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
92,076
AK1,880
AL6,345
AR4,151
AS46
AZ14,991
CA66,887
CO12,550
CT8,943
DC1,795
DE2,009
FL42,724
FM4
GA17,031
GU124
HI2,580
IA4,919
ID2,892
IL22,128
IN24,197
KS5,047
KY9,111
LA5,500
MA15,718
MD13,434
ME3,351
MH8
MI20,971
MN13,585
MO10,747
MP30
MS3,198
MT2,477
NC18,051
ND1,501
NE3,109
NH3,218
NJ20,216
NM4,218
NV4,728
NY37,667
OH20,793
OK6,692
OR9,244
PA25,607
PR2,588
QM2
RI2,163
SC7,261
SD1,282
TN10,445
TX39,890
UT4,618
VA15,980
VI67
VT1,830
WA16,071
WI12,042
WV2,571
WY926
XB5
XL1
XV2

ID: 1026253
Sex: F
Age: 55
State: OR

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 02/12/2021
Hospital:

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

Lab Data:

Allergies: Yes, NASAIDS - aspirin type of medicine, Codeine and Rice

Symptom List: Dysphagia, Epiglottitis

Symptoms: This happen within :15 minutes of the shot. Tongue tingle and swell with lips then nurse gave benadryl took the ER to be checkout byt the doctors . The observed and did an EKG and sent home after observation .

Other Meds: Multivitamin and B12

Current Illness: No

ID: 1026254
Sex: F
Age: 54
State: VA

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 02/12/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List: Anxiety, Dyspnoea

Symptoms: Received Moderna COVID-19 vaccine on 1/27/21 in the am. At 11:30 pm, pt started to feel sweaty and went to the bathroom. She passed out and fell to the floor. Woke up on the floor. Incontinent of stool. Had scratches on forehead and nose from the fall. Called her daughter who took her to emergency room. She was not admitted. She was not given any treatment. Stated they checked her vitals and drew some blood work. She stated that she was told it was due to her blood pressure dropping. Discharged home with no further problems. Reported this on 1/12/21.

Other Meds: Meloxicam 15 mg po qd, Hydroxychlor 200 mg po BID

Current Illness: none

ID: 1026255
Sex: M
Age: 23
State: IL

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/12/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Chest discomfort, Dysphagia, Pain in extremity, Visual impairment

Symptoms: Developed Bell's Palsy reaction on 2/11/2021. Seen by me in clinic on 2/12/201. Prednisone 60 mg PO x 7 days. Will f/u w me in 3 days for reevaluation.

Other Meds: Vitamin D, Descvoy, phenteramine, finasteride, zyrtec

Current Illness: 2/1/2021 Strep throat infection, treated w Amoxicillin x 10 days.

ID: 1026256
Sex: M
Age: 31
State: IL

Vax Date: 02/02/2021
Onset Date: 02/03/2021
Rec V Date: 02/12/2021
Hospital:

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

Lab Data:

Allergies: Isoflavones (soy

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Patient had fever of up to 101.3 F, one day after the first Moderna Covid-19 vaccine

Other Meds: Omeprazole

Current Illness:

ID: 1026257
Sex: M
Age: 29
State: IN

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/12/2021
Hospital:

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

Lab Data:

Allergies: Various penicillin derivatives

Symptom List: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Nausea; Lethargy / sleepiness; Body aches / pains; Soreness at injection site

Other Meds: Synthroid Prebiotics

Current Illness:

ID: 1026258
Sex: F
Age: 64
State: MS

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 02/12/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Chills, Confusional state, Eye inflammation, Headache, Laboratory test

Symptoms: c//o Heart racing. B/P 172/102; Pt instructed to continue to self monitor and if symptoms worsen or new symptoms develop seek emergency attention. Pt instructed to seek medical advise for second dose. If second dose recommended patient may not use the Drive thru locations and must get vaccination at doctor's office for more controlled environment.

Other Meds: None

Current Illness: None

ID: 1026259
Sex: F
Age: 69
State: WA

Vax Date: 02/02/2021
Onset Date: 02/12/2021
Rec V Date: 02/12/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Bright red rash, approximately 2"x4" on upper left arm, around injection site. Warm to touch, no other symptoms.

Other Meds:

Current Illness:

ID: 1026260
Sex: F
Age: 44
State: AL

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/12/2021
Hospital:

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

Lab Data:

Allergies: PEANUTS

Symptom List: Pharyngeal swelling

Symptoms: PATIENTS TIME IS UP FOR 15 MIN OBSERVATION TIME AND STATES FELLS ITCHY WITH DRY IRRITATION TO MOUTH. PATIENT STATES SAME REACTION LIKE WHEN SHE HAS PEANUTS. PATIENT TOOK 25 MG OF HER BENADRYL AND STATES IS GOING TO MED CENTER NORTH FOR FURTHER TREATMENT. PATIENT DID NOT WANT ANY FURTHER TREATMENT FOR SYMPTOMS HERE AT THIS TIME.

Other Meds: ?

Current Illness: ?

ID: 1026261
Sex: F
Age: 57
State: RI

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/12/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
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Lab Data:

Allergies: Flagyl, Vibramycin, Fish, Shell Fish

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Expanding hematoma and blood accumulation at elbow, now spreading to left pectoral area to elbow with increasing induration and edema. She was sent to ER for evaluation.

Other Meds: rivaroxaban 20 mg daily

Current Illness:

ID: 1026262
Sex: F
Age: 65
State: CA

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 02/12/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: pt received vaccine and felt a shock into her left arm. upon arrival to the obs site @ 1011, pt felt dizzy and lightheaded and like her pacemaker was firing. pt laid back and threw legs up. pt AXOX3. Pt assessed via RN and EMS. chief called @ 1012. ems/911 called and on scene @ 1029. pt evaluated. declined EMS. pt went ama with husband who came to take pt home in private vehicle. 1015: bp 100/78. hr 69. rr 18 02. 92 ra 1019: bp 120/80. hr 76. rr 20. 0296 ra 1024: bp 102/70 hr 76. rr 18. o2 96 ra

Other Meds:

Current Illness:

ID: 1026263
Sex: F
Age: 61
State: NC

Vax Date: 01/30/2021
Onset Date: 01/30/2021
Rec V Date: 02/12/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Vaccination site erythema, Vaccination site pruritus, Vaccination site swelling

Symptoms: Itching on neck that stopped after a few minutes on the day of the vaccine Itching on neck that occurred on subsequent days for a few minutes, usually at night Itching that occurred on face on subsequent days for a few minutes, usually at night

Other Meds: Alendronate Sodium 70mg- once per week Centrum Multivitamin -once per day

Current Illness: None

ID: 1026264
Sex: F
Age: 60
State: MI

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/12/2021
Hospital:

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

Lab Data:

Allergies: petracycline

Symptom List: Rash, Urticaria

Symptoms: diarrhea, nausea, headache, chills, muscle aches, joint pain, weakness

Other Meds: n/a

Current Illness: n/a

ID: 1026265
Sex: F
Age: 25
State: TX

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 02/12/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Blood pressure decreased, Chest pain, Chills, Confusional state, Decreased appetite

Symptoms: Extreme abdominal pain, nausea and vomiting

Other Meds: Errin birth control, Tylenol, advil

Current Illness: Nasal congestion

ID: 1026266
Sex: F
Age: 43
State: CA

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 02/12/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Dyspnoea, Fatigue, Feeling abnormal, Head discomfort, Headache

Symptoms: dizzy tired headache nausea

Other Meds:

Current Illness:

ID: 1026267
Sex: F
Age: 78
State: TX

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

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

Lab Data:

Allergies: no

Symptom List: Heart rate decreased, Heart rate increased, Hypertension, Injection site pain, Musculoskeletal chest pain

Symptoms: pt stated within 30 minutes after taking the vax she had leg pain starting in the calf and moved all the way up to the thigh. This pain last for 2 days. On 2/12/2021 she woke up she was dizzy and nauseated. Pt has not contacted her PCP regarding her symptoms at this time.

Other Meds: atorvastatin, metoprolol, vitamin D,

Current Illness: no

ID: 1026268
Sex: F
Age: 71
State: CA

Vax Date: 02/05/2021
Onset Date: 02/10/2021
Rec V Date: 02/12/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Nausea, Pain, Pain in extremity, Paraesthesia oral, Pyrexia

Symptoms: 5 days after vaccination, arm which had been sore when using, became painful while not in use also, requiring pain medication to sleep. Immobilized the 6th day so only one dose of pain meds to sleep last night and today (7th day) am continuing to baby it by hardly using it.

Other Meds: methotrexate for RA, anastrazole following estrogen-positive breast cancer & mastectomy

Current Illness:

ID: 1026269
Sex: F
Age:
State: CA

Vax Date: 02/02/2021
Onset Date: 02/04/2021
Rec V Date: 02/12/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: SARS-CoV-2 antibody test, SARS-CoV-2 test negative

Symptoms: Itchy, red circle around shot area, hot-getting a little larger every day. Using Cortaid and cold compresses. Only helps a little. I have no systems of the virus. Called Advice Nurse. Doctor will cal me to discuss.

Other Meds: Atorvastatin, Hydrocodone, Pradaxa, Dil-XR, L-Lysine, Vitatmins, Niacinamide and Tylonal

Current Illness: None

Date Died: 02/11/2021

ID: 1026270
Sex: F
Age: 90
State: WI

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 02/12/2021
Hospital:

Vax Type:
Manufacturer:
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Lab Data:

Allergies: Ceftin, Cefuroxine, Sulfa

Symptom List: Ear pain, Hypoaesthesia

Symptoms: At 10:33 am Patient pushed her pendant for staff, staff arrived to her apartment and Patient was found unresponsive in her bathroom. Patient received her second COVID-19 Pfizer vaccine about 75 minuets prior to this, she had no adverse reaction's within the first hour of receiving the second dose. CPR was started until paramedics arrived, they took over and tried to resuscitate. Patient was pronounced dead at 11:33 am at scene.

Other Meds: Albeterol Inh Soln 0.083 % Calcium 600mg + D 400 IU One Daily Woman 50 + tablet Cetirizine HCL 10 mg Tablet Digozin 0.125 mg Tablet Levothyroxine 100 mcg tablet Metoprolol Tartrate 50 mg Tablet Esomeprazole Mag. Dr 40 mg Capsule Nitroglyc

Current Illness:

ID: 1026271
Sex: F
Age: 81
State: TX

Vax Date: 01/29/2021
Onset Date: 02/07/2021
Rec V Date: 02/12/2021
Hospital:

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

Lab Data:

Allergies: losartan ( itching)

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: right mid finger discoloration

Other Meds: verapamil 240mg po qd, synthroid 25mcg poqd, tylenol prn, lasix 20mg po qd

Current Illness:

ID: 1026272
Sex: F
Age: 43
State: DE

Vax Date: 02/02/2021
Onset Date: 02/04/2021
Rec V Date: 02/12/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Blood pressure increased, Chest discomfort, Heart rate increased

Symptoms: Swelling of cheek 2 days after shot. Lasted about 48 hours. I had radiesse filler in my cheeks in Nov. 2020. Then on day 8 a very red and itchy upper arm under injection site and up to it. Rashy itchy bumps also showed on day 8 under arms, on neck and hands, arms, ankles. They are still here.

Other Meds:

Current Illness: none

ID: 1026273
Sex: F
Age: 88
State: FL

Vax Date: 02/06/2021
Onset Date: 02/08/2021
Rec V Date: 02/12/2021
Hospital:

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

Lab Data:

Allergies: allergic to numerous medication as well as adverse reactions. Never issue with a vaccine as get flu shot every year and has had pneumonia and shingles vaccine.

Symptom List: Injection site erythema, Injection site pruritus, Injection site swelling, Lymph node pain, Lymphadenopathy

Symptoms: large rash on right upper arm around injection site that has now covered most of upper arm starting on 2/7/21; although tired day after, extreme fatigue starting on 2/8/21 and sleeping almost all day, every day including today 2/12/21; all over body pain, especially in upper body and arms; None have resolved as of today 2/12/21, 7 days after 2nd dose date

Other Meds: prednisone, blood pressure

Current Illness: arthritis, inflammatory and rheumatoid.

ID: 1026274
Sex: F
Age: 35
State:

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 02/12/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Unevaluable event

Symptoms: Full body aches, dizziness, nausea, fatigue, and headache that lasted until 2/2/2021. (Other side effects resolved by 1/30/2021 )

Other Meds:

Current Illness:

ID: 1026275
Sex: M
Age: 1
State: NY

Vax Date: 02/09/2021
Onset Date: 02/11/2021
Rec V Date: 02/12/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List: Chills, Dizziness, Injection site pain, Myalgia, Pyrexia

Symptoms: left thigh was red , felt warm to touch , had swelling in thigh . pt had two injections in his thigh left upper was infanrix left lower was varicella

Other Meds: none

Current Illness: no

ID: 1026276
Sex: M
Age: 75
State: IL

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

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

Lab Data:

Allergies: niacin ER

Symptom List: Injection site pain, Pain

Symptoms: COVID-19 Vaccine Adverse Reaction: 75-year-old male with a past medical history of CAD status post CABG, hypertension, diverticular rupture s/p colectomy and rotator cuff tear s/p repair and re injury of his shoulder, he is not able to raise his shoulder above his head at baseline. Patient presents to ED complaining of right shoulder pain and swelling. He received a COVID vaccine on 02/02/2021 after which he developed mild fatigue and chills the day after and pain in his right shoulder. Swelling of his right shoulder has gotten progressively worse. He was seen by an APN 3 days ago and she recommended follow-up if he gets worse. Overnight he became more swollen and warm to palpation and that when he decided to come to the ED. Denies fever, chills, night sweats, no chest pain no dizziness or lightheadedness, no numbness or tingling sensation. No current facility-administered medications for this encounter. Musculoskeletal: General: Swelling present. No tenderness or edema. Cervical back: Normal range of motion and neck supple. No rigidity or tenderness. Comments: Right shoulder, decreased range of motion but that is his baseline from past injuries to his rotator cuff muscles, fluid collection palpated in the right shoulder, fluctuating, not warm not tender to palpation. Small amount of erythema noted around his previous injection site. Adverse reaction to vaccine, sequela Diagnosis management comments: 75-year-old male with past medical history of CAD status post CABG, hypertension, diverticular rupture s/p colectomy and rotator cuff tear s/p repair and re injury of his shoulder, he is not able to raise his shoulder above his head at baseline. Patient presents to ED complaining of right shoulder pain and swelling after receiving a Covid vaccination. Denies fever, chills, night sweats, no chest pain no dizziness or lightheadedness, no numbness or tingling sensation. X-ray of the right shoulder was obtained, showing chronic degenerative disease changes and a previous rotator cuff repair. Patient had no physical exam findings concerning for a septic arthritis, as he had no pain to his shoulder joint. Procalcitonin was wnl. Decision was made to start patient on an empiric course of antibiotics for a possible overlying cellulitis given the erythema to his skin. Patient sent home with pain medications and ice cold packs and he was instructed to come back if he has any red flags. He will have an appointment with his PCP to decide where is he going to receive his next dose of moderna COVID vaccine.

Other Meds: aspirin 81 MG PO CHEW Take 1 Tab by mouth daily. 100 Tab ? atenolol (TENORMIN) 25 MG Tablet 1/2 tablet by mouth daily 45 Tab 3 ? atorvastatin (LIPITOR) 40 MG Tablet Take 1 Tab by mouth daily. 90 Tab 3 ? cephALEXin (Keflex) 500 MG Capsule

Current Illness:

ID: 1026277
Sex: F
Age: 18
State: VA

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/12/2021
Hospital:

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

Lab Data:

Allergies: NA

Symptom List: Injection site pain, Menorrhagia

Symptoms: Vomiting (3 episodes), Fever ( up to 102F) that lasted for 2 days, chills, aches, generalized weakness

Other Meds: Wellbutrin, Effexor, Serequol

Current Illness: NA

ID: 1026278
Sex: F
Age: 78
State: MA

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/12/2021
Hospital:

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

Lab Data:

Allergies: Penicillin Meclizine Doxycycline progestins Levofloxin ezetimibe gabapentin Budesonide Meloxicam Diltiazem Statins sulfamethoxazole-trimethoprim nitrofurantoin-macrocrystal iodinated contrast media Levocetirizine clindamycin Cefdinir

Symptom List: Arthralgia, Chills, Headache, Mobility decreased, Myalgia

Symptoms: Dizziness/lightheaded Palpitations Mild chest pain

Other Meds: Lifitegrast, Aspirin, calcium carbonate-vit. D3, systane, Tylenol, ketoconazole 2%, Novalog U-100, Benadryl, albuterol, Prilosec, albuterol MDI, Colace, Miralax, Flonase, Symbicort, Voltaren, amlodipine, Eliquis, Nystop, digoxin, Nitrostat,

Current Illness:

ID: 1026279
Sex: F
Age: 30
State: NE

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 02/12/2021
Hospital:

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

Lab Data:

Allergies: Sulfa allergy

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Developed fever and chills approximately 12 hours following vaccine. The next morning discover rash on right side of lower abdomen approximately the size of a quarter. Thought the rash was hives, however of the course of the next 2-3 days the rash became blistered. Had rash cultured at local urgent care which came back positive for shingles.

Other Meds: None

Current Illness: None

ID: 1026280
Sex: M
Age: 46
State: NC

Vax Date: 12/15/2020
Onset Date: 01/01/2021
Rec V Date: 02/12/2021
Hospital:

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

Lab Data:

Allergies: seasonal allergies

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: 12/15 vaccination 1/1 4:30 started having tingling and numbness in face, L side. Felt 'off'. My left arm started to tingle and numb. Didn't last very long. Would come and go. Laid down. Ate some dinner; queasy. 1/2 Still felt 'off' 1/3 Symptoms occurred again with the numbness; face down to arm. HR was high for resting; 130's. BP 200/100. ED - CTA head/neck EKG, blood panel Symptoms resolved in ED; vitals normal 1/7 Neurology. Normal exam. MRI of brain; normal. Referral to cardiologist. Echocardiogram; normal Heart Monitor - waiting on results COVID - negative *DR/MGR of vaccine clinic

Other Meds: lipitor, hyzaar, diltiazem, flonase prn

Current Illness: n/a

ID: 1026281
Sex: M
Age: 77
State: CA

Vax Date: 01/29/2021
Onset Date: 02/09/2021
Rec V Date: 02/12/2021
Hospital:

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

Lab Data:

Allergies: Penicillin, Lotensin, drinking alcohol

Symptom List: Headache, Heart rate increased, Injection site erythema, Injection site pain, Injection site swelling

Symptoms: Rashes started with only 2 itchy rashes on 2/9. On 2/10, rashes spread to right neck, right and left side of the body including armpits, left upper arm and some on the abdomen and chest. The actual injection site which is the left arm became red and warm to touch. On 2/11, rashes spread to bilateral lower arms. Rashes are red, raised, itchy and in different sizes and shapes.

Other Meds: Amlodipine, Atorvastatin, Finasteride, Janumet, Losartan Potassium-HCTZ, Omepazole, Preservision AREDS CAPS, Tamsulosin HCL

Current Illness:

ID: 1026282
Sex: F
Age: 70
State: TX

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

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

Lab Data:

Allergies: No

Symptom List: Nausea

Symptoms: Chills, fever, 102, achy,

Other Meds: Losartan Simvastatin

Current Illness: None

ID: 1026283
Sex: F
Age: 35
State: VA

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 02/12/2021
Hospital:

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

Lab Data:

Allergies: Unknown

Symptom List: Injection site pain

Symptoms: Client received her second dose of Moderna vaccine and was sitting in her car for the 15 minutes post-vaccination period. Ten minutes into the wait time, she started experiencing difficulty breathing and stated: ?I felt like something was going through my body.? She also stated that she felt ?shaky.? Her first dose of the vaccine was uneventful and she has no history of anaphylaxis. She denied any itching or rash. Her vital signs were as follows: BP=136/83; Pulse=80; Respiration=18. 911 was called and the Medical staff arrived and evaluated her. They decided, with the client, that she did not need to be transported to the hospital.

Other Meds: Unknown

Current Illness: Unknown

ID: 1026284
Sex: M
Age: 45
State: PR

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/12/2021
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Allergies: Unknown

Symptom List: Injection site induration, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Subject presented to vaccination facility after having received intramuscular injection of 0.5 ml COVID vaccine times two previously: first dose on 01/09/2021, second dosage on 01/25/2021, and third dosage on 02/09/2021. Third dosage was inadvertently administered.

Other Meds: Unknown

Current Illness: Unknown

ID: 1026285
Sex: F
Age: 69
State: FL

Vax Date: 02/04/2021
Onset Date: 02/12/2021
Rec V Date: 02/12/2021
Hospital:

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Symptom List: Chills, Dizziness, Nausea, Pain, Tachycardia

Symptoms: Slight pain day of shot. Then all good 8days later woke to a rash warm itcy patch at place where shot was given

Other Meds: 25mg. hydrachlorothia 1000mcg B12 1000 Fish Oil 100mgC0q10 1000Tumeric SuperB Complex

Current Illness:

ID: 1026286
Sex: M
Age: 60
State: IN

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/12/2021
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Allergies: Sulfur, yeast

Symptom List: Tremor

Symptoms: Temperature of 100.6 with chills, fatigue and sore arm; Adverse reactions have gone away by 9:00 am Friday, Feb 12, 2021

Other Meds: Vybrid & Seroquel

Current Illness: None

ID: 1026287
Sex: F
Age: 64
State: TX

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/12/2021
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Allergies: Seafood, Garamycin , "Quin" family, Reglan,

Symptom List: Erythema, Pruritus

Symptoms: Within seconds after receiving the vaccine my nose started drying up and I couldn't catch my breath. The nurse gave me shot of Benadryl. Since then my tongue and throat feel like they are trying to swell. I took some Benadryl. I feel like bronchitis and it is like I get winded easy. I have a crawfish allergy and my throat feels the same as when I eat crawfish. I called my doctor today and she did video visit with me at 11:30 and said if I keep feeling like this to go to the ER.

Other Meds: Vitamin D3 10 MG, Zyrtec, Eye drops

Current Illness:

ID: 1026288
Sex: F
Age: 23
State: AK

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/12/2021
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Allergies: Reglan - RXN: systemic rash without oral or breathing involvement.

Symptom List: Injection site erythema, Injection site induration, Injection site pruritus, Injection site swelling, Myalgia

Symptoms: PT reports localized reaction started within a few hours, consisting of redness, swelling, and tenderness, at injection site. Within 12 hours after 2nd dose, PT reported increased HR (reports HR baseline of ~60 and noted it would go up to 150 with ADL's; denied chest pain), excessive fatigue/tiredness (slept 18 hours), chills with occasional rigors (improved sometime on 2/11/21, but reports occasional "hot flashes" continue through today), felt feverish (did not temp; temp on 2/12/21 at time of report 99.4 to 100.0), muscle/body aches (improving), dull frontal headaches (continues), and swollen tonsillar lymph nodes (no change)all s/s lasting through time of report. Injection site redness (LA) observed 2/12/21 at 0915 and remains

Other Meds: Next Plant Implant

Current Illness: None

ID: 1026289
Sex: F
Age: 43
State:

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 02/12/2021
Hospital:

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Symptom List: Cough, Limb discomfort, Pain, SARS-CoV-2 test positive

Symptoms: Rash to arm 2 hours after vaccine, gone in 2 days

Other Meds:

Current Illness:

ID: 1026290
Sex: F
Age: 43
State: OH

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/12/2021
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Allergies: Enforcer/darvocet

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Extremely painful arm that prevented me from being able to use my arm; not ?sore? arm, but very, very painful arm. (Arm pain started approximately 3-4 hours after vaccine). Following symptoms started approximately 19 hours after vaccine: Body full of pain mostly in arms, neck, low back, and legs. Not achy, but pain. All over pain with shooting pain in legs. Fever went as high as 101.8 F. Freezing with lots of shivering/shaking despite multiple layers of clothes and blankets. Fatigue, but unable to sleep due to amount of pain. Next day only symptom was excruciating headache that lasted approximately 12 hours...took Tylenol and Ibuprofen.

Other Meds: Synthroid; Turmeric & Black Pepper

Current Illness: None

ID: 1026291
Sex: F
Age: 77
State: WA

Vax Date: 01/19/2021
Onset Date: 01/28/2021
Rec V Date: 02/12/2021
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Allergies: penicillin clindimyicin

Symptom List: Injection site erythema, Injection site pain, Injection site swelling

Symptoms: Diagnosed as Bell's Palsy first stiff neck / pain in neck/ drooping of face

Other Meds: multi vitamin / hydrochlorothiazide /rosuvastatin fish oil flax seed oil vitamin D / B12 / calcium citrate

Current Illness:

ID: 1026292
Sex: M
Age: 65
State: UT

Vax Date: 01/28/2021
Onset Date: 02/11/2021
Rec V Date: 02/12/2021
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Allergies: None

Symptom List: Chills, Feeling cold, Feeling hot, Myalgia, Pain

Symptoms: Patient complains of facial drooping on the left side. Started on 2/11/2021. Drooping of left side of mouth, inability to completely close the left eye. Treating for bells palsy with antivirals, steroid and artificial teas.

Other Meds: None

Current Illness: None

ID: 1026293
Sex: F
Age: 45
State: TX

Vax Date: 01/26/2021
Onset Date: 02/09/2021
Rec V Date: 02/12/2021
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Allergies: None

Symptom List: Pain in extremity

Symptoms: Rash body wide with severe itching

Other Meds: Levothyroxine, Lisinopril, multivitamin, fluoxetine, calcium, colace

Current Illness: Fatigue and bone pain 2 days after injection as well

ID: 1026294
Sex: F
Age: 73
State: IL

Vax Date: 01/28/2021
Onset Date: 02/08/2021
Rec V Date: 02/12/2021
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Allergies: None

Symptom List: Abdominal pain upper, Abnormal behaviour, Adverse reaction, Anger, Asthma

Symptoms: On day 12 after the vaccination, I woke up with a red splotchy area at injection site and below, measuring 2? X 4?. It continued to increase in size and intensity of redness. It also was slightly bumpy and itchy. I called my Dr office who advised Diphenhydramine and ice. This helped but area got larger and today is now 5? X 5?. It is beginning to fade as of this morning. It was not painful and I was not systemically sick.

Other Meds: Levothyroxine, B12 , metoprolol

Current Illness: None

ID: 1026295
Sex: F
Age: 80
State: MI

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 02/12/2021
Hospital: Y

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Allergies: None

Symptom List: Consciousness fluctuating, Crying, Dry skin, Epistaxis, Headache

Symptoms: The patient presented with hyperkinetic jerking movements of her bilateral upper extremities. This occurred a few days after her 2nd Moderna COVID dose. She has CKD although her renal function was at baseline on hospital admission. Gabapentin was discontinued. By the next morning, the jerking movements stopped. It is unknown if this was due to gabapentin vs the vaccine.

Other Meds: calcium carbonate 648 MG PO Tab cloNIDine (CATAPRES) 0.1 MG PO Tab ferrous sulfate 325 (65 Fe) MG PO Tab fluticasone-salmeterol (ADVAIR) 250-50 MCG/DOSE INHAL AEROSOL POWDER, BREATH ACTIVATED guaiFENesin (ROBITUSSIN) 100 MG/5ML PO L

Current Illness: None

ID: 1026296
Sex: F
Age: 21
State:

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 02/12/2021
Hospital:

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Symptom List: Hypotonia, Lethargy, Respiratory rate decreased, Screaming, Skin warm

Symptoms: Patient reported that fever began the night of the vaccination and continued into the middle of the day on the 29th--this was accompanied by pain at injection site and diarrhea.

Other Meds:

Current Illness:

ID: 1026297
Sex: F
Age: 83
State: IN

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/12/2021
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Allergies: Notification, ceflrx

Symptom List: Vomiting

Symptoms: First, pain in arm before bed. Took Tylenol so I could sleep. Next day toward late afternoon, had soreness somewhat at upper center between shoulders. Tired and listless.

Other Meds:

Current Illness: None

ID: 1026298
Sex: F
Age: 73
State: FL

Vax Date: 01/30/2021
Onset Date: 02/12/2021
Rec V Date: 02/12/2021
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Allergies: None known

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: 10 days after the first vaccine my upper left arm developed a rash that was very warm and slightly swollen, today is the 4 th day and it remains the same

Other Meds: HCTZ Vitamin Omperzole

Current Illness: No

ID: 1026299
Sex: F
Age: 46
State: AS

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/12/2021
Hospital:

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Allergies:

Symptom List: Back pain, Cold sweat, Headache, Nausea, Vomiting

Symptoms: Patient intiated two dose Covid vaccination series with Moderna on 01/07/2021, but received Pfizer covid19 vaccination as second dose on the date of her visit.

Other Meds:

Current Illness:

ID: 1026300
Sex: F
Age: 77
State: GA

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/12/2021
Hospital:

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Allergies: None

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Shingles symptoms

Other Meds: Lamictal zonicimide mementine

Current Illness: None

ID: 1026301
Sex: F
Age: 51
State: CO

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 02/12/2021
Hospital:

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Allergies: MORPHINE-HIVES PHENEGREN-ANXIETY REGLAN-ANXIETY

Symptom List: Chills, Diarrhoea, Fatigue, Feeling abnormal, Headache

Symptoms: 9 HOURS AFTER DOSE NOTED ARM PAIN, FEVER,CHILLS, FOGGY AND BODY AHES X 24 OURS 1/12/21 NOTED FAIAL PARALYSIS, DECREASED VISIAL FIELDS

Other Meds: NONE

Current Illness: NONE

ID: 1026302
Sex: F
Age: 34
State: WA

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

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Allergies: None

Symptom List: Hot flush, Myalgia, Nausea, Tension headache

Symptoms: "10 days ago on February 1st she received the first moderna vaccine. At the time her arm hurt badly for a few days, however yesterday she started to develop new redness and swelling and pain in her left shoulder. It feels much warmer than the surrounding area. The area is tender and hurts her to lift the arm. She has developed some new joint pain around her ankles. "

Other Meds: Tylenol, ZyrTEC, metroNIDAZOLE

Current Illness: Bacterial vaginosis

Total 2021 VAERS Injuries: 704,237

Page last modified: 26 October 2021 2:21am