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: 1019517
Sex: F
Age: 45
State: TN

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

Lab Data: GOING TO ASTHMA CLINIC 2/11/2021. WENT TO WALK IN CLINIC 1/24/2021 COVID SWABBED AND WAS NEGATIVE

Allergies: PCN, Benadryl

Symptoms: FOR THREE DAYS COULD NOT LIFT MY HEAD WITHOUT VOMITING, HAD A COUGH AND FATIGUE. WENT TO A WALK IN CLINIC ON DAY 4 ENDED UP GETTING COVID SWABBED AND IT WAS NEGATIVE AND TOLD TO REST AND DRINK FLUIDS. HERE IT IS DAY 20 AND I AM STILL COUGHING NON STOP AND VERY FATIGUED BY AFTERNOON I JUST NEED TO REST. I AM USING MY RESCUE INHALER FREQUENTLY DURING THE DAY AND ALSO USING MY MAINTENANCE INHALER WITH MINIMAL RELIEF. MY BACK ALSO HURTS IN MY SHOULD BLADES AND FEELS LIKE SOMEONE HAS PUNCHED ME.

Other Meds: Arnuity Inhaler one puff per day for asthma

Current Illness: only had a cough after first dose for 5 days then better.

ID: 1019518
Sex: F
Age: 46
State: OH

Vax Date: 01/29/2021
Onset Date: 01/31/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: none

Allergies: peanuts, depocaine, PCN, ampicillin, codeine, phenobarbital, erythromycin

Symptoms: hives on bottom of foot, chest and back of leg. Tx: Benadryl tablets, neosporin

Other Meds: keppra, folic acid, laxatives, flonase, oxycontin, percocet, valtrex

Current Illness: none

ID: 1019519
Sex: F
Age: 32
State: PA

Vax Date: 01/13/2021
Onset Date: 01/20/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: N/A

Symptoms: PATIENT FEELS BUMP, REDNESS, AND WARMTH AT INJECTION SITE REACTION AFTER ONE WEEK, AND IT FEELS SENSITIVE TOO.

Other Meds: N/A

Current Illness: N/A

ID: 1019520
Sex: F
Age: 45
State: GA

Vax Date: 12/22/2020
Onset Date: 12/26/2020
Rec V Date: 02/10/2021
Hospital:

Lab Data: NONE

Allergies: DOXYCYCLINE, FLAGYL.

Symptoms: WOKE UP NEXT MORNING WITH FEVER, CHILLS, BODY ACHES, TOOK IBUPROFEN, VITAMINS B, C, ZINC, ECHINACEA, ELDERBERRY AND IT RESOLVED BY NEXT MORNING. JUST HAD SORENESS AND MORE PAIN AT INJECTION SITE THAN I EXPERIENCED AFTER TWO PREVIOUS SHOTS. 12/26/27 - NOTICED ITCH AT INJECTION SITE AND BY AFTERNOON IT WAS RED, RAISED, AND SWOLLEN WITHOUT SCRATCHING OR IRRITATION BY ME. THIS TOOK ABOUT TWO WEEKS TO RESOLVE BUT LEFT A MARK A SHADE DARKER TO MY COMPLEXION AND THE AREA STILL THROBS INTERMITTENTLY TO DATE. 1/22/2021 - HAD FEVER, CHILLS AND BODY ACHE AGAIN THAT RESOLVED BY NEXT MORNING WITH IBUPROFEN, AS LISTED ABOVE.

Other Meds: VITAMINS B, C, D, ZINC, ECHINACEA.

Current Illness: NONE.

ID: 1019521
Sex: F
Age: 65
State: SC

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: No tests

Allergies: penicillin, latex, sulfa

Symptoms: Dizziness, vomiting, muscle weakness, headache, congestion, dry mouth, fever - Symptoms are waning by the fifth day.

Other Meds: Triamterene w/HCTZ , carvedilol, ezetemide, famotodine, microbid, Vitamin D, Calcium, Zinc

Current Illness: UTI

ID: 1019522
Sex: M
Age: 74
State: MO

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: none listed

Symptoms: patient compliant of dizzy

Other Meds: unknown

Current Illness:

ID: 1019523
Sex: F
Age: 65
State: IN

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

Lab Data:

Allergies:

Symptoms: Flu like symptoms: chills, joint aches. No fever

Other Meds: Tylenol

Current Illness:

ID: 1019524
Sex: F
Age: 21
State:

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

Lab Data:

Allergies:

Symptoms: Woke up at 5 am to a migraine and a fever of 102.1. I was sweating. I had muscle aches. When I woke up later my fever and migraine was still there. The rest of the day I was fatigued and nauseous.

Other Meds: Mono-linyah Women?s daily vitamins

Current Illness:

ID: 1019525
Sex: F
Age: 79
State: NE

Vax Date: 02/05/2021
Onset Date: 02/08/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: None

Allergies: frutose intolerant, leviquin mood changes, Allopurinol dizzy, Calavuionate-dirreha, Probenecid

Symptoms: I recieved the shot on 2/5/2021 on 2/8/2021 I was off balance all day. I would run into walls and doors. As I went down the steps of my home I couldn't stop at the bottom. I ran into the door and it stopped me. I was this way all day. When I got up the next morning on 2/9/2021 I was o'k until around 9:00 then my tongue got sore and my mouth got all coated. My whole mouth was coated. Around 10:00 my tongue swelled. This lasted all day. The next morning I was fine.

Other Meds: steriod shot= once every 3 months, Diltiazem=1x2 a day, GabapentinCap 300mg=3x2 a day, Furosemide 40mg=1 a day, Lisinopril 5mg= 1 a day, Fluticasone Propionate= 2 sprays daily, Uloric 40 mg= 1 a day, Prednisone=3 a day,

Current Illness: None

ID: 1019526
Sex: F
Age: 66
State: VA

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

Lab Data:

Allergies: Statins

Symptoms: Initially I had headaches every afternoon, my skin felt like it was crawling, my eyes felt like they had grit in them and I had blurred vision.....these resolved for the most part in a few days. Five days later a whelp appeared on the arm that was used down near my elbow and my face was flush and blotchy...I took Benadryl and it subsided. Ten days later I woke up with redness, bumps that almost look like blisters. swelling, and a warm arm near the injection site.

Other Meds: Synthroid Vitamin D Vitamin B12 Montelukast

Current Illness:

ID: 1019527
Sex: F
Age: 46
State: MI

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: was put on predisone

Allergies: morphine

Symptoms: severe chest pains body fatigue little cough rash on shoulders (all thing sI had when I had COVID in April) chills

Other Meds: Estrace 1mg BID HTZC 1BID Prenatal vit Vit D

Current Illness: na

ID: 1019528
Sex: M
Age: 28
State: IN

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

Lab Data:

Allergies: Augmentin

Symptoms: Flu like symptoms, headache, body aches, uncontrollable shivering the night after, muscle fatigue and soreness

Other Meds: Zyrtec 10mg, peppermint oil, psyllium husk fiber capsules, vit d 2000iu, pimecrolimus cream topically

Current Illness: Ongoing sinus infection

ID: 1019529
Sex: F
Age: 56
State: AL

Vax Date: 12/30/2020
Onset Date: 01/12/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: I reported the adverse reaction for the 1st injection to my doctor but nobody knew anything about what was going on.

Allergies: Sulfa

Symptoms: Vaccination #1, Immediately after the 1st injection had the normal arm soreness and then body aches for 3 days and no fever. BUT then 13 days later my arm at the injection site started itching and getting red. The next morning (14 days after injection) I woke up with a huge knot on my arm at the site of injection about the size of a baseball. It was bright red and extremely painful and sensitive such that I couldn't tough my arm and my shirt sleeve bothered my arm. The knot and soreness finally went away after 3 days. I still have a dark spot on my arm. Vaccination #2, I had very mild arm soreness but the next day had fever and horrible body aches. The fever started at 99.6 and spiked that evening at 102. The next morning I woke up fine with no symptoms. BUT ever since the 2nd injection I have been experiencing a fair amount of Dizziness. Sometimes its mild, other times it such that I have to grab onto something to keep from falling.

Other Meds: Zoloft, Allegra

Current Illness: none

ID: 1019530
Sex: F
Age: 85
State: CO

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

Lab Data:

Allergies:

Symptoms: Error: Incorrect Reconstitution

Other Meds:

Current Illness:

ID: 1019531
Sex: F
Age: 45
State: NV

Vax Date: 01/27/2021
Onset Date: 02/07/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: N/A

Symptoms: On day 10, a large lesion appeared around the injection site. It was 4 inches long and 2.5 inches wide, hot to the touch, itchy, swollen and hard. This is not an uncommon reaction for me. The same happens after flu shots. The only difference was the lag in reaction from vaccination. The lesion grew over a couple of days, but lessened in inflammation intensity. This is day 13 and it is gradually fading away.

Other Meds: Lo Loestrin Fe, Bupropion HCL XL, Bausch & Lomb Areds 2 vitamins

Current Illness: N/A

ID: 1019532
Sex: M
Age: 29
State: WI

Vax Date: 02/07/2021
Onset Date: 02/08/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Sore arm started 2 hours afterwards and continued for 2 days. 13 hours post vaccination I woke up shaking, thinking it was due to cold I added extra covers, shaking continued for approximately two hours. The next morning fever and severe nausea caused me to miss work.

Other Meds: Rosuvastatin 5mg

Current Illness: None

ID: 1019533
Sex: F
Age: 43
State: NY

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

Lab Data: Vital signs and oral diphenhydramine

Allergies: aspirin

Symptoms: Patient complained of numbness around mouth post vaccine. Oral diphenhydramine 25 mg x 1 dose was administered and symptoms resolved

Other Meds: ergocalciferol

Current Illness:

ID: 1019535
Sex: M
Age: 33
State: IN

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

Lab Data: None at this time

Allergies: none known

Symptoms: Pain and soreness in Left Arm around injection site. Soreness with movement and touch. Soreness has lasted about 3 - 4 days.

Other Meds: Adderall XR, echinacea, L-Lysine, Multi vitamin, OTC Allergy med

Current Illness: None Known

ID: 1019536
Sex: F
Age: 70
State: FL

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

Lab Data:

Allergies: penicillin

Symptoms: Large red area(about 2.5 inches across) at injection site. hot, itchy, slightly raised Appeared on the third day and is still present on day 10.

Other Meds: plexus, thyroid meds, calcium supplements

Current Illness: none

ID: 1019537
Sex: M
Age: 36
State: FL

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: None

Allergies: Hibiscus, chrysanthemum

Symptoms: ~24 hours after receiving second dose of vaccine, patient experienced acute tinnitus of the right ear canal. Level of tinnitus subsided to a more tolerable level the following day but has continued since receiving vaccination.

Other Meds: Multi-vitamin

Current Illness: None

ID: 1019538
Sex: F
Age: 56
State: PA

Vax Date: 01/09/2021
Onset Date: 02/07/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: COVID-19 test

Allergies:

Symptoms: Patient received first COVID 19 PFizer-BioNTech vaccine on 12/21 and her second dose on 1/9. On 2/7/21 she started experiencing covid related symptoms and tested positive on 2/8/21.

Other Meds:

Current Illness:

ID: 1019539
Sex: M
Age: 69
State: AZ

Vax Date: 01/27/2021
Onset Date: 02/04/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: None

Allergies: sulfa drugs

Symptoms: Injection site rash and SEVERE arm, shoulder and elbow pain that has not resolved as of today's date.

Other Meds: clonazapam

Current Illness:

ID: 1019540
Sex: F
Age: 44
State: PA

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

Lab Data:

Allergies: unk

Symptoms: Systemic: Other- approx. 48 hrs. post 2nd vax on 2/1/21, patient exp in L (dominant) arm generalized hypothesia in L wrist & parathesia L hand & fingers. Moved to R hand on 2/4/21 less pronounced. Lasted 2 days

Other Meds:

Current Illness:

ID: 1019541
Sex: F
Age: 42
State: OH

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

Lab Data:

Allergies: NKA

Symptoms: Swollen lymph node above left clavicle the size of avocado, pain and tenderness in neck and left shoulder.

Other Meds: Levothyroxine

Current Illness: None

ID: 1019542
Sex: F
Age: 90
State: MI

Vax Date: 01/23/2021
Onset Date: 01/27/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: "LOTS OF ANTIBIOTICS" cannot provide names

Symptoms: left arm swollen, red, itchy and "feverish. Patient went to the clinic initially provided "bactrim" - helpful with cellulitis. Patient then went to the Emergency Department 2/6/21 - for fever and body aches. Chest xray/labs/UA done with negative results. Recommended to stop bactrim and sent home.

Other Meds: ATIVAN MOTRIN PROBIOTIC LOSARTEN

Current Illness: none

ID: 1019543
Sex: M
Age: 55
State: CA

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

Lab Data: None

Allergies: penicillin - Keflex, Cipro, Levaquin

Symptoms: fever, headache, fatigue lasting over 48 hours - then itchy all over with a raised rash on torso. Today (02/10/2021) is five days after the injection and I still have an itchy rash on my torso.

Other Meds: None

Current Illness: none

ID: 1019544
Sex: F
Age: 25
State:

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: vomiting, diarrhea, fatigue, headache. called in sick to work.

Other Meds:

Current Illness:

ID: 1019545
Sex: F
Age: 51
State: AR

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

Lab Data:

Allergies:

Symptoms: Patient had tightening of the throat and was treated with 25mg oral Benadryl. Issue resolved in thirty minutes.

Other Meds:

Current Illness:

ID: 1019546
Sex: F
Age: 69
State: NY

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

Lab Data:

Allergies: Amoxicillin - Skin Rash/Hives Ceclor *CEPHALOSPORINS* - Hives Cipro *FLUOROQUINOLONES* - Hives Levaquin *FLUOROQUINOLONES* - Angioedema,Pruritus,Rash Keflex *CEPHALOSPORINS* - Hives Iodinated Contrast Media ? Hives Penicillins - Hives Declomycin - Hives

Symptoms: Injection site swelling and rash - Sliver dollar sized - mild discomfort/aching and itching - approximately 8-10 hours after injection - swelling gone 48 hours after initial injection - rash gradually dissapating with only minor discoloration 96 hours after injection

Other Meds: Levothyroxine 50 mcg; Atorvastatin 10 mg; Ferrous GLUC 240 mg Oral Tablet ; Lisinopril 5mg Oral Tablet ; MetFORMIN HCL 5000 Mg Oral Tablet ; Vitamin D3 2000 IU Oral Tablet ? 2 X; Vitamin C with Rose Hips 1000 mg ; Calcium/Magnesium/Zinc 10

Current Illness:

ID: 1019547
Sex: M
Age: 67
State: MO

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: unknown

Symptoms: wife reports - chills, increased thirst, headache, achy, tachycardia - heart rate up to 180 - states had to use "emergency medication"

Other Meds: information not given

Current Illness: none noted

Date Died: 02/06/2021

ID: 1019548
Sex: F
Age: 84
State:

Vax Date: 01/27/2021
Onset Date: 01/30/2021
Rec V Date: 02/10/2021
Hospital: Y

Lab Data:

Allergies:

Symptoms: Patient received her first covid vaccine on 1/27/21. on 1/30/21 she presented to the emergency department complaining of nausea, she had a negative work up, felt better and was sent home. on 2/5/21 she returned to the emergency department more ill-appearing and complaining of "feeling sick". she had fatigue, chills, decrease in activity level. her work up at this visit revealed multiple metabolic abnormalities, sepsis and bacteremia. She ultimately passed away at this visit with at cause of death listed as acute liver failure, pneumonia, and DIC>

Other Meds:

Current Illness:

ID: 1019549
Sex: F
Age: 52
State: FL

Vax Date: 01/16/2020
Onset Date: 01/24/2020
Rec V Date: 02/10/2021
Hospital:

Lab Data: Nothing. I called my Doctor, they didnt seem too interested and couldn?t get me in for over a week. I thought it would have been gone by then.

Allergies: None

Symptoms: On about 9th day post vaccine very sore arm. Large red hot welt. Continued for over 2 weeks. The first few days it kept getting larger and hotter. Then stayed same for about a week. After that slowly stared to fade. I can faintly still see just a title red. Never fever or anything. Just arm very hot, swollen raised rash, itchy, painful.

Other Meds: Lexapro, Xanax, metforim,Prilosec, welbrutin

Current Illness: None

ID: 1019550
Sex: M
Age: 28
State: MI

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

Lab Data:

Allergies: Mild apple and cherry allergy, mild legume allergy.

Symptoms: Moderna COVID-19 Vaccine EUA Experienced body soreness/sensitivity, soreness in arm, Fever, Chills and shivering, headache. Took Tylenol which helped with the shivers, and ibuprofen which helped with the headache. Woke up at about midnight on 2/9 with chills and then felt better by 2pm on 2/9.

Other Meds: Magnesium Supplement, Omega-3 supplement, Milk Thistle Supplement, Vitamin-D Supplment, Querecin Supplement, Albuterol inhaler.

Current Illness: back pain.

ID: 1019551
Sex: M
Age: 36
State: IN

Vax Date: 01/31/2021
Onset Date: 02/07/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: N/A

Allergies: N/A

Symptoms: One week after injection I got the "covid arm". This was extremely minor but I wanted it to be documented for scientific purposes. Injection site had previously been painful for 3 days after injection but pain had subsided. At day 7 post injection, the injection site became slightly inflamed (puffy) with minor pain that was much less severe than initial injection pain. After 24 hours these symptoms were reduced. At 48 hours symptoms were gone.

Other Meds: N/A

Current Illness: N/A

ID: 1019552
Sex: F
Age: 65
State: CA

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

Lab Data:

Allergies: NKA

Symptoms: 3? circular, indurated, reddened area at vaccination site Left arm. Slight itching.

Other Meds: Vitamin D every other day

Current Illness: None

ID: 1019553
Sex: F
Age: 69
State:

Vax Date: 01/21/2021
Onset Date: 01/24/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Decreased vision OS secondary to neuroretinitis

Other Meds: Aspirin, Atorvastin, Clonidine, Clopidogrel, Isosorbide, Lisinopril, Metformin, Metoprolol, Vitamin B12, Vitamin D

Current Illness:

ID: 1019554
Sex: F
Age:
State:

Vax Date: 01/30/2021
Onset Date: 02/06/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: Dust mites

Symptoms: I have received the Moderna Vaccine 1st done on Jan 30, 2021 as a healthcare professional (pharmacy intern). Since then, I was started on a new medication Spironolactone (white mp542 scored tablet) on February 5th, 2021. On February 6, 2021 I developed a big redness and itchiness site with what feels like knots under the skin at the site where I received my Moderna COVID19 vaccine.

Other Meds: paliperidone, lamotrigine, melatonin, famotidine, montelukast

Current Illness: acne, high dshea (spironolactone)

ID: 1019555
Sex: F
Age: 40
State: NM

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

Lab Data:

Allergies: Egg whites, lamb, spinach

Symptoms: 20 minutes after injection muscle twitching in right calf muscle and left eyebrow. 2 hours following injection, constant muscle twitching in neck, forearm, upper back, stomach, calves, thigh, hamstring, glutes, hands and eyebrow and lower lip

Other Meds: Synthroid, liothyronine, fish oil, MSM, niacin

Current Illness: None

ID: 1019556
Sex: F
Age: 49
State: VA

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

Lab Data: WBC 16, normal electrolytes.

Allergies: No drug allergies. Allergic to cantaloupe.

Symptoms: Headache, fatigue, tingling in hands, pain and spasms in hands, pain in left leg.

Other Meds: Diltiazem, proventil HFA, celexa, flonase, prilosec, tylenol #3.

Current Illness: None.

ID: 1019557
Sex: M
Age: 42
State:

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: fever. called in sick to work.

Other Meds:

Current Illness:

ID: 1019558
Sex: F
Age: 47
State: IN

Vax Date: 02/07/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Fever 102.4 onset 2am. Followed by severe right side and abdominal pain radiating from Right hip up through shoulder and head. Vomiting for 13 hours and syncope X2.

Other Meds: Wellbutrin, atorvastatin, vitamin D, vitamin C

Current Illness: None

ID: 1019559
Sex: F
Age: 50
State: AR

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

Lab Data:

Allergies: No

Symptoms: Fatigue headache muscle pain Fever Chills nausea weakness

Other Meds: Vivelle Dot 0.1 mg Dicyclomine 10mg Suraifate 1gm Pantoprazile 40mg Oscimin 0.125mg Excitalopram 5mg

Current Illness: None

ID: 1019560
Sex: F
Age: 61
State: FL

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

Lab Data: none

Allergies: Sulfa

Symptoms: Chills, Headache, Lethargy, Nausea, Lip Swelling progressing from bottom left lip ... all of these symptoms 15 hours after vaccine. Then right bottom lip 34 hours after , top lip fully swollen by 40 hours after injection. All symptoms subsided at 48hours EXCEPT top and lower lips still very swollen despite Zyrtec daily and Benedry one dose before bed on 2/9. Past history of this injections. Aug 4, 2020 I had Juvaderm Volbella injections around my lips. I called my Dr Office and got a Medrol Dose pak

Other Meds: Wellbutrin 150XL QD, Atorvastatin 40 QD, Lisinopril 40 QD,

Current Illness: None

ID: 1019561
Sex: F
Age: 49
State: MD

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

Lab Data:

Allergies: Iodine

Symptoms: Itching and redness from scratching injection site

Other Meds: Ozempic Multi-vitamins Vitamin D

Current Illness: Insulin resistant

ID: 1019562
Sex: F
Age: 23
State: TX

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Fever: 102 Fahrenheit

Other Meds:

Current Illness:

ID: 1019563
Sex: M
Age: 53
State: MN

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

Lab Data: No tests - took a hot bath and Benadryl about 4:30 PM and the condition subsided considerably. Slept from 8:00 Pm until 5:00 AM and woke to no rash and no itching sensation.

Allergies: None

Symptoms: Mild itching about 9:00 AM that escalated to a rash on my upper arms, stomach, thighs and feet. The itching sensation increased considerably throughout the day.

Other Meds: None

Current Illness: None

ID: 1019564
Sex: M
Age: 81
State: IN

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

Lab Data:

Allergies: NONE

Symptoms: SORE ARM AND SHOULDER, VERY LETHARGIC, CHEST CONGESTION, NO APPETITE, HEADACHE, UPSET STOMACH. DID NOT SEEK MEDICAL ATTENTION.. GETTING BETTER. ACCEPTED AS PART OF IT SINCE I HAD HEARD STORIES THAT THE SECOND VACINE WAS GOING TO BE WITH MORE SIDE EFFECTS.

Other Meds: ATENOLOL

Current Illness:

ID: 1019565
Sex: F
Age: 86
State: IN

Vax Date: 02/01/2021
Onset Date: 02/05/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: None

Allergies: PNC, sulfa & contrast dye

Symptoms: That night, after the vaccine, I had severe lower back spasms, really painful, but each did not last but a few seconds. There were probably 3 or 4 of them, in succession. Other than sleeping for 48+ hours (except to eat) and a very sore arm vaccine site, and swollen (and still so, but improving), but no other events. No treatment except as given (Tylenol & ibuprofen), no other symptoms, etc.

Other Meds: Tylenol & ibuprofen at 2 pm & 6 pm and every 4 hours all night

Current Illness:

ID: 1019566
Sex: F
Age: 66
State: CO

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: Covid swab, Rapid and PCR on 2/4/2021; both negative

Allergies: Penicillins; Sulfa; Sulfites; Levaquin Latex;

Symptoms: Received Moderna dose #2 on 1/22 @ 10 am. Fever started at 1700 same day, chills, body aches; max temp 102 on 1/23; resolved on 1/24. Second illness with identical symptoms on 1/31; lasted approx 4 days, also with fever 101.x; chills, body aches. Unsure if this was reaction or separate illness. Covid swab, both rapid and PCR; done on 2/4/2021; both negative.

Other Meds: Symbicort bid; Singulair qd; Lantus 9u qhs; Lisinopril 10mg qam

Current Illness: New dx diabetes on 12/16/2020; hospitalized DKA

ID: 1019567
Sex: F
Age: 62
State: MO

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: n/a

Allergies: unknown

Symptoms: arm sore, achy, shoulder and neck pain, nausea and diarrhea, acid reflex, gassy

Other Meds: list not given

Current Illness: none noted

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm