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: 0926479
Sex: F
Age: 31
State: OK

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

Lab Data: none

Allergies:

Symptoms: Day 1: nausea, severe stomach cramps, pain in the injection site Day 2: fatigue, tiredness, headache, chills Day 3: fatigue, raised area, itching in the arm, pain in arm Day 4: nausea, diarrhea, itching in arm, raised bump at injection site, itchy throat, cough, runny nose

Other Meds: Humara injection two times/month, Advair discus, Allegra

Current Illness:

ID: 0926480
Sex: F
Age: 53
State: MO

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

Lab Data:

Allergies:

Symptoms: Approximately 2 hours after the vaccine she reported a "spot on her arm" where the vaccine had been given, a headache and back ache. She did go to the chiropractor on 1/4, but states it did not help. She saw an allergy specialist on 1/5. As of 1/7/20 0830am she still had a headache.

Other Meds:

Current Illness:

ID: 0926481
Sex: F
Age: 23
State: IA

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

Lab Data: None

Allergies: Gluten, Bees/Wasps, Latex, & Sulfa drugs.

Symptoms: On day 1 (day I was vaccinated) I experienced severe pain in my arm where I was injected with the vaccine 3 hours after receiving it. I couldn't use my arm for the rest of the day and had to take Tylenol to help with swelling and pain. Pain was dull and throbbing. The next morning I woke up to body chills, a low grade fever, muscle aches, vomiting, exhaustion/fatigue, coughing, and diarrhea. The injection site was still very tender, sore, and swollen with limited mobility. All symptoms subsided within two days other than fatigue and a sore arm. On day 3 I developed a cough that lasted 4-5 days. Other than a cough, I had no other symptoms after that. My arm was better with no pain and easy to use. Then on day 8 my arm started to swell again and I developed a distinct rash at the injection site. The skin around the area was hot to touch and very hard and tender. I took ibuprofen and rubbed out the arm to help. I contacted my provider and she examined the arm, concerned I was having a reaction and possibly developing cellulitis. On day 9 the rash spread to the whole upper arm and shoulder were hot to touch/feverish, painful, hard, and still swollen. The swelling has continued to move up my arm. I am seeking medical attention today on 1/7/21 for treatment of possible cellulitis.

Other Meds: Armour thyroid, Phentermine, Vitamin ADK, Vitamin B12, Protandim NRF2 supplement, Probiotics, Berberine supplement, & Adrenal complex supplement.

Current Illness: Unknown

ID: 0926482
Sex: F
Age: 27
State: NM

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

Lab Data: cbc/bmp wnl

Allergies:

Symptoms: bodyaches chills mild tachycardia HR 120s

Other Meds:

Current Illness:

ID: 0926483
Sex: F
Age: 37
State: AR

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

Lab Data: none

Allergies: sulfa drugs

Symptoms: Pfizer BioNTech COVID 19 vaccine EUA- fever, headache, fatigue. Fever lasted less than 23 hours. no medications still have slight HA

Other Meds: none

Current Illness: none

ID: 0926484
Sex: F
Age: 58
State: AL

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

Lab Data:

Allergies:

Symptoms: tongue felt numb, denied shortness of breath. Benadryl 25mg given po, no rash, patient left after 20 minute observation after Benadryl given.

Other Meds:

Current Illness:

ID: 0926486
Sex: F
Age: 61
State: TX

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

Lab Data:

Allergies: Sulfa

Symptoms: I am itching all over my body. My left hand has swelling in it. It hurts and where it is swollen it is sore. My arm is weak. It is hard to lift my left arm up and put it across my chest because that hurts. It hurts in my lymph nodes and my joints. I had to go the the ER on 12/31/20 because of this. they gave me a shot of Prednisoneand Hydroxyzihe that helped for a coupled of days and then I had to go back to the ER on 1/6/21 because of the same symptoms. They gave me Benadryl,prednisone and pepcid. I am still itching.

Other Meds: Oxcarbazepine,meloxicam,Zelnorm,TemzepamAmlodipine,TrazodoneLevothyroxine

Current Illness: Hypothyroid, biopolar high blood pressure ,stiff joints

ID: 0926487
Sex: F
Age: 55
State: IL

Vax Date: 09/30/2020
Onset Date: 09/30/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data: None

Allergies: Ciproflaxin

Symptoms: Started with injection site pain and mild swelling. Proceeded to cause muscle pain in trapezoid, up neck to head. Painful sinus cavity and up neck to top of head. Muscle pain became more serious as night went on from trapezoid down throughout entire body. I became very weak and tired. The headache and muscle ache continued through the night and then very early in the morning serious shivering and shaking. Jaw clenching and nerve pain and numbness like carpal tunnel in arms and lower legs. Adverse event continued for 3 days in which I was bedridden. No fever or vomiting. I called pharmacist about pain medication, but tylenol did nothing. Halfway through day four I felt headache begin to subside as did muscle aching. It took 5 days to feel like I could do my normal daily routine. This reaction has been the reason I have delayed and dread getting the second dose. I am still unsure if I will get it or not. Horrible!

Other Meds: T3/T4 for hypothyroid Biestrogen Progesterone

Current Illness: None

ID: 0926488
Sex: F
Age: 31
State: TX

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

Lab Data:

Allergies:

Symptoms: EE reports fever of 100.3, achy, muscle and joint pain, and HA. Treatment with Tylenol with no improvement. She will continue to monitor.

Other Meds:

Current Illness:

ID: 0926489
Sex: M
Age: 79
State: MI

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

Lab Data: None needed

Allergies: Nortriptyline, latex, bandaids

Symptoms: Resident was noted yesterday to have red itchy rash to his left arm

Other Meds: Senna, Miralax,

Current Illness: None

ID: 0926490
Sex: F
Age: 40
State: MD

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

Lab Data: Unknown

Allergies: No severe allergy reaction to vaccine listed on screening checklist. Per mother-in-law (who was volunteering at today's clinic charting), patient has history of allergies and carries an epi-pen. Mother-in-law did not state what patient is allergic to.

Symptoms: Patient received vaccine and completed 15 minute observation without incidence. Patient went home. Patient's mother-in-law (MIL) was working as a MD today. About 2:15pm, the MIL notified a staff RN in the clinic that her daughter-in-law (patient) was c/o of tachycardia. The patient called her PCP who recommended she use her prescribed epi-pen and go to the ED. The MIL told the staff RN that the patient had a history of allergies and carried an epi-pen. The MIL left the clinic at that time and we have not heard any update from her or the patient. In Item 21, I selected "Emergency Room," but do not know for certain if the patient went to the ED.

Other Meds: Unknown

Current Illness: Unknown

ID: 0926491
Sex: F
Age: 26
State: WI

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

Lab Data: n/a

Allergies: NKDA

Symptoms: Temporal thermometer reading got up to 105 F, brought down to 102.9 with Tylenol(1,000 mg taken) along with tepid bath and pushing cool oral fluids, headache lasting throughout day making sensitivity to light and noise without being dizzy. ibuprofen taking q6 to help with headache.

Other Meds: Tylenol, multivitamin, vitamin D, Vitamin C, Synthroid, ibuprofen

Current Illness: n/a

ID: 0926492
Sex: F
Age: 37
State: UT

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

Lab Data: - Doctors visit required on 5th January 2021. - covid test to rule out covid 19 exposure in 6th January 2021 - (5 days off work due to illness and adverse effects).

Allergies: No.

Symptoms: 31st December 2020: mild tingling down left arm within 10 minutes of injection. Sore arm at vaccine site. 1st January 2021: increasingly sore left arm at site. 2nd - 3rd January 2021: moderately sore arm, mild dry cough and mild neck and head ache. Tiredness. 4th January 2021: moderate headache not completely relieved by pain medication, muscle aches, nerve type pain both sides of neck, fatigue. Took day off work. 5th January 2021: as with 4th January plus some loss of smell and taste, some nausea, occasional sneezing and mild sore throat. Had appointment with doctor; doctor recommended covid test also to double check. Day off work. 6th January 2021: had covid test morning. Ongoing symptoms same. Easing headache now though, more stomach irritability with eating, cannot taste or smell completely now. Needed another day off work. 7th January 2021: Awaiting covid test results, cannot work due to this and also still unwell. Ongoing symptoms including muscle aches, neck ache and feeling of nerve pain left more than right side of neck. Improved stomach, not as irritable. Another day required off work.

Other Meds: Prenatal multivitamin every second day; vitamin C

Current Illness: No.

ID: 0926493
Sex: F
Age: 44
State: GA

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

Lab Data:

Allergies: MEAT ALLERGY

Symptoms: PT DEVELOPED A MILD HIVES RASH AND ITCHY SCALP ROUGHLY 30 MINUTES AFTER VACCINATION. PT WAS GIVEN 50MG BENADRYL. PTS HIVES AND ITCHING STARTED TO FADE ROUGHLY 15 MINUTES AFTER BENADRYL WAS ADMINISTERED. PT HAD NO PROBLEMS BREATHING.

Other Meds:

Current Illness:

ID: 0926494
Sex: F
Age: 29
State: MA

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

Lab Data:

Allergies: None

Symptoms: Large itchy area of erythema and swelling

Other Meds: N/a

Current Illness: None

ID: 0926495
Sex: U
Age:
State:

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

Lab Data: Blood sugar 161, Bp 115/70

Allergies:

Symptoms: Blurred vision one eye right side blood sugar , headache, throat mild swelling

Other Meds:

Current Illness:

ID: 0926496
Sex: F
Age: 34
State: TX

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

Lab Data: none

Allergies: cinnamon

Symptoms: 30 min after administration the left side of my face went slightly numb. I also got a really bad head ache and nausea. Also neck stiffness on the same side of injection side. Next day numbness in face had gone away. But head ache and nausea was the same if not worse. Also stiffness in neck was still there.

Other Meds: Warafin 14mg

Current Illness: none

ID: 0926497
Sex: F
Age: 38
State: IL

Vax Date: 12/28/2020
Onset Date: 12/29/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data: started on antibiotic oral 01/04/21 ,saw dermatologist for eczema had Kenalog shot today 01/07/21 spoke with patient several hours after and states redness has improved

Allergies: adhesive tape ,CT dye

Symptoms: initial mild soreness then later in day 12-29-20 developed 3 in knot red and warm, gradually spread to 10 inch diameter red, warm and painful. continues red and warm to touch and painful today

Other Meds: Lisinopril, Adderall, Prilosec, Albuterol, topical eczema cream and Kenalog injection ( last dose April 2020), melatonin

Current Illness: none

ID: 0926498
Sex: F
Age: 32
State: MN

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

Lab Data:

Allergies: Shellfish, gluten, mint essential oils, cinnamon, naproxen, wheat, gluten, grass, dust mites, bees

Symptoms: Started with fatigue, dizziness, red face, headache on 1/6/2021 Upon waking on 1/7/2021, Whole body pains/ aches, soreness in all joints and worse on whole left side of body, extremely tired and headache

Other Meds: Citrizine Vitamin D Singular Prenatal vitamins

Current Illness: None

ID: 0926499
Sex: F
Age: 20
State: IN

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

Lab Data:

Allergies: None

Symptoms: Patchy red spots at Injection site

Other Meds: Birth Control

Current Illness: None

ID: 0926500
Sex: M
Age: 45
State: IL

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

Lab Data: After vaccination pt had blood pressure readings of 130/80 5 min after 150/80 15 minutes after his blood sugar readings reported by family member on scene were 325 the previous evening and 255 the morning before he came in. EMTs took a blood sugar reading 365 upon their arrival.

Allergies: none

Symptoms: Patient received vaccination approximately at 10:45 am, he had told immunizer he had felt nervous and had fainted previously with other vaccinations. Patient was monitored after vaccination patient said he felt dizzy, approximately 11:15 am he feel forward from chair and was attended to by staff. EMTs were called and patient was taken to hospital for observation. After vaccination pt had blood pressure readings of 130/80 5 min after 150/80 15 minutes after his blood sugar readings reported by family member on scene were 325 the previous evening and 255 the morning before he came in. EMTs took a blood sugar reading 365 upon their arrival.

Other Meds: Pt diabetic

Current Illness: pt diabetic with history of fainting after immunizations

ID: 0926501
Sex: M
Age: 33
State: NJ

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

Lab Data: None

Allergies:

Symptoms: Patient called stating: Nausea, muscle pain, light headed

Other Meds:

Current Illness:

ID: 0926502
Sex: F
Age: 39
State: IL

Vax Date: 12/21/2020
Onset Date: 12/24/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies: Sulfa

Symptoms: Right sided facial numbness and tingling

Other Meds: Pravastatin

Current Illness:

ID: 0926503
Sex: F
Age: 69
State: FL

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

Lab Data:

Allergies: no

Symptoms: Injection site is tender, red & hard. About 3 inches in diameter. Applying heat and taking ibuprofen starting today 1/7/2021. No fever or other symptoms. contacted family physician. I will call him tomorrow, 1/8/2021, if no improvement.

Other Meds: hydrochlorothiazide multi-vitamin calcium losartan

Current Illness: no

ID: 0926504
Sex: F
Age: 58
State: NM

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

Lab Data:

Allergies: Latex

Symptoms: On January 6 i developed a rash on the injection site and 1 day after skin is peeling off

Other Meds: Multivitamin Calcium vitamin Biotin Fish oil

Current Illness: None

ID: 0926505
Sex: F
Age: 63
State: GA

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

Lab Data: None

Allergies: Tylenol, asa, codeine

Symptoms: Extremely tired, nauseous, body pain, headache, low grade temperature. Started the evening of the vaccine 1/5/21 and symptoms has gotten worse.

Other Meds: Ibprophen, vitamin c, turmeric

Current Illness: None

ID: 0926506
Sex: F
Age: 60
State: GA

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

Lab Data: None

Allergies: Nka

Symptoms: Body aches, fever, chills, headache, weakness, no appetite, nausea . Thus started in the middle of the 1st night till the middle of the night the 2nd night

Other Meds: Valsarten, Effexor, simvastin, estradiol, clonazapam

Current Illness: None

ID: 0926507
Sex: F
Age: 54
State: NC

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

Lab Data: None

Allergies: not available

Symptoms: Patient stated that she was feeling nauseous about 15 minutes after administration. Patient stated that she ate some food and took som acetaminophen and was feeling better as of 2:42 PM.

Other Meds: not available

Current Illness: not available

ID: 0926508
Sex: F
Age: 60
State: KS

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

Lab Data: None

Allergies: No known allergies

Symptoms: Fever as high as 103.5. Chilling and dizziness. Last about 12 hours.

Other Meds: unknown

Current Illness: Covid - 19 Oct. 2020

ID: 0926509
Sex: F
Age: 39
State: WI

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

Lab Data:

Allergies: Vicodin and Amitriptyline

Symptoms: Dizziness, severe headache, abdominal pain, diarrhea, nausea, fatigue, and muscle pain

Other Meds: Setraline, vit c & d, magnesium, iron, stool softener

Current Illness:

ID: 0926510
Sex: F
Age: 39
State: TX

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

Lab Data:

Allergies: None

Symptoms: Approx 2 minutes after injection I felt warm, flush, tachycardic, dizzy, my hands were shaking and my throat felt numb and a little swollen. I was still able to swallow and symptoms did improve after 15 minutes.

Other Meds: Multivitamin

Current Illness: None

ID: 0926511
Sex: F
Age: 41
State: TX

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

Lab Data:

Allergies: None

Symptoms: A red circle about 1" in diameter appeared on my right arm beginning the morning of 1/1/21. The circle was not in the same place as the injection site. By 1/4/21 the circle was fine and gone. The circle appeared again 1/6/21, and was more itchy and deeper in color. When I awoke the morning of 1/7/21 the circle had gotten larger in size and also other small circles appeared further up my arm. I took a antihistamine medication, Benadryl medication and have iced my arm today, but the circle and bumps are spreading further. My arm is very warm, itchy and tingly. I contacted my clinic and they suggested I report the adverse event via the VAERS.

Other Meds: Birth control pills, multivitamin, turmeric capsule, melatonin

Current Illness: None

ID: 0926512
Sex: M
Age: 21
State: AZ

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

Lab Data: EKG, CXR

Allergies: NONE

Symptoms: HEADACHE, SHORTNESS OF BREATH, INCREASED HEARTRATE, FEVER, MUSCLE ACHE, NAUSEA RASH AT SITE, CHILLS

Other Meds: NONE

Current Illness: COVID + ON 12/7/2020

ID: 0926513
Sex: M
Age: 49
State: OR

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

Lab Data:

Allergies: ampicillin, bee venom

Symptoms: moderate injection site pain and swelling, fatigue after 1 day from vaccination, day 2 from vaccination developed unwell feeling and congestion, scratchy voice, and worsening fatigue

Other Meds:

Current Illness: fatigue, muscle ache, congestion one week prior to vaccine

ID: 0926514
Sex: M
Age: 43
State: WA

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

Lab Data:

Allergies:

Symptoms: Physician came in to get 2nd Pfizer vaccine early. Two physicians came in together (husband and wife) and stated they were able to schedule early. One was given the vaccine and the other was not. When he showed the RN the vaccination card, she noted it was early, but provider stated he was going to Germany for 18 days and needed it early. Vaccine given. Second provider was counseled that it was too early and was not given vaccination. No adverse reactions reported but this is a medication error as dose 2 was given too early.

Other Meds:

Current Illness:

ID: 0926515
Sex: F
Age: 53
State:

Vax Date: 12/28/2020
Onset Date: 01/05/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Delayed injection site swelling, erythema, small vesicles at injection site.

Other Meds:

Current Illness:

ID: 0926516
Sex: F
Age: 42
State: CA

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

Lab Data:

Allergies:

Symptoms: fatigue body chills dizziness

Other Meds:

Current Illness:

ID: 0926517
Sex: F
Age: 22
State: GA

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

Lab Data:

Allergies: Penicillin

Symptoms: About 12 hours after receiving the Moderna COVID-19 Vaccine EUA (11:30 pm) I spiked a temperature of 101.6. I had body aches, exhaustion, and I was shaking. I took some Advil and started to feel a little better. I woke up this morning and had no fever but still some body aches and fatigue.

Other Meds: Omeprazole (40 mg), daily multi-vitamin, magnesium citrate, spirinolactone, and biotin.

Current Illness: n/a

ID: 0926518
Sex: M
Age: 63
State: OH

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

Lab Data: NONE

Allergies: PENICILINS, CEPHALOSPORIN, CLINDAMYSIN

Symptoms: RASH STARTED IN THE ANTERIOR WAIST , AND BIALTERAL LOWER LEGS ABOUT 30 HOURS AFTER VACCINATION. THE RASH EXTENDED TO THE ANTRIOR PELVIS, THIGH , UPPER ABDOMEN, ANTERIOR NECK AND FOREARM, AND EXTEND TO THE UPPER ARM IN 48 HOURS. THEN ABDOMINAL RASH DESAPPERED. NO-MINIMAL ITCHING, NO FIEVER , NAUSEA OR DIARRHEA. MINIMAL HEADACH AND ABDOMINAL PAIN. NO TREATMENT.

Other Meds: MTOPROLOL 50 MG, LISIONOPRIL 10 MG, SIVASTATIN 20 MG, ASPIRIN 81 MG, VIATMIN D3 1000UNIT, MULTIVIATMIN, VITAMIN C 500MG

Current Illness: NONE

ID: 0926519
Sex: F
Age: 56
State: NJ

Vax Date: 12/19/2020
Onset Date: 12/26/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data: None

Allergies: Penicillin

Symptoms: Pfizer-BioNTech COVID- 19 Vaccine EUA. Vaccine recipient received Pfizer-BioNTech vaccine on 12/19/2020. On 12/26/2020, the area on the left arm where the vaccine was administered started to get sore again, numb to the touch, and was throbbing sometimes. She reported that when she raises her arm up, it feels like something is tearing and sometimes feels weak. On 12/27/2020, she woke up with vertigo which subsided but has been lightheaded ever since and feeling off-balance. She also reported to have loud noises coming from her ears described as hissing sounds. This has been constant. She noted that years back, on two separate times she received chemotherapy treatment which really affected her ears. It felt like there was pressure and same kind of noises. She is pending occupational health follow-up.

Other Meds: Calcium, Magnesium, Zinc, Vitamin D, Allegra, Protonix, Levothyroxine, Irbesartan

Current Illness: None

ID: 0926520
Sex: F
Age: 47
State: TX

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

Lab Data: N/A

Allergies: Penicillin, Sulfa

Symptoms: Headache, fever, muscle pain, joint pain, chills, fatigue, pain at injection site, overall not feeling well

Other Meds: None

Current Illness: NONE

ID: 0926521
Sex: M
Age: 92
State: NE

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

Lab Data:

Allergies: Chlorphenromine, erythromycin, influenza virus vaccine.

Symptoms: Temp of 103.7, heart rate 120, respirations 36, Blood pressure 164/60, Oxygen level 94% @ 2 liters per nasal canola. States does not feel well. Flushed face with heavy breathing. Transported to Medical Center ER.

Other Meds: DOXYCYCLINE, HUMALOG, DILTIAZEM, LISINOPRIL, HYDROCHLOROTHIAZI

Current Illness:

ID: 0926522
Sex: F
Age: 29
State:

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

Lab Data:

Allergies:

Symptoms: Lips and mouth felt numb, tongue felt thick. Able to breathe without problems. Observed for 1 hour and 15 minutes. Released from observation. Was on hold to talk with medical provider when she left.

Other Meds:

Current Illness:

ID: 0926523
Sex: F
Age: 60
State: NC

Vax Date: 12/15/2020
Onset Date: 01/15/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data: None

Allergies: Codeine, Penicillin, NSAIDS

Symptoms: Patient had swelling in face right where she had cosmetic filler injected. She said it was hot to touch.

Other Meds: Adderall, Adderall XR, Ubrelvy, Butalb/APAP/Caff,

Current Illness: None

ID: 0926524
Sex: M
Age: 36
State: CA

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

Lab Data: CBC (normal) CHem 7 (normal) EKG showed Sinus tachycardia CXR showed Small nodular interstitial coarsening bilaterally possibly from previous infection.

Allergies: None

Symptoms: Fever, Body Aches, Headache, Tachycardia

Other Meds: None

Current Illness: Covid-19 12/5/2020

ID: 0926525
Sex: F
Age: 60
State: FL

Vax Date: 12/30/2020
Onset Date: 01/03/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data: N/A

Allergies: Sulfa, Cefalosporins

Symptoms: large round reddened area at injection site, slightly hard to the touch, warm, itchy

Other Meds: synthroid, multi-vitamin

Current Illness: N/A

ID: 0926526
Sex: F
Age: 47
State: CO

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

Lab Data: Vital Signs: 109/78, RR 18, 02@RA 100%, Temp 97.7, HR 81.

Allergies: Percocet, Vicodin, antipsychotic medications.

Symptoms: Tingling/numbing of lips and sides of tongue within 10 minutes of COVID Moderna vaccination. Tongue tingling resolved withing 15 minutes, lip tingling resolved within 20 minutes per patient.

Other Meds: unknown

Current Illness: unkown

ID: 0926527
Sex: F
Age: 27
State: SC

Vax Date: 12/17/2020
Onset Date: 12/22/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data: Covid 19 results positive, Flu results negative

Allergies: No

Symptoms: After I got the vaccine I started exp chills and body ache on 12/22.I went to employee health to get tested. Since then I returned to work on 1/4 still can't smell/taste .I have to wait 90 days until I receive my 2nd dose Covid vaccine.

Other Meds: Birth Control

Current Illness: No

ID: 0926528
Sex: F
Age: 26
State: CA

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

Lab Data:

Allergies: shellfish

Symptoms: Moderna COVID-19 Vaccine EUA 12/28- vaccinated, felt like I was punched in the arm, headache 8 hours later 12/29-very bad pain at injection site and weakness in that arm, intense headache throughout the entire day, body aches especially in knees and back, exhaustion, mild nausea 12/30- pain and weakness at injection site, mild headache, mild joint pain, throat felt scratchy, mild itchy rash on waist (red/pink with some bumps, golf ball sized) 12/31- pain and weakness at injection site, mild head and joint aches 1/1- 1/5 head ache 1/5 - 1/7 itchy, puffy, red rash at injection site, tennis ball sized, hot to touch, puffiness feels firm

Other Meds: Lysine Vitamin B-12 Vitamin C

Current Illness: Herpes (HSV-1) Scoliosis

ID: 0926529
Sex: F
Age: 54
State: GA

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

Lab Data: NONE

Allergies: NO

Symptoms: 1 WEEK POST-INJECTION--NEW ONSET 5X5CM RAISED, RED, ITCHY AT INJECTION SITE

Other Meds: ALDACTONE NEXIUM VITAMIN D TUMERIC MOBIC

Current Illness: NONE

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm