VAERS 2021 Database www.vaers.hhs.gov

Main Page | All 2021 Deaths | Videos
VAERS Updated: 10/01/2021
** VAERS DATABASE Last updated: October 1, 2021**
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Manufacturers

Total Manufacturer

Incidents per State

State Total
72,296
AK1,638
AL5,339
AR3,412
AS44
AZ13,316
CA58,147
CO11,002
CT7,824
DC1,626
DE1,670
FL36,235
FM3
GA13,429
GU82
HI2,195
IA4,332
ID2,473
IL19,261
IN22,568
KS4,284
KY6,945
LA4,714
MA13,886
MD11,901
ME2,997
MH8
MI17,865
MN11,345
MO8,919
MP30
MS2,676
MT2,147
NC15,401
ND1,273
NE2,732
NH2,859
NJ17,232
NM3,702
NV4,071
NY32,763
OH18,072
OK5,940
OR7,954
PA22,457
PR2,104
QM2
RI1,911
SC6,055
SD1,133
TN8,691
TX34,122
UT4,023
VA13,944
VI49
VT1,661
WA13,811
WI10,395
WV2,220
WY805
XB5
XL1
XV2

ID: 0944300
Sex: F
Age: 41
State: CO

Vax Date: 01/05/2021
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: Allergic to penicillin, ampicillin, septra

Symptom List:

Symptoms: Initial arm pain for 3 days, along with fatigue for 4 days, headache for 7 days. At 8 days, noticed a red, warm, and tender oblong shaped spot around the injection site, which has remained for last two days. Pain is different than initial muscle soreness from injection and feels more superficial to the skin. Reported to occupational health nurse and am monitoring for increased size, warmth, pain, or streaking.

Other Meds: Daily multivitamin, Tyler PM

Current Illness:

ID: 0944301
Sex: F
Age: 36
State: MI

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: NKA

Symptom List:

Symptoms: Delayed itching at site - a week later

Other Meds: Pristiq, Wellbutrin, Prilosec, Vitamin D

Current Illness: None

ID: 0944302
Sex: M
Age: 57
State: MS

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: Levaquin

Symptom List:

Symptoms: Low grade fever 99.6 , Headache, body aches, chills, nausea for approx. 28 hrs

Other Meds: none

Current Illness: none

ID: 0944303
Sex: F
Age: 40
State: PA

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: none

Symptom List:

Symptoms: Memory loss, severe chills, sever muscle/joint pain, tingling throughout body, intractable vomiting. Unable to walk due to pain and weakness for 24 hrs

Other Meds: Klonipin, Prozac, multivitamin

Current Illness: cold/congestion

ID: 0944304
Sex: F
Age: 25
State: OH

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: NA

Symptom List:

Symptoms: Fever next day; no treatment; fever resolved in one day Sore arm; Ibuprofen

Other Meds: Kariva Birth Control Bupropion XL

Current Illness: NA; congestion

ID: 0944305
Sex: F
Age: 44
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: penicillin

Symptom List:

Symptoms: 5 minutes later - perfuse sweating, entire body hot, dizzy, elevated pulse and BP 147, heart palpitations; drank a juice & some water 10 minutes later - sweats/chills, still dizzy, BP decreasing 135, agitated 20 minutes later - still sweating,/chills, head clearing, heart palpitations subsiding, Tired, legs/body very heavy. Dizzy when walking, told to rest longer 30 minutes - still sweating/chills, could only walk short distance with heavy legs and dizziness, told to rest longer 40 minutes - massive headache, slight dizziness, continued leg heaviness. nausea, light sensitive, very itchy arm. Did not feel better until 11:30 PM that night Woke in the morning with just a sore arm, runny nose and an over-all fatigue, a little cough

Other Meds: daily vite

Current Illness: none

ID: 0944306
Sex: F
Age: 39
State: NY

Vax Date: 01/13/2021
Onset Date: 01/21/2021
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: Body and muscle aches from 6 pm- 12 am Arm of injection was painful and level of pain increased from 4 pm -9 pm 2 extra strength (500 mg each) Tylenol were taken at 8 pm At approximately 5:25 am, I began to get body chills and felt very cold which was consistent with a flu symptom and fell asleep. I woke up at 8:15 am and felt much better.

Other Meds: Prenatal vitamins

Current Illness: None

ID: 0944307
Sex: F
Age: 41
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: N/A

Symptom List:

Symptoms: Employee stated that she experienced a panic attack while on duty the same day she received the vaccine - approximately 12 hours after administration. She has a history of panic attacks, especially when she is fatigued - which she states she was that day. She also reported that her friends brought her a double expreso coffee approximately 1 1/2 hours before attack. She went to the ED where she was released home.

Other Meds: Patient reports drinking double expresso coffee

Current Illness: N/A

ID: 0944308
Sex: F
Age: 30
State: MD

Vax Date: 12/29/2020
Onset Date: 12/29/2020
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: hives on chest around ears to back of neck with itching

Other Meds:

Current Illness:

ID: 0944309
Sex: F
Age: 56
State: NJ

Vax Date: 12/27/2020
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: n/a

Symptom List:

Symptoms: I had a fever of 100.9 and 100.8 on two separate occasions, headache, body aches, chills, sore throat. Lasted 24 hours. I took Tylenol. After 24 hours, I felt better. However, I do still have lingering joint pain on/off and sometimes headaches.

Other Meds: Vitamin C 500 mg Vitamin B12 1000 mg Calcium 1000 mg Multi/Mineral Vitamin

Current Illness: n/a

ID: 0944310
Sex: F
Age: 38
State: NH

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: none

Symptom List:

Symptoms: I got the shot at 7 am. Nausea started at 8 am the day of the shot. That night my arm was sore and i got a headache/tiredness. Nausea, tiredness and headaches are still going on a week later. On Monday the 11th i noticed that it felt like i had a cyst under my arm but im later told it could be my lymphoid that could be swollen. I've also have had muscle weakness and fatigue since a few days after the shot.

Other Meds: zoloft, synthroid, zyrtec

Current Illness: no

ID: 0944311
Sex: F
Age: 30
State: OH

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: Sulfa, Reglan

Symptom List:

Symptoms: Immediately after vaccine had an increase in blood pressure, nausea, light headed. Afterwards continued to have bad headache.

Other Meds: Birth Control Cetirizine, Pantoprazole

Current Illness: No

ID: 0944312
Sex: F
Age: 23
State:

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:

Symptoms: Within 8 minutes of vaccination, the patient began to experience tachycardia with heart rate 130s. This steadily improved over 5 minutes. About 10 minutes later, patient reported unilateral paresthesias. Taken to ED for observation. No shortness of breath. Noted with a patchy rash to right shoulder extending to right side of neck and face. Given Benadryl 25 mg IV, famotidine 20 mg IV and solumedrol 125 mg IV. Rash resolved.

Other Meds:

Current Illness:

ID: 0944313
Sex: F
Age: 53
State: TX

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: client reported feeling dizzy approximately 5 minutes after receiving the vaccine

Other Meds:

Current Illness: client reports history of vertigo

ID: 0944314
Sex: F
Age: 51
State: TX

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:

Symptoms: Soreness at the injection site, Headache. Treatment: Tylenol, Outcome: No improvement.

Other Meds:

Current Illness:

ID: 0944315
Sex: F
Age: 60
State: IL

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: penicillin (hives), sulphur (seisures), bee & wasp stings

Symptom List:

Symptoms: None stated.

Other Meds: Amlodipine Besylate 5 mg tab (blood pressure medicine)

Current Illness:

ID: 0944316
Sex: F
Age: 34
State: TX

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: seasonal allergies

Symptom List:

Symptoms: Blurred visions, vertigo and HA

Other Meds:

Current Illness:

ID: 0944317
Sex: F
Age: 67
State: SC

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: ibuprofen, sulfa drug, abilify, levaquin

Symptom List:

Symptoms: Systemic: Slowly falling to the floor (felt dizzy) 15 mins after vaccine/ vitals stable called EMS/ patient recently discharge hospitalized for a fall previously

Other Meds:

Current Illness:

ID: 0944318
Sex: F
Age: 29
State: IN

Vax Date: 01/04/2021
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: None

Symptom List:

Symptoms: 10 days post with still very red, warm spot around the injection site. Has gotten larger and more red over last 4 days

Other Meds: Fluoxetine, spironolactone, tri femynor, Zyrtec

Current Illness: Tonsillitis

ID: 0944319
Sex: F
Age: 50
State: NY

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:

Symptoms: Reported chills, shaking cold sweats throughout the whole night, fever of 102F, body aches and abdominal pain.

Other Meds:

Current Illness:

ID: 0944320
Sex: F
Age: 72
State: ID

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: clindamycin, Opioid Alnalgestics, Lyrica, Topiramate

Symptom List:

Symptoms: Patient had COVID-19 in August 2020. Patient experienced HA, febrile, chills, sore arm

Other Meds: simvastatin, gabapentin, ergocalciferol, bupropion, fluticasone

Current Illness: n/a

ID: 0944321
Sex: F
Age: 41
State: TX

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: Mango Banana Latex Melons

Symptom List:

Symptoms: Persistent Nausea Cough, post nasal drip Mild Headache, Neck and body ache, fatigue

Other Meds: Sertraline HCl 150 mg PO qd Simethicone qd Loratidine 10mg PO qd

Current Illness: None

ID: 0944322
Sex: F
Age: 66
State: AZ

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: na

Symptom List:

Symptoms: chills, shaking, headache, neck ache, joint pain, nausea, vomiting

Other Meds: Crestor, Benazopril, amlodipine

Current Illness: none

ID: 0944323
Sex: F
Age: 51
State: PA

Vax Date: 12/31/2020
Onset Date: 12/31/2020
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:

Symptoms: Same day as vaccination ee had comiting, diarrhea, nausea, severe headache lasted for 10 days.

Other Meds: Anxiety and depression meds

Current Illness: NOne

ID: 0944324
Sex: M
Age: 45
State: CA

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: None

Symptom List:

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA - I woke up in the middle of the night sweating, and felt tired the next morning with slight brain fog. Otherwise, I felt fine.

Other Meds: Nyquil cough medicine

Current Illness: Cold

ID: 0944325
Sex: F
Age:
State: GA

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: unknown

Symptom List:

Symptoms: Anxiety. Observed 30 minutes. B/P 130/86 @ 10:18AM. No worsening of condition. Disposition: Stable

Other Meds: unknown

Current Illness: unknown

ID: 0944326
Sex: F
Age: 45
State: MA

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:

Symptom List:

Symptoms: patient reported lightheadedness and leg heaviness. BP 153/102, HR 110-120, O2 100%. Patient was transferred to ER via stretcher.

Other Meds:

Current Illness:

ID: 0944327
Sex: F
Age: 84
State: NY

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:

Symptoms: Pain on Left side, just below the 12th rib on the back part of body. Fever was 99.6 at 1:30pm 1/14/21. Feeling chills. Body aches. Arms felt sore.

Other Meds: none

Current Illness: Recently diagnosed with Lymphoma (Diffuse Large B Cell) and was recommended that she receive the Covid Vaccine.

ID: 0944328
Sex: F
Age: 75
State: KY

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: Sulfa, Hydrochlorothiazide, Cozaar, Bee stings, Measles Vaccine

Symptom List:

Symptoms: Hives began at 1:00am on 01-14-2021. Hives on hands, arms, axilla, anterior trunk and upper legs. Hives are warm to touch and pt. complains of moderate itching. Seen by MD on 01-14-2021. Was advised to take Benadryl 25mg every 4 hours as needed for itching.

Other Meds: Lopressor, Aspirin 81mg, Xyzal, Crestor, Fish Oil, Centrum Silver

Current Illness: Denies any recent illness

ID: 0944329
Sex: F
Age: 61
State: WV

Vax Date: 12/28/2020
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:

Symptoms: warm, swollen, red pain around injection site

Other Meds:

Current Illness:

ID: 0944330
Sex: F
Age: 53
State: TX

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: reports feeling dizzy approximately 5 minutes after receiving vaccine

Other Meds:

Current Illness: history of vertigo

ID: 0944331
Sex: F
Age: 48
State:

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:

Symptoms: About 10 minutes after vaccination, patient began to experience heightened anxiety with no other symptoms. Evaluated by a paramedic on staff and symptoms quickly resolved.

Other Meds:

Current Illness:

ID: 0944332
Sex: F
Age: 59
State: PA

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: IV dye, iodine

Symptom List:

Symptoms: Fever, chills, headache, major joint pain (hips, shoulders, knees, elbows, ankles), generalized weakness

Other Meds: Synthroid, Losartan-HCTZ, metformin, meloxicam, duloxitine, aspirin, vitamin D3, vitamin B complex, vitamin C, Zyrtec, mutivitamin

Current Illness: coronavirus

ID: 0944333
Sex: F
Age: 33
State: AR

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: Patient reports tingling and loss of sensation in left arm approximately 5 minutes after receiving injection in left arm. Deltoid placement verified with second RPH. Manual blood pressure recorded at 09:30am 174/120. Second manual blood pressure recorded at 10am 168/120. Patient states that she has the ability to flex hand and all muscles in arm, just cannot feel arm and feels tightness in muscle. No reported breathing issues, no heart rate elevation or issues. Patient reports no prior vaccine problems even as a child.

Other Meds: none

Current Illness: none

ID: 0944334
Sex: F
Age: 64
State: NJ

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: medication

Symptom List:

Symptoms: patient states she had pain immediately following vaccine which radiated to bilateral shoulders into posterior neck into posterior head and left side of face pain and tingling. Pt. has been taking tylenol every 6 hours since reaction. Pt. states that she has been in contact with her pcp who told her to continue to take tylenol. 230 am pt 1/14/21 woke up with nausea, throat burning, bilateral ear burning sensation and redness. Pt. took 4 mg zofran and 25 mg benadryl . Patient states that when she woke back up at 830 am her nausea, throat burning, bilateral burning sensation and redness to ears resolved. Pt. states that her bilateral shoulders, posterior neck, posterior head, and left side of face is still tingling .

Other Meds: prescriptions

Current Illness: denies

ID: 0944335
Sex: F
Age: 43
State: NC

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: penicillin

Symptom List:

Symptoms: "Moderna Covid-19 Vaccine EUA" No problems the day of the vaccine. Overnight I developed a sore arm, chills, and headache, which I expected. The next morning I got up to get ready for work and I passed out, hitting my forehead on the tile floor very hard. I woke up on the floor, then got in shower and immediately passed out again, hitting the back of my head on shower wall. My husband found me sitting on shower floor still groggy. He called primary care provider, who said to take me to emergency department. He took me to emergency department.

Other Meds: Ortho Cyclen birth control, cetirizine 10mg daily for allergies

Current Illness: Covid 19, diagnosed 12/30/20. Very mild case, all symptoms had resolved several days before receiving vaccine

ID: 0944336
Sex: M
Age: 63
State: MA

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:

Symptoms: Chills, fatigue, headache, injection site soreness

Other Meds:

Current Illness: had tested positive for covid 19 month ago

ID: 0944337
Sex: F
Age: 52
State: IL

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:

Symptom List:

Symptoms: apple size lymph node arm pit of immunized arm after 2nd dose

Other Meds:

Current Illness:

ID: 0944338
Sex: F
Age: 28
State: MO

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: No known allergies.

Symptom List:

Symptoms: 1/11/2021 9:00pm - injection site arm sore, body aches, fever up to 100.8 degrees Fahrenheit, chills, and headache. 1/12/2021 8:00am - severe body aches, fever up to 101.0 degrees Fahrenheit after takingTylenol and chills. 1/12/2021 6:00pm - fever 100.6 degrees Fahrenheit after taking Tylenol, shortness of breath, and deep dry cough. 1/13/2021 11:00am -shortness of breath, deep dry cough worsening with tachycardia. Went to urgent care diagnosed with upper respiratory infection due to second covid vaccine reaction prescribed prednisone.

Other Meds: Albuterol inhaler prn, breo inhaler, spiriva inhaler, xyzal 5mg tablet, singular 10mg tablet, dupixent injection every 2 weeks, maxalt as needed, Plaquenil 200mg tablet, Ritalin 30mg daily.

Current Illness: No illnesses at time of vaccine.

ID: 0944339
Sex: F
Age: 52
State: MN

Vax Date: 03/01/2019
Onset Date: 11/30/2020
Rec V Date: 01/14/2021
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Allergies: no

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Symptoms: Caller was very agitated. Hung up before I could get add'l nfo.

Other Meds: Potassium drug

Current Illness: no

ID: 0944340
Sex: F
Age: 46
State: AZ

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/14/2021
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Allergies: none

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Symptoms: On Tuesday, January 12 at 1:30pm I felt the onset of chills, body aches, headache, fever, and nausea. Additionally, the area where the vaccine was administered (left upper arm) was tender to the touch and red. On the same day, at 5:00pm all symptoms were at an extreme level where I had to lie down to rest, however, the pain of the body aches, headache, and chills made it difficult to rest (sleep) On the morning of Wednesday, January 13 and throughout the day all symptoms were still at an extreme level making it difficult to function (unable to get out of bed, no appetite to eat due to the nausea, unable to sleep due to the headache, extreme discomfort) these symptoms continued on this level throughout the morning, into the afternoon and into the evening On the morning of Thursday, January 14 all symptoms with the exception of the nausea and headache had subsided The headache and nausea subsided by 11am on Thursday, January 14. I am now feeling better and could eat and function.

Other Meds: none

Current Illness: none

ID: 0944341
Sex: F
Age: 63
State: ME

Vax Date: 12/28/2020
Onset Date: 01/05/2021
Rec V Date: 01/14/2021
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Symptoms: Hives and egg bump that formed around the shot area.

Other Meds:

Current Illness:

ID: 0944342
Sex: F
Age: 46
State: NY

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/14/2021
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Symptoms: fever above 100, Bone muscle pain on a scale 7/10, injection site pain and burning 9/10, dizziness, slight headache and decreased appetite

Other Meds:

Current Illness:

ID: 0944344
Sex: F
Age: 63
State: NY

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

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Symptoms: arm slightly red the next day & a little itchy. Seem to clear up & on day 7 on 1/11 arm was very red & itchy as well as swollen. Used Benadryl ointment & took a claritin to help with allergic type reaction. Today arm much worse. Red swollen & warm to touch. Does not apprear to be infected

Other Meds: none

Current Illness: none

ID: 0944345
Sex: F
Age: 35
State: RI

Vax Date: 12/26/2020
Onset Date: 12/28/2020
Rec V Date: 01/14/2021
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Allergies: no

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Symptoms: About 11:30 while at working all of the sudden my peripheral vision became black, my bp raised to 180/120 and I was sent to the ER (Hospital) for monitoring. After some time it leveled out and I was released home to rest. That night and the next day I had a migrane, felt sluggish and really couldnt do anything. I took tylenol and motrin to help with the pain.

Other Meds: no

Current Illness: no

ID: 0944346
Sex: F
Age: 26
State: MD

Vax Date: 12/18/2020
Onset Date: 12/18/2020
Rec V Date: 01/14/2021
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Symptoms: Tongue tingling, no other sx : treated with PO Benadryl, sx resolved. Observed 30' : no sequala

Other Meds:

Current Illness:

ID: 0944347
Sex: F
Age: 40
State: MN

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/14/2021
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Allergies: none

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Symptoms: Fever, chills, body aches, headache, redness, swelling and hot to touch at injection site. Ibuprofen after vaccine given. No problem until following day, late morning. Ibuprofen and tylenol alternating. Swelling and redness at injection site have increased daily.

Other Meds:

Current Illness:

ID: 0944348
Sex: F
Age: 35
State: RI

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/14/2021
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Allergies: Peanuts, Tree Nuts, Melons, Bananas, Latex

Symptom List:

Symptoms: Voiced s/s of itching @ 1232pm. Voices s/s to L side of face. Slight redness noted bilateral cheeks and L ear. Continued to c/o s/s @ 1238 no relief. Benadryl 25mg given @ 1238. Redness still remains to area, heat also noted to L ear. Remains in observation @ 1238. Remains to have slight redness to areas. Denies any other s/s of distress. Left observation @ 1308. Voices allergies of Peanuts,Tree Nuts, Latex, Melons, and Bananas. Does have chronic illness's of Asthma, and Seasonal Allergies.

Other Meds: Singular, Zoloft 100mg

Current Illness:

ID: 0944349
Sex: F
Age: 23
State: MO

Vax Date: 01/05/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
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Symptoms: Employee here with COVID vaccination reaction received vaccination in left upper arm deltoid area. Noticed 01/13/21 that the area was, red, swollen, warm to the touch, itching. Area in clinic measures 9 X 5.5cm and outlined in ink. Explained conservative measures including cool compresses, and if approved by PCP OTC IUB, OTC antihistamines. Explained signs of cellulitis and if the area worsens to seek further care with either PCP or urgent care. Employee verbalizes understanding and agrees with plan.

Other Meds:

Current Illness:

ID: 0944350
Sex: M
Age: 71
State: KS

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/14/2021
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Allergies: IV Dye

Symptom List:

Symptoms: Cold chills throughout my whole body all night long, Getting up to urinate at least 15 times during the night on the evening of the shot. The next day I was tired and slept for the most part of the day, then that night I woke up twice with a wet bed from sweating. No appetite either day. I am feeling better today but still a bit weak.

Other Meds: Metaprolol 25mg, Atorvastatin 20mg, Famotidine 40mg, Enalapril 5mg, Isosorbide 50mg, Clopridogrel 75mg, Aspirin 325mg, Omega-3 720mg, Vitamin D-3 25mcg

Current Illness: Tested positive for Covid-19 approx. 1 month prior

Total 2021 VAERS Injuries: 599,999

Page last modified: 03 October 2021 5:28pm