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: 0938469
Sex: F
Age: 40
State: NE

Vax Date: 12/24/2020
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:

Symptom List:

Symptoms: DEVELOPED BODY ACHES, HEADACHE, CHILLS, DIARRHEA, AND VOMITING

Other Meds:

Current Illness:

ID: 0938470
Sex: F
Age: 56
State: WA

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: penicillin, sulfa-anaphylaxis, hydrocodone

Symptom List:

Symptoms: sudden onset nausea, malaise, fatigue, later that day developed eye swelling

Other Meds: potassium, chlorthalodine, losartan, albuterol, Atrovent, Arnuity; 20mg of prednisone daily

Current Illness: no

ID: 0938471
Sex: F
Age: 56
State: MD

Vax Date: 12/26/2020
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: ASA, crab, fish, dog dander

Symptom List:

Symptoms: Date/time/when adverse event started: 12/31/20 noticed a white streak noted from R eyelid straight down to the R jaw. Numbness, tingling feeling from R mid cheek moving toward R ear. Swelling of the face at this site as well. Paresthesia feeling, abnormal sensations at this same area of the face. These issues continues even to today. Initially, I experienced a H/A on the R sided above my eye which has not been occurring lately. On 1/8/21 I was seen by the NP at and was dx. with Bell?s Palsy. The NP noticed that when I initially speak my mouth doesn?t move properly, but once I get my words started then my mouth moves properly. My smile is noticed to be abnormal. The NP then sent me to ER for evaluation with the dx. Of Bell?s Palsy and because of another potential medical condition there?s a high risk for a stroke. A CT scan and blood work were obtained. A f/u script for a MRI of the brain has been ordered as well. Discharge paperwork states: Bell?s Palsy. Currently, I am taking a tapering dose of Prednisone and Valtrex as prescribed.

Other Meds: General MVIs. Prolia injection o 12/1/20. Calcium with Vitamin D3.

Current Illness: No

ID: 0938472
Sex: F
Age: 23
State: OK

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

Vax Type:
Manufacturer:
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Lot:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Received Moderna covid vaccine on Wednesday December 30. On the morning of Thursday January 7, noticed intense pruritis and redness of left shoulder surrounding the injection site of previous covid vaccine. The redness initially measured 7.5 cm by 4.5 cm and had several small wheals. Took 180 mg Allegra and 600 mg ibuprofen which relieved the itchiness and wheals, slightly decreased the intensity of the redness. By the next morning, rash expanded to 9.5 cm by 6.0 cm but was without pruritis or wheals. Denies additional areas of urticaria or associated symptoms. Denies previous history of allergies to vaccines.

Other Meds:

Current Illness:

ID: 0938473
Sex: F
Age: 59
State: AL

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:

Symptom List:

Symptoms: I believe she failed to inject.

Other Meds:

Current Illness:

ID: 0938474
Sex: F
Age: 55
State: AL

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: ?

Symptom List:

Symptoms: PATIENT BECAME DIZZY AND ELEVATED HEART RATE (120) PATIENT OBSERVED AN EXTRA 15 MINS PATIENT SYMTOMS RESOLVED

Other Meds: ?

Current Illness: ?

ID: 0938475
Sex: F
Age: 29
State: ME

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:

Symptom List:

Symptoms: I Received my COVID vaccine the evening of 12/22/20 and I had a sore arm for 1-2 days. Then I Developed itching, swelling and some redness over the area where the injection occurred on 12/29.

Other Meds: Received my COVID vaccine the evening of 12/22/20. I had a sore arm for 1-2 days after. Then I developed itching, swelling and some redness over the area where the injection occurred on 12/29.

Current Illness:

ID: 0938476
Sex: F
Age: 0
State: CA

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: Amoxicillin

Symptom List:

Symptoms: Mild swelling of lips, tongue and throat given 25mg of benedryl resolved within an hour

Other Meds: Flonase

Current Illness: None

ID: 0938477
Sex: F
Age: 68
State: ID

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: Patient became dizzy about 15-20 minutes after receiving vaccination. Also c/o nausea. Sat outside in the cooler air for 5 minutes and started to feel better so left the facility. Patient states got vaccine at 9:10 in the am and then s/o arm beginning to itch at injection site in the afternoon. Patient states on Saturday 1/9/21 she noticed a red band around her arm about 1 inch below the injection site. The band had very defined margins. Today 1/12/21 upon patient presenting the clinic for VAERS report the redness is not defined to a line and is spidering down the arm more. Arm is warm to touch.

Other Meds: Levothryroxine

Current Illness: none

ID: 0938478
Sex: F
Age: 35
State: IN

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: Inapsine

Symptom List:

Symptoms: Migraine day of vaccine Fever of 101.4 to 102.7 day 2 after vaccine Skin feeling like it?s burning/blistering day 2after vaccine Severe body aches and cramps day 2 after vaccine

Other Meds: None

Current Illness: None

ID: 0938479
Sex: F
Age: 88
State: OH

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: Sulfa antibiotics, shellfish

Symptom List:

Symptoms: Pt reports fatigue and bilateral lower extremity paresthesia. No focal neurological findings.

Other Meds: Tylenol, calcium D3 supplement, dicyclomine, duloxetine, Eliquis, furosemide, glipizide, Lantus, metoprolol, Zofran, oxycodone

Current Illness:

ID: 0938480
Sex: F
Age: 46
State: NJ

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:

Symptom List:

Symptoms: Became Dizzy upon standing to leave

Other Meds:

Current Illness:

ID: 0938481
Sex: F
Age: 17
State: NC

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: PATIENT RECIEVIED VACCINE ON 1/4/2021, THE FOLLOWING DAY PATIENT BEGAN EXPERENCING PAIN DOWN BACK AND BOTH LOWER EXTREMITIES.

Other Meds: DEPO-PROVERA GIVEN ON 12/23/2020

Current Illness: NONE KNOWN

ID: 0938482
Sex: U
Age: 61
State:

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Acute approximate respiratory failure secondary to acute COPD

Other Meds:

Current Illness:

ID: 0938483
Sex: F
Age: 67
State:

Vax Date: 12/23/2020
Onset Date: 12/30/2020
Rec V Date: 01/12/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
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Lab Data:

Allergies:

Symptom List:

Symptoms: 12/30/20: increased tears and mucus in right eye, woke up next day with inability to control saliva. 1/4/21: valacyclovir 1 gm x's 21 given- feels like some symptoms listed are r/t this rather than Covid vaccine

Other Meds:

Current Illness:

ID: 0938484
Sex: F
Age: 39
State: NY

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:

Symptom List:

Symptoms: patient fainted, 10 sec seizure, diaphoretic

Other Meds:

Current Illness:

ID: 0938485
Sex: F
Age: 35
State: AZ

Vax Date: 01/05/2020
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: mild reaction to shrimp

Symptom List:

Symptoms: swelling and heat at injection sight

Other Meds: (birth control)

Current Illness: none

ID: 0938486
Sex: F
Age: 28
State: FL

Vax Date: 08/25/2020
Onset Date: 10/26/2020
Rec V Date: 01/12/2021
Hospital:

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: severe, intractable outbreak of cold sores. Ongoing since around 10/25. I have cold sores in every branch of the trigeminal nerve on both sides and this has been ongoing since 10/25. I even have one on my rib. I started taking 3grams per day of valtrex on 12/8 when there was one by my eye and I am still getting so many cold sores everywhere. I called my clinical trial site and they are not impressed.

Other Meds: Wellbutrin xl 300mg.

Current Illness:

ID: 0938487
Sex: F
Age: 38
State: NH

Vax Date: 12/31/2020
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: Zithromax- headache and black tongue only

Symptom List:

Symptoms: On day 10 after the injection, I developed cellulitis at the injection site where the skin was hot, red, and swollen. Also very painful. I developed a low grade fever (highest was 100.2) day 11. Day 12 I now also have moderately severe arthralgia to the affected arm, in the side of my neck as well as my shoulder, elbow, and wrist. I feel horrible and had to leave work.

Other Meds: Levothyroxine

Current Illness: None

ID: 0938488
Sex: F
Age: 44
State: IN

Vax Date: 12/29/2020
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: PCN Keflex Bactrim Codeine

Symptom List:

Symptoms: Fever 101 degrees Severe Bodyaches Dizziness Symptoms lasted 24 hrs

Other Meds: Cymbalta Valcyclovir Glycopyrolate Victoza

Current Illness: None

ID: 0938489
Sex: F
Age: 77
State: TN

Vax Date: 01/03/2021
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: Red rash on and around injection which itches

Other Meds: Seeds, vitamins C, B12, ubuquinol, krill oil, probiotic.

Current Illness: None

ID: 0938490
Sex: F
Age: 32
State: GA

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: no

Symptom List:

Symptoms: sore arm, could barely move her arm, fatigue, fever 100.5, vomiting diarrhea

Other Meds: synthroid

Current Illness: no

ID: 0938491
Sex: F
Age: 50
State: AL

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: Sulfa, wasp stings

Symptom List:

Symptoms: Patient reported tightness in her jaw muscles & tingling along her jawline within 10 minutes of receiving the COVID vaccine. Fifty mg of liquid diphenhydramine was administered & the patient was monitored for another 45 minutes. She reported her symptoms slowly improved over time. No throat or tongue swelling was reported at any time.

Other Meds:

Current Illness:

ID: 0938492
Sex: F
Age: 27
State: MO

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: fish, shell-fish, crustatans, alphagale, morphine, codine, codone, penicillin, Z-pack, sulfa,

Symptom List:

Symptoms: Had chest pressure after vaccine

Other Meds: Gave Benadryl after reaction- had pressure in chest

Current Illness: None

ID: 0938493
Sex: M
Age: 36
State: CA

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: None

Symptom List:

Symptoms: Symptoms began on 01/10/2021 around 3:30-4:00 AM PST. I had body aches for 2 days. I woke up on 01/11/2021 with soreness in my right arm pit. I woke up today, 01/12/2021 and had pain and swelling in my right arm pit. I went to my employer's employee health services and was checked out by a provider. I was told that he didn't see anything, and he minimized my symptoms. He didn't seem like he wanted to evaluate me from the time he walked in the exam room. He told me "what do you want us to do? It looks normal." He then went on to tell them he's not going to give me time off for work aside from today. I did not ask for any time off once during the evaluation. I recheck my arm pit when I got home, and noticed the swelling is approx. 3"x 3"s. It was not hard to see when I rechecked. I have noticeable pain the swollen area as well. The swelling is visible when I extend my right arm all the way up above my head. I attempted to tell the employee health provider this, but he preferred to check in a manner that does not show the swelling. I am slightly muscular and when my arm is down, you can only feel soft tissue. Employee health gave me Ibuprofen to treat my Sx's. I called my primary physician's office and am waiting for a call back to be either scheduled for an evaluation or receive medical advice.

Other Meds: Hydrochlorothiazide 25 mg tab 1x daily in the morning, Flonase 2 sprays in each nostril 1x daily, One A Day multivitamin

Current Illness: Headache following receiving the first dose of the Pfizer BioNTech COVID-19 Vaccine

ID: 0938494
Sex: F
Age: 68
State: IL

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: NKDA

Symptom List:

Symptoms: developed fever, aches, chills in the middle of the night after receiving the vaccine. did not report to work the following day

Other Meds:

Current Illness:

ID: 0938495
Sex: F
Age: 60
State: NJ

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:

Symptom List:

Symptoms: Dizzy and very anxious

Other Meds:

Current Illness:

ID: 0938496
Sex: M
Age: 32
State: CA

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

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: 32 yo male received 2nd dose of Pfizer/BioNTech Covid19 vaccine. 3 days later developed itching and urticarial rash all over his torso, arms, and legs. Eyelids slightly swollen. No shortness of breath, tongue or lip swelling, wheezing, nausea, diarrhea, cough, fever. Presented to ED, received diphenhydramine, famotidine, and methylprednisolone IV. Had significant improvement of urticarial rash and eyelid swelling. Patches still present. Discharged home on 5 day course of H1/H2 blocker and prednisone. After first Pfizer Covid19 vaccine dose, patient only had sore arm. In ED, chest xray has no radiographic evidence of an acute cardiopulmonary abnormality, PCR panel (Cepheid GeneXpert System) negative for Covid19, influenza A/B, RSV. No new food or detergents in last couple days. No other vaccines administered in last 30 days. This event is being described a couple hours after ED discharge. Unknown at this time if patches resolved with subsequent discharge home treatment.

Other Meds: none

Current Illness: none

ID: 0938497
Sex: F
Age: 65
State: MO

Vax Date: 01/06/2021
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: Silicones, occlusive adhesive

Symptom List:

Symptoms: Fever (100.2 F), SaO2 saturation decrease to 79%, confusion, weakness (lasted 2 days)

Other Meds: Coumadin, midodrine, gabapentin, Renvea, melatonin, aspercreme, acetaminophen, prilosec, fexofenadine, vit D3, fish oil, levemir, novolog, atorvastatin, aspirin, colace, miralax, zetia, zoloft, nephro-vite

Current Illness:

ID: 0938498
Sex: M
Age: 27
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:

Symptom List:

Symptoms: Developed headache, dizzyness, nausea after shot. MD eval and monitored

Other Meds:

Current Illness:

ID: 0938499
Sex: F
Age: 67
State: WI

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: aspirin, Ibuprofen,

Symptom List:

Symptoms: severe headache, muscle aches, dizziness, stomach ache, pain at the injection site for 48 hours. Treatment Tylenol, bed rest.

Other Meds: no

Current Illness: no

ID: 0938500
Sex: F
Age: 52
State: MI

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

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

Lab Data:

Allergies: questionable allergy to celebrex-unclear if skin reaction was related to med at time cutaneous latex sensitivity sensitivity to toluene and strong odors-watery eyes, congestion, headache

Symptom List:

Symptoms: injection itself into L deltoid was not painful. 5-10 minutes after injection I experienced sharp tingling/burning over the medial clavicle and extending into the neck. there was no rash, redness, swelling, swallowing or breathing difficulty. At 21 days, I am still experiencing hyperaesthesia and some tingling over the medial clavicle, and a zinging sensation over the clavicle/sternoclavicular joint with L shoulder movement, valsalva or burping. evaluation on site by vaccine provider. telephone consultation with PCP 2 days and 1 week later, and brief telephone consultation with local allergist. gabapentin for discomfort

Other Meds: claritin, acetaminophen

Current Illness: none

ID: 0938501
Sex: F
Age: 58
State: GA

Vax Date: 12/30/2020
Onset Date: 01/02/2021
Rec V Date: 01/12/2021
Hospital:

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

Lab Data:

Allergies: Demeral

Symptom List:

Symptoms: Constant headache that began a day or two after I had been given the injection.

Other Meds: Humira 40 mg under skin every 14 days Ozempic 0.25 under skin every 7 days losartan-hydrochlorothiazide 50-12.5 nightly Citalopram 10 mg every night Invokamet XR 50-1,000 mg 2 tablets in the a.m.

Current Illness: none

ID: 0938502
Sex: F
Age: 76
State: TX

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: NKDA

Symptom List:

Symptoms: Patient on evening of vaccine administration had low blood pressure, vomited, and had episode of loss of consciousness. Occurred in patient's home and spouse contact 911 after trying to communicate with her. EMS noted patient's blood low and transported to ER facility. Patient expresses she felt fine in ER and requested to discharge. No other issues after this episode and has follow-up appointment with physician given concomitant medical conditions.

Other Meds: Vascepa, Trulicity, piogiltazone, amlodipine, olmesartan-HCTZ, cetirizine, vitamin D3, atorvastatin, bystolic

Current Illness:

ID: 0938503
Sex: F
Age: 69
State: IL

Vax Date: 01/05/2021
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 states she has arm pain since vaccine was given to her, range of motion is not the same. Patient has been told to try Tylenol (since day it was given), was told about warm/hot compress. Patient was told to contact MD about this issue but has no primary prescriber. Patient refuses to try any treatment options that manager or staff pharmacist recommend.

Other Meds:

Current Illness:

ID: 0938504
Sex: F
Age: 81
State: GA

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/12/2021
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Allergies: AspirinHives Cabbage (Brassica Oleracea)Hives GarlicHives Nsaids (Non-steroidal Anti-inflammatory Drug)Hives OliveHives Egg DerivedRash PotatoRash

Symptom List:

Symptoms: Fatigue, Dizziness, Weakness

Other Meds: ALPHA LIPOIC ACID (LIPOIC ACID ORAL) ascorbic acid, vitamin C, (VITAMIN C) 100 MG tablet ASTRAGALUS ROOT (ASTRAGALUS ORAL) CALCIUM CARBONATE (CALCIUM 500 ORAL) cetirizine (ZYRTEC) 10 MG tablet cholecalciferol (VITAMIN D3) 400 unit Tab diphe

Current Illness: N/A

ID: 0938505
Sex: F
Age: 52
State: NY

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/12/2021
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Allergies: none

Symptom List:

Symptoms: I woke up with chills and fever 12.5 hours after the vaccine. Fever lasted for 36 hours and went as high as 102.4. Intermittent nausea and very tired.

Other Meds: Baby Aspirin

Current Illness: none

ID: 0938506
Sex: F
Age: 39
State: CA

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

Allergies: Nonenone

Symptom List:

Symptoms: Flushing dizziness and nausea

Other Meds:

Current Illness: None

ID: 0938507
Sex: M
Age: 45
State: SD

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/12/2021
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Allergies: NKA

Symptom List:

Symptoms: Pt received immunization around 1630. He was monitored after immunization for 15min with no side effects. Pt woke up at 7AM on 1/721 with sweats, chills, shaking, bodyaches and fatigue. Reports increased back pain and dizziness on Friday. Did take Acetaminophen with some pain relief. Felt better Sunday. Complains of some fatigue.

Other Meds: Tramadol 50mg Propanolol 40mg/20mg BID

Current Illness: None

ID: 0938508
Sex: F
Age: 26
State: MT

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/12/2021
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Symptom List:

Symptoms: Nausea, Dizzy, Headache

Other Meds:

Current Illness:

ID: 0938509
Sex: F
Age: 55
State: OH

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

Allergies: Bees, Cat/Dog Dander

Symptom List:

Symptoms: 2 days post vaccine: left arm swelling, itching, rash from above injection site to the elbow. Treated with OTC Benadryl Cream.

Other Meds: effexor, clairtin-d, synthroid, trazodone

Current Illness: no

ID: 0938510
Sex: F
Age: 47
State: CO

Vax Date: 12/21/2020
Onset Date: 12/21/2020
Rec V Date: 01/12/2021
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Symptoms: I got the vaccine 12/21/2000. I had some initial hardness at the site. By the next day the harness was gone and I developed a bruise. I never had any other side effects. On Wednesday 12/30/20 I noticed right under my bruise from the vaccine it became red, slightly itch, and hard.

Other Meds:

Current Illness:

ID: 0938511
Sex: F
Age: 39
State: FL

Vax Date: 01/01/2021
Onset Date: 01/11/2021
Rec V Date: 01/12/2021
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Allergies: No

Symptom List:

Symptoms: On day of injection arm was sore with some muscle pain across chest briefly. Neck and shoulder pain. 3 days later swelling and severe pain in lymph node in armpit area on injection arm. Full body muscle and joint paint following that with feeling warm no temp was taken. Basically it felt like I got hit by a truck later that evening. Feel very fatigued.

Other Meds: Vitamin D, Iron, Vitamin C

Current Illness: No

ID: 0938512
Sex: F
Age: 56
State: MA

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/12/2021
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Symptoms: Patient said they experienced a migraine after being vaccinated and also reported they are prone to migraines

Other Meds:

Current Illness:

ID: 0938513
Sex: F
Age: 84
State: NE

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/12/2021
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Symptom List:

Symptoms: DEVELOPED REDNESS AND RASH AROUND INJECTION SITE.

Other Meds:

Current Illness:

ID: 0938514
Sex: F
Age: 34
State:

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/12/2021
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Symptoms: 34 y.o. female who was seen at COVID Vaccine Clinic today for her first dose of the COVID 19 vaccination. ? She denied any history of previous adverse reactions to vaccines. ? She was given the Moderna vaccination in the left deltoid muscle. ? During her 15 minute waiting period after the injection, the patient began to experience tingling and elevated HR. She is having some tingling in her mouth and tingling in her feet. No obvious facial swelling or hives. She denied rash, hives, welts, difficulty breathing, difficulty swallowing, wheezing, throat tightness, hoarseness and stridor. ? This provider was notified of patient reaction and she was then assessed in the emergency bay area. ? Monitored patient for severe reaction symptoms, including but not limited to abdominal pain, blood pressure abnormality , chest pain, hypotension, increased swelling and rapid progression of symptoms.Treatment included: zyrtec 10 mg, pepcid 20 mg, Follow up response to treatment: good. Patient discharge: Stable to go home and follow up with PCP. ? ? Observed in the vaccine clinic for 1.5 hours I do not see a reason for ER assesment since she is improving. Tingling in her mouth has improved. ? This pt was encouraged to go home and rest She was encouraged to take a dose of benadryl at home. She may call me if worsening. Given precautions for her next vaccine. Discussed with pharmacist.

Other Meds:

Current Illness:

ID: 0938515
Sex: F
Age: 36
State: MA

Vax Date: 01/09/2021
Onset Date: 01/09/2021
Rec V Date: 01/12/2021
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Allergies: scallops, shellfish, nuts

Symptom List:

Symptoms: 1541: 7 minutes after receiving vaccine patient reports having a dry cough. This RN to carside immediately, pt reporting scratchy throat and dry cough.Radio to call EMS immediately. Pt reporting some itching to lips (lips appear slightly swollen however pt did have fillers 2 weeks ago). Pt states lips are more swollen than baseline. Pt has epi pen with her, offered to administer epi pen, pt declines states "I think I'm just feeling nervous." Continued to monitor, HR 90s. 1553:EMS arrived, report given, care assumed by EMS. 1608:Pt monitored in ambulance by Paramedic. Pt reports improving and symptoms resolved. 1611: Pt refuses transport by EMS. States symptoms completely resolved. Pt left site via POV

Other Meds: birth control

Current Illness: NONE

ID: 0938516
Sex: F
Age: 64
State: NV

Vax Date: 09/21/2020
Onset Date: 09/22/2020
Rec V Date: 01/12/2021
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Lab Data:

Allergies: azthrymicin and bactrim

Symptom List:

Symptoms: red band 4 inches wide around upper arm under injection site with extreme itchy for at least 7-10 days. I took allergy medication to relieve and over the counter cortiosteriod cream. Pharmacist recommends I take claritin two days before second dose and two weeks after. I am not prepared to do that.

Other Meds: synthroid, welbutrin

Current Illness: none

ID: 0938517
Sex: F
Age: 50
State:

Vax Date: 12/29/2020
Onset Date: 01/02/2021
Rec V Date: 01/12/2021
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Symptom List:

Symptoms: congestion starting 1 week ago) , fatigue, and cough

Other Meds:

Current Illness:

ID: 0938518
Sex: F
Age: 66
State: FL

Vax Date: 01/07/2021
Onset Date: 01/10/2021
Rec V Date: 01/12/2021
Hospital:

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Allergies: NKDA

Symptom List:

Symptoms: patient reports that 3 days after and as of today the arm that she had the shot in has been itching. No rash.

Other Meds: VITAMIN D

Current Illness: NONE

Total 2021 VAERS Injuries: 599,999

Page last modified: 03 October 2021 5:28pm