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: 0982195
Sex: F
Age: 66
State: FL

Vax Date: 01/14/2021
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: none

Symptom List:

Symptoms: Left Arm Rash 3 inches x5 Inches started 1-21-21 continues to fade, but still very red and visible on today 1-28-2021 No pain, no itch, but warm to touch

Other Meds: Vitamin D 400 IU daily

Current Illness: None

ID: 0982196
Sex: F
Age: 81
State: NY

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 01/28/2021
Hospital:

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

Lab Data:

Allergies: Antibiotic creams, dye contrast for MRIs, latanoprost, timolol, latex

Symptom List:

Symptoms: Pain at the site and a rash that continues to this day. Nausea, fatigue, headache on day 4 which lasted about 12 hours.

Other Meds: None

Current Illness: None

ID: 0982197
Sex: F
Age: 52
State: NC

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/28/2021
Hospital:

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

Lab Data:

Allergies: Seasonal allergies, Codeine, Morphine , Cipro, Z-pak, Paxil

Symptom List:

Symptoms: After leaving injection center (after waiting 15 min) while driving down the road started getting the feeling of my throat swelling. This progressed and got very light headed and weak for about 2 minutes. Throat tightness continued for about 1 hour but did not cause trouble breathing. At one point felt like I was unable to swallow. Monitored by coworkers when arrived at work and chose not to go to ED unless symptoms worsened which they did not.

Other Meds: Zyrtec, multi-vitamin, vit D, Vit C

Current Illness: None

ID: 0982198
Sex: F
Age: 67
State: MA

Vax Date: 01/15/2021
Onset Date: 01/16/2021
Rec V Date: 01/28/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Spoke with Patient regardingside effects following her #1 Covid Vaccine on 1/15/21. She stated that about 12 hours later developed extreme fatigue, all over weakness, headache, she also c/o intermittent numbness & tingling in bilateral lower extremities (mid-calf to toes) she states that she also has Resless Leg Syndrrome that is untreated. Has been in contact with her PCP. Encouraged her to "Self-Report" to the Vaccine's web-site listed in the Vaccine handout. Encouraged her to call back if she has further concerns or questions.

Other Meds:

Current Illness: has history of Restless Leg Syndrome no treatment

ID: 0982199
Sex: F
Age: 40
State: MI

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

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

Lab Data:

Allergies: Codeine, Penicillin Gluten Sensitivity

Symptom List:

Symptoms: 5pm-Nausea, dizziness, exhaustion 3am-Shivering/Chills, extremely sensitive (body aches), fever, nausea, diarrhea Next day-No appetite, couldn't stay awake, lethargic That night-Fever, body aches, exhaustion, no appetite Next day until around 2pm-exhaustion, no appetite Missed 2 days of work

Other Meds: Trintellix, Flonase, Flovent

Current Illness: None

ID: 0982200
Sex: F
Age: 27
State: MI

Vax Date: 01/21/2021
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: Allergic to amoxicillin, raspberries, and dairy.

Symptom List:

Symptoms: Moderna COVID-19 Vaccine EUA I started to have an increased heart rate and heart palpitations that lasted about a second/1.5 seconds on and off. The increased heart rate would persist for quite some time (an hour or two), and then would stop, and happen again on and off. The heart palpitations would occur multiple times per day. This lasted for about three days from the start date of the adverse event. On that start date, I also had some muscle cramping in my left arm (arm of vaccine injection), and had soreness beginning around my lymph nodes in my left armpit (that radiated into my chest a bit) which was enough to make me want to life my arm up so it wasn't pressing down on it. The soreness is mostly gone now, but still there. I also had what I believe is muscles in my chest (on the left side mainly) cramping, as I had some aching and brief sharp pains occurring mainly during the time I had heart palpitations and increased heart rate, but it was hard to tell. I still get an occasional heart palpitation (one or two per day), but it is much less frequent than before.

Other Meds: Lo Loestrin Fe (birth control), vitamin C and D supplements

Current Illness: n/a

ID: 0982201
Sex: F
Age: 37
State: OK

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: food allergies

Symptom List:

Symptoms: neck and chest became red and splotchy but subsided on its own. Headache, body aches, low grade temp, chills, nausea and dizziness. No treatment

Other Meds: sertraline 50mg, Carvedilol 6.25 and Drisdol 50,000 units once a week

Current Illness: Chronic seasonal and environmental allergies

ID: 0982202
Sex: F
Age: 31
State: IA

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

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

Lab Data:

Allergies: Nkda

Symptom List:

Symptoms: Slight headache from 1630 through the night. Chills but sweating at 2145. Fever of 100.1 at 2305. 99.3 at 0830 on 1/19/21.

Other Meds: Nuvaring

Current Illness: N/a

ID: 0982203
Sex: F
Age: 58
State: OR

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:

Symptoms: From shoulder to palm of L side numbness immediately after receiving the vaccine it felt like her arm fell asleep.

Other Meds: No

Current Illness: No

ID: 0982204
Sex: F
Age: 63
State: AZ

Vax Date: 01/18/2021
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:

Symptom List:

Symptoms: The patient had muscle aches/fatigue as expected that lasted about 36 hours. However, she developed red raised, itchy hot rash localized rash in the area of vaccine 6 days after vaccine. There was some heat to the area and some streaking below the circular rash. We discussed that a red rash at the injection site can be a side effect (benign) of the Moderna vaccine. However, based on the streaking and the delay in the rash beginning we did also cover with a short course of antibiotic and patient requested this be reported to VAERS. She did not receive the vaccine at our facility and so I do not know the lot number or other specifics.

Other Meds:

Current Illness:

ID: 0982205
Sex: F
Age: 19
State: NE

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:

Symptoms: dizziness, headache, anxiety

Other Meds:

Current Illness:

ID: 0982206
Sex: F
Age: 59
State: KS

Vax Date: 01/28/2021
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:

Symptom List:

Symptoms: Nurse tested positive for COVID on 1-4-2021

Other Meds:

Current Illness:

ID: 0982207
Sex: M
Age: 90
State: GA

Vax Date: 01/18/2021
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: amoxapine, cefaclor, clarithromycin, hydrochlorothiazide, levofloxacin, morphine, promethazine, streptomycin, sulfa antibiotics

Symptom List:

Symptoms: redness, pain, puss, skin warm to touch. recommended patient go to doctor. had vaccine 10 days ago

Other Meds:

Current Illness:

ID: 0982208
Sex: F
Age: 67
State: IA

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/28/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Achy joints; fatigue

Other Meds:

Current Illness:

ID: 0982209
Sex: F
Age: 62
State: NJ

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:

Symptoms: Started with headache and muscle aches at night. Woke up with love grade temperature, fatigue, chills, muscle aches,nausea. Temperature was normal by 9:00 AM. Other symptoms improved but still remained

Other Meds: Multivitamins

Current Illness: None

ID: 0982210
Sex: F
Age: 79
State: FL

Vax Date: 01/01/2021
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: sulfur aspirin Keflex and mobic

Symptom List:

Symptoms: Extreme dizziness some nausea headache loss of balance

Other Meds: Prolia, Valsartan

Current Illness: none

ID: 0982211
Sex: F
Age: 45
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:

Symptoms: Left arm swollen hot to touch, can barely move arm. received vaccination 9:30 Headaches started 1:30. No symptoms have resolved . Currently have 99.8 temperature

Other Meds:

Current Illness:

ID: 0982212
Sex: F
Age: 69
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:

Symptoms: 4am woke up felt sick with lose stools & threw up a couple times felt chilled could not get warm. slept on & off thought was getting better, the started throwing up several times again. today I feel better & was able to keep coffee & cerel down.

Other Meds: B12 500 mg., cranberry caps500mg, Milk Thistle300mg,Ultimate Flora probiotic cap, VitaminD3 5000IU soft gels ,pioglitazone hydrochloride30mg, Atorvastatin 80mg,hydrochlorothiazide12.5mg,Synthroid125mcg,pantoprazole SOD DR 40mg, Oxybutynin C

Current Illness: none

ID: 0982213
Sex: F
Age: 40
State: MO

Vax Date: 12/30/2020
Onset Date: 01/07/2021
Rec V Date: 01/28/2021
Hospital:

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

Lab Data:

Allergies: Codiene

Symptom List:

Symptoms: Severe vertigo

Other Meds: Metoprolol Skelaxin Melatonin Flonase

Current Illness: None

ID: 0982214
Sex: F
Age: 18
State: WA

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:

Symptoms: Site: Itching at Injection Site-Medium

Other Meds:

Current Illness:

ID: 0982215
Sex: M
Age: 46
State: VT

Vax Date: 01/24/2021
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:

Symptom List:

Symptoms: Patient reported symptoms of nausea and severe lightheadedness approximately 10 minutes after vaccine administration. Symptoms progressed and patient report feeling itchy with throat tightness. New onset of rash on bilateral forearms. He was elevated by Doctor with recommendation to be transported to the local Emergency Department. Patient refused to be transported and asked to stay on-site for continued observations. Patient's symptoms failed to resolve after 45 minutes, rescue team was called. They presented and evaluated patient with recommendations to be transported to the local Emergency Department. Patient declined transport to the hospital. Rescue team spoke with the Emergency Department, the decision was made and the patient agreed to an additional hour of observation with the understanding if symptoms didn't resolve they would be transported to the Emergency Department. Symptoms unchanged after 1 hour, patient made the decision to leave and follow up with their Primary Care Physician.

Other Meds:

Current Illness:

ID: 0982216
Sex: F
Age: 67
State: IA

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/28/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Joint achyness; fatigue

Other Meds:

Current Illness:

ID: 0982217
Sex: F
Age: 65
State: PA

Vax Date: 01/15/2021
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: PCN, Sulfa and Tramadol (medications)

Symptom List:

Symptoms: Vaccinated on 1/15. Noting a 1inch diameter redness, firm, warm and itchy area around my injection site on 1/22 PM. By Monday, 1/25 had a 6 inch length by 4 inch in width site, much more red and warm. Visited my PCP, stating a " local reaction." No medication administered except did take Ibuprofen 200mg each day in the evening when it seemed to bother me the most. Today is 1/28 and it is still quite evident and warm. Used warm compresses the w/e of 1/23,24 in hope to dissipate the firm/hardness and then cool compresses since then. Afebrile

Other Meds: Spiriva Respimat (inhaler) Fasenra injection every 8 weeks last given 12/9/20 (scripts) and MVT taken every AM and PM for the elements and Mg Citrate nightly. Took Ibuprofen 1/15 in the evening , the day of the vaccine.

Current Illness: none

Date Died: 01/13/2021

ID: 0982218
Sex: M
Age: 63
State: MO

Vax Date: 01/08/2021
Onset Date: 01/13/2021
Rec V Date: 01/28/2021
Hospital:

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

Lab Data:

Allergies: aspirin: severe unknown reaction

Symptom List:

Symptoms: resident was on hospice, chronically ill w dementia, COPD, HTN, failure to thrive, passed away 1/13/21. Not certain injection related as he was declining already.

Other Meds: On hospice: morphine, ativan, trazodone, tylenol

Current Illness: failure to thrive, pressure ulcer, pneumonitis d/t aspiration, dementia, COPD, alzheimer's disease,

ID: 0982219
Sex: F
Age: 63
State: NJ

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/28/2021
Hospital:

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

Lab Data:

Allergies: Penicillin, ciprofloxacin lomotil avocado clindamycin iron fumarate

Symptom List:

Symptoms: fever, nausea, vomiting, severe body aches severe left arm pain, all symptoms worse that 1st dose. Fever persisted from 1/7/21 to 1/10/21. Seen in ER 1/9/21 with T 101.9 again & workup (-) for bacterial infection /sepsis , COVID neg, flu neg.

Other Meds:

Current Illness: HTN, borderline DM, obese, fibromyalgia, Kidney stones, Pre's

ID: 0982220
Sex: F
Age: 37
State: NC

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

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

Lab Data:

Allergies: Levaquin; Sulfa Drugs; Zithromax

Symptom List:

Symptoms: Patient received Pfizer vaccine #2 today. After the vaccine, the employee reported the following symptoms: Lot: EL3247 Time of Administration: 11:24 Time Symptoms Began: about 10 minutes later _____ Patient alerted observer who took the patient to the medical observation area. I was alerted and responded. She is reporting itching in her throat about 10 minutes after the vaccine was administered. Ears are also itchy. Vaccine given in L arm. Initial Assessment @ _11:55am_: Patient is AAO. The employee is sitting up on the sofa. The employee is pink and does not appear to be in distress. She is talking and making conversation. Vitals @: 11:56am HR:80-90s BP: O2: 97% Pt took Benadryl 25mg PO that she brought with her at 11:58am PMH: - sulfa drugs - hives - Levaquin and these types of meds - rash - food allergies: peanuts, seafood, legumes, tree nuts - environmental allergies such as mold, grass, trees - does take allergy shots Vitals @: 12p HR: 94 BP: -- O2: 98% Vitals @: 12:05p HR: 96 BP: -- O2: 96 Throat does not feel tight but is still itchy. Ears are getting better. Mouth is not itchy, tingly, or weird feeling. Pt does carry an Epi with her. Only used as a child. Has never had to use it as an adult. Medications - Symbicort BID Albuterol PRN Zyrtec - qAM Flonase - qAM Wellbutrin - qday Singulair qPM Vitamins Birth Control 12:08pm - pt is sitting up and talking. No distress noted. We are discussing her work history at Hospital. She has been a nurse at Hospital for 13 years. Previously worked at and is now at Hospital. Vitals @: 12:10p HR: 88 BP: 143/77 O2: 97 Throat is not as itchy at 12:11. O2 is 97-98. Pt reports that this is normal for her. She also notes that the BP is normal for her as well. Patient lives alone but her mom is going to come to her house

Other Meds: Albuterol, Busdesonide-formoterol; levocetirizine; singulair; probiotic; bupropion; Flonase; multivitamin; protonix; birth control

Current Illness: N/A

ID: 0982221
Sex: F
Age: 33
State: IL

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:

Symptoms: fever - 101.6; 1.5 days after administration of vaccine arm swelling - 6 inches across and 5 inches down red, hot and hard - no longer bubbly at the site of injection chills, sweating, bloody nose lymph node swollen and visible lump nightmares

Other Meds:

Current Illness:

ID: 0982222
Sex: F
Age: 27
State: MI

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 that i am aware of

Symptom List:

Symptoms: fever (99-102), body aches, joint pain, lethargy, chills, eye pain, headache, loss of appetite

Other Meds: prilosec, seroquel, lexapro, prevacid

Current Illness:

ID: 0982223
Sex: F
Age: 63
State: TX

Vax Date: 01/24/2021
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:

Symptoms: No symptoms initially, then 3-4 hours having itching which got worse. 1/27/21 reaction was on face on the right side. Last night the ears on the ride was red and having swelling. Taking Benadryl (advised by son who is dr), cortisone with itching. Not able to go to work due to side effects from taking the Benadryl. Does have a call-in to her doctor. Saw on website which said to have an injection of Benadryl and/or Cortisone which is waiting on instructions from him.

Other Meds: None.

Current Illness: None.

ID: 0982224
Sex: M
Age: 63
State: TX

Vax Date: 01/19/2021
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: None

Symptom List:

Symptoms: The patient was set to receive the second dose of the COVID-19 vaccine series on 1/25/21 and instead received it on 1/19/21. The patient reported no adverse reactions in the 72 hours following the vaccination.

Other Meds: Januvia, Metformin

Current Illness: None

ID: 0982225
Sex: F
Age: 25
State: NH

Vax Date: 01/06/2021
Onset Date: 01/13/2021
Rec V Date: 01/28/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Hives, raised red area, warm to touch, firm hard center, no pain. Hydrocortisone cream and ice applied. Oral Tylenol x1 and Benadryl for 3 days. Redness spread over 24 hours, hives resolved, remained hot to touch. Redness and swelling resolved in 3 days after medications

Other Meds:

Current Illness:

ID: 0982226
Sex: F
Age: 31
State: OK

Vax Date: 01/23/2021
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: Sulfa, amoxicillin azithromycin

Symptom List:

Symptoms: headache, chills, and fatigue

Other Meds: Clonazaem PRN, Butalbital PRN, Vitamin C, Women's multi-vitamin, Xyzol PRN,

Current Illness:

ID: 0982227
Sex: M
Age: 73
State: NY

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: Sulfa drugs

Symptom List:

Symptoms: On 1/19/21 I started to experience double-vision with both eyes open. My left eye crossed towards the nose. The diplopia goes away when I cover either eye. My primary physician referred me to a neuro ophthalmologist who diagnosed sixth cranial nerve palsy.

Other Meds: amLODIPine 5mg, aspirin 81 mg, atorvastatin 80mg, decussate sodium 100 mg (x2), Losartan, metoprolol 25 mg (x2), finasteride 5 mg, tadalafil 5 mg, tamsulosin 0.4 mg, Oxybutynin 10 mg

Current Illness: Sinus headache

ID: 0982228
Sex: M
Age: 80
State: PA

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 01/28/2021
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Lab Data:

Allergies: Quinolone anti-infectives (Cipro)

Symptom List:

Symptoms: Soreness at injection site beginning 0230 hrs following an injection at 1400 hrs the day previously. Self-administered 1000 mg Acetaminophen PO. Just in second day now. Soreness less. Taking 500 mg Acetaminophen PO Q8hours

Other Meds: Lisinopril, Atorvastatin, Pantoprazole, Caffeine, Acetaminophen, Multivitamin, Psyllium

Current Illness: None

ID: 0982229
Sex: F
Age: 41
State: HI

Vax Date: 01/19/2021
Onset Date: 01/26/2021
Rec V Date: 01/28/2021
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Allergies: latex, bananas, kiwi, avocado

Symptom List:

Symptoms: on the same day as the injection (1/19/21) I felt a small lump/bump/hardness at injection site. Beginning the night of 1/26/21 I felt the hardness but was much bigger. The next day (1/27/21) it became itchy; called primary physician and was instructed to report it to CDC or agency where I received shot; On 1/28/21, noticed a red welt at injection site, with tenderness.

Other Meds: vascepa, rosuvastatin

Current Illness: none

ID: 0982230
Sex: F
Age: 50
State: MO

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 01/28/2021
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Allergies: nickel, iodine, Cipro

Symptom List:

Symptoms: 14 hours after the shot, I began having chills, a slight headache, muscle and joint pain, muscle cramps, and a slight upset stomach. It lasted throughout the night. In the morning (after symptoms between 11pm and 9am) I woke up with only the muscle and joint aches and a slight headache. The chills, muscle cramps and upset stomach were gone.

Other Meds: Biotin, Vit D, 81mg aspirin, methotrexate, Metformin, Trulicity, tramadol, valacyclovir, spirinolactone, celebrex, cholacalciferol, cymbalta, atorvastatin, leucovorin

Current Illness:

ID: 0982231
Sex: F
Age: 32
State: NM

Vax Date: 12/26/2020
Onset Date: 01/01/2021
Rec V Date: 01/28/2021
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Allergies: No

Symptom List:

Symptoms: I had swollen lympnodes along my clavicle and neck. I had lymphedema.

Other Meds: I take a multivitamin.

Current Illness: No

ID: 0982232
Sex: F
Age: 18
State: WA

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 01/28/2021
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Symptom List:

Symptoms: Site: Itching at Injection Site-Medium

Other Meds:

Current Illness:

ID: 0982233
Sex: F
Age: 59
State: WA

Vax Date: 12/22/2020
Onset Date: 12/23/2020
Rec V Date: 01/28/2021
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Allergies: Betadine

Symptom List:

Symptoms: After1st dose December 22, 2020. I've had an on going headache since morning of the December 23, 2020. After 2nd dose January 08, 2021 , (Pfizer EK417, also left arm IM) occasionally light headed with ongoing headache. I will find a new PCP, my insurance has changed.

Other Meds: Multi vitamin 50+, calcium with D and minerals, B12, Biotin, baby aspirin, omeprazole

Current Illness: N/A

ID: 0982234
Sex: F
Age: 45
State: NY

Vax Date: 01/16/2021
Onset Date: 01/23/2021
Rec V Date: 01/28/2021
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Allergies: penicillin

Symptom List:

Symptoms: large red area around site, hot to touch, itchy, area doubled in size daily symptoms started exactly 1 week after injection

Other Meds: iron, lisinipril 2.5, fluoxitine 20

Current Illness: n/a

ID: 0982235
Sex: F
Age: 66
State: FL

Vax Date: 01/18/2021
Onset Date: 01/20/2021
Rec V Date: 01/28/2021
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Allergies: Crestor/Ampicillin/Vit E/Wheat/Milk Prod/Pollen/Cat Dander

Symptom List:

Symptoms: Itchy eyelids/ Eyelid swelling/Dry skin - eyebags - began 2nd - 3rd day eczema - hands/neck/ shaky/cold - Day 6 low energy 6 - 8 day - sleeping/napping more Day 3 & 4 -Took Benadryl - did not help with swelling/ did help with discomfort Day 5 & 6- took Zyrtec and anti-itch eye drops - this helped 95% cleared of symptoms

Other Meds: calcium-magnesium-vitamin D3

Current Illness: none

ID: 0982236
Sex: M
Age: 62
State: LA

Vax Date: 01/18/2021
Onset Date: 01/24/2021
Rec V Date: 01/28/2021
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Allergies: sulphur based meds bee stings poison oak

Symptom List:

Symptoms: I got the pfizer covid vaccine on 1/18/21 my initial reactions were slight soreness at injection site and a mild headache for 2 days. I took some ibuprofen for the headache. Prior to the vaccination I have not been ill. When I woke up on Sunday morning , 6 days after my initial injection I have a swollen gland on the left side of my neck about 2 " directly below my ear lobe. The swollen gland is mildly sore. Initially i think the size was about 1.75" by 3/4 ". Now on day 4 after it first presented itself the swelling is slowly going down to about 1"x 1/2 ".

Other Meds: Losartin 25mg Atorvastatin 10mg (1) baby aspirin All taken once a day in am

Current Illness: none

ID: 0982237
Sex: F
Age: 72
State: SD

Vax Date: 01/21/2021
Onset Date: 01/28/2021
Rec V Date: 01/28/2021
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Allergies: None

Symptom List:

Symptoms: 3 or more instances of syncope/lightheadedness

Other Meds:

Current Illness: torn miniscus

ID: 0982238
Sex: F
Age: 31
State: KS

Vax Date: 12/30/2020
Onset Date: 01/04/2021
Rec V Date: 01/28/2021
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Symptoms: CNA tested positive for COVID on 1-4-2021

Other Meds:

Current Illness:

ID: 0982239
Sex: F
Age: 54
State: IL

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 01/28/2021
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Allergies: n/a

Symptom List:

Symptoms: Elevated heart rate

Other Meds: Levothyroxine 75mg, Spironolactone 25mg

Current Illness: n/a

ID: 0982240
Sex: F
Age: 40
State: AR

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

Symptom List:

Symptoms: My arm started itching at the injection site a week after receiving the vaccination. Today there is redness, irritation, and discomfort.

Other Meds: Atenolol, Yaz, Fluticasone, Loratadine, Multivitamin, Fish Oil

Current Illness:

ID: 0982241
Sex: M
Age: 89
State: IN

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/28/2021
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Allergies: None known

Symptom List:

Symptoms: After I received the vaccination that evening I went to bed and woke up about midnight felt water in the bed and it was coming out of my arm, I dried it off went back to sleep. The next morning my arm was swelling, and it?s gotten worse and worse, the top of my had is so swollen I cannot make a fist. My doctor sent me to the hospital and blood work was alight the echocardiogram showed heart is alight no blood clot and there?s no other reason. My doctor thinks it?s because of the vaccination.

Other Meds: 81mg aspirin, atorvastatin, carvedilol, furosemide, lyntis insulin, lisinopril , metformin, potassium chloride, preservison arid 2 , Spiro lactone, warfarin, Tylenol prn, isosorbide,

Current Illness: No illnesses

ID: 0982242
Sex: M
Age: 77
State: IN

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 01/28/2021
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Symptoms: EXTREMELY DIZZY, SWEATING, LACK OF APATITE. I HAD TO HOLD ONTO THING WHEN WALKING. TODAY 1/ 28/2121 I AM BACK TO NORMAL. NO SIDE EFFECTS. JUST ONE DAY OF COMPILATIONS

Other Meds:

Current Illness:

ID: 0982243
Sex: F
Age: 46
State: OR

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/28/2021
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Symptom List:

Symptoms: Fever, chills, aches

Other Meds:

Current Illness:

ID: 0982244
Sex: F
Age: 23
State: CA

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

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Allergies: None

Symptom List:

Symptoms: Severe mid and upper back pain, abdominal pain, nausea, vomiting, fever, chills, cold sweats, body aches

Other Meds: Wellbutrin, adderall XR, lutera, and tylenol

Current Illness: None

Total 2021 VAERS Injuries: 704,237

Page last modified: 03 October 2021 5:28pm