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: 0959065
Sex: F
Age: 55
State: MD

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/20/2021
Hospital:

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

Lab Data:

Allergies: seasonal allergies

Symptom List:

Symptoms: within 12 hours - chills next 48 hours - headache, feverish, hot flashes, nausea, vomiting, extreme fatigue another 24 hours - headache, fatigue

Other Meds: none

Current Illness: none

ID: 0959066
Sex: F
Age: 26
State: MO

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/20/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: I experienced chest pain or discomfort intermittently mid-day and afternoon. It subsided after this point. The night of 1/13/21, I fell asleep but awoke multiple times cold. I experienced the chills through about midnight. The next morning, 1/14/21, I woke up with a headache at about 5:30am. I took a dose of Aleve and the symptoms had subsided by about 6:30am

Other Meds: None

Current Illness: None

ID: 0959067
Sex: F
Age: 50
State: MD

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/20/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: 2-3 hours after the injection she began having joint achiness that progressed to body aches, fatigue and swelling in her hands and ankles. Symptoms were significant until 1/11/21 but have been improving.

Other Meds:

Current Illness:

ID: 0959069
Sex: F
Age: 33
State: WA

Vax Date: 12/30/2020
Onset Date: 01/06/2021
Rec V Date: 01/20/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

Symptom List:

Symptoms: Itchy rash at injection site with 6 inch swelling

Other Meds:

Current Illness:

ID: 0959070
Sex: F
Age: 55
State: NY

Vax Date: 01/10/2021
Onset Date: 01/14/2021
Rec V Date: 01/20/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List:

Symptoms: Cellulitis on 1/20/2021

Other Meds: Tylenol

Current Illness: None

ID: 0959071
Sex: F
Age: 39
State: NJ

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/20/2021
Hospital:

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

Lab Data:

Allergies: None, seasonal allergies

Symptom List:

Symptoms: Began having chills, fever 101.6, dry mouth, headache and body ache. Took ibuprofen and fever subsided. Still having chills and extreme fatigue. Fever came back again.

Other Meds: Zyrtec

Current Illness: Inflammation of my joints, extreme stiffness and pain. 1/7/2021. Referred to rheumatologist

ID: 0959072
Sex: F
Age: 56
State: SC

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/20/2021
Hospital:

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

Lab Data:

Allergies: tape - red skin at times

Symptom List:

Symptoms: Approximately 25 minutes after receiving the vaccine I experienced tingling sensation of throat and lips. Lips were not swollen. This lasted 40 minutes then resolved without any medication taken.

Other Meds: Synthroid 100 mcg daily, Tamoxifen 20 mg qday, Vit D3 2000 IU daily

Current Illness: none

ID: 0959073
Sex: F
Age: 70
State: MI

Vax Date: 01/18/2021
Onset Date: 01/20/2021
Rec V Date: 01/20/2021
Hospital:

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

Lab Data:

Allergies: UNKNOWN

Symptom List:

Symptoms: l ARM TINGLING

Other Meds: Unknown

Current Illness: UNKNOWN

ID: 0959074
Sex: F
Age: 35
State: OH

Vax Date: 01/17/2021
Onset Date: 01/17/2021
Rec V Date: 01/20/2021
Hospital:

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

Lab Data:

Allergies: Reports anaphylaxis after first allergy shot 06/2020; currently receives allergy shots without incidence

Symptom List:

Symptoms: Described tongue tingling/numbness approximately 30 minutes after receiving the vaccine. Evaluated in ED - said it felt like tongue and throat were swelling. No immediate intervention required. Discharged with diphenhydramine oral PRN, famotidine 20mg BID, prednisone 60mg Daily x 3 days and EPiPen

Other Meds: albuterol inhaler 2 puffs Q6HPRN wheezing, cetirizine 10mg Daily, Flonase 2 sprays each nostril daily, lansoprazole 30mg BID, montelukast 10mg HS, MVI daily, omega-3FA (Lovaza) 1gm po daily

Current Illness:

ID: 0959075
Sex: M
Age: 64
State:

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 01/20/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: patient states he felt fine the day he received the vaccine, but at 0500 on 1/15/2021 he was woken out of his sleep having difficulty breathing. He estimates this episode lasted 30 seconds- 1 minute. he drank a sip of water thinking that would help. He then had a second more severe episode that lasted about 2 minutes. "I could not breathe, it felt like I was under water". H stated that after the episodes he felt jittery and very fatigued the rest of the day. He stated that the second episode was the worst he had ever had and thought he was going to pass out. He is a nonsmoker with NKDA. He does have asthma. He is on an inhaler and has a rescue inhaler. He stated that his last episode was 3-4 months ago, but these episodes were different. " It was a bigger fight to breathe". On 1/18/2021 at 2100 He had another episode that lasted 1-2 minutes. He used his inhaler, and improved. He was weak and dizzy after this episode and was unable to go to work.

Other Meds: Inhalers

Current Illness:

ID: 0959076
Sex: M
Age: 44
State: TX

Vax Date: 01/14/2021
Onset Date: 01/16/2021
Rec V Date: 01/20/2021
Hospital:

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

Lab Data:

Allergies: patient reportsno reported medication or food allergies

Symptom List:

Symptoms: reports development of right arm redness and swellling related to covid vaccine administration. On 1/16/21, he reports having fatigue and body aches. On 1/17/21, he reported right arm redness, swelling, and warmth which increased throughout the day. He took 800 mg of Ibuprofen and ultimately sought care at a local emergency department, and was prescribed two oral antibiotics. stated the emergency room provider diagnosed the condition as cellulitis and informed patient the condition is a known side effect of vaccines. As of this writing, patient reports a decrease in redness/tenderness and no pain.

Other Meds:

Current Illness: patient reports no illnesses at time of vaccine

ID: 0959077
Sex: F
Age: 25
State: OR

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 01/20/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Chill, fatigue, headache, muscle pain, pain at injection site

Other Meds:

Current Illness:

ID: 0959078
Sex: F
Age: 67
State: OR

Vax Date: 10/23/2020
Onset Date: 10/24/2020
Rec V Date: 01/20/2021
Hospital:

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

Lab Data:

Allergies: codeine, bactrim

Symptom List:

Symptoms: Patient received both shingrix and flu shot on 10/23/20. She reports to writer today that within 12 to 24 hours of receiving the vaccinations, she had a fever and was immobile in bed for 96 hours. She is declining a 2nd dose of shingrix to avoid a repeat of this reaction.

Other Meds: Advair, amlodipine, atorvastatin, citalopram, lisinopril/HCTZ, metformin, montelukast, albuterol HFA, vitamin C, iron sulfate

Current Illness: n/a

Date Died: 01/10/2021

ID: 0959079
Sex: M
Age: 91
State: CO

Vax Date: 01/06/2021
Onset Date: 01/09/2021
Rec V Date: 01/20/2021
Hospital:

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

Lab Data:

Allergies: No Known Allergies

Symptom List:

Symptoms: On 1/9/2021 observed with elevated respirations of 38-42 per minute, BP manually 72/50. pulse is jumping rapidly between 110-16 bpm. oxygen sat 76% RA, resident refusing oxygen at first attempt, allowed oxygen to be placed, is now 84% on 4L. resident shaking head yes that he is hurting, and yes that he would take medication for pain. Dr. notified, branch block. Received order for morphine 2mg per hr as needed for elevated respirations and pain. Dr. also gave orders to D/C Tamsulosin and finasteride. Resident continue with decreased O2 sats and elevated respirations. Absence of vital signs on 1/10/21 at 826PM.

Other Meds: Ascorbic Acid 500mg, Cetirizine HCL 5mg, Escitalopram Oxalate 10mg, Finasteride 5mg, Metoprolol succinate ER 25mg, Tamsulosin 0.4mg, Teriparatide 20mcg injection, Vitamin D3 Tablet, voltaren Gel 1%, Eliquis 5mg, Pantoprazole Sodium 40mg, Ac

Current Illness: Residents condition was declining over the past several months and has been treated for depression and dementia. Resident refusing care including meals, medication and ADL care.

ID: 0959080
Sex: F
Age: 28
State: GA

Vax Date: 01/16/2021
Onset Date: 01/19/2021
Rec V Date: 01/20/2021
Hospital:

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

Lab Data:

Allergies: Na

Symptom List:

Symptoms: Chills, fever, loss of appetite, Bell?s palsy , headaches

Other Meds: Na

Current Illness: Na

ID: 0959081
Sex: F
Age: 98
State: PA

Vax Date: 01/12/2021
Onset Date: 01/14/2021
Rec V Date: 01/20/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Increased confusion on 1/13/21 with delusions. Seen in ER. No fever. CT found mass in amdomen. Upon returnning to personal care home had a seizure. Patient on pain meds.

Other Meds:

Current Illness:

ID: 0959082
Sex: M
Age: 35
State: TX

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/20/2021
Hospital:

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

Lab Data:

Allergies: pollen

Symptom List:

Symptoms: After 5 minutes having the vaccine, felt flushing, dizziness, weakness, tongue numbness, heart rate increased, scratchy throat. Lasted for about two minutes, then went away. Then started to shiver which lasted about 10 minutes.

Other Meds: no

Current Illness: no

ID: 0959083
Sex: F
Age: 45
State: NC

Vax Date: 01/02/2021
Onset Date: 01/02/2021
Rec V Date: 01/20/2021
Hospital:

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

Lab Data:

Allergies: Shrimp and contrast dye

Symptom List:

Symptoms: Swelling of face and pain with stiffness of neck muscles

Other Meds: None

Current Illness: n/a

ID: 0959084
Sex: F
Age: 72
State: CA

Vax Date: 01/16/2021
Onset Date: 01/16/2021
Rec V Date: 01/20/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient reported feeling like she had a pinching nerve pain on the left side of her neck/shoulder. BP: 193/107; 226/130; 187/110. Patient was transported to the Emergency room following EMS assessment.

Other Meds:

Current Illness:

ID: 0959085
Sex: M
Age: 37
State: MD

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/20/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: The day after the vaccine he developed arm soreness, fevers, chills and headaches.

Other Meds:

Current Illness:

ID: 0959086
Sex: F
Age: 25
State: MN

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/20/2021
Hospital:

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

Lab Data:

Allergies: None, potentially allergic to down feathers, never tested, get hives

Symptom List:

Symptoms: Within 30 -40 mins of administration of Pfizer EK9231 started developing slight numbness on right side of the face, mainly right cheek and under right eye. Took Ibuprofen 400mg still was feeling the numbness and took another Ibuprofen 200mg around 1400 for the still felt slight numbness. Took 25 mg of Benadryl around 1700 because I still was feeling the slight numbness on right side of face. In the morning was not noting any improvement in the facial numbness and was feeling that the cheek muscles were tighter on the right side and causing subtle facial asymmetry. I got worried and went to the ED. I was assessed, diagnosed with facial paresthesia. I was offered an MRI, I declined as I did not feel that I needed it at the time. Provider prescribed 40 mg of prednisone daily for 5 days, valacyclovir 1000mg 3 times a day for 7 days. After starting prednisone facial muscle tightness I was feeling improved, still felt slight numbness more so in the mornings the next 2 days. I took the full course of prednisone, I am no longer feeling the facial symptoms. I stopped taking valacyclovir on day 3, since I felt that the prednisone was what is helping and it was harder to evenly take it 3 times a day.

Other Meds: Vit D3 1, 000 IU daily, Elderberry concentrate 1 tsp daily

Current Illness: None

ID: 0959087
Sex: F
Age: 58
State: TX

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 01/20/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Patient states when she woke up the next morning and went to the bathroom she got a feeling like she was about to pass out so she states that she sat down on the bathroom floor to avoid passing out. She then states that her husband told her that her head slowly fell back and she started shaking and her eyes remained open. She also states that her husband said he was shaking her and lightly tapping her face until she gained back consciousness but shortly after she did it again. She states her husband said it didn't last long but she does not remember passing out or what she believes was a small seizure episode. She states that after her reactions resided she went to see her doctor and he took her vitals, did some blood work, and tested her for COVID and the Flu. Patient also states that having the reaction she developed a bad headache while waiting in the doctors office. States that on Saturday her headache wasn't as bad as on Friday and on Sunday she developed sharp, stabbing pains to the right side of her head that is not constant but comes and goes every now and then. Patient states her and her husband came across a news article that stated the vaccine she received is in question and believes that could be part of the reason for her adverse reactions. Patient states that she still doesn't feel normal but her doctor told her to give it a few more days for symptoms to subside.

Other Meds: Losartan: Blood Pressure medication Lipitor (Atorvastatin): Cholesterol medication Aspirin 81mg - patient states she hasn't taken this medication is a while, possibly in over a month Patient states she did take her blood pressure and chol

Current Illness: none

ID: 0959088
Sex: F
Age: 33
State: IN

Vax Date: 01/18/2021
Onset Date: 01/19/2021
Rec V Date: 01/20/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List:

Symptoms: Fatigue, body aches, chills began 1/19/21 @ about noon, following 2nd dose

Other Meds: Metformin B12 Daily multivitamin

Current Illness: None

ID: 0959089
Sex: F
Age: 34
State: NY

Vax Date: 01/08/2021
Onset Date: 01/15/2021
Rec V Date: 01/20/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

Symptom List:

Symptoms: 7 days after receiving the first dose of the Moderna Covid19 vaccine, I experienced a quarter sized rash just left of the injection site on my left arm. The rash was red, circular, slightly raised and was itchy. By the next day, the rash had grown in size to about 5 inches long by 3 inches wide, in a more oval shape and continued to itch. By the third day, the rash size was consistent with the day before except that it no longer itched. Today (1/20), the redness remains and the size remains consistent, still does not itch.

Other Meds: None

Current Illness: None

ID: 0959090
Sex: F
Age: 31
State: OR

Vax Date: 01/04/2021
Onset Date: 01/06/2021
Rec V Date: 01/20/2021
Hospital: Y

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

Lab Data:

Allergies: Penicillin- causes itching

Symptom List:

Symptoms: Jan 4, 2021 received shot at work in morning around 11:00 am- felt fine at work all day. Around 7:00 that night began to have back pain, fever reached up to 102 around 2:00 am and took Tylenol. Felt very weak, headache, difficulty walking and decreased balance. On Jan 5, 2021 still had back ache and headache. On Jan 6, 2021 I felt better and began to have abdominal pain after eating dinner. I assumed it may be because of eating more then I had in past few days and did not attribute to much but the pain gradually increased to a strange burning/pressure across my upper abdomen that night. Very nauseous and ran low grade fever (99.45). Next morning I had less diffuse pain and could localize it to right lower quadrant.

Other Meds: Zyrtec, probiotic, B12, Zinc

Current Illness: None

ID: 0959091
Sex: F
Age: 51
State: MN

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/20/2021
Hospital:

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

Lab Data:

Allergies: MACROBID

Symptom List:

Symptoms: chills, headache, achy

Other Meds: NA

Current Illness: NO

ID: 0959092
Sex: F
Age: 29
State: MD

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

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

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: Dizzy, vision blurry. BP140/98 P118. Rest, juice. Felt better, called contact for pick-up. BP119/98, P95 @1:10pm. Feeling better but still feels slight dizziness. Transported via w/chair to ride w/brother.

Other Meds: Multivitamin

Current Illness: None

ID: 0959093
Sex: F
Age: 42
State: ME

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/20/2021
Hospital:

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

Lab Data:

Allergies: Walnuts Pistachios Kiwi

Symptom List:

Symptoms: About 8 minutes into my 15 minute observation time after receiving my first COVID vaccine, my tongue started tingling. The observation nurse gave be a Benadryl and water. within the next minutes my whole body started tingling, I felt nauseas, and felt like I was going to pass out. The nurse laid me on the ground. I asked her to take my BP and pulse. For me it was high 145/98. My pulse was also reported t be high. I was able to swallow and breath. I continued to have waves up and down my whole body of tingling, nasusea and cold sweats. The nurse called my husband to come. I was able to sit up after about 20 minutes. The waves of feeling sick continued for about an hour. After having some food and drink about 2 hours later I was able to drive home. I was exhausted, nauseous, and had a headache the next 2 days. I am concerned to get my second vaccine.

Other Meds: Celexa 10mg Multi-Vitamin

Current Illness: None

ID: 0959094
Sex: F
Age: 58
State: WI

Vax Date: 01/12/2021
Onset Date: 01/20/2021
Rec V Date: 01/20/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Left arm is itching, swollen, and burning

Other Meds:

Current Illness:

ID: 0959096
Sex: F
Age: 74
State: TX

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Sweeling at the injection site

Other Meds:

Current Illness:

ID: 0959097
Sex: F
Age: 28
State: AR

Vax Date: 12/28/2020
Onset Date: 01/05/2021
Rec V Date: 01/20/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: I did test positive for Covid19 1/5/21. I was symptomatic and was released and was ?recovered? by 1/15/21 by the Health department.

Other Meds: None

Current Illness: None

ID: 0959098
Sex: F
Age: 65
State: TX

Vax Date: 01/10/2021
Onset Date: 01/18/2021
Rec V Date: 01/20/2021
Hospital:

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

Lab Data:

Allergies: Clindamycin, Bactrim, buprenorphine

Symptom List:

Symptoms: On day 8 I developed a rash with pain at the injection site. It is hot. It has spread on gotten bigger since. Today is day 10.

Other Meds: Pravastatin, fluoxetine, lisinopril, tramadol, multi vitamin (Centrum), calcium, magnesium, vitamin D, vitamin B

Current Illness: None

ID: 0959099
Sex: F
Age: 80
State: PA

Vax Date: 01/12/2021
Onset Date: 01/19/2021
Rec V Date: 01/20/2021
Hospital:

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

Lab Data:

Allergies: sulfa drugs; mild cold symptoms

Symptom List:

Symptoms: Seven days after innoculation left arm in area of innoculation started to itch and a mild rash appeared. Purchased hydrocortisone cream 1% day after itching started (today).

Other Meds: Entresto, Eliquis, Carvedilol, Boniva, CBD, Vit. D-3, Magnesium, Calcium - hydrocortisone cream 1% for itching

Current Illness: None

ID: 0959100
Sex: F
Age: 33
State: NJ

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 01/20/2021
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Allergies: NKA

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Symptoms: I recently had COVID-19 in December, but I was cleared to receive the vaccine by a member of the COVID vaccine clinic. The day after I received the vaccine I had a fluctuating fever of 101 F, body aches, fatigue, chills, nausea, and I vomited once. My arm was also very sore, but there was not swelling or redness at the site of injection. The side effects abated the next day, and I felt completely normal by Monday the 18th.

Other Meds: Tirosint Tri-sprintec

Current Illness: COVID-19 on 12/7/2020

ID: 0959101
Sex: F
Age: 35
State: OH

Vax Date: 01/17/2021
Onset Date: 01/17/2021
Rec V Date: 01/20/2021
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Allergies: one reported anaphylactic reaction 06/2020 to first allergy shot. Continues to receive allergy shots without incidence.

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Symptoms: Patient described tongue tingling in approximately 30minutes after receiving the vaccine. She opted to be evaluated in the ED where she reported that her tongue/mouth felt swollen. SHe was assessed and no immediate intervention was necessary.

Other Meds: albuterol inhaler 2 puffs Q6HPRN wheezing, cetirizine 10mg Daily, Flonase 2 sprays each nostril daily, lansoprazole 30mg BID, montelukast 10mg HS, MVI daily, omega-3FA (Lovaza) 1gm po daily

Current Illness:

ID: 0959102
Sex: F
Age: 30
State: NE

Vax Date: 01/12/2021
Onset Date: 01/19/2021
Rec V Date: 01/20/2021
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Symptoms: About 6-7 days after vaccine administration noticed arm was erythematous and itchy over area where vaccine was administered. Also noted slight bump under the skin in same area.

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Current Illness:

ID: 0959103
Sex: F
Age:
State: NY

Vax Date: 01/22/2021
Onset Date: 01/14/2021
Rec V Date: 01/20/2021
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Allergies: None

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Symptoms: I received my 1st dose on 12/28, Pfizer lot # EL5730. I experienced severe Left arm pain, which resolved in 2 days. On 1/14/21 I received my 2nd dose on Left arm, Pfizer, # EL 3246. My signs and symptoms started the same night, where I have severe right upper scapula pain radiating to Right anterior chest. I seen and evaluated in ED, all tests were negative. On Saturday I experienced severe left left leg pain with spasms. The spams got worse on left side of the body. The spasms were so severe that I felt like my nerves were having ?party? inside of me. I have lower leg tingling sensation and Charlie horses to my entire left side. I am now in the ED with elected D-Dimer. They are ruling out Pulmonary Embolism. I am now in the ER getting a full work up.

Other Meds: None

Current Illness: None

ID: 0959104
Sex: F
Age: 35
State: IL

Vax Date: 01/12/2021
Onset Date: 01/20/2021
Rec V Date: 01/20/2021
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Allergies: As a kid I had a slight rash when I took penicillin and I haven't taken it again.

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Symptoms: Warm, red, bumpy, and itchy rash at injection site about 3 inches in diameter. This showed up about 8 days after receiving the first dose. Before that, I had no issues other than the expected tenderness at injection site which lasted about a day.

Other Meds: Trokendi XR 100mg Escitalopram 10mg Bupropion SR 150mg

Current Illness: N/A

ID: 0959105
Sex: F
Age: 66
State: NV

Vax Date: 01/11/2021
Onset Date: 01/17/2021
Rec V Date: 01/20/2021
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Symptoms: Sore arm first couple of days. Then everything was fine. Itching began at the site of injection 6 days after. Itching continuing. Light red area around injection site approximately 2 1/2" X 3". Area is not noticeably swollen or inflamed. Injection site is slightly sensitive. No other symptoms.

Other Meds:

Current Illness:

ID: 0959106
Sex: F
Age: 44
State: OR

Vax Date: 01/08/2021
Onset Date: 01/16/2021
Rec V Date: 01/20/2021
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Allergies: late onset dermatitis to bee stings

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Symptoms: developed a localized itchy erythematic maculopapular rash to injection site 8 days after vaccine administration. Now rash is spreading outward. About 10cm across. no other symptoms

Other Meds: none

Current Illness: none

ID: 0959107
Sex: F
Age: 25
State: PA

Vax Date: 01/18/2021
Onset Date: 01/19/2021
Rec V Date: 01/20/2021
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Allergies: yes

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Symptoms: 1/18/21 vaccinated, 1/19/21 woke up with itching to bilateral hands at 09:00 am. Woke up this am with more spots to right elbow and right chest wall. Pt. denies taking medication for it.

Other Meds: yes

Current Illness: yes

ID: 0959108
Sex: M
Age: 52
State: IN

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/20/2021
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Allergies: Augmentin.

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Symptoms: Approximately 4-5 hours after the injection, my right elbow began hurting. There is no swelling or injury. The elbow is a burning pain. It hurts to even touch my elbow!

Other Meds: Vitamin D 50 mg daily

Current Illness: None

ID: 0959109
Sex: F
Age: 30
State: CA

Vax Date: 01/16/2021
Onset Date: 01/16/2021
Rec V Date: 01/20/2021
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Symptoms: The patient received her first dose of the Pfizer vaccine on 12/26/2020. Following the second dose of the Pfizer vaccine, the patient became lightheaded, dizzy, and wheezed 20-30 minutes after the injection. 25 mg Benadryl administered, along with Epi-Pen. The patient was transported to the ED.

Other Meds:

Current Illness:

ID: 0959110
Sex: F
Age: 34
State: OH

Vax Date: 01/12/2021
Onset Date: 01/19/2021
Rec V Date: 01/20/2021
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Allergies: Bees, wasps, amoxicillin, latex, banana, nickel, adhesives

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Symptoms: Moderna COVID-19 Vaccine EUA A 4.5 cm itchy, red, warm rash noticed at about 5:30 pm on 1/19/21. The rash is located 2cm below the vaccine injection site on the left deltoid. The rash has not spread but continues to be bothersome.

Other Meds:

Current Illness:

ID: 0959111
Sex: F
Age: 27
State: NC

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/20/2021
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Symptoms: Chills, body aches, runny nose, Headache, Temperature 99.4, lymph node swollen and tinnitus.

Other Meds:

Current Illness:

ID: 0959112
Sex: F
Age: 53
State: DE

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/20/2021
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Allergies: none

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Symptoms: Employee given Pfizer for Dose #2 instead of Moderna. Error. No adverse reaction.

Other Meds: none

Current Illness: none

ID: 0959113
Sex: F
Age: 45
State: TX

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/20/2021
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Allergies: Vicodin Amoxicillin Cephalaxin Cymbalta Contrast dye Barium Sulphate

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Symptoms: Since that day I have experienced dizziness, pain in the arm, swollen lymph nodes both sides of the neck and under arms and lot of nausea.. I also had severe body ache for 4 days after the shot. Dizziness gets worse if I walk faster.

Other Meds: Gabapentine 500mgs Bupropion 300mgs Buspirone 15mgs Lexapro 10mgs Atenolol 25mgs Aspirin 81mgs

Current Illness: Fibromyalgia Atrial fibrillation

ID: 0959114
Sex: F
Age: 30
State: OR

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/20/2021
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Symptoms: I received my first dose of the vaccine. I felt fine when I waited the 15 minutes after receiving it. Then about 5 minutes after leaving, I felt weak as if I was about to faint. Once I got to Peds, I felt even more weak. I could barely sit up. Nurse advised me to go back. Once I got there I was still feeling weak. I was sent home. The rest of the evening I was still feeling weak and as if I was about to get a headache, The next day (1/8), I felt muscle aches and tiredness. It hurt to even walk. As well my arm where I received the vaccine was sore and hurt to move.

Other Meds:

Current Illness:

ID: 0959115
Sex: F
Age: 34
State: FL

Vax Date: 01/02/2021
Onset Date: 01/03/2021
Rec V Date: 01/20/2021
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Allergies: None

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Symptoms: Tinnitus started in right ear within hour after receiving first vaccination but resolved within a couple of day. Within 24 hours of receiving second vaccination had muffled hearing, Jan 3, 2021. Symptoms were ignored thinking they would resolve. When symptoms persisted and evaluated patient was noted to have a severe right sided low frequency hearing loss with poor word recognition score. Patient was started on high dose steroids with partial recovery of symptoms.

Other Meds: None

Current Illness: None

ID: 0959116
Sex: M
Age: 32
State: MD

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/20/2021
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Symptoms: He premedicated with Tylenol and took a 2nd dose later in the day. About 10 hours after the injection he had a mild headache and fatigue. Later that evening he developed body aches, fatigue, severe headache, chills and low grade fever. Symptoms lasted for 24 hours. He also took motrin.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 704,237

Page last modified: 03 October 2021 5:28pm