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: 1031833
Sex: F
Age: 85
State: NV

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Right side of head..mouth pain with guns, tongue, roof of mouth..eye and ear pain.....following morning with cold sweats and weakness

Other Meds: OTC vinegar capsules

Current Illness: None

ID: 1031834
Sex: F
Age: 55
State: IA

Vax Date: 01/04/2021
Onset Date: 01/06/2021
Rec V Date: 02/15/2021
Hospital:

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

Lab Data:

Allergies: no

Symptom List:

Symptoms: initially I had soreness at injection sight that started decreasing I began to have increased pain above the injection on my shoulder muscle. Any movement created pain, by Friday I couldn't move it without severe pain in the shoulder. I went to the Dr Friday the 8th at 3pm I received a LMN treatment and osteopathic treatment that relieved the pain some. Put on prednisone and a heating pad with zero movement. Dr believed I had a underlying autoimmune inflammatory reaction

Other Meds: losartan, hydroclorazide

Current Illness: no

ID: 1031835
Sex: F
Age: 55
State: AZ

Vax Date: 02/13/2021
Onset Date: 02/13/2021
Rec V Date: 02/15/2021
Hospital:

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

Lab Data:

Allergies: Tetracycline & Amoxicillin

Symptom List:

Symptoms: Sore arm, body aches and chills approximately 13 hours after vaccine. Adverse effects resolved within 36 hours or less.

Other Meds: Fluoxetine 20mg, vitamin B12 1000mg, Super B-Complex, fish oil 1000mg, juice festiv daily fruit & Vegetable capsules

Current Illness: None

ID: 1031836
Sex: M
Age: 66
State: MN

Vax Date: 02/11/2021
Onset Date: 02/13/2021
Rec V Date: 02/15/2021
Hospital: Y

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

Lab Data:

Allergies: Cilostazol, Penicillins

Symptom List:

Symptoms: New occurrence of gross hematuria 2 days after vaccination. Required hospitalization. Found to be related to papillary tumor of bladder via cystoscopy procedure.

Other Meds: Aspirin 325 mg, Gabapentin, Glipizide, Metformin, Pioglitazone, Lisinopril, Simvastatin, Omeprazole, Polycarbophil calcium

Current Illness: None

ID: 1031837
Sex: F
Age: 25
State: PA

Vax Date: 12/18/2020
Onset Date: 12/23/2020
Rec V Date: 02/15/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Shingles

Other Meds: Viorelle Sertraline

Current Illness: None

ID: 1031838
Sex: F
Age: 51
State: WA

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/15/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: chills, fever, headache, and hive on the arm of injection.

Other Meds:

Current Illness:

ID: 1031839
Sex: F
Age: 48
State: NH

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

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

Lab Data:

Allergies: Codeine, niphedipine, oxycodone, raspberries, mustard greens, and sunlight (PMLE).

Symptom List:

Symptoms: For the first week or so, it was just very sore. Some days the pain would wake me up from a deep sleep. It changed colors from red to purple to blue to blackish to red again. It was super itchy for about the first ten days...very hot and red. It felt like there was a ball in my arm. Now there is a "mushy" area where the initial injection was done, and then a bruise, and then a brighter red ring around it. It is no longer itchy and only slightly painful.

Other Meds: Prozac 20mg, Adderall 10mg, Loratadine 10mg, Seasonale (contraceptive) -- all taken daily. On the day of the vaccination, I was also taking Prednisone 20mg as treatment for severe hives from a few days before.

Current Illness: Hives

ID: 1031840
Sex: F
Age: 27
State: RI

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Numbness and tingling immediately in face and fingers. Could not swallow. Dizzy, off balance. Flushing. Pulse in 70s and BP was 150/86. Transferred to the ED.

Other Meds:

Current Illness:

ID: 1031841
Sex: F
Age: 71
State: FL

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

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Felt feverish at 9:00 p.m. Friday evening after the shot that morning. Awoke 4:00 a.m. with fever that felt like I had been skinned alive and then broiled. My skin prickled with heat. I have never felt that kind of "fever" before. Temp reached 100.2 at most during Saturday. Fever continued until late Saturday night. Joints stiff especially hands and hips. Sore upper arm and a lump developed. Slept most of Saturday and all Saturday night. Awoke Sunday feeling better, no fever, but tired. Monday I was fine.

Other Meds: Omega-3, Vitamin C, Vitamin D3, K2

Current Illness: mild pollen allergies

ID: 1031842
Sex: F
Age: 60
State: VA

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 02/15/2021
Hospital:

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

Lab Data:

Allergies: bees

Symptom List:

Symptoms: shortness of breath, heart rate high, dizziness, low blood pressure, dry mouth, feeling faint, weakness, fatigue all over, numbness in feet and hands, two -three weeks of morning anxiety, difficult to operate a car, two tp three weeks stiffness in joints, and headache.

Other Meds: none vitamins, collagen, vitamin C

Current Illness: none

ID: 1031843
Sex: M
Age: 52
State: IL

Vax Date: 02/06/2021
Onset Date: 02/07/2021
Rec V Date: 02/15/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Lymph nodes of swollen where the ear meets the neck Next Day Sunday 2- 7 Monday 2-8 rash & Body covered in Hives

Other Meds: none

Current Illness: none

ID: 1031844
Sex: F
Age: 27
State: CA

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/15/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: patient may have received different dose. Patient on list of the vaccinator when brought to attention

Other Meds: birth control

Current Illness: none

ID: 1031845
Sex: M
Age: 73
State: WI

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

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

Lab Data:

Allergies: No Known

Symptom List:

Symptoms: No adverse event reported. It was determined that only air was administered at time of vaccination.

Other Meds: No Known

Current Illness: No Known

Date Died: 02/12/2021

ID: 1031846
Sex: F
Age: 76
State: WA

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 02/15/2021
Hospital:

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

Lab Data:

Allergies: UNK

Symptom List:

Symptoms: Patient and her husband are elderly, but healthy and live independently. Patient took blood pressure medicine 'off and on' according to family. She was 5'2", 120 pounds and slim and healthy and active, so was her husband, though he had pulmonary fibrosis so they had been staying home and not attending church etc, and masking when they did go out to protect against covid disease. They were both vaccinated with covid Pfizer vaccine (dose #1) on Thursday Feb 11. (02/11/2021) Thursday night as they went to bed they checked in with each other on how they each felt. Patient said she felt totally fine, and her husband said his arm was a bit sore. Patient woke before her husband on Friday Feb 12, went downstairs and, from what the family can tell, fixed herself a snack, then sat on the sofa. Patient's husband found her deceased on the sofa. He called 911 and they asked him to do CPR until the paramedics arrived. Because of proximity to covid vaccine, the ME wanted to examine the body in the home and also ordered an autopsy. Autopsy was completed on the same day as death, Feb 12, 2021

Other Meds: HTN meds taken 'off and on', UNK other medications etc.

Current Illness: UNK

ID: 1031847
Sex: M
Age: 43
State: WA

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/15/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Baseball sized diameter swelling around injection site, red (like a rash) in color, itchy, painful to touch and warm to touch. Rash looked yellow to black and blue around the edges as it progressed down the arm. Over the course of 5 days spread from injection site, around the elbow and into the forearm. Hip, knee, foot, shoulder and elbow pain on left side only, Body aches, nausea, visual impairment and loss of balance. Difficulty concentrating and relative "brain fog". Severe drowsiness in the sense of falling asleep while talking to someone and then no memory of it. Chest pressure and constant feeling of being out of breath. Cannot catch breath walking across the house from one room to the next. Severity of symptoms subsided within 24 hours, but some linger up to the time of this report. They are shortness of breath, rash with warmth and pain, lack of concentration and brain fog. Elbow still tender to touch.

Other Meds: Vitamin C, Vitamin D, Clonidine, Losartan, Amlodipine, Glimipride

Current Illness: None

ID: 1031848
Sex: F
Age: 47
State: ID

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/15/2021
Hospital:

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

Lab Data:

Allergies: possible PCN

Symptom List:

Symptoms: After first injection 1/14/21 only sore arm after injection. After second injection 2/12/21, next morning 2/13/21 chills, moderate-severe heartache, moderate-severe body aches, muscle pain which subsided by morning of 2/14/21. 2/15/21 midday around 1:00pm significant facial itching, and red inflamed itchy area around the injection site

Other Meds: Adderal PRN not day of injection nor day of reported side effect 2/13/21

Current Illness: none

ID: 1031849
Sex: M
Age: 84
State: MI

Vax Date: 02/12/2021
Onset Date: 02/14/2021
Rec V Date: 02/15/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Chorea type movements (intermittent twitching/spasms) of the right upper and lower extremities began at 3PM two days after the second Covid-19 Vaccination. My grandfather then presented to the ED for further evaluation. Work-up included a CT scan of the head (negative for acute CVA or acute hemorrhage), UA (negative for infection) and BMP/CBC (unremarkable). Physician ruled out acute causes of symptoms, diagnosed patient with acute choreo vs dystonia, and advised follow-up with PCP. My grandfather followed up with PCP the day after presenting to the ED day 3 after second covid-19 shot) and felt symptoms might be related to the second covid shot.

Other Meds:

Current Illness:

ID: 1031850
Sex: F
Age: 73
State: KS

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/15/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient is a 73 y.o. female who was seen at COVID Vaccine Clinic today for her first dose of the COVID 19 vaccination. She was given the Pfizer vaccination in the left deltoid muscle. During her 15-minute waiting period after the injection, the patient began to experience lightheadedness and headache, flushed, left deltoid where vaccination given hot to touch, nausea. She denied rash, difficulty breathing, lip swelling and tongue swelling. This provider was notified of patient reaction and she was then assessed in the emergency bay area. Monitored patient for severe reaction symptoms, including but not limited to blood pressure abnormality, rapid progression of symptoms, respiratory distress and skin changes. Patient with flushing, headache, left arm warm to touch, and nausea after first vaccine administration of Pfizer in the 15-minute waiting period. Blood pressure elevated, SpO2 is 98-99% on room air, pulse 68. Patient notes that she has reactions with medications and vaccines. Water provided. After sitting for a few minutes, patient reports that she is no longer lightheaded, headache is almost gone, nausea has resolved. ALLERGY REVIEW OF SYSTEMS: Waves of nausea: Lightheaded with some dizziness, headache: Previous Reactions: Adverse reactions to medications in the past. Objective Vitals Vitals: 02/09/21 1145 BP: (!) 179/63 Pulse: 68 SpO2: 98% Physical Exam Constitutional: Appearance: Normal appearance. HENT: Head: Normocephalic. Mouth/Throat: Mouth: Mucous membranes are moist. Eyes: Extraocular Movements: Extraocular movements intact. Pupils: Pupils are equal, round, and reactive to light. Cardiovascular: Rate and Rhythm: Normal rate and regular rhythm. Pulses: Normal pulses. Heart sounds: Normal heart sounds. Pulmonary: Effort: Pulmonary effort is normal. Breath sounds: Normal breath sounds. Musculoskeletal: General: No swelling. Right lower leg: No edema. Left lower leg: No edema. Neurological: General: No focal deficit present. Mental Status: She is alert and oriented to person, place, and time. Gait: Gait normal. Psychiatric: Mood and Affect: Mood normal. Behavior: Behavior normal. Thought Content: Thought content normal. Judgment: Judgment normal. Assessment/Plan Treatment included: water and patient took Tylenol before vaccine administration Follow up response to treatment: excellent. Patient discharge: Stable to go home and follow up with PCP. Differential Diagnosis: Vaccine-Related Anxiety (include misc mental health) and Local reaction (arm pain, bleeding/bruising, mechanical irritation, localized rash) Patient feeling back to normal. BP 152/76 at 1203. All symptoms have resolved. Left deltoid without swelling, redness, rash. Patient ambulating without difficulty. She is cleared to drive home. If she should have symptoms return or worsen, she is to call PCP or go to ER.

Other Meds:

Current Illness:

ID: 1031851
Sex: F
Age: 32
State: NJ

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 02/15/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Tinnitus, clogged ears, head pressure starting twenty hours after vaccine and lasting 48 hour. Head ache lasting greater than 36hours.

Other Meds: None

Current Illness: None

ID: 1031852
Sex: F
Age: 65
State: MI

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/15/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Sore arm, slightly red at injection site. The shot hurt more than the first one. Had small waves of stomach upset, headache, chills, lethargy but none lasted longer than an hour. All symptoms are gone now, 3 days later.

Other Meds: levothyroxine, Effexor, cholesterol med, fish oil, cherry concentrate tabs, vitamin D3, chewy calcium

Current Illness:

ID: 1031853
Sex: F
Age: 76
State: IN

Vax Date: 02/04/2021
Onset Date: 02/11/2021
Rec V Date: 02/15/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Swollen, knot, warm, w/pinkish circular skin discoloration around the injection site about 3" in diameter.

Other Meds:

Current Illness: None

ID: 1031854
Sex: F
Age: 57
State: MN

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 02/15/2021
Hospital:

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

Lab Data:

Allergies: Nickel silver

Symptom List:

Symptoms: It was almost 24 hours when I had my effects, I just had a sore arm. Wednesday at 2pm I started getting a sore throat, then I started felling like I was getting a fever and got the chills and a head ache. I was tired and took a nap, my sore got more sore I though I had strep throat, and my fever was going up. My lymph nodes felt swollen. I went into the Dr. and he said it most likely a reaction to the vaccine, just sent me home. I think Friday morning I felt nausea, still had chills and my fever. I was tired and slept day and night, my throat was so sore. I had cold food or broth. This was on going till Sunday, I could tell I was feeling better, things were starting to change. By Monday I was fine, it was almost like someone turned off the switch and I was better.

Other Meds: Omeprazole -20mg/daily Chlorthalidone -25mg (cut in half)- daily Rosuvastati -20mg daily

Current Illness:

ID: 1031855
Sex: F
Age: 41
State: KS

Vax Date: 02/09/2021
Onset Date: 02/11/2021
Rec V Date: 02/15/2021
Hospital:

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

Lab Data:

Allergies: Amoxicillin

Symptom List:

Symptoms: Thursday, 02/11 typical vaccine side effects, fever, noticed redness, hardness, itching at injection site Friday, 02/12 - fever, redness, hardness, itching - went to primary care. Diagnosed with cellulitis - treated with Ceflex

Other Meds: Yes, Lexapro

Current Illness: No

ID: 1031856
Sex: F
Age: 13
State:

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Syncope within 15 minutes of administration, hit head on floor, came to 3 seconds following fall, mild headache, no vomiting, no hematoma

Other Meds:

Current Illness:

ID: 1031857
Sex: F
Age: 71
State: MI

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/15/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: On 2/10 she noted a line on her left wrist that was raised and bubbly. On 2/14 she woke to a rash all over her face. She went to the ER on 2/15 and the physician prescribed prednisone, Atarax and an EpiPen. She also has an appointment with an allergist on 2/22.

Other Meds:

Current Illness:

ID: 1031858
Sex: F
Age: 69
State: WI

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

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

Lab Data:

Allergies: No Known

Symptom List:

Symptoms: No adverse event reported. It was determined that only air was administered at time of vaccination.

Other Meds: No known

Current Illness: No Known

ID: 1031859
Sex: F
Age: 16
State: OR

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 02/15/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient was administered the Moderna vaccine prior to her 18th birthday

Other Meds: Unknown

Current Illness:

ID: 1031860
Sex: F
Age: 56
State: NJ

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

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

Lab Data:

Allergies: Bactrim antibiotic Bees Nickel

Symptom List:

Symptoms: This was my second dose on 2/12/21 and shortly after the shot I started to sweat a lot, then my mouth started to feel mucky and my heart was racing. I drank some water , then dizziness started and I started to feel lightheaded and my legs were raised. Then I began to see spots and my vision was going. Last thing I heard was nurse say BP 79/40 something , I?m calling, we need to get her to ER. This all happened within 20 minutes from the shot.

Other Meds: Tirosint 88 mcg Phentermine 37.5 mg Pravastatin 40 mg Omeprazole 20 mg Zyrtec 10 mg

Current Illness: N/A

ID: 1031861
Sex: F
Age: 69
State: MI

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/15/2021
Hospital:

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

Lab Data:

Allergies: cipro, sulfa

Symptom List:

Symptoms: Triggered an Auto immune flair up response I get with Sjogrens syndrome..Generalize muscle and joint pain, Extremely dry eyes, mouth. Fatigue. Dizziness. Diarrhea. from 1/29/2021 to 1/31/3021

Other Meds: Lipitor, Norvasc, Evoxac, Levothyroxine, ToprolXL, Zinc, Magnesium Tagamet, Ferrous Sulfate, Fish oil. Calcium, Vit D.

Current Illness:

ID: 1031862
Sex: F
Age: 40
State: AZ

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

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

Lab Data:

Allergies: Bee Stings

Symptom List:

Symptoms: Oral itching

Other Meds: Lorazepam

Current Illness: Anxiety

ID: 1031863
Sex: M
Age: 72
State: IN

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

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Dose 1: Mild soreness at injection site Dose 2: moderate soreness at injection site, chills starting 10 hours after injection, 100F fever the next day, moderate fatigue/tiredness, mild body aches. All symptoms were gone by day 2.

Other Meds: Daily statin, multivitamin, fish oil, vitamin D

Current Illness: none

ID: 1031864
Sex: F
Age: 54
State: MD

Vax Date: 12/29/2020
Onset Date: 01/02/2021
Rec V Date: 02/15/2021
Hospital:

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

Lab Data:

Allergies: Sulfur,Alvolox?

Symptom List:

Symptoms: I developed swollen lymph nodes under arm (left) pits,collar bones. At the site where the injection site was itchy,red and became hot.

Other Meds: Lisinopril,Vit C, Vit D, Magnesium, Vit B12, Flonase, Zinc

Current Illness: Sinus Infection beginning Dec.

ID: 1031865
Sex: M
Age: 69
State: IL

Vax Date: 02/02/2021
Onset Date: 02/05/2021
Rec V Date: 02/15/2021
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Allergies: None

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Symptoms: Experienced malaise after the first diose which lasted for about 32 hours. Received 2nd dose 21 days later. By evening of third day, I started feeling muscle ache and elbow joint pain which was quite strong. Waited for more than a week for the symptoms to disappear but it did not. Cannot life weight with my left hand and I still have pain. Last night and this morning I took Ibuprofen. Although the pain has subsided, it is still there.

Other Meds: I took Acetaminophen on the evening of the day of my 2nd vaccination on Feb 2nd. Joint pain started 3 days later in the evening on Feb 5th. Waiting for it to go away bu the pain persists. Last night and this morning I took an Ibuprofen and

Current Illness: none

ID: 1031866
Sex: F
Age: 38
State: FL

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/15/2021
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Allergies: NKA

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Symptoms: Just had light arm pain on day of injection, about 18 hours after, when I woke up, I had body aches, chills, and 102 degree fever. Lasted the entire day Saturday. On day 3, I was back to normal, with exception to the sore arm, but it was getting better.

Other Meds: Tremfya, Estradiol, Unithroid, Januvia

Current Illness: Stomach bug the weekend before, on super bowl day

ID: 1031867
Sex: F
Age: 46
State: KY

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/15/2021
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Allergies: Lortab, Percocet

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Symptoms: Injection site soreness, swollen glands underarm, pain in glands, low-grade fever, clear fluid leaking from the injection site. Benadryl, ice, ibuprofen. Glands are still swollen and painful

Other Meds: Amlodipine-Benazepril 10-40 mg cap, Metoprolol succ ER 100 mg, hydrochlorothiazide 12.5 mg, Levothyroxin 25 mcg, Citalopram HBR 20 mg, Rosuvastatin Calcium 20 mg, Tizanidine HCL 4 mg

Current Illness: common cold prior

ID: 1031868
Sex: F
Age: 67
State: TX

Vax Date: 02/06/2021
Onset Date: 02/07/2021
Rec V Date: 02/15/2021
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Allergies: No

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Symptoms: The 2nd dose was received on 06-02-21. The next day I had muscle pain and intense cold. Two days later I got a rash on my vaccinated arm. Five days later, my body gradually filled with a rash and itching that appeared first on the chest, then neck and face, then on the back and abdomen and went down to the thighs and finally on the feet and soles of the hands. Yesterday 02-14-21 I went to the emergency service at Hospital, after being examined, the diagnosis was an allergic reaction to the vaccine I was prescribed a steroid and anti-allergy. Today is the ninth day after receiving the 2nd dose of the vaccine and I still get the rash and itchy

Other Meds: Vitamin C 1 gr, Vitamin D3 1000 IU, Folic Acid 800 mcg, Vitamin E 1000 IU, Immune support, Melatonin 3 mg and Venastat.

Current Illness: None

ID: 1031869
Sex: M
Age: 78
State: HI

Vax Date: 02/13/2021
Onset Date: 02/14/2021
Rec V Date: 02/15/2021
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Allergies: none known

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Symptoms: First shot on 01/18/21: Very mild case of hives across upper chest from shoulder to shoulder Second shot on 02/13/21: More severe but still mild case of hives across entire chest from shoulder to shoulder NB: Have never previously experienced a case of hives or any adverse reaction to vaccination in my entire life

Other Meds: levothyroxine

Current Illness: none

ID: 1031870
Sex: M
Age: 57
State: NY

Vax Date: 02/14/2021
Onset Date: 02/15/2021
Rec V Date: 02/15/2021
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Allergies: nka

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Symptoms: 12 hours after injection got chills, headache, nausea, right arm pain.

Other Meds: Biktarvy every night

Current Illness: na

ID: 1031871
Sex: F
Age: 24
State: MN

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/15/2021
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Allergies: No known allergies.

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Symptoms: ~17 hours after receiving my second dose of the Pfizer vaccine I developed chills, body/muscle/joint aches, severe fatigue, and a headache. This persisted for 4 days. I took Acetaminophen for the muscle aches. Five days later (2/15) I continue to have a headache but other symptoms have resolved. Today (2/15) I am 18w3d pregnant. On the day of the 2nd dose (2/10), I was 17w5d pregnant. I haven't had any pregnancy complications prior to either covid vaccine dose and I haven't experienced any pregnancy complications since my 2nd dose.

Other Meds: I took 100mg Sertraline and 100mg Lamotrigine the morning of 2/10. I took prenatal gummies ~1200pm.

Current Illness: None.

ID: 1031872
Sex: M
Age: 82
State: FL

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/15/2021
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Allergies: Codiene

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Symptoms: Rash developed around injection site

Other Meds: Lisinopril, Carvedilol, baby aspirin, AdvilPM

Current Illness: none

ID: 1031873
Sex: F
Age: 64
State: MN

Vax Date: 11/04/2020
Onset Date: 11/05/2020
Rec V Date: 02/15/2021
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Allergies: Warfarin Anaphylaxis High Allergy 5/29/2018 Past Updates... develops back bleeding

Symptom List:

Symptoms: Vision changes, weakness, numbness (appears exacerbation of CIDP) starting 1 day after vaccine.

Other Meds: Medication List As of 11/17/2020 4:55 PM Acetaminophen 325-650 mg Oral Q4H PRN Calcium Carbonate-Vitamin D 500-200 MG-UNIT 2 Tablets Oral BID WITH MEALS Cetirizine HCl 10 mg Oral DAILY Doxycycline Hyclate 100 MG TAKE 1 CAPSULE BY MOUTH

Current Illness: None

ID: 1031874
Sex: F
Age: 56
State: FL

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 02/15/2021
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Allergies: iodine, prednisone

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Symptoms: She developed fatigue, malaise, body aches, fever the day after receiving vaccine, joint pains worsened limiting ability to walk; Treatment: rest, Tylenol, Aleve; Fever resolved; Has been unable to return to work due to persistent joint pain, body aches, and fatigue, no significant improvement, despite rest, analgesics

Other Meds: triamterene-HCTZ daily, duloxetine daily, montelukast daily rizatriptan PRN, loratadine, famotidine, melatonin nightly, biotin, probiotic

Current Illness: none

ID: 1031875
Sex: F
Age: 17
State: OR

Vax Date: 01/24/2021
Onset Date: 01/24/2021
Rec V Date: 02/15/2021
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Symptoms: Patient was administered the Moderna vaccine prior to her 18th birthday

Other Meds:

Current Illness:

ID: 1031876
Sex: F
Age: 36
State: OH

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 02/15/2021
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Allergies: Demerol

Symptom List:

Symptoms: tachycardia, high fever of 104, prolonged fatigue, chills, dizzy, lightheaded, hypertension

Other Meds: multivitamins

Current Illness:

ID: 1031877
Sex: F
Age: 71
State: WI

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/15/2021
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Allergies: No KNown

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Symptoms: No adverse event reported. It was determined that only air was administered at time of vaccination.

Other Meds: No KNown

Current Illness: No Known

ID: 1031878
Sex: F
Age: 44
State: MI

Vax Date: 01/11/2021
Onset Date: 02/03/2021
Rec V Date: 02/15/2021
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Allergies: None

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Symptoms: Had a chicken pox looking rash on back and some on stomach area. Felt like a pimple, did not spread or itch. Went away in about 1 1/2 weeks.

Other Meds: None

Current Illness: None

ID: 1031879
Sex: M
Age: 87
State: MN

Vax Date: 01/29/2021
Onset Date: 01/31/2021
Rec V Date: 02/15/2021
Hospital: Y

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Allergies: Amlodipine, Statins

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Symptoms: 1/31/2021 03:56 Nursing Note Note Text: Pt. c/o R Abd pain at the waist line. Pt. stated it felt like a muscle being pulled. Not constipated, bowel sounds active. Took VS and they are charted. Writer called on call and spoke to NP and she stated to give him Tylenol and check the above. Bowel sounds and such. So writer did give him Tylenol at 3:45am. 1/31/2021 12:53 Admit/Discharge/Transfer Note Note Text: at 1030 pt stated that he had been having RLQ pain for the past hour. VS retaken. Described pain as constant but "increases suddenly" to an 8 on a 10 point pain scale. worsens with movement, alleviates with rest. RLQ pain radiates to R shoulder and around to his R lower back. bowel sounds x4, tender abd in right lower quadrant and upper right quadrant. follow-up assessment at 1220 found rebound pain. pt states last bm was yesterday and it was brown, formed, easy to pass. Lower posterior R lung sounds diminished and lower posterior L lung fields contain crackles. at 742: temp 98F, 140/68, 02 saturation 96%, respiration 16. denies n&v. ate pancakes, sausage, and fruit for breakfast. gave morning pantoprazole, held morning am medications. Called on call triage nurse and NP. on call NP suggested sending pt to hospital. transferred to hospital via ambulance and paramedics at 1240.

Other Meds: Sennosides Tablet 8.6 MG Nitroglycerin Tablet Sublingual 0.4 MG Tylenol Extra Strength Tablet 500 MG (Acetaminophen) predniSONE Tablet 5 MG predniSONE Tablet 1 MG Pantoprazole Sodium Tablet Delayed Release 20 MG Metoprolol Tartrate Tablet 5

Current Illness: OTHER PULMONARY EMBOLISM WITHOUT ACUTE COR PULMONALE POLYMYOSITIS, ORGAN INVOLVEMENT UNSPECIFIED ACUTE RESPIRATORY FAILURE WITH HYPOXIA PARALYTIC SYNDROME, UNSPECIFIED ACUTE KIDNEY FAILURE, UNSPECIFIED ANEMIA, UNSPECIFIED DYSPHAGIA, OROPHARYNGEAL PHASE VENOUS INSUFFICIENCY (CHRONIC) (PERIPHERAL) THROMBOCYTOPENIA, UNSPECIFIED ATHEROSCLEROTIC HEART DISEASE OF NATIVE CORONARY ARTERY WITH UNSPECIFIED ANGINA PECTORIS LOBAR PNEUMONIA, UNSPECIFIED ORGANISM RIGHT LOWER QUADRANT PAIN SEPSIS, UNSPECIFIED ORGANISM CONTUSION OF UNSPECIFIED THIGH, SUBSEQUENT ENCOUNTER ATHEROSCLEROTIC HEART DISEASE OF NATIVE CORONARY ARTERY WITHOUT ANGINA PECTORIS ESSENTIAL (PRIMARY) HYPERTENSION PRESENCE OF OTHER VASCULAR IMPLANTS AND GRAFTS PURE HYPERCHOLESTEROLEMIA, UNSPECIFIED HISTORY OF FALLING OLD MYOCARDIAL INFARCTION LOCALIZED EDEMA NONTOXIC SINGLE THYROID NODULE SOLITARY PULMONARY NODULE

ID: 1031880
Sex: M
Age: 52
State: CA

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/15/2021
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Allergies: none

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Symptoms: patient may have received different dose. Patient on the vaccinator list when brought to attention

Other Meds: none

Current Illness: none

ID: 1031881
Sex: F
Age: 60
State: MI

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 02/15/2021
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Allergies: ALLERGIC TO BEES NO KNOW DRUG ALLERGIES

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Symptoms: AFTER THE VACCINE IT WAS DESCRIBED AS AN ALLERGIC REACTION. ONSITE EMS WAS REQUESTED WITH PHYSICIAN, SHE WAS TREATED AND TRANSPORTED TO THE LOCAL HOSPITAL

Other Meds:

Current Illness:

ID: 1031882
Sex: M
Age: 86
State: WI

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/15/2021
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Allergies: No Known

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Symptoms: No adverse event reported. It was determined that only air was administered at time of vaccination.

Other Meds: No KNown

Current Illness: No Known

Total 2021 VAERS Injuries: 704,237

Page last modified: 03 October 2021 5:28pm