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: 0999002
Sex: M
Age: 39
State: GA

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

Lab Data: None

Allergies: Penicillin

Symptoms: Headache Body aches Fever Fatigue Body pain Nausea

Other Meds: Wellbutrin Xanax

Current Illness: Neutropenia

ID: 0999003
Sex: F
Age: 26
State: MN

Vax Date: 01/11/2021
Onset Date: 02/03/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: n/a

Allergies: Amoxicillin, Lillies (flower)

Symptoms: Patient became light-headed about 5 minutes after injection. Patient was given water to sip and cool rag for forehead. Patient became faint and nauseated about 15 minutes later and required to be laid on the floor with feet elevated. Several attempts were made to assist patient to sitting over the next hour. Patient was unable as she immediately became more light-headed and faint. Patient was evaluated by ER physician after not being able to rise for 1.5 hours. Patient was then transferred via lift assist and wheelchair for outpatient fluids.

Other Meds: Ibuprofen, Tylenol, MultiVitamin, Epi Pen PRN

Current Illness: N/A

ID: 0999004
Sex: F
Age: 0
State: IA

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

Lab Data: brought for exam to pediatrician 48 hours later on 2/3/21. Prescribed medicine for the diarrhea and 3 different ointments for the diaper rash.

Allergies: NONE KNOWN

Symptoms: Quoting pediatrician: "blowout diarrhea starting right after the shot, stool was green and malodorous." Caused a rash on buttocks. Temperature of 102 degrees in the evening after receiving the vaccines low grade fever ever since."

Other Meds: none

Current Illness: thrush

ID: 0999005
Sex: F
Age: 68
State: CA

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: None

Allergies: Penicillin

Symptoms: Mild diarrhea the day after injection. Could be coincidental. Cleared up in a few hours. Mild soreness at injection site.

Other Meds: Estradiol patch, progesterone, multiple vitamin, probiotic, calcium, vitamin D3, biotin, vitamin E, benadryl, cannabis, fish oil capsules

Current Illness:

ID: 0999006
Sex: F
Age: 35
State: FL

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

Lab Data: None

Allergies: Penicillin

Symptoms: Numbness to right side of tongue, spread to lips to entire right side of the face, pain in the right and right jaw, right eye itching and dry, Neuro exam, given high dose predizone,

Other Meds: Nuva Ring

Current Illness: None

ID: 0999007
Sex: F
Age: 33
State: MO

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: Blood labs taken 02/03/2021; pending results

Allergies: None known

Symptoms: - [ ] Day 1: severe migraine (2-2.5 hours after the shot) - [ ] Day 2: muscle aches, nausea, fatigue - [ ] Day 3: muscle aches, migraine, serious heartburn, nausea, dizziness, cold sweats, fatigue, loss of breath, abdominal/chest pain (questioned if it was a heart attack) - [ ] Day 4: nausea, cold sweats, fatigue, abdominal pain, mild muscle aches, dry mouth - [ ] Day 5: woke up at 1100. Already very fatigued and cold sweats. Dizzy. Napped from 1415-1545. Dry mouth. - [ ] Day 6: fatigue, nausea, dry mouth, injection arm numb/tingly. - [ ] Day 7: fatigue, nausea, dry mouth, mild migraine, lower abdominal pain - [ ] Day 8: nausea, abdominal pain

Other Meds: Crestor, Vitamin D3, Prozac, Phentermine, Ambien, Nexplanon

Current Illness: None known

ID: 0999008
Sex: F
Age: 33
State: CA

Vax Date: 01/10/2021
Onset Date: 01/11/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: n/a

Allergies: n/a

Symptoms: Sore arm at injection site, onset 12 hours after injection.

Other Meds: multivitamin; vitamin D 50mcg

Current Illness: n/a

ID: 0999009
Sex: F
Age: 59
State: NY

Vax Date: 12/23/2020
Onset Date: 12/30/2020
Rec V Date: 02/03/2021
Hospital:

Lab Data: no

Allergies: Neosporin

Symptoms: 12 hours after woke up with red area 6 inches between elbow and shoulder 4 inches wide. It was itchy, swollen. It lasted about 7 days. 2 days after used Betamethasone which helped. Had a virtual visit with MD.

Other Meds: Lexapro, Atenolol, Amlodipine, Ambien, Crestor

Current Illness: no

ID: 0999010
Sex: F
Age: 44
State: CA

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

Lab Data: none

Allergies: Sulfa

Symptoms: Pt reported feeling lightheaded/dizzy immediately after vaccine. Symptoms resolved shortly after without intervention. DC home in stable condition, VSS, NAD

Other Meds:

Current Illness: none reported

ID: 0999011
Sex: F
Age: 79
State: MI

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

Lab Data:

Allergies: TRAZODONE

Symptoms: Patient reported that she was experiencing local redness, itching, swelling, and heat around the site of administration. It was more than she was expecting, and different from anything she had experienced with other vaccines. She also said that she had felt "winded" while shopping for her groceries after her vaccine, but that she already has some breathing issues. She stated that the discomfort had not spread, and she was not having any problems with any other area of her arm.

Other Meds:

Current Illness: NKA

ID: 0999012
Sex: F
Age: 54
State: IL

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies: Peanuts and fresh tomatoes

Symptoms: Immediate mouth tingling which progressed to tongue tingling and swelling that last approximately 16 hours

Other Meds: Zyrtec every a.m.

Current Illness: None

ID: 0999013
Sex: F
Age: 46
State: TX

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

Lab Data:

Allergies: Tetracycline, erythromycin, scopolamine, morphine, Wheat, eggs, Peanuts, almonds, pecans, green beans, carrots, apples, cherries, pineapple, sesame seeds, fish

Symptoms: About 3 hours after the shot my lower lip started to swell. It lasted about 24 hours.

Other Meds: Vyvanse (50mg), Zyrtec (10mg / 2 times per day), Zoloft (100mg)

Current Illness: None

ID: 0999014
Sex: F
Age: 35
State: PA

Vax Date: 01/07/2021
Onset Date: 01/11/2021
Rec V Date: 02/03/2021
Hospital: Y

Lab Data: LFTS, bile acids 1/12/21 Bilirubin, type&screen, Coombs 1/20

Allergies: None

Symptoms: Cholestasis of pregnancy developed at 37 weeks and 2 days. Was induced at 38 weeks. Normal LFTS and bile acids. Boy was born on 1/16 Weighing 6 pounds 0 oz. apgar 9 &9. Baby developed Coombs + Hemolysis, from presumed ABO incompatiblity. Due date 1/30.

Other Meds: Prenatal vitamins Ferrous gluconate

Current Illness: None

ID: 0999015
Sex: F
Age: 40
State: AK

Vax Date: 01/30/2021
Onset Date: 01/30/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: No tests or labs were done at the urgent care. She was transported to the emergency room.

Allergies: Darvocet-N Chocolate pudding

Symptoms: Pfizer-BioNTech was administered at 4:19 pm, she was advised she would need to wait 30 for any adverse reaction. At 4:25pm patient started to fee palpations, braking out with redness on her chest and her left arm where the vaccine was administrated. Epinephrine 0.3 mg auto injector was given in her right thigh by the doctor. We then called 911 to transport her to the emergency room.

Other Meds: calcium, magnesium zyrtec

Current Illness: none known

ID: 0999016
Sex: F
Age: 37
State: IL

Vax Date: 01/26/2021
Onset Date: 01/29/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: Doctor visit twice in 2 days. Took Benadryl then steroids. Blood work and EKG done.

Allergies: Pamine

Symptoms: Fever 100.4, body aches, muscle aches, chills for 2 1/2 hours, dizziness, ringing in the ears, swelling of the throat difficult to swallow water, chest tightness, unable to take a deep breath, elevated BP at times with elevated heart rate resting 103 and in the event of BP 160?s/90?s with 139 BPM. Episodes last for 20-30 min at a time come out of the blew.

Other Meds: Multivitamin and vitamin D3 10,000 iu

Current Illness: Non

ID: 0999017
Sex: F
Age: 66
State: TX

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

Lab Data: Not applicable

Allergies: No known allergies

Symptoms: Complained of dizziness after the 15-30 minutes

Other Meds: unknown

Current Illness: arrhythmia

ID: 0999018
Sex: M
Age: 61
State: CA

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

Lab Data:

Allergies: NO KNOWN ALLERGIES

Symptoms: Shortness of breath Desaturation

Other Meds: N/A

Current Illness: NONE

ID: 0999019
Sex: F
Age: 65
State: CO

Vax Date: 01/30/2021
Onset Date: 01/30/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: None

Allergies: Sulfa, iodine, ceclor

Symptoms: Heart palpitations 45 minutes after shot , only lasted a few minutes, shortness or breath at random times . First time 1&1/2 hours after injection without any asthma triggers, then 4-5 times lasted a few minutes each time during first 24 hrs, coughed more frequently, only used my rescue inhaler 3x during the first 48 hrs, fine rash on my face the next morning, lasted 48 hrs. I had body aches, chills , didn?t feel well for first 48 hours after the shot, ok now, just still tender at injection site, that is improving. Concerned I may have had a mild allergic reaction, worried about getting 2nd dose, but my doctor told me to take Benadryl prior to second dose & have someone drive me to the appointment, and get the second dose.

Other Meds: Celebrex, estradiol, Synthroid, Concerta,Zyrtec, omeprizole, amitryptiline, juice plus, magnesium, zinc, b vitamins, calcium, CLA, tumeric

Current Illness: COVID on October 6, 2020, fibromyalgia, hypothyroid, environmental allergies, asthma, ADHD, mitral valve prolapse, menopause, acid reflux, hiatal hernia

ID: 0999020
Sex: F
Age: 89
State: IL

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: 1/28: EKG with no significant changes, QTC 376

Allergies: ACE inhibitors (angioedema/rash), penicillin G (hives, rash)

Symptoms: Around 30 minutes after receiving her first COVID-19 vaccine, the patient developed chest pain and was found to have a blood pressure of 223/79, both of which lasted a few minutes and resolved. She was brought to the ED for monitoring. Workup in the ED was negative. Patient was discharged home.

Other Meds: amlodipine, aspirin, calcium carbonate, diclofenac 1% gel, ketoconazole 2% shampoo, metoprolol succinate, mupiroin 2% ointment, nitroglycerin SL, sodium chloride 0.65% nasal spray, sucralfate, artificial tears

Current Illness:

ID: 0999021
Sex: F
Age: 73
State: NY

Vax Date: 01/18/2021
Onset Date: 01/25/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: pain in injection site lasting 9 days Rash and Itching on day 9 lasting for 4 Days

Other Meds: none

Current Illness: none

ID: 0999022
Sex: F
Age: 50
State: NY

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Swelling of mouth/tongue. Dizziness. Given IM epi and sent to ED via EMS.

Other Meds:

Current Illness:

ID: 0999023
Sex: M
Age: 32
State: NM

Vax Date: 01/31/2021
Onset Date: 01/31/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Fever up to 106, extreme headache, chills, and night sweats

Other Meds: Testosterone Cypionate, Zyrtec, iron

Current Illness: None

ID: 0999024
Sex: F
Age: 39
State:

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

Lab Data:

Allergies: Sulfa

Symptoms: Arm soreness, swelling and redness. Hot to touch.

Other Meds: Metformin, Letrozole, Venlafaxine, Vitamin D and B12, Acyclovir

Current Illness: None

ID: 0999025
Sex: F
Age: 39
State: NE

Vax Date: 01/29/2021
Onset Date: 01/31/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: Normal physical was conducted by doctor.

Allergies: Lisinopril

Symptoms: Approximately 60 hours after the dose, the patient began feeling stuffy, and had difficulty breathing and swallowing. She took two diphenhydramine without improvement. Patient presented to the ED and was treated there for an allergic reaction. The patient received SoluMedrol 125mg IV and famotidine 20mg by mouth. Patient began feeling better shortly after the steroid infusion. Patient was discharged at 2235 and received a prescription for prednisone 40mg for 4 days.

Other Meds: Cholecalciferol 2000 unit tablet Ferrous Sulfate 324mg tablet Losartan 100mg tablet Omeprazole 20mg capsule

Current Illness: None

ID: 0999026
Sex: F
Age: 56
State: CA

Vax Date: 01/14/2021
Onset Date: 02/02/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: ED workup

Allergies: Penicillin Multiple soaps/detergents/bath products

Symptoms: Anaphylaxis: abrupt throat swelling, shortness of breath, facial redness, GI distress

Other Meds:

Current Illness:

ID: 0999027
Sex: F
Age: 50
State: CA

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: 2 hours after (3:00pm) pain in the arm, very tired have to go to sleep in the afternoon. Late at night pain in the joints ( ankles, elbows, wrist). Next day joint pain was gone, tiredness was gone, but left arm was hurting for 3 days.

Other Meds: none

Current Illness: none

ID: 0999028
Sex: F
Age: 59
State: NY

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: no

Allergies: Neosporin

Symptoms: 32 hours Fever 101-102, muscle, body aches, frontal H/A dizziness.

Other Meds: Atenolol, Lexapro, Ambien, Crestor, Amlodipine

Current Illness: no

ID: 0999029
Sex: F
Age: 59
State: NY

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

Lab Data:

Allergies: NKA

Symptoms: PATIENR RECEIVED 2ND DOSE AT AROUND 11 AM, CAME BACK AT AROUND 1230 PM COMPLAINNING OF ITCHINESS ALL OVER HER BODY. PATIENT WAS ASSESSED AND COULD SEE SMALL HIVES ON HER ARMS. ASKED PATIENT IF SHE IS EXPERIENCING DIFFICULTY BREATHING AND SHE DENIED. ADMINISTERED ONE DOSE OF BENADRYL LIQUID PROVIDED BY THE FACILITY. MONITORED PATIENT FOR AN ADDITIONAL 30 MINUTES AFTER RECEIVING BENADRYL. SHE SAID HER ITCHINESS WAS RELIEVED AND FELT GOOD ENOUGH TO RETURN BACK TO WORK.

Other Meds: NO KNOWN INFORMATION

Current Illness:

ID: 0999030
Sex: F
Age: 48
State: CA

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

Lab Data: none

Allergies: Tricor-hives Clindomyocin-hives Cipro-itching

Symptoms: pt presents with dizziness, shaking, & elevated heart rate, pulse 122, o2 sat 98%, pt states HR normal range is 88, also anxious r/t vaccine. within 5 mins s/s subsiding, HR 99, 02 97%, will continue to monitor. injection site warm to touch, instructed to place cold compress @ home. 30 mins post vaccination pt s/s resolved & pt return to baseline. HR 98 , 02 98%, released to home with coworkers.

Other Meds: amilodipine & linsinopril

Current Illness: none

ID: 0999031
Sex: M
Age: 86
State: NV

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

Lab Data:

Allergies: NKA

Symptoms: 86 y/o male, immediately post vaccine the patient became nauseated, pale and diaphoretic. MD called to eval, patient stated he had Hemodialysis yesterday. HD new since Oct 2019. No vomiting, no shortness of breath, no rash, no allergic symptoms. BP initially once back to medical area, 113/77, HR 103, RR 16, Po2 99. His blood pressure continued to drop to a point of 77/51 and a decision was made to transport via EMS to the ED . Time in medical area 55 minutes. During that time patient did not develop any rash, difficulty breathing or other allergic symptoms.

Other Meds: Glipizide Medodrine

Current Illness: DMT2, Hemodialysis

ID: 0999032
Sex: M
Age: 57
State: TX

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: chest Xray

Allergies: tape/ hayfever

Symptoms: fever started within 2 hours of shot. Next 2 days fevers and general lethargy. Day 3 started OK but by 8 PM ran a 102.3 F temp. Next day had issues breathing. On advice of Teledoc went to ER about 93 hours after shot. They did XRAYS and indicated it was a continued reaction to the vaccine. I am now 168 hours since injection and am running 100.7F temp and generally not feeling well

Other Meds:

Current Illness:

ID: 0999033
Sex: F
Age: 35
State: CO

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Fever, chills, migraine, full body aches

Other Meds: Omeprizole Fluoxetine Norco

Current Illness: None

ID: 0999034
Sex: M
Age: 69
State: IN

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

Lab Data: none

Allergies: none

Symptoms: Malaise, fever to 100.5, anorexia, chills, no fever today, some malaise in morning clearing up now, classic mild flu like symptoms

Other Meds: losartin, carvedilol, hydrochlorothiazide, calcium, vitamin D

Current Illness: none

ID: 0999035
Sex: F
Age: 71
State:

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

Lab Data:

Allergies:

Symptoms: Itching all over. Improved after about a day and a half.

Other Meds:

Current Illness:

ID: 0999036
Sex: F
Age: 52
State: OR

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

Lab Data:

Allergies: Unknown.

Symptoms: 1344 - Received vaccination 1404 - Arrived in medical response/triage area via WC escorted by observation staff with reports of mild mid-sternal chest pressure and moderate dizziness. 1408 - BP 165/77, HR 81, RR 22. MD and multiple RNs at beside. Escorted SO (ex-husband/best friend/roommate) into triage area to be with patient. 1420 - Chest pressure not changed to chest sharpness and radiates slightly to right of mid-sternum. BP 152/84, HR 87, RR 26. 1430 - Called standby EMS 1432 - BP 161/78, HR 86, RR 22 1435 - Standby EMS arrived 1447 - Transport EMS arrived 1454 - Transport EMS left w/ patient and SO for hospital transfer.

Other Meds: Unknown.

Current Illness: Unknown.

ID: 0999037
Sex: M
Age: 88
State: VA

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

Lab Data: no

Allergies: Injectable dye, Sulfur drugs, latex

Symptoms: Soreness at the injection site. Upper arm and back of neck.

Other Meds: Synthroid, Eliquis, Flomax, Low Dose Aspirin, Losartan, Metoprolol Tartrate, Feosol Iron, A Rex, Cholesterol medicine

Current Illness: no

ID: 0999038
Sex: F
Age: 60
State: UT

Vax Date: 12/21/2020
Onset Date: 01/21/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: Temp 37.2 , pulse 83, RR 18, BP 136/71, O2 Sat

Allergies: Codeine Animal dander

Symptoms: Developed Itching and feeling of tightness in back of nose/throat. Advised employee to go to ED. Was given 1L fluid, Solu-Medrol and Benadryl. No swelling of airways was observed and no respiratory distress noted. ED discharged patient to home.

Other Meds: None

Current Illness: None

ID: 0999039
Sex: F
Age: 51
State: CA

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

Lab Data:

Allergies:

Symptoms: Headache nausea tired chills body aches fever sore back

Other Meds:

Current Illness:

ID: 0999040
Sex: F
Age: 36
State: CA

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Breastfed son have severe hives x5days

Other Meds: None

Current Illness: None

ID: 0999041
Sex: F
Age: 74
State: CA

Vax Date: 01/25/2021
Onset Date: 02/02/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: None

Allergies: No

Symptoms: Hard Lump (size of a baseball) on arm and itchiness

Other Meds: Lisinopril Pratavastatin

Current Illness: None

ID: 0999042
Sex: F
Age: 53
State: AL

Vax Date: 01/27/2021
Onset Date: 02/01/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Sore arm for a few days. Five days later, pain in left armpit began. One week later, today, armpit pain still noticeable and annoying. Same day, shot site became itchy. When I looked at the site, it was red, about the size of a lemon, and had become hard.

Other Meds: Rosuvastatin 10mg

Current Illness: None

ID: 0999043
Sex: M
Age: 56
State: PA

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

Lab Data: unknown

Allergies: none listed

Symptoms: Patient reported a rash on his fingers later in the day

Other Meds: unknown

Current Illness: none listed

ID: 0999044
Sex: F
Age: 77
State: CA

Vax Date: 01/25/2021
Onset Date: 02/02/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies: Penicillin, Sulfa, Cipro, Lactose intollerant

Symptoms: Redness, swelling, itching at injection sight. Began a week after dosage and is continuing.

Other Meds: Protonix, Zocor, Ambien, Benadryl, Vitamin B12, C, D3, Multivitamin

Current Illness:

ID: 0999045
Sex: F
Age: 49
State: CA

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies: Lactose Tolerance

Symptoms: Same day of vaccine a couple of hour later I started sneezing , that night I had pain on my left arm, & I had a lift note on my left axilla. I couldn't lift up my arm, That night I had fever & the following day I couldn't go to work I felt very fatigue. Then when I was able to return to work I had to leave because I kept feeling sick & with a fever. On Sunday started getting a sore throat & the following morning it got worst & I had already started coughing, Then on Monday I went to go get tested for covid & it came back negative. I have recovered from everything except from my lift note, I did my annual check up & they did an ultrasound & they will put me on observation for another 2 weeks.

Other Meds: No

Current Illness: No

ID: 0999046
Sex: M
Age: 26
State: AZ

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

Lab Data: N/A

Allergies: None

Symptoms: Extremely sore arm for entire day after injection (painful to move and use); severe headache (morning after - present, approximately 48hrs after injection).

Other Meds: Daily: Dexedrine, Wellbutrin, Omeprazole, Ashwagandha (herbal supplement)

Current Illness: None

ID: 0999047
Sex: F
Age: 39
State: MN

Vax Date: 01/30/2021
Onset Date: 01/31/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies: Nystatin, lidocaine

Symptoms: Tingling in face - off and on each day for 4 days Achiness, chills - 36 hours

Other Meds: Yaz - oral contraceptive

Current Illness: None

ID: 0999048
Sex: M
Age: 61
State: CA

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 02/03/2021
Hospital:

Lab Data:

Allergies:

Symptoms: initially he said welts occurred on first day of vaccination. on questioning, learned hives started on abdomen0700 to 0800 the day after the first dose of the Moderna vaccination for COVID-19 prevention. 2 days later hive on lip. then subsequent days progressively worse urticaria with back, neck, arm, leg, feet, ankles affected. Rashes, welts he says covered 50 to 60 % body.

Other Meds:

Current Illness:

ID: 0999049
Sex: F
Age: 36
State: NJ

Vax Date: 01/22/2021
Onset Date: 01/30/2021
Rec V Date: 02/03/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Red, raised, inflamed (hot to touch), itchy, 5 inch mark around injection site (left arm) appeared on day 8 with arm soreness and general fatigue. Commonly known as ?covid arm? Day 9 arm inflammation worsened, fatigue persisted. Days 10-12 inflammation residing, but redness still present.

Other Meds: Levithyroxine, Mirena IUD, Vitamin D, Probiotic

Current Illness: None

ID: 0999050
Sex: F
Age: 70
State: CA

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

Lab Data:

Allergies: Mold, and Codeine

Symptoms: 2021-009824 Patients neck swelled and became itchy. Patient was treated with Benadryl

Other Meds: None

Current Illness: None

ID: 0999051
Sex: F
Age: 75
State: CA

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

Lab Data: none

Allergies:

Symptoms: Pt reported mild nausea and dizziness shortly after vaccine administered. Symptoms resolved in 5min without intervention. VSS. DC home NAD.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm