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: 0918283
Sex: F
Age: 47
State: TX

Vax Date: 12/24/2020
Onset Date: 12/25/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: None

Allergies: Procardia Macrobid

Symptoms: Modern a covid 19

Other Meds: 75 mg amitriptyline Doxipen

Current Illness: None

ID: 0918284
Sex: F
Age: 23
State: NY

Vax Date: 12/21/2020
Onset Date: 01/03/2021
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Moderna vaccine received on 12/21 from my workplace. Rash (reddened skin not raised) appeared after vaccine was given (within 24hrs) the size of a quarter and was gone 3 days later. Now on 1/3 the rash (red bullseye not raised) came back the size of a baseball and is warm to the touch. Went to urgent care and physician called it a delayed adverse reaction to the moderna vaccine 1st dose

Other Meds: Junel birth control

Current Illness: None

ID: 0918285
Sex: F
Age: 40
State: IA

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies: Possible penicillin. A rash from oral PCN about 15 years ago.

Symptoms: I got the shot, didn?t feel it at all so it went good. I went to the bathroom and went pee and got my arm back in my long sleeve shirt under my scrub top. I wasn?t anxious about getting the vaccine. Then I went to sit down and be monitored. After about another minute I felt very weird like a warm feeling going all over my body. I started pulling my mask away from my face to get a deep breath. Then I broke out in a sweat from head to toe. I think I became pale (I apparently didn?t look good). I started feeling more ?weird? as I had never felt this way before and I stood up to walk because the nurse there wanted me upstairs near the ED but I was weak so I sat down and had tunnel vision. After that it?s a bit of a blur. After I stopped sweating I got very cold and shaky but vitals were ok. It scared me because I have never had a reaction before to a vaccine.

Other Meds: None

Current Illness: None

ID: 0918286
Sex: F
Age: 50
State: NJ

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies: N/A

Symptoms: fever 100.6- 100.5, chills, headache, general weakness, sweating, and loss of appetite.

Other Meds: N/A

Current Illness: N/AN

ID: 0918287
Sex: F
Age: 44
State: VT

Vax Date: 12/18/2020
Onset Date: 12/18/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: felt hot, prickly, right arm red. Later felt chest tightness

Other Meds:

Current Illness:

ID: 0918288
Sex: F
Age: 76
State: TN

Vax Date: 12/29/2020
Onset Date: 12/31/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: Referred to PCP for evaluation

Allergies: None

Symptoms: Starting on Thursday, Dec. 31, patient began having shoulder and neck tightness. That night patient began having chills, and noticed redness at the vaccine sight and then the redness started streaking. Also complaints of itching at the vaccine sight. Started taking Tylenol for the two days following the vaccine, states feels like it is improving. Referred to PCP for evaluation. Has appt. Monday, January 4th

Other Meds: Elderberry PO Daily PRN, Vit. D3 5000 units PO daily, Vit. C PO daily, Losartan 100 mg PO daily, Metformin 500 mg PO daily, Amlodipine 5 mg PO daily

Current Illness: None

ID: 0918289
Sex: F
Age: 46
State: NH

Vax Date: 12/22/2020
Onset Date: 12/22/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: none

Allergies: reported prior anaphylaxis to bee sting during post vaccination interview

Symptoms: Triage for COVID 19 SEVERE post Vaccine Reaction VAERS reportable Your concerns: Vaccine at noon without immediate effect. Driving home at 1400 developed itching and redness at scalp, face, neck, chest, back, arms and sides. Reports that she did not feel warm but looked like she had a sunburn. It appeared to fade over the next two hours but re-occurred at 1700 with all previous symptoms. She took 50mg of Benadryl and went to sleep. She woke at 0200 the re-occurrence of all symptoms, she did not take any Benadryl as that would make her too sleepy to come to work. The symptoms subsided and when we spoke at 1050 she had only small bumps/hive like spots on her fore arms and cleavage. They do not itch or burn at this time. Discussed with PA and Dr. after which I spoke with patient again regarding pending plan. She will call the clinic if she has any further symptomatic episodes in the near future. We will investigate moving her second dose ahead 2 days from 1/12/2021 (day off) to 1/14/2021 this way she will be here at work should it happen again, she works 0630-1900. Med provider will consult with allergy to determine if further steps are needed for dose #2. Dept: Respiratory Therapy Have you missed work? #shifts: none Did you seek emergency care? none Date and Time of Vaccine: 12/22/2020 at 1200 Age at time of vaccination, 46 years 6 months Sex: female Was the vaccine received at facility? yes Site of vaccine (LD or RD): RD Type of Vaccine Pfizer (X ) Moderna ( ) Other _______________ 1st or 2nd dose: first When did your symptoms start? 12/22/2020 at 1400 Please note reported symptoms yes or no, these symptoms are considered mild to moderate and are NOT VAERS reportable Injection site pain no Tiredness no Headache no Muscle Pain no Chills no Joint Pain no Fever (note temp if known) no Injection Site Swelling no Injection Site Redness no Nausea no Feeling Unwell no Swollen Lymph Nodes (lymphadenopathy) no Other: no Employee reports THE FOLLOWING SEVERE post vaccine ADVERSE reactions (reportable): Difficulty breathing no Swelling of your face and throat no A fast heartbeat no A bad rash all over your body yes, see above Dizziness and weakness no If COVID-19 symptoms persist and/or worsen beyond 48 hours consider COVID-19 testing Treatment/Advise: see above Plan: see above If employee was vaccinated at another facility, they need to contact that facility , it is an expectation that the facility that gave the vaccine complete the VAERS report. N/A Employee verbalizes understanding and agreement with plan. yes VAERS report is completed electronically vaccine given at facility. Pending further review. 12/24/2020 01:51pm Follow up to VAER 12/23/2020 Patient called this morning to update regarding vaccine reaction. Yesterday she went home and did some shoveling. Later, around 1900, she developed a itchy, red rash that started on her chest and the right side of her neck which later covered her entire body. The skin on her face was bright red and very hot to the touch, there were small raised hives on her face which were likened to 'petechia if they were raised'. She took pictures of the raised/red areas. She took 50mg of Benadryl and went to sleep, when she woke at 0230 she was asymptomatic. Regarding the bumps on her forearms and cleavage, she has residual mottling on her arms. Updated providers.

Other Meds: none revealed on consent form

Current Illness: none revealed on consent form

ID: 0918290
Sex: F
Age: 35
State: KY

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

Lab Data: NONE

Allergies: NO

Symptoms: Moderna vaccine given 12/28/2020, 6 days after injection have left supraclavicular lymph node swelling and axillary swelling and tenderness

Other Meds: ZOLOFT MULTIVITAMIN COLACE FLONASE SOOLANTRA

Current Illness: NONE

ID: 0918291
Sex: F
Age: 61
State: PA

Vax Date: 01/03/2021
Onset Date: 01/04/2021
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies: PCN

Symptoms: Extreme fatigue, weakness, lightheaded, malaise

Other Meds: Sertraline Ibuprofen famotidine Exemestane

Current Illness: NONE

ID: 0918292
Sex: F
Age: 24
State: MO

Vax Date: 12/23/2020
Onset Date: 01/03/2021
Rec V Date: 01/04/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Began noticing itching and redness on left had on 1/3 PM. When I woke up on 1/4 the itching in the had was persistent and the redness was about the same. I also noticed a raised, red patch of skin on my right anterior ribs. The rash on the ribs is less itchy than the hand.

Other Meds: Adderall 20mg XR vitamin D, B12 Calcium, biotin, cranberry supplement, probiotic

Current Illness: common cold roughly two weeks prior to vaccination

ID: 0918293
Sex: F
Age: 47
State: TX

Vax Date: 12/24/2020
Onset Date: 01/01/2021
Rec V Date: 01/04/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: receive vaccine on 12/24/2020 arm was red and sore few days. then on 1/1/2021 at injection site a rash developed and had HA, tired , weakness, chills. I continue to feel this way on 1/4/2021

Other Meds: Tylenol 500mg, Tramadol BID, nortriplin 50mg bid,

Current Illness: none

ID: 0918294
Sex: F
Age: 40
State: KY

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: X-rays done at urgent care showed no bone damage. Awaiting MRI and other tests

Allergies: z-pack, biaxin

Symptoms: About 1 hour after receiving my first dose of the Moderna vaccine for COVID-19, I started feeling extreme pain in my left shoulder and arm, where the shot was administered. The pain continued to intensify throughout the day and night and was 10/10 on a pain scale. In addition, I began to lose my ability to lift my left arm or use it. It became so weak that I had to use my right hand/arm to pick up my left arm to move it. My left arm was 'hanging and drooping' and my left shoulder was very noticeably lower then my right shoulder. I called my primary care and employee health. My primary care doctor advised me to take advil and go to urgent care if the pain persisted and worsened. I could not sleep at all that evening of 12/29/20 because the pain was so intense and I had to keep picking my left arm up with my right arm to keep re-adjusting to try and get comfortable. The next morning I went to an orthopedic urgent care where I was diagnosed with nerve damage from the shot and prescribed Methylprednisolone 4mg dosepack. The doctor who saw me explained that he could not assess the extent of the damage at this time because my nerves were so agitated and inflamed. He scheduled a follow up visit with me for Thursday, January 7th and stated he will then proceed with an MRI and further investigation to assess the extent of the nerve damage. During the days that followed my immunization, I was unable to do anything with my left arm and was dependent on my husband to help me get dressed, showered, household chores, etc. It is unknown at this time whether this will be temporary or permanent damage and disability.

Other Meds: Buproprion, trazadone, topomax, vitamin D, probiotic, multi-vitamin

Current Illness: None

ID: 0918295
Sex: F
Age: 51
State: TX

Vax Date: 12/24/2020
Onset Date: 12/31/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: swelling, redness that started 1 wk after injection

Other Meds: Valsartan 80mg, Iron supplement, VitD

Current Illness: none

ID: 0918296
Sex: F
Age: 44
State: OH

Vax Date: 12/31/2020
Onset Date: 01/01/2021
Rec V Date: 01/04/2021
Hospital:

Lab Data: None

Allergies: NKA

Symptoms: Moderna COVID-19 Vaccine Vaccine on day 0 GI symptoms on days 1, 2, 3, and 4 including abdominal cramps, constipation, gas Uterine cramps (not related to menstruation) and light spotting on day 2 Soreness at injection site days 0, 1, 2, and 3

Other Meds: OTC vitamins: iron, B6, folate, B12, D

Current Illness: None

ID: 0918297
Sex: M
Age: 32
State: VT

Vax Date: 12/18/2020
Onset Date: 12/18/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: arm pain

Other Meds:

Current Illness:

ID: 0918298
Sex: F
Age: 36
State: MO

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: None

Allergies: Oral sulfa medications (hives). I do not have any known allergies to foods, just food intolerances.

Symptoms: Injection received at 0815. At 0900 I started getting diaphoretic, clammy, nauseas and my face was flushed. At 0930, I developed hives on my neck, chest and arms. I immediately went back to the vaccination site (I was still in the hospital at work) and was administered 25mg oral Benadryl and monitored for 30 minutes. The hives resolved, but I still felt unwell. At 1600 I noticed a swelling in my right upper thigh about the size of my hand. It was about 2 inches inferior to my inguinal crease and was the width of my thigh. It was mildly painful to the touch. My injection site was red, inflamed and itchy. I continued taking 25-50mg Benadryl Q4 and took 100 mg at night due to itchiness on my eyes, face, neck, chest and arms. This is still present, although less each day, as of Monday 1/4/21 morning. I have felt feverish but have not had a recorded fever. I took some Ibuprofen for the pain in my arm at the injection site. The redness, swelling and itchiness has decreased each day at the injection site, but is also still present as of Monday 1/4/21 morning. I still feel unwell and have continued diarrhea throughout the weekend.

Other Meds: 1 Fluoxetine 20mg, 1 vitamin B12 1000mcg, 1 Drospirenone and Ethinyl Estradoil Tablets USP 3mg/0.03mg (oral birth control), 2 Goli Apple Cider gummies, 2 sambucus elderberry gummies, 2 magnesium 200 mg tablets, 1 MICRO Factor Pack (https:/

Current Illness: None

ID: 0918299
Sex: F
Age: 58
State: MA

Vax Date: 12/18/2020
Onset Date: 12/22/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: My internist sent me to a COVID test and it was negative.

Allergies: No

Symptoms: The day of the vaccine I had a initial diarrhea and headache, minimum pain on the site of the injection but at 2AM on the 22nd I woke up from my sleep with chills, and shaking even my teeth were clacking. Took Tylenol and it got better around 30 min later. Felt very fatigued and still nauseated almost threw up. By the end pf the day it resolved itself.

Other Meds: Labutren, omeprazole, hydrocholoritizide, lisinopril

Current Illness: No

ID: 0918300
Sex: F
Age: 46
State: ID

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

Lab Data: none

Allergies:

Symptoms: patient developed headache, nausea and abdominal pain day of vaccination that continued for two days post vaccination.

Other Meds:

Current Illness:

ID: 0918301
Sex: F
Age: 27
State: PA

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: denies

Allergies: denies

Symptoms: left arm tingling starting from above left elbow radiating to left face-started at 10:38 on 12/30/20 and resolved at 18:30-19:30 pm on 12/30/2020

Other Meds: birth control-larissia

Current Illness: denies

ID: 0918302
Sex: F
Age: 60
State: AZ

Vax Date: 12/28/2020
Onset Date: 12/29/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies: Ampicillin, Amoxicillin

Symptoms: Flu-like symptoms - nausea, sweat. Arm sore immediately after injection - sore for 2 days.

Other Meds: Tecfidera, Ampyra, Baby Aspirin, Vitamin D, Biotin, Losartin, Baclofen, Lyrica

Current Illness: None

ID: 0918303
Sex: F
Age: 58
State: NC

Vax Date: 12/17/2020
Onset Date: 12/21/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: EKG *IN MEDICAL RECORDS

Allergies: REGLIM CHOMPAZINE, PHENEGREN

Symptoms: 12/17/2020 VACCINE 12/18/2020 SWOLLEN LYMPHNODES IN GROIN, FATIGUE 12/21/2020 EXPERIENCED A STEMI; RUSHED TO ER; FELT LIKE COULDN'T BREATHE, INCREASED HR CARDIAC CATH

Other Meds: CRESTOR DAILY, BP MEDICINE (UNKNOWN) DAILY, FISH OIL, BABY ASPIRIN DAILY

Current Illness: N/A

ID: 0918304
Sex: F
Age: 51
State: MA

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

Lab Data:

Allergies:

Symptoms: Employee states reaction to every vaccine she receives. Employee states ticks, perseveration, uncontrolled laughing and crying which resolve on own. This happened today immediately after vaccine administered. Employee given water, cold pack. Symptoms resolving on own as stated. Will keep longer for observation.

Other Meds:

Current Illness:

ID: 0918306
Sex: F
Age: 63
State: KY

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies: Iodine, Penicillins, Salicylates

Symptoms: EE received Covid-19 Moderna vaccine on 12/29/20 at 5:10 p.m. at Covid vaccination site. 12/30/20 at 3:00 a.m.EE had pain in left side, hip and leg waking EE up from sleep . Lesions times two, one on hip and one on posterior upper leg. MD insructed EE to double Vitamin C orally and to place Bacitracin on the two lesions, which at first appeared to contain bloody drainage. Lesions are now dry. VAERS document completed.

Other Meds: Vitamin C, Vitamin D, Lipitor, Singulair

Current Illness: denied

ID: 0918307
Sex: M
Age: 56
State: FL

Vax Date: 12/28/2020
Onset Date: 12/29/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: COVID test, respiratory viral panel

Allergies: none

Symptoms: fever 100.6, chills, headache

Other Meds: Vitamin D, zinc, vitamin C

Current Illness: no

ID: 0918308
Sex: M
Age: 51
State: ID

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: none

Allergies:

Symptoms: patient developed flu like symptoms such as body aches, chills, fever, as well as arm pain day after vaccination.

Other Meds:

Current Illness:

ID: 0918309
Sex: F
Age: 56
State: NJ

Vax Date: 01/03/2021
Onset Date: 01/03/2021
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Extreme left arm pain. Site is redden and warm to touch. Low grade fever. Head ache. Loss of appetite I had a hard time sleeping. I just took Tylenol.

Other Meds: None

Current Illness: None

ID: 0918310
Sex: F
Age: 54
State:

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: per pt, she was rapid tested for influenza and COVID-19, both came back negative. She says the physician told her her symptoms were from the COVID vaccine. Note: pt was with out of household family 12/26/2020-one of them called her 3 days later and said they were ill with a sore throat.

Allergies: NKA

Symptoms: 12/30/2020 - Pt c/o low-grade fever about 20 hrs after vaccine dose given. 3 hrs later, c/o temp. 101.6 F. 12/31/2020 - Pt c/o fever, dry cough, fatigue, nausea, light H/A. Referred her to PMD.

Other Meds: OTC-Estrovan, Zyrtec, Vitamin D3-2,000 mg., Vitamin C.

Current Illness:

ID: 0918311
Sex: F
Age: 40
State: ME

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: None. Self treatment with benadryl and albuterol HHN.

Allergies: Hazelnuts, H1N1 vaccine reaction, Zithromax, Advair discus. Possibly Vicodin and Ultram Cattle protein sensitivity

Symptoms: Hives, itching, nausea, vomiting, very mild respiratory wheezing.

Other Meds: Benadryl, singulair, zyrtec

Current Illness: None

ID: 0918312
Sex: M
Age: 68
State: AL

Vax Date: 12/31/2020
Onset Date: 01/01/2021
Rec V Date: 01/04/2021
Hospital:

Lab Data: No

Allergies: No

Symptoms: After receiving the vaccine, no problems until I woke up in the middle of the night, and I was sore and my arm was hurting and I was sweating. I started having chills. I have a fever, still with aches and pains. The soreness at the injection site is about gone. Yesterday, 01.03.21, I was running a fever between 99-101 all night long. Last night I took one Tylenol to help slow it down a little. It's been pretty severe up until now. Right now my temp is 98.1. I did not go to the ER and my wife has the lot number in her purse with her right now.

Other Meds: One a Day Multivitamin, Fexofenadine, Benazepril-htcz 20mg , Pravastatin 80 mg, Baby Asprin once a day

Current Illness: No

ID: 0918313
Sex: F
Age: 42
State: MA

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Brief dizziness lasting 2 seconds.

Other Meds:

Current Illness:

ID: 0918314
Sex: M
Age: 58
State: TN

Vax Date: 12/23/2020
Onset Date: 12/31/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: none

Allergies: bee pollen

Symptoms: Had dull ache and knot in arm since getting vaccine. On day 8 he developed chills, body aches, hot and swollen arm, itchy, as well as fatigue, weakness, sneezing, coughing, congestion.

Other Meds:

Current Illness:

ID: 0918315
Sex: F
Age: 42
State: ID

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: none

Allergies:

Symptoms: patient developed nausea and arm soreness at injection site day after administration. Symptoms lasted about 1 day. No other complaints.

Other Meds:

Current Illness:

ID: 0918316
Sex: F
Age: 54
State: TX

Vax Date: 12/26/2020
Onset Date: 12/31/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies: Lobster

Symptoms: Dec 31 Itching began on lower legs/ankle, then on Jan 4 swelling, redness, itchiness at injection site; headache began 3rd and 4th.

Other Meds: Lexapro 10mg, Vit D, Vit C

Current Illness: none

ID: 0918317
Sex: F
Age: 46
State: OH

Vax Date: 12/24/2020
Onset Date: 01/01/2021
Rec V Date: 01/04/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: had slight soreness and redness at site of injection after vaccine was administered, but one week later it flared up with discomfort, redness, swelling, larger than diameter of softball. the site was hot to touch. it has improved but upper L arm is still red with slight ache. informed Employee health of problem.

Other Meds: tylenol

Current Illness: none

ID: 0918318
Sex: F
Age: 42
State: FL

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: None

Allergies: Flagyl Inapsine

Symptoms: Pain at injection site R shoulder pain and very limited range of motion Fatigue Chills Temp 100.5

Other Meds: Pristiq Vitamin D 3 Turmeric Oxybutynin Zyrtec CBD oil Nasonex

Current Illness: None

ID: 0918319
Sex: F
Age: 33
State: ID

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: patient developed arm soreness at injection site day after vaccination.

Other Meds:

Current Illness:

ID: 0918320
Sex: F
Age: 29
State:

Vax Date: 12/16/2020
Onset Date: 12/16/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: NA

Allergies: NA

Symptoms: Elevated heart rate within the first five minutes after injection. Went away in about one minute. Came back for about one minute in five minute intervals for a duration of about 40 minutes after injection. Feeling flushed with the first 15 minutes after injection. Soreness at injection site 24-48 hours after injection.

Other Meds: NA

Current Illness: NA

ID: 0918321
Sex: F
Age: 30
State: CT

Vax Date: 12/22/2020
Onset Date: 01/02/2021
Rec V Date: 01/04/2021
Hospital:

Lab Data: None. Hospital told me to call my provider, my provider told me to contact you.

Allergies: Sulfa drugs, Amoxicillian, Minocycline

Symptoms: Large asymmetrical rash on enter outer side of bicep. Very red on edges, less red in the middle. Initially smaller and more red, gradually becoming very itchy and spreading while the center is less red than before. Unsure if headaches and fatigue are related.

Other Meds: Dexilant 60mg, Desvenlafaxine 125mg, OTC Claritin 10mg, OTC Magnesium Glycinate 200mg, OTC Align Probiotic Prebiotic

Current Illness: N/A

ID: 0918322
Sex: F
Age: 58
State: NY

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: Vital signs, Oxygen saturation and pulse

Allergies: Metformin, Cephalosporins, Aspirin, Naproxen, strawberries, grapes, apples, pollen

Symptoms: Fifteen minutes post Moderna COVID vaccine patient felt her lower lip get heavy, and itchy, similar to when she had an allergic reaction to other medications. It resolved spontaneously after 23 minutes.

Other Meds: Januvia 100 mg, Amaryl 1 mg, Lisinopril 20 mg

Current Illness:

ID: 0918323
Sex: F
Age: 54
State: PA

Vax Date: 12/28/2020
Onset Date: 12/30/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: N/A

Allergies: AMOXICILLIN

Symptoms: Received first dose of Pfizer vaccine on December 28th in left upper arm. On the afternoon of December 30th a rash was identified on my torso. It was not very itchy, took few doses of Benadryl and was resolved next day. May I receive the second dose scheduled in few weeks?

Other Meds: VITAMINS

Current Illness: NONE

ID: 0918324
Sex: F
Age: 39
State: VT

Vax Date: 12/18/2020
Onset Date: 12/18/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: arm pain

Other Meds:

Current Illness:

ID: 0918325
Sex: F
Age: 24
State: KY

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data: None

Allergies: Shellfish

Symptoms: Moderna COVID-19 Vaccine Approximately 24 hours following the vaccination I began to feel light headed and extremely fatigued. I began to have a small rash around my hair-line that spread to my chest and arms. I self-medicated with diphenhydramine and recovered by the end of the day.

Other Meds: Birth control

Current Illness: None

ID: 0918326
Sex: F
Age: 38
State: VA

Vax Date: 12/23/2020
Onset Date: 12/30/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies: Phenergan

Symptoms: Bruising throughout body. Between toes, legs, and arms

Other Meds: Lexapro- 10 mg everyday , Biotin

Current Illness: none

ID: 0918327
Sex: F
Age: 90
State: MT

Vax Date: 12/30/2020
Onset Date: 01/02/2021
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies: Biaxin, Betamethasone,Triamicinolone

Symptoms: red warm to touch area at insertion site with pain

Other Meds:

Current Illness:

ID: 0918328
Sex: F
Age: 54
State: MA

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies: Lisinopril, Amlodipine, Sulfa, E-mycin

Symptoms: Felt woozy/dizzy, the head ache started , then nausea without vomiting. BP 180/84, BP 170/82 Supervisor was called and let her know that patient would not be able to work today. Patient stayed for 2 hours and symptoms subsided. EMS checked her out. She then drove home.

Other Meds: Clonidine patch (for BP), Prednisone (2 days only), Ambien, Vitamins

Current Illness:

ID: 0918329
Sex: F
Age: 67
State: MD

Vax Date: 12/30/2020
Onset Date: 01/01/2021
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Severe left arm pain, stiffness. Left shoulder pain. Neck pain. Stated she couldn't lift her left arm for three days after the vaccine. Low grade fever. Reported feeling disoriented, sweating, no appetite for a couple days. Fever has resolved, but other symptoms still remain. Advised employee to call doctor to report symptoms and get advise regarding next vaccine.

Other Meds:

Current Illness:

ID: 0918330
Sex: F
Age: 32
State: WI

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

Lab Data: none

Allergies: Amoxicillin-reaction is Hives, Penicillin reaction is Hives, Nickel reaction is rash/blister

Symptoms: 5 minutes post injection employee experienced warmth, redness, itching to injection site

Other Meds: Omeprazole, Multivitamin, Topamax

Current Illness: Covid-19 around December 10, 2020.

ID: 0918331
Sex: F
Age: 54
State: IN

Vax Date: 01/02/2021
Onset Date: 01/02/2021
Rec V Date: 01/04/2021
Hospital:

Lab Data: none

Allergies: no

Symptoms: Tired, headache, body aches

Other Meds: none

Current Illness: no

ID: 0918332
Sex: F
Age: 42
State: VT

Vax Date: 12/18/2020
Onset Date: 12/18/2020
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies:

Symptoms: arm numbness

Other Meds:

Current Illness:

ID: 0918333
Sex: F
Age: 44
State: AZ

Vax Date: 01/02/2021
Onset Date: 01/03/2021
Rec V Date: 01/04/2021
Hospital:

Lab Data:

Allergies: sulfa

Symptoms: "extreme vomiting", patient left prior to being seen by physician

Other Meds: buproprion, escitalopram, gabapentin, hydrcortisone, levothyroxine, lidocaine patch, melatonin, zofran, senna, buproprion, fioricet, clonazepam

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm