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
88,334
AK1,815
AL6,133
AR3,993
AS45
AZ14,539
CA64,759
CO12,159
CT8,719
DC1,747
DE1,868
FL41,499
FM3
GA16,132
GU92
HI2,477
IA4,739
ID2,763
IL21,496
IN23,655
KS4,844
KY8,414
LA5,328
MA15,281
MD13,105
ME3,277
MH8
MI20,143
MN12,873
MO10,275
MP30
MS3,073
MT2,392
NC17,450
ND1,440
NE3,023
NH3,124
NJ19,456
NM4,089
NV4,600
NY36,525
OH20,140
OK6,525
OR8,918
PA24,920
PR2,483
QM2
RI2,092
SC6,952
SD1,243
TN10,038
TX38,745
UT4,482
VA15,477
VI62
VT1,780
WA15,487
WI11,573
WV2,461
WY894
XB5
XL1
XV2

ID: 0941806
Sex: F
Age: 39
State: CA

Vax Date: 01/09/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Cough Extreme sore throat chills

Other Meds:

Current Illness:

ID: 0941807
Sex: F
Age: 64
State: AZ

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
Hospital:

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

Lab Data:

Allergies: no

Symptom List:

Symptoms: At the injection site, soreness, burning, achy, painful and huge knot in collarbone area. Dr. said infection from the COVID19 shot. prescribed antibiotics.

Other Meds: Omeprazole 20mg, Atorvastatin 20mg

Current Illness: Coronavirus

ID: 0941808
Sex: M
Age: 27
State: PA

Vax Date: 01/06/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
Hospital:

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

Lab Data:

Allergies: Nkda

Symptom List:

Symptoms: Free floating nodule directly across on inside of left arm where Injection was starting last night.

Other Meds: None

Current Illness: None

ID: 0941809
Sex: F
Age: 10
State: CA

Vax Date: 12/21/2020
Onset Date: 12/22/2020
Rec V Date: 01/13/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: A pruritic area of erythema present for about 7-10 days after the injection with a mildly tender mass underlying it. After this resolved, there was a pea-sized mass of residual induration and some residual postinflammatory hyperpigmentation overlying that site.

Other Meds: PRN albuterol.

Current Illness: None

ID: 0941810
Sex: F
Age: 47
State: OR

Vax Date: 09/18/2018
Onset Date: 09/18/2018
Rec V Date: 01/13/2021
Hospital:

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

Lab Data:

Allergies: Dilaudid, ALL latex (natural and synthetic), egg whites, soy, whatever is in Orajel, any and all forms of mercury, pollen, pet dander.

Symptom List:

Symptoms: I had a tetanus booster on the same day, however that arm was fine. A few hours after the pneumonia vaccine, on Sept 18th, 2018 my arm became too painful to move. My temp went up to 102F. I was a bit concerned so called the doctor's office. They told me it was ok and to take tylenol and ibuprofen. The next day my temp had gone up to over 103, and they told me the same thing. At some point between the 19th and 20th of Sept, my temperature was 105.8. This was WITH ibuprofen. I was very concerned but also couldn't move. I was home alone. I remember thinking I should go to an ER, and getting cold washcloths for my head. I also told my son to get another thermometer, in case ours was broken. He came home from school, got me a new thermometer and verified that my temp indeed had gone up to 106. The arm where the shot had been administered was swollen, but I couldn't tell if there were hives. I do not remember much else. My son called my spouse who looked up how much more tylenol or ibuprofen I could take, and I believe I was given more. I have no memory of Sept 21st, and half of Sept 20th. By the 23rd I believe I was back to normal. I called my doctor again to report it but I just found out they probably didn't fill out the VAERS form, so I am doing it ( My chart there says my temp got to 103.5. They did NOT report the 105.8/106). I since found out that 106 is quite close to being fatal, and my complaints should have been taken seriously. To date, nothing has come of it. I do NOT know what I reacted to. Did a tiny piece of latex get into my bloodstream? I have no idea. I am unsure if I suffered brain damage as a result of my head getting that hot.

Other Meds: Montelukast, pro-air, symbicort

Current Illness: None

Date Died:

ID: 0941811
Sex: F
Age: 56
State: LA

Vax Date: 01/04/2021
Onset Date: 01/11/2021
Rec V Date: 01/13/2021
Hospital:

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

Lab Data:

Allergies: NKDA & NO FOOD ALLERGIES

Symptom List:

Symptoms: Resident began having fever on 1/11/21 @0600. VS= T-102 B/P- 100/57 P- 112 RR- 24 O2 Sat 92% on RA. MD called. Rapid COVID Test was negative. CBC,CMP, U/A were ordered as well as CXR. Resident's condition declined. At 3:00pm resident started having respiratory distress and hypoxia O2 Sat 89%. Supplemental O2/mask @ 5LPM. Neb TX, EKG, and Rocephin 1 GM ordered. Condition worsened. Resident sent to nearest ER for evaluation. Later in the evening the staff AT Medical Center called to inform staff that resident had expired @ 2230 as a result of Respiratory Failure and Sepsis.

Other Meds: Haldol 2mg TWICE DAILY, DEPAKENE 750MG THREE TIMES

Current Illness: NONE

ID: 0941812
Sex: M
Age: 6
State: IN

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: mom states that pt developed hives at 5:30pm on 1/12/2021. Pt mom gave pt Benadryl and a tepid bath. Mom gave another dose of Benadryl at 0030 on 1/13/2021. Mom said hives remained most of night and started to fade on 1/13/2021 mid morning. About 2:30pm pt started to itch again and hives did develop again. Mom gave Claritin. Mom said she had given Pt first dose of zpack with lunch around noon on 1/13/2021. Per mom pt is "doing ok" now at 4:47pm on 1/13/2021

Other Meds: Claritin, albuterol prn, budesonide prn, Montelukast, multivitamin

Current Illness: Patient was dx with Strep on 12/30/2020 and given amoxicillin. Pt tested positive again in office on 1/12/2021 prior to vaccines.

ID: 0941813
Sex: F
Age: 67
State: TX

Vax Date: 01/04/2021
Onset Date: 01/13/2021
Rec V Date: 01/13/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: I woke up this morning with shoulder pain believing I slept wrong on it until I felt my left arm and felt this huge lump wondering how I grew a muscle overnight. It was definitely swollen and some redness too. I took my temperature and had no fever. Called my doctor's office to report my findings. Was instructed to apply a cold ice pack on it and take ibuprofen and to contact you with my event. I did not need to visit the office and continuing to ice pack my arm and ibuprofen. As of 3:41 pm CST it is still swollen.

Other Meds:

Current Illness:

ID: 0941814
Sex: F
Age: 24
State: SC

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/13/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: error in a full dose- the employee said that she doesn't know if the vaccine went into my arm. She said it "squirted out" and there were droplets on my arm afterward. I was given no advice or recommendations on what happened or what I need to do next and the situation was dismissed.

Other Meds:

Current Illness:

ID: 0941815
Sex: F
Age: 69
State: FL

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/13/2021
Hospital:

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

Lab Data:

Allergies: Sulfa, Celebrex

Symptom List:

Symptoms: Severe Headaches, Extreme Fatigue, Ringing in Ears, Nausea, Bitter taste in mouth

Other Meds: Emgality, Clonazepam, Acetainophen

Current Illness: None

ID: 0941816
Sex: F
Age: 68
State:

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/13/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Pt. reported leg weakness "similar to when my blood sugar was low". Pt. had sugar containing candy on person and was advised to ingest it. Pt. observed for additional 15 minutes and dismissed in stable condition thereafter.

Other Meds:

Current Illness:

ID: 0941817
Sex: F
Age: 46
State: IL

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
Hospital:

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

Lab Data:

Allergies: ibuprofen, IV dye

Symptom List:

Symptoms: Mild chills, cold, body aches, pain at inj site.

Other Meds: no

Current Illness: no

ID: 0941818
Sex: F
Age: 65
State: CA

Vax Date: 12/31/2020
Onset Date: 01/03/2021
Rec V Date: 01/13/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List:

Symptoms: Redness and erythema from the external arm down to the external elbow area, preceded by pain at the injection site for a first week.

Other Meds: Allegra

Current Illness: None reported

ID: 0941819
Sex: F
Age: 32
State: IL

Vax Date: 12/28/2020
Onset Date: 01/06/2021
Rec V Date: 01/13/2021
Hospital:

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

Lab Data:

Allergies: n/a

Symptom List:

Symptoms: Rt deltoid hard, red and swollen at injection site. Patient reports arm itches. Site is cool to the touch. Patient reports being afebrile and had a hot flash.

Other Meds: Zoloft, Aimovig, Verapamil, lamictal, ortho tri-cycles, suatriptan, clonazepam, metoclopram, ondansetron

Current Illness: anxiety, gastroparetisis, migraines

ID: 0941820
Sex: F
Age: 32
State: SD

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/13/2021
Hospital:

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

Lab Data:

Allergies: no

Symptom List:

Symptoms: Subcutaneous injection on the back o f the right arm. Was red/sore/painful - widespread redness on arm from elbow to scapula. Took 500mg Tylenol

Other Meds:

Current Illness: no

ID: 0941821
Sex: F
Age: 36
State: DC

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: complaint of dizziness; blood pressure elevated. Sent to ED. MD stated possible mild-moderate reaction to vaccine. Given IV fluids and monitored blood pressure prior to being released.

Other Meds:

Current Illness:

ID: 0941822
Sex: F
Age: 40
State: LA

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/13/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: Patient began experiencing numbness to R ear and jaw at approx 3:15pm. She received the vaccine at approx 1 PM. Denies SOB. Not facial drooping. No hives

Other Meds: Unknown

Current Illness: None

ID: 0941823
Sex: F
Age: 36
State: CA

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/13/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Right outer lip numbness, itchy eyes. Improved with benadryl.

Other Meds:

Current Illness:

ID: 0941824
Sex: F
Age: 25
State: KS

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/13/2021
Hospital:

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

Lab Data:

Allergies: Tree nut, shellfish, Penicillin, sulfa

Symptom List:

Symptoms: 5:17 PM- Felt lump in throat and shortness of breath 5:22 PM- Difficulty swallowing Vital signs: 128/85, 84 Pulse, 18 Respirations 5:29 PM- EMS activated 5:43PM- EMS arrived 5:51 PM- Patient advised of risks. Refused EMS

Other Meds: 1) Epi Pen as needed 2) Omeprazole 3) Flexiril

Current Illness: COVID-19 (11/24/20)

ID: 0941825
Sex: M
Age: 28
State: MO

Vax Date: 01/07/2021
Onset Date: 01/09/2021
Rec V Date: 01/13/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: 01/11/2021 Pt. reported to facility with c/o hives from his waist down, swollen lips and diarrhea. Instructed to take PO OTC Benadryl and report to ED if symptoms worsen Dx: Acute Urticaria

Other Meds:

Current Illness:

ID: 0941826
Sex: F
Age: 48
State: WI

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/13/2021
Hospital:

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

Lab Data:

Allergies: PCN and Sulfa

Symptom List:

Symptoms: Some itching during stay started 10 minutes after observation period started. kept 45 min. improved after went home. Declined need for ED visit.

Other Meds: unkown

Current Illness: UNKNOWN

ID: 0941827
Sex: F
Age: 33
State: IA

Vax Date: 12/22/2020
Onset Date: 12/29/2020
Rec V Date: 01/13/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: about one week after receiving the Covid vaccination, employee developed a ed circle at the injection site which was approximately the size of a quarter and was itchy.

Other Meds:

Current Illness:

ID: 0941828
Sex: M
Age: 31
State: MA

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/13/2021
Hospital:

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

Lab Data:

Allergies: unknown

Symptom List:

Symptoms: Vaccine was given at 1250 pm. Approximately 20 min. after receiving the vaccine patient became general weak accompanied by near syncope, nausea. He was transported to hospital for treatment.

Other Meds: unknown

Current Illness: unknown

ID: 0941829
Sex: M
Age: 33
State: NY

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: I had a little swelling at injection site on day of and night of. The following day the swelling increased and had spread to the armpit area. It was more tender and there was moderate to sever pain in the armpit. I took some advil with minimal relief. On the 3rd day (today) the swelling seemed a littlw worse and the pain increased slightly. I contacted my plastic surgeon (since back in October 2019) because i had a procedure called miradry, which elemintes the sweat glands in my bilateral armpits. The doctor advised me to come in immeidately to the office. Upon arrival the doctor examined the area and was able to se immiedalty that is was swollen. I consented to pictures being taken. He is making an entry as well as I am and I was advised to ice the area and to take advil and to remain in contact.

Other Meds: nortriptyline

Current Illness: none

ID: 0941830
Sex: F
Age: 46
State: CA

Vax Date: 12/30/2020
Onset Date: 01/07/2021
Rec V Date: 01/13/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: itchy raised red rash started on day 8 after injection, and lasted for 4 days

Other Meds: multivitamin

Current Illness: none

ID: 0941831
Sex: F
Age: 59
State: TX

Vax Date: 11/11/2020
Onset Date: 11/11/2020
Rec V Date: 01/13/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient came in January of 2021 to report she still has a sore arm and range of motion possibly affected and wanted reported to vaers.

Other Meds:

Current Illness:

ID: 0941832
Sex: F
Age: 81
State: MI

Vax Date: 01/04/2021
Onset Date: 01/06/2021
Rec V Date: 01/13/2021
Hospital:

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

Lab Data:

Allergies: Ciprofloxacin Nausea Penicillins Other reaction(s): YEAST INFECTION Simvastatin Myalgia Low Sulfa (sulfonamide Antibiotics

Symptom List:

Symptoms: pt broke out with a bad case of shingles on her right leg 2 days post 2nd vaccination

Other Meds: advAIR DISKUS 250-50 mcg/dose inhaler albuterol HFA 90 mcg/actuation inhaler CALCIUM CARBONATE/VITAMIN D3 (CALCIUM 500 + D, D3, ORAL) candesartan (ATACAND) 32 mg tablet diclofenac sodium (Voltaren) 1 % topical gel esomeprazole magnesium (Ne

Current Illness: N/A

ID: 0941833
Sex: F
Age: 42
State:

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/13/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: The following actions were performed: Patient states that she is having pain where the vaccine was given. She reports that there is a warm traveling sensation from the injection sites to her neck and face. She also reports a tingling numbness and pressure sensation in her nose, chin and forehead. She started to complain of a headache at 12:53. Bendaryl 25mg administered as a single dose at 12:35. Patient was brought into the exam room sat down. She was monitored at 5 minute intervals for her BP, HR, and Pulse Ox. Her vitals are stable. She has no complaints of any SOB. She did complain of some chest tightness she said was anxiety and she was not concerned with it. She said it did not feel she like she needs any emergency treatment.

Other Meds:

Current Illness:

ID: 0941834
Sex: M
Age: 61
State: CA

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/13/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: about 14 hours after vaccination I experienced what appeared to be a severe case of Cytokine storm. I had a moderate case of COVID in May 2020 and had positive IgG AB in August. The symptoms started with heavy shaking chills, lasting 1 1/2 hours , fever and most concerning sustained tachycardia with heart rate of 180' to 200' over hours, which then destabilized into runs of Vtach and complex ventricular dysrythmia, low BP, profound weaklness, head aches and joint and muscle pains ( similar to the experienced COVID symptoms )

Other Meds: Vitamin D, C, Zinc, Selenium, Tamsolusin, Rosuvastatin, Aspirin

Current Illness: no

ID: 0941835
Sex: F
Age: 22
State: WI

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/13/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Had shot at 12:43 PM and notified nurse at 12:53 PM of nausea, BP 154/64, pulse 88, stated she started a new migraine medication 2 weeks ago and she had not eaten in the past 24 hours, BP recheck at 12:58 PM 154/70 pulse 80, complained of lightheadedness and nausea at 1:00 PM, chilling, 1 dose of epipen given 1:01 PM to left leg. 911 notified, en route to ED 1:11 PM. Notified mom at 12:28 PM. Dr. notified at 1:16 PM.

Other Meds:

Current Illness:

ID: 0941836
Sex: F
Age: 54
State: MI

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/13/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Chills and headache. Took extra strength Tylenol for the headache shortly after going to bed (around 10pm). Still felt a slight headache the next morning (5:30am) and took two more tablets. Felt fine after that. I felt kind of cold during the evening, but by the time I went to bed around 10pm, that was when the chills had hit full force. I could not get warm enough. I continued to increase the temperature of my electric blanket and was not comfortable until I was at a 6 out of 10. When I woke up the next morning the chills were gone. Also experienced soreness in the left arm.

Other Meds: Multi-vitamin, Iron, Vitamin C, Vitamin D, Fish Oil, Magnesium

Current Illness: None

ID: 0941837
Sex: F
Age: 65
State: DC

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Slight soreness of arm near vaccination site

Other Meds: Atorvastatin, Pantoprazole, Furosemide, Vitamin D, Bioflex

Current Illness: None

ID: 0941838
Sex: F
Age: 67
State: MA

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/13/2021
Hospital:

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

Lab Data:

Allergies: Penicillin - Rash Doxycycline - Rash Sulfa - Rash

Symptom List:

Symptoms: Approximately 10 min after receiving the Moderna vaccine the employee reported her throat began to feel scratchy and had itchiness. Employee has a history of allergic reactions. Patient was given diphenhydramine 25 mg in the ED and discharged home. No respiratory issues noted in ED, symptoms resolved.

Other Meds:

Current Illness:

ID: 0941839
Sex: F
Age: 31
State: CO

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/13/2021
Hospital:

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

Lab Data:

Allergies: gluten

Symptom List:

Symptoms: near syncope, relieved by rest

Other Meds: n/a

Current Illness: n/a

ID: 0941840
Sex: M
Age: 38
State: NM

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/13/2021
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Allergies: Unknown

Symptom List:

Symptoms: Approximately 3 minutes post injection the patient began hyperventilating 2/2 SOB. RR notified . Patient placed on 4L o2. Pt fully recovered.

Other Meds: Unknown

Current Illness: Unknown

ID: 0941841
Sex: F
Age: 31
State: NY

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/13/2021
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Allergies: No known allergies

Symptom List:

Symptoms: Patient reported feeling suddenly flushed and tachycardic - she reports having a history of SVT. She was immediately moved from chair to cot with feet elevated. She reported feeling better. Shortly after, her HR was 112, checked again 96, BP 124/90. Pt was alert and oriented, reported feeling better, took a few sips of juice. After attempting to sit up, she needed to lay back down, HR up to 120, c/o hands feeling numb. She reported a "heavy" feeling in her chest. 911 was called. Pt still alert, very calm, HR 112, starting to have have "chills" teeth chattering, knees shaking, skin warm and dry. Denies any difficulty breathing, tongue and lips not swollen, lips not cyanotic. Within 15 minutes HR down to 108. Reports her "heart rate feels better" but does still c/o hands tingling. Pt reports that she has never had any issues with getting vaccines before. Has not had an episode of SVT "in about 10 years" Patient transported to medical center for observation.

Other Meds: unknown

Current Illness: None

ID: 0941842
Sex: F
Age: 58
State: ME

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/13/2021
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Allergies: stinging insects (bees, wasps, hornets)

Symptom List:

Symptoms: about 30 minutes after vaccine developed itching sensation in the left supraclavicular area and spread to b/l neck and behind ears. mild flushing of skin. treated with 50mg benadryl, monitored for 30 minutes with decrease in symptoms and no new sx. normal vitals, no systemic sx, no hives.

Other Meds: losartan, atorvastatin, trazodone, ibuprofen

Current Illness: none

ID: 0941843
Sex: F
Age: 32
State: CA

Vax Date: 01/10/2021
Onset Date: 01/10/2021
Rec V Date: 01/13/2021
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Symptoms: Patient describes fever and chills and body aches.

Other Meds:

Current Illness:

ID: 0941844
Sex: F
Age: 27
State: MN

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/13/2021
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Allergies: None

Symptom List:

Symptoms: Malaise, chills, flushed, temperature of 99.1 with concurrent antipyretics (acetaminophen 1000mg PO Q6H) starting approximately 20 hours post-vaccination

Other Meds: Lutera Multivitamin

Current Illness: None

ID: 0941845
Sex: F
Age: 62
State: PA

Vax Date: 01/05/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
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Allergies: Pecans

Symptom List:

Symptoms: Pain mind swelling st injection site for 5 days, went away then on 7th day started wheezing felt warm and saw arm.had a deck of cards size welt where injection was.Took two benadryl the next day was in bed most of the time fever 100.6 headaches, body aches, reddnes and swelling at injection site

Other Meds: Vitamin b12 Multivitamin Amoxicillan

Current Illness: Lupus

ID: 0941846
Sex: F
Age: 71
State: CA

Vax Date: 12/29/2020
Onset Date: 01/06/2021
Rec V Date: 01/13/2021
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Allergies: Penicillin; collagen; adhesive tape

Symptom List:

Symptoms: On day 9, a large red non-itchy rash at injection site. On day 13, fever, listlessness, headache, body aches, queasiness continuing to date of this report

Other Meds: Amlodipine 5mg; Celebrex 100mg

Current Illness: None

ID: 0941847
Sex: M
Age: 33
State: CA

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/13/2021
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Allergies: no stated

Symptom List:

Symptoms: patient was anxious before injection. Diaphoretic before vaccination, and increased after vaccine. C/o Nausea. Patient moved to floor, legs elevated, cool packs to neck, Vital signs take (Normal). 911 activated, clinic staff monitored until EMS took over, patient refused transport to hospital. Co-worker drove them back to worksite.

Other Meds: unknown

Current Illness: none reported

ID: 0941848
Sex: M
Age: 37
State: CA

Vax Date: 12/23/2020
Onset Date: 12/23/2020
Rec V Date: 01/13/2021
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Allergies: hydrocodone

Symptom List:

Symptoms: "PMH htn who c/o n/v/d and flu like symptoms. Patient received first dose of pfizer vaccine 12/23/20 at 3pm. A few hours later started having epigastric pain to his back with numerous episodes of n/v nbnb. +chills and myalgias. Denies having any prior adverse reactions to vaccines. Denies any nsaid or etoh use. Denies any abd surgeries. Took 12mg zofran, about 4mg which were IV w/o relief. Denies any itching or rash or hx pancreatitis or anaphylaxis. +mild sob. "

Other Meds: Citalopram (CeleXA) 20 mg Oral Tab Nabumetone (RELAFEN) 750 mg Oral Tab Triamcinolone Acetonide (KENALOG) 0.025 % Top

Current Illness:

ID: 0941849
Sex: M
Age: 79
State: TN

Vax Date: 01/01/2021
Onset Date: 01/13/2021
Rec V Date: 01/13/2021
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Allergies: No

Symptom List:

Symptoms: Trouble walking, can't stand up straight, feel like I am going to pitch over forward

Other Meds: Metropolol 25 mg, losartan 50 mg, simvastatin 40 mg, cetirizine hydrochloride 10 mg, Nexium 10 mg, diazepam 5 mg, turmeric 500 mg, multivitamin men 50+, zinc 50 mg

Current Illness: Meniere's

ID: 0941850
Sex: F
Age: 62
State: MN

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/13/2021
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Allergies: sulfa

Symptom List:

Symptoms: Fever greater than 100.0 severe headache. Pain at the injection site

Other Meds: Tylenol ibuprofen

Current Illness:

ID: 0941851
Sex: F
Age: 36
State: WA

Vax Date: 12/18/2020
Onset Date: 12/18/2020
Rec V Date: 01/13/2021
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Symptoms: SOB: 25 min post injection, lasted 1 min then resolved. Nausea 1 hr post dose, intermittent, sever x12 hours, then intermittent and mild x1 additional day. Fatigue & pain at injection site.

Other Meds: OCP, APAP & ibuprofen PRN

Current Illness:

ID: 0941852
Sex: M
Age: 26
State: OH

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
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Allergies: None

Symptom List:

Symptoms: Chills with Rigors, fever tmax of 101.7, headache, muscle aches, night sweats.

Other Meds: Ibuprofen

Current Illness: None

ID: 0941853
Sex: F
Age: 64
State: VA

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/13/2021
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Symptoms: Dose used was from vial more than 6 hours old.

Other Meds:

Current Illness:

ID: 0941854
Sex: M
Age: 38
State: NY

Vax Date: 01/09/2021
Onset Date: 01/13/2021
Rec V Date: 01/13/2021
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Symptoms: 2 days after vaccine, started to feel lightheadedness and tunnel vision almost leaving him to fall. Weak legs. Sent to urgent care for further workup.

Other Meds:

Current Illness:

ID: 0941855
Sex: M
Age: 38
State: NY

Vax Date: 01/09/2021
Onset Date: 01/13/2021
Rec V Date: 01/13/2021
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Symptoms: 2 days after vaccine, started to feel lightheadedness and tunnel vision almost leaving him to fall. Weak legs. Sent to urgent care for further workup.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 679,999

Page last modified: 03 October 2021 5:28pm