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
72,296
AK1,638
AL5,339
AR3,412
AS44
AZ13,316
CA58,147
CO11,002
CT7,824
DC1,626
DE1,670
FL36,235
FM3
GA13,429
GU82
HI2,195
IA4,332
ID2,473
IL19,261
IN22,568
KS4,284
KY6,945
LA4,714
MA13,886
MD11,901
ME2,997
MH8
MI17,865
MN11,345
MO8,919
MP30
MS2,676
MT2,147
NC15,401
ND1,273
NE2,732
NH2,859
NJ17,232
NM3,702
NV4,071
NY32,763
OH18,072
OK5,940
OR7,954
PA22,457
PR2,104
QM2
RI1,911
SC6,055
SD1,133
TN8,691
TX34,122
UT4,023
VA13,944
VI49
VT1,661
WA13,811
WI10,395
WV2,220
WY805
XB5
XL1
XV2

ID: 1014444
Sex: F
Age: 66
State: MD

Vax Date: 01/29/2021
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: Compazine

Symptom List:

Symptoms: 10 days post injection itchy, non-raised rash. Just below the injection site about the size of a tennis ball.

Other Meds: Synthroid, rosuvastatin, Vitamin D, multivitamin, turmeric, cinnamon, fish oil, CoQ10, baby aspirin

Current Illness: Essential thrombocythemia, leg ulcer

ID: 1014445
Sex: F
Age:
State: IA

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: Allergy to penicillin, had anaphylactic

Symptom List:

Symptoms: Client called (approx 12 noon) to report she had severe itching started in her nose, then to scalp, head, neck and chest. Had a bumpy raised rash on her chest. Client did call her doctor and they did tell her to take 50 mg benadryl and to take every 4 to 6 hours. RN called back around 4:25 PM. Client reports is better now after taking benadryl.

Other Meds: 5mg lisinopril, 500 mg metformin BID, atorvastatin ? dosage, birth control med, multi vit

Current Illness: 1st COVID vaccine she received on 01-08-21 had a little itching at site, and a "bad headache" that lasted about 3 days

ID: 1014446
Sex: M
Age: 78
State: FL

Vax Date: 02/05/2021
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: Any color bell peppers

Symptom List:

Symptoms: red and itchy rash from chest to feet including arms and hands

Other Meds: Daily Medications: Crestor-40 mg.; multivitamin; Alfuzosin-10 mg.; saw palmetto-450 mg.; magnesium; Desmopressin Acetate Nasal Solution (as needed)

Current Illness: none

ID: 1014447
Sex: F
Age: 68
State: KY

Vax Date: 02/04/2021
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: Ceclor, doxycycline, ofloxacin, sulfa

Symptom List:

Symptoms: Starting having Chest Pain and SOB on 2/5/21. Had oxygen saturation of 85%. Went to ICC and then ER on 2/8/21 for these symptoms.

Other Meds:

Current Illness:

ID: 1014448
Sex: F
Age: 56
State: CA

Vax Date: 02/06/2021
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: Augmentin, Alcohol, Flonase

Symptom List:

Symptoms: Sore arm at injection site, Fever, body aches, lips tingling

Other Meds: None

Current Illness: None

ID: 1014449
Sex: F
Age: 71
State: CO

Vax Date: 02/05/2021
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: Valium, Sulfa

Symptom List:

Symptoms: Dizziness with standing for 20 minutes Headache for 30 minutes

Other Meds: Trazodone, Norco, Folic Acid, Methotrexate, Aspercreme, Donepezil, Voltaren, Restasis, Presnisolone, Calcium, Allegra, Miralax,, Duloxetine

Current Illness: none known

ID: 1014450
Sex: M
Age: 38
State: CA

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: none known

Symptom List:

Symptoms: ambulated then fall with 3-5 second loss of consciousness and hit head on ground surface, 911 activated.

Other Meds: none known

Current Illness: none known

ID: 1014451
Sex: F
Age: 64
State: AK

Vax Date: 02/02/2021
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: cats; dogs

Symptom List:

Symptoms: After second dose, I felt okay until the next day at 3:00 pm I started feeling flu-like symptoms; extremely fatigued. I was thirsty. I had a little bit of high blood pressure and high heart rate but medicine kept that in check and it's better now. Arm super sore in the muscle where they injected and up to my armpit. I have a follow up appt on the 12th and my doctor will re-exam me. I still havedifficult time going to sleep and with waking up early. I am still on the new med from the first dose.

Other Meds: Hydrochlorothiazide 12 mg; locartin 100 mg; Vit D; Metrozal

Current Illness: broken foot; Moderna adverse reaction dose 1 COVID vaccine;

ID: 1014452
Sex: F
Age: 74
State: CA

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

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

Lab Data:

Allergies: Aged cheese-red wine combo, Hydrocortisone, PABA, MSG (hydrolyzed proteins), fava beans, ethanol & strong chemical smells, laundry/cleaning products' perfumed additives.

Symptom List:

Symptoms: 1) on eve of vaccine 1/21/21 I had a slight headache, stuffed nose, stiff neck, malaise, slight stomach upset. Drank plenty of water. 2) next day 1/22/21 I had a feeling of being poisoned or having undergone chemo therapy (which it was). Overall poor body feeling/ malaise. Had a 1st of 5 scintillating scotomas at 9:45 a.m. For 4 days following the vaccine, I had 5 scintillating scotoma/ocular events lasting 22 minutes each on 1/22, 1/24, 1/26 & 1/27. On 1/24/21 at 1 p.m., I had an optica/visual kaliedoscopic focus (dysfunctional vision) lasting for approx. 30 seconds followed by a scintillating scotoma at 4 p.m. TOO MANY UNUSUAL SCARY OCULAR EVENTS!

Other Meds: No prescriptions. Multi vitamins, Vit e, pycnogenol, phosphatydl serine, MSM, Cholest Factors, glucosamine chondroitin, calcium-magnesium, Omega 3s.

Current Illness: No

ID: 1014453
Sex: M
Age: 67
State: CA

Vax Date: 01/31/2021
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: None

Symptom List:

Symptoms: I woke up feeling head ache with pain in my throat and upper section of my chest while breathing. My blood pressure and pulse was unusually high. I went to Hospital . I was checked for Covid, Chest x-ray and blood test. Covid test results were negative, and X-ray results was normal with no problem. All blood test results (including those for heart) were normal. EKG test result was normal. They ruled out any problem with my heart, but could not say for sure that it was not a reaction to Covid Vaccine . However they said it might be a sever allergy. (However I do slight allergy once a while with some congestion, but I have never had this sort of pain in my trout and upper part of chest). I was dismissed after 3 hours, and was advised to get in contact with my Primary physician within 3 days

Other Meds: Vitamin D, Zinc, Daily Multi Vitamins, Raw Probiotics, Curcumin, Querecetin, Mushrooms Capsoes

Current Illness: None

ID: 1014454
Sex: F
Age: 0
State: OR

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:

Symptom List:

Symptoms: expired vaccine

Other Meds:

Current Illness:

ID: 1014455
Sex: M
Age: 38
State: TX

Vax Date: 02/02/2021
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: None

Symptom List:

Symptoms: Day 6 Petechia rash in left hand, arm , and wrist

Other Meds: Xanax and Metoprolol

Current Illness: None

ID: 1014456
Sex: F
Age: 80
State: KY

Vax Date: 02/05/2021
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: NKA

Symptom List:

Symptoms: 1st Vaccine 1/15/2021; 2nd Vaccine 2/5/2021; seen in ED 2/8/2021 for fever, chills, and left arm pain onset x 2 days.

Other Meds:

Current Illness:

ID: 1014457
Sex: F
Age: 24
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: Amoxicillin All nuts Gluten sensitive

Symptom List:

Symptoms: Client stated her lips were beginning to tingle shortly after receiving the 2nd covid-19 vaccine. Approximately 5 minutes later client felt the right side of her mouth was feeling swollen. Denied itching of throat, throat tightening or difficulty breathing. Client escorted to urgent care area of clinic for assessment/treatment. BP 131/91 LA, P 103, RR 16, O2sat 98%. Client given Benadryl 25 mg po and kept in UC for observation. Client felt better and was released by provider 30-45 minutes later.

Other Meds: Lefulnomide Humira Duloxetine Celebrex Baclifen PRN Sumatriptan PRN Epi-pen PRN

Current Illness:

ID: 1014458
Sex: F
Age: 75
State: AZ

Vax Date: 02/03/2021
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: Sulfa drugs

Symptom List:

Symptoms: Very tired & intense joint pain all night. Next day, chills & flu like symptoms (a very upset stomach) After 48 hours, side effects disappeared completely.

Other Meds: Levothyroxine.05MG; Premarin.3MG; Sertraline.100MG;Multi Vitamins

Current Illness: None

ID: 1014459
Sex: F
Age: 37
State: WA

Vax Date: 12/31/2020
Onset Date: 01/01/2021
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:

Symptoms: The next day of vaccine I got a rash it started on my arm then it progress to my body except my face, palm of my hands & bottom of my feet. 7 days later I got ptosis on my left eye. I went to the doctor on 1/3/2021, 1/8/2021 & 1/25/2021. The doctor got me on medication 50mg of Benadryl every 4hrs 25 mg of atarax every 8hrs , added topical cream. peterson oral & pepcid twice a day. Everything went away after 30 days.

Other Meds: Multi Vitamins V12 grape fruit seed extract 2.5mg amlodipine Zyrtec daily

Current Illness: bacterial vaginosis

ID: 1014460
Sex: F
Age: 56
State: CO

Vax Date: 01/27/2021
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:

Symptoms: I have a all over body rash that itches and is uncomfortable.

Other Meds: Spironolactone 50 mg, armour thyroid 30 mg

Current Illness: None

ID: 1014461
Sex: F
Age: 21
State: AZ

Vax Date: 01/13/2021
Onset Date: 01/14/2021
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:

Symptoms: 1/14/21 complaining of chest heaviness and sharp pain to left side of chest. Lasts for hours at a time off and on. Nothing helps or makes the pain/heaviness worse. I referred patient to urgent care/ER. I followed-up 1/19/21 and she called the hospital and they told her it is a new vaccine and no meds needed. She was to go into ER if it got worse. She reported the pain/chest heaviness went away by next day 1/15/21.

Other Meds: none

Current Illness: none

ID: 1014462
Sex: F
Age: 30
State: OR

Vax Date: 02/06/2021
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:

Symptoms: She received 2nd COVID vaccine and experienced side effects that evening. She complains of "pins and needles in elbows and knees" and body aches, nausea, headache, fever, localized swelling and erythema around injection site to elbow.

Other Meds:

Current Illness:

ID: 1014463
Sex: F
Age: 31
State: CA

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:

Symptom List:

Symptoms: Saturday Fever of 100.4 Body aches Severe headache Fatigue Arm pain and swelling.

Other Meds:

Current Illness:

ID: 1014464
Sex: F
Age: 89
State: FL

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: Injection given for CatScan.

Symptom List:

Symptoms: Severe muscle pain started at 4:00 a.m. on Saturday, 02/06/2021 and continued through Sunday, 02/07/2021. No fever, just pain throughout entire body. Eased considerably by morning of Monday, 02/08/2021. No medical help sought; simply slept a lot through it.

Other Meds: Clopidogrel, Metoprolol, Hydrochlorothiazide, Ramipril, Latanoprost. Aspirin, biotin, vitamin D, PreserVision.

Current Illness: None.

ID: 1014465
Sex: M
Age: 79
State: FL

Vax Date: 01/30/2021
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:

Symptoms: STOMACH CRAMPS LOWER BACK AROUND KIDNEY AREA ( NO KIDNEY MALFUNCTION) DIFFICULT TAKING A FULL BREATH FEELS LIKE A BALL BAT TO MY CHEST PAIN STARTED ON 02-05-2021. TODAYS DATE IS 02-08-2021. BLOOD PRESSURE IS 124/68 HEART RATE IS 51. OXEG IS 99.1 RIDE MY ROAD BIKE 30 MILES EVERY OTHER DAY.

Other Meds: ATENOL/CHLORTHAL TAB 100/25 ONE TAB PER DAY GABAPENTIN 400MG CAP ONE CAP FOUR TIMES DAILY

Current Illness: NONE

ID: 1014466
Sex: F
Age: 25
State: CA

Vax Date: 02/02/2021
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: NKA

Symptom List:

Symptoms: PATIENT COMPLAINED OF HEADACHE AND DIZZINES. PATIENT WAS ADVISED TO REST AND EAT SOMETHING BY HER DOCTOR'S OFFICE. PATIENT WAS FINE ON 02/5/21.NO FURTHER TREATMENT WAS RECOMMENDED.

Other Meds: XYZAL

Current Illness: NONE

ID: 1014467
Sex: F
Age: 69
State: VA

Vax Date: 02/05/2021
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: Morphine, Flurosiene dye for eyes,

Symptom List:

Symptoms: Tingling in left hand at on set of injection in Left arm, Redness on abdomen, generalized itching from scalp to ankle. crawling sensation under the skin, 3 hrs - after injection, itching from Feb 5 until Feb 8th(Present time) Treatment- Benadryl 25mg and anti-itch cream. .Off and on Nausea from Feb 5 until Feb 8 ( present time).Treatment - crackers or food. Severe ear ache Right ear on Feb 7th. Pressure and pulsation. No hx of ear aches. Treatment, Nasal spray, Allergy Medication (Loratadine) Benadryl. Heating pad applied to Right ear

Other Meds: Losartan 50mg. Lipitor 10mg. multi- vitamin, Vitamin C 1000mg , Vitamin D 1000mg, Ocuvite eye vitamin, Lutein 20mg.. Geritol Liquid

Current Illness: None

ID: 1014468
Sex: F
Age: 39
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: None

Symptom List:

Symptoms: 3/6 AM-onset of body aches and headache (improved with Naproxen), fell back asleep. Fatigued later that morning 3/6 Afternoon- body ache and fever (improved with Tylenol) 3/6 Evening- body aches and chills 3/7 AM symptoms resolved

Other Meds: None

Current Illness: None

ID: 1014469
Sex: F
Age: 46
State: OH

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

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

Lab Data:

Allergies: NA

Symptom List:

Symptoms: Abdominal pain at the end of her 15 min monitoring. BP 168/92, HR 83, Pt denies any other symptoms. RN had medic assit. Pt states she recently had a colonoscopy and stated she felt fine to go after being checked at by RN and medic.

Other Meds: NA

Current Illness: NA

ID: 1014470
Sex: M
Age: 29
State: NY

Vax Date: 01/20/2021
Onset Date: 01/31/2021
Rec V Date: 02/08/2021
Hospital: Y

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: No immediate side effects or symptoms following vaccination on January 20. January 31, 2021: large hive at site of injection, approximately 2-inches across and itchy. Followed by red rash, "petechiae" at site of injection. February 1, 2021: petechiae clusters appear on left and right arms, chest, and legs. Unexplained bruises appear on arms and legs. February 3, 2021: primary care doctor sends patient to emergency department. Emergency department runs a complete blood count, finding platelet levels at 23,000. Patient is admitted to Hospital overnight. February 4, 2021: patient begins five-day course of dexamethasone, 40mg/daily. Patient's platelet levels test at 63,000 15 hours after first dose of dexamethasone. February 5, 2021: patient is discharged from hospital. February 8, 2021: patient completes course of dexamethasone.

Other Meds: None

Current Illness: None

ID: 1014471
Sex: F
Age: 43
State: WA

Vax Date: 01/28/2021
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:

Symptoms: Sore arm within hours of vaccine, at night started to get chilled, now a little over 24 ours out I'm getting chilled and achy, arm is still very sore. Just started getting a HA around 11 am.

Other Meds:

Current Illness:

ID: 1014472
Sex: M
Age: 23
State: MN

Vax Date: 01/26/2021
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:

Symptoms: On day 10 post vaccination, patient started to develop hives on hands, elbows, knees and feet. They have recurred each day since (total of 4 days so far). Patient has been taking loratadine each day since appearance and using hydrocortisone cream but has not yet sought any medical visit.

Other Meds: None

Current Illness: None

ID: 1014473
Sex: F
Age: 44
State: WA

Vax Date: 01/31/2021
Onset Date: 01/31/2021
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:

Symptoms: Immediately sore in L arm Tightness/spasm in L neck , spreading to head and hand in few minutes Lightheaded 10 min Extreme hunger 20 min Chills 40 minutes Exhaustion 80 minutes Spasms and deep ache in L gluts then R glut, L foot, l leg, low back, Upper back and left hand for 6 days. Massage and PT adjustment helped minorly. Tylenol only midly helped with headaches and body aches. Headache for 8 days Still have upper back spasm and arm pain I am 5'0" and 98#. My other friends who got this shot with my height/wrifht also got radicular pain doen their arms and legs, numbness etc significantly more than my friends who were larger. Dosage may be the issue

Other Meds: Monolaurin supplement Sam-e

Current Illness: None

ID: 1014474
Sex: F
Age: 78
State: CA

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: unknown

Symptom List:

Symptoms: Around 3:50pm patient had complaint of heart jumping. Heart rate was initially 104, after 30 minutes rest, coached deep breathing, heart rate 90 regular. Patient was persistently uncomfortable and tachycardic and requested EMS evaluation. Responding EMS checked EKG, glucose, BP (etc) and released. Patient seemed to have moderate reaction to vaccine.

Other Meds: unknown

Current Illness: unknown

ID: 1014475
Sex: F
Age: 54
State: TN

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: None documented

Symptom List:

Symptoms: patient had swelling of left eyelid and itching. Administered 50mg IM Bendaryl

Other Meds: None Documented

Current Illness: None documented

ID: 1014476
Sex: M
Age: 65
State: IN

Vax Date: 02/05/2021
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: N/A

Symptom List:

Symptoms: I had Covid last March, and at approximately 8:30pm of the day (Friday) of the vaccine, I became extremely tired, mild heartache, and developed a 101.1 fever, chills, blood oxygen dropped to 88. The next day (Saturday) I could not get out of bed I was so tired, had chills, mild headache, and fever had fallen to 100.4. The following day (Monday) my temperature dropped to normal and my blood oxygen rose to 97, but still feel tired with a mild heartache.

Other Meds: N/A

Current Illness: N/A

ID: 1014477
Sex: F
Age: 70
State: TX

Vax Date: 01/31/2021
Onset Date: 02/07/2021
Rec V Date: 02/08/2021
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Allergies: none

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Symptoms: I had a little soreness after getting the vaccine on Sunday, Jan. 28, and I took an Ibuprofen around 30 minutes later. On Sunday, Feb. 7, my arm started itching and aching a bit. On Monday, my arm was red where I got the shot, and it was feverish and hurting a bit. I took 2 Acetaminophen at 10 am, and it got a little better. It was still hurting and feverish, so I took 2 more Acetaminophen at 4:00pm.

Other Meds: Statin, Estradiol After the vaccine, I took an Ibuprofen

Current Illness: some allergies to cedar, etc.

ID: 1014478
Sex: F
Age: 60
State: IA

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/08/2021
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Allergies: none noted on VAR; upon allergic reaction- pt disclosed had ibuprofen allergy

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Symptoms: Pt had vaccine at about 1pm, did well, went back to work. At 2pm, pt came back to say she was itching all over arms, back hands, scalp. BP 138/62, gave one diphenhydramine 25mg po. At 2:15-- same symptoms, no worsening. At 2:30pm, per pt less itchy; NO n/v; NO thickening feel of tongue/throat; pt will take Allegra at 6pm; will notify Dr/ER if any worsening of symptoms

Other Meds: none

Current Illness: none

ID: 1014479
Sex: F
Age: 60
State: TX

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/08/2021
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Allergies: Penicillin as a child

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Symptoms: I had Covid in August and the symptoms I experienced are the same except for loss of taste and smell. Symptoms: Severe headache, muscle and joint pain was extreme (pain medication had no effect), tired and no energy. Lasted through next day after shot then was fine. I am very concerned about taking the second shot at this point as it is my understanding the second shot will make a person MORE ill.

Other Meds: Bupropion 450 mg, Valsarton 160 mg, Vitamins, Vitamin D, Vitamin C, Vitamin Bs, Iron, PreProbiotic

Current Illness: none

ID: 1014480
Sex: F
Age: 69
State: NY

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/08/2021
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Allergies: most antibiotics, shellfish, morphine, penicillin

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Symptoms: nausea, vomiting, dizziness, palpitations, sweating, weakness, light headness, aches and pains, inability to focus, weakness

Other Meds: Hydromorphone, gabapentin, zorvolox, calcium, ferecon, triamterene, temazepam, zoloft, propanol, hydroxyzine

Current Illness: none

ID: 1014481
Sex: M
Age: 45
State: TX

Vax Date: 02/01/2021
Onset Date: 02/02/2021
Rec V Date: 02/08/2021
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Allergies: NA

Symptom List:

Symptoms: Severe muscle aches, chills, runny nose, headaches, dizziness, and debilitating fatigue for several days

Other Meds: NA

Current Illness: NA

ID: 1014482
Sex: M
Age: 74
State: PA

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
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Symptoms: Severe pain in shoulder joint occurring the day after vaccination. Limited range of motion. Muscle not sore. Persistent pain. No numbness or tingling.

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Current Illness:

ID: 1014483
Sex: F
Age: 45
State: CA

Vax Date: 02/06/2021
Onset Date: 02/07/2021
Rec V Date: 02/08/2021
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Symptoms: Severe headache (migraine), body aches, chills, temp of 101 (highest), joint aches, sensitive skin, fatigue, site hurt worse than first vaccine.

Other Meds:

Current Illness:

ID: 1014484
Sex: F
Age: 50
State: AZ

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/08/2021
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Allergies: None

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Symptoms: Shakes, severe chills, temp 101.4 extreme fatigue and malaise. Headache, body aches, not smell or taste. Tylenol, fluids Motrin, rest shower and than heated blanket set to high to try and get warm

Other Meds: None

Current Illness: COVID positive on 1/1/2021

ID: 1014485
Sex: F
Age: 25
State: CA

Vax Date: 01/15/2021
Onset Date: 02/02/2021
Rec V Date: 02/08/2021
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Allergies: None known

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Symptoms: Red blotches/blistering and slight swelling on 1st and 2nd toe of right foot (looks similar to "Covid toes"). Started as swelling of 2nd toe with some pain on Tuesday, February 2nd. Progressed to red blistering on 1st and 2nd toe, the swelling subsided somewhat by today (February 8th). Slight pain remains through today (Feb. 8th). No prescribed treatment. Took Advil periodically for swelling, tried to keep feet warm.

Other Meds: birth control (NuvaRing)

Current Illness: None known

ID: 1014486
Sex: M
Age: 44
State: WA

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

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Symptoms: Near vasovagal syncope 5 days after 2nd dose. 5 days after my second COVID vaccine, I was outside in snowy, cold weather about a mile from my car. I had stopped moving to rearrange some items. While stopped, I started to feel lightheaded, develop tunnel vision, and feel faint, almost to the point of blacking out. I put my head down and legs up and felt somewhat better. I then attempted to return to my car. I could go 100-200 yards at a stretch, before having to purposefully fall down and elevate my legs. I traveled the mile back to my car like this (slowly). I could not check my pulse because my hands were too cold; my respiration rate was elevated. At the car, I drank fluids and warmed up and began to recover enough to get home.

Other Meds: None

Current Illness: None

ID: 1014487
Sex: F
Age: 75
State: CO

Vax Date: 02/06/2021
Onset Date: 02/07/2021
Rec V Date: 02/08/2021
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Allergies: Leviqiun Macrodantinre

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Symptoms: Big change in taste?my doc said to report

Other Meds: Rosuvitan Tzizanidine Levothyroxine Venlafaxinr Tylenol B-12 3000 D-3 Xarelto

Current Illness:

ID: 1014488
Sex: M
Age: 77
State: NC

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 02/08/2021
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Allergies: Allergic to hoof meat (beef & pork); yellow jackets

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Symptoms: On 1/07/2021 approximately 11:30 am patient started experiencing weakness; by 1:30 p.m. patient couldn't get out of a chair or walk without assistance of cane and person. Patient became increasingly weak and by 4 pm could not walk nor understood how to walk without caregiver telling him. Patient's doctor was called and at 5:30 pm patient was told to go to the hospital. Doctor thought patient could have had a mini stroke. Patient arrived at hospital at approximately 6:30 pm and underwent stroke test, COVID test, blood work; chest xrays and brain scans. All were negative.

Other Meds: Metformin, simvastatin, memantine, gabapentin, tamsulosin, donepezil, glipizide, vit C, vit D, aspirin 325 mg, allegra, melatonin, magnesium, PS100, fish oil

Current Illness:

ID: 1014489
Sex: F
Age: 42
State: OH

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

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Symptoms: At 15 min mark patient complained of feeling dizzy, paramedic present + spoke with patient. BP 132/80, HR 82, SPO2 98 extended monitoring for another 15 min.

Other Meds: NA

Current Illness: NA

ID: 1014490
Sex: F
Age: 33
State: IN

Vax Date: 01/20/2021
Onset Date: 02/03/2021
Rec V Date: 02/08/2021
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Allergies: NKA

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Symptoms: 1st Vaccine 12/30/2020; 2nd vaccine 1/20/2021; Seen at ICC for Generalized body aches, headache, cough, chills, and fever onset x 1 day. Previously COVID positive in July 2020 .

Other Meds:

Current Illness:

ID: 1014491
Sex: F
Age: 36
State: AZ

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

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Symptoms: sinus tachycardia

Other Meds: birth control, claritin, flonase, vitamin D

Current Illness: none

ID: 1014492
Sex: F
Age: 86
State: AR

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 02/08/2021
Hospital: Y

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Allergies: sulfa drug (abdominal pain penicillin (anaphylaxis) doxycycline (abdominal pain) Cipro (hands itching) Myrbetriq (itching) tolterodine (itching) clindamycin (rash) amlodipine (headache, nausea) Fosamax (abdominal pain) Macrobid

Symptom List:

Symptoms: 24 hours post event patient had vomiting and fevers. She was unable to walk to the ambulance and had to carried. Patient was admitted to hopsital and diagnosed with pneumonia on CXR. COVID PCR negative. CT did not show pneumonia and only showed bibasilar atalectasis. Pt's WBC was 37,000 on Day 2 of admission. This resolved with antibiotics. No source was found.

Other Meds: 1) albuterol CFC free 90 mcg/inh inhalation aerosol, 2 puffs q4h prn cough/shortness of breath 2) aspirin 81 mg oral tablet, One by mouth tablet daily 3) BP Cuff 4) Colace 100 mg oral capsule, One tablet PO BID 5) diazepam 2 mg oral tablet,

Current Illness: 1/4/21 - COPD exacerbation and pneumonia. Lady Windemere syndrome.

ID: 1014493
Sex: F
Age: 36
State: MI

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/08/2021
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Symptoms: pt had itchy throat and tingly lips , pt offered Benadryl im and refused. symptom's did not worsen over 30 min observation and pt left clinic for home with no treatment.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 599,999

Page last modified: 03 October 2021 5:28pm