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: 0957158
Sex: F
Age: 49
State: WI

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

Lab Data:

Allergies: None

Symptoms: Had severe chills and body aches and fatigue about 12 hours after vaccine, lasted about 8-10hrs fatigue and mild aches lasted another 8-10 hrs. Then 2 days after the shot I got a herpes simplex virus in my eye.

Other Meds: Multi vitamin, letrozole,Allegra, venlafaxine, iron, citracal with D, fish oil, vitamin B complex, melatonin

Current Illness: None

ID: 0957159
Sex: M
Age: 65
State: NJ

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

Lab Data:

Allergies:

Symptoms: Resident experienced chest pain the evening he received the vaccine and requested to go to the hospital as he stated his "chest is pounding".

Other Meds:

Current Illness:

ID: 0957160
Sex: F
Age: 51
State: VA

Vax Date: 12/31/2020
Onset Date: 01/13/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: Topical antibiotics

Symptoms: Redness in shot area 13 days after shot and muscle soreness

Other Meds: Lexapro, Maxalt

Current Illness: None

ID: 0957161
Sex: F
Age: 41
State: MO

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

Lab Data:

Allergies: None

Symptoms: Day 1-2: fever, chills, body ache, fatigue headache Day 3-8: persistent headache and fatigue

Other Meds: Zoloft Trazadone Liothyrinone

Current Illness: None

ID: 0957162
Sex: F
Age: 38
State: MD

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

Lab Data:

Allergies: None

Symptoms: The patient reported that she has red, warm, bumpy with a dry center at the injection site. She visited her doctor and was diagnosed with cellulites. She reported that, the doctor suspected it may be due to contaminated needle. The doctore prescribed Cephalexin 500mg , 1 capsule q6h for 10 days. She just took the first dose and no sign of improvement yet.

Other Meds: None

Current Illness: None

Date Died: 01/12/2021

ID: 0957163
Sex: M
Age: 54
State: NJ

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

Lab Data:

Allergies:

Symptoms: Resident received 1st on 1/11/21 at 12:10am (1/12/21) resident was found unresponsive. Code Blue, 911 called at 12:11am. FD and EMS arrived, resident pronounced at 12:51am.

Other Meds:

Current Illness:

ID: 0957164
Sex: F
Age: 70
State: GA

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

Lab Data: none

Allergies: Codene and Sulfa

Symptoms: red rash ..itches like crazy..started in mid stomach area and gone to chest arms and legs...i am NOT having any difficulty breathing at this point and have taken Benadryl to hopefully help the itching.

Other Meds:

Current Illness: Mico-Bacteria Avium/A-typical Noncontagious TB/Immune deficiency

ID: 0957165
Sex: F
Age: 29
State: IN

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

Lab Data: None

Allergies: Amoxicillin

Symptoms: Initial reaction arm was red and swollen. Side effects went away after about three days. Woke on 8th day after vaccine with injection site red , swollen, feverish, and itchy. Reported to med check and was prescribed antibiotic .

Other Meds: None

Current Illness: None

ID: 0957166
Sex: F
Age: 24
State:

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

Lab Data:

Allergies:

Symptoms: Patient administered vaccine from the freezer without appropriate thaw time. Patient has not reported any adverse reactions to the administration of the vaccine.

Other Meds:

Current Illness:

ID: 0957167
Sex: F
Age: 20
State: PR

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

Lab Data: None

Allergies:

Symptoms: Transient syncope with tonic-clonic movements aproxinately 5-10 seconds. Patient was maintain on trendelenburg aproxnately 25 minutes. Blood pressure monitoring x 3. A) 80/60 B) 100/65 C) 115/70

Other Meds:

Current Illness:

ID: 0957168
Sex: M
Age: 32
State: CA

Vax Date: 01/08/2021
Onset Date: 01/11/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: presents with itching and urticarial rash all over his torso arms and legs. He received a second Covid vaccine 3 days ago. He denies any other exposures to new foods or other medications. He did start having some eyelid swelling as well as some shortness of breath while going upstairs and therefore came to the ER for evaluation. Patient denies any tongue or lip swelling. He has no wheezing. He states that the shortness of breath is improved without any intervention or treatment. Patient does have Covid exposures on a regular basis as he is respiratory therapist and takes care of Covid patients. No symptoms of cough or fevers. No vomiting or diarrhea.

Other Meds:

Current Illness:

ID: 0957169
Sex: F
Age: 55
State: PR

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Lymphadenopathy in right arm with intense pain, also intense pain on the back from shoulders to the waist. Arthralgia, specifically on both ankles, fever , dizziness, and nausea. treated with acetaminophen and rest.

Other Meds: Toprol XL 50 mg daily Proton 40 mg daily

Current Illness: None

ID: 0957170
Sex: F
Age: 30
State: MA

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

Lab Data: Tested negative for covid on 1/13/2021, 1/15/2021, and one additional routine covid test taken 1/19/2021 (results pending)

Allergies: Allergic to sulfa drugs, pineapple, general outdoor seasonal allergies.

Symptoms: Low grade fever, severe body aches, severe headache and fatigue between 2-24 hours post-vaccination. 6 days post-vaccination, supraclavicular lymph node on the same side as injection site mildly painful swelling, has swollen to the size of a grape. On day 7, the node feels as if it has doubled in size over 24 hour period.

Other Meds: Adderall, Buproprion, Buspar

Current Illness: None noted

ID: 0957171
Sex: F
Age: 45
State: NJ

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

Lab Data:

Allergies:

Symptoms: 24 hours after the vaccine administration, patient began experiencing respiratory (asthma) symptoms. She was treated with nubulizer treatment and albuterol HFA inhaler.

Other Meds:

Current Illness:

ID: 0957172
Sex: M
Age: 73
State: MN

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

Lab Data:

Allergies: None

Symptoms: While administering COVID vaccine in left arm, patient and nurse noted vaccine leakage from syringe/needle system while needle was still in the patient's arm. Needle was then retracted correctly at end of vaccine. Syringe/needle system showed no obvious defects. No further vaccine remained in syringe. Facility Immunization Medical Director was contacted and advised to repeat the COVID vaccine dose in other arm due to the leaking of the dose and being unsure how much of original vaccine was received; thus making it an invalid dose. Patient asked if there would be any issues with toxicity or danger due to repeating the dose. The immunization medical director advised the vaccine studies that are available do not show risk of toxicity or danger due to repeat vaccination after an invalid dose. Patient agreeable to re-vaccination and vaccine was given in right arm.

Other Meds:

Current Illness:

ID: 0957173
Sex: M
Age: 27
State:

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

Lab Data:

Allergies:

Symptoms: Patient administered vaccine from the freezer without appropriate thaw time. Patient has not reported any adverse reactions to the administration of the vaccine.

Other Meds:

Current Illness:

ID: 0957174
Sex: F
Age: 64
State: IN

Vax Date: 01/17/2021
Onset Date: 01/18/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Sore arm the next morning , not bad Almost exactly 24 hrs later, fever, chills and achiness.

Other Meds: Lotensin 20/25 Omeprazole Vitamin E Vitamin D3

Current Illness: None

ID: 0957175
Sex: F
Age: 61
State: NE

Vax Date: 12/31/2020
Onset Date: 01/09/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Large 3"/2" patch of skin erythema, itchyness and hive like welts appeared about 9 days after the vaccine and spread rapidly on the arm. Treated with topicort cream once a day for 4 days. Itchyness has decreased slightly and some erythema and hives are still there on the patch.

Other Meds: Lisinopril 20 mg, Thyroxine 75Mcg

Current Illness: none

ID: 0957176
Sex: F
Age: 29
State: WA

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

Lab Data: none

Allergies: none

Symptoms: 8 days after vaccine developed redness, itching, warmth, and swelling at vaccination site. Rash continued to grow for 48 hours in an oval shape over deltoid area - largest measurements 7"long x 5"wide. Now starting to decrease (on day 10 after vaccination). No fever at any point.

Other Meds: none

Current Illness: none

ID: 0957177
Sex: F
Age: 31
State: CA

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

Lab Data: none

Allergies: Phenol

Symptoms: Patient developed angioedema of the lips and face approximately 24-30 hours after vaccine dose was provided. Of particular note, she reported prior dermal filler injections to the lips (Juvederm) approximately 1 year prior to vaccination (I am aware of other case reports and felt this was necessary to report an additional event). The angioedema lasted approximately 3-4 days and was also accompanied by expected flu-like symptoms, fatigue, fever, and back aches. There was NO immediate IgE mediated reaction.

Other Meds: Fluocinolone (Derma-smoothe/FS Scalp Oil) Levonorgestrel 20mcg/24 hr IUD

Current Illness: Headaches, Bilateral Facial Myokymia, received Botox injections 12/8/2020 ( 1 month prior) Victim of Domestic Violence 12/25/2020

ID: 0957178
Sex: M
Age: 39
State:

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

Lab Data:

Allergies:

Symptoms: Patient administered vaccine from the freezer without appropriate thaw time. Patient has not reported any adverse reactions to the administration of the vaccine.

Other Meds:

Current Illness:

ID: 0957179
Sex: F
Age: 29
State: NJ

Vax Date: 01/05/2021
Onset Date: 01/11/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: Significant swelling, hot to touch, red at injection site showing following 5 days after injection. Significant achiness in R arm consistently since day of injection (2 weeks).

Other Meds: Singulair, Blisolvi 24 Fe, Ativan

Current Illness: N/A

ID: 0957180
Sex: M
Age: 37
State:

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

Lab Data:

Allergies:

Symptoms: Patient administered vaccine from the freezer without appropriate thaw time. Patient has not reported any adverse reactions to the administration of the vaccine.

Other Meds:

Current Illness:

ID: 0957181
Sex: F
Age: 36
State:

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

Lab Data:

Allergies:

Symptoms: Patient administered vaccine from the freezer without appropriate thaw time. Patient has not reported any adverse reactions to the administration of the vaccine.

Other Meds:

Current Illness:

ID: 0957182
Sex: M
Age: 22
State:

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

Lab Data:

Allergies:

Symptoms: Patient administered vaccine from the freezer without appropriate thaw time. Patient has not reported any adverse reactions to the administration of the vaccine.

Other Meds:

Current Illness:

ID: 0957183
Sex: F
Age: 53
State: NV

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

Lab Data: none

Allergies: none

Symptoms: I received my vaccination on a Thursday night. I had mild syptoms over the weekend with a sore arm (no rash). I woke up Tuesday morning with a large, warm rash on my right bicep. It is about 6" long x 5" at the widest. I have it circled to see if it goes down. It is 5:30pm on Tuesday and it has not shrunk. I have taken ibuprofen, antihistamine, & used cortisone cream. It is less red, but still warm to the touch.

Other Meds: Entrestro Spirinolactone metroprolol levothiroxine lyothironine birth control pills vitamin d iron

Current Illness: none

ID: 0957184
Sex: F
Age: 40
State:

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

Lab Data:

Allergies: Sulfa

Symptoms: Lymphadenopathy

Other Meds:

Current Illness:

ID: 0957185
Sex: F
Age: 48
State: OH

Vax Date: 01/15/2021
Onset Date: 01/16/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: No tests or results.

Allergies: Sulfa Antibiotics, Meloxicam, Levaquin (Floxins) and Adhesive Tape

Symptoms: I went to bed Friday night around 10:00PM. I woke around 12:30AM with a throbbing headache, sore throat, post-nasal drainage, body aches, chills, fever, sweating, weakness and nausea. I went down to use the bathroom and then back to bed but could not sleep due to the throbbing headache and chills. I got back up around 2:30AM and soaked in a warm bath. I went back to bed around 4:30AM. I was able to go to sleep. I slept until around 8:30AM. At that time, I drank some water and went back to sleep. I slept until approximately 10:30AM and started drinking Powerade Zero. The Powerade was taken to bed and sipped on when I would stir and change positions. I slept until approximately 2:30PM, when I got up to use the bathroom. I urinated, washed my hands and went to walk out of the bathroom when everything went black. I remember yelling for my husband but then nothing else until I heard him yell my name several times and I was lying on the floor in the doorway of the bathroom. I passed out. I was sat up in the recliner and monitored. Above symptoms continued. Tylenol and Motrin were alternated every 4 hours for the fever.

Other Meds: Levothyroxine 112mcg, Pantoprazole 40mg, Evoxac 30mg, Pregabalin 100mg, Hydroxychloroquine 200mg, Vitamin B2 100mg, Aspirin 81mg, Super C Immune Support, Vitamin E 400units, Magnesium 250mg, Vitamin D3 2000units, Vitamin B12 500mcg, Folic A

Current Illness: None

ID: 0957186
Sex: F
Age: 43
State: TX

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

Lab Data:

Allergies: None

Symptoms: The area where the injection was administered is red, a little swollen and didn't appear until over a week of having the injection. It itches a little bit but not much and feels a little warm.

Other Meds: Ibuprofen, Metformin, Trulicity, Vitamin D, Vitamin C, Cholesterol meds

Current Illness: none

ID: 0957187
Sex: F
Age: 38
State: CA

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

Lab Data: NONE.

Allergies: NONE KNOWN

Symptoms: ABOUT 15 MIN AFTER VACCINE I FELT A WEIRD SENSATION UNDER MY SCAPULA AND TINGLING DOWN THE LEFT SIDE OF MY BACK. 30 MIN AFTER I FELT TINGLING ON MY LIP AND LEFT CHEEK. 1 HOUR AFTER TINGLING SENSATIONS UP AND DOWN LEFT SIDE OF MY BODY EXCEPT MY FACE. I MESSAGED MY PCP AT THAT TIME. MY VITALS WERE NORMAL, I DID NOT HAVE ANY DIFFICULTY BREATHING, AND I JUST FINISHED WORKING NIGHT SHIFT SO I SLEPT 9 HOURS. WHEN I WOKE UP I HAD THE TINGLING/KIND OF ITCHING UNDER MY SKIN FEELING RANDOMLY ALL OVER MY BODY EXCEPT MY FACE. I WAS A LITTLE TACHYCARDIC BUT I WAS FEELING ANXIOUS ABOUT WHAT I WAS PHYSICALLY FEELING. ONCE I CALMED MYSELF DOWN MY HEART RATE WENT BACK DOWN TO MY BASELINE. STILL NO VISIBLE RASH OR DIFFICULTY BREATHING, AND FELT FINE OTHERWISE. HAD DINNER AND WENT BACK TO SLEEP ANOTHER 8 HOURS. WOKE UP 7AM STILL WITH TINGLING SENSATIONS ALL OVER MY BODY BUT DIDN'T FEEL IT AS MUCH AS BEFORE. NOW IT IS ABOUT 33 HOURS AFTER THE VACCINE AND I STILL HAVE THE TINGLING/ITCHING RANDOMLY ALL OVER BUT TINGLING HAS BEEN CONSISTENT ON THE PALM OF MY HANDS. OTHERWISE I FEEL FINE.

Other Meds: IBUPROFEN, ZYRTEC, FLONASE, ADVAIR, NORA-BE

Current Illness: NONE

ID: 0957188
Sex: F
Age: 86
State: AZ

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

Lab Data: none

Allergies: no

Symptoms: none

Other Meds: Levothyroxine Sodium 75 MCG Lexapro 10 MG Bisoprl-HCTZ-beta blocker 2.5-6.25 Lorazepam0.5 Estradiol 0.5 Losartan Potassium 100MG CloNIDine 0.1 MG take if systolic is above 185 or diastolic is above 110

Current Illness: none

ID: 0957189
Sex: F
Age: 58
State: NJ

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient reported nausea post vaccine administration. She said she ate breakfast in the morning. She denies itching, shortness of breath, or chest pain. She felt better after 15 minutes. She will follow up at eh office she works at later.

Other Meds:

Current Illness:

ID: 0957190
Sex: M
Age: 63
State: NY

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

Lab Data:

Allergies:

Symptoms: Bell's palsy

Other Meds: none

Current Illness:

ID: 0957191
Sex: F
Age: 35
State: MD

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

Lab Data:

Allergies: None

Symptoms: Widespread hives on arms, neck, stomach, hands and legs.

Other Meds: Zyrtec

Current Illness: None

ID: 0957192
Sex: F
Age: 60
State: OH

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

Lab Data:

Allergies:

Symptoms: I had the vaccine and shortly after my left arm was very sore, tender to the touch. The pain was from my elbow radiating up into my neck and head causing a severe headache on my left side of my head. I had chills with no fever and felt nauseated. I went to work the following morning, I still had soreness in my left arm, headache and some chills, even after Tylenol. About two hours into my work my chills went to sweating Perfusely, the pain in my arm was increased from the elbow into my neck and head. My headache made me feel nauseated and light headed. My heart started beat harder and I had a hard time breathing. My BP was 164/122 and my pulse was 190. I was checked by a PA and my supervisor. I was sent home. At home I had to monitor my BP and felt fatigued The Who,e day along with my other symptoms. They lasted for 24-26 hours.

Other Meds: Lisinipril

Current Illness:

ID: 0957193
Sex: F
Age: 77
State: AL

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

Lab Data: n/a

Allergies: Amoxicillin, cephalexin, penicillins, sulfa drugs, After administering COVID-19 vaccine patient admitted to being allergic to Tetanus vaccine.

Symptoms: Immediately after vaccination patient had swelling at the injection site. Oral benadryl was administered. Patient never developed any respiratory symptoms (cough, SOB, wheezing, etc).

Other Meds:

Current Illness:

ID: 0957194
Sex: M
Age: 58
State: NY

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

Lab Data: BP,HR,PULSE OX

Allergies: NKA

Symptoms: PATIENT COMPLAINED OF SWOLLEN, THICK TONGUE AND EXCESSIVE THIRST. NO OTHER SYMPTOMS. REPORTED SYMPTOMS LESSENING 10MINS LATER. 30MINS AFTER ONSET FEELS ALL BETTER

Other Meds: UNKNOWN

Current Illness: NONE

ID: 0957195
Sex: M
Age: 54
State: NJ

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

Lab Data:

Allergies: Tylenol

Symptoms: Fever 99.5. Weakness. No other symptoms

Other Meds: No

Current Illness: None

ID: 0957196
Sex: F
Age: 38
State: AZ

Vax Date: 01/07/2021
Onset Date: 01/16/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data:

Allergies: Latex sensitivity, red dye sensitivity; foods: banana, cranberry, lemon, pear, pineapple, avocado, broccoli, cabbage, cucumber, mushroom, soy beans, corn, gliadin (wheat), gluten (wheat), sesame seed, spelt, whole wheat, sugar cane

Symptoms: Red rash began small (less than a quarter in size) and has spread each subsequent day to now approximately two closed fists with palm facing down towards it. Hydrocortisone cream ha been applied, Benadryl begun 1/19 at 5 pm. I have an appointment with my primary care doctor 1/20.

Other Meds: Levothyroxine, advair, Zoloft, respiclick inhaler, baby aspirin, Zyrtec, Flonase, juice plus, vitamin d3, prenatal vitamin, b complex

Current Illness: None

ID: 0957197
Sex: F
Age: 55
State: NY

Vax Date: 01/11/2021
Onset Date: 01/18/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: None Just reported to Moderna this morning. Spoke with representative to report the adverse event. Upon questions from him, did report some soreness that lasted three days when the vaccine was first administered and that there is still a slight reddish bullseye around the vaccine area that is about 1.5 - 2 inch diameter.

Allergies: Not aware of any

Symptoms: Fever ranging from 99.6 unto 100.6 noticed on 18th January and it has continued on the 19th. Also had a headache. Temperature is 100.5 at the time of writing this report. Taken with Braun ear thermometer. Asthma is aggravated and I have had to take my inhaler two times since the morning. No other medication taken. Had a sore throat this morning. initially what made me check my temperature yesterday as I felt hot and light headed and felt I needed to sleep. Slept for a few hours to regain energy.

Other Meds: Albutrol - as needed for mild Asthma

Current Illness: None

ID: 0957198
Sex: F
Age: 50
State: FL

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

Lab Data: Blood test 01/19/2021

Allergies: None

Symptoms: Joint swelling and pain. Blood work completed. Awaiting results.

Other Meds: Citalopram

Current Illness: None

ID: 0957199
Sex: M
Age: 17
State: WA

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

Lab Data: N/A

Allergies: N/A

Symptoms: Apparently, the adverse event is that Moderna Covid 19 vaccine is not licensed for use on minors under the age of 18. We received an email from the Police Department inviting the immediate family of first responders age 16+ to sign up and get the vaccine. We did so, and our son was vaccinated with the Moderna Covid vaccine and is only 17. We are now UNABLE to get him fully protected because we are told he can't have his second dose since he's not 18. We are unable to opt for the Pfizer vaccine, which is licensed for 16+, because you can't mix the brands apparently. Because of this sloppy mess, our son will now be without protection from Covid 19 until some time in the future- whenever some scientists decide it is safe for people who got a single dose of Moderna to now get both doses of Pfizer-- or when he is 18 in a year from now, and can take the Moderna vaccine again. This is very frustrating.

Other Meds: Buspirone 7.5mg twice daily

Current Illness: N/A

ID: 0957200
Sex: F
Age: 43
State: CA

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

Lab Data: None

Allergies: None

Symptoms: Migraine with aura with dose #2 (Of note, also had migraine with aura after dose #1 on 12/28/2020, 46 hours after receiving the vaccine)

Other Meds: Lo-loestrin Zyrtec

Current Illness: None

ID: 0957201
Sex: F
Age: 49
State: NJ

Vax Date: 12/28/2020
Onset Date: 01/04/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: N/A

Allergies: Sulfa antibiotic

Symptoms: I received my vaccine on 12/28 and 7 days after I developed a swollen lymph node in my left clavicle area. It was painful and would get bigger and smaller over the next 10 days. On 1/14/21, I developed several more swollen painful lymph nodes on the left side of my neck and clavicle area. On 1/16 I noted a red welt starting on the back of my neck. On 1/17 the welt became hot and a rash developed. I contacted my doctor and he placed me on valtrex since it appeared to be a shingles rash. This is my 3rd time getting shingles, so I?m aware of it?s appearance. Today the rash feels better after being on Valtrex for 3 days but the lymph nodes are very painful and swollen. I was scheduled for my second vaccine on 1/25/21, but I am concerned about the side effects since the second dose appears to have more. I finish with the valtrex 1/24.

Other Meds: Omeprazole 20 mg, Avapro 75mg, Xanax 0.25 mg, probiotic, immune health vitamin (c, zinc, echinacea)

Current Illness:

ID: 0957202
Sex: F
Age: 43
State: TN

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

Lab Data:

Allergies:

Symptoms: Hard, tender lump under injection site. It is red and warm to the touch. Also, a sore lump in armpit on same side as injection. Started today after all other side effects had gone away.

Other Meds: Zoloft, metformin, vitamin d, vitamin b-12, zyrtec

Current Illness:

ID: 0957203
Sex: M
Age:
State: AZ

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

Lab Data:

Allergies:

Symptoms: None stated.

Other Meds:

Current Illness:

ID: 0957204
Sex: F
Age: 64
State: NJ

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

Lab Data: patient sent to emergency department for further evaluation

Allergies: no known allergies

Symptoms: Patient received the vaccine at 8:01 and at 8:10 patient felt lightheaded (like she was going to pass out.) Patient was given ice packs and continued to feel same. Patient was lowered to the floor (BP 79/55, HR 83, O2 sat 98%). Patient felt much better supine. with legs elevated BP 110/69. Patient feeling much better and was put sitting in chair. BP 122/81. Felt much better, did not want to go to ED. Patient given juice and snack. Pt stated she felt fine. Time increased for observation. at 8:40 patient began to feel lightheaded again. Lowered to floor, BP 78/58 HR 65 o2sat 98%. Patient stated felt fine. Rapid response called and patient transferred to Emergency Department. BP 98/72, HR 71, O2sat 100%.

Other Meds: unknown

Current Illness:

ID: 0957205
Sex: M
Age: 47
State: CA

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/19/2021
Hospital:

Lab Data: none so far

Allergies: none

Symptoms: Day 1: first hour slight euphoria -- hours 2-8 felt like a surge of epinephrine, speedy when speaking, stammering occasionally Day 2 - 4: felt like final day of having flu, achy, weak, overall off Day 5-8: extreme fatigue Day 10-11: slight fatigue, brain slow Day 12-14: strange subtle brain sensations, flow of blood to the head shifting, occasional lightheadedness, vision worse, nervous system a bit jerky

Other Meds: none

Current Illness: none

ID: 0957206
Sex: F
Age: 17
State: AK

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

Lab Data: None

Allergies: Food allergies to peanut and tree nuts

Symptoms: Vaccine administered before pt's 18th birthday. Pt is 17 years old.

Other Meds: ProAir, Levocetirizine, Qvar Redihaler

Current Illness: Unknown

ID: 0957207
Sex: F
Age: 53
State: NY

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

Lab Data: BP, PULSE OX, LUNG SOUNDS 1/19/2020 UNKNOWN WHAT ER WILL DO AS SHE IS THERE NOW

Allergies: NKA

Symptoms: PATIENT HAD EXCESSIVE THIRST AND A SLIGHTLY SWOLLEN TONGUE AT THE SAME TIME AS ANOTHER NURSE. SHE DRANK COLD WATER AND SAT DOWN AND FELT A BIT BETTER. SOME TIME LATER (POSSIBLE 1HR?) SHE FELT HER TONGUE GO NUMB. SHE WAS STILL VERY THIRSTY AND COMPLAINED OF SHAKING AND FEELING LIKE SHE HAD PRESSURE/A WEIGHT ON HER CHEST. WHEN I ARRIVED TO CHECK HER OUT A FELLOW NURSE WAS CHECKING BP, PULSE OX, AND LUNG SOUNDS WHICH ALL CAME BACK NORMAL. NO REDNESS, RASH, OR HOTNESS TO INJECTION SITE. NO SWELLING AT INJECTION SITE. NO RASH ON THE CHEST. SHE WAS GIVEN 25MG OF BENADRYL AND WHEELED TO THE ER FOR FURTHER EVALUATION

Other Meds: UNKNOWN

Current Illness: NONE

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm