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: 0982540
Sex: F
Age: 47
State: PR

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

Lab Data: None

Allergies: Aspirin

Symptoms: After been injected I had redness and swelling at the injection site. Next day I ad fever, chills, myalgia, headache, fatigue and local pain. I had to take a sick day form work because I was not able to get out of bed.

Other Meds: None

Current Illness: None

Date Died: 01/25/2021

ID: 0982541
Sex: M
Age: 81
State: IL

Vax Date: 01/22/2021
Onset Date: 01/24/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 36 hours after vaccination, the patient had increased respiratory distress. He was placed on high flow nasal cannula oxygen with mild improvement. He then continued to be hypotensive requiring IV fluids and subsequently IV vasopressors. Patient's BP was stabilized with vasopresor, however he continued to deteriorate clinically with altered mental status and lethargy, concerned for bowel peroration based on physical exam by MD. He was then emergency intubated and placed on mechanical ventilation. He was then transferred to acute care hospital near by.

Other Meds:

Current Illness: COVID pneumonia 12/2020

ID: 0982542
Sex: F
Age: 60
State: NE

Vax Date: 12/22/2020
Onset Date: 12/24/2020
Rec V Date: 01/28/2021
Hospital:

Lab Data: N/A

Allergies: No

Symptoms: Severe Left Leg, Hip and Lower left leg pain (Sciatic Nerve) it appears the vaccine may have irritated sciatic nerve pain. Left left leg numbness. Decreased mobility, difficulty sitting, walking, and even lying in bed. Started very quickly without andy known injury. Pain continued to worsen. Pain even worse after second injection. Now two weeks after second shot, the pain is going away. It is like the nerve irritation is subsiding. The way the irritation is subsiding makes it seem that the vaccination may have caused irritation to the nerve. After receiving 1st and continuing through the second vaccine, started having severe sciatica pain going down left hip and leg. Left leg pain and numbness. Thought I had done something to damage the nerve. Hurt to sit, hurt to stand and even hurt when in bed. The pain was so severe it caused issues with any mobility. Took Advil, Aspiring, Tylenol and nothing helped. Received second vaccine 1/12/2021 the pain continued and even got worse. It was to the point I couldn't even walk. I couldn't figure out how I had damaged the nerve. I am now thinking it was from the vaccine. I believe the vaccine irritated the nerve. The nerve pain is starting to go away. Normally if you have a sciatic nerve issue, it just doesn't go away on its own. I know there have been reports of severe back and neck pain. I believe it can irritate the nerves which cause severe pain. I wanted this reported in cases others complain of similar issues. The good thing it is improving.

Other Meds:

Current Illness: No

ID: 0982543
Sex: F
Age: 13
State: MI

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

Lab Data:

Allergies:

Symptoms: Vaccinated minor - no symptoms to date

Other Meds:

Current Illness:

ID: 0982544
Sex: M
Age: 66
State: NJ

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

Lab Data:

Allergies:

Symptoms: Pt did not disclose had already received 1st dose of vaccine on 1/20/2021 at Medical center

Other Meds:

Current Illness:

ID: 0982545
Sex: M
Age: 32
State: HI

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: Not Applicable

Allergies: unknown, anaphylactic reaction 3 months ago

Symptoms: Patient received Prevnar 13 but was intended to receive Pneumovax 23

Other Meds: Metformin

Current Illness: Not Applicable

ID: 0982546
Sex: F
Age: 55
State: MD

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

Lab Data: Patient had pulse ox, HR and BP checked by EMS, BP was high, all other WNL

Allergies:

Symptoms: 11:35 Patient receives vaccine 11:40 Patient complains of feeling hot and dizzy, patient given ice pack 11:45 Patient complains of nausea 11:50 EMS notified 12:01 EMS arrives 12:20 Patient refuses treatment

Other Meds:

Current Illness:

ID: 0982547
Sex: F
Age: 71
State: MO

Vax Date: 12/14/2020
Onset Date: 12/14/2020
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies: Slight sensitivity to wheat (non-celiac)

Symptoms: Fatigue, muscle pain, headache, shivering, fever, nausea.

Other Meds: Lipitor, Prevacid, Premarin Vaginal Cream, Multivitamin, Calcium, Low Dose Aspirin, Lutein, Vitamin C.

Current Illness: None

ID: 0982548
Sex: F
Age: 34
State: OR

Vax Date: 01/14/2021
Onset Date: 01/23/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: None.

Allergies: None.

Symptoms: Pt was vaccinated with Moderna Covid-19 on 14JAN21 developed a sore L arm that was initially resolved within 1-2 days. Beginning on 23JAN21 pt developed an itchy, patchy, and achy rash around injection site on L deltoid. Pt was then seen at the clinic on 25JAN21 where she was prescribed Cephalexin 500 mg #28 taken QIG and Benadryl 25mg T1-2 Q6H. Sx did not resolve by 26JAN21 and was seen in clinic for a follow up, the rash visually looked better with decreased redness and swelling, although the patient began experiencing H/A after beginning the Cephalexin. Pt instructed to continue with current medications and to F/U on 28JAN21. Pt was seen for F/U where rash had increased in size, itchiness and burning sensation. Pt was Diagnosed as having Erythema Multiforme of the L Deltoid and began taking a new Rx of Prednisone 40 mg for Sx. Pt informed to F/U if Sx worsen or are unresolved by 29JAN21.

Other Meds: None.

Current Illness: None.

ID: 0982549
Sex: M
Age: 48
State: AR

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: 1/25/2021 visit to Urgent Care PT is now having to take 100 mg Gabapentin twice daily for 5 days , and 800 mg Acyclovir five times daily for 7 days.

Allergies: Penicillin

Symptoms: 1/20/21 vaccinated. 1/21 afternoon-itchy feeling on top of buttocks, tingling sensation consistent with herpes II/Zoster, nerve down right leg tingling, testing for all venereal diseases June 18, 2015, July 2015-Present married to wife no sexual activity outside of marriage, hyper sensitive to venereal disease. Wife is negative, PT is negative for IGA and IGE, PT received vacc and is now showing symptoms positive for herpes 2, PT is waiting for results as to if he is POSTIVE, blister on right side of penis-clear fluid filled, right sores/blisters crusty on buttocks, right inner thigh leg blister on scrotum with red dots in the middle, nothing on glands penis/urethra or anus. Thursday night, pt had intimacy and it was dryer than normal, uncomfortable on the right side with penetration-skin is compromised. Saturday, PT was not feeling great, shaft not showing, in a rush to urinate, scrapped scrotum and now has lesions. Sunday, fatigue, outbreak/whelp on legs, PT wore gauze/bandages to prevent chafing. Monday, shaft not showing, patient went to urgent care. PT was told it presented as Zoster. Nothing on penis at this point in time. Penis issues did not show until 1/26/2021. EX wife had herpes II. PT again was tested after in 2015 and was negative for IGE and IGA. Tuesday, patient started meds from urgent care. Wednesday morning, chest pain/pleurisy like-pain across chest. Arm vaccination site sore, bruised to this day. Herpes Zoster not typically going to end up on shaft, its unusual, PT is probable he has cross contaminated by itching his buttocks and then going to the restroom and touching right side of penis.

Other Meds: None

Current Illness: None

ID: 0982550
Sex: M
Age: 26
State: CA

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies: n/a

Symptoms: After receiving the first dose of the COVID vaccine I was experiencing headaches, dizziness, lightheadedness, palpitations, and nausea. The first dose was on 12/21/20. These symptoms resolved around 12/26/20. I received the second dose of the COVID vaccine on 01/11/21. I began experiencing symptoms on 01/12/21. The symptoms I was experiencing were lightheadedness, dizziness, and brain fog/confusion. These symptoms got significantly worse from 01/13/21 - 01/24/21 and I began developing profound confusion/brain fog, diplopia, blurry vision, headaches, feeling like I'm swaying on a boat, and the "feeling of being drunk". As of 01/25/21, the symptoms have seemed to get better and I am starting to feel more like myself. The drunk feeling and mild blurry vision are still present as of today 01/28/21.

Other Meds: n/a

Current Illness: n/a

ID: 0982551
Sex: F
Age: 44
State: MD

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies:

Symptoms: body aches, sore arm, stomach ache, lost her voice. Symptoms lasted for 2 days.

Other Meds:

Current Illness:

ID: 0982552
Sex: F
Age: 66
State: WI

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: no tests

Allergies: penicillin, Augmentin, Aromysin, sulfa drugs, Cipro, Norvasc, Amoxicillin, Amlodipine, neomycin, bacitracin, Gentamicin grass, trees, flowers, three-spore pollen, mold, dust

Symptoms: I received the COVID vaccine 1 at 2 PM. At 5:40 PM, the left side of my face was numb. I emailed my PCP as to what I should do. She told me to go to Urgent Care as soon as I left work, which I did. Because I had Bell's Palsy two years ago at this time, I panicked. I was told by the Urgent Care doctor that numbness is a common side effect (which I had not previously read like I did Bell's Palsy) and the numbness would subside in about a week. She told me to complete this report.

Other Meds: Claritin, baby aspirin, Vitamin D 1000 mcg, One-A-Day women's vitamin

Current Illness: no

ID: 0982554
Sex: F
Age: 35
State: NC

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

Lab Data:

Allergies: Unknown

Symptoms: Fine in the 15 minutes after vaccination but had to call out of work around 12:45 pm because of swelling in her arm & being unable to move it. She reported that her joints were hurting all over her body. She said, "her bones were on fire".

Other Meds: Unknown

Current Illness: Unknown

ID: 0982555
Sex: F
Age: 18
State: IN

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

Lab Data: none

Allergies: none

Symptoms: Flu Like Syptoms Muscle Weakness Fatigue Stomach Ache/Abdominal Pain Migraine Low grade fever

Other Meds: none

Current Illness: none

ID: 0982556
Sex: M
Age: 55
State: NJ

Vax Date: 01/06/2021
Onset Date: 01/22/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: Went to local urgent care on 1/24/21 for eval and to get a PCR Covid test. Results received 1/25/21 and were negative.

Allergies: Dye contrast for CT scans cause itching on palmar side of hands and dorsum of feet. Food allergy to mango.

Symptoms: Local soreness in arm for 24 hrs post 1sr injection. At 16 days post injections, frontal and temporal headache began, lasting approx 12 hrs and then waves of severe body aches began (random location - back, neck, right lateral midfoot, knees, right radiocarpal joint), along with mild chills and mild fever (never >100.0). These symptoms would recur approx every 8 hrs for the next 4 days. Days 3-4 of the symptoms were debilitating and I primarily remained in bed. Today is the first day or somewhat normal. Still feel some ache and mild fatigue. Never lost taste or smell and never had any respiratory issues or GI issues.

Other Meds: Rabeprazole as needed for acid reflux

Current Illness: None

ID: 0982557
Sex: F
Age: 84
State: IN

Vax Date: 01/20/2021
Onset Date: 01/24/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies: NKDA

Symptoms: Delayed hypersensitivity reaction on vaccinated arm

Other Meds: Lutein, multivitamin

Current Illness: None

ID: 0982558
Sex: F
Age: 57
State: NE

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

Lab Data: None

Allergies: Sulfa

Symptoms: On 12/31/2020 patient came to clinic to get her 2nd Pfizer COVID vaccine. Employee did not bring her vaccination card. RN gave the injection at 12:35 in the left deltoid. After giving the vaccine realized that the employee had her 1st dose of the Pfizer Covid vaccine on12/16/2020 and should not have had 2nd dose until between 1/2/2021- 1/10/2021

Other Meds: Co reg Lisinopril Effexor Multivitamin Probiotic Progesterone

Current Illness: None

ID: 0982559
Sex: F
Age: 26
State: CT

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

Lab Data: N/A, called PCP she told me to report event to VAERS and moderna

Allergies: latex, sulfa, chlorhexidine

Symptoms: First five minutes: burning down left arm, then left arm went numb. First 15 minutes, Burning moved across chest, chest cavity went numb. 30 minutes: Burning down right arm, right arm went numb. 45 minutes, burning in face, throat, mouth, all went numb, tonque swelled. Treated with Benadryl, zantac, and tylenol. 24 hours later felt like I had been hit by a truck, 48 hours later all symptoms subsided.

Other Meds: topamax, aygestin

Current Illness:

ID: 0982560
Sex: F
Age: 45
State: CA

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

Lab Data:

Allergies:

Symptoms: Patient presented for 2nd dose of Moderna Covid Vaccine. While withdrawing the needle from patient's arm after injection of vaccine, some of the medication was expelled from the syringe and dripped down the patient's arm. The patient insisted on being given another injection. This staff spoke to the patient and advised that we have no data re what to expect by giving her a 2nd injection. Permission for 2nd injection was given by physician who oversees quality, and repeat injection administered. The patient was taking photos of the nurse while he was performing the injection and this is thought to have contributed to the medication error by causing him anxiety. Both doses were documented in the medical record.

Other Meds:

Current Illness:

ID: 0982561
Sex: F
Age: 57
State:

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

Lab Data:

Allergies: Naprosyn, bactrim

Symptoms: light headiness, rapid pulse, cold hands, anxious: assessed, vital signs taken, water given: symptoms improved, pt went home

Other Meds:

Current Illness:

ID: 0982562
Sex: F
Age: 58
State: NY

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

Lab Data:

Allergies:

Symptoms: Arm was very sore. Felt nausea and very frigid for hours with a slight headache starting late in the afternoon after vaccine administered. By next morning still had a slight headache and tired. Within 36 hours felt much better.

Other Meds:

Current Illness:

ID: 0982563
Sex: F
Age: 58
State: TX

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

Lab Data:

Allergies:

Symptoms: patient experienced shortness of breath right after vaccination. Patient was seen by EMS and was transported to the ER. EMS stated that patient started having signs of a stroke en route to ER.

Other Meds:

Current Illness:

ID: 0982564
Sex: F
Age: 65
State: NY

Vax Date: 01/22/2021
Onset Date: 01/23/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Couldnt breath in the middle of the night. Had bad stomach pains. Lasted 3 days

Other Meds: none

Current Illness: COPD

ID: 0982565
Sex: F
Age: 65
State: NJ

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

Lab Data:

Allergies:

Symptoms: Pt did not disclose had already received 1st dose of vaccine on 1/20/2021

Other Meds:

Current Illness:

ID: 0982566
Sex: F
Age: 52
State: NJ

Vax Date: 12/29/2020
Onset Date: 01/26/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: None

Allergies: Eggs

Symptoms: Headache, fever, muscle pains, unable to walk, leg cramps, blurred vision, chills, skin sensitivity.

Other Meds: None

Current Illness: None

ID: 0982567
Sex: M
Age: 82
State: MN

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

Lab Data:

Allergies: none

Symptoms: Patient lost all strength in his legs. Cognitive impairment. Aphasia.

Other Meds: ASA 81mg, Fish Oil, Calcium, Vit D3, Celexa 20mg, HCTZ 75mg, Apixaban 5mg BID, Metoprolob 12mg BID, Gabapentin 300mg TID, Simvastatin 80mg Vit B12 1000mcg every other day, Lidocaine ointment 4% TID, CPAP

Current Illness: none

ID: 0982568
Sex: F
Age: 41
State: CA

Vax Date: 01/08/2021
Onset Date: 01/28/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies: KNA

Symptoms: Approx. at 2:30 1/8/21 started feeling out of sorts and fatigued, progressed throughout the afternoon and by that evening was experiencing extreme fatigue, headache, body aches, chills, fever and difficulty sleeping. 800 mg of Ibuprofen was taken around 3am with some relief and was able to sleep, Saturday symptoms continued as Friday evening but slightly lessened in intensity. I am unsure how the fever was on Fri. night early Sat. morning as I was not feeling well enough to get up and check it but Sat. Night around 9pm, rested better but was drenched in sweat throughout the night, Sunday woke feeling better with most symptoms resolved.

Other Meds: 12.5 mg HCTZ, 81 mg ASA, Melatonin

Current Illness: None

ID: 0982569
Sex: F
Age: 28
State: IL

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

Lab Data: N/A

Allergies: Possible Allergy -leuprolide - SOB occurred approximately 1-2 week from injection time

Symptoms: Angioedema of the L upper lip was noticed at 10 am no other symptom associated. Improvement of angioedema after 50 mg of PO Benadryl. Will continue to re-evaluate and if needed with seek further medical treatment. (Pictures can be sent if needed) Expected side effects occurred prior to angioedema.

Other Meds: Levonorgest-Eth Estrad 91-Day 0.1-0.02 & 0.01 MG PO Tab

Current Illness: Yeast infection

ID: 0982570
Sex: F
Age: 74
State: NC

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

Lab Data: none

Allergies: Levaquin; possibly erythromycin

Symptoms: fever, nausea, fatigue, muscle and joint pain, chills resolved after about 36 hours

Other Meds: claritin and multi vitamins

Current Illness: none

ID: 0982571
Sex: M
Age: 61
State: IL

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: None

Allergies: none

Symptoms: Fever of 101, Chills, Body Aches. Used Ibuprofen and Tylenol

Other Meds: Albuterol inhaler, Advair, Nexium, Zoloft, Singulair, Losarton, 80 mg aspirin

Current Illness: none

ID: 0982572
Sex: F
Age: 30
State: ME

Vax Date: 01/11/2021
Onset Date: 01/20/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies:

Symptoms: started w/ redness upper L arm, just below site of vaccine, approx 3x4inch redness, with itching and mild swelling.

Other Meds:

Current Illness:

ID: 0982573
Sex: F
Age: 33
State: AZ

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

Lab Data:

Allergies: All fruit

Symptoms: It started about 12 hours after the vaccine. I had all the classical symptoms of Hay fever but with fatigue. I had a mild dry cough, and headache. This lasted for about 36 hours and went away.

Other Meds: Levothyroxine Zoloft Pre-natal fish oil biotin Vitamin D

Current Illness: Thyroid disorder

ID: 0982574
Sex: F
Age: 85
State: OK

Vax Date: 01/02/2021
Onset Date: 01/03/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies: Morphine, PCN, Tramadol, Demerol, Nubain

Symptoms: Vomiting

Other Meds: Tylenol, Potassium Chloride, Wellbutrin, Visine, trazodone, Colace Aspirin, Lasix, Synthroid, Vitamin C, Oxycodone Hydrochloride, Zanaflex, Neurontin

Current Illness:

ID: 0982575
Sex: M
Age: 44
State: NY

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

Lab Data:

Allergies: None

Symptoms: Pt became pale, diaphoretic, dizzy and light headed. Pt moved to recovery area and laid on cot, vitals done Pt after 15 minutes states he fell fine and left the area on his own power.

Other Meds: None

Current Illness: None

ID: 0982576
Sex: M
Age: 74
State: IN

Vax Date: 01/25/2021
Onset Date: 01/28/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: n/a

Allergies: n/a

Symptoms: aches, chills, slight cough

Other Meds: vitamin d3, low dose asprin, allertec 10mg, atorvastatin 40mg, metoprolol 25mg, clopidogrel 75mg, latenoprost 0.005%, tylenol

Current Illness: n/a

ID: 0982577
Sex: M
Age: 60
State: FL

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

Lab Data: None

Allergies: None

Symptoms: Low grade fever, body acke, nausea, tiredness

Other Meds: None

Current Illness: None

ID: 0982578
Sex: F
Age: 42
State: CA

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

Lab Data: NA

Allergies: Codeine

Symptoms: Temperature and nausea

Other Meds: Tylenol and Ibuprofen

Current Illness: No

ID: 0982579
Sex: M
Age: 20
State: MI

Vax Date: 01/13/2021
Onset Date: 01/26/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: 01/26/2021 Had difficulty breathing, lips swelled to ER started on Prednisone. Release same day symptoms improved.

Other Meds: AllegraD, Benadryl, Ventalin inhaler, albuteral nebulizer

Current Illness: Sinusitis dx 12/31/2020 on Levaquin 500mg x10 days, prednisone 20mg tapered 10 days.

ID: 0982580
Sex: M
Age: 39
State: NM

Vax Date: 01/22/2021
Onset Date: 01/23/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: n/a

Allergies: pesticides

Symptoms: fever, chills, headache, body ache, anxiety, cough, sore throat - lasting 48 hours. tylenol to aid

Other Meds: n/a

Current Illness: n/a

ID: 0982581
Sex: M
Age: 35
State: TX

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

Lab Data:

Allergies:

Symptoms: Patient stated he was feeling clammy, sweaty with mild nausea. He was feeling fine after 0920am; patient was seen and cleared by EMS

Other Meds:

Current Illness:

ID: 0982582
Sex: F
Age: 42
State:

Vax Date: 01/10/2021
Onset Date: 01/10/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies:

Symptoms: nausea, passing out

Other Meds:

Current Illness:

ID: 0982583
Sex: M
Age: 57
State: AZ

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies: unknown

Symptoms: Low grade fever lasting approx 24 hours

Other Meds: unknown

Current Illness: unknown

ID: 0982584
Sex: F
Age: 56
State: MN

Vax Date: 01/22/2021
Onset Date: 01/23/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: None

Allergies:

Symptoms: Fever for 24 hours as high as 104.0 with pounding headache, shaking chills, severe muscle aching and having to rest in bed.

Other Meds: hydroxychloroquin

Current Illness:

ID: 0982585
Sex: F
Age: 61
State: CO

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: She thought she had covid so got checked and got a negative result on 1/25

Allergies: Compazine [Prochlorperazine]

Symptoms: She had vaccine on 1/19 and started with diarrhea, fatigue, body aches, severe headache on 1/20 or so These lasted a few days Then on 1/24, her R arm felt itchy. Over the next few days, redness and mild swelling

Other Meds: Current Outpatient Medications Medication Sig ? buPROPion (WELLBUTRIN) 75 mg tablet Take 75 mg by mouth 2 times daily. ? levothyroxine (SYNTHROID) 175 mcg tablet Take 175 mcg by mouth daily. ? paroxetine (PAXIL) 40 mg tablet Take 40 mg by m

Current Illness:

ID: 0982586
Sex: M
Age: 30
State: MI

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

Lab Data: monitored for 1/2 hour, no other symptoms

Allergies: none

Symptoms: Pt immediate response was that he said (I feel Tachycardic). Pt900 is an MD. Brought over to EMS 1316 BP 197/90 Pulse 97 slightly diaphoretic, stated that he felt hot and nervous 1321 BP 157/108, pulse 71, sat 9Pt states feeling better

Other Meds: none

Current Illness: none

ID: 0982587
Sex: M
Age: 65
State: CA

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies: no

Symptoms: chills, aches, rash, low energy x 4 days

Other Meds:

Current Illness: no

ID: 0982588
Sex: F
Age: 34
State: IL

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

Lab Data:

Allergies: None

Symptoms: Fever, severe muscle pain, severe joint pain, chills, cold sweats, nausea and diarrhea. Symptoms started around 8 pm the day of my vaccine and lasted until around 10 pm in January 27th, 2021

Other Meds: None

Current Illness: None

ID: 0982589
Sex: F
Age: 42
State:

Vax Date: 01/09/2021
Onset Date: 01/16/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies:

Symptoms: On day one (9 FEB 2021) of my injection, I developed a red swelling at the injection site, a headache, fatigue, and swollen, tender arm. By the next morning, day 2, I had a dime size bruise from the injection and the arm tissue was swollen and hard. The swelling last 4 days. The bruise lasted 12 days. On the 7th day after (16 JAN 2021) receiving the Moderna COVID-19 injection in my left arm, I developed a red, puffy, bumpy rash on my arm, around where the injection was given. It appeared after a routine shower, without any new use of products. It was initially about 3 inches wide by 4 inches long, and almost crescent shaped. We monitored the rash, as it increased in size over the next two days, growing to 4.5 inches wide by 6 inches long. The rash remained red, puffy, and bumpy during. It never itched or wept any fluid. Then on the 4th day of the rash, it turned light pink and diminished in color and area throughout the day, however, it was circled by a red ring outlining the rash. The rash was still faintly visible on the 5th day and completely gone by the 6th day. We also noticed it felt very hot to the touch and took the temperature of the site. It peaked at 104 degrees Fahrenheit, while my head and neck temperatures peaked at 101 degrees Fahrenheit.

Other Meds:

Current Illness:

ID: 0982590
Sex: M
Age: 67
State: TX

Vax Date: 01/24/2021
Onset Date: 01/27/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Persistent dry cough, fever, nasal congestion, chills, and diarrhea beginning evening of vaccine dose. Wife with similar symptoms. Proceeded to outside facility ER, unclear if COVID test positive.

Other Meds: Carboplatin, pemetrexed, pembrolizumab

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm