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: 0936976
Sex: M
Age: 35
State: IN

Vax Date: 01/10/2021
Onset Date: 01/10/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Fever, chills, lethargic

Other Meds: None

Current Illness: None

ID: 0936977
Sex: F
Age: 40
State: MI

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

Lab Data:

Allergies: Compazine

Symptoms: about 12 hours after receiving the 2nd dose of vaccine patient started with Chills, Body Aches, Fever, Headache. Stated that a few hours later she started with diarrhea

Other Meds:

Current Illness:

ID: 0936978
Sex: F
Age: 43
State: OH

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

Lab Data: Individual is going to follow up with her family physician

Allergies: none

Symptoms: Individual called this am and stated she had a red, swollen arm for approximately 1-2 days on 1/5 1nd 1/6 and it resolved. This am 1/12 woke up and her left arm injection site is swollen, red, tender to touch and hot. Advised to contact her family physician for follow up.

Other Meds: none

Current Illness: none

ID: 0936979
Sex: F
Age: 23
State: OH

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

Lab Data: None known

Allergies: Food, Bactrim and levothyroxine

Symptoms: Client vaccinated at a drive thru clinic and was in the waiting area when she complained of SOB and itchy mouth. Client took her own Zyrtec by PO. VSS. Observed for 30 minutes, client denied further issues at that time and declined further medical treatment. EMS was onsite with another issue and assessed client as well. Client wanted to go home and left clinic.

Other Meds: Unkown

Current Illness: Unkown

ID: 0936980
Sex: F
Age: 58
State: TX

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

Lab Data: none

Allergies: Erythromycin, Aleve

Symptoms: chills, fever of 100.3, aches

Other Meds: citalopram, estradiol, buproprion, lomotrigine, levothyroxine

Current Illness: Covid

ID: 0936981
Sex: F
Age: 66
State: MI

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

Lab Data: none

Allergies: Endocine

Symptoms: Chills and Fever of 101.9 at its highest. It started on the evening that I received the vaccine. My fever broke at 11pm the next day. I have bruising at the vaccine site and have redness below the site.

Other Meds: Vitamine C and D and Calcium Bayer 81mg Baby aspirin Simvastatin 20mg Cetirizine hcl 10 mg Hydrocholorothiaz 25mg

Current Illness: none

ID: 0936982
Sex: F
Age: 61
State: MN

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

Lab Data: none

Allergies: PCN Trulicity

Symptoms: 8 days after vaccination, noted red, raised rash that was itchy on my right upper arm. It had hurt but no rash or redness the day or 2 after vaccination but now is definitely a rash 3 inches long by 1/2 inch wide. Itchy. no other symptoms noted in last 8 days. no issue with movement. Nothing else new or different on the R upper arm in those 8 days.

Other Meds: Metformin, Ozempic, Lantus, Lisinopril, Lovastatin, ASA 81 mg, Vit d 4000 IU/day

Current Illness: none

ID: 0936983
Sex: M
Age: 41
State: IN

Vax Date: 01/10/2021
Onset Date: 01/10/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Muscle and joint pain/aches, mild headache, fatigue - lasted approximately 24 hours

Other Meds: 10 mg Loratadine Vit D 25 mcg (1000IU) x 2 Nasal Spray 55 mg each nostril

Current Illness: none

ID: 0936984
Sex: M
Age: 65
State: NJ

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

Lab Data: just self monitoring, have been evaluated by cardiologist 1 year ago who didn't advise anti-coagulation.

Allergies: squid

Symptoms: i'm an ophthalmologist with paroxysmal afib. very fit, play tennis at the national level 2-3x/week. usually have 2-3 brief bouts of afib per year. since being vaccinated (got second shot on 1/9/2021) have had at least 5 bouts lasting minutes to hours, some apc's also. incidence decreased after the first shot, and seems to be occurring same way after the second shot.

Other Meds: none

Current Illness: paroxysmal afib

ID: 0936985
Sex: F
Age: 42
State: MN

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

Lab Data: NA

Allergies: Sulfa Penicillin

Symptoms: Pain NOT tenderness in R arm rated 6-7/10 with movement and radiating into neck. I worked out this morning hoping the movement and circulation would improve the pain but no improvement. Unable to lie on R side secondary to arm pain. Developed chills, fever 101.1, muscle aches throughout body, and headache. No nausea or vomiting. Took ibuprofen to hopefully help the pain and aches. Will take tylenol if the fever persists.

Other Meds: No medications on the day of vaccination. Ibuprofen 600mg on am of 01/12/2021. No prescription medications, dietary supplements or herbal remedies.

Current Illness: NA

ID: 0936986
Sex: F
Age:
State: SC

Vax Date:
Onset Date: 01/10/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Diffuse rash and itching

Other Meds:

Current Illness:

ID: 0936987
Sex: F
Age: 41
State: IN

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

Lab Data: N/A

Allergies: none

Symptoms: Day 6 post injection, site turned red and felt hot. Began to itch at injection site. Within a few hours, inching spread to upper portion of entire body including scalp. Feverish, cold chills, fatigue started approximately 6 hours after itching onset.

Other Meds: trazadone, celexa, and blood pressure medicine

Current Illness: none

ID: 0936988
Sex: F
Age: 35
State: AL

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: The next morning following the vaccination, my right lower eyelid started severely twitching every 10-15 minutes for 4 days throughout the entire day, usually subsiding at bedtime. Each time it lasts from 30 seconds to 1 minute every single day. on the 5th day, the twitching stopped for approximately 15 hours but returned when I went to sleep and kept me up through the night. THis has really taken a toll on my livelihood and I am afraid of it progressing to Bell's Palsy. I have never had this happen.

Other Meds: None

Current Illness: None

ID: 0936989
Sex: F
Age: 27
State: CT

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

Lab Data:

Allergies: None

Symptoms: Pain at injection site as well as upper arm.

Other Meds: Amoxicillin 500mg Birth control tablet Zyrtec Vitamin C supplement

Current Illness: Acute pharyngitis

ID: 0936990
Sex: F
Age: 39
State: IL

Vax Date: 01/10/2021
Onset Date: 01/10/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data: Still need to see a doctor . Manager at work aware .

Allergies: Penicillin

Symptoms: Arm pain on the Injection site radiating to the left Armpit 3-4 hours after injection. Headache, chills, Nausea, dizziness and fatigue for 2 days. January 10 is second covid vaccine date and January 12th woke up with a swollen left Armpit close to the breast. Left axillary lymph node swollen ? Not sure until I see a doctor. Will go to ER or Immediate Care to get it checked out.

Other Meds: Multivitamin, losartan potassium , hydrochlorothiazide, nabumetone ( taken as needed), bupropion HCL SR

Current Illness:

ID: 0936991
Sex: M
Age: 41
State: MD

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

Lab Data:

Allergies: N/A

Symptoms: I felt a tingling in my middle, ring and pinky fingers of my left hand. This began about 30 minutes after. Approximately 24 hours after, I am noticing that my left hand is slightly tingling, as well.

Other Meds: Men?s One-a-Day Vitamin, Flonase

Current Illness: N/A

ID: 0936992
Sex: F
Age: 63
State: NY

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data: None.

Allergies: Allergic reaction to : Cyclobenzaprine, Amoxicillin, and Prednisone. Allergy consists of a rash. Intolerance to dairy.

Symptoms: Thursday, Jan. 7, 2021 I felt a little strange. Just not myself. A little dizzy. Went to work overnight. Got up at 5 am Friday, Jan 8, 2021. Still felt odd. Dizzy. Had to think before I did anything. I stood up from the bed and sat back down again as if I was dizzy and confused. Drove myself home from work, fed the cats and went right to bed. I felt very fatigued, had developed a monster headache. Was dizzy, had chills, body aches, nausea. I brought water bottle over to the bed with me but after laying down just could not get myself up to get a drink. Felt very fatigued. Slept until 2 pm. Took my temperature. It was 101.5. Had no energy, ate no food, took no meds, just went back to sleep. Still nauseous, had headache, dizziness, fatigue, body aches, chills. Woke up at 5:00 pm to feed cats. That?s all I did, and go to the bathroom. Took my temperature again. It was 100.9. Still felt awful: nauseous, headache, dizziness, fatigue, body aches, chills. Seemed like I could not get warm. Stayed in bed and slept. Saturday, Jan. 9, 2021 I woke up around 7:30 to go to the bathroom. I fed the cats also. Still dizzy, moving slow. My headache was gone, but still felt unsteady. After feeding the cats, I went back to bed. Slept until 12:30 that afternoon.

Other Meds: Omeprazole that morning at approximately 9:00 am.

Current Illness: Some coughing.

ID: 0936993
Sex: F
Age: 42
State: IA

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

Lab Data: 1.5.2020: CBC, CMP, D Dimer, CRP, ESR. CTA of chest negative for PE but demonstrated atypical Pneumonia. RAPID covid test negative. Peripheral smear demonstrated blasts, auer rods. 1.6.2020: Bone marrow biopsy confirmed AML

Allergies: Compazine

Symptoms: Patient began experiencing fevers, body aches, back pain, fatigue, chills the night she received the vaccine. Symptoms progressed for the following four days when she was ultimately seen in PCP office. Laboratory evaluation demonstrated atypical pneumonia and elevated WBC count. Patient was diagnosed with Acute Myeloid Leukemia via bone marrow biopsy and is receiving treatment at the hospital.

Other Meds: Levothyroxine, Trintellix

Current Illness: Strep

ID: 0936994
Sex: F
Age: 42
State: WV

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

Lab Data: None

Allergies: Narcotics

Symptoms: Nausea, dizziness, fatigue, constipation, lower back pain.

Other Meds:

Current Illness: None

ID: 0936995
Sex: F
Age: 54
State: TX

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

Lab Data:

Allergies: n/a

Symptoms: Injection site is swollen, and it had been since administered, a little red and warm; it feels knotty and it itches.. not a lot but it itches.

Other Meds: Lisinopril 20mg 1 pill Multivitamin

Current Illness: n/a

ID: 0936996
Sex: F
Age: 28
State: WA

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

Lab Data:

Allergies: None that I know of

Symptoms: When I first got the shot, 25 minutes later it felt like my left hand wanted to cramp up. That lasted about 3 hours. The. The soreness around the injection started and never went away. Then I could not go to sleep that night, the soreness feeling got more intense. I won?t at 5 trying to get ready but the more I moved my arm the soreness got worse and it started to burn.

Other Meds: None

Current Illness:

ID: 0936997
Sex: F
Age: 53
State: MD

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data:

Allergies:

Symptoms: injection site soreness, nausea, fatigue

Other Meds: OXYCODONE, METFORMIN, LIPITOR, PRINIVIL, VERAPAMIL, DULAGLUTIDE, INSULIN

Current Illness:

ID: 0936998
Sex: F
Age: 38
State: NY

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

Lab Data: None

Allergies: NKDA

Symptoms: Post vaccine day: Day 2 left arm and left leg weakness and numbness, also had moderate Shortness of breath, more with exertion. Day 3 had facial erythema with burning sensation and mild peeling on cheeks and nose.

Other Meds: Synthroid 150mcg daily

Current Illness: None

ID: 0936999
Sex: F
Age: 41
State: NJ

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

Lab Data:

Allergies: Neurontin

Symptoms: Woke up 3:45am because rolled over on very sore arm, stood up and felt nauseated, blacked out, dizzy, chills, couldn?t get warm, sweating. Headache by 8am, no fever. Body aches.

Other Meds: None

Current Illness: None

ID: 0937000
Sex: F
Age: 56
State: PA

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

Lab Data:

Allergies: Penicillin and Vancomycin

Symptoms: Within 90 minutes of receiving the 2nd vaccine dose patient reported developing a full body fine diffuse rash with mild lip swelling. The following morning she reported that the rash was gone but still had an itching sensation in her mouth and throat, no swelling just irritating itch.

Other Meds: Eliquis 2.5mg PO BID

Current Illness:

ID: 0937001
Sex: F
Age: 29
State: MO

Vax Date: 12/31/2020
Onset Date: 01/08/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data:

Allergies: N/A

Symptoms: Received vaccine on 12/31/2020 and on Friday, 01/8/2021 I noticed a red spot on my left shoulder lower than where I was given the injection of the vaccine. The red spot has gotten bigger over the past 4 days. It does not hurt or itch. I am going to see a dermatologist for further inspection of this spot.

Other Meds: Cryselle 28mg birth control escitalopram 10mg

Current Illness: N/A

ID: 0937002
Sex: F
Age: 46
State: OH

Vax Date: 01/07/2021
Onset Date: 01/09/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data:

Allergies: Gluten intolerance

Symptoms: Chills, joint pain, fatigue, rash pain at injection site. As of 1/12/21, rash has not subsided.

Other Meds: Emgality Topamax Ubrelvy Magnesium

Current Illness: None

ID: 0937004
Sex: F
Age: 36
State: IL

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

Lab Data:

Allergies:

Symptoms: Day of shot: she reported "tingling fingers" and "mild fogginess - like I took Benadryl" - declined MD assessment (and states this resolved within hours. Day after shot (1/9), she states she noted redness/tenderness at site, fatigue, body aches, fever to 103 (responsive to tylenol; reduced to 99.4 after 8hrs). She presents to AOH 01/12/21 for assessment of L deltoid: 8x8.5cm injection site erythema/tenderness/very mild induration. States fever has resolved; neck/back aches continue; tenderness at site continues. Possible cellulitis? Advised to seek PCP counsel as soon as possible.

Other Meds:

Current Illness:

ID: 0937005
Sex: F
Age: 41
State: ME

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

Lab Data: CT to be done 1/13 to rule out alternative dx

Allergies: levaquin

Symptoms: patient presented with left facial tingling, nausea and left jaw pain 6 days after receiving Moderna Vaccine, first dose. Exam negative for bacterial illness or extended weakness but CT ordered to RO cva. She did have bells palsy following childbirth(first child)

Other Meds: advair. lexapro, lisinopril, albuterol omeprazole

Current Illness: no

ID: 0937006
Sex: F
Age: 28
State: MI

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

Lab Data: None

Allergies: Environmental

Symptoms: Received 2nd dose of vaccine at 11:00am. Symptoms started at 9pm: severe body aches, chills, headache, low grade fever of 99.7F. I took motrin and went to bed. Woke up multiple times with chills and sweating. When I woke up: worsened headache and fever of 100F. Will take tylenol and get more rest. Had to call out of work for my midnight shift tonight.

Other Meds: Zyrtec

Current Illness: None

ID: 0937007
Sex: M
Age: 36
State: TX

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

Lab Data: Covid test 3 times results negative, Flu, Lab work(inflammatory response level was abnormal)

Allergies: No

Symptoms: It started with a headache felt like migraine. On 12/26 exp difficult breathing, felling fatigue with fever of 102, joint pain in fingers/toes moving to wrist and ankles. Then on 12/27 the joint pain was traveling to knees and 12/28. The symptoms got severe on12/29 followed with a cough. By the 12/30 cough was still there and joint pain. On 12/31 still exp cough until 1/4 and less joint pain. I missed 2 1/2 days of work.

Other Meds: Aspirin daily

Current Illness: No

ID: 0937008
Sex: F
Age: 21
State: KY

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

Lab Data: Per pt report, a medical exam was performed with her PCP on 1-6-2021, but no other tests or lab results related to this adverse event. She was prescribe epi, Benadryl and steroids.

Allergies: PCN

Symptoms: Pt reported that at about 7pm the day of her vaccine she developed a rash on her left arm/leg. It was itchy and so she took a Benadryl. She said her "throat felt thicker" but the Benadryl helped. She went to sleep and was fine. When she woke up the next morning on 1-6-2021 she reported the rash had spread. When she got to work and found me about 9:30 am to ask if that was normal I encouraged her to call her PCP and take a Benadryl. At that time she was having no difficulty breathing. She chose to call her PCP and not take a Benadryl as it makes her sleepy. After she called her PCP she ended up leaving work. I found out later that her breathing had become labored and her neck/throat was starting to swell. Per her report, her PCP gave her epi and steroids, and R/X her an epi pen. She took her medicine and Benadryl around the clock and returned to work on 1-8-2021. When I spoke to her on that day she stated all of her symptoms had resolved, but her lymph nodes in her neck were still a little swollen.

Other Meds: Birth Control pill- Low Loestrin

Current Illness: None

ID: 0937009
Sex: F
Age: 53
State: FL

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

Lab Data: No

Allergies: No

Symptoms: Second dose: A few minutes after getting vaccine. I was sitting in the observation area and I started feeling a pinch in my arm, then I started feeling warm and light headedness. Then they checked my bp and it was 149/93 . Then I had to stay for 30 mins, then I left to go home. I had body ache and a mild temperature. It was 98.2 .My arm is sore, and my joints and body hurts. I have a headache too , and I just took an ibprophen. I am still not feeling well. I did not go to the ER, hospital or doctors office about this ae.

Other Meds: Tamoxixen

Current Illness: No

ID: 0937010
Sex: M
Age: 61
State: MD

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

Lab Data:

Allergies:

Symptoms: Left arm numbness and chest pain. saw doctor on site. no other details regarding treatment.

Other Meds:

Current Illness:

ID: 0937012
Sex: F
Age: 35
State: GA

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Local site reaction: erythema, swelling, induration at site of injection.

Other Meds: Adderall XR 25mg 1 PO daily Naproxen 550mg 1 PO Q12 PRN Ashlyna BC 1 PO Daily Allegra 180mg 1 PO daily prn Xyzal 5mg 1 PO QHS PRN

Current Illness:

ID: 0937013
Sex: M
Age: 30
State: TX

Vax Date: 01/09/2021
Onset Date: 01/10/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Fever, fatigue, headache, muscle pains and aches

Other Meds:

Current Illness:

ID: 0937014
Sex: F
Age: 43
State: IN

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Extreme arm pain after 5 minutes -unable to raise arm up for 2 days Fever, body aches chills approx. 12 hours after administration lasting 2 days

Other Meds: Hydrochlorothiazide 12.5mg

Current Illness: COVID positive 12/8/20

ID: 0937015
Sex: F
Age: 35
State: AZ

Vax Date: 12/21/2020
Onset Date: 12/22/2020
Rec V Date: 01/12/2021
Hospital:

Lab Data:

Allergies: Clindamycin, metronidazole

Symptoms: Diarrhea the following morning on 12/22/20. Last approximately 2-4 hours and resolved by the evening on 12/22/20.

Other Meds: Methyl B-12 - Methylcobalamin - 1,000mcg Vitamin D-3 - 2,000 IU (50mcg) Biotin - 10mg Magnesium (magnesium glycinate) - 120mg - 2 capsules Vegan Collagen Builder - Amino Acids, Bioti, Lutein High Potency Probiotic - 50B CFU, 10 strains Pur

Current Illness: None

ID: 0937016
Sex: M
Age: 68
State: GA

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

Lab Data: N/A

Allergies: None

Symptoms: Elevated Blood Pressure 4 hrs after injection: 158/93. After 24 hours blood pressure returned to normal 124/71

Other Meds: Cellcept Metropolol Eliquis Lipitor Calcium Clopidogrel Flonase Prednisone Spiriva Respimat Flomax

Current Illness: 6 weeks post triple by pass and heart valve replacement

ID: 0937040
Sex: F
Age: 75
State: AZ

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

Lab Data:

Allergies: Penicillin

Symptoms: None stated.

Other Meds: Blood pressure med

Current Illness:

ID: 0937041
Sex: F
Age: 46
State: NC

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data: None

Allergies: Shellfish-anaphylaxis, erythromycin, and amoxicillin-hives

Symptoms: Initially just had mild muscle soreness at injection site. At 1000 on 1/8/21 began having a headache that worsened to a severe migraine throughout the day. Also that afternoon, developed sores/ulcers inside of mouth. Next day developed worsening sores in mouth and then my tongue began to swell and then noted sores on my tongue as well. This improved with Benadryl over the next 36 hrs.

Other Meds: Ambien, spironolactone, chlorthalidone, Claritin, levothyroxine

Current Illness: Lower back injury

ID: 0937042
Sex: F
Age: 50
State: OH

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

Lab Data:

Allergies:

Symptoms: received COVID vaccine at 0915 developed right facial numbness-eye, cheek, ear and neck at approximately 1000. No facial droop observed.

Other Meds:

Current Illness:

ID: 0937043
Sex: M
Age: 43
State: OK

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data:

Allergies: ceclor

Symptoms: headache (approximately 13 hours later) , shoulder pain (8 hours later) , slight blistering from band aid adhesive (~10 hours)

Other Meds: famotidine

Current Illness:

ID: 0937044
Sex: F
Age: 62
State: MT

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

Lab Data: none

Allergies: sulfa, codeine, PCN, phenergan

Symptoms: approximately 2 hours after my vaccination, I started with a very severe headache and felt extremely tired. I had difficulty staying awake. I slept about 2 hours. When I woke up my headache was gone and I was no longer tired. I went to bed and slept well until a headache woke me up the next morning however it was not as severe as the previous night. I was a bit lethargic but not too bad. My headache continued until the evening of 1.11.21 however I was not lethargic and was able to work. Today is 11.12.21 and I feel fine. I had no injection site discomfort to speak of.

Other Meds: lamictal, seroquel, krill oil, tylenol, citracal, bi-est

Current Illness: none

ID: 0937046
Sex: M
Age: 43
State: KS

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

Lab Data: none

Allergies: none

Symptoms: fever, head ache, body aches, dizzy, slight nausea

Other Meds: omeprazole multivitamin probiotic

Current Illness: had Covid on 11/13/2020

ID: 0937047
Sex: F
Age: 35
State: TX

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

Lab Data: Na 121. Covid test Neg

Allergies: NKDA

Symptoms: nausea, tingling light headed ness. 24 after injection- Rash started on lower extremities. no itching. migraine. nausea, dizziness. positive D Dimer. Shortness of breath Treatment: IV fluids, Reglan. IV Tylenol. Covid test- negative. Na 121.

Other Meds: Fluoxetine, multivitamin

Current Illness:

ID: 0937048
Sex: F
Age: 42
State: IL

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data: no medical tests performed except visual inspection by PCP on 1/11/21

Allergies: Possibly sulfa

Symptoms: Pfizer-BioNTechCOVID-19 Vaccine EUA Left armpit swelling and pain occurring still 4 days post vaccine, visit with PCP who prescriped 800mg ibuprofen 3x/day and rest, no work. Symptoms began 7am on 1/9/21. Fever, chills, headaches, body aches . symptoms began 9am on 1/9/21 and lasted 24 hours. utilized tylenol to control fever. Low grade fever until 3pm on 1/10/21 - more than 24 hours after symptoms began

Other Meds: Levothyroxine Sertraline Pre-Natal Multi Vitamin Folic Acid Calcium CoQ10 Pre-biotic Probiotic Fish Oil

Current Illness: none

ID: 0937049
Sex: M
Age: 24
State: NJ

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

Lab Data:

Allergies:

Symptoms: None - administration error - diluted vaccine had been left out for 8 hours (6-hour expiration)

Other Meds:

Current Illness:

ID: 0937050
Sex: F
Age: 37
State: MO

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: low grade fever, chills, aches and pains, headache for 18 hours

Other Meds: Robinol

Current Illness: none

ID: 0937051
Sex: F
Age: 45
State: WA

Vax Date: 01/02/2021
Onset Date: 01/10/2021
Rec V Date: 01/12/2021
Hospital:

Lab Data: blood work done at walk in clinic.

Allergies: sulfa, penicillin, Bisacodyl, tape

Symptoms: Moderna COVID-19 Vaccine EAU 9 days after my vaccine I developed a hive the size of a lemon on my injection site. It was extremely hot, itchy, and burned. Had to go to a walk in clinic to get antihistamines. I was prescribed Hydroxyzine and had to stay home from work due to med causing extreme sleepiness. It has been 24 hours since my first dose of antihistamine and reaction has calmed down a bit

Other Meds: Levothyroxine, Prilosec, women's multivitamin, calcium, melatonin

Current Illness: N/A

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm