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: 0924233
Sex: F
Age: 44
State: NV

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/06/2021
Hospital:

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

Lab Data:

Allergies: Iodine - Shellfish

Symptom List: Dysphagia, Epiglottitis

Symptoms: 1 hour from the time of administration, my throat began to tighten/narrow and became numb - no loss of airway. Administered self Benadryl for 24 hours following. Symptoms relieved within 24 hours.

Other Meds: Propanolol

Current Illness: None

ID: 0924234
Sex: F
Age: 31
State: WA

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

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

Lab Data:

Allergies: shellfish and dairy

Symptom List: Anxiety, Dyspnoea

Symptoms: anaphylaxis

Other Meds:

Current Illness:

ID: 0924235
Sex: F
Age: 51
State: WA

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

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

Lab Data:

Allergies: IV contrast Dye

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

Symptoms: Headache, light headed, instant nasal congestion and malaise

Other Meds: Atenolol Multiple vitamins

Current Illness: None

ID: 0924236
Sex: F
Age: 37
State: AR

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

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

Lab Data:

Allergies: unknown

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: sore arm with rash/redness

Other Meds: unknown

Current Illness: unknown

ID: 0924237
Sex: F
Age: 46
State: CA

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/06/2021
Hospital:

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

Lab Data:

Allergies: n/a

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

Symptoms: Received vaccination on right arm, the next morning felt radiating pain up to the neck and behind the ear. Was temporarily resolved with APAP and Advil

Other Meds: Multivitamins

Current Illness: no

ID: 0924238
Sex: F
Age:
State: FL

Vax Date: 01/05/1959
Onset Date: 01/06/2021
Rec V Date: 01/06/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: menthol sensation in throat and chest lasted 15 mins

Other Meds:

Current Illness:

ID: 0924239
Sex: F
Age: 45
State:

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/06/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Employee requested the vaccine be given in gluteal muscle and the nurse assigned to the vaccine clinic administered Covid-19 vaccine in the gluteal muscle. Nurse made aware that immunizations are to be given in the deltoid. Employee was notified by the nurse that the gluteal muscle was not studied and that the recommended site is the deltoid and advised that the next injection will be administered in the deltoid.

Other Meds:

Current Illness:

ID: 0924240
Sex: F
Age: 33
State: KS

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/06/2021
Hospital:

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

Lab Data:

Allergies: No food allergies but allergic to Bactrim, sulfa, penicillin and azithromycin

Symptom List: Pharyngeal swelling

Symptoms: 5PM on the 31st my injection site was very painful. The next day I was extremely fatigued and had a headache as well.

Other Meds: Prenatal vitamins, Vitamin B6 and Unisom as needed, Omega 3 fatty acid and Vitamin D3, Pepcid AC

Current Illness: No

ID: 0924241
Sex: F
Age: 39
State:

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/06/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: experienced throat "swelling" and itchy throat 5 minutes after vaccine

Other Meds:

Current Illness:

ID: 0924242
Sex: M
Age: 62
State: UT

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Moderna COVID-19 Vaccine EUA 30 hours after receiving vaccine, upper lip became numb and swelled up, swelling began to subside after 16 hours but upper lip remains numb. No other apparent side effects.

Other Meds: Brilinta 90 mg 2x Lisinopril 20 mg 2x Atorvastatin 80 mg. 1x Asprin 81 mg 1x

Current Illness: None

ID: 0924243
Sex: F
Age: 38
State: WI

Vax Date: 12/27/2020
Onset Date: 01/04/2021
Rec V Date: 01/06/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

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

Symptoms: Swelling, pain, itching, red, and warm to the touch

Other Meds: 75mg Sertraline Zinc Vitamin D Vitamin C

Current Illness: None

ID: 0924244
Sex: F
Age: 52
State: FL

Vax Date: 01/05/2020
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
Hospital:

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

Lab Data:

Allergies: Pen VK Amoxicillin Bactrim NSADs Aspirin

Symptom List: Rash, Urticaria

Symptoms: Fever since 5 hours after injection. Chills, body ache, headache Fever as high as 102.6 at morning of the next day and 100.8 24 hours late

Other Meds: Tylenol 1000 mg

Current Illness: None

ID: 0924245
Sex: F
Age: 31
State: MA

Vax Date: 12/27/2020
Onset Date: 12/28/2020
Rec V Date: 01/06/2021
Hospital:

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

Lab Data:

Allergies: no known allergies

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

Symptoms: developed runny nose 24 hrs after receiving first dose of vaccine. Runny nose improved in 3 days. Also had intermittent mild headache for 2 days after first dose of vaccine. Still had nasal congestion 7 days later. Reported adverse side effects to my hospital's employee health on Saturday Jan 2,2021. Employee health had me leave work at noon time on Saturday Jan 2, 2021 to be swabbed for covid.

Other Meds: none

Current Illness: none

ID: 0924246
Sex: F
Age: 36
State: IL

Vax Date: 12/19/2020
Onset Date: 12/20/2020
Rec V Date: 01/06/2021
Hospital:

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

Lab Data:

Allergies: Penicillan, amoxicillin, Azelastine, Erythromycin, prednisone

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

Symptoms: Developed twitching of Left eye on 12/20/20 which continues to 1/4/21

Other Meds:

Current Illness:

ID: 0924247
Sex: F
Age: 38
State: CA

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/06/2021
Hospital:

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

Lab Data:

Allergies: NKA

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

Symptoms: I was 5.5 weeks pregnant when I revived the Pfizer Covid Vaccine. Everything was seemingly going fine with my pregnancy until about 4 hours after receiving the vaccine when I went to the bathroom nd wiped and saw pink discharge on the toilet paper. I then began to have mild low abdominal cramping. The abdominal cramping and vaginal bleeding steadily increased in severity over the next 24 hours until I eventually had an obvious miscarriage the evening of 12/31/2020. I cant help but think the vaccine in some way caused my body to reject the pregnancy. Along with the miscarriage, I also had extreme tiredness with GI upset 12/31/20 - 1/02/2021.

Other Meds: Prenatal Vitamin

Current Illness: None

ID: 0924248
Sex: F
Age: 22
State: KS

Vax Date: 12/29/2020
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
Hospital:

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

Lab Data:

Allergies: Augmentin, Amoxicillin, Clindamycin

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

Symptoms: Patient received 1st dose Moderna vaccine on 12/29/2020. Reports some soreness noted the next day. Reports redness and tenderness developed last evening (1/5/2020) and still present today. Site measured. 4 cm x 3 cm induration noted. Not warm to the touch. Denies fever or other symptoms. Reaction did not develop until 1 week post vaccination.

Other Meds: Apri, Lexapro, Protonix

Current Illness: None

ID: 0924249
Sex: F
Age: 38
State: AR

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

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

Lab Data:

Allergies: unknown

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

Symptoms: sore arm with rash/redness

Other Meds: unknown

Current Illness: unknown

ID: 0924250
Sex: F
Age: 29
State: PA

Vax Date: 12/29/2020
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Reaction started on 1/5/20. Site is red, hard, itchy, hot to touch, and raised approximately 2-3 cm. Remains afebrile. Seen by Provider via Telemedicine.

Other Meds:

Current Illness:

ID: 0924251
Sex: M
Age: 45
State: AZ

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

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

Lab Data:

Allergies: Bee sting, watermelon

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Patient presenting approx 45 minutes after injection with facial swelling to eyelids and upper face. Also had an associated pruritic rash on right upper back region. No swelling to mouth, lips or tongue. No SOB or wheezing. Symptoms improved (decreased swelling) with 50mg PO benadryl. Was discharged after monitoring for 2 hours. Provided rx for epi pen upon discharge.

Other Meds: metformin, insulin, lisinopril

Current Illness: n/a

ID: 0924252
Sex: M
Age: 56
State: NY

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: Low grade fever (100.5 F) muscle pain, chills, headache, injection site pain. Medcation :Tylenol. Symptoms went away after 10 hours.

Other Meds: none

Current Illness: none

ID: 0924253
Sex: F
Age: 33
State: NY

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/06/2021
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, Lymph node pain, Lymphadenopathy

Symptoms: Palpitations Heart rate 120-130 chest tightness, pulse ox 100 pt was monitored and 15 min later had another episode of palpitations,chest tightness and fast HR

Other Meds:

Current Illness:

ID: 0924254
Sex: F
Age: 45
State: ME

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

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

Lab Data:

Allergies:

Symptom List: Unevaluable event

Symptoms: Patient II, a 45-year-old female with a history of vaccine-related anxiety, presented to the vaccine clinic for her second-dose of the pfizer COVID-19 vaccine. Pharmacist then delivered vaccine. Almost immediately after administration, the patient started showing signs of distress including difficulty speaking, and going in an out of consciousness. Ice packs were placed on the back of patient's neck, and she was given water in order to hopes to stimulate consciousness. At this time, the pharmacist placed a pulse oximeter on her finger to monitor. Her oxygen stats dropped to 75% and heart rate dropped to a value slightly greater to slightly under 30 beats per minute as indicated by the pulse ox blinking at 30. Pharmacist timed the period of bradycardia, after 60 seconds an epinephrine pen 0.3mg was administered to the left lateral thigh. Rapid response code was called and team came 1.5 - 2 minutes after epinephrine administration. Oxygen was given to the patient at the scene where her recorded blood pressure was 94/54 mmHg. She was then transported into the emergency department via wheelchair. Patient stabilized and was discharged back to work approximately an hour after arrival.

Other Meds:

Current Illness:

ID: 0924255
Sex: F
Age: 55
State:

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

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

Lab Data:

Allergies: Anaphylaxis to Chocolate

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

Symptoms: 5 minutes after receiving Covid-19 vaccination patient reacted with chest tightness and was very lightheaded. Patient has a history of anaphylaxis and had Epi Pens with her. 1600 Vitals: BP: 184/72 P: 117 SaO2: 100% Epi Pen self-administered. 1605 Vitals: BP: 125/74 P:103 SaO2: 100% Nurse transferred patient to ER in wheelchair for further treatment and evaluation.

Other Meds:

Current Illness:

ID: 0924256
Sex: F
Age: 52
State: CA

Vax Date: 12/22/2020
Onset Date: 12/22/2020
Rec V Date: 01/06/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Injection site pain, Pain

Symptoms: High fever; headache; myalgia ; inbility to smell or taste; fatigue on 22nd; hAD THOSE SYMPTOMS FOR ABOUT A WEEK; tested positive for COVID on Dec 26. haven't recovered inablity to smell or taste; fatigue - still have that, too;

Other Meds: none

Current Illness: none

ID: 0924257
Sex: F
Age: 60
State: TN

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/06/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Menorrhagia

Symptoms: PATIENT DEVELOPED ITCHINESS AND WARM FLUSH ALL OVER BODY WIHTIN 20 MIUTE POST INJECTION, AND RECEIVED 50 MG BENADRYL ORAL AND 20 MG FAMOTIDINE ORAL, AND AFTER 30 MINUTES, ADVERSE REACTION HAS BEEN RESOLVED.

Other Meds: PRE MEDICATED WITH BENADRYL 50 MG ORAL

Current Illness:

ID: 0924258
Sex: F
Age: 40
State: CA

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: overwhelmingly tired exhausted sever fatigue left arm hurts extremely bad by shoulder severe dryness in mouth, almost hard to swallow severe nausea headache

Other Meds:

Current Illness:

ID: 0924259
Sex: F
Age: 44
State: MN

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

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

Lab Data:

Allergies: lisinopril, mobic

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: pt noted feeling chills, then developed nausea and dry heaves and sl headache

Other Meds:

Current Illness:

ID: 0924260
Sex: F
Age: 36
State: CA

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/06/2021
Hospital:

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

Lab Data:

Allergies: Avocado

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Facial hives: resolved with PO Benadryl Right eye/cheek muscle twitching (ongoing for 1 week and continuously occurring).

Other Meds: Tapazole, Vitamin D

Current Illness: Grave?s Disease

ID: 0924261
Sex: F
Age: 21
State: UT

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

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

Lab Data:

Allergies: sensitivity to latex (Band-Aids, gloves do not cause issues) sensitivity to melons (cantaloupe) watermelon, pineapple, grapes, avocado (can eat in small amounts)

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

Symptoms: *I am a nursing student who received the vaccine because I am in a nursing program. Employee at Public Health Dept agreed I should file this report and file it myself because I have the most accurate description of the symptoms that occurred What happened after vaccine administration within about ~10 minutes (01/04/2021) -what felt like a bit of throat tightening/swelling that would come in spurts and go away -difficulty taking a deep breath, could still breathe adequately normally -took more effort to breathe deeply/have a normal baseline breathing pattern -faster heart rate than normal, could feel it ?racing? a bit- was about 82 (radial, took it myself) *thought these were attributed to my anxiety of sitting in a crowded room not close to the exit (I have bad anxiety with being in new locations and not being in control of where I can place myself around others (I do not have an anxiety disorder but experience anxiety of this kind semiregularly) *sat a few extra minutes (about 20 minutes) and then left the observation area confident I was overthinking and I was just me being anxious/not the vaccine After walking out/leaving -spurt of dizziness/nausea -chills -hot forehead -spurts of widespread headache -effort to take in deep breaths -not as noticeable racing heart rate -spurts of throat tightening/swelling (not severe) Back home Same things as leaving -spurt of dizziness/nausea -chills -hot forehead -spurts of widespread headache -effort to take in deep breaths -not as noticeable heart rate -spurts of throat tightening/swelling (not severe) -spurts of throat tightening went away in about an hour After 1-3 hours -heart rate and breathing still making me uncomfortable but did not feel like an emergency -could feel heart rate when laying down/felt racing to me again when lying down, not very much when sitting up Breathing remained uncomfortable for the rest of the day/effortful into the evening -heart rate felt normal in the afternoon/evening -talking on the phone took more effort than usual but was not too difficult Later that night I was able to lay down without a racing feeling heart rate, breathing was better, and slept fine. The next morning I woke up (01/05/2021) without any effortful breathing or racing heart rate and without any other abnormal symptoms; symptoms I did experience were arm soreness and some fatigue Today 01/06/2021 my arm soreness is very mild and I am not experiencing any other symptoms -did not download the v safe app until 01/05/2021

Other Meds: oral contraceptive lactaid pills

Current Illness: monthly menstruation periodic anxiety

ID: 0924262
Sex: F
Age: 36
State: IA

Vax Date: 12/26/2020
Onset Date: 01/02/2021
Rec V Date: 01/06/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Nausea

Symptoms: redness, swelling, hives at the injection site several days after the vaccine

Other Meds:

Current Illness:

ID: 0924264
Sex: F
Age: 39
State: CA

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/06/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site pain

Symptoms: Patient received the covid vaccine on 01/05/2021. c/o new onset fever of 101.2, fatigue, headache, and body ache. Denies cough, sore throat, any ocular or GI symptoms. Covid test on 12/3/2020 was positive.

Other Meds:

Current Illness:

ID: 0924265
Sex: F
Age: 31
State: OH

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
Hospital:

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

Lab Data:

Allergies: NKDA

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

Symptoms: localized pain, swelling, and induration that has persisted >24 hours after injection; intermittent head and neck pain most prominent on the same side as the injection for >24 hours after injection

Other Meds: metformin 500mg, Nora-be, prenatal vitamin w/DHA

Current Illness: none

ID: 0924266
Sex: F
Age: 27
State: MI

Vax Date: 12/19/2020
Onset Date: 12/19/2020
Rec V Date: 01/06/2021
Hospital:

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

Lab Data:

Allergies: NO

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

Symptoms: WEAKNESS, HEAVY FEELING , FEELING LIKE GOING TO PASS OUT, CHEST HEAVINESS

Other Meds: NO

Current Illness: NO

ID: 0924267
Sex: F
Age: 36
State: IL

Vax Date: 12/19/2020
Onset Date: 12/20/2020
Rec V Date: 01/06/2021
Hospital:

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

Lab Data:

Allergies: Penicillin, erythromycin, acetominiphen

Symptom List: Tremor

Symptoms: Pt developed Left eye twitching on 12/20/20 which continues to 1/4/21

Other Meds:

Current Illness:

ID: 0924268
Sex: F
Age: 16
State: WA

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

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
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Lab Data:

Allergies:

Symptom List: Erythema, Pruritus

Symptoms: Patient fainted immediately after receiving vaccinations. Lasted no more than 5 seconds.

Other Meds:

Current Illness:

ID: 0924269
Sex: F
Age: 22
State: OH

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

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Allergies:

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

Symptoms: Three days after receiving the vaccine, the swelling, redness, and itching was gone. By day number nine, i woke up with my left bicep (where the vaccine was injected) swollen, red, and itchy again. Even worse than when i originally got the vaccine.

Other Meds: Florajen

Current Illness:

ID: 0924270
Sex: F
Age: 33
State: CA

Vax Date: 12/16/2020
Onset Date: 12/24/2020
Rec V Date: 01/06/2021
Hospital:

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Lab Data:

Allergies: Flagyl

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

Symptoms: Left arm pain and headaches and tiredness

Other Meds: Advil Nasal Spray

Current Illness: No

ID: 0924271
Sex: F
Age: 35
State: MN

Vax Date: 12/30/2020
Onset Date: 01/06/2021
Rec V Date: 01/06/2021
Hospital:

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Lab Data:

Allergies: Levofloxin

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Vaccine site was itchy, swollen and red 1 week after vaccine was given. I felt warm on the side of the body vaccine was given. I took a Benedryl. On day of vaccine I was tender to the touch with swollen and redness. But that only lasted up to 2 days. I felt no issues between this day and the the day 1 week after.

Other Meds: Just tylenol or advil for typical pain. I don't believe I took any the day of the vaccine.

Current Illness: none

ID: 0924272
Sex: F
Age: 89
State: NY

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

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Lab Data:

Allergies: Sulfa Antibiotics

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

Symptoms: Patient had got the covid vaccine that very day she had swollen eyes she continues to have itchy swollen eyes and is starting on prednisone.

Other Meds: Bisporolol 5 mg Refresh Classic P/F Aspercreme Lidocaine 4% patch Lorazepam 0.5 mg Bepreve Eye drops 1.5% Potassium CL 20 mEq Hydrocodone/APAP 5/325 Magnesium Oxide 400 mg Vitamin D 3 50000 unit Simvastatin 10 mg Citalopram 20 mg Metformin

Current Illness: N/A

ID: 0924273
Sex: F
Age: 43
State: TX

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
Hospital:

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Lab Data:

Allergies: sulfa

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

Symptoms: chills, muslce aches, joint pain/stiffness, headache - all extreme; I did have COVID-19 about 7 weeks ago

Other Meds: aspirin

Current Illness: none

ID: 0924274
Sex: F
Age: 60
State:

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

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Lab Data:

Allergies:

Symptom List: Pain in extremity

Symptoms: Progress Notes APRN (Nurse Practitioner) ? ? Nurse Practitioner Cosign Needed Expand All Collapse All COVID VACCINE CLINIC 1/6/2021 ? Date: 1/6/2021 MRN: 3274958 ? Subjective Patient is a 60 y.o. female who was seen at COVID Vaccine Clinic today for her second dose of the COVID 19 vaccination. ? She denied any history of previous adverse reactions to vaccines. ? She was given the Pfizer vaccination in the right deltoid muscle. ? During her 15 minute waiting period after the injection, the patient began to experience dizziness and flushing. She denied rash, hives, welts, difficulty breathing, difficulty swallowing, wheezing, throat tightness, hoarseness, stridor, itching, lightheadedness, dizziness, facial swelling, lip swelling and tongue swelling. ? This provider was notified of patient reaction and she was then assessed in the emergency bay area. ? Monitored patient for severe reaction symptoms, including but not limited to abdominal pain, blood pressure abnormality , chest pain, collapse, drooling, hypotension, increased swelling, rapid progression of symptoms, respiratory distress with stridor, wheezing, dyspnea, increased work of breathing, persistent cough and cyanosis, skin changes, tongue swelling and vomiting. ? Pt reports she saw an allergist this am for runny nose, SOB, and sneezing. He determined her symptoms was a neurological response. Previous COVID infection November 30, 2020 ? PREVIOUS REACTION: Pt reports first Pfzier covid shot she had symptoms of Chills, HA, nausea and fever of 102 that occurred 12 hours afterwards. She states her symptoms lasted 6-8 hours. ? ? ALLERGY REVIEW OF SYSTEMS: Patient complains of dizziness ? ? ? Objective ? Vitals Vitals: ? 01/06/21 1235 BP: (!) 152/82 Pulse: 57 Temp: 99.2 ?F (37.3 ?C) SpO2: 100% BS 94 at 12:38 ? Physical Exam Vitals signs and nursing note reviewed. HENT: Head: Normocephalic. Left Ear: External ear normal. Nose: Nose normal. Mouth/Throat: Mouth: Mucous membranes are dry. Eyes: Pupils: Pupils are equal, round, and reactive to light. Neck: Musculoskeletal: Normal range of motion. Cardiovascular: Rate and Rhythm: Normal rate and regular rhythm. Pulses: Normal pulses. Heart sounds: Normal heart sounds. Pulmonary: Effort: Pulmonary effort is normal. Breath sounds: Normal breath sounds. Abdominal: General: Abdomen is flat. Skin: General: Skin is warm and dry. Capillary Refill: Capillary refill takes less than 2 seconds. Neurological: General: No focal deficit present. Mental Status: She is alert and oriented to person, place, and time. Psychiatric: Mood and Affect: Mood normal. Behavior: Behavior normal. Thought Content: Thought content normal. Judgment: Judgment normal. ? ? ? Assessment/Plan Treatment included: no therapy. Follow up response to treatment: no side effects. Patient discharge: Stable to go home and follow up with PCP. ? ? Pt was observed and given water and food (peanut butter). Felt better within a few minutes. She was released to go home 12:55pm ? ? APRN Electronically Signed 1/6/2021 12:45 PM ? ?

Other Meds:

Current Illness:

ID: 0924275
Sex: F
Age: 28
State: NY

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

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Allergies:

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

Symptoms: Temp 102.6 while taking tylenol, headache muscle, Hr 140 01/05/21 chills, lightheadedness, 01/06 diarrhea

Other Meds:

Current Illness:

ID: 0924276
Sex: F
Age: 31
State: MA

Vax Date: 12/27/2020
Onset Date: 12/28/2020
Rec V Date: 01/06/2021
Hospital:

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Allergies: none

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

Symptoms: developed runny nose 24 hrs after first dose of vaccine. Runny nose improved by Thursday December 31, 2020. Still had nasal congestion one week later. Saturday Jan 2, 2021 reported symptoms to employee health at hospital. Employee health had me leave work at noon time on Saturday Jan 2, 2021 to be tested for corona virus.

Other Meds: none

Current Illness: none

ID: 0924278
Sex: F
Age: 40
State: FL

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
Hospital:

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Allergies: nka

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

Symptoms: Fever up to 102.6 on Tylenol Chills to sweats, mostly extreme chills Every muscle in my body ached, could not lay or sit without pain Extreme fatigue, hard to even hold a cell phone Piercing headache Running nose from crying Could not watch tv, lay, get comfortable, get up to eat. Drank lots of water and peed alot

Other Meds: no

Current Illness: Covid-19 11/29/2020 to 12/12/2020

ID: 0924279
Sex: F
Age: 29
State: IL

Vax Date: 12/29/2020
Onset Date: 01/03/2021
Rec V Date: 01/06/2021
Hospital:

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Lab Data:

Allergies: n/a

Symptom List: Vomiting

Symptoms: Swollen lymphnodes in left armpit/underarm

Other Meds: Nuvaring and Zyrtec

Current Illness: n/a

ID: 0924280
Sex: F
Age: 23
State: NY

Vax Date: 12/28/2020
Onset Date: 01/04/2021
Rec V Date: 01/06/2021
Hospital:

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Lab Data:

Allergies: None

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Muscle aches (day after vaccination 12/29/2020), sore arm (start 12/29/2020), injection site redness, itching, warmth & swelling (start 12/29/2020), injection site redness and swelling tripled in original size (as of 1/6/2021, still current), nausea (start 1/4/2021, still current), GI upset (start 1/4/2020, still current)

Other Meds: Metformin (1000mg/day), bupropion (300mg/day), phentermine(37.5mg/day), prenatal vitamin 1x/day, vitamin C (25mcg/day), hair/skin/nail vitamin 1x/day, women?s once a day multivitamin 1x/day

Current Illness: None

ID: 0924281
Sex: F
Age: 36
State: IL

Vax Date: 12/19/2020
Onset Date: 12/20/2020
Rec V Date: 01/06/2021
Hospital:

Vax Type:
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Lab Data:

Allergies:

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

Symptoms: Pt developed a twitching Left eye on 12/20/20 which continues on 1/4/21

Other Meds:

Current Illness:

ID: 0924282
Sex: F
Age: 66
State: NJ

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

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Lab Data:

Allergies: Lisinipril

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Patient reported feeling tingling sensation in mouth and mouth "feeling swollen". approx 228 No observed swelling or difficulty with breathing. Also reported flushed feeling BP 140/82. Reported Had hx of allergic reaction to lisinipril in past 4 years ago and was hospitalized and was in ICU. Afebrile. Also reported having an unpleasant bad taste in mouth. Bendadryl 25mg po given 228 pm. reported feeling a little better within 15 minutes. Water given. Approx 3:00 pm reported having another episode of flushed feeling and just not feeling right. Denied the need for epi-pen. Reported normally takes 50mg of bendaryl. Additional dose of bendadryl 25mg oral given 3:05. Requested client to contact family member fort transportation. Spoke with Daughter. Clients sister came to clinic that was held at college. Client remained alert and oriented. Contacted case's primary care provider's office, provider Doctor not available, but covering provider will return call to her. Reported she could not be seen in office today. Requested refill for epipen to be provided to case by doctor. Case denied the need for epipen at center and any further medical care or call to 9ll for emergency care. Case was advised to be monitored throughout with another family member. Lives alone, will be staying with daughter or sister. Verbalized to call 911 if any difficulty with breathing or worsening of symptoms. Dr.'s office reported they would follow up with client today after patients are seen.

Other Meds: none

Current Illness:

ID: 0924283
Sex: M
Age: 38
State: NV

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

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Lab Data:

Allergies: Ceclor

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

Symptoms: Severe headache ("worst headache of my life"), tremor, weakness, fatigue

Other Meds: clomid, testosterone

Current Illness: Patient did donate blood the morning of vaccination just prior to vaccination

ID: 0924284
Sex: F
Age: 61
State: MA

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

Vax Type:
Manufacturer:
Vax Name:
Lot:
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Lab Data:

Allergies: Environmental allergies only

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

Symptoms: Within 5 minutes felt warm sensation over body, felt lump in throat , then chest tightness with palpitations.

Other Meds: Pravastin Vitamin D Valtrex Tylenol Ibuprofen Probiotic

Current Illness: None

Total 2021 VAERS Injuries: 704,237

Page last modified: 26 October 2021 2:21am