VAERS 2021 Database www.vaers.hhs.gov

Main Page | All 2021 Deaths | Videos
VAERS Updated: 10/01/2021
** VAERS DATABASE Last updated: October 1, 2021**
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Manufacturers

Total Manufacturer

Incidents per State

State Total
92,076
AK1,880
AL6,345
AR4,151
AS46
AZ14,991
CA66,887
CO12,550
CT8,943
DC1,795
DE2,009
FL42,724
FM4
GA17,031
GU124
HI2,580
IA4,919
ID2,892
IL22,128
IN24,197
KS5,047
KY9,111
LA5,500
MA15,718
MD13,434
ME3,351
MH8
MI20,971
MN13,585
MO10,747
MP30
MS3,198
MT2,477
NC18,051
ND1,501
NE3,109
NH3,218
NJ20,216
NM4,218
NV4,728
NY37,667
OH20,793
OK6,692
OR9,244
PA25,607
PR2,588
QM2
RI2,163
SC7,261
SD1,282
TN10,445
TX39,890
UT4,618
VA15,980
VI67
VT1,830
WA16,071
WI12,042
WV2,571
WY926
XB5
XL1
XV2

ID: 0991041
Sex: F
Age: 65
State: MI

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies: No Known Allergies

Symptom List: Dysphagia, Epiglottitis

Symptoms: She generalized complaints of not feeling well, and fatigue

Other Meds: Atorvastatin 20mg daily; Docusate Sodium Capsule 100mg daily;

Current Illness: none

ID: 0991042
Sex: F
Age: 30
State: MI

Vax Date: 01/30/2021
Onset Date: 01/30/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List: Anxiety, Dyspnoea

Symptoms: Swollen injection site, severe body aches, and a headache. Lasted from Saturday night at about 6pm and ended the morning of 2/1/21 for the severe body aches, headache is still active. Injection site is still swollen and warm to touch.

Other Meds: N/A

Current Illness: N/A

ID: 0991043
Sex: F
Age: 60
State: MO

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Injection site soreness, low grade fever, extreme fatigue and body aches, headache, mild congestion

Other Meds:

Current Illness:

ID: 0991044
Sex: F
Age: 68
State: SC

Vax Date: 01/30/2021
Onset Date: 01/31/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies: Peniciliins

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: new onset confusion, fever, diarrhea

Other Meds: Lumigan eye drops, Divaloproex,Vitamin b12, acetaminophen,levothyroxine,remeron

Current Illness: N/A

ID: 0991045
Sex: M
Age: 30
State: OH

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Fever, chills, muscle cramps, fatigue; lasted until ~ 12:30 pm. that day.

Other Meds:

Current Illness:

ID: 0991046
Sex: M
Age: 37
State: IN

Vax Date: 12/19/2020
Onset Date: 12/26/2020
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Had to visit the doctor about a week later with strep throat symptoms but strep test was negative. Symptoms continued a few days and was prescribed antibiotics.

Other Meds: None

Current Illness: None

ID: 0991047
Sex: F
Age: 27
State: AR

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies: unknown

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: chills, fever, body aches

Other Meds: unknown

Current Illness: unknown

ID: 0991048
Sex: F
Age: 31
State: KS

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pharyngeal swelling

Symptoms: Site: Itching at Injection Site-Medium; symptoms lasted 1 day

Other Meds:

Current Illness:

ID: 0991049
Sex: F
Age: 36
State: KY

Vax Date: 01/21/2021
Onset Date: 01/31/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Redness and inflammation at the injection site that was previously not apparent until day 10 after vaccine. Weakness/numbness in left arm. Reoccurrence of soreness and itching.

Other Meds: Crestor Multivitamin

Current Illness: N/A

ID: 0991050
Sex: F
Age: 75
State: CT

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Low grade fever (99.6); nausea; headache; diarrhea

Other Meds: Synthroid 100

Current Illness:

ID: 0991051
Sex: F
Age: 20
State:

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Recipient reported having itching, rash/hives all over body and swelling in hands feet and tonsils. This began about 45 mins after receiving vaccine and progressively got worse throughout the day. She reported it to her primary health care physician and myself. She took Benadryl same day and said she felt better the following day.

Other Meds:

Current Illness:

ID: 0991052
Sex: M
Age: 32
State: KS

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies: Penecillin

Symptom List: Rash, Urticaria

Symptoms: Fever, Chills, Headache, Vomitin

Other Meds: None

Current Illness: None

ID: 0991053
Sex: F
Age: 47
State: IL

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies: Lovenox SUB Q Heparin SUB Q

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

Symptoms: After sitting for 20 minutes I went to get up and felt dizzy, light headed and almost passed out. BP was slightly elevated and slight nausea. I felt a little ?foggy? I went home and went to bed , I woke up at 3am with a severe headache and nothing helped it. It felt like a jackhammer was pounding in my head. I felt very fatigued the next day. The headache lasted about 16 hours. I woke up 1/7/21 feeling better.

Other Meds: Tylenol PRN Excedrine PRN

Current Illness: I had been having dry cough for 3 months prior, negative covid test

ID: 0991054
Sex: F
Age: 38
State: OH

Vax Date: 01/26/2021
Onset Date: 01/28/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: At least 5 inch reddened area where shot was given, also swelled & warm to touch: Face flushed, low grade temp 100.5, headache, fatigue, sweating

Other Meds: levothyroxide, venla faxine

Current Illness: None

ID: 0991055
Sex: F
Age: 52
State: OH

Vax Date: 01/22/2021
Onset Date: 01/25/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies: Sulfa Amoxicillin

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

Symptoms: Viral rash on legs and arms, starting to clear after one week.

Other Meds: Atorvastatin 10mg Claritin D 240mg/10mg (cvs brand) Fish oils 1200 mg (members mark) Cranberry supplement 500mg (members mark) Vitamin d-3 200 IU (members mark)

Current Illness: None

ID: 0991056
Sex: F
Age: 35
State: MI

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies: NKDA

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

Symptoms: Received first dose of Pfizer covid vaccine yesterday, 1/28. Dose given at 1:48pm. She was in the observation room for 5 minutes when she developed itching on hands and then noticed hands were red, spread to arms, then chest and neck started itching. Took vitals, blood pressure was high, she attributes to anxiety, acknowledges that she was nervous about getting vaccine. Then within 10 minutes from vaccination started getting hives and throat started feeling swollen and difficult to swallow. They gave her epipen - after receiving epi she was able to swallow within 5 minutes, hives and rash were gone but still somewhat itchy. Was sent to ER - was given steroids - symptoms resolved. Today she is feeling normal. She has never had a reaction like this before. Only known allergy is to cats. Never had allergic reaction or previous immunizations or medications. Started Wellbutrin 2 weeks ago but has been on this med before, not new. This is a 35-year-old female presents for an allergic reaction after receiving her 1st coronavirus vaccination. She was given IM epinephrine EN route. On my exam she appears in no acute distress. Blood pressures are stable. She is not tachycardic. She has normal O2 saturations. She states she still having some itchiness to the arms and behind her ears. She states her throat still feels little scratchy but is not having go difficult time breathing. Denies associated chest tightness or shortness of breath. Denies any abdominal pain, nausea vomiting. Denies any prior allergic reactions to other vaccines are medications. Her face does appear to be a bit flushed. She was given IV Solu-Medrol, IV Benadryl and IV Pepcid. She was observed for 2 hours and has significant improvement of her symptoms. Given a she was discharged home with instructions to use Benadryl as needed for any other allergic symptoms. She is instructed to return for increasing shortness of breath or throat tightness. She is agreeable this plan and discharged home.

Other Meds: buPROPion XL; ciclopirox solution; escitalopram; hydrOXYzine; propranolol; albuterol HFA; etonogestrel implant; lisdexamfetamine; metFORMIN; OXcarbazepine

Current Illness: anxiety, depression, bipolar; nexplanon implant removal 1 week prior

ID: 0991057
Sex: F
Age: 19
State: IN

Vax Date: 01/30/2021
Onset Date: 01/30/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies: Codeine and penicillin

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

Symptoms: After the first dose of Moderna on 1/2/21, i experienced extreme fatigue and nauseousness, migraine, and tenderness in my left arm. Almost immediately after receiving the second does of Moderna on 1/30/21, i experienced extreme dizziness, headache, nauseousness, chills and whole body shakes.

Other Meds:

Current Illness:

ID: 0991058
Sex: F
Age: 34
State:

Vax Date: 01/07/2021
Onset Date: 01/14/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Injection site red irritated 1 week later

Other Meds:

Current Illness:

ID: 0991059
Sex: F
Age: 26
State:

Vax Date: 01/31/2021
Onset Date: 01/31/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Received her second Moderna vaccine dosage at 3:45pm today. At 3:55pm she felt flush and tachycardic, with a dry throat and tingling lips. She is unsure if this is anxiety from vaccination or a reaction. She prophylactically took ibuprofen prior to coming in for her vaccine. No history of anaphylaxis. No history of SARS-COV-2. We called for review instructing to provide 10mg cetirizine (given at 4:02pm). Dose #1 she had experienced low grade fever, myalgias (mild) Her vital signs at 3:55pm BP 145/82; HR 113; SpO2 100%; T 98 F She appears mildly flush on her face and ears. No hives or rash. No SOB, CP, N/V/D; Vitals at 4:06 after cetirizine BP 129/85 HR 100 SpO2 100% Advised to take a second antihistamine if allergies continue when she gets home.

Other Meds:

Current Illness:

Date Died: 01/31/2021

ID: 0991060
Sex: M
Age: 88
State: PA

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 02/01/2021
Hospital: Y

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

Lab Data:

Allergies: NKA

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

Symptoms: Fever 101.1, unresponsive episode. Transferred to Hospital on 1/28. Diagnosis there was anemia and CHF, aware that he had vaccine day prior. Transfused with 2 units pRBC's. Transferred back to Nursing Home on 1/30 and passed away 0140 1/31/2021

Other Meds: Lisinopril 10mg daily, Lasix 40 mg daily, Simvastatin 40 mg daily, Senna 8.6/50mg twice daily, Namenda XR 28mg daily, Protonix 40mg daily, ASA 81 mg daily, Potassium Chloride ER 10 meq daily, Amiodarone 100mg daily, metoprolol 25 mg daily.

Current Illness: Dementia, heart failure, paroxysmal atrial fib.. BHP, HTN, thorasic aortic aneurysm, polyosteoarthritis, history of falls, anemia

ID: 0991061
Sex: F
Age: 57
State: AR

Vax Date: 01/05/2021
Onset Date: 01/14/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies: NONE

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

Symptoms: PFIZER-BIONTECH COVID-19 VACCINE EUA COUGHING, RUNNY NOSE, CONGESTION, BODY ACHES MILD HA & NAUSEA

Other Meds: ASA, ZINC, VIT C WITH ROSEHIP, VIT D3

Current Illness: NONE

ID: 0991062
Sex: F
Age: 36
State: ND

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies: Codeine

Symptom List: Unevaluable event

Symptoms: Day 1: Headache, mild fever, chills, severe body aches, tired, sweats, and nausea. Fevered welt at the sight of injection. Symptoms were present the following day after injection. Day 2 after injection most symptoms have resolved mild episodes of sweats, stiffness, and continued fevered welt by injection sight. Day 3 same symptoms as Day 2 but less body stiffness and more energy.

Other Meds: Birth Control, Multi Vitamin

Current Illness: None

ID: 0991063
Sex: F
Age: 61
State: IN

Vax Date: 01/30/2021
Onset Date: 01/30/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies: PCN

Symptom List: Chills, Dizziness, Injection site pain, Myalgia, Pyrexia

Symptoms: Extreme fatigue, achy

Other Meds: Dicoflanac 75mg bid Tylenol 650mg tid Nexium 40mg bid

Current Illness: None

ID: 0991064
Sex: F
Age: 46
State: GA

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Pain

Symptoms: Complaints of itching neck, scalp, no rash. Denies shortness of breath, chest pain, difficulty breathing. Vital Signs : blood pressure 136/90, pulse 86, oxygen saturation 100% on room air.

Other Meds:

Current Illness:

ID: 0991065
Sex: M
Age: 65
State: FL

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Injection site pain, Menorrhagia

Symptoms: Shortly after vaccine I got ear pain and then broke out in shingles.

Other Meds: Atorvastatin,Losartan /hctz,Pantoprazole,Carvedilol,Amolodipine Bestlate,.81 asprin,,B-12 ,Cinnamon 1000 mg.

Current Illness: none

ID: 0991066
Sex: F
Age: 28
State: NY

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies: Amoxil and Bactrim

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

Symptoms: felt very dizzy, out of it, couldn't think straight and couldn't focus for 15 minutes. Then developed dry mouth and tachycardia about 20 minutes after shot. Took water. Had BP check 140/85 ish. She felt like she couldn't breath. Patient was wheelchaired to the ER.

Other Meds: Viivryd 10mg daily, ASA81mg daily, Fish oil tablet daily, Vit B12 1000IU daily, Mirena IUD in place.

Current Illness: recurrent sinus infection- took cipro - finished about 1/5/21 then given Zithromax finished 1/22/21.

ID: 0991067
Sex: M
Age: 35
State: CT

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies: PCN, Sulfa, Neomycin

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: 0 hours: Injection (~3 PM) +6 hours: Malaise, +7 hours: Chills, slight fever +8 hours: Chills, fever, nausea, vertigo +12 hours: Fever, awake every 60 mins from chills, headache +18 hours: Fever, chills, nausea, los s of appetite, migraine, fatigue + 24 hours: Fever broken, headache, fatigue, vertigo on movement + 30 hours: Malaise, mild headache, fatigue +36 hours: Malaise, mild headache, fatigue +48 hours: Slight malaise, Headache +54 hours: Baseline

Other Meds: Multi-vitamin, Keppra, Lamictal, Flonase spray, Dupixent injection

Current Illness: N/A

ID: 0991068
Sex: M
Age: 75
State: AZ

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Somewhat tired.

Other Meds:

Current Illness:

ID: 0991069
Sex: F
Age: 41
State: PA

Vax Date: 01/30/2021
Onset Date: 01/30/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies: Compazine

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

Symptoms: Two hours post injection, developed numbness, tingling, extreme cold in hands and feet with fatigue. Slept for 3 hours, awoke feeling better. 14 hours post injection developed severe body aches, chills, fever, numbness in hands and feet, severe abdominal pain and cramping, and a rash on arms and abdomen.

Other Meds: Fiasp Insulin, Synthroid, Vitamin D, Multivitamins

Current Illness:

ID: 0991070
Sex: M
Age: 65
State: NY

Vax Date: 01/21/2021
Onset Date: 01/29/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Nausea

Symptoms: Chills. Joint pain. Weakness. Pain in eyes, skin, difficulty walking.

Other Meds: Losartin Advil Tylenol aspirin

Current Illness: None

ID: 0991071
Sex: F
Age: 37
State: PA

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies: gluten, ceftin, latex, codeine, asa

Symptom List: Injection site pain

Symptoms: Systemic: Headache-Mild, Systemic: Other- Increased blood pressure, lightheadedness

Other Meds:

Current Illness:

ID: 0991072
Sex: M
Age: 63
State: VI

Vax Date: 01/21/2021
Onset Date: 01/28/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies: PENICILLIN

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

Symptoms: 7 days after injection patient admit upper (L) arm started itching and 8 day after injection arm swollen at injection site and arm upper became red and increased warmth. Initial visit today 1/29/2021

Other Meds: Eat well, no junk food

Current Illness: Hypertension tx with Accupril 170/78

ID: 0991073
Sex: F
Age: 52
State: NY

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies: Latex Pcn honey

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

Symptoms: Injected at 12:04pm within an hour felt tired. 2 hours a fever of 101.3 and so tired had to leave work and go to bed. Within 4 hours after injection severe headache body aches and fever. These symptoms continued for 3 days. Today is day 4 with mild headache and nausea. Have taken Tylenol every 4 hours with occasional relief.

Other Meds: Pristiqic and levothyroxine

Current Illness: None

ID: 0991074
Sex: F
Age: 39
State: OH

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies: PCN, ceftin, Zoloft

Symptom List: Tremor

Symptoms: "Right after the vaccine I had a tingling feeling in my finger tips" hasn't gotten worse. Still there a little bit." 8:15 PM SpO2 99%, HR 66, BP 125/86

Other Meds: Lovethyroxine

Current Illness: None

ID: 0991075
Sex: U
Age: 70
State: CO

Vax Date: 01/08/2021
Onset Date: 01/14/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Erythema, Pruritus

Symptoms: Injection site red irritated 1 week later

Other Meds:

Current Illness:

ID: 0991076
Sex: F
Age: 49
State: FL

Vax Date: 01/24/2021
Onset Date: 01/27/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies: Amoxicillin

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

Symptoms: 1/27/2021 around 8:00pm noticed left side of nose was stuffed up 1/28/2021 around 3:30pm started having pressure in sinus area of face 1/29/2021 continued with pain and pressure at sinus area as well as clear runny nose - took Sudafed PE beginning at 2:00pm and had relief. Took another dose of Sudafed PE at 6:00pm and again at 10:00pm 1/30/2021 felt fine all day until around 7:00pm and felt pressure again in sinuses, took Sudafed PE 1/31/2021 felt fine most of the day and did not take any Sudafed PE 2/1/2021 woke up to a runny nose and frequent sneezing but no sinus pain or pressure

Other Meds: Venlafaxine 150mg

Current Illness: None

ID: 0991077
Sex: F
Age: 38
State: IN

Vax Date: 01/23/2021
Onset Date: 01/31/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies: Bactrim Regulan

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

Symptoms: Right arm welt, red and itchy presented 8 days after injection with associated arm numbness and stiffness as well as radiating pain into neck

Other Meds: Probiotics Pepcid Levothyroxine Liothyronine Tylenol

Current Illness: None

ID: 0991078
Sex: F
Age: 26
State: AZ

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Body aches Arm Soreness Headache Stuffiness/Congestion

Other Meds: Iron Supplement Birth Control

Current Illness: N/A

ID: 0991079
Sex: F
Age: 54
State: IN

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

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

Symptoms: Chills, body aches, headache

Other Meds: Thyroid

Current Illness:

Date Died: 01/06/2021

ID: 0991080
Sex: M
Age: 69
State: MA

Vax Date: 12/28/2020
Onset Date: 01/06/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies: Unknown

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

Symptoms: Patient sudden death reported by family. No further details available at this time.

Other Meds: Unknown

Current Illness: Unknown

ID: 0991081
Sex: F
Age: 64
State:

Vax Date: 01/31/2021
Onset Date: 01/31/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pain in extremity

Symptoms: Approx. 10 minutes after receiving vaccine, pt. reported an "itchy throat", following another 10 minutes, approx. of "funny feeling in her throat". Then MD was paged in allergy, she talked with pt. and RN on speaker phone to assess patient. Two sets of vitals were taken, and pt. was administered another Zyrtec 10 mg. was given p.o. Pt. entire time was able to drink water and swallow. Pt. accompanied with a family member who can drive her home. Pt. stayed approx. 45 min, until all symptoms resolved. Other nurses in clinic made aware. MD instructed pt. that she would be contacted by allergy for further follow up prior to her second appointment for dose 2, and that patient was ok to come in for dose two. Pt. had epi pen with her at al times in her purse.

Other Meds:

Current Illness:

ID: 0991082
Sex: F
Age: 55
State: NY

Vax Date: 01/26/2021
Onset Date: 01/28/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies: NKDA

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

Symptoms: Patient had first injection on 12/30/20. Patient states she had a little rash on neck that wentaway. After second injection rash got worse. Second injection was on 1/26/21. Patient reports injection site is also swollen and warm in a 3 inch area on 1/28/21

Other Meds: albuterol sulfate; amlodipine; Anbesol; atorvastatin; bisacodyl; clotrimazole; ferrous sulfate; levothyroxine; Medrol (Pak); montelukast; nystatin; Nystop; omeprazole; Patanol; Pazeo; PreviDent Plus; propranolol; senna; sertraline; Systane;

Current Illness: 0

ID: 0991083
Sex: F
Age: 59
State: IL

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: INJECTION SIGHT 3 1/2 INCHES WIDE X 3 INCHES HEIGHT.....INDURATION. FEVER 102 , FOR 2 DAYS..NAUSEA 3 DAYS. TODAY FEBRUARY 1ST 2021 INJECTION SIGHT STILL RED, INDURATED AREA IS STILL THE SAME SIZE BUT REDNESS IS FADING.

Other Meds: Amlodipine HP meds, vitamin D3 1000 IU, Multivitamin Women 50+

Current Illness: none

ID: 0991084
Sex: F
Age: 67
State: IN

Vax Date: 01/18/2021
Onset Date: 01/29/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies: dust, ragweed, feathers

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

Symptoms: day 13, 14, 15 mild headache, feel like early onset of head cold: low energy, heavy chest; constipated with only small soft BM after product use; self care

Other Meds: Miralax, Paroxotine, one-a-day women's multiple vitamin

Current Illness: none

ID: 0991085
Sex: F
Age: 43
State: VA

Vax Date: 01/30/2021
Onset Date: 01/31/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies: aleve

Symptom List: Vomiting

Symptoms: severe headache, body aches, fever, sore and warm arm

Other Meds: tylenol

Current Illness: none

ID: 0991086
Sex: F
Age: 18
State: AR

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies: unknown

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Body Rash

Other Meds: unknown

Current Illness: unknown

ID: 0991087
Sex: F
Age: 29
State: PA

Vax Date: 01/22/2021
Onset Date: 01/25/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Lymph Nodes under left armpit 3-4 days after injection. Red/Itchy swelling left arm one week after injection.

Other Meds: Junel FE 1/28 Tabs

Current Illness: None

ID: 0991088
Sex: U
Age: 49
State:

Vax Date: 01/08/2021
Onset Date: 01/15/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: injection site red irritated 1 week later

Other Meds:

Current Illness:

ID: 0991089
Sex: F
Age: 36
State: CA

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Site: Itching at Injection Site-Mild, Site: Redness at Injection Site-Mild, Systemic: Rash (other than injection site)-Mild

Other Meds:

Current Illness:

ID: 0991090
Sex: F
Age: 48
State: GA

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies: erythromycin

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

Symptoms: Severe orthostatic hypotension resulting in fall starting about 10 hours after vaccination, remained orthostatic for 24 hours and then it gradually resolved, accompanied by nausea, dry-heaving, and other symptoms, including chills, fever (not measured), body aches, headache, and fatigue.

Other Meds: Oral contraceptives

Current Illness: none

Total 2021 VAERS Injuries: 704,237

Page last modified: 26 October 2021 2:21am