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: 0953863
Sex: F
Age: 40
State: NY

Vax Date: 01/09/2021
Onset Date: 01/17/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies: codeine tylenol #3

Symptoms: redness/warmth/tenderness to site since yesterdat

Other Meds:

Current Illness:

ID: 0953864
Sex: F
Age: 73
State: TX

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

Lab Data: none

Allergies: IVP dye

Symptoms: Area around injection site began to itch 1 week after injection and became red, rash appeared and became warm to the touch. Over the next 24 hours it increased in size to about 5 inches by 3 inches. Rash reduced but the area became tender and remained so for 2 days. The area has remained red and itchy through today 1/18/2021

Other Meds: Amlodipine/Benazapril 5/20. Gabapentin 100mg Esomeprazole 40mg. Meloxicam 15mg Calcium 1000mg. Potassium 550mg. Magnesium oxide 250mg. Vitamin D 5,000u

Current Illness: none

Date Died: 01/17/2021

ID: 0953865
Sex: M
Age: 99
State: RI

Vax Date: 01/14/2021
Onset Date: 01/17/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: RAPID COVID-19 TEST ON 1/17 NEGATIVE NO OTHER TESTS

Allergies: NKA

Symptoms: REPORTING ONLY AS RESIDENT EXPIRED ON 1/17/2021 3 DAYS AFTER. S/S HYPOXIA/CONGESTED LUNG SOUNDS

Other Meds: FINASTERIDE 5MG QD, FAMOTIDINE 20 MG DAILY, FOLIC ACID 400 MCG QD, SENNA 8.6 DAILY

Current Illness: NONE

ID: 0953866
Sex: F
Age: 56
State: MI

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

Lab Data: NA

Allergies: iodine

Symptoms: Pt called pharmacy 1/18/21 to report sore arm the day of injection and new developing redness below injection site. Pt stated arm pain was so significant she left work to go home. Pt denied any other symptoms -fever, shortness of breath, swelling. RPh advised patient to use cool compresses and tylenol for pain and to keep arm moving.

Other Meds: Arimidex 1 mg QD, Januvia 100 mg QD, Losartan 100 QD, Glyburide 5 mg 2 c breakfast + 1 c dinner.

Current Illness: NA

ID: 0953867
Sex: F
Age: 35
State: MN

Vax Date: 01/14/2021
Onset Date: 01/17/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: none

Allergies: Bees, Strawberries

Symptoms: persistent headache over 24 hours

Other Meds: Mirena IUD, buPROPion XL 300 mg/24hr tab, levothyroxine 50mcg tab, CeleXA 40mg tab

Current Illness: none

ID: 0953868
Sex: F
Age: 46
State: MN

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

Lab Data: None

Allergies: None

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA 4 hours post injection: fatigue 12 hours post injection: headache, body aches, 100 degree fever, fatigue lasting 24 hours

Other Meds: Vit D, Omega 3, Vit C, Magnesium, multivitamin

Current Illness: None

ID: 0953869
Sex: F
Age: 38
State: NY

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

Lab Data: None

Allergies: Amoxicillin - hives

Symptoms: Extreme pain from injection site down Left arm to fingers with "tightness and inability to move my arm" Radiated across scapula and into neck. Reports headache and nausea. Brief syncopal episode upon return from bathroom. 01/15/21 reports joint pain in bilateral knees, reoccurrence of left arm pain in the evening. Reports resolution of all symptoms by morning of 01/16/21.

Other Meds: Vitamin D

Current Illness: None

ID: 0953870
Sex: F
Age: 46
State: TX

Vax Date: 01/06/2021
Onset Date: 01/09/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: Cellulitis of left upper arm and lymphangitis left arm. 1/14/2020 at 7:45am

Allergies: Sulfa

Symptoms: Tennis ball size swelling of the shot site, painful and hot to touch. Pain and tenderness in armpit. Went to urgent care as symptoms worsen.

Other Meds: Noreth/ethin 24 fe 1/20 chew tb 28s 1 daily Vita fusion beautiful hair 1 daily

Current Illness: None

ID: 0953871
Sex: F
Age: 76
State: NY

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

Lab Data: None

Allergies: Latex, tomatoes, strawberry, egg plant kiwi

Symptoms: Very tired, cough, fever 99 to 102, mild headache

Other Meds: Lipitor, coq10, aremadax, symbicort,irbesartan, montelukast sodium,zyrtek, magnesium, calcium, vitamins D&C, amplodipine, hydrochlorothiaz,pantoprazole sod,

Current Illness: None

ID: 0953872
Sex: F
Age: 58
State: LA

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

Lab Data: None

Allergies: NKDA

Symptoms: Severe joint pain, then chills rocking the bed chills, fever initial of 101.8 up to 102.6 for 2 days, severe nausea , cough, it was 5 days until I was free of all symptoms

Other Meds: Cymbalta lunesta gabapentin benicar Norco morphine

Current Illness: None

ID: 0953873
Sex: F
Age: 50
State: MD

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/18/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Fatigue, body aches, low grade fever and right side of body felt heavy and weak0, almost numb

Other Meds: None

Current Illness: None

ID: 0953874
Sex: M
Age: 43
State: LA

Vax Date: 12/18/2020
Onset Date: 12/20/2020
Rec V Date: 01/18/2021
Hospital:

Lab Data: Blood work and antibiotics.

Allergies: No

Symptoms: 12/20/2020 12/21/2020 Notices lymneos above left clavicle swollen and hard, bruising at the sight location of left arm. Several weeks and present at the second shot .

Other Meds: No

Current Illness: No

ID: 0953875
Sex: F
Age: 43
State: CA

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

Lab Data: EKG 01/08/2021 It showed sinus tachycardia.

Allergies: Amoxicillin, Penicillin, Sulfa, Toradol, and Dilaudid

Symptoms: On 01/08/2021 I received the 1st Covid-19 Moderna vaccine at 1:45pm. At 2pm felt a warm feeling go through my body. At 2:10pm My heartrate went up and felt pain go from right arm into my neck. At 2:15pm I stood up and Heart rate went faster and felt it in my head Pulse was 138. At 2:25pm Pulse went to 152 and bounced between 115-140's. At 2:35pm Blood Pressure was 157/110 and my chest felt tight. I was feeling dizzy. 2:45pm was put in another room, Still I didn't feel well. At 3:15pm moved to another room they did an EKG it showed sinus tachycardia. 3:45pm went home. 4:pm discovered hives. I also got flu like symptoms for 3 days and a lot of pain and swelling of arm. I also got SOB and chest tightness, Which I

Other Meds: Metoprolol, insulin, Multivitamin for women

Current Illness: Flu symptoms Dec. 1st, had 2 negative test.

ID: 0953876
Sex: F
Age: 41
State: KS

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/18/2021
Hospital:

Lab Data: None

Allergies: seasonal allergies, sulfa, thimerosal, latex and flu vaccine

Symptoms: One of the nurses noticed I was bright red, I got hives everywhere, the itching intensified, it was red and itching everywhere. My tongue was tingling and numb, they gave me something, I believe it was Benadryl, twice, 2 shots. I can't recall. I was like in shock, maybe after 4 hours later I started feeling a little better and returned to work. The next day my eyes and lips were swollen, a little bit puffy. I kept taking more Benadryl and I felt like I was hit by a semi truck for a week afterwards, it was awful. I was beyond exhausted. Mid week last week I finally started having my energy back.

Other Meds: allergy and asthma meds (vasel advair and singulair)

Current Illness: no

ID: 0953877
Sex: M
Age: 54
State: ID

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

Lab Data:

Allergies:

Symptoms: Saturday, 1/09/2021-Foggy, nasuea and tired. took 1-2 hoiur nap and symptoms went away. Thursday, 1/14/2021-Slight rash on right deltoid, around injection site. Applied topical bebdryl and rash went away by Monday, 1/18/2021. Thursday, 1/14/2021-Swelling in right armpit region medial to right pectoral muscle. no fever pain/tenderness around area affected. On Monday, 1/18/2021 swelling remains.

Other Meds:

Current Illness:

ID: 0953878
Sex: F
Age: 48
State: WA

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

Lab Data:

Allergies: no

Symptoms: 2 weeks later and I am still having pain and tenderness in arm, arm feels heavy and sometimes I have weakness. There is no rash or swelling

Other Meds: Welbutrin, Telesmartian

Current Illness: no

ID: 0953879
Sex: F
Age: 23
State:

Vax Date: 12/27/2020
Onset Date: 01/04/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: none

Allergies:

Symptoms: Pain and swelling around left jaw and parotid gland. Resolved quickly with augmentin and prednisone.

Other Meds:

Current Illness:

ID: 0953880
Sex: F
Age: 42
State: CA

Vax Date: 01/15/2021
Onset Date: 01/16/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: no

Allergies: Imitrex

Symptoms: Next AM woke up arm super painful. Lymph node armpits was the size of a lemon. Swollen for 3 days before the swelling began to go down. Still a little swollen pain is 2 out of 10.

Other Meds: Ibuprofen

Current Illness: no

ID: 0953881
Sex: F
Age: 26
State: WA

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies: Erythromycin

Symptoms: Head ache and body aches, Tylenol, lasted approximately 36 hours.

Other Meds: Wellbutrin, Gabapentin, Vyvanse

Current Illness:

ID: 0953882
Sex: M
Age: 29
State: WA

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

Lab Data: 1/11/2021 CT coronary angiogram - normal coronary artery origins and branching. Calcium score is 0. 1/11/2021 Echocardiogram - LVEF 10-15%. Severe global hypokinesis. No significant valvular disease. 1/13/2021 Echocardiogram - LVEF 55-60% 1/18/2021 MRI heart - no findings to explain recent cardiac arrest

Allergies: NKDA

Symptoms: ventricular fibrillation cardiac arrest. Witnessed collapse. Bystander CPR performed. Paramedics performed ACLS with defibrillation x 6 before ROSC

Other Meds: none

Current Illness: none

ID: 0953883
Sex: F
Age: 24
State:

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

Lab Data:

Allergies:

Symptoms: Pain and swelling at injection site on the left arm as well as pain in the left axillary lymph nodes which started about 5 hours after the injection. Pain lasted 3 days and the swelling is improving on the third day. I also experienced 1 day of muscle aches and fatigue on the day after the injection.

Other Meds:

Current Illness:

ID: 0953884
Sex: F
Age: 33
State: WA

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

Lab Data:

Allergies:

Symptoms: About 30 minutes after my injection, I noticed my left hand went numb. I have had numbness/tingling in left hand since.

Other Meds:

Current Illness:

ID: 0953885
Sex: F
Age: 59
State: MI

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

Lab Data: none

Allergies: Penicillin. Phenergan., Cozaar, Lisinopril, Hytrin.,

Symptoms: Dizziness, weakness is extremities. Cramping in legs. warm sensation in chest, back arm legs. Shakiness. Feeling of passing out. Foggy thoughts.

Other Meds: Vitamin D3, Magnesium

Current Illness: n/a

ID: 0953886
Sex: F
Age: 30
State: NY

Vax Date: 01/07/2021
Onset Date: 01/14/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: None

Allergies: NKDA

Symptoms: Itching , redness and swelling with 8.0 x 6.5 cm round ring with an erythematous bumpy border , right side axillary lymphadenopathy - occurred approx 1/14 (7 days post vaccination) still current and not currently treating

Other Meds: Aviane- oral birth control pill

Current Illness: None

ID: 0953887
Sex: F
Age: 20
State: IL

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

Lab Data: none

Allergies: no

Symptoms: Arm sore, fever chills

Other Meds: Loratadine, Norethindrone, Synthroid, Metformin

Current Illness: COVID 12/20

ID: 0953888
Sex: M
Age: 34
State: TX

Vax Date: 12/22/2020
Onset Date: 01/09/2021
Rec V Date: 01/18/2021
Hospital: Y

Lab Data: Urgent care visit with EKG showing PVCs Hospitalized on 1/13/2021 complaining of palpitations, SOB and chest tightness when 24 hours telemetry was obtained and confirmed PVCs. Nuclear stress test did not show any CAD. Transthoracic echo didn?t show structural abnormality. Orthostatic vitals was strongly positive. Was discharged on 1/14/2021 and started on Diltiazem, Asprin, and Statin. Till today, I still have the symptoms despite have been taking all my medications. I have never diagnosed with any cardiac disease in the past.

Allergies:

Symptoms: PVCs with compensatory pauses, postural orthostatic hypotension associated with chest tightness, shortness of breath, dizziness and blurry vision

Other Meds:

Current Illness:

ID: 0953889
Sex: F
Age: 27
State: WI

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

Lab Data: None

Allergies: Amoxicillin, Zithromax

Symptoms: Between 30-45 minutes after receiving the vaccine I noticed jaw muscle tension, and then for about 10 minutes numbness in the left side of my face, making it hard to form words and having an uneven smile. At about the same time I noticed a strong metallic taste in my mouth that lasted for the rest of the day, and a subtle metallic taste in my mouth has been ongoing

Other Meds: Sertraline 150 mg

Current Illness: See below

ID: 0953890
Sex: F
Age: 53
State: NJ

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

Lab Data:

Allergies:

Symptoms: My arm start hurting and upon looking at the injection site. It was given at the back of my left arm not at deltoid muscle.

Other Meds:

Current Illness:

ID: 0953891
Sex: F
Age: 63
State: NY

Vax Date: 12/30/2020
Onset Date: 01/06/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: 10 day quarantine beginning 01/12/2021

Allergies: Ivp dye Paxil

Symptoms: On 01/06/2021 I woke up very dizzy and slightly nauseous. On 01/07/2021 I began to have cold symptoms such as head congestion sneezing and sore throat. I got COVID tested at work on 01/05/2021 which was negative . I had to miss work on 01/08/2021 due to my continuing symptoms which now included loss of taste and smell. I tested positive on 01/12/2021.

Other Meds: Wellbutrin 450 mg Vit d3 L methylfolate Ritalin Zocor Levothyroxine Metoprolol 75 mg Lamictal 50 mg Septra ds

Current Illness: None

ID: 0953892
Sex: M
Age: 69
State: TX

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

Lab Data: none

Allergies: none

Symptoms: Temperature spike of 102.3 about 4 hours after injection uncontrolled shaking for 20 minutes. High fever lasted for 2 days before dropping to 100.7 and then to 99.3.

Other Meds: crestor 10mg, Lisinopril 20mg, Cialis 5mg, multi vit, iron, b12, aspirin, turmeric, b3, coq10, vit c

Current Illness: none

ID: 0953893
Sex: F
Age: 45
State: CA

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

Lab Data: None.

Allergies: None.

Symptoms: A week after receiving first shot, the lymphnode under my right armpit, which is the side I got the shot on (right arm) got sore and swollen. It lasted for 2 days, about 48 hours. I could still feel the soreness a bit a third day but it was much better, and gone by 4 days. I called Employee Health (I got it through work) to report this and check if any major concerns - they gave me this reporting system to report it.

Other Meds: Portia birth control pill (levonorgestrel and ethinyl estradiol tablets USP)

Current Illness: None.

ID: 0953894
Sex: F
Age: 41
State: VA

Vax Date: 12/26/2020
Onset Date: 01/16/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: NA

Allergies: Latex Animal dander Nickel NA06: 4-chloro-3, 5-xylenol NA07: 4-phenylenediamine Base cas#: 106-50-3 AP98/NA44: iodopropynyl butylcarbamate cas#: 55406-53-6 NA70: fragrance mix II NA52: nickel sulfate hexadydrate cas#: 10101-97-0 NA60: thiuram mix [A] NA10: amidoamine (stearamidopropyl dimethylamine cas#: 7651-02-07

Symptoms: Shot 1- shaky, weak, increased heart rate, mild swelling of mouth tongue and throat - resolved in a day Shot 2 a shaky, weak, increased heart rate and blood pressure, moderate swelling of face, tongue, throat, intermittent dizziness and Left eye blurriest, left facial decreased sensation and pain from mouth to ear, pain behind Left eye - symptoms wax and wane throughout the day

Other Meds: Fish oil Cranberry Niacinamide Spironolacton Metformin Montelukast MethylPro Escitalopram Zytrec Reservatol

Current Illness: None

ID: 0953895
Sex: F
Age: 58
State: CA

Vax Date: 01/07/2021
Onset Date: 01/13/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: MRI

Allergies:

Symptoms: Day 6 after COVID vaccine, woke up with right face swollen, felt strange, able to move all of face and tongue, strong extremities. Numbness increased, right eye swelling and mild drooping, slurred one word. Went to Urgent Care- then to Emergency room, MRI. Dx: Bells Palsy.

Other Meds:

Current Illness:

ID: 0953896
Sex: F
Age: 19
State: MN

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

Lab Data: elevated blood pressure and pulse 138-110 pulse 100

Allergies: NKDA

Symptoms: pt developed large rash on arms and torso and elevated blood pressure and pulse 138-110 pulse 100 - pt given 50 mg of diphenhydramine at 10:35 am by 11:05 rash was fading and 90% clear.

Other Meds: NONE

Current Illness: NONE

ID: 0953897
Sex: M
Age: 17
State: IN

Vax Date: 10/22/2020
Onset Date: 10/22/2020
Rec V Date: 01/18/2021
Hospital:

Lab Data: none

Allergies: None

Symptoms: An error was made in administering this vaccine to a patient who is younger than 18 years of age. This vaccine is indicated for those 18 years and older.

Other Meds: None

Current Illness: None

ID: 0953898
Sex: F
Age: 58
State: WA

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

Lab Data: no

Allergies: no

Symptoms: Forty minutes after vaccination, stayed there for 20 minutes. heart racing for about five minutes. Went home, tiredness, weakness, arm pain up into shoulder blade and neck. The next day still tired. Today the injections site is hot, red and swollen.

Other Meds: Lisinopril, Levothyroxine, Metformin

Current Illness: no

ID: 0953899
Sex: F
Age: 44
State: NY

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

Lab Data: None yet

Allergies: PCN omnicef vancomycin

Symptoms: Approximately 36 hours after I developed a red itchy painful rash below the injection site down my arm. It also had paresthesias on the skin and swelling. It is still present.

Other Meds: Vyvanse Sectral Pristiq

Current Illness: None

ID: 0953900
Sex: F
Age: 49
State: CT

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

Lab Data:

Allergies: Levaquin, shea butter, cats

Symptoms: After the 15 minutes sitting after the shot the nurse asked me if i was okay because I was red, my arms, face and eyes. I sat for 45 minutes longer and they provided me water and juice and I felt okay to go home. That evening at about 11:50pm chills and temperature started at 99.1 and went to 103.1 during the night, 5:00am heart racing, sweating and headache/for the following days headache was bad, very tired, arm sore and body aches. Sunday 1/17/21 fever down, headache dull but injection site red and itchy 2 inch circle

Other Meds: Synthroid

Current Illness: Had Covid in December- symptoms started 12/13/2020, tested 12/17/2020 positive result received 12/19/2020

ID: 0953901
Sex: F
Age: 17
State: WA

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: Moderna COVID-19 Vaccine EUA Patient incorrectly indicated age on authorization form - indicated birthdate in 2002 and age not under 18. Shot given. Patient with no known adverse effects at this time.

Other Meds: N/A

Current Illness: N/A

ID: 0953902
Sex: M
Age: 26
State: NY

Vax Date: 01/10/2021
Onset Date: 01/16/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Left deltoid pain, swelling, redness, warmth; Swollen, painful, left axillary lymph nodes ?diagnosed with cellulitis 1/18/21 and given keflex every 8 hours x7 days.

Other Meds: Advair

Current Illness: None

ID: 0953903
Sex: F
Age: 71
State: CA

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

Lab Data:

Allergies: Codeine,vicodine,morphine,torodal,ultram, angio cath dye,fentnoyl

Symptoms: Extreme soreness site with swelling and redness and heat,elevated temp,lymph node swelling under arm,soreness joints,pleurisy type chest pain,fatigue. In bed 1 day better today

Other Meds: Diltiazem cd,esomeprazole,isosorbide,amolodipine,qunol coq10

Current Illness: None

ID: 0953904
Sex: F
Age: 39
State: CO

Vax Date: 01/06/2021
Onset Date: 01/14/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: none, outpatient visit with MD, diagnosed by assessment

Allergies: None

Symptoms: Developed skin irritation and lymphadenopathy on left side of neck on evening of 1/14/21. Friday 15th noted posterior left sided neck rash. Saturday 16th noted more pronounced lymphadenopathy and progression of irritating rash. Monday 18th made appointment with infectious disease, diagnosed with shingles (VZV), started on antivirals for treatment

Other Meds: None

Current Illness: None

ID: 0953905
Sex: M
Age: 35
State: WA

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

Lab Data: Neuro exam by urgent care physician 01/14/2021

Allergies: None

Symptoms: Severe cervical spine pain and stiffness with paresthesias in bilateral arms and weakness in right tricep and scapula. Took OTC acetaminophen and NDAIDs. Visited employees health who sent me to urgent care for neurological exam. Urgent care physician noted right arm weaker than left and recorded report of bilateral upper extremity paresthesia. Recommended follow up exam and cervical MRI if symptoms worsen or do not resolve within 7 days. Neck pain has improved but still present. Paresthesias still present. Right arm (dominant arm) still weaker than left. Will follow up with primary care physician this week if symptoms continue. Additional side effects: headache, dizziness, nausea, shivers, fatigue, joint pain (all resolved within 72 hours).

Other Meds: None

Current Illness: None

ID: 0953906
Sex: F
Age: 29
State: CO

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

Lab Data:

Allergies:

Symptoms: I experienced throat swelling itching and hives as a result of my covid vaccine. The vaccine was given 1/6, symptoms occurred 1/7 overnight.

Other Meds:

Current Illness:

ID: 0953907
Sex: F
Age: 39
State: TX

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

Lab Data: NONE ONLY MEDICATION

Allergies: LORATAB , ASPRIN , PORK

Symptoms: I HAD AN ALLERGIC REACTION TO THE VACCINE AND ENDED UP IN THE HOSPITAL 15 MINUTES AFTER THE DOSE I STARTED TO GET HIVES AND SWELLING IN MY LIPS, FACE, AND UPPER BODY. IN THE NIGHT TIME AFTER BEING RELEASED FROM THE HOSPITAL I HAD NIGHT SWEATS AND A HIGH FEVER THROUGH THE NIGHT. I WAS GIVEN BENEDRYL 50 ML BY INJECTION AT THE HD AND DEXAMETHASONE INJECTION AT THE HOSPITAL AND SEND HOME WITH A STEROID PRESCRIPTION FOR PEPCID THAT LASTED 7 DAYS. ALONG WITH THE INSTRUCTION TO CONTINUE TAKING BENEDRYL UNTIL THE HIVES STOPPED COMING BACK AFTER THE SHOT WAS OUT OF MY SYSTEM. i TOOK THE MEDICATION FOR 5 DAYS UNTIL THE HIVES STOPPED RELAPSING. 2 WEEKS LATER I AM FEELING FINE BUT DO NOT THINK I WILL BE TAKING THE SECOND DOSE DUE TO THE ALLERGY.

Other Meds: NONE

Current Illness: PSUEDOTUMOR CEREBRI , HASHIMOTO'S , DIABETES

ID: 0953908
Sex: F
Age: 31
State: NY

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

Lab Data:

Allergies: N.A

Symptoms: At about 10 AM the day after I received the vaccine, I experienced extreme stomach pains, nausea, low grade fever and chills. The following day, the stomach pains lessened but were still present and I was nauseous. Symptoms went away on Sunday 1/17.

Other Meds: birth control pills

Current Illness: N/A

ID: 0953909
Sex: F
Age: 15
State: MO

Vax Date: 11/03/2020
Onset Date: 12/14/2020
Rec V Date: 01/18/2021
Hospital: Y

Lab Data: CBC on 12/16/2020 showed Zero platelets.

Allergies: Seasonal, dogs

Symptoms: Headaches for 1 and a half weeks prior to visit with primary care provider on 12/16/2020. Started petechiae on lips on 12/14/2020, headache, nausea, chills, low grade fever of 99.9. 12/15/20 petechiae spread to legs and large spots in her mouth. Took her into PCP for rash, now spread to entire body except lower arms, hands and bottoms of feet. PCP sent her to Emergency Room. Emergency Room ran CBC and plateletes were Zero. COVID-19 results for antigen and antibody both negative. Admitted to hospital with Thrombocytopenia; Acute ITP. Received IVIG treatements with low response. Then started on IV high dose Methylprednisone - released with 26,000 platelets on 12/21/2020.

Other Meds: Ibuprofen, tylenol, zyrtec - all as needed. Multi-Vitamin

Current Illness: Dizzy when she stood up, heavier cycle (but not abnormally so). Did CDC on 11/04/2020 to check for anemia. All results were normal from CBC.

ID: 0953910
Sex: F
Age: 48
State: WA

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

Lab Data:

Allergies: N/a

Symptoms: Soreness and swelling at injection site, low grade fever, muscle aches, joint pain (mostly on the left side), headache transitioned to a migraine today. Severe fatigue throughout. Mild nausea.

Other Meds: Melatonin, diphenhydramine, milk thistle

Current Illness: None

ID: 0953911
Sex: F
Age: 66
State: TX

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

Lab Data:

Allergies: Sulfa, ace inhibitors, thiazides

Symptoms: Dizzy, burning sensation over body, lips tingling and tongue swelling, abdominal cramps and diarrhea, impending doom feeling that something was really wrong, foggy brain Benadryl 50mgm, Epinephrine, Observation,

Other Meds: Carvediol, spironaldactone, met Forman, estradiol, naproxen, pristiq

Current Illness: None

ID: 0953912
Sex: M
Age: 20
State: NJ

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

Lab Data: My physical exam on 1/18/21 revealed lymphadenopathy in left supraclavicular region, tenderness along left triceps but no axillary lymphadenopathy and no tense edema, induration to suggest cellulitis or other infectious process.

Allergies: None

Symptoms: Patient received vaccine on 1/13/21; started having headaches on 1/13/21 in the evening. On 1/14/21 developed chills, body aches and nausea. On 1/15/21 had chills, body aches, nausea and fevers as high as 102.0F - also developed lump in left neck on 1/15. Starting on 1/16/21 he noted pain radiating from left deltoid to left hand digits - specifically the 4th digit, palmar surface. Symptoms began improving on 1/17/21 and on that day he mainly felt just soreness in his left arm. On 1/18/21 he noticed the lump in the left neck was still present and he had tightness in the left triceps region.

Other Meds: Vitamin D

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm