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: 0997690
Sex: M
Age: 70
State: CA

Vax Date: 02/01/2021
Onset Date: 02/02/2021
Rec V Date: 02/03/2021
Hospital:

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

Lab Data:

Allergies: Accupril Penicillin

Symptom List:

Symptoms: Fever, joint aches, muscle aches, flu-like symptons. Had Covid and hospitalized 5/26/20 for 7 days.

Other Meds: clopidogrel 75 mg tablet atorvastatin 40 mg tablet HYDROCHLOROTHIAZIDE 25 mg tablet metoprolol tartrate 50 mg tablet losartan 25 mg tablet magnesium oxide 400 mg tablet

Current Illness: None

ID: 0997691
Sex: F
Age: 56
State: NY

Vax Date: 01/16/2021
Onset Date: 01/18/2021
Rec V Date: 02/03/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: left shoulder, left neck pain. Started ~48 hours after vaccine Continued for >14 days Presented to ED day 18 after vaccine treated with NSAIDs and referred to PMD for physical therapy

Other Meds: none

Current Illness: none

ID: 0997692
Sex: M
Age: 31
State: IN

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 02/03/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: Extreme nausea vomiting ,fever, chills , muscle fatigue and swollen lymph node in my right arm pit

Other Meds: N/A

Current Illness: N/A

ID: 0997693
Sex: F
Age: 55
State: NY

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 02/03/2021
Hospital: Y

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

Lab Data:

Allergies: n/a

Symptom List:

Symptoms: Received 2nd vaccine on 1/14/21 on 1/15/21 was sick with flu like symptoms and pain in both legs for 5 days was seen by doctor who did covid test came back negative. After 5 days flu like symptoms some what resolved but leg pain continued. Hard to walk and painful. Seen doctors 2 more times when they finally did bloodwork and sent her for admission to hospital. They have done Bloodwork, MRI's and they are all coming back normal but still have leg pain, cant bend toes or touch leg. Been out of work since.

Other Meds: none

Current Illness: none

ID: 0997694
Sex: F
Age: 89
State: IN

Vax Date: 01/23/2021
Onset Date: 01/25/2021
Rec V Date: 02/03/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Started within third day after vaccination w Itching mid back around to mid front lower torso area, few red raised areas; no topical creams or ointment relieved symptoms which worsened over the course of several days. Dr, appt on 2/3/2021 diagnosed as shingles and is being treated with Valacyclovir HCL, 1 gram two times/day for 7 days.

Other Meds: Amiodarone, Furosemide, Levothyroxine, Metoprolol succinate, Senokot, Simvastatin, Melatonin, Vitamin D-3

Current Illness: None

ID: 0997695
Sex: F
Age: 55
State: IA

Vax Date: 01/22/2021
Onset Date: 02/03/2021
Rec V Date: 02/03/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Large, slightly raised red rash appeared 12 days after vaccination around/near the injection site.

Other Meds:

Current Illness:

ID: 0997696
Sex: F
Age: 31
State: VA

Vax Date: 01/23/2021
Onset Date: 01/23/2021
Rec V Date: 02/03/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: injection site soreness, muscle pain, joint pain, fever 100.1, HA

Other Meds: sertraline wellbutrin XL Junel21

Current Illness:

ID: 0997697
Sex: M
Age: 75
State: TN

Vax Date: 01/19/2021
Onset Date: 01/23/2021
Rec V Date: 02/03/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: I have had fever now for 12 days. High of 102.8 for first 2 days. Now it is @ 100 or less.

Other Meds: None

Current Illness: None

ID: 0997698
Sex: F
Age: 43
State: PA

Vax Date: 01/27/2021
Onset Date: 02/01/2021
Rec V Date: 02/03/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Headache one week after first days, headache again after 2nd vaccine took Advil.

Other Meds: None

Current Illness: None

ID: 0997699
Sex: M
Age: 70
State: IL

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 02/03/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Systemic: Other- Syringe Malfunction

Other Meds:

Current Illness:

ID: 0997700
Sex: F
Age: 46
State: WV

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 02/03/2021
Hospital:

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Patient mentioned that she had her second COVID vaccination earlier today at 0630 and hasn't been feeling well since. She had breakfast around 0700 this morning. Patient was cleaning off a bed when she stated that she was nauseous and dizzy. She had a syncopal episode from standing, hitting her head on the floor. LOC for a few seconds and then awake. BP-138/90, FS-93.

