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: 0952281
Sex: F
Age: 61
State: CT

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

Lab Data:

Allergies: NKA

Symptoms: Patient initiated rescheduling of 2nd dose appt from 4 weeks to 3 weeks and there was failure to recognize the 28 days between appts was appropriate for Moderna series and there was an inadvertent change in Pfizer COVID-19 vaccine dose for dose 2 in series.

Other Meds: Vitamin C, Calcium, Vit D, clobetasol topical foam, estradiol

Current Illness:

ID: 0952282
Sex: F
Age: 49
State:

Vax Date: 01/08/2021
Onset Date: 01/11/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: swollen right lymph node, unable to move arm

Other Meds:

Current Illness:

ID: 0952283
Sex: F
Age: 34
State: TN

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Vaginal bleeding/spotting/menstruation: on hormonal IUD and don't normally have any sort of period, but started spotting ~24 hours after 2nd dose of COVID vaccine. Associated with headache and cramping

Other Meds: Escitalopram, Montelukast, cetirizine, melatonin, Dymista, Kyleena IUD

Current Illness: sinus infection

ID: 0952284
Sex: F
Age: 53
State: GA

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: none

Allergies: Singulair, Amoxicillin, Biaxin, Percocet, Many outdoor allergens

Symptoms: Pain in left arm for 5 days. Pain in lymph nodes under left arm going into the breast tissue starting on the second day. Tiredness, severe headache unrelieved by Tylenol for 2 days, chills, fever, joint pain, nausea.

Other Meds: Viberzi, Plaquenil, alpha-lipoic acid, omega 3, vitamin D, B vitamins, turmeric, allergy shots

Current Illness: Positive Covid test on 12/2/20

ID: 0952285
Sex: F
Age: 67
State:

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: redness (gone as of yesterday), 1 lymph node swollen at right clavicle, discomfort in right lower back; symptoms resolved 1/14/21 as of report.

Other Meds:

Current Illness:

ID: 0952286
Sex: M
Age: 47
State: IN

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Mild but noticeable feeling of hyperactivity which continued about 8 hours.

Other Meds: Atenolol, lostartan, soy lecithin, multivitamin, loperamide

Current Illness: none

ID: 0952288
Sex: F
Age: 33
State: NE

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies: N/A

Symptoms: Fatigue, fever, severe joint pain, nausea. Nurse at doctor's office strongly encouraged me to report this.

Other Meds: Lexapro, norethindrone

Current Illness: N/A

ID: 0952289
Sex: M
Age: 65
State: NY

Vax Date: 01/13/2021
Onset Date: 01/16/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: none

Allergies: peanuts, environmental - pollen, grass etc.

Symptoms: swollen and tender gland on right side of jaw.

Other Meds: Metoprolol, Rosuvastatin, Levathyroxine, Tamsulosin, Multiple vitamin, aspirin, Vitamin B, C, D, multi mineral, flax seed oil, CoQ10, glucosamine chondroitin,

Current Illness: none

ID: 0952290
Sex: F
Age: 88
State: NC

Vax Date: 01/16/2021
Onset Date: 01/16/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: Not applicable

Allergies: No known allergies

Symptoms: Though patient was experiencing pain due to her arthritis, soon after the vaccination (1-2 hours) she experienced increased knee pain in both legs. Since the vaccination, she has also had bad diarrhea. Lastly, the worst symptom she experienced was light headedness and fatigue. At around 8:30pm on the day of the vaccination, she got up from dinner to go to bed a bit early. She was feeling tired and started to fade. She fell backwards against the wall, hit her head and landed on her bottom. Thankfully, I was there to help her up and was able to stay up with her to ensure she didn't have a concussion. Admittedly, she did not drink much water that day so it's possible this exacerbated the side effects of the vaccine. Maybe the clinics can offer people water bottles or other hydrating beverages to ensure things like this don't happen?

Other Meds: Prescriptions: Losartan HCTZ 125 mg, Bystolic 5 mg, Celebrex (Celecomib) 200 mg, XKlor-Con M20 Over-the-counter/Supplements: Calcium 600 mg (3-4x per week), Vitamin E 400 IV, Vitamin D3 100 IV, Women's Multi-vitamin, Vitamin B6 100 mg, Ibu

Current Illness: No other illnesses at the time of vaccination or up to one month prior.

ID: 0952291
Sex: F
Age: 86
State: LA

Vax Date: 01/16/2021
Onset Date: 01/16/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: None

Allergies: Generic form of X Forge 10, ankles and feet swell up really bad and she has pain in left arm and she gets a dry cough Shrimp, breaks out in hives

Symptoms: Within minutes of injection Mom started getting nauseous. When she stood to leave she was very light headed. The nausea lasted about 3 hours, the lightheadness lasted all day, diminishing as the day went on, but still a problem at bed time. She did sleep a lot that day. When she awoke the following day, symptoms had abated.

Other Meds: Omeprazole 40 mg 3 x's per week X Forge 10 mg 1 per day Cinnamon capsule 1000mg 1 per day Women's 1 A Day Calcium 1000 mg, Magnesium 400 mg, Zinc 15 mg, D3 600 IU 3 x's per week Mega Red 2 per day Low Dose Asprin 1 per day B12 2500 mg

Current Illness: None

ID: 0952292
Sex: F
Age: 27
State:

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Fever >100, chills, body aches, H/A that is not resolved with Tylenol and unable to take ibuprofen

Other Meds:

Current Illness:

ID: 0952295
Sex: M
Age: 71
State: PA

Vax Date: 01/16/2021
Onset Date: 01/17/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: none

Allergies: Penicillin, Sulfa drugs

Symptoms: Nausea, vomiting, chills, joint pain, muscle pain, fatigue

Other Meds: Crestor 20mg, Benicar HCT 40/25mg, Procardia XL 30mg, Coreg 25mg, Invokana 100mg.

Current Illness: none

ID: 0952296
Sex: F
Age: 41
State: PR

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

Lab Data: NO

Allergies: UNKNOWN

Symptoms: PATIENT PRESENT THROAT ITCH AND SKIN RASH

Other Meds: NO

Current Illness: UNKNOWN

ID: 0952297
Sex: F
Age: 48
State: MI

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

Lab Data: NA

Allergies: NA

Symptoms: Chills, muscle pain, tiredness, injection site pain, feeling malaise

Other Meds: Losartan

Current Illness: NA

ID: 0952298
Sex: F
Age: 60
State: NJ

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies: nka

Symptoms: 01/05/2021 AT 6PM: BODY ACHES, SEVERE HEADACHES. LOCAL SORENESS, SWELLING

Other Meds: Inderal, fioricet prn, vitamin C

Current Illness: NONE

ID: 0952299
Sex: M
Age: 45
State: PA

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

Lab Data:

Allergies: none

Symptoms: Mpderna COVID-19 Vaccine EUA At 0630 pm fatigue At 0930 severe chills / nausea /joint pain arm pain whole time resolved by 5pm next day

Other Meds: none

Current Illness: none

ID: 0952301
Sex: M
Age: 19
State: CA

Vax Date: 01/11/2021
Onset Date: 01/15/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: CT scan Jan 15 shows clear. Jan 18- to see ENT specialist.

Allergies: None

Symptoms: Jan 11-vaccination day. On Jan 14, in afternoon had tinnitus and muffled hearing that went away. The next morning Jan15, complete sudden hearing loss on left ear. Tinnitus and muffled hearing that has not went away.

Other Meds: Vitamin C

Current Illness: None (Not an illness, but was on Keto diet over a month ago)

ID: 0952302
Sex: F
Age: 48
State: OK

Vax Date: 01/16/2021
Onset Date: 01/17/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies: NA

Symptoms: Fever day after vaccine pain redness soreness at injection site body aches fatigue fever up to 102.4 Nausea loss of appetite headache

Other Meds: NA

Current Illness: HTN

ID: 0952303
Sex: F
Age: 32
State:

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 1/6/21 dizzy, nausea, photophobia- 45 minutes after vaccine

Other Meds:

Current Illness:

ID: 0952304
Sex: F
Age: 65
State: VA

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies: NKDA Allergic to bees, hornets, etc. Large swelling, intensely pruritic for days. allergic to spring and fall pollen. Use antihistamines and steroid nasal sprays during that time Allergic to molds, makes sinuses stop up Have received allergy shots in the past

Symptoms: Received vaccine on 1.6. 2021. Arm muscle was sore and "thicker". the rest of that day. DId not take any NSAID or acetaminophen. Awoke on 1.7. 2021 and arm muscle was still "thick" but not quite as sore. However, muscle was red, warm to touch and intensely pruritic. about the size of a golf ball. Tried not to scratch. Took no NSAID, tylenol or antihistamine. Awoke on 1.8. 2021 and arm thickness almost gone and about 50% of itching gone. Took no otcs. awoke on 1.9. 2021, thickness and itching gone until awoke on 1.14. 2021. on 1.14. 2021 arm was slightly thick. Definitely warm to touch, red and intensely pruritic. Size of a baseball. On 1.15. 2021 still itching but not as warm or red or thick. on 1.16. 2021 most of these had dissipated. On 1.17. 2021 all were gone.

Other Meds:

Current Illness:

ID: 0952305
Sex: F
Age: 49
State: PA

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

Lab Data: n/a

Allergies: aspirin-as an infant

Symptoms: swelling, redness, warmth to touch, tenderness-this began later 1/15/2021 and continued throughout the weekend

Other Meds: lisinopril Paxil

Current Illness: None

ID: 0952306
Sex: F
Age: 51
State: KS

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

Lab Data:

Allergies: Carboplatin

Symptoms: Severe generalized pain Slept 30+ hours after injection Nausea

Other Meds: HCTZ Cartia XT Telmisartin Magnesium Atorvasatin Gabapentin Vitamin D Oxycodone Glutamine

Current Illness: Current chemo treatment for stage 3 Ovarian cancer

ID: 0952307
Sex: F
Age: 24
State:

Vax Date: 01/09/2021
Onset Date: 01/13/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: CHEST PAIN WITH COUGH, FATIGUE, CONGESTION, MINOR SORE THROAT,

Other Meds:

Current Illness:

ID: 0952308
Sex: M
Age: 55
State: OH

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Headache, joint pain, tiredness

Other Meds:

Current Illness:

ID: 0952309
Sex: F
Age: 32
State: OH

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies: Clinic, Biaxin, trintellix

Symptoms: 3 in red, swollen, hot at injection site. Noticed day one, currently bigger on day 5. Also starting to itch. Stiff neck.

Other Meds: None

Current Illness: None

ID: 0952310
Sex: F
Age: 57
State: NJ

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies: NONE

Symptoms: Symptoms started 1/6/21 at 10 PM. Chills, body aches, no fever. Symptoms mild on 1/7/21 10am. Took Tylenol Xtra Strength.

Other Meds: NONE

Current Illness: NONE

ID: 0952311
Sex: M
Age: 33
State: MN

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies: No known allergies

Symptoms: Dose number two given on day 16.

Other Meds:

Current Illness: None

ID: 0952312
Sex: F
Age: 31
State: MI

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

Lab Data: N/A

Allergies: N/A

Symptoms: Soreness in left arm persisting for 3 days, fever

Other Meds: sertraline 50 mg daily

Current Illness: N/A

ID: 0952313
Sex: F
Age: 55
State: NY

Vax Date: 12/24/2020
Onset Date: 12/24/2020
Rec V Date: 01/18/2021
Hospital:

Lab Data: None

Allergies: Gluten intolerant Sulfa

Symptoms: On 12/25, had swollen face and eyelids, short of breath all day. Took Claritan and swelling subsided. Felt fatigued for the next two weeks after. Next dose scheduled for 1/22 and do not want to take it until I get official direction on what needs to be done proactively and after the next vaccine to ensure my safety.

Other Meds: Metoprolol XL, Aspirin

Current Illness: None

ID: 0952314
Sex: M
Age: 40
State: TN

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: none

Allergies: Darvocet, propoxyphene N- acetaminophen

Symptoms: "Moderna COVID19 Vaccine EUA" patient had nonintractable episodic headache from time of vaccine 01/04/2021 through the time of visit 01/15/2021.

Other Meds: atenolol, losartan, metformin

Current Illness: none

ID: 0952315
Sex: F
Age: 34
State: CO

Vax Date: 01/04/2021
Onset Date: 01/11/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: None

Allergies: IcyHot topical treatment Seasonal allergies

Symptoms: 1 week after receiving the first vaccine, the patient developed a quarter sized area of redness, just inferior to the vaccine site. Over the course of several more days, this redness increased and was approximately 3" wide by 7" long down the patient's arm at the time of visit. The site was indurated, hot to the touch and itchy/painful. She was treated for a cellulitis but the redness continued to increase even while on treatment and she was thus treated for allergic response. She was advised to notify her employer as she received her vaccine through their facility

Other Meds: Cetirizine (OTC) daily Eluryng 0.12-0.015mg/24hr vaginal ring Flonase (OTC) as needed sertraline 50mg PO daily

Current Illness: None

ID: 0952317
Sex: F
Age: 37
State: NC

Vax Date: 01/06/2020
Onset Date: 01/11/2020
Rec V Date: 01/18/2021
Hospital:

Lab Data: Pt was seen at ED on 1/12/2021. Pt was evaluated by ED provider, but no additional testing was needed.

Allergies: NKDA

Symptoms: Vaccination on 1/6/2021. Pt noticed pain behind her R ear on 1/11/2021. Pt then noticed right-sided facial weakness and asymmetry on 1/12/2021. Pt went to ED for evaluation. Pt diagnosed with Bell's Palsy and given Valacyclovir and prednisone to be taken orally for 7 days and referred to Neurology for ongoing care.

Other Meds: Lamictal 25mg 1 tab po Qday Nortriptyline 30mg po QHS Maxalt MLT 10mg po PRN Melatonin 10mg po QHS prn Bupropion XL 150mg 3 tabs po Qday

Current Illness: none

ID: 0952318
Sex: F
Age: 49
State: MD

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/18/2021
Hospital: Y

Lab Data: WBC = 18.5 on Jan 14th at 0915 AST 72 ALT 81

Allergies: none

Symptoms: Patient experienced abdominal pain on January 12th. She reported having a headache and joint pain as well. Her temperature was 103.5. On January 14th the patient was admitted for acute appendicitis with perforation, localized peritonitis, and gangrene. Patient was discharged on January 16th post appendectomy.

Other Meds:

Current Illness:

ID: 0952319
Sex: F
Age: 42
State: OH

Vax Date: 01/09/2021
Onset Date: 01/10/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies: Naproxen

Symptoms: 1/10Fatigue, 1/11 facial tingling to left side and eye brow area feeling heavy, 1/12 headache, 1/15 sore throat 1/16 left rib pain, wheezing, short of breath, fatigue 1/17 fatigue, chills, short of breath, wheeze, and loss of taste and smell. 1/18 I have a Telehealth visit with my Dr. Office at 12:40

Other Meds: Lasix, potassium, Vitamin D, Vitamin C

Current Illness: Swollen lymph node on neck

ID: 0952320
Sex: U
Age: 32
State:

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 1/6/2021 Hives, SOA, swelling, redness- Dx'd allergic reaction

Other Meds:

Current Illness:

ID: 0952321
Sex: F
Age: 30
State: KY

Vax Date: 01/17/2021
Onset Date: 01/17/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Moderna Covid-19 Vaccine EUA Fatigue 9:30pm1-17-21 to current time (10:00am) Chills 11:00pm 1-17-21 to 1:00am 1-18-21 Migraine 1:00am 1-18-21 to current time (10:00am)

Other Meds: Prenatal Vitamins

Current Illness: Positive COVID-19 diagnosis on 12-22-20

ID: 0952322
Sex: F
Age: 39
State: UT

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

Lab Data:

Allergies: Augmentin

Symptoms: Nausea vomiting 1/15/2021 evening. Fever Saturday & Sunday body aches chills, Body aches Monday

Other Meds: Spironolactone, Wellbutrin, optisource vitamins, vit D, Calcium chews. Dulera inhaler

Current Illness: None

ID: 0952323
Sex: F
Age: 35
State: FL

Vax Date: 01/09/2021
Onset Date: 01/15/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: Tested for mononucleosis 1/15/21

Allergies: NKA

Symptoms: Moderna covid-19 vaccine EUA Developed tender and enlarged lymph nodes in the left supraclavicular area 6 days post vaccine. Also with significant fatigue persistent which developed about 36 hours after vaccine. Went to urgent care and was tested for mono which was negative . Awaiting PCP visit for blood work and further work up.

Other Meds: Mirena IUD

Current Illness: None

ID: 0952324
Sex: F
Age: 67
State: MO

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies: Codiene

Symptoms: Soreness in arm 4 days Temperature over 100 for 48 hours Intense fatigue for 48 hours Mild fatigue from 48 hour to 4 days

Other Meds: Vitamin D Tylenol

Current Illness: None

ID: 0952326
Sex: F
Age: 52
State:

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: shortness of breath during 15 min waiting period sent to the ed

Other Meds:

Current Illness:

ID: 0952327
Sex: F
Age: 41
State: NE

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Fever/Chills (2 days), fever for three days, nausea day 1, full body muscle and joint pain day 1, headache for three days, arm pain

Other Meds:

Current Illness:

ID: 0952328
Sex: F
Age: 40
State: MA

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/18/2021
Hospital: Y

Lab Data:

Allergies:

Symptoms: Patient received Moderna Covid vaccine on Friday evening 1/8/21. She awoke Saturday am around 2AM with a severe headache. She also developed a fever during the day. She did not seek treatment until Sunday and went to Hospital ED. She was treated and released same day. She went back to hospital on Monday as she felt worse and she was admitted at that time and treated for a bloodstream infection and meningitis. We are not sure it was caused by the vaccine. She consulted her PCP and her PCP feels it may be more coincidental given her medical HX.

Other Meds:

Current Illness:

ID: 0952329
Sex: F
Age: 62
State:

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

Lab Data:

Allergies: penicillin

Symptoms: Headache at base of the head for 48hrs after, Very tired only wanting to sleep for 36hrs straight Body ache with no appetite at all for40hrs hard raised and swollen red circle in the injection area very tender has fever in it. still there at this time just not as tender.

Other Meds: Potassium Cl 10meq Atorvastatin 20mg Tizanidine 4mg Losartan/HCTZ 100/25mg Meloxicam 15mg Vitamin D2 50000id (ERGO) Amlodipine Besylate 5mg

Current Illness: Sinus infection

ID: 0952330
Sex: F
Age: 52
State:

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: SHORTNESS OF BREATH DURING 15MIN WAITING PERIOD AFTER RECIEVED VACCINE. SENT TO THE ED

Other Meds:

Current Illness:

ID: 0952331
Sex: F
Age: 56
State: TX

Vax Date: 12/22/2020
Onset Date: 12/26/2020
Rec V Date: 01/18/2021
Hospital: Y

Lab Data: COVID-19-negative Flu-Strep- Negative Antibody Test-neg.

Allergies: Lisinopril, Immatrex

Symptoms: A few days after the vaccine I began to have a cough about mid morning which changed to SOB. Covid test on 12/27 which was neg. I went to work on 12/28 but woke up 12/29 with a low grade fever and felt like my throat was on fire. so on the 29th I went and got a Strep and flu test which were negative. I was feeling so bad so on the 6th of Jan do I went to the stand alone ER and got a chest xray and CT scan which revealed I did have pnemonia. I went back home but was feeling worse and was taken to and admitted in hospital for 2 days. Initially I was admitted into the COVID unit but never was diagnosed COVID positive so I was moved off the COVID unit. I was given albuterol pills to try to help with the symptoms but didnt work causing me to have to be admitted and was given several doses of steorid and other antibioics and had to use O2 at night because my stats kept falling.

Other Meds: Synthroid, Zanaflex, olmesartan medoxomil, Hydrochlorothiazide, Ambien, Venlafaxine, Pravasatin, Hydrocodone

Current Illness: no

ID: 0952332
Sex: F
Age: 55
State: NJ

Vax Date: 01/10/2021
Onset Date: 01/11/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies: NKDA

Symptoms: SYMPTOMS: HEADACHE. TOOK TYLENOL.

Other Meds: amlodipine 5MG DAILY, METFORMIN 500 G DAILY

Current Illness: DM TYPE 2; HTN

ID: 0952334
Sex: F
Age: 24
State: MI

Vax Date: 01/08/2021
Onset Date: 01/15/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: N/A

Allergies: Gluten, Lactose, Cipro, Penicillin, Bactrim

Symptoms: Hives left arm center around the injection site. Appeared a week after the shot. Warm to the touch, raised, itchy,

Other Meds: None. Lexapro was taken 8pm the night before.

Current Illness: N/A

ID: 0952335
Sex: F
Age: 60
State: NY

Vax Date: 01/06/2021
Onset Date: 01/13/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies: Lisonopril- cough

Symptoms: 1/6/21 Moderna vaccine given 1/13/21 7 days post administration site became itchy, hot, red, firm, swollen. circle drawn around site demarcated increase in redness and swelling 1/16/21 12 days post administration seen by PMD symptoms were beginning to level off, prescribed antibiotics if no improvement over weekend. 1/18/21 14 days post administration, small lump at injection site, interm itchy, sl pinl, Did not begin antibiotics

Other Meds: Eliquis, Losartan/HCTZ, Rosuvastatin, Bisoprolol, Amlodipine, Wellbutrin, Vit C, probiotics

Current Illness:

ID: 0952336
Sex: F
Age: 45
State: NY

Vax Date: 12/30/2020
Onset Date: 01/03/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: Visit with urgi center and ENT

Allergies: n/a

Symptoms: On the fourth day I developed intractable nausea and vomiting associated with tinnitus, vertigo and imbalance.

Other Meds: n/a

Current Illness: n/a

ID: 0952337
Sex: F
Age: 44
State: OH

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: BP 222/168, Rapid Response called, Patient taken to ER for further observation

Allergies: None reported

Symptoms: tightness of chest, coughing, increased BP to 222/168, lightheadedness. dizzy

Other Meds: None reported

Current Illness: None reported

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm