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
72,296
AK1,638
AL5,339
AR3,412
AS44
AZ13,316
CA58,147
CO11,002
CT7,824
DC1,626
DE1,670
FL36,235
FM3
GA13,429
GU82
HI2,195
IA4,332
ID2,473
IL19,261
IN22,568
KS4,284
KY6,945
LA4,714
MA13,886
MD11,901
ME2,997
MH8
MI17,865
MN11,345
MO8,919
MP30
MS2,676
MT2,147
NC15,401
ND1,273
NE2,732
NH2,859
NJ17,232
NM3,702
NV4,071
NY32,763
OH18,072
OK5,940
OR7,954
PA22,457
PR2,104
QM2
RI1,911
SC6,055
SD1,133
TN8,691
TX34,122
UT4,023
VA13,944
VI49
VT1,661
WA13,811
WI10,395
WV2,220
WY805
XB5
XL1
XV2

ID: 0988432
Sex: F
Age: 49
State: OH

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

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

Lab Data:

Allergies: Sulfa PCN

Symptom List:

Symptoms: Redden swollen warm to touch area about an inch lower to injection site. 2x2 inch area. Looks like a ?? Tender

Other Meds: Synthriod Lipitor lexapro

Current Illness: None

ID: 0988433
Sex: F
Age: 93
State: NJ

Vax Date: 01/24/2021
Onset Date: 01/24/2021
Rec V Date: 01/30/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: bad headache for 2 days, stomach ache for half day the first day , chills off and on the second day, muscular aches the second day, extreme fatigue for 2 days.

Other Meds: Famotidine, Furosemide, Ranexa ranolazine, Flomax tamsulosin, metoprolol tartrate, 81 mg aspirin, b-complex vitamin, atorvastatin, amlodipine besylate

Current Illness: none

ID: 0988434
Sex: F
Age: 42
State:

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 01/30/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient felt lightheaded after shot. She drank water and ate candy and felt slightly better. She got up to leave and then felt palpitations; VS: BP 122/81, HR 74, O2 sat 97% on RA Pulse regular She sat down and symptoms resolved. Patient then left to go home, and was instructed to seek help if she felt worse.

Other Meds:

Current Illness:

ID: 0988435
Sex: F
Age: 30
State: IL

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/30/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: About 30 mins after receiving the vaccine I developed a strong headache while driving that affected my vision. Later that evening I got a stomach ache, the chills/hot flashes, arm soreness and the shakes. Most lasted until the following morning when I got up at 6:15am for work. The following morning I was only experiencing shakiness and arm soreness. About a week in a half later, I developed a rash at the injection site that looked like two large red blobs. The rash was slightly itchy and lasted only a couple of days.

Other Meds: 1200mg fish oil Multivitamin

Current Illness: None

ID: 0988436
Sex: F
Age: 28
State: NC

Vax Date: 01/19/2021
Onset Date: 01/29/2021
Rec V Date: 01/30/2021
Hospital:

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

Lab Data:

Allergies: Cefzil

Symptom List:

Symptoms: Runny nose, sore throat, congestion, cough, sinus pressure - positive covid test

Other Meds: Wellbutrin, 150mg Xyzal IUD

Current Illness:

ID: 0988437
Sex: F
Age: 58
State: IN

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 01/30/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: chills, body aches, nausea, vomiting and fatigue. starting at 7 pm on the 27th till 12pm on the 30th.

Other Meds: nexium

Current Illness: none

ID: 0988438
Sex: F
Age: 66
State: CA

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 01/30/2021
Hospital:

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

Lab Data:

Allergies: Peniccilin

Symptom List:

Symptoms: Stomach cramps

Other Meds: tumeric, zinc

Current Illness: none

ID: 0988439
Sex: F
Age: 89
State: FL

Vax Date: 01/22/2021
Onset Date: 01/26/2021
Rec V Date: 01/30/2021
Hospital:

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

Lab Data:

Allergies: Acid in fruit

Symptom List:

Symptoms: Rash on face, neck, arms, and thighs. Worse on face and back of neck around the ears.

Other Meds: Humulin 70/30, amlodipine Besylate, Diazepam, Labetalol HCI, Losartan Potassium, Norpriptyline HCI, Oxicodone, Fish Oil, D3, B-Complex, Potassium Chloride ER,

Current Illness:

ID: 0988440
Sex: M
Age: 36
State: WY

Vax Date: 01/30/2021
Onset Date: 01/30/2021
Rec V Date: 01/30/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Pt stated that when he recieved his flu shot in October, about 20 minutes after injection he found himself "stumbling to the nurses office fealing faint and dizzy). He stated he still wanted to proceed with Pfizer dose today. Injection given at 1030. At 1047 he notified staff of feeling faint and dizzy. Skin became pale. This RN and staff assisted pt to the floor and elevated feet on a chair. Pt remains awake and alert. VS: temp 98.2, pulse 60, BP 112/92, O2 98%, respirations 16. Pules 3+ bilaterally, cap refill WNL. After several minutes pt states he is feeling better. This RN assisted pt back to sitting position. He tolderated sips of water. Denies N/V. Pt waited with staff another 15 minutes before leaving. Educated pt to be evaluated at ER should symptoms re appear. Pt and wife verbalize understanding. Pt left facility at 11:05. Able to walk with out assisstance or dizziness. Called pt at 16:30 to follow up, states he is feeling fine and no further issues.

Other Meds: none

Current Illness: none

ID: 0988441
Sex: M
Age: 69
State: PA

Vax Date: 01/05/2021
Onset Date: 01/09/2021
Rec V Date: 01/30/2021
Hospital:

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

Lab Data:

Allergies: None known.

Symptom List:

Symptoms: The patient had received the moderna vaccine and about four days later he started to develop persistent fevers and, within one week, had developed a diffuse, blotchy, erythematous rash. Bloodwork was obtained by PCP which had revealed eosinophilia (AEC peaked 4250) without evidence of end organ damage. He underwent skin biopsy which revealed: Superficial and mid dermal perivascular infiltrate. Additionally, there are focal interface changes where lymphocytes approximate the dermal-epidermal junction and are associated with vacuolar alteration. A few eosinophils are noted in the infiltrate but they are not numerous. Vasculitis is not seen. These histologic features are not entirely specific, but are most suggestive of a hypersensitivity reaction. Initially treated with topical steroids. When eosinophil count was noted to be above 4,000 the patient was started on 60 mg of prednisone daily (this was on 1/26/21) and repeat CBC with differential are pending. The rash is improving and fever curve is also improving (on tylenol q8H PRN). He was referred to hematology/oncology for consideration of bone marrow biopsy, as hypereosinophilic syndrome is also on differential diagnosis.

Other Meds: ? ascorbic acid (VITAMIN-C) 1,000 mg, oral, Daily ? aspirin EC (ECOTRIN) 81 mg, oral ? atorvaSTATin (LIPITOR) 10 mg, oral, Daily ? b complex-c TBCR CR tablet 1 tablet, oral, Daily ? Coenzyme Q10 (COQ10 PO) 300 mg, oral ? diphenhydrAMINE (BE

Current Illness: Two weeks prior to the vaccine, he had developed a maculopapular rash which was treated successfully with a medrol dose pack by primary care physician. This rash resolved approximately 10 days prior to receiving the vaccine.

ID: 0988442
Sex: F
Age: 50
State: NY

Vax Date: 01/30/2021
Onset Date: 01/30/2021
Rec V Date: 01/30/2021
Hospital:

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

Lab Data:

Allergies: Iodine

Symptom List:

Symptoms: Pt states that immediately after getting the vaccine she started having hot flashes. Pt was assisted in walking to the cot. Pt was seated on the cot. Pt's vitals are stable. Pt states she has a history of anxiety. Pt states she started lexapro 2 months ago. Pt continued to have hot flashes for 30 mins. Crew was able to calm the pt. Pt refused transport to hospital.

Other Meds: Lexapro Hydroxyzine

Current Illness: None

ID: 0988443
Sex: F
Age: 50
State: WA

Vax Date: 01/21/2021
Onset Date: 01/29/2021
Rec V Date: 01/30/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: I had some redness, swelling and pain initially after injection but it was gone in two days. However, Day 8 following injection I woke up with a bright red, itchy rash on my arm surrounding injection site. It was about 3 inches. It spread to my chest although not as red there. If it hasn?t improved by Monday I will go see my dr

Other Meds: Levothyroxine Bupropion

Current Illness:

ID: 0988444
Sex: F
Age: 69
State: CA

Vax Date: 01/16/2021
Onset Date: 01/17/2021
Rec V Date: 01/30/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
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Vax Site:

Lab Data:

Allergies: None

Symptom List:

Symptoms: Injection site became very red, hot and grew to about 4 inches around. Took about a week to get to worst stage. Did not hurt or itch. Visit to Urgent care and was put on antibiotics. 4 days later with putting cold compresses on site. Mostly gone. Read article yesterday 1/29/21 that this a side effect of Moderna vaccine. Reporting for your records. Wish I had read earlier, would have save trip to urgent care and antibiotics, which were not necessary from the article.

Other Meds: Bystolic, dorzolamide Hci-Timolol, Travatan Z, Alphagan, Rhopressa, Prednisolone Acetate.

Current Illness: None

ID: 0988445
Sex: F
Age: 76
State:

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 01/30/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient reported scratchy, irritated throat with some tightness. She was able to swallow and reported that drinking water made her throat feel better. No chest pain or shortness of breath. She reported some anxiety. VS: BP 133/81, HR 83, O2 sat 96-97% on RA Patient felt stable and went home after over 30 minutes of observation.

Other Meds:

Current Illness:

ID: 0988446
Sex: F
Age: 61
State: MD

Vax Date: 01/30/2021
Onset Date: 01/30/2021
Rec V Date: 01/30/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: 10 minutes after receiving the intramuscular Covid-19 Moderna vaccination patient started to feel tingling sensation on the right side of her face, arm and leg and a dizzy. She also had a metallic type taste in her mouth. When called to the area client was talking and had no signs or symptoms of distress. Was speaking without difficulty and ambulating without difficulty. She reported that she had not taken her blood pressure (hypotensive) medication today nor had she eaten anything. The issue was resolving quickly while speaking with her. Lung sounds clear, heart rate normal. 124/72 84 20 (TPR). Denied headache, weakness or numbness. Client improved while speaking with her and was released to home with her daughter who was directed to stay with her the rest of the day and call 911 for any medical emergency.

Other Meds: Indicated she is on a medication for hypotension but did not know the name. Also indicated she had not taken it for the day.

Current Illness: Has a cast on right arm due to fractured wrist and left elbow fracture after a fall 2 weeks ago.

ID: 0988447
Sex: F
Age: 29
State: NY

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 01/30/2021
Hospital:

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

Lab Data:

Allergies: Hay fever, mild oral allergies to stone fruits

Symptom List:

Symptoms: At 10:00pm on 1/22/21 at the site of injection I began to feel a dull ache. Around 1:00am on 1/23/21 I felt a stabbing pain at the site of injection as well as an aching numbness from my left shoulder down to my left pinky finger. The morning of 1/23/21 I was weak and could barely walk, and I had a fever of 100.9. I got chills and would feel inexplicable cold and have goosebumps despite my fever. I had no appetite and was extremely fatigued. When sleeping on and off throughout the day I had extreme sweats and soaked my bedsheets. My muscles ached and touch was painful, even the spray of a shower felt painful.These symptoms continued until the early morning of Monday 1/25/21 which was the last time I experienced chills.

Other Meds: None

Current Illness: None

ID: 0988448
Sex: F
Age: 71
State: TX

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 01/30/2021
Hospital:

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

Lab Data:

Allergies: unk

Symptom List:

Symptoms: Pt received Covid-19 vaccine at 4:50 pm. patient's daughter, informed observer that her mother has complaints of her face feeling warm and itchy and a scratchy throat. Assessment completed by Dr., daughter to translate due to patient speaking limited English . 50 mg of Benadryl administered orally at 5:05pm. Reassessment completed at , 5:18 PM, face appears to be more reddened and facial swelling noted. Daughter also stated that her mother's voice is becoming hoarse. 125 mg of solumedrol given IM by, RN. at 5:20pm. Patient reassessed at 5:40PM, facial swelling and redness improving. Daughter states that mother 's voice is returning back to normal. and stated that the patient has informed her that she is feeling better. Patient discharged by Dr. at 5:43 PM at daughters request, stating that she will be monitoring her all night and will take her to the ER if symptoms return or worsen.

Other Meds: unk

Current Illness: unk

ID: 0988449
Sex: F
Age: 31
State: VA

Vax Date: 01/23/2021
Onset Date: 01/30/2021
Rec V Date: 01/30/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Moderna COVID-19 Vaccine EUA A week after my first dose, I developed a rash 2 inches around the injection site. It is itchy, raised, and warm to the touch. It did not develop until one week after the injection.

Other Meds: Birth control pill daily, Trintellix 10mg daily

Current Illness: None

ID: 0988450
Sex: M
Age: 46
State: NY

Vax Date: 01/19/2021
Onset Date: 01/29/2021
Rec V Date: 01/30/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: COVID ARM- day 8 after injection, a mild rash appeared at injection site. i am currently on the second day of the rash. its hot to the touch and slightly itchy, but nothing too major. about a 1 or 2 out of 10. rash is about 6" by 2.5"

Other Meds: none

Current Illness: none

ID: 0988451
Sex: F
Age: 67
State: CA

Vax Date: 01/22/2021
Onset Date: 01/29/2021
Rec V Date: 01/30/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Red itchy rash on my left arm near the vaccination site -- about 6 inches long and 3 inches wide. Treated with over-the-counter Cortizone creme

Other Meds:

Current Illness:

ID: 0988452
Sex: F
Age: 44
State: UT

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 01/30/2021
Hospital:

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

Lab Data:

Allergies: Keflex (childhood reaction), Cipro, maybe Codeine (caused swelling) I supposedly reacted to penicillin and amoxicillin as a child, but my allergy blood test last year was negative for penicillin or any other mold allergies.

Symptom List:

Symptoms: one evening of MILD facial loss of control on one side / numbness on that side of my face--similar feeling to several hours after receiving shot(s) of dental novacaine a bit of a droopy smile on one side the night of the shot, though when I smiled for someone a few hours after the shot, both sides of my smile were even My mother noticed that one side of my face was droopy though when I spoke with her over video conferencing. But I noticed the next day that I had better control of my facial muscles on the left side. The night of the shot, I also felt some numbness/mild pain around my left ear and on the tip of my nose and on my cheek and a new sensation (numbness) on the left side of my brain. Also that night though, I sang a short song and had a loss of control of the tune--like my voice was really changing (unusual). Now, I feel some barely perceptible numbness on that same side of my face sometimes but really feel fully capable of everything and like this doesn't really matter except to let others know that it can happen. I am very happy to be vaccinated and want the second shot if it's okay!!!

Other Meds: Bayer low-dose aspirin one daily, hyrdroclorothiazide 1 (12.5 mg) daily, Losartan 50 mg daily, Synthroid 1.25 mg daily, Norethindrone 1 daily, 1 olive leaf supplement daily, 1 Elderberry gummy daily, 1 24 hour Allegra daily, 2 pills 50 mg

Current Illness: See #12 no contagious illnesses or illnesses persay

ID: 0988453
Sex: F
Age: 68
State: SC

Vax Date: 10/30/2020
Onset Date: 11/07/2020
Rec V Date: 01/30/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: First felt a rushing sensation throughout body, then a stabbing pain in knee joints, hands, elbows. Continues from one side of the body to the other side of the body. Patient has experienced these symptoms since one week following vaccination. Continuous pain throughout the body. Has been evaluated by physician since.

Other Meds: Pravastatin for cholesterol

Current Illness: No illlnesses

ID: 0988454
Sex: F
Age: 48
State: WI

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 01/30/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List:

Symptoms: Fever 101.2 at highest Chills Dizziness Headache

Other Meds: Trazodone Melatonin Allegra

Current Illness: None

ID: 0988455
Sex: F
Age: 25
State: CA

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 01/30/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Fever (101.7 ~22 hours after injection) Body aches, chills, headache

Other Meds: Aimovig, Citalopram, Rizatriptan (PRN)

Current Illness: None

ID: 0988456
Sex: M
Age: 66
State: CA

Vax Date: 01/30/2021
Onset Date: 01/30/2021
Rec V Date: 01/30/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: Patient was in observation after a 1 dose vaccination of Pfizer when she complained to incident staff that she was feeling dizzy and light headed. Refer to Medic Unit's patient care report for further information. Patient refused transport and signed documents required to document the AMA/Release.

Other Meds: Trazadone, Lexipro, Protonix

Current Illness: N/A

ID: 0988457
Sex: M
Age:
State: AZ

Vax Date:
Onset Date:
Rec V Date: 01/30/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: None stated.

Other Meds: Losartan 100mg , Atenolol 12.5mg ,Hydrochlorothiazide 25mg ,Amlodipine Besylate 10mg , Clonidine 0.1 HCLmg , Metformin 1000mg Insulin Glargine 40units , Insulin Aspart 20units ,Lorazepam 0.5mg to sleep

Current Illness: none

ID: 0988458
Sex: F
Age: 72
State: IN

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 01/30/2021
Hospital:

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

Lab Data:

Allergies: no

Symptom List:

Symptoms: just my right arm is a bit sore. nothing else.

Other Meds: Dr.has list of meds.

Current Illness: no

ID: 0988459
Sex: F
Age: 35
State: MD

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/30/2021
Hospital:

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

Lab Data:

Allergies: Allergy to codeine

Symptom List:

Symptoms: 10 weeks pregnant at time of injection, no pregnancy complications, due date 8/5/2021, had severe nausea and vomiting day after injection starting at 10am 1/9 until 8am Sunday 1/10. Was contacted by representative of cdc after report who asked for me to follow up on vaccine reaction

Other Meds: Prenatal vitamins, unisom, b6

Current Illness: None

ID: 0988460
Sex: F
Age: 46
State: CA

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/30/2021
Hospital:

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

Lab Data:

Allergies: Penicillin, sensitivity to gluten and dairy

Symptom List:

Symptoms: Lethargy, migraine duration 5 days. Slept for most of day for 3 days. Some chills, no fever.

Other Meds: Allegra, symbicort, singulair, emgality, daily vitamins, vitamin d, Tylenol within 24h of vaccine Frova after vaccine - migraines related with menstrual cycle

Current Illness: See chronic list

ID: 0988461
Sex: F
Age: 75
State: OK

Vax Date: 01/15/2021
Onset Date: 01/17/2021
Rec V Date: 01/30/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Moderate to severe dizziness

Other Meds:

Current Illness:

ID: 0988462
Sex: F
Age: 48
State: NE

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 01/30/2021
Hospital:

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

Lab Data:

Allergies: nsaids, ampicillin, demerol

Symptom List:

Symptoms: febrile, body aches beginning at 15 hours post injection, red rash below injection site that began 24+ hours and is increasing in size and itching severely 72hrs post injection

Other Meds: Ropinerole, tylenol

Current Illness: none

ID: 0988463
Sex: F
Age: 31
State: OR

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 01/30/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

Symptom List:

Symptoms: Severe muscle pain, bone and joint pain, shooting pains throughout body, vomiting, severe weakness, fatigue low fever

Other Meds:

Current Illness:

ID: 0988464
Sex: M
Age: 25
State:

Vax Date: 01/30/2021
Onset Date: 01/30/2021
Rec V Date: 01/30/2021
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Symptoms: Soon after shot received, patient complained of throat irritation, rapid response called, diphenhydramine given patient observed and then recovered

Other Meds:

Current Illness:

ID: 0988466
Sex: F
Age: 39
State: MN

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

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Symptoms: Patient had slight itching at vaccination site with no symptoms of throat or chest tightening or other life threatening symptoms. Patient requested something for the itch and Benadryl was provided. No further complaints were made after administration.

Other Meds: unknown

Current Illness: none

ID: 0988468
Sex: F
Age: 34
State: IL

Vax Date: 01/22/2021
Onset Date: 01/29/2021
Rec V Date: 01/30/2021
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Allergies: Penicillin

Symptom List:

Symptoms: Redness, itching, swelling, heat at injection site 1 week after vaccine. It has been about 24 hours. Mild symptoms.

Other Meds: Fluoxetine 20mg, synthroid 137mcg, JunelFE, multivitamin

Current Illness: None

ID: 0988469
Sex: F
Age: 42
State: WA

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 01/30/2021
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Allergies: Compazine, Reglan

Symptom List:

Symptoms: 45 minutes after given the vaccine. Severe dizziness, stumbling, couldn't see straight, Had somewhat similar reaction to the first dose went down to the Emergency room on 12/31/20. They treated it as vertigo. gave zofran for nausea and valium to calm me down. Was sent home with Meclizine (motion sickness)meds. I am at 9 days after the vaccine administration and still having the vertigo and nausea due to being dizzy. I didn't go to the emergency room right away as I was treating it as they treated the first one. I fell asleep as soon as I got home from work at 130pm. I got the second dose at 0900 on 1/21/21. Fell asleep for several hours. Could barely wake up. Hands and feet were swollen. Couldn't make fists. Feet were tight. Stayed hydrated. since then for the past week I have been taking motion sickness meds the dizziness has not gone away. Went to the Emergency room on 1/28/21 as the symptoms still haven't gone away. They ruled me out for a stroke. I felt completely normal before the vaccine. I had CT scan done, MRI both came back normal. The diagnosis that was the outcome was vertigo.

Other Meds: n/a

Current Illness: Nothing. feeling perfectly fine

ID: 0988470
Sex: F
Age: 46
State: TX

Vax Date: 12/28/2020
Onset Date: 12/29/2020
Rec V Date: 01/30/2021
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Allergies: codeine

Symptom List:

Symptoms: migraine, severe muscle soreness at site, down to elbow and up to and including neck - possibly triggering migraine, severe fatigue.

Other Meds: diclofenac, tizanidine, levothyroxine, topamax vit c, curcumin, thyro 8, evening primrose, essential for women, B-12, B-2, Bone-up

Current Illness: n/a

ID: 0988471
Sex: F
Age: 54
State: ID

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 01/30/2021
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Allergies: Amoxyl Bananas

Symptom List:

Symptoms: Body aches affecting entire body from head to toe. Lasted for 24 hours.

Other Meds: None

Current Illness: None

ID: 0988472
Sex: F
Age: 48
State: IL

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 01/30/2021
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Allergies: Shellfish, contrast dye, latex, inhaled steroid (budesonide), pulmicort, Demerol, narcotics.

Symptom List:

Symptoms: I had extreme pain at the injection site that afternoon that then included my arm from elbow to top of my shoulder. That pain continued with the area very hot and difficult to lift my arm (which continued until Saturday, 1/30/21.) After being asleep, I woke at about 10:50 pm, abruptly to racing heart beat, sense of tingling/numbness inside ears, feeling of swollen tongue (back of tongue) and then later feeling of tightness in throat. This was just less than 12 hours after my vaccination. I sat upright sipping cold liquids for approx 2 hrs and sensations faded. Next day I had headache, fatigue and felt extremely cold later in day for several hours. Occasional dizziness for the next 2 days with chills.

Other Meds: Tylenol cold and flu (1tablet) taken night before at 9:00 pm.

Current Illness: Headache/ migraine 2 days prior and severe headache morning of vaccination.

ID: 0988473
Sex: F
Age: 49
State: CT

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 01/30/2021
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Allergies: None that I know of

Symptom List:

Symptoms: Rapid heart rate >120 and tachypnea; reported, no treatment

Other Meds: Vitamin C, calcium, magnesium, zinc, Probiotics, garlic, Thuja, Rescue Remedy

Current Illness: None

ID: 0988475
Sex: F
Age: 32
State: CT

Vax Date: 01/20/2021
Onset Date: 01/22/2021
Rec V Date: 01/30/2021
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Allergies: Shellfish

Symptom List:

Symptoms: Arm soreness for 2 days. Then chest pain began on day 2 along with headache, fatigue, sinus pressure, and a runny nose. It is now 10 days later and I still have chest pain (left side only in the heart area). Most other symptoms have lessened or subsided.

Other Meds: Nuvaring.

Current Illness: None

ID: 0988476
Sex: F
Age: 35
State: OR

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 01/30/2021
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Allergies: None

Symptom List:

Symptoms: First night: arm soreness Second day: arm soreness, fatigue, low grade fever (99.1), nausea

Other Meds: Allertec, generic singulair

Current Illness: None

ID: 0988477
Sex: M
Age: 59
State: TX

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 01/30/2021
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Allergies: None

Symptom List:

Symptoms: Red rash with bumpy skin appeared within 2 hours on my back and the next day more appeared on my left arm. A total of 5 spots appeared.

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ID: 0988478
Sex: F
Age: 32
State: CA

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 01/30/2021
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Allergies: Penicillins Cephalosporins

Symptom List:

Symptoms: Flushed face and feeling around 30 minutes after injection, 45 minutes wide spread rash over arms, legs and face; tightness in jaw, tongue and face swelling with numbness and tingling.

Other Meds:

Current Illness: None

ID: 0988479
Sex: F
Age: 48
State: WA

Vax Date: 01/04/2021
Onset Date: 01/19/2021
Rec V Date: 01/30/2021
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Allergies: Codeine

Symptom List:

Symptoms: No immediate complications on first shot other than a day of arm pain at injection site. At 2 wks out from dose 1 injection, I developed right L1 shingles. I?m only 48 and healthy with no underlying health conditions

Other Meds: None

Current Illness: None

ID: 0988480
Sex: F
Age: 69
State: TX

Vax Date: 01/20/2021
Onset Date: 01/28/2021
Rec V Date: 01/30/2021
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Allergies: Penicillin

Symptom List:

Symptoms: I developed a very sore arm by 12 hours post vaccination that was completely gone after about 48 hours duration. This was expected. However, the morning of Jan. 29 the injection site had moderate itching and a slight pink color I attributed to having briefly scratched the area through my sleeve. I did not scratch again, but discovered a bright red 5 cm circle around the injection site had formed by midnight. It is the same on Jan. 30 with mild pruritis. It is also possible to still see the exact spot where the needle injected the vaccine. We took a photo of it if you want it for your records. This is not a major reaction at this time, but seems strange that it developed nine days later, with no previous visible evidence of a reaction before now.

Other Meds: Armour Thyroid, ditropan, trazodone, Actifed, multi-vitamin/mineral, fish oil, garlic, saffron, vitamin C, vitamin B-complex, OTC potassium,lutein, and CoQ-10. Took one dose of regular strength aspirin 1 hour before and 5 hours after vacci

Current Illness: none

ID: 0988481
Sex: F
Age: 46
State: FL

Vax Date: 01/05/2021
Onset Date: 01/18/2021
Rec V Date: 01/30/2021
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Allergies: Shrimp almonds tuna morphine and dust mites

Symptom List:

Symptoms: 13 days after shot had a outbreak of shingles diagnosed the following week by PCP

Other Meds: Nuvigil olmasartin rovastatin sulfasalizine meloxicam Lasix cambia ajovy ozempic

Current Illness: Psuedotumor Cerbrii Diabetes narcolepsy asthma RA

ID: 0988482
Sex: F
Age: 75
State: NC

Vax Date: 01/20/2021
Onset Date: 01/27/2021
Rec V Date: 01/30/2021
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Allergies: Sulfa drugs

Symptom List:

Symptoms: Had tenderness at injection site for several days and then it dissipated. On the evening of Day 7 post injection experienced mild itching and small area of redness 5 inches below shot site. On Day 8 the red area had expanded completely around the outside of the arm, with swelling, increased tenderness and thickening, and increased temperature. I was feeling sick. Doctor prescribed Amoxicillin for coverage in case of cellulitis. Day 9 redness was decreasing but itching increased and I was feeling sick. Took Benadryl and it is resolving.

Other Meds: Carvedilol, Eliquis, Famotidine, Flecainide, Vitamin D3, Calcium, Melatonin, Curamed, Topical Hemp CBD Balm, Robin

Current Illness: foot sprain

ID: 0988483
Sex: F
Age: 53
State: GA

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 01/30/2021
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Allergies: Raw eggs

Symptom List:

Symptoms: Pfizer-BioNTech Covid Vaccine EUA On 1/29/2021, Fasiculations started in both legs (below the knees) at 7pm, 5 hours after the shot. The gnarly, very painful cramps of my feet and ankles started in the right foot at 7:30pm.....last about 10-12 minutes, then the left foot/ankle, again for 10-12 minutes. I have and took Gabapentin 600 and had relief from the cramps by 9:30pm. The fasiculations continued for 24 hours. At this point (25 hours later) my feet and ankles have a dull ache but I do not expect anymore cramps. This is an autoimmune disease for me but I have not had an episode this bad in a year. PS - It?s worth it to take the vaccine!

Other Meds: Tramadol

Current Illness: None

ID: 0988484
Sex: F
Age: 48
State: PA

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 01/30/2021
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Allergies: INH, levaquin, doxycycline, clarithromycin

Symptom List:

Symptoms: with dose 1given on 1/7/21 - within 5 mins -flushing, headache, chills, back pain., high blood pressure in 150's, fatigue. Headache and backache lasted for 4 days. Fatigue for a week. I was monitored for 2 hours after injection. With dose 2 on 1/29/21- immediate - nausea, headache, lightheadedness, chest discomfort, very sleepy like I just wanna go to sleep right away. I was monitored for 2 hours until Chest discomfort subsided. nausea took more than 3.5 hours. headache is still on today the next day. Midnight -I had severe severe joint pains like my bones were ripping apart. very sleepy. i slept 12 hours straight. still have headache.

Other Meds: Imuran and Vitamin D

Current Illness: none

Total 2021 VAERS Injuries: 599,999

Page last modified: 03 October 2021 5:28pm