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**
PLEASE CHECK BACK SOON
Download the files above while you wait.







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: 0946344
Sex: F
Age: 63
State: VA

Vax Date: 10/20/2020
Onset Date:
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Shingles; This case was reported by a pharmacist via call center representative and described the occurrence of shingles in a 63-year-old female patient who received Herpes zoster (Shingrix) (batch number 53L2Z, expiry date 31st May 2022) for prophylaxis. On 20th October 2020, the patient received the 1st dose of Shingrix. On an unknown date, less than 2 months after receiving Shingrix, the patient experienced shingles. On an unknown date, the outcome of the shingles was unknown. It was unknown if the reporter considered the shingles to be related to Shingrix. Additional details were provided as follows: The patient was vaccinated with Shingrix 2 months ago from reporting day. The patient developed shingles after vaccination. The reported batch number 53L22 did not exist hence was updated to 53L2Z as per sales data sheet. The physician was not clear on whether he would like to be contact for Follow Up, stated he just wants information on how to proceed with this patient. Expiration Date was reported as May 2022, but captured as May 31st 2022 as per SRL Defining the Expiration Date of GlaxoSmithKline Vaccines When Only a Month and Year Appear: The expiration (expiry) date expressed as "month/year" refers to the last day of the stated month in the given year on the labeling and/or packaging of GlaxoSmithKline (GSK) products. The reporter consent to follow up.

Other Meds:

Current Illness:

ID: 0946345
Sex: F
Age: 53
State: FL

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Headache, muscle/body aches, fever, chest pain, nausea, and tachycardia

Other Meds:

Current Illness:

ID: 0946346
Sex: M
Age:
State:

Vax Date:
Onset Date: 01/06/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: High blood pressure; This case was reported by a consumer via call center representative and described the occurrence of blood pressure high in a male patient who received Herpes zoster (Shingrix) for prophylaxis. Previously administered products included shingrix (1st dose received on unknown date). On an unknown date, the patient received the 2nd dose of Shingrix. On 6th January 2021, unknown after receiving Shingrix, the patient experienced blood pressure high. On an unknown date, the outcome of the blood pressure high was recovering/resolving. It was unknown if the reporter considered the blood pressure high to be related to Shingrix. Additional details were provided as follows: The age at vaccination was not reported. The patient was vaccinated with 2nd dose of Shingrix. On day of reporting patient experienced high blood pressure. This case was reported by patient wife. The reporter believed that the high blood pressure may be related to patient watching news over the last few days. The reporter did not consent to follow up.

Other Meds:

Current Illness:

ID: 0946347
Sex: F
Age: 53
State: AR

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies: No

Symptoms: Body aches, chills, fever 24 hours

Other Meds: MVI, Amlodipine

Current Illness: No

ID: 0946349
Sex: F
Age: 60
State: IN

Vax Date: 01/07/2021
Onset Date: 01/13/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: Moderna COVID Vaccine

Allergies: Penicillin

Symptoms: Swollen lymph node 1/13/2021 Red swollen skin area at vaccination site ~ 2.5" X 3.5"

Other Meds: Calcium Carbonate 600mg 2 times per day Vitamin D3 800IU 2 times per day loratadine 10mg Theracurmin - turmeric/curcumin supplement

Current Illness: None

ID: 0946350
Sex: M
Age: 50
State: AL

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: None.

Allergies: Novacaine.

Symptoms: Severe nausea/vomiting, weakness, extreme dizziness, headache, fever 102.3, chills, talking delirious.

Other Meds: Mobic, Omeprazole.

Current Illness: No.

ID: 0946351
Sex: M
Age: 30
State: TX

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies: Cefaclor

Symptoms: In the evening after getting the shot, I started getting chills and became more sensitive to cold temperatures. Many of joints became stiff, some of which made a cracking sound when I flexed them. Several muscles in my arms, legs and back felt sore and weak. After a restless night of sleep, the cold sensitivity is all but gone. Some of my joints and muscles are still a little stiff and sore, but I'm sure they'll be better by the next morning.

Other Meds: N/A

Current Illness: N/A

ID: 0946352
Sex: F
Age: 31
State: TX

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: COVID-19 testing 1/7 @ 830 am with a negative result.

Allergies: Nkda

Symptoms: Head felt heavy/full/tingly starting about 6 pm on day of vaccination, fell asleep around 9:30 pm and woke up about 11 pm with left arm pain, very fatigued. Went back to sleep and woke up around 4 am with fever up to 100.6F, headache, muscle aches, joint pain, and extreme fatigue. My left axilla was swollen with arm pain to mid left chest and back, and my axillary lymph node was painful and swollen to about the size of a large grape. I took 440 mg of Aleve around 8:30 when the fever did not subside. The fever broke and did not return. I slept most of the day and was unable to work. My left axillary lymph node is still palpable as of today, 1/15.

Other Meds: Volnea, protonix

Current Illness: None

ID: 0946353
Sex: M
Age: 35
State: FL

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/15/2021
Hospital: Y

Lab Data: none

Allergies: iron dextran

Symptoms: Maybe 1 minute after receiving the vaccine I began to have a syncopal episode, the nurse practitioner thought that since I was heavy I began to have a vasovagal reaction. From there they asked me to sit with the others waiting 15 minutes to make sure they were ok to leave. As I sat the symptoms would come and go, as if in a pattern, and then return. The longer I sat there the more the symptoms began to grow, after sitting for an hour they decided to send me to the ER. At this time I was experiencing nausea, vomiting, sweating, I was itchy, I could not stop coughing, it was difficult to breath, and I had the worse headache. When I got to the ER they gave me drugs to reverse the allergic reaction and told me they would watch me for a while. In the next 4 hours all of the symptoms started again and I had to get another round of the reaction drugs, I ended up going through this process 4 times before I was safe enough to go home the next day. The provider that saw me and admitted me did not do any blood work or labs, they simply provided me with the reaction drugs when needed and my home medications.

Other Meds: pindolol, protonix, hyrochlorothizide

Current Illness: unknown

ID: 0946354
Sex: F
Age:
State: VA

Vax Date:
Onset Date: 10/07/2020
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Pentacel was administered to a patient on 07-Oct-2020 without the powder being mixed in with the solution/no AE; Initial information received on 07-Jan-2021 regarding an unsolicited valid non-serious case received from an other health professional. This case involved an unknown age female patient who received a 0.5 ml once dose of DIPHTHERIA/TETANUS/5 HYBRID AC PERTUSSIS/IPV(MRC5)/HIB(PRP/T) VACCINE [PENTACEL] (lot number and expiry date not reported) via intramuscular route in left lateralis for prophylactic vaccination on 07-oct-2020 without the powder being mixed in with the solution (Product preparation issue). Medical history, medical treatment, vaccination, concomitant medication and family history were not provided. It was an actual medication error case due to Inappropriate reconstitution technique (latency same day). At the time of reporting, no adverse event was reported. A clinic reporting on behalf of a patient having a medication with Pentacel described as only the liquid portion of the DTap-IPV was given and not receiving the ActHib powder portion. The caller reported that information is unknown to the reporter due to the reporter was not in the office and did not access at the time to the information. The caller was instructed on the site. At this time, the caller would like to know if the patient must be revaccinated. This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holders compliance with the requirements set out in Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.

Other Meds:

Current Illness:

ID: 0946355
Sex: F
Age: 5
State: OH

Vax Date: 10/23/2020
Onset Date: 10/23/2020
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: ActHib portion of Pentacel was administered to patient more than 5 years old with no adverse event; patient received the ActHib portion of Pentacel reconstituted with sterile water with no adverse event; Initial information regarding an unsolicited valid non-serious case was received from a consumer/non-health care professional via Medical Information (Reference number- 00420275) and transmitted to Sanofi on 07-Jan-2021. The case involved a 5 years 10 months old female patient who received the ACT-HIB portion of DIPHTHERIA/TETANUS/5 HYBRID AC PERTUSSIS/IPV(MRC5)/HIB(PRP/T) VACCINE [PENTACEL] (product administered to patient of inappropriate age) (lot: powder UJ220AA, diluent U6540AC, expiry date not reported, dose 4), but it was reconstituted with sterile water (product preparation issue)once via intramuscular route in the left thigh, for prophylactic vaccination, on 23-Oct-2020. Relevant medical history, past medical treatment, vaccination details and family history were not provided. Concomitant medications included MEASLES VACCINE LIVE (ENDERS-EDMONSTON), MUMPS VACCINE LIVE (JERYL LYNN), RUBELLA VACCINE LIVE (WISTAR RA 27/3), VARICELLA ZOSTER VACCINE LIVE (OKA/MERCK) (PROQUAD) and PNEUMOCOCCAL VACCINE CONJ 7V (CRM197) (PREVNAR). It was a case of actual medication error due to product preparation issue and inappropriate age at vaccine administration (latency same day). It was reported that the liquid DTaP-IPV portion was not administered. The reporter discovered this on an audit. Their electronic system contributed to the error because the easier way to enter a Pentacel order was by separating the two components. Reporter stated the system would allow it to be entered another way as a single product, but it was more difficult to enter it that way in the system. The reporter had already notified someone about the electronic order entry issue. The patient had an appointment this coming Monday and the office might have an opportunity to give the Pentacel dose properly at that time. The reporter asked if it hurt the ActHIB component and was the ActHIB portion was considered a valid dose. No adverse event was reported, at the time of reporting. This suspected adverse reaction report was submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error was in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party had contributed to or was to be held liable for the occurrence of this medication error.

Other Meds: PROQUAD; PREVNAR

Current Illness:

ID: 0946356
Sex: F
Age: 38
State: HI

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Nausea, racing heart, shakey, migraine, sore throat

Other Meds:

Current Illness:

ID: 0946357
Sex: F
Age:
State: GA

Vax Date:
Onset Date:
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 2 doses of Menactra were administered to a patient within a few minutes with no AE; Initial information regarding an unsolicited valid non-serious case was received from a other health care professional via Medical Information (Reference number- 00422035) and transmitted to Sanofi on 08-Jan-2021. This case involves an 18 years old female patient who received two doses of MENINGOCOCCAL A-C-Y-W135 (D CONJ) VACCINE [MENACTRA] within a few minutes [batch number- U6787AA and expiration date not reported] via an unknown route and site for prophylactic vaccination on an unknown date (extra dose administered). The patient's medical history, medical treatment(s), vaccination(s), family history and concomitant medication were not provided. It was a case of an actual medication error due to extra dose administered (latency unknown). At the time of report, no adverse event was reported. Reporter wanted to know what side effects to look out for. This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holders compliance with the requirements set out in Directive 2001/83/EC and module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.

Other Meds:

Current Illness:

ID: 0946358
Sex: F
Age: 28
State:

Vax Date: 01/09/2021
Onset Date: 01/10/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies: None.

Symptoms: swelling x 3 days and pain/tenderness of the L axilla with no palpable lymphadenopathy x 6 days. No treatments given. Outcome: continue to have mild tenderness, swelling has decreased.

Other Meds:

Current Illness: None.

ID: 0946359
Sex: F
Age: 32
State: FL

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Rash on left upper thigh and right side of neck. body ache, headache, and stuffy nose.

Other Meds:

Current Illness:

ID: 0946360
Sex: F
Age: 33
State: TX

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Intense Headache, neck ache, body ache, fever. Missed work (01/14/21) neck ache, body ache, moderate headache (01/15/21).

Other Meds: one a day women's petites, tylonel

Current Illness: none

ID: 0946361
Sex: F
Age:
State: NE

Vax Date:
Onset Date:
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Nurse advised 19 month old patient was given QUADRACEL 19 today in error, wants to know how to proceed with no AE; Initial information regarding an unsolicited valid non-serious case was received from a other health professional via Medical Information (Reference number- 00428638) and transmitted to Sanofi on 13-Jan-2021 via call-center. This case involves a 19-Month-old female patient who nurse was given diphtheria-15/tetanus/5 hybrid ac pertussis/ipv (mrc5) vaccine [quadracel] (lot number: C5755AB and expiry date was unknown) via an unknown route at unknown administration site for prophylactic vaccination in error and wants to know how to proceed (product administered to patient of inappropriate age). The patient's medical history, past medical treatment, vaccination, concomitant medication and family history were not provided. It was an actual medication error case due to product administered to patient of inappropriate age (latency: unknown). At the time of report, no adverse event was reported. This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.

Other Meds:

Current Illness:

ID: 0946362
Sex: F
Age: 35
State: NY

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Presyncope.

Other Meds:

Current Illness:

ID: 0946363
Sex: F
Age: 35
State: PA

Vax Date: 01/12/2021
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: chest tightness red rash around mouth body aches swollen lymph node on right side side of neck

Other Meds: Hydroxyzine HCL Escitalopram

Current Illness: none

ID: 0946364
Sex: M
Age: 36
State: CT

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies: None.

Symptoms: Fatigue and chills occurring from 9:30 pm (shot taken at 7:00 am) until about 9:00 am the next morning.

Other Meds: None.

Current Illness: None.

ID: 0946365
Sex: F
Age: 36
State: FL

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Tachycardia HR 111 with itchy throat 25mg of Benadryl po given made pt wait 30 minutes instead of 15 minutes

Other Meds: Oral contraceptive Erinn 1 pill a day (28 day pack) Multivitamin once a day (gummy)

Current Illness: COVID-19 Dec 2019 (around Christmas)

ID: 0946366
Sex: F
Age: 26
State: NY

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: None

Allergies: none

Symptoms: Left arm swelling, redness, induration, warmth, pain at injection site. Several days after. Treated with Keflex.

Other Meds: None

Current Illness: none

ID: 0946367
Sex: F
Age: 28
State: CA

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies: Peanuts

Symptoms: Headaches and full body aches x 2 days, chills and fever two nights in a row

Other Meds: Keflex

Current Illness: UTI

ID: 0946368
Sex: M
Age: 26
State: NY

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Fever with 101.9 axillary temperature. Took 1g of Acetaminophen and 200mg Ibuprofen. Resolved within 8 hours.

Other Meds: Balsalazide 3000mg BID

Current Illness: None

ID: 0946369
Sex: F
Age: 57
State: IL

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: none

Allergies: none to food none to medications none to latex

Symptoms: Hives appeared to neck upper chest bilateral arms Benadryl given orally (25mg) Within 30 minutes Hives decreased

Other Meds: unknown

Current Illness: none

ID: 0946370
Sex: F
Age: 56
State: AZ

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies: Sulfa Penicillin Shellfish allergy Lactose intolerant Bee sting allergy Insect bite allergy Allergic to trees and mold

Symptoms: Swelling at injection site, hot and red.

Other Meds: Cymbalta Levothyroxine Nettles Daily Vitamin Cal/Mag/Vit D Vitamin C

Current Illness:

ID: 0946371
Sex: F
Age: 54
State:

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Reports received covid vaccine on 1/14/2021 - developed left upper arm pain and "cold" feeling. Describes pain as severe and aching. Noticed redness to left distal arm. No fever or chills. No weakness. Grip strong. radial and ulnar pulse 2+. CRT < 3 seconds. Ecchymotic area noted extending from proximal radial region to distal radius. Denies dyspnea. Advised to go to ED - accompanied by on site pharmacist.

Other Meds:

Current Illness:

ID: 0946372
Sex: F
Age: 34
State: MI

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: Had to get an injection in the buttock on 01/15/2021 to help with the migraine pain.

Allergies: Sensitivity to Zpak Sensitivity to nickel

Symptoms: Migraines, I have never had a migraine before in my life. I have had headaches before but never a migraine. I had a migraine on Saturday and Sunday for a short amount of time. On Thursday, 1/14/2021, I had a bad migraine, had to go home from work. Woke up on Friday 1/15/2021 with the migraine still. They are lasting longer and getting worse.

Other Meds: Omeprazole 20 mg Famotadine OTC Flonase Singular

Current Illness:

ID: 0946373
Sex: M
Age: 57
State: CO

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies: Nuts, legumes, fish

Symptoms: I became dizzy and heart racing after 2 minutes of receiving this vaccine. I had a pulse oximetry. My heart rate was 132 (my normal is around 60). I told the RN was having a reaction. I had brought my liquid benadryl in case I might have a reaction due to my severe food allergies. I immediately drank 50 mg of benadryl. In 2 to 3 minutes my heart rate came down and I felt better. I was able to leave and drive home. I am an RN myself so I knew how to manage this situation.

Other Meds: None

Current Illness: None

ID: 0946374
Sex: F
Age: 43
State: NY

Vax Date: 01/10/2021
Onset Date: 01/10/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: Seen in the ER on 01/10/21

Allergies:

Symptoms: 15 minutes after receiving vaccine started with tingling down the right arm. 30 minutes tingling in face, lips, and tongue. She was sent to the ER from the COVID clinic.

Other Meds:

Current Illness:

ID: 0946375
Sex: F
Age: 40
State: MI

Vax Date: 01/06/2021
Onset Date: 01/15/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Woke up with a hot, swollen red rash on injection site. The rash is around 3 inches in diameter. I have some pain going down my arm. I did not have an adverse reaction until this morning. The only side effect was normal soreness in the injection site until I woke up this morning. My forehead temp is higher than usual. I temp in each day for work and my temp typically is around 97.4. This morning I temped in at 98.9 and them we temped my injection site and the temp was 101.1.

Other Meds: None.

Current Illness: None

ID: 0946376
Sex: F
Age: 42
State: MS

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Severe body aches ,sever headache ,neck pain ,stiffness in neck ,muscle pain ,chills ,fatigue ,Fever ,nausea, small rash at around injection site and burning when rash appeared.

Other Meds: None

Current Illness: None

ID: 0946377
Sex: M
Age: 47
State:

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Pulse dropped to 30. Low pressure too. Brachycardia. Lost consciousness. Did not seem to be Vasovagal. Saline IV. Blurred vision. Very. Strange. Girl friend said I seemed catatonic for about 5-10 seconds. Cold sweat. Dizziness. Immediate Symptoms lasted about an hour. Injection site very sore 10 hours later. Body pains.

Other Meds: Lexapro, Kratom

Current Illness:

ID: 0946378
Sex: F
Age: 50
State: AZ

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies: Sulpha Meds, Penicillin, Cinnamon, Monosodium Glutamate

Symptoms: 1/13 10:30am - 2:30pm Extreme Chills 1/13 2:30pm - 1/14 5:00am Fever (102.7 at the high point) Shortness of Breath, Increased Heart Rate, Lower Blood Oxygen Levels (down to 92%), Cough 1/14 5:00am - 7:00am Chills 1/14 7:00am - 11:00am Fever, Shortness of Breath, Increased Heart Rate, Lower Blood Oxygen Levels, Cough 1/14 2:00pm - 3:00pm Chills 1/14 3:00pm - 5:00pm Fever, Shortness of Breath, Increased Heart Rate, Lower Blood Oxygen Levels, Cough

Other Meds: Metformin 1000mg x2, Pantoprazole 40mg, Claritin, Glipizide ER 10mg, Lisinopril 40mg, Symbicort, Pioglitazone 30mg, Tylenol, Sudafed I received Bamlanivimab while in the ER with COVID-19 on Dec. 20th. (23 days before vaccination)

Current Illness: COVID-19 from 12/12 - 12/25 I received Bamlanivimab while in the ER with COVID-19 on 12/20. (23 days before vaccination)

ID: 0946379
Sex: F
Age: 71
State: MI

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: None

Allergies: 0

Symptoms: Headache, vomiting, chills, dizziness 24 hour bed rest and Tylenol 1/15/2021, still light headed and slightly dizzy

Other Meds: 0

Current Illness: 0

ID: 0946380
Sex: F
Age: 49
State: PR

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: N/A

Allergies: iodine sulfa aspirina

Symptoms: PT presents with respiratory difficulty, anxiety.

Other Meds:

Current Illness:

ID: 0946381
Sex: M
Age: 59
State: MA

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: Had basic metabolic panel, lactate, cbc, pandemic respiratory panel and urinalysis which were negative/normal on 1/6/21. Had mildly low magnesium at 1.6. EKG with sinus tachycardia.

Allergies: None

Symptoms: Fever to 103. Sinus Tachycardia to 124.

Other Meds: Omega 3 supplements

Current Illness: No

ID: 0946382
Sex: F
Age: 38
State: LA

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies: latex

Symptoms: My entire arm is painful and there is now a knot under my left arm pit that is tender and there is rash also under the same arm pit.

Other Meds: fluoxetine

Current Illness:

ID: 0946383
Sex: F
Age: 57
State:

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Local swelling without redness at injection site; rest and told to contact provider if elevates.

Other Meds:

Current Illness:

ID: 0946385
Sex: F
Age: 23
State: AR

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: none

Allergies: nkda

Symptoms: Headache, sore throat, fever (100.5)

Other Meds: OCP, prozac

Current Illness: none

ID: 0946386
Sex: F
Age: 52
State: VA

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: none

Allergies:

Symptoms: light headed, fever, nausea, head ache, trouble breathing

Other Meds:

Current Illness: cancer patient

ID: 0946387
Sex: F
Age: 43
State: NY

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies: None.

Symptoms: Fever of 102.2, chills, headache, body aches, nausea, fatigue.

Other Meds: Collagen, Zeaxanthin Plus Lutein, Methyl B12, Vitamin D3.

Current Illness: None.

ID: 0946388
Sex: F
Age: 59
State: WV

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: No tests or labs

Allergies: Ibuprofen- general flushing Synvisc Injection- Localized reaction, pain and swelling Gadolinium MRI dye- Anaphylactic Reaction- Throat closure

Symptoms: About 2 min after receiving injection, I felt an intense flushing feeling all over, it felt as if my blood had turned into lava. About a minute after that I felt a "tickle" in my throat. The same sensation I felt when I had my reaction to Gadolinium. I tried to swallow, and it was a little difficult. I did NOT feel short of breath. I tried to calm down by doing slow concentrated breathing. I continued to take small sips of water to gauge my swallowing ability. After about 2-3 minutes, the flushing sensation subsided, and swallowing started to improve. I had brought my Epinephrine pen with me. About 1-2 min after the flushing sensation had subsided,, it came back and my swallowing ability got much worse, to the point I couldn't swallow a small sip. I was breathing well, and did NOT feel short of breath, but gave myself my Epinephrine injection at that time. A Rapid Response was called at that time, my vitals signs taken, an IV inserted, 911 called. O2 sats were fine mid 90's, heart rate was mid 80's, BP was elevated, I don't remember the exact systolic 170-180, but my diastolic was 116. It took the ambulance approximately 10-15 min to arrive. By the time the ambulance arrived, I was feeling close to my baseline and my BP was improving. I was seen by the ER MD, and feeling fairly well, my throat still felt a tiny bit tight, but no difficulties swallowing. The plan was to complete treatment with IV steroids, Benadryl, and Pepcid, then be observed for a few more hours. This was approximately around 16:30. Not more than 5 min after MD left my room, I got the flushing feeling, and throat closing feeling again. While the medications were being prepared these symptoms increased, ( I could still breath adequately and vital signs were still OK. It took about 10 minutes after meds were given for symptoms to begin to subside ( No epi given) I was observed until 21:30 then discharged. I am taking 50 mg daily x 3 days, 25mg Benadryl q 8hrs x 3 days, and 20mg Pepcid bid x 3 days. I feel fine , no further episodes

Other Meds: Metformin, Estrace, Aspirin, Neurontin, Hydrochlorothiazide, Fish Oil, Zinc, Montelukast, Lipitor, Requip, Requip, Nuvigil, Ritalin (prn, none on day of event), glipizide, Nadolol, Zoloft, Ambien, Flonase, Lotrisone cream, Lidocaine Patch 5

Current Illness: Pneumonia/Bronchitis- 12/21/20-1/5/21

ID: 0946389
Sex: F
Age: 38
State: NC

Vax Date: 01/12/2021
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: 24 hours post vaccine began to experience injection site reaction. Localized tissue reaction including swelling at site, 8cm redness (continues to grow 48 hours post vaccine administration)

Other Meds: omeprazole, cetirizine, ibuprofen

Current Illness: none

ID: 0946390
Sex: F
Age: 63
State: ME

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: While waiting and sitting for 15 minutes Felt fatigued and weak - told the nurse and was told it would pass, continued to feel fatigue and sore on the arm until 1/13. On 1/5 Left side was tingly & numb - had a lump at injection site, felt different sized lumps in the big lump. Went to Dr. office On 1/5. 1/6 was getting worse - very hot to the touch, itchy and painful. Saw Dr. on 1/6 gave antibiotic. Finished anitbiotic 1/13. Went for follow up on 1/8 Dr. said was 90% sure it was Moderna allergic reaction. Advised not to take second injection.

Other Meds:

Current Illness:

ID: 0946391
Sex: F
Age: 23
State: TX

Vax Date: 12/27/2020
Onset Date: 12/28/2020
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: nasal congestion, reflux, vomiting, sore throat, chest congestion, cough, HA

Other Meds: Junel Fe 24

Current Illness:

ID: 0946392
Sex: F
Age: 40
State: SD

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Body aches, fatigue, chills

Other Meds: NA

Current Illness: None

ID: 0946393
Sex: F
Age: 33
State: TX

Vax Date: 01/06/2021
Onset Date: 01/08/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies: No known allergies

Symptoms: Demarcated redness to vaccine site, pain for 3-4 days post vaccine to injection site, headache 3-4 days post vaccine, severe fatigue 5 days post vaccine.

Other Meds: Acetaminophen for arm soreness

Current Illness: none

ID: 0946394
Sex: F
Age: 64
State: WY

Vax Date: 12/31/2020
Onset Date: 01/07/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: N/A

Allergies: None

Symptoms: 7 days after vaccination my arm became red, itchy and slightly swollen at site for 2 days, then completely resolved

Other Meds: Humalog; Losartan HCT; vitamin D; vitamin B12

Current Illness: None

ID: 0946395
Sex: F
Age: 59
State: AR

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: Took a rapid test on 1/14/21 (NEGATIVE RRESULTS). Waiting on PCR results.

Allergies: codeine

Symptoms: Diarrhea, chills on 1/12/21 - 1/14/21. Symptoms have stopped. On injection site there is a half dollar size red area which is hot to the touch with hardness or a knot at injection site. tHIS IS STILL PRESENT.

Other Meds: blood pressure medicine, arimadex , mopic, vitamin D , baby aspirin

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm