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: 0988748
Sex: F
Age: 23
State: AZ

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: Reported allergy of shellfish & nuts with anaphylaxis as reaction. This was reported to physician on site and it was decided to proceed with 30 minute observation. Later it was learned in the ER that pt also reported sesame seed and aspirin allergy with similar reaction (anaphylaxis) as well.

Symptom List:

Symptoms: Approximately 1 minute after receiving injection, patient reports itchiness, throat & lips swelling. EpiPen administered in observation & patient immediately transferred to Emergency Department. In the ER, patient was given famotidine, diphenhydramine & prednisone. @1230 in the ER, patient reports increase in itchiness and lips/throat swelling and feeling of return of symptoms. 2nd dose of epinephrine 0.3 mg administered intramuscularly. Pt was admitted for observation with plans to discharge if symptoms resolve with no return.

Other Meds:

Current Illness:

ID: 0988749
Sex: F
Age: 64
State: ID

Vax Date: 10/24/2020
Onset Date: 10/27/2020
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: Injection given in bursa sac. Patient started experiencing sever shoulder pain 3 days after vaccine administration. She was examined by an orthopod and he stated that the vaccine was injected into her bursa. She is still experiencing pain and loss of use as of present.

Other Meds:

Current Illness:

ID: 0988750
Sex: F
Age: 32
State: CA

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

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

Lab Data:

Allergies: Latex, shellfish

Symptom List:

Symptoms: Red raised bump started a couple minutes after injection. Area was red and hotter the next day and sore. Red area turned into a bruise after 4-5 days and then went away for about a day. Then it came back and I still have it. Now I have a bad headache and nausea.

Other Meds: Birth control

Current Illness:

ID: 0988751
Sex: M
Age: 80
State: CA

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

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

Lab Data:

Allergies: Hydrocodone, clindamycin

Symptom List:

Symptoms: worsening cough with pain

Other Meds: Ofev, Protonix, Exelon, Lidoderm

Current Illness:

ID: 0988752
Sex: F
Age: 71
State: NV

Vax Date: 01/28/2021
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:

Symptom List:

Symptoms: When giving the dose, approximately 0.2ml leaked out of the contact between the barrel and needle (it was the luer-lock syringes supplied with the vaccine) while giving the dose in the left deltoid. There was 0.2ml left in the vial from which the dose was drawn. That was drawn up and administered in the R Deltoid to complete the dose. The patient had no adverse effects. She waited the 15 minutes with no problems.

Other Meds:

Current Illness:

ID: 0988753
Sex: F
Age: 28
State: IL

Vax Date: 12/21/2020
Onset Date: 12/30/2020
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: supraclavicular painless lymphadenopathy noted ~ 1 week after first injection. lymphadenopathy was on same side that injection was delivered to. after second dose, lymphadenopathy became slightly tender to palpation and noted additional palpable lymph node next to first one. three weeks after second dose, lymph nodes still palpable but smaller and nontender.

Other Meds: none

Current Illness: none

ID: 0988754
Sex: F
Age: 39
State: LA

Vax Date: 01/25/2021
Onset Date: 01/25/2021
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: At 6 hours after shot, I developed fever to 101, sever chills, body aches, joint pain, my skin hurt, headache and extreme fatigue. This lasted for 24 hours resulting in loss of work the next day. Then 6 days later, I am still tired and achy, have soreness in my upper arms, and have a severe headache.

Other Meds: Cetirizine 10 mg Multivitamin Vitamin D3 5000 IU

Current Illness: None

ID: 0988755
Sex: F
Age: 33
State: KY

Vax Date: 01/15/2021
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: Penicillin

Symptom List:

Symptoms: Rash lateral left forearm, mild pruritus

Other Meds: None

Current Illness: No

ID: 0988756
Sex: F
Age: 37
State: NY

Vax Date: 01/19/2021
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: N/A

Symptom List:

Symptoms: Bright red circle at site of the injection, later becoming fainter pink, with sore muscles.

Other Meds: N/A

Current Illness: N/A

ID: 0988757
Sex: F
Age: 34
State:

Vax Date: 01/28/2021
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:

Symptom List:

Symptoms: Arm pain began 4 hours after receiving 2nd dose of vaccine and flu like symptoms arrived 10 hours after receiving vaccine. Symptoms started with chills and sensitive skin and then fever of 100 and body/joint aches and pain. Symptoms lasted for about 24 hours. Second day after vaccine, symptoms consisted of a headache only.

Other Meds:

Current Illness:

ID: 0988758
Sex: F
Age: 58
State: MA

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: PCN, flagyl, mold in foods

Symptom List:

Symptoms: sore arm, fever up to 102, chills, body aches and pains, severe nausea, vomited x1, stomach cramps, diarrhea x2 - total severe symptoms lasted about 24 hours, but total symptoms lasted 60 hours

Other Meds: Zoloft, lithium, omega 3, Vitamin D

Current Illness: Felt ill after first covid 19 vaccine on 1/5/21 lasting 60 hours.

ID: 0988759
Sex: F
Age: 65
State: GA

Vax Date: 01/16/2021
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: Swelling only; no breathing difficulties in past: Wasps or bee stings, algae or mold, certain soaps or cleaners

Symptom List:

Symptoms: Large itchy raised red welt on upper left arm (5 inches long, 4 inches wide)

Other Meds: Methimazole

Current Illness: None

ID: 0988760
Sex: F
Age: 81
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: Shellfish, and CT iodine contrast

Symptom List:

Symptoms: Patient indicated to RN that she was feeling "warm." Patient denied any shortness of breath, difficulty breathing,chest pain, or itching. Patient denied feeling like they're ears were warm. RN took patient to secluded area and asked health history. Patient indicated they're blood pressure is supposed 130s/60s, however they were" running low" on all medication including lisinopril . Vital signs at 1525 were as follows: 156/85 mm Hg, 74 BPM, 16 BPM, and pulse ox. 96%. RN did relaxation techniques with patient, and had patient take off jacket. At 1537 vital signs were as follows: 146/75 mm Hg, 74 BPM, 16BPM, pulse ox. 97-98%, and 97.6F. Patient reported feeling not as warm, and stated they believed it was due to the jacket and face mask. Patient denied shortness of breath, difficulty breathing,chest pain, or itching. patient stated she would have medication refilled tomorrow AM. RN instructed to contact healthcare professional if symptoms worsened, and provided general care instructions.

Other Meds: liprinosil, Inhaler, singulair, thyroid medication, metformin, rheumatoid arthritis medication, anti-cholesterol medication, and vitamin D.

Current Illness: None

ID: 0988761
Sex: F
Age: 49
State: AZ

Vax Date: 01/16/2021
Onset Date: 01/16/2021
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: Tingling and numbness around mouth starting 20 minutes after vaccine and lasting 3 hrs. Extreme pain at injection site for 3 days

Other Meds: Metformin, Zetia, lisinopril, metoprolol, aspirin, Crestor, fenofibrate, folbee

Current Illness: None

ID: 0988762
Sex: F
Age: 54
State: CT

Vax Date: 01/28/2021
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: Sulpha

Symptom List:

Symptoms: Shaking chills, fever, severe body aches, nausea and diarrhea

Other Meds: Famotidine 20mg

Current Illness: None

ID: 0988763
Sex: F
Age: 22
State:

Vax Date: 01/19/2021
Onset Date: 01/28/2021
Rec V Date: 01/30/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Urticarial and facial angioedema without respiratory symptoms treated the in ED with epi and discharged with recrudescence of her rash and angioedema several hours later and admitted for observation and symptomatic treatment

Other Meds:

Current Illness:

ID: 0988764
Sex: F
Age: 34
State: VA

Vax Date: 01/19/2021
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: Penicillin

Symptom List:

Symptoms: For 2 days after vaccine I had muscle soreness which resolved. On 1/26 I developed recurrence of local soreness just below vaccine site, followed by inflammation (circular red rash, swelling, heat, mild pain). It resolved within 48 hours with mild pruritis after that for a few days.

Other Meds: Birth control pill

Current Illness: None

ID: 0988765
Sex: F
Age: 84
State: CA

Vax Date: 01/20/2021
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: latex, propranolol, Ventolin, tamoxifen, sertraline, sulfonamides, quinolones

Symptom List:

Symptoms: Pt said she had body aches/joint pain, fatigue, 2 inch area around the injection site was hot and swollen, she took 2 Benadryls which seem to help. I advised her to take Claritin during day and Benadryl at night and NSAID for pain to see if improvement. I told her to trace perimeter of the swollen area to see if improvement, if yes then continue, if not or if pt develops fever or feels worse then to seek immediate medical advice

Other Meds: Singulair, Tylenol #3 Codeine, Hyzaar, Enablex, Diazepam

Current Illness: breast cancer, HBP, incontinence, pain

ID: 0988766
Sex: M
Age: 27
State: FL

Vax Date: 01/25/2021
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: None

Symptom List:

Symptoms: Red circle around injection site lasting 5 days post injection. Arm soreness for 3 days post injection. Itchy arm onset 4 days post injection. Benadryl and ibuprofen started 24 hours after injection. Hydrocortisone cream used 3 days post injection.

Other Meds: Lo-Estrin

Current Illness: None

ID: 0988767
Sex: F
Age: 71
State: CO

Vax Date: 01/21/2021
Onset Date: 01/23/2021
Rec V Date: 01/30/2021
Hospital:

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

Lab Data:

Allergies: OXYCODONE

Symptom List:

Symptoms: FEVER, FATIGUE AND DIARHEA I TOOK TYLENOL AND RESTED FOR 36 HOURS FEVER AND FATIGUE BOTH WENT AWAY STILL HAVE MINOR DIARHEA OCCASIONALLY

Other Meds: LISINOPRIL SPIRONOLACTONE HCTZ METFORMIN HCL GLIPIZIDE ROSUVASTATIN CALCIUM METOPROLOL SUCC ER METHIMAZOLE amLODIPine BESYLATE PRESSER VISION ASPIRIN 81 MULTI VITAMIN VITAMIN E VITAMIN D3 PREVAGEN VITAMIN C CO Q10 BLACK ELDERBERRY MEGA RED

Current Illness: NONE

ID: 0988768
Sex: M
Age: 71
State: CA

Vax Date: 01/18/2021
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:

Symptom List:

Symptoms: appears to be a rash above injection site, itching, redness

Other Meds:

Current Illness:

ID: 0988769
Sex: F
Age: 44
State: CA

Vax Date: 01/22/2021
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: There is a red, raised, itchy bump at the injection site. It?s hot to the touch. It started out the size of a dime, now at 6:18pm it?s a size of a quarter.

Other Meds: Lutera

Current Illness: None

ID: 0988770
Sex: F
Age: 68
State: CA

Vax Date: 01/28/2021
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: N/A

Symptom List:

Symptoms: Dizziness, vomiting, felt Gross, Passed out for around 10 seconds, and was making strange noises with some difficulty breathing. Body stiffness. Applied wet towels with cold water on the nape and forehead

Other Meds: Vitamin D3 and C, Ibuprofen

Current Illness:

ID: 0988771
Sex: M
Age: 32
State: IL

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: NONE

Symptom List:

Symptoms: PATIENT HAD A SEIZURE, NO TREATMENT WAS SOUGHT, PATIENT STATES HE WAS EXHAUSTED AND SLEPT AFTERWARDS

Other Meds: PANTRAZOLE, ESCITALOPRAM

Current Illness: NONE

ID: 0988772
Sex: M
Age: 54
State: NY

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: nkda

Symptom List:

Symptoms: Vaccine dose, lot number or additional vaccine facility information unavailable at time of tonight's appt. Pt s/p vaccine #1 Moderna thru work on 1/29/2021 in am, in the evening fever tmax 101 noted. This am 1/30/2021 temp 101 and took tylenol at 9am. increased fever and chills and came to urgent care for further evaluations. No other sources for fever, no known contacts. COVID PCR stat to lab to r/o active illness. Tmax today 103.5. VS and exam otherwise stable. strict ER care, alternate tylenol/motrin, hydration, pcp followup on Monday. Increase/worsening or persistent symptoms fever despite tylenol/motrin to ER immediately

Other Meds: flovent, flonase, triamcinolone cream, cialis

Current Illness: gerd, sleep apnea, hernia repair, cyst removal, EPS cardiology mapping and ablation, copd. Hx covid in 2020 with Antibodies, resolved > 90days prior to vaccine

ID: 0988773
Sex: F
Age: 60
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: Penicillin

Symptom List:

Symptoms: Temperature of 100.7, chilling, tired, brain fog, runny/stuffy nose. Took Tylenol and rested. Felt fine the next morning.

Other Meds: Synthroid 50 mcg daily, Imvexxy 10 mcg vaginal suppository twice weekly, Vitamin D3 2000 IU daily, Duloxetine HCl DR cap 30 mg daily, fish oil 1200 mg daily, Calcium 1000 mg with magnesium 400 mg and Zinc 25 mg daily, Aspirin 81 mg daily,

Current Illness: None

ID: 0988774
Sex: F
Age: 34
State: ID

Vax Date: 01/13/2021
Onset Date: 01/14/2021
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: First day, just painful. Second day, very painful, large lump under skin, body aches, headaches, slightly dizzy, tired. Symptoms went away but then reappeared on day 4 or 5 and were worse but only at the injection site. Went away, then on day 11 symptoms of the injection site increased to a very painful arm, very itchy, change in skin texture, very hot to the touch, still large lump, very red and patchy rash approx 4 inches in diameter. Symptoms began to subside around day 13-14.

Other Meds: Lamictal, lexapro

Current Illness: None

ID: 0988775
Sex: F
Age: 49
State: TX

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: Sensitive to cephalosporins and clindamycin

Symptom List:

Symptoms: Severe headache onset 12-14 hours post vaccination Muscle soreness and heat at injection site

Other Meds: Tamoxifen, gabapentin, lisinopril, protonix, vit d, vit e, evening primrose oil, CBd, ibuprofen, probiotics

Current Illness: Cancer, RA, migraine

ID: 0988776
Sex: F
Age: 86
State: NV

Vax Date: 01/21/2021
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: After approximately 5 days began developing rash and swelling at injection site, so-called "Covid Arm". Swelling, some pain, and significant itching in a patch some 4 to 5 inches in extent. Gave her some over-the-counter antihistamine (Claritin) and this helped to resolve the symptoms somewhat. Redness had abated somewhat by the end of the day. I am reluctant to give her too much of the antihistamine due to dizziness and increased lack of mental clarity (she suffers from Alzheimer's). Being a military wife, she has had many vaccinations, but has never had a reaction like this before.

Other Meds: Levothyroxine, Gemfibrozil, Lisinopril, Vitamin B, Vitamin D, Probiotic

Current Illness: None

ID: 0988777
Sex: M
Age: 34
State: NY

Vax Date: 01/28/2021
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:

Symptom List:

Symptoms: Had covid before in march. On first shot had fever and chills for 2 days. Still feel lousy and weak. Feels like a strong immunogenic response. Not sure I want to take second dose since colleagues that didn't have covid before had these symptoms after the second dose not the first. I had covid before and I have these symptoms now.

Other Meds:

Current Illness:

ID: 0988778
Sex: F
Age: 35
State: TX

Vax Date: 01/21/2021
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: NKDA

Symptom List:

Symptoms: Nausea, vomiting, fever, muscle aches, chills & fatigue. Fever lasted on and off for 3 days as well as GI upset.

Other Meds: None

Current Illness: None

ID: 0988779
Sex: F
Age: 45
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: Penicillin, pitted fruits, celery

Symptom List:

Symptoms: Tachycardia, high blood pressure, flushing Given Benadryl and observed in the ER

Other Meds: Allegra, symbicort, singular, Flonase

Current Illness: N/a

ID: 0988780
Sex: F
Age: 50
State: NY

Vax Date: 12/23/2020
Onset Date: 12/24/2020
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: Left leg parasthesias...pain, craming, heaviness and numbness. Improved over next 4 hours but mild tingling and numbness persists.

Other Meds: None

Current Illness: None

ID: 0988781
Sex: M
Age: 63
State: NY

Vax Date: 01/17/2021
Onset Date: 01/18/2021
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, chills, shortness of breath, weakness, fatigue, uncontrollable shaking, headache for 12 hours

Other Meds: Androgen, lisinopril, Crestor ,vitamin D, alfusozin

Current Illness: None

ID: 0988782
Sex: F
Age: 37
State: IL

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: Sulfa Topimax

Symptom List:

Symptoms: Headache, body ache, chills, fatigue, dizziness, nausea

Other Meds: Gabapentin folic acid levothyroxine phentermine duloxetine vitamin d with calcium prilosec tumeric

Current Illness: None

ID: 0988783
Sex: F
Age: 51
State: MI

Vax Date: 01/15/2021
Onset Date: 01/16/2021
Rec V Date: 01/30/2021
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Allergies: Penicillin, lavender-ingested only,

Symptom List:

Symptoms: Diarrhea, fever, chills, shaking, severe nausea, loss of appetite for 2-3 days.

Other Meds: Multi vitamin, fish oil, flaxseed oil, lexapro, loratadine, calcium-zinc-magnesium, emergence gummy

Current Illness: None

ID: 0988784
Sex: M
Age: 26
State: WV

Vax Date: 08/01/2018
Onset Date: 09/01/2018
Rec V Date: 01/30/2021
Hospital: Y

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Symptoms: Jondice, deathly ill, hospitalized, enzyme levels in 2400 range

Other Meds:

Current Illness:

ID: 0988785
Sex: F
Age: 62
State: IL

Vax Date: 01/17/2021
Onset Date: 01/26/2021
Rec V Date: 01/30/2021
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Allergies: Lisinopril

Symptom List:

Symptoms: Sore throat on the right side of throat, still persisting. Gargled with salt water, took Zicam but it is persisting. I am making a doctors appointment. Has also had a couple a episodes of dizziness.

Other Meds: Vitamin C- 1000 mg Zinc - 50 mg Vitamin B12 - 5000 mcg Probiotic 10 Vitamin D3 - 5000iu started taking Zicam when symptoms started

Current Illness: none

ID: 0988786
Sex: F
Age: 58
State: CA

Vax Date: 01/20/2021
Onset Date: 01/26/2021
Rec V Date: 01/30/2021
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Allergies: sulfa

Symptom List:

Symptoms: 1/26-1/30/21 - hard swelling, red, raised and itchy started 1/26/21. Called Dr. on 1/27 to report the reaction and the increasing side effect of the 2x2 raised hard, red, swelling, and extremely ITCHY. Instructed to use Benadryl or Zyrtec along with cold compress to assist in decreasing the itchiness. After starting Zyrtec on 1/27/21 evening, before reaction started to subside, the redness and itchiness had increased to cover my bicep and around to my tricep. As of this reporting (7:00pm) 1/30/21, reaction area is still slightly red and itchy. The swelling and hardness has gone. I'm still taking zyrtec because the itchiness still remains. Moderna fact sheet and side effects did not list itchiness. Thought that data collectors should add this to the side effects.

Other Meds: Vitamins: C, B-12, D, multi vitamin, cosamine, prescribe: Estradiol 10mcg tabs

Current Illness: None

ID: 0988787
Sex: F
Age: 62
State: CO

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

Symptom List:

Symptoms: The normal discomfort - chills, fatigue, head pounding/ache, nauseas and dirreaha. what I am concern about is my lymph nodes under my arm and in my neck are swollen, sore/painful to touch and redness, Had not read any information regarding this type of side effect, so thought I would report

Other Meds: NONE

Current Illness: NONE

ID: 0988788
Sex: F
Age: 41
State: WA

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 01/30/2021
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Allergies: None

Symptom List:

Symptoms: Severe chills, sweating, low grade fever, nausea, dizziness, headache

Other Meds: Multivitamin, baby aspirin, B-vitamin, vitamin D, hair/skin/nails, methyl folate, fish oil

Current Illness: None

ID: 0988789
Sex: F
Age: 36
State: NY

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 01/30/2021
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Allergies: Iodine shellfish morphine Valproic Acid lidocaine latex

Symptom List:

Symptoms: Fever headache sore throat body aches chills diarrhea Tylenol sleep day#2

Other Meds: Flexeril

Current Illness: UTI

ID: 0988790
Sex: M
Age: 33
State: IL

Vax Date: 01/08/2021
Onset Date: 01/17/2021
Rec V Date: 01/30/2021
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Allergies: None

Symptom List:

Symptoms: Over heat at night during sleep usually from 2am-7am

Other Meds: tadalafil

Current Illness: None

ID: 0988791
Sex: M
Age: 55
State: IL

Vax Date: 01/01/2021
Onset Date: 01/30/2021
Rec V Date: 01/30/2021
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Allergies: N/A

Symptom List:

Symptoms: No adverse reaction shown during initial injection. My husband awoke this am to hives on his flanks, ankles, belly, and armpits. I immediately administered Benadryl & contacted his primary care physician Dr. We spoke to the on call doctor for Dr. and she said Benadryl should clear up the hives, but if conditions worsen she would prescribe an Rx for steroids. Rx for Steroids were submitted to our local pharmacy, but we haven?t picked up as of yet. As of this evening, my husband?s hives continue to be inflamed and he?s been taking Benadryl as directed every 4-6 hours.

Other Meds: Meloxicam 15mg 1 x day Voltran topical otc arthritis ointment as needed Kirkland Adult Multivitamin Gummies - 2xday

Current Illness: Taking meloxicam for arthritis inflammation in right hand 15mg - 1 x day Started on 1/19/21

ID: 0988792
Sex: F
Age: 79
State: WA

Vax Date: 01/19/2021
Onset Date: 01/27/2021
Rec V Date: 01/30/2021
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Symptoms: Moderna COVID-19 VAccine EUA Red, hot, sometimes itchy arm at site of injection. Minor pain 4-5 inches long and 3 inches wide. Trying ice and Zyrtec.

Other Meds: tamoxafin omeperazole attenalol clonozepam citrucel miralax multi vitamin vit. d3 vit b12 every other day fish oil

Current Illness: none

ID: 0988793
Sex: F
Age: 40
State: AK

Vax Date: 01/30/2021
Onset Date: 01/30/2021
Rec V Date: 01/30/2021
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Symptoms: Pt received her first pfizer vaccination and after approximately 10 minutes, pt started itching throughout her entire body and burning to her perineal area. SQ Epi given on scene and IV benadryl given in route by EMS.

Other Meds:

Current Illness:

ID: 0988794
Sex: F
Age: 66
State: FL

Vax Date: 01/12/2021
Onset Date: 01/21/2021
Rec V Date: 01/30/2021
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Allergies: No

Symptom List:

Symptoms: At day number 9, my TWO arms got swollen , very red with hives. Disappeared the next day.

Other Meds: Crestor 10mg Levothyroxin 0.05 mg Xanax 0.5 mg Vitamin D 2000 mg

Current Illness: No

ID: 0988795
Sex: F
Age: 48
State: CA

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 01/30/2021
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Allergies: adhesive

Symptom List:

Symptoms: After Dose 1 of Pfizer COVID vax (on Jan 5) I developed a mild twitch of left upper eyelid (started on Jan 15, 10 d after vaccine). Persisted, daily - then had dose 2 on Jan 25 and developed more notable twitch of right lower eyelid that was even more persistent and is still ongoing . Never had issues with this before. Not debilitating. Might have nothing to do with vaccine, but thought I'd report in case!

Other Meds: Topiramate 25mg daily Methimazole 25mg alternating with 50mg daily Vitamin D 1000 units daily

Current Illness: None

ID: 0988796
Sex: F
Age: 58
State: OH

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

Symptom List:

Symptoms: Two days after injection, I started a terrible flare of my autoimmune disorders. My body was so sore, my pancreatitis symptoms flared up. 5 days later I was in the emergency room , the pain from either the pancreatitis flare or IBS flare was incapacitating.

Other Meds: Plaquanil, Zen pep, Protonix, Effexor, Buspar, Zonisamide, Lyrica, Trazadone

Current Illness: None

ID: 0988797
Sex: M
Age: 64
State: PA

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

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Allergies: NA

Symptom List:

Symptoms: Cold feet, numbness. Then paralysis waist down in a few weeks.

Other Meds: Tradjenta,lantus,trulicity,invokanna, lisinopril,allegra d, vitamin D.

Current Illness: NA

Total 2021 VAERS Injuries: 599,999

Page last modified: 03 October 2021 5:28pm