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: 1019415
Sex: F
Age: 47
State: MN

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: Sulfa

Symptoms: Fever, Chills, Achey

Other Meds: Vitamin D, Lea pro, contrave

Current Illness: None

ID: 1019416
Sex: F
Age: 32
State: IN

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: N/a

Allergies: N/a

Symptoms: High fever of 103.4, fatigue, body aches, headache, vomiting

Other Meds: Birth control

Current Illness: N/a

ID: 1019417
Sex: F
Age: 54
State: ND

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

Lab Data: None

Allergies: None

Symptoms: Chills, headache, night sweats, upper arm soreness, fatigue

Other Meds: Probiotic

Current Illness: None

ID: 1019418
Sex: F
Age: 95
State: MA

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Error: Incorrect Reconstitution

Other Meds:

Current Illness:

ID: 1019419
Sex: F
Age: 22
State: IA

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

Lab Data: N/A

Allergies: Sulfa

Symptoms: Patient developed insomnia, chills, hot flashes, and queasiness a bit after midnight the day after vaccination. Patient contacted their personal physician to seek medical advice on 02/10/2021 at 0745. According to the patient, the physician indicated that the reaction was not serious but that the patient should call again or go into the hospital if symptoms worsen.

Other Meds:

Current Illness:

ID: 1019420
Sex: F
Age: 52
State: NY

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: none

Allergies: Oxaliplatin -chemo drug

Symptoms: Moderate pain in arm of the injection, some all over body aches, fatigue approximately 1 day after the second injection. After the first injection only pain in the arm which received the injection. Took 2 Tylenol with onset of the pain and repeated when necessary with the first injection. For second injection took 2 Tylenol pills and arm pain and body aches subsided. After both injections, side effects only lasted a day.

Other Meds: none

Current Illness: none

ID: 1019421
Sex: U
Age:
State: TX

Vax Date: 12/04/1989
Onset Date: 02/10/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: large rash at injection site; hives over torso

Other Meds:

Current Illness:

ID: 1019422
Sex: F
Age: 76
State: MI

Vax Date: 01/27/2021
Onset Date: 02/03/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: started on the 8th day my arm started itching i saw that it was swollen about 3 inches around and it was red and very warm to the touch and had red bumps on it, took about 3 days to recover

Other Meds: gabapentin 100 mg 3x day, Zocor 10 mg, 81 mg Aspirin, multigenic,

Current Illness:

ID: 1019423
Sex: M
Age: 69
State: MA

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Error: Incorrect Reconstitution

Other Meds:

Current Illness:

ID: 1019424
Sex: F
Age: 68
State: IL

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: swelling, muscle soreness, and red rash at and below injection site; affected area @ 3.5 inches by 3 inches that began approximately 6 hours after injection and still persists. Area is hot to touch. Also one and one-half days of shivering with mild diarrhea; temperature @ 97.6 degrees (normally 98.7). Mild dizziness on first day. Unusual tiredness on first and second day. Cough and tightness in throat beginning second day and persists.

Other Meds: Glimepiride 1MG tablet/day; Levothyroxine 0.088MG tablet/day

Current Illness:

ID: 1019425
Sex: F
Age: 34
State: MA

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

Lab Data: None

Allergies: Singulair Oak and Maple trees Grass Cold Induced Urticaria

Symptoms: On the morning of 2/9/21, large red hives on middle and lower back, small goose-bump-like rashes on top of chest and both arms. Progressed in the evening to larger, redder (more raised) rash on both arms, top of chest above breasts, and rash covering ~50% of back. Very itchy. Benadryl allows for sleep, but actual rash does not improve. On morning of 2/10/21 (today), rash on back is more pronounced and red, rash on right arm is more pronounced and red. Rash on top of chest is small, slightly less red, but still present. All areas very itchy.

Other Meds: Claritin 10 mg Vitafusion Multivitamin Vitafusion Prenatal Vitamins Rizatriptan

Current Illness: None

ID: 1019426
Sex: M
Age: 1
State: OH

Vax Date: 01/28/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: N/A

Symptoms: Patient experienced rash on trunk and legs. Fussiness, no fever

Other Meds: None

Current Illness: None

ID: 1019427
Sex: F
Age: 56
State: OH

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: Unknown

Allergies: Unknown

Symptoms: Patient had anaphylactic reaction to vaccine and was given #2 Benadryl and #2 doses of Epi-Pen before being taken to hospital by EMS.

Other Meds: Unkown

Current Illness: Unknown

ID: 1019428
Sex: F
Age: 57
State: NC

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

Lab Data: none

Allergies: none

Symptoms: Typical Moderna 2nd shot reaction... low grade chills & fever, nausea, ringing in ears and a sore arm. Should NOT have gone swimming yesterday immediately after my 2nd shot I?m such a doofus! ??????? Resting today.

Other Meds: aspirin cymbalta

Current Illness: none

ID: 1019429
Sex: F
Age: 23
State: NY

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Significant soreness in left arm and fatigue the evening of the injection. The fatigue resolved by the next morning; the soreness was noticeably better the next morning and faded over the course of the next day. Additionally, I had some mild chills and body aches the day after the vaccination, which cleared up within 24 hours.

Other Meds: None

Current Illness: None

ID: 1019430
Sex: F
Age: 46
State: GA

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

Lab Data:

Allergies: Just environmental trees, grasses, molds, dust, dander, animals etc

Symptoms: Extreme fatigue, sore arm, aches after 18hours of receiving.

Other Meds: Lisinopril, Gabapentin, Levothyroxine, Detrol LA, Rouvastatin, calcium, potassium, magnesium, biotin, Pantoprazole

Current Illness: None

ID: 1019431
Sex: F
Age: 53
State: MA

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Error: Incorrect Reconstitution

Other Meds:

Current Illness:

ID: 1019432
Sex: M
Age: 87
State: IN

Vax Date: 01/26/2021
Onset Date: 01/28/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: None. Have arthritis's in shoulders and back

Symptoms: Left arm turned red from my shoulder to my elbow. Like a big bruise , Pain in the shoulder and where the shot was given. Still have pain and redness 02/10/21. Pain keeps me from sleeping at night.

Other Meds: Left arm turn red from the shoulder down to my elbow. Left shoulder hurts and arm hurts where shot was given. Now turning dark like my whole upper arm is bruised. Arm hurts, Family doctor said to put a heat a heat pad on my arm. Hurts a

Current Illness: Lower back pain. Taking Rx

ID: 1019434
Sex: F
Age: 59
State: MI

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

Lab Data:

Allergies:

Symptoms: Red rash at injection site

Other Meds:

Current Illness: None

ID: 1019435
Sex: M
Age: 85
State:

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient got Moderna vaccine on 02-08-2021. Around 5:00 PM his arm was getting sore and was sowllen ( he said it was like a bump). He stated his temperature was 100.8. He denied any other symptoms. RN reviewed taking Tylenol or Advill, keep hydrated, monitor his temperature. RN reviewed moving arm, using cool compress on it. RN stated will follow up with him the next day.

Other Meds:

Current Illness:

ID: 1019436
Sex: F
Age: 74
State: CA

Vax Date: 01/01/2021
Onset Date: 02/07/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: Myacin drugs cause hives

Symptoms: Hives appeared on upper body, arms, face, shoulders & chest 9 days after injection. I put Benadryl lotion for itching. Hives gone the next morning but reappeared 2days later, although not nearly as severe.

Other Meds: Atorvastatin, lialda, biotin, co-q10

Current Illness: Ulcerative colitis

ID: 1019437
Sex: F
Age: 42
State: TX

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: None

Allergies: pitted fruit, soy, nuts prednisone shot- makes me hallucinate

Symptoms: Shot #1 was given left upper arm on Wednesday Feb 3 @ 1200. Reaction on Thursday Feb 4 included rash around injection site, elevation of rash, arm hurt and nausea (picture was taken). Didn't notice much on Friday Feb 5. On Tuesday Feb 9th at approx 8:15am vial test right upper arm for allergy shots (new color started). Normal reaction (for me)- failed vial test. Wednesday, Feb 10 approx 6:30am left upper arm rash appeared same size and location as Shot #1 for Vax. (another picture was taken).

Other Meds: Iron Glycinate, Xyzal, Zaditor, Flonase, Advair HFA, and Wellbutrin XL 150mg (all daily)

Current Illness: none

ID: 1019438
Sex: F
Age: 39
State: AR

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patients face became itchy and red. Patient was treated with 25mg oral Benadryl and symptoms resolved within 1 hour

Other Meds:

Current Illness:

ID: 1019439
Sex: F
Age: 50
State: MI

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Very very sore arm. And extreme fatigue.

Other Meds:

Current Illness:

ID: 1019440
Sex: F
Age: 17
State:

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: NA

Symptoms: Patient was given the Moderna vaccine. Patient's age was 17 at the time of the vaccine.

Other Meds: NA

Current Illness: NA

ID: 1019441
Sex: F
Age: 40
State: IN

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: None

Allergies: No

Symptoms: Arm pain in area of injection that evening. I could not lay on that arm due to too much pain. Next morning, I could not move left arm without severe pain. Took ibuprofen and 2 hours later, still had pain, but could somewhat move arm. Very tired/foggy. Took another dose of ibuprofen after lunch and Tylenol before bed. 2/10, continue to have left arm pain. Minimal increase in movement without the severe pain. My normal temp is 97.5. Woke up with 99.3 temp. I feel okay and not as tired. I just have severe left arm pain still.

Other Meds: Lexipro

Current Illness: No

ID: 1019442
Sex: F
Age: 84
State: FL

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: none

Allergies:

Symptoms: Did the adverse event start after the first or second vaccination? both Date and time of vaccination: (list both if they received both shots): 12-30-2020 11AM Moderna LOT # 025120A 1-26-2021 11AM Moderna LOT # : didnt have a LOT # written in Pain in arm 1-26-2021 pain at injection site immediately and now achy . pi point prick like pain that wakes her up while sleeping/laying down. used cold compresses and warm compresses. took OTC pain reliever and states that helped. also reports a possible lymph node swollen above/anterior the collar bone

Other Meds:

Current Illness:

ID: 1019443
Sex: F
Age: 66
State: PA

Vax Date: 02/02/2021
Onset Date: 02/03/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: Penecillan

Symptoms: arm soreness, chills, fatigue treated with rest, lasted approximately 1 day

Other Meds: Vitamin D, pravastatin 20. mg

Current Illness: none

ID: 1019444
Sex: M
Age: 59
State: MA

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Error: Incorrect Reconstitution

Other Meds:

Current Illness:

ID: 1019445
Sex: M
Age: 55
State: VA

Vax Date: 01/01/2021
Onset Date: 01/27/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: EEG, MRI

Allergies: None

Symptoms: gran mal seizure

Other Meds: None

Current Illness: None

ID: 1019446
Sex: F
Age: 88
State: KS

Vax Date: 01/11/2021
Onset Date: 01/24/2021
Rec V Date: 02/10/2021
Hospital: Y

Lab Data: Please check with hospital many and multiple test run

Allergies: None

Symptoms: Was admitted to hospital on January 24th for unexplained weakness and dizziness - I noticed she was slurring her speech starting around the 20th of January. Hospital could not determine cause and she was released into nursing facility on the 28th. Did not recover. Received her second dose of Pfizer Covid vaccine at nursing home on Feb 4th. Starting having symptoms of slurred speech and became more weak. Labs on Feb 6th indicated very low hemaglobin levels and was admitted to the hospital on Feb 6th for transfusion. She is requiring transfusions of blood and iron. Possible ITP?

Other Meds: Multiple including: Metformin, Placid, high blood medicine includes other

Current Illness: Diabetes, high blood pressure other

ID: 1019447
Sex: F
Age: 72
State: VA

Vax Date: 02/06/2021
Onset Date: 02/08/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: BP: 155/??, Temp: 99.3, Diabetes finger stick: 100

Allergies: n/a

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA tiredness, headache, chills, nausea, vomit, feeling unwell, dizziness and weakness

Other Meds: Vitamin D3 5000 IU daily, Escitalopram 10 MG tablet daily.

Current Illness: n/a

ID: 1019448
Sex: M
Age: 60
State: MA

Vax Date: 02/08/2021
Onset Date: 02/01/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Caller stated that he had his shot in the right arm and hour later he developed hives to the left side of his face. He took 50mg of Benadryl and the symptoms went away. He denies any other concerns at this time. Member informed to report the symptoms to website and follow up with his PCP or call back if he develops new symptoms.

Other Meds:

Current Illness:

ID: 1019449
Sex: M
Age: 36
State: IN

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Body aches body chills weak arm and shoulder aches

Other Meds:

Current Illness:

ID: 1019450
Sex: F
Age: 42
State: IL

Vax Date: 02/01/2021
Onset Date: 02/10/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: I did have a blood draw for my annual physical on Feb. 9 from the same arm, not related to the COVID-19 vaccine, but I don't now if the simple act of drawing blood from that arm could have exacerbated it.

Allergies: dust, mold, ragweed, tree pollen, cats

Symptoms: Shortly after the injection, I had some typical redness, pain and swelling that peaked on the day after the injection, and completely resolved within a few days. Then on Feb 10, so nine days after the injection, a red welt appeared around the injection site (about 2" diameter). It's firm, somewhat raised and slightly itchy, similar to a large mosquito bite.

Other Meds: Smartypants Women's Multivitamin, Vitamin D (5000 IU), Vitamin C (1000 mg)

Current Illness: None

ID: 1019451
Sex: F
Age: 50
State: UT

Vax Date: 01/25/2021
Onset Date: 01/28/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: No new results, last CBC Jan 11

Allergies: None known

Symptoms: Prolonged menstrual bleeding (Jan 19- continuing.) Prior max 10 days before treatment Oct 2019 GYN visit not available until Mar 7

Other Meds: Fluoxetine 20 mg daily Ferrous sulfate 325 mg every other day

Current Illness: No

ID: 1019452
Sex: F
Age: 35
State: NV

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Fever, lost feeling of face, tingling in hands and feet, severe vertigo, difficulty breathing, body aches, severe headache, nausea, loss of vision, vomiting, confusion. Symptoms were most severe for 36 hours although still currently have many of them.

Other Meds:

Current Illness:

ID: 1019453
Sex: F
Age: 57
State: MA

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Error: Incorrect Reconstitution

Other Meds:

Current Illness:

ID: 1019454
Sex: F
Age: 41
State: NY

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Moderna COVID-19 vaccine EUA sore arm, fever 101.1, chills, body aches, fatigue.

Other Meds: Junel fe

Current Illness:

ID: 1019455
Sex: F
Age: 82
State: FL

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

Lab Data:

Allergies:

Symptoms: Client verbalized feeling nauseous and weak. Client was evaluated by rescue and released to go home at 10 am.

Other Meds:

Current Illness:

ID: 1019456
Sex: M
Age: 47
State: ME

Vax Date: 01/30/2021
Onset Date: 02/01/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: unknown

Symptoms: Since receiving Moderna shot #1 vaccine I have experienced three gout attacks. It is unusual for me to have this many gout attacks in such a short time period. Additionally, physical activity has been very challenging since receiving the shot. I fatigue and become short of breath very quickly. During the first workout that I did, on 02/01/2021, after receiving the shot I became extremely dizzy, my eyes became light sensitive and my hands trembled; symptoms lasted for approximately 45 minutes.

Other Meds: N/A

Current Illness: none

ID: 1019457
Sex: F
Age: 34
State: TX

Vax Date: 01/27/2021
Onset Date: 02/03/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Loss of taste, sweet

Other Meds:

Current Illness:

ID: 1019458
Sex: F
Age: 60
State: TX

Vax Date: 02/02/2021
Onset Date: 02/05/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: Annual regular scheduled Mammogram was Feb 6, 2021. Called back for Sonogram Feb 9, 2021. Second Sonogram follow-up scheduled for May 10, 2021.

Allergies: None.

Symptoms: Swollen Lymph Nodes Left Underarm.... Vaccine on the Feb 2, 2021 and Annual Mammogram on Feb 6, 2021, Returned for Sonogram on Feb 9, 2021. Scheduled for second Sonogram May 10, 2021 as follow up.

Other Meds: Triameterene . Symbicort. MultiVitamin. Vitamin C.

Current Illness: None.

ID: 1019459
Sex: M
Age: 97
State: MA

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Error: Incorrect Reconstitution

Other Meds:

Current Illness:

ID: 1019460
Sex: F
Age: 77
State: AZ

Vax Date: 02/01/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: not seen anyone yet, trying to decide where to call or be seen.

Allergies: latex, beginning

Symptoms: itchy off and on days 2-9. On day 9, itch is fairly constant and area warm, distracting but not uncomfortable. Site is red, about size of dime , later in day below the site( about 2 inches) another red itchy area, about size of quarter, developed. Today, day #10 ,a larger red itchy, warm area is spreading below injection site.

Other Meds: Omeprazole, Atovastatin,Losartan,Metopalol Suc, Acyclovir, Synthroid, Singular, Esstrdiol patch, fluoxetine, Glucosamine, D3, Mag citrate, B12, Aleve, Fish oil, Collagen, juice plus (frt,berry, vegie blend)

Current Illness: none known

ID: 1019461
Sex: M
Age: 41
State: IN

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Fever, sweating, body aches

Other Meds: None

Current Illness: None

ID: 1019462
Sex: F
Age: 35
State: NY

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: fever 100.7, body ache, chills, nausea

Other Meds:

Current Illness:

ID: 1019463
Sex: M
Age: 36
State: NY

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: Urine Analysis collected 01/22/2021: urine protein 30mg/dL, large blood, 45RBC. Baseline urinalysis tested annually usually shows small to moderate blood, and no abnormal proteinuria.

Allergies: PCN: hives

Symptoms: Gross hematuria, proteinuria

Other Meds: ibuprofen 600mg TID PRN pain acetaminophen 1000mg TID PRN pain

Current Illness: none

ID: 1019464
Sex: F
Age: 38
State: CA

Vax Date: 01/13/2021
Onset Date: 01/15/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Site: Pain at Injection Site-Medium, Systemic: Other- Pain radiating from neck to deltoid "in a line." Patient believes immunizer had good technique and doesn't believe the shot was given too high on the arm. Medium; symptoms lasted 21 days.

Other Meds:

Current Illness:

ID: 1019465
Sex: M
Age: 52
State: OK

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: N/A

Symptoms: He works at two LTCF and intentionally received two vaccine doses knowing that they would be given without the proper time passing that is required by the manufacturer

Other Meds: N/A

Current Illness: N/A

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm