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
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: 0975072
Sex: F
Age: 39
State: MA

Vax Date: 01/13/2021
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:

Symptoms: Fatigue, body aches, low grade fever Pregnant DOD 04/11/2021

Other Meds: Prenatal vitamins Baby aspirin

Current Illness: Had covid two weeks prior

ID: 0975073
Sex: M
Age: 64
State: FL

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: None

Symptom List:

Symptoms: Chills,fever of 101.8, night sweats

Other Meds: MVI VITAMIN D

Current Illness: None

ID: 0975074
Sex: F
Age: 92
State: CA

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: Prevacid

Symptom List:

Symptoms: 11:00 pm on day of vaccine had fever, chills, headache, dizziness Next morning had temperature of 102

Other Meds: Atorvastatin. Levothyroxine . Multi vitamins . Calcium

Current Illness:

ID: 0975075
Sex: F
Age: 77
State: NJ

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: DoxycyclineGI Upset, Headache GabapentinDizziness Seroquel [Quetiapine]Headache Sulfa AntibioticsItching, Rash

Symptom List:

Symptoms: patient reports her upper lip began to get numb, feeling like novacaine from the dentist. no swelling or difficulty breathing. then her eyes began to feel dry and her ears feel "swollen inside" but no pain.

Other Meds: ALPRAZolam 0.5 MG tablet 0.125-0.25 mg, oral, Once PRN amoxicillin-clavulanate 875-125 mg per tablet 1 tablet, oral, 2 times daily with meals B Complex Vitamins (B COMPLEX 1 PO) 1 tablet, oral, Daily C

Current Illness: admitted overnight with small right apical pneumothorax after intercostal nerve block for post herpetic neuralgia. She underwent an intercostal nerve block on the right earlier that day and presented with pleuritic chest pain and shortness of breath. Chest x-ray showed a small right apical pneumothorax. She was admitted overnight and by the next morning her pneumothorax had improved. She was discharged home uneventfully not requiring intervention.

ID: 0975076
Sex: F
Age: 54
State: NY

Vax Date: 01/15/2021
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: none

Symptom List:

Symptoms: redness, swelling, pain in arm and chest, diagnosed with infection 7 days after vaccine with fever of 100F

Other Meds: centrum vitamin and acidopholis

Current Illness: none

ID: 0975077
Sex: M
Age: 49
State:

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Rash / Nausea

Other Meds:

Current Illness:

ID: 0975078
Sex: F
Age: 43
State: NY

Vax Date: 01/22/2021
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: Diflucan, ? Hazlenut

Symptom List:

Symptoms: At 08:15, first response was called to tend to a hospital employee at the vaccine clinic as she was unable to swallow and disclosed that she self-medicated using Benadryl 2 hours after her first COVID vaccine d/t symptoms of "scratchy throat" She did not say "yes" to any of the consent questions prior to administration of 2nd vaccine dose to indicate any concerns. Symptoms progressed to difficulty breathing within a few min. and 25 mg of Benadryl IM and Epi 1mg SQ was given on-site. The employee was subsequently transferred to ED at 08:40 am. She was given Decadron 10 mg IV and Famotidine discharged home. Today 1/26, her wheezing/stridor persist and she has schedule to f/u w/ her PCP.

Other Meds: Collgen Supplement, Advair 250/50, Combivent (PRN), Ibuprofen

Current Illness: Moderate Persistent Asthma

ID: 0975079
Sex: F
Age: 81
State: SC

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:

Symptoms: Pt complained of feeling flushed and tightness in her chest. Pt face was visibly red and she began to have blotches down her back. BP 170/84 at 1:30. Benadryl 50mg given IM at 1:40pm. 2 L of O2 via nasal cannula at 1:42pm. On call physician assessed pt at 1:42 at which time pt started complaining of nausea. BP 132/76 @ 1:45pm.

Other Meds: Losartan 25mg tablet Lorazepam 0.5mg tablet Synthroid 50 mcg tablet Nitrostat 0.4mg tablet Phenazopyridine HCl 200mg tablet Hyoscyamine Sulfate 0.125mg tablet

Current Illness:

ID: 0975080
Sex: F
Age: 37
State: DE

Vax Date: 01/12/2021
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: eggs, shrimp, erythromycin, levemir, lantus

Symptom List:

Symptoms: rash around waistline and under armpits - given triamcinolone ointment by physician

Other Meds: metformin, xultophy, actos, tompamax, lisinopril, lipitor, bisoprolol, xyzal, prilosec, seasonique, vascepa, vitamin e, vitamin d, vitamin b complex, vitron c, multivitamin, slofe,

Current Illness:

ID: 0975081
Sex: F
Age: 45
State: VA

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: none

Symptom List:

Symptoms: mild soreness at injection site 3 hours after injection and less sore the next day

Other Meds: Diamox, Contrave, pepcid, advil, Celsius energy drink

Current Illness: none

ID: 0975082
Sex: F
Age: 30
State: MO

Vax Date: 12/23/2020
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:

Symptoms: Patient had red raised area at injection site, warm to touch

Other Meds:

Current Illness:

ID: 0975083
Sex: M
Age: 62
State: OH

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:

Symptom List:

Symptoms: Chills and low grade fever for 19 days after 2nd dose of Pfizer covid vaccine

Other Meds: Tenofovir Allopurinol Omeprazole Vitamin d Candesartan Centrum men

Current Illness:

ID: 0975084
Sex: M
Age: 45
State: VA

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: Codeine Environmental

Symptom List:

Symptoms: Night of injection, arm soreness, chills and fever of 101.6. Afebrile currently but has headache.

Other Meds: Flonase, Zyrtec, Omeprazole

Current Illness: None

ID: 0975085
Sex: M
Age: 42
State: IL

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: Seasonal Allergies

Symptom List:

Symptoms: At approximately 5 minutes after the injection, I experiences a short period of Rapid Heart Rate and a feeling of "Flush"\Warm. This lasted about 1-2 minutes. I did not receive any treatment for this. There was no further outcome to report. After 2 minutes it passed, I remained in the waiting area for an extra 5 minutes following my initial 15 minute observation period and left without incident.

Other Meds: Men's 1-A-Day Multi Vitamin

Current Illness: None

ID: 0975086
Sex: F
Age: 75
State: IL

Vax Date: 01/15/2021
Onset Date: 01/18/2021
Rec V Date: 01/26/2021
Hospital:

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

Lab Data:

Allergies: Feldene, propellants for sinus products, Biaxin, sensitive to quinalones, ibuprofen

Symptom List:

Symptoms: 18 Jan began to have strong lethargy, major muscle (ex: quads, low back, neck & shoulder) soreness which continued and began to lessen on 22nd. Generalized headache. Late 22nd began to itch at upper left arm in area of injection. At bedtime saw 4" x 5" (approx) on arm was quite red, skin tight from swelling, had little additional bumps, hot to touch. Morning 23rd additional area red, hot, swollen just below left collarbone. Also small red spots on low back, thighs, forearms. Former 3 areas itchy. Visit Immediate Care; advised to ice, take Claritin, apply triamcinalone acetoid lotion. Reacted to Claritin; discontinued. Still using ice, lotion. On 19th used Tylenol which did not help. Told it is delayed histamine reaction; still subsiding.

Other Meds: mineral supplement, vitamin D, biotin, B complex, lutein, hyalauronic acid, estradiol cream

Current Illness: None

ID: 0975087
Sex: F
Age: 42
State:

Vax Date: 01/04/2021
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:

Symptoms: Red, raised, itchy rash at the injection site 10 days after injection

Other Meds:

Current Illness:

ID: 0975088
Sex: F
Age: 70
State: TX

Vax Date: 01/16/2021
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: Iodine, Codine

Symptom List:

Symptoms: Redness, slight swelling, pain at injection site that re-started after 7 days. Original ache / redness went away after 3 days.

Other Meds:

Current Illness:

ID: 0975089
Sex: F
Age: 41
State: NY

Vax Date: 01/07/2021
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:

Symptoms: petechial rash above injection site

Other Meds:

Current Illness:

ID: 0975090
Sex: F
Age: 50
State: NM

Vax Date: 01/12/2021
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: PCN

Symptom List:

Symptoms: The day after receiving the second COVID-19 vaccine, I had a massive headache, to the point where I stayed in bed and slept all day. I also noticed that my brain was foggy. The next day I was able to move to the couch, but the headache was still severe with continued brain fog. I called by PCP to see if there was anything that I needed to be doing or taking and she told me that I should start feeling better the next week. The headache remains but is mild. I have memory loss and difficulty concentrating. I am a nurse and over my weekend at work, I had difficulty doing my job because I couldn't keep track of what I was supposed to be doing and had difficulty charting. My coworkers even commented that I seemed "really different", that my memory was poor, I had personality changes (according to one person) and that my standard of care was much less than usual. One person also commented that seemed to not be able to hear her and kept asking her to repeat herself. I find myself having to concentrate harder to see when I am reading or typing something. I missed work on January 14 and 15 because of the mental fogginess and headache. I thought I was doing better, but I realized that I wasn't when I returned to work on January 23 and 24. I have spoken to my PCP on the phone once and am awaiting calls from my PCP and neurologist regarding this event.

Other Meds: Plavix, ASA, metoprolol, isosorbide, ranolazine, gabapentin, tizanidine, Prozac, Metanx, Super B complex, Magnesium, atorvastatin, Colace, Tylenol

Current Illness: none

ID: 0975091
Sex: F
Age: 88
State: CO

Vax Date: 01/20/2021
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: none

Symptom List:

Symptoms: noted erysipelas to right arm during bath on 6th day after vaccine, 10x5cm area below 2cm target area of incision site, warm to touch with clear borders, no systemic symptoms

Other Meds: nystatin, tylenol, dulcolax, atropine sulfate eye drops, artificial tears, milk of magnesia, senna s

Current Illness: intertrigo

ID: 0975092
Sex: F
Age: 39
State:

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:

Symptoms: Patient felt heavy tongue, lump in throat, dizziness, weakness, palpitations shortly after receiving her dose. She was immediately taken to the ED for further evaluation.

Other Meds:

Current Illness:

ID: 0975093
Sex: F
Age: 45
State: MO

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:

Symptom List:

Symptoms: Approx. 12 hours after vaccine fever, chills, headache, buddy aches, stomach cramps, fatigue. Fever and body aches improved within 36 hours. Headache and fatigue continue.

Other Meds:

Current Illness:

ID: 0975094
Sex: F
Age: 45
State:

Vax Date: 01/05/2021
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:

Symptoms: Rash / Pruritus / Muscle Weakness

Other Meds:

Current Illness:

ID: 0975095
Sex: F
Age: 43
State: WI

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:

Symptom List:

Symptoms: Chills, Low grade fever 99.1, body aches

Other Meds:

Current Illness:

ID: 0975096
Sex: F
Age: 54
State: MA

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

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

Lab Data:

Allergies: latex, penicillin, sulfa, MD CT dye, bee stings, poison allergies, walnuts

Symptom List:

Symptoms: first day of injection was sore muscle from injection suite lasted about 3 days just ache and soreness. Jan 20 developed the red raised circle rash at site. about 5 cm. on the 23rd i woke with a rash on the right side of face and neck to my shoulder and across chest. I had a throat swelling sensation and took two doses of Benadryl one at 6:30 and the other at12:30 and that got better.

Other Meds: daily thyroid medicine

Current Illness:

ID: 0975097
Sex: F
Age: 77
State: TN

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: Celexa, Avelox, SSRIs, Tricyclics, Quinolones, Avapro, Levaquin, Cipro, Phenobarbitals, Liquid D, Moxifloxacin, Nitrostat, Neosporin

Symptom List:

Symptoms: Approximately 25 minutes after receiving the vaccine, pt. started c/o headache. Upon assessment, pt. appeared to be weak and lethargic. BP: 130/74, HR: 42, RR: 16, O2 sats: 93-98%. No other symptoms noted at this time. Local EMS was called for assessment. Pt. and daughter decline taking patient to emergency room, but is going to make an appt. with PCP at this time.

Other Meds: Metoprolol 25 mg PO BID, Lisinopril 20 mg PO BID, Lantus 6 units in AM, Novolog inj. sliding scale TID, Singulair 10mg, Vit. D PO daily, Pantoprazole 40 mg PO BID, Memantine, Vit. E PO daily, Fentanyl 25 mcg q 72 hours, Warfarin 5 mg PO onc

Current Illness: None

ID: 0975098
Sex: M
Age: 26
State: NJ

Vax Date: 01/18/2021
Onset Date: 01/19/2021
Rec V Date: 01/26/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: TIREDNESS AND FATIGUE. SLIGHT HEADACHE. TOOK ADVIL.

Other Meds: ADVIL

Current Illness: NONE

ID: 0975099
Sex: F
Age: 70
State: IN

Vax Date: 01/22/2021
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: None

Symptom List:

Symptoms: About 1 p.m. I get fatigued really bad and also some muscle and joint pain. Took two naps went to bed about 10 could not lay on my side arm hurt. When I get up in the morning about 7 a.m. I could hardly get out of bed I was so achy all over. After breakfast I took a Tylenol and then like 4 hours later another Tylenol and took another Tylenol before I went to bed. Got up Saturday morning and I was fine.

Other Meds: Flecainide acetate 100mg one tablet, Centrum Silver women's, Caltrate 600 plus D3, Allegra 180 mg one

Current Illness: None

ID: 0975100
Sex: F
Age: 41
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:

Symptom List:

Symptoms: injection site pain in shoulder right hand is getting painful and stiff, feels numb hard to open fingers and grip

Other Meds:

Current Illness:

ID: 0975101
Sex: F
Age: 58
State: TX

Vax Date: 01/13/2021
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:

Symptoms: Severe chest pain, high BP

Other Meds:

Current Illness:

ID: 0975102
Sex: F
Age: 38
State: MA

Vax Date: 01/15/2021
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: Penicillin, Sulfa drugs

Symptom List:

Symptoms: redness, mild swelling, tenderness to vaccinated arm 9 days after vaccination

Other Meds:

Current Illness: None

ID: 0975103
Sex: F
Age: 40
State: CT

Vax Date: 01/19/2021
Onset Date: 01/19/2021
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:

Symptoms: Fever, chills, myalgias, fatigue, generalized weakness , starting 12 hours after the vaccination and lasting approximately 24 hours, except fatigue lasting 2-3 days

Other Meds: None

Current Illness: None

ID: 0975104
Sex: F
Age: 26
State: WI

Vax Date: 01/21/2021
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: NONE

Symptom List:

Symptoms: Received 2nd dose of COVID-19 vaccine and developed symptoms within 12 hours causing me unable to go to work the next day. Received vaccine 1/21/21 7:45 a.m., missed work 1/22/21. Felt very sick-fever, chills, body aches, headache, vomiting after receiving vaccine.

Other Meds: NA

Current Illness: NONE

ID: 0975105
Sex: F
Age: 49
State: TX

Vax Date: 01/04/2021
Onset Date: 01/08/2021
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:

Symptoms: Positive COVID-19 lab test 01/08/21

Other Meds: Unknown

Current Illness: Unknown

ID: 0975106
Sex: F
Age: 25
State: RI

Vax Date: 01/13/2021
Onset Date: 01/20/2021
Rec V Date: 01/26/2021
Hospital:

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

Lab Data:

Allergies: shellfish

Symptom List:

Symptoms: 30 minutes after itching tongue- self resolved 8 days later super edematous arm with a 6 inch weld that was approximately 1 inch raised off the arm- got bigger over 5 days then went away- Arm would not fit in shirt sleeve

Other Meds: none

Current Illness: none

ID: 0975107
Sex: F
Age: 40
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:

Symptom List:

Symptoms: Second dose given today was Pfizer when first dose was Moderna. Site lead notified. No reactions noted during 15 min observation period.

Other Meds:

Current Illness:

ID: 0975108
Sex: F
Age: 37
State: MO

Vax Date: 12/23/2020
Onset Date: 12/24/2020
Rec V Date: 01/26/2021
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Symptoms: 24 hours after receiving the vaccine patient developed a quarter-size raised bump at the injection site; warm to touch, and red. Has not spread.

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Current Illness:

ID: 0975109
Sex: F
Age: 51
State: KS

Vax Date: 01/14/2021
Onset Date: 01/23/2021
Rec V Date: 01/26/2021
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Allergies: None

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Symptoms: Mild myalgias and headache the day after. On Saturday, January 23rd, I had an hour+long episode of Atrial fibrillation. While I have had other cardiac dysrhythmias throughout my adult life, this is the first time I have had diagnosed Afib. I took one dose of my PRN Propranalol (10mg) orally after a few minutes of the abnormal rhythm. When it didn't convert, I did go to the Emergency Department. My heart converted to normal sinus rhythm while on the monitor but before any other interventions were needed. I have a follow up appointment with my cardiologist tomorrow to determine further care as needed.

Other Meds: Multivitamin, Vitamin C, Vitamin D3, Aspirin (81mg), Biotin

Current Illness: None

ID: 0975110
Sex: F
Age: 31
State: GA

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/26/2021
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Allergies: None

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Symptoms: Symptoms began approximately 6-8 hours after injection and included chills and fever, headache, muscle soreness, nausea, poor appetite. Moderate diarrhea approximately 18 hours after injection. Fatigue and headaches for a week.

Other Meds: None

Current Illness: None

ID: 0975111
Sex: F
Age: 30
State: OR

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 01/26/2021
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Allergies: sulfa

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Symptoms: Around 8pm on the day I was given the vaccine, my heart began to race and lasted for about 1 minute. I was able to breathe deeply and eventually my heart rate slowed down. I had 2 more episodes the next morning. Around 9am. Again I was able to breathe through them. I received the vaccine when I was 18 weeks, 4 days pregnant. I called my OBGYN's office and was told to monitor and register my reaction.

Other Meds: Gummy multi-vitamin, unisom 50mg gel cap

Current Illness: n/a

ID: 0975112
Sex: F
Age: 34
State: NY

Vax Date: 01/13/2021
Onset Date: 01/21/2021
Rec V Date: 01/26/2021
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Allergies: None

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Symptoms: Had onset of itchy rash at the site and just below it on the left arm, improves with Benadryl, worsens with friction or heat. Otherwise well, no fever, no pain at the site, no sign of cellulitis, no systemic allergic symptoms.

Other Meds: None

Current Illness: None

ID: 0975113
Sex: F
Age: 34
State: PA

Vax Date: 01/23/2021
Onset Date: 01/23/2021
Rec V Date: 01/26/2021
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Allergies: No

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Symptoms: Pain on the injected arm started one hour after the shot but got worst after a few hours. The pain was very intense for the first 24 h and gradually improve after that until on the third day after the shot is was completely gone. Also the first night I felt weak, had chills, and a temperature of 99.6. Those symptoms were gone the next morning.

Other Meds: No

Current Illness: Vertigo

ID: 0975114
Sex: M
Age: 85
State: MI

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 01/26/2021
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Symptoms: no effects

Other Meds: amlodipine besylate, lisinopril, metoprolol tartrate, geritol

Current Illness:

ID: 0975115
Sex: U
Age: 29
State: NJ

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/26/2021
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Symptoms: Patient experienced fever (T-max unknown) and chills. Symptoms resolved after 48 hours. Patient did not require medical treatment. Patient took 2 sick days off of work as a result of the symptoms.

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Current Illness:

ID: 0975116
Sex: M
Age: 32
State: MO

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 01/26/2021
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Allergies: none

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Symptoms: Starting around 12 hours after getting my second shot I started experiencing nausea along with loss of taste. The next morning (1/26) I lost all taste and had no smell. The nausea has continued as well.

Other Meds: none

Current Illness:

ID: 0975117
Sex: F
Age: 44
State: MO

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

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Symptoms: Woke up this AM with a severe headache

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ID: 0975118
Sex: F
Age: 68
State: LA

Vax Date: 01/24/2021
Onset Date: 01/25/2021
Rec V Date: 01/26/2021
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Allergies: None

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Symptoms: Right arm sore, red, hard. Around 1:00 a.m. I became very nauseous. Chills began and lasted through night. Upon awaking light headed, arm worse but nausea had stopped. My taste was funny like when I had Covid. No appetite. Chills came back during morning. Fever 101. Fatigued went to bed. Slept all afternoon. Still no appetite. Cough returned as when had Covid. Fever no higher. Went to bed woke up fine. Lasted 36 hours.

Other Meds: Vitamins D, C and zinc. Atorvastatin 20 mg daily. Tirosint 112 mg daily

Current Illness: 10 weeks post Covid

ID: 0975119
Sex: F
Age: 42
State: MS

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

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Allergies: Albecton

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Symptoms: I got the vaccine on Tues felt fine later that evening arm was sore couldn't sleep on (right side). I went work on Wed arm felt as if had fever. I informed employee health was told the symptoms was common. I took Ibuprofen before laying down Wed my throat felt as if closing up. Upon me calling my mom voice was screeching . My mom asked my sister to bring me some Benadryl. I contacted the director of employee health was informed to go ER. Then my lips was swelling, Oxygen was fine and I was given Pepcid.I stayed overnight for observation.

Other Meds: Norvac, Hydrochloride, Birth Control, Lexapro,Alive,Icarsee,

Current Illness: No

ID: 0975120
Sex: F
Age: 77
State: GA

Vax Date: 01/18/2021
Onset Date: 01/18/2021
Rec V Date: 01/26/2021
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Allergies: "statin" drugs

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Symptoms: patient reports on 1/25/2021 - Within 2 hours after returning home from receiving vaccine she had a severe headache and fever, unknown exact temp, nausea and vomiting. Fever stopped on 1/20/21 per patient. She reports her eyes seemed blurry for several days, like haziness. States she felt like her heart was racing for a few days beginning on 1/18/21. She did have a routine doctors apt on 1/22/21 and her physician completed bloodwork, unsure of labs or results. Her physician said that she should report her symptoms after the vaccine. She also had swelling and redness to her left upper arm all the way down to her elbow area after the vaccine.

Other Meds: unknown

Current Illness: none

ID: 0975121
Sex: F
Age: 52
State: WI

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 01/26/2021
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Allergies: No known allergies

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Symptoms: Client received vaccination at approximately 11:55 am. Client was escorted to observation area at 11:57 am. She sat down and began reviewing V-Safe material. At 12:01 pm she asked "Am I supposed to be feeling lightheaded?" Observer assisted client to lying on the floor position and elevated her legs. Observer radioed for assistance. 12:03 pm B/P 146/98, pulse 66; color good. Client talking coherently; 12:05 pm Pulse Oximeter 97%, pulse 77; color good, apple juice offered. 12:10 pm B/P 122/80; Pulse 81; 12:15 pm B/P 122/66, pulse 84, oximeter 97%; Assisted client to sitting position ; 12:27 pm Client assisted to standing position. Stated she is feeling fine. B/P 124/66 pulse 78, oximeter 97% 12:30 pm Client escorted to first floor and she left the facility.

Other Meds: Unknown

Current Illness: Client denied illness at time of vaccination. Unknown if illness in prior month.

Total 2021 VAERS Injuries: 599,999

Page last modified: 03 October 2021 5:28pm