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: 0935039
Sex: F
Age: 64
State: MS

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

Lab Data:

Allergies: NKA

Symptoms: @ 11:25 felt lips go numb, called for help. Talking. Became hoarse, "felt funny". Benadryl 25 mg PO given @ 11:25 a.m. BP 150/92. Pulse 106. Resp 20 Pt remained for total of 30 minutes. Symptoms resolved

Other Meds: Unknown

Current Illness: Unknown

ID: 0935040
Sex: F
Age: 26
State: IL

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

Lab Data:

Allergies:

Symptoms: 1.5 hrs after injection, patient noted redness, mild induration, warmth, tenderness; defined 6cm x 4cm affected area. No change in 3 days since injection; she presented to Health for assessment; site is defined, mild erythema, mild induration, tender. Recommended to apply cold pack, take ibuprofen as anti inflammatory, consult PCP and monitor, and return in 2 days 1/13/21 for update. Advised that PCP may possibly want to prescribe antibiotics if no improvement/resolution (possible cellulitis? does not appear as such to date)..

Other Meds:

Current Illness:

ID: 0935041
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 overlying left deltoid just distal to injection site consistent with cellulitis

Other Meds:

Current Illness:

ID: 0935042
Sex: F
Age: 46
State: AR

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

Lab Data: COVID 19 Rapid positive 12/28/2020

Allergies: Lisinopril (cough/not true allergy)

Symptoms: Diagnosed with COVID 19, Cough, Fatigue, Aguesia, Anosmia, Diarrhea, Headache, phonophobia, leg pain. Patient now knows she was exposed before receiving vaccine.

Other Meds: cyclobenzaprine 5mg 1tab tid prn , oxycodone/apap 5/325 1 tab q6h prn, ondansetron 8mg 1tab q8h prn, rosuvastatin 5mg I tab qday, diclofenac 75mg dr 1 tab bid, amlodipine 5mg 1 tab qday

Current Illness: Gallbladder surgery 12/11/2020

ID: 0935043
Sex: F
Age: 36
State: NJ

Vax Date: 01/04/2021
Onset Date: 01/09/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: none

Allergies: shellfish

Symptoms: immunization on 1/4 to right deltoid. joint pain started on 1/7 and still intermittently (1/11 now). Found right axillary lymph node swelling on 1/9 (still there 1/11). I have not sought medical attention and am self-monitoring. afebrile throughout.

Other Meds: vitamin C, vitamin D, women's multivitamin

Current Illness: sinus infection 1 month earlier- treated with antibiotic

ID: 0935044
Sex: M
Age: 73
State: FL

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

Lab Data: no

Allergies: Penicillin

Symptoms: Waited for 30 minutes. About five minutes on the way home started getting a headache. That evening had bad stomach pains, bloated constipation, sharp pains in left shin, back pain, spinal muscle pains. On 1/10, did not eat, tried to drink fluids, still had bad gas about halfway up the spine. Both side where ribs were hurting. Today, drank a couple sips of coca cola, nothing to eat. Took Colace, helped a little. Dry heaving today, never vomited, still having pain in spine, gas pain comes and goes. Called pcp, had nurse call and told him to take Tylenol.

Other Meds: Tolace

Current Illness: kidney stone surgery

ID: 0935045
Sex: F
Age: 59
State: PA

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

Lab Data: no

Allergies: yes, meds, Sulfa, TCN, Levaquin, Ceftin and Avelox

Symptoms: That evening developed itching and had a rash over upper body and arms, still on arms in AM, went away on it's own, since then have episodes of chills and a trigger finger developed while sleeping on right #4 digit of Right hand, tightness in chest and last night developed pain in left arm and fingers that was very painful and did not respond to 800mg of Ibubrofen. Not sure if related.

Other Meds: No

Current Illness: No

ID: 0935046
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: None

Allergies: Possible TB test allergy

Symptoms: Patient experienced a swollen hand on the same arm as vaccination. Reported redness and a honeycomb like appearance. Checked with patient 2 days later and reaction was still present but not as severe.

Other Meds: None

Current Illness: None

ID: 0935048
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: Body Aches, headache, Swollen Lymph nodes

Other Meds:

Current Illness:

ID: 0935049
Sex: F
Age: 57
State:

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

Lab Data:

Allergies:

Symptoms: feeling really bad. called in sick to work.

Other Meds:

Current Illness:

ID: 0935050
Sex: M
Age: 39
State: TN

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

Lab Data: Covid test

Allergies: None

Symptoms: Started off with Cough lost taste and smell .. Tested positive for covid on 12/28/2020

Other Meds: Escitalopram 10 mg Irbesartan 300

Current Illness: None

ID: 0935051
Sex: F
Age: 33
State: MA

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

Lab Data: none

Allergies: unknown

Symptoms: FEVER 102 chills began 1/8/21

Other Meds: unknown

Current Illness: unknown

ID: 0935052
Sex: F
Age: 39
State: NY

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

Lab Data: EKG

Allergies: none known

Symptoms: brief episodes of dizziness/vertigo several hours after vaccine and several times 1/10/21 and 1/11/21

Other Meds: benicar, bystolic

Current Illness: none

ID: 0935053
Sex: F
Age: 57
State: NY

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

Lab Data: Screened for covid-19 and influenza A and B - pending

Allergies: Penicillin, hydrocodone, Lisinopril

Symptoms: Severe body aches, severe headache, elevated temperature (highest 100.3F)

Other Meds: metformin, metoprolol, valsartan, rosouvastatin, aspirin 81mg, vitamin D, vitamin B12, famotidine

Current Illness:

ID: 0935054
Sex: F
Age: 41
State: NJ

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

Lab Data:

Allergies:

Symptoms: Sever headache, fever, dry cough, sore throat, fatigue, muscle pain

Other Meds: Levothyroxine 175mcg

Current Illness:

ID: 0935055
Sex: F
Age: 39
State: MI

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/11/2021
Hospital:

Lab Data: Had negative COVID test 1/8/21.

Allergies: Norco, Cipro, Anesthesia,

Symptoms: Body aches & severe joint pain, from shoulders down to toes, headache & neck pain, sore throat.

Other Meds: Cozaar, fluoxetine, Admelog, Novolog

Current Illness:

ID: 0935056
Sex: M
Age: 26
State: AZ

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

Lab Data:

Allergies:

Symptoms: Pt began complaining of a headache 10 mins after vaccine administration. Pt denies any other symptoms. Pt does not want to be evaluated by EMS. Pt was monitored for 30 mins with no changes. Pt left the obs area with same headache.

Other Meds:

Current Illness:

ID: 0935057
Sex: F
Age: 56
State: KS

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

Lab Data: None

Allergies: Sulfa, TB test

Symptoms: Pt to report to the RN on the morning of 01/11/2021 that since she received the second dose of the Pfizer vaccine (COVID-10) that she had had disturbing nightmares. Pt reports that she had two night-mares after the 1st dose, but said the second dose she started having nightmares this morning. Pt declined evaluation at the clinic after reporting of the events. Other S/S she had experienced are headache, nausea, chills, weakness, feeling tired but symptoms have improved.

Other Meds: Levothyroxine, cymbalta

Current Illness: None

ID: 0935058
Sex: F
Age: 26
State: TX

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

Lab Data: Vital signs only. Other testing performed at emergency room (unknown at this time)

Allergies: Fentanyl

Symptoms: Patient experienced shortness of breath, sensation of throat swelling, fatigue, body aches, and sore throat about 1 hour after vaccine was administered at a hospital setting and was seen about 6 hours later a different medical office. These symptoms gradually became worse throughout the day. Patient was given Benadryl 25 mg oral syrup one time and emergency medical services were called to the clinic. Patient was transported to the emergency room by paramedics. Patient was called today by provider for a wellness check and notes shortness of breath and sensation of throat swelling resolved after being treated by paramedics and emergency room providers. Patient states she is overall feeling much better.

Other Meds: none

Current Illness: none

ID: 0935059
Sex: F
Age: 24
State:

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

Lab Data: Temp 98.2, HR 81, SPO2 100, BP 148/91.

Allergies: Crab, eicosapentaenoic acid, glucosamine, shellfish containing products, shrimp

Symptoms: 20 minutes after the vaccine the patient felt pain in the right neck and generalized discomfort all over. Allergy called. Vitals taken. Allergy recommended additional 15 minutes of monitoring. No improvement so the patient was transferred to ED for further evaluation.

Other Meds:

Current Illness:

ID: 0935060
Sex: F
Age: 33
State: IL

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

Lab Data: HR 110 BP 162/102

Allergies: PCN, Sulfa

Symptoms: Within 5 minutes of receiving vaccine I became diaphoretic, nauseated, dizzy, hypertensive, and tachycardic

Other Meds: Singulair 10mg daily Plaquenil 400mg daily Xanax 0.25mg q 8 hrs PRN Baby ASA 81mg daily Omeprazole 20mg daily

Current Illness:

ID: 0935061
Sex: M
Age: 39
State: KY

Vax Date: 12/26/2020
Onset Date: 01/09/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: NONE

Allergies:

Symptoms: DEVELOPED RASH, REDNESS, ITCH AND WARMTH AT INJECTION SITE ON DAY 14 POST VACCINATION. RASH/REDNESS APPROXIMATELY 5" IN DIAMETER ACROSS DELTOID AREA.

Other Meds:

Current Illness:

ID: 0935062
Sex: F
Age: 26
State:

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

Lab Data:

Allergies:

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

Other Meds:

Current Illness:

ID: 0935063
Sex: F
Age: 46
State: NJ

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

Lab Data: none

Allergies: NKA

Symptoms: Patient is a 46 yo I female with no sig PMH who reports the onset of fever, body aches and chills on Saturday 1/9 after receiving dose#2 of the Pfizer COVID Vaccine on 1/8 24 hours prior. Her temp went up to 100.4. She took Tylenol and motrin with subsequent resolution of symptoms except some slight body aches and the onset yesterday of bilateral stocking like paresthesia in LE's. As the body aches improved, she noticed the paresthesias more although they have lessened somewhat today. No prior history of COVID. Allgergies: NKA Meds: as above SH: Tob: none. ASSESSMENT Vaccine Reaction to COVID. PLAN Follow up with OMS tomorrow or prn.

Other Meds: none

Current Illness: None

ID: 0935064
Sex: F
Age: 64
State: RI

Vax Date: 01/02/2021
Onset Date: 01/06/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: 1/6/21 Developed fever, chills, headache & respiratory cough. Fever lasted 2 days (101.7). Chest congestion continued to 1/10/21. On 1/9/21 lost sense of smell and taste and is still ongoing as of 1/11/21.

Other Meds: Zyrtec, Montelukast 10mg, Vitamin D 50 mcg, turmeric 2 capsules.

Current Illness:

ID: 0935065
Sex: F
Age: 44
State: MT

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

Lab Data:

Allergies:

Symptoms: Redness, pain injection site, swollen armpit resolved

Other Meds:

Current Illness:

ID: 0935066
Sex: F
Age: 42
State:

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

Lab Data:

Allergies:

Symptoms: Hives, shortness of breath, treated at emergency department with Epinehrine & steriods

Other Meds:

Current Illness:

ID: 0935067
Sex: F
Age: 27
State: PA

Vax Date: 12/21/2020
Onset Date: 12/27/2020
Rec V Date: 01/11/2021
Hospital:

Lab Data: Physical Exam of area by Gynecologist for possible breast tissue lump (12/30/2020)

Allergies: None

Symptoms: Lymphedema in under arm area. Affected area is under the arm in which I received the vaccination.

Other Meds: Trisprintec birth control, melatonin

Current Illness: None

ID: 0935068
Sex: F
Age: 38
State: IL

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

Lab Data: none

Allergies: Penicillin

Symptoms: (Saturday)rigors @about 730 PM with temp of 100.9. Tylenol 650mg taken. (Sunday)Body aches in the morning with temp of 100.5. Ibuprofen 600mg taken. Felt better about 3pm. (Monday) Pain/discomfort to armpit and numbness to Left arm (Arm that injection was given)

Other Meds: None

Current Illness: None

ID: 0935069
Sex: F
Age: 44
State: AZ

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

Lab Data:

Allergies:

Symptoms: Severe flue like symptoms. My arm was killing me for 1 week. I had a horrible headache for 5 days. My body ached for 3 days. I couldn't get out of bed for 2 days. It was worse than COVID.

Other Meds:

Current Illness: Recovered from Covid-19 2 weeks prior

ID: 0935070
Sex: F
Age: 61
State: NJ

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

Lab Data: none

Allergies: Ampicillin, cephalosporine

Symptoms: Site reaction began approximately 6-7 hours after receiving vaccine including swelling, redness of 2" diameter around injection site and pruritus. Swelling diminished after 2 days. Redness and pruritus still present 72 hours post injection. Treatment with OTC topical hydrocortisone cream and fexofenadine 60 mg q 12 hrs. effective for pruritus.

Other Meds: irbesartan 300 mg QD, amlodipine 10 mg QD, pantoprazole 40 mg QD, multi-vitamin, Vit-D 2000 units QD

Current Illness: none

ID: 0935071
Sex: F
Age: 62
State: MD

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

Lab Data: none

Allergies: no known aallergies

Symptoms: very sore left arm with in hrs . Went on to devlop 7/10 neck left shoulder joint and lower back pain with in hrs . Extreme exhustion and nausea, headache -couldnt eat dinner on thursday night had a brief left ear ache through the night and periods of extreme chills /shaking , no food friday , called out sickNow RIGHT arm hurting ! -symptoms continued went to bed at 1800 hrs and woke up at midnight with soaking wet bedlinens and pjs . Family helped me change linen . Took M otrin 800mgs po and slept throguh the rest of the night woke up sat AM and was perfectly fine , hungry and back to usual self ( Of interest : was hospitalized with COVID 19 pneumonia march 2020 for one week ,received the anti malaria drug ( at that time was the recommended tx .) Still tested positive 4 months out in July 2020 at location(that sample is frozen at facility - and have not rested ( maybe had an acute response to the vaccine due to antibodies from primary infection ???

Other Meds: none

Current Illness: none

ID: 0935072
Sex: M
Age: 26
State: CA

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

Lab Data:

Allergies:

Symptoms: Pt complaining of a headache 10 mins after vaccine. No other symptoms. Pt declined evaluation by EMS. Pt left obs area after 30 mins.

Other Meds:

Current Illness:

ID: 0935073
Sex: F
Age: 41
State: AZ

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

Lab Data:

Allergies:

Symptoms: redness about the size of a silver dollar at injection site, itchy with hard lump

Other Meds:

Current Illness:

ID: 0935074
Sex: F
Age: 31
State: OH

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

Lab Data: none

Allergies: None that I'm aware of

Symptoms: The night of the vaccine (01/07/2021) I got severe muscle aches, no relief from a heating pad or ibuprofen/Tylenol. Woke up 01/08/2021 with muscle aches still, headache, fever of 101.8 and fatigue, loss of appetite, brain fog, palpitations. Symptoms lasted all day 01/08/2021 with no relief from OTC pain medications or fioricet for headaches or my Xanax and propranolol for palpitations. Felt about 75% better 01/08/2021 night. Completely better 01/09/2021

Other Meds: Adderall ER 25mg once daily, Duloxetine 30mg once daily, Omeprazole 40mg once daily, Propanolol 20mg once daily, Vitamin D 2,000IU Gummy Once daily, B Complex once daily.

Current Illness: Covid-19: symptoms started on 12/25/2020, asymptomatic for 1 week prior to vaccine.

ID: 0935075
Sex: F
Age: 40
State: MI

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

Lab Data:

Allergies:

Symptoms: itchy, clammy, sweaty

Other Meds:

Current Illness:

ID: 0935076
Sex: F
Age: 29
State: IN

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

Lab Data:

Allergies: None

Symptoms: Red swollen lump that started same day of vaccine and is still there. Larger and hot to the touch. Fatigue and exhaustion. Body aches. Headache.

Other Meds: Sertraline Generic Zyrtec Sensimist

Current Illness: None

ID: 0935077
Sex: F
Age: 46
State:

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

Lab Data:

Allergies:

Symptoms: muscle ache, fever, can barely move. called in sick to work.

Other Meds:

Current Illness:

ID: 0935078
Sex: M
Age: 61
State: IN

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

Lab Data:

Allergies: ACE inhibitors

Symptoms: Severe chilling, aching, slight headache and Tmax of 103.2

Other Meds: Divan 320/12.5, simvastatin 40mg, omeprazole 20mg, Synjardy 1000/5, aspirin 81mg, Combigan 0.2%/0.5%, Lumigan 0.01%, Lotemax 0.5%

Current Illness: None. COVID positive 9/27/2020

ID: 0935079
Sex: F
Age: 68
State: NJ

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

Lab Data: none

Allergies: none

Symptoms: Day 2 after vaccination I experienced severe headache, dizziness on standing, and stroke like movement in my right leg being unable to advance it normally when walking and my right foot turning so that I stood on the outside border of my foot. After sitting down I experienced visual disturbance in my right eye of blurred vision and corona of bright lines that zigzagged. These symptoms slowly resolved over the next hour, but left with extreme fatigue.

Other Meds: Lexapro 10 mg Lipitor 40mg Amytryptillin 25mg

Current Illness: none

ID: 0935080
Sex: F
Age: 57
State: WI

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

Lab Data: none

Allergies: Amoxicillin = rash on body some cologne

Symptoms: 1/11/2021, Monday 0800- received vaccine L arm 0845- felt like her B/P was going up, that ended at 0930. 0900- headache began 0930- began feeling nauseated and dizzy 10:00- began feeling very lethargic Went home from work early today.

Other Meds: High blood pressure medication daily Aspirin daily Protonix prn Allergy med prn Aleve prn

Current Illness: none

ID: 0935081
Sex: F
Age: 45
State: MT

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

Lab Data:

Allergies:

Symptoms: redness, pain on arm resolved

Other Meds:

Current Illness:

ID: 0935082
Sex: F
Age: 48
State: CA

Vax Date: 01/04/2021
Onset Date: 01/07/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient reports Difficulty breathing, phlemy throat, flu like symptoms

Other Meds:

Current Illness:

ID: 0935083
Sex: F
Age: 54
State: KS

Vax Date: 12/30/2020
Onset Date: 01/02/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: Employer Covid-19 Test 1/8/2021 - positive

Allergies: Lamictal, reglan

Symptoms: clear nasal drainage, mild cough, low grade fever, chronic migraine/headache radiates pain on left side of body from head to feet,

Other Meds: Januvia, Lantus insulin, Novolog insulin, Paroxitine, Spiralotone, Levothyroxine, Glyvurive

Current Illness: N/A

ID: 0935084
Sex: F
Age: 30
State: ME

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

Lab Data:

Allergies: Possible allergies to mold, malarone/mepron, dairy and codfish

Symptoms: Approximately 5 minutes after receiving the Moderna COVID-19 vaccine in my left deltoid, my mouth felt prickly and tasted metallic, my lips and tongue turned red and slightly swollen, along with swelling in my throat. After about 30 minutes the oral sensations improved, but my throat tightness increased. With some difficulty I swallowed a 25 mg capsule of diphenhydramine. Fifteen minutes after ingesting the capsule, the esophageal swelling improved slightly. Over the next 18 hours I continued taking 50 mg diphenhydramine every 4-6 hours. On 12/31/20 I no longer experienced any oral/esophageal swelling or abnormal sensations. However on 12/31/20 I developed severe pain and swelling at the injection site, extending to the left shoulder, head and neck, along with profound fatigue and full body myalgias and arthralgias, lasting through 1/3/21. I felt well January 4-6. However, on the evening of 1/6/21 I again developed severe pain and swelling at the injection site, extending to the left shoulder, head and neck, along with profound fatigue and full body myalgias and arthralgias, persisting until 1/9/21. On 1/8/21 I additionally experienced pruritis and erythema on my left deltoid, this resolved spontaneously on 1/10/21.

Other Meds: Vitamin D, probiotics, magnesium

Current Illness: None

ID: 0935085
Sex: F
Age: 63
State: PA

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

Lab Data:

Allergies: Sulfa, avelox

Symptoms: local skin reaction: pain, rash, erythema, warmth, swelling

Other Meds:

Current Illness:

ID: 0935086
Sex: F
Age: 56
State: UT

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

Lab Data: COVID test 12/26/2020 and 12/29/2020 CXR 12/29/2020

Allergies:

Symptoms: Employee came to my office on 01/04/2021 stating that she received her COVID #1 immunization on 12/24/2020. Later that evening she reports developing a cough, fever, headache, bodyaches, chills and vomiting. Her s/s continued on 12/25/2020 and she reports going to the ED (no record found in to verify this claim) for evaluation. She states a COVID test was ordered (negative results). She sought further treatment on 12/29/2020 for ongoing symptoms. Another COVID test was ordered (negative results) and a CXR was taken, which the employee states "showed inflammation". I advised her to call her PCP for further follow-up care/evaluation and for advice on receiving her second COVID vaccine.

Other Meds:

Current Illness:

ID: 0935087
Sex: F
Age: 33
State: LA

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

Lab Data:

Allergies: none

Symptoms: malaise, fever, total body aches, chills, fatigue, extremity pain, ankle pain, spine pain, pain at injection site, muscle pain

Other Meds: fluoxetine, wellbutrin daily

Current Illness: none

ID: 0935088
Sex: F
Age: 47
State:

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

Lab Data:

Allergies:

Symptoms: Axillary lymphadenopathy, severe fatigue for two days

Other Meds:

Current Illness:

ID: 0935089
Sex: F
Age: 57
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 temp, chills, headache and body ache. Started early morning and were resolved within 12 hours of onset

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm