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: 0959513
Sex: F
Age: 36
State: VA

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

Lab Data: None

Allergies: Doxycycline Sulfa Ambien Lyrica Methotrexate Zithromax Gluten

Symptoms: I stayed for 30 mins sitting after infection. I left and was driving and started feeling disoriented, dizzy, shaking and throbbing headache. I pulled into my school with 5 mins and started taking a rubbing alcohol/saline taste in my mouth and smelling it. I was dizzy, feeling ?floaty? out of body, chills, extremely tired, unable to stand, high blood pressure and loss of color to face and hands. This all happened within 35 minutes to one hour after removing the actual injection. I was being monitored. I was unable to drive and had to be picked up. Within 6 hours after injection, the dizziness subsided and the body shaking. 9 hours after the injection I still have throbbing headache, extreme exhaustion, weakness in standing and alcohol taste in mouth. Rheumatologist was contacted and left message for her.

Other Meds: Xeljanz, Acyclovir, spironolactone,

Current Illness:

ID: 0959514
Sex: F
Age: 31
State: KS

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

Lab Data:

Allergies: Seasonal allergies

Symptoms: One week after after receiving the COVID vaccine, a raised circular rash appeared 1cm below the injection of the COVID vaccine. It was itchy and warm.

Other Meds: Prenatal vitamin, zyrtec, flonase

Current Illness: None

ID: 0959515
Sex: F
Age: 37
State: CA

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

Lab Data:

Allergies: n/a

Symptoms: red swollen arm at injection site 8 days after receiving shot

Other Meds: n/a

Current Illness: n/a

ID: 0959516
Sex: F
Age: 76
State: IN

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

Lab Data:

Allergies: No allergies to food Allergic to sulfa

Symptoms: Fever, body aches, fatigue, headaches, dizziness, Naseaua, swollen hard injection site on arm

Other Meds: Janumet Simbastatin Lisinopril Vitamin C/D combo Daily multi-vitamin Zyrtec

Current Illness: No

ID: 0959517
Sex: F
Age: 80
State: AL

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

Lab Data:

Allergies: Latex, antibiotic ointment except mupirocin, tetanus shots, dyes used for testing, wasp bee stings etc.

Symptoms: 1/19/21 chills for a few hours starting 7pm. Put on a vest, turned up the heat, took a tylenol. 1/20/21 Feel fine today except slight itching at vaccine site.

Other Meds: Benezapril, levothyroxine, metoprolol succ, 1/ 2 of triamterene hctz 75-50

Current Illness: None

ID: 0959518
Sex: F
Age: 21
State: CA

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

Lab Data:

Allergies:

Symptoms: Hives on right forearm - received Benadryl 50 mg PO

Other Meds:

Current Illness:

ID: 0959519
Sex: F
Age: 41
State: MN

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

Lab Data:

Allergies:

Symptoms: Body aches, fatigue, sore throat, malaise, chills

Other Meds:

Current Illness:

ID: 0959520
Sex: F
Age: 57
State:

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

Lab Data:

Allergies:

Symptoms: erythema, swelling, increased pain over injection site 8 days after injection with also myalgia and fatigue

Other Meds:

Current Illness:

ID: 0959521
Sex: M
Age: 50
State: CA

Vax Date: 12/21/2020
Onset Date:
Rec V Date: 01/20/2021
Hospital:

Lab Data: negative

Allergies: none

Symptoms: body aches, sore and chills

Other Meds: none

Current Illness: none

ID: 0959522
Sex: F
Age: 56
State: AL

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

Lab Data: Still monitoring at home, hoping those will go away as the time goes.

Allergies: Codine, Hydrocodone, Pyridium, Atuss-HC, Lotab,

Symptoms: From the evening of the day I have received the vaccination, my left arm started to feel dull continuous pressure pain, progressed stronger and stronger as the time goes. No treatment given. Following day, the pain was worse and stayed same. The IM insertion site was also painful to touch or pressure. Then afternoon of the same day, I started nausea, light headache, dizziness, and occasionally chills as well as occasional dry cough accompanied by itchy throat or without itchy throat. At this point, I took Advil 200mg 1 tab around 3pm. The muscle pain on my left arm and headache is eased but other symptoms stayed same at this time, 4:30pm.

Other Meds: Folic Acid 400mcg daily, Vit D3 1000 IU one every other day, Ocuvite blue light (Lutein) 25mg daily, Vitamin B complex one every other day. Proair HFA 2 puff as needed.

Current Illness: Non

ID: 0959523
Sex: F
Age: 75
State: NC

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

Lab Data:

Allergies: none

Symptoms: Jaw swelling, rash on legs and chest onset 1/15/2020

Other Meds: baby aspirin

Current Illness:

ID: 0959524
Sex: M
Age: 66
State: GA

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

Lab Data:

Allergies: Penicillin

Symptoms: Rash on stomach area, no itching associated. No treatment needed.

Other Meds: Vit D3 25 mcg

Current Illness:

ID: 0959525
Sex: F
Age: 81
State: GA

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

Lab Data: N/A

Allergies: Sulfa

Symptoms: Vomiting, drowsiness, fever, diarrhea, headache

Other Meds: metformin, escitalopram,trospium,simvastatin, gabapentin. Calcium, 81mg aspirin, womens vitamin

Current Illness: N/A

ID: 0959526
Sex: F
Age: 52
State: IL

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

Lab Data: None at this time - at home resting if worsening symptoms will go to ER

Allergies:

Symptoms: Fever of 101.5, chills, nausea, muscle/join pain and weakness, headache sore arm

Other Meds:

Current Illness:

ID: 0959527
Sex: F
Age: 36
State: CO

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

Lab Data:

Allergies: n/a

Symptoms: Swollen lymph node in right armpit - still persisting chills and joint aches day after vaccine only

Other Meds: n/a

Current Illness: n/a

ID: 0959528
Sex: F
Age: 49
State: AZ

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

Lab Data: None

Allergies: None

Symptoms: Sore arm, moderate body aches, fatigue, mild headache 14 hrs post 2nd vaccine First vaccine zero side effects except arm soreness

Other Meds: Vitamin C,D, multivitamin, atenolol 50 mg daily, fish oil, probiotics

Current Illness: 2 week prior headache and vomiting x 1 day

ID: 0959529
Sex: M
Age: 49
State: CA

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

Lab Data: N/a

Allergies: None reported

Symptoms: A few minutes after receiving the vaccine, the patient was in observation room when they began experiencing severe itching on the head and forehead. Patients skin began turning red shortly after. The patient was given 50mg of Benadryl and continued to be monitored. Pt reported around 2 PM that all itch and redness had subsided. Event was reported to Pfizer

Other Meds: None reported

Current Illness: None Reported

ID: 0959530
Sex: F
Age: 65
State: FL

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

Lab Data: none

Allergies: PCM, latex, tetracycline

Symptoms: Patient developed pink splotchy rash on hands and arms approx 15 min after injection during observation period. States rash felt "stingy" States this is a normal reaction after vaccination for her. Patient was given 50mg of Benadryl po. States she felt improvement and rash was fading after another 20 min of observation.

Other Meds: unknown

Current Illness: none

ID: 0959531
Sex: F
Age: 0
State: AZ

Vax Date: 02/14/1990
Onset Date: 01/20/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Pt presented with HA and nausea

Other Meds:

Current Illness:

ID: 0959532
Sex: F
Age: 41
State: ND

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

Lab Data: none at this time

Allergies: Crab-hives and itchy Walnuts-Headache No Known Drug allergies

Symptoms: 12/18 vaccine received in L arm at 1330. At 1900 arm was very sore to touch, and hurt to lift arm. 12/19 0300 L arm very painful to any touch woke up in pain/chills also at this time. 12/19 0700 body aches, most joints hurting quite a bit I would rate 7/10. Chills and body ache persisted throughout day on 12/19 until about 2200. 12/20 0700 Large area (approximately size of a softball) L upper arm tender to touch, reddened, hot to touch. 12/20 1530 area to L arm continues to be hot to touch and grow in size.

Other Meds: Levothyroxine, Vitamin D3, B12, Metformin, Cryselle, Tylenol, Ibuprofen, Aleve

Current Illness: none

ID: 0959533
Sex: F
Age: 47
State:

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

Lab Data: Tryptase, C3 and C4, Ch50 total Hemolytic complement- all results pending at this time

Allergies: Ibuprofen causes rash. Shellfish causes hives and angioedema. Had allergy testing done many years ago and she had a reaction that required Epi. She was supposed to have a follow-up appt, but never did. Pt states she carries an Epi with her.

Symptoms: Pt had vaccine at 1143, hives started at 1200, c/o itching throat at 1210 which progressed to difficulty swallowing. Epi given and pt transferred to ED

Other Meds: Lipitor, allegra

Current Illness:

ID: 0959534
Sex: F
Age: 35
State: VA

Vax Date: 01/07/2021
Onset Date: 01/19/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: none

Allergies: blueberry

Symptoms: urticarial rash at the R upper arm injection site almost two weeks after the administration Moderna 039K20A 80777273 10-NDC

Other Meds: sertraline 100 mg daily

Current Illness: none

ID: 0959535
Sex: F
Age: 24
State: MT

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

Lab Data:

Allergies:

Symptoms: Sore Arm

Other Meds:

Current Illness:

ID: 0959536
Sex: M
Age: 68
State: CA

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

Lab Data:

Allergies: Hay fever

Symptoms: Headache, body and joint pain, low grade fever, fatigue

Other Meds: Glucosamine/Chondroitin, Mature Multi Vitamin,, D3 125mcg, Fish oil 1400 mg, Lisinopril, Metoprolol, Alfuzosin

Current Illness: N/A

ID: 0959537
Sex: F
Age: 71
State: NM

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

Lab Data: none

Allergies: Unknown

Symptoms: Pt reported feeling some nausea approx 10 minutes post injection, along with feeling hot. Pt denies vomiting, denies shortness of breath, rash/hives, difficulty swallowing and other symptoms. Pt reports a single reaction to an antibiotic in the past, denies Hx of vaccine reactions. Pt states she feels cooler after removing two of her three long sleeve layers. Nausea treated with 8mg ODT ondansetron, with noted relief.

Other Meds: Unknown

Current Illness: Unknown

ID: 0959538
Sex: F
Age: 45
State: IN

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

Lab Data:

Allergies:

Symptoms: Muscle soreness at site, headache, severe body aches, joint pain, chills and fever up to 100.5 lasting less than 12 hours.

Other Meds:

Current Illness:

ID: 0959539
Sex: F
Age: 72
State: FL

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

Lab Data: Multiple visual tests, including visual field, visual acuity, glaucoma, and photographs of retina, optic nerve - Diagnosis: papillitis with branch retina artery occlusion Scheduled tests: MRI, carotid ultrasound, sleep study, and multiple lab tests March 2 appointment with neurologist ophthalmologist Need to know if I should get the second vaccine!!!!!!!

Allergies: Iodine

Symptoms: 4 am on Tuesday, January 19 awoke to find the top half of vision in my left eye was grayish/black

Other Meds: None

Current Illness: None

ID: 0959540
Sex: F
Age: 58
State:

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

Lab Data: none

Allergies: penicillin, morphine, keflex

Symptoms: 1:55 sitting in chair in observation area, began feeling a "burning" sensation in her arms. 2:06 moved via w/c to private observation with EMT on site in Gave patient ice packs for both arms. States that the ice reliefs to burning. attendance. HR 78; O2 97%. Unable to obtain BP due to obesity. Per exam noted on Left lower arm a solid red raised area about 3 inches in diameter about 1/8 cm height. States it burns. Has mildly red scattered hive like areas on right lower arm. 2:15 Gave patient ice packs for both arms. States that the ice reliefs to burning.. Denies any burning or swelling in throat. BBS CTA per EMT assessment. No shortness of breath note; 2:25 States she drove on her own and lives in a senior adult complex. EMT recommended ambulance for further evaluation. Patient declined. EMT instructed patient to contact medical physician or emergency if problems persist or if symptoms worsen. Patient agreed and left ambulatory to private vehicle.

Other Meds: Xyfaxin, lisinopril, pantoprazole, lactulose, fish oil, zinc

Current Illness: none

ID: 0959541
Sex: F
Age: 46
State: NM

Vax Date: 01/08/2021
Onset Date: 01/15/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: Penicillin, Sulfa antibiotics & Cephalexin

Symptoms: I developed Cellulitis in my arm which is a bacterial infection.

Other Meds: Birth Control, Multivitamin & Elderberry gummy vitamin immune booster

Current Illness: None

ID: 0959542
Sex: F
Age: 45
State: NY

Vax Date: 01/11/2021
Onset Date: 01/17/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: amoxicillin

Symptoms: Covid vaccine - unknown lot number. Pt developed lower extremity hives approximately 1 week after vaccination.

Other Meds: Lexapro, Naltrexone, Valium

Current Illness: None

ID: 0959543
Sex: F
Age: 62
State: WA

Vax Date: 01/07/2021
Onset Date: 01/13/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 6 days post injection red welt , itching at injection site lasting 3 days

Other Meds:

Current Illness:

ID: 0959544
Sex: M
Age: 53
State: OK

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

Lab Data:

Allergies:

Symptoms: Administration error: Client received 1st dose on 12/29/2020 and re-scheduled his booster appointment too early and clerical and nurse administering vaccination did not verify 1st dose date and patient received the booster 6 days early based on the 28 day in interval. Patient waited his designated 15 minutes and had no severe or adverse reaction. The charge nurse from our office has called the client to check on patient and no answer so has left message. I called Moderna helpline and they said that it might increase patients side effects and that he would not need to take another booster or start the series over again.

Other Meds:

Current Illness:

ID: 0959545
Sex: F
Age: 48
State: NC

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

Lab Data:

Allergies: Neurontin

Symptoms: Extreme Headache, Pain all over my body, general sick feeling, watery red itchy eyes, low grade fever and chills all over my body especially the head, extreme weakness. It lasted for 2 days.

Other Meds:

Current Illness:

ID: 0959546
Sex: F
Age: 38
State: WA

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

Lab Data:

Allergies: sulfa

Symptoms: 18 minutes after shot patient reported itchy throat similar to what she gets with bee stings. Gave Benadryl 50mg. BP 115/90 HR 102 Pulse ox 98%. Patients provider was in house and came and assessed her. At 11:28 she recommended a second dose of Benadryl 50mg which was given. Patient much improved. MD will follow up, second shot not recommended by provider at this time.

Other Meds:

Current Illness:

ID: 0959547
Sex: M
Age: 69
State: AZ

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

Lab Data:

Allergies: sulfa

Symptoms: Metallic taste in mouth, then itch palate, then hives of palate per nurse at testing site.

Other Meds: atorvastatin ASA Vit C AREDs 2 CoQ 10

Current Illness:

ID: 0959548
Sex: M
Age: 68
State: KY

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

Lab Data:

Allergies:

Symptoms: fever and chills

Other Meds: tylenol,

Current Illness: AFIB diabetes

ID: 0959549
Sex: F
Age: 58
State: MO

Vax Date: 01/02/2021
Onset Date: 01/13/2021
Rec V Date: 01/20/2021
Hospital: Y

Lab Data: EKG Lab tests X-ray

Allergies: None

Symptoms: 1/4/21- Patient stated she had tenderness on the back of her left lower leg with redness then 1/8/21 started to have shortness of breath and made a doctor's appointment for 1/13/21. Seen by provider on 1/13/21 and was sent to ED and admitted to the hospital [ICU] with NSTEMI, acute deep, occlusive venous thrombosis left femoral vein and saddle embolus of pulmonary artery. Transferred to another acute care hospital for removal of thrombosis. Patient started on Eliqus and no intervention for removal of the thrombosis.

Other Meds: Eliques; Cholecaleiferol; Ascorbic Acid; Calcium-Carbonate-Vitamin D; Coenzyme Q10; Ferrous Sulfate; Lisinopril; Magnesium Oxide; OxyCodone-Acetaminophen; Pantoprazole EC; Simvastatin; Vilazodone

Current Illness: Hip surgery 10/20

ID: 0959550
Sex: F
Age: 96
State: NJ

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

Lab Data: NA

Allergies: Penicillins, codeine, cephalexin

Symptoms: Extreme fatigue (difficulty standing); confusion, aches, nightmares, lasting about 24 hours

Other Meds: Atorvastatin, Digoxin, Eliquis, Furosemide, Ramipril, Spironolactone, Vitamin D, Perservision AREDs, Vitamin B6, Vitamin B12

Current Illness: None

ID: 0959551
Sex: M
Age: 56
State: NJ

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

Lab Data:

Allergies:

Symptoms: No adverse event - This was an administration error and I am reporting through VAERS per the instruction within the Moderna COVID Vaccine EUA Fact Sheet for Healthcare Providers. The patient received this vaccine (Moderna 100 mcg/0.5 mL) as the second dose in their series in error. They should have received the Pfizer COVID vaccine. The vaccinator had inadvertently taken a vaccine that was prepared for another patient from a different vaccinator's work-station and did not realize the error until after they had administered the dose. The patient thus received a Pfizer 1st dose, with a Moderna 2nd dose. The patient was observed following the injection as they would have been otherwise, and no additional action was taken or subsequent doses scheduled based on the CDC recommendations RE: Interchangeability

Other Meds:

Current Illness:

ID: 0959552
Sex: F
Age: 90
State: MN

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

Lab Data: U/A

Allergies: Codeine Hydrocodone Oxycodone Tramadol

Symptoms: Client had emesis x2 and multiple episodes of diarrhea. Client seen in ER and received bag of Nacl and ABX d/t ER staff finding a UTI while client was in the ER.

Other Meds: Aspirin 81mg take 1 tab po QD Azo Cranberry plus Vit C 250-60mg take 1 cap po QD Preservision AREDS take 1 tab po BID Tylenol 325mg take 2 tab po BID Vit B-12 500mcg take 1 tab po QD Vitamin B9 0.4mg take 1 tab po QD Vitamin C 500mg take 1

Current Illness: N/A

ID: 0959553
Sex: F
Age: 71
State: GA

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

Lab Data: None

Allergies: Tylenol, penicillin

Symptoms: Moderna COVID-19 VaccineEUA Jan 17: 24 hrs after injection, symptoms included: slight headache, nausea, slight chest tightness. Jan 18: Chest tightness remains and needed inhaler Jan 19 : chest tightness worse and needed nebulizer with Albuterol Sulfate. Jan. 20: same symptoms. Airways feel inflamed. I have intermittent flare up of ?reactive airways,? with the last one October 2020.

Other Meds: Amlodipine 5mg, Vitamin D3, mcg

Current Illness:

ID: 0959554
Sex: F
Age: 61
State: WI

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

Lab Data:

Allergies:

Symptoms: Swelling of lips and tip of tongue

Other Meds:

Current Illness: None

ID: 0959555
Sex: F
Age: 70
State: CO

Vax Date: 01/09/2021
Onset Date: 01/16/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: None

Allergies: Sensitivity to onions and doxycycline

Symptoms: 8 days after injection developed 2 inc diameter raised bump as in dome like. Kept spreading every 12 hours an inch. At 7x5" it started to loose bright red, itchiness and heat with help of oral antihistamine and hydrocortisone creme. RN stated not uncommon and report to this site.

Other Meds: Botox 34 units 4x a year around eyes for blepharospazm Preservation Fish oils omega Probiotics

Current Illness: Zero

ID: 0959556
Sex: F
Age: 33
State: CA

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

Lab Data:

Allergies: Doxycycline, seafood

Symptoms: Client states chest tightness and throat tightness after vaccination was given. Vaccine administered in LA, but RA experienced soreness. Vitals taken (118/74. 99% O2, 80bpm) at 1315. Client able to verbalize that she feeling better & is able to eat and drink with no difficulties.

Other Meds:

Current Illness:

ID: 0959557
Sex: F
Age: 39
State: MO

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

Lab Data: NA

Allergies: Contrast Dye Cipro Clindamycin Keflex

Symptoms: Patient complained of itching and hands were red. Benadryl 25 mg po given and patient took her daily prednisone dose. After 30 minutes itching resolved.

Other Meds: Prednisone 10 mg daily xarelto

Current Illness: RA and SLE

ID: 0959558
Sex: F
Age: 42
State: CA

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

Lab Data:

Allergies:

Symptoms: Fever, chills, body aches

Other Meds:

Current Illness:

ID: 0959559
Sex: M
Age: 36
State: MT

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

Lab Data:

Allergies:

Symptoms: Joint Pain, Fatigue

Other Meds:

Current Illness:

ID: 0959560
Sex: M
Age: 37
State: CA

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

Lab Data: none

Allergies: none

Symptoms: Chills, body aches, vertigo, head ache, low grade fever.

Other Meds: none

Current Illness: none

ID: 0959561
Sex: F
Age: 68
State: GA

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

Lab Data:

Allergies: codeine, morphine

Symptoms: No symptoms until day 8, when my arm starting itching and I noticed a lump and a rash--reactive area around 3 inches wide. On day 9, rash is worse and the reactive area is around 5 inches in size.

Other Meds: levothyroxine, vitamin c, vitamin D, biotin, elderberry/zinc

Current Illness:

ID: 0959562
Sex: M
Age: 35
State:

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

Lab Data:

Allergies:

Symptoms: chills and shortness of breath. onset the day after vaccination.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm