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: 0921570
Sex: F
Age: 32
State: IL

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Pt reported swelling of the tongue within about 1 hr of vaccine administration.

Other Meds:

Current Illness:

ID: 0921571
Sex: F
Age: 38
State:

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

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

Lab Data:

Allergies: sulfa, lanolin, levofloxacin

Symptom List:

Symptoms: lightheadedness, headache

Other Meds: levonorgestrel, prochlorperazine, ketoconazole shampoo, albuterol, fluticasone, montelukast, sumatriptan

Current Illness:

Date Died: 01/02/2021

ID: 0921572
Sex: M
Age: 87
State: WI

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

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

Lab Data:

Allergies: Lisinopril, Losartan

Symptom List:

Symptoms: Resident had body aches, a low O2 sat and had chills starting on 12/30/20. He had stated that they had slightly improved. On 1/1/21 he sustained a fall with a diagnosis of a displaced hip fracture. On 1/2/21 during the NOC shift his O2 sat dropped again. He later went unresponsive and passed away.

Other Meds: Fluticasone, Lasix, Omeprazole, Sucarafate, Ropinrole HCl

Current Illness: Heart Failure

ID: 0921573
Sex: F
Age: 32
State: NE

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: DEVELOPED DIZZINESS AND NAUSEA SHORTLY AFTER VACCINATION. WAS BROUGHT BY PRIVATE VEHICLE TO EMERGENCY ROOM. SYMPTOMS LASTED ~1 HOUR.

Other Meds:

Current Illness:

ID: 0921574
Sex: F
Age: 27
State: TX

Vax Date: 12/23/2020
Onset Date: 12/28/2020
Rec V Date: 01/05/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: After administration of vaccine patient stared feeling tired with bodyaches and runny nose.

Other Meds: N/A

Current Illness: N/A

ID: 0921575
Sex: F
Age: 43
State: MS

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: Patient started experiencing a "tingling" at the injection site. There was also flushing of the left arm. Then started to experience right flank and back pain. Never experienced respiratory difficulty or distress. Patient was sent to the emergency department. Patient received Solumedrol, Pepcid, and Zyrtec in the emergency department (allergic to Benadryl)

Other Meds:

Current Illness:

ID: 0921576
Sex: F
Age: 55
State: WA

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

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

Lab Data:

Allergies: Sulfa Lavender

Symptom List:

Symptoms: 10minutes after vaccine: dizziness, nausea, severe headache 9/10, about to pass out. 20minutes after vaccine: felt a little better, dizziness eased, headache 6/10. 40minutes after vaccine: severe nausea, tongue felt weird heavy like, ears felt full, headache 7/10- I took 2 Benadryl and slept 12 hours straight. Next day: headache 6/10 feels like migraine but migraine medicine nor helping, nose &lips feel numb. Taste is off.

Other Meds: Singular Tramadol Gabapentin Cymbalta Vitamin c Magnesium

Current Illness: None

ID: 0921577
Sex: F
Age: 52
State: IN

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

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

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: APPROXIMATELY 8 -10 MINUTES AFTER THE VACCINE MY HEART RATE INCREASED, KIND OF SUDDENLY - SHORLY AFTER THAT I FELT A 'RUSH' FROM HEAD TO TOE. ALL OF THIS HAPPENED OVER MAYBE 20 SECONDS - THEN MY HR DECREASED TO NORMAL AND I FELT FINE.

Other Meds: PAROXETINE 10MG QDAY; LUNESTA 3MG QHS; ZYRTEC DAILY; ATENOLOL 15MG 1/2 TAB QHS

Current Illness: NONE

ID: 0921578
Sex: F
Age: 50
State: FL

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: NKA

Symptom List:

Symptoms: At 0919 I was made aware that this Team Member (TM) was complaining of being dizzy and fast heart rate. Face flushed and respirations labored. Tm given water and crackers. At 0927 TM stated " I am not really felling well.". TM hyperventilating , face flushed. Rapid Response Team ( RRT) called. Tm transferred to a gurney and moved to another room for privacy. RN RRT and APRN responded to code. 0932 Benadryl 50 mg given by mouth. 0938 . Dr. responded. Per Dr., Most likely a vasovagal response but requested TM call a family member to pick her up. 0940 VS BP 145/94 P 97. 1003 Resting with her eyes closed, respirations even, non labored. 1026 Assisted bby this nurse to her husbands car.

Other Meds: BP Med Biotin Collagen

Current Illness:

ID: 0921579
Sex: M
Age: 33
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:

Symptom List:

Symptoms: Employee got the Pfizer lot EL1284 on 01-04-2021 in left arm. There is now a bump about quarter of an inch high. It is not painful or itchy. Will keep an eye on it, use ice and Tylenol as needed.

Other Meds:

Current Illness:

ID: 0921580
Sex: M
Age: 63
State: CA

Vax Date: 12/07/2020
Onset Date: 12/08/2020
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: SSNHL of the left ear one day after shot, seen today at ov and placed on a steroid taper, mild loss drop of 25 decibels at 3000 and 4000 hz manufacturer is Sanofi

Other Meds: synthroid, HCTZ, lisinopril, vit d

Current Illness: none

ID: 0921581
Sex: F
Age: 86
State: PA

Vax Date: 12/21/2020
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: penicillin, prednisone

Symptom List:

Symptoms: 5 days after receiving the flu HD vaccine in the evening I started having ringing in my ears. Lasted about a minute and I could not get them to stop. Ever since having the shot I having the intermittent ringing in both of my ears. I contacted ,my PCP and he stated that I should contact the VAERS report and report the symptom. I will be seeing my PCP 2/2/21

Other Meds: xanax, nasal spray, clartin

Current Illness: no

ID: 0921582
Sex: F
Age: 37
State: CT

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Initial injection administered was empty syringe, resulting in pain and bleeding at injection site. Error was identified immediately and actual injection was administered into left arm.

Other Meds:

Current Illness:

ID: 0921583
Sex: U
Age: 20
State: FL

Vax Date: 12/01/2020
Onset Date: 12/01/2020
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: Discrepancy Noted: Five (5) vials that was supposed to contain (10) doses per vial contained only (9) doses. Clinic received 250, 5ML (10) dose vials in a shipment received 12/22/2020. At onset of vaccinations, the Immunizations Clinic noted five of the vials did not contain the appropriate amount of vaccine as stated per the manufacturer. No adverse impact. No mission degradation. Inquiry is submitted to address this discrepancy on current and future vaccine shipments.

Other Meds: UNKNOWN

Current Illness: UNKNOWN

ID: 0921584
Sex: F
Age: 43
State: WI

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: no known allergies

Symptom List:

Symptoms: patient complained of tingling extremities (legs, hands and feet). She also complained of feeling slightly faint and dizzy. she did not pass out. She did not have shortness of breath or palpitations. She also felt weak. We had the patient lay down and elevate legs/feet. about 15 minutes after that she was feeling back to her normal self.

Other Meds: unknown

Current Illness: none noted at the time of vaccination. see below for chronic conditions

ID: 0921585
Sex: F
Age: 56
State: NE

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: DEVELOPED CHILLS, BODY ACHES, AND FATIGUE. LASTED APPROXIMATELY 24 HOURS BEFORE RESOLVING.

Other Meds:

Current Illness:

ID: 0921587
Sex: F
Age: 22
State: GA

Vax Date: 01/02/2021
Onset Date: 01/03/2021
Rec V Date: 01/05/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Woke up on 1/3 with a bad headache, symptoms progressed into a 102.7 fever, severe chills, body aches, fatigue, and diarrhea. Symptoms have subsided except headache as of 1/5

Other Meds: None

Current Illness: Sinus infection

ID: 0921588
Sex: F
Age: 36
State: TN

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

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

Lab Data:

Allergies: Cephalexin

Symptom List:

Symptoms: I have learned that it was syncope. I felt like time was moving quickly. I was jittery and felt like my heart was beating quickly. I was taken to a separate area and felt warm and flush in my chest. They laid me down on the cot and said I looked pale. My hands were cold and within minutes I was shaking uncontrollably. I think it was an anxiety related to my research I've done at my job related to COVID. I don't think it was an allergic reaction, but I do have an appt on Thursday. I was monitored for about an hour. Symptoms went away but I wasn't totally ok until the next day besides soreness in next arm.

Other Meds: Zyterk Singulair Nasocort (nasal spray) Also have an IUD Took Tylenol at 7am on day of vaccination

Current Illness:

ID: 0921589
Sex: F
Age: 57
State: MD

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

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

Lab Data:

Allergies: Amoxicillin Penicillin

Symptom List:

Symptoms: Client had no issues on 12/29/2020 - the day of the Covid 19 vaccine. At 6:00 AM on 12/30/2020 she c/o of nausea, headache, felt as if she had been hit by a sledge hammer and had chills. she stayed in bed from 12/30/2020 until she went to Hospital ER on 1/4/2020. She reported to me that she had a chest x-ray that showed "double viral pneumonia". On 1/5/2021 she received a telephone call that she tested positive for Covid 19. She reported these events to her manager who reported it to County, Health Officer, who then reported it to me. I called the client to get all of the facts regarding the events.

Other Meds: Benicar Bystolic

Current Illness: None according to client

ID: 0921590
Sex: F
Age: 50
State: NJ

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient became anxious, nauseated and very fussy 20 minutes after injection.

Other Meds:

Current Illness:

ID: 0921591
Sex: M
Age: 29
State: IA

Vax Date: 12/30/2020
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: Swelling of left side of face and neck same side as vaccination. Severe ear pain/possible ear infections thought to also have lymphadenopathy.

Other Meds: None

Current Illness: None

ID: 0921592
Sex: M
Age: 54
State: NJ

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

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

Lab Data:

Allergies: history of allergies

Symptom List:

Symptoms: Patient complained of itching on left cheek. Given 25 mg Benadryl and juice itching resolved after 10 minutes

Other Meds:

Current Illness: none

ID: 0921593
Sex: F
Age: 27
State: TX

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

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

Lab Data:

Allergies: Yes

Symptom List:

Symptoms: Red Ring around injection, swollen, itchy, hot to touch, and wheezing. Patient took benadryl, iced and rested. Patient's PCP prescribed zpack and steroids.

Other Meds:

Current Illness:

ID: 0921594
Sex: F
Age: 15
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: None Known

Symptom List:

Symptoms: Covid Vaccination given to person less than 18 years. No complications at this time

Other Meds: None

Current Illness: Mental Health Issue

ID: 0921595
Sex: F
Age: 53
State: MA

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

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Received the COVID vaccine at work in her left deltoid 40 minutes prior to arrival to the ER. Within 5 minutes of receiving it, serial blood pressure readings began rising, her arm felt heavy, and she developed an uncontrollable tremor primarily in her left arm with what appears to be generalized shivering. Associated with significant anxiety. She has never had an allergic reaction before. No associated shortness of breath or wheezing. No lip tongue or throat swelling. No pruritus or hives. No nausea or vomiting. She was treated for possible dystonic reaction initially with two doses of Benadryl 25mg IV, then 1mg of IV lorazepam, and finally 125mg solumedrol. Symptoms improved significantly with Benadryl, and then resolved entirely after lorazepam. She was discharged home to complete 4 more days of 50mg prednisone.

Other Meds: none

Current Illness: none

ID: 0921596
Sex: F
Age: 58
State: NY

Vax Date: 12/29/2020
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:

Symptom List:

Symptoms: Reports hives five days after vaccination, redness on arm six days after vaccination, not hardened but soft, applied hydrocortisone cream to reddened affected area., followed by red "halo" around injection site the following day. She believes it to be a localized reaction, states concerns with timing of next COVID vaccine. Referred to contact physician.

Other Meds:

Current Illness:

ID: 0921597
Sex: F
Age: 26
State: TX

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

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

Lab Data:

Allergies: no

Symptom List:

Symptoms: Welp and swelling

Other Meds:

Current Illness:

ID: 0921598
Sex: F
Age: 19
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: NONE

Symptom List:

Symptoms: Tingling in throat after injection, but subsided after 5 minutes. About an hour after injection, I checked injection site and found a half-dollar bill sized red welt that was hot to the touch.

Other Meds: 10MG of over the counter ZYRTEC @9am that morning

Current Illness: NONE

ID: 0921599
Sex: F
Age: 52
State: TN

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Pt. c/o pain and redness at vaccine site on 12/23/2020 around 7 pm.. also c/o headache. Took Benadryl 25 mg PO q 4-6 hours and Ibuprofen and Aleve. Pt. states redness was worse the next morning, 12/24/20, and noticed significant swelling at site. Pt. states symptoms improved by 12/25/20. Seven days later, patient states noticed swelling and itching at the vaccine site again. Also states started having bruising and streaking. Took Benadryl 25 mg PO q 4-6 hours, Ibuprofen and Aleve. Swelling has improved, but bruising is still present.

Other Meds: Keppra 1500 mg PO BID, Vit. B, Vitamin B12, Vit. C, Vit. D3, Zinc - PO daily

Current Illness: None

ID: 0921600
Sex: F
Age: 88
State: OH

Vax Date: 12/31/2020
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: Oxaprozin, Penicillin

Symptom List:

Symptoms: Significantly increased confusion

Other Meds:

Current Illness:

ID: 0921601
Sex: F
Age: 29
State: NJ

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: NKA

Symptom List:

Symptoms: Had COVID vaccine yesterday. Felt Fatigued yesterday afternoon. Felt feverish during the night. At 7:00am this am Temp 100.3. Took 2 extra strength Tylenol At 11:00 temp 98.9 At 2:15 temp 100.8 Took 2 Tylenol extra strength Tylenol. At 3:00 pm temp 101.8.

Other Meds: Levothyroxine 150 mcg qd

Current Illness: Denies

ID: 0921602
Sex: F
Age: 33
State: TX

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: None that I know of.

Symptom List:

Symptoms: Once I got home that evening after getting vaccine on my left arm, I was experiencing some pain on my limbs and injection site, I was a little off , fatigued, mild hallucinations on that night only and low appetite.

Other Meds: None

Current Illness: None to my knowledge.

ID: 0921603
Sex: M
Age: 66
State: NE

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: DEVELOPED RED RASH ON UPPER RIGHT CHEST (17CMX13CM), WARM TO TOUCH AND ITCHES. BY NEXT MORNING COLOR HAD FADED AND RASH WAS NOT AS ITCHY.

Other Meds:

Current Illness:

ID: 0921604
Sex: F
Age: 53
State:

Vax Date: 12/27/2020
Onset Date: 12/27/2020
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: Headache, nausea, light-headed. Mostly resolved after 30 minutes of observation.

Other Meds:

Current Illness:

ID: 0921605
Sex: F
Age: 23
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: Tegaderm, adhesive tape, mangoes, and penicillin antibiotics

Symptom List:

Symptoms: Headache developed after vaccine was administered Fever: 102.1 Fatigue: spent the whole day away Felt like I had no energy Site is red , tender to touch, and swollen

Other Meds:

Current Illness:

ID: 0921606
Sex: M
Age: 40
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: Peanuts and Clindamycin

Symptom List:

Symptoms: Fever, arm pain and stiffness, nausea, states "I felt like I was in a fog", chills

Other Meds: Tylenol for fever

Current Illness: Flu vaccine 12/10/20

ID: 0921607
Sex: F
Age: 39
State: SC

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

Allergies: none per conversation with pt

Symptom List:

Symptoms: Patient works at County EMS. Shot given at 9AM and at approximately 915AM an EMT came and told me she broke out in urticaria. She denied having this reaction to a vaccine before, but has had reactions to unknown substances a few times on the scene of calls and had to receive EPI and Benadryl. At 9:20 AM EMS personnel gave her one shot of Epi (with Epi Pen) and a dose of Benadryl. At 9:35 AM pt states she felt better. At 10 AM I checked on her one more time and she said she felt fine. She did ask for the ingredients in the vaccine. Showed her where to find on her paperwork. Advised she may want to get MD clearance before taking shot #2.

Other Meds: none on file

Current Illness: unknown, denied recent illness

ID: 0921608
Sex: M
Age: 79
State: IL

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

Symptoms: patient received two Pfizer vaccines in the left arm

Other Meds:

Current Illness:

ID: 0921609
Sex: F
Age: 36
State: IL

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

Allergies: NKA

Symptom List:

Symptoms: Dizziness and vomiting

Other Meds: Paroxetene and Trazodone

Current Illness:

ID: 0921610
Sex: F
Age: 36
State: NJ

Vax Date: 01/03/2021
Onset Date: 01/03/2021
Rec V Date: 01/05/2021
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Symptom List:

Symptoms: Complained of feeling lightheaded and dizzy

Other Meds:

Current Illness:

ID: 0921611
Sex: F
Age: 25
State: WI

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

Allergies: Imitrex & Compazine

Symptom List:

Symptoms: Severe arm soreness, redness and lump at site

Other Meds: Sertraline 100mg Topamax 50 mg Multivitamin

Current Illness: none

ID: 0921612
Sex: M
Age: 65
State: TX

Vax Date: 12/28/2020
Onset Date: 12/29/2020
Rec V Date: 01/05/2021
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Lab Data:

Allergies: No

Symptom List:

Symptoms: Fever, Night Sweats, Chills, Soreness in all limbs, Fatigue,Tiredness

Other Meds: High Blood Pressure, Blood Thinner, Cholesterol

Current Illness: No

ID: 0921613
Sex: F
Age: 83
State: WA

Vax Date: 12/28/2020
Onset Date: 01/04/2021
Rec V Date: 01/05/2021
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Lab Data:

Allergies: N/A

Symptom List:

Symptoms: swelling at injection site, some redness, some headache

Other Meds: Lisinopril, Omeprazole, CHLORD/CLIDI, multi-vitamin

Current Illness: N/A

ID: 0921614
Sex: F
Age: 56
State: FL

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

Symptom List:

Symptoms: Woke next day with severe headache and nausea

Other Meds: Cymbalta, Zyrtec

Current Illness: None

ID: 0921615
Sex: F
Age: 38
State: PA

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

Allergies: Penicillin, Ceclor, seasonal

Symptom List:

Symptoms: Within first 5 mins - Sudden onset of warm sensation (similar to the feeling of IV contrast administration), flushed feeling, pale, near syncope followed by nausea and dry heaving. Lasted 30 mins. Felt fatigued and mild headache for next 24-48 hours.

Other Meds: Lexapro 5mg daily, Xyzal 5 mg daily, Trelegy daily, and multivitamin.

Current Illness: None

ID: 0921616
Sex: M
Age: 42
State:

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

Allergies: tree nut allergies

Symptom List:

Symptoms: Had fever of 102 with severe chills. Also had heacache, fatigue, and pain at injection site.

Other Meds: mutli-vitamins, claritin

Current Illness: none

ID: 0921617
Sex: F
Age: 58
State: PA

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

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Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: Dizziness, Light headed, nausea

Other Meds:

Current Illness: High Blood Pressure

ID: 0921618
Sex: F
Age: 49
State: PA

Vax Date: 01/02/2021
Onset Date: 01/02/2021
Rec V Date: 01/05/2021
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Lab Data:

Allergies: Levaquin

Symptom List:

Symptoms: Headache, dizziness, numbness/soreness in the left side of my face-cheek, eye, mouth, and tongue areas. Affects similar to receiving a Novocain shot. No treatment, went away on its own Lasted four hours-was closely monitored

Other Meds: Omega Oil, Vitamin C, Apple Cider Vinegar Supplement

Current Illness: Upper respiratory infection 2 weeks prior to vaccination

ID: 0921619
Sex: F
Age: 37
State: NE

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/05/2021
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Symptoms: DAY AFTER VACCINATION, DEVELOPED SLIGHT MUSCLE ACHES IN UPPER BACK AND LOW GRAD FEVER (99.6) FOR A FEW HOURS. RESOLVED BY 1/2/21

Other Meds:

Current Illness:

ID: 0921620
Sex: F
Age: 53
State: NY

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

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Lab Data:

Allergies: no

Symptom List:

Symptoms: Shortness of breath, fever, body aches, chills

Other Meds: Chosterol

Current Illness: no

Total 2021 VAERS Injuries: 599,999

Page last modified: 03 October 2021 5:28pm