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: 0948425
Sex: F
Age: 68
State: FL

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

Lab Data:

Allergies: clean, bactrim

Symptoms: black and blue arm from shot sight to wrist

Other Meds: losartan,deplin,buspirone,prestique,chromium picol?t, ambilify, ipropium bromide, azelsteine HCL, advair,sibgular, synthroid, rosuvastatin, xanax, mirapex, vit B, vit C, multi vitamin, calcium, omega 3, biotin

Current Illness:

ID: 0948426
Sex: F
Age: 34
State: CA

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

Lab Data: none

Allergies: penicillin, codeine

Symptoms: Reaction started 40min after injection. It started with tingling above the lips and then numbness on the whole face + redness on face and neck per coworker, then collapsed trying to go to the bathroom to look at the redness, then had generalized weakness for about 45 minutes (couldn't move at all or open mouth and eyes). I was finally able to open my eyes 1 hour after it started. Got discharged 2 hours after symptoms resolution. No medication was needed, symptoms gradually faded away.

Other Meds: multivitamins

Current Illness: none

ID: 0948427
Sex: F
Age: 33
State: WA

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

Lab Data:

Allergies:

Symptoms: Patient received the Covid-19 Moderna vaccine, lot # 041L20A, exp date 07/03/2021, approximately 11:52 am. She then proceeded to the observation area. At approximately 12:05 pm, she reported "left arm tingling and numb, and lightheadedness." BP was 132/84, pulse 72. Rapid response was already on the scene and went to consult with patient. Approximately 18 minuts post vaccine, the observeres recorded "flushing." Patient declined to be transfered to the ED. She recovered in the observation area before leaving.

Other Meds:

Current Illness:

Date Died:

ID: 0948428
Sex: F
Age: 82
State: LA

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

Lab Data:

Allergies: unknown

Symptoms: We got a call from a home health nurse Brandu Talamo, stating that the patient passed away.

Other Meds: unknown

Current Illness: unknown

ID: 0948429
Sex: F
Age: 37
State: IN

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

Lab Data: None

Allergies: None

Symptoms: Woke up at 5am the following morning with slight nausea and became diaphoretic and felt faint. This only lasted a few minutes, but later in the morning around 9am, body aches, fever, chills, fatigue began and lasted until 10pm. After this time, all symptoms ceased. I also had an extremely sore deltoid where injection site occurred for 48hrs, much worse than I've ever had for any vaccine or IM injection.

Other Meds: Adderall 10mg

Current Illness: None

ID: 0948430
Sex: F
Age: 58
State:

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

Lab Data:

Allergies:

Symptoms: "SM received first dose of Pfizer vaccine almost immediately SM felt flush, anxiety, jittery, nausea. SM moved to alcove for additional monitoring. VS 1026 HR 78, BP, 145, 99% 1035 HR 72, 150/97 1046 HR 72 150/89 1056 HR 62, 146/88 1106 HR 60, 143/102 SM manager notified that SM would be transported to ED as symptoms did not resolve and would be going home. returned to unit. SM accompanied to ED for additional treatment /monitoring."

Other Meds:

Current Illness:

ID: 0948431
Sex: M
Age: 76
State: AR

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

Lab Data: none

Allergies: none

Symptoms: Flushed feeling and rapid heart beat within 45 minutes of injection. Took 2 tablets of Benedryl.

Other Meds: valsartin. atorvastatin. Tamsulosin and Cefdinir.

Current Illness: Sinus infection

ID: 0948432
Sex: F
Age: 67
State: MA

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

Lab Data: None

Allergies: Vicodin and penicillin. No food allergy?s.

Symptoms: 1/13 @ 05:00. Chills, vomiting, severe muscle aches entire body, extreme fatigue. Could barely get out of bed, and no energy to even talk to husband. @ slept until 12;15 pm (noontime) was able to get up for an hour have some Gatorade. No food. Couldn?t keep eyes open so went back to bed and slept until 4:00 pm. I felt at that time not the total exhaustion I had before. At 6:00 pm had toast. Went to bed at 9 and slept until the next day waking up at 8:30 a.m. have never experienced severe exhaustion like that before.

Other Meds: estradiol patch, pantoprazole sodium, Amlodipine besylate, pravastatin, calcium, multi vitamin, magnesium, fishoil

Current Illness: Bronchitis

ID: 0948433
Sex: M
Age: 66
State: FL

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

Lab Data:

Allergies:

Symptoms: Arm pain, body aches, chills, fever, fatigue, headache, muscle pain, joint pain.

Other Meds: Gabapentin 300mg 3X/day Meloxicam 7.5mg 2 XDay (anti-inflammatory) Lorazepam 0.5mg (anxiety) 1- 2X/day Atorvastatin 40mg 1/day (cholesterol) XXX Amlodipine Besylate 5mg 1/day (Hbp)$8.27/90 Losartin Potassium 100mg 1/day (Hbp) Hydr

Current Illness:

ID: 0948434
Sex: F
Age: 55
State:

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

Lab Data:

Allergies:

Symptoms: Patient became lightheaded at approximately 11:10 a.m. which was 9 minutes after administration of the vaccine. The patient had expressed some anxiety about receiving the vaccine but wanted to receive it. The patient complained of lightheadedness and we lowered her to the floor with feet elevated. Her blood pressure had lowered significantly (60/40 approximately). Patient began to feel better and sat back in her chair. She again began to complain of lightheadedness and was lowered to the floor with feet elevated once more. Patients stayed in this position for several minutes. When her blood pressure was rechecked, it had risen back to 118/78. Patient felt much better and also ate some crackers and drank some water. Patient's blood pressure was checked a final time in a seated position after approximately 20 minutes and her blood pressure was 118/82. Patient reported having an event like this 36 years ago after her first visit to an OB/GYN and was similarly nervous that day. Patient was counseled extensively on preventing future lightheadedness and signs of any vaccine related adverse event. After approximately 45 minutes of observation from the event, patient was driven home by her husband.

Other Meds: Levothyroxine

Current Illness:

ID: 0948435
Sex: F
Age: 50
State:

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

Lab Data:

Allergies:

Symptoms: Patient described experiencing left hand numbness and dry mouth after receiving dose #1 of the Moderna injection. She stated she started feeling these symptoms 10 minutes after receiving the vaccine. Patient was monitored by this RN for 30 minutes. After 30 minutes, patient stated the feelings were going away. This RN instructed patient to call the advice RN if any other adverse reactions occur, and to call 911 or go to the emergency room if experiencing a life-threatening emergency.

Other Meds:

Current Illness:

ID: 0948436
Sex: F
Age: 35
State: TX

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

Lab Data:

Allergies: Cephalosporins

Symptoms: Rash - Treated with steroid injection

Other Meds: None

Current Illness: None

ID: 0948437
Sex: F
Age: 40
State:

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

Lab Data:

Allergies:

Symptoms: "Pt received Pfizer covid vaccine dose number two at 1020. Felt ""odd"" after vaccine with HA. She returned to our area with complaints of selling tongue and throat with continued headache and hot feeling. Remained in alcove for monitoring. VS 1117 HR 102, BP 148/84, 100% 1125 HR 85, BP 126/82 99% 1130 HR 75, 124/85, 100% Admistered 25mg of Benadryl at 1119. Tongue swelling decreased at reassessment at 1135. Patients spouse was called to pick up and drive home as pt was tired due to Benadryl administration.

Other Meds:

Current Illness:

ID: 0948438
Sex: F
Age: 70
State: KY

Vax Date: 01/13/2021
Onset Date: 01/13/1921
Rec V Date: 01/15/2021
Hospital:

Lab Data: NONE

Allergies: MOLD, GRASS

Symptoms: 1HR POST VACCINATION SORENESS DEVELOPED IN LEFT ARM, REDNESS STARTED AT THE INJ SITE AND BY YESTERDAY MORNING HAD SPREAD TO HER ELBOW. PT STATES SHE HAS SWELLING IN HER LEFT AXILLARY LYMPH NODE. ALSO C/O HA SINCE YESTERDAY. PT STATES SYMPTOMS HAVE IMPROVED SINCE USING COLD PACK ON ARM AND TAKING IBUPROFEN YESTERDAY. IN CLINIC FOR EVALUATION, REDNESS NOTED AT INJECTION SITE, LEFT DELTOID AREA WITH MILD BRUISING NOTED AT SITE. WARM TO TOUCH. REDNESS IS NOTED APPROXIMATELY 1.5" ABOVE AND 4" BELOW INJECTION SITE. LEFT AXILLARY NODE IS SWOLLEN, AS WELL AS ENTIRE AXILLAE, TENDER TO TOUCH. NO REDNESS AT AXILLAE AREA. INSTRUCTED TO CONT COLD PACK/IBUPROFEN AND F/U WITH MD IF NOT IMPROVING IN 24HR.

Other Meds: LISINOPRIL, PREVASTATIN, CELEBREX

Current Illness: NO

ID: 0948439
Sex: F
Age: 31
State: TX

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

Lab Data: N/A

Allergies: oatmeal, red dye, tomato sauce

Symptoms: 2:55 patient noted to be anxious in observation area. patient requested to sit for 1 hour instead of 15 mins. patient stated she "had a bad feeling about the vaccine". patient shared she felt itchy. patient self ambulated to private observation area with EMT and RN present Door opened to allow fresh air, patient encouraged to removed mask, take deep breaths and "blow out candles". Left shoulder redness noted. Back examined and redness confined to shoulder. No respiratory distress noted 3:02 ice applied and patient given bottled water 3:06 patient stated that itching improved 3:11 25mg Benadryl oral given Vital signs monitored: 3:00 Pulse 102 | PO2 99% | BP 120/80 Respiratory rate 20 breaths per min 3:03 Pulse 84 | PO2 99% 3:10 Pulse 88 | PO2 99% Breaths sounds clear Patient declined need for ambulance Picture of left shoulder taken with patient's phone to provide visual baseline 3:30 patient ambulated with RN to meet parent at car RN provided update to parent and discharged to car EMT and RN recommended to patient that she pre-medicate with Benadryl prior to 2nd dose

Other Meds: Anxiety meds PRN | Hydroxyzine

Current Illness: N/A

ID: 0948440
Sex: F
Age: 62
State: IN

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

Lab Data: None

Allergies: Sulfa Eggs

Symptoms: Soreness with swelling and heat at injections site. Chills, Body Aches & Fatigue lasting 48hrs.

Other Meds: Allegra once daily Celexa 40mg once daily Hydrochlorothiozide 25mg daily Omeprazole 40mg daily

Current Illness: None

ID: 0948441
Sex: F
Age: 33
State: MN

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

Lab Data: Went to urgent care Jan 15 at 2pm and prescribed medication listed above.

Allergies: Allergic to penicillin, amoxicillin, cat/dogs

Symptoms: Severe urticaria, papular rash. Full body itchy, warm, red rash. Prescribed Tagamet,Benadryl and Prednisone 2 days after vaccination. Rash has only been getting worse each day.

Other Meds: None

Current Illness: None

ID: 0948442
Sex: M
Age: 34
State: MA

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

Lab Data:

Allergies: Morphine

Symptoms: Fever, chills, exhaustion, body aches ,

Other Meds:

Current Illness:

ID: 0948443
Sex: F
Age:
State: FL

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

Lab Data: NA

Allergies: no

Symptoms: Muscle aches and cold

Other Meds: no

Current Illness:

ID: 0948444
Sex: F
Age:
State: AZ

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

Lab Data:

Allergies: Sulfa, Lortab

Symptoms: None stated.

Other Meds:

Current Illness:

ID: 0948445
Sex: M
Age: 46
State: CA

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

Lab Data: None.

Allergies:

Symptoms: Muscle aches, joint pain, chills, fever (100.8) in order of onset; starting ~6:30 pm progressing to severe chills at 9:00 pm followed by fever (100.8) at 9:30 pm. Fever resolved by 1 am. Fatigue, mild headaches throughout the course of symptoms. (All events resolved 12 hours after onset of events.)

Other Meds:

Current Illness:

ID: 0948446
Sex: F
Age: 49
State: NY

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

Lab Data: 50mg benadryl seen in ED monitored and released at 7pm. Was referrend to follow up with allergist.

Allergies: NKA

Symptoms: Burning and itching at site, increased blood pressure, redness and burning down both arms, redness in face, hot, sweaty, and cold

Other Meds: Metformin, Xanax-PRN, Lortadine

Current Illness: No

ID: 0948447
Sex: F
Age: 63
State: MT

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

Lab Data: none, I stayed home

Allergies: Clarithromycin, allergies to sage, rag weed and coachia

Symptoms: Moderna, I want the second im injection. The adverse reaction lasted 2 days.

Other Meds: I got the shot around 1020. I woke up at 1205 with chills, high fever of 103, body aches and headache. The next day fever subsided a little and then I started getting ill in the evening, chills, low grade fever of 101.2 and body aches, M

Current Illness: B/P went high and had to take extra B/P medication.

ID: 0948448
Sex: F
Age: 33
State: MO

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

Lab Data:

Allergies: Benadryl, Procardia

Symptoms: Jaw tightness at 3:51pm ; lower lip quivering at 3:51pm; back of tongue swelling at 3:50pm. Administered 0.25mL epinephrine to patient at 3:54pm. EMS arrived to transport patient to hospital at 4:06.

Other Meds: Unknown

Current Illness: None

ID: 0948449
Sex: F
Age: 63
State: CA

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

Lab Data: no

Allergies: Flu shot, has to have in two parts

Symptoms: About 12 mins in, right eye got real dry. A few minutes later got stuffy nose. A few minutes later, throat got dry. Throat was red but not sore. Took a Benadryl and it went ago. For Three days it was sore, had some redness below the injection site.

Other Meds: Simvastatin, Zyrtec, Vitamin, CO Q10, Asthma Inhaler, Allegra, Benadryl

Current Illness: a mild cold x 2 days

ID: 0948450
Sex: F
Age: 27
State: NV

Vax Date: 01/10/2021
Onset Date: 01/11/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: N/a

Allergies: Amoxicillin, melon, avocado

Symptoms: Shortly after the dose, I had fatigue Over the next 12-36 hours, I experienced full body aches, extreme fatigue, fever and chills Had to call in sick for work It resolved after 48 hours

Other Meds: Albuterol prn

Current Illness: None

ID: 0948451
Sex: F
Age: 75
State: NC

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

Lab Data:

Allergies: no

Symptoms: Pt. reported: Swollen eyelids, lower lip, lower cheeks and below jaw. Pt. called primary care provider, who thinks this an allergic reaction to the vaccine. Advised pt to notify HD. Pt. did put this info into the v- safe info that was given.

Other Meds: Progesterone Advil

Current Illness: Headache, thought it was stress related, but no swelling, covid-19 neg one week prior

ID: 0948452
Sex: F
Age: 45
State: LA

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

Lab Data: None yet

Allergies: Yes, numerous skin sensitivities to various foods, cosentyx , Naprosyn.

Symptoms: Severe pain in both arms few hrs after injection given in left arm. Now, right arm swollen compared to left. Carpal tunnel pain at wrist. Worse at night and when holding arm in downward position. Have not had carpal tunnel before. No injury to arms. No recent trauma or heavy lifting

Other Meds: None at this time

Current Illness: None

ID: 0948453
Sex: F
Age: 62
State: MI

Vax Date: 12/28/2020
Onset Date: 12/31/2020
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: headache, fever, muscle aches

Other Meds:

Current Illness:

ID: 0948454
Sex: M
Age: 35
State: ID

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

Lab Data: None

Allergies: Ibuprofen, Naproxen, Avocado

Symptoms: 1/15/2021 01:42 chills and oral temp of 100.4 Fahrenheit, 02:05 body aches, nausea, chills 100.4 temp, 0815 nausea, vomiting, bodyaches, headache, joint pain 100..5 temp, 650mg tylenol taken, fever was reduced, 1530 headache nausea, body ache, fatigue more mild.

Other Meds: Famotidine, pseudoephedrine, zyrtec

Current Illness: Covid-19

ID: 0948455
Sex: F
Age: 23
State: AR

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

Lab Data:

Allergies:

Symptoms: Chills, body aches, nausea

Other Meds: None

Current Illness: None

ID: 0948456
Sex: F
Age: 53
State: AL

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

Lab Data: none

Allergies: none

Symptoms: hot flash, dizziness, headache similar to "brain freeze" from ice cream

Other Meds: Allegra D; Topamax for migraines prn; statin; meclazine for vertigo

Current Illness: none

ID: 0948457
Sex: F
Age: 63
State: MO

Vax Date: 12/23/2020
Onset Date: 01/09/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: MRI of head pending.

Allergies: None

Symptoms: Migraine with aura on day of vaccine 12/23/2020. Hemiplegic migraine with right side weakness and visual aura 01/09/2021 with no history of motor symptoms with migraine for 37 years. Migraine with aura 01/12/2021. Hemiplegic migraine 01/14/2021.

Other Meds: levothyroxine Bystolic vitamin K Eye vitamins

Current Illness: none

ID: 0948458
Sex: F
Age: 32
State: CT

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

Lab Data: At ER 1/14/21, had head CT, face CT, labs and EKG all which came back normal

Allergies: Sulfa drugs

Symptoms: Severe arm pain at injection site night of. At 5:15 AM the following morning (1/14/21) I experienced lightheadedness and fainted off the toilet hitting my face on the wall/radiator in front of me. My husband (who witnessed the fainting episode) stated I began convulsing and my eyes were rolled to the back of my head for 5-10 seconds. Upon regaining consciousness I was covered in sweat. After being assisted back to bed, I had nausea and headache with continued severe pain at injection site. I went to the ER around 6:45 AM since my severe headache, dizziness and nausea continued and to examine if I broke my nose in the fall. While in triage at the ER I experienced severe nausea and a second episode of fainting.

Other Meds: Lexapro Adderall

Current Illness: COVID-19 dx on 12/7

ID: 0948459
Sex: F
Age: 28
State: WI

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

Lab Data:

Allergies: gluten/barely/wheat-celiac disease

Symptoms: pain at injection site occurred an hour after injection and persisted into next day and continued to increase in pain and becoming tender to touch and movement. Muscle soreness throughout body, joint pain throughout body, chills and fatigue occurred previous day and continually persisted

Other Meds: multi vitamin, lamotrigine

Current Illness: none

ID: 0948460
Sex: F
Age: 43
State: NC

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

Lab Data:

Allergies: none

Symptoms: Headache

Other Meds: none

Current Illness: none

ID: 0948461
Sex: M
Age: 61
State: PA

Vax Date: 10/28/2020
Onset Date: 10/29/2020
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Arm hurts at the site of shot and when I lift my arm on the shoulder

Other Meds: Techfidera, anoro, Albuterol

Current Illness:

ID: 0948462
Sex: F
Age:
State: AZ

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

Lab Data:

Allergies: None

Symptoms: None stated.

Other Meds: None

Current Illness: no

ID: 0948463
Sex: F
Age: 42
State: WA

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

Lab Data:

Allergies: Sulfa, keflex, amoxicillin

Symptoms: Diarrhea

Other Meds: Methadone, welbutrin, Klonopin, haldol, acyclovir.

Current Illness: None

ID: 0948464
Sex: F
Age: 31
State: CO

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

Lab Data:

Allergies:

Symptoms: I received my second dose of the COVID vaccine on 1/11/2021 at 9:30am. That evening, I developed severe body aches. No fever was ever noted, but I felt hot through most of the next day. The body aches impaired my ability to work on 1/12/2021 and as a result I called out sick. These symptoms resolved the morning of 1/13/2021 and I have felt fine since.

Other Meds:

Current Illness:

ID: 0948465
Sex: F
Age: 47
State: CA

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

Lab Data: No tests/labs. Treatment included IV Benadryl, & Solumedrol in ER 30-40 or so minutes after.

Allergies: Biaxin-intolerance

Symptoms: approx 20-30 minutes after injection: tingling lips & tongue, which then turned numb. Inability to take deep breath. Severe difficulty swallowing. Difficulty getting words out, then slurring of words/poor pronouncing of words. Foggy head. Poor balance.

Other Meds: Keppra 1500 mg BID; Lamotrigine 200 mg BID, Carbamazepine ER 400 mg BID. Gabapentin 900 mg TID, Fluoxetine 40 mg daily, Meloxicam 15 mg daily, Zyrtec 10 mg daily, Tizanidine 4 mg Q* hours PRN, Tramadol 50 mg Q6 hours PRN

Current Illness: none

ID: 0948466
Sex: F
Age: 53
State: CA

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

Lab Data:

Allergies: PCN

Symptoms: patient verbalized feeling dizzy, lightheaded.

Other Meds: none

Current Illness:

ID: 0948467
Sex: F
Age: 50
State: KY

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

Lab Data: NA

Allergies: na

Symptoms: Patient reported feeling throat tight, tongue thick - lightheaded with fluctuating temperature : bp 168-144/100-94 during episode with pulse ox 96%. patient was rosy and flush. Administered 1 epinephrine pen and 50 mg oral diphenhydramine . patient monitored from 3 pm until 530 pm and advised to see primary care provider

Other Meds: na

Current Illness: na

ID: 0948468
Sex: M
Age: 70
State: NY

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

Lab Data:

Allergies:

Symptoms: Patient was given first dose Moderna and second dose pfizier. The wrong vaccine was given the second dose and it was given one week earlier.

Other Meds:

Current Illness:

ID: 0948469
Sex: F
Age: 60
State: OR

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

Lab Data: NA

Allergies: None

Symptoms: I filed the V-Safe for one week. Originally my arm was firm and red, and swollen...that went away in 2 days, and I felt fine. Oddly yesterday, my arm started another identical reaction from the vaccine, where it was a small white area, then became red and inflamed in an hours time. It was warm to touch. Very itchy this time. I used a no touch thermometer on it and it read 100.4. My forehead temp was 97. It is feeling better and going away again, but I thought it was odd and that you should know. Thanks.

Other Meds: Toprol, Paxil, Carafate, Sudafed, Tylenol, Vit D

Current Illness: None

ID: 0948470
Sex: F
Age: 65
State: TX

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

Lab Data: Exam by physician

Allergies: NKDA

Symptoms: Immediate response to swelling, redness and knot size of half dollar which lasted 4-5. Soreness in arm for 2 days, continuous itching. Day 10 swelling began again and continue to expand to 7" vertically and 7.5" horizontally. Sought medical attention

Other Meds: vitamin-multi melatonin

Current Illness:

ID: 0948471
Sex: F
Age: 50
State: WA

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

Lab Data: CT SCAN AND BLOOD TEST TO CHECK FOR STROKE

Allergies: REGLAN

Symptoms: 5-6 HOURS AFTER VACCINATION. CONVULSIONS/SEIZURE, HIGH BLOOD PRESSURE, INCREASED HEART RATE,

Other Meds: HORMONE REPLACEMENT THERAPY

Current Illness: N/A

ID: 0948472
Sex: F
Age: 42
State: HI

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

Lab Data: Labs done to check on possible infections all came normal

Allergies: None

Symptoms: I had 100.2F at night and significant chills and fatigue and my fever went on until Thursday. I had a pretty big immune response. the right side of my face got numb into my neck and my chest and I feel my lymph nodes turned into marbles. I also have swelling in my lymph nodes, my neck and my back. I sought medical care on Thursday due to the swelling and my PCP does not have a clue what to do.

Other Meds: None

Current Illness: None

ID: 0948473
Sex: F
Age: 35
State: CA

Vax Date: 01/11/2021
Onset Date: 01/13/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: na

Allergies: NA

Symptoms: 1/12/21 - developed significant redness, warmth, swelling L upper arm and area near collarbone.

Other Meds:

Current Illness: NA

ID: 0948474
Sex: F
Age: 29
State: CA

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

Lab Data:

Allergies: none known

Symptoms: Moderna COVID-19 Vaccine EUA Red, inflamed, hot-to-the-touch blotch has appeared surrounding the injection site. About an inch and a half in diameter. Appearance started 9-10 days post-injection. Patient also running a fever of 100.2. I'm reporting immediately so no treatment/outcomes yet.

Other Meds: Vitamin C, vitamin D, olive leaf extract, famotidine 20mg

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm