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: 0931993
Sex: F
Age: 45
State: NY

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data: None

Allergies: Environmental allergies only. NKDA

Symptoms: Left arm pain began approx 1 hour from time of vaccination to present, pain much greater than that of flu vaccine Sharp left shoulder pain from approx 5 hours after vaccination to present 5 hours after vaccination left side of neck swelling and pain. Subsided overnight and gone by morning. Approx 24 hours after vaccination- left upper arm swelling approx 5" in diameter. Redness at injection site approx size of quarter. Approx 15 hours after vaccination, experienced moments of heat flashes which subsided. Left arm swelling, left arm and shoulder pain still present with and without movement.

Other Meds: Ibuprofen Sertraline Duloxetine Vit D Metaprolol Verapramil Omeprozole Gabapentin Mirena IUD

Current Illness: None

ID: 0931994
Sex: F
Age: 50
State: OR

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data: None reported

Allergies: penicillin, metronidazole, soy, sulfa

Symptoms: Hives and rash over torso and spreading

Other Meds: Tramadol ER 100mg; Cyclobenzaprine 10mg; Estradiol 0.5mg; Trazodone 100mg; Buspirone 15mg; Gabapentin 600mg; Ibuprofen 800mg; Alendronate 70mg; Acyclovir 400mg

Current Illness: none reported

ID: 0931995
Sex: F
Age: 65
State: WA

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data: n/a

Allergies: sulfa

Symptoms: Uneasy stomach with very soft stools in every visit to the bathroom and on a few occasions in between. Awkward, to say the least. Started overnight after day of vaccination and has continued for over 24 hours and has not yet resolved although frequency has started to diminish as of 48 hours. Also visibly flushed face/hot flashes, slight rise in temperature at 98.4 (over my normal baseline of 97.5) this morning which has since receded. Waiting to see how long this lasts.

Other Meds: Estradiol, Famotidine, Lisinopril, Amolodipine Besylate, standard multi-vitamin, 8 hour extended release tylenol

Current Illness: None

ID: 0931996
Sex: F
Age: 60
State: NC

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data: none

Allergies: Latex products. Percocet

Symptoms: on the first day around 4pm i got tired, sleepy, legs feel weak, a little chillness. Went to bed before 5:30. the next morning i was still sleepy could hardly move. some body ache and headache from the back of my head to front. third day still a little weak but not like day 1&2.

Other Meds: omeprazole.

Current Illness: no

ID: 0931997
Sex: M
Age: 66
State: CA

Vax Date: 01/01/2021
Onset Date: 01/09/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data: Patient has nausea, depression and malaise.

Allergies: None. I was negative for Covid for 1 year with twice weekly tests. I recieved the vaccination last Tuesday. I was tested just after the vaccine. I was moved in to the Covid unit last night with a verbal statement I am Pos. ?

Symptoms: As stated patient tested negative for Covid about 20 times through care center. After getting a Vaccination from pharmacy on Tuesday, patient was told he was pos and moved in to the Covid unit at care center.

Other Meds: No medications.

Current Illness: None that I am aware of. I have been a resident for 4 years. We have been in Covid lock down for 8 months.

ID: 0931998
Sex: F
Age: 25
State: CA

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: At 5:45 PM on 1/6/21 the same day I received the vaccine I had a fever of 100.5, F, headache, chills, and severe pain at the site of injection. After one dose of 650 mg acetaminophen my temperature went back down to 98.6 F. The next day 1/7/21 I did not have a fever; I still had mild chills and headache and pain at the site of injection. For the pain I took 1,000 mg of acetaminophen at morning and at night which eased the pain. The following day 1/8/20 I did not have headache or chills and had very mild pain which was tolerable.

Other Meds: Multivitamin tablet Vitamin C 500 mg tablet

Current Illness: None

ID: 0931999
Sex: F
Age: 50
State: IN

Vax Date: 12/30/2020
Onset Date: 01/03/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: Developed a burn like area on left wrist area. 12 hours later began to develop blisters on right hand and right wrist. This was followed by blisters on the left hand and a blister over the reddened area on the left wrist. Also developed a reddened area on the top of the right thigh that developed a blister. All of this happened within 24 hours. 5 days after the onset of blisters the small blisters have dried up and now present as dark red spots on my skin. Still have a large blister present on the right ring finger. Right wrist blister was inadvertently hit and it busted. That blister was large like blister on right finger. Hands have become heat sensitive - warm shower water is very hot on hands. Hands feel like they are on fire at times.

Other Meds: Pepcid 20mg QD, NP Thyroid 120mg QD, Progesterone 200mg QD,

Current Illness: None

ID: 0932000
Sex: F
Age: 38
State: CA

Vax Date: 01/08/2020
Onset Date: 01/08/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Fever to 102.9, fevers first started 12 hours after administration. Requiring constant antipyretics to decrease

Other Meds: None

Current Illness: None

ID: 0932001
Sex: M
Age: 74
State: OK

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data:

Allergies:

Symptoms: chills, then woke up in night with body aches, nausea and fatigue. Tonight he has oral temp 100 deg. Nausea continues and body aches.

Other Meds: Gabapentin 100mg TID metropolol 20mg BID

Current Illness: none

ID: 0932002
Sex: F
Age: 67
State: OR

Vax Date: 12/30/2020
Onset Date: 01/06/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data: none

Allergies: None known

Symptoms: No symptoms until 1 week after vaccine received. On 1/6/2020 at 8 pm, I noticed a nickel-size raised area at injection site. It was tender, itchy and moderately hard to the touch. No visible rash. Right upper arm appeared slightly swollen. It continued to increase in size, tenderness and itchiness for approximately 48 hours. On 1/8/2020 at approx 8 pm I noticed it was then a quarter-sized raised area at the injection site, It was more tender, itchy and hard than it had been. That was the worst it became. By the next morning, 1/9/2020, symptoms were significantly decreased. Currently, 1/9/2020 7:08 pm, the area is no longer visibly raised, tender or itchy. However, I can still feel a very slightly firm dime-sized area at the injection site. No fever, breathing problems or other side effects noted since getting the vaccine.

Other Meds: Carvedilol 6.25 mg twice daily, Losartan 50 mg twice daily, Levothyroxine 25 mcg daily, Lovastatin 10 mg nightly, Albuterol inhaler as needed, Fluticasone nasal inhaler 2 puffs q nares daily, Aspirin 81 mg nightly, Vitamin D3 2000 units dai

Current Illness: mild intolerance to Cantaloupe - causes scratchy throat

ID: 0932003
Sex: F
Age: 43
State: MO

Vax Date: 12/28/2020
Onset Date: 01/02/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data:

Allergies: Sulfa, codeine

Symptoms: 5 days after injection trigeminal facial neuropathic shingles, left side of face, C3, r arm, side

Other Meds: Emgality, Cymbalta, Naprosyn 500 PRN, toradol

Current Illness: Nope

ID: 0932004
Sex: F
Age: 25
State: TX

Vax Date: 12/31/2020
Onset Date: 01/05/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data: None

Allergies: PCN

Symptoms: Onset of deep, what feels like, bone pain 5 days post vaccination. I had regular muscle tenderness 1 day post vaccination, that only lasted 1 day, but this feels much different. Still experiencing this discomfort. No other injury that would have caused this pain.

Other Meds: None. Had to take Benadryl after vaccination due to tingling on tongue.

Current Illness: None

ID: 0932005
Sex: F
Age: 30
State: MI

Vax Date: 01/09/2021
Onset Date: 01/09/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Tingling hands, difficulty breathing, face felling hot and swollen - started almost immediately after injection. Benadryl was given and EMT advised going to the hospital for observation. Heart rate and bp returned to normal a few hours later. Still feel dizzy and lightheaded when standing. Was informed that it was a vasovagal reaction. Arm is also very sorry at injection sight. Left arm where injection was placed it still tingling in hand, right hand feels normal.

Other Meds: Probiotics and garlic supplement

Current Illness: None

ID: 0932006
Sex: M
Age: 20
State: WI

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data: N/A

Allergies: Ascospores, Hamsters, Seasonal Pollen, Grass Pollen

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA The vaccine was administered to the writer at 0800 on 1/5/2021. No immediate reactions were noticed for the 30 minutes observation period immediately after. The writer's muscle that received the vaccine began to become increasingly sore throughout the day; however, that was similar to the first dose of the same vaccine a few weeks prior. The pain was described as constant (2/10) but aggravated with motion. The pain did interfere with the writer's normal range of motion (specifically raising the writer's arm above shoulder height). From 0800-2200 on 1/5/2021 no noticeable symptoms except for the injection site pain occurred. At 2200, the writer rapidly developed chills, body aches, a headache, fatigue, and a fever of 100.8. These symptoms were left untreated and continued through the night (the symptoms did not interfere with sleep). The writer woke up at 1300 on 1/6/2021; all previous symptoms had resolved by this time except for the injection site pain. By 1400 on 1/6/2021, the writer noticed pain near the right axillary lymph nodes. The pain can be described as moderate (1/10) and generally occurred only with motion. The writer was unable to palpate any swelling in the area. Around 1800 on 1/6/2021, the writer noticed it felt weird to swallow. Specifically, it felt as if there was a slight internal swelling 1-inch subhyoidally and 1-2 inches laterally within the right side of his neck when he swallowed. The swelling was not palpable from the skin's surface. The writer did not seek medical attention as breathing/eating/drinking were not made more difficult but monitored this closely. The swelling in the neck resolved by 2000 on 1/6/2021. The lymph node pain in the right arm resolved over the course of a few days and was no longer present by 1/9/2021 at 1300.

Other Meds: N/A

Current Illness: N/A

ID: 0932007
Sex: F
Age: 38
State: ID

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data:

Allergies: Tetracyclines

Symptoms: Severe Soreness at injection site (>24 hours) Mild weakness in arm (injection arm)

Other Meds: Levothyroxine, methylphenidate

Current Illness: Ear congestion

ID: 0932008
Sex: F
Age: 39
State: NY

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data:

Allergies: Sulfa

Symptoms: About 3-5 minutes after I felt so out of it. I felt like I was under the influence of something. I tried to read my email and the words were there but didn't have meaning. I had to drive home after my 15 minute observation and plugged my home address into my gps so I wouldn't get lost even though I drove home from Medical Center for years. I got home and laid down and slept for a couple hours and woke up fine. I felt ok the following day and was doing laundry around 6 pm and my arm stopped being sore and I got really dizzy and nauseated and my vision had shadows (reminded me of an ocular migraine) and drank 2 x 16 oz glasses of water and laid down and felt better in about 20-30 minutes.

Other Meds: Levothyroxine 150 mcg daily Ibuprofen 400 mg 2 hours before for cramps Vit d 4000 units daily

Current Illness: Na

ID: 0932009
Sex: F
Age: 59
State: NY

Vax Date: 01/09/2021
Onset Date: 01/09/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data:

Allergies: PCN

Symptoms: Body aches, headache, nausea, chills, 100.2 temperature, fatigue

Other Meds: None

Current Illness: None

ID: 0932010
Sex: F
Age: 30
State: NJ

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data: None

Allergies: Amoxicillin, Doxycycline

Symptoms: Low grade fever 1/8/21-1/9/21 max temperature 100.5 F, increased arm pain on left side 1/8/21

Other Meds: Fish Oil 2000 mg daily

Current Illness: None

ID: 0932011
Sex: F
Age: 54
State: CA

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/09/2021
Hospital:

Lab Data: None

Allergies: sulfur-based food preservative

Symptoms: After removing the vaccination needle from my arm post first vaccination attempt, the vaccinating nurse examined the syringe for several seconds as if she suspected that something had not functioned correctly. As she was examining the syringe, a stream of fluid under pressure emerged from the end of the syringe and fell to the floor. I was VERY concerned that a significant portion, if not the entirely of my dose volume, had been ejected from the syringe only AFTER it left my arm, and that, therefore, I had likely NOT been administered a therapeutic volume of vaccine. I advised the supervising physician of my observation and my grave concern. After consulting with the CDC and other advisors, the supervising physician agreed to authorize that I immediately receive a "second" first dose. I received the "second" first dose in the opposite arm within about an hour of having received the first dose. I was observed for fifteen minutes, and then went home without further event. That evening and the following day I experienced mild arm soreness at the site of the first injection, and significant arm soreness at the sight of the second injection. I never experienced any other side effect.

Other Meds: none

Current Illness: none

ID: 0932012
Sex: F
Age: 60
State: NY

Vax Date: 12/29/2020
Onset Date: 01/07/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data: Primary doctor started Doxycycline on Day 12. Motrin as needed

Allergies: no

Symptoms: Started Day 10 with redness, at near injection site- slightly below. Warm to touch about 4 cm Day 11 increased in size to about 8.5 cm warm to touch. by evening became slightly swollen. Day 12 redness slightly decreased in the center, but more swollen. Less warm No fever- but feel tired. Arm feels slight achy

Other Meds: no

Current Illness: None

ID: 0932013
Sex: F
Age: 25
State: NY

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data:

Allergies: Apple, pears

Symptoms: Fever, congestion, body aches, cough

Other Meds: None

Current Illness: None

ID: 0932014
Sex: F
Age: 43
State: MI

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data:

Allergies: Sulfa

Symptoms: MODERNA COVID-19 Vaccine EUA 12:30 am fever, chills, aches in bones, headache, inability to sleep. 6:30 am fever, chills, aches, headache. With 2 Tylenol, fever broke and was able to sleep some. 12:30 pm on 1/9/21 fever returned. Ongoing aches, headache. Took 2 more Tylenol.. 3-5 pm symptoms seemed to resolve, but then fever returned. At 7:15 pm, temp was 100.3 (baseline is 97.4). Took 2 more Tylenol and fever resolved. Still achy some.

Other Meds: Levothyroxine Acid Reducer

Current Illness: None

ID: 0932015
Sex: F
Age: 41
State: IN

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data:

Allergies: Nonr

Symptoms: Arm soreness (start: ~8 hrs post-vaccination, duration: 4 days) Fever & Chills (start: ~14 hrs post-vac, duration: 1.5 days) Fatigue (start: ~24 hrs post-vac, duration: 1 day) Joint & Muscle pain (start : ~24 hrs post-vac, duration: 1 day) Headache (start ~24 hrs post-vac, duration: 8-12 hrs) Armpit/upper breast pain (start ~48 hrs post-vac, duration: 2 days)

Other Meds: Synthroid Losartan Duloxetine Vitamin D Multivitamin

Current Illness: COVID (tested positive 12/15/20)

ID: 0932016
Sex: F
Age: 68
State: OH

Vax Date: 01/04/2021
Onset Date: 01/06/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data: Calling ask will report to family Dr. on Monday, 01/10

Allergies: None

Symptoms: 01/06/2021 0900, feeling tired, resting heart rate 94 to 110, normal resting heart rate 74 to 86. A few abnormal heart beats throughout the day....9 PM cardiac arrhythmia , multiple abnormal beats, irregular rhythm lasting for about 1 to 1 1/2 hours. went into a regular heart rhythm. never happened to me before! 01/07. am very tired, heart rate still 90 to low 100's a few abnormal beats throughout day, 01/08 am very tired a few abnormal beats, 3 episodes of abnormal beats and irregular heart rate. 01/09 am heart rate 74to 82 no abnormal heart beats and I feel fine now 10:30 pm feel this events are side effects from Covid Vaccine, afraid to get 2nd dose.

Other Meds: Venlafaxine, Levothyroxine, Pantoprazole, Atorvastatin, Multiple Vitamin

Current Illness: None

ID: 0932017
Sex: F
Age: 62
State: IN

Vax Date: 01/09/2021
Onset Date: 01/09/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data: vital checks

Allergies:

Symptoms: Headaches, hot flushes, and vital changes She experienced headaches and hot flushes right after vaccination Her BP went up to 164/72 (baseline BP 120/80), and HR up to 103 She stated she felt anxious while answering questions. HR down to 80 , but BP stayed high (160/70) in about 15 minutes Provider at the observation room checked her, instructed to continue to check vitals for the next couple of days, and let her leave. She was sent home.

Other Meds:

Current Illness:

ID: 0932018
Sex: F
Age: 36
State: NY

Vax Date: 01/09/2021
Onset Date: 01/09/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: macular popular rash at injection site with mild itching. 30 minutes of dizziness. Resolved. Happened approx 1 hr post vaccine

Other Meds: Symbicort, Singulair, ventolin

Current Illness:

ID: 0932019
Sex: F
Age: 58
State: MI

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data: None

Allergies: Soy, gluten and dairy sensitive, sulfa

Symptoms: Head ache with pressure/pain on top of head on 01/8/2021, woke 01/09/21 with nausea, progressed to headache and nausea so bad that I couldn't take migraine meds for fear of vomiting. Went to bed with chills. Woke with pain and stiffness in right shoulder joint. Nausea subsided and I took 50 mg immitrex. Could no longer lay down due to head pain, so slept sitting up two hours. Chills continued. Meds finally worked and headache subsided. Chills subsided. Mild nausea persists this evening.

Other Meds: Glucosamine and chondroitin, magnesium, marshmallow root, probiotics, L-glutamine, vitamin C, grapeseed extract Immitrex as needed for migraine

Current Illness: Auto immune- Menier's Disease (in remission several years, follow a low sodium diet), interstitial cystitis (also auto immune, started March 2020), migraines since age 20.

ID: 0932020
Sex: F
Age: 28
State: WI

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data:

Allergies: Amoxicillin

Symptoms: Approximately 4 hours after the vaccine administration, I started getting symptoms that started mild and became severe including: headache, dry cough with chest pressure, dizziness/lightheaded, joint pain, body aches, fatigue, and chills. At 5:30 pm I started getting a fever, that started at 100.5 then increased to 103.3 by 8:30 pm. I was also nauseous and vomited once. I was tested the next morning for influenza and COVID and was negative. My fever came back down to 98.8 around 12 pm the next day. Overall, symptoms lasted approximately 30 hours after the vaccine was administered. I was out of work the following day after the vaccine. Now, 2 days after the vaccine I am just mildly fatigued with a dry cough left.

Other Meds: Nitrofurantoin monohydrate

Current Illness: UTI

ID: 0932021
Sex: F
Age: 51
State: CO

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data: None so far

Allergies: N/A

Symptoms: Swelling around supraclavicular line, pain

Other Meds: Lisinopril, HCTZ, Amlodipine

Current Illness: None

ID: 0932022
Sex: F
Age: 53
State: ID

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data:

Allergies: Nka

Symptoms: Fever up to 101.7, aches, arm sore.

Other Meds: Humalog, Lantis, Victoza, metformen, lisinopril, farxiga, omeprezole, baby aspirin, atorvastatin, multivitamin, emergency gummies, viactive

Current Illness: None

ID: 0932023
Sex: M
Age: 40
State: IL

Vax Date: 01/04/2021
Onset Date: 01/06/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Rash and hives over night. Relieves the next morning after taking diphenhydramine

Other Meds:

Current Illness:

ID: 0932024
Sex: F
Age: 38
State: IN

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data:

Allergies: NKDA

Symptoms: Fatigue, headache, body aches, fever, chills, runny nose

Other Meds: Duloxetine

Current Illness: Rheumatic fever, reactive arthritis, migraines, eczema, anxiety, depression, asthma

ID: 0932025
Sex: M
Age: 25
State: TX

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data:

Allergies: Penicillin, sulfa, clindamycin

Symptoms: Headache, red bumpy rash spread all over body. Took benadryl to try and help the rash.

Other Meds: Cefdinir, ibuprofen, prednisone

Current Illness: Ear infection

ID: 0932026
Sex: M
Age: 35
State: MS

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: MODERNA COVID-19 VACCINE EUA. Temp between 101 & 103.9 all evening with alternating Tylenol & Ibuprofen. Nauseated, shortness of breath are also being experienced.

Other Meds: Lisinopril & Wellbutrin

Current Illness: N/A

ID: 0932027
Sex: F
Age: 61
State: TX

Vax Date: 12/22/2020
Onset Date: 12/22/2020
Rec V Date: 01/09/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: About 5 minutes after receiving vaccine: suddenly- Felt hot all over; feeling of anxiety; and left deltoid muscle felt completely numb; palms slightly flushed, felt as if heart rate slightly elevated, but not tachycardia. No rash, no hives, no difficulty breathing. Acute episode lasted about 20-30 minutes, then just felt a little off for 1.5 hours more, then back to normal. For next 34-48 hours-mild fatigue.

Other Meds: Toprol XL, Estradiol patch, Cetirizine, Aspirin 81mg, Flonase

Current Illness: None

ID: 0932028
Sex: F
Age: 27
State: CA

Vax Date: 12/18/2020
Onset Date: 12/20/2020
Rec V Date: 01/09/2021
Hospital:

Lab Data:

Allergies: Oats, scallops

Symptoms: Miscarriage at 6 weeks pregnant

Other Meds:

Current Illness:

ID: 0932029
Sex: M
Age: 77
State: IL

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data:

Allergies: NKDA

Symptoms: Pain at the injection site numbness of the right hand

Other Meds: None

Current Illness: N/A

ID: 0932030
Sex: F
Age: 58
State: HI

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/09/2021
Hospital:

Lab Data: None

Allergies: Allergic to almonds and mangoes- throat swells Cat fur- watery eyes, sneezing

Symptoms: 12-31-20: arm sore in shot area. Ibuprofen 1-1-21: stiff arm and can?t raise above shoulder, arm pain. Ibuprofen 1-2-21: Hives start on both elbows and both sides of body. Larger welts (photo). Itchy. 6am starts. 1-3-21: Same as above but hives getting smaller and itchy less. 1-3-21: lost appetite. Took zinc for next 2days. 1-4-21: lost appetite. M

Other Meds: Latanoprost, multivitamin, magnesium

Current Illness: None

ID: 0932031
Sex: F
Age: 53
State: IL

Vax Date: 12/17/2020
Onset Date: 12/17/2020
Rec V Date: 01/09/2021
Hospital:

Lab Data: None. My PCP wanted to do a prednisone burst, but I was worried my first shot was incorrectly placed and possibly not affording me full immunity. I did not want to decrease my immunity from Covid #2. Plan is to call Monday and possibly start PT bcs do not want to risk not fully recovering.

Allergies: none

Symptoms: Significant burning with admin of first shot. Approx 3.5 hours after shot I could not move my arm at the shoulder. This was more than muscle soreness but being unfamiliar with Covid vaccine, I just rode it out. This lasted 2 days. Since then, my shoulder joint has not been the same with sl limited ROM and persistent pain. This improved signif over the 3 weeks until my 2nd Covid vaccine 1/7/21. This is what tipped me off that the first shot was not correct. #2 did not burn at all with administration or cause any limited ROM. Typical deltoid soreness sl more than a tetanus shot, and general "flu like sxs" that lasted < 24 hours.

Other Meds: Vyvanse prn and Vitamin D daily

Current Illness: none

ID: 0932032
Sex: F
Age: 50
State: NJ

Vax Date: 12/31/2020
Onset Date: 01/06/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data: None

Allergies: none

Symptoms: Had the vaccine on 12/31 at around 9 am. Had pain at the injection site (left upper arm) and muscle aches for 2 days. On the 6th day (Jan 6) at night, left upper arm started hurting and had on and off chills throughout the night. on January 7, there was increased pain to left upper arm along with generalized muscle aches and low grade fever constant at 99.9 and 100 throughout the day. On January 8, decreased pain to left upper arm, no more generalized muscle aches, no fever but easily fatigued. However, injection site and surrounding area is reddened and warm and tender to touch. Incident reported to Occupational Health as well as had telehealth visit with PCP who recommended cephalexin 500 mg 2x daily for 7 days and to monitor size of redness.

Other Meds: valsartan 80 mg 1 tab in the morning, 2 tabs at night rosuvastatin 5 mg at bedtime 3x week Zyzal 5 mg at bedtime Vit C 1000 mg daily, multivitamins once daily, Zinc 50 mg, Vit D3 4000 mcg

Current Illness: none

ID: 0932033
Sex: F
Age: 2
State: GA

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: 100.1 Fever followed by a seizure

Other Meds: Smarty pants organics with probiotic multi vitamins. Toddler formula

Current Illness: None

ID: 0932034
Sex: F
Age: 32
State: CA

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data: None, video appointment with doctor completed.

Allergies: No known allergies

Symptoms: 15-20 minutes after injection, my left arm and the left side of my face went numb. Numbness intensified over the next 2-3 hours then subsided. Lack of taste was also noticed. The following day I woke up with tingling and numbness in my left jaw and slight drooping of left eye and left corner of mouth.

Other Meds: Levothyroxine

Current Illness: Facial rash

ID: 0932035
Sex: F
Age:
State: FL

Vax Date: 12/31/2020
Onset Date: 01/08/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data: CT of head, chest X-ray, EKG. Blood tests

Allergies: PCN

Symptoms: Soreness at injection state for 2 days then went away. Day 8 had blister like area which later turned very itchy. I went to occupational health at work. They game me hydrocortisone cream 1%. 1/9/2021 I woke up to swollen red arm, warm to the touch. Reddened area grew outside of pen marked area. Began having tachycardia and an increase in blood pressure and headache. I made an appointment with online doctor who said to monitor BP and if higher seek medical attention. Got off phone and felt dizzy. Took my blood pressure again and it was much higher so I went to the ER. ER determined it was reaction to vaccine

Other Meds: Verapamil

Current Illness: None

ID: 0932036
Sex: M
Age: 25
State: MS

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data: Past Covid confirmed infection via PCR and rapid nasal swab July 10,2020.

Allergies: Nka

Symptoms: Approximately 8 hours post injection, pt had fever, severe L deltoid pain, malaise, headache. Lasted for 12 hours. Pain decreases each day. Injection site pain still present somewhat day 3.

Other Meds: Singulair

Current Illness: None

ID: 0932037
Sex: F
Age: 53
State: NC

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Swelling on my neck shoulder axillary and chest on same side as injection site along with swelling and pain at the injection site And under my arm. I have also had insomnia.

Other Meds: Estradiol, pantoprazole

Current Illness: None

ID: 0932038
Sex: F
Age: 29
State: NC

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data: N/a

Allergies: N/A

Symptoms: Severe body aches, chills, mild nausea, malaise? I took 3 ibuprofen and 1 extra strength Tylenol to alleviate symptoms, and went to sleep around 2pm, woke up for dinner and a shower and went back to sleep through the night

Other Meds: Omeprazole Zyrtec

Current Illness: N/A

ID: 0932039
Sex: F
Age: 24
State: MA

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Moderna COVID-19 Vaccine EUA Symptoms on 1/7/21 Fever of 101.3 Chills Symptoms on 1/8/21 Fever of 99.9 Headache Nausea Symptoms on 1/9/21 Headache

Other Meds: MEDROXYPROGESTERONE 150 MG/ML SUSPENSION

Current Illness:

ID: 0932040
Sex: F
Age: 48
State: OR

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/09/2021
Hospital:

Lab Data: See Vital signs above

Allergies: Sulfa Possible Sulfa allergy Food allergies: some tree nuts

Symptoms: Pt. reported feeling racing heart rate. " then I could feel blood pressure increase. But I think I was a bit unsettled by my racing heart. It was like an adrenaline jolt. Fight or flight for no reason. I was feeling pretty normal before that. Just checking my phone waiting for my 15 minutes to pass so I could go home. "No shortness of breath, hives, or rash. 25 mg Benadryl PO administered. 1730 vitals: Sat 100% HR 135 BP 151/104 1733 Vitals: 151/98 Sat 100% HR 120 1735 Vitals: Sat 100% HR 111 1737 Vitals: Sat 100% HR 105 1745 Vitals: HR 106 Sat 99% 1754 vitals: HR 96 Sat 99% 1801: HR 94 Sat 99% Left 1830 or slightly after. Called ride to take her home. Feeling better when leaving

Other Meds: Lexapro Multivitamin Vitamin D

Current Illness: None

ID: 0932041
Sex: F
Age: 45
State: MD

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/09/2021
Hospital:

Lab Data:

Allergies: Latex, seldane, hismanol

Symptoms: Uncontrollable pain in previous surgical sites and other sites of arthritis; not controlled with NSAIDs; muscle spasms x 5-6 days

Other Meds: Synthroid, Wellbutrin, sertraline, Vit D.

Current Illness: none

ID: 0932042
Sex: F
Age: 41
State: OR

Vax Date: 12/23/2020
Onset Date: 12/23/2020
Rec V Date: 01/09/2021
Hospital:

Lab Data: NP ordered pregnancy test, CBG

Allergies: Isoniazid, bee sting

Symptoms: Had chill soon after the injection and about 5 minutes later had slight nausea, I was told to stay 15 more minutes for observation . About 30 minutes or so after the injection, I had sever nausea. The person at the observation sent me to ER for close monitoring . After couple hours of sever nausea My body started itchy for few hours without hives. In ER, prescribed zofran but didn?t take it. Stayed ER for few hours and I was released

Other Meds: Caberoline 0.5mg, vitamin d, vitamin c, vitamin e, prenatal, calcium, coq 10, omega 3, TruNiagen 300mg, Pterostilbene 150 mg

Current Illness: Na

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm