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: 0985174
Sex: F
Age: 47
State: PA

Vax Date: 01/21/2021
Onset Date: 01/24/2021
Rec V Date: 01/29/2021
Hospital:

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

Lab Data:

Allergies: Celexa (drops blood pressure) gluten/wheat (numbness, bowel issues, potential swelling) adhesive (redness, rash)

Symptom List: Dysphagia, Epiglottitis

Symptoms: injection site is slightly swollen, red and becomes itchy at times for about 10-30 mins

Other Meds: Wellbutrin XL 300 mg am; Topamax 25 mg 3 tabs am; Benicar 5 mg 3 tabs HS; Buspar 10 mg BID; Aimovig 140 mg/ml autoinjector q 28 days; Botox Injections @ neurologist?s office q 3 months; K Citrate (UrocitK) 10 meq BID; Tri-Lo-Sprintec

Current Illness: N/A

ID: 0985175
Sex: F
Age: 42
State: KY

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:

Symptom List: Anxiety, Dyspnoea

Symptoms: 2 days after injection had a knot to come up on underside of arm.

Other Meds:

Current Illness:

ID: 0985176
Sex: M
Age: 33
State: AL

Vax Date: 12/30/2020
Onset Date: 01/01/2021
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: Chest discomfort, Dysphagia, Pain in extremity, Visual impairment

Symptoms: 12/30 vaccine 1/1 about 12 started to feel fever, HA, fatigue, chills, body aches, night sweats. 101 at highest point for temp. Took Ibuprofren. Doraflu from urgent care.

Other Meds: vit b, remapril, metformin

Current Illness: n/a

ID: 0985177
Sex: F
Age: 44
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: Dizziness, Fatigue, Mobility decreased

Symptoms: Terrible headache, body aches, tiredness, arm hurts from shot, nausea all were gone with in 2 days of the vaccine.

Other Meds:

Current Illness:

ID: 0985178
Sex: F
Age: 36
State: IN

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: None

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

Symptoms: I have had a low grade fever. Minor headache. I have had severe body aches along with severe chills and then sweats. My arm is sore to the touch and movement and today is very red.

Other Meds: None

Current Illness: None

ID: 0985179
Sex: F
Age: 51
State: CT

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: None

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

Symptoms: Soreness at injection site, fever, fatigue, cough, muscle aches and weakness

Other Meds: levothyroxine omeprazole ibuprofen augmentin

Current Illness: Infection from ingrown toenail

ID: 0985180
Sex: F
Age: 5
State: ID

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: none

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: rash on the right thigh, red, warm to the touch it started the size of a silver to taking up almost her whole right thigh. Pt has not complained of any pain at the site. Treatment Mupirocin 2% topical ointment and Hydroxyzine HCL 10mg/5ml oral solution

Other Meds: none

Current Illness: none

ID: 0985181
Sex: F
Age: 71
State: IN

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: Penicillin,sulfa,iodine injections. ,shellfish

Symptom List: Pharyngeal swelling

Symptoms: Swollen red lump just below the injection, chills, fever of 102.3, nausea, achy all over,headache..the same way i felt when i had the virus on November 16,2021

Other Meds: None

Current Illness: None

ID: 0985182
Sex: F
Age: 35
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: None

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Significant arm pain starting around 5-6pm. Starting at 7pm, had chills, significant rigors, significant body aches. Normal tylenol dosing helped, but symptoms persisted through to 8-9am 1/29. Mild back & joint pain 1/29.

Other Meds: Singulair, Escitalopram, Xyzal allergy, Symbicort

Current Illness: None

ID: 0985183
Sex: F
Age: 61
State: CT

Vax Date: 01/21/2021
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: penicillin

Symptom List: Diarrhoea, Nasal congestion

Symptoms: I developed a runny nose on 1/27 and tested positive for COVID on 1/28, 6 days after the 2nd vaccine.

Other Meds:

Current Illness:

ID: 0985184
Sex: M
Age: 58
State: IN

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: penicillin

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

Symptoms: severe chills and shakes during the night lasting 3-4 hours. Extreme body aches head to toe lasting 24 hours

Other Meds: none

Current Illness: none

ID: 0985185
Sex: M
Age: 50
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: PCN

Symptom List: Rash, Urticaria

Symptoms: Started feeling dizzy, then massive headache started. I then started feeling nauseated but didn't throw up. Was monitored for another 30 minutes and my wife picked me up. Took tylenol when I got home. Checked blood sugar at home and blood sugar was down to 40. I hadn't eaten before the vaccine. I ate oatmeal and went to bed. After 2 hours, I no longer had symptoms. Returned to work 1/29/2021 without any further issues.

Other Meds: Metformin for diabetitis

Current Illness: No

ID: 0985186
Sex: F
Age: 42
State: MA

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: No

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

Symptoms: Only Slight pressure Headache for 2 days, a time intervals only 3 times. Slight pain in the muscle of the left arm for 3 days

Other Meds: None

Current Illness: No

ID: 0985187
Sex: F
Age: 73
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:

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

Symptoms: 12-minutes after vaccination, the patient reported feeling lightheaded and dizzy. Patient was noted to be anxious and hypertensive. EMS managed care on-site and patient refused transport to hospital. Noted to be feeling improved prior to leaving facility.

Other Meds:

Current Illness:

ID: 0985188
Sex: F
Age: 34
State: MN

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: None

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

Symptoms: 12 hours post vaccination had chills and body aches, restless sleep. The morning after whioe body soreness, tired, nauseous, pain at injection site, headache. Took 1000 mg Tylenol at 11 am and 7 pm. Day 2 Body aches, tired. Currently 12 weeks pregnant as of 2nd dose date.

Other Meds: None

Current Illness: None

ID: 0985189
Sex: M
Age: 54
State: IN

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

Symptoms: Patient was nervous getting the shot and stated he had a history of severe anxiety. During his observation period he reported that he had a racing heart, shaky hands, and was sweating. Staff monitored him and got him some water. He stated that he had a history of hypoglycemia as well but had not had issues with it in a while. Patient reported that his BG had been 80 that morning and that he had eaten Chick Fil a prior to coming for the vaccine. We offered a snack or glucose tablet but patient refused. We did recommend that the patient remain in our observation are a for an extra 15 minutes and he agreed. After monitoring and water the patient felt better and purchased glucose tablets when he left.

Other Meds: verbalized by patient--clonazepam, sertraline

Current Illness: Pt stated that he was previously diagnosed with hypoglycemia and severe anxiety with panic attacks.

ID: 0985190
Sex: F
Age: 46
State: OH

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: None

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

Symptoms: Received 1st dose at approx 12:33 PM 15 minutes obs ended at 12:48 PM with no concerns on drive home, at approx 1:00 PM, began to feel as if my lower lip was swelling, mandible was numb, throat felt like something was stuck in it at 1:03 PM called 911 for assistance squad responded - I was hypertensive, tachycardic, and RR was in the 30's. Felt dizzy, numbness and tingling in mandible, elbows to finger tips. Did not require oxygenation or epi Transported to hospital, observed for approx 4 hrs. Recevied PO prednisone, benadryl, and ativan. Discharged home same day. Next day with intermittent chills,

Other Meds: Zoloft 50 mg daily Ferrous sulfate 350 mg daily

Current Illness: None

ID: 0985191
Sex: M
Age: 45
State: MI

Vax Date: 01/26/2021
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: None, NKDA

Symptom List: Ear pain, Hypoaesthesia

Symptoms: first dose and second dose caused some pain at injection site and flu like symptoms. However 2nd dose on day 3 developed a severe headache 8 of 10 pain and had night sweats

Other Meds: trazadone 50mg po nightly

Current Illness: insomnia, low testosterone, depression

ID: 0985192
Sex: F
Age: 24
State: UT

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

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

Lab Data:

Allergies: Steroid Allergy Nut Allergy Allergy to base solution of allergy shots

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Initial adverse event occurred 25 minutes after injection. Sudden confusion, burning heat and hives and burning red rash spreading from injection site, up neck and throat and down arm to hand. 5 days after the injection, a severe allergic reaction occurred where my entire body broke into hives and a red burning rash, again starting at the injection site. Throat tightness, itchiness in scalp and groin, and difficulty concentrating (all my usual symptoms of anaphylaxis) occurred. Advised by health care provider to take Benadryl immediately and to have epi-pens on hand. Loratadine was prescribed.

Other Meds: Pirmella 1/35

Current Illness: None

ID: 0985193
Sex: F
Age: 38
State: MI

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: Blood pressure increased, Chest discomfort, Heart rate increased

Symptoms: employee received the COVID vaccine, after 15 minutes she felt her pulse racing, she sat down for a few more minutes before quickly standing and passed out

Other Meds:

Current Illness:

ID: 0985194
Sex: F
Age: 59
State: NE

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: NKA

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

Symptoms: Chills, body aches, temp 101.7 started on 01/28/21, one day after receiving second Covid -19 vaccine. Took Motrin for the symptoms.

Other Meds: None

Current Illness: None

ID: 0985196
Sex: F
Age: 73
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:

Symptom List: Unevaluable event

Symptoms: Patient reports suddenly feeling light headed and "numb from ears up". Symptoms occurred approximately 10 minutes post vaccination. Upon standing, patient's legs were too weak to walk. BP and glucose checked, all within normal limits. EMS called and patient taken to hospital.

Other Meds:

Current Illness:

ID: 0985197
Sex: F
Age: 51
State: MA

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, Dizziness, Injection site pain, Myalgia, Pyrexia

Symptoms: Patient reported tongue numbness and throat itching sensation within three minutes of vaccine administration. BP 131/87, HR 80, O2 97%. Patient then developed macular rash on bilateral arms and described sensation of generalized warmth about 15 minutes after vaccine administration. presented to vaccine clinic for consult, patient was then transferred to ER via stretcher.

Other Meds:

Current Illness:

ID: 0985198
Sex: F
Age: 21
State: AZ

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: Penicillin

Symptom List: Injection site pain, Pain

Symptoms: Swollen, red, warm, sore at the site of the vaccine as well as declining 101 fever.

Other Meds:

Current Illness:

ID: 0985199
Sex: F
Age: 43
State: VT

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: shellfish, amantidine

Symptom List: Injection site pain, Menorrhagia

Symptoms: Headache, dizziness, nausea, extreme fatigue, foggy head, and cognitive dysfunction the day after the vaccine

Other Meds: Ocervus, Diazepam, gabapentin, IM B12, 81mg aspirin, centrum multivitamin, adderall, D3,

Current Illness: n/a

ID: 0985200
Sex: F
Age: 44
State: WI

Vax Date: 01/25/2021
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: Lisinopril

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

Symptoms: Per Client on 1/27/2021 at 6:00 am awaken to left under eye lid swollen and tender. Per Client no medication taken for symptoms. Currently have not been seen by medical provided regarding symptoms. Per Client symptoms have not resolved and is planning to follow up with PCP today.

Other Meds: none

Current Illness: none

ID: 0985201
Sex: F
Age: 59
State: MA

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: Nausea, Pain in extremity, Pyrexia

Symptoms: Patient fainted after receiving the vaccine. BP 95/75HR 100, O2Sat100%. PAtient was transferred to stretcher BP 106/65, HR 79, O2Sat 100% CAT team was called Patient was transferred to ED

Other Meds:

Current Illness:

ID: 0985202
Sex: F
Age: 53
State: ID

Vax Date: 12/31/2020
Onset Date: 12/31/2020
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, Fatigue, Headache, Myalgia

Symptoms: At around 7 pm on 12/31/20, I started developing chills, neck stiffness, body aches, shivering, surface veins on the injection site became more prominent. Sometimes the next day, I noticed rashes developed on both sides of neck, started near the angle of mandible and travelled down towards the clavicles.

Other Meds: 10 MG PROPONOLOL, MULTI-VITAMINS

Current Illness: COVID POSITIVE

ID: 0985203
Sex: F
Age: 55
State: ID

Vax Date: 01/21/2021
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: Norco, Oxycodone

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

Symptoms: Injection site remains swollen and painful a week after the vaccine was given, and now experiencing a well defined rash that is large, oval, raised and red, with clear edge to it around the area of the injection site. It is warm to the touch and remains swollen.

Other Meds: Vitamin D, Pepcid AC

Current Illness: None

ID: 0985204
Sex: F
Age: 39
State: MD

Vax Date: 01/04/2021
Onset Date: 01/06/2021
Rec V Date: 01/29/2021
Hospital:

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

Lab Data:

Allergies: Aspirin

Symptom List: Nausea

Symptoms: About 2-3 days after my vaccination, I started having chest tightness in my central chest. No shortness of breath (apart from discomfort due to the tightness). I did not have any other symptoms at that time (e.g. fevers, cough, muscle/body aches). Over the next 5-6 days, the tightness moved progressively upwards into my upper chest, then my lower esophagus, then into my neck before spontaneously resolving.

Other Meds: Folic Acid, Claritin, OCP, Methotrexate

Current Illness: None acute

Date Died: 01/26/2021

ID: 0985205
Sex: M
Age: 75
State: OH

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: No

Symptom List: Injection site pain

Symptoms: Patient was feeling dizzy and under the weather after the vaccination. The following day he died in his sleep during a nap.

Other Meds: Yes, but caller does not know what they are.

Current Illness: No

ID: 0985206
Sex: F
Age: 29
State: DE

Vax Date: 01/19/2021
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: Sulfa

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

Symptoms: "Moderna Covid-19 Vaccine EUA" - On 1/25 evening my arm pit area in the arm I received the injection is began to feel tender and a little painful. Late that night my injection site started to become red, swollen, hard, hot to the touch, and itchy. As of 1/29, arm pit area is less tender and not painful, and injection site reaction is improving (swelling as gone down, still a little red but noticeably better).

Other Meds: None at the time of vaccination. Took Centrum for Women after.

Current Illness: None

ID: 0985207
Sex: M
Age: 22
State: TX

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: none

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

Symptoms: 27th Wednesday-Jan 2021-Severe HA 28th January 2021-Thursday-HA 29th January 2021-Friday-Today-Headaches Told to go get something for his headaches-Tylenol or motrin/ and GO to the ER if his headaches get worse

Other Meds: none

Current Illness: none

ID: 0985208
Sex: M
Age: 88
State: MN

Vax Date: 01/13/2021
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:

Symptom List: Tremor

Symptoms: A rash appeared on upper thigh and stomach the day after the injection. He showed it to family on 1/15/21 and they bought him Eucerin cream and that helped the itching. It is nearly gone

Other Meds:

Current Illness:

ID: 0985209
Sex: F
Age: 38
State: NE

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: Cyclobenzaprine

Symptom List: Erythema, Pruritus

Symptoms: I have severe pain in the left side of my face. The pain feels like a real deep ache.

Other Meds: Enalapril, Baclofen, B12 injection, Alopurinol, Trazadone, Pepcid, Lexapro

Current Illness:

ID: 0985210
Sex: F
Age: 64
State: NC

Vax Date: 01/20/2021
Onset Date: 01/28/2021
Rec V Date: 01/29/2021
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Allergies: Penicillin, Tetracycline, Sulfa drugs

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

Symptoms: 8 days after receiving the shot, my arm developed a large, red, hot lump at the injection site that was painful to the touch, and itched.

Other Meds: Synthroid, Xanax ER, Losartin

Current Illness: n/a

ID: 0985211
Sex: F
Age: 43
State: WA

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 01/29/2021
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Allergies: none

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

Symptoms: Metallic taste in mouth about an hour after receiving the vaccine - lasted about 5 hours. Body Aches, Fatigue all over starting 24 hours after receiving vaccine. Lasted for about 8 hours. Fully recovered by next morning.

Other Meds: Premarin 1.25 mg po daily

Current Illness: none

ID: 0985212
Sex: F
Age: 26
State: NY

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

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Dizziness, head spinning.

Other Meds:

Current Illness:

ID: 0985213
Sex: F
Age: 48
State: VA

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/29/2021
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Allergies: ibuprofen (hives), benzyl (itching, swelling of face, migraine), erythromycin (vomiting uncontrollably), has oral allergy syndrome

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

Symptoms: Approximately 4hrs after injection experienced pain and itching at injection site and left arm from elbow to shoulder. Continued for 5 days and resolved. Took benadryl at night every night. Itching again at 2wks post injection for 4 days. Again took benadryl at night for 4 days.

Other Meds: Prozac, lisinopril, vyvanse, metformin, vitaminD, arvorstatin, allegra

Current Illness: none

ID: 0985214
Sex: F
Age: 72
State: MA

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 01/29/2021
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Allergies: Hydrocodone Penicillins Tramadol Azthromycin

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

Symptoms: Patient noticed the redness to arm at vaccine site the day after she got the vaccine, when she first woke up. She reports that area is tender, a little itchy, hot. She also had expected symptoms including body ache, fatigue, headache, and fever. Physical Exam: Left arm with red area 10x5 cm of erythema, induration centrally. Flat fluid filled blister in center, 1x.04 cm. Tender to palpation, hot to touch.

Other Meds: diclofenac sodium topical gel; hydrochlorothiazide, leflunomide, prednisone, multivitamin, Enbrel, mirtazapine, peri-colace, cholecalciferol, omeprazole, Flonase

Current Illness: COVID19 infection 12/13/20

ID: 0985215
Sex: F
Age: 39
State: IN

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 01/29/2021
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Allergies: None

Symptom List: Pain in extremity

Symptoms: Extreme body aches, vomiting/diarrhea, fever, swollen and tender lymph nodes, headache, ongoing

Other Meds: Gabapentin, melatonin. Turmeric, cranberry, multivitamin, probiotic, b2, b12, magnesium, omega 3

Current Illness: None

ID: 0985216
Sex: F
Age: 74
State: NY

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 01/29/2021
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Allergies: Pecans and Walnuts, possibly oranges.

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

Symptoms: Got home, after eating dinner felt nauseous on the verge of throwing up, indigestion. Very tired, and went to bed. Started feeling sick during the night, knew something was wrong. Could barely get out of bed, was hot, possibly low grade fever, had chills, was achy, bad headache like you feel when having the flu, weakness. Took Tylenol and her regular medicines. Today, 1/29/21 when she woke up still has extreme soreness, hot to touch. She looked at her left arm and it's all swollen, red and itchy. She's now afraid to go back for the 2nd vaccine. Caller her pharmacy due to her arm and she was instructed to take Benadryl and Ibuprofen, which she only takes Tylenol.

Other Meds: Breo inhaler, Nexium, Bistolic, Amlodipine, Allegra OTC, Pravastatin, Albuterol inhaler for emergencies, vitamin D, Mirilax.

Current Illness: COVID positive test 12/11/20.

ID: 0985217
Sex: M
Age: 23
State: MI

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 01/29/2021
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Symptom List: Consciousness fluctuating, Crying, Dry skin, Epistaxis, Headache

Symptoms: About 8 hours after my vaccination I got a headache. 14 hours after my vaccination I got a fever of 105.3

Other Meds: none

Current Illness: none

ID: 0985218
Sex: F
Age: 46
State: NY

Vax Date: 01/11/2021
Onset Date: 01/21/2021
Rec V Date: 01/29/2021
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Allergies: lanolin, sulfa

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

Symptoms: Started as a grapefruit sized swollen, red, hot, hard, itchy welt-started taking benadryl-continued to get worse and spread Switched to ibuprofen and ice-reduced swelling, hardness hotness. 1/27/21 - Woke up to a very large welt, approximately a melon size. Red, itching, warm. Went to urgent care and they prescribed an antibiotic and steroids. 1/29/21-Still same size, but now purple splotchieness.

Other Meds: Fluticasone Propionate HFA 44, Levothyroxine, Diclofenac SOD, DULoxetine HCL, Buspirone HCL, Cyclobenzaprine, Elmiron, Silodosin, Fluticasone Propionate, Albuterol Sulfate HFA, Wellbutrin SR, Norethindrone Acetate, Topiramate, Migrinayl, Ce

Current Illness:

ID: 0985219
Sex: F
Age: 40
State: IL

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 01/29/2021
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Allergies: Vicodin, Percoset, truffle mushrooms, adhesives

Symptom List: Vomiting

Symptoms: Tingling in limbs, numbness and tingling in lips, tongue and throat thickening, nausea, trouble speaking and swallowing. I was given 25mgs Benadryl by mouth and taken directly to ER. In the ER I was given another 25mg Benadryl by mouth, hooked up to BP monitor, heart monitor and pulse ox. After seeing the doctor on duty I was given an injection of a steroid and Vistaril and 2 Pepcid by mouth. The symptoms began to subside and I was released approximately 2hrs later with prescriptions for Prednisone, Pepcid, Epi-pen and told to take 50mg Benadryl every 6 hrs for 3 days. I was to return immediately if symptoms reoccurred.

Other Meds: Eliquis, Effexor, Topiramate, Propranolol, Lamotrigine

Current Illness:

ID: 0985220
Sex: M
Age: 34
State: IN

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 01/29/2021
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Allergies: None

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Fever, chills, malaise, myalgias. No treatment. Symptoms resolved approx 24 hours after onset.

Other Meds: None

Current Illness: None

ID: 0985221
Sex: F
Age: 54
State: MA

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 01/29/2021
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Allergies: Gadolinium , MRI contrast agent. Penicillin.

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

Symptoms: Intermittent pain and pressure in the right ear which has continued 3 days after the injection in addition to expected side effects (pain in arm, headaches, body aches)

Other Meds: Omega-3 fish oil supplements, 2150 mg daily (Nordic Naturals Ultimate Omega2x) . Vitamin D, 5,000 IU daily (Whitaker Nutrition BeyondD3)

Current Illness: Allergic dermatitis

ID: 0985222
Sex: F
Age: 43
State: IA

Vax Date: 01/18/2021
Onset Date: 01/18/2021
Rec V Date: 01/29/2021
Hospital: Y

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Allergies: Shellfish

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Flareup of myasthenia gravis. Condition deteriorated and she was urgently intubated due to myasthenia crisis. Received steroids and IVIG and was successfully extubated. Therapies worked with her and did well. Discharged on oral steroids with Neurology follow up in 2 weeks.

Other Meds: pyridostigmine 60mg 3x daily Epipen 0.3mg IM prn

Current Illness:

ID: 0985223
Sex: U
Age: 21
State: CO

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 01/29/2021
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Symptom List: Chills, Diarrhoea, Fatigue, Feeling abnormal, Headache

Symptoms: Recent shipments of the Moderna COVID-19 vaccine have been shipped with two types of syringes with attached needles. One is Retractable Technologies VanishPoint 1 and 3 ml syringes with 1 inch needle. The other is Smiths Medical 3 ml syringe with needle protection device with 1.5 inch needle. With this product, the orange needle protection feature sticks out from the barrel of the syringe at an angle. There is a luer lock between the syringe barrel and the needle protection device, and a luer lock between the needle protection device and the needle itself. In the vaccine kits, the ratio of the Retractable VanishPoint syringes with 1 inch needed to the Smiths Medical syringe with 1.5 inch needle is about 5:1. The COVID-19 vaccine is drawn up into syringes in the cleanroom in the pharmacy. As our population has a low incidence of obesity, we avoid using the Smiths Medical syringes with 1.5 inch needle when possible. On 25 Jan 21, when our supply of VanishPoint syringes with 1 inch needles was exhausted, 130 doses were drawn up into the Smiths Medical syringes with 1.5 inch needle. Pharmacy staff routinely package 10 doses/syringes of vaccine in 5 x 8 inch amber bags for distribution to the vaccination clinic. The fit is tight when trying to insert ten of the Smiths medical syringes with the needle protection devices into this size bag, and the needle protection devices got tangled with each other. In addition, the pharmacy tech reports that some of the devices have a loose luer lock connection between the needle protection device and the needle. Of the 130 doses prepared during that batch, four needles became dislodged from the syringe unit sometime after leaving the pharmacy, and the doses had to be wasted. A better ratio of syringes with 1 inch needle to syringes with 1.5 inch needles would be 10:1 when vaccinating health care providers and active duty soldiers at this facility.

Other Meds:

Current Illness:

ID: 0985224
Sex: F
Age: 74
State: TN

Vax Date: 01/02/2021
Onset Date: 01/10/2021
Rec V Date: 01/29/2021
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Symptom List: Hot flush, Myalgia, Nausea, Tension headache

Symptoms: Large rash at point of injection started 8 days after vaccination. Slight itching and tender to touch. Lasted 6 days

Other Meds: celexa ambien multiple vitamin

Current Illness:

Total 2021 VAERS Injuries: 704,237

Page last modified: 26 October 2021 2:21am