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: 0944593
Sex: F
Age: 41
State: WI

Vax Date: 12/30/2020
Onset Date: 01/07/2021
Rec V Date: 01/14/2021
Hospital:

Vax Type:
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Lot:
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Vax Route:
Vax Site:

Lab Data:

Allergies: Peanuts, and chick peas. Seasonal allergies

Symptom List:

Symptoms: Extremely enlarged lymph nodes along axillary and clavicle. Elevated CBC counts. Appeared 8 days post injection. Remaining enlarged still a week later. Fatigue as well.

Other Meds: None

Current Illness: Very healthy, no illness

ID: 0944594
Sex: F
Age: 22
State: CT

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

Vax Type:
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Lot:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Systemic: HR as high as 160. Respiratory rate of 22. "Heavy feeling in chest" Pale color of skin-Medium; symptoms lasted 1 day

Other Meds:

Current Illness:

Date Died: 01/14/2021

ID: 0944595
Sex: M
Age: 56
State: FL

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

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

Lab Data:

Allergies: nkda

Symptom List:

Symptoms: Cardiac arrest within 1 hour Patient had the second vaccine approximately 2 pm on Tuesday Jan 12th He works at the extended care community and was in good health that morning with no complaints. He waited 10-15 minutes at the vaccine admin site and then told them he felt fine and was ready to get back to work. He then was found unresponsive at 3 pm within an hour of the 2nd vaccine. EMS called immediately worked on him 30 minutes in field then 30 minutes at ER was able to put him on life support yet deemed Brain dead 1-14-21 and pronounced dead an hour or so later

Other Meds: losartan, spironolactone, carvedilol

Current Illness: No known new illnesses,

ID: 0944596
Sex: F
Age: 19
State: NY

Vax Date: 01/10/2021
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.

Symptom List:

Symptoms: Patient complained of a mild headache which started on 01/11/2021.

Other Meds: Unknown.

Current Illness: Unknown.

ID: 0944597
Sex: F
Age: 40
State: OK

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

Vax Type:
Manufacturer:
Vax Name:
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Vax Site:

Lab Data:

Allergies: Narcotics shell fish environmental allergies

Symptom List:

Symptoms: onset 01/12/21 at approximately 1:00pm began with report of aching, muscle aches, feverish feeling with chills. Went home at that time. Later that day around 4:00pm developed worsening fever/chills, body aches, nausea. Temp reported 101.8 oral. 01/12/21 around 6:00pm developed vomiting, muscle weakness, fatigue, joint aches, knee pain. During the night reported night sweats. AM 01/13/21 reported temp of 102.5 and new onset of skin sensitivity with touch to include clothing, water with bathing and continued symptoms of all symtpoms reported above. 01/14/21 continues with muscle weakness, body aches, fatigue, chills without temp, new onset of axillary pain right arm and reported chest tightness that began on 01/13/21. Denies difficultly with breathing, just chest tightness. Symptoms are improving each day, just reports lingering today, 01/14/21.

Other Meds: Lexapro, albuterol inhaler, loratadine

Current Illness: allergies were flared up at the time.

ID: 0944598
Sex: F
Age: 29
State: IA

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

Vax Type:
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Lab Data:

Allergies: NKA

Symptom List:

Symptoms: 1 week history of significantly worsened (previously present "low back strain" lower back pain that had become radicular to both LE and associated with progressively worsening bilateral LE weakness, paresthesias since COVID vaccination last week. see continuation for HPI and assessment/plan from office note 1/13/21 HPI from OV dated 1/13/21 She had presented initially in December 2020 for her annual physical, and we evaluated some low back pain that that time, felt to be a sprain/strain resulting from a fall in the shower earlier December which was aggravated significantly by lifting/transferring a patient at the SNF she works for as a nurse. Presentation at that time was rather benign, no imaging obtained, pt was placed on leave from work for 1 week to avoid the heavy lifting and likely aggravation of back pain, and rx including diclofenac and cyclobenzaprine. She did not FU in the office, but returned to work at SNF a week after I saw her for the back pain. She states she had improved enough to feel like she could go back to work but wasn't 100% without back pain yet. At no time was comp mentioned at the visit in December. She did tell her employer about the injury and was off of work for a week and was encouraged to seek comp. We were never notified. Yesterday 1/12 she followed up in the office for the back pain and was found to have much more severe pain, now radicular to both LE (pain intensity worse on right), with new neurologic impairment including objective weakness bilateral LE (R>L), sensation disturbance bilateral LE (R>L). Xray of lumbar spine obtained in clinic, this was essentially unremarkable, non-acute. Pt was sent for stat MRI of the lumbar spine. MRI last night revealed no findings to explain her severe symptoms - she has mild symmetric disc bulging at L5-S1 nd mild bilateral facet arthropathy with patent canal and foramina, and a mild nonspecific "STIR signal abnormality" within the soft tissues abutting the left lateral aspect of the L5 spinous processes felt to be small and nonspecific. I did discuss the case and the imaging with the radiologist and he feels this is unlikely to be the source of her back pain/radicular symptoms. No obvious signs of apparent discitis or any signficant soft tissue abnormality. Pt contacted last night with initial "normal" results of MRI as formal results were pending - hydrocodone was sent to her pharmacy for pain relief overnight. Pt received 60mg toradol in the office yesterday during her visit. Pt noted significant improvement in her back pain, bilateral leg pain about 30 minuts after that injection. She continued to have pain in the evening but went to sleep. She woke at 3am unable to roll over due to weakness and pain - her sister gave her a hydrocodone and she went back to sleep' she woke this morning feeling much better; today, she has less severe low back pain, less severe right lower leg radicular pain, NO pain radiating into the left LE, lessening of the weakness in her right LE, lessening of paresthesia reported in the right LE (now isolated just to the heel), resolution of the weakness in the left LE, resolution of the tingling of the left knee. Other than the toradol and one dose of hydrocodone, no other medications were given, no other treatments given since presentation yesterday. Upon further questioning, patient does reveal that she received the 1st of 2 COVID-19 vaccinations (pfizer) last week. She received the vaccination at work at nursing home on 1/7/21. She had some relatively quick onset nausea and dizziness within an hour of the injection, but that resolved. She recalls feeling like her low back pain, bilateral lower leg pain, leg weakness and paresthesias all intensified sometime either Wednesday 1/6/21 or 1/7/21, but more obviously worsened over the weekend 1/9 and 1/10. Along with the lower extremity symptoms, she does admit today that she experienced soreness in bilateral upper arms starting the day following the vaccine administration, with left arm/shoulder still feeling sore and tender to the touch now. She also developed some altered sensation of the right thumb and index fingers the day following vaccination (1/8/21) and this has been persistent/unchanged. She is right handed. No prior issues with right hand/fingers. Other than the altered sensation, she denies pain, swelling, or notable weakness. She is right handed, and really hasn't done much with her right hand over the past week since she hasn't been working. Patient denies having significant headache, fever, chills, diaphoresis, fatigue, rashes/injection site erythema since the covid vaccination. She was not told to sign up for or told about the V-safe program and hadn't thought to report her symptoms to work or think to be concerned regarding possible vaccine SE. Pt denies prior hx of low back pain, neurologic symptoms including weakness/paresthesias, previous allergy to or adverse reaction to vaccination or injectable medications. She has a history of latent TB(fully treated) but is otherwise in good health. After gathering much further detailed information/history today from patient, review of chart including the MRI results and xray results from yesterday, my prior OV note, and discussion with radiologist today regarding her MRI - I Discussed with patient and her sister that I believe what is becoming more apparent to me now is that she is likely suffering from an adverse event associated with the COVID-19 vaccination she received on 1/7/21 through her workplace. I'm unable to define this for certain, but I suspect that she developed the progressive worsening of low back pain, development of radicular pain and bilateral LE weakness and paresthesias about 1-2 days following the vaccination administration. She has had notable and rather surprising improvement in both subjective and objective findings Today as compared to yesterday. Only intervention was toradol 60mg IM and one dose of hydrocodone, she had already been taking diclofenac or ibuprofen so I believe the only explanation for the improvement over the past 24 hours is the fact that she is gradually having resolution of the temporary paraparesis, neuralgia, paresthesia brought on by the recent COVID-19 vaccination. I believe she truly had injury to the low back in December, initial injury at home but had improvmenet and then significant worsening/exacerbation when transferring a resident at work. Her presentation following that was consistent with a strain/sprain of the lumbar spine. This was treated appropriately with rest, activity modification, stretching, NSAID, and muscle relaxers. She returned to work w/o restriction likely earlier than she should have but I believe the covid vaccination is likely what caused her condition to so significantly decline; Its also possible that her physically demanding job requiring lifting/transferring/standing for prolonged periods of time on top of an only partially resolved low back strain had aggravated her low back condition. plan from OV dated 1/13/21 Given the improvement since yesterday, I recommended obtaining some labs looking for any sign of alternative explanation including infectious etiology or autoimmune/inflammatory condition, however will hold on further imaging as would be the plan, specifically EMG of the bilateral LEs. Explained to patient that I'm hopeful with continued rest and time, her symptoms (weakness, tingling/numbness, radicular back pain) will completely resolve. She may need some eventual PT for the disc bulge in the lumbar spine and lumbar strain that is likely still lingering. Will contact pt with any change in care plan based on the laboratory findings. I would like to closely follow her, and make sure her symptoms continue to slowly improve /resolve. If at any point she develops worsening symptoms again or any new neurologic signs/symptoms (and we discussed what emergency signs/symptoms would be) then she needs to be in touch with me right away. I will work on reporting this suspected adverse covid vaccine reaction to VAERS / possibly also CDC and see if they have any additional input/suggestions for monitoring/treatment. For pain c

Other Meds: Acetamoinohen 325 mg, cyclobenzaprine 10 mg, diclofenac 75, Diclofenac sodium 75 mg, Hydrocodone-acetaminophen 5-325 mg, ibuprofen 800mg

Current Illness: Acute bilateral low back pain/lumbar strain

ID: 0944599
Sex: F
Age: 44
State: OH

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

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Injection site was hard, red, swollen, and painful.

Other Meds:

Current Illness:

ID: 0944600
Sex: F
Age: 41
State: IL

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: Dulozetine, Tramadol

Symptom List:

Symptoms: Developed chest tightening immediately after vaccine which persists

Other Meds:

Current Illness: Covid + 12/28/20

ID: 0944601
Sex: F
Age: 42
State: NY

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

Vax Type:
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Symptom List:

Symptoms: Monday, 1/11/2021 (8:30a): 2nd dose administered ? I felt fine the rest of the day and when going to bed. Overnight, I started to experience chills followed by extreme perspiration and weakness to the point that I struggled to open a bottle of water I had by my bed. Tuesday, 1/12/2021: Headache, weak and tired but attempted to work. I had to leave shortly after arriving because my symptoms were becoming progressively worse to the point I almost passed out from standing. Upon arriving home, I started to experience nausea and vomiting x 3. Intense chills followed by the extreme perspiration still existed. Most of these symptoms subsided by 9:30p that evening. Wednesday, 1/13/2021: Intense headache, weakness and dizziness. Of note, my left underarm/armpit (the arm where the vaccine was administered) is sensitive to touch.

Other Meds:

Current Illness:

ID: 0944602
Sex: F
Age: 57
State: UT

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: None

Symptom List:

Symptoms: Left arm very sore-4 hours after injection. Woke up 1/13/2021 nauseous, and very cold. Through the day at work I was very cold, headache, had body aches, had a hard time breathing, and very exhausted. On 1/13/2021 came home from work at 5:30pm and went straight to bed. Very cold, shivering. later I had a fever of 103. I took 800 mg of Ibuprofen. During the night I was cold and had the sweats on and off. Today. 1/14/2021 I feel fine. Just a little tired and my arm is still very sore. I was diagnosed with Covid-19 on 7/24/2020.

Other Meds: Levothyroxine (thyroid), Aspirin (blood clots), ibuprofen.

Current Illness: None

ID: 0944603
Sex: M
Age: 29
State: CA

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

Vax Type:
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Lab Data:

Allergies: Certain fish (tilapia, swordfish)

Symptom List:

Symptoms: I started out with a stuffy nose and then soon it became a full on cold with runny nose, sneezing, coughing, and tightness in chest.

Other Meds: n/a

Current Illness: n/a

ID: 0944604
Sex: F
Age: 35
State: AZ

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: No Known Allergies

Symptom List:

Symptoms: Woke up with a very sore arm. About 10 am Migraine started 11 am Tired "feeling out of it" Noon - Short of breath Currently 12:30 Muscle soreness in shoulders, migraine worse, heavy chest

Other Meds: Pamprin for cramping Womens Alive Daily Multi-Vitamin Gummy Hair Skin and Nails Gummy

Current Illness: Covid in November Migraines, memory issues and SOB since

ID: 0944605
Sex: F
Age: 51
State: PA

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

Vax Type:
Manufacturer:
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Lot:
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Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: Arm soreness, unable to sleep, patient is hypoglycemic - felt like having an episode, dizziness, patient loss consciousness for about 2 min, spouse called 911, patient had food then milk and ham, patient was pale, sweating, hands cramping, dizzy, shaking. Paramedics checked BP 118/76, sugar levels back up and oxygenation normal. Patient refused offer for transport to ER. Doctor visit in the AM ? EKG test: normal. Doctor requested for F/U prior to receiving 2nd COVID19 vaccination. Doctor unable to determine cause of low blood pressure that caused patient to faint. Previous TB test 20 years of age, 1988, caused fainting spell- blood pressure dropped and sugar levels for patient in the past. Patient today 1/14/21 is feeling foggy, dizzy, and fatigue blood pressure is still low, arm still sore.

Other Meds: N/A

Current Illness: N/A

ID: 0944606
Sex: F
Age: 27
State: CT

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

Vax Type:
Manufacturer:
Vax Name:
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Lab Data:

Allergies: Diltiazem, Carvedilol

Symptom List:

Symptoms: Systemic: Light headedness and dizziness-Medium

Other Meds:

Current Illness:

ID: 0944607
Sex: F
Age: 32
State: WY

Vax Date: 12/30/2020
Onset Date: 01/09/2021
Rec V Date: 01/14/2021
Hospital:

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

Lab Data:

Allergies: Allergy to parabens

Symptom List:

Symptoms: Beginning Saturday morning, I began to experience hives, coming and going throughout the day. There were 2 significant episodes on Saturday, one Sunday morning, two throughout the day on Monday. Beginning Tuesday morning, I experienced hives that continued throughout the day. Starting around 1:00 pm, they moved from a more localized area on my upper trunk to covering my entire body, head to toe. I became hypotensive (lowest was 90/60), tachycardic (pulse rate ranging from 100-125), low grade temperature (100.4), noticed a tingling feeling in my lips, a new onset sore throat, and ringing in my ears. My pulse ox remained stable, no oxygen required. I took a claritin chewable approximately 10 minutes after onset of worsening symptoms, then 50 mg of benadryl 3 hours later. I have continued to take 25 mg of benadryl BID since Tuesday and have remained without any new onset of hives. No medical admissions were required, although I do work in a medical clinic and close observation was available for me. Only symptom remaining is fatigue, unsure if this is related to benadryl usage or remaining vaccine reaction.

Other Meds: None

Current Illness: None

ID: 0944608
Sex: F
Age: 59
State: NY

Vax Date: 12/27/2020
Onset Date: 12/27/2020
Rec V Date: 01/14/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: Shellfish

Symptom List:

Symptoms: Vaccine Hurt as injected... Injection site red Later that evening I discovered a painful welt .. The redness expanded all over my arm Alot of inflammation 99.5 Temp Chills Steroids for 7 days

Other Meds: None

Current Illness: None

ID: 0944609
Sex: M
Age: 75
State: FL

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

Vax Type:
Manufacturer:
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Vax Route:
Vax Site:

Lab Data:

Allergies: None

Symptom List:

Symptoms: He died nine hours later.

Other Meds: Blood thinner, steroids, blood pressure meds

Current Illness: Diverticulitis

ID: 0944610
Sex: M
Age: 38
State: CA

Vax Date: 12/30/2020
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: NKDA

Symptom List:

Symptoms: Significant fatigue (couldn't remain sitting), malaise, and chills that progressed to diaphoresis after taking acetaminophen which helped the symptoms resolve on 12/31/2020. The symptoms returned the evening of 01/01/2021 after eating and resolved with the same treatment. They lasted about 1.5 hours. On 01/04/2021 had an episode of significant fatigue in the evening that resolved on 01/05/2021 after waking up.

Other Meds: Losartan, Rosuvastatin, Loratadine, Vitamin D, MVI, Metformin

Current Illness: None

ID: 0944611
Sex: F
Age: 80
State: MI

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

Vax Type:
Manufacturer:
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Vax Route:
Vax Site:

Lab Data:

Allergies: None.

Symptom List:

Symptoms: CoVid -19 vaccine given at 1 pm. At 1:15 pm patient calling for help. Assisted by staff. Symptoms reported "tongue feel little tingling." Given Benadryl 25 mg p.o.. No difficulty swallowing, No difficulty breathing, No rashes or any symptoms presented. Immediate relief felt after being observed for 5 min. Stated " imagining thing" "nervous" "completely normal now."

Other Meds: Unknown

Current Illness: Unknown

ID: 0944612
Sex: F
Age: 46
State: AZ

Vax Date: 01/01/2021
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: No

Symptom List:

Symptoms: Exanthema on fingers and lower back w pruritis on all of trunk

Other Meds: Vitamin D, vitamin C, zyrtec

Current Illness: None

ID: 0944613
Sex: F
Age: 33
State: MN

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

Vax Type:
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Vax Site:

Lab Data:

Allergies: None

Symptom List:

Symptoms: Woke up the morning following vaccination and had swollen lymph nodes in the armpit of the left arm. Unable/painful to extend arm or move arm above head. Symptoms improved with Ibuprofen for about 6 hours and then would return. Each morning (the last 2)the symptoms have been just as severe as the first morning requiring Ibuprofen.

Other Meds: Ortho-Tricycline, Loratadine, Hair vitamins, Vitamin D

Current Illness: N/A

ID: 0944614
Sex: F
Age: 60
State: MD

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: angioedema within 15' : tongue swelling, difficulty talking, increased BP : transferred to ED & tx with H1, H2 with sx resolution . Observed 6 hrs and d/c to home

Other Meds:

Current Illness:

ID: 0944615
Sex: F
Age: 32
State: TX

Vax Date: 01/13/2021
Onset Date: 01/14/2021
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: Body aches, Headache; Treatment: Ibuprofen, Outcome: Complete resolution of symptoms

Other Meds:

Current Illness:

ID: 0944616
Sex: F
Age: 61
State: AR

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: POSITIVE COVID TEST

Other Meds:

Current Illness:

ID: 0944617
Sex: F
Age:
State: AZ

Vax Date:
Onset Date:
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: None stated.

Other Meds:

Current Illness:

ID: 0944618
Sex: F
Age: 37
State: OK

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

Vax Type:
Manufacturer:
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Lot:
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Lab Data:

Allergies: Iodinated contrast media - anaphylaxis/swelling Sulfa drugs - rash

Symptom List:

Symptoms: Patient received her first dose of Pfizer vaccine on 1.8.2021. When receiving the vaccine, the patient reports that her left cheek went numb. Patient reports the feeling came back the next day. Patient reports extreme soreness, to the point of not being able to use her arm. She also reports "excruciating" pain on her entire right side of the body that radiated into her knees and hips. Patient was seen by her PCP on 1.11.21. Patient was prescribed a steroid at the time. On 1/14, the patient returned back to work and describes her pain as tolerable now.

Other Meds: Folic acid 1mg - 1 tablet daily Methotrexate 2.5mg tablets - 8 tablets by mouth once weekly Meloxicam 15mg - 1 tab daily

Current Illness:

ID: 0944619
Sex: F
Age: 40
State:

Vax Date: 01/06/2021
Onset Date: 01/12/2021
Rec V Date: 01/14/2021
Hospital:

Vax Type:
Manufacturer:
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Lab Data:

Allergies:

Symptom List:

Symptoms: approximately 6 days after immunization patient developed a red warm nodule at injection site that over 2 days became more tender, firm and larger

Other Meds:

Current Illness:

ID: 0944620
Sex: F
Age: 64
State: PA

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

Symptom List:

Symptoms: 45 min after injection face became red and flushed and headache began, redness left in about 4 hours, headache still remains 24 hours later but mild. joints ache for 24 hours and neck slightly stiff after about 12 hours

Other Meds: Mobic atenonol gabapentin tylenol

Current Illness:

ID: 0944621
Sex: F
Age: 71
State: TX

Vax Date: 01/04/2021
Onset Date: 01/14/2021
Rec V Date: 01/14/2021
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Allergies: N/A

Symptom List:

Symptoms: Site swelling, redness, and bruising. Not painful to the touch.

Other Meds: N/A

Current Illness: N/A

ID: 0944622
Sex: F
Age: 42
State: NC

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

Allergies: Codeine Shell fish Eggs, Grass, Bees Insects

Symptom List:

Symptoms: 09:45 states is starting to itch on her right time (leg , arm then Back) no redness was noted at this time. 0950 itching now to chest and scalp , again no redness. 10:15 states her throat is feeling itchy States does have an epi pen at home be "just didn't think about bring it" ER was notified that we were bring her for evaluation ; she was able to take few steps to the wheelchair , taken to our ER report given to the nurse.

Other Meds: HCTZ Apri Phospcyocholine MSM

Current Illness: None

ID: 0944623
Sex: F
Age: 47
State:

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/14/2021
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Symptom List:

Symptoms: Patient describes fever, chills, bone pain and body ache

Other Meds:

Current Illness:

ID: 0944624
Sex: F
Age: 59
State: IA

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

Symptom List:

Symptoms: This am right deltoid, injection site firm and warm to touch. This is 10 days after injection. Area is approximately 3 cm in diameter. Fine non raised rash is present to both forearms. Headache present. Right neck lymph node with slight swelling and is tender to the touch. Very tired today. Had no concerns up until today.

Other Meds: Metformin, Soliqua, Zoloft, HCTZ, Zyrtec, Calcium, Muti-vitamin, CoQ10, Fish oil, lisinopril, Move free

Current Illness: No

ID: 0944625
Sex: F
Age: 34
State: OK

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/14/2021
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Lab Data:

Allergies: Augmentin Penicillin Cefzil

Symptom List:

Symptoms: Flushed, itching, rash over arms, trunk, Felt shaky

Other Meds:

Current Illness:

ID: 0944626
Sex: F
Age: 27
State: AR

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/14/2021
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Allergies: No

Symptom List:

Symptoms: Fever, bodyaches, chills, headache and fatigue

Other Meds: None

Current Illness: No

ID: 0944627
Sex: F
Age: 39
State: NY

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

Symptoms: Lump on back of head day of injection that she spoke to hematologist about and thought to be lymphadenopathy (now resolved), then 1 week after injection on 1/13 has developed itching and redness at injection site that she has applied topical benadryl cream for.

Other Meds:

Current Illness:

ID: 0944628
Sex: F
Age: 29
State: WA

Vax Date: 12/24/2020
Onset Date: 12/25/2020
Rec V Date: 01/14/2021
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Allergies: No

Symptom List:

Symptoms: I woke up with a rash on my stomach that were very itchy. They spread to chest, arm pit, forarm & inner thighs.

Other Meds: No

Current Illness: No

ID: 0944629
Sex: F
Age: 57
State: TX

Vax Date: 12/27/2020
Onset Date: 12/29/2020
Rec V Date: 01/14/2021
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Allergies: None

Symptom List:

Symptoms: Swollen Lymph node in arm pit that has not subsided as of today 1/14/2021

Other Meds: Novolog, Celexa, Estrace

Current Illness: No

ID: 0944630
Sex: F
Age: 57
State: MD

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

Allergies: Denied

Symptom List:

Symptoms: This individual stated that she felt light headed right after she got her vaccine, she also stated that she was fasting and did not eat or had a drink today. Vitals were taken, apple juice was given, and she stated that she felt better and left at 1:18pm.

Other Meds: Denied

Current Illness: Denied

ID: 0944631
Sex: F
Age: 50
State: NH

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

Allergies: ampicillin

Symptom List:

Symptoms: Swollen lymph node warmth area fever pain

Other Meds: Multivitamin

Current Illness: none

ID: 0944632
Sex: F
Age: 36
State: CT

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/14/2021
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Symptom List:

Symptoms: fever, chills, aches pain, headache

Other Meds: Amoxicillin, multivitamin, Vit D, B12, Iron Sulfate

Current Illness: Strep Throat

ID: 0944633
Sex: F
Age: 36
State: CA

Vax Date: 12/30/2020
Onset Date: 01/07/2021
Rec V Date: 01/14/2021
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Lab Data:

Allergies: Possible Shellfish, but not known for sure.

Symptom List:

Symptoms: Two days after my vaccine I noticed some pain in my low back and in my left hand and left foot. I also had one night where I woke up and had soaked through my blankets with sweat. Otherwise, felt fine. On January 7th I noticed that the injection site was suddenly very red and swollen and a dull ache had returned. On the 8th the redness was more filled in and less bright, still swollen and painful. I tried to go paddle boarding and all of my muscles were very weak and I got dizzy and nauseated. I felt like my body was full of lactic acid and that my muscles would not work properly. I took 600mg of ibuprofen and 50mg of Benadryl and got in bed and slept. On the 9th, the redness was almost gone, swelling still visible and muscles very weak, along with a strange tight feeling in my neck and head. My left toes went totally numb. I mainly stayed in bed and slept until the 12th when a precautionary COVID test was negative and I was able to get lab work drawn. I tried biking 2 blocks and felt that my muscles were a little stronger, however my joints felt very fragile and I was short of breath. On the 13th I got some tingling in my left foot and toes went completely numb on 2 occasions. Today, (14th) I do not have the lactic acid feel, however I am very tired and continue to have the head and neck tightness.

Other Meds: none

Current Illness: none

ID: 0944634
Sex: F
Age: 67
State: WI

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/14/2021
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Symptom List:

Symptoms: Left hand in thumb area and Left wrist patient reported a twinge feeling and was very warm. Blood pressure was 126/80, pulse ox 95 and pulse 73. Gave patient H2O and patient sat another 15 minutes. Left with no more symptoms and vital signs were 120/78, pulse ox 94 and pulse 75

Other Meds:

Current Illness:

ID: 0944635
Sex: F
Age: 41
State: VA

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

Allergies: bactrim and keflex - hives for both

Symptom List:

Symptoms: Initially redness, swelling, pain and itching at the injection site. Cleared up by end of day the following Monday (1/11/2021) leaving just a bruise. Starting the morning of 1/13/2021, I woke up feeling nauseous and had a headache by mid day. All day injection site was itching again. Woke up morning of 1/14/2021 and injection site is red, swollen, itching and painful again (looks like it did the morning after I received the shot). Feeling nauseous again this morning and have a persistent headache again today.

Other Meds: birth control

Current Illness: None

ID: 0944636
Sex: F
Age: 67
State: FL

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

Allergies: PCN, sulfanomides, iodine, IVP dye, lemon

Symptom List:

Symptoms: 5 min post injection- nauseous for a few minutes 9 hrs post injection- severe stomach pain and sudden onset vomiting lasting for several hours. Chills and malaise throughout next day.

Other Meds: Fluoxetine, lisinopril, Robinol, gabapentin, spironolactone

Current Illness: None

ID: 0944637
Sex: F
Age: 37
State: OH

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

Allergies: Amoxicillin

Symptom List:

Symptoms: Tachycardia, palpitations, lightheadedness/near syncope, and numbness/tingling to tongue and lips 10 minutes after receiving vaccine. All symptoms resolved in about 15 minutes with the exception of numbness/tingling to tongue and lips which lasted 3 hours. Symptoms resolved on their own without treatment/medication other than lying flat with feet up and drinking a bottle of water. I was assessed by medical professionals at the vaccine clinic which was located inside of the hospital. I consulted with an ED physician but did not require any additional treatment.

Other Meds: Vitamin D 2000 IU PO daily Spironolactone 50mg PO daily Pepcid 20mg PO daily Deplin 15mg PO daily Calcium Carbonate 750mg PO daily

Current Illness: none

ID: 0944638
Sex: F
Age: 51
State: MD

Vax Date: 01/02/2021
Onset Date: 01/02/2021
Rec V Date: 01/14/2021
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Symptom List:

Symptoms: Within 15' developed sensation of dysphagia, lip swelling, facial swelling : transferred to ED where sx resolved spontaneously. Observed for 4 hrs then d/c to home

Other Meds:

Current Illness:

ID: 0944639
Sex: F
Age: 44
State: VT

Vax Date: 12/24/2019
Onset Date: 12/25/2020
Rec V Date: 01/14/2021
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Lab Data:

Allergies: bee venom, Codeine, Jardiance

Symptom List:

Symptoms: headache, "feels foggy", feels like having problems swallowing, increased secretions - continued for week plus after injection took benadryl on 1/6 with good relief of symptoms

Other Meds:

Current Illness:

ID: 0944640
Sex: F
Age: 36
State: WA

Vax Date: 12/30/2020
Onset Date: 01/06/2021
Rec V Date: 01/14/2021
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Symptom List:

Symptoms: One week after vaccine went for first run since vaccine. Later that evening injection site itching, red, with hives beginning. Increased in severity that night and remained for a couple of days, affected area measuring 4" x 3". Unsure if running was a factor but only correlating event. If relevant - run was 30minutes with HR in peak-zone for 19min and cardio-zone for 8min - max HR during run 188. If relevant - did not have this reaction immediately after vaccination - had only experienced mild-moderate soreness and mild redness at site for 1-3 days.

Other Meds:

Current Illness:

Date Died: 01/13/2021

ID: 0944641
Sex: F
Age: 83
State: FL

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

Symptom List:

Symptoms: Patient died on 1/21-2021

Other Meds: Atorvastatin 80mg daily, biotin 2500mg daily, Calcium-Mag-Zinc tab daily, Restasis eye drop q12hr, ezetimibe 10mg qhs, gabapentin 100mg bid, lysine 1000mg daily, metoprolol tart 50mg bid, fish oil 1000mg daily, prilosec 20mg daily, ranola

Current Illness: CAD, angina, coronary bypass in 1990's, Cardiac Cath on 12/28/2020

ID: 0944642
Sex: F
Age: 61
State: NM

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

Allergies: sulfa, cipro, ceclor, lisinopril HTCZ

Symptom List:

Symptoms: 10 minutes after vaccination my left arm started tingling and my left hand started getting stiff. My blood pressure was 144/100. The EMS arrived and they completed an EKG and waited for my pressure to come down. I did not go to the hospital.

Other Meds: gabapentin, buproprin

Current Illness: no

Total 2021 VAERS Injuries: 599,999

Page last modified: 03 October 2021 5:28pm