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: 0982851
Sex: F
Age: 61
State: IL

Vax Date: 01/22/2021
Onset Date: 01/25/2021
Rec V Date: 01/28/2021
Hospital: Y

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

Lab Data:

Allergies: NKDA

Symptom List: Dysphagia, Epiglottitis

Symptoms: Patient has temperature the day after the vaccine (1/23/2021), then felt better. On Monday developed chest pain and palpitations. Admitted to hospital.

Other Meds: Klonopin

Current Illness: Anxiety

ID: 0982852
Sex: M
Age: 49
State: CA

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: Anxiety, Dyspnoea

Symptoms: Swelling of tongue. Epipen used.

Other Meds:

Current Illness:

ID: 0982853
Sex: F
Age: 76
State: CA

Vax Date: 01/13/2021
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: bees scallops Benadryl ( not sure if it was the drug or the dye that gave me a full body rash }

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

Symptoms: about nine days after injection my upper left arm started to itch and be sensitive and got progressively more red and raised

Other Meds: Losartan 100mg. Synthroid, Dexanlant. Amlodopine and estradiol

Current Illness: none

ID: 0982854
Sex: F
Age: 60
State: VT

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: unknown

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: localized edema, rash. started day after injection and localised reaction spread from shoulder to above elbow. no fever, breathing difficulty, or movement limitations....just swelling and redness

Other Meds: unknown

Current Illness: unknown

ID: 0982855
Sex: M
Age: 50
State: OR

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: None

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

Symptoms: First dose: headache, malaise Second dose: left arm sore, tender. Left arm swelled up to the size of a goose egg and I was unable to lift my left arm from my left side. Low grade fever, body aches, eyes looked sunken in, felt exhausted. I felt like I had the flu. I missed three days of work after the second dose. I took ibuprofen and iced the left arm and rested. I never had a reaction to the influenza vaccination in forty years. The first dose, I did not miss work. And the side effects went away the next day.

Other Meds: None

Current Illness: None

ID: 0982856
Sex: M
Age: 47
State: ND

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

Symptoms: Chills, body aches, headache. Tylenol, ibuprofen and Benadryl. 48 hours

Other Meds: None

Current Illness: None

ID: 0982857
Sex: F
Age: 67
State: NM

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: Carbamazepine, Macrodantin, Bactrim

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Itchy hives around the injection site that has been resolving over the last 3 days, no respiratory distress experienced.

Other Meds:

Current Illness:

ID: 0982858
Sex: F
Age: 65
State: GA

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: Pharyngeal swelling

Symptoms: Severe headache, body aches, fatigue - tx with rest, ibuprofen - feeling better today

Other Meds: Lexapro, protonix

Current Illness: Had bout earlier this month as pancreatitis - resolved

ID: 0982859
Sex: M
Age: 32
State: MI

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: medication allergies, seasonal allergies

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: User Error. A new syringe type was used by administrator, and first attempt, provided patient with only (predominantly) air from syringe without vaccine which was not properly drawn up. This was noted and rectified and the patient was then provided with opportunity to receive 2nd dose of COVID 19 Pfizer vaccine L3247 (3ml) half an hour later. He stayed for 30 minutes post both doses. No adverse sequelae noted

Other Meds: none

Current Illness: none/asthma

ID: 0982860
Sex: F
Age: 35
State: NC

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: Ketek, doxycycline, tetracycline, PCN, tomato, stone fruits, pistachios

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Employee states she has neck stiffness, fever, chills, migraine, entire right side of face is drooping, mainly eye. smile uneven. pain behind ear. Evaluation/Treatment was recommended but employee has declined.

Other Meds: Otezla, Simponi, Aria, Celebrex, Estradiol, Epi-pen

Current Illness:

ID: 0982861
Sex: F
Age: 69
State: CA

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: Penicillin.

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

Symptoms: Received vaccine in left deltoid at 1055 am. Once outside, she noticed redness and itching of right shoulder. Observed in clinic for 5-10 minutes. Stated the itching had subsided. Left clinic.

Other Meds: Blood pressure medication x2. Omega 3.

Current Illness: None stated.

ID: 0982862
Sex: F
Age: 61
State: OH

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:

Symptom List: Rash, Urticaria

Symptoms: fever, nausea, chills, muscle pain, joint pain

Other Meds:

Current Illness:

ID: 0982863
Sex: F
Age: 59
State: NY

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: lorabid

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

Symptoms: incredible itching after a week of getting vaccine. Not sure if this is normal.

Other Meds: amlodipine, vitamin c, elderberry and zinc.

Current Illness: none

ID: 0982864
Sex: F
Age: 70
State: SC

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: none

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

Symptoms: Rash on both arms and on chest. I am not sure if this is from the vaccine or from the Liver Disease.

Other Meds: Take 42 units of Tresiba in Morning. Increase dosage by 3 units every 3 days until fasting Blood sugar is below 130. Take 10 units of Rel-on R at each meal Furosemide 20MG Once a day Nadolol 20MG 1 pill once a day Spironolactone 1

Current Illness: Hepatic encephalopathy Type 2 Diabetes (controlled) Liver Disease (Primary Biliary Cirrhosis) Portal hypertensive gastropathy Secondary esophageal varices without bleeding Fibromyalgia

ID: 0982865
Sex: F
Age: 76
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: Aspirin

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

Symptoms: 1/28/21 early morning- upper left arm 2X2 square of red at vaccination site has appeared and tender to the touch, temp at redness of arm is 102

Other Meds: Advar 150 mg one puff daily, Levothyroxine 125 mcg once daily, Vitamin D3 4000 ius once daily

Current Illness: None

ID: 0982866
Sex: F
Age: 68
State: MS

Vax Date: 01/19/2021
Onset Date: 01/26/2021
Rec V Date: 01/28/2021
Hospital: Y

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

Lab Data:

Allergies: Had an allergic reaction to shrimp in my 20's, but presently eat shrimp with no adverse effects

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

Symptoms: One week after taking the vaccine I developed significant swelling of the upper left arm at the vaccination site that gradually got worse as the day progressed. I also experienced a headache and a severe spike in blood pressure in the afternoon, which led me to think that my reaction might be severe. As a result I went to the local ER where they decided to keep me overnight for observation. The symtoms did not get worse, but I was given steroids and peptid intravenously, as well as Benadryl to counteract the swelling. Today, Jan. 28, I continue to have some swelling in the left arm, as well as redness.

Other Meds: simvastatin 20mg losartan 50mg rizatriptan 5mg (as needed) calcium/D3 Prolia

Current Illness: None

ID: 0982867
Sex: F
Age: 43
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: n/a

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

Symptoms: Per patient: patient developed sore/swollen glands on neck on 1/23/2021 (morning after receiving vaccine). Lymph nodes along clavicle on right side are swollen/sore as well. Patient went to provider's office on Monday (1/25/2021) for symptoms. Patient states that lymph nodes on neck are better today, but lymph nodes along clavicle on right side continue to worsen. Patient is in contact with her provider.

Other Meds: n/a

Current Illness: n/a

ID: 0982868
Sex: F
Age: 32
State: NY

Vax Date: 01/15/2021
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: shrimp

Symptom List: Ear pain, Hypoaesthesia

Symptoms: urticaria to body started 1/27, started allegr1/27, given rx for famotidine, prednisone 1/28

Other Meds: none

Current Illness: none

ID: 0982869
Sex: F
Age: 41
State: CA

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: Avocado Pineapple Adhesive tape

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Nausea dizziness and hypotensived

Other Meds: Synthroid Lisinopril Hctz Wixela Albuterol Macrobid Lopressor

Current Illness: Hypothyroidism hypertension anxiety

ID: 0982870
Sex: F
Age: 58
State: WA

Vax Date: 01/08/2021
Onset Date: 01/14/2021
Rec V Date: 01/28/2021
Hospital:

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

Lab Data:

Allergies: sensitivity to Latex products

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

Symptoms: I had the usual immediate local symptom on days #1-4 (sore arm) and the usual immediate systemic symptoms on days #1-3 (fever, chills, myalgias, fatigue). However, on day # 7, I started developing slight pruritus at my injection site and by day # 8, I developed significant pruritus (and some pain) with a 6x10cm area of erythema and induration surrounding my injection site which lasted another 3-4 days. Also, I developed a herpetic outbreak on my lip (worse ever in my life) starting on day #9 which resolved by day #19. I started Valtrex immediately 1gm BID, then increased dose to TID when I started feeling left sided facial symptoms concerning for early Bell's Palsy on Day #11. There still is some intermittent, residual, low-grade pain in left arm.

Other Meds: vitamin D, calcium

Current Illness: none

ID: 0982871
Sex: M
Age: 48
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: Penicillins

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

Symptoms: Nausea, Chills, Headache, Fever, Tired/Sore muscles & joints, irritation to eyes and throat, and cough.

Other Meds: Celexa and Omeprazole.

Current Illness: None

ID: 0982872
Sex: F
Age: 35
State: OR

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: NKDA

Symptom List: Unevaluable event

Symptoms: FEVER, HEADACHE, LOCALIZED SWELLING, FATIGUE

Other Meds: ALPRAZOLAM, BUSPIRONE, ESCITALOPRAM, NUVARING, AMBIEN

Current Illness: NONE

ID: 0982873
Sex: M
Age: 78
State: WV

Vax Date: 01/23/2021
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: no

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

Symptoms: Fever and weakness/fatigue

Other Meds: lisinopril, carvedilol, glaucoma eye drops

Current Illness: no

ID: 0982874
Sex: F
Age: 64
State:

Vax Date: 01/13/2021
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: Penicillin and escargots

Symptom List: Injection site pain, Pain

Symptoms: 7 days post-vaccination (1st shot), my vaccinated arm had large hard swelling which was hot, red and itchy. Swelling went down after 2 days, red rash and itching went away after a week.

Other Meds: Levothyroxine 75 mcg and Multivitamin

Current Illness: None

ID: 0982875
Sex: F
Age: 22
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: Injection site pain, Menorrhagia

Symptoms: Migraine for 2 hours, took tylenol, went away after 30 minutes

Other Meds:

Current Illness:

ID: 0982876
Sex: M
Age: 29
State: TX

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: Unkown

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

Symptoms: Fever at about 101, mild tachycardia, warm/body flush sensation, excess insomnia, body aches/headache throbbing, nausea sensations, and worsening TMJD-clenching even with my mouth guard on. Went to the ER about 1230AM and received IV fluids, Tramadol and Zofran.

Other Meds: Unknown

Current Illness: None

ID: 0982877
Sex: F
Age: 63
State: OH

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:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: fever, nausea, chills

Other Meds:

Current Illness:

ID: 0982878
Sex: M
Age: 78
State: GA

Vax Date: 01/01/2021
Onset Date: 01/10/2021
Rec V Date: 01/28/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Developed symptoms of COVID 3 1/2 days after receiving 1st Vaccine and tested positive the following morning

Other Meds:

Current Illness:

ID: 0982879
Sex: F
Age: 31
State: MD

Vax Date: 01/09/2021
Onset Date: 01/14/2021
Rec V Date: 01/28/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Five days after injection she developed a supraclavicular lymph node on the right side, about 2cm in diameter

Other Meds:

Current Illness:

ID: 0982880
Sex: F
Age: 74
State: CA

Vax Date: 01/19/2021
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: Allergic to sulfa

Symptom List: Nausea

Symptoms: Light red circle appeared a few days after the injection with some itching. My arm was sore for a few days but nothing too bad. The soreness went away after about three days. I noticed the redness is still there and actually looks redder. The itching came back so I took an Allegra and that stopped it. The redness is still there today which is ten days after I received the vaccine. I believe a similar thing happened when I got the Shingles vaccine last year. It eventually went away.

Other Meds: Pradaxa, Multaz, Amlodipine, Losartan, Omeprazole, Spironolatone, Metroprol Tartrate, Vit D, Vit E, Vit C, Magnesium, Pribiotic, Flax Seed Oil, Cinnamon,

Current Illness: None

ID: 0982881
Sex: M
Age: 37
State:

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

Symptom List: Injection site pain

Symptoms: Patient received second dose of Moderna vaccine on 1.22.2021. Patient had no side effects with the first vaccine. Patient received 2nd vaccine 25 days later. Patient experienced flu-like symptoms for the first 24 hours. On 1.23, the patient began to notice a "chicken pox" type rash develop on his arms and spread across the upper part of his body. Patient was seen by employee health on 1.26 and diagnosed "exanthem, most likely vaccine related." Patient was instructed to take benadryl and return to clinic with worsening symptoms.

Other Meds:

Current Illness:

ID: 0982882
Sex: F
Age: 53
State: MA

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: protonix, probiotic, MVI

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

Symptoms: chills, body aches, fever, stomach ache 11 1/2 hours after vaccine administered. Lasted for 36 hours. Took Tylenol 650mg Q4hrs as needed.

Other Meds:

Current Illness:

ID: 0982883
Sex: F
Age: 48
State: NC

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: no

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

Symptoms: Itching, vomiting, feeling flush, chest tightness

Other Meds: n/a

Current Illness: no

ID: 0982884
Sex: F
Age: 25
State: MA

Vax Date: 01/21/2021
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: no

Symptom List: Tremor

Symptoms: flu like symptoms, chills, hot flashes, headache, fatigue, body ache, muscle soreness, night sweats, sore/swollen throat, swollen neck lymph nodes

Other Meds: combination birth control pill, effexor XR 187.5mg daily, dupixent 300mg injection every other week

Current Illness: no

ID: 0982885
Sex: F
Age: 24
State: GA

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: Erythema, Pruritus

Symptoms: 2:40pm Patient reported feeling "weird" after seeing blood after receiving Pfizer vaccine. Patient's pulse was elevated and felt her "heart racing" and "nausea". Vitals taken every 5 minutes. Patient given 25mg of Diphenhydramine by mouth. Patient was alert and oriented.

Other Meds:

Current Illness:

ID: 0982886
Sex: F
Age: 49
State: ME

Vax Date: 01/08/2021
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: None

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

Symptoms: Red, raised patch. Itchy and warm

Other Meds: Bupropion, Vitamin D3

Current Illness: None

ID: 0982887
Sex: F
Age: 53
State: CA

Vax Date: 12/19/2020
Onset Date: 12/20/2020
Rec V Date: 01/28/2021
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Lab Data:

Allergies: sulfa

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

Symptoms: Received dose # 1 at 7 pm. At 1 am woke up with severe left arm pain , and unable to move arm. Lasted for 36 hours then gradually resolved. Now continues to be painful when raising arm and internal rotation .

Other Meds: none

Current Illness: none

ID: 0982888
Sex: F
Age: 56
State: PA

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

Allergies: NKDA

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Vision so blurry (in both eye) I couldnt read. Sensitivity to light, unable to read street lights. Went home and by about3pm I received a text and was able to read again. Things went back to "my" normal

Other Meds: fish oil ferrosol multi vit turmuric gluccosamine with chondroytin

Current Illness: none

ID: 0982889
Sex: M
Age: 37
State: TX

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

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

Symptoms: Patient received second dose of Moderna vaccine on 1.22.2021. Patient had no side effects with the first vaccine. Patient received 2nd vaccine 25 days later. Patient experienced flu-like symptoms for the first 24 hours. On 1.23, the patient began to notice a "chicken pox" type rash develop on his arms and spread across the upper part of his body. Patient was seen by employee health on 1.26 and diagnosed "exanthem, most likely vaccine related." Patient was instructed to take benadryl and return to clinic with worsening symptoms.

Other Meds:

Current Illness:

Date Died: 01/25/2021

ID: 0982890
Sex: M
Age: 67
State: MS

Vax Date: 01/22/2021
Onset Date: 01/25/2021
Rec V Date: 01/28/2021
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Lab Data:

Allergies: No Known Drug Allergies

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

Symptoms: Pt presented to ER via EMS at 1556 3 days after receiving vaccine. pt was breathing approximately 50 times a minutes and o2 sats in the 70's upon arrival. NP decided to intubate, Rocuronium and Versed given. Pt became bradycardic and 1 amp of Atropine was given without improvement. No pulse felt, CPR started per ACLS protocol. 7 Epi's given. Time of death- 1632. After TOD pt was swabbed for COVID-19 and the results were positive.

Other Meds: Crestor 10 mg po daily Norvasc 10 mg po daily benazepril 20 mg po daily Gabapentin 600 mg po daily Toprol XL 100 mg po daily

Current Illness: GI Bleed and Anemia- DX: 1/31/2021

Date Died: 01/16/2021

ID: 0982891
Sex: M
Age: 61
State: KS

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

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Allergies: NKDA

Symptom List: Pain in extremity

Symptoms: All residents had been in isolation due to multiple cases of COVID in the facility. Resident voiced no health related complaints. He continued to visit with staff and required moderate assist with toileting. Resident had fall 0130 on 1-15-2021, which resulted in laceration with surgical repair. Resident was noted to change in mental status and respirations on morning of 1-16-2021 during morning blood sugar check. Resident had O2 @1.5l/m via n/c and respirations of 10 with periods of apnea and unresponsive to verbal stimuli. Blood sugar was 583. Resident deceased upon re-check after calling PCP to report status change.

Other Meds:

Current Illness:

ID: 0982892
Sex: F
Age: 53
State:

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

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

Symptoms: chills, body aches, fever, stomach ache 11 1/2 hours after vaccine administered. Lasted for 36 hours. Took Tylenol 650mg Q4hrs as needed.

Other Meds:

Current Illness:

ID: 0982893
Sex: F
Age: 25
State: CA

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

Allergies: Foods - eggs

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

Symptoms: Sudden rise in temp from 98 to 99.8 in five minutes Flushing, mild SOB, tachycardia. BP is 128/88. Transported via ambulance to hospital. Did state that she had previous anaphylaxis to food allergies. Allergic to eggs. Always has EpiPen on hand. Positive for Covid in June 2020.

Other Meds: Epi pen

Current Illness: None

ID: 0982894
Sex: F
Age: 43
State: OH

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

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Allergies:

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

Symptoms: fever, nausea, chills, right arm tingling

Other Meds:

Current Illness:

ID: 0982895
Sex: F
Age: 44
State: TX

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/28/2021
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Allergies: none

Symptom List: Vomiting

Symptoms: Severe muscle pain, kidney pain,shaking for a week.

Other Meds: BYSTOLIC

Current Illness: none

ID: 0982896
Sex: M
Age: 57
State: VT

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/28/2021
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Allergies: NKDA

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Too large dose injected. Bolus was 1ml. Initial metallic taste and mouth 15 min after injection. Numbness, tingling, muscular weakness in the left arm radiating to fingers along C7 dermatome. Severe fevers, chills, mental confusion, muscular weakness, exquisite tenderness at injection site, severe fatigue. Had to leave work. Slept 12 hours. Lingering muscular pain and fatigue for 48 hours following injection.

Other Meds: Lansoprazole 15mg ASA 81mg Finasteride 1mg Citalopram 10mg Turmeric 100mg Vitamin D3 2000IU Echinacea oyc Zinc otc

Current Illness: None

ID: 0982897
Sex: F
Age: 32
State: TX

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

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Allergies:

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

Symptoms: Around 9:15am She began complaining of epigastric/midsternal chest pain, non-radiating. She was not short of breath or diaphoretic. She denied nausea but did heave and spit up clear fluid. She had elevated HR 131-86 during a 45minute time period and elevated blood pressure 165-135/90-103 during the same time period. She had what appeared to be a brief fainting spell and experienced some confusion. She was transported to ER/EMS at 10:47am. She was sent home from the ER later in the day.

Other Meds: birth control pills, not sure if others

Current Illness:

ID: 0982898
Sex: M
Age: 72
State: CO

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

Symptom List: Injection site swelling, Limb discomfort

Symptoms: severe headache

Other Meds: citalopram, compezine, CQ10, B2

Current Illness:

ID: 0982899
Sex: F
Age: 61
State: MD

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/28/2021
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Allergies:

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

Symptoms: Pt immediately had a headache after the vaccine and this progressed to neck pain/spasm and severe fatigue

Other Meds:

Current Illness:

ID: 0982900
Sex: F
Age: 61
State:

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/28/2021
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Lab Data:

Allergies: Latex, Foods, Many PO Meds

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

Symptoms: Increased HR, Weakness, Throat Irritation, Diaphoresis. Patient was asked to sit in observation for 30 min. Hx of allergies. Very anxious, anxiety causing increased HR and Sweating. throat itching/tightness. Legs elevated, 50 mg of Benadryl given.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 704,237

Page last modified: 26 October 2021 2:21am