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: 1033556
Sex: F
Age: 54
State:

Vax Date: 01/15/2021
Onset Date: 01/16/2021
Rec V Date: 02/16/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Dysphagia, Epiglottitis

Symptoms: Extreme flu like symptoms. Fever, Chills, Sweats, headache, body ache

Other Meds:

Current Illness:

ID: 1033557
Sex: F
Age: 38
State: IL

Vax Date: 02/03/2021
Onset Date: 02/14/2021
Rec V Date: 02/16/2021
Hospital:

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

Lab Data:

Allergies: Mild allergy to penicillin

Symptom List: Anxiety, Dyspnoea

Symptoms: I noticed that in the past few days, my arm was still somewhat tender and achy, despite more than ten days passing since receiving the vaccine. It was also a bit itchy. Over the weekend, I did try to move my arm around a bit more and massage the injection site. This morning, as I was about to get into the shower, I noticed in the mirror that I had a fairly large, splotchy rash on my right bicep, and somewhat on my tricep area. My arm is no longer sore, but it is still a bit itchy. I decided to take pictures of both of my arms to try to help keep track of my symptoms.

Other Meds: Prozac, Adderall, Clonidine

Current Illness:

ID: 1033558
Sex: F
Age: 59
State: OH

Vax Date: 01/30/2021
Onset Date: 01/30/2021
Rec V Date: 02/16/2021
Hospital:

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

Lab Data:

Allergies: No

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

Symptoms: Blood pressure went up

Other Meds: Amlodipine Besylate 10 mg -Vitamin D3 1000 IU- Vitamin C 500 mg - Zinc 50mg

Current Illness: High blood pressure

ID: 1033559
Sex: M
Age:
State: CA

Vax Date:
Onset Date: 02/14/2021
Rec V Date: 02/16/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Unable to wake up for 48 hours, stressed out and short temper. Plus I've been exposed to covid-19 at work numerous times and probably had it shortly before or during the shot. No course of action was taken after numerous people were diagnosed with covid-19 at my place of work. UCSD on campus

Other Meds: Lamotrigine 100mg

Current Illness: No just 18 people at work that have had it and nothing was done about it. UCSD is lying about the numbers of covid-19 cases and did nothing about it.

ID: 1033560
Sex: M
Age: 80
State: MT

Vax Date: 02/10/2021
Onset Date: 02/14/2021
Rec V Date: 02/16/2021
Hospital: Y

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

Lab Data:

Allergies: none

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

Symptoms: bilateral unprovoked Pulmonary emboli

Other Meds: co enzyme q 10 coscopt Diflucan xalatan omega oil simvastatin vitamin c vitamin d

Current Illness: none

ID: 1033561
Sex: F
Age: 72
State: FL

Vax Date: 02/09/2021
Onset Date: 02/14/2021
Rec V Date: 02/16/2021
Hospital:

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

Lab Data:

Allergies: Allergies to wool alcohol, me-, fragrances, parfum

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

Symptoms: my left arm at the injection site became red, blotchy, and itchy.

Other Meds: No presciptions. Vitamin D, Immodium, Allegra, Pepcid, Zertec, Biotin, Metamucil

Current Illness: n/a

ID: 1033562
Sex: F
Age: 36
State: NY

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/16/2021
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: Nausea, headache, dizzy, tingling on day of vaccine. Went to ER, reported hot flashes, tongue started tingling, felt weak, dizzy, and a little short of breath. Given benadryl and solumedrol in the ED as well as zofran and tylenol. On 2-15 vomiting x 2, cough, congestion. PCP aware. Has taken zofran and mucinex for symptoms.

Other Meds:

Current Illness:

ID: 1033563
Sex: F
Age: 70
State: NJ

Vax Date: 01/28/2021
Onset Date: 02/09/2021
Rec V Date: 02/16/2021
Hospital: Y

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

Lab Data:

Allergies: none

Symptom List: Pharyngeal swelling

Symptoms: Initial pain in Shoulders and Neck (Bilateral) Descending Peripheral Bilateral Neuropathy in legs and Feet on Wednesday , Followed by Ataxia Tremors in 5 th digit of both hands , Itching on both wrists up to elbows bilaterally Numbness appears to have resolved. Numbness persists on left abdomen from waist to underarm. Thursday and then Friday then stronger in legs . Saturday weaker in legs , lack of balance with some word retrieval relative to previous days.

Other Meds: Linsinopril Paroxetine amlodipine rosuvastatin

Current Illness: none

ID: 1033564
Sex: M
Age: 68
State: OH

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 02/16/2021
Hospital:

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

Lab Data:

Allergies: Bee stings

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Observed patient getting fanning patient as he became light-headed and explained blurry vision. Patient became increasingly unresponsive and pale. Immediately obtained an Epinephrine 0.3mg pen and injected into thigh, patient immediately vomited and 911 was called.

Other Meds: Lisinopril 10mg QD, Carvedilol 6.25mg BID, Simvastatin 40mg QD, Aspirin 81mg QD

Current Illness:

ID: 1033565
Sex: F
Age: 58
State: AL

Vax Date: 02/15/2021
Onset Date: 02/16/2021
Rec V Date: 02/16/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Morning after shot, patient woke up with severe case of conjunctivitis in both eyes.

Other Meds: Lisinopril 20 mg Montelukast Buproprion XL 150 mg

Current Illness: None

ID: 1033566
Sex: F
Age: 5
State: OH

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/16/2021
Hospital:

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

Lab Data:

Allergies: None known

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

Symptoms: This lot expired the day prior to it's administration (02/09/2021)

Other Meds: None

Current Illness: None

ID: 1033567
Sex: F
Age: 65
State: MA

Vax Date: 01/25/2021
Onset Date: 01/28/2021
Rec V Date: 02/16/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Rash, Urticaria

Symptoms: Three days after receiving the first dose of the COVID vaccine I developed severe radiating low back and leg pain and inflammation and pain in my right knee . I also developed a persistent pain in my right hand and thumb along with "trigger finger" type symptoms in my hand where it clenches up and I cant open my hand up without using force. At times the pain is so bad I am unable to walk normally and also unable to utilize my right hand to open or hold things. In the 22 days that have passed since the shot the symptoms have not subsided and are effecting my ability to get around and carry my normal activities of daily life.

Other Meds: Trazadone p.r.n. Zocor

Current Illness: None

ID: 1033568
Sex: F
Age: 47
State: NY

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 02/16/2021
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: Began having tight throat and anxiety after vaccine. no wheezing, lungs clear billaterally. Vitals stable, waited 30 minutes and then discharged to home.

Other Meds:

Current Illness:

ID: 1033569
Sex: F
Age: 99
State: AK

Vax Date: 02/10/2021
Onset Date: 02/13/2021
Rec V Date: 02/16/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Pfizer-BioNTech COVID-19 Vaccine Itching, swelling and redness at site of injection.

Other Meds: Yes

Current Illness: None

ID: 1033570
Sex: M
Age: 96
State: CO

Vax Date: 02/07/2021
Onset Date: 02/15/2021
Rec V Date: 02/16/2021
Hospital: Y

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

Lab Data:

Allergies: CARBAMAZEPINE = sob, fever, weakness in legs AMOXICILLIN = body rash BACTRIM [SULFAMETHOXAZOLE-TRIMETHOPRIM] = weakness and falls, altered mental status

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

Symptoms: PT REPORTED TO EMERGENCY DEPARTMENT WITH COMPLAINTS OF WEAKNESS AND FALL 2/15/21. PATIENT STATES THAT HE HAS BEEN FEELING WEAK AND TODAY IT SEEMS WORSE. HE REPORTS ATTEMPTING TO AMBULATE WHEN HIS LEGS GAVE OUT. HE STATES THAT HE DID NOT TRULY FALL BUT WAS ABLE TO LOWER HIMSELF TO THE GROUND. HE WAS UNABLE TO GET UP AND THEREFORE CALLED EMS. EMS WERE ABLE TO HELP PATIENT UP AND AMBULATING. EMS NOTED URINARY BAG HAD GROSS HEMATURIA. PT REPORTS BLOODY URINARY OUTPUT THE PREVIOUS NIGHT. PATIENT COMPLAINS OF PENILE PAIN. NO RECENT ILLNESS INCLUDING FEVERS, URI SYMPTOMS, VOMITING OR DIARRHEA. ASSESSMENT UPON ADMIT: *CONTINUATION SEE BELOW PT REPORTED TO EMERGENCY DEPARTMENT WITH COMPLAINTS OF WEAKNESS AND FALL 2/15/21. PATIENT STATES THAT HE HAS BEEN FEELING WEAK AND TODAY IT SEEMS WORSE. HE REPORTS ATTEMPTING TO AMBULATE WHEN HIS LEGS GAVE OUT. HE STATES THAT HE DID NOT TRULY FALL BUT WAS ABLE TO LOWER HIMSELF TO THE GROUND. HE WAS UNABLE TO GET UP AND THEREFORE CALLED EMS. EMS WERE ABLE TO HELP PATIENT UP AND AMBULATING. EMS NOTED URINARY BAG HAD GROSS HEMATURIA. PT REPORTS BLOODY URINARY OUTPUT THE PREVIOUS NIGHT. PATIENT COMPLAINS OF PENILE PAIN. NO RECENT ILLNESS INCLUDING FEVERS, URI SYMPTOMS, VOMITING OR DIARRHEA. ASSESSMENT UPON ADMIT: THROMBOCYTOPENIA (PRESUMED ITP, CAUSE? VACCINE?), DEXAMETHASONE 20MG PO DAILY. AMINOCAPROIC ACID 5GM IVPB X1 DOSE, 1 UNIT FFP, 2 UNITS PLTS PHERESED

Other Meds: TAMSULOSIN 0.8MG DAILY, FINASTERIDE 5MG DAILY, OMEPRAZOLE 20MG DAILY, FUROSEMIDE 40MG DAILY, POTASSIUM CHLORIDE 10mEQ DAILY, LIDOCAINE 4% PATCH DAILY PRN, HYDROCODONE-ACETAMINOPHEN 5/325, ONE Q6H PRN, GABAPENTIN 600MG BID, APIXABAN 5MG BID,

Current Illness:

ID: 1033571
Sex: F
Age: 28
State: IL

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 02/16/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: first pregnancy. 24 weeks. Felt very dizzy and almost passed out.

Other Meds:

Current Illness:

ID: 1033572
Sex: F
Age: 28
State: CT

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 02/16/2021
Hospital:

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

Lab Data:

Allergies: latex, penicillin, remicade, heparin, tindamax, concerta, Cymbalta, morphine, Percocet, gabapentin, propranolol, nsaids, IV contrast, xifaxin, nystatin, diflucan, peanuts, treenuts

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

Symptoms: lip tingling, throat tightness, dyspnea, facial hives

Other Meds: entyvio, b12, d3, tpoprray, allegra, symbicort, albuterol, spieiva, epipen, Benadryl, Xanax, valium, MMJ, Zofran, Tylenol, kyleera, naltrexone, biotin, hemp

Current Illness:

ID: 1033573
Sex: M
Age: 102
State: MI

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/16/2021
Hospital: Y

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

Lab Data:

Allergies: None

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Patient is 102 years old history of hypertension hypothyroidism, patient presenting with altered mental status, hemoglobin of 4.6 with creatinine of 2.53, patient has lactic acidosis, anion gap metabolic acidosis. Stool Hemoccult is positive, platelet count of 23,000 noted. Patient is awake but confused, patient's son is by the bedside.Patient has diffuse oozing from multiple skin wounds,Patient has received 2 units of blood along with 2 units of platelets and 2 units of FFP. Fibrinogin of 209. Hematology service recommended starting dexamethasone for suspected ITP. Patient is a PMH of spontaneous subdural > 20 years ago, surgically evacuated, HTN, Hypothyroidism ,pre-diabetes who presented to the ED with CC of AMS and slurred speech x 1 day. History obtained from son at bedside and chart review. At baseline patient is reportedly very independent and able to ambulate in the home without assistive devices. He handles his own ADLs. Patient reportedly received his 2nd dose of the COVID vaccine on Monday and since then has been experiencing fatigue and generalized weakness, in addition to decreased appetite. AMS started yesterday. He reportedly fell out of bed last night around 2 AM and family found him at 7 AM on the floor. Denied loss of consciousness. He was evaluated by Stroke team, CT of the head was un-revealing for an acute process and stable chronic changes, and CTA revealed some mild intracranial stenoses, Stroke team felt was unlikely to be an acute stroke. He was found to have Hb 4.6 on admission. Platelets were 23, He was transfused 1 unit of blood and 1 unit of platelets. Hematology was consulted and recommended dexamethasone 20 mg daily for 3 days. Rectal exam was done and he was found to be Guaiac positive was started on Protonix 40 BID.

Other Meds: Unknown

Current Illness: Nothing new

ID: 1033574
Sex: F
Age: 34
State: CA

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/16/2021
Hospital:

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

Lab Data:

Allergies: unknown

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: complained of fever and chills. Temp. 101.4. Nausea and vomiting,, body aches, and headaches. Bed rest, Fluids was her treatment and Tylenol for the fever. she is feeling better today.

Other Meds: unknown

Current Illness: unknown

ID: 1033575
Sex: M
Age: 32
State: CA

Vax Date: 02/02/2021
Onset Date: 02/13/2021
Rec V Date: 02/16/2021
Hospital:

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

Lab Data:

Allergies: Allergic to pediazol Allergic to dust mites

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

Symptoms: Left arm has a nodule, pain in arm weeks after shot

Other Meds:

Current Illness:

ID: 1033576
Sex: F
Age: 88
State: PA

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/16/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Patient scheduled for 1st Dose of Pfizer vaccine on 2/12/21. After vaccine given patient was entered into PASIIS - where records showed patient recieved the Moderna vaccine on 1/28/21. On 1/28/21, patient was scheduled for 2nd dose of Moderna on 2/25/20 at 1000.

Other Meds:

Current Illness:

ID: 1033577
Sex: F
Age: 55
State: NY

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 02/16/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Unevaluable event

Symptoms: 02/11 Received vaccine @3:40P, she was observed for 15min without a reaction. She returned to work and began feeling nauseous , fatigue, and went back and forth to Bathroom. (She reported " vomiting x2" on2/11 and emesisx1 on 2/12) Pt was seen by PCP who requested the she goes to ER 110/68 p72 R16. Ambulance was called and took her to Hospital @5:10p

Other Meds:

Current Illness:

ID: 1033578
Sex: F
Age: 27
State: GA

Vax Date: 02/08/2021
Onset Date: 02/15/2021
Rec V Date: 02/16/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: "Covid Arm"- Redness, itchiness, rash, delayed cutaneous hypersensitivity at injection site. Currently the size of a quarter, firm and itchy/hot. Started exactly one week post injection, itchiness lasted one day.

Other Meds: Adderall, 10 MG Spironolactone 100mg Vitamin C Zinc Vitamin D B Vitamin Supplement

Current Illness: None

ID: 1033579
Sex: F
Age: 29
State: AL

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/16/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List: Injection site pain, Pain

Symptoms: PFIZER-BIONTECH COVID-19 . Individual had nausea/vomiting, fever 101.6, fatigue and body aches x 48 hours following first dose on 1/20/21. After second dose of vaccine, reported: itching, stridor, cough, nausea, vomiting, dizziness, tachycardia, acute change in mental status, temp102.5, DBP >100, tremors for 48 hours. Did not see doctor or other healthcare provider.

Other Meds: PLAQUENIL

Current Illness: NONE

ID: 1033581
Sex: F
Age: 45
State: GA

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/16/2021
Hospital: Y

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

Lab Data:

Allergies: Topomax

Symptom List: Injection site pain, Menorrhagia

Symptoms: At 15 hours after vaccine- I became nauseated and vomited repeatedly. Several hours later, I was still nauseated and unable to hold anything down and my torso and stomach was in pain. I dealt with the pain for 2 more days and eventually went to the ER on Sunday 2/6. After a blood test and a CT scan, I was informed that I had an inflammed pancreas (pancreatitis).

Other Meds: fluoxetine 40 mg/daily

Current Illness: No

ID: 1033582
Sex: F
Age: 69
State: MI

Vax Date: 01/22/2021
Onset Date: 02/10/2021
Rec V Date: 02/16/2021
Hospital:

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

Lab Data:

Allergies: musinex

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

Symptoms: I developed shingles 2 1/2 weeks after my first shot. I am not sure if the shingles are related? Otherwise , I have been in good health.

Other Meds: B complex, Calcium, Fish oil, Vit D ,baby aspirin, PLAVIX 75mg,Rosuvastatin 20mg, natural hormone therapy.

Current Illness: none

ID: 1033583
Sex: F
Age: 62
State: WA

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 02/16/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Syncope after getting vaccine

Other Meds: None

Current Illness: None

ID: 1033584
Sex: F
Age: 86
State: MN

Vax Date: 02/14/2021
Onset Date: 02/15/2021
Rec V Date: 02/16/2021
Hospital: Y

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

Lab Data:

Allergies: None listed in chart

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Resident experienced chills, fatigue, nausea, coughing, weakness, loss of appetite, and tachychardia on 2/15/21. She was transferred to the ER and admitted to the hospital (attached to nursing home) for NSTEMI and cholelithiasis/cholecystitis.

Other Meds: Aspirin 325 mg; Bumetanide 0.5 mg; Lisinopril 10 mg; Magnesium 250 mg; Metformin HCl 1000 mg; Polyethylene Glycol 3350 17 g; Omeprazole 20 mg; Acetominophen 325 mg; Biofreeze gel 4%; Epsom salt soaks; Sarna lotion 0.5%; Gabapentin 100 mg; A

Current Illness: Chest x-ray from 2/10/2021 indicates possible mild, patchy bronchopneumonia (on duonebs for this)

Date Died:

ID: 1033585
Sex: M
Age: 59
State: TX

Vax Date: 01/07/2021
Onset Date:
Rec V Date: 02/16/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: The decedent received first Covid vaccine, 12/2020 and second vaccine 01/07/2021. The decedent experienced no known side effects.

Other Meds:

Current Illness:

ID: 1033586
Sex: M
Age: 80
State: CA

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/16/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Nausea

Symptoms: About 26 hours after the vaccine experienced severe lower back where he had surgery 5 years ago. His daily back pain with activity is usually a 3 on a scale of 1-10. The pain after the vaccine was so severe he was unable to stand up or sit down without help and he rated his pain with activity as an 8. Today the pain is still an 8 with activity. He has not done any type of unusual activities that would cause the sudden increase in pain. The doctor's office has been closed due to the holiday and he is going to call the doctor's office today.

Other Meds: Invokana; Tradjenta; Nabumetone; Tamsulosin; Finasteride;

Current Illness: None

ID: 1033587
Sex: F
Age: 33
State: NJ

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/16/2021
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Allergies: NKA

Symptom List: Injection site pain

Symptoms: immediate shoulder pain at the injection site after vaccination with parasthesias of the ulnar aspect of forearm and hand/fingers.

Other Meds: Zyrtec, Motrin, Pepcid, Flexeril

Current Illness: L5 pain with chronic radiculopathy

ID: 1033588
Sex: F
Age: 31
State: VA

Vax Date: 02/05/2021
Onset Date: 02/08/2021
Rec V Date: 02/16/2021
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Allergies: penicillin, Vicodin, sulfur drugs , erythromycin, Percocet, ciprofloaxcin, levoflaxacin, amoxicillin, Augmentin, bactrim, keflex, avelox, nitroglycerin

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

Symptoms: body weakness, fever, chills, vomiting, diarrhea, headache, tiredness, sharp pains in lower back, loss of apatite, a lot of gas

Other Meds: Zyrtec

Current Illness: none

ID: 1033589
Sex: F
Age: 46
State: OR

Vax Date: 01/19/2021
Onset Date: 01/29/2021
Rec V Date: 02/16/2021
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Symptom List: Chills, Dizziness, Nausea, Pain, Tachycardia

Symptoms: Much Joint pain and tired the area where the vaccine was given was very red and arm was warm a week later.

Other Meds:

Current Illness:

ID: 1033590
Sex: M
Age: 72
State: CT

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/16/2021
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Symptom List: Tremor

Symptoms: Hydrocele

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Current Illness:

ID: 1033591
Sex: F
Age: 38
State: NY

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 02/16/2021
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Allergies: Seasonal allergies, no known food allergies. I did have allergic reaction to "Cold" in 2015 when I took xanax and always thought it was in relation. History of eczema and hives but no known cause.

Symptom List: Erythema, Pruritus

Symptoms: Waves of hives and itchiness so far on day 2 and day 5 so far. Just wanted it to be known has side effect as I am not seeing much on google about it. Arm hurt, unable to move it day 1 but that was expected. high anxiety right after shot but not sure if that is related or not.

Other Meds: hydrochlorothiazide 12.5 mg, lipitor 40 mg, vitamin D, camila birth control, qunol coq10, Bonafide Serenol PMS,

Current Illness: no, healthy

ID: 1033592
Sex: M
Age: 73
State: WI

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/16/2021
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Allergies: No known

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

Symptoms: Patient was given only air, no adverse event was reported and patient was revaccinated

Other Meds: No knwon

Current Illness: No known

ID: 1033593
Sex: F
Age: 79
State: OH

Vax Date: 01/25/2021
Onset Date: 02/08/2021
Rec V Date: 02/16/2021
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Allergies: Penicillin, Terramycin

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

Symptoms: Two weeks after receiving the vaccine, the site developed redness and intense itching. The red area was approximately the size of a quarter. The doctor recommended using Benadryl ointment and cool compresses, which I did. The site returned to normal in about 10 days.

Other Meds: Metoprolol ? Generic Prilosec -Lisinopril/Hctz ? Levothyroxine - Symbicort ? Eliquis ? 5 mg ? Duloxetine HCL ? Zyrtec - Multivitamin

Current Illness: None

ID: 1033594
Sex: F
Age: 35
State: SC

Vax Date: 02/14/2021
Onset Date: 02/15/2021
Rec V Date: 02/16/2021
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Allergies: NKDA

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Chills, Nausea, Vomiting, Fever, Fatigue, joint pain, stomach cramps, diarrhea

Other Meds: Hydroxyzine Gabapentin

Current Illness: Kidney Stone the week before.

ID: 1033595
Sex: M
Age: 68
State: MD

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 02/16/2021
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Symptom List: Injection site erythema, Injection site pain, Injection site swelling

Symptoms: felt lightheaded and dizziness

Other Meds:

Current Illness:

ID: 1033596
Sex: F
Age: 45
State: NY

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/16/2021
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Symptom List: Chills, Feeling cold, Feeling hot, Myalgia, Pain

Symptoms: Chills, fatigue, headache, weakness, muscle cramps, shortness of breath, nauseous--all symptoms have completely resolved

Other Meds:

Current Illness:

ID: 1033597
Sex: F
Age: 63
State: CT

Vax Date: 12/30/2020
Onset Date: 01/07/2021
Rec V Date: 02/16/2021
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Allergies: clarithimycin, fluoroquinolones

Symptom List: Pain in extremity

Symptoms: 10 days after the shot the arm became very hot, red, swollen and very itchy. It lasted about a week. It was hard. The swollen area was at least 5 inches wide and wrapped around top of arm. Arm was swollen by a few inches, noticeably larger upper forearm.

Other Meds: 25 mg Metoprolol, combigan eye drops, daily vitamin, Vit C, Vit D, Calcium/Magnesium, 81 mg aspirin

Current Illness: none

ID: 1033598
Sex: F
Age: 63
State: WI

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 02/16/2021
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Allergies: Drug allergies clindamycin amoxicillin and sulfa food allergies honey

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

Symptoms: Severe headache with light sensitivity. Nausea and vomiting and severe diarrhea

Other Meds: Levothyroxine, hctz,spironolactone,simvastatin,monolukast,vit D and cetirazine

Current Illness: No illness prior to vaccination

ID: 1033599
Sex: F
Age: 61
State: TX

Vax Date: 02/13/2021
Onset Date: 02/13/2021
Rec V Date: 02/16/2021
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Allergies: ASPIRIN BENADRYL

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

Symptoms: 1500 FELT "PALPIATATIONS" AND FACIAL FLUSHING EPISODE IN IN HE LAST 10 MINUTES, RESOLVED SPONTANEOUSLY 1504 BLOOD PRESSURE 75/86, HR 105 O2 100%; HEART RATE REGULAR AND RAPID, FEELS FLUSHED HEART RACING. PATIENT REPORTS SEIZURE EPISODE LAST NIGHT 1511 BP 54/87 HR 99 O2 99%, PATIENT STATES SHES FEELING BETTER 1530 PATIENT FEELING MUCH BETTER. INSTRUSTED TO SEEK EMERGENCY MEDICAL ASSISTANCE IF SYMPTOMS RETURN

Other Meds: KEPPRA B12 VIMPATE PROTONIX LEVOTHYROXINE

Current Illness:

ID: 1033600
Sex: F
Age: 44
State: MD

Vax Date: 01/25/2021
Onset Date: 02/10/2021
Rec V Date: 02/16/2021
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Allergies: Penicillin

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

Symptoms: shingles

Other Meds: Buproprion Ferrous Sulfate MVI Sertraline

Current Illness: none

ID: 1033601
Sex: M
Age: 75
State: VA

Vax Date: 02/15/2021
Onset Date: 02/15/2021
Rec V Date: 02/16/2021
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Allergies: Erythromycin

Symptom List: Vomiting

Symptoms: 09:30 slight injection site pain 14:00 vertigo 14:10 diarrhea 14:35 diarrhea 19:30 took Tamsulosin 0.4 mg Atorvastin K 40mg Metoprolol Succ ER 25mg Nicotinamide 500mg Krill Oil 500mg Biotin 10Kmcg 21:00 rapid heart beat followed by nasal congestion and coughing making breathing difficult 23:00 symptoms continued but got more severe and resembled a bad head cold but no fever; body temperature taken orally was 96.7F started use of Afrin Nasal Spray both nostrils to control congestion and post-nasal drip which was causing cough; took one (1) oral tablet of Coricidin HBP Max and continued use of Afrin; symptoms began to subside; 02:00 02/16/2021 fell asleep sitting up; 10:00 woke with no symptoms but continued to have a sore R arm at injection site; no need for additional Tx or medications; no physician consultation

Other Meds: Lostaran K 50mg Probiotic 60.5 billion Finasteride 5mg Multivitamin with minerals Cranberry powder Tumeric 500mb

Current Illness: None

ID: 1033602
Sex: F
Age: 49
State: IN

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 02/16/2021
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Allergies: Morphine

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Nothing at all for 12 hours. Then normal soreness around site followed by achiness all over body by hour 15. Fevers up to 101.9 on day 2 with horrible pain all over especially in ribs/trunk of body. Day 4 began having swelling under right arm and in right breast. Multiple lymph nodes swollen. Gradually got better with no fever after 5 days, acches gone after 7 to 10 days but even today i still have nodes and a little soreness in my right armpit and lateral side of my right breast.(2/16/21).

Other Meds: Levothyroxine methylfolate, methylB12

Current Illness: None

ID: 1033603
Sex: M
Age: 71
State: NJ

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 02/16/2021
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Allergies: Allergic o inner lining of casts

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

Symptoms: Fullness and decreased hearing in right ear starting 5 days after vaccination. Got hearing test on 2/15/21 which showed decreed hearing in right ear secondary to nerve conduction problem. Within a few hours hearing got better, and hearing was retested the next day and found to be essentially back to normal. I had taken Naprosyn on 2/15. MD had originally prescribed Prednisone bur I did not take since I was getting better without it. By 2/16/21 in the AM my hearing in the right ear seemed fine and there was no sense of fullness.

Other Meds: chlorthalidone, simvastatin. potassium citrate, potassium chloride, finasteride, vascepa, multivitamin, D3, Zinc Magnesium and vitamin C

Current Illness: None

ID: 1033604
Sex: F
Age: 48
State: MI

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 02/16/2021
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Allergies: PCN EES

Symptom List: Injection site swelling, Limb discomfort

Symptoms: 10 hours after injection, fever 103.6, chills, random moving rotation joint pain, headache and nausea , pain at injection site, all symptoms lasting for 48 hours

Other Meds: zyrtec pulmicort vitactive vitamin D

Current Illness: none

ID: 1033605
Sex: M
Age: 73
State: MT

Vax Date: 01/29/2021
Onset Date: 02/04/2021
Rec V Date: 02/16/2021
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Allergies: NKDA

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

Symptoms: Prostate bleeding for 3 hours 6 days post vaccination. History of bleeding but always with a known cause. Last INR before 2.4 and after event with hold of coumadin for 1 day was 1.7

Other Meds: Warfarin 4 mg QD x 5 years Fenasteride 5 mg QD Allupurinal 300 mg QD Vitamin E, C and D

Current Illness: No

ID: 1033606
Sex: F
Age: 73
State: DC

Vax Date: 02/12/2021
Onset Date: 02/14/2021
Rec V Date: 02/16/2021
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Allergies: Sulfur medications

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

Symptoms: On day 2 after second dose, that arm had a large red swollen itchy area near injection site. After about 8 hours of applying ice, some of the swelling has gone down. Area is still very red, itchy and sore.

Other Meds: Synthroid Keppra Metoprolol

Current Illness: None

Total 2021 VAERS Injuries: 704,237

Page last modified: 26 October 2021 2:21am