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: 0917009
Sex: F
Age: 57
State: OH

Vax Date: 12/24/2020
Onset Date: 12/30/2020
Rec V Date: 01/01/2021
Hospital:

Lab Data:

Allergies: Topical Iodine, ACE inhibitors

Symptoms: Moderna COVID-19 Vaccine Day #7: Developed chills and fever (~100-101) in the evening at around 6.30 pm with night sweats. Fever subsided in the early morning hours (around 4 AM). Day #8: Similar to day #7. Day#9: Some redness at the site of injection in the morning, with developing large wheal in the arm with some itching.

Other Meds: Zetia, Irbesartan, hydrochlorothiazide, Multivitamins, Magnesium

Current Illness:

ID: 0917010
Sex: F
Age: 51
State: VA

Vax Date: 12/22/2020
Onset Date: 12/25/2020
Rec V Date: 01/01/2021
Hospital:

Lab Data: in November tested postive for antibodies for covid infection in May.

Allergies:

Symptoms: on 12/25 all lymph nodes on the same side as the shot injection swollen, Joint Pain, not w=feeling weel. on 12/31 reported that the lymph nodes near clavicle have now swelled. The other lymph nodes have not ceased being swollen.

Other Meds:

Current Illness:

ID: 0917011
Sex: F
Age: 56
State: AZ

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

Lab Data: None

Allergies: Oxycodone

Symptoms: Heart racing few mins after shot lasted 10 mins then nausea, dizziness continues for 45 mins. Then mild headache for 24 hrs. No symptoms after 24 hrs except sore arm for 2 days.

Other Meds: None

Current Illness: None

ID: 0917012
Sex: F
Age: 39
State: VA

Vax Date: 12/26/2020
Onset Date: 12/27/2020
Rec V Date: 01/01/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Severe Headache for 3 days, chills weakness and fevrerish

Other Meds:

Current Illness:

ID: 0917013
Sex: F
Age: 34
State: UT

Vax Date: 12/24/2020
Onset Date: 12/30/2020
Rec V Date: 01/01/2021
Hospital:

Lab Data: Ultrasound which did not indicate abscess only extensive soft tissue swelling I saw patient again , today , day 8, swelling is improving redness has spread slightly

Allergies: none

Symptoms: patient developed lymphadenopathy 6 days after moderna vaccine ,redness and great amount of swelling at injection site 7 days after vaccine

Other Meds: none

Current Illness: none

ID: 0917014
Sex: F
Age: 49
State: FL

Vax Date: 12/23/2020
Onset Date: 12/30/2020
Rec V Date: 01/01/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Moderna COVID-19 Vaccine EUA Pain, swelling, redness at the injection site started anew 7 days after the vaccine was received. The area was indurated. Also low grade fever. Diagnosed as cellulitis, being treated with oral course of Doxycycline.

Other Meds: None

Current Illness: None

ID: 0917015
Sex: F
Age: 43
State: OH

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

Lab Data:

Allergies: None

Symptoms: It has been eight days since the vaccination and noticed I was itchy at the spot, red, swollen? Several hives present.

Other Meds: Remicade, Vitamin D, Zoloft 100 mg

Current Illness: None

ID: 0917016
Sex: F
Age: 64
State: TX

Vax Date: 12/23/2020
Onset Date: 12/30/2020
Rec V Date: 01/01/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Redness, swelling, hot and discomfort at the injection site

Other Meds: calcium with Vitamin D3

Current Illness: none

ID: 0917017
Sex: M
Age: 58
State: KY

Vax Date: 12/22/2020
Onset Date: 12/28/2020
Rec V Date: 01/01/2021
Hospital:

Lab Data: SARS-COV-2 PCR

Allergies: Latex

Symptoms: Tested positive Covid-19 infection, Cough, bronchospasm, weakness, muscle pain, chest congestion, nasal congestion, Loss of appetite since vaccine given,

Other Meds: Lisinopril

Current Illness: None

ID: 0917018
Sex: F
Age: 65
State: SD

Vax Date: 12/28/2020
Onset Date: 12/29/2020
Rec V Date: 01/01/2021
Hospital:

Lab Data:

Allergies: Sulfa, lisinopril

Symptoms: Some diarrhea and abd pain-almost to nausea stage but have taken some Zofan

Other Meds: Omeprazole, norvasc, zinc, vit d

Current Illness: Receiving radiation on my arm, close exposure to Covid

ID: 0917019
Sex: F
Age: 54
State: TX

Vax Date: 12/24/2020
Onset Date: 12/31/2020
Rec V Date: 01/01/2021
Hospital:

Lab Data:

Allergies: pcn, cephalosporins, sulfa

Symptoms: itching and redness on arm 8x4 cm, axillary discomfort

Other Meds: lexapro, claritin, sudafed

Current Illness: none

ID: 0917020
Sex: F
Age: 26
State: CO

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

Lab Data: None

Allergies: Hydrocodone, cashews, peanuts

Symptoms: Nausea, vomiting, migraine

Other Meds: Kyleena IUD

Current Illness:

ID: 0917021
Sex: F
Age: 32
State: IN

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

Lab Data: None

Allergies: Shellfish sensitivity

Symptoms: Hives around neck, face (cheeks, and around eyes) about 2 hours after vaccine was administered. Reduced appearance of hives after 12 hrs. Cortisone (topical ointment) applied and hives seemed to subside.

Other Meds: IUD Mirena

Current Illness: None

ID: 0917022
Sex: F
Age: 52
State: MO

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

Lab Data: None

Allergies: Kenalog

Symptoms: Tinnitus, worse in left ear. Heavy feeling all over. Headache, Tylenol 500mg q6h.

Other Meds: Lyrica, Tramadol ER, Topiramate, Levothyroxine, Famotidine, Klonopin, Tramadol HCL, Flexeril, Amitriptyline, Iron, Vitamin D3, Quercetin, Zinc, Super Vitamin B-Complex, Rexulti

Current Illness: None

ID: 0917023
Sex: M
Age: 58
State: NJ

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

Lab Data:

Allergies: I have had two allergic reactions to shrimp over the years and no longer will eat shrimp I also had an allergic reaction to penicillin based prescription drug years ago

Symptoms: Swollen lips with itchiness and tingling sensation

Other Meds: Candesartan Tabs 32mg Rosuvastatin Tabs 5mg

Current Illness:

ID: 0917024
Sex: F
Age: 35
State: PA

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/01/2021
Hospital:

Lab Data: None yet monitoring my symptoms

Allergies: Sulfa . Also celiac disease no cannot eat gluten

Symptoms: No immediate events. But about 24 hours after vaccination I felt extreme tiredness and some chills which I read is normal but I noticed tingling in my legs. And a cold sensation. No weakness and it resolved in about an hour. Then today 1/1/2021 numbness and tingling/pins and needles in my feet and legs . It lasted a few hours and mostly resolved. I was not sure if there was a possibility of guillian barre occurring post this .

Other Meds: Synthroid and birth control pill

Current Illness: None

ID: 0917025
Sex: F
Age: 51
State: MI

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

Lab Data:

Allergies: NA

Symptoms: Severe arm pain, loss of use, swelling, pain score 7-9 on the 0-10 pain scale. Loss of sleep for two nights d/t pain. Pain on day three scores 4-7. Can use arm, but very limited ROM.

Other Meds: Glucosamine Multivitamin with iron Loratadine Biotin

Current Illness: NA

ID: 0917026
Sex: M
Age: 82
State: LA

Vax Date: 12/28/2020
Onset Date: 12/29/2020
Rec V Date: 01/01/2021
Hospital: Y

Lab Data:

Allergies: Codeine Peanuts

Symptoms: 12/28/2020, Pharmacy staff administered Moderna COVID Vaccine. 12/29/2020, he had not eaten breakfast or lunch but did consume fluids and take his medications. BP =150/70, Temp. = 101.6, Pulse= 102, Respirations= 18 and Oxygen saturation= 97%. Tylenol 650 mg given. It was difficult for him to swallow. Also had no use of right upper extremity and unable to move lower extremity, mouth was drooping and was drooling. Physician in attendance and ordered to send to ER. 1/1/2021, received information from nurse at hospital that patient received a Peg Tube this afternoon and Clinical indication of a stroke.

Other Meds:

Current Illness:

ID: 0917027
Sex: F
Age: 43
State: AR

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

Lab Data: None

Allergies: Sulfa Flouroquinolones Pertussis

Symptoms: Erythema/induration at injection site - still monitoring at day 4 post vaccine but continues to grow larger

Other Meds: Levothyroxine

Current Illness: No

ID: 0917028
Sex: F
Age: 63
State: NY

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

Lab Data: EKG blood work

Allergies: Cefxil, augmentin , elidel cream

Symptoms: Approximately 18 minutes after vaccine was administered I felt dizzy, lightheaded, heart racing, flushed, tongue felt thick. Blood pressure immediately elevated along with heart rate. I was taken to the emergency room. They performed a EKG and gave me IV decadron and Benadryl.

Other Meds: Calcium 1,500 mg, 7,000 daily vitd, 50,000 iu monthly vitd,

Current Illness: None

ID: 0917029
Sex: F
Age: 51
State: CA

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

Lab Data:

Allergies: Codeine, Thimerisol, sulfates, preservatives

Symptoms: About 40 minutes after receiving the vaccine, on the drive home, my face started getting numb and feeling tingling and maybe swollen, also, all of my regular pains in my body, ie. various mouth pains and said pains, certain things that act up in my body, were intensified and more bothersome, and I had a headache that wouldn't go away. I felt "off" that night and the next day. Probably like I was mildly sick and fatigued with body feeling sore all over and headachey. About 36 hours after getting the initial dose, I was feeling regular again.

Other Meds: Adderall

Current Illness:

ID: 0917030
Sex: F
Age: 40
State: IA

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

Lab Data: ER visit, U/A, kidney function, Creatinine Kinase, was given a 1 liter bolus of normal saline IV

Allergies: Bactrim - hives

Symptoms: 6 hours after vaccine developed fatigue and mild soreness. Over night had severe muscle and joint pain. The next day muscle/joint pain continued with headache, fatigue, fever, chills, and my urine turned dark brown. The next day fever went away and all symptoms improved except the urine continued to be brown. The following day I was seen at the ER and was diagnosed with hematuria of unknown cause. I have to have a CT scan on Monday to evaluate further.

Other Meds: Levothyroxine

Current Illness: COVID 19

ID: 0917031
Sex: F
Age: 61
State: NC

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

Lab Data:

Allergies: Aspirin, Chlorpromazine, Lithium, Sulfamethoxazole, Sulfamethoxazole/Trimethoprim, Penicillins, Antihistamines

Symptoms: Lethargic, Diaphoresis, general unwell feeling

Other Meds:

Current Illness:

ID: 0917032
Sex: M
Age: 43
State: NC

Vax Date: 12/22/2020
Onset Date: 12/22/2020
Rec V Date: 01/01/2021
Hospital:

Lab Data:

Allergies: Dermabond (liquid stitches) and severe local reaction to bees

Symptoms: Itching, swelling and elevated temperature at the injection site 7 days after the injection. Benedryll improved symptoms (50mg for two days) 9 days after injection most of the swelling is gone and itching is diminished.

Other Meds: Ostiobiflex and vitamin D3

Current Illness: None

ID: 0917033
Sex: F
Age:
State: KS

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

Lab Data:

Allergies:

Symptoms: Loss of fine motor control (typing is difficult) loss of balance leading to falling.

Other Meds:

Current Illness:

ID: 0917034
Sex: F
Age: 34
State: MA

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

Lab Data:

Allergies:

Symptoms: Painful lymphadenopathy (cervical, supraclavicular), unilateral on same side of injection. Began on Day 5-6

Other Meds:

Current Illness:

ID: 0917035
Sex: M
Age: 38
State: GA

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

Lab Data: None

Allergies: None

Symptoms: Moderate vaccine site pain (~9 hrs after vaccine) + moderate/severe fatigue (started ~12 hrs after vaccine administered) + severe chills, low-grade fevers, moderate muscle aches, severe bone aches, moderate joint aches, and mild headaches (started ~18-24 hrs after vaccine administered). Ibuprofen (Motrin) 400 mg total and Acetaminophen 500 mg decreased/improved symptoms.

Other Meds: None

Current Illness: None

ID: 0917036
Sex: F
Age: 60
State: CA

Vax Date: 12/23/2019
Onset Date: 12/28/2020
Rec V Date: 01/01/2021
Hospital:

Lab Data: All on 1/1/2021: Chest X-ray CBC BMP Ddimer Troponin Pt/inr Covid swab (Pending)

Allergies: None

Symptoms: Right chest wall pain and shortness of breath

Other Meds: Levothyroxine

Current Illness: None

ID: 0917037
Sex: F
Age: 42
State: MN

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

Lab Data: None

Allergies: Neosporin

Symptoms: Dizziness, nausea, diaphoresis, syncope/fall. Totally blacked out and fell. Helped back to bed, covered in sweat. No fever. Layed in bed until next morning around 10am, still dizzy and nauseated.

Other Meds: Lamictal, gabapentin, cymbalta, prilosec, metoprolol, birth control, claritin

Current Illness: None

ID: 0917038
Sex: F
Age: 54
State: CO

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/01/2021
Hospital:

Lab Data:

Allergies:

Symptoms: redness at injection site, fatigue, malaise

Other Meds:

Current Illness:

ID: 0917039
Sex: F
Age: 34
State: AZ

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

Lab Data: Just normal vitals were taken before i was able to drive away.

Allergies: Percocet

Symptoms: It was almost the end of my 15 minutes when my limbs became tingly and that feeling made its way towards my torso. I started to feel flush and my heart rate rapidly increased. I felt it was nothing so i tried to calm myself and watch my heart rate on my watch and it continued to increase. It started at 100 and within a minute was at 130. I finally honked my horn for assistance and my symptoms continued. I became very faint and nauseous and felt as though i was going to throw up. open my door and took my mask off to help with getting air and it didn't do much to help. I felt very light headed and uncomfortably closet o passing out than i ever have. This lasted for a good 10 minutes until it slowly passed. Faint, nauseous, hot and rapid heart rate of 130 were my main symptoms and were very uncomfortable.

Other Meds: Fluoxetine 20mg NuvaRing Qudexy 50mg Naratriptan/Zolmatriptan/Ubrelvy (as Needed) Pre-Natal Vitamins Vitamin C, C complex, & D

Current Illness: None

ID: 0917040
Sex: F
Age: 19
State: OK

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

Lab Data:

Allergies: None

Symptoms: Arm hurt badly about 10 hours after shot. Felt super weak and tired too the whole day and the next day. A rash started on my neck and traveled down to my collar bone area by day 4

Other Meds: Yasmine birth control, tretinoin

Current Illness: None

ID: 0917041
Sex: F
Age: 68
State: FL

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

Lab Data:

Allergies: hycodone, Lipitor, erythromycin, etodolac, baclofen

Symptoms: Rash on inner thighs and inner arms (still there on 1/1/21

Other Meds: Levothyroxin, Provastatin, Telmisartan

Current Illness: None

ID: 0917042
Sex: M
Age: 43
State: MI

Vax Date: 12/27/2020
Onset Date: 12/28/2020
Rec V Date: 01/01/2021
Hospital: Y

Lab Data: EKG 12/28, CT 12/28, MRI 12/29, EEG 12/28-12/29, covid-19 test 12/28 (negative).

Allergies: None

Symptoms: I received the vaccine at 6:30pm on 12/27. I worked atb7pm and took lunch at 2:00am. After lunch, I immediately felt sick to my stomache and threw up. I went home after my shift and went to bed. After 5 hours, I woke up and went to the couch to lay down while kids watched TV. Next, I woke to several people in my house. I had a seizure and my son had called 911. I was taken to emergency department. I was admitted and stayed 2 nights in the hospital.

Other Meds: None

Current Illness: None

ID: 0917043
Sex: F
Age: 58
State: HI

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

Lab Data: None

Allergies: Drinking alcohol. I experience the Asian Flush Syndrome.

Symptoms: Hands turned red with slight swelling. Face and chest with red blotches. Nausea and pounding heart rate. This is the same symptoms I experience if I drink alcohol. I drank water and it got better in an hour. At night, my scalp was itching all nite. My scalp was red on the right side only which was the site of the vaccine. It is now 2 days later; the itching is gone but scalp has red blotches although they have faded at lot.

Other Meds: Metoprolol 25 mg QD

Current Illness: None

ID: 0917044
Sex: M
Age: 65
State: TX

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

Lab Data:

Allergies:

Symptoms: Strong headache, tired

Other Meds: Turmeric, zinc, probiotics, krill oil

Current Illness:

ID: 0917045
Sex: F
Age: 50
State: CA

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

Lab Data: None

Allergies: NKDA

Symptoms: 8 days later developed some fullness and itching at injection site, no redness or warmth

Other Meds: Losartan Levothyroxine

Current Illness: None

ID: 0917046
Sex: F
Age: 19
State: UT

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

Lab Data:

Allergies: None

Symptoms: I got the vaccine sometime in the afternoon and felt fine for the 15 minutes after the time of injection. I returned to work afterwards, and later that evening I started to feel chills, but it wasn't severe to the point where I went home. When I returned home from work, the chills remained but I also felt extremely exhausted which was unusual for me. I also had a bit of a headache/felt lightheaded. I took Tylenol which somewhat helped the symptoms. I felt fine after going to bed.

Other Meds: Multivitamins

Current Illness: None

ID: 0917047
Sex: F
Age: 59
State: FL

Vax Date: 12/18/2020
Onset Date: 12/21/2020
Rec V Date: 01/01/2021
Hospital:

Lab Data: Nine

Allergies: Shrimp

Symptoms: High injection site left deltoid resulted in moderately severe left shoulder joint pain, weakness and reduced range of motion causing reduced ADLs for 10+ days

Other Meds: Synthroid, Activella, Baclofen, Exalgo, etodolac, Vagifem, Viibryd, vitamin D3, fish oil, B12, Senna, biotin, Colace, turmeric, resveratrol, Tylenol, Vivrin

Current Illness: None

ID: 0917048
Sex: F
Age: 55
State: PR

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

Lab Data: none

Allergies: none

Symptoms: Local pain and swelling with tightness from left side of neck down to elbow beginning the day of injection. The next day, generalized fatigue, malaise, and arthralgias in all joints, mainly in those already affected with OA. These symptoms improved 2 days after injection, though there is still pain and some swelling of injection site.

Other Meds: Armour Thyroid, Rythmol, Finasteride, Hormonal replacement, MVT

Current Illness:

ID: 0917049
Sex: F
Age:
State: KY

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

Lab Data:

Allergies: Wellbutrin Polysorbate 80

Symptoms: Headache 3 hours post injection. Started feeling body aches within 6 hours. Got home and took off scrubs to find swollen hard injection site, very hot to touch. Had to take off work the next day due to severe muscle aches and lethargy. That night had fever of 102.4 and chills.

Other Meds: Lithium 1200mg CBG &CBD Levothyroxine 175mcg

Current Illness: COVID-19 Bronchitis

ID: 0917050
Sex: F
Age: 37
State: NY

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

Lab Data: None

Allergies: None

Symptoms: Patient developed a 8cm round erythematous and raised mark at the site of the injection, which lasted two days and resolved completely. It is now 8 days later, and she woke up today with a 6-7cm round erythematous, indurated mark at the same site, AS WELL AS an extreme fatigue so that she could not wake up this morning, and continued to fall asleep throughout the morning. Since this afternoon she has been feeling herself. The recurred erythematous mark at the injection site remains.

Other Meds: None

Current Illness: None

ID: 0917051
Sex: M
Age: 53
State: IL

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

Lab Data:

Allergies: Compazene

Symptoms: At 8pm on 123120 my left arm along with various other sites of my body were in pain. I also developed a bad headache at that same time. I still have the headache almost 24 hours later.

Other Meds: Lisinopril 5mg 1xd; levothyroxine 100mcg 1xd; amitriptyline 25mg 1xd

Current Illness: 120320 tested positive for covid19

ID: 0917053
Sex: F
Age: 32
State: AZ

Vax Date: 12/28/2020
Onset Date: 12/29/2020
Rec V Date: 01/01/2021
Hospital:

Lab Data: N/A

Allergies: NKDA

Symptoms: Headache, Fever, Body Aches, Nausea, Chills, Asthenopia, fatigue for 36 hrs

Other Meds: Nature Throid, PRN De3, Magnesium Easy Stick

Current Illness: N/A

ID: 0917054
Sex: F
Age: 51
State: UT

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

Lab Data:

Allergies: Nut allergy bee allergy

Symptoms: Fever, nausea, swelling, body aches, headache, chills, fatigue, back ache.

Other Meds: Lisinopril 20 mg levothyroxine 50 mg adderall xr 20 mg adderall 10 mg

Current Illness: None

ID: 0917056
Sex: F
Age: 28
State: NY

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

Lab Data:

Allergies: Spinach, Mango, Erythromycin

Symptoms: tachycardia, nausea, itchiness, tongue swelling (voice change)==> all lasted from 1920pm to 2050pm. Given Benadryl IV and NaCl. Pt in the ER about 2.5 hours.

Other Meds: None

Current Illness: N/A

ID: 0917057
Sex: F
Age: 39
State: CA

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

Lab Data: I was diagnosed with Covid mid July and was unable to work until November, but I am now working my full shifts at night..

Allergies: N/A

Symptoms: About 45 mins to an hour of receiving the vaccination , i felt a terrible pounding headache, I took Tylenol ES 500mg after felt relief but decided to sleep early. When I woke up this morning my injection site arm felt so painful and heavy and i had fevers between 103-101.5 though I took some tylenol 500mg every 6 hours. Tachycardic between 140-120bpm, i still have terrible headache, muscle & joint pains, extreme fatigue. Some dry cough but no shortness of breath.

Other Meds: N/A

Current Illness: None

ID: 0917058
Sex: F
Age: 32
State: TN

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/01/2021
Hospital:

Lab Data: None

Allergies: Demerol, tetanus

Symptoms: Moderna COVID19 vaccine EUA: Significant right arm pain improved with Tylenol and ibuprofen. Almost resolved in 2 days. Hives and itching started the morning after the injection and worsened throughout the day. Hives started on right arm and spread to whole body. Improved with Benadryl and anti-itch cream. Not completely resolved but greatly improved over night.

Other Meds: Zyrtec, singular, cranberry

Current Illness: None

ID: 0917059
Sex: F
Age: 42
State: CA

Vax Date: 12/25/2020
Onset Date: 01/02/2021
Rec V Date: 01/01/2021
Hospital:

Lab Data:

Allergies: Lots of hay fever

Symptoms: Vaccination was given on December 25 on January 1 started noticing redness and itching us at the vaccination site like a hive I just took Zyrtec will continue to monitor

Other Meds: None

Current Illness: No e

ID: 0917060
Sex: M
Age: 28
State: IL

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

Lab Data:

Allergies: Cefaclor

Symptoms: Moderate pain on right side of mandible onset ~48 hrs after injection. Pain only experienced during flexion and extension of mandible such as yawning or chewing. No pain experienced when mandible is still. Symptoms are ongoing and currently present

Other Meds: Fluoxetine, bupropion, mydayis

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm