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: 0922534
Sex: F
Age: 16
State: IN

Vax Date: 12/28/2020
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data: NA

Allergies: nka

Symptoms: Became dizzy on January 5, 2021

Other Meds: ibuprofen

Current Illness: COVID 12/14/20

ID: 0922535
Sex: M
Age: 59
State:

Vax Date: 01/01/2021
Onset Date: 01/03/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Mild chills and fatigue. Took a couple of Advil. Same repeated the next day evening

Other Meds: None

Current Illness: None

ID: 0922536
Sex: M
Age: 50
State: NY

Vax Date: 12/28/2020
Onset Date: 01/06/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies: Penicillin, mushrooms, blue cheese

Symptoms: rash near injection site 10 days later

Other Meds: Zyrtec and Cold Calm

Current Illness: none

ID: 0922537
Sex: F
Age: 39
State: IA

Vax Date: 12/23/2020
Onset Date: 12/25/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data: MRI HEAD, multiple labs, physical therapy, chiropractor, multiple dr visits

Allergies: Macrobid, zosyn

Symptoms: Severe numbness tingling in all extremities, numb tongue, left side of face numb, chest pain, hip Pain,

Other Meds: Pepcid, birth control, magnesium, Claritin

Current Illness:

ID: 0922538
Sex: F
Age: 24
State: NY

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data: None

Allergies: Gluten, Sulfa, penicillins

Symptoms: Symptoms started at nighttime the same day I received the vaccine. Extreme nausea with vomiting, low grade fever, chills/ night sweats, myalgias, migraine headache. Not relieved by ibuprofen or acetaminophen.

Other Meds: None

Current Illness: None

ID: 0922539
Sex: F
Age: 23
State: TN

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

Lab Data: I will be talking to my doctor tomorrow about it (1/7/21).

Allergies: Allergic to Vancomycin, Bactrim, soy

Symptoms: I woke up and my shoulder was very itchy. I looked under my sleeve and there was a rash. The itchiness and rash are new today, however a lump has been present since injection. The rash is directly above the lump. It may be unrelated, but I've also been unusually drowsy (noticed before taking the benedryl). I took benedryl and applied lotion to the rash. My pregnancy began July 4th and I was 28 weeks pregnant at the time of the vaccine. My estimated due date is March 25th, 2021. At the time of the adverse reaction, I am 29 weeks pregnant.

Other Meds: Bystolic, Tylenol, Loratadine

Current Illness:

ID: 0922540
Sex: F
Age: 52
State: NY

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data: None thus far Called primary for follow up Flu like symptoms today Headache Sore throat Abdominal discomfort Fatigue

Allergies: Penicillin Tetracycline Latex Cats

Symptoms: Felt dizzy Racing heart with chest pressure Some difficulty breathing Clammy palms Placed me in supine position Observation maintained until vitals returned to normal

Other Meds: Triamterene Montaulklast Levocetirizin Advil Tylenol extra strength (recent dental extraction)

Current Illness: Ankylosing Spondylitis High blood pressure Asthma Two dental extractions prior two weeks Received antibiotics x3 for infection of infected broken teeth in jaw dec 2020

ID: 0922541
Sex: F
Age: 63
State: PA

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data: None

Allergies: Sulfa and Latex

Symptoms: My right face, around the cheek/mouth area had a feeling like when you get Novacaine and lasted about an hour.

Other Meds: Zocor20mg and multivitamin

Current Illness: none

ID: 0922542
Sex: F
Age: 0
State: TX

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data: none

Allergies: nka

Symptoms: no adverse reaction noted

Other Meds: none

Current Illness: none

ID: 0922543
Sex: M
Age: 46
State:

Vax Date: 12/23/2020
Onset Date: 12/23/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Employee developed itching and red bumps on L hand (received vaccine in L deltoid) within 10 minutes of receiving vaccine. Later, developed some milder itching on R hand. Both resolved completely within a few hours without treatment or intervention. Evaluated by ED room physician on-site. Will get clearance from allergist prior to 2nd dose.

Other Meds:

Current Illness:

ID: 0922544
Sex: F
Age: 50
State: FL

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data: none

Allergies: Penicillin, some adhesives (tape)

Symptoms: Left deltoid area redness, warmth, pain, induration and itching at the injection site morning after injection given (12-30-2020). Fatigue and mild headache were only other symptoms. Affected area progressively got larger on day 3. Took Benedryl 25mg and Aleve 220mg on 1-1-21, affected area better on 1-2-21 (day 3). Swelling , redness, warmth, induration returned on day 7 (1-5-21) with left axillary lymph node swelling and tenderness. Day 8 currently, redness and induration measures 2 3/4 inches by 1 1/2 inches. Called occupational health to report.

Other Meds: OTC Claritin, OTC Flonase nasal spray, Rx Singulair tablet. Multivitamin, Vit C, Vit D, Vit K2, vit B Complex, Biotin, Ashwaganda, flush free Niacin (Neora Youth Factor)

Current Illness: none

ID: 0922545
Sex: F
Age: 72
State: VA

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies: no

Symptoms: fever (101 highest) headache, chills

Other Meds: pantoprazole

Current Illness: no

ID: 0922546
Sex: M
Age: 67
State: NH

Vax Date: 12/16/2020
Onset Date: 12/21/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data: 1/5/2021 - EMG test - negative 12/29/20 - Heavy metal panel showed mildly elevated mercury level at 10 Mercury, B 10 H ng/mL <10 1/6/2021 09:32 12/29/2020 11:27 Sed Rate: 4 CK, Total: 59 Vitamin B-12: 489 Heavy Metals Screen: ... (A) CRP: 0.6 TSH: 1.55 Methylmalonic Acid: 0.22

Allergies: none

Symptoms: A few days after the vaccine I noticed intermittent muscle twitches in my right neck and right trunk. These are mild and only noticed by me. I am still fully functional, fully active

Other Meds: Melatonin, Doxylamine, Valerian Root

Current Illness: none

ID: 0922547
Sex: F
Age: 43
State: OH

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Fever (101.4), nausea and vomiting, lump at site of injection

Other Meds:

Current Illness:

ID: 0922548
Sex: F
Age: 31
State: MS

Vax Date: 12/28/2020
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data: none

Allergies: None

Symptoms: One week post 1st vaccine, developed localized red area at injection site approx. 3 inches in diameter, warm to touch, slight itching.

Other Meds: Vitamins

Current Illness: None

ID: 0922549
Sex: F
Age: 35
State: UT

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data: none

Allergies: Dairy

Symptoms: Severe Headache, Vomiting, Lymph node swelling in left arm Took tylenol and Meloxicam-little relief from symptoms

Other Meds: Leflunamide, NP thyroid, folic acid, progesterone, spirinalcatone, meloxicam

Current Illness: Rheumatoid Arthritis

ID: 0922550
Sex: F
Age: 37
State: IN

Vax Date: 12/18/2020
Onset Date: 12/19/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies: nka

Symptoms: Pt received Fluzone injection on 12/18/202. Pt reported limited ROM at Left Arm and took OTC and Ibuprofen, reported to after hours Triage. On 12/21/2020, pt talked to Triage Nurse and reported increased sharp pain when trying to move her arm on Saturday and that she used heat/ice and ibuprofen. Pt reported on 12/21/2020 that sharp pain continues when she tries to lift her arm and that it was dull when she is not using her arm. She stated that over the weekend that she was awakened by sharp pain at her arm but denied redness or swelling at injection site. Pt stated that injection was done high on the shoulder and patient stated that she believes shot was given to high and sent in picture of where bandaid was placed. Dr. consulted on 12/21/2020 and 5 days worth of prednisone 20 mg sent in for patient on 12/21/2020 and told to follow up with office if issues continue. Pt messaged in on 12/30/2020 and stated that she only took one of the five prednisone, stating she was afraid that it would keep her up all night. Pt then advised to take 2 - 20 mg prednisone per day and Dr. advised patient to follow up with any more issues. Pt messaged in on 1/5/2021 stating that she is 60% better but continuing to have pain and discomfort with movement. Dr. continues to monitor and Dr. made referral to ortho specialist.

Other Meds: Valacyclovir 500 mg 1 tab per day

Current Illness: 11/30/2020 Upper Respiratory Infection per notes

ID: 0922551
Sex: F
Age: 62
State: CA

Vax Date: 12/23/2020
Onset Date: 12/30/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies: Cipro

Symptoms: 1 week after, my arm suddenly had a rash at the site, and sore again. 2 weeks after, my feet and ankles have started to swell.

Other Meds: Progesterone, Estrodial, Krill Oil, Vitamin D

Current Illness:

ID: 0922552
Sex: F
Age: 59
State:

Vax Date: 12/28/2020
Onset Date: 12/31/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 3-4 days after vaccination, developed swollen lymph node on neck, on same side as vaccine. Also, L arm developed itchyness 7-8 days after vaccination. Will be cleared by PCP prior to 2nd dose.

Other Meds:

Current Illness:

ID: 0922553
Sex: F
Age: 60
State: OK

Vax Date: 12/28/2020
Onset Date: 12/31/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data: None

Allergies: Wasp

Symptoms: Lymph nodes are swollen and painful in left arm pit. Some swollen and red at injection site. Tired.

Other Meds: Generic flexeril Emergen-c Ibuprofen Benadryl

Current Illness: None

ID: 0922554
Sex: F
Age: 60
State: IL

Vax Date: 12/21/2020
Onset Date: 12/21/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies: Penicilllin, Hydrocodone Acetomenaphine, Cholorehexadine glutenate, Ciprofloxacin

Symptoms: I went to the emergency room which after the Pfizer injection I had numbness sensation to my face and upper lips, nose and mouth. I feel a pulling sensation to her lips and nose. I have brain fog. I feel the injection affected a nerve in my face. She went to see her primary doctor put her on anti-histamine medication. She states she has no itching at the moment.

Other Meds: Prednisone 20mg BID, Pepcid, Benadryl, Anti-histamine

Current Illness:

ID: 0922555
Sex: F
Age: 37
State: MA

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

Lab Data:

Allergies: none

Symptoms: Red rash around injection sight that is tender and raised. Some white coloring around red area. It is not itchy and does not hurt. its oval in shape and is about one inch in width and 2.5 inches long

Other Meds: birth control and blood pressure medication

Current Illness: none

ID: 0922556
Sex: F
Age: 39
State: KS

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies:

Symptoms: at 1805: associate c/o throat tightness, increased heart rate, and slight facial edema. VS: 144/103 (BP), HR 101, oxygen sat 99%. at 1807: associate took own dose of Alegra and oral Benadryl. at 1808: given two puffs of Albuterol inhaler 90mcg/puff at 1815: BP 135/96. HR 86. at 1830: BP 139/95. HR 82. associate up without any problems to restroom. at 1840: symptoms not completely resolved so took dose of own Benadryl at 1850: oxygen sat 97 and HR 76. at 1900: BP 140/91. HR 77. Associate back to baseline and discharged to home.

Other Meds:

Current Illness:

ID: 0922557
Sex: F
Age: 36
State: ND

Vax Date: 12/28/2020
Onset Date: 01/06/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data: none

Allergies: Plaquinel- hives PCN-rash

Symptoms: Pt. had large hive appear at site of injection 7 days post injection. as of now, no further issues.

Other Meds: multivitamin daily

Current Illness: none

ID: 0922558
Sex: M
Age: 49
State: IL

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data: Has not sought medical treatment. Has taking naproxen.

Allergies: None

Symptoms: 4:00 PM arm hurt a little bit. At midnight was freezing like nobody's business and this lasted 4 hours. Chilling. Arm pain and whole body hurts. From toe nails to hair. All joints hurt. Could not sleep.

Other Meds: Olmefartin 20 mg 1 po qd allopurinal 100mg 1 po qd zocar 20 mg 1 tablet qd

Current Illness: None Hx Covid mid November 2020

ID: 0922559
Sex: F
Age: 65
State: PA

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies: Erythromycin Ceftin

Symptoms: Racing heart maximum rate 156 Palpitations Anxiety Symptoms lasted approximately 4 hours

Other Meds: Synthroid Olmasartin Rousuvastatin Asa

Current Illness:

ID: 0922560
Sex: F
Age: 64
State: CT

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

Lab Data: no

Allergies: latex

Symptoms: Woke up a week later after vaccine and the injection site area is red swollen and itchy. It had a hard lump but I took a Zyrtec and it seems to be going down. Still warma nd swollen but the Zyertec seems to be helping.

Other Meds: statin 40mg. Multi vite, flaxseed, vite D, zinc, Vite C,

Current Illness: no

ID: 0922561
Sex: F
Age: 69
State:

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Pt. reported "ocular migraine" a few hours after receipt of vaccine. Reports visual disturbances. No hx of migraines. Resolved without intervention.

Other Meds:

Current Illness:

ID: 0922563
Sex: M
Age: 38
State: NY

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies: PCN

Symptoms: Woke up with Right Arm Pain and SEVERE Body aches. Took long hot shower, 600mg Motrin.

Other Meds: Daily MultiVitamin

Current Illness: none

ID: 0922564
Sex: F
Age: 39
State: IA

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies: No

Symptoms: Moderna COVID - 19 Vaccine EUA fatigue, body aches, headache, nausa. These all started:( 1/4/20 started at 8:00PM starting to feelbetter today 1/6 8:45AM) strange dreams with hallucinations the night of 1/4/20 at 9:00PM - 1/5/20 4:00AM.

Other Meds: Baclofen, zoloft, zyrtec, buspirone

Current Illness: No

ID: 0922565
Sex: F
Age: 42
State: AR

Vax Date: 12/30/2019
Onset Date: 01/02/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data: Jan 4th after the arm numbness started I decided to go to the ER. A neuro assessment was done and I was told to continue to watch the symptoms and to definitely come back if I develop any weakness in my extremities.

Allergies: None

Symptoms: I developed intermittent Bilat leg numbness on Jan 2nd and 3rd. On Jan 4th the bilat lower leg numbness was constant all day and around 4 pm that same day I developed right forearm numbness. On Jan 5th the symptoms have seemed to have resolved in my legs, right forearm is still slightly numb. No weakness present just numbness.

Other Meds: none

Current Illness: None

ID: 0922566
Sex: F
Age: 45
State:

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

Lab Data:

Allergies:

Symptoms: Pt. Type 1 DM. Developed lighheadedness, shakiness, and palpatations within 10 minutes of receiving vaccine. blood sugar WNL.. Observed in ED x 30 additional minutes and released with interventions.

Other Meds:

Current Illness:

ID: 0922567
Sex: F
Age: 60
State: FL

Vax Date: 12/24/2020
Onset Date: 01/03/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data: none

Allergies: Severe allergic reaction to 2nd dose of Heptavax vaccine in 1983. In later years, have been able to tolerate all vaccines needed for employment.

Symptoms: hives, itching on neck, chest, shoulders. Treated with Benadryl, will contact Dr. today.

Other Meds: Zetia, Prozac, Wellbutrin, Vascepa, Metoprolol, Synthroid, Estrogen, Prilosec

Current Illness: none

ID: 0922568
Sex: F
Age: 41
State: IL

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data: No

Allergies: Mushroom, Shellfish, and Penicillin

Symptoms: The night I received the vaccine, I was ordered to wait, then when I got home, I had a red welp on my arm. The welp stayed pass a few days, then today it has tripled in size and is very hard and heated. It is still tender to the touch and is very very hot.

Other Meds: No

Current Illness: No

ID: 0922569
Sex: F
Age: 36
State: WI

Vax Date: 12/23/2020
Onset Date: 12/23/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Employee received Pfizer COVID-19 vaccine on 12/23/2020. Waited 15 minutes after immunization and felt fine. Started to have a hot flash on the way home. Then her tongue felt sluggish but not swollen. She had a few minutes having difficulty swallowing but denies a sensation of throat swelling. Arm became sore and heavy but no redness. Drove back to the hospital with the onset of these symptoms and waited in the parking lot for 15 minutes to see if the symptoms were going to progress but they didn't. Stated she became very fatigues for a few hours but felt fine the next day except for a sore arm.

Other Meds: Levonorgestrel IUD, acetaminophen (PRN), multivitamin, ibuprofen (PRN)

Current Illness: None

ID: 0922570
Sex: F
Age: 60
State: GA

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies: Shellfish, PCN, Iodine and contrast from CT

Symptoms: Pfizer BioNTech COVID-19 Vaccine EUA Patient given vaccine and nurse used CDC screening check list. Patient's noted yes to allergies made nurse talk to lead nurse regarding allergies. Plan of care was to vaccinate but have patient stay at least 20 minutes. During the 20 minute wait, the observer was notified by patient she was having some throat tickling and tightening. Observer notified lead nurse. Lead nurse approached patient and had her move from waiting area back into her nurses room. Patient complained of throat tickling and tightening but stated she was fine. Nurses noted increasing coughing. Pulse ox and respirations checked. Patient continued to state she was fine and was not in physical distress. Nursing director was called and nurses advised to give epi and follow protocol. Epi given in left thigh. Patient vitals monitored and patient was able to tell throat started to loosen and coughing stopped. 911 called but patient refused transport after EMS assessed patient. Nursing Director discussed patient incident with Medical Director and nurses were advised to administer a IM dose of benadryl. Patient agreed and verbalized understanding her risks of not going to ER for monitoring. Patient signed refusal for treatment form and planned to call her doctor when she left. Patient vitals were stable and patient left clinic on her own accord around 11:00 am.

Other Meds:

Current Illness:

ID: 0922571
Sex: F
Age: 74
State: IN

Vax Date: 01/02/2021
Onset Date: 01/02/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies:

Symptoms: At the Hospital vaccination clinic we had a patient present for her appointment. Patient was greeted by a new patient registration person. Patient stated that her appointment was either yesterday (1/1/2021 or tomorrow 1/3/2021) when in fact her appointment was scheduled for 1/8/2021. The new registrar did not catch the upcoming appointment and made a new appointment for today. Patient received her first vaccination of Pfizer on 12/18/2020. Her second appointment was scheduled for 1/8/2021. She did not inform the registrar or vaccine administrator that she had received a previous shot. Subsequently, she received a vaccination of Moderna on 1/2/2021. We have not been successful in connecting with patient to check on her status nor offer recommendations.

Other Meds:

Current Illness:

ID: 0922572
Sex: F
Age: 59
State: NJ

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: I developed an immediate headache with 5-10 minutes that subsided after 15-20 minutes. Started feeling muscles achy after about an hour and feeling punky, at 2:45 minutes post IM feeling flushed ensued with red face and glassy eyes, needing to sit down due to fatigue , very thirsty, then joint pains especially feet making standing and walking prolonged painful, started with slight cough took advil and needed to go home from work by 3:30 minutes post receiving vaccine. SOB ,4 pillow orthopnea at hour 4-5 , needed prednisone by evening and duo neb by morning. Drenching swets all night.

Other Meds: vitamins

Current Illness: none

ID: 0922573
Sex: F
Age: 59
State: CT

Vax Date: 12/21/2020
Onset Date: 12/23/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data: None

Allergies: sulfa Sun Tan lotion Dogs Cats trees mold

Symptoms: I had tiredness, Headache , Muscle Spasms

Other Meds: Singulair Cardizem Levothyroxine Bustar Heptid Arnuity inhale astelin Vitamin D6 d12 d Calcium Citrate

Current Illness: Nonne

ID: 0922574
Sex: F
Age: 39
State: OH

Vax Date: 12/26/2020
Onset Date: 12/31/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data: None.

Allergies: Allergic to Prevacid and Macrobid.

Symptoms: Severe body aches, chills, sweating the day following the vaccine on 12/27/20. Proceeded by hives starting on 12/31/20. Hives were mainly on neck and face.

Other Meds: Ibuprofen as needed. No other medications or supplements taken.

Current Illness: Covid 19 diagnosed on 8/5/20.

ID: 0922575
Sex: F
Age: 72
State: FL

Vax Date: 01/05/2020
Onset Date: 01/05/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data: Unknown

Allergies: Suprex, Keflex, milk, cats

Symptoms: At approximately 10:00am on 1/5/2020 the client received her first Moderna vaccine. At approximately 10:15am while waiting the 15 minutes client said to the paramedic on site she felt like her throat was swelling and had SOB. BP 211/110. A physician arrived on the seen and instructed the paramedic to start an IV. Fire Rescue call at 10:47am and she was taken to medical facility via ambulance. She was evaluated and released home.

Other Meds: Unknown

Current Illness: Hypertension

ID: 0922577
Sex: F
Age: 61
State: OH

Vax Date: 12/31/2020
Onset Date: 01/01/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data: n/a

Allergies: Reglan Sulfar

Symptoms: Headache, fever, shaking, nausea, diahhrea, body aches, dizziness, cough and heart racing. This last for about 48 hours. This is day7 and I still nausea and no energy.

Other Meds: Cymbalta, multivitamin, calcium, fish oil

Current Illness: I was diagnosed with Covid on November 21

ID: 0922578
Sex: F
Age: 27
State: NC

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: 12/31 Fever and Boday Aches 1/1 Itchy rash, both arms Treatment Tylenol, Benadryl, Hydrocortisone creme Outcome as of 1/4, fever gone, rash continues.

Other Meds: Birth Control Pills, Zyrtec, Flonase, Citalpram 10 mg, One a Day Women's Vitamin

Current Illness: IBS, Seasonal Allergies and Anxiety

ID: 0922579
Sex: M
Age: 66
State: CA

Vax Date: 10/27/2020
Onset Date: 10/27/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data: monitored temperature

Allergies: NKA

Symptoms: chills, body aches, headache, fever, fatigue, nasal congestion/sinus pressure. Had dose-1 on 10/27/2020 and side effect symptoms that night and next day. Has now happened 3 times about a month apart on 11/22/2020 and now 1/5/2021

Other Meds: Omeprazole, multi-vitamin

Current Illness: none

ID: 0922580
Sex: F
Age: 70
State: FL

Vax Date: 12/29/2020
Onset Date: 12/31/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data: Self care management with Benadryl and Allegra for rash, ASA 650 Mgm to relief chest (muscle) pain.

Allergies: Penicillin, Augmenting, codeine

Symptoms: Began to develop rash on neck and front chest on 12/31/2020; progressive got worse and spread to upper arms on 1/3/2021. Rash continues and on 1/5/22021 spread to lower ext extremities. Taking Benadryl 50 Mg at night and Allegra 180 during the day to manage the rash. Mild chest pain on the left upper chest; cannot differentiate if it was a muscular pain or actual chest pain.

Other Meds: Synthroid 10 mcg, Estradiol 10 Mcg, Multi Vit, Calcium, Vit E,

Current Illness: None

ID: 0922581
Sex: F
Age: 66
State: IN

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

Lab Data:

Allergies:

Symptoms: HR usually in 80s (via watch). Increased to 109.. Felt Anxious. Placed in a wheelchair for patient safety and rolled to a private area for monitoring. Blood pressure checked 166/76. Gave water and nutragrain bar. HR decreased back to 80s within 5 minutes and anxiety resolved. Patient is a dietician. However she did not eat breakfast this AM. Also stated she gets anxious with shots.

Other Meds:

Current Illness:

ID: 0922583
Sex: F
Age: 56
State: WV

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/06/2021
Hospital:

Lab Data: None at the time of completion of the VAERS form To see Employee Health physician for follow-up on Friday (01/08/2021)

Allergies: Doxycycline

Symptoms: Extreme pain in Right shoulder approximately 4 hours post injection and later difficulty lifting Right arm. Shoulder pain moved into and included the axilla approximately 9 hours post vaccination. During the night, approximately 16 hours after vaccination, I began to have radiating, shooting pain up both sides of my neck up into the ears. This neck pain lasted approximately 72 hours. The arm pain had resolved at approximately 30 hours. The neck pain lessened and resolved with repeat applications of heat and Ibuprofen.

Other Meds: Verapamil; Maxide; Synthroid Vitamin D 2000 units; B Complex OTC

Current Illness:

ID: 0922584
Sex: F
Age: 43
State: IL

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Headache & swelling/tender

Other Meds: None

Current Illness: None

ID: 0922585
Sex: F
Age: 51
State: NV

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Gastro problems, diaherra , muscle aches, my whole body hurts, nausea, headache, very very tired...I have taken a tums and just slept since 1/5/2021 at 4:00p. I have no appetite.

Other Meds: Metformin 500 mg. Amlodipine 2.5 mg. Metoprolol 50mg. Losartan100mg. 2 Tylenol 500mg

Current Illness: No illiness

ID: 0922586
Sex: M
Age: 39
State: AZ

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
Hospital:

Lab Data:

Allergies: Atenolol Ceftriaxone Amlodipine Lisinopril Nifedipine

Symptoms: Shortness of breath Fatigue Cough

Other Meds: Metoprolol Succinate ER Famotidine Losartan Hydrochlorothiazide Tadalafil Garlic A B1 B12 B2 Biotin C Calcium Chromium Copper Oxide D3 E Folate K Lycopene Magnesium Oxide Manganese Niacin Pantothenic acid Pyrroloquinoline Quinone (PQQ) Que

Current Illness: None.

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm