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: 0939175
Sex: F
Age: 56
State: OH

Vax Date: 01/02/2021
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: NKDA, allergic to fish and cats

Symptom List:

Symptoms: Severe Headaches x3 days 1/7-1/9. Redness and induration at injection site on 1/10. 9cmX9cm redness and warmth. No redness initially .

Other Meds: Trisprintic

Current Illness: None

ID: 0939176
Sex: F
Age: 62
State: MS

Vax Date: 01/05/2021
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: Propylene glycol topically

Symptom List:

Symptoms: Severe myalgias, tremors, lower back pain, headache, fatigue, nausea

Other Meds: Hydroxychloroquine, Estrogen, CoQ10, MegaRed, Zyrtec

Current Illness: None

ID: 0939177
Sex: F
Age: 30
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:

Symptom List:

Symptoms: headaches, dizziness and flushed cheek.

Other Meds:

Current Illness:

ID: 0939178
Sex: F
Age: 47
State: AZ

Vax Date: 12/31/2020
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:

Symptom List:

Symptoms: Pt sent me an email stating she had a sore upper arm, in the muscle, where she got the covid vaccine on 12-31-20 on the left deltoid. It lasted about two days. She stated then that her lymph nodes under her arm on that side got really swollen and sore. That started after the muscles soreness at the injection site dissipated. States it was fairly significant and that she could see swelling for a few days and feel it for several more, up to six more days. States the lymph node swelling was probably the worst Jan 4 ? 6, and was still noticeable on Jan 9. By Jan 10 is was basically gone. States she has also noticed some very mild, intermittent itchiness on that shoulder near the injection site in the last few days. Pt states it used to be hard, warm and hot but has since decreased leaving her with some itchiness.

Other Meds:

Current Illness:

ID: 0939179
Sex: F
Age: 44
State: TX

Vax Date: 01/01/2021
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: None

Symptom List:

Symptoms: Swollen lymph nodes on right axila seme arm of the injection very painful

Other Meds: Metformin 500 mg and Rosuvastatin 10 mg

Current Illness: None

ID: 0939180
Sex: F
Age: 23
State: SC

Vax Date: 01/08/2021
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: N/A

Symptom List:

Symptoms: Fevers from 99.6-101.6 for about 15 hours. Aches, lethargy, chills, and fatigue for about 24 hours. Brain fog for the subsequent 24 hours.

Other Meds: Microgestin

Current Illness: N/A

ID: 0939181
Sex: M
Age: 17
State: PA

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 was administered COVID Vaccine (Moderna). Patient's age is 17 years 4 months.

Other Meds:

Current Illness:

ID: 0939182
Sex: F
Age: 50
State: FL

Vax Date: 12/27/2020
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: NKA

Symptom List:

Symptoms: Tested positive for Covid 19 on 1/5/21 after became symptomatic (none required hospitalization) on 1/3/21. 5 RN's at ICU became positive 1-2 weeks after receiving this vaccine. Perhaps a coincidence, but feel it should be reported

Other Meds: Estrogen, vit C and B12

Current Illness: None

ID: 0939183
Sex: F
Age: 36
State: CA

Vax Date: 01/08/2021
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: Reglan (EPS), lactose, cat dander, adhesives, tegaderm, blue dyed chlorhexadine, artifical fragranced products that touch skin (detergent, soaps etc).

Symptom List:

Symptoms: around 14 hours past vaccine woke up with chills, low grade fever (100.8), severe calf pain and body aches all over, and severe headache, around 3am had nausea to the point of needing zofran, chills continued until around 5am, body aches continued and was yelling, crying and tossing and turning, woke up at around 8am with 9/10 headache, light and sound sensitivity, alleviated some with coffee, extremely fatigued and weak (had trouble walking half a block), headache mostly gone by. 10am, fatigue continued throughout the day, NO appetite, intermittent chills. At bedtime ~9pm day 2 temperature 99.8. Slept through night. Sunday fatigue and excercise intolerance (typically exercise daily and am in good physical shape), had to sit down during walks with dog, Monday fatigue continued as did difficulty exercising long periods of time until afternoon, continued difficulty monitoring body temperature, getting cold really easily. Tuesday (today) continued weakness and exhausted but can't nap, no appetite. Never took anything except zofran 2x for nausea

Other Meds: Venlafaxine, Viibryd, Bentyl PRN, propanolol (tremors), xanax (PRN), hycosamine PRN, calcium citrate, vitamin D, multivitamin, Stamets 7 and Turkey Tail mushroom supplement, melatonin, quercetin, fish oil, low dose aspirin, niacinimide,

Current Illness: none

ID: 0939184
Sex: F
Age: 63
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: Paprika

Symptom List:

Symptoms: Hives on neck and shoulder

Other Meds:

Current Illness:

ID: 0939185
Sex: F
Age: 37
State: UT

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: Focused breathing, periodic SOB, tingling in the mouth

Other Meds:

Current Illness:

ID: 0939186
Sex: F
Age: 51
State: CA

Vax Date: 01/03/2020
Onset Date: 01/03/2020
Rec V Date: 01/12/2021
Hospital:

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

Lab Data:

Allergies: Bee Stings

Symptom List:

Symptoms: Upon my 30 min observation , At about 5 minutes of receiving the vaccination I had a flush sensation from head to toe, increased HR that persisted, I informed RN at injection clinic. I was then hooked up to monitor , hr continued to sustain at 118 and bp increased to 150/90. For the next two hours I had continuous waves of increased hr to 118 and increased bp with nausea, chills and flushing. The duration of the episodes lengthend as time progressed, the episodes lasted anywhere from 2-4 minutes. The amount of episodes I had was 4-5. I was admitted to to the ER where I was administered Famitodine, steroids and Zofran, I had a EKG and was monitored for 8 hours . I continued on steroids for 4 days. The following day I had PVC's and flushing.

Other Meds: Multivitamins Vit D3 Omega Three Oils Evening Primrose Oil Vitamin C Dovonex Ointment

Current Illness: None

ID: 0939187
Sex: F
Age: 45
State:

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: Chlorpheniramine-phenylephrine, Clarithromycin, Dilaudid [Hydromorphone Hydrochloride]; states previous anaphylactic reaction to Dilaudid

Symptom List:

Symptoms: Received Pfizer covid vaccine 1st dose at 1615, c/o lump in throat at 1616, which became worse. Her HR was also in 120's. At 1618, Epi given x1, then pt transferred to ED

Other Meds:

Current Illness:

ID: 0939188
Sex: F
Age: 28
State: CO

Vax Date: 01/04/2021
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: No Known

Symptom List:

Symptoms: Pt. states day of vaccine, injection site developed with hot, red swelling, decreased the next day to purple color and still hot, currently there is a rash that is very itchy. She is taking Benadryl , Motrin and applying ice. Informed pt. to present to the UC now or contact PC P in the am.

Other Meds: Motrin, Benadryl

Current Illness: No Known

ID: 0939189
Sex: F
Age: 47
State: FL

Vax Date: 01/04/2021
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: Morphine, cinnamon, hazelnut

Symptom List:

Symptoms: Soreness in arm completely resolved after day 2 of receiving the 1st dose of vaccine. No other symptoms. On day 8 I had swelling, redness, warm to the touch and pain and itching at the vaccine site. I took Zyrtec at work

Other Meds: Probiotic, lexapro

Current Illness: None

ID: 0939190
Sex: F
Age: 32
State: IL

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: Dairy allergy

Symptom List:

Symptoms: Started to feel lightheaded, weak, faint like I was going to pass out, heart rate increased, confusion, trouble speaking, brought to the ED, throat started to swell and started having thick spit and clearing my throat excessively. Diagnosed as anaphylaxis.

Other Meds: Montelukast 10mg, magnesium 200mg

Current Illness: None

ID: 0939191
Sex: F
Age: 39
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:

Symptom List:

Symptoms: Client c/o having blurry vision and splitting headache. Also felt very hot. Loss of consciousness. Able to respond to verbal commands.

Other Meds:

Current Illness:

ID: 0939192
Sex: F
Age: 51
State: IL

Vax Date: 12/01/2020
Onset Date: 12/19/2020
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: rash on both lower legs that was red and itchy that is still there - started 2 days after 1st dose

Other Meds: Eliquis , cardizem, hydroclorothiazide, Multi Vitamin

Current Illness:

ID: 0939193
Sex: F
Age: 44
State:

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: Clarithromycin, demerol, latex, sulfa

Symptom List:

Symptoms: pt felt heart racing, warm ears and face. Pt monitored and given water. Symptoms resolved at 1721.

Other Meds:

Current Illness:

ID: 0939194
Sex: F
Age: 32
State: MN

Vax Date: 01/07/2021
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: shellfish- anaphylaxis

Symptom List:

Symptoms: within 1 hr post-vaccine on 1/7 I had a mild headache that resolved with Tylenol. At about 12 hours post-vaccine I developed nausea, fever (100.4) and chills and secondary to this had poor sleep. The next day I took scheduled alternating Tylenol & ibuprofen during the day and then overnight 1 episode of chills that woke me up. no events Saturday or Sunday. Then Monday 1/11 in the early morning I started to develop a rash on my b/l elbow and right foot 3rd toe. I applied mometasone topical cream to these locations. while at work the rash extended down both forearms then by 5pm it was on both hips and extending along both legs. I applied Benadryl cream to the most irritated sites and took PO Benadryl 50mg at bedtime and again at 1am when the itching woke me up. I repeated Benadryl 25mg at 8am. The rash seems to be getting better on the arms but then by noon I had a new breakout on my neck and face. I took Benadryl 50mg at 1pm. The rash continued to have a rapid progression over the next hour and resulted in angioedema with my throat swelling, lips puffed and numb and eye swelling. I was injected with an epi pen and sent to the ED where I received PO prednisone, famotidine, and Benadryl. The face/neck rash then greatly improved and I was sent home on prednisone 40mg daily for 3 days.

Other Meds: metformin, Ocelle (cOCP), vit d, women's multivitamin, cholestyramine

Current Illness: none

ID: 0939195
Sex: M
Age: 64
State: NJ

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: Penicillin

Symptom List:

Symptoms: The morning after the vaccination I woke up at around 5:30 am with severe diarrhea. One of the worst bouts of diarrhea in my life.

Other Meds: Diabetes medications

Current Illness: Type 2 Diabetes.

ID: 0939196
Sex: M
Age: 29
State: VA

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: No

Symptom List:

Symptoms: Left ear tinnitus

Other Meds: No

Current Illness: No

ID: 0939197
Sex: F
Age: 58
State: MA

Vax Date: 01/05/2021
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: Penicillin, flagyl, clindamycin

Symptom List:

Symptoms: Very sore arm hours after vaccine and couldn't move arm during the night- took motrin at 3:30AM with some effect. Felt OK otherwise until 12 noon on 1/6/21 when I suddenly felt chilled and not well. Temp went up quickly from 99.4 at 12 noon to 102.4 at 5PM. Temp 101.5 at 9PM. Had abdominal cramping, general body aches and muscle pains, H/A and left breast tenderness as if I was going to get my period (which I haven't had for 8 years). On 1/7/21 at 7AM temp- 99.7 and 98.8 at 11AM, but still felt tired, H/A, malaise, no appetite. Back to normal good health on 1/8/21 AM. Left arm was sore for 4 days.

Other Meds: Lithium 300mg ER QHS, Lithium 150mg QAM, Sertraline 50mg alternating with 75mg daily, vitamin D, Omega 3

Current Illness: none

ID: 0939198
Sex: F
Age: 37
State: OH

Vax Date: 12/31/2020
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: None

Symptom List:

Symptoms: Initial pain and redness, 3 in circle. Itiching to site on day 3. 3 inch cirle looked bruised on day 11. Day 13 another 2-3 inches around initial bruised sitr now red and swollen. Pain improved by day 3.

Other Meds: None

Current Illness: None

ID: 0939199
Sex: F
Age: 34
State: OH

Vax Date: 01/05/2021
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: Levaquin

Symptom List:

Symptoms: 3x5cm nodule at injection site noted 5 days after administration. Very slightly erythematous and warm.

Other Meds: Sertraline, buproprion, propranolol, naproxen

Current Illness:

ID: 0939200
Sex: F
Age: 59
State: TX

Vax Date: 12/29/2020
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: Adhesive, mold, cats

Symptom List:

Symptoms: Arthus reaction, onset 1/6/2021, sore throat, malaise, fatigue, anorexia. Onset of constitutional symptoms 12 hours prior to skin changes at injection site. Initially, erythematous indurated, painful area at injection site about 1 inch diameter. Involved area increased in size daily. Erythema remained. Induration and pain resolved. Intermittent pruritis at the site. 1/11/21 , erythematous, non indurated, with central clearing area 10 x 6 inch with well demarcated margins. 1/12/21, mild ecchymosis centrally. Constitutional symptoms improved, but not resolved.

Other Meds: Vyvanse

Current Illness: None

ID: 0939201
Sex: F
Age: 65
State: KY

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: N/A

Symptom List:

Symptoms: Moderna COVID-19 Vaccine EUA Muscle Soreness at Injection Site for 4-5 days. Diarrhea on Day 3.

Other Meds: Cozaar, Levothyroxine, Vit D, ASA, Norvasc, Protonix

Current Illness: N/A

ID: 0939202
Sex: M
Age: 67
State: WA

Vax Date: 12/22/2020
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: Two after COVID vaccine first dose: severe pain over lateral aspect of right hip (soft tissue) lasting 10 days. Six days after: flu like symptoms with temperatures up to 100, severe fatigue, myalgia lasting 8 days. Nasopharyngeal PCR was negative for COVID

Other Meds: Maxzide 50/25 0.5 qd Cozaar 25 mg qd ASA 81 mg qd Vascepa 1000 mg aid Claritin qd

Current Illness: No

ID: 0939203
Sex: F
Age: 57
State: NY

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: none

Symptom List:

Symptoms: Mylgias, light headed, headache

Other Meds: Apriso, canes suppositories, folic acid, hydroxychloroquine, vit D, vit C

Current Illness:

ID: 0939204
Sex: F
Age: 42
State: PA

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: none

Symptom List:

Symptoms: Flu like symptoms, syncope, lymphadenopathy, nausea, fatigue, weakness.

Other Meds: Metformin 1000mg glimipride 2mg

Current Illness: none

ID: 0939205
Sex: F
Age: 37
State: PA

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: phenergan, sulfa, luvox

Symptom List:

Symptoms: extreme joint pain, fever and chills, muscle aching, severe head ache (lasting 3 days), excessive full body sweating x3 days, extreme fatigue (sleeping >16 hrs per day x3 days, 1 short bout of nausea, sensitivity to skin on back and legs i.e. a cotton shirt against my skin felt like it was burning me. loss of appetite. multiple doses of OCT analgesics/fever reducers. loss of scheduled work x2 days.

Other Meds: prozac

Current Illness:

ID: 0939207
Sex: M
Age: 58
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: Co trimaxazole NSAIDs

Symptom List:

Symptoms: Pt complained of difficulty swallowing, lump in throat, and increasing heart rate. VS 98.9 181/100 87 99 RA. Activated Alert, brought to the ED. Epi and benadryl given.

Other Meds:

Current Illness: COVID-19 12/21/2020

ID: 0939208
Sex: M
Age: 33
State: GU

Vax Date: 01/04/2021
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: fire ants, shrimp, walnuts, almonds, sage, peanut/peanut oil

Symptom List:

Symptoms: The patient reports that he woke with the rash 2 days after his vaccine. The rash has not changed in size, shape, improved or worsened in the three days since it appeared. He has never had anything like this happen before. He denies any systemic symptoms. The rash is pruritic, and the pruritis has not been helped by his allergy medications or topical hydrocortisone.

Other Meds: atarax 50mg qhs, mobic 15mg daily, robaxin 500-1000mg q6hrs prn muscle spasm, singulair 10mg daily, celexa 10mg daily, Wellbutrin 150mg XL daily

Current Illness:

ID: 0939209
Sex: M
Age: 67
State: NY

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: latex

Symptom List:

Symptoms: fever to 101, chills, aches, fatigue and headache from 11:30 PM until 4 AM and the able to sleep. Feeling reasonably well until 11 PM on 01/07 and the fever to 100.8 and chills and aches. By 8 AM felt ok. No further fever, chills or other symptoms.

Other Meds: rosuvastatin, valsartan, testosterone, fish oil, super b complex, D3

Current Illness: no illnesses

ID: 0939210
Sex: M
Age: 55
State: AK

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

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Lab Data:

Allergies: Bactrim, penicillin

Symptom List:

Symptoms: Severe left knee pain and stiffness without trauma. No redness or swelling. Feeling of heat on anterior of both lower extremities. Associated with chills and moderate fatigue.

Other Meds:

Current Illness: n/a

ID: 0939211
Sex: F
Age: 60
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: sulfa

Symptom List:

Symptoms: developed more severe arm pain, headache, rigors, muscle aches- lasted approx 3 -4 hour- took tylenol, used heating pad

Other Meds: atorvastatin 10mg

Current Illness: none

ID: 0939212
Sex: U
Age:
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Rec V Date: 01/12/2021
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Symptom List:

Symptoms: Swollen itchy red

Other Meds:

Current Illness:

ID: 0939213
Sex: F
Age: 35
State: OH

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/12/2021
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Allergies: n/a

Symptom List:

Symptoms: I received the vaccine at 12:30pm and by 8:00pm my face began to feel swollen, hot to the touch and itchy. By day 4 the symptoms did not subside but grew worse with a swollen red rash around my eyes and upper face.

Other Meds: birth control

Current Illness: n/a

ID: 0939214
Sex: F
Age: 56
State: VT

Vax Date: 12/23/2020
Onset Date: 01/09/2021
Rec V Date: 01/12/2021
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Lab Data:

Allergies: sensitivity to phenergan, vistaril, codeine

Symptom List:

Symptoms: Left sided mild facial droop starting 18 days after vaccination, seeming to be somewhat more pronounced the following day. Tingling sensation similar to Bells Palsy. Third day remains unresolved but not worse.

Other Meds: low dose aspirin

Current Illness: none

ID: 0939215
Sex: F
Age: 22
State: IL

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

Symptoms: Arm pain and fever of 100 F. Both persisted through the 9th

Other Meds:

Current Illness:

ID: 0939216
Sex: M
Age: 22
State: NY

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

Allergies: N/A

Symptom List:

Symptoms: Blurred vision, difficulty breathing (pale skin/blue lips), profuse sweating, muscle fatigue, headache. This lasted about 15 minutes. Until severity went down. Followed by 20 minutes of profuse sweating and headache. I thought I was going to die

Other Meds: N/A

Current Illness: N/A

ID: 0939217
Sex: F
Age: 24
State: NY

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

Allergies: Nut and corn allergy

Symptom List:

Symptoms: Vaccine administered at 8:10PM Reported feeling dizzy and a slight tingling sensation in mouth at 8:22PM Vital Signs: BP 115/71 POx 98% HR 72 No issues swallowing, no facial swelling or other symptoms. Gave 50 mg PO Benadryl at 8:30 and continued to monitor. At 9PM reports symptoms gone. Feeling well and wished to go home, did not want to go to ER for further evaluation. Lives with her family at home who will keep an eye on her tonight. Escorted out to her ride home.

Other Meds:

Current Illness: reports none

ID: 0939218
Sex: F
Age: 53
State:

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

Allergies: shellfish

Symptom List:

Symptoms: lips and tongue tingling, cough

Other Meds: none

Current Illness: none

ID: 0939219
Sex: F
Age: 54
State: MI

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/12/2021
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Symptoms: Within 12 hrs of first dose of Pfizer Covid vaccine, patient experienced tiredness. Within 36hrs patient experienced nausea, severe headache, and dizziness. Patient reports after these symptoms she had to stay in bed for the next day but by day 4 she was significantly improved and just tiredness occurred over the weekend. 6 days total.

Other Meds:

Current Illness:

ID: 0939220
Sex: F
Age: 37
State: FL

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

Symptom List:

Symptoms: 16 hours post vaccine, I awoke to chills/feeling of fever. I suddenly felt nauseous. I went and sat on the floor of my bathroom and went unresponsive. Per my husband. My eyes rolled back in my head, my body went limp, and I was moaning. I did not come to for 30-60 seconds despite shaking, calling my name, and sticking his finger in my throat. I came to and was alert and oriented but have no recollection of the incident. EMS was called.

Other Meds: Aygestin 5mg PO daily, Zyrtec 1 tab daily, Women?s Multivitamin 1 tab daily

Current Illness: Covid + 12/28/20

ID: 0939221
Sex: F
Age: 51
State: SC

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

Allergies: No

Symptom List:

Symptoms: Vaccine 2 only: severe arm pain began 2 hours after shot. Within 8 hours I had severe pain all over my body and fever 103F. Still have severe headache 36 hours late and fever 100F.

Other Meds: Vyvanse Lisinopril Cymbalta Wellbutrin Claritin

Current Illness: No

ID: 0939222
Sex: F
Age: 31
State: NC

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

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Lab Data:

Allergies: N/a

Symptom List:

Symptoms: Prolonged tachycardia, light headed

Other Meds: Levothyroxine

Current Illness: N/a

ID: 0939223
Sex: F
Age: 28
State: NJ

Vax Date: 12/31/2020
Onset Date: 01/08/2021
Rec V Date: 01/12/2021
Hospital:

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Lab Data:

Allergies: Pork, dairy

Symptom List:

Symptoms: One week after the injection, the site became very red, swollen, and itchy. They skin is also raised. It does not happen every day but it comes and goes

Other Meds: Allegra, lo loestrin fe, celebrex

Current Illness: None

ID: 0939224
Sex: F
Age: 25
State: PA

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

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Lab Data:

Allergies: None

Symptom List:

Symptoms: Feverish, chills, body soreness and aches, fatigue, feeling faint/could pass out, lethargic, headache

Other Meds: Fluoxetine 40mg Furosemide 20mg Allopurinol 100mg x2 Metformin 500mg x 2

Current Illness: None

ID: 0939225
Sex: M
Age: 68
State: CT

Vax Date: 01/03/2021
Onset Date: 01/08/2021
Rec V Date: 01/12/2021
Hospital:

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Lab Data:

Allergies: None

Symptom List:

Symptoms: Chills Fatigue

Other Meds: None

Current Illness: None

Total 2021 VAERS Injuries: 599,999

Page last modified: 03 October 2021 5:28pm