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: 0920360
Sex: F
Age: 45
State: MS

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

Lab Data: No

Allergies: No

Symptoms: Moderna Covid19 vaccine EUA. On January the 4th at 9:45 patient received the vaccine around in 11:45am o'clock I started having lower back symptoms. I injured my scartic nerve one year in a 1/2 ago from lifting and for some particular reason that nerve started to hurt hours after vaccine. Today is 01/05/2021 and my scartic nerve is still aching as of today. Nerve started aching and hurting after Moderna Covid19 vaccine. I was having any problems with nerve before vaccine.

Other Meds: No

Current Illness: No

ID: 0920361
Sex: F
Age: 48
State: AL

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data: I plan to be tested for antibodies but haven't done so yet.

Allergies: Latex allergy

Symptoms: Moderna COVID-19 Vaccine EUA Fever, chills, body aches, shortness of breath, increased anxiety with palpitations and dizziness, soreness at site of injection. Symptoms started at approximately 11 p.m. the night of the injection (Wednesday) and lasted throughout the next day (Thursday). I took some Zyrtec on Thursday at approximately 8 p.m., slept great, and felt back to normal on Friday.

Other Meds: Prozac 40 mg, turmeric with circumen, fish oil

Current Illness: Covid-19 approximately 2 weeks prior to vaccination

ID: 0920362
Sex: F
Age: 37
State:

Vax Date: 12/23/2020
Onset Date: 12/25/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 5inx6in redness, itching and warmth around vaccine IM site of left deltoid. Patient reported these symptoms to me today. Vaccine provided by her employer. Provided Cephalexin antibiotic for suspected cellulitis.

Other Meds:

Current Illness:

ID: 0920363
Sex: F
Age: 41
State: SC

Vax Date: 12/23/2020
Onset Date: 12/23/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Received vaccine on 12/23/20 at approximately 7:35pm. By 10 pm the right arm started to swell at the injection site and became itchy burning and red. A knot the size of a gumball appeared. By the next morning it was the size of a softball.. It continued to spread to a rectangular shape a little bigger than a softball approximately 4" in height and 8" in width. Arm was sore and itching. I tried my best to keep from scratching at the site and took my claritin and ibuprofen and made sure to wear a long sleeve shirt to keep me from scratching at it. I figured I was making it worse because I tend to sleep on my right side as well. By Sunday night it went away.. Then Tuesday night the 29th of December arm started getting itchy and burning again. By Thursday the 31st my arm was back to the size of softball again and arm itchy and red. Let a few physicians hear in the emergency room where I work look at it and their only suggestion was to use a topical Benadryl. I never officially took my temperature but their was definite heat coming from the site. Not a single physician could explain why it went away and then came back. The knot didn't grown any bigger and with the topical benadryl I have managed to keep the itching away. The swelling started going back down again on Sunday 01/03/21 but there is still a knot the size of a grape now and the area is still red. Some days it is itches more than others.

Other Meds: claritin 10mg daily and ibuprofen occasionally

Current Illness: sinus infection that lasted about two weeks with cough and runny nose the week of holiday. Tested for covid and it was negative. symptoms of infection cleared on their own after taking sudafed

ID: 0920364
Sex: F
Age: 42
State: PA

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

Lab Data:

Allergies:

Symptoms: Patient completed the 15 minute Observation period without incident and left the clinic. She returned 1 hour later complaining of an itchy on Left Forearm just below the elbow . Nothing noted at injection site. No other complaints. Also had reddened itchy are in same place on right arm. Given 25mg of liquid po Benadryl. Observed by onsite paramedic for 45 minutes. Redness and itching areas resolved. Left clinic and returned to work.

Other Meds:

Current Illness:

ID: 0920365
Sex: F
Age: 61
State: WI

Vax Date: 12/26/2020
Onset Date: 12/30/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies: ibuprofen

Symptoms: Patient received a dose of vaccine that may be less than completely effective due to storage conditions. No adverse reaction reported

Other Meds:

Current Illness:

ID: 0920366
Sex: F
Age: 25
State: NC

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient's reaction(s) noted during COVID vaccine observation period: dizziness ?Actions Taken: VS taken x2, both sets WNL. Pt decided she felt good enough to go home. ?Disposition: Patient declined ED visit

Other Meds:

Current Illness:

Date Died: 01/01/2021

ID: 0920368
Sex: F
Age: 92
State: IN

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data: Influenza Swab: 12/30/20-Negative Results CBC: 12/30/20 showed WBC of 14.1 (H) CMP: 12/30/20 showed BUN: 113 (H); Creatinine 2.7 (H) CXR: 12/30/20 showed: Conclusion: A mild left lower lung infiltrate

Allergies: quinine sulfate

Symptoms: 12/30/2020 07:02 AM Resident noted to have some redness in face and respiration were fast. Resident vital signs were abnormal except blood pressure. Temp at the time was 102.0 F taken temporal. Resident respirations were 22 labored at times. Pulse is 105 and pulse ox 94% on room air. Resident is made comfortable in bed. Notified triage of change in condition also made triage aware of resident receiving Covid vaccination yesterday morning. Resident appetite and fluid consumption has been poor for few days. 12/30/2020 07:32 AM Received order from agency to administer Acetaminophen 650mg suppos rectally due to resident not wanting to swallow anything including fluids, medications and food. This writer administered medication as NP ordered. Will monitor for effectiveness and adverse effects if any. 12/30/2020 08:41 AM Received new orders to obtain Flu swab, obtain CBC and BMP, and Chest Xray all to be obtained today. Notified family of resident having temperature and vital signs excluding b/p that was abnormal. Family was thankful for call and inierated to nurse that family does not want resident sent to hospital. Did educate family on benefits of Hospice services, but family persistant on continued daily care provided by nursing staff. Requests visits if decline continues. Family assured if resident continues to decline, facility will accomandate resident family to be able to be at bedside when time comes to do so. NP ordered IVF and IV Levaquin on 12/31/20. Family chose at that time to sign for Hospice services and not have resident provided with IVF or IV Antibiotics

Other Meds: Acetaminophen, Atenolol, Colace, Lisinopril, Mirtazapine, Omeprazole, Simvastatin, Vitamin D3

Current Illness: F03.90 Unspecified dementia without behavioral disturbance E78.5 Hyperlipidemia, unspecified K21.9 Gastro-esophageal reflux disease without esophagitis I10 Essential (primary) hypertension Z74.09 Other reduced mobility M62.81 Muscle weakness (generalized) R13.12 Dysphagia, oropharyngeal phase R26.81 Unsteadiness on feet R27.8 Other lack of coordination R41.841 Cognitive communication deficit R54 Age-related physical debility D53.9 Nutritional anemia, unspecified R29.6 Repeated falls M13.80 Other specified arthritis, unspecified site M25.512 Pain in left shoulder M19.012 Primary osteoarthritis, left shoulder K59.09 Other constipation R26.89 Other abnormalities of gait and mobility R63.8 Other symptoms and signs concerning food and fluid intake M85.89 Other specified disorders of bone density and structure, multiple sites Note: Osteopenia M24.512 Contracture, left shoulder J43.9 Emphysema, unspecified

ID: 0920369
Sex: F
Age: 47
State: NJ

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

Lab Data:

Allergies: Sulfa

Symptoms: Fever, chills, myalgia, sweats

Other Meds: Trikafta Concerta

Current Illness: None

ID: 0920370
Sex: F
Age: 28
State: IL

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

Lab Data: Sent to ER for further evaluation and monitoring

Allergies: distant (at age two) amoxicillin

Symptoms: Red hive like rash and felt hot. She was also feeling dizzy Epinephrine given IM After 5 minutes, her symptoms returned and another Epinephrine given IM

Other Meds: Unknown

Current Illness: Grave's Disease/Hyperthyroidism

ID: 0920371
Sex: F
Age: 26
State: CT

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Significant soreness, pain lifting arm, tenderness to any touch, redness around 1 in in diameter around injection site for 7 days

Other Meds: Humalog insulin, Tresiba insulin, bupropion, levothyroxine, tri-lo marzia

Current Illness: None

ID: 0920372
Sex: F
Age: 37
State: VA

Vax Date: 12/28/2020
Onset Date: 01/03/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data: ultrasound of the arm resulted in negative findings. No cellulitis or abscess.

Allergies: Cephalexin

Symptoms: initially arm was sore for several days. Then 1 week later progressed to swollen area about 2" in diameter that felt like a knot under the skin. The area was warm to touch, white or non-pigmented, and surrounded by hives. After 24 hours and several doses of amoxicillin, the area is improving but continues to be warm, surrounded by hives with pigmentation returning. The knot does not feel as tight.

Other Meds:

Current Illness:

ID: 0920373
Sex: F
Age: 35
State: ME

Vax Date: 12/28/2020
Onset Date: 01/02/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data: appointment scheduled for 01/06/21 to review lump to determine if swelling in lymph node and to rule out concern for DVT.

Allergies: NKFDA

Symptoms: Immediately following vaccine I experienced expected muscle soreness in affected arm. Symptoms resolved by 12/31 (day 3). On 01/02/21 in the evening I began to experience tenderness in my underarm arm of my left arm. about 24 hours later 01/03/21in the evening I continued to experience pain which began spreading to front and back shoulder. Pain extended down my left arm when reaching/extending arm. Upon rising 01/04/21 swelling in underarm included lump approximately size of mandarin, swolling noted in left bicep. Aching in arm, pain continued to extend down arm. Other symptoms included malaise, sore throat, nasal congestion, mild headache. reported to employee health line, asked to receive COIVD test, informed to follow up with PCP regarding arm symptoms as "after 72 hours this is not considered side effects from the vaccine". PCP referred to respiratory clinic to f/u to monitor swelling/pain. Provider ordered ultrasound for underarm lump/swelling thought to be in response to COVID vaccine also to view veins in left arm due to my history of DVT. currently awaiting ultrasound appointment for additional information.

Other Meds: flonase

Current Illness: not identified

ID: 0920374
Sex: F
Age: 47
State: PR

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

Lab Data:

Allergies: PROTONIX

Symptoms: DIZZINESS

Other Meds:

Current Illness:

ID: 0920375
Sex: F
Age:
State: NY

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

Lab Data: None

Allergies: Dairy

Symptoms: Headache ,chills upset stomach ,muscle fatigue

Other Meds: Synthroid , Allegra ,multivitamin

Current Illness: None

ID: 0920377
Sex: F
Age: 57
State: WI

Vax Date: 12/26/2020
Onset Date: 12/30/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies: celecoxib, NSAIDs, prednisone, zoledronic acid

Symptoms: Patient received a dose of vaccine that may be less than completely effective due to storage conditions. No adverse effects reported.

Other Meds:

Current Illness:

ID: 0920378
Sex: F
Age: 40
State: IL

Vax Date: 12/19/2020
Onset Date: 12/19/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies: No drug allergies. Allergic to shellfish (crab), and Mango

Symptoms: About 30 minutes after the vaccine, I was driving and suddenly felt congestion, flushing and a sense of fullness/swelling in my throat. I pulled over and called my husband. I could breathe fine, but the sensation of swelling in my throat was frightening and I felt like I couldnt swallow my saliva. I also had the feeling like I might faint (hot and flushed). This all passed pretty quickly (5 minutes), and I took a benadryl when I got home and rested.

Other Meds: Zoloft 50mg Daily

Current Illness: None

ID: 0920379
Sex: F
Age: 44
State: NC

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient's reaction(s) noted during COVID vaccine observation period: headache, actions Taken: VS taken x2 and stable both times. Pt felt okay enough to go home. ?Disposition: Patient declined ED visit

Other Meds:

Current Illness:

ID: 0920380
Sex: F
Age: 54
State:

Vax Date: 12/23/2020
Onset Date: 12/23/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Headache on day 1 about 1 hour after vaccine administration, on 12/25 developed a swollen lymph node under her arm pit, on 1/1 she developed swollen lymph nodes in her neck.

Other Meds:

Current Illness:

ID: 0920381
Sex: F
Age: 25
State: PR

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

Lab Data: CBC

Allergies: none

Symptoms: HEADACHE, SWEILLING ON LEFT AXILLA AND DECREASE IN ENERGY. VISITED EMERGENCY ROOM, NO TREATMENT, PATIENT WAS ORIENTED TO MONITOR GANGLIAL SWELLING AND TO REPORT TO ER IF SIGNIFICANT CHANGES WERE NOTED LIKE INCREASE IN SIZE, INCREASE IN PAIN OR REDNESS.

Other Meds: none

Current Illness: none

ID: 0920382
Sex: F
Age: 28
State: IN

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

Lab Data:

Allergies: None

Symptoms: Fainted at 6:30 a.m. the next morning

Other Meds: None

Current Illness: None

ID: 0920383
Sex: F
Age: 43
State: FL

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

Lab Data:

Allergies: NKDA

Symptoms: Red elevated rash 5-6 cm diameter on injection site with slight pruritis . Appeared on day 8 post vaccination

Other Meds: Multivitamins, omega-3

Current Illness: N/A

ID: 0920384
Sex: F
Age: 69
State: FL

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Numbness from Neck to face to head on the left side. Lasted a few days. 12-30-2020 to January 3rd, 2021.

Other Meds: Natures Bounty-Hair, Skin and Nails

Current Illness: none

ID: 0920385
Sex: F
Age: 30
State: IL

Vax Date: 01/03/2021
Onset Date: 01/03/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: 12 hours after injection I began to have chills and rigors, the rigors subsided after ~30 min. For the next 11 hours i had chills, severe body aches, a headache and spiked a fever to 101. The following day after ~12 hrs of symptoms I began to improve slightly and all that remained was a severe headache and body aches. Now, I am about 32 hours in to the adverse event and I still have a headache and sore arm/shoulders but other symptoms have resolved.

Other Meds: None

Current Illness: None

ID: 0920387
Sex: F
Age: 51
State: NY

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

Lab Data: none

Allergies: NKDA

Symptoms: arm pain, axillary pain, chills in the evening ~ 6 hours after vaccine administration. Vomiting x 2 at night. Talked to patient in evening and advised advil 400 mg (no tylenol available). In the morning - patient felt better - still took another 400 mg of advil

Other Meds: sertraline 50 mg

Current Illness: none

ID: 0920388
Sex: F
Age: 57
State: FL

Vax Date: 12/16/2020
Onset Date: 12/16/2020
Rec V Date: 01/05/2021
Hospital: Y

Lab Data:

Allergies: codeine

Symptoms: Patient received her Vaccine on 12/16/2020. Afterwards she developed symptoms of fever, chills, diarrhea, nausea, vomiting and headache that became worse over time and on day os presentation to our hospital on 1/2/2021 she was having photophobia. Current headache at time of admission had been persistent for over a week. Patient has no immunocompromising risk factors and was diagnosed with confirmed CMV meningitis. She was also admitted with transaminitis.

Other Meds: unknown

Current Illness: unknown

ID: 0920389
Sex: M
Age: 49
State: AL

Vax Date: 12/02/2020
Onset Date: 12/02/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data: None known at this time.

Allergies: NKDA

Symptoms: Continued shoulder pain and limited ROM since time of vaccination. As of now, patient has not sought further treatment but was advised to do so once he called to report the ADR

Other Meds: HCTZ 25mg daily atorvastatin 10mg daily metformin 500mg BID amlodipine 10mg daily

Current Illness:

ID: 0920390
Sex: F
Age: 60
State: NC

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

Lab Data: NONE

Allergies: no

Symptoms: SWELLING OF HANDS AND FACE, LASTED FOR ABOUT 2 HOURS

Other Meds: Tylenol

Current Illness: no

ID: 0920391
Sex: F
Age: 53
State: NY

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data: N/A

Allergies: N/A

Symptoms: 3:30 nausea, dizziness, soreness and swelling at site of injection 4:30PM headache 6:30 PM chills and body aches 08:00PM itching - no rash, numbness in l shoulder, neck face-cheek, jaw , lip; 10:00PM still able to move muscles no signs of bell's palsy. Ibuprofen dose, relief of chills and body aches. Symptoms have resolved but l jaw still experiencing numbness

Other Meds: N/A

Current Illness: N/A

ID: 0920392
Sex: M
Age: 49
State: FL

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

Lab Data:

Allergies: Penicillin

Symptoms: Lump developed on forearm opposite side of injection site with intermittent sharp pain beginning 1/4/21 at approximately 10pm lasting 2 seconds like a sting.

Other Meds: Terazosin 1mg Nifedipine 60mg Simvastatin 20mg Losartan 50mg Glipizide 5mg Vitamin D 400 units Setraline 50mg

Current Illness: None

ID: 0920393
Sex: U
Age: 39
State: WI

Vax Date: 12/26/2020
Onset Date: 12/30/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient received a dose of vaccine that may be less than completely effective due to storage conditions. No adverse effects reported.

Other Meds:

Current Illness:

ID: 0920394
Sex: M
Age: 41
State: NC

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

Lab Data:

Allergies:

Symptoms: Patient's reaction(s) noted during COVID vaccine observation period: lips tingling like when he eats shellfish; has shellfish allergy ?Actions Taken: Vital signs taken and within normal. Pt felt okay enough to go home. ?Disposition: Patient declined ED visit

Other Meds:

Current Illness:

ID: 0920395
Sex: F
Age: 34
State: MI

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies: seasonal allergies

Symptoms: Felt hot/flushed almost immediately after vaccine. Continued to have hot flashes (afebrile) relieved by Tylenol through the following Tuesday (5 days after vaccine). Hot flashes are intermittent. Also feel fatigued starting Saturday 1/2, improved 1/3, worsening 1/4 into 1/5. Sore arm for about couple days, very mild.

Other Meds: Pepcid, probiotic, oral birth control, Singulair, Flovent, Allegra

Current Illness: none

ID: 0920396
Sex: F
Age: 32
State: PA

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Had fever for 36 hours accompanied by muscle aches, nausea, fatigue.

Other Meds: none

Current Illness: Covid positive on 12/16/2020

ID: 0920397
Sex: F
Age: 44
State: WI

Vax Date: 12/23/2020
Onset Date: 12/25/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Day 1: (12/23/20) fatigue, mild headache Day 2: (12/24/20) fatigue mild headache Day 3-5 (12/25/20-12/29/20)- large painful lymph node inflammation approx. size of a baseball. Right axilla.

Other Meds: Lamictal, bupropion

Current Illness: None

ID: 0920398
Sex: F
Age: 50
State:

Vax Date: 12/21/2020
Onset Date: 12/23/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: left sided numbness

Other Meds:

Current Illness:

ID: 0920400
Sex: M
Age: 62
State: WI

Vax Date: 12/26/2020
Onset Date: 12/30/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient received a dose of vaccine that may be less than completely effective due to storage conditions. No adverse effects reported.

Other Meds:

Current Illness:

ID: 0920401
Sex: F
Age: 24
State: IA

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

Lab Data: None

Allergies: None

Symptoms: Woke up at about 3:30am feeling warm. Checked my temperature and it was 101.4. Also experienced joint aches and a headache.

Other Meds: estarylla

Current Illness: None

ID: 0920402
Sex: F
Age: 43
State: MD

Vax Date: 12/28/2020
Onset Date: 01/03/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies: IV Iron

Symptoms: At day 6, developed a hive (about 7-8cm in diameter) at the vaccine site with some itching, redness, warmth. No systemic symptoms.

Other Meds: Enbrel Plaquenil ASA MVI Prilosec

Current Illness: None

ID: 0920404
Sex: M
Age: 60
State: IL

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

Lab Data:

Allergies:

Symptoms: Chills, Body malaise, and sore at the injection site.

Other Meds:

Current Illness:

ID: 0920405
Sex: F
Age: 33
State: WI

Vax Date: 12/26/2020
Onset Date: 12/30/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies: prochlorperazine

Symptoms: Patient received a dose of vaccine that may be less than completely effective due to storage conditions. No adverse effects reported.

Other Meds:

Current Illness:

ID: 0920406
Sex: F
Age: 36
State: NY

Vax Date: 12/29/2020
Onset Date: 12/31/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Headache with fogginess that turns into nausea. Flushed feeling in face. L breast is more full and sore. Headaches come and go and feel like a vice on the top and side of my head that then lets go. Intensifies in afternoon typically or first thing in morning.

Other Meds: None

Current Illness: None

ID: 0920407
Sex: F
Age: 26
State: PA

Vax Date: 12/23/2020
Onset Date: 12/23/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data: N/a.

Allergies: N/a

Symptoms: Started getting mild headaches on 1/1/2021 which comes around noon and goes away in evening after 6-7 pm. Still getting headaches everyday since 1/1/2021 in same pattern and at same time. Also feeling little nauseous over past few days.

Other Meds: N/a

Current Illness: N/a

ID: 0920408
Sex: F
Age: 33
State: WI

Vax Date: 12/26/2020
Onset Date: 12/30/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies: prochlorperazine

Symptoms: Patient received a dose of vaccine that may be less than completely effective due to storage conditions. No adverse effect reported

Other Meds:

Current Illness:

ID: 0920409
Sex: F
Age: 28
State: GA

Vax Date: 12/01/2020
Onset Date: 12/21/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Fever 103.9, chills, vomiting

Other Meds: Beyaz birth control

Current Illness:

ID: 0920410
Sex: M
Age: 43
State: NY

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data: none

Allergies: no known allergies

Symptoms: severe injection site pain, starting day of injection and lasting 48 hours severe headache and neckache, staring evening of injection and lasting 72 hours, intermittent night sweats, approximately 60 hours after injection starting the evening after injection, pain increased in injection site. In middle of night, woken up by severe headache pain. Treated with 600mg ibuprophen and 2.5 mg Zomig. Throughout next day, injection site and headache pain present, but less worse than night, treated with ibuprofen. Second evening (approx 36 hours after injection), pain again severe in the middle of the night, woke up, treated with 600 mg ibuprofen and 2.5 mg Zomig. Woke up sweating, but feeling better. Symptoms gradually resolved over the next day.

Other Meds: Vitamin C, 1000 mg, once daily Vitamin D3, 1000u, once every other day Quercetin, 500mg, twice weekly, Mon, Thurs Melatonin, 0.5mg, once daily in evening Zomig, 2.5mg, PRN migraine pain; typically take 2-6 times annually

Current Illness: none

ID: 0920411
Sex: F
Age: 37
State: VA

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

Lab Data:

Allergies:

Symptoms: Eye Twitching

Other Meds:

Current Illness:

ID: 0920412
Sex: M
Age: 61
State: NY

Vax Date: 01/02/2021
Onset Date: 01/03/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data: none

Allergies: None

Symptoms: High Fever, Chills, Weakness, Pains (joint & Muscle), Cough, Note; this was worse then when I originally had COVID in April 2020.

Other Meds: Synthroid, Metoprolol, Livalo, Aspirin (81mg), Omeprazole, Co Q10 (200mg) 800 I.U. Vitamin e,

Current Illness: None

ID: 0920413
Sex: M
Age: 36
State: WI

Vax Date: 12/26/2020
Onset Date: 12/30/2020
Rec V Date: 01/05/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient received a dose of vaccine that may be less than completely effective due to storage conditions. No adverse effects reported.

Other Meds:

Current Illness:

ID: 0920414
Sex: F
Age: 64
State: OH

Vax Date: 12/24/2020
Onset Date: 01/03/2021
Rec V Date: 01/05/2021
Hospital:

Lab Data: n/a

Allergies: none

Symptoms: Light red patch on arm about 3 inches in diameter, first noticed on Sunday, January 2 after swimming. It doesn't hurt and isn't hot or swollen

Other Meds: Lexapro 10 mg, caltrate, vit D, Tumeric, vit E

Current Illness: none

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm