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: 0975928
Sex: M
Age: 43
State:

Vax Date: 12/21/2020
Onset Date: 12/22/2020
Rec V Date: 01/26/2021
Hospital: Y

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

Lab Data:

Allergies: seasonal allergies

Symptom List: Dysphagia, Epiglottitis

Symptoms: mild DRESS syndrome, rash, blood in urine. note it may have bene the doycycline, as simialr symptoms recurred later with a dose of doxy on jan 2nd, not hospitalized. pt is a MD

Other Meds: naprosyn, doxycycline

Current Illness: none

ID: 0975929
Sex: F
Age: 22
State: CA

Vax Date: 01/06/2021
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: Fainted with Flu vaccine age 10, fainted with HPV vaccine age 12, fainted 5 years ago unrelated to vaccine, received iron supplements, none since

Symptom List: Anxiety, Dyspnoea

Symptoms: Pt. C/O feeling dizzy and light headed, was taken to cot area to lie down, had vital signs assessed and seemed reassured when all were normal. Pt.'s complaints resolved without treatment other than reassurance

Other Meds: iron sulfate

Current Illness: denies

ID: 0975930
Sex: F
Age: 41
State: MA

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: Penicillin

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

Symptoms: Next morning and all day - headache, achy, nauseous, fatigue, arm soreness. 2 days after - fatigue and arm soreness. 4 days later - left armpit lymph node tender; worsened becoming VERY swollen and tender 5th day until now, 6 days after still with no reduction swelling or pain.

Other Meds: None

Current Illness: None

ID: 0975931
Sex: F
Age: 81
State:

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: Dizziness, Fatigue, Mobility decreased

Symptoms: This patient may have received less than the standard 0.5mL dose. The vaccinator who administered the vaccine to this patient obtained over the expected 11 doses from a single vial. This was noted on reconciliation of vials and consents. Patient informed (or attempts are being made to contact them to inform them). Plan on second dose as scheduled as per guidance from CDC and Moderna.

Other Meds:

Current Illness:

ID: 0975932
Sex: M
Age: 79
State:

Vax Date: 01/08/2021
Onset Date: 01/20/2021
Rec V Date: 01/26/2021
Hospital: Y

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, Injection site warmth

Symptoms: HYPOXIA Narrative: Patient received dose one of COVID vaccine and at the time was COVID negative (documented shortly before and after the vaccine). COVID test turned positive 14 days after first injection. He then received his second vaccine 4 days after positive test. 12 days after the second vaccine he was admitted to our facility and is currently in critical condition in the ICU with COVID pneumonia. It is unclear what role, if any the second vaccination had related to critical condition.

Other Meds:

Current Illness:

ID: 0975933
Sex: F
Age: 65
State: NJ

Vax Date: 01/18/2021
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: Percocet

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

Symptoms: Swelling, itching & redness at injection site 8 days after injection

Other Meds: PreserVision AREDS II

Current Illness: None

ID: 0975934
Sex: F
Age: 41
State: WA

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: Diflucan (bruising), latex(anaphylaxis), fluorescein (hives), proparacaine (hives), sulfa

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Flushing, generalized itching, conjunctival injection, nasal congestion, dry cough

Other Meds: albuterol CFC free 90 mcg/inh inhalation aerosol, 2 puff(s), ORAL INH, QID, PRN BENADRYL 25 mg oral capsule, 25 mg= 1 cap(s), PO, ONCE calcium (as carbonate)-vitamin D 600 mg-400 intl-unit(s) oral tablet, 1 tab(s), PO, BID CLARITIN-D, 1

Current Illness: n/a

ID: 0975935
Sex: F
Age: 77
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: Pharyngeal swelling

Symptoms: Light head ache, Light runny nose.

Other Meds:

Current Illness:

ID: 0975936
Sex: M
Age: 84
State:

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: Abdominal pain, Chills, Sleep disorder

Symptoms: This patient may have received less than the standard 0.5mL dose. The vaccinator who administered the vaccine to this patient obtained over the expected 11 doses from a single vial. This was noted on reconciliation of vials and consents. Patient informed (or attempts are being made to contact them to inform them). Plan on second dose as scheduled as per guidance from CDC and Moderna.

Other Meds:

Current Illness:

ID: 0975937
Sex: F
Age: 51
State: NJ

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: Tagaderm

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Nausea, chills, fever 101.6, sweats, headache, joint pain, sore arm with redness and hot

Other Meds: hctz 25mg

Current Illness: No

ID: 0975938
Sex: M
Age: 86
State: CO

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: No known allergies

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

Symptoms: RN received a phone call from patient. Patient was found by home health physical therapy assistant to be extremely short of breath, dizzy, hypotensive and tachycardic at home following 1st dose of covid vaccine today. Blood pressure on initial check was 58/46 and 66/52 on recheck. Heart rate (on pulse oximeter) was initially at 130-142 but came down to 72, irregular. After resting and hydrating, patient denies shortness of breath, but is still dizzy. RN advised 911

Other Meds: Atenolol 25 mg QD Home Oxygen

Current Illness: Chronic Low back pain Leg weakness, bilateral Atrial fibrillation Venous statis dermatitis

ID: 0975939
Sex: M
Age: 72
State:

Vax Date: 01/04/2021
Onset Date: 01/23/2021
Rec V Date: 01/26/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List: Rash, Urticaria

Symptoms: COVID+ via biofire Narrative: Patient hospitalized for COVID-19 disease management given immunosuppressed status.

Other Meds:

Current Illness:

ID: 0975940
Sex: F
Age: 27
State: TX

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

Symptoms: Warm sensation all over and itching 25 minutes after vaccine given

Other Meds:

Current Illness:

ID: 0975941
Sex: M
Age: 46
State:

Vax Date: 01/08/2021
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:

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

Symptoms: chills but no fever

Other Meds:

Current Illness:

ID: 0975943
Sex: M
Age: 78
State:

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

Symptoms: This patient may have received less than the standard 0.5mL dose. The vaccinator who administered the vaccine to this patient obtained over the expected 11 doses from a single vial. This was noted on reconciliation of vials and consents. Patient informed (or attempts are being made to contact them to inform them). Plan on second dose as scheduled as per guidance from CDC and Moderna.

Other Meds:

Current Illness:

ID: 0975944
Sex: F
Age: 41
State: AZ

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:

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

Symptoms: no adverse event Dose 2 given at day 23 after dose 1 (12/30/2020)

Other Meds: Dose 2 administered early (day 23) Dose 1 on 12/30/2020

Current Illness:

ID: 0975945
Sex: M
Age: 75
State:

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: This patient may have received less than the standard 0.5mL dose. The vaccinator who administered the vaccine to this patient obtained over the expected 11 doses from a single vial. This was noted on reconciliation of vials and consents. Patient informed (or attempts are being made to contact them to inform them). Plan on second dose as scheduled as per guidance from CDC and Moderna.

Other Meds:

Current Illness:

ID: 0975946
Sex: M
Age: 80
State:

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

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

Lab Data:

Allergies:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: fatigue Narrative: Did not feel good, appeared to have symptoms prior to getting vaccine, but had declined ER evaluation prior to vaccine. Pt was light headed, VS stable. Pt reported to have fatigue with exertion. Was sent to MER at 1:30p, routine labs revealed elevation in SCR and admitted for AKI. Pt was determined during admission to be volume depleted exacerbated by diuretics and administered IV fluids. follow-up appointment scheduled for 01/31/2021.

Other Meds:

Current Illness:

ID: 0975947
Sex: M
Age: 20
State: IN

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: yes--listed on intake but not identified

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: severe blood pressure drop 60/20, difficulty seeing, diaphoresis, resolution started after getting on stretcher for transport

Other Meds: none

Current Illness: no

ID: 0975948
Sex: F
Age: 25
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: nka

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

Symptoms: pt denied any other s/s, was evaluated by EMT, vitals wnl, grip strength, strong and equal, pt denied any shortness of breath . Pt remained in observation for addition 10 min, denied any changes, and performing ROM. Requested to go home, lives with several room mates, she was instructed to immediately report to ER (or call 911) if she does become short of breath, or to call provider if s/s persists or worsen over next 12 to 24 hours. Pt agrees with this plan

Other Meds: pt reports that starting approx. 5 min after receiving vaccine, she began to experience numbness and tingling in left arm, which is the arm in which she got the vaccination

Current Illness: n/a

ID: 0975949
Sex: M
Age: 66
State:

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

Symptoms: This patient may have received less than the standard 0.5mL dose. The vaccinator who administered the vaccine to this patient obtained over the expected 11 doses from a single vial. This was noted on reconciliation of vials and consents. Patient informed (or attempts are being made to contact them to inform them). Plan on second dose as scheduled as per guidance from CDC and Moderna.

Other Meds:

Current Illness:

ID: 0975950
Sex: M
Age: 58
State: AL

Vax Date: 01/16/2021
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: pennicilin

Symptom List: Unevaluable event

Symptoms: About 72 hours after the shot, I got a sore throat, then a cough. Severe congestion followed. No fever, but cold-like symptoms increased. Very bad cough. Went to urgent care twice; two COVID tests were negative. Continued worsening illness. Diagnosis on 25 Jan was Bronchitis and small lung cell collapse. Prescribed antibiotics, cough medicine, steroid shot, steroid aerosol.

Other Meds: Cialis 5mg daily; welbutrin 200mg daily; ompredezone 20mg daily

Current Illness: None

ID: 0975951
Sex: F
Age: 41
State: NY

Vax Date: 01/13/2021
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: No known allergies to food, medications or other products

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

Symptoms: Pink rash to vaccine injection site.

Other Meds: None

Current Illness: None

Date Died: 01/18/2021

ID: 0975952
Sex: M
Age: 91
State:

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:

Symptom List: Injection site pain, Pain

Symptoms: Narrative:

Other Meds:

Current Illness:

ID: 0975953
Sex: M
Age: 75
State:

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: Injection site pain, Menorrhagia

Symptoms: This patient may have received less than the standard 0.5mL dose. The vaccinator who administered the vaccine to this patient obtained over the expected 11 doses from a single vial. This was noted on reconciliation of vials and consents. Patient informed (or attempts are being made to contact them to inform them). Plan on second dose as scheduled as per guidance from CDC and Moderna.

Other Meds:

Current Illness:

ID: 0975954
Sex: F
Age: 29
State: MT

Vax Date: 01/18/2021
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: Adhesive tapes, no known drug allergies

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

Symptoms: 7 days after first dose. Redness, pain, swelling at injection site. Migrating down arm and causing sever pain

Other Meds: Sertriline, vit b complex, vit d, camrese, omeprazole

Current Illness:

ID: 0975955
Sex: F
Age: 55
State:

Vax Date: 01/06/2021
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: Nausea, Pain in extremity, Pyrexia

Symptoms: fever and chills

Other Meds:

Current Illness:

ID: 0975956
Sex: F
Age: 33
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:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Patient experienced dizziness and cough, went to urgent care

Other Meds:

Current Illness:

ID: 0975957
Sex: F
Age: 46
State: CA

Vax Date: 01/21/2021
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: none

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

Symptoms: developed a headached. Headache got worse. Took frovatriptan. Did not get better. Dizzines, upset stomach, progressed to vomiting x 3 episode Vomiting occured only on Sat. Dizzines persisted Sunday, Monday, Tues (present day). Got better, not as dizzy but still feel a little bit dizzy and light headed.

Other Meds: amitriptyline 10 mg at night magnesium supplement cranberry supplement turmeric supplement multivitamin supplement

Current Illness: none

ID: 0975958
Sex: M
Age: 67
State:

Vax Date: 01/16/2021
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:

Symptom List: Nausea

Symptoms: This patient may have received less than the standard 0.5mL dose. The vaccinator who administered the vaccine to this patient obtained over the expected 11 doses from a single vial. This was noted on reconciliation of vials and consents. Patient informed (or attempts are being made to contact them to inform them). Plan on second dose as scheduled as per guidance from CDC and Moderna.

Other Meds:

Current Illness:

ID: 0975959
Sex: F
Age: 63
State: NH

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

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

Lab Data:

Allergies: Abilify Side Effect Not Specified 6/13/2011 Muscle stiffness Cartia Xt [Diltiazem Cd] Not Specified 9/4/2018 CHF Codeine Not Specified 1/20/2004 hyperactive Compazine Not Specified 10/23/2020 Dilaudid [Hydromorphone Hcl] Urticaria Not Specified 5/3/2006 Wheezing Diltiazem Not Specified 1/5/2020 chf after 3 days of taking Erythromycin Rash Not Specified 1/20/2004 Latex Not Specified 8/14/2004 Itching Levaquin Not Specified Patient Reported 2/12/2015 Joint pain - tolerates Cipro Metoclopramide Not Specified 1/20/2004 dystonic Metoprolol Not Specified 9/4/2018 Bronchospasm Morphine Sulfate Urticaria Not Specified 2/3/2004 wheezing Oxycodone-acetaminophen Not Specified 1/20/2004 hyperactive Penicillin V Potassium Not Specified 2/3/2004 rash Sulfa Drugs Rash Not Specified 1/20/2004 Xarelto [Rivaroxaban] Not Specified 9/4/2018 "contraindicated because I'm on Prozac"

Symptom List: Injection site pain

Symptoms: anaphylaxis (throat tightness, swelling, pruritis, GI upset, cramping, diarrhea

Other Meds: acetaminophen (TYLENOL) 325 MG Oral Tab Take 1-2 Tabs by mouth EVERY 6 HOURS AS NEEDED. Unknown albuterol sulfate HFA 108 (90 Base) MCG/ACT Inhalation Aero Soln Inhale 2 Puffs EVERY 4 HOURS AS NEEDED for Shortness of Breath/Cough/Wh

Current Illness: None known

ID: 0975960
Sex: F
Age: 19
State: PA

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: Clindamycin, Peaches

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

Symptoms: A bad arm pain, fatigue and nausea. 2 days after, itchy, vein looked like inflamed, lump on right clavicle started as a size of a pea but has grown bigger to the size of a walnut, hard and painful, pain up neck and down right arm , tingling on fingers

Other Meds: Tylenol

Current Illness: no

ID: 0975961
Sex: M
Age: 73
State: MN

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: Prochlorperazine, Sulfa, ASA, Levofloxacin

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

Symptoms: Sore arm, chills , stiff extremities, muscle ache

Other Meds:

Current Illness:

ID: 0975962
Sex: F
Age: 56
State: MA

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: adhesive tape

Symptom List: Tremor

Symptoms: I felt warm feeling in left arm at injection site. minor pain in arm just after injection. pain in arm increased later in the evening. The following morning no pain felt in arm . Moderate pain felt at top of left shoulder to neck. Decreased ability to fully raise left arm and decreased range of motion in left shoulder.

Other Meds: none

Current Illness: none

ID: 0975963
Sex: F
Age: 83
State: IN

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: Erythema, Pruritus

Symptoms: 12:10 PM - Patient honked horn and RN responded. Pt lightheaded, short of breath. "Chest felt heavy." 12:16 PM - 911 called, vitals (BP 140/76, Pule 50, RR 20, Ox 93%) 12:19 - EMS on scene. Pt still short of breath but talking, vitals remained stable. Pt c/o headache. Pulse ox 94-95% 12:30 - Pt transferred to hospital for cautionary monitoring

Other Meds: blood thinner

Current Illness: n/a

ID: 0975964
Sex: F
Age: 68
State: MT

Vax Date: 01/21/2021
Onset Date: 01/24/2021
Rec V Date: 01/26/2021
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Allergies: Penicillin( everything in its family.) Sulfur, Chlorine in swimming pools, Neosporin, latex.

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

Symptoms: Chill, headache Saturday and Sunday the 1 /24/21 and 1/25/21. Coughing began on Sat the 24 along with terrible aches through out my whole body. Very weak and tired. Today is Tuesday, 1/26/21 and my symptoms are the same. My 95 year old mother had a bad cold and I thought I had gotten a cold from her. Now I believe it is a reaction from my first covid shot. No symptoms til 3 days after injection. My aches throughout my whole body have only been this bad when I was diagnosed in 1994 with derma-polymiostis. An arthritis that attaches the skeletal muscles in your whole body. A question is: What should I possibly expect when I get my 2nd covid injection? How long are these current symptoms going to last?

Other Meds: Venlafaxine HCL ER 150 mg cap One daily Omeprazole DR 40 mg cap. One daily Glucosamine Chondroitin. One daily Multi Vitimin gummy. One daily Aleve 220 mg 1 daily.

Current Illness: None

ID: 0975965
Sex: F
Age: 69
State:

Vax Date: 01/16/2021
Onset Date: 01/16/2021
Rec V Date: 01/26/2021
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Symptom List: Cough, Limb discomfort, Pain, SARS-CoV-2 test positive

Symptoms: This patient may have received less than the standard 0.5mL dose. The vaccinator who administered the vaccine to this patient obtained over the expected 11 doses from a single vial. This was noted on reconciliation of vials and consents. Patient informed (or attempts are being made to contact them to inform them). Plan on second dose as scheduled as per guidance from CDC and Moderna.

Other Meds:

Current Illness:

ID: 0975966
Sex: F
Age: 38
State: KY

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/26/2021
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Allergies: Penicillin

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: 1/13/21- tingling and numbness in lips, tongue, mouth 1/16/21- 1/19/21 swollen right upper eyelid 1/22/21- present red, itchy rash on tops and bottoms of finger and toe joints as well as elbows. Swollen and inflamed right big toe

Other Meds: Cymbalta Vitamin D Vitamin C Elderberry Turmeric

Current Illness: None

ID: 0975967
Sex: F
Age: 45
State: TX

Vax Date: 01/16/2021
Onset Date: 01/23/2021
Rec V Date: 01/26/2021
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Allergies: None

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

Symptoms: 7 data after the vaccine was give, the injection site became very itchy. On the 8th day the area became inflamed, warm to touch, red, painful, and felt firm to touch. This has continued since day 8.

Other Meds: Adderall XR 15 mg Meloxicam 15mg Trazedone 50mg

Current Illness: None

ID: 0975968
Sex: F
Age: 44
State: TX

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/26/2021
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Allergies: seasonal allergies, dust

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

Symptoms: fever of 101 plus for 12 hours, headache for 5 days, Fever of 99.-99.8 for five days

Other Meds: synthroid, Wellbutrin, celebrex

Current Illness: none

ID: 0975969
Sex: F
Age: 51
State: CA

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

Symptom List: Pain in extremity

Symptoms: headache body ache chills very thirsty

Other Meds:

Current Illness:

ID: 0975970
Sex: M
Age: 36
State: WA

Vax Date: 12/24/2020
Onset Date: 01/02/2021
Rec V Date: 01/26/2021
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Allergies: NKDA

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

Symptoms: A 36-year-old gentleman seen today in consultation for further evaluation of unusual reaction following 1st coronavirus vaccine. He received Moderna recombinant MRNA vaccine on 12/24. On about 01/02, he developed a maculopapular pruritic rash that he refers to as hives present over the dorsum of both hands and predominantly right side of the face. He had some facial swelling. No breathing difficulties or other symptoms. He does not recall any rash, aches, fever. A few days later, he went in to the Community Health Clinic and received some prednisone for this, a 5-day course, and apparently, symptoms resolved by about day 4. No further problems, but he is wondering if he should receive 2nd vaccine. Again, no immediate symptoms of any importance following 1st Moderna dose on 12/24. No clear history of allergic rhinitis, asthma, eczema, bee sting allergy or food hypersensitivity. No problems with previous vaccines. He is even wondering if the vaccine and rash reaction are related and this is difficult to prove with any certainty.

Other Meds: N/A

Current Illness: N/A

ID: 0975971
Sex: F
Age: 59
State: TX

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/26/2021
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Allergies: No reported. No allergies to vaccine or vaccine components

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

Symptoms: Patient reported experiencing extreme pain in her right arm approximately 4.5 hours after the injection which progressively became worse overnight. Limited mobility of right arm. Only with assistance and extreme pain can she move her arm above her head, in front of her outstretched, or behind her. Resting pain 2 days later still high at 6 and 10 with motion. Prickling sensations in her neck periodically as well. Taking 440 mg of naproxen for pain. 7 days later still in significant pain but slightly better. Migrating pain also now down the front of the arm, across the shoulder blade, and neck.

Other Meds: Calcium with D3 daily, 50+ Multivitamin daily, EmergenC daily, Progesterone, Estradiol, testosterone cream, losartan 100 mg daily, hydrochlorothiazide 25 mg daily, metoprolol ER 25 mg daily, sertraline 50 mg daily

Current Illness: None

ID: 0975972
Sex: F
Age: 41
State: IN

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/26/2021
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Allergies: Keflex, Tacotere (chemotherapy) and Taxol (chemotherapy).

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

Symptoms: Itchy throat, sudden warmth, see spots, chest tightness.

Other Meds: Pantoprazole, Tamoxifen, Zyrtec

Current Illness: Breast cancer

ID: 0975973
Sex: F
Age: 56
State: NY

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

Symptom List: Vomiting

Symptoms: Symptoms began on (Sunday) about 6 hours after vaccine was received. They started fairly mild, with a sore arm, mild headache and fatigue. When I woke up the next morning (Monday) and I felt very ill. I could not move my arm without severe pain, I had shaking chills, I was weak, I was achy and I had a fever. My temperature went as high as 100.5. The next day (Tuesday) I woke up feeling better than I felt the previous day, but still felt weak, and achy I had no temperature when I woke up but by 10:00am my temp was up to 99.4. It is now 7:00 pm (Tuesday) my temp is 99.8. I feel much better than I have for the past two days, but I do still feel very tired. (my normal daily temperature runs low... 96.5 - 97.5)

Other Meds: none

Current Illness: none

ID: 0975974
Sex: F
Age: 48
State: KY

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/26/2021
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Allergies: Mushrooms

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Within a hour and a half my throat was on fire, and I called a virtual care through my insurance and saw a provider via telehealth. She gave me Augmentin and prednisone. My sinuses were irritated. I had flu like symptoms but no fever. I was treated for strep throat. I have had mild throat burning since and have not fully recovered. I have had a severe headache ever since and have had to rotate Tylenol and ibuprofen everyday. I went into the ER 01/22/2021 with severe chest pain and they said I had GERD.

Other Meds: Cardizem 30 mg as needed. for tachycardia, melatonin 6mg a night.

Current Illness: Strep throat

ID: 0975975
Sex: M
Age: 76
State: NJ

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

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

Symptoms: Vaccine was thawed on 1/11/21, expired on 1/16/21 but was used to immunize a patient on 1/22

Other Meds:

Current Illness:

ID: 0975976
Sex: F
Age: 67
State: CA

Vax Date: 01/17/2021
Onset Date: 01/25/2021
Rec V Date: 01/26/2021
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Allergies: None

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Itch on injection site of left arm at noon of 8th day after vaccination. On morning of 9th day, still itchy and redness appeared about 3 inches long. At 3:30pm, still itchy and redness spread about 1 foot upward toward shoulder. Called Dr. who advised I take Benadryl tablet and report to VAERS.

Other Meds: Metformin Atorvastatin Levothyroxin Losartan w/HZT Escitalopram Loratadine

Current Illness: None

ID: 0975977
Sex: F
Age: 52
State: CA

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

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

Symptoms: Dizzy, light headed, tingling sensation, stomach/ nausea, cold sweats, shooting pain down right leg for 10 minutes.

Other Meds: Cetirizine, colace

Current Illness: None

ID: 0975978
Sex: F
Age: 37
State:

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

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

Symptoms: 38y.o. female presented with complaints of chest tightness and tingling in left leg. Received COVID vaccine in right deltoid.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 704,237

Page last modified: 26 October 2021 2:21am