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: 0979062
Sex: F
Age: 55
State: NJ

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 01/27/2021
Hospital:

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

Lab Data:

Allergies: denies

Symptom List: Dysphagia, Epiglottitis

Symptoms: 1/26/21 at 6:30 am patient woke up and noticed that her left fifth digit felt like an electric shock pain when making a fist. Pt. states that she took tylenol for the pain and did not get relief. Pt. states that her left fifth digit is still painful 8-9/10. Pt. states that she is currently working now, and she is trying to be cautious of her left fifth digit pain so that she does not trigger the pain.

Other Meds: denies

Current Illness: denies

ID: 0979063
Sex: F
Age: 36
State: AR

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 01/27/2021
Hospital:

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

Lab Data:

Allergies: NONE

Symptom List: Anxiety, Dyspnoea

Symptoms: HA, GI SYMPTOMS, CHILLS

Other Meds: NONE

Current Illness: NONE

ID: 0979064
Sex: F
Age: 24
State: TX

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 01/27/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: No hx of seizures. Woke up with severe abdominal pain and need to have bowel movement. Diarrhea 1x wtih nausea. Severe ear ringing, headache, confusion, and out of body feeling. Loss of control over large muscles, shuffling gait, unable to open eyes or speak, impaired LOC, anxiety and emotions, diaphoresis and hyperventilation.

Other Meds: 54 mg Concerta, equate-NyQuill

Current Illness: no

ID: 0979065
Sex: F
Age: 53
State: NV

Vax Date: 01/15/2021
Onset Date: 01/19/2021
Rec V Date: 01/27/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Pt c/o headache, very strong headache while at work at the clinic, BP was 191/93, was given Captopril 25 mg, rested for about 20 min and then became nausous. Ambulance was called and transported her to Hospital. On arrival to hospital, BP 200/101, Tx w/Benedryl and antinasuea medication. CT Scan of head was done, which showed normal CT of brain without contrast. Headache resolved the next day. ER doctor advised that she not get the 2nd Covid vaccine dose, CMO at Health Clinic also agrees.

Other Meds: Prilosec, Vit. D, Ibrance 125 mg qday X 3 week./off week

Current Illness: Cancer of the breast, under treatment

ID: 0979066
Sex: F
Age: 57
State: NC

Vax Date: 12/30/2020
Onset Date: 01/03/2021
Rec V Date: 01/27/2021
Hospital:

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

Lab Data:

Allergies: NKA

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

Symptoms: 12/20/20 received first vaccine of Moderna Covid series. Only experience fatigue for first couple of days. 01/03/21 - Around 2pm noticed 3 inch welt across right cheek by 5pm swelling under eyes and random itching around head, neck and face. Headed to doctor 6pm. Saw a PA who said symptoms were not from vaccine when I asked about possibility because of my Hashimotos Thyroiditis. They gave me a steroid shot and called in scrip for Medrol Pack. Later that evening I started also having bad flares of my asthma. Also continued on Benedryl. 01/05/21- started Medrol Pack and continued antihistamines. Very fatigued. 01/10/21-finished Medrol. Still slight welt on right cheek but everything else pretty good. 01/20/21- mid morning noticed welt growing in right cheek and eyes puffing up. By 5pm itching has returned. By 7pm there are now welts and hives on both cheeks and they are red and hot....asthma flaring badly. Took 30mg prednisone from my medication used for asthma. 01/21/21- things have calmed down redness wise but lots of fatigue. Took 20mg Prednisone. 01/22/21- back to doctor, another Medrol pack. 01/27/21- finished second Medrol pack. Still having slight welts and hives.

Other Meds: Prozac, Synthroid, Albuterol inhaler, Singular, Atorvastatin, COQ-10, Vitamin D, Vitamin C, Probiotic/Prebiotic, Fiber

Current Illness: None

ID: 0979067
Sex: F
Age: 41
State: TX

Vax Date: 01/15/2021
Onset Date: 01/25/2021
Rec V Date: 01/27/2021
Hospital:

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

Lab Data:

Allergies: None known

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

Symptoms: 1-25-21 Noticed in the evening a red blotch just below the injection site a little bigger then a quarter. 1-26-21 Red blotch begins to look like a proper rash. Another red blotch forms just under and to the right of the first spot. 1-27-21 Both red blotches now look like a proper rash.

Other Meds: Vitamin B-12 (1000mcg) - once daily Vitamin C (500 mg) - once daily Vitamin Omega 3 DHA+EPA (250mg) - once daily Vitamin "One A Day" women's multivitamin - once daily Vitamin D2(1.25mg, prescribed) - once weekly

Current Illness: None

ID: 0979068
Sex: F
Age: 49
State: MA

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 01/27/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Temporary A-fib

Other Meds:

Current Illness:

ID: 0979069
Sex: F
Age: 68
State: OK

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/27/2021
Hospital:

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

Lab Data:

Allergies: penicillin, sulfa, latex

Symptom List: Pharyngeal swelling

Symptoms: First day: Pain in upper arm of injection site after about 2 hours; starting after about 4 hours: headache, fatigue, chills; after about 5 hours: right ear ache; after about 6 hours: nausea. Second day developed mild congestion and croupy cough. Side effects improved after 3 days and lasted 5 days.

Other Meds: lisinopril 10 mg, 81mg aspirin

Current Illness: None

ID: 0979070
Sex: F
Age: 43
State: TX

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/27/2021
Hospital:

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

Lab Data:

Allergies: bactrim

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Severe redness of face, throat, and chest, "felt like my body was on fire"; hives on bilateral inner arms and entire chest; burning sensation on soles of both feet; facial and lip swelling. Oral benadryl was taken and symptoms subsided after 45 minutes.

Other Meds:

Current Illness:

ID: 0979071
Sex: F
Age: 44
State: FL

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 01/27/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Patient had fever 104 Nausea, Vomiting, Headache, Body Ache, Blurred vision, Dizziness, Diarrhea

Other Meds:

Current Illness:

ID: 0979072
Sex: F
Age: 40
State: NY

Vax Date: 12/30/2020
Onset Date: 01/12/2021
Rec V Date: 01/27/2021
Hospital:

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

Lab Data:

Allergies: sulfa

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

Symptoms: rash - erythema multiforme

Other Meds: montelukast, allegra, melatonin, vitamins B and D, calcium

Current Illness: none

ID: 0979073
Sex: F
Age: 59
State: VA

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 01/27/2021
Hospital:

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

Lab Data:

Allergies: Codeine; Cipro; Reglan: Oxycodone; Flagyl;

Symptom List: Rash, Urticaria

Symptoms: I had a SEVERE headache (10/10) for approx. 20 hours. Vicodin did not touch it. I had severe chills/riggors and a fever for over 10 hours. I had arrhythmias for 48 hours (still have a fast heartrate). Felt like I was going to pass out when I stood up during the worst of it.

Other Meds: metoprolol Prozac aspirin glucosamine

Current Illness: Had a cortisone shot in my hip 4 days prior to vaccine

ID: 0979074
Sex: F
Age: 66
State: CA

Vax Date: 01/14/2021
Onset Date: 01/18/2021
Rec V Date: 01/27/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

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

Symptoms: Started as sore arm and red spot at injection site. Red rash got bigger and bigger spreading down arm to elbow. Rash itches. It has been two weeks. Started antibiotics today 1/27/21 and diphenhydramine.

Other Meds: Multi vitamins vitamin D Green tea supplements and ginger supplements

Current Illness: None

ID: 0979075
Sex: F
Age: 54
State: WI

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 01/27/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Felt very flushed, all-over red- took two Benadryl@ 08:20- Through the day my lips and tongue were becoming increasingly numb- I was not short of breath, but maybe felt slightly tight- used my albuterol MDI three times between 0820 and 1600 2 puffs each time

Other Meds: Tylenol, ibuprofen, hydrocodone, OxyContin, met form in, gabapentin, lamotrigine, trintellix, levothyroxine, mirtazipine, creator, modafinil, aspirin, alprazolam, , multivitamin

Current Illness: None

ID: 0979076
Sex: F
Age: 33
State: IN

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 01/27/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Moderate muscle/body aches all over for approximately 18 hours

Other Meds: None

Current Illness: None

ID: 0979077
Sex: F
Age: 40
State: KS

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 01/27/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

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

Symptoms: Around 10 minutes after injection, she developed symptoms that included nausea, dizziness, and syncope. Symptoms progressed over time until she seemed almost catatonic at times including delayed responses, staring straight ahead (later she closed her eyes), slurred speech. She kept repeating, "I feel like jelly" and that she was very tired. Pharmacist gave her 25 mg diphenhydramine at 10:55 am. Around 11:10 the facilities administer called 911 at the request of (PharmD).

Other Meds: unknown

Current Illness: unknown

ID: 0979078
Sex: F
Age: 47
State: PA

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/27/2021
Hospital:

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

Lab Data:

Allergies: Amoxicillin

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

Symptoms: Approximately baseball-sized area of left axillary lymphedema. Edema and subsequent pain was first noticed just under 24 hours after vaccine dose and was completely resolved by the 5th day following the vaccination.

Other Meds: Ortho Tricyclen-Lo, Claritin, Prozac

Current Illness: NA

ID: 0979079
Sex: F
Age: 58
State: IA

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 01/27/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Aches; chills; headache

Other Meds:

Current Illness:

ID: 0979080
Sex: F
Age: 23
State: MD

Vax Date: 01/19/2021
Onset Date: 01/25/2021
Rec V Date: 01/27/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Immediately after the vaccine, I had redness around the injection site and a sore arm for about 2-3 days. I received the shot on a Tuesday, and by the weekend my arm felt fine. One week later (Monday 25th), I felt like I had a light fever. My temperature was 99.1F. Tuesday, my left arm where I received the injection was SO SUPER itchy. When I looked at it, there was a huge, red, swollen, bump. The area was about the size of a credit card. The area was also HOT to the touch even though the rest of my arm felt like a normal temperature. From Tuesday 26th through Wednesday 27th (time of reporting), I still have the big, red, hot bump at the injection site, and my fever fluctuates in between 99.1-100.4F. I contacted my doctor who believes it is most likely an allergic reaction to the vaccine. He has advised me to take benadryl and tylenol, and if I still have the fever tomorrow, he will test me for strep, flu, and COVID. I have not taken the benadryl and tylenol long enough to see if there is any sort of impact. I should also mention that I get tested weekly for COVID at work, and my test from Monday January 25 has come back as negative.

Other Meds: Women's Multi-Vitamin 5000mcg Biotin 200mg DHA Omega-3 50mg Chelated Zinc 1000IU D3

Current Illness: None

Date Died: 01/22/2021

ID: 0979081
Sex: M
Age: 89
State: CA

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 01/27/2021
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: Patient found dead in home the next morning. May or may not be connected to vaccination. Instructed to report it from our medical director and director of nursing.

Other Meds: Warfarin, Tamsulosin, Metoprolol, Vitamin D3, Lasix

Current Illness: None

ID: 0979082
Sex: F
Age: 76
State: SC

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 01/27/2021
Hospital:

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

Lab Data:

Allergies: penicillin, clindamycin, zofran, avocado

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

Symptoms: Severe anaphylaxis shock, received 5 drug injections at vaccination site, transported to ER for observation. released later that evening.

Other Meds: clonazepam 0.5 (1), aspirin 81mg (1), centrum silver (1), miralax 1 tbsp, rosuvastatin 5 mg (1), preservision areds 2 (2), cymbalta 60 mg (1), calcium 600 +D3 (1), elderberry syrup (2) tbsp daily on all

Current Illness: none

ID: 0979083
Sex: F
Age: 22
State: OR

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/27/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Unevaluable event

Symptoms: Developed mild, sporadic headaches after 24 hours of receiving the vaccine, and generalized fatigue 24-72 hours after receiving the vaccine. Slight soreness of the arm.

Other Meds:

Current Illness:

ID: 0979084
Sex: F
Age: 74
State: AZ

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 01/27/2021
Hospital:

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

Lab Data:

Allergies: morphene

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

Symptoms: Left arm extremely sore and heavy. Chills all night long.

Other Meds: Lanus, victoza, humologue. levothyroxin, gabapentin

Current Illness:

ID: 0979085
Sex: F
Age: 28
State: IN

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 01/27/2021
Hospital:

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

Lab Data:

Allergies: Seasonal/hayfever

Symptom List: Injection site pain, Pain

Symptoms: Chills, body aches, pounding headache, fatigue, cognitive changes. Lasted 8 hours.

Other Meds: Allegra (seasonal allergies), Microgestin (birth control)

Current Illness: N/A

ID: 0979086
Sex: F
Age: 76
State: FL

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 01/27/2021
Hospital:

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

Lab Data:

Allergies: Possible PCN

Symptom List: Injection site pain, Menorrhagia

Symptoms: Patient stated she had a moderate amount of bleeding out the injection site and a small amount of fluid drainage. Client denies any other symptoms and/or signs of infection. Injection site inspected and was clean with no signs of infection /discomfort.

Other Meds: Patient unsure of medications

Current Illness:

ID: 0979087
Sex: F
Age: 18
State: MI

Vax Date: 01/06/2021
Onset Date: 01/13/2021
Rec V Date: 01/27/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: 7-days following vaccination, employee developed redness and swelling of injection site, denies itching, or pain to area

Other Meds:

Current Illness:

ID: 0979088
Sex: F
Age: 68
State:

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 01/27/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Moderate fatigue, moderate chills, moderate body aches, mild soreness at injection site.. Responded fairly well to acetaminophen (injection site soreness, chills & body aches but not fatigue). All symptoms gone by 06:00 on 1/27/21.

Other Meds: Alendronate 70mg qwk, zolpidem 5mg hs, cetirizine 10mg, Centrum women 50+, fish oil, vit c, vit D3, Ca, Mg, Zn

Current Illness: None

ID: 0979089
Sex: F
Age: 50
State: CA

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/27/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: shortness of breath. gave benedryl. Symptoms resolved after 30 min.

Other Meds: Zofran, paxil, crestor, metformin, flonase

Current Illness: None

ID: 0979090
Sex: F
Age: 47
State: IL

Vax Date: 01/18/2021
Onset Date: 01/26/2021
Rec V Date: 01/27/2021
Hospital:

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

Lab Data:

Allergies: none that I know of

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

Symptoms: soreness night of; 8 days later big red hot rash on injection arm site

Other Meds: quercetin, elderberry, vit d, vit c

Current Illness: none

ID: 0979091
Sex: F
Age: 69
State: CA

Vax Date: 01/01/2021
Onset Date: 01/01/2021
Rec V Date: 01/27/2021
Hospital:

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

Lab Data:

Allergies: penecillan

Symptom List: Nausea

Symptoms: Imediately after receive injection left eye is RED and mild headache.

Other Meds: High blood pressure, thyroid, potassium, cholestoral medications and more.

Current Illness: I have a Pacemaker.

ID: 0979092
Sex: F
Age: 40
State: TX

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 01/27/2021
Hospital:

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

Lab Data:

Allergies: Percocet

Symptom List: Injection site pain

Symptoms: Beginning at 0530, 01/27/2021 patient describes feeling "dizzy," experiencing slight headache, large amount of pain (6 on 0-10 scale) at injection site. Patient also described "neck stiffness," and a "knot" just above her collar bone. On examination, patient presents with noticeable lymphodenopathy over medial 1/3 of right clavicle; located just supraclavicular. The "mass" is larger than a large grape - approximately 4cm in diameter and ovoid shaped. The mass is tender to palpation and the patient describes a "tight" sensation in Zone 1 of her anterior & R side of neck.

Other Meds: Levothyroxine, singulair, hydrochlorothiazide, amlodipine, OTC B-12, OTC Vit D3 3000IU, Vit C

Current Illness: None

ID: 0979093
Sex: M
Age: 39
State:

Vax Date: 01/13/2021
Onset Date: 01/15/2021
Rec V Date: 01/27/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: 2 full weeks of mild to moderate headaches and fatigue. This is outside of the typical 36 hours that was told to us. I am a professional. I do not believe I have COVID. I do not believe I have another virus.

Other Meds: none

Current Illness: none

ID: 0979094
Sex: F
Age: 44
State: IN

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 01/27/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Fever, chills, fatigue, achy pain. Symptoms resolved around 10:30pm Tuesday evening.

Other Meds:

Current Illness:

ID: 0979095
Sex: F
Age: 59
State: OH

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/27/2021
Hospital:

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Lab Data:

Allergies: Sulfa, Cipro

Symptom List: Tremor

Symptoms: Burning sensation behind eyes approximately 1-2 hours after receiving immunization that lasted about 1 hour then went away.

Other Meds:

Current Illness:

ID: 0979096
Sex: F
Age: 48
State: IN

Vax Date: 01/25/2021
Onset Date: 01/27/2021
Rec V Date: 01/27/2021
Hospital:

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Lab Data:

Allergies: None

Symptom List: Erythema, Pruritus

Symptoms: Lymphadenopathy in left axilla

Other Meds: Glucophage Aldactone Lo-loestrin

Current Illness: None

ID: 0979097
Sex: F
Age: 45
State: MI

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 01/27/2021
Hospital:

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Lab Data:

Allergies: Flagyl, tramadol, fentanyl, Lipitor, bandaids, amoxicillin (no true allergies just intolerances)

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

Symptoms: Within 5 minutes chills and shakes. Within 30 minutes stomach pains

Other Meds: Toujeo, cymbalta, jardiance, prenatal, celexa, trulicity, fenofibrate, omeprazole, lisinopril, gabapentin, humalog, estradiol, metoprolol,

Current Illness: None

ID: 0979098
Sex: F
Age: 36
State: AZ

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 01/27/2021
Hospital:

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Lab Data:

Allergies: Sulfa, Codine and raglan

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

Symptoms: Pain on the inside of the right hand, redness, sensitive to touch. Some swelling.

Other Meds: Creon, Miralax, probiotics, Topamax

Current Illness: Positive for COVID 12/26

ID: 0979099
Sex: F
Age: 42
State: KS

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 01/27/2021
Hospital:

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Lab Data:

Allergies: None

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Moderna COVID-19 Vaccine Very sore arm, unable to use. Day 1-3 Soreness moved to armpit. Day 2-4 Chills. Day 1 Headache for 48 hours. Day 1-3 Muscle and joint aches. Day 1-3

Other Meds: Trazodone Bupropion Omeprazole Tylenol

Current Illness: None

ID: 0979100
Sex: F
Age: 55
State: NY

Vax Date: 01/19/2021
Onset Date: 01/24/2021
Rec V Date: 01/27/2021
Hospital:

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Lab Data:

Allergies: spring allergies

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

Symptoms: On Day 8 diagnose by medical professional skin infection (swollen arm, redness, itchiness)

Other Meds: none

Current Illness:

Date Died: 01/25/2021

ID: 0979101
Sex: F
Age: 64
State: IA

Vax Date: 01/22/2021
Onset Date: 01/25/2021
Rec V Date: 01/27/2021
Hospital:

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Lab Data:

Allergies: Penicillin, Chocolate

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

Symptoms: cardiac arrest - no warning signs

Other Meds: Allopurinol, Amiodorone, Vitamin C, Budesonide, Chlorhexadine gluconate, Clonidine, Eliquis, Polyethylene glycol, Ipratopium-Albuterol, Lantus, Lasix, Loratadine, Magnesium Oxide, Melatonin, Metolazone, Metoprolol Tartrate, Nepro Carb Stea

Current Illness: none

ID: 0979102
Sex: F
Age: 42
State: TX

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/27/2021
Hospital:

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Lab Data:

Allergies: No

Symptom List: Pain in extremity

Symptoms: I started getting a headache,fever,body aches all on 12/29 until 12/30. Then after morning of 12/31 got up to family PCP headache was outrageous. I got tested for Covid test (results negative). The doctor gave me injection for nausea/headache and was informed I had all the symptoms for Covid without having the virus. I was still exp headache, nausea getting worse. The following Monday I started feeling better.

Other Meds: Hormones (estrogen)

Current Illness: No

ID: 0979103
Sex: F
Age: 59
State: LA

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/27/2021
Hospital:

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Lab Data:

Allergies: Morphine

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

Symptoms: FEVER BODY ACHES HEADACHE

Other Meds: Synthroid Calcitrol Vit D Estradiol Lexapro Zinc Bystolic Fenofibrate

Current Illness: None

ID: 0979104
Sex: M
Age: 64
State: IL

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/27/2021
Hospital:

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Lab Data:

Allergies:

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

Symptoms: developed a rash on both forearms. rash resolved by 1700 on 1/5/21.

Other Meds:

Current Illness:

ID: 0979105
Sex: F
Age: 31
State: OH

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 01/27/2021
Hospital:

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Lab Data:

Allergies: Penicillin Ammoxicillan

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

Symptoms: On injection site, red, swollen and hard. The site is very swollen and looks as if a golf ball is under my skin. It is irritated and very painful. I have had a fever of 104 and the worst headache of my life.

Other Meds:

Current Illness: None

ID: 0979106
Sex: F
Age: 49
State: MI

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 01/27/2021
Hospital:

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Lab Data:

Allergies: Patient had a penicillin allergy, compazine. Patient states she had an allergic reaction to a blood transfusion in the past but could not provide any more details about the situation.

Symptom List: Vomiting

Symptoms: Was performing a COVID vaccine clinic at a skilled nursing facility. The patient states that at approximately 5 minutes after admin of her second shot, she started feeling short of breath. The nurse ran over to monitor her and take her BP. I arrived as well to monitor. Her breathing appeared fast and labored but patient was alert and oriented. She had no localized reaction to the vaccine. The patient's lungs were auscultated and were clear. Her glucose was checked, it was "low" for the patient at 80. She stated the center of her chest was radiating pain and her hands went numb. Her BP was 161/93 and HR 65 and OSAT was 94 but this was close to her normal range. Epinephrine was not administered - but instead diphenhydramine 25 mg. The patient reported feeling better at 12 minutes post immunization and her breathing improved. Her chest pain went away and numbness went away. The patient also ate a donut and drank a glass of water at this time and stated she felt much better. Her BP again at 15 minutes post immunization was 158/96 and HR was 61 and OSAT was 100. Monitored patient for 20 more minutes and no other issues were experienced. The patient is being paired with a nurse from the facility to monitor the rest of the day. After discussing with the pharmacist who reviewed the consent forms, it was noted that the patient marked yes on the portion that asks the patient if they've received a blood transfusion in the last year.

Other Meds: Atenolol, Insulin, Adderall

Current Illness: Patient states that she had nausea/vomiting for one day 5 days prior but denied any further symptoms.

ID: 0979107
Sex: F
Age: 57
State: NY

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/27/2021
Hospital:

Vax Type:
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Lab Data:

Allergies:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Reported shortness of breath, cough, headache, muscle pain and fatigue.

Other Meds:

Current Illness:

ID: 0979108
Sex: F
Age: 20
State: CA

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 01/27/2021
Hospital:

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Lab Data:

Allergies: bee stings

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

Symptoms: Pt reported to feel subjective fever, chills, diarrhea, nausea and vomit, fatigue since receiving COVID vaccine yesterday. She vomiting clear x5 since yesterday and is unable to hold food down. She had x6 episodes of mild diarrhea.

Other Meds: none

Current Illness: none

ID: 0979109
Sex: F
Age: 66
State: WA

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 01/27/2021
Hospital:

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Lab Data:

Allergies: Sulfur, sulfates, peanut butter, milk, coconuts, penicillin, amoxicillin, reglan, vicodin, latex, codeine, morphine

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Unable to breath within 27 minutes, coded, rushed to emergency after crash cart medical trestment

Other Meds: Vitimin, B12,D, D3, Chewable Women's Multivitamin, Benazepril HCL, 10mg., Levothyroxine, 75MCG, Amlodipine Besylate 5 Mg, (took morning of appt) did not take prescribed mef of Dextroamp Amphetamine 10 mg or 20 mg that day.

Current Illness: Graves Disease, anemia, foot fungus, wart removed, anxiety

ID: 0979110
Sex: F
Age: 33
State: CA

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 01/27/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
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Lab Data:

Allergies: na

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

Symptoms: pt c/o light headedness vss b/p 116/78 64n18 99 % ra monitored pt no other reactions

Other Meds: na

Current Illness: na

ID: 0979111
Sex: F
Age: 88
State: FL

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 01/27/2021
Hospital:

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

Lab Data:

Allergies: SULFUR AND CODINE

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

Symptoms: THE CLIENT HAS BRUISING AT THE INJECTION SITE. DENIES ANY OTHER SYMPTOMS.

Other Meds: ELIQUIS

Current Illness:

Total 2021 VAERS Injuries: 704,237

Page last modified: 26 October 2021 2:21am