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: 0969147
Sex: F
Age: 77
State: MI

Vax Date: 12/22/2020
Onset Date: 12/27/2020
Rec V Date: 01/24/2021
Hospital:

Lab Data:

Allergies: Tetracycline Allergy

Symptoms: Red rash on Face, Forehead, Throat, around Ears , Took Benadryl ( Diphenhydramine )

Other Meds: Levothyroxine

Current Illness: No

ID: 0969148
Sex: F
Age: 67
State: WA

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

Lab Data: Bp and pulse ox

Allergies: Cipro, levaquin, compazine, pcn,

Symptoms: Initially face turned bright red and started burning. Redness spread to neck and shoulders and started resembling hives. Had some tingling in lips and tightness in chest, felt light-headed. Paramedics observed and checked vitals. Pulse ox was good, chest clear, BP high. Gave me choice of getting IV or going to drugstore and purchasing benedryl to begin immediately. Started oral benedryl. Went home and took 2nd dose. Redness is subsiding, BP reduced. Still mild light headedness.

Other Meds: Flecanide Acetate 50 mg, aldactizide 25 mg, creator 5 mg, Trileptel 150 mg, vitamin B-12, vitamin D3, Areds 2, pepcid

Current Illness: No illness

ID: 0969149
Sex: F
Age: 69
State: TX

Vax Date: 01/12/2021
Onset Date: 01/20/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data: None

Allergies: Levaquin, Bactrim Mango

Symptoms: Moderna COVID-19 Vaccine Eight days after injection I developed an itchy, red, raised area (like a single large hive) below the injection site. It was sore to the touch and hot. I did not run a fever. The following day it was no longer raised, but was still itchy and warm rather than hot. It was no longer tender but had become hard. The next the site was only red and by afternoon it was gone. I did not treat it except to apply a cool compress to alleviate the itching.

Other Meds: Metoprolol, telmisarten, osphena, xyzal, Prevacid, aspirin 81, D3, biotin

Current Illness: None

ID: 0969150
Sex: F
Age: 23
State:

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data: sent for COVID 19 testing

Allergies:

Symptoms: Sore throat

Other Meds:

Current Illness:

ID: 0969151
Sex: F
Age: 38
State: GA

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient reported injection site warm to touch, red, itching and swollen a week after immunization. Recommended Benadryl and hydrocortisone cream.

Other Meds: Birth control, propranolol

Current Illness:

ID: 0969152
Sex: F
Age: 30
State: KS

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

Lab Data:

Allergies: Amoxicillin and Paper Tape

Symptoms: Patient had 4 seizures within 72 hours after receiving the vaccination. This is increased frequency compared to regular amount of seizures.

Other Meds: Vimpat and Falbumet

Current Illness: Seizures; patient had a seizure the day prior to vaccination on, 1/15/2021.

ID: 0969153
Sex: F
Age: 57
State: PA

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

Lab Data: Monitored at ER - received Benadryl and prednisone

Allergies: Severe allergy to Penicillin

Symptoms: Immediate numbing of lips, increased heart rate; within 10 minutes, numbness travelled to tongue; 15 minutes down throat; 25 minutes numbness in checks and jawline

Other Meds: Vitamins the night before

Current Illness: None

ID: 0969154
Sex: F
Age: 93
State: OH

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

Lab Data: Unknown

Allergies: None

Symptoms: Pt. reported feeling "different", dizzy, notified. BP 200/110, HR 78, SO2 98% Called PCP and pt was taken to ER.

Other Meds: None

Current Illness: None

ID: 0969155
Sex: M
Age: 36
State: PA

Vax Date: 01/23/2021
Onset Date: 01/24/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data:

Allergies: No

Symptoms: Extreme chills, fever 101.5, muscle aches started approx 12 hrs post vaccination. Unable to complete activities due to symptoms

Other Meds: Levothyroxine, multivitamin

Current Illness: None

ID: 0969156
Sex: F
Age: 28
State: TX

Vax Date: 01/14/2021
Onset Date: 01/20/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data: On January 22, 2020, I saw my primary care physician who did not say definitely what it was. I received a steroid injection in my hip and was instructed to take a Zyrtec in the mornings, Benadryl at night, and to put a cold compress on it. I was also prescribed a steroid pack but have not started it. The rash went down that night, then the next morning came back, went down again, and a new spot has come up.

Allergies: None

Symptoms: 6 days after the vaccine, I got a small, itchy, red rash about an inch below where the vaccine was administered. It grew bigger every day and was hot to the touch. By the time I went to the doctor (8 days post vaccine), it was approximately 3 inches wide.

Other Meds: Daily women?s multivitamin Sertraline, 50mg Montelukast, 10mg

Current Illness: No e

ID: 0969157
Sex: F
Age: 23
State: TX

Vax Date: 01/09/2021
Onset Date: 01/22/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA Symptom onset was 2 weeks after second vaccine. Initially started with 48 hours of neck pain on the left side which then progressed to left sided facial drooping, inability to taste on front of tongue, decreased tear production in the left eye. Consistent with Bells Palsy. Started course of methylprednisolone today. No improvement yet.

Other Meds: OCPs

Current Illness:

ID: 0969158
Sex: F
Age: 67
State: AK

Vax Date: 01/07/2021
Onset Date: 01/15/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data:

Allergies: Bextra, NSAIDS, adhesives

Symptoms: Day 8 after the first shot of vaccine, I awakened to pain in my upper left arm that I was lying on. Right around the injection site was very red (about 3" in diameter), very hot and very sore and hard to the touch. It was itchy and there was a small red rash. It felt good to put a cold compress on it, but that only temporarily alleviated the pain. I put Triamcinolone Acetonide Cream 0.1% on the rash to relieve itchiness and went on a 6 mile hike that day. End of day, red blotch extended down arm towards elbow. Symptoms persisted for about 3 days until resolving. Mind you, I had none of this when first inoculated other than a slightly sore upper arm, not unlike having a flu shot.

Other Meds: Famotidine, Gabapentin, Vit D & C, MultiVitamin, Glucosamine

Current Illness: none

ID: 0969159
Sex: F
Age: 25
State: MA

Vax Date: 01/15/2021
Onset Date: 01/23/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Swelling of the left arm, pain at injection site, a red rash 2 inches in diameter. Pain started in the morning of January 23, one week after vaccination, swelling and rash was noticed in the evening of January 23.

Other Meds: IC JUNEL 1.5 MG-30 MCG Tablet, loratidine

Current Illness: none

ID: 0969160
Sex: F
Age: 56
State:

Vax Date: 01/15/2021
Onset Date: 01/16/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Sore throat X1 day

Other Meds:

Current Illness:

ID: 0969161
Sex: M
Age: 26
State: MA

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data: ER on 20th

Allergies: Cats, Dust, Asthma as a child

Symptoms: Difficult breathing, varying in severity; it is sometimes very bad. I had to go to the ER last week, and they gave me an inhaler. Also, tightness in the chest. This has been ongoing for ten days

Other Meds: Seraquel and Zoloft

Current Illness:

ID: 0969162
Sex: F
Age: 25
State: WI

Vax Date: 01/07/2021
Onset Date: 01/24/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: On Monday morning 01/11/2021 I had a headache, fever, chills, and nausea. I did not go to the hospital/doctors office for treatment. The symptoms lasted 24 hours. I have not had any other symptoms since then.

Other Meds: Sertraline

Current Illness: None

ID: 0969163
Sex: F
Age: 48
State: FL

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

Lab Data:

Allergies: Bees, pollen, mold, cats

Symptoms: Had a headache within 10 mins. After 30 mins of shot -had bottom lip numbness and loss of taste then swelling of throat and left side of face. Anaphylactic symptom and all other symptom were worsening until decreased when Benadryl and Pepcid AC which was taken an hour later due driving en route to destination. Within 2 hrs all symptoms were gone except for throat tenderness. Continued Benadryl and Pepcid AC for 2 days now.

Other Meds: Simvastatin 20mg, singularity 5 mg, microgestin 1/21, Zyrtec, multivitamin, alpha lipoic acid 600 mg, morninga 1200 mg, vit D3, turmeric,

Current Illness: None

ID: 0969164
Sex: M
Age: 47
State:

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data: None

Allergies: No known allergies to anything

Symptoms: 1. Received shot at 2:30 pm in 1/21. No adverse effects until 4:00 am 1/22. On 1/22 @ 4am began having chills to include uncontrollable shaking like I was really cold, especially in my legs & feet. Fever of 99.7 from 4 am until approximately 2:00 pm on 1/22 2. Also had headache that lasted approximately 2 days. 3. General feeling of being run down for approximately 2 days after receiving shot in 1/21. *all adverse effects were gone on 1/23 @ 7:00 am.

Other Meds: Lesiniprol - high blood pressure medication Testosterone. Cyp - hormone replacement 1cc per week

Current Illness: None

ID: 0969165
Sex: M
Age: 33
State: MS

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data: Sent to doctor, doctor started him on Medrol dose pack stating that it was a minor case of Bells Palsy. Notes some improvement but doctor explained it will take 4-6 weeks to fully recover.

Allergies: seafood, iodine

Symptoms: Patient had drooping in left side of mouth and left eye 15 minutes after vaccine.

Other Meds: Omeprazole

Current Illness: H pylori

ID: 0969166
Sex: F
Age: 67
State: NM

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data: none

Allergies: I have Multiple Chemical Sensitivities and have tested allergic to the families of ethanol, formaldehydes, phenols, and chlorine. Drug allergies: Tylenol, Benadryl, Dilaudid, Demerol, Morphine, Tramadol, Hydrochloroquine, Sulfasalazine, Penicillin, Chromalyn, Otezla, Methotrexate. Foods: Sugar, Dairy, Grains, and food additives. Metals: Silver, Copper, Chromium, Cobalt, Beryllium. Other: grass & tree pollens, skunkweed, ragweed, dusts and molds.

Symptoms: In the middle of night started feeling dizzy and developed soreness in arm at injection site.. Over the next few days, I developed symptoms: slight fever of 99.4 F, diarrhea, unable to eat much, malaise, still dizzy and sort of "blanking out" at times. Arm pain lessened in 2 1/2 days.

Other Meds: Prednisone: 2.5 MG, 1/day, Vit c, d, K , e , b, zinc, melatonin 10 mg, Calcitonin Spray, Thyroid: 37.5 mg/day.

Current Illness: None

ID: 0969167
Sex: F
Age: 70
State: DC

Vax Date: 01/15/2021
Onset Date: 01/17/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data:

Allergies: Codeine can make me feel nauseous

Symptoms: I broke out in an itchy rash on my thighs, buttocks, legs and arms on the Sunday after my vaccination. One week later, I still have it but it is not as itchy or as irritating as it was originally.

Other Meds: Atorvastatin 20 mg; QVAR 80 mg; montelukast 10 mg; imvexxy insert 10 mcg; trimosan jelly;raloxifene 60 mg; nitrofurantin mcr 50 mg; famotidine 40 mg; vitamin D 3 4000 IU; aspirin 81 mg; super ubiquinol 4000 IU; fexofenadine hydraxhloride 1

Current Illness: None

ID: 0969168
Sex: F
Age: 73
State: CA

Vax Date: 01/23/2021
Onset Date: 01/23/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data: NONE IT WAS SATURDAY DR'S OFFICE CLOSED WILL CALL MONDAY.

Allergies: CODEINE, STEROIDS, PICKLES, SOME CHEMO MEDS

Symptoms: WITH IN ONE MINUTE , BURNING PAIN IN LEFT ARM STARTING AT INJECTION SITE SPREADING DOWN ARM, WITHIN 25 MINUTES TONGUE,AND LIPS STARTED TO ITCH. WITHIN 40 MINUTES ITCHY RASH ON FACE . THEN WITHIN ONE HOUR IT SPREAD TO HEAD NECK AND STOMACH. TOOK BENADRYL 25 MG EASED OFF RASH AND ITCHING. STILL TAKING BENADRYL .TO REDUCE RASH AND ITCHING

Other Meds: RANOLAZINE, METOPROLOL, LOSARTAN, CHOLESTYRAMINE, LEVOTHYROXINE, DIAZEPAM, OMEPRAZOLE

Current Illness: NONE

ID: 0969169
Sex: F
Age: 36
State: NY

Vax Date: 01/17/2021
Onset Date: 01/24/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Itchy, red, swollen and hard knot at/around injection site

Other Meds: Collagen pill

Current Illness: None

ID: 0969170
Sex: F
Age: 83
State: AZ

Vax Date: 01/21/2021
Onset Date: 01/24/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data:

Allergies: Penicillin, shrimp, wool

Symptoms: rash on left buttock

Other Meds: Levothyroxine, Lisinop/HCTZ, Memantine, Pot Chloride, Montelukast; baby aspirin

Current Illness: none

ID: 0969171
Sex: F
Age: 43
State: NY

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

Lab Data:

Allergies:

Symptoms: Tingling of the face

Other Meds:

Current Illness:

ID: 0969172
Sex: F
Age: 82
State: VA

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data: None

Allergies: penicillin

Symptoms: mild fever (101-102), chills, intermittent chest pain (she said it was likely related to muscle contractions due to chills), pulse ox 91-92, pulse 110, finger bone ache. the following morning, vomited water, diarrhea symptoms resolved over the next 2-3 days.

Other Meds: nitrofurantoin was started 01/10/2021, multivitamin, vitamin D

Current Illness: None

ID: 0969173
Sex: F
Age: 68
State:

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

Lab Data: N/A

Allergies: sulfa, shellfish

Symptoms: at 545 PM patient reported feeling warm and flushed vitals at 550 PM 192/88 O2 97 HR 72 given IM Benadryl 50mg left deltoid at 552 PM repeat VS @ 6 PM manual BP 164/82 and rest of VS WNL monitoring for 10 mins by nurse and paramedic VS @ 610 PM 97%O2 68 HR 150/86 BP on D/C stable and will monitor, to go to ED if SOB, or any signs of distress develop

Other Meds: n/a

Current Illness:

ID: 0969174
Sex: F
Age: 46
State:

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Chills. fever and pain reported

Other Meds:

Current Illness:

ID: 0969175
Sex: F
Age: 60
State: WA

Vax Date: 01/15/2021
Onset Date: 01/23/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data: N/A

Allergies: N/A

Symptoms: 4 inch by 2inch red rash at site of injection and extremely itchy

Other Meds: Multi vitamin, elderberry gummies, calcium chews, vitamin D

Current Illness: N/A

ID: 0969176
Sex: F
Age: 43
State: AL

Vax Date: 10/17/2020
Onset Date: 10/17/2020
Rec V Date: 01/24/2021
Hospital:

Lab Data: unknown

Allergies: no known

Symptoms: Patient just told me today and mentioned that 3 hours after the vaccination they felted bad and went to the Emergency room. Also mentioned that they are currently seeing their MD concerning this. She came to the pharmacy today to retrieve a copy of her consent form so that she could provide the information for her doctor.

Other Meds: Prescriptions medication that the patient stated she was taking: Levothyroxine and Paroxetine 10 mg

Current Illness: none

ID: 0969177
Sex: F
Age: 30
State: MD

Vax Date: 01/15/2021
Onset Date: 01/16/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data:

Allergies: Peanuts

Symptoms: Itching and hives on legs, feet, arm, breast

Other Meds: Latuda, lorazepam, Abilify, fluvoxamine

Current Illness:

ID: 0969178
Sex: F
Age: 50
State: AK

Vax Date: 01/01/2021
Onset Date: 01/20/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Arm soreness- Could not lift 1 hour after vaccination ( this was accepted as part of common side affect) resolved in 3 days. Muscle aches and small chills - resolved Daily Head Aches major migraines have not resolved. Left side of face, cheek bones, and leg side of top of head and forehead and left side back of neck continue to be extremely painful with advil to the touch as well. no pain on the right side of face or neck.

Other Meds: None

Current Illness: None

ID: 0969179
Sex: F
Age: 34
State: IL

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data: I went to immediate care on Saturday and got blood work done C1 Esterase inhibitor, serum for rash and Tryptase for rash.

Allergies: Seasonal allergies

Symptoms: My upper back became flushed and a mild rash developed and disappeared about 30 minutes later. I had small mild rashes on my stomach and back that that lasted until Saturday. My skin felt a bit itchy and prickly in some places.

Other Meds: N/A

Current Illness: None

ID: 0969180
Sex: F
Age: 57
State: CA

Vax Date: 01/17/2021
Onset Date: 01/18/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data: Just a Dr visit where medications above where ex. Worth mentioning though is my BP was very high 170/ 108 and 168/ 100 at this visit. This is while on my BP medication.

Allergies: Morphine

Symptoms: Around 3 am on 1/18/2021 I woke up with a very sore lymph node on my lower head left side. Within a few hours lympnodes in my neck, behind my ear and on my collar bone were all swollen and painful. On Wednesday 01/20/2021 I developed hives on my scalp, in my left ear, and on and around all swollen lymph nodes. I left work on 1/20, still couldn't go to work 1/21 on 1/22 I saw Dr. Who have me a shot of Kenalog and some triamcinolone cream for hives. I tried to work, but only lasted 4 hrs and went home. It is now one week since vaccine number two and on top of still raw spreading hives, and swollen glands , I now have a sharp pain constantly shooting through my left temple which is relentless. I am miserable.

Other Meds: Lisinopril 20mg 1 PO QD Simvastatin 20 mg 1 PO QD fluoxitiene 20 mg 1 PO QD Phentermine 37.5 mg 1PO QD omeprazole 20 mg 1 PO QD

Current Illness: None

ID: 0969181
Sex: F
Age: 32
State: CA

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data: None

Allergies: N/A

Symptoms: I woke up the next morning after receiving the vaccination with very severe pain to my right arm. It was deep in my arm pit (axillary region). Painful lymph nodes in that area. General fatigue and aches progressed throughout the day as well. But the arm pit/ breast pain was very severe!

Other Meds: Oral contraceptive

Current Illness: N/A

ID: 0969182
Sex: F
Age: 46
State:

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Chills, fever and pain at injection site

Other Meds:

Current Illness:

ID: 0969183
Sex: M
Age: 27
State: CA

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

Lab Data:

Allergies: Penicillin

Symptoms: Since receiving my first dose of the COVID vaccine, I experience a heavy feeling in the chest and tightness in the heart at least once per day, ranging from 15 minutes to 3 hours. The pain is not excruciating, but is worrisome as I've never experienced the symptoms before.

Other Meds: Omeprazole

Current Illness:

ID: 0969184
Sex: M
Age: 74
State: GA

Vax Date: 12/31/2020
Onset Date: 01/01/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data: None

Allergies: TEGRETOL

Symptoms: body aches, malaise for 2 days

Other Meds: NONE

Current Illness: NONE

ID: 0969185
Sex: M
Age: 29
State: MA

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data: N/A

Allergies: Peanuts, Pine Nuts

Symptoms: After the mandatory 15 minute waiting period in the vaccine waiting area at Hospital, I felt okay and did not feel the need to remain in the waiting area. After I returned home between an hour and an hour and a half after receiving the first dose of the Moderna Vaccine, I felt the onset of an anaphylaxis reaction in which my mouth felt dry and my throat began to feel swollen. I used my Epipen and took Benadryl to help the allergic symptoms subside. After this treatment, the symptoms subsided and I did not seek further medical attention as it was unnecessary. I was in the care of my father who is a physician.

Other Meds: Flovent Inhaler - Corticosteroid

Current Illness: N/A

ID: 0969186
Sex: F
Age: 77
State: WA

Vax Date: 01/23/2021
Onset Date: 01/23/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data: None yet

Allergies: Fentanyl Keppra Prevastatin Sulfonamides Wellbutrin

Symptoms: 1/23. Seizure 1/24. Seizure

Other Meds: Venlafaxine Topiramate Miritazapi Losartan Allopurinol Baby asprin

Current Illness: None

ID: 0969187
Sex: M
Age: 71
State: IN

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Pain in left arm from elbow up, pain between shoulder blades, stiff neck

Other Meds: Tamsulosin, Hydrochjorothiazide, Irbesartan, Latanoprost eye drops, Fluticasone nasal spray, Fish oil, 81mg aspirin

Current Illness: Sleep Althea None

ID: 0969188
Sex: F
Age: 56
State:

Vax Date: 01/08/2021
Onset Date: 01/12/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data:

Allergies:

Symptoms: fell down on Thursday and got vaccine on Friday, Had swelling and resolved now with purple area large where swelling was and migrating to feet and experiencing dizziness, heart is racing; gasping for air over phone but able to speak a complete sentences

Other Meds:

Current Illness:

ID: 0969189
Sex: F
Age: 76
State: WI

Vax Date: 01/10/2021
Onset Date: 01/13/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: On 1/13/21 throat suddenly seized, had to work hard to expell or inhale air Turned slightly got dizzy then almost passed out but held on to handle of cart and then it passed and was able to breathe freely whole episode took about 20 seconds on the following night (1//14/21) about the same time was overwhelmed with nausea and strong abdominal cramps . Thought I was coming down with the stomach flu. Reaction disappeared after about an hour.

Other Meds: none

Current Illness: none

ID: 0969190
Sex: F
Age: 64
State: SC

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data:

Allergies: Erythrocin, penicillin

Symptoms: Patient developed a very large bruise at site of administration. She reports she bruises easily; however, the bruise was larger than the size of a quarter in diameter. Tender at site of administration.

Other Meds:

Current Illness:

ID: 0969191
Sex: F
Age: 34
State: CA

Vax Date: 01/16/2021
Onset Date: 01/23/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data:

Allergies: Peanuts, penicillin, sulfa

Symptoms: Injection site red, slightly swollen, and itchy beginning 6 days after vaccination and grew in irritation on day 7. Taking Benedryl and using a topical cream to control itch.

Other Meds: Advair discus

Current Illness: N/A

ID: 0969192
Sex: F
Age: 22
State: MD

Vax Date: 01/23/2021
Onset Date: 01/23/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data: Bloodwork and X-Ray 1/24/2021.

Allergies: Amoxicillin, Advil

Symptoms: Chest pain, Pain on breathing deeply, numbness and tingling in left arm, hand, leg, foot

Other Meds: None

Current Illness: None

ID: 0969193
Sex: F
Age: 61
State: CA

Vax Date: 01/13/2021
Onset Date: 01/24/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: On day 10 I woke up with a red itchy rash at tbe injection site.

Other Meds: Baby aspirin Losartan 50 mg Vitamin D Atorvastatin 80mg Melatonin 10mg Pepcid 20mg Advil 400 mg Latanoprost eye drops

Current Illness: None

ID: 0969194
Sex: F
Age: 33
State: NJ

Vax Date: 01/06/2021
Onset Date: 01/14/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: I was totally fine after the vaccination, just had pain in my arm for two days. After 8 days of vaccination, there was swelling and redness in the vaccination area along with itchiness, and my arm started hurting again. The swelling and redness lasted for 5-6 days, but I still feel the pain if I do much work.

Other Meds: Vitamin C supplement for 3 days just before the symptoms started to show up

Current Illness: None

ID: 0969195
Sex: F
Age: 30
State: CA

Vax Date: 01/15/2021
Onset Date: 01/22/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data: went to the urgent care got diagnosed with cellulitis

Allergies: n/A

Symptoms: left arm became red and swollen, hot and purple

Other Meds: N/A

Current Illness: n/A

ID: 0969196
Sex: F
Age: 46
State: IN

Vax Date: 01/22/2021
Onset Date: 01/23/2021
Rec V Date: 01/24/2021
Hospital:

Lab Data: None

Allergies: Aleve

Symptoms: Tired/weak. Sore Throat

Other Meds: Venlafaxine, 150mg Propranolol 60mg Omega-3 Magnesium 250mg D3 1000IU

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm