VAERS 2021 Database www.vaers.hhs.gov

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

Total Manufacturer

Incidents per State

State Total
72,296
AK1,638
AL5,339
AR3,412
AS44
AZ13,316
CA58,147
CO11,002
CT7,824
DC1,626
DE1,670
FL36,235
FM3
GA13,429
GU82
HI2,195
IA4,332
ID2,473
IL19,261
IN22,568
KS4,284
KY6,945
LA4,714
MA13,886
MD11,901
ME2,997
MH8
MI17,865
MN11,345
MO8,919
MP30
MS2,676
MT2,147
NC15,401
ND1,273
NE2,732
NH2,859
NJ17,232
NM3,702
NV4,071
NY32,763
OH18,072
OK5,940
OR7,954
PA22,457
PR2,104
QM2
RI1,911
SC6,055
SD1,133
TN8,691
TX34,122
UT4,023
VA13,944
VI49
VT1,661
WA13,811
WI10,395
WV2,220
WY805
XB5
XL1
XV2

ID: 0921124
Sex: F
Age: 67
State: CA

Vax Date: 12/26/2020
Onset Date: 12/26/2020
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:

Symptoms: fatigue, chills, nausea, fever. Ibuprofen taken for fever. Fever lowered but it not go away for 24 hours

Other Meds: zinc

Current Illness: positive for covid December 2, 2020

ID: 0921125
Sex: F
Age: 46
State: TN

Vax Date: 12/24/2020
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: none

Symptom List:

Symptoms: 24 hours post vaccination with headache, body aches and chills that lasted for around 48 hours. I developed a knot at the injections within 24 hours of receiving the injection and a knot in my lymph node under my right arm that was about the size of my thumb - pain at this site. 1/2/21 -9 days out from vaccination arm started itching at injection site, on 1/4/21 I noticed a large area of redness at the injections site.

Other Meds:

Current Illness: none

ID: 0921126
Sex: F
Age: 46
State: NY

Vax Date: 01/01/2021
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: Seasonal Allergies, (weed, Mildew, pollen, dogs cats) mushroom, raw carrots, wheat, Kiwi, took allergy shots for two years weekly.

Symptom List:

Symptoms: Never pregnant, swelling and redness at injection site, Nausea in the morning, slight fever, no breathing difficulties, and weakness. Tylenol helped.

Other Meds: Lisinopril 10mg, Qvair and Albuterol HFA, Zyzal, Vitamin C and women daily vitamin.

Current Illness: Hypertension on medication for it.

ID: 0921127
Sex: M
Age: 55
State: CA

Vax Date: 12/18/2020
Onset Date: 12/19/2020
Rec V Date: 01/05/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: REDNESS IN RT EYE, RUPTURE OF BLOOD VESSELS IN RT EYE. . USE EYE DROPS FOR ABOUT A WEEK AND IT RESOLVED IN ONE WEEK

Other Meds:

Current Illness:

ID: 0921128
Sex: M
Age: 22
State: TX

Vax Date: 12/29/2020
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:

Symptoms: large red circular reaction, very warm to touch at the site of the injection

Other Meds:

Current Illness:

ID: 0921129
Sex: F
Age: 36
State: NY

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: unknown

Symptom List:

Symptoms: Pt received first dose at 11am. At 1108am patient reported feeling diaphoretic and shaky. Pt reported she did not eat bksft prior to coming. Blood sugar checked, result 98. Pt remained shaky, moved to private area and resting. Oxygen placed at 2L. Provider assessed patient with vital signs of 158/97, pulse 96, resp 22. Patient was given juice and crackers. Provider order for infusion of 500ml of normal saline. Post infusion, patient remained shaky, Provider order to send to ED for eval. EMS called.

Other Meds: unknown

Current Illness: none noted

ID: 0921130
Sex: F
Age: 47
State: NY

Vax Date: 12/26/2020
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:

Symptoms: Erythema,itching and swelling at injection site, circumference of a medium apple slowly growing over time.

Other Meds:

Current Illness:

ID: 0921131
Sex: F
Age: 42
State: PA

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:

Symptoms: Metallic taste

Other Meds:

Current Illness:

ID: 0921132
Sex: M
Age: 64
State: MD

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:

Symptom List:

Symptoms: We will treat this part as a burn, Silvadene cream twice daily until healed/drying. Also recommended nonstick bandages and we gave him several take home with him. Zyrtec 10 mg daily at bedtime for 2-4 weeks to help with the reaction

Other Meds:

Current Illness:

ID: 0921134
Sex: F
Age: 24
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:

Symptom List:

Symptoms: felt dizzy in the first 40 minutes. went away. 10 hours later began to experience body aches and vomiting.

Other Meds:

Current Illness: no

ID: 0921135
Sex: F
Age: 31
State: FL

Vax Date: 12/17/2020
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:

Symptoms: The next day I was feeling fatigue. My arm was sore & I had headaches. I did talk to a clinic virtually for my headaches.

Other Meds: Lamictal 200 milligrams Trileptal 1200 mg

Current Illness:

ID: 0921136
Sex: F
Age: 55
State: OH

Vax Date: 12/27/2020
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:

Symptoms: INJECTION SITE- RED,WARM,SWOLLEN,SHINY AND SORE TO TOUCH, HIVES 7 DAYS AFTER THE VACCINE WAS GIVEN. CALLED DR AND REPORTED SYMPTOMS AND WAS PRESCRIBED BACTRIM AND TO CALL AND REPORT REACTION.

Other Meds: LISINOPRIL/HCTZ 10/12.5MG ESTRODIL 0.5MG PROTONIX 40MG LEXAPRO 20MG LORATADINE 20MG APPLE CIDER VITAMIN BENADRYL (DAY OF)

Current Illness: NONE

ID: 0921137
Sex: M
Age: 36
State: CO

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 known allergies to medications, food, or other products

Symptom List:

Symptoms: Redness and swelling of upper right arm with itchy, red rash, and hives.

Other Meds: Fluoxetine 80mg taken daily the morning of vaccination

Current Illness: None

ID: 0921138
Sex: F
Age: 32
State: CO

Vax Date: 12/23/2020
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: None

Symptom List:

Symptoms: Noted pain in left axillary region the morning of 12/29/20 with adduction of arm. Self-examination revealed tender lymphadenopathy with size between 1-2cm. Mild itching around the injection site was noted the evening of 12/30/20. A small, irregularly shaped erythematous rash was noted around the injection site the morning of 12/31/20 - over about 24 hours this darkened to be tan/brown as compared to surrounding skin. There was gradual resolution of pain/tenderness, lymphadenopathy, and rash by approximately 1/1/21.

Other Meds: None

Current Illness: None

ID: 0921139
Sex: F
Age: 61
State: IA

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: Animal dander

Symptom List:

Symptoms: Noticed some increased redness below injection site (at least 1-2 finger breadth) with itching and some discomfort beginning 12/31, increased on 1/1/21. Took tylenol 1000 mg and benadryl 25 mg x one dose. Redness improved over time, still note some slight itching.

Other Meds: Noticed some increased redness below injection site with itching and some discomfort beginning 12/31, increased on 1/1/21. Took tylenol 1000 mg and benadryl 25 mg x one dose. Redness improved over time, still note some slight itching.

Current Illness: None

ID: 0921140
Sex: F
Age: 51
State: CA

Vax Date: 12/29/2020
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: penicillin and sulfur

Symptom List:

Symptoms: 1st Moderna Vaccine given on Left Arm one week ago. Arm is now red in a red area that is 4x4 inches and hot to the touch. It is slightly painful to the touch.

Other Meds: birth control pills; allertec otc meds from pharmacy; sertraline; topiramate

Current Illness: covid within one month prior

ID: 0921141
Sex: M
Age: 50
State: WA

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:

Symptoms: Injection was painless. Within 5 minutes of vaccine felt dizzy and had heart rate into the 120's. Duration approximately 5 minutes then tachycardia and dizziness resolved. Also had a tremor. No angioedema, urticaria or other skin/mucosal findings. Was not anxious. Arrived home and wife and children told me I looked flushed and noticed my pupils were significantly dilated. The flushing and dilated pupils resolved over the next hour. No shortness of breath or hoarse voice of any kind however my mouth felt extremely dry. I did not do anything for treatment. Spontaneous resolution.

Other Meds: fish oil, vitamin d

Current Illness: None

ID: 0921142
Sex: F
Age: 38
State: PA

Vax Date: 12/21/2020
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: strawberries, percocet

Symptom List:

Symptoms: In first few days after vaccination experienced arm pain, headaches and body aches. All symptoms subsided by day 7. On day 10 (12.31) began to again experience arm pain and new rash over injection site. Pain spread to opposite arm and then became generalized. Pain worse in armpits. Rash turned into raised bullseye over injection site prompting MD visit. COVID tested completed and was negative blood work sent and is pending. I was started on Pepcid/benedrly and doxycycline.

Other Meds: cetirizine, Vitamin D, B12, Fluticasone, Minastrin 24

Current Illness: b12/vit D deficiency

ID: 0921143
Sex: M
Age: 1
State: ID

Vax Date: 12/21/2020
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: None

Symptom List:

Symptoms: Fever of 103 on 12/30/2020, Continued fever on 12/31/2020 and then Complex febrile seizure with right facial droop and limited movement of right upper extremity. Symptoms lasted less than 48 hours

Other Meds:

Current Illness: None

ID: 0921144
Sex: F
Age: 49
State: IL

Vax Date: 12/30/2020
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: None

Symptom List:

Symptoms: Arm pain days 1st few days...now gone.., armpit pain/tenderness/swollen feeling day 5(1/6/21) after injection

Other Meds: Vitamin D, Stress B Complex, Resveratrol, Docusate sodium

Current Illness: None

ID: 0921145
Sex: F
Age: 42
State: MN

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

Symptom List:

Symptoms: Fever- Highest was 100.8, this was the following morning after receiving vaccine 1/1/2021. Injection site was extremely sore and swollen, to the point I could not even touch the area. This was the left deltoid. Extreme fatigue, I was in bed the entire day sleeping on and off. Overall muscle pain as well. on 1/2/2021 I was feeling much better, my arm was almost completely improved. Only mild soreness, and only a low grade temp of 99.6. Since then, on day 5, I seem to have some dizziness but it is goes away quickly.

Other Meds: Methocarbamol, Drospirenone-ethinyl estradiol, Montelukast, Trazodone

Current Illness: None

ID: 0921146
Sex: F
Age: 50
State: PA

Vax Date: 12/30/2020
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: Amoxicillin

Symptom List:

Symptoms: 2 days later, noted patches of bruising in the right lower leg near ankle, posterior calf, lateral calf, left lower leg in the medial aspect, right tibial tubercle area, left medial knee, right distal forearm, left wrist underneath her watch, posterior olecranon processes, posterior proximal humerus bilaterally. No bruises in the trunk, back, face or neck. She started Plavix treatment with Cardiologist 12/28/20. Cardiologist, Hospital physician.approved her to get the COVID vaccine. She will call her Cardiologist and let us know what course of action resulted. She could just be bruising from mild trauma that she is unaware of since Plavix is a new med for her. States she does cross her legs when she sits and leans on her elbows. Shoulder bruising seems to be where she lays when in bed.

Other Meds: Plavix 75mg, ASA 81mg, Lipitor10 mg, Synthroid 75 mcg

Current Illness: Lipitor is for PFO enclosure, hypothyroidism

ID: 0921147
Sex: F
Age: 40
State: PR

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: Cassava

Symptom List:

Symptoms: Headache, nausea, metalic taste, general malaise, low back pain

Other Meds: None

Current Illness: None

ID: 0921148
Sex: F
Age: 23
State: GA

Vax Date: 12/19/2020
Onset Date: 12/21/2020
Rec V Date: 01/05/2021
Hospital:

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

Lab Data:

Allergies: seasonal

Symptom List:

Symptoms: Fever 101F, dry cough,nasal congestion,, resolved within 4 days

Other Meds: Ibuprofen

Current Illness: none

ID: 0921149
Sex: F
Age: 38
State: CO

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: unknown

Symptom List:

Symptoms: Received vaccine on 1/4/21 at 12:50. On 1/5/21 at 3:00 called nurse line to report fever of 101.8, chills, cough, dizzy with standing.

Other Meds: Unknown

Current Illness: unknown

ID: 0921150
Sex: F
Age: 26
State: OH

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: Seasonal allergies, Sulfa drugs

Symptom List:

Symptoms: Moderna COVID-19 Vaccine EUA, Injection Site pain, headache, body aches, dizziness, light headed. Still having symptoms since they just started this morning.

Other Meds: Loratadine 10mg tablet, Famotidine 20mg tablet, Great-Flex Formula-36, Vitamin D3 2000 IU, Vitamin B12 5000mcg

Current Illness: None

ID: 0921151
Sex: F
Age: 43
State: NY

Vax Date: 12/28/2020
Onset Date: 12/29/2020
Rec V Date: 01/05/2021
Hospital: Y

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

Lab Data:

Allergies: Penicillin, Bactrim, Dapsone

Symptom List:

Symptoms: The resident who was known to have seizures, and under control for many yeas with Keppra 1000 mg twice a day, on the second day after vaccination developed recurrent seizures requiring hospitalization to an intensive care unit, with intubation and mechanical ventilation until 1/5/21 (to be extubated today). She is still at the hospital.

Other Meds: None

Current Illness: HIV DM HTN Seizure d/o Schizoaffective d/o Lipid d/o

ID: 0921152
Sex: M
Age: 51
State: CO

Vax Date: 12/20/2020
Onset Date: 12/21/2020
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:

Symptoms: 12hrs after vaccination I got chills and muscle aches and headache that necessitated remaining in bed for the next 16hrs. All of my colleagues that had previously had covid and then got vaccinated suffered similar SEs

Other Meds: not avl to this reporter

Current Illness: not avl to this reporter

ID: 0921153
Sex: F
Age: 59
State: OH

Vax Date: 10/26/2020
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:

Symptoms: Patient could not raise her arm due to muscle soreness/fatigue for 3 days. Additionally, she experienced extreme nausea and dry heaving the night of administration into the following day. Patient recovered completely

Other Meds:

Current Illness:

ID: 0921154
Sex: M
Age: 40
State: CA

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:

Symptoms: Initially patient felt warmth on top of head and around eyes and ears 20 minutes later experienced fuzzy vision, pain in back of right eye Warmth on top of head and around ears has gone away as well as fuzziness but patient is still feeling consistent pain behind right eye

Other Meds:

Current Illness:

ID: 0921156
Sex: F
Age: 46
State: TX

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:

Symptoms: NUMBNESS TO TONGUE 10-15 MINUTES AFTER VACCINE, FEW HOURS LATER MOUTH NOT CLOSING ALL THE WAY FELT NUMB, THEN STARTED WITH LEFT EYE NOT BLINKING AND LEFT EYE TEARING

Other Meds: Metformin and one more medication for diabetes and two medications for high blood pressure

Current Illness: none

ID: 0921157
Sex: F
Age: 20
State: AL

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: Morphine, sulfa, oranges

Symptom List:

Symptoms: Flushing on arms and chest for about 15 minutes

Other Meds: none

Current Illness: none

ID: 0921158
Sex: F
Age: 63
State: WA

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: Gluten Steroids

Symptom List:

Symptoms: My second Shingrix Injection was on December 31, 2020 at 8:00 PM. Woke up at 6:30 on January 1, 2021 with a headache, which worsened throughout the day, to the point that I could not think straight. Muscle aches, especially in the back of the neck. Shaking and chills. Fever was 102.8 at 6:00 pm on January 1, 2021. Took two Tylenol, which brought the fever down and relieved the headache some. Felt much better on January 2, but still had a bad headache, felt mentally "out of it" and had chills. I did not take my temperature again. Today is January 5th and I still have a slight headache and feel "out of it" in the head. I had the first Shingrix injection on October 8th or 9th. I had the same symptoms but not quite as severe as with the second injection.

Other Meds: Levothyroxine 75 mcg 1Xday in am Liothyronine 10 mcg 1Xday in am Thorne Basic Nutrients II without copper and iron 2 in am/ 2 in pm Vital Nutrients Triple Mag 2 at bedtime Estrodiol drops to treat hot flashes

Current Illness: None

ID: 0921159
Sex: M
Age: 40
State: ND

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:

Symptom List:

Symptoms: Patient reports dizzy spell that lasted about 5-10 min aproximately one hour after immunization.

Other Meds:

Current Illness:

ID: 0921160
Sex: F
Age: 39
State:

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: Codiene

Symptom List:

Symptoms: Sore arm on going, extreme fatigue, light headache, could not get comfortable, body aches and chills lasting 24 hours

Other Meds: Xanax, beta blocker, allergy pill

Current Illness: No

ID: 0921161
Sex: F
Age: 58
State: NY

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:

Symptoms: Fever of 101.8

Other Meds:

Current Illness:

ID: 0921162
Sex: F
Age: 28
State: CT

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/05/2021
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Allergies: None known

Symptom List:

Symptoms: Tachycardia - onset 1/4 9pm lasting - present HR range from 90-105 Chest tightness - intermittent over last 12 hours

Other Meds: Multi vitamin Vitamin D Junel FE Birth control

Current Illness: None

ID: 0921163
Sex: F
Age:
State: AZ

Vax Date:
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Rec V Date: 01/05/2021
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Allergies: none

Symptom List:

Symptoms: None stated.

Other Meds: Hydrochlorothazde candesartan gabapentin

Current Illness: none

ID: 0921164
Sex: F
Age: 54
State: NY

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/05/2021
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Lab Data:

Allergies: kiwi

Symptom List:

Symptoms: chills fever muscles pain joint pain headache arm pain difficulty of breathing weakness dizziness fatigue tiredness

Other Meds: n/a

Current Illness: migraine

ID: 0921165
Sex: F
Age: 70
State: PA

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/05/2021
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Allergies: no

Symptom List:

Symptoms: Patient woke up at 4 am with chills, fever, nausea. Patient recovered by that Saturday.

Other Meds: Metformin, Linsinopril

Current Illness: no

ID: 0921166
Sex: M
Age: 40
State: ND

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/05/2021
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Symptoms: Experienced dizzy spell lasting 5-10 minutes approximately one hour after immunization

Other Meds:

Current Illness:

ID: 0921167
Sex: F
Age: 42
State: OH

Vax Date: 12/30/2020
Onset Date: 01/04/2021
Rec V Date: 01/05/2021
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Allergies: N/A

Symptom List:

Symptoms: Swelling on right side of face, tingling, numbness up to Right eye and into Right side of neck (started 1/4 - lasted approximately 10 hours)

Other Meds: N/A

Current Illness: N/A

ID: 0921168
Sex: F
Age: 27
State: OH

Vax Date: 12/30/2020
Onset Date: 01/04/2021
Rec V Date: 01/05/2021
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Symptom List:

Symptoms: swollen lymph node in right arm pit area nickel size, noticed evening of 1/4

Other Meds:

Current Illness:

ID: 0921169
Sex: F
Age: 41
State: UT

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/05/2021
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Allergies: none

Symptom List:

Symptoms: Extreme Pain in the right shoulder and arm. Fatigue, joint pain, nausea and dizziness was felt the morning after the first dose. Redness at and around the injection site began aroungd 72 hours after injection. A hard lump an swelling appeared that day that was about baseball size.A rash appeared as a hives like appearance that migrated down the arm and eventually stopped around the antecubital area. Redness persists at the site of injection that is about the size of a grapefruit today which is 6 days later. Pain was treated with ibuprofen and has improved but is still present. Itching and burning sensation at the bicep persists.

Other Meds: Levothyroxine, omeprazole,

Current Illness: none

ID: 0921170
Sex: F
Age: 61
State: CT

Vax Date: 12/21/2020
Onset Date: 12/21/2020
Rec V Date: 01/05/2021
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Allergies: Ceftin; purple clover

Symptom List:

Symptoms: Developed itching on right side of face between temple and earlobe while driving home. Once home was noted to have 3 dime sized hives in that area which lasted approximately 2 hours and then resolved without intervention or further adverse event.

Other Meds: none

Current Illness: none

ID: 0921171
Sex: F
Age: 42
State: VA

Vax Date: 12/22/2020
Onset Date: 12/24/2020
Rec V Date: 01/05/2021
Hospital: Y

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Allergies: aspirin

Symptom List:

Symptoms: RECEIVED VACCINE ON 12/22; ON 12/24, STARTED FEELING WEAK AND HAVING GI ISSUES WITH DIARRHEA. ON 12/27, STARTED HAVING SHORTNESS OF BREATH AND WHEEZING MORETHAN HER NORMAL WITH HER ASTHMA ILLNESS AND CAME TO ER. WAS TESTED AND FOUND TO BE COVID POSITIVE.

Other Meds: Famotidine, albuterol inhaler, xopenex

Current Illness: Asthma

ID: 0921172
Sex: F
Age: 27
State: MA

Vax Date: 12/24/2020
Onset Date: 12/25/2020
Rec V Date: 01/05/2021
Hospital:

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Allergies: Amoxicillin-Hives

Symptom List:

Symptoms: FLU like symptoms - sore throat, body aches, nausea, vomitting

Other Meds: Alyacen 1/35 Ondansetron HCl 8mg

Current Illness: None known

ID: 0921173
Sex: M
Age: 80
State: MA

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

Allergies: penicillin

Symptom List:

Symptoms: 1/1 I started having metallic taste in my mouth. 1/2 I noticed the left side of my face was drooping. 1/3 It was worse so I spoke with a a co worker who is a paramedic who told me to go to the ER. I went to ER and they diagnosed me with Bells Palsy.

Other Meds: eloquis 5mg, HCTZ 25mg, astrovastin 45mg, metformin, Keppa 500mg, metropolol 25mg, VIte B12/ 6, fish oil Medication prescribed 1/3/21: predisone 20mg valacyclovir 500mg

Current Illness: no

ID: 0921174
Sex: F
Age: 51
State: WA

Vax Date: 12/30/2020
Onset Date: 01/04/2021
Rec V Date: 01/05/2021
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Allergies: flovent, flonase, latex, avocado, watermelon, mango

Symptom List:

Symptoms: hives over face, neck,chest and upper arms. Took benadryl and it resolved

Other Meds: levothyroxine, liothyronine, allegra, singulair, atrovent, estrodial

Current Illness:

Date Died: 01/05/2021

ID: 0921175
Sex: F
Age: 77
State: NJ

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

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Allergies: NKA

Symptom List:

Symptoms: Resident received Covid Vaccine, noted after 30 mins with labored breathing BP 161/77, HR 116, R 38, T 101.4,

Other Meds:

Current Illness: CHF, COPD, DM, heart failure, anemia, sleep apnea

Total 2021 VAERS Injuries: 599,999

Page last modified: 03 October 2021 5:28pm