VAERS 2021 Database www.vaers.hhs.gov

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

Total Manufacturer

Incidents per State

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

ID: 0945100
Sex: F
Age: 52
State: CO

Vax Date: 10/12/2020
Onset Date: 10/13/2020
Rec V Date: 01/14/2021
Hospital:

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

Lab Data:

Allergies: GARLIC/ONION

Symptom List: Dysphagia, Epiglottitis

Symptoms: RECEIVED FIRST DOSE IN OCTOBER, STILL EXPERIENCING ARM/SHOULDER DISCOMFORT

Other Meds: ASPIRIN

Current Illness:

ID: 0945101
Sex: F
Age: 41
State: WI

Vax Date: 12/29/2020
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 reported

Symptom List: Anxiety, Dyspnoea

Symptoms: No concerns following vaccine until 7-8 days later when it started to itch, had a large reddened area at the injection site, warm to the touch, hard and tender. Also had swollen lymph nodes on left side of neck. Reported her whole left side felt "heavy." Spoke with her provider and was prescribed prednisone and diagnosed virtually with serum sickness level 3.

Other Meds: none reported

Current Illness: sinus infection

ID: 0945102
Sex: F
Age: 50
State: NY

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: Peanuts

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

Symptoms: None stated.

Other Meds: None

Current Illness: None

ID: 0945103
Sex: F
Age: 42
State: SD

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

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

Lab Data:

Allergies: Similar reaction to Toradol x 2 prior

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: 1700 felt increase in HR (120), warm feeling, B/P 132/80 Upper chest and facial cheeks along with ears flushed 1715 nausea, no vomiting, light headedness, mouth dry, tolerated apple jice and crackers 1830 felt normal

Other Meds:

Current Illness: Bronchitis-finished doxycycline for bronchitis on week prior

ID: 0945104
Sex: F
Age: 52
State: NY

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

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

Lab Data:

Allergies: ace inhibitors, yogurt.

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

Symptoms: extreme fatigue, joint pain, red very large and swollen injection site.

Other Meds: Amlodipine besylate 5mg Metoprolol tarta 50mg Tylenol 650mg

Current Illness:

ID: 0945105
Sex: F
Age: 30
State: CT

Vax Date: 01/06/2021
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, penicillin, shellfish, dogs, cats

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

Symptoms: 8 days post vaccination I developed a localized reaction at the injection site. The area was erythematous, warm to the touch, and swollen. It is not painful, no drainage or other symptoms of infection. I went to my PCP who said it looked like a localized reaction to vaccine. She suggested ice to reduce swelling and Benadryl and Motrin as needed. She prescribed me cephalexin 500 mg if symptoms do not improve or worsen.

Other Meds: Amlodipine, Lexapro

Current Illness:

ID: 0945106
Sex: F
Age: 44
State: TN

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: Cefdinir Monistat Seasonal allergies

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Flushed, light headed, increased blood pressure

Other Meds: Lisinopril, Lexapro, Hydrochlorot, Allegra, Super Vitamin B-Complex, Fish Oil, Biotin, Multi vitamin, Iron

Current Illness: None

ID: 0945107
Sex: F
Age: 54
State: IL

Vax Date: 01/05/2021
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: no

Symptom List: Pharyngeal swelling

Symptoms: Chills, headache, chest pains, vomiting. Went to Occupation health doctor and was tested for COVID, it was positive.

Other Meds: no

Current Illness: no

ID: 0945108
Sex: M
Age: 68
State: FL

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: No Known Allergies

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Patient did not have any adverse events. Patient was administered the wrong dose (received 1ml instead of 0.5ml).

Other Meds: Abilify, Ferrous Sulfate, Antivert, Synthroid, Multivitamin with minerals, Januvia

Current Illness:

ID: 0945109
Sex: M
Age: 31
State: FL

Vax Date: 01/11/2021
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

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Headache, treated with acetaminophen 750 mg, asa 250 mg, caffeine 65 mg, ibuprofen 800 mg, fluids, headache lessened in severity

Other Meds: Betamethasone cream BID

Current Illness: None

ID: 0945110
Sex: F
Age: 82
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:

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

Symptoms: Extreme Lethargy

Other Meds:

Current Illness:

ID: 0945111
Sex: F
Age: 59
State: IL

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: Penicillin; certain topical allergies to metals

Symptom List: Rash, Urticaria

Symptoms: Exactly one week after the vaccination I woke up with redness, swelling and itching all around the injection site (approx. about 4"-5" in diameter)

Other Meds: Escitalopram 10 mg; Vitamin D; daily Multivitamin

Current Illness: N/A

ID: 0945112
Sex: F
Age: 58
State: CA

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

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

Lab Data:

Allergies: allergy to sulphites - MSG ; lips get fat and I have to take benadryl

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

Symptoms: 40 min. injection - 200/100 - blood pressure - and was sent to ER to get follow up and was there for 90 min, until it was 156/99. And they released me. 10 days of very high blood pressure and headaches. Just started coming down (Blood Pressure) the day before yesterday. 98/72 now. Primary Care doctor - Telemed appt- had advised me to wait it out a little and now it's down. Feel better now. DIdn't take anything to treat it. Just rested. Only worked 1/2 of day of work- and not a full 8 hr shift on my scheduled shifts. But going back now full time. Blood type RH Negative.

Other Meds: Multi-vitamin; fish oil tablet

Current Illness: no

ID: 0945113
Sex: F
Age: 37
State: CA

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: Iodine contrast

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

Symptoms: The Lot # was not clear for the caller. 2hrs after inj, itchy at neck and lower torso. Then later the other side of body was itchy. 10:30pm kept feeling like something was crawling on her. Kept getting up to see if something was crawling on her. No rash no hives. Took 1 Benadryl at 10:00pm. Today little itching behind thigh and on arm and lower neck.

Other Meds: Tramadol

Current Illness: no

ID: 0945114
Sex: F
Age: 42
State: NY

Vax Date: 01/08/2021
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: Heart rate decreased, Heart rate increased, Hypertension, Injection site pain, Musculoskeletal chest pain

Symptoms: Slight fatigue today, took a rapid test at work and it was positive

Other Meds: Zoloft, Wellbutrin, synthroid

Current Illness:

ID: 0945115
Sex: M
Age: 45
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: Nausea, Pain, Pain in extremity, Paraesthesia oral, Pyrexia

Symptoms: Reported feeling light headed unwell and weak post vaccine, difficulty breathing and chills , hands were cold and clamy. DId not pass out, was alert and oriented at all time, took vitals until EMS arrived. Once EMS arrived and he was feeling better he declined to be transported to hospital. Left with wife who took him home.

Other Meds:

Current Illness:

ID: 0945116
Sex: F
Age: 43
State: NY

Vax Date: 01/04/2021
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: None

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

Symptoms: I felt dizzy as soon as I got the vaccine. My heart rate increased but nothing to worry about. It took me at least 30 min to feel myself. That afternoon I felt L hip pinching pains and joints pain. A week later I had sudden vertigo , unable to walk normally with no tinnitus or loss of hearing . I took meclizine 50 mg and it helped. It?s already day 5 , vertigo has subsided , I still don?t feel myself but I am able to go around, drive and move. I only feel dizzy at times and feel vertigo when laying down

Other Meds: None

Current Illness: None

ID: 0945117
Sex: F
Age: 62
State: HI

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

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

Lab Data:

Allergies: None

Symptom List: Ear pain, Hypoaesthesia

Symptoms: site pain

Other Meds: None

Current Illness: None

ID: 0945118
Sex: F
Age: 52
State: CO

Vax Date: 10/12/2020
Onset Date: 10/13/2020
Rec V Date: 01/14/2021
Hospital:

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

Lab Data:

Allergies: GARLIC/ONION

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: RECEIVED FIRST DOSE IN OCTOBER, STILL EXPERIECING SHOULDER/ARM DISCOMFORT

Other Meds: ASPIRIN

Current Illness:

ID: 0945119
Sex: F
Age: 30
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: None

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

Symptoms: Rash around injections site, anterior upper chest wall rash, tachycardia (HR 120-150), numbness in hands, SOB, dizziness, nausea. Treated with Xyzal and prednisone

Other Meds: hydroxychloroquine 250 mg, meloxicam 15 mg, Linzess 290 mg

Current Illness: None

ID: 0945120
Sex: F
Age: 36
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:

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

Symptoms: Patient reports mild body aches, cold sweats and fatigue. Also a mild sore throat and slight headache

Other Meds:

Current Illness:

ID: 0945121
Sex: F
Age: 44
State: RI

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: Penicllin/Shellfish

Symptom List: Unevaluable event

Symptoms: Voiced metallic taste/nausea. Inintal compliant began @ 1340. Left observation @ 1400. Denies any other s/s of distress. No SOB/Trouble breathing as well.

Other Meds:

Current Illness:

ID: 0945122
Sex: F
Age: 27
State: MT

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: n/a

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

Symptoms: Received the vaccine at 1600 on 13 Jan 2021. At approximately 0700 on 14 Jan 2021, I noticed redness and swelling directly below injection site. It was tender to the touch but painless otherwise. At approximately 1400, the swelling began to burn without touching, causing discomfort and pain. Moving my arm causes pain at swollen area.

Other Meds: multi-vitamin, birth control, ibuprofen

Current Illness: n/a

ID: 0945123
Sex: F
Age: 29
State: UT

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: Strawberries Cedar Amoxicillin Doxycycline

Symptom List: Injection site pain, Pain

Symptoms: Wave of what felt like was an adrenaline rush and then chest tightness. When getting up to stand felt as if I was going to fall down. Nurse there took HR & BP. HR was about 110. BP was normal range. Self resolved within 15 min.

Other Meds: Prenatal gummies

Current Illness:

ID: 0945124
Sex: F
Age: 39
State: NE

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: Hay fever

Symptom List: Injection site pain, Menorrhagia

Symptoms: Contract employee reports approximately 25 minutes after receiving her second covid vaccination she began to experience mild numbness in and slightly below her right ear. She reports her hearing sounding "muffled" in her right ear. This employee was monitored for a total of 60 minutes in the observation area and reports no worsening of symptoms at the 60 minute mark and felt comfortable leaving the location. She reports having similar symptoms with the first Covid vaccination she received but denies reporting it to Employee Health department or submitting a report herself. She does state she reported the symptoms on the daily check-ins.

Other Meds: Zyrtec D, Iron Supplement, Flonase, Ibuprofen as needed, Junel, Singulair, Collagen

Current Illness: Anemia

ID: 0945125
Sex: F
Age: 42
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: Arthralgia, Chills, Headache, Mobility decreased, Myalgia

Symptoms: Site pain, headache, muscle pain, nausea, dizziness, tired, fever (99.6). No treatment.. Symptoms resolved in 24 hours.

Other Meds:

Current Illness:

ID: 0945126
Sex: F
Age:
State: CA

Vax Date:
Onset Date: 12/18/2020
Rec V Date: 01/14/2021
Hospital:

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

Lab Data:

Allergies: I am allergic to latex and avocado.

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: I had a fever of 101.6 and chills, body aches and headache. It ran for 4 days. I went back to work on 12/28/2020. I received dose 2 on 01/12/2021.

Other Meds: No

Current Illness: No

ID: 0945127
Sex: F
Age: 94
State: MN

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: Codeine; Morphine; Sulfonamides; Shell Fish; Shrimp

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Person received vaccine at approximately 2:00 pm on 1/13/21. Person has been on hospice but had been able to talk/communication. The evening of 1/13/21 person declined to where they would no longer wake up and/or respond. Restricted to bed. We are unsure if this decline is just a progression of her disease or is a reaction to the COVID-19 vaccine received.

Other Meds: Methadone HCI; Lorazepam; Bumex; Loperamide; Acetaminophen; Seroquel; Atropine; Oxycodone; Nystatin Powder

Current Illness:

ID: 0945128
Sex: F
Age: 43
State: MI

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: Kiwi Nickel Tape

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

Symptoms: Patient states that she had immediate pain after injection into her left deltoid region. The pain started to go down her left arm. She also had some radiation into her left trapezius region. She then started to feel somewhat flushed in her ears and her face felt tingly. She denies any shortness of breath or difficulty breathing or swallowing. Denies any chest pain. They observed her for 30 minutes but symptoms persisted and they directed her to the emergency department for further management. Patient continues to deny any difficulty breathing or swallowing. She has no swelling of the face or mouth. No history of anaphylactic reaction She received diphenhydamine 25mg IV x 1, Famotidine 20mg IV x1 and Methylprednisolone 125mg IV x1. Patient stabilized and released after symptoms improved Presented to ER at 1340 Discharged from ER 1634

Other Meds: Lisinopril/Hydrochlorothiazide 20mg/25mg po daily Aripiprazole 5mg po every bedtime Venlafaxine XR 150mg po every morning and 75mg po every evening Hydroxyzine 25mg po three times a day as needed for anxiety

Current Illness: none

ID: 0945129
Sex: F
Age: 71
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: Penicillin soy, peanuts, chicken, lettuce, pepper, pollen

Symptom List: Nausea

Symptoms: I woke in the middle of the night feeling achy and took a Tylenol. Felt feverish all day and took two more doses of Tylenol. Feverish enough that I stayed in bed all day. No headache next day still a feverish with chills but seem to sweat little and t goes away. Much better the third day.

Other Meds: Armour, apriso, vitamin d, multi vitamin, bupropion,

Current Illness: None

ID: 0945130
Sex: F
Age: 4
State: TX

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: NKA

Symptom List: Injection site pain

Symptoms: CHILD IS SHOWING REDNESS AT THE SIGHTS AND WARM TO TOUCH. PT ALSO IS HAVING SORENESS IN BOTH ARMS

Other Meds: NONE

Current Illness: NONE

ID: 0945131
Sex: M
Age: 72
State: FL

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: Tomato

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

Symptoms: Patient did not have any adverse events. Patient received the wrong dose of medication (administered 1ml instead of 0.5ml).

Other Meds: Tylenol, Colace, Zyprexa, Boost, Norvasc, Aspirin, Ferrous Sulfate, Lisinopril, Milk of Magnesia

Current Illness:

ID: 0945132
Sex: F
Age: 30
State: IN

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: Penicillin, Amoxicillin, and Clomid

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

Symptoms: I believe that I now have a Shoulder Injury Related to Vaccine Administration from receiving the COVID-19 vaccine too high in my arm. As it was being administered, I noticed that it took longer than usual for the nurse to get the contents of the vaccine into my arm, but I didn't think anything of it at the time. I have never had a reaction to any vaccine and only the most mild tenderness if I would directly touch the injection site from a previous vaccine. By mid-afternoon on 01/12/2021, I noticed that my arm was feeling sore. I looked up the dosage of the Moderna Vaccine since it seemed like it took so long and I thought it might have just been a higher dose than something like the annual flu shot. By the time I went to bed around 10pm, I could hardly move my shoulder/arm at all. It was very difficult to get comfortable in bed that night, and I slept terribly because of the pain. The next day, it was continued intense pain so I took Ibuprofen every few hours throughout the day, but it didn't seem to help. After another restless night of sleep where my shoulder was throbbing even if I wasn't moving, I decided to contact my PCP. They completed a virtual visit at 10:00am on 01/14/2021 and prescribed Prednisone for 5 days. I picked it up on the same date and took the first dose around 11:45am, and as of 5:00pm on 01/14/2021 when I am writing this, I continue to have significant shoulder pain and limited range of motion.

Other Meds: Metformin Vitamin B Vitamin D Relpax (PRN) Iron Co-Q10 Magnesium Inositol Cranberry Mannose Fish Oil

Current Illness: None

ID: 0945133
Sex: F
Age: 59
State: IL

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

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Lab Data:

Allergies: Chloraprep rash

Symptom List: Tremor

Symptoms: Developed chest pressure 8.5 hours after vaccine, unrelieved after 3 hours, went to ED, elevated troponin, EKG changes. Admitted to hospital low grade fever next day

Other Meds: Thyroid compound T4 108 mcg T3 10 mcg ASA 162 mg sly D3 20 mcg Calcium 600 mg Amoxicillin 875 mg twice a day (one dose taken)

Current Illness: Ear infection diagnosed 1/12/21

ID: 0945134
Sex: F
Age: 30
State: IN

Vax Date: 01/05/2021
Onset Date: 01/13/2021
Rec V Date: 01/14/2021
Hospital:

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Lab Data:

Allergies: Allergic to keflex

Symptom List: Erythema, Pruritus

Symptoms: Large red area around injection site

Other Meds: Cryselle, Zyrtec, trazodone, lysine

Current Illness:

ID: 0945135
Sex: F
Age: 30
State: MO

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

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Lab Data:

Allergies: N/a

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

Symptoms: Pt was having heart palpitations, chest tightness, throat tightness. Pt was sent to ER for further evaluation.

Other Meds:

Current Illness:

ID: 0945136
Sex: F
Age: 46
State: CA

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

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Allergies:

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

Symptoms: Fever, fatigue, headache

Other Meds:

Current Illness:

ID: 0945137
Sex: F
Age: 54
State:

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

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Lab Data:

Allergies:

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: At time of injection, patient reported salty taste in mouth. Several minutes later, pt reported feeling tingling at the back of tongue. No swelling identified. VS stable throughout 30 min observation, all symptoms resolved at discharge.

Other Meds:

Current Illness:

ID: 0945138
Sex: F
Age: 59
State: PA

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

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Lab Data:

Allergies: Pencillin, potatoes starch, shellfish, capsaicin, hydrocodone, latex, ofloxacin, phenazopyridine, sulfamethoxazole, vancomycin

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

Symptoms: About 10-20 minutes after receiving the vaccine, patient she started having a sensation of tongue swelling. Patient was treated with an IM injection of epinephrine and then transported down to the emergency department. Upon arrival to the ED, she felt markedly improved with no symptoms other than some mild nausea. Patient was treated with steroids and ondansetron.

Other Meds:

Current Illness:

ID: 0945139
Sex: F
Age: 50
State: CA

Vax Date: 12/16/2020
Onset Date: 12/18/2020
Rec V Date: 01/14/2021
Hospital:

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Lab Data:

Allergies: I am allergic to latex and avocado.

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

Symptoms: I had a fever of 101.6 and chills.

Other Meds: No

Current Illness: No

ID: 0945140
Sex: F
Age: 32
State: MN

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

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Lab Data:

Allergies: no known

Symptom List: Pain in extremity

Symptoms: Upon injection I experienced immediate pain throughout the entire vaccine, which I did not experience with the first dose. I had inflammation around the deltoid muscle and the following day I had pain and soreness that traveled up my trapezius muscle into my neck with some slight neck stiffness and a large lump over my collar bone on that side at the base of my neck. The lump is quite painful to even gentle touch. I also have pain at the site with movement of my left arm, which was the injection site.

Other Meds: Levonorgestrel-ethinyl estradiol

Current Illness: N/A

ID: 0945141
Sex: F
Age: 2
State: WV

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

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Lab Data:

Allergies: Amoxicillin

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

Symptoms: Pt developed a rash that afternoon after receiving the flu vaccine by, LPN. Was seen in clinic 01/14/2021. Dr. advised to use Zyrtec and Benadryl and refer to an allergist in the future.

Other Meds:

Current Illness:

ID: 0945142
Sex: F
Age: 18
State: CA

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

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Lab Data:

Allergies: Bananas, nuts

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

Symptoms: Itching, brief shortness of breath. No wheezing. No hives or rash. Shortness of breath immediately subsided. Itching subsided after 40 min.

Other Meds: Zyrtec, Benadryl, EPI Pen pen

Current Illness: None reported

ID: 0945143
Sex: M
Age: 48
State: MA

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

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Lab Data:

Allergies: NKDA or other allergies

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

Symptoms: Shaking chills for approximately 12 hours beginning at 21:00 on 1/13. Lethargy beginning approx. 10:30 on 1/14. Nausea beginning 14:00 on 1/14 continuing as of this report (17:00 on 1/14)

Other Meds: None

Current Illness: No other recent illness

ID: 0945144
Sex: M
Age: 26
State: MT

Vax Date: 12/31/2020
Onset Date: 01/03/2021
Rec V Date: 01/14/2021
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Lab Data:

Allergies: nkda

Symptom List: Vomiting

Symptoms: Patient woke up 3 days later with hives all over his body. Patient complains of severe itching on his legs and moderate itching over the rest of his body. Patient did no go to the Emergency room because he denies having any other symptoms or doing anything different such as changing soaps/detergents and has not eaten anything different.

Other Meds: None

Current Illness: none

ID: 0945145
Sex: F
Age: 41
State: IA

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

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Allergies:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Pt came to the COVID vaccination clinic today to receive her first dose of the Pfizer vaccine: EL3246. Pt states "I am very nervous about getting this". Pt brought a co-worker with her for support. Pt has "MS and Anxiety". Pt received her vaccine without any difficulty. While sitting for her observation time after the vaccine she began having some "tingling of her tongue and face feels hot". Pt denies any breathing difficulty. Pt states "I am not sure if this is from my anxiety or a reaction". Pt is drinking water with honey. Gave her some fresh water and monitored. Checked on her a couple minutes later. She was in the chair and then up to walk and was concerned "my legs are feeling tingly and a little cold". When asked if she ever takes BENADRYL for her previous medication reactions Pt states "yes". I asked her if she has someone who can drive her home and she made arrangements for her co-worker to take her. Gave Pt BENADRYL 25 mg po one for potential reaction symptoms at 15:05. Moved Pt to a quieter place to monitor and observe. Gave her a warm blanket and some juice. Vitals at 15:18: BP= 116/68, HR=80 Resp rate 16-18. Pt is alert, oriented and states "feeling a little better". Tingling sensation is "leaving". Pt denies any respiratory symptoms. Monitored by RN. Pt set up with telephone call with Employee Health Provider, PAC. Determined this is most likely symptoms caused by her anxiety. Pt left ambulatory with her co-worker and symptoms were resolved.

Other Meds:

Current Illness:

ID: 0945146
Sex: F
Age: 61
State: CA

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

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Lab Data:

Allergies: Taxotere Severe Anaphylaxis 12/08/2017 5-Alpha Reductase Inhibitors Moderate Anaphylaxis 12/13/2017 Chloroquine Phosphate Isoniazid Letrozole Valium

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

Symptoms: Short term memory loss, Severe fatigue, Chills, Mild HA, Depression - lasted 5 hours and was gone.

Other Meds: Fiber daily

Current Illness: None

ID: 0945147
Sex: M
Age: 42
State: GA

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: Injection site swelling, Limb discomfort

Symptoms: States had a syncope event shortly after 2nd COVID vaccine. Vaccine administered approximately 10am then about 40-45 minutes later had a syncope episode and fell from a standing position.

Other Meds:

Current Illness:

ID: 0945148
Sex: F
Age: 25
State: AZ

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

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Lab Data:

Allergies: None

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

Symptoms: Pain under armpit with big lump. Painful to touch and when uses of force or movement

Other Meds: Viena

Current Illness: None

ID: 0945149
Sex: F
Age: 66
State: OK

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

Vax Type:
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Lab Data:

Allergies: None listed

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

Symptoms: Within 15 minutes of administration the person stated that she was having lite headedness. Person was refusing any assessment or care and wanted to go outside to take her face covering off. After going outside the person seemed to be feeling less lite headed, but do to language barrier the person was hard to understand. An assessment was attempted but person refused any care.

Other Meds: None listed

Current Illness: None listed

Total 2021 VAERS Injuries: 704,237

Page last modified: 26 October 2021 2:21am