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: 0974869
Sex: F
Age: 66
State: IL

Vax Date: 01/13/2021
Onset Date: 01/23/2021
Rec V Date: 01/26/2021
Hospital:

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

Lab Data:

Allergies: sulfa

Symptom List: Dysphagia, Epiglottitis

Symptoms: January saturday 23rd woke up lt arm itched, upper arm 2x3 inches was red by muscle area, called dr. and left message. 24th morning red had expanded, called dr. again and left message. 25th area grew again 3x4 upper left arm to shoulder. Called dr. again, came in for appt. Went to Dr. it was looked at and picture taken, thought it might be cellulitis, prescribed Cephalexin 500mg. 1 3 times a day. Drew an outline on arm.1/26/21 redness expanded and growing. Has taken Cephalexin, hydrocortisone, thyroid medication, sinus migraine medicine on 1/26/21. Doesn't hurt but has hotness intermittent. Took Ibuprofen before bed on Friday evening.

Other Meds: levothyroxine, hydrocortisone, omeprazole, but/acetam/caff 50-325-40, multivitamins, Sudafed

Current Illness: n/a

ID: 0974870
Sex: F
Age: 40
State: IN

Vax Date: 01/24/2021
Onset Date: 01/25/2021
Rec V Date: 01/26/2021
Hospital:

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

Lab Data:

Allergies: PCN, sulfa

Symptom List: Anxiety, Dyspnoea

Symptoms: body ache, fatigue

Other Meds: sertraline, Lo-estrin FE

Current Illness: none

ID: 0974871
Sex: M
Age: 47
State: MO

Vax Date: 12/22/2020
Onset Date: 12/23/2020
Rec V Date: 01/26/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Within 24 hours patient experienced injection site pain, fatigue, headache, joint pain, chills, and fever. Employee took IBU and that helped.

Other Meds:

Current Illness:

ID: 0974872
Sex: F
Age: 47
State: WA

Vax Date: 12/17/2020
Onset Date: 12/20/2020
Rec V Date: 01/26/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: My left eye turned red. I went to the doctor on 12/21, 12/23 it was not better. I woke up in tears because it was so painful. I went to the doctor again, they said it looked like inflammation of the iris. On 12/26 is saw an eye doctor that said it was episquaritis. I had a follow up appointment on 01/11 with the eye doctor he found out I have nodular degeneration. I had a follow up on 01/25 and was referred to a cornea specialists. This all started post vaccine. I have not history of eye problems.

Other Meds: No

Current Illness: No

ID: 0974873
Sex: M
Age: 70
State: TX

Vax Date: 01/24/2021
Onset Date: 01/24/2021
Rec V Date: 01/26/2021
Hospital:

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

Lab Data:

Allergies: no

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

Symptoms: Irregular heart beat about ever 15 seconds since I had the vaccine

Other Meds: fish oil

Current Illness: none

ID: 0974874
Sex: F
Age: 64
State: MA

Vax Date: 01/09/2021
Onset Date: 01/09/2021
Rec V Date: 01/26/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: c/o arm tingling after injection, 78-16-114/76 98% RA 1c/o R ear fullness, denies dizziness-A&Ox3, 77-18-120/7 ; full ROM noted-provided ginger ale 1016 78-18-112/61-97% RA R arm continues with "hot wire on 1/2 of Right forearm, continues feeling dizzy but not worse, using Zailo patch for pain control x 2 weeks; at 10:22, 74-18-110/59-98% A&Ox3, Right ear fullness/dizziness improving ; at 10:32 71-18-119/63-99% reports decreased ear fullness dizziness, more normal feeling on RFA, full ROM; @ 10:41, 71-18-102/56-98% denies dizziness or arm burning, ear fullness gone, no n/v

Other Meds:

Current Illness:

ID: 0974875
Sex: F
Age: 80
State: OK

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/26/2021
Hospital:

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

Lab Data:

Allergies: PENNICILLIN LEVAQUIN MACROBID DOXYCYCLINE CEFAZOLIN ROCEPHIN PREVNAR 13

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: High fever 103 degrees; Arm totally immobile with severe pain; Lethargy; Headache; Chills; Same symptoms as when I had Covid in March 2020

Other Meds: Caltrate 600 +D3 Fish oil Glucosamine Turmeric Magnesium Multi vitamin/mineral Biotin Probiotic Vitamin D3 Zyrtec

Current Illness: None

ID: 0974876
Sex: F
Age: 64
State: IL

Vax Date: 01/24/2021
Onset Date: 01/24/2021
Rec V Date: 01/26/2021
Hospital:

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

Lab Data:

Allergies: Sulfa drugs, Stephens-Johnson reaction to Bactria in 2015.

Symptom List: Pharyngeal swelling

Symptoms: 40 minutes after receiving vaccine had severe warmth and intense redness to the face and scalp with increased heart rate. Returned to clinic immediately. Vital signs monitored and suggested transport to ER. Family member drove me to ED. Treated in ED and received IV push Prednisone and Benadryl. Discharged 3 hours after being treated in ER. Severe redness subsided after receiving Benadryl and Prednisone.

Other Meds: Azelestatine nasal spray, Fluticasone nasal spray, Fexofenadine, Montelukast, Atorvastatin, Levothyroxine, Esomeproazole Magnesium, MVI, Lorazepam, Citracal, Aspirin 81 mg coated., Citracal

Current Illness: None

ID: 0974877
Sex: F
Age: 68
State: FL

Vax Date: 01/15/2021
Onset Date: 01/23/2021
Rec V Date: 01/26/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Day 8 post vaccination - 4"x3" area surrounding vaccination site red, swollen, hot, itchy - measured 4 degrees hotter than same site on opposite arm. Day 9 - no improvement, was worse. Day 10 - much resolved - redness reduced, cooler, slightly itchy. Day 11 - symptoms resolved. Consulted doctor by phone but did not have office visit. No fever or other systemic symptoms throughout the event

Other Meds:

Current Illness:

ID: 0974878
Sex: F
Age: 59
State: MT

Vax Date: 01/12/2021
Onset Date: 01/15/2021
Rec V Date: 01/26/2021
Hospital:

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

Lab Data:

Allergies: Sulpha, Iodine cont, doxycycline, Tequin, Leviquin, morphine

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Bilateral Kidney pain started 49 hours after the injection. Kidney pain increased to severe level (7.5 out of 10) and patient was admitted to the ER 61 hours after the injection. Tests indicate that there was no blood in the urine which ruled out the likelyhood of kidney stones. tests also indicated there was no evidence of kidney infection. Tests did indicate dehydration. Two tylenol and IV fluids were administered. The kidney pain did not increase. Patient was released. The pain subsided over the next three days.

Other Meds: Armor Thyroid

Current Illness: N/A

ID: 0974879
Sex: F
Age: 59
State:

Vax Date: 01/04/2021
Onset Date: 01/06/2021
Rec V Date: 01/26/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Pruritus / Rash.

Other Meds:

Current Illness:

ID: 0974880
Sex: F
Age: 66
State: MD

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

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

Lab Data:

Allergies: None

Symptom List: Rash, Urticaria

Symptoms: 12 hours post vaccination - Rigors 22 hours post vaccination - Nausea, syncope, loss of consciousness for ~ 1 minute Treatment - Tylenol Observed by husband (physician)

Other Meds: Atenolol, lisinopril

Current Illness: None

ID: 0974881
Sex: F
Age: 33
State: MO

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

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

Lab Data:

Allergies:

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

Symptoms: Patient is 26 weeks pregnant, reports injection site pain, fatigue, and light headedness.

Other Meds:

Current Illness:

ID: 0974882
Sex: F
Age: 45
State: NY

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 01/26/2021
Hospital:

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

Lab Data:

Allergies: seafood

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

Symptoms: throat tightening, dizziness, difficulty swallowing

Other Meds: none

Current Illness: none

ID: 0974883
Sex: F
Age: 68
State: OK

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

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

Lab Data:

Allergies: Sulfa

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

Symptoms: Swollen the size of a golf ball, warm to touch. It is raised

Other Meds: Baby aspirin, folic acid, multivitamin,fish oil,calcium, Allegra, famotidine, citslopram, hydrichlorothiazide, amlopdipine, atorvastain, oxybutznin, montlukast, amoxicillin, levothyroxin, carvedilol

Current Illness: Ear inflection

ID: 0974884
Sex: M
Age: 58
State: OH

Vax Date: 11/04/2020
Onset Date: 11/04/2020
Rec V Date: 01/26/2021
Hospital:

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

Lab Data:

Allergies: latex and surgical tape

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

Symptoms: was told you were technics shot and that night i had nausea, diarrhea, had fatigue and brain fog, the next day i notice i had high pulse rate .no vomiting, headache on the left side of my head and after 4 or 5 days it went to the right side for a couple of days and then went away, When i move around my heart rate gets high and i get dizzy.

Other Meds: gabapentin

Current Illness:

ID: 0974885
Sex: F
Age: 59
State: MA

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

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

Lab Data:

Allergies:

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

Symptoms: Metal taste in mouth directly after administration of vaccine, no airway changes.

Other Meds:

Current Illness:

ID: 0974886
Sex: M
Age: 25
State: PA

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 01/26/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Minutes after receiving the vaccine he developed dizziness, nausea, and migraine. Symptoms did not subside patient sent to Emergency Room

Other Meds:

Current Illness:

ID: 0974887
Sex: F
Age: 62
State: IL

Vax Date: 01/12/2021
Onset Date: 01/24/2021
Rec V Date: 01/26/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Very slight muscle pain in area starting on 12th day (rcvd 1/12. First symptom 1/24) Slight itching in area on 13th day. That evening checked the area visually and noted slight reddening (about 1.5 inches) and small swelling (approx 1.5 cm diameter) at the edge of the reddened area. Following morning the reddened area was somewhat more defined into a circular area approx 2.5 inches in diameter. The small area was slightly puckered, but still present. Pain and itching were very slight - less than 1 on a 1-10 scale. Both are only present with some movements (pain) and cloth contact/movement (itching).

Other Meds: Metoprolol, Vitamin D, Multi-vitamin

Current Illness: None

ID: 0974888
Sex: F
Age: 35
State: CA

Vax Date: 01/08/2021
Onset Date: 01/10/2021
Rec V Date: 01/26/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Menstrual cycle has been ongoing ? excess bleeding days after shot; severe leg pain.

Other Meds: Blood pressure

Current Illness:

ID: 0974889
Sex: F
Age: 71
State: MO

Vax Date: 12/23/2020
Onset Date: 12/24/2020
Rec V Date: 01/26/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Employee experienced diarrhea, nausea, stomach pain, headache, flushing, no fever. This lasted all day 12/24/2020 and part of the day 12/25/2020.

Other Meds:

Current Illness:

ID: 0974890
Sex: M
Age: 82
State: MO

Vax Date: 01/15/2021
Onset Date: 01/16/2021
Rec V Date: 01/26/2021
Hospital:

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

Lab Data:

Allergies: antihistamines

Symptom List: Unevaluable event

Symptoms: Symptoms for the last 11 days: Body aches, cough, fever - it breaks, then repeats several times a day, very tired & lethargic, can't be up more than 30 minutes at a time.

Other Meds: lisinopril 10 mg, diltiazem 120, Mutlaq 400 mg, jardiance 10 mg, folic acid 1 mg, Montelukast SOD 10 mg, probiotic supplement, CO Q-10, aspirin, B-complex, glucosamine/chondroitin, fluticasone propionate, D-3, fish oil, omega 3-6-9, Xarelto

Current Illness: none

ID: 0974891
Sex: F
Age: 51
State: TX

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

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

Lab Data:

Allergies: Unknown

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

Symptoms: Extreme nerve, bone, & muscle pain. Severe migraine

Other Meds: Vitamin C

Current Illness: None

ID: 0974892
Sex: F
Age: 82
State: NY

Vax Date: 01/16/2021
Onset Date: 01/17/2021
Rec V Date: 01/26/2021
Hospital: Y

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

Lab Data:

Allergies: Morphine, NKFA

Symptom List: Injection site pain, Pain

Symptoms: Presented to ED with complaints of Fever, chills, and myalgia. Symptoms transitioned into lethargy and weakness. Treatments: Physical Therapy for strengthening, lab work, fever reducing medications!

Other Meds: Amlodipine, Celebrex, glucosamine, Hydrochlorothiazide, losartan potassium, hydrocodone, omeprazole, oyster shell vitamin d.

Current Illness: Positive COVID-19 Test on 1/4/2021.

ID: 0974893
Sex: F
Age: 51
State: TX

Vax Date: 01/07/2021
Onset Date: 01/14/2021
Rec V Date: 01/26/2021
Hospital:

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

Lab Data:

Allergies: Unknown

Symptom List: Injection site pain, Menorrhagia

Symptoms: Positive COVID test on 01/14/2021

Other Meds: Unknown

Current Illness: None

ID: 0974894
Sex: F
Age: 17
State: CA

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 01/26/2021
Hospital:

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

Lab Data:

Allergies: NKDA

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

Symptoms: January 26, 2021 Pt w/ adverse reaction after received vaccines Bexsero and Menactra to LD IM. Pt noted to be teary, after 1st vaccine, sitting in red chair. After ma administered 2nd vaccine, pt noted to sway slightly in chair, pt w/ head forwad/ head down, ma/rn//Dr. at side, pt w/ eyes noted to be turning up/ eyelids fluttering. Pt went limp, B wrist started turning inward. Mother at pt's side, per mother pt w/ no hx of sz or fainting w/ vaccines. Pt not responding for approximately10-15 seconds, when pt responsive, slow to respond to RN's verbal questions. After approximately 1 min, pt able to state her name, dob, and where she was at. Pt moved to exam table after about 2-3 min w/ Dr. assistance, pt able to stand and ambulate slowly, Mother cont @ bedside. Pt layed flat, VS taken, VS: bp:122/72, hr: 72, O2Sat: 96% on RA, rr: 18, temp 97.6. Pt laying flat, cool damp cloth applied to forehead, pt instructed to relax, take deep breaths. Pt continued, alert/awake, pt instructed to slowly stand after 15min, able to ambulated to chairs in IZZ waiting area w/ SBA, NAD noted, mother continued at her side. Per pt feeling better. VS cont stable, bp:125/76, hr:70, rr18, o2Sat: 97%, temp 98.2. Per Dr. pt okay to go home w/ Mother. Mother w/ other appt here in clinic w/ Dr. Pt and mother walked over to Faculty side of clinic. Mother/pt instructed to advise staff if pt begins w/ abnormal sx. Mother/pt v/u....................................................................RN January 26, 2021 10:22 AM

Other Meds: None noted in patients medical chart.

Current Illness: Per mother patient has not had any illnesses as of late.

ID: 0974895
Sex: F
Age: 86
State: WV

Vax Date: 01/04/2021
Onset Date: 01/13/2021
Rec V Date: 01/26/2021
Hospital:

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

Lab Data:

Allergies: Cipro Pennicillin Levoquin

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Nine days after receiving first injection, I experienced severe sciatic pain in left leg and to the present time. I am receiving second injection Jan., 29, 2021. Am concerned. Also, to say that my gluteus minimums was torn in 2010, upon taking Ciproflaxin, so I guess is compromised.

Other Meds: Lisinopril. 20mg twice daily Carvedilol. 25 mg. Twicedaily 81 aspirin. Once daily Areds2 ,Preseevision 2 daily

Current Illness: None

ID: 0974896
Sex: F
Age: 71
State: NC

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 01/26/2021
Hospital:

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

Lab Data:

Allergies: lactose

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: pt stated the morning after she received the covid vax that she woke up at 4:00 AM very sick. she stated she had chills, nausea, cotton mouth and he husband was sick from the vax as well so she called 911 . EMS arrived and check vitals and stated with patient for about 30 mins. pt stated her symptoms subsided after about 20 minutes.

Other Meds: none

Current Illness: none

ID: 0974897
Sex: F
Age: 52
State: NJ

Vax Date: 12/28/2020
Onset Date: 01/06/2021
Rec V Date: 01/26/2021
Hospital: Y

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

Lab Data:

Allergies: NKDA

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

Symptoms: Per patient report: Patient works in hospital setting and states that she began feeling numbness of left face at about 1130 on 01/06/2021. Patient walked to ED and while walking, began to have numbness of left arm and leg as well. Patient reports being given Valtrex. Patient was discharged from hospital on 01/07/2021. Patient is being followed by her private provider as well as neuro.

Other Meds: Furosemide 20 mg daily Atorvastatin 10 mg po daily

Current Illness: NOne

ID: 0974898
Sex: F
Age: 32
State: KY

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 01/26/2021
Hospital:

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

Lab Data:

Allergies: Augmentin Vancomycin

Symptom List: Nausea

Symptoms: Facial swelling

Other Meds: Mini pill Postnatal vitamins

Current Illness: Cold sore

ID: 0974899
Sex: F
Age: 28
State: PA

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 01/26/2021
Hospital:

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

Lab Data:

Allergies: Amoxicillin

Symptom List: Injection site pain

Symptoms: Dizziness, shortness of breath, severe migraine, and stiff neck.

Other Meds: Unknown

Current Illness: Was COVID positive in early December 2020.

ID: 0974900
Sex: F
Age: 79
State: GA

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 01/26/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Patient reports 1 day after vaccination, blood pressure rose to 210/120 and patient had to be rushed to ER. Patient was treated in ER and followed up with PCP. PCP advised Patient not to have second dose of Covid-19 vaccination.

Other Meds:

Current Illness:

ID: 0974901
Sex: F
Age: 36
State: MO

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

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

Lab Data:

Allergies:

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

Symptoms: Patient was febrile last night, temp up to 101.5. Feels fine today. (12/23/20)

Other Meds:

Current Illness:

ID: 0974902
Sex: F
Age: 52
State: CA

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/26/2021
Hospital:

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Lab Data:

Allergies: All Antibiotics Wellbutrin Peanuts cetra cipro Benadryl

Symptom List: Tremor

Symptoms: 24 hours after injection, Headache, stomach pain, chills , fatigue, nausea lasted 18-20 hours total

Other Meds: Vesicare Tylenol Ibuprofen

Current Illness: None

ID: 0974903
Sex: F
Age: 33
State: PR

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/26/2021
Hospital:

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Lab Data:

Allergies: NONE

Symptom List: Erythema, Pruritus

Symptoms: Respiratory distress, dizziness, chills, and increase in heart rate.

Other Meds: Vitamin, Caffeine 200 MG, Turmeric

Current Illness: NONE

ID: 0974904
Sex: F
Age: 43
State: AL

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 01/26/2021
Hospital:

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Lab Data:

Allergies: Not applicable

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

Symptoms: Severe jaw and ear pain on left side of face. Diagnosed with neuropathy and possibly early Bell?s palsy from vaccination. The pain started early Friday morning around 2 am and has persisted

Other Meds: Atenolol

Current Illness: None

ID: 0974905
Sex: M
Age: 75
State: ND

Vax Date: 01/19/2021
Onset Date: 01/23/2021
Rec V Date: 01/26/2021
Hospital:

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Lab Data:

Allergies: Aspirin

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

Symptoms: Patient noted sores in his mouth 4 days post vaccine. He mentioned it to a pharmacist who brought it to my attention. No other changes or events happened prior to or after received the COVID-19 vaccine.

Other Meds: unknown

Current Illness: unknown

ID: 0974906
Sex: F
Age: 71
State: CA

Vax Date: 01/24/2021
Onset Date: 01/25/2021
Rec V Date: 01/26/2021
Hospital:

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Lab Data:

Allergies: Pollen

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Tightness in chest and asthma like symptoms. Fatigued and aching

Other Meds: Vitamin D

Current Illness: Had bronchitis 2 weeks before

ID: 0974907
Sex: F
Age: 41
State: GA

Vax Date: 01/15/2021
Onset Date: 01/24/2021
Rec V Date: 01/26/2021
Hospital:

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Lab Data:

Allergies: NKDA

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

Symptoms: Developed warmth, redness, mild tenderness and firmness in the R arm injection site skin and subcutaneous tissues on 1/24, 9 days after injection. It was not raised and no fluctuance was present. As of today, 1/26, it has improved spontaneously, but not completely resolved. [also noted mild tenderness on 1/16 at injection site, but this resolved by day 2, 1/17. ]

Other Meds: omeprazole, synthroid, effexor, Tremfya

Current Illness: None

ID: 0974908
Sex: F
Age: 63
State: IL

Vax Date: 01/13/2021
Onset Date: 01/23/2021
Rec V Date: 01/26/2021
Hospital:

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Lab Data:

Allergies: None

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

Symptoms: 48-72 hours post: sore arm, headache, extreme fatigue, felt feverish with no fever. 10 days post: developed sore muscle with warm, raised, very itchy, red rash on L arm from posterior above deltoid injection site to lower anterior bicep, approx 7 in. long, 2.5 in. wide.

Other Meds: Levothyroxine, rosuvastatin, valacyclovir, aspirin, vitamin D, vitamin B complex

Current Illness: None

ID: 0974909
Sex: F
Age: 63
State: MA

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

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Lab Data:

Allergies: morphine and almonds

Symptom List: Pain in extremity

Symptoms: The next day I developed diziness, chills, headache and achiness all over.

Other Meds: Levothyroxine and sertraline

Current Illness: none

ID: 0974910
Sex: M
Age: 0
State: VA

Vax Date: 01/22/2021
Onset Date: 01/23/2021
Rec V Date: 01/26/2021
Hospital:

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Lab Data:

Allergies:

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

Symptoms: - Here ER F/U for Hives 1/23. - He got 6 month shots _ Pediarix, Prev, Hib Rota - with Synagis on 1/22. - He received Synagis 11/27 and 12/24 with Rota with no reaction.

Other Meds: SYNAGIS

Current Illness:

ID: 0974911
Sex: M
Age: 39
State: VT

Vax Date: 01/24/2021
Onset Date: 01/24/2021
Rec V Date: 01/26/2021
Hospital:

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Lab Data:

Allergies: None

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

Symptoms: Body ache (muscle, headache, stomachache), fatigue, tiredness, nausea

Other Meds: None

Current Illness: None

ID: 0974912
Sex: F
Age: 28
State: FL

Vax Date: 01/16/2021
Onset Date: 01/16/2021
Rec V Date: 01/26/2021
Hospital:

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Lab Data:

Allergies:

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

Symptoms: Upon administration of the vaccine, patient reported 4/10 pain in injection arm, muscle soreness in their neck, and dizziness. Care was managed on-site by EMS and patient refused transport to hospital. Signed refusal of EMS transport states non-urgent acuity at time of discharge.

Other Meds:

Current Illness:

ID: 0974913
Sex: F
Age: 70
State: NC

Vax Date: 01/16/2021
Onset Date: 01/24/2021
Rec V Date: 01/26/2021
Hospital:

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Lab Data:

Allergies: ace inhitators alpha cala

Symptom List: Vomiting

Symptoms: swelling in the right arm red and painful, started cephalexin for seven days

Other Meds:

Current Illness:

ID: 0974914
Sex: F
Age: 57
State: NY

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

Vax Type:
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Lab Data:

Allergies:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Fever of 102.7--day after vaccine, came down with tylenol

Other Meds:

Current Illness:

ID: 0974915
Sex: F
Age: 34
State: AZ

Vax Date: 01/23/2021
Onset Date: 01/24/2021
Rec V Date: 01/26/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: N/A

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

Symptoms: Right arm pain and injection site x 3 days, headache, right side body aches x 3 days. Kidney pain x 2 days.

Other Meds: N/A

Current Illness: N/A

ID: 0974916
Sex: F
Age: 42
State: MO

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/26/2021
Hospital:

Vax Type:
Manufacturer:
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Lab Data:

Allergies:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Patient experienced injection site pain, headache, muscle pain, chills, ran fever, injection site - large area swelling, redness, feverish to touch. Got better after 24 hours.

Other Meds:

Current Illness:

ID: 0974917
Sex: F
Age: 63
State: TX

Vax Date: 12/28/2020
Onset Date: 12/30/2020
Rec V Date: 01/26/2021
Hospital:

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Lab Data:

Allergies: Codeine,penicillin,morphine

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

Symptoms: Two days after my first vaccine, I experienced pain under my right arm and breast. I waited 4 weeks and the pain got worse. Ireceived an ultrasound and mammogram of the right axial and right breast to rule out any concern. I was seen by the radiologist and PA-C that reported no masses. PA-C prescribed Gabapentin for the pain. 100mg qd. I continue to take OTC meds for pain as well.

Other Meds: Metoporol, Simvastin,Amalodopine,Abilify,Zoloft,Prilosec,Spirnolactone

Current Illness: None known

ID: 0974918
Sex: F
Age: 47
State: CA

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

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Lab Data:

Allergies:

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

Symptoms: Patient stated had tingling in hands/feet; headache; observed for 30 minutes then began to c/o chest tightness; swelling on left side of face. 50mg IM diphenhydramine administered per MD; 911 intiated; patient refused transport; sent to triage area - released from triage same day.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 704,237

Page last modified: 26 October 2021 2:21am