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: 0979866
Sex: F
Age: 46
State: TX

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Fever Feeling tired Headache Syndrome lasted for about 24 hours. Treated with Tylenol and Ibuprofen

Other Meds: Tylenol Ibuprofen

Current Illness: None

ID: 0979867
Sex: F
Age: 48
State: VA

Vax Date: 01/04/2021
Onset Date: 01/14/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: None

Allergies: Imuran

Symptoms: Chest tightness that started about 10 days after first dose. Lasted 4 days. Same symptoms started two days after the second dose. I have no cardiac history. Husband ( healthy marathon runner) also experienced chest tightness after the first dose but not his second dose. My father, who is 80 is also experiencing chest tightness after his first dose. He is scheduled for a stress test because he does have a cardiac history. I am a physician.

Other Meds: Wellbutrin, synthroid, cellcept

Current Illness: None

ID: 0979868
Sex: F
Age: 66
State: MN

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: none

Allergies: None stated; did state had a problem with childhood vaccines. None as an adult

Symptoms: Patient Complained of feeling lightheaded 1 minute after vaccine administered. She bent over forward in chair. Observation nurse called over and BP cuff applied. 0957=BP 97/58; radial pulse 60; skin warm dry and pink; 1002=complained of nausea, patient lowered to floor with legs bent; BP 96/60; 1005 nausea gone; epi pen administered in lateral left thigh; 1006 BP 104/70 radial pulse 68; 1008 BP 102/70 radial pulse 80; skin warm dry pink; EMS called and responded; transfer of care occurred at 1020am; patient refused to go to hospital; remained in our recovery area for 30 minutes post epinephrine injection. left with husband at 1040am. Vitals within normal limits.

Other Meds: Blood pressure medication prior to vaccination

Current Illness: None

ID: 0979869
Sex: F
Age: 66
State: AL

Vax Date: 01/18/2021
Onset Date: 01/26/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies:

Symptoms: VERY RED, ITCHING, AND ACHES

Other Meds:

Current Illness:

ID: 0979870
Sex: M
Age: 67
State: FL

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: none

Allergies: Erythromycin

Symptoms: Onset of fever (101.3), tachycardia (131), rigors, and myalgias that lasted about 12 hours followed by 24 hours of fatigue and increased need for sleep. Similar reactions were shared with 6 co-workers who received the vaccination at about the same time. My concern is that if this second dose of Moderna COVID-19 vaccination is making people ill, then it is imperative that CDC and FDA advise the public what to expect and maybe how to ameliorate. Otherwise people who become ill will tell their friends and family. This disclosure will make members of the public disinclined to get the shot which would be a public health nightmare. I have used this adverse report as the forum to ensure that the FDA and CDC are aware of these reactions and will consider their consequences. Thank you.

Other Meds: Valsartan, doxazocin, aspirin, atorvastatin, Vit. D3, Tumeric,

Current Illness: none acute

ID: 0979871
Sex: F
Age: 35
State: HI

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies: NKDA

Symptoms: Immediate onset of tachycardia and flushing, resolved after 5 minutes. 30-min delayed onset of metallic taste in the mouth, resolved after 2 hours. 8-hours delayed onset of 8/10 arm pain and 8/10 fatigue, arm pain resolved after 4 days, fatigue improved after 3 days but has bet to resolve. 24-hours delayed onset of circular erythema around the injection site, approximately 6' in diameter, resolved after 9 days.

Other Meds: Vitamin C

Current Illness: None

ID: 0979872
Sex: F
Age: 25
State: CA

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: None

Allergies: penicillin

Symptoms: 2:37 she received 1st dose of Moderna vaccine 2: 50 Patient c/o itching at insertion site ; itching spread to her hands and feet. Lung sounds clear , room air sat was 97% 2:54 Benadryl 25 mg given PO x 1 dose and continued to monitor pt. Her BP was 147/97. Pt was having some anxiety due to itching. 03:15 patient states itching is better. Lung sounds remain clear, Denies any itching on her throat. Voice is clear; no changes to voice changes. Pt advised to report any additional side effects to VESAFE app. Will follow up 1/28/2021

Other Meds: Prozac 20mg daily Ritalin 7.5mg daily

Current Illness: none

ID: 0979873
Sex: F
Age: 30
State: VA

Vax Date: 01/23/2021
Onset Date: 01/23/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies: Cefuroxime Axetil, Oral, Critic Acid, Latex, Povidone-iodine

Symptoms: 15 minutes after receiving the vaccine, I was feeling light-headed. Upon having my vitals checked, my heart rate was at 110bpm. By the next morning my whole body was sore, especially at the injection site, and I was feeling flush and was sweating. I also have experience lost of appetite, fatigue, and shortness of breath.

