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: 0964056
Sex: F
Age: 22
State: NV

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 1/14/2021 2am-chills & body aches 4am- chills & body aches 9am- body aches/fatigue 11am- slight chills/body aches/fatigue 12am-2pm- body aches/fatigue 2pm- nauseous/body aches/fatigue 4pm- vomiting/body aches/fatigue 6pm-7am- nauseous/body aches/fatigue/headache 1/15/2021 7am-12pm- fatigue 6pm-9am- nauseous/fatigue 9am-9pm- nauseous/fatigue 1/16/2021 7am-9pm: nauseous/fatigue 1/17/2020 no symptoms

Other Meds: Birth Control

Current Illness: COVID-19 (11/26/2020)

ID: 0964057
Sex: F
Age: 92
State: CA

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: Not available; done at hospital

Allergies: Penicillin, Sulfa

Symptoms: Approximately 15 minutes after receiving the vaccination the patient began to feel a tightness in the throat and difficulty speaking with a sense of anxiety and fright. The EMT and paramedic summoned me and after arriving at the observation area and ascertaining the patient's symptoms i asked the medic to administer the .3ml of epinephrine via EpiPen which he then did. Responding paramedics then arrived and took over assessment and treatment of the patient. An ambulance had previously been called and the patient remained stable with slight improvement in the sense that she became less anxious and frightened. She exhibited no urticaria or angioedema. Vital signs included initial B/P of 183/95 with improvement to 176/76 and 99% pulse ox . Patient was transported to hospital and per daughter was released about 2 hours later.

Other Meds: ASA, Atorvastatin, Losartan, Metformin, Metoprolol

Current Illness: None

ID: 0964058
Sex: M
Age: 57
State: NY

Vax Date: 01/14/2021
Onset Date: 01/16/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: No test or reporting to any of my physicians.

Allergies: None known. Lactose intolerant

Symptoms: About 3 days later started getting not headaches but a sharp pain in and around left temple region. Pain is sharp, like a stab, but first 2-3 days of the pain, it last a few seconds to a few minutes and nothing for the day, occasionally I might have the incident 2-3 times in a day. But today 01/21/2021, the pain around 4pm, lasted longer, about 2 hours but on and off, not constant. At midnight, the pain seems to have stopped.

Other Meds: Metformin, Altace, proscar, Diltiazem, Tamsulosin, ompreazole, atorvastatin, b complex vitamin, multi vitamin, fish oil vitamin, vitamin D, calcium vitamin, 81mg aspirin, Famotidine

Current Illness: None other than diabetes type 2

ID: 0964059
Sex: F
Age: 53
State: CA

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: body aches,fever,chills,headach

Other Meds: None

Current Illness: positive for covid 19

ID: 0964060
Sex: F
Age: 24
State: OR

Vax Date: 01/19/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: CBC, CMP, ESR, urine, micro w/culture 1/21/21, results pending

Allergies: Grass

Symptoms: 15 hours after vaccine administration pt experienced sore arm, body aches, feeling feverish (did not check temp) and feeling generally quite unwell. This improved approximately 11 hours after it started. 12 hours later she noted cola colored urine. Was evaluated today and urine improving in color and now a light pink color. Urine positive for protein and blood. Menses did finish a few days ago. CBC, CMP, ESR results pending.

Other Meds: Spironolactone, Melatonin

Current Illness: None

ID: 0964061
Sex: M
Age: 37
State: AZ

Vax Date: 01/16/2021
Onset Date: 01/17/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: US abdomen CBC

Allergies: Bactrim Soybeans

Symptoms: Pt had sudden onset abdominal pain necessitating visit to emergency room. He was diagnosed with gallbladder attack. He did not have previous history of gallbladder disease but US imaging did show thickened gallbladder. He was treated with zofran, morphine and IV fluids and discharged home. 2 days later he had diarrhea x 24 hours (day 4 after shot)

Other Meds: Symbicort 160 2 puffs BID lamotrigine 150 mg po qd Sertraline 100 mg po qd

Current Illness: None

ID: 0964062
Sex: F
Age: 42
State: NJ

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Reports: feeling flushed and anxious, "didn't hydrate enough prior to vaccine" vitals obtained / stable, po hydration, rest, monitor x 30 minutes symptoms improve/ subside released from facility to home

Other Meds:

Current Illness:

ID: 0964063
Sex: F
Age: 40
State: ID

Vax Date: 01/04/2021
Onset Date: 01/12/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: none

Allergies: n/a

Symptoms: 8 days after injection, injection site got red, hot, inflamed. I wasn't sure what was going on so I went to Immediate Care on 01/12/21 where they put me on antibiotics and an antihistamine. I followed up with primary care on 01/15/21. By then my arm was almost back to normal. He told me to stop taking the antibiotics and antihistamines and report the reaction. I did as instructed and by 01/17/21 the redness, warmth and swelling had returned. I restarted the antihistamines and my arm has gone back down to normal.

Other Meds: Lisinopril/hctz 10/12.5mg qd Prevacid 30mg qd

Current Illness: n/a

ID: 0964064
Sex: F
Age: 55
State: CA

Vax Date: 11/09/2020
Onset Date: 11/09/2020
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies:

Symptoms: after receiving vaccine pt states that her arm had gotten swollen. she also had pain and had experienced limited range of motion. pt contacted her dr who advised her to use a warm compress. as of 1/17/21 pt states that her arm is getting better. the swelling has diminished as of a couple weeks ago & she is starting to regain use/motion of her left arm.

Other Meds:

Current Illness:

ID: 0964065
Sex: F
Age: 63
State: WA

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: None

Allergies: sulpha

Symptoms: As I was sitting at my computer and suddenly I could barely keep my eyes open, I was so tired I couldn't lift my arms and once I closed my eyes, I could not muster the strength to open them. I felt like I was going to faint and then I got nauseated and I knew I was going to throw up. With my husband's help, I did manage to get to the bathroom (about 6 steps away). I threw up and immediately sat down in the nearest chair. I threw up a second time into a vessel after that. I then got a massive headache and chills. I could barely walk with assistance up the stairs to go to bed. I have never been more fatigued. After going to bed, I slept all night and woke the next day still fatigued, but nothing like the night before. I was able to work, even though I felt really tired. I did not have much of an appetite all day and two days later, I still feel fatigued.

Other Meds: only eye drops for glaucoma

Current Illness: None

ID: 0964066
Sex: F
Age: 39
State: CA

Vax Date: 12/29/2020
Onset Date: 01/01/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: None

Allergies:

Symptoms: Left axillary lymphadenopathy. Tender. Gradually improved over 10-14 days. Still single enlarged but non-tender mobile lymph node on date of report (1/21/2021)

Other Meds:

Current Illness:

ID: 0964067
Sex: F
Age: 41
State: AZ

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: Sulfa, adhesives, bug bites

Symptoms: Fever, body aches, fatigue - all lasting 12 hours, then resolved. Also having cellulitis to injection site, started with adverse symptoms, still having & redness is getting larger now (55 hours after injection)

Other Meds: Daily multi vitamin

Current Illness: None

ID: 0964068
Sex: F
Age: 27
State: NM

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: None

Allergies: Sulfa, hydroxychloroquine, yucca

Symptoms: Headache with sensitivity to sound and chills, Ibuprofen 400 mg q6 hours for 24 hours

Other Meds: Krill oil, sertraline, levothyroxine, novolog, B 12, folic acid, Imuran

Current Illness: None

ID: 0964069
Sex: F
Age: 56
State: AL

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: Several, mobic, lisinopril, adeptness, Sun screen Cantaloupe, honey dew, turmeric

Symptoms: Swelling to upper ridge of top lip, irritation to outer upper gum, and numbness to tip of tongue and itching. I took Benadryl to help control symptoms.

Other Meds:

Current Illness:

ID: 0964070
Sex: F
Age: 31
State: RI

Vax Date: 01/17/2021
Onset Date: 01/19/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: Miscarriage of an early pregnanct

Allergies: None

Symptoms: Hi, I actually not sure if the couse of my problem was couse by the Vaccine given to me on January 17 2021. At the time of the injection given to me I was pregnant don't know how long because I just had found out about it. I took the injection because I wanted to be safe for the health of my baby and my family..am just curious about the side effect of this covi19 vaccine. On January 19 I started seen some spot of blood at first I thought it was nothing to worried about but then around 8am I that day I saw that I was bleeding more and more not a crazy bleeding but I ended up at the emergency room on January 19 around 3:45pm. To find out that I was having a miscarriage..so now I don't know if this was couse by the injection or not. Am just worried that these is a side effect of this injection and nobody knows about it. Please reply me back I want to know more I already have both covi19 vaccine.

Other Meds: None

Current Illness: None

ID: 0964071
Sex: F
Age: 31
State: UT

Vax Date: 01/14/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: A week following the vaccine my deltoid where I received the vaccine all of a sudden swelled up extremely large and red, to the point my arm and hand feel a bit numb. I had no reaction to the vaccine at all for a whole week and then all of a sudden today it swelled out out of nowhere.

Other Meds: Adderall, multi vitamin, vitamin c, vitamin d3.

Current Illness: None

ID: 0964072
Sex: F
Age: 20
State: NH

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Nausea, dazed, eyesight weird, tired, stomach ache, stiff,

Other Meds:

Current Illness:

ID: 0964073
Sex: F
Age: 39
State: CA

Vax Date: 01/06/2021
Onset Date: 01/11/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: NONE

Allergies: NOINE

Symptoms: ABOUT 6 DAYS AFTER RECEIVING MY COVID19 VACCINATION. I STARTED TO DEVELOPED MOUTH BLISTERS OR COLD SORES. THEY WOULD GO AWAY AND RETURN DAYS LATER ON OTHER PART OF THE MOUTH. THIS HAPPENED ABOUT 3 TIMES AND THE LAST TIME WAS ON TUESDAY 1/19/21 WHERE I DEVELOPED A HUGE PAINFUL LUMP UNDER MY JAW BY THE EVENING. I DON'T USUALLY SUFFER FROM MOUTH BLISTERS. I HAVE ONLY DEVELOPED THEM 3 TO 5 TIMES IN MY ENTIRE LIFETIME. I MADE AN APPOINTMENT WITH MY PRIMARY DOCTOR, WHO CONFIRMED THAT THE LUMP WAS A SWOLLEN LYMPH NODE, IT WAS HUGE, THE SIZE OF A GOLF BALL. SHE DID A PHYSICAL ON ME TO CHECK IF I WAS SICK AND HAD NO OTHER SYMPTOMS ASIDE FROM THE MOUTH BLISTERS AND THE HUGE LYMPH NODE.

Other Meds: NONE

Current Illness: NONE

ID: 0964074
Sex: F
Age: 41
State: MI

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Nausea/severe night sweats/ fever /headache resolved over night with the exception of nausea

Other Meds: Tylenol ibuprofen

Current Illness: None

ID: 0964075
Sex: M
Age: 56
State: CA

Vax Date: 01/13/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Swelling, redness, itchy, sore

Other Meds: Atorvastatin Potassium Metformin Furosemide

Current Illness: Na

ID: 0964076
Sex: F
Age: 25
State: CA

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: N/a

Allergies: Doxycycline

Symptoms: My face became numb and tingly as if I was at the dentist and got a shot to numb my gums and it was wearing off . My whole face felt this way. For at least about 1-2 hours. Additionally at about 9:00pm to the next morning 1/20/21 I began to get pain in my armpit I examined using my fingers and felt it sesintive to touch and consulted with a physician who said my lymph nodes must be swollen as a response.

Other Meds:

Current Illness: N/a

ID: 0964077
Sex: F
Age: 50
State: CA

Vax Date: 12/23/2020
Onset Date: 01/15/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: none

Allergies: no known allergy

Symptoms: On 1/16/21 I felt numbness on my left face and abnormality in taste. Went to Kaiser Downey Urgent care. Diagnosed with Bell's palsy. Covid test done with negative result.

Other Meds: Hydrocholorthiazide, amlodipine

Current Illness: hypertension

ID: 0964078
Sex: F
Age: 75
State: NV

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: None

Allergies: PCN sulfa keflex melons cucumbers tomatoes cats cobalt chromium and now glycol Hugh

Symptoms: Angioedema without urticaria, systemic;since receiving vaccine

Other Meds: Xyzal

Current Illness: Angioedema idiopathic

ID: 0964079
Sex: F
Age: 65
State: IN

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: none - did not go into physician

Allergies: internal iodine, morphine, cephalosporins, cillins

Symptoms: Nausea on 1/19. Awoke on 1/20 with extreme muscle aches and fatigue, more nausea in evening, fatigue,. Got up on 1/21 still slightly achy but headache all day. Slept a great deal and took advil.

Other Meds: duloxetine, licorice root, Vitamin B-12, Vitamin D3, Humalog, Lisonipril, Levamir, simvastatin, montelukast, Arnuity, hydrochlorothyazide, pramipexole

Current Illness: none

ID: 0964080
Sex: F
Age: 26
State: UT

Vax Date: 01/07/2021
Onset Date: 01/18/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: I got a covid test done which came back negative

Allergies: Augmentin, sulfa drugs, keflex, skin sensitivity to scented body products

Symptoms: I developed a rash on my left arm about an inch below the injection site on January 18th 2021, 11 days after receiving the first dose of the covid vaccine. It was about the size of a nickel and the next day it grew to the size of about an inch tall and two inches wide. It was warm to the touch and splotchy. The next day it grew to about the size of the diameter of a sofa can and started itching. I had gone to the doctor the second day of the rash and they suggested that I get a covid test, which came back negative, and to put heat on it and some antibiotic ointment on it and watch it. I called the doctor the next day because it grew and was now itchy. I also had an itchy mouth. The doctor suggested that I take an antihistamine twice a day for 7 days to see if that helps. I started this last night, January 20 2021. Today is the 4th day, the rash has not grown and is no longer itchy and my mouth is no longer itchy.

Other Meds: Propafenone 150mg twice a day D3 10mcg once a day B12 500mcg once a day Cetirizine hydrochloride 10mg once a day Omeprazole 20mg once a day

Current Illness: N/A

ID: 0964081
Sex: M
Age: 79
State: TX

Vax Date: 01/13/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Slight itching and redness on vaccination site

Other Meds: None

Current Illness: None

ID: 0964082
Sex: F
Age: 44
State: CA

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: At the ER on 1/14/21 lab tests conducted along with CT scan to check for bleeding. Labs indicated unbalanced electrolytes (i.e., low sodium, vitamin d deficiency, low chloride, low CO2, increased WBC, high anion gap)

Allergies: Phenytoin, lacosamide

Symptoms: Two grand mal seizures and went unconscious. Prior to seizures felt very lethargic.

Other Meds: Aptiom for epilepsy, turmeric, fish oil, magnesium, and B-2

Current Illness: Epilepsy

ID: 0964083
Sex: F
Age: 35
State: TX

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: N/a

Allergies: Cillans-rash

Symptoms: Nausea, vomiting, diarrhea, severe body aches, chills, fatigue, headache, cough, difficulty taking a deep breath, extreme soreness at injection site (obviously)

Other Meds: Levicertirizine,

Current Illness: None

ID: 0964084
Sex: M
Age: 65
State: CA

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: n/a

Allergies: n/a

Symptoms: Pt received dose 1 of Moderna COVID Vaccine today. Was observed 15 minutes, and was free to go as patient was fine. Pt left the vaccination clinic, was outside on the sidewalk, became dizzy and fell to the ground. His wife was able to help him down, without any head trauma. Pt was clamy, and heart rate was lower than his normal. Pt noted that he always gets nervous when getting blood drawn, vaccines or at the Dr's office. Pt felt normal otherwise and mentally alert and oriented. Pt was given water and was observed for close to 1 hour. Pt improved without further intervention and was allowed to return home from the clinic.

Other Meds: Losartan

Current Illness: n/a

ID: 0964085
Sex: F
Age: 38
State: WA

Vax Date: 01/10/2021
Onset Date: 01/18/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Delayed reaction: severe Headache, fatigue (day 8). Started at noon and felt fine the next morning

Other Meds: loratidine 10mg

Current Illness: None

ID: 0964086
Sex: F
Age: 58
State: CA

Vax Date: 01/13/2021
Onset Date: 01/20/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: n/a

Symptoms: delayed rash after a week of injection. itchiness and hotness but no other concerns.

Other Meds: n/a

Current Illness: n/a

ID: 0964087
Sex: M
Age: 32
State: CA

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: 01/19/2021- covid PCR test negative. 01/21/2021- Flu A & B swab negative and another covid test negative.

Allergies: No

Symptoms: Moderna COVID-19 Vaccine EUA The evening of the day the vaccine was received I started feeling flushed, low grade fever, chills, sweats, severe headache, dizzy, nauseous and extreme fatigue. This continued for 3 days and on the 3rd day I developed a tickle cough that progressed. I?m now on day 6 and the extreme fatigue, cough, cold sweats and chills have continued consistently.

Other Meds: Propranolol

Current Illness: No

ID: 0964088
Sex: F
Age: 29
State: CA

Vax Date: 01/15/2021
Onset Date: 01/16/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: Codeine

Symptoms: Extreme nausea, vomiting, diarrhea, chills, temperature, body aches, neck pain, headaches, lowered pulse. They lasted 4 days.

Other Meds: Birth control and amoxcillian 500mg

Current Illness: Ear infection and lymphnode infection

ID: 0964089
Sex: F
Age: 34
State: CA

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: none

Allergies:

Symptoms: Headache, pain, redness and swelling at the injection site, followed by fever and chills ,myalgia

Other Meds:

Current Illness:

ID: 0964090
Sex: F
Age: 53
State: WA

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: N/A

Allergies: Sulfa, Morphine Sulfate, Hepatitis A vaccine, chicken, chicken eggs

Symptoms: Headache that last two days. Severe chills that started day three and have continued for nine days. Nausea, diarrhea, abdominal pain, body aches, increased joint pain, increased inflammation, and increased fatigue that started day two and has continued for nine days.

Other Meds: Estradiol, Leflunomide, Adderall, Intrinsic B12/Folate, Vitamin D

Current Illness:

ID: 0964091
Sex: F
Age: 44
State: CA

Vax Date: 01/13/2021
Onset Date: 01/20/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: Cillin family, Aspirin, Shell Fish, Chlorhexidine

Symptoms: Circumscribed pruritis, swelling, discomfort at vaccination site

Other Meds: Spironolactone

Current Illness:

ID: 0964092
Sex: F
Age: 21
State: CA

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Moderate pain at injection site for over 48 hours Vomiting, chills, shakes, sweats the whole night after the vaccine. Moderate Inguinal pain began on 2nd day after vaccine. Full body aches began a few hours after the vaccine and continue on. Moderate chest pain and tightness ongoing since the day of the vaccine. Severe decreased appetite ongoing since vaccine. Severe fatigue since vaccine and continues.

Other Meds: Cymbalta 120 mg SID

Current Illness:

ID: 0964093
Sex: F
Age: 48
State: KS

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Slight fever that lasted about 4-6 hours. Congestion and slight cough for about 6 hours Arm and shoulder felt fine for several hours. Suddenly my arm felt extremely sore and heavy. The pain was severe for about 8-10 hours before subsiding.

Other Meds: fish oil, Caprylic Acid, Multivitamin, Vit. B-complex, Vit. D3, Lamotrigine, Atorvastatin, Buspar, Viorele, Vivanse

Current Illness: Morgellons Disease

ID: 0964094
Sex: M
Age: 31
State:

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/22/2021
Hospital:

Lab Data: NONE

Allergies: SETRALINE

Symptoms: feeling warm/nauseated/dizzy. Pt reports right shoulder sore.

Other Meds: UNK

Current Illness: GERD

ID: 0964095
Sex: F
Age: 53
State: OR

Vax Date: 01/13/2021
Onset Date: 01/19/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Area of shot swollen, red, skin feels warm and itchy.None

Other Meds: rebif 22mcg x 3 a week. amantadine 100 mg x2 a day. bacoflen 20 mg x3 a day

Current Illness: None

ID: 0964096
Sex: F
Age: 32
State: WA

Vax Date: 12/31/2020
Onset Date: 01/06/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: n/a

Allergies: n/a

Symptoms: A large rash developed on left arm at the site of vaccine six days later (01/06/2021) following first dose of Moderna Covid-19 Vaccine (12/31/2020). The rash was warm to the touch, itchy, inflamed and pink. Hydrocortisone was initially applied to the rash on day one and day two. No improvement had been noted with hydrocortisone. The rash resolved about seven days later (01/13/2021).

Other Meds: Women's multivitamin

Current Illness: n/a

ID: 0964097
Sex: F
Age: 51
State: HI

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: No

Symptoms: None stated.

Other Meds: Levoxyl, Estradiol, Trazodone, Zolpidem, Metformin, all on a daily basis. Took 2 Tylenol and 2 Advil over 24 hour period on 1-20-21, seldom take those.

Current Illness: No

ID: 0964098
Sex: F
Age: 67
State: CA

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Mild but persistent headache

Other Meds: None

Current Illness: None

ID: 0964099
Sex: F
Age:
State: CA

Vax Date:
Onset Date: 01/15/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: CTscan, chest X-ray, lab work s, Covid test

Allergies:

Symptoms: Fever, chills, headache, fatigue

Other Meds: Metformin, simvastatin, glipizide

Current Illness: Diabetes, high cholesterol

ID: 0964100
Sex: F
Age: 25
State: MT

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: N/A did not require medical care

Allergies: Just seasonal hay fever

Symptoms: Achiness especially in back and knees, pain like nerve pain in fingers, nausea, loss of appetite, fatigue, brain fog, diarrhea, low grade fever up to 101.4, trouble sleeping overnight after getting the vaccine the evening before. The symptoms lasted all day on 01/20/2021, the day after I got the vaccine, all better the following day on 01/21/2021.

Other Meds: Mirena IUD

Current Illness: None

ID: 0964101
Sex: F
Age: 37
State: OR

Vax Date: 01/03/2021
Onset Date: 01/04/2021
Rec V Date: 01/22/2021
Hospital: Y

Lab Data: CT scan head negative. Blood work negative.

Allergies: NKDA

Symptoms: Severe vertigo and nausea, requiring hospitalization x2 days

Other Meds: Nonw

Current Illness: None

ID: 0964102
Sex: F
Age: 31
State: CA

Vax Date: 01/15/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: Urgent care visit

Allergies: Na

Symptoms: Unilateral left armpit lymphadenopathy

Other Meds: Prenatal

Current Illness: Na

ID: 0964103
Sex: F
Age: 77
State: MD

Vax Date: 01/13/2021
Onset Date: 01/20/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: none

Allergies: Amoxicillin-Pot-Clavulanate, Clarithromycin, Doxclcine Hydrate, Oxycodone, Trulicity adhesive tape

Symptoms: The morning of 1/20/21, I awoke with a very itchy, moderately reddened upper left arm. Reddened, itchy area 3 inches X 5 inches, on outer aspect of L arm in Deltoid area. I was given the vaccination injection within this same area. The symptoms were worse Th. 1/21. Called Dr. He believes it is an allergic reaction. Discomfort continues. Only relieved by cold compress, ice pack.

Other Meds: Metformin, Glipizide, Crestor, Aspirin (81 mg qd), Immodium (prn), Multi-vit, Vit. D3, Caltrate-600, Coenzyme Q10, Fish Oil, Claritin-D-24 Hr.

Current Illness: None

ID: 0964104
Sex: F
Age: 86
State: FL

Vax Date: 01/14/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: none

Allergies: none known.

Symptoms: Red rash, itching day 2 and 3 (1/15 and 1/16) Red rash, itching, and swelling 1/20, 1/21, 1,22 continuing. Swelling is getting hard and worse

Other Meds: I take vitamins D3, B12, Folate, Coq10, Lutein, K2, Calcium, Magnesium, AllOne powder, and pomegranate powder daily.

Current Illness:

ID: 0964105
Sex: F
Age: 27
State: CA

Vax Date: 01/18/2021
Onset Date: 01/18/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: -Sore arm thirty minutes postinjection. Lasting approximately 72 hours -Mild headache 24 hours later, lasting only one day -Period stopped after injection and began again approximately 72 hours later

Other Meds: Kyleena IUD

Current Illness: N/A

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm