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: 0991531
Sex: M
Age: 35
State: AK

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

Lab Data:

Allergies: Nickel

Symptoms: 35 yo M w/PMH of asthma, allergies, w/acute onset of lower chest/epigastric pain, nausea, cough, and feeling flushed within 30 minutes of Pfizer dose #1. T: 98.3 F, BP: 139/105, HR : 89, Ox 98% RA. CO is well appearing, not diaphoretic, w/clear lungs and normal heart sounds. No rash. PO Benadryl given at 13:07 PM d/t cough and CO observed until 13:24 w/resolution of chest discomfort and throat irritation. Tolerating sips of water. ER precautions discussed.

Other Meds:

Current Illness:

ID: 0991532
Sex: M
Age: 43
State: AL

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

Lab Data: N/A

Allergies: Fish

Symptoms: 101.6 Degree Temperature/ Chills/ Severe Muscle Aches and Pain/ Headache/ Redness and Swelling at Site of Shot/ Tiredness.

Other Meds: Suboxone 8mg, Adderall 30mg

Current Illness: N/A

ID: 0991533
Sex: F
Age: 42
State: VA

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

Lab Data: none

Allergies: fish, shellfish, celery

Symptoms: Intense thirst lasting 24 hours, abnormal bowel evacuation, mild loss of sensitivity to smells and tastes

Other Meds: Paxil, Protonix, Multivitamins, calcium, vitamin d, vitamin b12, allergy OTC

Current Illness: psoriasis, lichen planus

ID: 0991534
Sex: F
Age: 79
State: NC

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: Unable to see or visit primary care doctor. Date for second vaccine is Wednesday but cannot see her until that afternoon. I am frustrated.

Allergies: none

Symptoms: Dizzy and light headed, mild nausea, weak and tired with occasional shortness of breath. Elevated blood pressure causing headaches. I have been unable to send this via the phone/text. I am exhausted from this continued distress. Normally very active and healthy.

Other Meds: Amlodipine, D3, Calcium 600mg +400 D3, .81 aspirin every other day

Current Illness: none

ID: 0991535
Sex: M
Age: 34
State: PA

Vax Date: 01/13/2021
Onset Date: 01/28/2021
Rec V Date: 02/01/2021
Hospital: Y

Lab Data: Treated in ER and OR on 01/30/2021. Admitted to hospital, released on 01/31/2021.

Allergies: N/A

Symptoms: Fever, rapid heart rate, and flu like symptoms within 6 hours of receiving vaccine. Extreme abdominal pain coupled with fever began again in the night of 01/26-01/28/2021. Extreme abdominal pain continued and I had to have emergency appendectomy on 01/30/2021.

Other Meds: N/A

Current Illness: N/A

ID: 0991536
Sex: F
Age: 57
State: LA

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

Lab Data: COVID + 1/12/2021

Allergies: Demerol, Vicodin, Norco,

Symptoms: Patient states felt hot flashes following injection in waiting room went home became lethargic that evening having difficulty answering questions at night patient states she became apneic and husband had to watch her breathe. Did not go to the ER. Patient states fully recover the next day and fully recovered 5 days later. No rashes fever generalized weakness that resolved.

Other Meds: vit D3, atorvastatin, hydrocholorthiazide, losartan, metformin, jardiance, soliqua, aspirin, biotin,

Current Illness: COVID + on 1/12/2021

ID: 0991537
Sex: F
Age: 42
State: VA

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

Lab Data:

Allergies:

Symptoms: Body aches, fever = 101.5, swelling in arm, soreness in arm

Other Meds:

Current Illness:

ID: 0991538
Sex: F
Age: 47
State: GA

Vax Date: 01/21/2021
Onset Date: 01/31/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: None.

Allergies: Environmental allergies

Symptoms: Even though I received the vaccine on 1/21/2021, I noticed a slight knot on my shoulder on 1/31/2021. There is no pain but I do feel it. I only felt slight discomfort after the shot but nothing noticeable. I put some ointment and ice on it and it has went down some. I am scheduled for my 2nd does on 2/18/2021.

Other Meds: Spironolactone, Xyzal, Multivitamin, Vitamin D, Turmeric, Cinnamon

Current Illness: None

ID: 0991539
Sex: M
Age: 86
State: TN

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

Lab Data:

Allergies: NKA

Symptoms: Patient experienced audible crackles and low oxygen levels starting around 5:30pm the date of the vaccine. His heart rate spiked to 112bpm and he was given oxygen and Lasix 40mg. He was sent to the hospital and diagnosed with acute systolic CHF

Other Meds: unknown

Current Illness:

ID: 0991540
Sex: F
Age: 89
State: AZ

Vax Date: 01/20/2021
Onset Date: 01/22/2021
Rec V Date: 02/01/2021
Hospital: Y

Lab Data:

Allergies:

Symptoms: Systemic: Vomiting-Medium, Systemic: Other- low blood pressure-Medium

Other Meds:

Current Illness:

ID: 0991541
Sex: F
Age: 38
State: PA

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies:

Symptoms: After receiving the Covid-19 Moderna vaccine, patient was able to walk to the observation area. after few minutes reported throat tightness and dizziness. Lower extremities were elevated. BP 122/80, P-104, pulse ox 99%. Did report tingling in lips and throat. 122/90, HR 119, Resp 18. pulse ox 99%. Administered 50 mg liquid diphenhydramine, per standing order. 18 min later- VS improved. 124/80, HR-81, pulseox 99%, dizziness resolved, throat tightness resolved

Other Meds:

Current Illness:

ID: 0991542
Sex: F
Age: 50
State: WA

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

Lab Data: N/A

Allergies: Penicllin, bee venom

Symptoms: Soreness/swelling at injection site, fever 102 degrees Fahrenheit for 24 hours, severe chills at times, headache, mental fogginess/forgetfulness, generalized aches.

Other Meds: Multivitamin, Vit D3 -2000 iu, Vit B6, Vit B12, Magnesium -100mg, GABA -500mg, Omega 3

Current Illness: N/A

ID: 0991543
Sex: F
Age: 65
State: TX

Vax Date: 01/23/2021
Onset Date: 01/30/1921
Rec V Date: 02/01/2021
Hospital:

Lab Data: None

Allergies: Penicillin Sulfa drugs Erythromycin

Symptoms: A week later had some itching and an area of redness around injection site.. Had soreness after injection. No redness. Some ticking on and off after injection.

Other Meds: Vitamin c zinc.lysine.b complex.cinnamon..Zyrtec 5 mg

Current Illness: Seasonal allergies

ID: 0991544
Sex: F
Age: 40
State: VA

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

Lab Data:

Allergies:

Symptoms: Fever, HA, body aches

Other Meds:

Current Illness:

ID: 0991545
Sex: F
Age: 40
State: GA

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

Lab Data:

Allergies:

Symptoms: 102 Fever, headache, body aches, chills, sweats

Other Meds:

Current Illness:

ID: 0991546
Sex: F
Age: 98
State:

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

Lab Data:

Allergies:

Symptoms: dizziness upon awakening 2 days after receiving vaccine. Has not experienced an episode like this prior to the vaccine

Other Meds:

Current Illness:

ID: 0991547
Sex: F
Age: 59
State: WI

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

Lab Data: N/A

Allergies: N/A

Symptoms: Patient developed pruritis on arms/back and felt some minor throat tightness. Minutes later, itching had spread but no tightness in airway. Patient was sent to ER for further evaluation and discharged without complication after brief observation.

Other Meds: Albuterol, fluticasone nasal , levothyroxine , fluticasone/salmeterol , olopatadine

Current Illness: N/A

ID: 0991548
Sex: F
Age: 27
State:

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies: Gluten

Symptoms: 1/27 , 13 hours after vaccination (dose #2), 2:30am- strong rigors. Temp 102 1/27-1/28 SEVERE pain on the top and back of head, neck pain, and back pain. Pain untouched by consistent 1000mg tylenol and 600mg iburpofen. Also, generalized joint and muscle pain + weakness. I was unable to sit up these days. 1/27-1/29 Fevers for 3 days straight. Unable to get temperature below 99.8 even with Tylenol. Alternated 600mg Ibuprofen and 1000mg Tylenol. 1/28-1/29 Diarrhea - 5-6 bowel movements

Other Meds: NONE

Current Illness:

ID: 0991549
Sex: F
Age: 62
State: ME

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: n/a

Allergies: PCN

Symptoms: Sore arm at injection site for 12 hours; no treatment, resolved over time

Other Meds: none

Current Illness: N/A

ID: 0991550
Sex: F
Age: 60
State: CO

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

Lab Data: Augmentin BID for 7 days

Allergies: None

Symptoms: Cellulitis left arm requiring antibiotics to treat

Other Meds: Diovan

Current Illness: None

ID: 0991551
Sex: M
Age: 40
State: AZ

Vax Date: 01/22/2021
Onset Date: 01/30/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Rash about 4 inches wide around the injection site. It is hard and hot to the touch. The rash is very itchy.

Other Meds: None

Current Illness: None

ID: 0991552
Sex: F
Age: 67
State: GA

Vax Date: 01/23/2021
Onset Date: 01/26/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: Waiting to see doctor and they may perform some tests.

Allergies: Soy, Lactose

Symptoms: I received the 1st shot of the Moderna's Covid-19 vaccine on 1/23/21 at the Pharmacy. Three days later I started experiencing sharp abdominal cramps with gas that I couldn't expel and abdominal bloating. I am still experiencing this 6 days later from when it started. I feel better when laying down but when I stand up I have this really heavy feeling in my lower abdomen. I also experience abdominal cramps not long after eating. I am not constipated. In fact, I've been having a lot more bowel movements which is not normal for me. Also, on Sunday, 1/31, eight days after injection, I developed a red patch that was very warm on my left arm where I received the injection and a headache. The red patch is still there. I'm concerned about this and wonder if this may be related to one of the ingredients in the vaccine, i.e., polyethylene glycol. I have reported this to my M.D. this morning and they are asking me to come in.

Other Meds: Bupropion 100 mg, Escitalopram 10mg, Centrum, Caltrate, Folic Acid 400 mcg

Current Illness: None

ID: 0991553
Sex: F
Age: 59
State: NY

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

Lab Data:

Allergies:

Symptoms: extreme arm pain---goes down to fingers. Also a general feeling of being "off" and dizzy spell/vertigo post vaccination day 5.

Other Meds:

Current Illness:

ID: 0991554
Sex: F
Age: 119
State: VA

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

Lab Data:

Allergies:

Symptoms: Hives starting 2 hours after vaccine administration, itchy, unable to sleep, fatigue, tiredness Allergy medication provided temporary relief

Other Meds:

Current Illness:

ID: 0991555
Sex: F
Age: 65
State: NY

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

Lab Data: Was admitted to hospital for HTN urgency, CBC with diff, BMP, troponins, BNP, EKG done for evaluation, workup unremarkable.

Allergies: Lisinopril Latex

Symptoms: Paresthesias of left hand, general malaise, fatigue, ? HTN urgency ? however missed HTN med doses at the time of evaluation

Other Meds: acetaminophen 325 MG Oral tablet aspirin 81 MG Oral EC tablet atorvastatin 40 MG Oral tablet metoprolol succinate 50 mg 24 hr ER

Current Illness: None

ID: 0991556
Sex: F
Age: 41
State: VA

Vax Date: 01/14/2021
Onset Date: 01/22/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: Visible rash on left arm forearm, appeared approx. 1 week after second injection. Not relieved with OTC Zyrtec or Benadryl cream

Other Meds: Multivitamin

Current Illness: None

ID: 0991557
Sex: M
Age: 66
State: NC

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: 1/26/21- Tuesday. 5:00PM Received vaccine in upper right arm. Monitored at site for 30 minutes, no adverse reactions. Released. Drove home about 20 minutes from site. 7:00PM to 10:00PM ? Had dinner, began to feel soreness at injection site. Soreness continued to increase throughout the evening. 10:00PM Went to bed at 10PM, had difficulty going to sleep due to injection site soreness. Restless. 11:00PM ? 1:45AM Began to get more intense chills, numbness in legs, some sweating, shaking. Could not get warm. Could not sleep. Very uncomfortable. Continued to escalate. 2:00AM Woke up my girlfriend (partner) in bed next to me and she observed the following. Sat up in bed. Complaining of feeling flush, sweating, nauseated. She said I seemed to ?black out?, starting at her, breathing loudly. She had to ?shake me? to get me to respond back to consciousness. She told me I felt very clammy, and pale ? felt quite warm, I complained of a headache. Event last around 30 minutes then I began to get more chills. I took some Ibuprofen for the headache. Eventually was able to go back to sleep, but some not a restful evening. 1/27/21 ? Wednesday Awoke around 7:30AM ? Still a little pale, lethargic, drained with headache most of the day. Ate normal meals. Injection site soreness continued for 2 more days. Subsided 1/29/21. 1/29/21 ? 1/31/21 Continued to improve. No more adverse reactions, no headache, no chills, no elevated temperature. 2/1/2021 Back to normal.

Other Meds: fluoxetine hcl, 10 mg. once daily omeprazole dr 20mg, once daily

Current Illness: none

ID: 0991558
Sex: F
Age: 46
State: TX

Vax Date: 01/02/2021
Onset Date: 01/03/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies: contrast dye, dust, trees

Symptoms: redness to insertion site 2inx2.5in, soreness and cough

Other Meds: zyrtec, vitamins

Current Illness: none

ID: 0991559
Sex: F
Age: 93
State: NY

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

Lab Data:

Allergies: None

Symptoms: Pt states that at 11:13 her right hand started feeling tight. Pt stated she had the vaccine administered in her left arm. Pt's Vitals are stable. Stroke scale negative. Positive CMS in extremities. Pt was cleared to go home by onsite Doctor.

Other Meds: Toresimide, Crestor, Potassium, Lavoxel, Alpurinol. Paxel, Baby ASA.

Current Illness: None

ID: 0991560
Sex: F
Age: 46
State:

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

Lab Data:

Allergies:

Symptoms: Redness, swelling and heat at injection site 3 days after injection, 4?x 3?

Other Meds:

Current Illness:

ID: 0991561
Sex: F
Age: 40
State: ME

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

Lab Data: None

Allergies: None

Symptoms: Sore arm began evening of vaccination (not as sore as with first dose in series). Did not treat. Mild headache began evening of vaccination, advanced to severe headache throughout the next day. Treated with Ibuprofen 24 hours after vaccination. Pelvic/lower back/neck aches began evening of vaccination, around 10pm. Pain was significant enough to cause insomnia during the night and did not improve during the day after vaccination. Pain improved considerably after dose of ibuprofen mentioned above.

Other Meds: Levothyroxine, Ferrous Sulfate, Docusate Sodium

Current Illness: None

ID: 0991562
Sex: M
Age: 73
State: AZ

Vax Date: 01/20/2021
Onset Date: 01/22/2021
Rec V Date: 02/01/2021
Hospital: Y

Lab Data:

Allergies:

Symptoms: Systemic: Exhaustion-Severe, Systemic: Fever-Severe, Systemic: Other- multiple falls-Severe

Other Meds:

Current Illness:

ID: 0991563
Sex: F
Age: 43
State: IN

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

Lab Data:

Allergies: None

Symptoms: About nine hours after the injection, I started getting body aches and low grade fever. By midnight my temperature was 100.1 with chills and sweating. Intense body aches in whole body, especially back and vey painful injection site. I halos had a headache and trouble sleeping. I too Tylenol at 5:00 a.m. and was able to sleep three hours. I took Tylenol/ibuprofen every 4 hours until evening. I was fatigued all day and spent the day sleeping/resting, which is very unusual. By 4:00 p.m. I was mostly feeling normal. Other than arm pain, I am fine today.

Other Meds: Multivitamin

Current Illness: None

ID: 0991564
Sex: F
Age: 46
State: MD

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

Lab Data: Received IV fluids and fever reducing medications

Allergies: N/A

Symptoms: Persistent Temp elevation above 100 F, chills, pain that lasted for 2 days

Other Meds: N/A

Current Illness:

ID: 0991565
Sex: F
Age: 46
State: VA

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

Lab Data:

Allergies:

Symptoms: Fever = 102.5, coughing Went to provider, COVID test pending

Other Meds:

Current Illness:

ID: 0991566
Sex: F
Age: 59
State: TX

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

Lab Data: N/A

Allergies: Iron pills, Iodine supplements, Augmentin, Citrus fruits due to hypothyroidism treatment.

Symptoms: Dizziness for several hours, sleepiness for three days, arm pain getting worse the day after the vaccine (it hurt from the right side of the neck to he finger tips ranging from severe on the site of the shot to more mild in the neck and finger tips), joint pain for several days, nausea a few minutes after the first meal of the day for several days, mild swelling of the body during the day of the vaccination(delay reaction). For the dizziness I had a banana and potato chips to stabilize the sugar in the blood and took about and hour nap. Co-workers and Supervisor monitor me in case EMS needed to be call. For the pain in general I took 1 capsule Tylenol 500. Nothing for the nausea and plenty of water to reduce swelling.

Other Meds: Tylenol 500 about three hours prior.

Current Illness: Hypothyroidism, seasonal allergies, dog dander and sensor allergies,.

ID: 0991567
Sex: F
Age: 38
State: MI

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

Lab Data: Covid test ordered

Allergies: Clindamycin

Symptoms: Congestion started the night of 1/29/21. The next morning on 1/30/21 she started to get tingling in both arms, facial swelling, face became tingling and flushed feeling. Slight tingling in tongue. She took Benadryl with mild relief. No shortness of breath or difficulty swallowing. Tingling of tongue and arms is gone but still has facial swelling and redness.

Other Meds: Breo, Singulair 10mg nightly, zyrtec 10mg nighty, flonase daily

Current Illness: No

ID: 0991568
Sex: F
Age: 23
State: PA

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: N/A

Allergies: N/A

Symptoms: Night following vaccine (1/25): Arm soreness Morning following (1/26; 7:00am): Fever 101.1, chills, sweats, arm soreness Throughout day (1/26): Fever up to 102, chills, sweats, fatigue, no appetite, arm soreness and extreme headache. Could not complete anything that required any type of focus such as watch TV/go on phone, the light increased headache. Slept on and off all day. Evening (1/26; 4:30pm): Took Excedrin for headache, was told by other coworkers not to medicate until 24 hours after at least, so did not take anything up to this point just in case. Slept another 2 hours, woke up extremely sweaty, fever had broken to 99.1, and headache was gone.

Other Meds: Daily: MonoLinyah Birth Control, Centrum Multivitamins, Biotin, Vitamin C

Current Illness: N/A

ID: 0991569
Sex: F
Age: 50
State: MI

Vax Date: 01/07/2021
Onset Date: 01/27/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: body aches, sinus pressure, headache, going on for days; not relieved even by Tylenol #4

Other Meds: Premarin Latanoprost Topamax

Current Illness: migraine

ID: 0991570
Sex: F
Age: 45
State: OH

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

Lab Data:

Allergies: NA

Symptoms: Left hand numbness

Other Meds: NA

Current Illness: NA

ID: 0991571
Sex: M
Age: 74
State: MD

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

Lab Data:

Allergies: Plavix, Insect Venom

Symptoms: Fatigue on day after injection (1/29/21) Started to feel ill late during that night. On 1/30/21 experienced, chills, fever, fatigue, body aches and low energy, no appetite. Fever was 101 with chills then intense sweating. On 2/1/21 feeling shaky - no body aches, no chills, no fever.

Other Meds: Amox-Clav, Acetaminophen-Cod3, Diltazem, Famotidine, Pantoprazole, Eliquis, Atorvastatin, FABB, Sotalol, Xhance spray, Vascepa, Hydralazine IVIG - monthly Aspirin, Vit D2, Magnesium Oxide, Centrum Silver, Vitamin C, CoQ10, Turmeric,

Current Illness: Tooth infection with upcoming root canal appointment - taking Acetaminophen Cod3, Amox Clav

ID: 0991572
Sex: F
Age: 72
State: IN

Vax Date: 01/22/2021
Onset Date: 01/30/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Moderna COVID-19 Vaccine Awoke on day 8 after vaccine with very sore swollen red arm after it had been fine for several days after receiving vaccine. Also started to feel ill a few hours later with headache necessitating taking a pain reliever and lying down. Today, 3rd day after onset, arm is still a little swollen, not as red or sore and feeling a little itchy.

Other Meds:

Current Illness:

ID: 0991573
Sex: F
Age: 70
State:

Vax Date: 01/27/2021
Onset Date: 01/29/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Large red area around injection site. Warm to touch, tender and itchy. Applied ice and took benadryl.

Other Meds:

Current Illness:

ID: 0991574
Sex: F
Age: 52
State: GA

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

Lab Data: none

Allergies: penicillin

Symptoms: 1/30/21 Day after first shot, redness, heat and swelling at injection site. Weakness, fatigue and sever muscle aches lasted about 24 hours. Today, 02/01/21, redness, heat and swelling still at injection site, some nausea and pain under armpit

Other Meds: lorazepam, diflocenanc Sodium, omeprazole, cholestyramine powder, fluoxetine, desepramine, fish oil, Zyrtec, multil vitamin, zolpidem, vitamin D3, symbacort

Current Illness: Covid -19 positive December 11th - 23rd

ID: 0991575
Sex: M
Age: 72
State:

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

Lab Data:

Allergies:

Symptoms: Headache, Chills, Injection site pain, Slight fever. Lasted one day. Tylenol resolved.

Other Meds:

Current Illness:

ID: 0991576
Sex: F
Age: 53
State: PA

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

Lab Data:

Allergies: sulfa rash

Symptoms: Swollen face, started on right side.

Other Meds: unknown

Current Illness:

ID: 0991577
Sex: M
Age: 39
State: MO

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

Lab Data:

Allergies:

Symptoms: Swelling in Rt Arm pit, swelling has moved into chest

Other Meds:

Current Illness:

ID: 0991578
Sex: F
Age: 27
State: IL

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: COVID Testing - negative 1/29/21

Allergies: Sulfamethoxazole-Trimethoprim Mupirocin Calcium

Symptoms: Severe joint pain Severe muscle pain 102 Fever for 2 days Nausea Redness in mouth Aphthous ulcer in mouth Neck stiffness Trouble opening mouth due to swelling Received vaccine 1/25/21 at 7:26 am. Symptoms started at 11:00 pm that night and lasted until 1/31/21

Other Meds: amphetamine-dextroamphetamine 20 MG tablet pantoprazole 40 MG tablet Xarelto 20 MG Tabs tablet busPIRone 15 MG tablet DULoxetine 60 MG capsule Fexofenadine HCl (ALLEGRA ALLERGY PO) levonorgestrel 19.5 MCG/DAY Iud IUD

Current Illness: No known illnesses

ID: 0991579
Sex: F
Age: 39
State: KS

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

Lab Data:

Allergies: none listed on form

Symptoms: Systemic: Anaphylaxis-Severe, Systemic: Seizure-Severe

Other Meds:

Current Illness:

ID: 0991580
Sex: F
Age: 50
State: TX

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

Lab Data:

Allergies:

Symptoms: Beginning evening of second dose. Reported tossing/turning in bed, restless legs, pain at injection site, chills, muscle pain, anxiety; no medication taken to relieve symptoms. 1-30-2021 reported nausea, vomiting, weakness, dizziness; no medication taken to relieve symptoms. 1-31-2021 reported waking up with bloody nose although not uncommon as she reported having hypertension and has had nosebleeds related to elevated BP in past, headache rate 8/10.

Other Meds:

Current Illness: Tested COVID + 2 weeks after first dose

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm