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: 0954417
Sex: F
Age: 36
State: TX

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

Lab Data: N/a

Allergies: None

Symptoms: Fatigue, headache and sore arm began 1/14. On 1/15, woke up with headache, body aches, chills, low grade fever, and sore arm.

Other Meds: Levothyroxine, vitamin d, multi vitamin, vitamin c

Current Illness:

ID: 0954419
Sex: F
Age: 29
State: NV

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

Lab Data: None.

Allergies: None.

Symptoms: Morning after administration I had the typical extremely sore arm from injection. Around noon that Wednesday (13th), I started to experience lower back muscle aches. As the day progressed my whole back was achy and began to have the chills. I felt as if I had "been hit by a car," extreme aches. Through the night I had chills and drenched in sweat all night. I only took ibuprofen and rested. I never had a fever when I took my temperature. Thursday (14th) I woke up with minor back aches and the chills had resided. Just very tired from my body working in over drive. Again, I only took ibuprofen and began to feel better. I thought I was done with reactions. Friday (15th) I woke up feeling better, no more aches or chills. However, I had extreme pain in my left arm pit, same arm of injection. My armpit was swollen and uncomfortable and seemed to be a swollen lymph node. I had no other symptoms this day, felt totally fine, just had this swollen lymph node. Again, took ibuprofen. Saturday (16th) I was back to feeling like myself. All the while I had a headache, however I experience headaches/migraines very often, so I did not include this as a direct reaction.

Other Meds: None. Occasional Ibuprofen for common headaches.

Current Illness: None.

ID: 0954420
Sex: F
Age: 66
State: NV

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

Lab Data: none yet, seeing my primary care doctor on January 21st

Allergies: Sulfa drugs, latex bandages, Benadryl.

Symptoms: I woke up with a headache, and feeling quite weak. I did not feel like eating, only had liquids all day. The headache was off and on all day. I also found a rash on the right leg on the inside by the knee. I found a small amount of rash on the left leg in the same area as the right leg, but not as much. I also feel dizzy and my balance was not very good. I felt better the next day. On January 18th, I found that I still have the rash, my headache is back and I feel very tired. Again found that I did not have much of an appetite and did not feel up to making food for myself. Had liquids and 2 Ensure protein shakes. Then in the evening had a egg sandwich with mayonnaise.

Other Meds: Citalopram, Galantamine, Dexilant, Oxybutynin, Potassium, Furosemide, Warfarin, Atorvastatin, Gabapentin, Trazodone, Acetaminophen, Cetirizine (Antihistamine).

Current Illness: Recovering from shingles, spots were gone, but still have neurology pain.

ID: 0954421
Sex: F
Age: 38
State: WV

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

Lab Data: None- was prescribed prednisone

Allergies: Amoxicillin

Symptoms: On day 10 I developed hives/rash on my back widespread, few on lower arms, couple on chest. Not a clue if even related to vaccine but this isn?t a usual thing for me. I also got sick day 5 but I figured unrelated since I was also exposed to Covid the same day as my vaccine by a patient unknowingly.

Other Meds: Syeda

Current Illness: Sinus infection couple weeks prior with negative COVID test

ID: 0954422
Sex: F
Age: 35
State: OH

Vax Date: 01/14/2021
Onset Date: 01/16/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Fever fatigue chest congestion. Sore throat.

Other Meds: Prozac Wellbutrin xanax

Current Illness: None

ID: 0954425
Sex: M
Age:
State: AZ

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

Lab Data:

Allergies:

Symptoms: None stated.

Other Meds:

Current Illness:

ID: 0954427
Sex: F
Age: 41
State: HI

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: N/A

Allergies: PCN, Morphine, paprika, perfumes/fragrances

Symptoms: 5 minutes after vaccine- hot/dizzy, lasted less than 1 minute. Right side neck pain/ache, left arm pain/ache- lasted less than 5 minutes. 30 minutes after vaccine rash, itching- lasted 2 days. 1 hour after vaccine- severe headache lasted 4 days. 4 hours after vaccine- ears/throat itching. Took Benadryl 50mg, Tylenol 1000mg, Albuterol Inhaler 2 puffs, and Famotidine 20 mg 4 hrs after vaccine.

Other Meds: Zyrtec, Benadryl, Tylenol, Famotidine

Current Illness: N/A

ID: 0954430
Sex: F
Age: 30
State: CA

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

Lab Data: None.

Allergies: Mosquito saliva

Symptoms: localized allergic reaction similar to those I get after a mosquito bite. Over the next 48 hours after receiving the injection, I developed swelling, pain, redness, hotness/itchiness at the injection site that extends about 3 inches in diameter. It's well-demarcated area that seems to no longer be getting larger.

Other Meds: Lexapro 10 mg daily, Tretinoin 0.1% topical

Current Illness: None.

ID: 0954433
Sex: M
Age: 27
State: CA

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

Lab Data:

Allergies: Penicillin

Symptoms: Urticaria, diarrhea, nausea

Other Meds: Claritin, Buproprion, Finasteride, Turmeric, Vitamin D

Current Illness: Lupus

ID: 0954436
Sex: F
Age: 42
State: CA

Vax Date: 01/07/2021
Onset Date: 01/15/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: none

Allergies: none that aware of

Symptoms: Irritation, red, soreness and inflammation near and around the injection site commencing 8 days after date of vaccine until current.

Other Meds: levothyroxine, omeprazole, multivitamin

Current Illness: none

ID: 0955262
Sex: F
Age: 69
State: CT

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: None

Allergies: Sulfa Drugs; Augmentin Tabs

Symptoms: 01/12/2021 12:00 P.M. started feeling tired and legs were hurting. Got worse in the next 4 hours. Around 4:00 P.M left work body ached so bad could hardly lift legs into car. By 6:PM ran a 100? Temp and head ache and bad body aches. By morning 01/13/2021 felt fine.

Other Meds: Zarelto, Lisinopril HCTZ, Probiotic Zyrtek

Current Illness: Diverticulitus

ID: 0955274
Sex: F
Age: 67
State: NY

Vax Date: 10/28/2020
Onset Date: 10/30/2020
Rec V Date: 01/18/2021
Hospital:

Lab Data: None

Allergies:

Symptoms: Sx started after 1 wk - aching + tingling. There was swelling after 2 days + warmth no redness. MD thinks its nerve pain. No treatment given Area is still swollen + she is still having tingling

Other Meds:

Current Illness: None

ID: 0955279
Sex: F
Age: 53
State: RI

Vax Date: 01/06/2021
Onset Date: 01/08/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies: Biax

Symptoms: None stated.

Other Meds: See med list

Current Illness: 0

ID: 0955286
Sex: F
Age: 53
State: OH

Vax Date: 12/24/2020
Onset Date: 12/27/2020
Rec V Date: 01/18/2021
Hospital:

Lab Data: ESR 44 repeat 19 after prednisone, hsCRP NL See attached MRI - see attached Neurology C/S see attached.

Allergies: Cipro Codeine

Symptoms: 4 days after immunization pt had headache, vertigo, nausea, chills, sweats, swollen glands, blurred vision . Pt's records attached .

Other Meds: albuterol; azelastine; doxycycline hyclate; Prilosec; Zofran; Zoloft; Zyrtec; ProAir HFA; Flonase; Sertraline HCl; Ondansetron; Capmist DM; Famotidine; Meclizine HCl; Zanaflex; Vitamin D; Vitamin C; Baby aspirin; Prednisone

Current Illness: 11/26/2020 Influenza B - urgent care given Tamiflu

ID: 0955317
Sex: F
Age:
State:

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

Lab Data:

Allergies:

Symptoms: reaction to Pfizer vaccine 39 y.o. female who presents with adverse reaction to receiving the COVID vaccine. Patient described urticaria around her mouth, forehead, and anterior neck. She received IM epinephrine from staff at vaccination center (Occupational Health). She described significant improvement in her hives and urticaria. She denies ever having experienced any difficulty breathing or swallowing. She is otherwise in her usual state of health. Patient was discharged home with a prescription for diphenhydramine (25mg oral) and EPINEPHrine 0.3 mg/0.3 mL injection auto-injector. Possible link to vaccine could not be ruled out but the absence of systemic reaction is re-assuring. Tryptase was 5.4 ug/l (within normal limits). Other Labs are unremarkable. Pt was discharged home after observing for at least 2 hrs and she was advised to follow up with occupational health.

Other Meds: none; none

Current Illness:

ID: 0955333
Sex: F
Age:
State:

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

Lab Data:

Allergies:

Symptoms: Pt presented to ED with allergic reaction after receiving Pfizer Covid vaccine itching, swelling in right upper lips, slight tingle Patient received the Pfizer vaccine and developed right upper lips swelling plus pruritus within a span of approximately 45 minutes. After presenting to the ED, she was found to be hemodynamically stable with no further complaint in regards to pain, fever, nausea/vomiting, rash or other systemic responses. Airway appeared to be intact. Patient had a tryptase lab drawn (4ug/l which was within normal limits). Patient had a distant history of hives although the med/agency was unknown. No other signs of allergic reaction. Speaking in a clear voice. Maintaining good oxygen saturation. less likely anaphylaxis. Given 50 mg of Benadryl in triage. Pt Observed for 3 hours after the vaccine for progression of the swelling. Patient continued to do well and was sent home with follow up occupation health regarding recommendations regarding the second dose in 3 weeks. Given the limited nature of exam findings, mild form of vaccine reaction could not be ruled out. However, the cause of her symptoms could also be due to other factors including food (no detailed history on this).

Other Meds: amitriptyline

Current Illness:

ID: 0955348
Sex: F
Age:
State:

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

Lab Data:

Allergies:

Symptoms: Patient had Pfizer vaccine and came in with Mild urticaria and hives after receiving COVID vaccine Mild urticaria and hives after receiving COVID vaccine, with no signs of anaphylaxis or shock and no indication for medication administration (e.g. epinephrine, diphenhydramine). Symptoms spontaneously resolved. Tryptase level was 6.7 ug/l (within normal limit). Patient discharged in stable condition. Further follow up showed that patient is feeling fine after allergic reaction. Plan is underway to schedule for the second vaccine, although they have tentatively told her that she will get her second dose in the allergy clinic. Possible this was due to the vaccine given the proximity of timing and adverse event but since the second dose will be given in allergy clinic, the pt will be monitored closely.

Other Meds: amlodipine

Current Illness:

ID: 0955404
Sex: F
Age: 57
State: NJ

Vax Date: 01/04/2021
Onset Date: 01/09/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: n/a

Allergies: Demerol

Symptoms: Immediately post vaccine with Covid -19 shot, noted severe pain to arm. Vaccine administered to tricep area. Six days post vaccination, noted a lump to injection site. Skin was hot and itchy and sensitive. DX: Cellulitis. Treatment: Duricef 500mg po bid for 10 days. Supportive care.

Other Meds: None

Current Illness: Surgery- Knee repair

ID: 0955405
Sex: F
Age: 47
State: NJ

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

Lab Data: n/a

Allergies: NKDA

Symptoms: Vaccination on 1/5/21. Developed redness and swelling and itching to injection site on 1/12/2021. Took Benadryl and applied topical hydrocortisone to area on 1/12/21. Seen in clinic on 1/13/21. DX Cellulitis. Started on Duricef 1/13/2021 and advised on supportive care.

Other Meds: Zocor 5 mg

Current Illness:

ID: 0955406
Sex: M
Age: 71
State: AZ

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

Lab Data:

Allergies:

Symptoms: -Trouble walking - low grade fever - Cant lift arms up - Bodyaches - Tremors - Weakness.

Other Meds:

Current Illness:

ID: 0955407
Sex: F
Age: 47
State: OH

Vax Date: 01/12/2021
Onset Date: 01/16/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: None

Allergies: Ragweed; Lambs Quarter; cockelbur; Mugwort; Nettle; Rough Marsh Elder; Box Elder; Birch; Cottonwood; Oak; Elm; Walnut; Maple (red); Ash; Corn; Garlic; Peanut; Potato, white; Tomato; Wheat; Yeast, baker; Banana; Dog; Dust mite; Alternaria; Aspergillus; Hormodendrum; Bermuda; Johnson; Meadow grass

Symptoms: lymph nodes swelling left side neck, clavicle area, left arm pit

Other Meds: Lisinopril, Nadolol, Adderall, Vit D3

Current Illness: None

ID: 0955441
Sex: F
Age: 44
State: SC

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

Lab Data: None

Allergies:

Symptoms: 1" circle red spot appeared at injection site 12 days after injection, no itching or pain. Irregular edges

Other Meds: Welbutrin XL 150 & 300, Sprintec Celexa, Synthroid, Trazodone

Current Illness: None

ID: 0955448
Sex: M
Age: 60
State: CA

Vax Date: 12/23/2020
Onset Date: 12/23/2020
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Covid Moderna administered 12/23/20, 2 PM 15 min later, tingling lower left face. Numbness inc 1-2 hrs, tingling down to left arm (IM site). Resolved in 2 days

Other Meds: 0

Current Illness: No

ID: 0955456
Sex: F
Age: 56
State: NJ

Vax Date: 01/06/2021
Onset Date: 01/11/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies: NKDA

Symptoms: Received Covid-19 vaccination 01/06/2021. Starting on 01/11/201, developed redness, swelling, and soreness to the site. Seen in clinic on 1/14/21. 8x8 cm red, raised, swollen and warm area to LT lower deltoid. DX: cellulitis. Started on Duricef. Elevate arm, apply warm compresses. Return in one week for re-evaluation.

Other Meds: Bystolic 5 mg PO QD

Current Illness: none

ID: 0955507
Sex: F
Age: 52
State: CO

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

Lab Data: NA

Allergies: None

Symptoms: Fatigue at onset followed by arm pain at injection site. Headache, chills, brain fog. Site redness and pain. loss of appetite & nausea. Symptoms lasted 2 days. Arm redness and mild pain persist today

Other Meds: Crestor Fluoxetine Estradiol/testosterone pelleting pill, Zyrtec, Vit C, Vit D3

Current Illness: None

ID: 0955571
Sex: F
Age: 54
State: NJ

Vax Date: 01/08/2021
Onset Date: 01/17/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies: NKDA

Symptoms: Covid-19 vaccination administered 01/08/2021. Developed redness to LT upper arm on 1/17/21. Noted area of ecchymosis to LT upper arm and forearm on 1/18/21. Seen in clinic on 1/18/21. L upper arm there is a 7x6 cm area of red minimally raised area in the deltoid with increased warmth. There is an other area of redness in the Biceps 12x5cm .All these areas are surrounded by Ecchymosis. The Ecchymosis is extending to the lateral Flexor aspect of the forearm. Non tender. DX: Cellulitis. Duricef and warm compresses. Return to clinic in five days for re-evaluation.

Other Meds: None

Current Illness: none

ID: 0955612
Sex: F
Age: 54
State: OR

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

Lab Data:

Allergies: Latex

Symptoms: 2" diameter red circle below injection site While waiting the 15min, experienced itchy feeling. Itchy areas in legs and arms. Not all the time, usually at night. A area not designated to one limb or area at any one time. Some times I have to scratch so much that I am causing scratch marks on my skin, if not breaking the skin slightly. Hard, swollen injection site for approximately 48-96 hours, has since gone away. Reaction similar to annual flu vaccine. The itchiness/side effects are not usual for ANY vaccines I've received as an adult 18+yrs of age. Below box area does not allow me to add:various OTC vitamins / multi vitamin Vaccine given by County Health Department.

Other Meds: Atrovastain / Metformin / Losartin / Fish Oil / St. Johns Wort

Current Illness: Diabetes / HTN

ID: 0955627
Sex: F
Age: 52
State: TX

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

Lab Data: ED

Allergies: No

Symptoms: Hx Covid infection Had Covid vaccine #1 - no problems Within 1 hr after Covid vaccine #2 progressed to SOB, pruritis throat tickle TxT-ed self with Benadrl but symptoms persisted Went to ED txt with Bendryl, prednisone, zyrtec.

Other Meds: Albuterol inhaler

Current Illness: No

ID: 0955755
Sex: U
Age:
State: TX

Vax Date: 01/05/2021
Onset Date: 01/17/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Rash 50% body develops 12 days after 2nd. Had no rxn at time of injection Txt: Antihistamines steroids

Other Meds: protonix ambien probiotic multivitamin singulair

Current Illness: none

ID: 0955764
Sex: F
Age: 40
State: CO

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

Lab Data: N/A

Allergies:

Symptoms: - My fingers are tingling - I can't grab anything or type very well

Other Meds: N/A

Current Illness: None

ID: 0955765
Sex: F
Age: 58
State: NY

Vax Date: 01/07/2021
Onset Date: 01/15/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Left arm started to swell 8 days after vaccine - pruritis hot, & some axillary swelling & small nodules - increased swelling dramatically in 24hrs; spread to under the arm. 8 inches L x 8" width

Other Meds:

Current Illness: none

ID: 0955766
Sex: F
Age: 70
State: KS

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

Lab Data: N/A

Allergies: Doxycycline, U Hram, Tramadol, Sulfa

Symptoms: This patient was administered 1.0ml of the COVID19 Moderna Vaccine instead of the recommended dosage of .5ml. All other procedures were followed correctly. After this event occurred, the patient was monitored and no adverse reactions were observed.

Other Meds: Crestor, Vitamin D3, Larginine, Bavlgem, Estrogen, Melatonin

Current Illness: None

ID: 0955767
Sex: F
Age: 64
State: KS

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

Lab Data: N/A

Allergies: Demerol

Symptoms: This patient was administered 1.0ml of the COVID19 Moderna Vaccine instead of the recommended dosage of .5ml. All other procedures were followed correctly. After this event occurred, the patient was monitored and no adverse reactions were observed.

Other Meds: N/A

Current Illness: NO

ID: 0955768
Sex: M
Age: 70
State: KS

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

Lab Data: N/A

Allergies: Aspirin

Symptoms: This patient was administered 1.0ml of the COVID19 Moderna Vaccine instead of the recommended dosage of .5ml. All other procedures were followed correctly. After this event occurred, the patient was monitored and no adverse reactions were observed.

Other Meds: Meloxicam

Current Illness: None

ID: 0955769
Sex: F
Age: 27
State: WA

Vax Date: 01/07/2021
Onset Date: 01/15/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: None

Allergies: No

Symptoms: Injection site redness & swelling

Other Meds: No

Current Illness: No

ID: 0955770
Sex: F
Age: 27
State: WA

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

Lab Data: None

Allergies: No

Symptoms: Fatigue Headache Pain at injection site fatigue Muscle pain

Other Meds: No

Current Illness: No

ID: 0955771
Sex: F
Age: 51
State: WA

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: None

Allergies: No

Symptoms: Chills Fever Headache Injection site redness & pain

Other Meds: Xolair

Current Illness: No

ID: 0955773
Sex: F
Age: 27
State: WA

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies: No

Symptoms: None stated.

Other Meds: Birth control

Current Illness: No

ID: 0955774
Sex: F
Age: 64
State: KS

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

Lab Data: N/A

Allergies: Dopamine, protonix

Symptoms: This patient was administered 1.0ml of the COVID19 Moderna Vaccine instead of the recommended dosage of .5ml. All other procedures were followed correctly. After this event occurred, the patient was monitored and no adverse reactions were observed.

Other Meds: Acyclovir, Vitamin D3, Tramadol, Clonazepam, Butabital

Current Illness: none

ID: 0955775
Sex: U
Age: 53
State: WA

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

Lab Data: None

Allergies: Codeine

Symptoms: Injection site pain & swelling & redness.

Other Meds: Asthma Allergies & water retention

Current Illness: No

ID: 0955777
Sex: F
Age: 38
State: WA

Vax Date: 12/31/2020
Onset Date: 01/08/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies: No

Symptoms: Injection site redness

Other Meds: Montelukast loratadine Yaz

Current Illness: No

ID: 0955780
Sex: F
Age: 32
State: WA

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

Lab Data:

Allergies: No

Symptoms: Fatigue Pain at injection site Fever Headache Joint pain Malaise Musclepain Dry Throat

Other Meds: No

Current Illness: No

ID: 0957038
Sex: F
Age: 63
State: WA

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

Lab Data: None

Allergies: Penicillin based antibiotics

Symptoms: Rash at injection site

Other Meds: High Blood Pressure and Lipid meds

Current Illness: No

ID: 0957039
Sex: F
Age: 33
State: WA

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data:

Allergies: No

Symptoms: chills fatigue Fever Headach Nausea Pain at injection site

Other Meds: Ibuprophen Zyrtec Flonase vitamins

Current Illness: No

ID: 0957040
Sex: F
Age: 64
State: WA

Vax Date: 12/30/2020
Onset Date: 01/07/2021
Rec V Date: 01/18/2021
Hospital:

Lab Data: None

Allergies: No

Symptoms: injection site redness and swelling

Other Meds: No

Current Illness: No

ID: 0957041
Sex: F
Age: 45
State: WA

Vax Date: 12/24/2020
Onset Date: 12/24/2020
Rec V Date: 01/18/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: joint pain Muscle pain pain at injection site

Other Meds: None

Current Illness: No

ID: 0957042
Sex: F
Age: 34
State: WA

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/18/2021
Hospital:

Lab Data: None

Allergies: Sulfa

Symptoms: Pain at injection site nausea

Other Meds: No

Current Illness: No

ID: 0957043
Sex: F
Age: 37
State: OR

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/18/2021
Hospital:

Lab Data: None

Allergies: No

Symptoms: Nausea Pain at injection sit.

Other Meds: HCTZ

Current Illness: No

ID: 0957044
Sex: F
Age: 28
State: OR

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/18/2021
Hospital:

Lab Data: None

Allergies: Colestipol NSAIDS

Symptoms: Headache Injection site redness Injection site swelling Pain at injection site

Other Meds: Ondansetron Calcium FexoFidine Loratadine Montelukast Vitamin D Tylenol Depo-Provera Entyvio Budesonide

Current Illness: No

ID: 0957045
Sex: M
Age: 44
State: WA

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/18/2021
Hospital:

Lab Data: None

Allergies: No

Symptoms: Headache, Pain at injection site Diarrhea

Other Meds: Lisinopril 20mg daily Allopurinol 300 mg daily

Current Illness: No

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm