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: 0916755
Sex: F
Age: 25
State: NJ

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

Lab Data:

Allergies: None

Symptoms: Severe arm pain hours after injection. Lasted for two days Nauseous and vomiting day 2 and 3 with headache

Other Meds: Sertraline Ajoovy

Current Illness:

ID: 0916756
Sex: F
Age: 45
State: IL

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

Lab Data: 12/30/20 CBC w Auto Dif CMP, CBC w Diff Tryptophan, Serum, Trypt

Allergies: Tree nuts

Symptoms: Anaphylaxis, allergic reaction: Throat swelling, facial and ear numbness on left side. Ear redness and swelling. Went to ER, treated with IV Benadryl, Epinephrine, Famotidine, Solumedrol, Klorcon M.

Other Meds: Telmisartan HCTZ

Current Illness: N/A

ID: 0916757
Sex: F
Age: 31
State: IA

Vax Date: 12/24/2020
Onset Date: 12/30/2020
Rec V Date: 01/01/2021
Hospital:

Lab Data:

Allergies: N/A

Symptoms: Bilateral adenopathy - Day 6 to present Severe arm pain - Day 6 to present Arm weakness - Day 6

Other Meds: N/A

Current Illness: N/A

ID: 0916758
Sex: M
Age: 56
State: VA

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

Lab Data: None

Allergies: None

Symptoms: Developed fatigue, muscle aches, chills, low grade temperature of 99.4, and night sweat.

Other Meds: Hydrochlorothiazide, Losartan, aspirin, Mestinon, prednisone, multi-vitamin, Vit D3 and Vit C.

Current Illness: None

ID: 0916759
Sex: F
Age: 30
State: VA

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

Lab Data: none

Allergies: pyridium (flushing, sob) lactose intolerance (GI) bee stings (rash/swelling) no anaphylaxis

Symptoms: 12/28/2020-1230 began feeling numbness/tingling left foot, left hand, left cheek (face), intermittent 1500- chest tightness, palpitations lasting 20-30 minutes 1900- feet b/l ice cold, muscle aches, chills, lasting 8 hrs 12/29/2020- upon awakening-fatigue, SOB 6 hrs, intermittent paresthesia persist left foot, left cheek, new onset teeth pain (lasts less than 1 minute) left sided headache (1-5 min) left sided back pain at SI joint 12/30- tingling sensation persist, fatigue is gone. Chills- 1-3 min duartion, intermittent. left ear pain, left headache, "pings " of left cheek, tingling back pain persists (left) 12/31/2020 noted mild left facial weakness-, left eye brow rise, unilateral wrinkle forehead, smile reduced left sided tingling persists with intermittent headache, ear pain, teeth pain sought care of PCP tx of early onset bells palsy with steroid taper + PPI Began prednisone 40 mg PO 1/1/2021 left sided back pain persists

Other Meds: Pentasa (mesalamine) 3 to 4 gm/daily pepcid 20 mg Po daily vitafusion women's prental folic acid 1 mg b12 1000 mcg po daily tylenol 500 mg flonase prn loratadine prn albuterol prn exercise

Current Illness: no illnesses at time of vaccine

ID: 0916760
Sex: F
Age: 30
State: CA

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

Lab Data:

Allergies:

Symptoms: Fever , headache body aches , nausea and vomiting . Hives

Other Meds: Levothyroxine

Current Illness: COVID dec 2 ,2020

ID: 0916761
Sex: F
Age: 25
State: MD

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

Lab Data: N/A

Allergies: zythromax and amoxicillin. fried seafood.

Symptoms: Redness and swelling on left arm of injection site. Experienced nausea later that day of injection. The next day experienced headache, chills, nausea and vomiting. Never reached a fever.

Other Meds: Birth control: Estarylla (0.25-0.35 mg) 1 pill a day Prescription: Duloxetine (30 mg) 1 pill a day Temporary Prescription: Sulfameth/Trimethoprim (800/160mg) Take two a day Over the counter up4 Probiotics (2 gummies a day)

Current Illness: Staph Infection notified on 12/16/2020. Been taking Sulfameth/Trimethoprim (800/160mg) Take two a day since 12/17/2020.

ID: 0916762
Sex: F
Age: 54
State: CA

Vax Date: 12/26/2020
Onset Date: 12/27/2020
Rec V Date: 01/01/2021
Hospital:

Lab Data: Covid test negative discussed with an urgent care PA and Primary Care office PA

Allergies: Kiwi

Symptoms: Fevers, muscle, joint aches, fatigue, "crawling skin"extreme thirst X6 days as of this form

Other Meds: Losartin, metoprolol, Pamelor, Hydroxycloroquine, Vit D, Vit C . Multi B, CoQ10

Current Illness: None

ID: 0916763
Sex: M
Age: 30
State: AR

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

Lab Data: None. Spoke with PCP on 12/30 said common and treat the symptoms.

Allergies: Sulfa Meds

Symptoms: Elevated HBP and flush 4 hours after vaccination 12/30 101.2 fever, headache, joint pain upper body 12/31 no fever, extreme fatigue and headache 1/1/2021 headache no other symptoms

Other Meds: Lisonopril 20mg Trazadone 50mg Alprolozam .25mg Zyrtec Nexium Paxil 15mg

Current Illness: None

ID: 0916764
Sex: F
Age: 53
State:

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

Lab Data:

Allergies:

Symptoms: Fever, chills and aches

Other Meds:

Current Illness:

ID: 0916765
Sex: F
Age: 49
State: NY

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

Lab Data: None

Allergies: Sulfa

Symptoms: Same day - pain at the injection site, slight swelling 1/1/2021 - headache, fatigue, nausea, diarrhea,

Other Meds: Vyvanse, Pristiq, Lamictal, Magnesium Glycinate, Protonix, folic acid, multi-vitamin

Current Illness: None

ID: 0916766
Sex: F
Age: 35
State: ME

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

Lab Data:

Allergies: No known allergies

Symptoms: Moderna COVID-19 Vaccine EUA 12/23/20: -in the evening I began feeling pain in my whole left arm from shoulder to wrist Which lasted 4 days -had chills and felt extremely cold to the point where multiple blankets, layers of clothes and drinking hot tea did not make me feel warm; this lasted until 12/24/20 -general fatigue that lasted until 12/24/20 Beginning 12/31/20: - a rash developed on my left arm at the injection site. It is itchy and warm to the touch. It has persisted through Benadryl and not gotten better

Other Meds: Adderall

Current Illness:

ID: 0916767
Sex: F
Age: 54
State: AK

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

Lab Data: Home BP monitor

Allergies: Sulfa Dicloxicillin

Symptoms: Hypotension noticed 24 hours post injection. Effect lasted for 48-72 hours while improving. Lowest BP 85/60, with symptoms: lightheaded at rest.

Other Meds: Irbesartan 150mg qd am

Current Illness:

ID: 0916768
Sex: F
Age: 56
State: IN

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

Lab Data: n/a

Allergies: none

Symptoms: extreme chills, myalgias, nausea, chills

Other Meds: Advair diskus

Current Illness: none

ID: 0916769
Sex: M
Age: 48
State: TX

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

Lab Data:

Allergies: Nkda

Symptoms: Woke up w severe chills that night/next morning. Fever was 101.8. Took 50 mins in hot shower to get warm. Then had severe headache and body (back) aches. I began taking ibuprofen that night/morning. I remained in bed under 5 layers of covers for all of the 30th and until the afternoon of the 31st. My fever went down to 99.1 and then back to 100.8. I have not had any chills since. I have no fever and no headache as of now, 1/1/2021.

Other Meds: Methylphenidate, citalopram, rosuvastatin

Current Illness: None

ID: 0916770
Sex: F
Age: 23
State: KS

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

Lab Data:

Allergies:

Symptoms: Moderna COVID-19 Vaccine EUA. Muscle soreness at injection site starting about 1 hour after and continued the day after that. Little muscle soreness on the third day.

Other Meds: None

Current Illness: None

ID: 0916771
Sex: F
Age: 30
State: AR

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

Lab Data: None

Allergies: Fish

Symptoms: Headache, sore arm to injection site, dizzy, numbness to right foot. No medications taken. Continues to have symptoms.

Other Meds: None

Current Illness: No

ID: 0916772
Sex: M
Age: 55
State: GA

Vax Date: 12/22/2020
Onset Date: 12/26/2020
Rec V Date: 01/01/2021
Hospital:

Lab Data: Tested positive for COVID 19 on 12/30/2020

Allergies: Codeine

Symptoms: Vaccine on 12/22/2020 and started feeling bad on 12/27/2020 and tested positive on 12/30/2020 for COVID 19 Was advised to fill this out by my PCP

Other Meds: Propranolol,zoloft,asa,Lisinipril, Crestor, Protonix, CoQ10, Fish oil, Sonata, Melatonin, Zertec,B-12,

Current Illness:

ID: 0916773
Sex: F
Age: 63
State: TX

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

Lab Data:

Allergies: none

Symptoms: 1:28p - Within one minute of vaccine administration left hand felt tingling and numb which was followed by by a warm feeling in the left arm . 1:40p - Felt warm (flushed) all over, dizziness, lightheadedness, heart racing (palpitations), numbness and tingling in left foot. Blood pressure taken 151/89, P 80 using wrist monitor 1:45p - Symptoms began to pass. Blood pressure 151/89, P 80 1:55p - Felt flushed again. Blood pressure 165/79, P 80 2:05p - Symptoms began to pass. Blood pressure 153/73, P73 2:20p - Riding home both knees to feet feeling numb and tingling 2:43p - took Ranitidine 150 mg 3:00 p - blood pressure 128/57, P61 5:00p - left foot numbness continues 10:00p - Took tylenol 500 mg

Other Meds: Plendil, hydrochlorothiazide, allegra, multivitamin, biotin, allergan ophthalmic solution, latanoprost ophthalmic solution, women's rogaine

Current Illness: none

ID: 0916774
Sex: F
Age: 50
State:

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

Lab Data:

Allergies:

Symptoms: Fever, chills, and aches

Other Meds:

Current Illness:

ID: 0916775
Sex: F
Age: 54
State: NY

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

Lab Data: 12/29/20 COVID PCR (NP swab): negative 12/31/20 COVID PCR (NP swab): negative RSV PCR (NP swab): negative Influenza A/B PCR (NP swab): negative COVID AB (serum): negative

Allergies: NKDA or to foods Environmental allergy to dust-mild-NO RX; rhinorrhea, few occasions of mild wheezing, no SOB, w/prolonged exposure when cleaning basement Seasonal allergy to cut grass in the Spring, but only if I am doing the mowing-mild-NO RX; rhinorrhea, watery eyes, mild wheeze, no SOB

Symptoms: 12/25/20-12/26/20: arm soreness, extreme fatigue ~2 hours after vaccine. I slept for significant portions of the remainder of 12/25 through 12/26 and had no problems with sleep overnight. 12/27/20: 30% improvement of exhaustive fatigue, arm soreness, mental fog, headache, decreased appetite, low grade fever, chills 12/28/20-12/30/20: fatigue, arm soreness, mental fog, headache, decreased appetite (+food aversion), nausea (not related to not eating), low grade fever, chills, body aches, joint pain, rhinnorhea, and laryngitis 12/30/20-1/1/21: fatigue, mental fog, headache, decreased appetite (general food aversion), nausea, low grade fever, chills

Other Meds: Lisinopril 20mg daily (started ~4/2018) Lipitor 40mg daily and Baby Aspirin (started ~3/2020) Zoloft 100mg daily (started 8/2019 after my mother's death) Adderall XR 40mg daily (many years) Nature Care MVI w/iron and Nature Care Vitamin D

Current Illness: None

ID: 0916776
Sex: F
Age: 28
State: KY

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

Lab Data:

Allergies: Penicillin

Symptoms: Didn?t have any reactions til about 8 hours after shot. Arm is really sore up to my neck, chills and fatigue

Other Meds: Birth control patch and vitamin d3

Current Illness:

ID: 0916777
Sex: F
Age: 30
State: MI

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

Lab Data:

Allergies: Olanzapine (prolonged QTc)

Symptoms: Chills, myalgias and pre-syncope

Other Meds: Omeprazole OCP Mirtazapine Escitalopram

Current Illness: None

ID: 0916778
Sex: F
Age: 31
State: RI

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

Lab Data: NA

Allergies: PABA

Symptoms: I am a surgical resident who had covid in November. Date of my symptom onset was 11/13/20. My positive test was on 11/14/20. I was moderately ill with covid, but did not require hospitalization. I was offered a vaccine and accepted on 12/28/20. I got the modern vaccine. On 12/29 AM I developed significant symptoms. I was so exhausted and sore I was barely able to complete my cases for the day. I only had a temp max of 99.7, but I felt worse the I did when I had covid (except for the respiratory symptoms). I came home by noon in 12/29 and took Motrin then went to sleep by 1400. As soon as I woke up on 12/30 I took aleve 400 mg and felt well enough to work the next day. Symptoms improved progressively in the subsequent days.

Other Meds: adderall XR, sertraline, famotidine

Current Illness: None, but, as noted above, I had covid symptoms starting 11/13/20 and a positive test from 11/14/20

ID: 0916779
Sex: F
Age: 21
State:

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

Lab Data:

Allergies:

Symptoms: Pain and swelling at site of injection, fatigue, chills, severe body aches, headache, and a low-grade fever.

Other Meds:

Current Illness:

ID: 0916780
Sex: F
Age: 88
State: AR

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

Lab Data: None

Allergies: PCN

Symptoms: Chills. They have resolved.

Other Meds: Levothyroxine, Lasix, Colace, potassium, Cetirizine, Amlodipine, Metoprolol Tartrate, Simvastatin, Folic Acid, AZO Cranberry

Current Illness: NONE

ID: 0916781
Sex: F
Age: 67
State: GA

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

Lab Data: None

Allergies: Reglan - anaphylaxis Narcotics - severe nausea & vomiting popcorn

Symptoms: 1/1/2021 - Experiencing headache, feeling weird all over. Tightness in chest. comes and goes. Will call Doctor on Monday if still feeling the same.

Other Meds: Amlodipine 10 mg./day Vitamin D 4000iu/day Omeprozole 40 mg/day Advil prn Tagamet prn

Current Illness: none

ID: 0916782
Sex: F
Age: 30
State: HI

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

Lab Data:

Allergies: None

Symptoms: The next day I had a sore throat, and now it has developed into a cold. Sore throat, running nose, had some chills and body aches.

Other Meds:

Current Illness: None

ID: 0916783
Sex: M
Age: 42
State: WV

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

Lab Data: n/a

Allergies: none

Symptoms: 8.5 hours after vaccination, client altered sensation in skin at arm and chest. felt like a sunburn, with a dull itch, discomfort. Took OTC benadryl, but it did not offer relief. Went to ED that same evening and was given Solumedrol. No epinephrine received. Next day, taking 50 mg diphenhydramine PO. Next day, rash now at arms/legs /back . none at chest. Meds helping with discomfort.

Other Meds: Prescription NSAID for a sprained shoulder, taking BID for 5 days

Current Illness: sprained shoulder for 5 days, otherwise none

ID: 0916784
Sex: F
Age: 47
State: OH

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

Lab Data: None

Allergies: Flagyl

Symptoms: Shortly after receiving the shot was dizzy light headed with visual changes. It cleared up within 10-15 mins. Later that evening around 630 or 7 pm had headache, body aches, and Severe chills. No fever. Intermittent dizziness and visual changes. This lasted until Thursday evening. On Friday I felt fine but as I began to move around more the dizziness has returned

Other Meds: None

Current Illness:

ID: 0916785
Sex: F
Age: 35
State: TX

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

Lab Data: BMP, CBC, Cardiac Profile, CXR, COVID, Influenza, RSV PCR-all negative (done 12/28/20)

Allergies: Demerol, Nubain, Vancomycin, Morphine, Triamterene-HCTZ

Symptoms: After receiving the vaccine I began to feel lightheaded and short of breath. I felt tachycardiac and felt like passing out. I got transferred to the er where I received the epipen along with oxygen and antiseizure meds for my seizure. I was then transferred to Medical Center for further care where I was later discharged.

Other Meds: ASA, Keppra, Verapamil, Flecainide, Eliquis, Depo-Provera, Ambien

Current Illness: Congenital Heart Disease

ID: 0916786
Sex: F
Age: 39
State: MN

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

Lab Data: Temperature checked (101.2)

Allergies: Amoxcecillan

Symptoms: Tiredness, fever (101.2), chills, muscle pains, headach, feeling unwell

Other Meds: None

Current Illness: None

ID: 0916787
Sex: F
Age: 54
State: FL

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

Lab Data: none

Allergies: seasonal allergies, dust, pollen, grasses, oak

Symptoms: Raised red area, that did not itch but became a circle of scabs

Other Meds: zyrtec, loestrin( BC)

Current Illness: none

ID: 0916788
Sex: M
Age: 51
State: IL

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

Lab Data: Negative Covid test 12/30 7:30 am.

Allergies: None

Symptoms: Highest Fever 102.4, Body Aches, Headaches Still occuring after 24 hours

Other Meds: Clonazepam 0.5mg, Atorvastatin 10mg,

Current Illness: None

ID: 0916789
Sex: M
Age: 55
State: VA

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

Lab Data:

Allergies: SHELLFISH, PCN, LATEX

Symptoms: Patient had mild symptoms immediately after injection- his skin felt dry, uncomfortable. Symptoms progressed. ny 5pm (4 hours post vaccination), his voice changed, throat was swelling, lips tingling, congestion in throat, nose. Sought treatment at ED: received Solumedrol, Benadryl and Pepcid. No Epinephrine. Told Anaphylactoid reaction. monitored 4 hours in ED, then discharged to home. FU with PO benadryl. Some congestion persisted 24 hours after event.

Other Meds: Type 2 diabetes medicine: insulin, trulicity, wellbutrin, welchol

Current Illness:

ID: 0916790
Sex: F
Age: 52
State: TN

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

Lab Data: Solu-Medrol, Benadryl IV, Pepcid IV, and EKG monitoring.

Allergies: Sulfa, shellfish

Symptoms: Flushing, sweating, increased heart rate proceeded to feel difficulty swallowing and clearing my throat. I was taken to the ER. The symptoms progressed to feeling dizziness, difficulty speaking, and chest pressure with increased SBP/DBP. General nausea and feeling very unwell.

Other Meds: Estradiol, topiramate, Emgality, sumatriptan, multivitamin

Current Illness:

ID: 0916791
Sex: F
Age: 38
State: OH

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

Lab Data: None

Allergies: Grass and tree pollen

Symptoms: Fatigue, headache, injection site sore and red.

Other Meds:

Current Illness: None

ID: 0916792
Sex: F
Age: 57
State: TX

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

Lab Data:

Allergies: PPD serum, codeine, iodine, Spiriva, valium, adenosine, Ativan.

Symptoms: Jan 1st, woke with an itchy lesion on lower left arm on the exact spot that I had a previous PPD test done years ago. (Can't have PPD done anymore due to allergic reaction). This new lesion appeared to look just like the PPD reaction with raised swelling, redness and itch. Applied Benadryl cream and swelling and itch went away within 4 hours leaving a red spot. I have photos documenting it from start to end.

Other Meds: Duloxetine, ibuprofen, Slow-Fe OTC, Flonase Sensimist

Current Illness: Asthma

ID: 0916793
Sex: F
Age: 39
State: MN

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

Lab Data: None

Allergies: Modafinal Shellfish

Symptoms: Red, warm, hard knot at injection site. Site is extremely itchy and sore. Body aches, pains, malaise and headache.

Other Meds: Methylphenidate 36mg QD Venlafaxine 75mg QD hydroxyzine 50mg QD Gabapentin 300mg BID Estradiol patch 0.1mg/24

Current Illness: COVID 19, diagnosed 12/15/2020

ID: 0916794
Sex: F
Age: 38
State: TX

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

Lab Data: none

Allergies: none

Symptoms: arm soreness for the past 7 days. 12/31/2020 had red itching rash at injection site. today rash still there with continued muscle soreness, including neck soreness now.

Other Meds: levothyroxine amitriptyline progrestrone ibprofen

Current Illness: none

ID: 0916795
Sex: F
Age: 43
State: MI

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

Lab Data: n/a

Allergies: n/a

Symptoms: Soreness at injection site 3 hours post injection. 30 hours post injection, pt experiences a huge blood clot from vagina, about the circumference of a clementine. was not old blood, looked like frank blood. over the next 30 hours, pt experiences more clots, much smaller, about the size of a pea. pt has a headache and chills throughout. 48+ hours, experiencing what feels like menstrual cramps. no blood clots 72 hours post injection

Other Meds: 600 mg Ibuprofen

Current Illness: n/a

ID: 0916796
Sex: M
Age: 75
State: NC

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

Lab Data:

Allergies:

Symptoms: Fatigue, flue like symptoms

Other Meds:

Current Illness:

ID: 0916797
Sex: F
Age: 31
State: MO

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

Lab Data: None

Allergies: None

Symptoms: Around 10:30pm had symptoms of fever and chills. In the morning had symptoms of chills, headache, increased heart rate, and slight nausea. On 1/1/2020 around 11:30am had slight swelling and tenderness on the left side of the neck right above the clavicle bone. Decrease of symptoms starting the morning of 1/1/2020.

Other Meds: None

Current Illness: None

ID: 0916798
Sex: F
Age: 23
State: NC

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

Lab Data: None

Allergies: No

Symptoms: Moderna COVID-19 Vaccine EUA Severe headache Fatigue Nausea Body aches

Other Meds: IUD

Current Illness: Covid 19 in late November 2020

ID: 0916799
Sex: M
Age: 42
State: AR

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

Lab Data:

Allergies:

Symptoms: tachycardia Heartrate went from 88 to 110 resolved in less than 1 hour

Other Meds:

Current Illness:

ID: 0916800
Sex: F
Age: 32
State: MO

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

Lab Data:

Allergies: Sulfa

Symptoms: Extreme fatigue, diarrhea, vomiting, fever, chills, body aches

Other Meds: Sertraline

Current Illness: None

ID: 0916801
Sex: F
Age: 60
State: IN

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

Lab Data: n/a

Allergies: no meds, I dont' know about food, and some environmental allergies

Symptoms: Got vaccine at 11am, was ok all day. About 11pm I felt nauseated. Got up a 2am to go to bathroom and had teeth-chattering chills. 30 minutes later vomited several times. Fever was 99.6 last night, 99.8 this morning, and 100.2 this afternoon. Significant pain in joints, moderate in muscles. Feel by far worse than when I had covid. Though these side affects typically resolved in 24 hours? Mine are no better, other than I'm only nauseated, not throwing up.

Other Meds: Synthroid, hydroclorathiazide, amlodipine, sertraline, Vitamin D3, occuvite, multiple vitamin methyl B complex

Current Illness: Covid 19, positive 12/13/20

ID: 0916802
Sex: F
Age: 42
State: FL

Vax Date: 12/15/2020
Onset Date: 12/30/2020
Rec V Date: 01/01/2021
Hospital:

Lab Data: EKG, labs, CXR. Atrial fibrillation, potassium level 3.4, CXR normal.

Allergies: Zoloft

Symptoms: Rapid heart rate, arrhythmia felt at 7pm 12/30, still present in morning 12/31/20, at 7:00 am was found to be in afib on monitor at work (I am a surgeon). Treated in emergency room after EKG confirmed a-fib. Received potassium and flecainide and converted to normal sinus rhythm after several hours.

Other Meds: Multivitamin, biotin, B12, iron

Current Illness: None

Date Died: 10/18/2020

ID: 0916803
Sex: M
Age: 78
State: LA

Vax Date: 10/06/2020
Onset Date: 10/10/2020
Rec V Date: 01/01/2021
Hospital: Y

Lab Data: Hospitalized 10/11/2020 and died 11/18/2020

Allergies: N?A

Symptoms: respitory colase

Other Meds: Lisinopril, Novolog,, Lantus Solostar, Gabapentin, Glusosamine-chondrotin, Lanaoprost, Alphagan, Metoprol Tartrate, Colocrys. . as needed, Chlorthlidone.

Current Illness: none

ID: 0916804
Sex: F
Age: 24
State: CT

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

Lab Data:

Allergies: Amoxicillin/Penicillin

Symptoms: After 15 minutes: tingling/itchiness in my fingertips, tongue and lips, felt weak/lightheaded and dizzy, weak pulse, rapid HR (98 bpm) normally resting HR is around 58-62 bpm. Symptoms kept increasing and after 30 minutes: felt lump in throat when swallowing/difficulty, eyelids super itchy, significant hives on chest and neck developed. A nurse at the site monitored me, told me to get benadryl on the way home, had to have boyfriend pick me up from the clinic to drive me home.

Other Meds: Lo Loestrin Fe birth control Flonase

Current Illness: Sinus infection 2 weeks ago

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm