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: 0954188
Sex: F
Age: 86
State: CA

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

Lab Data: none

Allergies: none

Symptoms: extreme chills.... Moderna COVID 19 Vaccine EUA gave patient warm milk and put to bed...will monitor throughout the night

Other Meds: none

Current Illness: none

ID: 0954189
Sex: F
Age: 43
State: PA

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

Lab Data: none

Allergies: penicillin shellfish

Symptoms: received vaccine at 9:30am. 30 min later I started feeling ill and tingling in my neck that moved up into my face causing it to feel numb. The numbness lasted for 2 hours.

Other Meds: none

Current Illness: none

ID: 0954190
Sex: F
Age: 38
State: NJ

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

Lab Data: none

Allergies: nka

Symptoms: Hives on left side of face that lasted 15 minutes after injection. 12 hours later headache and pain to left arm. On 1/13 at around 4 pm fever, chills, sweating, fatigue, and severe pain to left arm with swollen lymph gland on left arm. 1/14 fatigue, severe pain to left arm (unable to lift arm) and swollen lymph glands. 1/15 severe pain to left arm and swollen lymph glands. 1/16 reduced in pain to left arm and swollen lymph glands. 1/17 pain was reduced but still have swollen lymph glands, and pain to left arm . 1/18 pain to arm glands no longer swollen.

Other Meds: lisinoprol 40 mg, hydrochlorothizide 25 mg, metoprolol 25

Current Illness: none

ID: 0954191
Sex: F
Age: 54
State:

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

Lab Data:

Allergies: intolerance to doxycycline

Symptoms: c/o chest tightness, SOB, anxiety

Other Meds:

Current Illness:

ID: 0954192
Sex: F
Age: 42
State: OH

Vax Date: 01/14/2021
Onset Date: 01/16/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: No medical or laboratory performed

Allergies: n/a

Symptoms: Left arm became swollen, red and warm to touch from shoulder to within 3 inches of elbow on 1/16/21. It is also tender to touch. Treatment has included: ice pack for 15 minutes on for the first 24 hours, then alternated with heat and Benadryl. Then, went to doctor(1/18/21) because of increased swelling. Doctor prescribed Cephalexin to prevent infection.

Other Meds: Mirena IUD

Current Illness: n/a

ID: 0954193
Sex: F
Age: 61
State: CA

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

Lab Data: N/A

Allergies: no known allergies

Symptoms: 11 hours after I received my vaccine, I developed uncontrollable shaking and chills. I spiked a fever of 102F. I experienced a headache and pain to old joint injuries. I took 800mg of Ibuprofen. I tried pushing fluids. Rest.

Other Meds: Zoloft Vit D Melatonin Lipitor

Current Illness: None

ID: 0954194
Sex: F
Age: 35
State: CO

Vax Date: 01/04/2021
Onset Date: 01/14/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: Visit was via text with photos sent

Allergies: None

Symptoms: 8 days into the shot (1/12) my left arm started feeling sensitive again, as it did when I got the injection. Two days later (1/14) I noticed three red spots surrounding the injection site ranging in size of 1/2 inch to 1.5 inches. My arm was tender to the touch, and the red spots joined on the second day (1/15) then slowly went away by 1/17. Since 1/12 I have felt tired.

Other Meds: None

Current Illness: None

ID: 0954195
Sex: F
Age: 71
State: CA

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

Lab Data:

Allergies: Seasonal allergies

Symptoms: After getting the Moderna Covid-19 injection today, I felt slightly weak and light-headed about 3 hours later. I took 200 mg of ibuprophen and a 2 hour nap and felt fine when I woke up.

Other Meds: Simvastatin, multivitamin, CoQ10, calcium, fish oil

Current Illness: none

ID: 0954196
Sex: M
Age: 33
State: NJ

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

Lab Data:

Allergies:

Symptoms: Sore arm, nights sweats and fatigue

Other Meds:

Current Illness:

ID: 0954197
Sex: M
Age: 33
State: CA

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

Lab Data: None

Allergies: No

Symptoms: Headache, fatigue, site injection soreness on day 1 Fatigue, myalgias, site injection soreness on day 2. Also had nasal congestion and sneezing on day 2, but may have been seasonal allergies - resolved spontaneously without treatment. Self-resolved

Other Meds: None

Current Illness: No

ID: 0954198
Sex: F
Age: 52
State: AZ

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

Lab Data:

Allergies: Bactrim Viracept

Symptoms: Sore arm Tingling lips

Other Meds: None

Current Illness: No ne

ID: 0954199
Sex: F
Age: 50
State: AK

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

Lab Data:

Allergies: PCN, Latex, Bee Stings

Symptoms: Within 2-3 minutes of patient getting Moderna COVID vaccine, patient experienced dizziness, felt room was spinning, felt hot. Patient observed and encouraged to take deep breaths. Dizziness did not improve. Patient said she felt sensation of vaccine running through her body, was increasingly restless. No hives, itching, trouble swallowing or shortness of breath evident in Vaccine Observation area. Over concern of patient?s condition devolving, ED called (Fast Track first), and then ED Charge nurse notified. Patient transported to ED in a wheelchair, accompanied by CMA. Patient seen by ED Provider Hives became evident in ED. Solumedrol 125mg IV given and 1000ml NS. Patient?s condition improved. Discharged from ED at 3:58pm on 1/16/21.

Other Meds:

Current Illness:

ID: 0954200
Sex: F
Age: 41
State: GA

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

Lab Data:

Allergies:

Symptoms: Pt states her throat stated her throat felt like is was closing up. She had a burning sensation running down her throat. She began to lose her voice. I gave the patient 10m of Zyrtec liquid. After 30 minutes, she began to fell better. Pt had a hoarse voice.

Other Meds:

Current Illness:

ID: 0954201
Sex: F
Age: 54
State: CA

Vax Date: 01/27/2020
Onset Date: 02/03/2020
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: One week after injection: chills, shivering, diarrhea, fatigue for three days; developed bleeding gums for several days; developed petechiae on upper and lower legs that lasted for several weeks

Other Meds:

Current Illness:

ID: 0954202
Sex: F
Age: 47
State: AZ

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

Lab Data:

Allergies: Lisinopril

Symptoms: Fever, chills and body aches. Pain in the arm where the shot was given. Aleve and tylenol taken and was relieved. Occured 12 hrs after shot and lasted 24hrs.

Other Meds: Coq10, vit d, mvi

Current Illness: N/a

ID: 0954203
Sex: F
Age: 26
State: CO

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

Lab Data:

Allergies: None

Symptoms: Extremely intense headache that lasted approximately 10 hours. Headache caused nausea, sensitivity to light and sensitivity to sound. I took naproxen 500mg and 1000mg tylenol and neither did anything for the pain. I also tried ice and heat, neither of which helped with the pain either. Pain reached intensity of 7.5/10. This was by far the worst headache I've ever experienced.

Other Meds:

Current Illness: None

ID: 0954204
Sex: M
Age: 64
State: CA

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

Lab Data: All studies performed on 01/14/2021: CBC showed mild normocytic anemia with Hb of 12.7 and was otherwise normal. Comprehensive metabolic panel normal except for bicarb of 30. CT scan of chest supported that the lymph nodes looked reactive in nature.

Allergies: Penicillin

Symptoms: Left supraclavicular and left axillary adenopathy. CT scan of chest on 01/14/2021 supported that the lymph nodes looked reactive in nature. The patient was reassured and he is being observed with follow planned for 02/01/2021.

Other Meds: amlodipine 10mg daily atorvastatin 20mg daily valacyclovir 500mg daily

Current Illness:

ID: 0954205
Sex: F
Age: 41
State: CA

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

Lab Data:

Allergies: None

Symptoms: On the 3rd day, I experienced unusual fatigue, mild nausea and dizziness/faint when I would stand up. Symptoms subsided toward the end of the day.

Other Meds: Multivitamin, probiotic, bupropion

Current Illness: None

ID: 0954206
Sex: M
Age: 28
State: OH

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

Lab Data:

Allergies:

Symptoms: Arm swollen slightlyored. Place where vaccine injected very hard.

Other Meds: Lisinopril paroxetine

Current Illness:

ID: 0954207
Sex: F
Age: 94
State: CA

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

Lab Data: None

Allergies: Latex

Symptoms: Resident is at risk for adverse reaction/event status post vaccine administration error. Licensed nurse inadvertently administered Moderna vaccine twice before the 28th day. Resident is being monitored every hour and will notify MD if noted. At this time Resident is in stable condition.

Other Meds: None

Current Illness: None

ID: 0954208
Sex: F
Age: 42
State: AK

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

Lab Data:

Allergies: Contrast Dye (Shortness of breath, Eye swelling, Edema of mouth, Hives) Salmon phenazopyridine (Ringing in ears) Fish Latex

Symptoms: 10:35a: COVID vaccine #1 Sitting in monitoring room. 11:05a: checked for symptoms and reports shortness of breath and wheezing. Has history of asthma and has albuterol with her. 11:08a: O2 100% RA, HR 116 Took albuterol inhaler x2 puffs Ongoing shortness of breath. Reports sharp pain in her chest. Reports dizziness. 11:10am BP: 110/84, O2 99%, HR 113. No wheezes on exam Drank fluids and given snack. Reports difficulty swallowing. Sharp pain in chest is worsening. Shortness of breath worsening. Reports nausea. 11:18a: glucose 178. HR 112, O2 100%. Ongoing sharp pain in chest and worsening shortness of breath 11:20a: Given Benadryl 25mg and orange juice. 11:30a: Requests to go to ER ? 911 was called. Repeats albuterol inhaler 11:40a Reports shortness of breath worsening and closing sensation in her throat. Burning sensation in her mouth. Chest pains worsening and ongoing dizziness. Given epipen 0.3mg [due to shortness of breath, sensation of throat closing, nausea, dizziness, tachycardia] 11:43a: EMS arrive, assess and transport to ER

Other Meds:

Current Illness:

ID: 0954209
Sex: F
Age: 67
State: MO

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

Lab Data: unknown.

Allergies: No reported allergies.

Symptoms: Patient received 1st dose of her Shingrix vaccine. She was putting info in her phone for the next shot and after about a minute, noticed that she had her head leaning against the wall in her seat. Went out to help her and as she said she wasn't feeling well and was having what she called a "vaso vagal reaction" and was feeling very dizzy and like she was going to throw up. She wanted to lie down on the ground so helped her to the ground. Had already had a technician call 911. Once they arrived they helped her stand up and did take her on a stretcher.

Other Meds: Doxycycline Hyclate 100mg, Venlafaxine ER 150mg, Alprazolam 0.5mg, Trazodone 100mg, Tramadol 50mg, Meloxicam 15mg, Triamcinolone 0.025% cream, Famotidine 40mg

Current Illness: No reported illnesses.

ID: 0954210
Sex: M
Age: 68
State: DE

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

Lab Data:

Allergies: None

Symptoms: Started to feel tightness in my throat, dryness in my mouth, numbing lips and warmth throughout my body. Stopped at Hospital and was treated intravenously with Steroids and Pepcid. After 2 hours left hospital feeling much better with slight numbness in lips

Other Meds: Flomax and centrum vitamins

Current Illness: None

ID: 0954211
Sex: F
Age: 16
State: MA

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

Lab Data:

Allergies:

Symptoms: Runny and itchy nose, lasting for about a day.

Other Meds:

Current Illness:

ID: 0954212
Sex: F
Age: 66
State: AK

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

Lab Data:

Allergies: Amoxicillin, Metronidazole, Penicillins

Symptoms: CO complained of ?tingling? sensation in tongue about 20 minutes into observation period. A provider was notified, vitals taken, provider assessed patient, 50 mg Benadryl was given orally at 11:29am, vitals were taken every 15 minutes and directly observed until 12:05pm when patient said her tongue was feeling better. Provider reassessed CO and let CO go home at 12:05pm.

Other Meds:

Current Illness:

ID: 0954213
Sex: F
Age: 49
State: AZ

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

Lab Data:

Allergies: none

Symptoms: 1. Tingling in left ring finger immediately 2. Left arm burning and soreness starting at injection site and traveling down arm worse within 48 hours with continued pain left arm with on and off altered sensation left ring finger currently (3 weeks post injection) 3. Early fatigue left arm 4. Significant body/bone aches for 6 days

Other Meds: B12, Restasis eye drops

Current Illness: none

ID: 0954214
Sex: F
Age: 36
State: IN

Vax Date: 01/10/2021
Onset Date: 01/13/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: A few days after the shot, I noticed there was swelling at the injection site. Not painful, but feels like a lump is in my arm.

Other Meds:

Current Illness:

ID: 0954215
Sex: F
Age: 43
State: MI

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

Lab Data: Blood work taken at my doctor's office on Mon, 1/18/21.

Allergies: Fiorecet, viscous lidocaine-viscous only, Bactrim DS, cats, mold, cockroaches, various seasonal allergies spanning all seasons except winter.

Symptoms: Within 30 minutes of shot-Fleeting itching in both ears, fingertips, and soles of feet. Blurred peripheral vision in left eye only. Dizziness, wooziness. All resolved with 35 minutes of injection, initially. Within 4 hours of shot-Exponential increase in pain from waist down, including lower back pain. Took Motrin 600 mgs which resolved pain within 1 hour of taking it. Felt off/not myself-Felt foggy-headed-pressure in head and ears was not normal. 2100-0000 (Evening of shot)-Moderate sporadic dizziness that became moderate constant dizziness-Took 1 25 mg chewable Meclizine with 1 cup of water. Pain increased and Motrin wore off. Fatigue grew worse. 1/13/21-1/14/21-SEVERE back pain. Intense pain in legs and hips. Upper respiratory symptoms-Nasal congestion, ear pressure, sinus pain/pressure, chest and upper back discomfort, chest congestion, irritation, and aching. Cheeks and nose looked puffy/swollen. Eye pain, headache on and off. Fatigue, dragging. Felt feverish but no actual fever. Body aches-sides, legs-front, back, and sides, lower back, and glutes. Felt like arthritis from waist down, including lower back. Took nighttime cold syrup, etc. to be able to sleep and/or at least dull the pain. Also used heating massage pad to assist with pain relief. 1/15/21-1/16/21-Pain lessened in terms of intensity. Had longer spells of less intense pain. Also less pain with movement after resting/lying down. However, pain still intense at this point. Meds more helpful with the pain at this point as well. On Sat, felt dizzy and unwell all day, including extra tired. Hot, sweaty on Sat. Racing heart, chest tightness. Used inhaler and Metoprolol. 1/17/21-Felt unwell-intense pain still, dizziness, fatigue. Took Meclizine 25 mg that morning. Also took another 25 mg Meclizine later that afternoon. Nausea, dry heaving to the point I almost vomited 2x. After napping, nausea returned slightly but immediately went away. Felt very tired remainder of the evening. 1/18/21-Went to MD to get clearance to return to work. Dizziness prior to visit and took 1/2 25 mg Meclizine. Felt better until I got to doctor's office. While waiting to be called back, dizziness started up again and got severe. While waiting on MD to come in and talk to me, I got nauseated and felt like I might dry heave/vomit. I took another 1/2 Meclizine 25 mg and sucked on a mentholated cough drop to help with nausea, which did subside. Dizziness continued to be severe. MD took blood pressure, pulse ox, checked my ears, checked my pupils, listened to me breathe, asked me about my symptoms, return to work, and advised on safety of taking 2nd COVID injection when it is time but leaving it up to me in terms of if I feel benefits outweigh possible side effects of 2nd injection. He prescribed anti-nausea meds, pain meds, and stated he wants to see me for a follow-up visit in 1 week. He also prescribed steroid and pain med injections to be administered in office immediately, steroid injection sometimes contains Benadryl and based on how I felt after the shot, there may have been Benadryl in this one. He also requested I message him later in the day to let him know how I was feeling. Injections did GREATLY assist with pain and dizziness/foggy-headed feeling, once they kicked in. I did message him letting him know how I was feeling after napping. 1/18/21 evening-I am still feeling weak and tired and having stinging like pain in both legs along with minor lower back pain. Some chest and throat irritation as well as stomach discomfort. Going to take a gentle laxative as well as some of the nighttime cold medicine I purchased. Still also having dizziness on and off. I plan to return to work tentatively, on 1/19/21, per my return to work note from MD. I will keep my MD notified of how I feel between now and next Monday's follow-up.

Other Meds: Metoprolol 25 mg, Allegra D 12 hour, Promethazine HCl 6.25 mg/5 mL syrup, 1/2 Vicodin ES, Arnuity Ellipta 200 mcg, Medrol Dosepak 4 mg, Clarithromycin. These were meds taken anywhere from the evening before vaccination up to the day of va

Current Illness: Sinus infection.

ID: 0954216
Sex: F
Age: 63
State: PA

Vax Date: 01/11/2021
Onset Date: 01/17/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: 6 days after injection reddening and itching of injection site

Other Meds: Iron, Vitamin D, Flaxseed Oil, Vitamin B12 complex

Current Illness: none

ID: 0954217
Sex: F
Age: 38
State: MD

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

Lab Data: None

Allergies: Zithromax (z-pack)

Symptoms: Less than one hour after receiving my first Moderna vaccine I started to develop a slight red rash from my neck down my stomach and onto my legs. The rash developed into hives in less than 12 hours. I had hives that resembled bee stings from my neck down my torso and onto my legs. The rash burned like fire and was slightly itchy. I had to take Benadryl for 3 days to lessen the symptoms. After about three days the rash and hives started to dissipate.

Other Meds: None

Current Illness: None

ID: 0954218
Sex: F
Age: 58
State: NY

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

Lab Data: none

Allergies: NKDA

Symptoms: Slowly building fever over 2 days. High fever was 101.5 F along with moderate to severe pain at the injection site.

Other Meds: none

Current Illness: none

ID: 0954219
Sex: F
Age: 29
State: CA

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

Lab Data:

Allergies: None

Symptoms: headache fever chills body ache

Other Meds: None

Current Illness: None

ID: 0954220
Sex: M
Age: 33
State: CA

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

Lab Data:

Allergies:

Symptoms: -On 1/11/21 at 930AM los angeles time, I received the COVID19 Moderna vaccine. At about 1030AM I had a very bad headache and was extremely nauseous for about 3 hours and felt like vomiting but did not vomit. This went away at about 1230pm and I felt my tongue get cold and a metallic taste which went away within the hour of onset. The nausea, headache, and metallic taste was gone at about 1-2pm on 1/11/21. I had a sore left arm on the injection site, which is to be expected and went away within 3 days. On 1/18/21 around 1pm, my arm started to feel itchy at the exact site of the injection from 1/11/21, and there is now (1/18/21) a red rash like appearance on that left arm where the Moderna covid vaccine was injected. Possible delayed local allergic reaction.

Other Meds:

Current Illness:

ID: 0954221
Sex: F
Age: 27
State: CA

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

Lab Data: NONE

Allergies: Co-Trimoxazole, Shellfish derived products

Symptoms: Pt received her first dose of Moderna on 01/14/2021. Pt experienced a delayed adverse reaction of diarrhea starting on 01/17/2021 and lasting through 01/18/2021.

Other Meds: Bentyl, Trazodone, Topmax, Cymbalta

Current Illness: Hx of IBS (irritable bowel syndrome)

ID: 0954222
Sex: F
Age: 50
State: SC

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

Lab Data: 12/30/2020 ALT high at 101; AST high at 54 01/14/2021 ALT 34; AST 26 12/18/2019 ALT 18; AST 20

Allergies: Sulfa. Levaquin. Loestrin FE

Symptoms: Had lab work for yearly physical on 12/30/2020. ALT (alanine aminotransferase) and AST (aspartate aminotransferase) levels increased. No treatment but rechecked hepatic panel on 01/14/2021 with AST and ALT back to normal levels

Other Meds: Climarapro transdermal patch. pantoprazole. methylprednisolone dosepack last pill taken on12/22/2020

Current Illness:

ID: 0954223
Sex: F
Age: 63
State: TX

Vax Date: 01/05/2021
Onset Date: 01/08/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Extreme dizziness minutes after admin on day of vaccine. Passed after ten mins. Regular soreness at injection site first couple of days. Then entire upper arm has became very swollen, red like sunburn with burning and extreme itching to upper arm. Still have 13 days after injection.

Other Meds: Metformin, Lisinopril, Vitamin C, D, Atorvastin, Levothyroxine

Current Illness: None

ID: 0954224
Sex: F
Age: 51
State: CA

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

Lab Data: None

Allergies: Sulfa

Symptoms: Dark reddish-purple rash on neck that started to spread to the chest area about 1 hour after the vaccine was given - took 1 Claritin and 1 Benadryl and slept. I woke up a few hours later with chills, headaches and body aches. I took another Benadryl and slept for the rest of the night. The next day, I woke up with the same symptoms, but worse. I was very drowsy and slept all day. I had no appetite. That evening, I took some Tylenol and began to feel better a few hours later. The next day, the symptoms had mostly resolved. A little bit achy and sore but overall, I felt good.

Other Meds: None

Current Illness: Flu symptoms (chills, body aches, sore throat) at the beginning of January. Tested negative for Covid on 1/3/20

ID: 0954225
Sex: F
Age: 29
State: WA

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

Lab Data:

Allergies: N/a

Symptoms: Numbness/tingling to bilateral hands for over one week

Other Meds: N/a

Current Illness: N/a

ID: 0954226
Sex: F
Age: 37
State: TX

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

Lab Data: NA

Allergies: Slight allergy to milk based products

Symptoms: Sore arm 3 days, redness 3 days and growing, swelling 2 days, headache, chills (all 1 day), fever 2days, fatigue 2 days, runny nose 2 days, mild flu like symptoms 2 days

Other Meds: Vyvanse 50 mg, synthroid 75 mcg, vitamin b12

Current Illness: None

ID: 0954227
Sex: F
Age: 37
State: WA

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

Lab Data: None

Allergies: None

Symptoms: 24 hrs hrs after had high fever to 101, chills, rigors, myalgias, dizziness, headache, nausea, minor arm soreness and itchiness . 48 hrs after developed supraclavicular tender lymphadenopathy, neck stiffness, and continued headache. Headache lasted 5 days.

Other Meds: Synthroid, levonorgestrol-ethynoyl estradiol, flintstones multivitamin

Current Illness: None

ID: 0954229
Sex: F
Age: 29
State: FL

Vax Date: 01/02/2021
Onset Date: 01/09/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: A week after receiving my first dose of the vaccine, I was watching television and noticed that my left arm was itching. As I started to scratch, I noticed that I had a large bump or wheal over the spot where my vaccine had been administered. It was about an inch in length and width. I applied topical OTC cortisone cream as needed on it for the itching. Within a few days, the area subsided to normal.

Other Meds: Prenatal vitamin, vitamin C

Current Illness: None

ID: 0954230
Sex: F
Age: 28
State: NY

Vax Date: 01/08/2021
Onset Date: 01/16/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: Moderna COVID-19 Vaccine EUA: Developed an area of rash with swelling, erythema, warmth, and pruritus to the vaccine injection site on the left arm, which was first noticed on Saturday 1/16 (8 days after receiving the vaccine). Visited urgent care on 1/17, believed to be an infection; was prescribed oral antibiotic as well as an antibiotic cream. Later visited ER, site of vaccination, where it was diagnosed as a delayed localized reaction to the vaccine. Recommended Benadryl and hydrocortisone cream for supportive treatment; prescribed an Epi-pen just in case. Rash currently appears to be improving.

Other Meds: - Doxycycline hyclate - Birth control - Vitamin D - Multivitamin - Biotin - Clindamycin benzoyl peroxide - Tazorac ointment

Current Illness:

ID: 0954231
Sex: M
Age: 52
State: OR

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

Lab Data: None

Allergies: Tetanus toxoid

Symptoms: Patient developed right facial swelling and right parotitis approximately 18 hours after vaccination.

Other Meds: Vitamin D

Current Illness: mild rosacea

ID: 0954232
Sex: F
Age: 34
State: MD

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

Lab Data:

Allergies: Reglan, druperidol

Symptoms: Injection site red, swollen, itchy and painful. Two and a half weeks later there is still a circle around injection site.

Other Meds: Levothyroxine, metformin, seroquel, Wellbutrin, prozac, orthonovum, Crestor

Current Illness: None

ID: 0954233
Sex: F
Age: 59
State: MI

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

Lab Data:

Allergies: Sulfa

Symptoms: 8 days after vaccine-January 17th. I woke up with redness at injection site felt warm to touch & itching. The area was approximately 3?x3?in diameter. The following morning the redness had spread and continued to spread throughout the day. I saw my physician- he suspects cellulitis. He prescribed Keflex and methylprednisolone. I am scheduled to return to his office in 3 days to re-evaluate. I have had a severe headache off and on Since Saturday January 16th.

Other Meds: Lisinopril, Wellbutrin, Dexedrine, fiorinal.

Current Illness: None

ID: 0954234
Sex: M
Age: 31
State: MA

Vax Date: 01/15/2021
Onset Date: 01/17/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Woke up with 3 canker sores in mouth 2 days after receiving vaccine. Have not seen this symptom reported anywhere else.

Other Meds: None

Current Illness: None

ID: 0954235
Sex: F
Age: 50
State: NJ

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

Lab Data: none - telehealth visit

Allergies: none

Symptoms: Chief Complaint: Injection site was initially red, with pain/discomfort (unable to sleep on left side.) Those symptoms were reported through v-safe. That resolved/improved then Localized Rash presented 8 days after injection. Warm, red, slight lump/bump . Redness is over an area approximately 3" x 3" with irregular edges. Utilized telehealth visit. Suspected sterile abscess. Diagnosis: Cellulitis (Bacterial Skin Infection) Vaccine reaction symptom or question Prescription Medication(s): cephalexin 500 mg capsule - 1 cap by mouth 3 times per day for 7 days

Other Meds: lipitor, zoloft, armor, asmanex, metformin, vitamin d3, hydrochlorothiaz

Current Illness:

ID: 0954236
Sex: F
Age: 43
State: MD

Vax Date: 01/09/2021
Onset Date: 01/16/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: 1/18/2020-saw PA at Clinic

Allergies: Centimeter Penicillin

Symptoms: Large red circle, large knot, burning sensation began at injection site approximately day 8 and getting worse by day 10, area spreading had to seek medical attention

Other Meds: Ibuprofen Pantoprazole

Current Illness: None

ID: 0954237
Sex: F
Age: 46
State: CO

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

Lab Data:

Allergies: no allergies

Symptoms: Patient states that since the evening of 1/16/21 she has had a fever, a red, sore and hard left arm, and body aches. Tylenol helps but it still continues to happen, such as fever, and body aches return. The tylenol is not helping her sore arm she states.

Other Meds: none

Current Illness: none

ID: 0954238
Sex: F
Age: 41
State: CA

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

Lab Data: covid test negative 1/16/21 to r/o s/sx related to covid

Allergies: none

Symptoms: 1/8/21: received vaccine left arm. 1/14/21: left axillary lymphadenopathy & swelling of vaccine injection site, mild myalgia & arthalgia. 1/15/21: Fever 101. 4, very severe arthalgia, mild myalgia, increased swelling of left upper arm & lymphadenopathy (visibly different than right side). 1/16/21: No more fever, but above still there. Covid test Negative. 1/17/21: Very bad headache. 1/18: improving. Note: arthralgia & myalgia persists since vaccinated day until now about 2/10 (0-10, 10=worse). On 1/15/20: arthalgia was 8/10 (10=worse). No previous joint/muscle pain at baseline.

Other Meds: mircette oral contraceptive

Current Illness: none

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm