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**
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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: 0939974
Sex: M
Age: 32
State: PA

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: On 1/12/2020 noticed was achy 1/13/2020 woke up in middle of the night with bilateral eye pain "felt like sand in eyes". Woke up still painful eyes, no swelling, no discharge, no tearing, no hyperemia. Has cloudy vision as well as pain.

Other Meds: None

Current Illness: none

ID: 0939975
Sex: F
Age: 24
State: WI

Vax Date: 12/24/2020
Onset Date: 12/25/2020
Rec V Date: 01/13/2021
Hospital:

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

Lab Data:

Allergies: None reported

Symptom List:

Symptoms: On 12-25-2020, I had severe body aches with low grade fever of 103 degrees. On 12-25-2020 at about 5pm, I developed a rash to both hands. On 12-27-2020 I continued with rash and then the rash started to spread to my entire back. On 12-28-2020, the rash was still present to my back and it radiated down both my legs and since then the rash has gotten worse. I was treated with steroids and histamines at the hospital.

Other Meds: Omeprazole 20mg BID

Current Illness: None reported

ID: 0939977
Sex: M
Age: 50
State: IN

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Pain swelling around injection site on upper left arm.

Other Meds:

Current Illness:

ID: 0939978
Sex: F
Age: 42
State: NY

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/13/2021
Hospital:

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

Lab Data:

Allergies: Penicillin Dairy Egg Citrus

Symptom List:

Symptoms: Mild headache, mild nausea, fatigue, mild diarrhea, mild injection site soreness. These occurred within an hour after getting the injection. The side effects went away after a couple of days. Then a week after the injection, the injection site became suddenly sore, swollen, itchy and hot and still is as of today, 1/13/21.

Other Meds:

Current Illness:

ID: 0939979
Sex: F
Age: 27
State: IN

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/13/2021
Hospital:

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

Lab Data:

Allergies: Sulfa drugs

Symptom List:

Symptoms: Fever, chills, headache, body aches 12hrs after vaccine administration. Diarrhea 18hrs after administration. Symptoms lasted 24hrs.

Other Meds: Lea pro, Wellbutrin, Xyzal, pantoprazol, xulane patch

Current Illness: None

ID: 0939981
Sex: F
Age: 46
State: TX

Vax Date: 12/29/2020
Onset Date: 01/10/2021
Rec V Date: 01/13/2021
Hospital:

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

Lab Data:

Allergies: PCN

Symptom List:

Symptoms: pain and swelling at shoulder was given high up. did not notice supraclavicular lymph node until this past Sunday

Other Meds: left supraclavicular lymph node swelling ; vitamin C, hctz, symbicort, albuterol, synthroid

Current Illness: none

ID: 0939983
Sex: F
Age: 29
State: WI

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/13/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Cellulitis

Other Meds: Abilify, Fluoxetine, Vitamin B12, and Vitamin D

Current Illness: None

ID: 0939984
Sex: M
Age: 24
State:

Vax Date: 12/31/2020
Onset Date: 01/01/2021
Rec V Date: 01/13/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Fever chills

Other Meds:

Current Illness:

ID: 0939985
Sex: F
Age: 22
State: NY

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
Hospital:

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

Lab Data:

Allergies: Amoxicillin, lidocaine

Symptom List:

Symptoms: Exactly 12 hours post second dose of covid vaccine I had 103 fever, chills, body aches, muscle and joint pain. Came about very suddenly. Fever lasted about 12-15 hours. Rotated Tylenol and Advil to calm fever. Day 2 post vaccine still suffering headache, fatigue, muscle and joint pain

Other Meds: N/a

Current Illness: N/a

ID: 0939987
Sex: F
Age: 34
State: NV

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/13/2021
Hospital:

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

Lab Data:

Allergies: sulfa, avocado, banana, kiwi, pineapple, epinepherine

Symptom List:

Symptoms: Throat felt "fuzzy" and slightly swollen approximately 10 minutes post vaccination, seen in ED, given benadryl, IV, famotidine, ondansetron, metylprednisolone and discharged to home

Other Meds: Albuterol, ibuprofen

Current Illness: Unknown

ID: 0939988
Sex: F
Age: 34
State: NC

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/13/2021
Hospital:

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

Lab Data:

Allergies: NKDA. NKA

Symptom List:

Symptoms: First started with lots of muscle soreness of arm where vaccine was placed, a few bumps that were itchy developed that same afternoon, more bumps appeared next day accompanied by malaise and itching sporadically. By 24 hours, rash and bumps were more prevalent and lots of itching which progressed rapidly through night and hives developed even with antihistamine.

Other Meds: Citalopram 20mg

Current Illness: none

ID: 0939989
Sex: M
Age: 40
State: GA

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/13/2021
Hospital:

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

Lab Data:

Allergies: oranges, shell fish,grass, pollen, mold, dog dandruff

Symptom List:

Symptoms: Itchiness, flushing, tingling, redness

Other Meds: Penicillin

Current Illness: No

ID: 0939990
Sex: F
Age: 43
State: GA

Vax Date: 12/23/2020
Onset Date: 12/30/2020
Rec V Date: 01/13/2021
Hospital:

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

Lab Data:

Allergies: Lisinopril and Fentanyl epidural

Symptom List:

Symptoms: I?m not sure if this is in my head but I think the vaccine has flared up my reflux. I received first dose on 12/23/2020 and second dose on 1/10/2021. Since vaccine I?ve noticed my reflux has been flared. I haven?t had to take Protonix in months; however, I really started to experience indigestion and chest burning/pressure a week after first dose. I started back taking Protonix and had to increase dose to twice a day on 1/5/2021. Symptoms have improved significantly but it?s still somewhat aggravated. I also experienced lower back pain and upper and lower extremities numbness/tingling maybe 2-3 time since first vaccine

Other Meds: Saxenda HCTZ Protonix Calcium with Vitamin D3 Multivitamin Vitamin C

Current Illness:

ID: 0939991
Sex: M
Age: 41
State:

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/13/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Lymph pain and swelling

Other Meds:

Current Illness:

ID: 0939993
Sex: M
Age: 70
State: ME

Vax Date: 01/10/2021
Onset Date: 01/10/2021
Rec V Date: 01/13/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Deep tenderness in and around joint for 72 hours with tenderness along right forearm; slight malaise; sore throat (inflamed R tonsillar pillar) for last 18 hours. Complete resolution at 72 hours

Other Meds: eliquis atenolol losartan

Current Illness: none

ID: 0939995
Sex: F
Age: 23
State: IN

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
Hospital:

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

Lab Data:

Allergies: Seasonal

Symptom List:

Symptoms: After second vaccine, I experienced Fever, Chills, Headache, Nausea,Diarrhea,Generalized Weakness, Pain at injection site. Lasted 17-18 hrs with lasting fatigue and headache into next day (1/13/21). Tylenol and Advil were taken to help control fever and headache.

Other Meds: Birth control, Lansoprazole, Xyzal

Current Illness: N/a

ID: 0939996
Sex: F
Age: 45
State: GA

Vax Date: 12/30/2020
Onset Date: 01/07/2021
Rec V Date: 01/13/2021
Hospital:

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

Lab Data:

Allergies: PCN Erythromycin

Symptom List:

Symptoms: Day one - Day three post vaccine, sore left arm, sore throat, fatigue, slight body aches. Day seven-7cm red, edemtamous, hot -cellulitis appearing area at injection site. Days eight-day ten with same symptoms. Day eleven-day 13-2x 8 cm area of redness without edema.

Other Meds: Bupropion XL 150mg PO QD Women?s one a day chewable multi vitamin PO QD

Current Illness: None

ID: 0939997
Sex: F
Age: 41
State: PR

Vax Date: 12/27/2020
Onset Date: 01/11/2021
Rec V Date: 01/13/2021
Hospital:

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

Lab Data:

Allergies: red tattoo ink

Symptom List:

Symptoms: Red rash all over skin (armpits, chest, face, legs, back), inflammation, swelling and itchiness

Other Meds: Emergen c, vitamin D, lemon and ginger tea

Current Illness: none

ID: 0939998
Sex: F
Age: 58
State: OK

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/13/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Fever, chills, body aches, fatigue

Other Meds: Hormones

Current Illness:

ID: 0940000
Sex: F
Age: 33
State: VA

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/13/2021
Hospital:

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

Lab Data:

Allergies: Wellburtin- Anaphylaxis

Symptom List:

Symptoms: 01/11/2021 at 5pm started with diarrhea, chills, body aches. 01/12/2021 06:00pm facial swelling, lip swelling, hives. Started Benadryl at home on 01/12/2020. Seen by walk in PMD office 01/13/2021. MD prescribe, 60mg prednisone and to continue Benadryl, 50mg as needed.

Other Meds: Flecainide, Metoprolol, Escitalopram, multivitamin OTC

Current Illness: None

ID: 0940001
Sex: F
Age: 36
State: PA

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/13/2021
Hospital:

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

Lab Data:

Allergies: Apples

Symptom List:

Symptoms: 10 minutes after administration of vaccine employee became itchy all over. Given benadryl and symptoms resolved.

Other Meds: Valtrex prn

Current Illness: None

ID: 0940029
Sex: F
Age: 41
State: NE

Vax Date: 12/15/2020
Onset Date: 12/15/2020
Rec V Date: 01/13/2021
Hospital:

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

Lab Data:

Allergies: unknown

Symptom List:

Symptoms: Started having itching after vaccine. Taken to ER. Broke out in full hives. Was given IV Benadryl and steroids.

Other Meds: unknown

Current Illness: Unknown

ID: 0940030
Sex: F
Age: 52
State:

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/13/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Insomnia, headache, fever, aches, skin pain

Other Meds:

Current Illness:

ID: 0940032
Sex: F
Age: 54
State: WV

Vax Date: 01/04/2021
Onset Date: 01/11/2021
Rec V Date: 01/13/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: One week after receiving the vaccine, I noticed a rash at the injection site. The rash has continued to spread down my arm. It is red, burning, and sore to the touch. I contacted my primary care provider, who prescribed a topical steroid. I have taken photos of the rash since it started. It has not improved and continues to spread.

Other Meds: Synthroid, Vesicare

Current Illness: None

ID: 0940033
Sex: M
Age: 15
State: RI

Vax Date: 01/10/2021
Onset Date: 01/10/2021
Rec V Date: 01/13/2021
Hospital:

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

Lab Data:

Allergies: No known allergies

Symptom List:

Symptoms: Patient 15 years of age presented to COVID vaccine clinic for initial dose, received 0.5 mL dose of Moderna COVID vaccine. Discussion with parents, pediatrician around plan for second dose and monitoring for any impact. No know adverse effects noted from the vaccination.

Other Meds: n/a

Current Illness: n/a

ID: 0940034
Sex: F
Age: 59
State: OK

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/13/2021
Hospital:

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

Lab Data:

Allergies: Acetaminophen, Naproxen, Ibuprofen

Symptom List:

Symptoms: Fever- started at 99.4 (5:00 a.m.) increased to 100.8 within an hour. Roughly about 2 hr increments the fever started to reduce 100.6, 99.6, 99.0, 98.7 to normal with no fever reducer medication. Body aches- started when temp got to 100.8 and lasted about 12 hrs. Tired- started after temp was reduced to normal and gradually got more tired as the day went on. Woke the next day with no symptoms

Other Meds: Prescriptions

Current Illness: None

ID: 0940035
Sex: F
Age: 49
State: AL

Vax Date: 01/05/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
Hospital:

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

Lab Data:

Allergies: no medication allergies

Symptom List:

Symptoms: On the day of vaccine administration, patient had small red area and knot that went away overnight. On the evening of 01/12/2021, she noticed the same area was itchy and had a knot around the area of previous injection. The area is warm to the touch and visibily swollen from shoulder to elbow. Left forearm has some slight swelling also as compared to the right. No other symptoms at this time. She was evaluated by nursing leadership and pharmacy personnel and advised to alternate tylenol and ibuprofen, use cold compress, and elevate arm when able to help with swelling and inflammation.

Other Meds: unknown

Current Illness: unknown

ID: 0940036
Sex: F
Age: 40
State: WV

Vax Date: 12/30/2020
Onset Date: 01/11/2021
Rec V Date: 01/13/2021
Hospital:

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

Lab Data:

Allergies: Bactrim

Symptom List:

Symptoms: My arm started itching and was tender on Monday night 1/11/21. On Tuesday 1/12/21 my arm was hot and had developed a knot at the injection site and continued to itch and hurt, on Wednesday 01/13/21 when I woke up I had a red rash on top of all the other symptoms at the injection site. I have been very tired and had a headache since I got the vaccine. And over the last few days I have felt worse and my joints and muscle ache, I have been nauseas and mild chills with low grade fever.

Other Meds: Multi-Vitamin

Current Illness: N/A

ID: 0940038
Sex: F
Age: 24
State: OH

Vax Date: 12/16/2020
Onset Date: 12/16/2020
Rec V Date: 01/13/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: At approximately 11pm felt dizziness and coworker followed her home. When arriving home noticed facial swelling, some shortness of breath, itchy neck, "jittery", and swollen throat. Taken by boyfriend to ED at approximately 12am on 12/17/2020. Given Epipen, diphenhydramine, famotidine, and methylprednisolone. Remained in observation for a few hours and went home as all reaction had ceased.

Other Meds: No

Current Illness: No

ID: 0940039
Sex: M
Age: 24
State: FL

Vax Date: 12/21/2020
Onset Date: 12/21/2020
Rec V Date: 01/13/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Error: Incorrect Reconstitution

Other Meds:

Current Illness:

ID: 0940040
Sex: F
Age: 26
State:

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/13/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: fever, chill, sob, chest pressure, tachycardia

Other Meds:

Current Illness:

ID: 0940041
Sex: F
Age: 39
State: CO

Vax Date: 12/26/2020
Onset Date: 01/02/2021
Rec V Date: 01/13/2021
Hospital:

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

Lab Data:

Allergies: allergic to sudafed, dilaudid,norrco

Symptom List:

Symptoms: 7 days post vaccine hives around injection site, warm to touch, puffy arm

Other Meds: no

Current Illness: no

ID: 0940042
Sex: F
Age: 53
State: OH

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/13/2021
Hospital:

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

Lab Data:

Allergies: Amoxicillin, K-flex, Rocephin, Toradol, MRI DYE Gadolinium - multi hance/Vision 270 and Percocet

Symptom List:

Symptoms: within 30 seconds I had a cooling sensation rush across the tip of my tongue, then a sweet taste, then more identifiable as bubble gum flavored. By 12:45 I noticed I was scratching several areas of my body. Arms, legs, chest, neck, back and scalp and kept clearing my throat. I looked down at my arm and seen a red welt from my elbow to my wrist in my left arm and a fine red rash beneath skin on right arm. I looked up at the pharmacist and he said at 12:40 he had already placed a call to have another pharmacist come to look me over. I then noticed that my heart seemed to be racing and feeling winded. I figured this was my anxiety and just tried to relax. The second pharmacist arrived and we walked to the ER. I was very winded. They took me to a room and checked stats. after 3 attempts taking my BP and using two different cuffs, she said my BP was 190/90 where it is typically 120/70. I drank lots of water and they monitored me for almost an hour and gave me another Benadryl. My BP came down to 180/82 , breathing was easier and itching was decreasing so I chose to return to my station and I took one more Benadryl. The following day: woke up with head ache in rt eye and fuzzy vision all day, mild sore throat, mild body aches, queasy stomach, fatigue and runny nose. Took a Pepcid for stomach, Tylenol/Advil duo for sore throat, headache/body aches, drank lots of water and rested. Following day most symptoms resided, still slight sore throat, rt eye blurred vision, coughing, sneezing and runny nose. everyday since, symptoms continue to decrease.

Other Meds: Pepcid, 81 mg aspirin night before, vitamin D3 morning of, 1 hour prior to injection 2 Tylenol/Advil duo tabs and one Benadryl. Five min before a puff on my Symbicort inhaler. Trulicity (weekly) Thyroid (Daily)

Current Illness: none

ID: 0940043
Sex: M
Age: 49
State: CA

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Fatigue, chills, body ache. Improving.

Other Meds:

Current Illness:

ID: 0940045
Sex: F
Age: 51
State: MI

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/13/2021
Hospital:

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

Lab Data:

Allergies: Yes some medications and latex

Symptom List:

Symptoms: Systemic: Exhaustion-Mild, Systemic: Generalized Body Aches -Mild, Systemic: Nausea-Medium, Systemic: Vomiting-Medium; symptoms lasted 0 days

Other Meds:

Current Illness:

ID: 0940046
Sex: F
Age: 66
State:

Vax Date: 12/30/2020
Onset Date: 01/07/2021
Rec V Date: 01/13/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Cellulitis

Other Meds:

Current Illness:

ID: 0940047
Sex: F
Age: 46
State: MO

Vax Date: 12/27/2020
Onset Date: 01/05/2021
Rec V Date: 01/13/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: itching and redness at injection site. redness was about 2inches in size. itching did not start for a week and lasted for about a week. still occasionally feels itchy but all redness is gone.

Other Meds:

Current Illness:

ID: 0940048
Sex: F
Age: 53
State: OH

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/13/2021
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Allergies: none

Symptom List:

Symptoms: No pain with injection. Left shoulder pain began around 4 pm the same day, unable to raise left upper extremity against gravity without severe shoulder pain. Took 1000 mg of Tylenol immediately after injection and 600 mg of Advil at 9 pm as well as used Ice to decrease swelling and pain. The pain increased and I was unable to sleep at all secondary to pain. The shoulder pain has continued and loss of active shoulder range is apparent. I am stretching and taking NSAIDS as able for the pain. I have been unable to sleep well since receiving the vaccine secondary to the pain. Today is day 7 and I am slowly getting back some active range however I continue to increased shoulder and peri scapular pain that limits my ability at home and at work.

Other Meds: Pristiq Advil as needed Tylenol as needed

Current Illness: COVID Dec 5- 16th 2020

ID: 0940049
Sex: M
Age: 64
State: NJ

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
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Allergies: None

Symptom List:

Symptoms: Moderna COVID-19 Vaccine EUA Fever noted approximately 24 hours after vaccine (101 degrees at 8:00 on 12.Jan) Chills, tiredness, slight headache, joint pain (knees, hips, ankles, shoulders, fingers) Took Aleve for pain Fever was 101.5 at 7PM; took Advil/Tylenol Fever broke around 9PM (98.6)

Other Meds: Carvedilol - 6.25mg Enalapril - 5mg Prasugrel - 5mg Aspirin - 81mg Esomeprazol - 40mg Centrum Silver Omega 3 Atorvastatin - 80mg

Current Illness: None

ID: 0940050
Sex: F
Age: 62
State: PA

Vax Date: 12/28/2020
Onset Date: 01/05/2021
Rec V Date: 01/13/2021
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Allergies: Bactrim/sulfa drugs

Symptom List:

Symptoms: Large red mark over site the size of a large sand dollar, with mild itching- started 1/4-1/9/2021. One week after the vaccine

Other Meds: None

Current Illness: None

ID: 0940051
Sex: F
Age: 34
State: IN

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/13/2021
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Lab Data:

Allergies: Calamine and Prozac

Symptom List:

Symptoms: Headache, L arm soreness, full body muscle pain, full body joint pain, severe fatigue, diarrhea

Other Meds: None

Current Illness: None

ID: 0940053
Sex: F
Age: 52
State: CT

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
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Allergies: Figs

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Symptoms: On 1/11/2021, I received the Moderna vaccine and felt extremely fatigued. I went to bed at 7:00 pm and slept until 7:30 am on 1/12/2021. I woke up weak with a fever and chills. My temperature was between 99.4 and 100.7. I also had body aches and loss of appetite.

Other Meds: anastrozole

Current Illness: Positive for Covid Vaccine 12/6/2020

ID: 0940054
Sex: F
Age: 34
State:

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
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Symptoms: aches, chills, fever

Other Meds:

Current Illness:

ID: 0940055
Sex: F
Age: 45
State: FL

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/13/2021
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Allergies: no

Symptom List:

Symptoms: Rash/hives on abdomen and lower back

Other Meds: no

Current Illness: no

ID: 0940056
Sex: F
Age: 45
State: IN

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
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Allergies: N/A

Symptom List:

Symptoms: Sore lymph nodes underarm left arm Very sore and swollen lymph nodes above the left collarbone

Other Meds: Vit d3 , Mult Vit

Current Illness: n/A

ID: 0940057
Sex: F
Age: 77
State: GA

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
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Symptoms: patient complained of "flushed feeling" within 7 min of receiving vaccine; 2 min later c/o "tongue feels funny". Benadryl given, symptoms resolve

Other Meds:

Current Illness:

ID: 0940058
Sex: F
Age: 41
State: TX

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/13/2021
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Allergies: none

Symptom List:

Symptoms: fever-99.9 aches chills lower back pain kidney pain

Other Meds: singulair simvastatin zoloft metoprol estradiol

Current Illness: none

ID: 0940060
Sex: F
Age: 39
State: CO

Vax Date: 12/26/2020
Onset Date: 01/02/2021
Rec V Date: 01/13/2021
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Lab Data:

Allergies: allergies to sudafed, dilaudid, norrco

Symptom List:

Symptoms: 7 days post vaccine I developed hives around injection sute. My arm was warm to touch, swollen and painful.

Other Meds: n/a

Current Illness: n/a

ID: 0940061
Sex: F
Age: 57
State: AR

Vax Date: 01/08/2021
Onset Date: 01/11/2021
Rec V Date: 01/13/2021
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Allergies: egg based injection (PCN, flu, shingles, pneumonia) levaquin, tetracycline, morphine, codeine. tea tree oil

Symptom List:

Symptoms: SLIGHT HEADACHE, AND TIREDNESS FOR FIRST TWO DAY. RASH STARTING ON THIRD DAY AND CONTINUES

Other Meds: birth control, pravastain, meclizine, multi vitamin, clonidine-prn for high BP

Current Illness: skin abrasion on chest from reaction to tea tree oil

ID: 0940062
Sex: F
Age: 26
State: MT

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/13/2021
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Allergies: Sulfa - hives; Cephalosporins - hives; Bees/Wasps/Hornets - severe swelling and decreased resp.

Symptom List:

Symptoms: Shortly after receiving the vaccine on 1/5/20 (within several hours) the administration site was swollen, red, and warm to the touch. The swollen area was approximately the size of a silver dollar. There was also soreness around the injection site. Swelling continued through roughly 1/9/20. There was still slight redness/discoloration to the area. Soreness had subsided by 1/7/20. On the evening of 1/11/20 the area began itching. On 1/12/20 I woke up and the area was swollen again, this time worse than before, and was also slightly expanded, approximately 3.5" in diameter. It was also red and warm to the touch and was still itching. This has continued through current time.

Other Meds: RX: Fluoxetine 40 mg QHS; Wellbutrin 300 mg QAM; Hydroxyzine Pamoate 25 mg QID PRN; Clonindine 0.1 mg BID PRN; Trazodone up to 50 mg QHS PRN

Current Illness: Exposure to COVID 11/30/20 with negative test 12/4/20.

Total 2021 VAERS Injuries: 599,999

Page last modified: 03 October 2021 5:28pm