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: 0948275
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: N/A

Allergies: NKDA

Symptoms: Fever, chills, myalgia, muscle weakness, night sweats x3 days

Other Meds: Spironolactone

Current Illness: N/A

ID: 0948276
Sex: F
Age: 48
State: CA

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

Lab Data: NA

Allergies: NA

Symptoms: Palpatations, cold feeling down arms and body. Headache

Other Meds: LEVOTHYROXINE

Current Illness: VA

ID: 0948277
Sex: F
Age: 54
State: TX

Vax Date: 01/04/2021
Onset Date: 01/06/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: Jan, 7, 2021 eye dialtion and exam by retinol specialist. Pictures of retina attempted. But there was to much blood in my right eye to get a clear picture. a shot of EyLea was given in my right eye. Folow up appointment is due Jan. 21, 2021

Allergies: codeine, vicodin, penicillin, ceclor, erythromycin, latex, fruit-fresh

Symptoms: Left arm sore, instantly nauseous for 2 hours, metallic taste in mouth for 2 hours. Fasting glucose was 89 in the morning. by 1400 hours my glucose was 250. By bed time it was 300. I did not eat dinner and adjusted my insulin and took an extra 500mg metformin. I had chills and fever through the night and all the next day. Fever 99 to 101. Tylenol and showers used to control fever. I was very sleepy all that day. I was sleepy with the first shot also. I woke up on Jan. 6, 2021 with a hemorrhage in my right eye. I called the retinol specialist and was given a shot of Eylea in my right eye Jan. 7, 2021., He asked that I report this advers reaction.

Other Meds: metformin, lisinopril, pravasttin, levemir,spironolactone,B12 complex, vitamin D3, slow release iron, protonix

Current Illness: N/A

ID: 0948278
Sex: F
Age: 82
State: NY

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

Lab Data:

Allergies: Previous allergic reactions to other vaccines (i.e. flu vaccines)

Symptoms: Patient received vaccine on the afternoon of 01/11/21 and began feeling ill around 8 PM on that evening. Patient reported "big red splotch" around the injection site, as well as bilateral pain in both arms, as well as the neck and shoulders that required icing and pain relief. Additionally, the patient reported increases in both heart rate and blood pressure during this time. The appearance of the area resembled a large bee sting. As of 01/15/21, the patient is reporting a return to normal, aside from a continued mark around the vaccine site.

Other Meds: Atenolol, Flecainide, Simvastatin, Synthroid, Xarelto

Current Illness:

ID: 0948279
Sex: F
Age: 41
State: WI

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

Lab Data:

Allergies: Penicillin, fruits, tree nuts, trees, shrubs, bushes, animal dander

Symptoms: ~15 minutes post vaccination, reported feeling sensation on right side of throat. Tightness, burning, swollen ("like strep throat, raw") 1515: Dose of 50mg capsule of diphenhydramine PO Can swallow without difficulties Denies troubles breathing 15:25: Notes some improvement in symptoms, denies worsening VS: 148/98

Other Meds:

Current Illness: Denies current illness

ID: 0948280
Sex: F
Age: 46
State: TX

Vax Date: 12/30/2020
Onset Date: 01/08/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: doppler

Allergies:

Symptoms: I have Factor V Leiden, tested positive for Covid on Nov 9, 2020. I received my Covid vaccine on Dec 29, 2020. On Jan 8, 2021 my upper right arm had a red area that was swollen, hot and painful. It continued to spread down my upper are to my forearm. On Jan 12, 2021 I spoke with nurse to see if anyone had reported blood clots as a reaction to the vaccine. Nurse did research this and stated he did not see any cases. After discussion with nurse, we agreed that I would get my PCP to order a venous doppler to rule out clots so we could make an informed decision to receive the 2nd dose vaccine. On Jan 14, 2021 the doppler showed superficial clots.

Other Meds:

Current Illness: I have Factor V Leiden, tested positive for Covid on Nov 9, 2020.

ID: 0948281
Sex: M
Age: 31
State: PA

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

Lab Data: None

Allergies: None

Symptoms: Development of non-tender red spots (enanthem) on soft palate; ~12 hours after the vaccination. Other symptoms included fatigue. No other rash anywhere on the skin. Rash spontaneously fading over the next 36-48 hours.

Other Meds: None

Current Illness: None

ID: 0948282
Sex: F
Age: 48
State: CT

Vax Date: 12/23/2020
Onset Date: 01/07/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: Ct scan, blood work

Allergies: None

Symptoms: Intense headaches, fatigue

Other Meds: Levothyroxine 125mg Bupropion xl 150mg Pravastatin 10mg

Current Illness: None

ID: 0948283
Sex: F
Age: 52
State: MA

Vax Date: 12/21/2020
Onset Date: 12/24/2020
Rec V Date: 01/15/2021
Hospital:

Lab Data: None reported

Allergies: Cats

Symptoms: After the injection, I experienced vertigo. I did a telemedicine with Dr. and I also saw another Dr. in her office.

Other Meds: Atorvastatin 40mg OD, Vitamin D 2000 units OD, Eldeberry 25mg OD

Current Illness: None reported

ID: 0948284
Sex: F
Age: 27
State: NC

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies: strawberries - hives

Symptoms: Red swollen, sore for 2-3 days after injection on 12/29/2020 1/6/2021 and 1/7/2021 became swollen, itchy, warm, not painful (took ibuprofen) 1/8/2021 continued to be slightly red

Other Meds:

Current Illness:

ID: 0948285
Sex: F
Age: 50
State: MS

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

Lab Data:

Allergies: shellfish, fish, seafood, lisinopril

Symptoms: We (myself and 2 other pharmacists) were conducting a COVID-19 vaccine clinic. The patient is on staff at the clinic and came in for her 1st dose of the Pfizer/BioNTech COVID vaccine. 10 minutes post-vaccination, patient started experiencing SOB, tingling fingers and face, and swelling of her lips and tongue. She moved herself outside to cooler air and then sent someone back inside to ask us for help. I ran outside with an EpiPen and immediately noted her pulse of 158 on her watch and she appeared to be experiencing an anaphylactic reaction. Patient stated she did not want to use the EpiPen but wanted to try chewing Benadryl instead first. I asked the staff for a blood pressure monitor and pulse oximeter. The 1st readings, approximately 12 minutes after vaccination, were HR 158, BP 155/105, and pulse ox 97%. Patient stated the Benadryl was working and her swelling was decreasing. The patient was not having trouble breathing at the time. I continued monitoring vitals and talking with the patient and approximately 20 minutes post-vaccination, she was improving (BP down to 134/80 and HR 120) but agreed we should call 911. She decided she wanted to move inside and lie down. I escorted her with support to a bed. Her vitals then increased again to BP 152/95 and HR 133 and her lips and tongue started swelling again. The patient appeared to be more labored in breathing then but still refused the EpiPen. Roughly 5 minutes after lying down, the medics showed up and took over and I went back to the vaccination area. I learned later that the patient refused to go to the hospital and after more observation was eventually allowed to leave with a friend/coworker driving her home.

Other Meds: Metoprolol ER succinate 50mg

Current Illness:

ID: 0948286
Sex: F
Age: 23
State: WI

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

Lab Data: none

Allergies: none

Symptoms: Patient got her 1st COVID shot around 1:30. States she was a little itchy at injection sight about 1 hr after. Around 5pm when leaving work felt like she wasn't swallowing like normal and her throat felt a bit swollen. She works in our clinic and presented to the nurses before leaving work. Injection site without redness, swelling or rash. no rash anywhere else. Throat didn't appear swollen. Able to speak and swallow. No drooling noted. Provider assessed patient. 50 mg oral Benadryl given at 5:05pm and monitored. No worsening symptoms. Patient said completed resolved by 7pm. Nothing ever got worse. She spelt well and woke the next morning with no complaints.

Other Meds: Ibuprofen prn, medroxyprogesterone acetate 150mg IM q3 months,

Current Illness: none

ID: 0948287
Sex: F
Age: 50
State: OR

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

Lab Data: none

Allergies: No known allergies

Symptoms: Swelling around both eyes, itching around eyes, progressing to general facial itching. Swelling worsening over the 5 days after injection leading to Urgent Care visit.

Other Meds: None

Current Illness: None

ID: 0948288
Sex: F
Age: 59
State:

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

Lab Data:

Allergies:

Symptoms: COVID-19 Vaccine Clinic.Hospital Staff member received 1st dose of COVID 19 vaccination and approx 15 minutes later c/o diaphoresis, palpitations, throat ""feeling thick/swelling"" and tingling in fingers. She was able to speak clearly, no increase in salivation, breathing calm. She was moved via wheelchair to the hallway for privacy. Vitals 123/77, HR-76, RR 20. She was given sips of water. Staff observed her for 40 minutes and symptoms improved. Pharmacy was consulted and the staff member administered her own Claritin. She stayed for another 20 minutes without return of symptoms and was released. She was encouraged to contact her personal physician to discuss. She was also given the V-Safe information and encouraged to report her experience.

Other Meds:

Current Illness:

ID: 0948289
Sex: F
Age: 64
State: TX

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

Lab Data: yes

Allergies: Hydrocodone, Nickel.

Symptoms: Ran low grad fever, pain inj site and joints. Then the pain went to every organ. Saw the Rheumatologist and it was classified as Cytokins Storm. Prescribed Prednisone.

Other Meds: Zinc, Cevimeline, Linzess, Melatonin, MagOx, D3, Multivitamin, Vitamin C, Pantoprazole.

Current Illness: no

ID: 0948290
Sex: F
Age: 35
State: CA

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

Lab Data: Mone

Allergies: Allergies to Levaquin and Cefdinir with rash.

Symptoms: Heart palpitations Weakness Sore throat Low grade fever Lymph node swelling Arms soreness Injection site redness and swelling

Other Meds: Zyrtec D

Current Illness: None

ID: 0948291
Sex: F
Age: 24
State: CA

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

Lab Data: None

Allergies: No known allergies

Symptoms: On 1/14/21-Post-injection site had inflammation, redness, warmth, and itchiness. 1/15/21-post-injection site measures 6.5cm x 10cm.

Other Meds: None

Current Illness: 12/10/2020-Positive SARS CoV2 (Covid-19)

ID: 0948292
Sex: F
Age: 57
State: IL

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

Lab Data: Unknown

Allergies: NKA

Symptoms: Patient was at work on 1/15/21 after having received the vaccine on 1/12/21. She complained of being diaphoretic and her heart rate was 156. She was taken to Hospital. She is being admitted to hospital and has reported that her heart rate is 122 and she has a temperature of 99.4 and elevated lactic acid levels.

Other Meds: unknown

Current Illness: None

ID: 0948293
Sex: F
Age: 47
State: OR

Vax Date: 01/04/2021
Onset Date: 01/11/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: none

Allergies: Penicillin, Sulfamethoxazole/trimethoprim

Symptoms: 4th Shot left arm 5th red, slight swelling, warm, slightly stiff (all expected and not worried) 8, 9th tired Here is where it gets weird Monday the 11th, lower back pain, limited movement (not concerned as it happens with some viruses for me), started APAP Overnight into Tuesday 12th, left arm at shot area, red hot, swollen, stiff up thru shoulder. Still have back pain. I started Benadryl. Wed 13th continues as above Thursday 14th, arms continues, low back pain improved Friday 15th, today, back OK, arm still red and hot but better, stiffness improved. Still on APAP and Benedryl.

Other Meds: MVI with min, Ca with D, Vit C, Buspar, Lexapro, prn APAP, prn IBU, prn naproxin

Current Illness: none

ID: 0948294
Sex: F
Age: 58
State: WV

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

Lab Data:

Allergies: Penicillin and Parabens

Symptoms: See page 2 - all in 1 spot.

Other Meds: Flonase NS (2 qd)/Myrbetriq 50 mg qd

Current Illness: None

ID: 0948295
Sex: M
Age: 68
State: CA

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

Lab Data:

Allergies: N/A

Symptoms: Fatigue, malaise, lethargic, heavy/elevated breathing.

Other Meds: N/A

Current Illness: N/A

ID: 0948296
Sex: F
Age: 35
State: MI

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

Lab Data: Ct head no contrast 1/8. MRI brain no contrast 1/9. MRI brain with contrast 1/14

Allergies: Cardamom

Symptoms: Left sided scalp and facial numbness 5 minutes after vaccine. Left sided arm numbness 10 minutes after. Seen in ED at Hospital with normal saline iv, Benadryl iv and solumedrol iv. Head ct completed which was negative. No improvement in symptoms. Discharged home. 1/9 woke up with left sided body numbness. Seen at Hospital MRI brain completed, 1/10 numbness and pain to left side of body. Start medrol dose pack. 1/11 saw PCP. 1/14 MRI brain with iv contrast. 1/15 completed medrol dose pack, continued symptoms

Other Meds: Xiidra eye drops, Multivitamin and vitamin d3

Current Illness: None

ID: 0948297
Sex: F
Age: 43
State: AK

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

Lab Data: unknown

Allergies: Food, unknown what type

Symptoms: Immediate itching and hives. Progressed quickly into anaphylaxis - stridor, difficulty breathing. Taken immedietly to ER, O2 sats observed of 84%. Given IM Epi in ER triage area. Brought back to room, racemic epi started and given additional IM dose. Please refer to ED for further treatment.

Other Meds: Unknown

Current Illness: unknown

ID: 0948298
Sex: F
Age: 51
State: WV

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

Lab Data: none

Allergies: NKA

Symptoms: Pt felt aches and tired evening after her 10am vaccine and did not sleep much that night. Awoke nauseated and tried to get ready for work and had single syncopal episode with LOC about 10-15 seconds. Her symptoms all improved over the next few minutes. She did a telehealth visit with me a couple hours after. No further treatment was rendered.

Other Meds: Breo elliptical 100-25 Proair HFA Flonase

Current Illness: none

ID: 0948299
Sex: F
Age: 60
State: CA

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

Lab Data:

Allergies: Cephalosporin, sulfa

Symptoms: Approx 40 post injection, c/o flushing HTN 203/105. Transitioned to ED.

Other Meds: unknown

Current Illness: none

ID: 0948300
Sex: F
Age: 25
State: MO

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

Lab Data:

Allergies: NKA

Symptoms: The afternoon of the shot (maybe around 4 or 5pm) I felt like I had a tickle in my throat and some minor coughing. On about the 11th through the present day (15th) I have felt minor chills, headaches, and muscle aches, and overall feeling unwell.

Other Meds: Vitamin D Vitex Magnesium

Current Illness: none

ID: 0948301
Sex: M
Age: 63
State:

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

Lab Data:

Allergies:

Symptoms: No adverse event reported. Only reporting administration of vaccine in possible temperature excursion

Other Meds:

Current Illness:

ID: 0948302
Sex: M
Age: 68
State: MD

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

Lab Data:

Allergies: NKA

Symptoms: Severe Headache Soreness at injection site Heavy eyes SOB Chills

Other Meds: Unknown

Current Illness:

ID: 0948303
Sex: F
Age: 76
State: OH

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

Lab Data:

Allergies:

Symptoms: She reported that she began experiencing chills, muscle aches and respiratory symptoms last night. She went to see her physician today and was given a Covid test. Her results will probably not be in until next week

Other Meds:

Current Illness:

ID: 0948304
Sex: F
Age: 34
State: GA

Vax Date: 01/06/2021
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: none

Allergies: Cipro

Symptoms: Received vaccine 01/06/2021. No adverse reactions until 01/14/2021 and a local reaction at site noted with itching, warm to touch and redness. Applied cold pack to arm with improvement shown 01/15/2021.

Other Meds: Vitamin D, Vitamin C, Iron, Trintellix

Current Illness: None

ID: 0948305
Sex: F
Age: 57
State: ID

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

Lab Data: none

Allergies: Sulfa

Symptoms: Moderna COVID-19 vaccine EUA Vomiting, chills, no appetite, headache, temperature of 99.7 lasting 2 days. Used OTC tylenol. Symptoms starting to improve on 1.15.21.

Other Meds: none

Current Illness: none

ID: 0948306
Sex: F
Age: 90
State:

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

Lab Data:

Allergies:

Symptoms: No adverse event reported. Only reporting administration of vaccine in possible temperature excursion

Other Meds:

Current Illness:

ID: 0948307
Sex: F
Age: 41
State: NY

Vax Date: 01/06/2021
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: VACCINE FIRST DOSE WAS GIVEN ON January 6th. first days sore left arm, to painful to lie on, little feverish feeling but no fever for 3 days. After this no symptoms and all felt fine. on January 14th in the afternoon, left side, neck painful muscles, January 16th same painful muscles and around clavicle swollen lymphnode, left side shoulder and top of back sore muscles and left arm feels a bit numb and hand feels a bit colder than right hand. I do not have any redness, no fever, just lymphnode(s) and painful muscles in left side neck and back of left shoulder.

Other Meds: multivitamins

Current Illness: none

ID: 0948308
Sex: M
Age: 84
State: FL

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

Lab Data:

Allergies:

Symptoms: Moderna COVID-19 Vaccine EUA

Other Meds: furosomide levothyroxin warfarin atorvastatin nifedipine losartan potassium chloride omep[razole

Current Illness:

ID: 0948309
Sex: M
Age: 37
State: GA

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

Lab Data: ED trip; CBC and BMP all WNL, released home after hydration

Allergies: none

Symptoms: syncopal event with fall 18 hrs after 2nd dose

Other Meds: none

Current Illness: no

ID: 0948310
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: None

Symptoms: I waited my 15 minutes becaues I had never had a reaction before. One my way ( about 20-25 min after) I had difficulty swallowing. I had to pull over on the side of the road to make sure I was ok. I was able to drink water and continue talking. My symptoms went away a little while after taking Benadryl

Other Meds: Escitalopram 5mg Fluticasone 50mcg

Current Illness: None

ID: 0948311
Sex: F
Age: 19
State:

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

Lab Data:

Allergies: Tree nuts, cats, dogs

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA I did not experience any symptoms until the night following the vaccination. Around 3:30am (01/14/2021), I was awoken by intense chills. I was restless throughout the rest of the night, having hot and cold flashes. I woke up around 8:20am and felt that I had a subjective fever. I was also experiencing intense body ache and headache. I took my temperature and it showed to be 100.6?F. I was still experiencing chills despite also feeling hot at the same time. After an hour, my temperature was 101?F. I took 2 naproxen sodium tablets (440mg) to relieve fever. Around 10:45am, my fever reduced but my body ache and headache stayed at the same pain level. Around 2pm, I took 2 tablets of ibuprofen (400mg). My headache stopped around 8:00pm. My body aches stopped the morning of 01/15/2021.

Other Meds: None

Current Illness: None

ID: 0948312
Sex: F
Age: 27
State: TX

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

Lab Data:

Allergies: NKA

Symptoms: Moderna COVID-19 Vaccine EUA. Dark red rash on inner part of upper right arm. Not hot and does not itch.

Other Meds: folic acid, hydralazine, pantoprazole, prednisone, eliquis, bupropion, fluoxetine labetalol, dulcolax laxative, cephalexin

Current Illness:

ID: 0948313
Sex: M
Age: 65
State:

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

Lab Data:

Allergies:

Symptoms: No adverse event reported. Only reporting administration of vaccine in possible temperature excursion

Other Meds:

Current Illness:

ID: 0948314
Sex: F
Age: 30
State: OH

Vax Date: 12/30/2020
Onset Date: 01/08/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: Negative covid test

Allergies:

Symptoms: Rash to elbows hands knees and feet, 5 days of zyrtec and benadryl

Other Meds:

Current Illness:

ID: 0948315
Sex: F
Age: 25
State: NJ

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

Lab Data: none

Allergies: Hives with Bactrim

Symptoms: At 5:30pm on Jan. 8, when the patient stood, she had a sudden wave of nausea and started to feel faint. She had to lay down on the floor immediately to avoid losing consciousness. For the next 2 hours, she experienced nausea and faintness when standing for more than 30 seconds. After those 2 hours she no longer experienced these symptoms, and she developed a fever and flu-like symptoms for 36 hours.

Other Meds: Yasmin (hormonal birth control pill)

Current Illness: none

ID: 0948316
Sex: F
Age: 39
State: AL

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

Lab Data: none

Allergies: none

Symptoms: Itchy, swollen eyes with clear drainage, blurred vision at 630pm Eyes was swollen shut by 2am (still itching) I took some Claritin about 215am using ice packs to help with swelling Woke up with swollen eyes at 6am (still itching) Came to work with swollen eyes took Benadryl around 830am. Eyes was still swollen but not as bad still draining and itching. By noon I was having muscle aches and chills no fever. left work at 1215pm went home and increase fluids and took another 2 Benadryl and slept until the nest day. Eyes was better still puffy and itchy with small amount of drainage.

Other Meds: metoprolol 50mg once daily Ibuprofen 800mg PRN Tylenol 500mg PRN Synthroid 225mcg daily losartan/HCTZ 50mg/100mg Zoloft 50mg daily (qhs) Lorazepam 1mg PRN Nexium 40mg daily

Current Illness: none

ID: 0948317
Sex: F
Age: 33
State: NC

Vax Date: 12/29/2020
Onset Date: 01/08/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: EKG, Labs (CBC, CMP, Magnesium, Troponin - normal) ?1/10/21. Normal ECHO - 1/11/21. Normal d-dimer 1-12/21

Allergies: Penicillin; rash

Symptoms: Tachycardia, chest tightness, headache starting approximately 10 days after vaccination. Started on 24 hour holter monitor x14 days. Saw Cardiology had an ECHO and started on metoprolol

Other Meds: Mirena; Zoloft; Baby Aspirin; Plexus BioCleanse; Plexus Metaburn; Plexus Slim; Plexus ProBio 5

Current Illness: None

ID: 0948318
Sex: F
Age: 92
State: CA

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

Lab Data:

Allergies:

Symptoms: redness at injection site on arm. following day, similar redness appeared on cheek under eye. two days later, redness has not resolved on arm

Other Meds:

Current Illness:

ID: 0948319
Sex: F
Age: 29
State: NY

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

Lab Data:

Allergies:

Symptoms: on 1/12 symptoms experienced : temp99.5-99.8, Shivering Chills, chills, body aches, headache nausea , vomitingx4 and fatigue

Other Meds:

Current Illness:

ID: 0948320
Sex: F
Age: 69
State:

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

Lab Data:

Allergies:

Symptoms: No adverse event reported. Only reporting administration of vaccine in possible temperature excursion

Other Meds:

Current Illness:

ID: 0948321
Sex: F
Age: 36
State: NY

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

Lab Data:

Allergies: nkda

Symptoms: Arm pain, extreme fatigue and body aches upon waking the morning after the 2nd vaccination 1/14/21. Fatigue and body aches lasted the entire next day and resolved by the morning 1/15/21. No fever

Other Meds: none

Current Illness: no

ID: 0948322
Sex: F
Age: 85
State: CA

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

Lab Data: none so far

Allergies: none

Symptoms: Ringing and popping in ears. Balance problems. Began first evening and continuing next day.

Other Meds: xeralto Cartia estradiol Vit D

Current Illness: Last week I had an infection in my left hand after a spider bite

ID: 0948323
Sex: M
Age: 72
State: KY

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

Lab Data: none

Allergies: none

Symptoms: Dizziness, light head, weak episode occurred 6-8 times lasting a few minutes each time first day. Second day 1 episode lasting 5-6 minutes.

Other Meds: atorvastatin, omeprazole, doxazosin, verapamil

Current Illness: none

ID: 0948324
Sex: F
Age: 56
State: MA

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

Lab Data: n/a

Allergies: Sulfa

Symptoms: LR stayed for 30 minutes for observation post vaccination and reported no adverse side effects. Today, 1-15-21, LR called to report that once she got to her car, she began to have a metallic taste in her mouth that was localized in the back only. She also had some minor tingling of the left side of her face. She sat in her car for an additional 10 minutes. The metallic taste only lasted about 15 minutes and the tingling sensation only lasted a minute or two.

Other Meds: Unknown

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm