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: 0948133
Sex: F
Age: 43
State: NC

Vax Date: 12/31/2020
Onset Date: 01/04/2021
Rec V Date: 01/15/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: redness and itching at the injection site.

Other Meds: none

Current Illness: none

ID: 0948134
Sex: M
Age: 75
State:

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/15/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: No adverse event reported. Only reporting administration of vaccine in possible temperature excursion

Other Meds:

Current Illness:

ID: 0948135
Sex: F
Age: 60
State: AZ

Vax Date: 01/20/2021
Onset Date:
Rec V Date: 01/15/2021
Hospital:

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

Lab Data:

Allergies: Sulfa, Percocet, Codeine, Morphine, Glipizide

Symptom List:

Symptoms: None stated.

Other Meds: Metformin HCL 1,000 mg, Onglyza 5mg, Lorsartan Tabs 50 mg, Pravastatin Tabs 40 mg, Proair HFA, Tagamet 200, Cinnamon 1000mg, Prenatal vitamin (hair loss)

Current Illness: None that I am aware of

ID: 0948136
Sex: F
Age: 1
State: NE

Vax Date: 12/11/2020
Onset Date: 12/23/2020
Rec V Date: 01/15/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Child received vaccines on 12/11/2020, 10 days later mom notice red hard welty area on (L) thigh. Now on 12/13/2021 Family had bout of vomiting the child also had low grade fever. So on 12/21/2020 had red hot to touch area with 3 Little pimples where vaccines given 10 days ago. Area is swelled and red in area. Then on 12/23 PCP seen voiced its a rash typical with MMR/Varicella Lump from injection.

Other Meds:

Current Illness: None

ID: 0948137
Sex: F
Age: 89
State: IN

Vax Date: 01/10/2021
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
Hospital:

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

Lab Data:

Allergies: Penicillins, Sulfa drugs, v-cillin-K

Symptom List:

Symptoms: At 9am on 1/14/21, Patient was unable to speak and unable to move her arms. After an undetermined period of time (likely less than 5 minutes), she was able to call me (her daughter). She could hardly move her mouth but she was able to tell me that she needed help. I arrived about 20 minutes later. She had full movement at that time and was able to speak. Her BP was 140/73, HR 60. She was tired but scared to go to sleep around 5pm so we went to the local ER. Her labs, EKG, and MRI were all normal for her age. Today (1/15/21) at 10:30am, she experience the same thing but only in her face. She was able to move her arms but not able to talk. I was with her and could tell that she was fully conscious and aware, just couldn't move. It happened again but not as severely after she ate lunch around 12pm.

Other Meds: Telmisartan 40mg, 1/day Hydrochlorothiazide 12.5mg, 1/day Clonidine HCl 0.2mg, 2/day Atorvastatin 10 mg, 1/day Ocuvite, 1/day Aspirin, 1/day Fish oil, 1/day Vitamin E, 1/day B12, 1/day Vitamin D3, 1/day

Current Illness: None

ID: 0948138
Sex: M
Age: 66
State: MO

Vax Date: 01/10/2021
Onset Date: 01/10/2021
Rec V Date: 01/15/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: Aches.pain, shakes, temp>100 and as high as 100.8. Cough. Tired.Missed work.

Other Meds: Plavix,Cardura,Corey,Zanax PRN.Protonix. Lipitor 81mg Asprin, one a day men?s multivitamin,B-complex, Glucosamine 1500mg, chondroitin 1200mg Fish oil1400mg and Benadryl at night time.

Current Illness: None

ID: 0948139
Sex: F
Age: 28
State: OH

Vax Date: 01/08/2021
Onset Date: 01/15/2021
Rec V Date: 01/15/2021
Hospital:

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

Lab Data:

Allergies: Tree nut allergy, celiac disease

Symptom List:

Symptoms: Sudden pain and swelling at injection site. Then became very itchy with hives on arm. Itching of face and legs. Rash on arm at injection site turned into welts. All improved with Claritin and Benadryl , still have mild pain and redness at injection site (no symptoms this AM)

Other Meds: None

Current Illness: None

ID: 0948140
Sex: M
Age: 77
State: TX

Vax Date: 01/11/2021
Onset Date: 01/13/2021
Rec V Date: 01/15/2021
Hospital:

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

Lab Data:

Allergies: Tetracycline , Pistachio

Symptom List:

Symptoms: Have been running low grade fever accompanied with chills off and on since 1/13 noon. Up to now, today only normal fever. Had ingested 2 Extra strength Tylenol at 5:30 am and 11:30 am.

Other Meds: Atorvastatin 10 mg Levothyroxin 75 mcg

Current Illness: none known

ID: 0948141
Sex: F
Age: 80
State: NM

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: myalgias, scratchy throat.

Other Meds:

Current Illness:

ID: 0948142
Sex: M
Age: 29
State: TX

Vax Date: 12/22/2020
Onset Date: 12/24/2020
Rec V Date: 01/15/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List:

Symptoms: I had a sore throat that felt like it was closing off, muscle aches, pains. Received Dose 2 on 01/12/2021.

Other Meds: I take a multivitmin

Current Illness: No

ID: 0948143
Sex: F
Age: 68
State: FL

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/15/2021
Hospital:

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

Lab Data:

Allergies: no known allergies

Symptom List:

Symptoms: Patient was given Covid vaccine and then was instructed to sit for about 15 minutes. About 5 minutes later after receiving vaccine she passed out and fell onto floor. I went over to provide aid and rolled her over to have her lying face up while another staff member was calling 911. She was still awake and responsive when I proceeded to ask her questions and she informed me she felt "hot all over and dizzy." 911 informed us to keep her lying down on the floor as comfortable for her as possible until EMS arrives on scene. While waiting for EMS to arrive her pulse was low (~40 bpm), but shortly before EMS arrived on scene her pulse rose to a normal heart rate (~80 bpm). EMS then took her to the hospital for further evaluation.

Other Meds: n/a

Current Illness: n/a

ID: 0948144
Sex: F
Age: 79
State: GA

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/15/2021
Hospital:

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

Lab Data:

Allergies: cephalosporing, PCN, codeine, latex, morphine, prochlorperazine disyllabic, shellfish, ciprofloxacin, erythromycin base, silver, sulfa, trimethoprimc bactrim, tomatoes, opioids.

Symptom List:

Symptoms: sob, wheezing, treated w/ epi and benedryl

Other Meds:

Current Illness: unknown

ID: 0948145
Sex: F
Age: 44
State: NJ

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/15/2021
Hospital:

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

Lab Data:

Allergies: morphine

Symptom List:

Symptoms: I felt most of the symptoms i had when i had covid in april. My legs were sore and when i stretched it felt so tight. my head hurt so bad the day after the shot pounding headache and sensitivity to light. the first feeling i had was at like 2am i woke up with a very sore throat felt like i had strep to the point where i went to the mirror with a flashlight to see if i had spots on my throat. I took tylenol to help with the pain. by tuesday i still felt very weak and was sleeping alot like when i had been sick. I took off thursday from work because i still felt weak and hopeless. when i was sick with covid i was very depressed as i got better. I started feeling more like my self today, friday.

Other Meds: zoloft , wellbutrin, zinc, tumeric, probotic, lysine

Current Illness: none

ID: 0948146
Sex: F
Age: 6
State: WA

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Rash on leg started a day after IPV and Dtap vaccines in the same leg. It is warm and a little itchy. Not too sore. It seems bigger today

Other Meds: Over the counter multiple vitamin and childrens Tylenol as needed

Current Illness: none

ID: 0948147
Sex: M
Age: 41
State:

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Staff had his 1st vaccine yesterday 01/14/2021. Around 10 pm last night started having symptoms; bodyache, hot and cold. Staff had positive Covid test on 12/07/2020.

Other Meds:

Current Illness:

ID: 0948148
Sex: M
Age: 45
State: WV

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Headache slight chills started around 3:00 am . I woke up and was not able to go back to sleep. Later in the day, while at work, I became extremely fatigued and my chills were getting worse. I left work early, came home and checked my temperature. It has been between 102.5 and 103.7 the entire time I have been home. Even after taking Tylenol. My arm is also a little tender at the injection site. I had COVID prior to this but they say I recovered. My symptoms started on November 13 and was hospitalized for 3 days starting around day 9 of symptoms. My current symptoms are pretty much identical to the symptoms I had when I first contracted COVID.

Other Meds: Advair, astelin, singulair, albuterol, lamictal, Wellbutrin, concerta, zyrtec

Current Illness: Asthma

ID: 0948149
Sex: M
Age: 49
State: NY

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
Hospital:

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

Lab Data:

Allergies: Unknown

Symptom List:

Symptoms: Patient had a fever that reached a maximum of 101.0 and later resolved.

Other Meds: Unknown

Current Illness: Unknown

Date Died: 01/12/2021

ID: 0948150
Sex: M
Age: 85
State: OH

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/15/2021
Hospital: Y

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

Lab Data:

Allergies: ibuprofen,sulfa antibiotics

Symptom List:

Symptoms: increase weakness and fatigue, weakness in extremities, incontinent, jerky arm movements, within first 24 hours, continue to decline sent to hospital returned weaker, within 24 hrs hours BP dropped, low pulse oximeter reading, diaphoretic, lung sounds diminished, loss consciousness and passed away. 01-12-2021

Other Meds: MANTOUX; ACIDOPHILUS; ALPHA LIPOIC ACID; ASPIRIN EC; BUMETANIDE; C-GEL; ESCITALOPRAM; PROSCAR; KRILL OIL; LEVOTHYROXINE; MAGOX; K-DUR; FLOMAX; VITAMIN B-12; VITAMIN D3; LIORESAL; CALCIUM CITRATE; COCONUT OIL; CURCUMIN; PROAMATINE; PRESERVIS

Current Illness: pneumonia,

ID: 0948151
Sex: M
Age: 85
State:

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/15/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: No adverse event reported. Only reporting administration of vaccine in possible temperature excursion

Other Meds:

Current Illness:

ID: 0948152
Sex: F
Age: 55
State: UT

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/15/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: sudden onset of headache, neck pain and back pain. the head and neck pain subsided over the course of 24 hours with no pain relieving medication needed. the lower back pain has been constant since then and today it reached it's highest level of discomfort. I cannot climb stairs, bend over and have limited walking. I have taken 800 mg ibuprofen with in the last 30 minutes with no relief.

Other Meds: Insulin, low dose aspirin, statin, zinc, calcium, olmesartan.

Current Illness: N/A

ID: 0948153
Sex: F
Age: 23
State: WI

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/15/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Roughly 12 hours after the vaccination I started to have a fever reaching 101.5 at the highest, generalized body aches, chills, and headache. I did not experience SOB, cough, vomiting, nausea, or diarrhea. These symptoms lasted about 20 hours, and were at first not responsive to extra strength Tylenol, but after many hours the fever broke. I was not allowed to return to work until I was fever free for 24 hours and tested negative for COVID-19 infection. I was swabbed at my place of employment, Hospital and my NP sample was run. I tested negative on 1/13/21. I then returned to work on 1/14/21.

Other Meds: Nexplanon 68 mg implant in left arm

Current Illness: None

ID: 0948154
Sex: F
Age: 62
State: CT

Vax Date: 12/28/2020
Onset Date: 01/03/2021
Rec V Date: 01/15/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: 1/8/21 reported general soreness for 2 days post vaccination. 1/3/21 noted redness rectangle below injection site. 1-6 to 1-7 noted lymphedema R axillary node Taking Motrin and monitoring

Other Meds: none

Current Illness: none

ID: 0948155
Sex: F
Age: 48
State: NY

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/15/2021
Hospital:

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

Lab Data:

Allergies: dust, pollen, ragweed

Symptom List:

Symptoms: At 6 pm I started feeling tingling/prickly sensations around my body in different areas lasting about 1 sec each time.

Other Meds: amlodipine and norvasc

Current Illness: none

ID: 0948156
Sex: M
Age: 68
State: CA

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

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Approximately 13 hours after the injection, I began to get severe chills and heavy, violent, uncontrollable shaking with some loss of muscle control. This violent shaking happened throughout the night and well into the next morning, when it began to taper off - no elevated temperature occurred, although there was a slight headache and significant fatigue with some mental fog. I took a single dose of Tylenol

Other Meds: atorvastatin 20mg losartan 100mg

Current Illness: none

ID: 0948157
Sex: M
Age: 28
State: SD

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/15/2021
Hospital:

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

Lab Data:

Allergies: avocado and banana

Symptom List:

Symptoms: 21 hours after receiving the vaccine I experienced body aches and severe fatigue. They lasted for 18 hours. My right arm, where I received the vaccine, was also sore for 3 days.

Other Meds: fish oil and multivitamin

Current Illness: none

ID: 0948158
Sex: F
Age: 42
State: TX

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/15/2021
Hospital:

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

Lab Data:

Allergies: allergic to sulfa (hives, lip swelling) and bupropion (hives)

Symptom List:

Symptoms: Malaise - within hours of vaccination, gradual onset, lasted ~36 hours Chills and low-grade fever - around 12:45 AM on 1/14/2021, resolved after 4 hrs with ibuprofen Chills and low-grade fever - another episode around 6:30 PM on 1/14/2021, resolved with ibuprofen (unclear duration since I was asleep)

Other Meds: none

Current Illness: none

ID: 0948159
Sex: M
Age: 72
State: KY

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
Hospital:

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

Lab Data:

Allergies: NA

Symptom List:

Symptoms: Dizzy , Light headed, next day 6 to 8 times that last about 8 minutes. Dizzy only one time, third day so far.

Other Meds: Atorvastatin, Omeprazole, Doxazosin, Verapamil

Current Illness: NA

ID: 0948160
Sex: F
Age: 39
State: OR

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/15/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient received the Moderna Covid-19 vaccine, lot # 041L20A, exp 07/03.2021, then proceeded to the observation area. According to the observers, after roughly eight minutes in the observation area, the caregiver started reporting "throat tightness, chest heaviness and a metallic taste in her mouth." Rapid response was called to the scene. Patient's BP was 110/70. No tachycardia with palpation or tachypnea with observation. Patient was not diaphoretic. Patient then reported a dull HA. Patient declined transfer to the ED, stating that she felt much better. Patient remained in the observation area for a full hour, then walked herself out to meet her husband at the car.

Other Meds:

Current Illness:

ID: 0948161
Sex: F
Age: 52
State: GA

Vax Date: 12/31/2020
Onset Date: 01/11/2021
Rec V Date: 01/15/2021
Hospital:

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

Lab Data:

Allergies: Metformin

Symptom List:

Symptoms: Redness, swelling, itching and pain at site - Advised to apply cold compress and take Ibuprofen PRN. If sx worsen to contact office or proceed to nearest ER.

Other Meds: Zanaflex 2 MG Capsule 1 capsule as needed Orally Three times a day for muscle spasm. Voltaren 1 % Gel apply 2 grams to affected area Transdermal BID-TID for pain. Mobic 15 MG Tablet 1 tablet Orally Once a day for inflammatio

Current Illness: 11/30/2020: UTI

ID: 0948162
Sex: F
Age: 91
State: OH

Vax Date: 01/08/2021
Onset Date: 01/11/2021
Rec V Date: 01/15/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: 01/11/2021- Found lying on bed in apartment, incontinent, lethargic, unable to respond to questions, unable to do hand grasps. sent to hospital. 01/14/2021- remains in hospital- confusion and disorientation continues, poor verbal skills, limited ability to feed self, out of bed to sit in chair. uncertain of return to facility status.

Other Meds: MANTOUX; COPAXONE; ASPIRIN; CARDIZEM CD; SYNTHROID; LEVOTHYROXINE; PRILOSEC; VITAMIN B; KEPPRA; HIPREX; METOPROLOL; VIMPAT; LIORESAL; NEURONTIN; LIPITOR; MELANTONIN; REMERON; REQUIP; XANAX; ZOFRAN

Current Illness:

ID: 0948163
Sex: F
Age: 36
State:

Vax Date: 12/31/2020
Onset Date: 01/11/2021
Rec V Date: 01/15/2021
Hospital:

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

Lab Data:

Allergies: Peanut, chick peas, green peas, macadamia nut

Symptom List:

Symptoms: L axillary lymphadenopathy

Other Meds: Prenatal vitamin Calcium supplement

Current Illness: None

Date Died: 01/15/2021

ID: 0948164
Sex: M
Age: 77
State: MI

Vax Date: 01/06/2021
Onset Date: 01/08/2021
Rec V Date: 01/15/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Abdominal pain, Headaches, chest pain, loss of appetite, confusion, elevated liver enzymes 1/8-1/15/21

Other Meds: Multivitamin, Zinc, Doxycycline, Ultram, Xanax, Pepcid, Nitroglycerin, Tylenol, Simethicone, Metoprolol Succinate ER, Loperamide, Levothyroxine,

Current Illness: UTI and Sinus infection

ID: 0948165
Sex: F
Age: 34
State: KS

Vax Date: 12/22/2020
Onset Date: 12/23/2020
Rec V Date: 01/15/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: The following day, 12/23/20, I kept feeling like I was having brief waves of anxiety, with nothing to be anxious about. The anxious feeling kept occuring, but it wasn't until a week later than I realized that each time I felt that anxiety, my heart was actually palpitating. I had a 12 lead EKG done via local EMT to confirm that it was actually happening, then made an appt with a local cardiologist. Stress test, cardio sonogram, and 24 hour heart monitor tests were completed on 1/13/21. My follow up is on 2/3/21. Fortunately, I have not felt a palpitation since 1/10/21.

Other Meds: Estarylla

Current Illness: None

ID: 0948166
Sex: F
Age: 59
State: IA

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 01/15/2021
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Allergies: morphine

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Symptoms: patient woke up at midnight 1/15/21 (12 hours after receiving vaccine) with high fever of 104, chills, fatigue, nausea, dry heaves and severe headache. At 6am, fever down to 101.2 with the use of Tylenol. Other symptoms remained. Wretching ceased at 9 am. Still has fever and headache.

Other Meds: Synthroid

Current Illness: Had covid disease 1/1/21

ID: 0948167
Sex: F
Age: 86
State:

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/15/2021
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Symptoms: No adverse event reported. Only reporting administration of vaccine in possible temperature excursion

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Current Illness:

ID: 0948168
Sex: F
Age: 27
State:

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/15/2021
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Symptoms: Rash both arms day of injection and still present when seen 1/11/21 with additional rash noted on legs. Also bruising on legs (?timing).

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Current Illness:

ID: 0948169
Sex: M
Age: 75
State: AZ

Vax Date: 01/01/2021
Onset Date: 01/13/2021
Rec V Date: 01/15/2021
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Allergies: Fentenal Plavix

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Symptoms: None

Other Meds: Lots Lasik

Current Illness: Diabetes blood thinner Eliquis

ID: 0948170
Sex: F
Age: 70
State: WY

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/15/2021
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Allergies: demerol, codeine, opiates

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Symptoms: Several hours after the vaccine I experienced the usual side effects: sore arm, fatigue, muscle aches; which have passed. My big concern is that I also suddenly developed dark, stringy images and blurry vision in my left eye. The eye symptoms are still present.

Other Meds: lisinopril Meloxicam

Current Illness: none

ID: 0948171
Sex: M
Age: 69
State: OH

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/15/2021
Hospital: Y

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Allergies: none

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Symptoms: 01-09-2021 Very confused, nauseous, sweating profusely. sent to hospital- admitted with encephalitis, severe cognition decline. 01-13-2021 still in hospital, cognition Improved.

Other Meds: Norvasc; folic acid; multi-vitamin; protonix; zoloft; vitamin B1; vitamin B-12; Bupropion HCL SR; Buspirone HCL; Ecotrin; Lipitor; Zestril; Desyrel; Acetaminophen; Atarax; Nitrostat; Ventolin HFA

Current Illness:

ID: 0948172
Sex: F
Age: 45
State: OH

Vax Date: 01/06/2021
Onset Date: 01/15/2021
Rec V Date: 01/15/2021
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Allergies: Celiac Disease- Gluten intolerance

Symptom List:

Symptoms: Nine days following my first Moderna Covid vaccination in my left arm I am experiencing around the injection site redness swelling itching warmth. Immediately following the vaccination I was fine. The next few days I felt some soreness. Mid morning today? Nine days later I am having a reaction around the injection site.

Other Meds: Citalopram 20mg Pepto bismol chewables

Current Illness: Celiac Disease Microscopic Colitis

ID: 0948173
Sex: F
Age: 83
State: NC

Vax Date: 01/07/2021
Onset Date: 01/12/2021
Rec V Date: 01/15/2021
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Allergies: None

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Symptoms: Moderna COVID 19 vaccine EUA Not a big deal but I?m surprised to have redness, swelling and minor discomfort at the vaccination site 8 days after vaccine received. Literature says 2-3 days is normal.

Other Meds: Thyroid, simicourt

Current Illness:

ID: 0948174
Sex: F
Age: 60
State: NY

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
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Allergies: unknown

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Symptoms: None stop Nose bleed in right nostril

Other Meds: unknown

Current Illness: unknown

ID: 0948175
Sex: F
Age: 72
State: MO

Vax Date: 01/01/2021
Onset Date: 01/15/2021
Rec V Date: 01/15/2021
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Allergies: iodine cough preparations

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Symptoms: The text phone contacts to me have not worked for past two days. My symptoms now are fatigue, general achy joints and muscles, slight swelling and pain at the injection site. I am fine but need help with the survey sent via text does not work. Unable to "Do your weekly post-vaccination check in".

Other Meds: thyroid 50 micrograms minocycline 100mg in AM omeprazole 10mg in Am (1/2 of 20 mg tab) vitamin D Preservision 2 - 1 tab twice per day CoEnzyme Q 200mg twice per day propranolol 80mg at night atorvastatin 40mg at night victoza 1.8 m

Current Illness: none

ID: 0948176
Sex: F
Age: 27
State: CA

Vax Date: 12/23/2020
Onset Date: 12/31/2020
Rec V Date: 01/15/2021
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Allergies: None

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Symptoms: Pregnant EDD is 7/20/2021 First pregnancy Adverse reaction was bilateral hives starting in both hands and spreading to armpits. Treated with hydrocortisone and Benadryl x 3 days resolved.

Other Meds: Pre natal vitamins

Current Illness: None

ID: 0948177
Sex: F
Age: 48
State: OK

Vax Date: 01/05/2021
Onset Date: 01/09/2021
Rec V Date: 01/15/2021
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Allergies: none

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Symptoms: lymph node swelling under the arm of injection site

Other Meds: none

Current Illness: none

ID: 0948178
Sex: F
Age: 26
State: WI

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
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Allergies: Nickel

Symptom List:

Symptoms: Fever, extreme pain at injection site, pain in joints, extreme fatigue,

Other Meds: None

Current Illness: None

ID: 0948179
Sex: M
Age: 55
State:

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/15/2021
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Symptoms: No adverse event reported. Only reporting administration of vaccine in possible temperature excursion

Other Meds:

Current Illness:

ID: 0948180
Sex: F
Age: 36
State: OK

Vax Date: 12/16/2020
Onset Date: 01/15/2021
Rec V Date: 01/15/2021
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Allergies: sulfa, codeine

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Symptoms: First approximately 5 hours after receiving vaccine, patient experienced headache and moderate to severe site pain. approximately 12 hours post vaccine, patient experienced nausea, dizziness, fatigue, headache. 3 hours following, patient continued to have the same symptoms along with mild shortness of breath and tachycardia with mild to moderate exertion, such as walking up a flight of stairs.

Other Meds: spironolactone, synthroid, Vit C, liothyronine, modafinil, bupropion, montelukast, nuvaring, LDN, vitamin D3, Multivitamin

Current Illness: none

Date Died:

ID: 0948181
Sex: M
Age:
State: MI

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Rec V Date: 01/15/2021
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Allergies: 0

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Symptoms: Death Chest pain; irreg heart rhythm; evening of vaccine; death on toilet on 1/13/21

Other Meds: ANORA, Albuterol, Flovent, Bumex, Carvediol; omeprazole

Current Illness:

ID: 0948182
Sex: F
Age: 75
State: TN

Vax Date: 12/30/2020
Onset Date: 01/09/2021
Rec V Date: 01/15/2021
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Symptoms: Noticed redness starting on the 9th of January 2021. Increasing redness, warm to touch. 1-15-21 measures 5 inches by 5 1/2 inches and is slightly raised. Patient complains of area feeling hot and itching. Has been using cold compresses on area.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 599,999

Page last modified: 03 October 2021 5:28pm