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: 0927140
Sex: F
Age: 83
State: FL

Vax Date: 10/15/2020
Onset Date: 10/29/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data: 12-14-20 Dr. visit

Allergies: no

Symptoms: pt had hives that started 2 weeks after shot. lasted over a month. went to Dr on 12-14-20 to get prednisone 20mg for hives.

Other Meds: xyzal

Current Illness: no

ID: 0927141
Sex: F
Age: 50
State: GA

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

Lab Data:

Allergies: NKDA

Symptoms: PATIENT COMPLAINED OF LIGHTHEADEDNESS, VOMITING X2, GAGGING, DROWSY, UNSTABLE, TACHYCARDIC HR 110, BP 142/91

Other Meds: n/a

Current Illness: N/A

ID: 0927142
Sex: F
Age: 57
State: PA

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

Lab Data: unknown

Allergies: penicillin, codeine

Symptoms: Patient reported pain and weakness

Other Meds: unknown

Current Illness: unknown

ID: 0927143
Sex: F
Age: 34
State: TX

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

Lab Data:

Allergies: Shrimp

Symptoms: Day 1 (1-5-21): sore arm bruise Day 2 (1-6-21): more severe sore arm and bruise Day 3 (1-7-21): sore arm that's getting better. Red, inflamed, hot to touch at injection site. 1in x 2in in size.

Other Meds: Ibuprofen and benefiber

Current Illness: None

ID: 0927144
Sex: F
Age: 53
State: CA

Vax Date: 12/27/2020
Onset Date: 01/05/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies:

Symptoms: lump (undulation), itchy, red at vaccine site - 2 days later it is less of a lump, not itchy or red - no other symptoms

Other Meds: Lisinopril-Hydrochlorothiazide 20-25 mg per tablet

Current Illness:

ID: 0927145
Sex: F
Age: 38
State: CT

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

Lab Data: NONE

Allergies: NKDA

Symptoms: LOCALIZED WELL DEMARCATED REACTION DEVELOPED 8 DAYS AFTER VACCINATION AT SITE ON LEFT ARM. PRURITIC INITIALLY BUT NOW DISCOMFORT WITH LOCALIZED ADENOPATHY AND FATIGUE

Other Meds: HCTZ 25MG QD LISINOPRIL 5MG QD

Current Illness: NONE

ID: 0927146
Sex: M
Age: 72
State: CT

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

Lab Data: None

Allergies: Penicillin ---Rash Sulfa drugs---Rash

Symptoms: I awoke at 3 AM with shaking chill and muscle aches of moderate intensity (5 on a scale of 1 to 10). I took 400 mg of ibuprofen and symptoms subsided substantially in 30 minutes. Much milder symptoms persisted for 24 more hours and then almost completely resolved.

Other Meds: Lisinopril 5 mg daily Vitamin D 2000 IU daily Rosuvastatin 5 mg twice weekly

Current Illness: None

ID: 0927147
Sex: F
Age: 63
State: MI

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

Lab Data: N/A

Allergies: N/A

Symptoms: I had a positive Covid 11/11/20. My main symptom was loose stools x 3 weeks

Other Meds: I do not have my list

Current Illness: Positive for covid 11/11/20 Chronic sinusitis

ID: 0927148
Sex: F
Age: 36
State: OR

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

Lab Data: unknown

Allergies: Ceftriazone - anaphylaxis Latex- Anaphylaxis, Hives, Rash

Symptoms: Within 5 minutes after Moderna dose 1 vaccine patient developed tingling around the lips and tongue. Patient has a history of anaphylaxis to Latex, and ceftriaxone. HR 86 and regular, BP 130/80, O2 96% on room air with mask on. After further evaluation patient c/o feeling winded like " I just finished a walk pushing the stroller." Lungs and throat sound clear. Discussed with patient the pros and cons of administering benadryl and or epi and that would require a visit to the ED for further evaluation. Patient concerned about how the drugs will affect her breast feeding. Through our conversation, the tingling of the lips and tongue has increased, patient is stable, decision made to wheel patient to the ED for evaluation.

Other Meds: unknown

Current Illness: unknown

ID: 0927149
Sex: F
Age: 64
State: PA

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

Lab Data: None

Allergies: none known

Symptoms: Localized reaction, hot, hard, raised, reddened area (approximately 2" in diameter) at injection site. Slightly painful and itchy. Did not occur until 8 days post injection. No treatment required.

Other Meds: Losartin, ozempic, metformin , metoprolol, Baby ASA, probiotic, atorvastatin, mega red krill oil

Current Illness: none

ID: 0927150
Sex: F
Age: 40
State: NM

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

Lab Data:

Allergies: Sulfa

Symptoms: Bilateral muscle cramps/ spasm quadriceps. Deep, severe left hip pain.

Other Meds: Birth control, bupropion, vit D, biotin

Current Illness:

ID: 0927151
Sex: F
Age: 49
State: MN

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

Lab Data: none

Allergies: none

Symptoms: Metallic taste in mouth started about 5 minutes after injection. lasted approximately for 1 hour

Other Meds: none

Current Illness: none

ID: 0927153
Sex: F
Age: 61
State:

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

Lab Data:

Allergies:

Symptoms: Patient describes headache and dizziness, also fatigue.

Other Meds:

Current Illness:

ID: 0927154
Sex: M
Age: 26
State: CA

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

Lab Data:

Allergies: Morphine

Symptoms: Tingling in arm and head fogginess approx 10 min post vaccination. Assessed by paramedics and refused transport AMA.

Other Meds: Salcylate

Current Illness: Denies anything else

ID: 0927155
Sex: F
Age: 34
State: HI

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

Lab Data:

Allergies:

Symptoms: Patient reported an "itchy throat" described as a "mild reaction". Remained under observation for additional time, no intervention or additional treatment provided.

Other Meds:

Current Illness:

ID: 0927156
Sex: F
Age: 26
State: MA

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

Lab Data:

Allergies: No

Symptoms: Nausea, chills, low grade fever, headache, lethargy, right arm soreness. I woke up around 5am and noticed these symptoms.

Other Meds: Cholecalciferol, spironolactone

Current Illness: Began menstrual cycle on day of vaccine (I have a history of fever/nausea/vomiting at the beginning of my cycle. It only happens maybe one or two times a year).

ID: 0927157
Sex: F
Age: 47
State: MA

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

Lab Data:

Allergies: Protonix, pcn and has birth control

Symptoms: Nausea/vomiting, stomach pains, headache, fever, chills, body aches

Other Meds: Prevacid

Current Illness: None

ID: 0927158
Sex: F
Age: 76
State: NC

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

Lab Data: None BP decreased to 136/67 the next morning and 155/74 this morning.

Allergies: None

Symptoms: Developed a severe headache within 2-3 hours of receiving vaccine. Took 2 Tylenol. Headache abated but did not resolve. Within the next 2-3 hours felt tingling in my left upper lip. It grew worse and headache worsened. Lip felt like it was swelling but no change was seen. Then left side of face began to ache. Took 2 more Tylenol. Texted my primary care physician who recommended Benadryl in case it was an allergic reaction. Took Benadryl about 4:30 or 5:00. Left work and went home. Had severe headache. Took my blood pressure. It was 185/68. Had some old Propanolol 10 mg from 2 years earlier and took one and a Prednisone 10mg. By 9:00 pm still felt bad with facial pain and tingling. BP decreased to 148/89. Took another Benadryl and went to bed. Face ant lip better in the morning. Arm sore for 2 days. Developed body and joint aches for the past 2-3 days. Slowly resolving.

Other Meds: Synthroid

Current Illness: None

ID: 0927159
Sex: F
Age: 56
State: PA

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

Lab Data: none

Allergies: unknown

Symptoms: Patient reported fever and body aches for 8 hours

Other Meds: unknown

Current Illness: unknown

ID: 0927160
Sex: F
Age: 57
State: MN

Vax Date: 10/05/2020
Onset Date: 10/05/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies:

Symptoms: EE received flu vaccine in l arm higher than in the past. EE felt pain in left arm/shoulder than increased over time as well as decreased ROM and weakness. EE was seen by provider and has had some slight improvement in symptoms. EE is scheduled for an MRI on 1/18/2021.

Other Meds:

Current Illness:

ID: 0927161
Sex: F
Age: 33
State: VA

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

Lab Data:

Allergies: no

Symptoms: localized reaction red bump. hot to touch. not painful

Other Meds: phentermine

Current Illness: no

ID: 0927162
Sex: M
Age: 54
State: TX

Vax Date: 12/15/2020
Onset Date: 12/22/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data: CT chest normal ; PFTs resolved after medrol dosepak as tested 1 week later

Allergies: Cephalosporins-- > rash (PCN OK) No food allergies

Symptoms: Patient developed dyspnea on exertion noted 7 days after his vaccine; Note that he had fully recovered from COVID infection one month prior with cardio on bicycle without drop off of performance metrics. DOE was noticeable on bike rides - almost had a syncopal episode on a bike hill climb at post injection day 10; medrol dose pack started - symptoms resolved in one week. No sign of desaturation noted on pulse oximetry; patient elected NOT to pursue the second vaccination shot given the side effects.

Other Meds: Enbrel Zyrtec Tamsulosin Fish Oil Vit C. Naprosyn

Current Illness: Post- mild COVID course 1 month prior to vaccine (Pfizer vaccine)

ID: 0927163
Sex: F
Age: 34
State: HI

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

Lab Data:

Allergies: No history of allergic reaction.

Symptoms: Patient reported tingling and numbness to one side of face and spreading down her neck. Patient transferred to E.D. for observation.

Other Meds:

Current Illness:

ID: 0927164
Sex: F
Age: 57
State: WA

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

Lab Data: NONE

Allergies: NKA

Symptoms: ON 12/31/2020 I HAVE A HAD SLIGHT FEVER, HEADACHE , NAUSEA, BODY ACHES, CHILLS, HAND TREMORS, DIZZY AND LIGHTHEADED THAT LASTED FOR 3 DAYS. SINCE THEN I HAVE A BAD HEADACHE, FEELING NAUSEA AND VERY LIGHT HEADED AT TIMES.

Other Meds: Levothyroxine, Llothyronine and Sertraline

Current Illness: none

ID: 0927165
Sex: M
Age: 44
State: WA

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

Lab Data: none

Allergies: none

Symptoms: 33 hours post vaccination: experienced heartburn, discomfort followed by urticaria on my neck, trunk, armpit, and back. Took diphenhydramine. Woke up with no itching by some swelling of left eyelid. At 1500 1/7/21, some outbreak of urticaria on my back, underarm, neck, trunk area, and groin area. Took lower dose of diphenhydramine.

Other Meds: none

Current Illness: torn leg muscle (abductus magnus) 12/5/20

ID: 0927166
Sex: F
Age: 27
State: AZ

Vax Date: 12/22/2020
Onset Date: 01/02/2021
Rec V Date: 01/07/2021
Hospital:

Lab Data: No tests or laboratory results.

Allergies: None

Symptoms: Beginning January 2nd, 11 days after my covid vaccine I developed right sided back pain. Two days later I had an area of papules on my anterior thigh the size of a half dollar. The right sided back pain then began to radiate around to my hip and the rash began to be painful. My right thigh eventually began to tingle and and the pain increased in severity. On Jan 7th I presented to the acute care clinic at the Clinic and was diagnosed with shingles.

Other Meds: Drospirenone birth control pill

Current Illness: None

ID: 0927167
Sex: F
Age: 16
State: MA

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

Lab Data:

Allergies:

Symptoms: Entered observation @ 1935. Mother stated to this nurse @ 1950, that daughter felt "light-headed". Water was given. @ 1954, patient started to gag. Went to restroom. @ 1958, she was walked with this nurse and others to "bed" that's located in vaccination clinic. Mother explained to this nurse and others that her daughter shows s/s of these symptoms upon each vaccination. Lightheadedness and nausea lasted for about 10-15 minutes. Cold compress was applied to help relieve s/s from vaccine. States she felt better around 2005. Left observation @ 2005, showed no s/s of distress.

Other Meds:

Current Illness:

ID: 0927168
Sex: M
Age: 46
State: OH

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

Lab Data:

Allergies: n/a

Symptoms: About 24 hours after injection I developed severe side effects as a result. The side effects included; Fever (up to 103.0), body chills, SEVERE vertigo, weakness, back pain, abdominal pain (cramping), diarrhea and joint pain. The side effects took about 3 days to relieve with abdominal cramping and diarrhea lasting for about 1 week.

Other Meds: n/a

Current Illness: n/a

ID: 0927169
Sex: F
Age: 44
State: UT

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

Lab Data:

Allergies:

Symptoms: Counting day of vaccination as Day 1. Only mild soreness. Day 2-small red welt on left deltoid surrounding injection site. This continued to grow, red rash expanding from injection site. Sore, itching. By day 5 had gone with only bruising, but still itchy. Yesterday was Day 8. Noticed soreness and red welt was back around injection site. Today day 9 redness continued to grow-itchy and sore. Called ask HR and they recommended calling medical provider. Diagnosed with cellulitis and given 7 day course of antibiotics, claritin to help with itching. Instructions to let vaccination site know. Will complete antibotics 01/15/2021

Other Meds:

Current Illness:

ID: 0927170
Sex: M
Age: 37
State: OH

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

Lab Data:

Allergies: Splitting headache with TB test

Symptoms: A few minutes post-vaccination, the patient developed a splitting headache that radiated from the neck up over the head. He had pain down his arm and leg on the opposite side (as well as itching-arm only)the vaccine was administered in. Nausea developed and became worse as time passed. No injection site reaction or trouble breathing reported. Once patient reported that his muscles hurt and he hurt everywhere EMS was called. The patient was transported to Hospital and discharged prior to the end of the clinic with Tylenol and Tums.

Other Meds:

Current Illness:

ID: 0927171
Sex: F
Age: 54
State: PA

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

Lab Data: unknown

Allergies: unknown

Symptoms: Patient reported feeling, tired achy fatigued and a fever of 100 degrees

Other Meds: unknown

Current Illness: unknown

ID: 0927172
Sex: F
Age: 61
State: AZ

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

Lab Data:

Allergies: none

Symptoms: cobid vaccine

Other Meds: l-thyroxine 50mcg Pravastatin tab 20mg Lisinopril tab 5mg

Current Illness: none

ID: 0927173
Sex: F
Age: 41
State: CA

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

Lab Data:

Allergies: Peanut

Symptoms: 14 minutes post vaccination the individual complained of dizziness and itching in her throat. Vitals signs were obtained, including oxygen saturation, the individual was assessed my a medical provider and orders were given to administer 50 mg of Diphenhydramine IM. The individual was monitored for 30 additional minutes. After 30 minutes vitals were obtained, the individual denied any symptoms. Individual was instructed to follow up with primary care provider.

Other Meds: None

Current Illness:

ID: 0927174
Sex: F
Age: 35
State: CA

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

Lab Data: None.

Allergies: History of beesting allergy without full anaphylaxis; allergist prescribed EpiPen for future beestings.

Symptoms: Three minutes after receiving the first dose of the Pfizer\BioNTech COVID19 vaccine today (time 11:34 am), this vaccine study participant developed swelling of both cheeks and "was able to bite on both cheeks" as well as vague flushing of the cheeks. She did not immediately report these symptoms but returned to the site of her injection (research study site) and reported the cheek swelling and facial flushing to our study nurse. She denied lip/tongue/airway swelling, difficulty breathing, nausea or vomiting, diarrhea, cough, wheezing, shortness of breath, rapid breathing, fever, headache, paresthesias, rapid heart rate, chest pain, or other symptoms at that time. I am a sub-I for Pfizer\BioNTech vaccine study and authorized an immediate dose of Benadryl 50 mg orally which she received. I examined her at 12:40 pm and she had a reassuring physical exam as follows: Constitutional: Appearance: Normal appearance; well-hydrated and alert; no retractions, tachypnea, nasal flaring, or audible wheezing/breath sounds. No pallor. HEENT: Head: Normocephalic and atraumatic. Nose: Nose normal without visible discharge. Mouth: Mucous membranes are moist. Cheeks: Minimal edema of both cheeks is present; no visible erythema on exam. Eyes: Conjunctiva/sclera: Conjunctivae normal. Pupils: Pupils are equally round and symmetric. Cardiovascular: Rate and Rhythm: Normal rate and regular rhythm, HR 80-90. Pulses: Normal pulses in left wrist 2+/2+; warm hands. Pulmonary: Effort: Pulmonary effort is normal; RR 12-14. Breath sounds: Normal breath sounds. Abdominal: General: Abdomen is flat. Neurological: Mental Status: She is alert; speech and comprehension are normal. The patient still felt unusual by 2:00 pm and was referred to our Emergency Room for further evaluation. In our ER, she had the following vital signs and exam findings: BP 140/87 | Pulse 73 | Temp 98.1 ?F (36.7 ?C) | Resp 16 | SpO2 100% Gen: well appearing, no apparent distress, speaking in full sentences, no dysphonia Head: normocephalic, atraumatic, no hematoma Eyes: pupils equal reactive to light, extraocular movements intact ENT: hearing grossly normal, oral mucosa moist without edema/angioedema Resp: speaking in full sentences, clear to auscultation bilaterally, no rubs/crackles/wheeze, normal effort Abd: normoactive bowel sounds, nontender nondistended, no rebound/guarding, no organomegaly, faint/resolving urticaria abd x2 Ext: no deformities, no joint swelling, no edema, faint patchy erythema bilateral upper arms Neuro: alert, nonfocal Psych: AAOX3, normal affect/mood ? I walked to our emergency room and reexamined her, and the only new finding were some pink small nonraised popular lesions on her abdomen and proximal arms, but she had no urticaria. Her lungs remained CTA and she was otherwise as before. The emergency room only gave famotidine 20 mg to her and discharged her with an EpiPen to use at home (they specifically felt she did not need it in the ER), but gave her oral cetirizine 10 mg to take daily for the next few days. I asked her how she felt upon discharge from the ER and she felt fine/normal.

Other Meds: Escitalopram 20 mg daily, Wellbutrin 75 mg daily, Topamax 50 mg daily, Flonase daily as needed for allergic rhinitis symptoms, EpiPen 0.3 mg IM as needed for beesting.

Current Illness: No antecedent illness within past 30 days.

ID: 0927175
Sex: F
Age: 79
State: TX

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

Lab Data: none

Allergies: hay fever and sulfa

Symptoms: A week after vaccine was administered I have redness, swelling and itching on vaccine site

Other Meds: atenolol. losartan, citalopram buspirone

Current Illness: none

ID: 0927176
Sex: F
Age: 37
State: NY

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

Lab Data: None

Allergies: NKDA

Symptoms: Sore arm second day Right armpit and right front shoulder pain including clavicular area pain starting the fifth day Bump on right area started day 7 Day 8 large rash, itching near injection side Increase sweating from right armpit starting day 7

Other Meds: Pepcid, Folic acid, Tylenol

Current Illness: None

ID: 0927177
Sex: F
Age: 41
State: TX

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

Lab Data: Covid-19 test-1/1/21-negative result-1/4/21 Steroid shot-1/1/21, Benadryl-2-25 mg- for 3 consecutive nights

Allergies: Reaction to scorpion sting-nausea

Symptoms: 12/29/2020-around 5:00 pm-sore throat and headache for couple of hours; minor blurry vision. Pain at injection site-hurt to raise arm to head 12/30/2020-little bit of nausea throughout day off and on-around 5:00 pm-fever (99.5), chills, headache, body aches, increased constant nausea. Moderate pain at injection site, redness 12/31/2020-fever (99.5-100.4), chills, nausea, headache, body aches until about 4:00 pm. Redness, swelling, moderate pain at injection site-(pain improved-able to move arm more than before), some minor itching off and on at injection site. 1/1/2021-Nausea, headache. Redness, swelling, pain at injection site-(Pain improved), injection site hard and hot to touch. Some minor itching off and on. Receive steroid shot from urgent care and took Benadryl 1/2/2021-Redness, swelling improved. Minor itching off and on. Took Benadryl. Had touch diarrhea. 1/3/2021-Swelling almost gone, redness almost gone. Minor itching off and on. Little nausea. Took Benadryl 1/4/2021-Swelling and redness gone. Minor itching once or twice-nausea briefly once. Took Benadryl 1/5/2021-Itching off and on-minor

Other Meds: Duloxetine-30 mg Montelukast-10 mg Atorvastatin-10 mg Metoprol-25 mg ER Pantoprazole-40 mg

Current Illness: Sinus Infection

ID: 0927178
Sex: M
Age: 34
State:

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

Lab Data:

Allergies:

Symptoms: On the day of vaccination my arm was sore but at night i had a fever, chills, muscle aches and headache associated with insomnia. Symptoms started to get worse the next day of vaccination as I was hardly moving my left arm and i had to get off work early because i couldn't stand on my feet for a long time. finally on the third day symptoms started to improve.

Other Meds:

Current Illness:

ID: 0927179
Sex: F
Age: 30
State: ND

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

Lab Data: none

Allergies: PCN, Omnicef, Bees = anaphylaxis Vicodin=vomit Neosporin=Hives

Symptoms: Moderna vaccine around 2 this afternoon Had initial reaction of flushing and tachycardia; nurse monitored her and symptoms went away about 15-20 minutes later. Around 5:15 pm this evening felt like "a flip switched" and suddenly felt flushing and itching, hives to chest, and became very lethargic. EpiPen given at 5:50 and all symptoms resolved.

Other Meds: none

Current Illness: none

ID: 0927180
Sex: F
Age: 30
State: OR

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

Lab Data:

Allergies: NSAIDs

Symptoms: Soreness for 1-2 after injection. Splotchy rash at injection site on day 3. Itching, hives, rash, and hot to the touch at the injection site and tender lymph nodes in the underarm area 7 days later.

Other Meds:

Current Illness:

ID: 0927181
Sex: F
Age: 43
State: CA

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

Lab Data:

Allergies: Contrast Dye used in CT Scan

Symptoms: Soreness for 1-2 after injection. Splotchy rash at injection site on day 3. Itching, hives, rash, and hot to the touch at the injection site and tender lymph nodes in the underarm area 7 days later.

Other Meds: None

Current Illness: None

ID: 0927182
Sex: F
Age: 23
State: MO

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

Lab Data: Unknown

Allergies: Unknown

Symptoms: Patient returned to clinic diaphoretic, nausea and vomiting per ED co-worker.

Other Meds: Unknown

Current Illness: Unknown

ID: 0927183
Sex: F
Age: 61
State: AZ

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

Lab Data:

Allergies: none

Symptoms: cobid 19

Other Meds: pravastatin 20mg lisinopril 5mg L Thyroxine 50mcg

Current Illness: none

ID: 0927184
Sex: F
Age: 54
State: NJ

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

Lab Data: None

Allergies: None

Symptoms: Approximately 45 minutes later on my drive home my face on the left side started to feel numb. It started on my cheek and gradually ran up to right under my left eye and down to under my chin. It lasted for about an hour then gradually started to disappear. I got a little nervous but checked all signs that I was not having a stroke.. I ate dinner and calmed down. I also took a Tylenol 500 mg and drank a lot of water It?s gone now. It?s now 8:29 pm. Just feeling tired now.

Other Meds: Prozac Telmesarten htz

Current Illness: None

ID: 0927185
Sex: F
Age: 34
State: AK

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

Lab Data:

Allergies: propranolol

Symptoms: Rash, to upper torso, itching on bilateral upper extremities.

Other Meds: Lunesta, Cyclobenzaprine

Current Illness:

ID: 0927186
Sex: F
Age: 26
State:

Vax Date: 12/23/2020
Onset Date: 12/23/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 12/23/20- mild arm soreness 12/24-12/25- (worse) very tender arm at injection site 12/24-12/25- extreme fatigue (literally no energy) 12/24- for a couple to several days- restless sleep/insomnia 12/24- (off an on for a few days) headache and runny nose All symptoms resolved within a week. Only took Tylenol or ibuprofen for headache/arm soreness. Massaged arm to help soreness and applied a cold compress.

Other Meds:

Current Illness:

ID: 0927187
Sex: F
Age: 21
State: MN

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

Lab Data:

Allergies: Tree and plant pollen, cats, ibuprofen

Symptoms: Fatigue since an hour after injection, muscle pain since an hour after injection, site soreness sense 30 min after injection, chills for 45 minutes starting an hour after injection, and nausea for 45 minutes starting an hour after injection

Other Meds: Birth control, fluoxetine, spironolactone, b complex, citirizine

Current Illness: N/a

ID: 0927188
Sex: F
Age: 47
State: TX

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

Lab Data: N/a

Allergies: Sulfa

Symptoms: Fatigue, malaise, body aches, mild headache starting 12 hours after vaccination Fever of 101.3 24 hours after vaccination

Other Meds: Beyaz

Current Illness: none

Date Died: 01/07/2021

ID: 0927189
Sex: M
Age: 74
State: CA

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

Lab Data:

Allergies: none

Symptoms: Patient was vaccinated at 11am and was found at the facility in his room deceased at approximately 3:00pm. Nurse did not have cause of death

Other Meds: unknown

Current Illness: stroke

ID: 0927190
Sex: F
Age: 45
State: HI

Vax Date: 12/23/2020
Onset Date: 12/23/2020
Rec V Date: 01/07/2021
Hospital:

Lab Data: ER physician reviewed allergic reaction symptoms on 12/23/2020. PCP followed up with JS and diagnosed Bell's Palsy after telemedicine visit history and physical.

Allergies: Cephalosporins and nut (peanut-derived)

Symptoms: Allergic reaction to vaccine, tingling to upper lip and face, red rash on bilateral forearms, started approximately 10 minutes after receiving vaccine. Reaction resolved with no treatment. Patient developed Bell?s Palsy 2-3 days after vaccine. Currently being treated with high dose steroids and acyclovir.

Other Meds: Fluticasone propionate 50MCG/ACT nasal spray Epinepherine 0.3MG/0.3ML (EpiPen)

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm