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: 0965580
Sex: F
Age: 35
State: KY

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

Lab Data:

Allergies: None

Symptoms: Extreme fatigue, nausea, fever to 104 degrees, headache, rigors

Other Meds: Entresto metoprolol spironolactone sertraline asa

Current Illness: None

ID: 0965581
Sex: F
Age: 53
State: MD

Vax Date: 01/09/2021
Onset Date: 01/16/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: Reglan

Symptoms: Day 1-2 Mild soreness at injection site Day 7-9- significant swelling, erythema, tenderness and warmth to touch at injection site accompanied by generalized irritability Day 12-13 New pruritic serpiginous rash at injection site

Other Meds: Synthroid Estradiol Lexapro

Current Illness: None

ID: 0965582
Sex: F
Age: 36
State: FL

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

Lab Data: PCR COVID teset on 1/17; results on 1/22-positive

Allergies: none known

Symptoms: After my second vaccine on 1/12 at approximately 0730am I developed fever and chills around 1100pm that same day. I had these symptoms through 0800am on 1/13. I was recovered from these symptoms on 1/14. However, by the evening of 1/15 I developed some sinus-related symptoms like sneezing and runny nose. On 1/16 I could not taste or smell anything. I got a PCR COVID test on 1/17 and have not developed any additional symptoms. My sinus related symptoms resolved after 1/17. As of today, 1/22, my PCR results have come back positive.

Other Meds: probiotics

Current Illness: none

ID: 0965584
Sex: M
Age: 22
State: DE

Vax Date: 01/13/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: NKDA

Symptoms: developed red area on upper left arm 8 days after initial dose of moderna covid 19 vaccine. Area covers most of the deltoid. warm to touch, swollen and itching. area outlined with a marker. 50 mg benadryl taken approximately 10 hours after symptoms started. Today (9 days after injection) the marked area has not gotten any larger. It is not as red or warm to touch and no itching. Marked area is still "pink"

Other Meds: loestrin, spironolactone

Current Illness:

ID: 0965585
Sex: F
Age: 58
State: CA

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

Lab Data:

Allergies:

Symptoms: Fever and severe headache

Other Meds:

Current Illness:

ID: 0965586
Sex: M
Age: 30
State:

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

Lab Data:

Allergies:

Symptoms: I have EoE. My last EGD dated 12/18/2020 showed my eoe of was well managed and until the vaccine I had had no issues. This was clearly the cause. I called off work on Monday the 18th and have been on a liquid diet until last night. doing better. Grateful for the vaccine.

Other Meds:

Current Illness:

ID: 0965587
Sex: F
Age: 73
State: AK

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

Lab Data:

Allergies: NKDA

Symptoms: Right arm (injection site) pain, joint pain

Other Meds: Unknown

Current Illness: none

ID: 0965588
Sex: F
Age: 30
State: KY

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

Lab Data:

Allergies: no

Symptoms: Itchy legs and flushed face

Other Meds: Montalukast, Trintellix, and Flonas

Current Illness: no

ID: 0965589
Sex: M
Age: 73
State: WA

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

Lab Data:

Allergies:

Symptoms: Pt was provided with incorrect dose of vaccine. Was given 1.0 mL rather than 0.5 mL.

Other Meds:

Current Illness:

ID: 0965590
Sex: F
Age: 32
State: TX

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

Lab Data: NA

Allergies: Lactose

Symptoms: Flushing and shortness of breath immediately after receiving vaccine Lasted approx 5 minutes

Other Meds: None

Current Illness: N/A

ID: 0965591
Sex: M
Age: 48
State: MT

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: I received the first dose of Pfizer EK5730 at 18:07 on 12-30-2020. For the first day my arm was a bit sore but nothing to bad. The next few days 48-72 hours later I started to have many more symptoms, some minor to sever including joint pain, headache, fatigue, and dizziness. lesser included some nauseas. The joint pain was so bad at one point i had to pull over while driving. on 1-2-21. as of writing this now 14 days out I still have some joint pain especially in my arms. No other symptoms of note. I would add that I tested positive for COVID -19 on 10-18-2020 and was not released from quarantine until 11-5-20 I did seek treatment during this time through by calling my Dr. did not require any hospitalization.

Other Meds: vitamin c hydrochlorothiazide levothyroxine losartan

Current Illness: None

ID: 0965592
Sex: F
Age: 48
State: PA

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

Lab Data:

Allergies: Sulfa - hives

Symptoms: Patient had delayed reaction to the vaccine, after approximately 5 minutes after receiving vaccine she began reporting feeling light-headed, woozy, tingling in her tongue, hands, and finger tips. 50 mg of Benadryl adminstered after 30 minutes. Called 911. Patient then transported to Hospital.

Other Meds: Gabapentin Aleve Mirapex

Current Illness: NA

ID: 0965593
Sex: F
Age: 60
State: OH

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

Lab Data:

Allergies: None

Symptoms: Flushing of my face and neck, chills, fever, 99.8 has gone up .4 in the last 10 minutes. No treatment, currently having symptoms.

Other Meds: Unithroid Amlodipine Claritin Vitamin D Zinc Probiotics Calcium with K&D Magnesium

Current Illness: None

ID: 0965594
Sex: F
Age: 60
State: CA

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

Lab Data: None

Allergies: gluten

Symptoms: After sitting for about 10 minutes, I noticed my tongue was swelling up in the back of my throat. I noticed my airway was narrowed and tongue felt very tight, but I was still able to breath. I told the man at the doorway assigned to help people find a seat after their shots. He said, "We all have different reactions," brought me water, and I drank it. After another 10 minutes, the symptoms were the same, not better not worse. After 10 more minutes the symptoms were better. And after another 10 minutes, I left. When I made it back to my car, I noticed tightening across my forehead. This developed into a frontal lobe headache which continued off and on for the next 3 days. Also noted for the next 2 days was waking with swollen lips, face and extremities, and occasional ringing in the ears lasting 1-2 hours.

Other Meds: HRT: Bi-Est (estrogen replacement)

Current Illness: none

ID: 0965595
Sex: F
Age: 32
State: KY

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

Lab Data: None

Allergies: NKA

Symptoms: Swelling axillary lymph node in injection arm and pain.

Other Meds: Ritalin

Current Illness: NA

ID: 0965596
Sex: F
Age: 48
State: OH

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

Lab Data: N/A

Allergies: N/A

Symptoms: Patient experienced numbness in left side of face

Other Meds: N/A

Current Illness: N/A

ID: 0965597
Sex: F
Age: 52
State: VA

Vax Date: 01/13/2021
Onset Date: 01/18/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: N/A

Allergies: None

Symptoms: Under my left breast/ upper stomach area, I developed a rash about the size of a quarter. The rash is painful with small like blisters, which after sleeping on my stomach appeared to have removed any fluid. As of today, 1/22/21, is looks like the rash attempting to heal but very sore.

Other Meds: Insulin, Atoravastin, multi-vitamin, vitamin D, Fish Oil, Calcium

Current Illness: None

ID: 0965598
Sex: M
Age: 80
State: CA

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

Lab Data:

Allergies: iodine, chesapeake bay crab

Symptoms: it seemed to exacerbate my eye itch and produced copious watering of my eyes . ..

Other Meds: oxybutynin, pantoprazole, aspirin, vit d, vit b12

Current Illness:

ID: 0965599
Sex: F
Age: 46
State: FL

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/22/2021
Hospital:

Lab Data: COVID FLU

Allergies: Topomax - extreme sensitivity - cognitive issues/can't think properly

Symptoms: Fatigue hit within a couple of hours; So tired and this was fall in to bed and be out. I slept for awhile - I rested all day the second day. I was getting dizzy and; muscle pain; a lot of joint pain (normally I'm not in a lot of pain and never this tired). I needed a cane to walk I went to work on Wednesday and I had to leave early (11:30). Wed - horrible diarrhea Started getting a little confused and still had dizziness and joint pain was bad. Couldn't take care of patients. Went to work on Thursday and I had to leave earlier yet that day - by 9:00 am - Started having chills but didn't have fever and still had other symptoms and was getting confused. Had an excruciating headaches and nausea (no diarrhea but extreme nausea) and that day started light and sound sensitivity - so bad. Was getting scared driving home - and had very slurred speech. Couldn't drive for a week after that(. My sister was on the phone with me helping me stay alert and drive safely on the way home from work on that Thursday.) Thursday when I got home. - had Telemed visit - Set up appt for a rapid COVID test - and a flu test so my sister drove me and I slept the whole way there. My sister said my speech was slurred; confused in my speech and I felt like that for three days. Both (Covid and flu) tests came back negative. Times when my sister couldn't understand what I was saying and I slept more than I was awake (Thursday - Saturday was like this). Took Imodium for diarrhea when I had that. For joint pain - I treated it by tramodal 50 mg and I can take it as needed and I usually don't need it but took it consistently during this time. What scared me the most was I could feel my Hip Implant - ball and socket joint from bone all the way to my femur( I had Right implant on Hip on May 2019) - which is healed completely but I felt it at this time. I still can't lay on my right side without pain - like a deep bone pain. I was going to call my surgeon today. January 4th visit with my Dr - for check-in - He gave me a clearance to go back to work on Wed the 6th. I work two days a week; I'm on disability and so have been able to work since then. Right hip pain is still a lot and bouts of dizziness and still have joint pain. Have to take a minute and a couple of breaths to stand up. Some days I do have to use may cane. Chills are gone.

Other Meds: Lyrica 200 mg 2x/day ; Cymbalta - 50 mg and a 60 mg -(90 mg total) once a day. Singular 10 mg - 1 time a day; Requip 2 mg twice a day; Clonidine 0.1 mg 2 x/day; Protonics 40 mg twice a day; Methocarbamol - 500 mg 3 times daily (take the th

Current Illness: none

ID: 0965600
Sex: F
Age: 44
State: NM

Vax Date: 01/08/2021
Onset Date: 01/24/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: Allergic to cow milk products and seasonal allergies

Symptoms: 48 hours after vaccine, at 3 pm, I developed an allergic response. I had diarrhea, hives, itchy eyes, mouth, and throat, coughing, and slight constriction in my lungs. Within 30 minutes of taking Benadryl the symptoms began to subside. After the allergic reaction, I developed the normal symptoms of the vaccine with chills, fever, body aches and a headache. Injection site had increased soreness for the rest of the day.

Other Meds: Trazodone, Ambien, Daily Vitamin, Iron, Vitamin K, and Vitamin D

Current Illness: None

ID: 0965601
Sex: F
Age: 92
State: CA

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

Lab Data:

Allergies:

Symptoms: swelling of upper left lip

Other Meds:

Current Illness:

ID: 0965602
Sex: F
Age: 47
State: PR

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

Lab Data: NO

Allergies: NO

Symptoms: DOLOR EN AMBOS AXILAS Y EL CUERPO. PRESENTA HEMATOMAS EN AREA DE AXILAS EN AMBOS BRAZOS.

Other Meds: NO

Current Illness: TIROIDES

ID: 0965603
Sex: F
Age: 50
State: TX

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

Lab Data:

Allergies:

Symptoms: The day after vaccination I woke with a fever of 100.8 and my arm has been hurting and I have been getting headaches. I also have body aches. I have been coughing and I have been taking Delsym to calm the cough.

Other Meds:

Current Illness: Dry cough from COVID - had COVID December 29

ID: 0965604
Sex: F
Age: 29
State: MI

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

Lab Data: NONE

Allergies: NO

Symptoms: LIGHTHEAEDED, FEELING WOOZY HEART RATE 140 -160 BP UP TO 150/80 EXPERIENCED SIMILAR WITH FIRST DOSE OF VACCINE.

Other Meds: JUNEL BC

Current Illness: NONE

ID: 0965605
Sex: F
Age: 42
State: CA

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

Lab Data:

Allergies:

Symptoms: Chills joint pain headache fever just felt generally bad this all lasted for 24 hours

Other Meds:

Current Illness:

ID: 0965606
Sex: M
Age: 26
State: KS

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

Lab Data: none

Allergies: none

Symptoms: First dose (12/30/20): Vivid dreams and frequent nocturnal awakenings upon receiving the first dose. Experienced tiredness the next day, unsure of whether it was the vaccine or lack of sleep. Second dose (1/19/21): Awakened every hour to1.5 hours that night with markedly vivid dreams in between awakenings. Upon trying to take a nap, the same situation occurred, with a vivid dream and awakening within 1.5 hours. I have had vivid dreams in the past, but not with that frequency before. The dreams and difficulty sleeping improved the next night and had resolved within 24 hours.

Other Meds: Acetaminophen

Current Illness: none

ID: 0965607
Sex: F
Age: 68
State: GA

Vax Date: 01/18/2021
Onset Date: 01/20/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: none

Allergies: amoxicillin levaquin

Symptoms: ON 3RD DAY: sore/swollen lymph nodes left side of neck and jaw, with some mild discomfort in left ear; lasted about 3 hours; I applied a warm compress and the symptom subsided and has not returned

Other Meds: amylodipine 2.5 mg/day lipitor 20 mg/day metoprolol 12.5/day vitamin D, 2000 iu/day

Current Illness: none

ID: 0965608
Sex: M
Age: 49
State: GA

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

Lab Data: none

Allergies: none

Symptoms: First injection in left arm, Head ache lasting for 4 Days, arm sore for 5 Days. Second injection after an hour tingling in left side of lip and pain in the left jaw joint. Head ache still persistant. Tingling went away after 6 HR and pain in jaw joint stopped.

Other Meds: none

Current Illness: none

ID: 0965609
Sex: F
Age: 36
State: NJ

Vax Date: 01/13/2021
Onset Date: 01/17/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: Seasonal Allergies

Symptoms: I experienced what felt like an electric headache that lasted four days, chills, flu-like cold symptoms, congestion, and shortness of breath. Today is day six, and I am still under the weather.

Other Meds: One A Day Multivitamin

Current Illness: None

ID: 0965610
Sex: F
Age: 41
State: CA

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

Lab Data:

Allergies:

Symptoms: I got my 2nd vaccine on 1-14-20 at 9am. About 6 hours later I had severe headaches, fatigue, muscle pain, also pain at the injection site. i felt very tired. The next day I had severe headaches, muscle pain and fatigue and took Ibuprofen as pain medication. My headache went from a severe to moderate. All the rest of days continued with headaches.

Other Meds: Ibuprofen 800mg

Current Illness:

ID: 0965611
Sex: F
Age: 55
State: CA

Vax Date: 01/08/2021
Onset Date: 01/18/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: Pcn, sulfa, codeine, dilaudid, oxy, percocet

Symptoms: Awful Rash, hives, itching, began about 10 days after the vaccine

Other Meds: Lisonopril, Zyrtec, Nexium, Singulair, Combivent, Neurontin, Naprosyn, Tramadol, Flonase, vitamin D

Current Illness: Asthma and bronchitis

ID: 0965612
Sex: F
Age: 60
State: OH

Vax Date: 01/06/2021
Onset Date: 01/14/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: Shingles Vaccine dose #1.

Allergies: None.

Symptoms: 5 hours after the shingles vaccine on 1/14/21 I could not form words and it was extremely difficult to speak. The wrong word came out. I felt dizzy and out of it. This lasted for 2-3 hours. The next day it was much better but I still feel that problem a little bit. Secondly, I felt tingling in my head, arms and legs since then, slowly waning.

Other Meds: None.

Current Illness: None.

ID: 0965613
Sex: F
Age: 68
State: TX

Vax Date: 01/09/2021
Onset Date: 01/20/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: None

Allergies: Tetracycline

Symptoms: No problems at all for 11 days. Then red and warm at injection site and slight headache. Nothing major just delayed.

Other Meds: Triamterene 37.5 1xday Levothyroxine .50 1xday Ezetimibe 1xday Multivitamins Zinc 50 m Vitamin C 2000 mg D3 50 mg Omega oil

Current Illness: None

ID: 0965614
Sex: F
Age: 58
State: NC

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

Lab Data:

Allergies: seafood and iodine Lisinopril Amoxicillin Tetracyclines Wasp Venom

Symptoms: itching all over my face; elevated blood pressure; increased breathing rate

Other Meds: none

Current Illness: none

ID: 0965615
Sex: F
Age: 32
State: CA

Vax Date: 01/17/2021
Onset Date: 01/18/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: Aspirin

Symptoms: I have got skin redness and rash on my neck and chest on top of other expected symptoms.

Other Meds: Non

Current Illness: No

ID: 0965616
Sex: M
Age: 31
State: KY

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

Lab Data: None

Allergies: None

Symptoms: Pounding persistent headache, severe fatigue and body aches, amplified pain such as having back pain or intense heart burn. Difficult to even move around. Some nausea, did not eat all for 24 hours.

Other Meds: None

Current Illness: None

ID: 0965617
Sex: M
Age: 44
State: CA

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

Lab Data:

Allergies:

Symptoms: Body aches, stomach aches, diarrhea.

Other Meds:

Current Illness:

ID: 0965618
Sex: F
Age: 54
State: ID

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

Lab Data:

Allergies: ACE inhibitors ?> mild angioedema ARBs ?> mild angioedema Seasonal allergies. 3 sets of allergy shots in lifetime. Discontinued due to too many allergic reactions to shots with uterine contractions and wheezing.

Symptoms: 15 minutes after injection, felt hot ears, itching throughout body and scalp. No SOB. Took 50 mg diphenhydramine 40 min post vaccine. Symptoms subsided over next 4 hours.

Other Meds: Itching, flushing, burning ears. Took diphenhydramine 50 mg po x 1 30 minutes after vaccine. Sx did not progress, subsided over next 4 hours.

Current Illness: Covid + PCR 11/16/2020. Mild symptoms.

ID: 0965619
Sex: M
Age: 63
State: AZ

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

Lab Data: no medical tests or labs done. Patient was reassured, monitored with repeat vitals and his symptoms resolved on their own after 15 minutes. Patient was evaluated in the outdoor covid-19 monitoring area by the nurse and provider.

Allergies: Patient denied allergies; it listed ibuprofen (nausea and vomiting) as a prior reaction.

Symptoms: At the end of patient's monitoring after the covid-19 vaccine, patient said he felt like his heart rate was fast subjective feeling. Medical provider and nurse assessed patient. Patient had normal heart rate 60-64 rate, regular rate and rhythm on exam, normal sao2 94-95%, elevated blood pressure 153/103, 174/92, 160/109, 153/93, 170/86.

Other Meds: No current meds; Patient said that he had not taken his lisinopril, atorvastatin, or loratadine since March or April 2020.

Current Illness: none reported

ID: 0965620
Sex: F
Age:
State: FL

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

Lab Data:

Allergies: Common outdoor allergies/ cats

Symptoms: 10 post injection I developed extreme itching/hives at injection site.

Other Meds: Pulmicort Flexhaler Flonase Claritin 10mg Progesterone 100mg Magnesium Vitamin D

Current Illness:

ID: 0965621
Sex: F
Age: 80
State: GA

Vax Date: 01/09/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: None. The message from my doctor said to report it to the health department and continue using the anti-itch cream. It also said that the Health Department might want to see me to evaluate getting the 2nd shot. Physician said in his opinion I could continue with the second shot. Hopefully I will hear from someone after you receive this report.

Allergies: Niacin, Flagel, Naprocin, Cephalexin, Avalox, Moxifloxacin, Ciprofloxacin, Amoxicillin, Doxycycline HYC

Symptoms: Received Moderna shot at 2PM on January 12,2021. On January 21 around 10AM my upper left arm was itching. upon further investigation of the area I noticed a good size red oval patch on my upper left arm located approximately 1 inch above the site of my Moderna injection site. It was slightly itchy and was hot to the touch. I had no fever and felt perfectly fine. The area was not sore. I applied an anti-itch cream and placed an inquiry with my personal doctor. His office sent a response this morning advising me to notify the provider. There was no information on my COVID-19 Vaccination Record Card of who to notify and I could not get through to them on their phone which is constantly busy with people calling for appointments. I did see info saying to report adverse reactions on line at vaers.hhs.gov which is what I am doing. My concern is whether or not I should get the second shot.

Other Meds: Thyroxine 50mcg daily,Pantoprazole Sod 40mg 2 times daily, Zetia 10 mg - 1daily;Vitamin D2 -2Cap 1.25mg 50,000u daily; losartan 50mg daily; Advanced Probiotic 10 - 1 daily;Lovaza 1gm 2times per day; Lovaza 1gm 2times daily; Livalo 2mg 3time

Current Illness: None

ID: 0965622
Sex: F
Age: 54
State: NH

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

Lab Data:

Allergies: none

Symptoms: fever as high as 101.5, chills, severe headache, exhausted, started 6 pm and lasted through the night. fever broke in am but headache continued through the day after along with exhaustion.

Other Meds: none

Current Illness: none

ID: 0965623
Sex: M
Age: 68
State: FL

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

Lab Data: None

Allergies: none

Symptoms: Patient received the dose and sat down for 15 minutes. After 15 minutes he got up and looked to buy something on one of the aisle when he fell down, he was on his knees. The pharmacist got out there set him on a chair, looked for any injuries and asked him if his breathing was ok. He said everything was fine, and that he just tripped over his flip-flops. The other pharmacist called 911 while I stayed with the patient. He was fully aware of what was happening and he didn't present any signs of an allergic reaction. EMT showed up after 5 minutes and talked to him for 2 minutes, and told him he was ok to leave.

Other Meds: Lisinopril

Current Illness: none

ID: 0965624
Sex: F
Age: 29
State: NY

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

Lab Data:

Allergies:

Symptoms: Pain on area of injection so bad I can?t move or use my right arm. Started around 7:30pm the day of the vaccination. Day after vaccination I have fever, nause, joint pain, chills, and the pain in the arm persists.

Other Meds:

Current Illness:

ID: 0965625
Sex: F
Age: 40
State: CA

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

Lab Data:

Allergies:

Symptoms: On 1/21/21, 2"X2" red area noted on left arm, below the vaccination site. It is warm and itchy. No pain, good ROM to left arm. Apply ice and took acetaminophen.

Other Meds:

Current Illness:

ID: 0965626
Sex: F
Age: 63
State: TX

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

Lab Data:

Allergies: shellfish

Symptoms: dizziness, lightheaded, panic attack; seen & cleared by EMS. B/P-184/98, P-79; repeat B/P-165/94 and client took own anxiety medication, Klonopin as directed by EMS.

Other Meds:

Current Illness:

ID: 0965627
Sex: F
Age: 50
State: TX

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

Lab Data:

Allergies:

Symptoms: I woke up this morning with a fever of 100.8, the fever has since away. I have had body aches, headache. and coughing spells. I have been taking over the counter Delsym to control the coughing.

Other Meds:

Current Illness: Dry cough from COVID - had COVID December 29

ID: 0965628
Sex: F
Age: 41
State: KS

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

Lab Data: None

Allergies:

Symptoms: Body aches, fatigue, headache, low back pain, low grade fever, nausea, severe left arm pain, cough, runny nose

Other Meds: none

Current Illness:

ID: 0965629
Sex: F
Age: 91
State: FL

Vax Date: 01/10/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: None

Allergies: Adhesive Tape

Symptoms: 1/10/21 Moderna received, 1/21/21 pt.'s arm started itching/redness

Other Meds: Synthroid 100 mg daily, Triamtharine 37.5 mg once daily, Potassium 25 mg twice daily, Atorvastatin 20 mg once daily, Vitamin D once daily, Glucose 1500 mg daily, Multivitamins daily, Calcium + D daily 1500 mg, Advair puff twice daily

Current Illness: None

ID: 0965630
Sex: F
Age: 51
State: PA

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

Lab Data:

Allergies: none

Symptoms: sporadic flushing of the face and neck Increased flushing of the face and neck with wine/champagne

Other Meds: vitamin D

Current Illness: none

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm