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: 0958446
Sex: M
Age: 30
State: AK

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

Lab Data: syncopal episode after receiving moderna vaccine, 10 minutes into observation

Allergies: None reported

Symptoms: Patient believed to have a vasovagal reaction/syncopal episode. He was monitored by EMT before leaving clinic.

Other Meds: None reported

Current Illness: none reported

ID: 0958447
Sex: F
Age: 67
State: WI

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

Lab Data: Nonw

Allergies: Codeine, Sulfa, Niacin, Penicillin, hydrocodone, oxycodone, Valium, Tramadol, Nickel

Symptoms: Injection at 3:25 Pm. Waited 40 min and left. At 6 Pm my throat was closing up and breathing was shallow. Took 2 Benedryl caplets and in approx 20 minutes things started to get better. At 9:30 Pm I took 1 more Benedryl caplet. Also left arm is sore at injection site.

Other Meds: None at the time. Meds taken earlier @ 6 and 8 am include: Levothyroxine, Probiotic Enzyme, Calcium w/ D, Tumeric, Magnesium, Sumatriptan .

Current Illness: Migraine headaches

ID: 0958448
Sex: F
Age: 69
State: NY

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

Lab Data: None

Allergies: LATEX Sensitivity

Symptoms: Very Bad Chills ACHY very Tired Headache waves of nausea630 pm 1/19/1951 till present

Other Meds: no

Current Illness: none

ID: 0958449
Sex: F
Age: 60
State: CA

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

Lab Data: none

Allergies: PCN, sulfa, egg, dairy, bay leaf, ginger, turmeric

Symptoms: Moderna Covid-19 Vaccine EUA Mild swelling and soreness for several days at the injection site. No other symptoms. Facility administering the vaccine insisted we report any side effect, even one this minor.

Other Meds: Estrogen patch, multiple nutritional supplements

Current Illness: none

ID: 0958451
Sex: F
Age: 61
State: PA

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

Lab Data:

Allergies:

Symptoms: One week after patient noticed swelling, redness, soreness, and itchiness at injection site. Redness 5 inch diameter at injection site. Redness is still present at site of injections but soreness and itchiness as subsided. Patient took Claritin and Advil and applied ice

Other Meds:

Current Illness:

ID: 0958452
Sex: F
Age: 45
State: CA

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

Lab Data:

Allergies: None

Symptoms: Rash in stomach and back

Other Meds: None

Current Illness: None

ID: 0958453
Sex: F
Age: 52
State:

Vax Date: 01/06/2021
Onset Date: 01/13/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Redness that occurred one week later and lasted one week

Other Meds:

Current Illness:

ID: 0958454
Sex: F
Age: 99
State: IL

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

Lab Data:

Allergies: prednisone, ASA, PCN, vanco, nyacin iodine, tetracyline,

Symptoms: Complaint of pain and redness and swelling in Right deltoid on 1/15/2021. Informed doctor. doctor phoned and ordered cold compressed x15 minutes QID prn. Tylenol 650 mg prn for pain. 1/16/2021 swelling is severe more redness. Rue moveable. monitored. 1/18/2021 swelling and redness wrosening and RN practitioner assesed and diagnosed with cellulitis and order antibiotic, clarithromycin 250mg bid x 7 days. Tylenol 1000mg TID daily x 5 days. Ice pack changed to TID x 15 minutes x 5 days. 1/20/2021 Swelling and redness still there but is resolving. Pt has refused pneumonia and flu vaccine in the past.

Other Meds:

Current Illness:

ID: 0958455
Sex: F
Age: 33
State: AR

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

Lab Data:

Allergies:

Symptoms: Received vaccine at 0900. By 1900 employee was having body aches and headache. Symptoms improving this afternoon (1/20/21).

Other Meds:

Current Illness:

ID: 0958456
Sex: F
Age: 58
State: CA

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

Lab Data: None.

Allergies: None

Symptoms: One week after in Vaccine injection, the injection site became sore, red and swelling with a ?tingling sensation? in my left hand. While the soreness, redness and swelling are persistent, the tingling sensation comes and goes.

Other Meds: N/A

Current Illness: None

ID: 0958458
Sex: F
Age: 37
State: VT

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

Lab Data:

Allergies: Nkda

Symptoms: Moderna Covid-19 Vaccination EAU

Other Meds: Fluoxetine Zyrtec

Current Illness: None

ID: 0958459
Sex: F
Age: 45
State: VA

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

Lab Data: Vitals, Chemistry panel, troponins

Allergies: opiods, sodium lauryl sulfate

Symptoms: squeezing chest pain and some dyspnea after receiving her first Covid-19 vaccination

Other Meds: not known

Current Illness: none

ID: 0958460
Sex: F
Age: 0
State: AL

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

Lab Data: 15 cc Benadryl given with relief

Allergies: ASA, Morphine, Sulfa, Codeine,Demerol

Symptoms: Pt felt lump & tightness in throat 5 min after administration, lasted 15 min.

Other Meds:

Current Illness: none

ID: 0958461
Sex: F
Age: 46
State: NC

Vax Date: 01/16/2021
Onset Date: 01/17/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: NA

Allergies: Allergic to Gluten

Symptoms: After initial vaccine the arm was sore on Saturday, January 16th. Upon waking up Sunday morning January 17th her arm arm felt like a tooth ache, throbbing. As the day went on her arm began to tingle and then her fingers and hand (left) went numb. She called her PC who suggested she reach out to the vaccine provider and report to them her reaction. Today, January 18th it is better but the tingling and numbness comes and goes. It seems to get worse when using arm. She did report that she has high blood pressure, was on medication but no longer taking.

Other Meds: Vitamin C Women's Multi Vitamin

Current Illness: No.

ID: 0958462
Sex: M
Age: 87
State: FL

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

Lab Data: N/A

Allergies:

Symptoms: Received Pfizer Covid vaccine on January 13, 2021. I noticed a rash across shoulders and back on 1/15/21.

Other Meds:

Current Illness:

ID: 0958463
Sex: F
Age: 87
State: LA

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

Lab Data: NONE

Allergies: NKDA

Symptoms: ON JANUARY 19, 2021 THE RESIDENT WOKE FEELING "ACHES AND PAINS ALL OVER HER BODY" . SHE DID NOT TAKE HER TEMPERATURE SO SHE'S NOT SURE SHE HAS A FEVER. RESIDENT STATES THAT SHE CONTINUED TO WORSEN THROUGH OUT THE DAY AND FELT "REALLY BAD" LAST NIGHT. THIS MORNING, JANUARY 20,2021 SHE WOKE FEELING "A LITTLE BETTER". HER PULSE OX WAS 94 ON ROOM AIR, PULSE 71 BPM, TEMP 98.3. SHE WAS ALERT AND COULD ANSWER ALL MY QUESTIONS. SHE DID STATE THAT SINCE THIS MORNING SHE WAS "FEELING BETTER AS THE DAY GOES ON" SHE HAS OXYGEN IN HER APARTMENT FOR HER COPD SO SHE STARTED USING THAT SINCE HER O2 LEVEL WAS LOW.. I WILL CONTINUE TO FOLLOW UP WITH HER THIS AFTERNOON. ON A SIDE NOTE SHE STATED THAT HER ARM WAS SORE FROM THE INJECTION.

Other Meds: ASA 81MG DAILY/BIOTIN ORAL DAILY/FUROSEMIDE 40MG DAILY/GCBAPENTIN 300MG BID/HYDROCODONE-ACETAMINOPHEN 5/325MG EVERY 4 HRS/ MAGNESIUM 200MG DAILY/PRAVASTATIN 20MG BEDTIME/PROBIOTIC 10MG DAILY/RABEPRAZOLE 20MG DAILY/RALOXIFENE 60MG DAILY/TURM

Current Illness: NONE

ID: 0958464
Sex: F
Age: 46
State:

Vax Date: 01/04/2021
Onset Date: 01/13/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: Latex, SLS, nickel

Symptoms: Rash at site and joint pain and stiffness in hands and wrists. Lasted 3 days, severe, problems typing, using hands. Slowly resolving.

Other Meds: None

Current Illness: none

ID: 0958465
Sex: F
Age: 38
State: NE

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

Lab Data: none

Allergies: penicillin

Symptoms: at minute 3 after receiving vaccine, a weird sensation started at the top of my head and went to my feet, 5 minutes later happened again. then felt like I was going pass out. BP was elevated, heart racing slightly. after about 15 minutes face around eyes started tingling off and on, throat was tingling 2 separate times but didn't last long. body started feeling very heavy and lost all movement from my waist down in both legs. tingling eventually went away. was able to finally start walking about 3 and 1/2 hours after was given the vaccine

Other Meds: collagen, tumeric, melatonin

Current Illness: none

ID: 0958467
Sex: F
Age: 39
State: CA

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

Lab Data:

Allergies:

Symptoms: Soreness, fatigued, fever, chills, sweats, Took Tylenol,Swollen lymph nodes, enlarged, was positive with covid

Other Meds: Tylenol

Current Illness:

ID: 0958468
Sex: F
Age: 25
State:

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

Lab Data: None

Allergies: adhesive tape

Symptoms: Fever-t-103, facial swelling, tongue tingling. Started 1/16/21- next day after vaccination, treated with Benadryl. Seen in ER- given prednisone.

Other Meds: FemHRT- OCP

Current Illness: None

ID: 0958470
Sex: F
Age: 45
State: LA

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

Lab Data: Labs done while in hospital were neg. EEG done on 1/19/21 was neg Scheduled for a MRI today - 1/20/21.

Allergies: UNKNOWN

Symptoms: Started with HA/fever/fatigue and body aches on date of vaccine on 1/5/21. Also had shakes,and had numbness loss of feeling to leg leg. Was admitted to Hospital for 5days. Had intermittnet seizure type episodes. Has had labs and imaging tests that have been neg Under the care of the A Neuro Group. MRI scheduled for 1/20/21. As of 1/20/21 feeling better but still weak.

Other Meds: Ibprofen

Current Illness: Unkown

ID: 0958471
Sex: F
Age: 38
State: OH

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

Lab Data:

Allergies:

Symptoms: HEADACHE DAY AFTER VACCINE ALONF WITH FATIGUE, CHILLS, BODY ACHES, NO FEVER, MISSED 1 DAY OF WORK.

Other Meds:

Current Illness:

ID: 0958472
Sex: F
Age: 42
State: MN

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: CT scan - , COVID Test 1/12 - , MRI 1/13 -

Allergies: Unknown

Symptoms: EE statement "I was given the COVID vaccine on Friday Jan 8th at around 12:30 pm. I starting tasting metal in my mouth about an hour after the vaccine was given. Saturday 1/9, I woke up at 4am with left sided face numbness from my forehead to the middle of my neck. I also had a headache and some right arm pain at the site of the vaccine. These symptoms continued through Monday 1/11 when I reported to the Emergency Room at. I had a CT scan completed and release with negative results. I had a COVID test completed on Tuesday 1/12. I had an MRI on Wed 1/13 with negative results. I seen my primary physician on Thursday 1/14 as a follow-up. I was informed that I had a reaction to the vaccine and that my symptoms would properly last for 2-3 weeks, marked as Bells Palsy and put on prednisone. Today, I still have some left face numbness and my taste is coming back."

Other Meds: Unknown

Current Illness: Unknown

ID: 0958473
Sex: F
Age: 44
State: OH

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

Lab Data: On 1/18/2021 I sought medical attention at an urgent care facility recommended by my PCP, where a test was done for Influenzas A & B; both negative. Also performed was a chest x-ray which came back clear. The attending Dr consulted with the on call PCP and was told that it was most likely a reaction to the vaccine I had received the week prior.

Allergies: Vicodin (nausea) Silicone

Symptoms: Started having Covid-like symptoms, mainly cough and shortness of breath along with fatigue. Ran a low-grade fever for two days. Cough progressed and worsened and by the third day of symptoms I was bound to bed. Each time I moved, I couldn't breathe and coughed excessively.

Other Meds: Humalog, Losartan, Modafinil, Prozac, Buspar, Omeprazole, Topamax, Trazadone, Atorvastatin, Lisinopril, Zyrtec, Benadryl, Water Pill, Tylenol

Current Illness: Type 1 Diabetes Narcolepsy Seizure Disorder Migraines

ID: 0958474
Sex: F
Age: 25
State: CA

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: Unknown outcome.

Allergies: Avocado, possibly shellfish.

Symptoms: PT began shaking immediately after vaccine administration. RN stayed in room with Pt to monitor symptoms. Ten minutes later, Pt reported feeling dizzy. She was placed in a recumbent position on the exam twith legs elevated and vital signs were obtained, they were within normal limits. Pt then reported that it felt like she had something in the right side of her throat - she declined epinephrine injection. RN and LVN stayed at bedside. Pt then stated that both sides of her throat felt blocked and gave consent for epinephrine injection. RN administered 0.3 mg epinephrine and activated EMS. Vitals signs, breathing and circulation monitored closely until EMS arrival. Pt was transported by ambulance to the hospital emergency department for evaluation.

Other Meds: unknown

Current Illness: Unknown.

ID: 0958475
Sex: F
Age: 41
State: OH

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

Lab Data:

Allergies: n/a

Symptoms: Temp max 101.8, left axilla lymph node swelling and pain, left clavicular lymph node swelling and pain, headache, chills, body aches. lasting from 0100 1/19/2021until 0900 1/20/2021

Other Meds: Vit D Fish Oil

Current Illness: n/a

ID: 0958476
Sex: M
Age: 43
State: WI

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

Lab Data:

Allergies:

Symptoms: Muscle pain and stiffness, more on the left side where I received vaccine. Fever 1/18/21@2100hrs-101.4/1/19-20/21@ throughout evening Headache

Other Meds:

Current Illness:

ID: 0958477
Sex: F
Age: 38
State: OH

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

Lab Data:

Allergies:

Symptoms: MISSED 1 DAY OF WORK DUE TO HEADACHE, FATIGUE, CHILLS AND BODY ACHES.

Other Meds:

Current Illness:

ID: 0958478
Sex: M
Age: 49
State: FL

Vax Date: 01/04/2021
Onset Date: 01/12/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: No known alergies.

Symptoms: Injection administered on 1/4/21 and was given in upper left shoulder joint opposed to the deltoid muscle. I completely removed my shirt to assure proper placement. Common soreness to shot experienced next two days after administration, however soreness felt in shoulder joint rather than muscle. Pain re-occurred on 1/12/21 and has not been totally relieved despite the usage of anti-inflammatory medication eg. Ibuprofen 400mg, Tylenol 500mg along with Ibuprofen for soreness. The worst pain I experience is when I go to sleep being prematurely awaken by aching and throbbing to my affected area. Again, not being any discomfort to muscle but rather left shoulder joint pain where sometimes I am discouraged from raising my left arm to my side. It does not bother me so much to raise my left arm towards my front. I have been working through my discomfort while being very careful not to aggravating it further. My concern comes from the fact that it has not completely gone away after the extended time frame and becomes more intense in the evening.

Other Meds: Lisinopril 5mg per day. Omeprazole 20mg per day.

Current Illness: No illnesses at time of vaccination.

ID: 0958479
Sex: F
Age: 67
State:

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

Lab Data: none

Allergies: cats; ducoxetine, hydrocodone, morphine (rash). Iodine and IV contrast dyes, phenazopyridine, lyrica (blurred vision), effexor (tremors), baclofin (toxic encephalopathy), methotrexate ( tingling, loss of taste, tachycardia, swollen tongue)

Symptoms: 0943 - patient left observation area via self ambulation. States she got outside into parking lot and became short of breath and felt like she was having an asthma attack. Patient returned to clinic and assisted by paramedic and transported to private observation area via w/c. Patient has own inhaler and took two puffs of ProAir. Paramedic remains in attendance. HR 105; O2 sat 96% on r/a, BBS CTA per paramedic assessment. No rashes noted on arms, back, abdomen. Denies having itching, just c/o SOB. 0953 HR- 82, O2 99%. Patient has own insulin pump and electronic glucometer. States her glucose is 208. States she ate breakfast and has drank a lot of water this morning, 0958 - HR 80; O2 97% on r/a, BP 158/102 BBS CTA per paramedic reassessment. SOB subsided 1008: HR 76; O2 98%, RR 22; BP 138/98. Paramedic recommended ambulance dispatch for nebulizer treatment. Patient declined, stating she had some at home and wanted to use neb tx if her asthma worsened. Patient declined transport to hospital. patient was able to walk to her personal vehicle without assistance. Patient signed recommendations per paramedic and left via personal vehicle - drove self.

Other Meds: meloxicam as needed; lisinopril, triamterene/HCTZ combo, humalog insulin pump

Current Illness: None

ID: 0958480
Sex: F
Age: 69
State: NY

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

Lab Data: Non

Allergies: chemical allergy to scented candles, deordorizers; commercial chemicals

Symptoms: next day ran high temperature above 102 for 24 hours, hot and cold flashes

Other Meds: phenobarbital; rouvastin; lisiniprol;atentenol; warafin; allegra; pepsid;librax; nutrol; tirosint

Current Illness: none

ID: 0958482
Sex: F
Age: 40
State: NY

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

Lab Data:

Allergies: none

Symptoms: headache and nausea approx. 2 hours after injection. used ibuprofen.

Other Meds: lisinopril

Current Illness: none

ID: 0958483
Sex: F
Age: 43
State: AL

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

Lab Data:

Allergies: doxycycline

Symptoms: Body and muscle pain, joint pain, fatigue, site pain-started within 24 hrs of injection lymphadenopathy and nausea- started 48 hrs after injection

Other Meds: Stelara, cymbalta, wellbutrin, ambien, vit D, zinc, progesterone, estrogen, Omega 3, CoQ10, PQQ, aldactone, albuterol, B12

Current Illness: none

ID: 0958485
Sex: F
Age: 52
State: CT

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

Lab Data: n/a

Allergies: Penicillin & Cefuroxime Axetil

Symptoms: Arm extremely sore, malaise and fatigue, muscle aches - X2 days

Other Meds: Gabapentin, Cymbalta, Lamotrigine, Alprazolam, Montelukast, Symbicort Inhaler, Spiriva Inhaler, Proventil Inhaler, Lisinopril-HCTZ, Pantoprazole, Famotidine, Ondansetron ODT, Probiotic, Apple Cider Vinegar Gummies, Multivitamins, Citracal +

Current Illness:

ID: 0958486
Sex: F
Age: 51
State: LA

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

Lab Data: NA

Allergies: NKA

Symptoms: Stomach cramps, diarrhea, slight chill

Other Meds: Estradiol Prilosec

Current Illness: NA

ID: 0958487
Sex: F
Age: 31
State: ME

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: No

Allergies: nickel

Symptoms: Estimated due date: 07/16/2021 About 5 hours after the vaccine my arm started to hurt and I started having all body aches and chills, never had a fever. Very fatigued. At night I threw up and about 2AM I woke up drenched in sweat and I did not take my temperature. I woke up around 7AM and I had a migraine for about 2/3 hours - pounding headache. I took Tylenol, My body was really achy and my arm was like it was dead. General malaise, fatigue, it felt like I had a hangover, from my pounding headache. I threw up once again in the afternoon. Not sure if pregnancy related or the vaccine. Sunday morning I started feeling a little better. Saturday I felt horrible.

Other Meds: prenatal vitamins. unison at night

Current Illness: no

ID: 0958489
Sex: F
Age: 79
State: AK

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

Lab Data:

Allergies: Beta blocker

Symptoms: Sore arm

Other Meds: diltiazem hctz lipitor lotensin

Current Illness:

ID: 0958490
Sex: F
Age: 60
State: CA

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

Lab Data:

Allergies:

Symptoms: Sore arm swelling at injection site

Other Meds:

Current Illness:

ID: 0958492
Sex: F
Age: 30
State: AZ

Vax Date: 01/11/2021
Onset Date: 01/18/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: None. Doctor's appointment scheduled for later today.

Allergies: Avocado

Symptoms: Large, red, swollen welt on injection site. Raised skin and pink coloring, circular shape surrounding injection site. Warm to the touch. On and off itching. Does not interfere with mobility, no pain, but seems to be spreading slowly.

Other Meds: Magnesium oxide, fish oil, allergy pill, multivitamin, vitamin C

Current Illness: None

ID: 0958493
Sex: M
Age: 31
State: CA

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

Lab Data:

Allergies: No

Symptoms: Nauseas, Dizziness

Other Meds: Lam?gdol, Seraquel, Abilify

Current Illness:

ID: 0958494
Sex: U
Age: 42
State: VA

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

Lab Data:

Allergies: Sulfa, codeine, shell fish, red dye 40, penicillan

Symptoms: Itchy, chest pain immediately after injection, SOB increase HR. EMT providers on site, EKG, vitals. No medications administered.

Other Meds: Hydrocloroquil, prednisone, heart medication

Current Illness: COVID 19 - October 2020

ID: 0958495
Sex: F
Age: 55
State: CA

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

Lab Data:

Allergies: None

Symptoms: left shoulder 6x4cm redness, itching, and pain

Other Meds: None

Current Illness: None

ID: 0958496
Sex: F
Age: 34
State: MA

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

Lab Data:

Allergies:

Symptoms: The symptoms began 20-25 min after administration of the vaccine. The symptoms were: Chest tightness and dizziness that is moving up to her throat - similar to shellfish allergy reaction. Vitals all stable. No rash, no wheezing on exam, no facial or tongue edema. Sent to ED for treatment. Did not get epinephrine.

Other Meds:

Current Illness:

ID: 0958497
Sex: F
Age: 25
State: NV

Vax Date: 01/11/2021
Onset Date: 01/19/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Moderna COVID-19 Vaccine EUA 1/11/2021: Received vaccine at around 1400 1/15/2021: 0830-0930 exposed to covid positive patient within 6 feet, both wearing masks in anatomy lab with HEPA filters present 1/17/2021: Completed PCR test. Received negative results. 1/18/2021: Rash at site of injection that migrated to chest 1/19/2021: Rash resolved by 5 cm local erythema at site of injection, warm to touch 1/19/2021: Took motrin 400 mg and Benadryl 25mg and will monitor

Other Meds: None

Current Illness: None

ID: 0958499
Sex: F
Age: 72
State: IN

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

Lab Data:

Allergies: penicillin, Lisinopril

Symptoms: Sneezing,, stuffy, runny nose, and fatigue and malaise.

Other Meds: apixaban, metoprolol succinate, esomeprazole, Myrbetriq, nortriptyline, cholecalciferol, gabapentin, simvastatin, conjugated estrogens 0.625 mg/gram vaginal cream, azelastine, vit B complex no.12/niacin(B3), budesonide, psyllium husk

Current Illness:

ID: 0958500
Sex: F
Age: 69
State: FL

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

Lab Data: na

Allergies: Darvon latex , tetanus toxoid, epinephrin,sulfa drugs drugs specific for utis

Symptoms: first reaction about 4 1/2 hours after injection.. fine powdery itchy rash on breasts pectoral area and ribs. approx 30 hours after injection sudden onset fatigue, extreme pain in injection arm, uncontrolable chills, low grade fever,headache. approx 44 hours later still headache, muscle pain subsided, powdery itchy rash returned.. over chest , pectoral area , and itchy eyes and head..

Other Meds: amor np thyroid 50mg vit D 5,000 fish oil ,womens multi vitamin

Current Illness: wisdom tooth extraction

ID: 0958501
Sex: F
Age:
State: VA

Vax Date: 01/14/2021
Onset Date: 01/16/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data: OBGYN examined client not sure what tests were performed. PHN collected all information from client on 1/21/21.

Allergies: NKA

Symptoms: Client was pregnant at time of vaccination. She had consulted with 2 OBGYNS that are following her concerning if she should receive the covid vaccine. They both stated yes. She received her 1st covid vaccination to her left deltiod between 12pm - 1300 on 1/14/21. She did not experience any complications or feel any side effects immediately after vaccination. She was monitored by nursing staff for over 30 min to be prudent. On 1/16/21 the Sat following vaccination she began experiencing cramping in her stomach and began to bleed vaginally. She consulted w her OBGYN and was monitored. She miscarried on 1/19/21.

Other Meds: 8 weeks 5 days, estimated due date august 22, 2021, prenatel mvi qd

Current Illness: none

ID: 0958502
Sex: F
Age: 44
State: CA

Vax Date: 01/19/2021
Onset Date: 01/15/2021
Rec V Date: 01/20/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Patient began itching in both arms approximately 13 minutes after receiving the injection. The itching worsened and urticaria developed on her right wrist, left upper arm. She was given 50mg benadryl and monitored. Itching resolved and she was taken home by a co-worker. She was advised to follow up with her

Other Meds: None

Current Illness:

ID: 0958503
Sex: F
Age: 63
State: CA

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

Lab Data:

Allergies:

Symptoms: Itchy skin, throat swelling. Resolved with benadryl.

Other Meds:

Current Illness:

ID: 0958504
Sex: F
Age: 40
State: NJ

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

Lab Data: n/a

Allergies: none

Symptoms: 1 week post injection, injection site became itchy, red, hot, swollen. The redness spread & got larger throughout the day. Determined to be a cellulitis. Required antibiotics.

Other Meds: Singulair

Current Illness: none

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm