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
39,650
AK1,244
AL2,949
AR1,927
AS34
AZ8,863
CA36,837
CO7,068
CT4,781
DC970
DE976
FL19,989
FM3
GA7,810
GU56
HI1,328
IA2,957
ID1,586
IL11,804
IN18,051
KS2,848
KY3,708
LA2,782
MA8,883
MD7,665
ME2,058
MH6
MI10,821
MN7,313
MO5,528
MP13
MS1,468
MT1,478
NC9,267
ND817
NE1,803
NH1,997
NJ9,638
NM2,342
NV2,291
NY19,681
OH11,488
OK2,957
OR5,088
PA13,644
PR1,320
QM1
RI1,348
SC3,429
SD776
TN5,051
TX19,352
UT2,665
VA9,047
VI29
VT1,159
WA8,644
WI6,789
WV1,447
WY520
XB4
XL1
XV2

ID: 0924643
Sex: F
Age: 27
State: VA

Vax Date: 12/30/2020
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: None

Symptom List:

Symptoms: Unspecified general vertigo, general weakness, and occasional nausea starting from morning after vaccination that has been steadily improving day by day. Have tried meclizine OTC to no effect. Vertigo is mild and not impairing. Able to keep balance fine.

Other Meds: None

Current Illness: None

ID: 0924644
Sex: F
Age: 51
State: TX

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:

Symptoms: Patient received vaccine, 15 minutes post vaccine patient alerted personnel that her left hand was itching and felt warm on the inside. Patient refused to have EMS check her out, but she wanted to inform staff how she was feeling. Patient was having no other symptoms. Patient stated her hand was feeling better after approx 5 minutes. Patient informed to report to v-safe and call 911 or go to the nearest emergency room if her symptoms worsen. Patient verbalized understanding.

Other Meds:

Current Illness:

ID: 0924645
Sex: F
Age: 42
State: NY

Vax Date: 12/30/2020
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: gluten, Onion, Garlic

Symptom List:

Symptoms: Joint Pain, Cold Chills, Fever of 101.3 Symptoms started roughly 28 hours after injection. Took extra strength Tylenol x2 and drank powerade. Symptoms were resolved by morning.

Other Meds: Centrum Complete multi-vitamin, Vit-D supplement, Estroven Sleep supplement

Current Illness: none

ID: 0924646
Sex: F
Age: 37
State: CT

Vax Date: 12/31/2020
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: None

Symptom List:

Symptoms: Moderna COVID-19 Vaccine EUA Chills,swollen lymph nodes on left arm, fatigue

Other Meds: Levothyroxine

Current Illness: No

ID: 0924647
Sex: F
Age: 62
State: FL

Vax Date: 10/09/2020
Onset Date: 10/09/2020
Rec V Date: 01/06/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: PATIENT COMPLAINS THAT HER LEFT ARM HAS BEEN HURTING HER SINCE ADMISTRATION ON 10/9/2020 UNTIL TODAY 1/6/2021

Other Meds: NONE

Current Illness:

ID: 0924648
Sex: F
Age: 42
State: NY

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: sulfa

Symptom List:

Symptoms: bells palsy of right eye

Other Meds: synthroid vit D3

Current Illness: none

ID: 0924649
Sex: F
Age: 24
State: OH

Vax Date: 12/29/2020
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: NKA

Symptom List:

Symptoms: When getting the vaccine, person giving shot didn?t make sure needle was screwed onto syringe completely. When needle was in arm and plunger was pushed, contents of vaccine went all down arm. A second injection was given in the same arm. 8 days later, I woke up to swollen, hot red arm at injection site. A swollen and hard lymph node was also felt underneath armpit of the injected arm

Other Meds: Oral contraceptive Doxycycline spironolactone

Current Illness: None

ID: 0924650
Sex: F
Age: 19
State: OH

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: Mold, dust mites, amoxicillin, sertraline

Symptom List:

Symptoms: Nausea, injection site pain, body aches, headache, dizziness

Other Meds: Zyrtec, tri-lo-marzia

Current Illness:

ID: 0924651
Sex: M
Age: 24
State: CA

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: None reported

Symptom List:

Symptoms: Patient received the vaccine around 2:50PM; checked in around 2:46PM. He was seated during his monitoring phase when the nurse reported that the patient was complaining about: ? Dizziness ? Lightheadedness ? Weakness of extremities & general overall weakness ? Fast heartbeat ? These were noted to be part of the signs of severe allergic list for the vaccine. Upon assessment around 3PM, the nurse noted that the patient said he felt some of the symptoms were improving; no shortness of breath noted or facial swelling or rashes. Patient offered juice and crackers and advised to stay and continue monitoring. Patient compliant with plan. Around 305PM patient reassessed and patient started complaining of increasing weakness and dizziness and racing heartbeat. Patient also noted to have labored breathing, pale, clammy and tripoding. Vitals taken = 101/64; 100% in room air; HR = 80; RR = 32; lung sounds clear to auscultation. Patient kept on vital sign monitoring and noted that saturations started decreasing to 90%, then 80%, then down to 70% in a span of several minutes + HR = reduced to 55. Patient also stated he was feeling faint & started feeling very weak & stopped talking & having difficulty breathing. MERT called and patient placed in a wheelchair & oxygen administered. Patient continued to look worse and not as responsive. MERT arrived around 317PM and took another set of vitals and brought patient to ED.

Other Meds: Unknown

Current Illness: No known history

ID: 0924652
Sex: F
Age: 28
State:

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:

Symptoms: arm pain at injection site; fever (102.5); body aches; chills

Other Meds: Prenatal vitamin, calcium, vitamin d

Current Illness:

ID: 0924653
Sex: M
Age: 36
State: PA

Vax Date: 12/29/2020
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: Lactose intolerant

Symptom List:

Symptoms: The following night I was experiencing frequent diarrhea, and body aches from muscular making it painful to breathe.

Other Meds: None

Current Illness: Rheumatoid arthritis

ID: 0924654
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:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: Swelling of R jaw, unable to open mouth completely, difficulty eating, some discomfort. I took Motrin for pain.

Other Meds: Omeprazole 40mg, Magnesium with Protein, Fiber

Current Illness: none

ID: 0924655
Sex: F
Age: 49
State: NV

Vax Date: 12/28/2020
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: Cipro, Macrodantin, Amoxicillin, Demoral, Floxin, Percocet

Symptom List:

Symptoms: Delayed redness, pain and swelling left arm with perceived fever, chills and body aches

Other Meds: Tirosint, Omeprazole, Mulitvitamin, Probiotic

Current Illness: none

ID: 0924656
Sex: F
Age: 30
State: VA

Vax Date: 12/30/2020
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: NKA

Symptom List:

Symptoms: I started to notice pain and slight swelling in my left axilla less than a week after receiving my vaccine. There is also swelling at the injection site that goes away and returns.

Other Meds: Spironalacrone, Mirena IUD

Current Illness: N/A

ID: 0924657
Sex: F
Age: 67
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:
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Vax Site:

Lab Data:

Allergies: aspirin, NSAIDS, flexeril, percocet, thiomerosol in any product, caffeine or stimulants, allergic to milk, ?to eggs, ?to bluberries and strawberries, severe to cheese esp cheddar, ?to onions, ? to garlic, ?to grapes, severe intolerance to alcohol

Symptom List:

Symptoms: 5 minutes after injection, my feet and palms itched and I was lightheaded but I tried to shake it off and it faded over the next 10 minutes. I did report it and stayed longer and was ok. Then i went straight home and layed down because i did not sleep well night before (was on call ) i awoke 1 hour post injection dry heaving, very nauseated, mild headache, achy, itchy over different parts of my body and weak. Sat up and my face was getting itchier, lips started to swell, tongue started to swell and itch, throat felt like someone was strangling me, had trouble swallowing and trouble breathing. took 2 benadryls immediately and went out into cold air, thought about calling 911 but got better in 10-15 minutes. never have had a reaction like this in my life. have had hives though in the past. If I would have had an epi pen I would have used it (never have had an epi pen) I was frightened but the benadryl worked and I slept due to the benadryl for 5 hours, when I woke up the benadryl wore off and it started again. took more benadryl, and it improved. before bedtime, the benadryl wore off and I had a hard time swallowing my night time meds like my throat was swollen. Took 2 more benadryls, today I am weak and nauseated and ate very little and feel like my face is still red and itchy. I told my sister and she said she is allergic to PEG which i later noted was in the vaccine. i am very disappointed that I had this reaction- I have desparately wanted this vaccine as a medical worker with a lot of covid patients- I onlu hopr this one shot will protect me enough because it is clear to me that i cannot take this vaccine again.

Other Meds: atenolol 25 mg per day, claritin 10 mg per day, evamist one spray per day, pepcid 20 mg per day, vit b12 3000 mcg per day, vit d 5000 units per day, prenatal gummy vitamin one per day,tylenol 500 mg per day, benadryl 50 mg per day

Current Illness: none

ID: 0924658
Sex: F
Age: 92
State: FL

Vax Date: 12/26/2020
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
Hospital: Y

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

Lab Data:

Allergies: PCN, Sulfa

Symptom List:

Symptoms: Severe Hypotension, Redness, Warmth and sensitivity all over skin surfaces, lack of responsiveness, low oxygen saturation.

Other Meds: Caltrate, Vitamin B, Azopt, Ensure, Sertraline, Dulcolax, Benzonatate, Tylenol, Melatonin, Flonase, Imodium, Ativan.

Current Illness: L98.9 Disorder of the skin and subcutaneous tissue, unspecified-Scalp(Primary, Admission), R41.841 Cognitive communication deficit, R13.10 Dysphagia, unspecified, R13.12 Dysphagia, oropharyngeal phase, C44.311 Basal cell carcinoma of skin of nose, R26.81 Unsteadiness on feet, M62.81 Muscle weakness (generalized), R53.1 Weakness, Z74.09 Other reduced mobility, Z74.1 Need for assistance with personal care, D51.9 Vitamin B12 deficiency anemia, unspecified, D64.9 Anemia, unspecified, E87.6 Hypokalemia, F03.90 Unspecified dementia without behavioral disturbance, F32.9 Major depressive disorder, single episode, unspecified, G47.00 Insomnia, unspecified, H40.9 Unspecified glaucoma

ID: 0924659
Sex: F
Age: 66
State: VA

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: Penicillin The malaria drug that you take weekly rather than daily

Symptom List:

Symptoms: Severe pain in left arm. Felt like arm had been wrenched from shoulder socket. Pain radiated down arm from shoulder to wrist. Could not lift arm more than halfway to the front or side for 3 days. Took 6 days for all pain to dissipate.

Other Meds:

Current Illness: None

ID: 0924660
Sex: F
Age: 32
State: VA

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: Penicillin, Ceclor, mold, pertussis vaccine (childhood), Vancomycin

Symptom List:

Symptoms: Bronchospasm 1.5 hours post injection relieved by 1 puff of albuterol. 12 hours post injection headache. 24 hours post injection chills, aches, malaise, low grade fever. Overall mild discomfort at the injection site.

Other Meds: Levothyroxine, Losartan, Metformin, propranolol, nortriptyline, omeprazole, vitamin D gummy

Current Illness: None

ID: 0924661
Sex: F
Age: 34
State: CA

Vax Date: 12/23/2020
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: Seasonal allergies, mild

Symptom List:

Symptoms: Left armpit pain without mass for 4 days, delayed reaction that did not start until 7 days after vaccine. Initial vaccine reaction w mild sore arm on side of vaccine

Other Meds: None

Current Illness: None

ID: 0924662
Sex: F
Age: 46
State:

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:

Symptoms: Redness and burning in eyes, followed by shaking chills and fever with headache and fatigue. Lasted 24 hours

Other Meds: None

Current Illness: None

ID: 0924663
Sex: F
Age: 38
State:

Vax Date: 12/20/2020
Onset Date: 12/23/2020
Rec V Date: 01/06/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: I received my COVID-19 vaccine on 12/20/2020, all was fine despite a sore arm. Around the 48-hour mark, I developed extreme dizziness and I received medical care at ER on the 23rd of December.

Other Meds:

Current Illness:

Date Died: 01/06/2021

ID: 0924664
Sex: F
Age: 92
State: HI

Vax Date: 01/02/2021
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: Hydrochlorothiazide

Symptom List:

Symptoms: At approximately, 1855, I was alerted by caregiver, resident was not responding. Per caregiver, she was doing her rounds and found resident in bed, unresponsive, mouth open, observed gurgling noises and tongue hanging out of mouth. This primary caregiver observed resident at baseline and ambulating after dinner at approximately, 1800 less than an hour prior to incident. This PCG called 911 for EMS and gave report of incident. Resident was taken to Medical Center Emergency Department. At ER, CT scan and X-ray was performed. Per report from ER RN, CT scan and x-ray revealed an intracranial aneurysm and fluid in the lungs. Per RN, resident was still unresponsive and was admitted to Medical Center for observation and comfort measures. This primary caregiver reported to RN, resident recently received the first dose of COVID-19 vaccine on 1/2/21. Primary caregiver received a call from Castle RN at 0700, resident expired at 0615.

Other Meds: Metoprolol succ ER 50mg 1 tab PO daily Omeprazole DR 20mg 1 cap PO daily Amlodipine besylate 5mg 1 tab PO daily Aspirin 81mg 1 tab PO daily Carbamazepine ER 100mg 1 tab PO TID Docusate 100mg 1 cap PO daily Multivitamin 1 tab PO daily Olmesa

Current Illness: none

ID: 0924665
Sex: F
Age: 46
State: MD

Vax Date: 12/28/2020
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: Bactrim No other allergies

Symptom List:

Symptoms: I received the vaccine Dec. 28th, 2020 in my left deltoid. There were no issues until January 5, 2021 in the evening when my arm started to itch. There was increased erythema, mild edema, and urticaria. The area is still red and itchy and while the erythema has increased outside the marked area on my deltoid, it has diminished in how vibrant it is.

Other Meds: Levothyroxine 100 mcg PO daily.

Current Illness:

ID: 0924666
Sex: F
Age: 49
State: OH

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: None

Symptom List:

Symptoms: Itching and redness at injection site

Other Meds: Nifedipine, synthroid, HCTZ, fish oil, Vitamin D, Flonase

Current Illness: None

ID: 0924667
Sex: F
Age: 26
State: TX

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:

Symptoms: Moderna COVID-19 Vaccine EUA; 99.5 fever, chills, muscle aches, night sweats

Other Meds: Birth control pill, Zyrtec, symbicort

Current Illness: None

ID: 0924668
Sex: F
Age: 38
State: MA

Vax Date: 12/23/2020
Onset Date: 12/23/2020
Rec V Date: 01/06/2021
Hospital:

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

Lab Data:

Allergies: PCN as a child

Symptom List:

Symptoms: Tingling in nose and lips within minutes of vaccination. No treatment needed. Self-resolved within a few minutes. Same symptoms a few days later, again no treatment needed. Lasted only a few minutes. This was also along with painful injection site, chills and body aches. Swollen lymph node in left underarm. Non-pain rash that developed 1 week after vaccination.

Other Meds: Vit C, B12, and Vit D

Current Illness: none

ID: 0924669
Sex: F
Age: 36
State: CO

Vax Date: 12/23/2020
Onset Date: 12/23/2020
Rec V Date: 01/06/2021
Hospital:

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

Lab Data:

Allergies: Bee venom, fire ants

Symptom List:

Symptoms: Itching, splotchy rash on torso

Other Meds:

Current Illness: None

ID: 0924670
Sex: F
Age: 31
State: AZ

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: none

Symptom List:

Symptoms: Headache the afternoon/evening the shot was given. Skin reaction 2 inches in diameter at injection sight for 9 days that is red, sore, hard, hot to the touch, and itchy.

Other Meds: none

Current Illness: none

ID: 0924671
Sex: F
Age: 50
State: VA

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: Meds-Polymycin, Neosporin, Bacitracin Food-Calamari and Crabs

Symptom List:

Symptoms: Approximately 2 hours post injection, my left arm started to feel warm and itchy. I was wearing a thick hoodie and when I pulled my sleeve up, it was covered with hives and welts. My lower lip started to feel full and nose started to feel runny. I was close to a pharmacy when I discovered the hives so I went and bought Tylenol and Benadryl and took it immediately. After that, I headed to the emergency room of the facility where I got my covid 19 -Pfizer injection. When I got there, my right arm started to feel itchy as well and I also broke out in a rash on my left upper chest. They gave me a steroid injection and steroid taper prescription. When I got home that night, my right forearm broke out in hives. The next couple of days, my left arm intermittently had hives.

Other Meds: Synjardy, Metformin, Amlodipine, Lisinopril, Premarin Cream, Clobetasol, Elidel, triamcinolone, Zyrtec, Calcium, Vit D, Biotin, Vit B-12, Epipen-food allergies

Current Illness:

ID: 0924672
Sex: F
Age: 57
State: MT

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: Prozac -upset stomach

Symptom List:

Symptoms: Patient had redness and flushing around the neck and sweaty palms. Patient reported pain in left eye and left forehead above the eye. The patient reported feeling ?out of sorts? with a tingling or numbness from her shoulder to her neck and tingling in the left side of her face. She felt light headed when standing and her feet hurt. She was given diphenhydramine 25 mg and observed for an hour and a half at which time she reported feeling better . Her temperature was 97.5 F at 13:23 and 97.9 at 13:45. She left work early and went to the walk-in clinic later that evening. She reported that the clinic said all of he vital signs were normal and they did not note any specific problems. She took second diphenhydramine 25 mg. She was contacted at around 8:30 AM on 1/6/2021 and reported that she was feeling better.

Other Meds: Metformin, atorvastatin, citalopram

Current Illness: None

ID: 0924673
Sex: F
Age: 51
State: OR

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:

Symptoms: Patient related complaints of burning sensation in her right hand and fingertips. 119/77, 99.4, 18, 88, 98% on room air. Patient was observed for 45 minutes and stated that she felt fine.

Other Meds:

Current Illness:

ID: 0924674
Sex: F
Age: 36
State: AZ

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

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

Lab Data:

Allergies: Penicillin Zomig Imitrex

Symptom List:

Symptoms: Days 1-6 after receiving vaccine, arm developed a large (half-dollar sized), red, firm, swollen area that was hot to touch; it turned into a bruise and then was completely gone by day 6 (12/28/2020). On 1/1/2021, I noticed that my arm was again sore; upon inspection, I found that the welt had returned. It was again large, red, swollen, hot to touch and very itchy. As of today (1/6/2021), it is just a slight bruise.

Other Meds: Escitalopram 20mg daily Tizanidine 2mg daily

Current Illness: None

ID: 0924675
Sex: M
Age: 45
State: VA

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
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Allergies: No

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Symptoms: Fever 102 and taken Tylenol 650 mg q8h for 3 dose Fever spike again twice in 24 h Symptoms resolved on 01/06/2021

Other Meds: Protonix 40 mg bid

Current Illness: GERD

ID: 0924676
Sex: F
Age: 59
State: GA

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/06/2021
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Allergies: Macrobid, Keflex, Loratadine, Lisinopril

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Symptoms: On day after vaccine had chills and fever(99.7) for ~ 24 hours. Also had muscle and joint pain, very sore arm at injection site, mildly swollen lymph nodes. All noted on handout to be possible side effects. ***Day 2 after vaccine has very red rash all over neck, chest, abdominal and back areas with some itching that lasted ~ 72 hours but was less visible each day after initially noted. No medical treatment sought as resolved on its on

Other Meds: Losartan Potassium,25 mg, Calcium 600 w/D 3, Vitamin C, 500 mg, Zinc, 50 mg, Vitamin D3, 50 mcg, Aspirin, 81 mg

Current Illness: None

ID: 0924677
Sex: F
Age: 23
State: ID

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/06/2021
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Allergies: Cinnamon

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Symptoms: Within an hour of the shot my back and chest were covered in a rash

Other Meds: Lexapro (was out for two days though so I hasn?t taken it)

Current Illness: No

ID: 0924678
Sex: F
Age: 29
State: VA

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/06/2021
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Allergies: Cephalexin Augmentin Doxycycline Lidocaine Duloxetine

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Symptoms: Still have a welt, hot to the touch, and knot after a week from getting the vaccine

Other Meds: None

Current Illness: Nausea, headache, redness, swelling at injection site, and welt (knot)

ID: 0924679
Sex: F
Age: 29
State: WY

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/06/2021
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Allergies: None

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Symptoms: Severe hives 4 hours after injection, red and hot around injection site for 3 days now

Other Meds: Qbrexa, fluoxetine, diclofenac, topiramate

Current Illness: None

ID: 0924680
Sex: M
Age: 48
State: CO

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/06/2021
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Allergies: N/A

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Symptoms: At 1pm on January 6th I became fatigued and had a low grade fever of 99.1

Other Meds: multivitamin, probiotic, fish oil, vitamin D.

Current Illness: N/A

ID: 0924681
Sex: F
Age: 49
State: FL

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/06/2021
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Symptoms: Left temporal H/A, stabbing that comes and goes. B/P 207/107. Sent to ER

Other Meds:

Current Illness:

ID: 0924682
Sex: F
Age: 60
State: TX

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/06/2021
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Symptoms: Stiff neck, headache, ear ache, fatigue, arm ache and weakness

Other Meds: Zinc, vitamin D, Ajovy

Current Illness:

ID: 0924683
Sex: M
Age: 78
State: CO

Vax Date: 01/03/2021
Onset Date: 01/03/2021
Rec V Date: 01/06/2021
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Allergies: none

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Symptoms: Dry cough

Other Meds: Losartan 50mg 2Xdaily Toprol 12.5mg /day Thyroxine 50mcg/day

Current Illness: none

ID: 0924684
Sex: F
Age: 20
State: SD

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
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Allergies: None

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Symptoms: Pain in left arm from 1/5 at 8am to 1/6 at 1pm. Ibuprofen did not help and it was hard to be able to move arm or it be touched. Fever, body aches, joint pain, and chills on 1/5 for about 7 hours. Tylenol and Ibuprofen did not break fever or body aches. 1/6 no body aches, fever, chills but very slight pain in left arm.

Other Meds: Sprintec birth control, Adderall XR, Nitrofurantn, Ibuprofen

Current Illness: Probable Covid-19 on 12/23

ID: 0924685
Sex: F
Age: 32
State: NY

Vax Date: 12/17/2020
Onset Date: 12/22/2020
Rec V Date: 01/06/2021
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Allergies: none

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Symptoms: left axillary lymph node swelling and pain that started 5 days post vaccination of the same side arm. swelling and pain subsided in 3 days and completely disappeared. symptoms were mild.

Other Meds: None

Current Illness: none

ID: 0924686
Sex: F
Age: 35
State: NY

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/06/2021
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Allergies: None

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Symptoms: Cellulitis like reaction. Area where injected started with a red like rash and spreading down arm. Very painful, hard and red. Took Benadryl and Motrin. Will keep monitoring. If it becomes worse will go to ER. About 2 hours after injection I noticed the redness and throughout the day it was spreading. The This same thing happened the last 2 times I had the flu shot and they gave me antibiotics before. I was able to catch I t early this time.

Other Meds: Birth control and a multivitamin

Current Illness: None

ID: 0924687
Sex: M
Age: 66
State: TX

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
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Allergies: None

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Symptoms: Moderna COVID-19Vaccine EUA Arm soreness, headaches, nausea, chills, fatigue, dizziness; started the morning after I received the injection and lasted 24 hours. 48 hours later I still have fatigue and headaches. (It is noteworthy that I had COVID in October, recovered at home, in bed for 3 weeks. This was very similar)

Other Meds: Olmesartan; Pantoprazole; Lipitor; Zinc, Vitamin C, Vitamin D

Current Illness: None

ID: 0924688
Sex: F
Age: 19
State: ND

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/06/2021
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Allergies: None reported

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Symptoms: Patient became woozy when she returned to her second floor work area. Her colleagues came to get me in the auditorium. When RN and I reached patient she was very weak, she was sitting in a chair. I instructed her colleauges to call 911 immediately. Patient was having a little trouble breathing. I think she was scared. I gave her 10 mlL of benedryl and RN administered a 0.5 mL dose of epinephine in her left arm. Patient was helped to the floor and her feet were elevated. RN put on a blood pressure cuff. Before she could get a reading, the paramedics were there and took over. Patient was transported to Hospital.

Other Meds: Unknown

Current Illness: None reported

ID: 0924689
Sex: F
Age: 46
State: WA

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/06/2021
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Allergies: None

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Symptoms: Every bone in my body hurt, I was unable to get out of bed until 4:00pm because of a overwhelming not well feeling (a little Nauseous and dizzy but not to the point I was throwing up I also had a low-grade fever 99.7 and could not get warm. Over the past 2 hours I am feeling a little better where I can walk short distances and type in my phone I did not go to the doctor or hospital

Other Meds: Tamoxifen Venlafaxine ER Multi vitamin Vitamin D

Current Illness: None

ID: 0924690
Sex: F
Age: 38
State: NC

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
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Allergies: None

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Symptoms: Three to four hours after vaccine had bruising, major loss of range of motion, severe sharp pain, elevated temp and chills due to reaction of injection site Treatment given 24 hrs later- strong antibiotics, anti inflammatory, exercise, and three days out of work Due to loss of function of left arm due to inflammation

Other Meds: Benadryl, vitamin d, vitamin b12

Current Illness: None

ID: 0924691
Sex: F
Age: 36
State: MA

Vax Date: 12/30/2020
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Rec V Date: 01/06/2021
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Allergies: Allergy to Bactrim (increased lfts) and nickel allergy

Symptom List:

Symptoms: Left arm soreness for 24 hours. On 1/6/21 evening, I noticed raised red rash at the site of injection. It is itchy. This is new.

Other Meds: Vitamin d3 5000 units daily

Current Illness: None

ID: 0924692
Sex: F
Age: 40
State: MO

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

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Symptoms: On day 7 I developed significant itching to injection site along with large area of induration, redness and heat. It continues into today. Tender to touch.

Other Meds: Synthroid, lexapro, melatonin

Current Illness:

Total 2021 VAERS Injuries: 366,194

Page last modified: 03 October 2021 5:28pm