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: 0958384
Sex: F
Age: 36
State: AZ

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

Lab Data: N/A

Allergies: Seasonal allergies

Symptoms: Headache, chills,dizzy , vaccination side sore, I feel cold but at the same time I'm feeling warm from the inside, I also feel like when you suffer from sinus pain around my eyes

Other Meds: Multi vitamins Loratadine 10mg Aspirin 81mg

Current Illness: N/A

ID: 0958385
Sex: F
Age:
State: MN

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

Lab Data:

Allergies: Penicillin

Symptoms: None stated.

Other Meds: Na

Current Illness: None

ID: 0958386
Sex: F
Age: 30
State: NJ

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

Lab Data: None

Allergies: IV - Benedryl IV - Vit C Imitrex

Symptoms: Received on 1-4-21 - Area became red right away. Became progressively worse & by day 6 she saw her PMD for cellulitis (L) arm. Completed a course of Augmentin.

Other Meds: Synthroid, Estradiol Patch

Current Illness: Denies

ID: 0958388
Sex: M
Age: 90
State: MN

Vax Date: 01/05/2021
Onset Date: 01/12/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: Amlodipine, Metformin

Symptoms: 01/05/21 resident received first step covid vaccine. 1/12/21: presented with increased lethargy, weakness, poor appetite and loose stools. Weight lose noted, recent adjustments made with prescribed diuretic medication. Symptoms have since improved, MD followed during change in status.

Other Meds: Acetaminophen, eliquis, humulin, lasix, lisinopril, omeprazole, toprol XL

Current Illness: edema

ID: 0958389
Sex: F
Age: 82
State: AR

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

Lab Data: CT/MRI/Labs (unknown results)

Allergies: PCN, Sulfa

Symptoms: Stroke-like symptoms approximately 2-3 hours after receiving shot (aphasia), BP bottomed out, was transported by EMS and is currently on a ventilator in hospital. CT scan clear; MRI pending.

Other Meds: Brilinta, meloxicam, losartan, levothyroxine, pantoprazole, atorvastatin, allopurinol, paroxetine, diazepam

Current Illness: Unknown

ID: 0958390
Sex: F
Age: 56
State: OH

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

Lab Data:

Allergies: sulfa, nitrites

Symptoms: headache, 102 fever, body aches, nausea

Other Meds: citalopram

Current Illness: n/a

ID: 0958392
Sex: F
Age: 42
State: IN

Vax Date: 01/17/2021
Onset Date: 01/19/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Swollen lymph node under left arm- dime size, hard to touch, tender to touch

Other Meds: none

Current Illness: none

ID: 0958393
Sex: F
Age: 30
State: KS

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

Lab Data:

Allergies:

Symptoms: Systemic: Exhaustion-Mild, Systemic: Nausea-Severe, Systemic: Rise in BP, Dizziness, Kidney Pain-Medium

Other Meds:

Current Illness:

ID: 0958394
Sex: F
Age: 47
State: FL

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: Onions

Symptoms: I have flu like symptoms starting around 5 AM cheering on for about three days including severe shortness of breath nausea and diarrhea and mild utacira

Other Meds: Estrogen 6mg

Current Illness: None

ID: 0958396
Sex: F
Age: 34
State: MA

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

Lab Data:

Allergies:

Symptoms: Pt presented to COVID vaccine clinic today and developed a reaction after receiving the vaccination. Pt received the Moderna vaccine. Denies allergies or hx of anaphylaxis. Pt reported immediate flushing sensation, tingling of the tongue, and dizziness after receiving vaccination. Pt was slightly diaphoretic. VS immediately following vaccination: HR: 90 O2: 100% BP: 125/74 Pt denied SOB, difficulty swallowing, chest tightness, nausea, rash, itchiness at this time. No visible swelling. Flushing, tongue tingling, and dizziness started to resolve after laying down for 15 minutes but then quickly returned and worsened. Pt also then developed nausea, ?tongue thickness?, difficulty breathing, and tingling shooting down her arms and legs. HR: 87 O2: 99% 129/77 Code Blue called. Epi Pen injector (one dose) administered at 0951. ED code team arrived and transported patient to ED for further workup and observation. Paged Allergy

Other Meds:

Current Illness:

ID: 0958398
Sex: M
Age: 74
State: AZ

Vax Date: 12/26/2020
Onset Date: 12/27/2020
Rec V Date: 01/20/2021
Hospital: Y

Lab Data: Several cat scans, several Xrays, because of my lungs/ COPD and the covid tests.

Allergies: aspirin (highly allergic)

Symptoms: The next morning I felt chills, really cold, my arm never hurt at all. I was freezing. I had no energy. Very lethargic, with a blanket around me. Never had a fever. All of a sudden, around 2:30PM all dissipated, it was all gone and I was fine. A week later I called my PCP because the symptoms came back - the lethargy. He suggested me to go to the ER. I went and could barely write my name on the sign in sheet at the hospital. They did 5 COVID tests and 4 of them were negative. I was at the ER for 3 days and finally was admitted and stayed for 11 days. I was sent home with oxygen and my levels are finally getting back to 92/93. I can't walk at this time. I lost 17 lbs and if I try to walk my lungs shut down. ( I went to the ER n 01/07 and was discharged on the 17th - I was also at the ER the week before when they tested me and it kept coming back negative) My pulmonary MD

Other Meds: Symbicort, multivitamins, lodepine

Current Illness: no

ID: 0958399
Sex: F
Age: 35
State: TX

Vax Date: 01/08/2021
Onset Date: 01/18/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies:

Symptoms: DEVELOP REDNESS AND PAIN AT INJECTION SITE. TREATING W/COMPRESSES,NSAIDS

Other Meds:

Current Illness:

ID: 0958400
Sex: F
Age: 42
State: MA

Vax Date: 12/31/2020
Onset Date: 01/01/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Moderna COVID-19 Vaccine EUA arm discomfort day 2-4, painful axillary lymphadenopathy day 10-12

Other Meds: none

Current Illness: none

ID: 0958401
Sex: F
Age: 24
State: WA

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

Lab Data:

Allergies: Cats (mild)

Symptoms: Initial 3 days: Tiredness, head ache. 7 days later: Itchy at injection site and redness/a hard-ish bump at injection site. Lymph node under left armpit feels tender for 3 days.

Other Meds: Cannabis.

Current Illness: Kidney stone on December 31st and still is not out.

ID: 0958402
Sex: F
Age: 73
State: WI

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

Lab Data: none as of today

Allergies: Augmentin, Rosuvastatin, Simvastatin, Codeine, Prednisone

Symptoms: Redness, pain, swelling L elbow up to L shoulder (arm of injection)

Other Meds: minocycline 100 mg daily, omeprazole 20 mg daily

Current Illness: GERD, Pure hyperlipidemia, pre-diabetes, Rosacea

ID: 0958404
Sex: M
Age: 23
State: NM

Vax Date: 01/18/2021
Onset Date: 01/19/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: Allergic to raw coconut

Symptoms: Swelling in the lower region of the left eye.

Other Meds: 10mg of Lexapro Daily, Fish Oil supplements, Vitamin D supplements, and Zyrtec daily

Current Illness: N/A

ID: 0958405
Sex: F
Age: 45
State: PA

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

Lab Data: none

Allergies:

Symptoms: Red firmness at injection site, itchy and warm to the touch. two inch radius around arm. Patient self-medicated with anti-histamine and ibuprofen. subsided after 24-72 hours

Other Meds:

Current Illness:

ID: 0958406
Sex: F
Age: 55
State: WA

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

Lab Data: Will receive Covid 19 test on 01/21/21.

Allergies:

Symptoms: Chills and headache beginning approximately 2 hours after injection. Proceeding to full body aches, fever to 103, sweats and mild nausea over next 24 hours. Symptoms mitigated by use of Ibuprofen. 48 hours post vaccine, symptoms are resolving - minor headache and sweats remain. Afebrile.

Other Meds:

Current Illness:

ID: 0958407
Sex: M
Age: 41
State: MA

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

Lab Data: None

Allergies: None

Symptoms: Congestion and loss of smell 48 hours after vaccination

Other Meds: None

Current Illness: None

ID: 0958408
Sex: F
Age: 32
State: MA

Vax Date: 01/12/2021
Onset Date: 01/19/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Some fatigue 2 days prior to site reaction. Site reaction started with itchiness, now a raised red area, hot to the touch. No fever with reaction.

Other Meds: Lo-estrin birth control Lame to all, 150 mg every day

Current Illness: None

ID: 0958409
Sex: F
Age: 62
State: CO

Vax Date: 01/07/2021
Onset Date: 01/14/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: took benadryl

Allergies: penicillin, sulfa; Ibuprofen; anti inflamitories ;

Symptoms: on day 7 (1/14/21)my arm was warm, red and swollen . Continued to be swollen, red and warm till 1/17/21. I took Benadryl on the 14,15,16, and 17th. after the 17th Arm area is fine.

Other Meds: Nexium ; cinnamon tablet

Current Illness: urinary track infection

ID: 0958410
Sex: M
Age: 67
State: NJ

Vax Date: 01/16/2021
Onset Date: 01/17/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient reports chills, fatigue, body aches, and lymphadenopathy in right axilla.

Other Meds:

Current Illness:

ID: 0958411
Sex: F
Age: 35
State: CA

Vax Date: 01/07/2021
Onset Date: 01/18/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Severe swelling, heat, and pruritis, with circumferential redness centered at the vaccine site but affecting the majority of the brachium. Progressed overnight in size and severity and has since remained overall static with the redness and swelling extending in the dependent directions (medial and distal).

Other Meds: daily multivitamin, fish oil, metformin, and cetirizine

Current Illness: none

ID: 0958412
Sex: F
Age: 45
State: MA

Vax Date: 01/05/2021
Onset Date: 01/15/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: wellbutrin, augmentin, penicilian

Symptoms: 1/15 starting with burning tingling hands that become itchy and tingling, burning, hives, and itching all through body that comes and goes. Could this be delayed reaction to vaccine? highly concerned about getting 2nd vaccine.

Other Meds: Calcium with Vitamin D and Vitamin C

Current Illness: none

ID: 0958414
Sex: F
Age: 29
State:

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

Lab Data:

Allergies: Scallops

Symptoms: Had fatigue, headache, muscle aches, chills , and nausea from 01/08/2021 to 01/10/2021 to where I could not perform daily functions.

Other Meds: Turmeric Supplement (500mg), Birth Control (FE)

Current Illness: none

ID: 0958415
Sex: F
Age: 30
State: OH

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

Lab Data:

Allergies:

Symptoms: FLU LIKE SYMPTOMS FOR 2 WEEKS

Other Meds:

Current Illness:

ID: 0958416
Sex: F
Age: 34
State: MD

Vax Date: 01/09/2021
Onset Date: 01/11/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: Bio Physical ultrasound on here Non stress test on the baby

Allergies: None

Symptoms: Main concern was my baby's heartrate.. after receiving about 48 hours the baby heart rate was down.. the heart rate was down to 10.. I was sent home with close monitoring and after a few days the baby's heartrate finally was normal. I am told that I cannot get the second dose until after I give birth . My estimated date of delivery is February 8th 2021 I had flu like symptoms ,

Other Meds: Propranolol Vitamins

Current Illness: None

ID: 0958417
Sex: F
Age: 46
State: WA

Vax Date: 01/12/2021
Onset Date: 01/19/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: None

Allergies: None.

Symptoms: Delayed injection site reaction. Began about one week after immunization. 9 cm of redness, swelling and irritation. Itchy and puffy.

Other Meds: Multivitamin, Forteo, Trintillex

Current Illness: None.

ID: 0958419
Sex: F
Age: 26
State: VA

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

Lab Data: N/A

Allergies: Cats

Symptoms: Moderna COVID-19 Vaccine EUA I received my first dose of the vaccine on Friday, January 15th. My arm was a little sore that day and the next, but it really wasn't that bad. Late on Saturday, January 16th I noticed a rash around my neckline/collar bone area that was on both sides, but more prominent on the right. The rash was red with many bumps that were not raised and were not fluid filled or blistering. The next day, Sunday (17th) the rash seemed to worsen but stay localized to that area. Monday morning (18th) I woke up with a tender right armpit indicating to me that I have a swollen lymph node. I noticed later that morning that the rash had spread bilaterally to my biceps and chest. Today is Wednesday the 20th, and while the rash looks slightly better around my neckline, the rash has now spread all over my breasts, abdomen, and a little bit to my hips. The right arm pit continues to be tender today. I took Benadryl (25 mg) Sunday night (17th) and applied hydrocortisone cream to the rash when it was just along my neckline.

Other Meds: Mirena IUD

Current Illness: N/A

ID: 0958421
Sex: F
Age: 38
State: CA

Vax Date: 01/05/2021
Onset Date: 01/14/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: No

Symptoms: 1/15/21: Via fax, client stated on 01/14/2021 @ 12:30 PM she noticed tingling/burning with red raised rash at injection site and surrounding area. Client stated her skin feels tight and is hot to touch. Per client she put a cold compress on the area which seemed to help ease the burning sensation. 01/19/21 @4:41 spoke with client who stated the redness has spread and is warm to touch to entire left upper arm. Client agreed to seek medical attention for left upper arm. RN

Other Meds: Claritan-D

Current Illness: No

ID: 0958422
Sex: F
Age: 43
State: PA

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

Lab Data: none

Allergies: PCN, Demoral, morphine, codeine, tetanus, and bee stings

Symptoms: high fever, body aches, dizziness, shooting pains from hips to feet, joint pain, bad headache, abdominal pain, and right arm at injection site very hot and hard, also right under arm to elbow very tender was unable to even touch own skin it was very painful severe sx's for 25 hours, still having achy joints, light headache, and back and neck pain

Other Meds: none

Current Illness: none

ID: 0958423
Sex: F
Age: 35
State: GA

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

Lab Data: N/A

Allergies: None

Symptoms: Approximately 6 hours after vaccination, I developed generalized malaise with significant pain in right arm (injection site), neck and back. Over the subsequent 2-4 hours, I developed fever to 102.5 with shaking chills with ongoing myalgias and arthralgias (knees, hips). I took some acetaminophen and fever eventually broke. Still feeling weak, achy and fatigued but better.

Other Meds: multivitamin

Current Illness: none

ID: 0958424
Sex: F
Age: 25
State: CA

Vax Date: 01/18/2021
Onset Date: 01/19/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: n/a

Allergies: Anxiety Disorder Depression Hypohidrosis Typde 2 Diabetic

Symptoms: Blurred vision, pain in arm/shoulder, and felt like she was in a fog - not knowing how to even do [her] job. Later in the evening she started to feel very dizzy and vomited. Will take OTC acetaminophen as directed to help with symptoms and rest.

Other Meds: Metformin HCl 1000 mg Buspirone HCl 5 mg Lexapro 10 mg Humalog 100 u/ml NovoLog 100u/ml

Current Illness:

ID: 0958425
Sex: F
Age: 55
State: TX

Vax Date: 01/06/2021
Onset Date: 01/16/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: NONE

Symptoms: JANUARY 17, 2021 - RASH AROUND INJECTION AREA, FEVER, BODY ACHES, HEAD ACHE JANUARY 20, 2021 - RASH STILL AROUND INJECTION AREA, BUT NO FEVER, BODY ACHES OR HEAD ACHE

Other Meds: METOPROL, LOSARTAN, SYMBICORT, VALTREX, DEXILANT, PROBIOTICS

Current Illness: NONE

ID: 0958426
Sex: F
Age: 40
State: IN

Vax Date: 01/18/2021
Onset Date: 01/19/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: Fever, rigors, body aches, extreme joint pain, dizziness, swollen lymph nodes in the right arm pit, clavicle and neck.

Other Meds: None

Current Illness: None

ID: 0958428
Sex: F
Age: 41
State: NY

Vax Date: 01/05/2021
Onset Date: 01/15/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: n/a

Allergies: n/a

Symptoms: injection site was a red circle, itchy, hot to touch

Other Meds: Methotrexate

Current Illness: n/a

ID: 0958429
Sex: F
Age: 47
State: NV

Vax Date: 12/30/2020
Onset Date: 01/08/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: I just have to take claritin daily for 7 days.

Allergies: String kinds of bath soap/wash (ex:dial)

Symptoms: On the eight day after I received the Moderna Vaccine, the injection site (left arm) started to develop rashes and was very itchy that lasted for 7 days.

Other Meds: Losartan, hydrochlothiazide, atorvastatin, metformin, multivitamin, krill oil, vitamin b12, zinc, coq10, hair, skin and nails vitamin.

Current Illness:

ID: 0958430
Sex: F
Age: 37
State:

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Dizziness. Mild injection pain, redness and swelling, muscle pain., Nausea, fatigued, Headache, joint pain, Hot Flashes ,

Other Meds: Unknown

Current Illness:

ID: 0958431
Sex: F
Age: 32
State: OH

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

Lab Data:

Allergies:

Symptoms: HEADACHE 2-3 HOURS AFTER INJECTION

Other Meds:

Current Illness:

ID: 0958432
Sex: F
Age: 73
State: FL

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

Lab Data: none

Allergies: penicillin, epinephrine,

Symptoms: One week after the vaccine my upper arm started to itch. By the next morning I had a rash on the upper arm with insane itching. The second ay the itching has dissipated, but the arm is now sore at the injection site and the rash has spread. The rash is not as red.as it was on 1/19/21. I have been taking an antihistamine and rubbing hydrocortisone cream on the rash.

Other Meds: HCTZ, Famotidine, fish oil, B12, potassium, magnesium, D3, Biotin, multivitamin

Current Illness: none

ID: 0958433
Sex: M
Age: 79
State: AZ

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

Lab Data:

Allergies: ASPIRIN, NSAIDS

Symptoms: PATIENT EXPERIENCED HEADACHE, MUSCLE ACHES, SWEATING, JOINT PAIN, LOSS OF BOFILY FUNCTION THAT REQUIRED EMT SERVICES.

Other Meds: PLAVIX,LOSARTAN,TAMSULOSIN

Current Illness: NO

ID: 0958434
Sex: F
Age: 80
State: MN

Vax Date: 01/04/2021
Onset Date: 01/12/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient was administered his first dose of the Pfizer COVID vaccine in a TCU on 1/4/2021. He then returned back to his place of residence which is a skilled nursing facility. Our pharmacy had a scheduled COVID Vaccine Clinic with his skilled nursing facility for 1/12/21. The patient was included in this clinic and received a dose of the Moderna vaccine that day. We thought this was his first dose because he stated on his pre-vaccination questionnaire that he hadn't received a COVID vaccine previously. His nursing staff contacted us on 1/15/21 stating the patient's family told them he had received the Pfizer vaccine in his TCU. The nursing facility then contacted us to pass on this information. At this point, patient hasn't experienced adverse effects from either dose.

Other Meds:

Current Illness:

ID: 0958436
Sex: F
Age: 35
State: OH

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/20/2021
Hospital:

Lab Data: "NA"

Allergies: Yes, I'm allergic to all Penicellen families, sulfa, bactrum. Cats.

Symptoms: I received the 1st dose of the Moderna covid vaccine on 12/30/2020 at 5:15pm. I developed symptoms 12 hours later on 12/31/2020 of shivering sweating hot then cold , low grade fever of 99.2 99.6 and also had no energy at all felt very weak for 2 days didn't have energy to do anything. Then the 2nd day followed by a horrible headache with a lot of head pressure the entire evening and little to no energy continued for 2 days after getting my shot. I had Covid19 back in July towards the end of the month. So I wasn't sure if that's why I had developed the symptoms and got sick the way I did since having covid in the passed. I would like to get any answers you can provide me with would be helpful. I'm scheduled to get my 2nd dose of the covid19 on 1/28/2021 just would like to prepare for my second round. Thanks!

Other Meds: Lo Loestrin fe - Birth control Multi woman vitamin Cetrizine Zyertec ibuprofen Emergenzee vitamin

Current Illness: "NA"

ID: 0958437
Sex: M
Age: 43
State: CA

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

Lab Data: N/A

Allergies: Unknown

Symptoms: Received Moderna for second dose and Pfizer for 1st dose

Other Meds: Unknown

Current Illness: Unknown

ID: 0958438
Sex: F
Age: 52
State: TX

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

Lab Data:

Allergies:

Symptoms: Began experiencing body aches, extreme fatigue and joint pain shortly after receiving first dose of the vaccine. Taking OTC tylenol/motrin. Joint pain has resolved. Body aches and extreme fatigue remain.

Other Meds:

Current Illness:

ID: 0958439
Sex: M
Age: 42
State:

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

Lab Data:

Allergies:

Symptoms: Metallic taste in mouth, resolved after a couple hours.

Other Meds:

Current Illness:

ID: 0958440
Sex: F
Age: 24
State: UT

Vax Date: 01/08/2021
Onset Date: 01/17/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies:

Symptoms: She reports that on 01/17/2021 she developed hives at the injection site and itching. The hives has not spread but she then developed a different looking red rash on both hands that is itchy, started on 01/19/2021.

Other Meds:

Current Illness:

ID: 0958442
Sex: F
Age: 73
State: FL

Vax Date: 01/15/2021
Onset Date: 01/19/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: None

Allergies: Bee stings, sulfa drugs( bactrim, macrodantin), eggs. Sensitivity to carbocaine epidural?

Symptoms: Fatigue, generalized aching, Mild- moderate right side sore throat and slight soreness back and swelling back of roof of mouth and tenderness neck glands unilaterally. Difficult/painfulswallowing -takes considerable effort to swallow.

Other Meds: Livalo 1 mg. Daily ASA 81mg. Daily Zyrtec daily Diltiazem 180mg. Daily Vitamin D daily Prolia injection every 6 months

Current Illness: None

ID: 0958444
Sex: F
Age: 32
State: OH

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

Lab Data:

Allergies:

Symptoms: HEADACHE 2-3 HOURS POST VACCINE

Other Meds:

Current Illness:

ID: 0958445
Sex: F
Age: 51
State: NY

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

Lab Data: n/a

Allergies: pennicillin/ampicillin family

Symptoms: 1 week following administration, painful, tender, swollen lymph node in right armpit (same side as site of vaccination) not previously noted

Other Meds: none

Current Illness: none

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm