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: 1029763
Sex: F
Age: 50
State: OR

Vax Date: 02/01/2021
Onset Date: 02/13/2021
Rec V Date: 02/14/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: Large raised welt, at least 3" diameter. Hard, red, painful to touch.

Other Meds: Venlafaxine, spironolactone, adderall,

Current Illness: None

ID: 1029764
Sex: F
Age: 21
State: IL

Vax Date: 02/13/2021
Onset Date: 02/14/2021
Rec V Date: 02/14/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: Sore arm, body aches onset at 12:30am

Other Meds: Prescriptions: Junel Fe (birth control), glycopyrrolate OTC: generic allergy medicine, baby aspirin Supplements: vitamin D

Current Illness:

ID: 1029765
Sex: F
Age: 33
State: IA

Vax Date: 02/11/2021
Onset Date: 02/14/2021
Rec V Date: 02/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Visual disturbances 3 days after 2nd Pfizer dose - Floaters in the middle of my visual field wouldn't move and blurred my vision. Flashes/swirls of light. Struggled to read text. This lasted 2 hrs or so and finally gradually improved. I have NEVER had anything like this before. My mom had this EXACT same thing happen 2 days after her 2nd Moderna dose except hers hasn't gone away.

Other Meds: Ortho Tri Cyclen

Current Illness:

ID: 1029766
Sex: F
Age: 66
State: FL

Vax Date: 02/07/2021
Onset Date: 02/14/2021
Rec V Date: 02/14/2021
Hospital:

Lab Data: None

Allergies: N/A

Symptoms: Rash on arm that got vaccine. A bit itchy. Area around injection site is slightly raised relative to the injection site, which slightly indents. Also, I still have a bruise from the shot.

Other Meds: Vitamins A, B complex, C, E, multi , fish oil

Current Illness: None

ID: 1029767
Sex: M
Age: 63
State: MO

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 02/14/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Swollen groin lymph area. Possible hernia with no history or contributing cause.

Other Meds: Zyrtec and 81mg aspirin

Current Illness: None

ID: 1029768
Sex: F
Age: 60
State: CA

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/14/2021
Hospital:

Lab Data: none at this time

Allergies: keflex; sulfa

Symptoms: Moderna Covid 19 Vaccine EUA. I hope I read the lot number correctly. I can't discern it the 0 should be a O. This the what happened. I received dose #2 on 2/12 in the afternoon. Approximately ten hours later around 2:00am I had flu-like symptoms which included body aches, chills, fever, nasal congestion which lasted all of 2/13. Upon awakening on 2/14 I noticed a bright red rash on the truck of my body (front and back.) The flu symptoms have abated.

Other Meds: Crestor; Evista; Vit D; Vit B12; Calcium

Current Illness: None

ID: 1029769
Sex: F
Age: 43
State: VA

Vax Date: 02/04/2021
Onset Date: 02/11/2021
Rec V Date: 02/14/2021
Hospital:

Lab Data: None

Allergies:

Symptoms: Covid Arm. Itchy swelling rash

Other Meds: Daily vitamins

Current Illness: Penicillin, SPF ingredient

ID: 1029770
Sex: F
Age: 55
State: CT

Vax Date: 01/06/2021
Onset Date: 01/09/2021
Rec V Date: 02/14/2021
Hospital:

Lab Data:

Allergies: Nonenone

Symptoms: Rash over entire body

Other Meds: None

Current Illness: None

ID: 1029771
Sex: F
Age: 71
State: GA

Vax Date: 01/28/2021
Onset Date: 02/11/2021
Rec V Date: 02/14/2021
Hospital:

Lab Data:

Allergies: Codeine

Symptoms: 7? x 8 ? red rash, tender to touch, warm and hard.

Other Meds: Lorastan Levthroxin Benadryl Tylenol Ibuprofen

Current Illness:

ID: 1029772
Sex: F
Age: 41
State: MO

Vax Date: 02/14/2021
Onset Date: 02/14/2021
Rec V Date: 02/14/2021
Hospital:

Lab Data:

Allergies: Sulfa

Symptoms: Severe back and abdominal pain, pain in left leg, pain in neck, hives on upper extremities 6 hours after shot, general malaise

Other Meds: Zoloft 200mg, losartan 50mg

Current Illness: None

ID: 1029773
Sex: F
Age: 31
State: CA

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 02/14/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Fever, sore arm, pain and redness at injection site

Other Meds: Multivitamins

Current Illness:

ID: 1029774
Sex: M
Age: 54
State: PA

Vax Date: 01/27/2021
Onset Date: 01/30/2021
Rec V Date: 02/14/2021
Hospital:

Lab Data: Pending

Allergies: Aspirin (full strength)

Symptoms: Dizziness weakness of my legs Unsteady on my legs Really bad headaches Nausea especially in the mornings Sick to my stomach and ongoing

Other Meds: Isosorbide45mg Topiramate 200mg 2x dly Ranexa 1000mg 2x Naproxyn gabapentin 300mg 2x dly

Current Illness: Prinzmetal Angina Thalassemia GERD Migraine

ID: 1029775
Sex: F
Age: 44
State: FL

Vax Date: 01/07/2021
Onset Date: 01/10/2021
Rec V Date: 02/14/2021
Hospital:

Lab Data: Covid negative 02/09/21 Cat scan negative 02/09/21

Allergies:

Symptoms: 01/10/21 - exacerbated trigeminal neuralgia and polymyalgia bilateral shoulder pain, had to take prednisone taper for 10 days 02/02/21 - migraine like headache started and shoulder pain continued, on 02/04/21 seen by neurologist ARNP telehealth and prescribed Cymbalta 20mg, on 02/09/21 seen in ER, Covid test negative, given migraine medicine Fioricet on 02/11 /21 seen by neurologist ARNP to restart prednisone taper and take migraine med Fioricet Migraine symptoms lessened but still present

Other Meds: Vistaril 50mg bedtime Singulair 10mg bedtime Fish oil 1 daily Neocell collagen 2 tabs daily Aloe Vera 6 tablets daily

Current Illness:

ID: 1029776
Sex: F
Age: 57
State: IN

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/14/2021
Hospital:

Lab Data:

Allergies: None Known

Symptoms: Red Bumps (rash) over torso, under arm pits, over breasts, upper thighs near groin area Shortness of breath

Other Meds: Trokendi 50mg daily, Effexer 225 mg daily, - both for vestibular migraine Celebrex 200 mg daily (osteoarthritis) Tramadol 50 mg daily when needed Alphagan Eye drops Once a day multivitamin, Echinacea, 50 mg zinc

Current Illness: None

ID: 1029777
Sex: F
Age: 22
State: MI

Vax Date: 02/14/2021
Onset Date: 02/14/2021
Rec V Date: 02/14/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Chills, aches, nausea/vomiting

Other Meds: Vitamin D, B complex, and Omega 3

Current Illness: None

ID: 1029778
Sex: M
Age: 75
State: HI

Vax Date: 01/27/2021
Onset Date: 02/03/2021
Rec V Date: 02/14/2021
Hospital:

Lab Data: Blood test

Allergies: none

Symptoms: Rash/hives appearing all over torso

Other Meds: Losartan potassium 25mg, Rosuvastatin calciu, 5mg

Current Illness: none

ID: 1029779
Sex: F
Age: 65
State: IL

Vax Date: 02/13/2021
Onset Date: 02/14/2021
Rec V Date: 02/14/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: red, swelling and itching just below injection site in left arm

Other Meds:

Current Illness: none

ID: 1029780
Sex: F
Age: 28
State: CA

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 02/14/2021
Hospital:

Lab Data:

Allergies: Allergy to certain lip balms

Symptoms: At about 9:45pm on 2/11/21 I started having body chills. Throughout the night I was freezing but my body was warm. At 3:30am my temperature was 101 degrees. I took one dose of Tylenol. At 10am on 2/12 I was fatigued, weak and had body chills. At 11am my temperature was 100 degrees. Throughout the day, I was tired and body chills on and off. I took two more doses of Tylenol throughout the day. At 4pm my temperature was 97 degrees. On 2/13 I woke up nauseated with no appetite for food up until 1pm. I took a nap and had an appetite for food at 3pm. On 2/14 I had NO symptoms.

Other Meds: Tri Sprintec

Current Illness: N/a

ID: 1029781
Sex: M
Age: 64
State: NY

Vax Date: 02/06/2021
Onset Date: 02/08/2021
Rec V Date: 02/14/2021
Hospital:

Lab Data: none so far

Allergies: none

Symptoms: Twitching in right shoulder area, twitching in right butt area, or another word to use is TREMORS. ITS BEEN ABOUT A WEEK NOW.

Other Meds: none

Current Illness: high blood pressure

ID: 1029782
Sex: F
Age: 71
State: CA

Vax Date: 01/22/2021
Onset Date: 01/23/2021
Rec V Date: 02/14/2021
Hospital:

Lab Data: EKG, blood work

Allergies: Penicillin, amoxicillin, some sulfa drugs, and cilantro

Symptoms: Heart palpatations and afib, See above

Other Meds: Pradaxa, 150 mg twice a day, DIlt-XR, 180 mg, Levothroxine,75 mvg, K-tab10 mEg, Triameeterene and Hydorchlorethiaszide, 375.mg. Phenobarbital 97.2 mg,, Atorvastatin 40 mg,, Vitamin B Complex, Folic Acid, Senior Multivitamin, and Calcium+D

Current Illness: NO illness, but underlying conditions mentioned above

Date Died: 01/28/2021

ID: 1029783
Sex: F
Age: 90
State: DE

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 02/14/2021
Hospital:

Lab Data: None

Allergies: PCN

Symptoms: Shortly after receiving the Moderna COVID-19 vaccine, patient complained of chest and stomach pain, then became very sleepy and fainted. RN was unable to obtain a manual BP; Apical pulse 36. Pulse Ox in the 70s. She was placed in bed and eventually regained consciousness. Her pulse ox improved to the 90s. BP 92/55. Her only complaint was that her hands were cold. Medical Director believes it was vasovagal syncopy due to receiving the vaccine. Patient died on 1/28/2021, due to progressive dementia.

Other Meds: CLOTRIMAZOLE TOPICAL 1% cream topical 1 app applied topically BID COLACE sodium 100 mg capsule oral 1 cap(s) orally daily MELATONIN 10 mg capsule oral 1 cap(s) orally once a day (at bedtime) MEMANTINE 10 mg tablet oral 1 tab(s) orally BID P

Current Illness: Progressive decline in ability to ambulate. Appetite and oral intake has continued to decline over the past 2 weeks.

ID: 1029784
Sex: F
Age: 75
State: MT

Vax Date: 01/23/2021
Onset Date: 01/24/2021
Rec V Date: 02/14/2021
Hospital: Y

Lab Data:

Allergies: timolol (burning)

Symptoms: Patient presented on 1/24 with acute onset weakness and numbness of the left leg so a stroke alert was activated. NIHSS 3. Head Ct and CTA head/neck were unremarkable. Not a candidate for tPA given on Eliquis. Initial exam was notable for weakness and sensory loss in the left leg, but a sensory level was also found to the umbilicus raising concern for a myelitis. Of note, the patient also reported that certain red colored things she looked at appeared black. Labs unrevealing- CBC, CMP unremarkable. ESR, CRP normal. UA and UCx positive for E. Coli UTI, she was treated with ceftriaxone. MRIs were done of her brain, cervical and thoracic spine which were unrevealing. On 1/25, her exam worsened including worsening weakness in the left leg and new numbness and paresthesias in the right leg. Reflexes were preserved. MRI L spine was done which was unrevealing. Lumbar puncture was done which showed 2 nucleated cells and mildly elevated protein at 50, but was otherwise unrevealing. IgG Index normal. No oligoclonal bands. She developed mild hyperreflexia in the left leg and continued to have a sensory level, now at around T5-6. Repeat imaging of her cervical and thoracic spine were completed on 1/28 which showed a contrast enhancing hyperintensity at T5. The patient was diagnosed with myelitis and she was started on IV methylprednisolone x5 days and sent to rehab. Patient is now significantly improved though continues to report some numbness in the left leg.

Other Meds: albuterol, apixaban, cleocin topical gel, diclofenac, diprolene ointment, estradiol, fluorometholone, lipitor, losartan, multivitamin, prilosec, tretinoin topical, valacyclovir, vitamin D3

Current Illness: None

ID: 1029785
Sex: F
Age: 35
State: AZ

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/14/2021
Hospital:

Lab Data:

Allergies: Ceclor

Symptoms: Severe full body aching, headache, fever, chills, sweating

Other Meds: None

Current Illness: None

ID: 1029786
Sex: F
Age: 58
State: MD

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 02/14/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Jan vaccine- 1 hour later and persisting for 1 week- left facial nerve neuralgia with left eye twitching (up to 2 weeks afterwards) Feb vaccine(2/11/24)- 24 hrs after vaccine- extreme SI, hip pain with inability to sit or stand- lasting 24 hours

Other Meds: General women's vitamin, vit C, vit D

Current Illness: None

ID: 1029787
Sex: M
Age: 93
State: IN

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 02/14/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Weakness (ended up falling, hitting head/hematoma)

Other Meds: None

Current Illness: None

ID: 1029788
Sex: F
Age: 72
State: CA

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/14/2021
Hospital:

Lab Data: EKG, heart/chest x-ray, bloodwork, echo, oxygen levels, covid19 test, flu tests. All done 2/12/21

Allergies: Codeine / Erethromycin

Symptoms: Day 1: headache and chills, no fever. Day 2: fatigue and chills, no fever Day 3-4 : fatigue and chills, no fever Day 5: Strong heart palpitations, chills and fatigue . Day 6-7 Heart pain, palpitations, chills and fatigue/ Had to rest constantly. Began taking ibuprofen to calm the inflammation. Day 8: Heart pain, pressure & palpitations worsening, fatigue. Primary and Cardiologist recommended going to ER. Diagnosed with mild pericarditis. Day 9-10: Home on bedrest taking ibuprofen 3x day with continued heart palpitations, pain, chils and fatigue.

Other Meds: Toprol XL / Tapazole / Multivitamin / Omega 3 Fish Oil

Current Illness: None

ID: 1029789
Sex: F
Age: 35
State: TX

Vax Date: 02/06/2021
Onset Date: 02/14/2021
Rec V Date: 02/14/2021
Hospital:

Lab Data:

Allergies: Sulfa drugs

Symptoms: Rash (red, itchy) and hardness/slight sweeling at injection site.

Other Meds: Propanol, Claritin, Singular, Omitsaprol, Frova, Cambia, inhaler, CQ10, B-Complex, cylobenzoprin

Current Illness: N/a

Date Died: 02/05/2021

ID: 1029790
Sex: F
Age: 95
State: CA

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/14/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Taken to Emergency about 8 hours later and died in ER

Other Meds: Escitalophram Over the Counter - B12, Iron, Calcium, Senna

Current Illness: Dementia

ID: 1029791
Sex: F
Age: 53
State:

Vax Date: 02/05/2021
Onset Date: 02/13/2021
Rec V Date: 02/14/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Approx 8 days after vaccination I developed a reddened, warm, slightly itchy, firm lesion around the.injection site

Other Meds: Multi vitamin, vitamin D, fish oil

Current Illness: None

ID: 1029792
Sex: F
Age: 64
State: MA

Vax Date: 02/06/2021
Onset Date: 02/13/2021
Rec V Date: 02/14/2021
Hospital:

Lab Data: none

Allergies: penicillin, sulfa, dust, mold

Symptoms: Starting after one week, injection site is swollen, itchy, red, slightly painful, rash

Other Meds: Protonix, pepcid

Current Illness: none

ID: 1029793
Sex: F
Age: 31
State: PA

Vax Date: 02/03/2021
Onset Date: 02/05/2021
Rec V Date: 02/14/2021
Hospital:

Lab Data: 2/9- Covid-19 test 2/11- Chest X-ray 2/11 - CBC, CMP, Troponin I, D-Dimer 2/11 - EKG 2/12 - EKG 2/15 - Echocardiogram

Allergies: Ceclor Sulfa Betadine Ferric Subsulfate Clindamycin Shellfish/Seafood

Symptoms: 2/5/21 around 9:30am - started developing shortness of breath, palpitations, and tachycardia upon exertion. I would become winded just walking to another room or brushing my hair. I reached out to the contact tracing center at hospital to find out if this was a reported side effect of the vaccine. The symptoms continued throughout the weekend and I was unable to work. My next workday was Tuesday and I was still short of breath so I reached back out to the contact tracing center who sent me to be tested for COVID. The results came back negative. I contacted my PCP who ordered a chest X-ray and had me get a pulse ox. My heart rate would go up to 138 with one flight of stairs. Sitting eating dinner my heart rate would sit at 108. Brushing my teeth my heart rate was 119. Thursday, 2/11 - I woke up for my chest X-ray and was light-headed. I put on my pulse ox and my SpO2 was 87%. I went for my chest X-ray and then went straight to the ED. I was hypertensive and tachycardic when I arrived. My blood work and imaging were all normal. 2/12 - I saw a cardiologist who put me on a beta-blocker to temporarily control my symptoms. He believes I am having a secondary reaction to the vaccines as opposed to a primary issue with the heart. I am scheduled for an echo on 2/15 to cover all bases. Symptoms have NOT subsided to date - I am still short of breath, have chest pressure, palpitations and tachycardia are being controlled with a beta-blocker (resting HR is 60s but will jump to high 90s with any movement), blood pressure being controlled with beta-blocker. **I was evaluated for palpitations in 2018 but they were found to be minor and no specific cause was to be found, nor was the cardiologist concerned at the time. I have NO known heart issues or defects.

Other Meds: Effexor XR Vitamin D Probiotic Gabapentin Minastrin FE 24 Hydroxychloriquine Ursodiol Allegra Allergy Topamax Singulair Stelara Hizentra

Current Illness: Sinus Infection

ID: 1029794
Sex: F
Age: 43
State: FL

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 02/14/2021
Hospital:

Lab Data:

Allergies: Benadryl, radishes

Symptoms: Redness (small at first, then grew larger), tenderness, swelling, itching, and an extremely painful-to-touch lump under/at/around at the injection site. Redness is also hot to the touch. Severe headache bordering on migraine-level. Treated headache w my normal migraine regime. Applied cold pack to the injection site. Used lidocaine topical ointment to numb the skin and help control the itching. It is 3 days after the injection and whilst the itching is under control the lump is still painful, red, and very warm.

Other Meds: Hydrochlorothiazide 25mg Burrowing XL 300mg Methocarbamol 750mg Potassium 250mg Magnesium 400mg D3 1000 IU Famotidine 20mg Belbuca 75mg

Current Illness:

ID: 1029795
Sex: F
Age: 69
State: CA

Vax Date: 02/06/2021
Onset Date: 02/14/2021
Rec V Date: 02/14/2021
Hospital:

Lab Data: n/a

Allergies: Sulfa drugs

Symptoms: No side effects until this orning, day #8. My arm at the injection site has been itching and the area is about a 3-4 inch oval, red and swollen. Not painful, just itchy.

Other Meds: Magnesium 400mg daily Melatonin 5mg nightly Centrum Silver daily Vitamn D3 5000 IUI 3x/week Viactiv Calcium plus D chews: 1/day 650 mg

Current Illness: none

ID: 1029796
Sex: F
Age: 60
State: CA

Vax Date: 01/31/2021
Onset Date: 02/02/2021
Rec V Date: 02/14/2021
Hospital:

Lab Data: Labs and X-Rays in the hospital the day 2/2/2021

Allergies: Sulfa

Symptoms: Strong pain on left arm and shoulder, it started 2 after the vaccine, and is still present, it had never hurt like this.

Other Meds: Tramadol, Lyrica,Advil,omeprazole,Levothyroxine

Current Illness: Herniated discs in the neck

ID: 1029797
Sex: F
Age: 42
State: UT

Vax Date: 02/06/2021
Onset Date: 02/14/2021
Rec V Date: 02/14/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Red, hard lump on arm, itchy and hot to the touch

Other Meds: Vita fusion women?s multivitamin, vitamin C

Current Illness: None

ID: 1029798
Sex: F
Age: 54
State: WI

Vax Date: 02/03/2021
Onset Date: 02/10/2021
Rec V Date: 02/14/2021
Hospital:

Lab Data: None yet

Allergies: Cherries

Symptoms: Day 7 got red patch and hardening 2.5? circumference around injection site, comes and goes with occasional itching. Hardening and redness still here after 4 days

Other Meds: Ocella, losartin, omeprazole, vitamin D, made sound/calcium/zinc

Current Illness: None

ID: 1029799
Sex: F
Age: 59
State: KY

Vax Date: 02/06/2021
Onset Date: 02/13/2021
Rec V Date: 02/14/2021
Hospital:

Lab Data: none

Allergies: IV Contrast dye foods made with processed sugar and/or flour

Symptoms: One week later injection site red, itchy rash

Other Meds: Toporol, Levothyroxin, Low Dose Aspirin

Current Illness: none

ID: 1029800
Sex: F
Age: 49
State: NE

Vax Date: 01/11/2021
Onset Date: 01/23/2021
Rec V Date: 02/14/2021
Hospital:

Lab Data: N/A

Allergies: none

Symptoms: On the thirteenth day following first dose, developed a 3-inch diameter rash surrounding injection site; rash lasted two to three days, improved with use of topical Benadryl. Soreness at injection site persisted for approximately three to three and one-half weeks from first dose.

Other Meds: Zinc, calcium with vitamin D, pseudoephedrine hydrochloride 12-hr (120 mg extended release caplet: once daily),super B complex

Current Illness: none

ID: 1029801
Sex: M
Age: 34
State: CA

Vax Date: 01/30/2021
Onset Date: 01/31/2021
Rec V Date: 02/14/2021
Hospital:

Lab Data: n/a

Allergies: Pediazol, Ceclor

Symptoms: 01/31/21 approx 12 hours after receiving the second dose of Moderna vaccine I experienced blurred vision to right eye. Upon further eval I confirmed 30% loss of vision to right eye. No other symptoms noted. To date no change in symptoms. Since onset of symptoms I have been evaluated by various providers. 02/03 MD, 02/04 MD, 02/04 emergency room intake with blood work and MRI at hospital, 02/12 MD.

Other Meds: Mesalamine 1.2 Gm x2 daily PO

Current Illness: Ulcerative colitis exacerbation from November through December 2020.

ID: 1029802
Sex: M
Age: 40
State: WA

Vax Date: 02/04/2021
Onset Date: 02/14/2021
Rec V Date: 02/14/2021
Hospital:

Lab Data: None.

Allergies: Allergies to Bee stings

Symptoms: My are was sore for a week then my arm pit hurt for 3 days and a red rash/hive appeared at the injection site.

Other Meds: None

Current Illness: None

ID: 1029803
Sex: F
Age: 79
State: IL

Vax Date: 02/04/2021
Onset Date: 02/14/2021
Rec V Date: 02/14/2021
Hospital:

Lab Data:

Allergies: strawberries, Echinacea,

Symptoms: Itchy, hot bumps on shoulder at site of vaccination.

Other Meds: Irbisartin, Fluoxitine, Triamterine, D, B12, Flonase,

Current Illness:

ID: 1029804
Sex: F
Age: 39
State: OH

Vax Date: 02/14/2021
Onset Date: 02/14/2021
Rec V Date: 02/14/2021
Hospital:

Lab Data: N/A

Allergies: Haloperidol, Cefaclor, Trazodone, Ziprasidone Hcl, Citalopram Hydrobromide, Olanzapine, Serotonin 5ht-3 Antagonists, Scopolamine, Aripiprazole, Paliperidone, Clarithromycin, Quetiapine Fumarate, Bee Sting, Sulfamethoxazole Trimethoprim, Tramadol, Aspartame, Serotonin, Topiramate, Penicillins, Serotonin Reuptake Inhibitors, Latex, Beef, Dairy & Eggs

Symptoms: Itching in Injection Site, Waited 30 Minutes after injection and itching persisted in the same area, was discharged from vaccination clinic waiting area however the itching persisted as time went on then progressed throughout my entire body. Its 11:24pm on 02/14/2021 and my entire body itches extremely bad. The injection site is not raised or red.

Other Meds: atorvastatin 20 mg tablet (Take 1 tablet by mouth once daily), ergocalciferol (vitamin D2) 50,000 unit capsule (Take 1 capsule by mouth one time a week), Nurtec ODT 75 mg Odt (Take one tab at onset of acute migraine as needed. do not repeat

Current Illness: Asthma, Allergies, High Cholesterol & Extreme Obesity

ID: 1029805
Sex: F
Age: 38
State: NV

Vax Date: 02/13/2021
Onset Date: 02/13/2021
Rec V Date: 02/14/2021
Hospital:

Lab Data: Na

Allergies: Nkda

Symptoms: Arm painful, worse than 1st dose Horrible joint and body pains, couldn't get comfortable, hurt to touch skin and dogs lick Fever 101.3, chills dehydration Fatigue, feels like.hit by bus

Other Meds: Lialda. Venlafaxine. Buproprion. Oxycodone Milk thistle. omega 3 w calcium d3 Cyclobenzaprine

Current Illness: Auto immune Lupus anticoagulant UC Inflammatory arthritis

ID: 1029806
Sex: M
Age: 41
State: CT

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: muscle aches, muscle soreness in all arms and legs from 16-24 hours after vaccine

Other Meds:

Current Illness:

ID: 1029807
Sex: F
Age: 35
State: NJ

Vax Date: 01/18/2021
Onset Date: 01/25/2021
Rec V Date: 02/14/2021
Hospital:

Lab Data:

Allergies: No

Symptoms: One week later red, itchy, hot rash at injection site

Other Meds: No

Current Illness: Nothing

ID: 1029808
Sex: M
Age: 55
State: WA

Vax Date: 02/13/2021
Onset Date: 02/13/2021
Rec V Date: 02/14/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Sore arm, injection area. At about 40-60% use of arm. Slowly getting better.

Other Meds: Muti vitamin, e vitamin, c vitamin

Current Illness: None

ID: 1029809
Sex: F
Age: 65
State: IL

Vax Date: 01/27/2021
Onset Date: 02/04/2021
Rec V Date: 02/14/2021
Hospital:

Lab Data: none

Allergies: Penicillin (hives) Clindamycin (diarrhea)

Symptoms: While working online the morning of Thursday, Feb. 4, my arm was itching. I felt a lump. When checked, I had a prominent red rash from the injection site extending 2/3 of the way to the elbow. There were 2 red patches and 2 "lumps" both in the lower patch. One lump was larger than the other and looked purple, like a bruise. That was the itchiest point. There was no pain. Onset was 8 days after injection. I notified my doctor's office. I took Tylenol PM 3 times (mostly for the Benedryl it contains) when I went to bed on the nights of Feb. 5, Feb. 7 and Feb. 9. It is mostly gone, but I can still see where the lower rash patch and lump were - they are still minimally present. Therefore, I am checking "unknown" below where it asks if patient has recovered from the adverse event. I took pictures of the rash if needed.

Other Meds: Triamterene Azelastine HCl Nasocort one daily multivitamin with iron Calcium + D

Current Illness: none

ID: 1029810
Sex: F
Age: 74
State: NY

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Severe shaking chills lasted 2 hrs Moderate headache, ear ache 2 hr General body ache 12 hrs

Other Meds:

Current Illness:

ID: 1029811
Sex: M
Age: 67
State: NE

Vax Date: 02/13/2021
Onset Date: 02/14/2021
Rec V Date: 02/14/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Chills, fever, muscle pain, headache, dizziness, cough.

Other Meds: Simvastatin, fish oil pills, 2 baby aspirin

Current Illness: None

ID: 1029812
Sex: F
Age: 19
State: CA

Vax Date: 02/04/2021
Onset Date: 02/13/2021
Rec V Date: 02/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: The site of the injection felt itchy for days following the injection. On February 12, I noticed an itchy bump on my right hip. The next morning, there were itchy, hard bumps on my feet and right ring finger. The bumps on my feet have become swollen and warm and seem to be growing larger, especially today on February 14. Two small bumps have also developed on my hands. I am not sure whether this is related to the vaccine, but it has become painful to walk.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm