VAERS 2021 Database www.vaers.hhs.gov

Main Page | All 2021 Deaths | Videos
VAERS Updated: 10/01/2021
** VAERS DATABASE Last updated: October 1, 2021**
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Manufacturers

Total Manufacturer

Incidents per State

State Total
92,076
AK1,880
AL6,345
AR4,151
AS46
AZ14,991
CA66,887
CO12,550
CT8,943
DC1,795
DE2,009
FL42,724
FM4
GA17,031
GU124
HI2,580
IA4,919
ID2,892
IL22,128
IN24,197
KS5,047
KY9,111
LA5,500
MA15,718
MD13,434
ME3,351
MH8
MI20,971
MN13,585
MO10,747
MP30
MS3,198
MT2,477
NC18,051
ND1,501
NE3,109
NH3,218
NJ20,216
NM4,218
NV4,728
NY37,667
OH20,793
OK6,692
OR9,244
PA25,607
PR2,588
QM2
RI2,163
SC7,261
SD1,282
TN10,445
TX39,890
UT4,618
VA15,980
VI67
VT1,830
WA16,071
WI12,042
WV2,571
WY926
XB5
XL1
XV2

ID: 0972386
Sex: F
Age: 54
State: IL

Vax Date: 01/23/2021
Onset Date: 01/24/2021
Rec V Date: 01/25/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: none

Symptom List: Dysphagia, Epiglottitis

Symptoms: About 24 hours after the vaccination was given I felt a terrible pain in my left arm at the site of the shot. When I looked at the site it was red, hot and swollen. I then became very cold (chills) and went to lay down. I had the chills for several hours. I then began sweating previously. At this time my husband took my temperature it was 100.8. My chest felt tight, my body ached. My fever lasted for several hours. Through out the whole time I was very nauseous and I had a terrible headache. By the next morning my fever had broke but I was weak and tired. My body still ached and I still had a headache which last several more hours. This is how I felt when I had Covid.

Other Meds: Bupropion XL, Losartan, Latanoprost eye drops,Prednisolone AC eye drops, Brimonidine eye drops, Atorvastatin, Pantoprazole, Gabapentin , Methazolamide, Metoprolo ER

Current Illness: Glaucoma - elevated pressure in right eye

ID: 0972387
Sex: F
Age: 25
State: NM

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 01/25/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: duloxtine

Symptom List: Anxiety, Dyspnoea

Symptoms: rash on shoulders and back, very itchy very red blotchy

Other Meds: pregablin, omprozole and carvidol

Current Illness: n/a

ID: 0972388
Sex: F
Age: 51
State: NC

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 01/25/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: SUDAFED - PALPITATIONS

Symptom List: Chest discomfort, Dysphagia, Pain in extremity, Visual impairment

Symptoms: HYPERTENSIVE URGENCY, BLOOD PRESSURE UP TO 200/110 RANGE AT TIMES, WITH SINUS TACHYCARDIA UP TO RATES OF 130 BY PATIENT REPORT

Other Meds: ALBUTEROL ALHFA PRN ASPIRIN 81MG DAILY IBUPROFEN 800MG TID PRN METOPROLOL SUCCINATE 25MG DAILY OLMESARTAN MEDOXOMIL 20MG DAILY OMEPRAZOLE 20MG DAILY

Current Illness:

ID: 0972389
Sex: F
Age: 57
State: IL

Vax Date: 12/30/2020
Onset Date: 01/12/2021
Rec V Date: 01/25/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
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Lab Data:

Allergies: Latex, all seafood, cat, dog, feathers, house dust-mites, mold, Ragweed Corn starch, Kathon-CG-methylchloroisothiazolinone, methylisothiazolinone, Preservatives in skin care prods, shampoos, beware of hand cleanser at hospital, Formaldehyde, avoid fabric softeners, buy inexpensive paper towels or avoid, avoid any morgue exposure and biopsy specimen bottles

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Since receiving vaccine I have been having chest discomfort, but what's new is on Jan. 12, 2021, I started becoming SOB, while walking or doing simple tasks. Prior to vaccine I was fine, started symptoms after vaccine but SOB didn't happen right away, chest discomfort was there. Dds see my primary doctor on Jan. 18, prior to that I did see a doctor on Jan. 7, for chest discomfort that was bothering me. I was started on prednisone on Jan. 18, and to do neb tx at home.

Other Meds: Allegra 180mg, nasonex nasal spray, symbicort, ventolin, daily vitamins, taken daily, but not taken yet the day vaccinated

Current Illness: none

ID: 0972390
Sex: F
Age: 31
State:

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

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: No known drug allergies

Symptom List: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: ED notes as follows: 31 y.o. female who arrived to the emergency department for Vaccine reaction. The patient presented to the ED after getting her second COVID vaccination. She reports feeling confused, nauseous, and having a racing heart. She has never had a reaction like this before. She reports having a tickling sensation in the back of her throat and both hands feel like they are tingling. The patient denies any other known allergies. The patient has a past medical history of anxiety, depression, PTSD, prior conversion disorder. Patient denies any shortness of breath or chest pain but does report a headache. The patient denies any drug use, alcohol use, tobacco use. Patient has no other complaints at this time. The patient was given Benadryl, Epi, solumedrol, for anaphylactic-like presentation. Patient also began on fluids and Zofran for possible vaccine reaction. Patient symptoms began to improve over the course few hours. At the 3-1/2-hour mark after initial arrival to emergency department the patient began to have similar symptoms to her initial presentation with tachycardia, dry heaving, and finger tingling. The patient was also hyperventilating. The patient was given 1 mg Ativan which relieved her tachycardia had resolved her hyperventilation signifying possible anxiety component to symptoms. Patient was allowed to relax for 20 to 30 minutes at which time she was comfortable and felt like she was okay to discharge home. Patient was instructed to follow-up with her primary care doctor that she could next week. Patient was informed to return to emergency department if new symptoms arise or current symptoms worsen. Dispo: Discharge home with PCP follow up on Monday Initial Vital Signs [01/22/21 1424] Blood Pressure 161/99 Heart Rate 112 Respiratory Rate 24 Temp 36.4 ?C (97.6 ?F) Temp src Oral SpO2 99 %

Other Meds:

Current Illness:

ID: 0972391
Sex: M
Age: 73
State: TX

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/25/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
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Lab Data:

Allergies:

Symptom List: Chills, Confusional state, Eye inflammation, Headache, Laboratory test

Symptoms: Report chills and fever of 101.8 7:30 pm that evening. Treatment: Advil, Outcome: complete resolution of symptoms the next morning. Did not interfere with ADLs.

Other Meds:

Current Illness:

Date Died: 01/25/2021

ID: 0972392
Sex: F
Age: 78
State: IL

Vax Date: 12/30/2020
Onset Date: 01/02/2021
Rec V Date: 01/25/2021
Hospital: Y

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Patient sent to hospital 1/2 and 1/5. Returned both times to nursing home covid unit without a hospital admission. Resident had been diagnosed with COVID later in the day on 12/30, when routine testing PCR results returned to facility, after resident had already had her first covid vaccination on 12/30/20 in the morning. Resident continued decline, was again sent to hospital on 1/24/21, and expired in hospital 1/25/21.

Other Meds:

Current Illness: Left femur fx 12-7-20 UTI 12-7-20

ID: 0972393
Sex: F
Age: 57
State: FL

Vax Date: 12/29/2020
Onset Date: 01/25/2021
Rec V Date: 01/25/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List: Pharyngeal swelling

Symptoms: Patient was diagnosed with Bell's Palsy

Other Meds:

Current Illness:

Date Died: 01/20/2021

ID: 0972394
Sex: M
Age: 65
State: CA

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/25/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: Unknown

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Died about 24 hours later

Other Meds:

Current Illness: Unknown

ID: 0972395
Sex: F
Age: 30
State: CA

Vax Date: 01/23/2021
Onset Date: 01/23/2021
Rec V Date: 01/25/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Lightheaded, weakness

Other Meds:

Current Illness:

ID: 0972396
Sex: F
Age: 76
State: CA

Vax Date: 01/16/2021
Onset Date: 01/22/2021
Rec V Date: 01/25/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: Azithromycin, Diltiazem - all-body rash Pain meds - paradoxical reaction

Symptom List: Vaccination site erythema, Vaccination site pruritus, Vaccination site swelling

Symptoms: Day 2 - Sore arm, fatigue Day 6 - fatigue Day 7 - extreme fatigue Day 8 - 100.2 temp, aches, chills, stomach ache, mild diarrhea Day 9 - fatigue, mild diarrhea, but no temp, aches, or chills

Other Meds: Serevent, Incruse, Remeron, Singulair, Multi-Vitamin, Omega 3 Fish Oil, Vit D, Vit C, Vit B12, Magnesium, Selenium

Current Illness: none

ID: 0972397
Sex: F
Age: 90
State: UT

Vax Date: 01/20/2021
Onset Date: 01/24/2021
Rec V Date: 01/25/2021
Hospital:

Vax Type:
Manufacturer:
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Vax Route:
Vax Site:

Lab Data:

Allergies: n/a

Symptom List: Rash, Urticaria

Symptoms: mother had rash on back left side, shoulder blade to rib cage

Other Meds: vitamin b12 5000mcg, calcium carbonate 600mg, vitamin c 1000 mg, occulite, vitamin d3, 2000iu, senna-plus

Current Illness: n/a

ID: 0972398
Sex: U
Age: 27
State: OR

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 01/25/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: multiple

Symptom List: Blood pressure decreased, Chest pain, Chills, Confusional state, Decreased appetite

Symptoms: mild pruritis to face and chest. No rash

Other Meds: none

Current Illness: none

ID: 0972399
Sex: F
Age: 37
State: OH

Vax Date: 12/27/2020
Onset Date: 01/13/2021
Rec V Date: 01/25/2021
Hospital: Y

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List: Dyspnoea, Fatigue, Feeling abnormal, Head discomfort, Headache

Symptoms: Began medication (follitropin 200 units) for assisted reproductive technology on evening of 01/02/21. Added ganirelix injections on 01/06/21. Trigger injection with leuprolide administered at 20:00 on 01/11/21. Immediately prior to oocyte retrieval on 01/13/21, given 1L IVF and ampicillin (dose unknown) at approx. 07:30am. Retrieval at 08:00am was uneventful, but notable for 17 oocytes retrieved and only 10 were mature. Post-procedure vitals were WNL. Discharged home from facility (Family Health Center) at approx. 09:30am. At approx. 12:00pm, noted increasing abdominal girth. At approx. 14:00, noted mild shortness of breath. Abdominal distention and shortness of breath continued to worsen. Unable to recline even moderately due to difficulty breathing.

Other Meds: prenatal vitamin

Current Illness:

ID: 0972400
Sex: M
Age: 64
State: NM

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/25/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: none

Symptom List: Heart rate decreased, Heart rate increased, Hypertension, Injection site pain, Musculoskeletal chest pain

Symptoms: Fever, 39, rigors, myalgias 24 hours, fatigue 48 hrs

Other Meds: Chlorthalidone, Losartan, fluoxetine

Current Illness: HTN depression

ID: 0972401
Sex: F
Age: 61
State: CO

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/25/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: penicillin

Symptom List: Nausea, Pain, Pain in extremity, Paraesthesia oral, Pyrexia

Symptoms: Sore arm , chills, body aches, nausea, diarrhea, fatigue. 72 hours

Other Meds: amlodipine, lisinopril, ezetimibe

Current Illness: none

ID: 0972402
Sex: M
Age: 57
State: NY

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 01/25/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: no

Symptom List: SARS-CoV-2 antibody test, SARS-CoV-2 test negative

Symptoms: vomiting x 3, sleeoy

Other Meds: linzess, alendronate, quetiapine, divalproex, sucralfate, , omeprazole, tylenol, lamotrigine, folic acid, risa-BID, calcium citrate, carbamide peroxide, multivitamin

Current Illness:

ID: 0972403
Sex: F
Age: 40
State: CA

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

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Headache and nausea 20 minutes after vaccine given - baseline history of nausea. Resolved after lying supine and a glass of water.

Other Meds:

Current Illness:

ID: 0972404
Sex: F
Age: 23
State: GA

Vax Date: 01/21/2021
Onset Date: 01/23/2021
Rec V Date: 01/25/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: Tree nuts

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: covid vaccine 1/21, 24hrs latere developed tach, dysphagia , difficulty swallowing, difficulty speaking, weakness left side of face and progressive weakness LUE. and SOB

Other Meds: Acetaminophen, Cefuroxime, Dalteparin, Diphenhydramine, ergocalciferol, Famotidine, Gabapentin, insulin, Melatonin, methylprednisolone, rituximab, ondansetron, sertraline, trazodone

Current Illness: neuromyelitis optica, UTI, neuropathic pain, neurogenic bowel, neurogenic bladder

ID: 0972405
Sex: F
Age: 32
State:

Vax Date: 01/22/2021
Onset Date: 01/23/2021
Rec V Date: 01/25/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: None

Symptom List: Blood pressure increased, Chest discomfort, Heart rate increased

Symptoms: Extreme fatigue, muscle/ joint pain. Unable to get out of bed for most of the day. I am still fatigued, it feels like having COVID again.

Other Meds: Xanax at night

Current Illness: none

ID: 0972406
Sex: M
Age: 83
State: LA

Vax Date: 01/20/2021
Onset Date: 01/23/2021
Rec V Date: 01/25/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: no known allergies

Symptom List: Injection site erythema, Injection site pruritus, Injection site swelling, Lymph node pain, Lymphadenopathy

Symptoms: 3 days after getting first Moderna vaccine, he experienced dizziness and falling. He fell at least 3 or 4 times and is now using a walker to prevent falls. He had not used a walker before. He had not seen his doctor,but was encouraged to make an appointment to see if he has fluid in his ears, etc. He reports no nausea or broken bones. I will foolw-up with him at the end of this week to check progress. He states some improvement.

Other Meds: Benezapril 10mg, Bystolic 5mg, Clopidogrel 75mg, Nitroglycerine if needed, but never took any.

Current Illness: none

ID: 0972407
Sex: M
Age: 52
State: MS

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/25/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: Paxil, Statins

Symptom List: Unevaluable event

Symptoms: Headache, diarrhea, fatigue, Pounding Heart, Muscle/joint pains, stomach cramps, sore/swollen throat, difficulty swallowing, trouble staying awake, gassy

Other Meds: Victoza, Lisinopril, Jardiance, Synthroid, Aspirin, Trazodone, Amlodipine Besylate, Escitalopram, donepezil

Current Illness:

ID: 0972408
Sex: F
Age: 69
State: IL

Vax Date: 01/13/2021
Onset Date: 01/23/2021
Rec V Date: 01/25/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: Pneumococcal 23-valent Polysaccharide

Symptom List: Chills, Dizziness, Injection site pain, Myalgia, Pyrexia

Symptoms: Red rash, bumpy area to site. approximately 10 days later.

Other Meds: ALPRAZolam, Polyethylene,calcium carbonate-Vit D. budesonide, Stool Softner, Allergra, Multivitamin

Current Illness: none

ID: 0972409
Sex: F
Age: 68
State: NC

Vax Date: 01/01/2021
Onset Date: 01/23/2021
Rec V Date: 01/25/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: Aspirin Some antibiotics

Symptom List: Injection site pain, Pain

Symptoms: Sore arm first two days. No reactions next 5 days. Red rash at injection site 7 days later beginning in the middle of the night . 4x4 red swollen itchy area next two days. Delayed reaction cleared by 1/25.

Other Meds: Humalog insulin by pump Levoxyl 88 mcg Pravastatin 40 mg Azopt Eye Drops Zioptan Eye Drops Multivitamin, Citrical + D, Vit D, Flax Seed Oil

Current Illness: None

ID: 0972410
Sex: F
Age: 31
State: MS

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/25/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: citrus

Symptom List: Injection site pain, Menorrhagia

Symptoms: Cellulitus that blew up with what they called a secondary staph infection.

Other Meds: Humalog insulin, Lisinopril

Current Illness:

ID: 0972411
Sex: F
Age: 44
State: FL

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 01/25/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: NuvaRing, shellfish

Symptom List: Arthralgia, Chills, Headache, Mobility decreased, Myalgia

Symptoms: Tingling around the mouth, throat swelling, and bronchospastic cough

Other Meds: Fluoxetine, Symbicort inhaler, Spiriva Respimat inhaler, albuterol inhaler, cetirizine, montelukast, fluticasone nasal spray, sumatriptan

Current Illness: n/a

ID: 0972412
Sex: F
Age: 43
State: WA

Vax Date: 01/08/2021
Onset Date: 01/11/2021
Rec V Date: 01/25/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: Ceclor, Percocet

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Moderna COVID-19 Vaccine EUA - 3 Days post administration developed severe headache/ nausea - lasted 7 days , then onset of extreme fatigue and shortness of breathe lasted 7 days. 15 days post administration symptoms subsided

Other Meds: Estradiol 1mg

Current Illness: N/A

ID: 0972413
Sex: M
Age: 36
State: WA

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 01/25/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: NKA

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Patient (doctor) came into healthcare facility room and stated he did not have his card and still wanted his second dose. Dose was given by RN on 1/21/21 before double checking the record of when patient's first dose was. His first dose was on 1/5/21, sixteen days prior. No treatment was given. Normal side effects were described by patient after returning to work the following Monday after the vaccination.

Other Meds: unknown

Current Illness: Unknown

ID: 0972414
Sex: F
Age: 35
State: NJ

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/25/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List: Headache, Heart rate increased, Injection site erythema, Injection site pain, Injection site swelling

Symptoms: Chills, body aches, fatigue, night sweats

Other Meds:

Current Illness:

ID: 0972415
Sex: F
Age: 39
State: MS

Vax Date: 01/22/2021
Onset Date: 01/23/2021
Rec V Date: 01/25/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: Penicillin

Symptom List: Nausea

Symptoms: Woke up 7am Sat 1/23/21 with muscle aches, headache, pain behind my eyes, fatigue, nausea and chest pain. Drank 1 liter of water and took 600mg of Advil. symptoms resolved at 8am until around 12pm. At 12pm symptoms returned and I took another 600mg of Advil. Symptoms did not resolve until around 2pm. At 3pm, symptoms had returned. I took another 600mg of Advil around 5pm. Symptoms did not resolve until around 7pm. I went to sleep at 8pm

Other Meds: Advil, Multivitamin, Vitamin D (1000 iu)

Current Illness: none

ID: 0972416
Sex: F
Age: 40
State: NJ

Vax Date: 01/18/2021
Onset Date: 01/18/2021
Rec V Date: 01/25/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: Pencillin

Symptom List: Injection site pain

Symptoms: Pt called for assistance, stated feeling warm and felt faint. Pt asked for water. Face flushed, neck and upper chest slight redness. slef ambulated to medical tent. Pt was d/c by physician after feeling better

Other Meds: HCTZ, Metroprlol

Current Illness: N/A

ID: 0972417
Sex: F
Age: 60
State: NJ

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 01/25/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: CAT Scan Dye penicillin

Symptom List: Injection site induration, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: pain in left arm right away: 6:20 pm 1/21 starting tylenol next day 1/22 start with fever, achy, headache,fatigue, fever, lightheaded all day and night.. my arm was still sore. ...through the day 99.7 about 9pm 1/22 fever was 102.7 starting ibuprofen fatigue, fever, achy, headache, light headed. 1/23 fever 99.6 took tylenol symptoms same as above. 1/24 no fever, just achy, fatigue and headache.

Other Meds: nexium 20 mg flonase victoza 1.8 lexapro 20 mg wellbutrin 150 XL sythyroid 50 famotodine 40 asprin 81 atorvastatin 20 mg singular 20 trazadone 50 for sleeping

Current Illness: none

ID: 0972418
Sex: F
Age: 47
State: NE

Vax Date: 01/22/2021
Onset Date: 01/24/2021
Rec V Date: 01/25/2021
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Allergies: Codeine

Symptom List: Chills, Dizziness, Nausea, Pain, Tachycardia

Symptoms: Sunday evening, January 24, 2021 ? I noticed I had a red rash/patch (that is warm to the touch) about 2 inches under my vaccine injection site. It is roughly 2? in diameter, however it is not a perfect circle. I may have had it all weekend, but I did not notice it until Sunday evening. Additionally, my arm/muscle became very sore the evening of the vaccine, but I knew that was a common side effect.

Other Meds: Variety of OTC vitamins Rx: Macrobid, Omeprazole & Lorazepam

Current Illness: None

ID: 0972419
Sex: F
Age: 54
State: TX

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 01/25/2021
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Symptom List: Tremor

Symptoms: CHILLS, TEMP 99.6, SWOLLEN, TENDER LYMPH NODES UNDER ARM OF INJECTION SITE, NOT FEELING WELL ALL OVER; HIGHEST TEMP = 101.3

Other Meds:

Current Illness:

ID: 0972420
Sex: F
Age: 51
State: CA

Vax Date: 12/27/2020
Onset Date: 12/27/2020
Rec V Date: 01/25/2021
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Symptom List: Erythema, Pruritus

Symptoms: The shot didn't hurt. I sat for about 25 minutes, but when I got up and walking I started feeling a lot of pain. I didn't say anything I just kept on going to see if it went away. I went home and was in a lot of pain while driving. I went home took my medication and went to sleep. Woke up in the morning and pain went away, the medication worked. I went to my Dr., went I left I started feeling nausea, dizzy and weak. I went to my sister's house and was in pain and laid down. I was cold and freezing and felt like I have Covid. I asked my sister to get me a trash bag a nd wash the blankets because I thought I had Coivd. I drove home and called my boss and told him I can't walk, I feel so bad, sweating and I was burning up, cold and hot. I cant move I cant move. I stayed in my car until I can move. I made it inside my house and laid there and was burning up, cold hot, in pain, dizzy, everything was going on. I felt like a Mac truck hit me hard, like when I had Covid. I took Medicine and went to sleep. I woke up the next morning (Saturday) and my temp. was 101-102, I stayed in bed and later in the evening went away like it never happened. The same thing happened when I had the Covid. I had Covid July 31, 2020 and lasted for 5 weeks. It felt like the worst days like when I had Covid, I was going to call out to my job but it went away and I went to work.

Other Meds: Cymbalta Texerol Naproxen Asprin-81 mg Vitamin B3

Current Illness:

ID: 0972421
Sex: F
Age: 44
State:

Vax Date: 01/08/2021
Onset Date: 01/18/2021
Rec V Date: 01/25/2021
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Allergies:

Symptom List: Injection site erythema, Injection site induration, Injection site pruritus, Injection site swelling, Myalgia

Symptoms: Lower extremity weakness, dysarthria, presyncope

Other Meds:

Current Illness:

ID: 0972422
Sex: F
Age: 42
State: GA

Vax Date: 12/23/2020
Onset Date: 12/26/2020
Rec V Date: 01/25/2021
Hospital:

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Allergies: No

Symptom List: Cough, Limb discomfort, Pain, SARS-CoV-2 test positive

Symptoms: Initially was just arm soreness and then 3 days later I woke up and noticed swollen glands on my collarbone and on my neck and on the side of my neck on the left side, they were tender and mobile. They got considerably smaller in a week but it took about a 2 weeks and one of them went away I still feel the others. Consulted with PCP who ordered labs. All normal results.

Other Meds: Valtrex 500mg, Vitamin B, Iron, Ibuprofen 800mg (not on the day vaccination but take it on a regular basis)

Current Illness: no

ID: 0972423
Sex: F
Age: 33
State: OK

Vax Date: 01/21/2021
Onset Date: 01/23/2021
Rec V Date: 01/25/2021
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Allergies:

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Dizzy and nausea

Other Meds:

Current Illness:

ID: 0972424
Sex: M
Age: 78
State: TX

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

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Lab Data:

Allergies: No Known Drug Allergies

Symptom List: Injection site erythema, Injection site pain, Injection site swelling

Symptoms: Pfizer-BioNTech COVID- 19 Vaccine EUA:Patient with significant PMHx of alcoholism, AFIB, CHF, COPD, DM, GERD, MI, HTN, pacemaker placement stroke, and hyperlipidemia who presents to the ED with CC of dizziness. Pt states that two days prior he slipped and fell and hit his head, and was unable to ambulate after the fall. Pt denies any LOC, but states he is currently on Xarelto. Pt currently c/o back pain. Pt went for his first COVID-19 immunization 1/22/2021 when he became suddenly dizzy. Patient denies chest pain, shortness of breath, nausea, vomiting, diarrhea, abdominal pain, fever, chills, or any other acute complaints. Progress Note: "Dizziness, near-syncope: Onset following injection of COVID-19 vaccination.

Other Meds: Amlodipine 5 mg daily, Atorvastatin 80 mg daily, Baclofen 10 mg nightly prn, Breo Elipta 100/25 mcg 1 puff daily, clonazepam 1 mg nightly, Colesevelam 1875 mg twice daily, Duloxetine 60 mg twice daily, Esomeprazole 40 mg tice daily, gabapen

Current Illness: Acute Hypokalemia (Serum K = 2.8); S/P Fall 2 days prior

ID: 0972425
Sex: F
Age: 62
State: WA

Vax Date: 01/24/2021
Onset Date: 01/25/2021
Rec V Date: 01/25/2021
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Allergies: unknown

Symptom List: Chills, Feeling cold, Feeling hot, Myalgia, Pain

Symptoms: She is having intense nausea and vomiting. She went to the emergency room today.

Other Meds: unknown

Current Illness: unknown

ID: 0972426
Sex: F
Age: 34
State: TX

Vax Date: 01/23/2021
Onset Date: 01/23/2021
Rec V Date: 01/25/2021
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Allergies: Trazadone (Patient reports she faints)

Symptom List: Pain in extremity

Symptoms: Pfizer-BioNTech COVID- 19 Vaccine EUA EMS states "Pt received 1st covid vaccine dose at the clinic. Had an anaphylactic reaction, SOB, throat swelled, abdominal cramps. Received epi injection and 25mg benadryl. BP 150/70. Was tachycardic but HR currently in the 90's." Patient reports similar reaction when she received an allergy shot. ED Physician Note: "She was given her injection and then within about 2 minutes felt palpitations, lightheadedness, whole body numbness, an odd tongue sensation, and stomach cramping. She was given epinephrine and benadryl" Patient was discharged from ED same day with resolution of symptoms.

Other Meds: Albuterol MDI prn, Cholecalciferol 2000 units daily, Donezepil

Current Illness:

ID: 0972427
Sex: M
Age: 73
State: GA

Vax Date: 01/11/2021
Onset Date: 01/21/2021
Rec V Date: 01/25/2021
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Allergies: None

Symptom List: Abdominal pain upper, Abnormal behaviour, Adverse reaction, Anger, Asthma

Symptoms: No initial reaction. After about 10 days, injection site turned red, with slight swelling. Over the next few days, the area expanded. after four days, the area is about the size of my hand, and feels warm to the touch. There is no pain, nor itching. Thee are no other symptoms - fever, etc. Patient has not contact the clinic where the vaccine was administered, or his physician.

Other Meds: Lisinopril 40mg,Amlodipine Besylate 5mg,Atorvastatin 40mg,PrilosecOTC 20mg,CVS Mens 50+Advanced Multivitamin,Lutein 20mg,

Current Illness: None

ID: 0972428
Sex: F
Age: 69
State: IL

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 01/25/2021
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Allergies: Influenza vaccine, Morphine, Sulfa, Codeine, Cortisone, Prednisone, NSAIDS, Vicodin, Toradol, Lidocaine

Symptom List: Consciousness fluctuating, Crying, Dry skin, Epistaxis, Headache

Symptoms: Patient complained of lips and throat swelling, she also started coughing (dry cough), blood pressure high at 189/112. She was given 100mg of Benadryl and an Epi Pen was used. She recovered well with reactions subsiding and blood pressure down to 159/96.

Other Meds: None

Current Illness: None

ID: 0972429
Sex: F
Age: 68
State: CA

Vax Date: 01/16/2021
Onset Date: 01/25/2021
Rec V Date: 01/25/2021
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Allergies: cipro

Symptom List: Hypotonia, Lethargy, Respiratory rate decreased, Screaming, Skin warm

Symptoms: Delayed reaction. Circular mark at the site of the shot (hadn't shown up till now). Arm red, hot, swollen, itchy, uncomfortable.

Other Meds:

Current Illness:

ID: 0972430
Sex: F
Age: 57
State: CO

Vax Date: 01/22/2021
Onset Date: 01/23/2021
Rec V Date: 01/25/2021
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Allergies: Penicillin, Metformin, Victoza

Symptom List: Vomiting

Symptoms: Swelling at injection site with redness. Welt with fluid/heat still present 72 hours post injection. the swelling is getting better slowly.

Other Meds: Jardiance 25 MG, GlipiZide ER 5 MG, Benazepril-Hydroc .5, Synthroid 150 MCG

Current Illness: None

ID: 0972431
Sex: F
Age: 57
State: CT

Vax Date: 01/13/2021
Onset Date: 01/23/2021
Rec V Date: 01/25/2021
Hospital:

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Allergies: Steroids

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Rash at injection site on 11 day after vaccine

Other Meds: Effexor XR 300mg Omeproxale

Current Illness:

ID: 0972432
Sex: M
Age: 47
State: TX

Vax Date: 01/23/2021
Onset Date: 01/23/2021
Rec V Date: 01/25/2021
Hospital:

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Symptom List: Back pain, Cold sweat, Headache, Nausea, Vomiting

Symptoms: Pfizer-BioNTech COVID- 19 Vaccine EUA Moderna COVID- 19 Vaccine EUA Patient received COVID-19 Vaccine dose #1 as Moderna on December 30, 2020 and dose #2 as Pfizer on January 23, 2021.

Other Meds:

Current Illness:

ID: 0972433
Sex: M
Age: 34
State: TX

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 01/25/2021
Hospital:

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Allergies: None disclosed.

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Medication error; second dose given too soon. Patient failed to disclose that he had received the first dose of Moderna COVID vaccine on 1/3/21. Marked no on the screening tool and answered no to verbal questioning about previous COVID vaccinations.

Other Meds: Unknown

Current Illness: None disclosed.

ID: 0972434
Sex: F
Age: 69
State: MI

Vax Date: 01/12/2021
Onset Date: 01/21/2021
Rec V Date: 01/25/2021
Hospital:

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Allergies: None

Symptom List: Chills, Diarrhoea, Fatigue, Feeling abnormal, Headache

Symptoms: At 6:00 AM, suddenly had severe pain in left side of neck, headache, extreme vertigo, chills and nausea. Multiple sessions of vomiting. Saw rings of colored lights and squigly lines. Took Tylenol and Benadryl per PCP by phone. Dizziness and chills went away in about 12 hours. Still saw squigly lines at night. Much better the next day but queasy for another 24 hours.

Other Meds: Centrum silver vitamins, Renuvites eye vitamins

Current Illness: None

ID: 0972435
Sex: F
Age: 38
State: CA

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/25/2021
Hospital:

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Allergies: NKA

Symptom List: Hot flush, Myalgia, Nausea, Tension headache

Symptoms: Fever of 100.8-101.4 despite tylenol and motrin x 24 hrs, low grade temp 99-100.6 until 50 hrs post vaccine (also with tylenol and motrin), severe body aches and skin sensitivity, pounding persistent headache, racing heart. Localized redness and itchy rash with mild swelling around vaccination site. Continue with skin sensitivity, fogginess, fatigue, and intermittent mild HA at day 5 post vaccine.

Other Meds: Tylenol 1000mg, motrin 400mg

Current Illness: None

Total 2021 VAERS Injuries: 704,237

Page last modified: 26 October 2021 2:21am