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: 0966490
Sex: F
Age: 28
State: MD

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

Lab Data:

Allergies: Canasa

Symptoms: Pain to injection site immediately following injection. Hot/ red injection site 7 days after injection. Swollen painful lymph node under arm pit of left arm (same side as injection)

Other Meds: Valcyclovir and Melodetta (Fe24 (birth control))

Current Illness:

ID: 0966491
Sex: F
Age: 55
State: WI

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

Lab Data: HS-cTnT= <6 Ref Range & Units 1/21/21 1758 WBC 3.70 - 10.40 K/uL 10.38 RBC 4.00 - 5.20 M/uL 5.12 HEMOGLOBIN 11.8 - 15.1 g/dL 14.4 HEMATOCRIT 36.0 - 46.0 % 43.3 MCV 82.0 - 99.0 fL 84.6 MCH 27.0 - 32.0 pg 28.1 MCHC 32.0 - 36.0 g/dL 33.3 PLATELET COUNT 140 - 385 K/uL 213 RDW-CV 11.8 - 15.6 % 15.2 RDW-SD 34.0 - 50.0 fL 46.1 ABS NEUT ELECTRONIC 2.00 - 8.70 K/uL 4.13 ABS LYMPH ELECTRONIC 0.70 - 4.70 K/uL 5.24High ABS MONO ELECTRONIC 0.00 - 1.10 K/uL 0.61 ABS EOS ELECTRONIC 0.00 - 0.50 K/uL 0.37 ABS BASO ELECTRONIC Ref Range & Units 1/21/21 1758 CREATININE 0.51 - 0.95 mg/dL 0.74 ESTIMATED GFR mL/min/1.73m2 91 Ref Range & Units 1/21/21 1758 SODIUM 135 - 146 mmol/L 140 POTASSIUM 3.4 - 5.0 mmol/L 3.4 CARBON DIOXIDE-TOTAL 22 - 29 mmol/L 21Low CHLORIDE 96 - 108 mmol/L 103 ANION GAP 6 - 16 mmol/L 16 Ref Range & Units 1/21/21 1758 ALT 0 - 40 U/L 68High Ref Range & Units 1/21/21 1758 ALKP 35 - 104 U/L 67 Ref Range & Units 1/21/21 1758 BILIRUBIN, TOTAL 0.0 - 1.3 mg/dL 0.4

Allergies: Latex, adhesive, codeine, demerol, hydrocodone, imitrex, morphine, oxycodone, percocet, propoxyphene N-acetaminophen, ultram

Symptoms: Patient is a 55-year-old female who had presented to the vaccination clinic this afternoon to receive her COVID-19 vaccine. She does have a history of migraine headaches and other comorbidities as described below. Has had reactions to a number of medications, mostly narcotics as noted in her allergy list some of which could in theory be compatible with urticaria. Does not have true anaphylaxis in her history. Today at about 15 minutes after administration of her COVID-19 vaccine she began to rather precipitously developed an itchy crawling feeling in her skin, nausea with retching and some shortness of breath. She did not have the sensation of her throat closing off. Did not have coryza. Within about 10 minutes she did develop difficulty with speech that she says is typical for her migraine headache. She received, in the vaccination Clinic, epinephrine 0.3 mg subQ, 125 mg of Solu-Medrol and 50 mg of Benadryl all IV. An IV was started and a 500 mL bolus of saline was initiated. With this she was then transferred to the emergency room for further evaluation. In the emergency room she did develop chest heaviness but no palpitations. She was not dyspneic. Her nausea and vomiting by then had seem to resolve.

Other Meds: None

Current Illness: Migraine without status migrainosus, not intractable, unspecified migraine type

ID: 0966492
Sex: F
Age: 76
State: MI

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: None - I am on blood thinners and am used to bruises, but this one is so large I thought someone should know.

Allergies: Ancef

Symptoms: One day after receiving the vaccine, I developed a deep purple/blue bruise that extends from an inch above the injection site (shoulder of left arm) and extends to my elbow. It is 4 inches wide.

Other Meds: Warfarin, simvastatin, clopidigrel, fenofibrate, lisinopril, janumet, levemer insulin (rDNA origin) 35 units a day, metoprolol, Aspirin - baby - 2 a day

Current Illness: None

ID: 0966493
Sex: M
Age: 62
State: OR

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

Lab Data: Medical exam by MD at 12:15 today.

Allergies: Demerol, soy products

Symptoms: Onset yesterday (1/21/21) after stretching left shoulder. Felt like itching and mild burning in left deltoid. Rapidly increased to mild pain/discomfort/aching. Went for walk. Upon return, muscle tested and stretched arm to see if I had injured arm. Afterwards, there was onset of pain, swelling, redness, increased itching. Redness generalized over left deltoid with pronounced scarlet redness at site of injection, about 3mm diameter. Today (1/22/21, Day 2 of flare-up, about 22 hours after onset of symptoms): increased aching over entire left shoulder/trap/scapula with pronounced redness over slightly greater area on deltoid, itching at deltoid, hardness and swelling of deltoid. Almost a burning sensation over the deltoid, but not quite. Tissue feels irritated and hot. Limited loss of range of motion. Pain increases with use of left arm, pushing arm through ROM movements. Moderate headache at waking, relieved with 25mg Sumatriptan. Still mild headache. Mild lethargy and fatigue.

Other Meds: Eliquis 5mg 2x/d, Lysinopril 40mg 1x/d, Sumatriptan 25mg as needed Nattokinase 100mg 2x/d, Zinc 50mg 1x/d, Copper 2mg 1x/d, Vit D 4000mg 1x/d, Vit A 20,000IU 1x/d, Vit C 1000mg 3-5x/d, Ubiquinol 300mg 1x/d, fish oil 1075mg EPA/DHA 1x/d.

Current Illness: Deep Vein Trhombosis right lower leg

ID: 0966494
Sex: F
Age: 28
State: NY

Vax Date: 01/11/2021
Onset Date: 01/18/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: None.

Allergies: Tree nuts and peanuts.

Symptoms: Started on 1/18/21 as two separate whelps, red, raised, warm and itchy. Now is one large red rash, large whelp on arm. Been taking Benadryl. Went to walk-in, who told her to take antihistamines, Benadryl or cream to local area.

Other Meds: Charlotte 24 FE.

Current Illness: None.

ID: 0966495
Sex: F
Age: 40
State: CA

Vax Date: 01/05/2021
Onset Date: 01/12/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: doctor's office visit 01/21/2021

Allergies: Allergic to mosquito bites, bug bites.

Symptoms: Puffy, itchy arm, that increases with redness and blotchiness, raised skin and hot.

Other Meds: Fluoxetine, Metformin.

Current Illness: none.

ID: 0966496
Sex: F
Age: 77
State: SC

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

Lab Data: none

Allergies: Cymbalta

Symptoms: pts daughter states she has severe confusion with slow speech with difficulty speaking and slow movement Also has extreme muscle pain and double vision. Pt had urge to urinate but could not. Pts daughter states she is still having some symptoms but is improving and will see her doctor next week for a regular scheduled appt. Pt started the medicine Cymbalta in November 2020 for her Fibromyalgia but had developed confusion from it so the doctor took her off of it on January 11th 2021 and was doing well until the day of the vaccination.

Other Meds: Losartan, Myrbetriq, Zyrtec, Diltiazem, Fish Oil, Magnesium, Vitamin E, D, C, Xanax, Symbicort,

Current Illness: none

ID: 0966497
Sex: M
Age: 72
State: MI

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

Lab Data:

Allergies:

Symptoms: Developed chest pain that subsided within a few minutes. No other specific signs of a stroke or heart attack. Blood pressure was elevated (~140/85).

Other Meds:

Current Illness:

ID: 0966498
Sex: F
Age: 63
State: TX

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

Lab Data:

Allergies:

Symptoms: Patient is another women who has h/o allergies to food and medications. She came prepared with her own Benadryl and Epipen. I watched her for almost 45 minutes and only thing she C/O was some itching in her head at 25-30 minutes after the shot. So I advised to take her own 25 mg po of Benadryl. When she left she was not itching. She had no other problems like hives, SOB, swollen eyes, chest pain, stridor, nausea, vomiting. She was alert and oriented X3 throughout her visit in post vaccination area. I was talking to her throughout her stay on and off. Her O2 sat was also good. I informed her on skin care, told her to drink enough fluids, take Benadryl po Q6-8 hours for the next 1-2 days. If any problems go to ER. She informed me that she was very anxious and she gets itching every time when she becomes hyperactive with lots of people.

Other Meds:

Current Illness:

ID: 0966499
Sex: F
Age: 42
State: PA

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

Lab Data:

Allergies: No known allergies

Symptoms: Anxiety, swelling of left hand wrist, numbness tingling from finger tip to left bicep of injection arm.

Other Meds: Wellbutrin Lamictal Hydroxyozine Trazadone

Current Illness: Anxiety

ID: 0966500
Sex: F
Age: 56
State: PA

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

Lab Data: none

Allergies: none

Symptoms: Day 1. Pain and soreness , red at injection sight, upper left arm,and a few hours later, pain in both sides of neck, subsided after a few minutes. Day 2. Pain and soreness red, at injection sight Day 3. Pain and soreness , red at injection sight, and experienced small muscle spasm from right corner of nose to right side of mouth, lasted only a few minutes, had never experienced anything similar in the past. Day 4-8 Slight soreness at injection sight Day 9. Injection area became itchy, as I scratched I noticed my arm felt warm and thicker than other arm. Almost dome shaped and the size of my hand as I touched it. Skin felt leathery somehow, and appeared red in a circular shape around injection site. Day 10 (today) Less sore but still slightly tougher feeling, leathery, slightly pink in the area of injection, dome shape seems to have lessened.

Other Meds: fish oil vitamin d tylenol sinus

Current Illness: none

ID: 0966501
Sex: F
Age: 39
State: TN

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

Lab Data: ekg

Allergies: penicillin only

Symptoms: Within 2 minutes after vaccine administration,pt felt warmness to upper chest and throat. no constriction of throat. PT also developed blotchy redness to upper chest. Pt HR palpated and found to be 112 bpm. PT given 2 ml of Benadryl per phn protocol and was laid supine prior and b/p was monitored prior and bp stable. pt also reported cool feeling to upper and lower hands and feet. EMS was activated also immediately and pt's hr found to be 112 bpm. pt declined ER visit. pt contact and followed up with after event around 2 hours after and said warm feeling,rash, and etc had subsided and hr was within limits. pt also contacted on day after and found to be stable and no further complaints.

Other Meds: hypothyroid medication- synthroid

Current Illness: n/a

ID: 0966502
Sex: M
Age: 27
State: PR

Vax Date: 01/08/2021
Onset Date: 01/13/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: cbc,pt, ptt, u/a, cmp, : wnl Tx: Famotidine, Promethazine

Allergies: PNC

Symptoms: Nausea, vomiting, abdominal pain, diarrhea after covid vaccine

Other Meds: none

Current Illness: none

ID: 0966503
Sex: M
Age: 62
State: PA

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

Lab Data: The on-site medic evaluated me before i left the clinic

Allergies: None

Symptoms: Day 1 - Dizziness aches and pains; increased sense of pain in all normal chronic ache locations Day 2 - severe aches, fever of 101.0

Other Meds: Ibupropen, guaifenesin, phenylephrine, immuplex

Current Illness: Diagnosed with covid-19 on 12/3/2020. Isolated until 12/21/2020. Returned to work 12/21/2020. No other illnesses.

ID: 0966504
Sex: F
Age: 30
State: MA

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

Lab Data: none

Allergies: none

Symptoms: Left Arm discomfort after vaccination. No treatment, refused care

Other Meds: None

Current Illness: None

ID: 0966505
Sex: F
Age: 35
State: CA

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

Lab Data:

Allergies:

Symptoms: Large red, itchy rash on the arm around the injection site. Onset 6-7 days after first dose of the Moderna COVID-19 vaccine was administered. Currently has been 36 hrs since the rash began. Rash is hot and itchy.

Other Meds:

Current Illness:

ID: 0966506
Sex: F
Age: 40
State: CO

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: NKDA

Symptoms: Dull headache; still have intermittent headaches; do not need to take anything for it- just reporting for data

Other Meds: [Nothing was used within at least 7 days prior to vaccination] zinc gluconate (PRN) Ibuprofen (PRN) Carisoprodol (PRN) Nexplanon placed (1 year remains on insertion life)

Current Illness: None

ID: 0966507
Sex: F
Age: 49
State: OH

Vax Date: 12/30/2020
Onset Date: 01/03/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Continue to have moderate to severe joint pain

Other Meds: Daily vitamin Vitamin D Bystolic Spironolactone Pantoprazole

Current Illness: None

ID: 0966508
Sex: M
Age: 72
State: NE

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

Lab Data:

Allergies:

Symptoms: HAD FEVER OVERNIGHT WHICH RESOLVED IN THE MORNING.

Other Meds:

Current Illness:

ID: 0966509
Sex: F
Age: 29
State:

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

Lab Data:

Allergies:

Symptoms: Severe nausea, vomiting, blood pressure changes, heart rate changes, dizziness, slurred speech. Sent to ER for monitoring and fluids.

Other Meds:

Current Illness:

ID: 0966510
Sex: F
Age: 31
State: VA

Vax Date: 01/07/2021
Onset Date: 01/13/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: No test was taken

Allergies: N/a

Symptoms: Injection site was warm, encapsulated, inflamed, tingling and well defined, over reaction Swollen under my left underarm Started about a week later after I received my first dose 1/13/21 and 1/14/21 Went to urgent care that Friday evening 1/15/21

Other Meds: Cabergoline,

Current Illness: None

ID: 0966511
Sex: F
Age: 73
State: KY

Vax Date: 01/05/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Pt complained of redness at the injection site starting 2 weeks and 2 days after the administration along with itching. Pt denied pain/opening in skin/any other s/s.

Other Meds:

Current Illness:

ID: 0966512
Sex: F
Age: 41
State: NY

Vax Date: 12/26/2020
Onset Date: 12/27/2020
Rec V Date: 01/22/2021
Hospital:

Lab Data: no

Allergies: Dogs and cats and trees

Symptoms: Intense low back pain - in middle to low back. Spread to both hips eventually. Got acupuncture and it slowly got better. Took about a week and a half to resolve completely.

Other Meds: Birth control pill

Current Illness: no

ID: 0966513
Sex: F
Age: 57
State: WA

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

Lab Data: POC TROPIN x 2 / CBC/BMPanel/D-DIMER/ MAGNESIUM + CHEST XRAY and EKG 12 lead x 2

Allergies: NA

Symptoms: 2 HOURS POST #1 VACCINE I STARTED TO HAVE SOME CARDIAC ARRHYTHMIA WHICH RESOLVED LATER THAN EVENING and reoccured sporadically day 1 by the evening of day 2 evening +-48 hrs post tax the arrhythmia feelings came back and didn't go away and seemed to be getting worse so I went to the ER.

Other Meds: Sprinolactone 100 mg / CHLORTHALIDONE 25 mg/ 81 mg aspirin / Citalopram 10 mg -/Vita D all taken daily.

Current Illness: Cardiomyapathy and high blood pressure. Underlyng illness is cardiac amyloidosis which is in remission and presently not being treated.

ID: 0966514
Sex: F
Age: 44
State: AZ

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

Lab Data: BP 138/98 HR 110 RR 16 SpO2 98 Clear, equal bilaterally

Allergies: Contrast dye, lidocaine, seasonal allergies

Symptoms: Patient felt shaky, hot and racing heart with a dry mouth. Symptoms subsided with in 15 minutes and she felt much better. Did advise her to follow up with her physician and if signs and symptoms develop or worsen she should seek immediate medical attention.

Other Meds: Vitamin D, Magnesium, Verapamil, prilosec

Current Illness: None reported.

ID: 0966515
Sex: M
Age: 60
State: MN

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

Lab Data:

Allergies: NSAIDs - kidney disease

Symptoms: confused, hypertensive, very pale and sweaty 6 minutes after receiving vaccine.

Other Meds: Tylenol, amlodipine, aspirin, aspirin-Na bicarb, atorvastatin, calcium acetate, carvedilol, gemfibrozil, glipizide, lantus, lisinopril, metformin

Current Illness:

ID: 0966516
Sex: F
Age: 26
State: IL

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

Lab Data:

Allergies: None

Symptoms: Itching on sunday night starting on chest, monday morning rashes worsen and appeared on B UE and L LE. Cortisone cream applied otc not helping. Urgent care on Tuesday night and prescribed with triamcinolon.Friday, Rashes still itchy but redness slightly getting better

Other Meds: Probiotics, birth control yasmine

Current Illness:

ID: 0966517
Sex: F
Age: 15
State: OR

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies:

Symptoms: minor of 15 years old received COVID vaccination

Other Meds:

Current Illness:

ID: 0966518
Sex: F
Age: 53
State: FL

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

Lab Data: Had lab work. Do not know results

Allergies: Iron Dextran infusion

Symptoms: Approximately five minutes of receiving the second vaccine broke out in hives everywhere started experiencing throat tingling. Was taken to ER. I am a nurse at hospital Was given Solu-Medrol and Benadryl IV in ER

Other Meds: Omeprazole, Pepcid, Nutrafol women?s Balance hair supplement

Current Illness: None

ID: 0966519
Sex: M
Age: 42
State: NE

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

Lab Data:

Allergies:

Symptoms: HAD HEADACHE AND BODY ACHES THROUGHOUT THE NIGHT WHICH IMPROVED IN THE MORNING.

Other Meds:

Current Illness:

ID: 0966520
Sex: F
Age: 40
State: AZ

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

Lab Data:

Allergies: None

Symptoms: None stated.

Other Meds: Plaquenil , zantrex dietary supplement , Tylenol ,

Current Illness:

ID: 0966521
Sex: F
Age: 37
State: NY

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

Lab Data: NA

Allergies: NA

Symptoms: ABOUT 15 MINUTES AFTER VACCINATION, TYHE PATIENT COMPLAINED OF ARM NUMBNESS, TINGLING IN MOUTH/TONGUE AND METALLIC TASTE. THE PATIENY WAS ADMINSTERED 50MG OF BENADRYL AND MONITORED FOR AN ADDITIONAL 30 MINUTES. THE PATIENT SAID THE TINGLING IN TONGUE IMMEDIATELY RESOLVED AFTER BENADRYL AND JUST HAD MINOR ARM SORENESS.

Other Meds: NA

Current Illness: NA

ID: 0966522
Sex: F
Age: 78
State: FL

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

Lab Data: DAUGHTER CALLED PRIMARY CARE AND WAS ADVISED THAT GIVEN HER SEVERE RESPONSE DO NOT RECOMMEND SECOND MODERNA COVID VACCINE.

Allergies: PENICILLIN, SULFA, CONTRAST DYE

Symptoms: 10:30 IN BED FELT CHILLED THOUGHT SHE HAD A SLIGHT FEVER. GOT BLANKETS TO GET WARM AND FELL TO SLEEP. WOKE UP EARLY MORNING UNSURE OF TIME HAD TO GO TO BATHROOM. PT REPORTS EXTREME MUSCLE WEAKNESS IN ALL EXTREMITIES AND COULD NOT MOVE. HAD TO SLIDE OFF BED AND CRAWL TO GET TO BATHROOM. WHEN SHE GOT TO BATHROOM, SHE DOES HAVE LIMITED RANGE OF MOTION IN L SHOULDER BUT WHEN SHE ATTEMPTED TO GRAB BAR IN BATHROOM HER R ARM WAS LIMP AND COULD NOT GRAB BAR TO LIFT SELF UP TO TOILET. WAS FOUND BY FAMILY IN BATHROOM SOILED. DID NOT APPEAR TO HAVE ANY INJURIES FROM FALL PER PTS DAUGHTER AND PT REPORTED SHE DID NOT HAVE A HARD FALL OR HEAD INJURY.

Other Meds: MEDS NOT GIVEN

Current Illness: NONE

ID: 0966523
Sex: F
Age: 21
State:

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

Lab Data:

Allergies:

Symptoms: Severe nausea, dizziness

Other Meds:

Current Illness:

ID: 0966524
Sex: F
Age: 74
State: AR

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

Lab Data:

Allergies:

Symptoms: Delayed injection site reaction in vaccine arm. Arm of patient was sore with minimal swelling after vaccination and resolved. 8 days after vaccination, vaccine arm started itching and is red, warm, and swollen (patient estimates the size of an orange). Patient also reports that there are whelps around the injection site. Patient called PCP and was advised to take Benadryl and watch; if more systemic reactions develop, to seek emergency care.

Other Meds:

Current Illness:

ID: 0966525
Sex: F
Age: 61
State: CA

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

Lab Data: None

Allergies: None

Symptoms: Felt chills, muscle and joint aches all over my body in the morning around 10 am and took ibuprofen, pain and chills went away, then again I felt same around 3 pm, again took ibuprofen and felt better.

Other Meds: Ibuprofen

Current Illness: None

ID: 0966526
Sex: F
Age: 43
State: FL

Vax Date: 12/28/2020
Onset Date: 01/04/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Sunday, six days after I received the vaccine, my left arm began hurting a lot. On Monday morning, 7 days after the vaccine, I had swollen, a large painful palpable bump near the anterior part of my armpit. The bump could easily be visualized. The pain was moderate and did affect my activity of daily living. The discomfort could be felt at rest, and took about 5 days to improve. Three and a half weeks later I can still palpate the bump. I am not getting the second vaccine. I did have a mammogram two months ago, which was normal. If the bump does not go away within the next two weeks I will go see my primary care physician.

Other Meds: Multivitamin, imitrex 25 mg as needed (I take about 3-4 a month)

Current Illness: none

ID: 0966527
Sex: F
Age: 66
State: NE

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

Lab Data:

Allergies:

Symptoms: HAD FEVER, HEADACHE, BODY ACHES, AND CHILLS

Other Meds:

Current Illness:

ID: 0966528
Sex: F
Age: 90
State: NY

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

Lab Data:

Allergies: Penecillin

Symptoms: Injection arm (left) was itchy when we left facility. But other than that, no pain, no feelings of illness. So, didn't think much of it. After about three days, the patient developed (not sure of the technical term), large blood blotches beneath the skin. On both arms and on her back. The itching has subsided. Five days later, the blood blotches are still there but seem to be slowly improving.

Other Meds: ELIQUIS 2.5 MG TAB FUROSEMIDE 20 MG TAB LEVOTHYROXINE 88 MCG TAB METOPROLOL TARTRATE 100 MG TAB SIMVASTATIN 10 MG TAB

Current Illness: No

ID: 0966529
Sex: F
Age: 37
State: FL

Vax Date: 01/08/2021
Onset Date: 01/16/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: One week after the shot (Saturday the 16th) my injection site had developed a red hot circle. Over the news few days it faded slightly and grew in size. It was slightly itchy. Still sore. Now (Jan 22) it has faded quite a bit. Still sore.

Other Meds: None

Current Illness: None

ID: 0966530
Sex: F
Age: 95
State: TX

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

Lab Data: Observation over night with lab work completed

Allergies: Codiene and Morphine

Symptoms: She began exhibiting seizure like activity, admitted to hospital and observation and since has returned to the facility.

Other Meds: none

Current Illness: COVID-19 (12-23-2020 to -01-15-2021)

ID: 0966531
Sex: M
Age: 56
State: MA

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

Lab Data: none

Allergies: none

Symptoms: Dizziness Post Vaccination that resolved on its own.

Other Meds: Lisinopril

Current Illness: none

ID: 0966532
Sex: F
Age: 63
State: OK

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

Lab Data: None

Allergies: Codeine

Symptoms: pt. experiencing arm pain, vomiting, shortness of breath, dizziness

Other Meds: Apiraban 5 mg twice daily, Pantoprazore 40 mg once daily or as needed, Simvastatin 20 mg once daily, Calcium D3 400 mg twice daily

Current Illness: Tested positive for COVID 12/11/20

ID: 0966533
Sex: F
Age: 61
State: CA

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

Lab Data: N/A

Allergies: THERE WAS A MEDICINE THAT DID NOT WORK WELL, IN THE PAST, SO KAISER NOTES AS AN ALERGIC CAUSANT. i DO NOT RE-CALL THE NAME.

Symptoms: I was not able to move leg and pain was so strong difficult to bear. It happens 4 hours after the vaccine. My daughter estimated that it last about 5 minutes since she started hearing my cry ( she is my next door neighbor) When the paramedics came the pain was gone, they checked my vitals and recommended me to hydrate.

Other Meds: VITAMINS: D, E, LOW DOSE ASPIRIN, ZINC MEDICATION: FLUOXETINE

Current Illness: NO ILLNESSES,

ID: 0966534
Sex: F
Age: 62
State: NE

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

Lab Data:

Allergies:

Symptoms: HAD FATIGUE AND NAUSEA

Other Meds:

Current Illness:

ID: 0966535
Sex: M
Age: 47
State: UT

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

Lab Data: N/A

Allergies: none

Symptoms: left-sided chest discomfort ("pinching") ~2 hours after vaccination; normal vitals and exam

Other Meds: ibuprofen 400 mg prn, multivitamin

Current Illness: none

ID: 0966536
Sex: F
Age: 48
State:

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

Lab Data:

Allergies:

Symptoms: Extreme nausea, dizziness, decrease in blood pressure

Other Meds:

Current Illness:

ID: 0966537
Sex: F
Age: 53
State:

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

Lab Data: None

Allergies: ACE Inhibitors; Iodine; Iopamidol

Symptoms: 53 yo female just received the Pfizer COVID vaccine around 1100 and around 1130 started feeling light headed and c/o mild throat tightness. No trouble breathing. Was taken to exam room. Pulse ox 100%, Pulse 80's, BP was 152/90. Lungs were clear on exam. She was given some juice to drink but continued to c/o tightness in throat. We gave her some IM Benadryl 50 mg and continued to watch her.

Other Meds:

Current Illness:

ID: 0966538
Sex: M
Age: 51
State: NE

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

Lab Data:

Allergies:

Symptoms: HAD NAUSEA, FATIGUE, AND DIARRHEA

Other Meds:

Current Illness:

ID: 0966539
Sex: F
Age: 53
State: ND

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

Lab Data: NA

Allergies: NKDA

Symptoms: Patient reported Extreme fatigue, chills, body aches, extreme headache, low grade fever 100.6

Other Meds: Wellbutrin XL, Omega-3 fatty acids, Multi vitamin

Current Illness: None known

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm