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: 0946547
Sex: F
Age:
State: AZ

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

Lab Data:

Allergies: Aluminum Walnuts

Symptoms: None stated.

Other Meds: Budesonide EC 4mg 1/day

Current Illness: none

ID: 0946548
Sex: F
Age: 35
State: PA

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

Lab Data:

Allergies: none

Symptoms: This was the seasonal flu shot for the 2020 season. Muscle and arm pain at site of injection since December 1st, 2020. Still cannot place pressure on the site of injection, cannot lay on that arm (right arm). At times I struggle lifting my arm above my head due to sharp pain in the arm at injection site. Arm will have a slight pain at the injection site even as the arm is in a resting state.

Other Meds: Birth Control - Larissia

Current Illness: none

ID: 0946549
Sex: F
Age: 59
State: MA

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

Lab Data: Covid test on 1/9 Work up at hospital (1/8-1/11).

Allergies: NKA

Symptoms: On 1/8 she took her 2nd dose of Pfizer vaccine around 3 PM. She went home in the evening and started sweating. She passed out. Her daughter was at home and she took her to the nearest hospital. Her BP was 60/34 and she had a temp of 100.3F on 1/8 during hospital admission. Her K was low. She received lot of fluids. She called our office on 1/10 and during the f/u she was still in the hospital. On 1/10 she has a temp of 98.4F and BP of 109/61. But she still has dizziness, nausea, anorexia and mild cough (Former smoker). COVID-19 test was done on 1/9, its negative. Dx was dehydration. Discharged from the hospital on 1/11, feels better but is tired. Will follow up with PCP on 1/16/21.

Other Meds:

Current Illness:

ID: 0946550
Sex: F
Age: 22
State: IN

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

Lab Data:

Allergies: Penicillin, bactrim

Symptoms: Headache, nausea, increased HR and RR, vomiting, fever, chills, night sweats

Other Meds: Duloxetine (120 mg), ortho-tri-cyclin, trazodone (50 mg), chlorthalidone (25 mg)

Current Illness: N/A

ID: 0946551
Sex: F
Age: 34
State: TN

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

Lab Data: EKG, IV Fluids, CBC, CMP, monitoring

Allergies: None

Symptoms: Starting about 12 hours after vaccine I had the expected symptoms of body aches, chills, headache, nausea and low grade temps. At ~ 0500 on 1/14/21 (~18 hrs after vaccine), I woke up as I was in SVT. I was not able to convert myself and had to go to ED for treatment. HR was 232 upon arrival to ED. Prior to administering adenosine, SVT resolved on own. SVT episode lasted ~2hrs. I have not had a prolonged SVT episode since ablation in 2016. ER doc mentioned that perhaps fever/ illness from vaccine lowered my threshold for going into SVT.

Other Meds: None.

Current Illness: None

ID: 0946552
Sex: M
Age: 67
State: VA

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

Lab Data:

Allergies: None

Symptoms: Patient reported a fever of 102.8 around 3 am after receiving the vaccine yesterday. Feeling overall badly.

Other Meds:

Current Illness: COVID positive in Dec 17

ID: 0946553
Sex: F
Age: 26
State: NM

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

Lab Data: n/a 12-lead EKG normal

Allergies: flu vaccine allergy

Symptoms: anaphylaxis by lethargy, nausea, vomiting, palpitations, funny feeling in chest, swollen lips

Other Meds: unknown

Current Illness: none

ID: 0946554
Sex: F
Age: 61
State: NV

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

Lab Data: None

Allergies: Latex

Symptoms: Started with a bad headache then got worse. I worked until 11:30pm the day of the vaccine. Woke up at 5:30 am with chills and body aches. Took off work. Fever spiked at about noon the day following the vaccine to 100.1 Tylenol then Ibuprofen was taken. By 6:30 am the next morning (today )all symptoms seem to be gone. I think it may be important to know that I was sick with covid 19 in April/May of 2020 for almost 3 weeks

Other Meds: None

Current Illness: None

ID: 0946555
Sex: M
Age: 37
State: KY

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

Lab Data:

Allergies: None

Symptoms: Headache and dizziness began 1 hour after injection and lasted for 30 minutes. 8 days after injection, redness/swelling/itching/lumps developed at injection site. Axillary lymph node swelling in arm injection was given.

Other Meds: Vita fusion men?s daily vitamin Melatonin

Current Illness: None

ID: 0946556
Sex: F
Age: 23
State: NC

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: She took the first dose today and apparently had a rapid heart beat after the vaccine (140 bpm).

Other Meds: Metoprolol Succinate ER 50 mg tablet, extended release, Junel Fe 1.5/30, Gabapentin

Current Illness:

ID: 0946557
Sex: F
Age: 36
State: AR

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

Lab Data: None

Allergies: Shellfish, iodine, and eggs

Symptoms: Patient reports that approximately one hour after receiving the second dose of the vaccine she began to feel fatigued. The following morning, at 6:30 a.m., she awoke with orbital edema, chest tightness, and an itchy throat. The patient sought emergent care at Emergency Center and received Solumedrol IV, Benadryl IV, and 1 Liter of Normal Saline IV. The patient reports almost immediate relief after receiving medication.

Other Meds: Celexa 10 mg by mouth once per day

Current Illness: No illness at the time of vaccination nor any illness one month prior to receiving vaccine

ID: 0946558
Sex: F
Age: 41
State: FL

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

Lab Data: None

Allergies: Aspirin

Symptoms: Day 1: Fever of 103, tremors, severe body and muscular pain. Shortness of breath. Unable to get out of bed for the entire day, severe headaches through the entire day Day 2: fever of 101, shortness of breath, severe headache, entire left arm in pain

Other Meds: Mobic 15mg Fluoxetine 20mg

Current Illness: COVID-19

ID: 0946559
Sex: F
Age: 30
State: PA

Vax Date: 12/23/2020
Onset Date: 01/13/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: none

Allergies: PCN, seasonal allergies

Symptoms: No symptoms following vaccination #1. Vaccination #2 received 1/13/21-no symptoms on 1/13/21. On 1/14/20 pt reports fever 101.6, chills, body/muscle aches. These symptoms improved during day on 1/14/21. Pt reports evening of 1/14/2021 she began feeling like her skin hurt, burning feeling. On 1/15/2021, pt woke to hives across chest, abdomen, axillas, underside of arms and lateral torsos, scalp and posterior neck. Pt reports hives are present in area of painful skin the day prior. Pt reports hive were not initially itchy, but are at time of evaluation. Pt provided with care instructions for urticaria/hives, benadryl & OTC Allergy tablet instructions. She was also provided for s/s to watch-worsening hives, swelling,

Other Meds: Birth control pill, OTC allergy tab PRN

Current Illness: none

ID: 0946560
Sex: M
Age: 51
State: PA

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

Lab Data:

Allergies:

Symptoms: Recipient was seen one day after the 2nd dose of vaccine was received and complained of Headache, Swollen lymph node, and Chills

Other Meds:

Current Illness:

ID: 0946561
Sex: F
Age: 54
State: TN

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/15/2021
Hospital:

Lab Data: EKG 12/30/2020 follow up with family physician 12/31/2020

Allergies: sulfa drugs- SOB paxil-body tremors cymbalta

Symptoms: I waited for 30 minutes; I walked to my car and didn't feel well; I thought maybe I was hungry I ate 1/2 banana and drank some water. I started to drive home. It felt like a huge cold railroad spike was being driven up the top of my shoulder to my neck, it was a cold sensation anteriorly and posteriorly on my neck. Then my face (left side) started to go numb, it started just about the top of my left ear and went all the way to my lips. It stopped midline. It felt like a dental block. I could still swallow and breathe. I started shaking, felt nausea, my upper esophageal sphincter started to spasm. I kept checking my tongue and airway to see if I should pull over and call 911. I drove to the ER. My left side of face was numb, I was trembling, tremoring. They gave me small dose of IV Bendadryl (12.5 mg) and Pepcid, I slowly started to feel better and the feeling came back to my face moving from midline lip to cheek. It still felt "funny" but much better. I was in the ER for around 2 hours. I have had more tremoring since my vaccine in my neck and hand (I do have primary essential tremors but it is tremoring much more now) and more neck pain (could be due to the increased tremors)

Other Meds: 100 mg motrin, 125 mg tylenol prior to going in for vaccine prozac ~ 3mg, Claritin ~ 4 mg taken day before

Current Illness:

ID: 0946562
Sex: M
Age: 0
State: MO

Vax Date: 02/21/2020
Onset Date: 02/23/2020
Rec V Date: 01/15/2021
Hospital:

Lab Data: My sons doctor wrote off his vaccine injury as colic.

Allergies: None

Symptoms: Excessive Screaming, Arching of the Back, Discomfort, Fever, and Encephalitis.

Other Meds: None

Current Illness: None

ID: 0946563
Sex: F
Age: 74
State: KY

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

Lab Data: MD ordered a UA and blood work just to rule out a UTI or other source.

Allergies: None known

Symptoms: Resident had severe confusion. She thought she was in another state and that we were all strangers. She has a decrease in her appetite and an increase in thirst. She complained of low back pain with aches all over her body. She also stated that she had very vivid dreams. this is not at all the typical behavior that we have seen in her. Previous labs were checked and all were within normal range.

Other Meds: Anoro Ellipta 62.5-25 mcg INH, Aspirin 81 mg daily, Febuxostat 40 mg daily, Folic Acid 1 mg daily, Nephro-vite tablet daily, Omeprazole DR 40 mg daily, Procrit 10,000 u sub q every 2 weeks if low HGB, Zoloft 100 mg daily, simvastatin 20 mg

Current Illness: None Known

ID: 0946564
Sex: F
Age: 27
State: ID

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

Lab Data:

Allergies:

Symptoms: Throat felt funny, chest felt warm, pulse increased. Antihistamine taken. Vitals monitored - O2, BP, HR for 30 min. Returned to work with a friend after.

Other Meds:

Current Illness:

ID: 0946565
Sex: F
Age: 42
State: TX

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

Lab Data: None

Allergies: Imitrex (migraine medication)

Symptoms: Swelling at injection site, knot under surface of skin, redness, arm/muscle pain, headaches, fatigue

Other Meds: Monetlukast, OTC ibuprofen

Current Illness: None

ID: 0946566
Sex: F
Age: 38
State: IN

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

Lab Data: None

Allergies:

Symptoms: Received vaccine at 3p. At 9p started feeling nauseated with stomach cramping. At midnight started vomiting . After few hours it slowed down and then started vomiting again most of the day on 1/14. Unable to keep anything down. As of 1/15 was feeling better

Other Meds:

Current Illness:

ID: 0946567
Sex: F
Age: 34
State: NY

Vax Date: 01/06/2021
Onset Date: 01/13/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: They took my blood test for annual checkup.

Allergies: No allergies

Symptoms: I had headache after 4-5 hr of injection and sore arm until next day. After that I was not having symptoms but one week later I got a late reaction at the site of injection. It is swollen red hard and itchy and inflamed. So I went to Dr. and she has suggested me to take Motrin and use cold ice pack. So I took a Motrin yesterday and today. I had a reaction where I had BCG vaccination in the childhood.

Other Meds: I took yesterday Motrin one time and one time today.

Current Illness: No illness

ID: 0946568
Sex: F
Age: 30
State: MI

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: None

Allergies: Dairy

Symptoms: Extremely sore arm started next day, fever of 99.7, body aches, chills

Other Meds: Probiotic, Advil, zinc, dim

Current Illness: N/a

ID: 0946569
Sex: F
Age: 27
State: MI

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

Lab Data:

Allergies:

Symptoms: Body aches, chills, joint pain, night sweats

Other Meds: Synthroid, prilosec

Current Illness:

ID: 0946570
Sex: F
Age: 67
State: MA

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: received Pfizer vaccine on 1/11/2021 in Right arm at 9:40 am. Awoke at 12 midnight unable to herself out of bed, needed to wake husband for assistance due to employee being unable to use Right arm. Developed headache, chills, sweats, joint pain Stated "it felt like I was hit by a bus" felt like I got beat up. Wednesday Headache was gone, R arm swollen, lymph nodes at axilla and R neck large as grapes, painful. No appetite, effort to move .Arm was swollen and reddened at injection site.

Other Meds:

Current Illness: lymphoma

ID: 0946571
Sex: F
Age: 58
State: NY

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

Lab Data:

Allergies: Antifungal creams, Diflucan, Lactated ringers, Latex, Sulfa, Talc, Tape, Glue most adhesives, Nickel, Tantalum, Inorganic murcury, Cadmium

Symptoms: 8 days later a large hive and redness appeared at the injection site. Itchy. I took a Benadryl and the hive flattened but it is still red and itchy

Other Meds: I have a femring that is it.

Current Illness: none

ID: 0946572
Sex: F
Age: 47
State: KS

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

Lab Data:

Allergies: Penicillin Erythromycin Sulfa Ceclor

Symptoms: Mild reaction- Injection site became red and slightly swollen a few hours after it was given. Approx 24 hours after it was received it was still red at the injection site and became itchy. Slightly warm to touch. Symptoms still present 36 hours after initial injection.

Other Meds: Syntrhoid Metformin NAC Escitalopram Fenofibrate Vit D-K 2 Apple Cider gummies

Current Illness: None

ID: 0946573
Sex: M
Age: 52
State: TX

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: pt was evaluated at the emergency room and was told he had a TIA

Allergies:

Symptoms: pt reports high fever and TIA symptoms. the day after the vaccine

Other Meds:

Current Illness:

ID: 0946574
Sex: F
Age: 32
State: NY

Vax Date: 01/04/2021
Onset Date: 01/09/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: None (had virtual visit with PCP Dr. on 1/13)

Allergies: None

Symptoms: 5 days after getting dose 1 I developed some pain (not severe) in my right armpit (same side of vaccination arm). Felt like a swollen lymph node although I could not palpate anything nor see anything externally. Pain self resolved in 3 days. No other symptoms.

Other Meds: Oral birth control pill (orthotricyclen), Spironolactone

Current Illness: None

ID: 0946575
Sex: F
Age: 53
State: SC

Vax Date: 12/21/2020
Onset Date: 01/05/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: D dimer - ? Ultra sound of leg - Jan 11 , 2021

Allergies: None

Symptoms: Joint pain . Inflammation in knee Headache nausea vomiting

Other Meds: Aleve. Prednisone

Current Illness: Some sciatica oain

ID: 0946576
Sex: F
Age: 62
State: IL

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

Lab Data:

Allergies: No known allergies

Symptoms: Moderna COVID-19 Vaccine EUA Fever-100.3, body aches, headache, fatigue, Arm soreness

Other Meds: Wellbutrin, Trazadone, pantoprazole Vit C, Vit D, Calcium, zinc

Current Illness: none

ID: 0946577
Sex: F
Age: 68
State: TX

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

Lab Data: NA

Allergies: environmental allergies Patient unsure if she has allergy to peanuts, states has eaten them regularly, sometimes feels itchy throat, possible rash

Symptoms: irritation of eyes bilaterally, redness to cheeks and forehead

Other Meds: Montelukast 10mg Clindamycin 300mg (TID x8days) cinnamon tea with garlic Losartan 50mg 1 poqd bid

Current Illness: urinary tract infection

ID: 0946578
Sex: F
Age: 42
State: IL

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

Lab Data:

Allergies: Dextromethorphan- rash all over Seasonal pollen allergies

Symptoms: Symptoms started next day with tiredness, low grade temp of 99 and over all not feeling well. Continued into Saturday. Sunday, Monday and most of Tuesday felt normal. Tuesday evening started to fell worse and Wednesday 1.13.21, 6 days after shot, headache, nauseous, very tired, could not go to work. Called Doctors office and spoke to two different nurses who advised these were normal reactions although maybe delayed. By end of day headache and nausea were gone but still felt unwell. 1.14.21 well enough to work, mostly normal. Took blood pressure and it was elevated by 20 points! BP is still elevated on 1.15.21.

Other Meds: NatureMade Multi for Her + Omega-3S, NatureMade B-Complex, NatureMade D3 2000IU

Current Illness:

ID: 0946579
Sex: F
Age: 46
State: AZ

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

Lab Data:

Allergies:

Symptoms: headache, nausea, pain in upper stomach area

Other Meds: Losartan Postassium, fish oil, metoprolol, amlodipine, magnesium, multi-vitamin, D3, Vitamin C, beet root

Current Illness:

ID: 0946580
Sex: M
Age: 50
State: MD

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

Lab Data:

Allergies: None

Symptoms: Moderna COVID-19 Vaccine Rash near injection site. Rash blistered and is itchy.

Other Meds: None

Current Illness: None

ID: 0946581
Sex: F
Age: 31
State: MI

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

Lab Data: No

Allergies: No

Symptoms: Injection site pain appeared right after vaccine administration. Pain became more severe the next day and it lasted for a total of three days(1/8~1/10) The next day of vaccination(1/9), I have symptoms of low grade fever, chills, fatigue, mild body aches, headache, vomiting feeling. However, these symptoms only lasted for one day.

Other Meds: No

Current Illness: No

ID: 0946582
Sex: F
Age: 59
State: TX

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

Lab Data: 01/14 CBC 01/14 CMP 01/14 UA 01/14 Covid-unknown at this time.

Allergies: LATEX

Symptoms: Pt reported she had nausea, vomiting, diarrhea, fever102.0, chills, injection site pain, body aches at approximately midnight. This nurse requested patient report to ER as soon as possible. Admit to ER at approx 1810. Labs ordered, zofran 8mg administered IVP per physician orders, Tylenol 1G administered, IV fluids given at time of visit. Pt released at 11 p.m.

Other Meds: THYROID MEDICATION, TYLENOL PRN

Current Illness: NONE

ID: 0946583
Sex: F
Age: 58
State: RI

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

Lab Data:

Allergies: contrast dye

Symptoms: None stated.

Other Meds: NA

Current Illness:

ID: 0946584
Sex: F
Age:
State: IN

Vax Date: 12/18/2020
Onset Date: 12/23/2020
Rec V Date: 01/15/2021
Hospital:

Lab Data: Cbc, cmp, and rapid covid test

Allergies: Latex

Symptoms: 4 documented fevers. One fever a week for 4 weeks for approximately 2-3 hours each time. Temperature max 102.3. went away without medication. Body aches and chills with fever but went away after fever was gone.

Other Meds: Vitamin d, zinc, levothyroxine, multivitamin, magnesium

Current Illness: None

ID: 0946585
Sex: F
Age: 56
State: WI

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

Lab Data:

Allergies: Amoxicillin Penicillin

Symptoms: She reports symptoms of dizziness. Patient rates her dizziness at 1 (1-10 scale), her dizziness does not change with position or activity. She reports "I only have a little dizziness, nothing else". She reports she her contacts are in place and her vision is unchanged. She questioned if this was in her head because someone she knows had dizziness after her COVID vaccine". Speech and behavior normal. ? Injection time 0814 Observation time 0814-0853 ? Treatment/intervention - Patient stayed in observation area >30 minutes, drank 480 ml of water while resting. Patient denied need for further evaluation. Husband is driving her home (this was pre-planned prior to injection).

Other Meds:

Current Illness:

ID: 0946586
Sex: F
Age: 38
State: PA

Vax Date: 01/05/2021
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies: None.

Symptoms: I had swelling, redness and soreness for the 1st 3 days after getting the vaccine but went away. Yesterday, 1/14/21(9days after receiving the vaccine), I noticed that my arm was itching where I received the vaccine and when I looked it was all red and swollen. Not having any pain and have had no other reactions to the vaccine. I am scheduled February 2nd for my 2nd vaccine. Will it be okay to receive it?

Other Meds: None.

Current Illness: None.

ID: 0946587
Sex: F
Age: 25
State: TX

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

Lab Data:

Allergies:

Symptoms: chills, fever 100.6, headache and chest tightness, denies shortness of breath and cough. Treatment include: Tylenol, patient has history of asthma and report using her inhaler daily. She denies chest congestion. Outcome: chills, fever resolved, report residual headache and continued chest tightness recommend to follow-up with primary care doctor- currently working

Other Meds:

Current Illness:

ID: 0946588
Sex: F
Age: 47
State: TX

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

Lab Data:

Allergies: NKA

Symptoms: itching then rash developed at injection site 1 week post injection

Other Meds: itching , bubbling rash at injection site

Current Illness: None

ID: 0946589
Sex: M
Age: 31
State: TX

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

Lab Data: None

Allergies: None that I'm aware of

Symptoms: Right side of my face felt odd. Areas affected were close to my mouth, around my cheek bone and around my eye. The areas mentions felt something like tense/heavy. This lasted a about 4 to 5 days. I had soreness in my lower back as well. This lasted two days.

Other Meds: Vitamin D3 Zinc Creatine Maca Powder

Current Illness: None

ID: 0946590
Sex: F
Age: 50
State: NY

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

Lab Data: EKG 1/08/2021 MRI 1/09/2021

Allergies: unknown

Symptoms: A few minutes after the vaccine was administered, she developed tingling in the back of her head. A few mintues later she developed tachycardia (she did not wait the 15 minutes she was supposed to wait before moving). Her heart was racing in the 120s. About 15 minutes after the injection, she started having a tingling sensation in her left face. About an hour (maybe two hours) after the shot, she developed a heaviness in her leg on the left. She was able to move it, but it felt heavy. Pt continues to report intermittent heaviness, weakness and paresthesia on L side of face and in L upper and lower extremities x10days

Other Meds: unknown

Current Illness: unknown

ID: 0946591
Sex: F
Age: 31
State: OH

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies: None.

Symptoms: I experienced pain at the injection site that lasted approximately 3 days. I also experienced body aches, fatigue, and diarrhea that lasted approximately 36 hours.

Other Meds: None.

Current Illness: None.

ID: 0946592
Sex: M
Age: 44
State: NJ

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

Lab Data:

Allergies: denies

Symptoms: right arm became red and swollen and painful. Right arm redness/rash spread to triceps. Denies treatment. Patient states that it resolved on 01/14/21.

Other Meds: denies

Current Illness: denies

ID: 0946593
Sex: F
Age: 47
State: KS

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

Lab Data:

Allergies:

Symptoms: Notes 1/14/2021 Subjective 47 y.o. female who was seen at COVID Vaccine Clinic today for her first dose of the COVID 19 vaccination. She denied any history of previous adverse reactions to vaccines. She was given the Moderna vaccination in the left deltoid muscle. During her 15 minute waiting period after the injection, the patient began to experience lightheadedness and syncope. She denied rash, hives, welts, difficulty breathing, difficulty swallowing, wheezing, throat tightness, hoarseness, stridor, itching, lightheadedness, dizziness, facial swelling, lip swelling and tongue swelling. This provider was notified of patient reaction and she was then assessed in the emergency bay area. Monitored patient for severe reaction symptoms, including but not limited to abdominal pain, blood pressure abnormality , chest pain, collapse, drooling, hypotension, increased swelling, rapid progression of symptoms, respiratory distress with dyspnea, skin changes, tongue swelling and vomiting. ALLERGY REVIEW OF SYSTEMS Previous Reactions: Patient states that she has a hx of vaso-vagal symptoms with blood draws. Objective Vitals Vitals: 01/14/21 1128 01/14/21 1141 01/14/21 1204 01/14/21 1229 BP: 118/65 123/71 130/72 121/77 Pulse: 71 66 65 92 SpO2: 97% 98% 99% 100% Orthostatic Vitals at 1147a Sitting B/P: 127/71 Sitting Pulse: 70 Standing B/P: 113/62 Standing Pulse: 83 Blood Sugar 103 collected at 1119 Physical Exam Vitals signs reviewed. Constitutional: Appearance: Normal appearance. Comments: Alert but drowsy HENT: Head: Normocephalic and atraumatic. Nose: Nose normal. Cardiovascular: Rate and Rhythm: Normal rate and regular rhythm. Pulses: Normal pulses. Heart sounds: Normal heart sounds. Pulmonary: Effort: Pulmonary effort is normal. Breath sounds: Normal breath sounds. Abdominal: Palpations: Abdomen is soft. Musculoskeletal: Normal range of motion. Skin: General: Skin is warm. Capillary Refill: Capillary refill takes less than 2 seconds. Psychiatric: Mood and Affect: Mood normal. Behavior: Behavior normal. Thought Content: Thought content normal. Judgment: Judgment normal. Assessment/Plan Treatment included: water, cold packs, granoloa bar. Follow up response to treatment: good. Fully alert Patient discharge: Stable to go home and follow up with PCP. 1/14/2021 12:31 PM

Other Meds:

Current Illness:

ID: 0946594
Sex: F
Age: 54
State: NE

Vax Date: 01/04/2021
Onset Date: 01/09/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Complete loss of smell, loss of taste other than sweet/sour/salty/bitter (no flavor)

Other Meds: none

Current Illness: none

ID: 0946595
Sex: F
Age: 47
State: AL

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

Lab Data:

Allergies: No Known Diagnosed Allergies

Symptoms: Pt reports lip swelling starting roughly 18 hours post vaccine.

Other Meds: Tylenol Ibuprofen

Current Illness:

ID: 0946596
Sex: M
Age: 50
State: TX

Vax Date: 12/24/2020
Onset Date: 01/01/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: Thyroid function tests were performed and were normal.

Allergies: Milk protein allergy; no medication allergies

Symptoms: Developed arm soreness, headaches and some chills over the few days after vaccine, which then resolved. Approximately 2 weeks after vaccination, noticed that goiter had returned and developed difficulty sleeping and constipation. Goiter lasted for approximately 8 days and then began to improve on its own. Consulted with my endocrinologist, who felt that it might be a transient thyroiditis due to having had the immunization

Other Meds: Trazodone 50 mg as needed for sleep; Vitamin D 50,000 units every 3 weeks. Claritin 10 gm as needed for allergies

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm