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: 0943571
Sex: M
Age: 1
State: AL

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/14/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Dysphagia, Epiglottitis

Symptoms: mixed reconstituted dtap/IPV with normal saline that is used to reconstitute other medications with no AE; Initial information received on 06-Jan-2021 regarding an unsolicited valid non-serious case received from other health professional. This case involved a 1 year old male patient who received a 0.5 ml dose of vaccine DIPHTHERIA/TETANUS/5 HYBRID AC PERTUSSIS/IPV(MRC5)/HIB(PRP/T) VACCINE [PENTACEL] (lot number and expiry date not reported), via unknown route at right thigh, on 05-Jan-2021 (Wrong technique in product usage process). The patient's medical history, medical treatments, vaccinations, concomitant medications and family history were not provided. It was an actual medication error due mixed reconstituted dtap/ipv with normal saline that is used to reconstitute other medications (Wrong technique in product usage process) on same day. At the time of reporting, the patient had no adverse event. This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.

Other Meds:

Current Illness:

ID: 0943572
Sex: M
Age: 34
State: ND

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/14/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Anxiety, Dyspnoea

Symptoms: Expired Tenvac vaccine administered to patient/no AE; Initial information regarding an unsolicited valid non-serious case was received from a nurse (other health professional) via Medical Information (Reference number- 00422567) and transmitted to Sanofi on 08-Jan-2021. This case involves a 34 year old male patient who received an expired dose of suspect DIPHTHERIA-2/TETANUS-5 ADSORBED TOXOIDS NO PRESERVATIVE ADULT [TENIVAC] [lot U6101AA, expiry date: 23-Oct-2020] via an intramuscular route at an unknown administration site for prophylactic vaccination on 08-Jan-2021 (expired product administered). (latency: on the same day) Medical history, medical treatments, vaccinations, list of concomitant medication and family history were not provided. Patient received no other vaccines. It was a case of actual medication error due to expired vaccine used (Latency-same day). It was reported that, nurse did not have the site Event Information also wanted to know how to proceed further. At the time of report, no adverse event was reported. This suspected adverse reaction report is submitted and classified as a medication error solely and exclusively to ensure the marketing authorization holder's compliance with the requirements set out in Directive 2001/83/EC and Module VI of the Good Pharmacovigilance Practices. The classification as a medical error is in no way intended, nor should it be interpreted or construed as an allegation or claim made by the marketing authorization holder that any third party has contributed to or is to be held liable for the occurrence of this medication error.

Other Meds:

Current Illness:

ID: 0943573
Sex: F
Age: 52
State: UT

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/14/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Over-sleeping on 1/7/21. Fell asleep @ 5 pm 1/7/21 and slept until 10 am 1/8/21 Insomnia 1/8, 1/9, 1/10 - average 2-4 hours each night Fever of 100.3 on 1/11 from 12 pm till 5 pm

Other Meds:

Current Illness:

ID: 0943575
Sex: F
Age: 28
State: OK

Vax Date: 01/06/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: 1/13/21 Noon, very itchy injection site pea size knot. Today 1/14/21 knot increased sized to half dollar coin size, very red, hot to touch, itchy and painful.

Other Meds: Invokana, Januvia, Latuda, Lamictal, Hydrochlorothiazide, Simvastatin, Prenatal Vitamins, 10,000IU Vitamin D, Trulicity

Current Illness: N/A

ID: 0943576
Sex: F
Age: 56
State: NV

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/14/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Systemic: Nausea

Other Meds:

Current Illness:

ID: 0943577
Sex: F
Age: 35
State: CA

Vax Date: 12/22/2020
Onset Date: 12/25/2020
Rec V Date: 01/14/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Previous report filed 12/23. On 12/25 I woke up with rash on face, neck, arms, and chest. Itchy. Took Benadryl. Went away. On 12/27 I have another bout of palpitations that lasted 30 mins with heart rate at 130s at rest with dizziness and lightheaded ness.

Other Meds: Vitamin d3, vitamin c, zinc, birth control

Current Illness: None

ID: 0943578
Sex: F
Age: 59
State: WV

Vax Date: 01/07/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Multiple red, itchy spots on hands and feet

Other Meds: Xalantan Eye Drops, Multivitamin, Fish Oil, Vit D, Joint supplement

Current Illness: None

ID: 0943582
Sex: M
Age: 37
State: PA

Vax Date: 01/12/2021
Onset Date: 01/14/2021
Rec V Date: 01/14/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Pharyngeal swelling

Symptoms: Headaches, Fatigue

Other Meds: Nonw

Current Illness: None

ID: 0943583
Sex: F
Age: 24
State: IL

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/14/2021
Hospital:

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

Lab Data:

Allergies: no known allergies

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Diluent Administered Instead of Vaccine; symptoms lasted 0 days

Other Meds:

Current Illness:

ID: 0943584
Sex: F
Age: 63
State: ID

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/14/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: headache and body aches

Other Meds:

Current Illness:

ID: 0943585
Sex: F
Age: 31
State: MO

Vax Date: 01/08/2021
Onset Date: 01/11/2021
Rec V Date: 01/14/2021
Hospital:

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

Lab Data:

Allergies: Haldol, keppra

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

Symptoms: Extreme lockjaw unable to barely talk or chew

Other Meds: Ritalin, ambilify, propranolol, hydrochlothiazide,.

Current Illness: None

ID: 0943586
Sex: F
Age: 41
State: NY

Vax Date: 12/23/2020
Onset Date: 12/23/2020
Rec V Date: 01/14/2021
Hospital:

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

Lab Data:

Allergies: common allergies to dust

Symptom List: Rash, Urticaria

Symptoms: STARTED THROAT IRRITATION ABOUT AFTER 6 HRS ,MUSCLE PAIN AND JOIN PAIN ,AND FEVER STARTED OVERNIGHT ,NEXT DAY MORNING ADDED LETHARGY .SYMPTOMS STAYED FOR 3 DAYS AND JOINT PAIN WAS THERE FOR ALMOST 1 WEEK

Other Meds: tylenol,,cetrizine,heating pads ,

Current Illness: common allergies

ID: 0943587
Sex: M
Age: 23
State: CA

Vax Date: 12/24/2020
Onset Date: 12/24/2020
Rec V Date: 01/14/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Soreness at injection sight for about 4 days.

Other Meds: Zyrtec

Current Illness: None

ID: 0943588
Sex: F
Age: 69
State: FL

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: Moderna Covid-19 Vaccine sore arm, severe chills the night after the vaccine administered,

Other Meds: Restasis eye drops, Omega 3 Fish Oil, Red Yeast Rice Capsules, COQ10, Lutein, D3, C

Current Illness: none

ID: 0943589
Sex: F
Age: 44
State: PA

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/14/2021
Hospital:

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

Lab Data:

Allergies: Ceftin - nausea

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

Symptoms: I received my second dose of the Covid vaccine on 1/12 at 11:00am. At 2:00pm I noticed one large hive on my right cheek. I did not have any other symptoms or any other hives that I noted on my body.

Other Meds: no

Current Illness: no

ID: 0943590
Sex: F
Age: 48
State: IL

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/14/2021
Hospital:

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

Lab Data:

Allergies: sulfa

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

Symptoms: 1 minute after first dose of moderna covid vaccine patient had lightheadedness, neck and jaw pain, hot flash, elevated blood pressure and HR, and near syncope; required transport to ER. Resolved with Benadryl and Zofran and iv fluids.

Other Meds: none

Current Illness: none

ID: 0943591
Sex: M
Age: 33
State: CA

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/14/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Low grade fever, whole body aches, severe fatigue that lasted at least 48 hrs

Other Meds:

Current Illness:

ID: 0943592
Sex: F
Age: 38
State:

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/14/2021
Hospital:

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

Lab Data:

Allergies: Bactrim, codeine, penicillin

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Patient presented for her second Pfizer vaccine January 11, 2021. She waited her 15 minutes and started to pull away when she noticed that she was beginning to get warm. She looked in her car mirror and noticed a rash on her neck and chest. She then pulled back around to let us know of her reaction. Vital signs checked. BP was 122/68. HR was 97. Sp02 was 99% on RA. She denied any SOB. At 1657 she was given Benadryl 25 mg po that she swallowed without any difficulties. She reported that she began to feel better. Rash started to look better. Patient will wait another 15 minutes to make sure that her symptoms resolve. Patient is A0x4. She is talking without difficulty.

Other Meds: Unknown

Current Illness: Unknown

ID: 0943593
Sex: F
Age: 33
State: PR

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
Hospital:

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

Lab Data:

Allergies: UNK

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: 33 Y/O FEMALE PATIENT WHO REFERS TACHYCARDIA 30 MINUTES AFTER COVID VACCINE, B/P 141/92,HR 87BPM SAT 100%, RESP 21 BPM, PATIENT IS PLACE ON CARDIAC MONITORING PER 30 MINUTES, LEAD II HR 81, SINUS RHYTUM. PATIENT WAS DISCHARGE HOME, FEELING WELL NO TACHICARDIA, HEADACHE , NAUSEA OR VOMITING.

Other Meds: NONE

Current Illness: NONE

ID: 0943595
Sex: F
Age: 56
State: NV

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/14/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Systemic: Nausea

Other Meds:

Current Illness:

ID: 0943596
Sex: F
Age: 47
State: OH

Vax Date: 01/04/2021
Onset Date: 01/12/2021
Rec V Date: 01/14/2021
Hospital:

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

Lab Data:

Allergies: clarithromycin

Symptom List: Injection site erythema, Injection site pruritus, Injection site swelling, Lymph node pain, Lymphadenopathy

Symptoms: 7 days after vaccine, R arm around injection site became acutely itchy and red, blotchy. over next 4 hrs, itchy rash spread to R shoulder, chest, neck and R cheek.

Other Meds: oral contraceptive

Current Illness: N/A

ID: 0943597
Sex: F
Age: 29
State: CA

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/14/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Unevaluable event

Symptoms: Forehead tingling neck tingling swollen lymph node same arm as the injection Injection site was swollen, red and warm to touch

Other Meds:

Current Illness:

ID: 0943598
Sex: F
Age: 65
State: GA

Vax Date: 01/04/2021
Onset Date: 01/11/2021
Rec V Date: 01/14/2021
Hospital:

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

Lab Data:

Allergies: PCN, BIAXIN, LISINOPRIL

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

Symptoms: Arm soreness noted on Jan. 5. On Jan. 11 I was sneezing a lot with a runny nose. This last for 24 hrs. On the 12th I noticed a raised area in the injection site. I took an Advil . On the 13th my arm started getting hard near the injection site with some redness. On that day I took a Benadryl once and Advil BID. Today the arm is very hard, red and is warm to the touch. My temp is 100.2. I took 80 mg ASA and a hour later took an Advil. I reported all my Sx w/ Moderna. They recommended that I call my PMD for Tx. I contacted my PMD and the health department for treatment and they referred me to CDC. No treatment was suggested or given

Other Meds: Steroid pack, Clindamycin, Bystolic, chlorthalidone, amlodipine

Current Illness: None.

ID: 0943599
Sex: F
Age: 51
State: FL

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/14/2021
Hospital:

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

Lab Data:

Allergies: Unknown

Symptom List: Injection site pain, Pain

Symptoms: Per the employee's incident report, "5 hours after receiving the covid19 vaccine i became very nauseous, light headed, and clammy while walking back from the bathroom. This caused me to faint. I hit the floor with my chin and had to get sutures"

Other Meds: Unknown

Current Illness: Unknown

ID: 0943600
Sex: F
Age: 32
State: NY

Vax Date: 01/07/2021
Onset Date: 01/14/2021
Rec V Date: 01/14/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List: Injection site pain, Menorrhagia

Symptoms: Patient woke with right sided facial droop, right-sided mouth numbness and whole tongue numbness, and two days of right ear pain. Also, erythematous rash on left arm lasting 5-6 days. CT head unremarkable. MRI brain underway.

Other Meds: Allegra

Current Illness: None

ID: 0943602
Sex: F
Age: 27
State: TX

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/14/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Arthralgia, Chills, Headache, Mobility decreased, Myalgia

Symptoms: Fever, sore throat, chills, congestion, cough, nausea, muscle aches, tachycardia. Treatment: Tylenol with no improvement Outcome: referred for COVID testing

Other Meds:

Current Illness:

ID: 0943603
Sex: F
Age: 45
State: CT

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/14/2021
Hospital:

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

Lab Data:

Allergies: Amoxicilian

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Spontaneous bloody nose day after vaccine. Not severe in nature but have never experienced a spontaneous bloody nose. Resolved fairly quickly.

Other Meds: Adderal 30mg/day Escitalopram 20mg/day Seroquel 25mg/evening

Current Illness:

ID: 0943604
Sex: F
Age: 49
State: IL

Vax Date: 01/06/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: hives from neck to thighs, itchy, aches all over

Other Meds:

Current Illness:

ID: 0943605
Sex: F
Age: 43
State: MN

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/14/2021
Hospital:

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

Lab Data:

Allergies: Shellfish

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

Symptoms: We have an employee who was vaccinated with Pfizer on 12/28/20. That evening she developed a rash on her arms that progressed to her legs and torso. The rash it itchy and burns. She still has the rash today. The next day after vaccination she experienced headache and aching that subsided within 3 days. This employee has a history of Lupus and breaking out in a rash is not uncommon for her, it is actually sort of common. When asked if this is the same sort of rash she experiences after too much sun exposure or stress (due to the Lupus) she says she would describe it as the same. She did miss one day of work due to the headache, aching, and just being miserable with the rash on top of it. She did not experience hives, trouble breathing, or swelling.

Other Meds:

Current Illness:

ID: 0943607
Sex: F
Age: 58
State: LA

Vax Date: 01/09/2021
Onset Date: 01/09/2021
Rec V Date: 01/14/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List: Nausea

Symptoms: Systemic: Exhaustion-Severe, Systemic: Fever-Severe, Systemic: patient experienced fogginess, drowsiness and confusion. was sent to the ER-Severe; symptoms lasted 0 days

Other Meds:

Current Illness:

ID: 0943608
Sex: F
Age: 44
State: NH

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/14/2021
Hospital:

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

Lab Data:

Allergies: ivp dye / bug bite

Symptom List: Injection site pain

Symptoms: it started off with a light fever / then turned into a red mark on my arm! is now larger then the original day

Other Meds: none

Current Illness: none

ID: 0943609
Sex: M
Age: 54
State: ID

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Soreness at the injection site and sore throat

Other Meds:

Current Illness:

ID: 0943610
Sex: F
Age: 20
State: ME

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
Hospital:

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

Lab Data:

Allergies: No

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

Symptoms: EE reports, started to be nauseous overnight, 1/12 into 1/13. 1/13 10 am, chest heaviness, SOB, anxiety, unable to function at work 1/13/2021, to Urgent Care, prescribed zofran for nausea. Was asked to contact her PCP regarding her HR 130, EE was on buprion and abruptly stopped taking it for 2 weeks without PCP recommendation, "I thought I didn't need it anymore". EE reported to OHN on 1/13, she restarted the med and took her first dose on 1/12 and her second one on 1/13. Covid results negative

Other Meds: Buprion

Current Illness: No

ID: 0943611
Sex: F
Age: 58
State: MD

Vax Date: 01/06/2021
Onset Date: 01/08/2021
Rec V Date: 01/14/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Tremor

Symptoms: She noted 6-8 hours of arthralgias that resolved on their own.

Other Meds:

Current Illness:

ID: 0943612
Sex: F
Age: 39
State: TX

Vax Date: 12/18/2020
Onset Date: 12/25/2020
Rec V Date: 01/14/2021
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Lab Data:

Allergies: NKDA

Symptom List: Erythema, Pruritus

Symptoms: Patient with fevers, chills a few days after vaccine. Additionally reporting lower GI bleeding with no prior history. Patient received clearance for second vaccine from GI provider and undergoing further work-up for bleeding. Lab work demonstrating some decrease in platelets as well. Bleeding controlled after a few days.

Other Meds: None

Current Illness: None

ID: 0943613
Sex: F
Age: 31
State: KY

Vax Date: 01/06/2021
Onset Date: 01/11/2021
Rec V Date: 01/14/2021
Hospital:

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Lab Data:

Allergies: N/a

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

Symptoms: Sore arm day 2-3 post does. Day 5 post dose, severe Axillary lymphatic pain on injection arm. Still persisting and radiating into arm day 8. Also, breastfeeding and day 8 (post vaccine) experiencing possible clogged duct on injection side as well (related?).

Other Meds: Prenatal vitamin

Current Illness: N/a

ID: 0943614
Sex: F
Age: 51
State: AR

Vax Date: 12/21/2020
Onset Date: 12/28/2020
Rec V Date: 01/14/2021
Hospital: Y

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Lab Data:

Allergies: Biaxin, Skelaxin, Codeine, Morphine

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

Symptoms: Day 7 post vaccine, woke with vertigo, nausea and double vision prior to my alarm going off at 5:30am, told my husband that I did not feel right and it felt like something was wrong with me. I asked him to send a message to work that I was not feeling well and would not be in. I was not able to see my phone clearly as I had double vision. I went back to sleep to try to get relief, woke up and called out to husband for help and he said I was just making groaning noises but I know in my head I was saying please help me as I could not move my right side and I was not sleeping or having a dream. At approximately 9:30am my husband kept telling me someone was trying to text me and needed a response. I tried to get up and still could not move my right side. He helped me sit up and I could not use my right arm and hand. He helped me get some clothes on and took me to the ED. When we arrived I still could not use my right hand and my arm still felt weak. The weakness resolved within a couple of hours and I got the strength back in my hand. I did have some concern that my TIA type symptoms could possibly be related to vaccine but it was just a thought until I received my second dose. 3 hours post vaccine my face became numb and tingly. It remained that way until I went to sleep. This is why I am reporting this incident.

Other Meds: Dupixent 300mg injection every two weeks, diazapem 5mg PRN, albuterol inhaler PRN, Claritin, ocuvite vitamin, calcium/mag/vit d, multivitamin with iron, methyl folate +,

Current Illness: None

ID: 0943615
Sex: F
Age: 31
State: TX

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
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Allergies: sulfa antibiotics-this was not disclosed prior to vaccination

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: she did not disclose any allergies prior to injection. about 10 minutes after the injection, patient c/o dizziness lightheaded feeling flush, she stood up, fanned herself with paperwork, then layed down flat on strecther, noted red blotches on her upper chest, and diaphoretic, removed her facemask. RNs decided to take her into the ER. wheeled her there in wheelchair. on the way, patient states she may have had a reaction to penicillin in the past. ER nurses and doctor assessed pt, according to chart she had several episodes of lightheaded/flushed feelings. given crackers and juice because she had not eaten breakfast. Benadryl po 50mg given. d/c back to work as occupational therapist at hospital outpatient clinic.

Other Meds: none

Current Illness: none

ID: 0943617
Sex: M
Age: 35
State: VA

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
Hospital:

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Lab Data:

Allergies:

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

Symptoms: body ache, sore/tender around injection site, nausea

Other Meds: TRIUMEQ

Current Illness:

ID: 0943618
Sex: M
Age: 64
State: IN

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
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Allergies: none

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

Symptoms: Injection site pain, headache, muscle pain, feeling unwell, tiredness

Other Meds: amlodipine

Current Illness: similar symptom after the first shot, 12-23-2020

ID: 0943619
Sex: F
Age: 68
State: OK

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/14/2021
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Lab Data:

Allergies: Golytely - syncope IV contrast media - patient reports that she "coded" Topical iodine - rash Levaquin - Joint pain Clonidine - unknown

Symptom List: Pain in extremity

Symptoms: Patient received her first dose of Moderna vaccine on 1.12.2021. Approximately 4 hours post-vaccination she reports being suddenly weak, confused, and sweaty. She is a retired RN, took her HR, which was 108 (patient reports it is normally in the 50-60's) and BP was 123/57 (normally higher in the 130/70-80 range). Patient does report she had difficulty speaking and may have had difficulty breathing. Patient took 2 baby aspirins "in fear that it may have been her heart." Patient states that it took around 1 hour for the "episode" to pass. Patient states that she did not seek emergency care in fear of catching COVID. Instructed patient to call PCP to ask about appropriateness to receive 2nd vaccine. Patient states that she will and will request an epipen from her PCP as well. Patient encouraged to seek emergency care if a similar situation arises again.

Other Meds: Eye vitamin Flonase nasal spray Folic acid 1mg Gabapentin 300mg - 2 capsules BID Hydralazine 25mg - 1 tablet TID PRN Singulair 10mg - 1 daily Nebivolol 10mg - 1 BID Prilosec 20mg - 1 daily Pravastatin 40mg - 1 daily Tizanidine 4mg tab - 2

Current Illness:

ID: 0943620
Sex: M
Age: 28
State: NM

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/14/2021
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Lab Data:

Allergies: NKDA

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

Symptoms: Systemic: Lightheaded, tingling in limbs

Other Meds:

Current Illness:

ID: 0943621
Sex: F
Age: 43
State: MN

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/14/2021
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Lab Data:

Allergies: Shellfish

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

Symptoms: We have an employee who was vaccinated with Pfizer on 12/28/20. That evening she developed a rash on her arms that progressed to her legs and torso. The rash it itchy and burns. She still has the rash today. The next day after vaccination she experienced headache and aching that subsided within 3 days. This employee has a history of Lupus and breaking out in a rash is not uncommon for her, it is actually sort of common. When asked if this is the same sort of rash she experiences after too much sun exposure or stress (due to the Lupus) she says she would describe it as the same. She did miss one day of work due to the headache, aching, and just being miserable with the rash on top of it. She did not experience hives, trouble breathing, or swelling.

Other Meds:

Current Illness:

ID: 0943623
Sex: F
Age: 45
State: NY

Vax Date: 01/05/2021
Onset Date: 01/12/2021
Rec V Date: 01/14/2021
Hospital:

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Allergies:

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

Symptoms: " I woke up with red blotches on my arm around the injection site. It was very itchy and hot. Throughout the day it became more red and itchy. This morning I woke up and my upper arm is very red and hot. The redness and swelling spread through my entire upper arm the next day, much more then 2-5cm. It was hot, itchy, swollen and painful to the touch. I had a virtual urgent care visit yesterday due to the worsening condition. I was diagnosed with right arm cellulitis and prescribed antibiotics for 7 days.

Other Meds:

Current Illness:

ID: 0943625
Sex: U
Age: 35
State: PA

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/14/2021
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Lab Data:

Allergies: No

Symptom List: Vomiting

Symptoms: C/o dizziness and tingling throughout body. Bp 144/88 at 1608. States this is above her normal trend. Then c/o of increased dizziness when turning head. Taken to er for eval at 1612

Other Meds: Unknown

Current Illness: NO

ID: 0943626
Sex: F
Age: 30
State: TX

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
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Lab Data:

Allergies:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Fever 100.8, right arm soreness and fatigue. Treatment: Tylenol. Outcome: mild improvement

Other Meds:

Current Illness:

ID: 0943627
Sex: F
Age: 47
State: IL

Vax Date: 01/09/2021
Onset Date: 01/09/2021
Rec V Date: 01/14/2021
Hospital:

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Lab Data:

Allergies: yes, not listed, but PEG and polysorbate she answered no

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

Symptoms: Systemic: heart rate went up to 170bpm, felt hot, bp 160/80, came down to 109 bpm-Mild; symptoms lasted 1 day

Other Meds:

Current Illness:

ID: 0943628
Sex: F
Age: 22
State: LA

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/14/2021
Hospital:

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Lab Data:

Allergies: none

Symptom List: Injection site swelling, Limb discomfort

Symptoms: redness, swelling, and rash that lasted about 7 days. Redness persists.

Other Meds: none

Current Illness: none

ID: 0943629
Sex: F
Age: 64
State: WA

Vax Date: 01/04/2021
Onset Date: 01/12/2021
Rec V Date: 01/14/2021
Hospital:

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Lab Data:

Allergies: Nickel dermatitis

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

Symptoms: Injection site redness, swelling, and itching which did not occur until day 8 post injection.

Other Meds: Synthroid 0.175 mg daily Estradiol Patch 0.1, applied weekly Prilosec 20mg daily Lorazepam 1 mg po PRN sleep

Current Illness: None

ID: 0943630
Sex: F
Age: 50
State:

Vax Date: 12/17/2020
Onset Date: 12/17/2020
Rec V Date: 01/14/2021
Hospital:

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Allergies:

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

Symptoms: Shortness of breath, chest tightness, throat itching, ear closing and itching developed 4 hours after vaccine dose. Treated with inhaler, Claritin, Zyrtec and Benadryl. Symptoms reoccurred every 4 hours x3 and then resolved.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 704,237

Page last modified: 26 October 2021 2:21am