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: 0934600
Sex: F
Age: 34
State: TN

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

Lab Data:

Allergies: NKMA

Symptoms: Redness at injection site size of mandarin orange-did not appear until day 12 after injection. Warm to the touch and slightly raised but not itchy.

Other Meds: Aimovig once monthly, Propranolol 60mg daily, Fexofenadine 180mg daily

Current Illness: None

ID: 0934601
Sex: M
Age: 47
State: OH

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

Lab Data:

Allergies:

Symptoms: 1/7 left work at noon, body aches, fever, night sweats, felt like covid all over again.

Other Meds:

Current Illness:

ID: 0934602
Sex: F
Age: 50
State: IL

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

Lab Data: N/A

Allergies: Amoxicillin

Symptoms: First night had fever (102.4), chills, body aches, fatigue and slight headache. My arm was sore but my armpit was so painful (felt like stabbing sensation). This lasted until around 2:00 pm Saturday. I felt ok except for being tired and armpit still hurting quite a bit. On Sunday, I was very tired and slept during the day and went to bed around 8:30 pm feeling like I had a slight sore throat, tired and mildly nauseous. My armpit still hurt quite a bit. I woke up Monday at 5:30 am and showered and was profusely sweating when I was getting ready for work - my temperature was 100.6 so I took 800 mg of Ibuprofen to help with the temp and the pain in my armpit. I did not go into work. I am still tired and my current temp is 100.1 (12:30pm) and sweaty. I do feel as though the severity of my armpit pain is lessening but it is still bothersome.

Other Meds: None

Current Illness: None

ID: 0934603
Sex: F
Age: 62
State: PA

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

Lab Data:

Allergies: Erythromycin

Symptoms: sudden onset of fever, musculoskeletal pain, malaise, fatigue, chills weakness, stomach cramps, bloating, headache

Other Meds: Zyrtec; Celebrex; Effexor; Symbicort; Singulair

Current Illness:

ID: 0934604
Sex: F
Age: 62
State:

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

Lab Data:

Allergies:

Symptoms: chill, headache

Other Meds:

Current Illness:

ID: 0934605
Sex: F
Age: 47
State: PR

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

Lab Data: none

Allergies: Aspirin

Symptoms: At 4:43pm while in observation refers to itching in throat and bad taste in the mouth. Dr is notified who shows up immediately and evaluates, BP150/80mmhg Pulse 72/minute, Breaths 18/minute, afebrile, Communicative and alert in time place and space, not complications, is placed oxygen by nasal cannula at 3lt/min at 5:05pm by medical order be administered Benadryl 50mg IM in right deltoid under aseptic techniques and kept under observation, at 5:45pm goes out walking and in stable condition by medical order to her home in company co-workers, oriented at notifying any other event, verbalize understanding

Other Meds: none

Current Illness: none

ID: 0934606
Sex: F
Age: 35
State: MT

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

Lab Data:

Allergies:

Symptoms: Patient complained of tachycardia 5min after second dose Pfizer Vaccine, has history of vaccine reactions in past. Sent to ER with Operations lead

Other Meds:

Current Illness:

ID: 0934607
Sex: F
Age: 44
State: MD

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

Lab Data: none

Allergies: none

Symptoms: flu-like: low grade fever, headache, chills/sweats, myalgias, fatigue, sensitive skin - all lasted about 24 hrs Sore arm at injection site lasted 3 days

Other Meds: none

Current Illness: none

ID: 0934608
Sex: F
Age: 59
State: IA

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

Lab Data: None

Allergies: Penicillin family, sulfa, bee stings

Symptoms: Beginning less than 12 hrs after initial dose experienced fatigue, intense headaches, arthralgia lasting throughout weekend, fever of 100.1, chills, shortness of breath, injection site soreness/swelling.

Other Meds: Levothyroxine, multi vitamin, B12 tablet

Current Illness: Tested positive for Covid on 12-13-2020

ID: 0934609
Sex: M
Age: 54
State: PA

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

Lab Data: No

Allergies: Sulfa, clonidine, Levaquin.

Symptoms: Extreme chills, fever but not taken, weakness, nauseous. Took Prednisone and felt a little better.

Other Meds: Pravastatin, Cellcept, sensipar, Finasteride, Prednisone, Magnesium, Toprol XL, Tacrolimus, Vit d 2000 units, ASA 81, Prilosec, Lexapro, vit c, losartan, alopurinol, folic acid, Xanax, Flonase, azelastine, Tylenol.

Current Illness: no

ID: 0934610
Sex: M
Age: 49
State: OR

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

Lab Data: None

Allergies:

Symptoms: Patient describes nausea with headache that started 36 hours after vaccine administration.

Other Meds: Took Omeprazole and ibuprofen for the symptoms of nausea and headache on 1/11/2021.

Current Illness:

ID: 0934611
Sex: M
Age: 62
State: MD

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

Lab Data: None

Allergies: None reported

Symptoms: around 15 mins. post injection c/o "tongue felt numb". Was medicated immediately with 50mg of Benadryl and within 5 minutes client reported that his tongue sensation was normal again. Was observed for an additional 30 minutes-vital signs stable and released to f/u with PCP. Called client later in the day and reported he felt "fine".

Other Meds: Unknown-is on medications for HTN, blood thinner, Metformin and cholesterol med.

Current Illness: None

ID: 0934612
Sex: F
Age: 39
State: NM

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

Lab Data: no

Allergies: NKDA

Symptoms: 1/8/21 Recieved vaccine. 1/9/21 started feeling dizzy, lightheaded, tired, body aches, right arm lymph nodes are swollen and tender. 1/11/21 flank pain and upper back pain woke her up today. 1/11/21 made appointment to be evaluated by provider.

Other Meds: Montelukast 10mg one po qd multivitamin once a day Calcium carbonate once a day SYmbocort 160mcq inhaler daily Ventolin inhaler prn

Current Illness: no

ID: 0934613
Sex: F
Age: 25
State: IA

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

Lab Data: None

Allergies: NKA

Symptoms: Received vaccine at approximately 09:50 am, waited for observation 15 minutes, then returned to work. At approximately, 12 noon started to notice blurry vision from left eye and severe headache behind eyes. Sat for a minute or so but not improving so returned to vaccinating pharmacist. At that time patient also felt flushed and overheated. Patient laid flat on back, applied cold compresses to forehead and back of neck. After 20 minutes patient?s vision and flushing has improved but still had a headache. Patient then moved to a seated position. Still had the headache, but vision and flushing completely resolved.

Other Meds: Levothyroxine, oral contraceptive

Current Illness: None

ID: 0934614
Sex: F
Age: 57
State: MT

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

Lab Data:

Allergies:

Symptoms: Site Pain, HA, Fever, Joint pain, Body Aches

Other Meds:

Current Illness:

ID: 0934615
Sex: F
Age: 30
State: MA

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

Lab Data:

Allergies: N/A

Symptoms: I experienced chills, fevers of 101, headaches, nausea, body aches, joint pain, abdominal pain, at times a sore throat (once or twice). Started on Friday evening and decreased by Sunday. On Monday January 11th I was still feeling a small amount of chills and had a temperature of 99.

Other Meds: insulin, gabapentin

Current Illness:

ID: 0934616
Sex: F
Age: 42
State: PA

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

Lab Data:

Allergies:

Symptoms: The evening after receiving the shot, my arm was tender like it had been punched. The evening after receiving the shot, I had a rash on my neck and arms that was itchy and I had hives on my face and back. These subsided after the evening, the itchiness stayed till next day, but then subsided. My arms started to feel bobbly and tender, lots of little bumps under the surface. Around 1/5 I noticed it was red, it started to itch a lot and then it became very firm/solid lump with swelling, and it was very red. Swelling and solidness has subsided now, but redness is still there, however it's subsiding.

Other Meds: None

Current Illness:

ID: 0934617
Sex: F
Age: 57
State: IN

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

Lab Data: none

Allergies: Iodine (shellfish)

Symptoms: Approximately 15 hours after injection, was awoken with very severe chills and incontrollable shaking. Was so cold, had to get a heating blanket to put over me, along with 2 blankets. Was shaking so bad, could hardly walk. Was slightly disoriented at the time. This lasted for 4 hours. Temperature is normally 95.6, did rise to 98.7. Had severe body aches that lasted until the next day, but were not as severe. the following day was very tired and muscles were achy. I did take tylenol, which seemed to help.

Other Meds: Prevastatin, Melatonin, L-Lysine, Odorless Garlic, Vitamin B-12, Vitamin C, Benadryl

Current Illness: None

ID: 0934618
Sex: F
Age: 57
State: TX

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

Lab Data: none

Allergies: mild in seafoods

Symptoms: nausea, dizziness, feeling uneasy after 20 min. Feeling elated as if am drank lasted the whole day the vaccine was given. injection site pain swelling, severe headache, developed chills at night joint pains, rashes on my face, feeling weak as if I dont have energy. At night time i went to the restroom 5 times with an interval of 5-10 minutes and i cannot even control my bladder it comes out continuously. Slow to comphrend or response. I stayed fully awake the whole night on the night when the vaccine was given to me and was able to sleep only the following day (sat) at 5 pm.

Other Meds: lisinopril/hztc 20/25 mg in am lisinopril 20 mg at bedtime levothyroxine 100 mcg 30 min before breakfast Vit.D3 2000 units daily fiish oil 1 tab daily calcium supplement 650 mg 1 tab 2 x daily bioflex supplement 2 tabs daily

Current Illness: none

ID: 0934620
Sex: F
Age: 40
State: PA

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

Lab Data: none

Allergies: none

Symptoms: chills, body aches and migraine beginning on 1/4/21 and lasting until 1/6/21.

Other Meds: birth control pill

Current Illness: none

ID: 0934621
Sex: M
Age: 35
State: MI

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

Lab Data: N/A

Allergies: Metoclopramide - Hives Remicade - Anaphylaxis Bactrim - Swelling Allopurinol - Not specified Cipro - Hives Compazine - Hives Humira - Not specified Methotrexate - "Liver and kidney problems" Famotadine - Hives "IV form only"

Symptoms: Received dose 1 of Pfizer/BioNTech vaccination @1100. At 1130 started to feel itchy and noticed a hive-like rash. He took 75mg of Benadryl PO and waited a bit, then started to feel as though he had a "lump in his throat". Denies SOB, voice changes, lip or tongue swelling, and tolerated secretions in the ED. Physical exam + for diffuse urticarial rash, predominantly trunk, neck, and scalp. Medications received - Epi 0.3mg IM @1234, Benadryl 50mg q6hr IV @ 1757, 1/8 0012, 1/8 0558, Famotidine 20mg BID @1223, 2221, Solu-medrol 40mg @ 1757, 1/8 0011, and 1/8 0558. Discharged on 1/8 from ED @ 0811 clinically improved.

Other Meds: Librax, Loratadine, Losartan, Multivitamin, Omeprazole, Bentyl, Vitamin D, Vitamin B complex, Vedolizumab, Ustekinumab, Zofran, Cinnamon Bark, Fish Oil, Rizatriptan, prednisone

Current Illness: Chrohn's flare up

ID: 0934622
Sex: F
Age: 24
State: NJ

Vax Date: 01/02/2021
Onset Date: 01/08/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: N/A

Allergies: N/A other than household (pet) and seasonal allergies (mild).

Symptoms: On the morning of 1/8/2021 (exactly 6 days after the first dose of the Moderna vaccine), I woke up with large hives concentrated mostly on my upper body (face, neck, chest, stomach). I tried taking various antihistamines (excluding Benadryl, which would later prove effective) to combat the hives, but they were largely ineffective. The hives shifted throughout the day, starting in my upper body and working their way down to my lower extremities. The next day, exactly one week after receiving the vaccine, I woke up with worse hives (now all over my body, mostly concentrated on my stomach, hips, and legs) and angioedema in my face. At this point, I went to the hospital and received a course of IV fluids/steroids/Benadryl/anti-nausea medication and all symptoms subsisted. Symptoms returned a few hours after discharge, where I continued an oral regimen of the aforementioned medications. The next day, 8 days after the initial dose, my symptoms were equally severe and coupled with gastrointestinal distress, feverishness (likely due to dehydration from the Benadryl) and nausea. This morning (1/11/2021), 9 days after receiving the vaccine, my hives have largely subsisted. In summation, starting 6 days after receiving my first dose of the Moderna vaccine, I experienced 3 full days and nights of severe hives and swelling.

Other Meds: 40 mg Vyvanse, 300 mg Wellbutrin

Current Illness: N/A

ID: 0934623
Sex: F
Age: 23
State: NY

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

Lab Data: none

Allergies: Doxycycline

Symptoms: Patient (employee)received 1st dose Moderna vaccine on 12/30/2020. According to patient on Thursday morning, 1/7/2021, she noted redness and at injection site warm to touch she did not report it at the time. On 1/8/2021 she had a routine appointment with her allergist who assessed the injection site and he stated that this was a normal injection site side effect. On Monday, 1/11/2021 patient presented and injection site mild erythema. No itching.

Other Meds: Wellbuproin, multivit, zytec

Current Illness: none

ID: 0934624
Sex: F
Age: 39
State: MT

Vax Date: 12/29/2020
Onset Date: 01/04/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient called with complaint: 2in by 2in red painful at injection site. Not hot, not swollen, but very painful. Moderna vaccine administered 12/29 (10 days prior)

Other Meds:

Current Illness:

ID: 0934625
Sex: M
Age: 22
State:

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

Lab Data:

Allergies:

Symptoms: feeling ill. called in sick to work.

Other Meds:

Current Illness:

ID: 0934627
Sex: F
Age: 63
State:

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

Lab Data: Vital signs

Allergies: Naproxen, atorvastatin, hydrochlorothiazide, latex, mold, statins, lisinopril

Symptoms: Patient received vaccine and approximately 15 minutes later began endorsing blurry vision and dizziness while sitting in observation room. Found to be hypertensive in 200/100s. Pt remained hypertensive and was transferred to ED about an hour after initial vaccination.

Other Meds:

Current Illness:

ID: 0934628
Sex: F
Age: 35
State: MI

Vax Date: 12/17/2020
Onset Date: 12/23/2020
Rec V Date: 01/11/2021
Hospital:

Lab Data: NONE

Allergies: none

Symptoms: RASH DEVELOPED AT INJECTION SITE 12/23/2020 AND SPREAD TO REST OF BODY. RASE DESCRIBED AS SMELL RAISSE BUMPS EMPLOYEE USE BENADRLY AND HYDROCORTISONE CREAM TO TREAT.

Other Meds: wellbutrin

Current Illness: none

ID: 0934629
Sex: M
Age: 56
State: MT

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

Lab Data:

Allergies:

Symptoms: Congestion, Nausea, Headaches

Other Meds:

Current Illness:

ID: 0934630
Sex: F
Age: 31
State: CA

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

Lab Data:

Allergies: none

Symptoms: 2nd dose I began having muscle aches around 10pm (about 10 hours post 2nd dose) then I woke up in the night at 1am ( about 13 hours post injection) with a fever of 101.4, muscle aches (my legs, arms, neck, and back), chills, and sinus dryness. This was controlled 3 hours later by tylenol. For the next 36 hours post symptom onset my sinuses were still affected, my muscles felt very weak and the glands in my neck felt swollen. Everything has resolved except the swollen glands in my neck and my sinsuses being dry and painful.

Other Meds: Vitamin D Zinc N- acetyl cysteine Mirena contraceptive

Current Illness: no

ID: 0934631
Sex: F
Age: 28
State: MO

Vax Date: 12/31/2020
Onset Date: 01/05/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: Covid

Allergies:

Symptoms: I woke up with chills and diarrhea . I started to sweat out of no where but I didn't have a fever, towards the end of the night I lost my taste for the next two days. I still had chills and was sweaty, I believe the second day I had a sore throat. My boss sent me to get a Covid test and that came back negative.

Other Meds:

Current Illness:

ID: 0934632
Sex: F
Age: 47
State: HI

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

Lab Data:

Allergies:

Symptoms: c/o tingling and numbness down length of left arm (site of covid vaccine) extending to finger tips - per physicians consideration: patient should continue to watch or any signs of swelling, redness, and/or soreness. Tingling/numbness possibly due to hitting a nerve.

Other Meds:

Current Illness:

ID: 0934633
Sex: F
Age: 54
State: UT

Vax Date: 12/31/2020
Onset Date: 01/03/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: None

Allergies: Phenobarbital, Zarontin

Symptoms: On Sunday 1/3 noted a few spots on the left arm, some by the sit other not, that had a hive appearance and itched. These went away and on Monday noted a few more spots on the right arm resolved the next day

Other Meds: Synthroid, Lexapro, Depakote, Tylenol, prevacid, Percocet, topirapate, tolterotine,

Current Illness: None

ID: 0934634
Sex: F
Age: 61
State: TX

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

Lab Data: None

Allergies: Lisinopril (cough) Metformin (diarrhea)

Symptoms: Severe cervical neck pain

Other Meds: Losartan Glipizide Atorvastatin Magnesium Vitamin C

Current Illness: None

ID: 0934635
Sex: M
Age: 29
State: AZ

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

Lab Data:

Allergies: Sulfa, Keflex, amoxicillin

Symptoms: Rash/redness around injection site, swollen lymph nodes, fatigue. Going to urgent care on advice of vaccination staff

Other Meds: Lithium Bicarbonate, Prozac

Current Illness:

ID: 0934636
Sex: F
Age: 42
State: NM

Vax Date: 12/19/2020
Onset Date: 12/19/2020
Rec V Date: 01/11/2021
Hospital:

Lab Data: cbc, chem, liver panel and thyroid

Allergies: Compazine

Symptoms: Blotchy on chest/face Itching and rash on arms, legs, stomach and hips

Other Meds: None

Current Illness: none

ID: 0934637
Sex: F
Age: 44
State: MI

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

Lab Data:

Allergies: Aspirin and NSAIDS

Symptoms: started 24 hours after injection (Saturday night 1/9/2021 9pm) Fever 102, body aches, headache. as of Monday 1/11/21 afternoon still have fever 101 (stays down with Tylenol) horrible headache and chills.

Other Meds: Plaquenil, Benlysta, Buspar, Vitamin D 50,000 U, B12 injections

Current Illness: none

ID: 0934638
Sex: F
Age: 29
State: WV

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

Lab Data: NA

Allergies: None

Symptoms: Developed tongue itching and lightheadness 5-10 minutes after receiving injection. Was treated with steroid injection at the visit. Took Benadryl 30 minutes later. The following day had body aches and headache. Treated with Tylenol.

Other Meds: Zyrtec

Current Illness: None

ID: 0934639
Sex: M
Age: 37
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: States he had chills and sweating, body aches and headache, lasted through the night and ended next morning

Other Meds: None

Current Illness: None

ID: 0934641
Sex: F
Age: 31
State: MT

Vax Date: 12/29/2020
Onset Date: 01/07/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient presented to vaccine distribution site complaining of hard,red swollen injection site. Patient had systemic response to first dose of Moderna administered 12/29 (10 days prior). Advised patient to go to primary care or urgent care. Clinic contacted Vaccine distribution site: patient diagnosed with ?delayed allergic reaction?, topical medication and oral medication given.

Other Meds:

Current Illness:

ID: 0934642
Sex: F
Age: 39
State:

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

Lab Data:

Allergies: Penicillins

Symptoms: Local swelling the night of administration but improved and resolved by 1/3. On the morning of 1/7, the injection site was again swollen and red, now with mild itching. Swelling worsened to a hard indurated area.

Other Meds:

Current Illness:

ID: 0934643
Sex: M
Age: 22
State:

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

Lab Data:

Allergies:

Symptoms: feeling ill. called in sick to work.

Other Meds:

Current Illness:

ID: 0934644
Sex: U
Age:
State: IL

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

Lab Data: None

Allergies:

Symptoms: 12 hours after injection Band-Aid was removed and redness was noted, about the size of the bandaid. The next morning 12/30/20 the injection site was red, swollen, painful to the touch, hot, with a lump. This persisted for 2 to 3 days . Symptoms seemed to be improving over the next 2 days and then suddenly redness at least tripled in size (maybe more), area was hot to the touch, swollen/raised like a large welt, and extremely itchy. This lasted for 3 days and then symptoms gradually improved until they resolved.

Other Meds:

Current Illness:

ID: 0934645
Sex: F
Age: 54
State: KY

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

Lab Data: none

Allergies: codeine allergy

Symptoms: nausea, vomit for 12 hours, feverish . Took Zofran

Other Meds: none

Current Illness: none

ID: 0934646
Sex: F
Age: 56
State: PR

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

Lab Data:

Allergies:

Symptoms: SEVERE LEFT ARM PAIN EXTENDED TO LEFT SHOULDER AND ELBOW, GENERALIZED JOINT PAIN, FEVER, MALAISE AND FATIGUE STATED ON 1/9/2021, TOOK PERCOGESIC ALTERNATED WITH ACETAMINOPHEN

Other Meds:

Current Illness:

ID: 0934647
Sex: M
Age: 83
State: TN

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

Lab Data:

Allergies: Penicillin

Symptoms: Vaccine was incorrectly reconstituted by LPN with 0.8mL of NS instead of 1.8mL. After reconstituting with 0.8mL of NS, a dose of 0.3mL was given to patient. After injection, patient waited in office for 15 minutes. No adverse events were reported after administration.

Other Meds: Unknown

Current Illness: Unknown

ID: 0934648
Sex: F
Age: 31
State: PR

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

Lab Data: no

Allergies: YES, ALLERGY TO STRAWBERRY, BANANA. NO ALLERGY REACTION TO MEDICATION.

Symptoms: Itch, redness and hives

Other Meds: YES! Zyrtec and Allegra.

Current Illness: no.

ID: 0934649
Sex: F
Age: 56
State: MA

Vax Date: 10/05/2020
Onset Date: 10/05/2020
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: 10/28/20 Left shoulder and arm have been sore. The spot where my flu shot was given has continued to be extremely tender and sore. It is also VERY painful to raise my arm to the side even a small amount. I can raise it forward without difficulty. At times during the day and especially at night pain will shoot down my arm into my fingers. I'm trying not to use my shoulder/arm and am taking ibuprofen. Order PT for ROM/Pain

Other Meds: buPROPion HCL SR 200 mg tablet,12 hr sustained-release Drysol Dab-O-Matic 20 % topical solution escitalopram 5 mg tablet estradioL 0.01% (0.1 mg/gram) vaginal cream fluticasone propionate 50 mcg/actuation nasal spray,suspension Synthroid 15

Current Illness: N/A

ID: 0934650
Sex: F
Age: 25
State: WI

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

Lab Data:

Allergies: No

Symptoms: Very hyper and shakey. Felt like I consumed 2+ energy drinks. Could not fall asleep the night after injection. Very restless Sore Arm Headache

Other Meds: Calcium & One-A-Day Womens Health Vitamin

Current Illness: No

ID: 0934651
Sex: F
Age: 39
State: MT

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

Lab Data:

Allergies:

Symptoms: GI upset , headache, chills, left side of body hurts

Other Meds:

Current Illness:

ID: 0934653
Sex: F
Age: 61
State: IN

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

Lab Data:

Allergies: NKDA

Symptoms: Sunday 1/10/2021 at 10:30 am started with chilling then body aches and headache started in the next hour then headache. Chilling better about one hour later. Took ibuprofen at 1:15 pm and relief of aches and headaches in about 30-60 minutes. Had dry cough. Very tired all day.

Other Meds: Cetirizine Hcl 10 mg Maxzide 25 mg Triamcinolone topical cream

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm