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: 1002099
Sex: F
Age: 43
State: IL

Vax Date: 12/22/2020
Onset Date: 01/05/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: Though it ear infection. Lisinopril for ear a blood pressure medicine.

Allergies: T-Dac Vaccine , Compazine, Betadine and Sulfur

Symptoms: Very dizzy, light headed, did not feel good felt unbalance like a motion sickness , headaches, ringing in ear, and nausea. Blood pressure was elevated.

Other Meds: Zoloft 50mg, Vitamin D3 5000, Cybacore 160-4.5, Claritin 10mg, Singular 10mg, Synthroid 50 micrograms, Protonic 40 mg

Current Illness: No

ID: 1002100
Sex: F
Age: 32
State: TX

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: no

Allergies: NKA

Symptoms: Mild flu like symptoms started 1/5: low grade fever of 99.3-100.5, sore arm at injection site, body aches, fatigued. 1/6: Fever and body aches gone. Hot flashes/sweating for half the day and tired. 1/7: all better, no more symptoms.

Other Meds: Vitamin D3 and non-stimulant appetite suppressant

Current Illness: No

ID: 1002101
Sex: F
Age: 50
State: CA

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

Lab Data:

Allergies:

Symptoms: Early morning 3 am chills , muscle aches and pain. fatigue, mild pain and swelling on Inj site. Pain and swelling ion Inj site still tender

Other Meds:

Current Illness:

ID: 1002102
Sex: F
Age: 37
State: FL

Vax Date: 12/18/2020
Onset Date: 01/02/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: CT Blood work BMP chest x-ray Echo troponin EKG D-dimer

Allergies:

Symptoms: The first couple days just some arm discomfort. January 2 I woke up about 3:45AM with chest pain, I thought it was heart burn. It didn't improve so I ended up going to the Hospital, they did test to rule things out. I had a little bit elevated ESR,CRP and little high white count with a left shift. They did an echo and they found pericarditis. They started me on treatment and by the next day I was pain free.

Other Meds:

Current Illness:

ID: 1002103
Sex: F
Age: 36
State: TN

Vax Date: 10/09/2020
Onset Date: 10/09/2020
Rec V Date: 02/04/2021
Hospital:

Lab Data: MRI: LUE low to moderate grade bursal surface partial thickness tear of the supraspinatus tendon . Subacromial subdeltoid bursitis

Allergies: Amoxicillin

Symptoms: Immediate onset LLE pain, elbow. Employee concerned vaccination given "too high" given incorrectly. LUE pain, decreased ROM, weakness developed. Seen at Employee Health. MRI. Referral to Ortho. Dx: Parsonage Turner Syndrome associated with vaccination.

Other Meds: propanolol, synthroid, nuvigil, concerta, xyron, omeprazole, myrbetriq, spironolactone

Current Illness:

ID: 1002104
Sex: M
Age: 73
State: NJ

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

Lab Data:

Allergies:

Symptoms: fatigue, chills, fever, joint pain, loss of appetite, off balance

Other Meds: Terflex pin 30 mg once daily, Vascepa 1 gam twice daily, Janunia 100 mg once daily, Plazix 75 mg once daily, Jardiance 25 mg once daily, Clonazepam 2 mg once daily, Amlodipibebestlate 5 mg once daily, Rofavastin 40 mg once daily, Lyrica 500

Current Illness:

ID: 1002105
Sex: F
Age: 59
State: IN

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

Lab Data:

Allergies: Nka

Symptoms: Fever, chills, body aches, headache, fatigue, arm soreness. Onset of mild body aches around 1:30 pm - 2:00 pm on 2/3/21 23 hours post COVID vaccine # 2. Symptoms worsened by 5:30 -6 pm. Highest temperature was 101.7. Took Tylenol and ibuprofen alternately. By 12pm 2/4/21 temp down to 99.1. Fatigue and residual headache remains. Other symptoms resolved.

Other Meds: Lisinopril Vitamin B Complex with Vitamin C Multivitamin Atorvastatin- bedtime Tylenol Extra Strength

Current Illness: None

ID: 1002106
Sex: F
Age: 51
State: GA

Vax Date: 01/15/2021
Onset Date: 01/16/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies: Sulfa

Symptoms: Body aches, extreme fatigue (still present almost 3 weeks later), brain fog

Other Meds: HCTZ, vitamin D, krill oil, probiotic with cranberry, magnesium, tizanidine prn, rizatriptan prn, Botox for migraines q 3 months, alprazolam prn

Current Illness: None

ID: 1002107
Sex: F
Age: 45
State: WI

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

Lab Data: Vascular ultrasound completed with no abnormal findings noted

Allergies: PCN's

Symptoms: Profound inflammation of vascular structure originating at injection site and radiating out, vascular structure highly visible through skin. No treatment only observation. After 3 days vascular structures beginning to fade and return to baseline, however, veins are still highly visible and very pronounced.

Other Meds: Seroquel, Wellbutrin, lamotradine, Vitamin D, Iron, mtv, melatonin

Current Illness: no

ID: 1002108
Sex: U
Age: 0
State: IL

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

Lab Data: NA

Allergies: NA

Symptoms: This AE does not have to do with a patient, but a malfunction in equipment causing a vial of vaccine to be wasted. 1.8 mL of 0.9% sodium chloride solution was drawn up into into a 3 mL syringe with 21 G needle (REF:309574, Lot: 0225188). There was no leakage at this time from the syringe shaft. When the plunger was pressed to inject the saline into a vial of Pfizer Covid 19- vaccine (Lot: EM9810, Exp 6/2021) the pressure caused some of the saline to leak through a crack that had not been noticed previously in the shaft. As a result, only some of the saline made it into the vial, rendering it unusable.

Other Meds: NA

Current Illness: NA

ID: 1002109
Sex: F
Age: 51
State: PA

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

Lab Data:

Allergies: Cipro Sulfa

Symptoms: Shortness of breath , atrial fib, body aches and fever

Other Meds: Xarelto Atorvastatin Linzess Flecanide

Current Illness:

ID: 1002110
Sex: F
Age: 64
State: MN

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

Lab Data:

Allergies: none

Symptoms: fever, headache, chills, fatigue, nausea

Other Meds: Atenenol 50mg Lisinopril 20mg

Current Illness: none

ID: 1002111
Sex: M
Age: 37
State: IA

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

Lab Data: None

Allergies: Sulfa

Symptoms: Wide spread muscle pain, Exhaustion, weakness, Headache, feeling feverish

Other Meds: Vyvanse 40mg daily Bupropion 150mg daily

Current Illness: None

ID: 1002112
Sex: F
Age: 19
State: MA

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

Lab Data:

Allergies: None

Symptoms: Received vaccine 2/2/21 at 9 PM, began feeling major pain and swelling at injection site at around 12 AM. Took 500 mg Tylenol On 2/3/21 around 3 PM began feeling extremely fatigued and had a migraine. At around 5 PM began feeling nauseous and dizzy and at around 7 PM began to have body aches. Took temperature later at 11 PM and got 100.8 F. Believe I had above 101 earlier in the day. Took 1000 mg tylenol before bed. Throughout the night woke up multiple times drenched in sweat and had hot and cold chills. Arm pain is getting better though.

Other Meds: Birth control and zoloft; Tylenol was taken after adverse side effects

Current Illness: None

ID: 1002113
Sex: F
Age: 74
State: CA

Vax Date: 01/26/2021
Onset Date: 02/03/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: n/a

Allergies: penicillin

Symptoms: eadache, naseau, rash on arm, lt

Other Meds: progesterone 6.2mg, synthroid, prevastatin, omega, b12 complex,multi vitamin, d3,

Current Illness: n/a

ID: 1002114
Sex: F
Age: 54
State: NJ

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: None

Allergies: Levaquin Reglan Augmentin

Symptoms: Severe body aches,headache,severe left arm pain (injection site), chills,fever up to 101.4,insomnia. Symptoms started at 5:00 am (approx 19 hours after vaccination) and lasted approximately 20 hours. Managed symptoms with Motrin and Excedrin alternately. Mild symptoms of generalized fatigue and weakness,headache persisted the following day for one day. Tenderness at injection site persisted for one week after vaccination.

Other Meds: Pepcid MVI Probiotic VitaminC VitaminD3

Current Illness: None

ID: 1002115
Sex: F
Age: 42
State: CA

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: No hospitalization

Allergies: None

Symptoms: Chest pain, palpitations, severe headache, chills, fatigue X33 hours, severe headache 9 days later as well on 02/03/2021 at 2300 hours.

Other Meds: None

Current Illness: None

ID: 1002116
Sex: M
Age: 35
State: RI

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: n/a

Allergies: Sulfa

Symptoms: 24 hour after I got the Moderna Vaccine I start feeling dizzy and I was sweating a lot I feel like a was about to pass out but I was able to call one of my co-workers and told him to call someone from the Emergency department which he did, someone from ED brought a wheelchair to the IT department and pick me up to bring me to the ED, I spend around 4 hours in the ED they give me Valium and something for nausea.

Other Meds: Meclizine, diazepam

Current Illness: Sore throat

ID: 1002117
Sex: F
Age: 57
State: TX

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

Lab Data: Patient stated she did not take her BP medication this morning

Allergies:

Symptoms: Patient reports her heart racing. She reports having history of anxiety and is anxious. EMS assessed patient and her EKG was normal. Patient refused to be transported to ER and was cleared by EMS. BP = 178/102 HR = 125

Other Meds:

Current Illness:

ID: 1002118
Sex: F
Age: 30
State: TN

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 02/04/2021
Hospital:

Lab Data: Covid test (2),Strep, Flu (all results negative)

Allergies: Peanuts, Fish , Shellfish, Dust, Penicillin, Morphine, Codeine, Biaxin, Fetnile?

Symptoms: I started that night exp fatigue. the next morning sore throat, body ache,fever 102 and got tested for Covid following week results negative)

Other Meds: Luneca, Zyrtec, Paxil, Vita D

Current Illness: No

ID: 1002119
Sex: F
Age: 54
State: MN

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

Lab Data:

Allergies:

Symptoms: Patient described a bloodshot eye, or apparent broken blood vessel in her left eye, on the same side as the arm where she received her vaccine the day before. She did not have pain or other symptoms. She exchanged an email with her doctor who doubted it was related to the vaccine and advised her to keep an eye on it. No clinic visits or other medical care. Patient does not take a bloodthinner or have a bleeding disorder.

Other Meds:

Current Illness:

ID: 1002120
Sex: F
Age: 58
State: SC

Vax Date: 02/01/2012
Onset Date: 02/03/2012
Rec V Date: 02/04/2021
Hospital:

Lab Data: none

Allergies: Sulfa

Symptoms: Fever, Headache, Body aches,

Other Meds: meloxicam, atorvastatin,nexium, fish oil, multivitamin

Current Illness: none

ID: 1002121
Sex: F
Age: 18
State: TX

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

Lab Data: none

Allergies: none

Symptoms: 4 February 2021@0300-patint says she had body aches, Threw up, fever HA and SOB @ this time 1000-4 February 2021-she feels poopy/crappy I reminded her to go to the ER if she gets worse Motrin doesn't really help her feel better-she can sip some Gatorade to assist with the HA, BA & fever

Other Meds: Birth Control

Current Illness: none

ID: 1002122
Sex: F
Age: 49
State: MO

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

Lab Data: none

Allergies:

Symptoms: Fever, chills, migraine headache, bodyaches

Other Meds:

Current Illness: Had surgery on elbow on 1/25/21

ID: 1002123
Sex: F
Age: 46
State: PR

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

Lab Data: At home with therapies every 4 hours and observation.

Allergies: PENICILLIN, ASPIRIN AND SULFONAMIDES.

Symptoms: Pain in the injection area (left arm), headache, Congestion, breathing difficulty. Consulted with the Dr. and prescribed the usual asthma treatment (Albuterol every 4 hours) and Acetaminophen for the pain. The 1st dose of the vaccine was received.

Other Meds: ACETAMINOPHEN (PREVENTIVE), CARDIZEM, PROTONIX.

Current Illness: Asthma, Colitis and Diverticula, Sleep apnea.

ID: 1002124
Sex: F
Age: 22
State: IN

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

Lab Data: First dose : 1/5/2021 Second dose: 2/1/2021

Allergies: No

Symptoms: After second dose on 2/1/2021 at 6 PM, symptoms started at 2:30 AM and ended at 9 PM on 02/02/2021. I had chills, muscle aches, a fever, extreme tiredness, and a slight headache.

Other Meds: No

Current Illness: No

ID: 1002125
Sex: F
Age: 29
State:

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

Lab Data:

Allergies:

Symptoms: Patient received Pfizer first dose at 7:52am. Came to Observation area with a recommended 30 min observation time. Within 15 min in OBS area patient complained of ""Itchy arms"". I noticed red, blotchy rash on her chest. She stated her breathing was fine/no issues with breathing. Elevated her feet. BP= 123/85, O2Sats= 98%. Patient had pre-medicated with Benadryl and had an Albuterol inhaler and Epi Pen she had brought with her to her Vaccination appointment. She then started clearing her throat. Epi pen recommended for her to take-> she refused, stating her breathing was fine, and its too painful to take and bruises her skin and wasn't having trouble breathing. Rapid Response called. Again Epi pen recommended- patient declined. She was brought to Emergency room and report given.

Other Meds:

Current Illness:

ID: 1002126
Sex: M
Age: 70
State: IN

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

Lab Data:

Allergies: None

Symptoms: Headache Mild fever

Other Meds: Pravastatin 40mg 1 per day Omeprazole 20 mg 1 per day Vitamin D3 25 mcg 1 per day

Current Illness: UTI

ID: 1002127
Sex: F
Age: 41
State: CA

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

Lab Data:

Allergies: PCN

Symptoms: Headache, treated daily with advil and Tylenol with very little improvement, has not yet resolved. Sore throat, no treatment. The HA after the first dose, lasted 1 day.

Other Meds: Hydrocloroquin, Lexapro, Iron, Complex B, Multi Vit, Fish Oil

Current Illness: None

ID: 1002128
Sex: M
Age: 74
State: OH

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

Lab Data: Not known

Allergies: No known allergies

Symptoms: Per secure message sent by patient on 2/4/2021: "I received my Covid shot at the clinic on January 28th. Yesterday, February 2nd, in the late afternoon I became very red and itchy and my tongue swelled. I went to the emergency room where they gave me sodium chloride, Benadryl, Pepcid and 2 "epi" shots. After about 4 hours I was sent home. Could that have been a reaction to my Covid vaccine? Today I am tired but fine and swelling is gone. I had told the person who scheduled my first shot and the person who vaccinated me that I was taking Skyrizi injections for psoriasis and had my last injection of Skyrizi on Dec 15."

Other Meds: Daily: aspirin, atorvastatin, furosemide, gabapentin, lisinopril, metformin HCL, metoprolol tartrate, multivitamin/mineral, omeprazole, temazepam, thiamine Skyrizi- last injection 12/15/2020

Current Illness: No acute illnesses within month prior to vaccine

ID: 1002129
Sex: M
Age: 38
State: CT

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Fever, chills, fatigue for 12 hours, left arm tenderness for 2 days.

Other Meds: None

Current Illness: None

ID: 1002130
Sex: M
Age: 33
State: CA

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

Lab Data:

Allergies:

Symptoms: itchy red bumps on stomach, chest, and back

Other Meds:

Current Illness:

ID: 1002131
Sex: F
Age: 46
State: FL

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

Lab Data: none

Allergies: morphine

Symptoms: No adverse event at 1st shot. After second shot I felt dizzy driving home. Within 2 hrs my joints hurt and I had extreme fatigue. 24hrs later I almost fainted while taking hot shower and then vomited. The fatigue, joint pain, hot/cold feeling lasted till about 6pm the day after shot. The injection site is still red, swollen and itchy 2 days later. Appears to growing in diameter. As of this morning I feel much better and almost back to normal.

Other Meds: synthroid,fluoxetine,vit b,multi vitamin,rosuvastatin,waltin

Current Illness: none

ID: 1002132
Sex: F
Age: 66
State: NY

Vax Date: 01/16/2021
Onset Date: 01/26/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: After about 10 days from getting the vaccine, I noticed a bumpy rash at the vaccine site. It lasted about 2 days. Then, that same area became warm to the touch and pink (egg shaped). No discomfort, no fever, only the pink egg shaped spot. Today, February 4, the spot is fading and the skin no longer feels warm..

Other Meds: L-Thyroxine 25mcg

Current Illness: none

ID: 1002133
Sex: F
Age: 70
State: WI

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

Lab Data:

Allergies: None

Symptoms: Profuse sweating, feeling faint, and a little trouble breathing.

Other Meds:

Current Illness: None

ID: 1002134
Sex: M
Age: 33
State: MA

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

Lab Data: None

Allergies: Amoxicillin (rash)

Symptoms: Left arm (injection site) swollen, red, hard, warm, tender. Area affected was 2X2 inches in oval shape. 2/4/2020 developed swollen area under Left armpit. Highest temp 99.9?. Seen by HCP who diagnosed cellulitis and prescribed Keflex 2000 mg/day

Other Meds: Citrlopan

Current Illness: None

ID: 1002135
Sex: F
Age: 61
State: HI

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

Lab Data: na

Allergies: unknown possibly some scents

Symptoms: Day 1 After - overall body aches Day 2 After- no ill effects until evening - noticed red rash on upper torso (front and some on back) Not itchy. No medical attention sought Day 3 After - rash persists and has spread to entire torso - front (Today is day 3)

Other Meds: synthroid venlafaxine

Current Illness: migraine

ID: 1002136
Sex: F
Age: 74
State: HI

Vax Date: 01/18/2021
Onset Date: 01/28/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data:

Allergies: No known allergies

Symptoms: 1/28/21 very itchy right hand. Duration approx. 10 min 1/29/21 5am itch started right hand and progressed up to shoulder with intensity increasing over 15 min time. Extreme tingling and itch! Red rash remained. 1/29/21 7PM itch began on left hand similar to in AM. Continued up arm across chest reaching right shoulder. Applied OTC itch cream and started Benadryl. Continued Benadryl for 3 days.

Other Meds: Accupril HTCZ vitamin D Vitamin C

Current Illness:

ID: 1002137
Sex: F
Age: 80
State: IN

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

Lab Data:

Allergies: NSAIDs

Symptoms: Headache, Nausea, Fatigue

Other Meds: Amoxicillin. Fexofenadine, Fluconazole, Trelegy Ellipta, Mucinex, Lutein, Vit C Multivitamin, Glucosamine Sulfate, Vit D

Current Illness:

ID: 1002138
Sex: F
Age: 33
State: ID

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

Lab Data:

Allergies: Chicken poop

Symptoms: Hives appeared 7 hours after vaccine. Hives have continued to show up on my body lasting 15 min. to an hour before they disappear. They appear all over my body and continue to this date (2/4/21).

Other Meds: Vitamin D, K, Zinc, GABA, Q Max, Prozac, birth Control Pill,

Current Illness: NA

ID: 1002139
Sex: M
Age: 77
State:

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

Lab Data:

Allergies:

Symptoms: None stated.

Other Meds:

Current Illness:

ID: 1002140
Sex: M
Age: 68
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: After the injection, the following morning awoke with full body aches as though I hade the flu. Running a temperature of 100. Rest all the next day taking Tylenol to reduce fever. The following day, systems seem to subside significantly.

Other Meds: Allopurinal 300mg Bupropion 300 mg XL Nebivol 5 mg Pantoprazole 40 mg Fluticasone 50mg One-A-Day Men's 50+ Tamsolulosin .04 mg Move Free Joint Health - Advanced Escitalopram 5 mg

Current Illness: None

ID: 1002141
Sex: M
Age: 43
State: HI

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

Lab Data: EKG taken on site.

Allergies: None known

Symptoms: Vaccine received 1229hrs, Symptoms occurred 1247hrs Complained of upper chest tightness. and stated "feeling something in throat, upper chest tightness, flustered feeling in the head." Symptoms occurred during 15 minute post-vaccination period. EMS on-site and alerted. Per EMS, normal EKG results. Chest tightness subsided and flustered feeling subsided by 1320hrs. VSS, lungs clear, all symptoms subsided by 1333hrs - patient released.

Other Meds: Losartan Hydrochloratizide

Current Illness: None

ID: 1002142
Sex: F
Age: 30
State: MI

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

Lab Data:

Allergies: None

Symptoms: Patient complained of feeling flushed, sweaty, and nauseated. She was given water and laid down. Vital signs: BP 120/77, HR 89, O2 99% on room air. Monitored for additional 20 minutes and patient's symptoms resolved.

Other Meds: None

Current Illness: None

ID: 1002143
Sex: F
Age: 49
State: OH

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

Lab Data:

Allergies: Percocet, Tetracycline

Symptoms: On 01-27-2020, I had right arm pain with headaches. I felt my mind foggy. I developed right axillary pain with tenderness. On 12-28-2020 my symptoms got bit better. On 12-29-2020 my right arm pain resolved. On 01-31-2021, I had a bad migraine and I could not go to work. i had nausea and had left eye pain to the back of my eye. On 1-29-21, 01-30,21 and 01-31 I took Emerge medication for my migraines.

Other Meds: Motrin, Metoprolol 12.5mg, Vertec daily, Flonase nasal spray, Lisinopril 5mg

Current Illness:

ID: 1002144
Sex: F
Age: 37
State: KY

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

Lab Data: None

Allergies: None

Symptoms: Fever, chills, nausea, headache

Other Meds: Nond

Current Illness: None

ID: 1002145
Sex: M
Age: 74
State: WA

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

Lab Data: none

Allergies: none

Symptoms: Fever above 101 degrees for several hours peak of 102.5

Other Meds: atorvastatin, diltiazem, omeprazole

Current Illness: none

ID: 1002146
Sex: M
Age: 64
State: AZ

Vax Date: 01/19/2021
Onset Date: 01/26/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: Prescibed Anti-Biotics

Allergies: none

Symptoms: Swelling, heat, itchiness and heat at injection site one week after vacinne

Other Meds: 20 mg atortastatin, 81mg aspirin, vit c, b-complex

Current Illness: none

ID: 1002147
Sex: F
Age: 29
State: MI

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

Lab Data:

Allergies:

Symptoms: On 1/26/21 second COVID vaccine given, however there was a needle malfunction halfway through and only received half of the vaccine, with the rest being sprayed on employee.

Other Meds:

Current Illness:

ID: 1002148
Sex: F
Age: 80
State: PA

Vax Date: 01/22/2021
Onset Date: 01/28/2021
Rec V Date: 02/04/2021
Hospital:

Lab Data: UNKNOWN

Allergies: UNKNOWN

Symptoms: PER PATIENT, FULL BODY RASH ONSET 8 DAYS AFTER VACCINATION STARTING 1/28/21. INTENSIFIED TO AXILLARY SWELLING/DISCOMFORT ~3 DAYS LATER 1/31/21 AS WELL AS CHILLS AND LOW GRADE FEVER. AS OF 2/4/21, PATIENT INDICATES MAJORITY OF SYMPTOMS HAVE RESOLVED. PATIENT INSTRUCTED BY PCP TO AVOID DOSE 2 OF MODERNA AND SEEK AN ALTERNATIVE, NON MRNA FORMULATION OF VACCINE WHEN MADE AVAILABLE. MANAGED SYMPTOMS WITH METHYLPREDNISOLONE DOSE PACK, BENADRYL Q4H PRN SYMPTOMS, AND TOPICAL HYDROCORTISONE.

Other Meds: PER PATIENT: AMLODIPINE, ATORVASTATIN, EZETIMIBE, BYSTOLIC, LO DOSE ASPIRIN 81 MG, CALCIUM, VIT D3, CENTRUM SILVER MULTIVITAMIN

Current Illness: PER PT, NONE RECENTLY LAST MONTH.

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm