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: 0989101
Sex: F
Age: 59
State: MO

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

Lab Data: none

Allergies: none

Symptoms: 12 Hours after injection, major body aches lasting 12 hours, severe chills lasting 2 hours, low grade fever lasting 6-8 hours, mild headache lasting 6-8 hours. Felt better 12-14 hours after initial symptoms

Other Meds: estrogen, progesterone, testosterone, dhea

Current Illness: none

ID: 0989102
Sex: F
Age: 74
State: PA

Vax Date: 01/16/2021
Onset Date: 01/31/2021
Rec V Date: 01/31/2021
Hospital:

Lab Data: None

Allergies: Floxin

Symptoms: red elevated, itchy rash with pronounced circular patches, sudden appearance predominantly on left arm and small area on right arm applied cortisone cream to area and took 10mg tablet of Cetirizine rash calmed within about 45 minutes

Other Meds: Lisinopril Synthroid Timolol Travatan Vagifem Multivit, Vit D

Current Illness: None

ID: 0989103
Sex: F
Age: 34
State: IL

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

Lab Data:

Allergies: Codeine Dental temporary cement ingredients

Symptoms: Swollen injection site Swollen arm Largely Swollen lymph nodes Headache Dizziness Inability to lift arm for more than 2 minutes Intense pain to touch Axillary pain

Other Meds: Gabapentin Hydrocodone Sertraline Clonazepam Ashlyna Zanaflex

Current Illness: N/A

ID: 0989104
Sex: F
Age: 65
State: GA

Vax Date: 01/20/2021
Onset Date: 01/28/2021
Rec V Date: 01/31/2021
Hospital:

Lab Data:

Allergies: Codeine, and Zegerid

Symptoms: 8 days after the injection, I started feeling a slight itch at the injection site. Then 2 small red dots appeared and over the last couple of days, the 2 red dots have swelled to about a 2 inch rectangle across the top of my arm. The whelp is slightly warm but not hot. I have taken benedryl at night for 2 nights and used Sarna on the whelp. It keeps spreading and not going away.

Other Meds: Vitamin C and D and zinc and a probiotic

Current Illness: none

ID: 0989105
Sex: F
Age: 45
State: NY

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

Lab Data: none

Allergies: lortab macrobid and eess doxycycline many antidepressants

Symptoms: fever 102.6 on 1/28/21 with a slight rash on my chest that i thought was related to the fever slept almost 16 hours fever 101 on 1/29 with worsening of rash to include the whole torso was red and hot and extremely itchy started pepcid and benadryl slept 14 hours 1/30/21 rash subsided whole torso has fine rash on it but not as red or as itchy continued bendaryl exhausted 1/31/21 still feeling overall exhausted , like walking with a lead apron on

Other Meds: MVI Plaquenil Cytomel Mobic

Current Illness: none

ID: 0989106
Sex: F
Age: 32
State: KS

Vax Date: 12/30/2020
Onset Date: 01/15/2021
Rec V Date: 01/31/2021
Hospital:

Lab Data:

Allergies: latex, kiwi

Symptoms: Developed shingles within 2.5 week of injection (haven't had shingles since I was 5), rash on chest (3 weeks after shot) Moderna COVID?19 Vaccine EUA

Other Meds: n/a

Current Illness: n/a

ID: 0989107
Sex: F
Age: 70
State: IN

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

Lab Data: none

Allergies: Seasonal allergy to spring pollen (trees i think)

Symptoms: 12:25 Slight dizziness with an overall hot feeling for @12min, then 2 hours later chills and slight feverish feeling slight nausea,, which lasted ...then just turned into flu like feeling...insomnia with body feeling slightly jittery till 4am ,took nighttime cold tablet. Flu like symptoms till 31st am.

Other Meds: Ritalin (ongoing dose for 25 years)

Current Illness: none

ID: 0989108
Sex: F
Age: 47
State: NC

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

Lab Data:

Allergies: codeine, erythromycin, vicodin

Symptoms: 01/27 chills, 101.3 fever, body aches, tachycardia 01/29 rash on back, torso and neck, itching

Other Meds: temazepam, methocarbamol 100mg, clindamycin 75mg

Current Illness: tooth abscess (clindamycin)

ID: 0989109
Sex: F
Age: 30
State:

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

Lab Data:

Allergies:

Symptoms: Slight tingling sensation of the arm of site of vaccine administration. monitored for 30 minutes, stable. Follow up with PCP, V-Safe, ER precautions

Other Meds:

Current Illness:

ID: 0989110
Sex: F
Age: 44
State: NH

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/31/2021
Hospital:

Lab Data:

Allergies: codeine, penicillin, sulfa

Symptoms: Hives reported within 1 hour of vaccination, Patient did not report reaction to administrator until clinic 3 weeks later, did not receive second shot.

Other Meds:

Current Illness:

ID: 0989111
Sex: M
Age: 52
State: NC

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/31/2021
Hospital:

Lab Data: none yet

Allergies: Peanut Butter (mild) Eggs, Mustard, (medium) Milk (severe) Latex (very severe)

Symptoms: The evening of 1/11/21 - pain at the injection site and feeling of fatigue - went to bed very early. Arm pain a bit less next day - felt a little tired all day. Back to "normal" on the 13th. I am not sure if the following symptoms are related to the vaccine but I feel like I should report them if there may be a link. 1/17/21 -Awoke in the morning with severe neck pain - muscles "locked up." Called the doctor - he prescribed Tramadol and Cyclobenzaprine - I took these for two days before my neck calmed back down and I could function "normally" again. 1/28/21 - Started feeling "under the weather" and tired late in the day while still at work. Went home and went to bed early. 1/29/21 - Felt same as last PM upon waking up. Felt much better by mid-morning. Started feeling bad again later in the day. Felt cold - but no fever. Skin sensitive all over my body. 1/30/21 - Felt bad all day. Felt cold - no fever. Skin sensitive all over my body. AM - felt anxious, worried, confused. Built a fire in the fireplace and heat made me feel better. Felt hot-cold-hot-cold- all day. My neck ached all day. Sensitive to sounds. Took a single cyclobenzaprine late in the day - seemed to help. Went to bed early. 1/31/21 - Woke up with very sore deltoid muscle at the site of COVID-19 injection. Very hard to lift arm above head. Hips, back, and neck muscles ache. Calf muscles feel almost like they are about to cramp. Mental state better than yesterday. Still sound sensitive. Not as cold feeling as in days prior. Yoga seems to help.

Other Meds: Vitamin C, D3, Calcium/Magnesium/Zink, Turmeric, L-Arginine, Saw Palmetto, 88 mg aspirin,

Current Illness: N/A

ID: 0989112
Sex: M
Age: 66
State: CA

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

Lab Data: none

Allergies: none

Symptoms: soreness in left upper arm, dull headache, chills

Other Meds: lisinipril, metoprolol, 81mg aspirin, vitamin B12

Current Illness: none

ID: 0989113
Sex: F
Age: 33
State: NY

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

Lab Data:

Allergies: Sulfa

Symptoms: Injection site pain, tiredness, headache, severe aches and pains throughout body joints and muscles, chills so bad that I was convulsing, injection site swelling, nausea, feeling sick for more than 2 days, swollen lymph nodes in left arm pit, chest feeling tight and lungs feeling heavy

Other Meds: Sprintec

Current Illness:

ID: 0989114
Sex: F
Age: 72
State: GA

Vax Date: 01/20/2021
Onset Date: 01/26/2021
Rec V Date: 01/31/2021
Hospital:

Lab Data: NONE

Allergies: Wheat allergy. Preservatives.

Symptoms: Extreme tiredness, dizzyness, low energy, overall feeling of malaise. I slept a lot. This is day six from when adverse reaction began and I feel almost normal, but I still have a little dizzyness. I was so dizzy one day that I would have fallen if I had not grabbed the doorframe.

Other Meds: Two thyroid drugs, Levothyronine and Levothroxine. Zinc, vitamin E, vitamin C, hyaluronic acid, B complex, glucosamine, turmeric, fish oil, vitamin D

Current Illness: None

ID: 0989115
Sex: F
Age: 64
State: MD

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

Lab Data: None The reason I decided to report this is because I learned that on 12/30/2020 the Medicines & Healthcare products Regulatory Agency (MHRA) and the Joint Commission on Vaccination and Immunisation announced that they were recommending the Pfizer vaccine be given 12 weeks apart. Since I received my 18 days apart, I am wondering if that is why I had such a significant response. Should consider a longer time period between doses????

Allergies: Amoxicillin, Bactrim, Celebrex, Zithromax, Doxycycline

Symptoms: Approximately 18 hours after the injection, I felt like I had been hit by a truck. My arm hurt like blue blazes, itched intensely, and I had a fever of 102.4. To get my temperature down to 100 degrees I had to alternate Motrin and Advil. I continued to have a fever, headache, body aches, chills, and lethargy for the next 48 hours and stayed in bed because I felt so awful. Unable to do normal activities of daily living.

Other Meds: Metformin, Synthroid, belsomra, Januvia, Insulin (Tresiba and Novolog) Vit D, B-Complex, Life Extention (LE) Advanced Lipid Control, LE Tumeric, LE Mega EPA/DHA, LE Berry Complete, LE CoQ10, LE Cruciferous Vegetable Extract, LE MMPK Metab

Current Illness: No other illnesses.

ID: 0989116
Sex: F
Age: 43
State: MD

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

Lab Data:

Allergies: None known

Symptoms: Redness (red circle) itching and swelling around vaccine site after one week of infection.

Other Meds: None

Current Illness: None

ID: 0989117
Sex: F
Age: 42
State: MA

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

Lab Data: None

Allergies: Penicillin, amoxicillin

Symptoms: Fever ranging from 99.9-101.7 for 24 hrs, headache, joint/body aches, soreness, redness, and swelling at and below injection site.

Other Meds: None

Current Illness: None

ID: 0989118
Sex: F
Age: 52
State: IA

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

Lab Data: None

Allergies: hydrocodone, nsaids, famotidine, omeprazole, metronidazole, prednisone

Symptoms: Shortness of breath, felt throat closing

Other Meds: unknown

Current Illness: None

ID: 0989119
Sex: F
Age: 70
State: FL

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

Lab Data: None

Allergies: Levaquin

Symptoms: Chills, fever, joint ache, fatigue, cough starting at approximately 12 hours after injection. Took Tylenol and aleve. Today , Sunday, I feel better.

Other Meds: Losartan 25 mg, Pantoprazole 40 mg. Atorvastatin 10 mg Vitamin d3 125 mcg 3x week Baby aspirin

Current Illness: None

ID: 0989120
Sex: M
Age: 64
State: FL

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

Lab Data: None

Allergies: Lisinopril

Symptoms: Starting at 9:30pm I started having violent shaking and chills, Temperature 100, followed by severe body aches and profuse sweating throughout the night. By the following morning shakes and chills dissipated but body aches and fatigue persist with some light headedness and mild cold sweat.

Other Meds: Hydrochlorothiazide, Atorvastatin, Glimepiride, Metformin, Propranolol LA, Tamsulosin, Metoprolol, Aspirin, Multivitamin, Omega 3 fish oil, Ultram

Current Illness: None

ID: 0989121
Sex: F
Age: 61
State: NY

Vax Date: 01/23/2021
Onset Date: 01/30/2021
Rec V Date: 01/31/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: My arm was sore for 2-3 days after shot, took one advil. A week later it was itchy in the morning and starting to get uncomfortable throughout the day. By 8:00 pm it was very painful ,swollen and hot. I applied ice and took 1 Advil . It did not help. It continued to hurt throughout the night, and I couldn't put pressure on it at all. It is still hurting now and the swelling area has noticeably wider.

Other Meds: synthroid

Current Illness: none

ID: 0989122
Sex: F
Age: 35
State: IL

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

Lab Data:

Allergies:

Symptoms: Vaccine was given at 2pm. At 10pm intense chills. At midnight bodyaches and 102 fever. During the next day headache, dizziness, fatigue, bodyaches. Fever lasted 24 hrs. Second day symptoms improved. Body aches continue.

Other Meds: Vit D XYZAL Flonase

Current Illness:

ID: 0989123
Sex: F
Age: 48
State: NJ

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

Lab Data: n/a

Allergies: no known allergies

Symptoms: beginning at 8pm day of injection (about 7 hours post injection, Wednesday January 27, 2021) axillary pain and swelling to left arm (arm of injection) and body aches began and lasted for approximately 36 hours. about 27 hours into body aches fever to 101.5 noted. all resolved by Saturday January 30, 2021

Other Meds: lexapro, wellbutrin, vitamin c, vitamin d, ferrous sulfate, calcium, magnesium

Current Illness: n/a

ID: 0989124
Sex: F
Age: 75
State: OK

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

Lab Data: All lab and testing was not outside her baseline

Allergies: diphenhydramine and mereperidine

Symptoms: She had orthostatic hypotension and dizziness 2-3 hours post vaccination with blood pressure on standing of 70 systolic. She was observed in the hospital overnight

Other Meds: There are numerous she is a heart transplant patient

Current Illness: None

ID: 0989125
Sex: F
Age: 70
State: MD

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

Lab Data:

Allergies: not known

Symptoms: Right after the Moderna shot, she fell dizzy. The room was spinning for her. She rested in the chair for 30 minutes. After that she was able to walk with assistance to the car. Her husband drove her home. I called to check on her 3 hrs later. She was better. The next day , she was able to work as a cashier.

Other Meds: not known

Current Illness: none

ID: 0989126
Sex: M
Age: 60
State: WI

Vax Date: 01/22/2021
Onset Date: 01/24/2021
Rec V Date: 01/31/2021
Hospital:

Lab Data:

Allergies: Augmenten

Symptoms: Developed Bell?s Palsy

Other Meds: Lansoprazol, Flaxseed Oil, Multivitamin

Current Illness: None

ID: 0989127
Sex: F
Age: 70
State: IN

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

Lab Data:

Allergies:

Symptoms: At around 09:30 am I was feverish, tired and sick at my stomach and vomited twice.

Other Meds:

Current Illness:

ID: 0989128
Sex: F
Age: 70
State: IN

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

Lab Data:

Allergies: Ampicillin Percocet Bacitracin ointment

Symptoms: The first day - nothing much just slight sore injection site. No need to take any meds. Then good for a week. One week later woke up with a sore itchy arm at injection site. . I did take Ibuprofen.

Other Meds: Alendronate Sodium 70 mg. 1 x weekly Multivitamin Chondroitin Thera tears B6

Current Illness:

ID: 0989129
Sex: F
Age: 48
State: TX

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

Lab Data:

Allergies:

Symptoms: Extremely swollen and sore arm 1 day. Lethargic, sniffly, major headaches, aches and chills lasting 5 days.

Other Meds: Zoloft, Vitamin D, Pravastatin, Zyrtec

Current Illness: none

ID: 0989130
Sex: M
Age: 72
State: IN

Vax Date: 01/26/2021
Onset Date: 01/29/2021
Rec V Date: 01/31/2021
Hospital:

Lab Data: None

Allergies: NKA

Symptoms: Initiallly decrease in hearing in left ear with feeling as if it was filled with water, then general head congestion. Followed by dizziness, feeling of unsteadiness, normal temp at 7 p.m., but temp at 11:30 p.m. 100.4 and generalized feeling of malaise. This persisted for approx 10 hrs. but symptoms gone upon awakening next morning.

Other Meds: Metoprolol Tartrate 25mg daily, Lisinopril 5 mg daily, Warfarin 5 mg daily, Rosuvastatin CA 5 mg daily, Baby ASA 51 mg daily, Fish Oil 1000 mg daily, Vit B Complex 1 daily, Vit C 500 mg daily, Vit D 2000 iu daily, Co Q 10 100 mg daily, Me

Current Illness: None

ID: 0989131
Sex: M
Age: 57
State: TX

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/31/2021
Hospital:

Lab Data: None

Allergies: None known

Symptoms: Oral Temperature 101.1 (improved with 1000mg of acetaminophen), body aches, fatigue for the next 12 hrs.

Other Meds: Vitamins, nicotinamide riboside, resveratrol, fish oil, modafinil, Synthroid

Current Illness: COVID-19 quarantined 12/10-12/25/20. Back to work 1/1/21

ID: 0989132
Sex: F
Age: 70
State: TN

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

Lab Data: None

Allergies: Codine

Symptoms: Mild Chills For about 15 Mins, achy muscles, sneezing, periodic running of nose, Scratchy throat, these are all mild symptoms and nothing i can not handle. I was told if I experienced any symptoms to report them. I am feeling better this morning. The symptoms actually feel like a mild cold, I have had a flu shot on September 1 2020. and have had both pneumonia shots 4 years ago.

Other Meds: Fluticasone 50MCG 1 Spray in nostrils daily, Atorvastatin 40mg 1 daily, Xarelto rivaroxaban 20mg 1 daily, Omeprazole 40mg 1daily, Centrum Silver women 50+ 1 daily, Glucosamine/Chondroitin MSM complex, Calcium 600 IU 1 Daily, Vitamin E 400

Current Illness: None

ID: 0989133
Sex: F
Age: 41
State: OH

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

Lab Data:

Allergies: Copper

Symptoms: Red bump/rash at injection set. Red, itchy rash on neck and shoulders.

Other Meds: Trazodone, multivitamin

Current Illness:

ID: 0989134
Sex: F
Age: 59
State: GA

Vax Date: 01/26/2021
Onset Date: 01/28/2021
Rec V Date: 01/31/2021
Hospital:

Lab Data:

Allergies: NA

Symptoms: Headache, fever up to 102, chills, major diarrhea, vomiting. I lost 3 lbs. Tested negative with the rapid COVID test.

Other Meds: Meloxicam clonozapan calcium Vit D

Current Illness: None

ID: 0989141
Sex: F
Age: 35
State: TX

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

Lab Data:

Allergies: none

Symptoms: Heart palpitations - first noticed around 26 hours after vaccine administration. Heart palpitations continue sporadically to today (day 3 post vaccine administration). Also, pain, swelling, itching, redness at injection site - resolved within 3 days.

Other Meds: none

Current Illness: none

ID: 0989142
Sex: F
Age: 30
State: IN

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

Lab Data: No e

Allergies: None

Symptoms: Headache, dizziness, nausea, sore arm, vomiting

Other Meds: Lamotrigine

Current Illness: None

ID: 0989143
Sex: M
Age: 85
State: IL

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

Lab Data:

Allergies:

Symptoms: Chills, Fever, Weakness

Other Meds:

Current Illness:

ID: 0989144
Sex: M
Age: 68
State: FL

Vax Date: 01/15/2021
Onset Date: 01/27/2021
Rec V Date: 01/31/2021
Hospital:

Lab Data: had covid test today 1/31/2021 expect results in 3 to 5 days

Allergies: ?

Symptoms: seem to have lost some sense of smell and getting light headed or dizzy foggy feelings and a little ache in back

Other Meds: baby aspirin Metoprolol er 25mg, Rosuvastatin 10mg, Pantoprazole 20mg, vitamin D

Current Illness:

ID: 0989145
Sex: F
Age: 38
State: NY

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

Lab Data: N/A

Allergies: suspected allergy to Chlorhexidine

Symptoms: On friday evening (exactly one week from the date of the shot) I felt a sensation on my upper left arm and then an immediate itching feeling. My upper left arm, around where I received the shot was hot/sort of painful to the touch and itchy. The itching/pain was relatively mild, and sort of came and went. Before I went to bed I put aquafor on it. The next day (Saturday) I noticed that the area (which still had that off and on itch/pain feeling) had developed a rash of sorts that was red, oval shaped (maybe 3 inches long, 1.5-2 inches wide) - it was just one big red patch, and maybe the rim of the oval was a bit more red, sort of like a ring. I washed it and put a hydrocortisone cream on it. Again the itch/pain sort of came and went throughout the day and was more noticeable when something rubbed on the area. Overall, it was very mild - I could easily resist scratching/touching because it sort of hurt to touch it. When I woke up on sunday, the redness of the rash was mostly gone and any itch/pain was very very faint to non-existent.

Other Meds: Adderall

Current Illness: N/A

ID: 0989146
Sex: M
Age: 71
State: DE

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

Lab Data: None yet

Allergies: None

Symptoms: 2 weeks after shot ,site has turned red,itches,and has heat in it.

Other Meds: Metaprolol, bupropion,lisinopril,fluticasone proprinate,rosuvastatin, otc alergy relief,lo-dose asprin, multi vitamin,vitamin d, glucosamine/chondrotin.

Current Illness: None

ID: 0989147
Sex: F
Age: 37
State: IN

Vax Date: 12/24/2020
Onset Date: 12/25/2020
Rec V Date: 01/31/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: Moderna vaccine: Started with arm pain and a knot in the right arm. The knot lasted for a few weeks and after that, it turned into a hole or a dent in that arm. After over a month, the dent is getting bigger as of the vaccine is eating away at the muscle in my arm. I have not contacted my doctor yet but I will tomorrow.

Other Meds: Humalog Synthroid Omeprazole

Current Illness:

ID: 0989148
Sex: F
Age: 38
State: KY

Vax Date: 01/11/2021
Onset Date: 01/19/2021
Rec V Date: 01/31/2021
Hospital:

Lab Data:

Allergies: none provided

Symptoms: Moderna COVID- 19 Vaccine EUA Date of vaccine 1/11/2021 Moderna Lot # Moderna US, INC Lot 012L20A Expiring 07/06/2021 ; Immunization Admin Covid-19 Dosage 1st Dose Moderna (Z23) Left deltoid site Last night patient noticed a rash on vaccinated arm, red, tender, itchy and warm to the touch. No swelling . Topical Benadryl and Hydrocortisone cream given. Will follow up in clinic next week if no improvement

Other Meds:

Current Illness:

ID: 0989149
Sex: F
Age: 68
State: TX

Vax Date: 01/15/2021
Onset Date: 01/25/2021
Rec V Date: 01/31/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Large rash at injection site

Other Meds: Multi- vitamin, Biotin, Vitamin E, Psyllium capsulea

Current Illness: None

ID: 0989150
Sex: F
Age: 42
State: IN

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

Lab Data:

Allergies: No

Symptoms: Chills, headache, nausea, body aches

Other Meds: Levothyroxine, women?s multi vitamin, spironolactone

Current Illness: None

ID: 0989151
Sex: F
Age: 46
State:

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

Lab Data:

Allergies:

Symptoms: Headache / Nausea / Vomiting / Fever / Numb tingly feeling on face

Other Meds:

Current Illness:

ID: 0989152
Sex: M
Age: 25
State: WA

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

Lab Data: N/A

Allergies: N/A

Symptoms: Adverse event started with nausea, chills, and body aches across the body. At 6:00 AM, I became very hungry, ate breakfast, and took two 500mg acetaminophen tablets which resulted in relief from body aches. I fell back asleep, woke up at 9:00 AM and was hungry again so I ate more food. I became hungry again at 12:00 PM and ate again. At 2:00 PM the body aches returned, I took two 500mg acetaminophen tablets and fell asleep until 3:30 PM. At 4:00 PM I became hungry again and ate. At 6:00 PM I ate another meal. At 9:00 PM I took two 500mg acetaminophen tablets and went to sleep. When I woke up the next day all symptoms had subsided.

Other Meds: Adult multivitamin and Vitamin D supplement

Current Illness: N/A

ID: 0989153
Sex: F
Age: 35
State: FL

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

Lab Data:

Allergies: None

Symptoms: 102 fever Severe body aches muscle spasms and chills

Other Meds: Post natal vitamin Progesterone birth control

Current Illness:

ID: 0989154
Sex: F
Age: 44
State: TX

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

Lab Data: None

Allergies: None

Symptoms: In the evening I had body aches, chills, headache and fever of 101. The next day fever lessened but headache persisted.

Other Meds: Lisinopril, rosuvastatin, multi-vitAmin, vitamin D, CoQ10

Current Illness: None

ID: 0989155
Sex: M
Age: 51
State: PA

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

Lab Data: None

Allergies: None

Symptoms: Left arm pain for 24hrs post dose. Extreme knee and ankle joint pain. Low grade fever of 99.5 accompanied by periods of shivering. Sinus pressure and headache. Symptoms resolved after two doses of ibuprofen

Other Meds: None

Current Illness: None

ID: 0989156
Sex: F
Age: 66
State: WA

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

Lab Data:

Allergies: Epinephrine

Symptoms: Red rash in arm at injection site

Other Meds: Latanoprost

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm