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: 1019678
Sex: M
Age: 65
State: IN

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
Hospital:

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

Lab Data:

Allergies: Na

Symptom List:

Symptoms: Sore arm Chills

Other Meds: Metoprolol Vit d 3 Vit c Fish oil Vit e Aspirin Vit b Multi vit Bromoline

Current Illness: Na

ID: 1019679
Sex: F
Age: 39
State: OH

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 02/10/2021
Hospital:

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

Lab Data:

Allergies: no known allergies

Symptom List:

Symptoms: Patient received COVID-19 vaccine on 02/02/2021. Patient reports the following adverse reactions @1155 Tingling of lips and bilateral arms. Returned to clinic after leaving and walking down hall and started feeling tingling in arms/ flushing of face and slight tingling in lips. No c/o breathing difficulty or swelling of lips/tongue. No swelling evident. Slight redness of cheeks. No hives noted. BP 143/90. SaO2 99%, Heart rate 98. Seated and given H2O for observation and states tingling of lips and arms has lessened. @ 1210 States still has some tinging of lips, but no increase in s/s. States tingling in bilateral arms in now just in hands 'a little' . Benadryl 50 mg given p.o. per Dr order. 1210: States feels better. No further c/o tingling in lips or fingers. No c/o. Manager sitting with her And is going to walk to unit/office with here. Instructed Benadryl may cause drowsiness and states will have ride home after work .

Other Meds: levothyroxine, Ozempic, NuvaRing, metformin, and Pulmicort

Current Illness: none acknowledged

ID: 1019680
Sex: F
Age: 33
State: DE

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 02/10/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Systemic: Other- numbness and tingling in left arm and fingers of left arm

Other Meds:

Current Illness:

ID: 1019681
Sex: F
Age: 60
State: TX

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/10/2021
Hospital:

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

Lab Data:

Allergies: Codeine, Flexeril

Symptom List:

Symptoms: Last Moderna vaccine taken at about 1015 am Friday, 02/05/21. Later in the day, left upper arm sore, itchy as expected and started breathing faster, tired, laid down in bed about 8pm. About 1030pm, that Friday night 02/05/21 woke up stretching alot, was weak, had major aches, lots of stretching, fever 102.5, headache, shivering, very thirsty, was delirious for a couple hours, no appetite. I took tylenol a couple times during the reaction, started to break the fever early Sunday morning 02/06/21 about 1am. My clothes, sheets and blankets, even my pillow was soaked where my head and neck laid. I was so startled, I thought I peed on myself in bed at first, got up and changed clothes. Then just just laid a big towel on the mattress and got another blanket fell asleep again. About 2 hours later, I woke up shivering, was soaked again. I changed clothes once again and laid on the couch, had a terrible headache but fever went down. Headache was worse than earlier. Suddenly woke up and felt fine breathed better in months even, no fever. Got up, tried to work in the yard the last couple days but was too weak, just laid around, finally ate, found I had a mild fever of 99.9. It's normally like a 96.4. But Tuesday the 02/09 but went back to work 02/09/21 still had mild fever. I feel tons better today 02/10/21. No fever this am 97.1

Other Meds: 50 mg metoprolol evening

Current Illness: None

ID: 1019682
Sex: F
Age: 31
State: NY

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/10/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Pt reported palpitations under left arm no chest pain. O2 sat on room air is 98-99%. 2nd set of vitals; 125/95, p-86, Vital signs unchanged but patient continues to report pain to left axillary area, She was taken to the Emergency room for follow-up.

Other Meds:

Current Illness:

ID: 1019683
Sex: F
Age: 67
State: IL

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 02/10/2021
Hospital:

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

Lab Data:

Allergies: sulfa, shellfish, gluten, contrast dye, trees, grass, cats, pollen, feather, mite

Symptom List:

Symptoms: Days 1, 2 and 3 muscular arm pain, Pain subsided days 4, 5, 6 and 7 mild stiffness and ache which I had prior to the shot so I would call it ack to normal. Day 8 and 9(current) pain kept me up at night, can hardly move my arm. Taking Tylenol.

Other Meds: estrace cream; calcium/magnesium/vit c/ vit d3/vit k/zinc/copper/manganese/isoflavones/boron; Vitamin D3; Omega 3; B complex; Align probiotic; Curcumin; Balance of Nature fruits and vegs, Elderberry with zinc, lactaid

Current Illness: none

ID: 1019684
Sex: F
Age: 23
State:

Vax Date: 01/18/2021
Onset Date: 01/18/2021
Rec V Date: 02/10/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: I experienced extreme muscle and body ache for 2-3 days after both injections. Low-grade fever, fatigue, and injection site pain radiating throughout my entire arm.

Other Meds: N/A

Current Illness: N/A

ID: 1019685
Sex: F
Age: 77
State: FL

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 02/10/2021
Hospital:

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

Lab Data:

Allergies: Zyrtec, baby aspirin, Valsartan, Amlodipine, Rosuvastatin.

Symptom List:

Symptoms: Got the shot on 1/26/21, the next day 1/27/21 her arm was a little red and sore and was nauseous. Then about 8 days later, just over a week she woke up and her arm was red again and more swollen and looked like a black and blue area where the needle went in. There was a red rash around that point. The rash was larger than the palm of her hand. She was tired that day and it did go away after 2-3 days. She took Tylenol one night due to the pain to help sleep. She did not call her doctor. It has now totally resolved as of today, 2/10/21.

Other Meds: Zyrtec, baby aspirin, Valsartan, Amlodipine, Rosuvastatin.

Current Illness: None.

ID: 1019686
Sex: F
Age: 46
State: MA

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
Hospital:

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

Lab Data:

Allergies: n/a

Symptom List:

Symptoms: Arm that received vaccine was more sore the second time than the first. Vaccine was given at 8:45 am and felt very tired about 5:00pm. Only slight aches in upper body at night. Next day, no symptoms other than minimal arm pain at injection site.

Other Meds: Vitamin C, multi-vitamin, Vitamin E, Magnesium Vitamin, Hydrochlorothiazide (water pill 25 mg)

Current Illness: none

ID: 1019687
Sex: F
Age:
State: LA

Vax Date:
Onset Date: 02/03/2021
Rec V Date: 02/10/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: I got the COVID vaccine at 10 am and at 8 pm experienced numbness around injection site, hot flashes, and then pass out.

Other Meds:

Current Illness:

ID: 1019688
Sex: F
Age: 42
State: AZ

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/10/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List:

Symptoms: Extream all over muscle aches, headache, diarrhea, light-headedness

Other Meds: No

Current Illness: No

ID: 1019689
Sex: F
Age: 89
State: TX

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 02/10/2021
Hospital:

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

Lab Data:

Allergies: Flu vaccine (preservatives)

Symptom List:

Symptoms: The minute I stood up after the vaccine around 5 mins post injection leg felt like I was gonna collapse. I tried to walk couldn't make it found a chair. I saw one of my coworkers there helped me get a wheelchair. I immediately went to the ER Oxygen level was fine, BP elevated and exp heart palpitations. That afternoon I was able to go home.

Other Meds: No

Current Illness:

ID: 1019690
Sex: F
Age: 33
State: ID

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/10/2021
Hospital:

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

Lab Data:

Allergies: Unknown

Symptom List:

Symptoms: Patient had prior arm swelling after first Moderna vaccine. She had immediate arm swelling post second Moderna vaccine. Ice was applied to her arm. She was given 25 mg of Benadryl and her vital signs were monitored every 3-5 minutes. She had a slight headache, felt light headed and her hands were cold. Her headache and dizziness improved after 5 minutes. Vital signs monitored for 30 minutes before the patient went to work.

Other Meds: Unknown

Current Illness: Possible sinus infection.

ID: 1019691
Sex: F
Age: 28
State: IL

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/10/2021
Hospital:

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

Lab Data:

Allergies: AMOXICILLIN

Symptom List:

Symptoms: Moderna COVID?19 Vaccine EUA Facial swelling on the left side of my face only, cheek and lip. I've received dermal fillers in these areas almost a year ago.

Other Meds: ACETAMINOPHEN FOR ARM PAIN

Current Illness:

ID: 1019692
Sex: F
Age: 57
State: PA

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/10/2021
Hospital:

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

Lab Data:

Allergies: First generation penicillin, Actifed, all melons.

Symptom List:

Symptoms: Moderna COVID-19 Vaccine EUA Nausea, vomiting, headache and body aches for about four-five hours.

Other Meds: Turmeric, Vitamin D, Motrin, Tylenol, Claritin, baby aspirin

Current Illness: None

ID: 1019693
Sex: F
Age: 44
State: IL

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/10/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Moderna COVID-19 Vaccine EUA Fever and leg aches in the middle of the night. Fever has been as high as 101.3 and as low as 99.9. Taking Advil and Tylenol to treat the fever and aches.

Other Meds: Sertraline, Bupropian, Isibloom

Current Illness: None

ID: 1019694
Sex: M
Age: 60
State: TN

Vax Date: 02/08/2021
Onset Date: 02/10/2021
Rec V Date: 02/10/2021
Hospital:

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

Lab Data:

Allergies: latex

Symptom List:

Symptoms: back pain, Head ache, nausea and vomiting, States Fever but temp normal.

Other Meds:

Current Illness: none

ID: 1019695
Sex: F
Age: 57
State: NY

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 02/10/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: fatigue body aches low ferver chills injection site pain

Other Meds: Tylenol- taken after 12 hours

Current Illness: no

ID: 1019696
Sex: M
Age: 59
State: IL

Vax Date: 01/22/2021
Onset Date: 02/03/2021
Rec V Date: 02/10/2021
Hospital:

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

Lab Data:

Allergies: Azithromycin sensitivity

Symptom List:

Symptoms: 1/22/2021 received 1st dose of MODERNA COVID-19 Vaccine. 2/3/2021 noticed his tongue and lips felt funny. 2/5/2021 Right side of face drooping and no feeling. 2/6/2021 went to prompt care due to right eye dryness. Prompt care transferred him to OSF: ER to rule out stroke. No admission. 2/9/2021 follow up with neurologist, Dr. whom confirmed Bells Palsy. Prescribed prednisolone, eye drops, and physical therapy.

Other Meds: Jardiance, Baclofen, Vitamin D, Vitamin B6, Magnesium, Cont'd

Current Illness: n/a

ID: 1019697
Sex: M
Age: 71
State: IN

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: chills, fever, body aches, no energy, no appetite

Other Meds: Norvasc, Flomax, Lipitor, triglide, Preservision,

Current Illness: blocked colon

ID: 1019698
Sex: F
Age: 69
State: MA

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/10/2021
Hospital:

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

Lab Data:

Allergies: Celexa [Citalopram] Not Specified 3/20/2017 Past Updates... insomnia-Abstracted on 3/20/2017 Effexor [Venlafaxine] Not Specified 3/20/2017 Past Updates... intense headaches-Abstracted on 3/20/2017 Penicillins Prozac [Fluoxetine] Sertraline Sulfamethoxazole Tetanus Toxoid

Symptom List:

Symptoms: heart racing, sore arm

Other Meds: Vitamin D3, Calcium carbonate

Current Illness: N/A

ID: 1019699
Sex: F
Age: 36
State:

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/10/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: After the vaccine, the patient was experiencing numbness in her lips, tingling in the upper body, SOB, tightness in chest, and hot flashes.

Other Meds:

Current Illness:

ID: 1019700
Sex: F
Age:
State: AZ

Vax Date: 01/05/2021
Onset Date: 01/26/2021
Rec V Date: 02/10/2021
Hospital:

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

Lab Data:

Allergies: Normally suffer high inflammation due to dietary food sensitivity

Symptom List:

Symptoms: Next day bad headache, two days later bad GI upset, stomach pain inflammation ; 2nd vaccine Psfizer

Other Meds: Armour 50 mg, Losartan 50mg daily,

Current Illness: HTN, cholesterol , sleep apnea , obese, hypothyroidism , neuropathy, osteoarthritis, food sensitivity inflammation , tinnitus, kidney lesion

ID: 1019701
Sex: F
Age: 29
State: WI

Vax Date: 01/28/2021
Onset Date: 02/05/2021
Rec V Date: 02/10/2021
Hospital:

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

Lab Data:

Allergies: Possible shellfish allergy, seasonal allergies, TB skin test

Symptom List:

Symptoms: Jan 28th - I received the vaccine, normal side effects experienced (chills, fatigue, headache, sore injection site), symptoms resolved within 48 hours Feb 5th - noticed after itching my left arm that my injection site was swollen again, it was about the size of a silver dollar, red and hot Feb 6th - Injection site itself normal but around the site about 3in x 2in an irregular circle of swollen skin and hot to touch (I still have this to the present day)

Other Meds: None

Current Illness: None

ID: 1019702
Sex: F
Age: 37
State: TX

Vax Date: 12/29/2020
Onset Date: 01/06/2021
Rec V Date: 02/10/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: 8 days later left shoulder is red, noticeable swollen, hot and itchy.

Other Meds:

Current Illness:

ID: 1019703
Sex: M
Age: 71
State: AL

Vax Date: 02/01/2021
Onset Date: 02/10/2021
Rec V Date: 02/10/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Felt faint as soon as vaccine administered. Had sensation of heart racing. Blood pressure (systolic) was in 150s. Diastolic unknown by reporter. Heart rate was in 70s. Nurse held patient until systolic number was in 130s.

Other Meds: Eloquis Synthroid Flomax Diltiazem

Current Illness: Hyperthyroidism Pacemaker Thrombosis - thigh - managed Gall bladder removed 12/29/2020 Prostitis

ID: 1019706
Sex: M
Age: 92
State: CA

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/10/2021
Hospital:

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

Lab Data:

Allergies: n/a

Symptom List:

Symptoms: Error: Wrong dose of vaccine - Too high.

Other Meds:

Current Illness:

ID: 1019709
Sex: F
Age: 78
State: MN

Vax Date: 01/11/2021
Onset Date: 01/17/2021
Rec V Date: 02/10/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: swollen lymph nodes in underarm and neck area

Other Meds:

Current Illness:

ID: 1019711
Sex: F
Age: 23
State: MI

Vax Date: 12/29/2020
Onset Date: 01/21/2021
Rec V Date: 02/10/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: Received her first injection with Vaccine Clinic (Moderna) on 12/29/2020. She went to her PCP office where she then received a separate health maintenance vaccine on 01/21/2021. When she presented for her second Moderna dose at Vaccine Clinic on 01/26/2021 they told he it was too soon to get the vaccine and sent her home. When she called to reschedule, they told her that to get the second dose would fall outside the needed 28 day window and scheduled her to "re-start" her series. She then presented to the General Public Vaccine Clinic on 02/04/2021 where she received the first dose of Pfizer vaccine. She did put on her form that it was her first vaccine, but when trying to administer the documentation in the electronic health record there was the warning that this would be a different medication which prompted the investigation. Patient did receive both Moderna and Pfizer doses.

Other Meds: Citalopram

Current Illness: was swabbed for COVID-19 but was negative.

ID: 1019714
Sex: F
Age: 35
State: NY

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 02/10/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: For dose #1 patient reports: arm swelling and inflamed lymph nodes that was incredibly painful. For dose #2 (reason for this report, non standard administration site): patient and her primary care doctor would prefer the second dose be administered in the thigh

Other Meds: not recorded at this visit

Current Illness: In the subject's own words: I have had surgery in the past that is most likely to blame for my debilitating pain.

ID: 1019715
Sex: F
Age: 68
State: OH

Vax Date: 01/01/2021
Onset Date: 01/28/2021
Rec V Date: 02/10/2021
Hospital:

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

Lab Data:

Allergies: Sulfates, latex, thimerosal, milk products

Symptom List:

Symptoms: Wheezing, coughing, body aches, sweating, headache, nausea. PER ITEM 20 Vax was given on 01/28/2021 yet my arm is still throbbing. I already have an issue with arm pain , but it seems the vax exacerbated the pain. Other symptoms have cleared. PER ITEM 21 Because my arm is still hurting weeks later, I don't know if this is considered permanent damage, or if it will clear in time, so I chose NONE OF THE ABOVE.

Other Meds: Oxycodone, Tylenol, medical marijuana, herb lax, probiotic, multivitamin

Current Illness: Allergies, sinus

ID: 1019716
Sex: M
Age:
State: VA

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/10/2021
Hospital:

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

Lab Data:

Allergies: No serious allergies. Mild allergies to mold/dust. Had adverse gastrointestinal reactions to Ibuprofen and Penicillin.

Symptom List:

Symptoms: Temporarily disabling but not life threatening side effects from COVID vaccine (Moderna), including: profound fatigue/lethargy; severe diarrhea, leading to dehydration; severe heart palpitations; moderate injection site pain (severe if touched); moderate neck pain; moderate chills; mild nausea; mild headache; mild fever. Symptoms began approximately 24 hours after receiving the second vaccine, and gradually subsided over the following 24 hours, with only moderate diarrhea, heart palpitations, and fatigue remaining. It was by far the worst reaction I've ever had to a vaccine The only side effects after the first vaccine were moderate fatigue the evening of the vaccine and moderate arm pain.

Other Meds: Zinc, Vitamin D, Vitamin C, Melatonin/L-theanine/5-HTP (sleep aid), sometimes Xyzal, sometimes multivitamins.

Current Illness: None

ID: 1019717
Sex: F
Age: 58
State: NY

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
Hospital:

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

Lab Data:

Allergies: penicillin

Symptom List:

Symptoms: App 20-30 minutes after receiving vaccine pt stated her tongue felt big and heavy- no obvious swelling, speaking clear and in full sentences- tolerating secretions, O sat 95% r/a- no itching or rash observed, although brisk cap refil, pt color has darkish hue- pt states tongue felt as it was getting bigger and bigger- lungs clear and no stridor- alert oriented, 911 to local hospital.

Other Meds: synthroid

Current Illness: unknown

ID: 1019718
Sex: F
Age: 4
State: NY

Vax Date: 12/18/2020
Onset Date: 12/18/2020
Rec V Date: 02/10/2021
Hospital:

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

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Symptoms: product storage error; This spontaneous report was received from a licensed practical nurse regarding a 4 year old female patient. No information was provided regarding medical history, concurrent conditions, or concomitant medications. On 18-DEC-2020, the patient received improperly stored doses of measles, mumps, and rubella (wistar ra 27-3) virus vaccine, live(M-M-R II) lot # S037501, expiration date of 12-NOV-2021, subcutaneous in the left arm , varicella virus vaccine live (oka/merck)(VARIVAX) lot # T017686 with expiration date of 21-MAY-2022, subcutaneous in the left arm for prophylaxis The vaccines experienced temperature excursions with a total of 29.5h. This is one of several reports from the same reporter(US-009507513-2101USA011364).

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Current Illness:

ID: 1019719
Sex: F
Age: 38
State: MI

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 02/10/2021
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Allergies: none

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Symptoms: Injection site was very sore, and was hard to use my arm for two days. Dizziness and fatigue. I had a bad headache for several days

Other Meds: Zyrtec, multivitamin, fish oil

Current Illness: none

ID: 1019720
Sex: F
Age: 59
State: NY

Vax Date: 12/17/2020
Onset Date: 12/18/2020
Rec V Date: 02/10/2021
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Symptoms: nauseous; severe pain; fever; This case was reported by a pharmacist and described the occurrence of nausea in a 59-year-old female patient who received Herpes zoster (Shingrix) for prophylaxis. On 17th December 2020, the patient received the 2nd dose of Shingrix .5 ml. On 18th December 2020, 1 days after receiving Shingrix, the patient experienced nausea, pain and fever. On 18th December 2020, the outcome of the nausea, pain and fever were recovered/resolved. The reporter considered the nausea, pain and fever to be related to Shingrix. Additional details were provided as follows: The patient received Shingrix and had nausea, pain and fever. The reporter consent to follow up.

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Current Illness:

ID: 1019721
Sex: F
Age:
State: CA

Vax Date: 10/01/2020
Onset Date:
Rec V Date: 02/10/2021
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Symptoms: swelling at injection site; rash; This case was reported by a physician and described the occurrence of injection site swelling in a 65-year-old female patient who received Herpes zoster (Shingrix) for prophylaxis. In October 2020, the patient received the 1st dose of Shingrix .5 ml. On an unknown date, less than a month after receiving Shingrix, the patient experienced injection site swelling and rash. On an unknown date, the outcome of the injection site swelling and rash were unknown. It was unknown if the reporter considered the injection site swelling and rash to be related to Shingrix. Additional details were reported as follows: The patient received Shingrix and had rash and swelling at injection site for two days. No sure if the patient should be given second shot of shingrix.

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Current Illness:

ID: 1019722
Sex: F
Age:
State: TX

Vax Date:
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Rec V Date: 02/10/2021
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Symptoms: sick for a day or 2; This case was reported by a consumer and described the occurrence of sickness in a female patient who received Herpes zoster (Shingrix) for prophylaxis. On an unknown date, the patient received Shingrix. On an unknown date, less than 6 months after receiving Shingrix, the patient experienced sickness. On an unknown date, the outcome of the sickness was recovered/resolved. It was unknown if the reporter considered the sickness to be related to Shingrix. Additional details were reported as follows: The age at vaccination was not reported. The reporter stated that his wife had the vaccine about 6 months ago and was sick for a day or 2. He declined to provide HCP information. The reporter did not consent to follow-up. This case had been linked with US2020254973 reported by same reporter.; Sender's Comments: US-GLAXOSMITHKLINE-US2020254973:same reporter

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Current Illness:

ID: 1019723
Sex: F
Age: 23
State: NY

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/10/2021
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Allergies: None to my knowledge

Symptom List:

Symptoms: Headaches/ Nausea and vomitting

Other Meds: Just birth control pills

Current Illness: None

ID: 1019724
Sex: U
Age:
State:

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Rec V Date: 02/10/2021
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Symptoms: flu; Initial information received on 01-Feb-2021 regarding an unsolicited valid non-serious case received from a consumer via social media. This case involves patient (unknown demographics) who experienced flu (influenza), while he/she received vaccine INFLUENZA VACCINE. The patient had no medical history, concomitant disease or risk factor Medical treatment, vaccination, concomitant medication and family history were not provided. On an unknown date, the patient received a dose of suspect INFLUENZA VACCINE produced by unknown manufacturer (lot number and expiry date: not reported) via an unknown route at an unknown administration site for prophylactic vaccination. On an unknown date, the patient developed a non-serious flu (influenza) (unknown latency) following the administration of INFLUENZA VACCINE. It was also reported that got a flu shot once in life and then got the flu. It was unknown if the patient experienced any additional symptoms/events. There were no lab data/results available. It was not reported if the patient received a corrective treatment. At the time of reporting, the outcome of event influenza was reported as unknown. There will be no information available on the batch number for this case.

Other Meds:

Current Illness:

ID: 1019725
Sex: F
Age: 24
State: AZ

Vax Date: 01/24/2021
Onset Date: 01/24/2021
Rec V Date: 02/10/2021
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Allergies: gluten, dairy

Symptom List:

Symptoms: I started to get a headache then became more fatigued throughout the evening. I went to bed around 9 pm and had some chills and mild body aches so I took some Tylenol. I woke up around 12pm with sore muscles and cramps/aches in my back, hips, legs, and neck. I also had a mild fever of 100.7 and was nauseous. I took some Zofran for nausea. I had chills and was flushed and sweating. That next day I felt like I had been hit by a truck, I was very fatigued, had little to no appetite, and had a pounding headache. I slept the entire day 1/25. The following day 1/26 I felt better but still groggy, I slept the majority of the day before heading off to work.

Other Meds: nortriptyline, viorele, centrum womens, Flonase, Zyrtec, breo elipta.

Current Illness: n/a

ID: 1019726
Sex: F
Age: 33
State:

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/10/2021
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Symptoms: After the vaccine, the patient experienced swollen fingers, lips, and feet. The patient also experienced sore joints.

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Current Illness:

ID: 1019727
Sex: F
Age: 71
State: SC

Vax Date: 01/30/2021
Onset Date: 02/08/2021
Rec V Date: 02/10/2021
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Allergies: Penicillin and sulfa drugs

Symptom List:

Symptoms: Rash on arm where vaccine injected and knot in muscle. Slight itchiness in body.

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Current Illness:

ID: 1019728
Sex: M
Age: 83
State: IN

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/10/2021
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Symptoms: For approximately 30 hours I was extremely sleepy. I felt all right otherwise, but I slept about 20 hours in that period of time. I had very little soreness in my arm. After the first shot I had quite a bit of soreness. I feel normal today.

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Current Illness:

ID: 1019729
Sex: F
Age: 45
State: TX

Vax Date: 02/02/2021
Onset Date: 02/04/2021
Rec V Date: 02/10/2021
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Allergies: No

Symptom List:

Symptoms: On 2/4 at 9:00 a.m patient started to feel very heavy. Felt very foggy and arm was very swollen and hot to the touch. B/P was taken and it was elevated and kept going up. Was sent to med clinic and blood pressure was 186/120 and no medication given there and sent to ED. IV started and 4 chewable aspirin and 5 nitro given. EKG was normal. Blood work normal. 50 mg IV Benadryl and IV Toradol given for pain.

Other Meds: Zoloft 150 mg daily; omeprazole 20 mg BID; all natural DIM daily, zinc daily

Current Illness: no

ID: 1019730
Sex: M
Age: 50
State: AZ

Vax Date: 01/22/2021
Onset Date: 02/10/2021
Rec V Date: 02/10/2021
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Allergies: none

Symptom List:

Symptoms: Developed Bell's Palsy (left side). First episode of Bell's palsy

Other Meds: none

Current Illness: none

ID: 1019731
Sex: F
Age: 44
State: TX

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/10/2021
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Allergies: cipro

Symptom List:

Symptoms: Severe edema and pain to arm. Extreme fatigue

Other Meds: Synthroid

Current Illness: none

ID: 1019732
Sex: M
Age: 0
State: IN

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/10/2021
Hospital:

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Symptom List:

Symptoms: severe chills overnight

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Current Illness:

ID: 1019733
Sex: M
Age: 95
State: CA

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/10/2021
Hospital:

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Symptoms: Error: Wrong Dose of Vaccine - Too High

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Current Illness:

ID: 1019734
Sex: F
Age: 77
State: NY

Vax Date: 01/25/2021
Onset Date: 02/03/2021
Rec V Date: 02/10/2021
Hospital:

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Allergies: Prolia, Fosamax, Metformin,Evista

Symptom List:

Symptoms: "covid arm" 10 days after 1st shot noted itchy area under injection site - rash type of aprox 3 inch in diameter - hot to touch but not raised - still continues lightly after a week - no other symptoms noted- checking in with primary Doctor today - 2 nd shot scheduled for Feb 22 2021

Other Meds: Levothyroxin 75mcg daily, Vit d 5000iu daily, Selenium, zinc, Tumeric,, vit b 12 1cc monthly, Calcium 500 mg daily

Current Illness: bone pain in legs

Total 2021 VAERS Injuries: 599,999

Page last modified: 03 October 2021 5:28pm