Other Meds:

Current Illness:

ID: 0997701
Sex: F
Age: 36
State:

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 02/03/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Had tingling and numbness from vaccine site to fingers - left arm. Also had intermittent tunnel vision. Given Benadryl 50 mg po without relief. Taken to ED. Given Pepcid 20 mg IV and methylprednisolone 125 mg IV with improvement of symptoms. Discharged home.

Other Meds:

Current Illness:

ID: 0997702
Sex: F
Age: 44
State: MO

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 02/03/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Migraine (two days), vomitting (one day), headache (three days), chills (one day), body aches (three days), and fatigue (three days).

Other Meds: metoprolol, losartan, juice plus, xyzal,

Current Illness: fractured tibia

ID: 0997703
Sex: M
Age: 70
State: IL

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 02/03/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: Systemic: Other- Syringe Malfunction

Other Meds:

Current Illness:

ID: 0997704
Sex: F
Age: 53
State: IL

Vax Date: 02/01/2020
Onset Date: 02/02/2021
Rec V Date: 02/03/2021
Hospital:

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

Lab Data:

Allergies: Aspirin

Symptom List:

Symptoms: joint pain, headache, chills, arm soreness, under arm soreness

Other Meds: None

Current Illness: Eye Surgery 1/15/2021

ID: 0997705
Sex: M
Age: 65
State: TX

Vax Date: 02/01/2021
Onset Date: 02/03/2021
Rec V Date: 02/03/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
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Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA Monday February 1, 2021 Injection in left shoulder was at 1 PM Monday. First noted slight pain at injection site about 12 hours after injection. Tuesday February 2, 2021 Shoulder pain at injection site increased to moderate level, slightly more than fall flu shot . Noted some body and joint aches. Wednesday February 3, 2021 First noted left lymph node under left arm (armpit area) was swollen approximately 43 hours after injection of vaccine after waking up on Wednesday morning. Shoulder pain at injection site is still considered to be moderate.

Other Meds: Valsartan Omeprazole Multivitamin Salmon Oil Vitamin C

Current Illness:

ID: 0997706
Sex: M
Age: 70
State: IL

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/03/2021
Hospital:

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

Lab Data:

Allergies: mold

Symptom List:

Symptoms: About an hour after my vaccine I had dry mouth and then about 20 minutes later I realized my tongue was swollen, to the point where I can feel the inside face of my teeth when my mouth is closed. a little bit of a headache.

Other Meds: l-thyrixine

Current Illness: no

ID: 0997707
Sex: F
Age: 87
State: RI

Vax Date: 01/31/2021
Onset Date: 02/01/2021
Rec V Date: 02/03/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: soreness at the sight. red ring about 2 inches in diameter. shortness of breath (that could also be part of my COPD. However, it seems to be a little more so.

Other Meds: gabapentin losartan Vitamin D

Current Illness: none

ID: 0997708
Sex: F
Age: 52
State: VA

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 02/03/2021
Hospital:

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

Lab Data:

Allergies: penicillin

Symptom List:

Symptoms: Fever of 100.0 for 2 days, injection site swelling & pain

Other Meds: Zyrtec, Omaprazole

Current Illness: none

ID: 0997709
Sex: F
Age: 79
State: GA

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 02/03/2021
Hospital:

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

Lab Data:

Allergies: Isoniazid {INH}

Symptom List:

Symptoms: Immediately had visual disturbance: couldn't focus clearly. And felt tingly-sensation all across chest, deep inside, very uncomfortable and scary, and couldn't get a deep breath. Visual problem lasted about 1 hr.; chest/lung feeling lasted about 5-8 mins., tightness in chest lasted about 10-15 mins. Later in afternoon had pain/edema at injection site, left shoulder joint pain. As of today, 2/3, it's minimal.

Other Meds: Levothyroxine 25 mcg tab 1 PO

Current Illness: none

ID: 0997710
Sex: F
Age: 65
State: WV

Vax Date: 01/07/2021
Onset Date: 01/14/2021
Rec V Date: 02/03/2021
Hospital:

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Patient received covid vaccine #1 Jan 7, 2021. On Jan 14th started having severe red rash? with petechiae and ecchymosis with some capillary oozing of blood on bilateral arms and lower extremities. Was seen by oncologist and had blood work done with no major abnormalities. Rash and bruising continued to spread and employee visited clinic on Jan 20th and she was instructed to contact oncologist ASAP for reevaluation. Patient had surgery for rt breast cancer few months ago currently finishing up radiation therapy to rt chest. To start po chemotherapy next week. Patient returned to clinic today January 26th to report that physician had meeting with other physicians and feels that the episode is related to the Covid vaccine and recommends employee not receive dose #2.

Other Meds:

Current Illness:

ID: 0997711
Sex: F
Age: 34
State: MA

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 02/03/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: body aches and fever of 102.5. symptoms resolved within 48 hours

Other Meds:

Current Illness:

ID: 0997712
Sex: F
Age:
State: IN

Vax Date: 06/01/1949
Onset Date: 02/03/2021
Rec V Date: 02/03/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Later in afternoon into next day soreness in arm where shot was given

Other Meds: Metformin , glipizide,nadol,omesartian, pantoprazole,metamucil

Current Illness: None

ID: 0997713
Sex: F
Age: 36
State: GA

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 02/03/2021
Hospital:

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

Lab Data:

Allergies: na

Symptom List:

Symptoms: fever, chills, muscle aches/pains, headache, extreme fatigue, sweating, diarrhea fever resolved with ibuprofen x1; symptoms lasted until morning 2/3 around 5:30am when I woke up agaon

Other Meds: Zoloft amlodipine prenatal vitamin ibuprofen super-b complex vitamin D

Current Illness: NA

ID: 0997714
Sex: F
Age: 63
State: GA

Vax Date: 01/19/2021
Onset Date: 02/02/2021
Rec V Date: 02/03/2021
Hospital:

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

Lab Data:

Allergies: Penicillin Emycin Sulfa Drugs Latex

Symptom List:

Symptoms: Moderna COVID-19 Vaccine EUA Slightly itchy Pinkish Red Rash approximately 2" x 2" around Injection Site

Other Meds: Tressiba 25 units AM/day KombiglyzeYZE XR 2.5 1,OOOMg/2x/day Atorvastatin 40 Mg 1x/day Nature Made Vitamin D3 1,000IU (25 Mcg) 2x/day

Current Illness: None

ID: 0997715
Sex: F
Age: 38
State: CA

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 02/03/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Patient became lightheaded and experienced syncopal episode while in the observation area.

Other Meds:

Current Illness:

ID: 0997716
Sex: F
Age: 78
State: NE

Vax Date: 01/20/2021
Onset Date: 01/25/2021
Rec V Date: 02/03/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Blister formed in vaginal area. Broke open. Rash developed along right buttock. Burning. Slightly itchy. Symptoms started on 1/25/21. Used Calamine lotion. Presented to clinic on 2/1/21. Diagnosed with Shingles. Started on Valtrex 1gram.three times a day x 7 days

Other Meds: Alendronate 70 mg once a week Anoro inhaler

Current Illness: none

ID: 0997717
Sex: F
Age: 66
State: CA

Vax Date: 01/26/2021
Onset Date: 01/31/2021
Rec V Date: 02/03/2021
Hospital:

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

Lab Data:

Allergies: Epinephrine Gabapentin Malarone Prilosec Ranitidine

Symptom List:

Symptoms: Flu symptoms headache, stomach pain, nausea, exhaustion, body aches, chills, mild fever, mild throat congestion Started late on day 6 after vaccine, lasted until early day 9

Other Meds: Levothyroxine Metoprolol succ Numerous supplements

Current Illness: None

ID: 0997718
Sex: F
Age: 58
State: GA

Vax Date: 02/02/2021
Onset Date: 02/03/2021
Rec V Date: 02/03/2021
Hospital:

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

Lab Data:

Allergies: None noted.

Symptom List:

Symptoms: Left side face tingling and numbness, with severe pain over entire body. Patient took Tylenol this am and called HD. Patient advised to go immediately to ER for assessment and treatment. Patient instructed to call back to notify us as to treatment plan.

Other Meds: Blood thinner.

Current Illness: Weakened immune system noted on form.

ID: 0997719
Sex: F
Age: 58
State: OH

Vax Date: 12/11/2020
Onset Date: 12/12/2020
Rec V Date: 02/03/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient reported fever of 100.4 degrees F and total body myalgia.

Other Meds:

Current Illness: NA

ID: 0997720
Sex: F
Age: 36
State: NJ

Vax Date: 01/30/2021
Onset Date: 01/31/2021
Rec V Date: 02/03/2021
Hospital:

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

Lab Data:

Allergies: Sudafed- rash

Symptom List:

Symptoms: received 2nd dose at 2pm- at 7 pm had slight arm pain. at 0530 am had severe chills- at 0600 had fever 101- at 1130 fever of 103.5 at 3pm had Fever 104.2- only going down to 102 after taking Tylenol and advil ALL DAY----SEVERE body aches in all joints, headache. Fever blister. fever broke 12 hours later (6pm) - body aches calmed down to tolerable level. For 24 -48 hours tolerable aching in neck persisted. after 1st dose of vaccine- developed clavicle pain x2 weeks. Resolved & returned 12 hours after 2nd Dose.

Other Meds: Zoloft vitamin c vitamin d zinc quercitin multivitamin

Current Illness: none

ID: 0997721
Sex: F
Age: 23
State:

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 02/03/2021
Hospital:

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

Lab Data:

Allergies: n/a

Symptom List:

Symptoms: 1/4/2021 vaccination Almost immediately, i felt really dizzy and lightheaded. Couldn't feel my feet. Lasted for about an hour, monitored by EMTs. Went home, slept and woke up feeling better. Soreness at injection site, lymphnodes were swollen; lasting about 24-48 hours.

Other Meds: lexapril

Current Illness: n/a

ID: 0997723
Sex: F
Age: 56
State: IN

Vax Date: 02/01/2021
Onset Date: 02/02/2021
Rec V Date: 02/03/2021
Hospital:

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

Lab Data:

Allergies: lodine

Symptom List:

Symptoms: I had dizzy spells one day after the 2nd vaccine, aches in my knees (which I had recovered from an injury 2 months prior and had stopped hurting), a sore arm at site of injection, and tiredness. After receiving my 1st vaccine I did not have any side effects other than a sore arm at site of injection.

Other Meds: Lexapro 20 mg, Vitamin D 2000, zyrtec

Current Illness: none

ID: 0997726
Sex: F
Age: 69
State: NC

Vax Date: 01/31/2021
Onset Date: 02/02/2021
Rec V Date: 02/03/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Extreme pain traveling from injection site to all joints in the arm, making arm movement very painful and restricted. Hand is swollen.

Other Meds:

Current Illness:

ID: 0997729
Sex: M
Age: 78
State: NY

Vax Date: 01/26/2021
Onset Date: 02/02/2021
Rec V Date: 02/03/2021
Hospital:

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

Lab Data:

Allergies: Penicilin, Doxicylcine

Symptom List:

Symptoms: Slight rash and itching at site of injection. This occurred exactly one week after inoculation and is now in second day.

Other Meds: Atorvastatin; Metoprolol Succ; Low-dosage aspirin; Calciium Citrate/Vitamin D..

Current Illness: None

ID: 0997731
Sex: M
Age: 65
State: OK

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 02/03/2021
Hospital:

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

Lab Data:

Allergies: latex, shrimp

Symptom List:

Symptoms: Rash/bruising around injection site, 6 inch diameter. Lasted for one week. Treated with corticosteroid cream.

Other Meds: daily vitamins

Current Illness: none

ID: 0997733
Sex: F
Age: 41
State: MN

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 02/03/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

Symptom List:

Symptoms: Around 6pm on Monday night (the day of my injection) I was feeling nauseous, I couldn't eat dinner, then around 8:30 i started vomiting this continued until around 1am (i vomited around 4 times). I also had chills and body aches through the night. Tuesday I felt exhausted and had horrible body aches. Around 3pm the body aches were mostly gone but i still had no energy for the rest of the day. Today, Wednesday, i'm a little achy and still lack energy but feel much better than yesterday.

Other Meds: Flovent Inhaler, Albuterol Inhaler, Allegra, Montelukast, Sertraline, CoQ10, fish oil, Vit D, Vit E

Current Illness: none

ID: 0997735
Sex: M
Age: 0
State: AZ

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 02/03/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: 1/26/21 am, Infant seen at Hospital ED with right-sided focal seizures. No fever or symptoms of illness except fussiness. Treated in ED for seizures - resolved. 1/27/21 EEG L hemisphere multifocal discharges c/w focal epilepsy.

Other Meds: D-Vi-Sol 400iu daily

Current Illness: GER, congestion, nasolacrimal duct stenosis

ID: 0997736
Sex: U
Age: 33
State: CA

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 02/03/2021
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Symptoms: Hives on neck,. Has redness and itching still today .

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Current Illness:

ID: 0997739
Sex: F
Age: 37
State:

Vax Date: 01/24/2021
Onset Date: 01/25/2021
Rec V Date: 02/03/2021
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Symptoms: 01/25/2021-1/26/2021: photophobia, headache, general exhaustion, left shoulder discomfort 01/31/2021- dyspnea, tachypnea, palpitations, nausea, indigestion, dizziness, blurred vision, tremors/shaking 02/01/2021-on-going: dizziness and intermittent blurred vision and palpitations

Other Meds:

Current Illness:

ID: 0997740
Sex: F
Age: 59
State: OH

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 02/03/2021
Hospital: Y

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Symptoms: 45 minutes aFTer vaccination starTed nausea/dizziness, Quickly escalated to vomiting, Hyperventilating, increased B/P 200+/130+, decreased Responsiveness, tunnel vision, pin point pupils and no response to verbal and tactile cues For about 10 minutes. Transported to Hospital. Have Residual HTN.

Other Meds: Prozac, ImitRex PRN

Current Illness: None

ID: 0997741
Sex: F
Age: 46
State: KY

Vax Date: 12/23/2020
Onset Date: 12/25/2020
Rec V Date: 02/03/2021
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Allergies: Amoxicillin

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Symptoms: Localized reaction with surrounding erythema & warmth at injection site (Right deltoid) x 2 weeks Symptoms: itching at site, redness & warmth, no pain

Other Meds: fluoxetine, propranolol, vitamin D supplement

Current Illness: None

ID: 0997742
Sex: F
Age: 69
State: NY

Vax Date: 01/28/2021
Onset Date: 02/01/2021
Rec V Date: 02/03/2021
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Symptoms: At injection site in right arm, bruising developed, and redness appeared approximately 3 inches below injection site. It was a large red area about size of a small apple. The raised area was red and warm. Fever 102.9 Nausea Dizziness Bladder control dysfunction - once Persistent headache.

Other Meds:

Current Illness:

ID: 0997743
Sex: M
Age: 50
State: KS

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 02/03/2021
Hospital: Y

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Allergies: n/a

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Symptoms: Client phoned with concerns of chest tightness and "just didn't feel right." Client has past med hx of a MI. Nurse was unable to establish date of previous MI

Other Meds: n/a

Current Illness: none

ID: 0997744
Sex: F
Age: 73
State: AZ

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 02/03/2021
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Allergies: Ibuphrophen

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Symptoms: 101 temperature Fatigue Headache General malaise

Other Meds: None

Current Illness: None

ID: 0997745
Sex: M
Age: 67
State: ME

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 02/03/2021
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Symptoms: Patient experienced swelling, soreness, but the reason for report has a dime size sore on left arm that still present and sore.

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Current Illness: None

ID: 0997747
Sex: F
Age: 46
State: IA

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 02/03/2021
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Allergies: Sulfa drugs, Keflex, Furadantin

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Symptoms: I received my 2nd Moderna COVID 19 vaccination EUA on 02/01/2021 around noon (12:00 pm). I did have a large lose stool around 7:00 pm and felt gassy. I began having a back ache and low grade fever around 8:30 pm, so I went to bed. I woke up around 1:00 am on 2/2/21 and had a fever of 101.0 degrees. I woke up again at 2:30 am and my fever was 103.4 degrees. I was shivering uncontrollably (teeth chattering), body aches and could not warm up. I called in sick to work on 2/2/21 and felt nauseated and dizzy if I got up to go to the bathroom. I took Tylenol, but my fever was between 100.8 and 101 degrees throughout the day despite Tylenol. After taking Tylenol at 6:00 pm on 2/2/21, I took my temperature at 8:00 pm which was 100.8 degrees and went to bed. I could only eat saltine crackers and half a bowl of soup when my fever was lower and I could get out of bed the entire day on 2/2/21, as well as sip on water throughout the day when I wasn't sleeping. I woke up this morning on 2/3/21 wet as my fever broke. I felt better as far as no fever and body aches, but still feel weak today as I haven't had much to eat. I had a small amount of yellowish loose stool this morning and lethargic but no fever.

Other Meds: Daily multivitamin, Osteobiflex for joints

Current Illness: NONE

ID: 0997749
Sex: F
Age: 29
State: OH

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 02/03/2021
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Allergies: no known allergies

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Symptoms: Systemic: Other- Tightness in chest, with increased blood pressure and pulse

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Current Illness:

ID: 0997751
Sex: F
Age: 51
State: PA

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 02/03/2021
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Allergies: Known Medication allergies Cipro, ibuprofen, fluoxetine, Vicodin Latex allergy as well

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Symptoms: States she has had arm and hand numbness in L hand since 1st vaccine. States it started within 15 minutes of last injection. Denies any other symptoms.

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Current Illness:

ID: 0997753
Sex: M
Age: 52
State: NY

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 02/03/2021
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Allergies: Penicillin's

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Symptoms: Patient complained of headache 15 minutes post vaccination. He stated he has a history of migraines. After additional 15 minutes of enhanced observation headache abated,

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Current Illness:

Total 2021 VAERS Injuries: 704,237

Page last modified: 03 October 2021 5:28pm