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: 0966144
Sex: F
Age: 50
State: WI

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: Chills, headache, bodyaches, fever

Other Meds: Excedrin migrane

Current Illness:

ID: 0966145
Sex: F
Age: 55
State: NJ

Vax Date: 01/04/2021
Onset Date: 01/04/2021
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: HEADACHES AND FEVER T 101

Other Meds:

Current Illness:

ID: 0966146
Sex: U
Age: 45
State: MO

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: None Known

Symptom List:

Symptoms: 2nd COVID vaccine dose administered too early. 1st dose administered on 1/5/21. 2nd dose administered on 1/20/21

Other Meds: None Known

Current Illness: None Known

ID: 0966147
Sex: F
Age: 69
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: Penicillin

Symptom List:

Symptoms: Sore injection site began 24 hours after injection. Swelling and redness at injection site. Also began then. Sore shoulders developed on that day as well. 36 to 40 hours after injection I developed swollen lymph nodes under left arm. They diminished after 24 hours. Injection site began itching about 4 days after injection. All have gone away by 7 days with the exception of the injection site. 9 days after injection it is still slightly tender.

Other Meds: Levothyroxine , CoQ10, Glucosamine/condroiton, omega 3 fish oil, multivitamin

Current Illness: None

ID: 0966148
Sex: M
Age: 69
State: MO

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: None Reported

Symptom List:

Symptoms: Received Pfizer COVID-19 vaccine on the afternoon of 1/21/2021 at 2:12 pm. Patient was monitored for 15 minutes at Center and went home. A few hours after going home the individual started to experience edema and itching of the skin at his inner left eye. The individual treated himself at home with hydrocortisone cream, Benadryl and ice. The individuals symptoms improved later on that day.

Other Meds: Unknown

Current Illness: Unknown

ID: 0966149
Sex: F
Age: 28
State: PR

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: N/A

Symptom List:

Symptoms: Two to three hours after receiving the second dose of COVID-19 Pfizer-BioNTech vaccine, the patient began to have generalized rash erythematosus with hives. The patient was transferred to the Emergency Room and following the evaluation the patients was treated with Solu-medrol 125 mg IV single dose and Benadryl 25 mg IV. single dose.

Other Meds: Synthroid

Current Illness:

ID: 0966150
Sex: F
Age: 72
State: TX

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

Vax Type:
Manufacturer:
Vax Name:
Lot:
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Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: arrived at the post vaccination section with her EpiPen, stating she has a history of allergies; she was under observation for 30 minutes. About 25 minutes into her observation time, she complained of dizziness that lasted less than 15 seconds?no shortness of breath or breathing difficulties. After 30 minutes, the client verbalized not having any sign of vaccine reaction.

Other Meds:

Current Illness:

ID: 0966151
Sex: F
Age: 28
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: suprax

Symptom List:

Symptoms: Intermittent chest pain ~5 hours after injection, lasting overnight and throughout following morning. Chest pain became severe ~ 27 hours after initial injection, requiring visit to ED.

Other Meds: birth control pill

Current Illness: COVID positive 12/16/2020

ID: 0966152
Sex: M
Age: 62
State: NY

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: penicillin

Symptom List:

Symptoms: Right arm numbness that radiated to right side of the neck. Weakness headache and shortness of breath, difficulty swallowing.

Other Meds:

Current Illness: none

ID: 0966154
Sex: M
Age: 49
State: CA

Vax Date: 01/15/2021
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: Allergy to a flu shot vaccination approximately 16 years ago.

Symptom List:

Symptoms: Received Vaccine on Friday January 15th 2021 at approximately 0715am after my Isolation and having had no symptoms for over a week. Received injection, was observed by our Physician staff for approximately 35 minutes with no adverse reactions noted at that time. Approximately 30 hours later on Saturday my left arm began to hurt and a very very strong fatigue came over me and I took a 2 and a half hour nap on the couch. I was still extremely fatigued upon waking, but my arm continued to hurt more and more up to the point it wasn't usable for anything heavy and/or strenuous at all, hurting just to use it for getting up from the couch. I was assisted to get me things like water, food and stuff. The arm pain began to radiate towards my left shoulder and eventually throughout the day the pain was spreading from my shoulder to include my left upper thorax and left rib cage. By Sunday, what had begun as left arm pain had now become stronger an approximate 5/10 pain. It started to present as atypical chest pain having the pain now fully encapsulated within my left upper chest. Felt what appeared to feel like intercostal pain and a general ache all throughout. By Monday the pain was still all throughout and assessed the situation from a cardiac standpoint and found that the pain was mostly positional and I wasn't exhibiting any cardiac symptoms such as shortness of breath, no sub-sternal pain, no jaw pain, no back pain. It hurt more as I would take a deep breath and began to move my left arm around and bringing it up from my side and did a stretch with my crooked elbow of my left arm I raised it to the ceiling and moved my thorax to my right side and found that this would make it hurt more, so I did some twisting of my thorax and abdomen and found that the pain would increase from movement, it was then that I began to think that it might be Pleuritic pain. Tuesday the 19th and Wednesday the 20th I had to call in Sick because I developed a severe muscle ache below my left calf between my calf and left ankle, as if it was in constant spasm and it affected my walking, like a Charley Horse feeling and wondered if it were the same kind of feeling that I had in my chest and I found it quite odd that all my symptoms were on the left side which is the same side I received the vaccine because my right side didn't have any muscle aches. The overall chest pain began to subside over the next couple of days, but the pleuritic pain that I described never decreased in intensity or pain level. I saw my Personal Dr yesterday January 21st 2021 at approximately 5:15pm as he was walking out of his office and we discussed my symptoms and believing that my symptoms seemed to indicate some kind of tentative diagnosis of a pleurisy issue as he had agreed that there didn't seem to be any cardiac involvement and am scheduled to see him again tomorrow Saturday January 23rd at 4pm As I write this the pain continues as before with no seeming end point and is not diminishing. I had phoned and talked yesterday afternoon and felt it best to check with my primary physician because he hadn't had any reports such as mine.

Other Meds: Regular Doctor Ordered Prescription Medication. No over the counter medications, no dietary supplements or herbal remedies taken at the time of vaccination.

Current Illness: Tested positive for Covid-19 on Monday January 4th 2021 with results received on the 5th and directed by my job to Isolate for 10 days. Isolated for 10 days with minimal symptoms of a scratch in my throat and a 2 hour slight fever of 99.9F from 12 noon to about 2, then it went away. The next day on the 7th had another fever of 99.8 again from Noon to about 2 and after that I never had another symptom. Didn't lose my taste or smell, didn't develop a cough, no muscle aches, generally very little problems and very minimally symptomatic.

ID: 0966155
Sex: F
Age: 37
State: IL

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/22/2021
Hospital:

Vax Type:
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Vax Site:

Lab Data:

Allergies: Sulfa, tree pollen, dust mites, oak, oats, dogs, cats, ragweed, birch trees, mango, hazelnuts, latex.

Symptom List:

Symptoms: Body aches, fever, fatigue, chills, sweats for 2 days following vaccine.

Other Meds: Zyrtec 10 mg Trisprintec Lansaprozole Famotidine Multi Vit

Current Illness: First vaccine on 12/21/20, positive covid test on 12/26/20. Had covid in between the 2 vaccines.

ID: 0966156
Sex: F
Age: 79
State: TN

Vax Date: 01/06/2021
Onset Date: 01/20/2021
Rec V Date: 01/22/2021
Hospital:

Vax Type:
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Lot:
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Lab Data:

Allergies: Amoxicillin, Vancomycin, Gabapentin, Cephalexin

Symptom List:

Symptoms: Circled area red warm and slightly swollen to left arm at base of deltoid area. started 1/20/21 fiery red, 1/21/20 less red, same size. 1/22/21 more of a yellow red now, but continues the same size of 6.25cm x 9cm. Treatement is ice pack TID. Non tender

Other Meds: ASA, Atenolol, Lasix, Miralax, Prenatal Tab, Vitamin D3, Buspar, Depakote, Docusate, Tylenol, Celexa, Systane

Current Illness: None

ID: 0966157
Sex: F
Age: 34
State: CA

Vax Date: 01/13/2021
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: Allergic to Sulfa and latex and shrimp

Symptom List:

Symptoms: Day after vaccine, left arm pain and swelling and fatigue ? this lasted for about 2 days and a week later itchy and redness around the injection site. Itchiness has gone away.

Other Meds: None

Current Illness: None

ID: 0966158
Sex: F
Age: 69
State: WA

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: Levofloxacin, Sulfa antibiotics

Symptom List:

Symptoms: Patient came in to clinic on 1/22/21 with complaint of pain, swelling in arm that was vaccinated. Per provider there was some induration (~6mm in diameter), redness/swelling. Differential diagnosis of cellulitis vs. allergy. Per patient she gets this with some influenza vaccines as well. Patient treated with cephalexin.

Other Meds: Ascorbic Acid 500mg, Biotin 2.5mg, Cholecalciferol 125mcg, hydrochlorothiazide 25mg, lamotrigine 200mg, losartan 50mg, omega-3 fatty acids 1000mg, polyethylene glycol 17gm, Vraylar 1.5mg

Current Illness: unknown/none

ID: 0966159
Sex: M
Age: 38
State: OK

Vax Date: 12/18/2020
Onset Date: 01/08/2021
Rec V Date: 01/22/2021
Hospital:

Vax Type:
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Lot:
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Vax Site:

Lab Data:

Allergies: NA

Symptom List:

Symptoms: 4 days after 12-18-2020 vaccine, I became sick with Gi symptoms such as nausea, severe diaherra, dehydration, and anorexia which lasted for 6 days causing me to loose 5 lbs. The symptoms improved but with mild return following 2nd dose on 1-8-2021. Symptoms have continued but are improving.

Other Meds: Propranolol and Amitriptyline

Current Illness: NA

ID: 0966160
Sex: F
Age: 49
State: NC

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: codeine, dilaudid, penicillin, DTAP

Symptom List:

Symptoms: chills began at 9:40 pm 01/19 by 2am on 01/20 temp was 103.8, extreme dizziness, fatigue, severe pain to both feet with burning sensation to both, slight headache- symptoms continued until 11:45pm on 01/20 when fever finally broke

Other Meds: metformin, glipizide xl, lisinopril, nadolol, trazodone cyclobenzaprine, magnesium, vitamin C

Current Illness: none

ID: 0966161
Sex: F
Age: 50
State: CA

Vax Date: 01/11/2021
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:

Symptom List:

Symptoms: On day 2 post vaccine severe body aches, joint pain, skin felt like a very painful sunburn , dizziness, fatigue and headache, Difficult to get out of bed. Took Acetaminophen 500 mg 1-2 tabs a couple of doses. Missed several shift of work. Symptoms fully resolved by 1/17/21- back to work. Telehealth appt.

Other Meds:

Current Illness:

ID: 0966162
Sex: F
Age: 65
State: IL

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:

Symptom List:

Symptoms: Patient began to experience nausea, dizziness, generalized weakness, and an elevated blood pressure (209/101) approximately 5 minutes after receiving the 2nd dose of the COVID-19 vaccine. The patient was taken to the emergency department for further workup. In the ED, the patient was given acetaminophen and ondansetron. Workup was negative, and the patient was discharged home.

Other Meds: losartan, metoprolol, ondansetron, simvastatin

Current Illness:

ID: 0966163
Sex: F
Age: 37
State: LA

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: None reported

Symptom List:

Symptoms: I woke up this morning, my arm was sore, had sharp pain to my right hand. I can not lift my arm at all. I went to my family doctor and recommended to take Tylenol for pain.

Other Meds: None reported

Current Illness: None reported

ID: 0966164
Sex: F
Age: 37
State: AZ

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: Celiac disease

Symptom List:

Symptoms: I received the vaccine at 11am on Wednesday morning, and by about 830pm Wednesday night, I could sense something was off. I couldn't focus on work, and I felt my eyesight starting to get fuzzy. I realized there was an issue, and decided to go to bed. As soon as I laid in bed, the chills started, and for the next hour I couldn't stop shaking. I couldn't get comfortable, hot/cold, hot/cold, the chills were incessant and I couldn't will myself to sleep. I finally fell asleep and proceeded to toss and turn. I woke up at 5am on Thursday and could barely move. My body was so sore and my head was pounding with a migraine. I was trying to take care of the kids, unsuccessfully, while battling all the symptoms. The day progressed slowly, and I started to feel better mid day after a few more hours of sleep. Around 6pm is when the fever kicked in, hovering right about 99.5. I drank Pedialyte and went to bed not long after I got the kids in bed. At 2am I woke up with another headache and took more Tylenol. By 6am today, Friday, the fever broke and I am back to normal.

Other Meds: none

Current Illness: none

ID: 0966165
Sex: M
Age: 36
State: IL

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: None

Symptom List:

Symptoms: Felt mild chills and somewhat low energy that night and following morning. Nothing more than that and the muscle soreness.

Other Meds: None

Current Illness: None

ID: 0966166
Sex: F
Age: 60
State: TX

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: PENICILLIN AND GEMFIBROZIL

Symptom List:

Symptoms: PATIENT REPORTED HIVES ON LEFT ARM

Other Meds: TOOK BENADRYL THAT EVENING AFTER VACCINATION

Current Illness: NONE

ID: 0966167
Sex: F
Age: 49
State: RI

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: Shellfish

Symptom List:

Symptoms: Very sudden severe tremors of face and limbs. I hesitate to refer to it as chills, it was closer to a seizure (of which I have no history). It ended as suddenly as it began, approx 5-10 minutes later. I fell asleep for 12 hours. Today have severe malaise and mild confusion consistent with post-ictal response. Had difficulty organizing routine task (how to make coffee) then slept 4 hrs afterwards from the effort (despite it being caffeinated).

Other Meds: None

Current Illness: None

ID: 0966168
Sex: F
Age: 33
State: MT

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/22/2021
Hospital:

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

Lab Data:

Allergies: Penicillin, Celery, Coconut

Symptom List:

Symptoms: Terrible migraines, body aches, malaise for several days following vaccine

Other Meds: Lexapro, patanase, flonase, Xyzal, prenatals, Apple Cider Vinegar chews, Qvar inhaler, Albuterol inhaler, Topamax

Current Illness: Asthma, sinus issues (ongoing for years)

ID: 0966169
Sex: F
Age: 51
State: MN

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: levoflaxacin amoxicillin pineapple levonorgestrel-ethinyl estrad

Symptom List:

Symptoms: Feeling of warmth on head and face at 9:00pm on 1/19/21 Woke with fever (99.6F), shaking chills, headache at 4:00am on 1/20/21 Fever (100.6) joint pain, muscle pain at 9:00am Fever 101.0 at 1:00pm with intense headache, muscle and joint pain accompanied by dizziness, nauseous, fatigue, malaise. Fever 101.0 at4:00pm. Accompanied by symptoms listed above.Took 1,000mg Tylenol. Fever 101.0 at10pm. Accompanied by symptoms listed above. Took 1,000mg Tylenol. Insomnia. 1/21/21: Fever 99.0 degrees 4am. 1,000mg Tylenol. Intense headache and neck ache, muscle and joint pain accompanied by dizziness, nauseous, fatigue, malaise 1/21/21: Fever resolved at 6pm. Intense headache and neck ache, muscle and joint pain accompanied by dizziness, nauseous, fatigue, malaise 1/22/21: Body aches, headache, fatigue, malaise, fatigue, dizziness, nausea

Other Meds: Armour thyroid 90mg low dose naltrexone 4.5mg

Current Illness: possible reaction to first vaccine dose starting 1 week after vaccination.

ID: 0966170
Sex: F
Age: 33
State: NC

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: Watermelon - anaphylaxis

Symptom List:

Symptoms: Severe right axillary adenopathy (same as inj site arm) within 48 hrs of injection 3" diameter painful (7/10) initially causing moderately severe pain that felt muscular while expanding chest or inhaling. Fever up to 102.5F, lethargy, muscle pain, dyspnea, nausea, rash (look like hives)

Other Meds: Wellbutrin ER 150mg qd Venlafaxine 75 mg qd Phentermine 37.5 MG qd

Current Illness: Food poisoning 1/1/21

ID: 0966171
Sex: F
Age: 37
State: LA

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: None reported

Symptom List:

Symptoms: I could not move my arm, had right arm soreness. I could not lift anything. I went to my doctor who told me to take Tylenol.

Other Meds: None reported

Current Illness: None reported

ID: 0966172
Sex: F
Age: 35
State:

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 began feeling dizzy immediately after receiving 1st dose of Pfizer Covid-19 Vaccine. Patient ambulated steadily to EMS table. Vital signs checked and stable. Pt with history of type 1 DM, wears a continuous blood glucose monitor. BS within normal limits. Pt observed for extended period of time. Vitals rechecked 30 minutes later, remained stable. Patient eventually reported symptoms resolved and patient exited vaccination clinic in stable condition. No medications given.

Other Meds:

Current Illness:

ID: 0966174
Sex: F
Age: 68
State: GA

Vax Date: 01/17/2021
Onset Date: 01/19/2021
Rec V Date: 01/22/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
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Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: The patient received a Covid vaccine on 1/17/2021 and a couple of days later she developed shingles.

Other Meds:

Current Illness:

ID: 0966175
Sex: F
Age: 74
State: DC

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: PCN, Levoflovxacin, Strawberry & shellfish

Symptom List:

Symptoms: Developed H/A 30 minutes after Vaccine. Took tylenol and felt better in 30 minutes.

Other Meds: unk

Current Illness: HTN., DM2, Hyperlipidemia, deg. joint desease, sarcodosis

ID: 0966176
Sex: M
Age: 50
State: AZ

Vax Date: 01/05/2021
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: None

Symptom List:

Symptoms: 14 days after vaccination, lethargy, diarrhea, headache, sore throat and congestion. Persisting for 3 days now.

Other Meds: Zertec, Nicotine 2mg Lozenge

Current Illness: None

ID: 0966177
Sex: F
Age: 31
State: CO

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

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Symptoms: Fatigue, Myalgias, Speech Difficulty, and Numbness, left facial weakness

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Date Died: 01/22/2021

ID: 0966178
Sex: M
Age: 89
State: WI

Vax Date: 01/19/2021
Onset Date: 01/22/2021
Rec V Date: 01/22/2021
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Allergies: aminoglycosides and sulfa meds

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Symptoms: Pt called son to let him know he couldn't breath around 2 AM. Pts son showed up at his house 10 minutes later and ambulance arrived with in 20 minutes at 2:15

Other Meds: acetaminophen 600 mg every 4 hrs, albuterol 2 puffs every 6 hrs, Symbicort 2puffs 2 x days, vitamin D, B12, Prozac 20 mg once per day, Veramyst 1 spray once per day, Lisinopril 5 mg once per day, Prilosec 40 mg once per day, Probiotic daily

Current Illness: skin ulcer of lower right leg due to old gun shot wound

ID: 0966179
Sex: M
Age: 39
State: MA

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/22/2021
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Allergies: None

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Symptoms: Patient reports that the evening immediately following his vaccine administration he began experiencing fever, chills, fatigue, headache, body aches, These symptoms continued 9 days and counting He tested negative for COVID -19 on 1/18/2021 His physician contacted a specialist and suggested that this case should get the 2nd dose as scheduled

Other Meds: None

Current Illness: None

ID: 0966180
Sex: F
Age: 42
State: UT

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/22/2021
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Allergies: PCN

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Symptoms: Got the covid 19 vaccine January 19th (Tuedsay) at 1:00pm. Started having lip and eye swelling around 6pm and by 9pm she went to the ER after her throat started swelling and she was having difficulty breathing. Says the ER MD gave her a shot benadryl. Also got a prescription of prednisone 20mg 2 tablets daily for 5 days which she has been taking. Swelling resolved but then her eye started to swell last night as well as her lips so she went to the Instacare. Said the doctor told her to stop all her medications but the metformin. reports the last dose of humira was Sunday January 17th and she gets a dose every 3 weeks. Also had covid disease in November the week of Thanksgiving. Spanish speaker. Had an official translator for this infomation.

Other Meds: Janumet, lisinopril, atorvastatin, baby aspirin, centrum vitamin, iron suplement, humira

Current Illness: Covid 19 disease the week of Thanksgiving 2020

ID: 0966181
Sex: F
Age: 73
State: FL

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/22/2021
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Allergies: latex

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Symptoms: Minor soreness the day of the vaccine but have had continued are pain at the injection site and surrounding muscles for almost three weeks. Saw my primary and she said it could be they gave it too high and irritated the shoulder joint. She is concerned about "frozen shoulder". It wakes me in the night and no position lasts without pain after 30-45 seconds. Take one extra strength Tylenol before bed and administer Sagely 250 mg. BD cream on upper arm and part of neck where pain exits. Last night I drank 3 glasses of red wine so I could sleep a few hours and today I have had no pain! little weakness and I'm trying not to aggravate it, but hopefully the site pain is resolving.

Other Meds: fluoxetine, carvedilol, lisinopril, vitamin d, zinc piccoline, querciin and CoQ10. Glucosamine/chondroitin.

Current Illness: None

ID: 0966182
Sex: F
Age: 50
State: VA

Vax Date: 01/13/2021
Onset Date: 01/19/2021
Rec V Date: 01/22/2021
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Allergies: Penicillin

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Symptoms: 3x2, red, hard, swollen, painful, itchy patch in arm

Other Meds: None

Current Illness: None

ID: 0966183
Sex: F
Age: 29
State: IN

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/22/2021
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Allergies: Sulfa and Keflex

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Symptoms: I received the vaccine on 1/19/2021 at my place of employment. Upon getting the vaccine approx 30 minutes after receiving i became very itcy, and my lips were burning/tingling. The itching continued to get worse, forming red rash on my chest. I called my MD at this point. I was told to take benadryl and to go to er if it became worse. I took benadryl. the itching continued for 2 days. i also experienced pain at injection site, headache, nausea, diarrhea, extreme fatigue, muscle soreness. on 2nd day after vaccine i woke up and my muscles continued to be very sore. like i had just completed a marathon. I also have this sensation that started with the increased muscle pain. The only way i can explain it is that it feels like how a TENS unit feels, but its coming from the inside. especially in my back and thighs. this continues. i feel like i could just start shaking at any time. i cannot sleep but i am so tired. i was seen at dr today and i was told to report this to you guys. this sensation has not went away and has actually cause my muscles to spasming. MD said the vaccine effected my muscles and possibly neurologically as well.

Other Meds: Levothyroxine, fluoxetine, metoprolol succinate, lyrica, cyclobenzaprine, omeprazole, senna, vitamin B, spironolactone, zofran,

Current Illness: none

ID: 0966184
Sex: F
Age: 23
State: PA

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/22/2021
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Allergies: No known allergies.

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Symptoms: About 2 hours after administration, developed hives, a thick tongue, found it hard to swallow and had lightheadedness.

Other Meds: Minocycline, vitamin B-12, magnesium probiotic, IUD.

Current Illness: Acne, childhood asthma now resolved.

ID: 0966185
Sex: F
Age: 31
State:

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/22/2021
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Symptoms: second immunization for COVID on Wednesday and has developed symptoms of fever, sore joints and muscles, fever, itching at the injection sight, and she said swelling. In addition to the symptoms she complained of a sore throat.

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ID: 0966186
Sex: M
Age: 35
State: CO

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
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Allergies: Tree nuts

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Symptoms: Fever, nausea, syncopal episode - collapsed and lost consciousness for approximately 15 seconds. No treatment aside from bed rest. All symptoms resolved 24 hours later.

Other Meds: None

Current Illness: None

ID: 0966187
Sex: F
Age: 28
State: WI

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/22/2021
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Allergies: Lactose, amoxicillin/clavulanate

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Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA Developed rash that spread over chest, back and left arm after vaccine given. Patient also noticed stiffness in neck, feeling of pins and needles and some skin burning. Additionally endorses feeling a dry mouth sensation.

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Current Illness:

ID: 0966188
Sex: F
Age: 65
State: IL

Vax Date: 01/07/2021
Onset Date: 01/17/2021
Rec V Date: 01/22/2021
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Symptoms: Patient began to experience nausea, dizziness, generalized weakness, and an elevated BP (209/101) approximately 5 minutes after receiving the 2nd dose of the COVID vaccine. The patient was taken to the emergency department for further workup. In the ED, the patient was given acetaminophen and ondansetron with resolution of all symptoms except generalized weakness and fatigue. Workup in the ED was negative, and the patient was discharged home.

Other Meds: metoprolol, losartan, ondansetron, simvastatin

Current Illness:

ID: 0966189
Sex: F
Age: 47
State: VA

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

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Symptoms: Hives started 22 hours, still having an occasional breakout and scratchy throat into the 48 hours. Started benadryl every 4 hours at the time of hives and still taking 2 days later.

Other Meds: Topamax, motoporolol, Allegra D, maxalt

Current Illness: Asthma, hbp/hypertension, migraines, colitis

ID: 0966190
Sex: F
Age: 35
State: NY

Vax Date: 12/22/2020
Onset Date: 12/22/2020
Rec V Date: 01/22/2021
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Symptoms: Dizziness, lightheadness, felt like she was going to pass out.

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Current Illness:

ID: 0966191
Sex: F
Age: 39
State: IL

Vax Date: 12/18/2020
Onset Date: 01/19/2021
Rec V Date: 01/22/2021
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Allergies: amoxicillin, bactrim

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Symptoms: facial numbness to right side of face, crossing midline at chin and across upper lip, spreading from jaw line to periorbital area

Other Meds: none

Current Illness: none

ID: 0966192
Sex: F
Age: 69
State: WA

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 01/22/2021
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Allergies: Levofloxacin, sulfa antibiotics

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Symptoms: Patient is an 69 y.o. female presenting today complaining of Redness at vaccine site. Per patient onset of symptoms begun 7 days ago (1/15/2021). Patient c/o pain, redness, swelling at injection site. Patient reports having experienced this before with other vaccinations, particularly influenza. Per provider there is induration of approx. 6mm at site of injection as well as swelling/redness. Differential diagnosis of allergic reaction vs. cellulitis. Patient given instructions for s/sx to return to clinic or immediate follow-up at ED. Patient discharged with prescription for cephalexin to treat possible cellulitis.

Other Meds: ascorbic acid 500mg, Biotin 2.5mg, cholecalciferol 125mcg, hydrochlorothiazide 25mg, lamotrigine 200mg, losartan 50mg, Omega-3 fatty acids 1000mg, polyethelene glycol 17gm, Vraylar 1.5mg

Current Illness: Unknown/none

ID: 0966193
Sex: M
Age: 70
State: OH

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/22/2021
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Symptoms: sore throat, myalgia, subjective fevers, weakness, diarrhea for one day, and cough. Sore throat and weakness and cough persists after one week.

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Current Illness:

ID: 0966194
Sex: M
Age: 76
State: ID

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

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Symptoms: HALLUCINATION: FOR ONE DAY PATIENT COMPLAINED OF HAVING AN OUT OF BODY EXPERIENCE. CHILLS, FEVER, MUSCLE ACHES, HEADACHE, FATIGUE, GI EFFECTS, SWELLING/REDNESS AT SIGN OF INJECTION

Other Meds: NONE

Current Illness: NONE

ID: 0966195
Sex: M
Age: 21
State: VA

Vax Date: 12/21/2020
Onset Date: 01/18/2021
Rec V Date: 01/22/2021
Hospital: Y

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Symptoms: Patient admitted to hospital for progressive bilateral lower extremity weakness, sensory changes and inability to ambulate. Neuroimaging with significant degenerative disc disease with disc protrusions throughout the lumbar spine, greatest L3-L4, and with severe central stenosis. Question of radiculopathy vs peripheral neuropathy at admission, but no acute findings such as cauda equina syndrome. EMG consistent with atypical variant of GBS--acute motor sensory axonal neuropathy.

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Current Illness:

Total 2021 VAERS Injuries: 599,999

Page last modified: 03 October 2021 5:28pm