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: 0992810
Sex: F
Age: 68
State: FL

Vax Date: 01/19/2021
Onset Date: 01/22/2021
Rec V Date: 02/01/2021
Hospital: Y

Lab Data: CAT scan identified the pulmonary embolism and imaging the dvt

Allergies:

Symptoms: Concern comes from a pulmonary Embolism and DVT diagnosed within a week of the first shot. Realize this could be a coincidence, I have no history of clots.

Other Meds:

Current Illness: None

ID: 0992811
Sex: F
Age: 63
State: WA

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

Lab Data:

Allergies: Lisinopril Epinepherine Codeine

Symptoms: 2:30 AM 1/30/21 chills, skin sensitive to touch, fever, extreme headaches, dizziness, nausea, redness at site of injection

Other Meds: Vit D 3 2000 iu Cetrizine HCI tabs, 10 mg HCTZ 12.5 mg Fluoxetine HCI 20 mg Atenolol 50 mg

Current Illness: None

ID: 0992812
Sex: F
Age: 28
State: NM

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

Lab Data:

Allergies: Tramadol, Flexerol

Symptoms: Tuesday 1/26 Body aches, chills, headache, nausea, weakness. Wednesday shortness of breath pain in between chest and back and pain with breathing oxygen saturation dropping while walking weak legs

Other Meds: Hair, skin, and nail vitamins

Current Illness: None

ID: 0992813
Sex: F
Age: 48
State: OR

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: NA

Allergies: NA

Symptoms: Instant tension headache where it felt like a band tightened around the crown of my head for several hours. Soreness like associated with a TB shot but it lasted for 5 days. Fist sized bruise on 4th day at injection site. Fatigue set in the day after the shot and lasted for at least a week even though I got regular sleep of 8-9 hours a night and did my regular work out each morning and ate well. The fatigue was concerning as I am normally very energetic and upbeat and don't usually feel like taking a nap in the middle of my shift as a police officer. This negatively affected my job.

Other Meds: Birth control pills, iron supplements, vitamin E

Current Illness: NA

ID: 0992814
Sex: U
Age:
State:

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

Lab Data:

Allergies:

Symptoms: None stated.

Other Meds:

Current Illness:

ID: 0992815
Sex: M
Age: 59
State: IN

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

Lab Data: None

Allergies: None

Symptoms: Deep deltoid arm pain, malaise, chills, overall soreness.

Other Meds: Atenolol, Flovent Inhaler, Lipitor, Vit D

Current Illness: None

ID: 0992816
Sex: F
Age: 60
State: OH

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

Lab Data: No medical treatment for any adverse side effects.

Allergies: Sulfa medications, MSG

Symptoms: Nausea, low grade fever, chills, body ache, head ache, lymph node pain and swelling in left arm pit, fatigue, pain and swelling at the injection site. Rested on the couch, huddled under a blanket from about 12:30 on Saturday afternoon till about 11pm when I then went to bed. During the day on Saturday I took at total of 4 ibuprofen, spaced out, and slept on an off. By 6:30 am Sunday when I woke up, still a little fatigued, and slight body aches and still lymph node swelling and pain. Went about with normal routine on Sunday, just a little slower. By Monday morning the only side effect left was the lymph node pain and swelling and pain around the injection site. At the time of this report, about 7 pm Monday, the lymph nodes are almost pain free, the injection site is slightly painful when touched.

Other Meds: Atorvastatin, multi-vitamin, Calcium with vitamin D, zinc, vitamin E, Vitamin C, Echinacea, Turmeric Curcumin Complex, Milk Thistle, Spirulina, Cranberry, Glucosamine & Condroitin.

Current Illness: NONE

ID: 0992817
Sex: F
Age: 32
State: IL

Vax Date: 01/07/2021
Onset Date: 01/20/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: none

Allergies: sulfur, shellfish

Symptoms: Roughly two weeks in, my equilibrium was off. I started leaning to the right and having to work hard to keep myself upright. This turned into extreme dizziness and nausea. I was unable to drive distances for this reason. Nor walk straight. It subsided slightly right before my second dose.

Other Meds: no

Current Illness: No illnesses

ID: 0992818
Sex: F
Age: 38
State: TX

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

Lab Data: COVID - positive (4th)

Allergies: none

Symptoms: About 5 hours after the vaccine, I started feeling really hot especially in head and face. From there, I had fever and it started going up. Body aches; joint pain; headache; and this went on all throughout that night (Jan 2 and morning of the 3rd). The 3rd, my fever wasn't as high but I still had fever and felt really really tired and body aches/joint pain. On the 4th, when I woke up I noticed that I didn't have any taste and smell and so I went in and got tested for COVID 19 (the 4th) - positive for COVID-19. I went to a clinic that could do a Rapid test. Doctor there gave me Azithromyocin - 2 the first day and one every day after; Dexamethasone once a day for 10 days. I could Tylenol and Motrin (alternating because my fever wouldn't go down). The highest my fever got was that Saturday night got up to 103 degrees. The last day I had fever was the 5th of January and that was 99.8. Jan 7, 8, and 9th - I continued to have other symptoms like really severe headache; no appetite; felt super tired and could hardly get out of bed. Those symptoms resolved about the 10th of Jan - headache almost went away and fatigue was still there and it is still there. I got out of quarantine on the 15th and I went back to work on the 18th - I had no fever. I just felt tired. I couldn't sleep - throughout. I finally started being able to sleep just a couple of days ago. I had the second dose of the vaccine on Friday, January 30th - I had fever again; body aches; joint pain.

Other Meds: Microgestin ; pepsid; Zinc; Vit D; Vit C

Current Illness: none

ID: 0992819
Sex: F
Age: 38
State: NC

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

Lab Data: Heart rate monitor

Allergies: Adhesives

Symptoms: Tachycardia for approximately 18 hrs, fever, extreme joint pain

Other Meds: None

Current Illness: None

ID: 0992820
Sex: F
Age: 67
State: CA

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

Lab Data: None

Allergies: Sulfa

Symptoms: 30 minutes after receiving the vaccine i started to have left chest and jaw pain that worsened over the next 10 minutes... i took 2 nitroglycerin 5 minutes apart and over the next hour it mostly resolved called the cardiologists office told to go to ER with further symptoms. Spoke to my cardiologist the next day she said she had someone with similar symptoms that went to the ER and workup was ok.

Other Meds: Bystolic Crestor Zetia Ramipril ASA 81 Lexapro Wellbutrin Nexium Vitamin D Fiber Turmeric Magnesium Vascepa

Current Illness: None

ID: 0992821
Sex: F
Age: 49
State: NY

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

Lab Data: COVID test..... Negative

Allergies: tylenol

Symptoms: I started out feeling light headed with a little bit of a headache. As the day went on my legs and my back started to ache. My legs were so bad that you could not touch the back of them. I had a low grade fever. I also had the shakes and a runny nose. This lasted 24 hours. The fever and headache lasted 36 hours. After that all I was left with was a runny nose. My job all made me get a COVID test and that came out Negative.

Other Meds: Neurotin plavix topamax lamictal lipitor paxal

Current Illness: CADASIL Seizures

ID: 0992822
Sex: M
Age: 17
State: NV

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

Lab Data:

Allergies: NA

Symptoms: Vaccine was given to a minor (17) year old male not in the group identified as teir I This is a vaccine error not a reaction no side effects reported at this time

Other Meds: NA

Current Illness: asthma

ID: 0992823
Sex: F
Age: 35
State: OR

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

Lab Data:

Allergies: Beta lactums, sulfer, penicillin, cephalosporins, rifampin, walnuts, shellfish, many other allergens like mold, pollen, trees, grass, animals etc. I am allergic to one other antibiotic that I know of but it escapes my memory at the moment.

Symptoms: 12 hours later I had a full red body rash, red bumps, swollen hands, inflamed wrists, flu like symptoms, dizziness, nausea, headaches, swollen tounge, extreme exhaustion, a feeling of being completely out of it, otherworldly. I should have gone to the hospital but I have an extreme medical phobia so I stayed up and made sure my tounge didn't swell any further. The next morning my tounge was normal ish, the red rash was gone and my hands and wrists were back to normal. 5 days later and I am still experiencing headaches, my throat feels sore and a little bit of a hard time swallowing, extreme exhaustion, dizziness, nausea, a feeling of being completely out of it, otherworldly.

Other Meds: Albuterol inhaler and nebulizer as needed, spiriva inhaler1x daily, alyacen birth control 1x daily, pseudoephedrine 30 mg tablet 1-2x daily, montelukast (singulair) 10 mg tablet 1x daily, vitamin D3 1,000 IU 1x daily, nasacort 1 spray eac

Current Illness:

ID: 0992824
Sex: M
Age: 44
State: TX

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

Lab Data: N/A

Allergies: NKDA

Symptoms: FLUSHING/TINGLING ON FACE

Other Meds: NONE

Current Illness: NONE

ID: 0992825
Sex: F
Age: 74
State: WA

Vax Date: 01/18/2021
Onset Date: 01/22/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Extreme itching, redness and swelling

Other Meds: Metoprolol Losartan Metformin Atorvastatin Centrum silver Glucosamine Chondroitin

Current Illness: None

ID: 0992826
Sex: F
Age: 40
State: NY

Vax Date: 01/21/2021
Onset Date: 01/29/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies: Adhesive

Symptoms: Left arm 6cm area of erythema, non-tender, swollen and itchy Had telemed appt on 2/1/21. Dr prescribed Zyrtec

Other Meds: Spirinolactalone Junel fe

Current Illness: None

ID: 0992827
Sex: M
Age: 48
State: IN

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

Lab Data: Went to urgent care clinic. No cause determined. Moderna shot could not be ruled out. Was given steroids to take over the course of one week.

Allergies: none

Symptoms: Left side of face became swollen. No pain

Other Meds: None

Current Illness: None

ID: 0992828
Sex: F
Age: 48
State: CA

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

Lab Data: none reported on follow up today 2-1-21. As of reported 2-1-21, all symptoms have subsided mostly left "L tooth pain".

Allergies: none per reported

Symptoms: 1-25-21, at around 6 pm at work reported she had soreness and numbness to entire L arm and numbness at L side of jaw (upper and lower) and cannot chew with L side of jaw. Denied having any issues with R side, drooping of face, periorbital swelling, tongue/lip swelling, respiratory distressed, ALOC or altered vision, pain. She contacted PCP on 1-26-21 and informed her that side effects will subside gradually without further treatment.

Other Meds: none reported

Current Illness: none per reported

ID: 0992829
Sex: F
Age: 42
State: PA

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

Lab Data: None

Allergies: No

Symptoms: Diarrhea, vomiting and fatigue lessened since shot but still Happening daily no fever on day 6 of first shot

Other Meds: Vitamin D

Current Illness: No

ID: 0992830
Sex: F
Age: 51
State: LA

Vax Date: 12/21/2020
Onset Date: 01/01/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: 1/3/2021- COVID SWAB DONE, RESULTS POSITIVE

Allergies: None

Symptoms: 10 days after 1st injection, I started having symptoms. Cough, chest tightness, fever, body aches, chills, etc.12 days after 1st vaccine, I tested Positive for COVID-19.

Other Meds: None

Current Illness: None

ID: 0992831
Sex: F
Age: 48
State: CA

Vax Date: 01/22/2021
Onset Date: 01/23/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Extreme Arm pain, couldnto move arm or put pressure on it . Still felt 3 days later, A week later hot itchy and raised. large round red welt where Injection site is.

Other Meds:

Current Illness:

ID: 0992832
Sex: F
Age: 50
State: MN

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

Lab Data: None

Allergies: None

Symptoms: Site swelling Site pain unable to lay on that arm and unable to move without high level of pain woke up during night due to pain in arm Fatigue Nausea

Other Meds: Sertraline Aller tec

Current Illness: None

ID: 0992833
Sex: F
Age: 21
State: MN

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

Lab Data:

Allergies: None

Symptoms: Dizzy spells and weakness

Other Meds: Propanolol, yaz birth control, Claritin

Current Illness:

ID: 0992834
Sex: F
Age: 27
State: TX

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

Lab Data:

Allergies:

Symptoms: Chills, aches, headache, and fever of 101 degree started around 10:00-11:00 PM. Vomited twice at 1 and 2 AM. Fever of 101 temperature lasted until 7 AM. At 7 AM, I took 2 tylenol to make fever go down. I took 2 more at 3 PM. Fatigue, body aches, and headache lasted until 4 PM that day.

Other Meds: spirnolactone - daily taken at night

Current Illness:

ID: 0992835
Sex: F
Age: 46
State: ID

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

Lab Data: None needed

Allergies: Ancef

Symptoms: Nine days after shot, injection site turns sore, red, itchy, and irritated. Hadn't been even sore since Day 2. Daily VCheckin had been discontinued.

Other Meds: Tylenol, omeprazole, ambien, cymbalta, gabapentin, celebrex, plaquenil, corlanor, amlopidine

Current Illness: None

ID: 0992836
Sex: M
Age: 26
State: WA

Vax Date: 01/27/2021
Onset Date: 01/30/2021
Rec V Date: 02/01/2021
Hospital: Y

Lab Data: Echo showed normal EF, but thickened pericardium with small effusion Cardiac cath normal HIV 4th gen negative ( PCR pending) Acute hepatis B and C Ab negative ( PCR pending) Respiratory virus panel including COVId-19 negative All other tests for acute pericarditis pending ( coxsackie, echo entero serologies, parvo PCR RPR GC/ Chlamydia)

Allergies: Augmentin Cat Dander

Symptoms: Presented about 60 hours after 2nd moderna vaccine with crushing chest pain and was found to have acute pericarditis and a troponin of 10.

Other Meds: Aderell Truvada

Current Illness: Nil

ID: 0992837
Sex: M
Age: 65
State: NJ

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

Lab Data:

Allergies: NA

Symptoms: Patient (me) had been hiking for first time in many months. Arrived for vaccine with very sore, tired leg muscles. Four hour after injection, patient exhibited extreme bilateral pain in muscles in the thigh. I would rate the pain as 9/10. Pain lasted 5 minutes and resolved. An hour later the pain returned this time for more than 20 minutes. Twenty-four hours later, same muscles are exhibiting a strong burning sensation. Patient was also somewhat dehydrated at the time.

Other Meds: Allegra 180 mg QD, Benazopril 20 mg, HCTZ 12.5 mg QD, Vit D, esomeprazole 40 mg QD. Aleave 440 mg BID

Current Illness: GERD, BPH, Hypertension

ID: 0992838
Sex: F
Age: 73
State: IN

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

Lab Data:

Allergies:

Symptoms: Started with a headache, chills. Evolved into sore arm, fever 101.8 degrees on Sunday. I could not get out of bed to take my temperature on Saturday but I imagine it was the same if not higher. I went to bed on Saturday at 4:30 p.m. with an upset stomach, fever with chills, headache, sore arm and did not get up until Sunday morning at 8:30 a.m. I did not eat at on Saturday. I was able to eat a PB&J sandwich. On Sunday after an hour of being up I went to bed with fever, chills, upset stomach and sore arm but not as severe. This morning, Monday, I started the morning slow the way it feels when on the end of a flu. I was back to normal by 1 p.m.

Other Meds: Warfarin, Atenelol, Calcium

Current Illness:

ID: 0992839
Sex: F
Age: 83
State: MD

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

Lab Data: None

Allergies: None known

Symptoms: Hallucinations Sunday while watching TV Thought she saw mice running across the corner of the TV Hallucinations only on Sunday approximately 48 hours after vaccine

Other Meds: Lipitor Vitamin d Ativan Synthroid

Current Illness: None

ID: 0992840
Sex: F
Age: 58
State: OK

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

Lab Data: Blood o2 - 89

Allergies: Morphine ? can have in small doses ? causes uncontrollable vomiting Inderal ? causes asthma Afrin ? rash, hives All oral antibiotics ? except azithromycin (Z-pack) taken with Diflucan 100 mg Codeine ? nausea ? (can tolerate low doses) Demerol ? burns in veins ? not effective Methadone ? nausea, hives Cymbalta ? diarrhea Celexa ? nausea Anti-inflammatory drugs (Ibuprofen, etc.) ? rash, hives ? (can tolerate low doses) Ambien & ambien CR ? sleep walking Lunesta ? diarrhea & bladder control Xanax ? nervousness MethylPREDNISolone Dose Pack ? Stomach pain, insomnia Lyrica ? blurred vision, hives Levaquin ? rash, hives Effexor ? nausea, vomiting Tramadol ? uncontrollable vomiting Pristiq ? nausea, vomiting Fentanyl ? nausea, vomiting ? severe ? (Had some in Nov 2011 I.V. form, with no bad reaction) Sulfa drugs ? rash, hives Wellbutrin ? stomach pain, rash, and hives Meloxicam 7.5 mg ? hives Zanaflex 4 mg ? Unresponsive after taking ? can?t wake up ? disoriented Eye Allergies: Mura 128 ? eye swelling Gen Tel Restatis Lacralub Contact lens ? Pain, swelling and erosions Bandage lens ? Pain, swelling and erosions Pataday Solution Pilocarpine Hydrochloride ? pounding headache Food: Coconut

Symptoms: Asthma attack, severe cough 2 Steroid injections by family Dr. Monday 2/1/21 2:30pm No outcome at this time - still having asthma attack

Other Meds: Synthroid 50 mcg. 1 daily Nuvigil (armodafinil) 150 mg. 1 daily Azor 5/20 mg. 1 daily Nexium 40mg. 2 daily Vitamin D3 125 mcg/5000 iu. 1 daily Valium 5mg usually 1 a day Esgic as needed for pain usually 2 a day (Headaches) Nor

Current Illness: Eyes: Recurrent corneal erosions Very light sensitive Eye nerve damage ? (cornea) Axenfeld anomaly Glaucoma Bad optic nerve? Ocular migraines (please ask) Other: Asthma Fibromyalgia Sleep apnea ? better since nose surgery Iron deficiency? causing restless leg syndrome ? Ferro iron Low thyroid Sensitive stomach Auto immune disease? Sensitive skin Bad disk in lower spine ? L 4 & 5, S 1 Osteoarthritis (hips, back, spine) Bursitis in both hips Migraines

ID: 0992841
Sex: F
Age: 55
State: CA

Vax Date: 01/16/2021
Onset Date: 01/16/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: None

Allergies: Codine

Symptoms: My arm was very sore for 3 days. I had a massive headache, nausea and dizziness for one day. Since then until now, I have a headache on my right side of my temple. The headache is constant.

Other Meds: Over the counter Zyrtec. Prozac.

Current Illness: No

ID: 0992842
Sex: F
Age: 39
State: MI

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

Lab Data:

Allergies: None

Symptoms: Headache, muscle aches, nausea, fatigue

Other Meds: Wellbutrin, Cymbalta, Trazadone, Zyrtec, Clarinex, Cranberry supplements, multivitamin, Calcium

Current Illness: None

ID: 0992843
Sex: F
Age: 72
State:

Vax Date: 01/19/2020
Onset Date: 01/21/2020
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: Injection site was tender to touch 2 days after injection and began itching 3-4 days after. Patient rubbed and scratched site of itching. Six days after injection, patient noticed a large circular red area around ijection site was raised(swollen). Only the outer edge of circle was swollen.

Other Meds: Janumet, Linsopril, Atovarstatin, Centurum Silver, Vit. D, Gl

Current Illness:

ID: 0992844
Sex: F
Age: 50
State: NM

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

Lab Data: None

Allergies: NKDA

Symptoms: Patient reports sore arm, fever, malaise, headache and body aches occurring the evening after receiving her vaccine. The episode lasted through the night and began to subside the following day. She experienced a strong reaction to her first dose of the vaccine. She received the vaccine from Walmart.

Other Meds: Basaglar, Metformin, Potassium Cl, Atorvastatin, Diclofenac, Alogliptin, Cyclobenzaprine, Lisinopril/HCTZ, Amlodipine, Gabapentin, Arnuity Ellipta

Current Illness: Covid-19 in October, 2020.

ID: 0992845
Sex: F
Age: 33
State: CA

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

Lab Data:

Allergies:

Symptoms: Fever chills headache no appetite

Other Meds:

Current Illness:

Date Died: 01/29/2021

ID: 0992846
Sex: M
Age: 82
State: MT

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

Lab Data:

Allergies: CeleBREX-GI Bleed Morphine-urticaria

Symptoms: Patient complained to wife of not feeling well in evening after the vaccination and expired at home during the night.

Other Meds: Coreg 12.5 mg tablet: 12.5 mg PO BID; Hytrin 10 mg capsule po daily; Lasix 20 mg tablet po daily; Lipitor 40 mg tablet daily; Phenobarbital 30 mg tablet po BID; Levothyroxine 100 mcg tablet daily; lisinopril 2.5 mg tablet po daily; pantopra

Current Illness: CRT-P upgrade on 1/7/2021 Pacemaker 0107 on 1/7/2021

ID: 0992847
Sex: F
Age: 69
State: WI

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

Lab Data:

Allergies:

Symptoms: Pt developed rapid heartbeat and high blood pressure the day following the injection. These were not getting better, so after several hours pt had to go to Urgent Care to be evaluated further. It was advised pt go to ER for f/u.

Other Meds:

Current Illness:

ID: 0992848
Sex: F
Age: 30
State: TX

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

Lab Data: Pathology of products of conception sent 2/1. Results pending. Microarray genetic testing sent 2/1. Results pending.

Allergies: No

Symptoms: Pt is G1P0. EDD was 8/15 by LMP. The patient had an ultrasound on 1/6 showing a live intrauterine pregnancy with crown rump length measuring 8 weeks 0 days. She had covid vaccine 1/7. Came in with vaginal bleeding 1/29 and found to have missed abortion on ultrasound (no heart tones, crown rump length measuring 8 weeks 3 days). Underwent D&C 2/1.

Other Meds: prenatal vitamins

Current Illness: No

ID: 0992849
Sex: F
Age: 65
State: NY

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

Lab Data:

Allergies: Cipro Omnicef Doxycycline

Symptoms: Diarrhea began 2pm on day of i hection. 1 episode. Then beginning 4:00a.m. Saturday morning the 30th. And I'm still having episodes today, February 1st.

Other Meds: Pantoprazole

Current Illness: None

ID: 0992850
Sex: F
Age: 52
State: NJ

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

Lab Data: None yet. Will see doctor if it gets worse or if doesn't improve soon.

Allergies:

Symptoms: Noticed the shoulder that the vaccine had a large reddened skin eleven days after the vaccine. Skin feels slightly warm. About 4 inches long and 1 and half inches wide.

Other Meds: Latanoprost eye drops, One-a-day womens, vitamin D

Current Illness:

ID: 0992851
Sex: F
Age: 66
State: PA

Vax Date: 01/23/2021
Onset Date: 01/29/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: no

Allergies: no

Symptoms: Arm hurt for one day. Friday started getting achy. Saturday had redness, itchy and burning.

Other Meds: Centroid, Simvastatin, Alendronate Sodium, Low Dose Aspirin

Current Illness: no

ID: 0992852
Sex: F
Age: 32
State: WY

Vax Date: 01/30/2021
Onset Date: 01/31/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: I had no tests done

Allergies: Sulfa allergy (full body rash) and bell peppers

Symptoms: Extreme body aches while maxed out on Tylenol and Ibuprofen, low grade fever, nausea and vomiting, massive headache, sore throat (probably from vomiting), and swollen lymph nodes. Affected my daily activities and could not go to work. I am a pharmacist, and this did really impact my job as my boss had to get other pharmacists from other cities to cover my shifts. My work has a protocol related to covid, they will not let me back for a week.

Other Meds: Nortrel 1/35, NP thyroid, vitamin D 5,00IUs, wellbutrin XL 150mg

Current Illness: completely healthy the entire time until second vaccine

ID: 0992853
Sex: F
Age:
State: AZ

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

Lab Data: Ct and xrays

Allergies: Sulfa drugs adhesive

Symptoms: None stated.

Other Meds: Tramadol, lyrica, armor, sleep med, cymbalta, vit B, cholesterol, blood med, biotin, bladder med, potassium, gingko.

Current Illness: Na

ID: 0992854
Sex: M
Age: 36
State: VT

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

Lab Data: Blood work done, results Penind

Allergies: Estrogens, DEET, raspberriws

Symptoms: Hives developed ~3 hours post vaccination Difficulty swallowing 0.3 epi, famotidine, Ativan, monitoring. Prescription for epipen

Other Meds: Wellbutrin, klonopin, mvi, vitamin d

Current Illness: Nonw

ID: 0992855
Sex: M
Age: 51
State: TX

Vax Date: 12/18/2020
Onset Date: 12/23/2020
Rec V Date: 02/01/2021
Hospital:

Lab Data: Nasal swab

Allergies: Ibuprofen

Symptoms: Tested positive for COVID-19 on 12/28/2020.

Other Meds: None

Current Illness: None

ID: 0992856
Sex: F
Age: 72
State: GA

Vax Date: 01/15/2021
Onset Date: 02/01/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Moderna COVID-19 Vaccine EUA. Today, I noticed I have rash on my chest and my arms.

Other Meds: Metformin, Omeprazole, Lisinopril, Simvastatin, Meloxicam, Hydrochlorothiazide, 81mg Aspirin, Biotin 10,000 mcg, CoQ10, Flaxseed Oil, Calcium, Vitamin D3 and Probiotics.

Current Illness: None

ID: 0992857
Sex: F
Age: 35
State: NV

Vax Date: 01/24/2021
Onset Date: 01/26/2021
Rec V Date: 02/01/2021
Hospital:

Lab Data: None done

Allergies: Denies

Symptoms: 2 days after vaccination you noted changed smell and taste. This is still going on and has not changed since the beginning. Did have COVID in Oct. 30 confirmed by test and client lost her smell and taste at that time. these were her only symptoms at that time.

Other Meds: Denies

Current Illness: Denies

ID: 0992858
Sex: F
Age: 44
State: OR

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

Lab Data: NA

Allergies: Lamotrigine, Morphine Sulfate, Vicodin, Sulfonamides, Bupropion, Tramadol, Xanax, Dairy, Soy, Wheat, Latex.

Symptoms: Headache, Fevers , Body aches, Nausea, Arm Pain

Other Meds: Aspirin, Baclofen, Vitamin D, Daily Vitamin D, Famciclovir, magnesium, Neomycin-Polymyxin, Pseudoephedrine

Current Illness: Outer Ear Infection

ID: 0992859
Sex: F
Age: 38
State: TX

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

Lab Data: no

Allergies: none

Symptoms: 7:30- 8:00 pm started having 100.9 fever; body aches; joint pain that continued throughout the night. Saturday morning - fever down to 99.9; joint pain and body aches still there. Yesterday (the31st) I had low grade fever in the morning - 99.3 and some body aches and I took Tylenol (started taking this yesterday, 31st). Today, Feb 1, 2021, I have swelling and redness in my arm. Not right on the vaccine site - it's a bit lower and it's warm at touch. It hurts where the redness where it feels hot (not at the vaccine site). I am still using the arm but it does hurt to try to lift it. The body aches and joint pain have gone and I haven't felt like I have a fever today.

Other Meds: Birth Control: Microgestin 1/20 - 1 a day; OTC: acid reducer - pepsid; Zinc; Vit D; Vit C

Current Illness: COVID-19 January 4th, 2020 (tested positive)

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm