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**
PLEASE CHECK BACK SOON
Download the files above while you wait.







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: 0959159
Sex: F
Age: 73
State: MI

Vax Date: 01/15/2021
Onset Date: 01/18/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: Codeine, Sulfa, Nickel

Symptoms: Severe vertigo with jittering eyes, loss of balance, vomiting. Started Antivert on 1/19/2021 at 7:45 pm. Better, but still very dizzy. Vomiting has stopped.

Other Meds: Irbesartan, Omeprazole, Eliquis, Sertraline, Metropolol

Current Illness:

ID: 0959160
Sex: F
Age: 29
State: NJ

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

Lab Data: None

Allergies: None

Symptoms: Unrelenting headache, chills, nausea, body aches, fever of 101.3F. Onset 14 hours after vaccine. Fever 20 hours after. Relieved with Tylenol and Motrin, ice packs.

Other Meds: Lo loestrin Fe

Current Illness: None

ID: 0959161
Sex: F
Age: 39
State: MD

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

Lab Data:

Allergies:

Symptoms: Starting the day after the vaccine she noticed a huge mass in her armpit and swelling under her clavicle.

Other Meds:

Current Illness:

ID: 0959162
Sex: F
Age: 69
State: NY

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

Lab Data: None

Allergies: PCN, Cipro, Amoxicillin. Cannot tolerate most antibiotics

Symptoms: Arm/shoulder pain, nausea, sweating, chills, headache

Other Meds: Fludrocortisone 0.1 mg, Atorvastatin 40 mg, Acidophilus Complex 20 billion, Co-Q 10 200 mg, Omega 3-6-9, Calcium 600 mg, Vit D3 2800 IU, Aspirin 81 mg. All taken 1 daily

Current Illness: None

ID: 0959163
Sex: F
Age: 45
State: WA

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

Lab Data: None

Allergies: Codeine - HA

Symptoms: 1st dose - feverish, all over body ache, HA, run down/ tired/ fatigue. 2nd dose - body ache and HA (both not as severe as 1st dose), two days post injection = painful and swollen right axilla lymphadenopathy and right breast pain...used right deltoid for injection site. Also, noted fatigue and chills w/o known fever.

Other Meds: Valacyclovir 1.0G daily, SVEDA drospirenone and ethinyl estradiol 3.0mg - 0.03mg daily, Zolpidem 10mg at night PRN, Caltrate 600+D3 plus minerals 1 tablet/ day, ONE A DAY Women?s MVI 1 tablet/ day. Zyrtec 10-20mg/ daily. Natures Way Sambu

Current Illness: None

ID: 0959164
Sex: F
Age: 72
State: NY

Vax Date: 01/06/2021
Onset Date: 01/15/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: None. Contacted PCP and was given Benadryl. Rash still present. Scheduling appointment with Allergist before next dose.

Allergies: NONE

Symptoms: Itchy rash with raised hives noted 1/15/2021 at injection site. This was 8+ days after receiving vaccine.

Other Meds: None

Current Illness: NONE

ID: 0959165
Sex: F
Age: 56
State: MO

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: N/A

Allergies: none

Symptoms: Hours 6 to 18 -Worse than usual headache on the front and top of my head. Hours 24 to 36 - Acute pain in left lower back / kidney area Hours 36 to 48 - Acute pain in right lower back / kidney area

Other Meds: Vitamin D, HRT

Current Illness: none

ID: 0959166
Sex: F
Age: 43
State: IL

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

Lab Data:

Allergies: latex, adhesive bandages

Symptoms: Patient called to report a severe reaction today, 1/20/21. She stated approximately 12 hours after she received the vaccine, she began having severe chills and muscle aches with fever up to 102.6 that did not respond to Tylenol. Also had headache, vomiting, fatigue, shortness of breath, and chest tightness. After approximately 12-18 hours, her symptoms started improving, but still having mild to moderate muscle aches, fatigue, and shortness of breath. Using albuterol prn. Currently recovering at home.

Other Meds: amlodipine, calcium with Vitamin D, Lexapro, ProAir, multivitamins

Current Illness:

Date Died: 01/16/2021

ID: 0959167
Sex: M
Age: 84
State: AL

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

Lab Data:

Allergies: NKDA

Symptoms: Patient received COVID 19 vaccine 01/14/2021. Patient died in his sleep 01/16/2021.

Other Meds: unknown

Current Illness:

ID: 0959168
Sex: F
Age: 32
State: TN

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

Lab Data: SHE WENT TO DERMATOLOGY ASSOCIATES 1/19/2021 AND THEY DID A PUNCH BIOPSY. SHE IS WAITING ON RESULTS.

Allergies: NKA

Symptoms: PT REPORTS THAT SHE WHEN SHE WOKE UP FOR WORK ON THE MORNING OF FRIDAY 1/15/2021 AT 6:30 AM TO GET READY FOR WORK SHE HAD HIVES ON HER CHEST, FACE AND BACK. SHE WENT ON TO WORK AND SHE SHOWED THE SCHOOL NURSE. THE NURSE GAVE HER A BENADRYL AND SHE WENT HOME. SHE SAID AFTER SHE HAD GOTTEN HOME SHE TOOK A 2ND BENADRYL AND LAID DOWN. WHEN SHE HAD WOKEN UP THE HIVES WERE GONE. LATER THAT NIGHT SHE NOTICED THAT SHE HAD RED BUMPS ALL OVER HER FACE. SATURDAY MORNING WHEN SHE WOKE UP SHE REPORTS SHE HAD HUNDREDS OF BUMPS THAT HAD SPREAD TO HER SHOULDERS, BACK AND CHEST.

Other Meds: SPIRONOLACTONE, KYLENA,SYNTHROID

Current Illness: NO

ID: 0959169
Sex: U
Age:
State: AR

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

Lab Data:

Allergies:

Symptoms: Fatigue, Neuropathy in Left Leg - Left Foot

Other Meds:

Current Illness:

ID: 0959170
Sex: F
Age: 48
State: OR

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

Lab Data:

Allergies: None Known

Symptoms: Arm tenderness and mobility, cannot move arm above her waist.

Other Meds:

Current Illness:

ID: 0959171
Sex: F
Age: 34
State: IL

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

Lab Data:

Allergies: Amoxicillin penicillin zpack doxycillin cipro

Symptoms: Right arm injection site red/blotchy. Arm swelled. Hot to touch. Swelling spread to forearm over night less than 24 hours from onset of symptoms. Infection seen. Treated with antibiotics and allergy medications. Steroids. 1 week follow up

Other Meds: Toprimate sertaline singlair

Current Illness:

ID: 0959172
Sex: F
Age: 22
State: WA

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

Lab Data:

Allergies: None

Symptoms: Right after the vaccine was administered, my shoulder was swollen and very painful. I was amenable to move my arm. Those symptoms subsidized after 2 days. A week after the vaccine (1/19/2021), a lump appeared on my shoulder where the injection was done. The area is red, itchy and warm. Those symptoms have been observed for 2 days now.

Other Meds: None

Current Illness: None

ID: 0959173
Sex: F
Age: 72
State: CA

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

Lab Data:

Allergies:

Symptoms: Day after injection--complaint of: Headache, chills, pain in injected arm, thirst, tired.

Other Meds:

Current Illness:

ID: 0959174
Sex: F
Age: 38
State: IL

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

Lab Data: none

Allergies: Pencillin Toradol Bee

Symptoms: Severe headache almost one month

Other Meds: Nothing

Current Illness: no

ID: 0959175
Sex: F
Age: 54
State: NY

Vax Date: 01/04/2021
Onset Date: 01/06/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: Got a COVID test and this was negative

Allergies: Bactrim - rash

Symptoms: 2 days after infusion, severe arm pain and fever, body aches, and extreme nausea (unable to eat anything). Started on 1/6 in morning and gone by night of 1/6.

Other Meds:

Current Illness:

ID: 0959176
Sex: F
Age: 40
State: NY

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

Lab Data:

Allergies: NA

Symptoms: BURNING, ITCHING, RASH ON AND AROUND INJECTION SITE.

Other Meds: NA

Current Illness: NA

ID: 0959177
Sex: F
Age: 60
State: PA

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

Lab Data:

Allergies: Amoxicillin Augmentin Crab

Symptoms: Dizziness, Nausea, clammy, shaky, trouble swallowing, throat closing, pulse racing . Treated at WS GSH ED Was given Benadryl, Prednisone and Pepcid orally Was discharged after 4 hours

Other Meds: Pantoprazole Multi vitamin Clobetasol cream

Current Illness: none

ID: 0959178
Sex: F
Age: 42
State: OR

Vax Date: 01/13/2021
Onset Date: 01/19/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: combination of Augmentin and Entex

Symptoms: Apart from initial reaction, I experienced a delayed localized reaction 6 days subsequent to receiving vaccine. Reaction was at injection site. Raised red area, muscle soreness extending up into axillary and down through inner elbow into middle digits. Muscle weakness also experienced.

Other Meds:

Current Illness:

Date Died: 01/18/2021

ID: 0959179
Sex: M
Age: 79
State: CO

Vax Date: 01/14/2021
Onset Date: 01/17/2021
Rec V Date: 01/20/2021
Hospital: Y

Lab Data: COVID-19 negative (1/18/2021); Blood X 2 ngtd (1/17/2021); urine ngtd (1/17/2021); ECHO (1/18/2021) - Left Ventricle: The left ventricle is normal in size. There is mild asymmetric left ventricular hypertrophy. Left ventricular function is mildly reduced. Considering 2D visualization and technical calculations the left ventricular ejection fraction estimate is 40-45%. The inferolateral wall is hypokinetic. There is no evidence of a thrombus in the left ventricle. There is echocardiographic evidence of diastolic dysfunction; CMP (1/18/2021) Na 144, K 4.6, Cl 96, gluc 290, BUN 73, Scr 7.68, Ca 7.2, Mg 1.8, Phos 7.3, AST 436, ALT 271, Alb 2.7, T bili 0.4, lactate > 12.0; CBC (1/18/2021) WBC 24.6, Hgb 12.4, Hct 38.4, Plt 383

Allergies: None

Symptoms: Patient received COVID-19 vaccination on 1/14/2021. On 1/17/2021, patient was transferred to Hospital s/p multiple cardiac arrests. Patient was hyperkalemic and in acute renal failure at time of transfer. Hyperkalemia was treated, but the patient suffered PEA vs VFib. At the time of transfer, patient was on vasopressin, norepinephrine, and epinephrine. The patient had an EF of 40-45% and elevated troponins. Patient was made DNR and placed on comfort care. Patient passed away on 1/18/2021. Ultimately we suspect that the patients condition was a direct result of his underlying disease states, but wanted to make sure reporting was made available.

Other Meds: losartan 100 mg QD, metformin 1000 mg BID, simvastatin 40 mg QD, tamsulosin 0.4 mg QD

Current Illness:

ID: 0959180
Sex: M
Age: 26
State: NM

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/20/2021
Hospital:

Lab Data: none

Allergies: sulfadiazine

Symptoms: Tingling in arm 1 minute after injection. Rapid response observed for 30 minutes. no other intervention

Other Meds: Unknown

Current Illness: unknown

ID: 0959181
Sex: F
Age: 52
State: TX

Vax Date: 12/22/2020
Onset Date: 12/24/2020
Rec V Date: 01/20/2021
Hospital:

Lab Data: NONE

Allergies: NKDA

Symptoms: DIZZY, CHILLS, FATIGUE

Other Meds: BP MEDS, DM MEDS

Current Illness: NO

ID: 0959182
Sex: M
Age: 15
State: TX

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

Lab Data: None

Allergies: Lactose intolerant.

Symptoms: At 12:05PM client states he started to feel dizzy and nauseated. O2 was given via facemask at 2L while being fanned. Vitals where taken and are as follows BP:97/48, BPM:55 and O2:99. Client was given sugar in a form of a cracker and also requested to have a sip of water. After fifteen minuets client states he felt well and wanted O2 taken off. Client was also help off examination table to bench. Client had a good gait and was able to walk by himself. After five minutes of being on bench last set of vitals where taken and are as follows BP:130/86, BPM:93 and O2:97. Client left clinic without any s/s of distress.

Other Meds: None

Current Illness: None

ID: 0959183
Sex: F
Age:
State: FL

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

Lab Data: no

Allergies: no

Symptoms: headache and chills

Other Meds: no

Current Illness: no

ID: 0959184
Sex: F
Age: 33
State: OH

Vax Date: 01/05/2021
Onset Date: 01/17/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Moderna COVID-19 Vaccine EUA Skin around injection site and upper arm red and warm to touch, also slightly painful

Other Meds: synthroid, paroxetine

Current Illness: none

ID: 0959185
Sex: F
Age: 30
State: IN

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

Lab Data: None

Allergies: NKA to food or medication. Only Nickel allergy

Symptoms: Body aches - particularly elbow, knees, and hands. Fatigue. Occasional light headedness. All symptoms were gone by following morning!

Other Meds: Birth Control Pill - generic for Yazmin, Flovent inhaler-180(?) mcg, Zoloft -150 mg, Singulair- 10mg

Current Illness: None

ID: 0959186
Sex: F
Age: 39
State: PA

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

Lab Data: 1/13/2020 Given IV benadryl , symptoms resolved

Allergies: pistachios, cashews , meloxicam

Symptoms: Patient began to develop palpitations, flushing, feeling warm within five minutes of her vaccination. Patient did not report this to the vaccine staff as she did not realize it was a reaction. She drove back to her work and felt like "jello". When she to got to er work approx 15 minutes away, her coworker noted that she was all read across upper body. Patient states she began to feel itchy. She was taken to the ER, and in ER said her throat started to feel tight and itchy.

Other Meds: b12, folic acid, vitamin d 3, sertraline

Current Illness: no

ID: 0959187
Sex: F
Age: 41
State: OK

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

Lab Data: none

Allergies: NKDA

Symptoms: Monitored patient for 15 minutes without reaction. She left the clinic and on her drive home started having numbness in lips and face,only L side, noticed small lump in L side of throat. On arrival at Seminole ED she received a "steroid injection" and was instructed by medical professional to take a oral Benadryl once she was home. She was alone and driving herself. No other treatment or extended observations necessary.

Other Meds:

Current Illness:

ID: 0959188
Sex: F
Age: 33
State: MD

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

Lab Data: N/A

Allergies: Shrimp; dust

Symptoms: Headache on right side; increased heart beat, dizziness, feeling of blacking out, stuffiness, cold sweat. BP118/80. Still slight headache on right & eyes feel "tired" upon discharge via wheelchair to ride home with husband.

Other Meds: Prenatals

Current Illness: S/p DNC for miscarriage one month ago

ID: 0959189
Sex: F
Age: 26
State: IA

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

Lab Data:

Allergies: none

Symptoms: Migraine, bump the size of golf ball and redness at injection sight

Other Meds: none

Current Illness: none

ID: 0959190
Sex: F
Age: 43
State: NY

Vax Date: 01/12/2021
Onset Date: 01/15/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Swelling at left side of the neck. Hard area at injection site. Prescribed diphenhydramine and prednisone

Other Meds: No active meds

Current Illness: None

ID: 0959191
Sex: F
Age: 28
State: FL

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

Lab Data:

Allergies: None

Symptoms: Redness, swelling, itchiness, and rigid muscle at vaccination site. Lasting over 7 days.

Other Meds: Zoloft, birth control, claritin

Current Illness: None

ID: 0959192
Sex: F
Age: 72
State: PA

Vax Date: 08/28/2020
Onset Date: 08/28/2020
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: sulfa antibiotics

Symptoms: Patient's statement: "Within 30 minutes I began having pain in my left upper arm and essentially have not been pain free since. I have had blood work, an ultrasound, X-Rays, prednisone, and am currently in physical therapy for residual pain and limited ranged of motion. I appear to have a textbook case of SIRVA - Shoulder Injury Related to Vaccine Administration."

Other Meds: Halobetasol 0.5% ointment, Nasocort allergy nasal spray, omeprazole 20 mg, rosuvastatin 10 mg

Current Illness: n/a

ID: 0959193
Sex: F
Age: 45
State: MA

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

Lab Data: None

Allergies: shellfish, fish, oats, rye, cashews, MSG

Symptoms: joint pain headache fatigue low grade fever vertigo brain fog starting several hours after vaccination, lasting for 36 hours.

Other Meds: None

Current Illness: None

ID: 0959194
Sex: F
Age: 29
State: FL

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

Lab Data:

Allergies: Pork intolerance

Symptoms: About an hour after receiving the vaccine I began to feel a little dizzy, tired, and started to develop a headache. By the next day my headache became overwhelming and the the dizziness became so pronounced that I could not stand for more than 5 minutes at a time. I a had an intolerable headache on the entire bottom of my head that made my neck start to hurt. I felt nausea that did not improve until four days later. My joints were hurting sharply two days after the immunization and lasted two days. Most of my symptoms improved on the 13th of January, but were still lingering. About 5 days after the shot my symptoms resolved completely.

Other Meds: None

Current Illness: none

ID: 0959195
Sex: F
Age: 33
State: KY

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

Lab Data: 1/6/2021 WBC-16.76, glucose 150, C-reactive protein 20.1, Urine: 1+ protein, 3+ blood, , 2= leukocyte esterase, TNTC RBC, WBC 3-5, Bacteria- trace

Allergies: No know allergies

Symptoms: employee received vaccine 1/5/2021, presented to the ED on 1/6/2021 for c/o right side abdominal pain, fever, chills, loose stools, nausea. Was treated for constipation and UTI, received Sulfa DS, Polyethylene glycol, naproxen. 1/20/2020 patient to PCP with patient reporting tachycardia, SOB, cough and felt horrible after receiving the COVID vaccine 2 weeks ago, woke up on 1/20/2020 with rash around both eyes, red patchy areas that are itchy and dry

Other Meds: none

Current Illness: none

ID: 0959196
Sex: F
Age: 33
State: NY

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

Lab Data:

Allergies: Sulfa drugs and avocados

Symptoms: For three days after vaccine I had severe pain at injection site and swelling (left arm). Two nights after injection I had body chills. One week and one day after injection (1/19/2021) I developed 6x7inch red swelling, with irregular border at injection site. The area was itchy and very hot to the touch. No pain on palpation and no fever. I also experienced pain under my left arm pit. The next day (1/20/2021) the swelling has gotten larger with same symptoms.

Other Meds: Zyrtec

Current Illness: None

ID: 0959197
Sex: F
Age: 65
State: GA

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

Lab Data: b/p checks during the visit.

Allergies: Seasonal Allergies only

Symptoms: Pt c/o numbness and tingling in hands and legs within 15 minutes after receiving the Moderna, covid-19 vaccine. B/P 187/77 at 10:29, 190/72 at 10:37, 189/76 10:42, 199/78 @ 10:50am, 187/69 @ 11:00 am. Instructed pt to f/u with PCP regarding b/p. Released to sister to home.

Other Meds: Multivitamin, Levoxal

Current Illness: Nothing per pt

ID: 0959198
Sex: F
Age: 49
State: AL

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

Lab Data:

Allergies: none

Symptoms: I woke up early in am (2:35am) with terrible bone pain, joint pain, it hurt to MOVE. My pain level was 8 out of 10. When I tried to get out of bed, I was dizzy and had to hold to the walls to make it to the bathroom. I had severe dry mouth, nausea, muscle weakness, loss of appetite and chills. I was unable to go to work. The symptoms did not begin to subside until later in the evening the next day around 6:30pm. Today I am still weak but making it. Still having chills, and some minor muscle aches and spasms.

Other Meds: none

Current Illness: none

ID: 0959199
Sex: F
Age: 32
State: LA

Vax Date: 01/13/2020
Onset Date: 01/18/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: COVID test; waiting on results flu; waiting on results

Allergies: protonics

Symptoms: 1/13/2021 2nd vaccination 1/18/2021 9/930 am noticed sense of taste was off; SOUR. my tongue feels really dry, painful and it feels like i burnt it like from drinking something HOT. sometimes travels to the lips, sometimes goes away. Presently, still experiencing. COVID test per employee health. NO blisters. *normal vaccine symptoms after 1s shot; very tired.

Other Meds: multi vitamin, vit D, Levorhoroxine, BC

Current Illness: n/a

ID: 0959200
Sex: F
Age: 37
State: ND

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

Lab Data: none

Allergies: Strawberries

Symptoms: Patient felt "funny" feeling in her chest. Cheeks flushed. Patient stood by window for cool air continued to have warm feeling in her chest. Patient began to feel trouble swallowing. O2 99% on room air. Epinephrine given, Solumedrol given. Trouble swallowing and warm feeling in chest resolved after 15 minutes

Other Meds: Lisinopril 5mg PO daily Hydrochlorothiazide 12.5mg Po daily Vitamin D 2000Iu PO daily Zinc Oxide 50mg Po daily

Current Illness: none

ID: 0959201
Sex: F
Age: 63
State: TN

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

Lab Data:

Allergies:

Symptoms: first night had chills, and didn't feel well, got off sofa and crawled into bed. had chills. around 9:00 pm. took Tylenol and around 4:30Am still has chills and ran fever of 103.1 and took more Tylenol. woke up about 6:30Am and felt better. chills were gone but still didn't feel well. Called Dr. but have not heard back. currently 3:00 pm starting to feel chilled again.

Other Meds: Multivitamin, extra calcium, vitamin E, Cranberry pill, Zertec, Zinc balance, Zallevo, biosync daily, biozinc trim

Current Illness:

ID: 0959202
Sex: F
Age: 49
State: MD

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

Lab Data:

Allergies: Penicillin

Symptoms: C/O nausea, Dizziness, stated that she was about to find. The client was helped to floor, head flat, and leg elevated. The patient was alert and oriented, Vital signs were stable. VS: BP:105:68, 66 Reg, RR:18. The mucosa was pink. Juice and water given, observed for 45 minutes. sent home with boyfriend with instruction to F/U with PCP if symptoms persist and call 911 if symptoms worsen

Other Meds: Zoloft, Chloroquine, Levothyroxine

Current Illness:

ID: 0959203
Sex: F
Age: 78
State: FL

Vax Date: 12/25/2020
Onset Date: 01/02/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: no

Allergies: no

Symptoms: arm itching with rash over injection site-2 or 3 inch in size

Other Meds: Amlodipine besylate, multivitamin, aspirin, B12, fish oil

Current Illness: diagnosed w/ HPB 3 days prior to vax

ID: 0959204
Sex: F
Age: 36
State: MA

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

Lab Data:

Allergies:

Symptoms: Pt. began to feel "funny" Chest felt "cold" Ears felt "cold" Back of throat "cold" EMT assessed as well as RN BP 180/80 she was given water and her husband drove her to their local hospital to be checked out at 1:15

Other Meds:

Current Illness:

ID: 0959205
Sex: F
Age: 29
State: WV

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

Lab Data:

Allergies:

Symptoms: Rash on Arm

Other Meds:

Current Illness:

ID: 0959206
Sex: M
Age: 41
State: CA

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

Lab Data:

Allergies:

Symptoms: Stiff neck Headache Very tired

Other Meds:

Current Illness:

ID: 0959207
Sex: F
Age: 32
State: VT

Vax Date: 01/06/2021
Onset Date: 01/12/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: Ultrasound 1/18/21 (3 abnormal lymph nodes) Bloodwork 1/19/21 (normal)

Allergies:

Symptoms: Received the vaccine on 1/6/21. 1/12/21 discovered painful and very swollen supraclavicular lymph node. Ultrasound discovered 3 abnormal lymph nodes however bloodwork came back normal per my PCP. Radiologist recommended biopsy of largest lymph node, PCP declined to do so.

Other Meds:

Current Illness:

ID: 0959208
Sex: M
Age: 40
State: AZ

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

Lab Data: N/a

Allergies: No

Symptoms: Chills, aching body, fever of 101

Other Meds: No

Current Illness: No

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm