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: 0995022
Sex: F
Age: 39
State: MT

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

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

Lab Data:

Allergies: NKA

Symptom List: Dysphagia, Epiglottitis

Symptoms: Vaccine was given early. First shot was given 1/8/21 and the second dose was given 22 days later on 1/30/21. This was due to a documentation error on the first vaccine. The first vaccine was originally charted as a Pfizer vaccine so her 2nd appointment was made 22 days later.

Other Meds:

Current Illness: None

ID: 0995023
Sex: F
Age: 64
State: FL

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

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

Lab Data:

Allergies: sulfa drugs

Symptom List: Anxiety, Dyspnoea

Symptoms: Jan. 28, I'm fine, just some bearable site pain. Took tylenol before getting vaccine, and the next day around 4 in the morning started having malaise, pain, fever, chills. (fever around 102), and went 104 around midafternoon, and 106 around 10. Chills, pain, weakness. Next day I was feeling well. I started noticing small dots on knee and shoulder. And then I started noticing bruising on my hands and legs. Felt fine on Sunday. I started noticing the bruises were becoming more pronounced. On Monday when I woke up the bruises were worse, and I went to the ER. The doctor checked CBC and platelets count was low around 28 thousand and was admitted into the hospital and they treated me with solumedrol 100 mg. Platelets count went back up.

Other Meds: plaquenil 200 mg daily molbic 15 mg daily levophyroxine 75 mcg daily zyrtec 10 mg daily mulitvitmin 1 tablet omprazole 20 mg daily fish oil IU one tablet daily lutein 10mg once daily

Current Illness: none

ID: 0995024
Sex: F
Age: 77
State: WA

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

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

Lab Data:

Allergies: None

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

Symptoms: Zero symptoms until February 01, 2021, am. Warm red blotch anterior and distal to injection site. That night the injection site became reddened. No pain, itching or swelling.

Other Meds: Omeprazole prn

Current Illness: None

ID: 0995025
Sex: F
Age: 57
State: PR

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

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

Lab Data:

Allergies: Allergy to bisphosphonate Side effects to prolia banana allergy

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Nausea, mild on the day of the vaccine. Five days after the vaccination I felt nausea again, a strange taste in my mouth, and a headache. resembling the senses with the injection of prolia.

Other Meds: I only took one advil before the vaccine.

Current Illness: none

ID: 0995026
Sex: F
Age: 40
State: CO

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

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

Lab Data:

Allergies: PCN

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

Symptoms: Left side facial numbness and tingling. tongue numbness. left eye blurred vision. Symptoms stayed active for 24-48 hours

Other Meds: none

Current Illness: none

ID: 0995027
Sex: F
Age: 36
State: AR

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

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

Lab Data:

Allergies: sulfa

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

Symptoms: Rash/hive at injection site appeared one week after vaccination (today). Rash was mildly itchy and mostly flat, with a white center. Rash was about the size of a lemon.

Other Meds: levothyroxin 100 mcg cetirizine tylenol (16 hours after vaccination)

Current Illness:

ID: 0995028
Sex: F
Age: 86
State: AL

Vax Date: 01/20/2021
Onset Date: 01/22/2021
Rec V Date: 02/02/2021
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: shot did not hurt at all, arm wasn't sore. the next day my arm started itching and i scratched it. then the next day the arm was red and itching. Went to the dr on the 01/29/2021 and was given Benadryl and Antibiotic, Then it started to get better

Other Meds: Tylenol, amlodopine vesoylate 5 mg, venazepril 40 mg, cerefolinac, fibercon 25 mg, fluorinate 20 mg, myrbetriq 50 mg,

Current Illness:

ID: 0995029
Sex: F
Age: 69
State: MI

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

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

Lab Data:

Allergies: Haldol

Symptom List: Pharyngeal swelling

Symptoms: Early this morning I rolled over on my right side and I had pain in my right arm and is swollen. It's like my shoulder is swollen. The pain has down some. It is still swollen.

Other Meds: Metoprolol Tartrate 25 MG once a day, Amlodipine Besylate 5 MG once a day, Congentin 1 MG once a day, Risperidone .05 MG in am and 2 MG at bedtime, Vitamin D3 5000 MG two pills once a day, Depakote 200 MG at bedtime, Omega 3 1000 MG once

Current Illness:

ID: 0995030
Sex: M
Age: 72
State: FL

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

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

Lab Data:

Allergies: None

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Did not report this to my Doctor yet.

Other Meds: Omega-3-acid, Valsartan, Omeprazole, Bayer Low Dose, Niacin, Simvastin, Centrum Tabs, Zinc, Apple Cider Vinegar, Tylenol 500mg.

Current Illness: none.

ID: 0995031
Sex: F
Age: 80
State: WA

Vax Date: 01/10/2021
Onset Date: 01/29/2021
Rec V Date: 02/02/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List: Diarrhoea, Nasal congestion

Symptoms: BELLS PALSY

Other Meds: vitamin D

Current Illness: none

ID: 0995032
Sex: F
Age: 32
State: WI

Vax Date: 01/23/2021
Onset Date: 01/25/2021
Rec V Date: 02/02/2021
Hospital:

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

Lab Data:

Allergies: Nickel

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

Symptoms: Saturday, January 23rd I received my second COVID vaccination around noon. Later that day I developed the typical extremely sore arm. Sunday January 24th: I started to feel just a general malaise and had some headaches, like I was coming down with something, but other than that felt fine. Monday January 25th: I was at work and started developing a sore throat, chest tightness with some shortness of breath, myalgias, fatigue, nausea, and minor chills, although I never had a fever. Tuesday: symptoms were slightly worse Wednesday January 27th: I went to work thinking all these symptoms were still just from the vaccine as I hadn't felt any sickness symptoms before getting the vaccine and hadn't had an exposure I was aware of. While at work, I asked other coworkers if they had any similar symptoms to the vaccine and was told I should call employee health since I was still having such bad symptoms and really didn't feel too great. I called the employee health line and told them all my current symptoms which were all the same still. They told me that the sore throat and chest tightness with shortness of breath were definitely not from the vaccine and to leave work and get tested. I did this and my test came back negative. Because I was still having bothersome chest tightness, the employee health line also told me to go to the ER, thinking it could be something else significant. I went to the ER the night of January 27th to get my symptoms all checked out as told to. Everything came back ok and the ER doctor wanted me tested for COVID again Friday around the 48 hour mark to verify it wasn't the virus. She also told me that if it came back negative, she was sure it must be my reaction to the vaccine. Thursday January 28th: I stayed home per guidelines from employee health and still had all the symptoms listed on Monday. After a two hour afternoon nap, I finally felt like I was turning the corner. My sore throat felt better besides a huge lump still in my throat and my chest tightness with shortness of breath subsided. I still had bad myalgias, fatigue, headaches and a general sense of not feeling so great. Friday, January 29th: Feeling slightly better again, main symptom is bad myalgias, especially my neck and small lump in throat. I got retested around 12:30 pm and it came back negative for COVID as well as negative for strep. Saturday: Feeling almost 100% better besides sore neck still.

Other Meds: Postnatal vitamins for breastfeeding Zoloft 25 mg per day

Current Illness: None

ID: 0995033
Sex: F
Age: 23
State: KY

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

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

Lab Data:

Allergies:

Symptom List: Rash, Urticaria

Symptoms: I received the COVID19 vaccine on January 22, 2021. I started to have chest tightness and somewhat of a dry cough midday on Monday January 25, which continued until January 27. I started having congestion and runny nose on January 27, so I went and got tested for COVID on the 27. The test came back positive on January 28. On January 28 I had extreme congestion and head pressure, a bad burning sensation from my left sinus that went back to my left 2nd molar, and a runny nose. I had not gone anywhere the week prior due to studying for an exam besides to lab at school twice where everyone was socially distanced and was wearing a mask the whole time. The highest my temperature got was 99.4 with Tylenol on January 28. In addition to this, my husband got covid tested on January 28 to see if he had it, or had given covid to me and his test came back negative. We had not socially distanced and still had physical contact the entire time, and continued not to do so in our house. We have had full contact the entire time because he is working from home and most of my school is online, and he got tested again on January 30 and came back negative again. If somehow I got covid from school in a short amount of time with everyone wearing a mask, how would he not get covid from me after a full week of exposure unless I was not contagious, which makes me think I somehow got it from the vaccine. I have had adverse reactions to vaccines in the past, as I got the shingles when I was 4 as a direct result from the first chickenpox vaccine.

Other Meds: Birth control

Current Illness:

ID: 0995034
Sex: F
Age: 45
State: NY

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

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

Lab Data:

Allergies: Sensitivity/rash to adhesives

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

Symptoms: Patient informed vaccinator about previous allergic reaction to dose 1 that spontaneously resolved, was instructed to stay 30 minutes for monitoring. Reports no adverse events to any vaccines in the past, including the flu vaccine. She received dose 2 Pfizer COVID vaccine at 10:57 am, started experiencing throat discomfort at 11:25 am (BP 146/65 HR 96), and was given 50mg IM Benadryl. Five minutes later, patient reported an improvement. Vital signs remained stable throughout observation. BP 126/85 HR 83 at 11:40 am and BP 120/84, HR 60 at 12 pm.

Other Meds: lexapro 10mg QD wellbutrin SR 150 mg BID flexaril 5mg TID + ibuprofen 600 mg q6h PRN

Current Illness: n/a

ID: 0995035
Sex: F
Age: 60
State: MA

Vax Date: 01/20/2021
Onset Date: 01/22/2021
Rec V Date: 02/02/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Developed chills, a low grade fever and headache on same day of her vaccination. The next day, she developed an itchy rash on her left arm which became panful. She saw her PCP who diagnosed shingles.

Other Meds:

Current Illness:

ID: 0995036
Sex: F
Age: 32
State:

Vax Date: 01/20/2021
Onset Date: 01/27/2021
Rec V Date: 02/02/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: injection site red swollen, fever, lymph swelling

Other Meds:

Current Illness:

ID: 0995037
Sex: F
Age: 28
State:

Vax Date: 01/06/2021
Onset Date: 01/15/2021
Rec V Date: 02/02/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: non pruritic rash on back, chest and arms.

Other Meds: none

Current Illness:

ID: 0995038
Sex: F
Age: 87
State: MN

Vax Date: 01/19/2021
Onset Date: 01/27/2021
Rec V Date: 02/02/2021
Hospital:

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

Lab Data:

Allergies: Contrast dye, Phenytoin.

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

Symptoms: Client reports on approximately day 8 post-vaccination noticing a red spot on her L upper arm a couple of inches below her vaccination site. She said the site was warm to touch but was not painful. She was unable to say if it was swollen. When asked she said there was some minor pruritis. She stated the redness lasted 3-4 days. Today there is some diffuse pink discoloration approximately 4 cm in diameter. No warmth or swelling.

Other Meds: Acetaminophen, calcium carbonate, cholecalciferol, cyanocobalamin, latanoprost, levothyroxine, mineral oil/petrolatum eye drops.

Current Illness: Unknown

ID: 0995039
Sex: M
Age: 40
State: AZ

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

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

Lab Data:

Allergies: None

Symptom List: Ear pain, Hypoaesthesia

Symptoms: About 2 to 3 minutes after receiving the injection I felt light headed and passed out. My wife said my eyes were open but glazed over. I also started shaking. When I woke up I was confused and felt nauseated. A few minutes after I woke up the EMTs ran my vitals. My heart rate was in the 40s and my blood pressure was in the 90s. I have never had a reaction like this to any other shot/vaccines.

Other Meds: Sertraline 50mg Lansoprazole 30mg

Current Illness: None

ID: 0995040
Sex: F
Age: 52
State: WA

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

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

Lab Data:

Allergies: none

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: fever 100, pulse 100 for an hour or so, then going back down, then occurring again three times in 24 hours. Very achey, chills, flu like symptoms and sore throat, general weakness, fatigue. 24 hour duration. The next day feeling fine again. (patient reports, flu vaccine also gives patient flu like symptoms.)

Other Meds: calcium, vit b complex, magnesium, zinc, multiple vit

Current Illness: none

ID: 0995041
Sex: M
Age: 23
State: PA

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

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

Lab Data:

Allergies: NKDA

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

Symptoms: Dizziness reported. Upon standing felt lightheadedness. BP 131/74, HR 87. Monitored for additional 15 minutes. No further complaints. BP 118.77 HR 93. Released home after monitored for 30 minutes total.

Other Meds: unknown

Current Illness: unknown

ID: 0995042
Sex: F
Age: 47
State:

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 02/02/2021
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: fever, skin pain, aches

Other Meds:

Current Illness:

ID: 0995043
Sex: F
Age: 75
State: AL

Vax Date: 01/21/2021
Onset Date: 01/26/2021
Rec V Date: 02/02/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Unevaluable event

Symptoms: Reaction to Moderna COVID-19 Vaccine EUA: A few days after the vaccination a large redness appeared around the injection site on the side of my right arm. This redness covers an area of the entire width of my arm by approximately 3 inches in length. The area is also still moderately swollen and feels warm to the touch. The area is still sensitive to the touch. It has now been 12 days and I am worried since there seems to be no change.

Other Meds: Allopurinol Potassium CIT Tradjenta Lisinopril Amlodipine Besylate Metaprolol Tartrate Ezetimibe Welchol Vitamin D3 Calcium

Current Illness: None

ID: 0995044
Sex: F
Age: 87
State: OH

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

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

Lab Data:

Allergies:

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

Symptoms: Patient developed dizziness and weakness. She did not totally pass out because she made it to her chair and did not fall on the ground. She described her vision going black. She said that she did not eat today at her normal times which could have contributed to the event. She is asking if the vaccine could have had anything to do with this? She has not had a previous episode like this before. She did have some minor injection site pain at the time of the vaccine but that has subsided. Follow-up call with patient on 1/30/31 at 19:37: Spoke to the patient. She is feeling better today. She did not see her doctor or go to the ED. She checked her glucose yesterday and it was high. She said she thinks her symptoms were from not eating her normal meals around the time of the vaccine.

Other Meds: pantoprazole, vitamin D, calcium, montelukast

Current Illness:

ID: 0995045
Sex: F
Age: 1
State: WY

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

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

Lab Data:

Allergies: none

Symptom List: Injection site pain, Pain

Symptoms: Adelynn tensed up her legs and began to frown as I was cleaning her thigh with alcohol . After the first injection, she began to scream and cry. I injected the other two and applied band aids. As her mother was comforting her, she began to gag and expelled sme mucus, then threw up. The vomit was thick and a creamy color, with some chunks of fruit (oranges) in it. There was also clear mucus. She threw up twice more over the next five minutes. She calmed down and stopped crying for about five minutes, then started crying again. Her father took her out of the room. When he returned with her 20 minutes later, he said she had stopped crying almost immediately and was fine. I observed her walking, talking, and not in any apparent distress. Her mother said she had not ever thrown up after previous vaccinations, but that at home she sometimes gets herself worked up when she is upset and does throw up.

Other Meds: none

Current Illness: runny nose

ID: 0995046
Sex: F
Age: 61
State: CA

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

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Menorrhagia

Symptoms: Soreness at end of first day, Next day arm pain mild, mild headache, fatigue and nasea, 1/29/2021 mild pain , headache .moderate fatigue, with mild nasea. 1/30t/2021 wheezing, low grade fever of 100.8., moderate pain., headache , redness and swelling in arm. Severe fatigue, moderate body aches ,mild abdominal pain and diarrhea. stuffy sinuses, 1/31/2021 no fever, arm pain, redness and swelling mild .Headache mild, fatigue moderate, 02/01/2021 no fever. pain ,redness or swelling in arm,.milf headache and fatigue.

Other Meds:

Current Illness:

ID: 0995047
Sex: F
Age: 40
State: CA

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

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

Lab Data:

Allergies: none

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

Symptoms: Sore Arm, Fatigue, Mild Muscle Aches

Other Meds: Zoloft terbinafine

Current Illness: none

ID: 0995048
Sex: F
Age: 68
State: AL

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

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

Lab Data:

Allergies: No

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Developed a slight fever late at night the same day f the vaccine. Had chills, was freezing at night, had lots of blankets, electric heater could not feel warm. Did not take anything. Next morning woke up and still felt a little bit of general malaise, took Tylenol and that is it, it was all over in 24 hours.

Other Meds: Vitamin D, Vitamin C and A and Zinc, telmisartan (BP), a mild diuretic, Trulicity (Type 2 diabetes meds)

Current Illness: No

ID: 0995049
Sex: F
Age: 36
State:

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 02/02/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: fever

Other Meds:

Current Illness:

ID: 0995050
Sex: F
Age: 44
State:

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

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

Lab Data:

Allergies: NKA

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

Symptoms: Chest tightness and rapid heart rate - up to 135 beats per minute. History of anxiety. Patient requested EMS.

Other Meds:

Current Illness:

ID: 0995051
Sex: F
Age: 25
State: NJ

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

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

Lab Data:

Allergies: None

Symptom List: Nausea

Symptoms: Injection site pain, inflammation, and erythema (days 1-4). marked upper arm pain (shoulder to elbow; day 1-3). low-grade fever and marked fatigue (days 1-3). Injection site palpable, superficial, swelling with development of bruising (days 2-4; bruising has consistently gotten larger; Present day ~0.5 inch x 2 inches) . Headache/migraine (days 1-3) Have taken 400 mg ibuprofen x 5 doses from day 1-3 with icing L arm

Other Meds: None

Current Illness: None

ID: 0995052
Sex: F
Age: 71
State: AZ

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

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Allergies: Iodine Shell Fish

Symptom List: Injection site pain

Symptoms: Moderate to severe headache for 5 days. Consulted PCP on 6th day. Ibuprofen in beginning, then PCP indicated to switch to Tylenol (which I did)

Other Meds: Lisopril Magnesium Clopidogrel Vitamin C Aspirin 81 mg D3 Atenolol

Current Illness: None

ID: 0995053
Sex: F
Age: 81
State: FL

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

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Allergies: None

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

Symptoms: The patient developed left wrist swelling, pain, warmth one week after getting the Moderna COVID vaccine. It is in the same arm in which she got the vaccine. She tried tylenol but it didn't help. I applied Voltaren gel to the wrist and that helped the pain. I advised if it worsens for her to return. She will monitor the wrist for signs of infection however at this time we will treat for arthritis flare.

Other Meds: She tried tylenol for the pain

Current Illness: None

ID: 0995054
Sex: F
Age: 70
State: WA

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

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Lab Data:

Allergies: IVP dye. Seafood?

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

Symptoms: Beginning seven days following vaccination: Redness, swelling, itching at injection site, increasing for two days then resolving in the subsequent two days. Day of injection: Soreness at injection site lasting 3 days then resolving

Other Meds: metoprolol, Vit B12, Vit D, Calcium, Niacin, biotin, phosphatidylserine

Current Illness: NONE

ID: 0995055
Sex: M
Age: 82
State: OH

Vax Date: 01/15/2021
Onset Date: 01/28/2021
Rec V Date: 02/02/2021
Hospital:

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Lab Data:

Allergies: Codeine, Demerol, Morphine, Percocet

Symptom List: Tremor

Symptoms: Redness and warmth at injection site (left deltoid), beginning approximately 13 days s/p injection

Other Meds: losartan-hydrochlorothiazide, Prilosec, papaya enzyme, metamucil

Current Illness:

ID: 0995056
Sex: F
Age: 4
State: MN

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

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Allergies: none

Symptom List: Erythema, Pruritus

Symptoms: 5 days after vaccine administered, developed local erythematous area which was itchy and grew in size over 24 hrs to 4x3 cm (at time of appt for local reaction 2/2/21)

Other Meds: polytrim eye drops

Current Illness: hordeolum / chalazion of bilateral eyes

ID: 0995057
Sex: F
Age: 50
State:

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

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Allergies:

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

Symptoms: fever, headache

Other Meds:

Current Illness:

ID: 0995058
Sex: M
Age: 66
State: MO

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

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Allergies: none

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

Symptoms: A little achy and under the weather.

Other Meds: 5mg tadalafil daily, 81mg aspirin daily, 800 mg fish oil daily

Current Illness: none

ID: 0995059
Sex: M
Age: 73
State: IN

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

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Lab Data:

Allergies: unknown

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: BP 126/78; HR 60: O2 97% Patient was talking right before administration, but suddenly stopped talking and lowered head upon receiving the vaccine. Color change noted. Patient said he felt warm and light-headed. Patient improved quickly, and used his own personal inhaler (drug unknown). He was observed for over 45 minutes before leaving facility.

Other Meds: unknown

Current Illness:

ID: 0995060
Sex: F
Age: 79
State: IN

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

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Allergies: Diltiazem Penicillin

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

Symptoms: Body aches, muscle pain, fatigue, headache. Tylenol given. Symptoms resolved after 24 hours.

Other Meds: Abilify Tablet (ARIPiprazole) 7mg 1 tab daily Aricept Tablet 5 MG (Donepezil HCl) 1 tab at bedtime Carvedilol Tablet 25 MG 1 tab BID Claritin Tablet 10 MG (Loratadine) 1 tab in morning traZODone HCl Tablet 50 MG 1 tab at bedtime Levothyroxi

Current Illness: None

ID: 0995061
Sex: F
Age: 69
State: NH

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

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Allergies: None

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

Symptoms: Hives or rash from topof head to bottom of feet very hot to touch very itchy.low grade temp

Other Meds: LevOthyroxine sodium 175mcg 1tab a day. //. Esbriet 801mg 3 times aday

Current Illness: Breathing

ID: 0995062
Sex: F
Age: 45
State: TX

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

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Lab Data:

Allergies: no

Symptom List: Pain in extremity

Symptoms: I got covid-19 vaccine 2nd dose ,in campus clinic 01/26 /2021around 3.30 pm . I felt sick around 4 AM(12 hours later , 01/27/2021). I felt dizziness , Chills , facial and eyes swelling and body aches for 24 hours . I took Benadryl and Tylenol 1 hours before vaccine and repeated every 8 hours per MD.. Felt sick for 24 hours.

Other Meds: Tylenol and Zyrtec 1 hours before vaccine per MD

Current Illness: no

ID: 0995063
Sex: M
Age: 44
State: OH

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

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Allergies: N/A

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

Symptoms: body aches, cold sweats, weakness, nausea headaches that lasted 7-8 days so far.

Other Meds: Symbicort, probiotics Omeprazole

Current Illness:

ID: 0995064
Sex: F
Age: 28
State:

Vax Date: 12/07/2020
Onset Date:
Rec V Date: 02/02/2021
Hospital:

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Allergies:

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

Symptoms: fever, fatigue, aches

Other Meds:

Current Illness:

ID: 0995065
Sex: F
Age: 42
State: MI

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

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Allergies: Codiene

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

Symptoms: Within 15 minutes of recieving the shot, I got very hot and my neck, face, right and left arms turned red and my breathing was starting to feel different. Another 15 minutes past and my right hand and left side of my face went numb. The school nurse gave me two Benadryl, some water, and cold cloth. When I returned home I took Motrin and later in the evening another Benadryl. The redness and heat subsided at the school but the numbness lasted throughout the evening.

Other Meds: Metformin Aldactone Crestor Vit. D

Current Illness: None

ID: 0995066
Sex: M
Age: 75
State: CA

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

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Allergies: None

Symptom List: Vomiting

Symptoms: Redness Bloch about 2 inch diameter at/around injection spot

Other Meds: None

Current Illness: None

ID: 0995067
Sex: F
Age: 50
State: PA

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

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Lab Data:

Allergies: Ceclor Iodine IV Contrast Percocet Sulfa

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Shortness of breath and flushing reported at time of vaccination. 1231: HR 9, BP 135/80 and pulse ox 97%. Patient felt like it was her asthma and did not have inhaler along. Offered benadryl, refused. 1239 pulse ox 96%, 1249 pulse ox 97%. Continued to report tightness in chest but no worse. Offered patient to go to ED. Patient refused. 1257: bp 126/62, HR 89 and pulse ox 97%. Patient stated they would go to the ED if their inhaler did not work. released home.

Other Meds: unknown

Current Illness: unknown

ID: 0995068
Sex: F
Age: 50
State: NV

Vax Date: 01/09/2021
Onset Date: 01/10/2021
Rec V Date: 02/02/2021
Hospital:

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Allergies: n/a

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

Symptoms: Day of injection I was fine, I even felt more energetic than usual, at 2am I woke up feeling Flu like symptoms, fever of 100, and achy all over and my arm hurt terribly. I Took a Motrin 800, fell asleep and woke only to drink water, take temp, more Motrin, and back to sleep. I slept about 20 hours only up to move to couch, then back to bed. I was lethargic, symptoms similar to the flu. That was Sunday, Monday was slightly better but exhausted and barely functional. I am VERY nervous to get the second shot as I do not want to feel that bad, let alone worse (which I've heard is the case) . I'm scheduled to go this Saturday 2/6/2021 for the second dose. I know that these are already noted symptoms so I knew I was in the category with others that experienced the same thing, I just want to confirm that I was another individual that had a tough time after the shot and that perhaps there are more people that have the common feeling just are not reporting. I am pretty tough usually, (having homebirths, dealing with pain that I didn't think was that bad) this took me down. I was very surprised that I had that tough of a time.

Other Meds: none

Current Illness: n/a

ID: 0995069
Sex: F
Age: 37
State: IL

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

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Allergies: Morphine, Percocet, hydrocodone

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Headache Muscle pain Chills Fever 100.8 Fever 103.4 Nausea Swollen lymph nodes Night sweats Took Tylenol which helped some

Other Meds: Gabapentin, meloxicam, cyclobenzaprine, tizanidine

Current Illness:

ID: 0995070
Sex: F
Age: 47
State: AZ

Vax Date: 01/17/2021
Onset Date: 01/29/2021
Rec V Date: 02/02/2021
Hospital:

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Allergies: None that I know of

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

Symptoms: Almost immediately after the shot I could feel it/taste it in my mouth. I had some swelling/tingling of the tongue mouth. They had me wait the additional 15 mins. Did the pulse/ox. I was normal. Advised to take antihistamine, which I did when I got home. Felt better that day. On Friday, Jan. 29 I noticed a rash on my torso - stomach, back from bra line down to buttocks. I texted a pic to my friend who is a pediatrician. She said it looked pityriasis rosea. It doesn't itch. I also began having tingling on my tongue again. As of today, 2/2, I still have the rash and some tingling on the tongue. I've been taking a generic claritan in the morning and a benadryl in the afternoon and before bed. I also received a notice at work on Friday and a phone call from the county on Saturday that I may have been exposed to covid on Jan. 26. I have had none of the symptoms typical of covid. Just the rash and the tongue tingling. I called the number today. They advised I complete this form. I am getting a covid test tonight.

Other Meds: Generic claritan

Current Illness: None

ID: 0995071
Sex: F
Age: 88
State: OK

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

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Allergies: Many allergies to prescribed medicaiton. Demeral, Anati-biotics, Prolaia, Metoprolol, Gabapenton. and others thru the years.

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

Symptoms: Pain an swelling around shot area. Weakness, Muscle Pain Headache Leg cramps Lasted about 24 Hours.After that time it gradually subsided. Tjis was on Friday and It was gone by Monday

Other Meds: Levothroxine, Allopurinal,Pravistation,Valsartan,Eliquis, Preser Vision . B12, Calcium with Vit. D

Current Illness: Neurothapy,arthritis A-fib. Kidney disease

Total 2021 VAERS Injuries: 704,237

Page last modified: 26 October 2021 2:21am