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: 0964862
Sex: F
Age: 56
State: PA

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 01/22/2021
Hospital:

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

Lab Data:

Allergies: Gadollinium - rash, short of breath, lip swelling, itchy throat (2014) - resolved with albuterol IV contrast - itchy throat, short of breath, rash - likely received Benadryl and resolved (2013 and earlier) Shellfish - anaphylaxis, just received Benadryl and resolved Wheat - GI upset

Symptom List:

Symptoms: 10 minutes after receiving vaccine, developed itchy throat, headache, and shortness of breath. Took albuterol around 20 minutes after receiving vaccine with almost complete resolution of symptoms.

Other Meds: Proair, Zyrtec, Humira, Lexipro, Pepsid, pantoprazole, clonapin, Crestor

Current Illness: Psoriatic arthritis, fibromyalgia

ID: 0964863
Sex: F
Age: 46
State: IL

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 01/22/2021
Hospital:

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

Lab Data:

Allergies: sulfa

Symptom List:

Symptoms: pt stated she had aurora with her vision and after that aurora subsided she developed a migraine.

Other Meds: Synthroid 50 mg

Current Illness: none

ID: 0964865
Sex: F
Age: 39
State: NY

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/22/2021
Hospital:

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

Lab Data:

Allergies: Undisclosed

Symptom List:

Symptoms: Vaccine administration error. It is suspected that a 1/2 " needle syringe was used instead of a 1" needle syringe.

Other Meds: undisclosed

Current Illness: undisclosed

ID: 0964866
Sex: F
Age: 42
State: NC

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 01/22/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient reported metallic taste in her mouth. Resolved after 15 minutes

Other Meds:

Current Illness:

ID: 0964867
Sex: F
Age: 42
State: IL

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List:

Symptoms: I woke up with a throbbing eye that was burning. I had hives on my eyelid which was halfway swollen shut yesterday. Today the hives are still there but its not swollen shut, the throbbing is gone, the itching is gone its just the hives.

Other Meds: No

Current Illness: No

ID: 0964868
Sex: F
Age: 19
State: UT

Vax Date: 01/15/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
Hospital:

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

Lab Data:

Allergies: Penicillin, sulfa drugs

Symptom List:

Symptoms: COVID-19 Vaccine EUA Raised rash around area of injection, itchy. Showed up 6 days after vaccination. Has not spread.

Other Meds: Doxycycline, tri-lo-estarylla, women's multivitamin

Current Illness: N/A

ID: 0964869
Sex: F
Age: 47
State: WV

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 01/22/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Swollen, red, sore arm from shoulder to the elbow beginning Friday 1/15/21. Physician recommended Benadryl 25 mg every 6 hours.

Other Meds: protein shakes, amino acid supplements

Current Illness: none

ID: 0964870
Sex: F
Age: 46
State: TX

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/22/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: APPROXIMATELY 15 MINUTES AFTER INJECTION, RECIPIENT BECAME EXTREMELY NAUSEA DIAPHORETIC DIZZY WITH CHEST PAIN. RECIPIENT WAS SENT TO ER AND SEEN BE PHYSICIAN. EKG, BNP, CARDIAC ENZYMES, CBC, CMP, D DIMER ORDERED. RECIPIENT RECEIVED 1 LITER BOLUS OF NORMAL SALINE IV, AND ATIVAN 1 MG IV GIVEN. RECIPIENT WAS DISCHARGED HOME AND RETURNED TO WORK THE FOLLOWING DAY.

Other Meds: acetaminophen ibuprofen

Current Illness: none

ID: 0964871
Sex: F
Age: 49
State: NH

Vax Date: 01/13/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: Circular rash developed near injection site one week after vaccine.

Other Meds: Wellbutrin, Breo, Ventolin

Current Illness: No

ID: 0964872
Sex: M
Age: 21
State: MI

Vax Date: 01/09/2021
Onset Date: 01/11/2021
Rec V Date: 01/22/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Patient was seen in my office on 1/15/21 due to a reaction from the covid. Reports that "3 of the reserve doctors were running a covid vaccine clinic and were giving the injections themselves." He reports that he "received the first dose/shot in his left arm then about an hour later received the second dose/shot in his right arm." This happened on Saturday 1/9/21 in the evening and he reports his symptoms started late Sunday night/early Monday morning and were significant by later in the day Monday 1/11/21; he reports he had severe headaches, dizziness, nausea/vomiting, numbness and tingling in both arms from injections sites to forearms, "felt like he was going to die." He is unsure if he had a fever because he did not check it. He reports his symptoms improved on Wednesday and "were pretty much gone by Thursday." At his appointment on with me on Friday 1/15/21 he had no symptoms and his physical exam was normal. No injection site irritation and normal neuro exam. He reports he "notified the reserve doctors about his reaction and symptoms and was told at that time that he was given the vaccine incorrectly because both doses were given at once instead of a few weeks apart." He reports his comrades that also had the vaccine given incorrectly on Saturday "were also really sick" but states that "by Sunday the doctors realized their mistake and were giving the doses correctly just one at a time."

Other Meds: none

Current Illness: none

ID: 0964873
Sex: M
Age: 47
State: MD

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/22/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: 2cm morbilliform/urticarial rash started evening of injection. Rash progressed over next 3 weeks to involve the entire left arm, forearm with slight extenion superior into axilla and chest. Week 3.5 skin on other parts of body (behind knees, groin) was pruritic with small but no progressiv rash. Treated with oral antihistamines, topical anesthetic lotion and topical steroids. Rash persists at week 4

Other Meds: None

Current Illness: None

ID: 0964874
Sex: F
Age: 50
State: ME

Vax Date: 01/09/2021
Onset Date: 01/16/2021
Rec V Date: 01/22/2021
Hospital:

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

Lab Data:

Allergies: Alegra, Cipro, Sulfa, Famotidine

Symptom List:

Symptoms: Localized erythema, urticarial plaque. Measured 6 cm x 6 cm 10 days post vaccination Supportive care- cool compresses, NSAIDS, hydrocortisone

Other Meds: None listed

Current Illness: None

ID: 0964876
Sex: F
Age: 53
State: MO

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/22/2021
Hospital:

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

Lab Data:

Allergies: n/a

Symptom List:

Symptoms: shortness of breath insomnia, high blood pressure, feeling of something logged in my throat,low-grade fever and chills, digestive issues weight loss body aches.

Other Meds: Aleve and diphanhydromine

Current Illness: I had Covid November 25-December 7 2020

ID: 0964877
Sex: F
Age: 45
State: OR

Vax Date: 01/08/2021
Onset Date: 01/18/2021
Rec V Date: 01/22/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
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Vax Site:

Lab Data:

Allergies: Zoloft, Effexor, Monistat Seafood

Symptom List:

Symptoms: Hive like reaction near the injection site, started 10 days post injection. Mild symptoms of warmth, erythema, tenderness, swelling upon waking the morning of 1/18/2021. Mild fever and headache, and flaring of asthma symptoms also noted. Erythematous area has spread/worsened every day since onset. Seems to decrease with use of benadryl, not to Claritin or Zyrtec. Ice packs reduce discomfort. Today is day 5 of reaction and it does not seem to be resolving. I have been in contact with my doctor's office 2 times since onset.

Other Meds: Atenolol, Wellbutrin, Singulair, Levothyroxine, Escitalopram, Acyclovir, Kelnor, Alvesco, Vit D, Mulit Vitamin, Loratidine

Current Illness: No

ID: 0964878
Sex: F
Age: 49
State: PA

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
Hospital:

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

Lab Data:

Allergies: Keflex - stomach upset Bactrum - hives

Symptom List:

Symptoms: Woke up in the morning 0f 1/21/20 at 6:00am and my arm was so sore that I could not raise it above my head. My husband had to help me get my sweater and coat on. Within a half hour, body aches and a headache developed. I took 1000mg of Tylenol at 7:00 am. That took away all symptoms and most of the arm soreness. Around 11:30 am, the symptoms resurfaced. I had all the original symptoms plus chills and tiredness. Felt like I had a fever but when I took temperature it was normal. As the day went on symptoms worsened and I had a 102.5 temperature at 3:00. I took another 1000mg of Tylenol but it took several hours for fever to break and other symptoms to subside. The fever and other symptoms did not return. When I awoke on January 22nd, I had a headache and some nausea. I took Motrin for the headache and that did help with the headache

Other Meds: Levothyroxine 25mcg once a day OTC Allery Relief Cetirizine Hydrochloride 10 mg once a day

Current Illness: na

ID: 0964879
Sex: F
Age: 58
State: MT

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/22/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Fever, Nausea, Headache

Other Meds:

Current Illness:

ID: 0964880
Sex: M
Age: 33
State: PR

Vax Date: 01/18/2021
Onset Date: 01/19/2021
Rec V Date: 01/22/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: The Patient reports general malaise, fever, acute diarrhea and pain in the left deltoid arm.

Other Meds:

Current Illness:

ID: 0964881
Sex: F
Age: 44
State: IN

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/22/2021
Hospital:

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

Lab Data:

Allergies: sulfa

Symptom List:

Symptoms: Headache, nausea, dizziness, super tiredness, EXTREMELY painful left arm

Other Meds: tramadol, effexor xr, daily multivitamin

Current Illness: none

ID: 0964882
Sex: F
Age: 33
State: IL

Vax Date: 01/11/2021
Onset Date: 01/18/2021
Rec V Date: 01/22/2021
Hospital:

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

Lab Data:

Allergies: Amoxicillin

Symptom List:

Symptoms: 1 week after my injection I developed a approximate baseball size circle at my injection sight with mild warmth and tenderness and swelling. I had axillary lymph node swelling, neck muscle soreness, fatigue, and frontal and temporal headache. I still have a red circular area at my injection sight but it is gradually improving (4 days out from redness occurring). The symptoms seemed worse than the initial reaction the first few days after my injection. I am a health care provider and have taken photos daily but have not gone for an office visit at this time.

Other Meds: Prenatal vitamin, vitamin c, and vitamin d/calcium

Current Illness:

ID: 0964883
Sex: F
Age: 27
State: IA

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Headache, tiredness, nausea, bodyaches

Other Meds: None

Current Illness: None

ID: 0964884
Sex: F
Age: 48
State: UT

Vax Date: 01/12/2021
Onset Date: 01/20/2021
Rec V Date: 01/22/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Redness, swelling, and itching at the injection site 8 days after injection

Other Meds: Vitamin D 15000mg Allegra Tagament 200mg

Current Illness: none

ID: 0964886
Sex: F
Age: 30
State: MO

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/22/2021
Hospital:

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

Lab Data:

Allergies: Latex, penicillin, morphine and codeine

Symptom List:

Symptoms: Fever, intense seizure for 10 min causing blackout, lost feeling in face and three toes, still can't feel 3 toes, lost consciousness.

Other Meds: Aptiom 400 mg once daily Testosterone injection 1 ml

Current Illness:

ID: 0964887
Sex: M
Age: 57
State: MA

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/22/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Received Moderma Vaccine on 12/29/2020. He came for a second vaccine on January 19th and was given Pfizer vaccine. No adverse effects past 24hrs.

Other Meds:

Current Illness:

ID: 0964888
Sex: F
Age: 27
State: NJ

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/22/2021
Hospital:

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

Lab Data:

Allergies: NSAIDS

Symptom List:

Symptoms: 3AM 1/13 WOKE UP WITH FEVER 12PM 1/13 VOMIT. ALL DAY FEVER, MUSCLE PAIN TOOK TYLENOL 1 GRAM @ 4AM 1/13 12PM 1/13, 10PM 1/13

Other Meds: JUNEL FE; VIT C; ZYRTEC; FLONASE

Current Illness: NONE

ID: 0964889
Sex: F
Age: 56
State: NJ

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
Hospital:

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

Lab Data:

Allergies: latex (possible) and seafood (all)

Symptom List:

Symptoms: Patient felt adverse effects after receiving vaccination. Approximately two hours after her vaccination, patient felt a radiating pain on lower right back down the right leg to the point where she could not walk. She used an ice pack and took an OTC pain medication (she could not remember name of) as well as an old gabapentin prescription later in the night. She states she could not walk from the pain all night. Her left knee experienced pain as well but for a shorter period of time. The next morning she can walk and feels it is improving, but there is still pain.

Other Meds: Hydrochlorothiazide, atorvastatin, metformin

Current Illness: was sick approximately 2 months ago and took benzonatate and doxycycline hyclate

ID: 0964890
Sex: F
Age: 64
State: CA

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
Hospital:

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

Lab Data:

Allergies: Sulpha Penicillin

Symptom List:

Symptoms: chills, skin hurts, headache, nausea, body aches, muscle aches

Other Meds: Arimidex, Vit D, B vitamins, Multiple Vitamins

Current Illness: N/A

ID: 0964891
Sex: F
Age: 61
State: CA

Vax Date: 01/16/2021
Onset Date: 01/20/2021
Rec V Date: 01/22/2021
Hospital:

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

Lab Data:

Allergies: nkda

Symptom List:

Symptoms: pruritus and rash at injection site on day 4 after administration, spreading and persistent after 2 days

Other Meds: multi-vit w/iron, calcium/mag, Zyrtec, vit d, vit b12, vit k2

Current Illness: none

ID: 0964892
Sex: F
Age: 58
State: MT

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/22/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Fever, Nausea, Headache

Other Meds:

Current Illness:

ID: 0964895
Sex: F
Age: 23
State:

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/22/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: About 15 minutes after vaccination, patient began to experience lightheadedness and numbness, tingling and itching to her face. Vital signs showed tachycardia, but otherwise normal. Taken to ED and noted with rash to chest and neck. Given Benadryl 50 mg IV, famotidine 20 mg IV and solumedrol 125 mg IV in ED. The rash and lightheadedness resolved. Home with Benadryl 25 mg PO TID PRN, prednisone 60 mg daily x 3 days and famotidine 40 mg PO at HS.

Other Meds:

Current Illness:

ID: 0964896
Sex: M
Age: 52
State: AZ

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: rash, dyspnea

Other Meds: Lipitor, ambien, multivitamin

Current Illness: none

ID: 0964897
Sex: F
Age: 72
State: TX

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/22/2021
Hospital:

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

Lab Data:

Allergies: Doxycycline-Rash PCN- Rash Gentamicin

Symptom List:

Symptoms: Rash to upper and lower abdomen. Took daily allergy meds at home. Patient did not go to hospital or doctors office

Other Meds: Tylenol PRN, Zyrtec, Singular, Levothyroxine, Atenolol, Cyclobenzaprine, Atorvastatin, Ambien, Clindamycin, Vit. C, B-3, magnesium,

Current Illness:

ID: 0964898
Sex: F
Age: 42
State: NY

Vax Date: 01/10/2021
Onset Date: 01/11/2021
Rec V Date: 01/22/2021
Hospital:

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

Lab Data:

Allergies: Voltaren - itchy chest and wheezing Sulfa drugs - hives

Symptom List:

Symptoms: Morning after vaccine, noticed redness around injection site. Also felt arm pain, fever, and fatigue. Rash around site worsened on day 2 as systemic side effects improved. Arm continued to ache. Rash continued on day 3 but pain subsided. Itching occurred at site. After a week, swelling around site subsided but rash has continued. Ring formed around site at around week.

Other Meds:

Current Illness: None

ID: 0964899
Sex: F
Age: 61
State: PA

Vax Date: 01/13/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: red, circular rash. a little warm to the touch. but that's it. no other symptoms yet.

Other Meds: lipitor

Current Illness: none

ID: 0964900
Sex: F
Age: 59
State: WA

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/22/2021
Hospital:

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

Lab Data:

Allergies: Flu vaccine Walnuts

Symptom List:

Symptoms: Mild myalgia, malaise, soreness of injected arm

Other Meds: None

Current Illness: None

ID: 0964901
Sex: M
Age: 38
State: PA

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/22/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Same day as being vaccinated employee states tingling, hardness, burning, and bruising at site

Other Meds: mailcom, vit c, multi vit, amplophin

Current Illness: none

ID: 0964902
Sex: F
Age: 49
State:

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 01/22/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Achy arm Body Aches Fast heart beat

Other Meds:

Current Illness:

ID: 0964903
Sex: M
Age: 33
State: PR

Vax Date: 01/18/2021
Onset Date: 01/19/2021
Rec V Date: 01/22/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: The Patient reports general malaise, fever, acute diarrhea and pain in the left deltoid arm.

Other Meds:

Current Illness:

ID: 0964904
Sex: F
Age: 54
State: NY

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
Hospital:

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Lab Data:

Allergies: Sulfur

Symptom List:

Symptoms: temp 100.2-100.6/fever/chills, body aches, injection site L.arm very sore/heavy/painful

Other Meds: Multivitamin, omega 3, omeprazole, vitamin D, Bystolic

Current Illness: none

ID: 0964905
Sex: F
Age: 34
State: MI

Vax Date: 12/24/2020
Onset Date: 12/25/2020
Rec V Date: 01/22/2021
Hospital:

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Lab Data:

Allergies: None

Symptom List:

Symptoms: Oral sores/ulcers

Other Meds: None

Current Illness: None

ID: 0964906
Sex: F
Age: 39
State: DE

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/22/2021
Hospital:

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Lab Data:

Allergies: adhesive- hives and blistering

Symptom List:

Symptoms: Day 1 after vaccine- Around injection site- Red, round, raised, firm, hot, itchy area approx 5-6cm. Day 2- area larger, otherwise unchanged. Day 3- symptoms less significant, and gradually decreased until completely gone 1/17. Day 8- Itching at injection site- return of the red, round, raised, firm, hot area, approx 4-5cm. Day 9- area increased to 6-7cm, otherwise unchanged. Day 10- Redness and itching decreased, size unchanged.

Other Meds: Wellbutrin, Cymbalta, Metoprolol, Dexilant, spironolactone

Current Illness: n/a

ID: 0964907
Sex: F
Age: 24
State: IN

Vax Date: 01/20/2021
Onset Date: 01/23/2021
Rec V Date: 01/22/2021
Hospital:

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Lab Data:

Allergies: No

Symptom List:

Symptoms: Muscle pains, Vomitting, Chills, Joint pains

Other Meds: Sertraline, and hydroxizen

Current Illness: No

ID: 0964908
Sex: F
Age: 63
State: MI

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/22/2021
Hospital:

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Lab Data:

Allergies: None

Symptom List:

Symptoms: vaccination site pain, hand paralyzed, flu like symptoms, weakness, sore throat, overall unwell feeling

Other Meds: Multivitamins

Current Illness: None

ID: 0964909
Sex: M
Age: 36
State: CT

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/22/2021
Hospital:

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Lab Data:

Allergies: No

Symptom List:

Symptoms: Arm throbbing, chills, uncontrollably shaking and convulsions, migrane headache, body aches, muscle aches, hurts to breathe, walk, eat, etc. numbing of limbs, unable to open and close hands, extremely tired and lethargic

Other Meds: Zoloft

Current Illness: No

ID: 0964910
Sex: F
Age: 59
State: OH

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/22/2021
Hospital:

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Lab Data:

Allergies:

Symptom List:

Symptoms: Systemic: Anaphylaxis-Medium, Systemic: Chills-Severe, Systemic: Generalized Body Aches -Medium, Systemic: Headache-Severe, Systemic: Vomiting-Mild

Other Meds:

Current Illness:

ID: 0964911
Sex: F
Age: 39
State: GA

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/22/2021
Hospital:

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Lab Data:

Allergies: n/a

Symptom List:

Symptoms: Injection site red 4cm in diameter. Outer edge red, area warm to touch. Patient states fogginess feeling after injection.

Other Meds: bupropion XL 300mg ibuprofen

Current Illness: n/a

ID: 0964912
Sex: F
Age: 62
State: PA

Vax Date: 01/15/2021
Onset Date: 01/16/2021
Rec V Date: 01/22/2021
Hospital:

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Lab Data:

Allergies: None

Symptom List:

Symptoms: Extreme fatigue-unable to function-head congestion lasted approximately 48 hours slept approximately 36 of those hours

Other Meds: amlodipine, simvastatin, multi-vitamin; vitamin c

Current Illness: None

ID: 0964913
Sex: M
Age: 28
State: MN

Vax Date: 12/18/2020
Onset Date: 01/01/2021
Rec V Date: 01/22/2021
Hospital:

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Lab Data:

Allergies: N/A

Symptom List:

Symptoms: Upper back pain started 2 weeks after vaccination. Achy uncomfortable feeling in neck and right armpit. Still experiencing symptoms

Other Meds: Adderall 20 mg twice daily

Current Illness: N/A

ID: 0964914
Sex: F
Age: 23
State:

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/22/2021
Hospital:

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Lab Data:

Allergies:

Symptom List:

Symptoms: About 15 minutes after vaccination, patient began to experience lightheadedness and numbness, tingling and itching to her face. Vital signs showed tachycardia, but otherwise within normal limits. Taken to ED and noted with a rash to chest and neck. Given Benadryl 50 mg IV, famotidine 20 mg IV and solumedrol 125 mg IV. Symptoms resolved. Discharged with Benadryl 25 mg PO TID PRN, famotidine 40 mg PO at HS and prednisone 60 mg daily x 3 days.

Other Meds:

Current Illness:

ID: 0964915
Sex: F
Age: 38
State: NY

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/22/2021
Hospital:

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Lab Data:

Allergies: undisclosed

Symptom List:

Symptoms: Vaccine administration error. It is suspected that a 1/2" needle syringe was used instead of a 1" needle syringe.

Other Meds: undisclosed

Current Illness: undisclosed

ID: 0964916
Sex: M
Age: 78
State: NC

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
Hospital:

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Lab Data:

Allergies: None

Symptom List:

Symptoms: Chills, low grade fever (99.5), fatigue, some joint pain

Other Meds: Levofloxcin; Mobic; Nexium; Thyroxine; Bisoprold; Gaberbentin; Pantoprozele; Loratine;

Current Illness: None

Total 2021 VAERS Injuries: 599,999

Page last modified: 03 October 2021 5:28pm