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: 0960840
Sex: F
Age: 55
State: NY

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: Levoquin

Symptoms: Arm soreness, headache, dry cough, tiredness, possible AFIB.

Other Meds: Lansoprazole 30mg

Current Illness: N/A

Date Died: 01/21/2021

ID: 0960841
Sex: M
Age: 23
State: NY

Vax Date: 01/17/2021
Onset Date: 01/19/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Patient developed 104.4 temp approximately 48 hours after being given the vaccine. I treated him with antibiotics, IV fluids, cooling methods. CXR does show a new right perihilar infiltrate. However, his fever came down within the next 24-48 hours. Unfortunately, he suffered a cardiac arrest on 1/21/21 in the early morning and expired.

Other Meds: Amantadine, clonazepam, clobazam, lovenox, dextroamphetamine-amphetamine , famotidine, gabapentin, keppra, robinul, polyethylene glycol, propanolol, sertaline, senna, valproic acid, vimpat, cefepime

Current Illness: none

ID: 0960842
Sex: F
Age: 57
State: MI

Vax Date: 01/09/2021
Onset Date: 01/09/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: compazine latex

Symptoms: tired and headache

Other Meds: effexor buspar

Current Illness: none

ID: 0960843
Sex: F
Age: 24
State: SD

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Body aches/joint pain, chills, nausea, fatigue, injection site muscle soreness

Other Meds: None

Current Illness: None

ID: 0960844
Sex: M
Age: 33
State: NJ

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: NKDA

Symptoms: Fever and chills

Other Meds: Emgality

Current Illness: None

ID: 0960845
Sex: F
Age: 56
State: NJ

Vax Date: 01/17/2021
Onset Date: 01/18/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: High Fever 102 Severe Headache Malaise / brain fog Chill Body Ache Exhaustion Swollen and tender lymph nodes in neck on left side Symptoms lasted for 3 days Today is day 4 and I still have Malaise, swollen lymph nodes and pressure in my head.

Other Meds: Celexa 20 mg

Current Illness: none

ID: 0960846
Sex: F
Age: 45
State: WI

Vax Date: 01/05/2021
Onset Date: 01/19/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 1/20 staff member reported to employee health that she was advised by her own PCP to not get the second Covid vaccination. She reports she developed an all over body rash and itching 2 weeks after her Covid vaccination and contacted her PCP - they advised Benydryl and that she should not receive her second vaccination In speaking with her - she is open to speaking to VAERS staff to relay her experience She reports she did not experience any issues immediately post vaccination

Other Meds:

Current Illness:

ID: 0960847
Sex: M
Age: 60
State:

Vax Date: 12/24/2020
Onset Date: 12/25/2020
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: "fever 101, severe headache, myalgias, symptoms resolved over 36 hours"

Other Meds:

Current Illness:

ID: 0960848
Sex: F
Age: 58
State:

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: none

Allergies: Amoxicillin, augmentin, statins, tramadol, clindamycin, pork, milk, cat, dogs, horses and seasonal allergies

Symptoms: 1525 - states she is experiencing vertigo. Transported via w/c to private observation area. EMT on site in attendance. Patient able to transfer from chair to w/c without difficulty. States, "my head is swimming and I have nausea" States she has hx of vertigo but this is different as per statement above. HR 86; BP 148/68; O2 97% on room air. States she drove self, has service dog with her. States she ate a late breakfast. States she had a COVID test this morning at for pre op biopsy to be done this Friday 1/22/2021. Denies exposure to COVID. 3:50, examined per Dr. Gave patient gatorade and granola bar. Also drank about 2 ounces of water and tolerated with n/v. Ate about 1/4 granola bar. O2 98%; HR 88 4:02 PERRL - NO nystagmus noted. Tol. 10oz gatorade without n/v. States she has too much nausea to eat anything. Offered ambulance transport for further evaluation. Patient unsure what to do. 4:05 - Had patient stand up next to w/c. Mobility steady. Patient looking down at her dog without any swaying noted. Patient sat back down. 4:08 Patient ambulated independently to end of hallway. Gait steady, no assistance required. Reached outside doors. No symptoms of vertigo. No n/v. States she will go home and rest. Advised to seek medical attention if vertigo returns. Declined transport to hospital. Left with her service dog to personal vehicle

Other Meds: effexor welbutrin, trazadone, gabapentin, geodon, metformin, glypiside, singulair allegra, Vit D3, Calcium, B1, flonase, albuteral

Current Illness: Inner ear infection, finished azithromycin course on 1/19/2021

ID: 0960849
Sex: M
Age: 33
State: FL

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: N/A

Allergies: N/A

Symptoms: CHILLS, FEVER, REDNESS AND PAIN AT INJ SITE; ITCHING AT INJ SITE; COUGH; SOB; UPPER RESPIRATORY SYMPTOMS; DIARRHEA TOOK IBUPROFEN, DAYQUIL; NYQUIL TO TREAT SYMPTOMS.

Other Meds: N/A

Current Illness: N/A

ID: 0960850
Sex: M
Age: 73
State: KY

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Left Heal became gradually painful especially to weight bearing about 3 hours after vaccine. No other symptoms. 24 hours latter it seems reddened somewhat compared to the right heal. It is made worse with dorsiflexion of the foot or weight bearing. It also appears a little swollen. It does not feel warm to touch. No sign of foreign body or history of any injury or new increased activity.

Other Meds: Vitamin D

Current Illness: none

ID: 0960851
Sex: F
Age: 49
State: IN

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: Na

Symptoms: Fever, body aches, chills, migraine excessive tiredness

Other Meds: Topamax 50mg am Topamax 100mg hs Aldactone 25mg am

Current Illness: None

ID: 0960852
Sex: M
Age: 52
State: PA

Vax Date: 01/01/2021
Onset Date: 01/15/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: Latex

Symptoms: So basically I believe I have Bell's palsy . After about an hour after receiving the vaccine I noticed I was having a weird taste in my mouth. Sort of a metallic taste. As the weekend went on it seemed to get worse. Then Monday morning I noticed when brushing my teeth that I wasn?t able to gurgle my mouth wash. And saw that my mouth and eye seemed to be drooping slightly. Now Thursday the 21st and it seems to be effecting my speech to were I now have a lisp. Can definitely see it when I?m speaking to someone. Which people have commented on. Not sure what can be done . But at this point I?m hoping it doesn?t get worse. Thanks

Other Meds: Naproxen, Methenamine, Sertraline

Current Illness:

ID: 0960853
Sex: F
Age: 51
State: MD

Vax Date: 01/07/2021
Onset Date: 01/14/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Since 1 week after the vaccine she has been experiencing intermittent chills without fever, pruritis from the waist up starting 1/17/21 and changes in her taste with no loss of taste or smell.

Other Meds:

Current Illness:

ID: 0960854
Sex: F
Age: 35
State: FL

Vax Date: 01/18/2021
Onset Date: 01/18/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: Currently 9weeks pregnant with expected due date Aug 21 21. OB office was contacted about reaction and they will continue to monitor during my pregnancy but as of now no signs of harm. Adverse reaction started with minor muscle aches then about 12hr after I started with a fever/ chills that got very severe during the night. Finally around 1am/2am the fever started to break. I took Tyenol 500mg every 4 to 6 hours x 5 doses in the 24hr period.

Other Meds: Prenatal Vitamin Levothyroxine 50mcg daily Omega 3

Current Illness:

ID: 0960855
Sex: M
Age: 70
State:

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Body numbness and tingling. Pt felt this almost immediately, but it subsided after 10 minutes. He was monitored for a total of 30 minutes and felt fine after that time period.

Other Meds:

Current Illness:

ID: 0960856
Sex: M
Age: 45
State: TX

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: NKDA

Symptoms: Intense back muscle spasms, fever, cough and significant fatigue.

Other Meds: Metformin, Losartan, metoprolol, rosuvastatin

Current Illness: None

ID: 0960857
Sex: F
Age: 24
State: WV

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Extreme pain at and around site within 3 hours. Difficult to use right arm, severe soreness with throbbing aching pain. Total body muscle pain at 12 hours after delivery. Unable to sleep due to uncontrollable shaking and could not lay on injection site. Nauseous, High fever, Swelling, Redness, Fatigue and lack of focus.

Other Meds:

Current Illness:

ID: 0960858
Sex: F
Age: 54
State: WV

Vax Date: 01/09/2021
Onset Date: 01/12/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: None

Allergies: NKA

Symptoms: Left ulnar nerve irritation. Severe burning when leaning or applying pressure to the forearm

Other Meds: Multi vitamin, Buspar, mobic

Current Illness: None

ID: 0960859
Sex: F
Age: 27
State: IN

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Approximately 12.5 hours after vaccine injection for dose #2, experienced muscle aches and chills. Muscle aches and chills throughout body proceeded for 25 hours. Symptoms resolved at 45 hours post injection on 1/21/21

Other Meds: Blisovi FE

Current Illness: None

ID: 0960860
Sex: F
Age: 27
State: MN

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: N/A

Allergies: Tylenol (hives, lower extremity edema)

Symptoms: Unilateral axillary lymphadenopathy that is painful and tender to the touch. Movements like stretching are difficult and painful. Treating with ibuprofen and heating pad to some improvement, but no sustained benefit. This issue is unresolved and ongoing.

Other Meds: Sprintec, famotidine, fexofenadine, Flonase

Current Illness: None

ID: 0960861
Sex: F
Age: 28
State: TX

Vax Date: 01/16/2021
Onset Date: 01/16/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: N/A

Allergies: No known allergies

Symptoms: Received vaccine at 10:11AM, COVID-19 Moderna Lot #042L20A @10:48AM: Provider was called to evaluate 28 y/o white female patient complaining of numbness and tingling to both lips. No other adverse event. Patient is awake, alert and oriented x3 @10:51AM: Vital signs: BP - 122/76 HR-61 RR-23 O2 Sat 98%. Patient denies difficulty breathing and difficulty swallowing or chest pain. @10:52AM: Patient states: "I feel extremely thirsty.", "My lips feel like they're swelling but I checked and they are not actually swollen." No signs of anaphylaxis. No visible swelling of lips. @10:54AM: Patient given water, 8 ouces x2 bottles and states; "I feel better." @11:15AM-11:25AM: O2 Sat 99% HR-55 BP-118/70. No difficulty breathing, no visible swelling of lips, bilateral lip numbness almost resolved per patient. @12:05PM: Patient sitting in wheel chair, no signs and symptoms of acute distress. Patient denies numbness and tingling of lips. No signs and symptoms of anaphylaxis. O2 Sat 99% HR-61 BP-116/70. Patient wheeled to driveway and discharged home via private vehicle. Patient's father is the driver of the vehicle.

Other Meds: Melatonin, Salt Tablets

Current Illness:

ID: 0960862
Sex: F
Age: 45
State: MD

Vax Date: 01/08/2021
Onset Date: 01/21/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: PCN, neosporin, percocet

Symptoms: This morning I noticed a pink rash in the shape of a triangle below the vaccine site. It is slightly warm to touch, does not itch or hurt but is in the shape of a perfect triangle approximately 2 inches large

Other Meds: Zinc, birth control, biotin, vitamin d, omeperazole, singulair, xyzal, benzonatate, lovaza

Current Illness: none that I am aware of

ID: 0960863
Sex: F
Age: 70
State: TX

Vax Date: 01/18/2021
Onset Date: 01/18/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Itchy red rash all over face

Other Meds: None

Current Illness: None

ID: 0960864
Sex: F
Age: 54
State: IN

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: Sulfa

Symptoms: sore and swollen left arm within a couple hours, later same day some fatigue, next day some aches, and low grade temperature. Mild headache started suddenly around 8 hours after injection and continued for about 16 hours.

Other Meds: Armour Thyroid, Phentermine, multivitamin, potassium, calcium, magnesium, Omega 3

Current Illness: None

ID: 0960865
Sex: F
Age: 51
State: MD

Vax Date: 01/07/2021
Onset Date: 01/14/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Starting 1 week after the vaccine she began experiencing intermittent chills with no fever. On 1/17/21 she started to have itching from the waist up and she is taking Zyrtec. She has also notice some taste changes but no loss of taste or smell.

Other Meds:

Current Illness:

ID: 0960866
Sex: F
Age: 63
State: IN

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: Sulfa

Symptoms: Fever, chills, body aches, nausea/vomiting

Other Meds: Losarten: omeprazole: atorvastatin: coreg

Current Illness: None

ID: 0960867
Sex: F
Age: 40
State: PA

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient received injection at 3:35PM. Called clinic ast 4:15pm from home reporting facial swelling, numbness and difficulty breathing. Sent to ER. Called patient next morning. Reports she received anthistamines and steroids in ER and told to stay home following day. She reports no further symptoms

Other Meds:

Current Illness:

ID: 0960868
Sex: M
Age: 32
State: IN

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: None

Allergies: Banana allergy Unknown cause, rash and hives to certain lotions, soaps, and cleaning agents like hand sanitizer, certain disinfectants.

Symptoms: Severe body aches, foggy headed, light headed, headaches, body chills without fever, blurred vision.

Other Meds: Ibuprofen 600mg Tylenol 500mg

Current Illness: None

ID: 0960869
Sex: F
Age: 40
State: IN

Vax Date: 01/01/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: I woke up at 2:45am with chills, a bad headache, sore arm at test site and nausea. I took extra strength Tylenol and went back to sleep. The following day, I continued to have the headache and fatigue. I took Tylenol and/or Advil all day to keep the headache at bay and also needed a nap. Today, I feel much better.

Other Meds: Multivitamin, vitamin d, turmeric, spiralina, fish oil

Current Illness: Cold sore

ID: 0960870
Sex: F
Age: 52
State: NJ

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Sensation that throat was closing 10 minutes after she received the 2nd Covid vaccine. She didn't have any symptoms after the first vaccine. She went to the ER and received epinephrine, prednisone, and benadryl.

Other Meds: nebivolol

Current Illness:

ID: 0960871
Sex: M
Age: 27
State: IN

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: sulfa

Symptoms: Chills, fatigue, body aches, left arm pain, was unable to sleep. Headaches. Symptoms lasted for about 24 hours.

Other Meds:

Current Illness:

ID: 0960872
Sex: M
Age: 43
State: TN

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: I had a very bad dream over night. It was a nightmare. I woke up and went back to sleep 3 times and the night continued each time until about 4am. Then I couldn't sleep again.

Other Meds: Albuterol inhaler 2 puffs every 6 hour as needed montelukast 10 mg daily Cetirizine 10 mg daily

Current Illness:

ID: 0960873
Sex: F
Age: 36
State: CA

Vax Date: 12/26/2020
Onset Date: 12/28/2020
Rec V Date: 01/21/2021
Hospital:

Lab Data: I received x-ray (1/12/2021)

Allergies: None

Symptoms: I was feeling body ache; congesting, coughing, stomach pain, and diarrhea. It lasted for 10days.

Other Meds: None

Current Illness: None

ID: 0960874
Sex: M
Age: 24
State: OH

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: EKG, unsure of other testing

Allergies: no known allergies

Symptoms: Patient became nauseated at 11pm 1/20/21 and fever of 101, passed out in bathroom dry heaving and woke up at 4am, Heartrate 182, short of breath, continuous vomiting, called EMS, was given zofran on route to ER, upon arrival to ER heartrate reduced to 130's, patient reports being given toradol and IV Fluids, and was released. Patient reports fever range of 101-103.

Other Meds: Unknown

Current Illness: Covid-19 3.5 weeks prior

ID: 0960875
Sex: U
Age:
State: TX

Vax Date: 01/08/2020
Onset Date: 01/19/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: mild reaction to Sulfur Drugs

Symptoms: At the time of the injection I had light localized pain at the injection site, light muscular pain, & fatigue that lasted a couple of days. A week after the injection I noticed a red patch at the injection site; one side was slightly thicker than the rest. No pain - just red... The patch has faded slightly, and increased in size to 1 1/2 inches, and now is slightly warm to the touch and slightly tender... Although not bad pain, it feels as if I had just taken the shot. In other words I am aware of the location of the shot.. and feel a slight sting if I move my arm just right....

Other Meds: estradiol Carvedo;p; B12; Vitamin D, Centrum Silver, Caltrate

Current Illness: None

ID: 0960876
Sex: M
Age: 35
State: IN

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Headache, diahrea, weakness, upset stomach,

Other Meds: None

Current Illness: Covid

ID: 0960877
Sex: F
Age: 37
State: IN

Vax Date: 01/10/2021
Onset Date: 01/10/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Per internal reported event (submitted 1/18/21): 2nd dose of COVID vaccine on 1/10/21. Approximately 6-8 hours after injection my right wrist began to have pain, specifically when gripping objects. Pain worsened through the next day. I bought a brace and used ibuprofen and heat / ice to try to alleviate the pain. Still having pain despite rest, ice, compression and immobilization.

Other Meds:

Current Illness:

ID: 0960878
Sex: F
Age: 49
State: MD

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: All of my symptoms occurred later in the evening: Very cold (lasted 1 night) nausea (lasted 2 days) light headed (lasted 1 night) tingling sensation in hands, feet, legs, and arms (this is still happening as of today)

Other Meds: daily aspirin raberprazole chlorthalidone atorvastatiin

Current Illness: none

ID: 0960879
Sex: F
Age: 34
State: FL

Vax Date: 01/13/2021
Onset Date: 01/19/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: For the first 5 days my arm was just really sore but on day 7 I woke up with a big red knot on my arm at the site of injection. It was very itchy and warm. Day 8 it has gotten bigger, maybe the width of 3 quarters and is swollen and warm.

Other Meds: Metoprolol, multi vitamin

Current Illness: None

ID: 0960880
Sex: F
Age: 30
State: IN

Vax Date: 01/18/2021
Onset Date: 01/18/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: Latex

Symptoms: 2200 - headache 2230 - headache worsens, nausea 2300 - headache + vomiting + chills, afebrile 2330 - Tylenol 1000mg 0100 - woke up with body aches, chills, headache 0300 - body aches worsen, nausea returns 0730 - body aches, armpits very tender, headache 0800 - Tylenol 1000 mg 0900-2200 fatigue, body aches, armpits tender, neck tender, headache 2200 - Tylenol 500mg, sleep 0500 - minor joint pain, minor armpit pain 0600 - Tylenol 500mg 0600-2200 - pain resolves

Other Meds: Prenatal Vitamin

Current Illness: N/A

ID: 0960881
Sex: F
Age: 39
State: MN

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: Sulfa medications

Symptoms: Moderna COVID-19 Vaccine EUA Body aches, chills, sore injection site. Started this morning and despite Tylenol 1000 mg still feeling poorly.

Other Meds: Elderberry Gummies

Current Illness: Recurrent tonsilitis

ID: 0960882
Sex: F
Age: 41
State: WI

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: Negative covid test

Allergies: No

Symptoms: Sudden onset of tachycardia 220 beats, faint, week, sweating, clammy, hot, cold, dry heaving, feeling like going to pass out

Other Meds: Metformin, multivitamin

Current Illness: None

ID: 0960883
Sex: F
Age: 43
State: IN

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: Hydro cosine and ibuprofen

Symptoms: Swollen and pain lymph nodes in left armpit still 1/22, injection site pain still 1/22, joint pain still 1/22, low grade fever ranging from 99.2-101 until only day after, headache still 1/22

Other Meds: Paroxetine Birth control pill Probiotic

Current Illness: Na

ID: 0960884
Sex: F
Age: 26
State: OH

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies: pollen, whey, casein.

Symptoms: January 14, 2021: Rash to R brachial/arm area. Last about 12 hours. did not itch. Excessive Fatigue January 15, 2021: Hives to L abdominal/flank that was itchy, lasted about 1 day January 18, 2021: Cluster of hives to L flank/back that was severely itchy, red, and swollen. ALSO hives to neck, tender, but did not itch. January 21, 2021: Swollen L deltoid, tender to touch, difficulty raising arm. no redness and headache no new hygiene products, laundry detergent, lotions were used.

Other Meds: Katlib FE Chewable Tablet --birth control 1000mg Tylenol an hour before vaccination

Current Illness: n/a

ID: 0960885
Sex: F
Age: 31
State: IA

Vax Date: 12/31/2020
Onset Date: 01/09/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: covid tests negative on 1/10 and 1/16 2021

Allergies: mild seasonal

Symptoms: severe headache starting 9 days post vaccine. Most severe lasted 3 hours, then 10 days of headache and intermittent nausea and dizziness. As of this report nearly recovered.

Other Meds:

Current Illness: none 2 negative covid tests on 1/01 and 1/16

ID: 0960886
Sex: F
Age: 39
State: NY

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data: 50mg benadryl given IM, R arm.

Allergies: Dust, cats, dogs, grasses

Symptoms: Itchiness on b/l legs- 50mg IM benadryl given in R arm, vitals taken: 99%O2, HR 93, Temp 37.1, BP 136/85. Pt monitored for 1 hour. Pt denies rash.

Other Meds: Zyrtec, Singulair, Atorvastatin, Viorele, Phentermine, Topiramate, Ozempic, Vitamin D3

Current Illness: Denies any

ID: 0960887
Sex: M
Age: 34
State: IN

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Headache, eye pain, chills, fever

Other Meds:

Current Illness:

ID: 0960888
Sex: M
Age: 70
State: IN

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/21/2021
Hospital:

Lab Data: None

Allergies: Sulfa Cefuroxime axetil

Symptoms: Injection site pain for 18 hours

Other Meds: Omeprazole Lisinopril Hydrochlorothiazide Vit D3 Vit B12

Current Illness: None

ID: 0960889
Sex: F
Age: 35
State: CA

Vax Date: 12/21/2020
Onset Date: 12/24/2020
Rec V Date: 01/21/2021
Hospital:

Lab Data: X-ray(1/12/2021)

Allergies: None

Symptoms: I had congestion, cough, diarrhea, body ache, stomach pain, chills, and shortness of breathe with activity. It lasted for 10 days. I still have mild cough.

Other Meds: None

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm