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: 1417009
Sex: F
Age: 39
State:

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

Lab Data:

Allergies:

Symptoms: Headache, Myalgia, Arthralgia, NauseaVomiting, Fatigue, cold toes Narrative:

Other Meds:

Current Illness:

ID: 1417011
Sex: F
Age: 50
State:

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

Lab Data:

Allergies:

Symptoms: Arthralgia, Fever & Diarrhea Narrative:

Other Meds:

Current Illness:

ID: 1417012
Sex: M
Age: 53
State:

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

Lab Data:

Allergies:

Symptoms: Myalgia Narrative:

Other Meds:

Current Illness:

ID: 1417020
Sex: F
Age: 40
State:

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

Lab Data:

Allergies:

Symptoms: Headache, Myalgia, Arthralgia, Injection site swelling, chills, fatigue Narrative:

Other Meds:

Current Illness:

ID: 1417021
Sex: F
Age: 49
State:

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

Lab Data:

Allergies:

Symptoms: Arthralgia & Fever Narrative:

Other Meds:

Current Illness:

ID: 1417022
Sex: F
Age: 48
State:

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

Lab Data:

Allergies:

Symptoms: Confusion, Myalgia, Arthralgia Fatigue Narrative:

Other Meds:

Current Illness:

ID: 1417023
Sex: F
Age: 37
State:

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

Lab Data:

Allergies:

Symptoms: Headache, Myalgia, Arthralgia, Fever, NauseaVomiting, Chills, fatigue Narrative:

Other Meds:

Current Illness:

ID: 1417027
Sex: F
Age: 63
State:

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

Lab Data:

Allergies:

Symptoms: Headache, Myalgia, Arthralgia, NauseaVomiting, Chills, fatigue Narrative:

Other Meds:

Current Illness:

ID: 1417035
Sex: F
Age: 57
State:

Vax Date: 01/25/2021
Onset Date: 01/27/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Headache, Myalgia, Fatigue Narrative:

Other Meds:

Current Illness:

ID: 1417086
Sex: F
Age: 51
State:

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 01/30/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Headache & Myalgia Narrative: 1/21, 1/22/21 h/a myalgia called in sick

Other Meds:

Current Illness:

ID: 0988861
Sex: F
Age: 41
State: VT

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 01/31/2021
Hospital:

Lab Data: None

Allergies: N/A

Symptoms: Fever and chills, fatigue, body aches, headache, weakness, vomiting, pain at injection site and back pain, joint pain, that started approximately 10 hours post injection and lasted for approximately 36 hours.

Other Meds: Ibuprofen

Current Illness: None

ID: 0988862
Sex: F
Age: 51
State: FL

Vax Date: 01/08/2021
Onset Date: 01/12/2021
Rec V Date: 01/31/2021
Hospital:

Lab Data: Covid test 1/14/2021

Allergies: None

Symptoms: Began symptoms of covid 1/12/2021. Tested positive 1/14/2021

Other Meds: Ambien, trokendi, vitamin D, bupropion, tizanadine

Current Illness: None -began symptoms of covid 01/12/2021. Tested positive 01/14/2021

ID: 0988863
Sex: F
Age: 54
State: GA

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

Lab Data:

Allergies: Ace inhibitors and sulfa

Symptoms: Pain , swelling , fatigued , sleeping

Other Meds: Amlodepine, losartin, arvostatin,levetiracetam,bupropion duloxetine , verapamil , Divalproex , pro air ,, q var,ventilon hfa ,

Current Illness: Headaches

ID: 0988864
Sex: F
Age: 42
State: CA

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 01/31/2021
Hospital:

Lab Data:

Allergies: Latex and wool

Symptoms: That evening I felt my arm painful, warm to touch and felt like a hard ball at the injection site while I was trying to sleep. The next day I looked and saw there was a red circle around the injection size about the size of a quarter, now it?s the size of a silver dollar still red, hot, hard, and painful.

Other Meds: None

Current Illness: For the last three days I have a large (slightly bigger then a silver dollar) round, hot, hard, painful circle around the injection site.

ID: 0988865
Sex: F
Age: 70
State: CO

Vax Date: 01/22/2021
Onset Date: 01/30/2021
Rec V Date: 01/31/2021
Hospital:

Lab Data: none

Allergies: fentanyl, compazine, epinepherine base, morphine, nsaids, opium, sulfa.

Symptoms: erythema after her Moderna covid vaccine 8 days ago. She received her moderna covid vaccine on a Friday with no immediate symptoms. The next day her arm was sore which lasted 4-5 days and then resolved. She experienced a few other delayed symptoms including headache, muscle aches, fatigue, nausea that have subsided. Today her arm started to have some localized pain again at the injection site with a small knot under the skin and a few splotches of erythematous. She denies fever, chills, numbness, weakness, itching. She mentions "slight, slight warmth to the area".

Other Meds: atenolol, baclofen, tessalon, voltaren gel, esterace cream, nortriptyline,

Current Illness: none known.

ID: 0988866
Sex: F
Age: 50
State:

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

Lab Data: Urine to bloody for results, Kidneys function good, follow up immediately with PCP and Urologist.

Allergies:

Symptoms: Noticed bloody urine in toilet at approximately 3PM, 4PM, and 9PM on Friday 1/29/2021. Awoke Saturday morning to severe abdominal pain and extreme bloody urine.

Other Meds:

Current Illness:

ID: 0988867
Sex: M
Age: 63
State: CO

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 01/31/2021
Hospital:

Lab Data:

Allergies: Penecillin

Symptoms: Chills and body aches lasted about 7-8 hours

Other Meds:

Current Illness:

ID: 0988868
Sex: F
Age: 75
State: CA

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

Lab Data: none

Allergies: dye

Symptoms: Rt facial swelling and drooping

Other Meds: none

Current Illness: none

ID: 0988869
Sex: F
Age: 41
State: WI

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

Lab Data:

Allergies: peanuts, peas and penicillin

Symptoms: diarrhea and stomach cramping

Other Meds: Zoloft, vitamin b complex, qvar, fiber gummy

Current Illness: none

ID: 0988870
Sex: F
Age: 26
State: AZ

Vax Date: 01/27/2021
Onset Date: 01/30/2021
Rec V Date: 01/31/2021
Hospital:

Lab Data:

Allergies: N/A

Symptoms: Swollen lymph nodes on upper left side of body, severe neck and upper back pain.

Other Meds: Birth control, daily vitamins, protein powders

Current Illness:

ID: 0988871
Sex: F
Age: 35
State: CA

Vax Date: 01/22/2021
Onset Date: 01/30/2021
Rec V Date: 01/31/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 8 days after the injection I have developed a larger than golf ball size, hard, lump under the skin at the site of the injection. It is warm to the touch. Not painful. Slight bruising

Other Meds: Metformin

Current Illness:

ID: 0988872
Sex: F
Age: 68
State: TX

Vax Date: 01/13/2021
Onset Date: 01/23/2021
Rec V Date: 01/31/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: Red area on shoulder area with irregular border warm to touch. Area tender to touch.

Other Meds:

Current Illness: none

ID: 0988873
Sex: F
Age: 80
State: CA

Vax Date: 01/22/2021
Onset Date: 01/29/2021
Rec V Date: 01/31/2021
Hospital:

Lab Data: Have not considered it bad enough to seek medical help. I know it happens between 2 and 9% of the time.

Allergies: none

Symptoms: Red, slightly raised bump about 2' x 2"

Other Meds: Carvedilol 6.25 AM Carvedilol 6.25 PM Chlorthalidone 12.5 mg. AM Doxazosin 2 mg. Noon Doxazosin 4 mg. PM Estrace Cream PM Levothyroxine 88 mcg. AM Lisinopril 20 mg. AM Lisinopril 20 mg. PM Lorazapam 1 mg. PM Magnesium Oxide 1000 mg. AM, PM

Current Illness: none

ID: 0988874
Sex: F
Age: 41
State: CA

Vax Date: 01/22/2021
Onset Date: 01/30/2021
Rec V Date: 01/31/2021
Hospital:

Lab Data: None

Allergies: Sulfa

Symptoms: Raised, red rash on my right arm below the injection site approximately 3" L x 2" H appeared today (day 8). The only other symptoms I had was arm soreness for 48 hours after the vaccine was administered.

Other Meds: Topamax 100mg, Valium 10mg

Current Illness: None

ID: 0988875
Sex: F
Age: 65
State: CA

Vax Date: 01/21/2021
Onset Date: 01/29/2021
Rec V Date: 01/31/2021
Hospital:

Lab Data:

Allergies: Several antibiotics including ampicillin, sulfa drugs, flagyl Adverse reaction (vomiting) to Erythromycin Compazine (given to stop vomiting from Erythromycin) - extra-pyramidal reaction

Symptoms: In the morning of Day 8 (1/29/21), a large red rash area (~ 3: in diameter), and slightly itchy, appeared at the injection site, accompanied by soreness and stiffness in that area , similar to being bruised. I applied Caladryl Lotion at bedtime. Same condition on Day 9 (1/30/21), but as day has progressed, the rash has diminished and it is less sore now, still slightly itchy. On the day of injection about 5-6 hours after injection, I was sore and had a stiff muscle at site of injection -- a tad bit more than I experience typically with the seasonal flu vaccine, but I had no rash. The sore/stiffness lasted only about 30 hours. After that everything was fine until Day 8!

Other Meds: None, the day of. I periodically take Claritin Redi-Tabs and Zyrtec for allergies, I also take a multi-vitamin and Calcium supplement, but not the day of the vaccine.

Current Illness: None.

ID: 0988876
Sex: F
Age: 40
State: WI

Vax Date: 01/20/2021
Onset Date: 01/29/2021
Rec V Date: 01/31/2021
Hospital:

Lab Data:

Allergies: Pertussis vaccine _ anaphylaxis

Symptoms: sore left arm x 2 days, muscle fatigue, chills

Other Meds: Fluoxetine - 60mg daily Lorazepam - 1-2.5mg daily Orphenadrine - 100mg ER BID Zofran ODT 4mg PRN Zolpidem 10mg 1-1.5 tabs per evening

Current Illness:

ID: 0988877
Sex: F
Age: 29
State: CA

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 01/31/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: 12 hours post injection, fever, chills, nausea, body aches, lack of appetite. Symptoms began to resolve 24 hr post injection and completely resolved at 48hrs

Other Meds: Omeprazole

Current Illness: None

ID: 0988878
Sex: F
Age: 40
State: IN

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 01/31/2021
Hospital:

Lab Data: None

Allergies: Sulfa Tetracycline

Symptoms: Roughly 12 hours after receiving 2nd vaccine I had body aches from head to toe and joint pain Hands knees, wrists, knuckles. Water running over my hands to wash them hurt. First noticed sx walking down the stairs the morning after the vaccine which progressed to muscle aches all over but with intermittent muscle cramping all day into the evening not relieved with ibuprofen or Tylenol. Slight headache but more body aches and muscle cramps. Some nausea, loss of appetite and fatigue. Sx mostly gone in 42 hours. Still having some back pain

Other Meds: Duloxetine Phentermine

Current Illness: None

ID: 0988879
Sex: F
Age: 58
State: CA

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 01/31/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Hot flashes (mild but frequent) that have continued into second week so far. My LMP was Dec 16 2020 (I am 58 y.o. and still having semi-regular cycles every month or two). I have never had hot flashes before. They started a few hours after the vaccine and continue.

Other Meds: None

Current Illness: None

ID: 0988880
Sex: F
Age: 37
State: WY

Vax Date: 01/22/2021
Onset Date: 01/30/2021
Rec V Date: 01/31/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: The first night after receiving the shot I had pain in my arm, this was not severe, but enough that it woke me up in the night on the night that I had the injection (Friday). The pain went away after about 2 days. Today, (eight days later) I woke up with a horrible itch at the injection site. I started to scratch the area (still half asleep) and could feel it swelling with every scratch. When I got up and looked in the mirror, it was hard as a rock, swollen, and about the size of a baseball. The swelling in the center was white and looked almost like cottage cheese bumps under the skin. I drew a circle around the swelling and went to see clients for the rest of the day. Tonight, when I got home I drew another circle to see how much the swelling had increased. It had increased quite significantly. The area (that is rock hard) is about 8 inches from top to bottom and four inch width. It is rock hard still, itchy, and hot to the touch. The area is red, but the white cottage cheese bumps are down a bit. I have also had a headache for two days prior to the swelling. I thought this was unrelated, but I don't think that anymore. I normally do not get headaches. If the swelling has increased by tomorrow, I will seek medical attention.

Other Meds: Fluoxetine 20 mg daily.

Current Illness: None

ID: 0988881
Sex: F
Age:
State: WA

Vax Date: 01/21/2021
Onset Date: 01/29/2021
Rec V Date: 01/31/2021
Hospital:

Lab Data: No tests done.

Allergies: Only environmental allergies to dust, mold, certain fragrances and chemicals, and pollen.

Symptoms: I had very mild pain in arm at injection site. On the 8th day after the shot, however, I hard a hard, red swollen area at the injection site, a small but hard swollen lump at the base of my neck and left arm, pains and aches throughout my body (especially lower abdomen, sides, and lower back, a fever of 100 degrees that night which went away the next day, fatigue, and light nausea. It has been a little over 24 hrs now and all but the fever continue. This was unexpected as these side effects were all delayed rather than occurring immediately after the shot. There is a small likelihood this is all something else but it's doubtful.

Other Meds: Prilosec; daily multi-vitamins, probiotics, vitamin D, fish oil, magnesium, melatonin, GABA, and apple cider vinegar.

Current Illness: None

ID: 0988882
Sex: M
Age: 25
State: CA

Vax Date: 01/22/2021
Onset Date: 01/29/2021
Rec V Date: 01/31/2021
Hospital:

Lab Data:

Allergies: Amoxicillin

Symptoms: 8 days after the vaccine I developed itchiness and a red rash at the spot of injection

Other Meds:

Current Illness:

ID: 0988883
Sex: F
Age: 52
State: NY

Vax Date: 01/15/2021
Onset Date: 01/23/2021
Rec V Date: 01/31/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Over the past 10 years I have occasionally experienced bouts of epischleritis which last approximately two days and responds well to ibuprofen. One week after receiving the vaccine I experienced the most severe flare up to date. My left eye was completely red, swollen and painful. Two days later my right eye also flared up. This episode has lasted 8 days and counting. There has been minimal refief using ibuprofen and I have had to add ice packs to help relieve the swelling and pain. As this condition is caused by inflammation I believe there may be a connection.

Other Meds: Tylenol Ibuprofen Levothyroxine

Current Illness: None

ID: 0988884
Sex: F
Age: 17
State: MN

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 01/31/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 17 year old patient given 2nd dose in series as Moderna rather than Pfizer

Other Meds:

Current Illness:

ID: 0988885
Sex: F
Age: 64
State: CA

Vax Date: 01/22/2021
Onset Date: 01/23/2021
Rec V Date: 01/31/2021
Hospital:

Lab Data: No need

Allergies:

Symptoms: Day 1 after vaccination Approx 14 hrs after injection: initially:Malaise, muscle and joint aches, headache as day progressed: Fever of 100.8 F by 6pm (24 hrs after injection): fever a little lower, and then felt freezing cold/chills. Had to take hot shower and wear many layers of clothing. Felt fatigued, unable to concentrate. Too unstable to take a walk. Day 2 after vaccination: No fever, but felt too weak for a walk until around 8pm. then able to take a short walk. Day 3: still tired, brain fogged. Brain fog lessened but persisted until day 8 (1 week later).

Other Meds:

Current Illness: Fibromyalgia

ID: 0988886
Sex: M
Age: 53
State: NJ

Vax Date: 01/27/2021
Onset Date: 01/30/2021
Rec V Date: 01/31/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: A couple days after the vaccination I began to have redness, pain, swelling , and itchiness in toes on both feet. It is uncomfortable to wear shoes due to the tenderness and pain in my toes.

Other Meds: Amlodipine, Chlorthalidone, multivitamin, vitamin D

Current Illness: None

ID: 0988887
Sex: F
Age: 52
State: VA

Vax Date: 01/22/2021
Onset Date: 01/30/2021
Rec V Date: 01/31/2021
Hospital:

Lab Data: Scheduled to take covid 19 test 1.31.21

Allergies: None

Symptoms: Upset stomach, jittery feeling, mild headache

Other Meds: Alive womens vitamins

Current Illness: None

ID: 0988888
Sex: M
Age: 70
State: IN

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

Lab Data: unknown

Allergies: Unknown

Symptoms: HE received his vaccine and was in the post vaccine area for approximately 10 min. The paramedic and I looked up and noticed a sudden change in mental status- dropped his phone and started making slight grunting noises as well as turning pale. We rescued the patient, got the stretcher and he became lucid. His activity was seizure like (petit mal). I called the ED charge nurse, provided report, and the patient was transported via paramedic X 2 to the ED for an evaluation.

Other Meds: Unknown

Current Illness: Unknown

ID: 0988889
Sex: F
Age: 75
State: CA

Vax Date: 01/21/2021
Onset Date: 01/29/2021
Rec V Date: 01/31/2021
Hospital:

Lab Data: none

Allergies: Penicillin

Symptoms: skin rash at injection site 8 days after being vaccinated

Other Meds: Clonazepam, Simvastatin, Paroxetine, Valacyclovir, Centrum Silver MV, Vit D3 , Calcium Citrate

Current Illness:

ID: 0988890
Sex: F
Age: 33
State: MS

Vax Date: 01/25/2021
Onset Date: 01/28/2021
Rec V Date: 01/31/2021
Hospital:

Lab Data: n/a

Allergies: None

Symptoms: End of first day, I was having body aches and a sore arm. Body aches, chills and night sweats occurred for first 48 hours. 1/28, noticed I had a tender spot on the left side of my neck. Tender spot is swollen gland or lymph node. On 1/30/21 woke up with left half of back of my throat swollen shut. Took ibuprofen and Benadryl and swelling went down half way.

Other Meds: Adderall, Celexa, Abilify and birth control

Current Illness: No illnesses at time of vaccination. Did have stomach bug 2 weeks prior

ID: 0988891
Sex: F
Age: 27
State: OR

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

Lab Data:

Allergies: None serious allergies although sensitive to gluten and dairy with IBS

Symptoms: Rash on right side of face, fever 102 and chills, muscle aches, pounding headache, loss of appetite

Other Meds: Vitamin D, probiotics, multi vitamin for women, magnesium

Current Illness: None

ID: 0988892
Sex: F
Age: 34
State: CA

Vax Date: 01/09/2021
Onset Date: 01/09/2021
Rec V Date: 01/31/2021
Hospital:

Lab Data: None

Allergies: No

Symptoms: Headache x1 day

Other Meds: None

Current Illness: No

ID: 0988893
Sex: F
Age: 31
State: DE

Vax Date: 01/01/2021
Onset Date: 01/31/2021
Rec V Date: 01/31/2021
Hospital:

Lab Data: None done

Allergies: Dust mite allergies

Symptoms: Have not had an appetite whole day long, after I received a vaccine. Started with severe chills, body temperature was 33.5C, dizziness. Within an hour , I got nauseous, fever went up to 38.5 C, continuous chills, headache, can?t get warm. Took an Advil (2 gel tablets), drinking fluids.

Other Meds: No

Current Illness: N/A

ID: 0988894
Sex: F
Age: 45
State: NY

Vax Date: 01/21/2021
Onset Date: 01/29/2021
Rec V Date: 01/31/2021
Hospital:

Lab Data:

Allergies: Sulfa

Symptoms: Red ring around shot site Hot, itchy, sore

Other Meds: Thyroid medication Birth control patch

Current Illness: None

ID: 0988895
Sex: M
Age: 41
State: OR

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

Lab Data: none

Allergies: Dye in Ibuprofen

Symptoms: Body Aches, Fever, Headache, Hives, after second dose of Moderna Covid-19 vaccine

Other Meds: none

Current Illness: none

ID: 0988896
Sex: F
Age: 39
State:

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

Lab Data:

Allergies:

Symptoms: Modern a covid-19 vaccine Headache. Body aches. Tiredness. Chills.

Other Meds:

Current Illness:

ID: 0988897
Sex: M
Age: 82
State:

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

Lab Data:

Allergies:

Symptoms: facial rash

Other Meds:

Current Illness:

ID: 0988898
Sex: F
Age: 61
State: TX

Vax Date: 01/15/2021
Onset Date: 01/29/2021
Rec V Date: 01/31/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: 14 days after 1st Moderna COVID inoculation I developed redness around injection site. A 3" radius area which at first itched. I am now on 2nd day with same area, which is also somewhat swollen & warm. I have taken Benadryl tablet & applied Benadryl cream.

Other Meds: Metoprolol 25 mg Creator 5 mg Mega Red Krill Oil 350 mg CoQ10 200 mg Vitamin D3 2000 iu

Current Illness: None

ID: 0988899
Sex: M
Age: 81
State: ID

Vax Date: 10/03/2017
Onset Date: 10/23/2017
Rec V Date: 01/31/2021
Hospital:

Lab Data: No additional medical tests were performed.

Allergies: None

Symptoms: Adverse events included bilateral leg numbness (loss of sensation) and weakness and fatigue, The patient received a diagnosis of AIDP (acute inflammatory demyelinating polyneuropathy) and ultimately of Guillain Barr? syndrome. No treatment given. The patient lost sensation in his extremities, experiences recurring neuropathy in the legs, and ultimately became bed bound after losing the ability to ambulate.

Other Meds: Alandronate Sodium 70 mg Amantadine 100 mg Aspirin 81 mg Carbidopa (Sinemet) 25-100 Ibuprofen 200mg Levothyroxin .01 mg Lisinopril (ACE Inhibitor) 5 mg Sotolol (Betapace-BB) 160 mg Tamsulosin (Flomax) 40 mg Zoloft

Current Illness: None

ID: 0988900
Sex: F
Age: 49
State: ID

Vax Date: 01/22/2021
Onset Date: 01/30/2021
Rec V Date: 01/31/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Large itchy bump

Other Meds: Lansaprozol, maca root, multi-vitamin

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm