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: 1018172
Sex: F
Age: 82
State: CA

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies: NKDA

Symptoms: Patient reported having diarrhea throughout the night and insomnia. Patient states symptoms resolved by 6:00 AM on 02/09/2021.

Other Meds:

Current Illness:

ID: 1018173
Sex: F
Age: 68
State: MI

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: NONE

Allergies: none known

Symptoms: CHILLS, FEVER UP TO 101 DEGREES, BODY ACHES, NAUSEA, WEAKNESS LASTED FOR 24 HRS THEN WEAKNESS

Other Meds: low dose aspirin, lisinopril, atorvastatin, bupropion, omeprazole, OTC sinus or cold meds

Current Illness: none

ID: 1018174
Sex: M
Age: 52
State: NM

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: None yet

Allergies: None

Symptoms: I was fine and the next morning when I woke up my neck was hurting and stiff. I still can't move my neck up down or sideways. It is interfering with my job as well as everyday life.

Other Meds: None

Current Illness: None

ID: 1018175
Sex: M
Age: 61
State: FL

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies: Erythromycin

Symptoms: Severe headache Nausea Dizziness Began approx 2 hours after vaccination

Other Meds: 1 Bystolic 2.5mg 1 Vitamin D 5000 IU 1 Multivitamin Repatha sureclick 140 MG Auto inj. every 2 weeks (last dose taken 2/5/21)

Current Illness:

ID: 1018176
Sex: F
Age: 35
State: OH

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies: N/A

Symptoms: Painful but non-itchy red rash on left bicep about 4 inches down from the injection site (feels like pressing on a deep bruise). I got my second dose of the Moderna COVID-19 vaccine in my left deltoid on 02/08/2021 at 09:40. I noticed the rash on 02/09/2021 at 7:30, at which time it was the size of a quarter. Approximately 13 hours later it is now three inches long. Of note, I did not experience any adverse reactions other than injection site soreness with the first dose, which I received in my left deltoid on 01/11/2021 at 9:40. That reaction fully resolved within 72 hours with no sequelae.

Other Meds: amphetamine-dextroamphetamine ER, drospirenone-ethinyl estradiol, Flintstones vitamin, biotin

Current Illness: N/A

ID: 1018177
Sex: M
Age: 13
State: MA

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: NONE.

Allergies: NONE

Symptoms: PATIENT RECEIVED FLU SHOT IN RIGHT ARM, HEP A AND HPV IN LEFT ARM. COMPLAINED OF PAIN IN LEFT ARM AFTER HPV GIVEN. MONITORED X 15 MIN , ESCORTED TO WAITING ROOM SO HIS MOTHER COULD SCHEDULE AN APPOINTMENT. WHILE WALKING OUT OF WAITING ROOM, A PASSING NURSE NOTED HE DIDN'T LOOK WELL AND MOM WAS SUPPORTING HIM. HE WAS ASSISTED TO A CHAIR. NURSE OBTAINED VITAL SIGNS, NOTED ELEVATED HEART RATE AND BLOOD PRESSURE. I WAS NOTIFIED. PATIENT WAS ABLE TO WALK WITHOUT ASSISTANCE TO EXAM ROOM, WHERE HE LAY IN SUPINE POSITION FOR 10 MORE MINUTES. VITAL SIGNS WERE WITHIN NORMAL LIMITS X 2. HE SAT UP FOR A FEW MINUTES, SAID HE FELT WELL, AND LEFT WITH HIS MOTHER. SECRETARY CALLED MOM 30 MIN LATER AND SHE SAID HE WAS FINE.

Other Meds: NONE

Current Illness: NONE

ID: 1018178
Sex: F
Age: 75
State: GA

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: None

Allergies: Epinephrine, latex, MSG

Symptoms: Approx 21 hours after the shot was administered, patient became feverish, weak, dizzy, feeling chills. The shot was administered on Monday, Feb 8, 2021, at 1;05 pm, (EST). At approx 8 pm (EST) on Tuesday, Feb. 9, 2021, patient?s body temperature rose to 101.4 F. Patient continues to feel chilled. Patient has not taken any pain reliever or fever reducer do not to interfere with the action if the vaccine.

Other Meds: None at time of vaccination. Olmesartan and Synthroid taken earlier in morning. Vaccination given at 1:05 pm

Current Illness: None

ID: 1018179
Sex: F
Age: 28
State: TX

Vax Date: 02/07/2021
Onset Date: 02/08/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Fever, chills, bloodshot eyes, extreme fatigue, swollen lymph nodes (mostly left side), swollen sore left arm

Other Meds:

Current Illness:

ID: 1018180
Sex: F
Age: 38
State: KS

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies:

Symptoms: fatigue, headache, muscle aches, joint pain, chills, diarrhea, nausea, injection site pain, site tenderness, site swelling

Other Meds: Birth control Probiotic Unisom Montelukast

Current Illness:

ID: 1018181
Sex: F
Age: 33
State: AL

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: None at this time

Allergies: None

Symptoms: Arm became very sore less than 12 hours after vaccination; Sore injection site, raised inflamed bump at injection site, res circular rash encompassing and surrounding injection sight; extreme soreness in injected arm (not just when touching injection site)

Other Meds: Zoloft

Current Illness: Stomach virus 2 weeks prior to vaccine

ID: 1018182
Sex: F
Age: 67
State: PR

Vax Date: 01/26/2021
Onset Date: 01/29/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient comes in with round red area upper area of arm. Where the immunization was administered. It was red and hot at touch as described by patient. She indicated the red area was getting bigger. Advised to apply cold to area and take Tylenol. Also advised to see her physician.

Other Meds:

Current Illness:

ID: 1018183
Sex: F
Age: 68
State: FL

Vax Date: 01/19/2021
Onset Date: 01/22/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: Blood tests A1C, Vitamin D

Allergies: sulfa

Symptoms: Fatigue Apathy Unusual tiredness Body aches Headache Accelerated pulse Confusion

Other Meds: Vitamin D statins

Current Illness: none

ID: 1018184
Sex: F
Age: 50
State: UT

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: Have had nothing done, no one answered my calls.

Allergies: Pseudoephedrine

Symptoms: I started with chill, fever of 101, head ache, tired, nauseated, achy for two days, the third day severe stomach cramps from 10:00 AM to 6:00 PM, no appetite during that time, no diarrhea, the next day head ache, tired, heaviness on my head, tired, this lasted for three days. During the fourth day started perceiving a strange smell on and off, it has been 14 days and still have the smell like someone is smoking a cigar rate while in a toilet pooping. I have never smoke and hate the smell of smoke. This last symptom has been driving me insane. This is the only symptom since vaccine is lingering and is bothersome. My next shot will be on Monday the 15 of February, and I am concern, haven't been able to reach the Health Department to report or make questions, called my physician and she is out of the country, reported to the Medical Assistant who answered the phone. I only took motrin and Tylenol during the six days with the first side effects, have done nothing about the smell that is still there.

Other Meds: None

Current Illness: None

ID: 1018185
Sex: F
Age: 68
State: CA

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: N/A

Allergies: SetraDS,Ampicilian

Symptoms: 1:00pmTinglingInFace,Headache,Chills,JointPain,ElevatedBloodPressure

Other Meds: Levrothyroid,lovatatin,BioCleanse,probiotic

Current Illness: None

ID: 1018186
Sex: F
Age: 74
State: AK

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies: Celecoxib, Percocet, lactose

Symptoms: Joint and muscle pain, fatigue

Other Meds: Famotidine, gabapentin

Current Illness:

ID: 1018187
Sex: M
Age: 21
State: GA

Vax Date: 01/30/2021
Onset Date: 01/31/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies:

Symptoms: swollen uvula, nausea. Uvula swelled up the day after the vacccine adn gradually went down each day. It had gone back to normal around day 5.

Other Meds:

Current Illness:

ID: 1018188
Sex: F
Age: 37
State:

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies:

Symptoms: SOB. Transported to ED.

Other Meds:

Current Illness:

ID: 1018189
Sex: F
Age: 79
State: NJ

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

Lab Data:

Allergies: Ibuprofen

Symptoms: Reports feeling elevated heart rate post vaccination; Medical monitoring x 30 minutes; Vitals assessed BP 120/60 HR 96 02 sat 98%. rest "Feels better" after rest. Released to home, advised to f/up as needed with PMD.

Other Meds:

Current Illness:

ID: 1018190
Sex: F
Age: 36
State: CA

Vax Date: 02/04/2021
Onset Date: 02/06/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: I went to see a doctor at today through my insurance and was told it's sinus pressure and to switch antihistamines.

Allergies:

Symptoms: Stuffy ears for 4 days so far which developed 2 days after 2nd dose of Maderna vaccine. I feel like I have gone through a significant altitude change and there has been no way to "pop" my ears, through yawning, blowing out with nose plugged/mouth closed etc. It's disorienting, I had the typical fever/chills/general sick feeling for 2 days following vaccine. Not a huge deal in the scope of things but I figured I might as well report it.

Other Meds: Loratadine

Current Illness:

ID: 1018191
Sex: F
Age: 40
State: CA

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies:

Symptoms: fever bodyaches headache rash on elbow

Other Meds:

Current Illness:

ID: 1018192
Sex: F
Age: 49
State:

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Sore arm and slight headache.

Other Meds:

Current Illness:

ID: 1018193
Sex: F
Age: 82
State: MS

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: Tired, change of gait, temp of 102.2 7pm

Other Meds: Alzheimer?s patch and pill

Current Illness: N/A

ID: 1018194
Sex: F
Age: 80
State: IN

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: None

Allergies: Sulpha

Symptoms: Moderna COVID 19 Vaccine EUA Very sore arm, queasiness, chills. Next day, threw up cere all, had many bowel movements.

Other Meds: Felodopine

Current Illness: None

ID: 1018195
Sex: F
Age: 37
State: TX

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies: Hepatitis shot

Symptoms: Light headed, headache, chills, body aches, tired. Five days after the vaccine I broke out in hives in my chest and it spread slowly through out my whole body. I was itchy all over my body and it burned for a whole week. The itchiness stopped 3 days ago and my whole body just feels sensitive

Other Meds: None

Current Illness: None

ID: 1018196
Sex: M
Age: 23
State: CT

Vax Date: 02/01/2021
Onset Date: 02/09/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Arm pain, fever, severe chills, headache, malaise, joint pain, general muscle pain, fatigue

Other Meds:

Current Illness:

ID: 1018197
Sex: F
Age: 62
State: NC

Vax Date: 12/30/2020
Onset Date: 01/12/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: I never went to the doctor, I thought it was just a stomach bug, until I got the second shot, and the same symptoms started again.

Allergies: n/a

Symptoms: On Jan 12th, my stomach was upset, and the next 5 days I could not eat or drink anything . I had no fever.

Other Meds: metformin 500 er/ viibryd 40 mg/ ozempic 1ml,weekly/ rosuvastatin 10mg/ bupropion 150mg er/ D3/ fish oil/ biotin/ prevagen/ xanax/ zolpidem

Current Illness: n/a

ID: 1018198
Sex: F
Age: 49
State: AZ

Vax Date: 02/05/2021
Onset Date: 02/08/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies: erythromycin, avocado

Symptoms: Continued joint pain to hands, shoulders, and hips

Other Meds: None

Current Illness: None

ID: 1018199
Sex: M
Age: 68
State: VA

Vax Date: 01/26/2021
Onset Date: 02/07/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: None. Personal observation.

Allergies: None

Symptoms: Large reddish oval area at site of injection. Oval area approximately 7 x 2 inches raised on arm. Very itchy.

Other Meds: potassium chlorthalidone escitalopram

Current Illness: None

ID: 1018200
Sex: F
Age: 43
State: NY

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Fever 104.7 degrees, full body muscle aches, headache, nausea, chills Took Tylenol & drank water Resolved within 10 hours

Other Meds: Only daily vitamin

Current Illness: None

ID: 1018201
Sex: F
Age: 45
State: ID

Vax Date: 02/01/2021
Onset Date: 02/08/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies: lavender and scent oils, mushrooms, sulfa drugs, cat

Symptoms: About 7 days after my shot, my left arm developed a large rash at the injection site which was hard, swollen, and EXTREMELY ITCHY.

Other Meds: B-12 shots, Vitamin D, Vitamin C

Current Illness:

ID: 1018202
Sex: F
Age: 0
State: TX

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: I received the shot around 1:45 pm and I felt a warm/ burning sensation in my arm. I waited there for 15 minutes and nothing happened. I get home and still felt fine. Around 6:30 pm I started to feel neck pain and stiffness as I continued to do house chores the pain just kept going up towards my neck into my left cheek where I feel numbness. My throat and jaw hurt as well. My neck is stiff and I can?t look to the left unless I turn my body. The back my head is also starting to hurt. My arm is sore where the shot was given but what hurts most is my neck, throat and head. I have body chills but no fever. I took Tylenol and called the dr on demand who told me to take Benedryl and if the symptoms got worse to go to the hospital.

Other Meds: Nasal spray, Claritin D, birth control pill

Current Illness: Seasonal allergies

ID: 1018203
Sex: F
Age: 49
State: NC

Vax Date: 01/12/2021
Onset Date: 01/15/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Major draining of sinuses with no warning - was a constant stream of fluid running down back of throat. Hoarseness next day and then full blown sinus infection and draining into chest which resulted in asthmatic response and coughing. Started taking Motrin and used ProAir inhaler - then started Prednisone and antibiotics. Was sick for about 2 weeks. Was tested 3 times for Covid with 3 different types of tests to make sure it was not Covid

Other Meds: Zyrtec D, EmergenC Immune Plus, Vitamin D, Singulair

Current Illness:

ID: 1018204
Sex: F
Age: 59
State: NM

Vax Date: 01/31/2021
Onset Date: 02/08/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: None

Allergies: Reaction vomiting when taking codeine

Symptoms: Immediately after injection i had extreme fatigue and muscle soreness around the injection site with firm red swelling that lasted for 2 days. Then on the evening of 2/8/2021 the muscle below the injection site became red,swollen, firm, warm to touch and itching. The fatigue also came back. It is 6:38 pm on 2/9/2021 and I am still suffering the above symptoms.

Other Meds: Multi collagen protein powder

Current Illness: None

ID: 1018205
Sex: F
Age: 67
State: CA

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: None

Allergies: Penicillin and peanut

Symptoms: Right arm and right side of neck went numb between 08:40am and 09:10am.

Other Meds: Omega 3, Glutathione, CoQ10, B complex, nattokinase, DIM Cruciferous/Sulforaphane complex, Bee Propolis, CBD oil

Current Illness: Breast cancer

ID: 1018206
Sex: M
Age: 17
State: MA

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies:

Symptoms: The Moderna COVID Vaccine was administered to this 17 year old because his mother put her own DOB (not his) in the system while registering him for an appointment; for this reason his underage status was not flagged. He attended a COVID vaccination clinic as he works for the Fire Department. No side effects or adverse reactions were reported by patient/family. This was recognized when he could not register for his 2nd dose appointment.

Other Meds:

Current Illness:

ID: 1018207
Sex: F
Age: 78
State: CA

Vax Date: 01/29/2021
Onset Date: 02/06/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: CBC w/Diff, CMP, CRP drawn today 02/09/2021

Allergies: Ceclor, Bactrim

Symptoms: Patient in after having vaccine related skin reaction after COVID vaccine, initially spreading and cellulitis like near vaccination site upper L arm, but no painful but itching sometimes. Patient got injection on 01/29/2021. Woke up on 02/06/2021 with itchiness and was scratching injection site. She noticed redness and small bump on injection site and just below injection site. Contacted provider who prescribed Zithromax and Bactrim. Pt seen in office on 02/09/2021 to assess Injection site reaction. Pt to continue Zithromax and DC Bactrim after one day due to secondary rash. Also prescribed Loratadine 10mg on 02/09/2021.

Other Meds: Vagisan suppository, calcium, vitamin D, omega 3, vitamin B.

Current Illness: None

ID: 1018208
Sex: F
Age: 67
State: NV

Vax Date: 12/21/2020
Onset Date: 12/27/2020
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Infection in gums, burning on roof of mouth and lips, white bumps on tongue and floor of mouth

Other Meds: Enalapril, Ozempic, Metformin, Simvastatin, Invokana, Vitamin D, Centrum Silver

Current Illness:

ID: 1018209
Sex: F
Age: 38
State: NY

Vax Date: 12/01/2020
Onset Date: 01/06/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: none

Allergies: None

Symptoms: Fatigue, myalgia, arthralgia

Other Meds: None

Current Illness: upper respiratory illness few days prior to vaccine

ID: 1018210
Sex: F
Age: 37
State: TX

Vax Date: 02/01/2021
Onset Date: 02/08/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: None

Allergies: Penicillin

Symptoms: Covid arm. Swollen, itchy, hot, red rash at injection site. About 2-3? in diameter. Started small about the size of a nickel. 24 hrs later it?s 2-3?.

Other Meds: None

Current Illness: No

ID: 1018211
Sex: F
Age: 21
State:

Vax Date: 11/13/2020
Onset Date: 11/13/2020
Rec V Date: 02/09/2021
Hospital:

Lab Data: left shoulder x-ray, chest x-ray, blood work, EKG, left shoulder MRI

Allergies: no known drug allergies

Symptoms: patient reports left shoulder pain that began immediately after "flu" vaccine provided at a different doctor's office then the reporting provider. The patient was seen for this shoulder pain 2 times following vaccine administration, was also seen in the emergency room. The patient underwent chest x-ray, left shoulder x-ray, lab work, EKG. The patient presented to orthopedics, repeat x-ray and then MRI were obtained. MRI reveals bone marrow edema of the humeral head, edema of the infraspinatus tendon. The patient had no prior pain, no injury, and young age does not lend itself to degenerative causes. Patient being diagnosed with shoulder injury related to vaccine administration, SIRVA.

Other Meds:

Current Illness:

ID: 1018212
Sex: F
Age: 53
State: KS

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: None

Allergies: Tetanus vaccine

Symptoms: Headache, fever, chills, body aches, severe fatigue

Other Meds: Estrace 1mg daily Nortryptline 25mg daily Nexium 40mg daily Probiotics daily Vitamin C gummy x2 Calcium gummy Multivitamin gummy x2

Current Illness: None

ID: 1018213
Sex: M
Age: 46
State: TX

Vax Date: 02/03/2021
Onset Date: 02/08/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Severe headaches on day 5 after receiving vaccine; took Tylenol every four hours and was relieved

Other Meds: Prescribed Blood pressure medication Prescribed Thyroid medication Prescribed Appetite suppressant for weight loss Prescribed testosterone injection Vitamin d3 Zinc Fish oil Vitamin B12 Thyroid booster vitamin Dim plus

Current Illness: None

ID: 1018214
Sex: M
Age: 60
State: NJ

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies: Reports shellfish allergy

Symptoms: Reports soreness and tingling at site of vaccine administration, denies any additional complaints; no swelling or redness noted. Medical monitoring x 30 min; reports symptoms subsided post rest. BP 136/89 HR 72 Released home from facility to self, encouraged PMD prn

Other Meds:

Current Illness:

ID: 1018215
Sex: F
Age: 77
State: FL

Vax Date: 01/15/2021
Onset Date: 01/27/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: Chest X-ray, Lab Work, Head CT

Allergies: Morphine, Codeine, Tylox

Symptoms: Numbness, facial paralysis- Diagnosed with Bell?s Palsy. Treatment Oral Steroids, Eye drops, Speech Therapy, Accupuncture.

Other Meds: Estrace, zinc, Vitamin D3, Visalus nutritional shake mix

Current Illness: None

ID: 1018216
Sex: F
Age: 27
State: VA

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: NA

Allergies: None

Symptoms: Wheezing, coughing, chest tightness and sensation throat swelling

Other Meds:

Current Illness: None

ID: 1018217
Sex: F
Age: 61
State: IN

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: None

Allergies: Cipro Singular

Symptoms: Felt very tired. Had lots of redness around vaccinated area. 3 inches in diameter. Developed a fever of 102 for 1 day/night.

Other Meds: Lisinopril Levothyroxine

Current Illness: none

ID: 1018218
Sex: F
Age: 80
State: OH

Vax Date: 02/01/2021
Onset Date: 02/09/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient stated she observed a raised rash approximately 1 week after receiving first dose.

Other Meds:

Current Illness:

ID: 1018219
Sex: F
Age: 23
State: RI

Vax Date: 01/31/2021
Onset Date: 02/08/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data:

Allergies: Cephalosporin Amoxicillin Penicillin

Symptoms: Patient woke up with a rash at the injection site on the left arm 8 days after dose 1 of Moderna vaccine. Rash was red and circular with a lighter color in the center and about an inch in width and height. Rash was not painful, firm, warm, or itchy. Rash grew vertically throughout the day to about 3 inches in hight. Patient took an oral antihistamine (alegra) at 7pm. The following morning at 8am rash reverted toward original shape and size. Rash was 99% gone by 11am that second day.

Other Meds: Aurovela Fe 1/20 (Birth Control)

Current Illness:

ID: 1018220
Sex: F
Age: 28
State: WV

Vax Date: 02/01/2021
Onset Date: 02/08/2021
Rec V Date: 02/09/2021
Hospital:

Lab Data: N/A

Allergies: Amoxicillin

Symptoms: Red welt appeared at the site of the injection on day of vaccination and was swollen and sore. It dissipated in 48 hours. One week after the vaccination, a red, itchy rash appeared at the injection site. Looking online, it seems as if it?s called ?covid arm.?

Other Meds: Propranolol, levothyroxine, Zyrtec, fluticasone

Current Illness:

ID: 1018221
Sex: F
Age: 50
State: UT

Vax Date: 12/23/2020
Onset Date: 12/23/2020
Rec V Date: 02/09/2021
Hospital:

Lab Data: None to date

Allergies: morphine, bananas

Symptoms: Pain, swelling, formation of large, red, warm, lump, and unable to lift arm. Took over the counter pain relievers, tried cold and warm compresses. Redness, warmth, and lump resolved after 3 weeks. Still will left arm pain. Painful to lift and abduct arm.

Other Meds: levothyroxine, omeprazole

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm