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: 0935241
Sex: F
Age: 55
State: MT

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

Lab Data:

Allergies: norco, percocet, strawberries.

Symptoms: Patient was given injection 17:50. Observed for 15 minutes and felt fine. Driving home she was on the phone with her daughter. She made it home and began to feel dizzy. Daughter asked if she was all right and she states her voice was sounding funny. Patient states she felt like her throat was closing up. She immediately took 10 mL liquid benadryl she had at her house. She waited and felt better. She did not seek additional medical attention. Improved quickly and no further symptoms over the rest of the weekend.

Other Meds: none

Current Illness: none

ID: 0935243
Sex: M
Age: 57
State: UT

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

Lab Data: NONE

Allergies: Penicillin

Symptoms: Itching Rash / Hives It started slowly early in the afternoon and progressively got worse. It would start maybe on my arm then move to my calf, then would go away and then it would start up again on my chest or thigh .it rotated around my body no hands, feet or head , and the itching was driving me crazy.

Other Meds: Synthroid .112mg , Buproion HCL 150mg , Escitalopram Oxalate10mg ,Zolpidem 5mg , Tadalafil 5mg Advil,800 mg All meds are just once a day

Current Illness: NONE

ID: 0935244
Sex: F
Age: 44
State: PR

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

Lab Data:

Allergies: NO

Symptoms: Strong headache, strong body aches, shortness of breath (fatigue)

Other Meds: Tylenol

Current Illness: NO

ID: 0935245
Sex: F
Age: 32
State: MO

Vax Date: 12/22/2020
Onset Date: 12/29/2020
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies: Macrobid Sulfa

Symptoms: Hive reaction to middle arm below deltoid above elbow towards back of arm. No reaction to injection site. Red, raised, warm, hives. Mild itching. Took 1 dose of Benadryl on 1/4/21 with hydrocortisone topically. Rash lasted approximately 8 days, gone by 1/6/21.

Other Meds:

Current Illness:

ID: 0935246
Sex: F
Age: 36
State: NJ

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

Lab Data:

Allergies: Metformin, Latex,Tamarind, Dust, Abilify, Adhesive, Tessalon Perles

Symptoms: 30 mins after injections my hands swelled and turned red. They began itching. The itching spread all over my body. This lasted 24 hours. I also had a headache for 72 hours.

Other Meds:

Current Illness: Upper Respiratory infection 2 weeks prior.

ID: 0935247
Sex: F
Age: 36
State: TX

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

Lab Data: Emergency room performed EKG and assessed vita signs symptoms relived while waiting in the ER

Allergies: None

Symptoms: Had palpitations while I was sleeping that woke me up. Had numbness to right and left arms. Later that morning around 1130 had palpitations, dizziness, lightheaded ness that would not go away even when sitting down. I felt numbness around my mouth took blood pressure and it was elevated 200 systolic and 100 systolic called EMS they assessed my blood pressure but it was normal systolic 130?s which is hi for me Norma blood pressure for me 90-100 systolic

Other Meds: Centrum silver multivitamin Biotin Vitamin D Vitamin B13

Current Illness: None

ID: 0935248
Sex: F
Age: 39
State: KY

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

Lab Data:

Allergies:

Symptoms: Received vaccine on 12/21 and tested positive for Covid19 on 12/29

Other Meds:

Current Illness:

ID: 0935249
Sex: F
Age: 43
State: CA

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

Lab Data: None.

Allergies: Neosporin

Symptoms: Severe itching (not at injection site), but on eye, forehead, and scalp. Mild itching sensation on the day of vaccination, but it got worse the next 2 days. The only medication I am allergic to is Neosporin, so I don't know if the vaccine has components of this in it.

Other Meds: Multiple vitamin, magnesium, B12

Current Illness: N/A

ID: 0935250
Sex: M
Age: 25
State: PA

Vax Date: 12/28/2020
Onset Date: 01/02/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies:

Symptoms: RASH TO NECK, LOWER BACK AND GENITALIA

Other Meds:

Current Illness:

ID: 0935251
Sex: F
Age: 33
State: TX

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

Lab Data: CT scan of the brain

Allergies:

Symptoms: Severe Headache 20 hours

Other Meds:

Current Illness:

ID: 0935252
Sex: F
Age: 26
State: MO

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

Lab Data:

Allergies: seasonal, ragweed, dairy, grass, trees

Symptoms: My armpit lymph nodes are swollen and very tender on the same arm that my shot was given. my symptoms are not reproducible other than to palpation. There is also visible swelling. no rash or redness in the area.

Other Meds:

Current Illness:

ID: 0935253
Sex: F
Age: 43
State: NJ

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

Lab Data: None

Allergies: Sulpha, enalapril

Symptoms: Headache, chills, muscle aches, fatigue

Other Meds: Victoza, Metformin, Synthroid, Vitamin D, Multivitamin,

Current Illness: None

ID: 0935254
Sex: M
Age: 26
State: IN

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

Lab Data:

Allergies: Hay fever

Symptoms: Headache, fever, nausea, pain in joins and skin, vomiting, fatigue, fever, shakes and chills

Other Meds: Famotidine, biotin, probiotics gummies.

Current Illness: Was sick with the cold the last week of december

ID: 0935255
Sex: F
Age: 21
State: WI

Vax Date: 12/29/2020
Onset Date: 01/05/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data:

Allergies: Seasonal Allergies

Symptoms: On 1/5/21 Patient noted that the deltoid in which she received the vaccine was swollen, with bluish looking marks initially that transitioned to redness and a patchy, itchy, raised, red rash that spread down her arm, across her chest and abdomen. On 1/6/21, the rash worsened, resulting in patient going to the ER. Benadryl was prescribed and she was told to follow up with her primary MD.

Other Meds: takes Advair and Zyrtec

Current Illness: Has chronic asthma

ID: 0935256
Sex: M
Age: 73
State: TX

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

Lab Data: None

Allergies:

Symptoms: Pt reports that he starting having rapid heart beat and "feeling like his heart is in his throat" for several days after injection. Symptoms subsided without intervention. Denied chest pain.

Other Meds:

Current Illness:

ID: 0935257
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: None

Allergies: NKA

Symptoms: Small areas of skin blotching in the forearms and c/o feeling some pressure in chest when she walked and went away at rest. No tx needed. O2 Sat remained above 98% on room air and denied any itching to skin anywhere.

Other Meds: Unknown

Current Illness: Unknown

ID: 0935258
Sex: F
Age: 39
State: KS

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

Lab Data:

Allergies: No known drug allergies

Symptoms: Pfizer COVID-19 Vaccine EUA Patient experienced swelling of the tongue around 7 hrs after vaccination. Patient took oral prednisone and swelling resolved.

Other Meds:

Current Illness:

ID: 0935259
Sex: F
Age: 55
State: IN

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

Lab Data:

Allergies: Penicillin and Sulfa

Symptoms: Moderate fatigue till around 6:00 PM. Slept.

Other Meds: Atorvastatin, Famotidine, Loratadine, Cetirizine, Restasis, Citrical, One A Day women?s, Lansoprazole

Current Illness: None

ID: 0935260
Sex: M
Age: 27
State: NC

Vax Date: 12/23/2020
Onset Date: 12/28/2020
Rec V Date: 01/11/2021
Hospital:

Lab Data: Ultrasound : negative, Employer Covid-19 test: 1/6/21 negative

Allergies: aterol, Paxil, Zoloft, pamelor

Symptoms: Nerve pain left arm to shoulder and ring and pinky finger weakness in l hand and arm pain and heart; concussion symptoms, severe headaches, body weakness and disorientation, lights bright and sensitive. ER visit 1/9/2021 - ER referral to Ortho Spine. Continuing pain radiates to different degrees l arm to hand to include burning shoulder pain, concussion symptoms, severe headaches, body weakness and disorientation, lights bright and sensitive.

Other Meds: Lexapro, Buproprinon, multivitamin

Current Illness: N/A

ID: 0935261
Sex: U
Age:
State:

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

Lab Data:

Allergies:

Symptoms: None stated.

Other Meds:

Current Illness:

ID: 0935262
Sex: F
Age: 26
State: MO

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

Lab Data:

Allergies: seasonal, ragweed, dairy, grass, trees

Symptoms: My armpit lymph nodes are swollen and very tender on the same arm that my shot was given. my symptoms are not reproducible other than to palpation. There is also visible swelling. no rash or redness in the area.

Other Meds:

Current Illness:

ID: 0935263
Sex: M
Age: 66
State: PA

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

Lab Data:

Allergies: Tape, Oral Allergy-Some fruit

Symptoms: About 5 days the vaccine, developed a red rash about 7x4 cm around the site of injection.

Other Meds: ASA, Rosuvastatin, Vitamin E, Multi-Vitamin

Current Illness:

ID: 0935264
Sex: M
Age: 75
State: TN

Vax Date: 01/02/2021
Onset Date: 01/03/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: 2 VISITS TO ALLEGRY CLINIC JAN 9 AND 11 STEROID SHOT TODAY

Allergies: NONE

Symptoms: AFTER ABOUT 14 HOURS, I DEVELOPED A BURNIG UNDER MY EYES IN MY SINUS CAVATIES. NEXT NIGHT AND REMAINDER OF NIGHTS, SAME PROBLEM (SLIGHTLY LESS PAIN) JUST ON LEFT SIDE OF MY FACE. EARLY THIS MORMING, THE BURNING (IRIRATION) CAME TO MY LEFT SIDE UPPERV GUM AND MY UPPER TEETH

Other Meds: ANDROGEL 1.62 GEL, CLONAZEPAM .5, HYDROCHLOROTHIAZ 25,

Current Illness: NONE

ID: 0935265
Sex: F
Age: 29
State:

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

Lab Data:

Allergies: No known allergies

Symptoms: Chills, myalgia, headache, fatigue lasted 1 day. headache persisted to the next day

Other Meds: Levothyroxine

Current Illness: No

ID: 0935266
Sex: F
Age: 41
State: WI

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

Lab Data:

Allergies:

Symptoms: Patient presents with abdominal pain that started in the middle of the night. Had first COVID vaccine the previous day. Patient states the pain is intermittent "comes and goes" "cramping" "pressure and bloating" feeling. Patient states her normal bowel movements are 12 times per day. The last time she went was this morning. She is concerned about an "obstruction" Patient states she has "some nausea" She states she has ate and drank normally today. Patient has a history of ulcerative colitis and a complete colectomy with a ileal rectal pouch. She has had abdominal pain since this morning which is crampy, associated with nausea and recurrent vomiting. She normally has 6-12 bowel movements a day, but none since this morning. She does feel her abdomen is distended as well. The last time she had anything like this was when she developed pouch itis last spring, but that was much less painful than this. Her appendix is gone, but she believes she still has her gallbladder.

Other Meds:

Current Illness:

ID: 0935267
Sex: M
Age: 24
State: NJ

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

Lab Data: Elevated liver function s Covid

Allergies: Percocets

Symptoms: Fever 103, body aches, nausea vomiting , Diarrhea treated with Antibiotics , Treated with IV Fluids

Other Meds: daily multivitamin

Current Illness: None

ID: 0935268
Sex: F
Age: 58
State: NY

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

Lab Data: no

Allergies: no

Symptoms: Chills, Nausea, fatigue, vomiting, fever 101, headache, muscle pain, joint pain. Lasted for 12 hours. 3am-3pm.

Other Meds: Losartan, b12, multivitamin, fish oil.

Current Illness: no

ID: 0935269
Sex: F
Age: 50
State: CA

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

Lab Data:

Allergies:

Symptoms: Fever sore arm

Other Meds:

Current Illness:

ID: 0935270
Sex: F
Age: 30
State: MD

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

Lab Data:

Allergies: None

Symptoms: Painful supraclavicular lymphadenopathy on the side of the injection

Other Meds: Daily multivitamin

Current Illness: None

ID: 0935271
Sex: F
Age: 43
State: OK

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

Lab Data: I work at hospital - physician at hospital immediately got me a shot of steroid and has started me on a steroid dose pack - I have contacted my primary care physician and was informed to let my employee health know. Informed them and they gave me this website to further report to.

Allergies: Penicillin and Ceclor

Symptoms: Day 1 - arm soreness, Day 2 - Fatigue and face numbness and tingle Day 3 - Face numbness and tingle followed by droopy right eye and then right sided mouth drooping that comes and goes.

Other Meds: Synthroid, Effexor, Ambien

Current Illness: None

ID: 0935272
Sex: F
Age: 69
State: NY

Vax Date: 01/02/2021
Onset Date: 01/03/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: none

Allergies: cats

Symptoms: Was woken up at approximately 6:00 AM (approximately 18 hours after the injection) with difficulty breathing. Symptoms improved after about a half hour, and were gone about an hour after onset. No treatment done as the symptoms subsided.

Other Meds: Felodopine, htzc, ezetimibe. vitamin B complex, aspirin 81 mg

Current Illness: none

ID: 0935273
Sex: F
Age: 25
State: IN

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

Lab Data:

Allergies:

Symptoms: Around Midnight, the night following the second COVID-19 vaccine I started to become ill with feverish chills and nausea and puking. The nausea and puking went away a couple of hours after it started, so it could have been related to dinner. But the feverish chills continued well into the following day, Sunday 1/10. Sunday morning I woke up still feverish with a temp of 99.7, and also achy with a slight sore throat. I drank plenty of fluids and napped during the day of 1/10 to break the fever, followed with day-quil and ny-quil at night. On Monday, 1/11 I woke up feeling much improved and no longer felt ill.

Other Meds:

Current Illness:

ID: 0935274
Sex: F
Age: 29
State: WA

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

Lab Data:

Allergies: Hx of tunnel vision with immunization, hx of nausea during blood draws

Symptoms: Syncope immediately after administration fell onto the left side then faced down gasping for air. Patient was immediately turned over to one side to allow breathing and then patient regained consciousness after 2 minutes. Patient was monitored for 1 hour, reported nausea during monitoring and went home with assistance of a friend.

Other Meds:

Current Illness:

ID: 0935275
Sex: F
Age: 34
State: NE

Vax Date: 12/28/2020
Onset Date: 01/06/2021
Rec V Date: 01/11/2021
Hospital:

Lab Data: none

Allergies: Reglan, paper tape

Symptoms: Day 10 my arm became red and warm to touch and skin around injection area is itchy. No fever noted.

Other Meds: Singular 10 mg Zyrtec 10 mg Prozac 20mg Aspirin 81mg Levothyroxine 87.5 mcg Prenatal vitamin 1 tablet

Current Illness: None

ID: 0935276
Sex: F
Age: 52
State: CA

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

Lab Data:

Allergies: NA

Symptoms: INITIALLY X2 DAYS: REDNESS/SORENESS TO SITE LEFT DELTOID 7TH DAY SWELLING TO LD RAISED AND HOT HEADACHE/TIRED 8TH DAY MILD BODY ACHE/HEADACHE 9TH DAY LD STILL RED RAISED & HOT

Other Meds: Glucophage trospium Wellbutrin Zoloft prinivil lipitor estring

Current Illness: NA

ID: 0935277
Sex: F
Age: 27
State: CA

Vax Date: 12/18/2020
Onset Date: 12/20/2020
Rec V Date: 01/11/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: I had redness injection site and little rash. I notice little red spots. The 2nd day I receive bumps on both arm, which was very itchy. The 3rd day my whole body was fill with the bumps. The bumps lasted for a week.

Other Meds: None

Current Illness: Anxiety

ID: 0935278
Sex: F
Age: 61
State: TX

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

Lab Data: None

Allergies: Norco

Symptoms: Fever to 103.4 oral, headache, fatigue starting 17 hours post vaccination and lasting for about 18 hours.

Other Meds: HCTZ/Lisonphil 10/12.5 mg daily Multivitamin daily Vit D3 daily

Current Illness: None

ID: 0935280
Sex: F
Age: 41
State: KY

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

Lab Data:

Allergies: NKDA

Symptoms: Received the vaccine on 12/29/2020 and tested positive for Covid19 on January 4, 2021

Other Meds:

Current Illness:

ID: 0935281
Sex: F
Age: 45
State: AZ

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

Lab Data: 11/05/2020 eye exam, eye pressure test along with picture of my eyes by the eye doctor.

Allergies: Keflex

Symptoms: Started to have blurry vision with my eyeglasses on then got worst in the afternoon, which I took my glasses off to avoid straining my eye to focus on my computer screen and paperwork. Vision was more blurry without my glasses but could not wear my glasses which made the blurriness worst. Had pressure behind my eyes with a mild headache along with sensitivity to light. The next day 11/05/2021, had my eyes checked by the eye doctor who indicated that everything was normal, eye pressure and response to light. He did put a numbing eye drop in my eye that made the eye pressure relieve for a couple hours but when that wore off, I could feel the pressure behind my eyes. On 11/06/2021, my eye and vision were back to normal

Other Meds: Lisinopril, Loradine

Current Illness:

ID: 0935282
Sex: F
Age: 83
State: MI

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

Lab Data: CBC and CMP

Allergies: Cymbalta, Dilaudid, Fluoxetine, Gentamicin

Symptoms: Localized reaction- 10.4cm round, red, and swollen Right deltoid. Patient verbalizes it only hurts when touched. Cool compressed TID x5days

Other Meds:

Current Illness: UTI

ID: 0935283
Sex: F
Age: 44
State: CO

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

Lab Data: NONE

Allergies: none

Symptoms: Light headedness, Foggy head, body ache, swelling in the axilla for 3 days after injection

Other Meds: none

Current Illness: none

ID: 0935284
Sex: F
Age: 44
State: NM

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

Lab Data: None

Allergies: Sulfa antibiotics, Imitrex

Symptoms: Hives on back and stomach, took a Benadryl on 1/10/2021, but the hives came back on the 11th of January on my abdomen only.

Other Meds: Estradiol Patch 0.075mg

Current Illness: None

ID: 0935285
Sex: F
Age: 41
State: LA

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

Lab Data:

Allergies: Dustmites, cockroach

Symptoms: Rash on back, same side as injection, 6 hours post vaccination. Rash is red and itchy

Other Meds:

Current Illness: Bipolar

ID: 0935286
Sex: M
Age: 53
State: CA

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

Lab Data:

Allergies: None

Symptoms: I developed a cist under my left arm, very sore and tired for about 5 days.

Other Meds: None

Current Illness: None

ID: 0935287
Sex: M
Age: 45
State: TX

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

Lab Data: NONE

Allergies: PERCOCET/ CODIENE

Symptoms: 8JAN21- 1630 - 1730 - light headed, sporadically saw stars every 2 seconds, in wave pattern. 2000-2400- Did not sleep well. Felt dizzy, light headed. Loud ringing in ears. Buzzing of head. 9JAN2021 -Cold sweat, nauseous, prickly pin and needles come and go in hands, arms, legs, and feet. Sharp 2 second knife pains in chest and sides come and go. Strong metallic taste in mouth, even water taste metallic. slight numbness feeling in arms and legs. Very fast heart beat when standing up (120). Immediately drops (to 80) when I lay down. Very loud ringing in ears and buzzing in head. Extreme weakness in muscles. Very fatigued. 10JAN2021 Feeling a little better. Still light headed and slight ringing in ears and buzzing in head. 11JAN2021 Even better but still slight buzzing in head. Very tired and fatigued. Injection site on arm was normally sore (like flu shots). NO headache. NO fever.

Other Meds: NONE

Current Illness: NONE

ID: 0935288
Sex: F
Age:
State: AZ

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

Lab Data:

Allergies:

Symptoms: None stated.

Other Meds: unknown

Current Illness:

ID: 0935289
Sex: F
Age: 55
State: PA

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

Lab Data:

Allergies:

Symptoms: arm pain, unable to lift arm

Other Meds:

Current Illness:

ID: 0935290
Sex: F
Age: 57
State: NJ

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

Lab Data: None

Allergies: Dilaudid

Symptoms: Vaccine recipient developed shakiness and chills 15 minutes after receiving the vaccine on 1/6/2021. Did not go to the ED. The next day 1/7/2021, they developed fever and arm pain. She took Tylenol. On a follow-up call on 1/11/2021, she reported that she has recovered. Moderna COVID- 19 Vaccine EUA.

Other Meds: Multivitamin

Current Illness:

ID: 0935291
Sex: F
Age: 31
State: PA

Vax Date: 12/17/2020
Onset Date: 12/20/2020
Rec V Date: 01/11/2021
Hospital:

Lab Data: Lab tests in ER

Allergies:

Symptoms: Three and a half days after the vaccine experienced nerve pain in my legs. Went into the ER was admitted for observation. Is getting better day to day.

Other Meds: Birth control, parental, DHA supplement, and Flonase.

Current Illness:

ID: 0935292
Sex: M
Age: 74
State: ND

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

Lab Data: none

Allergies: gabapentin, metoprolol

Symptoms: Pruritic rash

Other Meds: Chlorthalidone, Cyclobenzaprine, Diclofenac gel, Diltiazem, Hydrocodone/acetaminophen, omeprazole, rosuvastatin, valsartan, baby ASA, docusate/sennosides, naloxone prn, multivitamin, nicotine lozenge

Current Illness: none (pt denies)

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm