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**
PLEASE CHECK BACK SOON
Download the files above while you wait.







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: 0987324
Sex: F
Age: 30
State: HI

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

Lab Data: None

Allergies: Soy milk

Symptoms: Scratchy throat ("feels like something sharp stuck in my throat"), vomiting (2/2 throat sensation), lightheadedness 1g Tylenol PO and 12 hours of sleep lead to resolution of symptoms

Other Meds: Effexor ER

Current Illness: None

ID: 0987325
Sex: F
Age: 51
State: NY

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies: latex

Symptoms: 1/28/2021 at 11:00 am High fever started (101.8) lasted throughout the day. The fever was accompanied by chills/sweats/headache and bodily aches and pains. The feve/r lasted until the next day and subsided mid-afternoon the next day. An area of redness at the injection site was noted on 01/28/2021 and by 01/29/2021 the area included the whole upper arm, it was swollen, painful and hot to the touch. Also upon waking up on 01/29/2021 there was a rash that covered my body on my full torso, down my arms to the elbows and down my legs to the knees. I have experienced general aches and pains throughout as well. It is 7:40 pm 01/29/2021 at the time of this note, the fever is gone but the arm redness is heavily present still, the rash has subsided but is still noticable on my torso.

Other Meds: none

Current Illness: none

ID: 0987326
Sex: F
Age: 75
State:

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

Lab Data:

Allergies:

Symptoms: After vaccination blood sugar was extremely high, dropped to normal levels

Other Meds:

Current Illness:

ID: 0987327
Sex: F
Age: 47
State:

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

Lab Data:

Allergies:

Symptoms: Sore arm - Strong pain on first day vaccination. Symptoms started approximately 6 hours after vaccination. The pain is bearable after taking tylenol next day. treatment- tylenol

Other Meds:

Current Illness:

ID: 0987328
Sex: M
Age: 32
State: CA

Vax Date: 01/22/2021
Onset Date: 01/23/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Woke up around 8am the next morning after receiving Moderna Vaccine. Lips were swollen. Purple in color. Not painful. Not tender. No changes to breathing, tongue, and airway. No rash or hives. Lip swelling and discoloration went to normal around 12pm. There were no medications or variety of foods that were new. No Tylenol, ibuprofen or Benadryl was taken.

Other Meds: None

Current Illness: None

ID: 0987329
Sex: F
Age: 88
State: NY

Vax Date: 01/24/2021
Onset Date: 01/25/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient with ongoing intermittent pruritus since administration of vaccine.

Other Meds:

Current Illness:

ID: 0987330
Sex: F
Age: 31
State: AZ

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: Urine test 1/21/2020

Allergies: Latex and kiwi sensitivities

Symptoms: Urinary tract infection /kidney infection

Other Meds: None

Current Illness: None known

ID: 0987331
Sex: F
Age: 41
State: NJ

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies: No known allergies to medications, food or other products

Symptoms: "Pfizer-BioTech COVID-19 Vaccine EUA" Received 1st dose of vaccine in left arm at 10:28 a.m. Drove home and at 4:00 p.m. face, forehead, and neck turned bright red, facial tightness, feeling like face was on fire. Heart rate recorded between 112bpm and 115 bpm and began having shortness of breath. Then began feeling nauseous, eyes were itchy and had a headache. Took 10 ml Benedryl @ 4:40 p.m. and drank some water. 7:00 p.m. still have slight facial and neck redness and headache.

Other Meds: birth control

Current Illness: none

ID: 0987332
Sex: F
Age: 54
State: MD

Vax Date: 01/22/2021
Onset Date: 01/29/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies: Cats

Symptoms: Sore arm, neck, back and left side of body. Headache. Extremely tired. Took Advil every four hours and sleep. Felt better after 24 hours. Arm sore for a couple days.

Other Meds:

Current Illness:

ID: 0987333
Sex: F
Age: 74
State: OK

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

Lab Data:

Allergies:

Symptoms: Chills, joint pain, no fever, muscle ache

Other Meds:

Current Illness:

ID: 0987334
Sex: F
Age: 49
State: NC

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: None

Allergies: Amoxicillin, Betadine, Adhesive, possible latex

Symptoms: 2nd day after 2nd vaccine, my injection arm turned bright red, sore, hot and itchy. The area is about 5 inches in length and width. 4 days after the vaccine, the area is not getting better, symptoms are the same. With the 1st and 2nd vaccines I had bad back pain in my spine within 6-7 hours of injection lasting 1 day after 1st injection and 3 days after 2nd vaccine.

Other Meds: Synthroid, Sertraline, Metoprolol, Vitamin D

Current Illness: No

ID: 0987335
Sex: F
Age: 30
State: CA

Vax Date: 01/09/2021
Onset Date: 01/09/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies: UNKNOWN

Symptoms: pt c/o L chest pain/pressure after receiving moderna vaccine pt received vaccine after 1743. Pulse was 102 rapid on R arm. Pt was observed for 30 minutes, pt declined further medical intervention. 1824 pt was driven home by husband. no further interventions required.

Other Meds: UNKNOWN

Current Illness: UNKNOWN

ID: 0987336
Sex: F
Age: 67
State: MI

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

Lab Data:

Allergies: None

Symptoms: Chills and weakness, no fever. Severe diarrhea now over 12 hours

Other Meds: Advair, singular, lovistatin

Current Illness: None

ID: 0987337
Sex: F
Age: 67
State: WA

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

Lab Data: None

Allergies: NSAIDs Wheat/Gluten

Symptoms: Felt very good for 5 or 6 hours after injection. Left arm had became sore and stiff by 5:00 . By 6:15 PM slight nausea, fatigue, body aches and chills. By 7:30 or 8:00 PM experienced extreme chills, fever, and more intense body aches all over - especially sore and stiff left arm. Also slight nausea and loose stools. After feeling well enough to find the thermometer, temp registered at 100.5, and continued through night. The chills were intense. Treated fever with liquids and rest. Fever and chills lasted until about 9:00 AM 1/27/2021. I was able to eat a little, then very fatigued and slept until 4:00 PM 1/27/2021. After a light dinner, slept all night. Woke 1/28/2021 better, but not energetic. As of today, 1/29/2021, I am able to return to normal activities.

Other Meds: Armour Thyroid 90 MG Sertraline HCL 25 MG

Current Illness: None

ID: 0987338
Sex: F
Age: 43
State: FL

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: None

Allergies: Sulfa Imitrex Flagyl

Symptoms: Bad headache (migraine like, right sided) Abdominal pain Nausea Fever 100.4 Myalgias Arthralgia Profound fatigue/weakness

Other Meds: Lo press or 12.5 mg Hctz 25mg Wellbutrin xl 150mg Lexapro 10mg

Current Illness: None known

ID: 0987339
Sex: F
Age: 56
State: NY

Vax Date: 01/22/2021
Onset Date: 01/26/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: Not performed

Allergies: Sulfa iodine coricidin midol Tdap

Symptoms: Pruritic Rash every night all over Relieved by combination of Benadryl 50 mg, Claritin and pepcid

Other Meds: Vitamin d 2000 out qd

Current Illness: Mone

ID: 0987340
Sex: F
Age: 44
State: OH

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies: Seasonal

Symptoms: Some numbness in left portion of face, namely forehead down to jaw along hairline. Lasted close to three hours, and has not happened since.No treatment.

Other Meds: Meloxicam, vitamin D, loratadine

Current Illness: None

ID: 0987341
Sex: F
Age: 30
State: CA

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Symptoms started at 1900 on 1/20. Headache, rigors, fever, malaise, body aches, nausea. Vomited on the morning of 1/21 at 0400. Symptoms persisted (except vomiting) until 1800 on 1/21/21.

Other Meds: Mesalamine, turmeric

Current Illness: None

ID: 0987342
Sex: M
Age: 29
State: MI

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: patient reacted well to vaccine

Other Meds: none

Current Illness: none

ID: 0987343
Sex: F
Age: 51
State:

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies: unknown

Symptoms: Following first dose of COVID-19 vaccine patient complained of an itching nose and stated that her "heart is pounding". Patient was taken into a private room to recover.

Other Meds: Metroprolol and Trajeuta po daily

Current Illness: unknown

ID: 0987344
Sex: F
Age: 49
State: PA

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

Lab Data: Er dept Labs normal

Allergies: Penicillin , darvon ,erythromycin

Symptoms: Elevated blood pressure w increase hourly til at 2 am dr said go to er blood pressure to high for my condition After the emergency room discharge I started w fever, as high 101.6 chills, body aches So after consulting family doctor I was given COVID test which I?m awaiting results

Other Meds: None

Current Illness: None

ID: 0987345
Sex: F
Age: 29
State: AZ

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient's first COVID vaccination was Moderna on 12/28 at a vaccination site. Patient's second COVID vaccination was Pfizer on 1/29. Reviewed CDC policy to not receive a 3rd vaccination of either Moderna or Pfizer. Monitored patient for 15 minutes with no adverse events.

Other Meds:

Current Illness:

ID: 0987346
Sex: F
Age: 81
State: CA

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

Lab Data:

Allergies:

Symptoms: Sore Arm Tired fatigue

Other Meds:

Current Illness:

ID: 0987347
Sex: F
Age: 40
State: TX

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

Lab Data:

Allergies: None

Symptoms: 12 hours after vaccine, near syncope episode, severe muscle aches and chills,severe vomiting low grade fever100.2, unable to sit up for 12 hours without almost fainting or having to vomit

Other Meds: Benadryl, Zyrtec tylenol

Current Illness: None

ID: 0987348
Sex: F
Age: 42
State: WA

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies: NKDA

Symptoms: Sudden onset of flushing of the chest and upper extremities, subjective throat tightness and tongue swelling not evident on exam. Onset within 10 minutes of administration, provided 50 mg diphenhydramine, symptoms resolved within 1 hour completely. No wheezing, stridor, urticaria.

Other Meds: none

Current Illness: none

ID: 0987349
Sex: F
Age: 48
State: NC

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/29/2021
Hospital:

Lab Data: n/a

Allergies: allergic to Effexor allergic to synthetic food coloring

Symptoms: started with just an achy arm at the injection site. By the next morning, the inside of my right arm (towards the armpit) hurt a lot. I'm assuming a lymph node. Then the lymph node under the right side mandible was swollen and painful. That lasted for about 2 weeks. About a week after symptoms went away I felt a stabbing pain under my right mandible and severe throat pain. Once again, my lymph node felt swollen. That lasted about 3 or 4 days.

Other Meds: singulair wellbutrin lamictal trazadone zyxal tolterodine

Current Illness: none

ID: 0987350
Sex: F
Age: 44
State: MD

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

Lab Data:

Allergies: Gluten

Symptoms: I had joint pain yesterday like flu-like joint pain which seemed like a common effect. This morning most of the joint pain has subsided except in my feet and ankles. It was painful to wear shoes and very painful to walk. The balls of my feet were the worst. Through the day my right ankle has swollen that I have fluid on the front of my ankle that is painful to touch. Both are very painful but especially the right. I came home and have kept my feet elevated and it is throbbing and still swollen. My left hand joints are very painful to bend the fingers and throbbing. I have taken Motrin through the day there had been no relief.

Other Meds: Lexapro Women?s One A Day Vitamin C

Current Illness:

ID: 0987351
Sex: M
Age: 56
State: IL

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: None

Allergies: Celebrex, All nuts/seeds

Symptoms: Myalgia for 3 days after first dose. Pain in all joints, muscles, bones. Also experienced minor flu-like symptoms for 3-4 days.

Other Meds: Coumadin, Losartan, Protonix, Uroxatrol

Current Illness: None

ID: 0987352
Sex: F
Age: 42
State: UT

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: Benedryl

Allergies: novacaine, tetracyclin,amoxicillin, sulfa, levaquin

Symptoms: mild chest tightness, elevated HR, slight throat tightness, mild shakiness

Other Meds:

Current Illness: vestibular ear issues

ID: 0987353
Sex: F
Age: 48
State: WA

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: COVID-19 test negative 1/15/21.

Allergies: Iodine, ketamine, morphine, unknown BP med

Symptoms: Post injection of 2nd COVID-19 Pfizer dose, pt suddenly vomitted (15 min post injection), had uticaria of arms and legs (30 min post injection), and asthma like symptoms such as wheezing, SOB (35min post injection). Diphenhydramine 50mg PO given and pt transferred to ED for observation. In ED, pt received albuterol 0.083% neb, diphenhydramine 25mg IV, famotidine 40mg IV, hydroxyzine 25mg PO, Duoneb 3mL, and Solumedrol 125mg IV. All reactions resolved prior to ED discharge several hours later.

Other Meds: Albuterol inh and mometasone/formoterol inh

Current Illness: No illness

ID: 0987354
Sex: F
Age: 40
State: VA

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: None. I called the fon-call nurse and messaged my primary care doctor.

Allergies: Significant allergies to pets and environmental factors like mold and pollen. Mild allergy to pineapple (itchy tongue). No medication allergies.

Symptoms: Symptoms began with severely sore muscles about 3-4 hours after the vaccine. I'm healthy and 40 years old and I was barely able to walk to my bed, like a 90 year old. Followed by uncontrollable shaking for 1-2 hours (like extreme chills, though I wasn't cold and was covered in blankets). Following that, I was unable to walk or crawl and almost any movement of any part of my body was excruciating, including picking up a glass of water and even wiggling my toes. It felt similar to the physical trauma of recovering from a car accident, when every muscle is tensed for impact. That severity decreased within 24 hours of the vaccine. Muscle pain, extreme fatigue, headaches and dizziness have continued for 4+ days and are still present and prevented me from working and going about day-to-day activity.

Other Meds: Daily birth control pill (Cryselle), localized cortisone shot to knee. Prescribed occasional allergy medicine (Fluticasone), not taken day of the vaccination. Monthly allergy shot received 14 days before vaccination.

Current Illness: None. Light swelling in right knee due to a minor exercise injury.

ID: 0987355
Sex: F
Age: 65
State: OR

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

Lab Data: None

Allergies: None

Symptoms: Terrible vertigo. Vomiting. Dizziness. Woke up with it have had it severely all day.

Other Meds: Lisinopril. Met firm in. Hydro chlorine thiazides statin vitamin D

Current Illness: None

ID: 0987356
Sex: F
Age: 38
State: GA

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: None this far

Allergies: Sulfa

Symptoms: Severe wheezing. Started slightly wheezing about 2 hours (0930) post vaccine. Took 4puffs of Xopenex HFA MDI with spacer. Slept until 4pm and awoke with severe wheezing episode. Took Nebulized xopenex twice.... wheezing is still audible oxygen saturation is currently at 95%

Other Meds: Wellbutrin, trintellix, omeprazole, losarten , xopenex prn

Current Illness: N/A

ID: 0987357
Sex: F
Age: 23
State: NJ

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

Lab Data:

Allergies: Duracef Keflex

Symptoms: Injection site swelling begun 6 hours post injection. Redness and Warm to touch started 16 hours post injection. All three symptoms are current present 32 hours post injection

Other Meds: Metoprolol Riboflavin

Current Illness:

ID: 0987358
Sex: F
Age: 45
State: NH

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

Lab Data:

Allergies: Paxil and aspartame

Symptoms: Swelling and hot to the touch of entire upper left arm a kit 10 hours after administration. Coughing then SOB immediately relieved by 2 puffs of albuterol inhaler From 10 hours-26 hours severe fatigue, body aches, headache, chills, hot, sweat and leg aches and weakness continuing at 34 hours

Other Meds: Adderall, fioricet, relpax, ibuprofen

Current Illness: None

ID: 0987359
Sex: F
Age: 71
State: WA

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: NONE

Allergies: AMPICILLIN (Dermatological problems, e.g., rash, hives) PNUEMONIA VACCINE (Temp,bodyaches weakness etc) food: gluten, dairy, nightshades

Symptoms: fever, chills, headache, muscle spasms, difficulty walking across the room, dizziness, fatigue, brain fog

Other Meds: Gabapentin Paroxetine Trazadone Verapamil Levothyroxine

Current Illness: Diagnosis of ALLERGIC RHINITIS Diagnosis of CHRONIC PAIN, NEC Diagnosis of DEPRESSION, MAJOR, RECURRENT IN PARTIAL REMISSION Diagnosis of FIBROMYALGIA Diagnosis of GAD (GENERALIZED ANXIETY DISORDER) Diagnosis of GERD Diagnosis of HIP PAIN, RIGHT Diagnosis of HYPERTENSION, BENIGN ESSENTIAL Diagnosis of HYPOTHYROIDISM Diagnosis of IRRITABLE BOWEL SYNDROME Diagnosis of MIGRAINE Diagnosis of OSTEOPENIA Diagnosis of TINNITUS, RIGHT Diagnosis of WELL ADULT

ID: 0987360
Sex: F
Age: 58
State: NJ

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

Lab Data:

Allergies:

Symptoms: Reports dizziness, lightheaded, and weak post vaccination Vitals assessed / wnl; BP 120/70 P77; Rest, crackers and po hydration Monitored x 30 minutes, "feeling better" Released to home from facility

Other Meds: Metformin

Current Illness:

ID: 0987361
Sex: F
Age: 47
State: NY

Vax Date: 01/13/2021
Onset Date: 01/16/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies: Sulfa, amoxicillin

Symptoms: Pain in left arm for three days Severe fatigue 3 days later for 24 hours

Other Meds: BCPs, Advair

Current Illness:

ID: 0987362
Sex: F
Age: 48
State: WV

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies: Codeine, Biaxin (antibiotic), allergic reaction to MMR, medical tape, anesthesia or epidural at childbirth ( never determined which), potatoes, shellfish, environmental

Symptoms: Shot administered on Friday. Was required to stay 1 hour after shot, approx 10 minutes after leaving itching on hair began, progressed to ears and throat tickle. Took 1 Benadryl which stopped any progression of itching. Approximately 5pm, had aching, took temp which was 102.4. Temp remained in 102 range throughout night and all day on Saturday. Had aches and headache Friday evening and all day on Saturday to migraine level. Felt like I had been hit by a train. Temp stayed in the 99-101 range Sunday and 99 range Monday but began to feel better. Temp ceased Monday evening. Throughout week was exhausted but no additional headache or temp.

Other Meds: Crestor 10mg 1 daily Neurontin 300mg 1-2 daily Flexeril 10mg 1-2 daily Requip mg 1 at bedtime Xyzal mg 1 at bedtime Singular 10mg 1 at daily Celebrex 200mg 1 daily Prevacid 30 mg 1 daily

Current Illness:

ID: 0987363
Sex: F
Age: 65
State: NY

Vax Date: 01/13/2021
Onset Date: 01/22/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: RECEIVED 1ST VACCINE 1/13 ABOUT 45 MINUTES LATER FELT LITTLE BRAIN FOG BUT WENT AWAY. ARM WAS LITTLE IRRITATED. ON FRIDAY 1/22 WOKE UP TO INJECTION SITE ITCHY, BEET RED,HOT WITH HARD WELT LIKE AREA ABOUT 1 1/2 INCH ROUND WHICH SPREAD THROUGH DAY NEXT DAY LATE AFTERNOON STILL IRRITATED BUT FLATTENED OUT. TODAY 1/29 AREA IS STILL LARGE BUT FLAT COLOR PINK AND SORE.SECOND VACCINE SCHEDULED FOR 2/10/21. LITTLE NERVOUS AND CONCERNED WITH ANXIETY OF UNKNOWN IF SAFE TO RECEIVE OR OUTCOME. READ ONLINE REGARDING SIDE EFFECTS NOT SURE AT TIME WHAT TO EXPECT . ON 1/22/21 I DID CALL CDC NUMBER PROVIDED AND JUST LEFT MY NAME AND PHONE NUMBER ON VOICE MAIL DUE TO HIGH VOLUME. HAD NO RESPONSE.

Other Meds: ecotrin 325 mg vitamin e 5000 levothyroxine 0.50mg ezetimibe 10mg

Current Illness: none

ID: 0987364
Sex: F
Age: 59
State: OR

Vax Date: 01/02/2021
Onset Date: 01/08/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: See above.

Allergies: Estradiol PO daily Hydrochlorothiazide PO daily Levothyroxine PO daily Lisinopril PO daily

Symptoms: Fevers up to 103 F, chills, malaise, myalgia 7 days after vaccination received. CBC with normal WBC but elevated neutrophils and decreased lymphocytes. Elevated AST and ALT into 60s. CRP elevated to 145. Placed on prednisone burst daily x 5 days 9 days after receiving vaccination. Symptoms improved but have not yet resolved as of today. Temp today is 99.3 F.

Other Meds:

Current Illness: Mild viral URI symptoms in December 2019, COVID-19 negative PCR on 01/09/2021

ID: 0987365
Sex: F
Age: 53
State: OR

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

Lab Data:

Allergies: septra/ sulfa

Symptoms: dizziness today

Other Meds: none

Current Illness: no

ID: 0987366
Sex: M
Age: 27
State: WA

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data:

Allergies: NA

Symptoms: Fever onset 16 hours after administration peaking at 101.8 28 hours after administration. Body aches and chills, inability to get warm. low grade headache for 48 hours.

Other Meds: None were taken before vaccination. Ibuprofen (400mg) was taken 1x during adverse reaction

Current Illness: NA

ID: 0987367
Sex: F
Age: 46
State: FL

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

Lab Data: I am including time missed from my employer as Employee Health said you are responsible for my medical bills and missed time from work. 12/30/2020- Missed 7.25 hours from work @ 12/31/2020- Missed 4.25 hours from work @ 01/05/2021- Missed 1.25 hours from work @ 01/19/2021- Missed 10.75 hours from work @ 01/20/2021- Missed 4.75 hours from work @ 01/21/2021- Missed 7.25 hours from work @ Total Hours Missed from work- 35.5 Emergency Room Visit on 12/30/2020 Emergency Room Physician on 12/30/2020= Hospital on - Labwork-01/12/2021- Haven't received bill yet Clinic- 01/16/2021- Haven't received Bill Yet Clinic-01/19/2021- Haven't received bill yet Chest Xray @ Clinic on 01/19/2021- Haven't received bill yet Dr. 01/29/2021- Haven't received bill yet Labwork @ Outpatient 01/29/2021- Haven't received bill yet

Allergies: none

Symptoms: Moderna COVID-19 Vaccine EUA I broke out in severe hives and had to be treated in the emergency room an hour and a half after receiving vaccine. I have no history of any adverse infection to any medications, foods, or vaccinations. The following 30 days included being ill and multiple trips to primary physician, urgent care clinics, lab work, and chest X-ray. Please see below. I have already submitted this once under report Temporary VAERS E-Report on 01/03/2021 but have not received u any correspondence.

Other Meds: none

Current Illness: none

ID: 0987368
Sex: F
Age: 61
State: IA

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

Lab Data: NONE

Allergies: Sulfur Penicillin

Symptoms: Left arm ached. Chills, body achiness. Didn't sleep well at night.

Other Meds: Fluoxetine HCL Capsule 4 capsules daily Rosuvastatin Calcium GLN 1 tablet daily One Daily Women's Dietary Supplement AZO Cranberry Urinary Tract Health

Current Illness: NONE

ID: 0987369
Sex: F
Age: 50
State: OH

Vax Date: 01/20/2021
Onset Date: 01/28/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: N/A

Allergies: arithrimisin

Symptoms: I had the moderna shot last Wednesday and yesterday my left arm started feeling hot and today it turned red in the shot area and is now spreading down my arm and now is feeling hot up my neck and ear on the left side.

Other Meds: atorvastatin, B-12,estradol, gabapentin, hydrocodone, lisinopril, metformin, yizanidine

Current Illness:

ID: 0987370
Sex: F
Age: 64
State: CA

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: None

Allergies: no

Symptoms: HR 80, 98 SPO2 on RA, 170/98 , 2 160/92, 99 % RA HR 98, 99 % HR 88, 160/90 Pt states she feels dizzy, denies pain at the site. Says she does have DMII and HTN. Ambulated to restroom with RN, given bottle of water, states she has not eaten all day, states she feels anxious and vision is blurry. Pt denies headache, weakness, pain, nausea. Patient verbalized understanding to f/u with 911 or ED with any further problems. Pt also signed hardcopy.

Other Meds: Iosartan, Janumet, amiodipine, B Complex, caltrate, tylenol (PRN)

Current Illness: No illness

ID: 0987371
Sex: F
Age: 67
State: CA

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

Lab Data: Unknown

Allergies: Sulfa and fluconazole- reports rash to both

Symptoms: Patient developed a full body flushing/warmth sensation. Sent to the ED.

Other Meds: Unknown

Current Illness: None reported 2 weeks prior

ID: 0987372
Sex: F
Age: 61
State: CA

Vax Date: 12/26/2020
Onset Date: 12/27/2020
Rec V Date: 01/29/2021
Hospital:

Lab Data: None do far

Allergies: Shellfish, walnuts, sulfa drugs,

Symptoms: Pain in shoulder joint starting the morning after I received my first dose. Continued till date of my second dose and got worse after 2nd dose given in same arm due to medical recommendation for better vaccine response. Have pain on lifting arm. Can?t raise it more than 75 degrees without great pain. Trouble pulling or pushing with that arm or carrying heavy things. Have not had issues with this arm before vaccination.

Other Meds: Celebrex, calcitriol, calcium, Sertraline, B6, Gabapentin, Trazadone. Multivitamin

Current Illness: None

ID: 0987373
Sex: F
Age: 36
State: KS

Vax Date: 01/21/2021
Onset Date: 01/29/2021
Rec V Date: 01/29/2021
Hospital:

Lab Data: None

Allergies: Season allergies Take allergy shots

Symptoms: Lump at injection site. Went away day after injection came back today itching and large lump

Other Meds: Vitamin C Potassium supplements Multi vitamin Wellbutrin Singular Zyrtec Desvanlafexine Spironactalone

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm