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**
PLEASE CHECK BACK SOON
Download the files above while you wait.







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: 0953913
Sex: F
Age: 42
State: CA

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: None

Allergies: Penicillin

Symptoms: Woke up in the middle of the night with intense pain in my left arm, unable to life my arm the following morning. Throughout the day I could not touch my arm and barely managed to put a jacket on from the pain. I couldn't lift my arm higher than my ribs the entire day. At 5pm the day after the vaccine I had chills, body aches, fatigue, and felt nauseous. The next morning I had a redness around my armpit on my left arm, with an itchy rash on the posterior side of my armpit. The redness and itchiness is improving but still present today. I have been receiving and responding to the V-Safe check in's, but didn't experience the chills, muscle aches, fatigue until after I filled out that days assessment. I tried typing it for the next day but had to walk away from my phone mid-survey and it wouldn't let me submit a report that day.

Other Meds: Synthroid, fiber tablets, multi-vitamin

Current Illness: Mild sore throat a couple of days before the vaccine, tested negative for Covid

ID: 0953914
Sex: M
Age: 77
State: MI

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: None required

Allergies: possible allergy to vicodin

Symptoms: Don't know if these are adverse events -- they are described in take home information as "General side effects:" Chills, headache, joint ache, muscle ache, extreme fatigue -- lasted about 36 hours. No treatment required other than ibuprofen and sleep (lots of the latter).

Other Meds: pradaxa, irbesatan, atorvastatin, carvedilol, vitamin d

Current Illness: no

ID: 0953915
Sex: M
Age: 58
State: NY

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: Yes. Hearing test, are sending me for an MRI. Going to be seen on Wednesday the 20th.

Allergies: NONE

Symptoms: Sever hearing lose, severe ringing and severe vertigo, being treated with prednisone as well as and anti-viral, valatytlovir hydrochlorothiazide, meclizine. Doing trouble, no improvement in my hearing, completely gone now and feel like I am going to throw up.

Other Meds: Aspirin, Meloxicam, Biktarvy, Propisha, Amlodipine . Vit. C, D, B, Turmeric and fish oil

Current Illness: NONE

ID: 0953916
Sex: M
Age: 83
State: CA

Vax Date: 01/06/2021
Onset Date: 01/13/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: none

Allergies:

Symptoms: Aching muscles- first day fatigue-first week no fever or loss of smell

Other Meds:

Current Illness: none

ID: 0953917
Sex: F
Age: 46
State: NC

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: no test or labs

Allergies: Multiple allergies including lavender, curry, and eucalyptus

Symptoms: Patient filled out VARS, she checked she had no allergies, during technician screening she was asked if she had allergies and she said no, during pharmacist screening she was asked again and she responded that she did not. The vaccine was given and she was being monitored when she said she was having trouble breathing. The shortness of breath continued and she was administered the epipen and given oxygen, SOB continued and another epipen was administered. The paramedics arrived and patient was taken to nearby hospital

Other Meds: None

Current Illness: Allergic reactions to environmental unknowns

ID: 0953918
Sex: F
Age: 60
State: TX

Vax Date: 01/17/2021
Onset Date: 01/17/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies: sulfa HCTZ

Symptoms: fever, chills, joint pain, muscle aches, nausea, headache

Other Meds: carvedilol, panttoprazole, rosuvostatin, levothyroxine

Current Illness: osteoarthritis, hyperparathyroidism

ID: 0953919
Sex: M
Age: 39
State: MA

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Fever of 101.5 day after vaccination accompanied by body aches and chills. Second day after vaccination experienced fever of 100.7 with headache and some dizziness.

Other Meds:

Current Illness: Covid-19 positive on December 15, 2020. Negative pcr test on December 28, 2020

ID: 0953920
Sex: F
Age: 61
State: CO

Vax Date: 01/15/2021
Onset Date: 01/16/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 12-14 hours after my second vaccine I had severe chills, body aches, headache, and felt feverish. This was only partially mitigated by acetaminophen and ibuprofen. It lasted until about 42 hours post vaccine.

Other Meds:

Current Illness:

ID: 0953921
Sex: F
Age: 53
State: MI

Vax Date: 01/18/2021
Onset Date: 01/18/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: soreness in entire arm similar to being stung by a wasp; numbness and soreness in left side of face similar to the feeling after dental work when the shot has worn off. It has been 3 hours that I've felt this. It is still that way.

Other Meds: hydrochlorathyazide/Losartan; vitamin c, d, zinc, multivitamin, quercetin, glucosamine chondroitin, probiotic, zyrtec

Current Illness: none

Date Died: 12/31/2020

ID: 0953922
Sex: M
Age: 72
State: MA

Vax Date: 12/26/2020
Onset Date: 12/27/2020
Rec V Date: 01/18/2021
Hospital: Y

Lab Data:

Allergies: NKDA

Symptoms: The day following the vaccine, the patient complained of throat issues and anxiety. This was not new... however . That evening he reported difficulty breathing and was placed on oxygen; a COVID test was performed and was negative. On 12/30/2020, patient complained of sternal pressure and was transferred to the hospital. The patient died 12/31/2020 and records obtained from the hospital indicated the patient died from a massive myocardial infarction.

Other Meds:

Current Illness: Diabetes, COPD, Chrone's Disease, DJD, OSA, PTSD, GERD, HLD, Depression, HTN, lobectomy 3/4/2019, cancer

ID: 0953923
Sex: F
Age: 49
State: CO

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/18/2021
Hospital:

Lab Data: ECHO, EKG, CXR, Troponin, WBC, Creatinine, CRP, CBC, Lipid panel, COVID-19 RNA Qualitative, holter monitor

Allergies: ASA

Symptoms: Chills, SOB, band like pressure in chest, aching all over. COVID symptoms 11/30/2020, Positive COVID test 12/01/2020. Reactive antibodies 12/31/2020

Other Meds: Ventolin inhaler

Current Illness: COVID-19 positive, symptoms started 11/20/2020 and tested positive 12/01/2020

ID: 0953924
Sex: F
Age: 34
State: MA

Vax Date: 01/02/2021
Onset Date: 01/09/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: None

Allergies: N/a

Symptoms: New symptoms not previously experience since date of vaccine started 7 days after: itching , redness,warmyh, swelling 3inches by 3 inches

Other Meds: N/a

Current Illness: None

ID: 0953925
Sex: M
Age: 63
State: CA

Vax Date: 01/01/2021
Onset Date: 01/18/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Itchy rash all over body, Red rash to bilat arms and hips

Other Meds:

Current Illness:

ID: 0953926
Sex: M
Age: 74
State: NC

Vax Date: 01/07/2021
Onset Date: 01/12/2021
Rec V Date: 01/18/2021
Hospital: Y

Lab Data: CT Scan, MRI, EEG, EKG,Echocardiogram

Allergies: tetracycline, seasonal allergies

Symptoms: Seizure

Other Meds: 2.5mg Tadalafil once daily,40mg Pantoprazole once daily

Current Illness:

ID: 0953927
Sex: F
Age: 61
State: CO

Vax Date: 01/15/2021
Onset Date: 01/16/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 12-14 hours after my second vaccine I had severe chills, body aches, headache, and felt feverish. This was only partially mitigated by acetaminophen and ibuprofen. It lasted until about 42 hours post vaccine.

Other Meds:

Current Illness:

ID: 0953928
Sex: M
Age: 38
State: WA

Vax Date: 01/09/2021
Onset Date: 01/15/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Urticaria, itcy over whole body for 3 days, treated with diphenhydramine and herbal medicine.

Other Meds: None

Current Illness: None

ID: 0953929
Sex: F
Age: 64
State: WI

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies: none known

Symptoms: On 01/14/2021 patient experienced severe chills and shaking upon awakening. She subsequently vomited three times following the episode of chills and shaking. Later in the day the client experienced two episodes either extreme fatigue or fainting - she is unsure of the nature of the events since she does not recall falling asleep, and both events occurred in her vehicle while parked.

Other Meds: 01/13/2021: Glipizide 10 mg, Amlodipine 5 mg, Ranitidine 150 mg in morning prior to vaccination; Atorvastatin 10 mg and Glipizide 5 mg in PM following vaccine

Current Illness: none

ID: 0953930
Sex: F
Age: 37
State: WA

Vax Date: 12/31/2020
Onset Date: 01/01/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: *Other: hip joint pain and sciatica on injection side of body. Side affects started the following morning after my vaccine with arm pain and stiffness. After about 24 hours I had fatigue and chills with body aches. I slept for about 14 hours that evening then woke up the next morning without chills, body aches, and less arm pain. I then developed joint pain in my elbow and hip, as well as sciatica down my whole leg, that lasted for 2 more days. I also had numbness at the injection site for about 1 day.

Other Meds:

Current Illness:

ID: 0953931
Sex: M
Age: 59
State: TN

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: Blood work at ER on Thursday 1/7. Diagnosed ear condition as cellulitis prescribed antibiotics. No fever on Sunday 1/10, Fever returned on Wednesday 1/13. No fever on Sunday 1/17.

Allergies: None known at time of vaccination. Later found allergic reaction to penicillin.

Symptoms: Right ear swollen, fever

Other Meds: multi vitamin

Current Illness: None

ID: 0953932
Sex: F
Age: 60
State: OH

Vax Date: 01/09/2021
Onset Date: 01/17/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies: eggs, nuts, PCN, sulfa, IV contrast dye, medrol dose pak

Symptoms: MODERNA COVID-19 VACCINE EUA The arm that was injected with the vaccine began to itch 8 days post vaccine. For the first several hours after the itching started there was no visible swelling or redness. After about 8 hours it appeared to start swelling below the injection site down to the elbow. On day 9 post injection, (1/18/21), the arm became generally swollen, with redness, hard and warm. The itchiness seemed resolved but the arm felt heavy and sensitive to touch. Bruising was observed above the injection site and the swelling went from above the site down to almost the elbow.

Other Meds: atorvastatin valsartan

Current Illness: None

ID: 0953933
Sex: F
Age: 70
State: AK

Vax Date: 01/15/2021
Onset Date: 01/16/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: none

Allergies:

Symptoms: Headache, chills ,lightheadedness, balance, arm soreness

Other Meds:

Current Illness:

ID: 0953934
Sex: F
Age: 46
State: MN

Vax Date: 01/18/2021
Onset Date: 01/18/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: NA

Allergies: hydrocodone, meperidine, oral pain relief (p999981572+p999980944+p999980046), propoxyphene N-apap

Symptoms: Pt received Pfizer Covid-19 vaccine at 1530. At 1540, reported that her throat "felt itchy, like after a bee sting". Pt reports that after a bee sting she typically takes two benedryl and has not ever used epinephrine. Pt was given 50 mg benedryl po. She waited with her husband in the vaccine waiting area for 15 more minutes and reported she was feeling fine and left. Declined needing to go to ER.

Other Meds: ibuprofen, cholecalciferol, cyanocobalamin, metoprolol tartrate, aspirin-acetaminophen-caffeine

Current Illness: palpitations

ID: 0953935
Sex: F
Age: 46
State: CO

Vax Date: 01/13/2021
Onset Date: 01/18/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: just reported info to my dr- so no tx yet

Allergies: none

Symptoms: very painful lympnode under right arm the size of a golf ball

Other Meds: progesterone, pellets of estrodial.. melatonin, zinc, d3

Current Illness: none

ID: 0953936
Sex: F
Age: 47
State: AZ

Vax Date: 01/15/2021
Onset Date: 01/16/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: none (photos taken by patient)

Allergies: Sulfa

Symptoms: Swelling, tenderness and erythema at site of previous dermal filler injections under eyes/upper cheeks (tear troughs) noted 24 hours after receiving 2nd dosage of vaccine. Swelling gradually worsened to involve bilateral tear trough regions - with maximal edema/erythema noted at approximately 36 hours post-vaccine. Symptoms resolved gradually and were reported as minimal at 72 hours post vaccination. Patient had received dermal filler injection with Juvederm Volbella 0.55 ml approx 3 months prior to receiving the vaccination.

Other Meds: Wellbutrin, Spironolactone, Zyrtec

Current Illness: None

ID: 0953937
Sex: F
Age: 77
State: TX

Vax Date: 01/16/2021
Onset Date: 01/17/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: no

Allergies: no

Symptoms: Lot# not available. 32 hrs after inj 167/69 hb 84 with H/A.

Other Meds: no

Current Illness: no

ID: 0953938
Sex: F
Age: 41
State: AL

Vax Date: 12/22/2020
Onset Date: 12/22/2020
Rec V Date: 01/18/2021
Hospital:

Lab Data: Covid test

Allergies: Penicillin Sulfa

Symptoms: I kind of felt flush a couple hours after. Later that evening I felt really tired, I got really cold and couldn't get warm. I had a tingling feeling all over and cold, I wasn't running a fever. I ate supper and threw everything up and started shaking because I was really cold. I took Tylenol and Phenergan. The next morning I felt weak, I tried to get ready to work and my joints ached, I was sore/achy and I threw up again. I took Tylenol and Phenergan again and called out of work. Then mid- morning I woke up in a cold sweat and I felt better. Each time I checked my temp. I wasn't running a fever. My employer had me take a Covid test and it was negative.

Other Meds:

Current Illness: Ear ache (pressure in my ears)

ID: 0953939
Sex: F
Age: 39
State: CO

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Reporting side effects to first dose of COVID-19 vaccine. In addition to a sore arm, I also experience a headache, tiredness and fatigue x2 days.

Other Meds:

Current Illness:

ID: 0953940
Sex: M
Age: 78
State: VA

Vax Date: 01/15/2021
Onset Date: 01/17/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: Went to Urgent Care facility on Monday, Jan. 18th, no test administered, nurse recognized symptoms as those already observed.

Allergies: Slight hay fever allergy only, no allergies to meds, food or other products.

Symptoms: Rash at injection site, on lower back, left hip, chest, arms, inner thighs, armpits, Swelling, itching, burning on both hands and fingers. Itching and burning on lower back. These symptoms began a day following injection and grew much worse on the second day after injection. Prescribed a prednisone steroid, zertec, over the counter Benadryl, and an epipen

Other Meds: Multi Vitamin, Biotin tablet, Niacin tablet, Lumigan Eye Drops

Current Illness: Gall bladder surgery 11 days prior to vaccination.

ID: 0953941
Sex: F
Age: 91
State: AZ

Vax Date: 01/17/2021
Onset Date: 01/17/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: EMTs at the site checked blood pressure, oxygen level. Advised to give over the counter Benadryl and repeat as needed.

Allergies: Allergic to sulfa-containing medications

Symptoms: Immediately, felt burning at injection site, then mild headache, lips tingling. . About 40 minutes later, lips and tongue swelling, and uncomfortable swallowing.

Other Meds: Losartan (50 mg) HCTZ (12.5 mg) Pantoprazol (40 mg) Gabapentin (300 mg) Simvastatin (10 mg) Aspirin (81 mg)

Current Illness:

ID: 0953942
Sex: F
Age: 54
State: NY

Vax Date: 01/14/2021
Onset Date: 01/18/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Headache, Low Grade Fever

Other Meds:

Current Illness:

ID: 0953943
Sex: F
Age: 40
State: CO

Vax Date: 01/05/2021
Onset Date: 01/15/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: 1/18/2021-Dr. ordered ANA Screen, C-Reactive protein, CBC, CMP, Creatine Kinase, Cyclic Citrullinated Peptide Antibody, ESR, Serum Rheumatoid Factor, TSH. Dr. also obtained pictures of the rash and swollen joints to send to a Dermatologist. Prescription strength Hydrocortisone cream ordered.

Allergies: Sulfa

Symptoms: Moderna COVID-19 Vaccine Had normal sore arm and fatigue for two days after vaccine. On 1/15/2021, work up to a rash to bilateral elbows with itching and discomfort. By 1700 on 1/15/2021, joint pain started to bilateral elbows, fingers, wrists, hips, ankles, right toe. Joints to hands swollen with red, raised, and bluish/purple tinted areas over the finger joints.

Other Meds: Vitamin C, Biotin, D3

Current Illness: None

ID: 0953944
Sex: M
Age: 0
State: MA

Vax Date: 01/18/2021
Onset Date: 12/30/2020
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies: dipyridamole

Symptoms: On 12/30/2020 complained of stomach pain and insisted he be transferred to the hospital. He experienced no significant physical or long-term outcome and was returned to the facility without incident. I am reporting because he was transferred to the hospital within three days following the vaccine.

Other Meds:

Current Illness: vascular dementia, CVA, HTN, asthma, seasonal allergies, s/p CABG, depression, CAD,

ID: 0953945
Sex: F
Age: 55
State: CO

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Received vaccine at 1600 on 1/14/2021. Woke up on 1/15/21 with nausea, vomiting, and headache. These symptoms improved by 1/16/2021 but continued to have HA all day on 1/16. Symptoms resolved on 1/17/2021.

Other Meds:

Current Illness:

ID: 0953946
Sex: F
Age: 44
State: MD

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

Lab Data: None

Allergies: None

Symptoms: Very sore arm for three days, on day 7, intense itching at injection site

Other Meds: Synthroid

Current Illness: None

ID: 0953947
Sex: M
Age: 49
State: CO

Vax Date: 01/15/2021
Onset Date: 01/16/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: N/A

Allergies: None

Symptoms: Pain in my next, Lung when i breath hard, runny nose ,fever and body ache.

Other Meds: None

Current Illness: None

ID: 0953948
Sex: F
Age: 42
State: AR

Vax Date: 01/18/2021
Onset Date: 01/18/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: None

Allergies: Ibuprofen- facial swelling and hives

Symptoms: Employee reported palpitations 5 minutes after vaccine was administered then began having rash on chest and tingling in lips and face. Benadryl 25mg and Epi-pen were administered. Symptoms got better and employee went home. Had to go back to Emergency Room for tingling all over and flushing to face.

Other Meds: Melatonin

Current Illness: None

ID: 0953949
Sex: F
Age: 24
State: CA

Vax Date: 01/16/2021
Onset Date: 01/17/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies: None.

Symptoms: Fever, Body aches, cough.

Other Meds: Tylenol, Alieve.

Current Illness: None.

ID: 0953950
Sex: F
Age: 87
State: CA

Vax Date: 01/07/2021
Onset Date: 01/14/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: None

Allergies: penicillin, HCL

Symptoms: Started itching, then in morning it was red and hot. Splotchy spots, now can still feel where the injection was given.

Other Meds: Lisinopril, Amlodopine, cimedatine, Malozacane, vitamins, fish oil, Vit C, Stool softner, fiber capsules

Current Illness: no

ID: 0953951
Sex: F
Age: 54
State: CO

Vax Date: 01/10/2021
Onset Date: 01/11/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Nausea, head ache, body aches chills

Other Meds:

Current Illness:

ID: 0953952
Sex: F
Age: 30
State: IN

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: Blood tests including comp metabolic panel, CBC with differential, and EBV antibody tests have not shown any results that would contribute to lymphadenopathy

Allergies: Ciprofloxacin

Symptoms: Supraclavicular and cervical lymphadenopathy beginning 1 day after injection and worsening over the course of the next 4-5 days. As of 2 weeks since receiving the vaccine the the lymph nodes remain enlarged.

Other Meds: daily multivitamin

Current Illness: none

ID: 0953953
Sex: M
Age: 73
State: WV

Vax Date: 01/09/2021
Onset Date: 01/10/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: N/A

Allergies: None

Symptoms: Severe headaches, fatigue, low grade fever.

Other Meds: Omeprazole, Losartan.

Current Illness: None

ID: 0953954
Sex: F
Age: 16
State: MI

Vax Date: 01/18/2021
Onset Date: 01/18/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient was monitored for 15 minutes post vaccination and no adverse reactions reported. The error was discovered upon return of VAR to pharmacy (patient is 16 years old and it was outside of age range for Moderna)

Other Meds:

Current Illness:

ID: 0953955
Sex: F
Age: 61
State: MI

Vax Date: 01/16/2021
Onset Date: 01/18/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: Na

Allergies: No

Symptoms: Noticed early this morning a large swollen area above my left clavicle. This was about 36 hours after my vaccination.

Other Meds: Lisinopril 10 mg daily

Current Illness: No

ID: 0953956
Sex: F
Age: 42
State: OH

Vax Date: 01/11/2021
Onset Date: 01/13/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Stomachache started on 1/13/21 and lasted for 5 days. Headache started on 1/14/21 and lasted 2 days. 1/15/21 diarrhea for 2 days. 1/16/21 chills, fever, body and joint aches. Severe fatigue started on 1/14/21 and lasted for 5 days.

Other Meds:

Current Illness:

ID: 0953957
Sex: F
Age: 80
State: WV

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: The patient experienced a red mark at the injection site the day after administration and it progressively increased over 12 days to form the approximation of a circle. It is red and painful at the time of reporting.

Other Meds:

Current Illness:

ID: 0953958
Sex: F
Age: 59
State: PA

Vax Date: 01/07/2021
Onset Date: 01/16/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: none

Allergies: Erythromycin orally- severe vomiting Scallops and tarragon- severe diarrhea raw onions- mild hives

Symptoms: Initially sore and tender left upper arm at injection site, this lasted 3 days. Starting 1/16/2021, 10 days after injection I started having tenderness at the injection site again. Also there was itching, red raised bumps similar to hives, swelling of the area, muscle aches and headache. Tylenol did not alleviate the symptoms but Motrin did help with the achy muscles. Sunday Night 1/17 the itching became worse so I applied Benadryl cream to the injection site and that provided relief of the itching. On 1/18 there was still some mild tenderness, swelling and redness at the injection site. the muscle aches had significantly decreased and the headache was gone.

Other Meds: venlafaxin 37.5 mg QOD Arnuity inhaler 1 puff daily Vitamin D 2000 units Multi vitamin Vitamin C 100mg Biotin/Collagen Supplement

Current Illness: none

ID: 0953959
Sex: F
Age: 46
State: CA

Vax Date: 12/28/2020
Onset Date: 01/05/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: Covid test 1/8/21, negative.

Allergies: Amoxicillin, Sulfa based antibiotics

Symptoms: 7 days post vaccine onset of fatigue, left axillary lymph node enlargement and soreness, left lung irritation, sore throat, chills, body aches lasting for 10 days. No fever. Covid testing negative on 1/8. Continued left axillary lymph node soreness and swelling currently. Other symptoms have subsided.

Other Meds: Lunesta 3mg nightly, Zyrtec 5-10mg nightly, Turmeric Curcumin 500 mg daily, Fish oil 1000mg daily, Melatonin 3mg prn

Current Illness: None

ID: 0953960
Sex: M
Age: 46
State: NY

Vax Date: 01/18/2021
Onset Date: 01/18/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient suffered severe muscle pain, sharp pain, level of 7 of 10 on the pain scale. Pain eased after patient received one dose of 600 mg ibuprofen. Patient was observed by manager and leader. After 90 minutes, the patient's pain level went down to 3 of 10. Patient was able to walk and complete normal activities.

Other Meds:

Current Illness:

ID: 0953961
Sex: F
Age: 45
State: CO

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Had COVID in November 2020. Received vaccine on 1/7/2021. Side effects: Headache, fatigue, and muscle aches for 3 days. Fourth day I was fine.

Other Meds:

Current Illness:

ID: 0953962
Sex: F
Age: 44
State: WV

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: USED NEBULIZER AND INHALER FOR SEVERAL DAYS

Allergies: EGGS

Symptoms: DAY AFTER RECEIVING VACCINE DEVELOPED RAPID HEART RATE, FLUSHING AND NEEDED BREATHING TREATMENT FOR HER ASTHMA. SHE STATED HER SISTER HAD TO RECEIVE MEDICAL CARE AS WELL, BUT SISTER DID NOT RECEIVE VACCINE AS SAME CLINIC. STATED THAT SHE HAS AN EGG ALLERGY AND DOSE USE INHALER FOR HER ASTHMA. PATIENT CALLED PHARMACY ON 1/18/21, SIX DAYS AFTER RECEIVING 1ST VACCINE AND WANTED TO KNOW IF SHE SHOULD RECEIVE 2ND DOSE.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm