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: 1011591
Sex: F
Age: 84
State: MI

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 02/08/2021
Hospital:

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

Lab Data:

Allergies: unknown

Symptom List: Dysphagia, Epiglottitis

Symptoms: Patient states that the same day she noticed a nickel size bruise immediately after the injection. On 2/4/21 she began having arm pain and on 2/5/21 she went to see her PCP. She was diagnosed with cellulitis and put on doxycycline.

Other Meds: unknown

Current Illness: unknown

ID: 1011592
Sex: M
Age: 69
State: OH

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Anxiety, Dyspnoea

Symptoms: Arm Pain, Cough, Fever (3 times during night, each broke) Upset stomach, headache, tiredness.

Other Meds: 7 Prescribed medication for pre diabetes, Depression, magnesium for heart, etc

Current Illness: none

ID: 1011593
Sex: M
Age: 56
State: AZ

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/08/2021
Hospital:

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

Lab Data:

Allergies: No

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

Symptoms: Light headedness, nausea

Other Meds: Pantoprazole, primatine mist, Sudafed

Current Illness: Bone

ID: 1011594
Sex: M
Age: 58
State: IA

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/08/2021
Hospital:

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

Lab Data:

Allergies: no known allergies

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: On 2/5/2021, he awoke with complaints of body aches/pains from head to toe that he rates as a 9 on a scale of 0-10, 10 being the worst. He also had a headache that he rates as a 4 on a scale of 0-10. He did not want to eat, he slept due to fatigue during the day and night on 2/5, 2/6 NS 2/7. He developed diarrhea on the pm of 2/6 which lasted through the night of 2/7/2021. He pushed fluids and has remained hydrated. He was not aware of fever or chills. He did not go to work today 2/8/21 because he is still feeling fatigued, achey, and with a headache, but admits that he is feeling somewhat better.

Other Meds: Lisinopril Metoprolol Gabapentin Celebrex Pravastatin Pantoprazole

Current Illness: none

Date Died: 02/07/2021

ID: 1011595
Sex: M
Age: 90
State: CA

Vax Date: 01/28/2021
Onset Date: 02/03/2021
Rec V Date: 02/08/2021
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, Injection site warmth

Symptoms: On 2/5/2021 resident noted to be azotemic. Creatinine up to 3.8 and BUN in 80's. He was started on NS hydration. On 2/7/2021 he was noted without VS, per MD notes, possible VF arrest, renal failure; death unclear exact cause.

Other Meds: Glimepiride Tablet 1 MG,hydrALAZINE HCl Tablet 10 MG,Pantoprazole Sodium Tablet Delayed Release 40 MG,Meclizine HCl Tablet,Isosorbide Mononitrate ER Tablet Extended Release 24 Hour 30 MG,Senna Tablet 8.6 MG (Sennosides),Furosemide Tablet 20

Current Illness: ACUTE RESPIRATORY FAILURE WITH HYPOXIA, COPD, CHF, HTN, ANEMIA IN CHRONIC KIDNEY DISEASE, TYPE 2 DIABETES MELLITUS WITH DIABETIC NEPHROPATHY, GASTRO-ESOPHAGEAL REFLUX DISEASE WITHOUT ESOPHAGITIS, HYPERLIPIDEMIA, UNSPECIFIED, DEMENTIA, AFIB, CKD STAGE 4, BENIGN PROSTATIC HYPERPLASIA WITHOUT LOWER URINARY TRACT SYMPTOMS, UNSPECIFIED ASTHMA, UNCOMPLICATED, HYPERPARATHYROIDISM, UNSPECIFIED

ID: 1011596
Sex: F
Age: 48
State: NY

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 02/08/2021
Hospital:

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

Lab Data:

Allergies: Allergy to crab Adverse reaction to tetanus toxoid 1997: prolonged swelling and redness after injection for ~10 days

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

Symptoms: Moderna COVID-19 Vaccine EUA Body aches, fatigue: onset ~4 hours after injection administration chills, fever persisted for ~5 hours despite taking acetaminophen at onset of fever, which was approx. 8 hours after injection All symptoms resolved by the next day.

Other Meds: None

Current Illness: None

ID: 1011597
Sex: F
Age: 32
State: MD

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
Hospital:

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

Lab Data:

Allergies: penicillin, sulfa, dust, dust mites, oak trees, melaleuca trees

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: 1st shot: no immediate reaction. Racing heart that night. No illness reported, 11 days later I had a small red spot at injection site that was hard and hot to touch but went away on its own in about 1 week. 2nd shot: I had the vaccine on Friday, Feb. 5, 2021 at 5:05p.m. and had immediate reactions. That night I had a racing heart (which I had with the first vaccine)The next morning, Saturday the 6th, I woke up very sick. Symptoms included total body aches, pounding head, loss of appetite, racing heart, general flu like symptoms. I noticed a large red knot/rash on my arm at injection site. By Sunday the 7th, the symptoms had subsided mostly but the knot/rash was larger. Sunday night the knot/rash was even larger, hard and hot to the touch, the redness has darkened. I went to urgent care and they said it was not an infection since I had no pain (just uncomfortable and slightly itchy) they thought it was an allergic reaction and gave me steroids. Monday the 8th (today) the red rash/knot is less dark and hard but larger/wider in size. I had dizziness, lethargy, racing heart and loss of appetite. I have not worked since Friday the 5th.

Other Meds: Ibuprofen, Acyclovir, generic zyrtec, lessina (oral contraceptive), fluconazole

Current Illness: none

ID: 1011598
Sex: F
Age: 75
State: IN

Vax Date: 02/08/2021
Onset Date: 03/01/2021
Rec V Date: 02/08/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pharyngeal swelling

Symptoms: Fine as for now. No symptoms,

Other Meds:

Current Illness:

ID: 1011599
Sex: F
Age: 38
State: CO

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/08/2021
Hospital:

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

Lab Data:

Allergies: Sulfa products Eucalyptus Penicillin

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: At 12 hours post-vaccine administration, woke with a sharp headache pain in center of head (felt like corpus callosum). Then became aware of chills. First, chills felt like running down my nerves (like when you get scared), then changed to body shaking chills. Dressed warmer, took Tylenol, returned to sleep within 30 minutes. Woke again 3 hours after that with more chills and body aches. Fell asleep 1-2 hours after, awoke at 7am experienced chills, body and joint aches, nausea, and headache. Continued these symptoms with the addition of heat flashes for the next approx 16 hours. Lingering headache, grogginess, and chills/hot flashes for the next 12 hours. Symptoms fully resolved within 36 hours post-administration.

Other Meds: Haley birth control Adult multivitamins

Current Illness: None

ID: 1011600
Sex: M
Age: 34
State: OR

Vax Date: 12/31/2020
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
Hospital:

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

Lab Data:

Allergies: No allergies

Symptom List: Diarrhoea, Nasal congestion

Symptoms: I have what seems to be a persisting skin irritation and rash. It comes and goes and itches a lot. I have never had anything like this previously.

Other Meds: No medications

Current Illness: None

ID: 1011601
Sex: F
Age: 46
State: NM

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
Hospital:

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

Lab Data:

Allergies: Shellfish

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

Symptoms: Severe pain in the area of the injection, redness, inflammation, area felt hot, hive like bumps (this also happened with the first dose of the vaccine, however the first time happened a week later). With the second dose I also experience chill and severe joint and muscle aches, was very difficult to get out of bed due to the muscle and joint soreness. Weakness, dry mouth and very thirsty.

Other Meds: Vitamin D2; Iron; Multivitamins; Xanax

Current Illness: low platelets, iron deficiency, anemia, vitamin D definciency

ID: 1011602
Sex: F
Age: 35
State: TX

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/08/2021
Hospital:

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

Lab Data:

Allergies: Cats only. NKDA

Symptom List: Rash, Urticaria

Symptoms: Swelling, hot to touch, tender to injection site. 24 hours post injection all symptoms and swelling spreading down left arm. Area was red and itchy.

Other Meds: Magnesium, Vegetarian Collagen, astaxanthin, Rhodiola

Current Illness: None

ID: 1011603
Sex: M
Age: 79
State: FL

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 02/08/2021
Hospital:

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

Lab Data:

Allergies: penicillin laytex dressings

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

Symptoms: Local pain level 3 to 4, that evening I started to feel weak and chills and shivering. Then I started to feel nausea and then I vomited. Day 2 stomach upset and diareahha, pain level diminished to 2 to 3 Day 3 pain level reduced to 2 and general feeling of weakness.

Other Meds: Multivitmin daily

Current Illness: No

ID: 1011604
Sex: M
Age: 72
State: NJ

Vax Date: 02/04/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

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

Symptoms: Temporary paralysis right side (face, arm & leg). Lasted approximately 4 hours.

Other Meds: Glipizide ER 5MG 1x Lisinopril 2.5 MG 1x Simvastatin 20MG 1x Metformin HCL 500 MG 5x Fish Oil 1000MG 1x D3 25MCG 1x

Current Illness:

ID: 1011605
Sex: F
Age: 67
State: WI

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 02/08/2021
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: Fever, chills, severe headache, body aches

Other Meds:

Current Illness:

ID: 1011606
Sex: F
Age: 41
State: AL

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 02/08/2021
Hospital:

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

Lab Data:

Allergies: penicillin, sulfa

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

Symptoms: Patient received Moderna vaccine lot 042L20A at 1623 on 01/25/21. Later that evening she felt off- partly because the air was off in the ER and she took her pulse ox and HR and HR was 97 o2 was 91 reports no rash at that time. Came home and took a cool shower and 25 mg of benadryl. Morning of 1/26 she noticed a fine rash on her left lower neck and upper chest. She had Dr. look at it when she got to ER to work- they thought it looked like heat rash (air was still out). Her skin felt uncomfortable and rash worsened to where a co-worker noticed. The NP checked her and it had spread to her abdomen and back - not legs. It felt like fire and was painful, but did not itch.

Other Meds: tylenol, ibuprofen

Current Illness: none

ID: 1011607
Sex: F
Age: 75
State: NY

Vax Date: 01/29/2021
Onset Date: 02/05/2021
Rec V Date: 02/08/2021
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: After 3 days, red blotch appeared at injection site then cleared up. After 8 days red blotch reappeared and spread over upper and under arm of injection site and was unbearably itchy. Took over the counter Claritin and used hydrocortisone cream to help stop the itching.

Other Meds: pravastatin 20mg and levothyroxine 75 mcg

Current Illness: none

ID: 1011608
Sex: F
Age: 71
State: SC

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
Hospital:

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

Lab Data:

Allergies: Epinephrine ( Made heart rate slow down to 38 Years ago ) after having a root canal done. Heart rate came back up to 80 by evening but next day when I told dentist he told me never to take that again! Not allergic to anything else that I know of but I do have Gastroparesis that limits the foods I eat.

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Slight swelling , tenderness and redness at site. Fever of 102.9, severe chills, severe aching from top of legs down, headache but not quite as severe as when hospitalized last year. All symptoms resolved within approx. 20 hours except for the arm site.

Other Meds: These were taken about 2-3 days before shot. Clonazepam(oral) 2mg. at HS, Multivitamin, Calcium plus D, Extra Vitamin C 250mg and extra Zinc 25mg. Miralax was taken the day before.

Current Illness: 1-11, 2021 I had a sinus infection with allergies but because I had a non productive cough and headache-The NP checked with the doctor and they had me go to and get a Covid-19 test even though I was hospitalized last August 2020 with mild Covid and dismissed on next day. Was readmitted on the very next Saturday early AM and it had progressed to Severe. Ended up staying for a total of a week. Was given Ampicillin and Depo medrol shot from the NP on 1-11-2021. Keep my follow up appointment with my doctor on 1-21=21 for my Covid from 2020( test on 1-11-21 was negative. ) He told me to use the Flonase nasal spray He had given me sometime last year. Used it for about 3-5 days and felt better so stopped it.

ID: 1011609
Sex: F
Age: 80
State: WI

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 02/08/2021
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: 2 hours after shot felt nauseous. 6 hours after shot had vomiting and diarrhea. Repetitive vomiting 14 hours and diarrhea and malaise for 36 hours.

Other Meds: Calcium supplements, sometimes cholesterol (atorvastatin), fish oil, vitamin D

Current Illness: None

ID: 1011610
Sex: M
Age: 4
State: TX

Vax Date: 10/15/2018
Onset Date: 10/15/2018
Rec V Date: 02/08/2021
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: The evening following the vaccination my son became so violent and upset. He would pinch us, hit us, cry all the time, run around screaming as if he was in so much pain. This lasted for 6 weeks.

Other Meds:

Current Illness:

ID: 1011611
Sex: F
Age: 38
State: WV

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
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: Moderna COVID-19 Vaccine EUA Woke up almost 12 hours after receiving the vaccine with a fever of 101.9, nausea, severe headache, chills, and body aches. This lasted for around 24 hours

Other Meds: none

Current Illness: none

ID: 1011612
Sex: F
Age: 60
State: NE

Vax Date: 01/28/2021
Onset Date: 02/07/2021
Rec V Date: 02/08/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Unevaluable event

Symptoms: The first night I had a headache, stuffy nose. I had a sore arm at the injection site for 3 days. On day 17, I developed a red rash on my arm around the injection site.

Other Meds: Calcium/Vitamin D, Fish Oil pill

Current Illness:

ID: 1011613
Sex: F
Age: 41
State: WI

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/08/2021
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: Fever, chills, fatigue

Other Meds:

Current Illness:

ID: 1011614
Sex: F
Age: 54
State: IA

Vax Date: 01/15/2021
Onset Date: 01/17/2021
Rec V Date: 02/08/2021
Hospital:

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

Lab Data:

Allergies: Sulfa, tetracyclines

Symptom List: Injection site pain, Pain

Symptoms: Increase in blood pressure compared to baseline and headache beginning within two days of first vaccine dose. Occipital headache and elevated blood pressure persisted for over two weeks after vaccine and as of reporting date have not resolved.

Other Meds: estradiol, lisinopril, torsemide, lorazepam, escitalopram, potassium

Current Illness:

ID: 1011615
Sex: F
Age: 28
State: IN

Vax Date: 01/28/2021
Onset Date: 02/07/2021
Rec V Date: 02/08/2021
Hospital:

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

Lab Data:

Allergies: Sulfa medications

Symptom List: Injection site pain, Menorrhagia

Symptoms: Hives, Benadryl and Allegra, itchy, red welts all over my body except for my back, hands, face, lower legs, and feet.

Other Meds: Wellbutrin

Current Illness: N/A

ID: 1011616
Sex: F
Age: 43
State: AZ

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 02/08/2021
Hospital:

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

Lab Data:

Allergies: PCN-Hives Serzone -Hallucinations

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

Symptoms: I received the second vaccine on 1/27/2021, at 255pm. Around 730pm that night I started to feel very lethargic. My normal temperature is usually around 95-97 degrees. When I woke up at 430am, my temperature was 99, the lethargy was much worse, I had the chills. I called into work, and then went back to bed until around 10am, when I woke, and was drinking coffee, i suddenly started having visual hallucinations (only had this once with a on old antidepressant as a teenager). I took my temp and it was 100degrees. By 130pm, my temperature was 103 degrees, with severe chills, lethargy. I slept 20 hours total that day. I eventually took 1000mg of Tylenol sometime the evening of 1/28/2021. I was very ill the entire night, but welt 98 % better on 1/29/2021. Following the first vaccine, on 12/29/2021 at 605pm, I was very tired for 7 days. The 5th day after the vaccine, i had coughing, chest heaviness, sinus congestion fairly significantly. I felt like I was on the verge of becoming ill. The Tuesday following the vaccine, I got a COVID19 test out of concern, but it was negative. Eight days after the vaccine, I had a sudden severe migraine at 930 am the caused immediate double vision and extreme pain.

Other Meds: Diphenhydramine 25mg 2.5 tabs po qhs; Premarin 1 tab po qd, Vyvanse 70mg 1 cap po q am , adderall 20mg 1 tab po q am.

Current Illness: Migraine, perimenopause

ID: 1011618
Sex: F
Age: 30
State: IN

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
Hospital:

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

Lab Data:

Allergies: Latex, Lactose

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Throat swelling, difficulty swallowing, Intense pain at injection site, nausea, fatigue

Other Meds: Vyvanse

Current Illness:

ID: 1011619
Sex: M
Age: 34
State: KS

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Soreness/aching/tension in left arm, chills, nausea, headache, fatigue

Other Meds: None

Current Illness: None

ID: 1011620
Sex: F
Age: 39
State: CA

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 02/08/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Fever of 103F, chills, body aches, headache, nausea for first two days. Day 3-4 mild fever up to 100F, chills and body aches on and off. Day 5 felt normal again.

Other Meds: Duloxetine 40mg

Current Illness:

ID: 1011621
Sex: F
Age: 32
State: FL

Vax Date: 01/30/2021
Onset Date: 02/01/2021
Rec V Date: 02/08/2021
Hospital:

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

Lab Data:

Allergies: bell peppers

Symptom List: Nausea

Symptoms: Around 8:00 PM, began feeling itchy all over body. Hives were notably present on arms and neck. Symptoms lasted approximately 3 hours. Benadryl affective in management.

Other Meds: N/A

Current Illness: Bronchitis in previous month

ID: 1011622
Sex: F
Age: 24
State: IN

Vax Date: 02/06/2021
Onset Date: 02/07/2021
Rec V Date: 02/08/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: Pineapple, kiwi

Symptom List: Injection site pain

Symptoms: Estimated start time of 10:00am?injection site soreness, muscle soreness, joint pain, and migraine, nausea, chills, and heat flashes. Estimated start time of 9:00pm?chest pain and sensation of burning lungs. Aspirin taken at 10:00pm. All symptoms except for injection site soreness were gone by 11:00pm.

Other Meds: None

Current Illness: None

ID: 1011623
Sex: F
Age: 81
State: NY

Vax Date: 01/19/2021
Onset Date: 01/27/2021
Rec V Date: 02/08/2021
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Allergies: Erythromycin, Sulfur, Avastin, Effecor Xr , Halcion, Polysporin, Sulfate eye drops, Hydrochloride

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

Symptoms: 1/19/21 moderna vaccine; 1/27/21 9 days later-arm itching/red band across arm 3 in across 2 in wide (lasted 9 days)

Other Meds: Lovastatin 40 mg once daily, Amlodipine 10 mg once daily , Losartan 100 mg once daily , Hydralazine 25 mg three times daily, Metropole 100 mg once daily, Tylenol as needed at bedtime, Benadryl as needed at bedtime, Vitamin C 500 mg once da

Current Illness:

ID: 1011624
Sex: F
Age: 78
State: DE

Vax Date: 01/28/2021
Onset Date: 02/04/2021
Rec V Date: 02/08/2021
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Allergies: NKDA

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

Symptoms: Patient reported swelling around vaccination site about a week after receiving her first COVID vaccine. She said it has gone down and is almost back to normal. She did report that she normally has mild swelling around vaccination sites for other vaccines as well.

Other Meds:

Current Illness:

ID: 1011625
Sex: F
Age: 85
State: CT

Vax Date: 01/28/2021
Onset Date: 02/05/2021
Rec V Date: 02/08/2021
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Allergies: Naproxen/macrodantin/Minocycline

Symptom List: Tremor

Symptoms: 8 days after injection ,vacation area quite itchy.....( not swollen etc.) just rather itchy. It lasted for three days then subsided.

Other Meds: HydroCHLOROthiaz 12.5mg/Levothyroxione 75mcg/Rusuvastatin 5mg/Vit B complex/VitD2000IU

Current Illness: None

ID: 1011626
Sex: F
Age: 47
State: TX

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 02/08/2021
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Allergies: Morphine

Symptom List: Erythema, Pruritus

Symptoms: Patient complained of visual changes, shakiness, N/V and fatigue. Remained in Observation Area (clinic) extended by per RN. VS assessed frequently. EMS called due to patients condition not improved but worsening and transported to ER. Patient noted similar reaction with first vaccine. Patient had COVID in September.

Other Meds:

Current Illness:

ID: 1011627
Sex: F
Age: 57
State:

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
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Symptom List: Injection site erythema, Injection site induration, Injection site pruritus, Injection site swelling, Myalgia

Symptoms: The patient did not feel well after her COVID vaccine. She reported feeling numbness on the left side of her tongue and lips in addition to itching just below her left shoulder. Her vitals were taking and she stated that the odd feeling is in the same location as a previous shingles outbreak. She was placed in a chair in a reclined position. She was oriented to place and time with no wheezing, shortness of breath, or chest pain. Face was symmetrical with no visible droop or swelling. She remained in a reclined position for 15 minutes, after which she reported feeling better. She was stable upon standing with no concerning symptoms. She was advised to call our facility or 911 depending on the severity of any additional symptoms. O2 Sat = 96%, BP 132/80

Other Meds:

Current Illness:

ID: 1011628
Sex: F
Age: 76
State: WA

Vax Date: 01/23/2021
Onset Date: 02/04/2021
Rec V Date: 02/08/2021
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Allergies: None

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

Symptoms: About 10-11 days after vaccine, my arm was sore again and I broke out with a red, angry, splotchy, patch. A little itchy, a little sore, about 3" in diameter. Did some internet searching and saw it might be "Covid Arm", no reason to worry, and no reason not to get second shot which I'm scheduled for on the 18th. Might use the right arm though since it's still a little warm and sore.

Other Meds: Atorvastain Baby aspirin Vitamin D

Current Illness: None

ID: 1011629
Sex: M
Age: 75
State: OH

Vax Date: 02/06/2021
Onset Date: 02/07/2021
Rec V Date: 02/08/2021
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Allergies: None

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Nausea Vomiting (7 times)

Other Meds: Unknown

Current Illness: None

ID: 1011630
Sex: F
Age: 83
State: FL

Vax Date: 02/06/2021
Onset Date: 02/07/2021
Rec V Date: 02/08/2021
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Allergies: none

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

Symptoms: temperature 100.4 orally . usual temperature is 97.8

Other Meds: Inderal, verapamil, dyazide, lipitor,parlodel,myralax, levothyroxne, nacin, fish oil, baby aspirin,

Current Illness: none

ID: 1011631
Sex: F
Age: 39
State: NJ

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 02/08/2021
Hospital: Y

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Allergies: Sulfa, Latex

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

Symptoms: Moderna COVID-19 Vaccine EUA: Vaccine recipient reported 2/6/2021 that she received 1st dose of Moderna on 12/29/2020. Within 24 hours she developed a fever (T max 102) and body aches. She reported that the fever would not break. On 1/1/2021 she went to the ED and was prescribed azithromycin for left lower lobe pneumonia. COVID-19 test was negative on 1/1/21. On 1/6/2021 she went back to the ED for worsening symptoms and was subsequently admitted. Her COVID tests were negative. From 1/6/2021 to 1/11/2021 she was hospitalized at Medical Center for pneumonia. She was ordered antibiotics and steroids. Her COVID-19 test was negative on 1/11/2021. She was discharged on 1/11/21 to home.

Other Meds:

Current Illness:

ID: 1011632
Sex: F
Age: 55
State: IN

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/08/2021
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Allergies: None

Symptom List: Pain in extremity

Symptoms: Lump in Left Arm and Redness and Rash in a Circle of the Shot, at least 3 inches wide.

Other Meds: Metformin; Iron; Folic Acid; Simvastatin; Lisinopril; Januvia; Jardiance; Gabapentin; Fish Oil; Baby Aspirin; Pantoprazole; Daily Vitamin; Potassium; Magnesium

Current Illness: None

ID: 1011633
Sex: F
Age: 70
State: PA

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
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Allergies: Bee Venom (receiving desensitization shots), Alipent, Aspirin, Ceclor, Doxycycline, Macrobid, Tenormin

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

Symptoms: 2/6/21 Excessive yawning, numbness and tingling around lips, and in mouth, tightness in throat with some difficulty swallowing Used Epipen at 11:15 AM and went to Urgent Care, given Prednisone 60 mg and Benadryl 50 mg. Slight improvement but throat tightened again. Taken by ambulance to Emergency Department and monitored for 4 hours. Given script for Prednisone 20 mg 1x a day for 10 days and told to take Benadryl 25-50 mg every 4-6 hours and Pepcid 20 mg daily 2/7/21 Awoke at 6 AM with same symptoms. Taken by ambulance to Emergency Department, monitored for 1 hour and released

Other Meds: PM: Lipitor, Pepcid, Vitamin D, Tums, Symbicort, Flonase AM: Losartan, Diltiazem, Lexapro, Symbicort, Flonase

Current Illness: None

ID: 1011634
Sex: F
Age: 72
State: NJ

Vax Date: 02/06/2021
Onset Date: 02/08/2021
Rec V Date: 02/08/2021
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Allergies: Cipro Shellfish Perfumes Cleaning products that have odors

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

Symptoms: Vaccination site is a bit swollen, red, and itchy

Other Meds: Advair Singular Hydrchlorothorazide Zoloft Losarten Montelukast Took one Benadryl before vaccine

Current Illness: None

ID: 1011635
Sex: F
Age: 59
State: NC

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/08/2021
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Allergies: Codeine

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

Symptoms: About 4-5 minutes after getting the vaccine, I coughed and then could not breathe. I was sitting down and quickly stood up gasping for air. I was in the library at the time. Several people ran to my side and sat me down on the floor. My O2 sat was 86, pulse 120. I was able to start breathing without epi. O2 went up to 100. Was taken to the ED and given Benadryl and Prednisone. I waited quite a long time. The ED was packed. I ended up leaving, as I felt fine. I am fine today and at work. This was my second vaccine. No adverse event after the 1st dose.

Other Meds: None

Current Illness: None

ID: 1011636
Sex: F
Age: 36
State: IN

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
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Allergies:

Symptom List: Vomiting

Symptoms: Swollen lymph node right underarm (injection arm)

Other Meds:

Current Illness:

ID: 1011639
Sex: F
Age: 71
State: IN

Vax Date: 02/06/2021
Onset Date: 02/07/2021
Rec V Date: 02/08/2021
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Allergies: Contrast dye, mold, mildew, dogs, codeine, morphine,

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Swelling at site of shot, tiredness, headache, muscle pain, chills, joint pain, fever, swollen lymph nodes. Gout flare up. Began 29 hours after injection with chills and fatigue followed by fever, etc. Lasted until next morning (47 hours after shot) with just a remaining headache.

Other Meds: Tylenol, baby aspirin, esomeprazole, fluticasone, multivitamin with biotin, vitamin D3, B12, magnesium, myrbetriq, toviaz, allopurinol, levocetririzine, amlodiline.

Current Illness: None

ID: 1011640
Sex: F
Age: 29
State: NC

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/08/2021
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Allergies: none

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

Symptoms: Developed chills and muscle/body aches ~8 hours after receiving the second dose of the COVID-19 vaccine (Moderna). Later that night developed nausea and decreased appetite. All of these side effects lasted 36-48 hours, then resolved without treatment.

Other Meds: Junel oral contraceptive

Current Illness: none

ID: 1011641
Sex: F
Age: 45
State: OH

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 02/08/2021
Hospital:

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Allergies: UNK

Symptom List: Injection site swelling, Limb discomfort

Symptoms: 1/29/2021 at apx 5:00am patient stated to have an upset stomach. Later in the day at apx. 12:00pm patient stated to have a fever of 102.0 F and beginning of a rash throughout her body. Symptoms continued through the following day. 1/31/2021 at apx 5:00am patient stated to have swelling of her throat and went to the emergency room. Patient given IV and gastrointestinal cocktail. Patient sent home steroid and diphenhydramine prescription.

Other Meds: UNK

Current Illness: UNK

ID: 1011642
Sex: F
Age: 75
State: NY

Vax Date: 01/28/2021
Onset Date: 02/05/2021
Rec V Date: 02/08/2021
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Lab Data:

Allergies: Fragrances and penicillin

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

Symptoms: 8 days after vaccine, had increased pain, slightly swollen arm with big red rash. A little itchy. Less red today.

Other Meds: Losartan, Vit C, Garlic, One A Day Woman?s Vitamins and Caltrate the morning of the vaccine. Hydrochlorothiazide, Allegra and Metoprolol Succinate ER the night before and evening of the date of the vaccine

Current Illness:

ID: 1011643
Sex: F
Age: 32
State: VA

Vax Date: 01/27/2021
Onset Date: 02/07/2021
Rec V Date: 02/08/2021
Hospital:

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Lab Data:

Allergies: Done

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

Symptoms: Red raised rash/ring around injection site ?Covid arm?; sore arm

Other Meds: None

Current Illness: None

Total 2021 VAERS Injuries: 704,237

Page last modified: 26 October 2021 2:21am