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: 0916700
Sex: F
Age: 42
State: NY

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

Lab Data: N/A

Allergies: Claritin, morphine, lexapro

Symptoms: Fatigue, mild muscle aches, mild nausea, tiredness

Other Meds: Multi Vitamin, biotin, probiotic

Current Illness: N/A

ID: 0916701
Sex: F
Age: 64
State: MA

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

Lab Data:

Allergies: Penicillin

Symptoms: Patient reported of itching in the left arm approximately 30 minutes after receiving COVID vaccine. No shortness of breath, hives or redness was noted. Vitals were taken with normal results; client waited for 15 minutes reporting itching subsiding. Vitals reported at 1219: pulse 91 bpm, temp 98.1 degrees Fahrenheit, blood pressure 162/84 (reported normal for client), and oxygen 100% on room air.

Other Meds: ALLEGRA-D 12 HOUR 60-120 mg per tablet fluticasone (FLONASE) 50 mcg/actuation nasal spray furosemide (LASIX) 20 MG tablet gabapentin (NEURONTIN) 100 MG capsule ibuprofen (ADVIL,MOTRIN) 800 MG tablet losartan-hydrochlorothiazide (HYZAAR) 50-

Current Illness:

ID: 0916702
Sex: F
Age: 70
State: TX

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

Lab Data:

Allergies: too much cordosone

Symptoms: body aches and stomach ache

Other Meds: Triamterene HCTZ Montelukast Celecoxib Aller-Tec Multivitamin Vitamin D3 Magneseum

Current Illness:

ID: 0916703
Sex: F
Age: 60
State: TX

Vax Date: 12/22/2020
Onset Date: 12/30/2020
Rec V Date: 01/01/2021
Hospital:

Lab Data: Eye examination

Allergies: None

Symptoms: Posterior vitreous detachment

Other Meds:

Current Illness: None

ID: 0916704
Sex: F
Age: 35
State: TX

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

Lab Data: Talked to my medical director and treated w Benadryl, Pepcid, zofran, LR and Tylenol/Advil.

Allergies: Compazine Reglan Monocryl Stitches

Symptoms: Moderna COVID?19 Vaccine EUA Arm severe pain, redness, hard hives that keep worsening. Fever Chills Body aches Headache Nausea and vomiting Tachycardia with hypertension Dizzy Sweats I felt worst after vaxx than I ever did with COVID.

Other Meds: Zoloft Hydrochlorothiazide IUD

Current Illness: None

ID: 0916705
Sex: F
Age: 57
State: TN

Vax Date: 11/30/2020
Onset Date: 12/01/2020
Rec V Date: 01/01/2021
Hospital:

Lab Data: Skin biopsy

Allergies: Allergic to Aluminum containing compounds, fragrances, soaps, lotions, detergents, and have been diagnosed with AntiIgE receptor antibody syndrome

Symptoms: Initially a large wheal at the site which expanded rapidly and began to itch. Within days the entire arm erupted in a papular urticarial rash with areas of edema. Within days of that, a flat red itching rash spread across torso and all limbs, in areas confluent and other areas reticular pattern. A skin biopsy was done and showed an eosinophilic reaction. The flat rash and the papular rash were treated with antihistamines and steroids. The papular rash on the arm injected is still unresolved.

Other Meds: Zyrtec and Benadryl

Current Illness: No

ID: 0916706
Sex: M
Age: 41
State: AL

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

Lab Data: None

Allergies: None

Symptoms: The next afternoon on 12/30/20 I experienced a slight pain like someone scratched me on my chest, stomach, and back. The next morning (12/31/20) the pain turned into burning sensation like a mild sunburn all over my chest, stomach, and back areas. I am still experiencing the burning sensation today.

Other Meds: 12 hour Mucinex Ibuprofen cough medicine

Current Illness: Sinus Cold

ID: 0916707
Sex: M
Age: 51
State: CT

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

Lab Data:

Allergies: Penicillin

Symptoms: 101.3 fever on and off overnight, chills, severe body aches, headache, injection site pain and swelling along with lymph node swelling left armpit. At 24 hrs no treatment, clinic closed for New Year?s Day. Intake of extra water, bananas for dehydration and acetaminophen for fever.

Other Meds: None

Current Illness: None

ID: 0916708
Sex: F
Age: 37
State: VA

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

Lab Data: Blood pressure was taken 3 hours after shot and was low, but might not have been related to the injection

Allergies: Erythromycin

Symptoms: Right arm became very tender, then by the morning I had muscle/joint pain in my upper body. I felt very tired, but my blood pressure was 97/46 about three hours after the injection and this could have been related more to my iron anemia which gets treated with transfusions. The pain in my upper body lasted about 24 hours.

Other Meds: Lamictal, remeron, saxenda

Current Illness: Iron deficiency

ID: 0916709
Sex: F
Age: 37
State: MN

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

Lab Data: none

Allergies: Topical allergy to metals

Symptoms: Large bull eye bruise with ring of purple around injection site. Warmth and firmness at site, itchy.

Other Meds: Birth control, effexor, trazadone

Current Illness: none

ID: 0916710
Sex: F
Age: 23
State: MO

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

Lab Data: WBCs 13k, 4% Bands, CT with acute appendicitis- taken to surgery

Allergies: NKDA

Symptoms: Acute appendicitis, onset morning of 1/1/2021 (Reporting this because Pfizer covid vaccine had 3-4x higher risk of appendicitis, although data not reported for Moderna covid vaccine)

Other Meds: Synthroid

Current Illness:

ID: 0916711
Sex: F
Age: 44
State: NY

Vax Date: 12/18/2020
Onset Date: 12/19/2020
Rec V Date: 01/01/2021
Hospital:

Lab Data: Ultrasound to the legs on 12/21/20 was normal.

Allergies: Allergic to Cipro and dust.

Symptoms: After 12 hours of receiving the vaccination, my legs felt heavy. The bottom of my right foot felt numb after standing for a little time. The feeling of heaviness continued, but I was able to walk and completed my daily activities. My right arm felt painful similar to receiving a tetanus shot, I took some Tylenol and drank some coffee and felt better. However, the feeling of heaviness in my legs continued. On Sunday, my left leg continued to swell and I noticed that the area under my knee cap and above the upper part of the rim of my socks was visible swollen, red, and painful. I took some Motrin and the swelling improved. Later, I noticed I am having musculoskeletal pain and general body aches that improve with Mortin but returns. I am able to continue with my ADLs

Other Meds: Multivitamin, Vit D, and Iron supplements.

Current Illness: none

ID: 0916712
Sex: F
Age: 50
State: OH

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

Lab Data: Waiting to see if will resolve

Allergies: Gluten

Symptoms: 2 days of intense migraines, several areas on left arm with redness, pain and swelling that seems to be spreading

Other Meds: None

Current Illness: Covid

ID: 0916713
Sex: F
Age: 57
State: CO

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

Lab Data: None

Allergies: Meds: penicillin, amoxicillin, clindamycin Foods: none known Environmental: grasses, weeds, pine trees, pollen, mold, cats

Symptoms: I am a support healthcare worked at a physician's off ice. Therefore, I qualified for the Covid vaccine. At 10:15 am on Thursday 12/31/2020 I received the Pfizer Covid 19 vaccine in my left arm at Hospital. After receiving the vaccine, I went to a 15 minute observation area. At approximately 10:20-10:25, I started to get hives on the left side of my neck below the jaw line. When the nurse circulated by to ask how I was feeling, I reported the start of hives and showed her the location. She asked if I frequently get hives and I said yes. She asked if I had any Benedryl with me. I said I did. She directed me to take 1 - 25 mg tablet and advised would call a physician, who arrived soon after. She observed the hives, asked several questions and then I was taken to ER by wheelchair. I was evaluated by PA, given an IV of steriod, prednisone, and montitored for until 12:20 PM, then was discharged.

Other Meds: Losartan 50 mg, Vitamin D, FIsh Oil, ibuprophen

Current Illness: None

ID: 0916714
Sex: F
Age: 40
State: CA

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

Lab Data:

Allergies: NKA

Symptoms: No adverse event, just side effects: Sore arm on day 1, within 24 hours low grade fever 100.2F, aches, neck lymph node soreness/slight swelling, fatigue

Other Meds: None

Current Illness: None

ID: 0916715
Sex: F
Age: 50
State: GA

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

Lab Data: PATIENT VISITED HER PRIMARY CARE DOCTOR AND THEY STATED IT LOOKS LIKE A MILD CASE OF CELLULITIS SINCE THE PATIENT HAS HAD THIS BEFORE. PRESCRIBED BIAXIN AND A STEROID, ACCORDING TO PATIENT. ACCORDING TO OUR RECORDS PATIENT FILLED PREDNISONE AND BACTRIM. CHECKING ON THE PATIENT THE NEXT DAY SHE STATED IT WAS MUCH BETTER AND FEELING FINE.

Allergies: penicillin

Symptoms: RED SWOLLEN SPOT NEAR UNDERARM, SLIGHTLY PAINFUL

Other Meds: Synthroid, flonase

Current Illness: n/a

ID: 0916716
Sex: F
Age: 69
State: TX

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

Lab Data: None

Allergies: Contact dermatitis: Fragrance, Methythiozine

Symptoms: Very mild symptoms. Lethargic and pain at injection site. Completely back to ?old? self in 24 hours. Would I take it again? ABSOLUTELY!!!! My husband had no pain at injection but very mild lethargy. He just took a nap yesterday...

Other Meds: Athenolol 50mg Atorvaststin 20 mg Metformin XR 500 mg Curcumin Florastor Vitamins D, B12 Cosamine DS

Current Illness: None

ID: 0916717
Sex: F
Age: 43
State: MO

Vax Date: 12/24/2020
Onset Date: 12/30/2020
Rec V Date: 01/01/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 12/24 - 12/27 = soreness and muscle pain mostly. No other symptoms 12/28-29 - Tender... becomes increasingly sore to touch, growing hot and itchy 12/30 - Red bumps/rash emerge around injection site; growing hotter and more itchy 12/31 - Redness and swelling grows, muscle tissue becomes hotter and more hard, about 2" in diameter 01/01 - Redness and inflamed area is larger now.. 3" across, 4" high, with increased heat, pain/soreness.

Other Meds:

Current Illness:

ID: 0916718
Sex: F
Age: 68
State: PA

Vax Date: 07/29/2020
Onset Date: 07/29/2020
Rec V Date: 01/01/2021
Hospital:

Lab Data:

Allergies: NO

Symptoms: Side effects were flu-like symptoms (fever/chills) and horrible joint pains, severe headache, body aches which I reported to my Primary Physician - Dr. - she advised me to not take the 2nd shot

Other Meds: Levothyroxine Magnesium Zyrtec Multivitamin (Centrum Silver)

Current Illness: None

ID: 0916719
Sex: F
Age: 52
State: MN

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

Lab Data: None

Allergies: Morphine

Symptoms: Fatigue, fever, nausea, joint pain

Other Meds: Magnesium, fish oil, calcium, iron, vitamin c, vitamin b12 complex

Current Illness: None

ID: 0916720
Sex: M
Age: 23
State: NY

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

Lab Data:

Allergies:

Symptoms: Patient made statements that he was having a harder time swallowing. Blood pressure was taken. We assessed and then he began to report difficultly breathing and a very difficult time swallowing. Blood pressure was taken and lung sounds assessed. EMS was called. Epi pen was given. Within 5 minutes he reported feeling much better and no issues with swallowing or breathing. EMS arrived on site and he was transferred to the local hospital.

Other Meds:

Current Illness:

ID: 0916721
Sex: F
Age: 47
State: MT

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

Lab Data:

Allergies: Amoxicillin

Symptoms: Moderna COVID-19 Vaccine EUA Severe arm soreness at site of injection in the left shoulder with inability to lift the left arm above 90? for 2 days following the injection. Still mildly sore today and not full range of motion resolution. Mild headache and chills for about one hour approximately 6 hours after injection. Global muscle stiffness the evening of the date of injection.

Other Meds: Armour thyroid , vitamin C, vitamin D, zinc, vitamin B complex, baby aspirin, elderberry, calcium citrate

Current Illness:

ID: 0916722
Sex: F
Age: 47
State: AL

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

Lab Data: None

Allergies: None

Symptoms: 16 hours after injection, started having chills, fever 102.2, achy all over, worst headache I ever had, symptoms continue now as of 1/1/21 10:00 am, fever not as high, 99.4-100, aches have improved, headache remains the same, only eases after taking Norco which I had left from a knee surgery years ago.

Other Meds: Montekulast 10 mg, Benadryl 25 mg tab, miralax 17 gr, Flonase 50 mcg, Vitakin c 250 mg, vitamin d 2000, Tylenol 500 mg tab, pantaprazole sodium dr 40 mg tab, diclofenec sodium ER 100 mg tab, iron sulfate 325 mg tab, curcumin 500 mg cap, su

Current Illness: None

ID: 0916723
Sex: M
Age: 39
State: TX

Vax Date: 12/18/2020
Onset Date: 12/27/2020
Rec V Date: 01/01/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Headache and myalgias started day 2 after vaccine, treated with ibuprofen and APAP turned into: Migraine headache started 8 days after vaccine, lasted 2 days and treated with sumatriptan led into: Shingles on left side of face started after migraine

Other Meds:

Current Illness:

ID: 0916724
Sex: F
Age: 56
State: NE

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

Lab Data: None

Allergies: Penicillin

Symptoms: Injection site pain tenderness and swelling. Fatigue, headache, muscle pain, joint pain, chills, fever, night sweats, lethargy. Lasting two days

Other Meds: Metoprolol ER 50mg once a day Hydrochlorothiazide 25 mg once a day

Current Illness: N/A

ID: 0916725
Sex: F
Age: 66
State: NH

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

Lab Data:

Allergies: bee stings

Symptoms: A large red rash around injection site. Area is also hard.

Other Meds: Calcium, Fish oil, levothyroxine, Fosamax

Current Illness: none

ID: 0916726
Sex: F
Age: 41
State: OH

Vax Date: 12/24/2020
Onset Date: 12/31/2020
Rec V Date: 01/01/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Very early in the morning on December 31st, I began to have serious itching at the injection site. There was no rash or anything you could see on the skin, it was a very deep itch. In the morning my arm was sore again just like it had been right after the injection the week before. The area began to get swollen and red. Today it is even more swollen and red and warm. It is sore and itchy as well.

Other Meds: Sertraline, vitamin D, magnesium glycinate and vitamin B2

Current Illness: None

ID: 0916727
Sex: F
Age: 33
State: RI

Vax Date: 12/23/2020
Onset Date: 12/31/2020
Rec V Date: 01/01/2021
Hospital:

Lab Data: None

Allergies: Sulfa

Symptoms: Approximately 7 days post vaccine, developed painful left axillary lymphadenopathy. Later that evening, developed nausea, dizziness and urticaria around injection site covering left deltoid area. This is now firm, enlarged, tender and erythematous.

Other Meds:

Current Illness: None

ID: 0916728
Sex: F
Age: 48
State: MA

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

Lab Data: BP and vital signs

Allergies: NKA

Symptoms: Patient received vaccine in Administration clinic. During observation period, patient reported feeling nausea, lightheaded, and tightness in the back of head. Patient also reported vomiting in bathroom. RN remained with patient. Vital signs: 132/84; HR 99; 02 Sat 99%. Patient provided water, refused crackers. Remained with patient for emotional support. Vital signs retaken @ 3:52pm 111/75; HR 75; 02 Sat 100%. Remained with patient in observation room. 4pm patient reported feeling better and symptoms resolving. Vital signs at discharge: 137/77; HR 72; 02 Sat 100%.

Other Meds: None

Current Illness: None

ID: 0916729
Sex: F
Age: 27
State: CT

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

Lab Data: None

Allergies: Cephalosporins

Symptoms: Moderna COVID-19 Vaccine EUA Generalized external itching throughout entire body with no obvious rash involved. Symptom began approximately one day following vaccine administration and have continued until present day, so far now for 5 days. Have not taken any medications thus far but will try Benadryl today.

Other Meds: Tri femynor

Current Illness: None

ID: 0916730
Sex: F
Age: 46
State: MA

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

Lab Data:

Allergies: NKA

Symptoms: Patient received vaccination in Administration Clinic. Post vaccination patient complained of feeling very warm with throat fullness. No other symptoms reported. Patient positioned self by window and felt need to remove mask. Proceed out called. ED team responded and patient evaluated by MD Patient remained in clinic under observation until symptoms resolved.

Other Meds: Metformin Simvastatin Vitamin D3

Current Illness:

ID: 0916731
Sex: F
Age: 39
State: FL

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

Lab Data:

Allergies: None

Symptoms: Redness, tenderness, induration, hardness, itchiness on the injection site.

Other Meds: None

Current Illness: None

ID: 0916732
Sex: F
Age: 32
State: OH

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

Lab Data:

Allergies: none

Symptoms: redness, bumps, itchiness, and local swelling

Other Meds: Pre-natal vitamin

Current Illness: none

ID: 0916733
Sex: M
Age: 30
State: MD

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

Lab Data: N/A

Allergies: no known allergies

Symptoms: - Injection site soreness: developed the day after injection and largely resolved after about 24-36 hours. - Headache: minor tension headache developed about 48 hours after injection and lasted a little over a day. - Sore throat: mild; developed about 48 hours after injection and continues to persist about 2 days later.

Other Meds: Lexapro 15mg PO QD Trazodone 75mg PO QHS

Current Illness: none

ID: 0916734
Sex: F
Age: 45
State: ME

Vax Date: 12/24/2020
Onset Date: 12/31/2020
Rec V Date: 01/01/2021
Hospital:

Lab Data: None

Allergies: Penicillin Wellbutrin

Symptoms: Localized redness, swelling, pain, and itching at injection site that started a week after injection.

Other Meds: NP thyroid, multivitamin, fish oil, vitamin c, vitamin d, probiotic

Current Illness: None

ID: 0916735
Sex: M
Age: 62
State: NY

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

Lab Data:

Allergies: PREDNISONE

Symptoms: CHILLS, FEVER, HEADACE, NASEA, NO APPITITES AND FATIGUE

Other Meds: LEVOTHYROXINE

Current Illness: HAD COVID 19 ON 11/18/2020

ID: 0916736
Sex: F
Age: 35
State: OH

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

Lab Data:

Allergies: Na

Symptoms: Pain at injection site x 2.5 days. Body aches x 2.5 days. Headache x 1 day. Possible low grade fever x 2 days. Fatigue x 2.5 days.

Other Meds: Zyretc, spirolactine, micronor

Current Illness: None

ID: 0916737
Sex: M
Age: 1
State: MA

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

Lab Data: none

Allergies: no

Symptoms: Generalized maculopapular rash.

Other Meds: no

Current Illness: no

ID: 0916738
Sex: F
Age: 33
State: NY

Vax Date: 12/23/2020
Onset Date: 12/31/2020
Rec V Date: 01/01/2021
Hospital:

Lab Data: Na

Allergies: Shellfish, codeine

Symptoms: Vaccination was received on December 23, 2020. No immediate adverse effects. Starting on December 31, 2020 I developed a localized inflammation at the injection site. Associated puritis and tenderness. Over the last 24 hours erythema has increased. I have not treated with any compresses or over-the-counter medications.

Other Meds: None

Current Illness: Mastitis 24 hours prior treated with dicloxacillin

ID: 0916740
Sex: M
Age: 27
State: UT

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

Lab Data:

Allergies: None

Symptoms: Fever, muscle aches,chills

Other Meds: None

Current Illness: None

ID: 0916741
Sex: F
Age: 68
State: AR

Vax Date: 12/21/2020
Onset Date: 12/22/2020
Rec V Date: 01/01/2021
Hospital:

Lab Data: Dec 29th - saw surgeon. had xray and exam --diagnosed with Reflex Sympathetic Dystrophy also seen by PT

Allergies: bee stings

Symptoms: on dec 22 I felt some myalgias, chills, fatigue, HA --quite normal. That evening, noted small amount swelling R hand --I iced and took acetaminophen. By Dec 25, hand very swollen and painful with decreased ROM all fingers

Other Meds: phenobarbital 60mg HS hydroxychloroquin 400mg HS famotidine 20mg HS occas acetaminophen or ibu

Current Illness: had surgery R hand for advanced arthritis 11/16/20 - arthrodesis R thumb. was recuperating

ID: 0916743
Sex: F
Age: 45
State: CA

Vax Date: 12/21/2020
Onset Date: 12/21/2020
Rec V Date: 01/01/2021
Hospital:

Lab Data: Contacted my doctor via e-mail. No treatment.

Allergies:

Symptoms: Bilateral tinnitus- non stop since the day of the vaccine.

Other Meds: Junel Fe 1/28 (birth control) Azuline nasal spray Singular 10mg

Current Illness:

ID: 0916745
Sex: F
Age: 58
State: IN

Vax Date: 12/20/2020
Onset Date: 12/30/2020
Rec V Date: 01/01/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Diarrhea times one on December 30, loose stool times one on December 31, Loose stools January 1.

Other Meds:

Current Illness:

ID: 0916747
Sex: F
Age: 57
State: MS

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

Lab Data: None

Allergies: None

Symptoms: Headache, significant body aches, fever up to 104

Other Meds: Low dose aspirin Omeprazole 40 mg Lisinopril HCTZ 20/12.5 x2 Rosuvastatin Calcium 20 mg Synthroid 137 mcg Meloxicam 15 mg

Current Illness: None

ID: 0916748
Sex: F
Age: 56
State: MI

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

Lab Data:

Allergies: Sulfa

Symptoms: Dizziness immediately after injection, anxiety, questionable tongue thickening. Then canker sores on tongue, lips swollen later in day and next day. No breathing issues.

Other Meds: Welbutrin ibuprofin

Current Illness:

ID: 0916749
Sex: M
Age: 33
State:

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

Lab Data:

Allergies: None

Symptoms: Arm soreness at injection site, fatigue, body aches, slight headache

Other Meds: None

Current Illness: None

ID: 0916750
Sex: F
Age: 38
State: NJ

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

Lab Data: None at this time

Allergies: Percocet

Symptoms: Fevers high as 104.4 Came down with Tylenol x3 Severe body aches Headache Dizziness Baseball size lump under armpit of injection site arm 2 days post injection.

Other Meds: Metformin 1000mg BID Losartan 50mg daily Lopressor XR 50 mg daily Lexapro 20 mg daily Singulair 10mg daily Vitamin D3 2000units daily Aspirin 81mg daily Nortrel 35mcg daily Wellbutrin 100mg daily

Current Illness: None

ID: 0916751
Sex: F
Age: 27
State: PA

Vax Date: 12/24/2020
Onset Date: 12/30/2020
Rec V Date: 01/01/2021
Hospital:

Lab Data:

Allergies: hazelnuts, trees, grass, weeds, animals (cats, dogs, gerbils), cockroaches, dust mites

Symptoms: One week after my first dose of the Moderna COVID 19 vaccine (administered 12/24) I developed a large, itchy rash/hives at the injection site. The hives began 12/30 and are still present.

Other Meds: Junel Fe birth control, B12 supplement

Current Illness: n/a

ID: 0916753
Sex: F
Age: 41
State: MS

Vax Date: 12/21/2020
Onset Date: 12/22/2020
Rec V Date: 01/01/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Fever, chills, aches, nausea

Other Meds:

Current Illness:

ID: 0916754
Sex: M
Age: 52
State: TN

Vax Date: 12/21/2020
Onset Date: 12/22/2020
Rec V Date: 01/01/2021
Hospital:

Lab Data:

Allergies:

Symptoms: on Tuesday of the next day after the vaccine shot I couldn't use my raise or lift my left arm and it was swollen and I was very fatigue

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm