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: 1012565
Sex: F
Age: 36
State: VA

Vax Date: 02/02/2021
Onset Date: 02/03/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: About 12 hours after I received the second COVID vaccine, I experienced chills, weakness and headache. The following morning, the weakness continued along with body aches until that evening. There is also an area that spans about 5 inches in diameter at the injection site that is warm to the touch, red, sore and slightly elevated. Systemic symptoms lasted about 24 hours with only nausea and weakness at 48 hours. Arm still remains warm and red but less swollen.

Other Meds:

Current Illness:

ID: 1012566
Sex: F
Age: 73
State: TX

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Woke up with chills, fever 101.4, headache, body ache No energy.

Other Meds: None

Current Illness: None

ID: 1012567
Sex: F
Age: 81
State: IN

Vax Date: 02/06/2021
Onset Date: 02/07/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: NONE

Allergies: SULPHA, ERYTHROMIACIN, NOVAFED AND/OR LEDOCAINE.

Symptoms: THE NEXT MORNING THE AREA OF INJECTION WAS SLIGHTLY SWOLEN AND VERY SORE TO TOUCH. IT STILL IS TODAY.

Other Meds: LABETALOL, LISINOPRIL-HCTZ,AMLODIPINE BESYLATE,FAMOTIDINE, TIZANIDINE, HYDROCODONE/ACETAMINO PHEN, CALCIUM + D3, SUPER VIT B COMPLEX, D3, POTASSIUM, ARTHRITIS TYLENOL AND MIRALAX.

Current Illness:

ID: 1012568
Sex: F
Age: 51
State: TX

Vax Date: 01/20/2021
Onset Date: 01/27/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: audiology

Allergies: lisinopril, losartan

Symptoms: vertigo, vestibular neuritis

Other Meds: nifedipine 30 mg 1 tab daily maxzide 37.5-25 mg pod albuterol as needed crestor 10 mg pod combipatch trulance

Current Illness: not sick

ID: 1012569
Sex: F
Age: 55
State: GA

Vax Date: 12/22/2020
Onset Date: 12/29/2020
Rec V Date: 02/08/2021
Hospital:

Lab Data: PCR DONE AND POSITIVE ON 12/29/2020.

Allergies: NO KNOWN ALLERGIES

Symptoms: PATIENT ACQUIRED COVID-19 ON 12/29/2020 AND SYMPTOMS WERE EXHAUSTION, SEVERE HEADACHE, BODY ACHES, COUGH, SOB, CHILLS, SWEATS, FEVER OF 103 DEGREES, RHINORRHEA, CHEST PAIN, FATIGUE, TIREDNESS, WEAKNESS, SUDDEN LOSS OF SENSE OF TASTE,, SUDDEN LOSS OF SENSE OF SMELL.

Other Meds: LISINOPRIL, SIMVASTATIN, OTC MULTIVITAMIN

Current Illness: HYPERTENSION, HIGH CHOLESTEROL

ID: 1012570
Sex: F
Age: 73
State: MI

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies: codeine, morphine

Symptoms: Arm locked up extreme pain. muscle spasm and cannot lift my arm above my shoulder (which is an improvement from the initial condition). Pain was so bad upon movement I thought I was going to pass out. It is improving, day to day, but still incapacitates me from my daily routine.

Other Meds: Wellbutrin XL 300 mg, Pepcid 40 mg, Lipitor 20 mg, Celexa 20mg, Biotin 5 mg, Multivitamin, Caltrate 600 plus, Vitamin D3 25 mcg, Vitamin C 500 mg buffered

Current Illness: none

ID: 1012571
Sex: F
Age: 62
State: AZ

Vax Date: 02/06/2021
Onset Date: 02/07/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: n/a

Allergies: penicillin

Symptoms: lots of nausea , hot flashes, sore arm

Other Meds: metformin, lisinopril, rovostatin, trulicty, omeprezzul

Current Illness: none

ID: 1012572
Sex: M
Age: 87
State: IL

Vax Date: 02/05/2021
Onset Date: 02/07/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: none

Allergies: Nardil

Symptoms: Resident developed fever, aches and diarrhea on the evening of 2/7/21. Tylenol administered for fever and pain. Imodium administered for diarrhea. As of the afternoon of 2/8/21 the resident is without any further symptoms.

Other Meds: buspar, Colace, famotidine, artificial tears, levothyroxine, potassium chloride, prednisone, saphris, Tamsulosin, viibryd, vitamin d supplement

Current Illness: None

ID: 1012573
Sex: F
Age: 69
State: PA

Vax Date: 01/30/2021
Onset Date: 01/31/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies: voltaren latex sensitive

Symptoms: extreme fatigue, headache, , achiness, chills, low grade fever, nausea, dizzy

Other Meds: gabapentin Calcium with vitamin D Metoprolol succinate lisinopril turmeric curcumin Tylenol arthritis

Current Illness:

ID: 1012574
Sex: F
Age: 47
State: MN

Vax Date: 01/27/2021
Onset Date: 02/03/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: Covid and Strep test taken on 02/05/2021, both were negative.

Allergies: None

Symptoms: #1 The injection site was sore, red, and hot to touch, the site then had a large lump under the surface of the skin, then it was black and blue. From start to finish from the redness to the bruising was about 3 days. #2 Sore throat, followed by hoarseness and then ultimately loosing my voice, body aches, headache, fever and chills with the fever lasting 4 days and ranging from 99.5 to 106.1. Also have had a runny nose, followed by congestion with a course and constant productive cough. I still have all the symptoms listed above today 02/08/2021 except the fever, chills and body aches.

Other Meds: Cymbalta

Current Illness: None

ID: 1012575
Sex: F
Age: 46
State: FL

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: n/a

Allergies: morphine, sulfur, latex

Symptoms: Chills immediately and continued 2 days later; muscle aches, joint pain and headache started day after. Current right hip joint pain and HA(3 days after 2nd dose)

Other Meds: Vitamin D

Current Illness: none

ID: 1012576
Sex: F
Age: 71
State: WI

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: none

Allergies: NKA

Symptoms: Approx 10 min after receiving the injection patient c/o dizzyness. No headache, no nausea, no swelling any location of body, no sob. Ice packs applied to back of neck and winter garments removed to aid with cooling. Vitals were WNL. Pt observed until symptoms resolved and patient left clinic.

Other Meds:

Current Illness: None reported or observed

ID: 1012577
Sex: F
Age: 79
State: CA

Vax Date: 01/26/2021
Onset Date: 02/04/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies: penicillin

Symptoms: Covid Arm: slight swelling, defined red rash at injection site, hot to touch, itching

Other Meds: Latanoprost, Losartan, amlodipine, Ambien, vitamin D, probiotic, turmeric, Advair discus, aspirin 81mg, amour thyroid.

Current Illness: None

ID: 1012578
Sex: F
Age: 43
State: CO

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: N/A

Allergies: Allergy to latex, allergy to avocado

Symptoms: Severe fatigue, malaise, nausea, migraine headache all began the same afternoon as injection, approximately four hours post-injection. Symptoms lasted (and increased in intensity) for approximately 72 hours.

Other Meds: Armour Thyroid, Tenuate 75mg

Current Illness: N/A

ID: 1012579
Sex: F
Age: 36
State: IL

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Large watery stool

Other Meds:

Current Illness:

ID: 1012580
Sex: F
Age: 83
State: WA

Vax Date: 02/04/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies: penicillin

Symptoms: I had shot on Thursday morning 2/4, and didn't get fever till Saturday morning and Sunday morning. Two days. I'm OK today

Other Meds: multi-vitamins

Current Illness: None

ID: 1012581
Sex: F
Age: 24
State:

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Low grade fever (99.6 degrees F) with chills and body aches starting roughly 14 hours after receiving second dose of covid vaccine and lasting 24 hours. Headache starting roughly 24 hours after receiving vaccine and lasting 12 hours. Fatigue starting 12 hours after receiving vaccine and lasting roughly 24 hours. Rash extending down from both armpits to mid-ribcage starting 24 hours after receiving vaccine, still ongoing although getting slightly better.

Other Meds:

Current Illness:

ID: 1012582
Sex: F
Age: 21
State: MA

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: Patient is transported by ambulance to Hospital Emergency Department after receiving 50mg Benadryl IV.

Allergies: Multiple allergies to medications

Symptoms: Patient presented for second vaccine. Approximately 10 minutes after administration, rash appeared on right arm and right side of her back. Pt states that she has had this happen before but feels that it might be "in her head" as well. Pt has significant list of medication allergies, none present in Moderna COVID vaccine. Pt continually monitored, rash continues to spread. Decision made to transport patient to hospital by ambulance. Pt begins to report that he lips are numb and that she feels her throat is closing. Pt transported by Ambulance to hospital.

Other Meds: Unknown

Current Illness: None noted

ID: 1012583
Sex: F
Age: 81
State: NC

Vax Date: 01/26/2021
Onset Date: 01/30/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies: MSG-food preservative

Symptoms: pt started feeling weak, deep dry cough 6 hours after vaccination, pt took robitussin dm to help, fever low grade, increased fluid intake, muscle/joint aches , cough worsened, pt tried Mucinex to try and break up mucus if there was any, sweats, next day mucus was beginning to loosen, fever low grade, pt also had to take Aleve twice daily to help with symptoms, body aches, flu like symptoms

Other Meds: vitamin D, vitamin C, quinapril, Bystolic

Current Illness:

ID: 1012584
Sex: F
Age: 24
State: VA

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies: N/A

Symptoms: Within an hour, I had a headache and dizziness, which persisted for the remainder of the day. By the next morning, the headache and dizziness were still present and I also had body aches as well as hot/cold flashes, but no fever. This also lasted the entire day and into the following day. It has now been over 72 hours and I am still having dizziness and my head is spinning almost constantly, especially when I move around.

Other Meds: Zyrtec 24hr

Current Illness: N/A

ID: 1012585
Sex: F
Age: 73
State: NY

Vax Date: 01/27/2021
Onset Date: 02/04/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: Nonr

Allergies: Sulfur

Symptoms: After 5 days reddness swelling itchy

Other Meds: Multi vitamin vitamin d, cholesterol statin, high blood pressure pill, direuetic

Current Illness: None

ID: 1012586
Sex: F
Age: 74
State: VA

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Left facility after waiting 15 minutes. Within next 15 minutes while driving home, I had difficulty swallowing. It took three or four attempts to complete a swallow. Right ear had slight tingling. Upon arriving home, I was able to swallow water but without water I had difficulty swallowing, three to four attempts to swallow. This continued for three hours after receiving the vaccine.

Other Meds: Multi Vitamin | Vitamin D3 2000mg | Calcium 500mg | CoQ10 | Low Dose Aspirin | ramipril 10mg | chlorthalidone 12.5 mg | Zinc 50 mg | Vitamin C 500mg | Pregabalin 50mg | Simvastatin 20mg

Current Illness: None

ID: 1012587
Sex: F
Age: 86
State: MO

Vax Date: 01/22/2021
Onset Date: 02/04/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: none

Allergies: Mold; dust; morphine; streptomycin; clindamycin; PNC; MSG; codeine

Symptoms: 2 weeks after injection arm began to itch at injection site, area slightly red and warm, began to hurt during the night enough to keep her awake, this morning 2/8/21 still red. No tenderness or hardness.

Other Meds: ASA 81 mg; cranberry supplements; Wellbutrin 300 mg; Zia 5/6.25; Multi Vitamin; Synthroid; Prilosec; Clairton; Flonase spray

Current Illness: None

ID: 1012588
Sex: F
Age: 53
State: CA

Vax Date: 01/23/2021
Onset Date: 02/04/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies: penicillin class, clindamycin phosphate, Cephalexin, Keflex, Neosporin, hand soaps and hand sanitizer with more than the basic ingredients, some shampoo, some laundry detergents.

Symptoms: at day 12 post vaccination developed shingles

Other Meds: Humira Rasuvo Celebrex levothyroxine clonzepam lisinopril folic acid Saffron 5-HTP xiidra Latanoprost

Current Illness: high blood pressure, psoriasis, psoriatic arthritis, fibromyalgia, low thyroid, anxiety, depression, obesity

ID: 1012589
Sex: F
Age: 72
State: OR

Vax Date: 01/28/2021
Onset Date: 02/07/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: NA

Allergies: NA

Symptoms: Noticed an itching and then looked. It is red and there is a hard lump underneath the redness. The red area is about 3/4 of an inch.

Other Meds: chlonazepam, astoravastin, lisiniprol

Current Illness: NA

ID: 1012590
Sex: M
Age: 73
State: KS

Vax Date: 01/01/2021
Onset Date: 02/04/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: n/a

Allergies: NKDA

Symptoms: 2 weeks after 2nd dose developed possible zoster in same arm along C8 dermatome.

Other Meds: Valsartan and Tamsulosin

Current Illness: none

ID: 1012591
Sex: F
Age: 65
State: OH

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Immediately after administration of second dose of the COVID vaccine, patient had severe swelling at injection site. Pain extended across shoulder and up to L neck. Patient was monitored- the following vitals are immediately after the injection: HR 69, sats 98%, BP 210/91, 193/101, 214/97. Patient taken to ED as a precaution and monitored for over an hour. BP at 1406: 218/111, BP at 1431: 197/84, and BP at 1549: 172/81. Patient discharged from the ED - no worsening symptoms and no medications administered. Patient reports the same reaction occurred after her first vaccine dose, but not to this degree, and it occurred several hours after the vaccine.

Other Meds:

Current Illness:

ID: 1012592
Sex: M
Age: 65
State:

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: chest pressure, slurred speech, dizzy, headache

Other Meds:

Current Illness:

ID: 1012593
Sex: F
Age: 70
State: CO

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: fever of 100.5 for over 16 hours, muscle aches, fatigue

Other Meds: valacyclovir, crestor

Current Illness: none

ID: 1012594
Sex: F
Age: 72
State: IA

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: None

Allergies: Atorvastatin - myalgia Fluticasone nasal spray - nostrils burn Simvastatin - myalgia Sulfa drugs - vomiting

Symptoms: Patient fliniched and jerked right arm at insertion of vaccine. Unknown amount of vaccine went into deltoid. Pt was advised that she can still have second dose that is scheduled. First dose cannot be re-administered with unknown amount she did recieve today.

Other Meds: Alprazolam 0.5 mg tab PO TID Calcium carbonate 600 mg tab PO BID Citalopram 40 mg tab PO QD Vitamin D tab PO QD Naproxen 220 mg PO Q8h PRN mild pain Pravastatin 40 mg tab PO QD Zolpidem 5 mg PO QHS PRN insomnia

Current Illness:

ID: 1012595
Sex: F
Age: 29
State: CA

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies: N/A

Symptoms: 3 INCH in diameter around injection site is red, swollen, warm to the touch, and itchy.

Other Meds: N/A

Current Illness: N/A

ID: 1012596
Sex: M
Age: 44
State: FL

Vax Date: 01/30/2021
Onset Date: 02/07/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Rash (size: 2"X3") developed on left arm around and just below injection shot. Was tender to the touch and swollen. Was not itchy. Decreased significantly in size and redness in less than 24hrs.

Other Meds:

Current Illness:

ID: 1012597
Sex: F
Age: 52
State: VA

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: Decadron 8mg IM/ Benadryl 25mg tab PO

Allergies: Erythromycin/ Latex

Symptoms: tongue swelling/ chest tightness 1 hr post vaccination

Other Meds: Zolpidem 10mg as needed/ Levothyroxine 88 MCG daily/ Dextroamphetamine-amphetamine ER 30 mg daily/ Cyclobenzaprine 10mg as needed

Current Illness:

ID: 1012598
Sex: F
Age: 74
State: AZ

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: None

Allergies: None known

Symptoms: Big red patch around injection site, around 3 plus inches in diameter, swollen, hot to touch. It is now 4 full days since vaccination and still like this. I looked online and it's called "covid arm." So it's not unexpected, although I am wondering when it will go away. Also the day after I received the vaccine, I had a LOT of muscle soreness, aches, etc., to the point it was hard to get up and down, so I just wrapped up in a blanket and sat around. That issue was all gone the next day. I don't want to waste your time, but thought I should share info about my "covid arm." Thank you.

Other Meds: Eliquis 5mg 2x daily; metoprolol tartrate 12.5 mg 2x daily; pravastatin sodium 20 mg 1x daily at bedtime; 3 mg melatonin 1x daily at bedtime; alendronate sodium tab 70 mg every 7 days; Centrum Silver for women 1 tablet daily; calcium gum

Current Illness: None

ID: 1012599
Sex: M
Age: 49
State: IL

Vax Date: 02/06/2021
Onset Date: 02/08/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: General side effects were felt overnight; Chills, nausea and low grade fever; Pain / Soreness at injection site became worse 24 hours after dosage

Other Meds: Metformin Losartan Multi-Vitamin D3 Baby Asprin Krill Oil

Current Illness: None

ID: 1012600
Sex: F
Age: 58
State: MI

Vax Date: 02/04/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Severe Headache

Other Meds: Unknown

Current Illness: Unknown

ID: 1012601
Sex: F
Age: 77
State: NH

Vax Date: 01/27/2021
Onset Date: 01/31/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Nausea and diarrhea.

Other Meds:

Current Illness:

ID: 1012602
Sex: F
Age: 57
State:

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: extreme fatigue, lightheadedness, nausea, headache, large red raised area at sight of injection. Started on Keflex d/t growing redness and warmth at injection at site. Symptoms lasting over 3 days

Other Meds:

Current Illness:

ID: 1012603
Sex: F
Age: 38
State: CA

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: vital signs, no other testing.

Allergies: NA

Symptoms: Staff member received Moderna vaccine around 11:45am on 02/05/2021. Reported to management around 3pm her lips were swelling, a tingling around her mouth was felt.

Other Meds: NA

Current Illness: NA

Date Died: 02/05/2021

ID: 1012604
Sex: M
Age: 76
State: GA

Vax Date: 01/11/2021
Onset Date: 02/05/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Death

Other Meds:

Current Illness:

ID: 1012605
Sex: F
Age: 28
State: VA

Vax Date: 01/22/2021
Onset Date: 01/25/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: n/a

Allergies: Seasonal Allergies Dust, Pollens, Molds

Symptoms: On 1/22/2021: Received Moderna Vaccine #1 On 1/ 25/2021: Experienced left clavicle pain/soreness and felt a "bump"/lymph node within left clavicle area. On 1/26/2021- 1/29/2021: Intense left arm pain going down left arm, swelling of left arm around injection site and on 1/29/2021 red splotches began on left arm and left clavicle and continued until 2/1/2021.

Other Meds: Drospirenone/Ethinyl Estradiol/Levomefolate Calcium Tablets and Levomefolate Calcium Tablets 3mg/0.02 mg/0.451 mg and 0.451 mg = Birth Control

Current Illness: n/a

ID: 1012606
Sex: M
Age: 59
State: TX

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: Not sure of exact treatment, patient received the vaccine at Health Clinic and then patient drove to unknown location when he started having symptoms he went to Emergency room for treatment.

Allergies:

Symptoms: Patient got dizzy, his skin was pale and clammy. He had itchy throat and cough. These symptoms happened about one hour after receiving the vaccine.

Other Meds:

Current Illness:

ID: 1012607
Sex: F
Age: 54
State: CO

Vax Date: 02/02/2021
Onset Date: 02/03/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Severe pain in right arm the evening of vaccine. Next day I couldn't get out of bed, hold my head up, ached everywhere, neck pain, headache, very tired.

Other Meds: Coumadin, womens one a day, vitamin e, caltrate, vicodin

Current Illness: none

ID: 1012608
Sex: F
Age: 53
State: MA

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Rigors, fever (101), headache, myalgias, (day 1 through day 3 so far), vomiting and diarrhea (day 3)

Other Meds: None

Current Illness: None

ID: 1012609
Sex: F
Age: 48
State:

Vax Date: 02/06/2021
Onset Date: 02/07/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Swelling, erythema and warmth of injection site.

Other Meds:

Current Illness:

ID: 1012610
Sex: M
Age: 33
State: MI

Vax Date: 02/03/2021
Onset Date: 02/07/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies: Ceclor

Symptoms: Diagnosed Bell?s palsy at emergency room visit. Numbness of tongue, lack of muscle control on left side of face.

Other Meds: Zyrtec

Current Illness:

ID: 1012611
Sex: F
Age: 73
State: FL

Vax Date: 02/07/2021
Onset Date: 02/08/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data: none

Allergies: Lipitor

Symptoms: pt stated that on 2/8/2021 that her lips became numb and both left and cheek are numb. Pt is also dizzy and light headed.

Other Meds: Pradaxa, Olmesartan, Atenolol, Crestor, Multivitamin

Current Illness: no

Date Died: 02/03/2021

ID: 1012612
Sex: M
Age: 79
State:

Vax Date: 01/21/2021
Onset Date: 01/01/2021
Rec V Date: 02/08/2021
Hospital: Y

Lab Data:

Allergies: None

Symptoms: Patient was hospitalized on 31 Jan for COVID pneumonia after 3 days of increasing baseline supplemental O2 requirements and dyspnea and ultimately died on comfort care on 3 Feb 2021.

Other Meds: albuterol apixiban diclofenac exenatide finasteride furosemide lantus novolog liptor lotrel metoprolol succinate pantoprazole levothyroxine tasulosin tiotropium-olodaterol

Current Illness: COPD exacerbation 2 weeks prior

ID: 1012613
Sex: M
Age: 85
State: NC

Vax Date: 01/26/2021
Onset Date: 01/30/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies: Sulfur

Symptoms: cold symptoms, achy bones, joint/muscles pain, cough, lasted 6+7 days

Other Meds: Duloxetine 60 mg twice daily, multivitamins

Current Illness:

ID: 1012614
Sex: F
Age: 48
State: MI

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 02/08/2021
Hospital:

Lab Data:

Allergies: PCN, lanolin, tape, topical creams

Symptoms: I received shot at 1:15 pm by 4 pm my right arm was swollen red, firm, inflamed and painful from right shoulder to elbow. I was unable to sleep due to extreme pain in right upper arm. 1/28 The next morning I had a low grade fever, chills, diarrhea, fatigue and continued arm pain I proceeded to take ibuprofen and tums. 1/29 an allergic itchy rash appeared from site of injection to elbow around circumference of arm with continued pain, I then started taking Benadryl, Pepcid and ibuprofen which I continued until 2/2. All symptoms resolved by 2/5/21.

Other Meds: probiotic, armor thyroid

Current Illness: none

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm