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: 0934988
Sex: M
Age: 27
State: MA

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

Lab Data: None

Allergies: None

Symptoms: 15 minutes after receiving vaccine, patient reported itching and one hive near the vaccine site on left arm, also itchiness under his left arm on his rib cage/chest. Patient denied any swelling, SOB, N/V, or any other symptoms. Patient monitored by Allergy, symptoms did not worsen, and allergist communicated pt was ok to leave clinic with outpatient follow-up

Other Meds: Zyrtec administered after reaction

Current Illness: History of mast cell activation syndrome

ID: 0934989
Sex: F
Age: 53
State: AZ

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

Lab Data:

Allergies:

Symptoms: (1) First vaccine - slight effects of Covid symptoms. (2) Second vaccine - Headache, slight fever (took tyenol) -Sat am - swollen tongue when I woke up. Took benydril, swelling went down. tongue bled - (brush teeth, scrap tongue) -Sun - semi swollen tongue, rash lower abdomin. R am front area by under arm.

Other Meds:

Current Illness:

ID: 0934990
Sex: F
Age: 26
State: OH

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

Lab Data: 1/9/2021 18:30 2x10^3/uL 1/9/2021 21:30 6x10^3/uL 1/10/2021 02:10 8x10^3/uL 1/10/2021 07:30 18x10^3/uL 1/10/2021 18:12 127x10^3/uL 1/11/2021 05:43 142x10^3/uL

Allergies: None

Symptoms: 26-year-old lady came in after she noticed she had bruises on her left hand after a CPR procedure at hospital. Patient was apparently in well health, she had received COVID-19 mRNA vaccine on January 7 at 3 PM, she has taken 2 pills with ibuprofen and tylenol for pain in right deltoid following vaccination. She was doing the CPR at 1:00 this afternoon, and she noticed that her left dorsum had some bruises. She took day off and went home and noticed that she also had bruises in both medial thighs, above the knee and some bruises in scalp. Patient presented to the Emergency Room 1/9/2021 ~6PM and platelet count was found to be 2x10^3/uL. Patient required transfusion of 7 units of platelets, steroids, and IVIG.

Other Meds: Ibuprofen and acetaminophen

Current Illness: None

ID: 0934991
Sex: F
Age: 26
State: OH

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

Lab Data:

Allergies:

Symptoms: sore arm, pain radiating to neck causing migraine had to call off work

Other Meds:

Current Illness: none

ID: 0934992
Sex: F
Age: 54
State: CT

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

Lab Data:

Allergies: n/a

Symptoms: Severe arm ache for over 24h. Diarrhea next day. Severe fatigue and brain 'fog'

Other Meds: n/a

Current Illness:

ID: 0934993
Sex: F
Age: 24
State: MA

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

Lab Data:

Allergies: no

Symptoms: 12 hours after vaccination, woke up from sleep with low grade fever, body chills/shakes and nausea. These symptoms lasted another 12 hours and then ceased. I have previously recovered from covid earlier in November.

Other Meds: no

Current Illness: no

ID: 0934994
Sex: F
Age: 43
State: WV

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

Lab Data:

Allergies: Ibuprofen, Aspirin

Symptoms: I experienced severe diarrhea for at least 12-14 hours. I was in the bathroom at least once, sometimes more than once per hour.

Other Meds: Omeprazole, Prozac

Current Illness: None

ID: 0934995
Sex: F
Age: 64
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 , body aches, dry heaves

Other Meds:

Current Illness:

ID: 0934996
Sex: F
Age: 44
State: MN

Vax Date: 12/29/2020
Onset Date: 01/06/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies:

Symptoms: at injection site red, warm swollen and itchy

Other Meds:

Current Illness:

ID: 0934997
Sex: F
Age: 73
State: TX

Vax Date: 12/30/2020
Onset Date: 01/04/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies: Nothing my knowledge

Symptoms: Started slight redness itching and swelling after 6 days, still has that. Tropically applied te over the counter .01 percent cortisone ointment.

Other Meds: Genuvia 100, cynthroid, Irbisarten

Current Illness: nothing

ID: 0934998
Sex: M
Age: 73
State: FL

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

Lab Data: Cat scan, MRI normal on 1/10/21

Allergies: none

Symptoms: Transcient Gobal Amnesia on 1/9/2021 resolved in 8 hours

Other Meds: finasteride, chlorthalidone

Current Illness: none

ID: 0934999
Sex: F
Age: 50
State:

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

Lab Data:

Allergies:

Symptoms: body ache, fever, nausea. called in sick to work.

Other Meds:

Current Illness:

ID: 0935000
Sex: F
Age: 45
State: OH

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

Lab Data: Went to ER and was provided treatment. Steroids and Benadryl. Most symptoms subsided in 24 hours but chest tightness lingered a bit until 1/11/2021.

Allergies: Keflex

Symptoms: Waited at clinic for 15 minutes but at the 30 minute mark face was flushed and chest was tight. Then developed difficulty swallowing in another 30 minutes.

Other Meds: Advair, Levothyroxine, Lynzess Iron, Vit d3, Vit b12, Biotin, Montelukast, Zyrtec, Zoloft, Lirothyrine, Pantoprozole

Current Illness: No

ID: 0935001
Sex: F
Age: 49
State: IL

Vax Date: 01/05/2021
Onset Date: 01/08/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies: CONTRAST SHELL FISH

Symptoms: HIVES FRIDAY @12:00 PM FACIAL SWELLING AND REDNESS 1/10 @9PM

Other Meds:

Current Illness:

ID: 0935002
Sex: F
Age: 49
State: MA

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

Lab Data: Obtaining labs to r/o rheumatologic etiologies (CBC, CMP, ANA, RF, ESR, CRP) - pending

Allergies: No known

Symptoms: Patient developed rash 9 days after receiving vaccine. Started at injection site and then became widespread. Intensely pruritic. Mostly maculopapular, but some annular lesions, some wheals. Unclear if adverse rxn or allergic rxn from vaccine or unrelated etiology. I am treating with prednisone, topical steroids, and antihistamines.

Other Meds: Zoloft

Current Illness: No known

ID: 0935003
Sex: F
Age: 33
State: OH

Vax Date: 01/05/2021
Onset Date: 01/07/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies: Amoxicillin

Symptoms: Developed mouth ulcers on tongue and cheek. Very painful. Ongoing still, with slow regression of symptom for 4 days now started 2 days after vaccine received worse on tongue.

Other Meds: multivitamin, Adderall XR, duloxetine

Current Illness: N/A

ID: 0935004
Sex: F
Age: 43
State:

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

Lab Data:

Allergies:

Symptoms: Friday evening - arm soreness, headache, Saturday morning - achy, chest pain, shoulder pain, shortness of breath, fatigue - all resolved

Other Meds:

Current Illness:

ID: 0935005
Sex: F
Age: 23
State: VT

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

Lab Data: covet test 1/8 negative

Allergies: nka

Symptoms: /1/8/21 developed sore throat cough, little congestion after vaccine given 1/7/21 did covid test which was negative at that time.

Other Meds: none known

Current Illness: none known

ID: 0935006
Sex: F
Age: 68
State: TX

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

Lab Data: none

Allergies: Contrast Dye, Inderol

Symptoms: client reported that she feels like she has a lump in her throat. She is hoarse, States she feels sleepy, has difficulty swallowing, and feels swelling in her larynx. Is short of breath. Had pt. remove mask, lips pale, tongue not swollen. No stridor per auscultation. Lungs clear bilaterally. BP 150/90; HR 70: O2 98% on room air. 1231: Emergency services called. Patient had her own liquid benadryl and self medicated with 50 mg of benadryl by mouth. 1241: Emergency services arrived. 1244: BP 154/95; HR 69: sat 100% on room air. Lips pink now. Still SOB especially when speaking. 1250: HR 64: sat i 98% on room air 1300: Declined transport per recommendation of emergency services paramedics. BP 155/97; HR 57: Sats 100% on room air. Speaking with less dyspnea. Emergency services left 1305: patient left facility with friend via personal vehicle. Stable, gait steady. Respirations mild labored with exertion.

Other Meds: HCTZ, Benadryl

Current Illness: none

ID: 0935007
Sex: F
Age: 32
State: KY

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

Lab Data:

Allergies:

Symptoms: Pt received Covid 19 Moderna While waiting afterward reports chest tight, heart racing feeling flushed. SOA relieve by removing face mask. Reported this happened 2 wks ago & this happen prior to that & thought to be anxiety

Other Meds:

Current Illness: None

ID: 0935008
Sex: F
Age: 64
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, body aches, dry heaves

Other Meds:

Current Illness:

ID: 0935009
Sex: F
Age: 43
State: CA

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

Lab Data:

Allergies: Seasonal allergies + unknown allergies for which I carry an epi-pen.

Symptoms: Adminstration Error : COVID-19 vaccine (IM) given ~ 1/2 inch from the top of the left shoulder in medial area.

Other Meds:

Current Illness:

ID: 0935010
Sex: F
Age: 30
State: NY

Vax Date: 01/03/2021
Onset Date: 01/04/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: None

Allergies: Cipro, macrobid, reglan, adhesive, celiac disease

Symptoms: Immediate numbness on top of left hand, tachycardia, flushing, dizziness, dry/numb mouth, feeling faint, lethargy. Was wheeled to ED where they left me in the waiting room for two hours, not seen by a provider, before being told I was "fine" and sent home. On 1/9/2020 I began experiencing widespread bodily itch, no hives or swelling that included in and around my mouth. Took cirtirizine and symptoms were alleviated.

Other Meds: Womens Multivitamin

Current Illness: Total hysterectomy with hernia repair with mesh 12/14/2020

ID: 0935011
Sex: M
Age: 38
State: CO

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: chills, night sweats, headaches, body ache

Other Meds: none

Current Illness: none

ID: 0935012
Sex: F
Age: 64
State: AZ

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

Lab Data:

Allergies:

Symptoms: circumferential erythema just distal to injection site consistent with cellulitis for 3 days

Other Meds:

Current Illness:

ID: 0935013
Sex: M
Age: 50
State:

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

Lab Data:

Allergies:

Symptoms: nausea, headache, fever. called in sick to work.

Other Meds:

Current Illness:

ID: 0935014
Sex: F
Age: 38
State: TX

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

Lab Data:

Allergies:

Symptoms: Bloody nose intermittently beginning on 1/11/2021.

Other Meds:

Current Illness:

ID: 0935015
Sex: M
Age: 66
State: OH

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

Lab Data: None

Allergies: None known

Symptoms: Felt heart rate going up 5 minutes after taking the vaccination. Felt for about 3-4 minutes. Then an hour after taking vaccination started feeling dizziness when I stand. Lasted for couple hours. Also, started drinking lot of water. Feel improvement.

Other Meds: Losarton 25 mg Lipitor Multivitamin One a day Vitamin D3 B-12

Current Illness: Infected with Covid-19 on November 25, 2020. Over with symptoms on December 9, 2020

ID: 0935016
Sex: F
Age: 36
State: KY

Vax Date: 01/06/2021
Onset Date: 01/08/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: None

Allergies: Redman syndrome with vancomycin infusion

Symptoms: Rash that appeared to be urticaria on arms/legs and trunk that appeared around 50hrs post injection and worsened at 72hrs. I am a physician and have seen similar rashes in kids and mine appeared to be consistent with urticaria multiforme. Responsive to Benadryl. I am now day #5 with itching of my palms and faint rash on arms and legs.

Other Meds: Tylenol, prenatal vitamin

Current Illness: None

ID: 0935017
Sex: M
Age: 50
State: CA

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

Lab Data:

Allergies:

Symptoms: Patient received the covid vaccine dose # 2 on 01/09/2021. c/o fever (temp 99.9) , body aches, diarrhea x 3, and Right axillary lymph node started 4 hours after the injection on Right arm on 1/9/2021. Diarrhea resolved on 1/10/2021. Still has body ache and right axillary lymph node. Denies chills, sore throat, cough, or HA.

Other Meds:

Current Illness:

ID: 0935018
Sex: F
Age: 42
State: TX

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

Lab Data:

Allergies: Possible TB test allergy

Symptoms: Patient described a very swollen hand on the same arm as injection. Reported redness and a honeycomb like pattern. The event slowly faded and no medical treatment was needed.

Other Meds: None

Current Illness: None

ID: 0935019
Sex: F
Age: 58
State: MA

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

Lab Data:

Allergies: None

Symptoms: Received vaccine and initially had no symptoms. Woke up on 1/5 with sore arm and erythema 3"x4", area warm to the touch

Other Meds:

Current Illness:

ID: 0935020
Sex: F
Age: 41
State: MI

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

Lab Data:

Allergies:

Symptoms: itchy and generalized hives

Other Meds:

Current Illness:

ID: 0935021
Sex: F
Age: 68
State: PA

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

Lab Data: N/A

Allergies: Lactose Intolerant

Symptoms: Client had numbness and tingling at the roof of her mouth 15 minutes after receiving the vaccine.

Other Meds: unknown

Current Illness: unknown

ID: 0935022
Sex: F
Age: 35
State:

Vax Date: 12/31/2020
Onset Date: 01/07/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: On Thursday, December 31, 2020, I received my first dose of the Moderna vaccine. It was not until a week later (1/7/2021) in the evening, I began to experience symptoms. That Thursday night, I only experienced pain just as I would with the flu vaccine. On Friday, January 8, 2021, I woke up with a painful (pain level #8 on a scale of 1-10), extremely itchy and inflamed hot to touch right upper arm. The noticeable symptoms to me were the upper arm being extremely hot, inflamed and itchy. There was also swelling in the upper arm. I took aspirin and applied hydrocortisone cream daily. Saturday morning, the inflammation had gone done tremendously. To date, I am still experiencing itching, not as extreme. I am still applying the hydrocortisone cream to have relief. The area is not as hot but there is still redness and itching. No more swelling.

Other Meds: Women's One A Day Vitamins

Current Illness: NKA

ID: 0935023
Sex: F
Age: 23
State: MI

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

Lab Data:

Allergies:

Symptoms: Immediately after vaccination - tachycardia, 12-14 hours after- rash and swollen eyes that increasingly worsened with time

Other Meds:

Current Illness:

ID: 0935024
Sex: F
Age: 42
State: IA

Vax Date: 12/28/2020
Onset Date: 01/04/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: n/a

Allergies: gluten, oxycodone, sulfa, cipro, adhesive tapes - silicones, Macrobid,

Symptoms: itchy rash on left lower extremity about 1 week after vaccine; then 2 weeks after vaccine hives/itchy rash on left upper arm

Other Meds: acyclovir, astelin nasal spray, biotin, veramyst, hydroxyzine, meloxicam, sertraline, cytomel

Current Illness: n/a

ID: 0935025
Sex: F
Age: 52
State: TX

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

Lab Data: No medical tests or laboratory tests were obtained.

Allergies: Penicillin, Coconut

Symptoms: Employee experienced numbness and tingling of lips and mouth which occurred approximately twenty (20) minutes after receiving second dose of Pfizer COVID-19 vaccine. Employee was taken to the Emergency Department for treatment. Employee received two (2) doses of Decadron 6 mg by mouth, Benadryl 50 mg by mouth, and Pepcid 40 mg by mouth.

Other Meds: Unknown

Current Illness: Unknown

ID: 0935026
Sex: F
Age: 50
State: WA

Vax Date: 01/03/2021
Onset Date: 01/10/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: None.

Allergies: Sulfa

Symptoms: One week after the shot I experienced two bright red, very itchy, hot to the touch red bruise that are traveling down my arm I asked a provider what they thought and thought it was possible cellulitis.

Other Meds: Multi vitamin, Vit B12, Calcium, Iron, Vit C, Selenium,Vit D, 175 mcg Levoxyl, 5 mcg Liothroninie

Current Illness: none

ID: 0935028
Sex: F
Age: 45
State: MS

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

Lab Data:

Allergies: pencillin

Symptoms: Head ache Aching fever fatigue throat sore

Other Meds: aubagio

Current Illness:

ID: 0935029
Sex: F
Age: 31
State: MA

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

Lab Data:

Allergies: NKDA

Symptoms: Dizziness, light headedness, nausea, chills

Other Meds:

Current Illness:

ID: 0935030
Sex: F
Age: 43
State: MT

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

Lab Data:

Allergies:

Symptoms: Body aches, lump on arm, Fever

Other Meds:

Current Illness:

ID: 0935031
Sex: F
Age: 50
State:

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

Lab Data:

Allergies:

Symptoms: nausea, headache, fever. called in sick to work.

Other Meds:

Current Illness:

ID: 0935032
Sex: F
Age: 44
State: NE

Vax Date: 12/24/2020
Onset Date: 12/25/2020
Rec V Date: 01/11/2021
Hospital:

Lab Data: CBC within normal limits, ABG's - PC02 = 34.7; and p02 = 38.0, CMP within normal limits, D-Dimer = 835, Lactic Acid = 1.0 and Procalcitonin = <0.05. She received HHN treatments in ER. Discharge to home diagnosis was pneumonia due to Covid -19 virus. Again local health department reports questionable increase in side effects after the vaccine in some that are or were Covid positive.

Allergies: Denies any allergies to medications

Symptoms: She received her Covid vaccine on 12/24/2020 denies any s/s of illness on day of the injection. On 12/25/2020 she reports after 1200 pm noting feeling of fatigue, sl. cough with SOB noted, and fever of 100.4. On 12/26/2020 she reports having sorethroat, fevers around the 100 range, but denies cough. On 12/28/2020 she got tested for Covid due to having s/s mentioned above. She was found to be Covid positive on 12/28/2020. She was seen in the ER with s/s of some loose stools, mild pleuritic cough, mild fever and pulse oximetry in the 80 range. She was placed on an Albuterol inhaler and 6 days of Dexamethasone 6 mg with instructions to not to return to work at least until 01/11/2021. Our local Health Department felt a VAERS form should be completed since she became Covid positive and required medical treatment even though she could have had the exposure prior to receiving the vaccine.

Other Meds: Zolpidem Tartrate, Sprintec 28, Escitalopram Oxalate, and Valtrex prn

Current Illness: Denies any illness at time of the vaccination and denies any illness up to one month prior of the vaccine.

ID: 0935033
Sex: F
Age: 20
State: ME

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

Lab Data:

Allergies: Seasonal allergies

Symptoms: Reports raised rash all overbody.

Other Meds: 0

Current Illness: 0

ID: 0935034
Sex: F
Age: 44
State: OH

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

Lab Data:

Allergies:

Symptoms: started 1/08/2021 at 18:00,tired, dizzy, weak, fatigue, 99.4, slept 1/9

Other Meds:

Current Illness:

ID: 0935035
Sex: F
Age: 62
State: MA

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

Lab Data:

Allergies: no

Symptoms: On 1/6/21, I received the initial COVID vaccination. Later that evening, I started to experience pain, swelling and redness at the injection site (right arm). I also had a severe headache with nausea. I was directed to get a COVID test, at the hospital on 1/7/21. I continued to experience these side effects of the vaccine for the next 2 days.

Other Meds: no

Current Illness: no

ID: 0935036
Sex: F
Age: 35
State: AR

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

Lab Data:

Allergies: No

Symptoms: I had low grade fever, chills, body aches and joint pains which cause me to barely stand up. These symptoms lasted for about 24 hours. Since I'm pregnant I couldn't take any Ibuprofen being pregnant(estimated date of delivery) 3/16/2021.

Other Meds: Prenatal Vit, Pepcid, Unisom

Current Illness: No

ID: 0935037
Sex: F
Age: 48
State: IL

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

Lab Data:

Allergies:

Symptoms: Low grade fever 100.5, headache, severe body aches, redness and swelling at the site of injection.

Other Meds: unknown

Current Illness: COVID 19 December 2020

ID: 0935038
Sex: F
Age: 65
State: CA

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

Lab Data:

Allergies:

Symptoms: Patient received the Moderna vaccine on 1/7/2021. C/O L swelling, red arm at the injection site. The swelling worsening > 48 hours. Unable to sleep due to the discomfort. Improved today, 1/11/2021 with TAC Rx. Benadryl does not seem to work. She is concerned that she also has "itching" all over the upper and lower extremities. No rash. Her face and body are not itchy. Denies fever, chills, HA, dizziness, any GI or respiratory symptoms.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm