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
92,076
AK1,880
AL6,345
AR4,151
AS46
AZ14,991
CA66,887
CO12,550
CT8,943
DC1,795
DE2,009
FL42,724
FM4
GA17,031
GU124
HI2,580
IA4,919
ID2,892
IL22,128
IN24,197
KS5,047
KY9,111
LA5,500
MA15,718
MD13,434
ME3,351
MH8
MI20,971
MN13,585
MO10,747
MP30
MS3,198
MT2,477
NC18,051
ND1,501
NE3,109
NH3,218
NJ20,216
NM4,218
NV4,728
NY37,667
OH20,793
OK6,692
OR9,244
PA25,607
PR2,588
QM2
RI2,163
SC7,261
SD1,282
TN10,445
TX39,890
UT4,618
VA15,980
VI67
VT1,830
WA16,071
WI12,042
WV2,571
WY926
XB5
XL1
XV2

ID: 0942410
Sex: F
Age: 51
State: IN

Vax Date: 01/01/2021
Onset Date: 01/10/2021
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: Dysphagia, Epiglottitis

Symptoms: Face swelled especially mouth area

Other Meds: None

Current Illness: None

ID: 0942411
Sex: F
Age: 50
State: MI

Vax Date: 01/12/2021
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: Penicillin as child

Symptom List: Anxiety, Dyspnoea

Symptoms: Itching- mild different areas Palms of hands

Other Meds: Wellbutrin, relafen, emergency packet vitamin c supplement

Current Illness: None

ID: 0942412
Sex: F
Age: 39
State: WI

Vax Date: 12/17/2020
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: numerous environmental and foods allergies. have gotten shots in the past

Symptom List: Chest discomfort, Dysphagia, Pain in extremity, Visual impairment

Symptoms: small red raised itchy rash at site of injection, hives to arms and legs within 24 hours. 2nd vaccine worse. left arm redness and itching, general body itching, wheezing, entire upper left arm red and itching

Other Meds: cetirzine, levothyroxine, cymbalta, wellbutrin, vitamin d, zinc, and vitamin c

Current Illness: no

ID: 0942413
Sex: F
Age: 49
State: GA

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: Biaxcin

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Injection site raised and sore Sore throat

Other Meds: Lunesta Lexapro

Current Illness: None

ID: 0942414
Sex: F
Age: 23
State: VA

Vax Date: 01/05/2021
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: Gluten intolerance

Symptom List: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Circular red mark appeared at injection site one week after receiving the vaccination. No pain, itchiness, or warmth to touch. Mark was not present immediately after receiving vaccine or in the few days following. Red mark appears slightly swollen, not raised. As of this report, has been present for approximately 36 hours with no change.

Other Meds: Effexor, Hydroxyzine, B complex vitamin, fish oil, iron supplement.

Current Illness:

ID: 0942415
Sex: M
Age: 57
State: AZ

Vax Date: 01/12/2021
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: Penicillin

Symptom List: Chills, Confusional state, Eye inflammation, Headache, Laboratory test

Symptoms: Around the Injection site is red and a little puffy as well as hot. Currently feeling very fatigued and tired.

Other Meds: Lisinopril Amlodipine Besylate

Current Illness: Covid 12/19/2020

ID: 0942416
Sex: F
Age: 44
State: OR

Vax Date: 01/02/2021
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: kiwi

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: New swelling at site of injection, started with discomfort and then visible swelling was noticed.

Other Meds: n/a

Current Illness: n/a

ID: 0942417
Sex: F
Age: 62
State: OH

Vax Date: 12/23/2020
Onset Date: 12/25/2020
Rec V Date: 01/13/2021
Hospital:

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

Lab Data:

Allergies: flu shot

Symptom List: Pharyngeal swelling

Symptoms: 24 hours after the vaccine I had a 102 fever overnight. The next day, my feet were hurting, like burning. They continued like this but with fluctuating severity. My calves and shin muscles began to be sore. I sought out acupuncture and myofascia release work to help. It did help temporarily. I started to have left ankle pain, not like a sprain, like tendonitis or inflammation. It continued to hurt to walk and the muscles more painful. I started having darker urine about 4 days after the vaccine. I drank cranberry juice and took a kidney/bladder supplement, increased fluids, but it continued dark. I went to the Urgent Care on January 7th c/o muscle pain and dark urine. My blood pressure was elevated, 179/100..unusual for me, and my urine was neg so it was sent for culture and blood was drawn for CBC and metabollic panel and Creatine Kinase

Other Meds: Vitamin D, Natura Throid,

Current Illness: No

ID: 0942418
Sex: F
Age: 64
State: IN

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: Abdominal pain, Chills, Sleep disorder

Symptoms: Headache Fever Chills Lethargy DIzzy

Other Meds: Metoprolol Lisinoprol Simvastatin Sertraline Aspirin 81mg Ozempic

Current Illness: None

ID: 0942419
Sex: F
Age: 60
State: MD

Vax Date: 01/01/2021
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: Diarrhoea, Nasal congestion

Symptoms: Within about an hour of the Moderma Vaccine in left arm. I felt numbness on my left cheek, left eye site peripheral vision wasn't great, and couldn't hold a coffee cup easily in the left hand, it wasn't strong. My cheek felt like I had mild novocaine in it, like when I had a tooth pulled. Then, 4 1/2 hrs after the shot I was very tired and couldn't keep my eyes open. Now at 8:30 pm after dinner, I feel much better and like myself again. I think this is a small price to pay to get the vaccine.

Other Meds:

Current Illness:

ID: 0942420
Sex: F
Age: 27
State: UT

Vax Date: 01/05/2021
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: N/A

Symptom List: Vaccination site erythema, Vaccination site pruritus, Vaccination site swelling

Symptoms: Swelling, hives, pain all in right arm

Other Meds: BC, citalopram, trazodone, Lipitor, spironolactone

Current Illness: None

ID: 0942421
Sex: F
Age: 33
State: KY

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: Omnicef; Chloraprep; Walnut; Peanut

Symptom List: Rash, Urticaria

Symptoms: Sudden weakness/dizziness with rapid heartbeat and arythmia ( Per EMT EKG) . Heart rate normalized /Resolved on its own after about 10 minutes with dizziness lingering a little longer

Other Meds: Buspar ; Wellbutrin ; baby aspirin; Flonase; Zyrtec; vitamin D-B-K, zinc, elderberry

Current Illness: None

ID: 0942422
Sex: F
Age: 100
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:
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Vax Site:

Lab Data:

Allergies: Atorvastatin

Symptom List: Blood pressure decreased, Chest pain, Chills, Confusional state, Decreased appetite

Symptoms: pt was accidentally vaccinated w/dose #1 twice (5 days apart)

Other Meds: N/a

Current Illness: None

ID: 0942423
Sex: F
Age: 67
State: MD

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

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

Lab Data:

Allergies: Allergic to most narcotic medications. Allergy to gluten, Allergy to PPD, Allergy to Balsam of Peru, Allergy to Red dyes

Symptom List: Dyspnoea, Fatigue, Feeling abnormal, Head discomfort, Headache

Symptoms: Within 10 minutes started itching on arms, within 45 minutes hives started first on arms, then trunk, neck and ears. During this time throat began to get scratchy. Took two 50mg of benadryl then 1 hour later took one more 50mg of benadryl. Within 3 hours hives and scratchy throat was gone.

Other Meds: Doxycycline 20mg, Dupixent 300mg injection every 2 weeks, Vitamin E 1200mg BID, Vitamin C 1000mg BID, Zink 50mg QD, Turmeric 450mg BID, Vitamin D 2000 IU QD, imutrex 100mg PO/PRN, imutrex injections PRN, Albuteral PRN, Atrovent PRN, Symb

Current Illness: Asthma

ID: 0942424
Sex: F
Age: 38
State: CA

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

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

Lab Data:

Allergies:

Symptom List: Heart rate decreased, Heart rate increased, Hypertension, Injection site pain, Musculoskeletal chest pain

Symptoms: 9:05am patient states left shoulder pain, Lightheadedness, shakiness, headache, and tachycardia. Placed patient on gurney, monitored vital signs. Patient stated headache was worse and felt restriction while breathing. Called Rapid response 9:16-AM Vitals : 910- BP 147/101, HR 94, 02 100% 913-BP 130/89, HR 98, 02 100% 914- BP 135/87, HR 97, 02 100% 920- BP 141/92, HR 100, 02 99% 921- BP 133/93, HR 94, 02 100% Rapid Response evaluated patient and suggested to be seen at ED. Patient agreed and wheeled down to ED by myself and Rapid response

Other Meds:

Current Illness:

ID: 0942425
Sex: F
Age: 39
State: MI

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

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

Lab Data:

Allergies: Mushroom, latex, pcn

Symptom List: Nausea, Pain, Pain in extremity, Paraesthesia oral, Pyrexia

Symptoms: Woke with large, red, raised, painful, itchy lump on left arm.

Other Meds: Synthroid Sprintec

Current Illness: None

ID: 0942426
Sex: F
Age: 34
State: IL

Vax Date: 01/12/2021
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: Penicillins, lactose intolerant

Symptom List: SARS-CoV-2 antibody test, SARS-CoV-2 test negative

Symptoms: Nausea and headache that lead to diarrhea and vomitting at 3:30am the morning after receiving the vaccine.

Other Meds: Lactaid, Vienna birth control tablets, fluoxetine 20mg daily.

Current Illness: Migraine headaches on occasion, but nothing notable the day of or 2 weeks prior

ID: 0942427
Sex: F
Age: 38
State: PR

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

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

Lab Data:

Allergies: Aspirin

Symptom List: Ear pain, Hypoaesthesia

Symptoms: First instantly chest pain and a little difficulty breathing. I was like this for more than 30 min, then was relieved but Headache was added, Dizziness, sensation of nausea, neck pain, sensation of having inflamed organs, extreme tiredness, couldn't move the arm, pain all over the body, excessively dry mouth but felt the saliva very thick, several days with alternating symptoms. On the night of the vaccine the body extremely cold, nocturnal delirium. Took Tylenol every 4 hours, the neck pain was unbearable. I was feeling bad for about 3 to 4 days.

Other Meds: Tylenol

Current Illness: N/a

ID: 0942428
Sex: M
Age:
State: MN

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

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

Lab Data:

Allergies:

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: None stated.

Other Meds:

Current Illness:

ID: 0942429
Sex: F
Age: 36
State: IL

Vax Date: 12/28/2020
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: Tdap

Symptom List: Blood pressure increased, Chest discomfort, Heart rate increased

Symptoms: Day 8- site became red, hot, swollen. Day 9 site reaction continued. Entire arm hurt. Cramps in right leg Day 10 site reaction improved. Cramps in left leg Day 11- site reaction continues to improved Day 12- bilateral legs cramping Day 13 severe back spasm Day 14- back pain Day 15- sores on lips and mouth

Other Meds: Effexor synthroid b12 vitamins d metformin ambien

Current Illness: None

ID: 0942430
Sex: F
Age: 31
State: KY

Vax Date: 01/08/2021
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: Injection site erythema, Injection site pruritus, Injection site swelling, Lymph node pain, Lymphadenopathy

Symptoms: After my first dose, the only symptom I had was soreness at the injection site lasting 1 day. 12 hours after my second vaccine, I developed muscle aches and chills that were gone the following morning when I woke up. 3 days after receiving my second dose, I developed hives and swelling on my entire body that progressed over 2 days. I also started to have some swelling in my throat by 4 days after the second dose and ended up going to immediate care for a steroid injection which began to provide relief by the next morning.

Other Meds: Birth control

Current Illness: None

ID: 0942431
Sex: F
Age: 58
State:

Vax Date: 01/09/2021
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: sulfa ivp dye nubain

Symptom List: Unevaluable event

Symptoms: immediate tingling and fogginess in body then tacycardia lasting about 3-5 minutes no treatment

Other Meds: metoprolol vitamin D fosamax calcium fish oil

Current Illness: none

ID: 0942432
Sex: U
Age: 41
State: AL

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: NKDA

Symptom List: Chills, Dizziness, Injection site pain, Myalgia, Pyrexia

Symptoms: Large tennis ball sized hematoma under L armpit. Pain and tenderness

Other Meds: Atenolol 50mg daily, ASA 81mg Daily, KCL 20meq daily

Current Illness: NA

ID: 0942433
Sex: F
Age: 36
State: OK

Vax Date: 01/05/2021
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: Pineapple

Symptom List: Injection site pain, Pain

Symptoms: Raised, red, itchy bump at injection site.

Other Meds: Synthroid, liothyronine, vitamin D3, vitamin B12, probiotic

Current Illness: N/A

ID: 0942434
Sex: F
Age: 56
State: NC

Vax Date: 12/31/2020
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: None

Symptom List: Injection site pain, Menorrhagia

Symptoms: Localized redness spreading across and down arm 11 days post vaccine

Other Meds: None

Current Illness: None

ID: 0942435
Sex: F
Age: 27
State: CA

Vax Date: 01/05/2021
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: Arthralgia, Chills, Headache, Mobility decreased, Myalgia

Symptoms: Possible axillary tenderness and swelling, small lump in underarm

Other Meds: Nuvaring, allergy pills 10mg

Current Illness: None

ID: 0942436
Sex: F
Age: 45
State: AL

Vax Date: 01/07/2021
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: Codeine Hydrocodone Percocet Omniceft Cipro Doxycycline Azithromycin

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Approx 22 hours after vaccine dose I experienced shortness of breath, nausea, full feeling in chest, chills, extreme fatigue, headache, body aches, diarrhea and a fever of 101 degrees. These initial symptoms lasted approx 24 hours. The headache, nausea, and some fatigue lasted another 72 hours. Also my arm where I had injection was extremely sore for approx 5 days.

Other Meds: Toprol 50 mg Levothyroxine 112 mcg Estradiol 1 mg Emgality Injection

Current Illness: None

ID: 0942437
Sex: F
Age: 32
State: NC

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/13/2021
Hospital:

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

Lab Data:

Allergies: none known

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: I work as an occupational therapist in acute care. On 12/28, I was helping a patient transfer from supine to sit. She required maximal assistance, and I was briefly in an awkward position with my trunk flexed and rotated towards the right during this transfer. I felt a pull in my left lower back. After this, I iced the area and took 400 mg ibuprofen and this relieved the mild pain I had. The following two days, I made an effort to follow back precautions (avoid bending, lifting, twisting), avoided heavy lifting at work. On 12/29 in the morning, I felt only a mild soreness in my left lower back and was able to go on my workday without issue (avoiding heavy lifting) On 12/29 around 3 pm I received the first dose of the Pfizer COVID vaccine. On 12/30 (day off work) from the time I woke up until around early afternoon I felt a mild weakness and heaviness in both of my legs. It was most notable when I was standing to cook for about 20-30 minutes that my legs felt shaky and I felt the need to sit. I was able to finish cooking without sitting, however, this sensation was abnormal for me as I normally am on my feet for most of the day with an active job without feeling shaky or weak. Around 22:00 on 12/30 I had severe nausea for about an hour or so. I can't fully remember, but several days after 12/28 or 12/29 I started to feel a mild cold sensation in my lower back. I attributed this potentially to my mild back injury, but it was unclear. The sensory change was intermittent and mild, and ongoing until recently. On 1/9 while at work, I started to feel a mild cold sensation below my belly button, in addition to the intermittent lumbar back cold sensation area. On 1/11 at work, the sensory changes to my lower abdomen and back were more apparent after assisting in a maximal assist transfer with a patient. At this time, it was a combination of cold and burning sensations.

Other Meds:

Current Illness: none

ID: 0942438
Sex: F
Age: 29
State: UT

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: Headache, Heart rate increased, Injection site erythema, Injection site pain, Injection site swelling

Symptoms: 11 hours after administration, I experienced chills without objective fever, myalgias, localized injection site muscle soreness, headache.

Other Meds: Cetirizine, Fluticasone nasal spray

Current Illness: None

ID: 0942439
Sex: F
Age: 37
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: Nausea

Symptoms: Body aches starting at injection site and moving to whole body slightly after, lower back, hips starting at 1900. Chills for three hours starting day one at 2030. Sweating and headaches commencing after chills. Headache has gone down on day two, still massive body aches.

Other Meds:

Current Illness:

ID: 0942440
Sex: F
Age: 49
State: MD

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: PCN, ASA, Zyrtec, Zantac

Symptom List: Injection site pain

Symptoms: chills which lead to shivers and putting on 3 layers, 2 down comforters and a throw blanket to go to sleep, fever (I can't remember what it was), sweating (even after taking layers and blankets off), fatigue, arm swelling, and pain where the injection was, nausea, unable to stand for short periods of time, This lasted over 24 hours, the next day the same but on a lesser progression but included diarrhea and a swollen supraclavicular lymph node being swollen-- > 5"x2".

Other Meds: multivitamins, Wellbutrin XL (had not taken since Monday morning), Tylenol 1000mg since receiving vaccine.

Current Illness: none

ID: 0942441
Sex: M
Age: 59
State: MA

Vax Date: 01/06/2021
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: Penicillin

Symptom List: Injection site induration, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: 1/7/2021: Struggled with major fatigue, severe chills, and body ache during the day, left arm moderate pain, and a temperature of 100.8 measured in the afternoon. 1/8/2021, Severe headache early in the morning throughout the day, almost immobilizing. Moderate left arm pain. 1/9/2021: Mild headache, moderate to mild left arm pain. 1/10/2021: Mild left arm pain. Most symptoms were alleviated with Tylenol and Motrin.

Other Meds: Losartan, Timolol, Hydrochlorothiazide, vitamins

Current Illness: No illness at time of vaccine, but tested positive for COVID on 11/27/20.

ID: 0942442
Sex: F
Age: 29
State: IN

Vax Date: 01/10/2021
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: NKA

Symptom List: Chills, Dizziness, Nausea, Pain, Tachycardia

Symptoms: fever (102.6F), nausea/vomiting, body aches, headache; worst at 18hrs after receiving 2nd dose, resolved roughly 24hrs after onset

Other Meds: Lexapro, Tri-sprintec, nutriferon, hair/skin/nails vitamin

Current Illness: none

ID: 0942443
Sex: F
Age: 31
State: IL

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/13/2021
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Allergies: N/A

Symptom List: Tremor

Symptoms: Left Arm hurt for 4 days (where injection occurred), fatigue

Other Meds: N/A

Current Illness: N/A

ID: 0942444
Sex: F
Age: 42
State: NV

Vax Date: 01/10/2021
Onset Date: 01/11/2021
Rec V Date: 01/13/2021
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Allergies: None

Symptom List: Erythema, Pruritus

Symptoms: Breast tenderness

Other Meds: Synthroid Wellbutrin

Current Illness: None

ID: 0942445
Sex: F
Age: 12
State: SD

Vax Date: 08/28/2020
Onset Date: 09/05/2020
Rec V Date: 01/13/2021
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Allergies: None

Symptom List: Injection site erythema, Injection site induration, Injection site pruritus, Injection site swelling, Myalgia

Symptoms: developed a rash on her chin on her face and this spread to her cheeks, arms, fingers, and legs - taking Triamcinolone Acetonide 0.1% and Gold Bond over the counter cream. Not really any improvement with the prescription and rash spread over time. Started on her face shortly after vaccines

Other Meds: None

Current Illness: None

ID: 0942446
Sex: F
Age: 39
State: CA

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

Symptom List: Cough, Limb discomfort, Pain, SARS-CoV-2 test positive

Symptoms: Chills, Fever of 101 F and Headache

Other Meds: N/A

Current Illness: N/A

ID: 0942447
Sex: F
Age: 52
State: CT

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/13/2021
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Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Individual reported that she felt warm soon after vaccine was administered. She quickly asked to lay down and feet were raised and she was given something sweet to drink. Individual reported that she had slept in and had not eaten that morning. VS at 12:27 - BP 152/72. P 115 and pulse oximeter - 99%. 12:35 - BP 148/80 and individual sitting in chair. She reported feeling better. Staff called husband to come and pick up. Individual waited at clinic site for 30-45 minutes for her husband and no additional complaints.

Other Meds: Individual reported taking medication, but did not provide list at the time. She also reported history of vasovagal responses.

Current Illness:

ID: 0942448
Sex: F
Age: 26
State: CA

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

Symptom List: Injection site erythema, Injection site pain, Injection site swelling

Symptoms: Started to feel itchy on right neck area approximately 5:25 5 minutes after receiving . Denies problems with breathing. No respiratory distress. Lungs ctabl, no stridor, no jvd. RR 12 unlabored even. CV Blood pressure 143/93 97 99% on RA after deep breaths BP 125/88 96b 99% O2 sat. Consulted with Medical Director called 911 for evaluation. Paramedics called and evaluated employee. They recommended on site observation and Benadryl. One 3-4 mm raised blanched wheal at right neck observed, "itchy" scratched x1 when itched. "Tried to not scratch" Denies any respiratory difficulty. Benadryl 25 mg given 6:21 PM, 6:52 employee doing well 98 % 85 heart rate 132/88 16 referral provided for if needed follow up care.

Other Meds: Birth Control Pills

Current Illness: None

ID: 0942449
Sex: F
Age: 55
State: PA

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/13/2021
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Allergies: N/A

Symptom List: Chills, Feeling cold, Feeling hot, Myalgia, Pain

Symptoms: Post injection developed moderate to severe left arm pain - (when laying down unable to lay on that arm for 3 days) then developed discomfort and stiffness in left shoulder, left elbow and left wrist that has continued but is slowly resolving. Spoke to Employee Health on 1/12/2021 and had virtual Employee Health consult on 1/13/2021. Treatment was to advised to take Ibuprofen/or Aleve. Discussed if should receive 2nd dose and was advised to receive by Health Care Provider.

Other Meds: Zyrtec, Vitamins - C,D3, B complex , Multivitamin, Calcium

Current Illness: N/A

ID: 0942450
Sex: F
Age: 37
State: NY

Vax Date: 01/06/2021
Onset Date: 01/13/2021
Rec V Date: 01/13/2021
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Allergies: none

Symptom List: Pain in extremity

Symptoms: 7 days post my 1st dose, injection site became itchy, red, and feverish

Other Meds: Omeprazole 20mg Famotidine 20mg

Current Illness: none

ID: 0942451
Sex: F
Age: 61
State: IN

Vax Date: 01/11/2021
Onset Date: 01/13/2021
Rec V Date: 01/13/2021
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Allergies: Sulfa, keflex, ampicillin, maybe tetracycline, pine products (Christmas trees and pine cleaning products)

Symptom List: Abdominal pain upper, Abnormal behaviour, Adverse reaction, Anger, Asthma

Symptoms: Itching at site. Removed bandaid. Reddened area in triangular pattern along bandaid and below bandaid approx 3 inches. Site not hot, site firm. By 10:00 pm itching and redness resolved. Site remains slightly firm.

Other Meds: Prozac, zonisamide, hydroxychloroquin, bupropion,divalproex, Tylenol extra strength

Current Illness: Functional Movement Disorder OccasionAl headache

ID: 0942452
Sex: F
Age: 24
State:

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

Symptom List: Consciousness fluctuating, Crying, Dry skin, Epistaxis, Headache

Symptoms: Patient received Moderna COVID19 vaccination. She was sitting in our waiting room for her 15 min observation and 5-8 minutes after being vaccinated patient began to feel lightheaded and faint. She said her vision was blurred and felt very faint. 911 was called and paramedics assessed her. She quickly began to feel better and mentioned she got this way when she got her ears pierced. Patient stayed for another 15 minutes, drank water and was 100% better.

Other Meds: None

Current Illness:

ID: 0942453
Sex: F
Age: 33
State: MN

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/13/2021
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Allergies: None

Symptom List: Hypotonia, Lethargy, Respiratory rate decreased, Screaming, Skin warm

Symptoms: Around 2 AM, roughly 14 hours after receiving Covid Modena vaccine (1st dose) I woke up in a violent shaking situation. I could not stop shaking, it was more than just the ?chills? I thought my teeth were going to break they were so tough. It made me hyperventilate because I was so worked up , almost like I couldn?t catch my breath from body being so tense from shaking. This lasted all night, around 8 am, the ?shakes? became less severe and I then felt like it was a 100 degrees, sweating ALOT. This lasted all day. Saturday my body hurt so badly, my muscles and joints hurt so much it hurt to move my toes, I cried and cried and I am a very tough person but this was not normal by any means. By Sunday I was feeling somewhat better but I wouldn?t and won?t go through this again , my arm still feels like an elephant was sitting on it. I understand your body makes reactions to vaccines because it recognizes it and is preparing it for antibodies to be made but this was not a normal situation , so much I am almost positive I will not take the second dose, nobody knows how I felt and I will say honestly , this was a horrible and scary thing.

Other Meds: None

Current Illness: Had a positive Covid test on December 21, 2020, putting me at 18 days from having Covid at time of vaccination. Otherwise, completely healthy.

ID: 0942454
Sex: F
Age: 38
State: MA

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/13/2021
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Symptom List: Vomiting

Symptoms: reports feeling dizzy, walked over to EMS for eval and reported feeling anxious and better within 5 minutes, sent home to husband waiting in car

Other Meds:

Current Illness:

ID: 0942455
Sex: F
Age: 33
State: NC

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/13/2021
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Allergies: None

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Up to 48 hours after: body aches, ?fuzzy? head, fatigue, arm pain, swelling at site.....improved Day 10 arm swelling came back, redness, pain, neck pain on that side, went away within 48 hours Day 14 arm swelling back again, redness, pain

Other Meds: Birth control

Current Illness: None

ID: 0942456
Sex: F
Age: 66
State: TX

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/13/2021
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Allergies: Keflex, levoquin, codeine, tape, tomatoes

Symptom List: Back pain, Cold sweat, Headache, Nausea, Vomiting

Symptoms: Rash and whelps on torso, neck, face with itching noticed upon waking 1-13-21. Mild headache and feverish the evening of 1-12-21 and 1-13-21. Took Allegra on 1-13-21

Other Meds: Singulair, metropol xl, lunesta, methimazole, low dose (off label) naltrexone Multi vitamin, magnesium, collagen, selenium, vitamin D, zinc

Current Illness:

ID: 0942457
Sex: F
Age: 31
State: OH

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

Symptom List: Injection site swelling, Limb discomfort

Symptoms: CHILLS, FEVERISH, CHEST PAIN, MUSCLE ACHES, SWELLING IN LEFT SIDE OF NECK, NECK PAIN

Other Meds: vitamin c, vitamin d, lysine, Effexor 112.5, Tylenol, ibuprofen

Current Illness: covid diagnosis 12/22/2020

ID: 0942458
Sex: F
Age: 44
State: AZ

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

Symptom List: Chills, Diarrhoea, Fatigue, Feeling abnormal, Headache

Symptoms: Syncope

Other Meds: None

Current Illness: None

ID: 0942459
Sex: F
Age: 62
State: AZ

Vax Date: 01/10/2021
Onset Date: 01/12/2021
Rec V Date: 01/13/2021
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Allergies: Bactrim, Cipro, Cantaloupe, and pineapple

Symptom List: Hot flush, Myalgia, Nausea, Tension headache

Symptoms: 1st 24 hrs just arm soreness, 2nd 24 hrs itching and fatigue, 48 hrs, anaphylaxis, hives, rash, itching, lymph swelling, chills

Other Meds: Fish oil, Montelukast, Pravastatin, Levothyroxin, Lorazepam. Florastor, Vitamin D3, baby ASA, Ocuvite,

Current Illness: bladder infection and oral cold sore

Total 2021 VAERS Injuries: 704,237

Page last modified: 26 October 2021 2:21am