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: 0945447
Sex: F
Age: 48
State: MI

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

Lab Data: 01/14/21 rapid COVID test, negative 01/14/21 rapid Influenza test, negative

Allergies: Levaquin Cats, dogs, mold, weeds

Symptoms: H/A, low grade fever up to 100.0, chills, muscle and body aches, pain at site, pain in front underarm area of affected side. Symptoms have lasted from about 10 hours after the dose and are continuing now (82 hours after the dose)

Other Meds: Adderall, Allegra, Nexium, Sudafed, Neurontin, Effexor, Trazadone, Ambien, Flonase, Flovent, Albuterol, Zyrtec, vitamin B complex, multivitamin Allergy shots weekly

Current Illness: None

ID: 0945448
Sex: F
Age: 44
State: ID

Vax Date: 12/23/2020
Onset Date: 12/24/2020
Rec V Date: 01/14/2021
Hospital:

Lab Data: No

Allergies: No

Symptoms: Severe abdominal cramping, nausea, fever, malaise, body aches, fatigue

Other Meds: No

Current Illness: No

ID: 0945449
Sex: F
Age: 30
State: IN

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

Lab Data:

Allergies: Bactrim

Symptoms: Numbness of the left arm below the elbow including the hand (same arm as injection) that started a couple minutes after the injection and lasted for about 20 to 30 minutes. Full feeling returned and no other numbness experienced since.

Other Meds:

Current Illness: none

ID: 0945450
Sex: F
Age: 68
State: NC

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

Lab Data: Jan 13, 2021, 2:35 pm - VS: HR 104, O2 sat 100% on room air, BP 188/79. Jan 13, 2021, 2:50 pm - VS: HR 68, O2 sat 100% on room air, BP 149/70

Allergies: NDKA

Symptoms: Ten minutes after the vaccine was administered, I began to taste it in the back of my mouth, a metallic-type taste and felt tingling around my mouth. I had been sitting in the post-vaccine observation area during this time looking at my telephone. I approached the nurse's desk and reported what I was experiencing and was taken to another room where I was put in a wheelchair and vital signs were taken. By now I think I became very anxious and fearful and my heart felt like it was pounding at 104. My BP went to 188/79 which is high for me and I felt SOB. I truly think the VS symptoms were related to anxiety, but I continued to have the taste in my mouth and my tongue felt like sandpaper. I was given 50 mg BENADRYL and observed for 30 minutes. After that amount of time, I felt better and safe to leave the hospital. Today, 1/14/2021, I have felt excessive tiredness and mentally dazed with diarrhea. No temperature, slight nausea this morning, and no vomiting. My left arm is only moderately sore. Now, at 7:30 pm I am feeling better and feel that I can work tomorrow. Honestly do not know if it was an adverse reaction or excessive anxiety. I do not have anxiety disorder.

Other Meds: Atorvastatin 40 mg daily; metoprolol Succ 25 mg daily; Caltrate slow release 600 mg calcium with 1000 of Vit D; Fish oil; asa 81 mg every other day; omeprazole 40 mg daily

Current Illness: none

ID: 0945451
Sex: F
Age: 36
State: IL

Vax Date: 01/05/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Day 8 developed itchy, red, quarter sized red mark at vaccine site. Itching was deeper, not on surface. Day 9 redness is larger in size, more itchy, there is a knot and it's sore. Also has woken up sweaty past 3 days but denies fever.

Other Meds:

Current Illness:

ID: 0945452
Sex: F
Age: 39
State: CO

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

Lab Data:

Allergies: Amoxicillin, penicillin (itching mouth), doxycycline

Symptoms: After second dose of Pfizer COVID-19 vaccine, patient experienced flushing/hot, dizziness, and lightheadedness. Patient was given water/juice. Patient was instructed to wait an additional 15 minutes for observation but declined and left against medical advice

Other Meds:

Current Illness:

ID: 0945453
Sex: F
Age: 59
State: WI

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

Lab Data:

Allergies: aspirin fish/seafood

Symptoms: R temporal headache. Decreased intensity now but still present

Other Meds: Losartan with hctz fluoxetine estradiol gabapentin

Current Illness: none

ID: 0945454
Sex: F
Age: 55
State: AZ

Vax Date: 01/05/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: None

Allergies: none

Symptoms: REDNESS, SWELLING, PAIN, HEAT AT INJECTION SITE

Other Meds: Metphormin, metoperal, lysinopril, multi-vitamin. vitamin d, tummeric

Current Illness: none

ID: 0945455
Sex: U
Age: 37
State:

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

Lab Data:

Allergies:

Symptoms: numbness tingly from arm to fingers.

Other Meds:

Current Illness:

ID: 0945456
Sex: F
Age: 61
State: CA

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

Lab Data:

Allergies: latex, inderal

Symptoms: Pt c/o "funny feeling in tongue" swelling, feels like her throat is closing. Swollen neck.

Other Meds: unknown

Current Illness: n/a

ID: 0945457
Sex: F
Age: 41
State: MD

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

Lab Data: None

Allergies: None

Symptoms: Swollen Lip and left side of face Headache - left side is worse closer to face than head Taking Benedryl for swelling and ibuprofen so pain on left side head/face

Other Meds: None

Current Illness: None

ID: 0945458
Sex: F
Age: 28
State: PA

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

Lab Data:

Allergies: None

Symptoms: Red, warm bump at injection site

Other Meds: Spirilactone

Current Illness: None

ID: 0945459
Sex: F
Age: 47
State: NJ

Vax Date: 12/26/2020
Onset Date: 12/26/2020
Rec V Date: 01/14/2021
Hospital:

Lab Data: None

Allergies: Aspirin and Ibuprofen

Symptoms: 12 hours after receiving the vaccine (at 11:00pm on Saturday), I woke with nausea, stomach pains and the chills. I was up the remainder of the night. By morning I had a bad headache and terrible body/muscle aches. I was unable to report to work that day. By midafternoon, the nausea and stomach pains subsided, all other symptoms remained along with then getting a 100.5 fever. I was taking Tylenol every 4 hours since 1am and keeping hydrated. By midnight I was exhausted and was finally able to sleep. I woke the following morning with a dull headache and just felt achy. I felt much better by that evening (now Monday). Tuesday morning I woke with discomfort to my left armpit and clavicle area. I then noticed swelling, the areas felt ?lumpy? and were very tender to touch. That lasted about 2 days.

Other Meds: Women?s Once a day multivitamin, B12, Vit D, vitamin with biotin and collagen, Zyrtec, probiotic, Levonorgestrel-E Estrad

Current Illness: None

ID: 0945460
Sex: F
Age: 36
State: NJ

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

Lab Data:

Allergies:

Symptoms: Employee had same reaction as Dose # 1 despite pre-medicating with Benadryl and having a consult with an Allergist. Dizziness, Lightheaded, Tongue and Facial Tingling

Other Meds:

Current Illness:

ID: 0945461
Sex: F
Age: 41
State:

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

Lab Data:

Allergies:

Symptoms: 1600 hrs. Stated throat burning and felt like it was closing up, hot flashes, ears ringing, and warm. Vitals monitored every 15 minutes with first set being within range with the exception of elevated BP at 150/90. Benadryl 25 mg given PO. Sitting in chair, able to answer all questions with no apparent distress in speaking. Continued symptoms above at 1630 administered an additional 25mg benadryl PO . Alert and oriented, able to call spouse for a ride home. Due to continued symptoms rapid response team was called for evaluation and took over care to be transferred to ER for further monitoring and evaluation.

Other Meds:

Current Illness:

ID: 0945462
Sex: F
Age: 48
State: CA

Vax Date: 01/05/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: 1 week after vaccination, pt developing warm area of swelling at injection site with pain.

Other Meds: none

Current Illness: none

ID: 0945463
Sex: F
Age: 64
State: TX

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

Lab Data: A the hospital they did labs all my labs where normal only my blood cells where low. I had an MRI & CT scan & everything came out good. They also found gallbladder stones.

Allergies: Penicillin

Symptoms: Fist day on 12/24/20 when I got the vaccine about 30min after I started feeling a lot of chills & nauseas on the second day on 12/25/2020 my arm was swollen on the area of the injection It was affecting the movement of my arm. Then on 12/26/2020 around 3am I got a horrible pain that started in the front on my abdominal then it went to the back from my neck & my spine all the way to my butt I was like paralyzed due to the pain. I felt like they where squeezing my bones. We had to call the ambulance because I could not move by the time I got to the hospital the pain was gone but my whole body was sore because of the pain I went through.

Other Meds: Amlodipine 10 mg singular at night rosuvastatin

Current Illness: no

ID: 0945464
Sex: F
Age: 41
State: IN

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

Lab Data: Na

Allergies: Sulfa

Symptoms: Large swollen gland on left side of neck. Sore gland.in left armpit area.

Other Meds: Na

Current Illness: Na

ID: 0945465
Sex: F
Age: 54
State:

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

Lab Data:

Allergies:

Symptoms: Chills 2 hours Headache 36hours Body aches 36 hours

Other Meds: Tylenol

Current Illness:

ID: 0945466
Sex: F
Age: 49
State: ME

Vax Date: 12/30/2020
Onset Date: 01/11/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: Went to dr 1/14/2021 after losing 2 days of work

Allergies: Dander

Symptoms: I suffered severe migraine to the point of severe pain unlike any migraine I have ever had, drooping of eye and pain in neck and blurry vision, Went to dr she said I have Bella palsy that could be due to vaccine

Other Meds: Dexilant, sumatriptan

Current Illness: None

ID: 0945467
Sex: F
Age: 46
State: AK

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

Lab Data: None

Allergies: NKDA

Symptoms: Immediately following injection patient complaining of severe pain at injection site. Patient ranks pain at 6/10. This nurse observes patient acting concerned and moderately distressed. During 15 minutes observation time, patient states that pain is decreasing. Appx 1-2 hours after injection this nurse followed up with patient. Patient states that arm is still rather painful, with pain radiating all the way down to the finger tips.

Other Meds:

Current Illness:

ID: 0945468
Sex: F
Age: 44
State: MI

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

Lab Data: None.

Allergies: Bactrim, Keflex, Cashews

Symptoms: Approximately 28 hours post injection I developed profuse sweating that lasted all night (approximately 8 hours). I do not normally sweat in my sleep. I did not check my temperature. I had a brief moment of chills lasting <5 minutes at 10pm. I did not feel like I was febrile. I did not take any medication for any side effects.

Other Meds: Vitamin B Complex, Zinc, Vitamin C, Vitamin D, Calcium, Xyzal, Singulair, Flonase, Astelin, Nuvaring

Current Illness: None

ID: 0945469
Sex: F
Age: 39
State:

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

Lab Data:

Allergies:

Symptoms: Tingling, lightheaded, SOB, diaphoretic. Administered 50 IM Benadryl and symptoms were not resolving. Called EMS for transport to ED.

Other Meds:

Current Illness:

ID: 0945470
Sex: F
Age: 53
State: NJ

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

Lab Data:

Allergies: No

Symptoms: The side effects started early morning the day after the vaccine with body aches chills and tiredness and also a light headache. Very similar symptoms to COVID 19.

Other Meds: None

Current Illness: No

ID: 0945471
Sex: F
Age: 40
State: CO

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

Lab Data:

Allergies: Percocet (hallucination), sulfa (rash/GI reaction), morphine

Symptoms: After second dose of Pfizer COVID-19 vaccine, patient reported tingling sensation that started in her feet and traveled up her legs. Patient refused PO benadryl but took Cetirizine 10 mg PO X 1. Patient was instructed to wait for 30 minutes of observation. At that time, the patient reported that the tingling sensation remained. The patient was offered to be taken to the emergency department, but decided to leave against medical advice.

Other Meds:

Current Illness:

ID: 0945472
Sex: M
Age: 27
State: MI

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

Lab Data: Not applicable

Allergies: None

Symptoms: 3 hours after vaccine: beginning of body aches, arm soreness at injection site 10 hours after vaccine: severe body aches especially in lower back and buttocks, pounding headache, skin sensitivity and chills Over night: inability to sleep, tossing and turning, unknown fever but skin felt very hot with all past symptoms 0430 next day (1/11): nausea, dizziness, pounding headache, severe body aches and sensitivity but no chills 36 hours after vaccine: uncomfortable body aches are still present, most of symptoms have resolved 48 hours after vaccine: body aches are slightly noticeable but resolve during the day

Other Meds: None

Current Illness: None

ID: 0945473
Sex: F
Age: 39
State: IA

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

Lab Data: 1/13/21 Examined by the ED provider.

Allergies: Phenergan

Symptoms: 1/10/21 patient woke up with Right arm pit pain. The general right arm discomfort increased and on Monday 1/11 noticed R arm tender to touch in the shower. 1/12 noted increased redness and burning cessation to the right arm. R deltoid are - Reddened measuring 9cm X 5.5cm. complaing of pain radiating down the right arm and also across her chest. Noted lymph nodes in right arm and right side of neck enlarged and painful. Difficult to lift right arm above head. NO fever or shortness of breath. Evaluated by nurse and referred to primary care provider or urgent care. Decided to go to the ED for treatment. ED provider ordered Benedryl, Zortec, Ibprophen. Instructed to continue antihistamine. 1/14/21 arm and neck still sore but less than previous day.

Other Meds:

Current Illness:

ID: 0945474
Sex: M
Age: 77
State: GA

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

Lab Data:

Allergies:

Symptoms: Given Moderna COvVID-19 vaccine during vaccine event at facility. EMS was called 24 hours later for patient c/o nausea, vomiting and headache. EMS note reports they were told patient vomited black tarry fluids yesterday and again that morning. Patient confused but has history of dementia. BP 127/88 126/88 Pulse 96-100 EMS placed patient on oxygen via nasal canula and monitor. Transported to ER. No further info on outcome available.

Other Meds:

Current Illness:

ID: 0945475
Sex: M
Age: 34
State: AZ

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

Lab Data:

Allergies:

Symptoms: headache, chills, fever aching body

Other Meds:

Current Illness:

ID: 0945476
Sex: F
Age: 24
State:

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

Lab Data:

Allergies: Benedryl

Symptoms: Rash, hives localized below injection site. Presented about 1h after immunization. Pt took antihistamine cold compress and improved after

Other Meds: N/A

Current Illness: N/A

ID: 0945477
Sex: F
Age: 47
State: TX

Vax Date: 01/05/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: Sulfa

Symptoms: A week after the vaccine the injection site became red. The following day (today) it is a large, red, raised and itchy.

Other Meds: lamictal 200mg, trazodone 50mg, wellbutrin 300mg, singular 10mg

Current Illness: no

ID: 0945478
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: Glucose finger stick 63

Allergies: PCN

Symptoms: Approximately 5 minutes post vaccine pt notes increased saliva production an diaphoresis.. No oral swelling, no vomiting, no AB pain , no rash , no sob. Glucose 63. After po food and fluids, pt at baseline. Monitored x60 minutes. At baseline prior to dc.

Other Meds:

Current Illness:

ID: 0945479
Sex: F
Age: 55
State: TN

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

Lab Data: None

Allergies: None

Symptoms: Not adverse. Side effects. Instant pain in arm upon injection. All of the typical side effects listed plus a large rash on arm. Symptoms happened over a course of three days. Day 1, tiredness and headache. Day 2 feverish, tireness, day 3 upset stomach and loose stool and later on large rash on arm. Day 4 rash has spreaded some and still exists. Slightly raised and slightly itchy, tender to the touch.

Other Meds: None

Current Illness: None

ID: 0945480
Sex: F
Age: 57
State: TX

Vax Date: 01/02/2021
Onset Date: 01/04/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: no

Allergies: sulfur

Symptoms: Broke out in a rash on left arm, then also on right arm and on both thighs

Other Meds: Metoprolol, Amlodipine, Metformin, Lipitor

Current Illness: no

ID: 0945481
Sex: F
Age: 32
State: OH

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

Lab Data: None

Allergies: Sulfa, Cipro, Penicillin, Metronidazole, Diphenhydramine, Sumatriptan.

Symptoms: Low grade fever, Body aches, Nausea, Dizziness, weakness, lethargic.

Other Meds: Ibuprofen

Current Illness: None

ID: 0945482
Sex: F
Age: 43
State: CA

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

Lab Data:

Allergies: Penicillin/Augmentin/Cephalaxin/Amoxicillan/Ciproflaxin

Symptoms: Neck hurting, tongue swelling and numbness, ear and face swelling and hot to touch. Benadryl,2 epi pen shots,steroids

Other Meds: Tamoxifen/Omaprezole/Gabapentin

Current Illness: N/A

ID: 0945483
Sex: F
Age: 60
State: NJ

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

Lab Data:

Allergies:

Symptoms: Employee states she felt dizzy, lightheaded, palpitations and like her blood pressure was elevated. Vitals signs WNL, monitored for 60 minutes.

Other Meds:

Current Illness:

ID: 0945484
Sex: F
Age: 29
State: WV

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

Lab Data:

Allergies:

Symptoms: Dizziness, headache, tightness of chest, hives, itching. Signs became apparent an hour to hour and a half of vaccine. Took antihistamine making tightness of chest and itching subside. Followed up with my doctor that Wednesday.

Other Meds:

Current Illness:

ID: 0945485
Sex: F
Age: 26
State: WI

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

Lab Data:

Allergies: Seasonal, Carrots, Bees

Symptoms: Patient reported feeling like her heart was racing approximately 5 minutes after receiving the injection and feeling dizzy as well. Heart rate and blood pressure were elevated with normal pulse ox. After approximately an hour pulse ox remained normal, but heart rate and blood pressure remained elevated. Patient was referred to emergency department for further evaluation.

Other Meds: None reported by patient or noted on consent/intake form

Current Illness: None noted by patient

ID: 0945486
Sex: F
Age: 36
State: NC

Vax Date: 12/28/2020
Onset Date: 01/04/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: none

Allergies: not aware

Symptoms: arm red warm and swollen at site

Other Meds: none

Current Illness: none

ID: 0945487
Sex: M
Age: 59
State: NY

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

Lab Data: None

Allergies: none

Symptoms: upset stomach, fatigue

Other Meds:

Current Illness: none

ID: 0945488
Sex: F
Age: 67
State: AZ

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

Lab Data:

Allergies: Phenobarbotol, sulfer drugs.

Symptoms: Within 15 minutes after the shot left upper arms and forearm felt cold; followed by neck (left side) feeling cold; patient began to have a headache and left lower jaw felt numb. This was also experienced on lip & cheek. Patient was coherent. not dizzy. Patient was being checked on and stayed to about 2:40 PM when patient could feel the numbness subsiding. At 5:40 PM. Patient has a little numbness and a headache on left side of the head. Patient shot was administered on left arm.

Other Meds: Blood pressure medication & Welbutrin.

Current Illness: None.

ID: 0945489
Sex: F
Age: 47
State: MA

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

Lab Data: N/A

Allergies: Penicillin Sulfa Levaquin

Symptoms: Moderna COVID-19 Vaccine EUA. Left arm rash developed on Day 8 ( Wednesday, January 13, 2021). I noticed the rash when I got home from work at 7:00pm. Rash is mildly itchy around border. I continue with left arm rash on Day 9 (Thursday, January 14, 2021) Rash is red and hard and mildly itchy around border.

Other Meds: Lisinopril 5mg PO BID Estarylla 1 tab by mouth daily (Oral Contraception) Albuterol HFA INH PRN

Current Illness: N/A

ID: 0945490
Sex: F
Age: 44
State: NJ

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

Lab Data:

Allergies: Penicillin

Symptoms: Swollen and painful joints in knuckles, wrists and elbows starting day 10 and still continue using now on day 12.

Other Meds: Allegra, Flonase, magnesium citrate

Current Illness: None

ID: 0945491
Sex: F
Age: 36
State: IN

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

Lab Data: Urgent care visit,shoulder X-ray

Allergies: NKA

Symptoms: Shoulder pain, inability to move upper left arm

Other Meds: Pristiq, concerta, aimovig, nurtec

Current Illness: N/a

ID: 0945492
Sex: F
Age: 40
State:

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

Lab Data:

Allergies:

Symptoms: Patient describes gastro problems, body aches and headache, lymph nodes are swollen and slight nausea

Other Meds:

Current Illness:

ID: 0945493
Sex: M
Age: 29
State: OR

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

Lab Data:

Allergies: Nka

Symptoms: At around 1:30 in the morning, i became really weak, achey, had the chills, some nausea, a minor headache, a slight sore throat, and minor eye pain like they were dry. Though i I felt terrible, the most concerning side effect was that my skin felt like it was extremely raw in patches all over my body where if my sheets lightly touched one of those ?patches?, it would be very painful. However, there was no rash or discoloration from what I could tell. I also had strange painful sensations at the ends of my toes but were different in quality relative to the hypersensitive/raw painful sensations on my skin. The adverse events kept me awake for hours but when I finally got to sleep and woke up the next morning. I only had chills, weakness, and acheyness which were much less in severity than those early morning hours. It is now 4:45 pm and the only adverse effect I am still feeling is the fatigue. Also, I forgot to mention it on the medication portion but I had taken 400 mg of ibuprofen about 15 minutes before receiving that second dose.

Other Meds: Doxazosin, lamictal, adderall, Wellbutrin, Effexor, caffeine

Current Illness: None

ID: 0945494
Sex: F
Age: 43
State: CA

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

Lab Data: N/A

Allergies: none

Symptoms: Patient reported no contraindications at the time of prescreening and received vaccine around 1.35pm. Around 1.38pm, patient reported of feeling dizzy, BP was taken 110/71 mmHg, at 1.46pm BP was 96/67 mmHg, at 1.57pm BP was 109/73 mmHg. After drinking water patient reported of feeling much better.

Other Meds: none

Current Illness: none

ID: 0945495
Sex: M
Age: 45
State: CO

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

Lab Data:

Allergies:

Symptoms: Chills, aches, fever max 100.3 post second dose Pfizer COVID vaccine. Patient was followed up with on 1/8/2021 and the patient stated that his symptoms had resolved. No further escalation of care.

Other Meds:

Current Illness:

ID: 0945496
Sex: F
Age: 53
State: CA

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

Lab Data:

Allergies: Ketorolac, Penicillin, Aspirin

Symptoms: Patient experienced rash shortly after administration. Felt hot. Patient took zyrtec. Was having a little bit of difficulty breathing. Symptoms except rash resolved after 30 minutes of observation. Patient discharged home from the vaccination clinic.

Other Meds: Zyrtec

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm