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: 1037127
Sex: M
Age: 35
State: IL

Vax Date: 02/14/2021
Onset Date: 02/14/2021
Rec V Date: 02/17/2021
Hospital:

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

Lab Data:

Allergies: Peanuts, Tree nuts, possibly NSAIDs

Symptom List: Dysphagia, Epiglottitis

Symptoms: About 5 minutes after receiving the vaccine, I got very lightheaded and my heart started pounding. There were a few moments during the first half hour of receiving the shot that I thought I might pass out. When the nurse took my blood pressure it was 184/81, which is not normal for me. It took about an hour for it to get back down to a normal level. Afterwards, I felt very jittery for a while.

Other Meds: None

Current Illness: None

ID: 1037128
Sex: M
Age: 73
State: MT

Vax Date: 02/16/2021
Onset Date: 02/17/2021
Rec V Date: 02/17/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Anxiety, Dyspnoea

Symptoms: soreness at injection site.

Other Meds: Simvastatin Losartan Humalog Insulin low dose aspirin

Current Illness: Type 1 diabetes mellitus with peripheral circulatory complications chronic lymphocytic leukemia of B-cell type not having achieved remission

ID: 1037129
Sex: F
Age: 69
State: CA

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 02/17/2021
Hospital:

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

Lab Data:

Allergies: Sulfur.

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

Symptoms: Acute pain and stiffness in right arm, where 2nd vaccination shot was given. Also tinnitus was observed together with loose bowel movements. Pain treated with Acetaminophen.

Other Meds: L-Thyroxine, Venlafaxine, Atorvastatin, Buspirone.

Current Illness: None

ID: 1037130
Sex: F
Age: 38
State: MA

Vax Date: 02/09/2021
Onset Date: 02/17/2021
Rec V Date: 02/17/2021
Hospital:

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

Lab Data:

Allergies: Penicillins

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: ?Covid arm? large red lesion around the vaccine injection site which is itchy then painful. Tinge long in right side of face.

Other Meds:

Current Illness:

ID: 1037131
Sex: F
Age: 40
State: NY

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 02/17/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

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

Symptoms: That night, 2/11, left arm, neck and head became so sore it woke me up in the middle of the night about 3am on 2/12. The next day, 2/12, full body aches and muscle/joint pains and headache. It felt like all my previous injuries in life came back to haunt me. As the day went on, my head got hot and my feet freezing. Then the fever and chills/sweats began. Fever reached 100.6 degrees. The soreness radiated out from my left arm until my hands and head hurt. Eventually, my teeth/gums, eyes and scalp were hurting. I took both ibuprofen and Aleve but neither helped much. The morning of 2/13, I couldn?t wake up in the morning. I woke up from one vivid bad dream into another into another. Finally was able to wake up. Fever was gone, soreness decreased over the course of the day. But my chest, back and ribs hurt like they had when I was sick with COVID. I developed a runny nose and raspy voice and shortness of breath. Used my inhaler and felt better. Now fully recovered.

Other Meds: Zoloft, Zyrtec, Spironolactone, Buspirone, Aleve

Current Illness: COVID-19

ID: 1037132
Sex: M
Age: 69
State: IL

Vax Date: 02/09/2021
Onset Date: 02/17/2021
Rec V Date: 02/17/2021
Hospital:

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

Lab Data:

Allergies: Azithromyacin

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

Symptoms: Rash at vaccination site

Other Meds: Hydrichlorothiazide 12.5 mg in morning Tamsulosin HCL 0.4 mg at 30 minutes after breakfast Rosuvastatin (generic Crestor) 5 mg in morning Duloxetine Hcl Ec 30 Mg Cap B-12 1000 mcg Vitamin D 1000 mg Ocuvite - (5 mg lutein/1mg zeaxanthin) onc

Current Illness:

ID: 1037133
Sex: M
Age: 37
State: WA

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 02/17/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: pain in shoulder continuing and worsening after vaccination

Other Meds:

Current Illness:

ID: 1037134
Sex: F
Age: 61
State: PA

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/17/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pharyngeal swelling

Symptoms: dizziness, weakness/tired

Other Meds:

Current Illness:

ID: 1037135
Sex: M
Age: 34
State: CA

Vax Date: 02/08/2021
Onset Date: 02/11/2021
Rec V Date: 02/17/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Very itchy welts all over the body

Other Meds: None

Current Illness: None

ID: 1037136
Sex: F
Age: 26
State: NC

Vax Date: 02/13/2021
Onset Date: 02/14/2021
Rec V Date: 02/17/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List: Diarrhoea, Nasal congestion

Symptoms: I experienced a 10/10 migraine, which I have never had before. This began at 6AM, the day following my 2nd dose. I had 3 occurrences of emesis around 8:30AM. I was extremely tired to the point where it was difficult to stay awake for more than 10 minutes. I slept until around 4PM. I finally was able to eat some dinner and went back to sleep around 8PM. I am finally feeling myself again as of today, Wednesday, 4 days following my shot.

Other Meds: Topiramate Lamotrigine

Current Illness: NA

ID: 1037137
Sex: M
Age: 73
State: IN

Vax Date: 02/15/2021
Onset Date: 02/16/2021
Rec V Date: 02/17/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Severe chills Body aches Severe muscle weakness Dizziness Fever 103 F.

Other Meds: 2 Tylenol tablets for fever

Current Illness: None

ID: 1037138
Sex: M
Age: 42
State: PA

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

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

Lab Data:

Allergies:

Symptom List: Rash, Urticaria

Symptoms: dizziness

Other Meds:

Current Illness:

ID: 1037139
Sex: M
Age: 68
State: WI

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

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

Lab Data:

Allergies:

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

Symptoms: Soreness in arm for 24 hours, alleviated by tylenol

Other Meds: Losartan, atorvastatin

Current Illness:

ID: 1037140
Sex: F
Age: 93
State: MI

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 02/17/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: unknown - pt has been given 2 nd dose of moderna vaccine at less than 28 day interval

Other Meds:

Current Illness:

ID: 1037141
Sex: F
Age: 63
State: OR

Vax Date: 02/07/2021
Onset Date: 02/16/2021
Rec V Date: 02/17/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Heart rate decreased, Heart rate increased, Hypertension, Injection site pain, Musculoskeletal chest pain

Symptoms: Swelling and itching after vaccine, a slight headache and then 9 days later the vaccine injection site started itchin again and there is redness with swelling.

Other Meds: none

Current Illness: none

ID: 1037142
Sex: F
Age: 61
State: PA

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

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

Lab Data:

Allergies:

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

Symptoms: diarrhea

Other Meds:

Current Illness:

ID: 1037143
Sex: F
Age: 31
State: ID

Vax Date: 02/14/2021
Onset Date: 02/14/2021
Rec V Date: 02/17/2021
Hospital:

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

Lab Data:

Allergies: Sulfamethoxazole Trimethoprim (skin rash)

Symptom List: SARS-CoV-2 antibody test, SARS-CoV-2 test negative

Symptoms: hives around injection site. Rash on face. Tingly right side of face.

Other Meds: Wellbutrin Zoloft Iron Biotin

Current Illness:

ID: 1037144
Sex: F
Age: 41
State: OR

Vax Date: 02/17/2001
Onset Date: 02/17/2019
Rec V Date: 02/17/2021
Hospital:

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

Lab Data:

Allergies: unknown

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Patient was administered vaccine at 11:00 AM in the left deltoid muscle IM. Patient reported feeling chest tightness, heaviness as if someone was sitting on her chest, pressure on her chest, and found it a little hard to breath at 11:10 am. Patient had a history of congestive heart failure and suffers from anxiety, but wasn't sure if the chest pain was due to her past medical history or the vaccine. At 11:17 am the chest pain remained the same. At 11:30 she was still feeling chest pressure and her right arm was feeling weak. At 11:30 Heart rate was 56, Blood Pressure was 138/72, and respiratory rate was 12. EMS was called at 11:35. Patient was taken to the hospital once EMS arrived.

Other Meds: unknown

Current Illness: unknown

ID: 1037145
Sex: F
Age: 49
State: NV

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

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

Lab Data:

Allergies: Mineral oil

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Localized redness, swelling, and itching at injection site. About 2" or so diameter.

Other Meds: Lecithin, vitamins b, c & d, biotin, krill oil, probiotics, ashwaganda

Current Illness: Mild sinus infection

ID: 1037146
Sex: F
Age: 30
State: PA

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

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

Lab Data:

Allergies:

Symptom List: Blood pressure increased, Chest discomfort, Heart rate increased

Symptoms: headache

Other Meds:

Current Illness:

ID: 1037147
Sex: F
Age: 73
State: NY

Vax Date: 02/07/2021
Onset Date: 02/08/2021
Rec V Date: 02/17/2021
Hospital:

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

Lab Data:

Allergies: Darvon, Penicillin, Sodium Pentathol, Sulfa antibiotics

Symptom List: Injection site erythema, Injection site pruritus, Injection site swelling, Lymph node pain, Lymphadenopathy

Symptoms: fever, headache, nausea, extremely tired, diarrhea

Other Meds: Omeprazole, Meloxicam, Metopolol, Hydroxychloroquin, Atorvastatin, baby aspirin, Venafaxine, Magnesium, Potassium,Xiidra eye drops, Hydroeye.

Current Illness: none

ID: 1037148
Sex: M
Age: 52
State: PA

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 02/17/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Unevaluable event

Symptoms: Metallic taste in mouth, lasted 6-7 days post vaccination

Other Meds: generic multi-vitamin

Current Illness: none

ID: 1037149
Sex: F
Age: 79
State: NY

Vax Date: 02/14/2021
Onset Date: 02/16/2021
Rec V Date: 02/17/2021
Hospital:

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

Lab Data:

Allergies: no

Symptom List: Chills, Dizziness, Injection site pain, Myalgia, Pyrexia

Symptoms: swelling/brusing, postulate at point of needle insertion, bruising all around. No fever, no itching at this time.

Other Meds: no

Current Illness: no

ID: 1037150
Sex: M
Age: 48
State: WA

Vax Date: 02/10/2021
Onset Date: 02/12/2021
Rec V Date: 02/17/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Injection site pain, Pain

Symptoms: Two days after the injection on Wednesday, red spots began to appear on the neck from Friday. From the evening it began to spread to the chest and legs. Saturday got worse, so itching in my neck and chest. The eyes were swollen and the double eyelid disappeared. On Sunday, my eyes were swollen and pus started to form from the red spots. On Monday, I couldn't go to work because my eyes were so swollen, and my skin became dry and itchy.

Other Meds: Metformin 500mg, Atorvastatin 40mg, Glipizide 5mg.

Current Illness: None

ID: 1037151
Sex: F
Age: 51
State: PA

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

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Menorrhagia

Symptoms: joint pain all extremities and headache

Other Meds:

Current Illness:

ID: 1037152
Sex: M
Age: 31
State: NJ

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

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

Lab Data:

Allergies: NKA

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

Symptoms: Symptoms began with fever 102 F, chills, joint aches, and injection site soreness approximately 12 hours after vaccine was received. Symptoms were abated with naproxen and resolved approximately 10 hours after they started.

Other Meds: Omega 3 fish oil (1200 mg EPA + 900 mg DHA) once daily, Vitamin D3 5,000 IU once daily, Emtricitabine/tenofovir disoproxil fumarate 200/300 mg once daily

Current Illness: None

ID: 1037153
Sex: F
Age: 69
State: WI

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

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

Lab Data:

Allergies:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Soreness in arm, took Tylenol

Other Meds: Statin High blood pressure

Current Illness:

ID: 1037154
Sex: F
Age: 43
State: MS

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/17/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Red Swelling Itchy Hard knot Bruising

Other Meds: Metformin lexipro simvistatin losartatin folic acid Vitamin d, b-12, vitamin c, zinc

Current Illness: None

ID: 1037155
Sex: F
Age: 25
State: OR

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 02/17/2021
Hospital:

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

Lab Data:

Allergies: no

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

Symptoms: Arm soreness started after 7 hours of vaccine, headache, fatigue, fever (101F), body ache started around 9 hours after the vaccine and lasted for almost 24 hours. still have some headache, fatigue, temperature down to 99.6F, arm soreness still present.

Other Meds: no

Current Illness: no

ID: 1037156
Sex: F
Age: 58
State: PA

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

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

Lab Data:

Allergies:

Symptom List: Nausea

Symptoms: dizziness

Other Meds:

Current Illness:

ID: 1037157
Sex: M
Age: 55
State: AZ

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

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

Lab Data:

Allergies: N/a

Symptom List: Injection site pain

Symptoms: Red 2? area and itchy. Slight swelling.

Other Meds: Levothyroxin 100 mcg Vit D3 Vit B complex

Current Illness: None

ID: 1037158
Sex: F
Age: 67
State: CA

Vax Date: 02/13/2021
Onset Date: 02/17/2021
Rec V Date: 02/17/2021
Hospital:

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

Lab Data:

Allergies: levaquin

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

Symptoms: 2/17/2021: erythematous skin patch ~3cm inferior to injection site

Other Meds: vitamin C, vitamin D, atenolol

Current Illness: COVID19: 12/27/2020

ID: 1037159
Sex: F
Age: 84
State:

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/17/2021
Hospital: Y

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

Lab Data:

Allergies: NKA

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

Symptoms: Altered mental status; confusion; TIA (transient ischemic attack)

Other Meds:

Current Illness:

ID: 1037160
Sex: F
Age: 70
State: UT

Vax Date: 01/19/2021
Onset Date: 01/22/2021
Rec V Date: 02/17/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Tremor

Symptoms: one episode of tachycardia. HR of 150 lasting 3-4 hours.

Other Meds: none

Current Illness: none

ID: 1037161
Sex: F
Age: 47
State: WI

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/17/2021
Hospital:

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

Lab Data:

Allergies: nka

Symptom List: Erythema, Pruritus

Symptoms: That night my arm was very painful. The following day it was very red around the area but didn?t bother me. The pain from the vaccine lasted a few days. About a week after the vaccine my arm began become super itchy, was red, swollen (raised, felt hard to the touch), very warm to the touch. I put hydrocortisone on it and took benedryl.

Other Meds: Synthroid, citalopram and atorvastatin.

Current Illness: None

ID: 1037162
Sex: F
Age: 53
State: GA

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/17/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List: Injection site erythema, Injection site induration, Injection site pruritus, Injection site swelling, Myalgia

Symptoms: Six hours after receiving the vaccination I went to bed. Each time I would be right on the verge of falling asleep, one of my arms, legs, shoulder or head would suddenly jerk and wake me up. This went on all night. I have NEVER had this happen before. I was awakened several times by the jerking motions which literally raised my arms off the bed at times and caused my head to suddenly and uncontrollably turn up to 45 degrees. The next morning I had no problems with it as long as I was awake. However, I have had them every night after going to bed. They never occur until I am on the realm of falling asleep when my muscles are completely relaxed. Although I have had them every night since the day of the vaccination, they have not been strong enough to keep me awake.

Other Meds: Predisone 5mg qd, Calcium 600mg qd

Current Illness: Glomerulonephritis

ID: 1037163
Sex: F
Age: 32
State: AZ

Vax Date: 02/14/2021
Onset Date: 02/15/2021
Rec V Date: 02/17/2021
Hospital:

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

Lab Data:

Allergies: latex

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

Symptoms: Pain at the injection site just the first 24hours. Shivering during the first night. Muscle pain especially on the shoulders the first night. Terrible headache for 48 hours, The 2nd day I got 1 pill of ibuprofen (600mg) and it has been decreasing. I feel better now.I still have mild headache, but I'm not taking ibuprofen anymore.

Other Meds:

Current Illness:

ID: 1037164
Sex: F
Age: 75
State: OH

Vax Date: 02/04/2021
Onset Date: 02/12/2021
Rec V Date: 02/17/2021
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Allergies:

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Itchiness in arm, 1-2 inches around injection site, no visible signs on skin, just itchy. Used no medication. Rubbed arm to promote circulation numerous times. Lasted about 3 days.

Other Meds: metformin, cranberry capsule, probiotic, zinc multivitamin

Current Illness:

ID: 1037165
Sex: M
Age: 74
State:

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

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Allergies: Banana, cashew nut

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

Symptoms: Chest pain; weakness; fever

Other Meds:

Current Illness:

ID: 1037166
Sex: M
Age: 33
State: SD

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/17/2021
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Allergies: none

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

Symptoms: b/l feet paresthesias up to mid calf starting within 24 hours of vaccine without history of similar sx. no previous reaction to vaccine. sx are constant and have yet to resolve.

Other Meds: none

Current Illness: none

ID: 1037167
Sex: F
Age: 49
State: WI

Vax Date: 01/26/2021
Onset Date: 02/09/2021
Rec V Date: 02/17/2021
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Allergies: sulfa

Symptom List: Pain in extremity

Symptoms: pain/burning sensation in right shoulder joint, numbness in elbow, and sometimes into forearm and fingers on right hand

Other Meds: iron supplement, vitamin C 500mg, 2 ES tylenol taken prior to vaccine being given

Current Illness:

ID: 1037168
Sex: F
Age: 74
State: FL

Vax Date: 02/05/2021
Onset Date: 02/14/2021
Rec V Date: 02/17/2021
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Allergies: Sulpha

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

Symptoms: Itching , started, 9 days post shot, continues, but milder still on current date 2/17

Other Meds: Omeprazole, Lipitor, levothyroxine, famotidine, digestive enzymes, losartan,

Current Illness:

ID: 1037169
Sex: F
Age: 35
State: IL

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/17/2021
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Allergies: NA

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

Symptoms: Topical rash

Other Meds: Prenatal vitamins

Current Illness: NA

ID: 1037170
Sex: F
Age: 19
State: PA

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/17/2021
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Allergies: Amoxicillin, Metronidazole, squid

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

Symptoms: Onset of uterine cramps about 45 minutes after injection, with a pain level of 4/10. Have continued non stop since injection. Very tightly concentrated cramps at cervix. Pain level ranges from 2/10 to 7/10 every day. Received vaccine 14 days ago and cramps have not gone away. No other reproduction illnesses currently, and uterine cramps are not normally experienced during any other times, or if so range from a 1/10 to 3/10 during menstrual cycle. Skyla IUD has been inside since 8/21/2019. Dark purple bruising at injection site approximately 2inches by 3inch. Bruising is faintly present and still sore to touch as of 2/17/2021

Other Meds: Zyrtec 10mg. Skyla IUD, Flonase nasal spray 2times a day.

Current Illness: None

ID: 1037171
Sex: F
Age: 82
State: MN

Vax Date: 02/16/2021
Onset Date: 02/17/2021
Rec V Date: 02/17/2021
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Allergies: Sulfonamides (Hives)

Symptom List: Vomiting

Symptoms: Increased Temperature and general Malaise

Other Meds:

Current Illness: None known

ID: 1037172
Sex: F
Age: 36
State: WA

Vax Date: 01/18/2021
Onset Date: 01/25/2021
Rec V Date: 02/17/2021
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Allergies: None

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Large, itchy red rash at sight of infection one week later. The same rash appeared 2 days after second dose.

Other Meds: Citalopram Vitamin b12 Vitamin d

Current Illness: None

ID: 1037173
Sex: F
Age: 72
State:

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

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Allergies: ATORVASTATIN; LISINOPRIL; NAPROXEN; NICOTINE

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

Symptoms: Acute on chronic congestive heart failure, unspecified heart failure type; Bilateral pleural effusion; COPD exacerbation; COVID-19 virus not detected; Hypoxia; SOB (shortness of breath)

Other Meds:

Current Illness:

ID: 1037174
Sex: F
Age: 68
State: MN

Vax Date: 02/13/2021
Onset Date: 02/14/2021
Rec V Date: 02/17/2021
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Allergies: Sulfa, lisinopril, phentermine

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Nausea, temperature, arm soreness, joint soreness, sore top of mouth headache for 2 days. Called ER Doctor and she told me to drink liquids, eat crackers and take Pepto Bismol. Finally got better but injection site still hurts and still have roof of mouth pain and slight headache.

Other Meds: Amitrptylin, atorvastation

Current Illness:

ID: 1037175
Sex: F
Age: 73
State: OR

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/17/2021
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Allergies: None

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

Symptoms: High fever began about 8 hours after injection. Delirious weak headache muscle & joint aches. Slept for 24 hours. Fatigue continues but getting better. Headache still be getting better. Arm got very red hot & itchy on day 3.

Other Meds: None

Current Illness: None

ID: 1037176
Sex: F
Age: 71
State: OR

Vax Date: 02/08/2021
Onset Date: 02/14/2021
Rec V Date: 02/17/2021
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Allergies: None

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

Symptoms: Feb. 14 -17 woke up with Laryngitis. No sore throat but no voice. Lasted 3.5 days. At the same time my left arm started feeling ?deeply achy.? Up to that point I had relatively no vaccine site pain. I had forgotten about it. Then the ache started. After a couple more days, my left arm felt like someone had hit me with a baseball bat. I couldn?t lift anything. No swelling. I take Advil to help with pain. I have no elevated temperature. Ache still persistent. Very distracting but just think it?s a delayed muscle reaction.

Other Meds: 20 mg atorvastin

Current Illness: None

Total 2021 VAERS Injuries: 704,237

Page last modified: 26 October 2021 2:21am