VAERS 2021 Database www.vaers.hhs.gov

Main Page | All 2021 Deaths | Videos
VAERS Updated: 10/01/2021
** VAERS DATABASE Last updated: October 1, 2021**
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Manufacturers

Total Manufacturer

Incidents per State

State Total
72,296
AK1,638
AL5,339
AR3,412
AS44
AZ13,316
CA58,147
CO11,002
CT7,824
DC1,626
DE1,670
FL36,235
FM3
GA13,429
GU82
HI2,195
IA4,332
ID2,473
IL19,261
IN22,568
KS4,284
KY6,945
LA4,714
MA13,886
MD11,901
ME2,997
MH8
MI17,865
MN11,345
MO8,919
MP30
MS2,676
MT2,147
NC15,401
ND1,273
NE2,732
NH2,859
NJ17,232
NM3,702
NV4,071
NY32,763
OH18,072
OK5,940
OR7,954
PA22,457
PR2,104
QM2
RI1,911
SC6,055
SD1,133
TN8,691
TX34,122
UT4,023
VA13,944
VI49
VT1,661
WA13,811
WI10,395
WV2,220
WY805
XB5
XL1
XV2

ID: 0935292
Sex: M
Age: 74
State: ND

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

Vax Type:
Manufacturer:
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Vax Site:

Lab Data:

Allergies: gabapentin, metoprolol

Symptom List:

Symptoms: Pruritic rash

Other Meds: Chlorthalidone, Cyclobenzaprine, Diclofenac gel, Diltiazem, Hydrocodone/acetaminophen, omeprazole, rosuvastatin, valsartan, baby ASA, docusate/sennosides, naloxone prn, multivitamin, nicotine lozenge

Current Illness: none (pt denies)

ID: 0935293
Sex: M
Age: 23
State: OH

Vax Date: 01/05/2021
Onset Date: 01/10/2021
Rec V Date: 01/11/2021
Hospital:

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

Lab Data:

Allergies: penicillin

Symptom List:

Symptoms: Patient reports receiving Moderna vaccine 6 days ago. Felt fine for first 30 minutes following vaccine, but developed migraine headache next day, which resolved after 24 hours. Reports developing pruritic urticarial rash and swelling to hands and feet yesterday. Denies facial or mouth swelling. No chest tightness, wheezing or SOB. Denies previous reaction to vaccines. NKDA. Took benadyl yesterday and today, which did help. Assessment and Plan: 1. Urticaria - Possible correlation to Moderna COVID-19 vaccine received 6 days ago. Will treat with antihistamines and topical steroid cream. Avoiding systemic steroids, as do not want to suppress immune response to recent COVID-19 vaccine. - Treatment with antihistamine- Benadryl OTC and Claritin. - Provided patient with V-safe smartphone tool info to report potential side effects of COVID-19 vaccine. - Completed VAERS report for potential reaction. - Advised employee patient also follow-up with occupational health regarding plans for second vaccine dose. - Follow up at ED if facial swelling, SOB or if symptoms worsen. - Will route chart to PCP. - TRIAMCINOLONE ACETONIDE 0.1 % TOPICAL CREAM APRN.CNP ?

Other Meds: none

Current Illness: none

ID: 0935294
Sex: F
Age: 49
State: IN

Vax Date: 12/19/2020
Onset Date: 12/21/2020
Rec V Date: 01/11/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: sulfa

Symptom List:

Symptoms: Stating many details to help determine whether or not this is not vaccine related: onset of red and blistery rash, similar to a contact dermatitis with no known new contact substances; rash started on upper front torso, spread to folds under breasts and downward to abdomen and around to lower back; over several days spread to upper arms, elbow pits and below; next to shoulder areas and knee pits; 01/11/2021 the rash is still spreading slowly, itchy and inflamed, while parts of the original rash have begun to scab and heal. Due to holidays and level of inflammation and blistering, cosmetic surgeon recommended and PCP called-in 7-day round of Keflex to curb possible infection in breast creases beginning 12/26/2020. Taltz dose dates were 12/11/2020 and 01/08/2021. Breast augmentation 11/13/2020 (no adverse reaction to surgical tape, stitches or staples in this or prior procedures).

Other Meds: Taltz, clonazepam, buspirone, meloxicam, D3, B12, prenatal/multivitamin, black cohash

Current Illness: none known

ID: 0935295
Sex: F
Age: 29
State: TX

Vax Date: 12/28/2020
Onset Date: 01/10/2021
Rec V Date: 01/11/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: fluoroquinolones

Symptom List:

Symptoms: On the morning of 1/10/21, approximately 2 weeks after receiving the injection, and 2 days after testing positive on COVID-19, I developed a splotchy rash on my left arm at and around the injection site. Initially the rash did not itch, but as the day progressed, the rash became itchy. It is raised, red, and warm to the touch. I took liquid benadryl before going to bed that evening, but when I woke up this morning (1/11/21), the rash is still there and it does still itch on ocasion.

Other Meds: prenatal vitamin (breastfeeding) Slynd Zinc

Current Illness: COVID + as of 1/8/2020 with minor symptoms of congestion, mild headache, and mild fatigue

ID: 0935296
Sex: M
Age: 58
State: WA

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/11/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: None

Symptom List:

Symptoms: Day of vaccination: 9:15 pm - experienced chills and inability to sleep. Next Day: 1:00 am - chills and fever of 100.3 F. Blood pressure measured by wrist cuff device 225/100 (normally 130/80). Heart Rate 110 BPM (normally 70). SpO2 92% (normally 98). Paced in the house for 2 minutes and Sp02 was at 95%. Continued monitoring vitals. 3:00 am - Blood pressure at 145/90, Temperature at 99.3 F. Still experiencing chills. 4:00 am - Finally able to sleep. 10:00 am - Woke up, all vitals normal. Occasional Chills. Took a sick day from work. 3:00 pm - Felt better for the rest of the day. 2 days after vaccination 8:00 am - alternating chills and sweating. Temperature seemed normal. Took a sick day from work. 5:00 pm - no further symptoms.

Other Meds: No Prescriptions. The following are taken once daily by mouth in the morning: Aspirin, 1 tablet, 325mg Multi-Vitamin, 1 tablet (Kirkland Brand) Osteo Bi-Flex, 1 tablet (Glucosamine +Chondrointin/MSM complex) CinSulin, 1 capsule CoQ10, 1 so

Current Illness: None

ID: 0935297
Sex: F
Age: 41
State: CA

Vax Date: 01/02/2021
Onset Date: 01/08/2021
Rec V Date: 01/11/2021
Hospital:

Vax Type:
Manufacturer:
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Lab Data:

Allergies: none, just this one

Symptom List:

Symptoms: Exactly a week after being given the fist dose of Moderna, I got a rash of about 4in long to 3in wide, in the left arm, at the site of the injection. The rash feels warm to the touch, and it is itchy. Symptoms began on 1-8-21 at night, and were fully present by 1-9-21 in the morning, beginning with itchy and arm pain. By the next morning of 1-10-21, the symptoms worsen to appearing red, warm to the touch, itchiness more than the day before, and discomfort in the entire arm. I then called my doctor for a telehealth visit, and was advised to take Benadryl (which I did that night only), and use cold compress to relieve itchiness. I also put Cortizone on the infected area to manage symptoms. By the morning of 1-11-21, symptoms continued and the redness and itchiness seems to continue down the arm.

Other Meds: Fenofibrate, Levothyroxine, Vitamin D, Zinc, and Omega 3

Current Illness: none

ID: 0935298
Sex: F
Age: 48
State: OH

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

Vax Type:
Manufacturer:
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Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: warm swollen hard painful arm. Migraine that caused her to report off work.

Other Meds:

Current Illness:

ID: 0935299
Sex: F
Age: 59
State: CA

Vax Date: 12/28/2020
Onset Date: 01/08/2021
Rec V Date: 01/11/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: None

Symptom List:

Symptoms: Patient received the first dose of the COVID vaccine on 12/28/20, and the second dose on 1/8/21 (11 days later instead of 21 days). The patient reported experiencing right eyelid and cheekbone numbness and a minor headache after the first dose. She had numbness to her right cheek again on 1/8/21 and some nausea that has resolved. I spoke with the patient on 1/11/21 and she is feeling well.

Other Meds:

Current Illness:

ID: 0935300
Sex: F
Age: 30
State: NV

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/11/2021
Hospital:

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Lab Data:

Allergies: none

Symptom List:

Symptoms: fever up to 102 body aches arm pain

Other Meds: none

Current Illness: none

ID: 0935301
Sex: F
Age: 27
State: CA

Vax Date: 12/18/2020
Onset Date: 12/20/2020
Rec V Date: 01/11/2021
Hospital:

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Lab Data:

Allergies: None

Symptom List:

Symptoms: Once I receive the shot; my arm became red. I start seeing red bumps around the area I receive the shot. My next day I had itchy bumps on both arms. By the 3rd day my whole body was covered with bumps. That lasted for a week.

Other Meds: None

Current Illness: None

ID: 0935302
Sex: F
Age: 34
State: WI

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

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Allergies:

Symptom List:

Symptoms: About 10 minutes after vaccination, patient stated her left arm and fingers started burning and feeling warm. Burning sensation followed up to left side of face. Second dose of injection given on left side. Patient states she has a scratchy throat. Vitals taken at 1311: 98.9, 152/98, HR 80, 99% on room air. 50mg IM Benadryl given at 1312 in right deltoid. Laid patient down on stretcher. Patient also stated she developed cold like symptoms after her first Covid vaccine injection, and tested negative for Covid. Vitals rechecked again at 1322: 130/86, 99% on room air, pulse 75. Told patient to say for another 15 minutes in waiting room. Patient left at 1345. Patient stated the burning and warmness had gone away.

Other Meds: etonogestrel implant, Magnesium, B complex, vitamin D, Effexor, Atarax.

Current Illness: Was tested for COVID 4-7 days following 1st injection (12/20/2020) and was confirmed negative.

ID: 0935303
Sex: M
Age: 44
State: TX

Vax Date: 12/29/2020
Onset Date: 01/06/2021
Rec V Date: 01/11/2021
Hospital:

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Lab Data:

Allergies: None

Symptom List:

Symptoms: Since Wednesday 01/06/21, have had on and off unusual taste, almost metallic taste in the mouth intermittently. Today, 01/22/21, lost my sense of taste. Went to take the Rapid Covid test and was negative,

Other Meds: Xyxyl Flonase

Current Illness: None

ID: 0935304
Sex: F
Age: 57
State: WI

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/11/2021
Hospital:

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Patient called stating that she received the Moderna vaccine on 01/06/2021 in right arm. Stated that on 1/7/21 there was a hard lump at the injection site with a little redness. Today, 1/8/21, there is a "blotchy, red rash" lower on her arm that is itchy. She has used Benadryl for itching with some relief.

Other Meds:

Current Illness:

ID: 0935305
Sex: F
Age: 38
State: MI

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/11/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: SHELFISH , AZITHROMYCIN, BACTRIM, CODINE, HONEY MORPHINE,, RASPBERRYS,,HYDROCODONE

Symptom List:

Symptoms: SCRATCHY THROAT , BLURRY VISION, LIGHTHEADEDNESS. SOLUMEDROL, BENADRLY, PEPCID. 1 LITER OF FLUIDS.

Other Meds: ALBUTEROL AND ALPRAZOLAM PRN

Current Illness: NONE

ID: 0935306
Sex: F
Age:
State:

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

Vax Type:
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Lab Data:

Allergies: Biotin, strawberries

Symptom List:

Symptoms: None stated.

Other Meds: Vitamin Calcium Citrate Magnesium and Zinc. Vitamin D3 (1000), Flora Plus (Probiotic)

Current Illness:

ID: 0935307
Sex: F
Age: 33
State: TX

Vax Date: 01/04/2021
Onset Date: 01/08/2021
Rec V Date: 01/11/2021
Hospital:

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

Lab Data:

Allergies: Ceclor

Symptom List:

Symptoms: Arm I got injection is very swollen, lymph nodes are swollen in armpit

Other Meds:

Current Illness:

ID: 0935308
Sex: M
Age: 39
State: WA

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: A medication error occurred. Patient was administered 0.8 cc of Pfizer Vaccine. Patient was contacted and denied experiencing any adverse reactions 30 minutes post vaccination and 3.5 hours post vaccination.

Other Meds:

Current Illness:

ID: 0935309
Sex: F
Age: 29
State: MI

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/11/2021
Hospital:

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

Lab Data:

Allergies: Just dog and cat hair and dust mites

Symptom List:

Symptoms: Started as itching at the injection site approx 35 minutes after shot which led to generalized itching on left arm, chest, and back when another colleague examined my back and noted hives. Became slightly short of breath and felt my heart was racing. Took 25 mg of oral Benadryl and told to go to ED. In ED heart rate was 126 bpm and BP WAS 136/99. Monitored in the ED for a few hours with no further interventions. Heart rate improved to 102 bpm and blood pressure to 129/82.

Other Meds: Prozac, birth control (zovia), Aldactone, adderall xr

Current Illness: None

ID: 0935310
Sex: F
Age: 52
State: NY

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/11/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Went into the ED for bilateral hand and feet tingling. Worked up for possible Guillain Barre.

Other Meds:

Current Illness:

ID: 0935311
Sex: F
Age: 63
State: IN

Vax Date: 01/07/2021
Onset Date: 01/09/2021
Rec V Date: 01/11/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: On 1/9 /21, after walking 5 miles and taking a hot shower I had large welts that were red on the inside of both thighs. Within 1 hour they were gone and did not return.

Other Meds: Fenofibrate 160 Mg 1 tablet daily Atorvastatin Calcium 20 mg 1 tablet daily Fish Oil 1200 mg 2 tablets daily Calcium 600 2 tablets daily D3 1000 IU Cranberry 4200mg 2 tablets daily

Current Illness: none

ID: 0935312
Sex: F
Age: 55
State: TX

Vax Date: 01/02/2021
Onset Date: 01/07/2021
Rec V Date: 01/11/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
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Vax Route:
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Lab Data:

Allergies: NKA

Symptom List:

Symptoms: Day 1: just super sleepy ~ unusual for me Day 5: Right ear and right side of neck mildly achy during day. Around 10pm, right armpit got super itchy Day 6: Lymph node in right arm pit area super swollen and very painful Day 7: Right arm lymph node still swollen and sore when I woke up, pain and swelling dissapated during the day, however around 11am the injection site area started to itch. When I felt it it had swelled. To say it itched is an understatement. Day 8: Right arm lymph node mildly swollen, no pain. Injection site red in area slightly larger then the area of my palm. Slightly warm and SUPER itchy. Day 9: Injection site still red, although slightly less so, slightly warm , and barely itchy.

Other Meds: Benicar, Fish oil, COQ10, Vitamin D

Current Illness: None

ID: 0935313
Sex: F
Age: 41
State: ND

Vax Date: 01/05/2021
Onset Date: 01/09/2021
Rec V Date: 01/11/2021
Hospital:

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

Lab Data:

Allergies: hydrocodone

Symptom List:

Symptoms: acute urticaria started on 1/9/2021 on left upper arm and radiates down the arm. Urticaria on chest/abdomen and back. Patient c/o burning and itching sensation on left arm and abdomen and back. Patient was seen on 1/11/2021 and prescribed hydroxyzine 25mg 1 tablet three times a day

Other Meds: calcium and vitamin d daily

Current Illness: none

ID: 0935314
Sex: F
Age: 65
State: PA

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/11/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Red hard raised are at injection site

Other Meds:

Current Illness:

ID: 0935315
Sex: M
Age: 70
State: FL

Vax Date: 01/03/2021
Onset Date: 01/11/2021
Rec V Date: 01/11/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

Symptom List:

Symptoms: Redness and itching at vaccination site appeared 8 days after vaccination

Other Meds: Crestor; potassium citrate; metoprolol er succinate

Current Illness: none

ID: 0935316
Sex: F
Age: 92
State: TN

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/11/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

Symptom List:

Symptoms: Resident experienced vomiting and edema of the lips. The M.D prescribed benadryl.

Other Meds:

Current Illness: Alzheimers, Dementia, CVA (Hx), diabetes, CAD, SARS-CO-V2

ID: 0935317
Sex: F
Age: 53
State: IL

Vax Date: 01/09/2021
Onset Date: 01/09/2021
Rec V Date: 01/11/2021
Hospital:

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

Lab Data:

Allergies: Alendronate caused asthma exacerbation. Has seasonal allergies and allergy induced asthma to many environmental products such as pollen products, dust, cats, & mold.

Symptom List:

Symptoms: Approximately 9 hours after the vaccine, I developed a fever of 101.9 with rigors, a bad headache, body aches, cough with wheezing, mild SOB, and fatigue.

Other Meds: OTC: calcium, Vitamin D, and Ceterizine . Prescriptions: Istrarosa vaginal suppositories and Fluticasone nasal spray

Current Illness: None

ID: 0935318
Sex: U
Age:
State:

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: None stated.

Other Meds:

Current Illness:

ID: 0935319
Sex: F
Age: 52
State: MI

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/11/2021
Hospital:

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

Lab Data:

Allergies: Penicillin, Benadryl, Zofran,

Symptom List:

Symptoms: Vaccine day was 1/8/2021 1pm. employee stated that shortly after having the vaccine I felt an overall tingling in her body that started on 1/8 21 hours after the vaccine was given. on 1/9/21 she stated, " I started having a headache, body aches, and fever of 100.4 on day 1/10/21 same signs and symptoms. 1/11/21 still has a fever now of 101.0 head ache, body aches, plus nausea that started on 1/11/21.

Other Meds: none at time of vaccine

Current Illness: n/a

ID: 0935320
Sex: F
Age: 45
State: TX

Vax Date: 12/22/2020
Onset Date: 01/05/2021
Rec V Date: 01/11/2021
Hospital:

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

Lab Data:

Allergies: No known allergies

Symptom List:

Symptoms: BELLS PALSY January 3, 2021- Slight numbness in tongue and food tasted different, pounding frontal headache at night and took Tylenol 500 mg for headache relief. January 4, 2021- The slight numbness in tongue continued and my face started to feel a little different too. I had headaches on and off throughout the day and evening. January 5, 2021- Woke up to get ready for work and noticed that my right eyelid was a little swollen and the right side of my mouth looked different. I arrived at work and my right eye was not closing properly and I was having difficulty blinking. I left work an hour later and went to ER to seek treatment. I was prescribed Prednisone and Valacyclovir for a seven day course. The first time I had Bells Palsy was in 1997 when I was 22 years old.

Other Meds: Amlodipine Besylate 5 mg Simvastatin 20 mg Vitamin D2 1..25 mg (50,000 unit)

Current Illness: None

ID: 0935321
Sex: F
Age: 35
State: VA

Vax Date: 12/29/2020
Onset Date: 01/06/2021
Rec V Date: 01/11/2021
Hospital:

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

Lab Data:

Allergies: none known

Symptom List:

Symptoms: Vaccine #1 given 12/29; localized skin reaction to injection site observed 8 days AFTER administration, on 1/6. The reaction started as a small 1.5 inch red round raised area with itching, has grown while traveling down the right upper arm. Redness and itching will dissipate then return after a day while changing shape and appearance. When it's not red and raised, it looks similar to a bruise. Tenderness is always present. It is not warm to touch; I've had no fever, chills, aches, etc during the active skin reaction. No treatment has been indicated for me by Employee Health as of today, 1/11.

Other Meds: none

Current Illness: none

ID: 0935322
Sex: M
Age: 27
State: IL

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/11/2021
Hospital:

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

Lab Data:

Allergies: Sulfa Drugs

Symptom List:

Symptoms: Headache laying over 12 hours, fatigue, drowsiness

Other Meds: 10mg Adderall XR 100mg Sertraline

Current Illness: None

ID: 0935323
Sex: F
Age: 28
State: IN

Vax Date: 01/06/2021
Onset Date: 01/11/2021
Rec V Date: 01/11/2021
Hospital:

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

Lab Data:

Allergies: none known

Symptom List:

Symptoms: feverish and lymph node swollen and painfully on left side

Other Meds: sprinter birth control metformin 500 mg extended release one a day women's vitacraves

Current Illness: none

ID: 0935324
Sex: F
Age: 33
State: WI

Vax Date: 12/28/2020
Onset Date: 01/05/2021
Rec V Date: 01/11/2021
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Allergies: no

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Symptoms: Sore arm. A week later arm got a big red patch, itchy and raised and hot to touch. It kept growing to the size of her hand. Tired, Saw a doctor and was prescribed prednisone. It has started to go down.

Other Meds: Vitamin D

Current Illness: no

ID: 0935325
Sex: F
Age: 59
State: CA

Vax Date: 12/28/2020
Onset Date: 01/08/2021
Rec V Date: 01/11/2021
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Allergies: None

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Symptoms: Patient experienced right eyelid and cheekbone numbness following the first dose. She received her second dose 11 days after the first in error. Following the second dose, she reported cheek numbness and nausea, which had resolved when I spoke with her on 1/11/21.

Other Meds:

Current Illness:

ID: 0935326
Sex: F
Age: 17
State: IA

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/11/2021
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Allergies: Unknown

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Symptoms: Moderna is for age 18 and older. Patient is 17 years old.

Other Meds: Unknown

Current Illness: Unknown

ID: 0935327
Sex: F
Age: 44
State: NE

Vax Date: 12/28/2020
Onset Date: 12/29/2020
Rec V Date: 01/11/2021
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Allergies: Band-aides only

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Symptoms: She reports on 12/28/2020 feeling fine. On 12/29/2020 she noted a lump at injection site with swelling, she reports extreme body aches through 1/1/2021 to the point that if she would have been scheduled to work that she would have not been able to perform her job duties. She denied any fever or chilling. She reports that the vaccine gave her side effects similar to when she had the Covid but more severe. She reports on 1/7/2021 that her sense of smell seems like it is not as it was after receiving the vaccination.

Other Meds: Remicade infusion every 8 weeks, Potassium Chloride, Vitamin D3, Multivitamin, Omeprazole, Duloxetine, Mercaptopurine, Spironolactone, Tylenol, Claritin.

Current Illness: Denies any illness at time of vaccination. Does report having been diagnosed with Covid -19 on 11/12/2020. She returned to work on 11/30/2020 with fatigue. She reports that she lost her sense of tasted and smell through 12/19/2020.

ID: 0935328
Sex: U
Age: 37
State:

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/11/2021
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Symptoms: 1/7- felt nauseated (history of celiac); 1/8- itchiness, especially above the knees, blotchy rash on arms and legs, legs felt weak and shaky; slight improvement by afternoon of 1/8

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Current Illness:

ID: 0935329
Sex: F
Age: 55
State: WI

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/11/2021
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Allergies: No reported history of severe allergies

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Symptoms: c/o mouth/tongue swelling 0923 given benadryl 50mg; lungs clear 0925 symptoms improving, can swallow more easily 0927 famotidine 40 mg given 0930 BP 140/84, sent to observation for 30 minutes

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Current Illness:

ID: 0935330
Sex: F
Age: 36
State: TX

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/11/2021
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Allergies: nkda

Symptom List:

Symptoms: started with soreness to the right armpit after few hours. had some fever that night. woke up feeling very tired and rested most morning. pain had moved to right upper chest that morning and then to the right neck. she also felt a tender lymph node in the right supraclavicular area. took tylenol to help on saturday. symptoms are getting better now

Other Meds: elderlberry syurp, mulitivitamin, zinc

Current Illness: no

ID: 0935331
Sex: F
Age: 32
State: CT

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/11/2021
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Allergies: None

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Symptoms: Patient reported feeling dizzy within 5 minutes of receiving vaccine, she was placed in clinic chair with legs elevated, her blood pressure remained stable and was taking every 5 minutes, she then reported feeling tightness in her chest. 50 mg IV Benadryl was administered per allergic reaction protocol and medical director was notified. IV line connected to slow NS drip. After administration of IV Benadryl she reported that chest tightness was no longer there but she still felt dizzy, lightheaded and now cold. Continuing with protocol 100mg solumedrol was administered via port in IV saline line. Continued to take BP every 5 minutes. She began to feel better/normal, we continued to monitor for roughly 20 minutes after all symptoms resolved. Left clinic and had no more reported symptoms throughout the day.

Other Meds: 5mg escitalopram progesterone only birth control prenatal vitamin post pregnancy

Current Illness: none

ID: 0935332
Sex: M
Age: 23
State: FL

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/11/2021
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Allergies: ibuprofen

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Symptoms: fever 102.7

Other Meds: none

Current Illness: none

ID: 0935333
Sex: F
Age: 34
State: WI

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/11/2021
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Symptoms: About 10 minutes after vaccination, patient stated her left arm and fingers started burning and feeling warm. Burning sensation followed up to left side of face. Second dose of injection given on left side. Patient states she has a scratchy throat. Vitals taken at 1311: 98.9, 152/98, HR 80, 99% on room air. 50mg IM Benadryl given at 1312 in right deltoid. Laid patient down on stretcher. Patient also stated she developed cold like symptoms after her first Covid vaccine injection, and tested negative for Covid. Vitals rechecked again at 1322: 130/86, 99% on room air, pulse 75. Told patient to say for another 15 minutes in waiting room. Patient left at 1345. Patient stated the burning and warmness had gone away.

Other Meds:

Current Illness: Patient had cold like symptoms and was tested for covid following his first dose of the covid vaccine. Covid negative.

ID: 0935334
Sex: F
Age: 65
State: DC

Vax Date: 12/26/2020
Onset Date: 12/26/2020
Rec V Date: 01/11/2021
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Allergies: Byetta prefilled pen

Symptom List:

Symptoms: Swelling of face and hands beginning about 3-4 hours after vaccine shot and lasting about 24-48 hours

Other Meds: Zyrtec, amlodipine, insulin, metoprolol, valsartan/hctz, aspirin

Current Illness: None

ID: 0935335
Sex: M
Age: 64
State: KY

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/11/2021
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Allergies: N/A

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Symptoms: MODERNA INJECTION GIVEN TO PATIENT IN DRIVERS SIDE OF PATIENT CAR. INITIALLY BLED AND THEN BECAME SWOLLEN WITH A KNOT THE SIZE OF A DIME. AFTER 5 MINUTES SWELLING HAD INCREASED TO A SIZE SLIGHTLY LARGER THAN A HALF DOLLAR. AT 15 MINUTES SWELLING HAD NOT INCREASED AND PATIENT DENIED ANY OTHER SYMPTOMS. ICE OFFERED AND PT STATED HE WOULD PUT ICE ON IT WHEN HE WENT BACK TO THE OFFICE. INSTRUCTED PT TO GO TO ER IF THINGS WORSENED. PT RELEASED.

Other Meds: N/A

Current Illness: N/A

ID: 0935336
Sex: F
Age: 83
State: AZ

Vax Date: 01/01/2021
Onset Date: 01/01/2021
Rec V Date: 01/11/2021
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Symptoms: none

Other Meds:

Current Illness:

ID: 0935337
Sex: M
Age: 67
State: GA

Vax Date: 12/30/2020
Onset Date: 01/04/2021
Rec V Date: 01/11/2021
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Allergies: NONE

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Symptoms: patients symptom onset began on 1/4/2021 , 5 days after vaccine was administered symptoms include fatigue and mild cough.

Other Meds: COZAAR 1MG SERTRALINE 12.5 MG CRESTOR 10MGS

Current Illness: NONE

ID: 0935338
Sex: M
Age: 44
State: KS

Vax Date: 01/06/2021
Onset Date: 01/09/2021
Rec V Date: 01/11/2021
Hospital: Y

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Allergies: NKA

Symptom List:

Symptoms: Patient reported stroke-like symptoms as he was driving to work: started "feeling funny" with dizziness; progressed to feeling weakness in left side of face with facial drooping; tingling in left hand progressed to numbness and weakness in left arm and leg; difficultly coordinating motor movement in right arm; difficulty/ diminished speech "tongue felt fat." Symptoms resolved within appx 1+ hour from onset. Per patient, he was given an injection at the hospital (unsure for what?) and was discharged with a prescription for chlorthalidone 25mg daily, blood pressure was elevated.

Other Meds: None

Current Illness: None

ID: 0935339
Sex: F
Age: 42
State: NJ

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/11/2021
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Allergies: Penicillin, sulfa

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Symptoms: After receiving vaccine began to feel dizzy and lightheaded and sat in observation area and developed a diffused urticarial rash and was sent to ED. She also C/O of difficulty swallowing. Erythema B/L cheeks, Rash diffused B?L chest and behind left ear Patient given Benadryl 25 mg IV at 11:15, Pepcid 20 mg IV given 11:15, SOLU-MEDROL 125 given at 11:30 13:20 feeling much better and has fontal headache discharged home at 14:20

Other Meds:

Current Illness: N/A

ID: 0935340
Sex: F
Age: 71
State: WA

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/11/2021
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Symptoms: A medication error occurred. The patient was administered 0.8 cc of the Pfizer Vaccine. The patient was notified. The patient denied experiencing any adverse reactions 30 minutes post vaccination and again 3.5 hours post vaccination.

Other Meds:

Current Illness:

ID: 0935341
Sex: M
Age: 70
State: CO

Vax Date: 01/06/2021
Onset Date: 01/09/2021
Rec V Date: 01/11/2021
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Allergies: seafood

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Symptoms: difficulty breathing/shortness of breath/tightness in lungs starting 6PM of 1/8 and lasting until 1/11 at 7AM. No other asthma triggers present. I did ski 1/8/21 with no breathing difficulties andgiven presistent tightness I thought waiting in lift lines could have resulted in covid exposure. Continued breathing difficulty not responding to albuterol finally caused me to get a covid test 1/10/21, which was negative. Breahting returned to normal by moringing of 1/11/21.

Other Meds: dulera inhaler rapaflo dexilant

Current Illness: none

Total 2021 VAERS Injuries: 599,999

Page last modified: 03 October 2021 5:28pm