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: 1017728
Sex: M
Age: 60
State: NY

Vax Date: 01/19/2021
Onset Date: 01/31/2021
Rec V Date: 02/09/2021
Hospital:

Vax Type:
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Vax Site:

Lab Data:

Allergies: None

Symptom List:

Symptoms: Temporary paralysis of left eyelid which was a symptom of Bells Palsy. At the same time I experienced a very disturbing sensation of having no saliva in mouth or throat. I was completely dry and unable to produce saliva. This is my description of the event: I woke up around 3am with rapid heartbeat, lightheadness, and upon opening my eyes I realized my left eyelid was drooping and I was unable to open it. At the same time I experienced extreme dryness in my mouth and throat where i had absolutely no moisture/saliva and was unable to produce any for approximately 20 minutes. I walked to an emergency, which was just 2 blocks away, to get checked out. I told the attending nurse and physician what my symptoms were. Luckily by the time I was admitted to the ER the symptoms began to dissipate. My eyelid was slightly droopy but moving and i was able to produce saliva again. I explained that I've never experienced symptoms like this before in my life and that I believed this was from the vaccine. I had been experiencing symptoms every day since receiving the shot.... from headaches, to fatigue, to tightness in my chest, a cough, pain in my larynx that towards my chest, pain in my upper left abdomen, strange sensations in my legs, brain fogginess, and some swollen lymph nodes.

Other Meds: Sildenafil

Current Illness: None

ID: 1017729
Sex: M
Age: 41
State: NC

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 02/09/2021
Hospital:

Vax Type:
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Vax Site:

Lab Data:

Allergies: levaquin

Symptom List:

Symptoms: Mild symptoms - cold chills, achy on the night of vaccine. At about 24 hrs after vaccine administration, developed high fever(102), rapid heart rate, low o2 sat, eventually passed out and EMS had to be called. Was not transported to hospital per pt request.

Other Meds: Took Tylenol before vaccine administration

Current Illness: none

ID: 1017730
Sex: F
Age: 52
State:

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 02/09/2021
Hospital:

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

Allergies:

Symptom List:

Symptoms: Low temp, chills, HA, muscle pain, fatigue.

Other Meds:

Current Illness:

ID: 1017731
Sex: F
Age: 32
State: IN

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 02/09/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List:

Symptoms: Symptoms after 1st & 2nd shot; Extreme migraines, muscle aches, chills, nauseous, and fatigued. Symptoms from 2nd shot (2 weeks after): Still have extreme migraines. Treatment: None, was told it would go away with time but has not gotten better. My migraines interfere with my everyday life. Hard to function.

Other Meds: No

Current Illness: Had illness symptoms from first COVID-19 Vaccine such as: Extreme migraines, nausea, muscle aches, chills, and fatigued.

ID: 1017732
Sex: M
Age: 71
State: CA

Vax Date: 01/28/2021
Onset Date: 02/04/2021
Rec V Date: 02/09/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: None.

Symptom List:

Symptoms: On 2/4/21 had a seizure which he has not had in 16 years. He then started to get really tired, and still having that today 2/9/21. Had the feeling of having a heavy flu. No treatment, no other seizures.

Other Meds: Tegratole, Gemfibrizole, Metformin, Losartan, centrum, magnesium.

Current Illness: None.

ID: 1017733
Sex: F
Age: 26
State: ID

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 02/09/2021
Hospital:

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

Lab Data:

Allergies: NONE

Symptom List:

Symptoms: These symptoms started the evening of my vaccine and lasted for 4 days (1/28/2021 through 1/31/2021). Uncontrollable chills, severe body aches, upper/middle back pain, neck pain/stiffness, extreme fatigue, ear aches, raging frontal and occipital headache, and hives (white in color on both legs - inner knee area), itchy neck and chest. Benadryl taken for hives. Ibuprofen taken for other side effects. No treatment/OTC medication provided real relief until late evening of day 3 after vaccine. Hives and side effects resolved entirely after 4-5 days post-vaccine. White hives turned into red healing rash-like bumps and eventually disappeared entirely.

Other Meds:

Current Illness: COVID 19 (First symptom 12-19-2020)

ID: 1017734
Sex: F
Age: 47
State:

Vax Date: 01/13/2021
Onset Date: 01/18/2021
Rec V Date: 02/09/2021
Hospital: Y

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

Allergies:

Symptom List:

Symptoms: the patient tested positive for COVID 19 after receiving dose #1 of the COVID 19 Pfizer vaccine.

Other Meds:

Current Illness:

ID: 1017735
Sex: F
Age: 67
State: PA

Vax Date: 01/24/2021
Onset Date: 02/01/2021
Rec V Date: 02/09/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: latex, pseudophed and flexeril

Symptom List:

Symptoms: redness and itching in injection site 8 days later and lasted for 1 week

Other Meds: MVI

Current Illness: no

ID: 1017736
Sex: F
Age: 39
State:

Vax Date: 02/03/2021
Onset Date: 02/05/2021
Rec V Date: 02/09/2021
Hospital:

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Called in sick the day after.

Other Meds:

Current Illness:

ID: 1017738
Sex: F
Age: 87
State: NY

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 02/09/2021
Hospital:

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

Lab Data:

Allergies: broccoli, chlorhexidine

Symptom List:

Symptoms: A third shot was given at the third clinic at the facility. No adverse effects reported.

Other Meds:

Current Illness:

ID: 1017739
Sex: M
Age: 22
State: PA

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/09/2021
Hospital:

Vax Type:
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Vax Site:

Lab Data:

Allergies: None

Symptom List:

Symptoms: Extreme sensitivity to cold contact on skin. Routine icing after physical therapy (only 8-10 minutes) resulted in severe pain at site of icing along with swelling and redness that has persisted for 4 days. It has evolved now into itchy boils.

Other Meds: Paroxetine

Current Illness: None

ID: 1017740
Sex: F
Age: 76
State: IL

Vax Date: 01/29/2021
Onset Date: 02/06/2021
Rec V Date: 02/09/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
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Vax Site:

Lab Data:

Allergies: codeine

Symptom List:

Symptoms: Developed a rash on my buttocks and down my legs. Saw Dr and he prescribed MethyIPrednisolone Tablets

Other Meds: calcium w/vitaminD vitamin B vitamin C aspirin isosorbide docusate sodium pantoprazole furosemide nifedipine dicyclomine levothyroxine rosuvastatin fish oil

Current Illness: heart disease high blood pressure high colesterol thyroid irritable bowel syndrome

ID: 1017741
Sex: U
Age: 37
State:

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/09/2021
Hospital:

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: HA, nausea, body aches, sore arm.

Other Meds:

Current Illness:

ID: 1017742
Sex: M
Age: 30
State: CA

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/09/2021
Hospital:

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Anxiety.

Other Meds:

Current Illness:

ID: 1017743
Sex: M
Age: 69
State: WA

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 02/09/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: Codeine

Symptom List:

Symptoms: 69 YO M CARDIAC ARREST. PT HAD JUST RECEIVED HIS COVID VACCINATION AND WAS PULLING INTO THE OBSERVATION AREA WHEN HE LOST CONTROL OF HIS TRUCK, BECAME UNCONSCIOUS AND CRASHED INTO A LIGHT POLE. THIS OCCURRED IN FRONT OF THE STANDBY MEDIC UNIT AND OTHER FIRE DEPT STAFF. PT WAS IMMEDIATELY REMOVED FROM THE VEHICLE AND THE PATIENT WAS DETERMINED TO BE IN CARDIAC ARREST. CPR WAS INITIATED WITHIN SECONDS OF BEING REMOVED FROM THE VEHICLE. EMS WAS IMMEDIATELY AVAILABLE AND THE PATIENT WAS DEFIBRILLATED FOR WHAT APPEARED TO BE A SINE WAVE VT/COURSE VF WITHIN ONE MINUTE OF HIS ARREST. PT WAS PLACED ONTO A BACK BOARD AND MOVED TO AMBULANCE IN A PULSED VT AND WAS AWAKE AND RESPONSIVE. ONCE IN THE BACK THE PT WAS WIRED INTO THE FOUR LEAD AND WAS SYNCHRONIZED CARDIOVERTED AT 100 J WITH A CONVERSION TO A PULSED JUNCTIONAL RHYTHM WITH A RATE OF ABOUT 58. THIS RHYTHM CHANGED INTO A SINUS TACH AT ABOUT 100 BPM. IV ACCESS WAS OBTAINED AND 100 MG LIDO BOLUS WAS ADMINISTERED WITH A 2:1 LIDO DRIP HUNG. AMBULANCE BEGAN TRANSPORT TO ER. OVER NEXT SEVERAL MINUTES PT BEGAN HAVING VENTRICULAR ECTOPY IN THE FORM OF PVCs COUPLETS AND EVENTUALLY 4-5 BEAT RUNS OF VTACH WHILE ON PHONE WITH ER MD. DISCUSSED GIVING ANOTHER BOLUS OF LIDO AND INCREASING DRIP TO 3:1 DUE TO INCREASING VENTRICULAR ECTOPY. THE ER PHYSICIAN CONCURRED AND ANOTHER 75 MG LIDO BOLUS WAS GIVEN FOLLOWED BY INCREASING THE DRIP RATE TO 3MG/MINUTE FOLLOWING THE SECOND LIDO DOSE AND DRIP ADJUSTMENT THE PATIENT'S VENTRICULAR ECTOPY RESOLVED AND THE PATIENT REMAINED IN A SINUS RHYTHM / SLOW SINUS TACH THROUGHOUT TRANSPORT AND TRANSFER OF CARE TO THE ER. A 12 LEAD WAS OBTAINED JUST PRIOR TO ARRIVAL IN ED THAT SHOWED SINUS TACH WITHOUT VENTRICULAR ECTOPY BUT WHAT APPEARS TO BE PACs, FLIPPED T WAVES IN a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

Other Meds: ascorbic acid (VITAMIN C) 250 MG tablet docusate sodium (COLACE) 100 mg capsule Glucosamine 750 MG TABS HYDROcodone-acetaminophen (NORCO) 5-325 mg per tablet ibuprofen (ADVIL,MOTRIN) 600 MG tablet Misc Natural Products (TART CHERRY ADVANCED

Current Illness:

Date Died: 01/28/2021

ID: 1017744
Sex: F
Age: 85
State: CA

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 02/09/2021
Hospital:

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

Lab Data:

Allergies: Unknown

Symptom List:

Symptoms: Unknown

Other Meds: Unknown

Current Illness: Unknown

ID: 1017745
Sex: F
Age: 39
State:

Vax Date: 01/23/2021
Onset Date: 01/23/2021
Rec V Date: 02/09/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Numbness and tingling of left arm. Patient was kept for an additional 15 minutes for observation for a total of 30 minutes. During observation patient's BP and pulse were elevated and patient stated he had a slight pain in her chest. Taken to Emergency Room immediately after 30 minute observation.

Other Meds:

Current Illness:

ID: 1017746
Sex: F
Age: 34
State: AZ

Vax Date: 12/31/2020
Onset Date: 01/01/2021
Rec V Date: 02/09/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: Client returned to the Clinic for Dose #2 of Moderna Covid-19 vaccine on 02/04/21. When reviewing information regarding how Client did with dose #1, on 12/31/2020 at the Clinic, she stated she had pain and difficulty with movement of right arm after receiving dose #1. Stated it was better, but still having issues with rt. arm. She stated no other issues besides this with dose #1. She stated she saw her PCP and was going to have an MRI the following week. States her PCP recommended still receiving dose #2 as he did not believe it was related to the vaccine itself. Dose #2 was given in the left arm.

Other Meds: None Known

Current Illness: None Known

ID: 1017747
Sex: F
Age: 23
State: IA

Vax Date: 02/07/2021
Onset Date: 02/08/2021
Rec V Date: 02/09/2021
Hospital:

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

Lab Data:

Allergies: Avocado

Symptom List:

Symptoms: Immediately after the shot I was very tired. The next morning I woke up about 6am, I felt out of sorts. I got very light headed and dizzy. I had a headache and noticed I had a 101.2 fever so I took Tylenol. I also had body aches. All day I was very weak. Later in the day about 4pm I became nauseous and threw up. Symptoms carried over into the next day. I am tired with a bad headache and nauseous.

Other Meds:

Current Illness:

ID: 1017748
Sex: F
Age: 34
State: IL

Vax Date: 01/31/2021
Onset Date: 02/07/2021
Rec V Date: 02/09/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: On 2/7/21, felt some neck pain. On 2/8/21 had large raised rash near injection site and large swollen very painful lymph node in neck. Called the clinic first, then made an appt with my doctor's office. On 2/9/21, visited doctor at 12:40pm.

Other Meds: Fluoxetine, Bupropion, Vitamin D, Adult Multivitamin, Biotin

Current Illness: Contact dermatitis on my hands in early January. Threw out my back on 1/29/21.

ID: 1017749
Sex: F
Age: 63
State: CO

Vax Date: 02/06/2021
Onset Date: 02/08/2021
Rec V Date: 02/09/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: COVID-19 arm, rash, redness, itchiness at injection site. Fever x 3 days.

Other Meds:

Current Illness: None

ID: 1017750
Sex: F
Age: 71
State: CA

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 02/09/2021
Hospital:

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

Lab Data:

Allergies: none to medications mussels (food) base metals ( e.g.nickel)

Symptom List:

Symptoms: I waited approximately 15 min after injection, then checked out ( another approximately 5 min), walked to my car and started to drive home. About 40-45 minutes after injection I had a distinct sensation of swelling lips and a tightening of the throat. I stopped driving, drank some water in the car. Fortunately, this reaction did not progress and after a few minutes more began to dissipate. I drove the rest of the way home. Then a late afternoon nap. I will have Benadryl with me for the 2nd dose.

Other Meds: Daily 81 mg ASA Daily multivitamin Sr Daily Ocular multivitamin Daily calcium with D Daily probiotic Valtrex prn Menostar weekly topical patch

Current Illness: none

ID: 1017751
Sex: F
Age: 43
State: TX

Vax Date: 02/01/2021
Onset Date: 02/09/2021
Rec V Date: 02/09/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: "COVID arm" Developed redness and muscular tenderness within 24 hrs of shot #1. Persisted 2-4 days. Rash / redness re-appeared today, ~8 days after shot #1. Slightly raised like a mosquito bite. 1.5 to 2 inches in diameter. No muscular tenderness. Photos available for both instances.

Other Meds: Limited antihistamine. Limited ibuprofen

Current Illness: None

ID: 1017752
Sex: F
Age: 66
State: TX

Vax Date: 01/09/2021
Onset Date: 01/09/2021
Rec V Date: 02/09/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: 1st Dose: headache, arm pain 2nd Dose: Diarrhea, fever, chills, muscle pain, joint pain, headache: Lasting about 28 Hrs. Then weakness and fatigue for about 30 hrs. Unable to work due to fatigue with little amounts of effort.

Other Meds: Prozac, Benazapil/HCTZ, Atorvastatin, Nexium, Zyrtec, ibuprofen, multivitamin.

Current Illness: None

ID: 1017753
Sex: F
Age: 0
State: AZ

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/09/2021
Hospital:

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

Lab Data:

Allergies: none known

Symptom List:

Symptoms: Fever for 2 days. Rash on leg and face intermittently from time of injection, lasted 3 days.

Other Meds: vitamin D

Current Illness:

ID: 1017754
Sex: F
Age: 27
State: OH

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 02/09/2021
Hospital:

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

Lab Data:

Allergies: IV Contrast Dye - hot flashes and vomiting

Symptom List:

Symptoms: Employee became SOB and warm soon after vaccination. Helped to floor; 02 at 2L per N/C started. HR elevated; having difficulty breathing so EpiPen 1:1000 given IM in left thigh. Adult code blue called. Code team arrived within 30 seconds to one minute and employee transported to ER via gurney. Per ER Notes: DEXAmethasone (DECADRON) 10 mg/mL injection for oral use 10 mg (10 mg Oral Given 12/28/20 1301) Patient is in no acute distress, states that she feels well. History and physical exam as above. Patient states that her symptoms have resolved as of arriving in the emergency department. We will assume that this was an anaphylactic reaction, she was not given time to develop all signs and symptoms of anaphylaxis, however she was given an EpiPen and her dyspnea rapidly improved and therefore we will treat her as if she experience anaphylaxis. She will be kept in the emergency department for 6 hours for observation, she was given 10 mg of p.o. Decadron. At the time of my shift change she continued to be hemodynamically stable, awake, and talkative. She still required ~3 hours of observation at that time. I saw this patient with attending physician, please see her note for ultimate disposition or further developments.

Other Meds: Birth control patch Omeprazole 20 mg

Current Illness: None

ID: 1017755
Sex: F
Age: 24
State: TX

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 02/09/2021
Hospital:

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

Lab Data:

Allergies: No known food, cosmetic, or drug allergies.

Symptom List:

Symptoms: I had nerve pain 8 on pain scale on 1/7, mostly centered on my back along my spine but when it was at its worst it was anywhere my skin was in contact with anything. First started feeling like my back itched at around 6:30pm. At 8:30pm, I started feeling exhausted and feverish. I took my temperature, it was 100.6 F, I took acetaminophen (2, 650mg tablets). My symptoms did not get better and I started having chills and pain like needles stabbing me anywhere my clothes were touching me. I went to bed at around 11pm and tried to sleep unsuccessfully until 3am, tossing and turning in pain anywhere my skin was being touched, before trying ibuprofen (600mg, the dose I take for my migraines) which seemed to help and I finally fell asleep. Next morning woke up feverish, exhausted, and in pain again. Once again ibuprofen helped and I continued taking it every 8 hours for the next day until my symptoms were no longer coming back when the dose was wearing off. Last ibuprofen was probably 10pm on 1/8.

Other Meds: Propranolol 30mg, norethindrone acetate/ethinyl estradiol 1/20, loratadine 10mg, melatonin 11mg, One A Day Women?s multivitamin gummies, sublingual compounded allergy drops, all taken at bedtime. Compounded dexamethasone, itraconazole, and

Current Illness: Chronic sinusitis and nasal obstruction diagnosed December 28th, 2020. Treated with combination nasal spray listed above, methylprednisolone dose pack, and two azithromycin dose packs separated by a week (second pack started night of 1/7)

ID: 1017756
Sex: F
Age: 62
State: AZ

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/09/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

Symptom List:

Symptoms: Pain at injection site; mild headache, body aches, nausea, (flu like symptoms). 400mg ibuprofen twice 6 hours apart. Symptoms last 24 hours

Other Meds: Prozac, NP Thyroid, Aspirin 821mg, Progesterone caps, Hormone Pellets every quarter, Cholestyramine, calcium, Vitamin D, DIM, Omega 3, Bacopa, Multivitamin

Current Illness: COVID-19

ID: 1017757
Sex: F
Age: 40
State: KY

Vax Date: 02/04/2021
Onset Date: 02/08/2021
Rec V Date: 02/09/2021
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Allergies: Ciprofloxacin, Clarithromycin, naltrexone-bupropion

Symptom List:

Symptoms: Received second vaccine on 2/4/21 and on 2/8/21 went to urgent care for bilateral ear pressure and sinus congestion that was present since 2/7/21.

Other Meds:

Current Illness:

ID: 1017758
Sex: F
Age: 80
State: CA

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 02/09/2021
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Allergies: monosodium glutamate, mangoes, cats, grass & weed pollens.

Symptom List:

Symptoms: Ten hours after injection, area was red ,hot & itching.These things persisted & got worse for 14 days. The size of the red area increased from 1 square inch on day 2 to 6 inches by 4 inches on day 16. Now it is that size but pink with a red rim. It still itches. Treatment was Benadryl and ice.

Other Meds: none

Current Illness: none

ID: 1017759
Sex: F
Age: 36
State: MA

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/09/2021
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Lab Data:

Allergies: Latex: mild - moderate skin irritation

Symptom List:

Symptoms: Swelling throughout whole arm and hand with some pain at joints, nausea, diarrhea, headache, clammy skin, fatigue. Treatment: OTC medicine, heat, rest Outcome: Most symptoms subsided by Sunday at 5pm. Lingering nausea, headache, fatigue on Monday and Tuesday morning following event.

Other Meds: Vitamin C (1000 mg) Vitamin D3 (50 mcg) Multivitamin

Current Illness: N/A

ID: 1017760
Sex: F
Age: 92
State: CO

Vax Date: 01/31/2021
Onset Date: 02/01/2021
Rec V Date: 02/09/2021
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Lab Data:

Allergies: penicillin

Symptom List:

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA: One day after vaccination patient reported left arm and chest pain (over pacemaker), shortness of breath, and nausea resulting in poor oral intake. Initial vital signs in the emergency department within normal ranges except blood pressure 135/60 mmHg. No fever, cough, or dermatologic symptoms reported or noted. Only neurological symptom noted was lightheadedness. Patient administered aspirin, antibiotics, intravenous fluids, and acetaminophen and observed overnight. Pain improved with acetaminophen. Vitals were within normal ranges during observation period and symptoms resolved. Cardiology evaluated patient, determined pacemaker functioning appropriately, and patient discharged to home stable.

Other Meds: aspirin, atorvastatin, levothyroxine, nifedipine, telmisartan, albuterol, fluticasone, multivitamin.

Current Illness: none reported

ID: 1017761
Sex: M
Age: 66
State: MI

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 02/09/2021
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Allergies: None

Symptom List:

Symptoms: Nausea/vomiting/dry heaving since midnight , started feeling better around 4:30 pm.

Other Meds: glipizide Trulicity Eliquis Fluoxetine Atorvastatin Metformin Carvedilol Vitamin d Melatonin Magnesium Multivitamin

Current Illness: None

ID: 1017762
Sex: F
Age: 31
State: PR

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 02/09/2021
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Lab Data:

Allergies: penicilina, aspirina, cipro,sea food

Symptom List:

Symptoms: swelling on face, rash, shortness of breath, diarrhea, chills, fever, nausea.

Other Meds: No

Current Illness: N/A

ID: 1017763
Sex: F
Age: 59
State: TX

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/09/2021
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Symptoms: Symptoms: shortness of breath Diagnosis: acute shortness of breath Treatment: Epipen 0.3mg dose was given at 1:20pm to left outer thigh. Second dose of Epipen 0.3mg given at 1:43pm to right outer thigh. Patient was then transported to Medical Center through EMS.

Other Meds:

Current Illness:

ID: 1017764
Sex: M
Age: 70
State: VA

Vax Date: 01/30/2021
Onset Date: 02/08/2021
Rec V Date: 02/09/2021
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Allergies: Amoxicillen

Symptom List:

Symptoms: A large red area with itching and pain

Other Meds: Losartan

Current Illness: None

ID: 1017765
Sex: F
Age: 71
State: AZ

Vax Date: 01/16/2021
Onset Date: 01/20/2021
Rec V Date: 02/09/2021
Hospital: Y

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Allergies: no known allergies

Symptom List:

Symptoms: I work at medical center where patient is being treated for a new diagnosis of Acute monocytic leukemia. I was able to that the patient was vaccinated with Moderna vaccine on 1/16/2021, patient does not have the vaccination card with the Lot number so this is unknown at this time. Here are the details I see in the chart. Patient arrived on 1/30/2021 at 2100, per History and physican patient has not been feeling well for about a week and a half, and had received the moderna vaccine approximately 2 weeks prior to this time. Doctors note states about a week after first COVID vaccine she noted chest and back pain, dyspnea, high grade fevers and for this went to the ER on 1/28/21 and found to have anemia Hemoglobin 10 with normal LFTs. She was thought to have a reaction to vaccination and sent home. When her symptoms did not get better she went to ER again on 1/30 and found to have Hemoglobin down to 8 and marked LFTs elevation. Pathology evaluated elevated WBC and showed monocytosis and possible blast cells and patient transferred for further workup. per oncologist patient went to primary care about 6 months ago and had a normal CBC. Patient was started on chemotherapy for diagnosis of AML during this admission, as of 2/9/2021 patient remains inpatient, is intubated in ICU with prognosis unknown at this time.

Other Meds: bupropion 300 mg daily and simvastatin 20 mg daily

Current Illness: felt healthy and hiking 3-4 miles per day previous to vaccination

ID: 1017766
Sex: M
Age:
State: MA

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 02/09/2021
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Allergies: NKA

Symptom List:

Symptoms: chills, muscle aches

Other Meds: Red Yeast, Vitamin D, Losartan 25 daily, Atenolol 12.5 mg daily

Current Illness:

ID: 1017767
Sex: F
Age: 35
State: OR

Vax Date: 02/05/2021
Onset Date: 02/01/2021
Rec V Date: 02/09/2021
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Allergies: NKMA

Symptom List:

Symptoms: Vaccine vial had been removed from deep freezer and placed into cooler longer that recommended time frame by Pfizer; Vaccine administered prior to having knowledge. Pharmacy contact Pfizer and ID physician; determined would not be harmful however would not be able to guarantee effectiveness. ID MD recommends offering revaccination after 3-4 weeks, which as been offered and accepted

Other Meds:

Current Illness: High blood pressure; is lactating

ID: 1017768
Sex: F
Age: 41
State: NC

Vax Date: 01/14/2021
Onset Date: 01/22/2021
Rec V Date: 02/09/2021
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Lab Data:

Allergies: Sulfur

Symptom List:

Symptoms: 8 days after my first vaccine my arm was red, swollen, fevered and spread to cover a large area of my arm. I started to itch on the left side of my neck and around my lip/mouth area. I also felt my heart beat faster and heart fluttering or skipping a beat. This lasted 4-5 days.

Other Meds: Adderall XR Levothyroxine Omeprazole DR Chlorthalidone Prometazine Culturelle probiotic Flinstones multi vitamin

Current Illness: High blood pressure

ID: 1017769
Sex: F
Age: 67
State: FL

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/09/2021
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Allergies: None

Symptom List:

Symptoms: Extremely sore muscle at injection site, fatigue, joints hurting occasionally (although with fatigue I'm not moving much),fever 99.4 - 100.7, and blood sure elevated between 162 and 190. Don't know of any other reason for it to be this high. Had sleepless night and then 4:00 a.m. blood sugar was 190. Blood sugar is what I'm most concerned about.

Other Meds: levothyroxine, glipizide ER, lisinopril/HCTZ, lovastatin, calcium with D3, omeprazole, D3

Current Illness: None

ID: 1017770
Sex: F
Age: 63
State: NJ

Vax Date: 01/28/2021
Onset Date: 02/08/2021
Rec V Date: 02/09/2021
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Allergies: none

Symptom List:

Symptoms: 02/08/2021: small (1 inch diameter) rash on right arm 02/09/2021: 3 large (4-5 inch) rashes on right arm around where injection occurred but not at injection site. Rash "fanned out" to right, left and above injection site area. Rash is not itchy but is warm to the touch.

Other Meds: none

Current Illness: none

ID: 1017771
Sex: M
Age: 35
State: PR

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 02/09/2021
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Lab Data:

Allergies: allergy to seafood

Symptom List:

Symptoms: Everything started on the second day with pain in the arm where the vaccine was administered, that lasted two days and exactly one week later from receiving the vaccine started an allergic reaction with hives, that measured approximately 10inches wide. It was on the opposite arm to where the vaccine was given.

Other Meds: Metformin, Losartan potassium and simvastatin

Current Illness:

ID: 1017772
Sex: F
Age: 65
State: MO

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/09/2021
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Allergies: NKA

Symptom List:

Symptoms: Presented to PCP on 2/8/2021 with Cellulitis at injection site

Other Meds:

Current Illness:

ID: 1017773
Sex: M
Age: 41
State: IL

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/09/2021
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Allergies: Gadolinium, Penicillin, Shrimp

Symptom List:

Symptoms: Within 5 minutes of vaccination, patient developed throat tightness. Patients vital signs and symptoms monitored, diphenhydramine 25mg po x 1, diphenydramine 37.5mg IM x1 and subsequently Epi-pen was administered (no progression of symptoms but incomplete resolution of throat discomfort led to decision to administer Epi. ) Monitored x 5 hours total in office;patient discharged home stable with epi-pen and plan of care.

Other Meds: Metoprolol ER 50mg po qd, Atorvastatin 40mg PO qd, Lisinopril-

Current Illness: None

ID: 1017774
Sex: F
Age: 26
State: AZ

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/09/2021
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Symptoms: tongue swelling

Other Meds:

Current Illness:

ID: 1017775
Sex: F
Age: 64
State: MT

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/09/2021
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Allergies: Sulpha drugs, and quite possibly shrimp

Symptom List:

Symptoms: Actually fewer side effects (no headache, no fatigue) than with dose 1 for first 30 hours. Allergeric reaction including hives 30 hours after vaccine. I had eaten shrimp about 7p on 2/5 (day after vaccine), became itching, then broke out in hives on face, chest, neck and back. Took 50 mg Benadryl and went to ER as I had Covid vaccine the previous day. Monitored in ER, given 60 mg Prednisone in ER, observed for 3 hours, then released with rx of 40 mg prednisone daily for 4 days. I have had 2 other severe allergeric reactions including hives, and once anaphyaxis over the past 30 years, with the common denominator of having eaten shrimp. I feel it may be possible that the Covid vaccine had my immune system on high alert and even a slight intolerance to shrimp caused the allergeric reaction. I regularly eat shrimp with no adverse effects. I felt it important to report this reaction although it may not be a direct side effect of the Covid vaccine. Again, first dose side effects were mild with a low grade headache and fatigue.

Other Meds: None

Current Illness: None

ID: 1017776
Sex: F
Age: 79
State: AR

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 02/09/2021
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Allergies: sulfa

Symptom List:

Symptoms: pt states that later the day of the vax that her left eye lid was dropping and she had a blood blister develop a couple of inches below injection site. The next day she had sore left arm with some fatigue. Pt states all symptoms have subsided but still has a droopy eyelid and has an apt w/ an eye doctor today. She states she has had cataract eye surgery on 1/13/2021 and on 1/26/2021 had Botox injection on brow. Pt has appt w/ PCP on 2/18/2021.

Other Meds: J Defender Chinese herb, Imprimis

Current Illness: no

ID: 1017777
Sex: M
Age: 39
State: TN

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 02/09/2021
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Symptoms: Pt. states that the next day his left shoulder begin to hurt and is still hurting when he moves it like putting on a shirt or something. States the discomfort gets to about a 6 at times. {Plans to see md. But elected to take the second dose, Can't remember doing anything to his shoulder

Other Meds:

Current Illness:

ID: 1017778
Sex: F
Age: 60
State: PA

Vax Date: 01/29/2021
Onset Date: 02/05/2021
Rec V Date: 02/09/2021
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Allergies: none known

Symptom List:

Symptoms: I received first Moderna Covid vaccine 1-29-21 On 1-30-2021 I got an MRI which was ordered by orthopedist due to longstanding neck disc issues. The radiologist who reviewed that MRI noted, " Multiple enlarged level II cervical lymph nodes, for which further evaluation with dedicated CT or MRI of the neck with intravenous contrast is reccommended" These enlarged nodes did NOT present any pain for me or any other issue. That MRI which i got on 2-5-2021 with contrast was noted to be "Normal" I am reporting this as an adverse effect of Moderna vaccine since i have seen reports of this as a possible effect of the vaccine.

Other Meds: B-12 and multivitimin only

Current Illness: none

Total 2021 VAERS Injuries: 599,999

Page last modified: 03 October 2021 5:28pm