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: 0966238
Sex: F
Age: 65
State: WI

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

Lab Data: NA

Allergies: no known allergies

Symptoms: Patient became light headed and dizzy 5 minutes after shot was given. Was moved to the floor in the safety position. Given orange juice ice packs and wet compresses as temperature was elevated. BP was monitored and reading 100/40 HR was 46bpm.

Other Meds: unknown

Current Illness: none

ID: 0966239
Sex: F
Age: 47
State: AZ

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

Lab Data: None

Allergies: Sulfa, skin allergies

Symptoms: Extreme Fatigue, lethargy, arm soreness, headache, fogginess.

Other Meds: Spironolactone, Calcium, Vitamin D

Current Illness: None

ID: 0966240
Sex: F
Age: 51
State: CA

Vax Date: 12/28/2020
Onset Date: 12/29/2020
Rec V Date: 01/22/2021
Hospital:

Lab Data: No

Allergies: No

Symptoms: Back spasms on the lower back muscle , cough, chills and no fever Bad cough Stay home and rest and prescription Flexeril 5mg and noise spray Dymista spray

Other Meds: Celexa 20 mg, Phentermine 37.5 mg, Progesterone 100mg, Metformin 500mg

Current Illness: No

ID: 0966241
Sex: M
Age: 23
State: FL

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

Lab Data:

Allergies:

Symptoms: Dizziness and nausea

Other Meds:

Current Illness:

ID: 0966242
Sex: F
Age: 28
State: NV

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

Lab Data:

Allergies: None

Symptoms: Rash all over body but mostly on face 12 hours after administration; not itchy; chills right before onset of rash; no shortness of breath; antihistamines are not helping reduce rash

Other Meds: Tylenol

Current Illness: None

ID: 0966243
Sex: M
Age: 28
State:

Vax Date: 01/18/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: BP 127/72, HR 88, RR 18, SpO2 98%RA Troponin peaked at 3.02 (1/21) CXR did not have abnormalities (1/21) Other labs including CBC and BMP were unremarkable (1/21) EKG revealed diffuse ST elevations (1/21, 1/22)

Allergies: penicillin

Symptoms: According to patient, he received the COVID vaccine on 1/18 and endorsed typical vaccine symptoms (myalgias, fatigue, lymphedema on right axillary, sweats and chills). He was taking ibuprofen for prophylactic symptom relief and was able to attend work the following day. The patient stated to still endorses symptoms of the vaccine days after but did not seek medical attention because he thought the symptoms would resolve. The morning of 1/21, patient sustained constant, nonradiating chest pain located along the sternal that was moderate to severe in nature and exacerbated with deep inspiration that lasted 2 hours. Lying on the side provided minimal relief but the pain was still moderate. Nausea also accompanied the pain but the patient denied any vomiting. Patient decided to go to the ED for work-up. Patient had two further episodes of chest pain and EKG revealed diffuse ST elevations. Troponin level peaked at 3.02. He was diagnosed with myopericarditis and started on colchicine, with improvement of chest pain.

Other Meds: none

Current Illness: none

ID: 0966244
Sex: M
Age: 1
State: CA

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

Lab Data: telephone - encounter no labs done/ordered

Allergies:

Symptoms: Patient came into clinic on 1/12/2021 for his 1 yr old vaccine visit-instead of separated vaccines ordered , MA gave KINRIX and Proquad intended for another patient in clinic. Mom was notified about the error and sent home after reviewing possible side effects of these vaccines and tylenol dosing . Manager contact mother following day on 1/13/2021 and mother reported patient was doing well since vaccines given. On 1/21/2021- telephone encounter - mother called clinic stating child with fevers since vaccine being given and rash appeared on his face on 1/21/21. Also reports trouble sleeping but no other symptoms at that time. Based on hx and symptoms reported by family , possibly reaction to vaccines. Reviewed tylenol and motrin alternating schedule with parents and dosing.

Other Meds: acetaminophen

Current Illness: none

ID: 0966245
Sex: M
Age: 39
State: ME

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

Lab Data: no

Allergies: no

Symptoms: Difficulty breathing (cyclical) and dizziness for the first hour or two after injection. Took vitals: my Oxygen Saturation was 95% and heartrate in 90's. It resolved after a couple of hours.

Other Meds: multi-vitamin; vitamin c

Current Illness: no

ID: 0966246
Sex: M
Age: 36
State: MA

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

Lab Data: NA

Allergies: Possible Cipro allergy

Symptoms: Developed a chest rash approximately 36 hours after the injection. The rash extended slightly up my neck. Within 24 hours it was nearly gone. I had no other allergy symptoms. I did NOT take antihistamines to resolve the rash. I did feel mild flu like symptoms beginning about 24 hours after the injection, lasting for about another 24 hours. A consult with my doctor did not yield any significant findings or suggestions,

Other Meds:

Current Illness:

ID: 0966247
Sex: F
Age: 60
State: AK

Vax Date: 01/08/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Moderna COVID-19 Vaccine EUA. Patient noticed rash around 6 days after receiving the vaccine. It's around 9 inches in diameter (roughly the upper arm), patient stated that it was warm to the touch, but otherwise unnoticeable. Patient took a Benadryl on 01/22/21 to see if this helps.

Other Meds:

Current Illness:

ID: 0966248
Sex: M
Age: 60
State: WA

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

Lab Data: None

Allergies: None

Symptoms: Chills, muscle ache, nausea, headache 1/21/21 took tylenol at 3:30am and again at noon. Most symptoms went away by morning. General muscle ache continued through out the day. Morning of 1/22/20, all symptoms gone except for a little ache in right arm.

Other Meds: Atorvastatin 20 Mg, Vitamin D3, Multi Vitamin

Current Illness: None

ID: 0966249
Sex: F
Age: 38
State: KS

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

Lab Data: Benadryl offered and pt declined. Heart rate around 100 and bp 149/94. Pt reported sx did not resolve so pt taken via w/c to the ER.

Allergies: None

Symptoms: Pt with hx of generalized anxiety. Pt reported similar response after steroid injections which lasted approx 1 week on and off. Pt felt anxiety, soa, dizziness and flushed. BP initial at 159/110 and heart rate 91

Other Meds: Remeron Vitamin D Magnesium

Current Illness: General Anxiety

ID: 0966250
Sex: F
Age: 37
State: CA

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

Lab Data: None

Allergies: Propranolol

Symptoms: The patient experienced tingling tongue, dizziness, high blood pressure, and swelling of the eyes within 15 minutes post vaccination in the left deltoid. The patient was treated with oral Benadryl 25 mg and Pepcid 20 mg by mouth at 0820. Another dose of Benadryl 25 mg and Pepcid 20 mg was given to the patient at 09:00. She was then transported to the ED and her blood pressure at 09:31 was 193/122 and her respiratory rate was 21 on room air. She was then given IV Benadryl 25 mg at 09:44, IV Pepcid 20 mg at 09:44, and methylprednisolone 125 mg. Normal saline 1000 mL drip was started at 09:45. Valsartan 40 mg was administered at 09:59.

Other Meds: Unknown

Current Illness: Unknown

ID: 0966251
Sex: F
Age: 28
State: NJ

Vax Date: 01/14/2021
Onset Date: 01/19/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies: NO

Symptoms: 1/14/21-Patient received moderna vaccine to left arm and on 1/19/21 at 09:00 am noticed swelling, hard to touch, warmth, big red circle 2 inches by 2 inches, and itchy. Denies taking anything for it. Pt. states that it seems like symptoms are getting worse-rash is getting bigger, more itchy, and more swollen.

Other Meds: NO

Current Illness: NO

ID: 0966252
Sex: M
Age: 71
State: CA

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

Lab Data:

Allergies: Bee sting

Symptoms: Mild headache, somewhat tired, major diarrhea

Other Meds: Prilosec, Multivitamin pill, Vitamin E, Hytrin, Finasteride, Lisinopril

Current Illness: Light headedness, mild diarrhea

ID: 0966253
Sex: F
Age: 34
State: OH

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

Lab Data:

Allergies: Dust, mold, dander

Symptoms: Severe nausea, headache, chills, dizziness, joint pains, muscle aches, 104 deg fever Treated nausea with Treated fever and other symptoms with 1000 mg Tylenol

Other Meds: Allegra, Flonase

Current Illness: None

ID: 0966254
Sex: F
Age: 89
State: NE

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

Lab Data:

Allergies:

Symptoms: DEVELOPED NAUSEA WITHOUT VOMITING AROUND 0300 ON 1/19/21. WEAKNESS, LETHARGY, FATIGUE, AND REPORTS GENERALIZED BODY ACHES. HYPERTENSIVE AND TACHYCARDIC. WAS SENT TO PCP FOR EVALUATION. SYMPTOMS RESOLVED.

Other Meds:

Current Illness:

ID: 0966255
Sex: F
Age: 75
State: NY

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

Lab Data: n/a

Allergies: yes N/A

Symptoms: After receiving vaccine patient started to feel hot and face turning red. She reported feeling like she was tight in the chest and throat was swelling. She said she had an epi pen with her. I asked her if she thought it was time to administer and call 911 she said yes. We proceeded. She said her throat was feeling a little better but chest was tight and she was having a dry cough. Ambulance took her to hospital. I called her around Noon the next day to check in on her and she said she was in hospital still being monitored. Was advised not to get second dose of vaccine from hospital.

Other Meds: N/A

Current Illness:

ID: 0966256
Sex: F
Age: 58
State: KS

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

Lab Data: None

Allergies: Lisinopril

Symptoms: hot flash minutes after vaccination, days to follow head soreness/itching, fatigue, warm/chills, hands shaking

Other Meds: Amlodipine 3.75 mg once daily, Omeprazole 20 mg once daily

Current Illness: None

ID: 0966257
Sex: F
Age: 65
State: AK

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

Lab Data: None

Allergies: None

Symptoms: Received dose on 1/13. On 1/22, Upon getting out of a hot shower, noted large area of redness near site of injection on left deltoid. It measures 12cm in length by 6 cm at it's widest point. Looks a little like a teardrop. Does not itch, is not painful or swollen.

Other Meds: None

Current Illness: No

ID: 0966258
Sex: F
Age: 22
State: IL

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

Lab Data:

Allergies: nka

Symptoms: "Everything felt fine last night but this morning when I woke up it was painful to lift my left arm and it is red and swollen in the area i got the shot. I have been putting heat on it and that has helped a litlte"

Other Meds:

Current Illness:

ID: 0966259
Sex: F
Age: 57
State: NY

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

Lab Data: 1/22/21 SARS COV2 PCR. Results pending. Done as requirements for work. Asymptomatic

Allergies: NKA

Symptoms: 1/14/21 9pm chills 1/15/21 8am chills, muscle aches, headache, nausea, fatigue, rigors low grade fever. 2 pm temp 100.8, bilateral ear drum pain 1/16/21 8 am fatigue. 1/17/21 2am woke up with chills nausea and ear pain. 1/17 in morning fatigue . 1/18/21 asymptomatic.

Other Meds: Hctz 25mg qd., tumeric 500mg qd. , vit d 1000iu qd, vit c 500mg qd. Singular 10mg qpm. Atorvastatin 40mg qpm. Melatonin 5mg qpm,doxylamine succinate 25mg qpm. Motrin 600mg q6hrs prn was taken for symptoms

Current Illness: None

ID: 0966260
Sex: F
Age: 46
State: PR

Vax Date: 10/17/2020
Onset Date: 10/17/2020
Rec V Date: 01/22/2021
Hospital:

Lab Data: currently awaiting MRI results recommended by doctor

Allergies: does not report allergies

Symptoms: Patient reports pain in the arm in which the influenza vaccine was administered. She went to the general practitioner and did not feel relief with the prescribed medications. He is going to a physiatrist and is awaiting an MRI study.

Other Meds: Clonazepam 1mg Vitamin C

Current Illness: UNKNOWN

ID: 0966261
Sex: F
Age: 40
State: NE

Vax Date: 12/23/2020
Onset Date: 12/27/2020
Rec V Date: 01/22/2021
Hospital:

Lab Data: PCP on 1/7 due to ongoing wet, productive cough, CXR done showing pneumonia-Z-pac and steroid tapper starte PCP on 1/12 due to continued cough and crackle-levaquin and albuterol inhaler started still with dry cough-productive at times

Allergies: NKA

Symptoms: After vaccine developed wet, productive cough with LLL crackles

Other Meds: Vitamin

Current Illness: None

ID: 0966262
Sex: U
Age: 67
State: MO

Vax Date: 12/29/2020
Onset Date: 01/02/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: Unknown

Allergies: None Known

Symptoms: Rash on 1/2/21. Nausea and vomiting began on 1/4/21

Other Meds: None known

Current Illness: None Known

ID: 0966263
Sex: F
Age: 36
State: NY

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

Lab Data:

Allergies: None.

Symptoms: The day of the shot, my arm was sore but then the next day, the soreness was gone and no other side effects appeared until a week after. 8 Days after receiving the vaccine, a small welt grew at the injection site. It was itchy and warm to the touch. The next day, the welt wasn't as hard, but still present and itchy at times.

Other Meds: Multi-vitamins

Current Illness: None.

ID: 0966264
Sex: F
Age: 78
State: FL

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

Lab Data: None.

Allergies: possibly sulfa and celebrex

Symptoms: Patient developed 10 x 5 cm evanescent, warm, firm papule at injection site approx 8 days post vaccination. Very itchy., Not relieved with Benadryl. We have asked her to take Zyrtec daily, Benadryl q 4-6 h breakthru itch, provided RX clobetasol cream for use BID to site. She is also advised to follow with ER immediately any itch mouth, lips, airways, any swelling these sites, any SOB, any new rash or worsening symptoms any sort. Localized immune response/injection site reaction vs true allergy to some component of Covid Vaccine or injector. We have asked her to discuss with you and PCP whether she should receive 2nd dose vaccine.

Other Meds: levothyroxine

Current Illness: none known

ID: 0966265
Sex: M
Age: 80
State: NE

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

Lab Data:

Allergies:

Symptoms: FEVER AND CHILLS OVERNIGHT. GENERALIZED BODY ACHES AND FATIGUE

Other Meds:

Current Illness:

ID: 0966266
Sex: F
Age: 58
State: NY

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

Lab Data:

Allergies:

Symptoms: Hives, rash, itching

Other Meds:

Current Illness:

ID: 0966267
Sex: F
Age: 49
State: TX

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

Lab Data:

Allergies:

Symptoms: 10:05AM patient. Reported to the post vaccine observation are: She immediately became lightheaded, diaphoretic, and pale. Laid patient on the ground, placed feet up. BP-131/84 HR-74 RR-16. Patient reported feeling better. We sat her up and continued to monitor, gave her Sprite, and a pastry. She drank the Sprite ad we continued to monitor. Initially, she refused the pastry. 10:35AM Patient became lightheaded once more. BP-119/76 HR-75 RR-16. Laid her on the floor again with her feet up where she reported feeling better immediately. Patient then ate the pastry. 10:52AM Patient ready and was ambulated around the convention center. She ambulated with assist and had a steady gait. Coworkers to drive her home. Patient advised to call 911 or see her physician with any concerns. Patient verbalized understanding.

Other Meds:

Current Illness:

ID: 0966268
Sex: F
Age: 60
State: NY

Vax Date: 12/26/2020
Onset Date: 01/14/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: None at this time. Today is January 22, 2021. Have an appointment with primary doctor January 25, 2021.

Allergies: Nexium- rash prochlorperazine -involuntary muscle movement of arm after one dose, given during radiation treatment morphine, demerol -vomitting effexor - heart felt irregular after one dose, never used after that flu vaccine - increased BP, arrythmia, although never confirmed, had halter monitor (PVCs), stopped taking vaccine about 8 years ago

Symptoms: Within a few minutes of injection had tingling sensation in tongue, followed by a couple days of increased stomach gas, tons of burping, some reflux, took Prevacid. Tongue seemed to affected during the first several days, especially along the sides, red. Didn't get concerned at first. The common sore arm, cleared up within a few days. On about day 10 noticed large area on arm where injection given, warm red area about 4 inches by 3 inches, itchy, resolved on own by day 14 or 15. The next week (third week) mouth seemed to be getting more sore, swallowing harder, took prevacid. Today, day 27, mouth is sore, especially noticeable along sides where there are circle looking ulcerations where surface tissue seems to be missing. Very discouraged. Doubt I feel able to receive second dose which has been postponed, by myself, until day 30. Seeing primary doctor on day 30.

Other Meds: Vitamin D 1000 units Prevacid possible celebrex, but I don't think so on that day possible tea with tumeric, ginger, cinnamon, can't remember for sure

Current Illness: I was well, and doing well.

ID: 0966269
Sex: F
Age: 38
State: MD

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

Lab Data: none - I had a virtual visit with my doctor yesterday 1/21/20

Allergies: amoxicillin

Symptoms: I started feeling sick the evening I got the shot. Chills, body aches, fever, headache. sweating, fatigue. Today I am having severe diarrhea and nausea. Fatigued and dizzy. Very scared.

Other Meds: Lexapro, ortho tri cyclen low, xanax,

Current Illness: COVID - 11/2020

ID: 0966270
Sex: M
Age: 41
State: NC

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

Lab Data: no testing was done; pt was given 25 mg Benadryl IM by a paramedic on site. He was closely observed for 30 more minutes. Reported improvement in his symptoms. Pt was advised that he could leave. I encouraged him to take 25 mg Benadryl when he got home & to use his epi pen & call 911 if any worsening of symptoms or new symptoms. I spoke with pt about an hour and a half after he left - he was home & feeling fine.

Allergies: allergy to bee stings - hx of anaphylaxis to them (has used epi in the past)

Symptoms: at the end of pt's 30 minute observation, he was brought to me due to report of redness/rash at vaccine site as well as itchy sensation/tightness in his throat as he has had with prior anaphylactic reactions; no diaphoresis, no pallor. mild erythematous patches around vaccine site; HR 70 BP 126/76

Other Meds: Flonase

Current Illness: no

ID: 0966271
Sex: F
Age: 22
State: IL

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

Lab Data:

Allergies:

Symptoms: "Everything felt fine last night but this morning when I woke up it was painful to lift my left arm and it is red and swollen in the area I got the shot. "

Other Meds:

Current Illness:

ID: 0966272
Sex: F
Age: 31
State: NY

Vax Date: 01/11/2021
Onset Date: 01/18/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Warm, swollen, itchy arm wkth red macular rash about 4 inches in diameter around injection site. Started 7 days following immunization. Is perisiting but improving now at 12 days after immunization.

Other Meds: Plaquenil 200mg daily, mirena

Current Illness: None

ID: 0966273
Sex: F
Age: 45
State: CA

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

Lab Data:

Allergies:

Symptoms: Mild headache Woke up to really sore arm Chills Low grade fever of 100.5 F Had covid 3 months ago

Other Meds:

Current Illness:

ID: 0966274
Sex: F
Age: 24
State: VA

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

Lab Data: n/a

Allergies: avocado, keppra

Symptoms: swelling on right side of face and pain, arms, thigh, stomach, legs, and feet just on the right side

Other Meds: fycompa 4mg

Current Illness: n/a

ID: 0966275
Sex: F
Age: 80
State: OR

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

Lab Data:

Allergies: no known allergies

Symptoms: Swelling to lips, eyes, cheek. Benadryl given. awaiting outcomes.

Other Meds: none

Current Illness: none

ID: 0966276
Sex: F
Age: 60
State: MT

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

Lab Data:

Allergies:

Symptoms: Redness at injection site

Other Meds:

Current Illness:

ID: 0966277
Sex: F
Age: 52
State: NY

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

Lab Data:

Allergies: amozicillin

Symptoms: woke up to arm serve itch and a red patch broke out dr said appers to be hives reaction

Other Meds:

Current Illness:

ID: 0966278
Sex: F
Age: 76
State: ND

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

Lab Data:

Allergies:

Symptoms: Left arm swollen, warm, painful, and red from injection site in the left deltoid muscle to above the elbow. Client experienced chills and flu like symptoms. 9 days from vaccination and symptoms are starting to dissipate.

Other Meds:

Current Illness:

ID: 0966279
Sex: F
Age: 67
State: AR

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

Lab Data: NONE

Allergies: NO

Symptoms: HA, SEVERE NAUSEA

Other Meds: VIT D

Current Illness: NO

ID: 0966280
Sex: F
Age: 49
State: CO

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

Lab Data:

Allergies: None

Symptoms: Sore arm at injections site, low grade fever, dizziness, muscle aches, headache, severe fatigue lasting for 24 hours

Other Meds: Duloxetine, levothyroxine, liothyronine, singulair, zyrtek, imitrex, magnesium, pro-biotic, last allergy shot 1/19/21

Current Illness: None

ID: 0966281
Sex: F
Age: 42
State: IL

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

Lab Data: None

Allergies: None

Symptoms: I received the Moderna vaccine and had the expected arm pain on the injection site after received the injection. The arm paid lasted about 4 days after the vaccine and was getting better each day thereafter until it suddenly re- appeared severely on 1/22/21 for no reason. It has subsided some with pain medication but is still bothersome. I was not expecting the arm pain to be so sever or to last so long. The weirdest part was that it subsided and then came back several days later for no reason with pain at the injection site.

Other Meds: Allegra and Famotidine

Current Illness: Myotonic Dystrophy , Hx of Migraines and Psoriasis

ID: 0966282
Sex: F
Age: 53
State: CA

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

Lab Data: Oxygen saturation levels normal

Allergies: no

Symptoms: The day after vaccine I started having shortness of breath. Perhaps and exacerbation of my asthma symptoms. I am on day 6 of this.

Other Meds: Xeljenz, Advair, synthroid, albuterol

Current Illness: Rhuematoid Arthritis

ID: 0966283
Sex: F
Age: 68
State: TX

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

Lab Data: Did not have any tests.

Allergies: None

Symptoms: When I woke up the morning after I received the shot my arm was extremely sore and could hardly raise it without pain. As the day progressed I started having body aches, headache, and some chills. It only lasted for that day and I was fine on 1/22/2021. I have never had a reaction to a shot before so it was worrisome. I am fine now.

Other Meds: None

Current Illness: None

ID: 0966284
Sex: F
Age: 65
State: TX

Vax Date: 01/08/2021
Onset Date: 01/18/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data:

Allergies:

Symptoms: On 1/22/2021: Today patient reported red spot (about 6 inches in diameter) at the injection site appearing about 3-4 days ago. Patient stated there was not pain, no hardness on touch. Symptom has been becoming worse since it started

Other Meds:

Current Illness:

ID: 0966285
Sex: F
Age: 43
State: MT

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

Lab Data:

Allergies:

Symptoms: Chills, Headache, Body aches, No smell

Other Meds:

Current Illness:

ID: 0966286
Sex: F
Age: 44
State: WV

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

Lab Data: None

Allergies: Penicillin, sulfa, demerol, morphine, betamethazone, walnuts, Cinnamin

Symptoms: Day of injection: Left shoulder pain & swelling, headache, Day 2: fever, chills, & body aches, day 1 symptoms persisted

Other Meds: Multivitamin, zyrtec, vitamin D

Current Illness:

ID: 0966287
Sex: F
Age: 33
State: NY

Vax Date: 01/11/2021
Onset Date: 01/14/2021
Rec V Date: 01/22/2021
Hospital:

Lab Data: None

Allergies:

Symptoms: Hives on face, back of neck, top of back, orbital swelling left and right eye

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm