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: 0949508
Sex: F
Age: 26
State: MN

Vax Date: 12/31/2020
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: A week and one day after I receieved the first COVID-19 vaccination, I noticed around the injection site that my arm was warm at the site, sore and swollen and had a small rash/irritaiton. Over the weekend, I took benadryl and iced my arm. The tough welt went down, but that was it. I could still feel the warmth and soreness and it was red/irritated still. I spoke with one of the nurses at my workplace and they thought it was strange that I had a reaction so late and it looked like it could be cellulitis. I have never had a reaction after a vaccination before, nor cellulitis, so I had a virtual doctors visit that following Tuesday.

Other Meds: Larin 1/20

Current Illness: N/A

ID: 0949509
Sex: F
Age: 37
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:

Symptom List:

Symptoms: Stated neck stiffness, numbness of both upper extremities, and body pain.

Other Meds:

Current Illness:

ID: 0949510
Sex: F
Age: 33
State: PA

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: Spotting when not due for period.

Other Meds: Fluoxetine 20 mg Vitamin B+D Probiotic

Current Illness: None

ID: 0949511
Sex: F
Age: 24
State: KY

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/15/2021
Hospital:

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

Lab Data:

Allergies: Tide Detergent

Symptom List:

Symptoms: Received Moderna 1st dose 1/6/21 only felt fatigue first day. 1/7/21 when I woke up my arm was very sore red at injection site about the size of the palm of my hand and swollen, very itchy. Hurt to raise above my shoulder. This went on till about 1/9/21. Then it went away nothing at my infection site then it came back which is what my concern is same as 1/7/21 itchy, swollen, red and bruised. Why I?m reporting is I?m wondering if I should take my 2nd dose or not from these reactions just at the injection site and only fatigue. This is Day 10. I also took pictures 1/8/21 and 1/15/21

Other Meds: No

Current Illness: No

ID: 0949512
Sex: F
Age: 52
State: GA

Vax Date: 01/05/2021
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: Iodine = Hives

Symptom List:

Symptoms: Pt states she got the Moderna COVID Vaccine on 01/05/2021 and felt fine till 01/14/2021 when Left arm at site of injection started itching, states it is now red / raised and warm to touch. States she has also experienced vertigo since 01/14/2021 at about 8:45 pm. States she has had a headache for a few days. Pt presented to Health Dept for eval. Left arm did have a oval shaped area that was red and had what appeared to be red stratch marks. the area is 50mm X40mm. Advised she can treat with over the counter remedies as directed & / or follow up with provider of choice. Advised pt will make note & file VAERS Report. Pt verbalizes understanding.

Other Meds:

Current Illness:

ID: 0949513
Sex: M
Age: 84
State: ID

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: Within 10 minutes of receiving the vaccine patient complained of dizziness and a slight headache. Had patient sit down and drink something preferably water. A few minutes later checked patient's blood pressure which was 160/98 mmHg, but patient was still complaining of feeling dizzy or like he was afraid he might fall if he stood up. After eating lunch and drinking more fluids roughly 30 minutes after vaccine was administered patient felt better and did not report any other or worsening symptoms. No medications were administered to patient to treat symptoms.

Other Meds: furosemide, levothyroxine, aspirin, docusate, gabapentin, lisinopril, metoprolol succinate, miralax, potassium cl, spironolactone, vit B-12

Current Illness:

ID: 0949514
Sex: M
Age: 41
State: NY

Vax Date: 12/28/2020
Onset Date: 12/29/2020
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: severe headaches, nausea, a few days after, vomiting, diarrhea, and body aches. improved with Tylenol, Advil, and Imodium.

Other Meds:

Current Illness:

ID: 0949515
Sex: F
Age: 69
State: FL

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: Fever?Tylenol Sore arm Flushed face Sore muscle? back?+same side as injection Painful to take deep breaths

Other Meds: Nexium, lipitor, levothyroxin, Calcium, probiotic, b-12, biotin

Current Illness: None

ID: 0949516
Sex: F
Age: 49
State: CA

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: pcn

Symptom List:

Symptoms: Patient received Moderna covid-19 vacine today first dose at approximately 1256. Patient reported very mild sensation of numbing near mouth and mild sensation numbing in face. Denied shortness of breath or difficulty breathing, or numbing of tongue or throat closing, any rash or swelling. Patient reported slow progression of numb feeling in face, and very mild sensation of numbness in throat. Rapid response team called around 1330. Per rapid response team RN, administered diphenhydramine 25 mg PO at 1351. Pt tolerated well. Patient escorted to ER with rapid response team at approx 1400. RN.

Other Meds: unknown

Current Illness: unknown

ID: 0949517
Sex: F
Age: 70
State: NY

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: anaphylaxis to chemotherapy and tingling throat rxn to doxycycline

Symptom List:

Symptoms: Patient with history of anaphylactic reaction to chemotherapy 9 years ago presents for 1st dose of covid vaccination. She brought her epi pen with her today. Discussed risks and benefits of vaccine, patient accepts risks and received vaccine. 15 minutes later she developed tingling sensation in throat, denied SOB, wheezing, tongue swelling, stridor, skin rash, chest pain, nausea/vomiting, tachycardia. She was assessed by MD and NP on site. Administered 25 mg of benadryl PO. Vital signs were monitored every 5 minutes for 30 minutes by paramedic on scene. Vital signs were stable throughout assessment. BP slightly elevated during exam. Continued to monitor for another 30 minutes. Patient denies tingling sensation, any SOB, CP, wheezing following 60 minutes total of monitoring. Physical assessment unremarkable. Lungs clear to auscultation, heart rate regular.

Other Meds:

Current Illness:

ID: 0949518
Sex: F
Age: 38
State: CA

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: unknown

Symptom List:

Symptoms: The reporter had to end the call. Emergency on the floor

Other Meds: unknowm

Current Illness: unknown

ID: 0949519
Sex: F
Age: 14
State: WA

Vax Date: 12/28/2020
Onset Date: 12/28/2020
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: Patient under the age of 18 given the vaccine. No known adverse symptoms.

Other Meds:

Current Illness:

ID: 0949520
Sex: F
Age: 60
State: MS

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: Received dose 1 of Pfizer Covid vaccine on 12/22/20, reported she noticed small bump on the side of her neck the next day or so. No systemic symptoms. Did not seek treatment/evaluation. Received second dose (lot EK9231) on 1/13/21 and reports that the bump is tender and has gotten bigger.

Other Meds: None reported

Current Illness: None reported

ID: 0949521
Sex: F
Age: 20
State: MI

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: Peanuts, tree nuts, Amoxicillin, Clindamycin, Penicillins

Symptom List:

Symptoms: Patient complained of face feeling swollen. Patient asked to look at reflection and patient states face is visibly swollen and cheeks red. Patient given 25mg Benadryl IM in right deltoid. 15 minutes post Benadryl, patient stated that she felt like her tongue was swelling. Patient denies SOB, no wheezing, no stridor. BP 114/78 manual in right arm. HR 74, pulse ox 100% on Room air. SWAT was called and patient went to ED for further evaluation.

Other Meds:

Current Illness:

ID: 0949522
Sex: F
Age: 24
State: IL

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: I had normal symptoms (headache, aches, muscle and joint pain, fatigue) shortly after the injection. Around 5pm, I began feeling worse. I woke up at 1am and started feeling a chest pain: both sharp pains and a dull throb. It continued when I woke up and has throughout the day.

Other Meds: IUD, Zrytec, Sertraline, Rosuvastatin, Aspiring 81mg

Current Illness:

Date Died: 01/15/2021

ID: 0949523
Sex: F
Age: 61
State: CA

Vax Date: 01/13/2021
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: NKA

Symptom List:

Symptoms: Around 00:50am on 01/15/21, C.N.A. reported that the resident looked different and not responding. Initiated Code Blue and started CPR. 911 arrived and pronounced resident dead at 1:01 am.

Other Meds: Ascorbic Acid Tablet 500 MG GT QD Multi-Vite Liquid (Multiple Vitamins-Minerals) 15 ml GT QD Famotidine Tablet 20 MG GT BID Memantine HCl Tablet 10 MG GT BID Polyethylene Glycol 3350 Kit 7gm GT QD Senna Tablet 8.6 MG (Sennosides) 2 tablets

Current Illness: None

ID: 0949524
Sex: F
Age: 30
State: MA

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: Exercise induced anaphylaxis

Symptom List:

Symptoms: Pins and needles tingling sensation throughout entire body at 10 minutes. At 20 minutes hives covering face, chest and arms. Given 50mg Benadryl and 40 mg Pepcid. Symptoms resolved a little over an hour post injections

Other Meds: Birth control pill

Current Illness: None

ID: 0949525
Sex: M
Age: 29
State: AZ

Vax Date: 01/13/2020
Onset Date: 01/13/2020
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: Extreme chills, worst in my life. Finally had to take ibuprofen which took them away about 4 hours in. Had them and a mild form of them for almost 26 hours. No other symptoms.

Other Meds: None

Current Illness: None

ID: 0949526
Sex: F
Age: 78
State: NC

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: Lisinipril

Symptom List:

Symptoms: Injection site pain,tiredness,headache,muscle pain,chills, joint pain,nausea,feeling unwell, temperature 99.6

Other Meds: Hydrochlorothiazide 12.5mg, Omeprazole 20mg, Metoprolol 25mg, Atorvastatin 20mg, multivitamin, glucosamine, Aspirin 81 mg

Current Illness: None

ID: 0949527
Sex: U
Age:
State:

Vax Date:
Onset Date:
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: None stated.

Other Meds:

Current Illness:

ID: 0949528
Sex: F
Age: 56
State: HI

Vax Date: 01/04/2021
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: Rocephin, PCN, milk.animal dander

Symptom List:

Symptoms: Headache, slight dizziness and stomach cramping started later that day of vaccination. Stomach cramping and Headaches continued intermittently. I took Excedrin as needed for symptoms. Itchiness started after a week and rash developed on 1/14/2021. I am waiting for return call from my Primary Doctor. I started taking Benadryl 25mg for rash/itchiness as needed.

Other Meds: Levothyroxine, Albuterol

Current Illness: none

ID: 0949529
Sex: F
Age: 31
State: CO

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: none

Symptom List:

Symptoms: Fever on the following day (January 12, 2021) after the second dose that began around 5:00 AM. Symptoms included: fatigue, chills, fever, lack of appetite. The fever was not present on January 13, 2021.

Other Meds: multivitamin

Current Illness: none

ID: 0949530
Sex: F
Age: 23
State: IN

Vax Date: 01/12/2021
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: Worsening lightheadedness and dizziness

Other Meds:

Current Illness:

ID: 0949531
Sex: F
Age: 66
State: WA

Vax Date: 12/29/2020
Onset Date: 12/29/2020
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: patient reported 1-2 asthma attacks/day x 2 weeks from the time of vaccination.

Other Meds: simvastatin, famotidine, metformin, gabapentin, ropinirole, cetirizine, asa, calc/vit d,

Current Illness: none

ID: 0949532
Sex: F
Age: 63
State: WA

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: Celebrex, diclofenac, ibuprofen, piroxicam, sulfamethoxazole/trimethoprim

Symptom List:

Symptoms: She states that she felt lightheaded and that her vision "went black" for about 10 seconds, during which time she was standing and holding on to her husband, and then quickly recovered spontaneously and subsequently felt fine. Has had a previous history of this adverse event with previous injections. Namely the allergy shots she gets from her allergist.

Other Meds:

Current Illness:

ID: 0949533
Sex: M
Age: 43
State: VA

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: Dayquil, Nyquil, Trimox (NOT amoxicillin)

Symptom List:

Symptoms: Extreme thirst despite high water intake. My mouth felt like a desert and I could not drink enough water to satiate my thirst. Duration approximately 27 hours.

Other Meds: Irbesartan 150mg daily Testosterone enanthate .4 ml weekly (80mg)

Current Illness: None

ID: 0949534
Sex: F
Age: 26
State: IN

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: Unknown

Symptom List:

Symptoms: Had tightness in throat, numbness in bilateral arms, numbness in lower jaw

Other Meds: Unknown

Current Illness: Unknown

ID: 0949535
Sex: F
Age: 34
State: CA

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:

Symptom List:

Symptoms: Patient describes shingles, burning in right side arm into the back and down the arm, rashy blisters on the back and onto arm on the right side.

Other Meds:

Current Illness:

ID: 0949536
Sex: F
Age: 43
State: GA

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: tamiflu

Symptom List:

Symptoms: approx 27 hours after dose #2 developed fever which reached 102 F, chills, body aches, lymph node tenderness. At present, large reddened area at and below injection site and lymph tenderness

Other Meds: bupropion xl

Current Illness: none

ID: 0949537
Sex: F
Age: 66
State: NJ

Vax Date: 11/06/2020
Onset Date: 11/06/2020
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: Patient states still having injection site pain but is improving also states having problems lifting arm above head and has trouble at times holding a pot in her left hand.

Other Meds: UNTHRIOD 25

Current Illness:

ID: 0949538
Sex: F
Age: 51
State: CA

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: ASA, Ketorolac, Morphine, Papaya, Penicillin

Symptom List:

Symptoms: Stumbled, had a controlled fall to the ground, NO LOC, no change in LOC had metallic taste in mouth and pain in abdomen vitals were stable, improved on O2. transported to local er via EMS

Other Meds: Lamisil Ritalin

Current Illness: s/p Whipple procedure distantly known to have mesh in her abdomen (distant)

ID: 0949539
Sex: F
Age: 71
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: Sulfa Drugs

Symptom List:

Symptoms: Pfizer-BioNTech COVID 19 Vaccine EUA Throbbing pain in my right back area inside - not on the skin - possibly near the kidney

Other Meds: Calcium, Zinc, Vitamin D, Fish Oil, Vitamin C

Current Illness: N/A

ID: 0949540
Sex: F
Age: 31
State: WA

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: Latex

Symptom List:

Symptoms: Tongue was numb for hour following vaccine and then resolved on its own. Significant pain at infection site lasting at least 48 hours -took Tylenol and ibuprofen. Significant nausea without vomiting starting approx. 12 hours after vaccination, took zofran to help, lasted up to 48 hours after receiving vaccine. Body aches started approximately 12 hours after vaccine and lasted 48 hours.

Other Meds: Levothyroxine, lamotrigine, zoloft, naltrexone, melatonin, hydroxyzine

Current Illness: None

ID: 0949541
Sex: F
Age: 21
State: IL

Vax Date: 12/26/2020
Onset Date: 12/26/2020
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: Patient stated: "I had a dull headache beginning the evening that I received my vaccination. The following day I had a more severe headache and extreme fatigue. I treated my headache with Tylenol and slept most of the day. Two days after I received my vaccine, my face and neck began to swell and I still had a severe headache and fatigue, which I treated with Tylenol and Benedryl. The Benedryl decreased the swelling in my face and neck and when I woke up on the third day, my headache had resolved. I felt fatigued on the third day, but by the evening, all of my symptoms had resolved."

Other Meds: none

Current Illness: none

ID: 0949542
Sex: F
Age: 56
State: CA

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:

Symptom List:

Symptoms: headache at base of head top of neck arm soreness diarrhea fatigue insomnia no appetite overall stomach ache

Other Meds:

Current Illness:

ID: 0949543
Sex: F
Age: 53
State: KY

Vax Date: 01/12/2021
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: Sulfa, penicillins ,Erythromycin , Crustations and IV contrast

Symptom List:

Symptoms: Vomiting, nausea, severe headache, chills, fever to 100.4, body aches and fatigue

Other Meds: Tylenol

Current Illness:

ID: 0949544
Sex: M
Age: 30
State: OR

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/15/2021
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Lab Data:

Allergies: Amoxicillin

Symptom List:

Symptoms: Within five minutes of getting the vaccine, I developed a hot flashes followed by a tickle in my throat. I then started coughing uncontrollably for several minutes. It resolved within 30 minutes and water.

Other Meds: Pantaprazolole

Current Illness: None

ID: 0949545
Sex: F
Age: 41
State: CA

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

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Symptom List:

Symptoms: Slight tingling sensation on tongue and part of throat Heart rate increased with anxiety

Other Meds:

Current Illness:

ID: 0949546
Sex: F
Age: 21
State: WA

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

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Lab Data:

Allergies: Egg, shellfish, soy, wheat, sesame, peanuts

Symptom List:

Symptoms: Fever, sore arm, fatigue, sweats, chills, muscle and joint pain

Other Meds: Zyrtec, TriNessa, zomig, amitriptyline, zinc, famotidine, licorice plus

Current Illness:

ID: 0949548
Sex: F
Age: 52
State: NJ

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

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Allergies: none

Symptom List:

Symptoms: At 4 15 pm on 1/14/21, 7 hours after the injection, I developed full body chills and Myalgia. The symptoms were relieved with Ibuprofen and Tylenol. They persisted for over 24 hours.

Other Meds: none

Current Illness: none

ID: 0949549
Sex: F
Age: 52
State: AZ

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

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Lab Data:

Allergies: Allergy to Amoxacillan.

Symptom List:

Symptoms: MADERNA COVID-19 Vaccine EUA ; Within 6 minutes, experienced warming feeling through chest followed by light headed and dizziness, followed by immediate sensation of nausea. Then lost awareness and surrounding noise sounded as if I were in a cave, echoes and non-discernable. Lost consciousness for several minutes. Next recollection was regaining awareness, clothes soaked with sweat. Was lying on a bed with no recollection of being moved to the bed. Shakes and feeling of distress. Experienced shakes and a tingling sensation for approximately 15 minutes. Once that subsided I experienced chills for the better part of an hour. Would like to add, I have no phobias of injections and regularly have blood samples drawn for medical evolutions with my primary care physician. Was counselled by administering physician to go home and skip work.

Other Meds: Atorvastatin 10mg half pill every day, Omeprozole 20mg, Krill Oil, Apple Cider Vinegar 1600mg, Move Free Advanced Plus MSM, Cinnamon, Vitamin D3 125mcg, Supper B-Complex, Centrum Multivitamin, CO Q-10 100mg, High Absorption Magnesium 100% c

Current Illness: none

ID: 0949550
Sex: M
Age: 20
State: MA

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

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Lab Data:

Allergies: no

Symptom List:

Symptoms: PATIENT FAINTED AFTER RECEIVING FLU VACCINE. PT HAD HISTORY OF FAINTING BEFORE WHEN VACCINE WAS ADMINISTERED. PATIENT WAS AWAKE BUT LOOKING PALE. AFTER 30 MINUTES OF OBSERVATION, PATIENT WAS FEELING BETTER AND WENT HOME WITH HIS SISTER.

Other Meds: Unknown

Current Illness: no

ID: 0949551
Sex: F
Age: 87
State: TN

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

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Lab Data:

Allergies: None

Symptom List:

Symptoms: Patient began to feel dizzy and light headed 10 minutes after receiving the vaccine.

Other Meds: None that the team is aware of.

Current Illness: None that the team was aware of.

ID: 0949552
Sex: F
Age: 62
State: CA

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

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Lab Data:

Allergies: Cepacol, Statin Class

Symptom List:

Symptoms: Patient complained of numbness/tingling to left side of face. No respiratory distress, CMS intact, no neuro deficits. Patient feeling better after 30 minute observation.

Other Meds: Patient complained of tingle sensation to left side of face. Neuro fully intact, cms intact. No respiratory distress

Current Illness: none

ID: 0949553
Sex: F
Age: 50
State: CA

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

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Lab Data:

Allergies: PCN, Reglan, beeswax, sensitivity to Erythmyocin

Symptom List:

Symptoms: Sx - mild wheezing, mild headache, mild nausea, muscular pain injection site. Tx- self administered inhaler

Other Meds: Align probiotic, Kirkland C chewable, Kirkland D3, Healthy origins natural broad spectrum digestive enzymes, Natures bounty B12

Current Illness: None

ID: 0949554
Sex: F
Age: 33
State: FL

Vax Date: 01/08/2021
Onset Date: 01/12/2021
Rec V Date: 01/15/2021
Hospital:

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Allergies: None

Symptom List:

Symptoms: I had experienced body aches, and chills on the day of the vaccine. On Monday following the vaccine I had hives all Over my body which were treated with Benadryl. On Tuesday the hives persisted but treated during the day with Benadryl, at about 10:30pm the hives started to show on my face, my lips got swollen, and I felt like a pit in my throat That was stuck. I went to the ED and I was treated with IV Benadryl, IV Pepcid, and IV Solumedrol. I left the ED upon signs of improvement and was given prescriptions for Epi pen and steroids for 4 days.

Other Meds: Omega 6, prenatal vitamin

Current Illness: None

ID: 0949555
Sex: M
Age: 71
State: NY

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

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Lab Data:

Allergies: NO

Symptom List:

Symptoms: Received Pfizer vaccine, first dose on Wed. 01/13/21 between 12 and 1 P.M. Thurs. 01/14/21 in the afternoon he began to note that he had difficultly walking. Went to bed when he woke up at 5:48 A.M. he reported he had ataxia. Patient reported having to walk in tiny steps to stay upright. He went to the emergency room. Had CT scan of head and found blood clots. MRI performed. Stroke found in right PCA territory, but no loss in strength in left lower extremity. Sensation and vision intact. Strength in all four extremities is 5 out of 5.

Other Meds: Baby Aspirin, Advil PM , vitamin D, atorvastatin 20 mg

Current Illness: No

ID: 0949556
Sex: M
Age: 70
State: CO

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/15/2021
Hospital:

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Lab Data:

Allergies: NKA

Symptom List:

Symptoms: 1/7/21: Multiple falls x3, generalized weakness, fatigue, increased blood glucose, diarrhea, confusion, fever

Other Meds: Lantus, Allopurionol, Melatonin, Flomax, Mucinex DM, Lonase, Metformin, Potassium ER, Fexofenadine, Lisinopril, Jardiance, Gabapentin, Nystatin Powder, Tramadol, Tylenol, Psyllium Capsule

Current Illness: None

ID: 0949557
Sex: F
Age: 33
State:

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

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Allergies:

Symptom List:

Symptoms: Went to stand up after 15 mins of observation. Felt flush, hot, dizzy. Heartrate was irregular per observation RN who was checking pulse. Went to ED, EKG and bloodwork normal. Patient released home.

Other Meds:

Current Illness:

ID: 0949558
Sex: F
Age: 27
State: GA

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

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Lab Data:

Allergies: no know allergies

Symptom List:

Symptoms: After administering the first dose, patient became itchy and blotchy all over body. At 11:04am gave patient Benadryl 50mg. By 11:12am redness was going away.

Other Meds: unknown

Current Illness: no

Total 2021 VAERS Injuries: 599,999

Page last modified: 03 October 2021 5:28pm