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: 0981474
Sex: F
Age: 28
State: NY

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/28/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Dysphagia, Epiglottitis

Symptoms: dizzy and lightheaded and it persisted intermittently for approximately 1.5 weeks after first dose, after second dose just had low grade fever

Other Meds:

Current Illness:

ID: 0981475
Sex: F
Age: 33
State: NE

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 01/28/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Anxiety, Dyspnoea

Symptoms: IMMEDIATELY DEVELOPED ELEVATED BLOOD PRESSURE, NAUSEA, HEADACHE. ON DAY 2, HAD FEVER OF 101.3, FATIGUE, WEAKNESS, SORE ARM, HEADACHE, NAUSEA, AND WAS UNABLE TO WORK.

Other Meds:

Current Illness:

ID: 0981476
Sex: F
Age: 73
State:

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 01/28/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: itching, red spots all over - started evening of 1/27 - called pharmacy morning of 1/28 - i advised that she take benadryl or claritin.

Other Meds:

Current Illness:

ID: 0981478
Sex: F
Age: 64
State: MA

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 01/28/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Sore arm, body aches and heaviness overnight. Only sore arm in am.

Other Meds: Humalog insulin via pump, levothyroxine, atorvastatin, baby aspirin, Multivitamin, Calcium supplement, loratadine,

Current Illness: None

ID: 0981479
Sex: M
Age: 60
State: IN

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 01/28/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Full Body aches, headache, extreme body chills, and extremely tired. Slept a great deal . Lasted 24 hours.

Other Meds: Vitamins D, C, and zinc

Current Illness: None

ID: 0981480
Sex: F
Age: 53
State: IN

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 01/28/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

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

Symptoms: Sore joints, headache for less than a day

Other Meds: Buproprin

Current Illness: None

ID: 0981481
Sex: F
Age: 40
State: PA

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 01/28/2021
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: Several hours after injection patient developed circular red area around injection site with fever and body aches. Today still has injection site redness but all other symptoms resolved

Other Meds:

Current Illness:

ID: 0981482
Sex: F
Age: 48
State: FL

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 01/28/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Pharyngeal swelling

Symptoms: Headache, body pain, chilly sensation, pain at the injection site since 9pm 1/27/2021.

Other Meds: Methotrexate 2.5mg (3tabs) weekly, Folic acid 5mg weekly, Vit C, Vit D

Current Illness: none

ID: 0981483
Sex: M
Age: 48
State: NY

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 01/28/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Received vaccine at 7:37 am on 1/26/21. Felt a little off / stiff around 5:30 pm 1/26/21. At midnight 1/27/21 began experiencing chills. Could not control them. Several blankets applied. Then at 2:30 am 1/27/21 chills stopped. At 3 am spiked a temperature of 101.8 until around noon 1/27/21. After that temperature broke and just felt very run down. 1/28/21 - while sleeping felt better but soaked 6 tee shirts while sleeping. Finally stopped wearing tee shirts and sweating appeared to stop.

Other Meds: Linsinopril Rousuvastatin Omeprazole

Current Illness: None

ID: 0981484
Sex: M
Age: 37
State: IN

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 01/28/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Chills after 12 hours. Woke with headache, dizziness and burning up at 15 hours. Last for 15 hours total then felt better.

Other Meds: None

Current Illness: None

ID: 0981486
Sex: F
Age: 58
State: NE

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 01/28/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: IMMEDIATELY DEVELOPED FLUSHING, NAUSEA AND DIZZINESS.

Other Meds:

Current Illness:

ID: 0981487
Sex: M
Age: 40
State: MI

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 01/28/2021
Hospital:

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

Lab Data:

Allergies: Celery, apples, kiwi, carrots, grapes, pumpkin, peaches, plums, cherries, radish, chickpeas, garbanzo beans, Brazil nuts, any raw nuts not roasted, some contact solutions, some toothpastes, seasonal allergies, limes, beets, coconut milk, some essential oils, and the flu shot, codeine.

Symptom List: Rash, Urticaria

Symptoms: I have a reaction to the flu shot so my MD recommended that I premedicate with Zyrtec. I did one hour prior to injection. Around 5 minutes after my injection I could feel my throat swelling. I alerted the nurse and took a Benadryl tablet. The swelling stayed consistent and I was able to breathe so I waited for an hour and then went home. When I arrived home I felt and increase in the swelling so I took another Benadryl. The swelling slightly decreased but was still present for 5 hours post shot and then disappeared. The only other reaction I had was metallic taste in my mouth and extremely sore arm where injection was given for 2 days.

Other Meds: Multivitamin. Premeditated with Zyrtec. I took one Benadryl tablet at start of reaction. Another Benadryl tablet an hour post injection.

Current Illness: None

ID: 0981488
Sex: F
Age: 49
State: OR

Vax Date: 01/20/2021
Onset Date: 01/27/2021
Rec V Date: 01/28/2021
Hospital:

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

Lab Data:

Allergies: Pcn

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

Symptoms: 7 days post vaccine, site now hot, raised and itchy.

Other Meds: Wellbutrin Multivitamin

Current Illness: None

ID: 0981489
Sex: F
Age: 30
State: NY

Vax Date: 12/24/2020
Onset Date: 12/24/2020
Rec V Date: 01/28/2021
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: Body aches, chills, fever 101 , severe dizziness throughout the night and next day and felt completely fine on 12/26

Other Meds:

Current Illness:

ID: 0981490
Sex: M
Age: 53
State: VA

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 01/28/2021
Hospital:

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

Lab Data:

Allergies: NKDA, NKFA

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

Symptoms: Extreme chills, shaking, shivering x 1 day, loss of appetite, diarrhea x 2 days, weakness, lightheaded x 3 days, shortness of breath x 4 days

Other Meds: Atorvastatin, 10mg/per day.

Current Illness: None.

ID: 0981491
Sex: F
Age: 41
State: AR

Vax Date: 01/25/2021
Onset Date: 01/27/2021
Rec V Date: 01/28/2021
Hospital:

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

Lab Data:

Allergies: Sulfa Penicillin

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

Symptoms: Pain and swollen Lymph node in right arm pit.

Other Meds: Metformin ER 500MG OMEGA-3-ACID 1GM Norethindrone 0.35MG Bupropion XL 150MG Vitamin D

Current Illness:

ID: 0981492
Sex: F
Age: 49
State: NY

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 01/28/2021
Hospital:

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

Lab Data:

Allergies: Unknown

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

Symptoms: c/o receiving her second vaccine today and notice there was now a rash on her chest and she states she is starting to feel tingling in her throat and bilateral arms Transferred to ED. Treated with epinephrine, solumedrol, benadryl and pepcid with resolution of symptoms

Other Meds: Unknown

Current Illness: Unknown

ID: 0981493
Sex: F
Age: 66
State: FL

Vax Date: 01/15/2021
Onset Date: 01/23/2021
Rec V Date: 01/28/2021
Hospital:

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

Lab Data:

Allergies: penicillin

Symptom List: Ear pain, Hypoaesthesia

Symptoms: After a normal week with only slight effects, on the 9th day I noticed itching and reddening, with some hives. I applied cold compresses, took aspirin. It worsened over the next 24 hours, covering a larger part of my upper arm, and I applied Cortisone, took Advil, and continued with ice packs. It has calmed down over the next four days and there is now a slight ring of reddish skin, with a small patch more inflamed. Much better, but not gone, so I am still doing the care routine. Talked to a pharmacist and she said this is the right course.

