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: 0971025
Sex: F
Age: 43
State: OR

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: N/A

Allergies: N/A

Symptoms: I received an instant headache, my left arm swelled and was painful from my shoulder down to my hand. Later in the day i became extremely tired, had pain in my neck. The next day i was still very tired, arm pain, headache, body aches, vomiting. Day 4 i am still very tired with body aches.

Other Meds: Trazadone, Venalafaxine, Rosuvastatine, Lisinaprol, baby asprin

Current Illness: N/A

ID: 0971026
Sex: F
Age: 84
State: AK

Vax Date: 01/08/2021
Onset Date: 01/24/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: n/a

Allergies: n/a

Symptoms: 8th of January got shot. achy right arm and swollen for week. 24th took shower whole shot area was red with rash. could see mark where needle went in. felt tired and arm ached.

Other Meds: Prevagen, Vitamin e 180mg, vitamin d 3 125 mcg, vitamin c 250 mg, CoQ 10 200mg, Collagen 6000mg

Current Illness: n/a

ID: 0971027
Sex: F
Age: 54
State: VA

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Pt reported "tightness" in chest and stumbled then collapsed on stairs near exit. Pt was beginning to lose consciousness. RN administered two doses of 0.3mg EPI Pen three minutes apart. Pt became more alert and reported improvement in respiratory status. EMS transported patient to hospital.

Other Meds:

Current Illness:

ID: 0971028
Sex: F
Age: 55
State: FL

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: None in clinic, sent to physician after consult with healthcare facility

Allergies: ferrous sulfate

Symptoms: Sudden onset of pain in injection site, radiating to neck. Decreased range of motion without severe pain. Arm is extremely heavy and unable to be moved very much. Increased with movement and palpation. Unable to work.

Other Meds: B12, Trazadone

Current Illness: none

ID: 0971029
Sex: M
Age: 46
State: AZ

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: Complete physical examination, CBC, EKG

Allergies: No known allergy to drug or food.

Symptoms: Vaccine recipient experienced a bit of headache, nausea and vomiting after vaccination on 1/19/2021. On 1/22/2021, he started having palpitations and also mentioned that his blood pressure was really high.

Other Meds: None listed.

Current Illness: History of Hypertension.

ID: 0971030
Sex: F
Age: 41
State: OR

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: Amoxicillin

Symptoms: 1/21/21: Immediate swelling at injection site, hot to touch and arm soreness 1/22/21: I woke up at 7:30am with a sore throat and right ear pain. This is typical for me when I am starting to fight something off. I was managing okay until around 1pm when I started to low grade fever at 99.8. By around 4pm, my body was really starting to ache and I was getting chills. After the training, I took some Thera Flu, but I couldn?t really move from the couch to the bed because my body was so sore. My fever fluctuated between high 99?s to low 100?s. I felt like I got hit by a truck. I managed to fall asleep around 8:00pm and was able to sleep until 1:00am. I took more Thera Flu, water, and was able to fall back to sleep at 3:00ish am. 1/23/21: I woke again at 11:00am and my aching was still there but not nearly as bad as the previous day but now I felt heavy congestion in my head and chest. I also had sneezing, and a stuffy then runny nose off and on throughout the day. I was also very, very tired and had no energy to do anything but lay there. Today is when the diarrhea started 1/24/21: Body aches at this point are still tolerable but I?m sore. My arm injection site is bruising and starting to itch and still slightly warm to the touch. I have sneezing, a dry cough, and an off and on runny nose and diarrhea 1/25/21: Body aches are mild today, dry cough is here, post nasal drip mucus I am assuming as well. All I want to do is sleep. I?m so tired. No diarrhea today so far but I haven?t had anything to eat yet.

Other Meds:

Current Illness:

ID: 0971032
Sex: F
Age: 59
State: WA

Vax Date: 01/21/2021
Onset Date: 01/23/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Nausea, vomiting, diarrhea

Other Meds: levothyroxine, roprinerole, trazadone, ibuprobren, acetaminophen, anti-diarrheal

Current Illness: bronchitis

ID: 0971033
Sex: M
Age: 50
State: FL

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Scratchy throat and post nasal drip developed within 15 mins of vaccine administration. VS remained stable. 1700 Diphenydramine 25mg IM administered. 1723 Epineprine 1 mg IM administered. Patient monitored, VS remained stable. Symptoms improved. Patient discharges at 1743. Patient was driven home.

Other Meds:

Current Illness:

ID: 0971034
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 01/25/2021
Hospital: Y

Lab Data: Heart rate irreg, aspiration

Allergies:

Symptoms: ON Jan 16 complained of lightheadedness then felt better after supper and nap. Next day ok On Jan 22 did not get up, had stroke, taken by ambulance to hospital and transferred to medical facility.

Other Meds:

Current Illness:

ID: 0971035
Sex: F
Age: 55
State: CA

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Her arm is sore and swollen. Chills, Body aches down her spine, 99.5 temperature. She feels the vaccine is causing depression.

Other Meds:

Current Illness:

ID: 0971036
Sex: M
Age: 80
State: AL

Vax Date: 01/22/2021
Onset Date: 01/24/2021
Rec V Date: 01/25/2021
Hospital: Y

Lab Data: CXR: subtle left base hazy infiltrate, mild hyper-expansion COVID Swab: Negative CBC, CMP, Lactic acid (3.2), cardiac enzymes, BNP, Magnesium, TSH, PT/INR/PRR, UA, Blood culture, urine culture all performed as well.

Allergies: No Known Allergies

Symptoms: The patient woke up at 0100 on 01/24/2021 reporting shortness of breath, expiratory wheezing, shaking with chills, subjective fever. The patient was seen in the Emergency Department and admitted with a dx of COPD exacerbation. The patient improved nicely after bronchodilators, antibiotic therapy and steroid therapy. The patient was discharged on 01/25/2020 prior to noon.

Other Meds: DENIES

Current Illness: None

ID: 0971037
Sex: F
Age: 67
State: FL

Vax Date: 01/24/2021
Onset Date: 01/25/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: None.

Allergies: Amoxicillin, sodium penethol, nitrous oxide, oxycodone.

Symptoms: When she came home started getting really cold around 5:30 pm yesterday. Started having chills all night and slept with winter coat on. Started getting sick to her stomach all evening, started throwing up last night beginning at 11:00 PM, throwing up bile. Today having fever of 101, didn't take anything for it, but down to 100 now. Took 2 Tums and had such achy joints and sat down in a chair and could not get up from the chair. Took some Tylenol and that helped, but freezing cold. Didn't sleep all night. Has not notified her doctor of the symptoms, just calling us.

Other Meds: Metoprolol titrate, nondrowsy allergy daily, prevagen daily.

Current Illness: None.

ID: 0971038
Sex: F
Age: 55
State: TX

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: I had serve tenderness and redness at the site I had dizziness, headache, feeling, tired, I felt like I had flu, chills, nausea, stomach cramps, muscle pain, joint pain. I had some insomnia. I had this for about 3-4 days after. I started feeling better on Saturday and got the vaccine on a Tuesday. I spoke to my Dr. about it and we decided to take Tylenol and a lot of baths.

Other Meds: Vitamin B-6 Vitamin D Folic Acid -1mg /2x day Efexer-25mg/daily Metaphrolof-50mg/daily Lidado- 4mg/daily Cranberry Exact

Current Illness:

ID: 0971039
Sex: F
Age: 59
State: IA

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: PCN, Amoxicillin, Cephalosporins

Symptoms: hives started 30 minutes after vaccine administered, then she started feeling wheezy and tongue thickness. Rapid response team notified. Epinephrine given and patient transported to ER

Other Meds:

Current Illness:

ID: 0971040
Sex: F
Age: 45
State: KS

Vax Date: 01/22/2021
Onset Date: 01/23/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: I monitored my own temperature at home and never saw a physician.

Allergies: None

Symptoms: Woke up at 2:30 am on 1/23/21 with fever of 100.8, chills, and headache. I monitored my temperature and it peaked at 101.5 at 5:00am on 1/23/21. I took two Tylenol and my fever started to go down, but it was still elevated between 99 and 100 degrees until around noon. The chills and headache persisted until around 6:00 pm that day. That night and the next day, I was fine - no temperature, chills or headache.

Other Meds: Omeprazole, Escitalopram, Multivitamin

Current Illness: None

ID: 0971041
Sex: F
Age: 31
State: MI

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: None

Allergies: Singular, pets, outdoor allergens, cold, heat, gluten, estrogen if levels not within normal range

Symptoms: Right after vaccination patient felt warm, rash started to appear and had intense itching about 10 minutes in to the event. She had premedicated with Benadryl 12.5mg along with Zyrtec. After itching started she was given an additional 12.5 mg of Benadryl. She was monitored for >30 minutes with improvement of symptoms. Rash still present but she said no longer has itching and that she knew her body well and that she was fine to leave. She stated that her mother was in the car waiting for her since she knew that she might have this type of reaction. We had a long discussion about going to the ER but she said she has Benadryl on her if needed and knew when she needed to get to an ER in terms of symptomatology. We also discussed option of having next dose with an allergist. She would like to call her allergist to discuss options but feels comfortable getting 2nd dose knowing how she reacted this time.

Other Meds:

Current Illness: Mast cell activation syndrome; Postural orthostatic tachycardia syndrome

ID: 0971043
Sex: M
Age: 89
State: NC

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: Doctor confirmed Shingles.

Allergies: Penicillin

Symptoms: Developed pain on right side including arm down into hand and right shoulder.

Other Meds: Valsartan, Pradaxa, Plavix, Crestor, Zetia, Sotalol

Current Illness: Afib

ID: 0971044
Sex: F
Age: 51
State: PA

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: Tetracycline

Symptoms: This vaccine should have been injected into the deltoid muscle but it was injected into my shoulder, almost directly into the shoulder joint. It caused pain immediately during the injection which became increasingly problematic over the coming hours. By early evening I was unable to lift my arm and was in excruciating pain. The following day I was in so much pain and unable to use my arm at all, moving my arm or even turning my wrist caused me to cry out from the pain. I called my doctor and he prescribed Tramadol for the pain as I had been self administering 800mg of ibuprofen for the previous 20 hours and getting no relief. The Tramadol provided minor relief, enough that I could get comfortable to sleep. Four days later I am still experiencing pain and difficulty doing basic things like dressing/undressing myself or lifting a gallon of milk.

Other Meds: Synthroid

Current Illness:

ID: 0971045
Sex: M
Age: 80
State: CA

Vax Date: 01/22/2021
Onset Date: 01/23/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: Penicillin, Sulfa drugs.

Symptoms: Sore shoulder for 3 days.

Other Meds: none

Current Illness: none

ID: 0971046
Sex: F
Age: 25
State: PR

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: NO

Allergies: None

Symptoms: Weakness and paresthesia on the arm where the vaccine was administered

Other Meds: None

Current Illness: None

ID: 0971047
Sex: F
Age: 29
State: OR

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: was feeling fine at home until a few minutes I got to work, Feeling off/weird

Other Meds:

Current Illness:

ID: 0971048
Sex: F
Age: 78
State: DE

Vax Date: 01/17/2021
Onset Date: 01/21/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: none

Allergies: none known

Symptoms: 1/21 Significant itching at injection site. Refrained from touching. By evening progressed to small area of redness and swelling. 1/22 Much larger area, rosy red, swelling and felt hot. Applied ice. Area affected continued to spread. 1/25 Presently extends from shoulder to arm pit, but not under arm. About size of very large orange. Tender, but not painful. Very itchy, still red, hot feeling, and puffy. Hopeful it is safe to receive 2nd dose around 2/14/2021

Other Meds: daily: 1 general vitamin, 1 calcium, 2.5 mg prednisone, 12.5mg lisinopril, 5mg warfarin

Current Illness: none

ID: 0971049
Sex: F
Age: 63
State: PA

Vax Date: 01/14/2021
Onset Date: 01/22/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: Penicillin and Sulfur drugs

Symptoms: Rash all over body. extreme swelling at injection site 8 days after injection Treatment Benadryl. outcome ongoing

Other Meds: Prolia

Current Illness: no

ID: 0971050
Sex: F
Age: 80
State: MD

Vax Date: 01/21/2021
Onset Date: 01/23/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: not sure

Allergies: none that i know of

Symptoms: Subject: COVID-19 Vaccine I received my COVID-19 vaccine (right arm) on January 24, 2021 at 2 pm. The purpose of this note is to let you know that on Saturday 1/23 i started having sharping (icepick) pains in my head -right side, behind ear and the pains are continuing today 1/25/2021.

Other Meds: Aspirin, chlorthalidone, corguard, losartan, metformin, multivitamin, rosuvastatin, vitamin D3.

Current Illness: none

ID: 0971052
Sex: M
Age: 29
State: GA

Vax Date: 01/16/2021
Onset Date: 01/16/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient complained of dizziness and facial flushing. Recovered spontaneously.

Other Meds:

Current Illness:

ID: 0971053
Sex: F
Age: 60
State: FL

Vax Date: 01/01/2021
Onset Date: 01/22/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: I have not been to the doctor. I tried my family doctor, however they are only doing virtual appointments and I honestly do not feel like it will help if they cannot examine you in person.

Allergies: She'll shellfish. And aspirin

Symptoms: I had a rash on my face, started with itchy nose and eyes. The hives spread to the neck. I told the male nurse that was present and he said that had Epinephrine, I had benadryl and he said that I could take one. Half an hour later my rash got worse and I took 20 mg prednisone that I had for my asthma. During the next two days I have had palpitations, fatigue and tiredness. Today my blood pressure was high and I have never had it like that before.

Other Meds: metformin, atorvastatin and trintellix

Current Illness: Asthma and prediabetes

ID: 0971054
Sex: F
Age: 27
State: IN

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: Amoxicillin

Symptoms: Within one hour of receiving the shot, I felt a hot burning sensation going through my body and the burning continued on in the back of my head for the next hour. Ever since the shot I have had numbness on and off in my extremities and in my face.

Other Meds: Levothyroxine, sertraline, magnesium, vitamin c, vitamin D, multivitamin

Current Illness:

ID: 0971056
Sex: M
Age: 70
State: DE

Vax Date: 01/24/2021
Onset Date: 01/24/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: A FEW HOURS AFTER RECEIVING MY VACCINE YESTERDAY 1/24/21, I RECEIVED AN EMAIL FROM CDC TELLING ME THAT MY APPOINTMENT IS CANCELLED. I CANT REACH ANYONE BY PHONE SO MY ONLY OPTION IS THIS FORM. MY CONCERN IS THAT IF CDC THINKS MY APPOINTMENT WAS CANCELLED, THEN I WILL NOT GET NOTICE WHEN MY IMPORTANT 2ND VACCINATION WILL BE AVAILABLE TO ME. THANK YOU.

Other Meds:

Current Illness:

ID: 0971058
Sex: F
Age: 57
State: WI

Vax Date: 01/22/2021
Onset Date: 01/24/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: Codeine, prednisone

Symptoms: Approximately 48 hrs. after 1st dose on 1/22/21, body aches, especially the back muscles and nausea. Also headache.

Other Meds: Metformin, glimepiride, Lexapro, Buspar, atorvastatin, gabapentin

Current Illness:

ID: 0971060
Sex: F
Age: 50
State: TX

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Headache, aching, extreme chilling, fever and nausea

Other Meds: None

Current Illness: None

ID: 0971061
Sex: F
Age: 65
State: PA

Vax Date: 01/15/2021
Onset Date: 01/22/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Palm size area rash at injection site 8 days after injection. Itchy, raised, red and warm. Still active today but appears to be diminishing. Ice pack applied.

Other Meds: Levothyroxine 125 mcg daily Progesterone 100 mg daily Estrogen patch 0.25 twice weekly

Current Illness: none

ID: 0971063
Sex: F
Age: 98
State: WI

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: None at this time

Allergies: Sulfonamide Antibiotics

Symptoms: Difficulty walking/standing

Other Meds: D-Mannose 500mg 2 caps bid

Current Illness:

ID: 0971064
Sex: F
Age: 56
State: OR

Vax Date: 01/17/2021
Onset Date: 01/24/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: Sulfa; possibly penicillin

Symptoms: Moderna COVID-19 vaccine EUA Raised, red, itchy rash at vaccine injection site. Lasting more than 24 hours; subsiding after use of OTC anti-histamine

Other Meds: Estradiol, progesterone, Advil

Current Illness: None

ID: 0971065
Sex: F
Age: 60
State: AK

Vax Date: 01/16/2021
Onset Date: 01/24/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: none

Allergies: oxycodone corn

Symptoms: itchy, hive and hard and swollen

Other Meds: levothyroxine progesterone estradiol testosterone Vit. D 5000IU Flaxseed oil tablets Probiotic CoQ10 Fibermucil LV-GB Red Yeast Rice Glucose Optimizer Breathe Astragalus

Current Illness: none

ID: 0971067
Sex: F
Age: 52
State: MA

Vax Date: 12/30/2020
Onset Date: 01/06/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: bumpy itcy rash at injection site and bumpy soars max palate very uncomfortable

Other Meds: lysine advil vitamin c

Current Illness: cold soar upper lip

ID: 0971068
Sex: F
Age: 51
State: AZ

Vax Date: 01/23/2021
Onset Date: 01/24/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: N/A

Allergies: Generic Prozac (not presently taking), adhesives, Imitrex

Symptoms: Swelling above upper lip where I have derma filler. Very minor but still noticeable the day after the vaccine injection.

Other Meds: Vitamin c gummies, fiber gummies, hair/skin/nails vitamin gummies

Current Illness:

ID: 0971069
Sex: F
Age: 49
State: KS

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: none

Allergies: seasonal allergies, NKDA

Symptoms: 1st dose was on 12/22/2020-day of injection left shoulder pain for 3-4 days then left armpit pain for 3-4 days along with a headache. 2nd dose was on 1/22/2021 at 945am-day of injection right shoulder pain still having , second day after armpit pain and still have, day of injection at approx. 730pm chills, arms and leg muscle so painful you could not touch them for approx. 14-16 hours then was better and came back next night but not as painful and now gone, Headache started approx. 730pm day of injection and has continued and still have, muscles that normal hurt are 10 fold more painful since injection but are finally starting to easy up, fever of 100.9 night of injection only,

Other Meds: Cymbalta 60mg daily, Singular 10mg daily, Valacyclovir 1gm PRN cold sores took 2 tabs that day, Accuretic 20-25mg daily, Xanax 1mg daily, Phentermine 37.5mg daily, Biotin, Cranberry, Zinc I normally take Atorvastatin 80mg daily but stopped

Current Illness: only seasonal allergies

ID: 0971071
Sex: F
Age: 78
State: MI

Vax Date: 01/20/2021
Onset Date: 01/22/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Patient developed generalized hives starting 2 dys after her shot with worsening of her generalized hives thru the 2 dys afterward

Other Meds: Xanax 0.25 mg bid prn, Mevacor 20 mg q day, Prilosec 20 mg q day prn, Ambien 10 mg q hs prn

Current Illness: Urinary tract infection 1/11/21

ID: 0971072
Sex: M
Age: 48
State: MO

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/25/2021
Hospital:

Lab Data: 01/04/2021 Medical doctor did not see any reason for any tests.

Allergies: NKA

Symptoms: Approximately 30 minutes after injection, client began to experience shortness of breath, nausea, vomiting, hives on face and chest, tightness in chest and severe anxiety attack.

Other Meds: Lisinopril, Amlodipine, Atorvastatin, Plaquenil, Vitamins A,B,C,D, Zinc.

Current Illness: None

ID: 0971073
Sex: F
Age: 45
State: VA

Vax Date: 01/16/2021
Onset Date: 01/17/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: None to explain my answer to question 21.. I wrote my doctor about my symptoms and they have prescribed a steroid cream should this not resolve itself over the next few days. If that does not work I will seek in person medical attention.

Allergies: Sulfa Drugs, sensitive to latex

Symptoms: My arm had a red circular area around the injection site and was painful as if I had been punched, the day of and the day after I got the vaccine on the 16th of January. This faded and went away. Saturday January 23, I noticed my arm had a hive like rash around the injection site and it itched. As the day progressed the itch grew worse so I put aquaphor on it in the event my skin was dry. Sunday I woke up and my arm had a red circle around the injection site with a raised portion almost as if half a hard boiled egg was under my skin on top of my muscle. The redness comes and goes. I am guessing from clothing irritation? The swelling is down a bit after I took a Benadryl.

Other Meds: Multi vitamin, Glucosamine Chondroitin, Vitamin D, Vitamin C, Vitamin E, Super B Complex, Candesartan Cilexetil 4MG, Topiramate 25MG, Phentermine 37.5 MG, Zafirlukast 20MG , Fish Oil (Krill oil), Cetirizine Hydrochloride

Current Illness: none

ID: 0971074
Sex: F
Age: 58
State: CA

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: Went to ER 1/23 , diagnosed with esophageal spasm. Symptoms resolved.

Allergies:

Symptoms: Fatigue, nausea, diarrhea, chest pain

Other Meds:

Current Illness:

ID: 0971075
Sex: F
Age: 42
State: PA

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: Seen in the Emergency Room where she was evaluated and treated.

Allergies: Codeine, Oxycodone, PCN, Rofecoxib

Symptoms: itching and the sensation of shortness of breath on vaccination date of 1/13/21.

Other Meds: Unknown

Current Illness: Denied any acute illness.

ID: 0971077
Sex: F
Age: 83
State: CO

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: Codeine - vomitting, Cymbalta - diarrhea, Mold - not specified, pollen extract - not specified, Lipitor - myalgia

Symptoms: Patient received 1st dose moderna vaccination and shortly after c/o feeling light headed, tingling in legs, dizzy. BP 200's/60's. ED called via radio, take to ED via WC. Pt received care in ED.

Other Meds:

Current Illness:

ID: 0971078
Sex: F
Age: 36
State: CA

Vax Date: 01/15/2021
Onset Date: 01/23/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: physical examination no other tests done

Allergies: food allergies - stone fruits (cherry, peaches, etc), pollen allergies

Symptoms: 7 days after first moderna dose I developed a warm, itchy sensation in my left deltoid - this was in the middle of the night and I kept waking up uncomfortable. When I woke up Saturday morning my deltoid was red and swollen, the muscle was still hot and now starting to ache instead of itch. Throughout Saturday the aching intensified to about a 6/10. Then it radiated into my left armpit and feeling of pain like a hard small ball in my armpit. I went to urgent care, the doctor was not sure if it was delayed allergic reaction or cellulitis so he started me on Bactrim. I have now taken one day of Bactrim - seems to be improving but still have sensation in my armpit/lymphnode.

Other Meds: prenatal multiivtamin

Current Illness: none

ID: 0971079
Sex: F
Age: 48
State: MI

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies: allergic to dust and pollen

Symptoms: Began with waking to chills and incredible urge to pee. Emptying bladder and urinating were very painful accompanied by pink tinge. The "chills" were incredibly violent and by body was contracting involuntarily in to the fetal position, coming in waves every few seconds. Chills lasted 3 hours. Fever came on just after chills started. The fever of 101.9 lasted with the chills then I had a low grade fever of 99.1, until about 4pm on 12/30/20. Every joint in my body felt like they were on fire for about an hour, and then the pain moved to my spine. Tingling all over my body lasted 2 days (felt like when your foot falls asleep and is waking up). 2 weeks after vaccine, face tingling and chin numbness, and still continues, as does the painful bladder and urnination

Other Meds: B-complex, calcium w/vitamin D, tumeric, vitamin C.

Current Illness:

ID: 0971080
Sex: F
Age: 70
State: NV

Vax Date: 01/16/2021
Onset Date: 01/24/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: None

Allergies: PCN, Novocaine solution

Symptoms: After injection on 01/16/2021, within 2 days all soreness had dissapted along with swelling and redness. On 01/24/2021 roughly at 04:45 A.M., I began to chill/shiver. The injection site on my right arm had become hot to the touch, peppered with red blotches, swollen and began to hurt again. I did take 1000mg of Tylenol for discomfort. I felt flushed, but no fever to speak of, rather lethargic. Today, 01/25/2021, the injection site is one large reddened, hot, swollen area about a size 3x4 inches. At this time, I have not visited my physician or any Urgent Care.

Other Meds: Lisinopril, Omeprazole, Simvastatin, Fluticasone, Fish Oil, Vit D3, Cetirizine, Calcium

Current Illness:

ID: 0971082
Sex: F
Age: 50
State: CA

Vax Date: 01/05/2021
Onset Date: 01/09/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: headache muscle pain chill fever fatigue bloody nose when blew nose

Other Meds:

Current Illness:

ID: 0971083
Sex: F
Age: 84
State: IN

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data:

Allergies:

Symptoms: headache, chills, fever for 3 days

Other Meds:

Current Illness:

ID: 0971084
Sex: F
Age: 57
State: AR

Vax Date: 01/07/2021
Onset Date: 01/11/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: benardryl, steroid shot given on 01/14

Allergies: UNKNOWN

Symptoms: Patient states rash began to appear on Monday following the vaccine. It started on neck, went down arms, back, and some on chest. After steroid shot, patient has since been experiences hives along with intense burning and itching.

Other Meds: UNKNOWN

Current Illness: UNKNOWN

ID: 0971085
Sex: F
Age: 40
State: NH

Vax Date: 01/22/2021
Onset Date: 01/23/2021
Rec V Date: 01/25/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Right arm injection site pain/swelling/red circle. Right Axillary lymph node swelling in arm injected. Headache, tiredness, muscle pain, chills, fever- T max. 101.8, feeling unwell.

Other Meds: Spironolactone 25mg BID Metformin 500mg daily Junel Fe daily Women?s one a day Multi vitamin daily Black Elderberry 4000mg daily in evening Zinc 50mg daily in evening Echinacea 1200mg daily in evening Vitamin D 5000mg daily in evening Melat

Current Illness: Covid-19 recovered; diagnosed on 12/25/2020

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm