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**
PLEASE CHECK BACK SOON
Download the files above while you wait.






Manufacturers

Total Manufacturer

Incidents per State

State Total
43,547
AK1,308
AL3,184
AR2,087
AS39
AZ9,459
CA39,989
CO7,670
CT5,128
DC1,053
DE1,063
FL21,535
FM3
GA8,461
GU58
HI1,452
IA3,194
ID1,717
IL12,810
IN18,893
KS3,038
KY4,036
LA2,959
MA9,702
MD8,347
ME2,178
MH7
MI11,728
MN7,877
MO5,983
MP13
MS1,554
MT1,576
NC10,009
ND871
NE1,933
NH2,158
NJ10,552
NM2,540
NV2,508
NY21,220
OH12,345
OK3,708
OR5,666
PA14,829
PR1,412
QM1
RI1,448
SC3,778
SD806
TN5,462
TX21,047
UT2,863
VA9,806
VI31
VT1,250
WA9,578
WI7,284
WV1,548
WY577
XB5
XL1
XV2

ID: 0989059
Sex: F
Age: 31
State: RI

Vax Date: 01/09/2021
Onset Date: 01/10/2021
Rec V Date: 01/31/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List:

Symptoms: The next day of vaccination on 1/10/2021 I started feeling fatigue & astragalus. It lasted for about 6hrs.

Other Meds: Zertalin zomonari 20mg

Current Illness: No

ID: 0989060
Sex: F
Age: 34
State: IN

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 01/31/2021
Hospital:

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

Lab Data:

Allergies: Hayfever allergies

Symptom List:

Symptoms: Achey/nausea same afternoon Fever/flu symptoms 8pm throughout night Fever/chills/ sweating moderate midnight to 6am Fever flu symptoms next day Fever achey sunday morning Sore arm bordering on unusable throughout and current

Other Meds: Womens multivitamin, emergenC packets occasionally

Current Illness: None

ID: 0989061
Sex: F
Age: 51
State: CA

Vax Date: 01/21/2021
Onset Date: 01/30/2021
Rec V Date: 01/31/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Rash developed at injection site 9 days after 1st injection.

Other Meds: Lisinopril Lipitor Calcium Glucosamine chondroitin Vitamin B

Current Illness: None

ID: 0989062
Sex: F
Age: 24
State: MO

Vax Date: 01/30/2021
Onset Date: 01/30/2021
Rec V Date: 01/31/2021
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 Fever of 103.6 started in the evening the night of the dose. The fever started at 101.1 at 8:30 and the.n increases as the night went on.

Other Meds: Multivitamin

Current Illness: None

ID: 0989063
Sex: F
Age: 71
State: FL

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 01/31/2021
Hospital:

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

Lab Data:

Allergies: Seasonal allergies handled usually without medication

Symptom List:

Symptoms: I had an adverse reaction approximately 35 minutes after my injection when I was driving home. I had numbness on the left side of my mouth and lips which came on very quickly. This numbness was identical to the feeling of Novocain injected for dental work, except it came on much faster. My cheek and left side of the throat were swollen. I was also chilled. The intense numbness lasted about 20 minutes. The swelling did not worsen. 12 hours later I had some numbness and swelling in the bottom left lip. The cheek and throat swelling were gone. 24 hours following the injection I had swelling in the left side of the bottom lip and numbness in the corner of the left lip only. 36 hours later all symptoms were gone.

Other Meds: Levothyroxine Atorvastatin Goli nutritional tabs Vitamin D3 Advil

Current Illness:

ID: 0989064
Sex: M
Age: 65
State: DC

Vax Date: 01/24/2021
Onset Date: 01/28/2021
Rec V Date: 01/31/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List:

Symptoms: Serious discomfort from elbow to shoulder on the 4th and 7th day after 2nd dose was given

Other Meds: Livalo,Allegra,Minocycline,Multaq, Repatha,Cialas, Synthroid,Xerelto, DHA, Coq10, vitamin D,C and iron

Current Illness: No

ID: 0989065
Sex: F
Age: 39
State: IN

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 01/31/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Headache , body aches , chills and mid grade fever

Other Meds: Vitamin D Farxiga Black elderberry Vitamin C Zinc Januvia

Current Illness: None

ID: 0989066
Sex: F
Age: 59
State: IN

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 01/31/2021
Hospital:

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

Lab Data:

Allergies: Nsaids, aspirin

Symptom List:

Symptoms: 102 fever, headache, bodyaches, chills

Other Meds: Synthroid, vitamin d, lisinopril

Current Illness: None

ID: 0989067
Sex: F
Age: 71
State: FL

Vax Date: 01/28/2021
Onset Date: 01/30/2021
Rec V Date: 01/31/2021
Hospital:

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

Lab Data:

Allergies: sulfa ,morphine,levofloxacin

Symptom List:

Symptoms: fever,shaking uncontrollably, headache and body aches on 1-29-2021 and 1-30-2021

Other Meds: clopidogrel,metoprolol,pantoprazole,resuvastatin,alprozolam,aspirin,tylenol pm,vit d,vit b,reg tylenol

Current Illness: none

ID: 0989068
Sex: F
Age: 78
State: SC

Vax Date: 12/23/2020
Onset Date: 12/23/2020
Rec V Date: 01/31/2021
Hospital:

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

Lab Data:

Allergies: poison ivy, oak

Symptom List:

Symptoms: Arm warm, red, swollen all the way down the arm, itchy in spots. Lasted 4 days.

Other Meds: Lisinopril, Artostatin, aspirin

Current Illness: no

ID: 0989069
Sex: F
Age: 23
State: DC

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 01/31/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Flu like symptoms from midnight following vaccine to midnight the next day. Fever (101 degrees F), chills, fatigue, muscle aches, sore throat

Other Meds: Adderall 10mg XR Allegra 180mg Vitamin B12 500mg

Current Illness:

ID: 0989070
Sex: F
Age: 65
State: FL

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 01/31/2021
Hospital:

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

Lab Data:

Allergies: Erythromycin

Symptom List:

Symptoms: Head ache, body aches, fever, chills, dizzy, red hot welt at injection site.

Other Meds: Pregavlin, Vitamin B12, Citalapram, Levothyroxine

Current Illness: None

ID: 0989071
Sex: F
Age: 48
State: GA

Vax Date: 01/23/2021
Onset Date: 01/28/2021
Rec V Date: 01/31/2021
Hospital:

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

Lab Data:

Allergies: Allergic/Sensitivity (hives) to all nuts, tomatoes, eggs

Symptom List:

Symptoms: Here is my timeline: 1st Moderna vaccine 12/26/20 Side Effects 12 hours later and last 48 hours - sore arm Rapid Antibodies (Finger Prick) Test 1/11/21 - Positive for IgG 2nd Moderna vaccine 1/23/21 Side Effects 14 hours later and lasted 36 hours - aches, pain, chills, headache PCR COVID Test 1/28/21 - 7:15 am (due to upcoming international travel) - Positive PCR COVID test Second PCR COVID Test 1/28/21 - 2:45 pm - Positive PCR COVID tes My question is how can I have a positive PCR test if I have the antibodies? Is this due to the second vaccine? Is the test picking up the protein derived antibody?

Other Meds: Vitamin D Benadryl

Current Illness: Here is my timeline: 1st Moderna vaccine 12/26/20 Side Effects 12 hours later and last 48 hours - sore arm Rapid Antibodies (Finger Prick) Test 1/11/21 - Positive for IgG 2nd Moderna vaccine 1/23/21 Side Effects 14 hours later and lasted 36 hours - aches, pain, chills, headache PCR COVID Test 1/28/21 - 7:15 am (due to upcoming international travel) - Positive PCR COVID test Second PCR COVID Test 1/28/21 - 2:45 pm - Positive PCR COVID tes My question is how can I have a positive PCR test if I have the antibodies? Is this due to the second vaccine? Is the test picking up the protein derived antibody?

ID: 0989072
Sex: F
Age: 55
State: PA

Vax Date: 01/17/2021
Onset Date: 01/25/2021
Rec V Date: 01/31/2021
Hospital:

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

Lab Data:

Allergies: seasonal allergies/ environmental no medication allergies

Symptom List:

Symptoms: 10 days after my vaccine, I started off with a small blister on my left pinky finger and was very itchy. 11 th day woke up ,having more blisters and hives like rash . on palms and top of hands, bottom and top of feet. elbow. No pain extremly itchy .No fevers. Notified employee health and screened if needing Covid test/ was denied because I had no other symptoms. seen by PCP, want really sure what was going on thinking a reaction to the vaccine or some kind of exzema. , did order triamincolone to areas. 12th day post: blisters worse a at nail beds and turning a deep red / purple color.again no fever and or pain. severe prutitis. rash now on outer bilateral hips ,abd and 3 on outer naries. None noted on moist mucosa or geniteal/ Called PCP again due to worsening and management.ordered Predisone 40 mg times 4 doses, along with benedryl 50 mg q 6 hrs. and was seen on day 13 with derm clinic seen by 3 other dermatologist, Have not seen this rash. feel pcovid vaccine reaction

Other Meds: baby asa 81 claritin 10 mg qd Bupropion 5 mg qd Citalopram XL atorvastin 20 mg qd

Current Illness: none

ID: 0989073
Sex: F
Age: 78
State: WI

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 01/31/2021
Hospital:

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

Lab Data:

Allergies: Sulfamethoxazole, Nitrofurantoin

Symptom List:

Symptoms: Extreme pain in jaw. Lump tmj and in throat. Swollen glands on left side. Sharp pain when swallowing and ear ache.

Other Meds: Nor ask, Avastin, budesonide, Symbicort, calcium +D3, Pepcid, flax seed oil, glucosamine Chondroit-vit c-my po, Indapamide, melatonin, Montelukast, multi- vitamin, Omega 3, Omeprazole, potassium chloride, Preservision AREDS, Tylenol arthrit

Current Illness:

ID: 0989074
Sex: F
Age: 71
State: IN

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 01/31/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: Chills, headache, body aches, pain at injection site, general feeling of malaise, sweats, loss of appetite. Took Tylenol with minimal results. Resolved after about 30 hours

Other Meds: Lamotrigine, toprol, levothyroxine, loratidine, stool softener, omeprazole, multivitamin, Calcium, preservision

Current Illness: None

ID: 0989075
Sex: F
Age: 58
State: CO

Vax Date: 12/18/2020
Onset Date: 12/19/2020
Rec V Date: 01/31/2021
Hospital:

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

Lab Data:

Allergies: Tramadol

Symptom List:

Symptoms: I cannot lift or barely move my right upper, arm since the vaccine I called the phone line and they told me to fill this report ou

Other Meds: Keppra Vimpat Levoxyl

Current Illness: Injured lower back

ID: 0989076
Sex: F
Age: 72
State: NC

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 01/31/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Nausea and dizziness starting around 24 hours after the injection, followed by chills and diarrhea. I took one imodium, but threw it up almost immediately. Took another one mid day and it stayed down and stopped the diarrhea. I vomited three times yesterday, but hadn't eaten anything to speak of. Drank only water. No fever until this morning, 48 hours after the injection, when I had a fever of 99.5, about 2 degrees more than usual. still nauseous and dizzy, but not as bad as yesterday. Have not thrown up nor have I had any bouts of diarrhea. I called my doctor, and she said it could be as long as three days, so I'm just sipping water and hoping for the best.

Other Meds: hydroclorothiazide, levothyroxine, omeprozole, senior multi vitamin, flax seed, calcium, magnesium, pravastatin

Current Illness: none

ID: 0989077
Sex: F
Age: 66
State: TX

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 01/31/2021
Hospital:

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

Lab Data:

Allergies: Coding, hydro codine, nickel,

Symptom List:

Symptoms: Swollen jaw and throat, difficulty swallowing, high blood pressure Treated with intravenous Benadryl on site Taken by ambulance to hospital where additional medication given Bloodwork, X-rays of lungs taken Monitored for 2 hrs and released to husband with epi-pen and prednisone prescription

Other Meds: Spiriva, advair 500/50,levithyroxine125, rosuvastatin, montelukast, valacyclovir, lotprednol etabonate eye drops, otc vit D3, C, zinc, calcium, llyzine, omega 3

Current Illness: Healthy at time of vaccine, Covid 19 tested positive Dec 9, neg Dec 21, had acute asthma attack with it requiring 4 weeks of prednisone

ID: 0989078
Sex: F
Age: 44
State: IN

Vax Date: 01/22/2021
Onset Date: 01/30/2021
Rec V Date: 01/31/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Site of injection red swollen day 8 after administration of first vaccine

Other Meds: Wellbutrin

Current Illness: None

ID: 0989079
Sex: F
Age: 34
State: IL

Vax Date: 01/19/2021
Onset Date: 01/27/2021
Rec V Date: 01/31/2021
Hospital:

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

Lab Data:

Allergies: Fake jewelry, grass, latex

Symptom List:

Symptoms: Moderna COVID?19 Vaccine 8 Days after the shot, I developed a red, itchy bump near the injection site. It was about as big as a quarter. The bump has gone down in size as the days progress, however the red rash remains and grows in size daily. It is a circular rash near the injection site, and I have also developed several additional red, splotchy rashes on my bicep.

Other Meds: Spironolactone 50mg Levonor-E Estrad

Current Illness: None.

ID: 0989080
Sex: M
Age: 78
State: AR

Vax Date: 01/21/2021
Onset Date: 01/30/2021
Rec V Date: 01/31/2021
Hospital:

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

Lab Data:

Allergies: imuren

Symptom List:

Symptoms: dizzy scrambled vision when turning over in bed early morning little unstable when i get up but stops shortly after i get up has happened 2 days in row

Other Meds:

Current Illness:

ID: 0989081
Sex: F
Age: 69
State: PA

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 01/31/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: Arm ache, chills, fever (100.3), fatigue, slight headache. Took Tylenol extra about every 6 hrs through night and next morning. Fever broke next morning. Other symptoms subsided, by afternoon gone except headache, described as sinus headache. Took Tylenol sinus and headache. by evening headache gone.

Other Meds: Extra Sth Tylenol, Allegra 180mg, Lisinopril 10mg, Metoprolol 50mg, Amlodipine 5mg, Simvastatin, 20mg

Current Illness: none

ID: 0989082
Sex: F
Age: 34
State: IN

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 01/31/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Muscle weakness, tachycardia 120?s resting , fever, extremely tired, freezing cold to the bone, headache, just zero energy felt horrible , slept 11 hours Still feel weak and now dizzy, heart rate low 100?s testing . Red hot swollen arm. That happened with the first shot. Very sore arm

Other Meds: Fish oil, cardio plus, folic acid, prenatal, chaste tree, metoprolol, phentramine, ovex, hypothalamus plus , sulfasalazine

Current Illness:

ID: 0989083
Sex: F
Age: 67
State: WI

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 01/31/2021
Hospital:

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

Lab Data:

Allergies: tramodol

Symptom List:

Symptoms: redness that is warm to the touch at injection sight. Redness is getting bigger by the day. Should I be concerned????????????

Other Meds: Lisinipril, iron, allopurinol

Current Illness: NA

ID: 0989084
Sex: F
Age: 67
State: IA

Vax Date: 01/13/2021
Onset Date: 01/22/2021
Rec V Date: 01/31/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: 9 days after first injection, 5 inch diameter circle of redness, heat, rash, itching, edema. This was similar to the sensation of gettting stung by a couple bees. This was followed by nausea and chills. The intensity lasted 2 hours.and the arm site was irritated for a couple days.

Other Meds: Synthroid, Tylenol and Advil

Current Illness: none

ID: 0989085
Sex: F
Age: 53
State: MI

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/31/2021
Hospital:

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

Lab Data:

Allergies: Cephalosporin PCN

Symptom List:

Symptoms: Injection site red, hot, itchy, swollen, swelling about the size of a golf ball, area of redness, and itchy area about the size of a grapefruit, Used Ice, Tylenol, antihistamines and H2 blocker to treat. Resolved about day 10. I did feel the injection site was a bit low and also provider did not hold injection in arm after injecting, small amount of serum noted to leak out of injection site. ? SQ involvement vs deltoid muscle.

Other Meds: Hazard Norvasc? Probiotic Colace Ventolin

Current Illness: None

ID: 0989086
Sex: F
Age: 62
State: GA

Vax Date: 01/26/2021
Onset Date: 01/29/2021
Rec V Date: 01/31/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Early afternoon - Tiredness- 7-8 pm Fever of 99; Muscle/joint aches/pains; Upset stomach; stuff nose Later in evening - hives Next morning - swollen lip on left side (had derm filler on 1/21/2021) Took Tylenol and Benadryl

Other Meds: Levothyroxine Amlodipine Clarinex

Current Illness: None

ID: 0989087
Sex: F
Age: 71
State: FL

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 01/31/2021
Hospital:

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

Lab Data:

Allergies: Sulpha drugs

Symptom List:

Symptoms: Very fluish- aches, pains, very bad headache, couldn't get out of bed for 36 hours. After 48 hours I am just very tired and having sporadic shooting pains in my head.

Other Meds: Metroprolol Lisinopril Raloxifene Hydrochloride

Current Illness: None

ID: 0989088
Sex: U
Age:
State: OH

Vax Date:
Onset Date:
Rec V Date: 01/31/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: approx 2-3 days post vaccine, started having diarrhea and rhinorrhea. The developed some abd pain (different than his usual pain). Followed by frequent vomiting leading to his emergency department visit today.

Other Meds:

Current Illness:

ID: 0989089
Sex: F
Age: 66
State: OR

Vax Date: 01/15/2021
Onset Date: 01/21/2021
Rec V Date: 01/31/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Moderate to severe swelling with rash. Swelling is down but rash continues and is effecting upper arm, neck and face.

Other Meds: CBD, B complex, biotin

Current Illness: Dental work=fillings

ID: 0989090
Sex: F
Age: 78
State: LA

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 01/31/2021
Hospital:

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

Lab Data:

Allergies: gluten, sulfur, compazine, prochlorperazine, ibuprofen

Symptom List:

Symptoms: Patient in clinic for 2nd dose of covid vaccine. Within 8 minutes of receiving her injection, pt developed a rash on both arms; pt states both arms are itch and her throat felt as if it were closing. Rapid response called and patient was given Epinephrine per anaphylaxis protocol by LPN at 4:26pm. BP-146/98 p88 R17 Rapid response team arrived at 427pm. 429pm: Assessment: patient stable but felt no improvement in her throat. Pt was transported to ED for assessment.

Other Meds: calcium, citalopram, fexofenadine, losartan/hctz, MVI, pantoprazole, temazepam

Current Illness:

ID: 0989091
Sex: F
Age: 50
State: IN

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 01/31/2021
Hospital:

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

Lab Data:

Allergies: Allergic to dilaudid-causes hives

Symptom List:

Symptoms: Woke up at 3 am with body aches-got up to take ibuprofen. When I was heading back to bed, my husband heard a loud thud and found me laying on the floor beside the bed, passed out. He rushed over to me and called my name several times before I became conscious. He estimates it was a span of about 30 seconds. When I awoke, I immediately began to cold sweat and dry heave several times. Then I became cold and was shivering. My husband then transported me to the hospital emergency room. I received a cardiac test, which they said was good. I also received intravenous fluids and medication to treat pain and nausea. They drew labs which they said looked normal and did an X-ray my right shoulder because I struck my head and shoulder on a night stand when I passed out. They released me about an hour later after having me stand and walk to ensure my blood pressure did not drop, causing me to feel faint again. They sent me home with a prescription for Zofran to help with any further nausea, advised me to take ibuprofen for head and shoulder pain and body aches and advised rest. They also said to return if any other incidents occur and to follow up with my family doctor if symptoms persist.

Other Meds: Zoloft 100 mg daily, Claritin 10 mg daily, Synthroid 0.025 mg daily

Current Illness: None

ID: 0989092
Sex: F
Age: 52
State: NY

Vax Date: 01/22/2021
Onset Date: 01/29/2021
Rec V Date: 01/31/2021
Hospital:

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

Lab Data:

Allergies: Plaquenil, Demerol, penicillin

Symptom List:

Symptoms: localized erythemaa, tenderness, swelling that has progressed over the past 3 days currently approximately 4 x 5 cm. Patient denies fever, chills, sweats. There is no lymphangitis or lymphadenitis noted.

Other Meds: Albuterol HFA 0.09 mg per one inhaler, ASA 81 mg, buspirone 5 mg, guaifenesin-pseudoephedrine 600/60 mg, Norco 5/325, ibuprofen 400, L lysine 500 mg, mag delay 106-186.5-64 mg, potassium citrate 10 milliequivalents oral, promethazine/codein

Current Illness: none

ID: 0989093
Sex: M
Age: 30
State: IN

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 01/31/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Fever for 48 hours, body aches, headaches, chills

Other Meds: None

Current Illness: None

ID: 0989094
Sex: F
Age: 57
State: PR

Vax Date: 01/25/2021
Onset Date: 01/30/2021
Rec V Date: 01/31/2021
Hospital:

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

Lab Data:

Allergies: I have allergies to some foods, and environmental issues, am currently being evaluated by allergist who put me in several meds for 1 month.

Symptom List:

Symptoms: Arm area is red, hot and rash spread through arm about 5 inches around area. Burning sensation.

Other Meds: Breo 100mg Janumet 50/1,000mg Synthroid .112mg Caduet 5/20 mg Singular 10 mg Maxide 25 mg Atarax 25 mg Protonix Lorraine 10 mg Famotidine 10 mg Esteoven

Current Illness: I had Covid in July. Been under xare of neurologist for asthma related issues, been on Breo since. Thyroiditis Hashimotos- Hypotyroidea Migraine Allergies

ID: 0989095
Sex: F
Age: 29
State: DE

Vax Date: 01/16/2021
Onset Date: 01/16/2021
Rec V Date: 01/31/2021
Hospital:

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

Lab Data:

Allergies: Allergy to seafood

Symptom List:

Symptoms: I got a severe headache that lasts about 2 days after I got vaccinated. I also have on and off fever (about 100.1 Fahrenheit) for 2 days.

Other Meds: None

Current Illness: None

ID: 0989096
Sex: M
Age: 80
State: IN

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 01/31/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Severe headache, nausea, and extremely tired

Other Meds: Furosemide, Glimepiride,Amodipine Besylate , Pregabalin, Atorvastatin, Tamsulosin Hcl, Calcium 600+D, and Omeprazole.

Current Illness: None

ID: 0989097
Sex: F
Age: 69
State: IL

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 01/31/2021
Hospital:

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

Lab Data:

Allergies: n/a

Symptom List:

Symptoms: Patient informed that her imz had been done in wrong area, possibly lower than deltoid

Other Meds: n/a

Current Illness: n/a

ID: 0989098
Sex: F
Age: 45
State: MI

Vax Date: 01/23/2021
Onset Date: 01/30/2021
Rec V Date: 01/31/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: 1 week ago yesterday I had first dose of Moderma. No huge side effects, but a screaming stiff neck that sent me to the chiropractor. This morning, I woke up and my neck feels 99% better, but my injection site is red, hot, painful and swollen. My arm feels and looks like a stuffed sausage. Is this normal or should I be concerned?

Other Meds: None

Current Illness: None

ID: 0989099
Sex: F
Age: 65
State: FL

Vax Date: 01/21/2021
Onset Date: 01/29/2021
Rec V Date: 01/31/2021
Hospital:

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

Lab Data:

Allergies: n/a

Symptom List:

Symptoms: Moderna Covid-19 Vaccine EUA I week after vaccine a very large itchy rash on left shoulder around vaccine site. has lasted two days so far

Other Meds: synthroid turmeric probiotic Vit B12 Vit D&k

Current Illness: n/a

ID: 0989100
Sex: M
Age: 56
State: CT

Vax Date: 01/12/2021
Onset Date: 01/28/2021
Rec V Date: 01/31/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Severe chest pain, difficulty breathing Hospitalized for 24 hours EKG, troponin, ddimer, stress test, CT scan

Other Meds: Lisinopril

Current Illness: None

ID: 0989101
Sex: F
Age: 59
State: MO

Vax Date: 01/01/2021
Onset Date: 01/29/2021
Rec V Date: 01/31/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: 12 Hours after injection, major body aches lasting 12 hours, severe chills lasting 2 hours, low grade fever lasting 6-8 hours, mild headache lasting 6-8 hours. Felt better 12-14 hours after initial symptoms

Other Meds: estrogen, progesterone, testosterone, dhea

Current Illness: none

ID: 0989102
Sex: F
Age: 74
State: PA

Vax Date: 01/16/2021
Onset Date: 01/31/2021
Rec V Date: 01/31/2021
Hospital:

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

Lab Data:

Allergies: Floxin

Symptom List:

Symptoms: red elevated, itchy rash with pronounced circular patches, sudden appearance predominantly on left arm and small area on right arm applied cortisone cream to area and took 10mg tablet of Cetirizine rash calmed within about 45 minutes

Other Meds: Lisinopril Synthroid Timolol Travatan Vagifem Multivit, Vit D

Current Illness: None

ID: 0989103
Sex: F
Age: 34
State: IL

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 01/31/2021
Hospital:

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

Lab Data:

Allergies: Codeine Dental temporary cement ingredients

Symptom List:

Symptoms: Swollen injection site Swollen arm Largely Swollen lymph nodes Headache Dizziness Inability to lift arm for more than 2 minutes Intense pain to touch Axillary pain

Other Meds: Gabapentin Hydrocodone Sertraline Clonazepam Ashlyna Zanaflex

Current Illness: N/A

ID: 0989104
Sex: F
Age: 65
State: GA

Vax Date: 01/20/2021
Onset Date: 01/28/2021
Rec V Date: 01/31/2021
Hospital:

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

Lab Data:

Allergies: Codeine, and Zegerid

Symptom List:

Symptoms: 8 days after the injection, I started feeling a slight itch at the injection site. Then 2 small red dots appeared and over the last couple of days, the 2 red dots have swelled to about a 2 inch rectangle across the top of my arm. The whelp is slightly warm but not hot. I have taken benedryl at night for 2 nights and used Sarna on the whelp. It keeps spreading and not going away.

Other Meds: Vitamin C and D and zinc and a probiotic

Current Illness: none

ID: 0989105
Sex: F
Age: 45
State: NY

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 01/31/2021
Hospital:

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

Lab Data:

Allergies: lortab macrobid and eess doxycycline many antidepressants

Symptom List:

Symptoms: fever 102.6 on 1/28/21 with a slight rash on my chest that i thought was related to the fever slept almost 16 hours fever 101 on 1/29 with worsening of rash to include the whole torso was red and hot and extremely itchy started pepcid and benadryl slept 14 hours 1/30/21 rash subsided whole torso has fine rash on it but not as red or as itchy continued bendaryl exhausted 1/31/21 still feeling overall exhausted , like walking with a lead apron on

Other Meds: MVI Plaquenil Cytomel Mobic

Current Illness: none

ID: 0989106
Sex: F
Age: 32
State: KS

Vax Date: 12/30/2020
Onset Date: 01/15/2021
Rec V Date: 01/31/2021
Hospital:

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

Lab Data:

Allergies: latex, kiwi

Symptom List:

Symptoms: Developed shingles within 2.5 week of injection (haven't had shingles since I was 5), rash on chest (3 weeks after shot) Moderna COVID?19 Vaccine EUA

Other Meds: n/a

Current Illness: n/a

ID: 0989107
Sex: F
Age: 70
State: IN

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 01/31/2021
Hospital:

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

Lab Data:

Allergies: Seasonal allergy to spring pollen (trees i think)

Symptom List:

Symptoms: 12:25 Slight dizziness with an overall hot feeling for @12min, then 2 hours later chills and slight feverish feeling slight nausea,, which lasted ...then just turned into flu like feeling...insomnia with body feeling slightly jittery till 4am ,took nighttime cold tablet. Flu like symptoms till 31st am.

Other Meds: Ritalin (ongoing dose for 25 years)

Current Illness: none

ID: 0989108
Sex: F
Age: 47
State: NC

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 01/31/2021
Hospital:

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

Lab Data:

Allergies: codeine, erythromycin, vicodin

Symptom List:

Symptoms: 01/27 chills, 101.3 fever, body aches, tachycardia 01/29 rash on back, torso and neck, itching

Other Meds: temazepam, methocarbamol 100mg, clindamycin 75mg

Current Illness: tooth abscess (clindamycin)

Total 2021 VAERS Injuries: 396,892

Page last modified: 03 October 2021 5:28pm