Other Meds:

Current Illness:

ID: 0981495
Sex: F
Age: 51
State: WI

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 01/28/2021
Hospital:

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

Lab Data:

Allergies: Demerol

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Chest tightness and irregular heart rhythm. Elevated blood pressure

Other Meds: Coreg, Humira, vitamin D, Ambien, Zoloft

Current Illness: None

ID: 0981496
Sex: M
Age: 57
State: NE

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 01/28/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: ON 1/27/21, DEVELOPED COLD-LIKE SYMPTOMS, TESTED POSITIVE FOR COVID ON 1/27/21.

Other Meds:

Current Illness:

ID: 0981497
Sex: M
Age: 73
State: IN

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 01/28/2021
Hospital:

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

Lab Data:

Allergies: Morphine

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

Symptoms: Awoke at 6:30AM with chills and fever of 102. Took tylenol to reduce fever. Stayed in bed all day until 5 PM. Kept taking tylenol every 3 hours . Fever was gone at 5pm but still felt very lethargic. The next morning I was feeling fine.

Other Meds: Aspirin Brilinta Calcium vitamin d3 Clonazepam Finasteride Fludrocortisone Hydrchlorothizide Multi vitamin Olmesartan Ranolazine Rosuvastatin Synthroid

Current Illness: None

ID: 0981498
Sex: F
Age: 67
State: PA

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 01/28/2021
Hospital:

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

Lab Data:

Allergies: Eggs, Morphine Sulfate, Latex, Adhesive tape, Rofecoxib, sulfa, PCN, Celecoxib, Fluticasone Salmeterol, Norloxcin, Celebrex, Flouoxetine Fluticasone Furoate, Vilanterol

Symptom List: Unevaluable event

Symptoms: SOB - wheezing nausea, vomiting - Anaphylaxis treatment Epinephrine, Tylenol, Duoneb, Decadron, Benadryl, Pepsid Nss

Other Meds: Norvasc, Ammonium Lactate, atenolol, Furosemide, Levthyroxine, lidocaine gel , Olopatadine, Omeprazole. Zofran, Spirolactone, Ventolin HFA

Current Illness: HTN, Graves, Multiple lung nodules, Hypothyroidism, Asthma, POTS, Bradycardia, Orthostatic syncope, Vaso-vagal

ID: 0981499
Sex: F
Age: 38
State: MO

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 01/28/2021
Hospital:

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

Lab Data:

Allergies: penicillin, Levaquin, boosperin,

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

Symptoms: Dose #2 overnight I experienced extreme soreness in my arm, probably around midnight to 2 AM. It progressed overnight to similar symptoms as I had the 1st vaccine: with body aches, chills, headache, fatigue but this time no tongue tingling and no strange taste in my mouth. The symptoms lasted 3 days. I did develop joint pain and extended muscle soreness that I did not have with the first dose and those are still present.

Other Meds: Daily vitamin. probiotics

Current Illness: No

ID: 0981501
Sex: F
Age: 64
State: TX

Vax Date: 01/15/2021
Onset Date: 01/19/2021
Rec V Date: 01/28/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Pain

Symptoms: Red, itchy rash of the left upper arm under injection started on 4 post vaccination. Treatment included OTC hydrocortisone and oral antihistamine with improvement. Outcome: Rash has improved, no interference with ADLs continues to work.

Other Meds:

Current Illness:

ID: 0981502
Sex: M
Age: 30
State: TX

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 01/28/2021
Hospital:

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

Lab Data:

Allergies: shellfish

Symptom List: Injection site pain, Menorrhagia

Symptoms: 1am started with fever chills lightheaded dizzy and fatigue/weakness.

Other Meds:

Current Illness:

ID: 0981513
Sex: M
Age: 52
State:

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 01/28/2021
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: next morning: fever, severe chills, arm couldn?t lift, felt awful missed work (both jobs); 24 hours later: still sweating but cleared and was able to go to work, felt better, worked both jobs

Other Meds:

Current Illness:

ID: 0981514
Sex: F
Age: 39
State: CA

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 01/28/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: severe joint paint, feels like she can?t walk. Low grade fever, chills, fatigue.

Other Meds:

Current Illness:

ID: 0981515
Sex: F
Age: 63
State: VA

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 01/28/2021
Hospital:

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

Lab Data:

Allergies: Morphine

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Client received Moderna Vaccination at School Based Immunization Clinic at 9:20AM. Client was sent to the observation area after the shot for 30 mins due to history of severe allergy to Morphine (self reported). At 10:05AM, client stated to complain about a headache and feeling extremely exhausted. Client was told by the observation team to lay head on table and team alerted PHN about client. PHN came over to observation area to evaluate client. While PHN was talking with client, client stated she was very nervous about getting the shot, stated she didn't want to get another one, was shaking all over, said she was dizzy and them became limp. Client was moved to the floor for evaluation. 9-1-1 was called for EMS to arrive to school clinic. PHN took initial vitals: B/P 158/96, Pulse 120, Resp 44. Client was asked to start taking slower deep breaths to help with oxygen flow. Client started to open eyes and become more alert. Stated again she was not going to get another COVID vaccine and that she was very nervous about getting this vaccine. EMS arrived at 10:24AM. Vitals were reevaluated B/P: 146/88, Pulse: 84, Oxygen 94, Resp: 22. Client was moved to sitting in a chair and recoperating well. Still complained about being sleepy and headache. Client's husband arrived to the event and when client saw husband, she started to shake and became limp again. Client them moved to the floor again and then transferred by EMS to stretcher and transported to ER for evaluation.

Other Meds: Aspirin Lisinopril Lorantidine

Current Illness: None

ID: 0981516
Sex: F
Age: 32
State: FL

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 01/28/2021
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: At about 3:30pm the day, Friday, I received the second shot of Moderna I felt like I had the flu. It hit me out of no where. From Friday afternoon until Sunday afternoon I felt like every muscle and bone aches, had a headache, felt like my head was heavy and full. No fevers.

Other Meds: Motrin, aleve, excedrin, benadryl

Current Illness: None

ID: 0981517
Sex: F
Age: 50
State: OH

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/28/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Nausea

Symptoms: Patient had multiple symptoms on concern: Neuropathy, dizziness, lymhadenopathy, tinnitus, throat tightness

Other Meds:

Current Illness:

ID: 0981518
Sex: M
Age: 64
State: AZ

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 01/28/2021
Hospital:

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

Lab Data:

Allergies: no

Symptom List: Injection site pain

Symptoms: Dose 2 administered early at day 14 rather than day 28

Other Meds: naldolol fluticasone

Current Illness: no

ID: 0981519
Sex: F
Age: 52
State: WI

Vax Date: 01/22/2021
Onset Date: 01/23/2021
Rec V Date: 01/28/2021
Hospital:

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

Lab Data:

Allergies: Sulpha

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

Symptoms: Fatigue, headache, muscle pain, joint pain, chilss, nausea, vomiting and low grade fever. Felt better after 24 hours other than nausea which is still persistent 6 days later.

Other Meds: Extra Strength Tylenol

Current Illness: Possible CoVid 19 illness one month prior

ID: 0981520
Sex: F
Age: 43
State: AZ

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 01/28/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Fever, chills, migraine, entire body aches, muscle pain, weakness , fatigue and restlessness for a full 24 hours

Other Meds: None

Current Illness: None

ID: 0981521
Sex: F
Age: 56
State: NV

Vax Date: 01/15/2021
Onset Date: 01/24/2021
Rec V Date: 01/28/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Tremor

Symptoms: Five days after first dose a red rash 8 cm diameter developed at the injection site. Several small red raised bumps as well. No warmth or swelling. No bruising.

Other Meds: Synthroid Lisinopril

Current Illness: none

ID: 0981522
Sex: F
Age: 84
State: TX

Vax Date: 01/16/2021
Onset Date: 01/28/2021
Rec V Date: 01/28/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Erythema, Pruritus

Symptoms: fatigue, hot flashes, minor headaches - no treatments

Other Meds: simvistatin, lorsatan, zyrtec, celebrex, B-12, magnesium, Q-sol, vitamin D-3, vitamin c, turbenafine, turmeric, zinc, reserveratrol, pregnenolene,

Current Illness: none

ID: 0981523
Sex: F
Age: 72
State: NE

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 01/28/2021
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Symptom List: Injection site erythema, Injection site induration, Injection site pruritus, Injection site swelling, Myalgia

Symptoms: DEVELOPED SWOLLEN UPPER ARM, SORENESS, AND DIARRHEA.

Other Meds:

Current Illness:

ID: 0981524
Sex: F
Age: 51
State: OR

Vax Date: 01/18/2021
Onset Date: 01/27/2021
Rec V Date: 01/28/2021
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Allergies: Possibly penicillin

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

Symptoms: Swelling, itching , redness (3x5 inches) at Injection site. Hot and hard on touch

Other Meds: Portia birth control Mag SRT Magnesium Twice Daily Multivitamin Omega 3 Fatty Acid

Current Illness: n/a

ID: 0981525
Sex: F
Age: 55
State: TX

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/28/2021
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Allergies: adhesive

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Chills and fever for 3 days. Runny nose and congestion. Started Amoxicillin 500mg twice a day1/2/2021

Other Meds: Zinc 25 mg Estradiol .05mg Metformin HCL ER 750mg twice a day triamterne-HCTZ 75-50mg Amlodipine Besylate-Valsaratan 10-160mg Rosuvastatin Chloride ER 10 mg ER Potassium Chloride ER 10 meq Litothyronine Sodium 25 MCG Xyzal 5mg Synthroid 7

Current Illness: Sinus Infection

ID: 0981526
Sex: F
Age: 51
State: VA

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 01/28/2021
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Allergies: Bactrim - rash

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

Symptoms: First dose received on 12/30/2020 - no adverse effects. Second dose received 1/26/2021 - 15 hours after vaccine administration symptoms started - chills, nausea, fatigue, muscle cramps, headaches, fevers to 101. All symptoms resolved within 24 hours. While I know these symptoms can be expected, since this is a new vaccine with ongoing data collection, I am reporting my symptoms due to the vaccination.

Other Meds: NuvaRing, Multivitamin

Current Illness: none

ID: 0981527
Sex: F
Age: 30
State: OH

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 01/28/2021
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Allergies: bactrim

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

Symptoms: patient called after hours RN triage line with complaint of chest pain. Was referred to ER- work up unremarkable and patient send home without intervention or medication

Other Meds: Zoloft

Current Illness: n/a

ID: 0981528
Sex: M
Age: 86
State: IN

Vax Date: 01/01/2021
Onset Date: 01/27/2021
Rec V Date: 01/28/2021
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Allergies: No

Symptom List: Pain in extremity

Symptoms: None stated.

Other Meds: Very disoriented when woke up early in the morning and off and on through out the day. Very tired and Slep a lot however a little better the next day still a little tired

Current Illness:

ID: 0981529
Sex: F
Age: 31
State: NJ

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 01/28/2021
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Allergies:

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

Symptoms: Moderna Covid-19 Vaccine EUA Chills, headache, body aches, nausea, exhaustion

Other Meds:

Current Illness:

ID: 0981530
Sex: F
Age: 65
State: AZ

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 01/28/2021
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Allergies: None

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

Symptoms: Injection site pain onset 5 pm on day of dosing. Fever, chills onset 11 pm with TMax of 101.9 at 1 am accompanied by decrease pulse ox to 90%. Fever responded to Tylenol

Other Meds: Warfarin Amlodipine Cyanocobalamin

Current Illness: None

ID: 0981531
Sex: M
Age: 82
State: NE

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 01/28/2021
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Symptom List: Hypotonia, Lethargy, Respiratory rate decreased, Screaming, Skin warm

Symptoms: DEVELOPED COLD SYMPTOMS ON DAY OF VACCINATION. DAY AFTER, TESTED POSITIVE FOR COVID AND COMPLAINED OF EXTREME WEAKNESS, FATIGUE, DIZZINESS, CHEST CONGESTION, AND COUGH.

Other Meds:

Current Illness:

ID: 0981534
Sex: F
Age: 77
State: GA

Vax Date: 01/19/2021
Onset Date: 01/26/2021
Rec V Date: 01/28/2021
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Allergies: none

Symptom List: Vomiting

Symptoms: Pt stated about a week after covid vax her arm was very sore, swollen, red around the injection site and headache. Pt states she still has a red spot but the swelling is better today.

Other Meds: Amlodipine, Tadalafil, B12, Opsumit, Torsemide, Atorvastatin, Omeprazole, Tarvezilol, Klor-Con, Multivitamin

Current Illness: none

ID: 0981535
Sex: F
Age: 89
State: WI

Vax Date: 01/23/2021
Onset Date: 01/24/2021
Rec V Date: 01/28/2021
Hospital: Y

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Allergies: Not that I am aware of

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: The next morning after receiving the vaccine I noticed that my mother she talking to me, as her primary giver she knows me and comfortable to me. She tells me the same story over the over with isn't abnormal. It was every 3-4 words she was jumbling her words. I didn't think anything of it at first. I just let it go. Early Wednesday morning 2:48am, I heard her in her bedroom. I went to check on her, I found at her dresser trying to put her watch on. She didn't know who was I or didn't know where she was. It took me about 40 minutes to calm her down. Now it was every 2 words that she was jumbling up. I finally got her back to bed. I went to send a message to her doctor. In the morning someone from the doctor's office called back I explained what was going on and they said get her to an ER. I took her to the hospital 01/27/2021. She was admitted to hospital for overnight observation. Still not been discharged. Patient was still confused when I had to left last night, did not understand where she was at or why she had to stay there. My mother was very angry when she woke up early Wednesday is not my mom she is very lovely. One year or two years she did have a TA or mini stroke.

Other Meds: Levothyroxin once a day, Losartan once day, Digoxin once a day, Furosemide once a day, Memantine twice daily, Eliquis twice a day, Metoprolol once a day , Multivitamin for women over 55+

Current Illness:

ID: 0981536
Sex: F
Age: 62
State: MD

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 01/28/2021
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Symptom List: Back pain, Cold sweat, Headache, Nausea, Vomiting

Symptoms: The day after the injection her legs are very sore and she is having pain walking.

Other Meds:

Current Illness:

ID: 0981537
Sex: F
Age: 34
State: PA

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 01/28/2021
Hospital:

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Symptom List: Injection site swelling, Limb discomfort

Symptoms: Fever, Chills, Nausea, Dizziness, Severe Headache

Other Meds: Lexapro

Current Illness:

ID: 0981538
Sex: F
Age: 90
State: FL

Vax Date: 01/19/2021
Onset Date: 01/25/2021
Rec V Date: 01/28/2021
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Allergies: Levaquin, Amoxicillin, Percocet

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

Symptoms: Severe rash over arms, torso, and legs.

Other Meds: Atenolol, Benicar,Cymbalta, Eliquis, Potassium Chloride, Lasix, Lipitor, Neurontin, Pepcid, Ultram, Low-Dose Aspirin, Multi-Vitamin, Vitamin D-3, Vitamin C, Zinc Sulfate

Current Illness:

ID: 0981539
Sex: F
Age: 38
State: TX

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 01/28/2021
Hospital:

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Allergies: None

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

Symptoms: Hives

Other Meds: None

Current Illness: None

Total 2021 VAERS Injuries: 704,237

Page last modified: 26 October 2021 2:21am