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: 1009061
Sex: F
Age: 71
State: NC

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

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

Lab Data:

Allergies:

Symptom List: Dysphagia, Epiglottitis

Symptoms: numbness in outer corner of left eye and cheek

Other Meds: diclofenac,areds2-zinc free,omeprazole,atorvastatin,excedrin migraine,cholestyramine

Current Illness: lymphocytic colitis

ID: 1009062
Sex: F
Age: 48
State: IN

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/07/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Anxiety, Dyspnoea

Symptoms: Very sore arm, body aches, low grade fever, stuffy nose, fatigue

Other Meds: Tumeric, Prozac, seasonique

Current Illness:

ID: 1009063
Sex: M
Age: 56
State: MA

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

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

Lab Data:

Allergies: NKDA

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

Symptoms: Patient had influenza vaccine on 1/27/21 - interval between vaccines -less than 14 days. Patient completed screening form and answered no to this question. Error was noted during documentation after vaccine administered during vaccine clinic.

Other Meds: Antabuse 250 MG Tablet Refill Nicotine Mini 2 MG Lozenge Refill Tab-A-Vite - Tablet Refill Omeprazole 20 MG Capsule Delayed Release Refill Triamcinolone Acetonide 0.1 % Cream Refill Naltrexone HCl 50 MG Tablet Continue Nicoderm

Current Illness: none

ID: 1009064
Sex: M
Age: 56
State: OH

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/07/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: This vaccine was Moderna 0282L2cA. Symptoms were: Headache, body ache, Fever, chills which carried over into Sunday 02/7/2021

Other Meds: none

Current Illness: none

ID: 1009065
Sex: F
Age: 51
State: CT

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 02/07/2021
Hospital:

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

Lab Data:

Allergies: None known

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

Symptoms: Near-immediate left-sided neck pain. Then noticed left-sided facial numbness. Mild, left-sided headache. Also, left lateral aspect of tongue numb. Pruritus of left hand and arm. A few hives on left wrist, with scratching. Did not have wheeze or respiratory difficulty. Later in the day, felt tired. Very mild stomach upset and slightly loose stool (once.) Numbness of left side of my face seemed to very gradually improve over several hours. Nearly resolved by next day. I would love to better understand these symptoms as I am very hesitant now to get the second dose. I am a doctor and wonder if I had covid last winter. Curious about possible blood work, crossing over to a different vaccine for booster, or any advice. I?ve reached out to other doctors, but no one is sure about these symptoms or the best course of action from here. Thank you very much.

Other Meds: None

Current Illness: None

ID: 1009066
Sex: F
Age: 71
State: NJ

Vax Date: 01/14/2021
Onset Date: 01/27/2021
Rec V Date: 02/07/2021
Hospital:

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

Lab Data:

Allergies: penicillin

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

Symptoms: - large round swelling, hot, red, itchy below injection site; lasted about 5 days - around the same time, roof of mouth felt badly burned and upper jaw gums were very sore; rinsed with salt water; lasted about 10 days - a few days later, itchy red rash on calves after shaving; used steroid gel; lasted about 5 days - around the same time, infection in toe on right foot; soaked with epsom salts. applied anti-biotic gel, podiatrist removed puss; lasted about 4 days

Other Meds: armour thyroid, nexium, wellbutrin, losartan, pravastatin, 81mg aspirin vitamin D with vitamin K, vitamin C, pro-biotic supplement, arctic cod liver oil, Maca-3, iodine, niacin

Current Illness:

ID: 1009067
Sex: F
Age: 43
State: IN

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/07/2021
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: 11 hours after vaccine, fever to 102.8, chills, tachycardia, mild headache, body aches and fatigue. Low grade temps, body ache and fatigue lasted approximately 18 hours.

Other Meds: None

Current Illness: None

ID: 1009068
Sex: F
Age: 53
State: KY

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/07/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Pharyngeal swelling

Symptoms: Chills Muscle aches Malaise Nausea Headache

Other Meds: Diovan Tizanidine Ozempic Vit d Pantoprazole Sudafed Lexapro

Current Illness: None

ID: 1009069
Sex: F
Age: 24
State:

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

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

Allergies: Mild seasonal allergies

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Left upper are pain near vaccine site Intermittent node in left arm pit swelling and pain

Other Meds: Adderall Birth control Zertec

Current Illness: N/a

ID: 1009070
Sex: F
Age: 38
State: IN

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/07/2021
Hospital:

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

Lab Data:

Allergies: NA

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Began experiencing stiff joints and chills around 9pm Friday 2/5 which quickly proceeded to numbness and tingling in my legs making it hard to get up and walk. About an hour later it was followed up with chills which became severe, teeth chattering with full body stiffness which proceeded through the night. Saturday morning 2/6 felt fine after waking up then about 12 I once again began to have extremely stiff joints, tingling in legs and extreme chills. I then took 800mg Ibuprofen and slept for and additional 4 hours. Since waking body is aching but has improved and tolerable as of this morning 2/7

Other Meds: Zoloft Seroquel

Current Illness: NA

ID: 1009071
Sex: F
Age: 61
State: IN

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/07/2021
Hospital:

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

Lab Data:

Allergies: N/a

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

Symptoms: Sore arm, headache, chills, body aches

Other Meds: Losartan, estradiol, calcium+d, vitamin d3, zinc, niacinamide

Current Illness: None

ID: 1009072
Sex: F
Age: 25
State: IN

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/07/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

Symptom List: Rash, Urticaria

Symptoms: Approximately 12 hours after vaccine administration, I developed a headache and fatigue. Shortly after, I began to have joint pain and badly aches. Throughout the night, I would wake up frequently suffering from body aches and cold chills. Symptoms lasted for about 15 hours from time of onset.

Other Meds: Tri-sprintec, vitamin D, probiotic

Current Illness: NA

ID: 1009073
Sex: F
Age: 25
State:

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/07/2021
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: Fever, reading of 101, lasted approx 6 hrs

Other Meds:

Current Illness:

ID: 1009074
Sex: F
Age: 51
State: IN

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/07/2021
Hospital:

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

Lab Data:

Allergies: Aspirin, high doses of steroids

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

Symptoms: fever, muscle, some difficulty breathing related to muscle pain. Fatigue, nausea, headache. Decrease some on day 2

Other Meds: none

Current Illness: none

ID: 1009075
Sex: F
Age: 34
State: IN

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/07/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Body aches, chills, fever, sore throat

Other Meds:

Current Illness:

ID: 1009076
Sex: M
Age: 65
State:

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/07/2021
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: Rash and swelling at injections site approximately 36 hours after injection. Headache, lightheaded, and general malaise about 8 hours after injection.

Other Meds: Olmesartin 40mg Generic Vytorin 10/20 baby aspirin COQ10

Current Illness: none

ID: 1009077
Sex: F
Age: 65
State: NJ

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 02/07/2021
Hospital:

Vax Type:
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Lot:
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Lab Data:

Allergies: Macrobid, Levaquin, Hizentra and strawberries

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

Symptoms: Begin with headache and nausea and progressed to very swollen arm, (Pic after 5 days available) fever ranging to 101.5 (I never went about 100 with Covid) chills, aches, fever, severe headache, nausea some vomiting and symptoms that I would equate to a really severe flu. Lasted 7 days. It is unclear if because I had Covid antibodies still within month of vaccine and also took the immunoglobulin therapy night before shot if that impacted on the reaction.

Other Meds: Taken daily: Synthroid, Prevastatin, Candestartin, Estrodoil and weekly infusion subcutaneously of immunolgobulin therapy. (Iniially Hizentra but severe allergic reaction and now taking Cuvitru with no issues , Also taking Vitamin C, Vita

Current Illness: None- but take immunoglobulin therapy weekly subq. due to IGG/IGA deficiency.

ID: 1009078
Sex: F
Age: 74
State: NC

Vax Date: 01/29/2021
Onset Date: 02/02/2021
Rec V Date: 02/07/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Starting 02/02, extreme dizziness, nausea, diarrhea , vomiting , muscle ache. 02/04 symptoms subsided. 02/06 redness, itching and swelling at site of injection continuing 02/07. Treatment: Ginger ale, broth, topical over the counter cortisone at injection site.o

Other Meds: Levothyroxine 75mcg, B-Complex, Vitamin D3.

Current Illness:

ID: 1009079
Sex: M
Age: 67
State: IN

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/07/2021
Hospital:

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

Lab Data:

Allergies: Accupril

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Injection sit soreness and temp of 100.4

Other Meds: Amlodipine, Chlorthalidone, Diltiazem, Rosuvstatin, Spironolactone, 81 mg aspirin, vitamin C, vitamin D3, vitamin E, Fish Oil, Glucosamine Chondroitin, Iron and a multivitamin

Current Illness: None

ID: 1009080
Sex: F
Age: 23
State: IL

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/07/2021
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: 103.2 fever, chills, sweating, headache, nausea

Other Meds:

Current Illness:

ID: 1009081
Sex: F
Age: 73
State:

Vax Date: 01/30/2021
Onset Date: 02/06/2021
Rec V Date: 02/07/2021
Hospital:

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

Lab Data:

Allergies: Nka

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

Symptoms: 4 inch Swelling , heat mild soreness and itching at injection site starting a week after injection

Other Meds: Gabapentin

Current Illness: None

ID: 1009082
Sex: F
Age: 51
State: IN

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/07/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List: Unevaluable event

Symptoms: Injection site soreness started almost immediately, 12 hours after shot body ache and headache and slight fever. Tiredness, dizziness also. All symptoms lasted 24 hours. Feeling good 48 hours after shot. Didn?t take any medication for symptoms. Just rested and slept.

Other Meds: No

Current Illness: No

ID: 1009083
Sex: F
Age: 71
State: NJ

Vax Date: 01/25/2021
Onset Date: 02/01/2021
Rec V Date: 02/07/2021
Hospital:

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

Lab Data:

Allergies: sulfa

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

Symptoms: One week after first dose I had large red ring around the site of injection. It was itching and warm to the touch. This lasted about one week till Feb 5th. On day 13, Feb 6th,, my lower lip left side start to feel puffy. and irritated. I am calling it a fever blister because it looks like it. I never had this before. I am using OTC topical.

Other Meds: 100 mcg levothyroxin

Current Illness: none

ID: 1009084
Sex: F
Age: 63
State: IL

Vax Date: 09/15/2020
Onset Date: 09/15/2020
Rec V Date: 02/07/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Pain

Symptoms: Patient describes arm pain beginning day of injection and still occuring as of 2/1/21

Other Meds:

Current Illness:

ID: 1009085
Sex: F
Age: 69
State: PA

Vax Date: 01/15/2021
Onset Date: 01/25/2021
Rec V Date: 02/07/2021
Hospital:

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

Lab Data:

Allergies: Sulfa drugs, some laundry detergents, soaps, body creams, makeup brands etc. Had similar but more severe arm reaction to shingles vaccine that ended with cellulitus, bug bites, some plant leaves

Symptom List: Injection site pain, Menorrhagia

Symptoms: Red itchy rash, started as a few dots, spread to about a three inch circle, warm to touch, lasted about 4-5 days, started 9th or 10th day after injection, rash slowly disappeared still some itchy moments ...

Other Meds: Metoprolol Succinate, Pravastatin, Tumeric, Zyrtec,

Current Illness:

ID: 1009086
Sex: F
Age: 53
State: PA

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/07/2021
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: Approximately 20 minutes after receiving the vaccine my arm began itching really bad at injection site. Ten minutes later my vision was blurred and I felt dizzy and weak, within an hour my head began to hurt and gradually got worst. By 9:30pm my fingers were swollen on the arm I got the injection and through the evening twitched. Body aches, headache got worse The blurred vision, swollen fingers weakness and dizziness last through 02/25/21. Issues did not resolve until the morning of Saturday 02/06/2021 7am.

Other Meds:

Current Illness:

ID: 1009087
Sex: F
Age: 68
State: IN

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/07/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Chills lethargic neck ache occurred around midnight lasted till 730 the next day.

Other Meds: Lisinopril 40 mg

Current Illness: Asthma high blood pressure polyps and nasal cavity

ID: 1009088
Sex: F
Age: 24
State:

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 02/07/2021
Hospital:

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

Lab Data:

Allergies: Mild seasonal allergies

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: - 1/26/2021: headache and fatigue all day (1/27 all better), worsening around 3-6 pm, right upper arm pain, left arm pit node swelling and pain (recovered within a few days) - 1.5-2 weeks after vaccine: rashes on toe tips looks like chilblains (might be from cold? Might be from vaccine?)

Other Meds: Adderall Birth control Zertec

Current Illness: Na

ID: 1009089
Sex: F
Age: 58
State: PA

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/07/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Soreness at injection site which subsided after several days with only mild tenderness. Muscle pain at injection area started getting tender again to touch around 5 days after injection then shoulder pain becoming sore enough on Friday 2/5 to interfere with sleep. Shoulder pain on movement of arm today 2/7 and muscle feels very tender to the touch.

Other Meds: Flecainide, Prilosec

Current Illness: None

ID: 1009090
Sex: F
Age: 34
State: IN

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/07/2021
Hospital:

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

Lab Data:

Allergies: Sulfa drugs

Symptom List: Nausea

Symptoms: Muscle and body aches, headache, slight fever 24hour

Other Meds: Avonex, fluoxetine, gabapentin, vit d, naproxen

Current Illness: MS

ID: 1009091
Sex: F
Age: 44
State: IN

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/07/2021
Hospital:

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

Lab Data:

Allergies: Na

Symptom List: Injection site pain

Symptoms: Fever, chills, body achy, headache, neck stiffness, diarrhea, soreness of injection site

Other Meds: Garlic, cranberry, omeprazole,excedrin, zyzol,

Current Illness: Na

ID: 1009092
Sex: F
Age: 32
State: NJ

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/07/2021
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: Red raised circle on arm (continuing 9 days past vaccine), warm to touch. Some stiffness/soreness in the muscle, no significant pain. Diameter of red, raised area is 1.5 inches. Some minor itching on skin.

Other Meds: Prozac 60mg once daily, xanax 2.5 mg twice daily

Current Illness: None

ID: 1009093
Sex: F
Age: 38
State: MD

Vax Date: 01/15/2021
Onset Date: 01/22/2021
Rec V Date: 02/07/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Itching at injection site. Raised pink firm lump at injection site about 2? by 4? area. Lasted about 5 days.

Other Meds: Multivitamins

Current Illness: None

ID: 1009094
Sex: F
Age: 39
State: WI

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/07/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Tremor

Symptoms: Fever (up to 101.4), full body aches, strong headache particularly at base of neck in back. Lymph nodes also swollen.. All symptoms lasted about 24 hours, then resided on their own with no intervention. Mild headache persisted for another 12 hours.

Other Meds: Birth control pill

Current Illness: None

ID: 1009095
Sex: F
Age: 73
State: NY

Vax Date: 01/29/2021
Onset Date: 02/05/2021
Rec V Date: 02/07/2021
Hospital:

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

Lab Data:

Allergies: none -

Symptom List: Erythema, Pruritus

Symptoms: Moderna vaccine. injection site began to itch on Friday. ( initially arm sore for first day or two and disappeared). By Saturday a rash at the site about 5 inches oval. By Sunday, itching increased and area hot to the touch.

Other Meds: Simvistatin, Levothyroxin, Chlothoridone, calcium, vitamin, biotin

Current Illness: none

ID: 1009096
Sex: F
Age: 49
State: VA

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 02/07/2021
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Allergies: None

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

Symptoms: Severe headache, confusion, unable to formulate sentences. Word finding difficulties. Mental fogginess. Eyes felt heavy and weak at the same time- tired eyes. behind the eyes headache. Memory problems and problems initiating words.

Other Meds: Diamox, Vit D, Singulair, Fish Oil, Loratadine, Omeprazole, Zoloft, Albuterol inhaler as needed

Current Illness: None

ID: 1009097
Sex: F
Age: 78
State: TX

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/07/2021
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Allergies: none

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

Symptoms: Injection 2 on 2/5/2021: small red rash around injection within 12 hours of injection nausea started at 4:00 PM NEXT DAY sore throat started the evening of 2/6/2021 by evening of 2/6/21 red rash grew to approx 2 inches all the way around the injection site and became more itchy

Other Meds: Topamx Zoloft Syntrhhroid Omepreazaole HCL Drisdol B-Complex w/C Omega 3 Biotin Calcium Ocuvite Potassium Hydrocodon Tizandine Prolia Flector Patches

Current Illness: none

ID: 1009098
Sex: F
Age: 50
State: IN

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/07/2021
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Allergies: Bactrim

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Extreme joint pain, muscle aches, headache, fever, nausea, fatigue

Other Meds: A merge-pen, Sertraline-qd, Magnesium

Current Illness: Asthma, migraines

ID: 1009099
Sex: F
Age: 49
State: IN

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/07/2021
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Allergies: Only known allergy is to Sulfa, unsure of reaction, allergy diagnosed from when I was young

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

Symptoms: Chills, headache, body aches

Other Meds: Levothyroxine

Current Illness: None

ID: 1009100
Sex: M
Age: 68
State: IN

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/07/2021
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Allergies: Mild Hay fever/sinus drainage every spring and fall

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

Symptoms: Sudden onset of sinus drainage from 10:00 PM to bedtime and again the next morning. The event was minor and similar to annual hay fever alergic reaction and lasted 12 hours

Other Meds:

Current Illness:

ID: 1009101
Sex: M
Age: 44
State: NY

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/07/2021
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Allergies: none known

Symptom List: Pain in extremity

Symptoms: I received the dose on Friday 1/29. About 45 minutes after the left side of my face felt numb. Over the weekend I then thought I was developing acne (which is strange because I don't get acne). By Monday it was getting terrible on the left side of my face and by bedtime I thought it was shingles. I went to my general practitioner on Tuesday 2/2 and was diagnosed with shingles and prescribed Famciclovir 500 mg 3 x daily for 7 days.

Other Meds: Rosuvastatin 40mg, Vitamin D 5000 IU, Aspirin 81mg, Daily Multivitamin

Current Illness: none

ID: 1009102
Sex: F
Age: 55
State: OH

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/07/2021
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Allergies: amoxicillin

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

Symptoms: About one hour after receiving the vaccine I experienced itching and mild hives. I am still itching 3 days later, but I do have other allergies and am not sure if this itching is from the vaccine or not. The hives are gone. An hour and a half after receiving the vaccine, around 5 p.m., I experienced extreme dizziness for a brief moment, 30 seconds? It took my breath away; it was frightening as I have had 2 strokes in the past.

Other Meds: amlodipine, rosuvastatin, calcium, multivitamin, hydrochloric acid, allegra, iron, gas-x

Current Illness: n/a

ID: 1009103
Sex: F
Age: 65
State: IN

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/07/2021
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Allergies: None

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

Symptoms: Headache unresponsive to Tylenol or aspirin and fatigue resulting in no energy for activity beginning the evening of vaccine and continuing for 36 hours with headache and fatigue dragging on intermittently for another 18 hours

Other Meds: Letrozole Levothyroxine Gabapentin Celebrex Pantorazole Valacyclovir

Current Illness: None

ID: 1009104
Sex: M
Age: 74
State: CA

Vax Date: 01/23/2021
Onset Date: 02/06/2021
Rec V Date: 02/07/2021
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Allergies: None

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

Symptoms: Pain and pressure in my chest, making breathing laborious.

Other Meds: Gabapentin, Atorvastatin, Motrin, Acetaminophen, multivitamins, CoQ10, Vitamin C, Calcium, Magnesium, Zinc, Relief Factor

Current Illness: None

ID: 1009105
Sex: F
Age: 80
State: IN

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/07/2021
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Allergies: No allergies

Symptom List: Vomiting

Symptoms: I developed headache, chills , 99.3 temperature, very tired with pain all over my joints particularly my back , shoulders, right arm at the site of the inyection and these symptoms lasted for 24 hrs . I feel fine and normal after one day of feeling these symptoms.

Other Meds: Atorvastatin 40 mg Amlodipine 2.5 mg Vitamin B12 1000mcg Vitamin D3 2000IU

Current Illness: No

ID: 1009106
Sex: F
Age: 60
State: IN

Vax Date: 02/01/2021
Onset Date: 02/02/2021
Rec V Date: 02/07/2021
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Allergies: None known

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: High heart rate. Vomiting, extreme fatigue. My body feels like is vibrating on the inside & shaking on the outside. Headache & extreme stomach pain. Which all of this has made it to where I'm unable to work.

Other Meds: Losartan Hydrochlorothiazide Amlodipine

Current Illness: None

ID: 1009107
Sex: M
Age: 63
State: NY

Vax Date: 02/03/2021
Onset Date:
Rec V Date: 02/07/2021
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Allergies: No known allergies

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

Symptoms: Vaccination error: The patient's first vaccine was Moderna but received Pfizer for the second dose.

Other Meds:

Current Illness:

ID: 1009108
Sex: M
Age: 66
State: IN

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/07/2021
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Symptom List: Injection site swelling, Limb discomfort

Symptoms: I am a type 1 diabetic and almost all day my BG?s were in the 40?s. I have never had that issue before. I am usually high

Other Meds:

Current Illness: Diabetes

ID: 1009109
Sex: F
Age: 62
State: NY

Vax Date: 02/03/2021
Onset Date: 02/03/1958
Rec V Date: 02/07/2021
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Allergies: No known allergies

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

Symptoms: Medication error: The patient's first vaccine was Moderna but received Pfizer for the second dose.

Other Meds:

Current Illness:

ID: 1009110
Sex: F
Age: 54
State: IL

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 02/07/2021
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Allergies: Penicillin Erythromycin

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

Symptoms: - Itching legs - Dizziness - Throat started to feel thick (I notified the EMS workers at the observation area) - Hives on right upper torso (was given one dose of Benedryl) -Hives spread to left upper torso (another dose of Benedryl) -Blood pressure was 160/100 - to the best of my memory and my heart rate was elevated) -Rapid heart rate - Symptoms did not decrease (was given an Epi Pen injection - left leg) (transported to ER by ambulance) - EKG performed - Steroid given - Bloodwork done - (the only medicine given as a result was Potassium as my level was low) - I was observed until 7:00 to see if I showed any symptoms after the Epi Pen wore off. - Released with a prescription for Prednisone

Other Meds: Synthroid Black Cohosh

Current Illness: None

Total 2021 VAERS Injuries: 704,237

Page last modified: 26 October 2021 2:21am