Other Meds: Novolog, Gabapentin, Metformin HCL ER, Ferrous Sulfate, and Venlafaxine HCL ER

Current Illness:

ID: 0979874
Sex: F
Age: 69
State: NC

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: None

Allergies:

Symptoms: Moderna COVID-19 Vaccine EUA Woke up with overall muscle pain and headache. Midmorning, had chills and nausea, followed by fever 102F two hours later. Muscle pain worsened. By 4PM, temp down to 99 after cold compresses and fluids. Nausea abated and was able to eat some food early evening.

Other Meds:

Current Illness:

ID: 0979875
Sex: F
Age: 61
State: WA

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: none

Allergies: merepex, morphine, adhesives

Symptoms: headache, shakiness, chills, lightheadedness

Other Meds: lisinopril, welbutrin, Prozac, Latuda, trazadone, requip, zinc, vitamin c, b12 injection, iron

Current Illness: leg wound, edema, anemia

ID: 0979876
Sex: F
Age: 31
State: WI

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies: Amoxicillin

Symptoms: Upset stomach resulting in three consecutive trips to the bathroom (diarrhea) over about a 15 minute time frame. Upper left arm muscle pain - similar to right arm injection site. Felt like there was a lump in my throat for awhile making it very slightly difficult to breathe.

Other Meds: Spironolactone, nuvaring, vitamin B3, magnesium, Pearl probiotic

Current Illness:

ID: 0979877
Sex: F
Age: 21
State: PA

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies: seasonal allergies

Symptoms: At 8pm, I began having a headache and fever. At 9, I started having chills and body aches all over. At 10/11, I began having severe nausea. I tried eating plain ramen noodles to settle my stomach, and around 12 the nausea became worse. Around 12:30 AM, I had vomiting and diarrhea. At 1:20 AM, I went to bed and had tylenol 500mg. Throughout the night I was having chills, in pain, and had trouble sleeping. Today 1/27 I am still experiencing nausea, headache, and body aches.

Other Meds: Enskyce birth control, spironolactone, celexa, melatonin, topical trentinoin, sulfur face wash

Current Illness: none

ID: 0979878
Sex: M
Age: 40
State: PA

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: Fever, acetaminophen. Malaise, body aches.

Other Meds: Vimpat Omeprazol

Current Illness:

ID: 0979879
Sex: F
Age: 67
State:

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

Lab Data:

Allergies:

Symptoms: Patient taking potassium oral and amlopiphine and simvastatim. Hx of HTN and high cholesterol. If symptoms worsen, report to clinic immediately.

Other Meds:

Current Illness:

ID: 0979880
Sex: F
Age: 38
State: MA

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Severe debilitating headache lasting one week require 2 ER visits and IV tramadol. Severe reactionary arthritis making me unable to bend or straighten one knee or bear any weight on my right leg for 3 days (as of now). Less severe arthritis appearing in all other joints.

Other Meds: Adderall Sertraline

Current Illness: None

ID: 0979881
Sex: F
Age: 39
State: FL

Vax Date: 01/14/2021
Onset Date: 01/20/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: Video doctor call confirmed hives

Allergies: Penicillin

Symptoms: Hives on stomach

Other Meds: Zyrtec, symbicort, proair, multi vitamin, biotin, vitamin D

Current Illness: None

ID: 0979882
Sex: M
Age: 76
State: OH

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies: sulfa

Symptoms: When the vaccine was administered some of the vaccine came out of the syringe and ran down the patient's arm.

Other Meds:

Current Illness:

ID: 0979883
Sex: F
Age: 27
State: IL

Vax Date: 01/15/2021
Onset Date: 01/23/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: None

Allergies: Cefzil

Symptoms: I developed a raised hive approximately 1 inch that was red, itchy and warm on Saturday the 23rd (8 days after the vaccination). The hive grew in size over the course of the day to about two inches. Applied hydrocortisone cream and took 2 Benadryl that evening. A bump could be felt under the skin that was large and about palm sized. My left armpit was tender (possibly enlarged lymph node?). No fever. The next day the lump under the skin was gone and the hive was less raised. Still remained red. Took Benadryl 50 mg each night up until today 1-27-21. The area has since became larger still (3 inches) and is red. However it is not itchy. Appears to get worse after showering with warm water and after awakening in the morning when my skin is warm. I started applying a cold compress today 1-27-21 which has reduced redness, the outer ring of the area is the most red.

Other Meds: Vitamin C, ortho tri cyclen

Current Illness: None

ID: 0979884
Sex: M
Age: 80
State: OH

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Racing heart rate >100 woke him up out of a sound sleep around 10pm on day of vaccine. (Vaccine was given approx 1:40pm) lasted about 30 minutes then it calmed down to more normal heart rate. Next morning bad headache 5-10am. Took Tylenol for it. Also, pain at injection site, across shoulder and lower neck for approx 24 hours after shot.

Other Meds: Coumadin, metropolol, metformin, jardiance, januvia, Levothyroxine, pantraprazole, Lipitor, baby aspirin, ferris sulfate, men's multivitamin.

Current Illness:

ID: 0979885
Sex: F
Age: 77
State: AZ

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: None

Allergies: Keflex, Zythromax, Levofloxacin, Oxycontin, Methylprednisolone 4 mg dospac, Lisinopril, Ezetimibe. Symptoms: rash, itching, attacks tendons. Lysinopril gave me stroke like symptoms and urination problems.

Symptoms: Very Soar Arm and tired first day. Second day, Soar Throat when swallowing, Swollen Eyes in the morning when I woke up, increased blood pressure at times and not as stable when walking. Very Tired. Took Benedryl on second day, one in morning and one at night. Seemed to calm symptoms. Soar Throat lasted two days and much better today (day 3). Left Arm also less soar today and stability when walking seems better...

Other Meds: Rosuvastatin 5 MG, Multiple Vitamin, Glucosamine &Chondroitin, Calcium & Magnesium, HCL Pro-Zyme, Vitamin D, Super CoQ10-Zyme, Baby Aspirin, 1/2 Estrogen Patch 0.05

Current Illness: None

ID: 0979886
Sex: F
Age: 42
State: AR

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: COVID-19 test twice both negative, Flu test negative, Chest X-ray negative,urine test normal, blood work normal,

Allergies: Penicillin, K flex, sulfa drugs, codeine, gluten, coconut, avocado

Symptoms: Moderna COVID-19 Vaccine Extreme Fatigue, Joint pain, Body pain, low grade fever of 99.3 -100.4, loss of appetite, Headaches, unable to sleep, mouth sores, swollen lymph nodes, brain fog (Dizzy headed)

Other Meds: Hydrochlorothiazide 25MG once daily AzaTHIPprine 150MG once daily

Current Illness: None

ID: 0979887
Sex: F
Age: 44
State: NY

Vax Date: 01/08/2021
Onset Date: 01/16/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: No issues except a sore arm for one day after the vaccination, but 7 days later a small red, itchy, warm bump appeared under the injection site. Resolved within 24 hours.

Other Meds: Lamotrigine Multi vitamin

Current Illness: None

ID: 0979888
Sex: M
Age: 49
State:

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies:

Symptoms: he felt really hot and sweaty like a hot flash. VS are WN (BP 130/83 P94 o2sat97) Told to wait 10 more mins and took vitals again which were WNL.. He felt better and left on his own

Other Meds:

Current Illness:

ID: 0979889
Sex: F
Age: 42
State: AK

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

Lab Data: n/a

Allergies:

Symptoms: About 7 hours after I started to get migraine/sinus pain Dizzy Exhausted Arm pain at injection site Fever and chills that rolled in and out The above symptoms lasted for three days. The extreme exhaustion lasted for 9 days. I was sleeping the whole night and taking 2-3 naps throughout the day for 2-3 hours.

Other Meds: baby aspirin

Current Illness: n/a

ID: 0979890
Sex: F
Age: 60
State: FL

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: EKG, Chest x-ray, labs,

Allergies: PCN, Augmentin, Amoxicillin, Keflex, Levaquin, Morphine, Bezoin

Symptoms: Onset of sharp chest pain that worsened very quickly. Patient also experienced SOB and dizziness. HR 96, regular on initial check, 5 minutes later, 80, regular. Skin cool to touch. Placed patient in wheelchair and transported to the ER in the facility. Placed on monitor immediately, EKG completed, Chest x-ray, nitro, and baby aspirin administered. Zofran for nausea.

Other Meds: Lisinopril, Metaprolol, Isosorbide, Reglan, Insulin, ASA, Protonix, Xeralto, Tylenol PRN, Ibuprofen PRN, Claritin, Percocet PRN, Xanax PRN, Xanaflex PRN

Current Illness: Sinus Inf (Dx 1/23/21, finished antibiotics)

ID: 0979891
Sex: F
Age: 38
State: CA

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: EKG

Allergies: NKDA

Symptoms: Rapid Heart Rate, elevated BP initial 181/110 hr 123, 195/111 hr 125, later she became SOB. 911 was initiated

Other Meds: None

Current Illness: None

ID: 0979892
Sex: F
Age: 27
State: CA

Vax Date: 01/18/2021
Onset Date: 01/25/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: None

Allergies: Clindamycin

Symptoms: 01/19/2021 - Chills and night sweats 01/25/2021 - One week after injection, the injection site swelled up, became red, ithcy and had rashes. I took Benadryl every 8 hours and kept an eye on the swelling. Most of the swelling went down within 24 hours. Redness and slight itchiness is still present today (1/27/2021)

Other Meds: Birth control Fish Oil Vitamins, Multi-Vitamin, B12, Zyrtec

Current Illness: None

ID: 0979893
Sex: F
Age: 40
State: NY

Vax Date: 01/16/2021
Onset Date: 01/24/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Swelling with redness and low grade fever (topped at 100.4 degrees)

Other Meds: Kaitlib FE, Centrum

Current Illness:

ID: 0979894
Sex: M
Age: 85
State: HI

Vax Date: 01/02/2021
Onset Date: 01/25/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies: Doxycycline, Kflex

Symptoms: 1/25 at approximately 2000, patient requested to transfer onto his bedside commode to have a bowel movement. Caregivers assisted patient onto the commode, within 5-10 mins, patient was alert but not responding. Sternum rub performed, patient reacted but still not responding, BP 210/180. Patient still not responding, EMS was called. EMS reported blood sugar reading at 21, patient had dinner 1 hour earlier. Patient taken to Hospital.

Other Meds: Allopurinol 300 mg Tablet, Donepezil HCL 10mg Tablet, Finasteride 5 mg tablet, Memantine HCL 10mg tablet, Vitamin C 500 mg Tablet, Vitamin D3 1000 units gel capsule, Simvastatin 40mg tablet, Tamsulosin HCL 0.4mg capsule.

Current Illness:

ID: 0979895
Sex: M
Age: 61
State: PR

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

Lab Data: CBC 16 thousand,Mycoplasma test positive

Allergies: Avelox

Symptoms: Pain in the injection site,fever ,chills for 3 days,throat pain,lymphadenopathies in the neck today

Other Meds: Omeprazole,Atenolol,Lorazepam,Cialis

Current Illness: Rhinosinusitis

ID: 0979896
Sex: F
Age: 72
State: NV

Vax Date: 01/19/2021
Onset Date: 01/27/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Area is red, itchy, swollen, and hot

Other Meds: Hydroxyzine 25mg prn Paroxetine 40mg Bariatric multivitamin Vitamin D Fish oil L lysine PreserVision

Current Illness: Nonenone

ID: 0979897
Sex: F
Age: 65
State: FL

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: Pfizer COVID-19 first vaccinedose

Allergies: Sulfa, penicillin, Cipro, macrobid, soy, peanuts

Symptoms: After 40 minutes burning in my eye, swelling in my eyelid, facial rash, small puffy welt under eye

Other Meds: Taken the night before: lisinopril, resouvosatin, singulair, novalog, lantus,, fenofibri acid

Current Illness: none

ID: 0979898
Sex: F
Age: 50
State: CA

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies: yes - idiopathic unknown allergies source

Symptoms: " Pt c/o left arm tighten shortly after receiving vaccine. BP taken. Pt found to be hypertensive 194/91. RRT called @ 1510. Pt BP still high 191/100 HR 100. Pt then taken to ED [1518] to be monitored. "

Other Meds: Predisone taken prior to vaccination

Current Illness: denies

ID: 0979899
Sex: F
Age: 78
State: CA

Vax Date: 01/15/2021
Onset Date: 01/22/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: None

Allergies: Norflex Tylenol with codeine Vicodin Robaxin

Symptoms: One week after my injection on 1/15/21, on the evening of Friday 1/22, my left arm felt warm, was reddened, somewhat swollen and itchy. It has continued for the past 5 days, with the itching and reddening decreasing a little bit each day. I was surprised that this reaction occurred a full week after vaccination. Should I still take the 2nd dose?

Other Meds: Amlodipine Hydrochlorothiazide Raloxifene Famotidine Glucosamine Calcium Symbicort

Current Illness: None

ID: 0979900
Sex: F
Age: 29
State: FL

Vax Date: 12/29/2020
Onset Date: 01/08/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Got Moderna Covid-19 vaccine first dose on 12/29/2020. Developed delayed onset red, itchy, elevated rash at the site of injection approximately 10 days after first dose of series. No treatment provide, rash resolved on its own in about two-three days. Second dose of vaccine given on 1/26/21 and now on 1/27/21 in PM noted that red rash has re-emerged on the same site as before (around the area where first dose was injected), this time the rash is not itchy-just a red bump. No treatment given as of yet.

Other Meds: None

Current Illness: None

ID: 0979901
Sex: M
Age: 74
State: SC

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

Lab Data: None

Allergies: Penicillon,Sulfa drugs

Symptoms: On Sunday 1/24 at 11:00PM I experienced chills, 100 degree temp and muscle aches and fatigue. Also high blood pressure: 188/85 pr 77. Symptoms worsened and reached a peak on the 25th with a temp of 103.5 degrees F and vomiting Fever broke at midnight on the 26th. 99 degree temp and Fatigue persist on the 27th

Other Meds:

Current Illness: None

ID: 0979902
Sex: F
Age: 50
State: CO

Vax Date: 01/06/2021
Onset Date: 01/20/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: Ultrasound for blood clot was negative. Diagnosed with cellulitis and put on antibiotics (Doxycycline).

Allergies: Penicillin

Symptoms: On day 14 after injection appeared a Red and hot spot/or rash looking lesion just below inspection area. Symptoms were, fatigue, nausea, diarrhea first 24 hours then left, fever and chills, sometimes clammy hands and feet.

Other Meds: Bromocriptine mesylate 2.5mg, lisinopril 10mg, levothyroxine 50 mcg, Advil, Vitamin C, vitamin D and K, co-q 10, B vitamins, ubiquinol QH 100 mgs

Current Illness: None

ID: 0979903
Sex: M
Age: 39
State: CA

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: None

Allergies: Minocycline - vertigo symptoms

Symptoms: Low grade fever (max 100.0), body aches, nausea for first 12 hours, headache.

Other Meds: Zinc 20mg a day, multivitamin, vitamin d 5,000 iu/day

Current Illness: Intermittent GERD - currently controlled

ID: 0979904
Sex: M
Age: 30
State: IN

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies: No

Symptoms: Body aches, chills, low grade fever, joint aches, fatigue.

Other Meds: Levothyroxine

Current Illness: Hypothyroidism

ID: 0979905
Sex: F
Age: 63
State: MD

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: None

Allergies: Keflex, Adipex, Hazelnut

Symptoms: Sudden onset of chills and shakes for about 6 hours, headache, stomach distress, muscle aches,

Other Meds: Amitriptylin, Bupropion, Metoprolol, Epicor, Melatonin, Fexofenadine, Turmeric Curcumin, Vit C, Vit B12, 81 mg aspirin

Current Illness: None

ID: 0979906
Sex: F
Age: 35
State: OK

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies: Codeine

Symptoms: Fever, headache, stuffy/ runny nose muscle pain

Other Meds:

Current Illness:

ID: 0979907
Sex: F
Age: 25
State: AZ

Vax Date: 01/26/2021
Onset Date: 01/28/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: N/a

Allergies: Gluten

Symptoms: Fever, cold sweats, heart pain, abdominal pain

Other Meds: Naturethroid

Current Illness:

ID: 0979908
Sex: F
Age: 43
State: CA

Vax Date: 01/06/2021
Onset Date: 01/09/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: Swab of abscess revealed infection

Allergies: Tomatoes , sulfa, shellfish

Symptoms: Woke up at 345 on day three with a swollen left side of face, neck, throat, left arm. Also developed a rash on face and neck and day four developed an abscess on neck which became infected. Also still have swollen lymph nodes in neck on both sides

Other Meds: None

Current Illness:

ID: 0979909
Sex: F
Age: 22
State: IA

Vax Date: 12/23/2020
Onset Date: 12/24/2020
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Fever 106.6 and treated in ED. Fever down to 101.1 after Advil.

Other Meds: none

Current Illness: none

ID: 0979910
Sex: F
Age: 60
State: CA

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies:

Symptoms: s/p vaccine injection c/o dizziness

Other Meds:

Current Illness:

ID: 0979911
Sex: F
Age: 44
State: OH

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: None

Allergies: Sulfa, possibly shellfish

Symptoms: Rash, fever, headache, vomiting, left arm soreness, stiffness, and tingling

Other Meds: Lisinopril, Qsymia, Levothyroxine, Vit D

Current Illness: None

ID: 0979912
Sex: F
Age: 30
State: MD

Vax Date: 01/18/2021
Onset Date: 01/26/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: N/a

Allergies: N/a

Symptoms: Red patch developed around injection site 8 days after receiving first dose of vaccine. Patch is swollen, itchy and painful.

Other Meds: Armour Thyroid, Low Dose Naltrexone, HCTZ, Amlodipine, Setraline

Current Illness:

ID: 0979913
Sex: F
Age: 44
State: AZ

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: Bacterial Infection, Rx or Keflex twice per day 500 mg

Allergies: None

Symptoms: Treatment 9 days after the shot on January 22, 2021. Bacterial Infection

Other Meds: None

Current Illness: None

ID: 0979914
Sex: F
Age: 35
State: TX

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data:

Allergies: Nkda

Symptoms: After receiving the 1st Moderna vaccine @ around 12:30pm on January 6th. That afternoon I felt fatigue and felt sleepy. I went to bed that night as usual. I was tossing and turning and woke my self up because i could feel my heart racing. I then proceeded to check my pulse and time myself. I had gotten 120 heart rate. Which i thought it couldnt be but the i have the oxygen sat that check oxygen and heart rate. I checked and my heart rate went up to 125. My head was pounding, i had a fever, the left side of my body ached, and i felt a lot of tension and my hands as if they were swollen. I took some Tylenol throughout the day and i still felt completely exhausted and horrible. This lasted at least 2 days. I contacted the ER nurse hotline they proceeded to tell me that all the signs and symptoms I had were reactions to the vaccine and if my heart rate went over 135 to go to the ER.

Other Meds: Np thyroid 60mcg one by mouth daily

Current Illness: None

ID: 0979915
Sex: F
Age: 53
State: TX

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 01/27/2021
Hospital:

Lab Data: none

Allergies: None

Symptoms: fever, chills, fatigue, myalgia, all resolved/improved now

Other Meds: Flonase, Pepcid, Albuterol 90 mcg/inh aerosol, Lexapro, CPAP, Coreg

Current Illness: GI cramping

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm