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: 0922030
Sex: F
Age: 46
State: MI

Vax Date: 12/22/2020
Onset Date: 12/27/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data: 1/2/21 --Undetectable TSH, and elevated ESR, free T3 and Free T4 1/5/21--US shows thyroiditis

Allergies: None

Symptoms: Thyroiditis with hyperthyroidism: 5 days after vaccine developed sweats, 10 days after the vaccine (1/1/21)developed fevers and right sided neck pain, tachycardia, myalgia

Other Meds: Iron supplement

Current Illness: None

ID: 0922031
Sex: F
Age: 37
State: CA

Vax Date: 12/22/2020
Onset Date: 01/01/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: headache, fever 101.9, head congestion, loss of taste & smell, tested for COVID-19 on 1/04/2021 and it was negative

Other Meds:

Current Illness:

ID: 0922032
Sex: F
Age: 49
State: WI

Vax Date: 01/03/2021
Onset Date: 01/04/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Received Pfizer covid 19 vaccine 1/2/21(Saturday). Bed time Saturday injection site was and still is tender. Also notice mild body aches at this time. Sunday came home from work w fever chills headache and vomiting

Other Meds: Losartan

Current Illness: None

ID: 0922033
Sex: F
Age: 48
State: AZ

Vax Date: 12/22/2020
Onset Date: 12/22/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data: They did an EKG when I went to the ED.

Allergies: I am allergic to sulphur.

Symptoms: I got it and within that short period of time I really just didn't feel well. My heart was racing and not racing, blood pressure was up and down.

Other Meds:

Current Illness: No

ID: 0922034
Sex: F
Age: 40
State:

Vax Date: 12/23/2020
Onset Date: 12/31/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 8 days post vaccine, red sharply demarcated rash over vaccine site, with pruritis. Resolved in about 1 day with topical steroid cream.

Other Meds:

Current Illness:

ID: 0922035
Sex: F
Age: 25
State: OK

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

Lab Data: N/A

Allergies: NKDA Reports allergy to various shellfish (historic); according to patient, has used albuterol inhaler and Benadryl in the past to treat such.

Symptoms: Patient complained of shortness of breath/tightness in chest. 3 RNs present to assess and evaluate with epilepsy-pen on hand to administer as necessary. Patient has not had any reactions to any previous vaccinations. Upon assessment, the patient was alert & oriented and was responding to questions. Patient was not tachycardia nor did she have any tachypnea with heart rate @ 86, RR @ 18, SPO2 @ 99%. Breath sounds were reported to be CTA bilaterally (conducted by RN & director of clinical operations). Patient's legs were evaluated, cold compress applied to back of neck, & she was instructed to take slow, deep breaths (in through nose, out through mouth to prevent hyperventilation). Patient remained conscious, alert, and responsive entire time. EMSA/emergency response arrived at 1200 to evaluate. Care relinquished at that time.

Other Meds: unknown

Current Illness: N/A

ID: 0922036
Sex: F
Age: 38
State: CA

Vax Date: 12/26/2020
Onset Date: 01/02/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies: NTK

Symptoms: 1/2/2021: In the evening, I started experiencing swelling (felt like a hard knot under the skin), itching, redness, and heat at the injection site. Earlier in the day I noticed a little pain discomfort in my right arm pit. As the day wore on, I noticed swelling in my lymph nodes and the level of discomfort increased to the point that it disturbed my sleep. 1/3/2021: The pain and swelling at the injection site and armpit continued to be the same. I took ibuprofen to try and alleviate the level of discomfort. That evening before bed also took Benadryl to see if it would help with the injection site reaction. I also started experiencing a dull shooting pain and tingling from my armpit down to my wrist on my right arm. 1/4/2021: The injection site improved, no more knot, heat, or itching. It still remained a little swollen. Lymph nodes were still swollen throughout the day, but manageable with ibuprofen. Shooting pain and tingling still occurring sporadically throughout the day. 1/5/2021: Still a little discomfort in the armpit, but seems to be improving.

Other Meds: Pirmella 1/35

Current Illness: n one

ID: 0922037
Sex: F
Age: 37
State: CA

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

Lab Data: finger stick glucose, EKG

Allergies: unknown

Symptoms: Patient received vaccine and started to feel lightheaded and flushed about 5 minutes after the dose. She fainted and was assisted to the ground. She did not lose consciousness. She was asked about her recent insulin dose and it was suspected that she did not eat enough food after taking her morning insulin.

Other Meds: Levothyroxine, insulin, regular, lantus, imitrex

Current Illness: unknown

ID: 0922038
Sex: F
Age: 40
State: WI

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data: n/a

Allergies: Rocephen, Azithromycin

Symptoms: States she started feeling sore and warm at injection site at about 9:30p on day of shot. Has a rash around injection site that was 4 inches across, but is slowly shrinking. Rash is warm,hot to touch. Elbow in right arm is tingling, but patient reports having long terms myalgias for other reasons.

Other Meds: Ibuprofen 800mg for muscle pain ongoing before vaccination

Current Illness: Sinus infection for the last 4 months. Finished levaquin 500mg on 1/3/21

ID: 0922039
Sex: M
Age: 51
State: CA

Vax Date: 12/28/2020
Onset Date: 12/31/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: headache, body aches, cough, chest pain when deep breathing, was tested for COVID-19 on 1/04/2021 and it was Positive

Other Meds:

Current Illness:

ID: 0922040
Sex: F
Age: 33
State: MA

Vax Date: 12/29/2020
Onset Date: 01/05/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies: Bactrim and cefodroxil (history of rash after taking both antibiotics)

Symptoms: Had mild to moderate pain in injection site (R upper arm) for approx 4 days after the vaccine, resolved entirely by 1/3. On 1/5, 7 days after receiving vaccine, developed onset within a matter of hours of R upper arm pain, swelling, itching and erythema.

Other Meds: Multivitamin; took ibuprofen and Tylenol following first dose for headache and injection site pain

Current Illness: None

ID: 0922041
Sex: F
Age: 45
State: TX

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: At 1310 patient reported lightheadedness, dizzy and throbbing to right temple. BP 136/87, P 60, R 20, SpO2 100%. At 1328 BP 146/88, P 72, R 20, SpO2 100%. Reports feeling dizzy, & tired. At 1336 Per RN, will monitor another 15 min since pt. c/o feeling woozy when standing. At 1341 Tingling in upper right chest area. Escorted to BR via w/c to urinate. At 1350 patient reports symptoms have resolved. BP 148/89, P 74, R 20. Reports can drive self home.

Other Meds: Vitamin D

Current Illness: low Vitamin D

ID: 0922042
Sex: F
Age: 46
State: AZ

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data: none

Allergies: red dye, bamboo shoot

Symptoms: At 2pm, I felt very tired like I hadn't slept all night with warm rosy cheeks-low fever. I took an 800mg and went to bed, woke up the next morning feeling great with no reactions.

Other Meds: Ibuprofen 800mg

Current Illness: none

ID: 0922043
Sex: F
Age: 55
State: TX

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Started having rash the day following the vaccination, the rash extended to the neck and is more severe, still until today the seventh day after the vaccine.

Other Meds:

Current Illness:

ID: 0922044
Sex: F
Age: 67
State: MS

Vax Date: 10/02/2020
Onset Date: 10/03/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies: Penicillin, latex, sulfa

Symptoms: Patient states that her arm is still sore after several months and that she has difficulty raising her arm above her head

Other Meds: Atorvastatin, amiodarone, escitalopram, clopidogrel, aspirin,

Current Illness: none

ID: 0922045
Sex: F
Age: 50
State: WA

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: On the way home I developed upper lip swelling followed by some right cheek swelling. At this point, I got really concerned ( maybe overly) but I pulled into a parking lot and called 911. I never had difficulty breathing and I had a normal pulse oximetry. The fire department stayed with me for a while and it did not worsen, so I declined the ambulance ride and headed home. The swelling lasted about 3 hours and resolved in reverse direction ( lip first, followed by the cheek)

Other Meds:

Current Illness:

ID: 0922046
Sex: M
Age: 47
State: TX

Vax Date: 12/23/2020
Onset Date: 12/23/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data: None

Allergies: NKA

Symptoms: I received the first Moderna shot at approximately 4:30pm on 12/23/2020. Around 9:30pm that evening, I began to feel fatigued and had a slight headache. I went to bed around10:15-10:30pm. Shortly after going to bed, my headache worsened and I began having chills. I was a bit restless that night and just did not feel well. These symptoms lasted until about 8am the following morning, 12/24/2020. I was still fatigued and still had a headache, which had lessened in intensity. I no longer had chills. The fatigue wore off throughout the day, but I still had a slight headache. Later in the evening I again became fatigued and still had a slight headache. The following day, my headache subsided, and I was only tired once evening came around. My symptoms had completely dissipated by 12/26/2020.

Other Meds: None

Current Illness: None

ID: 0922047
Sex: F
Age: 48
State: PA

Vax Date: 12/18/2020
Onset Date: 12/18/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data: None.

Allergies: Tetanus, thimerisol, Flagyl, bactrim, Augmentin, bee stings, mosquito bites, adverse reaction to Hep B vaccine series

Symptoms: Post vaccine 12/18 Shoulder and upper/mid-back soreness pretty quickly; left arm feels stiff shortly after leaving observation area (32 min in observation) 9:30 lip tingling/ numbness, headache, back soreness/tightness/ pressure continues 9:40 hearing muted, fullness/mild pressure in ears - first left then right a little later Headache waxes and wanes - at times feels like vice squeezing my head 11:50 heartburn sensation 12:00 localized swelling/ knot at injection site 12:04 wave of nausea/ mild heartburn Headache continues off and on 3:30 ear ache, nausea, stiff joints, arm/shoulder/back pain, neck pain 16:00 dizzy/ nausea 16:22 flushed feeling in cheeks and neck; itchy cheeks, neck, chest 16:50 still flushed, itchy all over, heart palpitations. Fitbit shows HR 78 Hives for several hours. Hives gone by morning but still intermittently itchy. Eyes itchy/ feels like a contact lens is stuck in a wrong spot (have not worn contacts in 12+ years) Very mild cough started in evening 12/19 Hives in afternoon; itching off and on all day HR 91 (21:30) 21:43 HR 97 dizziness, headache 22:00 hives on face and abdomen 23:09 eye hurts again and is so itchy I want to rip it out of the socket, headache persists 12/20 Mild-to moderate itchiness upon waking, Itchiness off and an Mild headache off and on 9:15 heaviness in chest - feel I like do just before I get bronchitis, very mild cough Itchiness throughout the day. Hives on face in evening/Skin has a sunburn-type feeing Hives on neck and chest at bedtime Eyes itching then hurting - feels almost like pink eye type sensation As I was dozing off to sleep, heart palpitations - HR 97 12/21 Itchy/ hives on face, neck, upper chest By 12/21 afternoon, itchiness and hives abated. No further symptoms

Other Meds: None

Current Illness: None

ID: 0922049
Sex: F
Age: 30
State: SD

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies: None Known

Symptoms: Following vaccine, patient became clammy, chills and shaky. C/O arms tingling, chest pressure, and lightheaded. Temp was 100., other VS normal, SaO2 100%. No respiratory distress. After period of time, patient still was not feeling well and "couldn't feel her arms". Decision made to go to the ED. 911 called and transferred

Other Meds: Unknown

Current Illness: None known

ID: 0922050
Sex: F
Age:
State: NH

Vax Date: 12/23/2020
Onset Date: 12/28/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data: Nonw

Allergies: NKA

Symptoms: Started with scant itching to site 12/28, developed large 4in x 4in inflamed site to L arm injection site, red spot hot to touch, tender and scantly itchy. Redness resolved in 3 days but arm continues to itch.

Other Meds: Nexplanon

Current Illness: None

ID: 0922051
Sex: F
Age: 40
State: NY

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

Lab Data: none

Allergies: baking soda industrial glue

Symptoms: Patient with very mild swelling lip and itchy feeling of tongue. Given 37.5 mg Benadryl, all symptoms resolved.

Other Meds: none

Current Illness: none

ID: 0922052
Sex: M
Age: 36
State: VA

Vax Date: 12/18/2020
Onset Date: 12/19/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data: COVID 19 Test-POS Tuesday December 22, 2020

Allergies: No

Symptoms: I had a fever, chills body aches and headache. I also lost my sense of smell.

Other Meds: NO

Current Illness: No

ID: 0922053
Sex: F
Age: 42
State: OH

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

Lab Data:

Allergies: No known allergies.

Symptoms: Swollen lips

Other Meds: Venlafaxine 75 mg, once a day Desogestrel/Ethinyl Estradol .15 my, once a day

Current Illness: None

ID: 0922054
Sex: F
Age: 33
State: AK

Vax Date: 12/19/2020
Onset Date: 12/19/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies: Paprika- Anaphylaxis Zofran- Causes extreme nausea and vomiting

Symptoms: 25 minutes after injection got light headed, BP was taken by RN 139/91, face then got red, hot and itchy. II was taken to the Emergency Department for further observation. I I also experience some nausea, my tongue was slightly itchy, I had a stomach ache and some redness/swelling round the injection site. At the ED I was given 25 md Benadryl PO and observed for another hour and a half before being discharged.

Other Meds: L-Lycine Vitamin D Fexofenadine Loratadine Symbacort Natures Bounty Hair Skin and Nails Supplement

Current Illness:

ID: 0922055
Sex: M
Age: 65
State: PA

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data: none

Allergies: none reported

Symptoms: Patient reported one side of the mouth twitching but it was fine a few hours later by end of shift.

Other Meds: Patient didn't indicate

Current Illness: none reported

ID: 0922056
Sex: F
Age: 22
State: NY

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies: DTap vaccine; amoxicillin

Symptoms: Moderna COVID-19 Vaccine EUA Chills, headache , fatigue on night of vaccine only 12/31/20 Tired, headache, muscle pain, lymph node in left armpit swollen/painful 1/1/21 Lymph node pain gone 1/2/21 *Shortness of breath/chest pain 12/31/20 - currently

Other Meds: Levocetirizin, purelax, tri-lo mariza

Current Illness: Covid 19 - cleared Dec 21

ID: 0922057
Sex: F
Age: 38
State: CA

Vax Date: 12/26/2020
Onset Date: 01/02/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data: none

Allergies: NTK

Symptoms: 1/2/2021: discomfort in armpit in am; swelling (felt like hard knot under skin), itching, redness, and heat at injection site in pm; swelling in lymph nodes and increased discomfort during the night-to the point of disrupting sleep. 1/3/2021: symptoms continued throughout the day; took ibuprofen with little relief. before bed took Benadryl to see if it would help with injection site pain. also started feeling dull shooting pain and tingling from armpit to wrist sporadically throughout the day. 1/4/2021: injection site discomfort started to resolve, no longer a knot, just slight swelling. lymph node swelling and discomfort continued. still feeling dull shooting pain and tingling in right arm. 1/5/2021: armpit discomfort starting to feel a little better, still sporadically getting shooting pain and tingling, just not as much.

Other Meds: Pirmella 1/35

Current Illness: None

ID: 0922058
Sex: F
Age: 49
State: TX

Vax Date: 12/29/2020
Onset Date: 01/04/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Vertigo - BPPV

Other Meds: Birth control pill low dose

Current Illness: None

ID: 0922059
Sex: F
Age: 40
State: WI

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies: rocephen and azithromycin

Symptoms: warm to touch at site of injection, rash up to 4 inches, starting to decrease

Other Meds: na

Current Illness: sinus infection for 4 months

ID: 0922060
Sex: F
Age: 50
State: CA

Vax Date: 12/24/2020
Onset Date: 01/02/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: allergy symptoms, tested for COVID-19 1/02/2021 and was Positive

Other Meds:

Current Illness:

ID: 0922061
Sex: F
Age: 62
State: IN

Vax Date: 12/26/2020
Onset Date: 01/01/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies: no known allergies

Symptoms: starting developing hives on back of my neck and head 6 days after the covid vaccine was administered. The hives progressed to my ears, arms, abdomen, groin, and upper thighs. I started taking Benadryl the first evening the hives started and continued benadryl for 2 more days. The benadryl did not stop the progression or help much with the intense itching. Had a telehealth visit via the telephone with Dr on Monday Jan 4. He ordered Atarax prn. I also started taking Pepcid and Zyrtec. Today I still have hives that are developing but at a much slower pace. The itching is much improved. DO I TAKE THE 2ND VACCINE?

Other Meds: none

Current Illness: no

ID: 0922062
Sex: F
Age: 51
State: OH

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies: Bleach and penicillin allergies

Symptoms: 2 hours after vaccine I had a headache, high blood pressure, lightheaded and, dizzy the day after I was sore all day. In addition ligament pain with lots of muscle pain.

Other Meds: N/A

Current Illness:

ID: 0922063
Sex: F
Age: 71
State: KY

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

Lab Data:

Allergies:

Symptoms: patient in waiting period post vaccine - received at 1738 p. Approx 6 pm, pt complained of not being able to take a deep breath. Was anxious prior to receiving vaccine. Skin warm, dry and pink. RR 18, BP 150/86, HR 72. States doesn't feel bad, but was restless and states I cant take deep breath. Refused ED, asked patient to wait for additional 20 minutes or so. Gave water/snacks. After 20 minutes, pt reported feeling better and wanted to leave.

Other Meds:

Current Illness:

ID: 0922064
Sex: F
Age: 69
State: OR

Vax Date: 11/14/2020
Onset Date: 11/16/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies: Cyclobenzaprine, Morphine, Tramadol, Alprazolam, Ciprofloxacin, Cortisones, ibuprofens, soap & cleansers, NP thyroid, Sulfamethoxaole-Trimeothoprim,

Symptoms: I was very tired for two days on Nov. 16 then noticed hives around my ankles on day 3 which continued to repopulate over my entire body and worsen. By the end of December they were much worse and were in hair, on face, bottom of feet & even vagina with extreme, burning and itching. I went to the Dermatologist & he diagnosed them as chronic Urticarial. I have been prescribed antihistamines which are of little help. I will be referred to a allergist for followup.

Other Meds: Armor thyroid, Cytomel, Albuterol inhaler, hydrocodone, Allegra, pseudoephedrine, tylenol, CyAZO, multi vitamin, vit.D, Vit. E, vit. C, magnesium, fish oil, S-adnosylmethionine, Glucosamine condroiton MSM, CoQ10, calcium, garlic oil, biotin

Current Illness:

ID: 0922065
Sex: F
Age: 52
State: OH

Vax Date: 12/26/2020
Onset Date: 01/04/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies: PCN

Symptoms: 1/4/21 around 10am became extremely nauseated, clammy, dizzy and hot. No temp and had just received COVID POC test and was negative. Left to go home and had loose stool then chills, body aches, hot spells, and extremely tired. Could not stay awake and was in brain fog. Slept all day, all night and all day on 1/5/21. No appetite, stuffy nose, headache, chills and hot spells, no fever, Again unable to stay awake.

Other Meds: Allopurinol 300mg tab (Zyloprim) Bupropin 150mg (Wellbutrin) Bupropin 300mg (Wellbutrin) Fluxetine 40 mg furosemide 20 mg (lasix) Levothyroxine Sodium 100 mg tab (Snythroid) Lisinopril 2.5mg Lorazepam 1mg (Ativan) Steglujan 15-100 mg Tab S

Current Illness: none

ID: 0922066
Sex: F
Age: 38
State: VA

Vax Date: 12/28/2020
Onset Date: 01/05/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies: Augmentin

Symptoms: localized redness and swelling 0600 which spread noted at 1830, itching 1830

Other Meds: Synthroid, zoloft, wellbutrin, zyrtec, Vitamin D3, Jolessa

Current Illness:

ID: 0922067
Sex: M
Age: 65
State: MD

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

Lab Data: no

Allergies: no

Symptoms: Felt fine initially. Went to get something to eat. Came home and laid down for a while. Felt tightness in chest and gasping for air. and headache and little dizzy, like a burning pain in his chest.

Other Meds: Flomax, Allopurinol, Hydrochlorothiazide, Simvastatin, Hydrocodone

Current Illness: no

ID: 0922068
Sex: F
Age: 27
State: MA

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies: Cat Lactose intolerance

Symptoms: Joint pain/Muscle aches - 2 - 36 hours following shot Arm pain at sight - 1-48 hours following shot Headache - 2-24 hours Rash on back similar to shingles - 4-12 hours Chills - 12-24 hours following shot

Other Meds: NA

Current Illness: NA

ID: 0922069
Sex: F
Age: 0
State: ID

Vax Date: 12/03/2020
Onset Date: 12/04/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Hives on legs, neck, and chest. Patient experienced hives for about 5 days. Patient experienced 103 fever.

Other Meds: None

Current Illness: None

ID: 0922070
Sex: F
Age: 62
State: MT

Vax Date: 12/28/2020
Onset Date: 01/04/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data: None as of today 1/5/21

Allergies: contrast dye, codeine

Symptoms: Moderna COVID-19 Vaccine EUA redness, warmth and itching of skin around injection site, no fever. Symptoms began last evening , one week after injection and are continuing. Notified employee health and PCP. will continue to self monitor and notify others if symptoms worsen.

Other Meds: HCTZ, /vitamin D,senior multivitamin, aspirin 81mg,Fish oil, vitamin C , cholestoff, metamucil

Current Illness: none

ID: 0922071
Sex: F
Age: 46
State: CA

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies: no

Symptoms: feeling like motion sickness, light headed/unbalanced which is causing nausea, when in sitting position on couch i feel fine. too much movement gets me nausea and feeling light headed

Other Meds: pramipexole, Montelukust/cinguilar, Oxycontin

Current Illness: no

ID: 0922072
Sex: F
Age: 47
State: IL

Vax Date: 01/03/2021
Onset Date: 01/03/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Pain at injection site, nausea, headache, fatigue

Other Meds: Lithium, Cymbalta, Iron, Vitamin D, Methyl Folate

Current Illness: None

ID: 0922073
Sex: F
Age: 63
State: NY

Vax Date: 12/28/2020
Onset Date: 12/31/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data: None

Allergies: Amoxacillian and Biaxin

Symptoms: I developed a red, swollen hard area surrounding the injection site 4 days after injection. It has now become warm to the touch and itchy. And this is 8 days post injection. I was given MODERNA COVID19 EUA

Other Meds: None

Current Illness: None

ID: 0922074
Sex: F
Age: 33
State: AL

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

Lab Data:

Allergies:

Symptoms: itching lower extremeties less than 30 minutes. no rash involved

Other Meds:

Current Illness:

ID: 0922075
Sex: F
Age: 40
State: TX

Vax Date: 12/19/2020
Onset Date: 12/24/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data: unknown

Allergies: no known drug allergies

Symptoms: She describes joint pain and gradual numbness on her arms.

Other Meds: unknown

Current Illness: Denies

ID: 0922076
Sex: F
Age: 40
State: OH

Vax Date: 12/28/2020
Onset Date: 01/04/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Moderate arm soreness 5-48 hours post-injection. Second, on the evening of 1/4/2021, noticed red rash, currently continuing to enlarge at time of this report. Intermittent light pruritis, mainly to palpation.

Other Meds: Prenatal vitamin Vitamin D

Current Illness: None

ID: 0922077
Sex: F
Age: 33
State: CO

Vax Date: 12/22/2020
Onset Date: 12/29/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data: breast exam 01/05/2020 with CBC and CMP pending diagnostic mammogram n/a ultrasond n/a

Allergies: none

Symptoms: 7 days after receiving Covid vaccine developed subclavicular lymphadenopathy on side of injection. Swelling developed and decreased. Due to area of lymphadenopathy, had to have breast exam, lab work and will need to schedule diagnostic mammogram and ultrasound. If that comes back clear there are discussions of CT scan.

Other Meds: Levora, lisinopril 5mg, claritin

Current Illness: none

ID: 0922078
Sex: F
Age: 37
State: CA

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data: N/A

Allergies: Aspirin- cannot tolerate Diabetic Insulin- rash/blisters at injection site/down leg

Symptoms: Dizzy/Fatigue/Achey/Nausea for 4-5 days. Sore arm at injection site for 3 days. Left toe swelled up and painful on day 2, but subsided within 24 hours.

Other Meds: Multivitamin, probiotic, biotene, Allegra

Current Illness: None

ID: 0922079
Sex: U
Age:
State:

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

Lab Data:

Allergies:

Symptoms: None stated.

Other Meds:

Current Illness:

ID: 0922080
Sex: F
Age: 62
State: NY

Vax Date: 01/02/2021
Onset Date: 01/03/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies: atorvastatin

Symptoms: Fever of 101 Fatigue

Other Meds: metformin HCL Levothyroxine Amlodipine Farxiga Eliquis Dofetilide Rosuvastatin

Current Illness: Covid 19 11-27-2020

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm