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: 0983003
Sex: F
Age: 94
State: TN

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:

Symptom List: Dysphagia, Epiglottitis

Symptoms: Patient was given a 2nd dose of Moderna vaccine to early . 2nd dose of vaccine was due 1/30/21 but was given on 1/22/2021

Other Meds:

Current Illness:

ID: 0983004
Sex: F
Age: 42
State: MN

Vax Date: 01/18/2021
Onset Date: 01/18/2021
Rec V Date: 01/28/2021
Hospital:

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

Lab Data:

Allergies: sensitive to fragrance

Symptom List: Anxiety, Dyspnoea

Symptoms: After 10 days, still have fatigue and facial and scalp tingling (comes and goes). Pain in injection site reoccured overnight (night 10) and injection site is sore to the touch after 10 days. New feeling of some leg weakness today. First seven days included fatigue, chills, facial/scalp tingling, headache.

Other Meds: none

Current Illness: none

ID: 0983005
Sex: F
Age: 34
State: VA

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: Amoxicillin

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

Symptoms: Fever 101.8, chills, malaise, body aches, headache, nausea

Other Meds: None

Current Illness: None

ID: 0983006
Sex: F
Age: 34
State: CA

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: Possibly allergic to Polysorbate but not certain

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Fever, chills, body aches, nausea, headache

Other Meds: None

Current Illness: None

ID: 0983007
Sex: F
Age: 80
State: OH

Vax Date: 01/01/2021
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: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: 2 hours post vaccination nurse noticed angioedema in 1 eye and puffiness in the other eye. Nursing staff gave 25mg of Benadryl and used a cold compress. Swelling went down quickly and patient is doing well.

Other Meds:

Current Illness:

ID: 0983008
Sex: F
Age: 76
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: no

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

Symptoms: Patient with known CAD. Per member, has had NTG 5x in last 6 months. Patient states unable to do anything but medical therapy " all 6 grafts clogged". c/o precordial and right sided chest pressure, took ntg with improvement , recurrent pain and member took second dose of ntg .Pain started to return and 911 called.

Other Meds: coreg, amlodipine renexa, isordil

Current Illness: none

ID: 0983009
Sex: F
Age: 42
State: TX

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

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

Lab Data:

Allergies: Sulfa, Penicillin, Morphine, Fish, Pork, Wool

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: I experienced body aches with a heavy sensation all through my body and all the way down to my feet. I felt chills and my face was hot. My head hurt so much, my throat was inflamed and I had difficulty swallowing and passing saliva. I also felt super sleepy throughout my days and my sleep was so profound that I had difficulty waking up in the mornings. I got tested for strep throat and I also got tested for Covid-19. I also received my second dose injection today 01-28-2021 but I have not felt any symptoms yet.

Other Meds: Deloxitin QPM, Magalaty injection QAM for migraines

Current Illness: I had a sore throat, body aches, chills, a bit of fever and headaches lasted a few days.

ID: 0983010
Sex: F
Age: 37
State: FL

Vax Date: 01/20/2021
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: No known

Symptom List: Pharyngeal swelling

Symptoms: On 1/20/20 I was 5 weeks 6 days pregnant and had the second dose of the Covid-19 vaccine. My expected due date 9/17/21. In the evening my arm started to get extremely sore at the injection site followed by body aches and a severe headache that last 48 hours. By Friday evening around b 7 pm I ended up throwing up and started to feel relief. Waking Saturday morning I had cramping and vaginal bleeding. After a trip to the er at 2 pm I had a ULTRASOUND which did not show a fetal heart tone. As of today Thursday 1/28/21 I am still bleeding. The headache has come and gone since the severity let up on friday

Other Meds: Prenatal vitamin

Current Illness:

ID: 0983011
Sex: F
Age: 57
State: MA

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: Abdominal pain, Chills, Sleep disorder

Symptoms: Received my second vaccine on Tuesday January 26. On Wednesday afternoon had a mild headache and later that evening I experienced shortness of breath and an asthma attack. I took my inhaler. I never missed any work due to this incident.

Other Meds:

Current Illness:

ID: 0983012
Sex: F
Age: 72
State: TX

Vax Date: 01/01/2021
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, erythromycin, sulfa, demerol

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Nausea and vomiting beginning 12 hours after injection, headache, muscle weakness, painful injection site

Other Meds: Synthesis, zetia, creator, vit d, fish oil, vit b2, magnesium, singular, symbicort

Current Illness: None

ID: 0983013
Sex: F
Age: 43
State: MN

Vax Date: 01/22/2021
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: Vaccination site erythema, Vaccination site pruritus, Vaccination site swelling

Symptoms: 4 days after receiving dose, developed a cute appendicitis. Appendectomy performed.

Other Meds: Celexa 40 mg daily Claritin 10 mg daily Multivitamin 1 tab daily

Current Illness: None

ID: 0983014
Sex: F
Age: 37
State:

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: Rash, Urticaria

Symptoms: Got the vaccine in the morning. In the evening, felt tired, body ache, nausea, swelling/painful arm at injection site. Had the same symptom with first vaccine.

Other Meds:

Current Illness:

ID: 0983015
Sex: U
Age: 39
State: CA

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/28/2021
Hospital:

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

Lab Data:

Allergies: NSAIDs, Sulfa, Dicloxacillin

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

Symptoms: 1/11/2021- 0900AM-0830PM: Sore Arm 1/11/2021_ 8:30PM through 1/13/2021 8:30PM: sore arm,103-104 fever, chills that manifested in full body shakes (uncontrollable) and while extremities followed by increase fever and sweats (3x's). Brest/ Chest pain (left side) Went to Medical Center and with out taking vitals patient was told there was nothing they could do and patient was sent home.

Other Meds: Mucinex, Zyrtec

Current Illness: none

ID: 0983016
Sex: M
Age: 60
State: NH

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

Symptoms: Headache sore arm and chills

Other Meds: Allopurinol 10mg, Enalapril 20 mg and Gabapentin 600 mg

Current Illness: I had covid on Christmas eve 12/26/2020

ID: 0983017
Sex: F
Age: 34
State: CA

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: n/a

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

Symptoms: HEADACHE BODYACHES SORENESS AND SWELLING AT THE INJECTION SITE CHILLS NAUSEA LIGHT HEADED

Other Meds: Tylenol 500mg after vaccination

Current Illness: n/a

ID: 0983018
Sex: F
Age: 63
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: Tuberculin Vaccine Allergy Nickel

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

Symptoms: Extreme fatigue - throughout the entire day Chills began late afternoon Low Grade Fever 99.7

Other Meds: Amlodipine 10 mg Low-dose Aspirin

Current Illness: N/A

ID: 0983019
Sex: F
Age: 48
State: AR

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

Symptoms: Generalized achiness, fatigue low grade fever 100 - 100.8 x 48 hours stiff neck headache symptoms are still ongoing

Other Meds: synthroid 117 mcg baby aspirin aleve

Current Illness: cold symptoms 8 days prior

ID: 0983020
Sex: F
Age: 46
State:

Vax Date: 01/21/2021
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:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: nausea, headache, chills and joint aches

Other Meds:

Current Illness:

ID: 0983021
Sex: M
Age: 80
State: CA

Vax Date: 01/24/2021
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: penicillin, erythromycin, dilaudid

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: He had slight fever and chills, diarrhea, muscle weakness, arrhythmia asserted itself. Home health nurse came out and checked on him and put him on bed rest.

Other Meds:

Current Illness:

ID: 0983022
Sex: F
Age: 51
State: WA

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: penicillin

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

Symptoms: Sore Rt arm, chills, low grade temp, body aches, headache started 12 hours after injection for 36 hrs. Swelling under Rt eye began almost 24 hours after injection and continues to be swollen.

Other Meds:

Current Illness:

ID: 0983023
Sex: F
Age: 54
State: MD

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 erythema, Injection site pruritus, Injection site swelling, Lymph node pain, Lymphadenopathy

Symptoms: She noticed redness, itchy swelling around the injection site, along with a sore arm and a shotty lymph node in the right axilla

Other Meds:

Current Illness:

ID: 0983024
Sex: F
Age: 29
State: IL

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: Sulfa, Feathers

Symptom List: Unevaluable event

Symptoms: Low grade fever, headaches, body aches, perspiring

Other Meds: Sertraline, Vit C and D3

Current Illness: none

ID: 0983025
Sex: M
Age: 35
State:

Vax Date: 01/11/2021
Onset Date: 01/11/2021
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: Chills, Dizziness, Injection site pain, Myalgia, Pyrexia

Symptoms: C/o Tingling in hands, fingers, weakness in legs, mild lightheadedness. Legs elevated. Reaction time 15 min from Vaccine admin. B/P slightly elevated 144/90...See document. Approached with mild tingling ...., lied down for 10 min. and felt better. Discharged to self at 7:15pm.

Other Meds:

Current Illness:

ID: 0983026
Sex: M
Age: 74
State: TX

Vax Date: 01/17/2020
Onset Date: 11/18/2020
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 pain, Pain

Symptoms: The day after receiving the vaccination and also starting oral antibiotic (Bactrim), I became extremely ill with fever, severe nausea and dizziness. These symptoms lasted for five days and caused me to lose 10 pounds of body weight and fall down numerous times. I also had episodes of delirium. The Bactrim was prescribed for ten days, but I ceased taking it after five and on day six my condition improved dramatically. I had the second dose of Shingrix on 16 January with no adverse reactions.

Other Meds: Bactrim (Sulfameth/Trimethoprim

Current Illness: possible infected toe nail

ID: 0983027
Sex: F
Age: 55
State: IN

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: Injection site pain, Menorrhagia

Symptoms: On drive home (left office @ 1110) approximately 1130 or so patient reports numbness in lips, around mouth between top lip and bottom of nose. Felt sleepy & slight headache At approx 1230am 1/28/2021 patients states has a heat sensation that irritated chest and throat down to stomach. Drank ice water with relief. Woke on 1/28/21 @ 0745 & c/o Nausea after eating "Cream of Wheat" c/o deep tissue muscle aches in arms shoulders and back. Check Temp at 11am with fever of 101 Temp. now 3:42 pm (1542) is 100.2

Other Meds: OTC: took four low dose (81mg) today 1/28/2021 Vitamins: Centrum gummies for 50+ women Went to Dentist on 1/26/2021 received numbing injections (doctor mentioned cloves in it)

Current Illness: COVID Positive 12/31/20- "Clinicals told her to get Vaccine"

ID: 0983028
Sex: F
Age: 49
State: MA

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

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

Lab Data:

Allergies:

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

Symptoms: I got my first injection of the Moderna vaccine on Wed, Dec 30th ? so a little over a week ago. Immediately, I felt a significant discomfort upon receiving the injection. Within a few hours, my arm was completely immobile and stayed that way for days.I have never felt pain like that after an injection, and I went to look at the adhesive she had put on, and noticed it was much higher than I was used to (see images below).It was definitely not two fingers below the joint and after palpating, I became a bit concerned that she had actually injected the vaccine into my joint. While the pain has lessened to a throbbing ache, my range of motion is still very limited. Ibuprofen (even 600mg q6) doesn?t really seem to touch it. F/U 1/28/21: . I just stopped the anti-inflammatories yesterday ? was essentially on it for almost a full month. Still with bilaterally shoulder soreness and pain, but able to move them now.

Other Meds:

Current Illness:

ID: 0983029
Sex: F
Age: 44
State: AZ

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:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Sore arm for a couple days

Other Meds:

Current Illness:

ID: 0983030
Sex: F
Age: 74
State: OK

Vax Date: 01/03/2021
Onset Date: 01/03/2021
Rec V Date: 01/28/2021
Hospital:

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

Lab Data:

Allergies: PCN, Sulfa, Antibiotics

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: diarrhea

Other Meds: Ibruprofen, Banophen, Potassium Chloride ER, Lisinopril, Ferrous Gluconate, Vitamin C, Vitamin B-12, Vitamin D3

Current Illness:

ID: 0983032
Sex: F
Age: 53
State: VA

Vax Date: 01/20/2021
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: latex, sulfa, EES, gelatin, casein, mammalian glycerin, all mammalian derived food and cosmetic products

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

Symptoms: chills, fever, diarrhea, abdominal cramps, headache, body aches

Other Meds: none

Current Illness: none

ID: 0983033
Sex: F
Age: 52
State: OR

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: Peanuts Milk

Symptom List: Nausea

Symptoms: Very sore arm - lasted two days Next day after vaccine - EXTREME fatigue, body aches, could not get out of bed for 24 hours

Other Meds: Pregabalin Carbidopa/Levodopa Sertraline Wal-Zyr

Current Illness:

ID: 0983034
Sex: F
Age: 31
State: VA

Vax Date: 01/21/2021
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: Injection site pain

Symptoms: 12 hrs after injection a large, circular red rash appeared at the injection site (upper right arm). Area was approximately 3inx2in. Remained red and with a large knot under it for approximately 36 hrs. After 36 hrs the knot went away and the redness/pain went away.

Other Meds: Ortho Cyclen Wellbutrin XL 150 mg Buspirone 10 mg 2x daily

Current Illness: None

ID: 0983035
Sex: M
Age: 50
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: Injection site induration, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Numbness right side of face and gums. Rash on arms.

Other Meds:

Current Illness:

ID: 0983036
Sex: F
Age: 28
State: FL

Vax Date: 01/20/2021
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: Chills, Dizziness, Nausea, Pain, Tachycardia

Symptoms: vaccine 1/20. 1/24 underarm pain, 1/27 diagnosed with swollen lymph nodes under arm

Other Meds:

Current Illness:

ID: 0983037
Sex: F
Age: 74
State: NC

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: sulfa augmentin

Symptom List: Tremor

Symptoms: Moderna COVID-19 Vaccine EUA delayed injection site reaction - one week after the injection a red, itchy patch developed at and below the injection site the patch is about 3" long and 2" wide

Other Meds: acyclovir 400mg/day multivitamin vitamin D

Current Illness:

ID: 0983038
Sex: F
Age: 41
State:

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: Erythema, Pruritus

Symptoms: 1 HR AFTER RECEIVING THE VACCINATION I BECAME JITTERY. I ALSO FELT LIKE I COULD FEEL IT MOVING THRU MY BODY. THIS LASTED ABOUT 3 HRS. I ALSO BECAME VERY FATIGUED AND AM FEELING THE FATIGUE STILL TODAY. NO SERIOUS SIDE EFFECTS, PROMPTING ME TO CALL MY PCP.

Other Meds:

Current Illness:

ID: 0983039
Sex: F
Age: 50
State: MD

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

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

Allergies:

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

Symptoms: About 10 minutes after the injection she notice numbness and tingling in the palm of her hand that spread to her fingers. It has started to improve.

Other Meds:

Current Illness:

ID: 0983040
Sex: F
Age: 55
State: VA

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

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Lab Data:

Allergies: Zestril?angioedema Ampicillin?hives Heparin?heparin induced thrombocytopenia

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

Symptoms: Developed immediate fever & cills within 2 hours. By next morning had pain & difficulty producing urine. Saw primary care doctor and urgent care center, infection not treated w/PO Macrobid after 2 days. Admitted to Hospital w/sepsis, kidney infection and acute renal injury?creatinine 4.25 (baseline=1.5)

Other Meds: Envarsus, Cellcept, Bentley, Pepcid, Amlodipine. Crestor, Zoloft, Wellbutrin

Current Illness: Possible silent UTI/kidney infection(?)

ID: 0983041
Sex: F
Age: 28
State: NY

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 01/28/2021
Hospital:

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Lab Data:

Allergies: NKA

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Large rash? Bump/swollen, red, sore to touch, itchy, hard. Noticeable about 24 hrs after injection, as of 12/28/21 has improved dramatically but is not gone completely.

Other Meds: Vyvanse Prenatal vitamin

Current Illness: None

ID: 0983042
Sex: F
Age: 35
State: OR

Vax Date: 01/23/2021
Onset Date: 01/27/2021
Rec V Date: 01/28/2021
Hospital:

Vax Type:
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Lab Data:

Allergies:

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

Symptoms: Swollen posterior cervical lymph node

Other Meds:

Current Illness:

ID: 0983043
Sex: F
Age: 44
State: MD

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

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Lab Data:

Allergies: NKA

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

Symptoms: 40 sec after injection to left arm, flushed sensation to left side neck then to left ear, then to forehead, to right ear and to right side neck, followed by sudden throat dryness. BP 165/122, HR 120, Pts normal BP 90-100 systolic 80's diastolic, Hr usually 80's. about 1 hr later mild headache, left arm soreness. 2nd day after sensation of palpitations, day 3 sensation of palpitations, HR 108 on one measurement.

Other Meds: Vitamin D 4000IU, B12 100mg, Vitamin C 500mg

Current Illness: Pyelonephritis

ID: 0983044
Sex: F
Age: 64
State: ME

Vax Date: 01/18/2021
Onset Date: 01/25/2021
Rec V Date: 01/28/2021
Hospital:

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Lab Data:

Allergies: penicillin, sulfa drugs, adhesive, cats, dogs, dust and grass

Symptom List: Pain in extremity

Symptoms: On the evening of the 25th of January, I experienced the sudden onset of severe itching at the site of the vaccine. The site eventually became red, raised, painful and hard and very warm to touch. Overnight, the redness and discomfort increased. I was seen by a nurse practitioner that morning. I was informed that it was a delayed reaction to the injection and to ice the area and take antihistamines and that it may take 3-5 days to subside. I was told that I should still get the 2nd vaccination that is scheduled for February 15th. Within the next 2 days, the redness diminished and the area was still slightly itchy and warm.

Other Meds: wellbutrin, cymbalta, lisinopril, pravastatin, risperidone, xarelto, magnesium

Current Illness: none

ID: 0983046
Sex: F
Age: 66
State: AS

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

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Allergies:

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

Symptoms: On the day of vaccination - local discomfort, which later in the day progressed to moderate pain on the outer side of left upper extremity (LUE) till the wirst; severe chills all night Day after vaccination - left upper extremity pain persisted; moderate to severe chills all night Subsequent days - LUE pain became limited to the left upper arm persisted at a mild level. Day 7 post-vaccination - induration covering ~ 3" x 4" area on the outer side of left upper arm, with increased discomfort, increased local temperature and ecchymosis without any preceding local trauma other than the shot a week back,which persisted for 4-5 days. Ongoing symptoms - left upper arm discomfort is persisting and upper arm feels weaker

Other Meds:

Current Illness:

ID: 0983047
Sex: F
Age: 68
State: VT

Vax Date: 01/11/2021
Onset Date: 01/19/2021
Rec V Date: 01/28/2021
Hospital:

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Allergies: None

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

Symptoms: After 8 days, intense itching and swelling, red , warm circular 3 inch diameter

Other Meds: Levothyroxine, dicclofenac,preservision

Current Illness: None

ID: 0983048
Sex: M
Age: 34
State: MT

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

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Lab Data:

Allergies: NKDA

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

Symptoms: Emesis - no other symptoms reported - denied fever - recommended seeing walk-in care and to drink plenty of fluids

Other Meds:

Current Illness: negative

ID: 0983049
Sex: F
Age: 29
State: FL

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

Vax Type:
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Lab Data:

Allergies:

Symptom List: Vomiting

Symptoms: Second Moderna COVID vaccine received on 1/25/21. Reports L arm injection site red, warm, painful and itchy hives to B arms and B legs started on 1/27/21. Also states she has "different feeling" when swallowing. Sent on 1/28/21.

Other Meds:

Current Illness:

ID: 0983050
Sex: F
Age: 52
State: OK

Vax Date: 12/18/2020
Onset Date: 12/18/2020
Rec V Date: 01/28/2021
Hospital:

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Allergies:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: By that evening my right arm went numb and I had a lot dizziness and brain frog. I was slow to stop at stop sign, and my daughter in law told me she wanted to drive me because I was scaring her and I was being mean to her, very snappy. The next morning I had a fever 100, muscle ache, heart racing, headache and I stayed in bed all day. I took 2000mg Ibuprofen, 800mg Tylenol, Benadryl 10mg. On the 20th I was still lethargic had body aches and heart was racing, I took 800mg Tylenol that day. The 21st I had dizziness, brain fog, heart racing, lethargic. The 22nd I contacted the work Nurse and let her know what was going on, my heart rate was 140. They told me I was probably having a reaction and would go away in a couple days. On the 24th,25th,26th,27th I started having chest pain, lethargy. I had a clinic visit with my PCP on the 28th and she said my BP was 160/90, I never had BP issues. She ran test. The 29th I still had brain frog, lethargy, chest pain. I could feel my heart beat in my ear especially at night, I have never has BP issues in my life. On the 30th my heart ponding sound was in my ear. January 16th I went to the ER my heart was 130 and BP 187/108, they did a full work up on me. She started me on Metprolol-50mg(extended release). I seen the cardiologist on 1/20 and told me I had left atrial enlargement , mitro-valve regurgitation . I had an echo- cardiogram on 1/25. The medicine has definitely helped me .

Other Meds: Vitamin D Vitamin C Zinc

Current Illness: Covid in August

ID: 0983051
Sex: M
Age: 57
State: OR

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

Symptoms: Woke up with muscle aches similar to a flu. Absolutely no energy and feeling tired. Although I have had no snot, my voice has deepened noticeably. Current temp is 100.8

Other Meds: Metformin - 1000 mg X 2 a day Losartin 25 mg once a day Venlaflaxine 78 mg once a day Atorvastatin 40 mg once a day Fenofibrate 160 mg once a day Humulin N U100 10 units morning, 15 units before bed.

Current Illness: Type II diabetes

ID: 0983052
Sex: M
Age: 51
State: GA

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

Vax Type:
Manufacturer:
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Lot:
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Lab Data:

Allergies: None

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Body aches, fatigue

Other Meds: None

Current Illness: No illness, but I am recovering from ankle surgery that took place the last week of December 2020.

ID: 0983053
Sex: F
Age: 23
State: FL

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:
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Lab Data:

Allergies:

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

Symptoms: Nausea Headache Feeling hot but no fever Sweating

Other Meds:

Current Illness:

ID: 0983054
Sex: F
Age: 25
State: SC

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

Vax Type:
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Lot:
Dose Series:
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Lab Data:

Allergies: PCN

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

Symptoms: Nausea, vomiting, migraine, muscle fatigue, muscle pain, joint pain, chills, sweating

Other Meds: Birth control

Current Illness: None

Total 2021 VAERS Injuries: 704,237

Page last modified: 26 October 2021 2:21am