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: 0982641
Sex: F
Age: 56
State: TX

Vax Date: 01/16/2021
Onset Date: 01/17/2021
Rec V Date: 01/28/2021
Hospital: Y

Lab Data: MRI due to mental status changes, blood tests did not know what they were however does know RBC had dropped.

Allergies: Methotrexate - rash, and shellfish

Symptoms: On Sunday, 1/17/21, patient was nauseous and vomiting and could not keep anything down at one point vomit was dark in appearance. Patient receives home dialysis when nurse came to home on Monday, 1/18, saw condition of patient and sent them to the hospital. At the hospital it was noted she had redness throughout body, no hives or blisters. Patient was lethargic, received antiemetic and medication for rash, does not know what medications were. On Tuesday, 1/19, she received 2 liter transfusion, discharged on Thursday, 1/21. Today, Thursday 1/28 patient still feels lethargic and states rash is peeling.

Other Meds: Clonidine 0.2 mg BID, Carvedilol 25 mg BID, Glipizide 10 mg QD, Vitamin D 50000 units weekly, Pioglitazone 30 mg daily, Sevelamir carbonate 800 mg take 3 with meals, Renavite 1 tablet daily, Toujeo (insulin glargine) 50 units daily

Current Illness: Anemia diagnosed on 1/14/21 was given injection by dialysis clinic, patient unable to recall name.

ID: 0982642
Sex: F
Age: 44
State: NY

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

Lab Data:

Allergies:

Symptoms: Arm neuropathy and tingling, warmth in the injection site

Other Meds:

Current Illness:

ID: 0982643
Sex: F
Age: 35
State: PA

Vax Date: 01/20/2021
Onset Date: 01/27/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: n/a

Allergies: Penicillin

Symptoms: Large itchy painful swollen rash that appeared 7 days after the day of the shot.

Other Meds: None

Current Illness: None

ID: 0982644
Sex: F
Age: 68
State: CA

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

Lab Data: none

Allergies: none

Symptoms: fatigue, stiff lower back (moderate), stiff muscles (mild), sore swollen site (moderate), headache, low grade fever. Treated with arnicare & messaging site, ibuprofen QID, resting. This was day after shot. By next day, all symptoms are improved (although i am not well yet). You should also know that my first dose 21 days before was Phiser.

Other Meds: tolterodine, raloxifene, Vit D 60,000 IU q wk

Current Illness: none

ID: 0982645
Sex: F
Age: 19
State:

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

Lab Data:

Allergies: None

Symptoms: I began experiencing side effect about 7 hours after I got my second dose of the moderna vaccine. The side effects included: Full body chills, joint aches that did not allow me to sleep, headache, lightheaded ness, cramping

Other Meds: Oral birth control (Estarylla)

Current Illness: None

ID: 0982646
Sex: M
Age: 63
State: MD

Vax Date: 01/13/2021
Onset Date: 01/20/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies:

Symptoms: One week after the vaccine his left great toe and foot became red, warm and swollen. He had difficulty walking for several days and is still experiencing swelling. He has been using ice, elevation and Motrin.

Other Meds:

Current Illness:

ID: 0982647
Sex: F
Age: 49
State: MA

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/28/2021
Hospital:

Lab Data: antispike elisa, ESR, CRP, CBC with diff 1/27/21

Allergies: latex- reaction rash lentils- reaction hives

Symptoms: The vaccine was administered on the following date: 12/30/21 Immediate discomfort on the injection. Fatigue and malaise started 12 hours later.L Arm got worse to the point where she couldn't move it. Ibuprofen 600mg Q6 hours or so first day, tylenol 1gms. No swelling, no erythema. Arm just very sore just felt immobile. After a few days started to losen up, tapered off everything. Then 24 hours later, shoulder came back and then right shoulder started bothering her and she got diffuse joint pain (5-6 days in). Over next days got eczema on face, face itchy, perioral dermatitis got flared up (which she has on occasion). She also had myalgias in legs and felt like had pulled muscles. Then she got paresthesias. SHe has had post viral paresthesias in the past that have flared intermittently- both arms. She has had them bl in arms and legs in the past- seen by neurology. First time she had them was a decade ago, flared since then. No steroids. First time weeks and weeks to resolve (?cant remember exactly). More recently calms down after a week or two. Now happening a few times a year. She has never paresthesias after vaccination. Paresthesias are gone. This Wed is 4 weeks- only sxs left is bl shoulder pain L>R. She has been taking meloxicam since last Friday and putting voltaren cream on. She is normally dermatographic, has atopy at baseline. She has cold induced mild asthma. She has seasonal allergies. She carreis an epipen for hives after lentil soup.

Other Meds: celexa 10mg

Current Illness: no

ID: 0982648
Sex: F
Age: 36
State: AZ

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

Lab Data:

Allergies: nkda

Symptoms: redness and very hot and at injection site i drew a circle where the redness started to moniter the redness is spreading and there is streaking and its hard but in one area is soft like if there is an abcess

Other Meds: Vyvanse 40mg ,clexa 25mg

Current Illness: none

ID: 0982649
Sex: F
Age: 38
State: NV

Vax Date: 01/19/2021
Onset Date: 01/27/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies: Sulfa, Amoxicillin, cefaclor

Symptoms: I received the shot on 1/19/21 and on 1/27/2021 I developed a hot, swollen, itchy circle on my arm. It has grown in size since yesterday

Other Meds: Zyrtec, Adderall, albuterol

Current Illness: None

ID: 0982650
Sex: F
Age: 58
State: CA

Vax Date: 12/24/2020
Onset Date: 01/13/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: None told my Doctor today.

Allergies: saccharin, oxycontin, Vicodin tabs, metformin, latex

Symptoms: 1st dose just sore arm mild headaches, body aches lasted 2 - 3 days. 2nd dose had not in arm, sore arm hot for about a week, mild headaches, body aches, diarrhea, chills out of breathe, fatigue - but no temp. This has being going on and off for last 2 weeks. Just had diarrhea on 1/25/21 again with chills, fatigue, little out of breathe, mild headache. 1/28/21 went back to work with chills, mild headache, out of breathe but no temp. 97.1 this morning.

Other Meds: ibuprofen, Colace (laxative)

Current Illness: none

ID: 0982651
Sex: F
Age: 59
State: FL

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

Lab Data:

Allergies: none, hay fever

Symptoms: bruising to site, painful, next day very tired with blurry vision, aching pain

Other Meds: metformin, lorsartan, levothyroxine, aspirin, Nexium, Wellbutrin, vit c, vit d3, vit e, vit b12, meletonin

Current Illness: n/a

ID: 0982652
Sex: F
Age: 37
State:

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

Lab Data:

Allergies: none

Symptoms: 1/16/21: A few hours after vaccine administration, experienced severe pain in R arm. Pain worsened over time, and nearly 10/10 even with light touch. Intense pain lasted about 24 hours, and pain resolved within 36 hours. 1/17/21: Fatigue lasting about 24 hours. 1/24/21: Itchiness, swelling, and redness at vaccination site. Itchiness has continued until today, and redness went from being uniform to now being a large red, bumpy circle around the vaccination admin site. 1/24/21: Excessive sweating at night while sleeping, hot flashes lasting throughout the night. 1/25/21: Some chills & feeling very cold throughout the day.

Other Meds: levothyroxine

Current Illness: none

ID: 0982653
Sex: F
Age: 46
State: CA

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

Lab Data:

Allergies:

Symptoms: pain at injection site 8-9 hours later shaking, fever101.5, flu like symptoms, bone and muscle aches, heart palpitations, toes cramping. This lasted for about 3 hours

Other Meds:

Current Illness:

ID: 0982654
Sex: M
Age: 66
State: MS

Vax Date: 01/18/2021
Onset Date: 01/19/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Injection site soreness, fever up to 103.2, malaise

Other Meds: Norco, modafinil, cymbalta

Current Illness: Treated for cough, congestion, fever, malaise, possible pneumonia a couple of weeks prior, but I had two negative tests at that time. I had the flu vaccine 09/2020, and the pneumonia vaccine several years ago.

ID: 0982655
Sex: F
Age: 88
State: CO

Vax Date: 01/20/2021
Onset Date: 01/27/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies: Valium

Symptoms: Large red itchy rash at the injection site at the top of my arm. 2 1/2 inches wide, 4 inches long. Started a week after injection. Ongoing, itchy as of today (1-28-21)

Other Meds: Levothyroxine sodium 25 mcg Ramipril 5 mg Topiramate 60 mg Aspirin Osteo Biflex Pepcid Complete Multi- Vitamens Vitamin C Calcium 600 mg Garlic 1000mg

Current Illness:

ID: 0982656
Sex: F
Age: 26
State: TX

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

Lab Data:

Allergies:

Symptoms: Headache, muscle ache and fever 11 hours post vaccine. Treatment include Ibuprofen with resolution of fever and improvement of headache and muscle aches. Does not interfere with ADLs.

Other Meds:

Current Illness:

ID: 0982657
Sex: F
Age: 61
State: OK

Vax Date: 01/23/2021
Onset Date: 01/25/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: Rash lasting 72 hours

Other Meds: Benadryl, Roxicodone, Tums, Phospha 250 neutral, Aldactone, Magnesium Oxide, Protonix, Lactulose, Lasix, Vitamin D3, Decubi-vite, Zoloft, Trazodone,

Current Illness:

ID: 0982658
Sex: M
Age: 34
State: CO

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

Lab Data:

Allergies: None

Symptoms: Chills started around 11:00 PM. Extreme chills and fever through the night. 105.4F.

Other Meds: Vitamin D3- Nature's Bounty

Current Illness: None

ID: 0982659
Sex: F
Age: 49
State: CA

Vax Date: 12/18/2020
Onset Date: 12/31/2020
Rec V Date: 01/28/2021
Hospital:

Lab Data: COVID test - Dec 31

Allergies: neomycin oral; cherries

Symptoms: Symptoms: nasal congestion, sinus pressure, fatigue, and rhinitis - December 31. COVID test - negative - symptoms lasted a day

Other Meds: Zyrtec; Singular; Albuterol PRN; Ibuprofen; Alvesto; Hydroxychloroquine

Current Illness: no

ID: 0982660
Sex: F
Age: 71
State: PA

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

Lab Data:

Allergies: Wellbutrin, Clindamycin, Sulfa Antibiotics, Adhesive tape

Symptoms: Resident began with all over itching, progressing into hives, that then ended with facial swelling. She required an initial dose of Prednisone, then began a Medrol dose pack, with PRN Benadryl ordered. She proceeded to experience episodic hives over her arms and torso for almost a week.

Other Meds: Allopurinol, Artificial Tears, Asper-flex Cream, ASA, Buspar, Cal-Gest Antacid, Coreg, Ferrex, Gabapentin, Ibuprofen, Synthroid, Lisinopril, Omeprazole, Percocet, Paxil, Mirapex, Risperdal, Salonpas Pain Patch, Senna, Torsemide, Tylenol

Current Illness: none

ID: 0982661
Sex: M
Age: 78
State: MN

Vax Date: 01/19/2021
Onset Date: 01/26/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: None

Allergies: PCN

Symptoms: Pruritis starting approx. 2 days ago (1/26/21). After showering this morning, spouse noted redness surrounding injection site. Spouse called RN, and RN observed red, warm, indurated area measuring 8 x 6.5 cm in a square shape surrounding vaccination site on L deltoid.

Other Meds: Acetaminophen, acyclovir, allopurinol, ascorbic acid, carboxymethylcellulose, cholecalciferol, cyanocobalamin, sodium fluoride, polyethylene glycol, potassium and magnesium aspartate, prochlorperazine, turmeric, Advancin, Cresceo, venetocla

Current Illness: No acute illnesses.

ID: 0982662
Sex: F
Age: 67
State: PA

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

Lab Data:

Allergies:

Symptoms: Had first COVID vaccine 12/28/21. Had shivering the next day then felt fine. Received second dose 1/25/21. Woke up at 3:30am with vomiting then began to shiver, was flushed, developed body aches, and discomfort to lower extremities. Called off work. Symptoms remained the same all day. Slept 15 hours then woke up in am 1/27/21 and was hallucinating. Saw huge spiders on her wall. She had nightmares the previous night also. Hallucinations stopped when she got up. Other symptoms continued through the rest of the day. Also had pain in arm so she couldn't lift above shoulder level. Went to bed and had nightmares that night. Woke up and had trouble walking without stumbling. All symptoms began resolving around 2pm. Went to bed the night of 1/27/21 and still had some nightmares then woke up and returned to work. Today she is having indigestion and diarrhea. No hx COVID disease.

Other Meds:

Current Illness:

ID: 0982663
Sex: M
Age: 1
State: NY

Vax Date: 01/21/2015
Onset Date: 10/15/2015
Rec V Date: 01/28/2021
Hospital:

Lab Data: Blood tests, and EEG which indicated a firing in his left lobe (the part that controls muscle movements) was out of control. All blood tests came back normal.

Allergies: None

Symptoms: In September 2015, my son started having significant sleep issues which progressed and got worse as time went on. It got to the point he physically COULD NOT fall asleep. During the transition from "awake" to "sleep" he started to have severe epileptic episodes. The epileptic episodes would go on all night from approx 11p until approx 6a. ONLY occuring when his brain started to wander off to sleep. He got to the point where he couldnt even get 4 solid hours of sleep in a night. I of course brought him to his pediatrician. They had zero answers in anyway shape or form and referred us to a pediatric neurologist who also determined there was "nothing" wrong w/ my son. We were also referred to an ENT Dr who referred us for a sleep study. This went on for approx 10mos, at which point I realized none of the drs were able to give me any explanantion what so ever. I started researching my sons symptoms. Nothing seemed to fit. The only thread of info I could find where the exact symptoms of my son matched was in a forum that different moms had written in. They also had been left in the dark and had no answer about what was happening to their kids. Upon relentless research, I ordered lavender,vetiver, and cedarwood essential oils. I applied at night before bed and for THE FIRST time in almost a year my sons epuleptic episodes went from a 10, to about a 4. At that point I cancelled all appointments related to his condition bc I was better able to treat my son then any of the Drs had been able to.

Other Meds: None

Current Illness: None

ID: 0982664
Sex: F
Age: 86
State: IN

Vax Date: 01/22/2021
Onset Date: 01/27/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies: latex

Symptoms: extreme lethargy, fever, loose stool, some nausea feeling without vomitting

Other Meds: amlodipine, metoprolol, losartan, memantine, exelon, eliquis, wellbutrin, propylthioracil, potassium chloride, calcium w/ vitamin D, dorzolamide/timolol, aspirin, arripiprazole, exemestine, pravastatin.

Current Illness: none

ID: 0982665
Sex: F
Age: 56
State: AZ

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

Lab Data:

Allergies: Sulfa, Carmine (dye for foods, textiles & cosmetics)

Symptoms: 1/26/2021 to 1/27/2021 Body aches, nausea, diarrhea, abdominal cramping, 1/28/2021 mild facial edema/periorbital & upper lip

Other Meds: Atenolol , lisinopril, atorvastatin, Vit D, ASA, calcium, levothyroxine, zinc, docusate sod.

Current Illness: HTN, Hypothyroidism

ID: 0982666
Sex: F
Age: 43
State: OH

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

Lab Data: none

Allergies:

Symptoms: Dizziness and body aches

Other Meds:

Current Illness:

ID: 0982667
Sex: F
Age: 45
State: NY

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

Lab Data: None

Allergies: No

Symptoms: Temperature of 100.1F, chills, fatigue, soreness at the injection site (is ok now). Still did not recover my sense of smell or taste after having COVID in the beginning of the month.

Other Meds: Multi vitamins

Current Illness: No

ID: 0982668
Sex: F
Age: 67
State: FL

Vax Date: 01/18/2021
Onset Date: 01/26/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: Blood drawn on 25th and everything was perfect but sodium was a little low

Allergies: Clindamycin, Nickle and a sensitivity to sulfa drugs

Symptoms: Arm sore for 2 days, on 8th day the redness and rash appeared and its very minor. I'm scheduled for carpal tunnel surgery and had blood work done recently

Other Meds: Irbesartan/HCTZ, Pantoprazole SOD - daily

Current Illness: none

ID: 0982669
Sex: F
Age: 23
State: DE

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

Lab Data:

Allergies: None

Symptoms: Fever, chills, severe headache, muscle aches, leg nerve sensitivity (tingling), fatigue

Other Meds: Diuretic

Current Illness: None

ID: 0982670
Sex: F
Age: 51
State: CA

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

Lab Data: none

Allergies: Aspirin

Symptoms: 1/25/21 @ 1:00 PM: Client stated immediately after injection, she felt her throat closing. Client stated she has a history of anaphylactic reaction to aspirin where an epinephtine injection was given. Client stated at time of reaction staff offered to call EMT, but she refused and decided to drive herself to hospital (against nurse advise). Client stated when she arrived at hospital they told her to take a seat, but she was concerned so she left the hospital and drove to local pharmacy where she purchased and self administered Benadryl which opened her throat. Client stated she did not informed PCP, but was told to call PCP for advise prior to next vaccine dose. Client was agreeable.

Other Meds: Unknown-unable to ask client.

Current Illness: Unknown-Unable to ask client.

ID: 0982671
Sex: F
Age: 49
State: NC

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

Lab Data:

Allergies:

Symptoms: Patient received COVID19 vaccine on 1/26/21 (mfg unknown); headache started 1/27/21 at 2pm. Patient had headache and tiredness and diarrhea and body aches after 2nd dose covid vaccine. Symptoms progressed to severe headache associated with N/V, dizziness that started 1/28@0800am. The patient admitted to Emergency Room at Hospital on 1/28/21 and diagnosed with aneurysmal subarachnoid hemorrhage. Patient transferred to Medical Center for care.

Other Meds:

Current Illness:

ID: 0982672
Sex: F
Age: 46
State: MD

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

Lab Data:

Allergies: Trees, Grass, Dogs, Cats, oxycontin

Symptoms: About an hour and a half after the injection, I felt nausea, a headache, tiredness, and a genal feeling of not feeling well. I ate some food and drank some ginger tea and it helped a little but after another hour I felt terrible with the same symptoms. They lasted for three days where I needed to go to bed by 6:00 PM or as soon as I could each night. On Sunday, January 24, 2021, 12 days after receiving the vaccine my eyes turned red and tired. I took my Claritin that I take if my allergies bother me and did some eye drops but it did not go away. I have had read eyes for five days now, it's more of a strained eye look and no other symptoms such as discharge, just a red eye on the whites of my eye. I do not know if this is related to the vaccine, but my allergies meds are not working, eyedrops are not working, and I had a COVID Lab test Monday 1/25/21 it was negative and a COVID Rapid test today 1/28/21 and it was negative.

Other Meds: I took 1 Advil Allergy & Congestion Relief tablet

Current Illness: felt great the day of the vaccine no illnesses

ID: 0982673
Sex: F
Age: 31
State: CA

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

Lab Data:

Allergies: Penicillin and Amoxicillin (hives)

Symptoms: 103.1 Temperature, 24 hours of vomiting, headache, chills, dizziness

Other Meds: Tri-Sprintec

Current Illness: None

ID: 0982674
Sex: M
Age: 30
State: TX

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

Lab Data:

Allergies: N/A

Symptoms: Severe muscle aches, hot and cold sweats. Stomach pains, restless. This lasted for 48 hours.

Other Meds: Xanax, pro-biotics, advil.

Current Illness: N/A

ID: 0982675
Sex: F
Age: 36
State: IN

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

Lab Data: None

Allergies: Sulfa

Symptoms: Fever, body aches, chills, nausea for approximately 24 hours from time of symptom onset which was approximately 5 hours after vaccine.

Other Meds: Klonopin Aderrall Prozac

Current Illness: None

ID: 0982676
Sex: F
Age: 61
State: CT

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

Lab Data: none

Allergies: none reported

Symptoms: Ana received first dose of Pfizer on 1/7/21 and 2nd dose of Moderna on 1/28/21

Other Meds: unknown

Current Illness: none

ID: 0982677
Sex: M
Age: 45
State:

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

Lab Data:

Allergies: metoclopramide

Symptoms: Fever 101.8, Tachycardia, dizziness, Severe malaise, Severe Right sided abdominal pain with peritoneal signs and tenderness in right upper and lower quadrant. Symptoms started approx 12 hrs after the injection and persisted till 50 hrs post injection. Symptoms were so intense that I had to take 3 days off from work

Other Meds: none

Current Illness: none

ID: 0982678
Sex: F
Age: 28
State: WA

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

Lab Data: Recommended follow-up with her PCP or urgent care immediately; unknown if this recommendation carried out by patient.

Allergies:

Symptoms: She immediately started having hot flashes after receiving vaccination, that have not resolved since time of patient reporting ADR on 1/14/21 (~12 days in duration). She also experienced a bad headache with blood vessel rupturing in her eyes.

Other Meds:

Current Illness:

ID: 0982679
Sex: M
Age: 34
State: CA

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

Lab Data:

Allergies:

Symptoms: Patient received a 1mL dose instead of a 0.5mL dose; no signs/symptoms at this time

Other Meds:

Current Illness:

ID: 0982680
Sex: F
Age: 21
State: CA

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

Lab Data:

Allergies: Grass

Symptoms: 15 min post injection recipient c/o "itching palms, neck and face" while standing in checkout line. No SOB noted or relayed. Benedryl 50mg administered po. Observed for 30 min and reported relief. Instructed to call personal MD if symptoms return. Instructed to call 911 if trouble breathing or any severe symptoms. Vitals: BP 100/68. P: 88. R: 16

Other Meds: None

Current Illness: None

ID: 0982681
Sex: F
Age: 43
State: IN

Vax Date: 01/10/2021
Onset Date: 01/11/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies: Penicillin, cephalosporins, niacin, doxycycline, erithrymycin

Symptoms: Fever, body aches, sore arm

Other Meds: Pristiq, ativan, gabapentin, Seroquel, vit c and Vit D

Current Illness: No w

ID: 0982682
Sex: M
Age: 67
State: MI

Vax Date: 01/23/2021
Onset Date: 01/24/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: 01/27/2021

Allergies: Penicillin, mold

Symptoms: Came down with covid 19

Other Meds: N/A

Current Illness: COPD,lymphoma of spleen

ID: 0982683
Sex: F
Age:
State: CA

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

Lab Data:

Allergies: None

Symptoms: Patient had her first dose of Moderna COVID vaccine 1/14. On 1/22 developed redness and itching of her arm, thought may be due to cellulitis, started keflex. However, since then has had no improvement and has developed worsening redness. The redness now affects her upper L arm, with swelling, itching and less so, but occasional pain as well. Has some firmness in the area where the vaccine was given but the rest of the red area is soft and not painful to touch. Discussed with our ID specialist, suspect delayed allergic reaction.

Other Meds: Phenobarbital

Current Illness: None

ID: 0982684
Sex: F
Age: 61
State: OK

Vax Date: 01/23/2021
Onset Date: 01/25/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: Rash lasting 72 hours after vaccination

Other Meds: Benadryl, Roxicodone, Tums, Phospha 250 neutral, Aldactone, Magnesium Oxide, Protonix, Lactulose, Lasix, Vitamin D3, Decubi-vite, Zoloft, Trazodone,

Current Illness:

ID: 0982685
Sex: F
Age: 27
State: PA

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

Lab Data:

Allergies: Zpack historically gives me hives

Symptoms: Fever, chills, hot flashes, sweats, nausea, headache, fatigue

Other Meds:

Current Illness:

ID: 0982686
Sex: F
Age: 84
State: TX

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

Lab Data: EKG given

Allergies: None known

Symptoms: Light headedness & slight headache followed by rash on hands and feet and thighs, then hands and feet turned beet red and swelled, uncontrolled shaking and chills. Went to emergency clinic and was given a steroid injection. Within an hour symptoms began dissipating.

Other Meds: Alprazolam and Levothyroxin

Current Illness: None

ID: 0982687
Sex: F
Age: 55
State: NJ

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

Lab Data: n/a

Allergies: N/A

Symptoms: edema and warm red area, pruritis - bringing on a anxiety attack

Other Meds: none

Current Illness: none

ID: 0982688
Sex: F
Age: 32
State: IA

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

Lab Data:

Allergies:

Symptoms: Red welt at injection site

Other Meds:

Current Illness:

ID: 0982689
Sex: F
Age: 52
State: CA

Vax Date: 01/17/2021
Onset Date: 01/27/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: none

Allergies: Sulfa antibiotics Seasonal allergies

Symptoms: inital delayed reaction to injection site - puritic rash - 6 cm x 5 cm after day 11 patient developed upper and lower lip angioedema

Other Meds: Red Yeast Rice extract, Co Q 10 Galrlic extarct Ziotin eye drops/ Zembreza eye drops

Current Illness: No

ID: 0982690
Sex: F
Age: 64
State: VT

Vax Date: 01/18/2021
Onset Date: 01/23/2021
Rec V Date: 01/28/2021
Hospital:

Lab Data: none

Allergies: sulfa

Symptoms: Started with itchy left eye 6 days (Friday) after 2nd shot then within the next 2 days I developed a painful rash around the left eye and left forehead going up to hairline. Next day rash became blistery so I went to see my PCP and she said I have shingles, ordered Valtrex and gabapentin.

Other Meds: Vit D

Current Illness: none

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm