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: 0958073
Sex: F
Age: 42
State:

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Heart was racing and lightheadedness

Other Meds:

Current Illness:

ID: 0958074
Sex: F
Age: 37
State: KS

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: None

Allergies: NKDA

Symptoms: patient reports body aches and chill on 1/20/2021 that started at 5:30 am

Other Meds: None

Current Illness: None

ID: 0958075
Sex: M
Age: 41
State: IN

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

Lab Data: None

Allergies: None

Symptoms: Chills, stiff joints, insomnia, excessive sweating while sleeping, pain to injection site

Other Meds: Celexa 40mg, Lamictel 25mg, Lisinopril 20mg

Current Illness: None

ID: 0958076
Sex: F
Age: 42
State: NE

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: none so far

Allergies: None

Symptoms: arm pain for 5 days, nausea for a day or two then came back, on going dizziness and headache. Treated with ibuprofen, Tylenol, Zofran which has helped some, but all comes back and now for 2 weeks.

Other Meds: none

Current Illness: none

ID: 0958077
Sex: F
Age: 38
State: MN

Vax Date: 01/07/2021
Onset Date: 01/20/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: None known

Symptoms: Moderate redness, swelling, and pain at the injection site for the first 2-3 days that resolved (along with mild fever and myalgias). Then 1 week later, on 1/15 I woke up with a very large red, hot, itchy patch on my left biceps around my injection site. It is not as bright now, but still very large (larger than my palm) and intermittently itchy. It will be 2 weeks from my injection tomorrow. I am concerned about whether or not to get the second dose as I am afraid this was some sort of allergic reaction and I read that many people experience more significant adverse reactions to the second dose. I did check in with a health care provider at my clinic and she only suggested ice and Tylenol, which provided relief of itchiness, but no improvement. I also notified Moderna. No one seems to know for sure if I should receive the second dose.

Other Meds: Propranolol 10 mg, vitamin D, fish oil, baby aspirin

Current Illness: None

ID: 0958078
Sex: F
Age: 45
State: PA

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Neck pain Head pressure Dizzy Nauseous Very Fatigue Very sore site (R) arm

Other Meds:

Current Illness:

ID: 0958086
Sex: U
Age:
State: PA

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies:

Symptoms: No further information provided; HCP reported an inadvertent administration of expired VAQTA.; This spontaneous report was received from a registered nurse regarding a patient of unknown age and gender. The patient's pertinent medical history, previous drug reactions or allergies, and concomitant therapies were not reported. On 14-JAN-2021, the patient was inadvertent vaccinated with an expired dose of Hepatitis A Vaccine, Inactivated (VAQTA) (dose, route of administration, anatomical location and vaccine scheme were not provided lot number S032358 has been verified to be a valid lot number, expiration date was on 11-JAN-20210, as prophylaxis (expired product administered).There was no prior temperature excursions reported. No further information provided. combinationproductreport: Yes; brandname: VAQTA SYRINGE (DEVICE); commondevicename: Hepatitis A Vaccine, Inactivated; productcode: FMF; devicetype: SYRINGE, PISTON (FMF); manufacturername: Merck Sharp & Dohme Corp.; devicelotnumber: S032358; expirationdate: 11-JAN-2021; deviceage and unit: 0 ; malfunction: Unknown; deviceusage: Initial; reasonfornoneval: 81 Other; labeledsingleusedevice: No; mdcpreportability: No; mdcpreprationale: Case information does not meet the criteria for Reportability

Other Meds: VAQTA SYRINGE (DEVICE)

Current Illness:

ID: 0958089
Sex: M
Age:
State: CT

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Dose went down the arm rather than in the arm; Dose went down the arm rather than in the arm; A spontaneous report was received from a nurse concerning a male patient who received Moderna's COVID-19 vaccine and the dose went down the arm, rather than in the arm. The patient's medical history was not provided. No relevant concomitant medications were reported. On 06 Jan 2021, the patient received their first of two planned doses of mRNA-1273 intramuscularly for prophylaxis of COVID-19 infection. On 06 Jan 2021, the patient was administered the vaccine with a malfunctioning needle that caused the dose to drip down the patient's arm, rather than in the arm. The patient might not have received the full dose. No treatment information was reported. Action taken with mRNA-1273 in response to the events was not reported. The event, dose went down the arm, rather than in the arm, was considered resolved on 06 Jan 2021.; Reporter's Comments: This case concerns a male patient who received their first of two planned doses of mRNA-1273 (Lot unknown), reporting malfunctioning needle and dose went down the arm rather than in the arm without any associated adverse events.

Other Meds:

Current Illness:

ID: 0958090
Sex: F
Age:
State: MN

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 17-year-old female received Moderna's COVID-19 vaccination; A spontaneous report was received from a nurse concerning a 17-years old, female patient who received Moderna's COVID-19 vaccine and experienced product administered to patient of inappropriate age. The patient's medical history was not provided. Concomitant product use was not provided/unknown by the reporter. On 06 Jan 2021, the patient received their first of two planned doses of mRNA-1273 (Lot/Batch number unknown) intramuscularly in the deltoid (unspecified) for prophylaxis of COVID-19 infection and experienced product administered to patient of inappropriate age. Treatment information was not provided. Action taken with mRNA-1273 in response to the event was not provided/unknown. The outcome of the event, product administered to patient of inappropriate age, was resolved on 06 Jan 2021.; Reporter's Comments: This case concerns a 17-year-old female patient who received their first of two planned doses of mRNA-1273 (Lot unknown), reporting Product administered to patient of inappropriate age without any associated adverse events.

Other Meds:

Current Illness:

ID: 0958091
Sex: M
Age:
State: NC

Vax Date:
Onset Date:
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies:

Symptoms: received partial dose; Needle not attached to the hub; A spontaneous report was received from a nurse concerning a male patient who received Moderna's COVID-19 vaccine and received partial dose. The patient's medical history was not provided. Concomitant medications have not been provided. On an unknown date, the patient received their first of two planned doses of mRNA-1273 intramuscularly for prophylaxis of COVID-19 infection. On an unknown date, the patient received a partial dose of the vaccine, the needle was not attached and some leaked out. Action taken with mRNA-1273 in response to the events was unknown. The event, partial dose received, was considered recovered/resolved.; Reporter's Comments: This report refers to a case of out of inappropriate dose administered and needle issue for mRNA-1273, lot # unknown. There were no reported AEs associated with this case of inappropriate dose administered and needle issue.

Other Meds:

Current Illness:

ID: 0958092
Sex: F
Age: 16
State: NC

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Vaccine to someone who was less than 18 years old.; A spontaneous report was received from a healthcare professional (HCP) concerning a 16-year-old, female consumer who received Moderna's COVID-19 vaccine and experienced product administered to patient of inappropriate age. The patient's medical history was not provided. No relevant concomitant medications were reported. On 06 Jan 2021, prior to the onset of the events, the patient received their first of two planned doses of mRNA-1273 (Lot number: 011J20A) intramuscularly in the left arm for prophylaxis of COVID-19 infection and experienced product administered to patient of inappropriate age. No side effects were reported. No treatment information was provided. Action taken with the second dose of mRNA-1273 in response to the event was not reported. The event, vaccine given to a patient less than 18-years-old, was considered resolved on 06 Jan 2021.; Reporter's Comments: This report refers to a case of product administered to patient of inappropriate age for mRNA-1273, lot # 011J20A. There were no reported AEs associated with this case of product administered to patient of inappropriate age.

Other Meds:

Current Illness:

ID: 0958093
Sex: M
Age:
State: MI

Vax Date:
Onset Date:
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Possibly given into the lower part of the deltoid muscle; Local redness; Pain and tenderness; A spontaneous report was received from a physician concerning a 50-year-old, male consumer who received Moderna's COVID-19 vaccine and experienced local redness, pain, tenderness and was possibly given the vaccination in the wrong spot. The patient's medical history was not provided. No relevant concomitant medications were reported. Prior to the onset of the events, the patient received their first of two planned doses of mRNA-1273 in the lower part of the deltoid muscle intramuscularly for prophylaxis of COVID-19 infection. The date of the vaccine was not reported. However, the healthcare professional (HCP) reported the vaccine was given incorrectly and in the wrong spot. The patient, also, developed local redness, pain and tenderness. No treatment information was provided. Action taken with the second dose of mRNA-1273 in response to the event was not reported. The event outcome of the vaccination being possibly given in the wrong spot was considered resolved. The outcome of the events, local redness, pain and tenderness, were not reported. The reporter's assessment of causality for the events was not provided.; Reporter's Comments: This case concerns a 50-year old, male patient. The patient's medical history was not provided. The patient who experienced an expected event of injection site pain, injection site erythema and an unexpected event of product administered at inappropriate site. The event occurred on an unknown date, after administration of the first dose of mRNA-1273. Based on the current available information and temporal association between the use of mRNA-1273 and the start of the event, a causal relationship cannot be excluded.

Other Meds:

Current Illness:

ID: 0958094
Sex: F
Age: 23
State: IL

Vax Date: 01/02/2021
Onset Date: 01/02/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: Test Date: 202101; Test Name: X-rays; Result Unstructured Data: Shoulder

Allergies:

Symptoms: SIRVA (Shoulder Injury Related to Vaccine Administration); It was injected where her shoulder joint is instead of the deltoid; She had zero range of motion in her arm; A spontaneous report was received from a nurse who was also a 23-year-old, female patient who received Moderna's COVID-19 Vaccine (mRNA-1273) and experienced incorrect route of product administration, injection site movement impaired, and shoulder injury related to vaccine administration. The patient's medical history was not provided. Concomitant product use was not provided by the reporter. On 02 Jan 2021, immediately prior to the onset of the symptoms, the patient received their first of two planned doses of mRNA-1273 (LOT number 026LA20A) intramuscularly for prophylaxis of COVID-19 infection. The vaccine was injected where her shoulder joint was instead of the deltoid, and the patient experienced incorrect route of product administration. For the first 36 hours following vaccine administration, the patient reported zero range of motion in her arm. She began to regain some function after that. She was under the care of a shoulder specialist who took x-rays, prescribed a methylprednisolone dose pack, and diagnosed her with shoulder injury related to vaccine administration (SIRVA). She was not able to work. Additional treatment for the event included ibuprofen and acetaminophen. Action taken with mRNA-1273 in response to the events was not provided. The outcomes of the events were not reported.; Reporter's Comments: This case concerns a 23-years-old, female, who experienced a non-serious unexpected events of shoulder injury related to vaccine administration, incorrect route of product administration, and injection site movement impairment. The event of incorrect route of product administration occurred same day after the firs dose of mRNA-1273 (Lot# 026L20A) administration. There was no reported AE associated with incorrect route of product administration. The event of shoulder injury related to vaccine administration and injection site movement impairment occurred on an unspecified date after the first dose of mRNA-1273 administration. The treatment medications included Medrol Dose Pak, Ibuprofen and Tylenol. Based on the current available information and temporal association between the use of the product and the start date of the event, a causal relationship cannot be excluded.

Other Meds:

Current Illness:

ID: 0958104
Sex: F
Age: 35
State: CA

Vax Date: 01/06/2021
Onset Date: 01/09/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Chest Pain arm became red

Other Meds:

Current Illness:

ID: 0958105
Sex: F
Age: 31
State: IN

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: n/a

Allergies: n/a

Symptoms: fever, chills, headache, body aches

Other Meds: viibryd, spironolactone, bupropion, pantoprazole, metoclopramide

Current Illness: n/a

ID: 0958106
Sex: F
Age: 62
State: GA

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: injection site pain, arm hurts, head-ace, throwing up, body aches, fever of 101.8

Other Meds: aspirin (Tylenol)

Current Illness: none

ID: 0958107
Sex: F
Age: 29
State: PA

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: none

Allergies: dairy

Symptoms: fever, chills, body aches, dizziness, nausea

Other Meds: Larin Fe, multivitamin

Current Illness: none

ID: 0958109
Sex: F
Age: 39
State: AZ

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: None

Allergies: Amoxicillin

Symptoms: I received the Moderna vaccination around 10:00am. It was confirmed that it was okay to get the vaccine being that I tested positive for Covid on 12/23/20. Around 19:00 I started to get cold and by midnight I was shivering uncontrollably, I had a fever and had a massive headache. I alternated ibuprofren and Tylenol which did not work. I was only able to sleep from midnight to about 3:00am. The entire day I was shivering with a massive headache. It hurt so bad that I wanted to cry but it hurt worse when I did cry. My highest fever was 101 degrees. My fever broke around 19:00 on 01/05/2021 but the massive headache and body aches lasted the entire week. I felt like I was "hit by a bus" and my entire top part of my arm was in pain . I was seen by a doctor at HS on Thursday the 7th to have my medical condition documented. My arm felt better by then. She had me take off the rest of the week and to return to work on the 11th. I finally started to feel somewhat better by the 9th

Other Meds: Ibuprofren and Tylenol

Current Illness: I tested positive for Covid-19 on 12/23/2020

ID: 0958110
Sex: F
Age: 48
State: CA

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

Lab Data:

Allergies:

Symptoms: Fever, body aches, nausea, vomiting, injection site pain

Other Meds:

Current Illness:

ID: 0958111
Sex: F
Age: 45
State: NC

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: Penicillin, Percocet and sulfa

Symptoms: pt c/o tingling on left facial area with numbness. Also; c/o tingling of lips, facial and tongue area. C/o LA hand coldness.

Other Meds: Amlodopine 5 mg 1 qd, Allegra 180 mg , Vit. D, Biotin and super b complex

Current Illness: no

ID: 0958112
Sex: F
Age: 63
State:

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient monitored for 15 min after her 2nd dose of vaccine and she experienced no symptoms before leaving the clinic. She returned 2 hours later with anxiety, hyperventilation and paresthesia. Vital signs showed improvement before symptoms resolved.

Other Meds:

Current Illness:

ID: 0958113
Sex: F
Age: 41
State: AZ

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Fever of 102.8, body aches, chills, fatigue, headache, injection site soreness

Other Meds:

Current Illness: All household members tested positive for Covid-19 approximately 9 days following patient?s first vaccination. Patient reported mild symptoms for approx 48 hours but tested negative.

ID: 0958114
Sex: F
Age: 52
State: NY

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/20/2021
Hospital:

Lab Data: BLOOD TEST

Allergies: NONE

Symptoms: RASH, SWELLING LEGS AND SEVERE PAIN INABILITY TO GO UP STAIRS, BREAKOUT IN MOUTH ,FAST HEARTBEAT, FEVER

Other Meds: LOSARTIN

Current Illness: HYPERTENSION,ASTHMA

ID: 0958116
Sex: F
Age: 57
State: FL

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: Codeine

Symptoms: Patient received Pfizer COVID vaccine on 12/23/20. On 1/13/2021, patient was scheduled to receive 2nd dose of Pfizer vaccine, but received Moderna vaccine. location is a drive through vaccine clinic and was giving both vaccines on this date due to supply and logistics. On days when both vaccines are given, there are individuals assigned to each vaccine for check-in, vaccinator and scheduler. Color cards of green/red (Moderna) and orange/blue (Pfizer) along with face sheet are placed on the windshields to communicate which vaccine is to be administered. Unclear if incorrect color was assigned to vehicle or if vaccinator did not perform safety checks with color cards and face sheet.

Other Meds:

Current Illness:

ID: 0958117
Sex: F
Age: 19
State: MN

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies:

Symptoms: First dose of vaccine was administered to patient in the face of a known contraindication. Patient reported having received another vaccine within the prior 14 days.

Other Meds:

Current Illness: had received a prior vaccine within last 14 days

ID: 0958118
Sex: F
Age: 24
State: CA

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Fever, headache >48 hrs.

Other Meds:

Current Illness:

ID: 0958119
Sex: F
Age: 38
State: CA

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: Reach out the patient directly

Allergies:

Symptoms: About 7 minutes after receiving the vaccine she starting her numbness and tingling of the mouth and lips and swelling of upper lips. NP gave her epinephrine at 3:19 and called 911 and patient was transported to ER (I think Hospital patient will know more). NP did follow up with patient later that 4:42 PM and patient said she was feeling better and received Benadryl and Solumedro. **follow up with patient for missing information as reporter does not have access to it**

Other Meds: No current medications

Current Illness: N/A not from what the patient told reporter

ID: 0958120
Sex: F
Age: 57
State: NY

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies:

Symptoms: I felt fine the day of the vaccine. However, The next day I was extremely tired. The next day I went to the Doctor and texted positive for covid with a rapied test. I also Had a PCR test which was neg. for covid. Im currently being treated for a sinus infection.

Other Meds:

Current Illness: had a little sinus issues

ID: 0958121
Sex: F
Age: 51
State: VA

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: Given prescription for Zofran.

Allergies: None

Symptoms: Nausea: I was seen at for Nausea. and abdominal pain.

Other Meds: None

Current Illness: None

ID: 0958122
Sex: M
Age: 35
State: KY

Vax Date: 01/14/2020
Onset Date: 01/15/2020
Rec V Date: 01/20/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Elevated temperature of 101.7, weakness, and lethargy on 01/15/2021 Treated with 400 mg Ibuprofen Q6 hours, temperature down to 100.1 Temperature spiked to 101.3 on morning of 01/16/2021 Treated with 500mg Tylenol All symptoms resolved completely 01/17/2021

Other Meds: Lipitor 20mg daily

Current Illness: none

ID: 0958123
Sex: F
Age: 49
State: NY

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: none

Allergies: No

Symptoms: I have a horrible headache, I had a fever last night, unsure how high, I was just shaking and freezing under blankets in bed during the middle of the night. My arm is also very sore, which i expected.

Other Meds: Effexor Metformin Lisinopril Vit D

Current Illness: none

ID: 0958125
Sex: F
Age: 62
State: NY

Vax Date: 01/10/2021
Onset Date: 01/11/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: No

Allergies: No

Symptoms: Patient developed deep arm pain soon after vaccine that persisted for multiple days. Days after vaccine, arm became red and warm This has persisted to today (1/20). Has not worsened.

Other Meds:

Current Illness: No

ID: 0958126
Sex: M
Age: 55
State: TX

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: none

Allergies: unknown

Symptoms: fever chills

Other Meds: unknown

Current Illness: unknown

ID: 0958127
Sex: M
Age: 44
State: NC

Vax Date: 12/23/2020
Onset Date: 12/23/2020
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: medicines -tusaogana and dioxycycline food - blackberries

Symptoms: chills that night and slight headache, then next morning had two occurrences of hot flashes and headache till 12 noon

Other Meds: none

Current Illness: none

ID: 0958128
Sex: M
Age: 36
State: LA

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: n/a

Allergies: NKA

Symptoms: 2nd dose of COVID vaccine received approx 0800 on 1/19/21, felt healthy throughout the day. Began to feel flu like symptoms approx 1800 on the evening of 1/19/21. Symptoms worsened through the night rapidly, beginning with uncontrollable chills/shivering, body aches, restless, slight vertigo, weakness/fatigue. At approx 0100 the morning of 1/20/21, blacked out while in the bathroom of which awoken and found myself disoriented, weak, and on the ground (no injuries noted as i must have eased myself down). I was able to hydrate afterwards and tolerate eating some dry cereal to help with the weakness. Symptoms began to dissipate while an intense headache continued throughout the night and even through the daytime. The time is now 1020 on the day of 1/20/21 and i still have quite the headache but all other symptoms seem to be relieved at this time.

Other Meds: Multi-vitamin, B-complex, Vitamin C, claritin

Current Illness: n/a

ID: 0958129
Sex: F
Age: 60
State: IL

Vax Date: 01/11/2021
Onset Date: 01/18/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: lidocaine

Symptoms: Moderna Vaccine- first injection One week after the vaccine was injected, developed a raised, red, itchy rash on right shoulder in the area where the vaccine was given. Rash was localized- no other symptoms symptoms improving two days later

Other Meds:

Current Illness:

ID: 0958131
Sex: F
Age: 57
State: IN

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: Latex allergy

Symptoms: Within 3 minutes, developed ametallic taste in mouth, throat and tongue swelling, maintained swallow and breathing, heart rate increased vitals were ok. Called ambulance. Took bendryl. Has had symptoms off/on few days after

Other Meds: None

Current Illness: None

ID: 0958132
Sex: M
Age: 59
State: MI

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 2nd Dose was given 1 week early

Other Meds:

Current Illness:

ID: 0958133
Sex: F
Age: 81
State: CA

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: Losartan, Simvastatin, Tramadol, Codeine, Simvastatin

Symptoms: Patient states that the night of her vaccine she felt feverish, and had extreme shortness of breath for about 5-6 hours, and she has been exhausted ever since. She states there has been a few days she has not even been able to get out of bed.

Other Meds: Vitamin B12, Hydrochlorothiazide, Ibuprofen, Levothyroxine, Metoprolol, Norco, Vitamin d

Current Illness: NA

ID: 0958134
Sex: M
Age: 61
State: NJ

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: 5AM: TEMP 101.7, HEADACHE, CHILLS, LOWER BACK PAIN, LETHARGY. SYMPTOMS PROGRESSED THROUGOUT THE DAY. SYMPTOMS STARTED ABATING 1/8 TIME 2100. 5AM TOOK 2 EXTRA STRENGTH TYLENOL. 8AM- 2 EXCEDRIN. 1300 - 2 ADVIL; 1600- EXTRA STRENGTH TYLENOL. 01/0 0700 - 2 EXTRA STRENGTH TYLENOL FOR HEADACHE.

Other Meds: WELBUTRIN 300MG; XANAX .025 MG PRN. ZOLPIDIUM XR; GLUCOSIMINE;

Current Illness: NONE

ID: 0958135
Sex: F
Age: 23
State: FL

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Fever for 3 days following vaccine with max temp of 101.3, rigors, chills, body aches, fatigue, congestion, sneezing, coughing and sore throat. At 7 days post vaccine, remaining symptoms include lingering cough and fatigue.

Other Meds: Lolo estrin Fe

Current Illness: none

ID: 0958136
Sex: F
Age: 59
State: OH

Vax Date: 01/09/2021
Onset Date: 01/10/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: cipro

Symptoms: swollen lymph glands under right arm, breast, collar bone , neck pain lasting >11 days

Other Meds: levothyroxine

Current Illness:

ID: 0958137
Sex: M
Age: 43
State: NY

Vax Date: 10/30/2020
Onset Date: 10/30/2020
Rec V Date: 01/20/2021
Hospital: Y

Lab Data:

Allergies: sulfa drugs augmentin

Symptoms: Developed hives a few hours after shot, with swollen lips that progressed into the evening on the 30th. Worse on the 31st, went to urgent care given IV cortisone and pepcid symptoms resolved, discharged in the early afternoon, 2 hours after dc symptoms returned to cover face with lump in throat. 911 contact and taken by ambulance to Medical Center ER, admitted over night and discharged on 11/1 to home still with full body hives. 11/2 had consults with primary MD and allergist MD, given regimen of predisone taper 60 mg over 10 days along with pepcid, zyrtec . Full body hives began to resolve of 11/3, returned to work on 11/4, intermittant hives persisted on/off for 4 weeks, currently still taking pepcid and zyrtec.

Other Meds: zyrtec PRN Nexium 20 mg every other day

Current Illness: no

ID: 0958140
Sex: F
Age: 60
State: PA

Vax Date: 01/11/2021
Onset Date: 01/19/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: Bactrim, bee stings

Symptoms: Redness and swelling around injection site

Other Meds: Clonazepam 0.5mg

Current Illness: None

ID: 0958141
Sex: F
Age: 23
State: CA

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Numbness of the left arm, mainly fingertips within the first 10 min. after vaccine was given.

Other Meds:

Current Illness:

ID: 0958142
Sex: F
Age: 33
State: NJ

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: n/a

Allergies: Amoxicillin

Symptoms: On 1/15 around 6pm, I began to feel extremely fatigued (about 27 hours after my initial injection). I began to feel severe flu-like symptoms (hot/cold chills, sensitive skin, headache, dry/scratchy throat, fever dreams) which persisted for several hours during the night. The next day (1/16), the fatigue, headache, and chills persisted (although the chills decreased). I took Dayquil before noon and that seemed to help with the symptoms, and Nyquil at night so I was able to sleep. By the following morning, I still had a mild headache and fatigue but continued to improve. I felt normal again on 1/18. I also had stiffness, swelling, and soreness at the injection site for 3-4 days.

Other Meds: Merena IUD Claritin Migravent daily supplement for migraines

Current Illness: n/a

ID: 0958143
Sex: F
Age: 45
State: AR

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: no

Symptoms: Hives around the waist, weakness/ tired at 0500 1/20

Other Meds: Singulair, Advair, Rhinocort, Vitamins

Current Illness: no

ID: 0958144
Sex: F
Age: 70
State: GA

Vax Date: 01/15/2021
Onset Date: 01/16/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: none

Allergies: Nickle allergies, mold, tree pollen, erythromycin (causes nausea)

Symptoms: 2" wide slightly red streak at injections reached top of shoulder and then down to humours sight. Had slight low grade fever 99 with chills all day long

Other Meds: Multi-vitmain, MSM Glucosamine, Vit D, Xyzal, Biotin, Colace, Iron, Fish oil

Current Illness: none

ID: 0958145
Sex: M
Age: 86
State: AR

Vax Date: 01/14/2021
Onset Date: 01/16/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: n/a

Allergies: n/a

Symptoms: cold sweats in middle at night from upper part of body. So much that has to change in the middle of the night.

Other Meds: blood pressure medication

Current Illness: n/a

ID: 0958147
Sex: F
Age: 47
State: OH

Vax Date: 12/23/2020
Onset Date: 01/20/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: Labs and stool for C-diff

Allergies: Intolerance to IV Reglan (severe Panic) and IV Dilaudid (intractable rebound Migraine)

Symptoms: Morning following vaccination T. 100.5. Around noon started having diarrhea. Diarrhea was severe, unrelieved with OTC intervention. Continued for 34 hours. Temp continued thru 12/27/20. Aching, severe fatigue. Diarrhea stopped after 34 hours. Has been intermittent nearly daily since. Only occasional 24 hour periods without it. When diarrhea resumed following the 34 hour stretch, MD prescribed Lomotil. Lomotil was taken x4 days, then diarrhea stopped x2 days, then resumed again. Diarrhea continues at this time along with pain in upper stomach area, intermittent lower abdominal cramps that occur prior to episodes. Remains unable to eat normal foods r/t stomach pain and diarrhea

Other Meds: Paxil, Imitrex, Propanolol, Spironolactone, Ajovy, Excedrin, Percocet, Neurontin, Methocarbomol, Zinc, Biotin, Sotto Pelle Bio-identical HRT. Costochondral Block injections 12/23/20

Current Illness: Costochondritis

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm