VAERS 2021 Database www.vaers.hhs.gov

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

Total Manufacturer

Incidents per State

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

ID: 0952348
Sex: M
Age:
State: AZ

Vax Date:
Onset Date:
Rec V Date: 01/18/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: None stated.

Other Meds: Novolog, Lantus, Nifedipine 90mg, Aspirin 81mg, Lisinopril 40mg, Metoprolol Tartrate 25mg

Current Illness: Calcified tendon right him,

ID: 0952349
Sex: F
Age: 49
State: WI

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/18/2021
Hospital:

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

Lab Data:

Allergies: ACEi (cough), cefoxitin (N/V/D), opioid (N/V)

Symptom List:

Symptoms: Patient noticed rash/redness to the injection site when she took off her band-aide the day after administration. at day 10 she sought medical advice because the area continued to grow, was red, and warm -

Other Meds:

Current Illness:

ID: 0952350
Sex: F
Age: 56
State: GA

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

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

Lab Data:

Allergies: Keflex

Symptom List:

Symptoms: swollen axillary lymph node under left arm

Other Meds: Synthroid, Trazodone, Motrin

Current Illness: none

ID: 0952351
Sex: F
Age: 65
State: NJ

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/18/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: TOOK TYLENOL SINUS HEADACHE AT 2PM ON FRIDAY. WOKE UP FRIDAY AT MIDNIGHT WITH CHILLS, HEADACHE AND SHAKING. TOOK TYLENOL SINUS. REPEATED TYLENOL SINUS EVERY 4 HRS FOR HEADACHE. ON SAT AND SUNDAY WAS WEAK--MONDAY FELT BETTER.

Other Meds: LEVOXYL; ZETIA; LIVOLO; PEPCID

Current Illness: SINUS INFECTION

ID: 0952352
Sex: F
Age: 25
State: NE

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 01/18/2021
Hospital:

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

Lab Data:

Allergies: Warfarin, seroquel, hazelnut

Symptom List:

Symptoms: R arm soreness onset approx 4 hours after vaccine admin. Tolerable. Body aches, headache, malaise, fatigue, stomach upset approx 24 hours after vaccine administration, lasting until approx 48 hours after vaccine administration.

Other Meds: Emgality, trokendi XR, nortriptyline, metformin, magnesium complex, prenatal vitamin

Current Illness: N/A

ID: 0952353
Sex: F
Age: 44
State: TX

Vax Date: 12/28/2020
Onset Date: 01/09/2021
Rec V Date: 01/18/2021
Hospital:

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

Lab Data:

Allergies: Morphine Avacado

Symptom List:

Symptoms: Delayed onset injection room site reaction 12 days after injection. Large, red raised patch to injection site. Slightly itchy, warm to touch. Resolved without treatment 2 days later. No reaction at time of vaccine

Other Meds: Metoprolol 50mg QHS Oral contraception

Current Illness: None

ID: 0952354
Sex: F
Age: 31
State: MD

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 01/18/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Arm soreness-started right away and resolved after 48 hours Migraine-started approximately 12 hours after vaccination and resolved 48 hours after vaccination

Other Meds:

Current Illness:

ID: 0952355
Sex: F
Age: 36
State: MI

Vax Date: 01/04/2021
Onset Date: 01/13/2021
Rec V Date: 01/18/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

Symptom List:

Symptoms: Developed red, burning, itchy spot at vaccine site.

Other Meds: Cymbalta 60mg, Ibuprofen 800mg, Protonix 20mg

Current Illness: None

ID: 0952356
Sex: F
Age: 50
State: VA

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/18/2021
Hospital:

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

Lab Data:

Allergies: Tramadol, sulpha drugs, eggs, melons, avocado, mushrooms

Symptom List:

Symptoms: Started with mild nausea at about 20 after, facial flushing at about 25 minutes after injection, right arm numbness and tingling that spread to my chest at about 30 minutes out, chest pressure, anxiety, slight SOB at about 25 minutes out, Tongue tingling at about 30 minutes out, thigh tingling about 45 minutes out, some itchiness on underside of right arm. Most symptoms were not persistent other than the facial flushing. All resolved about 5:15. No interventions were given.

Other Meds: Mobic, prevacid, vitamin C, Krill oil, aspirin, Vit B complex, CBD oil

Current Illness: appendectomy 12/21

ID: 0952357
Sex: M
Age: 20
State: KS

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Moderna COVID-19 Vaccine EAU. About 6 days after the injection my arm is still slightly sore, not uncomfortable but it has also gotten red around the injection site, almost rash like pattern.

Other Meds: Skyrizi for psoriasis and Adderall for ADHD.

Current Illness: None

ID: 0952358
Sex: F
Age: 29
State: PA

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/18/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: 5 minutes post injection arm became very itchy and a red, swollen warm patch developed (about the size of a half-dollar). After 20 minutes, initial round of itchiness subsided. For the next 48 hours the injection site was warm, red, swollen (size of half-dollar) with intermittent periods of itchiness. Itchiness is continuing to come and go now (almost 72 hours post injection) but much milder.

Other Meds: None

Current Illness: None

ID: 0952359
Sex: F
Age: 41
State: NY

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

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

Lab Data:

Allergies: Codeine, dairy

Symptom List:

Symptoms: Raised heart rate 168-203 bpm dizzy numbness lips tongue face flushed skin lasted approximately 45 minutes Severe headache for 48 hrs occasional lightheadedness is still present Monitored by nurse and dr on site for 2 hrs reclined on floor

Other Meds: Multivitamin Vyvanse 20 mg did not take within 24 hrs of the vaccination last dose was 01/14/2021

Current Illness: None

ID: 0952360
Sex: F
Age: 46
State: MS

Vax Date: 01/08/2021
Onset Date: 01/17/2021
Rec V Date: 01/18/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: 10 days post injection, area is raised, hot, red, and very itchy.

Other Meds: Latanoprost, 10 mg, Women's multivitamin, probiotic

Current Illness: None

ID: 0952361
Sex: F
Age: 32
State: WI

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/18/2021
Hospital:

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

Lab Data:

Allergies: unknown

Symptom List:

Symptoms: After receiving the vaccine, about 10 minutes later minor chest tightness was experienced. Was given Benadryl and symptoms resolved. Was instructed to follow up with PCP.

Other Meds: unknown

Current Illness: unknown

ID: 0952362
Sex: F
Age: 45
State:

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/18/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: 5min after vaccine became tachycardic with blurred vision and felt like she was going to pass

Other Meds:

Current Illness:

ID: 0952363
Sex: M
Age: 54
State: OH

Vax Date: 01/15/2021
Onset Date: 01/16/2021
Rec V Date: 01/18/2021
Hospital:

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

Lab Data:

Allergies: Strawberries

Symptom List:

Symptoms: 1/16/2021 Pain to injection site upper arm, Slight swelling of Lymph nodes to that arm, Extreme fatigue resulting in sleeing most of the day and nausea without vomiting, loss of appetite. No fever 1/17/2021 pain and nausea subsided, fatigue improved but still not back to 100%

Other Meds: Daily Multi Vitamin, Fish Oil 1200MG, Omega 3 360mg , Urotraxal 10mg, Glucosamine-Chondroitin-MSM 500-416-20mg, Omeprazole 20mg, Ocuvite, Lisinopril 40mg, Fluticasone 50mg, Cyclobenzaprine 10mg, Fexofenadine 180mg, Meloxicam 15mg, Escitalop

Current Illness:

ID: 0952364
Sex: F
Age: 65
State: TX

Vax Date: 01/07/2021
Onset Date: 01/16/2021
Rec V Date: 01/18/2021
Hospital:

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

Lab Data:

Allergies: sulfa drug

Symptom List:

Symptoms: Initial soreness for 2 days; then no effect until 1-1/2 weeks after injection, then became red, slightly swollen and warm at injection site

Other Meds: Atorvastatin 10mg Doxycycline 50 mg Vitamin C, D, B12; Omega 3,6,9; zinc, biotin, Calcium, Lutein

Current Illness:

ID: 0952365
Sex: F
Age: 60
State: ID

Vax Date: 01/17/2021
Onset Date: 01/17/2021
Rec V Date: 01/18/2021
Hospital:

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

Lab Data:

Allergies: anaphylactic reaction to Bee's

Symptom List:

Symptoms: Patient was a 30 minute observation due to hx of anaphylaxis with bee's. 15 min post vaccination, patient stated "Short of breath and my throat is tight". HR 77, O2 94%, wheezy. gave 0.3 ml epi in left thigh, immediately transferred to ER

Other Meds: unknown

Current Illness: unknown

ID: 0952366
Sex: F
Age: 40
State: CA

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: About 25 minutes after my vaccine was administered, the left side of my face went numb. My left fingers were tingling and I had a hive-like rash on my neck and left side of my face. I also had a metallic taste in my mouth. This occurred in my drive home. Upon returning home around 20 minutes post reaction, I took 1 Benadryl and started feeling improvement about 30 minutes after I took the Benadryl. I didn?t feel 100% normal until the next morning.

Other Meds: Propranolol, levothyroxone, sumatriptan

Current Illness: None

ID: 0952367
Sex: F
Age: 26
State: TN

Vax Date: 12/28/2020
Onset Date: 12/29/2020
Rec V Date: 01/18/2021
Hospital:

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

Lab Data:

Allergies: Unknown

Symptom List:

Symptoms: Within 24 hours: fever of 101.2 that lasted around 24 hours, visible bruising and red patch at injection site that lasted one week. One week after injection: Red, bumpy rash spreading from injection site down left arm that lasted around 24 hours.

Other Meds: Spironolactone, Culturelle Daily Probiotic, DrFormulas? Best Probiotic for Men and Women

Current Illness: None

ID: 0952368
Sex: F
Age: 44
State: VA

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/18/2021
Hospital:

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

Lab Data:

Allergies: Tetracycline

Symptom List:

Symptoms: "Moderna COVID-19 Vaccine EUA" -Received vaccine at 8:00am. Felt fine till approx. 3:30pm at which time started becoming feeling exhausted and yawning excessively. Began aching all over especially in areas of previous injuries. Took Tylenol 1gm for aches. 1 hour later shivers and checked temp that was 99.5 orally. At 8:00pm symptoms intensified along with lightheadedness and burning feeling throughout trunk/Chest. Started vomiting around 10:30pm. Vomited x2. Headache, shivers, aching, excessive yawning lasted till around 5:00am which at that point was able to keep Tylenol down. Symptoms from that point on subsided over time. Very tired and sore for the next 12 hours. Jaws sore from the excessive yawning remain.

Other Meds: Lexapro, Restore eye vitamins, ASA, ibuprofen/Tylenol as needed, Xiidra eye drops

Current Illness:

ID: 0952369
Sex: F
Age: 48
State: IL

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/18/2021
Hospital:

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

Lab Data:

Allergies: Nickel- hives Shellfish- hives based on allergy testing - patients avoids crab, lobster, shrimp

Symptom List:

Symptoms: Patient received second dose of Pfizer vaccine on 1/11/21 @1240pm. Presented to ED with dry throat, throat swelling and hoarse voice. Symptoms started approximately 40 minutes post vaccination at 1320. Pt has hx of food allergies. Pt was treated with epinephrine 0.3mg IM, diphenhydramine 25mg po, and famotidine 20mg po and prednisone 40mg PO. Observed in ED until 1758 and was noted to have no worsening of symptoms and improvement in hoarse voice. Discharged with prescription for prednisone 40mg x4 days.

Other Meds: Montelukast 10mg qhs hydroxyzine 25mg four times per day as needed fluticasone nasal spray 1-2 sprays once to twice a day Norethindrone acetate-ethinyl estradiol-FE 1.5mg-30mcg one tab daily loratadine 10mg daily as needed

Current Illness:

ID: 0952370
Sex: F
Age: 50
State: PR

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

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

Lab Data:

Allergies: NO

Symptom List:

Symptoms: Friday January the 15 2021, at 5:00 PM, patient stated to have itchiness on left arm, Saturday 16, patient stated to have red little balls on left arm, PT states that she used hydrocortisone, and that calmed the itching.

Other Meds: NO

Current Illness: NO

ID: 0952371
Sex: F
Age: 80
State: IN

Vax Date: 01/16/2021
Onset Date: 01/17/2021
Rec V Date: 01/18/2021
Hospital: Y

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

Lab Data:

Allergies: Hydrocodone - GI intolerance

Symptom List:

Symptoms: Patient reported to the emergency room from fever and shortness of breath the day after receiving the COVID-19 vaccine. Patient was found to have a UTI and possible sepsis. Unknown if truly related to COVID vaccine.

Other Meds: Aspirin 81mg daily, Pulmicort nebulization BID, calcium/magnesium/zinc daily, candesartan 16mg daily, colecalciferol 2000 units daily, B12 250 mcg daily, digoxin 125 mcg daily, flonase, gemfibrozil 600mg BID, hydrochlorothiazide 12.5mg dail

Current Illness: UTI

ID: 0952372
Sex: F
Age: 43
State: OK

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/18/2021
Hospital:

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

Lab Data:

Allergies: sensitive to lactose, sorbitol, gluten

Symptom List:

Symptoms: about 12 hour after injection chills, fever, bone pain, joint pain, muscle aches, headache, sore throat, nausea. Symptoms lasted about 36 to 48 hours with lingering muscle aches and headache

Other Meds: Tylenol and Motrin Zinc, B12, Calcium

Current Illness: UR virus, diarrhea

ID: 0952373
Sex: F
Age: 32
State: LA

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

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

Lab Data:

Allergies: cefzil

Symptom List:

Symptoms: tachycardia, arm pain, erythema, swelling; facial flushing/burning; fatigue, rash On 1-14-21 she tested +for Covid

Other Meds: Wellbutrin XL, Adderall, Synthroid, Tylenol

Current Illness: none known

ID: 0952374
Sex: M
Age: 53
State:

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/18/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: acute loss of vision-stroke like symptoms

Other Meds:

Current Illness:

ID: 0952375
Sex: M
Age: 49
State: NJ

Vax Date: 01/09/2021
Onset Date: 01/17/2021
Rec V Date: 01/18/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Itching and rash at injection site that appeared 8 days after injection.

Other Meds: Multi-vitamin

Current Illness: none

ID: 0952376
Sex: F
Age: 29
State: OK

Vax Date: 01/08/2021
Onset Date: 01/15/2021
Rec V Date: 01/18/2021
Hospital:

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

Lab Data:

Allergies: Clindamycin - anaphylaxis Doxycycline - anaphylaxis Azithromycin - urticaria/rash Bactrim - rash

Symptom List:

Symptoms: Patient received the first dose of the Moderna vaccine on 1.8.2021. Reported to urgent care visit on 1.18 complaining of rash, redness, and swelling extending to her wrist and fingers beginning 1.15.2021. Patient treated with benadryl and cortisone cream with some improvement. Patient also reports tingling and weakness to the left arm yesterday.

Other Meds: Multivitamin Norethindrone 0.35mg - 1 tablet by mouth daily

Current Illness: Influenza-like illness on 1.4.2021. COVID and Influenza tests negative.

ID: 0952377
Sex: F
Age: 69
State: NY

Vax Date: 01/07/2021
Onset Date: 01/16/2021
Rec V Date: 01/18/2021
Hospital:

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

Lab Data:

Allergies: Seasonal allergies (spring & fall)

Symptom List:

Symptoms: Two weeks after I received the vaccination the site of the injection turned red and spread over an area of 3.5 x 7 inches above and below the injection site. The area warm warm to the touch.

Other Meds: Metformin 500 mg (2x/day total 1,000), Exemestane 25 mg, 1x/day), Ramipril 2.5 1x/day), Dicyclomine HCL 20 mg, 2x/day , Hyoscyamine Sul 0.125 mg (PRN)

Current Illness: None

ID: 0952378
Sex: F
Age: 46
State: GA

Vax Date: 01/08/2021
Onset Date: 01/17/2021
Rec V Date: 01/18/2021
Hospital:

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

Lab Data:

Allergies: pseudoephedrine perfumes

Symptom List:

Symptoms: Fri Feb 8 - received vaccine. Sat Feb 9 - 24 hour arm super sore Tues Feb 12 - eyes burning, brain fog Thurs Feb 14 - possible reaction to new shampoo/cond - scalp, face, ears, neck felt burned and itched Sun Feb 17 - injection site has itchy red whelp about the size of a silver dollar - began benadryl 12.5 q 6 hours Mon Feb 18 - injection site has doubled in size, still itchy unless benadryl onboard; went to minute clinic and received tapered steroid pack

Other Meds: Daily multivitamin and vitamin C

Current Illness: Acute Costochondritis

ID: 0952379
Sex: F
Age: 38
State: IL

Vax Date: 01/06/2021
Onset Date: 01/15/2021
Rec V Date: 01/18/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: Pink rash and warmth around injection site

Other Meds: Prenatal vitamin, Vitamin C 1000mg, Vitamin D, Fexofenadine 180mg

Current Illness: NKA

ID: 0952380
Sex: F
Age: 58
State: NJ

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/18/2021
Hospital:

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

Lab Data:

Allergies: ASA

Symptom List:

Symptoms: ARM PAIN, FEVER 101, JOINT PAIN FOR 24 HRS. TOOK TYLENOL 500MG 2 TABLETS

Other Meds: ALLEGRA 180 MG; LIPITOR 10MG

Current Illness: NONE

ID: 0952381
Sex: F
Age: 51
State: NY

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

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

Lab Data:

Allergies: Unknown

Symptom List:

Symptoms: Arm started hurting within hours of shot and was mainly gone in 2 days. The next morning I was so lethargic and exhausted I could barely get out of bed. Late afternoon I started feeling better. Also had headaches, hot/cold flashes , was very achy and a lot of sinus pressure. By Monday morning minimal arm pain still lingered

Other Meds: Humalin, ozembic, metformin, aspirin

Current Illness:

ID: 0952382
Sex: F
Age: 60
State: ID

Vax Date: 01/17/2021
Onset Date: 01/17/2021
Rec V Date: 01/18/2021
Hospital:

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

Lab Data:

Allergies: anaphylaxis to Bees

Symptom List:

Symptoms: Patient being observed for 30 minutes due to hx of anaphylaxis to bee's. 15 minutes post vaccine patient stated SOB and throat tight. HR 77, O2 94%, wheezy, alert. administered 0.3ml epi in left thigh. transferred to ER

Other Meds: unknown

Current Illness: unknown

ID: 0952383
Sex: M
Age: 41
State: WI

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/18/2021
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Allergies: Unknown

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Symptoms: After vaccine administration, about 30 minutes after,described itching in various area not localized to injection site and not systemic Benadryl was given and symptoms resolved shortly after. Advised to follow up with PCP. Follow up phone call was made to client and denied any other symptoms and stated that no further itching .

Other Meds: Unknown

Current Illness: Unknown

ID: 0952384
Sex: U
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Onset Date: 01/06/2021
Rec V Date: 01/18/2021
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Symptoms: 1/6/21 Dx'd post viral fatigue syndrome

Other Meds:

Current Illness:

ID: 0952385
Sex: F
Age: 34
State: VA

Vax Date: 01/08/2021
Onset Date: 01/16/2021
Rec V Date: 01/18/2021
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Allergies: IBUPROFEN

Symptom List:

Symptoms: SWELLING, REDNESS INCREASING DAY BY DAY, ITCHINESS, LOSS OF FEEL, HOT

Other Meds: NONE

Current Illness: NONE

ID: 0952386
Sex: F
Age: 39
State: AR

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 01/18/2021
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Allergies: none

Symptom List:

Symptoms: I have had 4 episodes of dizziness. I do not ever experience dizziness in my daily routine, typically. The first 3 were minor and brief - they occurred while I was standing or walking - I was aware of it and paused, but recovered before having to sit down or stop moving. These occurred between 18 and 42 hours after receiving dose 2 and seemed to be triggered by bending over, getting up and down. The 4th episode happened almost exactly 48 hours after dose 2, occurred 35 minutes into my daily 3 mile walk, and was more significant. I had to sit down by the side of the road and call for my husband to come get me. It has been nearly 48 hours since that episode and I have not experienced any more dizziness since that time.

Other Meds: supplement: MSM (methylsulfonylmethane) - 1000 mg once per day

Current Illness: none

ID: 0952387
Sex: F
Age: 25
State: OH

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/18/2021
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Allergies: hydrocodone, amoxicillin

Symptom List:

Symptoms: Swollen, red, sore at injection site. Started 1 day after went away after 4 days then returned with red, hot to touch, itchy at injection site and went away after 48 hours and has returned again with a circular red, rash.

Other Meds: prenatals, green tea extract, lysine, apple cider vinegar pills, vitamin C

Current Illness:

ID: 0952388
Sex: F
Age: 33
State: TX

Vax Date: 01/06/2021
Onset Date: 01/12/2021
Rec V Date: 01/18/2021
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Allergies: Nkda

Symptom List:

Symptoms: 7 m old breast fed baby developed 104 degree fever 6 days post mom getting vaccinated. Fever unable to be reduced by tylenol/motrin for 2 days. Fever started subsiding on day 5. No other symptoms expect for red/pink right eye when having high temperature. Negative for cough, ear infection, uti, etc.

Other Meds: None

Current Illness: None

ID: 0952389
Sex: F
Age: 53
State: CA

Vax Date: 01/16/2021
Onset Date: 01/16/2021
Rec V Date: 01/18/2021
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Allergies: NKA

Symptom List:

Symptoms: Approx 5 min of admin of C19 vax, pt with facial swelling, sob, tongue edema and reported dysphagia due to swelling. EMS assessment with HTN, 02 sat 100%, however pt states getting worse, followed by bronchospasms. Pt given epi, follwed by benadryl. Pt not hypotensive, no urticaria, no and remained hemodyamically stable, ambulatory. Sent to ED via paramedics. Report elucidates pt sx resolved prior to reaching ED.

Other Meds: albuterol

Current Illness: unk

ID: 0952390
Sex: M
Age: 64
State: TX

Vax Date: 01/01/2021
Onset Date: 01/13/2021
Rec V Date: 01/18/2021
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Allergies: Any

Symptom List:

Symptoms: Severe constant headache that has been lasting for 5 days so far along with nausea. Low body temperature in a range 94.5-97 degrees F. There has been unstable blood pressure.

Other Meds: Doxazosin Mesyl 2mg, Lysine 1500 mg, multi Vitamine

Current Illness: Any

ID: 0952391
Sex: F
Age: 23
State:

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/18/2021
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Symptoms: Oral swelling and arms itching.

Other Meds:

Current Illness:

ID: 0952392
Sex: F
Age: 48
State: TX

Vax Date: 01/15/2021
Onset Date: 01/16/2021
Rec V Date: 01/18/2021
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Allergies: pcn, phenergan, flu shot, codeine, zyrtec, gluten sensitivity, lactose intolerant, eggs, yellow jackets, wasp, hornets

Symptom List:

Symptoms: nausea, head ache, dizziness, SOB, face swelling a bit

Other Meds: Lasx, jardiance, diltiazem, breo, xiidra, sulfasalazine, vitamin d3, metoprolol succinate, pro air, montelukast, famoidine, ezetimibe, plaquenil, doxazosin, orencia

Current Illness:

ID: 0952393
Sex: F
Age: 72
State: TX

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/18/2021
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Allergies: N/A

Symptom List:

Symptoms: Pharmacist giving vaccine did not notice on patient's consent form that she indicated she already had a COVID-19 vaccination. He thought he was giving her first dose. Discovered afterward while talking to patient that she had just received a first dose on 1/11/21 (only 4 days prior). Physician assistant on site at the clinic had the patient wait for 30 minutes to be observed. No reactions noted.

Other Meds:

Current Illness:

ID: 0952394
Sex: F
Age: 38
State: IL

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/18/2021
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Symptom List:

Symptoms: 101.4 Fever, nausea, joint muscle aches, chills, fatigue. Symptoms lasted 4-5 days.

Other Meds:

Current Illness:

ID: 0952395
Sex: F
Age: 70
State: FL

Vax Date: 01/15/2021
Onset Date: 01/17/2021
Rec V Date: 01/18/2021
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Allergies: Plavix, iv contrast

Symptom List:

Symptoms: dizzy, wobbling side to side, severe headache, sweating, vomiting.

Other Meds: n/a

Current Illness: n/a

ID: 0952396
Sex: M
Age: 57
State: KY

Vax Date: 01/14/2021
Onset Date: 01/16/2021
Rec V Date: 01/18/2021
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Allergies: Nickel

Symptom List:

Symptoms: Rash that started in the antecubital day of vaccine and 3 days later covered in whelps

Other Meds: None

Current Illness: None

ID: 0952397
Sex: F
Age: 46
State: NJ

Vax Date: 01/07/2021
Onset Date: 01/16/2021
Rec V Date: 01/18/2021
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Allergies: peanut, tree nut, soy, egg, wheat, cow's milk, sulfa, penicillin, cipro, orthocept, parafon forte, contrast dye, propofol, birch tree

Symptom List:

Symptoms: Reaction day of injection was mild (queasiness after 40 minutes). Experienced expected mild injection site soreness days 2-4. However, more than a week after the vaccine I developed a large, bright red, swollen, very hot to the touch painful welt the size of an adult hand at the injection site. Tried several times to report it to Montefiore Nyack with no success (no one knew where to transfer the call). Reaction has been ongoing for 3 days; appears to be waning at this time.

Other Meds: l-glutamine, probiotic, vitamin D3, vitamin B12, vegan omega3, circumin, red yeast rice

Current Illness: none

Total 2021 VAERS Injuries: 704,237

Page last modified: 03 October 2021 5:28pm