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: 0934488
Sex: F
Age: 47
State: MO

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

Lab Data: BP monitored

Allergies: None. Previous sensitivity to latex gloves-resulted in hands itching, swelling and covered in rash. I've not worn latex gloves in over 10 years, so unsure if I would still respond.

Symptoms: ? cold feeling in chest ? itchy tongue, mouth and throat ? swelling in throat ? tongue progressed to becoming numb ? elevated BP

Other Meds: Premarin Progesterone Montelukast Xyzal Symbicort Albuterol Flovent Protandim Vitamin C/D3 Veggie Omega Oil B12

Current Illness: None.

ID: 0934489
Sex: F
Age: 59
State: TX

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

Lab Data:

Allergies:

Symptoms: Rash entire body, throat swelling, extreme nausea.

Other Meds:

Current Illness:

ID: 0934490
Sex: F
Age: 54
State: TX

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

Lab Data: Rocephin IM Augmentin every 12 hours for 10 days

Allergies: Seasonal allergy Red sauce

Symptoms: Cellulitis to injection site

Other Meds: Multi vitamin Progesterone Estradiol calcium with vitamin D

Current Illness: N/A

ID: 0934491
Sex: F
Age: 22
State: NE

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

Lab Data: No studies, normal neurological exam in ER same day.

Allergies: NKA

Symptoms: Numbness and tingling in Left arm 3 hours after injection. Evaluated in ER same day, no deficits noted. Significant improvement within 24 hours of symptom onset, complete recovery within 48 hours of symptom onset.

Other Meds: Mirena IUD Claritin Vit D

Current Illness: None

ID: 0934492
Sex: F
Age: 35
State: NC

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

Lab Data: Blood glucose 1/11 = 91

Allergies: NKDA

Symptoms: After vaccine became flushed across face and chest with racing pulse. Vitals taken, A&O x4; Answered questions appropriately. Pulse palpable and regular and fast. Given graham crackers and bottled water. Vital signs retaken along with blood glucose. VS- 114/101 HR 94 138/93 HR 91 Glucose 91 Declined offered escort to ED. A&O x4; speech clear, resp evan. No signs of surface reaction at left arm site. Suggested follow up with PCP. Explained VAERS to patient.

Other Meds: MVI Prilosec

Current Illness: NKDA

ID: 0934493
Sex: F
Age: 66
State: GA

Vax Date: 12/21/2020
Onset Date: 12/29/2020
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies: Iodine(internally only)

Symptoms: Shingles breakout about a week after 1st vaccine. Dermatology confirmed; medication given and treatment plan started.

Other Meds: Bumex, Spironolactone, Verapamil, Singulair, Lipitor, Protonix

Current Illness: None

ID: 0934494
Sex: F
Age: 38
State: NY

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: I received the vaccine in the late afternoon. I immediately Felt off. I was up most of the night with nausea and when I woke in the morning I was having both dizziness and Nausea. The nausea has subsided but I am still experience waves of dizziness.

Other Meds: Hydrochloroquin and baby aspirin

Current Illness: None

ID: 0934495
Sex: F
Age: 62
State: TX

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

Lab Data:

Allergies: PCN, KEFLEX, CEFZIL, CIPRO, CYMBALTA, TRIOLOGY

Symptoms: ACCORDING TO PATIENT STARTED WITH FEVER AFTER VACCINE THAT EVENING . THEN THE NEXT DAY SHE STARTED WITH SWELLING OF THE LIPS, TONGUE AND GUMS SO WENT TO ER WHERE SHE WAS GIVEN BENADRYL, TYLENOL AND STEROIDS

Other Meds:

Current Illness: EAR INFECTION

ID: 0934496
Sex: F
Age: 24
State: GA

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

Lab Data:

Allergies: Shellfish, seafood

Symptoms: Vaccine administration at 1230; Tightening/itching of throat @ 1242; Benadryl 25mg/10mL administered at 1242; symptoms resolved shortly after

Other Meds:

Current Illness: None

ID: 0934497
Sex: F
Age: 64
State: GA

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: None

Allergies: NKA

Symptoms: 1 hour after vaccine developed HA, 6 hours after vaccine Chills, fever, nausea, dry heaves, weakness, dizziness, chest tightness

Other Meds: Probiotic, Colace, Claritin, Lexapro, Wellbutrin, Trazodone, Ativan, Tylenol

Current Illness: None

ID: 0934498
Sex: F
Age: 32
State: OR

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

Lab Data: unknown

Allergies: macrobid

Symptoms: Pt felt a hot flush and heart racing about 5 mins after vaccination. BP 122/64, P 88-104, 96-99% O2 on RA. Denied SOB, throat tightening, cough, swelling of lips, tongue or face. Pt did become nauseous and had 2nd hot flush with HR going to 104. Pt transported to ED for evaluation.

Other Meds: unknown

Current Illness: none

ID: 0934499
Sex: F
Age: 41
State: WA

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

Lab Data: none

Allergies: NKA

Symptoms: COVID vaccine administration error. Pfizer mRNA COVID vaccine dose #2 given at wrong interval. Dose #1 received December 27th, 2020 Dose #2 received January 10th, 2021 Patient apprised of error. Patient verbalizes understanding that dose will need to be repeated. Patient was observed for 15 minutes per protocol; no complication noted. Patient was discharged from clinic.

Other Meds: N/A

Current Illness: none

ID: 0934500
Sex: F
Age: 27
State: MD

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

Lab Data:

Allergies:

Symptoms: Approximately 6 minutes after receiving vaccine, pt laid in supine position with knees bent. RN went to check on patient who reported headache with "mild dizziness." Patient was A and O x3 and denied difficulty breathing or SOB. HR 74, SpO2 99, and RR 17.Patient reports she had a smoothie this AM. Encouraged patient to remove mask, take deep breaths, and slow sips of water. Had patient remain in supine position for 10 minutes. VS reevaluated at 1236-SPO2 97, HR 69, BP 128/75, and RR 15. Patient reports improvement in symptoms. Encouraged pt to rest for 15 more minutes. Patient reports she "is feeling better"-HR 73-SPo2 99. No difficulty ambulating-escorted to car by staff RN. Referred to PCP.

Other Meds:

Current Illness:

ID: 0934501
Sex: F
Age: 44
State: IL

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

Lab Data: n/a

Allergies: No

Symptoms: Chills, severe body aches - Tylenol taken at 7:40 PM which resolved most of the symptoms. No fever. Body aches the next day but manageable without medication. All symptoms resolved after 48 hours.

Other Meds: No

Current Illness: No

ID: 0934502
Sex: F
Age: 40
State: IL

Vax Date: 12/31/2020
Onset Date: 01/10/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: none

Allergies: None

Symptoms: large red swollen around injection site

Other Meds: None

Current Illness:

ID: 0934503
Sex: F
Age: 38
State: AL

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies: pencillin rash

Symptoms: During the middle of the night, fever, headache, chest pressure/shortness of breath. By early morning the following day, severe dizziness and fainting. Felt like orthostatic hypotension. Could not even sit up in bed without blacking out. Lasted for hours until about midday

Other Meds: Trazadone 100mg q hs, Allegra-D, B complex, D vit, Vit C, Zinc

Current Illness:

ID: 0934504
Sex: F
Age: 58
State: IA

Vax Date: 12/23/2020
Onset Date: 12/24/2020
Rec V Date: 01/11/2021
Hospital:

Lab Data: None

Allergies:

Symptoms: Chills, Muscle Ache, Joint Ache, Head Ache

Other Meds:

Current Illness:

ID: 0934505
Sex: F
Age: 33
State: SC

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

Lab Data: none

Allergies: none

Symptoms: Red, swollen, itchy arm for 4days straight Migraine day 2 Fever 102 afternoon of day 2 with chills and pins and needles sensation over entire body weakness/tiredness late afternoon

Other Meds: none

Current Illness: none

ID: 0934506
Sex: F
Age: 49
State: WI

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: bloodwork completed 1/8/2021 all WNL

Allergies: bees, pseudophedrine

Symptoms: syncopal episode 16 hours post vaccination with fall to floor and struck head.

Other Meds: BCP, herbal shake

Current Illness: none

Date Died: 01/05/2021

ID: 0934507
Sex: F
Age: 89
State: MA

Vax Date: 01/03/2021
Onset Date: 01/05/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies: KNDA KNFA

Symptoms: Resident died suddenly and expectantly on 01/05/2021

Other Meds: Coumadin 2mg po Sat-Mon-Tues-Thurs Coumadin 1mg po Fri Sun APAP 650 mg po PRN pain or temp above 101 Amiodarone 200mg po daily Ativan 0.5mg po PRN anxiety Claritin 10mg po daily Gabapentin 100mg po BID PRN phantom pain Miralax 17Gm po with

Current Illness: No other illness prior to vaccination or within the month prior

ID: 0934508
Sex: M
Age: 58
State: CA

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

Lab Data:

Allergies:

Symptoms: Patient had Moderna vaccination on 12/30/2020 at 1010. Approximately 4 hours after injection reaction were flush face, slight fever, tachycardia (base line 50 reaction rate 97), skin rash on both forearms. Symptoms lasted about 1 hour. Approximately 4 hours later symptoms of flush face, and fatigue returned. Fatigue and arm pain of 4/10 lasted through 12/31. 1/1/2021 only arm pain remained at 2/10 and lasted an additional 2 days.

Other Meds:

Current Illness:

ID: 0934509
Sex: F
Age: 41
State: AL

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

Lab Data:

Allergies: None.

Symptoms: I started with low-grade fever and chills about 12h after receiving my second dose of the Pfizer covid19 vaccine. Chills lasted for about 15min, they were of moderate intensity. Then I had low grade fever, body ache and tiredness for the entire next day (01/08/2021); it was bad enough to interfere with my regular activities of work and childcare. I ended up taking the day off. On the following day (01/09/2021), I woke up fully restored.

Other Meds: Levotyroxine 100ug

Current Illness: None.

ID: 0934510
Sex: F
Age: 62
State: WA

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

Lab Data: none

Allergies: unknown

Symptoms: 9:10 p c/o of dizziness and lightheaded, 122/78, 97, 100% given H2O, rechecked at 9:25p V/S unchanged and dizziness and lightheadedness subsided. remained on site 30 mins. no symptoms, told to follow up with PCP or 911 if symptoms return

Other Meds: unknown

Current Illness: none

ID: 0934511
Sex: F
Age: 64
State: TX

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

Lab Data: none

Allergies: none

Symptoms: 8th Jan-1430-tired 9th Jan-tired, nauseated, aches/body, chills 10th Jan-nauseated, tired, chills, aches-body 11th Jan -aches-body, tired, nauseated, Headache

Other Meds: vitamins

Current Illness: none

ID: 0934512
Sex: F
Age: 42
State: FL

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

Lab Data: none

Allergies: none

Symptoms: About 48 hours after vaccination, I developed tender and swollen lymphadenopathy from my axilla down the bottom of my arm to my elbow on my right side. This is the same side the injection was given. The injection site is no longer tender to touch but it is difficult to raise my arm and hold it straight due to discomfort. My arm is visibly swollen compared to my left arm. I can feel shotty lymph nodes down my arm.

Other Meds: Doxycyline for acne

Current Illness: None

ID: 0934513
Sex: F
Age: 34
State:

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

Lab Data:

Allergies: Penicillin, gluten

Symptoms: Shingles

Other Meds: None

Current Illness: None

ID: 0934514
Sex: F
Age: 87
State: IN

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

Lab Data:

Allergies: not available at the time of event

Symptoms: Patient said right after the shot that her head felt was not attached to her body. This occurred at 10:35am. She got very dizzy. Her bp was 192/88 and HR 57. We continued to monitor her BP/HR. Her bp remained elevated for over 40 minutes. Her rate rate did dip to 43 at one time. The patient tried sitting up 3 times but became extremely dizzy and quickly laid back down. At 11:10am, she was finally able to leave. The patient reported that she didn't eat breakfast this am. We gave her crackers and orange juice. This seemed to really help. She also has a history of hypertension , and she forgot to take her medication this am. Her daughter was going to take her right home to take her medicine.

Other Meds: not available at the time of the event

Current Illness: not available at the time of event

ID: 0934515
Sex: F
Age: 60
State: IL

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: see above

Allergies: cigarette smoke, seasonal

Symptoms: Muscle and joint weakness with chest muscle pain x 5 days hurts all over and worse when gets up and moves. Diarrhea started 1-5-2021. No fever 97.7. Off work for 4 days. Using heating pad and inhalers. Has appointment with provider 1-5-2021 and 1-7-2021. Test for COVID on 1-7-2021 and negative Symptoms resolved 1-9-2021 and returned to work on 1-11-2021

Other Meds: ACIDOPHILUS; albuterol; ALPRAXOLAM; aspirin EC; clopidogrel; dicyclomine; dilTIAZem; fluticasone-salmeterol; folic acid; furosemide; ipratroplum-albuterol; ketorlac; lansoprazole; lisinopril-hydroCHLOROthiazide; Loratadine; Magnesium; metFO

Current Illness: None

ID: 0934516
Sex: M
Age: 42
State: NV

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

Lab Data: NO LAB TESTS PERFORMED. SEEKED EVAL FROM SISTER IN LAW WHO IS AN MD.

Allergies: NKDA

Symptoms: 2 DAYS AFTER VACCINE PATIENT NOTICED A SMALL BUMP ON HIS SIDE. THIS HAS TURNED INTO BUMPS ALL OVER HIS BODY. THE PT REPORTS THAT THE BUMPS ARE ITCHY AND HAVE SOME FLUID. HE REPORTS THAT THE FLUID BUMPS LAST A COUPLE OF DAYS AND THEN SCAB OVER. THE PT HAS HAD CHICKEN POX AND HAS BEEN VACCINATED.

Other Meds: NONE

Current Illness: NONE

ID: 0934517
Sex: M
Age: 48
State: KS

Vax Date: 12/23/2020
Onset Date: 12/26/2020
Rec V Date: 01/11/2021
Hospital:

Lab Data: urine test Ultra sound of kidneys

Allergies: None

Symptoms: Chills , low grade fever , Possible Kidney infection

Other Meds: Vitamin E Multi Vitamins Flonase

Current Illness: None

ID: 0934519
Sex: M
Age: 27
State:

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

Lab Data:

Allergies:

Symptoms: Arms warm and red for approximately 10 minutes

Other Meds:

Current Illness:

ID: 0934520
Sex: F
Age: 44
State: CA

Vax Date: 12/28/2020
Onset Date: 01/05/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies:

Symptoms: excruciation pain swollen, red shoulder that is itchy red itchy band around arm really itchy redness comes and goes red circle that itches is right below the injection middle of upper arm is itchy

Other Meds:

Current Illness:

ID: 0934521
Sex: M
Age: 30
State: TX

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: None

Allergies: Sulfa drugs

Symptoms: Fever of 101.0F Malaise Fatigue Generalized myalgias and arthralgias Loss of appetite

Other Meds: Took tylenol when symptoms started

Current Illness: None

ID: 0934522
Sex: F
Age: 69
State: CO

Vax Date: 12/30/2020
Onset Date: 01/06/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: Went to Dr.and was told to take Zyrtec

Allergies: Pine Trees, Connifer,

Symptoms: Upper arm became, bright red, hot to touch, slightly sore, water blister

Other Meds: OTC allergy medication Advill

Current Illness: none

ID: 0934523
Sex: F
Age: 28
State: NY

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

Lab Data: BP at onset of event 84/60, later 104/70

Allergies: none

Symptoms: Client became weak, diaphoretic, numb/tingling limbs, almost lost conciousness

Other Meds: none

Current Illness: none

ID: 0934524
Sex: F
Age: 38
State: FL

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

Lab Data:

Allergies: Coconut, ceclor, cytarabine

Symptoms: fever, erythema, edema, pain radiating distally to hand and chest, back, and neck

Other Meds: Adderall, Ibuprofen, Vitamin C, Fish oil

Current Illness: none

ID: 0934525
Sex: F
Age: 30
State: MA

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

Lab Data:

Allergies: none

Symptoms: headache, fatigue

Other Meds: probiotics, prenatal multivitamin, nexium

Current Illness: no

ID: 0934526
Sex: F
Age: 22
State: NC

Vax Date: 12/22/2020
Onset Date: 12/23/2020
Rec V Date: 01/11/2021
Hospital:

Lab Data: None

Allergies: PCN

Symptoms: Woke up during the night and experienced vomiting and diarrhea followed by syncope

Other Meds: Oral hormonal birth control

Current Illness: N/A

ID: 0934527
Sex: F
Age: 39
State: FL

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

Lab Data:

Allergies: Penicillin

Symptoms: I had a slight headache while at work but was fine. I was home and was a little cold and my throat was scratchy. . Then about 9pm all of a sudden I started to get waves of chills. My hand were cold and my feet were frozen. I layered up with sweater and sweatpants to go to bed with a heavy comforter. I just could not get warm. About 1am, I woke up and put on my thick winter socks on because my feet were still frozen. I kept reminding myself to breathe in deeply. I checked my BPM and it was 80-82 and normally its about low 70s. I woke up about 5:30am and had a really bad headache, injection area and arm hurt, my body hurt and felt like I weighed several tons making me so slow. I didn't go to work the next day. My husband took my son to school and I took ibuprofen and went back to bed. Woke up again about 12:30 and felt better.

Other Meds:

Current Illness:

ID: 0934529
Sex: F
Age: 30
State: TN

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

Lab Data: None

Allergies: None

Symptoms: Multiple swollen and tender lymph nodes on left side of neck and collar bone found week after injection.

Other Meds: None

Current Illness: None

ID: 0934530
Sex: F
Age: 42
State: GA

Vax Date: 01/04/2021
Onset Date: 01/10/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: N/A

Allergies: Codeine

Symptoms: 6 days after shot, my arm is swollen, sore and has a fever. Redness is spreading.

Other Meds: Taytulla, Celexa, omeprazalle

Current Illness: N/A

ID: 0934531
Sex: F
Age: 26
State: IN

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

Lab Data:

Allergies: None

Symptoms: Extreme body aches, chills, joint pain, fatigue. 800mg ibuprofen taken which somewhat relieved symptoms, but not completely.

Other Meds: Zyrtec taken the morning after vaccination, 1/10. Ibuprofen 800mg taken at 2pm on 1/10, the day after vaccination.

Current Illness: None

ID: 0934533
Sex: F
Age: 34
State: IL

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

Lab Data:

Allergies: Peanuts, gluten

Symptoms: Fever 100.0 temporal with no further symptoms

Other Meds:

Current Illness:

ID: 0934534
Sex: F
Age: 65
State: OH

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

Lab Data:

Allergies: adhesive, morphine, plaquenil

Symptoms: Light Headed, Nausea, Watery Diarrhea, Chills, Severe Joint Pain, Swollen Arm (unable to lift) Fatigue

Other Meds: omerprazole 40 mg, anor 25 mcg, lisinopril 25mg, Humira 40 mg, amlodipine 5 mg, lefluomide 20 mg tramadol 50 mg, asprin 81 mg, trazodone 50 mg, calcium 1000 mg, fish oil 1200 mg

Current Illness:

ID: 0934535
Sex: F
Age: 56
State: PA

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

Lab Data: none

Allergies: sulfa

Symptoms: Shaking chills on 12/8/21 and low grade temp of 99.7 headache and body aches on 12/9/21 body aches and fatigue on 12/10/21 local arm tenderness that started on 12/9/21

Other Meds: Armour Thyroid Progesterone Estrogen Qvar MDI Wellbutrin Calcium and Vitamin D Multivitamin Vitamin B12

Current Illness:

ID: 0934536
Sex: M
Age: 60
State: CA

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

Lab Data:

Allergies: None

Symptoms: Sore arm for 36 hours. Onset within an hour after recieving the vaccination, Slight malaze for 24 hours. Onset the next morning post vaccination.

Other Meds: None

Current Illness: None

ID: 0934538
Sex: F
Age: 36
State: TN

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

Lab Data: None

Allergies: None

Symptoms: Chills and sweats, aches beginning during sleep Nausea and Vomiting and diarrhea persisted until about 8am next day Next day fatigue and lack of appetite, resolved within 24 hours with slight residual Epigastric pain

Other Meds: Daily vitamin PRN anti inflammatory

Current Illness: None

Date Died: 01/09/2021

ID: 0934539
Sex: F
Age: 68
State: KY

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

Lab Data: Postmortem examination was performed at the State Medical Examiner Office on January 10, 2021 (MEC21-0019). Tissue samples were obtained for histology and red top/tiger top/purple top tubes of blood were obtained for potential further studies. Samples of blood and vitreous humor were also obtained and submitted to AXIS Laboratories for toxicologic analysis.

Allergies: No known allergies

Symptoms: Patient received COVID-19 (Moderna) vaccine from the Health Department on afternoon of January 8, 2021 and went to sleep approximately 2300 that night. Was found unresponsive in bed the following morning and pronounced dead at 1336 on January 9, 2021

Other Meds: Singulair, Oxybutynin, Fosamax, Prednisone, Meloxicam, Eliquis, Bumetanide, Triamcinolone cream, Klor-Con, Lisinopril, Promethazine,

Current Illness: Cellulitis of left lower limb (12/2020)

ID: 0934540
Sex: F
Age: 37
State: NE

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

Lab Data: She opted to stay home and took Benadryl 25mg 2 tablets. Also took a Dexamethasone 4mg tablet. Took another 2 tablets of Benadryl 25mg. Also took 2 tylenol extra strengh and 2 ibpurofen 200mg . She was advised to go to the ER but refused.

Allergies: Hydrocodone allergy, surgical stocking fabri

Symptoms: Body aches, congestion. Upset stomach, dizziness, extreme fatigue. Airway felt obstructed and swollen. Felt she couldn't breathe unless she tipped her head back with chin in the air. She also had jaw swelling

Other Meds: Spirolactone 50mg qd Phentermine 15 mg qd Venlofaxine 37.5 mg

Current Illness: None

ID: 0934541
Sex: M
Age: 37
State: CT

Vax Date: 12/27/2020
Onset Date: 01/04/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: Not applicable

Allergies: Shell fish allergy

Symptoms: None from vaccine

Other Meds: Rosuvastatin

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm