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: 0960541
Sex: F
Age: 43
State: WA

Vax Date: 01/09/2021
Onset Date: 01/16/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: N/A

Symptoms: Rash spreading down left arm at site of injection.

Other Meds: Amlodipine

Current Illness: N/A

ID: 0960542
Sex: F
Age: 25
State: IN

Vax Date: 01/16/2021
Onset Date: 01/16/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: Doctor was seen on 01/20/2021, but no tests were run.

Allergies: NKA

Symptoms: Severe pain in left shoulder joint that lasted many days after vaccine (pain has eased, but has not stopped since). Treatment was acetaminophen 1000 mg every 6 hours as needed.

Other Meds: Lamotrigine, Lithium ER, Oxcarbazepine, Gabapentin, Charlotte 24 Fe

Current Illness: GI tract infection that lasted around 24 hours about 3 days prior to vaccination

ID: 0960543
Sex: F
Age: 29
State:

Vax Date: 01/13/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: cefaclor

Symptoms: arm soreness starting day of and persisting for two days after the vaccination, erythematous rash on deltoid just now starting 7 days after injection

Other Meds: none

Current Illness: none

ID: 0960544
Sex: F
Age: 33
State:

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: Sulfa, nickel, gluten

Symptoms: After 15 minutes: Tingling lips, flushed face and neck, elevated heart rate, swollen fingers After 30 minutes: jaw tightness on left side. Administered dramamine after 20 minutes. Symptoms mostly subsided after 45 minutes. Released from observation after 2 hours.

Other Meds: Topamax, imitrex, levo thyroxine, zoloft, probiotics, omega, phenergan, botox, selenium, magnesium

Current Illness:

ID: 0960545
Sex: F
Age: 26
State: CO

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Numbness and tingling of bilateral feet and lower legs started about 30 minutes after receiving vaccine. Numbness and tingling has been continuous for 30 hours and counting. Was told by nurse practitioner that this could be the start of Guillain-Barr? syndrome.

Other Meds: None

Current Illness: None

ID: 0960546
Sex: F
Age: 27
State: ME

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

Lab Data:

Allergies: Peanut Allergy: Causes wheezing, chest tightness, hives approximately 15 hours after consumption

Symptoms: Mild headache, mild dizziness, fatigue, moderate joint and muscle pain mainly in neck, shoulders, upper extremities. Currently managing with rest and did not seek medical care.

Other Meds: None

Current Illness: None

ID: 0960547
Sex: F
Age: 41
State: WA

Vax Date: 01/12/2021
Onset Date: 01/19/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: N/a. I?ll make an appointment with my PCP.

Allergies: Sulfa drugs

Symptoms: Injection day slightly sore as expected. Soreness at injection site for 2 days; mild. Day 7 after injection , started experiencing intense itching at injection site, as well as red flat rash and swelling. New tenderness where swelling is occurring. Day 8 after injection, itching, swelling & tenderness are worsening.

Other Meds: Citalopram

Current Illness: None

ID: 0960548
Sex: F
Age: 26
State: MI

Vax Date: 01/12/2021
Onset Date: 01/19/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: Allergies to cats, dogs, dust, horses, seasonal allergies

Symptoms: Redness, swelling, warm to touch, itching x2 days. Worse on second day with increased redness to area.

Other Meds: Birth control Sprintec Spironolactone

Current Illness: NA

ID: 0960549
Sex: F
Age: 38
State: CA

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

Lab Data:

Allergies:

Symptoms: Chills, muscle soreness, elevated heart rate

Other Meds:

Current Illness:

ID: 0960550
Sex: F
Age: 66
State: OR

Vax Date: 12/28/2020
Onset Date: 01/13/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Rash at injection site the showed up 10 days after injection, not getting better and it is spreading.

Other Meds:

Current Illness:

ID: 0960551
Sex: F
Age: 46
State: AZ

Vax Date: 01/17/2021
Onset Date: 01/17/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Nausea, headache, armpit pain, muscle pain, injection site pain, tiredness

Other Meds: Wellbutrin, Benadryl

Current Illness: None

Date Died: 01/18/2021

ID: 0960552
Sex: F
Age: 78
State:

Vax Date: 01/18/2021
Onset Date: 01/18/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: No known Allergies

Symptoms: At approximately 930am I arrived at Memory Care. I met with the director of the facility and she directed me to where my team would be setting up. My team consisted of (technician), (nurse) and I. As we were setting up, the director asked how she can help. I explained to her that we would need a designated area for patients to be monitored after vaccination for 15 minutes and maybe even longer . I also explained that we would need one of her staff monitoring while we vaccinate. She agreed, and proceeded to designate her staff and the cafeteria area, facing the vaccination station,the monitoring station. Throughout the day, nurse and I were both vaccinating,while the staff of the facility would monitor the vaccinated patients. I would also stop occasionally to mix the vaccine and check the temperature of the aero safe. At approximately 12:50pm, the director rushed in and stated that a patient is not responding, and that she had been vaccinated. At that point, I grabbed epipens and a thermometer and I also instructed nurse to grab an Epipen and come with me. We followed the director to pt's room. Once we got to the room, the patient was in bed and there were 4 staff members standing bedside and one of them turned and stated the patient has passed. At that point I asked the staff how long ago did the patient get the vaccine, they stated about 30 minutes ago. They also stated that the patient was a hospice patient and that the patient had declined, and was rapidly detiorating and had not eaten or drank anything all day . They also stated that the patient had been monitored for 15 minutes post vaccination. I then left the room and grabbed the patients COVID Vaccine intake consent form. I looked at the answered questionaire and all the responses were circled NO. Patient had a temp of 96.5 at the time of vaccination.The vaccine administration information for Immunizer Section was filled out by Nurse. I then proceeded to ask the director once again if there were staff that was monitoring her for 15 minutes, the director stated they had staff monitoring her. She also stated the Hospice nurse has to announce her death, so they waited for the Hospice Nurse to come. I then called Corporate and explained the situation. After speaking to corporate, I also asked nurse, if she remembered the patient. She stated that she did and at the time of the vaccination the patient was not alert, there were two staff members with the patient. She was non oriented and she kept closing her eyes. At that point, Nurse stated that she asked the two staff members with her if this is how she usually is and if its ok to vaccinate her. Both Staff members stated that it its ok,this is how she is. The Nurse then proceeded to vaccinate. At approximately 3:10pm, as I was leaving I spoke to the director, and one of her Staff members. Staff that the patient has actually not eaten/ or drank anything for the past several days, including today(01/18/21). Staff also stated that on Friday, Jan 15th,2021, they had informed the family that the patient was rapidly detiorating. Staff also stated that the family knowingly gave the consent to vaccinate her. She also stated that the hospice Nurse believes that the death was primarily caused by her detiorating state. She also stated that the hospice Nurse informed that the death was not due to the Vaccine. Per Lead Pharmacist at the clinic.

Other Meds: Unknown

Current Illness: Patient was a hospice patient who was not doing well for several days per nurse. Patient had not eaten or consumed liquids in a few days.

ID: 0960553
Sex: F
Age: 24
State: CA

Vax Date: 01/14/2021
Onset Date: 01/16/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: 1/18/21- Covid-19 rapid test negative 1/19/21- Strep Test -A negative. Poss Strep B Tonsils are covered in puss filled infection spots.

Allergies: None

Symptoms: 1/14/21-Vaccinne 1/16/21- broke out in small bumps that are very itchy everywhere. Like hives, but not blotchy. Like goosebumps everywhere. A bumpy itchy rash. 1/18/21- headache and sore throat 1/18/21- went to after hours clinic for Covid/29 test. Negative 1/19/21- went to after hours clinic for sore throat. Possibly Strep B. But definitely Strep. Started antibiotics.

Other Meds: None

Current Illness: None

ID: 0960554
Sex: F
Age: 49
State: MI

Vax Date: 01/18/2021
Onset Date: 01/18/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: violent shivering for 6 hours; muscle aches for 24 hours; headache

Other Meds: iron, hydrochlorothiazide, multivitamin

Current Illness: none

ID: 0960555
Sex: F
Age: 66
State: NY

Vax Date: 01/13/2021
Onset Date: 01/15/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: It was a holiday week end I just treated with warm soaks and Tylenol , called oncologist 1/19/2021 and they requested I report to you .

Allergies: Avelox, Augmentin

Symptoms: I am an RN at this hospital, I received second injection 1/13/2021. On 1/15/2020 felt sick enough to just lay down all day, then left arm below injection site became moderately swollen, itchy and inflamed. This has lasted until today 1/20/2021 swelling, inflammation and itching has subsided 50 %. It was most of my upper arm an extensive area.

Other Meds: Levothyroxine, Advair , Prilosec , acetaminophen prn

Current Illness: Asthma, CLL untreated

ID: 0960556
Sex: F
Age: 29
State: OR

Vax Date: 01/05/2021
Onset Date: 01/12/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: developed left arm rash and celluitis 1/12/21, on antibiotics. On 1/15, extreme malaise, headaches, hot/cold flashes, head fog.

Other Meds:

Current Illness:

ID: 0960557
Sex: F
Age: 20
State: SD

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

Lab Data: Given 2 L fluid bolus, IV steroids, IV cardiac medications to stabilize condition, antipyretics and anti inflammatory. Electrocardiography done. Urine analysis done. Covid test done?negative results. Labs drawn: CBC, CMP, blood cultures.

Allergies: Metoclopramide?tardive dyskinesia

Symptoms: Extreme headache, fever of 102-103 degrees farenheight, dizziness, syncopal episode at work, transferred to ER, heart rate 160s-180s, hypertensive emergency blood pressures 160s/90s. Today 1/20/2021 approx 1700.

Other Meds: Metoprolol, sertraline, omeprazole, nortriptyline. Been taking these medications for 4-6 years, no problems.

Current Illness: None

ID: 0960558
Sex: F
Age: 34
State: OR

Vax Date: 01/05/2021
Onset Date: 01/12/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Symptom onset 1/12 itchy, 1/13 arm is swollen, painful and red, hard, hot to touch 1/14- was given abx for site infection

Other Meds:

Current Illness:

ID: 0960559
Sex: M
Age: 48
State: CA

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Fever Chills Malaise Headache Tiredness Muscle aches

Other Meds: Vitamin D Zinc Quercetin Melatonin Baby aspirin Calcium Vitamin C Acetaminophen

Current Illness: None

ID: 0960560
Sex: F
Age: 37
State: CA

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

Lab Data: B/P 1126/82 , pulse 104 with 98% saturation, sinus tachycardia on rhythm strip pulse 104. 118/81 befoe released at 4:00pm

Allergies: none

Symptoms: Began to experience an itching sensation in the throat almost immediately after receiving the vaccination. She was evaluated, subsequently given 50 mg diphenhydramine IM and improved over the course of an hour and 15 minutes. She was released to husband's care and was to follow up at ER if any worsening and was recommended to establish with primary care individual.

Other Meds: None

Current Illness: None

ID: 0960561
Sex: F
Age: 98
State: CA

Vax Date: 01/07/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: NKDA NKA

Symptoms: No actual adverse event. Vaccine was given IM in right buttock due to patients emaciated build with minimal muscle mass of deltoids in which IM to right buttock was given to ensure absorption. No rash, no allergic reaction, no skin changes. No observed or subjective adverse reaction. Asked to report on VAERS due to atypical injection site. Documented appropriately on both card,consent/screening form, and medical record at the skilled nursing facility.

Other Meds:

Current Illness:

ID: 0960562
Sex: F
Age: 32
State: CT

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: none

Allergies: lactose intolerant

Symptoms: Pfizer-BioNTech COVID-19 Vaccine: I had painful axillary lymphadenopathy, chills, fever over 102.5, piercing headache, dizziness and vertigo with change in position, severe fatigue, sore throat, generalized muscle aches the following day (1/20) after I received the vaccine. It took hours just to get out of bed this morning, I felt so unwell. I took 1000 mg of tylenol before bed on the day I received the vaccine (1/19), but I still woke up with fever. I continued to take 1000 mg throughout the day every 6 hours, which did help. Most symptoms resolved by 1/21 but I continue with fatigue and painful left axillary lymphadenopathy. The node is still really swollen and tender.

Other Meds: multivitamin, vitamin d, Lexapro

Current Illness: none

ID: 0960563
Sex: F
Age: 32
State: CA

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: Approximately 16 hours after the vaccination my right arm turn cyanotic and cold with delayed cap refill followed by extreme pain on movement and touch. Cyanosis resolved in a few hours, extreme pain on movement and touch resolved 24 hours after the initial onset.

Other Meds: N/A

Current Illness: N/A

ID: 0960564
Sex: F
Age: 84
State: WA

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: None.

Allergies: Morphine sulphate, novacaine

Symptoms: Initially, the first night, my feet felt extreme cold. All over soreness the night of the shot and all the next day and evening. Headache the night of the shot and all the next day and evening. Aspirin does not touch it. Ear ringing, still. Left calf pain and shooting pain into my left foot. Needless to say, all the above seemingly getting worse into evening of the 2nd day.

Other Meds: Esomeprazole Magnesium 40mg, Telmisartan/Hydrochlorothiazide 12.5mg,

Current Illness: None

ID: 0960565
Sex: F
Age: 24
State: OR

Vax Date: 01/03/2021
Onset Date: 01/14/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Few days after vaccine, developed bug-bite like in legs and rash sprea onto both legs. Injection site in left arm has triangle shape rash. Went to Urgent care 1/15 and diagnosed with Purpura.

Other Meds:

Current Illness:

ID: 0960566
Sex: F
Age: 32
State: CA

Vax Date: 01/11/2021
Onset Date: 01/16/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: n/a

Allergies: rash allergy in reaction to sulfa, mild dairy intolerance

Symptoms: I experienced mild soreness the evening of the shot and the following day, which resolved by 1/14. Mild fatigue was persistent since Tuesday 1/12. I started experiencing mild swelling and tenderness in my L armpit/breast, with mild pain during movement and compression. Yesterday (1/18), the injection site became slightly raised, blotchy, and very itchy. I woke up this morning feeling like I had a cold, with joint soreness and a mild itchy rash around my ankles, in addition to fatigue and warmth/itchiness around the injection site

Other Meds: ibuprofen, 500 mg

Current Illness: n/a

ID: 0960567
Sex: F
Age: 72
State: FL

Vax Date: 01/07/2021
Onset Date: 01/21/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: sulfa, penicillin

Symptoms: Today noticed site of injection intramuscular left arm was sore, so inspected more and saw it hard swollen at site, hot to touch, bright pink in color and the tattoo in that area the black lines of the tattoo are raised, the skin and underlying tissue feels odd - kind of tiny lumpy or "textured", not normal. I just noticed it tonight but don't know how long it has been this way, didn't notice until my shirt seemed to irritate it so I noticed. Treatment: none at this time. Odd so far after the injection. I have not seen my doctor since the reaction is very local to the site and no other symptoms.

Other Meds: Diphenhydramine HCI 25mg

Current Illness:

ID: 0960568
Sex: F
Age: 37
State: NY

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

Lab Data:

Allergies: none

Symptoms: Redness and Swelling appeared 8 days after injection

Other Meds: none

Current Illness: none

ID: 0960569
Sex: M
Age: 38
State: KS

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

Lab Data: I notified a Doc on 13 JAN via text. He essentially stated I should see how it is the next day. On Friday, 15 JAN, I had a telephonic doctor's appointment. I notified the Health Clinic Doc of what happened. She stated this was an adverse reaction and not to drive and ordered me to the ER. I reported to the hospital and was given blood, urine, EKG, and head CT scan. ER doc stated nothing looked abnormal. That is all I was told.

Allergies: Sulfa

Symptoms: About one hour after shot, I fainted while going up stairs to go to work. I woke up on stairs. No head injury. This was around 1200pm on 12 JAN. I began to feel ill. Arm hurt, headache, weight on chest. Body hurt. I went to bed early. I woke up on 13 JAN and felt worse. I stayed in bed until around 1300. I got up and went and sat in my office to work. At around 1700, I went to go get my children from a neighbors yard to bring them for supper. I made it to my back yard before feeling to tired to continue. I went inside and laid down. At around 1900 or 1930, I was putting my kids to bed. I then fainted once more. I don't know how long I was out each time. I don't think I hit anything with my head. I got up and went to my bed and texted a Doc.

Other Meds: None

Current Illness: None

ID: 0960570
Sex: F
Age: 30
State: WA

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

Lab Data:

Allergies: None

Symptoms: High grade fever of 101.9F elevating to 103.1F Hasn?t broken after 1000mg of acetaminophen 1 hour later This is occurring roughly 16 hours after 2nd dose

Other Meds: None

Current Illness: None

ID: 0960571
Sex: M
Age: 33
State: NY

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: none

Allergies: None

Symptoms: fever of 101F, chills, headache

Other Meds: None

Current Illness: None

ID: 0960572
Sex: F
Age: 37
State: CA

Vax Date: 01/13/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 3 -4 inch raised red rash on left arm, around injection site. Occurred a week after getting vaccinated.

Other Meds:

Current Illness:

ID: 0960573
Sex: F
Age: 25
State: CA

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

Lab Data:

Allergies: Penicilin, sulfates

Symptoms: After one week of getting the first dose I started getting a little bump/rash on my right arm which is where the vaccine was given

Other Meds: Yes, dietary supplements

Current Illness:

ID: 0960574
Sex: F
Age: 30
State: CA

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

Lab Data:

Allergies: Penicillin

Symptoms: Hives on stomach

Other Meds: Took levothyroxine at 0530

Current Illness: None

ID: 0960575
Sex: M
Age: 43
State: ID

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

Lab Data:

Allergies: Nkda

Symptoms: Continued left arm injection site pain, left sided neck neuropathy, and feeling of very mild ache to the anterior throat (feeling of swelling) but not having short of breath or trouble talking.

Other Meds: Decadron and florinef acetate both at bedtime

Current Illness: None

ID: 0960576
Sex: F
Age: 75
State: NV

Vax Date: 01/01/2021
Onset Date: 01/19/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: Benadryl50 mg BID, Prednisone 10 mg TID, Xyzal BID, famotidine 40 mg BID

Allergies: PCN, sulfa, Keflex, amoxicillin, melons, cats, sage brush, tomatoes Immunologist stated perhaps Glycol, cobalt chromium TKR- replaced

Symptoms: 5 min post injection angioedema s begin; flushing, flushing to genital area, progressed to GI, throat, HA, B/P170 (never this high); eyesight blurred. Systemic w/o urticaria

Other Meds: Xyzal

Current Illness: None

ID: 0960577
Sex: F
Age: 28
State: IL

Vax Date: 01/12/2021
Onset Date: 01/19/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: Adhesive tape, dust, grass

Symptoms: Patient received vaccine dose #1 Moderna (Lot #011L20A) on 1/12. Pt had no noticeable reaction until 1/20 when she developed a raised injection site with pain, redness, warmth, swelling, and itching. Pt went to a Urgent care at this time and was told to monitor symptoms. Symptoms got worse over the following 24 hours - Swelling and redness expanded down patients arm of injection site. Pt presented to ED for evaluation.

Other Meds: Pt regularly takes Synthroid, Ocella, Multi vitamin

Current Illness: None

ID: 0960578
Sex: F
Age: 36
State:

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: None

Allergies: Macrobid, Minocycline, Proton Pump Inhibitors (PPIs)

Symptoms: Soreness at injection site: 48 hour duration Headache: 24 hour duration Body Aches: 24 hour duration Slight Temperature Increase (99.6 F): 24 hour duration Fatigue: 24 hour duration

Other Meds: Cetirizine (10 mg oral tab), Fluticasone Propionate (Nasal Spray USP)

Current Illness: None

ID: 0960579
Sex: F
Age: 51
State: TX

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

Lab Data: None

Allergies: Seafood, iodine, morphine

Symptoms: Vomiting, fever,severe bone pain

Other Meds: Gabapentin, tylenol,amlodipine

Current Illness: None

ID: 0960580
Sex: M
Age: 71
State: NV

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

Lab Data:

Allergies:

Symptoms: Ventricular tachycardia resulting in cardiac arrest

Other Meds:

Current Illness:

ID: 0960581
Sex: F
Age: 69
State: OR

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

Lab Data: observation alone, no recurrence of symptoms. Pt refused Tryptase blood test recommended

Allergies:

Symptoms: given at other location, pt developed cough (she believes same as chronic, same as earlier in the day) and subjective swelling/pain of tongue (which she has had before x1 a week ago unrelated to immunizations) so treated by providers at site of immunization with IM Benadryl 50 mg and 0.3mg IM epinephrine 911 called to bring her to my ED for evaluation as suspected allergic reaction. symptoms resolved by the time EMS evaluated and no symptoms in my ER.

Other Meds:

Current Illness:

ID: 0960582
Sex: M
Age: 38
State: MN

Vax Date: 12/30/2020
Onset Date: 01/01/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: Bee pollen

Symptoms: Erectile dysfunction since receiving vaccine (NO prior issues with this)

Other Meds: Prevagen, Vitamin D, Magnesium citrate, Aleve

Current Illness: COVID long-hauler syndrome (brain fog, fatigue)

ID: 0960583
Sex: F
Age: 84
State: CA

Vax Date: 01/16/2021
Onset Date: 01/19/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: None

Allergies: All Beta Blockers, Anti Arrhythmias meds, Cortisone of any kind, Sulfites, Sulfates, Gabapentin, Morphine,

Symptoms: Day 3: Upset stomach, cramps, nausea, terrible headaches; Took Tylenol for headaches, didn?t help; lasting 3 days so far. Resting and praying symptoms will subside as I have had some flu symptoms with ?Flu vaccine for over Age 65 patients previously, but never the Headaches before! Did not notify Doctor For the first 4 days.

Other Meds: Levothyroxin 75mcg, Spironolactone 25Mg, Dilaudid 4Mg, Magnesium, Curcumin, Co-Q 10, Fish Oil, Aspirin 81Mg

Current Illness: COPD, CONGESTIVE HEART FAILURE, RENAL INSUFFICIENCY,

ID: 0960584
Sex: M
Age: 66
State: NY

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: Sulfa drugs

Symptoms: Sore arm- hurting more as time passes Fever 100 on 2nd night none first night Joints hurting goes with the fever Muscle pain slight

Other Meds: Multi vitamin glucosamine chondroitin saw palmetto coQ10

Current Illness: None

ID: 0960585
Sex: M
Age: 65
State: CA

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

Lab Data: None

Allergies: None

Symptoms: Mild nausea beginning 15 minutes after injection and lasting around an hour, some fatigue a few hours later, and mild headache intermittently in first five hours

Other Meds: mirzatapine, sertraline, finasteride, metformin, Flom ax, atorvastatin

Current Illness: None

ID: 0960586
Sex: F
Age: 40
State: OR

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

Lab Data: None

Allergies: Penicillin

Symptoms: Rash, hives, itching, tingly lips, heat, nausea. Benadryl and claritin. Hives and tingly lips went down after 1hr. Itching lasted 5 days.

Other Meds: Daily multivitamin, vitamin D/B/C, glucosamine/chondroitin

Current Illness: Cough

ID: 0960587
Sex: M
Age: 21
State: OH

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

Lab Data: None

Allergies: None known

Symptoms: W/i and hour of injection: Injection site soreness 10 hours post injection: chills, joint aches 15 hours post injection: headache, 101.4 degrees F fever

Other Meds: None

Current Illness: None

ID: 0960588
Sex: M
Age: 40
State: WA

Vax Date: 01/03/2021
Onset Date: 01/10/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: Not really

Allergies: Peatnutes

Symptoms: Left axillary lymph node keeps swelling several days after the vaccination. And connected lymphatic vessels are also swelling. I was wondering if I would avoid the second shot when the lymph node still swells.

Other Meds: No

Current Illness: atopic dermatitis

ID: 0960589
Sex: F
Age: 63
State: MI

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: ---

Allergies: Latex, talc, sulfa meds, PCN, erythromycin.

Symptoms: Chills-blankets and heater. 5 hours Headache-slept, 8 + hours fatigue-slept and felt run down 2 days

Other Meds: Atenolol, Losartan, Synthroid, Claritin, vit D, Vit B12

Current Illness: none

ID: 0960590
Sex: F
Age: 38
State: NJ

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

Lab Data:

Allergies: Cipro Pistachios

Symptoms: 3:00 am fever 102 Diarrhea Headache Body aches Tachycardia- 140

Other Meds: Klonopin Metoprolol Lexapro

Current Illness: Uti

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm