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: 0966841
Sex: M
Age: 67
State: CA

Vax Date: 01/02/2021
Onset Date: 01/03/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient notified the pharmacist that he had a small rash in both arms which started to get much larger after 2 weeks .

Other Meds:

Current Illness:

ID: 0966842
Sex: F
Age: 27
State: NY

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

Lab Data: Blood work done by an allergist on 11/22. results pending

Allergies: chlorhexidine, augmentin

Symptoms: burning, painful blotchy hands, sweating. Rash escalated to face, sweating, 10/10 pain all over body, shallow breathing. itchy tongue. fevers

Other Meds: lexapro 5mg

Current Illness: none

ID: 0966843
Sex: F
Age: 49
State: TX

Vax Date: 01/06/2021
Onset Date: 01/13/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: Penicillin, molds/trees/seasonal

Symptoms: Extremely itchy rash developed on arm approximately one week post-vaccination, and lasted for about 4 days before starting to diminish. As of today (1/22), some residual itchyness remains, but not as severe as during that primary time frame. Applied Maximum strength topical frequently, but little relief resulted from it. I did not seek medical treatment, but strongly considered doing so at several points to seek a prescription-strength topical. Marking below as having "recovered" - because it is now far more manageable. But it has not yet resolved 100% (maybe 90-95% resolved?).

Other Meds: Viibryd - 20mg, Wellbutrin, Vyvanse - 40mg

Current Illness: N/A

Date Died: 01/14/2021

ID: 0966844
Sex: M
Age: 76
State: NM

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

Lab Data: None

Allergies: KNA

Symptoms: Patient is reported to have died at home, the day after his COVID test. Family member states that he did good the afternoon and evening after his COVID-19 injection, but that he started not feeling good the next day. The patient "was having palpitations". The family tried to convince him to go to the Emergency Room, but he refused. Patient died at home.

Other Meds: Unknown

Current Illness: DM II

ID: 0966845
Sex: M
Age: 35
State: MI

Vax Date: 12/22/2020
Onset Date: 12/23/2020
Rec V Date: 01/22/2021
Hospital:

Lab Data: no

Allergies: none

Symptoms: 24 hr after vaccine, I had fatigue and generalized body aches and left arm pain at site of injection. I took tylenol. Those stopped by the second day morning (day after vaccine). However, in the second morning ( day after vaccine) I started having pain on left side of neck and on Trapezius muscle on left shoulder blade - and had that pain for three more days. Range of motion for neck restricted for three days. All symptoms improved after four days. I took Lidocaine patch and Tylenol for neck and shoulder blade pain.

Other Meds: None

Current Illness: None

ID: 0966846
Sex: F
Age: 49
State: TX

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

Lab Data:

Allergies: Codeine

Symptoms: Moderna COVID 19 Vaccine EUA

Other Meds: Advil

Current Illness: No

ID: 0966847
Sex: F
Age: 94
State: WI

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

Lab Data: 01/21/21: AT ER CT SCAN PERFORMED- REPORTED PROBABLE SINUSITIS, BMP, COMPLETE CBC W/DIFF, URINALISIS- NO RESULTS PROVIDED.

Allergies: NONE

Symptoms: PATIENT WAS OBSERVED SLOUCHING OVER IN HER CHAIR AND WHEN STAFF TRIED TO SPEAK TO HER SHE WAS UNRESPONSIVE BUT BREATHING, NONCOHEARANT. 02 WAS 83-90, PULSE 115, BP 93/53. EMS WAS CALLED AND SHE WAS TRANSPORTED TO THE ER IMMEDIATLY. ER PHYSICIAN WAS UNSURE IF THE MENTAL STATUS CHANGE WAS FROM VACCINE OR POSSIBLE UTI. ATTMEPTED TO OBTAIN A URINE SAMPLE AND STARTED EMPIRIC ANTIBIOTICS.

Other Meds: ACETAMINOPHEN 325MG 1 TAB TID/ ASPIRIN 81MG 1 DAILY/ CITALOPRAM 20MG 1 DAILY/ MELATONIN 3MG 1 DAILY/ SENIOR MULTIVITAMIN 1 DAILY/ B-12 1000MCG 1 DAILY/ D3 50,000IR ONCE WEEKLY

Current Illness: MILD SORE THROAT REPORTED MORNING OF VACCINE, NO FEVER.

ID: 0966848
Sex: F
Age: 70
State: NV

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

Lab Data:

Allergies: No known allergies or sensitivities

Symptoms: Patient received first COVID vaccine on 1/13/2021 (left deltoid). Scheduled for second 2/2/2021. - Rash began 1/18/2021 right upper back. Large patch of erythematous based small vesicular papules on right upper back just above bra line. Does not extend past spinal cord. Right lateral breast 3 small patches of less red fine papules.

Other Meds: Hydrochlorothiazide, Levothyroxine, Pravastatin, Omega-3 Fatty Acids, Vitamin D

Current Illness:

ID: 0966849
Sex: F
Age: 27
State: IL

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

Lab Data: n/a

Allergies: Topiramate: non-anaphylactic

Symptoms: Patient received 1st of moderna vaccine ~4pm and was monitored for ~15 mins after the vaccination with no issues. The patient called the pharmacy around ~5pm while on the road driving home with complaints of mild tongue/throat swelling and a severe headache. Patient was told to go to the ER/hospital to get checked out as soon as possible.

Other Meds: unknown

Current Illness: unknown

ID: 0966850
Sex: F
Age: 46
State: VA

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

Lab Data:

Allergies: Skin sensitivity to some medication. Unknown cause

Symptoms: A rash that showed up a week later. At the time of reporting, it is about 2inx3in

Other Meds: Lisinopril 20 mg; Junel 1/20

Current Illness: None

ID: 0966851
Sex: F
Age: 51
State: LA

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

Lab Data: Blood work (1/20/21) regarding the lump found on the left side.

Allergies: Seasonal allergies

Symptoms: Chills, nausea, I felt feverish but did not take my temperature, I had sweats, headache, warm and at the injection site it swollen and red happened in the middle of the night. For the next 2 days I had extreme fatigue and after that I was fine (by Sunday). I did not have any energy but no chills or nothing. I took Tylenol and it helped me. I was able to return to work on Monday and as the day passed I started feeling like myself. I also developed a lump on my neck on 01/18/2021 on the left side (on my collarbone) and my PCP prescribed Doxycycline 2 tablets a day. I also developed a lump on my right side when I took the first dose and took a ZPack and that lump is still here on my neck.

Other Meds: Cosart 50mg for blood pressure

Current Illness: No

ID: 0966852
Sex: F
Age: 53
State: KS

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

Lab Data: 50mg PO Benadryl given at onset of sx

Allergies: pcn-rash

Symptoms: Pt c/o tongue tingling and 'molars' numbness as with first injection in which she reported to after sx started. This injection, sx started earlier. No soa, itching, throat tightness or distress. Pt numbness and tingling resolved and then returned with some throat numbness. Pt remained without distress and after observation period opted to be dismissed and no er visit, called for ride, stated sx almost resolved at time of dismissal, no distress. Dismissal vs- 117/83 bp 79 hr 98% sao2

Other Meds: Escitalopram 10mg Montelukast 10mg Rosurvast 10mg Metformin 1000mg Levothyroxine 0.5mg coq10 500 mg vitamin 3 5000mg zyrtek multivitamins calcium

Current Illness: low thyroid pre-diabetes asthma

ID: 0966853
Sex: F
Age: 70
State: OK

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

Lab Data: None

Allergies: Sulfur

Symptoms: Swelling, red rash, itching. Soreness

Other Meds: Na

Current Illness: Na

ID: 0966854
Sex: F
Age: 63
State: MA

Vax Date: 01/08/2021
Onset Date: 01/15/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: PCR COVID test 1/19 Negative.

Allergies: Sulfa Minocin Celebrex

Symptoms: 1/11/21 started with needle like discomfort in left big toe while in bed. When I got up in the morning my toe was red. Resolved by 1/13. On 1/15/21 Friday- started with back pain about noon. By 8 PM had also developed frontal headache, chills, loss of appetite, fatigue. On 1/16 developed scratchy throat and a rhapsody voice. Also small red lump at injection site had developed. Chills had resolved. Woke Saturday night with a stabbing pain in my right back between spine and shoulder blade. Did not last too long. Back ache resolved by Monday 1/18. Thursday last day of raspy voice. Also appetite was back. Today, 1/22 frontal headache still on occasion but relieved with Tylenol. COVID test 1/19 negative.

Other Meds: Vitamin D3 Vitamin E Turmeric Tums

Current Illness: None

ID: 0966855
Sex: M
Age: 76
State: FL

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

Lab Data: no

Allergies: no

Symptoms: High fever

Other Meds: Lisinopril, multivatamins

Current Illness: no

Date Died: 01/13/2021

ID: 0966856
Sex: F
Age: 90
State: KY

Vax Date: 12/31/2020
Onset Date: 01/04/2021
Rec V Date: 01/22/2021
Hospital: Y

Lab Data: 1/8: White blood cell count 11.6, hemoglobin 12.2, platelets 369. Sodium is 165, potassium 3.2. BUN/creatinine creatinine are 48 and 1.2. Bilirubin is 1.6. Glucose 127. Urinalysis has 25 leukocytes, negative nitrites, 10-15 white blood cells, 1+ bacteria. Chest x-ray shows no acute cardiopulmonary disease. CT scan of the head shows a tiny left frontal scalp hematoma, with nothing else acute. - 1/9: White blood cell count is 13.5, hemoglobin 12.1. Sodium is 168, potassium 3.4. BUN/creatinine are 47 and 1.3, glucose 145. - 1/10: WBC 15.5, Hgb 10.6. Plt 268. Na 169, K 4.0, Glucose 174. BUN/Cr 38/1.1. Urine culture showed NO GROWTH. - 1/11: WBC: 12.7 HGB: 10.2 PLT: 223 SODIUM: 164 POTASSIUM: 3.9 GLUCOSE: 172 BUN: 32 CREATININE: 1.2 SArs-cor-2 RDRp gen detected 1/4/2021 ( NEDS ID 7797449)

Allergies: unk

Symptoms: Patient is a 90-year-old female. She is a nursing home resident with and ongoing COVID 19 outbreak occurring . She has been diagnosed with corona virus on 1/4/21. She apparently has not eaten or drank anything in about a week. She was being hydrated at the nursing home with normal saline, but has failed to improve. She was sent to the ER and was admitted on 1/8/21 to hospital At no time during the hospital stay has she been more than minimal responsive. She need O2 for Comfort but on CXR and CT cardiopulmonary imagining was clear. Discharge note stated that he was requiring supplemental oxygen, but her chest x-ray on admission actually showed no acute cardiopulmonary disease. She was diagnosed with COVID-19 on 1/4/21. Most likely, this disease set her level of function back to the point that she was no longer eating and drinking, and she just overall rapidly declined after that. There was no evidence of an actual COVID pneumonia or pneumonitis. On 1/12/2021 family made patient a DNR and IVF were stopped and switched to comforted care. Patient expired 1/13/21

Other Meds: Covid outbreak in the facility tested two week before negative.

Current Illness: unk

ID: 0966857
Sex: F
Age: 0
State: AZ

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

Lab Data: none

Allergies: various seasonal allergies, but unknown sources

Symptoms: Five minutes after the vaccine was injected, I became dizzy, my eyes teared and face swelled up and throat tightened. The EMT's came, checked my lungs, etc. and talked me through the episode which lasted about 15 minutes. Then the swelling subsided. I suspect it had, because I had dermal fillers approximately a year ago. I had no other adverse affects, except for tiredness that evening. People should be warned about this because it is a frightening event. I have never had an adverse reaction to a vaccine before.

Other Meds: acyclovir, sertraline, Naaturthroid, variety of vitamin supplements

Current Illness: none

ID: 0966858
Sex: F
Age: 31
State: IN

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

Lab Data: None

Allergies: Amoxicillin - hives

Symptoms: Fever, chills, body aches, joint pain, headache, nausea

Other Meds:

Current Illness: None

ID: 0966859
Sex: F
Age: 32
State: PA

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

Lab Data:

Allergies: Allergic to pertussis vaccine

Symptoms: No adverse symptoms until the 8th day after the injection. Injection site became very red, raised, and warm to the touch.

Other Meds: Nuvaring. pre-natal vitamin, vitamin D3, probiotic, and Omega 3

Current Illness: No illnesses

ID: 0966860
Sex: F
Age: 59
State: MN

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

Lab Data: None, it's only been 4 days, but I want you to be aware, if you're keeping track of the covid shots. If the underarm swelling goes down, good for me. If not, I want it on record in case any others have the symptoms.

Allergies: Keflex makes me feel off.

Symptoms: Fever, chills , body aches, for 24 hours. Fever finally broke after soaking 2 sets of pjs. Back ache. Sore arm. I've recovered from all of that with tylenol. but I have swelling and tenderness under the arm, lymph nodes?

Other Meds: Pantapropazole tab 40mg, elderberry vitamin c + zinc, airborne original

Current Illness: None

ID: 0966861
Sex: F
Age: 61
State: TX

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

Lab Data:

Allergies: Sulfa

Symptoms: muscle and joint pain, fever, lethargy, headache

Other Meds: Aspirin 325mg, Vitamin D3 25mcg, Glucosamine Chondroitin, Chromium Picolinate 800mcg, Co Q-10 100mg, Plavix 75mg, Hydrochlorothiazide 25mg, Crestor 40mg, Tizanidine 2mg, Lisinopril 20mg, Levothyroxine 50mcg, Potassium Chl 20 meq, Pantopra

Current Illness: none

ID: 0966862
Sex: F
Age: 30
State: CA

Vax Date: 01/14/2021
Onset Date: 01/16/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: cbc to check platelet count

Allergies: none

Symptoms: pt had a normal mense without clots between 01/04/2021 and 01/10/2021 but 2 days after receiving Pfizer covid vaccine had second onset of menstrual bleeding which is much heavier leading to leakage around the cup used to retain menstrual bleeding associated with clots (metromenorrhagia). pt on contraceptive and not attempting to conceive pt denies purpura or any other sx

Other Meds: none

Current Illness: none

ID: 0966863
Sex: F
Age: 48
State:

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

Lab Data:

Allergies: Benzoyl peroxide

Symptoms: "Moderna COVID-19 Vaccine EUA" Expected side effects (swelling, pain, tenderness) immediately after injection subsided after 3 days. 7 days AFTER administration of first dose, developed itching, redness and swelling again at the injection site.

Other Meds: pyridostigmine 60mg Toprol XL 25mg Fish oil Glucosamine chondroitin Magnesium 250mg Vitamin D 2000IU

Current Illness: NONE

ID: 0966864
Sex: F
Age: 60
State: MO

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

Lab Data:

Allergies: sulfa antibiotics

Symptoms: Patient states they experienced severe swelling at injection site.

Other Meds:

Current Illness:

ID: 0966865
Sex: F
Age: 24
State: AZ

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

Lab Data: unknown

Allergies: NKA

Symptoms: Pt c/o itching and tingling at site of injection. Upon inspection RN observed redness, swelling, and irritation where pt had been scratching the site. Offered to give pt benadryl on site, but pt refused because it "knocks her out" for 13 hours. Advised to take a non-drowsy antihistamine when able, use cold compress, and stop scratching the site. Pt was asked if she was having any other issues at that time, which she denied. Telephone call made to patient at 4:18pm to follow up. Pt stated she started to have an itchy throat and throat swelling and went to the hospital. There she was offered Benadryl but declined. She was given a steroid injection because she was having "difficulty breathing". Pt states ER doctor recommended a non-drowsy OTC antihistamine, and was unable to tell her if the difficulty breathing was an allergic reaction or due to anxiety. Recommended following up with 2nd dose in 4 weeks but to see her PCP before that time to discuss. Pt does not have PCP, so I recommended that she establish care and have an appt prior to her 2nd dose

Other Meds: none listed

Current Illness: none

ID: 0966866
Sex: F
Age: 52
State: IL

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

Lab Data:

Allergies:

Symptoms: Early morning of January 21st right arm very sore from injection then at 2:00 p.m. January 21st almost exactly 24 hours after the shot, I started feeling very tired, severe body aches and chills. The next morning on January 22nd about 3:00 a.m. those symptoms where much better BUT down below the injection site is swelled up, red in the size of about a softball and very hot. It is now 5:40 p.m. January 22nd and no improvement with that.

Other Meds: Ibuprofen

Current Illness:

ID: 0966867
Sex: M
Age: 70
State: IL

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

Lab Data: none

Allergies: Iodine contrast, seasonal

Symptoms: fever of 102 Severe chills Both subsided within 24 hrs with Tylenol and rest

Other Meds: 1. metropolol100 mg: . 2. gemfibrozil 600mg 2x/day: 3. altase (10 mg): 4. lipitor 80 mg 5. Tamsulosin 0.4mg x2/day 6. clopidogrel 75mg Blood thinner 7. aspirin 81 mg 8. fexofenadine 180mg

Current Illness: Covid 19 11/3/2020,: mild, no respiratory problems, some loss os taste and smell

ID: 0966868
Sex: F
Age: 49
State: TX

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

Lab Data:

Allergies: codeine

Symptoms: Moderna COVID 19 Vaccine

Other Meds: advil

Current Illness:

ID: 0966869
Sex: M
Age: 49
State: MA

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: 01/15/21 prescribed Ondansetron for nausia 01/17/21 prescribed Meclizine fir dizziness 01/18/21 prescribed steroid cream for rash and prescribed Allegra for Allergic Reaction

Allergies: none

Symptoms: dizzy, lightheaded, nausia, vomiting, body rash

Other Meds: none

Current Illness: none

ID: 0966870
Sex: F
Age: 36
State: WI

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

Lab Data: I will be going to my primary on Tuesday

Allergies: Watermelon

Symptoms: I received the 2nd dose at 730am and by 1130pm the following symptoms occurred dizziness, sweating, tingling in the feet, hands, and face; headaches rapid heart beats and I have these symptoms for 5 days now.

Other Meds: Depo-Provera shot for birth control

Current Illness: No

ID: 0966871
Sex: F
Age: 37
State: VA

Vax Date: 01/16/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Left clavicle lymph node swollen and painful following vaccination.

Other Meds:

Current Illness:

ID: 0966872
Sex: F
Age: 65
State: NJ

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

Lab Data: None

Allergies: Penicillin

Symptoms: I was given shot in the fatty part of my arm near my elbow. It was not inserted into my deltoid muscle or any other muscle! I?m afraid my vaccination is not going to be effective

Other Meds: Rosuvastatin 10 mg Lisinophil 10 mg Escitaloptam 10 mg Bauer low does baby aspirin 1x 1000mg vitamin c 2000 iu vitamin d3

Current Illness: None

ID: 0966873
Sex: M
Age: 30
State: CA

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

Lab Data: None

Allergies: No

Symptoms: Vaccine given at 1325. Patient stated after a couple minutes that he was feeling light headed and had tunnel vision. 1330 B/P 126/68 99%, HR 40. Laid patient down diaphoretic, 1335 B/P 110/62 % HR 48, 1340 122/70 HR 55, 1345 122/68 98% HR 56, Cal-Fire arrived evaluated, patient was feeling better by that point, he refused transport. He waited a bit longer before calling his fianc? to come pick up.

Other Meds: No

Current Illness: No

ID: 0966874
Sex: M
Age: 35
State: MI

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: No

Allergies: none

Symptoms: 24 hrs after vaccine started having fatigue and feverish for one day - I took Tylenol and Motrin. Was feeling better the day after the symptoms started.

Other Meds: none

Current Illness: none

ID: 0966875
Sex: F
Age: 22
State: WA

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

Lab Data: I was given a benadryl shot and steriod injection on 1/21/2021.

Allergies: Rash to Naftifine Hydrochloride

Symptoms: One 1/19/2021, I got an extreme headache and threw up. My headache continued after a nap and Ibuprofen. My through felt weird like it was a bit difficult to swallow. On 1/20/2021, I woke up around 10 am with the injection site swollen, hot, hard, and extremely painful. A dull headache and difficulty to swallow continued. I also had tightness in my chest and shortness of breathe off and on.

Other Meds: Sertraline, Hydroxyzine, Multivitamin, probiotic, Vitamin C, D

Current Illness: None

ID: 0966876
Sex: F
Age: 43
State: NY

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

Lab Data: None

Allergies: Penicillin Vancomycin Bactrim Sensitivity to all meds....usually take children's doses of many meds

Symptoms: Immediately felt sore in arm then felt hot and sweaty in post vaccine waiting room dizzy blurred and blacked out vision... Vasovagal syncope episode Emt and nurses came right over gave me oxygen and water.....felt better after approximately 25 minutes of treatment....drank 3 bottles of water was able to walk and leave without going to hospital around 12:15pm Arm severely sore for 48 hours.

Other Meds: Orsythia 28 (birth control) Allegra (antihistamine)

Current Illness: None

ID: 0966877
Sex: M
Age: 54
State: NJ

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

Lab Data:

Allergies:

Symptoms: Weak, Dizzy, Dry Mouth & Very Thirsty

Other Meds:

Current Illness:

ID: 0966879
Sex: F
Age: 49
State: GA

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

Lab Data: None

Allergies: Morphine lipitor zocor codeine hydrocodone tape toporol gabapentin

Symptoms: Swelling pain redness

Other Meds: Multivitamin

Current Illness: Pneumonia

ID: 0966880
Sex: F
Age: 57
State: FL

Vax Date: 11/27/2020
Onset Date: 11/28/2020
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient states she developed cellulitis after injection. Was treated in the hospital and outpatient

Other Meds:

Current Illness:

ID: 0966881
Sex: F
Age: 69
State: CA

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

Lab Data: none

Allergies: Celiac

Symptoms: 30 minutes after injection, face flushed and stayed that way for about 1.5 hours. At about 1 hour, I had numbness on/around left side lip area and slightly on skin around that area. Symptoms left about 2 hours after they started

Other Meds: Vit C 1000mg 2x Daily, Vit E 400IU Daily, Super B-Complex,1x Daily, Hair,Skin & Nails with Biotin 3x Daily, Lutein & Zeaxanthin 25mg/5mg ,1x Daily, Vit D3, 2000IU Daily, B-12 2500mcg 3x weekly, sub-lingual, Cosamin DS ,1 d

Current Illness: none

ID: 0966882
Sex: F
Age: 51
State: LA

Vax Date: 12/17/2020
Onset Date: 12/28/2020
Rec V Date: 01/22/2021
Hospital:

Lab Data: No

Allergies: Seasonal allergies

Symptoms: I felt fine after the vaccine. Did just have a little soreness at the injection site. Then a co-worker told me my voice was strange, was hoarse. I was feeling fine. The next day I lost my sense of smell. Talked to my PCP and he told me to get tested for COVID, to my surprise I was positive. That was on the 28 or 29 of December. I also developed a lump on my neck on the right side and my PCP prescribed a Z Pack. I finished it but it never went away. I developed another lump on my left side when I took the second dose and I am taking Doxycicline for it.

Other Meds: Cosart 50mg for blood pressure

Current Illness: No

ID: 0966884
Sex: F
Age: 66
State: TX

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

Lab Data: none known.

Allergies:

Symptoms: Left arm was very hot, swollen and brusied. Left arm had pain from shoulder to elbow. Pain, swelling and bruising lasted several days. Patient also experienced vomiting starting the evening of the injection which continued for 3 days. vomiting subsided after receiving medication for the it. At the 6th day, the arm was only a little sore.

Other Meds: Quitiapine 300mg, Conazepam 1mg, Pantoprozole, Atrovastatin, Lisinopril/HCTZ, Levothyroxine

Current Illness:

ID: 0966885
Sex: M
Age: 51
State: CA

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

Lab Data: NA

Allergies: Bactrim, penicillin, shellfish

Symptoms: Redness and pruritus of bilat upper extremities, followed by throat tightness with mildly enlarged tonsils Approximately 10 minutes after vax administration. . Benadryl 50mg IM administered . S/S resolved 30minutes post benadryl. Monitored for additional 30 minutes post benadryl administration. Monitored for 1 hour total.

Other Meds: Dicyclomine, Lexapro, insuline (lantus), meclizine, naproxen, lisinopril, pantoprazole, senna, cymbalta, colace, Sinemet, Precose, tylenol, fiber, metformin, doxazosin, atorvastatin,

Current Illness: NA

ID: 0966886
Sex: F
Age: 29
State: PA

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

Lab Data:

Allergies: Penicillin

Symptoms: Ear pain, scratchy throat, headache, muscle pain, fatigue, fever, severe chills. Listed in order of occurrence following vaccination. Only treatment was Tylenol, hydration and sleep.

Other Meds: Trazodone

Current Illness: None

ID: 0966887
Sex: F
Age: 31
State: IA

Vax Date: 12/24/2020
Onset Date: 01/16/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: None

Allergies: Sulfa medication

Symptoms: Miscarried at 7.5 weeks between vaccination #1 and #2. I do not believe the vaccine was a cause, however, it was recommended to report just in case. This was a second pregnancy, first miscarriage. EDD was 9-1-2021. First pregnancy was uncomplicated. Pregnancy tests were negative prior to receiving the first vaccine and then turned positive on 12-29-2020 (5 days after getting first vaccine.)

Other Meds: Prenatal

Current Illness: None

Date Died: 01/22/2021

ID: 0966888
Sex: F
Age: 56
State: NV

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

Lab Data:

Allergies:

Symptoms: At 04:30 on 1/22/2021, facility was notified of employee death at home.

Other Meds:

Current Illness:

ID: 0966889
Sex: F
Age: 61
State: TX

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

Lab Data:

Allergies: none

Symptoms: The patient received the vaccine at about 2:40PM. She was in the store until 3PM and she didn't have any symptoms and left the pharmacy. She returned at about 3:38PM with swelling and redness of her cheeks and she had an itchy throat she said. She was breathing fine. I advised her to take some liquid Benadryl and she took 25mg. She said in our waiting room until 3:54PM at which time she said she was doing better and wanted to leave. I advised her to be evaluated at an urgent care. I called to check on her at 5:35PM and she said she had taken another 25mg of Benadryl at home and was feeling better. She said the redness and swelling on her cheeks was going down.

Other Meds: Lisinopril/HCTZ 20/25 according to her patient profile - I am unaware of any other medications that she may be taking

Current Illness: Patient had COVID last month

ID: 0966890
Sex: F
Age: 72
State: TX

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

Lab Data: None

Allergies:

Symptoms: Large (4 inch x 4 inch) raised red hive type rash. Very red. Very hot to the touch. Occurred one week after vaccine at injection site.

Other Meds: Linsiprol, zyprexa, zetia, baby aspirin, glucosamine, calcium, vit D, vit C

Current Illness:

ID: 0966891
Sex: F
Age: 49
State: NV

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

Lab Data:

Allergies: Yes, unknown which ones.

Symptoms: Moderna COVID-19 Vaccine EUA about ten minutes after IM injection patient started complaining of troubling swallowing and coughing violently. Vitals were checked: O2-100%, P-110-120 regular, BP-142/90. 25mg of benadryl was administered IM in the right deltoid. Shortly after that pt. stated it was getting easier to swallow. EMSA was contacted to respond for transport. Pt was monitored on site until transported to local hospital for further evaluation.

Other Meds: unknown

Current Illness:

ID: 0966892
Sex: F
Age: 39
State: CA

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

Lab Data:

Allergies: Sulfate antibiotics

Symptoms: Large swollen red hard lump in injection spot 8 days after shot.

Other Meds: None

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm