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: 1005026
Sex: F
Age:
State: FL

Vax Date: 01/22/2021
Onset Date: 01/30/2021
Rec V Date: 02/05/2021
Hospital:

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

Lab Data:

Allergies: unknown

Symptom List: Dysphagia, Epiglottitis

Symptoms: after receiving vaccine patient had 2 lumps on site ; some redness at the site of injection; experienced some tingling in the face, and head .

Other Meds: unknown

Current Illness: unknown

ID: 1005027
Sex: F
Age: 34
State: PA

Vax Date: 01/28/2021
Onset Date: 02/04/2021
Rec V Date: 02/05/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Anxiety, Dyspnoea

Symptoms: Hives, red welt, pain and itchiness at site of injection one week after. Redness has increased over njhbt

Other Meds: Multivitamin, vitamin D

Current Illness: Sinus infection

ID: 1005028
Sex: M
Age: 62
State: AL

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

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

Lab Data:

Allergies:

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

Symptoms: Started with light chills. 12 hours after inoculation severe chills (during sleep). 24 hours after inoculation continued low level chills throughout day. Body aches and general malaise.

Other Meds: Rosuvastatin Calcium 20Mg Diltiazem 240mg Olmesartan Medoxomil 5mg Vitamin D3 5000IU

Current Illness:

ID: 1005029
Sex: F
Age: 39
State: VA

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 02/05/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Body Aches, feverish Sore at site of injection

Other Meds: probiotic collagen biotin Clairton

Current Illness:

ID: 1005030
Sex: M
Age: 64
State: IN

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/05/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Fever, chills, headache, sore throat and achy

Other Meds: Metoprolol SUCC ER 100MG, HCTZ 25MG, Allopurinol 300MG, Fish Oil 1200MG, B12 5000MCG, Iron 65MG, ASPIRIN 81MG

Current Illness:

ID: 1005031
Sex: F
Age: 68
State: LA

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

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

Lab Data:

Allergies:

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

Symptoms: Patient reported that she received her 2nd COVID vaccine. She reports no symptoms after her first vaccine injection. Both injections were in her left deltoid. On the evening of 2/2/2021, she started having some aching in the left arm. She noticed that her left axillary lymph node is swollen and painful. She states the swelling is very significant and it hurts, not just tender to touch. Doesn't look red or feel warm. No fever. She took ibuprofen 400 mg. Patient advised to follow-up with her PCP.

Other Meds:

Current Illness:

ID: 1005032
Sex: F
Age: 43
State: VA

Vax Date: 01/20/2021
Onset Date: 01/27/2021
Rec V Date: 02/05/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Slight redness for 2 days after shot. Redness disappeared, then 1 week later redness came back at site of injection. It was very hot (103.5 degrees skin temp at site of injection, 97.2 for the rest of the arm). It was itchy and very painful. Lasted 5 days.

Other Meds: Levothyroxine, Celebrex, methotrexate (taken 1/13/2021),

Current Illness: None

ID: 1005033
Sex: F
Age: 25
State: TX

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 02/05/2021
Hospital:

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

Lab Data:

Allergies: Amoxicillin and dander

Symptom List: Pharyngeal swelling

Symptoms: Patient arrived at 12:14PM. Observation nurse noticed patient with eyes closed with hand raised on top of head. Patient was lethargic and weak, AOX3. Patient stated "I am not able to see anything." while patient's eyes were open. Apical pulse very faint. Patient felt the urge to vomit and suddenly appeared flushed in the face. Patient stated "I feel better." immediately after experiencing nausea. 12:25PM - BP 97/67 Patient reiterated her experience stating: "I felt lightheaded and felt like I was about to faint.", "I felt heavy and foggy." Patient was given water to drink and a cookie. 12:35PM - Patient reported pressure on both sides of head and "weird" (as per patient) visual changes. Patient stated "Everything has a glare." Patient reported prior reactions to past vaccinations: Flu and Tetanus - experienced lightheadedness, fainting and visual changes. Indicated reactions were "more worse" than prior reactions. 12:45PM - BP 115/78 HR 64 SPO2 98% Patient was asked to sit closer to nurse an was able to ambulate with no issues and steady gait. 1:15PM Patient reports to feel "Back to normal." denied any symptoms including visual changes. Patient contacted her parents to be driven home. 1:37PM Walked patient to her parent's car outside the convention center. Instructed to go to ER/Call 911 if symptoms persist or get worse. 2/3/21 The next day patient texted nurse observer that she is feeling much better from yesterday after resting and taking Advil.

Other Meds: Flonase

Current Illness: N/A

ID: 1005034
Sex: M
Age: 69
State: IN

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 02/05/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: First night: Restless sleep, bad dreams, very sore arm. Second night: Sore arm, achy joints, slight headache. Third night: Sore arm, night sweats, very sore hip. (low energy all days)

Other Meds: none

Current Illness: none

ID: 1005036
Sex: F
Age: 40
State: AL

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/05/2021
Hospital:

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

Lab Data:

Allergies: n/a

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Numb lips about 45min later, lasted about an hour. injection site pain and swelling late afternoon, night and next day. Upset stomach/naseua throughout night and morning.

Other Meds: n/a

Current Illness: n/a

ID: 1005037
Sex: M
Age: 33
State: SC

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

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

Lab Data:

Allergies: Sulfer meds

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

Symptoms: Fatique, fever and chills, 100 degree temp, physically felt bad but mentally felt well, malaise. 12-36 hours post injection. Treatment was hydration and bed rest. Migraine (7 on 0 to 10 scale), dry cough, transient hot flashes. 36 to 60 hours post injection. Treatment included Tylenol otc, aspirin otc, flonase otc, caffeinated drinks, bed rest. Tinnitus, 60 hours and continuing post injection

Other Meds: Levothyroxine 125mcg

Current Illness: None

ID: 1005038
Sex: M
Age: 31
State: OH

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 02/05/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Rash, Urticaria

Symptoms: 99.8 Fever, sweats, chills, severe arm soreness, fatigue. Symtoms lasting two days

Other Meds: 10 mg amlodipine

Current Illness: None

ID: 1005039
Sex: M
Age: 87
State: WA

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/05/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: During the observation period, client started to complain of "feeling goofy," blurry vision after 24 minutes of receiving the 1st dose of the Moderna vaccine at 2:48pm. Client stated she was very anxious regarding vaccine and missed her meds. At 3:22pm, juice, water, meds (Xanax 1mg, lisinopril 5mg, eye med po) was given with improvement. She denied shortness of breath, oral/airway symptoms, rash, pruritic, faintness, weakness or nausea.

Other Meds:

Current Illness:

ID: 1005040
Sex: F
Age: 28
State: CT

Vax Date: 01/27/2021
Onset Date: 02/03/2021
Rec V Date: 02/05/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: injection site is still hard, red, and swollen. site has become itchy in the last day or so. vaccine was administered 9 days ago. no treatment

Other Meds: Ti Lo marizia -- birth control

Current Illness: none

ID: 1005041
Sex: F
Age: 53
State: NM

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/05/2021
Hospital:

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

Lab Data:

Allergies: NKDA

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

Symptoms: Site: Swelling at Injection Site-Mild, Systemic: Other- induration around injection site

Other Meds:

Current Illness:

ID: 1005042
Sex: F
Age: 44
State: IN

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

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

Lab Data:

Allergies: None

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

Symptoms: Burning entire body, headache, body aches, fever, chills, head cold, swollen glands, severe body fatigue, couldn?t move right arm all day and night when shot was given, rash on face and chest, day two of shot I can now move arm but body is still burning and site of injection feels like it?s on fire. Body aches are relieving after day two and it?s 9:39 in the morning. Headache is still there but able to function, throat still swollen and hard to swallow, still low grade fever. Have been taking aleve for pain and fever. Rash is now gone.

Other Meds: None

Current Illness: None

ID: 1005043
Sex: F
Age: 44
State: IN

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/05/2021
Hospital:

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

Lab Data:

Allergies: Morphine-nausea and vomiting

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

Symptoms: Numbness to left arm and leg, redness, swelling, and warmth at injection site, nausea, fatigue. Given Zofran, monitoring symptoms

Other Meds: Albuterol inhaler-prn, Buspar 15 mg, Prozac 40g, Gluctortrol 5 mg, mobic 15 mg, zocor 10 mg, armour thyroid 60 mg

Current Illness: none

ID: 1005044
Sex: F
Age: 46
State: KY

Vax Date: 12/28/2020
Onset Date: 01/15/2021
Rec V Date: 02/05/2021
Hospital:

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

Lab Data:

Allergies: Penicillin and Ibuprofen

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Shingles on under right shoulder blade. Valacyclovir 1 gram every 8 hours for a week. Areas healed. Symptoms included burning sensation and pain at area that had the shingles. Vestibule areas on same location.

Other Meds: Celexa, Flonase, Singulair, Protonix, Melatonin, Vitamin D

Current Illness: No

ID: 1005045
Sex: F
Age: 57
State: NY

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/05/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Fever 102.3 chills headache body ache weakness until 8:30pm on 2/4/21

Other Meds: none

Current Illness: none

ID: 1005047
Sex: F
Age: 27
State: IA

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/05/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Cold; nausea; headache; lightheaded

Other Meds:

Current Illness:

ID: 1005048
Sex: F
Age: 47
State: PA

Vax Date: 01/23/2021
Onset Date: 02/03/2021
Rec V Date: 02/05/2021
Hospital:

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

Lab Data:

Allergies: Iodine Penicillin

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

Symptoms: Red rash around injection site about 5 inches developed on 2/3 One week prior on 1/27 at 6:30 pm developed very painful upper back. Topical cream and OTC med not helpful. Gone by the next morning

Other Meds: Zyrtec

Current Illness: None

ID: 1005049
Sex: F
Age: 45
State: MO

Vax Date: 01/14/2021
Onset Date: 01/22/2021
Rec V Date: 02/05/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List: Unevaluable event

Symptoms: Patient states that her physician advised against second dose. She states she had a severe headache for days following vaccine, she collapsed at work and was hospitalized for a few days. She also reports ongoing dizziness. All information was left in a private message sent to the health departments social media page. Further requests for information have been unsuccessful thus far.

Other Meds:

Current Illness:

ID: 1005050
Sex: F
Age: 53
State: VA

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

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

Lab Data:

Allergies: Oranges

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

Symptoms: I got severe vertigo. I was dizzy and had naseau. This was approximately 60 hours after the shot.

Other Meds: Jardiance, Metformin, Zertec, HCL,

Current Illness: None

ID: 1005051
Sex: M
Age: 38
State: NY

Vax Date: 01/12/2021
Onset Date: 02/03/2021
Rec V Date: 02/05/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Injection site pain, Pain

Symptoms: Fever (100.8 highest) chills body aches inability to move no appetite couldnt sleep sweats

Other Meds: CBD oil, PREP, Vit D, Zyrtec

Current Illness: None

ID: 1005052
Sex: F
Age: 74
State: FL

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 02/05/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Menorrhagia

Symptoms: Within 15-minutes of vaccination, the patient reported a mildly swollen tongue. EMS managed the patient's care on-site.

Other Meds:

Current Illness:

ID: 1005053
Sex: F
Age:
State: FL

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 02/05/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: BILATERALLY RASH ON LOWER EXT 4 DAYS POST VACCINATION, CONTINUED THRU TODAY. NO PAIN OR ITCHING ASSOCIATED WITH RASH, NORMAL SKIN TEMPERATURE. NO C/O DIB, SOB, OR CHEST PAIN.

Other Meds:

Current Illness:

ID: 1005054
Sex: F
Age: 50
State: OR

Vax Date: 01/18/2021
Onset Date: 01/25/2021
Rec V Date: 02/05/2021
Hospital:

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

Lab Data:

Allergies: Adhesives Penicillin

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Large area around injection site became hives, burning sensation, red, itchy, swollen, hard, lumpy, hot to the touch and very painful. It?s still ongoing as of today 02/05/2021

Other Meds: Alprazolam Cetirizine

Current Illness: None

ID: 1005055
Sex: F
Age: 71
State: NY

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

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

Lab Data:

Allergies: no

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: fevor 102.2 for about an hour - night of vaccine from 2 hours after time of extreme pain at site of injection (felt like abowling ball was dropped and left on my arm) fatique

Other Meds: statin vitamin d coq10 osteo bi-flex

Current Illness: i had covid symtoms 19 days prior; out of isolation 9 days prior

ID: 1005056
Sex: F
Age: 47
State: IN

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

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

Lab Data:

Allergies: Shellfish

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

Symptoms: Sore injection site Tiredness Sore throat

Other Meds: Vitamin C Cranberry supplement Hydrochlorothiazide

Current Illness: None

ID: 1005057
Sex: M
Age: 74
State: IN

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

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

Lab Data:

Allergies: none

Symptom List: Nausea

Symptoms: injection area sore 1 hr. After injection. 5 am. On 4 woke up to whole body hurting. Lasted about 24 hrs.

Other Meds:

Current Illness: sinus drainage. Had cold about 4 days before injection

ID: 1005058
Sex: F
Age: 32
State: NY

Vax Date: 01/25/2021
Onset Date: 01/28/2021
Rec V Date: 02/05/2021
Hospital:

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

Lab Data:

Allergies: sulfa

Symptom List: Injection site pain

Symptoms: Pt reports vaccine was given at another facility. Information unknown.

Other Meds: birth control, SNRI, hypnotic for sleep

Current Illness: Insomnia

ID: 1005060
Sex: F
Age: 46
State: AR

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 02/05/2021
Hospital:

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

Lab Data:

Allergies: sulfa

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

Symptoms: symptoms began 02/02/21 that night and lasted about 24 hours. headache, muscle aches, nausea, fever, chills, right arm soreness

Other Meds: prilosec, norvasc, indapamide

Current Illness: none

ID: 1005061
Sex: M
Age: 35
State: IN

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/05/2021
Hospital:

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

Lab Data:

Allergies: N\A

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

Symptoms: 0.7?F temp increase from my baseline. Nausea, lightheadedness for a few hours.

Other Meds: Protonix

Current Illness: Sodium of 120 on January 26. Corrected. GERD as of January 26, being treated with Protonix and doing better. Slight temperature elevation and nausea the day after first COVID vaccine dose (Pfizer)

ID: 1005062
Sex: F
Age: 58
State: VA

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 02/05/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

Symptom List: Tremor

Symptoms: Systemic: Abdominal Pain-Severe, Systemic: Nausea-Severe, Systemic: Other- High blood pressure and heart rate

Other Meds:

Current Illness:

ID: 1005063
Sex: F
Age: 35
State: NY

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

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

Lab Data:

Allergies: Nka

Symptom List: Erythema, Pruritus

Symptoms: I have cosmetic fillers and my face was swollen at the site of fillers when I woke up this morning. Only my left side was swollen, as my doctor has told me in the past that they Injects much more filler on that side due to physiological differences that she is trying to balance. I got these fillers I think july 2020 No other signs of side effects other than mild swelling od the left side of face. Took an antihistamine around 9:00am.

Other Meds: Viibryd 40mg QD liothyronine 5mcg BID junel fe 1/20 QD

Current Illness: Nka

ID: 1005064
Sex: F
Age: 38
State: IN

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/05/2021
Hospital:

Vax Type:
Manufacturer:
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Vax Site:

Lab Data:

Allergies: Naproxen & nystatin

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

Symptoms: Since 3am today I?ve had horrible pains in my left arm radiating into my chest and down my left leg. So bad that it hurts to breathe. Muscle aches all over, chills, face and body warm to the touch. All over exhaustion. I?ve never felt so horrible in my entire life.

Other Meds: Escitalopram 20mg (morning), Montelukast 10mg (morning), Diclofenac 50mg x 2 (morning), Lamotrigine 100mg (evening) ?Vitamin D ?Vitamin C

Current Illness: Mome

ID: 1005065
Sex: F
Age: 72
State: SC

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 02/05/2021
Hospital:

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Lab Data:

Allergies: NKDA

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

Symptoms: INJECTION SITE REACTION, SWELLING, REDNESS, HOT TO THE TOUCH, LIMITED TO INJECTION SITE WITH MILD SPREADING NOT BELOW THE ELBOW.

Other Meds: Benadryl cream, Neosporin cream

Current Illness: N/A

ID: 1005066
Sex: F
Age: 29
State:

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

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Allergies:

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: 1/5/2021 @0718 Pt received 2nd COVID vaccine 1/4/21. Oral temp 100.6, near syncope, muscle aches and head aches. Per EMS NSR, denies SOB, and chest pain. 500 ml bolus received in route. In ED, Pt c/o nausea. Pt anxious, sweating and uncomfortable. 0855 Pt resting comfortably, reports decease in pain/body aches 4/10. 1043 Discharge disposition: home. Accompanied By: self. Mode: walk.

Other Meds:

Current Illness:

ID: 1005067
Sex: F
Age: 34
State: OH

Vax Date: 01/16/2021
Onset Date: 01/17/2021
Rec V Date: 02/05/2021
Hospital:

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Lab Data:

Allergies: None

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

Symptoms: Extreme disabling, immobilizing arm pain on side shot was received, radiating down to hip back and abdomen on same side about 6 hours after vaccine administered. This symptom lasted for about 48 hours. After that symptom cleared, a bulding slightly painful soft mass protuded from the left armpit near vaccination, and remained for 5-6 days. Swelling of all lymphnodes.

Other Meds: None

Current Illness: None

ID: 1005068
Sex: F
Age: 39
State: IN

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

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Lab Data:

Allergies: N/A

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

Symptoms: 3 hours after vaccination, injection site started to get sore to the touch and when raising arm. 7 hours after vaccination, started having chills. Went to bed and was restless throughout the night. Woke up in the morning and had body aches, exhaustion, intense joint pain, and sore arm. Join pain increased throughout the morning. Was feeling too poorly to go to work. Was able to subdue pain with ibuprofen and Tylenol. By 3:30pm, 26 hours post vaccination, symptoms had all subsided except injection site still sore to the touch. 42 hours post vaccination, feeling back to normal, went to work, all symptoms gone.

Other Meds: N/A

Current Illness: N/A

ID: 1005069
Sex: M
Age: 64
State: TX

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 02/05/2021
Hospital:

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Lab Data:

Allergies: Demerol; merthiolate

Symptom List: Pain in extremity

Symptoms: Took Tylenol after injection at approximately 9:30 AM on 26 January 2021; approximately 1:30 AM on 27 January 2021 was awakened by severe chills/tremors/ rigors (to the point it was difficult to hold a glass of water); took Tylenol and waited approximately 1.5 hours for chills and 100 deg. temp to subside. Took Advil at approximately 8:00 AM. Worked all day and at approximately 7:30 PM began having chills again and a fever of 101 deg. temp. Took Tylenol and temperature began lowering and I went to bed. Woke up again at approximately 1:30 AM 28 January 2021 with significant sweating. Took my temp and it was near normal. No further side effects/symptoms following this event.

Other Meds: Eliquis 2,5 mg; Montelukast 10 mg; Fluticasone Propianate 50mcg; Fish oil; L-arginine; Black elderberry; Vitamin C; Ubiquinol; Multivitamin; Mucinex DM; Vitamin D3; Fexofenadine Hydrochloride; Zinc picolinate

Current Illness: Seasonal Allergies

ID: 1005070
Sex: F
Age: 68
State: GA

Vax Date: 01/01/2021
Onset Date: 01/24/2021
Rec V Date: 02/05/2021
Hospital:

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Lab Data:

Allergies: Penicillin Prednisone

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

Symptoms: 9 days after injection rapid onset rash at injection site and approximately 6 inches down arm. Intense red color, mild itching, warm/hot to touch, muscle of arm under rash ached. Began to fade 8-10 days after onset of rash. No treatment but reported immediately to physician. Use of cortisone cream was recommended but not used.

Other Meds: VitC Calcium plus D3

Current Illness: Localized Eyelid infection

ID: 1005071
Sex: F
Age: 22
State:

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

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Lab Data:

Allergies: UNKNOWN

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

Symptoms: FOLLOWING SECOND COVID-19 SHOT PATIENT REPORTED FEELING LIKE SHE WAS GOING TO PASS OUT. SHE WAS TAKEN TO THE MEDIC AREA FOR FURTHER ASSESSMENT. AFTER APPROXIMATELY 30 MINUTES SHE RECOVERED AND LEFT THE PREMISES.

Other Meds: UNKNOWN

Current Illness: UNKNOWN

ID: 1005072
Sex: F
Age: 47
State: IN

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

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Lab Data:

Allergies: Penicillin, latex, nuts, fish

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

Symptoms: Low grade fever (100.1) that did not respond to treatment, body aches, abdominal pain, chest pain, dizziness, weakness, tingling in toes on right foot

Other Meds: Wellbutrin, colace, claritin D, Dupixent

Current Illness: None

ID: 1005073
Sex: F
Age: 46
State: NJ

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

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Lab Data:

Allergies: Penicillin Eryc Codine Dilaudid Fentanyl Latex Enbrel

Symptom List: Vomiting

Symptoms: Shot may not have been administered properly and as a result I have been unable to move my arm freely. There is localized pain and a burning sensation including joint pain. I am unable to use my arm for normal activity.

Other Meds: Zoloft Vitamins (Smarty Pants) Plexus dietary supplement

Current Illness: Rheumatoid Arthritis Psoriatic Arthritis

ID: 1005074
Sex: F
Age: 61
State: MA

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 02/05/2021
Hospital:

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Lab Data:

Allergies: NKDA, environmental allergies

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: employee presented to Covid Vaccine Clinic for 2nd Moderna vaccine. Following administration sx onset began at 0845: dizziness, a feeling of a "headrush", feeling faint. 0846, BP 100/70, HR 85, shaky. "I just don't feel right, I can't describe it. I feel like my heart is racing, My head feels really weird. My throat feels like it has a little tickle but I can't be sure." NO h/o anxiety, panic, anaphylaxis. 900 am "my throat feels like it is swelling on the inside"

Other Meds: claritan

Current Illness: No

ID: 1005075
Sex: F
Age: 44
State: IN

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

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Lab Data:

Allergies: none

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

Symptoms: all symptoms came on suddenly, body aches, exhaustion, nausea, headache, uncontrollable body shivers, sore arm (MUCH more sore than first dose of vaccine)

Other Meds: Losartan 50 mg twice a day Pravastain 40 mg once a day claritan flonase fish oil sodium bicarb

Current Illness: none

ID: 1005076
Sex: F
Age: 61
State: FL

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 02/05/2021
Hospital:

Vax Type:
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Lot:
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Lab Data:

Allergies: Penicillin, Iodine

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Site: Pain at Injection Site-Medium

Other Meds:

Current Illness:

ID: 1005078
Sex: M
Age: 79
State: AZ

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/05/2021
Hospital:

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Lab Data:

Allergies: None known

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

Symptoms: I received my first vaccination yesterday in my car, a 1999 Miata. If you would allow folks to exit very low cars, it would let us avoid a virtually straight down shot angle. My injection was in the very top of the bicep muscle and it is still quite swollen.

Other Meds: Daily Glucosamine HCl 750 mg/day Chondroitin Sulfate 600 mg/day Vitamin C 500 mg/day Calcium Carbonate + D3 600 mg Ca/day Fish Oil 1000 mg/day CoQ10 300 mg/day Alternating days: Kirkland Mature Multi ? lots of vitamins and met

Current Illness:

ID: 1005079
Sex: F
Age: 60
State: TX

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/05/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: Latex

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

Symptoms: 6 hours after shot became extremely dizzy and nauseous.

Other Meds: Zurtec, Omega-3

Current Illness: None

Total 2021 VAERS Injuries: 704,237

Page last modified: 26 October 2021 2:21am