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: 1040732
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: None stated.

Other Meds:

Current Illness:

ID: 1040733
Sex: F
Age: 71
State: CA

Vax Date: 02/03/2021
Onset Date: 02/10/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies: Flagyl Doxycycline Penicillin

Symptoms: Injection site bumpy rash with itching and red feverish lump 6 inches long on right arm 1 week after receiving Moderna Covid vaccine Dose #1

Other Meds: HRT Liothyronine DHEA/pregenalone

Current Illness:

ID: 1040734
Sex: F
Age: 45
State: MN

Vax Date: 02/11/2021
Onset Date: 02/18/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies: Codine, Morphine,

Symptoms: Day 5 dizziness and lightheaded, Day 7 severe stomach pain, nausea, headache, Day 8 swollen, red, hot, itchy injection site with a rash approximately 4?x 2? all around site.

Other Meds: Sertraline 75 mg, buspirone 15 mg (3x daily) , folic acid, B complex, Caltrate 600 + D

Current Illness:

ID: 1040735
Sex: M
Age: 74
State: FL

Vax Date: 02/01/2021
Onset Date: 02/12/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: None

Allergies: Penecillin

Symptoms: Sore arm beginning about 6 hours after vaccination, chills, body and head aches at about 18 hours after vaccination lasting about 12 hours before subsiding.

Other Meds: CoQ10 100mg, Tamsulosin 0.4mg, Crestor 20mg, Finasteride 5mg, Amlodipine Besylate 5mg, Econazole Nitrate 1%

Current Illness: None

ID: 1040736
Sex: M
Age: 74
State: FL

Vax Date: 01/19/2019
Onset Date: 01/20/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: None

Allergies: none

Symptoms: On the day following receiving the first vaccine, January 20, 2021 at 2:30 in the afternoon, Tom's legs and feet became paralyzed and he was unable to walk requiring a wheel chair. His doctor was called and after determining he did not have another stroke, it was suggested to rest and wait for 24 hours. By 8 AM the following morning, January 21, 2021. The very same sequence of events occurred after his second dose on February 16, 2021.

Other Meds: Amlodipine 10mg daily, atorovastatin 20mg daily, bupropion 150mg daily, ezetimibe 10mg daily, gabapentin 600 mg twice daily, oxybutynin 5mg twice daily, xarelto 20mg daily, meloxicam 7.5mg daily multi vitamin with iron daily

Current Illness: ,COVID diagnosed on July 3, 2020. 3 mini strokes occurred while in ICU intibated, AFIB under control through blood thinner. Released from hospital on August 27, 2020. Currently in Physical therapy.

ID: 1040737
Sex: F
Age: 25
State: PA

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: About 14 hours after my injection, I had severe nausea and vomited. I also had chills and body aches.

Other Meds: Arnuity Ellipta; Previfem

Current Illness:

ID: 1040738
Sex: F
Age: 52
State: VA

Vax Date: 02/17/2021
Onset Date: 02/18/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: None

Allergies: Tylox, vicodin, nickel

Symptoms: Severe headache, body aches, chills, and fever. Fever reached 107.1 but was reduced with Tylenol and cold compresses. Chills and shaking started approximately 10 or 11 hours after vaccine. Temperature is now fluctuating between normal to 100. Severe headache and body aches persist.

Other Meds: Atenolol 25mg 1xday, Bupropion HCL XL 300 1xday, Atorvastatin 10mg 1xday, Multivitamin 1xday, Vitamin D 4,000IU per day.

Current Illness: None

ID: 1040739
Sex: F
Age: 51
State: GA

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

Lab Data: None

Allergies: None

Symptoms: Sore Arm, Nausea, Chills, Body Ache, Headache - All lasting through the night, treated with over the counter pain relief (Ibuprofen & Acetaminophen)

Other Meds: Estrogen Patch .1mg Multi Vitamin Calcium Supplement Fish Oil Supplement L-5-MTHF 5mg Supplement

Current Illness: None

ID: 1040740
Sex: F
Age: 49
State: OH

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies: Sulpha

Symptoms: Patient received a Moderna Vaccination @ 1715 approx. 10 minutes later patient presented with rash on her chest and back. Minor itching. Patient received 25mg of Benedryl IM@1736. After receiving medication, patient denied itch, redness or hives. Patient refused transport to the hospital.

Other Meds:

Current Illness: Headache

ID: 1040741
Sex: F
Age: 66
State: FL

Vax Date: 02/12/2021
Onset Date: 02/18/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: None

Allergies: NK

Symptoms: On Day 6, the site became red and very itchy and raised

Other Meds: Lisinopril, Levothyroxin, Hydrochorothiazide exetemibe

Current Illness: None

ID: 1040742
Sex: F
Age: 54
State: VA

Vax Date: 02/17/2021
Onset Date: 02/19/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies: Tetracycline, sulfa

Symptoms: The 2nd morning after getting shot 2 of the Moderna vaccine, I woke up and noticed a deep red rash on my neck, shoulders and torso. I typically get this kind of rash when I have an upper respiratory infection/ear infection/sinus infection. This is my body's response to infection and virus. I assume my body is treating the vaccine like an infection. I am taking Benadryl for the reaction. I do not have any other adverse side effects, but do feel fatigue, minimal body aches and headache. I am taking Tylenol for that.

Other Meds: Zyrtec 10 mg, generic sudaphed

Current Illness:

ID: 1040743
Sex: F
Age: 60
State: GA

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Fever, pain in the arm where I got the shot. nauseated

Other Meds:

Current Illness: bipolar

ID: 1040744
Sex: F
Age: 63
State:

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: None stated.

Other Meds:

Current Illness:

ID: 1040745
Sex: F
Age: 69
State: GA

Vax Date: 01/16/2021
Onset Date: 01/16/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies: Topical Iodine

Symptoms: 1. Pain and soreness in my muscles, bones and joints in all parts of my body. 2. It is difficult to move without pain and discomfort. 3. "Brain Fog" I am unable to remember names, exact dates. 4. Repeating the same information. 5. Irritability, moodiness - mood disorders.

Other Meds: Losartan-HCTZ - 100-25 MG

Current Illness: 1. Myocosis Fungoids - skin cancer, 2. sleep apnea

ID: 1040746
Sex: F
Age: 33
State: MD

Vax Date: 02/11/2021
Onset Date: 02/17/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: none

Allergies: Bees and Penicillin

Symptoms: Swelling, itching and rash at injection site

Other Meds: Apriso, Wellbutrin, Multi-Vitamin

Current Illness: none

ID: 1040748
Sex: F
Age: 87
State: WI

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: Patient reported that she had scans done in the ED on 1-30-2021 to determine if she had any injuries to her ribs and abdomen. She was told she had 'bruising' of her ribs, but no fractures.

Allergies: NKA

Symptoms: Patient reported dizziness and a fainting episode the morning after her immunization. She knew she was getting dizzy and she attempted to get into her recliner, but fell into her recliner and injured her rib and possibly her 'tailbone'. She went to the Emergency Department where she was examined and scans were taken of her ribs. She was determined to have 'bruised' ribs and sent home with advice to take ibuprofen and acetaminophen alternately every 4 hours for pain relief. She has been at home since this episode. We only found out about this adverse event this week when we called her to confirm her second immunization. She reported this fall to us and was reluctant to get the second shot. I reported the event to her provider, and now to you at VAERS.

Other Meds: metformin, atorvastatin, atenolol, lisinopril, amlodipine

Current Illness: patient is a healthy older adult. She reported having COVID in November 2020.

ID: 1040749
Sex: F
Age: 40
State: MD

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 24 hours post vaccine, developed bilateral eye swelling, itchy ness full body and right orbital pain along with the feeling of my heart racing. Swelling lasted 9 hrs, self medicated with Zyrtec (Benadryl makes my heart race) . Tylenol 1000mg every 4 hrs for headache pain. Headache is still present daily. Switched to 800 Motrin every 6 hrs. Headache and lower extremity muscle pain, as well as nerve twitches and cramping still occurring 8 days post vaccine.

Other Meds: Elderberry immune support, synthroid, cytomel, apple cider gummy

Current Illness:

ID: 1040750
Sex: F
Age: 64
State: PA

Vax Date: 02/17/2021
Onset Date: 02/19/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: I have very swollen glands. I did not see this adverse reaction on the websites. The only thing I saw was swollen lymph nodes.

Other Meds: Xarolto

Current Illness: Heart Condition - Blood clots and heart and lungs

ID: 1040751
Sex: F
Age: 44
State: MI

Vax Date: 02/16/2021
Onset Date: 02/17/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: Waiting on swab results.

Allergies: None known

Symptoms: Chills, drop of body temp to 96.5, vomiting, nauseous, aches, sweats, low grade fever 99.2, headadache, swollen arm all red radiating heat. These started 1a on wed and have not all gone away yet three days later. They were not all at once more like one after another. I was seen last night at the spectrum walk in clinic for treatment they swabbed me to be sure it's all side effects and not coincidentally covid. Advised motrin / tylenol alternate for arm.

Other Meds: Lamictal, prozac, multivitamin

Current Illness: None known

ID: 1040752
Sex: F
Age: 43
State: IN

Vax Date: 02/17/2021
Onset Date: 02/19/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies: SEASONAL ALLERGIES

Symptoms: SWOLLEN LIPS, HIVES ON ARMS AND BODY, ITCHING ON ARMS AND BODY

Other Meds: OXYBUTYNIN, TOPIRAMATE, MONETLUKAST, DOXEPIN

Current Illness:

ID: 1040753
Sex: M
Age: 66
State: NC

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

Lab Data:

Allergies: Penicillin

Symptoms: Chills, body aches, headache.

Other Meds: Pantoprazole 40mg Atorvastatin 80 mg Diltiazem 180 mg Xarelto 20 mg Multivitamin/mineral supplement Vitamin D3 4000 iu Fish oil 4800 mg

Current Illness: None

ID: 1040754
Sex: F
Age: 34
State: NC

Vax Date: 02/15/2021
Onset Date: 02/19/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: n/a

Allergies: NKDA

Symptoms: Patient received Hep B- Peds instead of Hep B- Adult for her 2 of 3 series vaccine. No associated adverse health event. Error would be preventable w/ education. Patient contacted and informed of error and invalid dose and will receive correct vaccine, Hep B-Adult on 2/19/2021.

Other Meds:

Current Illness: N/A

ID: 1040755
Sex: M
Age: 32
State: IL

Vax Date: 02/11/2021
Onset Date: 02/18/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Had redness and soreness just a week after the shot where the injection was given.

Other Meds: Rosuvastatin 10MG

Current Illness: None

ID: 1040756
Sex: F
Age: 77
State: IL

Vax Date: 02/11/2021
Onset Date: 02/13/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 2 days after the injection She started swelling on her cheek bones up high- like she got Botox. Still there currently today, called the Dr to let them know about it, but havent heard back yet

Other Meds:

Current Illness:

ID: 1040757
Sex: F
Age: 40
State: MI

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

Lab Data: none

Allergies: none given

Symptoms: within 10 minutes pt c/o hot flashes - headache upset stomach - moved to exam room - red blotchy rash, back of neck/ upper chest area. BP 142/82 HR regular 80 resp 20 non labored given 25mg Benadryl oral and 2 -220 mg Alleve for headache pt observed for one hour- rash gone BP130/80 Headache from a 10 to a 5 no dizziness on moving from table to chair or standing - pt advised not to drive due to benadryl coworker picked her up pt walked to lobby on her own.

Other Meds: flonase

Current Illness: none

ID: 1040758
Sex: F
Age: 79
State: FL

Vax Date: 02/11/2021
Onset Date: 02/17/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies: cardizem.codeine,medical adhesives,

Symptoms: arm pain swelling fever body aches trouble sleeping

Other Meds: bisopropol,plavix,famotidine,ceterizine,coq10,slomag,multi vitamin

Current Illness:

ID: 1040759
Sex: F
Age: 43
State: MI

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

Lab Data: BP 116/116 RR 18 96% O2 ON ROOM AIR AND HR 90

Allergies: IODINE PEANUTS

Symptoms: AFTER THE VACCINE, SHE FELT HER TONGUE WAS ITCHY. ON SITE EMS/PHYSICAN RESPONDED. SHE WAS EVALUATED AND GIVE DIPHENHYDRAMINE 25MG CAPSULE. VITALS BELOW. SHE REFUSED TO GO TO THE HOSPITAL.

Other Meds: ALBUTER

Current Illness:

ID: 1040760
Sex: F
Age: 39
State: IN

Vax Date: 02/11/2021
Onset Date: 02/17/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies: Iburprofen

Symptoms: Sore lump in lymph node area in left armpit

Other Meds: Sertraline 50mg daily

Current Illness:

ID: 1040761
Sex: F
Age: 33
State:

Vax Date: 12/31/2020
Onset Date: 01/11/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Employee received first Covid19 vaccination on 12/31/2020. Five days post vaccination developed swelling in left neck per employee larger than tennis ball, tender to touch,warm to touch slightly painful to touch . Size has decreased daily to now the size of tennis ball today. Did not report until today. Covid EHS notified and employee will also call them.

Other Meds:

Current Illness:

ID: 1040762
Sex: M
Age: 66
State: FL

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies: dogs, cats, horses

Symptoms: whole body urticaria 5 days after vaccine

Other Meds:

Current Illness:

ID: 1040763
Sex: F
Age: 22
State: KY

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Red lump showed up on left arm the morning after vaccination. Arm remained sore and swollen for 5 days, after this the lump went away. On 2/18/21 left arm started itching where vaccine was given, and the morning of 2/19/21 red lump and soreness returned.

Other Meds: Zoloft 25mg

Current Illness:

ID: 1040764
Sex: F
Age: 44
State: GA

Vax Date: 02/01/2021
Onset Date: 02/03/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: labs not resulted at this time

Allergies: nkda

Symptoms: hives, rash. I have had hives and rash starting about 12 hours after injection. Hives have been present for over 2 weeks now even while on steroids and other antihistamines. I have had a visit to the ED, allergist, and about to make a second visit to ED.

Other Meds: losartan Humalog crestor aspirin

Current Illness: none

ID: 1040765
Sex: F
Age: 47
State: ME

Vax Date: 12/18/2020
Onset Date: 12/19/2020
Rec V Date: 02/19/2021
Hospital:

Lab Data: Labs taken bit nothing out of the ordinary

Allergies: NONE

Symptoms: After the first injection, I got a upper chest rash but did not relate this to the vaccine. After 48 hours of the second injection on 1/8/2021, I had angioedema facial swelling on the lids of my eyes bilaterally, facial burning- lips, nose, and right side of face, as well as the upper chest rash. Tried cool compresses, ibuprofen and rest however did not go away. Went to employee health, threw away all my make up incase, prednisone taper and antihistamine QD, eat clean, lots of water. The swelling went away after a few days of cool compresses and when on 10 mg of the prednisone taper, it came back. Went to PCP this time and gave me dexamethasone injection, prednisone taper, antihistamine BID and continue all other o

Other Meds: Multivitamin for women, vitamin D 10,000 IU, Fish oil, Calcium

Current Illness: NONE

ID: 1040766
Sex: F
Age: 74
State: OH

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

Lab Data:

Allergies:

Symptoms: Attended vaccine clinic with friend. After receiving vaccine and moving to observation area, pt reports noticing? her mouth feels numb and tingly?. Pt has history to surgery for non-cancerous tumor on skull that involved the nerves in the early 2000s resulting in facial asymmetry and some swelling and redness around her left nares. Face inspected and her friend reports that it looks normal for her. Facial asymmetry continues but when assessing face, her friend reports the asymmetry is her norm. VSS BP 166/108, HR-68, Resp 14. She reports that BP goes up. She has no side effects with the first dose but reports feeling ?extremely anxious about coming to get this vaccine?. Arm and leg strength are equal bilaterally. Pt drank water and says she is feeling better by 2:42. She reports no longer feeling tingly but her lips are still numb> 2:52 symptoms resolved with no additional symptoms reported. 3:01 no further s/s reported. Reviewed s/s of reactions vs side effects. Agrees to notify PCP of response after vaccine and also agrees to call 911 with any s/s reaction upon leaving Facility.

Other Meds:

Current Illness:

ID: 1040767
Sex: F
Age: 51
State: NM

Vax Date: 02/15/2021
Onset Date: 02/18/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: 3 days after the immunization, patient's arm swelled up from shoulder to wrist, itchy, red rash at injection site. patient had a fever of 102F and rapid heart rate.

Other Meds: Sprintec, Cyclobenzaprine 10mg.

Current Illness: None

ID: 1040768
Sex: F
Age: 71
State: NY

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies: Thiomersal

Symptoms: About 12 hours after receiving the vaccine I had chills, then about 12:00 AM fever of 99, about 1:30 AM it was 101.7 and about 3:30 AM 101.8. I had a terrible headache, it was really bad. I had muscle aches. Yesterday my temperature about 101, I slept most of the day. I stay in bed all day yesterday. I felt lethargic. I felt like I was ran over by the truck. Last night my temperature broke, this morning I have an sore arm at injection the site. I had a bad pain in groin that goes into my lower back. I took 2 Tylenol this morning. I did call and report my symptoms to my doctor's office.

Other Meds:

Current Illness:

ID: 1040769
Sex: F
Age: 70
State: FL

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Chills, body aches, headache, itchy arm at injection site - lasting 24 hours

Other Meds: Levothryroxine Vit C, B complex. Biotin, Vit D Fish oil Mycophenolate

Current Illness: None

ID: 1040770
Sex: U
Age: 84
State: KY

Vax Date: 02/06/2021
Onset Date: 02/17/2021
Rec V Date: 02/19/2021
Hospital: Y

Lab Data:

Allergies: PCN; Sulfa Abx; Amoxil; Hydrochorothiazide

Symptoms: 1st vaccine 2/6/21; developed altered speech, drooling, nausea, vomiting 2/17/21; seen at ED 2/18/21 and admitted to hospital for stroke symptoms

Other Meds:

Current Illness:

ID: 1040771
Sex: F
Age: 72
State: IN

Vax Date: 01/27/2021
Onset Date: 02/06/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: none

Allergies: penicillin

Symptoms: extreme itching....very similar to reaction to penicillin reaction

Other Meds: lisinopril 10mg

Current Illness:

ID: 1040772
Sex: F
Age: 69
State: VT

Vax Date: 01/29/2021
Onset Date: 02/05/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies: Sulpha

Symptoms: Rash at site of vaccination on left arm

Other Meds: Oxybutinin

Current Illness: None

ID: 1040773
Sex: F
Age: 33
State: MO

Vax Date: 02/09/2021
Onset Date: 02/18/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies: Skin reaction to some metals

Symptoms: Light red rash on upper arm near injection site approximately 2 inches in diameter

Other Meds: Lutera generic (birth control), multivitamin pack

Current Illness: None

ID: 1040774
Sex: F
Age: 65
State: SC

Vax Date: 02/10/2021
Onset Date: 02/18/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: None

Allergies: No medication allergies Allergic to pineapple and egg intolerance

Symptoms: Left arm itching, red, warm to touch and slightly swollen at vaccination sight. Occurred one week after vaccine administration and not before.

Other Meds: Vitamin D, vitamin B12, fish oil Symbicort

Current Illness: None

ID: 1040775
Sex: F
Age: 72
State: MI

Vax Date: 02/11/2021
Onset Date: 02/18/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: Unrelated to this reaction, I had these lab tests drawn on 2/18/21 for an upcoming medicare wellness exam with my physician: Lipid Panel,T4 free , HA1C, cbc, cmp Serum or plasma,Tsh.

Allergies: penicillin, cipro, bactrim yeast feathers

Symptoms: One week after the injection , Thursday, February 18, I woke up in the middle of the night with itching at the site of the injection. When I looked in the mirror, there was a rash (or redness) measuring 4.5 inches long and 2.5 inches across around the injection site. It remains very itchy and feels slightly warm to the touch. It remains this way today, Friday, 2/19/21.

Other Meds: estsradiol vaginal cream 2 times a week. Vitamin D drops daily 3000 iu metamucil daily with stevia benefiber daily

Current Illness: None

ID: 1040776
Sex: F
Age: 38
State: MD

Vax Date: 02/11/2021
Onset Date: 02/19/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: n/a

Allergies: Avalox- just a small rash when taken once

Symptoms: Tenderness in left armpit- onset 5 days after injection Redness, swelling, itching, warm to the touch injection site- onset 7 days after injection

Other Meds: xyzal, buscopan, effexor, probiotics, magnesium, multivitamin- daily Meloxicam, flexiril- as needed

Current Illness: n/a

ID: 1040777
Sex: F
Age: 47
State: NY

Vax Date: 02/12/2021
Onset Date: 02/15/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data: Exposure to herpes virus on right neck 30 years ago (never on lip) after a punch biopsy and never anything since. I believe the vaccine and resulting body response reactivated the virus laying dormant in my body.

Allergies: Tobra-Dex

Symptoms: Injection site soreness developed 5 hours later. Body aches, headache and fever noted upon waking 15 hours later on Saturday morning. Highest fever 101.2. Symptoms lasted approximately 13 hours. Sunday morning woke feeling fine. On Monday morning I felt a tingle on my lip. By mid-day there were vesicles and by evening an apparent cold sore forming on right upper lip. Large cold sore still present 5 days later.

Other Meds: None

Current Illness: None

ID: 1040778
Sex: M
Age: 84
State: LA

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 02/19/2021
Hospital: Y

Lab Data:

Allergies: Diclofenac

Symptoms: Thrombocytopenia

Other Meds: Albuterol, allopurinol, atorvastatin, losartan, metoprolol succinate, Tamsulosin

Current Illness: Epistaxis 1/19/2021 requiring ED visit, no CBC at that time

ID: 1040779
Sex: F
Age: 39
State:

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/19/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Moderna COVID-10 Vaccine EUA. I had 2nd shot in my left arm. About 3 hours post injection, I developed a sore arm that lasted for 4 days. About 10 hours post injection, I had chills that lasted for 6 hours. About 12 hours post injection, I had intense body aches that lasted for 6 hours. About 24 hours post injection, I developed a very itchy red rash (size 2" x 4") at the injection site on my left arm, that lasted 3 days. (I put steroid topical cream on it) I'm fine now.

Other Meds: Vitamin D and Vitamin C

Current Illness: none

ID: 1040780
Sex: M
Age: 76
State:

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

Lab Data:

Allergies: None

Symptoms: Extreme body aches, especially in core area of the body. Came on gradually in the evening and woke up at 2 a.m. with the extreme pain. Took a Tylenol Extra Strength and within 15 minutes, pain began to lessen.

Other Meds: Blood pressure medication (Lisinopril/HCTZ) (Atorvastatin) Cholesterol medication

Current Illness: None

ID: 1040781
Sex: M
Age: 33
State: PR

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

Lab Data: EKG (01/19/2021) CXR (01/19/2021) BMP 901/19/2021)

Allergies: CRUSTACEANS IODINE MANGO CHLOROX

Symptoms: RESPIRATORY DIFFICULTY TIGHT CHEST SOB DIZZINESS LOW MOTION COORDINATION INVOLUNTARY MOVEMENTS

Other Meds: vit b 12 folic acid ECHINEA VIT C

Current Illness: NO

ID: 1040782
Sex: F
Age: 58
State: MI

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

Lab Data: BP 130/76 98% O2 ON ROOM AIR HR 84

Allergies:

Symptoms: After receiving vaccine, she started stating she was very tired. ON SITE EMS/Physican responded. VITAL BELOW. SHE REFUSED ADDITIONAL EVALUATION AND CARE, AND LEFT

Other Meds: WARFARIN

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm