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
63,479
AK1,562
AL4,914
AR3,110
AS44
AZ12,730
CA54,886
CO10,464
CT7,347
DC1,568
DE1,561
FL33,514
FM3
GA12,508
GU74
HI2,078
IA4,130
ID2,361
IL18,091
IN22,023
KS4,061
KY6,276
LA4,395
MA13,121
MD11,272
ME2,858
MH8
MI16,697
MN10,689
MO8,360
MP30
MS2,487
MT2,035
NC14,437
ND1,184
NE2,562
NH2,717
NJ16,033
NM3,532
NV3,784
NY30,921
OH17,029
OK5,673
OR7,479
PA21,111
PR1,959
QM2
RI1,833
SC5,601
SD1,087
TN8,048
TX31,896
UT3,791
VA13,180
VI48
VT1,592
WA13,026
WI9,856
WV2,120
WY754
XB5
XL1
XV2

ID: 0936923
Sex: F
Age: 54
State: CO

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/12/2021
Hospital:

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

Lab Data:

Allergies: Milk Protein, Simvastatin, cold urticarial, Insect bite

Symptom List:

Symptoms: Symptoms: severe (high fever (101.6F), body ache, headache, shivering, lymphadenopathy) Treatment: Tylenol 325mg (650mg Q4hrs) followed by Naproxen 250mg (Q12hrs), lots of fluids and rest Time Course: 2 days

Other Meds: None

Current Illness: None

ID: 0936924
Sex: F
Age: 34
State: OH

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

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: Fever highest of 101.5 degrees F. Severe headache Body aches Mild diarrhea Mild nausea Chills/sweats Arm pain (injection site) Symptoms started early AM of 12/29/2020, fever broke early AM of 12/30/2020.

Other Meds: Junel birth control QD. Ibuprofen 800 PRN.

Current Illness: N/A

ID: 0936925
Sex: M
Age: 39
State: VA

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

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

Lab Data:

Allergies: Nuts

Symptom List:

Symptoms: R arm pain, fatigue, mild chills, wrist pain, insomnia

Other Meds: vitamin D

Current Illness: None

ID: 0936926
Sex: F
Age: 75
State: MO

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

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Patient complained of lymph nodes swelling up in her neck area

Other Meds:

Current Illness: none

ID: 0936928
Sex: M
Age: 46
State: AZ

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/12/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: really really bad nasuea and very very bad Fatigue

Other Meds: None

Current Illness: none

ID: 0936929
Sex: F
Age: 0
State: PA

Vax Date: 10/06/1955
Onset Date: 01/06/2021
Rec V Date: 01/12/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: left side of my face cheek numb.

Other Meds: amitriptylin 25mg i at nite. vitamin C, D, E.

Current Illness: none

ID: 0936930
Sex: M
Age: 41
State: MD

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/12/2021
Hospital:

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

Lab Data:

Allergies: Environmental allergies

Symptom List:

Symptoms: Frequent daily headaches Fatigue

Other Meds: cyclobenzaprine levocetirizine Lotrel optivar

Current Illness:

ID: 0936931
Sex: F
Age: 56
State: PA

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

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

Lab Data:

Allergies: penicillan/tetriciclyn, rasberries

Symptom List:

Symptoms: Dizzy, nauceous, headache, arms tingling, tops of legs tingling, bottom lip numb, cheeks numb 10 hours after injection. 5 days after injection; chills and major lower back pain.

Other Meds: Multi-vitamins, Vitamin C, Over the counter Allergy medicine (loratidine)

Current Illness: NONE

ID: 0936932
Sex: F
Age: 43
State: FL

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

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

Lab Data:

Allergies: None reported

Symptom List:

Symptoms: Client reported a high level of anxiety a few minutes after receiving the vaccine. EMT monitoring clients post vaccination responded to client and determined that vital signs were within the normal range. Client refused EMT transport to the emergency department for further evaluation. Client waited 30 minutes post vaccine with an EMT at her side and then determined that she was over the anxiety episode and was safe to leave vaccine site.

Other Meds: None reported

Current Illness: None reported

ID: 0936933
Sex: F
Age: 37
State: NY

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/12/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient stated following day they had warm body aches and temperature > 99F. Took apap and resolved.

Other Meds:

Current Illness:

ID: 0936934
Sex: F
Age: 33
State: KY

Vax Date: 12/23/2020
Onset Date: 01/04/2021
Rec V Date: 01/12/2021
Hospital:

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

Lab Data:

Allergies: None that I am aware of

Symptom List:

Symptoms: Received the 1st dose of the vaccine on Dec. 23rd. On the morning of Jan. 4th woke up and had a red ring around the injection site on my arm. The skin was slightly warm to the touch but no other symptoms. The red ring disappeared within 48 hours.

Other Meds: Synthroid, B12 vitamin, Women's multivitamin, Zoloft, and Nasonex

Current Illness: None

ID: 0936935
Sex: F
Age: 35
State: OK

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

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

Lab Data:

Allergies: Morphine

Symptom List:

Symptoms: aproximately 5 min after receiving the vaccine, client started c/o light headeness,dizziness, hot flashes,and a numb lip, cold and shivering. they started o2 at 4liters via nasal canula and gave her 2 Benadryl 25mg oral tabs. At 10:40 she said she felt better, not dizzy, lip not numb, and wasn't feeling cold. She said she would contact her pcp and let him know. She felt good enough to drive off.

Other Meds: none

Current Illness: none

ID: 0936936
Sex: F
Age: 32
State: FL

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

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

Lab Data:

Allergies: N/a

Symptom List:

Symptoms: Local site reaction/hive. Singular. Approx 1.5 inches diameter. No other hives noted.

Other Meds: MVI, ASA 325mg q day, folic acid 4mg q day, phentermine 30mg q day, hair/skin/nails vitamin, colace 100mg q day.

Current Illness: N/a

ID: 0936938
Sex: M
Age: 1
State: MI

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/12/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Varicella vaccine was administered 12/30/2020 and within 24 hours of vaccine patient started dragging left leg and favoring the right side. Prior to vaccination patient was able to crawl and walk a few steps without having to drag the left leg.

Other Meds: Poly-Vi-Sol

Current Illness: None

ID: 0936939
Sex: F
Age: 36
State: IN

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Malaise, aches, headache, nausea, fatigue

Other Meds:

Current Illness:

ID: 0936940
Sex: F
Age: 46
State: OH

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

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

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: Individual reported feeling like her tongue was swollen and it was becoming difficult to breathe. She was flushed. Denied shortness of breath. She stated she did have a "bad taste in my mouth." Administered 1mg Epinephrine and called 911. Within approximately 5 min. individual stated she was feeling better and felt like she could swallow better. Individual was taken to our local ER for further evaluation by EMS. Individual was able to walk, on her own to the stretcher.

Other Meds: none

Current Illness: None

ID: 0936941
Sex: F
Age: 41
State: OH

Vax Date: 01/05/2021
Onset Date: 01/07/2021
Rec V Date: 01/12/2021
Hospital:

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

Lab Data:

Allergies: PCN; Seasonal allergies

Symptom List:

Symptoms: - Pain and swelling of left armpit x 5 days (received the Moderna COVID-19 vaccination on 1/5/2021). No airway or ocular involvement; No acute anaphylaxis; No acute infection or lymphangitic streaking appreciated. Supportive measures were advised. May take counter Tylenol or Motrin, as needed, for pain relief. Continue to monitor symptoms. Monitor for signs and symptoms of secondary infection. - Patient also reported, on the evening of 1/5/2021, after receiving the vaccination, experienced acute chills and fatigue ? resolved by 16/2021.

Other Meds: Flonase; Buspar

Current Illness: None

ID: 0936942
Sex: F
Age: 48
State: VT

Vax Date: 01/04/2021
Onset Date: 01/11/2021
Rec V Date: 01/12/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Only red swollen area at injection site, noticed a week after injection. Mild itch

Other Meds: Fish oil, Vitamin D only

Current Illness: none

ID: 0936943
Sex: F
Age: 73
State: TX

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

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

Lab Data:

Allergies: Stating drugs cause bone pain

Symptom List:

Symptoms: Headache, dizziness, nausea, aches, chills, fever, sore arm

Other Meds: Acyclovir, Amlodipine, Atenolol, Montelukast, Levocetirizine, Losartan Multivitamin, Calcium, Glucosamine HCL, Vitamin C,

Current Illness: I had Covid . Tested positive December 1, 2020.

ID: 0936944
Sex: F
Age: 76
State: OH

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

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

Lab Data:

Allergies: Many , most antibiotics, Benadryl and antihistamines

Symptom List:

Symptoms: Client's care giver stated she was not as talkative following vaccination, was dizzy and lethargic (Client was in a wheelchair in her van in the 15 minute waiting area from the drive thru event) VSS and not recorded. No LOC for client. Due to extensive list of allergies, client was transported by EMS to ER.

Other Meds: Many

Current Illness: Unkown

ID: 0936945
Sex: F
Age: 30
State: KY

Vax Date: 12/28/2020
Onset Date: 01/09/2021
Rec V Date: 01/12/2021
Hospital:

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

Lab Data:

Allergies: PCN

Symptom List:

Symptoms: On day 12 post vaccine, my bilateral temporal area, bilateral jaw, and bilateral cheeks became painful, erythematous, edematous, and with palpable nodules where I had Sculptra placed back in April/July 2020. Contacted aesthetic APRN in regards to symptoms. Was advised etiology is likely infection resulting from Covid Vaccine. Was started on PO Clindamycin 300 mg TID x 14 days and Ciprofloxacin (unsure of dosage) x 14 days with follow-up in office at Aesthetic office on 1/16/2021.

Other Meds: Spironalactone 75 mg daily, Escitalopram 10 mg qhs, Vitamin D, Vitamin C, Fish oil

Current Illness: None

ID: 0936946
Sex: F
Age: 44
State: PA

Vax Date: 01/04/2021
Onset Date: 01/10/2021
Rec V Date: 01/12/2021
Hospital:

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

Lab Data:

Allergies: white fish allergy; seasonal/ environmental

Symptom List:

Symptoms: Hives on day 8 after receiving Moderna covid vaccine (1/12/21). From day 1-3, only had arm pain. Then developed a bruise and hematoma. Day 6 developed itching and redness. Currently I am 8 days out from the vaccine and have a large area of hives on my arm. The hives are red, itchy, and raised, and cover an area of about 6 inches around. I have used hydrocortisone ointment on the area which does not help much.

Other Meds: Claritin, multivitamin, vitamin D

Current Illness: mild common cold symptoms one month prior

ID: 0936947
Sex: M
Age: 41
State: MS

Vax Date: 01/01/2021
Onset Date: 01/03/2021
Rec V Date: 01/12/2021
Hospital:

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

Lab Data:

Allergies: no

Symptom List:

Symptoms: A few days later the lymph nodes on the right side of my neck swelled up. I went to my MD and they prescribed penicillin

Other Meds: no

Current Illness: no

ID: 0936948
Sex: F
Age: 41
State: CT

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

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

Lab Data:

Allergies: Zithromycin

Symptom List:

Symptoms: Started coughing at 8:20 thought just a dry throat. By 8:25 throat became itchy. Assessed by EMT. Benadryl 25 mg po given at 8:40 and manager called to take her from work due to Benadryl

Other Meds: Zyrtec

Current Illness:

ID: 0936949
Sex: F
Age: 35
State: NY

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: All started about 10:00pm the same night Headache - still have, advil takes it away for short periods of time Dizzy - still have Nausea - still have Extreme exhaustion - slept 20 hours the next day and then 16 the following day... still tired Pains in the chest when breathing and shortness of breath Pain at injection site (which was expected) - still sore 4 days later Starting about 2 days later: pain in left armpit region, feels harder too

Other Meds: Rizatriptan Benzoate (maxalt) 10mg (as needed for migraines) Butalab-acetamin-caff 50-325-40 (as needed for migraines) Gabapentin 600mg (night time only) Flonase (2 sprays per nostril in morning) MONTELUKAST SOD 10 MG Depo-provera (birth co

Current Illness: Issues with breathing and pains in the chest - working with the doctor on this

ID: 0936950
Sex: F
Age: 54
State: OK

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

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

Lab Data:

Allergies: No

Symptom List:

Symptoms: I had four visual migraines followed by a migraine headache and my PCP prescribed me some meds that helped. A little soreness at the injection site nothing extraordinary. I had the vax on a Monday and the last migraine I had was maybe on Friday the same week. I received the second dose yesterday and now I have a headache, low grade fever (99.9F about 8AM this morning) and body aches. Just treating myself at home. The headaches I have now are different, in a difference place in my head, they are lighter, it feels more like the headache you have when you have fhe flu.

Other Meds: Lexapro, livotiroxin, claritin

Current Illness: No

ID: 0936951
Sex: F
Age: 45
State: MD

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

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

Lab Data:

Allergies: HX of allergic reactions

Symptom List:

Symptoms: Pt hypertensive response. BP 148/99, HR 109.

Other Meds:

Current Illness:

ID: 0936952
Sex: F
Age: 17
State: KS

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

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Patient's mother reports that her right arm swelled up 2 days after receiving the vaccines. She has been using ice/heat throughout the day. I recommended benadryl and to continue ice, monitor arm for worsening changes and report to me. Patient's mother stated she understood.

Other Meds: allegra, macrobid, metronidazole

Current Illness: none

ID: 0936953
Sex: F
Age: 54
State: AZ

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

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

Lab Data:

Allergies: n/a

Symptom List:

Symptoms: woke up next morning body aches headache sneezing and running nose

Other Meds: n/a

Current Illness: n/a

ID: 0936954
Sex: M
Age: 26
State: WI

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

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

Lab Data:

Allergies: Sulfa Drugs

Symptom List:

Symptoms: Bilateral arm rash within 15 minutes of giving Moderna Covid-19 vaccine. Patient was observed for 60 minutes . Patient given 25 mg of diphenhydramine and had no further events

Other Meds:

Current Illness:

ID: 0936955
Sex: F
Age: 39
State: OH

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/12/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: day after injection (1/5) extreme fatigue, worst of it was 1/5 but symptoms lingered for several day with significant improvement after day 2 and smaller amounts of improvement in following days. Also, day after injection (1/5) had pain at injection sight that lasted 4 days,. On day 7, I had swelling and redness at injection site that was circular and was about 3 inches high, 3 inches wide with no noticable pain only slight discomfort, redness and swelling has not subsided at time of this entry

Other Meds: mutli-vitamin (centrum)

Current Illness: none

ID: 0936956
Sex: M
Age: 43
State: NJ

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

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

Lab Data:

Allergies: Saison Yeast

Symptom List:

Symptoms: Extreme head ache and Fatigue during third day. Advil seem to reduce pain.

Other Meds: Multi Vitamin, Vitamin D, C, and Zinc

Current Illness: none

ID: 0936957
Sex: F
Age: 60
State: CA

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

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

Lab Data:

Allergies: Demerol

Symptom List:

Symptoms: Discomfort in throat caused coughing which then led to Bronchospasm. Patient used own Albuterol Inhaler for 3-4 inhalations. Given Epinephrine, Benadryl, Solu-Medrol IM injections administered. 2L O2 via NC applied. Elevated BP and HR noted. Patient transported to ER. Duo-Neb nebulizer treatment provided. Bronchospasm and Wheezing subsided after approximately 45 minutes. Patient discharged hone with Prednisone and EPI pen prescriptions.

Other Meds:

Current Illness:

ID: 0936958
Sex: M
Age: 40
State: IN

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Migraine 26 hrs after shot, Nausea 20 hrs after shot

Other Meds: Tylenol

Current Illness: None

ID: 0936959
Sex: F
Age: 59
State: OH

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

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

Lab Data:

Allergies: Sulsa

Symptom List:

Symptoms: After I got the vaccine, i didnt get any immediate reaction. Started to ache on the 9th, next day. Then I got a little nausea at one point on the 10th. Yesterday in the morning, I had diarrea after I ate. After lunch, 2:30 pm , I started getting stomach cramps, which progressed from 3:00 into the evening to be pretty much unbearable to about 8:00pm. Then I broke out into a sweat, I got very hot and needed to be wipe down with a cold towels. I took my temp, but it registered as low (may not be right ). I had to lay in a fetal position to go to sleep. Awoke at 3: 30 with same symptoms. woke back up at 4 with mild cramping, and it felt like food poisoning. I am still having mild cramping and nausea.

Other Meds: Fish Oil, Multivitamin, Gluclosamine, Vitamin C, Elderberry, Potassium, Calcium, Triamterene, Lisinopril

Current Illness: No

ID: 0936960
Sex: F
Age: 52
State: TX

Vax Date: 12/23/2020
Onset Date: 12/24/2020
Rec V Date: 01/12/2021
Hospital:

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

Lab Data:

Allergies: Sulfa drugs

Symptom List:

Symptoms: My arm started hurting and became exhausted. I tested positive for COVID-19. I had low grade fever. I starting to have headache. I had very love oxygen level. The ache and chills I feel. I didn't lose my taste or smell but did not want to eat.

Other Meds: Vitamin C Multi Vitamin Vitamin B Zinc

Current Illness: None

ID: 0936961
Sex: M
Age: 29
State: NC

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/12/2021
Hospital:

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Allergies: NO allergy history

Symptom List:

Symptoms: Syncopal event following vaccination including head trauma, followed by fevers, rigors, myalgias and tachycardia and dehydration requiring ER visit with administration of IV fluids

Other Meds: No medications

Current Illness: No prior illnesses in one month prior

ID: 0936962
Sex: M
Age: 61
State: PA

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/12/2021
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Allergies: unknow

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Symptoms: Reports feeling of chills, debilitating headache, muscle aches. No fever. Tylenol does not help. Unable to get out of bed.

Other Meds: unknown

Current Illness: Covid-19 within one month of vaccination

ID: 0936963
Sex: F
Age: 56
State: PA

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/12/2021
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Allergies: Penicilan, Tetricyclyn, rasberries.

Symptom List:

Symptoms: Dizzy, nauceous, headache, upper arms tingling, lower lip numb, cheeks numb, upper legs tingling within 10 hours after injection. 5 days after injection resulted in massive lower back pain and chills.

Other Meds: Multi vitamin, Vitamin C and over the counter Allergy (Loratidine).

Current Illness: None

ID: 0936964
Sex: F
Age: 32
State: IN

Vax Date: 01/10/2021
Onset Date: 01/10/2021
Rec V Date: 01/12/2021
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Allergies: Ceclor

Symptom List:

Symptoms: Nausea, headache, itching, body aches.

Other Meds: Empresses Ativan Wellbutrin Equate 24 hour allergy Nexium

Current Illness: None

ID: 0936965
Sex: M
Age: 47
State: WV

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/12/2021
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Allergies: Honey bees, wasps bee stings

Symptom List:

Symptoms: Pt developed left flank pain the day after receiving the vaccination. Workup for kidney stone was negative. Was seen by PCP on 1-11-21 and was given diagnosis of probable shingles due to type and nature of pain. No rash is present. Also lymphadenopathy of left axillary lymph nodes. Was prescribed medication for pain only.

Other Meds: Fish Oil, Zyrtec, Multivitamin, statin medication (unknown specific medication)

Current Illness: None

ID: 0936966
Sex: F
Age: 59
State: OH

Vax Date: 12/29/2020
Onset Date: 01/12/2021
Rec V Date: 01/12/2021
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Allergies: No

Symptom List:

Symptoms: Two weeks after given the vaccine the injection site became raised, warm to touch, itched, and burned

Other Meds:

Current Illness: No

ID: 0936967
Sex: F
Age: 31
State: FL

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/12/2021
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Allergies: Tamiflu

Symptom List:

Symptoms: Approximately 15 minutes post vaccine being given, she complained of dizziness. "Like a fish bowl effect." She was placed on vs monitor. BP 151/103, HR 80, O2sat 99%. 11:25am She stated she was feeling better. BP 141/94, HR 75, O2 sat 100%, 11:35am She stood up from chair, stated dizziness was gone. BP 148/82, HR 77, O2 sat 100%. She remained alert and oriented x3. She left vaccine clinic ambulatory with steady gait. 3:25pm She came back to vaccine clinic ambulatory, c/o feeling shaky, dizzy, warm, flushed, general malaise, jittery. Her vs were monitored 136/100, 93, O2 sat 100%. 3:45pm She was transported to Emergency Department via wheel chair. She remained alert and oriented x3. VS upon leaving vaccine clinic, 159/106, 80, O2sat 99%. 1/5/21 Followed up with her via phone conversation. She stated her BP was ok in the Emergency Department. They were unable to get blood work from her. She was work on 1/5/21.

Other Meds: Synthroid, Cymbalta, Zyrtec, Birth Control Pills

Current Illness: None

ID: 0936968
Sex: F
Age: 59
State: IN

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/12/2021
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Allergies: Nuts Celebrex Cats

Symptom List:

Symptoms: Arm aching Fatigue Minor hives for three days Treated with Zyrtec and Benedryl

Other Meds: None

Current Illness: None

ID: 0936969
Sex: F
Age: 40
State: TN

Vax Date: 01/07/2021
Onset Date: 01/09/2021
Rec V Date: 01/12/2021
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Allergies: Sulfa, mango skin, lavender

Symptom List:

Symptoms: Spots on feet

Other Meds: Synthroid, birth control, calcium lactate, magnesium, herbal tea blend from herbalist (slippery elm, dandelion, etc)

Current Illness: None

ID: 0936970
Sex: F
Age: 44
State: NH

Vax Date: 01/02/2021
Onset Date: 01/11/2021
Rec V Date: 01/12/2021
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Allergies: NKDA

Symptom List:

Symptoms: Erythema inferior to injection site 11x6cm initially noticed 9 days after vaccine

Other Meds: Vitamin D

Current Illness: COVID like symptoms

ID: 0936971
Sex: F
Age: 52
State: TX

Vax Date: 12/23/2020
Onset Date: 12/24/2020
Rec V Date: 01/12/2021
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Allergies: Sulfa Drugs

Symptom List:

Symptoms: My left arm begin to start aching and I felt exhausted. I had low grade fever. I still had my taste and smell but could eat.

Other Meds: Vitamin C Vitamin B Multi Vitamin Zinc

Current Illness: None

ID: 0936972
Sex: F
Age: 24
State: MA

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/12/2021
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Symptoms: Rapid heart rate - evaluated by EMS - HR returned to normal after 5 minutes observation

Other Meds:

Current Illness: None

ID: 0936973
Sex: F
Age: 47
State: MO

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/12/2021
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Symptoms: Pain in arm to the point patient states they are unable to lift the arm. Patient instructed to follow up with PCP to have arm visualized and treated if necessary.

Other Meds:

Current Illness:

ID: 0936974
Sex: F
Age: 47
State: GA

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/12/2021
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Allergies: NKDA

Symptom List:

Symptoms: less than 24 hours have the vaccine, I experienced severe muscle aches, brain fog could not concentrate, mild nausea and headaches. Severe for 12 hours, less severe up until next day. Resolved around 24 hours or less, by the time I got up the next day.

Other Meds: Levothyroxine Pepcid Allegra

Current Illness: None

Total 2021 VAERS Injuries: 559,999

Page last modified: 03 October 2021 5:28pm