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: 1003565
Sex: F
Age: 58
State:

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

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

Lab Data:

Allergies: Codine, Penicillin

Symptom List: Dysphagia, Epiglottitis

Symptoms: Moderna COVID-19 Vaccine EUA: I felt very sore in my arm a few hours after the shot. About 15 hours later, I felt very fatigued. Just shy of 24 hours I had chills and felt as if I was running a fever but was not running a fever. 36 hours in I was extremely dizzy and this lasted about 8 hours. In about 48 hours I developed a large red rash about the size of my hand on my arm and it was hot to the touch.

Other Meds: Pantoprazole, Fluticasone Nasal, Calcium + D, Alerga D, Prevagen

Current Illness: none

ID: 1003566
Sex: M
Age:
State: MI

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/04/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Anxiety, Dyspnoea

Symptoms: Patient came in for covid 19 vaccine. When administering the vaccine the serum leaked out of the syringe at the needle attachment. The patient was given a second dose and held in building for 30 minutes.

Other Meds:

Current Illness:

ID: 1003567
Sex: F
Age: 62
State: LA

Vax Date: 01/27/2021
Onset Date: 02/03/2021
Rec V Date: 02/04/2021
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: After 7 days started itching, now big red swollen lump on injection site. Neck itching .

Other Meds: None

Current Illness: None

ID: 1003568
Sex: F
Age: 38
State: TN

Vax Date: 12/23/2020
Onset Date: 01/04/2021
Rec V Date: 02/04/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Approximately 12 days after receiving vaccine I experienced a rash at the injection site that was red, itchy, warm and painful. Then 1 week ago I noticed an indentation in that arm and continued soreness. I have lipoatrophy.

Other Meds: Sertraline 100mg, levothyroxine 75mcg, multivitamin

Current Illness: None

ID: 1003569
Sex: F
Age: 51
State: TX

Vax Date: 01/15/2021
Onset Date: 01/23/2021
Rec V Date: 02/04/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Redness, swelling and itchiness at site of injection -- reaction appeared a week after injection and lasted 7-10 days

Other Meds: Olmesartan Medoxomil 5 mg - High Blood Pressure Pravastatin 20mg - high cholesterol Omeprazole 40 mg

Current Illness: None

ID: 1003570
Sex: F
Age: 42
State: AZ

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

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

Lab Data:

Allergies: Penicillin Sulfa Diphenhydramine

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

Symptoms: Exhaustion started 2 hours after injection, the next day I had a fever of 101.4, chills, my skin hurt, and no appetite. The fever broke over night. The following day I had hardly any appetite, brain fog, and exhaustion.

Other Meds: None

Current Illness: 2 days or so of digestive issues

ID: 1003571
Sex: F
Age: 26
State: AL

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

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

Lab Data:

Allergies: N/A

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Swollen arm, redness, knot as big as softball

Other Meds: N/A

Current Illness: N/A

ID: 1003572
Sex: F
Age: 33
State: LA

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

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

Lab Data:

Allergies: NKDA

Symptom List: Pharyngeal swelling

Symptoms: Dose #1- 2 days after receiving my first covid 19 vaccine I had 2 days of scant/light vaginal bleeding and lower back pain. Very abnormal because I have the Nexplanon implanted in my arm and may have 2-3 periods per year. Normally the periods I do have are heavier and last 3-5days. One week later I had about 3 days of left ovarian pain. Dose # 2- One day (which is today) after receiving my second vaccine I started with scant/ light vaginal bleeding and lower back pain. No ovarian pain yet.

Other Meds: Nexplanon implanted in my left arm. Emergen C every AM and PM. Melatonin gummies. Sleep aid.

Current Illness: None

ID: 1003573
Sex: F
Age: 25
State: MN

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

Vax Type:
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Lab Data:

Allergies: anaphylaxis reaction at age 12 with unknown etiology

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Patient received the 1st dose of the Pfizer COVID vaccine and was being observed for the 30 minute observation due to history of :severe allergic reaction (anaphylaxis) as a child, with unknown etiology. About 20 minutes into the observation period patient began complaining of tightness in her chest and heaviness in her shoulders. respiratory rate = 20 and unlabored; breathing spontaneously with O2 saturation 100% on room air; BP 116/69, Pulse 103 Mentation: Alert Skin: Cool at onset of symptoms, per EMS recommendation, the patient was placed on oxygen 2 liters via nasal canulaO2 saturations remained at 100 %. Patient noted slight improvement of her symptoms after about 15 minutes with oxygen continuing at 2 liters/Nasal cannula. Continued to observe patient for another 10 minutes, after which time the patient began to complain of a scratchy feeling in her throat, swelling around her mouth, itching and flushing of her face. At 19:05, EMS administered 0.3 mg intramuscular, Epinephrine via auto-injector into patient's right thigh. After 5-6 minutes post-Epi administration, the patient reported having relief of symptoms. Vital signs obtained (BP 108/69, pulse 108) and oxygen saturation stable at 100% on room air. Patient was advised, she would need further evaluation in the Emergency Department after receiving the dose of Epinephrine via auto-injector. Patient was advised to be transported via ambulance. Patient declined transport via ambulance. Patient called a friend to give her a ride to the Emergency Department. EMS personnel called report to the ED. Patient was alert, oriented x3 throughout the adverse event and stable upon leaving the clinic at 40 minutes after Epi had been administered. Vaccine providers were notified of the adverse symptoms post vaccine. Patient will follow-up with her primary provider and allergy provider to determine if second dose will be a possibility to receive.

Other Meds:

Current Illness:

ID: 1003574
Sex: F
Age: 53
State: IN

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

Vax Type:
Manufacturer:
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Lot:
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Lab Data:

Allergies: None

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Headache, chills, aches, nausea.

Other Meds: Vivitrol Bupropionv300 mg ibuprofen 800 mg Hair and nails vitamin

Current Illness: None

ID: 1003575
Sex: F
Age: 56
State: TN

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 02/04/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: sore arm at the sight of injection 1/6/2021 Next day a red area about the size of a fifty cent piece1/7/2021 on that fri 1/8/2021 red area still there but not as sore O'Day 3 . 1/9/2021 sorness gone. Redness gone. For from that day up until February 4th.no other symptoms. I take 2nd dose on 2/5/2021

Other Meds: biotin gummies

Current Illness: none

ID: 1003576
Sex: F
Age: 72
State: CA

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

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

Lab Data:

Allergies: No

Symptom List: Rash, Urticaria

Symptoms: Chills, fever, body aches.

Other Meds: No

Current Illness: Covid-19

ID: 1003577
Sex: F
Age: 31
State: NC

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

Vax Type:
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Lab Data:

Allergies: Amoxycillin, Anaphylaxis November 2020

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

Symptoms: 0833, Patient reports muffled hearing and "feeling hot". Cold pack applied to neck, providing some comfort. No itching, hives, SOB, pain, weakness. Pulse strong at 84. 0846 BP 110/79, 84 Pulse, 18 Resp, 94% O2 Sat, Additional complaint of generalized body 'itching' at 5/10, without erythema, urticaria. Lungs clear bilaterally. Per protocol, 25 mg PO diphenhydramine. 250 ml water PO 0856 Rapid increase in 'itching' to 8/10 with desire to stand and scratch most of her body. Per protocol, 25 mg PO diphenhydramine 0900 BP 112/68 'itching' improving 6/10 0920 'Itching' at 2/10, O2 Sat 99%, 79 HR, 18 R, BP 108/78. Hearing with return to normal. 0939 Itching at 1/10 1000 Itching at 0/10, all other signs and symptoms 1015 BP 106/76, P 78, O2 Sat 98

Other Meds: Zoloft, Welbutrin

Current Illness: None

ID: 1003578
Sex: F
Age: 74
State: NY

Vax Date: 01/26/2021
Onset Date: 02/01/2021
Rec V Date: 02/04/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: shellfish

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

Symptoms: About one week after receiving the vaccine (2/1/2021) I developed itching and a large red circular swelling at the site of the vaccine. The spot was sore and warm to the touch and appeared to have small white spots at the swelling. As of today (2/4/2021) the area is still red and itchy but is not as warm as it has been for the past few days.

Other Meds: none

Current Illness: none

ID: 1003579
Sex: F
Age: 70
State: FL

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 02/04/2021
Hospital: Y

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

Lab Data:

Allergies: none

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

Symptoms: Had a slight discomfort in the middle of my chest that lasted Friday, Saturday & Sunday.

Other Meds: Lexvothyroxin 100mcg

Current Illness: none

ID: 1003580
Sex: F
Age: 82
State: LA

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

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

Lab Data:

Allergies: codeine

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

Symptoms: Body itches starting 2/3, rash on stomach. Pt is taking Benadryl around the clock which helps calm it down some. Pt was advised to call doctor for further evaluation.

Other Meds: none listed on profile. please contact patient directly

Current Illness: none reported

ID: 1003581
Sex: F
Age: 27
State: NJ

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

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

Lab Data:

Allergies: None

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

Symptoms: I received the second dose of my Moderna covid vaccine at 10 am on Wednesday February 3rd. Around 8:30 pm I experienced extreme chills and had a 100-101 F fever all night. I woke in the morning still feeling weak because I spent the whole night uncomfortable from the fever and flushed face I had. I walked towards another part of my house and fell down and fainted. I was unconscious for a few seconds before a family member was able to shake me and wake me up. I take no medications and am a generally healthy individual with no prior medical history or underlying Heath conditions. I also do not have a history of falls or issues from taking any past vaccines. I also am not allergic to anything or have experienced any allergic reactions in my life. It?s the second day now and I am still experiencing a 100 Degree fever and face flushing. I am currently self medicating at home with Tylenol every 4-6 hours. I have not gone to see a health care professional yet.

Other Meds: None

Current Illness: None

ID: 1003582
Sex: F
Age: 59
State: CT

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

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

Lab Data:

Allergies: None

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Fever, fatigue, headache, nasal congestion, nausea, anorexia

Other Meds: Multi vitamins

Current Illness: None

ID: 1003583
Sex: F
Age: 79
State: WA

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

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

Lab Data:

Allergies: Ranitadine, clyndamyicin , tramadol , codeine , cortisone, penicillin and prednisone

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Pt observed during her time of Nausea and released, Vitals in normal range.

Other Meds: Warfarin, omeprazole, nitroglycerin (PRN), lisinopril, isosorbide mononitrate, lisinopril, fenofibrate, ezetimibe, Symbicort, amlodipine and proair.

Current Illness: None reported

ID: 1003584
Sex: F
Age: 18
State: TX

Vax Date: 01/15/2021
Onset Date: 01/24/2021
Rec V Date: 02/04/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: 1/24/21 morning, 10 days after getting 1st dose of vaccination, broke out in hives in several places on both feet. The next day more hives appeared on knees and the ones on feet got worse. The day after that hives also appeared on hips and elbows. On 1/27 went to Doctor's office and received steroid shot to stop the allergic reaction. Took 5-7 days for all the hives to disappear. Based on the allergic reaction to the first dose, doctor recommended not taking the second dose as reaction could be more severe and/or have an asthma attack.

Other Meds: none

Current Illness: none

ID: 1003585
Sex: F
Age: 33
State: CO

Vax Date: 01/15/2021
Onset Date: 01/16/2021
Rec V Date: 02/04/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: There was swelling the next day at the injection site. It grew to about 4 inches x 3 inches a week later (Friday, 22 Jan). It was itchy and it was warm to touch. It grew a 1/2inch larger around the swelling the next day (Saturday, 23 Jan).

Other Meds: None

Current Illness: None

ID: 1003586
Sex: F
Age:
State:

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

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

Lab Data:

Allergies: None

Symptom List: Unevaluable event

Symptoms: Chills started the evening after receiving the vaccine, then up with fever during the night. 100.3 fever in the morning with headache, mild body aches, and fatigue.

Other Meds: Daily multivitamin

Current Illness: None

Date Died: 01/23/2021

ID: 1003587
Sex: M
Age: 93
State: OH

Vax Date: 01/05/2021
Onset Date: 01/08/2021
Rec V Date: 02/04/2021
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: My father was in weak condition to begin with. He didn't get out of bed for the next few days after receiving the vaccine. The little amount that he ate was consumed in bed. He began aspirating his food which lead to pneumonia. He wasn't strong enough to fight off the pneumonia even with antibiotics. He died on 1/23/21. While he might have passed soon in any case, I believe that the vaccine may possibly have increased his weakness/exhaustion thereby hastening his demise.

Other Meds: synthroid, pantoprazole, clonazepam, allopurinol, allbuterol inhaler, Decadron

Current Illness: congestive heart failure

ID: 1003589
Sex: F
Age: 66
State:

Vax Date: 01/27/2021
Onset Date: 01/29/2021
Rec V Date: 02/04/2021
Hospital:

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

Allergies: mold, dander, mildew, weeds, flowers, perfume

Symptom List: Injection site pain, Pain

Symptoms: Respiratory symptoms beginning 48 hours after getting vaccine that are still evident 8 days later. Bronchial/asthma symptoms along with congestion controlled with Allegra and inhaler. Not sure if I should get second vaccine.

Other Meds:

Current Illness:

ID: 1003590
Sex: F
Age: 31
State: CO

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 02/04/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Injection site pain, Menorrhagia

Symptoms: Patient appeared in clinic for headache, brain fog, fatigue, fever that has been since after second dose of vaccine. Stated had similar with first dose but only lasted 3 days and not as bad. This time symptoms have persisted for 8 days and patient was unsure of something else was going on. feverish in for a few days after vaccine but has since subsided. Still has Headache - describes as band around head with photophobia, , brain fog still there and caused her to mess up some tasks at work, feels fatigued and had to take a few days off of work. Encouraged rest, hydrate, ibuprofen or Tylenol as needed for headache, quiet dark room for headache, come back to clinic if not better in 3 days.

Other Meds: albuterol inhaler as needed

Current Illness: none

ID: 1003591
Sex: F
Age: 28
State: NC

Vax Date: 01/27/2021
Onset Date: 02/04/2021
Rec V Date: 02/04/2021
Hospital:

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

Lab Data:

Allergies: Nickel

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

Symptoms: Red, hardened, circular rash at injection site.

Other Meds: Pristiq 100mg

Current Illness: Depression, anxiety

ID: 1003592
Sex: F
Age: 28
State: TX

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 02/04/2021
Hospital:

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

Lab Data:

Allergies: n/a

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Chills, fatigue/body aches, fever

Other Meds: Spironolactone, fish oil, multivitamin

Current Illness: n/a

ID: 1003593
Sex: F
Age: 48
State: VA

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

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

Lab Data:

Allergies: Codeine Sulfa

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Shortness of breath, fever of 102.9

Other Meds: Minocycline Zyrtec Famotidine

Current Illness: Diverticulitis

ID: 1003594
Sex: F
Age: 51
State: FL

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

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

Lab Data:

Allergies: Tree nuts, Sulfa, blue dye

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

Symptoms: Severe pain in my arm. Sore throat, sinus headache, severe fatigue, ?COVID Fog?, chest tightness.

Other Meds: Plaquenil, Ambien, Wellbutrin, Effexor, Zyrtec, Atarax, Xanax, Oxycodone, Centrum Vitamin (OTC)

Current Illness: Lupus, Asthma, Allergies, Chronic Fatigue Syndrome, Chronic Pain, Osteo Arthritis, Inverse Psoriasis, Psoriatic Arthritis and many more.

ID: 1003595
Sex: F
Age: 43
State: NJ

Vax Date: 12/31/2020
Onset Date: 01/05/2021
Rec V Date: 02/04/2021
Hospital:

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

Lab Data:

Allergies: Iron

Symptom List: Nausea

Symptoms: Welt; lump on left breast (same side as vaccination= left arm); under arm and breast pain; sleepiness Welt when subsided became itchy

Other Meds: Black cohosh root; probiotics; turmeric; multivitamin ; eye lash serum

Current Illness: Tendinitis; torn ACL (knee)

ID: 1003596
Sex: F
Age: 52
State: MN

Vax Date: 01/18/2021
Onset Date: 01/24/2021
Rec V Date: 02/04/2021
Hospital:

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

Lab Data:

Allergies: Sulfa, cipro

Symptom List: Injection site pain

Symptoms: Normal vaccine related symptoms 24-48 he following vaccine, seemed resolved by day 5. On day 6 starting feeling a burning sensation, a sore developed at the injection site. Today is 17 days post injection, the sore is scabbed and resolving, burning has subsided, but shoulder is tight and somewhat painful when doing something like yoga.

Other Meds: None

Current Illness: None

ID: 1003597
Sex: F
Age: 34
State: IL

Vax Date: 01/07/2021
Onset Date: 01/14/2021
Rec V Date: 02/04/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Patient is breastfeeding mother, whose infant, 7 months, developed symptoms one week after patient?s second COVID vaccine. Infant experienced rash and mild constitutional symptoms. Patient received second dose 1/7 and felt ill for 36 hours but had no major problems. The afternoon of 1/14, infant developed well-circumscribed flat spots on her face and arms that looked like small bruises. That evening, they developed into larger pink raised lesions and she screamed inconsolably for 1-2 hours. Both rash and fussiness improved with ibuprofen. The rash returned after the ibuprofen wore off. The spots were up to 1 cm in diameter on her face, head, shoulders, and arms. They blanched and were pink/purple in color. Raised but not vesicular. No mucus membrane involvement. New lesions developed over one week but would improve with ibuprofen. Infant was somewhat more sleepy but otherwise healthy and recovered completely. Family had minimal exposure to people outside of household. No one else with similar symptoms. No new foods/detergents/etc.

Other Meds: Prenatal vitamins Magnesium Levothyroxine

Current Illness: None

ID: 1003598
Sex: F
Age: 34
State: FL

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/04/2021
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Allergies: None

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

Symptoms: 20 min after receiving vaccine. I almost passed out, blood pressure low, heart racing, face flushed and hot, head squeezing and foggy, fingers tingling, nausea. Did not resolve with snacks or drinks. Lasted for approximately eight hours after receiving vaccine. I had to call off of work for the rest of the day.

Other Meds: Birth control

Current Illness: None

ID: 1003599
Sex: F
Age: 57
State: MN

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/04/2021
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Allergies: Reported allergies to antibiotics

Symptom List: Tremor

Symptoms: Patient was screened using the COVID vaccine screening and eligible to receive first dose, which was administered at 6:37 PM in the L Deltoid. Patient was instructed on anticipated side-effects from this vaccine, and to wait in clinic "Rest & Recovery" for a minimum of 15 minutes post-vaccination. RN in Rest & Recover area was observing and checking in with patients during waiting period, patients were instructed to honk or get staff's attention if not feeling well. Patient indicated at around 6:50 that her ears were "ringing", so was instructed to wait an additional 10 minutes past initial wait time. At approximately 6:59 patient reported feeling a lump in her throat and having more difficulty breathing and hearing. At 7: 03 RN called over clinic staff radio system "Medical-Rest & Recovery", and staff person in R&R called 911, while grabbing anaphylaxis emergency kit. Two Lead RN's from Vaccination station came running to R&R and found patient holding her throat and shaking uncontrollably, with increased respirations. Patients mask was removed and epinephrine was administered in patients right thigh via auto injector at 7:05 PM, BP taken simultaneously was 215/85, P-130, O2 sat. 99% on room air. Patient breathing rate started to decrease and vitals at 7:10 BP-211/90, P-114, R~28, O2 98% on RA. First Responders arrived on-site at 7:15 PM, report given. 7:18 PM BP-207/92. Patient stated to develop increased respirations again, and began shaking; First Responders administered half dose of epinephrine via auto injector in right thigh at 7:25 and applied non-rebreather mask w/15L O2 BP 203/93. Ambulance arrived at 7:28 and transported patient to nearest hospital.

Other Meds: Unknown

Current Illness: Reported Dx of COVID-19, 90 days prior to vaccination

ID: 1003600
Sex: F
Age: 46
State: VA

Vax Date: 01/29/2021
Onset Date: 02/02/2021
Rec V Date: 02/04/2021
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Allergies: soy allergy

Symptom List: Erythema, Pruritus

Symptoms: painful lymph nodes under left arm, swelling, itching and redness at injection site. Both began about 5-7 days after injection.

Other Meds: zoloft, align probiotics

Current Illness: none

ID: 1003601
Sex: F
Age: 58
State: CA

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 02/04/2021
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Allergies: lisinopril

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

Symptoms: injection site pain

Other Meds: metformin, pravastatin, losartan, Vit D3 2000 units, glipizide, ASA, magnesium oxide, flonase

Current Illness: none

ID: 1003602
Sex: F
Age: 36
State: UT

Vax Date: 01/26/2021
Onset Date: 02/02/2021
Rec V Date: 02/04/2021
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Allergies: Reactions to flu, t-dap, and hpv vaccines

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

Symptoms: Red raised welt appeared at injection one week after. The spot was warm. The right arm hurt from the injection down into the hand and fingers. This didn?t appear until after one week.

Other Meds: Daily vitamin

Current Illness:

ID: 1003603
Sex: F
Age: 76
State: NC

Vax Date: 01/25/2021
Onset Date: 02/02/2021
Rec V Date: 02/04/2021
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Allergies: codein

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Redness, rash, itch on arm near injection site developed almost 2 weeks after vaccination

Other Meds: multi vitamin vitamin B calcium ambien

Current Illness:

ID: 1003604
Sex: F
Age: 37
State: ID

Vax Date: 01/29/2021
Onset Date: 01/31/2021
Rec V Date: 02/04/2021
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Allergies: None given

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

Symptoms: Patient reported swelling and itching around the vaccination site approximately 36 hours post vaccination. She tried topical and oral diphenhydramine which gave mild relief. I instructed her to mark the area with a pen and monitor if it was increasing in size or decreasing. She reported on 2/1/21 that the inflamed area was growing and I instructed her to see her doctor. At the time she was able to see her doctor it had spread up to her armpit and down to her elbow. Her doctor prescribed a steroid and over the counter oral and topical antihistamines. The patient reported on 2/3/21 that the rash is now receding.

Other Meds: Unknown

Current Illness: None

ID: 1003605
Sex: F
Age: 35
State: MD

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/04/2021
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Allergies: None

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

Symptoms: In addition to the normal side effects of the Moderna vaccine ( chills, fever, muscle aches, headaches) I also experienced syncope; I completely blacked out and fell on my face.

Other Meds: None

Current Illness: None

ID: 1003606
Sex: F
Age: 40
State: GA

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/04/2021
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Allergies: Bactrim - itching Clindamycin - rash

Symptom List: Pain in extremity

Symptoms: Throat tightness

Other Meds: Amlodipine 10mg po daily Metoprolol XR 100mg po daily Mary Ruth multivitamin daily

Current Illness: None

ID: 1003607
Sex: F
Age: 39
State: IL

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 02/04/2021
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Allergies: Gluten

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

Symptoms: Moderna COVID-19 Vaccine EUA: Symptoms began within 5 minutes of shot with a full body tingling quickly followed by swelling tongue and throat making it difficult to swallow. EMT alerted. Heart rate was at 150 bpm with high blood pressure. Hives/rash were visible on chest and face. Ambulance was called. Given IV of Benadryl on ambulance. Taken to ER where given more Benadryl, steroids and anti nausea meds. Symptoms came back mildly 6 hours later. Self administered Benadryl at that point.

Other Meds:

Current Illness: UTI

ID: 1003608
Sex: M
Age: 20
State: OR

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/04/2021
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Allergies: N/A

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

Symptoms: Patient lost consciousness immediately after receiving first COVID-19 vaccination, reported to writer by MD on site. MD reports that patient did not hit head. Received patient conscious and in wheelchair at 1625 in nurse response tent. Patient reported dizziness/lightheadedness, shakiness, and "felt weird". Patient received rest, juice, water, reassurance. Patient recovered and was discharged at 1700 per recommendation of Dr., patient denies need for further care.

Other Meds: N/A

Current Illness: N/A

ID: 1003609
Sex: F
Age: 43
State: NJ

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 02/04/2021
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Allergies: Iron

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

Symptoms: Chills, fever, weakness, headache, blurry vision, loose bowel movement, rash, enlarged lymph nodes (confirmed by mammogram and ultrasound ), dizziness ; welt

Other Meds: Probiotics; turmeric; black cohosh root; multivitamin

Current Illness: Tendinitis; torn acl

ID: 1003610
Sex: F
Age:
State: FL

Vax Date: 02/01/2021
Onset Date: 02/03/2021
Rec V Date: 02/04/2021
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Allergies: Amlodipine, hctz

Symptom List: Vomiting

Symptoms: After vaccination, patient stated that she felt like she had the sniffles. No signs of distress or trouble breathing. I had her stay seated for 30 minutes to make sure everything was ok. She confirmed she wasn?t under distress or had trouble breathing. She had asked for a sip of water. After drinking some water, she said she felt better. I gave her a Benadryl tablet to take with her. Today, she called me stating that she woke up itchy. She said that she did end up taking a Benadryl last night. I told her that she need to go to the hospital as she?s having an allergic reaction. I repeated myself 3 times to her and explained the importance of going to the hospital.

Other Meds: Doesn?t get medications with publix, not sure

Current Illness: None reported yesterday

ID: 1003611
Sex: F
Age: 63
State: FL

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 02/04/2021
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Allergies: None

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Had a terrible headache, the day after receiving the second vaccination, that required me to go to bed. I do have chronic migraines, but this headache occurred only two days after I had an actual migraine. Historically, it was much too soon for me to have another migraine. In my opinion, the headache may have been caused by the vaccination.

Other Meds: Aimovig, Rosuvastatin, calcium, D3, vitamin, medical Marijuana

Current Illness: None

ID: 1003612
Sex: F
Age: 64
State: WA

Vax Date: 01/28/2021
Onset Date: 02/04/2021
Rec V Date: 02/04/2021
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Allergies: none

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

Symptoms: For the past two days, my blood sugar numbers have been too low. I've lowered my insulin dose 3 units. This has never happened before and while not an "adverse" reaction, it is an odd one. Last night my arm started itching about one inch below and one inch to the left of my injection. There is a rash about 2 1/2 inches wide and 4 inches long. It is slightly swollen, red and itches like crazy! Just documenting it.

Other Meds: Vitamin D and E Synjardy Insulin lisinipril cinsulin Multivitamin

Current Illness: None--I'm a diabetic

ID: 1003613
Sex: F
Age: 61
State: NY

Vax Date: 01/24/2021
Onset Date: 01/25/2021
Rec V Date: 02/04/2021
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Allergies: Novocain, penicillin

Symptom List: Injection site swelling, Limb discomfort

Symptoms: 3 inch circular red and hot spot at injection site for 11 days as of today. 5 days after injection pain dropped in to lower frontal part of left arm pit. Injection site started to itch mildly in approximately a week. Mild fever and tiredness for 2 days after injection.

Other Meds: metoprolol

Current Illness: none

ID: 1003614
Sex: F
Age: 0
State: FL

Vax Date: 04/22/1927
Onset Date: 01/30/2021
Rec V Date: 02/04/2021
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Allergies: Lisinopril; amlodipine and Aspirin

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

Symptoms: During injection she felt it burning; Her Blood Pressure went up to 255; She felt weakness and Nausea; Became unaware of her surroundings.

Other Meds: Alendronate; Atorvastatin;Clonidine; Hydralazine; indapamide; latanoprost; metformin; Pantoprazole; Pregabalin. Tylenol for pain; Melatonin; Turmeric; Probiotic; provasil (Cognitive function support); Eye Pressure support w/Mirtogenol. Vi

Current Illness: Diabetes; High Blood Pressure, High Cholesterol; Glaucoma; Cataract; Neuropathy; and old age ailments.

ID: 1003615
Sex: F
Age: 63
State: OK

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/04/2021
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Symptom List: Hot flush, Myalgia, Nausea, Tension headache

Symptoms: 6 minutes post vaccination patient reports feeling "wonky" and similar to reaction she has had after Xolair injection(s). Pt has own epi pen and was assisted to couch, feet elevated. Pt denies respiratory distress, no urticaria or angioedema. Pts vitals taken while recumbent on couch: O2 98%, HR 76, BP 160/100. Offered water, juice, crackers. Pt remained resting on couch; at 14:40 reports nausea and patient agrees to 12.5 mg IM diphenhydramine in opposite arm of vaccination. Pt remained resting on couch denies respiratory distress and no other s/s of anaphylaxis noted. Pt vitals taken several times while on couch ranging from 130/90 - 158/100, OZ 98% and HR 72-76. Pt remained resting on couch without further symptom progression until family member arrives to transport home 85 min post vaccination.

Other Meds: Xolair Spirolactone

Current Illness:

Total 2021 VAERS Injuries: 704,237

Page last modified: 26 October 2021 2:21am