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: 0964211
Sex: F
Age: 45
State: MI

Vax Date: 01/12/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: no

Symptoms: Redness and itching at injection sight

Other Meds: Prozac Wellbutrin Progesterone

Current Illness: no

ID: 0964212
Sex: F
Age: 46
State: NY

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

Lab Data: none

Allergies: Sometimes get hives to too much red dye Hives to Sulfa Drugs

Symptoms: Hives all over torso especially middle of body. Large bumps and very red and itchy by the time I got home...(1 hour later?) Took Benadryl dose and by 8pm hives on backs of knees and between thighs...blotchy itchy and red. Woke at 430am to same symptoms but less redness and bumps on torso

Other Meds: Beta blocker low dose birth control (tri-??) daily vitamin

Current Illness: none

ID: 0964213
Sex: F
Age: 67
State: PA

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

Lab Data:

Allergies: none

Symptoms: Sore arm chills fever Starting 8 hrs. after injection and into next day

Other Meds: apixaban 5mg diclofenac 50 mg diltiazem 120 mg famotidine 20 mg metoporol 50mg paroxetine 40 mg rosuvastatin 5mg'

Current Illness: none

ID: 0964214
Sex: F
Age: 67
State: NJ

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

Lab Data:

Allergies: NKA

Symptoms: 1/7 6:30PM TO 1/8 1PM: ARM PAIN FLU-LIKE SYMPTOMS CHILLS, HEADACHE, BODY ACHES WEAKNESS TOOK TYLENOL

Other Meds: OMEPRAZOLE 40 MG DAILY; FENOFIBRATE 160 MG; OMEGA 3 2000MG; VI

Current Illness: NONE

ID: 0964215
Sex: M
Age: 66
State: MI

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

Lab Data:

Allergies: Keflex Clindamycin Norco Ceftin Levaquin Bactrim

Symptoms: Intense shivering about 12 hours after the vaccination. Tylenol stopped the shivering.

Other Meds: Trazadone Topamax Acyclovir Bentyl

Current Illness:

ID: 0964216
Sex: F
Age: 59
State: NJ

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

Lab Data: N/a

Allergies: Sensitive to too much acidic

Symptoms: Site of shot is itchy red and swollen. No pain. No wheezing, no other symptoms. It started last 24 hours

Other Meds: Vitamins : b, d, calcium, biotin, multiple For atopic eczema a very tiny amount of 0.1% tacrolimus ointment every two weeks

Current Illness: None Very healthy

ID: 0964217
Sex: F
Age: 55
State: AL

Vax Date: 01/15/2021
Onset Date: 01/20/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: NONE

Allergies: LACTOSE INTOLERANT

Symptoms: SORE THROAT, CONGESTION, FUNNY FEELING IN CHEST (UNSURE HOW TO DESCRIBE), TEMP 99-100, MILD ACHINESS

Other Meds: MONTELUKAST, EMERGEN-C

Current Illness:

ID: 0964218
Sex: F
Age: 59
State: IA

Vax Date: 12/23/2020
Onset Date: 01/04/2021
Rec V Date: 01/22/2021
Hospital: Y

Lab Data: 1/13/21: Carotid Doppler Ultrasound ("no significant carotid stenosis less than 50% bilaterally") 1/16/21: CT head w/o contrast negative 1/16/21: Chest X-ray negative 1/16/21: COVID-19 nasal swab negative 1/16/21: UA unremarkable 1/17/21: NIH stroke score 0 1/17/21: MRI brain with and w/o contrast unremarkable

Allergies: Morphine - nausea, vomiting

Symptoms: Pt received dose 1 of Pfizer vaccine on 12/23/2020. Starting 1/4/2021, pt develped numbness and tingling of left arm, cheek, and tongue lasting 1.5-2 minutes. Numbness starts in elbow and radiates up and down arm. These episodes happen at various times thorughout the day. Sometimes her arm feels heavy. Has had an episode involving lip numbness that affected her seaking. Sometimes gets hot flashes lasting a few seconds. She contacted PCP to re-establish care on 1/11/21 after about 2 weeks of consistent, infrequent episodes. Never experienced this before. On 1/14 pt had an in person visit where she was evaluated by PCP. At ambulatory visit, BP 174/96. Other vital signs normal. Upper extremity exam: wrist (left, Phalen's test positive, Tinel test positive, no deformity, no crepitus), wrist (right, normal range of motion, Phalen's test negative, Tinel test negative), hand grips 5/5 bicep 5/5 tricep 5/5. Differential diagnosis: TIA, carpal tunnel syndrome, transient neurological event, shingles, hypertensive urgency. Anxiety could be component as well. Pt started ASA 81 mg QD and amodipine 5 mg QD. Plan to get carotid Dopplers to rule out TIA/stroke. Consider MRI in the future. 1/16/21: Pt developed left arm/leg numbness and tingling 0530 and reported to ED with stroke-like symptoms. During this encounter, pt states that she experiences these 1-3 minute episodes of tingling/numbness every hour or so (initially only had 1-2 per day, became more frequent in days immediately preceding 1/16). Pt reports not being able to stand that morning due to weakness in lower extremeties, though the symptoms resolved after sitting down. The patient denies any weakness to the right side, along with any family hx of stroke or headache. She takes omeprazole, amlodipine, and a baby aspirin daily. She does not currently follow up with a neurologist. The patient had lab work done yesterday and also recently had a US of her carotid artery which was unremarkable. She denies any weakness, numbness, or tingling currently. There are no other concerns at this time. The onset was 3 weeks ago. The course/duration of symptoms is worsening and episodic: lasting 3 minutes and with a frequency of every hour. Location: Left face, left upper extremity, left lower extremity. The character of symptoms is weakness, tingling and numbness. SBP 182/86. Temp 97.6 F. CT head ngative, bloodwork unremarkable, chest X-ray negative. Pt admitted for MRI of brain and C-spine. 1/17/21: Hospital notes note that symptoms apear to worsen when pt is stressed or she talks about it. MRI of brain w/ and w/o contrast completed and unremarkable. Pt declined C-spine MRI with and without contrast. Pt discharged. 1/19/21: Pt presented to outpt ambulatory appointment to follow up with worsening episodes of tingling in left arm/leg, numbness and tingling in mouth - is now effecting balance. Considering testing for other diseases such as syphilis, Lyme disease, multiple sclerosis, Guillaine-Barre. Priority status on referral to neurologist.

Other Meds: Omega-3 fatty acids 1000 mg cap PO QD Omeprazole 20 mg cap PO QD Aspirin 81 mg tab PO QD (new start 1/14/21) Amlodipine 5 mg tab PO QD (new start 1/14/21)

Current Illness:

ID: 0964219
Sex: F
Age: 50
State:

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

Lab Data:

Allergies: none

Symptoms: Slight sporadic muscle spasms in upper arm where the injection was given.

Other Meds: Prescription: Synthroid 138 mcg, Herbal: Seamoss, Estroven-

Current Illness: none

ID: 0964220
Sex: F
Age: 35
State: NY

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

Lab Data:

Allergies: Phenergan

Symptoms: Became Febrile at 7pm in the evening the day I received the vaccine. Took 400mg Motrin and felt better. Became febrile again at 4:30am the next morning after receiving the vaccine. Took 400mg Motrin and felt better. No other side effects to report after that,

Other Meds: Prozac 40 mg Daily, Vitamin D 50,000 units weekly

Current Illness: None

ID: 0964221
Sex: F
Age: 65
State: NJ

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

Lab Data:

Allergies: PENNICILLIN; SULFA

Symptoms: ACHES/ HEADACHE/ FATIGUE/ NAUSEA. LASTED UNTIL 1/14 AFTERNOON. TOOK ADVIL AND REST

Other Meds: FAMOTIDINE; GABAPENTIN; PERCOCET; ROPINIROLE; CALCIUM; BIOTIN;

Current Illness: NONE

ID: 0964222
Sex: F
Age: 28
State: GA

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

Lab Data:

Allergies: n/a

Symptoms: Fatigue starting around 6 PM on 1/20, chills shortly after. Extreme chills until about 2:30 AM on 01/21. Dizziness/feeling like blacking out around 5 AM on 01/21. Fatigue/headaches all of 01/21.

Other Meds: Macrobid, Yaz, CBD oil

Current Illness: n/a

ID: 0964223
Sex: F
Age: 60
State: PA

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

Lab Data: na

Allergies: aspirin allergy

Symptoms: INJECTION 1===back ache, heat from waist down to top of knees, no fever INJECTION 2===rash on top of both legs- no fever

Other Meds: levothyroxine, lipator, losartan, multivitamin, vit.d

Current Illness: na

ID: 0964224
Sex: F
Age: 54
State: PA

Vax Date: 01/07/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: beginning 1-20, started to experience mild itching at injection site. itch increased 1-21. today, site is extremely itchy, mildly swelled with an approx 2" area of inflammation @ site and pinhole where injection was given is visible. Area hot to touch and painful

Other Meds: Vitd baclofen leflunamide spironolactone nifedipine corteg

Current Illness:

ID: 0964225
Sex: F
Age: 26
State: GA

Vax Date: 01/12/2021
Onset Date: 01/20/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies:

Symptoms: 8 days after vaccine I developed a large, swollen, red, itchy rash that continues to increase in size

Other Meds:

Current Illness:

ID: 0964226
Sex: M
Age: 43
State: PA

Vax Date: 01/15/2021
Onset Date: 01/19/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: nka

Symptoms: small dime size rash on right inside wrist continuing to get worse and itch

Other Meds: Effexor

Current Illness: non

ID: 0964227
Sex: F
Age: 56
State: PR

Vax Date: 01/18/2021
Onset Date: 01/19/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies:

Symptoms: The Patient reports general malaise, fever and pain in the left deltoid arm.

Other Meds:

Current Illness:

ID: 0964228
Sex: F
Age: 32
State: PA

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

Lab Data:

Allergies: Latex, Zantac, protonix, sulfasalazine

Symptoms: Muscle soreness, severe headache the morning after vaccine about 11 hours after. Joint/muscle aches began about 5 hours later. Started noticing left a Dillard pain not long after that. Very enlarged left ancillary lymph node noticed around 6pm. Painful with and without touch. Visibly enlarged. Feels about baseball size. Slight enlargement in right axilla but no associated pain or discomfort. Still present next day

Other Meds: Aimovig, humira, dexilant, nortrel 1/35, Allegra, Zyrtec, zofran, magnesium oxide, vitamin b12, calcium with vitamin D, probiotic, propranolol ER, ibuprofen

Current Illness:

ID: 0964229
Sex: F
Age: 27
State: KY

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: N/A

Symptoms: Chills, headaches, bodyaches, difficulty breathing, diarrhea

Other Meds: N/A

Current Illness: N/A

ID: 0964230
Sex: F
Age: 39
State: GA

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

Lab Data: Did not receive medical treatment (so far)

Allergies: Honeydew, amoxicillin

Symptoms: 8 days post-first dose of Modern COVID-19 Vaccine EUA, my arm started itching at the injection site. Today, day 9, the itching is stronger and the injection site is warm to the touch. I called the clinic and was advised to alternate heat and ice and to take Tylenol. Hopefully I can begin doing that soon.

Other Meds: None

Current Illness: None

ID: 0964231
Sex: F
Age: 53
State: IN

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

Lab Data:

Allergies: NO

Symptoms: Body Aches, took Tylenol, recovered an hour later.

Other Meds: Zinc, Vitamin D

Current Illness: nO

ID: 0964232
Sex: F
Age: 33
State: ME

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

Lab Data: None

Allergies: None

Symptoms: Fever Cold Chills Cold Sweats Heavy Head Headache Tired Lasted 3 days. I Drank lots of fluid, Slept a lot and took Tylenol

Other Meds: Birth Control

Current Illness: None

ID: 0964233
Sex: F
Age: 82
State: TN

Vax Date: 01/10/2021
Onset Date: 01/15/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: Unknown

Allergies: Had cancer of the thyroid January 2020.. Completed all cancer treatment this year (2021)

Symptoms: I had cancer last year- completed treatment but still being monitored.

Other Meds: Benazepril HCL 10, Premarin 0.3 tablets, Levothyroxine, vitamin D3

Current Illness: Completed cancer treatment, but still being monitored.

ID: 0964234
Sex: F
Age: 28
State: VA

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

Lab Data: None

Allergies: None

Symptoms: Began with joint pain, then chills, then fever, abd cramping and diarrhea - better after 24 hours

Other Meds: Birth Control

Current Illness: None

ID: 0964235
Sex: F
Age: 61
State: AZ

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

Lab Data: None

Allergies: Hyper allergy to staff and sage

Symptoms: Soreness at injection site, headache, chills, body aches Symptoms started about 11 am and increased in severity over the next 24 hours.

Other Meds: Lisinopril Hydrochlorothiazide Estratest Wellbutrin Multivitamin

Current Illness: None

ID: 0964236
Sex: F
Age: 57
State: NY

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

Lab Data:

Allergies: None

Symptoms: Soreness in the arm almost instantaniously, tiredness, fever, chills

Other Meds: 1000mg Tumeric, 1000mg D3, 1000mg C, Capful of Miralax, Vitafusions Multi-Vitamin for Women (2), Aleve, Glucosamine Chondroitin,

Current Illness: None

ID: 0964237
Sex: M
Age: 26
State: MA

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

Lab Data:

Allergies:

Symptoms: Couldn't sleep night after shot, chills, body aches, light fever symptoms throughout the day, upper arm ache (minor)

Other Meds:

Current Illness:

ID: 0964238
Sex: F
Age: 38
State:

Vax Date: 01/18/2021
Onset Date: 01/19/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies:

Symptoms: significant axillary lymphadenopathy/swelling x 3 days

Other Meds:

Current Illness:

ID: 0964239
Sex: F
Age: 55
State: NY

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

Lab Data: none

Allergies: cephalosporins

Symptoms: 4 hours after receiving vaccine pt developed pruritic rash on arms and legs. Treated initially with Claritin without relief so then took Benadryl. The following day the rash persisted so took Zyrtec. Also was prescribed triamcinolone cream. The rash resolved after the second day.

Other Meds: Advair 250/50, Ventolin MDI, fluticasone nasal spray, azelastine nasal spray

Current Illness: atopic dermatitis, asthma, allergic rhinitis

ID: 0964240
Sex: F
Age: 67
State: NJ

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

Lab Data:

Allergies: NKA

Symptoms: 6PM FELT HOT, DEVELOPED CHILLS. TEMP OF 100.6--TOOK 2 TYLENOL TABS. 5: 30a HAD HEADACHE AND DIZZINESS-STILL HAD CHILLS. TYLENOL 2 TABS, WATER AND GATORADE.

Other Meds: MOTRIN 800 MG

Current Illness: NONE

ID: 0964241
Sex: F
Age: 54
State: CT

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

Lab Data: None yet

Allergies: None

Symptoms: Eight days later swelling, redness, hot welt like rash at injection site. Seems to be getting bigger. About 4 inches in diameter.

Other Meds: Probiotics

Current Illness: None

ID: 0964242
Sex: F
Age: 37
State: PR

Vax Date: 01/18/2021
Onset Date: 01/19/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies:

Symptoms: The Patient reports general malaise, fever and pain in the R+ deltoid arm.

Other Meds:

Current Illness:

ID: 0964243
Sex: F
Age: 56
State: PR

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

Lab Data: NONE

Allergies: Penicillin, Sulfa

Symptoms: VOMITS, HEADEACH, PAIN IN THE LEFT ARM, WEAKNESS

Other Meds: Metformin , Vitamin VACCINE 1RST DOSE NUMBER - MODERNA041L20A

Current Illness: None.

ID: 0964244
Sex: F
Age: 47
State: NC

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

Lab Data: 1/4/2021: CBC (WNL); 1/6/2021: COVID test (negative), flu test (negative); 1/15/2021: CBC (WNL)

Allergies: singulair, latex

Symptoms: 30 minutes after first dose I felt hot/nauseous which lasted a few minutes and went away. The next day had neck pain, nasal congestion, and runny nose. On 1/5/2021 I still had the same symptoms and throat felt like it was swelling and my ears started to hurt. 1/6/2021, had diarrhea. 1/8/2021 was short of breath w/ heart palpitations. 1/11/2021, face swelling on left side, continued having aforementioned symptoms. Eyes started burning and were itchy/dry and watering. 1/15/2021, saw provider and was diagnosed w/ bells palsy and started on steroids

Other Meds: Metformin, lisinopril, atenolol, synthroid, atorvastatin, rabeprazole, vitamin D, vitamin E, vitamin B12, super B complex, folic acid, multivitamin, aspirin

Current Illness: None

ID: 0964245
Sex: F
Age: 30
State: PA

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

Lab Data: none

Allergies: none

Symptoms: 8 days later red circular rash appeared at injection site, site feels hard under skin, now on day 9 the red area appeared bigger

Other Meds: sprintec birth control, lexapro 10mg , singulair, claritin d, doxycycline, spironolactone 50mg

Current Illness: none

ID: 0964246
Sex: F
Age: 25
State:

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

Lab Data:

Allergies:

Symptoms: On the following day of vaccine employee started to experience body aches, headaches, and chest tightness.

Other Meds:

Current Illness:

ID: 0964247
Sex: F
Age: 49
State: NY

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

Lab Data:

Allergies: penicillin, sulfa drugs

Symptoms: I received my second dose Wednesday (1/20/21) about 10:50. Within 90 minutes to two hours I developed a headache, metallic taste and dryness in my mouth, and mild nausea. Thursday 1/21/21 I came to work feeling tired, achy, sluggish and nausea, loss of appetite. Later in the afternoon increasing tiredness, chills, and continued nausea. Moderna Covid-19 vaccine EUA I left early about 2:00. That evening I developed a fever about 101. Took some Tylenol. Fever broke about 2am (1/22/21). extensive sweating. Woke up feeling much better today.(1/22/21) Still not much of an appetite. A little shaky, mild chills/sweating.

Other Meds: buprion, omeprazole, Women's one a day multi vitamin, clarion allergy med, apple cider vinegar, fiber supplement

Current Illness: None

ID: 0964248
Sex: F
Age: 39
State: PA

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

Lab Data:

Allergies: lactose intollerant

Symptoms: Tingling in lips, cheeks and forehead

Other Meds: none

Current Illness: Swimmers Ear

ID: 0964249
Sex: M
Age: 65
State: PA

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

Lab Data:

Allergies: Levaquin

Symptoms: Red welts that sting and burn only on my right hip

Other Meds: Allapurinol, Losartan am, Naproxen, Atorvastatin, Metroprolot, and Amlodipine

Current Illness: None

ID: 0964250
Sex: F
Age: 50
State: MD

Vax Date: 12/31/2020
Onset Date: 01/09/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: Cinnamon Pcn [Penicillins]Hives

Symptoms: Vaccine site redness, itching and pain extending from top of shoulder down to just below the elbow joint.

Other Meds: Take 1 tablet by mouth daily. Take 1 tablet by mouth 2 times daily. TAKE 1 PACKET DISSOLVED IN NONCARBONATED BEVERAGE BY MOUTH ONCE DAILY. Take 1 capsule by mouth 4 times daily as needed.

Current Illness: OB/GYN Breast mass, left Cardiac Mitral valve prolapse White coat syndrome without hypertension Dermatology Eczema ENT Benign mass of parotid gland Parotid mass Digestive GERD (gastroesophageal reflux disease) Other H/O hiatal hernia Pre-op examination

ID: 0964251
Sex: F
Age: 54
State: NJ

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

Lab Data: none

Allergies:

Symptoms: was extremely tired and could not stay awake fell asleep at 10 am for 5 hours to wake at 3 pm with slight low blood sugar , known by slight tremor in hands and body and also resolving 30 min after eating proteins and drinking orange juice. A few hours later around 5pm began getting headache, ate dinner and did not resolve so I took 100mg of Tylenol . could not sleep and was awake until 1am woke at 930 am with low sugar again resolved after eating and drinking orange juice. Had a headache less severe only took 500 mg of Tylenol it resolved. Stayed awake all day was fatigued. no other remarkable symptoms the rest of the day. the next day was about the same only less severe and by the fourth day I only noticed being tired during the day. I think it resolved completely by the 7th or 8th day I lost track due to my step mother coming out of rehab after having had COVID in December. as I write this I am fine and it is 1/22/21

Other Meds:

Current Illness: herpes

ID: 0964252
Sex: F
Age: 28
State: AR

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

Lab Data:

Allergies: NKDA

Symptoms: Headache, body ache and congestion

Other Meds: Efexor, Zyrtec, Levothyroxine

Current Illness: None

ID: 0964253
Sex: F
Age: 30
State: NY

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

Lab Data:

Allergies:

Symptoms: fever (101.0) chills body Aches and joint pain when walking. headache and loss of appetite

Other Meds:

Current Illness:

ID: 0964254
Sex: M
Age: 44
State: WI

Vax Date: 12/31/2020
Onset Date: 01/08/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: none

Allergies: Shellfish

Symptoms: Moderna - left sided severe neck pain starting 1/8/2021 developing into shingles pustules appearing on left temporal and occiptal scalp progressing to left anterior neck. Started on Valtrex 1g 3x/day plus oral prednisone 20 mg bid for 5 days. Currently still have scalp tingling/pain.

Other Meds: Vitamin D3, Fish oil

Current Illness: Cold Sore

ID: 0964255
Sex: F
Age: 58
State: GA

Vax Date: 12/30/2020
Onset Date: 01/06/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: On January 6th the patient started noticing itching, redness and warm to the touch at the injection site. On the 7th the patient noticed a large knot and swelling at the injection site. Swelling was gone after approximately 24 hours.

Other Meds: Synthroid, Verapamil, Lisinopril, Privastatin, Meloxicam

Current Illness: None

ID: 0964256
Sex: F
Age: 58
State: PA

Vax Date: 12/29/2020
Onset Date: 01/07/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient developed congested cough, severe body aches and arm soreness. Completed COVID test on 1/8/2021. Results negative. Dx with Bronchitis

Other Meds:

Current Illness:

ID: 0964257
Sex: F
Age: 35
State: IN

Vax Date: 01/18/2021
Onset Date: 01/19/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: NKA

Symptoms: Severe itch and rash throughout trunk on body and upper right collar bone area. Redness and painful itching. Occurring 4+ days. Treatment to take benadryl at night and claritin during the day

Other Meds: Prozac, multivitamin

Current Illness: NONE

ID: 0964258
Sex: F
Age: 52
State: GA

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

Lab Data:

Allergies: PCN, Morphine

Symptoms: hives 2 hours post injection at injection site and above arm, shoulder, neck and chest and head. Itching. later feeling fatigue, body aches and headache.

Other Meds: Victoza,

Current Illness: none

ID: 0964259
Sex: F
Age: 65
State: FL

Vax Date: 01/12/2021
Onset Date: 01/16/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: lisinopril

Symptoms: fever 4 days later and diarrhea

Other Meds: Lasix, Nifedipine, metformin, allopurinol and diovan, Colace, Xarelto,carvedilol

Current Illness: none

ID: 0964260
Sex: M
Age: 66
State: GA

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

Lab Data:

Allergies: None

Symptoms: Immediately felt the vaccine ? pain in arm site, headache and nausea. Muscle aches and a slight tightness in chest about 12 hours later. Three days later (now) still have headache, muscle aches and an uncomfortable feeling in chest, although no chest pain.

Other Meds: Tylenol Protandim Cialis

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm