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**
PLEASE CHECK BACK SOON
Download the files above while you wait.






Manufacturers

Total Manufacturer

Incidents per State

State Total
72,296
AK1,638
AL5,339
AR3,412
AS44
AZ13,316
CA58,147
CO11,002
CT7,824
DC1,626
DE1,670
FL36,235
FM3
GA13,429
GU82
HI2,195
IA4,332
ID2,473
IL19,261
IN22,568
KS4,284
KY6,945
LA4,714
MA13,886
MD11,901
ME2,997
MH8
MI17,865
MN11,345
MO8,919
MP30
MS2,676
MT2,147
NC15,401
ND1,273
NE2,732
NH2,859
NJ17,232
NM3,702
NV4,071
NY32,763
OH18,072
OK5,940
OR7,954
PA22,457
PR2,104
QM2
RI1,911
SC6,055
SD1,133
TN8,691
TX34,122
UT4,023
VA13,944
VI49
VT1,661
WA13,811
WI10,395
WV2,220
WY805
XB5
XL1
XV2

ID: 0922623
Sex: M
Age: 67
State: NY

Vax Date: 09/08/2020
Onset Date: 09/09/2020
Rec V Date: 01/05/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patients lips swelled and became so numb he was unable to move them. This was his first flu shot ever.

Other Meds: Amlodipine, tizanidine, gabapentin

Current Illness:

ID: 0922642
Sex: M
Age: 0
State: MD

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/05/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: About 15 mins of receiving flu vaccine patient was noted to be irritable then later developed generalized hives. No respiratory distress/lethargy/vomiting noted. Patient was initially given Zyrtec 1.25 ml po but he vomited more than 1/2 of it, was given another 1ml after 7 minutes and was able to keep it down

Other Meds: None

Current Illness: Eczema, had vomiting on day of vaccination presumed to be from overfeeding and car ride

ID: 0922647
Sex: M
Age: 1
State: FL

Vax Date: 12/17/2020
Onset Date: 12/25/2020
Rec V Date: 01/05/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: At site of Varivax vaccine about 1 wk. later, patient developed a bump and then a vesicular lesion (mom took picture w/ cell phone) Then developed vesicular lesions on back.

Other Meds:

Current Illness:

ID: 0922664
Sex: F
Age: 63
State: IL

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/05/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: Approx. 5 hours after vaccine an arrhythmia began + lasted through next day. UpoN waking + standing, I experienced multiple near - syncopal episodes throughout the day. Arrhythmia continued with decreased blood pressure. No fever, vomiting or diarrhea.

Other Meds: Diltiazem, Flecanide, Warfarin, CiTALoPRAn

Current Illness: N/A

ID: 0922699
Sex: F
Age: 54
State: IN

Vax Date: 12/23/2020
Onset Date: 12/26/2020
Rec V Date: 01/05/2021
Hospital:

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

Lab Data:

Allergies: codeine, latex

Symptom List:

Symptoms: Within 72 hrs. of receiving the first dose of her Pfizer vaccine she developed sharp headache unlike any headaches that she has had in the past, located bilateral frontal and on top of her head. Not associated with photophobia, phonophobia, nausea, vomiting, or vision changes, but can be severe enough that she has to sit down

Other Meds: herbal supplements, atenolol 25mg, flecainide 100mg

Current Illness: none

ID: 0922713
Sex: M
Age: 74
State: NE

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/05/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: 6:30am 12/31/20 pt c/o stiffness, dizziness, injectionsite pain, cough, runny ose, mental fog. Temp 100.1. Given 2 tylenol 500mg c/o chills and weakness and fatigue - continues through the day. 7:30 pm pt oriented to person and place but not time could not follow direction to check blood sugar extreme chills. Temp 102.3 called on call internist and was instructed to give 400 mg motrin with 2 tylenol fever roke at 9pm pt was lucid.

Other Meds:

Current Illness: Covid Positive test Nov 27, 2020

ID: 0922725
Sex: F
Age: 74
State: PA

Vax Date: 01/02/2021
Onset Date: 01/02/2021
Rec V Date: 01/05/2021
Hospital:

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

Lab Data:

Allergies: None known

Symptom List:

Symptoms: Sat required 15 minutes on site. Left facility and shopping on way home with my husband, when checking out felt light headed, dizzy - if I would pass out. Once home ate something as had only small breakfast - symptoms passed. Gavie it no more thought until talking with a co-worker. She experienced same thing along with another co-worker

Other Meds: multivitamin - calcium/Vitamin D

Current Illness: No

ID: 0922746
Sex: F
Age: 38
State: VA

Vax Date: 12/31/2020
Onset Date: 01/01/2021
Rec V Date: 01/05/2021
Hospital:

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

Lab Data:

Allergies: Bactrim

Symptom List:

Symptoms: 01/01/2021 - pt developed R arm pain, fever up to 102+ on 01/02/2021 seen in MedXpress - neg covid & rapd covid. Developed significant redness in L upper arm that spread. Fever continued but controlled with tylenol & ibuprofen. Redness, temp & pain improving on visit 01/04/2021.

Other Meds: Singulair; Zyrtec; NuvaRing; ARnuity Elipta; Albuterol inh.

Current Illness: Left ear pain & tenderness 4-5 days - erythma tender on targus

ID: 0922759
Sex: F
Age: 67
State: MA

Vax Date: 01/02/2021
Onset Date: 01/02/2021
Rec V Date: 01/05/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Pt developed cellulitis @ site of injection. Developed later that night. hot & swollen

Other Meds:

Current Illness:

ID: 0922772
Sex: F
Age: 50
State: FL

Vax Date: 01/02/2021
Onset Date: 01/02/2021
Rec V Date: 01/05/2021
Hospital:

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

Lab Data:

Allergies: sulfa

Symptom List:

Symptoms: headache, right arm to leg sore, sweating dizzy, hot & cold, want to throw up, loss of appetite, some chest pain, feel woosy, felt confussed right after vaccine,

Other Meds: Linispril, omphrez, Ioprophen

Current Illness: None

ID: 0922773
Sex: M
Age: 0
State: CA

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/05/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Child received 6 mo imms and flu#1 on 1/4/21 am. About 6pm child had fever, chills and a seizure-like epside. He returned to baseline shortly after the event. He was taken by ambulance to MC ER and discharged with diagnosis of suspected febrile seizure. A follow-up phone visit on 1/5/21 was done. Baby continued to have borderline fever (T99) but was otherwise doing well.

Other Meds: None

Current Illness: None

ID: 0922775
Sex: M
Age: 46
State: UT

Vax Date: 12/17/2020
Onset Date: 12/17/2020
Rec V Date: 01/05/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: I have had whole body myalgias since the first day of the vaccine. I am now 19 days since the vaccine and continue to feel them most of the day. They were the most intense the first weeks but have improved slightly since then. I also have had fatigue during this time period with occasional headaches. I have had lightheadedness for the past week.

Other Meds: sertraline 50mg daily, famotidine 20mg daily, Flonase nasal

Current Illness: None

ID: 0922776
Sex: F
Age: 29
State: PA

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/05/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Vaccine received at 215pm on 12/30/20. Arm pain 8PM. Chills and aches at 10PM. Awoke at 115AM on 12/31/20 with heart rate of 150 beats per minute and chest pain persisting for 30+ minutes. Went to ER at 2AM. Heart rate recorded at ER was 124. Hydroxyzine and fluids given. Patient sent home from ER.

Other Meds:

Current Illness:

ID: 0922777
Sex: F
Age: 68
State: FL

Vax Date: 12/07/2020
Onset Date: 12/07/2020
Rec V Date: 01/05/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: SEVER HEADACHE SEVERE BODY ACHES SEVERE BONE ACHES FEVER FATIGUE - STAYED IN BED 1 WEEK STILL HAVE ISSUES

Other Meds:

Current Illness:

ID: 0922785
Sex: U
Age: 41
State: TX

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/05/2021
Hospital:

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

Lab Data:

Allergies: Cipro (N/V)

Symptom List:

Symptoms: About 5 minutes after vaccine was given, tingling sensation occurred on left arm down to left hand (Thumb, index, middle finger.) Grip is good both hands On 12/31/2020 Patient experienced "Nickle sized welts on her elbow, wrist and stomach. She also experienced more tingling in her left arm. There was 2 welts on her left wrist and 1 welt on her left elbow. The welt on her stomach was on her right side. She took some Zyrtec and applied warm packs. The welts resembled an "ant bite", "raise but no pus" in them. As of today 1/5/2021, They are resolved and patient feels better.

Other Meds: none

Current Illness: none

ID: 0922786
Sex: F
Age: 42
State: NY

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Pt vaccinated at 8:40 Am. Pt reported feelings of warmth, dizziness, and lightheadness 5 minutes post vaccination. Pt assisted to stretcher, B/P 129/95 HR 65 RR 20 O2 Sat 99% RA. Pt hydrated with electrolytes/water. Pt reports prior episodes of same symptoms outside of vaccinations. Pt reported resolution of symptoms after prolonged monitoring. d/c'cd at 10:08 Am.

Other Meds: Synthroid, Vitamins, Zyrtec, Tylenol, OCPS

Current Illness: None

ID: 0922787
Sex: F
Age: 29
State: WI

Vax Date: 01/04/2020
Onset Date: 01/04/2021
Rec V Date: 01/05/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: W/in 10 minutes of receiving vaccine of reported SOB Felt like she couldn't get enough air - removed mask - still SOB - took BP 110/72 @ 1045am- pt waited to make sure she was sure she was having a RxN before taking Benadryl. Took 50mg Benadryl @1115 D/C 1145 Feeling Normal

Other Meds: None

Current Illness: None

ID: 0922788
Sex: F
Age: 69
State: IL

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/05/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

Symptom List:

Symptoms: Fatigue, Headache, Chills, Nausea, joint pain began on Friday Jan. 1, 2021 symptoms started about 0800. All symptoms have continued through today Jan. 4, 2021. Taking tylenol 500mg for headache Symptoms lasted for 4 days

Other Meds: meloxicam 15 mg melatonin 10 mg Tizanidine 4 mg Montalukast 10mg Levothyrox TB 75 mcg multivit

Current Illness: Pain in Lt. gluteus muscle

ID: 0922851
Sex: M
Age: 65
State:

Vax Date: 10/05/2017
Onset Date: 10/06/2017
Rec V Date: 01/05/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Myalgia & whole body aches/pain

Other Meds:

Current Illness: Right shoulder joint pain hypertension hyperlipidemia

ID: 0922936
Sex: M
Age: 36
State:

Vax Date: 10/03/2013
Onset Date: 10/06/2017
Rec V Date: 01/05/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Myalgia, Arthralgia & whole body aches/pain INFLUENZA 0.5 ML ONCE

Other Meds:

Current Illness: Hyperlipidemia PTSD Anxiety Depression

ID: 0922959
Sex: M
Age: 70
State:

Vax Date: 10/20/2017
Onset Date: 11/06/2017
Rec V Date: 01/05/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Myalgia & NauseaVomiting

Other Meds:

Current Illness:

ID: 0922964
Sex: F
Age: 68
State: FL

Vax Date: 09/25/2018
Onset Date: 09/25/2018
Rec V Date: 01/05/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Narrative: swollen face and lips,was classified as angioedema like by medical provider. Reason for Call : Reported that she went to the ER for reaction to flu shot Spoke With : Patient Follow-Up Needed : Was given prescription for benadryl and pepcid. Will order benadryl 25mg every 6 hours as needed,and pepcid 20mg daily to be sent overnight. Patient denied being sent home from the ER with any medication. Was given prescriptions only. Advised to get medications OTC today. If condition gets worse to go back to the ER. Will see patient 9/27/18. Patient stated she verbally understood.

Other Meds:

Current Illness: swollen face and lips,

ID: 0922965
Sex: F
Age: 54
State: FL

Vax Date: 02/27/2019
Onset Date: 03/05/2019
Rec V Date: 01/05/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Narrative: Per nurse; Patient is 54 yo female here today as nurse visit. she is alert and oriented x3, nad. She ambulates self with steady gait unassisted, she denies and chest pain, no sob, no n/v/d. Patient presents with left upper arm area warm and itching, red area measures 18cm x 13cm. She had shingrix dose #1 on 2/27. noticed the red area about one day ago as it became itchy. She denies any facial swelling, no swelling or enlarged lymph nodes in left arm plan: patient evaluated with MD. instructed to take Zyrtec until symptoms resolve. if rash spreads, or develop fever, or developes SOB to go to the ER for further evaluation Symptoms: SkinRash & urticaria Treatme nt:CETIRIZINE N/A

Other Meds:

Current Illness: Patient is 54 yo female here today as nurse visit. she is alert and oriented x3, nad. She ambulates self with steady gait unassissed, she denies any chest pain, no sob, no n/v/d. Patient presents with left upper arm area warm and itching, red area measures 18cm x 13cm. She had shingrix dose #1 on 2/27. noticed the red area about one day ago as it became itchy. She denies any facial swelling, no swelling or enlarged lymph nodes in left arm.

ID: 0922966
Sex: M
Age: 83
State: OH

Vax Date: 07/07/2020
Onset Date: 07/09/2020
Rec V Date: 01/05/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Myalgia & Skin was red, swollen, warm

Other Meds:

Current Illness:

ID: 0922967
Sex: M
Age:
State:

Vax Date:
Onset Date: 09/11/2020
Rec V Date: 01/05/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: & INFLUENZA-LIKE ILLNESS

Other Meds:

Current Illness:

ID: 0922968
Sex: M
Age:
State:

Vax Date:
Onset Date: 09/23/2020
Rec V Date: 01/05/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: & Fever

Other Meds:

Current Illness:

ID: 0922969
Sex: M
Age:
State:

Vax Date:
Onset Date: 09/21/2020
Rec V Date: 01/05/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: RespDepression & Dyspnea

Other Meds:

Current Illness:

ID: 0922970
Sex: M
Age: 55
State: MN

Vax Date: 12/22/2020
Onset Date: 12/23/2020
Rec V Date: 01/05/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Myalgia, Fever, NauseaVomiting & HYPERtension

Other Meds:

Current Illness:

ID: 0922971
Sex: M
Age: 40
State:

Vax Date: 10/06/2020
Onset Date: 10/06/2020
Rec V Date: 01/05/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: SkinRash

Other Meds:

Current Illness:

ID: 0922972
Sex: M
Age: 76
State: MN

Vax Date: 12/22/2020
Onset Date: 12/25/2020
Rec V Date: 01/05/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: ErythemaMultiform

Other Meds:

Current Illness:

ID: 0922973
Sex: M
Age: 80
State: NY

Vax Date: 09/19/2017
Onset Date: 09/22/2017
Rec V Date: 01/05/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: & CELLULITIS CEFTRIAXONE 2 GM EVERY DAY ,CEPHALEXIN 500 MG TID

Other Meds:

Current Illness: None

ID: 0922974
Sex: M
Age: 72
State:

Vax Date: 10/08/2020
Onset Date: 10/09/2020
Rec V Date: 01/05/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Narrative: Per clinic, "The patient is a 72 year old MALE with c/o's of rash after recieving the shingrix shot yesterday morning. He states he developed itching and rash last night . The itchiing kept him up all night long. HE has no difficulty swallowing, no shortness of breath, no swelling of his tongue. Rash allergy to shringx given Medrol dose ack, no systemic signs of illness." Symptoms: Rash & RASH Treatment: METHYLPREDNISOLONE TAKE 6-5-4-3-2-1 TABLETS BY MOUTH AS DIRECTED ON INSTRUCTION SHEET

Other Meds:

Current Illness:

ID: 0922975
Sex: M
Age: 89
State: PA

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/05/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Pt is being treated for suspected pneumonia with antibiotics Fever

Other Meds:

Current Illness:

ID: 0922976
Sex: M
Age: 74
State: NY

Vax Date: 12/21/2020
Onset Date: 12/22/2020
Rec V Date: 01/05/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Fever 100.4 on 12/22/20 13:33 and vomited x 1 on 12/22/20 s/p COVID-19 vaccine received on 12/21/20 @ 15:22. Acetaminophen 650mg administered 12/22/20 @ 17:44 with resolution of symptoms w/in 1-2 days; Vancomycin 1 gm once and Ceftazidime 2gm once post dialysis also given empirically. Fever & NauseaVomiting. ACETAMINOPHEN 650 MG ONCE, VANCOMYCIN 1 GM ONCE POST DIALYSIS ,CEFTAZIDIME 2 GM ONCE POST DIALYSIS

Other Meds:

Current Illness:

Date Died: 12/28/2020

ID: 0922977
Sex: M
Age: 71
State: NY

Vax Date: 12/21/2020
Onset Date: 12/27/2020
Rec V Date: 01/05/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Fever, RespDepression & COVID positive REMDESIVIR (EUA) 200 mg x1 then 100 mg daily

Other Meds:

Current Illness:

ID: 0922978
Sex: M
Age: 71
State: NY

Vax Date: 12/21/2020
Onset Date: 12/23/2020
Rec V Date: 01/05/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Slightly below low grade fever at 99.2F on 12/23/20 @ 1:15 s/p COVID-19 vaccine received on 12/21/20 @ 14:43. Acetaminophen 650mg administered once on 12/23/20 @1:15 with resolution of symptoms by morning 12/23/20 @ 7:30. Fever ACETAMINOPHEN 650 MG ONCE

Other Meds:

Current Illness:

ID: 0922979
Sex: F
Age: 37
State: SD

Vax Date: 09/16/2020
Onset Date: 09/16/2020
Rec V Date: 01/05/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Narrative: Symptoms: Rash & SHORTNESS OF BREATH AND SWELLING OF THROAT Treatment: METHYLPREDNISOLONE 125 MG ONCE ,FAMOTIDINE 20MG MG ONCE

Other Meds:

Current Illness:

ID: 0923145
Sex: M
Age: 62
State: LA

Vax Date: 12/16/2020
Onset Date: 12/16/2020
Rec V Date: 01/05/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Rapid response called at 16:47, Care escalated to ED. Dizziness, Headache, Rash & diaphoresis

Other Meds:

Current Illness:

ID: 0923148
Sex: M
Age: 76
State:

Vax Date: 12/22/2020
Onset Date: 12/26/2020
Rec V Date: 01/05/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Fever & fatigue

Other Meds:

Current Illness:

ID: 0923150
Sex: M
Age: 58
State: NY

Vax Date: 12/28/2020
Onset Date: 12/30/2020
Rec V Date: 01/05/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Fever 100.1F on 12/30/20 13:20 s/p COVID-19 vaccine received on 12/28 @13:03. Acetaminophen 650mg oral liquid administered 12/30 13:30 and 18:42 with resolution of fever. Patient experienced fever 100.1F again on 12/31 @11:31 and refused Acetaminophen; fevers also may be attributed to patient's current abscess/cellulitis Fever & 100.1F ACETAMINOPHEN 650 MG ONCE X 2

Other Meds:

Current Illness:

ID: 0923162
Sex: F
Age: 63
State: IA

Vax Date: 09/28/2020
Onset Date: 10/02/2020
Rec V Date: 01/05/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Narrative: Patient administered 3 vaccines on 9/28/2020, with patient reporting a fever on 10/2/2020 to staff. Patient contacted on 12/4/2020-to review reported side effect. Patient received Pneumococcal PPSV23 (Pneumovax), Shingrix injection (Recombinant Zoster Vaccine) and Influenza Quadrivalent PF (Fluarix) on 9/28/2020, which all have the potential to cause a fever, especially right after administration. Patient indicated a low grade fever, maybe around 101 degrees for up to 4 days after receiving the vaccines, with no other adverse effects noted (esp with 3 vaccines given on one day) Patient would prefer to avoid the flu vaccine in the future.

Other Meds:

Current Illness:

ID: 0923173
Sex: M
Age: 66
State:

Vax Date: 10/06/2020
Onset Date: 10/16/2020
Rec V Date: 01/05/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: & SKIN IRRITATION

Other Meds:

Current Illness:

ID: 0923206
Sex: M
Age: 91
State:

Vax Date: 12/22/2020
Onset Date: 12/24/2020
Rec V Date: 01/05/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: & injection site redness

Other Meds:

Current Illness:

ID: 0923533
Sex: M
Age: 77
State: NY

Vax Date: 12/28/2020
Onset Date: 12/29/2020
Rec V Date: 01/05/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Fever 99.6F on 12/29/20 @22:41 and on 12/31/20 @03:52 s/p COVID-19 vaccine received on 12/28/20 @13:39. Patient is on standing Acetaminophen 650mg q6h for pain/fever. Acetaminophen 650mg administered 12:29 @22:41 and 12/31 @06:02 with resolution of symptoms. Fever ACETAMINOPHEN 650 MG QID FOR PAIN/FEVER

Other Meds:

Current Illness:

ID: 0923534
Sex: F
Age: 65
State: SD

Vax Date: 12/28/2020
Onset Date: 12/29/2020
Rec V Date: 01/05/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Myalgia

Other Meds:

Current Illness:

ID: 0923535
Sex: F
Age: 89
State:

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Diarrhea

Other Meds:

Current Illness:

ID: 0923536
Sex: M
Age: 42
State:

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/05/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Headache & Rash DIPHENHYDRAMINE 50 MG QID

Other Meds:

Current Illness:

ID: 0923537
Sex: M
Age: 73
State:

Vax Date: 12/23/2020
Onset Date: 12/23/2020
Rec V Date: 01/05/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Headache & FACIAL FLUSHING

Other Meds:

Current Illness:

ID: 0923538
Sex: M
Age: 93
State: MN

Vax Date: 12/22/2020
Onset Date: 12/23/2020
Rec V Date: 01/05/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Myalgia, Fever & ErythemaMultiform

Other Meds:

Current Illness:

ID: 0923539
Sex: M
Age: 85
State: NY

Vax Date: 12/28/2020
Onset Date: 12/29/2020
Rec V Date: 01/05/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Low grade fever 99.2 on 12/29/20 09:23 s/p COVID-19 vaccine received on 12/28 @13:05. Acetaminophen 650mg oral liquid administered 12/29 05:11 and 13:56 with resolution of fever (patient on standing q8h order for pain/fever) Fever & 99.2F ACETAMINOPHEN 650 MG TID VIA PEG

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 599,999

Page last modified: 03 October 2021 5:28pm