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: 0920544
Sex: F
Age: 65
State: PA

Vax Date: 12/23/2020
Onset Date: 12/31/2020
Rec V Date: 01/05/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List: Dysphagia, Epiglottitis

Symptoms: I noticed 8 days after receiving the Moderna Vaccine that I had redness, swelling and warm to the touch at the sight of the injection. The rash got worse 2 days later & my primary physician put me on Prednasone, two 10 milligram tablets once a day for 5 days

Other Meds: Metropolol, Warfarin, Pantaprozol

Current Illness: No

Date Died: 01/04/2021

ID: 0920545
Sex: M
Age: 93
State: SD

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/05/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List: Anxiety, Dyspnoea

Symptoms: The resident received is vaccine around 11:00 am and tolerated it without any difficulty or immediate adverse effects. He was at therapy from 12:36 pm until 1:22 pm when he stated he was too tired and could not do anymore. The therapist took him back to his room at that time and he got into bed himself but stated his legs felt heavy. At 1:50 pm the CNA answered his call light and found he had taken himself to the bathroom. She stated that when he went to get back into the bed it was "abnormal" how he was getting into it so she assisted him. At that time he quit breathing and she called a RN into the room immediately. He was found without a pulse, respirations, or blood pressure at 1:54 pm. He was a DNR.

Other Meds: Ferrex 150 mg, Folic Acid 1 mg, Furosemide 20 mg, Isosorbide Mononoitrate ER 30 mg, Lactulose 15 mL, Omeprazole 40 mg, Potassium Chloride ER 20 MEQ, Metoprolol 12.5 mg, PreserVision AREDS 2 one capsule, Ranolazine ER 1,000 mg, and Sucralf

Current Illness:

ID: 0920546
Sex: F
Age: 38
State: WI

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/05/2021
Hospital:

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

Lab Data:

Allergies: whole body rash with bactrim

Symptom List: Chest discomfort, Dysphagia, Pain in extremity, Visual impairment

Symptoms: Moderna 8:20 am right digits 4&5 were numb for 5-10 min 8:50 am neck was stiff once stood up to leave; lasted 5 min 10:40 am anterolateral redness/rash on right side of neck (along SCM); 2" long x 1/2" wide; lasted less than an hour 11:15 am neck rash almost gone; right arm sore at injection site noon - difficulty moving right arm rest of the day; able to achieve full flexion, but ABD was a challenge and body would try to compensate with shoulder hiking; kept arm moving; this soreness and difficulty moving did not go away until woke up next day 11 pm unable to sleep on right arm 1/1/21 woke up with soreness mostly gone, but able to move right arm 1 pm small cough for about 1-2 hours

Other Meds: birth control, probiotic, calcium and vitamin D

Current Illness: none

ID: 0920547
Sex: F
Age: 40
State:

Vax Date: 01/02/2021
Onset Date: 01/02/2021
Rec V Date: 01/05/2021
Hospital:

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

Lab Data:

Allergies: banana (anaphylaxis), Bee stings (anaphylaxis), melon (itching and vomiting), omeprazole (numbness and tingling in lips), reaction to allergy shot

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Following vaccination, patient reported throat scratchiness in the right side. She has had previous allergic reactions to allergy shot and stated that this is how she felt before. VS: 0740- HR 127, O2 100%, BP 127/75. 0752- HR 100, O2 100%, BP 134/82. 0805- HR 103,O2 100%, BP 159/80. Patient evaluated by physician and monitored in clinic for additional 30 minutes. 0841 HR 104 O2 98 BP 135/77; 0847 HR 100 O2 100 BP 136/73. Discharged from clinic. On 1/4/21 patient presented to urgent care reporting that over the course of the evening and next day she developed intermittent fevers with a T-max of 103 degrees as well as headache and lightheadedness. She has had intermittent symptoms ongoing since her vaccination prompting her to come for evaluation at urgent care. She denies difficulty swallowing. She had been intermittently taking antihistamines. Positive for sore throat. COVID antigen testing was negative, patient discharged.

Other Meds:

Current Illness:

ID: 0920548
Sex: M
Age: 45
State: IL

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

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

Lab Data:

Allergies: None

Symptom List: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Patient went unresponsive and bradycardic post vaccine. Regained responsive within 30 seconds.

Other Meds: Ameprazol, Livelo

Current Illness: None

ID: 0920549
Sex: F
Age: 65
State: NY

Vax Date: 12/31/2020
Onset Date: 01/01/2021
Rec V Date: 01/05/2021
Hospital:

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

Lab Data:

Allergies: Sulfa, Sulfites, Nickel, latex

Symptom List: Chills, Confusional state, Eye inflammation, Headache, Laboratory test

Symptoms: 8 hours later, arm was numb/asleep and ice cold, sat up and started to feel better. Woke up in the morning with headache, fatigue, dizziness continued for 2 days. 3rd day , right hand was ice cold, it comes and goes. Took Benadryl and it works for about an hour then it wears off.

Other Meds: N/A

Current Illness: eye inflammation a month before

ID: 0920550
Sex: F
Age: 35
State: NJ

Vax Date: 01/02/2021
Onset Date: 01/02/2021
Rec V Date: 01/05/2021
Hospital:

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

Lab Data:

Allergies: Seasonal pollen allergies

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Body chills started around 10pm on 1/2/2021 and lasted until 3am 1/3/2021. Night sweat/fever started around 3am 1/3/2021 and lasted until 8am 1/3/2021. Headache started around 9/10am on 1/3/2021 and continued on and off throughout the day. Headache continued on and off throughout the day on 1/4/2021. Headache has resolved itself as of 1/5/2021.

Other Meds: None

Current Illness:

ID: 0920551
Sex: M
Age: 21
State: MA

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/05/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List: Pharyngeal swelling

Symptoms: around 0900 pt reported feeling light headed and was diaphoretic. pt appeared pale. given water. vs taken. temp 98.9 PO, heart rate 69-76, RR 18-22, 02 sat 98%. after about 10 minutes and 2 bottles of water pt felt better, color resumed to normal. pt asked to wait the full 30 minutes.

Other Meds:

Current Illness: None

ID: 0920552
Sex: M
Age: 30
State: TX

Vax Date: 12/18/2020
Onset Date: 12/18/2020
Rec V Date: 01/05/2021
Hospital:

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

Lab Data:

Allergies: UNK - Did not disclose any.

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: After vaccination, employee went to the monitoring area. Around 1450, he complained of nausea and then began to vomit. He then began to c/o flushing, itching, headache, chest tightness, and SOB. Symptoms began approximately 10 min. after immunization. V/S: 126/82; pulse 103; resp 20; O2 sat 99% on RA; pupils equal and reactive. Dr. was notified and assessed the employee. Dr. ordered Benadryl 50mg IM at 1455. This was administed by RN to Left Arm. At 1505, FSBS was 87; O2 sat 98% on RA, pulse 97. At 1510, O2 sat was 98% on RA; pulse 90. At 1520, O2 sat was 98% on RA and pulse 98. Employee continued to vomit. Lungs were clear upon assessment. Skin was pink. At 1528, employee reported that the symptoms were about the same...maybe waxing and waning. Dr. ordered Zofran 4mg SL which was administered at 1528. At 1530, O2 sat was 98% on RA; pulse was 90; B/P was 122/90. At 1540, O2 sat was 96% on RA; pulse 88 - rechecked on Right hand which gave a reading of O2 sat of 98% on RA; pulse 94. At 1545, employee reported improvement of headache, itching, chest tightness, flushing, and SOB; however, was still vomiting almost coninuously. At 1550, O2 sat was 99% on RA; pulse 83. At 1600, B/P was 118/84; pulse 78; resp 20; O2 sat 98% on RA. He continued to vomit. At 1613, employee was taken via wheelchair to private vehicle of a friend and was taken to ER for evaluation.

Other Meds: UNK

Current Illness: UNK

ID: 0920553
Sex: F
Age: 46
State: MD

Vax Date: 12/28/2020
Onset Date: 01/03/2021
Rec V Date: 01/05/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Diarrhoea, Nasal congestion

Symptoms: swelling, redness, itching

Other Meds: Synthroid

Current Illness: none

ID: 0920554
Sex: F
Age: 31
State: ME

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

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

Lab Data:

Allergies: None

Symptom List: Vaccination site erythema, Vaccination site pruritus, Vaccination site swelling

Symptoms: Nausea, dizziness, lightheaded, warmth

Other Meds: Fluoxetine 20mg once daily, Multivitamin once daily

Current Illness: None

ID: 0920555
Sex: F
Age: 44
State: MD

Vax Date: 01/03/2021
Onset Date: 01/03/2021
Rec V Date: 01/05/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Rash, Urticaria

Symptoms: 1/3: near syncope about 4 hours after receiveing vaccine 1/4: near syncope around 6pm, followed by joint paint, chills, fatigue, nausea, headacheInjection site extremely sore on movement.

Other Meds: none

Current Illness: none

ID: 0920556
Sex: F
Age: 40
State: MO

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/05/2021
Hospital:

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

Lab Data:

Allergies: Ceclor, Penicillins, Bactrim DS

Symptom List: Blood pressure decreased, Chest pain, Chills, Confusional state, Decreased appetite

Symptoms: Fever and chills 12 hours after injection

Other Meds:

Current Illness:

ID: 0920557
Sex: F
Age: 50
State: TX

Vax Date: 12/18/2020
Onset Date: 12/18/2020
Rec V Date: 01/05/2021
Hospital:

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

Lab Data:

Allergies: no

Symptom List: Dyspnoea, Fatigue, Feeling abnormal, Head discomfort, Headache

Symptoms: After vaccine she felt flushed, heart rate 99 bp 181/105. Sent to ER. She reported chest tightness and palpitations while in the ER. Given Benadryl and discharged stable. She reported that her heart rate went up again for a few minutes that night at home and next day and then she was fine.

Other Meds: bioidentical hormones

Current Illness: no

ID: 0920558
Sex: F
Age: 49
State: IN

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/05/2021
Hospital:

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

Lab Data:

Allergies: Sulfa, some triptans

Symptom List: Heart rate decreased, Heart rate increased, Hypertension, Injection site pain, Musculoskeletal chest pain

Symptoms: By evening I began running a fever (101-102), headache, body ache, general malaise. I went to bed around 10 pm, I woke the following day around 4pm. This is very unusual for me. Confined to not feel well into the next day , but by that evening I felt better.

Other Meds: Estradiol, amitriptyline, Claritin, tizanidine, frova

Current Illness: None

ID: 0920559
Sex: F
Age: 58
State: MI

Vax Date: 12/27/2020
Onset Date: 12/28/2020
Rec V Date: 01/05/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Nausea, Pain, Pain in extremity, Paraesthesia oral, Pyrexia

Symptoms: 24 hours after vaccine developed fever (101), body aches, fatigue. 10 days later still with low grade fever (100.3) and fatigue.

Other Meds: Celexa

Current Illness: None

ID: 0920560
Sex: M
Age:
State: AZ

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

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

Lab Data:

Allergies: None

Symptom List: SARS-CoV-2 antibody test, SARS-CoV-2 test negative

Symptoms: None stated.

Other Meds: Allopurinol 100mg, 1 tablet daily Aspirin low dose 81mg, 1 tablet daily Carvedilol 25mg, 1 tablet twice daily Clopidogrel 75mg, 1 tablet daily Dutasteride 0.5mg, 1 tablet daily Lisinopril 20mg, 1 tablet daily Pravastatin 40mg, 1 tablet dail

Current Illness: None

ID: 0920561
Sex: F
Age: 56
State: CA

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/05/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: 2nd day started having muscle aches 3rd day mild headaches Severe headaches sore throat

Other Meds:

Current Illness:

ID: 0920562
Sex: M
Age: 73
State:

Vax Date: 12/31/2020
Onset Date: 01/02/2021
Rec V Date: 01/05/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Moderna COVID vaccine administered on 12/31/2020 and the person had a couple of hyperglycemia episodes over 450 a few days later.

Other Meds:

Current Illness:

ID: 0920563
Sex: M
Age: 46
State: OK

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/05/2021
Hospital:

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

Lab Data:

Allergies: NO

Symptom List: Blood pressure increased, Chest discomfort, Heart rate increased

Symptoms: I experienced moderate pain in my arm. Also I had body ache and joint pain and what felt like a fever. I also became very tired. I did not take my temperature. The symptoms started the day after the immunization around 4 PM. I went to bed around 8:30 PM (12/31/20)and when I woke up at 8AM (01/01/2021) the symptoms had gone away.

Other Meds: Lipitor, Norvasc, Flonase, and Singulair

Current Illness: NO

ID: 0920564
Sex: F
Age: 45
State: AR

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/05/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site erythema, Injection site pruritus, Injection site swelling, Lymph node pain, Lymphadenopathy

Symptoms: Immediately upon receiving vaccination had metallic taste and tingling in right hand pinky and ring finger. It went away in 20 plus minutes. Around 11 pm started having metallic taste again and woke up with diarrhea in the middle of the night. Symptoms have not subsided.

Other Meds: Remfresh half tab

Current Illness:

ID: 0920565
Sex: F
Age: 34
State: MO

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

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

Lab Data:

Allergies:

Symptom List: Unevaluable event

Symptoms: Patient had not eaten or drank anything prior to vaccination. Received vaccine at 9:10 am. At 9:25 began feeling dizzy and was pale. BP checked and noted to be: 131/92, 149/102, 154/98, and 149/85. O2 was 99%. Pulse fluctuated between 80 and 101. Was given a drink and a snack. At 9:38 was feeling better and left.

Other Meds:

Current Illness:

ID: 0920566
Sex: M
Age: 73
State: MS

Vax Date: 12/22/2020
Onset Date: 01/04/2021
Rec V Date: 01/05/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Chills, Dizziness, Injection site pain, Myalgia, Pyrexia

Symptoms: 12-15 cm area of erythema area of injection

Other Meds:

Current Illness:

ID: 0920567
Sex: M
Age: 52
State: TX

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/05/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Pain

Symptoms: Achy and feverish. Couldn't get out of bed

Other Meds:

Current Illness:

ID: 0920568
Sex: M
Age: 73
State:

Vax Date: 12/31/2020
Onset Date: 01/02/2021
Rec V Date: 01/05/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Menorrhagia

Symptoms: The vaccine administered 12/31/20 and the person had a couple of episodes of hyperglycemia above 450 on 1/2/21

Other Meds:

Current Illness:

ID: 0920569
Sex: F
Age: 38
State: GA

Vax Date: 12/18/2020
Onset Date: 12/18/2020
Rec V Date: 01/05/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List: Arthralgia, Chills, Headache, Mobility decreased, Myalgia

Symptoms: It was extremely painful when I received the vaccine and I immediately felt my fingers tingling. In about 10 min I felt very hot in my face, back and felt like I was going to pass out. My heart was racing, it was about 130. My BP initially was 139 and then 160 after that. I never passed out but I felt those waves with a tingling to my face and my neck as I was going to pass out and I started shaking and my heart was racing and my BP was up and it lasted about 45 min before it started going down. They gave me some Ibuprofen at the Employee health and they kept observing me and it started getting better after 45 min. I still felt the waves of feeling flush and hot and cold and very fatigued.

Other Meds: Otesla, Vitamin C, D and Zinc

Current Illness: No

ID: 0920570
Sex: F
Age: 61
State: VT

Vax Date: 12/28/2020
Onset Date: 01/05/2021
Rec V Date: 01/05/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: warm hard circle on arm

Other Meds:

Current Illness:

ID: 0920571
Sex: M
Age: 51
State: OK

Vax Date: 12/22/2020
Onset Date: 12/23/2020
Rec V Date: 01/05/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: I felt as if I had blow torches during the 2 hour mark on the lateral thighs, femur bone pain and hip pain.

Other Meds: Don't wont to disclose

Current Illness: No

ID: 0920572
Sex: M
Age: 64
State: PA

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/05/2021
Hospital:

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

Lab Data:

Allergies: Environmental

Symptom List: Headache, Heart rate increased, Injection site erythema, Injection site pain, Injection site swelling

Symptoms: Received vaccine in the morning 08:00 am, took acetaminophen 1 GM at 09:00 am due to pain in arm. By 10:30pm, I began having flu like symptoms, (aches, low grade fever, sinus symptoms) took another acetaminophen 1 GM. At 11:00 pm, developed severe rigors that lasted for approximately 2 hours. I am an RN and I have seen many cases of sepsis and felt like I was experiencing similar symptomatology. By 1:45 am, the rigors finally ceased and the body, muscle and joint pain became severe (on a pain scale of 1-10, it was an 8). At 7:00 am, I took another acetaminophen 1 GM, the body pain became much less and I was experiencing a global headache. I do not get headaches, so this was unusual. By 10:00 am, the headache was minimal, body aches were gone, only sinus symptoms persisted.

Other Meds: Zyrtec, Alfusozin, Multivits

Current Illness: none

ID: 0920573
Sex: F
Age: 56
State: CT

Vax Date: 12/23/2020
Onset Date: 12/23/2020
Rec V Date: 01/05/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Nausea

Symptoms: Approximately 20 minutes after vaccine, employee was on the highway driving to work and felt lightheaded. Then felt a strong skipped heart beat, then several more. Has a history of palpitations, but had never felt this before. Stopped after a few minutes. Lightheaded for a few hours afterwards.

Other Meds:

Current Illness:

ID: 0920574
Sex: F
Age: 31
State: PR

Vax Date: 12/29/2020
Onset Date: 01/04/2021
Rec V Date: 01/05/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List: Injection site pain

Symptoms: HOT RED ZONE WITH SMALL CELLULITE

Other Meds: N/A

Current Illness:

ID: 0920575
Sex: F
Age: 48
State: WA

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/05/2021
Hospital:

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

Lab Data:

Allergies: Sulfa, latex, adhesive, celebrex

Symptom List: Injection site induration, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Hemiplegic migraine

Other Meds:

Current Illness: None

ID: 0920576
Sex: F
Age: 43
State: IL

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/05/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Chills, Dizziness, Nausea, Pain, Tachycardia

Symptoms: Fatigue, Sore to injection site

Other Meds: None

Current Illness: None

ID: 0920577
Sex: F
Age: 66
State: NY

Vax Date: 12/23/2020
Onset Date: 12/25/2020
Rec V Date: 01/05/2021
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Allergies: metformin Cat dander

Symptom List: Tremor

Symptoms: Two days after shot I noticed redness at injection site. No soreness at this time, some itching. No fever no other symptoms. As of today (1/4/21)redness it still there and area seemed to expand, still little itching. Arm does not appear swollen. No other symptoms. Received i injection on 12/23/20. Concerned about length of time this is still present.

Other Meds: B12 Advair omeprazole atorvastatin Jardiance Bupropion amlodipine aspirin baby

Current Illness: none

ID: 0920578
Sex: F
Age: 36
State: NJ

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/05/2021
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Allergies: None reported

Symptom List: Erythema, Pruritus

Symptoms: Patient reported breaking out with hives, scattered on trunk and arms, continuing 5 days post vaccination. No difficulty breathing or any other symptoms reported.

Other Meds: Unknown

Current Illness: None reported

ID: 0920579
Sex: F
Age: 64
State: IA

Vax Date: 12/22/2020
Onset Date: 01/02/2021
Rec V Date: 01/05/2021
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Allergies: NKDA allergic rhinitis-spring /late summer Iowa, have not been tested for specific allergan cats

Symptom List: Injection site erythema, Injection site induration, Injection site pruritus, Injection site swelling, Myalgia

Symptoms: Local tenderness 24 h after vaccine-mild, without any warmth, redness, or objective visual/tactile signs( tenderness persists through today - day 14-very mild) . Day 4-5-diarrhea x1, day 11 noted macular erythema, warmth in the area that had been mildly sore. That evening became pruritic-mild. Margins of redness marked, no progression, Erythema today (day 14) is fainter, may just be a temporal relationship-I've noted an increase in 1st metacarpal tenderness since the vaccine

Other Meds: fluticasone melatonin Xiidra

Current Illness: none-

ID: 0920580
Sex: M
Age: 30
State: TX

Vax Date: 12/18/2020
Onset Date: 12/18/2020
Rec V Date: 01/05/2021
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Allergies: UNK - Did not disclose any

Symptom List: Cough, Limb discomfort, Pain, SARS-CoV-2 test positive

Symptoms: Approximately around 1450, 10 minutes after injection, while in monitoring area, employee started c/o nausea and then began to vomit. He then c/o feeling flushed, itching, headache, chest tightness, and SOB. V/S: B/P 126/82; pulse 103; resp 20; O2 sat 99% on RA; lungs clear upon asculatation; pupils equal and reactive; skin pink. Doctor was notified and assessed the employee 1455 - Doctor ordered Benadryl 50mg IM which was administered to the Left arm by nurse. 1505 - FSBS was 87; O2 sat was 98% on RA; pulse 97 1510 - O2 sat was 98% on RA; pulse 90 1520 - O2 sat was 98% on RA; pulse 98; employee was still vomiting; lungs remained clear 1528 - Employee reported that all symptoms were about the same, but waxing and waning; doctor ordered to give Zofran 4mg SL and this was given by nurse. 1530 - O2 sat was 98% on RA; pulse 90; B/P 122/90 1540 - O2 sat was 96% on RA; pulse was 88. Rechecked on Left hand - O2 sat was 98% on RA; pulse was 94 1545 - Employee reported improvement of headache, itching, chest tightness, flushing, and SOB; however, was still vomiting almost continously 1550 - O2 sat was 99% on RA; pulse 83 1600 - B/P - 118/84; pulse 78; resp 20; O2 sat 98% on RA; Employee still vomiting continously 1613 - Doctor recommended that the employee be evaluated in the ER. A family member/friend was called. Employee was taken to a private vehicle via wheelchair and transported to ER for evaluation.

Other Meds: UNK

Current Illness: UNK

ID: 0920581
Sex: F
Age: 55
State: WA

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/05/2021
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Allergies: NA

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Injection site: appx 10 hours after the injection; pain, tenderness, swelling, redness and swelling(hardness). The tenderness and pain resolved on day 2 after the injection. The swelling(hardness) and redness was mostly resolved by day 4 after the injection. General side effects: headache. Chills and begin to feel feverish began appx 28 hours after the injection. This lasted appx 24 hours.

Other Meds: Serevent

Current Illness: NA

ID: 0920582
Sex: M
Age: 56
State: CT

Vax Date: 12/26/2020
Onset Date: 12/26/2020
Rec V Date: 01/05/2021
Hospital:

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Allergies: None

Symptom List: Injection site erythema, Injection site pain, Injection site swelling

Symptoms: Very robust immunogenic reaction: fever, chills, myalgias, arthralgias, fatigue, right arm soreness, ipsilateral axillary pain. Most symptoms lasted approximately ~24 hours. Fatigue and night sweats lasted 3-4 days. All symptoms completely resolved at day 6.

Other Meds: Propranolol LA 80mg

Current Illness: None

ID: 0920583
Sex: F
Age: 60
State: CT

Vax Date: 12/23/2020
Onset Date: 12/30/2020
Rec V Date: 01/05/2021
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Allergies: N/A

Symptom List: Chills, Feeling cold, Feeling hot, Myalgia, Pain

Symptoms: hives at injection site followed by redness and swelling lasting 4 days

Other Meds: N/A

Current Illness: N/A

ID: 0920584
Sex: F
Age: 32
State: FL

Vax Date: 12/28/2020
Onset Date: 12/29/2020
Rec V Date: 01/05/2021
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Allergies: n/a

Symptom List: Pain in extremity

Symptoms: After sitting 15 minutes I walked back to my department and my left forearm and hand was feeling pin pricks. I had numbness and tingling sensations for about 2 hours after the injection with no other symptoms. Did not need to seek medical attention. The next day I was severely fatigued and dehydrated. The arm with the injection was incredibly sore. All symptoms were gone day two after injection. One week after injection large raised, red bump appeared at injection sight. The spot was slightly sore an itchy.

Other Meds: Multi vitamin

Current Illness: n/a

ID: 0920585
Sex: M
Age: 24
State:

Vax Date: 12/19/2020
Onset Date: 12/20/2020
Rec V Date: 01/05/2021
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Allergies:

Symptom List: Abdominal pain upper, Abnormal behaviour, Adverse reaction, Anger, Asthma

Symptoms: Fever 102.5, facial twitching, hypotension

Other Meds:

Current Illness: none

ID: 0920586
Sex: F
Age: 56
State: NY

Vax Date: 12/27/2020
Onset Date: 12/31/2020
Rec V Date: 01/05/2021
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Allergies: Almonds - hives Norco/Vicoden/hydrocodone - hives Morphine - SOB, hives

Symptom List: Consciousness fluctuating, Crying, Dry skin, Epistaxis, Headache

Symptoms: Rash 12/31 right upper chest, 01/01/21 chest abdomen, 01/02/21 same, 01/03/21 chest/abdomen/ bilateral anterior thigh 01/04/21 same / 01/05/21 - symptoms still present. Took Allegra daily, Benadryl 50 mg HS, 01/04/21

Other Meds: Adderall 30 xr daily, Advair 250/50 daily, Krill oil 1 tab daily/ Vitamin D 1000 mcg daily, Calcium w/ zinc 3 tab daily

Current Illness: none

ID: 0920587
Sex: M
Age: 46
State: OK

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/05/2021
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Allergies:

Symptom List: Hypotonia, Lethargy, Respiratory rate decreased, Screaming, Skin warm

Symptoms: I has moderate pain in my left are starting in the afternoon of 12/31/2020. Then a few hours later I had body ache, joint pain, and I was very tired. I went to be early and when I woke up at 8AM on 01/01/2021 the symptoms were gone.

Other Meds:

Current Illness:

ID: 0920588
Sex: F
Age: 28
State:

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/05/2021
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Allergies:

Symptom List: Vomiting

Symptoms: Arm pain, soreness and knot in arm- all began day after vaccine and lasted for about 4 days, treated with Ibuprofen and ice pack. Headache began day after vaccine, lasted for three days on and off- treated with Ibuprofen. Light headedness began on day 4 after vaccine, nothing helped, went away after 24 hours. Lymph node swelling occurred on day 5 after vaccine- in under arm and collar bone of the same side of body as injection.

Other Meds:

Current Illness:

ID: 0920589
Sex: F
Age: 47
State:

Vax Date: 12/26/2020
Onset Date: 01/02/2021
Rec V Date: 01/05/2021
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Allergies: gluten intolerant

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: On 1/2/2021, patient experienced itchiness and soreness at injection site left deltoid. The following day, patient noted redness, swelling, and warmth to touch. Denies bruising or numbness/tingling to left upper arm. Denies shortness of breath, no fevers, etc.

Other Meds:

Current Illness:

ID: 0920590
Sex: F
Age: 35
State: NE

Vax Date: 12/28/2020
Onset Date: 12/30/2020
Rec V Date: 01/05/2021
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Allergies: Sulfa, Tetracycline, latex

Symptom List: Back pain, Cold sweat, Headache, Nausea, Vomiting

Symptoms: Shortness of breath started on Wednesday afternoon. Right deltoid slightly swollen, no rash present at that time. Short of breath with no activity. Muscle aches, fatigue, just felt off. Then arm was very sore. Sunday night my arm pit really started hurting. Hurst over my shoulder, clavicle, and down into the lateral side of my breast. Bothered enough in the night that I didn't sleep well. This morning 1-5-21 I have a red rash over the injection site, arm is swollen over deltoid and hot. Arm pit and down into breast is still hurting significantly. I took Ibuprofen yesterday and helped some with pain in arm pit. Off an on SOB and chest feels tight. No cough

Other Meds: Zyrtec, B complex vitamin, Vit C, Zinc, Calcium, Vitamin D, Women's daily MVI, Buspar, Mircette

Current Illness: Bad headaches >4 months, sinuses, teeth hurting. A CT of head was negative, sinuses from dentist and CT scan normal,

ID: 0920591
Sex: F
Age: 56
State: OH

Vax Date: 12/31/2020
Onset Date: 01/04/2021
Rec V Date: 01/05/2021
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Allergies:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: "severe dizziness" When waking up and having to lay down throughout the day

Other Meds:

Current Illness:

ID: 0920592
Sex: F
Age: 44
State: TX

Vax Date: 12/23/2020
Onset Date: 12/30/2020
Rec V Date: 01/05/2021
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Allergies: Sulfa

Symptom List: Chills, Diarrhoea, Fatigue, Feeling abnormal, Headache

Symptoms: I recieved my vaccine on December 23rd and Exactly 7 days after receiving the vaccine my injection site began to itch and became red and swollen. It was also warm to touch. I took benadryl and applied cortisone cream to the site. I also started with nasal drainage and cough as well as fatigue and night sweats.

Other Meds: Lisinopril-HCTZ, METFORMIN HCL, VITAMIN D2, ZYRTEC

Current Illness: None

ID: 0920593
Sex: F
Age: 29
State: IL

Vax Date: 12/18/2020
Onset Date: 12/18/2020
Rec V Date: 01/05/2021
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Allergies: no

Symptom List: Hot flush, Myalgia, Nausea, Tension headache

Symptoms: Started with numbness to the whole body, palpitation, Dyspnea, and increased heart rate. This began 20 minutes after the injection. Lasted about 25 minutes. After this episode subsided, I continued to have persistent Dyspnea, chest pain, palpitations and heart racing. Was unable to speak in full sentences, exercise. Walking short distances caused extreme SOB. These symptoms lasted about a week.

Other Meds: no

Current Illness: no, Was COVID positive the last week of October

Total 2021 VAERS Injuries: 704,237

Page last modified: 26 October 2021 2:21am