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
28,193
AK1,084
AL2,357
AR1,552
AS31
AZ7,318
CA28,113
CO5,391
CT3,688
DC679
DE742
FL15,245
FM3
GA6,071
GU48
HI1,016
IA2,291
ID1,259
IL9,099
IN13,937
KS2,303
KY3,047
LA2,084
MA6,618
MD5,716
ME1,479
MH5
MI8,186
MN5,591
MO4,444
MP10
MS1,192
MT1,264
NC7,310
ND661
NE1,480
NH1,554
NJ7,347
NM1,943
NV1,714
NY15,329
OH9,083
OK2,500
OR3,708
PA9,656
PR1,070
QM1
RI1,028
SC2,716
SD664
TN3,894
TX15,169
UT2,152
VA6,860
VI22
VT887
WA6,284
WI5,307
WV1,172
WY426
XB4
XL1
XV1

ID: 0975474
Sex: F
Age: 27
State: SC

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: Benzoyl Peroxide Latex Some Adhesives

Symptom List:

Symptoms: I developed a migraine the evening of Jan 20 and began to experience chills before bed around 8-9pm. At that time, my temperature was 99.8. I took my daily PM and migraine medication as prescribed, with no relief. Approximately 2 hours later I took the second dose of my migraine medication and rechecked my temp, it read 101.2. Around 8am Jan 21 I felt fatigued, still had a migraine, and my temp was up to 101.8. I took 2 tablets of Tylenol to reduce my fever. I did not go into work. Around 12pm my fever reached 102.1 and remained there throughout the day and I took Tylenol as described on the bottle. My migraine was greatly diminished by the evening and I did not take more migraine medication. On Jan 22 I again did not go into work. At approximately 9am my fever was at 101.2 and I called my primary care's office to seek advice about a COVID test. I did not request additional care, but the nurse recorded my symptoms and advised I was able to get tested even with the slight fever. At 2pm both fever and migraine were gone. I was tested on Jan 22 at 10am at a site, my results were negative.

Other Meds: Vyvanse SID Flexeril SID Vit D SID Benedryl SID Sumatriptian PRN Nexplanton Implant

Current Illness: None

ID: 0975475
Sex: F
Age: 63
State: WA

Vax Date: 11/23/2020
Onset Date: 11/23/2020
Rec V Date: 01/26/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: PATIENT SAID AFTER SHE LEFT THE PHARMACY. SHE WAS WALKING AND SHOPPING. SHE STARTED FELT HER LIPS WERE LITTLE BIT TINGLING , SWOLLEN AND ITCHING. IT WAS LAST FOR 45 MINS. SHE DID NOT NOTIFY EITHER PHARMACY OR HER DOCTOR.

Other Meds: N/A

Current Illness: N/A

ID: 0975476
Sex: F
Age: 43
State:

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Itchy throat and watery eyes. Benadryl administered with initial resolution of symptoms. Later, patient experienced swelling of eyes, cheeks and mouth. Advised to take Benadryl q6h.

Other Meds:

Current Illness:

ID: 0975477
Sex: F
Age: 42
State: CA

Vax Date: 12/18/2020
Onset Date: 12/31/2020
Rec V Date: 01/26/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: From top of leg to bottom turned red. No itching or burning. Skin is blotchy and red. Still occurring. County came in and administered the vaccine.

Other Meds: Birth control

Current Illness:

ID: 0975478
Sex: F
Age: 28
State: CA

Vax Date: 01/19/2021
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: N/A

Symptom List:

Symptoms: Began to feel soreness around entire shoulder area at 8:00 PM Monday 1/25/2021. Soreness was still there when I woke up, and the area began to itch a couple hours later. At 1:00 PM 1/26/2021 I looked at the injection site and there were raised red areas, hot to the touch, around the injection site. Not experiencing any fever or other symptoms.

Other Meds: Dasetta birth control

Current Illness: N/A

ID: 0975479
Sex: F
Age: 52
State: AZ

Vax Date: 01/23/2021
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:

Symptoms: Headache 1/2 hour after shot. approximately 12 hours after receiving vaccine blood pressure elevated to 154/108. Has stayed around that level for 3 days.

Other Meds: Lansoprazole Vit D Vit C Omega 3 Multi Vitamin

Current Illness: n/a

ID: 0975480
Sex: F
Age: 24
State: IA

Vax Date: 01/19/2021
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: NKA

Symptom List:

Symptoms: One day after receiving vaccine I could not raise my arm past 50%. This lasted for about two days, but am no longer having trouble raising my arm. Three days after receiving the vaccine, I started having axillary pain. I am still experiencing this pain.

Other Meds: None

Current Illness: None

ID: 0975481
Sex: M
Age: 45
State: FL

Vax Date: 12/28/2020
Onset Date: 12/28/2020
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 and fatigue for two days, soreness at injection site for 5 days

Other Meds: none

Current Illness: none

ID: 0975482
Sex: F
Age: 75
State: CO

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: Codeine, nickle, garlic powder, onion powder

Symptom List:

Symptoms: Around 4:00 PM I started feeling achy. As the evening progressed I had chills, burning eyes, aches, fever. I was also having bladder control issues. When I went to bed at midnight my temperature was 103.2. I slept 12 hours and today I am 100%. No symptoms.

Other Meds: Levoxine, Crestor, Toprol, Lisinopril, Nexium, Ibuprofen, 55+ daily vitamin

Current Illness: None

ID: 0975483
Sex: F
Age: 39
State: NC

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: KIWI; AVELOX

Symptom List:

Symptoms: FACIAL AND LEFT ARM ITCHING; LUMP IN THROAT. TREATED WITH BENADRYL, 50 MG PO AND SOLUMEDROL, 125 MG IM.

Other Meds:

Current Illness:

ID: 0975484
Sex: F
Age: 69
State: MI

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: Sulfa Lisinopril Bleach

Symptom List:

Symptoms: On 1/23/2021, I experienced a red lump at the injection site that was itchy and warm to the touch. I washed the area with Dr. Bronner?s soap, put some Arnica cream on it and the itchy ness was gone a few hours later.

Other Meds: Metroprolol succ ER 25 mg. Lysine 1,000 mg. Fish Oil Multivitamin Aspirin 81 mg Glucosamine Chondroitin with Vit D and MSM

Current Illness: None

ID: 0975485
Sex: F
Age: 25
State: MI

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

Vax Type:
Manufacturer:
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Lot:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Starting Friday 01/22/2021: Hives, Rash, Itchy hands by Sunday 07/24/2021 felt that she had internal burning on her hands and difficulty breathing - went to ER was given Magnesium and Benadryl and started on steroids. Tuesday 01/26/2021 her legs developed red welts and she could not feel them, had numbness and more difficulty breathing and went back to the ER. She was told that if it does not get better and she goes back that they will admit her to the hospital.

Other Meds:

Current Illness:

ID: 0975486
Sex: F
Age: 65
State: WA

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: e-mycine

Symptom List:

Symptoms: First night awoke 3am with muscle pain and fever. By morning also had sinus congestion/headache/eye ache; fatigue. Temp continue to rise throughout day, reaching 100.8 by 5:30pm. All symptoms began to dissipate by 9pm, awakening normal by morning..

Other Meds: simvastatin, levothyroxine, valacyclovir, calcium

Current Illness: n/a

ID: 0975487
Sex: F
Age: 66
State: PA

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: Sulfa Meds, Citalopram, Metformin

Symptom List:

Symptoms: Moderna COVID-19 Vaccine EUA Swelling of face, mouth and throat; swollen lymph nodes near clavicle on left side; dizziness; vision impacted for a few hours; joint pain (ankles, knees and elbows)

Other Meds: Lisinopril; OTC vitamins, Jardiance

Current Illness: N/A

ID: 0975488
Sex: F
Age: 34
State: OH

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: Bactrim, keflex, penicillin, ceclor, succinylcholine

Symptom List:

Symptoms: About 8hr after injection, body aches, fatigue, headache. At midnight had severe chills and body aches. Took 1000mg APAP at 1am. Improvement around 2am and could sleep again. All day on 1/23/21, extreme fatigue. By 1/24/21 mostly back to normal.

Other Meds: None

Current Illness: Nose

ID: 0975489
Sex: F
Age: 23
State: MA

Vax Date: 01/18/2021
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: Penicillin (hives, bronchoconstriction).

Symptom List:

Symptoms: About 1.5 hours following the administration of the second dose of the vaccine, I developed hives, pruritis, and erythema on both arms, torso, and neck. I also experienced headache, nausea, and leg muscle cramping/weakness.

Other Meds: Fluticasone nasal spray, cetirizine (daily).

Current Illness:

ID: 0975490
Sex: F
Age: 29
State: NY

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: None

Symptom List:

Symptoms: 20ish hours of fever other stayed around 102 (with Tylenol), fatigue, body aches, and severe chills.

Other Meds: None

Current Illness: None

ID: 0975491
Sex: F
Age: 82
State: GA

Vax Date: 01/17/2021
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

Symptom List:

Symptoms: pt states one week after vax she developed a red and 2x2 spot around injection site.

Other Meds: Eliquis 5mg x2 daily, metoprolol succ er 25 mg

Current Illness: none

ID: 0975492
Sex: F
Age: 77
State: AZ

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:

Symptom List:

Symptoms: WAS NOT GIVEN COVID DOSE 1. It was reported that I had received it. Error on the part of the volunteers.

Other Meds: Was given my pneumonia vaccination on 1/21/21 and since I had that, the nurse at sports stadium WOULD NOT give me my Covid Dose 1 vaccination. Was told I need to reschedule 10 days out. When I got home, I received an email stating that I

Current Illness:

ID: 0975493
Sex: F
Age: 73
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: None

Symptom List:

Symptoms: About 5 minutes afterward had right arm and elbow tingling. About 20 minutes after vaccination had self-described sensation of throat tightness and tongue and lip swelling, and "numbness" but NO tingling. About 1.5 hours and symptoms ~90% better. Plan to continue to monitor until symptoms close to 100% better and patient comfortable going home.

Other Meds: Synthroid, atorvastatin, Advert.

Current Illness: None

ID: 0975494
Sex: M
Age: 58
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: none

Symptom List:

Symptoms: Fatigue, headache, chills, body aches sleeplessness, dehydration.

Other Meds: Multi vitamin for men, zinc, apple cider vinegar, prevagen, probiotic. fluticasone propionate

Current Illness: none

ID: 0975495
Sex: F
Age: 32
State: AZ

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: NKA

Symptom List:

Symptoms: No adverse response at time of administration and 48 hours after administration. Vaccine was given beyond 6 hours after initial puncture of vial.

Other Meds: None

Current Illness: none

ID: 0975496
Sex: M
Age: 27
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:

Symptoms: (Moderna COVID-19 Vaccine EUA) Several minutes after receiving the vaccine patient had a loss of consciousness for <45 seconds. Patient was pal, diaphoretic, BP 158/80. Patient reports a history of syncopal events after other vaccines. Patient declined further admission to hospital and returned to home.

Other Meds:

Current Illness:

ID: 0975497
Sex: F
Age: 63
State: MI

Vax Date: 01/04/2021
Onset Date: 01/04/2021
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: 4 hours after vaccine throat swelling, was able to breath but uncomfortable

Other Meds: methotrexate, vitamin D 5000, Biotin, Methyl folate Optimizer

Current Illness: non

ID: 0975498
Sex: F
Age: 36
State: IL

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: Penicillin

Symptom List:

Symptoms: rash over body; itching over body; body swelling; itchy throat; arm pain(site where vaccine was placed); big red circle (where vaccine was placed)

Other Meds: N/A

Current Illness: N/A

ID: 0975499
Sex: M
Age: 54
State:

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:

Symptom List:

Symptoms: Flu Sx, fatigue

Other Meds:

Current Illness:

ID: 0975500
Sex: F
Age: 71
State: GA

Vax Date: 01/22/2021
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-Rash

Symptom List:

Symptoms: Feels achy, tired and Oxygen fluctuating, would not stay above 90 without supplemental oxygen. She normally wears oxygen only ad night. She went home from work and placed herself on her oxygen on at 1 L/hour. Increased Prednisone dosage to 20 mg daily from 10 mg daily (for at least three days) and ipatroprium nebulizer treatments three times daily.

Other Meds: Singular 10 mg daily Flonase daily

Current Illness:

ID: 0975501
Sex: M
Age: 68
State: IL

Vax Date: 01/20/2021
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: mold (not penicillin)

Symptom List:

Symptoms: Shot administered Wednesday morning. Sore arm, but not particularly bad. Thursday and Friday I was feeling a little fatigued, and took a nap (very unusual for me) Friday. That night i felt a little strange, light-headed. Saturday around 10 AM I developed a moderate headache, and then was mildly short of breath, and most concerning, a little bit of afib. My heartbeat was steady (nothing like the afib I first had about seven years ago or so), but I missed about seven or eight beats in a minute (my pulse is usually around 60). That was not regular. My wife thought I might be having a migraine (I have had about five in my life), but if so it was very mild. On her advice I had about a quart of water over a couple of hours, and both symptoms resolved. Currently fine.

Other Meds: hydrochlorothiazide 25 mg twice a day atorvastatin 10 mg once a day linisopril 40 mg once a day multivitamin once a day 1000 units vitamin D twice a day 1000 mg vitamin C once a day baby aspirin

Current Illness: None known

ID: 0975502
Sex: F
Age: 41
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: No allergies

Symptom List:

Symptoms: Lightheaded, sweaty, elevated blood pressure, brain fog, skin turned red, shaking.

Other Meds: Zinc, Vitamin C, VitaminD

Current Illness: No

ID: 0975503
Sex: F
Age: 41
State: MA

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

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

Lab Data:

Allergies: augmentin gluten sensitivity

Symptom List:

Symptoms: Approximately 10 mins post injection I had intermittent abdominal cramping which I didn't initially associate with the injection, 30 mins post injection after obs period I felt dizziness. Chills within an hour, accompanied by sweating. Continued to work through it because otherwise felt okay. Dizziness subsided shortly after additional antihistamine and Pepcid. Approximatley around 7 pm my face start burning and itching, I had a diffuse red rash all over my face and my torso. I took 50 mg of Benadryl and rash resolved. It was not hives, almost appeared as flushing, Over the weekend I had fevers, chills but nothing that prevented me from my daily life. I however, have felt since my 2nd vaccine throat irritation, and itching, sweating. I am just continue my Zyrtec and regimen I took several years ago when I had this type of immune response. I didn't bother with MD, I left a message with nurse.

Other Meds: zyrtec

Current Illness: n/a

ID: 0975504
Sex: F
Age: 44
State: CA

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: Patient received the covid vaccine dose #2 on 01/21/2021. On 1/22/21 afternoon she started to have body aches, chills, fatigue. On 1/23/21 she woke up feeling well, but a few hours later had "VERY bad abdominal" pain, mild diarrhea and mild vomiting. She had this acutely for 2 days (Jan 22 & 23) and then another day of pain and nausea. Today, 1/26 has minor pain but much better. Diarrhea, vomiting resolved by 1/25/2021. Denies any fever, rash, any throat or respiratory symptoms. Denies any dietary changes. No new medicine.

Other Meds:

Current Illness:

ID: 0975506
Sex: F
Age: 63
State: FL

Vax Date: 01/16/2021
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 known allergies

Symptom List:

Symptoms: one week after vaccine (no adverse events during this week) vaccine site started to itch and was reddened, swollen (a knot could be felt at the muscle). The redness wasn't rash like - but was warm to touch. 36 hours later (now- at the time of this report) my arm is not swollen, but there is a slight redness about the size of an orange- no more itching or soreness. I did use some topical cortisone cream on the site to manage the itching. Otherwise- I am fine- I just wanted to report this symptom.

Other Meds: amlodipine 5mg po qd, levothyroxine 50mcg po qd, Calcium 1000mg , vitamin D3 (4000IU), B12 (2000mcg) - gummies

Current Illness: none

ID: 0975507
Sex: F
Age: 54
State: AZ

Vax Date: 01/23/2021
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:

Symptom List:

Symptoms: Face became flushed after approx. 15 mins. Also had slight tingling in left arm (arm of the injection). No flush or rash on the body. Symptoms subsided with a couple of hours

Other Meds:

Current Illness:

ID: 0975508
Sex: M
Age: 54
State:

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:

Symptom List:

Symptoms: Fatigue, flu sx

Other Meds:

Current Illness:

ID: 0975509
Sex: F
Age: 67
State: AR

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: Ancef and levoquin

Symptom List:

Symptoms: One week after receiving my first covid 19 vaccine I developed a rash that started out as just a few red areas but is now approximately 4x3 inches.

Other Meds: Pravastatin Sodium 10 mg; Lovothyroxine 50 mcg; amitriptyline hydrochloride 50 mg;hydrochlorothiazide 12.5 mg; ramipril 10 mg;oxycontin cr 10mg

Current Illness: none

ID: 0975510
Sex: F
Age: 48
State: IN

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 01/26/2021
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Lab Data:

Allergies: Per patient: has had an allergic reaction to a flu vaccine in the past. She stated that she was told her reaction was from the preservatives in the flu vaccine.

Symptom List:

Symptoms: Patient got vaccine at 1515. She stated at approximately 1545 that her throat was tingly and that her head was fuzzy. She was taken back to triage and was put on a cot. She was having difficulty speaking and breathing. Her face was grey and lips were blue. Epinephrine was given at 1552. Blood pressure was 90/70. Another dose of Epinephrine was given at 1557. Each dose of Epinephrine was 0.3mg. Emergency medical services came and administered 50 mg of IV Benadryl and when she left with EMS in route to the hospital, her blood pressure was 158/84. Her heart rate was 102.

Other Meds: Unknown

Current Illness: Unknown

ID: 0975511
Sex: F
Age: 78
State: AZ

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 01/26/2021
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Lab Data:

Allergies: No

Symptom List:

Symptoms: My forehead felt like it was swelling. Lips were tingling. Took 2 Tylenol. Stayed home and rested. Disappeared in a couple of hours, around 1:30PM. Felt fine thereafter.

Other Meds: Synthroid, Hypatia, Zyrtec, Vitamin C, Vitamin D, Calcium, Potassium, Mutivitamin

Current Illness: None

ID: 0975512
Sex: M
Age: 50
State: OH

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/26/2021
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Lab Data:

Allergies: Amoxicillin.

Symptom List:

Symptoms: Moderately severe headache with significant fatigue. Headache caused minor nauseating feeling. Adverse symptoms lasted about 8 hours but wasn't severe enough for emergency medical care.

Other Meds: ITC Tylenol before (7:30am as prophylactic) and ITC Ibuprofen after side-effects got severe (11:00).

Current Illness: none.

ID: 0975513
Sex: M
Age: 78
State: IN

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

Symptom List:

Symptoms: Fever and sore arm at shot site. Ibuprofen took care of the fever that day. No fever the next day. Sore arm with some swelling persisted for 2 days thereafter and subsided.

Other Meds:

Current Illness:

ID: 0975514
Sex: F
Age: 43
State: TN

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/26/2021
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Lab Data:

Allergies: Sulfa drugs

Symptom List:

Symptoms: I had moderate to severe body aches, headache, chills. The only unusual symptom was how high my fever was. The highest I saw was 103.4 F.

Other Meds: Birth control pill, vit D, vit B12, fish oil

Current Illness: None

ID: 0975515
Sex: F
Age: 68
State: GA

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

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Lab Data:

Allergies: PCN-hives

Symptom List:

Symptoms: Pt had hives and swelling of tongue. She began to report shortness of breath and tightness in her chest. She became lethargic and diaphoretic.

Other Meds: Provastatin 40mg daily

Current Illness: Patient denies any

ID: 0975516
Sex: M
Age: 60
State: NJ

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/26/2021
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Allergies: none

Symptom List:

Symptoms: Fatigue and muscle ache morning after. Chills, Fever developing afternoon after injection. Took Tylenol

Other Meds: Pradaxa, Metformin, Rythmol, Vytorin, Escitalopram.

Current Illness: none

ID: 0975517
Sex: F
Age: 42
State:

Vax Date: 01/10/2021
Onset Date: 01/10/2021
Rec V Date: 01/26/2021
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Allergies:

Symptom List:

Symptoms: Nausea and dropped to the floor. Nurse Alert called. Upon UC RN arrival, patient awake and alert. Advised she was pregnant and having morning sickness. Tolerated juice and crackers and discharged.

Other Meds:

Current Illness:

ID: 0975518
Sex: F
Age: 75
State: TX

Vax Date: 01/13/2021
Onset Date: 01/25/2021
Rec V Date: 01/26/2021
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Lab Data:

Allergies: Codeine, clorhexidine, multiple food allergies, allergic nasal rhinitis, dermatitis, preservatives, dyes

Symptom List:

Symptoms: 12 days after getting the vaccine, my upper left arm (injection site) is slightly sore, red, and inflamed. The affected area is about 4 inches from the top to the bottom and about 2 inches side-to-side. It feels feverish. I seem to be okay otherwise.

Other Meds: Sertraline HCL, Lisinoril, Trazodine, Montelukast, aspirin, Famotidine, Loratidine, fexofenadine hydrocloride, albuterol sulfate, multivitimine, calcium, magnesium, N-Aceytl Cysteine, Co-Q10

Current Illness: none

ID: 0975519
Sex: F
Age: 53
State:

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

Symptoms: Arm pain, red raised lump dx as cellulitis. HA fatigue.. completing PO ABX

Other Meds:

Current Illness:

ID: 0975520
Sex: M
Age: 45
State: LA

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

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Lab Data:

Allergies: PCN, SULFA DRUGS

Symptom List:

Symptoms: PT C/O FLUTTERING HEART, HEART BEATING FAST, DRY MOUTH, TINGLING IN CHEEKS. 1140: V/S TAKEN BP:158/100 P: 110 RESP 16 SPO2 99%, ELEVATED BP AND PULSE. 1145: ADMIN OTC BENADRYL x 2 CAP PO. PT TOLERATE WELL. 1148: V/S TAKEN BP:150/96 P: 92 RESP 12 SPO2 99%. 1150: PT STATES THAT HE IS FEELING BETTER. A&Ox4. 1153: V/S TAKEN BP:150/96P: 92RESP 12 SPO2 99%. 1200: V/S TAKEN BP:146/92P: 91RESP 12 SPO2 98%. PT INSTRUCTED NOT TO DRIVE, AND F/U WITH PCM IN REGARDS TO H/O OF TIA WITH TODAYS V/S ELEVATED BP AND PULSE. PT WAS FEELING BETTER AND STABLE.

Other Meds: CRESTOR, LOSIPRO, BABY ASPIRIN, OTC TYLENOL

Current Illness: NONE

ID: 0975521
Sex: F
Age: 26
State:

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 01/26/2021
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Lab Data:

Allergies: PCN, Sulfa based meds

Symptom List:

Symptoms: Arm soreness, swelling below injection site,

Other Meds: Prilosec, Adderall

Current Illness: n/a

ID: 0975522
Sex: M
Age: 86
State: FL

Vax Date: 01/22/2021
Onset Date: 01/24/2021
Rec V Date: 01/26/2021
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Lab Data:

Allergies: none

Symptom List:

Symptoms: stomach cramps and soft stool still active

Other Meds: metformin aspirin metropolo lisinipril

Current Illness: none

ID: 0975523
Sex: F
Age: 94
State: OK

Vax Date: 01/23/2021
Onset Date: 01/23/2021
Rec V Date: 01/26/2021
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Lab Data:

Allergies: cephalosporins, sulfa (sulfonamide antibiotics)

Symptom List:

Symptoms: Sore Arm started day of vaccination and has lasted 3 days.

Other Meds: Med Pass

Current Illness:

ID: 0975524
Sex: M
Age: 61
State: OH

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

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Lab Data:

Allergies: jardiance, shellfish derived

Symptom List:

Symptoms: L arm with injection site redness and swelling beginning 1/26/2021. Area mildly tender.

Other Meds: metformin, atorvastatin, glimepiride, ozempic, lantus, voltaren gel, magnesium oxide, aspirin, multivitamin,vitamin D3

Current Illness:

Total 2021 VAERS Injuries: 279,999

Page last modified: 03 October 2021 5:28pm