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: 0917214
Sex: F
Age: 50
State: MA

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/02/2021
Hospital:

Lab Data: Physical exam normal EKG normal Labs (CBC, CMP, TSH) normal O2 saturation 98-100% throughout event

Allergies: Sulfa - rash Propylene glycol - perioral dermatitis

Symptoms: Ten minutes after vaccine administration, I experienced a tingling sensation at the injection site (left deltoid), which rapidly spread into the surrounding tissues, up my arm, and into my chest. My heart started to pound forcefully. I became tachycardic 110?s-120?s (my usual pulse is 60?s) and hypertensive 170?s-180?s/80?s-90?s (my usual BP is 100?s-110?s/60?s-70?s). I never felt faint or anxious. Approximately 20 minutes after vaccine administration my pulse came down to 100?s. I remained hypertensive. At one hour post-vaccine, my BP was 178/98. I was then transferred to the ED. At 90 minutes post vaccine my BP was 180?s/80?s and pulse was high 90?s. The BP gradually came down. I was discharged home three hours post-vaccine with BP of 140?s/80?s and pulse in the 90?s. The next morning, my VS returned to normal: BP 106/62, pulse 67.

Other Meds: Vitamin D 5,000U, 3x/ week Magnesium 200mg QD B-12, 1500mcg, 3x/weekly

Current Illness: None

ID: 0917215
Sex: F
Age: 62
State: SC

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/02/2021
Hospital:

Lab Data: Negative Covid test

Allergies: Tagamet, losartan, nifedipine

Symptoms: Elevated bp hours after vaccine along with sore arm. Next morning, muscle/joint aches, inability to ambulated, severe headache, brain fog, chills, shaking/trembling,pain all over. Evening of 1-2-2021, itching all over and hives on trunk.

Other Meds: Valsartan, paroxetine, loperamide, prempro, ambien, hydroxyzine,vitamin D3, align, Tylenol PRN, McIntyre,

Current Illness: Acute high blood pressure from covid

ID: 0917216
Sex: F
Age: 46
State: ND

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/02/2021
Hospital:

Lab Data: Nine

Allergies: N/A

Symptoms: Moderna covid-19 vaccine EUA - headache, nausea, and severe chills started between 11:00-11:30pm, followed by severe body aches, joint pain, neck pain, fatigue, and fever up to 102.8 that continued all day on 1/1/2021. Temperature down to 99.8 on 1/2/2021 in the am.

Other Meds: HCTZ, metoprolol ER, escitalopram, Tylenol, ibuprophen

Current Illness: Migraine

ID: 0917217
Sex: M
Age: 52
State: NJ

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/02/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Flu like symptoms. Chills/Sweating, Muscle and Body Aches, Joint aches. Low energy. No Fever.

Other Meds: atorvastatin 10mg/daily ; prilosec

Current Illness:

ID: 0917218
Sex: F
Age: 78
State: GA

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/02/2021
Hospital:

Lab Data: none

Allergies: sulfa

Symptoms: My arm started feeling sore the evening of the injection day. I di not sleep well that night as slight chills and general achiness began. When I got of bed the following morning I felt so weak, woozy and light headed that I was afraid I would fall. I slept all day but by that evening I began feeling better and by the following day (day 2 after the shot) I felt normal except that my arm was still sore. It is now day 3 and my arm is still slightly sore but not limiting my use and is steadily getting better.

Other Meds: Omeprozole, Red Rice Yeast, Calcium, low dose asperin, senior multi-vitamin, Omega 3 fish oil

Current Illness: had COVID 1 month, 7 days prior to vaccination. No other illnesses.

ID: 0917219
Sex: F
Age: 31
State: IL

Vax Date: 12/19/2020
Onset Date: 12/29/2020
Rec V Date: 01/02/2021
Hospital:

Lab Data: Blood sample er 12/29/2020 ?ray of low back

Allergies: Penicillin

Symptoms: Paralyzing back pain Extreme bruising Flu symptoms

Other Meds: Prenatals

Current Illness: None

ID: 0917220
Sex: F
Age: 51
State: CA

Vax Date: 12/31/2020
Onset Date: 01/01/2021
Rec V Date: 01/02/2021
Hospital:

Lab Data: none

Allergies: no

Symptoms: palpitation went uptown 162 fatigue, fever, chills, sore throat

Other Meds: no

Current Illness: no

ID: 0917221
Sex: F
Age: 33
State: FL

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/02/2021
Hospital:

Lab Data:

Allergies: Penicillin, amoxicillin, pyridium, cranberries, wheat

Symptoms: 45 minutes post vaccination, at my place of work, I got hives all over my body and my blood pressure became extremely high. It took two days of benadryl every 4 hours to get the hives to stop. No anaphylaxis.

Other Meds: Metformin , spironolactone.

Current Illness:

ID: 0917222
Sex: F
Age: 64
State: NY

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/02/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Body aches, fever less than 101, headache, nausea, lymphadenopathy, fatigue ,loss of appetite

Other Meds: Unithroid 88mcg daily Vitamin C 500mg daily Zinc 50mg daily Vitamin B complex daily MVI daily Vit D 5000mcg daily

Current Illness: none

ID: 0917223
Sex: M
Age: 37
State: OH

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/02/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Chills, Nausea Last 15 minutes

Other Meds:

Current Illness:

ID: 0917224
Sex: F
Age: 57
State: RI

Vax Date: 12/21/2020
Onset Date: 12/22/2020
Rec V Date: 01/02/2021
Hospital:

Lab Data:

Allergies: Wheat and Gluten

Symptoms: Fever 101.2, body aches, joint pain, nausea

Other Meds: Estradiol patch, Rosuvastatin, Omeprazole, Vitamin D, Calcium

Current Illness: Cough, congestion

ID: 0917225
Sex: M
Age: 82
State: GA

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/02/2021
Hospital:

Lab Data: none

Allergies: sulfa

Symptoms: The injection site began to hurt the evening of the day of the injection. I did not sleep well that night and was generally achy and fatigued the next day. Additionally I had a very dry mouth . By that evening I began to feel better although I was still a little tired but by the next day began to feel normal. The injection site is still tender (day 3) but getting better.

Other Meds: KCL, pravastatin, allopurinal,finasteride, furosemide, clonidine, lisinopril, terazosin, metfromin, omeprazole, eliquis, carvedilol, amlodipine, latanoprost, omega 3 fish oil, me.atoin, vision shield, vitamin D

Current Illness: tested positive for COVID 19 one month, 7 days prior to vaccination.

ID: 0917226
Sex: F
Age: 34
State: CO

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/02/2021
Hospital:

Lab Data:

Allergies: Shellfish

Symptoms: Burning and soreness instantly in left arm Development of nausea and headache by later that evening and into the next day. Also weakness in arm that the injection was done continuing in day 2.

Other Meds: Spironolactone

Current Illness: None

ID: 0917227
Sex: F
Age: 34
State: NY

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/02/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Headache and myalgia - headache developed within 3 hrs and lasted 1-2 hrs; resolved with Motrin. Myalgia developed within 12 hrs and lasted 48 hrs. Motrin and Tylenol were effective

Other Meds:

Current Illness:

ID: 0917228
Sex: F
Age: 62
State: PA

Vax Date: 12/30/2020
Onset Date: 01/01/2021
Rec V Date: 01/02/2021
Hospital:

Lab Data: none

Allergies:

Symptoms: 12/31/2020 6 pm diarrhea resolved after 3 episodes. 1/12020 loss of smell and taste.

Other Meds: Metformin 1000mg bid, Atorvastatin 40 mg daily, Fluoxetine 10 mg daily.

Current Illness: none

ID: 0917229
Sex: F
Age: 30
State: IN

Vax Date: 12/31/2020
Onset Date: 01/01/2021
Rec V Date: 01/02/2021
Hospital:

Lab Data:

Allergies: na

Symptoms: 100 degree fever, body aches, sore under arm/armpit of left arm (injection arm), fatigue, nausea, slight headache, swollen lymphnodes

Other Meds: daily vitamin, probiotic

Current Illness: na

ID: 0917230
Sex: F
Age: 47
State: IL

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/02/2021
Hospital:

Lab Data: EKG CBC

Allergies: demerol morphine azithromycin bee stings apples cayenne pepper

Symptoms: tachycardia hypotension dizziness/lightheaded weakness nausea pre-syncope

Other Meds: multi-vitamin zinc vitamin d-3 valacyclovir

Current Illness: none

ID: 0917231
Sex: M
Age: 25
State: NE

Vax Date: 12/31/2020
Onset Date: 01/01/2021
Rec V Date: 01/02/2021
Hospital:

Lab Data:

Allergies: Seasonal

Symptoms: Fatigue, body aches and fever of 100.7

Other Meds: None

Current Illness: None

ID: 0917232
Sex: F
Age: 63
State: CA

Vax Date: 12/28/2020
Onset Date: 12/29/2020
Rec V Date: 01/02/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Pt woke up day after vaccine with itchiness on her chest, throughtout the day the itching did not go away. Woke up Wednesday with rash all over chest area. No rash elsewhere on body. Reported to employee health and was told to take benadryl and if rash continued to contact my primary care provider.

Other Meds: multi vitamin

Current Illness: none

ID: 0917233
Sex: F
Age: 54
State: NY

Vax Date: 12/29/2020
Onset Date: 12/31/2020
Rec V Date: 01/02/2021
Hospital:

Lab Data: Spoke with on-call nurse at insurance company- who recommended that I seek medical attention called PCP- closed for holiday- will not reopen for 3 days urgent care visit - prescription for Cephalexin (2x/day x 5 days), prednisone (2 in am x 5 days)

Allergies: none

Symptoms: hard, red, swollen, hot, painful Left arm - area about 1 1/2" x 2 1/2" at injection site pain in left lymph node area- under arm

Other Meds: Prescription: Topiramate 50mg (2x/day), Monteluka10mg (1x/day) OTC: Migrelief, Tumeric, PreserVision (1 pill- 2x/day) OTC: MultiVit, D3(1000), C(500), fish oil (1000), Instaflex, {Zyrtec(am), xyzal(pm)}- per Dr orders

Current Illness: none

ID: 0917234
Sex: F
Age: 31
State: WI

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/02/2021
Hospital:

Lab Data: No tests taken.

Allergies: Allergic to artificial garlic: migraines.

Symptoms: Injection site soreness immediately after injection at 7am. General body aches progressed throughout the day. By 6pm same day all of the following: injection site pain, joint pain, muscle aches, fever>100deg, upset stomach, fatigue and mild headache. All symptoms lasted from 12/30 to 1/1. Fever peaked at 102deg.

Other Meds: Nuvaring, multivitamin, zinc supplement, calcium supplement, b12 supplement.

Current Illness: None

ID: 0917235
Sex: F
Age: 60
State: CT

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/02/2021
Hospital:

Lab Data: None

Allergies: none that I know of

Symptoms: I felt ok after injection all the first day. During nigh had chills. Woke with right arm soreness, great fatigue and headache pain (6-9/10) not constant, nausea, vomited once. In bed all day w/ HA pain and fatigue. Next day felt much better without symptoms, just a bit of tiredness.

Other Meds: None

Current Illness: None

ID: 0917236
Sex: F
Age: 40
State: MO

Vax Date: 12/17/2020
Onset Date: 12/31/2020
Rec V Date: 01/02/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Rash on arms, ankle, stomach

Other Meds: NP thyroid Wellbutrin B12 D3 Dhea Red yeast rice Multi vitamin

Current Illness: None

ID: 0917237
Sex: F
Age: 26
State: AL

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/02/2021
Hospital:

Lab Data:

Allergies: NA

Symptoms: fever and headache 5 hours after taking shot. Fever and headache lasted roughly 30 hours. Three days after taking shot started to itch real bad and have hive like bumps. Currently still have itching bumps 4 days after shot

Other Meds: Singular when needed, haven't taken it in a few months.

Current Illness: Sinus congestion, prior

ID: 0917238
Sex: F
Age: 54
State: NC

Vax Date: 12/23/2020
Onset Date: 12/24/2020
Rec V Date: 01/02/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient's husband came said she was "in agony" from 2nd dose. She said dose was given too high. Provider reporting gave 2nd dose and always errs on giving too low to ensure that doses are never given too high.

Other Meds:

Current Illness:

ID: 0917239
Sex: F
Age: 33
State: IL

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

Lab Data:

Allergies: Cipro, Penicillin

Symptoms: Recipient reports itching to arms and neck approximately 25 minutes after receiving first dose of Moderna Covid-19 Vaccine. 50mg Benedryl IM administered to Right arm. Recipient held for observation following benedryl administration.

Other Meds: None

Current Illness: None

ID: 0917240
Sex: F
Age: 42
State: WI

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/02/2021
Hospital:

Lab Data: no tests taken

Allergies: n/a

Symptoms: pfizer-Biotech/Covid-19 vaccine flu like symptoms- nausea, light headed, trouble focusing, stuffy nose, body aches, fever and chills but no actual fever- body just felt really warm. problems breathing at times (like a panic attack), headache, stiff neck, fatigue-- I fell asleep in my car because I was so tired. sore arm, irritability, When trying to lie down, I could not get comfortable, I found myself lying on the floor since it was cold, this is not normal behavior. i felt super sick. I was crawling on the floor because of how dizzy and tired i felt. It felt like a really bad drunk or hangover. noises were too loud, it felt horrible. I don't know if it is done.

Other Meds: turmeric probiotic collagen ashwagandha acyclovir sertraline

Current Illness: n/a

ID: 0917241
Sex: F
Age: 49
State: CA

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/02/2021
Hospital:

Lab Data: NA

Allergies: Tested for allergy in the past and was found to have environmental allergies - trees, pollen, dust

Symptoms: 12 hrs after vaccination, had mild frontal headache and fatigue. 24 hours after, itching, burning , stinging sensation around eyes, itchy forehead with mild erythema including eyelids, mild circumoral numbness with occasional burning/stinging sensation.

Other Meds: None

Current Illness: None

ID: 0917242
Sex: F
Age: 40
State: ME

Vax Date: 12/24/2020
Onset Date: 12/31/2020
Rec V Date: 01/02/2021
Hospital:

Lab Data:

Allergies: none known

Symptoms: itching, redness, swelling, & warmth approximately 2" around vaccination site, pain in left shoulder/arm, general fatigue

Other Meds: Bupropion SR, vitamin D3, vitamin B6, vitamin K2, vitamin C, magnesium

Current Illness: none

ID: 0917243
Sex: F
Age: 29
State: NH

Vax Date: 12/23/2020
Onset Date: 12/24/2020
Rec V Date: 01/02/2021
Hospital:

Lab Data:

Allergies: Opiates

Symptoms: Swollen lymph nodes, swollen Injection site, itchy injection site, hardness of injection site

Other Meds: Mirena IUD

Current Illness: Abscess of jaw

ID: 0917244
Sex: F
Age: 54
State: MN

Vax Date: 12/31/2020
Onset Date: 01/02/2021
Rec V Date: 01/02/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Hives/rash around torso.

Other Meds: None

Current Illness: None

ID: 0917245
Sex: M
Age: 39
State: FL

Vax Date: 12/27/2020
Onset Date: 12/28/2020
Rec V Date: 01/02/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Vomiting, fever, headache,

Other Meds: Lisinopril, Lipitor

Current Illness: None

ID: 0917246
Sex: M
Age: 42
State: MA

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/02/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Severe muscle pain inability to move arm has continued for 4 days and still going Swelling at injection site Lethargy

Other Meds:

Current Illness:

ID: 0917247
Sex: F
Age: 63
State: NC

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/02/2021
Hospital:

Lab Data: None

Allergies: None noted

Symptoms: Moderna COVID-19 Vaccine EUA: Pain, itching, bruising, large blisters on the entire right arm

Other Meds: Unknown

Current Illness: None stated/noted

ID: 0917248
Sex: F
Age: 70
State: TX

Vax Date: 12/23/2020
Onset Date: 12/30/2020
Rec V Date: 01/02/2021
Hospital:

Lab Data: None

Allergies:

Symptoms: A week after injection I developed a fairly large area (6" long by 3" wide) with erythemia, mild swelling, and accompanying pruritis, and with scattered petechiae around the injection site on my upper left arm. Still present three days later but resolving. It was not sufficient to cause any difficulty with my daily activities and did not require any medical intervention. I did apply 1% hydrocortisone cream with no significant effect. I just wanted to report it because this is a new vaccine, and I wanted to make sure any side effect was noted for research purposes.

Other Meds:

Current Illness:

ID: 0917249
Sex: F
Age: 48
State: OR

Vax Date: 12/24/2020
Onset Date: 12/27/2020
Rec V Date: 01/02/2021
Hospital:

Lab Data: COVID Test 12/29 - negative Rapid Strep 12/29 - negative Bacterial throat culture 12/29 - negative No blood work

Allergies: Sulfa

Symptoms: Woke up w/ primarily left sided cervical lymphadenopathy with gum pain/swelling on the left - onset 12/27. Visit to dentist for worsening pain and mild body aches and chills - dentist felt the pain and swelling, + mild ulceration due to new toothbrush head causing abrasions on gums and hard palate - no treatment prescribed - 12/28. Worsening painful lymphadenopathy (now bilateral cervical), body aches, chills, joint pain, fevers, odynophagia, gum pain/swelling, malaise - visit to respiratory clinic - rapid strep negative; COVID negative, bacterial throat culture negative (VS: HR 120, SBP 168, T 100.7 on Tylenol) - no treatment prescribed - 12/29. Development of shallow, painful ulcers LEFT hard palate, gums and a RIGHT lip ulcer - 12/31. Photos of ulcers reviewed with previous dentist - prescribed acyclovir 400 mg TID and magic mouthwash. 12/31. Taking Ibuprofen and Tylenol regularly. As of today, 1/2, improvement in cervical lymphadenopathy, resolution of constitutional symptoms, and odynophagia. Ongoing mouth pain and ulceration. + left facial numbness/burning pain (V1-3) similar to previous episode of trigeminal neuralgia in 1999.

Other Meds: OCP

Current Illness: None

ID: 0917250
Sex: F
Age: 44
State: CA

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/02/2021
Hospital:

Lab Data:

Allergies: Penicillin Crab allergy

Symptoms: I developed facial rashes that is spreading down The rashes are painful to touch. Feels inflamed

Other Meds: Vitamin C Vintamin E Vitamin D3 Adult multi vitamin

Current Illness: None

ID: 0917251
Sex: F
Age: 28
State:

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/02/2021
Hospital:

Lab Data:

Allergies: N/A

Symptoms: Arm pain/soreness began about 8 hours after receiving vaccine, lasted for three days- was at it's worst morning after. Slight swelling and knot at injection site also occurred day after vaccine. Headache began morning after receiving vaccine, was off an on for three days. Lightheaded/fuzziness began two days after vaccine, lasted for 12 hours. Symptoms treated with ibuprofen and cold pack for arm.

Other Meds: OCP

Current Illness: None

ID: 0917252
Sex: M
Age: 45
State: CA

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/02/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Swollen, reddish, sore left deltoid after injection.

Other Meds: Lisinopril 5 mg po qday

Current Illness: None

ID: 0917253
Sex: F
Age: 37
State: NC

Vax Date: 12/19/2020
Onset Date: 01/02/2021
Rec V Date: 01/02/2021
Hospital:

Lab Data:

Allergies: NKDA

Symptoms: Patient (physician) reported she developed shingles post-COVID vaccination.

Other Meds: None

Current Illness: None

ID: 0917254
Sex: F
Age: 54
State:

Vax Date: 12/29/2020
Onset Date: 12/31/2020
Rec V Date: 01/02/2021
Hospital:

Lab Data:

Allergies: Erythromycin

Symptoms: Body aches, fatigue, arm pain(first couple of days), diarrhea and nausea

Other Meds: Ramipril, zocor, estrace, Zyrtec, zanaflex, areds, contrave, omezaprol, melatonin, ibuprofen

Current Illness: Sinusitis

ID: 0917255
Sex: U
Age:
State: SD

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

Lab Data:

Allergies:

Symptoms: The first day and a half my whole arm down to my hand and fingers were numb and tingly. The numbness and tingly has gone away in my arm but is still happening with my hand and fingers.

Other Meds:

Current Illness:

ID: 0917256
Sex: M
Age: 92
State: OR

Vax Date: 12/26/2020
Onset Date: 12/28/2020
Rec V Date: 01/02/2021
Hospital:

Lab Data: None

Allergies: Cephalexin Tetracycline

Symptoms: Chills post day 2 and diarrhea post day 3. Both lasted less than a day

Other Meds: Tylenol B 12 Preservision REDS Senna Vit D3 Calcium D Ferrous Sulfate MVI Melatonin

Current Illness: Infected toe

ID: 0917257
Sex: F
Age: 55
State: NY

Vax Date: 10/01/2020
Onset Date: 10/07/2020
Rec V Date: 01/02/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: chronic severe arm pain for over 3 months treated with advil and ice after an hour pain comes back

Other Meds: metoprolol, metformin, advil, aromasin statin

Current Illness: none

ID: 0917258
Sex: M
Age: 25
State: WI

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/02/2021
Hospital:

Lab Data: Na

Allergies: Na

Symptoms: Extreame left arm pain. Tender to touch and movement. Unable to sleep at night due to discomfort and pain. Unable to lift arm above head due to pain level. Pain has not decreased at all.

Other Meds: Vibrid, buspirone, omeprazole, ibuprofen, B12

Current Illness: Na

ID: 0917259
Sex: F
Age: 51
State: FL

Vax Date: 12/23/2020
Onset Date: 12/31/2020
Rec V Date: 01/02/2021
Hospital:

Lab Data:

Allergies: Sulfa Latex sensitivity

Symptoms: Moderna COVID-19 Vaccine EAU Starting 12/31/20, 8 days following vaccine, large oval rash below injection site on right upper arm, raised, red, and warm, approximately 3 1/2 inch diameter oval

Other Meds: Aviane, multivitamin, Vit. E 400IU, St. John?s Wort 600 mg daily, fish oil 1000mg, niacinamide 500 mg 3x daily, Vitamin C 500 mg, Calcium plus vit D 600mg/D3 20 mcg, potassium iodide 150 mcg, probiotic

Current Illness: None

ID: 0917260
Sex: F
Age: 40
State: GA

Vax Date: 12/20/2020
Onset Date: 12/20/2020
Rec V Date: 01/02/2021
Hospital:

Lab Data: At the ER CBC and BMP labs Urine for pregnancy test.

Allergies: None

Symptoms: Rash throughout scalp, face, neck, ears,torso,thighs,legs, arms, back, itchy throat and ears. Benadryl 50 mg Pepcid 40 mg Prednisone 60 mg The rash started after 1 hour. Took 25 mg benadryl then by 9 pm it got worse, took another 25 mg benadryl without improvement. Continue taking benadryl next day and took pepcid by 12 noon the next day. Following day 22nd December the patient went to hospital ER at 1200 noon. There got prescribed 60 mg prednisone PO with benadryl 50 mg and pepcid 20 mg. Received instructions to continue taking same dose for another 4 days.

Other Meds: Tylenol 650 mg pain once Multivitamin Iron medication Vitamin D

Current Illness: Infection, took flagyl 500 mg BID for 7 days completed medication prior to vaccination time.

ID: 0917261
Sex: M
Age: 53
State: IL

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

Lab Data:

Allergies: n/a

Symptoms: Pain at injection site, myalgia, chills, fever,

Other Meds: Novolog (insulin pump) levothyroxine, atorvastatin

Current Illness:

ID: 0917262
Sex: M
Age: 76
State: VA

Vax Date: 12/31/2020
Onset Date: 01/01/2021
Rec V Date: 01/02/2021
Hospital:

Lab Data: none

Allergies: None

Symptoms: Blistering burning rash opposite arm of injection site spreading down arm. Time 1 day after injection 24 hours later

Other Meds: allopurinol, diclofenac, fluoxetine hcl, Janumet XR, Lipitor, Losartan, Ofev, Vit D3, Tumeric

Current Illness: None

ID: 0917263
Sex: F
Age: 62
State: MA

Vax Date: 12/23/2020
Onset Date: 12/31/2020
Rec V Date: 01/02/2021
Hospital:

Lab Data: none

Allergies: Cipro- makes me extremely nauseous

Symptoms: I noticed my left arm is swollen, red, warm to the touch, sometimes itchy on Dec 31,2020. Contacted via phone and e-mail, Occupational Health Services on 1/1/2021. I also saw an ED physician at on 1/1/2021 who said a local inflammation reaction was unlikely, probably cellulitis, and prescribed doxycycline. The affected area of my arm was marked to follow progression of red, warm area. Began doxycycline 1/1/2021. Next morning red, warm area of arm is now outside of marked area and down to below my elbow. I have an appointment with Occupational Health on Monday, January 4,2021.

Other Meds: none

Current Illness: none

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm