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
25,010
AK1,003
AL2,060
AR1,406
AS28
AZ6,582
CA24,733
CO4,595
CT3,287
DC566
DE647
FL13,267
FM2
GA5,273
GU43
HI903
IA2,011
ID1,134
IL8,007
IN12,487
KS2,069
KY2,746
LA1,851
MA5,844
MD4,967
ME1,332
MH4
MI7,098
MN4,816
MO3,890
MP10
MS1,049
MT1,172
NC6,410
ND597
NE1,287
NH1,351
NJ6,340
NM1,700
NV1,484
NY13,618
OH7,961
OK2,284
OR3,240
PA8,390
PR950
QM1
RI884
SC2,353
SD610
TN3,410
TX13,366
UT1,910
VA6,048
VI22
VT760
WA5,478
WI4,693
WV1,061
WY389
XB4
XL1
XV1

ID: 0919748
Sex: F
Age: 63
State: NC

Vax Date: 12/30/2020
Onset Date: 01/04/2021
Rec V Date: 01/04/2021
Hospital:

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

Lab Data:

Allergies: Penicillin, Tequin

Symptom List:

Symptoms: After 10 mins dry mouth occurred. After 15 mins compulsive swallowing occurred and dry mouth continued. Blood pressure elevated. Observation of swelling then 2 Benadryl were given. BP monitored. After about 15 minutes or longer swallowing slowed down some. BP did start coming down. A friend came to get me and I took 2 more Benadryl about 4 hours later due to swallowing issues again. After about 6 hours after that took more Benadryl and the the next 2 days just as needed about every 8 to 10 hours Started chills with highest temperature was 99.4. K Legs felt heavy the morning after the vaccine and I felt very tired with some short bursts of Nausea

Other Meds: Vitamin D, one a day multiple vitamins

Current Illness: None

ID: 0919749
Sex: F
Age: 47
State: CO

Vax Date: 12/26/2020
Onset Date: 01/04/2021
Rec V Date: 01/04/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: 9 days after getting the vaccine, my arm is red, swollen, warm and the skin is hard in a circle around the injection site approximately 3-4 inches.

Other Meds: Spironolactone, venlafaxine

Current Illness: None

ID: 0919750
Sex: F
Age: 60
State: PR

Vax Date: 12/28/2020
Onset Date: 01/04/2021
Rec V Date: 01/04/2021
Hospital:

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

Lab Data:

Allergies: Iodo for contracted

Symptom List:

Symptoms: Induration redness rubor pain and itching left arm until seven days before administration

Other Meds: Not

Current Illness: Not

ID: 0919751
Sex: F
Age: 44
State: KY

Vax Date: 12/24/2020
Onset Date: 12/25/2020
Rec V Date: 01/04/2021
Hospital:

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

Lab Data:

Allergies: Latex Penicillin

Symptom List:

Symptoms: Injection site swelling, redness, rash and heat lasting since time of injection (~2 weeks).

Other Meds: Metoprolol Succinate ER Atorvastatin Hydrochlorothiazide Sertraline Famotidine Tri-Vylibra Olopatadine nasal solution Multivitamin

Current Illness: N/A

ID: 0919752
Sex: F
Age: 39
State: LA

Vax Date: 12/18/2020
Onset Date: 12/18/2020
Rec V Date: 01/04/2021
Hospital:

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

Lab Data:

Allergies: none known

Symptom List:

Symptoms: I developed immediate flushing, sweating, rapid heartbeat (was around 110bpm, is normally around 75bpm), and lightheadedness. I sat down and had a few sips of water. Within a few minutes, I felt like I was having a difficult time getting a good breath in. I raised my hands over my head and took slow deep breaths to try and keep my breathing under control. I stayed at the hospital for about 45 minutes, over which time I had a few bites to eat and some water. The flushing and sweating resolved within that time. The lightheadedness and "feeling of doom" lasted about 3 hours. I had no anxiety going into this vaccine, nor have I had a reaction like this before.

Other Meds: Synthroid

Current Illness: none

ID: 0919753
Sex: F
Age: 31
State: GA

Vax Date: 12/24/2020
Onset Date: 12/30/2020
Rec V Date: 01/04/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List:

Symptoms: 1 week after receiving the vaccine in the right arm, lymph node in the right arm pit became swollen and painful. Also, right upper chest lymph node swelling and pain. Continuing to have vague/dull pain in right upper arm.

Other Meds: Multi-vitamin, fish oil

Current Illness: No

ID: 0919754
Sex: F
Age: 27
State: CA

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient started develop itchy rash on arm near injection site. The diameter of the rash was about 4 inches and developed in about 20 minutes after injection. We gave her an ice pack to apply over the area and a tablet, crushed of Benadryl.

Other Meds:

Current Illness:

ID: 0919755
Sex: M
Age: 24
State: MA

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

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

Lab Data:

Allergies: Shellfish

Symptom List:

Symptoms: Fatigue at around 5pm. Chills at around 8 pm, with an underlying sense of head warmth. Fever at 9:45 pm with a headache.

Other Meds: None

Current Illness: None

ID: 0919756
Sex: F
Age: 27
State: FL

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: About 30 post administration, I had injection site soreness which progressively worsened in severity as time went on. About 12 hours after the injection I had a pretty sudden onset of fatigue, headache and nausea.

Other Meds:

Current Illness:

ID: 0919757
Sex: F
Age: 61
State: AZ

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Lips and left side of face numbness and tingling about 10 minutes after first dose of Pfizer COVID-19 vaccination. Started first on the lips and then spread to left side of face and continued for 45 minutes to an hour after vaccination.

Other Meds: Toprol XL, Crestor, Glucophage, Levoxyl, Cozaar, Ergocalciferol, Ecotrin

Current Illness: None

ID: 0919758
Sex: F
Age: 65
State: TX

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/04/2021
Hospital:

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

Lab Data:

Allergies: clindamycin/lincomycin

Symptom List:

Symptoms: The patient received the shot on 12/31/20 in the morning around 10:20am by that evening the patient had a low grade fever. The next day (1/1/21) the patient had a fever of 103.5F. There were no urgent care appointments available so the patient waited until 1/2/21 to go to the ER. At this point the patient states that the injection site was hot to the touch and the redness was 3 inches in width and 1 inch in height. After examination the doctor suspected an intramuscular injection abscess. The doctor told the patient to monitor and use a warm/moist compress and to return if it got worse. The incident was reported to me on 1/4/21 at which point the patient said that the injection site had healed slightly. I told the patient that I would call her back in a couple of days to follow up and check on her.

Other Meds: Estradiol 0.01% Vaginal Cream, clonazepam 0.5mg, lisinopril 5mg, levothyroxine 88mcg, rosuvastatin 10mg, fenofibrate 145mg, estradiol 1mg

Current Illness: n/a

ID: 0919759
Sex: F
Age: 53
State: PR

Vax Date: 12/24/2020
Onset Date: 12/24/2020
Rec V Date: 01/04/2021
Hospital:

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

Lab Data:

Allergies: iodine

Symptom List:

Symptoms: after 8 day a erithema in the are appears.. warm palation and endure .. feeling ok within normal limits At 9 day disapear.. took Benadril cream and started Cefalexin ( antibiotioc) At 11 day a rash ocurred on site .. elevates puritis and redness.. call Dr and staret Decadron / chang antibiotic to Azitromax.. wird sensation of the tongue .. sweeling.. enlarged papilae.. tngling sensation around face snd lips.. .. feeling ok within normal limits

Other Meds: nono

Current Illness: none

ID: 0919760
Sex: M
Age: 52
State: NY

Vax Date: 01/02/2021
Onset Date: 01/02/2021
Rec V Date: 01/04/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: I tested positive for Covid-19 on 8/10/20. Symptoms were moderate (No hospitalizations/oxygen/interventions. Just flu like symptoms with significant chest pain. MI & PE ruled out in two ED visits, symptoms last about a month). Moderna Covid-19 Vaccine on 1/2/21 at 7:45 am. Developed significant chills at about 8:00 pm that evening. By 10:30 pm, chills, rigors, bodyaches, & fatigue (no fever). 1/3/21: Significant fatigue, chills, bodyaches, and now headache. Essentially stayed in bed the whole day; completely useless. Symptoms improved throughout the day. Was about 45% better by bed time. Severe diaphoresis in the middle of the night. 1/4/21: 75% better. Went to work and completed my shift. 95% better by the end of my shift.

Other Meds: None

Current Illness: None

ID: 0919761
Sex: F
Age: 60
State: TX

Vax Date: 12/27/2020
Onset Date: 01/04/2021
Rec V Date: 01/04/2021
Hospital:

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

Lab Data:

Allergies: NONE

Symptom List:

Symptoms: My arm had been fine for the first 7 days. This morning I ran a wash cloth over my left arm and felt immediate discomfort. I looked in the mirror as soon as I got out of the shower and I could see that my arm had a large red area at the infection site. My arm is warm too touch. the rash measures 9.5cm by 7.5

Other Meds: RALCXIFENE HCL 60 MG 2 X A DAY METFORMIN HCL 500 MG 2 X A DAY IBUPROFEN 600 MG 2 X A DAY CEPHALEXIN 500 MG 2 X A DAY

Current Illness: No illnesses other than Diabetes Type 2 prior, but about 4 days later I sought treatment for a minor infection on my foot. I was put on the antibiotic and ibuprofen.

ID: 0919762
Sex: F
Age: 35
State: NY

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/04/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Severe fatigue 2 hours after the shot lasting for 36 hours. Pain throughout the upper arm that received the injection lasting for 36 hours treated with Advil.

Other Meds: None

Current Illness: None

ID: 0919763
Sex: M
Age: 22
State: FL

Vax Date: 01/03/2021
Onset Date: 01/04/2021
Rec V Date: 01/04/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: Developed fever of at around 3AM and then fever went up to about 102 Degrees at 4AM. At 8 AM the fever was 100 degress and had also added a headache. The fever went down slowly and broke around 1PM.

Other Meds: N/A

Current Illness: n/a

ID: 0919764
Sex: F
Age: 52
State: MA

Vax Date: 10/19/2020
Onset Date: 10/20/2020
Rec V Date: 01/04/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List:

Symptoms: Red, Swelling, Arm pain, whole body tired, mild fever, no energy for the 3 days. But body tired, arm pain and swelling for a week. Although swelling was gone, my arm pain without stopped. Also, shoulder pain appeared. Then I could not put up my arm and carry grocery stuff. I even could not wear my bra. I went to see my PCP through tele-visit and she recommended me to have physical therapy.

Other Meds: No

Current Illness: No

ID: 0919765
Sex: F
Age: 72
State: FL

Vax Date: 01/01/2021
Onset Date: 01/03/2021
Rec V Date: 01/04/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Abdominal pain and distention 48 hours after injection, w/o nausea or vomiting. Symptoms moderate.

Other Meds: Rosuvastatin 40 Buspirone 5 mg

Current Illness: none

ID: 0919766
Sex: F
Age: 27
State: NH

Vax Date: 12/26/2020
Onset Date: 01/04/2021
Rec V Date: 01/04/2021
Hospital:

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

Lab Data:

Allergies: latex

Symptom List:

Symptoms: dime size reddish bump, warm to touch

Other Meds: citalopram, bupropion xl, sprintec, spironolactone, trentinoin, omeprazole

Current Illness:

ID: 0919767
Sex: F
Age: 39
State: SC

Vax Date: 12/29/2020
Onset Date: 12/31/2020
Rec V Date: 01/04/2021
Hospital:

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

Lab Data:

Allergies: Gluten sensitivity

Symptom List:

Symptoms: Severe hives all over body- trunk of body fully covered in raised, red, blotchy, "firey" patches of hives; also, under armpits, over the shoulders, panty lines, behind knees, on and under breasts, back, onto neck and face (chin, lip area, eye brow area)

Other Meds: Bupropion 300mg XR Trintellix 5mg

Current Illness: None

ID: 0919768
Sex: F
Age: 23
State:

Vax Date: 12/28/2020
Onset Date: 12/29/2020
Rec V Date: 01/04/2021
Hospital:

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

Lab Data:

Allergies: No Known Drug Allergies

Symptom List:

Symptoms: Pt received Moderna COVID19 vaccine on 28 Dec 2020. Pt developed red area on left arm that became progressively larger. Patient reports no shortness of breath or difficulty breathing after vaccination. Pt went to ER to be evaluated and returned to clinic after visit. Red area measured 68cm and warm to touch.

Other Meds: Unknown

Current Illness:

ID: 0919769
Sex: M
Age: 34
State: CA

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/04/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Fever (max temp 38.7C), chills, myalgias, fatigue, sweats. Symptoms began 10 hrs after vaccination and lasted until 36 hrs after vaccination. Unable to work the following two days.

Other Meds: None

Current Illness: COVID19 infection, date of symptom onset 12/16/2020 and date of positive test 12/17/2020

ID: 0919770
Sex: F
Age: 39
State: ND

Vax Date: 12/22/2020
Onset Date: 01/04/2021
Rec V Date: 01/04/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: 13 days post vaccine, woke with small area of erythema around injection site, spread throughout day and now indurated, tender and warm to touch. No fever.

Other Meds: Probiotic Vitamin D3 2000IU

Current Illness: None

ID: 0919771
Sex: M
Age: 53
State: NC

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

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

Lab Data:

Allergies: No known drug allergies. Multiple grass and tree pollen (hay fever).

Symptom List:

Symptoms: Moderate pain in arm where injection was administered beginning soon after administration. Headache beginning a few hours later, which has persisted despite over-the-counter Advil.

Other Meds: Multi vitamin, fish oil supplement, turmeric supplement, and Claritin (all daily or most days)

Current Illness: None

ID: 0919772
Sex: F
Age: 57
State: NC

Vax Date: 12/21/2020
Onset Date: 12/21/2020
Rec V Date: 01/04/2021
Hospital:

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

Lab Data:

Allergies: unknown

Symptom List:

Symptoms: Pfizer-BionTECH Covid-19 Vaccine EUA Patient reports headache beginning approximately 2 hours after vaccination and present continuously since vaccination date (12/21/20) to date of report (1/4/21). She notes that is has been present constantly and is worse at times but is not relieved despite use of ibuprofen, acetaminophen, naproxen, Excedrin Migraine, or eletriptan 40 mg dose. She states that this headache is similar to the headache she had with previous Covid infection in March 2020 and July 2020, which also was not relieved with any medications that she tried. Also reported heart palpitations awakening from sleep on 12/30/20. Advised to seek medical care from primary care provider. On 1/4/21 patient states that she believes headache is improving but is not resolved.

Other Meds: unknown

Current Illness: No known illnesses at time of vaccination. Patient states she has had Covid twice - once in March 2020 and once in July 2020.

ID: 0919773
Sex: F
Age: 36
State: MI

Vax Date: 12/28/2020
Onset Date: 12/31/2020
Rec V Date: 01/04/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: 12/31/20 Severe dizziness with vertigo and loss of balance with any movement accompanied by nausea. 1/1/21 headache along with previous symptoms. 1/2/21 symptoms better with a little bit of dizziness with walking or bending over.

Other Meds: Buspar, trulicity, prilosec, vitamin d

Current Illness: None

ID: 0919774
Sex: F
Age: 59
State: IL

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

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

Lab Data:

Allergies: Losartan and doxycycline

Symptom List:

Symptoms: I experienced numbness of my chin and lips. Also, I had stiffness of my jaws. I was given a Zetec (allergy Tablet PO) and monitored for 1 hour, with vital signs being taken.

Other Meds: Metformin, amlodipine, hydrochlorothiazide

Current Illness: None

ID: 0919775
Sex: F
Age: 23
State: OR

Vax Date: 01/03/2021
Onset Date: 01/03/2021
Rec V Date: 01/04/2021
Hospital:

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

Lab Data:

Allergies: Cows milk sensitivity

Symptom List:

Symptoms: Hives all over legs and wrists. Itchy and red bumps

Other Meds: No

Current Illness: No

ID: 0919776
Sex: F
Age: 46
State: AZ

Vax Date: 11/10/2020
Onset Date: 12/19/2020
Rec V Date: 01/04/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: During an audit, vaccine consent form was marked as IM instead of Sub-Q. Patient was contacted a numerous of time but no response.

Other Meds:

Current Illness:

ID: 0919777
Sex: F
Age: 66
State: WA

Vax Date: 08/06/2020
Onset Date: 08/07/2020
Rec V Date: 01/04/2021
Hospital:

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

Lab Data:

Allergies: Chocolate

Symptom List:

Symptoms: I awoke several times during the night with intense pain in my arm. When I got up in the morning, I was very dizzy. I passed out on the way back to bed. My husband took my blood pressure; it was 80 / 56. I spent the day in bed. Although I got up the next day, it took 4 days to feel normal.

Other Meds: Mega-red krill

Current Illness: None

ID: 0919778
Sex: M
Age: 37
State: FL

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Body aches, chills, and extreme fatigue

Other Meds: Taking Wellbutrin, vitamin B12, and vitamin D, all prescribed.

Current Illness: None

ID: 0919779
Sex: F
Age: 50
State: IL

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Pt received the Covid-19 vaccine at 2035. At approximately 2045, pt. reported feeling a slight swelling of her throat in the tonsillar region. She denied shortness of breath and difficulty breathing. She reported that her throat felt numb. At 2050: P: 69, SaP02: 96%, B/P: 110/75. Rapid Response team was called. RRT arrived at 2100 and patient stated symptoms remained unchanged. Pt. Transported to ED with RRT in wheelchair.

Other Meds:

Current Illness:

ID: 0919780
Sex: F
Age: 79
State: CO

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/04/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: NO ADRs- reporting to database since patient received 2 series (4 doses) of Shingrix

Other Meds: Unknown

Current Illness: none

ID: 0919781
Sex: F
Age: 33
State: VA

Vax Date: 12/28/2020
Onset Date: 01/04/2021
Rec V Date: 01/04/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: 1 week later large swelling at injection site and swelling of ipsilateral auxiliary lymph node

Other Meds: multi-vit

Current Illness: none

ID: 0919783
Sex: F
Age: 26
State: TX

Vax Date: 12/23/2020
Onset Date: 12/24/2020
Rec V Date: 01/04/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: On 12/24 at around 10 PM, circulation to my 4th left digit significantly decreased after being outside of my car for around 15 minutes during a temperature of about 50 degrees. I realized when sharp pain was felt at the digit. After about 5 minutes the digit felt numb. I got in my car, turned on the heater, and massaged my finger. Sharp pain was felt again as circulation returned to the digit. The event last approximately 10 minutes from the moment I realized the finger was pale until color returned. This occurred again on 12/27 at around 2 PM as I walked from my car into a store at a temperature of about 40 degrees. This time, discoloration occurred bilaterally on my left 3rd, 4th, and 5th digits and my right 2nd, 3rd, 4th, and 5th digits. The event lasted more than 15 minutes with constant massaging. This has occurred two more times since then, both times occurring bilaterally with minimal exposure to cold.

Other Meds: TriSplintec Oral Contraceptives

Current Illness: N/A

ID: 0919784
Sex: M
Age: 42
State: AZ

Vax Date: 12/23/2020
Onset Date: 12/23/2020
Rec V Date: 01/04/2021
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Symptoms: Day 12.. still have chills, headache and fever of 101.5 every night.

Other Meds:

Current Illness:

ID: 0919785
Sex: F
Age: 40
State: WA

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/04/2021
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Allergies: No

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Symptoms: Toe went numb on right foot and next morning had a lot of swelling and cert painful under the foot. Whole top of foot and toe was really swollen and a lot bigger than the other couldnt walk or put pressure on my foot. Have been home unable to work since december 30th

Other Meds: None

Current Illness: None

ID: 0919786
Sex: F
Age: 55
State: TX

Vax Date: 01/02/2021
Onset Date: 01/03/2021
Rec V Date: 01/04/2021
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Allergies: none

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Symptoms: having chill , fatigue and pain at injection site about 24 hrs after receiving COVID9 Vaccine ,took Tylenol 650mg and Ibuprofen 400mg. symptoms resolved after about 40 minutes.

Other Meds: multivitamins , Flaxseed capsules ,Zinc capsules

Current Illness: none

ID: 0919787
Sex: F
Age: 28
State: OK

Vax Date: 12/26/2020
Onset Date: 01/02/2021
Rec V Date: 01/04/2021
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Symptoms: Extreme swelling and pain. Bubbling around injection site. Bruising all over body.

Other Meds: Adderall, melatonin

Current Illness:

ID: 0919788
Sex: F
Age: 34
State: PA

Vax Date: 12/28/2020
Onset Date: 12/30/2020
Rec V Date: 01/04/2021
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Allergies: Penicillin

Symptom List:

Symptoms: 12/30/20 - fever of 101.6 degrees F 12/31/20 - fever of 100 degrees F, headache, congestion - tested for COVID-19 01/01/21 - fever of 100 degrees F, congestion 01/02/21 - congestion, partial loss of smell 01/03/21 - congestion, partial loss of smell 01/04/21 - congestion, partial loss of smell

Other Meds: Multivitamin

Current Illness: None

ID: 0919789
Sex: M
Age: 6
State:

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

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Symptoms: rigors/chills and vomiting following immunization 2-3 hrs later

Other Meds:

Current Illness:

ID: 0919790
Sex: F
Age: 38
State: TX

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/04/2021
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Allergies: None

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Symptoms: Patient reported the day after vaccination that she had arm pain and received Tylenol 650mg on 12/31/20 at 0934 and later Zyrtec for allergies at 1010. Patient also reported two loose stools this day and reported no symptoms on 1/1/21.

Other Meds: TYLENOL 650mg Q6H PRN MYLANTA 30mL TID PEPTO-BISMOL 2 tab QID PRN ZYRTEC 5mg Qdaily PRN PROZAC 65mg Qdaily ATARAX 25mg TID PRN DEPO-PROVERA 150mg IM Q3months CEPACOL LOZENGE Q4H PRN METFORMIN 500mg BID PRILOSEC 40mg QAMAC OXYBUTYN

Current Illness: Osteoarthritis, DM

ID: 0919791
Sex: F
Age: 64
State: TX

Vax Date: 12/26/2020
Onset Date: 01/02/2021
Rec V Date: 01/04/2021
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Allergies: None

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Symptoms: One week after vaccination, the injection site became itchy. Then the skin turned red, swollen and warm to touch.

Other Meds: Atorvastatin, Vascepa, Losartan-HCTZ,

Current Illness: None

ID: 0919792
Sex: F
Age: 25
State: KY

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

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Symptoms: Pfizer biontech covid vaccine dose 1. About 12 hrs in, fever, nausea, tachycardia, body aches and chills started

Other Meds: N/A

Current Illness: N/A

ID: 0919793
Sex: F
Age: 23
State: OR

Vax Date: 12/27/2020
Onset Date: 01/02/2021
Rec V Date: 01/04/2021
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Symptoms: Rash on arm started at injection site 6 days after injection and still continues on day 8. Rash is 1.5 inch diameter circle of red hives/rash

Other Meds: Wellbutrin, vitamin D

Current Illness:

ID: 0919794
Sex: F
Age: 32
State: TX

Vax Date: 12/28/2020
Onset Date: 01/03/2021
Rec V Date: 01/04/2021
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Allergies: None

Symptom List:

Symptoms: Beginning 01/03/2021 irritation in lymph nodes in right arm. Beginning 01/04/2021, additional irritation in lymph nodes in right side of neck.

Other Meds: None

Current Illness: None

ID: 0919795
Sex: F
Age: 48
State: WA

Vax Date: 12/24/2020
Onset Date: 01/04/2021
Rec V Date: 01/04/2021
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Allergies: None.

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Symptoms: 10 days after injection, 3.5 cm round rash; erythematous and raised.

Other Meds: None.

Current Illness: None.

ID: 0919796
Sex: F
Age: 33
State: OK

Vax Date: 12/30/2020
Onset Date: 01/01/2021
Rec V Date: 01/04/2021
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Allergies: None

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Symptoms: Bronchoconstriction requiring use of rescue albuterol inhaler not previously needed for at least 5 years

Other Meds: Singulair, Advair, Claritin

Current Illness: None

ID: 0919797
Sex: F
Age: 26
State: NY

Vax Date: 12/29/2020
Onset Date: 01/04/2021
Rec V Date: 01/04/2021
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Allergies: None

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Symptoms: Painful swollen lymph node on left supraclavicular lymph node

Other Meds: Tri-Sprintec (28)

Current Illness: None

ID: 0919798
Sex: F
Age: 42
State: TX

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/04/2021
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Allergies: None

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Symptoms: 30 minutes after vaccination: numbed left side of face Around 4 pm started with ringing ears, lightheaded . Light chest pain but not too bad to go to the ER.

Other Meds: Women vitamins,, vitamin D, fish oil,

Current Illness: None

Total 2021 VAERS Injuries: 246,583

Page last modified: 03 October 2021 5:28pm