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: 0932094
Sex: M
Age: 69
State: FL

Vax Date: 01/05/2021
Onset Date: 01/09/2021
Rec V Date: 01/10/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: Hives, extreme itching body wide

Other Meds: Prilosec, Ezetimebe

Current Illness: None

ID: 0932095
Sex: F
Age: 56
State: WA

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

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: 1.) immediate pain in injection site that lasted until the next day. Pain relieved after taking Tylenol the morning after 2.) elevated skin temperature at night documented as 3 degrees above baseline by Fitbit Sense 3.) headache felt 26 hours after vaccine administration; 101.7 degree temperature documented 26 hours after vaccine administration since Tylenol 500 mg taken in the morning 4.) symptoms resolved the next day

Other Meds: amlodipine, fish oil, vitamin c, vitamin d, centrum silver women, Move Free (glucosamine-chondroitin)

Current Illness: none

ID: 0932096
Sex: F
Age: 43
State: CA

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

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

Lab Data:

Allergies: Sesame, papaya

Symptom List:

Symptoms: I got the vaccine at 3:50. I got a sore arm within about 3 hours. I woke up I at 1am with a sore throat

Other Meds: Zoloft, colonizing, microgestin

Current Illness: None

ID: 0932097
Sex: F
Age: 22
State:

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/10/2021
Hospital:

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

Lab Data:

Allergies: SULFA

Symptom List:

Symptoms: Rash to left pectoral area that does not extend further down than breast. Rash is not itchy or painful. Redness has subsided slightly within 24 hours of the vaccine but remains there after 48 hours.

Other Meds: ASHLYNA BIRTH CONTROL MULTIVITAMIN WITH IRON

Current Illness: N/A

ID: 0932098
Sex: F
Age: 39
State: IN

Vax Date: 01/09/2021
Onset Date: 01/10/2021
Rec V Date: 01/10/2021
Hospital:

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

Lab Data:

Allergies: Amoxicillin

Symptom List:

Symptoms: Fever 101.4 Arm sore

Other Meds: Indapamide 2.5mg qd Spironolactone 50mg bid

Current Illness: None

ID: 0932099
Sex: F
Age: 49
State: CA

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/10/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Left deltoid soreness, radiated to left neck and ear area, followed my immobility of left upper arm, sever painful joint aches, especially to weight bearing joints and long bones, mild facial swelling, mild SOB, headache, dizziness

Other Meds: Vit D3, Estrovan hormone supplements , Zoloft 100 mg daily MVI

Current Illness: None

ID: 0932100
Sex: F
Age: 45
State: VA

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

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

Lab Data:

Allergies: Sulfonamides

Symptom List:

Symptoms: Raised nodules and redness at site of injection extending to surrounding areas up to the middle of the arm 1 week after vaccination. Itching also present.

Other Meds:

Current Illness: None

ID: 0932101
Sex: F
Age: 36
State: MI

Vax Date: 01/09/2021
Onset Date: 01/09/2021
Rec V Date: 01/10/2021
Hospital:

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

Lab Data:

Allergies: Amoxicillin

Symptom List:

Symptoms: throat swelling immediately following injection; received epi. next morning woke up with cough, fatigue, muscle aches

Other Meds: Vitamin D, Sambucol, ibuprofen

Current Illness: none

ID: 0932102
Sex: M
Age: 27
State: TX

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/10/2021
Hospital:

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

Lab Data:

Allergies: Lactose intolerant

Symptom List:

Symptoms: 104.0? fever, shaking. Started approximately 12 hours after second dose. Lasted for 6 hours then went away. Following night, fever of 101.9? and slight shaking. Chest pain. Oxygen saturation still at 97%

Other Meds: None

Current Illness: None

ID: 0932103
Sex: F
Age: 53
State: IL

Vax Date: 12/29/2020
Onset Date: 01/08/2021
Rec V Date: 01/10/2021
Hospital:

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

Lab Data:

Allergies: Non

Symptom List:

Symptoms: Swelling, redness and itching of injection site roughly 5?x 4? welting.

Other Meds: Woman?s Multi vitamins for over 50+ only.

Current Illness: None

ID: 0932104
Sex: F
Age: 54
State:

Vax Date: 12/31/2020
Onset Date: 01/06/2021
Rec V Date: 01/10/2021
Hospital:

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

Lab Data:

Allergies: Compazine - seen more as a sensitivity than a true allergy

Symptom List:

Symptoms: Day. 6: fever, headache , intense body aches more on the right side. Vomited once but tensioned nauseous. Day 7: symptoms worsened . I had a fever throughout the night but fever broke my morning Day 8 post vaccine, feeling much better, no fever. I recognize these symptoms aren?t life threatening and I could have been exposed to covid after the vaccine, I don?t know. I?m just trying to help get the data out there for the pharmaceutical companies and the public to have

Other Meds: Bruporion XL Baby aspirin Trazadone Dioxepin

Current Illness: Hyperprolactemia X-ray recently showed plueral thickening and scarring in one lung

ID: 0932105
Sex: F
Age: 71
State: FL

Vax Date: 01/04/2021
Onset Date: 01/06/2021
Rec V Date: 01/10/2021
Hospital:

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

Lab Data:

Allergies: latex

Symptom List:

Symptoms: 1pain in right[opposite] shoulder and arm lasted 12 hours then 2 scalp localized tenderness over 24 hours affected ear pinna then jaw then neck . neck pain persists til today. exam by doctor revealed a red spot oil scalp behind ear,, size of quarter] no evidence trauma or insect bite, no lymphadenopathy. as of now minor pain , no edema no erythema. pain was so sever it prevented sleep.

Other Meds: prozac, atorvastatin, omeprazole, cozier, pramipexole

Current Illness: none

ID: 0932106
Sex: F
Age: 53
State: VA

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/10/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: extreme fatigue mild headache chills and sweats No fever

Other Meds: liscenapril tramadol Prozac metoprolol succ 25mg ER

Current Illness:

ID: 0932107
Sex: F
Age: 37
State: NY

Vax Date: 01/06/2021
Onset Date: 01/08/2021
Rec V Date: 01/10/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA Miscarriage - (date of vaccination 1/6/21, miscarriage symptoms (cramping) started 1/8/21, confirmed 1/10/21; estimated date of delivery 8/30/21)

Other Meds: Fluticasone, azelastine, prenatal vitamin

Current Illness: None

ID: 0932108
Sex: F
Age: 33
State: FL

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/10/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: 30 min acter swollen throat, extreme dizziness and sudden rise in temperature. Took 25mg benadryl 1 hour after, those symptoms went away slowly For 24 hours after extreme body aches, chills, no fever.

Other Meds: Adderall 20mg xl

Current Illness: None

ID: 0932109
Sex: F
Age: 36
State: CT

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/10/2021
Hospital:

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

Lab Data:

Allergies: Nonr

Symptom List:

Symptoms: Severe generalized headache, pressure/squeezing in nature with nausea and extreme fatigue x 28 hrs.

Other Meds: Atenolol, Esomeprazole, Prenatal vitamin, Zoloft

Current Illness: Covid-19 diagnosed 12/1/20

ID: 0932110
Sex: F
Age: 72
State: CT

Vax Date: 01/09/2021
Onset Date: 01/09/2021
Rec V Date: 01/10/2021
Hospital:

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

Lab Data:

Allergies: N/a

Symptom List:

Symptoms: 100.4 fever Muscle and joint pain Headache Stiff neck

Other Meds: Buspar Wellbutrin Losartan

Current Illness: N/a

ID: 0932111
Sex: F
Age: 46
State:

Vax Date: 01/03/2021
Onset Date: 01/07/2021
Rec V Date: 01/10/2021
Hospital:

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

Lab Data:

Allergies: PCN, CIPRO, Demerol, dust mites

Symptom List:

Symptoms: Red, raised, blotched, itchy around injection area x 4 days. Also, very sore arm on day 2-4.

Other Meds: Gabapentin 600 mg, Zyrtec 10 mg, Lexapro 20mg, VIT B12, VIT C, VIT D, Multi VIT

Current Illness:

ID: 0932112
Sex: F
Age: 26
State: NJ

Vax Date: 01/09/2021
Onset Date: 01/10/2021
Rec V Date: 01/10/2021
Hospital:

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

Lab Data:

Allergies: Tramadol, dairy, corn products

Symptom List:

Symptoms: Headache and fatigue 2-3 post injection, arm soreness approximately 8 hours post injection. Poor sleep night of injection, woke up at 0630 with significant muscle aching, allodynia, and headache

Other Meds: Sertraline, mili OCP, doxycycline, acetaminophen, diphenhydramine, phentermine

Current Illness: Current non-healing traumatic wound to hand

ID: 0932113
Sex: F
Age: 37
State: OH

Vax Date: 01/09/2021
Onset Date: 01/09/2021
Rec V Date: 01/10/2021
Hospital:

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

Lab Data:

Allergies: solodyn,lopressor

Symptom List:

Symptoms: throbbing pain radiating from shoulder blade down arm into pinky for hours

Other Meds: Aleve Tylenol

Current Illness: n/a

ID: 0932114
Sex: M
Age: 51
State: AZ

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: None

Other Meds:

Current Illness:

ID: 0932115
Sex: F
Age: 39
State: VA

Vax Date: 12/26/2020
Onset Date: 01/01/2021
Rec V Date: 01/10/2021
Hospital:

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

Lab Data:

Allergies: Red dye 40

Symptom List:

Symptoms: Swollen and sore lymph node on side of injection. Anxiety with chest tightness and shortness of breath

Other Meds: Folate, Vitamin B complex, Vitamin E, Vitamin C

Current Illness: N/A

ID: 0932116
Sex: F
Age: 45
State: IN

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/10/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Pain under arm . Started as soreness per usual . Now I have a lump in my arm pit . Very sore . Painful when I try to massage it . I had not heard of this effect so thought I would report it . I will contact my Doctor if it hasn?t subsided in 7 days .

Other Meds: Excedrin , Effexor , maxalt

Current Illness:

ID: 0932117
Sex: F
Age: 51
State: SC

Vax Date: 01/06/2021
Onset Date: 01/08/2021
Rec V Date: 01/10/2021
Hospital:

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

Lab Data:

Allergies: no allergies

Symptom List:

Symptoms: Lymph nodes along left neck swollen, soreness bilateral arm pits, and soreness at symphysis pubis area. General headache.

Other Meds: Vit D3, Vit B12, metformin, Ramipril ,folate, and aldactone

Current Illness: none

ID: 0932118
Sex: F
Age: 52
State: OH

Vax Date: 01/04/2021
Onset Date: 01/06/2021
Rec V Date: 01/10/2021
Hospital:

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

Lab Data:

Allergies: PCN, latex

Symptom List:

Symptoms: SPINE HURT, SORE THROAT, VERY TIRED off and on still 6:45 PM WED face went numb had hard time with my words, arms and legs very heavy, almost felt like having a pancreatic attack with out the throwing up.

Other Meds: Valtrex, vit b, vit d, multi vit, enzymes, therazinc elderberry lozenges

Current Illness: none

ID: 0932119
Sex: F
Age: 38
State: KS

Vax Date: 12/30/2020
Onset Date: 01/05/2021
Rec V Date: 01/10/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Swelling lymph nodes in the arm pin causing uncomfortable pain

Other Meds: Synthroid Cetrizine Vitamin B complex Vitamin C Prenatal vitamin Vitamin D Baby Aspirin Fish oil Dietrary fiber Red Yeast rice and CoQ10

Current Illness: None

ID: 0932120
Sex: F
Age: 58
State: OH

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/10/2021
Hospital:

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

Lab Data:

Allergies: general seasonal allergies

Symptom List:

Symptoms: Tuesday 1/5/21 at 12:30p.m. I recieved the Moderna Covid 19 vaccine EUA in my left arm. I had no reaction at all untill about 3:00a.m. on 1/6/21. I woke up with the chills and a headache. At 8:00a.m. I also experienced in addition to those symptoms, fatique, body aches and diarreha. I also lost my appetite completely. When I had covid in October, I experienced thses very same symptoms. These lasted all day untill around 7:00p.m. and I felt good almost all at once the symptoms seemed to be gone. The next day I was a little fatigued still and still no appetite. Everything became normal on friday 1/8/21.

Other Meds: lexothyroxine and simvistatin

Current Illness: none

ID: 0932121
Sex: F
Age: 63
State: WI

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/10/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Waking up at 02:00 on 01/08/21 with chills. all 4 extremities where shaking I was that cold.. temp of 100.4. weak. stayed home from work. then on 01/09/21 I spent all day in bed as well. very tired. my arm was VERY painfull when touched or would try to use it.

Other Meds: multi vitamin

Current Illness: None

ID: 0932122
Sex: F
Age: 32
State: RI

Vax Date: 12/31/2020
Onset Date: 01/09/2021
Rec V Date: 01/10/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: Tenderness in arm 9 days post injection followed by heat and erythema at injection site not previously there currently increasing in size.

Other Meds: Citalopram

Current Illness: None

ID: 0932123
Sex: F
Age: 67
State: MA

Vax Date: 12/30/2020
Onset Date: 01/06/2021
Rec V Date: 01/10/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Slightly raised, slightly red itchy area about the size of a quarter

Other Meds: pravastatin, losartan, levothyroxine, buproprion, cholecalciferol, ferrous sulfate, melatonin

Current Illness:

ID: 0932124
Sex: F
Age: 44
State: CA

Vax Date: 12/30/2020
Onset Date: 01/06/2021
Rec V Date: 01/10/2021
Hospital:

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

Lab Data:

Allergies: sulfa / bactrim, adhesive, elastic

Symptom List:

Symptoms: Left axillary lymphadenopathy at 5-8 days Nausea, Stomach pain, and diarrhea at 7 days post vaccine, lingering mild abdominal discomfort at 8-10+ days. No sick contacts or unusual foods. Tested negative for COVID on weekly testing.

Other Meds:

Current Illness:

ID: 0932125
Sex: F
Age: 62
State: FL

Vax Date: 01/09/2021
Onset Date: 01/09/2021
Rec V Date: 01/10/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Severe headache, nausea and torso rash.

Other Meds: None

Current Illness: None

ID: 0932126
Sex: F
Age: 58
State: FL

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

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

Lab Data:

Allergies: penicillin

Symptom List:

Symptoms: 8 days after vaccine received left deltoid became red, swollen, warm to touch itchy and irritated. I took Benadryl 25mg prior to sleep. The next morning the site was still warm and irritated, swelling improved slightly. By evening swelling and discomfort was gone. The area stayed slightly reddened for a total of 4 days.

Other Meds: none

Current Illness: none

ID: 0932127
Sex: F
Age: 32
State: MA

Vax Date: 01/09/2021
Onset Date: 01/09/2021
Rec V Date: 01/10/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: Headache, chills, body aches and night sweats.

Other Meds: HUM nutrition vitamins Birth control (Sronyx 0.02mg tablet) Allergy meds (Cetirizine 10mg tablet and Famotidine 20 mg tablet twice daily)

Current Illness: Tested positive for Covid-19 on 12/23/2020

ID: 0932128
Sex: F
Age: 51
State: IL

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: No temperature, itching and rash at injection site on right upper arm

Other Meds:

Current Illness:

ID: 0932129
Sex: M
Age: 40
State: NY

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/10/2021
Hospital:

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

Lab Data:

Allergies: Amoxicillin Levaquin

Symptom List:

Symptoms: Fever Chills Weak Fatigue Stomach issues

Other Meds: Vitamin d Vitamin b12 Testosterone Anastrozole Multi vitamin Vitamin c Amlodipine

Current Illness: None

ID: 0932130
Sex: F
Age: 66
State: FL

Vax Date: 01/09/2021
Onset Date: 01/09/2021
Rec V Date: 01/10/2021
Hospital:

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

Lab Data:

Allergies: NO

Symptom List:

Symptoms: I WENT TO CONVENTION CENTER UNDER HEALTH DEPARTMENT . I WAS GIVEN AN INJECTION INTO MY RIGHT ARM. SHE BUNCHED THE SKIN. I NOTED FLUID DRIPPING DOWN MY ARM AT THE END OF THE INJECTION. I ASKED IF I GOT THE DOSE. SHE SAID YES. SHE THEN SAID AND YOU GET A FREE MASSAGE AND BEGAN TO MASSAGE IT IN. WHEN FINISHED I LEFT AND NOTED A BULGE IN THE AREA WHERE THE SHOT WAS GIVEN. I BELIEVE THE INJECTION WAS GIVEN SUBCUTANEOUSLY AND NOT INTRAMUSCULAR.

Other Meds: HYDROCHLORATHIAZIDE SYNTHROID CALCIUM CITRATE

Current Illness: NO

ID: 0932131
Sex: F
Age: 32
State: NY

Vax Date: 01/02/2021
Onset Date: 01/09/2021
Rec V Date: 01/10/2021
Hospital:

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

Lab Data:

Allergies: Celiac disease (gluten)

Symptom List:

Symptoms: 1 week after first dose, red rash /skin irritation appeared over injection site and across lateral shoulder. Swollen, red and warm to touch, mildly itchy. Rash is approximately 2 inches by 4 inches. Rash still present the following day.

Other Meds: Prenatal vitamins and prenatal DHA

Current Illness: none

ID: 0932132
Sex: F
Age: 37
State: NY

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/10/2021
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Allergies: None

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Symptoms: Hypotensive shock after 12 hrs of administration.. with frequent vasovagal episodes

Other Meds: Melatonin

Current Illness: None

ID: 0932133
Sex: M
Age: 66
State: NY

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/10/2021
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Allergies: None

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Symptoms: Chills, fever, pain in shoulders, soreness in legs, unable to sleep

Other Meds: Valsartan 160 mg Tansulosin 0.4 capsule Fish oil, vitamin D supplement, multi-vitamin

Current Illness: None

ID: 0932134
Sex: F
Age: 21
State: IN

Vax Date: 01/09/2021
Onset Date: 01/09/2021
Rec V Date: 01/10/2021
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Allergies: Penicillin

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Symptoms: At around 11 pm, I started to feel nauseous. I had had a sore arm all day which I expected, but after trying to sleep it off I woke up around 2am shivering and sweating through my shirt at the same time, and had a 98.7 temperature (normally I am 97.2 so that's high for me). My arm started to have some swelling at the site, but I woke up this morning and the fever, chills, and nausea are still very much present about 24 hours after receiving the first dose.

Other Meds: Wellbutrin, Zyrtec, Buspar, Levothyroxine, Gianvi

Current Illness: Covid 19 the first week of December

ID: 0932135
Sex: F
Age: 41
State: KS

Vax Date: 12/18/2020
Onset Date: 12/18/2020
Rec V Date: 01/10/2021
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Allergies: PCN (hives), Erythromycin (chest pain), hydrocodone (hives), birth control (hives)

Symptom List:

Symptoms: Wheezy, chest tightness, SOB within 45 minutes of vaccination. Took antihistamines daily x3 days after vaccine

Other Meds: unknown

Current Illness: unknown

ID: 0932136
Sex: M
Age: 26
State: NC

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/10/2021
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Allergies: NKA

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Symptoms: Within 4 hours of vaccination, I started experiencing loss of taste and smell. 6 hours after vaccination, there was total loss of taste and smell with associated congestion, cough and fatigue. 3 days after vaccination, my cough has gotten worse, with associated sore throat and still no taste or smell.

Other Meds: -Men?s 1 A day Multivitamin HCTZ 12.5mg daily

Current Illness: Tested positive for Covid 19 December 2nd 2020.

ID: 0932137
Sex: F
Age: 40
State: PA

Vax Date: 12/29/2020
Onset Date: 01/07/2021
Rec V Date: 01/10/2021
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Allergies: None

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Symptoms: 11/07/2021-11/09/2021 Severe dizziness with upper and lower extremity numbness causing ER visit, severe fatigue slept for two days straight, sore throat, headache, neck and shoulder pain, lower extremity joint pain and kidney pain

Other Meds: None

Current Illness: None

ID: 0932138
Sex: F
Age: 40
State: KS

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/10/2021
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Allergies: Latex, penicillin, clindamycin, bactrim

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Symptoms: Patient received Pfizer-BioNTech COVID19 Vaccine on 01/08/2021 at 1426. Given the patient's medical history, the patient was required to stay for observation for 30 minutes. Within the first 15 minutes, the patient began to experiencing itching. Initially, there was concern that she was reacting to the bandaid (history of latex allergy). The bandaid was removed and staff confirmed the bandaid was LATEX FREE. Per protocol, the patient was administered diphenhydramine 25 mg po x 1 dose. After 15 minutes, the patient's itching continued and she started to develop a skin rash on her chest. Diphenhydramine 25 mg po x 1 dose was repeated and the decision was made to take the patient to the Emergency Department in a wheelchair. Documentation from the Emergency Department Provider: 40 y/o F who comes in from the covid vaccine clinic for a possible allergic reaction. Initially thought to be to latex but then we found out she was not given a bandaid with latex so we assume it is the vaccine. pt had a rash and scratchy throat and initialy felt improved with the benadryl, pepcid and steroids but after about 2 hours had recurrence of her sx. She was then given IM epi. She has now been observed for four more hours and is still feeling well. Will d/c to home with steroids and an epi pen and epi traning. Given return precautions and f/uw ith PCP. .

Other Meds: Wellbutrin, lamotrigine, naproxen, phentermine, propranolol

Current Illness: Unknown

ID: 0932139
Sex: F
Age: 58
State: KS

Vax Date: 12/19/2020
Onset Date: 12/19/2020
Rec V Date: 01/10/2021
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Allergies: Tetracycline (mouth ulcers), Keflex (confusion), Opioids (nausea/migraine), clobetasol (rash/hives)

Symptom List:

Symptoms: Pt experienced confusion, disorientation, dizziness, lightheadedness, weakness, & stiff neck following vaccination. Patient was sent home from work and symptoms persisted after rest.

Other Meds: unknown

Current Illness: unknown

ID: 0932140
Sex: M
Age: 70
State: FL

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/10/2021
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Allergies: PCN

Symptom List:

Symptoms: Thirty six hours post infection, fatigue, muscle aches, and fevers Lasting almost 96 hours

Other Meds: Simvastatin 40mg, ASA 81 mg,multivitamin, vitamins, vitamin D, B complex, CoQ 10,krill oil

Current Illness: None

ID: 0932141
Sex: F
Age: 46
State: NY

Vax Date: 01/07/2021
Onset Date: 01/09/2021
Rec V Date: 01/10/2021
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Allergies: No

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Symptoms: Symptoms started 2 days after vaccine administration. Started on the right arm (opposite of injection), radiates to the right neck and fingertips. Neuropathic, worse at night. Improves to a 3/10 with ibuprofen. No weakness/sensory loss.

Other Meds: Vitamins

Current Illness: No

ID: 0932142
Sex: M
Age: 55
State: NY

Vax Date: 01/02/2021
Onset Date: 01/03/2021
Rec V Date: 01/10/2021
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Symptoms: Pt has insomnia since day of vaccination and yesterday tongue started to swell up

Other Meds:

Current Illness:

ID: 0932143
Sex: F
Age: 29
State: NY

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/10/2021
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Allergies: citrus, cinnamon

Symptom List:

Symptoms: I got palpitations and tongue numbness 5-7 mins after receiving the IM injection. No rash/wheezing/hypotension/angioedema. Got treated like anaphylaxis with epinephrine, decadron, benadryl, pepcid

Other Meds: mylan

Current Illness: none

Total 2021 VAERS Injuries: 704,237

Page last modified: 03 October 2021 5:28pm