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: 0933961
Sex: F
Age: 39
State: NY

Vax Date: 12/30/2020
Onset Date: 01/08/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Very sore for the first 3 days then the symptoms resolved and starting last Friday, my arm was red raised sore warm and tender to touch. Also had axillary tenderness and soreness down the bicep muscle as well

Other Meds: None

Current Illness: None

ID: 0933962
Sex: F
Age: 29
State:

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Fever, Body ache and injection site soreness. Took paracetamol - felt better.

Other Meds: Multivitamins tablet

Current Illness:

ID: 0933963
Sex: F
Age: 60
State: OK

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: COVID testing (rapid and PCR) done January 8th 2021

Allergies: morphine

Symptoms: COVID vaccine #2 given Thursday January7th 12:30. Body aches and chills started Friday January 8th approx. 1700. Worsening symptoms through the night. Fever and slight cough on Saturday morning with body aches, joint pain and chills.

Other Meds: Blood pressure medication: Avapro, metoprolol XR, hydrochlorothiazide

Current Illness:

ID: 0933964
Sex: F
Age: 44
State: IL

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies: Allergic to erythromycin, and environmental allergies

Symptoms: 1/7/21 9pm- low grade Fever, chills, sore arm at injection site. 1/8/21 2pm-low grade fever, sore arm at injection site, left axilla pain and swollen left axillary lymph nodes 1/9 to- present: swollen axillary lymph nodes and tenderness left axilla

Other Meds: Metoprolol succ ER 25mg, lisinopril 10 mg, cetrizine hcl 10mg, vitamin c 500mg, zinc 50mg, vit D, hair skin and nails extra strength, digestive advantage probiotics, yoli alkalete supplement.

Current Illness: None at time of vaccination

ID: 0933965
Sex: F
Age: 81
State: IN

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/11/2021
Hospital: Y

Lab Data:

Allergies: codeine phosphate (bulk), enalapril maleate, oxycodone-aspirin, Penicillins (PCN)

Symptoms: Found on floor by CNA at 6 am. On assessment by charge nurse, VS: 99.6-94-16 212/105 manual. Noted increased confusion. Temp. 99.6 FBS 114. Resident had been provided tylenol just prior in shift for general discomfort (sore muscles) and low grade temp. On call for Dr notified of all and received order to send to ER.

Other Meds: allopurinol tablet; 300 mg; amt: 300mg; oral Once A Day; Upon Rising Prescription 04/06/2019 - Open Ended furosemide tablet; 40 mg; amt: 40mg; oral Once A Day; Upon Rising Prescription 04/06/2019 - Open Ended levothyroxinet tablet; 50 mcg;

Current Illness:

ID: 0933966
Sex: F
Age: 65
State: NV

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: none so far

Allergies: augmentin

Symptoms: Injected just under the bone; to high. With in 5 minutes a sharp shooting pain felt in Right shoulder extending down arm followed by a deep throbbing in deltoid and shoulder. This faded. Later in the day soreness like post shingles vax coupled with inability to move my arm, intense shoulder pain . Alternate ibuprofen and Tylenol, moist heat and rest. Today with 800 mgs of ibuprofen I can type but shoulder has limited mobility and is painful

Other Meds: niacin tid; multi vitamin

Current Illness: none

ID: 0933967
Sex: M
Age: 81
State: IN

Vax Date: 01/09/2021
Onset Date: 01/01/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: did not seek attention

Allergies: none

Symptoms: mild headache and mild muscle aches - mostly gone 48 hours after receiving vaccine

Other Meds: Xarelto, Sotolol, Atorovastatin

Current Illness: none

ID: 0933968
Sex: F
Age: 45
State: OH

Vax Date: 01/10/2021
Onset Date: 01/10/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: patient reported feeling lightheaded and nauseous, having several dry heaves but not producing vomit

Other Meds: unknown

Current Illness: unknown

ID: 0933970
Sex: M
Age: 89
State: MI

Vax Date: 01/07/2021
Onset Date: 01/09/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 26cm x 18cm reddened warm area noted to right upper arm, RT upper arm remains red, swollen, and warm to touch

Other Meds:

Current Illness:

ID: 0933974
Sex: F
Age: 54
State: IL

Vax Date: 01/10/2021
Onset Date: 01/10/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies: none reported

Symptoms: "1/10/21 I go the 2nd shot. My blood pressure dropped and they had to lay me down. It went to 90/40, I broke out in a rash on my neck, I am achey all over today 1/11/21"

Other Meds:

Current Illness:

ID: 0933975
Sex: F
Age: 55
State: WI

Vax Date: 12/22/2020
Onset Date: 12/25/2020
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies: PCN, Ampicillin, Cclor, Macrodantin, Tretrocycline

Symptoms: Left eye blurred vision, ASC. consulted Ophthalmologist on 1/8/2021, Provider stated to ASC. that vision appears to be impacted by viral infection and should resolve without intervention per ASC., also numbness surrounding orbit of left eye

Other Meds: Paxil

Current Illness:

ID: 0933976
Sex: M
Age: 71
State: CA

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: - Injection site pain - Chills - Headache - Fatigue - Muscle and joint pain - Mild nausea Same symptoms as Covid 19 infection. - Acetaminophen - Ibuprofen Lasted about 2 days

Other Meds: Atorvastatin Aspirin 21 mg Multivitamin, generic Omega 3

Current Illness: Covid 19

ID: 0933977
Sex: F
Age: 61
State: NY

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies: Anaphalaxic to Morphine, Opiods, Diprovan, IVP dye, Magnavist, Lidocaine, red dyes, soy, fish, shellfish allergies to compazine, latex, tape,

Symptoms: None stated.

Other Meds: Briviact, Topamax, protonix, florinef, prednisone, klonipin, vitamin D, Vitamin K, B complex, calcium, colace, lactaid tablets, tirosant, singulair, Qvar

Current Illness: Lupus, OSA, Need for non-invasive ventilation, POTS -hyperadernergic, dyspnea, diaphragm dysfunction and loss of sigh in left eye

ID: 0933978
Sex: M
Age: 65
State: IN

Vax Date: 01/09/2021
Onset Date: 01/09/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies: Robaxin Shell Fish

Symptoms: Pain and tenderness lasting > 2 days

Other Meds:

Current Illness:

ID: 0933979
Sex: F
Age:
State: NM

Vax Date: 09/02/2005
Onset Date: 09/02/2005
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies:

Symptoms: felt muscle weakness for 6 months throughout her entire body; experienced pain in her veins at the injection site; "unbelievable head pain" like she was struck in the head about 10-12 hours after vaccine administration; collapsed into her bed and was unable to move or talk; collapsed into her bed and was unable to move or talk/ unable to speak; she collapsed into her bed and was unable to move or talk; like she was going to urinate in her bed; This spontaneous report was received from a 59-year-old female patient. No information regarding the patient's medical history, concurrent conditions or concomitant medications was provided. On 02-SEP-2005, the patient was vaccinated with one dose of pneumococcal vaccine, polyvalent (23-valent) (PNEUMOVAX23) intramuscularly, lot # reported as 0748P (exact dose, anatomical localization and expiration date were unknown) for prophylaxis. On the same day, 10-12 hours after vaccination, the patient experienced unbelievable head pain like she was struck in the head, she collapsed into her bed and was unable to move or talk. The reporter stated feeling like she was going to urinate in her bed and experienced pain in her veins at the injection site. The patient sought for medical attention. The friend of the patient called her physician, because she was unable to speak and the doctor informed her she would recover with no treatment. The patient was able to move again in the morning. On 03-SEP-2005, she started feeling muscle weakness throughout her entire body and recovered from this event on an unknown date in March 2006 (reported as it lasted 6 months). The outcome of speech disorder, fall, urination impaired, injection site vascular pain and head pain was unknown. The casual relationship between the events and the suspect vaccine was not reported. Lot number 0754P is an invalid lot number for pneumococcal vaccine, polyvalent (23-valent) (PNEUMOVAX23). Lot number 0754P does not match any Company product as confirmed by Lot Verification team.

Other Meds:

Current Illness:

ID: 0933980
Sex: F
Age: 61
State: MI

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies: Tamaflu AND Monastat

Symptoms: injection site soreness and swelling, sore are with in 1 hour, lasted 48 hours, diarrhea started 13 hours after injection lasted 72 hours. headache started 12 hours after injection lasted 60 hours tiredness started 4 hours after injection lasted 48 hours I only took tylenol

Other Meds: one a day 50+ multivitamin, Acid-A-Cal, vitamin E, Vitamin D2

Current Illness:

ID: 0933981
Sex: U
Age: 65
State: TX

Vax Date: 05/02/2017
Onset Date:
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies:

Symptoms: shingles; Information has been received from a lawyer regarding a case in litigation and refers to a currently 69-year-old patient (pt) of an unknown gender. No information was provided regarding medical history, concurrent conditions, or concomitant medications. On or about 02-MAY-2017, the pt was inoculated with zoster vaccine live (ZOSTAVAX) (strength, dose, dose number, route, anatomical site of vaccination, lot number and expiration date were not provided) administered by a pharmacist at a pharmacy for the long-term prevention of shingles and/or zoster-related conditions. On an unknown date (reported as subsequently), the pt was treated by a physician for the following injury resulting from pt's zoster vaccine live (ZOSTAVAX) used: shingles (herpes zoster). Pt also claimed damages as result of loss of consortium, loss of services and economic losses. At the time of this report, the outcome of herpes zoster was unknown. The lawyer considered the event to be related to zoster vaccine live (ZOSTAVAX).

Other Meds:

Current Illness:

ID: 0933982
Sex: F
Age: 34
State: MT

Vax Date: 01/08/2021
Onset Date: 01/10/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies:

Symptoms: fever, body aches

Other Meds:

Current Illness:

ID: 0933983
Sex: F
Age:
State: FL

Vax Date:
Onset Date:
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies:

Symptoms: symptom of redness and swelling at injection site of a vaccine; symptom of redness and swelling at injection site of a vaccine; This case was reported by a other health professional via sales rep and described the occurrence of injection site erythema in a 17-year-old female patient who received Men B NVS (Bexsero) for prophylaxis. Co-suspect products included meningococcal B recom vaccine + aloh + omv pre-filled syringe device (Bexsero Pre-Filled Syringe Device) injection syringe for prophylaxis, HPV 16-18 (HPV vaccine) for prophylaxis and MENINGOCOCCAL A, C, Y, W135 CONJUGATE VACCINE (DIPHTHERIA) (MENACTRA VACCINE (MENINGOCOCCAL GROUPS A,C,Y,W135 POLYSACCARIDE DIPTHERIA TOXOID) for prophylaxis. On an unknown date, the patient received the 1st dose of Bexsero, Bexsero Pre-Filled Syringe Device, HPV vaccine and MENACTRA VACCINE (MENINGOCOCCAL GROUPS A,C,Y,W135 POLYSACCARIDE DIPTHERIA TOXOID. On an unknown date, unknown after receiving Bexsero, Bexsero Pre-Filled Syringe Device and HPV vaccine, the patient experienced injection site erythema and injection site swelling. On an unknown date, the outcome of the injection site erythema and injection site swelling were unknown. It was unknown if the reporter considered the injection site erythema and injection site swelling to be related to Bexsero, Bexsero Pre-Filled Syringe Device and HPV vaccine. This report is made by GSK without prejudice and does not imply any admission or liability for the incident or its consequences. Additional details were provided as follows: The age at vaccination was not reported. The patient experienced symptoms of redness and swelling at injection site of a vaccine, but was not sure which of 3 injections it was. The patient was given HPV, MCV4 Menactra booster and BEXSERO on same day in 2 different arms. Two injections in one arm and one in the other were administered, but they weren't sure which site or vaccine had the redness and swelling. It was unknown if the reporter considered the injection site erythema and injection site swelling to be related to Menactra vaccine. The reporter consented to follow up.

Other Meds:

Current Illness:

ID: 0933984
Sex: F
Age: 57
State: VT

Vax Date: 12/31/2020
Onset Date: 01/09/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies: Aspirin/Sulfa

Symptoms: No immediate symptoms but after a week, injection area is red and itchy. It looks like a band of red on my left arm. Seems to be dissipating after a couple of days but still a little itchy and still red.

Other Meds: None

Current Illness: None

ID: 0933985
Sex: F
Age: 40
State: TX

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Fatigue, aches, fever (max 101.3), sore throat, gagging, vomiting x 2

Other Meds:

Current Illness:

ID: 0933986
Sex: M
Age: 67
State: MI

Vax Date: 12/02/2020
Onset Date: 12/03/2020
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies:

Symptoms: flu-like symptoms; nausea; feeling flushed; eye soreness; sore muscles; tiredness; This case was reported by a consumer via call center representative and described the occurrence of influenza-like symptoms in a 67-year-old male patient who received Herpes zoster (Shingrix) for prophylaxis. Previously administered products included shingrix (received 1st dose a couple of months back from reporting day). On 2nd December 2020, the patient received the 2nd dose of Shingrix. On 3rd December 2020, 1 days after receiving Shingrix, the patient experienced influenza-like symptoms, nausea, flushing, soreness in eyes, muscle soreness and tiredness. On an unknown date, the outcome of the influenza-like symptoms, nausea, flushing, soreness in eyes, muscle soreness and tiredness were unknown. It was unknown if the reporter considered the influenza-like symptoms, nausea, flushing, soreness in eyes, muscle soreness and tiredness to be related to Shingrix. Additional details were provided as follows: The patient was vaccinated with Shingrix. On next day after vaccination the patient woke up from his sleep with tiredness, sore muscles, eye soreness, feeling flushed, nausea and flu-like symptoms. The patient did not had a temperature. The reporter consent to follow up.

Other Meds:

Current Illness:

ID: 0933987
Sex: F
Age: 31
State: KY

Vax Date: 01/09/2021
Onset Date: 01/09/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: Na

Allergies: Certain metals

Symptoms: I got fatigue a few hours after vaccine and resolved after a nap of 3 hours. My arm also still has soreness at the injection sight when touch and area around my underarm hurts with movement.

Other Meds: Buspirone 10 mg, Cetirizine 10 mg

Current Illness: No

ID: 0933988
Sex: F
Age: 56
State: IL

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: None

Allergies: Cipro, Augmentin, MRI Contrast Dye (Gandolinium), and gluten

Symptoms: Moderna COVID-19 Vaccine EUA. After receiving the vaccine on 01/08/2021, started to experience pain in left arm which increased in intensity as the day progressed. Took 800mg Motrin with minimal relief. Took an additional 800 mg of Motrin again at bedtime. Woke up on 01/09/2021 with headache, muscle and joint pain, pain in left arm and shoulder, and fatigue. Took Tylenol and Motrin through out the day. Woke up on 01/10/2021 with red swollen eyes and face, and a rash (hives) on neck, stomach, back, and antecubital spaces. Experienced nausea during day. Took Benadryl and Tylenol through out the day. Hives and swelling decreased with second dose of Benadryl. Today, still some fatigue and pain in left arm.

Other Meds: Synthroid, Vitamin D, Vitamin B6, and Vitamin B12

Current Illness: None

ID: 0933989
Sex: F
Age: 55
State:

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient experienced throat tightness, chest tightness, lightheadedness, and anxiety which did not subside after 30 minutes of observation. She was transferred to the ED for further evaluation.

Other Meds:

Current Illness:

ID: 0933990
Sex: F
Age: 34
State: TX

Vax Date: 12/23/2020
Onset Date: 01/06/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Pt received the 1st dose for Moderna-Covid-19 vaccine on 12/23/2020. When information for database was documented, it was found, she had the 1st dose for Pfizer Covid-19 vaccine on 12/17/20. She was notified and spoke with one of our physician, She did not report any sides effects. Pfizer and Moderna pharmaceutical's were reported.

Other Meds:

Current Illness:

ID: 0933991
Sex: F
Age: 49
State: CA

Vax Date: 01/09/2021
Onset Date: 01/10/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Fever body aches chills

Other Meds:

Current Illness:

ID: 0933992
Sex: M
Age: 48
State: NJ

Vax Date: 01/06/2021
Onset Date: 01/10/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: NONE YET, TODAY JANUARY 11TH, I'M GOING TO MY PRIMARY PHYSICIAN

Allergies: NONE

Symptoms: JAN. 6 THIS WRITER RECEIVED FIRST DOSE OF PFIZER-BIONTECH COVID VACCINE, AT MY HOSPITAL. AFTER VACCINATION ONLY FELT SORENESS ON THE INJECTION SITE, JAN.7 TO JAN 9 FEEL FINE, BY JAN 10TH PAST MIDNIGHT TO 1AM STARTED TO SNEEZE, LOSS OF VOICE, SORE THROAT AND NASAL CONGESTION. TODAY JANUARY MORE SYMPTOMS ADDED LIKE NON PRODUCTIVE COUGH AND HEADACHE.

Other Meds: METFROMIN 500MG.

Current Illness: NONE

ID: 0933993
Sex: F
Age: 52
State: NJ

Vax Date: 01/07/2021
Onset Date: 01/09/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies: cefazolin, sulfa

Symptoms: Patient experienced slight fever 99.5 and vomiting on Saturday - 1/9/2021. Symptoms resolved by 1/10/2021.

Other Meds: unknown

Current Illness: unknown

ID: 0933994
Sex: M
Age: 64
State: IN

Vax Date: 01/08/2021
Onset Date: 01/10/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: sore arm, chills/shivers

Other Meds: Benedryl, melatonin

Current Illness: none

ID: 0933995
Sex: F
Age: 27
State: NM

Vax Date: 01/10/2021
Onset Date: 01/10/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: None

Allergies: Cephalosporins, sulfa antibiotics

Symptoms: Fatigue, body aches, diarrhea

Other Meds: Ibuprofen

Current Illness: None

ID: 0933996
Sex: F
Age: 35
State: MS

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: none

Allergies: NKDA

Symptoms: At 2 am on 1/9/2021 I woke up with a 102 fever, chills, and body aches. After taking some Tylenol and finally getting some sleep I woke up around 11 am 1/9/2021 during the whole day I have body aches and fever Saturday 1/9/2021 night I continued to have fever Sunday 1/10/2021 morning I woke up extremely nauseous that subsided about mid day and then sunday had low grade fever again Monday 1/11/2021 I still have some body ache and fatigue

Other Meds: N/A

Current Illness: none

ID: 0933997
Sex: F
Age: 33
State: IL

Vax Date: 12/30/2020
Onset Date: 01/05/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: CBC - normal

Allergies: Cardizem

Symptoms: On 1/4 developed dime sized redness over vaccine site which on 1/5 enlarged with firmness, erythema and puritus. On 1/6 developed swelling to antecubital area which was gone by 1/7. On 1/7 developed erythema and petechiae to both upper arms.

Other Meds:

Current Illness: None

ID: 0933998
Sex: F
Age: 27
State: IN

Vax Date: 01/09/2021
Onset Date: 01/10/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies: N/A

Symptoms: Migraine, body aches, chills, nausea beginning at 0300 the next day after receiving vaccine

Other Meds: Metoprolol, florinef, Wellbutrin, Lexapro, birth control pill, melatonin, Vit D, Magnesium

Current Illness: N/A

ID: 0933999
Sex: M
Age: 89
State: MI

Vax Date: 01/07/2021
Onset Date: 01/09/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies:

Symptoms: RT upper arm remains red, swollen, and warm to touch, 26 cm x 18 cm

Other Meds:

Current Illness:

ID: 0934000
Sex: F
Age: 33
State: GA

Vax Date: 01/01/2021
Onset Date: 01/09/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies: Pcn, cephalosporins

Symptoms: Redness and swelling and hardness and pain to injection site a week later with rash and muscle pain

Other Meds: Multivitamin, b12, vitamin d, probiotic, biotin

Current Illness: None

ID: 0934001
Sex: F
Age: 35
State: MT

Vax Date: 01/08/2021
Onset Date: 01/10/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies:

Symptoms: chills, muscle pain, joint pain, fever, Headaache, GI upset, fatigue-resolved

Other Meds:

Current Illness:

ID: 0934002
Sex: F
Age: 31
State: CA

Vax Date: 12/20/2020
Onset Date: 12/25/2020
Rec V Date: 01/11/2021
Hospital:

Lab Data: NA

Allergies: Bactrim

Symptoms: Daily Headaches (no change in sleep, exercise, or other routine; no change in diet, medications, etc in that time)

Other Meds: Prenatal Vitamin, Vitamin D3, COQ10, PQQ, Choline, Alpha Lipoic Acid, Melatonin

Current Illness: None

ID: 0934003
Sex: F
Age: 57
State: IN

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies:

Symptoms: fatigue, chills, body aches, shortness of breath, tachycardia, nausea, headache

Other Meds:

Current Illness:

ID: 0934004
Sex: M
Age: 46
State:

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/11/2021
Hospital:

Lab Data: None

Allergies: No know allergies

Symptoms: Symptoms began at 8:00 AM the day after vaccination 12/30/2020. Had nausea, but no vomiting. By noon the nausea ended and began to have chills and run a fever. Fever of 101.9. Broke by 4:00 PM. Then had fatigue until end of day 12/30/2020. No other symptoms

Other Meds: hydrochlorot 25mg losartan 100 mg amlodipine 10 mg

Current Illness: none

ID: 0934005
Sex: F
Age: 64
State: MA

Vax Date: 12/30/2020
Onset Date: 01/07/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: None

Allergies: NKA

Symptoms: Reported that she received the Moderna vaccine 12/30/2020. As of 1/7/2020 the employee began to itch at the injection site and it became red and warm to touch. The area of redness was 6 inches by 3 inches. Redness was blanchable. Employee marked the areas and reports that it did not extend. Reported that during the day it became less red. Employee sent photo of rash. Employee was advised on how to monitor and manage symptoms.

Other Meds: CALCIUM ORAL?once daily CHONDROITIN SULFATE once daily MULTIVITAMIN ORAL? once daily aspirin 81 MG EC tablet?once daily ibuprofen (ADVIL,MOTRIN) 200 MG tablet? by mouth every 6 (six) hours as needed for pain meclizine (ANTIVERT) 25 mg ta

Current Illness:

ID: 0934006
Sex: F
Age: 55
State: KS

Vax Date: 01/07/2021
Onset Date: 01/10/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: covid test

Allergies: antiboitics most all of them cause itching when taken

Symptoms: I ended up loosing my sense of smell on 1/10/2021 around 9 am in the evening. I am not sure if this is related to the vaccine or just that i might have covid but I got tested this morning at the drive thru testing. I will get my results in 2-3 days. I have not received any other treatment as of this morning I am not having anything but the lost of smell and still congested.

Other Meds: Vitamin C, Zinc, Vit A, Calcium, Magnesium and D3, Propolis, Garlic, One A Day multi vitamin 50+, CoQ10, Amino Complete, Aspirin 81 mg, Aller-Ben, Allergy relief, Esomeprazole Magnesium, Probiotic Pearls Medications - Lisinop/HCTZ 10 mg, Fl

Current Illness: Nothing that i know of. I have on going sinus issues and so sometimes itching so I struggle with that. I did not have a fever or aches before I got my vaccine some congestion.

ID: 0934007
Sex: F
Age: 76
State: OK

Vax Date: 01/09/2021
Onset Date: 01/09/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: none

Allergies: Penicillin

Symptoms: 101 degree temperature, headache from day of injection which was a Saturday, Sunday and Monday, severe body aches,. tender nodes in neck, felt very ill, slept 24 hours, no appetite, itching.. I have improved but still itching and have hedache

Other Meds: Simvastatin for cholesterol, Metropolol,for HTN , baby aspirin

Current Illness: None

ID: 0934008
Sex: F
Age: 50
State: KS

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: None

Allergies: Penicillin

Symptoms: Body Aches, Chills, Increased Heart Rate

Other Meds: Clonazepam, Escitalopram, Fish Oil, Hydorchlorothiazide, Vitamin B-12

Current Illness: Positive Covid 19 12/9/2020

ID: 0934009
Sex: F
Age: 26
State: TX

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies: N/A

Symptoms: Extreme soreness on arm

Other Meds: Levimir

Current Illness:

ID: 0934010
Sex: F
Age: 25
State: UT

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies: history of antibiotic allergies, no anaphylactic reactions

Symptoms: 24 hours after vaccination-pt developed hives, fever, chills, swelling, redness and warmth at injection site. mild nerve pain in left arm. Treated with benadryl and ibuprofen. Hives, fever/chills have resolved.

Other Meds:

Current Illness:

ID: 0934011
Sex: F
Age: 45
State: MD

Vax Date: 12/29/2020
Onset Date: 01/08/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: SAW PRIMARY MD AND ADVISED ICE AND ADVIL. SHE WAS ADVISED BY EMPLOYEE HEALTH TO CIRCLE THE AREA TO SEE IF IT IS GETTING BIGGER. WILL REPORT BACK TO US

Allergies: NA

Symptoms: RECEIVED VACCINE ON 12/29 AND STARTED RED ITCHY REACTION ON 1/8.

Other Meds: NA

Current Illness: NA

ID: 0934012
Sex: F
Age: 32
State: UT

Vax Date: 12/30/2020
Onset Date: 01/07/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies: Latex, blueberries

Symptoms: I'm not positive if this is a reaction from the vaccine, I know they want all oddities and abnormal findings reported. Approx 7 days (1/7/21) post vaccination, I initially thought I had gotten bitten by something on my left arm where I got the vaccination. Over the course of the next several days I marked out as the area continued to grow. There is no pain associated with it, only a slight itch ocassionally. It does continue to slightly spread, but nothing significant. I do have pics and documentation of needed.

Other Meds: Lisinopril, nuvaring, Escitalopram

Current Illness: None

ID: 0934013
Sex: F
Age: 27
State: PA

Vax Date: 01/10/2021
Onset Date: 01/10/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies: N/A

Symptoms: 10pm: shaking and feeling extremely cold 12pm: after shaking for hours, became nauseous and experienced dizziness, followed by a syncopal episode, followed by a cold sweat

Other Meds: Levothyroxine

Current Illness: N/A

ID: 0934014
Sex: F
Age: 27
State: NY

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Weakness, migraine, nausea, anxiety

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm