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: 0949601
Sex: F
Age: 30
State: CA

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

Lab Data: Ultrasounds

Allergies: NKA

Symptoms: After receiving the first covid vaccine on 12/18 in the morning, I had my period about 12 hours later. Throughout my life, my periods are very regular and typically last 6 days. But after the vaccine, my period never stopped. I am still currently bleeding. I've seen a doctor for it and they said its a hemorrhagic corpus luteum cyst. For now the doctor isn?t too concerned, but it?s unusual for my body to be going through this.

Other Meds: N/a

Current Illness: N/A

ID: 0949602
Sex: F
Age: 35
State: CA

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

Lab Data: none

Allergies: none

Symptoms: Patient felt numbness on her left cheek and developed hives on her forehead within 4 hours or receiving the Pfizer covid-19 vaccine. Resolved within 24 hours without treatment.

Other Meds:

Current Illness: none

ID: 0949603
Sex: F
Age: 31
State: MA

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

Lab Data: None

Allergies: Suprax, augmentin, bee stings

Symptoms: Sensation of heat and numbness tingling in Chest up into throat mouth and lips, palpitations, dizziness, elevated heart rate, chills, tingling in extremeties, burning in throat ; started aprroximately two minutes after administration, took benedryl and water, waited another 15 minutes where signs and symptoms started to subside a little bit and thought I was okay but then came back at about 25 minutes post vaccine where it was decided to go to emergency department.

Other Meds: Probiotics, mirena IUD

Current Illness: N/a

ID: 0949604
Sex: F
Age: 38
State: MA

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

Lab Data: Sent to Hospital- no information regarding this stay other than that she was released home.

Allergies: Dust

Symptoms: Patient reported dizziness and was moved into invertable chair, she described feeling weak and lightheaded. Per allergic reaction protocol she was given 50mg of IV benadryl while her BP was checked every 5 minutes. No decrease in BP during episode. Dizziness/lightheadedness did not resolve, per MD and protocol 100mg IV solumedrol was administered while continuing to check BP every 5 minutes. She did not feeling better and could not stand, 911 was called for ambulance to ED for assessment.

Other Meds: none

Current Illness: None

ID: 0949605
Sex: F
Age: 26
State: UT

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

Lab Data: NA

Allergies: PCN - unknown reaction

Symptoms: 8 cm symmetric erythematous, sl raised, hot, tender site reaction 1 week following administration

Other Meds: buspar 15 mg bid, fluoxetine 20 mg daily, amitriptyline 10 mg daily, lorazepam

Current Illness: none

ID: 0949606
Sex: M
Age: 42
State: TN

Vax Date: 12/23/2020
Onset Date: 12/26/2020
Rec V Date: 01/15/2021
Hospital:

Lab Data: Had two COVID test- both negative

Allergies: no

Symptoms: ER for shortness of breath for 3-4 days; they took x-rays of lungs - clear; inhaler - Albuterol ; tested for COVID - negative

Other Meds: Lecinpro - hypertension

Current Illness: no

ID: 0949607
Sex: F
Age: 78
State: AK

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

Lab Data:

Allergies: erythromycin, naproxen, penicillin, sulfa

Symptoms: 15 minutes after Moderna COVID vaccine patient experienced dizziness, slight chest tightness, and numbness to her lower lip. She was given benadryl 25 mg. Her dizziness, chest tightness, and lip numbness resolved. She did have elevated blood pressure reading at 1200 was 130/90 1230 was 180/82 it took 2 hours of resting to get her blood pressure down to 152/82

Other Meds: multivitamin, magnesium, vitamin D, melatonin, fosamax 70 mg

Current Illness:

ID: 0949608
Sex: F
Age: 62
State: CA

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

Lab Data:

Allergies: Vancomycin erythromycin

Symptoms: Woke up with sore throat and nose congestion. Feels like there is a ball of mucus stuck in my throat that I can?t get rid of.

Other Meds: Lisinopril, low dose aspirin, Incruse Elipta, fluticosone

Current Illness:

ID: 0949609
Sex: F
Age: 37
State: CA

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

Lab Data: 12/30/2020- EKG 01/15/2021- phone consult occupation health- referred to Allergist

Allergies: Gluten

Symptoms: 12/30/2020- 5 minutes after receiving vaccination pt c/o throat tingling and tightening. Then 10 minutes later began having headache. Sent to ED- EKG completed, and pt was monitored. Declined Benadryl. Apx 5-7 pm that night when at home pt decided to take a half dose of OTC Benadryl. pt woke in middle of night still with headache-took Advil. When woke in the morning had diarrhea and stomach discomfort- lasted apx 24 hours. Then beginning on 01/04/2021 pt noticed the sensation of having a burned tongue and roof of mouth.- is constant and sensitive to heat. pt reports that intermittently in the evening she is also getting the sensation of tongue and throat swelling- denies any SOB and denies actual swelling just sensation.

Other Meds: Birth Control, Multi Vit

Current Illness: n/a

ID: 0949610
Sex: F
Age: 54
State: GA

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

Lab Data: none known

Allergies: none known

Symptoms: A few minutes after receiving the vaccine, patient complained of dizziness and sat down. Within just a couple of minutes she was losing consciousness. 911 was called and EMT came within 5-8 minutes and patient was on floor. EMT assessed patient and transported to local hospital (Medical Center). Patient was seen and discharged and the physician at the hospital did not feel the seizure was a result of the vaccination but her medical condition and history of seizures.

Other Meds: not known

Current Illness:

ID: 0949611
Sex: F
Age: 49
State: CA

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

Lab Data: See above Troponin elevated 1/14/21 Abnormal EKG 1/14/21 Abnormal ECHOcardiogram 1/14/21 Takotsubo Cardiomyopathy (also known as stress induced cardiomyopathy) Normal coronary angiogram 1/14/21

Allergies: Percocet allergy: hives

Symptoms: At 6 days after my second COVID-19 Pfizer vaccine (first dose given 12/17/20), I had acute onset of chest pain and shortness of breath prompting a trip to the Emergency Department. A chest CT Angio to rule out pulmonary embolus was done and negative for pulmonary embolus. My EKG showed some mild ST changes and a troponin I level was elevated at 0.08 (normal 0.04). Subsequent troponin levels 90 minutes apart showed a rising troponin at 0.18 and 0.38. An echocardiogram was performed which showed regional wall motion abnormalities consistent with Takotsubo cardiomyopathy and an ejection fraction of 45%. I was then taken to cardiac catheterization lab for coronary angiograms which were normal. My LV angiogram was consistent with Takotsubo cardiomyopathy and my LVEDP was elevated. I was started on a beta blocker and sent home the following day.

Other Meds: Ethinol Estradiol Levothyroxine

Current Illness: none

ID: 0949612
Sex: M
Age: 71
State: WI

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

Lab Data: None.

Allergies: NKDA

Symptoms: Transient global amnesia lasting from around 2pm on January 7th until the next morning when patient awoke.

Other Meds: Losartan/HCTZ, Tamsulosin

Current Illness: Low back pain due to DDD and spondylosis.

ID: 0949613
Sex: F
Age: 49
State: PA

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

Lab Data: none

Allergies: Pollen

Symptoms: I had mild pain at the injection for the first couple of days, which resolved. On day 10 post-injection, I developed itchiness at the injection site, including a hive approximately 1 in in diameter. The muscle are underneath the hive was swollen/hard. After a couple of hours, the hive resolved, but the skin was reddened in the same area. On Day 11 post injection (today), the redness/rash spread to approximately 2 inches in diameter and is a little itchy. The muscle area under the reddened skin remained swollen/hard. I am hoping that these symptoms will resolve.

Other Meds: MVI, Turmeric, Glucosamine

Current Illness: none

ID: 0949614
Sex: F
Age: 51
State: FL

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

Lab Data:

Allergies: Avalon

Symptoms: 24 hours waves of nausea and sweats started, then a short time later a bad headache and about 40 minutes later diarrhea and chills. Also very fatigued and just feeling off.

Other Meds: Wellbutrin, Protonix, Doxycycline, Colace, Vit D3, Calcium, Zinc, Biotin, Mulit with Iron

Current Illness:

ID: 0949615
Sex: F
Age: 44
State: AZ

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

Lab Data: I was seen in the ER two days ago on 01/13/2021. CBC,CMP,Coagulation panel and Abbot rapid test was done. Cepheid send out done for possible COVID The Abbott test is negative. Pending Cepheid results. No other etiology identified.

Allergies: IV dye Reglan Percocet L?tex Clindamycin

Symptoms: 0845 flush to chest and throat 0850 vitals checked BP: 90/60 0930 Benadryl 50 mg PO taken 1000 hives to left side of neck 1005 another 50 mg of Benadryl PO taken and Tylenol 650 mg PO for chills and headache 1200 famotidine PO taken for burning to stomach 1400 diarrhea and weakness. Hives had subsided 1800 another round of Benadryl and Tylenol and famotidine. Saturday at 0200 woke up abruptly itching all over. Took more Benadryl. Saturday all day medicated every six hours with Tylenol, Benadryl and Pepcid. Diarrhea continued with abdominal cramps. Sunday continued same treatment for same symptoms. Hydration was aggressive and added Bentyl. Monday, Tuesday and Wednesday symptoms continued except for the itchiness. Continued Tylenol. Diarrhea persists as well as body aches, weakness and headaches. Friday, it is now a week and I still have diarrhea and chills and weakness.

Other Meds: Collagen

Current Illness:

ID: 0949616
Sex: M
Age: 56
State: RI

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

Lab Data: none

Allergies: none, but have gotten phlebitis due to IV valium being infused at time of surgery

Symptoms: 2 days after my second vaccine, on 1/13/21, I developed a 2 inch painful soft lymph axillary node. the second vaccine, 2 days prior was in my left deltoid. Curiously, I felt almost no soreness in the deltoid, that i hade felt in that deltoid after I got the first dose there.

Other Meds: Xarelto

Current Illness: hx DVT, mild OA hands

ID: 0949617
Sex: M
Age: 47
State: NC

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

Lab Data: Crp=1.29 Esr=18 Awaiting the rheumatologic panel January 15th 2021

Allergies: None

Symptoms: 2 days after vaccine, left neck spasms and pain. Now developed sternoclavicular synovitis on the left side

Other Meds: None

Current Illness: None

ID: 0949618
Sex: F
Age: 46
State: AL

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

Lab Data:

Allergies: Sulfa

Symptoms: On 12/25 experienced intense uterine cramping. I?ve had a uterine ablation (2009( and have only had minor spotting a few times per year since. I have very mildly cramping 1-2 times per year. This was mid cycle extremely intense. I had some minor spotting the next day. I have since found multiple others that experienced menstrual irregularities within 24-48 hours of injection.

Other Meds: Aspirin Eylea q 5 mos intravitreal for CRVO (last 12/4/20)

Current Illness:

ID: 0949619
Sex: F
Age: 26
State:

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

Lab Data:

Allergies:

Symptoms: Injection site became red, lumpy, warm to touch, and itchy. Armpit also felt a dull pain with movement. The redness has not spread. Also felt nauseous and had extreme headache.

Other Meds:

Current Illness:

ID: 0949620
Sex: F
Age: 61
State: WA

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

Lab Data: No medical attention

Allergies: Isosorbide and prednisone

Symptoms: As stated I fainted about 3 hours after injection. I thought it was because I had worked all night. I fell forward and sustained bruising to my right cheek and temple. I will be reporting another report regarding the second dose with adverse reaction that is the same but required EMS and Emergency Room visit. Approximately 3 hours after injection I was getting ready for bed (as I work nights). I was talking with my daughter and I stood up and remember waking up on the floor. Bruising to the right cheek and temple. I did not seek medical attention and went to bed. I had no further episode but remained dizzy for several days.

Other Meds: Approximately 3 hours after injection I was getting ready for bed (as I work nights). I was talking with my daughter and I stood up and remember waking up on the floor. Bruising to the right cheek and temple. I did not seek medical attentio

Current Illness: None

ID: 0949621
Sex: F
Age: 69
State: TX

Vax Date: 01/08/2021
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Severe Hives from neck to knees.

Other Meds:

Current Illness: None

ID: 0949622
Sex: F
Age: 58
State: PA

Vax Date: 01/06/2021
Onset Date: 01/09/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies: no known allergies

Symptoms: Received vaccine in Left Deltoid on January 6, 2021; awoke with left lower quadrant breast pain on 1/9/21. There has been consistent in pain (consistent soreness) , in left breast since January 6. There is a dilated vein or blood vessel noted in the left breast I can feel an indurated or firm small bump under the dilated blood vessel. There is also pain in the right breast, but there is not as painful.

Other Meds: Prozac, Protonix, Botox in January, Trazadone, ppd in november 2020

Current Illness: none

ID: 0949623
Sex: F
Age: 54
State: CT

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

Lab Data: None

Allergies: Penicillin and Sulfa antibiotics

Symptoms: Day 1: mild sore shoulder Day 6: mild soreness returns Day 7: moderate soreness, itch, redness, swelling Day 8: swelling, redness & soreness increases, warm to the touch. Saw Dr at 3pm ordered prednisone, antibiotics and over counter allergy meds for 5 day treatment

Other Meds: Isagenix shake system and essentials for women

Current Illness: None

ID: 0949625
Sex: F
Age: 35
State: MA

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

Lab Data:

Allergies: Allergic to feathers, mold, cigarettes and few other common allergens

Symptoms: 10 minutes after the shot while I was waiting my hand started to feel numb and cold, the feelings moved to the face, mostly nose and left leg. The paresthesia feelings and tingling were on and off for three days and still happening in the left arm. On the same day I also felt a bit chest tightness more then usual and a weird feeling in the throat

Other Meds: Sertaline

Current Illness:

ID: 0949626
Sex: F
Age: 23
State: CA

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

Lab Data:

Allergies: n/a

Symptoms: woke up in the middle of the night with a fever of 100.2 degrees F and muscle soreness took Tylenol 500mg at 5am then at 8am fever and muscle sorenessbeginning to come back around 5pm

Other Meds: Kyleena

Current Illness: n/a

ID: 0949627
Sex: F
Age:
State: NC

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

Lab Data: chest xray ,cbc cnp, a1c-- all normal results

Allergies: N/A

Symptoms: 2nd dose: no ae events 1 nd dose:12/24/20 07:30 PM Heavy head at awakening 4:30 AM, spouse drove pt to work; brain fogginess, fatigue arriving home; pt did not eat for 2 days, lethargic; forced self to hydrate; missed work for 4 days. Large lesion roof of mouth l side to larger two front teeth, very painful, Veltrax PCP. Pt regained appetite as lesion went down in mouth. Lesion has resolved, all other symptoms have resolved.

Other Meds: Metaformin 1,000mg, Lisinopril, Crestar

Current Illness: N/A

ID: 0949628
Sex: F
Age: 42
State: NE

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

Lab Data: na

Allergies: na

Symptoms: Left UE has been sore the day after injection. Around 24 hours later, headache, more sore, tired and just want to have quite.

Other Meds: na

Current Illness: na

ID: 0949629
Sex: F
Age: 45
State: IL

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

Lab Data:

Allergies: Neosporin & Bacitracin have caused a rash in the past.

Symptoms: Dose one, 1/13/21 ... Took 500mg of Tylenol right before (10:40am) and 4 hours later. Sore arm & dull headache started about 3 hours after. Felt nasal congestion about 7 hours after. By 10 hours after, also had chills. Took 400mg of ibuprofen. Nasal congestion better. Still have headache and chilled but not shaking. (Lasted about 15-20 minutes) Went to bed at 10:30pm. Slept awful! Tossed and turned all night with muscle aches from lower back down legs. Felt flush. Headache still. Chills again when I got up. 1/14/21 ... At work (9am) entire body hurts. Feel like it?s hard to hold my body up. Took ibuprofen at like 9:30am. Chills turned to hot flashes at 11am. Went home to rest. Slept from noon to 6:30pm. Feeling much better. Still have a dull headache. Arm feeling much better, just a little sore now. 7pm Took Ibuprofen. Moved to the couch. Ate dinner. Feeling hot again. 1/15/21 ... slept from 11pm-7:30am. Woke up feeling like a new person! No headache or body aches. Arm still tender to touch. Mild hot flashes at work.

Other Meds: Ferrous Sulfate 325mg QAM, Vit D 2,000units QPM, Super B Complex vitamin QPM, On Gaurd QPM (immunity support supplement), and 500mg acetaminophen half hour prior to vaccine. Also drank my daily Shakeology shake on the way to my appointment

Current Illness: Had Covid-19 in December. Symptoms started 12/11/20.

Date Died: 01/08/2021

ID: 0949630
Sex: F
Age: 98
State: HI

Vax Date: 01/02/2021
Onset Date: 01/03/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: None as she was under hospice care

Allergies: Simvastatin

Symptoms: This patient has been under hospice care for over 2 years at the nursing home. She has had a steady decline with gradual weight loss. She was totally dependent in her care needs. She received the vaccine on 1/2/2021 as part of the facility vaccination campaign. No adverse events noted initially. On 1/3/2021 at 6:06 pm, she was noted on vital sign checks (done every 4 hours for first 72 hours after vaccination) with BP 64/52 but otherwise asymptomatic. Subsequent BP improved. On 1/4/2021 at 4:45 am, pt found with respiratory rate of 30 with otherwise normal vital signs. Tachypnea persisted, so she received liquid morphine 2.5 mg without improvement. Supplemental oxygen was applied. Tachypnea persisted. She had poor oral intake after that point had persistent tachypnea and worsening hypoxemia despite clear lungs on exam. She remained under hospice care and comfort measures were continued. No blood testing or imaging tests were done. She required increasing amounts of oxygen, became hypotensive, and died peacefully on 1/8/2021 at 7:45 pm.

Other Meds: Senna-S, cranberry pills

Current Illness: Redness to left foot about 1 week prior to vaccination that resolved a few days prior

ID: 0949631
Sex: F
Age: 57
State: CA

Vax Date: 01/05/2021
Onset Date: 01/13/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: None

Allergies: Keflex - I got a delayed full body rash, approximately a week after I started taking Keflex

Symptoms: After receiving the injection, my left upper arm was sore for 2-3 days, but nothing else. 8 days after receiving the injection, I noticed my arm was itchy, and then realized there was a 9 x 6 cm area of rash in the area of injection. Minimally raised. At this time I noticed I could elicit a wheal and flare reaction easily on other parts of my body (abdomen, leg). However, for the next several hours there was no noticeable increase in the rash. I waited a few hours to see what would happen, and then took a Benadryl and went to sleep. The rash was still there in the AM, but fainter and had not spread.

Other Meds: Amlodipine.

Current Illness: None

ID: 0949632
Sex: F
Age: 59
State: PA

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

Lab Data:

Allergies: Sea food

Symptoms: Five to seven minutes after injection felt dizziness, chest tightness, flash, pressure in eyes, nausea. Blood pressure was measured by a medical technician, first measurement 178/92 mmHg, ten minutes later systolic 147, after another 10 minutes 141 mm Hg. Was no treatment offered at that time, had a choice to be escorted to an emergency department, or leave. Left with BP 141/75 mmHg, took Benicar 20 mg at 11am. At 2 pm BP was 136/72 mmHg, at 4 pm 104/72 mmHg. The rest of the day had a light headache .

Other Meds: Fenofibrate 48mg, Vit D 3,000 IU, Nexium 20mg

Current Illness:

ID: 0949633
Sex: F
Age: 61
State: WA

Vax Date: 01/10/2021
Onset Date: 01/13/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: They did a CT of my face, head, neck and spine along with an EKG, CBC and a BMP. All results were negative.

Allergies: Isosorbide and prednisone

Symptoms: Increased fatigue with dizziness. On the 3rd day at around 2130 I walked into my home and woke up on the floor. EMS was called and I was sent to the emergency room. Bruising to my left eye with a short LOC.

Other Meds: Synthroid, Lisinopril, Baby ASA, Mobic, Lopressor

Current Illness: None

ID: 0949634
Sex: F
Age: 43
State: PR

Vax Date: 01/05/2021
Onset Date: 01/13/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: n/a.

Allergies: No allergies.

Symptoms: After a week of COVID vaccine administration (Moderna) and 5 days without discomfort and redness, the patient presented pain, warm, itching and redness in the injection area. In addition, she presented nausea and a lot of fatigue. Her doctor recommended to take Benadryl, ice in the area and keep on observation. The next day the patient woke up better.

Other Meds: Vitamin C Vitamin D Vitamin B 12

Current Illness: no

ID: 0949635
Sex: F
Age: 51
State:

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

Lab Data:

Allergies:

Symptoms: Left deltoid soreness x 48 hours

Other Meds:

Current Illness:

ID: 0949636
Sex: F
Age: 54
State: MO

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

Lab Data:

Allergies: Codeine

Symptoms: 1826: Pt reported feeling like her heart was racing. R hand tremors noted. Pt reported history of SVT with first dose of some new medications. Pt reports intermittent SVT and PVCs post ablasion. HR 136, regular rhythm. 1828: 176/101 (119), HR 108, Resp 22, 99% on room air Pt reports feeling like her HR is returning back to normal, hand tremors continue. Reports mild shortness of breath, which is typical with her SVT episodes. 1831: 151/82 (98), HR 81, regular rhythm, Resp 12, 98% on room air. Denies any worsening or any additional symptoms. Hand tremor no longer present. 1839: 151/104 (113), HR 76, regular rhythm, Resp 10, 98% on room air. Pt reports headache and mild nausea that is typical with her SVT episodes. Pt appears relaxed sitting in chair. 1845: HR 78, regular rhythm. Pt remaining in monitoring area for 15 additional minutes. No s/s further distress. Pt calling husband to take her home. 1905: BP 157/91 (107), HR 87, regular rhythm, 98% on room air, Resp 14 Pt c/o numbness to L arm with some L chest tightness. Reports this sometimes happens with her SVT episodes. 1907: No further chest tightness or L arm numbness. Pt reports feeling anxious. Does not want to go to the ED for further monitoring. Continues to report that her symptoms feel typical after her SVT episodes with some additional nausea. 1910: 132/112 (117), HR 78, regular rhythm. Pt reports improvement of symptoms. Pt relaxed in chair. Instructed pt to stop and call 911 if she has any concerning symptoms after leaving clinic including difficulty breathing or HR abnormalities.

Other Meds: alaprazolam, pantoprazole, levothyroxine, Spiriva Respimat, asmanex HFA, sumatriptan, loratadine, fluticasone, Montelukast, levalbuterol HFA

Current Illness: gastrointestinal virus

ID: 0949637
Sex: F
Age:
State: CA

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

Lab Data:

Allergies: UKDA

Symptoms: Patient received the covid vaccine dose #2 on 01/13/2021. c/o new onset of fever, HA, dizziness, bodyache, and L axillary swelling and tenderness few hours after the injection. Feel better today but very fatigue. Denies any respiratory or GI symptoms.

Other Meds: None

Current Illness:

ID: 0949638
Sex: F
Age: 38
State: SD

Vax Date: 01/07/2021
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Hive like rash on arm, hard around injection site, itchy, soreness came back

Other Meds:

Current Illness:

ID: 0949639
Sex: F
Age: 35
State: KY

Vax Date: 01/08/2021
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: N/A

Allergies: NKA

Symptoms: Moderna COVID-19 Vaccine The next day after the vaccine my right upper arm was sore. (I received the vaccine in my right shoulder.) In the AM of the 6th day after the vaccine I woke with swollen, sore, tender lymph nodes of my right armpit. (Shot was received in right shoulder.) It is currently the evening of the 7th day after receiving the vaccine, and my right armpit lymph nodes are still sore, swollen, and tender.

Other Meds: Viibryd Bupropion Flonase

Current Illness: Some sort of ear ache type thing. MD said the inside of one ear had some inflammation MD thought maybe because of allergies .

ID: 0949640
Sex: F
Age: 36
State: CA

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

Lab Data: None at this time,just continue to monitor myself and just reported it to the imbestigating team at employeer then scheduled me for my next covid test on tuesday morning,my last rapid covid test is on january 13 @7am it is negative result.

Allergies: None

Symptoms: After 12hrs of covid vaccine 2nd shot i feel dizzy and tired/fatigue then feeling cold,feverish and having body aches and headache.i just rest in bed and took advil that night and tylenol on the 2nd day.until now on and off feeling fatigue,body aches, headache and fever.

Other Meds: I take my asthma medication (co-altria) as needed.

Current Illness: None

ID: 0949641
Sex: F
Age: 52
State: SC

Vax Date: 01/05/2021
Onset Date: 01/10/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: CBC with differential; CMP; and PT/PTT - all normal - 01/14/2021 Rash is still visible on palms of hands but is resolving as of 01/15/2021.

Allergies: Sulfa drugs

Symptoms: A petechial rash developed on my bilateral palms of hands, left greater than right, on 01/10/2021. There was no rash noted on my feet or body habitus. When the lesions became darker and more punctate , decision was made to seek medical attention. There was no history of trauma, fever, or skin injury. I saw my Internist, on 01/14/2021 for evaluation and treatment.

Other Meds: Rosuvastatin - 10 mg po Q Day

Current Illness: None

ID: 0949642
Sex: M
Age: 53
State: IN

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

Lab Data: None

Allergies: None

Symptoms: Chills lasting approximately 6-8 hrs Severe headache and body aches lasting approximately 48 hrs soreness at injection site lasting 36 hrs After Injection, provider stated that she had forgotten to add the vaccine in the syringe and had to give me a 2nd shot. I voiced my concern to her stating "I hope your certain of this and your not going to give me a 2nd dose". She assured me that she was certain that the syringe was empty. I received a 2nd shot assuring this time the vaccine had been drawn into the syringe.

Other Meds: Atorvastatin, Fish Oil W/Omega 3, Magnesium

Current Illness: None

ID: 0949643
Sex: F
Age: 70
State: FL

Vax Date: 01/02/2021
Onset Date: 01/10/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data:

Allergies: no

Symptoms: 1 week after shot broke out in hives,,,its been 6 days so far of hives

Other Meds: zoloft levothyroxine atorvasyatin biotin vit c vit b

Current Illness:

ID: 0949644
Sex: M
Age: 62
State: OR

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/15/2021
Hospital:

Lab Data: (none)

Allergies: (none)

Symptoms: Debilitating headache, systemic pain (joints, muscular, esp. neck), lower-back/lower-side pain for three (3) days after receiving vaccine; persisting significant lower-back/lower-side pain remains eight (8) days after receiving vaccine.. Note: Patient did not contract chickenpox until the age of twenty-six (26) years old. Patient reports that his reaction to the chickenpox infection at that time as having been "extreme" (inability to move due to pain, trouble breathing, high fever), with symptoms lasting seven days.

Other Meds: Levothyroxine 75 mcg, Trintellix 10 mg, Pravastatin 40 mg, AREDS2 supplementation, multivitamin (O.N.E. by Pure Encapsulations), glucosamine/chondroitin supplement (Pure Encapsulations)

Current Illness: (none)

ID: 0949645
Sex: F
Age: 34
State: CA

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

Lab Data: None, if urgent cares/hospitals weren't so crowded I would have sought medical care. But I did not.

Allergies: Skin allergy to Chlorine bleach

Symptoms: Vaccine was received at 4:55pm. 8:30pm, I started to feel fatigued and disoriented. By 9am I started to feel muscle aches and sharp joint pain, as expected. By 1200 noon, the pain intensity was increasing, coming in waves, lasting 10-15 minutes. The pain waves were 10/10, very severe, and was causing me to shake, cry, and be unable to function or sleep. I was also very disoriented, but I think due to the pain. It was mildly relieved with ibuprofen/Tylenol alternating every 3hrs, but continued until 6pm. It began to subside at 6pm. I am an RN, and sought the advice of my employee health nurse, who advised me to seek medical care if it continued through the night. The pain began to subside, so I did not. However, if a non-healthcare person experiences that, they will think they are dying.

Other Meds: Birth control

Current Illness: 8 days of fatigue/nasal congestion, sore throat, runny nose, and dry cough due to runny nose

ID: 0949646
Sex: F
Age: 32
State: KY

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

Lab Data: None

Allergies: None

Symptoms: Severe headache the next day. Mild fatigue and mild nausea.

Other Meds: Oral Birth control Xyzal 5mg daily Zoloft 100mg daily

Current Illness: None

ID: 0949647
Sex: F
Age: 39
State: CA

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

Lab Data: None

Allergies: PENICILLIN KEFLEX

Symptoms: Patient developed episodes of palpitation, nausea, high Blood pressure and chills that lasted <5minutes each. BP 140/82, HR 138, SPO 100 BP122/83, HR 95, SPO2 98 BP 119/87, HR 87, SPO2 98 Patient monitored for 1 hour and she is back to baseline without symptoms.

Other Meds: NONE

Current Illness: NONE

ID: 0949648
Sex: F
Age: 46
State: IL

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

Lab Data:

Allergies:

Symptoms: I previously reported an event with my left arm 8 days after receiving shot. Swelling, red, hot, itchy. That is 90% cleared up. This afternoon the left side of my face feels tingly/numbish.

Other Meds:

Current Illness:

ID: 0949649
Sex: F
Age: 41
State: CT

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

Lab Data: N/A

Allergies: Bee stings Gluten intolerance

Symptoms: Fatigue- started around two hours after injection Diarrhea- sudden onset (type 7 on the Bristol Stool Chart)- around 5.5 hours after injection.

Other Meds: Dextroamp-Amphetamin 10 mg Adult Multivitamin Super B-Complex (Key B Vitamins + Vitamin C) D3 E Probiotic Turmeric Allergy Aller-Tec Bromelain

Current Illness: None

ID: 0949650
Sex: F
Age: 38
State: CA

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

Lab Data: none

Allergies: benadryl, codeine, dilaudid, vicodin, pineapple

Symptoms: Patient received first dose of Moderna COVID-19 vaccine on 12/31/20. She took Zyrtec and tylenol 30 minutes before the injection as premedication. She was observed after the injection, felt skin itching after 11 minutes. Nurse checked her BP was 137/67 and temperature was 97F. After 10 minutes BP was 114/60 and temperature was 99.1F. Skin pruritus felt worse. Patient stayed an hour under observation and was sent home. At home that day felt throbbing headache and sore throat. Had fever of 101 and emesis 6 times. She took Zofran and 4 more doses of Zyrtec that day. Next day pruritus resolved. Still had headache and temperature 100.2. Took tylenol every 4-6 hours. The symptoms all resolved after 2 days. No cough or shortness of breath.

Other Meds: Zyrtec and Tylenol taken 30 minutes before vaccination.

Current Illness:

ID: 0949651
Sex: F
Age: 28
State: AL

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

Lab Data: I am currently on antibiotics for cellulitis in my arm.

Allergies: No

Symptoms: Red, swollen, skin hot, headache, fatigue. Onset was a week later and has gotten worse over the past 2 days.

Other Meds: Invokana, ozempic, tresibia, omeprazole, Lexapro, atorvastatin

Current Illness: No

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm