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: 0976029
Sex: F
Age: 58
State: OR

Vax Date: 01/23/2021
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: Penicillin, septra

Symptom List:

Symptoms: Fever 102 degrees Arm pain

Other Meds: Synthroid, vitamin d, multivitamin, hair and nail vitamin

Current Illness: None

ID: 0976030
Sex: F
Age: 17
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:

Symptom List:

Symptoms: Patient is below the recommended age for this vaccine

Other Meds:

Current Illness:

ID: 0976031
Sex: U
Age: 57
State:

Vax Date: 12/24/2020
Onset Date: 12/27/2020
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: Really bad itching all over.

Other Meds: Lisinopril and estrogen patch

Current Illness:

Date Died: 01/26/2021

ID: 0976032
Sex: M
Age: 92
State: CA

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: No known allergies

Symptom List:

Symptoms: Patient stated he wasn't feeling well on January 25, 2021, wasn't eating and complained of abdominal pain. Patient noted to have indigestion and was constipated. Meds provided and labs ordered. On morning of January 26, 2021, patient became weak, lethargic and hypoxic and was sent to emergency department around 0700 hours on January 26, 2021. At approximately 1100 hours, emergency physician notified this writer that patient was not going to overcome his illness and would be placed on comfort care. At approximately 1130 hours, this writer was notified that patient had passed away from multi-organ failure.

Other Meds: Acetaminophen, Aspirin, Sinemet, Docusate, Eliquis, Finasteride, Fluticasone, Furosemide, Klor-con, Melatonin, Nortriptyline, Pantoprazole, Simvastatin, EMU muscle and joint relief cream, Synthroid, Tamsulosin, Vitamin B12, Vitamin D3, TUMS

Current Illness: CHF exacerbation in November 2020

ID: 0976033
Sex: F
Age: 80
State: GA

Vax Date: 01/19/2021
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:

Symptom List:

Symptoms: The patient received the Moderna Covid 19 vaccine on 1/19/21 and reported to the pharmacy that during the night on 1/20/21, she passed out. She reported having a mild headache all day but no other problems. She was putting drops in her husband's eyes around 11pm and told him she needed to sit down that she was going to "pass out." Her husband said she did pass out and he called 911. He said she was unconscious maybe 3 or 4 minutes. She woke up alert and knew what had happened. The EMT's checked her out--said she had no temperature, blood pressure was ok, and blood sugar was 280. They told the couple they thought it was probably from the vaccine. They wanted to transport her to the ER to be "checked out" but the patient refused to go. She has not had any problems since the incident except some fatigue

Other Meds:

Current Illness:

ID: 0976034
Sex: F
Age: 33
State: MD

Vax Date: 01/16/2021
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: Na

Symptom List:

Symptoms: Red circle around Vaccination site. Hard lump. Sore under arm approximately 6 days after getting vaccine dose 1. Seems to be getting better on day 10-11

Other Meds: Na

Current Illness: Na

ID: 0976035
Sex: F
Age: 69
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:

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: 0976036
Sex: F
Age: 61
State:

Vax Date: 01/12/2021
Onset Date: 01/14/2021
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:

Symptoms: No problems with first vaccine. Started having severe head aches 2 days after the vaccine. Back Ache after 5 days on the right side. Throwing up 6 days after for 3 days. Went to the hospital 10 days later for four days was taken by ambulance because she was to ill to drive.

Other Meds:

Current Illness:

ID: 0976037
Sex: F
Age: 22
State: MA

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: N/A

Symptom List:

Symptoms: About 5 hours after my second dose I became very fatigued. I then started experiencing body aches and sweats and chills. My temp was 100.5 before Tylenol. I also experienced GI upset, nausea and diarrhea. The next day after my vaccine I am experiencing a migraine, body aches, a fever of 100.3 and nausea

Other Meds: Sprintec

Current Illness: N/A

ID: 0976038
Sex: F
Age: 64
State: CA

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: Fosamax, Wasps

Symptom List:

Symptoms: body aches - day one after vaccine headache - day one and continuing to present after vaccine sore arm at injection site - evening of vaccine through day three after vaccine extreme back/hip pain - day two through day five after vaccine hives around injection site - day seven and continuing to present after vaccine

Other Meds: Propranolol 60 mg daily, Duloxetine 30 mg daily, Aimovig 140 mg injection monthly, Valtrex .5 mg daily, Ubrelvey 100 mg as needed for migraine, Cetirizine 10 mg daily, Montelukast SOD 10 mg daily, Aspirin 81 mg daily, Calcium 600 mg 2/day,

Current Illness: None

ID: 0976039
Sex: F
Age: 66
State: MN

Vax Date: 01/09/2021
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: Allergy to dicloxicyllin

Symptom List:

Symptoms: Day 8 post vaccine: red, warm, slightly swollen ( slight plateau) itchy 2x2? area appeared, just distal to injection site (NOT exactly on the site). It grew over 5 days to 3x5?. Slightly darker red around the perimeter. Continued to itch. Then faded over the next 5 days. Gone now 1-26-21

Other Meds: Multi vitamin, probiotic, calcium, Vit D, Vit C

Current Illness: None

ID: 0976040
Sex: F
Age: 28
State: IL

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: Dizzyness, lightheadedness, weakness, sweating (hot/cold) and patient reported loss of hearing for 30 seconds. Patient sat for observation for 30+ minutes, feet elevated, drank water, and ice pack was provided for patient to place on forehead until patient's symptoms resolved.

Other Meds: Adderall

Current Illness: n/a

ID: 0976041
Sex: M
Age: 76
State: MA

Vax Date: 02/02/2021
Onset Date: 02/05/2021
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: None stated.

Other Meds:

Current Illness: none

ID: 0976042
Sex: F
Age: 37
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: NKDA, no known food allergies

Symptom List:

Symptoms: Pt. developed slight tightness in her chest felt flushed, had some mild erythema at her injection site. After medical evaluation, she felt reassured and did not want to use her inhaler, said she would use it later if tightness returned.

Other Meds: rescue inhaler of albuterol

Current Illness: denies

ID: 0976043
Sex: F
Age: 32
State: VA

Vax Date: 01/13/2021
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: Advair, azithromycin

Symptom List:

Symptoms: Lymphadenopathy, tenderness on left side of neck near neck base

Other Meds: Centrum multivitamin

Current Illness: None

ID: 0976044
Sex: M
Age: 74
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:

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: 0976045
Sex: F
Age: 46
State: WA

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: None

Symptom List:

Symptoms: Rash developed at vaccination site. Slightly itchy the first day. Red and slow growing for 6 days now. Rash total length 6 inches by 3 inches wide. Not raised, scaly or itchy after the first day, just red.

Other Meds: Omeprazole Vitamin D

Current Illness: None

ID: 0976046
Sex: F
Age: 77
State: CT

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: penicillin

Symptom List:

Symptoms: left arm has rash the size of a golf ball is hard, red, and very itchy.

Other Meds: none

Current Illness: none

ID: 0976047
Sex: F
Age: 64
State: VA

Vax Date: 01/13/2021
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 (hives)

Symptom List:

Symptoms: 1/14 and 1/15: mild nausea and diuzziness, mild soreness and hardness as injection site; 11/21: in the evening found myself scratching at my upper right arm and realized I was scatching my injection site so went to look at upper right arm: realized a several inch area above, below and around the injectin site was swollen, hard and hot to the touch and a bit red and itchy. Note I could feel what felt like bumps under the skin vs. above the skin or that they could be seen. Due to providing support services to a disabled brother at his home during this evening, I did not take any benadryl or any related medication. I used cool compress at the site and called my husband to give him an alert. I had both a landline phone and a mobile phone (which has a medical alert service at the push of 1 button that I could talk to/or that would automotically respond) as I was aware to watch for breathing difficulties...I experienced none. I alerted our school system nurse about the issue the next morning and she guided me to contact my PCP which I did. I could not be seen that day, but was no worse regarding symptomes and knew I needed to go to ER or a Urgent Care if anything worsened which it didn't. Around 5 p.m. on Friday evening when I was able to be at my own home I took 1 dose of benadryl (allergen/dye free), drank alots of liquids and rested. During Saturday I still felt effects of benadryl, but vaccine related things cleared up. Monday, 1/25 7:15 a.m. to 7:45 a.m. while at home working on my computer, my left eye vision became very distorted like my vision was jumping around/unfocused...no issues of this before and I am not prone to headaches such as migraines..I was getting concerned that I might need to call work that I could not come as was afraid to drive and it cleared up. Note: I have routinely gotten many types of vaccines due to working in the medical field and needed to care for at risk family members (flu, phenmonia (sp), shingles, hepititis, tetnus, booster for other preventive illnesses) and have never had adverse reactions. I do plan to get the second dose of the Moderna vaccine as I work for a school system and am primry care giver for a medical and disability comprimised younger brother.

Other Meds: lisinopril; levothyroxine

Current Illness: none

ID: 0976048
Sex: F
Age: 74
State: NY

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: Allergic to dye during scans

Symptom List:

Symptoms: Pain in upper right back when I inhale. Mild headache. Fatigue. Soreness at site of injection

Other Meds: None

Current Illness: None

ID: 0976049
Sex: F
Age: 26
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: Trees, Cats, Zithromax

Symptom List:

Symptoms: Itchy throat, swollen tongue, difficulty breathing. Approximately 17 minutes following injection, lasted longer than an hour following epi injection.

Other Meds: Zoloft, Xyzal, Singulair

Current Illness: N/A

ID: 0976050
Sex: F
Age: 37
State: NC

Vax Date: 01/01/2021
Onset Date: 01/01/2021
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 103 Fahrenheit for 72 hours

Other Meds: Zinc 50mg, Vitamin D3 2000IU, Omeprazole 20mg

Current Illness: None

ID: 0976051
Sex: F
Age: 59
State: CA

Vax Date: 01/20/2021
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:

Symptom List:

Symptoms: High heart rate anxious feeling High blood pressure

Other Meds:

Current Illness:

ID: 0976052
Sex: F
Age: 70
State: AK

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: Procaines

Symptom List:

Symptoms: 10 minutes after vaccine, dizziness, sweating, blood pressure was extremely high, mind fogginess, shaky

Other Meds: Metformin 1000 bid

Current Illness: n/a

ID: 0976053
Sex: F
Age: 77
State: CO

Vax Date: 11/17/2020
Onset Date: 11/18/2020
Rec V Date: 01/26/2021
Hospital:

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

Lab Data:

Allergies: Shellfish, Iodine, Basil Pesto, Strawberries, peanuts, Red wine. Allergic to perfumed soaps and other products. Asthma can be triggered by Cigarette or Cigar smoke.

Symptom List:

Symptoms: EVERY JOINT IN MY BODY ACHED. COULD HARDLY MOVE. CONTACTED DR. HE SAID I COULD TAKE 200 MG OF IBUPROFIN PER DAY & KEEP IN CONTACT WITH HIM. FIRST DAY I TOOK 200 TWICE A DAY;SLEPT MOST OF DAY & 2 DAYS AFTER. WASN'T HUNGRY, DRANK ALOT. 4TH DAY IT FELT LIKE I HAD A METAL HELMET ON; HEAVYNESS IN MY EYES, TEMPLES ETC. CONTACTED DR. AGAIN HE SAID CONTINUE AS PRESCRIBED. THIS LASTED 8 DAYS. NO ENERGY = EXHAUSTED THRU HOLIDAY. ON 12-24-2020 HAD SEVERE VERTIGO, WENT TO URGENT CARE; STILL STRUGGLING WITH THIS. DOING PT THERAPY. HAVE MECLIZINE 25 MG FOR DIZZYNESS & ONDSETRONAN FOR NAUSEA. QUESTION WHETHER THE SHINGLES SHOT IS RESPONSIBLE FOR THE DECEMBER/VERTIGO?? SCARED TO TAKE 2ND SHINGLES SHOT. DR. SAID I COULD TAKE IT WITHIN THE 60 MO PERIOD WHICH WOULD BE MID-MAY. WILL TAKE COVID VACCINE IN MARCH IF I'M BETTER.....

Other Meds: Lumigan, Omeprazole, Vitamin E, Lutein, Calcium. Two Nasal Sprays: Ipratropium Bromide and Fluticasone. Two Antibiotics: Nitrofuran & Cefuroxime

Current Illness: None

ID: 0976054
Sex: F
Age: 64
State: WA

Vax Date: 01/23/2021
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: Lactose intolerant. Nickel in jewelry. Flagyll. Darvon.

Symptom List:

Symptoms: Nausea and Vomiting this morning at 8:30 am on 1/26/21. Slight headache yesterday.

Other Meds: Lisinopril. Metoprolol. Vyvanse. Lomotil. Trintillex. Colestipol. Omeprazole. Methotrexate. Folic acid. Florist or probiotic. Remicade infusion. Cyclobenzaprine. Lorazepam. Vitamin D. Calcium.

Current Illness: None

ID: 0976055
Sex: F
Age: 62
State: CT

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

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

Lab Data:

Allergies: none known

Symptom List:

Symptoms: Pain and redness at injection site. Prolonged redness lasting 12+ days. Area of 7 cm in diameter. Had primary care doctor examine. Recommended use of Aleve and ice for 2nd dose as well as injection in other arm.

Other Meds: Multivitamin, AREDS, Fish Oil, Vitamin D

Current Illness: none

ID: 0976056
Sex: F
Age: 39
State:

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: sore arm, body aches, chills, and headache

Other Meds:

Current Illness:

ID: 0976057
Sex: M
Age: 16
State:

Vax Date: 01/22/2021
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: none

Symptom List:

Symptoms: local erythema, tenderness, swelling after 24h, then fever tmax 101.5

Other Meds: on vancomycin, ceftriaxone, flagyl

Current Illness: sinusitis c/b meningitis, microabscesses

ID: 0976058
Sex: F
Age: 75
State: MA

Vax Date: 02/02/2021
Onset Date: 02/05/2021
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: none

Other Meds: Metformin 1000 mg Atenolo 5 mg

Current Illness: none

ID: 0976059
Sex: F
Age: 80
State: GA

Vax Date: 01/19/2021
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:

Symptom List:

Symptoms: The patient received the Moderna Covid 19 vaccine on 1/19/21 and reported to the pharmacy that during the night on 1/20/21, she passed out. She reported having a mild headache all day but no other problems. She was putting drops in her husband's eyes around 11pm and told him she needed to sit down that she was going to "pass out." Her husband said she did pass out and he called 911. He said she was unconscious maybe 3 or 4 minutes. She woke up alert and knew what had happened. The EMT's checked her out--said she had no temperature, blood pressure was ok, and blood sugar was 280. They told the couple they thought it was probably from the vaccine. They wanted to transport her to the ER to be "checked out" but the patient refused to go. She has not had any problems since the incident except some fatigue

Other Meds:

Current Illness:

ID: 0976060
Sex: F
Age: 74
State: TX

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: adhesive tape, demerol

Symptom List:

Symptoms: Covid vaccine Jan 15 Reaction began 16-17 - bright red, swelling at injection site; felt chilled; no fever, no myalgia; no drainage. Mild warm to touch (better over past 2-3 days). Pt has sensitivity to band aids (kept bandage on for 24 hrs). Today - better, took Benadryl. Pt feels that it is 50% improved.

Other Meds: alendronate (FOSAMAX) 70 mg tablet ? atorvastatin (LIPITOR) 10 mg tablet ? calcium carbonate (CALCIUM 500 ORAL) ? cholecalciferol, vitamin D3, (VITAMIN D3 ORAL) ? clobetasoL (TEMOVATE) 0.05 % ointment ? coenzyme Q10 (Co Q-10) 100

Current Illness:

ID: 0976061
Sex: F
Age: 49
State: OK

Vax Date: 01/12/2021
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: AUGMENTIN WASPS

Symptom List:

Symptoms: 12/21/2021 HIVES AT THIGHS WITH ITCHING AT SITE ITCHING -RT SAME DAY 01/12/2021 HIVES AND ITCHING TORSO AND THIGHS- SITE OF ARM- LT SAME DAY UP TO 4TH DAY-WORST OM 1/16/2021 WITH RESTLESS NIGHT WAKING UP EYE MATTED-WAKING UP ITCHYAT SITE/TORSO/THIGHS/LT EYE SWELLING AND RT EYE WITH WATERY LUNG FEELING SEEN AT THE ER AND ORAL STEROIDS CAUSE SOME SWELLING AT OTHER EYE BUT BETTER AFTER 30 MIN.AFTER A NAP RT EYE WAS SWELLING W/O ITCHING PRETTY BAD.AND ORAL MEDROL PACK LAST DOSE 1/19/2021 AND FORGOT THE DOSE ON 1/21/2021 AT WORK HAD EYE SWELLING LT EYE FIRST THEN WENT TOOK A DOSE THEN HAD ON THE RT EYE. SWELLING WITH TORSO AND SITE ITCHING TOO SO TOOK ANOTHER STEROID GETTING BETTER WITH PO BENADRYL 50 MG- FATIGUE BUT PRETTY GOOD.YESTERDAY TIRED TOWARDS THE END OF SHIFT AND THIS AM AFTER 9 HRS WAS FEELING TIRED-FATIGUE- STARTED LATE AND THIS PM SWELLING ON THE LT AND THEN RT (SAW CHIROPRACTOR 1/23/2020). IM DEXAMETHASONE 8 mg IM NOW BETTER AFTER 30 MINUTES BETTER.

Other Meds: BENADRYL/ZYRTEC/SINGULAIR

Current Illness: NONE OTHER BELOW ASYMPTOMATIC AND STABLE

ID: 0976062
Sex: F
Age: 28
State: PA

Vax Date: 01/09/2021
Onset Date: 01/16/2021
Rec V Date: 01/26/2021
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Allergies: None

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Symptoms: For 48 hours post vaccine, I was very lethargic and fatigued and then the symptoms subsided. Seven days after the vaccine, I was itchy at my injection site and found that I had a rash about 7 cm in diameter. The rash cleared within 24 hrs.

Other Meds: Lamictal

Current Illness: None

ID: 0976063
Sex: F
Age: 25
State: MN

Vax Date: 01/19/2021
Onset Date: 01/22/2021
Rec V Date: 01/26/2021
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Allergies: Amoxicillin, Bactrim, Clindamyacin

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Symptoms: Day 1-2 warm, arm pain Day 4-8 headache with pressure causing dizziness and some mild tingling in face, extreme fatigue, lack of appetite

Other Meds: Levothyroxine, Vitamin D, Prenatal vitamin, On guard (DoTerra supplement)

Current Illness:

ID: 0976064
Sex: F
Age: 59
State: TX

Vax Date: 01/16/2021
Onset Date: 01/23/2021
Rec V Date: 01/26/2021
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Allergies: latex

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Symptoms: I was given the vaccine on 1/16/2021 on my left arm. Exactly 8 days later on 1/24/21, I developed a rash/redness like the size of of a tennis ball and was very red, hot to the touch, a little painful and itchy on the site near where the vaccine was given. As of today the actual rash/redness has spread on my upper arm. It seem like is fading a bit but its still very much there. I have been a little feverish, a little headache, I guess overall ok.

Other Meds: Zyrtec D

Current Illness: allergies, prediabetic

ID: 0976065
Sex: F
Age: 53
State: NM

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 01/26/2021
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Allergies: Guafinesin, Albuterol, Ceterezine, Bactrim,. Prednisone, Metformin; Seasonal Allergies

Symptom List:

Symptoms: Patient was given Pfizer Covid 19 vaccine, after administration she reported having burning to her throat, tingling of lips and tightness on her throat. Dr. was immediately called. Orders for Benadryl 100 mg IM was given and medication was administered on right gluteus. Vital signs were taken and recorded on chart. Patient was monitored and verbalized improvement within 5 minutes of adminstration. Patient was monitored for another 30 minutes. Patient stated that she was feeling better.

Other Meds: Loratadine , Flutacazone, Glipizide, Probiotic, Semeglutide, Simvastatin, Montelukast, Multivitamin, Omega 3 fish oil, and Benadryl

Current Illness: Diabetis, Hypertension, Asthma, and Chronic Sinusitis

ID: 0976066
Sex: F
Age: 34
State: IL

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 01/26/2021
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Allergies: Bactrim-allergies

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Symptoms: Patient reported palpitations and shortness of breath 10 minutes after vaccination. She came to the ER where she was diaphoretic and pale. Patient was treated with a fluid bolus of sodium chloride 0.9% 1000 mL.

Other Meds: Sprintec

Current Illness: N/A

ID: 0976067
Sex: F
Age: 70
State: CA

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

Allergies: Penicillin, Sulfa, Demerol, Nitroglycerin

Symptom List:

Symptoms: Patient complaint of nausea and vomiting.

Other Meds: Aspirin 81mg

Current Illness: None stated

ID: 0976068
Sex: F
Age: 88
State: CA

Vax Date: 01/15/2021
Onset Date: 01/23/2021
Rec V Date: 01/26/2021
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Allergies: Fosamax Hydrocodone Minocycline Opioids

Symptom List:

Symptoms: 1 week after vaccine, developed 11x9 cm area of erythema, warmth, and swelling. Pt reported it was itchy but not painful.

Other Meds: Lipitor Breo Ellipta inhaler Estrace Timoptic eye solution

Current Illness: None

ID: 0976069
Sex: F
Age: 70
State: NJ

Vax Date: 01/11/2021
Onset Date: 01/13/2021
Rec V Date: 01/26/2021
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Lab Data:

Allergies: tetracycline

Symptom List:

Symptoms: Chills- body aches- diarrhea- night sweats- fatigue lasted 8 days

Other Meds: pantoprazole ASA 80 mg losartan 20 mg

Current Illness: none

ID: 0976070
Sex: F
Age: 25
State: OH

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/26/2021
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Allergies: N/A

Symptom List:

Symptoms: I experienced fever, chills, fatigue, muscle aches and headache after 9 hours from receiving my second dose of Moderna COVID-19 vaccine. The pain was so severe I almost went to the ED and had to take off work the following day. My temperature was as high as 102.4 degrees Fahrenheit. I took acetaminophen but this did not help the pain. However, this only lasted less than 24 hours and I made a complete recovery. I have not experienced any issues since.

Other Meds: Prenatal vitamins, Elinest, metoprolol 25 mg and probiotic.

Current Illness: N/A

ID: 0976071
Sex: F
Age: 49
State: CA

Vax Date: 01/15/2021
Onset Date: 01/21/2021
Rec V Date: 01/26/2021
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Allergies: NKA

Symptom List:

Symptoms: Red rash circle getting bigger and was delayed

Other Meds: Synthroid

Current Illness: None

ID: 0976072
Sex: F
Age: 23
State: VA

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

Symptom List:

Symptoms: Patient started to have palpitations w/i 24 hours of receiving the vaccine, at rest heart rate can go up to 120, EKG done at clinic showed NSR Patient having reticular rash on chest, neck, shoulder, back.

Other Meds: Loestrin- OCP Vitamin B complex Centrum MVI

Current Illness: None

ID: 0976073
Sex: F
Age: 79
State: TX

Vax Date: 01/18/2021
Onset Date: 01/26/2021
Rec V Date: 01/26/2021
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Allergies: Codeine, environmental allergies, pollen, etc.

Symptom List:

Symptoms: Swollen redness, like hives that appeared 8 days after injection. Area is !4" x 2" and itches. First discovered today, did not notice prior to today. Taking antihistamines, have not been able to see medical professional yet.

Other Meds: Metoprolol, Allegra, various vitamins, no herbal remedies

Current Illness: None

ID: 0976074
Sex: F
Age: 48
State: MA

Vax Date: 01/13/2021
Onset Date: 01/21/2021
Rec V Date: 01/26/2021
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Allergies: Penicillin

Symptom List:

Symptoms: A circular rash developed a week after the injection. It has grown steadily and is now (13 days post-injection) to approximately 4" in diameter. It itches on occasion.

Other Meds: Contrave, fiber supplement, calcium supplement, multi-vitamin

Current Illness: None

ID: 0976075
Sex: M
Age: 74
State: PA

Vax Date: 01/15/2021
Onset Date: 01/01/2021
Rec V Date: 01/26/2021
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Allergies: None

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Symptoms: None

Other Meds: None

Current Illness: None

ID: 0976076
Sex: F
Age: 65
State:

Vax Date: 01/18/2021
Onset Date: 01/26/2021
Rec V Date: 01/26/2021
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Allergies: Latex, petroleum products

Symptom List:

Symptoms: Rash around injection site

Other Meds: None

Current Illness: None

ID: 0976077
Sex: F
Age: 32
State: NY

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

Allergies: Influenza vaccine - hives Lexapro - SOB (mild) Flagyl - SOB (mild)

Symptom List:

Symptoms: 3:45 pm - received vaccine. 4:17 pm - Experienced tongue numbness, throat tightness, facial swelling, chest tightness, SOB. Given epinephrine 5:15 pm - Given Benadryl in the ED. And observed for 4 hours without adverse reaction.

Other Meds: Lexapro

Current Illness: None

ID: 0976078
Sex: F
Age: 79
State: VA

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

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Allergies: Sulfa

Symptom List:

Symptoms: After 1.5-2 hours after injection, patient blacked out on stairwell and fell down stairs. Patient struck head and received a concussion, broken nose, brain bleed, tear in the lip and damage to 6th cranial nerve in right eye. Patient has double vision now.

Other Meds: Lisinopril Atenolol Januvia Fenofibrate Centrum multivitamin Vitamin D

Current Illness: No

Total 2021 VAERS Injuries: 599,999

Page last modified: 03 October 2021 5:28pm