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: 0943433
Sex: F
Age: 24
State: AR

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

Lab Data:

Allergies:

Symptoms: headache, fatique

Other Meds:

Current Illness:

ID: 0943434
Sex: F
Age: 35
State: IL

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

Lab Data: Patient was evaluated by Dr upon arrival and determined to be in no distress, no seizure or anaphylaxis. Patient evaluated as being anxious and hyperventilating and instructed to control breathing which improved with deep breathing exercises. Suspect significant anxiety component to symptoms, but given history and report of perceived fullness in the neck/throat, will transport to ED for evaluation. Patient provided 50mg of Benadryl IM prior to transport to ED for further treatment/evaluation. Patient seen at ED by Dr and discharged after observation for anxiety/depression in stable condition and to report to mental health for scheduled appointment on 14Jan2021.

Allergies: Pertussis (seizure History) and Wellbutrin

Symptoms: Patient stated she was seeing black spots in her vision and experiencing chest tightness immediately after receiving a TDAP vaccination. Technician immediately notified me of misadministration and that he missed the Pertussis allergy that was clearly printed on the Immunization Screening Form. I calmed the patient down, ruled out no anaphylaxis or seizures and transported the patient to our emergent treatment room for a higher echelon of care.

Other Meds: topriamate 50mg QPM, phentermine HCL 37.5 mg QD, Medroxpyrogesterone 150mg/ml IM Q 3-months, metformin 500mg QD

Current Illness: Depression, Anxiety and Suicide

ID: 0943436
Sex: F
Age: 66
State: OH

Vax Date: 01/08/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: second day after receiving vaccine I was fairly sick. Then I was fine. 5 days after receiving vaccine (yesterday 1/13/2021) I started developing Bell's palsy

Other Meds: Metformin, glipizide, Ozempic, losartan, fenofibrate, potassium citrate, fish oil, folic acid, cinnamon, magnesium

Current Illness: None

ID: 0943437
Sex: F
Age: 54
State:

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/14/2021
Hospital:

Lab Data: None

Allergies: NKA

Symptoms: Headache, low grade fever, body aches, fatigue

Other Meds: Progesterone Estradiol Omeprazole

Current Illness: COVID-19 positive 12/1/2020

ID: 0943438
Sex: M
Age: 32
State: TX

Vax Date: 01/10/2021
Onset Date: 01/11/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: chills, low grade fever, body aches and hives over five days

Other Meds:

Current Illness:

ID: 0943439
Sex: F
Age: 62
State: NY

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

Lab Data: Unsure

Allergies: No known allergies at the time of vaccination

Symptoms: Chest tightness, dizziness, "jittery"

Other Meds: Unknown

Current Illness: No reported illness at the time of vaccine. Previous COVID-19 positive with a reported symptom onset of 12/28/2021.

ID: 0943440
Sex: F
Age: 36
State: OK

Vax Date: 12/30/2020
Onset Date: 01/07/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: Sulfa, NSAIDs

Symptoms: Delayed Injection site reaction- started with redness, itching, warm to touch and swelling about 8 days after vaccination. Still red no longer swollen or warm to touch at 2 weeks post vaccination.

Other Meds: None

Current Illness: None

ID: 0943441
Sex: F
Age: 45
State: MN

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

Lab Data:

Allergies: na

Symptoms: Slight body aches, diarrhea and mild headache

Other Meds: Lyrica, Mirtazepine, One a day vitamin, Vit D, Mg, Chasteberry extract (hot flashes)

Current Illness: na

Date Died:

ID: 0943442
Sex: M
Age: 68
State: GA

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: nka

Symptoms: Systemic: reported by staff patient expired under suspicious circumstnces after receiving vaccine. Patient was on hospice, reported not expected to pass this soon; symptoms lasted 0 days

Other Meds:

Current Illness:

ID: 0943443
Sex: M
Age: 25
State: NV

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: oral penicillin

Symptoms: Systemic: Anaphylaxis-Severe

Other Meds:

Current Illness:

ID: 0943444
Sex: F
Age: 27
State: IN

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Swelling in arm just below and to the right of injection site. Swelling is very red/warm to the touch. The area has remained the same since 1/7/21 and has not increased or decreased in size. However the itch/burn feeling continues to increase daily. I do not plan to seek medical attention for this side effect unless the swelling is still present by dose #2. Im showing no other negative symptoms.

Other Meds: None

Current Illness: None

ID: 0943445
Sex: F
Age: 44
State: WI

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: none

Allergies: Rocephin (Cephtriaxone)

Symptoms: Myalgia in arm of vaccination on day 0 of vaccine. Then with severe headache, myalgias, joint pain, upset stomach for 2 days after vaccine.

Other Meds: warfarin

Current Illness: None

ID: 0943446
Sex: F
Age: 52
State: IL

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: I got the shot at 10AM on Tues Jan 5, by 5PM had severe headache took Tylenol and it helped. Had severe headache off and on thru the weekend till Jan 12th. That night Jan 5th after the shot or next morning at Wed Jan 6 at 2AM - I got up out of bed and was severely dizzy, had to use the wall to walk to bathroom, felt nausea. Woke up Wed still severly dizzy all day and thru the weekend. On Jan 12th till today Jan 14 I am still moderately very dizzy.

Other Meds: Vitamin C, magnesium, Multi Vitamin, Potassium, Allegra, Tamoxifen

Current Illness: none

ID: 0943447
Sex: M
Age: 55
State: CT

Vax Date: 12/23/2020
Onset Date: 01/10/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: no lab tests done

Allergies: no known allergies

Symptoms: Hands and arm dermatitis rash 3 weeks after vaccination, possibly a delayed reaction to vaccine. Has topical steroid cream to apply to dermatitis sites from doctor staff member visited as well as zyrtec tablet for allergies once a day. Dermatitis sites have pruritus and are red and raised patchy rash areas. Large patch on left hand, small "spot" like raised red bumps on arms and right hand - diffuse, not many bumps.

Other Meds: none

Current Illness: no illness at time of vaccine

ID: 0943449
Sex: M
Age: 63
State: AZ

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

Lab Data: none

Allergies: Penicillan, Melon.

Symptoms: About an hour later, slight headache. Around 2am on 1/12, woke up with hip joint pain. On 1/13 slight injection site pain and continued hip pain, and around 11am had slight nausea that went away. 1/14 still have hip pain.

Other Meds: Famotidine, Tadilafil, Multi vitamin, C, aztaxinthin, salmon oil, garlic.

Current Illness: none

ID: 0943450
Sex: F
Age: 32
State: NJ

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

Lab Data:

Allergies: latex, sulfa, penicillin

Symptoms: Itching all over, beginning to develop hives

Other Meds:

Current Illness:

ID: 0943451
Sex: F
Age: 32
State: TN

Vax Date: 01/11/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: n/a

Allergies: n/a

Symptoms: ~36 hours post-shot woke up in middle of night with migraine, chills and nausea. Took Excedrin, naproxen and Zofran and was able to fall back asleep in about 2 hours.

Other Meds: birth control

Current Illness: n/a

ID: 0943452
Sex: F
Age: 53
State: TX

Vax Date: 01/09/2021
Onset Date: 01/09/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: Blood lab - normal, Chest Xray- negative, Cardiogram- negative, Covid 19 and Flu Test - both negative

Allergies: N/A

Symptoms: Immediate reaction "feeling strange numbness in body", light headache. Monitored for 15 minutes symptoms increased and dizziness, headache severe, chills, trembling, fever 103., feeling very warm, could hardly walk and speak. Tylenol dose - some relief. Hospital ER visit, IV treatment, Tylenol 800mg - adverse events determined to be related to vaccine per ER doctor, under observation in ER until next day. Continued extreme fatigue. Next day, F/U with PCP , 2nd dose not recommended by PCP due to adverse events. Headache still continue for patient and weakness and fatigue. Tylenol for relief.

Other Meds: Metaformin, Levothyroxine

Current Illness: N/A

ID: 0943453
Sex: F
Age: 35
State:

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

Lab Data:

Allergies:

Symptoms: Upon 10 or so minutes post injection: Pain muscular at injection site, expected this. Pain down right side of arm Hot, swetting Nausea Numbness full body *Wet wash cloth received for forehead. Numbness hands fingers toes tongue Cold and chills *Received Benadryl Ambulance to ED: Blood pressure spike Shaking Right jaw pain Now zero left pain At ED: Vitals okay *Received Pepcid and Something under the tongue for nausea Dry mouth Dry throat Toes return to normal Right jaw and neck and head pain *Practiced self-prompted jaw exercises. Still very cold. Less shaking, more intermittent like waves Tongue and roof of mouth tingly Right quad pain *Received Blanket and now warm No headache pain. Right injection site muscular pain. Discharged from hospital

Other Meds:

Current Illness:

ID: 0943455
Sex: F
Age: 28
State: TX

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

Lab Data:

Allergies:

Symptoms: Symptoms - ? Patient reports at 02:00 + fever of 106 (1000 mg Tylenol taken at 03:00) and + fever of 104 at 08:00 (1000 mg Tylenol taken at 08:15), + chills. Last day of work and shift - unknown Home remedies? - see ?symptoms? for narrative Any improvement? - mild Recommendation? Patient educated to continue to monitor her symptoms and to contact EH vaccine support line with further questions and concerns. Patient educated to continue to rotate Tylenol and motrin as indicated in the Medical Directive provided by employer and to notify her manager she will be unable to report to work until she is fever free for 24 hours without the use of an antipyretic. Patient educated to continue to manage per Employer Illness in the Workplace Policy. Patient verbalized back understanding and denied further questions at this time.

Other Meds:

Current Illness:

ID: 0943456
Sex: M
Age: 59
State: IN

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

Lab Data: none

Allergies: erythromycin

Symptoms: 2-3 hour episode of shaking chills

Other Meds: losartan, hydrochlorothiazide ,fish oil, Vit D, atorvastatin

Current Illness: none

ID: 0943457
Sex: F
Age: 23
State: WI

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

Lab Data:

Allergies:

Symptoms: Developed swollen lymph node. Rash at injection site

Other Meds:

Current Illness:

ID: 0943458
Sex: F
Age: 48
State: IN

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Night sweats, chills and shaking (violently at times), low-grade fever, body aches, severe pain at injection site lasting 3 days, slight shortness of breath at times, elevated heart rate, lethargy, headache.

Other Meds: Metoprolol, omeprazole, Zoloft, seroquel, lamictal

Current Illness: None

ID: 0943460
Sex: F
Age: 23
State: WI

Vax Date: 01/09/2021
Onset Date: 01/09/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Systemic: tingling tongue, feeling like tongue was bigger, feels weird to swallow-Medium; symptoms lasted 1 day

Other Meds:

Current Illness:

ID: 0943461
Sex: F
Age: 43
State: OH

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

Lab Data: NONE

Allergies: XOPENEX, SULFA, CODIENE.

Symptoms: 04:30PM PT STATES "LIPS ARE TINGLING, HEAD ITCHES". DENIES SHORTNESS OF BREATH, TROUBLE BREATHING, SWELLING OF LIPS/TONGUE, OR DIFFICULTY SWALLOWING. ALERT, ORIENTED, PINK, W/D, RESP REGULAR WITH EASE. NO RASH OR HIVES NOTED. 05:00PM ALL SYMPTOMS HAVE RESOLVED.

Other Meds: LOSARTIN, HYDROCHLORATHYAZIDE, LIPATOR, LASIX.

Current Illness: NONE

ID: 0943462
Sex: F
Age: 87
State: MI

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Low grade temperature & emesis within the following 24 hours of receiving vaccination.

Other Meds: LORATADINE 10 MG TABLET Norvasc 2.5 mg tablet Zyprexa Zydis 5 mg disintegrating tablet PreserVision AREDS-2 250 mg-200 unit-40 mg-1 mg capsule [ Aspirin 81 mg chewable tablet Atorvastatin 40 mg tablet Cholecalciferol (vitamin D3) 2,000

Current Illness: COVID positive 12/04/2020

ID: 0943463
Sex: F
Age: 61
State: PA

Vax Date: 12/30/2020
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: Patient posesses two photographs of rash.

Allergies: No

Symptoms: Red rash in the shape of an oval 5 by 3 inches around the site of injection. Not raised. Patient did not notice erythema until two weeks after shot. Patient also experience transient sore arm and fatigue.

Other Meds: Vitamin D 2000 units daily

Current Illness: No

ID: 0943464
Sex: F
Age: 48
State: MD

Vax Date: 01/06/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: NKDA

Symptoms: Day 7 after vaccine developed 14 cm indurated, red and itchy area at site. It started the morning of Day 7 and increased over the day.

Other Meds: None

Current Illness: None

ID: 0943466
Sex: F
Age: 48
State:

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

Lab Data:

Allergies:

Symptoms: 1-12-2021 Cough, runny nose 1-13-2021 sore throat

Other Meds:

Current Illness:

ID: 0943467
Sex: F
Age: 43
State: NY

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: none

Allergies: penicilin and prednisone

Symptoms: patient became dizzy, nauseas and developed a migraine. She had similar reaction with prednisone. Admits to episode of vomiting

Other Meds:

Current Illness:

ID: 0943468
Sex: F
Age: 67
State: NY

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: nka

Symptoms: Systemic: light headedness

Other Meds:

Current Illness:

ID: 0943469
Sex: F
Age: 40
State: TX

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: NONE

Allergies: none

Symptoms: LYMPH NODES SWOLLEN UNDER ARM UNDER ARM SORE AND TENDER TO TOUCH NO TREATMENT, 1 WEEK LATER CONTINUES TO BE SORE BUT SWELLING AND PAIN HAS DECREASED DAY BY DAY

Other Meds: metoprolol 50mg Bariatric multivitamin

Current Illness: none

ID: 0943470
Sex: F
Age: 47
State: OK

Vax Date: 01/06/2021
Onset Date: 01/14/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: no

Symptoms: A week later have swelling, redness, itching and tenderness to the vaccine site

Other Meds: levothyroxine and OCP

Current Illness:

ID: 0943472
Sex: M
Age: 73
State: NC

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: Syncope due to orthostatic hypotension-antihypertensive discontinued and oral fluids pushed for 24 hours with resolution in symptoms within 48 hours.

Other Meds:

Current Illness: SARS-COV-2 positive on 12/16/20

ID: 0943474
Sex: F
Age: 67
State: AZ

Vax Date: 01/01/2021
Onset Date: 01/14/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: none

Other Meds: Atorvastatin Zyprexa Lamictal

Current Illness: none

ID: 0943475
Sex: F
Age: 23
State: AZ

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: No known allergies

Symptoms: Several hours after vaccine, I started developing fatigue, chills, a low grade fever, and inability to sleep due to severity of chills. I also experienced headaches, arm soreness and dizziness. The next day my left arm hurt more than the night before, and I had a fever off and on from 8am to 12pm. No additional symptoms after 5pm the next day 12/31/2020.

Other Meds: Lamotrigine 200mg, sertraline 25mg, venlafaxine er 75 mg

Current Illness: None

ID: 0943478
Sex: F
Age: 31
State: KY

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: Just the covid-19 vaccination

Allergies: N/A

Symptoms: Cold chills Sweating Low grade fever Nauseated Body aches and pains Lethargic Drowsy Swelling-injection site

Other Meds: Adderall

Current Illness: None

ID: 0943479
Sex: F
Age: 40
State: TX

Vax Date: 01/04/2021
Onset Date: 01/10/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Soreness at injection site the day after vaccine administered. Subsided 2 days after. 6 days later tenderness and slight swelling in left axillary lymph node.

Other Meds: Xyzal 1 tab Q am

Current Illness: None

ID: 0943481
Sex: F
Age: 61
State: PR

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/14/2021
Hospital:

Lab Data: none

Allergies: No known allergies

Symptoms: Moderate to severe fatigue, headache, fever, chills, malaise

Other Meds: Invokana, Synthroid, Enalapril, Vit D, Amaryl, Crestor,

Current Illness: none

ID: 0943482
Sex: F
Age: 26
State:

Vax Date: 12/24/2020
Onset Date: 01/14/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: Lumbar puncture 01/06/2021

Allergies:

Symptoms: Employee received Moderna COVID vaccine on 12/24/2020. On 01/01/21, she developed cough, fever, neck pain, and HA. COVID PCR was negative on 01/02/2021. On 01/06/2021, she was evaluated in ED, and a lumbar puncture was consistent with aseptic meningitis. She received no medical treatment and was released to home. Did follow -up via telemed visit with PCP.

Other Meds:

Current Illness:

ID: 0943483
Sex: M
Age: 25
State: TX

Vax Date: 01/02/2021
Onset Date: 01/11/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Pruritis on left lateral upper arm around area of vaccination beginning 1/11/21. 14.5 x 7 cm erythematous, targetoid rash on left lateral upper arm at injection site and extending down arm, first noticed 1/14/21.

Other Meds: Ibuprofen, Green Tea capsules, Daily Multivitamins

Current Illness: None

ID: 0943484
Sex: F
Age: 35
State:

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

Lab Data:

Allergies:

Symptoms: Upon 10 or so minutes post-injection: Pain-muscular at injection site Pain down right side of arm Hot, swetting Nausea Numbness full body *Wet wash cloth received for forehead Numbness hands fingers toes tongue Cold and chills *Received Benadryl Ambulance to ED: Blood pressure spike Shaking Right jaw pain Now zero left pain At ED: Vitals okay *Received Pepcid and Something under the tongue for nausea Dry mouth Dry throat Toes return to normal Right jaw and neck and head pain *Practiced self-prompted jaw exercises. Still very cold. Less shaking, more intermittent like waves Tongue and roof of mouth tingly Right quad pain *Received Blanket and now warm No headache pain. Right injection site muscular pain. Discharged from hospital.

Other Meds:

Current Illness:

ID: 0943486
Sex: F
Age: 20
State: WI

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

Lab Data: N/A

Allergies: N/A

Symptoms: Muscle aches, headache, and chills for the first 48 hours. After 48 hours, these symptoms ended but rash appeared.

Other Meds: Claritin, Iron Supplement, Citalopram, Estarylla

Current Illness: N/A

ID: 0943487
Sex: F
Age: 49
State: PA

Vax Date: 01/05/2021
Onset Date: 01/11/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Received my first dose of Moderna Vaccine on 1/5/2021. No symptoms until the morning of 1/11/2021 when I noticed an enlarged lymph node on the left side of my neck. Was sore to touch. 1/13/2021 experienced redness and swelling on my left arm at the injection site. The area is about the size of an orange. No other symptoms at this time.

Other Meds: Oral BCP; Vitamin C, D3 & Elderberry with Zinc.; Stool Softener with Stimulant

Current Illness: None

ID: 0943488
Sex: F
Age: 48
State:

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

Lab Data:

Allergies:

Symptoms: 1-12-2021 Cough, runny nose 1-13-2021 sore throat

Other Meds:

Current Illness:

ID: 0943490
Sex: F
Age: 38
State: CO

Vax Date: 01/05/2021
Onset Date: 01/12/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: None

Allergies: Sulfa drugs - hives

Symptoms: 7cm well-circumscribed, raised, erythematous, confluent, itching rash arose at site of left deltoid inject, approximately 6 days after inject, continuing 9 days after injection when observed in clinic. No respiratory symptoms, started treatment with diphenhydramine today for Type IV hypersensitivity reaction.

Other Meds: None

Current Illness: None

ID: 0943491
Sex: F
Age: 0
State: GA

Vax Date: 08/20/1953
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: No

Allergies: None

Symptoms: Received inject in right arm at 10:27am, and at 10pm she started feeling tightness in left cheek bone area and then left arm starting feeling like it was falling asleep and today as of 8am she was experiencing numbness in her left side of her body from cheek down to left leg. Pt has no plans to visit a doctor, recommended to see one immediately.

Other Meds: Gabapentin 300mg BID, Vitamin D, K, C, B complex, E

Current Illness: None

ID: 0943492
Sex: F
Age: 40
State: OH

Vax Date: 12/28/2020
Onset Date: 01/05/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Thick skin peeling from left palm. Woke day 8 with joint pain, body aches, fatigue. Bruise pain still present at injection site.

Other Meds: Levothyroxine, spironolactone

Current Illness: None

ID: 0943493
Sex: F
Age: 28
State: WI

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

Lab Data:

Allergies: Penicillin, Sulfa

Symptoms: Patient began itching on chest and showing hives on upper arms. Patient then was learing throat, coughing, tingling in the tongue. Itchiness progressed down arms, as did hives. EMS arrived and administered 0.3 mg Epi IM and IV Benadryl. Vitals obtained.

Other Meds:

Current Illness:

ID: 0943495
Sex: F
Age: 43
State: WI

Vax Date: 01/07/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: NA

Allergies: NKDA

Symptoms: Sneezing, whole body itching, throat itching and erythema to injection site throughout the day.

Other Meds:

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm