VAERS 2021 Database www.vaers.hhs.gov

Main Page | All 2021 Deaths | Videos
VAERS Updated: 10/01/2021
** VAERS DATABASE Last updated: October 1, 2021**
PLEASE CHECK BACK SOON
Download the files above while you wait.






Manufacturers

Total Manufacturer

Incidents per State

State Total
72,296
AK1,638
AL5,339
AR3,412
AS44
AZ13,316
CA58,147
CO11,002
CT7,824
DC1,626
DE1,670
FL36,235
FM3
GA13,429
GU82
HI2,195
IA4,332
ID2,473
IL19,261
IN22,568
KS4,284
KY6,945
LA4,714
MA13,886
MD11,901
ME2,997
MH8
MI17,865
MN11,345
MO8,919
MP30
MS2,676
MT2,147
NC15,401
ND1,273
NE2,732
NH2,859
NJ17,232
NM3,702
NV4,071
NY32,763
OH18,072
OK5,940
OR7,954
PA22,457
PR2,104
QM2
RI1,911
SC6,055
SD1,133
TN8,691
TX34,122
UT4,023
VA13,944
VI49
VT1,661
WA13,811
WI10,395
WV2,220
WY805
XB5
XL1
XV2

ID: 0918863
Sex: F
Age: 38
State: NJ

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

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: None

Symptom List:

Symptoms: Tachycardia (HR 138 at rest) approximately 10 mins after receiving vaccine

Other Meds: Vitamin C, Vitamin D

Current Illness: None

ID: 0918865
Sex: F
Age: 38
State: MD

Vax Date: 12/28/2020
Onset Date: 12/29/2020
Rec V Date: 01/04/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: Ceftin, Cipro, Amoxicillin, Darvocet, Codeine, Biaxin, PPD

Symptom List:

Symptoms: swelling (golf ball size), pain, and redness at injection site. Severe headache and extreme fatigue started morning day after injection and lasted approx. 48 hours. Also a sore throat and some nasal congestion.

Other Meds: Adderall XR, Latuda, Ativan

Current Illness: none

ID: 0918866
Sex: F
Age: 40
State: KS

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/04/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: Allergic reaction to TDAP, many unknown reactions that cause me to get rashes.

Symptom List:

Symptoms: Chest started tightening then started having a hard time swallowing. Felt dizzy, faint, and as though I was going to pass out. Epi pen was administered when I wasn't able to swallow. Was taken to ER on a stretcher, however they said on the way, I wasn't responding and couldn't open my eyes. Muscles began cramping and loss sensation in limbs. Hands wouldn't open up as they cramped. Blood pressure kept going up and down.

Other Meds: Estradial Welbutrin

Current Illness: n/a

ID: 0918867
Sex: M
Age: 60
State: MD

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/04/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: none

Symptom List:

Symptoms: Started with fatigue,. chills, fever up to 100.3, muscle aches, severe chest discomfort , heart rate up to 130 . Is an EMS provider, went to fire house and EKG was normal, just elevated heart rate and BP around 130/80 Fatigue - resulting in lack of eating /appetite

Other Meds: Amlodipene 5 m losartin 50mg fenofibrate 160 mg chlorthalidone 25 mg flomax

Current Illness: none, had COVID illness lab confirmed 5 months ago (August)

ID: 0918868
Sex: M
Age: 33
State: OH

Vax Date: 12/23/2020
Onset Date: 12/25/2020
Rec V Date: 01/04/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: None

Symptom List:

Symptoms: 2 days after vaccination, patient had upper lip swelling, swelling of the top gums in mouth, itchiness, and a rash on both wrists. He took prednisone, Benadryl, and Pecpid and this resolved. Then, 3 days after this (5 days after vaccination), the patient had right eye swelling. He took prednisone and Claritin and this resolved.

Other Meds: None

Current Illness: None

ID: 0918869
Sex: M
Age: 49
State: TX

Vax Date: 12/18/2020
Onset Date: 12/19/2020
Rec V Date: 01/04/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: amoxicillin

Symptom List:

Symptoms: Background, I had Covid back at the end of May/beginning of June with 1 week of constant fevers (with 500mg tylenol q6), shortness of breath, fatigue, but no real cough. O2 sats somtimes in low 90's . I am one of the radiology faculty at the hospital I work at. Received my 1st dose of the Pfizer vaccine on Friday Dec 18 at about 21:30. After the injection, I had moderate pain at the site of injection about 6 hours later, not unexpected. However, the next evening, I was feeling fatigued and went to bed at about 7 p.m. For the next three hours, I felt chills and finally at about 10 p.m. I took my temp after I felt that my fever had "broke" and temp was 101.9. Used a finger pulse ox just to make sure sats were ok, they were at 97%, but unexpectedly, resting heart rate was 130 bpm. I took some tylenol and called the ER, and they suggested calling the covid hotline pager and coming in if I did not improve. I called the hotline pager, and we discussed things and eventually decided that I should go to the ER as temp remained at 101.6. By the time I reached the ER, my temp was down to 100.8, but pulse still 122 (EKG with no other abnormalities) and BP was 165/100. I had no other symptoms to account another infection. Over the next two hours, vitals became more normal with HR down to 95 to 100, and BP down to 145/85 or so without any other intervention. Sunday, still with some mild low grade temps of 99.8, but heart rate at 85 to 90 (I'm usually at about 80). In the ER, we came to the conclusion that my body mounted a significant immune response to the production of antigens after processing the mRNA given the lack of alternative diagnosis and the improvement of sx without any other intervention besides the 500 mg of tylenol I took before coming in.

Other Meds:

Current Illness: Covid 6 months prior (end of may/beginning of June)

ID: 0918870
Sex: F
Age: 52
State: OH

Vax Date: 12/22/2020
Onset Date: 12/22/2020
Rec V Date: 01/04/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: Patient self-reported that she received her injection subq vs. IM/deltoid as intended. She developed a very large lump at the injection site requiring an ED visit and antibiotics. She also missed one day of work.

Other Meds: Estrogel daily

Current Illness: unknown

ID: 0918871
Sex: F
Age: 33
State: NE

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

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: Amoxicillin/clavulanate - Rash

Symptom List:

Symptoms: Patient received vaccination at 0900 on 12/30/20 Patient began feeling throat tightness and chest heaviness approximately 15 minutes post injection. Symptoms were not severe and did not require medical intervention. At/around 1200 on 12/30/20, patient reports chest heaviness resolved, by mild throat tightness was ongoing At/around 1700 on 12/30/20, patient's legs began feeling itchy but rash/hives did not develop All symptoms resolved by 1900 on 12/30/20 without medical intervention

Other Meds: Citalopram 20mg daily Metformin 500mg daily

Current Illness: No illnesses at time of vaccination and proceeding month.

ID: 0918872
Sex: F
Age: 50
State: AR

Vax Date: 12/16/2020
Onset Date: 12/22/2020
Rec V Date: 01/04/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Per request of all patients who tested positive for COVID19 after receipt of the COVID19 vaccine must be reported. No other adverse events reported. The patient tested positive for COVID19 on 12/22.

Other Meds:

Current Illness:

ID: 0918873
Sex: F
Age: 33
State:

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

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: lightheaded, sweaty, BP113/77. Administered vaccine supine as patient indicated history of fainting with injections. Symptoms resolved shortly after administration.

Other Meds:

Current Illness:

ID: 0918874
Sex: F
Age: 52
State: OR

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

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: No known drug allergies

Symptom List:

Symptoms: Pt called the store and left a message with the front end manager stating that she received an infection from the vaccine she was given.

Other Meds:

Current Illness:

ID: 0918875
Sex: F
Age: 51
State: WI

Vax Date: 01/02/2021
Onset Date: 01/02/2021
Rec V Date: 01/04/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: Sulfa

Symptom List:

Symptoms: Fever, chills, headache,body aches

Other Meds: Levothyroine

Current Illness: None

ID: 0918877
Sex: F
Age: 51
State: MO

Vax Date: 12/24/2020
Onset Date: 12/31/2020
Rec V Date: 01/04/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: KEFLEX, ERYTHROMYCIN, PROPRANOLOL, LISINOPRIL, AMLODIPINE, BEE STINGS, STERI STRIPS, ROEMARY OIL

Symptom List:

Symptoms: Swelling at site, Red and hot to touch, Pain, Lumped up, Was told to go in to be seen. Place on antibiotic, Went in on 1/2/2021. Swelling not so much now, still red and hot to touch, redness has expanded.

Other Meds:

Current Illness:

ID: 0918878
Sex: F
Age: 68
State: LA

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

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: None

Other Meds:

Current Illness:

ID: 0918879
Sex: F
Age: 52
State: NY

Vax Date: 12/17/2020
Onset Date: 12/19/2020
Rec V Date: 01/04/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: PCN

Symptom List:

Symptoms: I started to develop a fever 2-3 days after the first vaccine. My fever continued for 9 days straight, even though i was taking antipyretic

Other Meds: Tamoxifen, probiotic, biotin

Current Illness: NA

ID: 0918880
Sex: F
Age: 32
State: CA

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

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: Ibuprofen, lyrica, nuts, tomato, corn, wheat, oats

Symptom List:

Symptoms: Moderna COVID-19 Vaccine: Vaccine received at 1735; tachycardia in 120s, shakiness, dizziness at 1740; chest pressure at 1745, went away then returned at 1815 and lasted until 2330 BP 156/91 HR 120s @1805 Sent to ER 1820 BP 167/99 HR 120s @1825 BP 142/87 HR 100s @1845 BP 137/76 HR 90s @1920 BP 126/75 HR 80s @ 1955 Benadryl 25 mg and Tylenol 1000 mg taken at 1700 prior to injection Second dose of Benadryl 25 mg taken at 1800

Other Meds: Benadryl 25 mg PRN Tylenol 1000 mg PRN

Current Illness: None

ID: 0918881
Sex: F
Age: 25
State: MI

Vax Date: 12/26/2020
Onset Date: 12/26/2020
Rec V Date: 01/04/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: None known

Symptom List:

Symptoms: Difficulty Breathing, fast heartbeat, dizziness and weakness. Body aches and nausea

Other Meds: None known

Current Illness: none known

ID: 0918882
Sex: F
Age: 36
State: IA

Vax Date: 12/27/2020
Onset Date: 01/02/2021
Rec V Date: 01/04/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: She states that she had her COVID-19 vaccine on 12/27. On 1/1/2020 her husband noticed a rash on her arm. She states that over the weekend it has gotten larger and is estimating that it is 3.5"x2" in size this morning. She feels like it is a bit warm to the touch, but is not painful and denies any pruritus. She does think that her arm is a "bit more swollen" then her other, but not significant. Initially after the vaccine she did not have any other symptoms than a "typical" sore arm for 2 days. Instructed the employee to take a 2nd generation antihistamine, and to use NSAIDs and ICE to manage symptoms.

Other Meds:

Current Illness:

ID: 0918883
Sex: F
Age: 24
State: MD

Vax Date: 12/31/2020
Onset Date: 01/01/2021
Rec V Date: 01/04/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: Cashews Topical clindamycin

Symptom List:

Symptoms: Started within a day of injection. I experienced the following symptoms for the next few days: headache, diarrhea, injection site soreness, fatigue, body aches, chills, feeling unwell, stomach pain.

Other Meds: Levothyroxine Sodium 50 mcg Larin Fe 28 day birth control Tylenol 500 mg

Current Illness: N/A

ID: 0918884
Sex: F
Age: 30
State: MO

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

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: none

Symptom List:

Symptoms: Pfizer-BioNTech COVID-19 Vaccine: On the day I received the first does of the vaccine, I felt fine until about 6 hours later. At that point, I started to get very dizzy and lightheaded. Every time I opened my eyes, everything was spinning. This lasted four about 3-4 hours. I kept breaking out into sweats. I had a horrible headache for about 4 days straight. I am still continuing to having headaches. I am still having hot flashes and dizziness episodes at times that go away after about a few minutes. Two days ago, I stated to developing swelling in my hands with achy joints which has not gone away.

Other Meds: birth control

Current Illness: none

ID: 0918885
Sex: M
Age: 51
State: TX

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

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: No

Symptom List:

Symptoms: After 12 hours, I had body chills, body aches, slight fever and a massive headache.

Other Meds: None

Current Illness: None

ID: 0918886
Sex: M
Age: 40
State: CA

Vax Date: 12/31/2020
Onset Date: 01/01/2021
Rec V Date: 01/04/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: n/a

Symptom List:

Symptoms: Right hand pain in center of palm. Started the very next day of vaccine. First three days was very painful and radiated up to just past the wrist. Now its just sore.

Other Meds: n/a

Current Illness: stomach flu one week prior

ID: 0918887
Sex: F
Age:
State: AZ

Vax Date:
Onset Date: 01/02/2021
Rec V Date: 01/04/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: none

Symptom List:

Symptoms: Rash at injection site

Other Meds: none

Current Illness: none

ID: 0918888
Sex: M
Age: 30
State: CA

Vax Date: 12/28/2020
Onset Date: 12/30/2020
Rec V Date: 01/04/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: Nkda

Symptom List:

Symptoms: 6 day history R sided chest rash w/ skin hypersensitivity consistent with shingles rash. Received covid vaccine 1.5 days before. Seen by PMD over telehealth appt and dx with shingles. Had VZV at 5 yo. No prior vaccine for VZV.

Other Meds:

Current Illness:

ID: 0918889
Sex: F
Age: 23
State: MD

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/04/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Arm pain at the injection site that started several hours after the injection. The next day she began having pain in her armpit and under her collar bone on the same side as the injection.

Other Meds:

Current Illness:

ID: 0918890
Sex: F
Age: 60
State: CA

Vax Date: 12/22/2020
Onset Date: 12/22/2020
Rec V Date: 01/04/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: Nkda

Symptom List:

Symptoms: 12/22 site of injection red, swollen, painful, harden, warm to touch,

Other Meds: multi vitamin Centrium 50+ hydrochlorothiazide metformin Humulin insulin Regular insulin pravastatin

Current Illness: none

ID: 0918891
Sex: F
Age: 33
State: FL

Vax Date: 12/22/2020
Onset Date: 12/30/2020
Rec V Date: 01/04/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: Shellfish allergy. No drug allergies.

Symptom List:

Symptoms: Day 0-4: arm soreness Day 8: onset of bulls-eye rash at injection site of left arm. Rash is raised, erythematous, firm. Associated with several 1-3 cm enlarged tender axillary lymph nodes. Day 9-11: severe left sided headache not responded to over-the-counter analgesics. Headache resolved on Day 12. Day 9-13: ongoing fluctuations in left arm rash and adenopathy. By day 13, adenopathy mostly resolved. Rash persists.

Other Meds: None

Current Illness: None

ID: 0918892
Sex: F
Age: 50
State: NY

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

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: About 1.5 hours after dose administration, patient began to feel lightheaded and weak, unable to stand up. He then noticed a rash on his forehead, chest, arms and back of neck. He had no swelling of the lips, tongue or throat. No shortness of breath or wheezing noted. VS 157/110, 101, 20, 97.7. Pulse ox 99% on room air. No acute distress, but a little anxious. No oropharyngeal erythema or swelling seen. Lungs clear to auscultation. Skin revealed red macular rash on the face. Other areas had faded. Benadryl 50mg po given with good effect. Weak feeling subsided quickly and hives began to fade. Repeat vitals over 30 minutes were largely unchanged. He was allowed to go home with instructions to contact his PMD and to use Benadryl 50mg po Q4H PRN. If he develops any signs/symptoms of anaphylaxis he should call 911.

Other Meds:

Current Illness:

ID: 0918893
Sex: F
Age: 26
State: NC

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

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: None

Symptom List:

Symptoms: Day of vaccine: Headache/migraine with light sensitivity, severe nausea (constant need to throw up for 4-5 hours), vomiting, body aches. Day after: Shakiness, dizziness, slight nausea - unable to work

Other Meds: Taytulla, aleve

Current Illness: Minor cold

ID: 0918894
Sex: F
Age: 83
State: CA

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

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient reporting sore arm, diarrhea and nausea every once in a while since 1/2/2021.

Other Meds: Yes, regular medications

Current Illness:

ID: 0918895
Sex: F
Age: 1
State: IL

Vax Date: 12/16/2020
Onset Date: 12/16/2020
Rec V Date: 01/04/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: Given out of schedule. Minimum interval was not met.

Other Meds: none

Current Illness: none

ID: 0918896
Sex: F
Age: 50
State: SC

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

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: PCN, chocolate, lemons

Symptom List:

Symptoms: 1 hour after administration, patient's lips tingling and she experienced swelling as well. Patient received 25mg diphenhydramine and was observed for 30 mins. Symptoms resolved over 30 minutes.

Other Meds: olmesartan/HCTZ

Current Illness: N/A

ID: 0918897
Sex: M
Age: 68
State: CA

Vax Date: 12/19/2020
Onset Date: 12/19/2020
Rec V Date: 01/04/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: ? 10:15 while he was still waiting outside he had some anxiety and was worried he had a panic attack as he has had a lot going on in his life recently. No tachycardia as he was checking his Apple Watch and no other symptoms. ? 10:20 he drove home and called his wife can kept her on the call as he drove. He them experienced some mild tingling in his ears, face and lips. ? 10:30 he got home and his lips were mildly swollen, more so on the upper lip, not as much on the lower lip. ? 10:45 he took an Allegra and about 30-40 minutes afterwards the lip swelling started to calm ? 5:45pm I spoke with him. He said he has no more symptoms. A little tired perhaps from the day or the Allegra (though it doesn?t cause too much drowsiness compared to Benadryl) ? He also reported he had a flu and shingles vaccine back in early November so it has been more than a month.

Other Meds:

Current Illness:

ID: 0918898
Sex: M
Age: 33
State: CA

Vax Date: 12/21/2020
Onset Date: 12/28/2020
Rec V Date: 01/04/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Broke out in Itchy bumps around arms, legs and stomach

Other Meds:

Current Illness:

ID: 0918899
Sex: M
Age: 48
State: IL

Vax Date: 12/28/2020
Onset Date: 12/29/2020
Rec V Date: 01/04/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: none

Symptom List:

Symptoms: I had right sided headache for the first two days, then resolved. The right sided headaches recurred along with right tongue numbness initially on 12/29/2020. The symptoms worsen on 12/31/2020 and severe on 1/1/2021. I was initially started on Valtrex thinking it maybe due to shingles but soon with the right sided facial paralysis, it was obvious it was Bell's Palsy and was started on steriods on 1/1/21 and also received acupuncture treatment on 1/2/21 which significant help improve the symptoms. I still have some residual weakness of the right eye with some tearing and mouth weakness.

Other Meds: Valsarten and Cardizem

Current Illness: none

ID: 0918900
Sex: M
Age: 30
State:

Vax Date: 12/28/2020
Onset Date: 12/30/2020
Rec V Date: 01/04/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: Nkda

Symptom List:

Symptoms: 6 day history of R sided chest rash w/ skin hypersensitivity and pain of R upper body consistent with shingles rash. Received vaccine 1.5 days prior. Went to PMD video telehealth appt and dx with shingles. Had VZV at 5yo. No prior vaccination for VZV.

Other Meds:

Current Illness:

ID: 0918901
Sex: F
Age: 35
State: MD

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

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Lightheadedness and heart palpatations

Other Meds:

Current Illness:

ID: 0918902
Sex: F
Age: 83
State: NY

Vax Date: 12/22/2020
Onset Date: 12/23/2020
Rec V Date: 01/04/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Chills, Vomitting

Other Meds:

Current Illness:

ID: 0918903
Sex: F
Age: 32
State: GA

Vax Date: 12/24/2020
Onset Date: 12/28/2020
Rec V Date: 01/04/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: BLUE DYE

Symptom List:

Symptoms: RASH ROUGHLY THE SIZE OF A BASEBALL, RAISED RING AROUND THE EDGE, VERY ITCHING SLIGHTLY WARM TO TOUCH. STILL PRESENT AT 10 DAYS POST VACCINE

Other Meds: BIRTH CONTROL, MULTIVITAMIN

Current Illness: NONE

ID: 0918904
Sex: F
Age: 32
State: CA

Vax Date: 12/26/2020
Onset Date: 01/01/2021
Rec V Date: 01/04/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Itchy, swollen reddened arm at sit of injection, starting on 6th day after injection. Left armpit axillary swollen lymph node

Other Meds: Spironlactone Doxycyline

Current Illness: No

ID: 0918905
Sex: F
Age: 0
State: MI

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

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: Vaccine was given 12/28/2020 and it had expired 12/13/2020. No know adverse reactions to the patient.

Other Meds: NA

Current Illness: NA

ID: 0918906
Sex: F
Age: 38
State: CA

Vax Date: 12/31/2020
Onset Date: 01/01/2021
Rec V Date: 01/04/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: vomiting diarrhea

Other Meds:

Current Illness:

ID: 0918907
Sex: F
Age: 52
State: NY

Vax Date: 12/26/2020
Onset Date: 12/31/2020
Rec V Date: 01/04/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: NA

Symptom List:

Symptoms: Rash in the Neck area. Benadryl and cortisone cream.

Other Meds: Benadryl and cortisone due to the rash in my neck area.

Current Illness: No

ID: 0918908
Sex: F
Age: 56
State: CA

Vax Date: 01/02/2021
Onset Date: 01/03/2021
Rec V Date: 01/04/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: None

Symptom List:

Symptoms: Moderna COVID 19 Vaccine: Developed left arm achiness, site swelling and pain radiation into back of neck. 1/3/2021 during the night developed chills, achiness, back pain, general malaise. As of time of this report 1/4 symptoms continue... Was feeling 100% healthy at time of vaccine.

Other Meds: Tenormin

Current Illness: None

ID: 0918909
Sex: F
Age: 20
State: MA

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

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: Dust bites, dogs, pollen, trees

Symptom List:

Symptoms: Heart Palpitations, still on going. High fever Sweats Chills Shakes

Other Meds:

Current Illness:

ID: 0918910
Sex: F
Age: 46
State: IA

Vax Date: 12/23/2020
Onset Date: 12/31/2020
Rec V Date: 01/04/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: On day 1 (12/23/2020) after receiving her vaccine she states her arm was sore. On 12/31/2020 she developed Pruritus. On 1/1/2021 a baseball size welt developed. She used ice and started taking Zyrtec. She does not have any other symptoms. On 1/2/2020 the baseball size welt decreased, but 2 more welts developed that were thumb print size.. Today she does feel like the redness and swelling are getting better.

Other Meds:

Current Illness:

ID: 0918911
Sex: F
Age: 47
State: MI

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

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: None

Symptom List:

Symptoms: Temp, diarrhea for 4 hrs, malaise, bad headache , insomnia

Other Meds: None

Current Illness: None

ID: 0918912
Sex: F
Age: 37
State: TN

Vax Date: 12/27/2020
Onset Date: 12/31/2020
Rec V Date: 01/04/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: Headache x 3 days (very uncommon for patient) with only minimal relief from naproxen and acetaminophen dosed multiple times Fatigue (slept more than normal)

Other Meds: Women's multivitamin daily, cholecalciferol 1000 IU daily

Current Illness: N/A

ID: 0918914
Sex: M
Age: 41
State: OR

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

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: Employee received the vaccine at 0805, reported at 0812 that he was dizzy, lightheaded, nauseated and diaphoretic. Employee assisted to cot to lie down. Skin pale, continued to be diaphoretic, respirations in the 20's, BP 115/82, HR 110, O2 98% on RA, denied any difficulty breathing, no coughing or evidence of throat tightening, no sign of any swelling at vaccination site, no rash. Code called overhead, Code team arrived. No medications given at time in clinic. Near syncopal episode, No anaphylaxis. Employee taken to ED for further evaluation and observation.

Other Meds: Lisinopril, Metoprolol, Metformin, Eloquis

Current Illness: none

ID: 0918915
Sex: F
Age: 42
State:

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/04/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: After patient received an injection, patient developed fever, body aches, body chills, and injection site is red and swollen. Patient also mentioned that her arm pit area is also swollen.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 599,999

Page last modified: 03 October 2021 5:28pm