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: 0932640
Sex: F
Age: 47
State: NC

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/10/2021
Hospital:

Lab Data: unknown

Allergies: Sulfa drugs, oranges

Symptoms: Vaccine administered 11:24 am on 1/6/2021. At approximately 11:30-11:31 patient notified this nurse that she "felt funny" and felt as if "my jaw is tightening" also that "my throat is tightening". Emergency protocol initiated: epipen administered x1dose to left thigh at 11:33am, EMS dispatched via 911, vital signs obtained. VS reported to EMS upon arrival at 11:37am. EMS assumed care of patient after report given and patient was transported to hospital at approximately 11:40 am.

Other Meds: Unknown, denies prescription blood thinners

Current Illness: none reported

ID: 0932641
Sex: M
Age: 20
State: AR

Vax Date: 01/10/2021
Onset Date: 01/10/2021
Rec V Date: 01/10/2021
Hospital:

Lab Data: Normal neurological testing and vitals approximately 30 minutes following event. Evaluation made by Physician Assistant at that time.

Allergies: None

Symptoms: Patient had syncopal event within 1 minute of vaccination. He was actively talking and fell back in his chair, hitting his head on the way down. He had full body trembling without involvement of his head and a pause in breathing for approximately 30 seconds. He came too with a quick extension of all extremities and return of breathing within 30 seconds. He took approximately 1 more minute to open his eyes. He was provided nourishment with food and fluids and acting normally immediately after with some pale appearance and sluggish reactions. He felt fully recovered within one hour.

Other Meds: None

Current Illness: None

ID: 0932642
Sex: F
Age: 38
State: AZ

Vax Date: 01/09/2021
Onset Date: 01/10/2021
Rec V Date: 01/10/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Around 3 am I woke up feeling very hot and nauseous followed by chills. I was so cold and shaky. The chills was the most bothersome part. It lasted about one hour and I feel fine now.

Other Meds: Lexapro 10 mg Vitamin D

Current Illness: No

ID: 0932643
Sex: F
Age: 29
State: MD

Vax Date: 12/22/2020
Onset Date: 12/23/2020
Rec V Date: 01/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Extreme fatigue and onset of headache 48 hours after vaccine was administered.

Other Meds: Oral contraceptives, Lexapro

Current Illness:

ID: 0932644
Sex: F
Age: 34
State: ME

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/10/2021
Hospital:

Lab Data: No e

Allergies: None

Symptoms: Headache with accompanying nausea that has not resolved in almost a week

Other Meds: B12 injections monthly

Current Illness: None

ID: 0932645
Sex: F
Age: 57
State: NC

Vax Date: 12/27/2020
Onset Date: 12/27/2020
Rec V Date: 01/10/2021
Hospital:

Lab Data: 01/06/2021 tested for COVID at office family Dr was told to go and get tested by work and to stay home by both work and Dr. Till I get results as of today still waiting 01/10/2021

Allergies: PCN , Sulfa, amoxicillin, athricmicen, sporins,eggs,codeine, keflex

Symptoms: Painful arm 12/27/2020 Headache 12/28/2020 Low grade fever,severe headache, chills,nausea 01/06/2021

Other Meds: HCTZ Nexium synthroid

Current Illness: None until got the vaccination pain where the injection site then day later started with headache then woke up on January 06 with chills low grade fever 99.8 and severe headache was told by work to go and get tested and stay home still waiting on results

ID: 0932646
Sex: F
Age: 44
State: NJ

Vax Date: 12/23/2020
Onset Date: 12/23/2020
Rec V Date: 01/10/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: As soon as 3 seconds after the shot my right hand was numb and tingling. The tingling sensation is still there and I have chronic pain in my elbow running down my arm into my ring and pinkie finger.

Other Meds: None

Current Illness: None

ID: 0932647
Sex: F
Age: 35
State: IN

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/10/2021
Hospital:

Lab Data: I?m a physician and stuck it out at home. Ordered myself some zofran. Lots of hydration and Tylenol/Advil.

Allergies: None

Symptoms: Fever tMax 103.9, myalgias, golf ball-sized axillary lymph node, migraine, nausea, shortness of breath.

Other Meds: Vyvanse 30mg qd

Current Illness: None

ID: 0932648
Sex: F
Age: 39
State: FL

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/10/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: My symptoms began approximately 14 hours after I received the vaccine. They started suddenly and included the following: -Intense dizziness that was also electric like and lasted 36 hours -Severe headache lasted 36 hours and mild for 48 hours -Fever last was intermittent for 48 hours. I only started recording it 24 hours after the vaccine was administered. My max temp was 101. -Nausea (1 episode of vomiting) lasted 36 hours -Muscle aches and joint pain lasted 36 hours -Extreme fatigue lasted 48 hours -Injection site pain and swelling are still present, but are now mild -Enlarged lymph node in armpit of the same arm that vaccine was administered. This was discovered about 24 hours after receiving the vaccine and is still present. It?s about 1 inch in diameter.

Other Meds: Paxil 20 mg QD Lamictal 150 mg BID Adderall 20 mg BID Vit D3 50 mcg QD

Current Illness: None

ID: 0932649
Sex: F
Age: 41
State: PA

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

Lab Data:

Allergies: penicillin, poultry, seafood

Symptoms: Approximately 11hours after receiving vaccine on 1/8/21, terrible chills and shaking began. The next morning 1/9/21 around 6am temperature rose to 100.4F. At 3pm on that same day, temperature went up to 102.6F. Took Tylenol 1000mg at that time. Continued to have terrible shaking and chills, also experienced a severe headache, eye pain, and body aches. Had diarrhea once on 1/9. Fever broke this am on 1/10/21, still feeling slightly fatigued with discomfort behind my eyes but improving from yesterday.

Other Meds: singulair, plaquenil, qvar inhaler

Current Illness: Covid-19 positive on 11/27/20

ID: 0932650
Sex: F
Age: 38
State: ID

Vax Date: 12/28/2020
Onset Date: 12/29/2020
Rec V Date: 01/10/2021
Hospital:

Lab Data: ER visit 1/09

Allergies: No know at this time

Symptoms: In 13 days it has been a myriad of symptoms some. None are all the time. Many I?ve experienced several times. Within 48 hours, sore arm, diarrhea and rash on face and stomach. Symptoms since vaccine have included numb lips, fingers and tounge, headache, achy body, tightness in chest, dripping nose, sore throat.

Other Meds: None

Current Illness: None

ID: 0932651
Sex: F
Age: 35
State: IN

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/10/2021
Hospital:

Lab Data: None

Allergies: Sulfa

Symptoms: On 1/9/21 I slept fitfully, woke up in a cold sweat but had a normal temp of 38.4. I had a headache, body aches, and nausea also. This was approx 16 hours post dose. I took 600mg of ibuprofen and felt more able to do normal home activities but still tired with a sore arm. 4.5 hours post ibuprofen dose I again had muscle aches, headache, fatigue, and nausea. I also had chills and joint pain. I napped for an hour, took another 600mg ibuprofen, and then napped for another 2.5 hours. After that I felt better at 27 hours post dose but still achy and fatigued. These symptoms had mostly resolved by 31 hours post dose.

Other Meds: Ibuprofen, prenatal multivitamin

Current Illness: None

ID: 0932652
Sex: F
Age: 30
State: NY

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

Lab Data:

Allergies:

Symptoms: Chills, Fever (103.6), body aches, fatigue

Other Meds:

Current Illness:

ID: 0932653
Sex: F
Age: 42
State: IN

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Sore arm, cold chills, irritable skin all over, achy muscles, headache

Other Meds:

Current Illness:

ID: 0932654
Sex: M
Age: 54
State:

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/10/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: Day 1 Nausea- 4 hrs after Swollen face/neck- 3 to 5 hrs- benadryl Left eye extreme blurry vision- 3 x's 2 to 5 min each Mental fog and confusion- 3 days intense, 4th day trouble with recall without intense focus Headache- 3 days intense, 4th day- moderate Elevated heartrate- sporadic first day until 6 pm Highly irritable- 2 days Incessant talking and moving

Other Meds: Amlodipine Valsartan

Current Illness: None

ID: 0932655
Sex: F
Age: 38
State: OH

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

Lab Data: None, because the concerning symptoms have resolved. I am going to my PCP this week to discuss.

Allergies: Penicillin, vancomycin, all dissolvable sutures, gluten

Symptoms: I felt fine after the shot all day. I went to bed at 1030pm, woke up at 1130 hyperventilating (respiratory rate was 40+ and I couldn?t lower it), shaking uncontrollably (felt increasingly cold, though my temp was normal; my skin was cold to the touch but I felt like it was burning off), tachycardic (heart rate was 140bpm and I normally am at 60-80 at rest). My throat felt like it was closing and my face was swollen. I should have gone to the ER, but I wasn?t thinking clearly and didn?t know what to do with my small children. It took 2 hours until I stopped shaking, my heart rate returned to normal, and my breathing was under control. Since then I have mainly been fatigued, taking Tylenol for overall aches, and have not been able to tolerate much activity (can only stand for about 5 minutes at a time).

Other Meds: Daily multivitamin and vitamin D

Current Illness: None

ID: 0932656
Sex: F
Age: 31
State: TN

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/10/2021
Hospital:

Lab Data: None.

Allergies: Trimethoprim / Sulfamethoxazole(Bactrim).

Symptoms: Right after the second dose less than 2 minutes my heart rate began to spike. I could feel my heart pumping fast. I couldn?t sit due to this so I began pacing the room. I didn?t know this was a side affect so I thought I was over thinking the second dose. I attributed this to all the worry and doubt the media and people around me try pumping in your head. I thought I was having a panic attack. I didn?t alert any of the medical team there because again, I thought I was over thinking it. A few hours later my heart rate had gone down. My Apple Watch helped me monitor this. The next day I felt pain at the injection site, not my normal self, groggy. Slightly feverish and chilled. I work in a cold environment so I couldn?t quite tell if the chilled feeling was a side effect, or the room. Later that evening around 9pm things took a turn. I began running a low grade fever and was shaking from being so cold. About another hour late my fever was up to 101 and I was still shaking from being so cold. I took about 600mg of ibuprofen. I couldn?t sleep, tossed and turned. Probably another hour later my temperature was 102, still shaking uncontrollably. Covered in about 5 blankets I kept waiting it out. And I?d say around 2-3am I could feel my fever breaking. By late morning my temp was back to normal but I felt achy still. Tired, sore. Definitely sore at my injection site. And I don?t know if this is worth mentioning or not but just haven?t been able to shake that panic attack feeling. Like a worry or a dread over me. I just don?t feel as clear-headed as I did before. This is my biggest concern. Just don?t feel myself yet.

Other Meds: Low hormone birth control pill, Zyrtec, Flonase, multivitamin gummy.

Current Illness: Allergies.

ID: 0932657
Sex: F
Age: 54
State: VA

Vax Date: 12/20/2020
Onset Date: 12/20/2020
Rec V Date: 01/10/2021
Hospital:

Lab Data: None

Allergies: Brillinta

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA Beginning the day of vaccine, very sore upper left arm for 2 days. Moderate headache beginning on day after vaccine, lasting for one day.

Other Meds: Ramipril, metoprolol, atorvastatin, aspirin, vitamin D, famotidine

Current Illness: No

ID: 0932658
Sex: F
Age: 56
State: PR

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/10/2021
Hospital:

Lab Data: None

Allergies: No known allergies

Symptoms: Raised, painful, erythematous and indurated injection site area with local increase in temperature, compatible with Arthus Reaction at injection site.

Other Meds: None

Current Illness: None

ID: 0932659
Sex: F
Age: 68
State: TN

Vax Date: 12/30/2020
Onset Date: 01/09/2021
Rec V Date: 01/10/2021
Hospital:

Lab Data: None

Allergies: Dust mites, pollen, cats, grasses

Symptoms: On day 10 day post the injection, two red blotches, square or rectangular shaped, each about 1 cube inch, noted near the injection site , maybe just below as I could not see the actual injection site. It was hot and tender. Size extended by Day 11 slightly with the two squares becoming a more rounded single site. I took some Benedryl at that time about 4pm and then took Acetominophen and Famotidine at bedtime.

Other Meds: Prilosec, Famitodine, Multivitamin, Allegra, Sudafed, Vit D, Vit B12, Align probiotics, Krill oil tablet, Vitamin for skin and nails

Current Illness: None

ID: 0932660
Sex: F
Age: 30
State: AZ

Vax Date: 01/09/2021
Onset Date: 01/09/2021
Rec V Date: 01/10/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Sore arm at injection site 3hrs after given, at 8:30pm started to feel weak, became pale, started having all over body/muscle aches, chills, fever of 100? and nausea. Took some aspirin...helped a little bit but still only got around 4 hrs of sleep. Woke up still with sore arm, body aches, headache, and still weaker than normal. Took some more aspirin....it's been around 4hrs now and body aches and weakness are almost gone. Still have the sore arm and slight headache.

Other Meds: None

Current Illness: Covid19 two weeks prior

ID: 0932661
Sex: F
Age: 25
State: MD

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

Lab Data:

Allergies: Some fruit

Symptoms: Pt. experienced mild itchiness under eyes and a "tingle" sensation in throat. Pt.'s skin color normal w/o any signs of a rash or swelling, no SOB, and no c/o nausea/vomiting. b/p 108/68, RR 20, pulse/HR 68 and regular with no arrhythmia. Pt states symptoms were much improved when she was leaving the post vaccination area. Pt. was discharged, ambulatory, and was was escorted out to vehicle (driven by her sister). Sister and pt. instructed to seek medical attention immediately should symptoms return.

Other Meds: Unknown

Current Illness: Unknown

ID: 0932662
Sex: M
Age: 65
State: FL

Vax Date: 01/10/2021
Onset Date: 01/10/2021
Rec V Date: 01/10/2021
Hospital:

Lab Data:

Allergies: N/A

Symptoms: No

Other Meds: Losartan 100 mg, amlodipine 5 mg (daily) Atorvastatin 40 mg (daily)

Current Illness: hypertensive patient

ID: 0932663
Sex: F
Age: 41
State: NY

Vax Date: 01/09/2021
Onset Date: 01/09/2021
Rec V Date: 01/10/2021
Hospital:

Lab Data: multiple EKG glucose check in ambulance

Allergies: erythromycin - hives a a child

Symptoms: Feeling fine in morning. Had cup of tea, went for vaccine at 10AM. Did fine with injection, sat down for observation, 8-10 minutes later started feeling sweaty, then passed out. Woke up on the floor with nurses around me feeling tightness in chest, numbness in fingers, body shaking off and on, started to feel like tongue was swelling. Nurses gave IV fluids, oxygen and 2 Epi-Pens. Transported by ambulance to Buffalo General Hospital. Symptoms resolved not long after arrival at hospital. Remained in EMT bay hallway for observation., seen there by ER doctor. Another EGK done, additional half bag of IV fluids, released after 4 hours observation.

Other Meds: Vitamin D Midodrine HCL 5mg PRN

Current Illness: none

ID: 0932664
Sex: F
Age: 64
State: IN

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/10/2021
Hospital:

Lab Data: NA

Allergies:

Symptoms: Violent chills, headache, abdominal pain especially on the right side and vomiting. Muscular aches all over the body. Fatigue. 1/10/21: Still experiencing headache and muscle pain, occasional chills.

Other Meds: Atenolol 50 mg

Current Illness: IVP dye Lipitor

ID: 0932665
Sex: F
Age: 52
State: IN

Vax Date: 12/23/2020
Onset Date: 12/24/2020
Rec V Date: 01/10/2021
Hospital:

Lab Data: None

Allergies: Sulfonamides

Symptoms: 1. Light headedness. Treated with extra fluids. Began 30 minutes after vaccine and lasted about 4 hours. 2. Fatigue and lethargy. Treated with rest and fluids. Began 24 hours after vaccine. Duration 12 hours. 3. Nasal congestion. No treatment necessary. Began 24 hours after vaccine. Duration 4 days.

Other Meds: Trintellix, Vyvanse, Levothyroxine, Liothyronine, Meloxicam, Levocetirizine, Montelukast, Estradiol, Progesterone, Testosterone, calcium, curcumin, Vitamin D3, Vitamin K2, MVI, Fish oil, Zinc with Copper, Magnesium glycinate,

Current Illness: None

ID: 0932666
Sex: M
Age: 81
State: RI

Vax Date: 12/28/2020
Onset Date: 01/09/2021
Rec V Date: 01/10/2021
Hospital:

Lab Data:

Allergies: no known allergies to foods or medications

Symptoms: patient in his usual state of health. Tested negative for Covid on 12/22/2020. Covid -19 vaccine-Pfizer-BioNTech administered on 12/28/2020. Patient tested for Covid-19 by swab on 1/8/2021. Result positive. Provider and staff at nursing home communicating regarding patient's condition and care via tele-health - telephone due to restrictions during Covid - 19.

Other Meds: Advair, ASA, docusate, ferrous sulfate, lactulose, melatonin, Proair prn, propanolol, proscar, quetiapine, ramelteon, mirtazapine, multivitaoin, tamsulosin, bupropion,

Current Illness: patient hospitalized from 11/26/2020-12/8/2020 for acute mental status changes considered multi-factorial.

ID: 0932667
Sex: F
Age: 39
State: NC

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/10/2021
Hospital:

Lab Data: none

Allergies: Penicillen

Symptoms: Vaccine administered at 2:10 pm on 1/6/2021. Patient immediately stated that she "feels warm all over", then states that "I am having an allergic reaction". Emergency protocol initiated immediately, 911/EMS called. Patient heart rate in the 140's-150's. Patient refused epipen at this time due to no SOB. EMS arrived and patient states "I feel better". Patient refused transport to hospital and instead opted for calling her husband to come and get her. EMS waited with patient for approximately 15-20 minutes to ensure improvement. Patient monitored for next 45 minutes-60 minutes until husband arrived. Continued to improve. Left with husband.

Other Meds: unknown

Current Illness: none reported

ID: 0932668
Sex: M
Age: 55
State: IL

Vax Date: 01/07/2021
Onset Date: 01/09/2021
Rec V Date: 01/10/2021
Hospital: Y

Lab Data:

Allergies: none

Symptoms: SOB

Other Meds: Senna 8.6mg 2 tabs po Vit. D 1000 ui 2 tabs po Lactulose 30 cc BID

Current Illness: none

ID: 0932669
Sex: M
Age: 67
State: OK

Vax Date: 01/09/2021
Onset Date: 01/09/2021
Rec V Date: 01/10/2021
Hospital:

Lab Data:

Allergies: Levequin Barley Peanuts Strawberries

Symptoms: Injection was given very close to the shoulder joint in my left arm, as a result within a few hours a very sharp pain in my shoulder caused me to be unable to lift my left arm without extreme pain, not muscle pain. By 4:00 pm I was sapped of energy. During the night I developed chills and ran a fever of 100.4 F. By Sunday morning I felt nauseous, but did not vomit. At 2:00pm 12/10/2020 my fever has lowered and the nausea has subsided, but the shoulder joint is still very sore.

Other Meds: Adderall 15mg / day Metformin 500mg / day

Current Illness: Covid-19 Positive test on 12/17/2020

ID: 0932670
Sex: M
Age: 23
State: IN

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/10/2021
Hospital:

Lab Data:

Allergies: Mild allergies to dust, cats, dogs, cockroaches, mold. No anaphylactic allergies.

Symptoms: Fever and chills, body aches, fatigue, headache.

Other Meds: Melatonin, Allegra

Current Illness: None.

ID: 0932671
Sex: M
Age: 56
State: WI

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/10/2021
Hospital:

Lab Data:

Allergies: N/A

Symptoms: I received Covid- 19 Moderna vaccine on 4 Jan 21. That night, I had muscle ache and diarrhea and went bathroom 3-4 times at night. Next day, I went bathroom about 5-6 times at work. Tuesday night, I felt chill, and then fever, and headache. So, I stayed home on Wednesday and Thursday in bed. I felt better on Friday, But, Yesterday and today, I am having fatigue and headaches. I took Nyquil and Tylenol.

Other Meds: MULTI VITAMIN, VIT C, VIT D, MAGNESIUM.

Current Illness: N/A

ID: 0932672
Sex: F
Age: 19
State: NY

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

Lab Data: no

Allergies: Latex/ NKDA

Symptoms: With in an hour of the vaccine, she had redness on the arm. It look like she was washing dishes. Her arm and hand were redder the right arm. No discomfort, no itchiness. It went away.

Other Meds: unknown

Current Illness: unknown

ID: 0932673
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 01/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: None stated.

Other Meds:

Current Illness:

ID: 0932674
Sex: F
Age: 43
State: CA

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/10/2021
Hospital:

Lab Data: None

Allergies: Various allergies, but it is client and her provider have not determine causal factors.

Symptoms: Client began having tightness in neck and face, tingling around mouth, and blotchy skin. Spoke with her primary, he suggested administering epi: 0.5 ml of 1mg:1000mL. Administered dose in R deltoid 30 minutes following vaccine administration, client began feeling better immediately.

Other Meds: Unknown

Current Illness: None

ID: 0932675
Sex: F
Age: 38
State: NY

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/10/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Received vaccine on 1/6 at 0800pm 1/7 - 730am woke up with a very soar arm, difficult to move. 10am felt very tired, like I was about to catch a cold. 12pm felt cold, had a temp of 99.9 F 3pm was very tired, chills, mild nausea, temp 100.8 F - took tylenol at this point 1000mg. Tylenol helped reduced fever and chills. Still continued to feel very tired and had no energy. Stomach continued to feel sensitive and had very little appetite. 10pm - fever returned 100.6 with chills - took another dose of 1000mg tylenol and went to sleep. Through out the night was hot and cold. 1/8 7am - I woke up had temp of 100.1F - no chills, still very tired, arm still very sore. Did not take tylenol. 9am - temp now 99.7 F - still very tired 10am - temp now 98.6F - nausea resolved, still had no appetite. Very tired, body felt sore and left armpit hurt when I moved, I noted no lymph nodes. Remainder of day I remained fever free, but continued to feel very tired and took a few naps. (this is not my norm, I do not nap). By dinner time appetite was better but stomach still felt tender. 1/9 - woke up feeling great, lots of energy, even went for a jog. Arm still a little sore.

Other Meds: tylenol

Current Illness: none

ID: 0932676
Sex: M
Age: 26
State: GA

Vax Date: 01/10/2021
Onset Date: 01/10/2021
Rec V Date: 01/10/2021
Hospital:

Lab Data: Physical exam revealed 5/5 in both upper extremities. Sensation intact the light and dull stimuli in both upper extremities. CN 2-12 intact. Pt was observed for 1.5 hours with no change in condition.

Allergies: Penicillin: rash was told as a toddler

Symptoms: Numbness and tingling in left upper arm and chest wall that started 15 min after Moderna injection. Denies pain, weakness and shortness of breath.

Other Meds: None

Current Illness: None

ID: 0932677
Sex: F
Age: 25
State: CT

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

Lab Data:

Allergies: Tree nuts Carrots Dust mites Pollen Mold/mildew

Symptoms: Lasting from day of injection to approximately 48hrs after injection: Temp 99.9f Chills Ocular migraine Fatigue Body aches General malaise

Other Meds: Zyrtec 10mg Singular 10mg Spironolactone 50mg BID Xolair 150mg injection q4 weeks Zoloft 100mg Mirena IUD Vitamin D3 2,000 IU

Current Illness:

ID: 0932678
Sex: F
Age: 41
State: NY

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/10/2021
Hospital:

Lab Data: None

Allergies: No

Symptoms: My arm became swollen and sore to the touch at the injection site within the first hour. With in 2-3hrs my arm was so sore I could hardly lift it to shoulder height or rotate it. It was way more severe then I have ever felt from a standard vaxx or flu vaxx in years past. That continued for a full 48hrs, after that it subsided but was still sore around the injection site and the muscle. I was able to typically use the arm again with minimal pain. Around 14-16hrs after the injection I began to feel very achy and sick. My shoulders, neck and head hurt. I did not have a fever, but my skin all over my body was achy to the touch as well. I also found my self to he extremely tired, like feeling run down, around 12hrs after the shot (when I woke up). The ?fluish? feeling of a headache, feeling achy and being tired did get a little better but has continued into the 3rd day (today when I am reporting this).

Other Meds: No

Current Illness: No

ID: 0932679
Sex: M
Age: 56
State: FL

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/10/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Very bad pain in injection arm, culls and sweats, sharp pain in right kidney area on and off.

Other Meds: Metformin 750xr Aspirin 81mg Lipitor 20mg Multi-vitamin

Current Illness: None

ID: 0932680
Sex: M
Age: 25
State: NY

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/10/2021
Hospital:

Lab Data:

Allergies: N/A

Symptoms: Arm soreness started 12 hours later, malaise, chills, fever, headache, congestion started 24 hours later. 48 hours later only fever remains

Other Meds: N/A

Current Illness: N/A

ID: 0932681
Sex: M
Age: 27
State: IN

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/10/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Diffuse myalgia, mild non focal headache, low-grade fever

Other Meds: Fish oil, creatine, Vitamin D

Current Illness: None

ID: 0932682
Sex: F
Age: 24
State: PA

Vax Date: 01/09/2021
Onset Date: 01/09/2021
Rec V Date: 01/10/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Fever 102.1, body aches, mild headache, nausea, fatigue Took Tylenol x2 Symptoms significantly improved and were almost completely resolved after 15 hours

Other Meds: Singulair

Current Illness: None

ID: 0932683
Sex: F
Age: 32
State: MA

Vax Date: 01/09/2021
Onset Date: 01/10/2021
Rec V Date: 01/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Fatigue, tiredness/exhaustion, Right muscle pain, joint discomfort

Other Meds:

Current Illness:

ID: 0932684
Sex: F
Age: 48
State: IN

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/10/2021
Hospital:

Lab Data: None

Allergies:

Symptoms: Severe body and muscles aches in both arms, shoulders, arms, back, hips and legs. Could not lift either arm above head. Skin was extremely sensitive to cold and touch. Heat and OTC pain reliever helped. Symptoms had improved within 24 hours but not fully. Some aches persist. I tested positive for Covid-19 in October 2020 and although my symptoms were very mild when I had the virus, my long lasting symptoms still persist (numbness and tingling in both arms, taste and smell come and go, fatigue continues, phantom smells of cigarette smoke, etc). I have also heard that symptoms can be worse for those that have had Covid before the vaccine.

Other Meds: Losartan 100mg, Topiramate 25mg, Valacyclovir HCL 500mg, Phentermine 37.5mg, Hydrochlorothiazide 25mg, nexium, calcium chew, Aleve, Skin and Nails gummies., Zyrtec.

Current Illness:

ID: 0932685
Sex: M
Age: 88
State: WI

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/10/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: Resident received step one of Moderna Vaccine on 01/05/2021 which was within 14 days of receiving PPSV-23 on 12-26-2020 No adverse reactions observed within 48 hours after receiving vaccine

Other Meds: Aspirin 325mg daily, Vitamin D3 (1000u) daily, Sertraline 50mg daily, Tylenol 1G BID, Senakot 8.6/50mg daily, Tamsulosin 0.4mg daily, Lisinopril 20mg daily, Tramadol 25mg daily. Received PPSV-23 on 12-26-2020

Current Illness: Left hip pathological fracture on 12-18-2020

ID: 0932686
Sex: F
Age: 46
State: SC

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

Lab Data: None

Allergies: Aspirin, ibuprofen, seasonal allergies such as pollen

Symptoms: 14 hours post vaccine began having tingling, pins and needles type sensations in feet, arms, hands, occasionally trunk

Other Meds: Multivitamin, vit D, fish oil

Current Illness: None

ID: 0932687
Sex: F
Age: 75
State: FL

Vax Date: 01/07/2021
Onset Date: 01/09/2021
Rec V Date: 01/10/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Friday evening 1/8 - Saturday evening 1/9 Mild raised rash on upper inside lip. Saturday 1/9 Rash on chest above breast extending to shoulders. Very red raised on left side. Mild on right side and center. Put hydro cortisone otc cream on it. Sunday 1/10 Rash very faint. No treatment Today. Mouth better.

Other Meds: Tylenol

Current Illness: None

ID: 0932688
Sex: F
Age: 42
State: KY

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/10/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: I have had increased perspiration and constant itch/irritation under both of my armpits.

Other Meds: None

Current Illness: None

ID: 0932689
Sex: F
Age: 52
State: NY

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

Lab Data:

Allergies:

Symptoms: Sore arm, Tylenol

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm