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: 1016736
Sex: F
Age: 20
State: AR

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 02/09/2021
Hospital:

Vax Type:
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Vax Site:

Lab Data:

Allergies: Hydrocodone, latex adhesive, dairy

Symptom List:

Symptoms: Rash covering face, neck, and chest. Also had tachycardia. Treated with Benadryl and a steroid injection 30-45 after reaction

Other Meds: Sprintec, Omeprazole

Current Illness: n/a

ID: 1016737
Sex: F
Age: 48
State: NY

Vax Date: 02/01/2021
Onset Date: 02/02/2021
Rec V Date: 02/09/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
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Lab Data:

Allergies: advil

Symptom List:

Symptoms: Severe muscle and joint pain began 2/2/21, along with fever, headache and mild nausea. MSK symptoms progressed over the next 24 hours to include intense fatigue and pain chiefly of the larger joints and muscle groups. On 2/4/21 at approx. 1100, I developed severe ballooning chest pain, SOB and pain with breathing. I was clammy and tachycardic. The balloon like pressure subsided and was replaced by a sharp right sternal pain. I was taken to a local ER where major pathologies were ruled out. While there I developed a painful cough as well. I was diagnosed with non specific chest pain and sent home. Since then I have continued to have excursional/ pleuritic type chest pain, intermittent headaches and pain involving the smaller joints and muscle groups, such as wrist/ forearm, scalp and neck. The larger joints and muscle groups remain achy and stiff. I am still experiencing intense fatigue.

Other Meds: venlafaxine, collagen, biotin, turmeric/ginger, sambucol, albuterol

Current Illness: 2 weeks prior, URI (non COVID)

ID: 1016738
Sex: F
Age: 45
State: NY

Vax Date: 02/05/2021
Onset Date: 02/09/2021
Rec V Date: 02/09/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: Aimovig, Medrol

Symptom List:

Symptoms: Red, swelling, severe itchiness, welts below injection site. Approximately 6 inch diameter. Did not occur until 4th day post vaccine.

Other Meds:

Current Illness: Migraines

ID: 1016739
Sex: F
Age: 65
State: WI

Vax Date: 01/30/2021
Onset Date: 02/06/2021
Rec V Date: 02/09/2021
Hospital:

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Lab Data:

Allergies:

Symptom List:

Symptoms: ITCHING AT VACCINATION SITE APPROXIMATELY A WEEK AFTER INJECTION. THEN REDNESS, SWELLING, HOT AND ITCHY, FOR THE NEXT SEVERAL DAYS. SPREADING DOWN AND AROUND ARM ALMOST TO ELBOW. STILL SPREADING.

Other Meds:

Current Illness:

ID: 1016740
Sex: M
Age: 73
State: UT

Vax Date: 01/12/2021
Onset Date: 01/29/2021
Rec V Date: 02/09/2021
Hospital:

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Headache, Elevated Blood Pressure (160/101) Blood pressure has decreased over the past 5 days and is at (140/79)

Other Meds:

Current Illness:

ID: 1016741
Sex: F
Age: 60
State: TX

Vax Date: 01/01/2021
Onset Date: 01/01/2021
Rec V Date: 02/09/2021
Hospital: Y

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

Lab Data:

Allergies: PCN and latex

Symptom List:

Symptoms: Thrombocytopenia. Bone marrow biopsy on 2/1/2021 showed severe peripheral pancytopenia and acellular marrow space, consistent with aplastic anemia. Patient has received dexamethasone, platelets, and PRBC. Unknown outcome patient has been discharged from the hospital.

Other Meds: amlodipine-olmesartan, renal vitamin, bystolic, MVI with minerals, synthroid

Current Illness: multiple sclerosis, CKD due to scleroderma renal crisis and malignant htn, thyroid disease

ID: 1016742
Sex: F
Age: 37
State: WI

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 02/09/2021
Hospital:

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Lab Data:

Allergies:

Symptom List:

Symptoms: Fever, upset stomach and fatigue starting 12 hours after my second dose.

Other Meds:

Current Illness:

ID: 1016743
Sex: F
Age: 42
State: MA

Vax Date: 01/28/2021
Onset Date: 02/06/2021
Rec V Date: 02/09/2021
Hospital:

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Lab Data:

Allergies:

Symptom List:

Symptoms: Diagnosed with COVID arm

Other Meds:

Current Illness:

ID: 1016744
Sex: F
Age: 46
State: GA

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 02/09/2021
Hospital:

Vax Type:
Manufacturer:
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Lab Data:

Allergies: Penicillin, bactrim, vancomycin

Symptom List:

Symptoms: injection site soreness onset 2/6/2021 at 8:30pm lasting until 2/9/2021 10:00am 101.2-102.1 temp -- onset 2/6/2021 at 10:30pm lasting until 2/8/2021 10:00am Severe body aches and chills from 2/6/2021 at 10:30pm lasting until 2/8/2021 10:00am fatigue from 2/6/2021 at 10:30pm lasting until 2/8/2021 7:00pm

Other Meds: none

Current Illness: none

ID: 1016745
Sex: F
Age: 39
State: GA

Vax Date: 01/06/2021
Onset Date: 02/21/2021
Rec V Date: 02/09/2021
Hospital:

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Symptom List:

Symptoms: Received 1st Moderna Vaccine on 1/6/21. On 1/21, started experiencing symptoms of UTI, received meds from GYN. Symptoms subsided until 1/22 when began experiencing significant abdominal pain, which later subsided. On 1/25 pain returned and she went to the ED and was diagnosed with a large kidney stone blocked in the ureter. Ablation was performed on 1./26. Discovered that kidney stones are rare complication of vaccine. no prior of family history of kidney stones.

Other Meds:

Current Illness:

ID: 1016746
Sex: F
Age: 37
State: CA

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/09/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: UNKNOWN

Symptom List:

Symptoms: 2/9/21 0800 Pt called regarding delayed rxn to vaccine moderna. Pt rcv'd moderna 2nd dose on 2/5/21 and developed sx's 2/6/21 around 1700-1800. Pt contacted PCP. PCP stated it was a delayed rxn to vaccine. PCP informed pt to tx with tylenol, ibuprofen, benadryl and cold compress. PCP also informed pt to go to ED for anaphylaxis sx's. Pt reports hx of rxn to previous vaccination. Pt stated 1st vaccination of moderna was not severe. Pt sx's verbally reported following 2nd moderna dose: -swollen lymph nodes in neck and axillary region -streaking on arm of injection -rash on arm of injection -fevers 101-102 -chills -diarrhea -H/A -Muscle pain -ear pain and swelling

Other Meds: UNKNOWN

Current Illness: UNKNOWN

ID: 1016747
Sex: F
Age: 33
State: CO

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/09/2021
Hospital:

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Lab Data:

Allergies: None

Symptom List:

Symptoms: Systemic: Other- Flushing, numbness, labored breathing, slightly elevated BP, anxiety, pt had not eaten all day

Other Meds:

Current Illness:

ID: 1016748
Sex: F
Age: 69
State: WA

Vax Date: 01/25/2021
Onset Date: 02/02/2021
Rec V Date: 02/09/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: N/A

Symptom List:

Symptoms: 8 days after my shot, I woke up with my arm being swollen, red, itchy and sore. I also noticed 3 itchy bumps/welts on upper right thigh (which I attributed to insect bites) but they have gradually increased to both thighs, over the knees, on tops of feet, tops of hands, and on my right wrist.

Other Meds: Paroxetine 10 mg traZODone 50 mg Caltrate 600+D Nature's Bounty- Hair, Skin & Nails

Current Illness: N/A

ID: 1016749
Sex: F
Age: 58
State:

Vax Date: 02/07/2021
Onset Date: 02/08/2021
Rec V Date: 02/09/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: Shellfish, peanuts, tree nuts, chocolate, latex

Symptom List:

Symptoms: Moderna COVID-19 Vaccine EUA, developed diarrhea on 02/08/2021 which is continuing 02/09/2021 with mild nausea

Other Meds:

Current Illness: None

ID: 1016750
Sex: F
Age: 68
State: CA

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/09/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: NONE

Symptom List:

Symptoms: Injection itself did not hurt; however, around 10 PM that night my left arm was very sore and I couldn't lift arm without using right arm. Also experienced short, sharp headaches on right back side of head (Not many) but the left arm was very sore which I did not have on the first injection.

Other Meds: Lisinopril, 5 mg; prevastatin,40 mg; coenzyme Q; Ginseng; Mushroom supplement; Bilberry supplement; vit D,5000iu; Kyolic (garlic supplement) Biotin, 5000mcg; PQQ , 10 mg for Mitochondria supplement

Current Illness: NONE

ID: 1016751
Sex: F
Age: 31
State: TX

Vax Date: 01/29/2021
Onset Date: 02/03/2021
Rec V Date: 02/09/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: None

Symptom List:

Symptoms: Red at the injection site and hot to the touch .. Started spreading down my hard and getting bigger.. My left Lymph Node in arm pit was swollen and tender Mild fever

Other Meds: None

Current Illness: None

ID: 1016752
Sex: F
Age: 79
State: UT

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/09/2021
Hospital:

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Immediate taste sensation and then swelling of tongue w/o any change in breathing, some sense of tongue soreness and hyperemia remains

Other Meds: Aspirin 81, atorvastatin 20, magnesium, calcium carbonate, fish oil, pantoprazole, famotidine, buspirone, glucosamine

Current Illness: PCN, cefaclor, Lortab, cipro

ID: 1016753
Sex: F
Age: 42
State: CT

Vax Date: 01/28/2021
Onset Date: 02/04/2021
Rec V Date: 02/09/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
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Lab Data:

Allergies: none

Symptom List:

Symptoms: 42yo G2P0010 at 3+6 weeks GA by LMP 1/1/2021 with EDD 10/8/2021 on day of Vaccine Dose #2 (1/28/2021), positive urine pregnancy test on 1/30/21. Bleeding began on 2/4/2021, and complete miscarriage occurred on 2/5-2/6.

Other Meds: Prenate DHA

Current Illness: None

ID: 1016754
Sex: F
Age: 26
State: CO

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/09/2021
Hospital:

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

Lab Data:

Allergies: Diclofanac, Methylprednisolone, Prednisone, Shellfish, Nickel, Mobic, Benzodiazepine - Pt did not disclose all information prior to vaccine.

Symptom List:

Symptoms: Pt takes Benadryl every 2 hours via picc line daily. Pt took Benedryl at 5am and again post vaccine at 08:14am via PICC line and done by pt administered as instructed by her immunologist. reviewed with provider 08:24am pt took an additional 25mg via PICC line via pt administration. NO signs of anaphlaytic reaction does have mild shaking of hands. Denies any difficulty breathing. Has been instructed can take up to 100mg. Pt started having angioedema 20minutes post vaccine. Pt has angio edema reaction post vaccine at 20 minute mark 08:45 1st Dose EPI via pt to right thigh 08:49 2nd Dose EPI via pt to left thigh 08:50 140HR, 97% RA 08:53 132HR, 97% RA improved angio edema and decreased HR. Was in no respiratory distress. 08:55 EMS arrival and transported per guerney to ER per pt request. Nurse was present and involved throughout.

Other Meds: Benadryl (IV), Epinephine (Subcutaneous) - pt brought own medication as instructed by her immunologist

Current Illness: Unknown

ID: 1016755
Sex: F
Age: 44
State: CA

Vax Date: 01/25/2021
Onset Date: 02/02/2021
Rec V Date: 02/09/2021
Hospital:

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

Lab Data:

Allergies: penicilin (rash/hives)

Symptom List:

Symptoms: On 1/25, I got the vaccine with what I thought, were no side effects. I did have some soreness on the side of my breast/underarm area, but I put it off as muscle soreness from working out. On 2/2 I noticed a rash on my arm, which wasn't there before. The rash was warm, hurt when touched, and raised. Seeing that made me realize, the soreness in my underarm area wasn't muscle soreness but my lymph nodes, which I read was a side effect. I compared the right and left, and the right lymph nodes were obviously swollen. On 2/3, the rash was still there but within it, was a small spot (nickel's size) that is darker, looked like a bruise. On 2/4, the rash was still there and still warm to...continued on "Continuation Page"

Other Meds: possibly, ibuprofen & acetaminophen,not sure if i took them

Current Illness: N/A

ID: 1016756
Sex: F
Age: 30
State: NY

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/09/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Fevers, chills, malaise, body aches, headache

Other Meds: Trisprintech (birth control)

Current Illness: None

ID: 1016757
Sex: F
Age: 66
State: FL

Vax Date: 02/02/2021
Onset Date: 02/03/2021
Rec V Date: 02/09/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Reports severe headache, not relieved by medication, low grade fever, and arm soreness. Also notes some nausea without vomiting.

Other Meds:

Current Illness:

ID: 1016758
Sex: F
Age: 59
State: GA

Vax Date: 01/26/2021
Onset Date: 02/09/2021
Rec V Date: 02/09/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: At about 9 days past vaccine, I developed a really itchy arm that became inflamed and lasted for just about three days. At 14 days past vaccination, I have developed "Covid Tongue." My tongue is coated with white and scalloped around the edges. I quarantine stringently due to my diabetes and have only been to the grocery store once where I was double-masked. That is my only contact outside of the home. No one comes into our home - it's just my husband and me - and we both quarantine the same. I did an appointment with a doctor who suggested that it is probably a side-effect of the vaccine since I have no other symptoms at all.

Other Meds: Metformin HCL Norethindron Lisinopril Syunthroid Tresiba Novolog Ozempic Vitamin C Evening Primrose Red Yeast Rice Vitamin B Complex Biotin

Current Illness: None

ID: 1016759
Sex: F
Age: 53
State: MT

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 02/09/2021
Hospital:

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

Lab Data:

Allergies: Compazine, Phenergan, latex, morphine, sulfa drugs

Symptom List:

Symptoms: swelling of throat, hives, and long-term continued fatigue, headache, nausea, vomiting, diarrhea These symptoms occurred starting 8 hours after dose one, and resolved. They occurred starting 2 hours after dose two and the fatigue, n/v/d/headache have persisted

Other Meds: Lisinopril,

Current Illness: reaction to first Covid-19 vaccination on 12/23/2020

ID: 1016760
Sex: F
Age: 87
State: FL

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 02/09/2021
Hospital:

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

Lab Data:

Allergies: baclofen, hydrocodone

Symptom List:

Symptoms: She developed chills, headaches and weakness starting the day after vaccination 1/14. Profound weakness. She was unable to get out of bed. She developed hypoxia 86 to 90%. She was sent to the emergency room, she was noted to have a urinary tract infection.

Other Meds: tramadol, Advil, Tylenol, gabapentin, amlodipine, atorvastatin, irbesartan-hydrochlorothiazide, vitamin C and D, multivitamin.

Current Illness: none

ID: 1016761
Sex: F
Age: 79
State: CA

Vax Date: 01/29/2021
Onset Date: 02/06/2021
Rec V Date: 02/09/2021
Hospital:

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

Lab Data:

Allergies: Cipro

Symptom List:

Symptoms: Vaccine shot taken on 1/29/21 in the morning. Normal vaccine shot soreness for 2 days. 2/6/21 at 7:00 itching and redness at injection site. White spot at injection. Swelling and itching increased throughout the following day. Treated with cold compress and Cortisone ointment. No change. Spoke with my physician on 2/8/21 at 1:00 P.M. She suggested Benedryl (sp?) ointment for the itching and said to contact her if there were any further symptoms. The rash and itching are still with me today 2/9/21. I am hoping that from what little information is available that the rash and itching should start to abate within the next day or 2.

Other Meds: 0

Current Illness: 0

ID: 1016762
Sex: F
Age: 37
State: IL

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 02/09/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: I had nightmares every time I fell asleep, even when napping for 5 days straight.

Other Meds:

Current Illness:

ID: 1016763
Sex: F
Age: 67
State: AZ

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 02/09/2021
Hospital:

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

Lab Data:

Allergies: Benadryl

Symptom List:

Symptoms: Woke up with pain in right arm. Arm warm - could not sleep

Other Meds: Metformin, Prednisone 4mg, Diclofinac, Calcium, Multivitamin, Vitamin D

Current Illness:

ID: 1016764
Sex: F
Age: 46
State:

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/09/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Day of vaccination, throat became swollen, chest pain in the evening that resolved. Also severe fatigue and nausea.

Other Meds:

Current Illness:

ID: 1016765
Sex: F
Age: 38
State: UT

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 02/09/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: My daughter had a cold which I caught. I had a runny nose, sore throat tired. I underwent a Covid test 01-13-2021, which was negative. On 01-12-2021, I also got my Tdap vaccine, on my right arm.

Other Meds: Pre-natal vitamins

Current Illness:

ID: 1016766
Sex: F
Age: 38
State: PR

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 02/09/2021
Hospital:

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

Lab Data:

Allergies: no

Symptom List:

Symptoms: Presented with dizziness, body numbness and increased pulse (tachycardia).

Other Meds: no

Current Illness: no

ID: 1016767
Sex: F
Age: 41
State: NY

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 02/09/2021
Hospital:

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

Lab Data:

Allergies: Codeine; latex; penicillin family

Symptom List:

Symptoms: Sore arm - 48 hours (very severe soreness) and redness at the injection site; chills - on and off for 6 hours - no fever; body aches - 24 hours; terrible headache - in the second 48 hours after the shot. When I woke up on Sunday, I was fine. I've still had night sweats - just not as bad as when they first started - which was the last week of January when they began. Other co-workers - nurses - w ho have received the vaccine have complained about the same issue. I haven't had the night sweats the last couple of nights.

Other Meds: Clonapine; Presidone; Selexa; Oxybutin; Tramadol - as needed for migraines; generic allergy medication; ibuprofen

Current Illness: Sinus infections (not COVID)

ID: 1016768
Sex: F
Age: 56
State: PA

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/09/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Tiredness Fatigue chills

Other Meds:

Current Illness:

ID: 1016769
Sex: F
Age: 51
State: OH

Vax Date: 02/02/2021
Onset Date: 02/08/2021
Rec V Date: 02/09/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

Symptom List:

Symptoms: Started last night-Injection site became itchy, very red and has welts. Also warm to touch. Is getting more sore and red as day goes.

Other Meds: Pristiq 100mg

Current Illness:

Date Died: 02/06/2021

ID: 1016770
Sex: M
Age: 73
State: FL

Vax Date: 02/02/2021
Onset Date: 02/06/2021
Rec V Date: 02/09/2021
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Allergies: No known allergies

Symptom List:

Symptoms: Patient received 2nd dose of Pfizer vaccine on 2/2/21 and on 2/6/21 he died in his sleep in the a.m. No other signs or symptoms were observed prior to death.

Other Meds: Dilantin 300mg Aspirin 81mg Atorvastatin 40mg Levothyroxine 100mcg Ferrous Sulfate 325mg Symbicort 160/4.5mcg inhaler Ventolin 90mcg inhaler Calcium 600mg Latanoprost eye drops

Current Illness: None

ID: 1016771
Sex: M
Age: 42
State:

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/09/2021
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Allergies: Shellfish Morphine Aleve Bee stings Additional medications the client cannot name

Symptom List:

Symptoms: Nurse alerted at 9:15 and client was taken from the observation area for further assessment. Client reported that he felt like "ants were crawling all over his body" and he was itching all over At 9:17 vitals were taken: BP 149/101, Pulse 75, O Sat 97% Client stated that he had no throat or tongue swelling, no difficulty breathing, and no shortness of breath At 9:23 EMT assessed client and vitals were taken : BP 151/98 Pulse 76, O Sat 97% Client exhibited redness around the chest and right arm, a small area of bumps (hives) on his right upper arm only Breathing was assessed: No strider, Breathing sounds clear Client reports that the itching is worse that when it initially began at 9:00. Client experiencing itching in the chest, arms, and the face Client is scratching his beard heavily At 9:28 vitals were assessed : BP 131/92 Pulse 77 O Sat 99% Client continues to report no difficult breathing EMT asked the client if he wanted to go to the hospital. The client stated that he does not want to be transported. EMT begins to talks to the client about self care regarding any further reactions since he has decided to go home and not be transferred. Client mentioned that he keeps benadryl in his car. EMT informs client that at any time he can see medical attention. Client states that Right arm is itching worse and that the itching is less in his chest. The left arm was unaffected. At 9:36 vitals were taken BP 146/96 Pulse 87 O Sat97% At 9:45 Client stated that he feels able to leave and feels less itching Client attempts to call his boss but is unable to reach him and is visibly frustrated. Client also noticed that his watch would not move further up his wrist as it normally does At 9:48 Client states that his hands are shaking and that this means his blood sugar is low. EMT took the clients blood sugar Clients blood sugar was 95. 9:54 Client stated that he would like to be transported to the hospital because his hands are shaking and since his BS is fine he knows that something is wrong and his wrist is bigger because his watch wont slide up and down his arm. Client transported to the hospital

Other Meds: None

Current Illness: None

ID: 1016772
Sex: F
Age: 39
State: NY

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 02/09/2021
Hospital: Y

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Allergies: NKDA

Symptom List:

Symptoms: Patient is a 39-year-old white female with a PMH of depression, anxiety, migraine and chronic sinusitis. She has NKDA. Her medications prior to event included alprazolam 0.25mg Qday, citalopram 20mg, 1 and ? tabs Qday, Topamax 25mg, 3 tabs Qday and Zyrtec 10mg Qday. She was administered her first dose of the Pfizer COVID vaccine on 1/21/21 at 1:30pm. She presented to the hospital on 1/22/21 @ 9:45am with acute onset of right sided weakness (she is a teacher who collapsed in her classroom without LOC) and was found to have a intraparenchymal hematoma (IPH) in the left posterior paramedian frontal lobe measuring up to 2.9 x 1.8 x 3.4cm with surrounding vasogenic edema and mild local mass effect with no underlying mass lesion or vascular malformation on MRI. She stated that she has had intermittent headaches over the last few weeks not similar to her prior migraines, although with no neuro deficits. She was also noted to have a urine tox screen positive for amphetamines. There is a confirmatory test pending. She was discharged to acute rehab on 1/25/21. Patient is still recovering from the adverse event. She did not receive any other vaccines within a month prior to the event.

Other Meds: alprazolam 0.25mg Qday, citalopram 20mg, 1 and ? tabs Qday, Topamax 25mg, 3 tabs Qday and Zyrtec 10mg Qday

Current Illness: Headache

ID: 1016773
Sex: M
Age: 39
State: TX

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 02/09/2021
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Allergies: erythromycin

Symptom List:

Symptoms: Chills and 101 degree fever beginning 10 hours after injection. Treated with Advil. Gone after about 24 hours from start of symptoms. Vomiting 16 hours after injection. One instance, no further nausea Soreness in injected arm, beginning 4 hours after injection. Treated with Advil. Gone after about 48 hours from start of symptoms.

Other Meds: Men's daily multivitamin, Vitamin D, Vitamin B Complex, Deplin, Clomid, Singulair, Zyrtec

Current Illness: None

ID: 1016774
Sex: F
Age: 43
State: IN

Vax Date: 01/31/2021
Onset Date: 02/02/2021
Rec V Date: 02/09/2021
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Allergies: None

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Symptoms: I had a strong immune response to the second dose (fatigue, fever and body aches) for over 48hrs. Within 72 hrs of the second vaccine, I developed tinnitus in both ears.

Other Meds: Synthroid, bupropion, vitamin D

Current Illness: None

ID: 1016775
Sex: F
Age: 60
State: MI

Vax Date: 01/29/2021
Onset Date: 02/09/2021
Rec V Date: 02/09/2021
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Allergies: NONE

Symptom List:

Symptoms: LEFT ARM , WHERE SHOT WAS GIVEN A KNOT ABOUT HALF DOLLAR SIZE, RED, ITCHES & HURTS. ARM WAS GOOD UNTIL 8 DAYS AFTER SHOT.

Other Meds: Simvastatin 40 mg 1 nite Cholesterol Lisinopril - HCTZ 10-12.5 1 a Day Fish Oil 1000 mg 1 morning & 1 nite Multivitamin 50+ 1 morning Aspirin 81 mg 1 nite Folic Acid 800 mcg 1 nite Vitamin D 1000 I.U. 1 morning & 1 nite

Current Illness: NONE

ID: 1016776
Sex: M
Age: 77
State: IN

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 02/09/2021
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Symptoms: Extreme, Debilitating Headache. Unable to get out of bed

Other Meds: None that morning Warfarin Glitizide Tamsulosin Amloztine Losartan Euthyrox Tioglitazone Baby aspirin Vitamin D3

Current Illness: 11/12/20 Covid + Afib Heart Diabetes Type 2 Kidney Problems Stage 3

ID: 1016777
Sex: F
Age: 70
State: PR

Vax Date: 02/01/2021
Onset Date: 02/09/2021
Rec V Date: 02/09/2021
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Allergies: PENICILLIN, CHEMICALS ODORS

Symptom List:

Symptoms: DEVELOPED 7 DAYS AFTER VACCINATION A OVAL RED RASH, WARM, ITCHING AND PAINFUL AT THE RIGT ARM.

Other Meds: ZEBETA10MG,NORVASC5MG,SYNTHROID88, ASA81, PEPCID40MG,CALTRATE

Current Illness: NO

ID: 1016778
Sex: M
Age: 19
State: SC

Vax Date: 02/01/2021
Onset Date: 02/02/2021
Rec V Date: 02/09/2021
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Allergies: codeine

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Symptoms: I received my first vaccine as the Pfizer manufacturer, and did not have any side effects. However, when I received my 2nd shot, I received the Modena manufacturer, and have experienced many concerning side effects. Fever, cold chills, trembling, fatigue, that lasted 2 days after the vaccine was administered. The side effect I am still experiencing is a metallic taste in my mouth, that gets worse when I drink water or other beverages. My hands and fingers turned a rust orange color the day after getting the shot and resolved within 48 hours.

Other Meds: Fluoxetine 40mg Lamotrigine 100mg Amlodipine 10mg Lunesta 3mg

Current Illness: none

ID: 1016779
Sex: F
Age: 62
State: CA

Vax Date: 01/08/2021
Onset Date: 01/31/2021
Rec V Date: 02/09/2021
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Allergies: N/A

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Symptoms: I have been having ringing in my ears that started on 1/31/21. I have had a slight issue with tinnitus but what I am experiencing right now is considerably worse.

Other Meds: Synthroid, Estradiol, Daily multi vitamins, Magnesium

Current Illness:

ID: 1016780
Sex: M
Age: 57
State: NJ

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 02/09/2021
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Allergies: Erythromycin

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Symptoms: Received the 1st dose at around 5pm on 1/21/21 - No immediate reaction. Slight soreness in right arm prior to going to bed that night. Next morning, 1/22/21, whole right shoulder became very tight and rigid. Took one Advil/Tylenol for symptomatic relief. Around 5 pm on 1/22/21, started getting body aches and chills, took an Advil/Tylenol for symptomatic relief. Took another set of Advil/Tylenol prior to going to bed at 11:30 pm on 1/22/21. All well the next day and thereafter.

Other Meds: Bystolic, Vytorin, Baby Aspirin - 1 Tab daily

Current Illness: None

ID: 1016781
Sex: F
Age: 44
State: NY

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 02/09/2021
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Allergies: NKA/NKDA

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Symptoms: Moderate to severe myalgias, arthralgias, & headache (HA) started 1/21/21 ~16hrs after 2nd vaccine dose. (Had mild-mod HA after 1st dose 12/30/20 which resolved after ~10days, with persistent neck/facial flushing & chills that decreased in frequency). Myalgias & arthralgias resolved ~4 - 5 days later, flushing/chills & HA continued, though severity lessened. Attempted return to work Wed 1/27 but severe HA w nausea began while driving. HA continued but decreased to mild ~1/31, and returned to work Wed 2/3 (reg sched is Wed-Fri, 3 x 12.5hrs). Mid morning Thurs 2/4 at work severe HA & nausea returned, had to leave work. Mod-sev HA continues 2/9/21, 20days after vaccine #2, and not cleared to return to work.

Other Meds: Flexeril 5-10mg qhs, Sambucus elderberry 2 gummies daily

Current Illness: N/A

ID: 1016783
Sex: M
Age: 50
State: MO

Vax Date: 02/03/2021
Onset Date: 02/05/2021
Rec V Date: 02/09/2021
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Allergies: None

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Symptoms: Client reports swelling in left armpit, assuming lymph node swelling, on Friday evening (over 48 hours after COVID-19 Vaccine #2 was administered in left deltoid). At time of reporting (2/9/21 at 1100) client reports progression of swelling from left armpit to left side of stomach. Client reports "it looks like [he's] gained about 15 pounds on the left side of my body" from armpit to stomach. Client reports he is having no pain or discomfort, but feels "a noticeable pressure from fluid buildup on left side of body." Client went to see internal medicine physician 2/9/21. Physician was not concerned at current state but instructed client to monitor and call physician if pain occurs or if swelling noticeably worsens. When asked if swelling was worsening each day, client states it is hard to tell due to the shifting of fluid and "maybe settling due to gravity."

Other Meds:

Current Illness:

ID: 1016785
Sex: M
Age: 81
State: NC

Vax Date: 01/29/2021
Onset Date: 02/03/2021
Rec V Date: 02/09/2021
Hospital: Y

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Allergies: no

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Symptoms: profound dizziness, work up for stroke plaque on arm

Other Meds: losartan

Current Illness: none

ID: 1016788
Sex: F
Age: 38
State: VA

Vax Date: 01/27/2021
Onset Date: 02/03/2021
Rec V Date: 02/09/2021
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Allergies: No known allergies

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Symptoms: One week (7 days) after receiving the first dose of the Moderna vaccine, I noticed a hot, itchy hard lump at the injection site. The rash gradually grew over the next 5-6 days. The hard, painful lump lasted about 4 days. It is now 6 days after the rash developed and 13 days after I received the vaccine. The rash is still hot and itchy. The area of the rash is 6.5 inches tall and 3.5 inches wide. I have not received any treatment or take any over the counter medication.

Other Meds: Zoloft, Aurovela FE 1/20 (birth control)

Current Illness: None

ID: 1016793
Sex: F
Age: 93
State: KY

Vax Date: 01/30/2021
Onset Date: 02/01/2021
Rec V Date: 02/09/2021
Hospital: Y

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Allergies: Penicillins

Symptom List:

Symptoms: 1st dose vaccine 1/30/2021; fall of unknown etiology at home on 2/1/21; went to urgent care 2/1/21 for back pain, sent to ED same day for eval; admitted to hospital on 2/1/21 from ED for T12 compression fracture.

Other Meds: Norvasc, aspirin, synthroid, lisinopril

Current Illness:

Total 2021 VAERS Injuries: 704,237

Page last modified: 03 October 2021 5:28pm