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: 0988532
Sex: F
Age: 46
State: CA

Vax Date: 01/27/2021
Onset Date: 01/29/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: None

Allergies: NKA

Symptoms: Patient claims axillary and supraclavicular pain, after 48h of 2nd dose vaccination with Pfizer vaccine. That has recovered in 75% since onset of symptoms. Pt claims tenderness in the right neck area, with a non visible but palpable lump the size of a quarter. Patient took a dose of tylenol 1g which subdued most of the symptoms, and reports today 1/30/2021 only local tenderness, with no other side effects to report. Pt also claims feeling of chills, and flu like symptoms 24 hours after the vaccination which subdued with a dose of Tylenol 1g.

Other Meds: Denies

Current Illness: Denies.

ID: 0988533
Sex: F
Age: 89
State: MT

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

Lab Data: unknown as to testing done upon arrival at ER or after admission

Allergies: Fentanyl, Midazolam, Rosuvastatin, Statins

Symptoms: Resident per her usual health when dietary staff were into apartment at 0730 with her breakfast. Resident conversing, appropriate, with no focal deficits with ADL. Resident baseline with mild confusion, generalized weakness, using a 4 wheeled walker when ambulating. Med care manager into room at 0830 with am medications. Resident was lying partially on her bed, non responsive. EMS was called immediately and resident was transported to Hospital ER. Wellness nurse was notified later that resident was admitted for rule out CVA.

Other Meds: Cerovite senior tablet- 1 daily; Plavix 75 mg daily; Digoxin 125 mcg daily; Furosemide 20 mg daily; Hair Skin and Nails caplet- 1 daily; Levothyroxine 25 mcg daily; Magnesium 250 mg daily; Metoprolol ER 25 mg daily; Stimulant Laxative Plus-

Current Illness: No acute illnesses

ID: 0988534
Sex: F
Age: 56
State: FL

Vax Date: 01/24/2021
Onset Date: 01/24/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: None

Allergies: Honey

Symptoms: Headache fatigue chill fever nausea diarrhea lymph node swelling. Pain itchiness

Other Meds: Losartan, metoprolol, nifedipine, hctz, calcium with Vit D, mvi, Zyrtec, Saxenda, lexapro

Current Illness: None

ID: 0988535
Sex: M
Age: 32
State:

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: pounding headache, fevers, chills, night sweats, fatigue, myalgia, arthralgia, anorexia

Other Meds: None

Current Illness: None

ID: 0988536
Sex: F
Age: 66
State: TX

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Extreme fatigue, unable to stand or walk, dizziness, physical weakness, upset stomach,

Other Meds: Sertraline HCL 100 mg Pramipexole .25 mg Clopidogrel 75 mg Atorivastatin 40 mg Biotin 1000mg

Current Illness: Carpel tunnel surgery 1/22/2021

ID: 0988537
Sex: M
Age: 79
State: OH

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 01/30/2021
Hospital: Y

Lab Data: N/A

Allergies: Statins, Cipro and Torsemide

Symptoms: Patient rec'd vaccine on 1-25-2021. Patient woke up on 1-26-2021 feeling so bad with joint stiffness and trouble breathing, he called 911. He was taken to Hospital where he was admitted. He says by 1-27-2021 he was feeling much better with each passing hour. He was discharged on 1-27-2021. Then on 1-28-2021 he noticed a red and very itching rash at the injection site and all across his back.

Other Meds: N/A

Current Illness: N/A

ID: 0988538
Sex: F
Age: 70
State: OH

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: None

Allergies: Sulfa drugs - bactrim, Cipro, Bystolic Contrast Dye

Symptoms: Day 1 & 2 irritability and depression Day 3 nausea, fever, chills & diarrhea - really felt bad, but no vomiting. Was able to eat. Day 4 (today) fever, chills and diarrhea - feel a little better than yesterday. Still able to eat ok. I have not contacted my healthcare provider about these symptoms because it is the weekend. If I still have symptoms on Monday, I will call him. In the meantime I?m taking Tylenol for the fever and drinking water to stay hydrated.

Other Meds: Levothyroxine 0.075 mg Lovastatin 20 mg Omeprazole 40 mg Tums calcium Vitamin D 2000 IU Vitamin C 500 mg Fiber Choice chewable Coromega omega 3 squeeze packets 650 mg Monthly allergy injections

Current Illness: None

ID: 0988539
Sex: F
Age: 83
State: TN

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 01/30/2021
Hospital: Y

Lab Data: Blood gases: 1-28-2021 or 1-29-2021 CT Scan:1-28-2021 Breathing treatments: 1-28-2021, 1-29-2021 and 1-30-2021 Bloodwork: 1-28-2021 and1-29-2021

Allergies: Doxycycline

Symptoms: Shortness of breath, rapid heart, nervous, oxygen dropped I had to rush her to Emergency Room at hospital. She was placed on oxygen, giving multiple breathing treatments, rocephine, and steriods.

Other Meds: Carbidopa/Levadopa Ropinrole HCL Gabapentin Vitamin B 6 Vitamin D 3 Calcium Citrate Sertailine HCL Ferrous Gluconate Atenolol Ipratropium Bromide Nasal Solution

Current Illness: N/A

ID: 0988540
Sex: M
Age: 75
State: CA

Vax Date: 01/25/2021
Onset Date: 01/30/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: NONE

Allergies: ANTIFERON

Symptoms: LASTED FOR SEVERAL HOURS THEN SUBSIDEDCONTROLLED SHAKING OF HANDS AN ARMS

Other Meds: FAMOTIDINE, FEBUXOSTAT, ISOBRIDE, RIFAMPIN, VITAMIN D, VITAMIN E, DULOXETINE, PREGABALINATORVASTATIN, OMEGA 3 ACID ETHYL ERTHYL,, AMTLODINE, HYDRALAZINE HCL, HYDROCHLOROTHIAZIDE, LISINOPRIL, METROPROLOL, OXYBUTYNIN, TAMSULOSIN, NITROGLYCERI

Current Illness:

ID: 0988541
Sex: M
Age: 80
State: WA

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: N/A

Allergies: Shell Fish, Hydroxyzine and Triazolam.

Symptoms: at 1250 noted dizziness, SOB, Sats were 93% on room air.

Other Meds:

Current Illness: unknown

ID: 0988542
Sex: F
Age: 47
State: CA

Vax Date: 01/30/2021
Onset Date: 01/30/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: unknown - pt is still in ED. ED notes not yet available.

Allergies: Bactrim, cat hair, dog epithelium, ginger, molds and smuts, permethrin, pollen, walnuts, benzoyl peroxide, injectafer, sulfa drugs hx of anaphylaxis to walnuts, ginger, and flu vaccine

Symptoms: Pt with mild tingling and itching in her throat approximately 10 minutes after receiving 2nd dose of COVID vaccine. Administered 25 mg PO benadryl with improvement in sx. Pt again started to develop itching and tingling in her throat. Administered 25 mg PO benadryl. Sx remain the same and then started to worsen after about 10 minutes. Started to feel slightly SOB. BP 146/92, HR 80. Rapid response called. Rapid response team at bedside; pt transported to ED for further observation. Pt given 40 mg PO prednisone in the ED. No further ED notes available at this time. Pt endorses hx of anaphylaxis with her last flu shot. Also had allergic reaction with her first COVID shot including throat tingling and itching that resolved with PO benadryl.

Other Meds: albuterol 108 (90 base) q4h PRN benzonatate 200 mg PRN Zyrtec 10 mg PRN itching cleocin 1% solution to affected area Pepcid 20 mg BID ferrous sulfate dried ER 45 mg Flonase 50 mcg nasal spray daily atarax 25 mg TID PRN itching lidocai

Current Illness: unknown

ID: 0988543
Sex: F
Age: 40
State: VA

Vax Date: 12/18/2020
Onset Date: 12/30/2020
Rec V Date: 01/30/2021
Hospital:

Lab Data: 1/4/2021 - CXR neg 1/4/2021 - started on Meloxicam 15m daily and Tizanidine 4mg TID for 14 days 1/8/2021 -started on Prednison 60mg daily x 5 days 1/26/2021 - MRI cspine /tspine 1/29/2021 - Internist followup 1/29/2021 - EMG 1/29/2021 - Neurologist evaluation

Allergies: PCN

Symptoms: Vaccine administer on 12/18/2020. On 12/30 sudden onset of severe sharp scapular pain, radiating down back of right arm into hand with paresthesia's, burning pain, weakness in hand, onset at 0300, awoke me from sleep. Seen by Internal Medicine MD on 1/4/2021, started on prescribed medication outlined below and referred for chest xray. Continued with intermittent sharp burning scapular pain, paresthesia's, and weakness in hand was prescribed Prednisone 60mg daily x 5 days and Gabapentin 100mg TID on 1/8/2021. continued no improvement referred for MRI cspine/tspine. followed back up with internist on 1/29/2021 and urgent referral to Neurology and for EMG same day.

Other Meds: none

Current Illness: NONE

ID: 0988545
Sex: F
Age: 23
State: CO

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

Lab Data:

Allergies: Tree nuts

Symptoms: Swollen, warm and hard 3in around injection site

Other Meds: Lexapro, oral contraceptive and maxalt

Current Illness: None

ID: 0988546
Sex: F
Age: 35
State:

Vax Date: 01/16/2021
Onset Date: 01/16/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: None

Allergies: Cherries, sulfa

Symptoms: Migraine for 1-2 days then subsided. Had to take OTC migraine medication on day 2

Other Meds: Oral birth control

Current Illness: None

ID: 0988547
Sex: F
Age: 31
State: NH

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

Lab Data: N/A at this time

Allergies: N/A

Symptoms: I woke up in the morning with body aches and stiff neck. As the day progressed I stayed hydrated but had a fever that reached as high as 102.1 even with taking Tylenol and ibuprofen and had no appetite at dinner time and continued body aches and stiff neck.

Other Meds: N/A

Current Illness: N/A

ID: 0988548
Sex: F
Age: 80
State: OH

Vax Date: 01/25/2021
Onset Date:
Rec V Date: 01/30/2021
Hospital:

Lab Data: N/A

Allergies: NKA

Symptoms: Patient received the vaccine on 1-25-2021. She noticed a red and itchy rash on 1-29-2021 at the injection site and all across her back.

Other Meds: N/A

Current Illness: N/A

ID: 0988549
Sex: F
Age: 46
State: MD

Vax Date: 01/30/2021
Onset Date: 01/30/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: N/A

Allergies: Flu shot- (ithing in throat)

Symptoms: Patient reported experiencing itchiness in her throat 6 mins after receivng the vaccine. No redness or swelling at the injection site. Pt verbalized that she experienced this same reaction 4 yrs ago after recieving the Flu vaccine. Pt administered Benadryl 50mg IM to the L Deltoid area at 1710HR. Pt resting and being monitered. Pt is now reporting dizziness at 1730HR, face is flush, B/P 188/88, HR- 122. Pt reported that she has POTTS. Pt consumed sips of water and is continuing to rest. Pt moved to the sitting position @ 1755HR and HR is 98. At 1600HR pt is able to get up and walk without difficulty and reported feeling better. Pt encouraged to report to the hospital if symptoms worsen and to report incident to her PCP. Pt assisted out by her husband.

Other Meds: N/A

Current Illness: POTTS, Diabetes

ID: 0988550
Sex: F
Age: 37
State: AK

Vax Date: 01/26/2021
Onset Date: 01/28/2021
Rec V Date: 01/30/2021
Hospital: Y

Lab Data:

Allergies: Sulfa

Symptoms: Developed appendicitis within 2 days of vaccination

Other Meds: Wellbutrin atarax

Current Illness:

ID: 0988551
Sex: F
Age: 25
State: AZ

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Fever, muscles aches, headache, multiple episodes of vomiting, arm pain, fatigue

Other Meds: None

Current Illness: None

ID: 0988552
Sex: F
Age: 46
State:

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: ECG, labs, x-ray - no abnormalities noted

Allergies:

Symptoms: Pt did not receive the vaccine in our health system so I don't know the version but it was the first shot. Rash spread to torso and upper extremity, chest pain & swallowing pain - went to ED. Workup didn't show any acute issues, patient will follow up with PMD.

Other Meds:

Current Illness:

ID: 0988553
Sex: F
Age: 38
State: CA

Vax Date: 01/24/2021
Onset Date: 01/30/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: N/a

Allergies:

Symptoms: 4 inch diameter huge red rash with mild itchiness

Other Meds:

Current Illness:

ID: 0988554
Sex: F
Age: 27
State: CA

Vax Date: 01/30/2021
Onset Date: 01/30/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: itching on the left upper portion of her mouth and then on the roof of her mouth Benadryl 25mg given

Other Meds: none

Current Illness: none

ID: 0988556
Sex: F
Age: 40
State: OH

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

Lab Data:

Allergies: None

Symptoms: Abd pain, severe joint pain, headache, fever

Other Meds: None

Current Illness: None

ID: 0988557
Sex: F
Age: 82
State: CA

Vax Date: 01/17/2021
Onset Date: 01/25/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: none

Allergies: Penacillan

Symptoms: On 8th day after vaccine given, I woke up with itching at vaccination site. Throughout the day, redness and swelling appeared and got progressively worse. The redness ultimately spread over a 4 inch square area.

Other Meds: Simvastatin, Benazepril, Hydroxyurea, Paxel, multi-vitamin, Vitamin E and D3, Glucosamine with Chondroitin, Magnesium, Collagen, Calcium

Current Illness:

ID: 0988558
Sex: F
Age: 43
State: VA

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data:

Allergies: Latex, Demerol, Neomycin, Bacitracin Too many food allergies to list a lot of Environmental allergies as well Mercapto MIx, Nickel Sulfate, Mercaptobenzothiazole, Metals = Nickel, Mercury, Gold, Titanium, Cobalt alloy particles

Symptoms: Felt quesy about 15 minutes after shot. 45 minutes after shot got really tired, eyes started hurting/getting irritated, itchy throat. 1hr - 2 hrs after shot sever stomach cramping, and chills Next morning - still had slight chills, left arm sore, and still extremely tired.

Other Meds: Osteo bi-flex triple strength with Vitamin D; Vitamin C; Magnesium; Multi-Vitamin; Stool Softener; Biotin; Claritin/Allegra; Iron; Tylenol Arthritis; Vitamin A; Triphala; Healthy Kapha; Krill Oil; Probiotics; Digestive Enzymes; Fish oil; Me

Current Illness: none

ID: 0988559
Sex: F
Age: 72
State: WA

Vax Date: 01/25/2021
Onset Date: 01/30/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: Truly wondering if taking the 2nd dose of Moderna COVID vaccine might be dangerous, considering my reaction to the first dose, and the fact that my highly hyped immune system, though taking MTX and Plaquenil to try to tamp it down. Could an even more severe immune response be dangerous to my long-term health. Sarcoidosis websites all talk about "immunosuppressed, " which I am not, despite being on those meds. They just help me keep the inflammation within reasonable bounds. I have contacted, via email, a sarcoidosis specialist. A clinic I visited for a consult in May 2019. I am hoping for an opinion.

Allergies: sulfa, penecillin, cephalosporins, codeine, gabapentin, diphenhydramine, oxy & hydrocodone, amitriptyline, morphine

Symptoms: By 11:30 pm (3 hours after shot), throbbing in shoulder, arm and across back. Took Tylenol., which allowed sleep eventually. By next morning: sore wrists, hands, and shoulders. By afternoon: same soreness, but from elbow to elbow, across shoulders, felt like a bad sunburn of skin. Ankles and knee swollen. 2nd night: intermittant, surprising shooting pain in shin bones, general myalgia, plus upset stomach. 3rd day: more of same, relieved somewhat by Tylenol, but not at all by 1 Aleve (my ususal anti-inflamatory pain med of choice). Thursday, day 4: lessening of inflamed joints, but still soreness across shoulders, neck and back. Day 5: improved.

Other Meds: methotrexate, hydroxychloroquine, Synthroid, Vit D3 + calcium, ropinirole

Current Illness: sarcoidosis, osteoporosis

ID: 0988560
Sex: M
Age: 24
State: IL

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: N/A

Allergies: None

Symptoms: Woke up approximately 14 hours after receiving dose #2 with body fatigue. My large joints (e.g., hips, knees, elbows, shoulders) started to develops aches/discomfort. A hot shower helped relieve the initial discomfort, and I took 1g of APAP ~45 minutes after waking up. I then reported to work, which is an ambulatory care clinic that is working a drive-up clinic. As such, I had to work outside in ~20F weather. I had 4 layers on my upper body and 2 layers on lower body with wool socks. The cold did not bother me for the first two hours as I was able to return to a warm area between patients; however, as work became busy, I spent more time outside. The aches/discomfort in my joints progressively worsened as well as the general bodily fatigue. I took another 500mg of APAP, but it did not help much more. Eventually, the cold and body fatigue made breathing uncomfortable, and my breathing became slightly labored. Returning to the warm environment helped the symptoms not get worse, but focusing on tasks became slightly difficult. I returned home at approximately 1630, took another 1g of APAP, and proceeded to sleep from ~1730 until 0530 the next morning. I woke up feeling much better.

Other Meds: None during time of vaccination. I took 1g of APAP at ~0630, 500mg of APAP at ~0930, and then another 1g of APAP at ~1700.

Current Illness: None

ID: 0988561
Sex: F
Age: 34
State: IN

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 1st dose was fine. No symptoms except sore arm x1day. 2nd dose symptoms: 1-27-21: 10:00pm - runny nose and sore left arm and Lt Palm of hand 1-28-21 2:00am- woke up with extreme chills/ body shaking. Body aches. Sore joints (knees, hips, pelvis, low back, shoulers). Fatugue. 4:00am- woke up with sweats. Took oral temp 101.3?F. Took 500mg tylenol. 5:00am- chills shaking. Sweats soreness. Oral Temp 100.3. Chills, shaking, body aches and sweats came and went throughout day in waves. At 730am temp was 98.9. Took tylenol again at 2:00pm 4:00pm headache By 7:00pm- symptoms lessened. 1-29-21: 12:00am- no symptoms except woke up drenched in sweat. 2:00am- no symptoms except woke up drenched in sweat 6:30am- slight headache but everything else was 100% gone

Other Meds:

Current Illness:

ID: 0988562
Sex: F
Age: 50
State: NC

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: 1/25 urgent care with dx. BPPV 1/26 PCP dx. Of vestibular neuritis 1/29 Physically therapy confirming both

Allergies: Phenergan Latex

Symptoms: Progressive dizziness and vestibular neuritis

Other Meds: Multivitamin

Current Illness: None

ID: 0988563
Sex: F
Age: 30
State: OR

Vax Date: 12/28/2020
Onset Date: 01/02/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data:

Allergies: estrogens (=migraines)

Symptoms: Patient received the 1st dose of Moderna vaccine on 12/28/20. The next day, on 12/29/20, she developed a fever >100, fatigue, chills, sore throat, new anosmia/dysgeusia, chest tightness, headache, GI symptoms, and nasal congestion. When the symptoms did not resolve, she contacted her doctor on 1/2/21. They referred her to get a COVID test and that test from 1/2/21 returned positive. Follow-up on 1/4 showed symptoms stable. No hospitalization required. Treated with albuterol inhaler and pseudoephedrine. Not believed to be related to vaccine, however reporting since my understanding is that VAERs is interested in reports of positive COVID cases following vaccination.

Other Meds: albuterol MDI, Fluticasone, montelukast, sumatriptan, pre-natal vitamin

Current Illness:

ID: 0988564
Sex: F
Age: 28
State: UT

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

Lab Data:

Allergies: Penicillin

Symptoms: Fever 102.7 Tylenol and ibuprofen Chills Tylenol and ibuprofen Muscle aches Tylenol and ibuprofen Red arm Bump at injection site Sore arm

Other Meds: Prenatal

Current Illness:

ID: 0988566
Sex: F
Age: 65
State: FL

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

Lab Data:

Allergies: Sensitive to sulfa drugs, codeine, adhesive bandages

Symptoms: Extremely sore arm, fatigue

Other Meds: Lipitor, Omeprazole, Vit D , Retin A, Aldara, Estradiol (cream)

Current Illness:

ID: 0988567
Sex: F
Age: 43
State: MD

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

Lab Data: none

Allergies: casein

Symptoms: Two incidences of cold induced uticaria with symptoms of sever pruritis and sensation of skin prickling for 30minutes after being outside. First incident on 1/22/2021 after an hour long hike over bilateral thighs. Lasted 20minutes. Associated with dermatographia. Second incident on 1/29/21 with walking to mailbox without socks. Cold induced hives appeared over b/l ankles. same symptoms, but resolved after 15min.

Other Meds: none

Current Illness: none

ID: 0988568
Sex: F
Age: 22
State: MO

Vax Date: 01/21/2021
Onset Date: 01/28/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: red circle around injection site, raised and hot to the touch. sore arm and shoulder.

Other Meds: lexapro, wellbutrin, trazodone

Current Illness: none

ID: 0988569
Sex: F
Age: 70
State: OK

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: Yes

Allergies: no

Symptoms: Stomach pains like a knife being stuck in. chest pain couldn't breath, weak, 2 days later vomited, Confusion. Felt better after a week.

Other Meds: no

Current Illness: no

ID: 0988570
Sex: F
Age: 46
State: CO

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data:

Allergies: Aspirin , zithromax

Symptoms: Burning arm within 30 min wait time, headache afternoon . Day 2 total fatique. Day 3 lymph nodes in arm pit swollen , chills then hot sweats, day 4 to 6 fine day 7 itching at injection site small lump, day 8 by afternoon lump size of palm with redness swelling and tightness

Other Meds: Fish oil vitamin d3, vitamin c

Current Illness: None

ID: 0988571
Sex: F
Age: 39
State: NH

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: None

Allergies: Soy, corn, sulfa drugs, immitrex injection,

Symptoms: I had a sore arm the first day and felt tired. The second day I had a stuffy and runny nose, my muscles were sore especially around trapezoids. Around 3 pm the second day I felt queasy and had diarrhea. I was lethargic the second day. The 3rd day had minor diarrhea and was a bit tired. Diarrhea stopped by 2pm and muscles felt better.

Other Meds: Ajovy, Plaquenil, protonix, Fluticasone, singular, wellbutrin XL, clindamycin, Cymbalta, trazadone, clonazepam, gabapentin, topomax, vyvanse, vraylar, xiidra, Symbicort, n-acetyl-L-cysteine, flax seed oil, calcium +D, women's multivi

Current Illness: SLE lupus, migraines, asthma, orthostatic intolerance/dysautonomia, anxiety/depression, insomnia, arthritis, Micro-ocular tremor, binge eating disorder, sleep apnea, GERD, essential tremor, Vasovagal Syncope, pelvic floor dysfunction, obesity, ibs, hearing loss, internal hemorrhoids, Trichotillomania, PTSD, Grinding teeth, Geographic Tongue, neuropathy, Reynaud's Phenomenon

ID: 0988572
Sex: F
Age: 38
State: OR

Vax Date: 01/22/2021
Onset Date: 01/30/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: NA. Called the nurse line at my medical clinic and then was seen by doctor in person who told me to report it to v safe.

Allergies: Sulfa, penicillin and other cillins, latex (skin rash), mushrooms when eaten

Symptoms: Swelling, redness, itchiness, and heat with slight tenderness 3+ Inches surrounding the injection site that appeared 8 days post injection. Slight reactions reported to v safe following the vaccine had gone away entirely. Doctor described the response as an immune response. Symptoms have not subsided since they began.

Other Meds: Miralax daily; Zyrtec daily; IUD

Current Illness: NA

ID: 0988573
Sex: F
Age: 67
State: CA

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

Lab Data: NA

Allergies: NA

Symptoms: Swelling, redness, lump/hardness at 1.5 inches below injection point. This has continued for one week as of today, and the lump, redness still present with slight itchiness. However, my body temperature and blood pressure is at normal.

Other Meds: NA

Current Illness: NA

ID: 0988574
Sex: F
Age: 31
State: AZ

Vax Date: 01/27/2021
Onset Date: 01/29/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Itchy rash on face appeared 2 days after vaccine administration. Has not subsided yet.

Other Meds: None

Current Illness: None

ID: 0988575
Sex: F
Age: 71
State: VA

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

Lab Data:

Allergies: penicillin, cephlasporin, peanut, dairy protein

Symptoms: Fever, nausea, back pain, dizziness/feeling faint, severe chest/rib pain like being punched,

Other Meds: Losinipril, norvasc, sertraline, albuterol inhaler, anoro, ipratropl/alb nebulizer, doxycycline, prednisolone drops, Magnesium, D3, B12, turmeric, omega3, cbd1000mg, zinc, Benadryl, aspirin,

Current Illness:

ID: 0988576
Sex: M
Age: 59
State: WA

Vax Date: 09/29/2020
Onset Date: 09/30/2020
Rec V Date: 01/30/2021
Hospital:

Lab Data: None were done because I did not notify my primary physician until after I had recovered from the adverse reaction.

Allergies: penicillin

Symptoms: Shot given to me around 9 am on 9/29/20 and by 2:15 am on the next day, 9/30/20, I had a 101.5 degree fever, chills, shakes, dizziness, loss of energy, loss of strength in my legs, swelling, pain, and redness in my upper left arm where the shot was given, and my whole body hurt from my head down to my toes. I have never in my life experienced the whole body pain like I did from 2:15 am on the morning of 9/30/20 until about 4 pm in the afternoon on 10/1/20 when I only had pain in my upper left arm where the shot was administered. The fever broke on 10/2/20 by 10 am and I finally had some strength back in my legs and some energy by 10/3/20 when I went back to work. I fought the fever for two plus days and had a migraine for six days in a row after the onset of the fever.

Other Meds: None

Current Illness: None

ID: 0988577
Sex: M
Age: 30
State: NC

Vax Date: 01/13/2021
Onset Date: 01/21/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data:

Allergies: n/a

Symptoms: Presumed Bell's Palsy. Tearing of eye started 1/21/21, and produced R facial hemi-paresis 1/22/21.

Other Meds: Lisinopril, HCTZ, Amlodipine

Current Illness: n/a

ID: 0988578
Sex: F
Age: 40
State: CA

Vax Date: 01/19/2021
Onset Date: 01/26/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: None

Allergies: No known allergies

Symptoms: Patient notified pharmacy on 1/28/2020 that she appeared to have a side effect from the Moderna Vaccine. Patient showed her left deltoid, which seemed to have a red rash that was a little warm and itched a little (fit the description of the "delayed cutaneous hypersensitivity" reaction). Patient said her lymph node in her armpit was also swollen. Called and spoked to patient on 1/30/21 and patient stated that the rash and itch had finally gone away. Patient stated that she had also reported reaction to Moderna and to V-Safe as well.

Other Meds: unknown

Current Illness: Asthma

ID: 0988579
Sex: F
Age: 40
State: IL

Vax Date: 01/19/2021
Onset Date: 01/26/1921
Rec V Date: 01/30/2021
Hospital:

Lab Data: N/A

Allergies: N/A

Symptoms: Red, itchy bump a week after shot. Redness spread towards elbow. No pain. Redness and swelling lasting for 5 days so far

Other Meds: N/A

Current Illness: N/A

ID: 0988614
Sex: F
Age: 34
State: OR

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

Lab Data:

Allergies: anaphylactic reaction to wasp stings

Symptoms: 10 minutes after vaccine she became lightheaded, fainted, tingling in both legs HR:100, 40 minutes after vaccine, sore throat, neck rash itchy

Other Meds:

Current Illness: 0

ID: 0988634
Sex: F
Age: 56
State: NY

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data: Covid test 1/22/21 negative

Allergies: none

Symptoms: headache, nausea, fatigue

Other Meds: none

Current Illness: none

ID: 0988635
Sex: F
Age: 78
State: MD

Vax Date: 01/20/2021
Onset Date: 01/28/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data:

Allergies: PENICILLIN; mri CONTRAST

Symptoms: Rash at vaccination site - redness, itching began on 1/28/21 Treatment: Allegra antihistamine 12-hour tablet taken at 10 a.m. on 1/29 and10 p.m. on 1/29; hydrocortison topical cream Outcome: 1/30/21 no itching, continued redness

Other Meds:

Current Illness:

ID: 0988636
Sex: F
Age: 45
State: NC

Vax Date: 01/21/2021
Onset Date: 01/29/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data:

Allergies: N/A

Symptoms: Red, swollen, itchy hive on injection site that appeared eight days after my injection.

Other Meds: Losinipril (high blood pressure), vitamin D, Claritin

Current Illness: N/A

ID: 0988637
Sex: F
Age: 38
State: CA

Vax Date: 01/16/2021
Onset Date: 01/30/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: General malaise, body aches, sore throat, stomach ache, headache

Other Meds: Birth control pills

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm