light headed and fuzzy. By the time I got to the hospital entrance, my tongue had started to tingle and swell (I don't know that it ACTUALLY swelled, but that's how it felt) and I was concerned about losing the ability to breath. I started going back to the vaccination site, but the feeling started to subside. After about another 15 minutes, the feeling was gone. I did NOT report this to the vaccination site and instead just proceeded home.

Other Meds: amitripyline hcl 25 mg (x2) Lo Loestrin FE FE 1/10 tab Propranolol hcl er 160 mg er cap multi-vitamin resveratrol CoQ10

Current Illness: None

ID: 0942048
Sex: F
Age: 23
State: MT

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

Lab Data:

Allergies:

Symptoms: Headache, Fatigue, Body Aches

Other Meds:

Current Illness:

ID: 0942049
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:

Allergies:

Symptoms: 15 minutes post vaccine stated to feel scratchy throat, "funny to swallow" Benadryl 25 mg PO was given. 17:50 repeat dose given Benadryl 25 mg PO. 1805- symptoms improving, VS stable. 1815- Felt well enough to go home, discharged to home.

Other Meds:

Current Illness:

ID: 0942050
Sex: M
Age: 0
State: KS

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

Lab Data:

Allergies: lactose intolerant

Symptoms: Both legs swollen and red

Other Meds:

Current Illness:

ID: 0942051
Sex: F
Age: 41
State: WY

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

Lab Data:

Allergies:

Symptoms: Patient complained of headache, upset stomach, diarrhea, very tired all day 1/8/21, left arm swelling with pain from forearm to shoulder. Woke on Saturday, 1/9/21 with enlarged/swollen lymph nodes under left arm, had headaches throughout the weekend. By Monday, 1/11/21 most symptoms had resolved with the exception of some arm soreness.

Other Meds:

Current Illness:

ID: 0942052
Sex: M
Age: 86
State: GA

Vax Date: 01/06/2021
Onset Date: 01/09/2021
Rec V Date: 01/13/2021
Hospital:

Lab Data: Non e

Allergies: Bactrim p.o.

Symptoms: No injection site pain. Cephalgia, intermittent and primarily occipital and suboccipital in location with worse pain 01/12/2021. Rated at 5-6 over 10. General arthralgia

Other Meds: Valsartan, 160 mg. daily at hs. Potassium chloride, ER 10meq daily after breakfast.

Current Illness:

ID: 0942053
Sex: M
Age: 31
State: NJ

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

Lab Data: NA

Allergies: Seasonal allergies (pollen & dust) & food allergies (apples & hops) & allergies to various perfumes

Symptoms: Swelling of the throat

Other Meds: Cetirizine Hydrochoride (10 mg/day) & Fluticasone Propionate (100 mcg/day)

Current Illness: N/A

ID: 0942054
Sex: M
Age: 35
State: WA

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

Lab Data: Covid 19 test 01/13/21 per work policy

Allergies: Mild sensitivity to saffron.

Symptoms: After about 20 minutes, I noticed some mild numbness in the face, similar to getting a light dose of Novocain at the dentist. It stated to go away, but never fully dissipated. The next morning while getting ready for work, I noticed I could not taste anything, and mouth felt a bit numb. Also had some residual facial numbness.

Other Meds:

Current Illness:

ID: 0942055
Sex: F
Age: 56
State: MT

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

Lab Data:

Allergies:

Symptoms: Headache Fatigue

Other Meds:

Current Illness:

ID: 0942056
Sex: M
Age: 74
State: NM

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

Lab Data:

Allergies: none

Symptoms: Generalized Hives and itching

Other Meds: crestor,zetia,xarelto

Current Illness: none

ID: 0942057
Sex: F
Age: 29
State: CA

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

Lab Data: None

Allergies: None

Symptoms: On 01/06/21- Fever, headaches and fatigue 24 hours after receiving vaccine.

Other Meds: Tremfya injection every 2 months Vitamin D3 5,000 Iron Allergy medicine Vitamin C

Current Illness: None

ID: 0942058
Sex: F
Age: 50
State: MN

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

Lab Data:

Allergies:

Symptoms: 3 am woke up with stomach upset cramping, nausea, chills, took Tylenol; no appetite not eating anything

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm