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: 1028761
Sex: F
Age: 68
State: WA

Vax Date: 02/05/2021
Onset Date: 02/07/2021
Rec V Date: 02/14/2021
Hospital:

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

Lab Data:

Allergies: penicillin, sulfa, florescein, shellfish

Symptom List:

Symptoms: Red, firm lump at injection site with itching and pain. First presented about 36 hours following injection. Lasted about 3 days, with mild itching forabout 3 days. All symptoms returned on day 7 after injection with larger diameter red, sore and swollen lump. Significant pain at the site and in shoulder and intense itching. Noticed lymph nodes in armpit of the injected arm were sore on days 7 and 8. Feelings of agitation primarily due to itching. Also notice a couple of small raised pustules around injection site. I am currently on day 8 so cannot report on the outcome of this event.

Other Meds: Dr. Vitamin D supplement

Current Illness: none

ID: 1028762
Sex: F
Age: 62
State: NC

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

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

Lab Data:

Allergies: No allergies. I have NEVER had an allergic reaction to any medicine or anything in my life until today.

Symptom List:

Symptoms: After approximately 8 minutes in the "after vaccine" waiting room, my tongue began to feel strange. I notified the staff and an EMT person took me to a private room. My lips, tongue and the back of my throat began to swell. I was given a Benadryl, epinephrine shot, IV solumedrol were given at the vaccination clinic. I was taken to Hospital ER. They gave me IV pepcid and observed me for a few hours until the symptoms decreased. I was discharged from the ER with a prescription for an Epi pen and instructions to use Benadryl. I will call my primary care doctor Monday 2/15/20201.

Other Meds: amolodipine 5 mg every morning; folic acid 1 mg in morning; carafate 1 gm tablet before bedtime, dexilant 30 mg every morning; methotrexate 7.5 mg once a week ; multivitamin

Current Illness: Sinus infection 2 weeks before the vaccine, I took antibiotics.

ID: 1028763
Sex: M
Age: 67
State: CA

Vax Date: 02/05/2021
Onset Date: 02/08/2021
Rec V Date: 02/14/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Cold/ flu symptoms - fever chills aches

Other Meds: Warfarin; aspirin; multi vitamin; losartan; metoprolol; statin; celexa

Current Illness: None

ID: 1028764
Sex: F
Age: 45
State: CA

Vax Date: 02/04/2021
Onset Date: 02/12/2021
Rec V Date: 02/14/2021
Hospital:

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

Lab Data:

Allergies: Cipro

Symptom List:

Symptoms: Red itchy swelling spot on day 8. I had a sore arm after the shot (the worst was at 30 hours).

Other Meds: Vitamin B12, Calcium, Vitamin E, Adrenal Pure, Probiotic, Omega 3

Current Illness:

ID: 1028765
Sex: M
Age: 48
State: OR

Vax Date: 02/06/2021
Onset Date: 02/08/2021
Rec V Date: 02/14/2021
Hospital: Y

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

Lab Data:

Allergies: Ampicillin

Symptom List:

Symptoms: Bilateral PE with right heart strain and pulmonary infarct. COVID negative. Symptoms started 2 days after the vaccine progressively worsened. Diagnosed to day - 02/13/2021. Unknown whether this is an adverse event, but no history of coagulopathy or risk factors

Other Meds: ibuprofen

Current Illness: None

ID: 1028766
Sex: F
Age: 70
State: NY

Vax Date: 01/18/2021
Onset Date: 01/18/2021
Rec V Date: 02/14/2021
Hospital:

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

Lab Data:

Allergies: penicillin

Symptom List:

Symptoms: I first became exhausted 4 hours after the shot and my arm started to hurt. I had headaches, intermittent sweating, deep exhaustion and body aches, occasional sharp shooting pains around my body, and a feeling of heaviness and lassitude. My arm remained sore, and these symptoms lasted for 5 days. I stayed in bed. I also took ibuprofen the next day, for the symptoms, not realizing I was not meant to do that. I was already weary, and dealing with major stress for weeks before the vaccine. And I had been taking max doses of OTC painkillers for an extracted tooth for over two weeks before the shot. The tooth extraction had problems but because of Covid risk my dentist told me to "tough it out." I took 800mg of ibuprofen and 1000 of Tylenol every six hours for over two weeks.

Other Meds: Lyothyronine Klonopin Provigil multi-vitamin

Current Illness: I had a broken tooth extracted and was taking ibuprofen and tylenol from Dec 27th to January 15th. I am also having abnormal thyroid levels, both high and low, and am being tested by my doctor for the cause.

ID: 1028767
Sex: F
Age: 73
State: CA

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/14/2021
Hospital:

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

Lab Data:

Allergies: Ampicillan

Symptom List:

Symptoms: Sensitive skin all over Heat soreness at site Slight light headed ness Muscle aches Sleeplessness

Other Meds: Pepcid magnesium B12 Curcumin Calcium D3 Fish oil / omega 3

Current Illness:

ID: 1028768
Sex: F
Age: 39
State: MS

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/14/2021
Hospital:

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

Lab Data:

Allergies: Coconut, ceftin

Symptom List:

Symptoms: The day after receiving my 2nd shot at 0413am I started experiencing hot flashes. First they were mild and intermittent but as the morning went on the hot flashes intensified and became more constant causing severe nausea and dry heaving.

Other Meds: Tylenol, vitamin c, zinc

Current Illness:

ID: 1028769
Sex: F
Age: 28
State: HI

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/14/2021
Hospital:

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

Lab Data:

Allergies: Shellfish, iodine, cheese

Symptom List:

Symptoms: At 1124 patient close to be released from post-vaccine 30 minute observation area, complained of itchiness to head, back and chest and lightheadedness. No shortness of breath or difficulty breathing, lung sounds clear to all lobes, no hives or rash, complained of some fatigue that is similar to when she has allergic reactions in the past. A&O x3 VS 139/110 P60 R18 Temp 99.3Discussion of use of epinephrine. At 1130 patient reports that itchiness is subsiding. No SOB, no Reports did not eat anything so far today. 1135, itchiness continues to subside. No use of epinephrine. Agreed to stay in observation arear until sypmotoms subside. 1130 VS 122/78 P 78 R18 Lung sounds clear. Decreasing itchiness. 1145 VS BP122 palp P72 R18 Lung sounds clear. Decreasing itchiniess. 1153 Itchiness confined only to low back area. 1215 VS BP120/72 P72, R18, lung sound clear. By 1315 lowback itch resolved. Released.

Other Meds: None

Current Illness: None

ID: 1028770
Sex: F
Age: 34
State: NV

Vax Date: 02/05/2021
Onset Date: 02/13/2021
Rec V Date: 02/14/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Red, itchy 2.5 inch in diameter raised spot on my injection arm. Tender to pressure and skin is hot in that area. Appeared 8 days after injection.

Other Meds: N/a

Current Illness: None

ID: 1028771
Sex: M
Age: 34
State: MO

Vax Date: 02/04/2021
Onset Date: 02/06/2021
Rec V Date: 02/14/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Fever of over 101 degrees migraine lethargy

Other Meds: None

Current Illness: None

ID: 1028772
Sex: M
Age: 68
State: CA

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

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

Lab Data:

Allergies: Sulfa based; Zpac

Symptom List:

Symptoms: Pressure/heaviness on top and back of head. Dizziness, light-headed. Dissipated after 45 minutes. Then developed flu-like symptoms for three days. All symptoms diminished and subsided by 4th day.

Other Meds:

Current Illness:

ID: 1028773
Sex: F
Age: 32
State: CA

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/14/2021
Hospital:

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

Lab Data:

Allergies: no

Symptom List:

Symptoms: large hives around the injection site

Other Meds: no

Current Illness: no

ID: 1028774
Sex: F
Age: 25
State: MD

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/14/2021
Hospital:

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

Lab Data:

Allergies: Sulfa Erythromycin

Symptom List:

Symptoms: Muscle twitches throughout body, especially calves and feet...still experiencing muscle twitches

Other Meds: Vitamin C Vitamin D3

Current Illness: N/A

ID: 1028775
Sex: F
Age: 39
State: CA

Vax Date: 02/05/2021
Onset Date: 02/12/2021
Rec V Date: 02/14/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: "Covid arm" ... swollen, red bump about 2 inches in diameter, which is a bit firm, slightly sore but mostly itchy and warm.

Other Meds:

Current Illness:

ID: 1028776
Sex: F
Age: 38
State: CA

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/14/2021
Hospital:

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

Lab Data:

Allergies: No known allergies

Symptom List:

Symptoms: Severe headache/migraine, nausea starting the morning after the first dose. Treated with Tylenol 500 mg, followed by 400 mg Advil, and Rizatriptan ODT 10 mg, and sleeping. Headache and nausea subsided by 5 pm. Site of injection also has moderate bruising still present as of date of this report.

Other Meds: Adderall XR 20 mg, Zyrtec 10 mg, Ferrous sulfate 325 mg, Super B-complex with vitamin C

Current Illness: Nome

ID: 1028777
Sex: F
Age: 43
State: HI

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

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

Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: Daily headache, fatigue, nausea, lower back pain, feverish. I am feeling worse now than I did a few days after the shot.

Other Meds: Lisinopril

Current Illness:

Date Died: 01/13/2021

ID: 1028778
Sex: M
Age: 46
State: CA

Vax Date: 01/07/2021
Onset Date: 01/10/2021
Rec V Date: 02/14/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: On December 17, 2020, my husband, received his first BioNTech BNT162b2 COVID-19 vaccination. On Thursday January 7, 2021, he received this second COVID-19 vaccination. The following three days after his second vaccination, he felt fine. The fourth day, on Sunday January 10, my husband felt extremely fatigued. On Monday the 11th and Tuesday the 12th, he worked a full shift but complained of extreme fatigue and extreme chills to the point that his teeth were chattering while on the phone with me. He decided to work through it. When he got home on Monday night, he started vomiting. On Wednesday January 13, he woke up and had swollen eyes. Once again, he felt extremely fatigued, even after a full nights rest. He had the day off but had an early meeting. After his meeting, he was still tired so he went back to sleep. I left to get lunch, and drop off our kids, and upon my return, I found him on the walk in closet floor, face up, having passed away. He felt as cold as ice. The rapid test done after they called the paramedics resulted in a negative COVID-19 test for him.

Other Meds: Anxiety and depression medication

Current Illness:

ID: 1028779
Sex: F
Age: 25
State: MI

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 02/14/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Arm soreness began 7PM on 2/11. Vasovagal syncope episode at 2:25AM on 2/12; triggered by combination of arm soreness, body aches, and low-grade fever. Senses returned back to normal within 5-10 minutes. Consistent low-grade fever from 1AM on 2/12 until 6PM on 2/13. Treated with 1000mg liquid acetaminophen every 6 hours per manufacturer instructions. Notable ache in legs (akin to Restless Leg Syndrome) from 3AM on 2/12 until around 9AM on 2/13. Urge to move calmed by acetaminophen. Highest recorded fever: 99.5?F at 9AM on 2/12. Fever subsided as of 6PM on 2/13.

Other Meds: Microgestin Fe 1/20 Tabs Sertraline 100mg

Current Illness: None

ID: 1028780
Sex: F
Age: 34
State: TX

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/14/2021
Hospital:

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

Lab Data:

Allergies: Sulfa drugs

Symptom List:

Symptoms: Extremely sore arm, wrist, hand within an hour of vaccine. 24 hours later - headache, foggy feeling, body aches, back pain, chills, nausea, joint pain. Took 1000mg Tylenol around 1pm and felt better although nausea persisted.

Other Meds: Trokendi XR

Current Illness: Migraine one day prior to vaccination

ID: 1028781
Sex: F
Age: 39
State: IN

Vax Date: 01/01/2021
Onset Date: 01/28/2021
Rec V Date: 02/14/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: I was menstruating at the time of the injection and 2 week later I started my period again. Not a full 28 cycle had passed. Definitely abnormal for me.

Other Meds: Lexapro and an antacid

Current Illness: None

ID: 1028782
Sex: F
Age: 69
State: IL

Vax Date: 01/30/2021
Onset Date: 02/07/2021
Rec V Date: 02/14/2021
Hospital:

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

Lab Data:

Allergies: Latex

Symptom List:

Symptoms: Itchy site of injection from day2 but on day 7 it was a round hard red itchy spot about 3 inches in diameter. Better in about 3 days but still a little red and itchy now

Other Meds: Zinc. Magnesium. Vitamin d

Current Illness: No

ID: 1028783
Sex: F
Age: 24
State: KY

Vax Date: 02/05/2021
Onset Date: 02/09/2021
Rec V Date: 02/14/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Shingles outbreak on my face and in my eye. Flu like symptoms for 2 days after 2nd shot and then tingling/itching on my face day 3. Day 4 small bumps. Day 5 painful rash and swollen face. Day 6 and currently painful rash all over face, eye is swollen shut and shingles are now appearing on back and one blister on stomach. Everything is on the right side.

Other Meds: None

Current Illness: None

ID: 1028784
Sex: F
Age: 71
State: CA

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 02/14/2021
Hospital:

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

Lab Data:

Allergies: Erythromycin, Singulair, codeine

Symptom List:

Symptoms: Extreme fatigue, chills (no fever), muscle and joint aches, nausea, loss of appetite. Began morning after vaccine, continuing two days post-vaccine (current state)

Other Meds: Propranolol, Synthroid, Lamotrigine, spiriva, Advair, Flonase, alprazolam, meloxicam, mirtazapine, triamterene hydrochlorothiaz, prednisone eye drops, omeprazole, Tylenol, multivitamin, cranberry, zinc, calcium, magnesium, fish oil, vitamin

Current Illness:

ID: 1028785
Sex: F
Age: 42
State: CA

Vax Date: 02/05/2021
Onset Date: 02/13/2021
Rec V Date: 02/14/2021
Hospital:

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

Lab Data:

Allergies: Sulfa-hives Shrimp- itchy mouth, rash

Symptom List:

Symptoms: Left arm red, hot, mildly indurated over a week after the vaccine

Other Meds: Fluconazole 3 days prior, and again a week later

Current Illness:

ID: 1028786
Sex: F
Age: 58
State: NY

Vax Date: 02/06/2021
Onset Date: 02/13/2021
Rec V Date: 02/14/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Swelling and itchy where vaccine was administered

Other Meds: Vitamin c, d, and b12

Current Illness: None

ID: 1028787
Sex: F
Age: 45
State: CA

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 02/14/2021
Hospital:

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

Lab Data:

Allergies: Sulfuric antibiotics

Symptom List:

Symptoms: Approximately 7 hours later, nausea began with a headache. Next morning, nausea and headache had intensified. I also experienced an upset stomach, heavy ache all over my body, chills, lack of appetite. I spent the entire day in bed and ate/drank very little the day after the first shot. Symptoms decreased to a 7 on a scale of 1-10 the following day. Felt back to normal after 7 days. I took two days off from work to recover from my symptoms.

Other Meds: Levothyroxine Zyrtec antihistamine Daily multi vitamin Calcium with Vitamin D CoQ10 Airborne Advil 200mg

Current Illness: I began to feel ill starting 12/28/2020. My symptoms were congestion, nausea, headache, upset stomach, aches, chills. Lost sense of taste and smell on 01/02/2021. Completed an E-visit with healthcare provider for COVID-19 testing. Was told to just quarantine and use over the counter medication to relieve symptoms. Taste began to return in 01/08/2021 and smell a few days after.

ID: 1028788
Sex: F
Age: 55
State: CA

Vax Date: 01/04/2021
Onset Date: 01/06/2021
Rec V Date: 02/14/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Frequent skip in heart beat, drop or thump feeling, Premature Ventricular Contraction

Other Meds: Hydrochlorithiazide Zinc Vitamin D Vitamin C

Current Illness: Low Back Pain

ID: 1028789
Sex: M
Age: 36
State: NY

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/14/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: injection site pain, mild fever, body aches, joint pain for 48 hours

Other Meds: none

Current Illness: none

ID: 1028790
Sex: F
Age: 36
State: TX

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 02/14/2021
Hospital:

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

Lab Data:

Allergies: N/a

Symptom List:

Symptoms: Headache started evening of 2/11. Waking up hourly on 2/12 starting at 1:30am. Headache, chills, body aches, fever, loss of appetite, and fatigue throughout 2/12. 2/13 - slow heart rate

Other Meds: Levothyroxine, ocrevus

Current Illness: N/a

ID: 1028791
Sex: F
Age: 25
State: MI

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/14/2021
Hospital:

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

Lab Data:

Allergies: Amoxicillin, prednisone, latex and vycryl sutures

Symptom List:

Symptoms: Had my second covid vaccine 2/12/2021 at 11:55am and woke up 4:30am 2/13/2021 with irregular heart rate, shortness of breath, wheezy, achy, and so weak I could barely move. My Mom is a Nurse Practitioner, checked my pulse and felt an irregular beat, my heart rate was fast 105 beats/min at rest and 142 beats/min with exertion, oxygen was 91% and I had a fever 100.5F orally.

Other Meds: Armor thyroid, lexapro, welbutrin, progesterone bcp, losartan, multivitamin, iron, vit D, vitamin B, fish oil, omeprozol, d chiro insitol,

Current Illness:

ID: 1028792
Sex: F
Age: 74
State: CA

Vax Date: 02/03/2021
Onset Date: 02/12/2021
Rec V Date: 02/14/2021
Hospital:

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

Lab Data:

Allergies: penicillin, sulfa, cephalosporin

Symptom List:

Symptoms: sudden onset of large 2.5 x 5.0 cm red, itchy, slightly tender, indurated rash

Other Meds: zyrtec, singulair, gabapentin, steroid inhaler

Current Illness:

ID: 1028793
Sex: F
Age: 29
State: TX

Vax Date: 01/19/2021
Onset Date: 02/12/2021
Rec V Date: 02/14/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Severe uncomfortable body ach Chills fever vomiting

Other Meds:

Current Illness:

ID: 1028794
Sex: F
Age: 57
State: HI

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/14/2021
Hospital:

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

Lab Data:

Allergies: Latex

Symptom List:

Symptoms: Upon arrival to post vaccination area, reported feeling dizzy and light headed. Stated didn?t eat breakfast this morning. 1023 VS: BP132/90 P71. 1030 VS: 110/70 P72 Reports to feeling better, lightheadedness dissipating. 1054 Patient reports feeling at baseline; VS BP110/68 P74. Released

Other Meds: Enbrel, Cymbalta, Topamax, One-a-day, Calcium, Body Mint

Current Illness: None

ID: 1028795
Sex: F
Age: 49
State: MI

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 02/14/2021
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Allergies: Penicillin

Symptom List:

Symptoms: Fever of 101 started mid day on 2/9/21 with aches and pains all over, especially in bilateral armpits and headache . I took Tylenol and Ibuprofen every 6 hours alternating every 3 hours for coverage. When I woke up Wednesday 2/10/21 morning my left armpit lymph nodes were swollen and very painful. I still had fever and all other aches and pain.. Fever broke around 5pm on Wednesday.

Other Meds: Tylenol and Ibuprofen

Current Illness:

ID: 1028796
Sex: F
Age: 26
State: TX

Vax Date: 02/01/2021
Onset Date: 02/13/2021
Rec V Date: 02/14/2021
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Symptoms: Arm swelling - itchy

Other Meds:

Current Illness: diabetes mellitus type 1

ID: 1028797
Sex: M
Age: 71
State: FL

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/14/2021
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Allergies: Losartan

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Symptoms: I took the vaccine at about 11:00 AM on 2/12/21. On 2/13/21 at about 10:00 PM, I suddenly got major swelling in both sides of my lower jaw and lower cheeks. Both my hands have become itchy. Earlier in the evening on 2/13/21 I had a feeling of air stuck in my upper chest, so I took an Alka-Seltzer, then later an Allertec allergy pill. All of the above is currently happening. I have not yet talked to any medical people, just writing this down as it occurred. It is now 2:00 AM on 2/14/21.

Other Meds: Anoro, Lisinopril, Omeprazole, Tamsulosin, Atorvastatin,

Current Illness:

ID: 1028798
Sex: F
Age: 88
State: CA

Vax Date: 02/02/2021
Onset Date: 02/06/2021
Rec V Date: 02/14/2021
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Allergies: penicillin

Symptom List:

Symptoms: Fist size itchy rash on arm (injection site) that presented approx a week after injection. Has persisted until current. No medical treatment other than topical ointment to suppress itching. May contact doctor just for reporting purposes.

Other Meds: ?

Current Illness: none

ID: 1028799
Sex: M
Age: 47
State: HI

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/14/2021
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Allergies: None

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Symptoms: Shortly after arrival to post vaccination area, patient complained of feeling dizzy with headache. Headache reported 5/10 on 0-10 pain scale VS BP:166/104, p76. 1155 BP 147/100 P76; 1200 Reports dizziness is resolved. 1204 Reports headache still lingering, but is more pressure than pain. 1210 No pain with headache, only slight pressure. Feels good enough to be released.

Other Meds: Losartin, atrovastatin

Current Illness: None

ID: 1028800
Sex: F
Age: 48
State: HI

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/14/2021
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Allergies: Environmental allergies

Symptom List:

Symptoms: At 1428 in post vaccination observation area, patient reports that directly after she was vaccintated, she began to feel hot and like her heart was racing. 1433 Reports feeling better now that there is a breeze. At 1437 Patient reports, "I think I'm just feeling anxious." Continues to explain that she had been thinking about getting vaccinated and how the thought of it was making her nervous. Reports feeling at baseline and is ready to be released.

Other Meds: none

Current Illness: None

ID: 1028801
Sex: F
Age: 27
State: TX

Vax Date: 02/13/2021
Onset Date: 02/13/2021
Rec V Date: 02/14/2021
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Allergies: Latex, strawberries, PCN, Amoxicillin

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Symptoms: Pain at injecting site, painful to move my arm hours later. Server abdominal pain/ cramping

Other Meds: Lithium, Trazodone, Gabapentin

Current Illness: Endometriosis

ID: 1028802
Sex: M
Age: 49
State: HI

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/14/2021
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Allergies: none

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Symptoms: 1008: Upon being seated in the post vaccination area, c/o feeling slightly flushed in the face. No other symptoms. By 1011, reports feeling better, flushed feeling has resolved. Will continue to remain in observation area until 15 minute observaton period is complete.

Other Meds: Meds for high cholesterol and Hypertention, metformin and thyroid meds

Current Illness: None

ID: 1028803
Sex: F
Age: 28
State: AK

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/14/2021
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Allergies: None

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Symptoms: Onset of symptoms upon waking up the following day. Severe body aches, drowsiness/fatigued/tired, vomiting, shivers/chills. Symptoms persisted for about 24-48 hours.

Other Meds: Lamotrigine Atorvastatin Prozac Multivitamin Aspirin

Current Illness: None

ID: 1028804
Sex: F
Age: 58
State: IL

Vax Date: 02/06/2021
Onset Date: 02/13/2021
Rec V Date: 02/14/2021
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Allergies: sulfa drugs

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Symptoms: swollen, itchiy rash developed at injection site one week after shot was given

Other Meds: synthroid, leothyronine, estradial, multi vitamin, vitamin e, vitamin b, fish oil

Current Illness: none

ID: 1028805
Sex: U
Age:
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Rec V Date: 02/14/2021
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Symptoms: Dizziness, shortness of breath, itching of skin face, nose, and throat, rapid heart rate, cough, tightness in chest

Other Meds:

Current Illness:

ID: 1028806
Sex: M
Age: 35
State: GA

Vax Date: 02/13/2021
Onset Date: 02/13/2021
Rec V Date: 02/14/2021
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Allergies: none

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Symptoms: Sore arm at injection site Severe uncontrollable shaking/cold-last 45 minutes after Tylenol was taken This was about 12 hours after the injection

Other Meds: Lexapro Multi vitamin

Current Illness: none

ID: 1028807
Sex: F
Age: 53
State: AL

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 02/14/2021
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Allergies: Allergic to Bactrim Allergic to Tetracycline

Symptom List:

Symptoms: Symptoms started January 21,3021 with Fever, Chills, Bodyaches, Weakness and Exhaustion. Symptoms continued January 22 and I was unable to go to work. Bodyaches , Weakness and Stomach Pain an Nausea occurred for another week . Shoulder and Back Pain with intermittent Headaches and Neck Pain continues currently as of today?s date 2/14/2021

Other Meds: None

Current Illness: None

ID: 1028808
Sex: F
Age: 24
State: MD

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/14/2021
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Allergies: No

Symptom List:

Symptoms: Diarrhea and Cramping : I felt fine on Friday I was doing well. My arm was sore but over the course of Saturday it started to go away. The one thing that I have been clocking is diarrhea. I would have a cramping cramping feeling in my stomach on my left side it would feel like it?s coming from my uterus. I had first thought it was because I was in a sitting position and the 90? angle wasn?t great for my body and so I thought I just had to leave straight because even as I?m talking this right now like I feel a little bit of cramping sitting in a 90? angle. But the diarrhea is still ongoing it?s been waking me up at five almost 6 AM and I woken up at least three times in the middle of the night going into Sunday. I was actually fine during the whole entire day of Saturday because I was able to like be on a long meeting call but after that was done my body just needed to expel things. I did eat a tiny bit while I was in a meeting I ate cake chocolate, A bunch of sweets. Also after I?ve woken up right now at 6 AM I drink some water and the water felt like it was sitting in the top of my stomach and I have to slowly very very slowly go down not in my esophagus in my throat in my stomach like it bloated me and as I was walking around it slowly went away I am trying to drink a lot of water because I?m conscious that I?m having diarrhea. Is the diarrhea an an allergic reaction? Is the diarrhea a reaction to an active ingredient in the vaccine? (polyethylene glycol)

Other Meds: Fluoxetine, Losartan potassium, hydralazine, vitamins

Current Illness: No

ID: 1028809
Sex: M
Age: 75
State: IN

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 02/14/2021
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Allergies: none

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Symptoms: Grew increasingly tired as the day wore on. Took 2-3 naps during the day before going to bed for the night. On second day after the shot, was fine.

Other Meds: atorvastatin, 10mg multi-vitamin for seniors vitamin E, 180mg vitamin C, 500 mg melatonin, 3mg

Current Illness: none

ID: 1028810
Sex: F
Age: 51
State: HI

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/14/2021
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Allergies: Penicillin, gadbutrol, iodine

Symptom List:

Symptoms: Patient reorts feeling "funny" while in post vaccination site. Initial VS at 1030 128/80 P80 R18. Patient denies any shortness of breath or breathing difficulties, no dizziness or lightheadedness. Monitored at length due to patient being hearing impaired and communication was by typing (no ASL interpreter available). By 11am feeling at baseline. Released.

Other Meds: Airborne, tylenol, zyrtec, albuterol inhaler, vitamin C

Current Illness: Asthma, flu-like symptoms

Total 2021 VAERS Injuries: 704,237

Page last modified: 03 October 2021 5:28pm