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
63,479
AK1,562
AL4,914
AR3,110
AS44
AZ12,730
CA54,886
CO10,464
CT7,347
DC1,568
DE1,561
FL33,514
FM3
GA12,508
GU74
HI2,078
IA4,130
ID2,361
IL18,091
IN22,023
KS4,061
KY6,276
LA4,395
MA13,121
MD11,272
ME2,858
MH8
MI16,697
MN10,689
MO8,360
MP30
MS2,487
MT2,035
NC14,437
ND1,184
NE2,562
NH2,717
NJ16,033
NM3,532
NV3,784
NY30,921
OH17,029
OK5,673
OR7,479
PA21,111
PR1,959
QM2
RI1,833
SC5,601
SD1,087
TN8,048
TX31,896
UT3,791
VA13,180
VI48
VT1,592
WA13,026
WI9,856
WV2,120
WY754
XB5
XL1
XV2

ID: 1007826
Sex: F
Age: 72
State: NY

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

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

Lab Data:

Allergies: Pencillin, Fish

Symptom List:

Symptoms: Patient experienced slight facial drooping and it went away after 2 hours. Cleared for second vaccine by site MD

Other Meds: None

Current Illness: None

ID: 1007827
Sex: F
Age: 58
State: TX

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Two hours after injection severe soreness, next day loss of range of motion, persistent pain around shoulder, radiating pain down arm and tingling in fingers which continues into sixth day. Unable to sleep, loss of appetite, taking Tylenol prn, was taking Motrin prior.

Other Meds: Atorvastatin 40mg, Aspirin 81mg, Losartan-HCTZ 50/12.5mg daily

Current Illness: None

ID: 1007828
Sex: F
Age: 49
State: TX

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Fever (100.8), chills, general malaise, headache

Other Meds: Trileptal

Current Illness: Viral infection week before- Covid test negative

ID: 1007829
Sex: F
Age: 45
State: ME

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/06/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: About 12 hours after I received the vaccine, I developed chills, muscle aches and fatigue. Approximately 24 hours after receiving the vaccine, I starting having neck and shoulder pain. I reached out to my doctors office on 2/4/2021 and I was informed that some people have experienced neck pain. I woke on 2/5/2021 around 2:00 in the morning with excruciating pain in my neck, rating my pain at a 10 using a pain scale from 0-10. Zero being no pain and 10 being the worst pain. The pain was slightly better throughout the day but I woke at 11:30 pm on 2/5/2021 with the pain again being at a level 10. I went to the ER where they told me it's a side effect from the vaccine. I will have missed 3 days of work so far.

Other Meds: Prozac 20mg daily. Ibuprofen, Tylenol as needed

Current Illness: N/A

ID: 1007830
Sex: M
Age: 70
State: VA

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

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Severe itching on face, back and front. Skin is red. Temperature is 97.4, No swelling of lips. No shortness of breath.

Other Meds: Synthroid 50 MCG; Sertraline HCL 25 MG; Muli vitamin; D3 50mcg

Current Illness: none

ID: 1007831
Sex: F
Age: 31
State: IN

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/06/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Fever 100.1-100.6*F Body chills Body aches, severe lower back ache. Joint aches Headache, severe Painful breathing

Other Meds: Wellbutrin XL 300mg Pantoprazole 40mg Melatonin 5mg Thorne Prenatals Vitamin D Fish Oil

Current Illness: Not really an illness, but I was in my period during the time I got vaccinated and symptoms.

ID: 1007832
Sex: F
Age:
State: VA

Vax Date: 12/21/2020
Onset Date: 01/10/2021
Rec V Date: 02/06/2021
Hospital: Y

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

Lab Data:

Allergies: no

Symptom List:

Symptoms: I developed swelling and hives over 75% of my body and was given a shot of Epi shot because my throat closed. I developed a weakened immune system from the vaccine. I am 8 week pregnant and developed a Blighted Ovum and I am currently going through a miscarriage to date. Rather not release any info regarding the pregnancy

Other Meds: no

Current Illness: no

ID: 1007833
Sex: F
Age: 23
State: IL

Vax Date: 01/20/2021
Onset Date: 01/30/2021
Rec V Date: 02/06/2021
Hospital:

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

Lab Data:

Allergies: Milk

Symptom List:

Symptoms: Severe brain cloudiness, confusion and body aches

Other Meds: None

Current Illness: None

ID: 1007834
Sex: F
Age: 32
State: MO

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Flu like symptoms: chills, headache, body aches (all within 12 hours, most symptoms decreased after 24 hours but still lingered for 2 days) Rash on arm where shot was given - 2 days after injection

Other Meds: Wellbutrin, hydroxyzine, linzess

Current Illness: None

ID: 1007835
Sex: F
Age: 27
State: MN

Vax Date: 01/28/2021
Onset Date: 02/04/2021
Rec V Date: 02/06/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: 8 days after injection started having itching and a bump on my arm, 9 days after woke up with a large red lesion / reaction at the injection site

Other Meds: None

Current Illness: None

ID: 1007836
Sex: M
Age: 23
State: AZ

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Sore arm, Felt relaxed

Other Meds:

Current Illness:

ID: 1007837
Sex: M
Age: 49
State: NY

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: One hour after second dose of vaccine developed oral tingling. Developed tongue numbness and drooling. Treated with Benadryl

Other Meds: None

Current Illness: No active

ID: 1007838
Sex: F
Age: 47
State: IN

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/06/2021
Hospital:

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

Lab Data:

Allergies: Augmentin, nickel

Symptom List:

Symptoms: Fever 100.8, headache, body aches, nausea

Other Meds: Prozac, amlodipine, clonazepam, Norco, women's multivitamin, Vesicare

Current Illness: NA

ID: 1007839
Sex: F
Age: 38
State: IN

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/06/2021
Hospital:

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

Lab Data:

Allergies: Aspertame and rocephin

Symptom List:

Symptoms: 12 hours post vaccine- 101 fever body aches 18 hours post vaccine - fever broke. Sweating for hours 27 hours post vaccine- right side of my upper lip started swelling significantly. 28-hours post vaccine - swelling in both lips bilaterally with facial swelling/ numbness and tingling on right side only. Went to urgent care and got a kenalog shot and was given and dose pack later by my pcp. Took 50 mg of benadryl Q6 since event. This morning 48 hours post vaccine swelling is gone but now have itching in my hips / lower torso with some fine rash.

Other Meds: Triprintic birth control, multivitamin, d3 supplements

Current Illness: Sinus infection treated with 10 days of augmentin

ID: 1007840
Sex: F
Age: 35
State: TX

Vax Date: 01/25/2021
Onset Date: 01/27/2021
Rec V Date: 02/06/2021
Hospital:

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

Lab Data:

Allergies: Toradol

Symptom List:

Symptoms: Headache and chills about 12 hrs after the shot, L arm soreness about 3 hrs after, HA and chills resolved within 36 hrs. Vaginal bleeding/spotting occurring about 48 hrs after and is currently still happening. Menstrual cycle is not due for another 1.5 weeks.

Other Meds: None

Current Illness: None

ID: 1007841
Sex: F
Age: 55
State: CA

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/06/2021
Hospital:

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

Lab Data:

Allergies: Morphine

Symptom List:

Symptoms: EXTREME CHILLS, HEADACHE, WEAKNESS & TINGLING IN BOTH ARMS & LEGS, DIZZY, NAUSEA, FATIGUE.

Other Meds: TOPIMAX LIPITOR

Current Illness: Covid positive on Dec 29, 2020

ID: 1007842
Sex: F
Age: 31
State: MI

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Extreme fatigue, whole body muscle aches, hot and cold flashes, migraine, fever, extreme pain at injection site, dizziness and light headed

Other Meds: None

Current Illness: None

ID: 1007843
Sex: F
Age: 82
State: NC

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

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: ON early am 2/6,severe body aches & weakness began and continued until later that morning. then it continued as mild weakness and light headedness. These slowly disapated and finally disappeared.

Other Meds: hydrochlorothiazide, ropinirole, gabapentin, tramadol, multi-vitamini, cacium, red yeast rice, flaxseed oil, fish oil, 81mg aspirin,

Current Illness: none

ID: 1007844
Sex: F
Age: 42
State: TX

Vax Date: 01/12/2021
Onset Date: 01/15/2021
Rec V Date: 02/06/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List:

Symptoms: Developed a rash only on arms chest and stomach thought it was an allergic reaction so took Benadryl and used calamine lotion but didn't help went to doctor given a cortisone shot and steriod pack. And now skin is very dry scaly

Other Meds: Vitamin C Vitamin D women's multivitamin naproxen

Current Illness: None

ID: 1007845
Sex: F
Age: 73
State: FL

Vax Date: 01/30/2021
Onset Date: 01/30/2021
Rec V Date: 02/06/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Temperature 101.3, severe headache, chills, fever, diarrhea, body aches, unable to move left arm, high heart rate, difficulty breathing

Other Meds: Doxepin 50 mg, Lorazepam .5, Lisinopril and HCTZ 20 mg, Synthroid 75 mg, Pravastatin40 mg, B 12 5000 mg, B Complex, Aspirin 81 mg, Multi Vitamin, Glucosamine-Chondroitin 1200/1500, D3 1000, Vitamin C 500, Calcium 600 mg, Fish Oil 2000 mg

Current Illness: None

ID: 1007846
Sex: F
Age: 22
State: MO

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient collapsed to the ground when walking to leave the post vaccine clinic observation area. She collapsed and had a 60second seizure followed by 4 minutes of post ictal activity. She did not vocalize answers during the time but nodded yes when asked if she had a seizure disorder. Patient had another 60 second seizure and then EMS arrived. Her seizure was generalized twitching and patient was unconscious. Vitals remained stable.

Other Meds:

Current Illness:

ID: 1007847
Sex: F
Age: 35
State: SD

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/06/2021
Hospital:

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

Lab Data:

Allergies: Penicillin morphine vancomycin

Symptom List:

Symptoms: Woke up with 102.5 temp at 1230 am took two Tylenol woke up again at 145 temp was up to 103.8 felt like I was going to pass out. Couldn?t call for help I was pumping (as I am a breastfeeding mom). I did pass out at that time came back to with the pump bottles laying on my lap and the pump time read 12minutes and 48 seconds. Loss of consciousness was probably about 10minutes. Did not feel well all day the next day with extreme muscle pain, dizziness and chest pain/discomfort. Still had dizzy episodes the next day and today.

Other Meds: Senna s and low dose birth control

Current Illness: None

ID: 1007848
Sex: F
Age: 77
State: MA

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

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

Lab Data:

Allergies: Sulfa

Symptom List:

Symptoms: Patient complained of dizziness and said she was going to pass out. Observation nurse called site clinical lead over, at that time the patient was responding to verbal cues. Mask was taken down and she was guided to take slow deep breaths, continued to report feeling as though she was going to pass out. Site clinical lead then noted patient with fixed gaze to the size, clenching hands and rigid posture. Observation nurse called for EMS assistance. Patient breathing slowed, mouth open, eyes remain fixed to the size with rigid posture for 5-10 seconds. Patient did not respond to any verbal cues. Site clinical lead and observation nurse lowered patient to the floor, at which point patient became responsive. Responded correctly to reason for visit to site, location and how she was feeling. Denied history of seizures or stroke. Reported feeling anxious and needing to use the bathroom. Did not appear to lose bowel control at any point. Patient was very diaphoretic and pale, but alert overall. Cold compresses applied to forehead and back of neck while patient remained supine. EMS arrived and had patient sit up, at which point she again became very pale and reported feeling as through she was going to pass out. EMS transported to hospital for further evaluation.

Other Meds: Unknown

Current Illness: Unknown

ID: 1007849
Sex: M
Age: 73
State: IN

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Cold Chills , Real weak, Loss of appetite, Headache, Vomiting (once)

Other Meds: Benazepril, Amlodipine, Atorvastatin Calcium, Levothyroxine,Omeprazole, Glipizide, Centrum Silver, Vitamin C 500mg, Vitamin D 125 mg

Current Illness: NoneHigh Blood Pressure, Type 2 Diabetes

ID: 1007850
Sex: F
Age: 73
State: CA

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

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

Lab Data:

Allergies: soy, lactose and gluten intolerant

Symptom List:

Symptoms: 30 minutes post injection-weakness, face flushed, felt minor chest constriction, lips swelled and tongue tingled. I didn't inform the observers because I felt I could handle this myself. I drank water and rested another 10 minutes until the weakness dissipated. However, the chest tightness and tongue redness and tingling continued so I contacted my primary physician who recommended Claritin or Zyrtec which I took. Most reactions have dissipated but swollen reddened tip of tongue and tingling persist - second day.

Other Meds: Vitamin B-12, Ocuvite, probiotic

Current Illness: flu up until a few days before

ID: 1007851
Sex: F
Age: 34
State: TX

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

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

Lab Data:

Allergies: Sulfa drugs cause nausea

Symptom List:

Symptoms: Severe nausea and throwing up 10-14 times over 24 hour period. Head ache, chills, disoriented, sore body, and extreme fatigue. Couldn?t keep water down.

Other Meds: Prozac 10 mg , vitamin d, daily gummy vitamin

Current Illness: None

ID: 1007852
Sex: F
Age: 33
State: AL

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

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

Lab Data:

Allergies: No

Symptom List:

Symptoms: Nausea. Arm pain. Slight headache. Tired.

Other Meds: Propanolol 20 mg daily. Crestor 5 mg daily.

Current Illness: None

ID: 1007853
Sex: F
Age: 26
State: IN

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Headache, bodyaches, elevated temp, site pain, tiredness, weakness. Tylenol/ibuprofen

Other Meds: None

Current Illness: None

ID: 1007854
Sex: F
Age: 72
State: IN

Vax Date: 01/26/2021
Onset Date: 02/06/2021
Rec V Date: 02/06/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: 11 days after shot site itched and discovered red swollen bump with knot under it and fever in it.

Other Meds:

Current Illness:

ID: 1007855
Sex: F
Age: 41
State: AZ

Vax Date: 01/29/2021
Onset Date: 02/05/2021
Rec V Date: 02/06/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: 41, woman, 127 pounds Covid -arm rash on right arm about 1 week after receiving the first dose or shot of Moderna Covid-vaccine

Other Meds: None

Current Illness: No e

ID: 1007856
Sex: F
Age: 69
State:

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient reported she began having ulcers in the mouth and a swollen lip which she believes is from the vaccine. Pharmacy counseled patient and reported while it is a possibility, most reactions would have had a faster onset and would have included different area and not localized to the mouth. Pharmacist counseled patient to report it to her physician to confirm if the doctor would recommend the second dose.

Other Meds:

Current Illness:

ID: 1007857
Sex: F
Age: 32
State: MO

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/06/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Pruritic rash, global

Other Meds:

Current Illness:

ID: 1007858
Sex: F
Age: 76
State: WY

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: About 9:00 pm in the evening I first noticed an unusual racing of the heart while watching television. It subsided and I proceeded to bed. About 10:30 while in bed and reading it occurred again and continued for a few minutes. It continued to wake me a couple of times in the night before stopping about 4:00 am. No further occurrence so have not sought medical assistance.

Other Meds: calcium dietary supplement 1200 mg turmeric curcumin dietary supplement 1 capsule per day cod liver oil dietary supplement 415 mg per day

Current Illness: None

ID: 1007859
Sex: F
Age: 49
State: PA

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Received vaccine at 1:00pm Headache began at 2:30pm Pain at injection site started 4:00pm Overall feeling unwell, onset 7:30pm At 8:30pm, headache worsens, and temp is 99.5 (my norm is 97.4). Took 1000mg Tylenol at this time. Chills at 10:00pm that lasted less than an hour. 02/06/2021 Second dose of Tylenol at 1:00am. Temp holding at 99.5 Took Tylenol at 7:30am Headache is much worse, and is exacerbated by movement. Arm pain is intense. My whole body aches. 11:00am took 400mg ibuprofen

Other Meds: Adderall XR, Levothyroxine

Current Illness: None

ID: 1007860
Sex: M
Age: 47
State: NC

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Starting ~14hrs after injection: moderate headache, full body ache, fatigue, mild swollen neck lymph nodes

Other Meds:

Current Illness:

ID: 1007861
Sex: F
Age: 78
State: CT

Vax Date: 01/26/2021
Onset Date: 02/01/2021
Rec V Date: 02/06/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

Symptom List:

Symptoms: Area around injection site got very itchy, sore with a bump in it and a rash formed. Happened before I went to bed and I had a restless sleep. No fever in morning and symptoms disappeared as day went on. Rash lasted two days

Other Meds: Prozac 20mg. Lotrel 5/10mg PreserVision Saffron extract Castrate

Current Illness: None

ID: 1007862
Sex: F
Age: 36
State: AL

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/06/2021
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Allergies: None reported

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Symptoms: Patient called and stated that she was having some dizziness, but only when she bent over. She did not know if she was having any sinus or inner issues that might cause this.

Other Meds: Unknown

Current Illness: None

ID: 1007863
Sex: F
Age: 43
State:

Vax Date: 01/23/2021
Onset Date: 02/02/2021
Rec V Date: 02/06/2021
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Symptoms: Moderna COVID-19 Vaccine EUA. Diagnosis of erythema nodosum which started 10 days after second vaccine.

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Current Illness:

ID: 1007864
Sex: M
Age: 52
State: NY

Vax Date: 01/19/2021
Onset Date: 02/01/2021
Rec V Date: 02/06/2021
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Allergies: Codeine

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Symptoms: Loss of muscle control on one side of my face, diagnosed as Bell's Palsy.

Other Meds: Lisinopril

Current Illness: None

ID: 1007865
Sex: F
Age: 21
State: OH

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/06/2021
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Symptoms: patient has redness, swelling, and hives-like eruptions around vaccination site

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Current Illness:

ID: 1007866
Sex: F
Age: 28
State: IL

Vax Date: 01/27/2021
Onset Date: 02/03/2021
Rec V Date: 02/06/2021
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Symptoms: "covid arm" Itchy deltoid region on arm of injection with palpable bump beginning about 7-8 days after vaccine, progressing to large oval round itchy patch at test site. Pt reports also mild fatigue and achiness that is easily managed at home. Was diagnosed w/ COVID on 2/2/2021, tested d/t recent exposure.

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Current Illness:

ID: 1007867
Sex: F
Age: 70
State: FL

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/06/2021
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Allergies: Penicillin

Symptom List:

Symptoms: Itching and tingling about 9:50 am. Dizziness, headache and not able to stand about 10:00 am. Throat started swelling about 10:05 am. Was given 2 maximum doses of Benadryl at approx. 10:10 am. Throat swelling stopped and gradually returned to normal by about 10:45 am. Headache continued through next day.

Other Meds: Adderall, Toviaz, Trulicity, Losartan, citirizine hydrochloride, Atorvastatin, Aspirin, Vit. C, Rivastigmine, Calcium w/D3, Fluticasone propionate

Current Illness: UTI

ID: 1007868
Sex: F
Age: 62
State: AZ

Vax Date: 01/28/2021
Onset Date: 02/05/2021
Rec V Date: 02/06/2021
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Allergies: None

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Symptoms: On Day 8, first appearance of a red patch 2' x 3' at injection site. Warm to the touch. Itchy. Still present on Day 9. NO BIG DEAL FOR ME, but thought it interesting for tracking purposes.

Other Meds: Aller-Cort nasal spray for seasonal allergies--Daily

Current Illness: None

ID: 1007869
Sex: F
Age: 33
State: NC

Vax Date: 02/02/2021
Onset Date: 02/03/2021
Rec V Date: 02/06/2021
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Allergies: None

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Symptoms: Injection site pain and swelling at time of injection. Pain lasting several days. Severe body aches and nausea. Now 4 days out from receiving my 2nd dose and my arm still has a huge swollen knot the size of a fist. Arms is right and painful. Can physically see the knot/swelling.

Other Meds: None

Current Illness: None

ID: 1007870
Sex: F
Age: 28
State: MI

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/06/2021
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Symptoms: Breast tenderness, flush face hot to touch without fever, shot site pain. Muscle Aches mainly in back.

Other Meds:

Current Illness:

ID: 1007871
Sex: F
Age: 68
State: NY

Vax Date: 01/22/2021
Onset Date: 02/03/2021
Rec V Date: 02/06/2021
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Allergies: Sulfa, Sudafed, compazine, wasp stings

Symptom List:

Symptoms: Shingles started 10 pm 2/3/21 at 10 pm Virtual office visit 2/4/21 at 12:45 pm. Valacyclovir HCl 1 Gmail tid prescribed

Other Meds: Omeprazole 20 mg bid Advair 50/100 bid Pro air prn Multivitamin daily Red yeast rice daily CoQ10 daily Hair,skin nails supplement daily Cinnamon cap daily Vit D3 1000 daily Clucosamin/chondroitin/MSM daily

Current Illness: Asthma, GERD

ID: 1007872
Sex: F
Age: 62
State: MA

Vax Date: 01/14/2021
Onset Date: 01/21/2021
Rec V Date: 02/06/2021
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Allergies: None

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Symptoms: COVID arm - rash/swelling/itching for about 1 week; started about 1 week after injection

Other Meds: Vitamins -D3, 5HTP, Biotin Metoprolol - 25 mg daily Prilosec I don?t remember if I took Advil before or after the injection.

Current Illness: Nasal connection, runny nose - seasonal allergies

ID: 1007873
Sex: F
Age: 84
State: NV

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/06/2021
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Symptoms: stomach cramps, extreme tiredness

Other Meds: Atenolol/ Hydrochlorothiazide/Losartan/Lovastatin/asprin

Current Illness:

ID: 1007874
Sex: F
Age: 57
State: MO

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/06/2021
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Allergies: Sulfa

Symptom List:

Symptoms: Chills/Fever 102.6 started hour 16 after vaccination with severe large bone aches which included femur, hips, pelvis, sacrum and scapula; body aches, back ache, headache, general malaise and weakness. 2nd fever, no chills 38 hours after vaccine, with continued bone and body aches, back ache and headache, general malaise and weakness. mild dyspnea with continued back ache after 50 hours, still experiencing this at the time of report

Other Meds: Atorvastatin

Current Illness: 0

ID: 1007875
Sex: F
Age: 65
State: TX

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/06/2021
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Allergies: Penicillins Morphine

Symptom List:

Symptoms: Started itching back arms and head within 15 min of vaccine. Increase redness noted of arms and face. benadryl 25mg given at 15 min by 30 min itching had improved by 75% No lip or tongue or respiratory issue

Other Meds: Zyrtec

Current Illness: none

Total 2021 VAERS Injuries: 559,999

Page last modified: 03 October 2021 5:28pm