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**
PLEASE CHECK BACK SOON
Download the files above while you wait.







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: 0930180
Sex: F
Age: 45
State: OH

Vax Date: 12/29/2020
Onset Date: 01/06/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data: None

Allergies: none

Symptoms: On 1/6/2021 Patient noticed itching at injection site. On the next day 1/7/2021, Patient stated that the injection site was red, swollen, warm to touch and sore to touch. Patient followed up with her health care provider. Health care provider recommended that Patient take ibuprofen for the swelling and also prescribed an antibiotic, but Patient was told to wait to take the antibiotic for 2-3 days to see if it resolves without taking the antibiotic. Patient stated that she originally had pain at the injection site on the evening of the injection (12/29/2020) and the next day (12/30/2020, but it resolved after that.

Other Meds: Claritin, probiotic, prilosec

Current Illness: none

ID: 0930181
Sex: F
Age: 27
State: PA

Vax Date: 12/30/2020
Onset Date: 01/07/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data: n/a

Allergies: NKDA

Symptoms: Moderna COVID?19 Vaccine EUA. States she experienced fatigue 24 hours after and immediately felt like she had swelling/lump under her skin. States last night she started with itchiness over the injection site. Today she has developed warmth and redness. She denies discharge, fevers, shortness of breath, cough, wheezing, swelling of mouth or throat, n/v, or rash elsewhere. She denies receiving any other vaccines in that arm since then or injury to that arm. She reports the nurse did clean her arm with alcohol swab prior to vaccination and a bandage was placed. She did report her symptoms to employee health and was told to be seen.

Other Meds: ? Omeprazole 20 MG Oral Capsule Delayed Release (PriLOSEC) Take 1 Cap by mouth daily as needed for Heartburn. 1 hour before the first meal of the day 30 Cap 1 ? fluticasone (FLONASE) 50 MCG/ACT nasal spray Administer 2 Sprays into each nost

Current Illness: None

ID: 0930182
Sex: F
Age: 30
State: WI

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data: COVID-19 TESTED 1/8/2021 A.M. RESULTS ARE PENDING.

Allergies: Bannanas

Symptoms: BEGAN FEELING FATIGUED AFTER RECEIVING THE COVID-19 VACCINE, FATIGUE CONTINED ALL DAY, SLEPT ALL DAY, GOT UP TO GO TO WORK, TEMP WAS 98 DEGREES PRIOR TO BEGINNING WORK, STATES BEGAN BURNING UP WHILE WORKING, FELT FEVERISH, TEMPORAL & ORAL TEMPS OVER 100 DEGREES, BEGAN TO FEEL NAUSEATED AND CHILLS. TEMP WAS OVER 100. SENT HOME FROM WORK ADVISED TO CONTACT HER MD AND GET TESTED FOR COVID-19. WENT FOR COVID-19 TEST 1/8/2021 A.M. RESULTS ARE PENDING.

Other Meds: FLOVENT, VYVANSE, MONONESSA

Current Illness:

ID: 0930183
Sex: F
Age: 42
State: OH

Vax Date: 12/29/2020
Onset Date: 01/05/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data: Test sent on 1/8/21 no results yet- CBC with diff, ESR, CRP, ANA, rheumatoid factor, IgE, and hepatic function

Allergies: Latex

Symptoms: Developed red area with in duration and pain to touch initially a single lesion on right forearm on 1/5/21. Initially lesion got larger over first 12 hours. It then became itchy on 1/6/21 in the morning with a second smaller lesion just proximal to the first one. Thought it was hives. On evening of 1/6/21 developed similar lesions on left knee and posterior left ankle. Took Allegra and Zyrtec that evening. Lesions on right forearm looked like bruises on 1/7/21 with resolution of lesion on left knee. Lesion on left ankle has stayed red, swollen, itchy, and painful. Did not respond to Allegra, Zyrtec, or benadryl. I went to primary care provider on 1/8/21 at 2:45 PM. I had labs drawn and received prescription for steroids.

Other Meds: Multivitamin, fiber supplement, Vit D supplement, glucosamine-chindrotin, melatonin, losartan, buspirone, pantoprazole, fluoxetine

Current Illness: No

ID: 0930184
Sex: F
Age: 70
State: IL

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data: none

Allergies: NKDA

Symptoms: fatigue

Other Meds: acetaminophen aripiprazole aspirin daily multivitamin famotidine fluticasone lecithin levothyroxine loratadine calcium plus vitamion d senna plus vitamin c

Current Illness: none

ID: 0930185
Sex: F
Age: 29
State: MA

Vax Date: 01/04/2021
Onset Date: 01/08/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data: None.

Allergies: Penicillins

Symptoms: Pain in left arm in injection site and under arm, armpit and side of breast. Pain feels like shards of glass. By day 3, swelling in left arm and lymph nodes under arm, armpit, and side of breast. Tingling in left arm down to fingertips and "dead arm" feeling.

Other Meds: Sertraline, Velivet oral contraceptive, PRN Ativan

Current Illness: None

ID: 0930186
Sex: F
Age: 21
State: TN

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Vomiting, nausea, chills

Other Meds: None

Current Illness: Nond

ID: 0930187
Sex: F
Age: 18
State: WA

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data: None here

Allergies: None

Symptoms: Patient had seizure 10 minutes after injection. No history of seizures, but brain tumor resection about a year ago. 911 was called; EMS evaluated and had patient transported to hospital

Other Meds: None known

Current Illness: None

ID: 0930188
Sex: M
Age: 60
State: NM

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data: No medical care provided

Allergies: Anacin

Symptoms: Approximately 2 hours post vaccination a heat flash came over my body, co-workers setting around me asked if I was ok as my face was red, cleared about 1 minute later. About 15 minutes later a 2nd heat flash came over my body and cleared about 1 minute later. About 15 minutes later the 3rd heat flash came across my body and cleared about 1 minute later. Approximately 30 minutes later my head was in a fog, I could not focus, thoughts left my mind. When returning to my office my manager asked if I was ok and said my eyes were glossed over and my face was red. All this cleared around 2:30 pm.

Other Meds: Rosuvastatin calcium, acyclovir, Vit A, Vit B, Vit D, D-mannose, Magnesium, B-complex, Turmeric, Cosamin, Zinc CoQ10

Current Illness:

ID: 0930189
Sex: F
Age: 54
State: WI

Vax Date: 12/30/2020
Onset Date: 01/07/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 7 days after injection patient developed redness and itching around injection site

Other Meds:

Current Illness:

ID: 0930190
Sex: F
Age: 25
State: FL

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies: Vancomycin - seizures; seasonal allergies

Symptoms: Rash that stayed near the site of injection, but has traveled a little inferior of the site. Just bumps - not itchy or hot to touch Nausea that has stayed since the day after the injection. But I've been able to keep food down. Severe stiffness in left arm that made it hard to lift arm - only stayed for 2 days and then it cleared

Other Meds:

Current Illness:

ID: 0930191
Sex: F
Age: 24
State: UT

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data: N/A

Allergies: Flu vaccine: hypotension/syncope Alcohol: hives, syncope Haldol: worsening anxiety

Symptoms: covid vaccine given at 1309 approv 3-5 minutes later felt cold, lightheadedness, tingling, nausea. No shortness of breath VSS. No rash, swelling. Feels cold to touch, pale. placed in supine position with blanket. Not as lightheaded Nausea improving s/p ondansetron 4 mg ODT @ 14:00.

Other Meds: clindamycin-benzoyl peroxide; spironolactone 50 mg BID; viorele daily; mupirocin 2% topically daily; albuterol prn; adderall 20 mg TID; bupropion XL 300 mg;

Current Illness: none

ID: 0930192
Sex: F
Age: 33
State: IL

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data: 1/8/21 - Covid Negative, chest x-ray normal, EKG, normal, labs normal

Allergies: Latex

Symptoms: Developed fever of 100.6, chills and was tachypneic. Presented to Hospital Emergency department on 1/8/21 at 6 am. Discharged at 10am.

Other Meds:

Current Illness:

ID: 0930193
Sex: F
Age: 28
State: SD

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies: norethindrone-eth estradiol bacitracin-polymyxin B

Symptoms: Arm started swelling around site. Sore, achy pain radiating down the arm.

Other Meds: Lexapro Pamelor Mirena Hair, skin, and nails Zinc Flax seed oil

Current Illness:

ID: 0930194
Sex: F
Age: 39
State: NM

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data: None

Allergies: Latex (anaphylaxis)

Symptoms: Itching/redness at injection site and up neck. Administered 50mg Benadryl PO . Staff called and observed for 30 min. Discharge to husband's care.

Other Meds: atorvastatin 20mg qhs, isosorbide mononitrate 60mg ER qmorning, multivitamin, omperazole 20mg qday, sertraline 50mg qday, tizanidine 2mg prn muscle spasm,

Current Illness: unknown

ID: 0930195
Sex: F
Age: 24
State: VA

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data: no

Allergies: bananas

Symptoms: Around 4pm I started to feel sick and i started to feel really cold, chills. I got a migraine so I laid down. Around 7pm I started feeling nauseous and started throwing up around 730p. Around midnight I started getting really hot. I checked my temp it was 101. 230a I woke up and checked temp it was 102.9. Symptoms lasted until around noon next day.

Other Meds: no

Current Illness: COVID Pos- 12/21/20

ID: 0930196
Sex: F
Age: 42
State: MD

Vax Date: 12/16/2020
Onset Date: 01/03/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies: N/A

Symptoms: Lymph node swelling right axillary

Other Meds: Alive women?s vitamins, probiotic

Current Illness: N/A

ID: 0930197
Sex: F
Age: 35
State: AZ

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Body aches, fatigue, headache

Other Meds: Sertraline

Current Illness:

ID: 0930198
Sex: F
Age: 32
State: OH

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Worsening pain, soreness, red raised warm welt 3cm diameter, malaise worsening getting into hours 20-24 post injection.

Other Meds: Venlafaxine, multivitamin

Current Illness: None

ID: 0930199
Sex: F
Age: 30
State: CO

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data: treated in ED.

Allergies: STATED ALLERGIES TO MULTIPLE ANTIBIOTICS.

Symptoms: 0756:15 minutes after immunization she stated that she felt itchy. Her back felt itchy. Hives were noted on her left arm. Felt she was going to pass out. 0800: Taken to ED. Evaluation revealed tachycardia, c/o throat constriction, wheezes heard on auscultation of lungs, hives noted on chest. Treated with Decadron, Benadryl, Famotidine and Ativan. She was observed for 5 hours before being discharged.

Other Meds: UNKNOWN

Current Illness: NO

ID: 0930200
Sex: F
Age: 39
State: IA

Vax Date: 12/27/2020
Onset Date: 01/07/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data: N/A

Allergies: None

Symptoms: hives/rash on arm

Other Meds: multivitamin

Current Illness: None

ID: 0930201
Sex: M
Age: 20
State: IL

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: fever 102.9 at 1:45pm 1/8/21 ibuprofen 400mg given 1:50pm

Other Meds:

Current Illness:

ID: 0930202
Sex: F
Age: 32
State: IN

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Very sore arm starting day of administration lasting for 2 days; resolved. Headache and fatigue on day of vaccine starting about 4 hours after administration; resolved by the time I woke up the next morning. Lymphadenopathy and tenderness in the armpit and supraclavicular nodes on the same side the vaccine was administered starting 1/1/2021, four days after the vaccine was administered and is not yet resolved, although the tenderness started to improve after 1 week on 1/7/2021.

Other Meds: One a day Women?s Vitamin D3

Current Illness: None

ID: 0930203
Sex: F
Age: 30
State: CA

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data: Epinephrine 0.3mg administered intramuscular at 2:45pm and same dose repeated at 2:51pm, at 2:54pm reported swallowing was improved and throat did not feel as tight. EMS arrived at 2:56pm to transport to local hospital.

Allergies: reported history of allergic reaction to Toradol injectable, developed a rash all over face that was treated with Benadryl .

Symptoms: 25 minutes after the administration of COVID-19 (Moderna) vaccine, reported complaints of throat tightening and difficulty swallowing, respiratory effort unlabored, no retractions, facial or lip swelling noted. Denied any GI symptoms or rash.

Other Meds: unknown

Current Illness: unknown

ID: 0930204
Sex: M
Age: 67
State: CA

Vax Date: 01/01/2021
Onset Date: 01/06/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data: None

Allergies: None Known

Symptoms: High fever first two days ranging 101.7 to 103.9 F, and severe fatigue and body aches all over and loss of appetite. Fever was highest around 2AM to 7AM. Symptoms still continue more than 48 hours after vaccination. Important: I had Covid infection in March 2020 with2 weeks of high fever and cough and fatigue.

Other Meds: Olmesartan, Atenolol, Aspirin 81mg, Levothyroxine, Lipitor

Current Illness: No active illness

ID: 0930205
Sex: F
Age: 61
State: PA

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies: Reports previous rash to other vaccines

Symptoms: Patient developed itchy rash right A/C space and distal. She reported she has had this reaction before to vaccines and brought Benadryl with her. Resolved after 15 minutes

Other Meds:

Current Illness:

ID: 0930206
Sex: F
Age: 39
State: NM

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data: None

Allergies: Latex (anaphylaxis)

Symptoms: Itching/redness at injection site and up neck. 50mg Benadryl PO given. Rapid Response called and observed for 30 min. Discharged to husband's care.

Other Meds: atorvastatin 20mg qhs, isosorbide mononitrate 60mg ER qmorning, multivitamin, omperazole 20mg qday, sertraline 50mg qday, tizanidine 2mg prn muscle spasm

Current Illness: unknown

ID: 0930207
Sex: F
Age: 59
State: TX

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data: no

Allergies: no

Symptoms: Arm is red, swollen, painful, 3in wide in1/2 long in size.

Other Meds: Lexapro 20mg, Wellbutrinxl300mg, ambien10mg, Singulair10mg, Xyzal5mg, Flovent110, Neurontin300mg.

Current Illness: no

ID: 0930208
Sex: F
Age: 44
State: NY

Vax Date: 12/01/2020
Onset Date: 12/31/2020
Rec V Date: 01/08/2021
Hospital:

Lab Data: None

Allergies: NSAIDs

Symptoms: Pain, swelling, redness, extreme induration and tenderness at injection site.

Other Meds: None

Current Illness: None

ID: 0930209
Sex: M
Age: 36
State: IN

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies: No

Symptoms: I had cold chills, high fever, body aches, cramps, nauseated/vomiting, and really tired.

Other Meds: No

Current Illness: No

ID: 0930210
Sex: F
Age: 32
State: CA

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Patient experienced numbness from shoulder to finger tips starting 5 minutes after the injection. 15 minutes later, numbness decreased and pt feels tingling in hand and fingers. "It's like I fell asleep on my hand."

Other Meds: Ibuprofen PRN (twice per month); Airborne gummies

Current Illness: None

ID: 0930211
Sex: F
Age: 41
State:

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Headache and vomiting nausea and gastro problems

Other Meds:

Current Illness:

ID: 0930212
Sex: F
Age: 53
State:

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 2nd dose was given on day 15 after first dose. No adverse event occurred.

Other Meds:

Current Illness:

ID: 0930213
Sex: F
Age: 25
State: OH

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies: Mild allergy to apples, peaches, pears, cherries, kiwis

Symptoms: I felt fine the rest of the day after I received the vaccine. However, I woke up at 4am the next day with intense cold chills, suspected fever (no thermometer to confirm), and it felt like my arm had been stabbed (much worse pain than usual flu vaccine discomfort). I took some ibuprofen and Nyquil. The next morning when I woke up I felt extremely fatigued and had whole body muscle aches. The cold chills returned around 2pm. I had a slight head ache. I took some Dayquil and rested. The 2nd day after my vaccine I still had some fatigue and muscle aches, but no more episodes of cold chills or fevers. I continued to take ibuprofen and Dayquil. The 3rd day after my vaccine I woke up feeling a bit more back to normal and the pain at my injection site was pretty much gone.

Other Meds: Sprintec

Current Illness: COVID-19 at end of November 2020

ID: 0930214
Sex: M
Age: 57
State: WV

Vax Date: 12/30/2020
Onset Date: 01/07/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data: Patient was treated with PO Bactrim and triamcinolone cream for site itching.

Allergies: none

Symptoms: Patient received 1st dose Moderna COVID19 on 12/30/20. On 1/7/21 he noticed itching at injection site, then on 1/8/21 he noticed solid circular redness and warmth at injection site. Area is tender to touch. There is right axillary lymphadenopathy as well.

Other Meds: Ibuprofen prn, MegaMen Joint formula

Current Illness: none

ID: 0930215
Sex: F
Age: 36
State: MD

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: 15 minutes after receiving Vaccine, patient started complaining of dry mouth and sweating. Patient denies palpitation, shortness of breath or throat closing. VS:130/84, HR=84 regular, RR=20,Temp:97.5. Patient was observed for 20 more minutes, given water and allowed to rest. Patient felt better and sent home with her mother. Patient recommended to Healthcare provider or call 911 for severe allergic reaction

Other Meds: Metformin, Gabapentin, fluoxetine

Current Illness:

ID: 0930216
Sex: M
Age: 60
State: NM

Vax Date: 01/06/2021
Onset Date: 01/08/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data: Did not seek care

Allergies: Anacin

Symptoms: Approximately 11:00 am I got crazy chills, put on my coat, and turned a heat lamp on, this lasted about 30 minutes. After the chills my mind went in to a fog, found it very hard to concentrate, and felt like I was moving in slow motion. Also had some GI upset, but discharge. The fog lasted until 4:00 pm.

Other Meds: Rosuvastatin calcium, acyclovir, Vit A, Vit B, Vit D, D-mannose, Magnesium, B-complex, Turmeric, Cosamin, Zinc CoQ10

Current Illness:

ID: 0930217
Sex: F
Age: 37
State: NY

Vax Date: 01/01/2021
Onset Date: 01/08/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: About 16 hours after injection (woke up the next morning) with myalgias, headache, chills, fever to 100. Feeling flu like.

Other Meds: None

Current Illness: None

ID: 0930218
Sex: F
Age: 17
State: MN

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies: NONE

Symptoms: Patient was administered the Moderna vaccine despite being only 17 years old and the CDC not recommending the vaccine for people under 18 years old.

Other Meds:

Current Illness:

ID: 0930219
Sex: F
Age: 31
State: GA

Vax Date: 12/28/2020
Onset Date: 01/08/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Redness and swelling at the injection site as well as soreness when raising arm in both deltoid and tricep.

Other Meds:

Current Illness:

ID: 0930220
Sex: F
Age: 50
State:

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: itching, welp

Other Meds:

Current Illness:

ID: 0930221
Sex: F
Age: 39
State: FL

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data: 01/08/2021 Corvid 19 Rapid test-Result-Negative

Allergies: No known allergies

Symptoms: Headache, Shortness of breath, Chills, Body aches

Other Meds: Losartan-HTZ, Trintellix, Lamotrigen

Current Illness: No

ID: 0930222
Sex: F
Age: 23
State: MS

Vax Date: 12/28/2020
Onset Date: 01/05/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies: N/a

Symptoms: Preauricular lymphadenopathy and tenderness initially noted on the R side. Progressive bilateral tenderness prompted symptom reporting.

Other Meds: Prozac Adderall

Current Illness: N/a

ID: 0930223
Sex: F
Age: 54
State: NY

Vax Date: 12/23/2020
Onset Date: 01/03/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies: Cephalosporin, Compazine

Symptoms: COVID 19 vaccine received 12/23/20 left deltoid. She has been experiencing left jaw/TMJ joint pain since Sunday 1/3/20 worse in the morning,. patient describes it as a dullness on the left side of face. Denies any trauma to area. No hx of TMJ. Denies any facial droop, or dry eye, no weakness. She tried NSAIDs with no improvement, however pain with opening her mouth.

Other Meds:

Current Illness:

ID: 0930224
Sex: F
Age: 41
State: WA

Vax Date: 01/03/2021
Onset Date: 01/05/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data: NONE SO FAR

Allergies: PENICILLIN

Symptoms: HIVES STARTED AFTER TWO DAYS OF COVID VACCINE . STILL HAVE HIVES, TAKING ZYRTEC AND BENADRYL

Other Meds: LEVOTHYROXINE 75MCG, VITAMIN B12 1000MCG

Current Illness: NONE

ID: 0930225
Sex: F
Age: 57
State: NJ

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies: Lansoprazole Delayed-release Amoxicillin Clarithromycin LATEX

Symptoms: Swollen, redness, itchiness, hard to touch was felt that evening of the vaccine and its getting bigger in diameter. Its the 8th day and it is throbbing and seems like the redness is getting bigger in diameter. It is hard and hot to touch.

Other Meds: Fish oil Cambigan (eye drop) Prednisolone Acetate 1% (eye drop)

Current Illness: N/A

ID: 0930226
Sex: F
Age: 37
State: AL

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data: COVID-19 Rapid and PCR performed: both negative

Allergies: Sulfa Sensitivity to latex powder

Symptoms: 5 min after injection: radiating nerve pain down left arm. 5 hours after: sore LT upper arm and LT mid-rib cage. Next morning 01/06: arm less sore, LT rib cage stabbing pain to take a deep breath; some RT rib cage tenderness; rib cage pain worse with prolonged sitting. Unable to lay flat or on sides. Only able to lay probe or with upper body elevated. Noticed congestion mainly at night and early morning. 01/07: arm tender; still experiencing some LT rib cage pain with deep breaths; still experiencing discomfort with laying flat on back or on sides. Congestion mild but noticed it during the day, as well. Everything tastes bland except spicy foods which were intolerable. Tested for COVID, both negative. 01/08: Woke up with chills and night sweats. LT rib cage tender, no problem with deep breaths. Left side of neck stiffness. Sudden onset of right side moderate sore throat/jaw pain/ear pain, happened within minutes. Congestion still present.

Other Meds: Tylenol PRN Adderall 15mg BID PRN Valtrex 500mg QD Calcium/Vitamin D supplement Melatonin 10mg PRN HS

Current Illness: None

ID: 0930227
Sex: F
Age: 63
State: FL

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/08/2021
Hospital:

Lab Data: none

Allergies: cefipime

Symptoms: Red rash adjacent to upper arm injection site

Other Meds: hydroxychloroquine, zinc, vit c, b complex, vit d

Current Illness: UTI

ID: 0930228
Sex: F
Age: 88
State: NY

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: Received two doses of Moderna vaccine today

Other Meds: ACETAMINOPHEN AMLODIPINE DOCUSATE SODIUM REMERON ENSURE ENLIVE

Current Illness: DYSPHAGIA HYPERTENSION HYPERLIPIDEMIA DEMENTIA

ID: 0930229
Sex: F
Age: 28
State: PA

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/08/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient reported dizziness with flushing and rapid heart rate. VS 97.1 68 20 118/80. Resolved after 15 minutes. Patient also reported she just drank rapidly a double expresso coffee.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm