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: 0937109
Sex: F
Age: 53
State: OH

Vax Date: 01/04/2021
Onset Date: 01/08/2021
Rec V Date: 01/12/2021
Hospital:

Vax Type:
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Vax Site:

Lab Data:

Allergies: Zoloft

Symptom List:

Symptoms: Very large, very tender axillary lymph node under right arm. Some soreness began day after injection but swelling and increased soreness began 4 days after injection and persists 8 days after injection

Other Meds: none

Current Illness: None

ID: 0937110
Sex: F
Age: 35
State: PA

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

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: 1/9/21 no pain and no red mark 1/10/21 ? perfect red circle where vaccine was given with pain, hot ? unable to wear sleeve over spot, difficult to sleep, and could feel it even when breathing 1/11/21 ? marked vaccine area with pen line ? see picture below. Shoulder tender with movement above 90degrees 1/12/21 ? redness is spreading outside of pen more medially, slightly laterally ? shoulder tenderness is still the same level

Other Meds:

Current Illness:

ID: 0937111
Sex: F
Age: 23
State: ME

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

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: 10 days post vaccination, injection site became itchy. Patient noticed the site to be red and swollen.

Other Meds:

Current Illness:

ID: 0937112
Sex: F
Age: 47
State: MT

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

Vax Type:
Manufacturer:
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Lot:
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Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Tested COVID+ on 01/08/2021

Other Meds:

Current Illness:

ID: 0937113
Sex: F
Age: 32
State: NY

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

Vax Type:
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Vax Site:

Lab Data:

Allergies: Duraprep

Symptom List:

Symptoms: Pain at injection site for 2 days following vaccine but this resolved. No other issues until red rash site reaction 2 weeks after injection. Slight warmth, no other symptoms.

Other Meds: Mirena, Levothyroxine, prenatal vitamin, vitamin D3

Current Illness: None

ID: 0937114
Sex: F
Age: 42
State: GA

Vax Date: 12/29/2020
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: Allergy to Sulfa

Symptom List:

Symptoms: Within approximately 20 minutes of receiving the vaccine, numbness and tingling was felt in the face, burning of the eyes, and a metallic taste was noticed in the mouth. However, all of these sensations went away on their own within five minutes of onset, without any intervention.

Other Meds: Zyrtec once a day, Baby Aspirin, once a day

Current Illness: None

ID: 0937116
Sex: F
Age: 53
State: NJ

Vax Date: 01/05/2021
Onset Date: 01/09/2021
Rec V Date: 01/12/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: None

Symptom List:

Symptoms: Developed over all body rash on 1/9/2021

Other Meds: Lisinopril/HCTZ Allegra Singular Flonase ASA 81 Fish oil Probiotic

Current Illness: None

ID: 0937117
Sex: F
Age: 47
State: IL

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

Vax Type:
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Lab Data:

Allergies: none

Symptom List:

Symptoms: Chills, body aches, feeling warm( normal temp), fast heart rate, headache unable to sleep. 12 hours after receiving vaccine. sypmtoms lasted x 3 hrs. with Tylenol

Other Meds: Amlodipine Fish oil MVI Vit. D Vit.C

Current Illness: none

ID: 0937118
Sex: M
Age: 50
State: TX

Vax Date: 01/09/2021
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: N/A

Symptom List:

Symptoms: For Vaccine Pfizer-BioNTech COVID-19 Vaccine: I'm experiencing extreme tiredness, light headed and dizziness, body aches especially on my back, loss of appetite, chills and a mild fever. Have rested for 2 days in bed and no change in the tiredness.

Other Meds: Metformin Fish Oil Glipizide Allopunol Algo.. for diabetes Vitamin D

Current Illness: None

ID: 0937119
Sex: F
Age: 60
State: MN

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

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Patient had low grade fever of 99.1, myalgia and local injection site discomfort 3/10 pain.

Other Meds:

Current Illness:

ID: 0937120
Sex: F
Age: 32
State: MA

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

Vax Type:
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Lab Data:

Allergies: Gabapentin (dystonia) Gluten (autoimmune) Miconazole (Rash/Hives)

Symptom List:

Symptoms: Pain to injection site from 8-hrs and resolved 48 hrs after the injection. Slight itching to puncture site for 3 days yesterday 1/11/21 onset of Swollen Lymph node to the L axilla and under the L clavicle bone , same side as the injection site. They are both visibly swollen and tender. Ongoing today.

Other Meds: none

Current Illness: none

ID: 0937121
Sex: M
Age: 35
State: WI

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

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Lab Data:

Allergies:

Symptom List:

Symptoms: Client vaccinated and 7:15pm on 1/7/21. Symptoms began 06:00 on 1/8/21. Symptoms included severe chills, nausea, dry heaving, temp 102.4, severe joint pain, shortness of breath, headache, fatigue. Client alternated between Tylenol and ibuprofen.

Other Meds: Vit D, Vit C, B Complex, multi Vit, antacids

Current Illness:

ID: 0937122
Sex: F
Age: 43
State: TX

Vax Date: 01/08/2012
Onset Date: 01/09/2012
Rec V Date: 01/12/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: none

Symptom List:

Symptoms: Ran fever of 102. Extreme chills and body aches. Lasted 2 days. Injection site is very warm, red, bruised, swollen and sore.

Other Meds: Levothyroxin Sumatriptan Lexapro Evista

Current Illness: none

ID: 0937123
Sex: F
Age: 57
State: GA

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

Vax Type:
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Lab Data:

Allergies: None

Symptom List:

Symptoms: I received the first injection on 1/4/2021 and had some normal soreness but, it was totally gone in 2 days. On the evening of day 7 (1/11/2021) I developed an red area at the injections site about 8inches by 4inches. The area is hot to the touch and a bit swollen.

Other Meds: Synthroid 88mcg QD Hematrope 1.5 sq injection QD Calcium 1,000 MG QD Vit D 125mg QD

Current Illness: None

ID: 0937124
Sex: F
Age: 65
State:

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

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Patient reported aches and nausea. Patient has taken ibuprofen and tylenol at home. No signs or symptoms of allergic reaction (redness,swelling, prophylaxis)

Other Meds:

Current Illness:

ID: 0937125
Sex: M
Age: 34
State: FL

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

Vax Type:
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Lab Data:

Allergies: Med record shows patient has a PCN allergy, unknown reaction in his youth No food allergies reported

Symptom List:

Symptoms: Pt took "T4" pre-workout approx. an 75min prior to vaccine, during that time he worked out/exercised without issue and arrived for his vaccine approx. 15min after completion of his workout. Following his initial vaccination at approx. 530pm, the patient (EMT) walked back to the ambulance in which he was working and bypassed the observation area. He reports approx. 20min later he began experiencing the sensation that his throat was swelling and immediately began dry heaving. He returned inside and was tachycardic on monitoring and shivering. The patient never lost his ability to breath during his time at the vaccination clinic but ultimately received a single dose of IM Epinephrine, Zytec 10mg, and Benadryl (unknown dose) and transported by ambulance to the local ER. no rashes were observed at the time of intial onset through the time of transport (approx. 20min)

Other Meds: Pt took "T4" pre-workout approx. an 75min prior to vaccine, during that time he worked out/exercised without issue and arrived for his vaccine approx. 15min after completion of his workout. Pt prescribed Valtrex prn, no other medication

Current Illness: None reported

ID: 0937126
Sex: F
Age: 53
State: CO

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

Vax Type:
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Lab Data:

Allergies: Wellbutrin bananas latex

Symptom List:

Symptoms: I have a red silver dollar sized hard lump that is red and warm

Other Meds: Synthroid 88mcg daily tamoxifen 20mg daily Vit D1000iu

Current Illness:

Date Died: 01/04/2021

ID: 0937127
Sex: M
Age: 91
State: AR

Vax Date: 12/22/2020
Onset Date: 12/28/2020
Rec V Date: 01/12/2021
Hospital:

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Lab Data:

Allergies: None

Symptom List:

Symptoms: The facility had positive cases of COVID when we were able to begin vaccinating residents. Within about a week of vaccination, patient was tested positive for COVID. He was 91 years old and his immune system did not have the time to allow the vaccine to begin working before exposure. His age was a major contributing factor to his death.

Other Meds: Mirtazapine, Fentanyl Patch,

Current Illness: Chronic pain

ID: 0937128
Sex: F
Age: 68
State: FL

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

Vax Type:
Manufacturer:
Vax Name:
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Vax Site:

Lab Data:

Allergies: No

Symptom List:

Symptoms: MODERNA COVID-19 Vaccine EUA I took the vaccine on Monday Jan 4 at around 9 AM. During the day only pain in the left arm. On Tuesday I felt tired all day long. At 7 PM, I took a Coke inside the fridge and I noticed and told my husband I was not feeling well. I put the coke in the glass, after I took the glass in my hand and then I fainted. Never in my life I have fainted before. I hit my head in the floor. Now I have some bruise in my face, mainly around my left eye. Feeling a little dizzy, I am in quarantine I and my husband are staying home all the time. I have my doctor scheduled for next Thursday.

Other Meds: Ezetimibe 10 mg; Atenolol 2,5 mg; Atorvastatin 10 mg, Vitamin D and Aspirin low dose 81 mg

Current Illness: No

ID: 0937129
Sex: F
Age: 21
State: NY

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

Vax Type:
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Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: Injection given at 11:35am on 1/7/21 in arm- pt went to sit in chair in waiting area- at 11:40 she was seen to bee breathing heavy and pale. She has a history of anxiety BP 90/55 and pulse thready unable to obtain full pulse. She was talking and conscious. Tried to slow breathing she did have stiff cramping fingers due to the hyperventilation. We had her re-breath into a paper box and her cramping of hands and breath improved. She was given juice and BP at 11:50am was 100/60 pulse 80 and not thready. Color improved. She walked out of the clinic feeling better with her mother.

Other Meds: Zoloft

Current Illness: Anxiety

ID: 0937130
Sex: F
Age: 57
State: VA

Vax Date: 01/09/2021
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: NKDA

Symptom List:

Symptoms: Patient experienced low grade fever of 99.7 degrees, body aches, headaches, fatigue, and severe arm soreness. She reports an orange size red area on her left arm and an avocado size hard spot around the injection site.

Other Meds: Trazodone 100mg, Gabapentin 800mg, Cyclobenzaprine 5mg, Oxycodone 15mg

Current Illness: N/A

ID: 0937131
Sex: F
Age: 83
State: TX

Vax Date: 01/06/2021
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: levofloxacin, amoxicillin-clavulanate, sulfamethoxazole, minocyclin, milk products.

Symptom List:

Symptoms: On phone follow-up after vaccine patient noted that she fainted and vomited ~1.5 days after vaccine. Event occurred in the public. EMS was called but patient declined transport to ER facility. Patient said she felt fine after event and no further issues after episode. Patient has had no further follow-up with another health care provider for event.

Other Meds: Ramipril, pravastatin, synthroid, fluticasone, meloxicam, niacin, calcium carbonate, ibandronate, Aspirin, multivitamin

Current Illness:

ID: 0937132
Sex: M
Age: 49
State: KY

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

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

Lab Data:

Allergies: Erythromycin

Symptom List:

Symptoms: Nausea and vomiting. Started about 14 hours after vaccine. Lasted about 8 hours. Fatigue the following day but not sure if secondary to promethazine or being up all night. Maximum temp was 99.4 orally

Other Meds: Lisinopril-hctz

Current Illness: None

ID: 0937133
Sex: F
Age: 36
State: MA

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: Shell fish - Angioedema

Symptom List:

Symptoms: patient complained of severe arm burning upon vaccine administration

Other Meds: cetirizine (ZYRTEC) 10 MG tablet gabapentin (NEURONTIN) 100 MG capsule gabapentin (NEURONTIN) 300 mg capsule hydrOXYzine (ATARAX) 25 mg tablet NIKKI, 28, 3-0.02 mg per tablet

Current Illness:

ID: 0937135
Sex: F
Age: 26
State: SD

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: Penicillin Erythromycin Suprax

Symptom List:

Symptoms: Sore arm at injection site-starting in afternoon after injection, day after injection Flu-like symptoms including muscle aches and chills - starting 8pm-12am day of injection

Other Meds: Prenatal Norestridone birth control Vit D 2,000units Magnesium 400mg Conjugated Estrogen 1g

Current Illness: None

ID: 0937137
Sex: F
Age: 76
State: LA

Vax Date: 01/09/2021
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: N/A

Symptom List:

Symptoms: 3:45 AM awoke with dizziness and loss of balance. 4:57AM awoke again with more intense dizziness and loss of balance; stubbled, fell in bathroom. Symptoms have persisted of state of drunkenness' when walking and head is feeling "weird".

Other Meds: Metformin 5 mg, Glipizide, Losartan 100mg, amlodipine 10mg, Pantoprazole 40mg, l- lysine 500mg, rejuvboost cbd 300mg , centrum silver multivitamin, Caltrate b3, turmeric

Current Illness: N/A

ID: 0937138
Sex: F
Age: 63
State: NY

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

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

Lab Data:

Allergies: Tetracycline

Symptom List:

Symptoms: Second day after shot , feverish chills and uncontrollable blood sugars ( over 300) no matter how much consul in I toll very difficult to get a normal baseline number. Fever was as hig as 102.7two days after injection, and returns in night to 101. Chills, achy.

Other Meds: Insulin ( Humalong) , cymbalta, rosuvastatin,olmesa

Current Illness: Type 1 diabetes

ID: 0937139
Sex: F
Age: 43
State: PA

Vax Date: 12/28/2020
Onset Date: 12/28/2020
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: Pain under left foot. Then it went to the right side. 2nd day it was severe. Today it is a mild feeling but it is still there on the right side.

Other Meds: no

Current Illness: no

ID: 0937140
Sex: F
Age: 42
State: GA

Vax Date: 12/29/2020
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: Sulfa

Symptom List:

Symptoms: Began running a temp of 99.8 degrees on the evening of 01/01/21. (Thermometer is accurate. My employer requires us to take our temps twice a day every day since mid-March. I have not run a fever since mid-March prior to 01/01/21, nor have I run one since. The temp was also checked four times prior to taking Tylenol to make sure the reading was not in error.) Tylenol was taken. The fever went away and never came back again. No other medical intervention was needed other than Tylenol.

Other Meds: Zyrtec once a day, Baby Aspirin once a day

Current Illness: None

ID: 0937142
Sex: F
Age: 58
State: WV

Vax Date: 12/19/2020
Onset Date: 12/22/2020
Rec V Date: 01/12/2021
Hospital:

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

Lab Data:

Allergies: Oxycontin, Penicillin

Symptom List:

Symptoms: Vaccine Adverse Event Reporting System, I received the first Pfizer Vaccine (EH9899) on 12/19/20. A few days later, I felt like my head, on the side of my right ear, had a great deal of pressure in it and it felt "funny " but it did not really hurt. It was uncomfortable and distracting. I waited to see if it would go away. I noticed my hearing was decreased . On 01/06/20 when I woke up, my hearing was completely gone in my right ear. I could hear nothing out of that ear. I had a noise in my head. Just a loud roaring noise. I had severe vertigo and could not walk across the room. I describe this as I felt like I was on a merry-go-round and someone was spinning me really fast. (continue) Additional information for Item 18: Vaccine Adverse Event Reporting System, continued: I also experienced severe vomiting and could not stop. My husband took me to the doctor. Since I could not get in to my regular doctor that day, we went to an ear doctor I had visited a couple of years ago because that was the only person I could find to see me on short notice. I had regular hearing test in the past and my hearing was normal last time he checked it. After doing a hearing test, he verified my Hearing was severely decreased in my right ear. I explained to him, I also feel "foggy" and I have problems concentrating, was having vertigo, and vomiting. I am not sure if that is because of the constant sound in my ear that distracts me but it is a definite problem and interferes with my work. I cannot concentrate. He started me on Steroids (Prednisone) 60 mg a day for 7 days, then 40 mg for 3 days, then 20 mg for three days, Antivert 12.5 mg three times a day as needed, and Zofran for the vomiting if I needed that. I have not experienced anymore vomiting and the Vertigo has been very limited. Mostly when I lay down now instead of when I stand up. My blood pressure has also been slightly elevated, but it could be from the Steroids. I was scheduled to take the 2nd Pfizer Vaccine on 01/09/21. Since I was receiving the high doses of Steroids, I was concerned that the vaccine would not be effective or may interact with the steroids so I went to my family doctor 01/08/21, for a visit. He said he would check and let me know if it was contraindicated for me to take the Vaccine on high doses of steroids. When I did not hear from him, because I had to take the vaccine the next day, I called the Pharmacy and talked to someone there and they told me the agency was still recommending you take the Vaccine even if you are on the steroids. I received the second Pfizer Vaccine on 01/09/21. My hearing is now coming and going but I can hardly hear anything out of that right ear. . There is a constant noise, like a roaring, in my head and I still have problems concentrating. I have had no more vomiting and my vertigo has hot been as severe but I have experienced some at times. I reported to the Pharmacy the day I received my vaccine, 01/09/21, about the things I had experienced this since my first vaccine. They took my information and said they would call me but today is 01/12/21 and I have not heard from them yet so I thought I would go ahead and report this. I am concerned this was an adverse reaction to the vaccine. I return to the doctor 01/20/21 for a repeat hearing exam. The Doctor expressed this condition could be a permanent and disabling issue but currently being treated and will follow up with more testing. I am also concerned about how the second vaccine affected me because I was receiving the high doses of Steroids at the time I received it. I am sending this from a work email so if you reply, please reply to personal email.

Other Meds: Calcium with VitaminD QD, Crestor 10 MG QD, ASA 325 mg QD

Current Illness: none

ID: 0937143
Sex: F
Age: 51
State: OH

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: Sulfa

Symptom List:

Symptoms: $ hours after vaccie area became very swollen, hard and red. Pt also felt extremely tired and achey of the next few days.

Other Meds: Levothyroxine

Current Illness: none

ID: 0937144
Sex: F
Age: 33
State: OH

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/12/2021
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Lab Data:

Allergies: Pertussis vaccine and Augmentin.

Symptom List:

Symptoms: Body/joint pain, nausea, vomiting, headache, and chills/hot flashes.

Other Meds:

Current Illness:

ID: 0937146
Sex: M
Age: 22
State: NH

Vax Date: 12/31/2020
Onset Date: 01/12/2021
Rec V Date: 01/12/2021
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Lab Data:

Allergies: Augmentin

Symptom List:

Symptoms: Erythema, Circular Rash, Warmth.

Other Meds: Paxil, Wellbutrin

Current Illness: None

ID: 0937147
Sex: M
Age: 49
State: NC

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/12/2021
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Lab Data:

Allergies: Penicillin, Imdur

Symptom List:

Symptoms: Mold/moderate wheeze and chest tightness. Onset ~20 min after administration. Lasted 30-45 minutes.

Other Meds: Amlodipine, spironolactone, chlorthalidone, Advair

Current Illness: None

ID: 0937148
Sex: F
Age: 35
State: NY

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

Symptom List:

Symptoms: dizziness post injection

Other Meds:

Current Illness:

ID: 0937149
Sex: F
Age: 66
State: GA

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

Allergies: scallops

Symptom List:

Symptoms: onset of severe headache, chills, nausea, fever to 101.5 and chest tightness (pulse ox dropped to 92% requiring treatment with albuterol several times during the day. Inset of symptoms occurred approximately 16 hours after vaccination. Fever and other symptoms began subsiding approximately 24-28 hours after vaccination.

Other Meds: Ritalin 20 mg BID, Astilin Nasal Spray BID, Flonase BID, Abuterol prn

Current Illness: None

ID: 0937150
Sex: M
Age: 58
State: AZ

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/12/2021
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Lab Data:

Allergies: penicillin

Symptom List:

Symptoms: None stated.

Other Meds: no

Current Illness: no

Date Died: 01/11/2021

ID: 0937152
Sex: F
Age: 91
State: AR

Vax Date: 12/22/2020
Onset Date: 12/24/2020
Rec V Date: 01/12/2021
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Allergies: None

Symptom List:

Symptoms: The facility had positive cases for COVID 19 when the vaccine was received and administered to patient. With her advanced age and chronic conditions, she did not have time to build immunity between the time of vaccination and her testing positive.

Other Meds: Metoprolol, Cephalexin, Brimonidine, Donepezil, Losartan, Latanoprost, Timolol

Current Illness: High blood pressure, pain, eye issues

ID: 0937153
Sex: F
Age: 29
State: TX

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

Symptom List:

Symptoms: Headache-Tylenol /onset 10 hours after Pain at injection site-onset 10 hours after Fatigue-onset 10 hours after Left side Lymph node pain-onset morning after Joint pain-onset 10 hours after Body aches-onset 10 hours after

Other Meds: Solar Ray High Energy Multivitamin, Now Vitamin D3 2000 IU, The Vitamin Shoppe L-Theanine 100 MG, Desvenlafaxine 100 mg, Adderall 10mg

Current Illness:

ID: 0937154
Sex: F
Age: 58
State: ME

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

Allergies: sulfa, latex, wool

Symptom List:

Symptoms: 99 fever, dizzy, nauseous, body aches and pain, headaches, diarrhea. Took Ibuprofen

Other Meds: Euthyrox, Ventolin inhaler as needed, multivitamins, Zyrtec

Current Illness: n/a

ID: 0937155
Sex: M
Age: 34
State: IL

Vax Date: 01/09/2021
Onset Date: 01/09/2021
Rec V Date: 01/12/2021
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Lab Data:

Allergies: N/A

Symptom List:

Symptoms: Nausea, body aches, consistent headache, stomach pains

Other Meds: N/A

Current Illness: N/A

ID: 0937156
Sex: F
Age: 35
State: OH

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/12/2021
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Lab Data:

Allergies: Ciprofloxacine (rash)

Symptom List:

Symptoms: 09:57AM Developed nausea, lightheadedness, dizziness at this time. Offered Pt. water. Monitored for 30 min. Observed injection site: no rash or hives noted. BP 124/80. Pt stated she feels better at time of discharge and dizziness and nausea subsided.

Other Meds: Pristiq, Ativan, Welbutrin, Diclofenac, cyclobenzaprine, L-Methylfolate, Vit. D3, Vit. B12, Nova Ring

Current Illness:

ID: 0937158
Sex: F
Age: 83
State: TX

Vax Date: 01/06/2021
Onset Date: 01/08/2021
Rec V Date: 01/12/2021
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Lab Data:

Allergies: levofloxacin, sulfamethoxazole, amoxicillin-clavulanate, milk, minocycline

Symptom List:

Symptoms: Patient on phone call follow-up noted that she fainted and vomited about ~1.5 days after vaccine administration. Patient was in a public area and EMS was called. Patient noted she felt fine after event and refused transport to another facility. No other issues noted after this episode per patient.

Other Meds: MVI, ASA, ibrandronate, ramipril, calcium carbonate, niacin, meloxicam, fluticasone, pravastatin, synthroid,

Current Illness:

ID: 0937159
Sex: F
Age: 22
State: TN

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

Allergies: unknown

Symptom List:

Symptoms: Fever of 101.3, headache

Other Meds: Zertec

Current Illness: none

ID: 0937161
Sex: F
Age: 42
State: MN

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/12/2021
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Lab Data:

Allergies: Nuts, contrast dye, methylprednisolone

Symptom List:

Symptoms: Itchy face, head, back; no rash Administered 25mg diphenhydramine (po) Itching resided

Other Meds: N/A

Current Illness: Diabetes

ID: 0937162
Sex: F
Age: 27
State: PA

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/12/2021
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Lab Data:

Allergies: DENIES

Symptom List:

Symptoms: patient states that she received vaccine on 11/11/21 at 10 am and symptoms started on n11/11/21 at 11 pm and included: fever of 100.4 degrees Fahrenheit-relieved with tylenol, headache, body/muscle aches, chills, sore throat

Other Meds: DENIES

Current Illness: DENIES

ID: 0937163
Sex: F
Age: 40
State: IL

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

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Lab Data:

Allergies: sulfa

Symptom List:

Symptoms: Headache unable to improve with medication, body aches, fever up to 101, 3.5" nodule of erythema, warmth, pain at injection site.

Other Meds: omeprazole, levothyroxine, metformin, prenatal, DHA, vitamin D, aspirin

Current Illness: none

ID: 0937164
Sex: F
Age: 37
State: DC

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/12/2021
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Lab Data:

Allergies: IV Benadryl Solodyn

Symptom List:

Symptoms: fever, rash, lymphadenopathy

Other Meds: Denies

Current Illness: n/a

ID: 0937165
Sex: F
Age: 32
State: IL

Vax Date: 01/09/2021
Onset Date: 01/09/2021
Rec V Date: 01/12/2021
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Allergies: None

Symptom List:

Symptoms: Around 2pm on 1/9/21, I started to have mild abdominal discomfort. Later on that day started to have a headache. Took Tylenol 1gm, which helped with headache. Approximately at 1:45am on 1/10/21, I started to feel chills body aches, fatigue, abdominal pain, headache, arm pain on the injection site. Took Tylenol 1gm with Benadryl 50mg. Felt my body sweating. Woke up still with chills, and fatigue. Headache was intermittent throughout the day. Took Tylenol 1gm one time at night woke up on 1/11/21 without symptoms except for the arm pain.

Other Meds: None

Current Illness: None

ID: 0937166
Sex: M
Age: 50
State: PA

Vax Date: 12/21/2020
Onset Date: 12/31/2020
Rec V Date: 01/12/2021
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Symptoms: 12/31 visited physician office and appeared to have COVID toes. Received vaccination on 12/21/20. on 12/31 had no fever or related symptoms. Had lesions that are not painful or itchy. they started 3 days after vaccination, not spreading with worse redness on the 30th than the 31st. patient was covid negative and did not receive the 2nd dose.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 599,999

Page last modified: 03 October 2021 5:28pm