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: 0965631
Sex: F
Age: 24
State: NV

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

Lab Data: N/A

Allergies: Seasonal allergies

Symptoms: headache, fatigue, body aches, chills on and off on 1/21/21 starting around 2:30pm. Headache, fatigue, body aches, chills consistently on 1/22/21 starting at 3:00am-current. Did not seek treatment or take medications.

Other Meds: N/A

Current Illness: N/A

ID: 0965632
Sex: F
Age: 23
State: LA

Vax Date: 06/19/2007
Onset Date: 10/01/2016
Rec V Date: 01/22/2021
Hospital:

Lab Data: Much of this information is listed in the above paragraph: Late 2016 - saw reproductive endocrinologist; FSH around 9 and AMH 0.065 8/26/20: Estradiol 43; FSH 73.4 9/25/20: Estradiol less than 15; FSH 101.5

Allergies: NKA

Symptoms: I had 3 injections of the Gardasil Vaccine. The first dose was on 6/19/2007; second dose on 8/16/2007; third dose on 1/14/2008. The lot number is not located on my progress notes. I do have the progress notes from my OB-GYN for proof of these injections. Since being vaccinated with Gardasil (which was a series of 3 vaccinations), I developed irregular periods. I have suffered with infertility for several years now. Of course I did not know I was infertile until many years later when trying to conceive. My husband and I stopped using condoms in 2013. After 3 years of no success, in 2016, we decided to dig a little deeper and started testing various things. First we started with checking my husband's sperm which was fine. Then, we began testing me. During my first visit with the reproductive endocrinologist, I was told that my FSH was around 9 and my AMH was 0.065. I was told that I had a greater than 0%, but less than 5% chance of conception. The reproductive endocrinologist also told me that I had so few eggs, that I would not be a candidate for IVF. He said I had diminished ovarian reserve. He said with an AMH of 0.065, I had likely had a very low egg supply even in my mid-twenties. Shortly after, I became spontaneously pregnant (no fertility treatment), but very quickly miscarried at just a few weeks pregnant. Then I went through several years of testing, surgeries and seeing various doctors to try and figure out why I wasn't able to conceive, as I was diagnosed as having "unexplained infertility of unknown etiology". Then in 2018, I became pregnant without fertility treatment. I delivered my son. Eleven months later after his delivery, I stopped having periods all together (May 2020). I notified my OB-GYN who did some bloodwork (estradiol and FSH) to determine if I was in perimenopause because I began having hot flashes, developed a bald spot on my head, mood swings, emotional, low libido. One of my levels came back "pre-menopausal" and the other was in the menopausal range. She did a repeat bloodwork a month later and both of my levels came back in the menopausal range. My estradiol was less than 15 and my FSH was 101 (this is at 37 years of age). She diagnosed me with primary ovarian insufficiency (POI) also known as premature ovarian failure. I then went back to see a reproductive endocrinologist to get recommendations on hormone replacement therapy. The reproductive endocrinologist tested me for Fragile X and Turner syndrome and adrenal antibodies; all of these were negative. He said the cause of my POI was "idiopathic". I now am on hormone replacement therapy and will have to remain on it into my 50's (I am only 37 years old). I was also just diagnosed with hypothyroidism as my hormones are a "wreck". I truly feel that the Gardasil vaccine has had an impact on my life and my ability to have children. I thank God that he blessed me with a child. Infertility has ruined my life in so many ways and now this new diagnosis of POI is having a huge impact on my life from my energy level, mood swings, libido, hot flashes and the list goes on and on. Add to that the financial impact of trying fertility treatments and the number of medications I have tried over the years, as well as the number of medications I will have to be on for a very long time due to the POI diagnosis.

Other Meds: Loestrin Fe (birth control)

Current Illness: None

ID: 0965633
Sex: F
Age: 61
State: FL

Vax Date: 01/06/2021
Onset Date: 01/08/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: N/A

Allergies: Prolia, Septra

Symptoms: Itching, headache, chills

Other Meds: Motrin, Vid D Tylenol, Calcium

Current Illness: N/A

ID: 0965634
Sex: F
Age: 87
State: WY

Vax Date: 12/28/2020
Onset Date: 12/30/2020
Rec V Date: 01/22/2021
Hospital: Y

Lab Data: Nurse provided the following update: Resident diagnosed with bilateral pulmonary emboli via angio CT. Resident admitted with elevated lactic acid levels and a rising troponin level (0.36 @ 0215; 0.45 @ 0800). Resident given IV fluids in the ER and was currently on 4 L/min O2. Nurse indicating that daughter was being kept informed.

Allergies: NKA

Symptoms: 1840 NSG staff notified that resident had fallen and was unable to get up. Upon arrival to resident, resident was lying on her right side outside of her room. Resident was severely diaphoretic and unable to state what had occurred. Resident had a blue tinge to her lips, wheezing bilaterally, equal strength bilaterally and very weak. BP 143/74, HR 66, 02 80%, temperature unable to read temporally due to diaphoresis. respirations equal and labored at 22 breaths per minute. EMS called. RN and CNA staff stayed with resident while waiting for arrival of EMS. During this time, son called resident's phone and he was updated of the situation. Upon EMS arrival at 1700, resident was regaining orientation and was no longer diaphoretic. EMS bs was 143. 02 placed on resident by EMS with 12 lead to be done on transport. EMS left with resident at approximately 1907. SJH ED called and given report to RN. DON notified.

Other Meds: Hctz 25mg Po Daily Vitamin D3 1000IU PO Daily Potassium Chloride ER 20 meq PO daily Metoprolol Succinate ER 25 mg PO daily Acetaminophen 650 mg PO Q6 hrs PRN pain Aspirin 81 mg PO Daily Symbicort 80-4.5mcg/act 1 puff BID Rosuvastatin Calciu

Current Illness: NA

ID: 0965635
Sex: F
Age: 38
State: IA

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

Lab Data: none

Allergies: Penicillin, Sulfa antibiotics

Symptoms: All over red skin and burning sensation, tachycardia to 165 bpm and near syncope. Next day fever, body aches, chills and headache.

Other Meds: Multivitamin daily

Current Illness: none

ID: 0965636
Sex: M
Age: 37
State: SC

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

Lab Data:

Allergies: None

Symptoms: Severe injection site swelling 4 hours after until 21-Jan 15:00 Severe body aches and overall malaise 19-Jan 12:00 until 21-Jan 22:00 Migraine headaches 20-Jan until 22-Jan

Other Meds: HCTZ, Losartan, fish oil, protein, chondroitin, glucosamine

Current Illness: None

ID: 0965637
Sex: M
Age: 69
State: IN

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

Lab Data:

Allergies:

Symptoms: 1. Moderate headache 2 hrs after fir 8 hours. 2. Significant fatigue 36 hours.

Other Meds:

Current Illness:

ID: 0965638
Sex: F
Age: 64
State: TX

Vax Date: 01/09/2021
Onset Date: 01/10/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Rash on left cheek. Appeared to be like a herpes zoster patch., but atypical. Vesicles on a red base.

Other Meds: Sertraline

Current Illness: None

ID: 0965639
Sex: F
Age: 28
State: MA

Vax Date: 12/29/2020
Onset Date: 01/05/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: n/a

Allergies: n/a

Symptoms: day 7 after vaccine (1/5/20), about 6p in the evening, site of injection became sore again. mild redness and hard, kind of indurated (2x2 inches in area). little bit swollen, raised. no systemic issues, all localized to site. i applied heat and took zyrtec -- mostly resolved the next morning. totally resolved 2 days later.

Other Meds: zyrtec as needed, women's probiotic and multivitamin

Current Illness: cold symptoms 12/9-13. covid tested at the time and negative

ID: 0965640
Sex: F
Age: 27
State: CA

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

Lab Data:

Allergies:

Symptoms: Fever, sight pain

Other Meds:

Current Illness:

ID: 0965641
Sex: F
Age: 44
State: CA

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

Lab Data:

Allergies:

Symptoms: Severe arm pain and was unable to sleep even with tylenol Right eye swelling Right eye whites of eye bloody Abdominal pain for 3 days unable to sleep due to discomfort Nausea off and on for 3 days with abdominal pain Fatigue Faint with abdominal pain Light headed off and on

Other Meds:

Current Illness:

ID: 0965642
Sex: F
Age: 0
State: AZ

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

Lab Data: NONE

Allergies: none

Symptoms: FUSSY,FEVERISH,

Other Meds: none

Current Illness: no

ID: 0965643
Sex: F
Age: 50
State: TX

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

Lab Data:

Allergies: No known allergies

Symptoms: ELEVATED HEART RATE - NORM 60-75 BPM, WENT UP TO 115 - 120 BPM AND STAYED THERE FOR ABOUT 5 - 6 HOURS; SWELLING OF FACE, LIPS

Other Meds: Synthroid

Current Illness: None

ID: 0965644
Sex: M
Age: 30
State: TX

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

Lab Data: none

Allergies: none

Symptoms: body aches, low grade fever, slight headache and slight dizziness

Other Meds: none

Current Illness: none

ID: 0965645
Sex: F
Age: 43
State: CA

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

Lab Data:

Allergies:

Symptoms: after a week a red raised and elevated bump showed up around the injection site, was also itchy

Other Meds:

Current Illness:

ID: 0965646
Sex: F
Age: 43
State: OH

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

Lab Data:

Allergies: sufla

Symptoms: next day woke up with severe body aches, chills, headache, low-grade fever

Other Meds: Wellbutrin, Cymbalta, Trazadone, Ativan, Spravado

Current Illness: none

ID: 0965647
Sex: F
Age: 61
State: VA

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

Lab Data:

Allergies: Allergic to nut products, dust, and mold.

Symptoms: After I received my shot I was waiting the required 15 minutes when my throat became scratchy, thinking nothing about I left and while driving I notice I was having trouble swallowing and my mouth was dry. However, I could breathe easily so I just remained to relax and slowly swallowing my salia over and over again. Once home took a benedryl and was able to drink water without any problems. My throat is still somewhat scratchy after 2 hours.

Other Meds: Omeprazole 40mg Montelukast 10mg Lisinopril 10mg Hydrochlorothiazide 25mg

Current Illness: n/a

ID: 0965648
Sex: M
Age: 27
State: TN

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

Lab Data: CT scan 1/22/2021- WNL

Allergies:

Symptoms: Patient was at his residence. self reported sore arm muscle from injection. was in hot tub, unknown amount of time. got out to check his temperature and fell and hit head on floor. unknown amount of time unresponsive. witnessed seizure activity/ severe muscle cramping post fall en route to ED and also in ED. Possible diagnosis: new onset seizures, rule out rhabdomylosis

Other Meds: TRUVADA

Current Illness:

ID: 0965649
Sex: F
Age: 85
State: NY

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

Lab Data: Benadryl, prescribed EPI pen.

Allergies: Penicillin, Flexin, Sulfa, Phenobarbitol, Microban, Erythromycin, Zetia, Flagyl, Septra, Clotrimazole (betamethasone cream), Lortrisone, shell fish.

Symptoms: Evening of injection, tongue started bothering her with little bumps. Lower inside lower lip had bumps on it. Took Benadryl. During the week Wednesday, left eyelid was swollen, and then before going to bed both were swollen. Seem to have gotten better. Went to the doctor and advised to not take the 2nd vaccine. Has had light headedness and dizziness since the day after the vaccine, still having some symptoms.

Other Meds: Bisoprolol, Simvastatin, Vitamin C, D3, baby aspirin, probiotic, Zopiderm.

Current Illness: None.

ID: 0965650
Sex: F
Age: 65
State: FL

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

Lab Data:

Allergies: Sulfa Drugs, Humira, remicade, cimzia,

Symptoms: Rednees pain and swelling at the injection site, 10 days after the shot.

Other Meds: Zyrtec, Isosorbide Monitrate, simvistatin, Entivyo, Vitamins- D, C, Iron, Zinc, Prolia

Current Illness: N/A

ID: 0965651
Sex: F
Age: 39
State: VA

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

Lab Data:

Allergies: Compazine, latex, sulfa

Symptoms: (Moderna) adverse reaction: 100 x 75cm raised rash around injection sight(Rt) burning then numbness, tingling in right arm. treatment: ice sight, prednisone, zyrtec

Other Meds:

Current Illness:

ID: 0965652
Sex: F
Age: 31
State: AZ

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

Lab Data:

Allergies:

Symptoms: Extreme dizziness and headache

Other Meds: Lexapro, multi vitamin patch, zyrtec

Current Illness:

ID: 0965653
Sex: M
Age: 56
State: IA

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

Lab Data: EKG

Allergies:

Symptoms: Pt received his first dose of Pfizer Covid vaccine today and after sitting for approximately 15 min. He was observed getting up from his chair and appeared to sway. Immediately went to pt to assess and asked how he was feeling. Pt states "feel a little dizzy". When asked if experiencing any other symptoms describes "my left arm is tingling". Pt denies any difficulty breathing or other symptoms. Pt did not want to try anything to drink. 1557: BP= 158/80 and Apical HR=80-82/min and regular. Resp. Rate 16/min. Pt began feeling dizzy while sitting so had another nurse assist to try to get to the floor and pt unable to stand or scoot. Had medical emergency team called. Able to get pt down to the floor with further assistance of two nurses. Pt alert and oriented the entire time. Pt able to move all extremities including the left arm which continues to feel tingling sensation. Pt is feels clammy while on the floor. BP: 140/100, HR 82/min. Med team arrived and decision made to transport to the ED. Pt lifted to gurney by team and transported. Accompanied pt. and contacted his wife to notify of pt. situation. She was at doctor appointment and will arrive in approximately 30 minutes. Report given during transport and on arrival to ED. Pt remained alert and oriented throughout episode. Pt was given IV Benadryl in the ED along with a liter of normal saline. Pt discharged after approximately 2 hours.

Other Meds:

Current Illness:

ID: 0965654
Sex: F
Age: 65
State: NY

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

Lab Data: None

Allergies: None

Symptoms: I experienced flulike symptoms, chills, body aches about 12 hours after vaccine was given to me. I took some pain reliever and felt better about 24 hours after vaccine was administered. I did not go a doctor, as I felt much better the next day. This was at home and not at the facility.

Other Meds: Simvastatin for cholesterol

Current Illness: None

ID: 0965655
Sex: F
Age: 50
State: OH

Vax Date: 01/08/2021
Onset Date: 01/16/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Day 8-red, raised, sore , hot, itchy 3in x3in bump at injection site. Ringing in left ear, extreme dizziness, headache, diarrhea, nausea and vomiting. Swollen tongue. Today is day 14- faded outline of big red area on arm, ringing in ears, dizziness and nausea, headaches.

Other Meds: Prozac 30mg

Current Illness: No

ID: 0965656
Sex: M
Age: 54
State: CA

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

Lab Data:

Allergies:

Symptoms: Fever, Chills

Other Meds:

Current Illness:

ID: 0965657
Sex: F
Age: 43
State: LA

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

Lab Data:

Allergies: Sulfa

Symptoms: I started with under arm- armpit pain last night and this morning noticed that my glands and or lymph nodes under the left arm are very swollen- knots. It alarmed me. I have also had diarrhea since the day of vaccine and just feel over all flushed and very sleepy/tired.

Other Meds: Vit C, Vit D, Zyrtec, Flonase nasal spray, Acyclovir, Zinc, Ibuprofen

Current Illness: History of recurrent shingles, immunodeficiency IgGM

ID: 0965658
Sex: F
Age: 0
State: NC

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

Lab Data: Lumbar puncture Labs EEG

Allergies:

Symptoms: Patient presented to Ed with rhythmic movements concerning for seizure. Seizure was witnessed by providers. Given versed, fosphenytoin. Lumbar puncture done and started on antibiotics. Placed on EEG.

Other Meds:

Current Illness:

ID: 0965659
Sex: F
Age: 59
State: PA

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

Lab Data:

Allergies: ogmentin, flexerol, ultrasonic gel, bactrum, creams

Symptoms: 12/22 vaccination 12/23 8-10PM fever, feeling poorly, and vomiting thereafter. Rotated between the tylenol and motrin. Vomiting 1 episode. Fever 24-48 hours after vaccination. 2 days poorly.

Other Meds: tamoxafen, celapram, torvastatin

Current Illness: n/a

ID: 0965660
Sex: M
Age: 32
State: NM

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

Lab Data:

Allergies: None

Symptoms: Visibly swollen lymph nodes in underarm on the left, left side of neck (near the base) and under chin (on the left)

Other Meds:

Current Illness:

ID: 0965661
Sex: F
Age: 72
State: NJ

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

Lab Data:

Allergies: SMOKE

Symptoms: 3PM BURNING SENSATION IN THE EYES; DRY MOUTH; CHILLS/NO FEVER

Other Meds: COREG; LIPITOR; ASPIRIN; SYNTHROID

Current Illness: NONE

ID: 0965662
Sex: F
Age: 39
State: CA

Vax Date: 12/31/2020
Onset Date: 01/11/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: Pending US result of my left breast.

Allergies: NKA

Symptoms: After my first dose of Moderna vaccine on 12/31/2020 on my left arm, I had slight dizziness 1 hour after injection and last for 2 hours . I developed swelling and tenderness of lymph node under my left arm pit on 01/11/21 and I also found lump on my left breast at 1 o'clock position on the same day. The lump grow from 0.5 cm to 1 cm within a week. Today 01/22/21, the lump is enlarge to almost 2-3 cm diameter.

Other Meds: n/a

Current Illness: n/a

ID: 0965663
Sex: M
Age: 58
State: TX

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

Lab Data: None

Allergies: none

Symptoms: Has onset of symptoms after receiving the COVID vaccine: abdominal tightness, shooting pains in face, numbness to back of head over the next 3 days. He is unsure if it is vaccine related. He is following up with Clinic to determine if this is a reaction to the vaccine or if he has something else going on.

Other Meds: none

Current Illness: none known

ID: 0965664
Sex: F
Age: 36
State: NM

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

Lab Data: No tests were done

Allergies: unknown

Symptoms: The patient developed numbness to left cheek and tightness in her chest 30 minutes after she received the vaccine. The patient was seen in the ED and given Benadryl and Pepcid. She never developed a rash or difficulty breathing. He O2 sat was 98% and ED provider told patient she more than likely had a panic attack.

Other Meds: unknown

Current Illness: unknown

ID: 0965665
Sex: M
Age: 38
State: WA

Vax Date: 12/27/2020
Onset Date: 02/01/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Itchy red warm rash and swelling, noted just over a week after immunization at site of shot. Lasted 3 days. Improved with antihistamines.

Other Meds: Citalopram 30 mg daily, chewable multivitamin

Current Illness: None

ID: 0965666
Sex: F
Age: 47
State: TX

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

Lab Data:

Allergies: none

Symptoms: Moderna COVID-19 Vaccine EUA pain at injection site and surrounding area approx 15 hrs after injection (lasted 48 hrs) low grade fever approx 24 hrs after injection (lasted 24 hrs) body aches approx 24 hrs after injection (lasted 24 hrs) swollen lymph nodes in armpit on injection side approx 36 hrs after injection

Other Meds: none

Current Illness: none

ID: 0965667
Sex: F
Age: 31
State: AZ

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

Lab Data:

Allergies: NKDA

Symptoms: 7 days post first dose, injection site is inflamed, red and hot to the touch, radiating out from the injection site. Other symptoms are: headache, fatigue, nausea and 'feeling hot'. No fever at this time.

Other Meds: Adderall, B6, Magnesium, Biotin, Omega3

Current Illness: NA

ID: 0965668
Sex: F
Age: 52
State: VA

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

Lab Data:

Allergies: None

Symptoms: Rash at injection site 1 week after shot.

Other Meds: Multivitamin, fish oil, zinc, biotin, generic zyrtec

Current Illness: None

ID: 0965669
Sex: F
Age: 14
State: IA

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

Lab Data:

Allergies:

Symptoms: No Adverse event, reporting age differential from approved. During a covid vaccine clinic vaccinated. While processing the vaccine, the vaccine was given to the patient and it wasn't until later they saw the rejection for the patient that she was not 16. Patient had no adverse reaction and patient and facility are aware she cannot get second dose until she is 16.

Other Meds:

Current Illness:

ID: 0965670
Sex: F
Age: 60
State: NH

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

Lab Data: None

Allergies: Food allergies which are mild usually headaches and nasal discharge

Symptoms: Pain in injection site. Headache Chills Low grade temp 99.8 Overall tiredness

Other Meds: None

Current Illness: N/A Work up being done for possible parathyroid issues

ID: 0965671
Sex: F
Age: 50
State: SD

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

Lab Data: none

Allergies: Sulfa, oxycodone, fentanyl

Symptoms: Fever, Chills, headache >36 hours, neck pain, bone/joint pain, back pain, nausea, lack of appetite.

Other Meds: Lisinopril, singulair, lansoprazole, sertraline

Current Illness: none

ID: 0965672
Sex: F
Age: 38
State: UT

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

Lab Data: I have been tested for COVID twice in the last 4 weeks. The last test was on 1/19 and was negative.

Allergies: None.

Symptoms: 12 hours after my first dose (1/19) I woke up with a high temperature, extreme body aches, sweating, headache and nausea. These symptoms continued until the following morning (1/21) and then begin to subside. It's now 1/22 and the symptoms are coming back. I've taken Tylenol and ibuprofen, but I am still experiences headache, body aches, upset stomach and brain fog.

Other Meds: Montelukast, cetirizine hydrochloride, Mirena IUD, multi-vitamin, triple omega.

Current Illness: Illness as a result of the first dose of Pfizer vaccine (nausea, headache, joint pain, tiredness, brain fog, sore throat, nasal congestion).

ID: 0965673
Sex: M
Age: 61
State: PA

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

Lab Data:

Allergies: None

Symptoms: Pronounced swelling of lymph nodes under left arm.

Other Meds: None

Current Illness: n/a

ID: 0965674
Sex: F
Age: 56
State: CA

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

Lab Data:

Allergies:

Symptoms: Fever, body aches, headache

Other Meds:

Current Illness:

ID: 0965675
Sex: F
Age: 61
State:

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

Lab Data: none

Allergies: none

Symptoms: left arm and shoulder paresthesia

Other Meds: none

Current Illness: none

ID: 0965676
Sex: M
Age: 30
State: TX

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

Lab Data: none

Allergies: none

Symptoms: body aches, low grade fever, dizziness and slight headache.

Other Meds: none

Current Illness: none

ID: 0965677
Sex: F
Age: 74
State: AZ

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

Lab Data: none

Allergies: sulfa drugs

Symptoms: reddness swelling and an awful itch in the arm

Other Meds: amlodpine levothyroxin oxybutynin mult vitamin

Current Illness: none

ID: 0965678
Sex: F
Age: 33
State: MO

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

Lab Data:

Allergies:

Symptoms: patient reports severe swelling at injection site

Other Meds:

Current Illness:

ID: 0965679
Sex: F
Age: 34
State: NV

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

Lab Data: None

Allergies: NKDA

Symptoms: Dizziness and tingling. Vitals; 08:08 am: BP=149/108, O2 SAT RA= 98%, HR= 87; 08:15 am: BP=158/90, O2 SAT RA= 98%, HR= 89; 08:22 am BP=158/79, O2 SAT RA= 96%, HR= 88

Other Meds: Zyrtec

Current Illness: None

ID: 0965680
Sex: M
Age: 60
State: IL

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

Lab Data:

Allergies: None

Symptoms: Chills, fever, fatigue, muscle pain. Lots of pain in arm ann swollen red. 3 days later my arm is still swollen and red and hot

Other Meds: Diltiazem, testing, omega 3 tabs, gabapentin

Current Illness: No

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm