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: 0917903
Sex: F
Age: 37
State: TN

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

Lab Data:

Allergies: None

Symptoms: Moderna COVID-19 Vaccine EUA After receiving shot 1 at 8:56 AM I started running a fever of 101 by 6:00 PM on 1/2/21. By 7:30 PM it was 102.8. I alternated Tylenol and Ibuprofen which took over an hour to have any impact on the fever. I have used ice packs to also control my body temperature throughout the night. I woke up with fever and have run fever all day 1/3/21. It is 4:49 PM and it is currently 101.4 which is 20 minutes after my Tylenol has worn off. I am also experiencing intestinal issues and started having diarrhea at 3:30 PM on 1/3/21. I am very concerned about taking dose 2!

Other Meds: Multi-vitamin, D3

Current Illness: None

ID: 0917904
Sex: F
Age: 27
State: IL

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/03/2021
Hospital:

Lab Data: None

Allergies: NKA

Symptoms: Malaise, fatigue, chills, headache, dizziness, and nausea from 12 hours post vaccine until 48 hours post vaccine

Other Meds: Birth control (lo estrin)

Current Illness: Sore throat 3 days prior

ID: 0917905
Sex: M
Age: 41
State: KS

Vax Date: 12/28/2020
Onset Date: 12/29/2020
Rec V Date: 01/03/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Fever with chills for 2 days Weakness/malaise/muscle pain for 2 days. Hives with itching for 1 day

Other Meds:

Current Illness:

ID: 0917906
Sex: F
Age: 56
State: TX

Vax Date: 01/02/2020
Onset Date: 01/03/2020
Rec V Date: 01/03/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Moderna COVID-19 Vaccine EUA Fast heartbeat (117) Chills Headache Nausea Fatigue (Day after vaccination)

Other Meds: Losartan Simvastatin Metformin D3 OMEGA-3 B12

Current Illness:

ID: 0917907
Sex: F
Age: 65
State: VA

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

Lab Data: none

Allergies: local anesthetic, hair dye,

Symptoms: Metallic taste a couple of minutes after vaccination, it disappeared after 30 minutes or so Swallowing lips 4 hours after injection. Numbing sensation on lower lip. This effect lasted 3 to 4 hours Headache, and backache and increase in temperature the next morning 01-03-21 Symptoms improving during the afternoon

Other Meds: none

Current Illness: none

ID: 0917908
Sex: F
Age: 39
State: FL

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/03/2021
Hospital:

Lab Data: None

Allergies: NKA

Symptoms: Flushing, started about 5h after vaccination, lasts a few minutes, has occurred daily . Fatigue/aches, started ~48h after vaccination, usually occurs in the afternoon, enough for me to need a nap, has occurred daily.

Other Meds: Nuvaring Protonix 40mg daily Prenatal gummy vitamin Bcomplex vitamin Turmeric-ginger gummy vitamin

Current Illness: None

ID: 0917909
Sex: F
Age: 62
State: FL

Vax Date: 12/26/2020
Onset Date: 01/03/2021
Rec V Date: 01/03/2021
Hospital:

Lab Data: None

Allergies: Actonel , Eucrisa

Symptoms: Rash at vaccine injection site 1 day after Dupixent leg injection

Other Meds: Dupixent 300 mg administered 1 week after vaccine in left arm. Dupixent administered in left leg. One day after Dupixent and 8 days after vaccine I developed a rash at the vaccine injection site.

Current Illness:

ID: 0917910
Sex: M
Age: 42
State: CA

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/03/2021
Hospital:

Lab Data: I have not seen a Doctor yet. I have an appointment with my physician.

Allergies: None

Symptoms: Approximately 5 hours after the injection my left arm (injection site arm) became sore. The soreness ended on January 3rd. No treatment was needed. On January 1st I noticed tingling in both of my legs. Since then it has gotten worse. I have tingling in both legs, muscle twitching throughout both legs intermittently, muscle weakness specifically after muscle use, an abnormal skin sensitivity when wearing pants, and a consistent ache throughout my legs. The symptoms affect me 24 hours a day and create an anxiety that I have not felt before. It has also adversely affected my sleep.

Other Meds: Lipitor 20mg

Current Illness: None

ID: 0917911
Sex: M
Age: 32
State: MA

Vax Date: 12/28/2020
Onset Date: 12/31/2020
Rec V Date: 01/03/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Left T11-12 zoster reactivation

Other Meds: Effexor, loratidine, finasteride

Current Illness: None

ID: 0917912
Sex: F
Age: 37
State: MO

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/03/2021
Hospital:

Lab Data:

Allergies: N/A

Symptoms: Body aches, chills, exhaustion, fever, injection site itching, swelling and redness.

Other Meds: Zoloft, Wellbutrin, adderall

Current Illness: N/A

ID: 0917913
Sex: F
Age: 31
State:

Vax Date: 12/20/2020
Onset Date: 12/20/2020
Rec V Date: 01/03/2021
Hospital:

Lab Data: n/a

Allergies: keflex, bee stings

Symptoms: severe headache lasting 24 hours

Other Meds: pristiq 100mg daily, trazodone 100mg daily, multivitamin, claritin.

Current Illness: n/a

ID: 0917919
Sex: M
Age: 37
State: HI

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/03/2021
Hospital:

Lab Data: Went to the emergency room at Medical Center for the rashes 72 hours days after the shot. I was given a standard blood test and prescribed triamcinolone acetone. More rashes developed

Allergies: None

Symptoms: Rashes developed over many areas of the body (neck, ears, legs, chest, torso, groin) following the vaccine shot. The first rashes started to appear the evening after getting the shot and more appeared the days that followed.

Other Meds: None

Current Illness: None

ID: 0917920
Sex: F
Age: 25
State: CA

Vax Date: 12/17/2020
Onset Date: 12/18/2020
Rec V Date: 01/03/2021
Hospital:

Lab Data:

Allergies: No

Symptoms: Swollen lymph nodes with lesions and blisters

Other Meds: Aldactone

Current Illness: No

ID: 0917921
Sex: F
Age: 34
State: IL

Vax Date: 12/24/2020
Onset Date: 12/24/2020
Rec V Date: 01/03/2021
Hospital:

Lab Data: seeing Primary Care Provider 1/4/2020

Allergies: none

Symptoms: Left shoulder/arm muscle soreness Left pectoral muscle soreness Tender, swollen lymph node The pain in the Left shoulder and across Left chest is persistent and flares with exertion. Tender, swollen (presumed) lymph node directly under Left collar bone and to the left of sternum, pain persistent when at rest and flares when exerting force with Left arm (lifting/pushing/pulling), pain when taking deep breathes.

Other Meds: Remicade (q 8 weeks for Crohn's - last dose = 12/28/2020) Daily Wal-Fex (genenric Allegra) Daily Vitamin D3 (5,000 IU) Daily Biotin (8mg) Probiotic Host Defense Immune Support

Current Illness: Crohn's Disease, Alopecia, Dyshidrotic Eczema

ID: 0917922
Sex: M
Age: 44
State: FL

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

Lab Data: None

Allergies: PCN

Symptoms: Headache-dull/ site pain - at 12 hrs post injection Chills 18 hrs post injection Fever 38C - 30 hrs post Injection Significant fatigue

Other Meds: Allegra, famcyclovier, Pepcid, Allegra, flax oil

Current Illness: None

ID: 0917923
Sex: F
Age: 42
State: FL

Vax Date: 12/26/2020
Onset Date: 12/26/2020
Rec V Date: 01/03/2021
Hospital:

Lab Data: rapid COVID test 1/3/2021 is negative

Allergies: none

Symptoms: Night of vaccine, headache. Next day, muscle and joint aches, shooting nerve pain in legs before getting out of bed some days. Low grade fever 12/30. On 12/31 felt normal. On 1/1 symptoms began to recur fever 101.3, with higher fever 101.6 1/2/2021 and 100.3 1/3/2021, on ibuprofen from morning each day. Chills and sweats daily. COVID19 rapid test 1/3/2021 is negative. Currently temp 100.3, muscle aches, dizziness and congestion continue, feels winded walking short distances.

Other Meds: none

Current Illness: none

ID: 0917924
Sex: F
Age: 50
State: TX

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/03/2021
Hospital:

Lab Data: Did not seek medical attention. Alternated Motrin and Tylenol while monitored by family member at home.

Allergies: Levoquin Peaches Nectarines Apricots

Symptoms: Began with worsening of pain to injection site, then pain spread throughout arm. Shortly after began with body aches, chills and fatigue, then incontrollable shivering and fever of 101 F. Continue with fever next day and redness/swelling to arm, body aches. Low grade fever, fatigue and body aches continue through today (3 days), but feeling way better than before.

Other Meds: Atorvastatin 10 mg

Current Illness: None

ID: 0917925
Sex: F
Age: 41
State: AL

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/03/2021
Hospital:

Lab Data: None

Allergies: No

Symptoms: Woke up with extreme leg aches and low grade fever, also noticed that my arm was really sore, swollen, red and hot to the touch. Took Tylenol and Benadryl. This continued from Wednesday-Saturday. On Sunday, I began feeling normal again, except that my arm is still sore, red, swollen, bruised, and hot to the touch.

Other Meds: Metoprolol, Topamax, Citalopram, Trelegy

Current Illness: No

ID: 0917926
Sex: F
Age: 37
State: FL

Vax Date: 12/27/2020
Onset Date: 01/03/2021
Rec V Date: 01/03/2021
Hospital:

Lab Data:

Allergies: none that i know of

Symptoms: Splotchy red rash appeared at injection site 1 week post injection. No pain. Visibly swollen and warm to the touch. rash is 2x3 inches

Other Meds: advil, melatonin

Current Illness: none

ID: 0917927
Sex: F
Age: 40
State: CT

Vax Date: 12/26/2020
Onset Date: 01/03/2021
Rec V Date: 01/03/2021
Hospital:

Lab Data:

Allergies: Knda

Symptoms: Day 8 red raised itchy. 3x3cm injection site reaction. Some tightness in the muscles as well.

Other Meds: Dyazide

Current Illness: Neg

ID: 0917928
Sex: F
Age: 35
State: CT

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

Lab Data: 01/03/2021 Labs drawn, chest x-ray and soft tissue neck x-ray normal.

Allergies: Lactose (mild abdominal discomfort)

Symptoms: Approximately 5-6 minutes after receiving vaccine, my left arm that was injected started to tingle and then suddenly I felt like I couldn?t breathe and had shortness of breath. The staff called a non-patient medical response and administered 0.3mg Epi. I was transported to the ER and received oxygen via nasal cannula, labs drawn, chest x-ray, soft tissue neck x-ray, IV Benadryl and Pepcid.

Other Meds: Birth Control pill

Current Illness: N/A

ID: 0917929
Sex: F
Age: 31
State: PA

Vax Date: 12/27/2020
Onset Date: 01/03/2021
Rec V Date: 01/03/2021
Hospital:

Lab Data: None

Allergies: No known

Symptoms: Symptoms started today (Day 7 after vaccine)- swollen, redness, warmth, itchiness at site of injection with swollen painful lymph node in the left axilla which started on day 6 accompanied by some mild chills and body aches... started today and hasn?t changed with taking loratadine and Advil

Other Meds: Methimazole Birth control (progesterone only) Vitamin B, C,D Magnesium Fish oil Acetylcarnitine Probiotic CBD

Current Illness:

ID: 0917930
Sex: F
Age: 49
State: OH

Vax Date: 12/27/2020
Onset Date: 12/28/2020
Rec V Date: 01/03/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: 24 hours post fever 101.0, chills, joint pain , muscle aches, and injection site pain/swelling

Other Meds: None

Current Illness: None

ID: 0917931
Sex: F
Age: 44
State: NY

Vax Date: 12/23/2020
Onset Date: 01/02/2021
Rec V Date: 01/03/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Swelling (7x5 cm), erythema almost like urticaria and mild itching at injection site.

Other Meds: Levothyroxine

Current Illness: None

ID: 0917932
Sex: F
Age: 35
State: OH

Vax Date: 10/12/2020
Onset Date: 10/12/2020
Rec V Date: 01/03/2021
Hospital:

Lab Data:

Allergies: PENICILLIN

Symptoms: PATIENT REPORTS EXPERIENCING SHOOTING PAIN ALL OVER HER ELBOW. PATIENT VISITED FAMILY PHYSICIAN WHO RECOMMENDED PHYSICAL THERAPY. SHE STATES THAT SHE THINKS SHOT WAS GIVEN TOO HIGH. (PHARMACIST WHO ADMINISTERED SHOT WAS CAREFUL AND BELIEVES SHOT PLACEMENT WAS CORRECT (2-3 FINGERS BELOW SHOULDER), HOWEVER, PATIENT IS STILL HAVING PAIN.)

Other Meds: NO KNOWN MEDICATIONS

Current Illness: NO KNOWN HEALTH CONDITIONS

ID: 0917933
Sex: M
Age: 57
State: MD

Vax Date: 12/01/2020
Onset Date: 12/25/2020
Rec V Date: 01/03/2021
Hospital:

Lab Data: NONE

Allergies: NONE

Symptoms: Headaches two after injection and fatigue

Other Meds: Losartan, metoprolol, amlodipine, Viagra, Colace

Current Illness: None

ID: 0917934
Sex: F
Age: 36
State: PA

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

Lab Data:

Allergies: none

Symptoms: dizziness, flushing in face, and heart pounding (felt like she just got done running) pulse 100

Other Meds: none

Current Illness: productive cough for over one month

ID: 0917935
Sex: F
Age: 27
State: NY

Vax Date: 01/02/2020
Onset Date: 01/02/2021
Rec V Date: 01/03/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Three hours after getting vaccine had moderate left shoulder pain turning to severe. Woke up on the middle of the night with 10/10 pain and radicular symptoms down left arm with weakness in grip strength

Other Meds: Birth control Sronyx

Current Illness: None

ID: 0917936
Sex: M
Age: 58
State: FL

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/03/2021
Hospital:

Lab Data: None

Allergies: Percocet (pruritis) Seasonal and environmental allergies (grasses, mold) Contact Dermatitis (gourds)

Symptoms: Hives Left Ankle. Uncomfortably itchy. Starting morning after injection and still persisting 5+ days post. Itching has subsided, but required hydrocortisone and benadryl for 3+ days, and hives still presenting at 5+ days. Also itching and mild hives on palms and wrists of both hands, also treated with hydrocortisone.

Other Meds: Atorvastatin 40 mg DAILY Breo Ellipta 100/25 DAILY Levothyroxine 0.05 mg QAM Metoprolol ER 25 mg DAILY Omeprazole 40 mg DAILY Singulair 10 mg QHS Tamsulosin 0.4 mg DAILY Olopatadine HCL 0.665 mcg DAILY Each Side ProAir 90mcg PRN Aspirin 81m

Current Illness: None

ID: 0917937
Sex: F
Age: 37
State: CT

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/03/2021
Hospital:

Lab Data: Not yet but plan to see eye doctor tomorrow if this doesn?t go away- I?m a dental hygienist I need my eyes perfect for my job

Allergies: Keflex Latex Penicillin

Symptoms: Immediately felt arms and legs go cold and tingling. Had trouble breathing with rapid heart rate. Subsidied after 20 mins but popped back up through the night in smaller instances. Day 2: sore arm, body aches muscle pains tingles- felt like vision was in HDR Day 3: fever 100 F, severe headache, body aches and tired overall felt weird Day:4 still feel weird/off, vision changes - have trouble seeing distance and focusing when prior had perfect 2020 vision

Other Meds: None

Current Illness: None

ID: 0917938
Sex: M
Age: 70
State: MA

Vax Date: 12/09/2020
Onset Date: 12/13/2020
Rec V Date: 01/03/2021
Hospital:

Lab Data:

Allergies:

Symptoms: patient states about 4 days after recieving the vaccine, he noticed itching on multiple areas of the body. Scalp, wrist, lower back being the worst. No rash apparent. Benadryl gave him a headache after 1 dose. Patient discontinued. Advised patient to contact PCP to rule out other causes. Advised using cetirizine 10mg daily to see if sx subside

Other Meds: Unknown dietary supplements

Current Illness:

ID: 0917939
Sex: F
Age: 56
State: CA

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/03/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: BioNTech Covid-19 Vaccine I experienced sudden severe chills lasting 2-3 minutes. I also had extreme elevation of pain to my injured knee from a 5 to 10+ during this episode. The chills resolved spontaneously.

Other Meds: zyrtec, multivitamin

Current Illness: none

ID: 0917940
Sex: M
Age: 29
State: NJ

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

Lab Data: Na

Allergies: None

Symptoms: Shot received at 1pm. At 6 pm, started to experince severe chills, body aches and temp of 99.5. Of note, I have had covid in the past(March). I get antibodies tested regularly as I am in a study; antibodies still present. My symptoms following this vaccine were more severe than my covid symptoms.

Other Meds: None

Current Illness: None

ID: 0917941
Sex: M
Age: 66
State: TX

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

Lab Data:

Allergies:

Symptoms: TINGLING IN EXTREMITIES AND TONGUE, TONGUE SWELLING, MILD HTN, TREATED FOR ALLERGIC RXN WITH DIPHENHYDRAMINE 25MG IM INJECTION AND MONITORED FOR SIGNS OF ADDITIONAL ALLERGIC RXN/ANAPHYLAXIS. S/S RESOLVED S/ DIPHENHYDRAMINE AND TIME. PT WAS ALSO MILDLY HYPOCAPNIC ON ETCO2 MONITORING AND STATED THAT S/S COULD BE DUE TO MILD ANXIETY.

Other Meds: LOSARTAN

Current Illness:

ID: 0917942
Sex: F
Age: 60
State: VA

Vax Date: 10/08/2020
Onset Date: 10/08/2020
Rec V Date: 01/03/2021
Hospital:

Lab Data: Evaluation from PCP 12/1/20 Physical therapy 12/8/2020 and continuing

Allergies: None

Symptoms: Constant pain in the left arm, told to put ice on it and take tylonol/advil. Pain continued and spread to other parts of the arm-shot site, underside of arm, shoulder area, restriction of motion-painful to lift arm away from the body, above the head and behind the back, and difficulty sleeping, holding purse, lifting anything, Saw PCP who referred me to Physical Therapy which I am currently doing 2x per week and continuing to take Advil and ice area

Other Meds: None

Current Illness: None

ID: 0917943
Sex: F
Age: 47
State:

Vax Date: 12/27/2020
Onset Date: 01/03/2021
Rec V Date: 01/03/2021
Hospital:

Lab Data:

Allergies: Minocycline

Symptoms: Area of redness and swelling around injection site with slight itching

Other Meds: MVI, Vitamin D and C supplements

Current Illness:

ID: 0917944
Sex: M
Age: 54
State: UT

Vax Date: 12/31/2020
Onset Date: 01/01/2021
Rec V Date: 01/03/2021
Hospital:

Lab Data: None so far. Patient is calling emergency department at the hospital to determine course of action.

Allergies: Penicillin

Symptoms: Started at 3:00 am on 01/01/2021 with fever, chills, and vomiting. Vomiting has continued through 01/03/2021. He started vomiting blood on 01/03/2021.

Other Meds: Lisinopril 20mg

Current Illness: None

ID: 0917945
Sex: F
Age: 42
State: MT

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/03/2021
Hospital:

Lab Data: None

Allergies: Penicillin

Symptoms: Day 1: Soreness and pain in arm where injection was given, chills, and body aches Day 2: Soreness and pain in arm where injection was given, chills, body aches, fever of 101.3 Day 3: Soreness and pain in arm where injection was given Day 4: No symptoms noted

Other Meds: None

Current Illness: None

ID: 0917946
Sex: F
Age: 29
State: IN

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

Lab Data: N/A

Allergies: Penicillin and Ceclor

Symptoms: Throat tightness Hot Dizzy Nausea

Other Meds: None

Current Illness: None

ID: 0917947
Sex: F
Age: 35
State: IN

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

Lab Data:

Allergies: Trintellix

Symptoms: Moderate headache that will not go away no matter what medications are taken.

Other Meds: Aplenzin 174mg bd Vit C 1000mg bd Vit B complex bd Vit D 50000u weekly

Current Illness: -

ID: 0917948
Sex: F
Age: 42
State: CO

Vax Date: 12/23/2020
Onset Date: 12/30/2020
Rec V Date: 01/03/2021
Hospital:

Lab Data:

Allergies: n/a

Symptoms: Arm soreness for <24hrs immediately after injection with no further s/s until 1 week later when presented with localized allergic rxn- swelling, erythema, itching, heat to deltoid area apreading down to bicep over the next 24hrs. Treated with daily low dose benadryl x 4 days so far with decreased s/s

Other Meds: fish oil

Current Illness: n/a

ID: 0917949
Sex: F
Age: 64
State: TX

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

Lab Data: NA

Allergies: Sulphur and Penicillin

Symptoms: Moderna COVID-19 Vaccine EUA Started a fever around 10:30 p.m., chills, headache and nausea. Fever broke around 3:30 a.m. on 1/3/2021. Sweated out of clothes Took Acetaminophen

Other Meds: Amitriptyline 25 mg x2 Low dose aspirin Fenofibrate 145 mg Magnesium 400 mg Nasacort D3 B12 Zertac Melatonin

Current Illness: NA

ID: 0917950
Sex: F
Age: 44
State: GA

Vax Date: 12/17/2020
Onset Date: 12/18/2020
Rec V Date: 01/03/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: rash to torso, back and arms the next day following the vaccine

Other Meds: multivitamin

Current Illness: none

ID: 0917951
Sex: F
Age: 45
State: TX

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/03/2021
Hospital:

Lab Data: None just checked my b/p .. a RN checked my vitals and stayed with me before I went home

Allergies: Pcn Marcobid

Symptoms: After the shot I sat down and waited for 15 minutes and about 12 minutes a felt flushed and my pulse went night around 119 beats per minute and my blood pressure went high to 150 over 99 .. my sugar jumped to 149 and I got so clammy .. it lasted a good 25 minutes I kept checking my o2 and my pulse finally it went down and I was so tired.. I went home and I was fatigue for 5 days .. I don?t know if I should get the second dose after my heart raced

Other Meds:

Current Illness: None

ID: 0917952
Sex: F
Age: 49
State: CA

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

Lab Data:

Allergies: none

Symptoms: 2:37 pm 10 minutes after receiving vaccine pt reports feeling dizzy and nervous. She has a history of anxiety and has been seen before for anxiety attacks. Pt denies chest pain, shortness of breath or pain. 2:45 pm pt evaluated by EMS BP 138/78, Pulse 98. pt reports feeling better. 2:55 pm pt declined transport to ED, signed out AMA. Pt was escorted out to car.

Other Meds: Trazadone

Current Illness: none

ID: 0917953
Sex: M
Age: 27
State: NY

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

Lab Data: N/A

Allergies: Augmentin

Symptoms: Chills, Abdominal Pain (Upper)

Other Meds: Biotin Vitamins

Current Illness: None

ID: 0917954
Sex: F
Age: 37
State: IL

Vax Date: 12/31/2020
Onset Date: 01/01/2021
Rec V Date: 01/03/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: Nausea Joint pain Chills Muscle pain Headache Tiredness Injection site pain Vomiting

Other Meds: Gabapentin, Fluoxetine, birth control

Current Illness: Cleared from Covid 19 on 11/28/2020

ID: 0917955
Sex: F
Age: 55
State: AZ

Vax Date: 12/20/2020
Onset Date: 12/20/2020
Rec V Date: 01/03/2021
Hospital:

Lab Data:

Allergies: Allergic to various grasses and pollens, cat dander, newspaper ink No known allergies to food or medications

Symptoms: 25 minutes after receiving the injection, there was a sudden onset of facial swelling, hives, itching and airway constriction. I had already left the drive-thru vaccination clinic and was driving to the hospital emergency room where I work. I informed my colleagues of my symptoms and was treated for anaphylaxis with IV diphenhydramine and famotidine over several hours. I was given a prescription for a prednisone taper for the next 6 days.

Other Meds: Albuterol metered dose inhaler as needed Meloxicam 15 mg, once daily Loratadine 10 mg once daily Famotidine 20 mg as needed Acetaminophen 500 mg as needed

Current Illness: None

ID: 0917956
Sex: F
Age: 55
State: TN

Vax Date: 12/23/2020
Onset Date: 12/30/2020
Rec V Date: 01/03/2021
Hospital:

Lab Data:

Allergies: Avocado

Symptoms: 7 days after vaccine, a red, swollen, warm, hard rash appeared on right arm. It quickly spread to cover upper arm. Went to urgent care facility Received Rocephin shot and steroid shot Sent home on Prednisone 4mg dose pack (21 total) and 7 days of Amoxicillin 500 mg twice a day

Other Meds: None

Current Illness: None

ID: 0917957
Sex: F
Age: 0
State: NY

Vax Date: 10/04/1986
Onset Date: 12/28/2020
Rec V Date: 01/03/2021
Hospital:

Lab Data: Neurological Exam revealed right hemisensory deficit with constant paresthesia. MRI of brain (with and w/o gadolinium) showed picture of Acute Disseminated Encephalomyelitis (ADEM) CSF studies have been sent and are pending

Allergies: Sulfa Drugs:

Symptoms: Approximately 1 week following vaccination, patient developed new onset of right sided hemisensory loss and paresthesia with feeling of mild vertigo. This worsened over the following 4-5 days prompting patient to come to hospital on January 3, 2021 for further evaluation.

Other Meds: None

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm