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
13,869
AK604
AL1,031
AR855
AS16
AZ3,419
CA12,474
CO2,258
CT1,476
DC210
DE302
FL6,090
FM1
GA2,558
GU32
HI473
IA1,028
ID599
IL3,655
IN5,213
KS1,028
KY1,428
LA821
MA2,931
MD2,305
ME735
MH3
MI3,330
MN2,154
MO1,762
MP7
MS520
MT742
NC2,629
ND330
NE763
NH667
NJ2,970
NM953
NV711
NY6,688
OH3,563
OK1,071
OR1,751
PA4,088
PR607
RI465
SC949
SD324
TN1,467
TX6,326
UT864
VA2,842
VI13
VT412
WA2,649
WI2,181
WV606
WY180
XB1

ID: 0943631
Sex: F
Age: 40
State: TX

Vax Date: 12/26/2020
Onset Date: 12/26/2020
Rec V Date: 01/14/2021
Hospital:

Vax Type:
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Lot:
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Vax Site:

Lab Data:

Allergies: sulfa

Symptom List:

Symptoms: About 6 hrs after I got it I started having a severe headache (the worst I ever had) and I laid down and went to sleep. Woke up in the middle of the night with chills, severe arm pain and my temp was 100.1F, I went back to bed and next day no energy, I stayed in bed most of the day. A shower would take all my energy. No taste I had appetite though. The only thing I could taste was salt, no flavor. Nauseous for the next few days, general malaise. 3/4 days I could only stand crackers and ginger ale. Thursday night I started having taste again. I went to the Drive Thru clinic and they tested me for Flu strand A and B and covid and all negative. The following week I got tested again and it came back negative as well.

Other Meds: Multivitamins, Zoloft 50mg

Current Illness: Early December I passed a kidney stone (around 12/10/20)

ID: 0943633
Sex: F
Age: 37
State: IN

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

Vax Type:
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Lab Data:

Allergies: None

Symptom List:

Symptoms: headaches, body aches, cough, lower energy, poor sleep took ibuprofen and/or tylenol for the first 24 hours to reduce symptoms of aches (alternated every 4 hours). took two days for symptoms to reduce completely

Other Meds: Vitamin B-12, Vitamin D3, Omega-3, OTC Ibuprofen and/or Tylenol.

Current Illness: Sinus Drainage

ID: 0943635
Sex: F
Age: 30
State:

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/14/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Arm soreness, fatigue, and mild body aches that started the day after vaccination and lasted about a day. About 1 week later, developed underarm pain - possible related to lymphadenopathy? though no palpable lymph nodes, and mild itching at the injection site. Itching lasted less than a day. Underarm pain lasted 4-5 days.

Other Meds:

Current Illness:

ID: 0943636
Sex: F
Age: 25
State: CO

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

Vax Type:
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Lot:
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Lab Data:

Allergies: None

Symptom List:

Symptoms: Vasovagal syncope (loss of consciousness) Tonic seizure (tensing and twitching of arms) Irregular heartbeat (per EKG) Extremely low blood pressure I received the vaccine at a public health pop-up, drive through clinic for first responders - I accessed the vaccine through my employer as a first responder. The vaccine was administered to my left arm without complication at approximately 1:00pm (my scheduled appointment). I proceeded to the area designated for patients to be observed after receiving the vaccine and was asked to wait 15 minutes. I recall getting to the observation area then telling my spouse I felt unwell - after the event he notified me that I told him I was about to pass out and asked him to get medical help. I lost consciousness approximately 5-10 minutes following the vaccine. My husband reported that after losing consciousness I seemed to have a minor seizure, as evidenced by my head jerking and my arms and fingers "tensing and curling up". I was sitting in the passenger seat of my car at this time, so I suffered no fall or fall related injury. Public health officials and EMT responded. They indicated to my spouse that I had experienced a vasovagal syncope episode and that I had "gone tonic"/ had a "tonic seizure". They took my blood pressure, which was very low (I don't recall exactly but it was 80 over something). They also took my blood sugar among other things that I do not recall. I was given oxygen and put into an ambulance. I was shaking, so they wrapped me in blankets. I believe they may have done an EKG and placed a blood pressure cuff while I was in the ambulance, but I do not recall any specifics about this. The EMT also drew my blood, placed an IV, and administered IV fluids while I was in the ambulance. I was taken by ambulance to the emergency department

Other Meds: None

Current Illness: None

ID: 0943637
Sex: M
Age: 29
State: IA

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

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Nurse administered 1ml of Moderna vaccine instead of 0.5 ml of vaccine. Patient reports tiredness and a sore arm morning of 1/14/2021

Other Meds:

Current Illness:

ID: 0943639
Sex: M
Age: 30
State: NY

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

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Headache and fever of 102.2F

Other Meds:

Current Illness:

ID: 0943640
Sex: F
Age: 40
State: CA

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

Vax Type:
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Lab Data:

Allergies: No allergies

Symptom List:

Symptoms: Systemic: Chills, Systemic: Headache, Systemic: dizziness, bitterness in taste in mouth, shaky, hands cold to touch, high heart rate - 120, BP 154/89

Other Meds:

Current Illness:

ID: 0943641
Sex: M
Age: 41
State: OR

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/14/2021
Hospital:

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Mildly sore injection site for 24 hrs post. Pressure headache with sore neck for up to 24 hrs post inj.

Other Meds:

Current Illness:

ID: 0943642
Sex: F
Age: 73
State: FL

Vax Date: 01/03/2021
Onset Date: 01/12/2021
Rec V Date: 01/14/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: None

Symptom List:

Symptoms: On the 9th day after vaccination, my left arm started itching in the early evening (Jan. 12). Next morning, Jan. 13, I noticed that there was a large, round area at the injection site (size of a tennis ball) that was red. It no longer itched. Later, I put cold compress on site. Did not appear to be swollen. But it was very warm to touch. I called primary doctor and am still waiting for call back. On Jan. 14, upon waking, the redness had diminished in intensity, but not in size. Still warm, but not as warm. By mid-day, redness decreased more, still warm, but appears to be going away. No other symptoms or side effects.

Other Meds: Losartan, daily vitamin, vitamin C, vitamin D3, calcium, biotin

Current Illness: None

ID: 0943643
Sex: F
Age: 60
State: ME

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

Vax Type:
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Lab Data:

Allergies: Sulfa drugs

Symptom List:

Symptoms: Sore arm at injection site

Other Meds: levothyroxine, Viatmin D, Metformin, sigulair

Current Illness: none

ID: 0943644
Sex: F
Age: 86
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:

Symptom List:

Symptoms: Error: Wrong Patient (documentation in EMR); symptoms lasted 0 days

Other Meds:

Current Illness:

ID: 0943645
Sex: F
Age: 40
State: IN

Vax Date: 01/08/2021
Onset Date: 01/12/2021
Rec V Date: 01/14/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: lots of food sensitivities, no allergies

Symptom List:

Symptoms: nausea, body aches, and fever

Other Meds: armodafinil, several vitamins/supplements - B, D, L-Glutamine, enzymes, probiotic

Current Illness: none

ID: 0943646
Sex: F
Age: 70
State: MN

Vax Date: 09/30/2020
Onset Date: 09/30/2020
Rec V Date: 01/14/2021
Hospital:

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Lab Data:

Allergies: N/A

Symptom List:

Symptoms: When receiving the vaccine the patient reports that ""it felt like fire was entering her arm." Patinet has been going to physical therapy once or twice a week since Nov. 2,2020, and has ad to perform the exercises at home ever since. Patient recieveed a corticosteroid shot in her bursa on Dec. 23, 2020.

Other Meds: N/A

Current Illness: N/A

ID: 0943647
Sex: F
Age: 44
State: MN

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

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Lab Data:

Allergies:

Symptom List:

Symptoms: Previously stable ulcerative colitis flared up 5 days after covid 19 Pfizer vaccine dose 2.

Other Meds: Mesalamine oral 4.8 g daily Mesalamine enema Escitalopram 5 mg daily

Current Illness:

ID: 0943648
Sex: F
Age: 53
State: CA

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/14/2021
Hospital:

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: headache, chills, body ache

Other Meds:

Current Illness:

ID: 0943649
Sex: F
Age: 59
State: CT

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

Vax Type:
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Lab Data:

Allergies: None

Symptom List:

Symptoms: Low grade fever, body aches, chills

Other Meds: metoprolol , Protonix,baby aspirin, zinc, vitamin D3, multivitamin, Advair inhaler, Tumeric,

Current Illness: 12/9/20 positive COVID-19 test

ID: 0943650
Sex: M
Age: 41
State: FL

Vax Date: 12/17/2020
Onset Date: 12/19/2020
Rec V Date: 01/14/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: No

Symptom List:

Symptoms: Severe scapular pain that progressed to severe deltoid pain. and that developed to elbow pain over the course of 3 days. Resulting in left index finger numbness and tingling. Still experiencing numbness and tingling and mild pain.

Other Meds: No

Current Illness: No

ID: 0943651
Sex: F
Age: 25
State: VA

Vax Date: 01/14/2021
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:

Symptoms: At first directly after vaccination, I had soreness at the injection site. I took 2 Tylenol pills about 45 minutes after vaccination. I then began feeling lightheaded and dizzy about 2 hours after vaccination. Shortly after I became feverish with chills. I then took 2 Ibuprofen and fever/chills subsided, however lightheadedness continued but improved slightly.

Other Meds: none before, 2 tylenol one hour after vaccination, 2 Ibuprofen two hours after vaccination

Current Illness: none

ID: 0943652
Sex: F
Age: 61
State: MA

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

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: SEVERE joint and body aches, shaking chills, fever treatment Tylenol and Advil Outcome resolved in approximately 12 hours

Other Meds: none

Current Illness: Had COVID-19 on 12/3/2020

ID: 0943653
Sex: F
Age: 41
State: OH

Vax Date: 01/05/2021
Onset Date: 01/07/2021
Rec V Date: 01/14/2021
Hospital:

Vax Type:
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Lot:
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Lab Data:

Allergies: None noted

Symptom List:

Symptoms: Client called in on 1/13/2021 and spoke with an immunization RN and complained of a rash down her right arm and on her back. The RN advised her go to her PCP for evaluation, take OTC Benadryl and pain medication in the meantime. The client explained that she was going to the urgent care center and that she would call us back. The client came into the office on 1/14/2021 and spoke with RN at the office. The urgent care center didn't give the client a diagnosis per client and that they just told her to keep it covered and not to itch it. They client complained that it itched and was painful with burning. I looked at the rash and the rash was in patches of raised bumps going down her right arm and the client said that it was on her back as well. The rash appeared to look as though it was shingles. I advised the client to have a PCP evaluate her. I gave her a number and location to go as well as a referral to be seen. I advised the client to speak with the PCP about her 2nd doses of vaccine as well as an possible work excuse.

Other Meds: unknown

Current Illness: None noted

ID: 0943654
Sex: M
Age: 79
State: OR

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:

Symptom List:

Symptoms: Systemic: SOB, difficulty breathing, chest pain, Error: Wrong Patient (documentation in EMR); symptoms lasted 0 days

Other Meds:

Current Illness:

ID: 0943655
Sex: F
Age: 45
State: CA

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Error: Diluent Administered Instead of Vaccine

Other Meds:

Current Illness:

ID: 0943656
Sex: F
Age: 64
State: WA

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: Nickel Dermatitis

Symptom List:

Symptoms: Injection site redness, swelling, and itching that began 8 days after vaccine

Other Meds: Synthroid 0.175 mg daily Prilosec 20 mg daily Estradiol Patch 0.1 % daily Lorazepam 1 mg prn nightly sleep

Current Illness: None

ID: 0943657
Sex: F
Age: 37
State: NJ

Vax Date: 01/06/2021
Onset Date: 01/10/2021
Rec V Date: 01/14/2021
Hospital:

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

Lab Data:

Allergies: Codiene, slow fe

Symptom List:

Symptoms: At 4 days post vaccine lymph nodes in left axilla became swollen and painful which led eventually to both sides, fatigue, headache, at 7 days injection site became red swollen and itchy

Other Meds:

Current Illness: N/a

ID: 0943658
Sex: F
Age: 24
State: FL

Vax Date: 01/11/2021
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: None

Symptom List:

Symptoms: Swelling of the lymph node in left supraclavicular area Hives around neck area

Other Meds: None

Current Illness: None

ID: 0943659
Sex: F
Age: 55
State: MD

Vax Date: 01/08/2021
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: Sensitivity to codeine

Symptom List:

Symptoms: Beginning Wednesday 01/13/2021 first thing in the morning, around 6:00am, I noticed soreness in the lymph nodes under the arm where the injection was given. The soreness extends down to the lower inner portion of my arm and persist today although it has lessened slightly.

Other Meds: Multivitamin, B Complex vitamin, Relora

Current Illness: Sciatica

ID: 0943660
Sex: M
Age: 31
State: IN

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: bactrim

Symptom List:

Symptoms: I had soreness around my arm of injection site for about 3 days. I also wanted to let you all know that I had a sore throat that started the day after my first dose. Sore throat started off as mild but later got worse by the 2nd day. I also experienced a mild grade fever, headaches, and chills which went away in a couple of days. HOWEVER, today (1-14-2021) I decided to rule out the possibility of me having COVID. So I got tested for covid and I was tested positive via the RT-PCR at a local urgent care facility. So with that being said I am not quite sure if the sore throat, mild grade fever, headaches, and chills were part because of the vaccine dose (first dose) or it could have been from experiencing covid symptoms. Treatment I used were drinking LOTS of water, Tylenolol and Advil, Cephacol lozenges, and sleep.

Other Meds: none

Current Illness: none

ID: 0943661
Sex: F
Age: 72
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:

Symptom List:

Symptoms: Moderate pain at injection site lasting 2 days

Other Meds:

Current Illness:

ID: 0943662
Sex: F
Age: 68
State: FL

Vax Date: 01/09/2021
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: None

Symptom List:

Symptoms: Severe abdominal cramps moving up towards diaphragm. Complete exhaustion. Nausea

Other Meds: Valsartan 320 Crestor 10 Fish Oil Calcium D3 Multivitamin Vitamin C Osphena

Current Illness: None

ID: 0943663
Sex: F
Age: 49
State:

Vax Date: 01/14/2021
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:

Symptoms: 15 minutes after im shot, patient experienced itchy feeling and then flushed face patient was administered diphenhydramine 25mg orally and observed . No additional side effects occurred

Other Meds:

Current Illness:

ID: 0943664
Sex: F
Age: 46
State: LA

Vax Date: 12/15/2020
Onset Date: 12/16/2020
Rec V Date: 01/14/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: dyspnea for 3 hours occurring 24 hours subsequent to vaccine

Other Meds:

Current Illness:

ID: 0943665
Sex: M
Age: 44
State: KY

Vax Date: 12/29/2020
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: None

Symptom List:

Symptoms: Patient developed redness and hot to touch area 5 1/2 inch by 3 inch area on L deltoid 2 weeks after moderna COVID vaccine. No other complaints voiced.

Other Meds: None

Current Illness: None

ID: 0943666
Sex: F
Age: 50
State: AZ

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: amoxicillin

Symptom List:

Symptoms: Occipital neuralgia on same side as vaccine administered; muscle pain entire body; fever; joint pain; fatigue

Other Meds: Sertaline 25 mg per dy

Current Illness: none

ID: 0943667
Sex: F
Age: 43
State: TX

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/14/2021
Hospital: Y

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

Lab Data:

Allergies: Cefazolin. penicillins

Symptom List:

Symptoms: Per patient report on follow-up: admitted to hospital following initial vaccine on 12/29 with N/V and severe HA. Patient placed on Morphine for pain, now resolved. Admission occurred outside of hospital system providing initial vaccine.

Other Meds: furosemide, tacrolimus, myfortic

Current Illness:

ID: 0943668
Sex: F
Age: 28
State: CA

Vax Date: 01/06/2021
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:

Symptom List:

Symptoms: flu like symptoms burning sensation on the right side of the head injection site elbow has a red circular raised area, almost the size of her fist slightly itchy

Other Meds:

Current Illness:

ID: 0943669
Sex: F
Age: 35
State: TN

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:

Symptom List:

Symptoms: Associate reports Fever, headache, and sweating that began on 1/13/21, and fatigue, dizziness, "heavy head", tachycardia, and hypertension starting on 1/14/21. Advised to seek medical treatment.

Other Meds:

Current Illness:

ID: 0943670
Sex: F
Age: 25
State: WI

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: Denies allergies.

Symptom List:

Symptoms: Patient reported feeling like it was difficult to keep her eyes open, like they were starting to get swollen. She also reported feeling chest heaviness. She denied shortness of breath. Patient back into clinic with these symptoms about 1250pm. We gave her 20mL of Benadryl per our standing order. This RN took her BP 112/72, P 96 02 98%. Patient denied clamminess, denied being too hot or cold, denied feeling anxiety. Denied feeling anxious before the vaccine, denied having reactions to medications or vaccines in the past. By 1305 patient reported she was able to fully open her eyes, and felt her side effects were improving.

Other Meds: Patient denies being on medications.

Current Illness: Denies illnesses.

ID: 0943671
Sex: F
Age: 43
State: TX

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
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Allergies: no know allergies

Symptom List:

Symptoms: Patient received vaccination on 1/13/2021 ~11:30 AM, developed a rash to left breast the same day around 8 pm may have lasted an hour. Applied Hydrocortisone and went to sleep before 9 pm. Rash resolved.

Other Meds: Atenolol Amlodipine - Benazepril

Current Illness: none

ID: 0943672
Sex: M
Age: 46
State: CO

Vax Date: 12/31/2020
Onset Date: 01/11/2021
Rec V Date: 01/14/2021
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Allergies: N/A

Symptom List:

Symptoms: Experienced fatigue, headache and chills throughout day on 1/11/21. These symptoms ended by 1/12/21. On 1/14/21, I woke with very strong headache but no other symptoms.

Other Meds: Simvastatin

Current Illness: N/A

ID: 0943673
Sex: F
Age: 54
State: NC

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

Allergies: Doxycycline and latex

Symptom List:

Symptoms: Pain at injection site for 2-3 days following injection. On day 8 developed headache, muscle aches, stuffy nose, fever up ton101.6 and fatigue

Other Meds: Albuterol tablets Omeprazole daily Iron daily Fludrocortisone daily Lasix daily Allergy pill daily Multi vitamin 2 x day Linzess 290mcg daily Peri colace 4 tablets daily Calcium chews 500 (2) 3 x daily Nurviea daily Xanax daily

Current Illness: None

ID: 0943674
Sex: F
Age: 16
State: SC

Vax Date: 01/02/2021
Onset Date: 01/02/2021
Rec V Date: 01/14/2021
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Allergies: none known

Symptom List:

Symptoms: Error: Wrong Vaccine Formulation (ex. different manufact. initial and booster)

Other Meds:

Current Illness:

ID: 0943675
Sex: F
Age: 67
State: OH

Vax Date: 01/06/2021
Onset Date: 01/11/2021
Rec V Date: 01/14/2021
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Allergies: NKDA, no known food allergies, allergy to Mane and Tail shampoo

Symptom List:

Symptoms: Moderna COVID-19 Vaccine: My left arm was very sore starting in the evening of 1/6/2021. This soreness got worse over the next 2 days and then tapered off over the weekend. On 1/11/2021, I started having pain in my left axillary region. This pain increased into 1/12/2021. Also, on 1/12, my left upper arm started hurting. On 1/13, I still had pain in my left axillary region, and thespian in my left upper arm worsened. Also, on 1/13 my left upper arm started itching. Around 5pm on 1/13, I had a chance to look at my left upper arm and there was a large reddened area to my left upper arm which included the vaccine injection site. This area was warm to touch. About 5:30pm, I took 25mg of Benadryl. I took another 25mg Benadryl at 11pm. This morning (1/14), the redness is fading to the area on my left upper arm though itching remains. There is slight pain to the area. The pain to the left axillary region is much better-barely noticeable. I reported this event to County Health Department and to my primary physician.

Other Meds: No prescription meds I take Calcium 500mg tabs twice a day, Vitamin D3-5000 units daily, Glucosamine, Chondroiton-MSM , Vitamin C 1000 mg daily, Krill oil, probiotic cap

Current Illness: NOne

ID: 0943676
Sex: F
Age: 47
State: IL

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
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Symptoms: Pt reports sinus pressure like headache along with fatigue, and upset stomach within 40 mins of vaccine administration. Also pt reported dry cough that started at night, which she stated could be allergies.

Other Meds:

Current Illness:

ID: 0943677
Sex: F
Age: 33
State: NY

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/14/2021
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Allergies: zpack, Penicillin

Symptom List:

Symptoms: About 30 minutes after the shot I developed bumps on the back of my tongue. It felt like something was stuck in the back of my throat like a popcorn kernel. When I arrived home I took Benadryl. I also felt some leg pains and took some tylenol before bed. When I woke up the bumps on my tongue were gone, however I now felt dizzy and "off". I ended up going into work where I was given a negitve Covid test. Around 9:00am I started getting head to toe body aches and a headache. I felt exhausted and I didnt feel right. I ended up going home at 11:45. From 11:45-5:30pm, the muscle aches, headache, back/side/stomach cramps, and fatigue got worse. My temp ranged from 99.3-100.1 with Aleve and Ibuprofen in me. I ended up going to sleep around 10pm where I had night sweats, and weird dreams. I woke up in the morning today 1/14 feeling like I had a slight headache, but for the most part I felt back to normal. I currently do not have any symptoms at 11:36am.

Other Meds: Citalopram, zyrtec

Current Illness: ringworm

ID: 0943678
Sex: F
Age: 51
State: IN

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
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Allergies: egg yolk, barley, bananas, dust mites , goat hair, elmers glue, summer cypress tree,

Symptom List:

Symptoms: lymph node swelling in left axilla, left clavicle, left throat, painful some general swelling to left face, possible inner ear swelling, it just feels tight in the ear, watery eye left

Other Meds: Humira 40mg qow, Cymbalta 60mg dly, Omeprazole 40mg daily, womens 50+ multivitamen dly, calcium with Vit D dly , ceterizine 10mg dly, prednisone 5mg qod, probiotic

Current Illness: none acute

ID: 0943679
Sex: F
Age: 53
State: MN

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

Symptom List:

Symptoms: dizzy, nauseous, tired that lasted 24 hours- missed a day of work

Other Meds: Zoloft, Doxycycline

Current Illness: NONE

ID: 0943680
Sex: F
Age: 53
State: MN

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/14/2021
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Allergies: Minocin, sulfa, Synvisc One

Symptom List:

Symptoms: 15 hours after the vaccine was received I started to experience a migraine-like headache, nausea and muscle aches.

Other Meds: Atenolol, progesterone micronized capsule, estradiol, levothyroxine, Zyrtec, Vitamin C, Vitamin D, Fish Oil

Current Illness: None

ID: 0943681
Sex: F
Age: 80
State: UT

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/14/2021
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Symptoms: rapid heart rate starting when she got the shot, nausea and fever 99.8 around 5 pm. Symptoms gone by about 10 pm. She took her heart medication as ordered and felt better by bedtime.

Other Meds:

Current Illness:

ID: 0943682
Sex: M
Age: 60
State: TX

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/14/2021
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Symptoms: per patient report: broke out with generalized rash with itching 4 hours following initial vaccine, took diphenhydramine and issue was resolved, rash lasted x3 days

Other Meds:

Current Illness:

ID: 0943683
Sex: F
Age: 63
State: IN

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

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Lab Data:

Allergies: Sulfa, latex Lactose intolerant

Symptom List:

Symptoms: Initially muscle soreness at injection site. At 12 hours headache began. During the night body aches and restless sleep, bad dreams. Next day headache, significant fatigue and body aches. Emotional feelings like I wanted to fry ( I am not a crier). 2 Nd night restless sleep, bad dreams, headache. Next day brain fog and significant dizziness and vertigo.

Other Meds: Valsartin 300 mg Escitalipram 10 mg Hydrochlirothyazide 12.5 mg Multivitamin Vit D supplement Calcium,Magnesium, Zinc supplement

Current Illness: N/A

Total 2021 VAERS Injuries: 119,999

Page last modified: 03 October 2021 5:28pm