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: 1000968
Sex: F
Age: 77
State: PA

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Approximately one week after shot, started experiencing frequent asthma attacks

Other Meds:

Current Illness:

ID: 1000969
Sex: F
Age: 49
State: MA

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

Lab Data: Oxygen saturation went down to 76%

Allergies: Fish, shellfish & latex

Symptoms: Patient post vaccine administration approx 20 minutes. Reported feelinging tightness in chest, spreading to throat. Patient was taken to observation portion of clinic. Patient was hypoxic in 70's. Supplemental oxygen applied. Oxygen saturation increased to 88. Epipen administered and albuterol nebulizer treatment started while waiting for ED/Rapid response team to arrive. Patient transferred to ED for further observation. From the physician that treated the patient: "It was a bit of a bizarre presentation. She reported throat tightness after the vaccine. She had a completely normal exam and no other complaints. no signs of airway/oral/pharyngeal abnormality. no respiratory abnormality. Unfortunately she was significantly hypoxic when I took her vitals. as low as 76%. Good waveform. I even checked the pulse ox on myself because I didn't believe it. In addition, with supplemental oxygen, her sats went up. I had to pull the trigger and treat her even though she looked well and I had no objective exam findings to explain her profound hypoxia. She received IM Epinepherine and Albuterol neb. By the time she was in ED she was satting 100% and her throat tightness resolved. So, not sure how to answer your question. Clinically I pulled the trigger and treated her for anaphylaxis following a vaccine administration. I wish it was a problem with my sat monitor but I don't believe it was. I was using a life-pack with wave form and verified with two other people that the O2 saturation function was working properly. Intuitively, it doesn't make sense but I think we should probably consider it a reaction to the vaccine. "

Other Meds: Unknown

Current Illness: Unknown

ID: 1000970
Sex: M
Age: 67
State: OK

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: INR

Allergies:

Symptoms: Patient received 1st dose of COVID vaccine on 1.15.21, called clinic on 1.28.21 complaining of bruise on left forearm. Patient reports that there is another similar bruise that has developed on his right forearm as well. Patient states that the left forearm has improved. Told the patient to monitor the bruise closely and contact their PCP with new, worsening, or bothersome symptoms. Patient is on warfarin and has agreed to be seen early for an INR check on 2.2.21. Patient presented to visit on 2.2.21. INR was within range at 2.5. Bruising on the top of both forearms healing well, but did appear large in nature.

Other Meds:

Current Illness:

ID: 1000971
Sex: F
Age: 16
State: PA

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies: zithromax

Symptoms: Patient was only 16 at time of vaccine

Other Meds: none

Current Illness: asthma

ID: 1000972
Sex: F
Age: 27
State:

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

Lab Data:

Allergies:

Symptoms: Fever/chills ~9 hrs after second vaccine, body/muscle aches and headache all night, chills and headache and body aches next morning

Other Meds:

Current Illness:

ID: 1000973
Sex: F
Age: 80
State: NC

Vax Date: 01/26/2021
Onset Date: 02/02/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies: penicillin, erythromycin , sulfur, aspirin, clinoril, carbocaine

Symptoms: started with itching in shoulder and then today you noticed it was more red and with a streak. Did see the Dr and recommended Benadryl and hydrocortisone cream

Other Meds: Thyroid medication, blood pressure medication

Current Illness:

ID: 1000974
Sex: F
Age: 69
State: CT

Vax Date: 01/30/2021
Onset Date: 02/04/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies: Bee stings Iodine Contrast in ct scans Latex

Symptoms: 4 hrs after shot severe hives, itching beginning on arms. Over time hives rest of body. 4 days later still have hives. Feel anxious, took benadryl

Other Meds: Cholecalcif, cetirizine, hydrochlirothiazide, lisinopril montelukast, atorvastatin, Florent, albuterol, Prevacid, myrbetriq, hydroxchlororoquire, probiotics

Current Illness: None

ID: 1000975
Sex: F
Age: 30
State: NY

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: dizziness, lightheadedness, body aches, fever 101, chest discomfort Tylenol and motrin

Other Meds:

Current Illness:

ID: 1000976
Sex: F
Age:
State: IN

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

Lab Data: None

Allergies: Metaformin

Symptoms: Severe weakness, acute stomach pain, nausea, shortness of breath.

Other Meds: Januvia, eliquis, lasix,lantus solostar, starlix,sotalol.

Current Illness: Diabetes

ID: 1000977
Sex: F
Age: 44
State: PA

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies: reclast infusion reaction in 2019

Symptoms: ROUND RED CIRCLE ON ARM AT INJECTION SITE. FIRST APPEARED ON 2/2/2021. DOES NOT HURT, ARM DOES SEEM SLIGHTLY SWOLLEN IN THAT SPOT, SLIGHT ITCH

Other Meds: lupron monthly injection

Current Illness:

ID: 1000978
Sex: F
Age: 57
State: OK

Vax Date: 01/30/2021
Onset Date: 02/01/2021
Rec V Date: 02/04/2021
Hospital: Y

Lab Data: Many

Allergies:

Symptoms: Patient report generalized body aches, numbness, and tingling. Pt. reported feeling weak all over and states that her right leg is weaker than her left leg. Pt. was brought to ER by her husband, because husband states that she was to weak to walk on her own to the bathroom. upon evaluation pt. appears tired and slightly drowsy but answers questions appropriately. The patient can state her name, where she is and the current month and year.

Other Meds:

Current Illness:

ID: 1000979
Sex: F
Age: 76
State: NJ

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Fever, chills., muscle achyness in my back at base of lungs (hurts when I walk) area, knee joint pain

Other Meds: None

Current Illness: None

ID: 1000980
Sex: F
Age: 38
State: AR

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

Lab Data: none

Allergies: seasonal allergies

Symptoms: Pfizer Bio-NTech COVID -19 vaccine EUA 2/3/21 - 10:30 Am began having sweating, chills, HA, fatigue and dizziness

Other Meds: none

Current Illness: none

ID: 1000981
Sex: F
Age: 59
State: MO

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: none

Allergies: Acyclovir

Symptoms: Swollen lymph node. Noticed breast tenderness the night of receiving vaccine. Breast area tenderness. Noticed lump Sunday, 1/31 AM. As of today, significantly smaller, but still there. If I had not just had a mammogram, would have thought it was some rapid growing breast cancer.

Other Meds: Tylenol after vaccine every 6 hours, 3 doses; 500 mg each

Current Illness: None

ID: 1000982
Sex: F
Age: 58
State: NH

Vax Date: 01/23/2021
Onset Date: 01/24/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Red Circle approximately 3 inches in diameter, still present 11 days after injection.

Other Meds: Sertraline HCL 50mg

Current Illness: None

ID: 1000983
Sex: M
Age: 48
State:

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: developed neck pain, some nausea and chest pain; issues interfered with work/ADL?s missed Sat/Sun. Still with persistent Neck pain with any movement. No other issues as of 2/1 - nausea resolved, chest pain stopped on weekend

Other Meds:

Current Illness:

ID: 1000984
Sex: F
Age: 39
State: IN

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: No

Allergies: No

Symptoms: I have a lot of muscle pain in my left arm and my shoulder blade, I can't sleep very well because of the pain, I have taken ibuprofen few times but it calms me down for a few hours, yes I can lift my arm and move it but I feel pain and discomfort all the time.

Other Meds: Duloxetine, turmeric, DHEA.

Current Illness: No

ID: 1000985
Sex: M
Age: 70
State: FL

Vax Date: 01/28/2021
Onset Date: 02/03/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: none

Allergies: None known

Symptoms: On the 6th day (2/3/21) after receiving the vaccine my arm started to severely itch constantly at the location of the injection and it continues into the 7th day (today) with no relief. I haven't scratched it knowingly but may have during the night. There is no pain or other reaction.

Other Meds: Rosuvastatin CAL 5 mg, Testosterone (Atrevis) 100MG/ML 0.5ML daily, Aller-Fex allergy tablet, One A Day multivitiman (50+), Vitiman D, Vitiman C, Tumeric, COQ10, Magneseum, Ginko Bilboa,

Current Illness: None

ID: 1000986
Sex: F
Age: 67
State: IN

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

Lab Data: None

Allergies: None

Symptoms: Approximately 6 hours after shot: extreme fatigue, mild to moderate nausea, mild lightheadedness, slight dizziness, slight headache, cold-like symptoms. Still ongoing 3rd day after shot, 2-4-21.

Other Meds: Protonix, lisinoprel, zoloft, magnesium, Triamterine HCG, vitamin D, vitamin C, 1-a-day multivitamin, Elderberry, ferrous sulfate, Occuvite.

Current Illness: None

ID: 1000987
Sex: F
Age: 28
State: NY

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

Lab Data:

Allergies:

Symptoms: Headache, fever, body aches started 2/2/21 and subsided 2/3/21 Arm /injection site is red, swollen, warm, itchy, painful started 2/2/21

Other Meds:

Current Illness:

ID: 1000988
Sex: F
Age: 42
State: FL

Vax Date: 12/30/2020
Onset Date: 01/15/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies: Penicillin, Copaxone

Symptoms: Local injection site reaction on day 8 post-vaccine, resolved day 14, Day 16 broke out in a rash with both macules and papules to both lower extremities, and fine red rash extending up to thighs. The rash evolved over the following week to include both lower extremities, stomach, and back. Treated unsuccessfully on own with Benadryl and Claritan. Seen by PCP on January 25th, prescribed 6-day prednisone dose pack and hydroxyzine. Rash crusted over and almost fully healed by day 6 of treatment (Saturday, Jan 30). The following day, the rash re-emerged along with hives all over both lower extremities, stomach, and back. Consulted dermatology on Tuesday, Feb 2, started on 14-day course of prednisone.

Other Meds: Aubagio, Wellbutrin, Metoprolol, Triamterene/HCTZ, Vitamin D

Current Illness: none

ID: 1000989
Sex: F
Age: 61
State: WI

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

Lab Data: none

Allergies: Allergy to sulfas- sweating

Symptoms: Headaches, dizziness, loose stool, upper body pain, 8/10 for 15 minutes (Felt like a heart attack and then gone completely after 10 minutes)

Other Meds: Ibuprofen 600mg

Current Illness: none

ID: 1000990
Sex: M
Age: 46
State: IN

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

Lab Data:

Allergies: None

Symptoms: Pain at injection site for 2 days; vivid dreams for 2 nights, fatigue and headache for 1 day

Other Meds: Glucosamine MSM

Current Illness: None

ID: 1000991
Sex: F
Age: 60
State: MD

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: During the injection she experienced severe pain like the injection entered the shoulder joint. She had significant difficulty moving her arm since the injection despite ibuprofen and ice. She has pain and trouble performing any movement - getting dressed, driving, lifting, pushing and sleeping.

Other Meds:

Current Illness:

ID: 1000992
Sex: F
Age: 73
State: TX

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

Lab Data: First dose treated by teledoc with antibiotic. Second dose Tylenol.

Allergies: Augmentin

Symptoms: For both dose #1 (025LZ0A) in left arm, and dose # 2 in this report, redness and swelling at injection site. Dose 1 started 1 wk after injection, lasting about 10 days. Dose #2 of this report, still present. Looks like cellulitis, probably covid arm?

Other Meds: Methylphenidate Estradiol Resuvostatin

Current Illness:

ID: 1000993
Sex: M
Age: 35
State: NM

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

Lab Data: NA

Allergies: Amoxicillian

Symptoms: Headache, body aches, chills, slight fever, muscle soreness

Other Meds: None

Current Illness: Sinus pressure

ID: 1000994
Sex: F
Age: 80
State: IN

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies: codein

Symptoms: Nausea, diarrhea, nausea, throwing up.

Other Meds: hydrochlorothiazide 12.5, irbesartan 300, rosuvastatin calcium 10, amlodipine 5, tylenol arthritis

Current Illness: none

ID: 1000995
Sex: F
Age: 40
State: ND

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 02/04/2021
Hospital:

Lab Data: ER did a rheumatoid test and some stuff on my heart and also ran a CRP for inflammation and all sort of stuff and blood work and gave me IV Benadryl and some IV adevin and some IV Pepcid.

Allergies: No

Symptoms: About 24 hours after the vaccination (NYE), my last knee was achy, first I did not correlate it to the vaccine, but by the end of the day I could not walk. The next morning (01/01) my knee was better but my left hand was very stiff and painful and in the afternoon my left shoulder was very painful and I could not lift my arm. Next day (01/02) my shoulder was better but my left hand was swollen and very painful. I went to bed with a swollen hand and next morning (01/03) the hand was a little better, maybe 80% better, but my right shoulder was ridiculously sore that I could not lift my arm and I could not go to work because of that. That day I also had stiffness on both hands. I went to bed that night and when I woke up my shoulders and knees were ok but my hands were still stiff and sore. My feet were painful and bluish. Woke up the next day and my feet were fine but then my right hand was like 5 times its normal size, I could not open or close it, and that is when I ended up at the ER with lots of joint pain, my feet and knees were hurting again and I also had shortness of breath and chest pains at that moment. They prescribed me prednisone for the swelling. The day after the ER my fingers were numb, I totally lost the feeling on my fingers until 01/28/2021.

Other Meds: Losartan/ HGCT, Alderol XR, Peroxitin, Lamotrodine,

Current Illness: No

ID: 1000996
Sex: F
Age: 56
State: MI

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

Lab Data:

Allergies: None

Symptoms: Loss of taste 30 minutes after injection of my second dose.

Other Meds: Women's multi-vitamine, Magnesium, Vitamine A & D

Current Illness: Rash on my back

ID: 1000997
Sex: F
Age: 88
State: TX

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Right after leaving hospital. Pain down back of left side down to knee. After an hour or so, it went away. Then, next day, many aches and pains; Chest pain and aphasic; Called 911. EMS came and examined her. They stayed awhile. Gave her liquids. Pt slept rest of day Saturday. Next day, Sunday, she still had some minor symptoms. On Monday, she felt better.

Other Meds:

Current Illness:

ID: 1000998
Sex: F
Age: 68
State: NJ

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

Lab Data:

Allergies: erythromyacin

Symptoms: Frozen left ankle - unable to walk for 5 minutes. Surgically repaired left ankle trimallear fracture in 2009

Other Meds: none

Current Illness: none

ID: 1000999
Sex: F
Age: 47
State: LA

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

Lab Data:

Allergies: Tramodol

Symptoms: Pt experienced Fever, Stiff Neck, Body Aches, Swelling in arm of injection. Symptoms occurred this morning.

Other Meds: N/A

Current Illness: High Blood Pressure

ID: 1001000
Sex: F
Age: 67
State: KY

Vax Date: 12/21/2019
Onset Date: 12/21/2019
Rec V Date: 02/04/2021
Hospital:

Lab Data: When I was able to drive after the shot I went to Urgent Care Center.

Allergies: Allergic to all vegetables except peas Darvon Sulfa drugs Latex

Symptoms: About 45 minutes after the Prevnar 13 shot in my right arm, I fell to the ground literally screaming in pain on the right side of my body. Every joint on my right side felt light someone was stabbing me with a sword and ripping my joints apart. After about 20 minutes of this 'episode' I tried to stand up but my right hip and knee felt like it wasn't there and I fell down. I tried for several hours to walk and kept falling down. To this day, 14 months later, I am still in chronic pain in my right hip and it still 'goes out on me' and times and I collapse to the ground. I can't explain the pain I feel. If I happen to roll over on my right side in my sleep, a sharp pain rips through my hip. My right wrist also still hurts and is much weaker than before the shot.

Other Meds: Lisinipril 10-12.5 mg daily Levothyrozin 56 mcg daily Premarin 0.3 2x week

Current Illness: None

ID: 1001001
Sex: F
Age: 56
State: FL

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

Lab Data:

Allergies: no

Symptoms: I soon I took the 2 Moderna of covi19 my arm got very red and yesterday was grow on red and black a lot pain burn and hurt

Other Meds: no

Current Illness: no

ID: 1001002
Sex: F
Age: 71
State: TX

Vax Date: 12/31/2020
Onset Date: 01/07/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Red inflamed hot circle of a out 4 inches around injection site.

Other Meds: calcium, vitamin d, multi vitamin, zoloft 50 mg

Current Illness: none

ID: 1001003
Sex: F
Age: 55
State:

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

Lab Data:

Allergies:

Symptoms: within 24 hours of vaccine developed rash on face, neck, chest,sides, arms and back of knees with itching. Saw PCP and unsure about receiving 2nd dose of vaccine. Went to work on 1/13. given a prescription for benadryl to premedicate prior to 2nd dose and also prednisolone if benadryl had little or no benefit.

Other Meds:

Current Illness:

ID: 1001004
Sex: F
Age: 43
State: PA

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

Lab Data:

Allergies:

Symptoms: Received covid vaccine #2 left deltoid yesterday ~ 9:40 am. Last evening she developed a feeling of numbness from injection site traveling down into her left thumb and fingers... "faintly feels like it's sleeping" denies discoloration, coolness to touch or difficulty with movement. Had slight localized reaction at injection site.

Other Meds:

Current Illness:

ID: 1001005
Sex: F
Age: 42
State: ND

Vax Date: 12/22/2020
Onset Date: 12/27/2020
Rec V Date: 02/04/2021
Hospital: Y

Lab Data: 12/30/20 cbc, chemistry, ct-scan, xray

Allergies: latex codiene

Symptoms: pt became nauseated, vomiting and abdominal pain on 12/27/20 came in to be seen on 12/30/20 labs, ct and exam were performed determined pt had gallbladder flare up pt then sent to hospital where they removed gallbladder

Other Meds: spironolactone 25mg vitamin b 12 SL

Current Illness: none

ID: 1001006
Sex: M
Age: 69
State: VA

Vax Date: 01/27/2021
Onset Date: 02/03/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies: NONE

Symptoms: RASH AT INJECTION SITE

Other Meds: 20MG ATORVASTATIN. 1 MULTI VITAMIN PER DAY

Current Illness: RUNNY NOSE.

ID: 1001007
Sex: F
Age: 49
State: IL

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

Lab Data: none

Allergies: PCN

Symptoms: fever 101-102 x 2 days, chills, body aches, headache, rash

Other Meds: none

Current Illness: None

ID: 1001008
Sex: F
Age: 30
State: IN

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

Lab Data: none

Allergies: Peanuts, Vicodin, Hydrocodone, Oxycodone, Azithromycin

Symptoms: Dose #1: Headache lasting longer than 2 weeks, possible Cellulitis at injection site that covered about half of my right arm, that started that evening as a red raised spot, swollen, very painful, hot to the touch and continued to grow for the next 48 hrs after injection. It took about a week and a half for this to resolve. Dose #2: Severe headache 24 hrs after injection. Raised red, swollen, hot to touch and painful bump that seems to be starting out as possible cellulitis again. It has continued to get bigger since the initial injection.

Other Meds: Testosterone gel, Estrogen Patch, Contrave, Vitamin B12, Elderberry supplements

Current Illness: No

ID: 1001009
Sex: F
Age: 53
State: CT

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

Lab Data:

Allergies: Sulfa drugs, dilantin

Symptoms: Fever 102.2, severe chills, severe body aches and headache

Other Meds: None

Current Illness: Diabetes type 1, glaucoma

ID: 1001011
Sex: F
Age: 77
State: OH

Vax Date: 01/28/2021
Onset Date: 01/31/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies: Sulfa betadine bee stings

Symptoms: Persistent headache followed 12 hrs later by mild dizziness, nausea, feeling vaguely ?off, now in 4th day. BP slightly elevated this morning 138/80.

Other Meds: Metroprolol, Mobic , synthroid, baby aspirin, ca w d, fish oil, biotin, colace

Current Illness: None

ID: 1001012
Sex: M
Age: 65
State: IN

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

Lab Data: None

Allergies: None

Symptoms: Headache. nausea, fatigue, sore arm at injection site

Other Meds: None

Current Illness: None

ID: 1001013
Sex: F
Age: 77
State: IN

Vax Date: 01/26/2021
Onset Date: 01/28/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies: no

Symptoms: Small itchy rash middle of arm vaccinated- left

Other Meds: Simvistatin levoxyl triamterine amlodipine vitamin D. 4000

Current Illness: none

ID: 1001014
Sex: M
Age: 83
State: IN

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

Lab Data: none

Allergies: none

Symptoms: Arm very sore chills for one night fever for one night loss of appetite general feeling of not feeling well general feeling of fatigue second day/ feeling slightly better but not back to normal

Other Meds:

Current Illness: none

ID: 1001015
Sex: F
Age: 18
State: WI

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

Lab Data:

Allergies: None

Symptoms: All was fine until she woke up the next morning. Flu like symptoms; dizzy, glassy eyed, sweaty, somewhat disoriented, tired.

Other Meds: Levetiracetam 500mg 2X daily

Current Illness: None

ID: 1001016
Sex: F
Age: 84
State: FL

Vax Date: 01/23/2021
Onset Date: 02/03/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: none

Allergies: none known

Symptoms: On the 9th day after vaccine, a rash appeared at the injection site along with soreness and heat. It is currently the second day of the rash along with soreness and heat. (10 days after vaccination).

Other Meds: Eliquis Multi Vitimin Bystolic Vit C, Vit D, Magnesium, B12, Acidophilus, Azonon Digoxin Hydrochloroth

Current Illness: Urinary Track Infection, thereby taking Nitrofurantoin mono

ID: 1001017
Sex: F
Age: 44
State: TX

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

Lab Data: N/A

Allergies: N/A

Symptoms: Moderna COVID-19 Vaccine EUA

Other Meds: N/A

Current Illness: N/A

ID: 1001019
Sex: F
Age: 68
State: FL

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

Lab Data:

Allergies:

Symptoms: Within 15-minutes of vaccination, the patient reported that their heart was racing. EMS managed the patient's condition on-site.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm