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: 0926023
Sex: F
Age: 42
State: TN

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

Lab Data: None so far, have not gone in yet. Planning to today or tomorrow if not resolved

Allergies: None

Symptoms: At 3:30 am 1/7/2021 I woke up to my whole body head to toe covered in hives/rash and my lips were swelling. I took 2 Benadryl and slept. At 6 am lip swelling went down but hives are all over still. At 8 am I took another Benadryl. It is now 12:30 and still there and itching.

Other Meds: Levothyroxine

Current Illness:

ID: 0926024
Sex: F
Age: 26
State: TX

Vax Date: 12/30/2020
Onset Date: 01/05/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies: Ancef

Symptoms: Moderna COVID-19 Vaccine EUA Rash at injection site on the morning of Day 6, no pain or itching, and rash went away by 7pm that night. Rash returned at injection site with itching on day 8 (today). The itching is intermittent so far today.

Other Meds:

Current Illness:

ID: 0926025
Sex: M
Age: 38
State: IN

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

Lab Data:

Allergies: none

Symptoms: fever 1/5/21 102F chills same evening 1/6/21 chills and fever about 4am. Elevated heart rate all day headache, joint pain, muscle soreness, fever all day approximately 11pm felt much better. heart rate returned to normal, temperature 100f 1/7/21 local pain in injection site. no more fever. normal heart rate.

Other Meds: 100 mg vitamin d b complex vitamin multivitamin for men 50+ Omega 3-6-9 vitamin

Current Illness: Cold symptoms 12/19/2020-12/23

ID: 0926026
Sex: F
Age: 24
State: FL

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

Lab Data: None.

Allergies: None

Symptoms: 12-15 hours after the injection I woke up with moderate to severe body aches and fatigue. These two symptoms lasted about 12-18 hours.

Other Meds: None

Current Illness: None

ID: 0926027
Sex: F
Age: 19
State: CT

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

Lab Data: no tests as of yet

Allergies: Augmentin

Symptoms: Begin with abdominal pain on December 30 when she woke up, continued with nausea, then headaches, loss of appetite and by Sunday January 3, 2021 swollen lymph node in left arm pit. Was seen on January 4, 2021, told to call or return if it gets worse. As of today she still has a swollen lymph node and swelling and redness around her injection site.

Other Meds: Vitamin D 2000 cu fluticasone propionate 50 mcg cetirizine hydrochloride 10 mg lo loestrin FE 1-10

Current Illness: none

ID: 0926028
Sex: F
Age: 46
State: NY

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

Lab Data:

Allergies: no

Symptoms: left axillary lymphadenopathy/pain joint/muscle pain (generalized)

Other Meds: effexor, vit c, feso4

Current Illness: no

ID: 0926029
Sex: F
Age: 38
State: TX

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

Lab Data: no medical tests or laboratory test. seen at clinic on 1/6/2021 as acute visit.

Allergies: strawberry, pineapples, minocycline, doxycline

Symptoms: developed angioedema of lower lip more than one hour after injection continued to progress even at 12 hours after. Had associated wheezing but no respiratory.

Other Meds: none

Current Illness: none

ID: 0926030
Sex: F
Age: 54
State: TX

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

Lab Data: None

Allergies: None

Symptoms: Stomach cramps and vomiting. Vomited once then felt fine. Resolved in one day.

Other Meds: Rouvastatin; Unithroid; Famotidine; Vit D2; Losartan/HCTZ; Sertraline; Ozempic; Celebrex; Hydroxyzine; Colace

Current Illness: None

ID: 0926031
Sex: F
Age: 49
State: MT

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

Lab Data:

Allergies:

Symptoms: Throat tingling 10 minutes after shot administered. Sent to ER for treatment (solumedrol, famotidine, diphenhydramine administered)

Other Meds:

Current Illness:

ID: 0926032
Sex: F
Age: 58
State: AZ

Vax Date: 01/03/2021
Onset Date: 01/05/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies: Sulfa, quinolones, contrast

Symptoms: Stiff neck severe headache severe diarrhea and nausea

Other Meds: Benadryl, allpurinol

Current Illness: None

ID: 0926033
Sex: F
Age: 37
State:

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

Lab Data:

Allergies:

Symptoms: Pt reported immediate redness and lump to injection site and shortly after developed flushing to face/neck/arms with itching about 10 minutes after vaccine. Pt received Benadryl PO with recovery. Provider notified and approved course of treatment. No other f/u concerns at this time.

Other Meds:

Current Illness:

ID: 0926034
Sex: F
Age: 41
State: WA

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

Lab Data:

Allergies: Clindamycin, penicillin's, Sulfa antibiotics

Symptoms: Fever of 101, diarrhea, vomiting, fatigue, nauseous, no appetite, arm red and swollen at injection site.

Other Meds: Prazocin, Promethazine, Montelukast, Pepcid

Current Illness: Positive COVID-19 12/6

ID: 0926035
Sex: F
Age: 54
State: MD

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

Lab Data:

Allergies:

Symptoms: Information relayed second hand from vaccine clinic director. Recipient c/o muscle pain immediately after the Moderna injection on 12/29/2020 and congestion and body aches 3 days after the injection. Now yesterday, 8 days after the injection she has a circular red area below the injection site that is slightly warm to touch, itchy and swollen. She is taking Benadryl.

Other Meds:

Current Illness:

ID: 0926036
Sex: F
Age: 25
State: ND

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

Lab Data: Seen in the clinic and started on oral antibiotics- zithromax.

Allergies: no known medical allergies

Symptoms: Localized reaction at the site of injection- pain, redness, warm to touch, and swelling.

Other Meds: venlafaxine, aviane

Current Illness: sinus infection

ID: 0926037
Sex: F
Age: 40
State: CT

Vax Date: 12/28/2020
Onset Date: 01/04/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies: NKDA

Symptoms: Rash and redness, pain (similar to sunburn or bruise) ghat developed 7 days post vaccine. Small bump at injection site that was also noted day 7.

Other Meds: Wellbutrin XL 300 mg/daily

Current Illness: None

ID: 0926038
Sex: F
Age: 28
State: UT

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

Lab Data:

Allergies: Penicillins

Symptoms: Red arm Hard bumps under skin Soreness in arm

Other Meds: Tylenol

Current Illness:

ID: 0926039
Sex: F
Age: 40
State: KY

Vax Date: 12/29/2020
Onset Date: 01/06/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies: Pertussis vaccine, Levaquin, Latex,

Symptoms: Swelling, redness, and warmth of the upper arm a week after injection. Cold compress and Tylenol administered with no relief redness and swelling spreading across arm. Shoulder, neck and arm pain. Also experiencing nausea.

Other Meds: Took Tylenol 400mg prior to injection.

Current Illness:

ID: 0926040
Sex: F
Age: 47
State: NY

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

Lab Data: none

Allergies: Med: biaxin Food: gluten sensitive, dairy, peanuts, apples environmental allergies seasonally

Symptoms: headache/sneezing/runny nose occurring 16hours after vaccination lasting 24hours total fever/chills/fatigue, highest reading 100.7, occurring 19 hours after vaccination lasting 12 hours total generalized GI distress without nausea/vomitting starting within 2 hours of vaccination and lasting over 36hours; difficult to discern from my typical GI issues but certainly seemed to be heightened

Other Meds: Vit D and calcium supplement

Current Illness: heightened allergies few wks before vaccination with mild sneezing, covid neg test on 12/11/20

ID: 0926041
Sex: F
Age: 36
State: CA

Vax Date: 12/24/2020
Onset Date: 01/02/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies: Shellfish, dust, pollen

Symptoms: Hives on left arm initially below injection site, but gradually growing in size up towards injection site. Zyrtec has helped. Hives still present but getting better.

Other Meds: Claritin, vitamin D, vitamin B12, multivitamin

Current Illness:

ID: 0926042
Sex: F
Age: 41
State: PA

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

Lab Data:

Allergies: Allergy to sulfa, latex, bee-stings

Symptoms: Developed shortness of breath, swelling of tongue, persistent cough within 5 minutes of vaccination. Was treated with EpiPen and kept in ER for observation overnight. Symptoms resolved.

Other Meds: Famotidine, Protonix

Current Illness:

ID: 0926043
Sex: F
Age: 49
State: NM

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

Lab Data: none

Allergies: Bactrim Strawberries

Symptoms: rt. orbital numbness, lip numbness

Other Meds: None

Current Illness: None

ID: 0926044
Sex: F
Age: 55
State: FL

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

Lab Data: 01/06/2021 Lab test were ordered but I do not have access to my own Medical Records. But I was told all results were within normal limits.

Allergies: Codeine, Morphine, Statins including Zocor, Pineapple, Green peppers

Symptoms: Vaccine administered at 11:15 AM. At 12:00 pm the top of my head became very hot, my face felt hot and red with raised rash, my scalp became very itchy, my heart felt like it was beating out of my chest and I had pounding in both ears. My bilateral forearms began to itch and then developed hives. I notified my Supervisor that I was having a reaction. I was checked in to ER (where I am an RN). My blood pressure was elevated 180's systolic and my heart rate was 180BPM and short of breath. An IV was started and I was given Normal Saline Bolus, Solu-medrol 125MG and Benadryl 25MG IV. Prior to medications, my throat felt itchy and "tight" but resolved once medication given. The itching and hives continued to spread to my upper back, neck, bilateral feet and behind my bilateral knees. After approximately 1 1/2 hrs itching and hives continued then I was given Pepcid IV and Benadryl 25mg PO which after 40 minutes my itching and hives resolved. I was later discharged home with a prescription of Methylprednisolone 4MG dose pack. Symptoms resolved until approximately 1:30 am on 5/7/2021 when I awoke to pounding in my ears and the feeling once again my heart was beating out of my chest. My heart rate was 132BPM, I became hot and diaphoretic, short of breath. My scalp felt it was on fire and then I broke out in hives. I immediately took Prednisone, benadryl and pepcid. I took a cool shower, got dressed and drove to the hospital down the road and sat in the parking lot just in case my throat became itchy and tight (which it did not). The hives and itching began to resolve after an hour. My heart rate went back to 67BPM and shortness of breath resolved as well. I called Employee Health at hospital and made a report of symptoms.

Other Meds: Vyvanse 40Mg 1 tab daily AM, Fluoxetine 10MG 1 tab daily HS , Estra 0.5mg/Noreth 0.1mg 1 tab daily , Tizanidine 2mg (PRN)

Current Illness: N/A

ID: 0926045
Sex: F
Age: 31
State: VA

Vax Date: 12/29/2020
Onset Date: 01/06/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: 7 days after injection. Developed large irregular oval shaped irritation/reaction at site of injection. Skin was Red. Hot to touch. Raised. Hardened/thickened tissue. Size 11 cm x 5 cm. Itchy face two-three days prior to reaction at arm. Minimal itchiness at injection site or reaction

Other Meds: None

Current Illness: None

ID: 0926046
Sex: F
Age: 48
State: OH

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

Lab Data:

Allergies:

Symptoms: general fatigue, body aches, nausea

Other Meds:

Current Illness:

ID: 0926047
Sex: F
Age: 28
State: PR

Vax Date: 12/28/2020
Onset Date: 01/03/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Left axilar pain ( lymph nodes inflammation).

Other Meds:

Current Illness:

ID: 0926048
Sex: F
Age: 59
State: PA

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

Lab Data: none

Allergies: denies

Symptoms: Patient's states that she woke up at 3 am on 1/7/2021 with left sided facial swelling and lip swelling and she went back to sleep and woke up again around 5:30 am and swelling had gone down, and then at 10:30 am patient reports that left facial swelling and left lip swelling completely resolved. Pt. denies taking anything to resolve swelling of left face and lip.

Other Meds: yes- spironolactone 25 mg po twice daily, atorvastatin 80 mg po daily, fosinopril 40 mg po daily, pramiprexole 0.25 mg po daily, aspirin 81 mg once daily, metoprolol tartrate 25 mg po twice daily, vitamin d/calcium, vitamin c 500 mg po dail

Current Illness: denies

ID: 0926049
Sex: F
Age: 54
State: CO

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

Lab Data:

Allergies: none

Symptoms: 1/7/20 circular redness, itching in upper left arm at injection site, not noticed previously.

Other Meds: levothyroxine

Current Illness: none

ID: 0926050
Sex: F
Age: 52
State: AZ

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

Lab Data:

Allergies:

Symptoms: She states that she is nauseous since the vaccine

Other Meds:

Current Illness:

ID: 0926051
Sex: F
Age: 58
State: IL

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

Lab Data:

Allergies: Codeine

Symptoms: "By around 7p that evening 12/17/20, i was unable to life my arm to undress. the next morning the injection site was a little tender but i could move the arm"

Other Meds:

Current Illness:

ID: 0926052
Sex: F
Age: 48
State: MO

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

Lab Data: None.

Allergies: Declared previous allergy immunotherapy but did not specify specific allergies.

Symptoms: Shortly after receiving the vaccine, the patient reported feeling flushed and hot with rash, shaking, shivering, and pain in upper chest, which the patient described as being normal because of her COVID pneumonia. I would rate the reaction as moderate. Diphenhydramine 25mg capsule was given by mouth, ice water was offered. Patient was closely monitored but no further intervention was necessary. After about 25 minutes, symptoms subsided and patient decided to leave.

Other Meds: Prednisone Recently received dexamethasone inj.

Current Illness: Said she was still COVID+ and was still experiencing a few symptoms from it. She said her physicians advised her to go ahead with the vaccine anyway. I advised of the potential for increased sensitivity to the vaccine because of the recent infection. She understood and consented anyway.

ID: 0926053
Sex: F
Age: 40
State: GA

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies: sulfa

Symptoms: Localized swelling/redness/warmth/soreness that started on the day after vaccine. I thought it was just a normal vaccine reaction because I have had those in the past. It seemed to get a little smaller and less red/warm in the next few days but then started to get more red and swollen in the past 24-48 hours. It has been a week since the vaccine. It is itching some now for the past 2 days as well.

Other Meds: Levothyroxine 50mcg, ashlyna

Current Illness: none

ID: 0926054
Sex: F
Age: 37
State: OK

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

Lab Data:

Allergies:

Symptoms: Patient began to have tingling under her right eye and face, then she began to have a rapid pulse (156), she felt chest heaviness, contact clinic. Clinic suggested taking patient to the hospital to be evaluated. Patient decline the ride to clinic but stated she would have her spouse take her to the hospital.

Other Meds:

Current Illness:

ID: 0926055
Sex: F
Age: 50
State: NY

Vax Date: 12/27/2020
Onset Date: 01/04/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data: n/a

Allergies: sulfa iodine

Symptoms: Noticed a 2-3 inch hard, red itchy patch near injection site. Started on Day 8 post-vaccination. Used hydrocortisone 2.5% cream once. Resolving on Day 11 post-vaccination.

Other Meds: levothyroxine 125 mcg orally daily

Current Illness: n/a

ID: 0926056
Sex: M
Age: 51
State: KY

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

Lab Data:

Allergies: None

Symptoms: Injected in the right arm. Woke up this morning to the right underarm lymph node swollen and tender to the touch. No redness, no rash, not warn to the touch. Fatigue and body aches also accompany the adverse effects this morning.

Other Meds: Lisinopril Adderall

Current Illness: None

ID: 0926058
Sex: F
Age: 21
State: FL

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

Lab Data: N/A

Allergies: None

Symptoms: Localized redness in a circular shape at and surrounding injection site. Along with redness, the area of skin is itchy, raised, and hot to the touch. Symptom developed 7 days after receiving dose 1 of the COVID 19 Moderna vaccine.

Other Meds: Methylphenidate 20 mg Blisovi Fe 1.5/30 birth control pill

Current Illness: None

ID: 0926059
Sex: F
Age: 42
State: LA

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

Lab Data:

Allergies: No

Symptoms: 3/4 Inch round mild swelling locally to site of injection - painfull to touch. Was not hard or spread beyond initial 3/4 inch lump

Other Meds:

Current Illness: No

ID: 0926060
Sex: F
Age: 30
State: IL

Vax Date: 12/28/2020
Onset Date: 01/06/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data: No tests have been run at this time.

Allergies: Ceclor-hives Augmentin-hives

Symptoms: On 1/4/21 patient had itching to both hands(possibly from dry skin). On 1/6 patient stated her left hand swelled at around 1:00pm, then her first two fingers on her right hand swelled and first two fingers on her left hand were numb for approximately 45 minutes. Patient was seen by her primary care provider, no treatments have been done at this time. Dr. thought patient was having a systemic response when she woke up this morning (1/7/21) with no swelling or any other problems.

Other Meds: Emagality-for migraines Ativan- PRN (has not used in over 3 weeks)

Current Illness: N/A

ID: 0926061
Sex: F
Age: 33
State: CO

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

Lab Data: Full Chemistry Lab: 12/31/20 Low magnesium, is on medications to increase levels.

Allergies: No known allergies

Symptoms: Pt. was vaccinated on 12/31/20 @ 11:07 a.m. with Moderna Vaccination. Pt. experienced some tingling on the tip of her tongue. She did not have any difficulty swallowing or breathing. She was noted to have some PVC's and because of the PVCs and the tingling in the tongue she was transported to the Emergency Room. Pt is 28 weeks pregnant with due date 03/24/21. Pt. was placed on heart monitor and noted to have PVCs , no runs noted.

Other Meds: Triamterene Hydrochlorothiaz (Maxzide) Pre-Natal Vitamin

Current Illness:

ID: 0926062
Sex: F
Age: 25
State: ND

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

Lab Data: clinic visit- zithromax started 1/5/2021

Allergies: none

Symptoms: localized reaction- pain, redness, warm to touch, inflamation

Other Meds: venaflexine, aviane

Current Illness: sinus infection

ID: 0926063
Sex: F
Age: 56
State: WA

Vax Date: 12/29/2020
Onset Date: 01/06/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data: n/a

Allergies: none none

Symptoms: 1 week plus 1 day post vaccination my Left arm started to itch near the injection site and a red rash developed about 3 inch x 1 inch in size slightly below the actual injection point - it is still itchy and red my face also feels slightly flushed on and off

Other Meds: thyroid medication

Current Illness: n/a

ID: 0926064
Sex: F
Age: 39
State: IN

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

Lab Data: None. Treated with Motrin and Tylenol. Was still able to work with meds.

Allergies: Benzyl Peroxide

Symptoms: At approximately 3am (11 hrs after vaccine), had chills, body aches, severe headache, dizziness. Chills lasted about 4-5 hours, body aches x 24 hrs, and headache 24 hrs.

Other Meds: Spironolactone 50 mg QD for acne Microgesting FE 1.5/30 for acne

Current Illness: None

ID: 0926065
Sex: M
Age: 39
State: OH

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

Lab Data: NONE

Allergies: UNKNOWN

Symptoms: CLIENT WITH STATED HISTORY OF VASO-VAGAL REACTIONS TO "STRESS" . RECEIVED VACCINE- IMMEDIATE NO REACTION- TO OBSERVATION AREA- 5 MIN. LATER, BECOMING DIZZY, NAUSEATED, PALE. MOMENTARILY LOSS OF CONSCIOUSNESS. DIAPHORESIS. BP 120/60. PLACED ON COT WITH LEGS ELEVATED. COLOR RETURNED OVER 30-40 MIN. NAUSEA LESSENING; 12/30/2020- AGAIN SPOKE WITH CLIENT- OCCATIONAL WEAKNESS, SWEATY , VERY MINIMAL DIZZINESS WITH EXERTION. MILD LETHARGY- ALL STAYING SAME. REPORTING ON CDC-VSAFE SITE.

Other Meds: UNKNOWN

Current Illness: UNKNOWN

ID: 0926066
Sex: F
Age: 63
State: NC

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

Lab Data:

Allergies:

Symptoms: ?Moderna COVID?19 Vaccine EUA?

Other Meds:

Current Illness:

ID: 0926067
Sex: F
Age: 32
State: CO

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

Lab Data:

Allergies: Dilaudid Pumpkin Nickle

Symptoms: Large lump on right delt- Elbow to shoulder Fever Bodyaches Rash on Face and Chest

Other Meds: N/A

Current Illness: N/A

ID: 0926068
Sex: F
Age: 50
State: AZ

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

Lab Data:

Allergies:

Symptoms: COVID symptoms - fever, fatigue

Other Meds:

Current Illness:

ID: 0926069
Sex: F
Age: 54
State: NJ

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

Lab Data: She was referred to Employee Health Services

Allergies: Penicillin

Symptoms: Patient felt numbness around her nose and lips about 2 hours post vaccination.

Other Meds: Amlodipine 5 mg, Atorvastatin 40 mg, Losartan/HCTZ 100-25 mg, Vitamin D

Current Illness:

ID: 0926070
Sex: F
Age: 39
State: FL

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

Lab Data:

Allergies: sulfa and piroxicam enviromental allergies

Symptoms: Yesterday was day 8 and i woke up with my arm hot, itchy, red and had a welt about 2 inches round. its gotten slightly bigger today.

Other Meds: baby aspirin, birth control, multi vit, zinc, vit c, quercetin, zyrtec, magnesium

Current Illness:

ID: 0926071
Sex: M
Age: 1
State: WA

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

Lab Data: N/A

Allergies: None known

Symptoms: 5 hours after receiving the vaccines, the patient was unable to walk due to leg pain. He could no longer stand/walk, even when taking Tylenol. The patient was crying whenever he tried to put any weight on his legs. The next morning, the patient was still experiencing pain. 24 hours after vaccination, he was able to walk, but still limping, moving slower than normal, and needing to take Tylenol to alleviate pain.

Other Meds: Vitamin D3 Iron Supplement

Current Illness: None

ID: 0926072
Sex: F
Age: 38
State: PA

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

Lab Data:

Allergies:

Symptoms: Metallic taste in mouth, tingling in tongue

Other Meds:

Current Illness:

ID: 0926073
Sex: F
Age: 85
State: NE

Vax Date: 12/30/2020
Onset Date: 01/04/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data: n/a

Allergies: N/A

Symptoms: Swollen red rash at injection site and running down the interior arm to elbow. Itching with spreading over 2-3 days. Needed to take Benadryl at night for past 3 nights.

Other Meds: Metoprolol, and Diazide

Current Illness: N/A

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm