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: 0957964
Sex: F
Age: 61
State: NC

Vax Date: 01/16/2021
Onset Date: 01/16/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: N/A

Allergies: PCN, Sulfa, Cephalasporin

Symptoms: Joint pain (all joints felt like they were on fire - different than usual arthritis pain - could barely walk or hold a cup of water due to pain), significant fatigue (barely able to get out of bed) recurrence, brain fog recurrence, headache , muscle pain, I felt almost like I did when I had COVID - starting to subside now 4 days after vaccination

Other Meds: Gabapentin, Allegra, Montelukast, Trazadone, Vyvanse, Zoloft, B12, Vit C, Vit D, Calcium, Magnesium, NAC, Glutathione

Current Illness: N/A

ID: 0957965
Sex: F
Age: 39
State:

Vax Date: 01/18/2021
Onset Date: 01/19/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies:

Symptoms: fever (101.4), horrible headache with use of medications to relieve, generalized body aches, sore L arm

Other Meds:

Current Illness:

ID: 0957967
Sex: F
Age: 65
State: UT

Vax Date: 01/13/2021
Onset Date: 01/15/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: No tests, my lymph glands are visually swollen.

Allergies: certain antibiotics

Symptoms: I took Advil the first two days because people had been complaining about a headache, once I stopped my left arm felt strange and the next morning I woke up with swollen lymph glands and it progressively got worse. Went to the doctors when they opened on Tuesday January 19 and he confirmed I was have an autoimmune response to shot and gave me medication to help with the swelling. It has been one week and I feel worse every day since the shot not better.

Other Meds: Took Advil right before and after shot and use vivelle dot 0.1 mg. once a week

Current Illness: indigestion

ID: 0957968
Sex: F
Age: 51
State: OH

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Metalic taste in mouth briefly

Other Meds:

Current Illness:

ID: 0957969
Sex: F
Age: 29
State: NH

Vax Date: 01/12/2021
Onset Date: 01/19/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Delayed local reaction on day 6-7 of redness, Induration, itching, mild tenderness at site of injection. Redness about 4cmX5cm. 18 weeks pregnant Due date: 6/23/21

Other Meds:

Current Illness:

ID: 0957970
Sex: F
Age: 83
State: FL

Vax Date: 01/07/2021
Onset Date: 01/10/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Pink and itchy area over vaccination site with minimal tenderness per pt. Pt stated, she went to her provider.

Other Meds:

Current Illness:

ID: 0957971
Sex: F
Age: 35
State: NC

Vax Date: 10/15/2015
Onset Date: 11/21/2015
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: The patient is a 40 yo healthy female with a history of Bells palsy x3, 2009, 2012 & 2015. Her 2015 episode is 37 days after her IIV receipt. Temporal correlation is unknown to 2009 episode. 2015 episode is unlikely to be related (83 days after Tdap and 297 days after last IIV).

Other Meds: none

Current Illness: none recalled

ID: 0957972
Sex: F
Age: 33
State: IN

Vax Date: 01/18/2021
Onset Date: 01/18/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Onset 10-12 hours after dose on 1/18/21 Body aches, chills awakening from sleep. Fever 100.5 after acetaminophen. Weakness, dizziness, mild Pre-syncope, nausea. Persisted through the night and early morning and gradually improving the next day. 24 hours after symptom onset, temp was still 99.5. Much improved with residual generalize muscle soreness upon awakening on 1/20/21

Other Meds: None

Current Illness: None

ID: 0957973
Sex: U
Age: 81
State: MI

Vax Date: 01/11/2021
Onset Date: 01/15/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: None Known

Symptoms: Syncope with trembling

Other Meds: None Known

Current Illness: None Known

ID: 0957974
Sex: F
Age: 36
State: AR

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: n/a

Symptoms: fever, headache, weakness/ fatigue

Other Meds: n/a

Current Illness: n/a

ID: 0957976
Sex: F
Age: 29
State: IL

Vax Date: 01/12/2021
Onset Date: 01/19/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 1 week after injection I started to experience redness, itching, and swelling around the injection site. It is thought to be a delayed allergic reaction.

Other Meds:

Current Illness:

ID: 0957977
Sex: M
Age: 27
State: IN

Vax Date: 01/01/2021
Onset Date: 01/18/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: N/a

Symptoms: Fever, body aches and chills, vomiting

Other Meds: N/a

Current Illness: N/a

ID: 0957978
Sex: F
Age: 58
State: MI

Vax Date: 01/18/2021
Onset Date: 01/18/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: None

Allergies: None known

Symptoms: Left side facial tingling and perception of face feeling cold. Occurred approximately 20-25 minutes after receiving vaccine and lasted 45-60 minutes.

Other Meds: montelukast, cetirizine, multi-vitamin, fish oil, biotin, selenium, iodine, D3

Current Illness: None

ID: 0957979
Sex: F
Age: 45
State: FL

Vax Date: 01/18/2021
Onset Date: 01/18/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Acute arm pain, fever 99.9 F, body aches, headache.

Other Meds: None

Current Illness: None

ID: 0957980
Sex: F
Age: 76
State: MO

Vax Date: 01/13/2021
Onset Date: 01/19/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: Have not taken my concerns further, hoping they fade away, but wanted to know if this has been reported before At this time does not seem serious

Allergies: Sulfa

Symptoms: One week after receiving the vaccine shot, my left upper arm from should down began to itch. Slight red, under the skin 'rash' could barely be seen. The individual spots did not seem to be the specific irritant. The arm around the shoulder was somewhat achy and tight feeling. I was able to sleep through the night after rubbing on Sarno-anti itch lotion. Could not get comfortable on my left side, with the shoulder area hurting.

Other Meds: Pravastatin L-Thyroxine, multi vitamin

Current Illness: None

ID: 0957982
Sex: F
Age: 71
State: NJ

Vax Date: 01/18/2021
Onset Date: 01/19/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: NECK AND BACK ACHE IN THE MORNING (1/19). FEVER 98.9. TOOK TYLENOL

Other Meds: FAMOTIDINE

Current Illness: NONE

ID: 0957983
Sex: F
Age: 65
State: CA

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: Went to chiropractor and PT.

Allergies: None, sometimes with Ibuprofen stomach upset.

Symptoms: Initially kind of soreness in right arm, (left handed). Sunday, head started hurting, started having body aches, stomach ache. Then it moved to both arms, and entire body, nauseous. By Monday, really getting worse and at night extremely uncomfortable and not wanting to get up in the morning. Tuesday, off work and still having symptoms throughout the day. Went to the chiropractor and stated she was tight. Also got PT and said the same thing, she was very tight in her muscles. Today, Wednesday she's feeling better. Called employee health and notified them.

Other Meds: Olive leaf extract, D3, B complex, Metamucil.

Current Illness: None.

ID: 0957984
Sex: F
Age: 26
State: OH

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: None

Allergies: None Mild seasonal allergy

Symptoms: Injection Muscle Site Reaction: Swollen hard induration/lump, Redness and Itching still a week later.

Other Meds: Oral contraceptive (Lessina 0.1mg/0.2mg) Ibuprofen 200mg (as needed)

Current Illness: None

ID: 0957985
Sex: F
Age: 33
State: WY

Vax Date: 01/13/2021
Onset Date: 01/20/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Rash at injection site. Ichy. Raised bumps. Irritated.

Other Meds: None

Current Illness: No

ID: 0957986
Sex: U
Age: 32
State: GA

Vax Date: 01/17/2021
Onset Date: 01/18/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Temp 100.1, diarrhea, body aches, treated with Tylenol

Other Meds: Tylenol 3, Losartin, Farixga, Vit D, Osempic

Current Illness: none

ID: 0957987
Sex: F
Age: 27
State: OH

Vax Date: 01/09/2021
Onset Date: 01/10/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: Sumatriptan

Symptoms: Approximately 12 hours after vaccine dose: fever that lasted for 48 hours, fatigue, and extreme swelling of lymph nodes in throat, armpit, and groin. Swelling in lymph nodes of arm that received vaccine was so severe that I could not let my arm rest down by my side without throbbing pain. Pain went away after about 48-72 hours but swelling persisted for 1 week.

Other Meds: Gianvi - once daily birth control

Current Illness: N/A

ID: 0957988
Sex: M
Age: 26
State: PA

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: Physical exam, Benadryl 50mg IM,

Allergies: Sulfa Antibiotics

Symptoms: Developed quarter sized lumps on his arms that are red and itch. Temp: 100.8F

Other Meds: None

Current Illness: COVID-19 positive on 12-17-20

ID: 0957990
Sex: F
Age: 59
State: WI

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: N/A

Allergies: unknown

Symptoms: Patient/employee reported concern that her 2nd covid-19 vaccine was placed very low on her upper arm. Pictures were supplied to employee health. No usual pain or other side effects were reported by the patient.

Other Meds:

Current Illness:

ID: 0957991
Sex: M
Age: 77
State: NJ

Vax Date: 01/15/2021
Onset Date: 01/18/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: UNKNOWN

Allergies: none

Symptoms: HIGH FEVER LEG NUMBNESS

Other Meds: unknown

Current Illness: none

ID: 0957992
Sex: F
Age: 33
State: KY

Vax Date: 01/06/2021
Onset Date: 01/14/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Patient vaccinated at 14 weeks pregnant; due 7/5/2021. Approximately one week following injection, patient developed an itchy, raised rash at the injection site. The rash persisted for 5 days, then resolved.

Other Meds: Prenatal Vitamin, B complex Vitamin, Vitamin D

Current Illness: None

ID: 0957993
Sex: F
Age: 31
State: TX

Vax Date: 12/31/2020
Onset Date: 01/01/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: peanut

Symptoms: Soreness in arm the day after administration

Other Meds: vitamin D Nexplanon

Current Illness:

ID: 0957994
Sex: F
Age: 31
State: NM

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: None

Allergies:

Symptoms: Dose was not given, dripped down arm , was re-dosed. Patient was administered first dose, measured to deltoid. Inserted needle and felt resistance when pushing in syringe, pulled out early, vaccine dripped down arm. Patient reported pain. Second dose was given by a different volunteer.

Other Meds:

Current Illness:

ID: 0957995
Sex: F
Age: 70
State: RI

Vax Date: 01/16/2021
Onset Date: 01/18/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: Phoned private MD.

Allergies: cipro, dilantin, contrast dye 2 anaphylactic reactions x 40 years ago requiring epi during allergy injections

Symptoms: rash initially to legs now systemic.

Other Meds: hydroxychloraquine 200 qd calcium 700 qd D3 2000u qd, ventolin as needed

Current Illness:

ID: 0957997
Sex: F
Age: 83
State: IN

Vax Date: 01/15/2021
Onset Date: 01/16/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: NONE

Allergies: NKA

Symptoms: TEMP OF 100.2 AX

Other Meds: Prescription acetaminophen [OTC] tablet; 325 mg; amt: 650mg; oral Spec. Inst: May give 650mg Q4H PRN for pain Prescription Advair Diskus (fluticasone propion-salmeterol) blister with device; 100-50 mcg/dose; amt: 1 puff; inhalation Spec.

Current Illness:

ID: 0957998
Sex: F
Age: 38
State: NJ

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: n/a

Allergies: n/a

Symptoms: Chills, weakness, headache, sore arm, swollen lymph node

Other Meds: n/a

Current Illness: n/a

ID: 0957999
Sex: F
Age: 35
State: AZ

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: Corn, melon and nut allergy.

Symptoms: Sore arm and headache.

Other Meds: Vitamin d, prenatal vitamins and probiotic.

Current Illness: No illness.

ID: 0958000
Sex: F
Age: 29
State: VA

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies:

Symptoms: vaccine recipient complained of itching/tingling in her throat after receiving vaccine. states this is similar to other allergen/medication reactions she has had. treated with benadryl and observed in clinic.

Other Meds:

Current Illness:

ID: 0958001
Sex: M
Age: 93
State: NY

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: EKG, XRay Blood test

Allergies: N/A

Symptoms: 2 hrs after vaccination, not feeling well, pt requested to be taken to ER. Per Spouse pt grabbing constantly to R side arm underneath armpit, pain. Pt discharged, next 2 days pt consistently sleeping only 1 meal. Extreme tiredness and pain in R side underneath armpit continues. Per Spouse pt is "no where near alert as he used to be". Per Spouse pt fell to floor 1/19/2021 couldn't stand or walk, did not hit head or injury self. Spouse took pt to bed, pt has been in bed sleeping consistenly since then.

Other Meds: Eliquis, Atorvastatin, Pantoprazole, Amlodipine , Telmisartan

Current Illness: N/A

ID: 0958002
Sex: F
Age: 43
State: VA

Vax Date: 12/16/2020
Onset Date: 12/16/2020
Rec V Date: 01/20/2021
Hospital:

Lab Data: n/a

Allergies: sensitive to gluten dairy, soy and codeine

Symptoms: painfully sore left arm beginning the evening of the shot and continuing for 3 days. Pain radiated from elbow up to neck and caused limited range of motion light headed, headache, severe muscle ache every joint lasting 3 days rash on torso at day 3 not itchy but red

Other Meds: levothyroxine fish oil melatonin kelp multi vitamin

Current Illness: n/a

ID: 0958005
Sex: F
Age: 56
State: NJ

Vax Date: 01/05/2021
Onset Date: 01/10/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: e-mycin

Symptoms: diffuse itchy hives

Other Meds: Flexeril, xanax

Current Illness: degenerative lumbar disc disease

ID: 0958006
Sex: F
Age: 58
State: MO

Vax Date: 01/13/2021
Onset Date: 01/15/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: None performed.

Allergies: Sulfa, E-myacin

Symptoms: On the third day after vaccination, I had hives on my vaccination arm, across my chest and stomach. On the fourth day after vaccination, I woke up with hives across my stomach. On the sixth day after vaccination, I had hives again on my vaccination arm.

Other Meds: Metformin HCL ER 500 mg, Triamterene-HCTZ 37.5-25 mg, hysocyamine sulfate .125 (PRN), vitamin d, vitamin b, vitamin c

Current Illness: None.

ID: 0958007
Sex: F
Age: 80
State: NY

Vax Date: 01/16/2021
Onset Date: 01/16/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: none

Allergies: penicillin, aztreonam, cephalosporins, carbapenams, macrolides, morphine, NSAIDs, sulfa

Symptoms: Patient had diarrhea about an hour after she received the vaccine and she is uncomfortable moving her arm due to soreness. The soreness has continued until 1/20/2021, she has her arm in a sling.

Other Meds: levothyroxine and wixela

Current Illness: none

ID: 0958008
Sex: F
Age: 75
State: NY

Vax Date: 01/07/2021
Onset Date: 01/15/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: None

Allergies: Sulfa, hair dye , dust, mold, keflex, flu vaccine 1990s had flu vaccine 2020 by allergist over 3 hrs, bextra I have an epipen

Symptoms: No sure it is adverse however all people I know who got vaccine no similar reaction Inflammation reddened area at injection site localized reaction Redness is beginning to subside

Other Meds: See attached

Current Illness: None

ID: 0958009
Sex: F
Age: 24
State: NJ

Vax Date: 01/12/2021
Onset Date: 01/17/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Day 5 - developed soreness in left armpit. Tender to touch & move. Quarter size welt at injection site, itchy, hot, red & hard. Day 6 - armpit still painful & injection site redness, etc had increased & doubled in size Day 7 - still experiencing armpit pain & injection site is reaction is larger Day 8 - armpit still sore, injection site is now measuring 3 x 3.5 inches. Still hot, red, itchy & hard

Other Meds: Birth control

Current Illness:

ID: 0958010
Sex: F
Age: 26
State: PA

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: none as of yet

Allergies: Peanuts

Symptoms: The day after vaccination, redness, swelling and pain onset for 4 days. By the 5th day it had subsided and my arm looked completely normal. On the 6th day I developed a patchy redness at the injection site. (today is the 6th day)

Other Meds: Omeprazole 20mg slippery elm (2-3x/week) Daily probiotic Wiexla inhub 2x/day

Current Illness: Acid reflux

ID: 0958011
Sex: M
Age: 37
State: IN

Vax Date: 01/18/2021
Onset Date: 01/19/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: N/a

Symptoms: Around 2am on 1/19/20, developed really bad chills. No fever. Had to use 5 blankets to keep warm and quit from having chills. Tylenol helped too. 1/19/20 during the day, tired and sore all over. Sore under same arm as inject- feels like swollen lymph node. Injection site is red, sore and hot on 1/19 and 1/20.

Other Meds: Zyrtec 10mg daily

Current Illness: None

ID: 0958012
Sex: F
Age: 61
State: MO

Vax Date: 01/17/2021
Onset Date: 01/17/2021
Rec V Date: 01/20/2021
Hospital: Y

Lab Data: ECHO STRESS W CONTRAST EXERCISE EKG 12-LEAD CTA CHEST W CONTRAST URINALYSIS W/REFLEX MICROSCOPIC TOXICOLOGY SCREEN URINE XR CHEST PA OR AP 1 VW CBC WITH DIFFERENTIAL COMPREHENSIVE METABOLIC PANEL D-DIMER TROPONIN MAGNESIUM TSH

Allergies: none that I'm aware

Symptoms: Rapid heart Rate that began about 12 hours after the injection. Heart rate of 123 all night and went to ER next morning after calling Nurse on Call system. I was admitted and the Dr ordered bag after bag of fluids to and kept me in the unit overnight for observation. Did may hear tests (EKG, ECHO STRESS,CTA chest) and results all came back good. I was released on 1/19/21 at 2pm and my hear rate is back to normal (82 bpm).

Other Meds: Clariton Allergy (daily) Vitamins = Calcium, D3, Zinc, Magnesium, C, Alive for women (1/2 daily dose) Fish oil

Current Illness: N/A

ID: 0958013
Sex: F
Age: 55
State: IL

Vax Date: 01/06/2021
Onset Date: 01/19/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Grapefruit size knot at injection site. with a bullseye. Can see where the needle went in. Very itchy

Other Meds: unknown

Current Illness:

ID: 0958014
Sex: F
Age: 48
State: MN

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: N/A

Allergies: Sulfa, Latex, Gluten, Whey Protein, Yeast.

Symptoms: Chills, Fever 100.6, Joint/Muscle Pain, Fatigue, Injection Site Arm Pain, Abdominal Pain, Unable to work.

Other Meds: Lupron, Isibloom, Prenatal MVI, Folic Acid 4mg, Vit D 5000u, Fish Oil, Melatonin 5mg.

Current Illness: None

ID: 0958015
Sex: F
Age: 37
State: OK

Vax Date: 01/06/2021
Onset Date: 01/19/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: negative rapid covid test 1/20/2021

Allergies: none

Symptoms: Rash started within 12 hrs after vaccine shot. Rash has progressively spread across the entire body since injection.

Other Meds: none

Current Illness: none

ID: 0958016
Sex: F
Age: 56
State: MA

Vax Date: 01/10/2021
Onset Date: 01/10/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient received dose 1 of Moderna covid-19 vaccine in L deltoid. approx. 15 minutes after receiving vaccine while in observation area patient reported right 4th finger numbness and swelling in addition to nausea and dizziness, denies difficulty breathing/no facial swelling noted. Pt also reporting L ear numbness. Allergy MD on call paged & pt taken to ED for observation.

Other Meds:

Current Illness:

ID: 0958017
Sex: F
Age: 50
State: FL

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: Blood work, EKG, 01/19/2021

Allergies: Aspirin, NSAIDS, Cortisone, dairy

Symptoms: Palpitation, shortness of breath, dizzy, nausea, headache, pain on injection site

Other Meds: Atenolol, Hydrochlorothiazide, amlodipine, metformin

Current Illness: Diabetic, hypertensive disorder, heart murmur, hyperlipidemia

ID: 0958018
Sex: F
Age: 74
State: FL

Vax Date: 01/01/2021
Onset Date: 01/18/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: Wasp stings

Symptoms: Large red itchy patch on upper arm. That came On tenth day. Today is twelfth day. Patch still there but half the size.

Other Meds: Levothyroxine 100mg Bupropion xl 150 mg

Current Illness: None

ID: 0958019
Sex: F
Age: 0
State: MI

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: none, monitor at home

Allergies: none

Symptoms: Behavioral changes after 6 month vaccines starting day after vaccinations given

Other Meds: Pepcid 40mg/5mL suspension, 0.7mL by mouth twice daily; Inderal 20mg/5mL suspension, 0.75mL by mouth twice daily

Current Illness: none

ID: 0958021
Sex: F
Age: 31
State: IN

Vax Date: 01/18/2021
Onset Date: 01/18/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: N/A

Allergies: Green dye - in any form (food, clothing, objects such as money). Ceclor, Pediazole, Trimox - meds. Latex, medical tape, Thimerosal, Nickel, Cobalt. Allergic to several things outdoors/allergens.

Symptoms: High fever 101.9 began the evening when I got my shot and as of an hour ago just came under the 100 mark. I?ve been taking Tylenol every 4-6 hours to combat high fever but it wasn?t going down. I had chills with the fever, so bad that my body was shaking. Fever stayed in the 101 range from Monday evening until Wednesday morning. Extreme shoulder pain radiating from left to right on Monday evening - lasted into the early morning on Tuesday. Chest tightness with R shoulder pain Tuesday afternoon from roughly 130p-315p. It subsided and so I did not seek medical attention. I?ve also had a severe migraine the entire time since getting my shot, but haven?t taken my Ubrelvy as I wasn?t sure how my body would react.

Other Meds: Propranolol, Levothyroxine, Phentermine, Topiramate ? all daily meds. Aimovig (once a month injection that I take around the first of every month), Ubrelvy (PRN for migraine flare ups, last dosage on 1/15/21).

Current Illness: N/A

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm