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: 1035659
Sex: M
Age: 47
State: GA

Vax Date: 01/25/2021
Onset Date: 02/12/2021
Rec V Date: 02/17/2021
Hospital: Y

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

Lab Data:

Allergies: NONE

Symptom List: Dysphagia, Epiglottitis

Symptoms: TO ED ON 02/12 WITH KIDNEY STONE. ON LABWORK, PLATELETS NOTED TO BE LOW AT 85,000. I WAS NOTIFIED ON 02/16 BY THE UROLOGIST OF LOW PLATELETS WITH NO KNOWN CAUSE AND PATIENT/EMPLOYEE S/P COVID VACCINATION. ADMITTED TO HOSPITAL--DISCHARGED ON 02/14 AND PLATELETS 74,000 AT DISCHARGE. TO FOLLOW-UP OUTPT WITH PROVIDER TO RECHECK LABS.

Other Meds: NONE

Current Illness: NONE

ID: 1035660
Sex: F
Age: 52
State: VA

Vax Date: 02/16/2021
Onset Date: 02/17/2021
Rec V Date: 02/17/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Anxiety, Dyspnoea

Symptoms: Fever chills headache. Muscle and joint pain

Other Meds: Cymbalta Cortisol manager HPA adapt Dymista Dhea

Current Illness: Endometriosis surgery laparoscopic on february 3

ID: 1035661
Sex: F
Age: 57
State: FL

Vax Date: 02/05/2021
Onset Date: 02/14/2021
Rec V Date: 02/17/2021
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: DIAGNOSED WITH COVID ARM, REDNESS, SWELLING ITCHINESS SIZE UP TO 6 INCHES. ON LEFT ARM THE INJECTION SITE. REACTION STARTED ON DAY 8 BECAME WORST AND BIG ON DAY 10, TREATMENT GIVEN WAS TRIAMCINOLON CREAM 2X DAILY AND CEPHALEXIN 500 MG 3X DAY FOR 10 DAYS

Other Meds: CENTRUM, VIT C, ZINC, ELDERBERRY

Current Illness: DIABETIC, HYPERTENSIVE

ID: 1035662
Sex: F
Age: 45
State: NY

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 02/17/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: developed left side facial numbness and weakness, head pressure, neck pain near base of skull, chills, and aches

Other Meds:

Current Illness:

ID: 1035663
Sex: F
Age: 52
State: MI

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 02/17/2021
Hospital:

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

Lab Data:

Allergies: Doxycycline, moxifloxin

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

Symptoms: not feeling well , seizure like activity. I ER itch feeling. treated with Benadryl.

Other Meds: alprazolam, Keflex, bentyl,colase,metformin, Prilosec, atrovent, lipitor

Current Illness: cellulitis

ID: 1035664
Sex: F
Age: 73
State: FL

Vax Date: 02/02/2021
Onset Date: 02/06/2021
Rec V Date: 02/17/2021
Hospital:

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

Lab Data:

Allergies: Vancomycin

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

Symptoms: Started having neck and L shoulder pain on 2/6. Continuously got worse and on 2/12 went to PCP. Dx a pinched nerve. On 2/13 at 2:23pm, my whole L arm broke out in vesicles. Went to ER. Dx with Shingles. Started on Valtrex 1ooomg TID and Prednisone 50mg daily x5 days. V.esicles continued down into my L hand and fingers. Nerve pain continued to be severe. Went back to PCP on 2/16. Started on gabapentin.

Other Meds: sotalol, ASA, Vitamin C, Vitamin B12, Vitamin D3, calcium

Current Illness: n/a

ID: 1035665
Sex: F
Age: 75
State: CA

Vax Date: 01/27/2021
Onset Date: 02/03/2021
Rec V Date: 02/17/2021
Hospital:

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

Lab Data:

Allergies: Teramycin, Penicillin

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Rash/itching at vaccination site; diameter of pink rash ~ 2 inches; rash was gone within 48 hours

Other Meds: None

Current Illness: Npne

ID: 1035666
Sex: F
Age: 25
State: AZ

Vax Date: 02/16/2021
Onset Date: 02/17/2021
Rec V Date: 02/17/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Pharyngeal swelling

Symptoms: Body aches, body warmth (not full fever) slight nausea, fatigue

Other Meds: Birth control

Current Illness: None besides first covid shot

ID: 1035667
Sex: M
Age: 54
State: NJ

Vax Date: 02/15/2021
Onset Date: 02/16/2021
Rec V Date: 02/17/2021
Hospital:

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

Lab Data:

Allergies: skin allergy to bacitracin

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: 1. General lethargy/tiredness starting 1 hour after injection, continuing 40 hours. Recovered after 40 hours with no treatment. 2. Moderate fever 12-40 hours after vaccination (max 101F 30-40 hours after vaccination). Fever gone after 40 hours with no treatment. 3. Normal level of muscle pain at injection spot. Still ongoing at 48 hours, but not concerning. 4. Entire upper right arm aches, from neck to elbow, 12-36 hours after vaccination. Mostly recovered after 48 hours. 5. Painful swelling of glands in right armpit, with pain extending ~4 inches above and below armpit. Started ~24 hours after vaccination, still ongoing at 48 hours.

Other Meds: Vitamin D3 (2000 IU daily), Claritin (10mg daily)

Current Illness: none

ID: 1035668
Sex: F
Age: 47
State: NY

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/17/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Lower back pain so severe it?s hard to stand or walk

Other Meds:

Current Illness:

ID: 1035669
Sex: F
Age: 57
State: FL

Vax Date: 02/05/2021
Onset Date: 02/14/2021
Rec V Date: 02/17/2021
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: DIAGNOSED WITH COVID ARM, REDNESS, SWELLING ITCHINESS SIZE UP TO 6 INCHES. ON LEFT ARM THE INJECTION SITE. REACTION STARTED ON DAY 8 BECAME WORST AND BIG ON DAY 10, TREATMENT GIVEN WAS TRIAMCINOLON CREAM 2X DAILY AND CEPHALEXIN 500 MG 3X DAY FOR 10 DAYS

Other Meds: CENTRUM, VIT C, ZINC, ELDERBERRY, trulicity, glimeperide, LOSA

Current Illness: DIABETIC, HYPERTENSIVE

ID: 1035670
Sex: F
Age: 50
State: PA

Vax Date: 02/15/2021
Onset Date: 02/15/2021
Rec V Date: 02/17/2021
Hospital:

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

Lab Data:

Allergies: latex definity

Symptom List: Rash, Urticaria

Symptoms: Severe body aches inability to sleep body twitching hallucinations--seeing bugs, flashing lights, animals, hearing things that weren't there, misinterpreting sounds (thinking the rain was a fire in the house) SVT--constant mini-SVT attacks. Fluttering would last about 10-15 seconds and would reoccur every 2-3 minutes--this lasted for about 8 hours.

Other Meds: Lexapro 10 mg

Current Illness:

ID: 1035671
Sex: F
Age: 43
State: AR

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 02/17/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Symptoms started about 12 hours after injection. Fever 101-102 for about 24 hours, periods of uncontrollable shaking, body aches, sore arm with intermittent spikes of shooting pain from injection site to fingers. About 48 hours in, extreme arm soreness accompanied by red/splotchy rash and swelling along with swelling of lymph nodes in underarm and breast lasting about 3 days. Much better now on day 5 but continuing to experience intense, sudden headaches and fasciculations in injection arm, particularly around the elbow.

Other Meds: Vitamins B, C, D, zinc, Zyrtec

Current Illness: None

ID: 1035672
Sex: M
Age: 37
State: FL

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 02/17/2021
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: Moderna COVID-19 Vaccine EUA. Migraine headache, fever, dizzyness, hot/cold flashes, pain in the left arm, and intense body aches.

Other Meds: Corey, Prozac, Lyrics, Creator, and Nexium

Current Illness: None.

ID: 1035673
Sex: M
Age: 37
State:

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/17/2021
Hospital:

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

Lab Data:

Allergies: Mefloquine HCL (Lariam), malaria prophylactic.

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

Symptoms: Night sweats, joint pain, muscle aches, headache.

Other Meds: Daily MVT, Celebrex 200mg.

Current Illness: None

ID: 1035674
Sex: F
Age: 66
State: FL

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 02/17/2021
Hospital: Y

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

Lab Data:

Allergies: Sulfadiazine

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

Symptoms: Within 15-minutes, the patient reported a "pulsating sharp pain" behind their right eye. EMS evaluated the patient on-site and they were found to be hypertensive (173/88). The patient proceeded to a emergency department. In the ED, the patient remained hypertensive with a mild generalized headache. They reported that their eye pain is constant but comes in waves of higher intensity. Differential diagnosis was possible stroke due to right-sided hemianopsia and right-sided ptosis. Patient was admitted and evaluated. Aspirin was administered and blood pressure was monitored prior to discharge.

Other Meds: Cholecalciferol, Melatonin, Naproxen sodium

Current Illness: None reported

ID: 1035675
Sex: M
Age:
State: NJ

Vax Date: 02/10/1921
Onset Date: 02/15/2021
Rec V Date: 02/17/2021
Hospital:

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

Lab Data:

Allergies: NONE

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

Symptoms: SEVERE ITCH ENTIRE BODY

Other Meds: BENICAR.....

Current Illness: DIABETES

ID: 1035676
Sex: F
Age: 60
State: GA

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 02/17/2021
Hospital:

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

Lab Data:

Allergies: LATEX TRAMADOL

Symptom List: Ear pain, Hypoaesthesia

Symptoms: SHORTNESS OF BREATH, TO ED, GIVEN NEB TREATMENTS AND STEROIDS

Other Meds: Home Medications Active Scripts hydrOXYzine HCL (ATARAX) 25 MG PO TID hydrOXYzine HCL (ATARAX) 25 MG PO TID #11 TAB Prov: 01/11/21 ALBUTEROL SULFATE (VENTOLIN HFA 90 MCG/ACT) 2-4 PUFF INH Q4H PRN PRN Wheezing/Sortness of

Current Illness: NONE

ID: 1035677
Sex: F
Age: 82
State: MA

Vax Date: 02/09/2021
Onset Date: 02/13/2021
Rec V Date: 02/17/2021
Hospital:

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

Lab Data:

Allergies: Morphine

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: An itchy rash developed below the injection site. It is as large as an orange, red and warm to touch.

Other Meds: Losartan, Centrum Silver, Caltrate, Benadryl Atorvastatin Atenolol .81 Aspirin Lorazepam

Current Illness: None

ID: 1035678
Sex: F
Age: 57
State: FL

Vax Date: 02/05/2021
Onset Date: 02/14/2021
Rec V Date: 02/17/2021
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: DIAGNOSED WITH COVID ARM, REDNESS, SWELLING ITCHINESS SIZE UP TO 6 INCHES. ON LEFT ARM THE INJECTION SITE. REACTION STARTED ON DAY 8 BECAME WORST AND BIG ON DAY 10, TREATMENT GIVEN WAS TRIAMCINOLON CREAM 2X DAILY AND CEPHALEXIN 500 MG 3X DAY FOR 10 DAYS

Other Meds: CENTRUM, VIT C, ZINC, ELDERBERRY, trulicity, glimeperide,

Current Illness: DIABETIC, HYPERTENSIVE

ID: 1035679
Sex: F
Age: 51
State: CT

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 02/17/2021
Hospital:

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

Lab Data:

Allergies: Zero allergies

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

Symptoms: Mild itching and redness of face and neck started 12 minutes after vaccine. Was monitored by APRN and given 25mg benadryl and O2 was watched for 1 hour, left facillity took 25mg more of benadryl 4 hours later and symptoms went away within 6 hours. I have had persistent headaches since vaccine number 1 a few times per day.

Other Meds: 1 otc claritin 1 hour before appointment

Current Illness: None

ID: 1035680
Sex: F
Age: 22
State: WI

Vax Date: 01/26/2021
Onset Date: 02/04/2021
Rec V Date: 02/17/2021
Hospital:

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

Lab Data:

Allergies: Lactose intolerant

Symptom List: Unevaluable event

Symptoms: Red raised rash appeared on my arm at the injection site. Rash was very hot and burned as well as itched. Rash lasted about 10 days.

Other Meds: None

Current Illness:

ID: 1035681
Sex: M
Age: 57
State: MI

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 02/17/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: PATIENT COMPLAINED OF MALAISE. ONSITE EMS/PHYSICIAN REQUESTED BP 126/78 HR 702 HE REFUSED FURTHER EVALUATION OR CARE

Other Meds: ELIQUIS TABLET

Current Illness:

ID: 1035682
Sex: F
Age: 73
State: NJ

Vax Date: 01/27/2021
Onset Date: 02/02/2021
Rec V Date: 02/17/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Pain

Symptoms: Around the 2nd or 3rd of February I started seeing double vision. I went to the eye doctor about a week or ago. The Dr. said it was muscle pulling of my eyes. Tomorrow I have cataract surgery. One March 4th I have a follow up to discuss the double vision. If I cover one eye then I can see fine, but when I look with both eyes I am still seeing double vision.

Other Meds: Levothyroxine daily (4 days 88 MG 75MG 3days), Amlodipine Besylate daily, Atenolol daily, Metformin twice daily, Januvia daily, Repaglinide 3 times a day, Lipitor daily, Lantus daily, Baby Aspirin daily, Multi-vitamin

Current Illness:

ID: 1035683
Sex: F
Age: 48
State: MI

Vax Date: 01/23/2021
Onset Date: 01/26/2021
Rec V Date: 02/17/2021
Hospital:

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

Lab Data:

Allergies: Bactrim

Symptom List: Injection site pain, Menorrhagia

Symptoms: Developed terrible neck pain, headache, nausea, fever, chills, chest pain, difficulty breathing and by Wednesday, 1/27/21, had a rash with welts all over my body; I also had eye puffiness to the point that my vision was impaired

Other Meds: Plaqenil, Fish Oil, Magnesium, Multi-Vitamin, B-Complex, Glucosamine/Tumeric

Current Illness: None but tested positive for Flu B on 1/27/21

ID: 1035684
Sex: F
Age: 51
State: CT

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/17/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Red face and neck, itching on certain parts of body, lip swelling and right lower jaw pain. I took 50mg benadryl 1 hour prior to appointment. My itching and redness were better this time than first vaccine, but jaw pain and lip swelling was new. They were mild, took 50 mg of benadryl 5 hours later and again 6 hours after that. Lip swelling and jaw pain were mild, but continued until the next morning. The next day I had body aches, headache and fatigue for 12 hours. Still get headaches on and off.

Other Meds: 50mg of benadryl 1 hour prior to appointment as instructed by PCP.

Current Illness: None

ID: 1035685
Sex: F
Age: 40
State: WV

Vax Date: 01/08/2021
Onset Date: 01/14/2021
Rec V Date: 02/17/2021
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: COVID arm - redness, tightness of approximately 5cm area below the injection site

Other Meds:

Current Illness:

ID: 1035686
Sex: F
Age: 77
State: FL

Vax Date: 01/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/17/2021
Hospital: Y

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

Lab Data:

Allergies: N/A

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Acute Eosinophilic Pneumonia

Other Meds: Amlodipine, Aspirin, Atorvastatin, Premarin, irbesartan, montelukast, nebivolol, oxybutynin

Current Illness: N/A

ID: 1035687
Sex: M
Age: 28
State: WI

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/17/2021
Hospital:

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

Lab Data:

Allergies: Chlorhexidine (oral)

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

Symptoms: Migraine with vomiting, chills, sweats, dehydration

Other Meds: Prednisone 40mg; Pantoprazole 40mg; Vitamin D3 5000 iu; Centrum Men's Multivitamin

Current Illness: none

ID: 1035688
Sex: F
Age: 39
State: NJ

Vax Date: 02/12/2021
Onset Date: 02/16/2021
Rec V Date: 02/17/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Nausea

Symptoms: Atypical menstruation- patient (myself) has an IUD in place and has not menstruated in over 4 years. Menstruation started 4 days after 2nd dose of Moderna vaccine. No other signs of abnormal bleeding/ITP. Only minor lethargy and soreness 1 day after vaccination.

Other Meds: None

Current Illness: None

ID: 1035689
Sex: M
Age: 66
State:

Vax Date: 01/24/2021
Onset Date: 01/25/2021
Rec V Date: 02/17/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site pain

Symptoms: Impotence for approximately 9 days after vaccination. Normally it will happen occasionally, but this was consistent - despite using 100mg Viagra. Our regular schedule for having intercourse is nightly. After this 9 day period, able to perform as usual. Husband will not permit me to use any identifying information due to the sensitive nature. Will report in this same manner after 2nd vaccination.

Other Meds:

Current Illness:

ID: 1035690
Sex: M
Age: 37
State: KY

Vax Date: 01/22/2021
Onset Date: 02/10/2021
Rec V Date: 02/17/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Patient here today with left sided jaw pain starting 2 days ago. He has subsequently had worsening paralysis of the left side of his face. He is not able to fully elevate his left eyebrow, close his left eye, or smile with the left side of his face. He had a COVID 19 vaccine 1 moth ago and was scheduled for his second one today. No word finding difficulty or headache. Diagnosed with Bell's Palsy; treated with prednisone and Valtrex. Instructed to go to ED for loss of vision or evolving symptoms. Wait on second COVID vaccine until prednisone is finished.

Other Meds:

Current Illness:

ID: 1035691
Sex: M
Age: 39
State: WA

Vax Date: 01/27/2021
Onset Date: 02/16/2021
Rec V Date: 02/17/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Joint aches and pain.

Other Meds:

Current Illness:

ID: 1035692
Sex: M
Age: 73
State: NC

Vax Date: 02/05/2021
Onset Date: 02/16/2021
Rec V Date: 02/17/2021
Hospital:

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Allergies: None

Symptom List: Tremor

Symptoms: Rash and itch at injection site

Other Meds: Rosuvastatin and Lisinopril and multi-vitamin

Current Illness: Chronic Lymphocytic Leukemia

ID: 1035693
Sex: F
Age: 41
State: DE

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 02/17/2021
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Allergies: Amoxicillin (rash), Shellfish (rash), Bee pollen (anaphylaxis)

Symptom List: Erythema, Pruritus

Symptoms: Patient received first dose of Moderna COVID19 vaccine on 29Jan21. She states the day following her vaccination she had approximately a sand dollar size area of erythema, induration, and warm located on her left arm. Pt denies any numbness, tingling, pain or swelling down her arm. The swelling remained localized. Denied any bruising at the site. Patient states upon awakening on 03Feb21 she felt the left lower lip was tingling/numb and slightly swollen. Over the next hour noticed that the numbness/tingling then started moving over to the right lip. Pt took benadryl and symptoms subsided. Pt states she has equal movement of both sides of her mouth, denies any drooping. Able to eat and drink without dribbling. On 09Feb21 patient went to UCC again due to chin swelling. She was diagnosed with topical bacterial infection and prescribed antibiotic ointment. Denies any lymph node swelling. She no longer had erythema or pain at the vaccination injection site. As of 17Feb21 all symptoms have resolved.

Other Meds: Claritin as needed

Current Illness: None

ID: 1035694
Sex: F
Age: 71
State: FL

Vax Date: 02/15/2021
Onset Date: 02/16/2021
Rec V Date: 02/17/2021
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Allergies: Codine, flagyl, Wellbutrin, indocine, adhesive tape

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

Symptoms: Diarrhea, severe chills, 5.7 degree fever, nausea and vomiting, muscle pain Took Imodium and Advil and used heating pad for chills Symptoms began at 10:00 a.m. and progressively escalated throughout the day and into the night

Other Meds: Propranolol, atorvastatin, Prilosec, aspirin, magnesium, calcium, coq10, fish oil, B complex, kava

Current Illness: None

ID: 1035695
Sex: M
Age: 65
State: OH

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/17/2021
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Allergies: penicillin ( broke out in head to toe rash at age of 16 ) chlorine

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

Symptoms: about 3am I woke up with severe body aches- I got out of bed at 9:45am- took Extra Strength Tylenol and the aches gradually went away

Other Meds: diclofenac lovastatin losartin

Current Illness:

ID: 1035696
Sex: F
Age: 53
State: VA

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 02/17/2021
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Allergies: Sulfa drugs, cough pearls, lisinopril, seasonal allergies

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Since 2nd vaccine my BP has been up. Prior to vaccine it would range 107/75 to 138/85. After vaccine it would range 135/80 to 170/90 on same dosage of medication. I've had to double my medication to be able to keep it at a range of 128/80 to 155/85 for the past month. I thought it might be in my mind at first, but when my Mom recently got her 2nd injection, she had a stroke within 24 hrs. Her BP was very well controlled, but within 24 hrs after vaccine it was 180/110. I understand she was older etc, but I'm thinking certain genotypes may be more predispositioned for this kind of reaction and that doctors/caregivers may want to be more aware and prepare their patients for this.

Other Meds: Losartan 25 mg 2x day

Current Illness: None other than HTN

ID: 1035697
Sex: F
Age: 46
State: GA

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 02/17/2021
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Allergies: none

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

Symptoms: migraine headaches daily since day 2 until present day

Other Meds: Ziac, Allegra, Mult-Vitamin

Current Illness: None

ID: 1035698
Sex: U
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Rec V Date: 02/17/2021
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Symptom List: Chills, Feeling cold, Feeling hot, Myalgia, Pain

Symptoms: Itchy swollen sore arm 2 days later. I went to minute clinic after 7 days of itching and swelling and was given triamcinolone and told to take benedryl twice a day

Other Meds:

Current Illness:

ID: 1035699
Sex: F
Age: 70
State: MI

Vax Date: 02/15/2021
Onset Date: 02/15/2021
Rec V Date: 02/17/2021
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Symptom List: Pain in extremity

Symptoms: 70 YEAR OLD FEMALE COMPLAINED OF DIZZINESS AFTER RECEIVING VACCINE. ONSTIE EMS/PHYSICIAN WAS REQUESTED. HER BP WAS 138/84 AND HR 99. SHE REFUSED FURTHER EVALUATION AND CARE

Other Meds: ALBUTEROL INHALER

Current Illness:

ID: 1035700
Sex: F
Age: 48
State: MA

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 02/17/2021
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Allergies: Penicillin and sulfa

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

Symptoms: Patient received Moderna COVID vaccine @ 8:23 AM. Around 08:26 pt complained of a "tingling" tongue. She then c/o anxiety & dizziness. She then c/o a "swollen tongue", dyspnea, SOB, pruritus in her LE, & began breathing in the tripod position. At 08:35 the pt's BP was 127/83, HR was 114, & oxygen saturation was 99 %. A ED proceed out was called who came and administered diphenhydramine 50 mg IM and admitted her to the ED. Upon exam, patient was positive for shortness of breath, itching and rash ( initial exam in the vaccine clinic no rashes seen. In the emergency department and she had a patch of erythema on her right dorsal forearm approximately 5 cm x 7 cm not raised no signs of urticaria), tachycardia and abdominal tenderness. ED MD assessment: Overall assessment was reaction to COVID vaccine, without anaphylaxis.

Other Meds:

Current Illness:

ID: 1035701
Sex: F
Age: 73
State: NC

Vax Date: 02/05/2021
Onset Date: 02/12/2021
Rec V Date: 02/17/2021
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Allergies: Sulfur drugs

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

Symptoms: Pain and itch at injection site, worse for 24 hours and decreased daily after Feb. 12

Other Meds: latanoprost Timolol Dorzolamide HCI Armour Thyroid

Current Illness:

ID: 1035702
Sex: F
Age: 76
State: FL

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 02/17/2021
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Allergies: Ciprofloxacin, Keflex, Benadryl, Seeds, Epinephrine, Iodinated radiocontrast dyes, Latex, Lidocaine, Shrimp, Sulfa drugs

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

Symptoms: Within 15-minutes of vaccination, the patient reported dizziness, lightheadedness, and nausea. EMS evaluated patient on-site and administered 4mg Ondansetron PO. Patient was hypertensive (156/84) in transport to Emergency Department. Patient remained hypertensive in ED. Discharged from ED with diagnoses of dizziness, nausea, resolved, secondary to vaccination.

Other Meds: Magnesium Hydroxide, Sodium Bicarbonate, Cosamin DS, Lumigan, Aspirin, Calcitriol, Famotidine

Current Illness: None reported

ID: 1035703
Sex: M
Age: 74
State: FL

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/17/2021
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Allergies: Penicillin, zetia

Symptom List: Vomiting

Symptoms: Moderna COVID-19 vaccine EUA ?? vertigo, a couple of events the day following injection, lasting around 5 minutes twice. The next day, only slight vertigo lasting a very short time, but knew I wasn?t feeling 100%.

Other Meds: Percocet, Atorvastatin,Amlodipine- Besylate

Current Illness:

ID: 1035704
Sex: F
Age: 34
State: VA

Vax Date: 01/21/2021
Onset Date: 02/17/2021
Rec V Date: 02/17/2021
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Allergies: zithromax ,fentanyl, metoprolol tarate

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Bell's Palsy

Other Meds: ultram, aldactone, protonix, cozaar, FE, Neurontin, epeipen, cardiazem cd, bentyl, Vit B-12, zyrtec, fiber tabs, urecholine, albuterol

Current Illness: none

ID: 1035705
Sex: F
Age: 64
State: AZ

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/17/2021
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Allergies: Codeine, egg whites

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

Symptoms: Fever headache myalgia sore arm fatigue lasting over one week

Other Meds:

Current Illness:

ID: 1035706
Sex: M
Age: 52
State:

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 02/17/2021
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Allergies: N/A

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Aside from normal tenderness at the injection site which I had after the first dose, the most adverse reaction was fatigue. Fatigue set in about 12 hours after the injection. I did not have nay trouble sleeping but I was still very tired the next morning. I did not experience any fatigue after Dose 1.

Other Meds: Lisinopril 20mg Rosuvastatin 10mg

Current Illness: N/A

ID: 1035707
Sex: F
Age: 44
State: NC

Vax Date: 02/15/2021
Onset Date: 02/16/2021
Rec V Date: 02/17/2021
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Allergies: None

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

Symptoms: low grade fever (100.4), chills, body aches, fatigue, swollen and painful lymph node under left armpit

Other Meds: Duloxetine

Current Illness: None

ID: 1035708
Sex: M
Age: 17
State: MN

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 02/17/2021
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Allergies:

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

Symptoms: Vaccine give to care provider under the age of 18.

Other Meds:

Current Illness: Caregiver was less than 18 y/o at time of vaccine

Total 2021 VAERS Injuries: 704,237

Page last modified: 26 October 2021 2:21am