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: 0945598
Sex: F
Age: 38
State: MI

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

Lab Data: 1/11/21-vitals at the health department and Emergency room.

Allergies: None

Symptoms: Within 10 minutes of receiving the vaccine, my heart began to race and I became very warm and sweaty. I was brought into another room for monitoring and my heart rate was above 100. After some breathing exercises, it came back down to the high 70s for a few minutes but then increased again into the 90s, at one point it was 113. My chest and throat then began to feel tight and I began sweating again. My face also felt funny on my right cheek. At that point I was first given 25 mg of benedryl then epinephrine. I was then taken to the emergency room via ambulance and was observed for approximately an hour. I was given an additional 25 mg of benedryl and discharged at 4:55pm. I was diagnosed with an allergic reaction and prescribed 25 mg of benedryl every 6 hours over the next 24 hours. The following morning, I experienced a hot flash with profuse sweating followed by chills. I was very tired and felt feverish throughout the day on 1/12 and stayed home from work. On 1/13 I still felt tired but was able to work. Today I feel mostly normal but still occasionally have had heart palpitations.

Other Meds: None

Current Illness: None

ID: 0945599
Sex: F
Age: 29
State: NY

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

Lab Data: N/A

Allergies: SULFA

Symptoms: Local allergic reaction started overnight after first dose on 1/7/21. Noticed on morning of 1/8/21 that skin at injection site was itchy and a rash had broken out. By the next day, 1/9/21, the rash had grown larger, extremely red, and was hot to the touch. Drew a circle around the rash to monitor growth, took a Benadryl. By afternoon of 1/10/21, rash appeared to have grown slightly larger, but significantly less red and temperature and swelling had reduced. Seemed to be gone by 1/11/21. Tonight, 1/14/21, around 6:30pm, I noticed that the skin was itchy at the injection site again, and that a rash had begun to break out once more. Will continue to monitor it.

Other Meds: VITAMIN-C TABLETS

Current Illness: N/A

ID: 0945600
Sex: F
Age: 33
State: CA

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

Lab Data: COVID test done 12/22/20 - results were negative.

Allergies: not available

Symptoms: Patient experienced severe body aches, chills, numbness in both hands, stomach ache/nausea, Left side of face swollen.

Other Meds: not available

Current Illness: none

ID: 0945601
Sex: F
Age: 46
State: AZ

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

Lab Data:

Allergies: None

Symptoms: Migraine intense, lasted 5 days. Vessel fragility, spontaneous, painful hematomas in fingers that occurred a week after the first dose of the CoVid Moderna vaccine.

Other Meds: None

Current Illness: None

ID: 0945602
Sex: F
Age: 44
State: WA

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

Lab Data: BP elevated, HR normal, temp normal, blood sugar normal No wheezing, throat appeared normal, no rash

Allergies: NKDA. Environmental allergies - dust, tree, pollen, grass

Symptoms: 20 seconds post vaccine: Flush and dizziness 5 mins post vaccine: tingling tongue, flush, dizziness 15 min post vaccine: symptoms as above, tingling below knee to feet 30 min post vaccine: symptoms as above, facial/jaw tingling/felt swollen, ears hot/swollen -- took diphenhydramine 25mg 45 min post vaccine: tongue and face started to feel better, tingling moved to back of throat with mild difficulty swallowing 60 - 90 min post vaccine: took another 25 mg diphenhydramine and 10mg claritin. Symptoms started to subside 3 hours post vaccine

Other Meds: Atenolol 25mg daily, Ferrous Sulfate 325mg MWF, Levocetirizine 5mg daily

Current Illness: None

Date Died: 01/08/2021

ID: 0945603
Sex: M
Age: 94
State: KS

Vax Date: 01/02/2021
Onset Date: 01/08/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: 1/5/21 BMP drawn

Allergies: NKA

Symptoms: Had no immediate issues with the vaccine. He had returned from the hospital on 12/21 and had some concerns about his weight which were shared with his physician on 1/4/21. On 1/5/21 had a visit with his cardiologist for a pacemaker check. On 1/8/21 staff were called to his room, he was on the floor, bluish skin color. No vital signs found, no heart rhythm heard at 2200.

Other Meds: Verapamil ER, Pepcid, Norco, Vit D3, synthroid, flecainide Ace acetate, mucinex, lisinpril, amitriptyline, eliquis, atorvastatin, furosemide, acetaminophen, Coenzyme Q-10, metoprolol succinate ER

Current Illness: Hospitalized for abnormal heart rhythm 12/18/20.

ID: 0945604
Sex: F
Age: 67
State: IL

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

Lab Data:

Allergies: penicillin

Symptoms: reported fever of 102.5, shivering ,loose bowels, body aches, itchy rash. all have resolved except for rash under injection site

Other Meds:

Current Illness:

ID: 0945605
Sex: M
Age: 73
State: CO

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

Lab Data: None

Allergies: None

Symptoms: Hives, rash began the day after injection.

Other Meds: Micardis and crestor

Current Illness: None

ID: 0945606
Sex: F
Age: 48
State: MN

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

Lab Data: unknown at time of report

Allergies:

Symptoms: Anaphylactic reaction with EpiPen administration in vaccination clinic, followed by Rapid Response Team initiation and immediate transport to Emergency Room.

Other Meds:

Current Illness:

ID: 0945607
Sex: M
Age: 77
State: AK

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

Lab Data: NA

Allergies: Iodine

Symptoms: Increased temp of 99.2F oral, extreme fatigue, lethargy, episode of incontinence, hallucinations beginning in the morning and has continued through the day.

Other Meds: allopurinol, apixaban, aspirin, atorvastatin, Nephro-Vite OTC, carbidopa-levodopa, Prozac, Airduo inhaler, Humalog, Imdur, lisinopril, Mag-ox, Phospha 250 neutral

Current Illness: Type 2 diabetes, CAD, COPD, Lewy-body dementia, Parkinsons

ID: 0945608
Sex: F
Age: 26
State: NJ

Vax Date: 01/06/2021
Onset Date: 01/12/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Swelling and itchiness appeared after 6 days of injection with size about 5cm diameter, now it has been two days since the reaction and the size almost doubled with heat.

Other Meds:

Current Illness:

ID: 0945609
Sex: F
Age: 65
State: MT

Vax Date: 01/04/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: None

Allergies: Keflex, Flagyl, Diflucan, Lamotrigine, mushrooms, dust mites,

Symptoms: Itchy in area of injection. Warm to touch. Checked in mirror. Swollen hive-like, bright red area. Took 25 mg Benadryl. Almost 24 hours later redness has diminished, swelling remains and still warm to touch.

Other Meds:

Current Illness: No acute illnesses

ID: 0945610
Sex: F
Age: 58
State: OH

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

Lab Data: none

Allergies: Sulfa

Symptoms: January 8th and 9th I experienced shooting pain at the injection site of the vaccine. It felt like the neuropathy pain that I have with my feet. I held the arm tight and applied an ice pack and slept with the ice pack as it started about 7pm. The next evening the shooting pain started again. I used an ice pack and took Zyrtec. The only other issue I had was itching at the site which started on the 6th and ithed for about 3 days. I notified Dr via pt portal tonight.

Other Meds: Bentyl Cymbalta Neurontin Vit. D Calcium protonix

Current Illness: none

ID: 0945611
Sex: F
Age: 43
State: NY

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

Lab Data: none

Allergies: sensitivity to wheat and gluten

Symptoms: L arm redness, itchy rash, started on 1/13/21 in the late afternoon, still red and itchy today 1/14/21

Other Meds: tyrosint, cytomel, np thyroid vit D, vit C, magnesium, B12, B complex, zinc, vinpocetin, gingko biloba, SAME,5HTP, Suntheanine, curcumen, multivitamin

Current Illness:

ID: 0945612
Sex: F
Age: 22
State: AZ

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

Lab Data:

Allergies:

Symptoms: Hives

Other Meds:

Current Illness:

ID: 0945613
Sex: M
Age: 29
State: WA

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

Lab Data:

Allergies: Shellfish

Symptoms: Severe chills the evening of vaccination. Uncontrollable chills lasting 10pm 1/5 to 2:30am 1/6. General fatigue and weakness 1/6. Severe muscle spasms 1/7. Ongoing headaches, head pressure, mental ?fog? noticed 1/8 and continuing through when report was filed. Fog makes simple tasks seem very difficult. Seems always present, but sometimes much worse than others. Some facial numbness/tingling when head pressure is severe.

Other Meds: None

Current Illness: None

ID: 0945615
Sex: F
Age: 35
State: AK

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

Lab Data: CXR (1/14/21)--results pending serum tryptase pending

Allergies: None

Symptoms: The patient had received her first dose of the Pfizer COVID-19 vaccine (lot number EL 1283, exp 4/30/2021) and about an hour later, she began to experience chest tightness and throat tightness. She took her albuterol inhaler, but did not feel better, and proceeded to go to the ER. She has a history of asthma, but regards it as mild and only takes albuterol as needed. She denies having any cutaneous, gastrointestinal, or cardiovascular symptoms. At the ER, she was administered diphenhydramine and corticosteroids--she began to subjectively feel better. She denied a history of allergic reactions to medications or vaccines, and denied a history of anaphylaxis. She was not taking any medications on the day of her reaction, and was at her baseline health. She had no vaccines within the past 14 days.

Other Meds: Albuterol 90mcg HFA

Current Illness: None

ID: 0945616
Sex: F
Age: 52
State: AK

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

Lab Data:

Allergies: Penicillins

Symptoms: After vaccination, patient started to experience trouble breathing within 2 and a half minutes. I injected the patient with 1 Epipen and patient started feeling better. Emergency services soon came and brought her away. At that time patient was alert and had no difficulty breathing.

Other Meds:

Current Illness:

ID: 0945617
Sex: M
Age: 63
State: MA

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

Lab Data: None.

Allergies: No.

Symptoms: Head ache, Chill, Fever (100.4 to 100.80), Body ache, Light burning eyes, loss test for 2 days. Took Tylenol x2 (500mg) for 2 days.

Other Meds: No.

Current Illness: No.

ID: 0945618
Sex: F
Age: 27
State: PA

Vax Date: 01/09/2021
Onset Date: 01/12/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Multiple swollen lymph nodes in supraclavicular and axillary region. Pain has worsened over post two days, and patient is starting to lose active mobility of arm.

Other Meds: Birth control

Current Illness: None

ID: 0945619
Sex: F
Age: 51
State: AZ

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

Lab Data: none

Allergies: none

Symptoms: Sudden onset of splitting headache with nausea, chills

Other Meds: Lexapro, Thorne basic nutrients, vitamin D supplement, fish oil supplement

Current Illness: none

ID: 0945620
Sex: F
Age: 35
State: VA

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: N/A

Symptoms: 1/4 - Tylanol at night arm was achy and mild swollen 1/5 Ice 1/6 - achyness started to resolve but injection site started to get firm and itchy . Took Tylano again and ice 1/6-1/13 no change 1/12 contacted hospital nurse who recommended OTC Hydrocortizon 1/13 applied hydrocortizon cream at night 1/14 itchyness slightly resovling and injection site still mild swollen

Other Meds: Tylanol - night off 1/4

Current Illness: N/A

ID: 0945621
Sex: F
Age: 61
State: CO

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

Lab Data: NA

Allergies: NA

Symptoms: Fever, Full body muscle and organ pain for 12 hours, pain on a 8 on a scale of 1-10.

Other Meds: NA

Current Illness: I had COVID 19 in mid to late November

ID: 0945622
Sex: F
Age: 29
State: AL

Vax Date: 12/24/2020
Onset Date: 12/27/2020
Rec V Date: 01/14/2021
Hospital:

Lab Data: Negative PCR Covid test December 29, 2020

Allergies: none

Symptoms: Sunday (12/27/20) at 8pm began having chills/low grade fever which persisted through the night keeping me awake. Ranged from 99-101.7. Fever was gone by 9am the next day and no symptoms following other than mild sore throat. Uncertain if it was a virus. Tested negative for covid.

Other Meds: trazadone. paxil, spironolcatone

Current Illness: unknown

ID: 0945623
Sex: F
Age: 52
State: PR

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

Lab Data: None

Allergies: ASA , shrimps and lobster.

Symptoms: I got the vaccine at 10:30 am 2:00 pm - diarrhea?s 4:00pm- vomiting Friday - Day was ok Saturday 1 - 1:00pm - 4:00pm Fever and body aches I take 2 caplets of Topcare health Extra Strength Acetaminophen 500mg Sunday - stomach and back pain. Headache and dizziness

Other Meds: None

Current Illness: None

ID: 0945624
Sex: F
Age: 36
State: AZ

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

Lab Data:

Allergies:

Symptoms: Swollen left axillary lymph nodes. Tender and mildly swollen x6 days begining at day 5 post vaccination.

Other Meds: Zyrtec Zoloft

Current Illness:

ID: 0945625
Sex: F
Age: 49
State: MI

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Moderna COVID-19 Vaccine EUA Patient states she began experiencing a Lupus flare the day following vaccination and continues with symptoms to present

Other Meds:

Current Illness:

ID: 0945626
Sex: F
Age: 45
State: KY

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

Lab Data: None

Allergies: Zithromax, Sulfa, Inuprofen, Mobic, Flu vaccine, citalopram, Ultram, Neurontin

Symptoms: I received the shot at 2 o?clock. By 2:05 my tongue and the back of my throat started tingling and burning like it had been scolded. It was reported after 30 minutes. 25 mg of Benadryl was given PO at 2:35. I started to develop a cough and was clearing my throat but had no difficulty breathing. At 3:05 another 25mg of Benadryl po was given. I was monitored until 4:30 PM. I was sent home. By 630 the sensation had started to increase again. I took 25 mg of Benadryl PO again. By 7 PM I was not having any relief so I spoke with my physician and he advised me to take 25 mg of Benadryl PO and the first row of a steroid dose pack. By midnight the symptoms had started to reoccur. I took another 50 mg of Benadryl. I finished the medrol dose pack on Wednesday, January 13th but still have the raw sensation on my tongue.

Other Meds: Levothyroxine, Xyzal, Hydroxyzine, Nasacort, Detox tea, Prebiotic,

Current Illness: No

ID: 0945627
Sex: F
Age: 30
State:

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

Lab Data:

Allergies: None

Symptoms: Fever, chills, muscle aches, joint pain, back pain, vomitting, nausea

Other Meds: None

Current Illness: None

ID: 0945628
Sex: F
Age: 56
State: IN

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

Lab Data:

Allergies: Lisinopril, relpax, inderal, molds, dust

Symptoms: Temp 99.6, headache, body & muscle aches, nausea, eye pain, injection site pain radiating into neck and arm

Other Meds: Losartan, fenofibrate, Levothyroxine, bupropion, prozac, singulair, requip

Current Illness: None

ID: 0945629
Sex: F
Age: 53
State: OR

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

Lab Data:

Allergies: None

Symptoms: Headache, shivers, tiredness, nausea. From about 12 hours after dose to 30 hours after dose

Other Meds: Multivitamin, vitamin d, move free ultra.

Current Illness: None

ID: 0945630
Sex: F
Age: 27
State: CA

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

Lab Data: none

Allergies: n/a

Symptoms: Fatigue, headache, muscle aches, thirst, congestion

Other Meds: Sertraline

Current Illness: n/a

ID: 0945631
Sex: F
Age: 68
State: NE

Vax Date: 12/24/2020
Onset Date: 12/27/2020
Rec V Date: 01/14/2021
Hospital:

Lab Data: Lab, stool sample and urinalysis done on 12/28/2020. All were in normal limits.

Allergies: Lovenox Sulfa

Symptoms: Nausea, vomiting and diarrhea. Clear liquid diet. Rest. No work for two days. When lab returned normal, Lomotil taken for the diarrhea on 12/29/2020.

Other Meds: Coreg 25mg BID ASA 81mg daily Levemir 15 units daily Novolog 2 units TID Amlodipine 2.5mg daily Eliquis 5mg daily Calcium with Vitamin D 600mg BID Gabapentin 600mg TID Glyburide 2.5mg daily HCTZ 25mg daily Pantoprazole 40mg daily Multivita

Current Illness: None

ID: 0945632
Sex: F
Age: 32
State: CO

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

Lab Data:

Allergies: Penicillin

Symptoms: I developed an oval shaped rash that was itchy and burning around the site of the shot (a week after receiving it). A day later and I still have it but it?s getting better.

Other Meds: Generic ortho tri-cyclen

Current Illness:

ID: 0945633
Sex: F
Age: 55
State: CO

Vax Date: 01/08/2021
Onset Date: 01/11/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: Used oxygen, vomiting with improvement. Muscle aches and fatigue continued 24 additional hours.

Allergies: Latex

Symptoms: Awakened severe shortness of breath, chills, muscle shakiness and pain, nausea, vomiting

Other Meds: Metformin, lisinopril, hctz, fluoxetine, albuterol, stiolto, levothyroxin, crestor

Current Illness:

ID: 0945634
Sex: M
Age: 35
State: HI

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

Lab Data:

Allergies:

Symptoms: Patient under-dosed for second vaccine shot. Called Pfizer for advice. They did not have official guidance on this specific scenario, but discussed bringing the patient who was under-dosed back to clinic to receive the balance of their full dose (full dose = 30mcg). Patient brought back to clinic and received full dose.

Other Meds:

Current Illness:

ID: 0945635
Sex: F
Age: 37
State: CA

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

Lab Data: Recent Results (from the past 12 hour(s)) CHEM 7 (NA, K, CL, CO2, BUN, GLUC, CR) Collection Time: 01/14/21 4:00 PM Result Value Ref Range Sodium 136 135 - 145 mEq/L Potassium 3.8 3.5 - 5.3 mEq/L Chloride 102 100 - 111 mEq/L CO2 28 24 - 33 mEq/L Anion gap, ser/plas 6 5 - 16 mEq/L BUN 11 7 - 27 mg/dL GLUCOSE, RANDOM 216 (H) 60 - 159 mg/dL Creatinine 0.60 <=1.11 mg/dL Glomerular filtration rate, nonAfrican American >60 >=60 mL/min GLOMERULAR FILTRATION RATE - AFRICAN AMERICAN >60 >=60 mL/min Comment, glomerular filtration rate SEE NOTE TROPONIN I Collection Time: 01/14/21 4:00 PM Result Value Ref Range Troponin I <0.02 0.00 - 0.04 ng/mL HCG, QUALITATIVE Collection Time: 01/14/21 4:00 PM Result Value Ref Range hCG,ser,ql NEGATIVE NEGATIVE CBC W AUTOMATED DIFFERENTIAL Collection Time: 01/14/21 4:00 PM Result Value Ref Range WBC COUNT 7.4 3.7 - 11.1 K/uL Red blood cells count 4.88 3.60 - 5.70 M/uL Hgb 14.1 11.5 - 15.0 g/dL Hematocrit 42.9 34.0 - 46.0 % MCV 88 80 - 100 fL RDW, RBC 12.4 12.0 - 16.5 % Platelets count 246 140 - 400 K/uL RBC's, nucleated 0 <=0 /100WC Differential panel AUTO DIF WBC AUTOMATED DIFFERENTIAL Collection Time: 01/14/21 4:00 PM Result Value Ref Range Neutrophils %, automated count 65 42 - 76 % Lymphocytes %, automated count 27 15 - 47 % Monos %, auto 4 (L) 5 - 13 % Eosinophils %, automated count 3 0 - 7 % Basophils %, automated count 0 0 - 1 % IMMATURE GRANULOCYTES %, AUTOMATED COUNT 0 0 - 1 % Neutrophils auto count 4.8 1.8 - 7.9 K/uL EKG - nonischemic.

Allergies: Jardiance, Metformin, Penicillin

Symptoms: Left sided chest pain and difficulty breathing approximately 5 minutes after vaccination.

Other Meds:

Current Illness: Tongue swelling (transient) with first COVID vaccine. Had 2nd dose today.

ID: 0945636
Sex: M
Age: 54
State: TN

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

Lab Data: none

Allergies: mold and pollen

Symptoms: About an hour after receiving the Moderna shot, I became extremely dizzy. It felt like cold water surged through my body from my fingertips to the tips of my toes. It lasted about one minute. I thought someone should know.

Other Meds: Lexapro Crestor Singulair Multivitamin

Current Illness: none

ID: 0945637
Sex: F
Age: 72
State: LA

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

Lab Data: None

Allergies: Maybe seafood not able to determine

Symptoms: 9 days later! I have a red, itchy, urticarial reaction at the site of the vaccine injection - left arm. No problem before that.

Other Meds: Pravedtatin, losartan, zinc, biotin, coq10, tumeric

Current Illness: Non

ID: 0945638
Sex: F
Age: 48
State: LA

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Head ache and sharp shooting pains in head neck and jaw every day since vaccine only on left side of head comes and goes all day. No relief from otc pain meds

Other Meds:

Current Illness:

ID: 0945639
Sex: F
Age: 31
State: CA

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

Lab Data: PCP did a physical exam

Allergies: None

Symptoms: I woke up the morning of 01/12/2021 unable to turn my head to the left. Any quick or sudden movement to the right was extremely painful. I took Tylenol 500mg and used Bengay cream on my neck with no relief. I saw my doctor at 0945 that morning. He prescribed Norco, flexeril, and diclofenac. By 1/13/2021 I was able to turn my head ? of the way to the left but still have pain. By today, 01/14/2021, I am able to almost completely turn my head but there is still pain, however it is improving and I have increased range of motion.

Other Meds: Venlafaxine, medium, allegra

Current Illness: None

ID: 0945640
Sex: M
Age: 47
State: MN

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

Lab Data:

Allergies:

Symptoms: patient was up all night after vaccine with high fever and chills, went to ER due to symptoms and was admitted to hospital overnight for observation. He said his temperature hit 107. Was released from hospital and resting . Was COVID + previously where he had to be hospitalized .

Other Meds:

Current Illness:

ID: 0945641
Sex: M
Age: 70
State: FL

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

Lab Data: Have not been to the doctor yet

Allergies: None

Symptoms: 1/14/2021. Around 1:00 a.m. fever. (100.4), body aches, injection site soreness, weakness, aggravation of foot neuropathy causing shooting pain, fatigue, loss of appetite

Other Meds: Flomax Jardiance Isobromide Atorvastatin Losartan potassium Metoprolol tartrate Lansoprazole Januvia Allipurnal Levothyroxine Lasix Eco train 325 mg B12 w/ folic acid and vit c Alpha lipoid acid

Current Illness: COVID DIAGNOSED 12/18/2020

Date Died: 01/14/2021

ID: 0945642
Sex: M
Age: 43
State: CA

Vax Date: 12/20/2020
Onset Date: 01/14/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: n/a

Allergies: n/a

Symptoms: COVID-19 mRNA/Pfizer-BioNTech vaccine After 1st dose- arm soreness, nausea, sleepiness and headache for 24 hours After 2nd does- fever 101.0 oral, chills, headache for hours

Other Meds: vitamin c 1000mg, tylenol 1000mg, motrin 400 mg

Current Illness: n/a

ID: 0945643
Sex: F
Age: 21
State:

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

Lab Data:

Allergies:

Symptoms: Patient felt light headed/faint and flushed. (self reports history of fainting with shots/vaccines) BP 78/41 HR 67 sat 100. Encouraged to lay supine, however, patient requested to sit with head between knees as this helped in the past. Cold back to back of neck. No SOB or trouble swallowing. Patient alert and conversant. Observed x 30 mins and all symptoms resolved. Repeat BP 108/78 HR 85 sat 100

Other Meds:

Current Illness:

ID: 0945644
Sex: F
Age: 46
State: TX

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

Lab Data: None

Allergies: sulfa

Symptoms: Headaches, extreme fatigue

Other Meds: Metropolol 50mg

Current Illness: none

ID: 0945645
Sex: F
Age: 37
State: MN

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

Lab Data: N/A

Allergies: Ploytrim, Adhesive Tape

Symptoms: Swelling & redness around eyes Lasted 3 hours, then went away

Other Meds: Domperidone, vitamin D, Calcium, DHA

Current Illness: None

ID: 0945646
Sex: M
Age: 16
State: IL

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

Lab Data:

Allergies:

Symptoms: Vaccination occurred on 1/12 at 13:00. A few hours after the vaccination, I experienced muscle pain in the vaccinated arm. 1/13: I had trouble sleeping; left arm was in immense pain. 07:00: experiencing arm soreness, muscle pain, nausea, hot flashes; temperature = 99.5 08:20: experiencing arm soreness, muscle pain, hot flashes, chills, sensitivity to light; temperature = 100.6. Took 650mg acetaminophen. 09:00: experiencing arm soreness, muscle pain, sensitivity to light; temperature = 100.8 10:30: experiencing arm soreness, muscle pain; temperature = 99.2 11:15: experiencing arm soreness, muscle pain; temperature = 99.0 12:20: experiencing arm soreness, muscle pain; temperature = 98.0 Extremely fatigued; took nap (13:00-17:00) 17:00: experiencing arm soreness, muscle pain, headache; temperature = 99.3 18:00: experiencing arm soreness, muscle pain, headache; temperature = 99.2. Took 650mg acetaminophen. 19:00: experiencing arm soreness, muscle pain, headache; temperature = 100.8 20:00: experiencing arm soreness, muscle pain; temperature = 98.3 21:00: experiencing arm soreness, muscle pain; temperature = 100.6 21:30: experiencing arm soreness, muscle pain; temperature = 99.2 22:20: experiencing arm soreness, muscle pain; temperature = 100.1. Took 400mg Ibuprofen. 1/14: 07:00: woke up experiencing pain at the injection site, neck pain, headache. These events continued throughout the day. No temperature over 99.5. 18:30: Took 650mg acetaminophen for headache.

Other Meds:

Current Illness:

ID: 0945647
Sex: F
Age: 62
State: MD

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

Lab Data: EKG 1done /14/2021

Allergies: environmental allergies

Symptoms: She received her covid vaccine at 1:14pm and within approximately 10 minutes of the vaccine her face became flushed. She also noted tingling in bilateral upper and lower extremities.

Other Meds: Allegra

Current Illness: None

ID: 0945648
Sex: F
Age: 36
State: NY

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: Gadolinium

Symptoms: Rigors, fever , body pain, chills, diaphoresis, fatigue, weakness .lymphadenopathy left axilla

Other Meds: None

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm