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: 0943278
Sex: F
Age: 25
State: TX

Vax Date: 01/02/2021
Onset Date: 01/02/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)

Other Meds:

Current Illness:

ID: 0943280
Sex: F
Age: 42
State:

Vax Date: 01/04/2021
Onset Date: 01/07/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: NA

Symptoms: URTICARIA, ERITHEMA

Other Meds: NA

Current Illness: NA

ID: 0943281
Sex: F
Age: 68
State: FL

Vax Date: 01/05/2021
Onset Date: 01/07/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Fever, diarrhea, chills, and headache

Other Meds:

Current Illness:

ID: 0943282
Sex: F
Age: 61
State: NH

Vax Date: 01/05/2021
Onset Date: 01/12/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: I got fairly standard injection site reaction (soreness, a little deltoid swelling , and a 1.5" harder, red area) the first 3 days, which I didn't report as I expected it. After 3 days it went away and I was surprised the tenderness went away so quickly as it can last longer with a flu shot. It stayed this way (injection site normal) for 4 days. One week after the shot I started to get an injection site reaction again and this time it is worse; red area is expanding, and is hotter and swollen, I took some morning and night pictures over the last 1.5 days.

Other Meds: levothyroxin

Current Illness:

ID: 0943283
Sex: F
Age: 26
State: MA

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: Sulfa, Beef containing products, naproxen, permethrin

Symptoms: Arm soreness starting approximately 4 hours after injection until approximately 72 hours after injection. Mild injection site itching for the same period of time.

Other Meds: Enpresse

Current Illness:

ID: 0943284
Sex: F
Age: 57
State: IL

Vax Date: 01/11/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: None

Allergies: Allergy to Morphine and Flagyl.

Symptoms: Adverse effect from the first shot was extremely tired and fatigued. Second shot migraine headache, fatigued, body aches, nausea, pain throughout whole body.

Other Meds: Dexilant 60mg daily, Metoprolol 25mg daily, Dicyclomine 40mg daily.

Current Illness: None

ID: 0943285
Sex: F
Age: 24
State: NJ

Vax Date: 01/04/2021
Onset Date: 01/14/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: seasonal

Symptoms: 10 days after the vaccine there is a large red circle surrounding the area where I got it. It is mildly itchy.

Other Meds: biotin and iron

Current Illness: n/a

ID: 0943286
Sex: F
Age: 65
State: KY

Vax Date: 12/21/2020
Onset Date: 12/27/2020
Rec V Date: 01/14/2021
Hospital:

Lab Data: None

Allergies: Nka

Symptoms: Fatigue,headache, chills lasting about 36 hours

Other Meds: Letrozole, calcium, magnesium

Current Illness: None

ID: 0943287
Sex: F
Age: 27
State: IL

Vax Date: 01/06/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: None yet

Allergies: Septra

Symptoms: Heat, bruise like patch (possible rash) below injection site, edema around injection site. Personally feel it is localized cellulitis.

Other Meds: Birth control Probiotic

Current Illness: N/A

ID: 0943288
Sex: F
Age: 29
State: KS

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: increased heart rate around 123 beats per min usually runs 57, vomiting,headache

Other Meds: none

Current Illness: none

ID: 0943289
Sex: M
Age: 54
State: TX

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Fever and chills started at 1:00 AM the next morning

Other Meds: vitamin's

Current Illness: none

ID: 0943290
Sex: F
Age: 38
State: WI

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: n/a

Allergies: Gluten allergy (Celiac's Disease)

Symptoms: 1/12: 12:01am: Shaking chills, body pain, headache, nausea, faint, skin sensitivity, pain at injection site left arm. Temp 98.6 1/12: 0600am: Shaking chills, cold sweat, faint, nausea, headache, body pain, fatigue, skin sensitivity, pain injection site. 1/12: 0630am: Same as above, Temp 100.9, took Ibuprofen 3 tabs. 1/12: 0730am: Less of all symptoms, ate food. 1/12: 12:30pm: Headache, body aches and pains, weakness, fatigue, nausea, skin sensitivity, pain at injection site. 1/12: 1:12pm: Temp 99.5. took ibuprofen 3 tabs. 1/12: 2:15pm-3:40pm: Breakthrough body aches, pains, headache, skin sensitivity, pain at injection site. 1/12: 7:40pm: Body aches, tired. Temp 98.3. took Ibuprofen 3 tabs. 1/13: 0800: Slept well, no further pain medication, no further side effects except mild soreness at injection site. 1/24: 0800: no soreness to injection site.

Other Meds: One-a-day women's multivitamin, Triple Magnesium capsules, Vitamin D

Current Illness: Headache with menstrual period (1/9/21-1/10/21)

ID: 0943291
Sex: F
Age: 25
State: TX

Vax Date: 01/02/2021
Onset Date: 01/02/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)

Other Meds:

Current Illness:

ID: 0943292
Sex: F
Age: 54
State: FL

Vax Date: 01/08/2021
Onset Date: 01/11/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Fever, headache, and chills

Other Meds:

Current Illness:

ID: 0943293
Sex: F
Age: 45
State: KS

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Associate reported to Employee Health on 01/13/2021 that she experienced a rash on her arms and legs on 01/08/2021. Patient reported that the rash was present after her first vaccination on 12/18/2020, but she did not report her reaction to Employee Health. After her second dose of COVID19 vaccine the rash re-appeared and spread from her legs to her arms. Employee Health encouraged her to follow up with her medical provider. Rash was still present as of 01-13-21.

Other Meds:

Current Illness:

ID: 0943294
Sex: F
Age: 49
State: MN

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: none

Allergies: Morphine, Demerol, Erythromycin

Symptoms: Lymphadenopathy of left axillary area

Other Meds: none

Current Illness: Dental abscess

ID: 0943295
Sex: F
Age: 29
State: MA

Vax Date: 01/09/2021
Onset Date: 01/10/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: COVID-19 test on 1/11/21; results negative

Allergies: seasonal allergies

Symptoms: About 12 hours after receiving the second dose of the COVID 19 Vaccine (1/9/21), I had sudden onset of fever, chills, nausea, headache, and fatigue. The fever, chills, nausea lasted for about 36 hours from onset, and notable headache and fatigue lasted for about 2.5- 3 days after onset of symptoms. They resolved by the evening of 1/12/2021.

Other Meds: hair, skin, and nails vitamins

Current Illness:

ID: 0943296
Sex: F
Age: 41
State: ME

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: green beans

Symptoms: Systemic: Rash (other than injection site)-Medium, Systemic: Fever-Medium, Systemic: Felt itchy all over body, no visible hives, flushed-Medium; symptoms lasted for 1 day

Other Meds:

Current Illness:

ID: 0943297
Sex: F
Age: 25
State: IL

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 6:30pm last night I started feeling nauseous and started to have diarrhea. I laid down in bed about 8pm was still feeling nauseous then I got up at 1:30am and was in so much pain. My whole body has been hurting and aching. I have a temperature of 99.5. Overall I still feel nauseous hot and in pain.

Other Meds:

Current Illness:

ID: 0943298
Sex: F
Age: 43
State: CT

Vax Date: 12/22/2020
Onset Date: 12/29/2020
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: Dust mites

Symptoms: Localized rash over the injection site (Left arm deltoid area). Began with erythematous papules that coalesced into a wheal. Itchy, red, warm to touch. Resolved in about 3 days. Took Claritin 10mg daily.

Other Meds: Loratadine Flonase

Current Illness: None

ID: 0943299
Sex: M
Age: 59
State: AL

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: left arm pain fever over 101 chills nausea

Other Meds: hydralazine 50me nifedipine 60me benazepril 40me amiloride 5me atorvastatin 10me

Current Illness: none

ID: 0943300
Sex: F
Age: 66
State: FL

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Swollen red, hot to touch injection site

Other Meds:

Current Illness:

ID: 0943301
Sex: F
Age: 56
State: FL

Vax Date: 01/05/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: N/A

Allergies: Iodine - Anaphylaxis

Symptoms: Pt here for eval of redness on left arm after Covid vaccine. Pt reports that initially, the area was itching and yesterday, it became warm and red. No fever Objective 56 year old female in no apparent distress. Physical Exam GENERAL: Well appearing and well nourished, in no apparent distress. SKIN: Left deltoid noted for indurated area ~ 4 x 6 cm. Area is warm to touch and firm. It is well circumscribed with sharp borders. No streaking. No flucutance. Vital Signs: Last 24 Hours Date/Time Blood Pressure (mm/ Hg) BP Position/ Site Heart Rate Resp Temp C Temp F SPO2% O2 Device Blood Sugar (mg/ dL) Pain Score Wt - kg Wt - lbs/ozs 01/13/2021 14:14 148/86 Sitting/R Arm 74 17 36.2 C 97.1 102.24 kg 225.40 lbs Lab Results: Last 24 Hours: No Labs Available Assessment Vaccine reaction Cellulitis Problem List Pain in left foot Plan Keflex 500 mg QID Diflucan 150 mg Mupirocin ointment. Return if symptoms worsen. Medications given this visit: Ordered & Completed Meds Table: No Current Medications Available Discharge Medications: Discharge Medications Estradiol 0.1MG/24HR Transdermal Patch, Extended Release(Estradiol 0.1MG/24HR Transdermal Patch, Extended Release) Ibuprofen 800MG Oral Tablet(Ibuprofen 800MG Oral Tablet) Synthroid 112MCG Oral Tablet(Synthroid 112MCG Oral Tablet) amLODIPine besylate-valsartan 5MG-160MG Oral Tablet(amLODIPine besylate-valsartan 5MG-160MG Oral Tablet) traMADol HCl 50MG Oral Tablet(traMADol HCl 50MG Oral Tablet) Keflex 500MG Oral Capsule(Keflex 500MG Oral Capsule) Diflucan 150MG Oral Tablet(Diflucan 150MG Oral Tablet) Mupirocin 2% Topical application Ointment(Mupirocin 2% Topical application Ointment)

Other Meds: Amlodipine Valsartan Tramadol Synthroid Ibuprofen Estradiol Transdermal

Current Illness: N/A

ID: 0943302
Sex: F
Age: 32
State: FL

Vax Date: 01/07/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Axillary tenderness in left axilla and swollen supraclavicular lymph node on the left side

Other Meds: None

Current Illness: None

ID: 0943303
Sex: F
Age: 40
State: TX

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: none

Allergies: None

Symptoms: I noticed a knot later on that evening at the injection site and arm became really sore. Woke up with chills and fever during the night. When I got up to get ready for work I had chills, nausea , body aches , headache and a fever. Just took my temp at 8:30 am and its 101.5

Other Meds: None

Current Illness: Tested Positive for Covid on Novemeber 23,2020

ID: 0943304
Sex: F
Age: 54
State: GA

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: None

Allergies: Shellfish and seafood (reaction is GI in nature, not an anaphylactic reaction)

Symptoms: On Thursday, I noticed bilateral redness on my arms on the inner aspect of elbow. I thought it was chapped skin or from a too-hot shower. On Friday afternoon, the redness was more pronounced and it had spread to the bicep/ tricep area. It looked like a viral rash and the reddest part was still the inner aspect of the elbow. There was no itching or pain. I treated it with Aquaphor, steroid cream, and Benadryl at night. It was mostly resolved on Sunday although the skin is still very rough.

Other Meds: No routine meds, occasional ibuprofen for headache 1-2 times per week

Current Illness: None

ID: 0943305
Sex: F
Age: 32
State: KY

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: NA

Allergies: UNKNOWN

Symptoms: PATIENT REPORTED FEELING OF IMPENDING DOOM. PATIENT WAS THEN TRANSPORTED PER WHEELCHAIR TO ER. PATIENT WAS FEELING FLUSHED, SHAKY AND ANXIOUS UPON ARRIVAL TO ER.

Other Meds: MULTIVITAMIN

Current Illness: NO

ID: 0943306
Sex: M
Age: 27
State: IL

Vax Date: 01/10/2021
Onset Date: 01/11/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Fever, uncontrolled convulsions, rapid cycling of body temperature for roughly 48 hours, migraine, intense body pain and lethargy, inability to sleep, no appetite

Other Meds: Vitamin D supplement, fish oil supplement

Current Illness: None

ID: 0943307
Sex: F
Age: 17
State: KY

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: penicillin, bactrim

Symptoms: Systemic: Seizure-Severe

Other Meds:

Current Illness:

ID: 0943308
Sex: F
Age: 24
State: CA

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: Poison oak

Symptoms: Sore arm day of, painful at injection sight/slightly swollen day after, 2 day after still painful at injection sight/in muscle, visibly swollen and possibly discoloration

Other Meds: Birth control

Current Illness:

ID: 0943309
Sex: F
Age: 24
State: MA

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: Macrodantin

Symptoms: Got the COVID vaccine(1st dose) on 01/12/2021. Had Benadryl with it due to previous allergic reactions. Later that night, I had nauseous. Slept for 10-12 hours. Woke up fine, had no issues or symptoms. Later on as the day progressed, around noon-1pm, I noticed I had started to get a headache and some dizziness. Daily headaches and vertigo are normal for me, currently seeing a neurologist for this, but I realized that this was getting worse from the daily headaches and vertigo that affects me. Took 2 Excedrin extra strength migraine relief to no relief.

Other Meds: solifenacin 5mg. Nortriptyline 10mg.

Current Illness:

ID: 0943310
Sex: F
Age: 55
State: AZ

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Day of vaccine 1/12/21-started having pain down all left arm and body aches with headache and nauseated. Day 2-1/13/21-still having pain in left arm and body aches, headache and nausea, now having sharp pains in left shoulder radiating around to scapular area with limited ROM-soreness and stiffness. Day 3-1/14/21-no symptoms at all only mild soreness at injection site.

Other Meds:

Current Illness:

ID: 0943311
Sex: F
Age: 52
State: NJ

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: nka

Symptoms: headache, neckache, body aches traveling down from neck to shoulder blades, to back then to hips/buttocks, fatigue, fever 101.5, chills, weakness, dizziness upon getting up or turning head, nausea, severe belching, eye ache and burn, pain at injection site, unable to lift arm past 75degress Progressive symptoms developed over the course of the day 1/13/2021, peaking 3-11pm. 1/14/2021 most symptoms subsiding, but still weak and tired. Can lift arm to about 110degrees, continued pain and stiffness at injection site

Other Meds: synthroid

Current Illness: none

ID: 0943312
Sex: M
Age: 66
State: RI

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: Sulfa, Penicillin

Symptoms: On 01-07-2021 and about 12 hours later I started to feel ill, had muscle aches, shivers, fever of 100 degrees. I also had a nasty headache with a sore throat for about 36 hours. I took Acetaminophen and Ibuprofen and rested in bed. On the second day my symptoms started to improve and the rash I had at the injection site on my left arm started to get smaller and started to improve in appearance.

Other Meds: Simvastatin 20mg OD, Lunesta 3mg QHS, Dexilient 60mg OD, Pepcid AC 40mg QAM, Tramadol 50mg BID

Current Illness: None reported

ID: 0943313
Sex: F
Age: 25
State: TX

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Body aches, chills, extreme fatigue, fever of 101.0, chest pressure and sore throat. Treatment include Tylenol with no improvement.

Other Meds:

Current Illness:

ID: 0943314
Sex: F
Age: 40
State: AL

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: shellfish, tree nuts, sulfa drugs, penicillian, iodine, & latex sensitivity

Symptoms: Patient developed intense itching covering entire body within 30 minutes of injection. Patient consulted via text with physician from her office (works in pediatric office) and advised to take Benadryl as there was no rash, swelling, or shortness of breath. Within 30 minutes of Benadryl being taken patient experienced relief from the intense itching, however when it came time for a repeat dose of Benadryl patient was experiencing the intense itching again. This continued through the next morning. Patient is in fact still experiencing itching - however not as intense as last night. Patient continues to take Benadryl and it continues to provide relief - no other symptoms are presenting at this time.

Other Meds: Latuda, Lamictal, Wellbutrin, Singular, Zyrtec, Vitamin D3, Lisinopril, Metformin, Topamax, Viberzi

Current Illness: none

ID: 0943315
Sex: F
Age: 49
State: WI

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: SM presents today for second dose of Pfizer vaccine at 0724 13 mins post injection SM states she began feeling her throat was scratchy, mouth tasted metallic and a flushed felling over her entire body. SM attached to VS machine. Initial set of vitals were HR 77 bpm, spo2 100% on RA, and left arm blood pressure 158/84.

Other Meds:

Current Illness:

ID: 0943316
Sex: F
Age: 60
State: AL

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: sulpha

Symptoms: sort arm- severe headache-extreme chills.

Other Meds: Turmeric95 with Curcumin- Pantoprazole 40 mg- Estradiol 1 mg

Current Illness: n/a

ID: 0943317
Sex: F
Age: 31
State: PR

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: NONE

Allergies: NONE

Symptoms: TWO DAYS OF SINTOMOS,PAIN INJECTION SITE, HEADACHE,MUSCULAR PAIN,FEVER,ABDOMINAL PAIN, DIARREA,SUETING AND INFLAMATION OF THE GANGLIOS.

Other Meds: TYLENOL 2 TAB EVERY FOR HOUR, ICE BAGS ON INJECTION SITE, TWO DAYS OF SINTOMES.

Current Illness: NONE

ID: 0943318
Sex: F
Age: 56
State:

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Chest palpitations and fast heart rate (99); rested and symptoms decreased

Other Meds:

Current Illness:

ID: 0943319
Sex: F
Age: 31
State: VA

Vax Date: 01/08/2021
Onset Date: 01/11/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: N/A

Allergies: Horses -anaphylactic reaction

Symptoms: Continued Headache, dizziness, swollen lymph nodes, fatigue, chills, body aches

Other Meds: N/A

Current Illness: No

ID: 0943320
Sex: F
Age: 85
State: NY

Vax Date: 01/09/2021
Onset Date: 01/12/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: n/a (is improving with treatment)

Allergies: NKA

Symptoms: possible abscess formation at injection site- redness/ warmth/ swelling/ tenderness. Cool compress, NSAID, PPI, oral Antibiotic

Other Meds: Iron, Zofran, Zinc, Oxycodone, Vitamin C, Vitamin D, Calcitonin, Montelukast Sodium, EC ASA, Dronabinol, Venlafaxine Hcl, Levothyroxine, Dicyclomine, Lidocaine patch, CoQ10, Colace, Simvastatin, Gabapentin, Folic Acid, Miralax, mirtazapine

Current Illness: ESRD, new dialysis, acute CHF,

ID: 0943321
Sex: F
Age: 31
State: OH

Vax Date: 01/07/2021
Onset Date: 01/12/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Left axillary lymph node painful and swollen (status: improving in size and tenderness)

Other Meds: Spironolactone prn, Zyrtec, prenatal vitamin

Current Illness: None

ID: 0943322
Sex: F
Age: 34
State: IN

Vax Date: 01/10/2021
Onset Date: 01/11/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Low-grade fever, bodyaches, slight headache

Other Meds: Daily multivitamin and vitamin C

Current Illness: None

ID: 0943323
Sex: F
Age: 32
State: MN

Vax Date: 01/09/2021
Onset Date: 01/09/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: Azithromycin, Demerol, Sulfa Drugs

Symptoms: Immediately complained of feeling hot, tingly, anxious, shaky. Noted to have elevated blood pressure and pulse. Symptoms continued for one hour. Patient was seen in the Emergency Department for monitoring and discharged to home.

Other Meds:

Current Illness:

ID: 0943324
Sex: M
Age: 50
State: KY

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: COVID Rapid Test negative...COVID PCR test results pending

Allergies: None Known

Symptoms: ok directly after...about 1800 on the 12th...started to experience chills, body aches, lethargy, low grade fever and injection site pain(to be expected)

Other Meds: Bupropion, Ropinirole, Fluoxetine, Atorvastatin, Trazadone, Guanfacine

Current Illness: None

ID: 0943325
Sex: F
Age: 33
State: IN

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: NONE AS OF 1/14/2021

Allergies: LORAZEPAM - RASH

Symptoms: PATIENT GIVEN FIRST DOSE OF MODERNA VACCINE 1/11/2021 . SHE DEVELOPED PAIN IN RIGHT DELTOID. ON THE NEXT DAY, SHE DEVELOPED LOW GRADE FEVER, FATIGUE, BODY ACHES, HEADACHE. LATER ON 1/12/2021 PATIENT BEGAN TO NOTICE PAIN IN RIGHT AXILLA. SHE HAS SINCE DEVELOPED RIGHT AXILLARY LYMPHADENOPATHY

Other Meds: BIRTH CONTROL

Current Illness: NONE REPORTED

ID: 0943326
Sex: F
Age: 33
State: AR

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: headache, muscle aches

Other Meds:

Current Illness:

ID: 0943327
Sex: M
Age: 39
State: PA

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data:

Allergies: Penicillin, Oysters

Symptoms: Chills, Fever, Vomitting, Headache, Muscle and Joint Pain, Fatigue, Rapid Heart Rate

Other Meds: Claritin, Flonase

Current Illness: Covid 19- 37 days prior was instructed by my employer that a 30 day window was ok

ID: 0943328
Sex: F
Age: 29
State: MA

Vax Date: 01/05/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
Hospital:

Lab Data: Ice pack to area, 7 days of Keflex prescribed to be taken three times per day.

Allergies: None.

Symptoms: Red, warm to touch, raised area, slightly swollen and itchy on left arm where injection was given.

Other Meds: Zoloft 25 mg, 1 tab per day.

Current Illness: None.

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm