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: 0963603
Sex: F
Age: 64
State: NY

Vax Date: 01/15/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

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

Lab Data:

Allergies: seasonal allergies

Symptom List:

Symptoms: felt very dizzy, tightness of chest and stiffnes of neck, palpitations, cold extremities. constant urination and bowel movements during attack.

Other Meds: Atorvastatin Teratosin

Current Illness: none

ID: 0963604
Sex: F
Age: 58
State: MD

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/21/2021
Hospital:

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

Lab Data:

Allergies: Penicillin, morphine, sulfa, Compazine, Sudafed, Monistat, Phenol, adhesives, glove powder,Azithromycin, walnuts, green peppers

Symptom List:

Symptoms: Both arms, upper chest, back of neck and cheeks became bright red and felt like a first-degree sunburn. Some slight itching. Had pre-treated with 25 mg of Benadryl prior to the vaccine and took an additional 25 mg of Benadryl when symptoms started

Other Meds: Synthroid, triameterene-HCTZ, Pantoprazole, loratadine, cranberry tablets, stress B vitamins, one dose of Benadryl 25 mg, Aleve two tablets

Current Illness: None

ID: 0963605
Sex: F
Age: 35
State: NY

Vax Date: 01/13/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Hives on scalp face neck and right arm. Immediate area of vaccine became raised, red, and bumpy after 1 week of no symptoms. Started at 3 or 4pm, got worse in evening. Improved with Benadryl. Same thing happening today, 8 days out.

Other Meds: None

Current Illness: None

ID: 0963606
Sex: F
Age: 48
State: FL

Vax Date: 01/07/2021
Onset Date: 01/12/2021
Rec V Date: 01/21/2021
Hospital:

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

Lab Data:

Allergies: Sulfa, Compazine

Symptom List:

Symptoms: Started out with discomfort then gold ball size lump. Progressed to redness, warmth, swelling. Diagnosed with cellulitis, treating with IV and oral antibiotics.

Other Meds: Ozempic, Metoprolol, Synthroid, Progesterone

Current Illness: None

ID: 0963607
Sex: F
Age: 40
State: SD

Vax Date: 01/04/2021
Onset Date: 01/06/2021
Rec V Date: 01/21/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: 1-5: fever, chills, aches,fatigue. Started tylenol/ibuprofen 1-6: facial and throat swelling, continued side effects. Started benadryl. Continued through 1-7 with some improvement in swelling and general side effects. 1-8: swelling and numbness with droop to left eye and numbness to lips. IC visit. Received steroid injection and started pepcid and allegra in addition to benadryl. 1-9: swelling and most general side effects resolved. Left eye numbness/droop and numb lips still present. 1-10 : Droop resolved, numbness remained. 1-12: Numbness resolved.

Other Meds: Metformin Spironolactone MVI

Current Illness: None

ID: 0963608
Sex: F
Age: 23
State:

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 01/21/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List:

Symptoms: Felt fine no symptoms besides arm pain. About 28 hours later I was very nauseous and threw up. Feel better after throwing up.

Other Meds: 5000 iu Vitamin d, 100 mg sertraline, tricyclen lo

Current Illness: No

ID: 0963609
Sex: F
Age: 30
State: IN

Vax Date: 01/18/2021
Onset Date: 01/19/2021
Rec V Date: 01/21/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Very sore arm, slight headache, fatigue

Other Meds:

Current Illness:

Date Died: 01/17/2021

ID: 0963610
Sex: M
Age: 63
State: NM

Vax Date: 01/14/2021
Onset Date: 01/17/2021
Rec V Date: 01/21/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: Patient deceased on 01/17/2021

Other Meds: Asprin 81mg Calcium Acetate 667mg Ensure Plus Eucerin Furosemide 80mg Glipizide 5mg Omeprazole 20mg Renvela 800mg Rifampin 300mg Sensipar Vitamin D3

Current Illness: TB DMII Hyperlipidemia GERD CKD Renal Failure

ID: 0963611
Sex: M
Age: 22
State: MA

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 01/21/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: After 10 minutes of monitoring he reported experiencing dizziness and sweating. BP 130/60 mmHg, HR 84bpm, 98% SPO2 He denies any prior history of adverse reactions to vaccinations or any history of anaphylaxis to medications or food. Given Gatorade and water, he is sitting comfortably in the recliner. After 20 minutes observation patient reported feeling fine, cleared to be released by NP

Other Meds: Unknown

Current Illness: No current illness

ID: 0963612
Sex: M
Age: 17
State: IL

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 01/21/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Patient felt lightheaded and confused. He laid down and rested for about 5 minutes. The EMT took vitals and they improved with rest. The patient was transported by ambulance to Hospital for additional observation because they are a minor.

Other Meds: none

Current Illness: none

ID: 0963613
Sex: F
Age: 36
State: CA

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 01/21/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Insomnia Body aches sweats cant walk body aches fatigue headache fever nausea weakness

Other Meds:

Current Illness:

ID: 0963614
Sex: F
Age: 28
State: CA

Vax Date: 01/12/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

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

Lab Data:

Allergies: Amoxicillin

Symptom List:

Symptoms: Had only arm soreness for two days but then 8 days later (9th day today and still continuing) have profuse nausea and non stop diarrhea and stomach cramps possibly related to the PEG in the vaccine.

Other Meds: Lexapro

Current Illness:

ID: 0963615
Sex: F
Age: 50
State:

Vax Date: 01/10/2021
Onset Date: 01/11/2021
Rec V Date: 01/21/2021
Hospital:

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

Lab Data:

Allergies: contrast media, penicillins, cephalosporins

Symptom List:

Symptoms: Woke up the morning after vaccination with itching rash on neck, face, chest; chills but no fever; body aches; rhinorrhea.

Other Meds: fluticasone, albuterol, losartan

Current Illness:

ID: 0963616
Sex: F
Age: 51
State: FL

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/21/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: 10-11 hours after vaccine started with headache, body aches, fatigue. 22 hours after vaccine woke up to severe joint pain, body aches fatigue 36 hours after, mild joint pain and fatigue 48 hours after vaccine fatigue

Other Meds: lisinopril ,levothyroxine

Current Illness: HTN, hypothyroidism

ID: 0963617
Sex: F
Age: 18
State: PA

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 01/21/2021
Hospital:

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

Lab Data:

Allergies: None reported

Symptom List:

Symptoms: Vasovagal episode. pt briefly passed out after reported blurred vision, dizziness and tingling arms. Staff supported patient by moving pt to ground and elevated pt feet. pt did not lose consciousness and reported feeling better after laying down for a few minutes. We moved her to a sitting position on the ground, then to the chair. continued to monitor and pt reported feeling fine. Patient recovered within 10 minutes of episode.

Other Meds: None reported

Current Illness: None reported

ID: 0963618
Sex: F
Age: 67
State: CA

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 01/21/2021
Hospital:

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

Lab Data:

Allergies: Codeine

Symptom List:

Symptoms: Pt identified as needing 30 min observation due to previous severe allergies. Pt reports she is feeling anxious: about the vaccines, long lines, and wait. RN spoke with her she stated that she experienced an allergic reaction to codeine in the past when she was in the hospital. Pt alert, oriented and calm. 3:20 pt reported she thought her throat was feeling itchy. RN called for assistance to observation room EMS called. Pt agreed to receive benadryl IM and 6L O2; and administered benadryl into left deltoid. EMS/FF arrived, pt declined transport. BP 168/104 taken 138/97, went home with daughter in law.

Other Meds: unknown

Current Illness: unknown

ID: 0963619
Sex: F
Age: 62
State: OH

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

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

Lab Data:

Allergies: Latex, Penicillin, Phenothiazines

Symptom List:

Symptoms: Woke up with extreme fatigue. Ate a piece of toast and became very nauseated. Started chilling around 10 and by noon, had a temp of 100.7. Took Tylenol. Ran temp all day with chilling. No appetite all day with nausea. Left arm pain and body aches. On 1-21-21 had slight fatigue and no appetite. became nauseated in morning only

Other Meds: Advil prn,Protonix prn

Current Illness: none

ID: 0963620
Sex: F
Age: 61
State: FL

Vax Date: 01/08/2021
Onset Date: 01/18/2021
Rec V Date: 01/21/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Large, red, warm, itchy, circular, raised area on arm at location of injection. Became larger for subsequent 2 days. On this 4 th day, the area is a little sore feeling, and the redness, itching, is reducing. It is not itching anymore.

Other Meds: Omeprazole; Amoxicillin (for gum surgery)

Current Illness: None

ID: 0963621
Sex: F
Age: 28
State: PA

Vax Date: 01/15/2021
Onset Date: 01/21/2021
Rec V Date: 01/21/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: I developed a small, bumpy, red rash on my upper left arm where I received the shot. The rash only showed up 6 days after I received the vaccine.

Other Meds:

Current Illness:

ID: 0963622
Sex: F
Age: 22
State: GA

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 01/21/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Generalized body aches; aching of the arms and legs

Other Meds:

Current Illness:

ID: 0963623
Sex: F
Age: 26
State: CA

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/21/2021
Hospital:

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

Lab Data:

Allergies: Triptans, Robaxin, bupivicane, Nurtec

Symptom List:

Symptoms: Throat tightness within 5 minutes of vaccine, mild to moderate, 5/10. No shortness of breath and was swallowing and moving air fine.

Other Meds: Lyrica, Naltrexone, Slynd, Quercetin, Daily Probiotic, Thorne Buffered C Powder, Zyrtec, Benadryl, primatene mist, SCIG

Current Illness: none

ID: 0963624
Sex: F
Age: 30
State: KS

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 01/21/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: 7:25 PM pt not feeling well, nausea, BP: 136/84, HR: 84, gave juice and monitored, rest, cool wash cloth 7:35 PM pt laid on floor, dry heaving, BP: 116/87, no respiratory distress, slight dizziness, continued to monitor, provide comfort, water, sprite 7:54PM pt feeling better, BP:130/84, HR: 88, pt requested to go home and felt safe driving 8:10 PM pt called to confirm she arrived at home

Other Meds:

Current Illness:

ID: 0963626
Sex: F
Age: 45
State: NY

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 01/21/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Tired, dizziness, chills

Other Meds:

Current Illness:

ID: 0963627
Sex: F
Age: 34
State: ME

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 01/21/2021
Hospital:

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

Lab Data:

Allergies: Bees

Symptom List:

Symptoms: Described "Dry tongue" No other symptoms consistent with anaphylaxis

Other Meds: Prn albuterol

Current Illness: None

ID: 0963628
Sex: F
Age: 28
State: NY

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

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

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: Low-grade fever (100.4 F), chills, myalgia, headache. Onset ~8 hours after vaccine administration. Resolved ~48 hours after vaccine administration.

Other Meds: Spironolactone PO 100mg daily for acne vulgaris

Current Illness: None

ID: 0963629
Sex: F
Age: 42
State: AZ

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Body aches, shaking chills, joint pain, fever and left underarm lymph node enlarged

Other Meds: Benadryl, oral iron supplements

Current Illness: Intermittent iron deficiency anemia

ID: 0963630
Sex: F
Age: 32
State: NY

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/21/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: Continued pain in the arm near injection site when arm/shoulder is moved. Pain started the day of the injection. Had difficulty moving arm without severe pain for 5 days after injection. Pain has continued for 2 weeks. Pain increases at night.

Other Meds: Bupropion, vitamin, fish oil, elderberry, b complex, magnesium

Current Illness:

ID: 0963631
Sex: F
Age: 26
State: FL

Vax Date: 01/18/2021
Onset Date: 01/19/2021
Rec V Date: 01/21/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: Within 24 hours of me second Modena shot I started having massive headache. pain at injection start 1 hour after injection. At 24 hours I became to have aches and going between chills and sweat w/ low grade fever. It is now three say out and no adverse results present except are at injection site has started to increase in redness and itching.

Other Meds: Lorazepam,

Current Illness:

ID: 0963632
Sex: M
Age: 65
State: NY

Vax Date: 01/17/2021
Onset Date: 01/19/2021
Rec V Date: 01/21/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Night sweats

Other Meds: None

Current Illness: None

ID: 0963633
Sex: M
Age: 23
State: CA

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 01/21/2021
Hospital:

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

Lab Data:

Allergies: NONE

Symptom List:

Symptoms: PT RECEIVED VACCINE, 30 MINUTES LATER EXPERIENCED LIGHT HEADEDNESS AND FAINTED AT CHECKSTAND. DID NOT HIT HEAD

Other Meds: NONE

Current Illness: NONE

ID: 0963634
Sex: F
Age: 27
State: NY

Vax Date: 01/10/2021
Onset Date: 01/18/2021
Rec V Date: 01/21/2021
Hospital:

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

Lab Data:

Allergies: Propylene glycol

Symptom List:

Symptoms: Severe allergic reaction hives eye swelling

Other Meds:

Current Illness:

ID: 0963635
Sex: F
Age: 58
State: VA

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/21/2021
Hospital:

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

Lab Data:

Allergies: Allergic to Sulfa drugs and Erythromycin

Symptom List:

Symptoms: Headache and nasal congestion. Really bad runny nose for 8 hours. General malaise. Arm pain at injection site.

Other Meds: none

Current Illness: none

ID: 0963636
Sex: F
Age: 35
State: WI

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 01/21/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Tingling tongue, facial numbness on right side, lump in throat on right side

Other Meds: Melatonin 10mg, unison 50mg

Current Illness: None

ID: 0963637
Sex: F
Age: 30
State: UT

Vax Date: 01/12/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

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

Lab Data:

Allergies: pineapple

Symptom List:

Symptoms: Initial day of vaccine patient had headache, body aches, chills, flu like symptoms. On 1/20/2021 patient noticed left arm began to hurt and then a rash at vaccination site consisting of petechiae and erythematous macules

Other Meds: Triameterene, Metformin, Sprintec

Current Illness: none

ID: 0963638
Sex: F
Age: 44
State: FL

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

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

Lab Data:

Allergies: Pcn

Symptom List:

Symptoms: Nurse pinched the skin and injected the vaccine within subcutaneous fat, did not stick needle all the way into muscle. 6 hours later, injection site became red, hot, painful, hard and swollen. 60 hours later and the redness, warmth, hardness and pain has spread further down the arm. Low grade fever day 3 relieved with ibuprofen

Other Meds: Atenolol, Zoloft, temazepam, vit D

Current Illness: None

ID: 0963639
Sex: F
Age: 39
State: OR

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/21/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Tingling in L side of face began within 30 min. Ultimately dx with Bells palsy after smile went crooked and cont'd numbness/tingling L side of face, L ear and dull pain behind L ear. Hoarse voice set in roughly 24 hours later and still active. Began prednisone 3 tabs daily Monday 1/18

Other Meds: Atenolol

Current Illness: Sinus infection 1 mth prior

ID: 0963640
Sex: F
Age: 53
State: TX

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

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

Lab Data:

Allergies: nada

Symptom List:

Symptoms: rash to injection site

Other Meds: Norvasc Alphagan Z Travatan

Current Illness: none

ID: 0963641
Sex: F
Age: 35
State: CA

Vax Date: 12/31/2020
Onset Date: 01/02/2021
Rec V Date: 01/21/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Rash primarily on upper extremities and back beginning 1/02/2020. Rash had not cleared as of 1/14/2020. Completed visit with PA at PCP?s office on 1/18/2020. Prescribed Prednisone 1x per day for 5 days.

Other Meds: None

Current Illness: None

ID: 0963642
Sex: F
Age: 60
State: WA

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 01/21/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
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Lab Data:

Allergies: tetracyclines

Symptom List:

Symptoms: Patient had a heart rate above 100 for more than a minute. then went back to normal. patient did not faint.

Other Meds: amoxicillin

Current Illness: none

ID: 0963643
Sex: F
Age: 29
State: WV

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 01/21/2021
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Lab Data:

Allergies: diazepam, morphine, nickel

Symptom List:

Symptoms: Approximately 45 minutes after her 2nd dose of Moderna COVID vaccine, patient began experiencing facial tingling and chest heaviness. She was given 25 mg of benadryl without improvement and referred to PCP's office for evaluation. There, she was given another 25 mg of benadryl and 20 mg of pepcid. Vital signs were stable and physical exam was benign. Patient began experiencing difficulty swallowing, so Epi-pen was administered which resolved most of symptoms. Patient was then sent to ER for further evaluation and monitoring via EMS

Other Meds: Adderall, duloxetine, protonix

Current Illness: None

ID: 0963644
Sex: M
Age: 68
State:

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 01/21/2021
Hospital:

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Lab Data:

Allergies:

Symptom List:

Symptoms: sore arm at the site of injection

Other Meds:

Current Illness:

ID: 0963645
Sex: F
Age: 43
State: NC

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

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Lab Data:

Allergies: Augmentin Cephalosporins

Symptom List:

Symptoms: Red, swelling and itching at injection site. Started 15 hours after injection and still present 57 hours after injection. Swelling of lymph nodes and pain in lymph node region in the same arm. Unable to turn a steering wheel due to pain or pick up objects with right hand. Reaction has followed the same time line as the arm. Pain is so severe that it prevents sleep.

Other Meds: Fish Oil

Current Illness: None

ID: 0963646
Sex: F
Age: 60
State: UT

Vax Date: 12/31/2020
Onset Date: 01/11/2021
Rec V Date: 01/21/2021
Hospital:

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Lab Data:

Allergies: Contrast iodine

Symptom List:

Symptoms: 11 days after vaccination - Hive at injection site, headaches, hands stiff and swollen, body aches for four days

Other Meds: Estradiol/Noreth tabs 1/0.5 mg, vitamin C, Lutein, B6 vitamin, Calcium, multiple vitamin and magnesium

Current Illness:

ID: 0963647
Sex: F
Age: 74
State: NJ

Vax Date: 01/13/2021
Onset Date: 01/20/2021
Rec V Date: 01/21/2021
Hospital:

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Allergies:

Symptom List:

Symptoms: One week after injection developed circular, red, itchy , lumpy rash around injection site extending a few inches.

Other Meds: Synthroid, Effexor, atorvastatin, aspirin

Current Illness: None

ID: 0963648
Sex: F
Age: 56
State: NJ

Vax Date: 01/13/2021
Onset Date: 01/18/2021
Rec V Date: 01/21/2021
Hospital:

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Lab Data:

Allergies: None

Symptom List:

Symptoms: Hard lump at injection site with redness and auxiliary swelling and pain beginning 5 days after injection

Other Meds: Nexium Vitamin D Evening primrose oil

Current Illness: None

ID: 0963649
Sex: F
Age: 65
State: NY

Vax Date: 01/10/2021
Onset Date: 01/19/2021
Rec V Date: 01/21/2021
Hospital:

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Lab Data:

Allergies: None

Symptom List:

Symptoms: Giant Hives Itchy hands Tingling of head

Other Meds: None

Current Illness: None

ID: 0963650
Sex: F
Age: 0
State: OR

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 01/21/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: None

Symptom List:

Symptoms: fever up to 102 by report. in office s/p ibu and APAP at home >1hr prior, 99.3 axillary

Other Meds: None

Current Illness: None

ID: 0963651
Sex: M
Age: 62
State: NY

Vax Date: 12/28/2020
Onset Date: 12/29/2020
Rec V Date: 01/21/2021
Hospital:

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Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: Headache for 48 hours from injection, Fever 100.4 approximately 24-36 hours from injection, weakness and fatigue fir approximately 72 hours

Other Meds: Vascepa, aspirin & multivitamin

Current Illness: None

ID: 0963652
Sex: M
Age: 44
State: TX

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

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Lab Data:

Allergies: Percocet

Symptom List:

Symptoms: The site was red the first couple of days then went away. Arm was a little sore like normal from getting any other injection. Yesterday evening the site was itching and then today it is bright red at the injection site and the size of the red spot is about 2 to 3 inches big. It is warm to the touch.

Other Meds:

Current Illness:

ID: 0963653
Sex: F
Age: 44
State: MD

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 01/21/2021
Hospital:

Vax Type:
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Lot:
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Lab Data:

Allergies: Seasonal allergies, slight reaction to penicillin as infant have not taken since. Don't not tolerate codeine

Symptom List:

Symptoms: Lips felt swollen and chapped night of vaccine. Didn't think anything of it. Woke up next morning lips still swollen and chapped feeling...small bumps around my lips. Swelling, itching and dryness continued through day. Used vasoline for dryness and took benadryl for itching and swelling.

Other Meds: Daily multi, atorvastatin (10mg) calcium +D, claritin, b-12, fish oil, evening primrose oil, magnesium

Current Illness: N/a

Total 2021 VAERS Injuries: 704,237

Page last modified: 03 October 2021 5:28pm