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: 0984788
Sex: F
Age: 60
State: KS

Vax Date: 01/14/2021
Onset Date: 01/28/2021
Rec V Date: 01/29/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List: Dysphagia, Epiglottitis

Symptoms: 2 weeks exactly after my 1st shot, the injection site became red, hot, itchy, sore and developed welts - I woke up the next morning and my arm is red, warm and sore to the touch.

Other Meds: Losartin

Current Illness: No

ID: 0984789
Sex: F
Age: 65
State: GA

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 01/29/2021
Hospital:

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

Lab Data:

Allergies: Darvocet causes itching

Symptom List: Anxiety, Dyspnoea

Symptoms: Sore arm, chills, sweating

Other Meds: Premarin celexa

Current Illness: Covid

ID: 0984790
Sex: M
Age: 69
State: MI

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 01/29/2021
Hospital:

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

Lab Data:

Allergies: NKA

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

Symptoms: Pt reported to Health Services at approximately 2200PM on 1/28/21 after receiving vaccination 1/28/21 at 0925AM. He reported complaints of dyspnea beginning at 2000PM but did not report until 2200. He presented with an SpO2 of 81% on RA, HR 121, RR 44, BP 180/96, and temp 100.4. Previously, the patient required O2 therapy and oral steroids to recover from COVID 19 infection diagnosed on 12/1/2020. He was asymptomatic at the time of vaccination. He was treated with O2 therapy and Tylenol and states feeling much better this morning (1/29/21) at 0630AM. He continues to have a low grade fever of 100.6, and Tylenol provided.

Other Meds: Aspirin 81mg 1 QD, TUMS 750mg 1 TID PRN, Multi Vit 1 QD, Psyllium capsule 0.52GM 1 QD, Tamsulosin 0.4mg 1 HS, AREDS 2 1 BID, Vitamin D 2000IU 1 QD

Current Illness: COVID 19 diagnosis 12/1/2020. Long convalescence including O2 therapy afterward. Asymptomatic at the time of vaccination.

ID: 0984791
Sex: F
Age: 65
State: FL

Vax Date: 01/20/2021
Onset Date: 01/29/2021
Rec V Date: 01/29/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Exactly one week after my first shot in my left arm, I developed swelling, redness and a rash at the injection site and upper arm.

Other Meds: Irbesartan 75mg daily; CoQ-10; Probiotic; Milk Thistle; Vitamin D; Daily Vitamin

Current Illness: None

ID: 0984792
Sex: F
Age: 53
State: VA

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 01/29/2021
Hospital:

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

Lab Data:

Allergies: No known allergies (I have sensitivities to some medications (headaches, stomach ache, tingling in arm)

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

Symptoms: 1-2 hives on face near mouth (outside) scratchy, dry throat ER doctor had the nurse administer a steriod shot (methylPREDISolone (Medrol (pak)) and I was given famotidine (Pepcid pill). A prescription was called into my pharmacy (famotidine and methylPREDNISolone)

Other Meds: Synthroid

Current Illness: None known

ID: 0984793
Sex: F
Age: 67
State: PA

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

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

Lab Data:

Allergies: Latex Adhesive Tape Morphine Rofecoxib Ciprofloxcin PCN Sulfa Celecoxib Fluticasone-Salmeterol Albumen, Eggs Fluticasone Furoate- Vilanterol Floxetine HCL Norfloacin

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

Symptoms: 7:07 Started coughing then became nauseated proceeded to vomit. Nurse suggest after about 10 mins that she should take me to ED for Zofran. Upon getting to ED I was wheezing badly and trying to find inhaler in purse; wheezing and unable to catch a breath I was placed in a room, by then my body was turning red and wheezing worse. I was given epinephrine and prednisone immediately for anaphylaxis. They reacted immediately upon my arrival. Time I unsure. I just say thank God for them. Meds Given- Tylenol Duoneb, Decadron, Benadryl, Epinephrine, Pepcid, Nss

Other Meds: Norvasc, Ammonium Lactate, Atenolol, Lasix, Levoxyl, Lidocaine ointment, olopatadine, Prilosec, Zofran, Ventolin Inhaler

Current Illness:

ID: 0984794
Sex: F
Age: 84
State: OH

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 01/29/2021
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: 2:30p: I was called to assist pt as she was having a rxn to COVID vaccine. Had vaccine 10 minutes prior. Found pt pale, diaphoretic lips, cool and diaphoretic. Did not respond to name. Assisted pt to floor and elevated feet. Pt immediately opened eyes and was oriented x 3. BP 120/82. 2:35p: Pt awake, alert and oriented x 3. Color pinker and drier, cool compress to forehead. 2:37p: Pt remains asymptomatic, assisted pt to sitting position. 2:39p: Pt color pink, skin w/d. 0 c/o's. Assisted pt to wheelchair. Nurse from ER here and accompanied pt to ER.

Other Meds:

Current Illness:

ID: 0984796
Sex: M
Age: 54
State: TX

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 01/29/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pharyngeal swelling

Symptoms: Low grade fever (100.1), fatigue, sore arm, achy muscles

Other Meds:

Current Illness:

ID: 0984797
Sex: M
Age: 57
State: OH

Vax Date: 01/07/2021
Onset Date: 01/15/2021
Rec V Date: 01/29/2021
Hospital:

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

Lab Data:

Allergies: cat, some dogs, hayfever, Percocet

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: after 1 week itching around site occurred followed by swollen hard area on arm 12cm in diameter below injection site which also became itchy and then irritated. 2 weeks post injection single hive in center of left palm of hand appeared.

Other Meds: allegra-d , tylenol

Current Illness: none

ID: 0984798
Sex: F
Age: 34
State: FL

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 01/29/2021
Hospital:

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

Lab Data:

Allergies: Penacillin

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Left arm swelling, redness with 8/10 pain Fever tmax 102.5 Extreme fatigue, drowsiness Poor appetite Nausea Diarrhea Muscle and body aches Chills Headache I am on day 2 following vaccine and feel slightly better but still low grade fever.

Other Meds: Multivitamin

Current Illness:

ID: 0984799
Sex: M
Age: 36
State:

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 01/29/2021
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: Really big poo

Other Meds:

Current Illness:

ID: 0984800
Sex: F
Age: 32
State: TN

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/29/2021
Hospital:

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

Lab Data:

Allergies: Milk

Symptom List: Rash, Urticaria

Symptoms: Multiple Seizures 24 hrs after event unable to breathe lasted for over one week.

Other Meds: Topiramate Lamotrigine ER

Current Illness:

ID: 0984801
Sex: F
Age: 27
State: VA

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 01/29/2021
Hospital:

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

Lab Data:

Allergies: No known allergies

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

Symptoms: Profuse vomiting and severe epigastric pain starting 14 hours after receiving vaccine. Unresolved 24 hours after receiving the vaccine. Also felt very nauseous and had severe epigastric pain after receiving first dose of Pfizer vaccine but did not vomit.

Other Meds: Vitamin D, Vitamin B complex, magnesium citrate, prebiotic, Nystatin

Current Illness: None

ID: 0984802
Sex: M
Age: 49
State: CA

Vax Date: 01/07/2021
Onset Date: 01/14/2021
Rec V Date: 01/29/2021
Hospital:

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

Lab Data:

Allergies: Bactrim

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

Symptoms: Warm itchy red rash just below injection site, started 1 week after vaccination. Mostly resolved after 2-3 days

Other Meds: Allegra

Current Illness:

ID: 0984803
Sex: M
Age: 39
State: AL

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

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

Lab Data:

Allergies: Basil, apples

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

Symptoms: Dizziness, lethargy, weakness, near syncope within 15 min of dose. Given 1liter of ns and discharged 1300 1/27. Full body aches continuing. Signifigantly worse am of 1/29/21, fever 101, fatuge, body aches, nausea, loss of taste.

Other Meds: Lisinopril 10mg qd, prilosec 20mg qam, tylenol 1000mg @0700, naproxen 220mg @0700

Current Illness: Upper respiartory infection 1week prior, asymptomatic at time of vaccination

ID: 0984804
Sex: M
Age: 52
State: VA

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/29/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: redness at injection site measuring 4cm lasting for 5 days. fever, chills, myalgia, fatigue and mild headache beginning around 20 hours after vaccination and lasting around 15 hours.

Other Meds: Singulair 10mg daily Zyrtec OTC daily

Current Illness: None

ID: 0984805
Sex: F
Age: 60
State: GA

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 01/29/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Dizziness and instability

Other Meds:

Current Illness: ear infection

ID: 0984806
Sex: F
Age: 44
State: CA

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

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

Lab Data:

Allergies: Unknown

Symptom List: Ear pain, Hypoaesthesia

Symptoms: pressure headache, nausea (vomited once), chills, fever, congestion, muscle aches, joint pain, lymph node pain, swelling and pain at vaccination site (48 hours in)

Other Meds: Multi-vitamins, Vitamin D3, Vitamin B12, Vitamin C, Zinc, turmeric, probiotics

Current Illness: One month: none Two months: COVID-19 (positive result on 12/10/20

ID: 0984807
Sex: F
Age: 22
State:

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

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

Lab Data:

Allergies:

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: feeling hot, dizzy with heart palpitations.

Other Meds:

Current Illness:

ID: 0984808
Sex: F
Age: 31
State: PR

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 01/29/2021
Hospital:

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

Lab Data:

Allergies: no

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

Symptoms: chills, body ache, headache, nausea

Other Meds: no

Current Illness: no

ID: 0984809
Sex: M
Age: 61
State: IL

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/29/2021
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, Lymph node pain, Lymphadenopathy

Symptoms: Got the injection around 8:15 AM, by around 2:00 PM started to feel mildly achy and tired. Around 6:00 PM arm was sore, I was tired, not feeling well. Went to bed, started to get chills, nausea, and vomited around 9:30 PM. Did not sleep well. The next day I had a headache, felt tired and wiped out. Started to feel better around 2:00 PM . Lost day of work was able to return to work on 1/21/2021. My arm still ached for several days. It felt like someone had hit me in the shoulder with their fist

Other Meds: Trazadone, pravastatin, fluoxetine, lorazepam

Current Illness: None

ID: 0984810
Sex: F
Age: 33
State: TN

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 01/29/2021
Hospital:

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

Lab Data:

Allergies: Milk

Symptom List: Unevaluable event

Symptoms: Multiple Seizures unable to breathe still continuing at times still taking normal seizure meds along with Ativan when needed

Other Meds: Topiramate Lamotrigine

Current Illness:

ID: 0984811
Sex: F
Age: 24
State: TX

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 01/29/2021
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: After eating, I got up to put something back in the refrigerator and started feeling really nauseous and cold. Then it felt like the world was swaying like I was underwater and colors looked really bright, i felt really dizzy. I laid down on the couch and waited a couple minutes till everything was kind of normal. I still feel nauseous but the dizziness is almost gone.

Other Meds: Omeprazole, sprintec birth control

Current Illness: Acid reflux

ID: 0984812
Sex: M
Age: 28
State: OH

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 01/29/2021
Hospital:

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

Lab Data:

Allergies: Marijuana - Severe Kraft Brand Tartar Sauce - Minor (hives)

Symptom List: Injection site pain, Pain

Symptoms: Local site swelling and itchiness. Local site is also fevered. Local site of injection is also firm to the touch. Has persisted for 9 days post injection. Minor inconvenience, not a major adverse event

Other Meds: Diphenhydramine HCL 25mg for sleep aid (Equate NightTime Sleep Aid)

Current Illness: None known

ID: 0984813
Sex: F
Age: 31
State: FL

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

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

Lab Data:

Allergies: n/a

Symptom List: Injection site pain, Menorrhagia

Symptoms: Chills, fever of 101.7, nausea, fatigue , body aches. lasted for 24 hours

Other Meds: Tylenol

Current Illness: n/a

ID: 0984814
Sex: M
Age: 34
State: NJ

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

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

Lab Data:

Allergies: Sulfa

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

Symptoms: Fever, bad chills, lymphadenopathy in the arm/clavicle area where shot was given, bad headache, fogginess. Subsided by 1/29 AM

Other Meds: None

Current Illness: None

ID: 0984815
Sex: F
Age: 50
State: TX

Vax Date: 01/08/2021
Onset Date: 01/15/2021
Rec V Date: 01/29/2021
Hospital:

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

Lab Data:

Allergies: Biaxin

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: one week later broke out in hives/urticaria on R forearm, left upper trunk, R lower trunk, R posterior knee, shortness of breath. Used triamcinolone cream, rash and itching went away in 4 days.

Other Meds: probiotics

Current Illness: none

ID: 0984816
Sex: F
Age: 41
State: PA

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 01/29/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Moderna COVID-19 Vaccine EUA My arm was sore starting approximately 3 hours after receiving the shot. The injection site was not sore, but my bicep. The soreness is worse today, again, not at injection site. When I move my arm, the bicep is very sore.

Other Meds:

Current Illness:

ID: 0984817
Sex: F
Age: 65
State: ME

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 01/29/2021
Hospital:

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

Lab Data:

Allergies: Sulfa drugs Nafcillin Bactrim Doxy

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

Symptoms: Starting the next night my feet wer freezing when trying to lie down at night, could not get them warm unless wrapped in a blanket which is not normal for me, still ongoing but less intensity today 1-29 Ongoing fatigue and having to nap daily and if working go home and going to be early and sleeping about 10-11 hours a night, again not normal Improving daily but still ongoing

Other Meds: Vit D 3 2,00 iu Zinc 45 mg Vit C 1000mg

Current Illness: none

ID: 0984818
Sex: M
Age: 25
State: NY

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/29/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Nausea

Symptoms: Approximately 6 after my first dose, I experienced a brief severe migraine, but the morning after my second dose I am continuously experiencing a chronic debilitating migraine. It has been 3 days and this headache had not resolved. I have been on tylenol Q6-8 hrs and ibuprofen in the AM. In addition, I experienced on and off chills, fatigue, and malaise. This headache has been very concerning and i hope it will eventually subside

Other Meds: None

Current Illness: None

ID: 0984819
Sex: F
Age: 36
State: WA

Vax Date: 01/16/2021
Onset Date: 01/16/2021
Rec V Date: 01/29/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Injection site pain

Symptoms: headaches, myalgias, fatigue and fever

Other Meds: None

Current Illness:

ID: 0984820
Sex: M
Age: 36
State: NJ

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

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

Lab Data:

Allergies: None

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

Symptoms: Blood in urine, resolved after the aforementioned medications for 3 days, returned after second dose of Moderna COVID19 Vaccine. Additionaly flu like sxs were in evidence.

Other Meds: First Dose- None Second Dose- Naproxen, 500mg Cefuroxime- 500mg

Current Illness: None prior to the fist dose, nothing. About 2 weeks after dose 1 diagnosed with Prostatitis. It resolved in a few days then started again 2 days after the second dose.

ID: 0984821
Sex: F
Age: 68
State: NH

Vax Date: 01/20/2021
Onset Date: 01/23/2021
Rec V Date: 01/29/2021
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: Arm redness and swelling at injection site. Pain in movement and tender to touch

Other Meds: Synthroid, crestor

Current Illness: none

ID: 0984822
Sex: F
Age: 22
State: NY

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

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

Lab Data:

Allergies: N/A

Symptom List: Tremor

Symptoms: On the entirety of both my arms there had been little red blotchy bumps all over my arms.

Other Meds: Birth Control

Current Illness: N/A

ID: 0984823
Sex: F
Age: 49
State:

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 01/29/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

Symptom List: Erythema, Pruritus

Symptoms: Fever 101, body aches, chills

Other Meds: None

Current Illness: None

ID: 0984824
Sex: F
Age: 45
State: MD

Vax Date: 01/19/2021
Onset Date: 01/28/2021
Rec V Date: 01/29/2021
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Allergies: none

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

Symptoms: rash on body

Other Meds: anxiety; thyroid

Current Illness: none

ID: 0984825
Sex: F
Age: 82
State: FL

Vax Date: 01/19/2021
Onset Date: 01/25/2021
Rec V Date: 01/29/2021
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Allergies: Dust; Pollen

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

Symptoms: Resident received the COVID vaccine on 1/19/21 and noticed a small red circle. On 1/25/21 she had an itchy feeling with redness and warmth at the site and area slightly raised. Measurements are 3.5cmL x 4.5cmW. MD notified and instructed resident to alternate with ice and heat and take Benadryl and Tylenol.

Other Meds: Cholecalciferol; Calcium; Toprol XL 25mg daily; Centrum; Vitamin C; Magnesium; COQ 10; Glucosamine; Calcium with D; Vitamin D drops; Probiotic

Current Illness: None

ID: 0984826
Sex: F
Age: 46
State:

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 01/29/2021
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Allergies: NKA

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: facial twitching within 24 hours after receiving vaccine, sent to neurology

Other Meds: none

Current Illness: none

ID: 0984827
Sex: F
Age: 40
State: IL

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 01/29/2021
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Allergies: Prevacid

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

Symptoms: 210 am woke up hot. Walked downstairs had ringing in my ear and saw stars, held the wall almost passed out. Began profusely sweating drenching my clothes. Nausea began. Went back upstairs sat on my bathroom floor due to nausea/ dry heave. All of a sudden SEVERE abdominal pain began 10/10. Cried for my husband. Dripping sweat gave me a cold rag and foam large diarrhea began. Still 10/10 pain in abdomen. Felt like my lower abdomen was getting ripped out. About 45 minutes or so later still 10/10 wanted to go to ER. I could not stand. If I stood my legs and body felt like I wanted to curl in a ball on the floor. He called an ambulance. I was pale as a ghost, no fever, normal vital signs. Went into full reynauds flare from body stress. Ambulance was unable to get oxygen sat and glucose at the time due to flare. Arrived at the ER labs drawn. WBC 10.9 and Glucose 194. I am not or never have been diabetic. Vaccine related. Like a lightswitch all symptoms stopped except sweating hot and cold spells, sore arm and drowsiness. Discharged at 6am

Other Meds: Vitamin C Vitamin D

Current Illness: None

ID: 0984828
Sex: F
Age: 36
State: NJ

Vax Date: 01/06/2021
Onset Date: 01/09/2021
Rec V Date: 01/29/2021
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Allergies: Dust, dust mites, pollen, mold, and ragweed

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

Symptoms: Headache, muscle weakness, joint stiffness, numbness and tingling in my face, hands and arms.

Other Meds: None

Current Illness: No known illness

ID: 0984829
Sex: F
Age: 51
State: MA

Vax Date: 12/26/2020
Onset Date: 01/05/2021
Rec V Date: 01/29/2021
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Allergies: sulfa, phenergan

Symptom List: Pain in extremity

Symptoms: Approximately 2 weeks later I began to break out in hives every night. Have added benadryl up to 250-300mg every day, allegra 24 hrs (2 doses) per day.

Other Meds: Methotrexate, Hydroxychloqunine, Miloxicam, Metylprednisolone, omeprazole, Multivitamin, probiotic, B complex, Xalcium, Vitamin D, Quinol,

Current Illness: rheumatoid arthritis

ID: 0984830
Sex: M
Age: 34
State: TX

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 01/29/2021
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Allergies: N/A

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

Symptoms: Fever, Chills, Body Aches through night, Fever lasted from 9pm-130am. Body aches subsided by 5:30am

Other Meds: Took Aspirin

Current Illness: N/A

ID: 0984831
Sex: F
Age: 32
State: OH

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/29/2021
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Allergies: Cephalosporins

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

Symptoms: Evening of shot-sore left arm. Next day-chills, fever up to 101.5, body aches and headache. Last 24 hours.

Other Meds: Norvasc, Prozac

Current Illness: None

ID: 0984832
Sex: F
Age: 29
State: PA

Vax Date: 12/26/2020
Onset Date: 12/28/2020
Rec V Date: 01/29/2021
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Allergies: none

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

Symptoms: right eye pain - started 2 days after first vaccine, foreign body sensation, urgent care visit to r/o corneal abrasian (negative), using topical eye drops, advil - self resolved after 5 days similar symptoms after 2nd dose, started 24hours after second dose, resolved within 48 hours of second dose

Other Meds: over the counter eye drops urgent care visit to r/o corneal abrasian

Current Illness: none

ID: 0984833
Sex: F
Age: 31
State: FL

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 01/29/2021
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Allergies: none

Symptom List: Vomiting

Symptoms: Febrile temp of >103, nausea, vomiting, diarrhea, HA, body aches, chills, Injection site pain, redness, and swelling.

Other Meds: none

Current Illness: none

ID: 0984834
Sex: M
Age: 70
State: NJ

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 01/29/2021
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Allergies: scallops

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Brought on exacerbation of the PMD which had gotten better over the past 5 weeks, to a point where all progress made had been lost. Lasted 2.5 days so far

Other Meds: Losartan 100/hctz12.5; Levothyroxine .88mcg; Atorvastatin 20mg; Ambien 10mg, Prednisone 5mg

Current Illness: polymyositis rheumatica

ID: 0984835
Sex: F
Age: 60
State: WI

Vax Date: 01/20/2021
Onset Date: 01/27/2021
Rec V Date: 01/29/2021
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Allergies: gluten intolerance

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

Symptoms: The first day I had pain in left arm around injection. Couldn't sleep on it. Next day it was itchy but pain had subsided. Next day itching was almost gone. By Wednesday January 27 I thought everything was gone. Getting dressed that night I noticed a red rash developed around or near injection site. About 1 inch by 2 inch oval, slightly raised, slightly warm, slightly itchy. This morning January 29, it is still there less itchy and less red, but still visible outline. I was being followed by vsafe up to wednesday afternoon the 27th. I thought I shouldn't wait til next week for the vsafe check in.

Other Meds: multi vitamin, ribocene, bromelain, noni juice

Current Illness: head cold

ID: 0984836
Sex: F
Age: 32
State: OH

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 01/29/2021
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Allergies: Cephalosporins

Symptom List: Injection site swelling, Limb discomfort

Symptoms: 1/27/2021-0200-chills, fever up to 102.6, body aches, nausea, headache, dizziness. Relieved with Tylenol. Resolved approx 24 hours later

Other Meds: Norvasc, Prozac

Current Illness: None

ID: 0984837
Sex: F
Age: 70
State: PR

Vax Date: 01/01/2021
Onset Date: 01/26/2021
Rec V Date: 01/29/2021
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Allergies: None

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

Symptoms: Severe muscle pain, Headache, Gastric discomfort, Light fever, Severe Chills, Dizziness.

Other Meds: Multivitamins

Current Illness: Benign positional vertigo, Diverticulitis

ID: 0984839
Sex: F
Age: 39
State: OH

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 01/29/2021
Hospital:

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Allergies: Latex (itching, rash, hives)

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

Symptoms: Fever (Tmax = 101.6), aches, chills, fatigue, nausea - sx began 1/26/21 Amenorrhea x1 month - r/t first dose of vaccine?

Other Meds: Effexor, Metoprolol, Lisinopril, Zyrtec, Simvastatin, Co-Q10, multi-vitamin

Current Illness: None

Total 2021 VAERS Injuries: 704,237

Page last modified: 26 October 2021 2:21am