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: 0956580
Sex: F
Age: 73
State: KY

Vax Date: 01/18/2021
Onset Date: 01/18/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: No lab work done.

Allergies: Penicillin-hives

Symptoms: After patient received vaccine and was monitored for 15 minutes, patient went home. Patient started to feel dry in her throat, drank a bottle of water then throat felt tight. Patient came to ED, O2 sat on arrival was 98%. Patient was given Benadryl IV, monitored, and discharged home.

Other Meds: None listed.

Current Illness: None listed.

ID: 0956581
Sex: F
Age: 28
State: GA

Vax Date: 01/18/2021
Onset Date: 01/18/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: unknown

Allergies: none

Symptoms: Feeling hot/flushed, throat tightness, Benadryl 25mg po given and transported to ED

Other Meds: none

Current Illness: none

ID: 0956582
Sex: F
Age: 29
State: MA

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: After receiving vaccine patient became nauseous and had headache

Other Meds:

Current Illness:

ID: 0956583
Sex: F
Age: 23
State: SC

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Itching, throat itching. Benadryl 25mg po and Pepcid 40mg po given in clinic. Did not resolve. Trasport to ED Solumedrol 125mg IV push once, Benadryl 25mg IV Push once and Sodium Chloride 1000mL IV Bolus once. DC home

Other Meds: Buproprion SR 100mg po BID

Current Illness: None

ID: 0956584
Sex: M
Age: 45
State: LA

Vax Date: 01/18/2021
Onset Date: 01/18/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Patient received a shot at 12:12. This was his second shot in the series. By 1530, his heart rate was elevated (120 to 130 beats/minute) . He was afebrile, with no shortness of breath or chest pain. He came back and reported the problem without wanting to go to the ED. He decided to go home. By later on that evening, his heart rate was normal. To note: He stated that with his first shot, he had nausea, fever and fatigue.

Other Meds: Simvastatin, lisinopril

Current Illness: None

ID: 0956585
Sex: F
Age: 50
State: PA

Vax Date: 01/18/2021
Onset Date: 01/18/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Full body aches, chills, headache and fever. I took Tylenol to treat body aches and fever along with severe pain at injection site. Fever broke at around 12 pm on 1/19/21 but continued body aches, headache and pain at injection sight.

Other Meds: Pantoprazole 40 MG, paroxetone 10 MG, ecptrin 325 MG, Tylenol 500 mg

Current Illness: None

ID: 0956586
Sex: F
Age: 51
State: CA

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: K flex, Bactrim, and Celebrex.

Symptoms: she had itching to face and head. Nursing staff called EMT who arrived at 1337 to evaluated client. Client stated she refused transportation to hospital, but instead, she drove home and took Benadryl. Client stated Benadryl helped with her itching symptoms and were resolved on 01/14/21. Client stated on 1/17/21 she noted injection site was red, hot, and painful. Client stated she went to see her PCP on 1/18/21 and PCP diagnosed her with Cellulitis of left arm just below injection site, and she was given Doxycycline for infection. Client stated she still has Cellulitis at injection site and will continue to seek treatment if needed.

Other Meds: Daily vitamins, Iron, B-complex, fish oil and calcium.

Current Illness: None

ID: 0956587
Sex: F
Age: 1
State: MT

Vax Date: 10/22/2020
Onset Date: 10/25/2020
Rec V Date: 01/19/2021
Hospital:

Lab Data: Ultrasound on 01/13/2021

Allergies: None

Symptoms: Patient developed lump in right thigh following administration of vaccination. Lump is slowly decreasing in size. Patient is not bothered by lump. Ultrasound of lump was not concerning.

Other Meds: None

Current Illness: None

ID: 0956588
Sex: F
Age: 35
State: VA

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: Influenza vaccine 4 days after vaccine in 2014

Symptoms: 20 min after vaccine administration, patient noted to be flushed, stated tongue and throat felt funny, early papular rash erupting. Immediately given Epi 0.3cc IM, patient continued with chest tightness, additional Epi 0.3 cc and 125mg Solumedrol IM with eventual resolution of symptoms. D/C home after 3 hours monitoring with EpiPen, tapering prednisone coarse, and instructions to take Claritin every day for next 14 days.

Other Meds: Fluoxetine, Claritin, ibuprofen prn, MVI, Vit D3

Current Illness: none

ID: 0956589
Sex: F
Age: 59
State: KY

Vax Date: 12/24/2020
Onset Date: 12/24/2020
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Tingling in arm

Other Meds:

Current Illness:

ID: 0956590
Sex: F
Age: 45
State: GA

Vax Date: 01/18/2021
Onset Date: 01/18/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: none

Allergies: PCN Benadryl pollen grass pet dander

Symptoms: After 15 min TM started having lip and tongue numbness tingling . Then HA . Allergy to Benadryl BP137/92 HR 78 O2 99%

Other Meds: Zyrtec Synthroid vit d

Current Illness: none

ID: 0956591
Sex: M
Age: 41
State: CA

Vax Date: 01/16/2021
Onset Date: 01/16/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Approximately 13 hours after receiving vaccine #2 patient developed hives over his face and neck, then felt tongue swelling & itching. He took benadryl and zyrtec and due to tongue swelling called 911. He was evaluated in the emergency room and given IV steroids and benadryl, then released after being observed for 1 hour.

Other Meds:

Current Illness: None

ID: 0956592
Sex: F
Age: 16
State: MN

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: None Known

Symptoms: Talked with mother of minor and said she is doing well and has had no side affects. Let mother know her daughter should not receive the second dose and she stated understanding of this. Reviewed error with nurse and she thought she had calculated correctly. Reviewed process for verifying age. Registration form has been corrected so patient has to write their actual age and birthdate.

Other Meds: Unknown

Current Illness: Unknown

ID: 0956593
Sex: F
Age: 22
State: CA

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: N/A

Allergies: N/A

Symptoms: rash skin on face, neck and chest with itching for about 7 days

Other Meds: N/A

Current Illness: N/A

ID: 0956594
Sex: F
Age: 55
State: IL

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: None other than Codeine and similar medicine makes me nauseous

Symptoms: None stated.

Other Meds: None

Current Illness: None

ID: 0956595
Sex: M
Age: 18
State: MD

Vax Date: 01/18/2021
Onset Date: 01/19/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: none

Allergies: codeine

Symptoms: Swollen and sore at the injection site Instructed ice packs 20 minutes 3 times today and tomorrow. Ibuprofen for discomfort. Monitor borders of swelling and f/u if significant worsening redness, pain, swelling

Other Meds: none

Current Illness: none

ID: 0956596
Sex: F
Age: 22
State: NM

Vax Date: 12/18/2020
Onset Date: 12/18/2020
Rec V Date: 01/19/2021
Hospital:

Lab Data: None

Allergies: No known drug allergies

Symptoms: Patient started feeling left arm joint pain including intermittent ache with and without movement. Pain alleviated with no intervention and came back a few days later. Patient had no other symptoms.

Other Meds: None

Current Illness: None

ID: 0956597
Sex: F
Age: 90
State: AL

Vax Date: 01/18/2021
Onset Date: 01/19/2021
Rec V Date: 01/19/2021
Hospital: Y

Lab Data: done at Hospital -

Allergies: NKDA

Symptoms: Pulmonary Edema, fever, nausea, vomiting

Other Meds: Not known

Current Illness: none

ID: 0956598
Sex: F
Age: 43
State: IA

Vax Date: 12/18/2020
Onset Date: 12/24/2020
Rec V Date: 01/19/2021
Hospital:

Lab Data: CBC-normal

Allergies: no

Symptoms: I woke up on 12/24 with one hive on my chin which spreaded to the right side of my neck, up my face into my hair line. I had petechi began to appear so I started taking 50mg of benedryl orally about every 6-8 hrs but it continued to spread to the other side of my face and was thickened and scaly still and on 12/25 sp I went to the ER and was given 40mg of IV solumedrol and was given a precription for oral prednisone and it took about a week to clear up. My face look like it had been burned and was peeling

Other Meds: Multivitamin, Biotin, Finasteride, Iron, Vit. D 2000 units, Atinnelol, Paroxatine 10mg, Moloxican 705mg.,

Current Illness: no

ID: 0956599
Sex: F
Age: 44
State: CA

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: NA

Allergies: NKDA

Symptoms: Immediate swelling to injection site. Patient observed for20 min and then she decided to leave prior to BP taken

Other Meds: None

Current Illness: High blood pressure

ID: 0956600
Sex: F
Age: 53
State: WI

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Fever up to 101.0, body aches, chills, fatigue, weakness, redness at injection site, tender at injection site, swollen lymph nodes in neck, axilla, L breast, headache that started at 6 am the following day. I took Tylenol which did help fever and body aches. I had symptoms until 1/11/21 and started feeling better at 11 am.

Other Meds: Propranolol, multivitamin, metformin, ibuprofen, omeprazole

Current Illness: none

ID: 0956601
Sex: F
Age: 36
State: CA

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: clindamycin severe -- anaphylactic, cillins -- severe diarrhea and stomach cramps, mosquito bites -- severe anaphylactic

Symptoms: Dr. gave me a high powered antibiotic shot due to infection at injection site.

Other Meds: over the counter naproxen, multivitamin, vitamin D, omega 3-6-9, calcium/magnesium/zinc

Current Illness: none

ID: 0956602
Sex: M
Age: 36
State: MA

Vax Date: 01/16/2021
Onset Date: 01/17/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: n/a

Allergies: apples, strawberries, cherries. Almonds.

Symptoms: (Day 1) - Headache, (Day 2)- Headache, fatigue, muscle pain, pain in right eye, slight chest pain (Day 3) - Headache, fatigue, muscle pain, pain in right eye, tingling in left arm/hand, slight chest pain(Day 4)- Headache, fatigue, muscle pain, tingling in left arm/hand/leg, tingling in right arm, slight chest pain. Have not been to Dr. for a follow up, I have been taking Ibuprofen which seems to improve symptoms.

Other Meds: Adderall

Current Illness: none

ID: 0956603
Sex: M
Age: 41
State: CA

Vax Date: 01/16/2021
Onset Date: 01/16/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: None known

Symptoms: Approximately 13 hours after receiving COVID vaccine #2 (no events occurred after dose #1) patient developed hives over his face and neck, followed by tongue itching and swelling. He took oral antihistamines but due to ongoing tongue swelling he contacted 911. He was taken to the ER and given IV steroids and Benadryl, then discharged after being monitored for 1 hour.

Other Meds:

Current Illness: No

ID: 0956604
Sex: F
Age: 58
State: MI

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: Codeine

Symptoms: Large red welt, hot, very itchy

Other Meds:

Current Illness:

ID: 0956605
Sex: F
Age: 30
State: KY

Vax Date: 12/24/2020
Onset Date: 12/26/2020
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Tingling Arm

Other Meds:

Current Illness:

ID: 0956606
Sex: F
Age: 0
State: IA

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Last week in the BP there was an incident when the RN gave the newborn Hepatitis B Vaccine. Apparently the syringe came apart from the needle, and the vaccine leaked/sprayed out, not getting to the patient. Dr. was notified and he advised to not re-administer another vaccine. The mother was low risk and the patient would be seen in the clinic with a newborn follow up visit.

Other Meds:

Current Illness:

ID: 0956607
Sex: F
Age: 59
State: NY

Vax Date: 01/06/2021
Onset Date: 01/08/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: Sulfa, Erythromycin, Tetracycline, Morphine, Delauded

Symptoms: Started with small hives on face and neck on 1/14/2021 and continued on 1/15 and 1/16. I also had a swollen upper lip which occured at 11pm on the 16th lasting until 10am on the 17th. After taking Benedry at bedtime on 1/17, hives have gotten fewer and no more swelling on upper lip.

Other Meds: Apriso 0.375 Pantoprazole 40mg Metoprolol 25mg Vitamin D3 50mcg Magnesium Oxide 400mg Aspirin 81mg Calcium 600mg

Current Illness:

ID: 0956608
Sex: F
Age: 55
State: NY

Vax Date: 01/08/2021
Onset Date: 01/16/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: N/A

Allergies: N/A

Symptoms: On day 8, area below injection site was erythemic , edematous and pruritus (approx 10cm in diameter).

Other Meds: Synthroid

Current Illness: N/A

ID: 0956609
Sex: M
Age:
State: MA

Vax Date: 01/21/1921
Onset Date: 01/15/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: N/

Allergies: N/a

Symptoms: Fever Sore arm Chills

Other Meds: N/a

Current Illness: N/a

ID: 0956610
Sex: F
Age: 87
State:

Vax Date: 01/10/2021
Onset Date: 01/10/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Resident reported shortness of breath, severe fatigue/weakness, new onset confusion, sore throat, body aches, runny nose

Other Meds:

Current Illness:

ID: 0956611
Sex: F
Age: 39
State: MA

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: EKG and Blood work I had chest examine.

Allergies: Allergy aspirin and Minocyclin

Symptoms: On Thursday i had hot chest again. My heart rate was raising. Friday I started having the shakes and went to hospital.

Other Meds: None

Current Illness: None

ID: 0956612
Sex: F
Age: 64
State: NY

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: None

Allergies: None at this time or time of injection

Symptoms: On January 14th woke up with a headache and extremely tired. Slept on / off most of day. On January 16 woke up feeling great and about 3:30 in the afternoon with no warning extreme dizziness and nausea came over me. Felt so awful, tried to eat something, vomited immediately. Felt so horrible, had to go to bed, slept on and off throughout the night. Woke up Sunday, feeling better, not 100%. I?m concerned if on January 16th was a reaction because it was two full days after receiving the injection.

Other Meds: Celexa - 20mg daily Vitamin D3 (1000) - 2 daily Rosuvastatin - 20 mg. Daily

Current Illness: None

ID: 0956613
Sex: F
Age: 29
State: MI

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Elevated temperature 99.9-100.2 Chills Diffuse body aches Elevated blood pressure (130/110) Tachycardia 120-130 at rest Shortness of breath

Other Meds: Beyaz birthcontrol Spironolactone 25mg qhs

Current Illness: None

ID: 0956614
Sex: F
Age: 42
State: CA

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: head ache, Right eye pain

Other Meds:

Current Illness:

ID: 0956615
Sex: F
Age: 78
State: NY

Vax Date: 01/09/2021
Onset Date: 01/11/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: Blood work Doppler of the Brian three MRIs of the brian

Allergies: None

Symptoms: Two days after my wife received the moderna vaccine she showered significant cognitive impairment and memory loss . She cannot recall words and is experiencing delirium. Both her internist and her neurologist are convinced it was the result of the vaccine e. She had a complete Nueromosych evaluation done two months ago snd the results were completed normal. I want you to be aware of this snd if it does not resolve I may sue the federal government and moderna. Thanks a llot

Other Meds: No ne

Current Illness: None

ID: 0956616
Sex: F
Age: 36
State: GA

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: Allergies to latex, Phenergan, Compazine, sulfa drugs, lidocaine, mepivacaine, rifaximin, scopolamine patches, and Percocet.

Symptoms: Redness on arm and chest and increased heart rate

Other Meds: None

Current Illness:

ID: 0956617
Sex: F
Age: 47
State: KS

Vax Date: 12/29/2020
Onset Date: 01/09/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: CBC, Chem 12 normal

Allergies: Peach and pear allergy

Symptoms: Trigeminal never V1 distribution sensory loss which started 10 days after the vaccine and is still ongoing.

Other Meds: none

Current Illness: none

ID: 0956618
Sex: F
Age: 50
State:

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: none

Allergies: NKDA, has pollen allergy

Symptoms: 2:17 states teeth are hurting and suddenly feels very tired and sleepy. Taken via w/c to private observation with EMT in attendance. Denies dizziness or lightheadedness. No redness, itching Denies throat problems. State arm sore. No swelling or redness noted. BP 128/84; HR 98; O2 97% on r/a 2:27 states she has a metal taste in mouth. Denies having fillings. Still feels sleepy. Denies dizziness. BP 130/85; HR 84; O2 99% on r/a 2:33 states she feels fine. EMT offered ambulance and patient declined. Patient declined lightheadedness, dizziness. States she didn't eat much for breakfast and plans on going home to rest for the day. Encouraged water intake, gave water and tolerated well. Stood, gait steady. Self ambulated to private vehicle.

Other Meds: Spironolactone, lipitor.

Current Illness: Sinus infection - just completed augmentin antibiotic course

ID: 0956619
Sex: F
Age: 22
State: CA

Vax Date: 01/07/2021
Onset Date: 01/10/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: Unknown

Allergies: No

Symptoms: Hand got numb lost feeling got really bad chills at 7pm felt nausaited joints hut so much and had fatigue and lost sense of smell wint to the hospital and started getting shortness of breath face got highves red hot and itchy I recieved a shot for my joints benedrile for my face and a shot of steroids in the hospital.

Other Meds: None

Current Illness: No

ID: 0956620
Sex: F
Age: 77
State: FL

Vax Date: 01/15/2021
Onset Date: 01/18/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: After lying down when I try to get up I am extremely dizzy.

Other Meds: Ciprofloxacin Liptor

Current Illness: none

ID: 0956621
Sex: F
Age: 62
State: IL

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Mild headache and some low-level all-over itching -- no rashes, blotches, or skin discoloration. The headache began shortly after the shot, during the 30 min. I was under observation. Itching felt approximately 2 hrs. later. I took 2 generic Benadryl about 1:15p while at home for lunch. Mild headache remains.

Other Meds:

Current Illness:

ID: 0956622
Sex: M
Age: 44
State: TX

Vax Date: 01/18/2021
Onset Date: 01/18/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Dizziness, severe headache, chills, nausea.

Other Meds:

Current Illness:

ID: 0956623
Sex: F
Age: 51
State:

Vax Date: 01/18/2021
Onset Date: 01/18/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: given ativan in ED and observed

Allergies: nkda

Symptoms: vasovagal syncope followed by panic attack

Other Meds:

Current Illness: unkonw

ID: 0956624
Sex: M
Age: 48
State: LA

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: none

Allergies: NKA

Symptoms: Fever to 102, rigors, myalgia, headache, malaise x 36 hours post vaccination. Same symptoms for 1st and 2nd immunizations.

Other Meds: Vit D

Current Illness: none

ID: 0956625
Sex: F
Age:
State: AZ

Vax Date:
Onset Date:
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: None

Other Meds:

Current Illness:

ID: 0956626
Sex: F
Age: 55
State: CA

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: none

Allergies: Dairy, tree nuts

Symptoms: Light headed, mild stomach upset

Other Meds: None

Current Illness: none

ID: 0956627
Sex: M
Age: 34
State: NJ

Vax Date: 01/08/2021
Onset Date: 01/15/2021
Rec V Date: 01/19/2021
Hospital: Y

Lab Data:

Allergies: seasonal allergies

Symptoms: Moderna COVID- 19 Vaccine. Vaccine recipient reported on 1/19/2021 that they received the Moderna Vaccine on 1/8/2021. The following week on 1/15/2021, they reported while driving, their area around their right eye became numb and they began to have blurry vision. The numbness spread to around their face/mouth. They pulled over and their spouse drove him to the hospital. Roughly 20 minutes after the initial symptoms, they developed chest pain and patient reported that the ED noted an abnormality on their EKG. The patient had to be admitted overnight for observation. The patient reported that on 1/18/2021, they still had mild chest pain and facial numbness remains around the right eye, left mouth/cheek area, and tongue. They did develop fever and a headache. The patient reported that on 1/19/2021, they are waiting on results, additional testing, and further follow-up appointment with their provider.

Other Meds: Allergy medication (unknown), albuterol Inhaler, multivitamin

Current Illness: None

ID: 0956628
Sex: F
Age: 62
State: TX

Vax Date: 01/16/2021
Onset Date: 01/16/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: none that I know of

Symptoms: About three hours after I got vaccine I started feeling very tense and anxious. Next day I felt same, more less thorough the day. Three whole days later I feel same or even worse, so bad I cannot function. I feel like my body is producing too much adrenaline.

Other Meds: NP thyroid

Current Illness: none

ID: 0956629
Sex: F
Age: 77
State: NV

Vax Date: 01/09/2021
Onset Date: 01/17/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: none

Allergies: augmentin

Symptoms: 8th day after vaccination, the area surrounding the injection site (2" x 3") became red and itchy. On the 10th day (today) the area is about the same dimensions and a little less red and itchy.

Other Meds: synthroid, calcium, rutin, vitamin c, l-lysine, glucosamine, probiotic

Current Illness: none

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm