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: 0964106
Sex: F
Age: 45
State: IN

Vax Date: 01/18/2021
Onset Date: 01/19/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: None

Allergies: No known allergies

Symptoms: Muscle cramps, fever, nausea, chills, headache , Pain in armpit Treated with Tylenol, ibuprofen , and mucinex cold and flu

Other Meds: Zoloft, prenatal vitamin, simvastatin, Norgest /ethi, phentermine

Current Illness: None

ID: 0964107
Sex: F
Age: 49
State: NV

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

Lab Data: None My pulse ox sho currently is 94% he 110-112 laying in bed... I took 38 steps and my he is 125 pulse ox 97%

Allergies: Sulfa Shellfish (delayed reaction hours later mouth and tinge swelling

Symptoms: Within about 15 min my heart rate started going up.. it has been running 120-130 since I got it. I feel short of breath. I have pounding in my chest. I got dizzy after a bath and almost fell. I am very well hydrated I have drank at least 2 liters of water. I can?t get rid of my headache or body aches. I have taking ibuprofen , Pepcid , zomig for my headache which didn?t help , 600 mg of gabapentin, 20 of prednisone .. I feel like I can?t get enough air.

Other Meds: Ibuprofen Ciprofloxacin (UTI)

Current Illness: UTI

ID: 0964108
Sex: F
Age: 35
State: CA

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

Lab Data: None.

Allergies: None Known

Symptoms: Extreme shoulder pain in and around injection site, nausea, vomiting, body aches, fever, chills, headache. Felt as though nurse either struck the bone or I could go into anaphylaxis at time of injection. Began flu like symptoms approximately 2 hours after injection. Heavy (almost drove myself to the hospital) began 18 hours after injection. Ended approximately 35 hours later.

Other Meds: Birth control, Liposomal Vitamin C

Current Illness: N/A

ID: 0964109
Sex: F
Age: 47
State: CA

Vax Date: 01/11/2021
Onset Date: 01/20/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: On January 20th my left deltoid had a well-defined red, hot horseshoe-shaped area (seemed to follow the outline of my deltoid) that was very warm to touch and also very itchy.

Other Meds: Metformin Citri-cal Berberine Prozac Magnesium Fenofibrate Vitamin C

Current Illness: None

ID: 0964110
Sex: F
Age: 31
State: PA

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: no known allergies

Symptoms: induration to injection site approximately 2 cm x 2 cm; with blanchable erythema; no heat no fluctuance no streaking; skin intact

Other Meds: (OVCON) 0.4-35 MG-MCG

Current Illness: "possibe ear infection" AMB video visit; Dr.; prescribed Augmentin BID 10 days

ID: 0964111
Sex: F
Age: 68
State: AK

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

Lab Data: None--I haven't sought medical attention.

Allergies: Penicillin

Symptoms: On the 20th of January, eight days after I received the vaccine, the site of the injection became itchy, it developed into a large (2 inches in diameter) welt. It is warm and swollen. I just noted it yesterday, today it is still red, swollen and itchy.

Other Meds: Synthroid, Adderall, multivitamin, Lisiniphril

Current Illness: None

ID: 0964112
Sex: F
Age: 36
State: UT

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

Lab Data: The nurse in the observation area of the vaccination site checked my blood pressure after I started experiencing tingling/slight numbness in the arm, and it was normal.

Allergies: None that I am aware of

Symptoms: I received the Covid-19 vaccine on 01/20/2021 and had tingling/slight numbness in my left arm (injection arm). Later in the evening I had the same feeling in my left leg and in my cheeks, lips, tongue and teeth. I felt like I had been numbed at the dentist, but was coming out of the numbness. It was like when the numbness is mostly gone and you're left with that tingling sensation, and your face feels puffy. It was basically that feeling in my face, left leg, and left arm. Those sensations are mostly gone today (the second day following), but not quite.

Other Meds: None

Current Illness: I had mild head cold symptoms the first week of January 2021. I did NOT get tested for Covid-19 or any other infections.

ID: 0964113
Sex: M
Age: 38
State: KS

Vax Date: 01/15/2021
Onset Date: 01/16/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: fever to 105 degrees, chills, muscle pain, nausea, vomiting. Took 1000mg Tylenol. Within 6 hours symptoms. were gone. States he felt good the next day, and back to work fine the following day.

Other Meds: unknown

Current Illness: none

ID: 0964114
Sex: F
Age: 36
State: VA

Vax Date: 01/12/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: n/a

Allergies: peanuts, mushrooms, shellfish

Symptoms: 9 Days after the vaccine I developed edema, heat, rash, itching and pain radiating down the arm I received the injection in. Rash is painful, spreading.

Other Meds: zyrtec, oral birth control, lexapro, adderall

Current Illness: none

ID: 0964115
Sex: F
Age: 57
State: KS

Vax Date: 01/15/2021
Onset Date: 01/16/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: none

Allergies: unknown

Symptoms: awakened with swollen lymph nodes lt. axilla extending to lt. breast. reported a large lump in her armpit. States had a mild headache relieved by Tylenol. States had some chills intermittent for 24 hrs, no fever. Swollen lymph nodes resolved within 48 hrs. no treatment needed.

Other Meds: unknown

Current Illness: none

ID: 0964116
Sex: F
Age: 63
State: AZ

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Diarrhea, nausea, abdominal discomfort, injection sight was very sore. Anti- diarrhea over the count medication taken. Bed rest for 2 days.

Other Meds:

Current Illness:

ID: 0964117
Sex: M
Age: 74
State: CA

Vax Date: 01/18/2021
Onset Date: 01/18/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: None done.

Allergies: None

Symptoms: Moderna COVID-19 Vaccine EUA. About 15 minutes after the shot, felt slight difficulty in breathing. It's more of a discomfort than pain. Stayed in the pharmacy for about 45 minutes. Felt the breathing difficulty going away so decided to drive home. The breathing difficulty came back when I reached home (a 5-minute drive). Feel asleep; woke up after about an hour and the breathing difficulty is completely gone. Have not felt it again until this report date (1/22/21 1:16am).

Other Meds: Amlodipine, Atorvastatin, Losartan, Aspirin 81, Vit D3 (2000), Nexium, Melatonin

Current Illness: None

ID: 0964118
Sex: F
Age: 63
State: AZ

Vax Date: 01/18/2021
Onset Date: 01/19/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Body aches, very sore injection site, tired feeling, nausea, slight headache. I had the chills, couldn?t get warm. Got worse during the night. Couldn?t go to work the next day due to body aches, arm soreness, extreme tiredness. Slept almost all day 1-19-21. Spiked low grade fever during the night. Worked 1-20-21, but extremely sleepy. Injection site got hot and red. Slept 12 hours that night. Went to work 1-21-21 feeling good, just still a little arm soreness.

Other Meds: Diltiazem, Xarelto, Invokamet, Vit D, Atorvastatin, Lisinopril, Escitalopram

Current Illness: Sinus/allergies

ID: 0964119
Sex: F
Age: 37
State: CA

Vax Date: 01/13/2021
Onset Date: 01/15/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: 01/15/2021 - fever, fatigue, chills - ibuprofen taken about 7pm, fever reduced 01/15/2021 - large, red bump at injection site - nothing taken on that day - bump eventually receded to what looked like a bruise and did not hurt or itch about 01/20/2021 - large, red, warm bump (welt) with smaller bumps on top of welt returned at injection site and has persisted through 01/21/2021 and 01/22/2021 - 75 mg of Benadryl taken each evening with slight to no relief. Unable to take Benadryl during the day due to work.

Other Meds: Synthroid, Multivitamin, Iron, Cranberry capsules, Pearl probiotic, D3, Flaxseed oil capsules.

Current Illness: none

ID: 0964120
Sex: U
Age:
State: FL

Vax Date:
Onset Date:
Rec V Date: 01/22/2021
Hospital:

Lab Data: None

Allergies:

Symptoms: Injection site itching, intense enough that I had to itch with palm of hand. About 5 mins later a raised ring appeared at injection site with two pimple like bumps. I rubbed the site with rubbing alcohol. Went to bed, itching subsided and raised bump went down

Other Meds:

Current Illness:

ID: 0964121
Sex: F
Age: 47
State: HI

Vax Date: 01/13/2021
Onset Date: 01/20/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: redness at the injection site includes down part,bumpimg /swollen ,presence of ecchymosis and heavy

Other Meds: tylenol 500mg

Current Illness: none

ID: 0964122
Sex: M
Age: 77
State: TX

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

Lab Data: none

Allergies: none

Symptoms: sudden onset of chills

Other Meds: lipitor, paxil, meloxicam

Current Illness: none

ID: 0964124
Sex: F
Age: 46
State: OH

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: 1 day after general body fatigue and weakness, headache, neck pain and soreness at injection site. Lasted 24 hours. 8 days after and currently, 2 inch long by 1 inch wide red, warm raised painful area at injection site

Other Meds: Synthroid, propanolol, topomax, HCTZ, lipitor, selenium

Current Illness: one month prior-cold-sore throat, congestion, upper respiratory symptoms, was tested for COVID and was negative.

ID: 0964125
Sex: F
Age: 44
State: OH

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: IV Dye

Symptoms: Woke up the next morning after receiving the vaccine, and felt horrible. Fever 101, aches, chills. Was only out of bed for a couple of minutes, knew that something was not right, and then I passed out on the floor for at least 15 minutes.

Other Meds: Birth control pills Synthroid Effexor Multivitamin

Current Illness: Tested positive for covid on 12/7/2020

ID: 0964126
Sex: F
Age: 18
State:

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 18 y/o F w/ nausea, chills/sweets and headache starting at 1800 same day of vaccine was given. pt was given SIQ chit, Tylenol and told to remain home until symptoms resolved. current outcome of symptoms is unknown.

Other Meds:

Current Illness:

ID: 0964127
Sex: F
Age: 57
State: OK

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

Lab Data:

Allergies: TB test

Symptoms: Bell's palsy - left

Other Meds:

Current Illness:

ID: 0964128
Sex: F
Age: 27
State: NY

Vax Date: 01/15/2021
Onset Date: 01/16/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: None

Allergies: Doxycycline Azithromycin

Symptoms: Syncope

Other Meds: Atenolol -HR control not BP

Current Illness: Neurocardiogenic syncope Sinus tachycardia Occipital neuralgia

ID: 0964130
Sex: F
Age: 57
State: MA

Vax Date: 01/10/2021
Onset Date: 01/11/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: swollen glands and joint pain lasting since day after vaccination until now

Other Meds: eliquis, simvastatin, vitamin D, Calcium

Current Illness: none

ID: 0964131
Sex: F
Age: 49
State:

Vax Date: 12/31/2020
Onset Date: 01/02/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Developed fatigue/tiredness which has been ongoing up until this time. Also, on 01/09/21 developed redness, swelling and warmth to injection site approximately 4-5 inches around site which lasted 2 days.

Other Meds: Amlodipine, Lorazepam, Vitamin C, Prevacid, Loratidine

Current Illness: none

ID: 0964132
Sex: M
Age: 55
State: PA

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

Lab Data:

Allergies: none

Symptoms: Two and half hour after the shot on the 20th of january at 1:20 PM by 3:30 PM I felt a very unusual sensation ... I had a contrast cat scan before with dye and right after i was injected with the dye I felt inside heat or burning sensation ..two and half hours after the vaccine I had the same exact sensation inner heat and pain in my right side where the liver is or golbladder . Also lympho gland pain under the left arm injection site area my temp at all time was 98.6 to 99.4 never passed that number.. on january 22nd early in the morning I woke up and all these symptoms are gone the inner heat , pain in the injection site and pain liver area all gone . I had to report this because it is unexpected and unusual reaction .... but i am fine now my temp is 98.4 normal

Other Meds: Multaqe , eliquis , metoporol , albutrol inhaler

Current Illness: COPD , Golstones , A-FIB , herniated disks , paratod gland tumor

ID: 0964133
Sex: F
Age: 45
State: AZ

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: n/a

Allergies: n/a

Symptoms: severe pain at injection site as well as swelling and severe pain in axillary lymph nodes of the left arm where the injection was received.

Other Meds: Daily multi-vitamin and black cohash herbal supplement.

Current Illness: n/a

ID: 0964134
Sex: F
Age: 25
State: PR

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Pain at injection site (moderate) - acetaminophen every 6hr Headaches (mild) Chills (mild)

Other Meds:

Current Illness:

ID: 0964135
Sex: F
Age: 45
State: TX

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies:

Symptoms: tingling in the hands, increased heart rate

Other Meds:

Current Illness:

ID: 0964136
Sex: F
Age: 23
State: PR

Vax Date: 01/18/2021
Onset Date: 01/19/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: none

Allergies:

Symptoms: The Patient reports general malaise, fever and pain in the left deltoid arm.

Other Meds:

Current Illness:

ID: 0964137
Sex: F
Age: 56
State: PA

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: Sulfa

Symptoms: At 330 this morning I woke up with body aches, lymph glands in neck swollen and sore throat

Other Meds: Prozac and meloxicam

Current Illness: UTI

ID: 0964138
Sex: F
Age: 25
State: NY

Vax Date: 01/12/2021
Onset Date: 01/19/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: Not applicable

Allergies: Allergic to amoxicillin

Symptoms: I started to notice on Tuesday, January 19th, that there was a red bump on my arm. It looked more like a mosquito bite to me and was not bigger than a quarter. It didn?t feel itchy but I thought nothing of it. I noticed when I got home it was twice as big but I still felt no pain. It appeared that my arm was also swollen. The following day on Wednesday, it has grown in size again covering my arm, maybe the size of four quarters. Throughout the day it felt a bit hot, especially when I touched it. It did not feel itchy and I didn?t feel any pain. I felt a bit tired this day so I?m not sure if it was because of it. The redness has gone down today (Friday, January 22nd) however the mark is still big and in the shape of a square now. The outer part of the mark is more red and raised up, like it has a red border.

Other Meds: Not applicable

Current Illness: Not applicable

ID: 0964139
Sex: F
Age: 56
State: MA

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: No

Symptoms: Injection site pain, headache, nausea, fatigue

Other Meds: Calcium, Vit D and Tamoxifen

Current Illness: None

ID: 0964140
Sex: M
Age: 30
State: TX

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies:

Symptoms: tingling in the throat, seen & cleared by EMS; B/P-151/94, P-88

Other Meds:

Current Illness:

ID: 0964141
Sex: F
Age: 44
State: PR

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

Lab Data: none

Allergies: none

Symptoms: I experienced shivers, fever, headache, vomiting the first day, second and third day shivers and fever, headache.

Other Meds: panadol

Current Illness: none

ID: 0964142
Sex: F
Age: 35
State: NY

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Headache, chills, body aches and fever

Other Meds: Headache, fever, chills body aches

Current Illness: None

ID: 0964143
Sex: F
Age: 46
State: PR

Vax Date: 01/18/2021
Onset Date: 01/19/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies:

Symptoms: The Patient reports general malaise, fever, acute diarrhea and pain in the left deltoid arm.

Other Meds:

Current Illness:

ID: 0964144
Sex: F
Age: 36
State: VA

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Feeling febrile, headache, severe body aches, fatigue, joint pain and weakness in arm shot was given (lasted the longest)

Other Meds: Adderall 20mg, Women?s Multivitamin

Current Illness: None

ID: 0964145
Sex: F
Age: 62
State: MP

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: Strep throat swab came back negative - it is the only test that has been run.

Allergies: Penicillin, kiwi fruit

Symptoms: A little over 12 hours after receiving my 2nd dose at 8:42 am, I woke up at approximately 11:15 pm to find that my tongue and throat were swelling. I immediately took 1 25mg benadryl and went to the Emergency Room (ER). After many questions and examination of my mouth. I was given another benadryl, prednisone, and famotidine. I waited and was observed for approximately 2.5 hours in the ER. At that time it was obvious that the medication was effective and I was comfortable leaving the ER to return home. I had prescriptions for more prednisone and famotidine to take for 5 days. On Wednesday, I felt well enough to go to work at my school, though I did light duty. On Thursday, I was also at school and also attended a physical therapy session and exercise class. I talked at length with my PT about my experience and she could tell that I was feeling good (presumably from the prednisone) and cautioned me about not overdoing things during exercise. I felt like my tongue was beginning to swell and the PT mentioned that my words sounded a bit funny (she was the only one to comment on this). I then went to dinner at my daughters house and began to feel tired from the benadryl. Upon arriving home and getting ready for bed, my husband and I both noticed how flushed my chest and face had become during the day. My throat and tongue were still somewhat swollen and my throat was beginning to hurt. During the day on Thursday, I had registered with the local Covid information website and had received an email stating that I should feel free to call the triage phone number if I needed. At approximately 9:45 pm I called and talked with a nurse who urged me to return to the ER because of the flushing and continued swelling. In the ER I was seen by a different doctor who was concerned not so much about the swelling, but about the white streaks in my throat and had me swabbed for strep throat. That test was negative. He said he had read my chart from Tuesday night and felt that the medication that had been prescribed was appropriate and that he didn't feel anything needed to be changed. He asked about how bad my throat felt and wrote a prescription for Magic Mouthwash and I asked for an EpiPen, which he also prescribed. We arrived home at approximately 12:00 am, but it was still difficult to lie down and sleep. I had already decided that I would not go to school on Friday and stay home and rest. I needed to pick up my prescriptions when the pharmacy opened and I ran a few other errands while I was out, but returned home and slept most of the afternoon. I have not been very energetic this evening, but decided that I wanted to get this form filled out. At approximately 10:00 PM on Friday evening, I hope that I am able to sleep better than I have the last several nights.

Other Meds: Glucosamine/Chondroitin

Current Illness: none

ID: 0964146
Sex: F
Age: 40
State: WI

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: None

Allergies: Ambien

Symptoms: Migraine with auroras

Other Meds: Desvenlafaxine, doxalamine

Current Illness: None

ID: 0964147
Sex: F
Age: 56
State: PR

Vax Date: 01/18/2021
Onset Date: 01/19/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient reports general malaise and headache

Other Meds:

Current Illness:

ID: 0964148
Sex: M
Age: 48
State: TX

Vax Date: 01/08/2021
Onset Date: 01/19/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: left testicular epidydimitis

Other Meds: none

Current Illness: none

ID: 0964149
Sex: F
Age: 35
State:

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Shortly after receiving the second dose Moderna vaccine, patient experienced nausea and dizziness. Her vitals were stable. She was alert and oriented but appeared to be weak and mildly uncomfortable. She was observed for almost 30 minutes with resolution of the nausea but remained weak, dizzy and then started to c/o of facial numbness "like I got novocaine." She stated it was her whole face including lips and tongue. She remained alert talking in full sentences. +facial symmetry, no obvious facial or tongue swelling. Vitals remained stable. At that time it was decided to transport her to the ED for continued evaluation. She was brought from the outpatient vaccine clinic to the ED via wheelchair without incident.

Other Meds:

Current Illness:

ID: 0964150
Sex: F
Age: 45
State: NY

Vax Date: 01/14/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies:

Symptoms: The day after, I had a sore arm. This was much better by the following day. However, one week later, the are started to tingle in the spot of the injection. Later it became itchy, a pink circle formed around it,, and it swelled up. I am writing this the next day after this delayed reaction started, and it is not resolved, although it seems to be improving slightly. I will see my doctor tomorrow if it persists.

Other Meds: Synthroid

Current Illness:

ID: 0964151
Sex: F
Age: 43
State: NH

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: None

Allergies: Penicillin and Iodine

Symptoms: Fever- 100.5 degrees, moderate chills, diarrhea, back pain especially near left scapula (injection was on left upper arm). Symptoms lasted 24 hours

Other Meds: None

Current Illness: None

ID: 0964152
Sex: F
Age: 36
State: MD

Vax Date: 01/15/2021
Onset Date: 01/17/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: None

Allergies: Gluten, Dairy

Symptoms: 1/15/21: site pain in the afternoon, ~3p 1/16/21: site pain; fatigue in the afternoon ~1p 1/17/21: extreme fatigue and extreme cold ~10:45am. Extreme cold was inability to warm up inside the home. Dressed in pants, socks, longsleeve shirt, winter hat, feather down vest, turned on fireplace and when took a nap slept with all of that plus 3 blankets. Extreme cold symptoms did not subside until 5p that day.

Other Meds: Sertraline, Synthroid, VitaFusion Prenatal, Vitafusion Probiotics, Vitafusion Fiber Gummy

Current Illness: None

ID: 0964153
Sex: F
Age: 66
State: NH

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Chills during the night after having received the vaccine Fever of up to 102.3 during the next day Sore throat Tired Fever ended before the end of that day Sore throat continued into the following day

Other Meds: Simvistatin Women's One a Day, 50+ D3 Fish Oil B12

Current Illness:

ID: 0964154
Sex: F
Age: 47
State: PR

Vax Date: 01/18/2021
Onset Date: 01/19/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient reports headache and high blood pressure

Other Meds:

Current Illness:

ID: 0964155
Sex: M
Age: 69
State:

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

Lab Data:

Allergies:

Symptoms: Dizziness - labs and CT head pending

Other Meds:

Current Illness:

ID: 0964156
Sex: F
Age: 59
State: ME

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: none

Allergies: No

Symptoms: Bilateral arms affected, painful and had limited movement.

Other Meds: Vitamins, levothyroxine

Current Illness: None

ID: 0964157
Sex: F
Age: 71
State: IN

Vax Date: 01/16/2021
Onset Date: 01/16/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: None yet

Allergies: NKA

Symptoms: Very tired after vaccination. Went to sleep about 8 PM Sat 1/16 and slept most of the next 4 days. Stomach was queasy. Unable to drink coffee. Tried to push fluids and tried to just eat bland foods. Would wake up sporadically but was unable to awaken enough to watch an entire TV show. Pretty lethargic and brain fog. Was able to wake up a little more on Wed 1/20 but still had the queasy stomach. Started getting Headache and Eye pain and severe upper leg and lower back burning & cramping, I tried taking tylenol which helped a little. By Thursday the pain was worse. I was still tired only walking helped the pain. It got worse if I sat down and extremely bad if I laid down to try to sleep. It's Friday morning & I am planning to go to med check this AM. Symptoms still ongoing

Other Meds: lipitor, celexa, wellbutrin, Baby ASA, Allegra

Current Illness: This was my 2nd vaccination. The 1st was on 12/26/20. I was well controlled on medication for depression, high cholesterol and seasonal allergies. Blood work on 1/15 from routine physical was all within normal range except creatinine was 1.0 and gfr was 55.

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm