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: 1058943
Sex: F
Age: 74
State: NC

Vax Date: 02/23/2021
Onset Date: 02/24/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: 2/24/2021-almost fainted in staff called EMS, determined by EKG, BP, heart rate lowered, to be needing further assistance at hospital. Taken to ER of by ambulance where an additional EKG was administered, blood drawn, urine test, IV fluids given, chills experienced over 6 hours.

Allergies: Honeydew melon

Symptoms: Pre-syncope

Other Meds: Lisinopril, Carvedilol, Levothyroxine, Liothyronine, Atorvastatin, CoQ10, D3, B12, Glucosamine with MSM, Mature Multi, Vitamin C, Iron, Calcium Chews with D3, Elderberry gummies

Current Illness: Slight UTI

ID: 1058944
Sex: M
Age: 4
State: CA

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: None

Allergies: No Known Allergies

Symptoms: Patient was administered an expired vaccine by MA. - No adverse reactions reported by mother. Kinrix vaccine expired on 2/2/2021. Vaccine was administered to patient on 2/3/2021.

Other Meds:

Current Illness:

ID: 1058945
Sex: M
Age: 50
State: TX

Vax Date: 02/25/2021
Onset Date: 02/26/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Moderma COVID-19 Vaccine EUA

Other Meds: None

Current Illness: None

ID: 1058946
Sex: F
Age: 15
State: VT

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

Lab Data: none

Allergies: Unknown

Symptoms: No known adverse event, but we wanted to report that the immunization was given to someone who was only 15 years of age. The VAR was signed off on by we assume a parent, and the patient additionally signed the back of the VAR.

Other Meds: Unknown

Current Illness: Unknown

ID: 1058947
Sex: F
Age: 48
State: WA

Vax Date: 01/23/2021
Onset Date: 01/30/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies: Occasional mild hives when eating shrimp.

Symptoms: 7 days post-vaccination, left arm turned red from shoulder to elbow; with notable swelling. Deltoid very hard with lump; extreme pain. Required emergent trip to urgent care at 11:00pm. Received IV antibiotics 3 nights in a row, but then consulted infectious disease specialist, who determined it was not cellulitis as initially thought; but rather a severe delayed reaction to the Moderna vaccine that she received the week prior in that left arm. MD stopped antibiotics and started her on high dose antihistamine with immediate resolution of symptoms. Received 2nd Moderna vaccine dose 1 month after initial dose and only mild redness/soreness this time.

Other Meds: Multivitamin; Ranitidine; and Tamoxifen

Current Illness: Glucose intolerance

ID: 1058948
Sex: F
Age: 66
State: NY

Vax Date: 02/16/2021
Onset Date: 02/20/2021
Rec V Date: 02/26/2021
Hospital: Y

Lab Data: no

Allergies: sensitive to medications

Symptoms: On Saturday, noticed a red band at injection site, lip and tongue tingling. Called doctor, advised to take Tylenol and apply ice pack. Went to walkin clinic., was told to take Benadryl. Told it was COVID arm.

Other Meds: Synthroid, Crestor, Metoprolol

Current Illness: no

ID: 1058949
Sex: F
Age: 60
State: WA

Vax Date: 01/01/2021
Onset Date: 01/19/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Sore injection site & arm, fatigue, headache, muscle aches for 4 days.

Other Meds: Lipator Multi vitamin

Current Illness: None

ID: 1058950
Sex: M
Age: 57
State: AZ

Vax Date: 12/24/2020
Onset Date: 01/02/2021
Rec V Date: 02/26/2021
Hospital: Y

Lab Data: CT Chest X-rays Blood work

Allergies: Kephlex

Symptoms: I woke up at 2:00 am and was dizzy and rolled over and was dizzier with Vertigo - couldn't sit up I couldn't stand up or walk. Son took me to ER - Medical Center - and they put me on an IV and gave me Meclizine. Kept me for obsevation for 36 hours as it was not subsiding (the vertigo). Ruled out stroke with CT scan. They sent me home with Meclizine and I'm still taking it. I get Vertigo every day still.

Other Meds: Tylenol PRN; Metoprolol; Lipitor; Flomax

Current Illness: no

ID: 1058951
Sex: F
Age: 72
State: OK

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Client received the first dose Moderna Covid 19 vaccine. Client received 2nd dose Pfizer Covid 19 vaccine. Client did not have any adverse effects or reactions.

Other Meds: None

Current Illness: None

ID: 1058952
Sex: F
Age: 27
State: UT

Vax Date: 02/23/2021
Onset Date: 02/25/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies:

Symptoms: I am 29 weeks pregnant and had ringing in my left ear. It lasted for at least a few hours before I went to bed. I woke up and it was gone. My due date is May 13.

Other Meds: Prenatal vitamin, prenatal probiotic

Current Illness:

ID: 1058953
Sex: F
Age: 19
State: WY

Vax Date: 02/23/2021
Onset Date: 02/23/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: Hives on back, torso, and elbow crease

Other Meds: Levothyroxine, simpesse, women?s multivitamin, iron supplement, liothyronine, omega 3-6-9 supplement, d-3 supplement, turmeric supplement, b-12 supplement, vitamin c supplement

Current Illness: Common cold and possible sinus infection

ID: 1058954
Sex: F
Age: 63
State: AK

Vax Date: 02/17/2021
Onset Date: 02/26/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies: Lisinopril, ACE inhibitors, amoxicillin-pot clavulanate

Symptoms: 4" raised red area to injection site that developed 8 days after vaccination. No pain but some itching

Other Meds:

Current Illness:

ID: 1058955
Sex: F
Age: 40
State: NY

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

Lab Data: NA

Allergies: NONE

Symptoms: Patient complained of having a rapid heart beat , cold and clamy hands and vaccination area was purple in color and hot to the touch. Patient was seen by EMT on site where her blood pressure and pluse rate was monitored. (1) 144/88 , (2) 128/90 , (3) 128/92 . Pulse Rate (1) 103 , (2) 100 , (3) 111. Patient did not have to be transferred to a medical facility and was cleared to return home by EMT .

Other Meds: NONE

Current Illness: Patient stated that she had an adverse reaction approximately 1 year prior to today 2/26/2021 to the MMR. Patient did not indicate said reaction on screening questionnaire upon making her appointment.

ID: 1058956
Sex: F
Age: 45
State: SC

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies: Percocet, tramadol

Symptoms: After 10 hours my legs felt heavy and tingling and I had difficulty walking

Other Meds: Januvia, omeprazole, fluoxetine, losartan, hydrachlorizide, claritin, etodolac, depo provera, tizanidine

Current Illness: Need a spinal fusion, possible MS...need to be tested

ID: 1058957
Sex: M
Age: 51
State: PA

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: None yet, had these feelings and pain before

Allergies: None

Symptoms: Inflamed prostate, pain and discomfort with it. Also joint pain throughout.

Other Meds: Proscar and flowmax

Current Illness: Kindney stone issues and prostate issues/prostititus

ID: 1058958
Sex: M
Age: 69
State: NC

Vax Date: 02/17/2021
Onset Date: 02/19/2021
Rec V Date: 02/26/2021
Hospital: Y

Lab Data: Ekg, blood tests (5), chest xray, ultra sound, had heart cath a few months ago.

Allergies: None

Symptoms: While sleeping 2 days after vaccine, awoken from sleep by rapid heart racing, followed by immediate reduction of heart rate. Did that twice in 30 minutes. Next day entered hospital for tests. Found elevated troponin levels indicating heart damage. In all experienced 5 similiar events. Now wearing a heart monitor to record further events. Spent 2 days in hospital. Questioning wisdom of second shot on march 17th.

Other Meds: Clopidogrel, losartin, metoprolol, lipitor

Current Illness: None

ID: 1058959
Sex: M
Age: 59
State: NV

Vax Date: 02/24/2021
Onset Date: 02/25/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: 2/25/21 CAT Scan, and quite a bit of blood samples.

Allergies:

Symptoms: About 8 hours after my second injection I had alot of muscle aches, felt hot with no fever, and was very tired. At about the 13 hour mark I had a seizure, was unconscious and unresponsive. My wife called an ambulance and I was taken to the ER.

Other Meds: 100mg Trazodone daily, Omeprazole 40mg twice a day

Current Illness:

ID: 1058960
Sex: F
Age: 55
State: IL

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

Lab Data:

Allergies:

Symptoms: Patient at 15 minutes post vaccination stated her heart was racing and had trouble swallowing. Patient given Epinephrine 0.3 IM, Benadryl 50 MG IM, and Solumedrol 62.5 mg IM and then sent to ER.

Other Meds:

Current Illness:

ID: 1058961
Sex: F
Age: 25
State: CA

Vax Date: 02/23/2021
Onset Date: 02/23/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient reported sweating/dizziness while scheduling second appointment. Transferred to observation area. Vitals stable, fluids/crackers given. Patient reported feeling much better.

Other Meds:

Current Illness:

ID: 1058962
Sex: F
Age: 66
State: NV

Vax Date: 02/24/2021
Onset Date: 02/25/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: None yet...getting covid test tomorrow at cvs

Allergies: Clindomycin penicillin codeine

Symptoms: Lungs weak. Extremely fatigued Like when i likely had early covid jan 2020

Other Meds: Zoloft 100 mg crestor 5 mg vit d 5000 iu multi vit minerals

Current Illness: None

Date Died: 02/18/2021

ID: 1058963
Sex: F
Age: 91
State: WI

Vax Date: 02/05/2021
Onset Date: 02/18/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies: Protonix and Piroxicam

Symptoms: 2/182021: Witnessed cardiorespiratory arrest with PEA arrest upon EMS arrival

Other Meds:

Current Illness: aortic sclerosis with stenosis as well as mitral and tricuspid

ID: 1058964
Sex: F
Age: 44
State: VA

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

Lab Data: None. As the intense symptoms only lasted for a moment becoming mild, I did not seek medical assistance.

Allergies: Amoxicillin, Augmentin, Penicillin

Symptoms: After taking the shot I had a very mild metallic taste in my tongue. After about 45 minutes later the metallic taste became much stronger. My lips felt like they were drying out, my tongue felt like it was swelling and drying out, and it felt difficult to swallow. The strong sensation only lasted a couple of minutes. It is now 7:48 PM and I still have a "very mild" case where my lips feel they are either itchy or mildly burning and my tongue still feels weird and has a very mild metallic taste. I did not have any issues with tasting anything. I also have a very mild headache.

Other Meds: Vitamin B12, Losartan Potassium, Norinthindrone, Amlodopine

Current Illness: N/A

ID: 1058965
Sex: F
Age: 37
State: CA

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

Lab Data:

Allergies: Shrimp, Amoxicillin

Symptoms: Itching, throat swelling, facial flushing, rash

Other Meds: Metformin Famotidine

Current Illness: None

ID: 1058966
Sex: F
Age: 60
State: WA

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Swelling and stiffness of arm & injection site, headache, muscle aches, chills, fever of 100 degrees for 2 days, fatigue. Fatique, muscle aches, lasted 5 days along with arm swelling .

Other Meds: Lipator Multi vitamin

Current Illness: None

ID: 1058967
Sex: F
Age: 42
State: OK

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies: Macrobid, Bactrim, Cipro, stadol, codeine, Flagel

Symptoms: Itching on neck, arms, face, ears, chest-burning. then tongue, throat itching client treated self with 25ml of Atarax saw improvement after 10 minutes; left on own accord.

Other Meds: Bystolic, Benazepril, Norvasc, Lexapro, Nucynta, vitamin D, B12, Femguard, marijuana, MSM, peranem.

Current Illness: Urinary tract infection, yeast, Bacterial vaginosis

ID: 1058968
Sex: M
Age: 46
State: LA

Vax Date: 02/21/2021
Onset Date: 02/22/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies: no

Symptoms: fever, vomiting, body aches

Other Meds: Lisinopril ALPRAZolam Tivicay Descovy

Current Illness: none

ID: 1058969
Sex: F
Age: 39
State: TX

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: None

Allergies: KNDA/KNFA

Symptoms: Drowsiness/sleepiness after vaccine every time I take ibuprofen. Started day after vaccine. Have taken 600mg ibuprofen 3 time s/p vaccine and have the same drowsy feeling ( similar to 50mg diphenhydramine). I?ve been taking 600mg ibuprofen PRN for the last 20 years for pain and never once have I had this feeling. Using same ibuprofen bottle for the last 6 months, not expired. No change in medications or diet since first or second dose of vaccine. Can?t think of another reason to why this is occurring with the exception of the vaccine. Sleepy and drowsy to the point I need to lay down.

Other Meds: NP thyroid 60mg for at least 3 mo prior to vaccine Sprintec 10+ years Spironolactone 100mg 5+ years Lansoprazole 15mg 8+ years Aspirin 81mg 1 year Vitron C iron supplement 3 mo Vit D 3mo

Current Illness: None

ID: 1058970
Sex: F
Age: 37
State: NJ

Vax Date: 02/22/2021
Onset Date: 02/23/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies:

Symptoms: I have a red rash and some swelling on my left arm. It occurred after the second dose. I did not have a reaction after the first dose.

Other Meds:

Current Illness:

ID: 1058971
Sex: F
Age: 68
State: NJ

Vax Date: 02/23/2021
Onset Date: 02/26/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies: poison ivy

Symptoms: Delayed local reaction with warm redness about 10 cm on Day 3 post shot...slight soreness. ...just appeared today (Friday) after shot on Tuesday. It will probably go away, but it seemed to be unusual in the clinical trials. The first day after the shot had 101 + fever and fatigue for about 30 hours. Felt fine after 48 hours post dose

Other Meds: none

Current Illness: none

ID: 1058972
Sex: F
Age: 64
State: CA

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

Lab Data: No medical tests or laboratory tests were done today we did give her IV Pepcid, and IV Benadryl to help with her symptoms

Allergies: dilaudid

Symptoms: Patient started having tingling in her lips 5 days after the injection, then she began having a sore throat, she started having a hoarse voice and she felt very tired. 911 was called. In route they were transporting patient she was hypertensive had normal heart rate they gave her Benadryl 50 mg orally and then epinephrine 0.3 mg IM which did not help patient at all.

Other Meds:

Current Illness: had knee steroid injection 3 weeks ago, felt achy after

ID: 1058973
Sex: F
Age: 68
State: IL

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

Lab Data:

Allergies:

Symptoms: Patient started with slight cough while waiting 15 minutes. Patient then walked to make next appointment and started wheezing and having trouble breathing. Patient given Epinephrine 0.3 mg IM and Benadryl 50 mg IM, and sent to ER for further evaluation and treatment.

Other Meds:

Current Illness: asthma

ID: 1058974
Sex: F
Age: 33
State: GA

Vax Date: 02/24/2021
Onset Date: 02/24/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies: penicillin, sulfa

Symptoms: headache, dizziness, tongue swelling

Other Meds: n/a

Current Illness: n/a

ID: 1058975
Sex: M
Age: 73
State: AZ

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

Lab Data: COVID shot #2

Allergies: None

Symptoms: Severe Headache, sleeplessness ,breathing problems, sore throat, weakness

Other Meds: Symbicort. Spiriva Respimat, Albuterol, Triamterene, Finasteride, Flomax, TrazoDone, Pravastatin

Current Illness: None

Date Died:

ID: 1058976
Sex: M
Age: 72
State: MI

Vax Date: 02/12/2021
Onset Date: 02/26/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Unknown the exact event, but patient has passed away.

Other Meds:

Current Illness:

ID: 1058977
Sex: F
Age: 68
State: WI

Vax Date: 02/19/2021
Onset Date: 02/19/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: none

Allergies: ibuprofen

Symptoms: Dose 2 received 9:50 a.m. on 2/19/2021. By 4:00 p.m. chills. By 7:00 a.m. 2/20/2021 chills, headache, nausea, vomiting, muscle aches, and dizziness. The dizziness resulted in fainting and falling at approximately 9:00 a.m. Headache similar in intensity to migraine.

Other Meds: Bayer low dose aspirin, Vitamin D3 (5000 units per day)

Current Illness: none

ID: 1058978
Sex: F
Age: 44
State: KS

Vax Date: 02/11/2021
Onset Date: 02/16/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: NA

Allergies: Bactrim and Levaquin

Symptoms: Onset of hip and low back pain day 5 that progressed to nerve pain in R thigh along L2/3 distribution. On day 13 following vaccine, shingles rash developed in low back and R groin in L2/3 distribution. Currently on Valtrex and Gabapentin.

Other Meds: Prednisone, Zoloft, Nexium, Azathioprine, Asprin, vitamin D

Current Illness:

ID: 1058979
Sex: F
Age: 55
State: CA

Vax Date: 02/23/2021
Onset Date: 02/23/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient reported feeling cold in the chest, and palpitations. Has history of anxiety. After observation, reported feeling better.

Other Meds:

Current Illness:

ID: 1058980
Sex: F
Age: 83
State: CA

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

Lab Data:

Allergies: alcohol, aspirin, cipro, prednisone.

Symptoms: Pt immediately began to cough after vaccine given and her O2 saturation dropped to 45%. Her HR dropped to 40-45 and she was given oxygen and epi-pen administered. Ambulance called during that time and she was taken to ED.

Other Meds: avesco. prpanalol, amoxicillin, Lipitor, Synthroid, Prilosec, albuterol, hydrocortisone cream.

Current Illness:

ID: 1058981
Sex: F
Age: 68
State: CA

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

Lab Data:

Allergies: Tikosyn

Symptoms: patient asymptomatic, transferred to Urgent Care for further eval

Other Meds: Pradaxa, Protonix, Bisoprolol, Wixela, Atorvastatin, Lasix, Lisinopril, Clonidine, Ferrous Sulfate, Ascorbic Acid

Current Illness: none

ID: 1058982
Sex: F
Age: 58
State: MI

Vax Date: 02/18/2021
Onset Date: 02/20/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: none yet, trying to get into doctors office

Allergies:

Symptoms: My arm is in excuriating pain, raiding from shot area to elbow, and up to neck, its painful beyond anything else.

Other Meds: Diabet drugs

Current Illness: None

ID: 1058983
Sex: F
Age: 16
State:

Vax Date: 02/24/2021
Onset Date: 02/24/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: n/a

Allergies:

Symptoms: needle separated from hub and part of the dose trickled down recipient's arm. It was at this time discovered that she was under age, so another dose was not administered.

Other Meds:

Current Illness:

ID: 1058984
Sex: F
Age: 34
State: IA

Vax Date: 02/19/2021
Onset Date: 02/26/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies: Penicillin & sulfa medications, some mild contact dermatitis (unknown cause)

Symptoms: Moderna COVID?19 Vaccine EUA - one week after administration, mild redness, swelling and itchiness at injection site, approx 3 inches in diameter.

Other Meds: 5000 iu Vitamin D daily

Current Illness: None

ID: 1058985
Sex: F
Age: 36
State: KS

Vax Date: 02/25/2021
Onset Date: 02/26/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: After Thursday 2/25/21 developed soreness in arm and neck on same side of injection. Next morning Friday 2/26/21 developed body aches, low grade fever (99.4) and numbness in left upper lip for about and hour and a half. Chills and fatigue present as well. Unable to work at job.

Other Meds: None

Current Illness: None

ID: 1058986
Sex: M
Age: 47
State: TX

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

Lab Data: NONE

Allergies: NONE

Symptoms: None stated.

Other Meds: NONE

Current Illness: NONE

ID: 1058987
Sex: F
Age: 66
State: TX

Vax Date: 02/24/2021
Onset Date: 02/25/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: None. Watching it for now.

Allergies: Foo/misc: Horseradish, wasps,latex Drugs: Ciprofloxacin, Amoxyl, Biaxin, Emeycin, Sulfur Drugs, Codine, Lamisil, Hydrocodone, Macrobid, Bromphed PD, Cephalexliln, Silngular

Symptoms: Vaccination site through a Health Center. Day of shot, only sore arm. Woke up to large (1/2 lemon size) knot on right arm at injection site. Very warm to touch, red and itichy! Cold compresses used. Just started taking Benadryl.

Other Meds: Fluticasone Propionate, Azelastine HCL, Advair HFA, various vitamins: multi vitamin , C, D, Calcium, Fisol, B complex, Phosphatidylserine (memory), Allegra.

Current Illness: None. Diagnosed COVID 19 on January 6, 2021 and also in February 2020 as undiagnosed strain of flu. Full recovery with exception of ongoing cough and fatigue. No fever other than onset.

ID: 1058988
Sex: F
Age: 74
State: PA

Vax Date: 02/21/2021
Onset Date: 02/22/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: Patient's physician advised her to have a COVID test before returning to work

Allergies: No known allergies

Symptoms: Patient stated that she had intense abdominal pain and cramping lasting for 5 days (at time of report patient was still experiencing). Patient reports no diarrhea or vomiting and was unable to work.

Other Meds:

Current Illness:

ID: 1058989
Sex: F
Age: 28
State: TX

Vax Date: 02/19/2021
Onset Date: 02/19/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Fever, arm pain/swelling/erythema.

Other Meds:

Current Illness:

ID: 1058990
Sex: F
Age: 37
State: CO

Vax Date: 02/24/2021
Onset Date: 02/25/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies: N/A

Symptoms: Body rash, starting at chest & spread out from there.

Other Meds: Wellbutrin, Concerta

Current Illness: N/A

ID: 1058991
Sex: F
Age: 65
State: TX

Vax Date: 02/20/2021
Onset Date: 02/20/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Metallic taste in mouth shortly after shot, lasted the rest of the day. Fatigue began several hours later. Lasted the rest of the day and through the next day. Injection site was sore for a couple of days.

Other Meds: Metformin, Atorvastatin, Chlorthalidone, Amlodipine-benazepril

Current Illness: None

ID: 1058992
Sex: F
Age: 44
State: MS

Vax Date: 02/13/2021
Onset Date: 02/23/2021
Rec V Date: 02/26/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Large red ring around injection site around day 10 after recovering.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm