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: 0952525
Sex: U
Age: 35
State:

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/07/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Fever Chills Narrative:

Other Meds:

Current Illness:

ID: 0952526
Sex: F
Age: 34
State:

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/07/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Myalgia, Fever, Diarrhea, Tachycardia, chest tightness, SOB, 12/29 After vaccination felt chest tightness, shortness of breath, tingling in her throat, heart racing. She stayed and was monitored for an hour. When she got home she took Benadryl which helped her sleep. She continues to have mild shortness-of-breath today. Her left arm is sore and she has body aches. Her temp is 100.6 today. 12/30 1712: While speaking on the phone with her she is speaking in full sentences without apparent dyspnea. 12/31 had bad night - high fever 101.5 at 0100 overnight last night. This morning feels tired, lethargic, and no appetite. She still has body aches. No fever this morning. 1/4 - employee reports she is doing much better today. She says she had a rough weekend but is much better today. She able to get back to her running usually runs 25 miles/week.

Other Meds:

Current Illness:

ID: 0952527
Sex: M
Age: 41
State:

Vax Date: 12/11/2020
Onset Date: 12/21/2020
Rec V Date: 01/07/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: left cervical lymph node enlargement

Other Meds:

Current Illness:

ID: 0952528
Sex: F
Age:
State:

Vax Date:
Onset Date: 12/23/2020
Rec V Date: 01/07/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Rash Narrative:

Other Meds:

Current Illness:

ID: 0952529
Sex: M
Age: 58
State:

Vax Date: 12/28/2020
Onset Date: 12/29/2020
Rec V Date: 01/07/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Headache, Myalgia & Fever Narrative:

Other Meds:

Current Illness:

ID: 0952537
Sex: M
Age: 32
State:

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/07/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Arthralgia, UrticariaPruritus, NauseaVomiting, stomach cramps Narrative: 12/29 approximately 15 min after vaccination, employee reports onset of "foggy brain", stomach cramps, and widespread itching. He was transferred to the ED. Evaluation revealed no rash and the physical exam was normal. He was treated with 50 mg of benadryl PO and observed in the ED for about 90 minutes and discharged back to work. He was given a prescription for hydroxyzine 25 mg po q 6 hours x 5 days. On 12/30 - he reports his arm is sore and he still feels itchy. Now he has some nausea and his joints hurt. He plans to stay home from work to rest today. He had to leave work early yesterday (works night shift). 12/31 - reports he feels better but still has a headache and feels achy. He hasn't taken the hydroxyzine because his itching is not as intense. 1/4 employee reports his symptoms have improved and has mild achiness, fatigue, and itching which he describes as 1-2 on a scale of 1-10.

Other Meds:

Current Illness:

ID: 0952545
Sex: F
Age: 26
State:

Vax Date: 12/28/2020
Onset Date: 12/30/2020
Rec V Date: 01/07/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Headache Narrative:

Other Meds:

Current Illness:

ID: 0952553
Sex: M
Age: 61
State:

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/07/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Angina Upper lip swelling/tickling and tongue tingling Narrative: 61 year old female with HTN and asthma with multiple allergies to meds and prior angioedema in past. Presented for her first dose of COVID19 vaccine; after the injection she felt her upper lip tingling and tongue. NO SOB, no throat symptoms, no change in voice, no rash, no hives. NO N/V. She did have some chest tightness. Diphenhydramine IV, famotidine IV, and methylprednisolone IV one-time doses given in ED with surveillance. Patient recovered, denied previous sxs, and was discharged from ED with a family member. ED physician note documents patient "will take" following medications at home (however no outpatient prescriptions found): Benadryl 50 mg po Q8H x 5 days, prednisone 40 mg po daily x 4 days, and famotidine 20 mg po BID x 5 days

Other Meds:

Current Illness:

ID: 0952558
Sex: F
Age: 46
State:

Vax Date: 12/23/2020
Onset Date: 12/23/2020
Rec V Date: 01/07/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: SkinRash swelling Narrative:

Other Meds:

Current Illness:

ID: 0952567
Sex: F
Age:
State:

Vax Date:
Onset Date: 12/29/2020
Rec V Date: 01/07/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Headache, Rash, UrticariaPruritus, NauseaVomiting, lethargy Narrative:

Other Meds:

Current Illness:

ID: 0952572
Sex: F
Age: 41
State:

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/07/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Headache, Myalgia, Arthralgia, Fever, NauseaVomiting, body aches, fever, HA, joint pain, nausea, chills, fatigue Narrative:

Other Meds:

Current Illness:

ID: 0952581
Sex: M
Age: 51
State:

Vax Date: 12/16/2020
Onset Date: 12/18/2020
Rec V Date: 01/07/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: CoughWheeze Narrative:

Other Meds:

Current Illness:

ID: 0952590
Sex: F
Age: 55
State:

Vax Date: 12/22/2020
Onset Date: 12/23/2020
Rec V Date: 01/07/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Headache heartburn/dyspepsia; injection site pain and stiffness of the left arm Narrative:

Other Meds:

Current Illness:

ID: 0952598
Sex: M
Age: 23
State:

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/07/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Myalgia, Fever, Chills Narrative:

Other Meds:

Current Illness:

ID: 0952623
Sex: M
Age: 52
State:

Vax Date: 12/28/2020
Onset Date: 12/30/2020
Rec V Date: 01/07/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Myalgia, Fever, freezing head to toe, uncontrollable shaking, 101 degree F temp, sour stomach, body aches, fatigue Narrative: Patient took OTC advil and omeprazole to treat reaction

Other Meds:

Current Illness:

ID: 0952630
Sex: F
Age: 43
State:

Vax Date: 12/28/2020
Onset Date: 12/30/2020
Rec V Date: 01/07/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Dizziness, Headache, Myalgia, Fever, HA, body ache, chills, 101 degree F fever, sore throat, dizziness Narrative:

Other Meds:

Current Illness:

ID: 0952645
Sex: M
Age:
State:

Vax Date:
Onset Date: 12/30/2020
Rec V Date: 01/07/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Fever Narrative:

Other Meds:

Current Illness:

ID: 0952655
Sex: M
Age: 55
State:

Vax Date: 12/28/2020
Onset Date: 12/30/2020
Rec V Date: 01/07/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Headache Narrative:

Other Meds:

Current Illness:

ID: 0952663
Sex: F
Age: 35
State:

Vax Date: 12/28/2020
Onset Date: 12/30/2020
Rec V Date: 01/07/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Headache, Myalgia, Diarrhea & NauseaVomiting Narrative:

Other Meds:

Current Illness:

ID: 0952675
Sex: F
Age: 58
State:

Vax Date: 12/28/2020
Onset Date: 12/29/2020
Rec V Date: 01/07/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Headache, Myalgia, Fever, FATIGUE, CHILLS, ARM PAIN Narrative:

Other Meds:

Current Illness:

ID: 0952681
Sex: M
Age:
State:

Vax Date:
Onset Date: 12/30/2020
Rec V Date: 01/07/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Headache & Myalgia Narrative:

Other Meds:

Current Illness:

ID: 0952688
Sex: F
Age: 37
State:

Vax Date: 12/28/2020
Onset Date: 12/30/2020
Rec V Date: 01/07/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Tingling on right side of face, "zapping" sensation, no drooping, no awkward smile, no abnormality with eye Narrative:

Other Meds:

Current Illness:

ID: 0952696
Sex: F
Age: 23
State:

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/07/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Myalgia & Fever Narrative: Fever to 102

Other Meds:

Current Illness:

ID: 0952703
Sex: F
Age: 57
State:

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/07/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Dizziness & HYPERtension Narrative: DIZZY; BP 166/90 MM HG; 149/84 MM HG; 150/86 MM HG

Other Meds:

Current Illness:

ID: 0952708
Sex: F
Age: 57
State:

Vax Date: 12/23/2020
Onset Date: 12/29/2020
Rec V Date: 01/07/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: ErythemaMultiform, UrticariaPruritus, Injection site pain, heat, ulceration Narrative:

Other Meds:

Current Illness:

ID: 0952714
Sex: F
Age: 42
State:

Vax Date: 12/22/2020
Onset Date: 12/22/2020
Rec V Date: 01/07/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Myalgia REDNESS, SWELLING AROUND INJECTION SITE LASTING 48 HOURS, HARD KNOT, INCREASED REDNESS DURING THAT 48 HRS; REDNESS GONE ABOUT 72 HOURS LATER THEN ITCHING STARTED LASTING TO PRESENT DAY; AREA NOW WITH 6X6 INDURATED, CALORIC, ERYTHEMIC AREA TO RIGHT DELTOID Narrative:

Other Meds:

Current Illness:

ID: 0952725
Sex: F
Age:
State:

Vax Date:
Onset Date: 12/30/2020
Rec V Date: 01/07/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Dizziness & Headache Narrative:

Other Meds:

Current Illness:

ID: 0952726
Sex: F
Age: 41
State:

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/07/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: SkinRash & Rash Narrative: Vaccine on 12/22/2020. That evening at 10:30PM, started w/ itching and rash (erythematous) on chest and abdomen. Resolved with Benadryl 50mg.

Other Meds:

Current Illness:

ID: 0952727
Sex: M
Age: 34
State:

Vax Date: 12/22/2020
Onset Date: 12/23/2020
Rec V Date: 01/07/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Headache shortness of breath, injection site pain Narrative: patient reports shortness of breath resolved with rest; no treatment needed for headache or injection site pain

Other Meds:

Current Illness:

ID: 0952728
Sex: M
Age: 51
State:

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/07/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: left arm pain, right thigh Narrative:

Other Meds:

Current Illness:

ID: 0954165
Sex: U
Age:
State: MD

Vax Date:
Onset Date: 12/23/2020
Rec V Date: 01/07/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Five (6) vials of Moderna COVID vaccine (NDC:80777-0273-99 (5010700) Lot #011J20A) that was supposed to contain (10) doses per vial contained only (9) doses. (Medical Group) received 250, 5ML (10) dose vials in a shipment received 12/22/2020. At onset of vaccinations, the immunizations Clinic noted five of the vials did not contain the appropriate amount of vaccine as stated per the manufacturer. No adverse impact. No mission degradation. PQDR is submitted to address this discrepancy on current and future vaccine shipments.

Other Meds:

Current Illness:

ID: 0927357
Sex: F
Age: 28
State: CA

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/08/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Hives-like appearance on both arms within 10 minutes of administering vaccine. Resolved by itself in 30-40 minutes.

Other Meds: None

Current Illness: None

ID: 0927358
Sex: F
Age: 34
State: CA

Vax Date: 12/01/2020
Onset Date: 12/27/2020
Rec V Date: 01/08/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List:

Symptoms: 45 min later after receiving the vaccine I felt a lump in my throat. No other symptoms of an allergic reaction. Took benadryl with improvement of symptoms. Had intermittent difficulties swallowing seven hours afterwards. Went to the ED and was prescribed prednisone/ pepcid/benadryl. Symptoms improved but next day felt intermittent difficulty swallowing again. Returned to the ED and was given IV solumedrol and, IV pepdcid, IV benadryl.

Other Meds: Synthroid

Current Illness: No

ID: 0927359
Sex: F
Age: 31
State: AR

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/08/2021
Hospital:

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

Lab Data:

Allergies: Azithromycin; brompheniramine-PE-codeine; hydromorphone; metronidazole

Symptom List:

Symptoms: Patient alerted pharmacist to feeling light headed at 12:10pm. Patient was instructed to sit down on the floor. She stated she felt hot and hadn't eaten all day. She was given a few bites of apple sauce and some Dr. Pepper to drink in case of low blood sugar. She was also given 25mg of diphenhydramine in case of an allergic reaction after the vaccine adminstration at 12:15pm. A few minutes later, she began shaking and stated she thought she was having an anxiety attack. At this time, the patient requested we call 911 because that would make her feel better and so we did.

Other Meds: Omeprazole 20mg Escitalopram 20mg Lamotrigine 25mg

Current Illness:

ID: 0927360
Sex: M
Age: 21
State: TX

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/08/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Symptoms started during bedtime and woke me up. Began with severe full body chills and full body muscle shaking and weakness during the night of 1/5 and early morning of 1/6, around 1000 to 0200. Slight headache began during that time as well. Upon waking at 0900 on 1/6, chills and shaking decreased to mild severity, muscles still felt moderately weak and shaky, headache had increased in severity to a severe throbbing pain that worsened upon standing and walking, and moderate visual photosensitivity began. The headache persisted until I took 2 tablets of ibuprofen 200 mg, which is when the severity decreased to moderate after a few hours and then mild by bedtime. The photosensitivity persisted through the day and did not decrease much by bedtime. Upon waking 1/7, there was only a mild headache and mild photosensitivity that faded completely within a few hours, no medication required. No more symptoms in the afternoon.

Other Meds: All topical skin medications for eczema, acne: Hydrocortisone butyrate ointment 0.1% Tacrolimus ointment 0.1% Pimecrolimus cream (Elidel) 1% Clindamycin phosphate and tretinoin gel 1.2%/0.025%

Current Illness: None

ID: 0927361
Sex: F
Age: 61
State: AZ

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/08/2021
Hospital:

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

Lab Data:

Allergies: Ceftin, clindamycin, vancomycin, augmentin, ativan,

Symptom List:

Symptoms: Moderna covid 19 vaccine EAU

Other Meds: Celebrex, estradiol, paxil, abilify, losartan, metformin, norco, morphine, phentermine, klonipin, modafinial, calcium, b complex, stool softener

Current Illness: None

ID: 0927362
Sex: F
Age: 36
State: FL

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/08/2021
Hospital:

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

Lab Data:

Allergies: PCn

Symptom List:

Symptoms: 2 hrs after vaccine felt sweating, clammy. Gas pains and cramps began. Loose stool once. 7 pm arm was sore and throbbing 6 of 10, injection site flushed and warm to the touch 9pm pain worsened to 8of 10. Unable to grab toothbrush with left arm sharp pain 10 of 10. Unable to sleep on left side due to pain and pressure . 6:00 am Thursday pain worse and unable to lift arm above the shoulder. Was unable to drive with left hand. All day today bad gas and abdominal cramps.by the end of the work day I was unable to hold anything in my left hand, body aches started, legs tight and achy. Frontal headache. Took Tylenol extra strength q 6 hrs, nsaid 800mg bid. And aleve, no relief

Other Meds: None

Current Illness: No

ID: 0927363
Sex: F
Age: 26
State: CA

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/08/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Had chills fever and body ache starting 01/07/21 Temperature went as high as 102.0 took ibuprofen and came down 97.9

Other Meds: Insulin

Current Illness: Diabetes

ID: 0927364
Sex: F
Age: 43
State: TX

Vax Date: 12/29/2020
Onset Date: 01/05/2021
Rec V Date: 01/08/2021
Hospital:

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

Lab Data:

Allergies: Sulfa drugs

Symptom List:

Symptoms: On day 7, a red rash appeared just below the injection site and is indurated, hot, and tender. It spread in size within the next day.

Other Meds: Zyrtec, spironolactone, fluticasone, valacyclovir

Current Illness: None

ID: 0927365
Sex: F
Age: 24
State:

Vax Date: 12/28/2020
Onset Date: 01/05/2021
Rec V Date: 01/08/2021
Hospital:

Vax Type:
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Allergies: Minocycline

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Symptoms: Morning 8 days after injection, emergence of rash above injection site and redness and swelling at injection site. Morning 9 days after injection rash became a larger hive and doubled regular Zyrtec dosage. Morning 10 days after injection symptoms gone.

Other Meds: Zyrtec, Sronyx, Zoloft

Current Illness: N/a

ID: 0927366
Sex: M
Age: 81
State: AZ

Vax Date: 01/09/2021
Onset Date: 01/07/1995
Rec V Date: 01/08/2021
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Allergies: Penecillan

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Symptoms: None stated.

Other Meds: Propafanone HeilTabs 300mg x3 Warfarin 5mg x 3 Fenofibrate 160mg Lisinopril 5mg Atorvasatin 40mg Tamsulosin ,4mg

Current Illness:

ID: 0927367
Sex: F
Age: 60
State: MO

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/08/2021
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Allergies: Nickel

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Symptoms: Tire on day one-slept for 18 hours. Day 2: Woke up and was mildly achy, not wanting to do anything and red large swelling in my right deltoid. Very tender. Also, edema starting in my right axilla extending down my lateral chest about 7". Day 3 to 7: Achiness is gone. Edema and swelling continue. Eventually the red swollen area became itchy. The edema under my arm (not a lymph node) was tender when my arm was close to my body. Woke me up during the night frequently. Very hard to sleep.

Other Meds: Naproxen and Benadryl

Current Illness: none

ID: 0927368
Sex: F
Age: 27
State: CT

Vax Date: 12/30/2020
Onset Date: 01/06/2021
Rec V Date: 01/08/2021
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Allergies: none

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Symptoms: Initially had (unconcerning) soreness/pain at the injection site hours 6 through ~60 after the vaccination. Soreness completely resolved after hour 60 then on day 7 post vaccination my arm began to feel tender again. Day 8 post vaccination it is painful at the injection site and the pain is only moderate but somewhat limiting. I have no other sx and did not injure or over-use my muscle. I don?t intend to take any medication for the discomfort. There is no redness/swelling at the site, just pain like there was immediately following the vaccine. I stopped getting VSAFE check ins after my third day of no symptoms which is why i?m completing this form.

Other Meds: pre natal vitamins (been taking since 2017) vitamin D3 (been taking since 2018)

Current Illness: none

ID: 0927369
Sex: F
Age: 45
State: CA

Vax Date: 12/18/2020
Onset Date: 01/02/2021
Rec V Date: 01/08/2021
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Allergies: No

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Symptoms: I got the vaccine on 12/18/20 on my left arm and on 12/28/20, 10 days after I started to have pain on my upper left arm and the next day the pain went to my armpit, back and forth from my upper left arm to my armpit and this went on for at least 5 days. On 01/02/21, 15 days after I notice red bumps on my upper left arm and as days went on red bumps show in my armpit, left back, and chest. The pain went from sharp to burning. On 01/06/21 I got the 2nd dose of the vaccine and I told the injection person about the red bumps. I told him that they look like hives. He spoke with the medical doctor about it and doctor said it was ok for me to get the 2nd dose of the vaccine. They think it was a delayed reaction. They have me monitored for 30 mins after the 2nd dose of the injection before I leave the site. I still have pain and red bumps so I went to see my primary doctor on 01/07/21. The doctor said that I have shingles. I told him that I never had shingles before and he said maybe the vaccine trigger it. He prescribed me some medications for the shingles. I don?t know if the vaccine trigger the shingles or just coincidence but I want to report this maybe someone might have the same experience. Thank you.

Other Meds: Vitamin

Current Illness: No

ID: 0927370
Sex: F
Age: 27
State: IN

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/08/2021
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Symptoms: Arm soreness at injection site began a few hours after injection. About 18 hours after vaccine was given, experienced body aches, and tingling/numbness in arm that had injection and legs. Around this time also felt a little dizzy/light-headed.

Other Meds: Keppra, Minocycline

Current Illness:

ID: 0927371
Sex: F
Age: 50
State: VT

Vax Date: 12/22/2020
Onset Date: 12/23/2020
Rec V Date: 01/08/2021
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Allergies: Shrimp, sulfa drugs, codeine, phenegran, gabapentin, molds, dust.

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Symptoms: Left arm, shoulder and neck swelling and severe pain for 9 days. On day 9, area vaccinated swelling (lump) and draining (weeping).

Other Meds: Melatonin 6mg, D3-2,000iu, omeprazol, Vitamin C 500 mg, aspirin.

Current Illness: Trigeminal Neuralgia, hemicrania continua, obesity, asthma, Crohn's,

ID: 0927372
Sex: M
Age: 79
State: CA

Vax Date: 12/29/2020
Onset Date: 01/04/2021
Rec V Date: 01/08/2021
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Allergies: sesame

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Symptoms: Vertigo, elevated BP

Other Meds: nortriptyline, tamsulosin, advair

Current Illness:

ID: 0927373
Sex: F
Age: 27
State: IN

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/08/2021
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Allergies: Seasonal alergies. Treated well with Zyrtec OTC. Reacted negatively in the past to valium.

Symptom List:

Symptoms: Approximately 24 hours after receiving dose 1 of the Pfizer vaccine, I began having chills and vomited. My fatigue became more severe as well. Later that evening my fatigue persisted and I noticed a rapid heart rate via my Watch. My resting heart rate which usually is about 80 BPM was at 100 while laying down and not engaged in any physical activity. When I stood I was dizzy and had poor balance. While my entire arm no longer hurt, the injection site showed a bump as well. When I awoke the next day my heart rate appeared normal again, and I wasn't especially fatigued compared to before I got the vaccine. I did experience another minor gastro-intestinal episode later that afternoon, but otherwise my symptoms appeared to have passed aside from the fatigue. By the end of my work day I was very tired again, although it is uncertain if this is due to the vaccine or from my continued recovery from Covid and adjusting to the physical demands of going back to my job in-person. Because I received my vaccine on the same day as my first day back to work, I have no experience working post-covid before having the vaccine to compare my current state of fatigue to. On the evening of 01/07 I noted that fatigue was slightly less pronounced. I do not currently have a primary care doctor but will be calling to try to gain an appointment so that my second dose can be monitored.

Other Meds: Junel FE birth control, 1.5. 1 tablet daily. Vitamin D3 5000 IU daily.

Current Illness: Tested positive for Covid-19 on 12/19/2020.

ID: 0927374
Sex: F
Age: 39
State: TX

Vax Date: 12/30/2020
Onset Date: 01/06/2021
Rec V Date: 01/08/2021
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Allergies: NKFDA

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Symptoms: 8th day post vaccination, injection site is red, indurated, warm To touch and itchy. Mild discomfort associated with symptoms (4/10 on pain scale)

Other Meds: Lansoprazole otc, np thyroid, iron + vit C. Spironolactone, sprintec. Vit D. B12 ODT. Aspirin 81mg

Current Illness:

ID: 0927375
Sex: M
Age: 34
State: WA

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/08/2021
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Allergies: None

Symptom List:

Symptoms: Light-headedness, dizziness, headache. Feelings of being cold/hot with high lability. Facial pressure. Exacerbating throughout the day and continuing into the following day.

Other Meds: None

Current Illness: None

Total 2021 VAERS Injuries: 704,237

Page last modified: 03 October 2021 5:28pm