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
79,030
AK1,677
AL5,610
AR3,615
AS44
AZ13,684
CA60,192
CO11,331
CT8,091
DC1,666
DE1,734
FL38,017
FM3
GA13,982
GU87
HI2,263
IA4,448
ID2,530
IL20,082
IN22,900
KS4,418
KY7,361
LA4,958
MA14,365
MD12,309
ME3,072
MH8
MI18,620
MN11,707
MO9,252
MP30
MS2,809
MT2,206
NC15,999
ND1,301
NE2,828
NH2,961
NJ18,029
NM3,809
NV4,276
NY33,927
OH18,727
OK6,107
OR8,246
PA23,378
PR2,197
QM2
RI1,954
SC6,338
SD1,162
TN9,077
TX35,586
UT4,172
VA14,396
VI50
VT1,715
WA14,306
WI10,719
WV2,280
WY845
XB5
XL1
XV2

ID: 0951691
Sex: F
Age: 36
State: IN

Vax Date: 01/10/2021
Onset Date: 01/17/2021
Rec V Date: 01/17/2021
Hospital:

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

Lab Data:

Allergies: Naproxin, Hydrocodone

Symptom List:

Symptoms: Injection side is swollen, Warm to the touch. Reddish, Pain level of site is a 3 out of 10

Other Meds: Trazadone, Cymbalta, Lorsartan W/HCTZ,

Current Illness:

ID: 0951692
Sex: F
Age: 46
State: PA

Vax Date: 01/17/2021
Onset Date: 01/17/2021
Rec V Date: 01/17/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Moderna COVID-19 Vaccine EUA. Administered shot at 12:37 pm. Left arm felt tingly a little. By 12:55 my entire face, both arms and chest were numb to touch. Alerted staff and they took my blood pressure which was 190/110 with pulse 104. Staff took vitals several times over the course of an hour (188/110 pulse 104, 160/108 pulse 94, 162/98 pulse 85) During that time the numbness decreased. I did not have any trouble breathing. They let me leave around 2pm and said that if my symptoms worsen to go the ER. By 3:00pm when at home, my pressure was 127/82 pulse 78. Slight headache at time of this report (8:30 pm).

Other Meds: Zyrtec 10mg, Vitamin D 1000IU

Current Illness: None

ID: 0951693
Sex: F
Age: 28
State: TX

Vax Date: 01/10/2021
Onset Date: 01/17/2021
Rec V Date: 01/17/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

Symptom List:

Symptoms: Swollen arm at injection site, raised knot felt under skin; warm to touch, red.

Other Meds:

Current Illness:

ID: 0951694
Sex: F
Age: 31
State: OR

Vax Date: 01/02/2021
Onset Date: 01/06/2021
Rec V Date: 01/17/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Injection not felt - moderate soreness 4 hours after and lasted 1.5 days - day 3: headache, mild itchiness, L axilla pain (especially with applying deodorant and swollen, ?lymph node/immune system response?) - day 4: severe fatigue, nausea, severe headache (acetaminophen, nor ibuprofen helped), generalized mild itchiness - day 5-6: persistent fatigue, moderate to severe headache, L axilla pain and noticed redness and moderate itchiness to half of the upper arm from injection site towards elbow (not hot to touch, nor swollen, nor red streaks) - day 8: headache and fatigue became mild/subsided - day 12: itchiness very mild and redness faint, no longer with L axilla pain

Other Meds: Advair inhalations

Current Illness:

ID: 0951695
Sex: F
Age: 33
State: MD

Vax Date: 01/09/2021
Onset Date: 01/16/2021
Rec V Date: 01/17/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: ?Moderna COVID-19 Vaccine EUA? 1 week post vaccination and the injection site is inflamed, raised, and tender to touch. Margins were marked on the second day at approximately 10:00am on 1/17/2021 and by 8:30pm the margins expanded by approximately ? - ? inch.

Other Meds: Prenatal vitamins (currently breastfeeding)

Current Illness: None

ID: 0951696
Sex: M
Age: 30
State: OR

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/17/2021
Hospital:

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

Lab Data:

Allergies: None known

Symptom List:

Symptoms: Parasthesia on both sides, upper and lower extremities. Weakness, and fatigue, now right side slight face numbness.

Other Meds: Vitamin D, Zinc, allergy medication

Current Illness: None

ID: 0951697
Sex: F
Age: 62
State: NY

Vax Date: 01/05/2021
Onset Date: 01/15/2021
Rec V Date: 01/17/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

Symptom List:

Symptoms: 2-3 inch itchy hot rash on 9th day after vaccine

Other Meds: Vitamin D. Vitamin C levothyroxine

Current Illness:

ID: 0951698
Sex: F
Age: 44
State: AZ

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/17/2021
Hospital:

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

Lab Data:

Allergies: Pollen, other things that grow

Symptom List:

Symptoms: Egan as itchiness, still extreme itchiness with welts and rash over entire body

Other Meds: B12 monthly shot Cymbalta Blood pressure Birth control Iron Naproxen Omneprezole Duloxetene

Current Illness: Fibromyalgia Ankylosing Spondylitis

ID: 0951699
Sex: F
Age: 25
State: ID

Vax Date: 01/17/2021
Onset Date: 01/17/2021
Rec V Date: 01/17/2021
Hospital:

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

Lab Data:

Allergies: Sulfa, Augmentin

Symptom List:

Symptoms: Patient felt dizzy, nausea, light headed and hot five minutes after vaccine. Had patient lay down for 15 minutes, VS 125/69 BP, 76 P, 16 R,, 100% O2 Patient drinking water, states she feels much better after laying down.

Other Meds: Minocycline, escitalopram,

Current Illness: None

ID: 0951700
Sex: F
Age: 48
State: AZ

Vax Date: 01/16/2021
Onset Date: 01/16/2021
Rec V Date: 01/17/2021
Hospital:

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

Lab Data:

Allergies: Latex sensitive

Symptom List:

Symptoms: Dizzy, weakness, tingling in lips and fingers, increased heart rate

Other Meds: Wellbutrin 100mg Qam Zoloft 50 mg Qam

Current Illness:

ID: 0951701
Sex: F
Age: 43
State: NY

Vax Date: 12/23/2020
Onset Date: 12/27/2020
Rec V Date: 01/17/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: 12/26- bruising/discoloration and severe blister on 3rd left toe after running several miles in 30-40 degree weather 12/30- swelling index finger and middle finger of right hand, worse in am 1/7- bruising/painful blisters on 4 toes of right foot after I stood for 2 hours in 30-40 degrees wearing only socks and flip flops (was avoiding wearing shoes b/c of toe blister on 12/26) 1/14- swelling has continued each morning with only those fingers, but less. Index finger on right hand turned white, numb, cold tingling and painful after I drove home 25 min w/out gloves in 40 degree weather, episode lasted 20 min and returned to normal after heat application

Other Meds: Multivitamin, cod liver oil

Current Illness: Pre-hypertension

ID: 0951702
Sex: F
Age: 54
State: NY

Vax Date: 01/08/2021
Onset Date: 01/13/2021
Rec V Date: 01/17/2021
Hospital:

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

Lab Data:

Allergies: amox, pcn, honey dew melon

Symptom List:

Symptoms: itching, swelling, pain, redness

Other Meds: Telmisartan, Hydrocholothiazide, multi vitamin

Current Illness: none

ID: 0951703
Sex: F
Age: 65
State: OK

Vax Date: 01/15/2021
Onset Date: 01/16/2021
Rec V Date: 01/17/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

Symptom List:

Symptoms: Moderna COVID-19 Vaccine EUA I woke up to severe chills, a fever and a headache at about 1:30 in the morning. I couldn't even get out of bed to take any medicine until about 4:00 am when I finally took 2 ibuprofen and slept until about 9. I took more ibuprofen throughout the day. The only side effect I had the rest of the day and part of the next day is fatigue.

Other Meds: Levothyroxin 75mcg

Current Illness: Allergies

ID: 0951704
Sex: M
Age: 61
State:

Vax Date: 01/16/2021
Onset Date: 01/16/2021
Rec V Date: 01/17/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Sore arm for approximately 24 hours, headache for approximately 12 hours,muscle/ joint aches 12 hours. Took 2 Tylenol. All symptoms gone after 30 hours.

Other Meds: N/a

Current Illness: None

ID: 0951705
Sex: F
Age: 42
State: FL

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/17/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Severe pain/swelling on R upper arm, R lateral breast/axilla and R side of the neck starting the morning of 1/14/21. Pain got steadily worse to the point of full body myalgias, severe fatigue/weakness and severe nausea. Almost passed out at work and ended up being bedridden for the rest of the day on 1/14 and all day 1/15 and 1/16. Also had hematuria that developed on 1/15. Went to urgent care clinic on 1/16 and received one bag of IV fluids and zofran for the nausea. CBC, CK, CMP all normal but 1+ hematuria on U/A. Symptoms finally improved on 1/17

Other Meds: Birth control pill, sertraline, claritin

Current Illness: none

ID: 0951706
Sex: F
Age: 60
State: TX

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/17/2021
Hospital:

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

Lab Data:

Allergies: Mild seasonal allergies

Symptom List:

Symptoms: 1) I sat for 30 minutes after shot since I have a mild shellfish allergy. When I stood up, I was briefly dizzy but only for a few seconds at most. 2) By the time I reached my car, I had developed a mild headache which lasted until around noon the next day. The headache was not severe. 3) Shoulder that received the shot was sore for about two days.

Other Meds: Irbesartan 75mg tablet 1 daily Rosuvastatin 10mg tablet 1 daily Low dose aspirin 81 mg 1 daily Centrum Silver multivitamin 1 daily Curcumin + C 400mg capsule twice daily

Current Illness: none

ID: 0951707
Sex: M
Age: 65
State: WI

Vax Date: 01/17/2021
Onset Date: 01/17/2021
Rec V Date: 01/17/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Rash on forearm. Diphenhydramine 25mg tablet oral given. Monitored for 30 minutes. No additional adverse effects noted.

Other Meds:

Current Illness:

ID: 0951708
Sex: F
Age: 39
State: WA

Vax Date: 01/17/2021
Onset Date: 01/17/2021
Rec V Date: 01/17/2021
Hospital:

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

Lab Data:

Allergies: Sulfa drugs

Symptom List:

Symptoms: Racing heartbeat (135 bpm) within 5 minutes of receiving vaccine, heart palpitations, weakness

Other Meds: None

Current Illness: Headache, body aches, sore throat experienced for one week prior. Symptoms resolved on 01/15/2021. Covid test was negative

ID: 0951709
Sex: F
Age: 66
State: CA

Vax Date: 01/09/2021
Onset Date: 01/14/2021
Rec V Date: 01/17/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Red hive around 2?x3? appeared on arm about a week after vaccination. Itching, mild soreness, pain under arm. Swelling is getting worse every day.

Other Meds: Vitamin C, zinc

Current Illness: None

ID: 0951710
Sex: F
Age: 47
State: CT

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/17/2021
Hospital:

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

Lab Data:

Allergies: No known allergies

Symptom List:

Symptoms: 15 minutes after injection started to feel numbness and pressure in left nostril/sinuses. Then progressed to numbness on left side of mouth, cheek, and eye. Lasted about 1 hour, then had slight headache rest of the day. Swelling and soreness at injection site for a day or 2.

Other Meds: Multi vitamin Thyroid support vitamin with iodine Turmeric Vitamin D Flax seed oil Fish oil Magnesium Zinc

Current Illness: None

ID: 0951711
Sex: F
Age: 52
State: WA

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/17/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: The next morning after I received the vaccine I had multiple kanker sores on my tongue. Around 6 of them. Seven days later they are no better or worse. I am not sure if it related to the vaccine or not but I have rarely ever had a kanker sore and in the past, if I did it would only be one and would be gone in a few days. This was my second vaccine of the series of the Pfizer-BioNTech COVID-19 Vaccine EUA. My first one was on 12/28/2020. I did not have any sores after the first vaccine.

Other Meds: Multivitamin chewable, protonix daily, airborne daily, vitamin D3 5000 Iu daily, Effexor 200 mg daily, B complex daily

Current Illness: None

ID: 0951712
Sex: F
Age: 76
State: CA

Vax Date: 01/15/2021
Onset Date: 01/16/2021
Rec V Date: 01/17/2021
Hospital:

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

Lab Data:

Allergies: NKDA; possible allergy to certain nuts

Symptom List:

Symptoms: Fever TMax 102 F, chills, myalgia, R arm intense pain, but no acute inflammation in area of injection

Other Meds: Metformin, Alogliptin, Olmesartan, Pregabalin

Current Illness: None

ID: 0951713
Sex: F
Age: 52
State: OR

Vax Date: 01/11/2021
Onset Date: 01/15/2021
Rec V Date: 01/17/2021
Hospital:

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

Lab Data:

Allergies: penicillin sulfa drugs clindamycin (?)

Symptom List:

Symptoms: slightly light-headed Friday, 01/15 pretty severe headache Saturday, 01/16 2 waves of nausea, upset stomach, diarrhea Sunday, 01/17

Other Meds: none

Current Illness: none

ID: 0951714
Sex: F
Age: 67
State: NY

Vax Date: 01/16/2021
Onset Date: 01/17/2021
Rec V Date: 01/17/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Cold sores on tongue Very tired Achy

Other Meds: None.

Current Illness: None

ID: 0951715
Sex: F
Age: 32
State: IA

Vax Date: 01/08/2021
Onset Date: 01/15/2021
Rec V Date: 01/17/2021
Hospital:

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

Lab Data:

Allergies: Aspirin causes hives

Symptom List:

Symptoms: Very bad hives 7 days later

Other Meds: None

Current Illness: Common colds

ID: 0951716
Sex: M
Age: 33
State: FL

Vax Date: 01/05/2021
Onset Date: 01/12/2021
Rec V Date: 01/17/2021
Hospital:

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

Lab Data:

Allergies: PCN, Sulfa, lisinopril, tetanus

Symptom List:

Symptoms: Day 7 thru 9 post injection site had redness, swelling, and tenderness lasting total of 72 hours maximum.

Other Meds: Valsartan/Hydrochlorothizade(daily), Fluoxetine(daily), diazepam (prn), BioTE (bi-annual)

Current Illness: None

ID: 0951717
Sex: F
Age: 45
State: CA

Vax Date: 01/16/2021
Onset Date: 01/16/2021
Rec V Date: 01/17/2021
Hospital:

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

Lab Data:

Allergies: Sulfa, clindamycin, artificial sugars/maltodextrin, peas, environmental, unknown suspected additives, cuckoo-bee venom.

Symptom List:

Symptoms: +35 min post injection, Tightness/closing throat only, difficulty swallowing, tachycardia, runny nose, marked increase in paresthesia body wide (pin pricks), itching body wide, feeling of swollen tongue but not visualized. Tx w/ diphenhydramine. 100mg liquid prn symptoms (2 doses 5 hrs apart). Diphenhydramine reduced symptoms but tightness in throat sensation, paraesthesia, and mild itching remained w/ sudden shorts bursts of increased symptoms. No antihistamines administered after second dose and most symptoms subsided, except increased paresthesia and ?fuzzy? tongue/throat. Appx 1530 on 01/17/21, sore throat arose that is uncomfortable but not serious, tongue tingling.

Other Meds: N/A

Current Illness: None, perimenopause.

ID: 0951718
Sex: F
Age: 36
State: WV

Vax Date: 01/06/2021
Onset Date: 01/13/2021
Rec V Date: 01/17/2021
Hospital:

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

Lab Data:

Allergies: Metoprolol Doxycycline

Symptom List:

Symptoms: One week after receiving the vaccine, my left arm started to itch intensely. A large single hive formed. It was inflamed & felt hot to the touch. I called the pharmacy where I received it & was told that?s a common thing reported. To massage the area, use hydrocortisone cream for the itching, & let them know if it didn?t get better. I followed the directions & added Benadryl at bedtime. The next day on Thursday the inflammation from the hive went down, but it remained bright red & felt hot to the touch. I used the cream & Benadryl that night. On Friday when I woke up the redness was nearly gone, but there was still discoloration and an added reddened area on my arm near the bend of my arm. It looked like a white ring was formed around the discolored hive area. Saturday it started to itch & got inflamed some more. A half circle shaped hive appeared around the original hive spot. I used hydrocortisone cream & took Benadryl at bedtime. This morning when I woke up it looked like a bullseye rash like from a tick bite! It has still been itchy some & others told me it feels warmer to the touch than the rest of my arm. I have taken pictures each day for documenting purposes that I can email you all. I called the pharmacist again today to let them know it had changed to look like the bullseye rash. I was asked if I have a penicillin allergy & I do not. My mother does. I asked what medications are related to PCN & the pharmacist named augmentin & amoxicillin-I?ve had both without issues. She said there is a very rare side effect being reported in folks with a PCN allergy. She said she was puzzled by the fact my reaction was late onset & suggested I report this. Also suggested to watch for fever, spreading rash, swelling of the tongue or throat, & to keep using the Benadryl for now. Was also advised to seek medical help if any of those symptoms arise.

Other Meds: Oral contraceptive, Allegra 24-hour, Effexor, Vitamin D3, Vitamin C, Probiotic, & a Multivitamin. All are taken daily except D3 which is every other day.

Current Illness: None

ID: 0951719
Sex: F
Age: 24
State: TN

Vax Date: 01/15/2021
Onset Date: 01/17/2021
Rec V Date: 01/17/2021
Hospital:

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

Lab Data:

Allergies: Acyclovir- full body rash

Symptom List:

Symptoms: Tingling/spasms in arm, feet, neck, face (starting at 3:30 am -- ongoing. Currently 8:13 pm) Sometimes the tingling feels hot but not always.

Other Meds: Vitamin C and Fish Oil/Omega-3 supplements

Current Illness: None

ID: 0951720
Sex: F
Age: 66
State: MS

Vax Date: 12/28/2020
Onset Date: 12/29/2020
Rec V Date: 01/17/2021
Hospital:

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

Lab Data:

Allergies: penicillin

Symptom List:

Symptoms: rash on the arm and side of my body where the injection was given. i took some Benadryl on 01/14/2021 the rash came back and the injection spot became really warm and harden. i took Benadryl again it went away. the rash came back 01/16/2021 and i took more Benadryl and the itcing stop. isaw a few red spots on my arm today bot no itching.

Other Meds: lisinopril/hctz 10-12.5mg super collagen+c with biotin omega 3-6-9vitmin D

Current Illness: none

ID: 0951721
Sex: F
Age: 35
State: FL

Vax Date: 01/08/2021
Onset Date: 01/16/2021
Rec V Date: 01/17/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: 8 days after vaccine right arm hot to the touch, painful, large red patch around injection site, red patch is increasing in size. Today 1/17/21 now arm is bruised and swollen

Other Meds: Hydrochlorothiazide, Amlodipine, Alprazolam

Current Illness: None

ID: 0951722
Sex: F
Age: 28
State: NJ

Vax Date: 01/09/2021
Onset Date: 01/16/2021
Rec V Date: 01/17/2021
Hospital:

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

Lab Data:

Allergies: Dust, mold

Symptom List:

Symptoms: Rash on arm near injection site 8 days after vaccine. No pain

Other Meds: Levothyroxine, adderal, prozac, birth control, inhaler

Current Illness:

ID: 0951723
Sex: F
Age: 56
State: WA

Vax Date: 12/24/2020
Onset Date: 01/04/2021
Rec V Date: 01/17/2021
Hospital:

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

Lab Data:

Allergies: None.

Symptom List:

Symptoms: About 10 days following the vaccine, developed an itchy, slightly painful, papular and petechial rash, primarily in underarms, arms, and legs. Antihistamine helped reduce symptoms. Rash has persisted, but improving.

Other Meds: cholecalciferol 1000 units estradiol 0.05 mg / 24 hrs imiquimod cream mometasone nasal spray prometrium 100 mg tretinoin 0.05% cream valacyclovir 500 mg

Current Illness: None.

ID: 0951724
Sex: F
Age: 40
State: IN

Vax Date: 01/07/2021
Onset Date: 01/10/2021
Rec V Date: 01/17/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: Nausea, diarrhea 7+ days

Other Meds: N/a

Current Illness: None

ID: 0951725
Sex: M
Age: 24
State: VA

Vax Date: 01/05/2021
Onset Date: 01/09/2021
Rec V Date: 01/17/2021
Hospital:

Vax Type:
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Lot:
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Lab Data:

Allergies: Figs PCN Cephalexin Sulfonamides

Symptom List:

Symptoms: Left Axillary pain and mild swelling starting approximately 4 days after vaccination. The pain proceeded to worsen over the next week and moderate lymphadenopathy was also been noted. These lymph nodes are tender to palpation. Additionally some Parasthesias were felt down the left forearm into the hand possibly due to brachial neuritis or nerve pressure due to lymphadenopathy. The parasthesias lasted approximately 2 days. Lymphadenopathy is now present in the right axilla along with more severe adenopathy in the left axilla. - PA-S2

Other Meds: Vitamin D3 Vitamin C

Current Illness: None

ID: 0951726
Sex: F
Age: 73
State: WA

Vax Date: 01/16/2021
Onset Date: 01/16/2021
Rec V Date: 01/17/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
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Lab Data:

Allergies: Sulfa, gluten

Symptom List:

Symptoms: Right arm very sore after injection. Approximately 8 hours after injection, fatigue and headache developed. 12 hours after injection extreme chills developed so that patient had to wear flannel pajamas, wool hat , socks to bed and sleep under down quilt, 3 blankets and turn up home heat. Temperature and body pain followed . Temperature and fatigue persists 30 hours after injection

Other Meds: Liothyronine, levothyroxine, ramipril, aspirin, multivitamin, red yeast rice, cholestoff plus, calcium//magnesium, nasonex, nitroglycerin .1mg patch,fish oil, niacin , vitamin c , vitamin d

Current Illness:

ID: 0951727
Sex: F
Age: 64
State: CA

Vax Date: 01/12/2021
Onset Date: 01/16/2021
Rec V Date: 01/17/2021
Hospital:

Vax Type:
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Lot:
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Lab Data:

Allergies: PCN

Symptom List:

Symptoms: Saturday morning 1/16/2021, had LLQ abd pain, crampy. Has a BM and was very small. Later followed by a dime size of mucous and then later a dime size of bright red blood. No history of rectal bleeding prior. Later in the had more cramping and passed addition medium BM with blood not in stool. Noted for one day only. No idea if this is related to vaccine, but was an unusual occurrence four days after vaccine.

Other Meds: Depakote 1000mg QHS Zoloft 50mg QHS Fish Oil one tab QHS VitB one tab QHS Calcium one tab QHS Biotin Tab one tab QHS Lipitor 40mg QHS

Current Illness: Chronic joint pain Obesity Hyperlipidemia Bi-polar Disorder

ID: 0951728
Sex: F
Age: 46
State: OH

Vax Date: 01/06/2021
Onset Date: 01/13/2021
Rec V Date: 01/17/2021
Hospital:

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

Lab Data:

Allergies: Sulfa drugs

Symptom List:

Symptoms: That day and the first week it was red, sore and slightly raised. One week later it was really itchy, hot to touch, more resided and more red. I saw the doc and they put me in prednisone and Benadryl. That was Thur 1/14. Today it?s itching more. 3x the size and still hot. I?m now also on an antibiotic Very uncomfortable

Other Meds: Calcitriol, oyster shell calcium, Zyrtec, adderal, levothyroxine, omezparole, loestrin, daily multi vitamin

Current Illness: UTI

ID: 0951729
Sex: F
Age: 51
State: VA

Vax Date: 01/04/2021
Onset Date: 01/11/2021
Rec V Date: 01/17/2021
Hospital:

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

Lab Data:

Allergies: Ceftriaxone and Chlorhexidine - Mild Rash

Symptom List:

Symptoms: First dose on 12/18/2020 Second dose on 1/04/2021 Intermittent heart palpitations began early am on Monday, Jan 11th and occurred again on Tuesday, Jan 12th am (worked nightshift). Again appeared the evening of Wed, Jan 13th. On Thursday, Jan. 14, made appt with my primary MD and appt was at 3 pm the same day. EKG performed at office and was Normal sinus rhythm. BP and HR normal too. MD advised to monitor and call back as needed.

Other Meds: Levothyroxine, fexofenadine, Magnesium Biglycinate, Women's Multivitamin, Clinical Curcumin, flonase, Advair, atorvastin, probiotic, 5 HTP, Acetaminophen

Current Illness: None

ID: 0951730
Sex: F
Age: 45
State: TX

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/17/2021
Hospital:

Vax Type:
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Lot:
Dose Series:
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Vax Site:

Lab Data:

Allergies: Penicillin, aspirin, codeine, wheat

Symptom List:

Symptoms: Fever, muscle spasms to the point of difficulty walking, severe nausea

Other Meds: Northera, baclofen, protonix, amitiza, carafate, Allegra, xyzal, vitamin D, magnesium,

Current Illness: Covid-19, asymptomatic

ID: 0951731
Sex: F
Age: 54
State: FL

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/17/2021
Hospital:

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

Lab Data:

Allergies: dairy, eggs, cats, neomycin, latex, seasonal grasses and tree pollens

Symptom List:

Symptoms: itchiness on side of abdomen below underarm of left side on side shot was given 3 hours after shot lasting through night, severe vertigo-congestion and both ears ringing 24 hours after shot which continued for 3 days, congestion lasted 10 days, 2 1/2 inch in diameter raised hot welt around injection site lasting 10 days with arm very sore the entire time, intermittent low grade fever day 3-5,

Other Meds: chlorthalidone 25 MG tablet once a day, potassium, calcium, magnesium

Current Illness: none

ID: 0951732
Sex: F
Age: 52
State: OR

Vax Date: 01/17/2021
Onset Date: 01/17/2021
Rec V Date: 01/17/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: received vaccine at 1330. Observed until 1350. After leaving building, noticed redness/flushing on face and chest. Came back to building for additional observation at 1400. Given Benadryl and observed.

Other Meds: unknown

Current Illness: unknown

ID: 0951733
Sex: M
Age: 54
State: CA

Vax Date: 01/16/2021
Onset Date: 01/16/2021
Rec V Date: 01/17/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Throat tightness, tongue swelling, light headedness. Treated with 50 mg Benadryl po with relief of symptoms in 45 minuets.

Other Meds: Atenolol 50 mg Lortadine 10 mg Flonase 200 mcg

Current Illness: none

ID: 0951734
Sex: F
Age: 39
State: MN

Vax Date: 01/06/2021
Onset Date: 01/12/2021
Rec V Date: 01/17/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Day5-6 swelling of armpit lymph node, causing some discomfort

Other Meds:

Current Illness:

ID: 0951735
Sex: F
Age: 46
State: FL

Vax Date: 01/04/2021
Onset Date: 01/08/2021
Rec V Date: 01/17/2021
Hospital:

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

Lab Data:

Allergies: Seasonal allergies

Symptom List:

Symptoms: Bruised at injection site, itchy rash, red warm to touch, swollen localized by injection site just below injection site

Other Meds: Amlodipine 10mg

Current Illness: None

ID: 0951736
Sex: F
Age: 33
State: AZ

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/17/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Low-grade fever, body aches, chills and injection site soreness - symptoms began 8-10 hours after vaccine was administered and lasted for about 18 hours

Other Meds: Cetirizine - 10mg SID Melatonin - 5mg SID

Current Illness: none

ID: 0951737
Sex: F
Age: 50
State: OK

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 01/17/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Paralysis on my left side of face. I got my vaccine on Thursday 1/14/21. On Friday 1/15/21 evening started have numbing of left side of my face.

Other Meds:

Current Illness:

ID: 0951738
Sex: F
Age: 29
State: WA

Vax Date: 12/26/2020
Onset Date: 12/29/2020
Rec V Date: 01/17/2021
Hospital: Y

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

Lab Data:

Allergies: seasonal allergies

Symptom List:

Symptoms: lymphadenopathy on left side (starting in axillary and progressing to supraclavicular and eventually neck as well. swollen and extremely tender) in addition to normal side effects of chills, fatigue. also was having irregular heart rhythm (reason for hospitalization) do not know if the heart rhythms are related to the vaccine or not, onset was a few days after vaccination (ER 12/30/2020, then another hospital 1/1-1/2). but the hospitalization below is referring to the heart rhythm not the lymphadenopathy.

Other Meds: daily: Zyrtec 10mg, Ritual prenatal vitamin

Current Illness:

ID: 0951739
Sex: F
Age: 50
State: TX

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/17/2021
Hospital:

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

Lab Data:

Allergies: Morphine, codeine, hydrocodone, Butrans, IV iron sucrose, IV iron dextran

Symptom List:

Symptoms: Woke up at 1am with severe chills, temp 104.8, headache. Took Tylenol every 4-6 hours. Temp and chills continued off and on for 36 hours. Arm very sore at the injection site for 48-60 hours. Severe Headache lasted 3 days. Fatigue continues. Nausea continues.

Other Meds: Flexaril, gabapentin, Divigel, Armour thyroid, dicyclomine, Percocet, Vit D, Vit C, Centrum Silver multivitamin

Current Illness: None

ID: 0951740
Sex: F
Age: 46
State: WA

Vax Date: 01/16/2021
Onset Date: 01/16/2021
Rec V Date: 01/17/2021
Hospital:

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

Lab Data:

Allergies: Triptans Wellbutrin Tramadol Reglan

Symptom List:

Symptoms: Rapid onset facial & neck numbness, headache

Other Meds: Gabapentin Cyclobenzaprine Dicyclomine Omeprazole

Current Illness: None

Total 2021 VAERS Injuries: 626,553

Page last modified: 03 October 2021 5:28pm