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: 0925439
Sex: F
Age: 22
State: TX

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: 1/5/21 received shot around 12:00pm. a few hours later left arm pain started. 1/6/20 left arm pain still there, nausea started. late afternoon, slight body aches started. 1/7/21 woke up with severe body aches. headaches. throat is extremely sore and red. nauseated. chills.

Other Meds: 150MG bupropion 10MG amphetamine

Current Illness: none

ID: 0925440
Sex: F
Age: 60
State: CO

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 30-40 min felt flush skin on body face bright red. Numbness tingling in hands and feet. Took some advil. Over next two days on and off hot flashes tingling numbness on hands and feet. Very cold feet couldn't get warmed up till wrapped up on heating pad. ?o fever but felt chills. Sore arm site of injection.

Other Meds: Warfarin. Lisinopril, trulicity,allopurinol, jenuvia, oxybutrin, bit D ,glimerperide, omperizole

Current Illness:

ID: 0925441
Sex: F
Age: 50
State: IN

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies: Artifical sweeteners

Symptoms: Chills, fatigue, nausea, dyspnea, fever, headache

Other Meds: Singulair, aspirin, multivitamin, cinnamon, vit B2, vit D3, magnesium, turmeric

Current Illness: None

ID: 0925442
Sex: F
Age: 67
State: MA

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data: None

Allergies: ? Allergy to adjuvant in Hepatitis B vaccine

Symptoms: I received the vaccine yesterday 1/6/21. Today, 1/7/21, I went for my walk this morning and felt off balance/swayed to the right a bit at one point. I don't think lightheadedness precipitated this, but it unnerved me. I steadied myself and finished the walk without a problem. I checked and surface/pavement was uneven. My temp is 97.5 and I feel fine now but am just a little nervous that is a possible reaction to the vaccine. I had a reaction to the second dose of the hepatitis B vaccine 10 yrs ago, I fainted in early morning hours after getting up to go to bathroom. I had received the second dose at about 11:30a the day before, and developed flu like symptoms by afternoon with a fever and ended up dehydrated which I think contributed to my fainting at about 3a when I got up to void. I had a concussion and was treated with IV fluids at the local ED.

Other Meds: levothyroxcin 50mcg, q.d., metoprolol 50mg, q.d., Aspirin 81 mg, q.d., calcium, 500 mg, 2 tabs b.i.d., Vitamin D3, 2000iu, 2 tabs, probiotic daily, vitamin E 300mg, daily, Fish oil 1 tab, bid, Zinc citrate, daily, lutein/zeaxantin two tab

Current Illness: none

ID: 0925443
Sex: M
Age: 70
State: TX

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies:

Symptoms: EE report pain at the injection site , malaise, headache and joint pain. He took Tylenol and symptoms resolved within 6 hours. He is working today 01/07/21 and feels fine with no complaints

Other Meds:

Current Illness:

ID: 0925444
Sex: F
Age: 47
State: PA

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Arm soreness, muscle aches, fatigue, nausea, temp. 102.5

Other Meds: None

Current Illness: None

ID: 0925445
Sex: F
Age: 34
State: IN

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data: None

Allergies: Bupropion

Symptoms: Vomiting- onset 35 mins from injection, stopped 1 hour after injection Nausea- onset 35 mins from injection. Lasted about 48 hours from injection. Fatigue- onset about 12 hours after injection. Lasted about 48 hours from injection Headache, moderate- onset about 12 hours from injection. Was intermittent for 48 hours.

Other Meds: Symbicort, tylenol

Current Illness: None.

ID: 0925446
Sex: F
Age: 24
State: AL

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

Lab Data:

Allergies:

Symptoms: headache resolved within 15 minutes of observation

Other Meds:

Current Illness:

ID: 0925447
Sex: F
Age: 77
State: KY

Vax Date: 12/22/2020
Onset Date: 12/27/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies: Thorazine

Symptoms: Softball size, raised, red area with warmth around the injection site. (Right Deltoid) Started on Keflex 500mg TID X 7 days and ice packs to area until redness resolved Reaction on 12/27/20 Resolved on 1/3/2020

Other Meds: Aspirin 81mg Zinc 50mg Multiple Vitamin

Current Illness: Covid-19 positive on 12/4/2020

ID: 0925448
Sex: F
Age: 24
State: WI

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

Lab Data: none

Allergies: nka

Symptoms: Elevated blood pressure, tingling of the tongue within a few minutes of receiving the vaccine. Sent to ED and treated with Benadryl 25mg. Followed up at 10:15am 1/7/2021 and she is doing ok.

Other Meds: Zofran, Sumatriptan and Ibuprofen

Current Illness: Migraines

ID: 0925449
Sex: F
Age: 48
State:

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

Lab Data: monitored vital signs until stable

Allergies: NKDA

Symptoms: left hand numbness - resolved spontaneously followed by headache and HTN all resolved spontaneously

Other Meds: NA

Current Illness:

ID: 0925450
Sex: F
Age: 39
State: AK

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies: Bee stings

Symptoms: Pt felt throat begin to tighten

Other Meds:

Current Illness:

ID: 0925451
Sex: F
Age: 70
State: FL

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: 8 hours after the injection I got a terrible headache. Then severe chills that were at the core of my insides. They were so painful. Then body aches and a sore arm. This lasted until today 1/7/2021. I still have a slite headache. I took Tylenol and Advil. Nothing helped.

Other Meds: none

Current Illness: none

ID: 0925452
Sex: F
Age: 48
State: TX

Vax Date: 12/30/2020
Onset Date: 01/07/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Left arm redness swelling hotness itching and pain one full well after injection

Other Meds: Birth control kurvelo

Current Illness: None

ID: 0925453
Sex: F
Age: 27
State: VA

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data: Covid- negative

Allergies: none

Symptoms: heart rate of 140, chest pain sharp right side of chest. started two hours after vaccine.

Other Meds: Aldactone, Bentyl

Current Illness: none

ID: 0925454
Sex: F
Age: 46
State: MT

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies: N/A

Symptoms: Migraine, lethargy and lower back muscle spasms reported by patient

Other Meds: fioricet prn for migraines

Current Illness: N/A

ID: 0925455
Sex: F
Age: 86
State: IA

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies:

Symptoms: RESIDENT COMPLAINS OF BODY ACHES AND HURTS TO MOVE. RESOLVED WITHIN 24 HOURS.

Other Meds:

Current Illness:

ID: 0925456
Sex: F
Age: 65
State: MD

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data: no

Allergies: sulfa

Symptoms: Following day after vaccine in the morning I experienced Fatigue, Low grade fever 100.5, Chills and muscle ache. I was also very Tired. I took some tylenol. 1/7/21 Im feeling better temp 99.8

Other Meds: Calcium, prolee injection

Current Illness: no

ID: 0925457
Sex: M
Age: 56
State: TN

Vax Date: 12/27/2020
Onset Date: 12/28/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data: CXR showed "subsegmental atelectasis and/or scarring". Patient diagnosed with "COVID-19 inflammation of his lungs". Work up including EKG was otherwise negative.

Allergies: erythromycin

Symptoms: Pt diagnosed with COVID-19 on 12/9/2020 (symptom onset 12/6). Had fully recovered and completed isolation period. Had vaccine on 12/27, developed fatigue, dry cough and mild SOB after that. Developed chest pain (substernal stabbing discomfort) on 12/28 and presented to ED on 12/29. Work up was benign. Pt discharge home that same night.

Other Meds: Montelukast; doxycycline, omeprazole

Current Illness: Pt diagnosed with COVID-19 on 12/9/2020 (symptom onset 12/6).

ID: 0925458
Sex: F
Age: 54
State: CA

Vax Date: 12/29/2020
Onset Date: 01/05/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies: bee polen

Symptoms: Considerable swelling, redness, warm to the touch

Other Meds: multivitamins, valacyclovir, lisinopril, glucosamine, fish oil, biotin

Current Illness: high blood pressure

ID: 0925459
Sex: F
Age: 36
State: CT

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data: None

Allergies: Latex - generalized hives Food sensitivities to raw vegetables and some fruits - produces generalized hives, but only when immunity is compromised for another reason.

Symptoms: Signs: localized injection site hive in addition to smaller hives on both legs and a dime-sized hive to the face. Symptoms: 1:00 am shooting pain with complete numbness to the contralateral arm which lasted approx. 2 minutes and completely resolved. 4am sweats & chills, but afebrile. Itching to a very small area on the left pointer finger almost immediately after receiving the shot, but this resolved by around 10pm.

Other Meds: Loratadine 10mg, daily

Current Illness: None known; however - experiencing generalized hives over the past month. Covid test was negative and the hives were resolved prior to 1/6/21. I have been taking the Loratadine 10mg for approximately 2 weeks.

ID: 0925460
Sex: M
Age: 36
State: NY

Vax Date: 12/26/2020
Onset Date: 12/27/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data: None, no one to follow up with.

Allergies: No known allergies.

Symptoms: Very sore including flank pain, weak and very tired. The tiredness and side pain resolved within 24 hours. There was swelling and hardness to the injection site. The injection site became a red circle with raised bumps that lasted for 9 Days. The site was itchy and irritated days 4-9. The site on day 10 appear to be back to pre vaccine status.

Other Meds: None

Current Illness: None.

ID: 0925461
Sex: M
Age: 31
State: CT

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data: n/a

Allergies: none

Symptoms: within 6-8 hours started with holocephalic headache, myalgia, low-grade temp and chills, nausea and fatigue. Incident last ~ 24 hours then abated with Tylenol and Advil

Other Meds: none

Current Illness: none

ID: 0925462
Sex: F
Age: 42
State: OH

Vax Date: 12/23/2020
Onset Date: 12/25/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data: unknown

Allergies: NKDA

Symptoms: Vaccine received on 12/23. Pt reports diarrhea on 12/25. On 1/2, injection site became swollen, warm, and itchy. on 1/3 the swelling greatly increased and PCP was notified. PCP saw patient on 1/4 and gave her a steroid shot and antibiotics for possible cellulitis.

Other Meds: None provided

Current Illness: unknown

ID: 0925463
Sex: M
Age: 36
State: PA

Vax Date: 12/30/2020
Onset Date: 01/01/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Right frontal headache and pain progressively. OTC medications dulled the pain, but it continued despite conservative management with OTC medications, rest, and increase in fluids.

Other Meds:

Current Illness:

ID: 0925464
Sex: F
Age: 59
State: NC

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data: None yet-should I go to the Dr????

Allergies: reaction to latex and cephalexin, seasonal allergies

Symptoms: Day after the vaccine all day long I felt light headed, like an out of body event,I did not like the way I felt. Dizziness and weaker than normal. Approx. 26 hours later I lost my sense of taste and my eye site was blurred and it is still today Jan. 7, 2021. My taste buds are still not back . My tongue feels rough and I am almost feeling like I have Gerd. A lot of saliva but sour like. Headache , dizzy like and sore arm on day 2all day long.

Other Meds: Vitamin D, daily vitamin, Mobic, 20 mg adderall(I took the adderall after lunch

Current Illness: loose bowels, headache, body aches, weakness occasional shortness of breath

ID: 0925465
Sex: F
Age: 55
State: IN

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data: n/a

Allergies: iodine

Symptoms: Bad headache after vax then 1 day later received the Shringrex vaccine. Dr advised her that it was okay to receive Shringrex vaccine even though just received the Moderna vaccine a day before. After Shringrex vax, headache became worse, started to feel fatigued. Whole body felt like it was burning from the inside out, felt like it was on fire, excessive amount of sweating.

Other Meds: Phenytoin, Citalopram, multivitamin, calcium

Current Illness: n/a

ID: 0925466
Sex: F
Age: 48
State: CT

Vax Date: 12/28/2020
Onset Date: 12/29/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Swelling, redness, hardness, and itching at injection site. Headache, fatigue. S/sx have persisted for a 10 days thus far.

Other Meds: Pantoprazole, Zoloft, lisinopril, multivitamin, calcium, B-12

Current Illness: None

ID: 0925467
Sex: M
Age: 39
State: AR

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies:

Symptoms: FEVER,CHILLS,FATIGUE

Other Meds:

Current Illness:

ID: 0925468
Sex: M
Age: 17
State: ND

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data: N/A

Allergies: None

Symptoms: Right shoulder area became warm and erythematous, extending throughout deltoid area within hours after vaccine administration. He had tender axillary adenopathy over a similar time course. He reported to my clinic 2 days after vaccine administration. No fevers, headaches. Will treat with ice and ibuprofen.

Other Meds: None

Current Illness: None

ID: 0925469
Sex: F
Age: 53
State: WI

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data: none

Allergies: codeine

Symptoms: Day following vaccination had significant diarrhea and nausea. Lasted about 24 hours. Then 7 days after vaccination, 1/6, awoke with large reddened area at injection site, warm to the touch.

Other Meds: Vit D daily, ambereen, claritin

Current Illness: none

ID: 0925470
Sex: M
Age: 61
State: NY

Vax Date: 12/30/2020
Onset Date: 01/07/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data: Home thermometer

Allergies: possible Penicillin

Symptoms: Muscle pain and 100.7 fever

Other Meds: water pill for prostrate

Current Illness: none

ID: 0925471
Sex: F
Age: 22
State: NY

Vax Date: 12/30/2020
Onset Date: 01/06/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data: none

Allergies: None

Symptoms: quarter sized red bump on the upper left arm

Other Meds: gianvi, victoza

Current Illness: none

ID: 0925472
Sex: F
Age: 44
State: TN

Vax Date: 12/21/2020
Onset Date: 12/22/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data: Test for Covid-19; postive.

Allergies: Surfer drugs

Symptoms: I develop COVID-19 after vaccination.

Other Meds: Zyrtec , B complex, Permian, Vitamin B and C, Fish oil

Current Illness: I was experiencing a headache prior.

ID: 0925473
Sex: F
Age: 44
State: WI

Vax Date: 12/17/2020
Onset Date: 12/22/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data: n/a other than ER visit with fluorescein staining on 12/26 and again with ophthalmologist on 12/28 and 1/6/21.

Allergies: ragweed

Symptoms: 5d after vaccine I developed a R sided trigeminal neuralgia of branches 1 & 2. By d10 I developed the rash consistent with herpes zoster, including ophthalmic involvement of the R eye. I have not previously had shingles, but did have varicella as a child. I went to the ER as it was the middle of the night on the weekend and as a physician I realized the eye involvement required immediate treatment. I have since had to see the ophthalmologist x2. The shingles itself is improving, and the eye has healed with steroids and valtrex. I did still receive my 2nd booster shot on 1/5/21 and thus far have not had any additional effects.

Other Meds: none

Current Illness: none

ID: 0925474
Sex: F
Age: 49
State: KY

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies: Bactrim

Symptoms: Moderna COVID 19 Vacdine EUA Achy skin, broke out in sweat, nausea, fever, headache, trouble sleeping

Other Meds: Lisinopril 10 mg, baby aspirin, otc prilosec

Current Illness: Had COVID 19. Symptoms began on Dec 18 2020

ID: 0925475
Sex: F
Age: 66
State: IA

Vax Date: 01/06/2021
Onset Date: 01/01/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies:

Symptoms: WENT TO SLEEP ON 1/6/21 WITHOUT ANY ADVERSE EVENTS. WHEN AWOKE ON 1/7/21 AT 07:00AM, HAD A RASH ON ARMS AND BELLY. RASH IS NOT ITCHY.

Other Meds:

Current Illness:

ID: 0925476
Sex: U
Age: 36
State: VT

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

Lab Data:

Allergies:

Symptoms: Head ache day after vaccine

Other Meds:

Current Illness:

ID: 0925477
Sex: F
Age: 46
State: ME

Vax Date: 12/30/2020
Onset Date: 01/07/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data: none

Allergies: Gluten Lactose

Symptoms: Left arm (where pt received injection) warm yesterday and today red and indurated. Took benadryl this AM with no effect. ER evaluation: redness and reaction on L upper arm 8 days post COVID vaccination. Cellulitis of left upper extremity with Vaccine reaction. Treated with Cephalexin 500 MG 4 times daily ?and discharged.

Other Meds: metoprolol tartrate 25 MG Tab Levonorgest-Eth Estrad 91-Day (SEASONIQUE) 0.15-0.03 &0.01 MG Tab levoTHYROxine 25 MCG Tab albuterol HFA 108 (90 BASE) MCG/ACT AERs

Current Illness: none known

ID: 0925478
Sex: F
Age: 50
State: TX

Vax Date: 12/30/2020
Onset Date: 01/06/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Large raised area at injection site, accompanied by redness. Did not start until 7 days after the dose.

Other Meds: none

Current Illness: none

ID: 0925479
Sex: F
Age: 63
State: OR

Vax Date: 12/29/2020
Onset Date: 12/31/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data: none

Allergies: Flagyl, meperidine

Symptoms: Extreme fatigue, low grade temp for 2.5 days, intermittent headaches that shifted and moved to different areas and intensity

Other Meds: Estradiol 0.5mg, iron 65, vit C 500 mg, prilosec, gabapentin 3

Current Illness: none

ID: 0925480
Sex: M
Age: 44
State: IN

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Joint achiness started approximately 5 hours after the shot, then a severe head-ache started at 2am (8-9/10). This was followed by a fever of 102.7 via temporal scanner that lasted 30+ hours (on Tylenol and Ibuprofen). Nausea was intermittent, HA and Fever were constant for approximately 30 hours.

Other Meds: Vitamin D, Zinc

Current Illness: None

ID: 0925481
Sex: F
Age: 51
State: IN

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies: Penicillin Sulfa Eggs Nuts Milk Cats Dogs Dust

Symptoms: Urinary Tract Infection

Other Meds: Advair 250/50 Tamoxifen Montelukast (generic singular)

Current Illness:

ID: 0925482
Sex: F
Age: 54
State: NY

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

Lab Data: none

Allergies: Seasonal allergies Dust

Symptoms: Significant nasal congestion for several days. No nasal discharge.

Other Meds: Red Rice herbal supplement Losartan Metformin Cod Liver oil capsules

Current Illness:

ID: 0925483
Sex: M
Age: 67
State: FL

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data: None

Allergies: Amoxicillin-pot clavulanate

Symptoms: One hour after the shot I became very light headed. I had a difficult time walking. My heart felt like it was racing. My left arm where the shot was given is sore 22 hours later

Other Meds: AMLODIPINE BESYLATE 10 MG TAB TABLET blood pressure ATORVASTATIN 80 MG TABLET high cholesterol, ELIQUIS 5 MG TABLET afib blood clots EZETIMIBE 10 MG TABLET high cholesterol FLUOXETINE HCL 40 MG CAPSULE depression Changed to( Sertraline

Current Illness: None

ID: 0925484
Sex: F
Age: 34
State: CA

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 3 hours after injection, soreness and pain on the arm, light headedness, dizzy, tired and headache, night of vaccine-- > day 1 after vaccine-- > headache , soreness on the arm, chills, sweats, body is hot, heart pressure day 2 after vaccination (AM) chest (feels like costcochondritis)

Other Meds:

Current Illness:

ID: 0925485
Sex: M
Age: 22
State:

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies: Anaphylaxis to peanuts and tree nuts

Symptoms: Moderna COVID-19 Vaccine EUA Fever & nausea (24 hours), pain injection site (72 hours), headache, body aches, fatigue (48 hours)

Other Meds:

Current Illness:

ID: 0925486
Sex: F
Age: 38
State: WI

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies: vancomycin, sulfa

Symptoms: Headache, extreme fatigue, extreme exhaustion with sleepiness, and nausea. Pain from injection site up to neck and across to head.

Other Meds:

Current Illness:

ID: 0925487
Sex: M
Age: 39
State: IN

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies: Amoxicillin

Symptoms: Headache, fatigue, sore eyes

Other Meds: Hyzaar, omeprazole, ibuprofen, asa

Current Illness: Covid 19, 1st round

ID: 0925488
Sex: F
Age: 41
State: CO

Vax Date: 12/17/2020
Onset Date: 12/18/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Moderate joint aches and nausea. Started 18 hours after the vaccine and lasted 24 hours. Very sore right arm lasting about 72 hours.

Other Meds: Levothyroxine Citalopram Adderrall

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm