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
63,479
AK1,562
AL4,914
AR3,110
AS44
AZ12,730
CA54,886
CO10,464
CT7,347
DC1,568
DE1,561
FL33,514
FM3
GA12,508
GU74
HI2,078
IA4,130
ID2,361
IL18,091
IN22,023
KS4,061
KY6,276
LA4,395
MA13,121
MD11,272
ME2,858
MH8
MI16,697
MN10,689
MO8,360
MP30
MS2,487
MT2,035
NC14,437
ND1,184
NE2,562
NH2,717
NJ16,033
NM3,532
NV3,784
NY30,921
OH17,029
OK5,673
OR7,479
PA21,111
PR1,959
QM2
RI1,833
SC5,601
SD1,087
TN8,048
TX31,896
UT3,791
VA13,180
VI48
VT1,592
WA13,026
WI9,856
WV2,120
WY754
XB5
XL1
XV2

ID: 0966800
Sex: F
Age: 29
State: IL

Vax Date: 01/12/2021
Onset Date: 01/12/2021
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: Pfizer-BioNTech COVID-19 Vaccine EUA fever, chills, nausea & vomiting, muscle aches, bone aches, headache - lasted about 8 hours

Other Meds: Sprintec Sertraline Vitamin D3 Vitamin B12 Multi-vitamin Pre & Probiotic

Current Illness: N/A

ID: 0966801
Sex: F
Age: 55
State: CA

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/22/2021
Hospital: Y

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

Lab Data:

Allergies: Metocarpine, sulfa, adhesive tapes, latex

Symptom List:

Symptoms: Aprox 8-10 hrs after vaccine chills/ rigors, extreme fatigue, body aches, abd pain at Crohns hotspots: @ 12hrs temp 102.6 F: @ 15hrs Oxygen desaturation 89-90%, weakness, extreme fatigue Seen at ED aprox 6PM on 1/9/21: CBC, chem panel, CT abd, CXR Continued to have low sats and was admitted to hospital on 1/10/21 adverse reaction to vaccine, Reactive airway, asthma excerbation discharged on 1/12/21

Other Meds: Ibuprofen, Breo, Incruse, singulair, protonix, neurontin, xyzal, multivit

Current Illness: Crohns flare Early December lasted 1-2 weeks -sx pain, off and on diarrhea, mild bloody spotting

ID: 0966802
Sex: F
Age: 47
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: MACROBID

Symptom List:

Symptoms: SEVERE NAUSEA, DIARRHEA, FEVER, CHILLS, DRY HEAVES.

Other Meds: NONE

Current Illness: NONE

ID: 0966803
Sex: F
Age: 67
State: CO

Vax Date: 01/07/2021
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: history of reaction to vaccines in the past

Symptom List:

Symptoms: localized reaction - sore arm/warm/tender to touch

Other Meds:

Current Illness:

ID: 0966804
Sex: F
Age: 56
State: MI

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: NKA medications, food Many environmental

Symptom List:

Symptoms: Very cold, headache, fatigue for 24hrs Pain at injection site for 36hrs

Other Meds: Levothyroxine 137mg Singular 10mg Centrum Daily

Current Illness: NA

ID: 0966805
Sex: M
Age: 23
State: MA

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: Headache, fever

Other Meds:

Current Illness: Hives

ID: 0966806
Sex: F
Age: 66
State: NY

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: Bentyl, codeine, percodane, propine, allopurinol, steristrips, lidoderm patch

Symptom List:

Symptoms: I had a very sore arm and malaise with a temperature as high as 101.5-101.8 the day after. The next two days just moderately sore arm. On Tuesday January 19 I developed a cough. By next day I was very ill (fatigue, aches and pains, burning eyes, fever up to 103, headache, flu-like). Today I developed hives.

Other Meds: Metoclopramide, Omeprazole, lutein, magnesium chloride, iron, folic acid, levothyroxine, Lunesta, uloric, Restasis, Cardizem CD, vitamin B complex, glucosamine chondroitin, fish oil, vitamin D3, probiotic acidophilus, miralax, one-A-Day Wom

Current Illness:

ID: 0966807
Sex: F
Age: 47
State: KY

Vax Date: 01/13/2021
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: none

Symptom List:

Symptoms: i have a quarter size red painful lump at injection site. Did not appear until day 9 after injection and was not painful until roughly 8 hours after appearance. No drainage

Other Meds: HRT boiTe pellets, testosterone and estradol, progesterone 600 mg, thyroid 15, vitamines A,D,K

Current Illness: none

ID: 0966808
Sex: F
Age: 40
State: IN

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: Nkda

Symptom List:

Symptoms: 1/22 @ 15:00-low grade fever, chills, body aches, headache 1/23 @ 17:30-noticed swelling in left armpit and Red circle around injection site

Other Meds: Junel Fe

Current Illness: None

ID: 0966809
Sex: F
Age: 43
State: NY

Vax Date: 01/14/2021
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: nono

Symptom List:

Symptoms: A week a later arm is severely swollen, itchy and severe headache

Other Meds: no

Current Illness: no

ID: 0966810
Sex: F
Age: 72
State: WV

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: "Anesthesia causes me to have breathing difficulty. They give me breathing treatments for I have anesthesia."

Symptom List:

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA: Patient stated "About 5 minutes after I received the vaccine, I got up to use the bathroom. After I got out of the bathroom, I started having problems breathing. It felt like my throat was swelling shut. I felt like I couldn't breath." Patient stated she notified staff and on-site EMS "stayed with me for about 15-20 minutes" States after that, she left clinic site on her own. Stated she felt fine and went home without any breathing difficulty. States "I just called you today to report that it happened. States no more episodes of breathing difficulty or other side effects from vaccine.

Other Meds: Symbicort inhaler and albuterol nebulizer treatments

Current Illness: none

ID: 0966811
Sex: F
Age: 36
State:

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:

Symptom List:

Symptoms: A few min after the shot I felt a strange cool, airy feeling in my chest. A little light headed. Went away within 3 min.

Other Meds: Zoloft

Current Illness:

ID: 0966812
Sex: F
Age: 34
State: UT

Vax Date: 01/15/2021
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:

Symptom List:

Symptoms: the evening of her vaccine, she developed muscle aches, joint pain, fever and headache. She took tylenol and used a cool compress. Symptoms improved within the next two days except the joint pain. Pt reports joint pain-finger, wrists, ankles and knees has continued. Pain has improved but not back to normal. She has not tried any further medication. Will try ibuprofen and monitor.

Other Meds:

Current Illness:

ID: 0966813
Sex: F
Age: 41
State: GA

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: Z-pack gave her upset stomach

Symptom List:

Symptoms: Patient received Covid19 Pfizer dose 1 vaccination at 1pm. Advised to wait 15 minutes post injection. During waiting period experienced "vision blurring" and "pressure behind eye". Spoke with Dr, monitoring vaccine site. Advised to wait 15 more minutes before leaving. Left vaccination site and started driving home. (Around 1:40pm) Within a few minutes had "extremely sore neck, couldn't turn neck left or right without discomfort" , and felt "thickening of neck." Pain spread from neck to shoulders and mid back. Called Dr, advised to go to return if close or go to nearest ER. Was already miles away from original site so patient went to ER. Received Benadryl. Felt like "giant muscle spasm that wouldn't stop."

Other Meds: multivitamin, biotin, vitamin C

Current Illness: Sinusitis- Had completed a Zpack on Tuesday two days before. Saw general practitioner and was given OK to have Covid19 vaccine.

ID: 0966814
Sex: F
Age: 67
State: CA

Vax Date: 01/11/2021
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: Sulfamethexazole Ieboglocucin Levoflexotin Penicillin Benadlly Garlic GMO

Symptom List:

Symptoms: Injection side of arm has rash, red oval shape 2 inch red amp. hard. headache.

Other Meds: No

Current Illness: No

ID: 0966815
Sex: F
Age: 55
State: MD

Vax Date: 01/09/2021
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: Erythromycin Tetracycline Contrast Iodine Lactose intolerance

Symptom List:

Symptoms: I started with a pain in the left arm similar to the aching I felt the day after my vaccine. It felt worse this morning, and I looked in the mirror since it felt so hot and it is a very large oval- red outline rash. Not raised, just mostly red on the border and hot and angry . Feels more painful inside , like "sharp, and achy" and a worse headache than the day after the shot . The headache is progressively getting worse. I have taken my migraine Rx- 1- Fioricet earlier so I could work, but it did not help. My PCP suggested putting a topical cortisone cream on the rash, I have not gotten that yet. Perhaps unrelated, but for the record, this past Tuesday, 1/19/21, I had such bad vertigo that I could not even telework, and that's a 1st.

Other Meds: Adderall, Topamax Effexor Estradiol Patch Vit D3 2000mg Woman's Multi-Vitamin

Current Illness: None

ID: 0966816
Sex: F
Age: 47
State: PA

Vax Date: 01/01/2021
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: Fever 2 days Body aches for 2 days Chills for 2 days Headache 3 days Runny nose 2 days Weakness /fatigue2 days

Other Meds: Paxil Vitamin d

Current Illness: None

ID: 0966817
Sex: F
Age: 39
State: CT

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: Extreme facial swelling, closing of throat, loss of vision in right eye, uveitis, extreme fatigue, headache

Other Meds: None

Current Illness: None

ID: 0966818
Sex: F
Age: 62
State: CA

Vax Date: 01/08/2021
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: NONE

Symptom List:

Symptoms: AT 1040 EMPLOYEE C/O PALPITATION, NOT IN DISTRESS

Other Meds: NONE

Current Illness: NONE

ID: 0966819
Sex: F
Age: 70
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: No known allergies

Symptom List:

Symptoms: Patient returned after her injection with complaints of redness and warmth about her face. She did have erythema covering her nose, cheeks and chin. She is not having any shortness of breath, difficulties breathing or any swelling. She was observed for 30 minutes and returned with no change in symptoms. She was advised to take Zyrtec 10 mg when she gets home and to seek urgent medical attention if her symptoms worsen or if any new symptoms arise.

Other Meds:

Current Illness:

ID: 0966820
Sex: F
Age: 40
State: OH

Vax Date: 01/14/2021
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: None

Symptom List:

Symptoms: Redness, itchting, ver swollen, hot to touch and hard under the skin 8 days after receiving the first dose

Other Meds: Adderrall

Current Illness: None

ID: 0966821
Sex: F
Age: 37
State: CA

Vax Date: 01/07/2021
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: pt with 6 days of menorrhagia after covid vaccine 01/11/2021. mense usually 3 days and light pt on contraceptive and not trying to conceive. pt denies purpura or any other sx

Other Meds: none

Current Illness: none

ID: 0966822
Sex: F
Age: 52
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: Peanuts, milk,

Symptom List:

Symptoms: Once I received the shot and went to my car I noticed I had a rash on my face so I immediately took benadryl. When I woke up the next morning I was extremely dizzy and fell in the shower. It was more than just being dizzy it was like I couldn't see and it was hard to pick myself up. I may have fainted because I didn't recall falling just noticed I was on the shower floor. I thought I had gotten up but then again I was still on the floor. I made it back to bed and slept for a few hours. After that I seemed fine.

Other Meds: Levoroxide for thyroid supplements: vitamins - B- D- Omega 3 - womens multi vitamin- tumaric, probiatic

Current Illness: none

ID: 0966823
Sex: F
Age: 40
State: NY

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: No

Symptom List:

Symptoms: A few minutes after receiving the vaccine I started feeling very dizzy. I then felt nauseous. In about thirty minutes the dizziness improved but several hours later I still feel residual dizziness and minor problems in GI tract. I slept after returning home, drank water and took Pepcid prescribed to me for my IBS

Other Meds: One took Rybelsus 14 mg prior to vaccination

Current Illness:

ID: 0966824
Sex: F
Age: 48
State: OR

Vax Date: 01/13/2021
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: none

Symptom List:

Symptoms: Day 9 after taking 1st shot of Moderna for COVID-19: This morning I noticed that the injection site was red, 1/2 dollar-sized, circular rash. It was slightly warm to the touch. I took a photograph and sent this to my PCP office. I was advised to take 25 mg of benadryll, ibuprofen as needed, ice the area, and it was recommended to not take the second shot

Other Meds: Daily vitamin, 1000 mg vitamin C, 5000 iu Vitamin D, Apple Cider Vinegar gummy, 25 mg Tamoxofin, 112.5 mg fluoxotine, baby aspirin

Current Illness: none

ID: 0966825
Sex: F
Age: 74
State: AZ

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: None

Symptom List:

Symptoms: None

Other Meds: Extra Strength Tylenol, Vitamin D3, Bayer Low Dose, Carvedilol, Centrum Silver Vitamin, PreserVision Areds 2, Metformin, Atorvastatin, Lisinopril, Claritin, Liqui-Gels, Amlodipine, Invokana

Current Illness:

ID: 0966826
Sex: F
Age: 72
State: MO

Vax Date: 01/19/2021
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: NKA

Symptom List:

Symptoms: Patient had an increase in chronic headache frequency and had a near-syncopal episode on 1/21/21. She stated that the near-syncopal episode lasted for about 10 minutes. She has had one prior episode that was caused by hypotension and dehydration.

Other Meds: metoprolol succinate, zetia, lipitor, isosorbide mononitrate, HCTZ

Current Illness:

ID: 0966827
Sex: F
Age: 32
State: MO

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: Was given vaccine at a clinic with EMS present. Approximately 5 minutes after the injection she said she felt lightheaded/dizzy first, some dizziness, with slight tingling of the tongue. Said her legs felt tingling, hot and hands shook. She said throat felt slightly tight. EMS was on sight and they administered her Solumedrol and Benadryl IM. She was never given an epi injection. They monitored her HR and O2 Sats. After she felt symptoms were resolved she did leave the clinic on her own accord. She returned to her work even though she was advised to go home and rest per medical personal.

Other Meds:

Current Illness:

ID: 0966828
Sex: F
Age: 31
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: Acute sensory-motor neuropathy symptoms. Appears consistent with a mild Gullian Barre Syndrome

Other Meds: trazodone qhs prn

Current Illness: none

ID: 0966829
Sex: F
Age: 38
State: CA

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: None

Symptom List:

Symptoms: At 10 am, checked on patient, stated she was unsure how she felt, throat is kind of itchy. BP 124/84 P 71 O2 99%. Reviewed with Dr, added an additional 15 minutes of observation time. No additional orders at this time. At 1037 am, Patient assessed by Dr. No additional orders. Patient cleared to leave and in stable condition.

Other Meds: None

Current Illness: None

ID: 0966830
Sex: F
Age: 30
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: Cats, albuterol sulfate, mild melon and avocado allergies, mango

Symptom List:

Symptoms: Chills then fever starting the day after about 18 hours after injection. Minor headaches throughout. Fatigue, day 2 redness and swelling at injection site. Pain and minor swelling in one part of left hand

Other Meds: Birth control oral

Current Illness:

ID: 0966831
Sex: M
Age: 75
State: NY

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: patient stated no allergies

Symptom List:

Symptoms: Patient received vaccination at clinic and was in the waiting area for the 15 minute monitoring time. About 5 minutes into the waiting time, patient said he was getting light headed. It was noticed he was taking deep, sharp breaths causing his mask to go in his mouth. We switched him to a chair with arms and asked him to remove his jacket and called 911 as a precautionary as the breathing pattern was not improving. EMS arrived to ask the patient how he was feeling and he said he had a dry mouth and was thirsty. At this time, it was aout 15 minutes after the vaccination. Patient refused transport and asked for water. I asked EMS if that was advisable now that he declined transport and it was beyond the 15 minutes. EMS was still near the patient. Patient was provided water and was able to remove his mask to drink and was much more coherent afterwards. He stayed in the pharmacy area about 20 minutes. He was asked to have his wife drive, which he refused.

Other Meds: unknown

Current Illness: none disclosed

ID: 0966832
Sex: M
Age: 67
State: TX

Vax Date: 01/18/2021
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: None known

Symptom List:

Symptoms: Severe arm pain

Other Meds: Crestor, losartan

Current Illness: None

ID: 0966833
Sex: F
Age: 41
State: MN

Vax Date: 01/18/2021
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: Three days of chills, fever, muscle aches, joint aches, headache, extreme fatigue

Other Meds:

Current Illness:

ID: 0966834
Sex: M
Age: 44
State: TX

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: Dizziness

Other Meds:

Current Illness:

ID: 0966835
Sex: F
Age: 68
State: CA

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/22/2021
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Symptoms: Fatigue Chills Fever as high as 103 F diarrhea

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Current Illness:

ID: 0966836
Sex: F
Age: 41
State: IN

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/22/2021
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Allergies: Tetnis shot, amoxicillin, milk

Symptom List:

Symptoms: Hives, itchy, red skin

Other Meds: Allegra, Vitamin D, Vitamin B6

Current Illness: N/a

ID: 0966837
Sex: F
Age: 25
State: OH

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

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Symptoms: Large, soft lump around injection site. Not clear when it first started, but discovered it around 3 hours after vaccination.

Other Meds: Birth control, iron, vitamin b-12, calcium, vitamin d-3

Current Illness: None

ID: 0966838
Sex: F
Age: 68
State: MD

Vax Date: 01/06/2021
Onset Date: 01/13/2020
Rec V Date: 01/22/2021
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Allergies: ERYHTHOMYCIN

Symptom List:

Symptoms: Enlarging arm redness at site of injection started after 1 week. Extremely itchy at site. Site extends about 5 inches below site but not to joint

Other Meds:

Current Illness: none

ID: 0966839
Sex: F
Age: 32
State:

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/22/2021
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Symptoms: Employee wasn?t able to lift her head without excruciating pain, it continues throughout the day. She also had burning in her left arm and aches/pains like a flu SX. Around noon she felt very drowsy and by 6pm she wasn?t able to function normally due to drowsiness/ cloudy head this continued until 1/21/2021, c/o light headache.

Other Meds:

Current Illness:

ID: 0966840
Sex: F
Age: 47
State:

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/22/2021
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Allergies: Amoxicillin - rash

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Symptoms: Within 15-20 minutes of receiving the vaccine, my tongue started to feel thicker and stiffer. I did not have any other reaction - no hives/rash, no swelling of lips, no trouble breathing. I took Cetirizine and the symptoms improved within an hour.

Other Meds:

Current Illness:

ID: 0966841
Sex: M
Age: 67
State: CA

Vax Date: 01/02/2021
Onset Date: 01/03/2021
Rec V Date: 01/22/2021
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Symptoms: Patient notified the pharmacist that he had a small rash in both arms which started to get much larger after 2 weeks .

Other Meds:

Current Illness:

ID: 0966842
Sex: F
Age: 27
State: NY

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/22/2021
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Allergies: chlorhexidine, augmentin

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Symptoms: burning, painful blotchy hands, sweating. Rash escalated to face, sweating, 10/10 pain all over body, shallow breathing. itchy tongue. fevers

Other Meds: lexapro 5mg

Current Illness: none

ID: 0966843
Sex: F
Age: 49
State: TX

Vax Date: 01/06/2021
Onset Date: 01/13/2021
Rec V Date: 01/22/2021
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Allergies: Penicillin, molds/trees/seasonal

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Symptoms: Extremely itchy rash developed on arm approximately one week post-vaccination, and lasted for about 4 days before starting to diminish. As of today (1/22), some residual itchyness remains, but not as severe as during that primary time frame. Applied Maximum strength topical frequently, but little relief resulted from it. I did not seek medical treatment, but strongly considered doing so at several points to seek a prescription-strength topical. Marking below as having "recovered" - because it is now far more manageable. But it has not yet resolved 100% (maybe 90-95% resolved?).

Other Meds: Viibryd - 20mg, Wellbutrin, Vyvanse - 40mg

Current Illness: N/A

Date Died: 01/14/2021

ID: 0966844
Sex: M
Age: 76
State: NM

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

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Symptoms: Patient is reported to have died at home, the day after his COVID test. Family member states that he did good the afternoon and evening after his COVID-19 injection, but that he started not feeling good the next day. The patient "was having palpitations". The family tried to convince him to go to the Emergency Room, but he refused. Patient died at home.

Other Meds: Unknown

Current Illness: DM II

ID: 0966845
Sex: M
Age: 35
State: MI

Vax Date: 12/22/2020
Onset Date: 12/23/2020
Rec V Date: 01/22/2021
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Allergies: none

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Symptoms: 24 hr after vaccine, I had fatigue and generalized body aches and left arm pain at site of injection. I took tylenol. Those stopped by the second day morning (day after vaccine). However, in the second morning ( day after vaccine) I started having pain on left side of neck and on Trapezius muscle on left shoulder blade - and had that pain for three more days. Range of motion for neck restricted for three days. All symptoms improved after four days. I took Lidocaine patch and Tylenol for neck and shoulder blade pain.

Other Meds: None

Current Illness: None

ID: 0966846
Sex: F
Age: 49
State: TX

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

Symptom List:

Symptoms: Moderna COVID 19 Vaccine EUA

Other Meds: Advil

Current Illness: No

ID: 0966847
Sex: F
Age: 94
State: WI

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 01/22/2021
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Allergies: NONE

Symptom List:

Symptoms: PATIENT WAS OBSERVED SLOUCHING OVER IN HER CHAIR AND WHEN STAFF TRIED TO SPEAK TO HER SHE WAS UNRESPONSIVE BUT BREATHING, NONCOHEARANT. 02 WAS 83-90, PULSE 115, BP 93/53. EMS WAS CALLED AND SHE WAS TRANSPORTED TO THE ER IMMEDIATLY. ER PHYSICIAN WAS UNSURE IF THE MENTAL STATUS CHANGE WAS FROM VACCINE OR POSSIBLE UTI. ATTMEPTED TO OBTAIN A URINE SAMPLE AND STARTED EMPIRIC ANTIBIOTICS.

Other Meds: ACETAMINOPHEN 325MG 1 TAB TID/ ASPIRIN 81MG 1 DAILY/ CITALOPRAM 20MG 1 DAILY/ MELATONIN 3MG 1 DAILY/ SENIOR MULTIVITAMIN 1 DAILY/ B-12 1000MCG 1 DAILY/ D3 50,000IR ONCE WEEKLY

Current Illness: MILD SORE THROAT REPORTED MORNING OF VACCINE, NO FEVER.

ID: 0966848
Sex: F
Age: 70
State: NV

Vax Date: 01/13/2021
Onset Date: 01/18/2021
Rec V Date: 01/22/2021
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Allergies: No known allergies or sensitivities

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Symptoms: Patient received first COVID vaccine on 1/13/2021 (left deltoid). Scheduled for second 2/2/2021. - Rash began 1/18/2021 right upper back. Large patch of erythematous based small vesicular papules on right upper back just above bra line. Does not extend past spinal cord. Right lateral breast 3 small patches of less red fine papules.

Other Meds: Hydrochlorothiazide, Levothyroxine, Pravastatin, Omega-3 Fatty Acids, Vitamin D

Current Illness:

ID: 0966849
Sex: F
Age: 27
State: IL

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 01/22/2021
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Allergies: Topiramate: non-anaphylactic

Symptom List:

Symptoms: Patient received 1st of moderna vaccine ~4pm and was monitored for ~15 mins after the vaccination with no issues. The patient called the pharmacy around ~5pm while on the road driving home with complaints of mild tongue/throat swelling and a severe headache. Patient was told to go to the ER/hospital to get checked out as soon as possible.

Other Meds: unknown

Current Illness: unknown

Total 2021 VAERS Injuries: 559,999

Page last modified: 03 October 2021 5:28pm