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: 1038159
Sex: F
Age: 32
State:

Vax Date: 02/12/2021
Onset Date: 02/17/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Urticaria

Other Meds: none

Current Illness: none

ID: 1038160
Sex: F
Age: 70
State: FL

Vax Date: 02/09/2021
Onset Date: 02/17/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies: penicillin, Keflex,

Symptoms: Last night on 1/17/21 i noticed my arm was raised and a little itchy, and this morning it was a little pink and warm. Slightly swollen

Other Meds: omeprazole, 1 a day, fenofibrate micronized 134 mg, losartan 25 mg, levothyroxine 50 mcg, simvastatin, 80 mg, low dose aspirin 81 mg, Krill oil 400 mg ,

Current Illness:

ID: 1038161
Sex: M
Age: 17
State: MO

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Error: Patient Too Young for Vaccine Administered

Other Meds:

Current Illness:

ID: 1038162
Sex: F
Age: 68
State: NY

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Chills, slight fever (100.2), achy, swollen neck glands, headache and sore arm at injection site.

Other Meds: none

Current Illness: none

ID: 1038163
Sex: F
Age: 63
State:

Vax Date: 02/15/2021
Onset Date: 02/15/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Some facial flushing, BP142/92 Elevated EMS evaluated ok to go home after extra 10 minutes.

Other Meds:

Current Illness:

ID: 1038164
Sex: F
Age: 65
State: WI

Vax Date: 02/09/2021
Onset Date: 02/17/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: A rash developed on my left arm surrounding the injection site. The rash is approximately 5" x 2" and itches only slightly. I have not taken anything for it. It occurred 8 days after I received the vaccine. The rash is still present today, day 9.

Other Meds: None

Current Illness: None

ID: 1038165
Sex: F
Age: 68
State: GA

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies: Long history of childhood food and environmental allergies, including animals, dust, plants, various foods, pollens, most narcotics, sulfur, steroid injection (AUB), flu shot.

Symptoms: Red facial rash, facial flushing, feeling hot, mild dizziness, ringing in both ears, left side facial and tongue numbness and tingling, left arm and hand numbness and tingling, mild to moderate head and neck ache (meloxicam only took edge off), legs tingling, left arm soreness 5 days, extremely tired, took 2 hour nap after vaccine, slept 10 hours each of two nights following vaccine, upset stomach and diarrhea and yellow stool for two days after vaccine. Most side effects resolved by day 4 with arm pain resolving by day 6.

Other Meds: Multi-Vitamin, Turmeric, Vitamin D, Glucosamine, Lipitor 10 mg 3x/week, aspirin 3 times/week, fish oil,

Current Illness: No illnesses.

ID: 1038166
Sex: M
Age: 62
State: MA

Vax Date: 02/15/2021
Onset Date: 02/15/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Error: Wrong Dose of Vaccine - Too Low

Other Meds:

Current Illness:

ID: 1038167
Sex: F
Age: 56
State: KS

Vax Date: 02/10/2021
Onset Date: 02/17/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: NA

Allergies: knda

Symptoms: Mid morning my arm itched, I rubbed the area and felt a hard bump. When I looked at it there was nothing but a raised bump almost looked like a bug bite. Through the day as I itched it, the bump dissipated but the area became red. It now does not have a hard area just a round red dime size area and mild tenderness.

Other Meds: as needed advil and tylenol

Current Illness: none

ID: 1038168
Sex: F
Age: 65
State: SC

Vax Date: 02/15/2021
Onset Date: 02/17/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: None

Allergies: aspiran, ibuprofen, salicylates

Symptoms: Pain and swelling at injection site. Mild headache. Rash around my midsection

Other Meds: Centrum vitamins, Calcium, Atorvastatin 10mg, CoQ10, Melatonin, acetaminophen

Current Illness:

ID: 1038169
Sex: F
Age: 47
State: MA

Vax Date: 02/16/2021
Onset Date: 02/17/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: Did lab prior to vaccine. Result wnl

Allergies: Yes. PENICILLIN, succinylcholine, iv iodine, oil. Kiwi

Symptoms: Left axillary lymph node swollen . Sleep paralysis. Tired. Dizzy, hungry thirsty.

Other Meds: Acetaminophen

Current Illness: Hx of chronic migraine, usually stress induced or chemically induced in the environment. E.g. certain smells . I don't blame my headache on the vaccine !

ID: 1038170
Sex: M
Age: 78
State: MA

Vax Date: 02/15/2021
Onset Date: 02/15/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Error: Wrong Dose of Vaccine - Too Low

Other Meds:

Current Illness:

ID: 1038171
Sex: M
Age: 60
State: AZ

Vax Date: 02/13/2021
Onset Date: 02/17/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: No

Allergies: None

Symptoms: I had a really severe left shoulder ache. I couldn't lay on that side, and I had general body aches and a low grade fever. Some nauseous. Really vivid dreams.

Other Meds: None

Current Illness: None

ID: 1038172
Sex: F
Age: 49
State: IL

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Fatigue Swollen/painful site - continuing 8 days later Swollen lymph-nodes on injection side 5-9 days Cough - 7 days later

Other Meds:

Current Illness:

ID: 1038173
Sex: F
Age: 55
State: MA

Vax Date: 02/15/2021
Onset Date: 02/15/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Error: Wrong Dose of Vaccine - Too Low

Other Meds:

Current Illness:

ID: 1038174
Sex: F
Age: 48
State: NC

Vax Date: 02/11/2021
Onset Date: 02/18/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: none

Allergies: Ibuprofen, Peanuts

Symptoms: I have a lump on my left shoulder underneath the skin and swollen on top towards my neck.

Other Meds: Synthroid, Phentermine, Iron pills.

Current Illness: none

ID: 1038175
Sex: F
Age: 56
State: MD

Vax Date: 02/04/2021
Onset Date: 02/15/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: N/A

Allergies: sulphas doxycyclone flaxseed

Symptoms: injection site is red, itchy, and warm to the touch. This appeared a week and a half after the injection.

Other Meds: Trelegy atorvastatin

Current Illness: COPD exacerbation

ID: 1038176
Sex: F
Age: 82
State: OH

Vax Date: 01/23/2021
Onset Date: 01/23/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: None

Allergies: Avelox

Symptoms: Developed hives and severe itching about 12 hours after receiving the vaccine. Went to ER and received steroids. Was discharged after about an hour and half. Symptoms returned the next evening and she returned to the ER. Received steroid and was discharged with oral steroids for home.

Other Meds: Tramadol, Synthroid, and Quinapril

Current Illness: None

ID: 1038177
Sex: M
Age: 86
State: FL

Vax Date: 02/13/2021
Onset Date: 02/17/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Headache

Other Meds: b-12; Vitaminas C, D

Current Illness: Diabetes,

ID: 1038178
Sex: F
Age: 53
State: CA

Vax Date: 01/30/2021
Onset Date: 02/07/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: No tests

Allergies: Amoxicillin, aspartame

Symptoms: "Covid Arm". Had severe swelling/edema and redness area on should under site of injection. Area hot to touch and painful and started a week after vaccination. Went to physician at prompt care and was instructed to take Claritin and Pepcid and acetaminophen. Raised area started to reduce in swelling fade after about 48 hours and fully resolved after about a week.

Other Meds: Multi vitamin, Combitpatch

Current Illness: none

ID: 1038179
Sex: F
Age: 78
State: NY

Vax Date: 01/19/2021
Onset Date: 02/14/2021
Rec V Date: 02/18/2021
Hospital: Y

Lab Data: PT 11.2, INR 1.07, Platelets 282 on 2/14/21, AIC 9.9, creatinine 1.11, GFR 48

Allergies: Penicillin

Symptoms: ON 2/14/21 PATIENT WAS FOUND BY FAMILY CONFUSED, DIAPHORETIC, VOMITING, TAKEN TO E.D, CT SCAN REVEALED A SUBARACHNOID HEMORRHAGE, PT INTUBATED IN ICU PER DAUGHTER FOUND have 2 ANEURYSMS.

Other Meds: ASA 81 mg, lipitor,cipro, metformin, ultram,amaryl, victoza, WELLBUTRIN

Current Illness: celluitis L foot, diabetic ulcer

ID: 1038180
Sex: F
Age: 39
State: MA

Vax Date: 02/15/2021
Onset Date: 02/15/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Error: Wrong Dose of Vaccine - Too Low

Other Meds:

Current Illness:

ID: 1038181
Sex: F
Age: 72
State: MD

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

Lab Data: none

Allergies: acetaminophen (local/fixed drug rx)

Symptoms: Vaccinated at public Health clinic " drive through" .Within the 1st 5 minutes of getting the dose she noticed her face became very red she said almost beet red although she says she did not feel flushed, nauseous or hot but she saw the red in the mirror. She really felt perfectly fine she had no tachycardia, anxiety, nausea, itching, tingling of the mouth throat or tongue. In fact because she was asymptomatic except for the visual appearance she chose to not call over the attendants to check on her. After the 15 minutes she just drove home and by the time she got home her face was normal she has had no other symptoms since.

Other Meds: aspirin 81mg, synthroid, NP thyroid.

Current Illness: none

ID: 1038182
Sex: F
Age: 84
State: FL

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: None- Patient's son stated that patient is "feeling fine".

Allergies: Sulfa drugs

Symptoms: Patient came into the medical office 02/17/2021 at 4:00pm to get second dose of Moderna COVID-19 vaccine. (Patient had received 1st dose at this same clinic.) Patient completed COVID-19 checklist and answered "No" to all questions on checklist, except "Have you received a previous dose", which was marked "Yes". Second dose was given in left deltoid (Lot#010M20A). Patient's son came to office morning of 02/18/2021 and informed manager that patient had received second dose twice on 02/17/2021, with the first, second dose being given at the Health Department in the morning (Lot#013M20A).

Other Meds: Albuterol sulfate HFA 90mcg-Inhaler aspirin 81mg-tablet colesevelam 625 mg-tablet Combigan-eye drops Ferrex 150 Forte-capsule fluticasone propionate 50mcg-nasal spray Humulin NPH-insulin metoprolol 25mg-tablet omeprazole 20mg-capsule simvas

Current Illness: none

ID: 1038183
Sex: F
Age: 68
State: AL

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies: Z-pack Kiwi

Symptoms: Pain in groin area within one hour of receiving vaccine. Felt bloated, pressure in groin area. Was difficult to walk due to pain. Lasted 4 days until Monday, Feb.15, 2021, when it eased.

Other Meds: Atorvastatin 40 Evista 60 Lisinopril 10 Singularity 10 Methotrexate 2.5-6 tablets weekly Vagifem 10- weekly OTC: citric also, multivitamin,folic acid, Claritin 10

Current Illness: None

ID: 1038184
Sex: F
Age: 78
State: MA

Vax Date: 02/15/2021
Onset Date: 02/15/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Error: Wrong Dose of Vaccine - Too Low

Other Meds:

Current Illness:

ID: 1038185
Sex: M
Age: 76
State: AZ

Vax Date: 02/08/2021
Onset Date: 02/16/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 2x3 inch rash around injection site

Other Meds:

Current Illness:

ID: 1038186
Sex: F
Age: 70
State: TX

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: Vital Signs

Allergies: NKDA

Symptoms: Patient started to become short of breath. 911 was called, Pt was evaluated. Pt CAOX4 and refused transport incident #21-0011110

Other Meds: None

Current Illness: Unknown

ID: 1038187
Sex: F
Age: 27
State: NJ

Vax Date: 02/07/2021
Onset Date: 02/15/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: N/A

Allergies: None

Symptoms: About two inches below the injection side, I have had a red mark on my arm that has grown in size over the last 3 days. The spot was dark red but has lightened in color. The spot is slightly warm, but not itchy or painful.

Other Meds: Taytulla and desloratadin

Current Illness: None

ID: 1038188
Sex: F
Age: 90
State: MN

Vax Date: 02/17/2021
Onset Date: 02/18/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: Unknown at time of reporting- client sent to hospital via ambulance

Allergies: NKA

Symptoms: Client had pressed her call pendant this morning (2/18/2021) at 0750, LPN found client in her bed unable to stand. Client reported she had to use the restroom, upon standing client, LPN noticed blood on client's pillow. After assisting with ambulation to her bathroom, LPN noticed blood covering the floor near her shower. After further assessment, blood appeared to me coming from the back of client's head. Vital signs assessed while she sits on the toilet. BP: 128/92 O2: 89% on RA RR: 18 HR: 69 T: 99.1 Client reported significant dizziness, lightheadedness, and nausea. She reported unsteadiness when standing. Quarter sized lump with dried blood noted on the back of client's head. She does report left arm soreness, likely from where vaccine was administered. Ambulance was contacted while LPN assisted dressing client. Client was unable to recall the incident that occurred overnight, she did not utilize her call pendant during initial fall. Time of fall/incident unknown.

Other Meds: Tylenol, amlodipine, Aricept, ASA, Antacid, Cartia, Lipitor, Lisinopril, memantine, preservision

Current Illness: NA

ID: 1038189
Sex: F
Age: 46
State: PA

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: Had covid swab- this is negative

Allergies: Chlorhexadine topical

Symptoms: Day after shot, felt nauseated, headache, sore throat, profound fatigue, fever 101.5. Expected this- alt.tylenol/nsaid to get by. Next AM-felt better briefly, but declined back to above. I am now day 7 s/p 2nd shot and still running low grade temps: Today 100.8. I feel intermittent nausea, dizzy/LH spells (I am pushing fluids-BP running my usual 100's/60-70's, HR high 50's- low 80's), intermittent sore throat, cough, swollen glands, chest/muscle soreness. What seems constant is the TIREDNESS and fevers.

Other Meds: Turmeric, Mag 250, Elderberry, Ca+ w/D, Multi, Fish oil, Pro-biotic

Current Illness: None

ID: 1038190
Sex: F
Age: 70
State: MD

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Patient is pron to seizures. She received the Covid shot. At about 4:00 pm that afternoon she began to have a seizure. I was very atypical of her previous seizures. She began the seizure at a very low level (no outward signs other than total confusion and unable to speak. This condition lasted until about 8:pm. Now and again she would do her normal "shake". The seizure eventually stopped. Additional dose of Keppra was given as well a a few drops of Lorazapam.

Other Meds: Synthroid .112mg 1/day Eliquis 5mg 2/day Lisinopril/HCTZ 10/12.5mg 1/day Keppra 125mg 1/day Atorvastat

Current Illness: none

ID: 1038191
Sex: F
Age: 74
State: MD

Vax Date: 02/15/2021
Onset Date: 02/15/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: none other than telephone consult

Allergies: PCN caused rash

Symptoms: Moderna vaccine # 1 caused left arm pain, difficulty moving the arm, unable to drive for 3 days, disabling. LIke a frozen shoulder. Patient recovering partially by day 4. Advised ice, pain meds and mobilizing shoulder

Other Meds: rosuvastatin, muro eyedrops, lisinopril, omeprazole and vitamin D

Current Illness: None

ID: 1038192
Sex: F
Age: 26
State: PA

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies: N/A

Symptoms: Started feeling muscle soreness about 10 hours post-injection, took an Advil, then woke up in the middle of the night to moderate muscle and joint pain and fatigue and nausea. Took another Advil.

Other Meds: N/A

Current Illness: N/A

ID: 1038193
Sex: F
Age: 52
State: NY

Vax Date: 02/16/2021
Onset Date: 02/17/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: about 31 hours later I developed hives all over my body including my lip and in my mouth. I went to an Urgent Care and was given a Benadryl shot and Prednisone. they are getting better, about half of them are gone but they are still there. they are not as raised as they were. I took another Benadryl this morning (02/18/2021)

Other Meds: Multi vitamin Vitamin D Vitamin C fat burning drink additive

Current Illness: No

ID: 1038194
Sex: F
Age: 48
State: MO

Vax Date: 02/16/2021
Onset Date: 02/17/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies: Z pack

Symptoms: Fever (102.4), headache, fatigue, neck pain, chills, body ache, sore arm at injection site. Fever ,chills, neck pain gone after 24 hours. Fatigue, minor headache and sore arm ongoing

Other Meds: Lexapro, wellbutrin, acyclovir, Flonase, omeprozole, melatonin

Current Illness: None

ID: 1038195
Sex: F
Age: 46
State:

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Pt receive second dose of Pfizer vaccine and 5 minutes later started to have chest heaviness and cough. Allergy paged and recommended 2 puffs of albuterol which were given and for pt to be observed 20-30 minutes longer. Pt then started to have itchy throat and Rapid response called. epi IM and zrytec 10 mg given. Emesis X1. Pt transported to ED in wheelchair.

Other Meds:

Current Illness:

ID: 1038196
Sex: F
Age: 76
State:

Vax Date: 02/08/2021
Onset Date: 02/15/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Rash on arm at the injection site

Other Meds:

Current Illness:

ID: 1038197
Sex: F
Age: 47
State: NY

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: About an hour later I felt dizzy and a little disillusioned. I did experience the expected migraines and nausea. I also had chills and lost of appetite.

Other Meds: None

Current Illness: None

ID: 1038198
Sex: M
Age: 27
State: MN

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Before 2nd dose screening reported throat tightness lasting 1-2 hours after dose 1. Possibly anxiety/OCD symptom per patient. Dose 2 not given.

Other Meds: Sertraline, cetirizine, multivitamin

Current Illness: Chronic anxiety and OCD

ID: 1038199
Sex: F
Age: 59
State: MA

Vax Date: 02/15/2021
Onset Date: 02/15/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Error: Wrong Dose of Vaccine - Too Low

Other Meds:

Current Illness:

ID: 1038200
Sex: F
Age:
State:

Vax Date: 02/15/2021
Onset Date: 02/15/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Chest warm and tingling sensation. EMS evaluated. Stayed for40 minutes sensation transient went home

Other Meds:

Current Illness:

ID: 1038201
Sex: F
Age: 51
State: FL

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies: no known allergies

Symptoms: Temperature of 100 for 4 days with administration of acetaminophen by mouth every 4-6 hours. Red rash for 4 days located on injection site R Deltoid, chest, torso, abdomen, and back. Headache, fatigue, malaise. Sore, swollen throat 6 days after second dose. Diphenhydramine by mouth taken at 9P every day after second dose.

Other Meds: acetaminophen, omega, magnesium, multivitamin

Current Illness: No illnesses one month prior to first or second dose of Moderna COVID vaccine

ID: 1038202
Sex: F
Age: 50
State: VA

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: None

Allergies: Alfpha Gal, any food with acid, PCN, Hydrocodone

Symptoms: Flu like symptoms, headache, muscle aches, low grade fever, sore chest wall, injection site pain, nausea

Other Meds: Zyrtec, Thyroid med, Famodaline, Graves dx med

Current Illness: None

ID: 1038203
Sex: F
Age: 56
State: MA

Vax Date: 02/15/2021
Onset Date: 02/15/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Error: Wrong Dose of Vaccine - Too Low

Other Meds:

Current Illness:

ID: 1038204
Sex: F
Age: 77
State: FL

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: NONE

Allergies: None

Symptoms: Severe flu-like symptoms--headache, achy body, queasy stomach, extreme fatigue lasting for two days keeping patient bedfast.

Other Meds: RX Levothyroxine sodium tab; montelukast tab; Hydrocholorothiazide tab;Losartan tab; Pulmicort inhaler L-Lysine; B-12 tab; Vitamin C; Women's multivitamin daily tab; cod liver oil

Current Illness: None

ID: 1038205
Sex: F
Age: 52
State: MN

Vax Date: 02/16/2021
Onset Date: 02/17/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Fever of 100.4 Chills Achy body

Other Meds:

Current Illness:

ID: 1038206
Sex: M
Age: 18
State: OH

Vax Date: 10/27/2020
Onset Date: 10/27/2020
Rec V Date: 02/18/2021
Hospital:

Lab Data: none

Allergies: None known

Symptoms: Administered vaccines were involved in an excursion and so were deemed non viable.

Other Meds: None

Current Illness: None

ID: 1038207
Sex: F
Age: 53
State: PA

Vax Date: 02/09/2021
Onset Date: 02/17/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data: none

Allergies: None

Symptoms: Swelling, hot to the touch, redness, rash and hives at injection site.

Other Meds: Gabapentin, Hydroxychloroquine, Multi Vitamin, CBD gels and Melatonin

Current Illness: None

ID: 1038208
Sex: F
Age: 56
State: NY

Vax Date: 02/13/2021
Onset Date: 02/15/2021
Rec V Date: 02/18/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: An inability to feel cold. It was very strange for me, I'm always cold. I wasn't running a fever, at the time, but even though it was in the Thirties, I didn't feel it. This only lasted for a few hours, but very strange for me.

Other Meds: Tylenol, buspirone, atorvastatin

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm