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
30,356
AK1,115
AL2,480
AR1,619
AS31
AZ7,626
CA29,677
CO5,688
CT3,900
DC776
DE788
FL16,237
FM3
GA6,435
GU48
HI1,070
IA2,418
ID1,319
IL9,653
IN14,740
KS2,405
KY3,179
LA2,212
MA7,067
MD6,071
ME1,593
MH6
MI8,743
MN5,925
MO4,634
MP10
MS1,266
MT1,308
NC7,741
ND696
NE1,536
NH1,624
NJ7,847
NM2,011
NV1,822
NY16,297
OH9,603
OK2,584
OR3,929
PA10,277
PR1,108
QM1
RI1,086
SC2,855
SD694
TN4,146
TX16,020
UT2,241
VA7,344
VI25
VT944
WA6,670
WI5,591
WV1,234
WY442
XB4
XL1
XV1

ID: 1036474
Sex: F
Age: 61
State: OH

Vax Date: 02/10/2021
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: Sulfa and PCN

Symptom List:

Symptoms: I had a 2.5 in diameter inflamed red sore rash around the injections sign which occurred 2 hours after injection and lasted for 1 week

Other Meds: Pradaxa, Metformin, Metoprolol Succ ER, Losartan HCTZ, Atorvastatin, Propafenone

Current Illness: None

ID: 1036475
Sex: F
Age: 55
State: DC

Vax Date: 02/15/2021
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:

Symptom List:

Symptoms: Severe migraine pain for 2 days and on second day, severe swelling under the underarm on the right arm.

Other Meds:

Current Illness:

ID: 1036476
Sex: M
Age: 77
State: NJ

Vax Date: 02/04/2021
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: NONE

Symptom List:

Symptoms: After nine days, I then had a reaction with a redness, itch and slight soreness in injection area. I did not have a reaction at the time of injections and still have the redness but the itch has lessened

Other Meds: OMEGA 3, VITAMIN D, METAMUCIL

Current Illness: NONE

ID: 1036477
Sex: M
Age: 61
State: NY

Vax Date: 01/24/2021
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: no

Symptom List:

Symptoms: pt noticed a couple days after getting the vax he developed itchy hives on arms and legs that come and go. States he takes Benadryl before he goes to bed. He also had swelling in his lips that come and goes. Pt has not contacted his PCP at this time.

Other Meds: Ramipril 10mg, Hydrochlorothiazide 25mg,

Current Illness: no

ID: 1036478
Sex: M
Age: 77
State: CA

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:

Symptom List:

Symptoms: Patient felt dizzy after receiving the vaccine - monitored, and stabilized. BP 114/65, pulse 81. Standing BP 155/68.

Other Meds:

Current Illness:

Date Died: 02/08/2021

ID: 1036479
Sex: M
Age: 77
State: IL

Vax Date: 02/03/2021
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: Sulfa and vicodin

Symptom List:

Symptoms: Fall 2/4 hospital admission 2/7/21 with death on 2/8/2021. Patient continued to decline on Bipap he was a DNR/DNI and family decided on comfort measures and he expired 2/8/2021.

Other Meds: Allegra daily as needed; Ambien 5mg daily at bedtime; Aspirin 81 daily; Digoxin daily; hydrocodone-acetaminophen 5-325 as needed pain; Pravastatin 20 daily; ramipril 2.5 daily; zoloft 200 daily

Current Illness: Fell 2/4 and struck abdomen and ribs with large amount bruising Brought to ER 2/7 due to increased shortness of breath since COVID vaccine. Patient was admitted with CHF, hypoxia, possible aspiration pneumonia; NSTEMI (refused transfer for cardiology).

Date Died: 02/02/2021

ID: 1036480
Sex: M
Age: 76
State: IL

Vax Date: 01/26/2021
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: Sulfa causes a rash

Symptom List:

Symptoms: Patient passed away on 2/2/21 after being admitted on 1/31/21 after receiving COVID19 Moderna Vaccine on 1/26/21. On initial report to the hospital patient reported having a cough for over 2 weeks (starting approx. 1/17/21). He had a postive COVID19 PCR on 1/31/21. Intubated on 1/31/21 and passed away on 2/2/21

Other Meds: amlodipine, aspirin, levothyroxine, losartan, metformin, metoprolol, pravastatin, polyethlyene glycol

Current Illness: had a cough since 2/17/21

ID: 1036481
Sex: M
Age: 35
State: HI

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: N/A

Symptom List:

Symptoms: Moderna COVID-19 Vaccine EUA - very fatigue, drowsy left eye (described by others as swollen)

Other Meds: N/A

Current Illness: N/A

ID: 1036482
Sex: F
Age: 59
State: NJ

Vax Date: 01/27/2021
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: zythromax, sulpha, levaquin, rifampin envrironmental (dog, cat, dust, mold, pollen)

Symptom List:

Symptoms: Severe lower jaw pain began one and a half weeks after injection. Pain has improved but is still present after 12 days. At the same time I developed, and continue to have, some facial swelling. I have also developed severe neck, shoulder and arm pain. On 2/12, I began to have a higher than normal temperature. The high has been 100.2, which I recognize is not technically a fever, but for me it is very high and very unusual. I also seem to have sinusitis with facial pain and headache.

Other Meds: multi-vitamin, vitamin D, iron, use Rogaine

Current Illness: none

ID: 1036483
Sex: M
Age: 33
State: MA

Vax Date: 02/17/2021
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:

Symptoms: Administered 2nd Moderna vaccine, leaked around needle. Patient did not receive dose. Needle was intact, did not dislodge. Patient was informed, no adverse reactions. Per administration nurse running Senior center, 2nd dose given due to loss of first vaccine materials. Monitored and observed x 30 minutes.

Other Meds: None

Current Illness: None

ID: 1036484
Sex: M
Age: 71
State: ME

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:

Symptom List:

Symptoms: Sore shoulder for about 3 days, and started having bloody nose when i blow my nose sometimes.

Other Meds: losartan, pravastatin, Tamsulosin, Aspirin, vitamin C,D, E, fish oil, CoQ10, Imodium

Current Illness:

ID: 1036485
Sex: M
Age: 73
State: ME

Vax Date: 02/03/2021
Onset Date: 02/14/2021
Rec V Date: 02/17/2021
Hospital: Y

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

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: Transverse myelitis with GAD enhancing lesion on MRI C3-C5. Strength was 5/5 symmetrically in the lower extremities, but he had significant weakness in the upper extremities left worse than right. Generally 4-/5 proximally on the right, 4/5 distally; left deltoid, biceps, triceps were 2-3/5, 4-/5 at the wrist and hand. Sensation is largely impaired on the right in a patchy distribution to light touch, temperature, pinprick, vibratory (impaired significantly on the right) and proprioception. Romberg testing was positive.

Other Meds: Rivaroxaban metoprolol atorvastatin

Current Illness: None

ID: 1036486
Sex: M
Age: 82
State: IN

Vax Date: 02/12/2021
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: Shrimp, drixoral

Symptom List:

Symptoms: 2/13 0800 Post second vaccine. Weak, dizzy, unable to walk per self as usually does. SBP 80 when getting up to use commode with diarrhea. Syncope lasting approx 15 seconds. Came to et was oriented X3 at that time but having times of confusion. Staff reports pt felt weak and same way after first Covid vaccine. Encouraged hydration, bed rest, use of stand aide for use of BR. Gave Claritin 24 hour tablet. Held lisinopril. 2/14 @ 10 am. Feeling some better, mostly oriented with episodes of intermittent confusion. Drank lots of fluids over past 24 hrs. SBP 99. Continued with some diarrhea. Held lisinopril et gave another Claritin 24 hr. Tablet and encouraged hydration. Monday 2/15. SBP. 114/51. Gave Claritin 24 hour tablet and held lisinopril. Encouraged fluids. Feeling some better. Not as weak. Denies dizziness. Able to walk some per self. In evening used stand aid. 2/16 dayshift. BP 123/47 et heart rate 78. lisinopril held. Able to ambulated in room with supervision. Mentation at baseline. 2/17 dayshift.: lisinopril held. Ambulation per self in room and hall with supervision. BP 114/59 with heart rate of 57. No confusion. Mentation at baseline.

Other Meds: Tresiba, sertraline, novolog, potassium, miralax, multivitamin, lisinopril, atorvastatin, furosemide, neurontin, protonix.

Current Illness: no acute illnesses. Long term diabetic.

ID: 1036487
Sex: F
Age: 49
State: MO

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: None, seasonal allergies

Symptom List:

Symptoms: Muscle aches & pain to the bone; chills so bad I couldn't stop shaking for three hours no matter how many covers; full-head headache to the point I could barely open my eyes; lasted approximately 12-15 hours overall

Other Meds: Omeprazole, Citalopram, Lisinopril, Atorvastatin, & women's multi-vitamins

Current Illness: None

ID: 1036488
Sex: F
Age: 36
State: HI

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:

Symptoms: Symptoms: c/o ?chest tightness immediately after shot?, subsided after a few minutes later, c/o headache, Intervention: VS stable. Stayed an additional 15 minutes, total 30 min. Symptoms subsided.

Other Meds:

Current Illness:

ID: 1036489
Sex: F
Age: 41
State: NY

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/17/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Thrombocytopenia. Platelets went from 175K day of vaccine to 56K four days later. Petechiae on feet and legs morning after vaccine. Additionally, cold sweats overnight. Woke up with headache, body aches and extreme fatigue, as well as injection site soreness.

Other Meds:

Current Illness:

ID: 1036490
Sex: F
Age: 52
State: IL

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

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

Lab Data:

Allergies: Allergic to Penicillins, Sulfa Drugs, Clindamycin, and Ciprofloxacin - break out in rash

Symptom List:

Symptoms: headache started 2 hours after first vaccine was given; didn't take any pain reliever for it; headache went away on its own during the night. Left arm sore at the injection site for about 3 days (took Tylenol 48 hrs after getting the vaccine to relieve pain in arm). On Monday morning 2/15/21, lymph node above left clavicle bone hurt to touch (pea size), and the left trapezius muscle started hurting whenever I touch it and feels hard/swollen. Don't feel any swollen lymph nodes yet under left arm. Taking Tylenol when needed for inflammation.

Other Meds: Vitamin D gel capsules, Calcium tablets, Zinc tablet, Vitamin B-12, and CoQ10

Current Illness: none

ID: 1036491
Sex: F
Age: 74
State: FL

Vax Date: 02/05/2021
Onset Date: 02/09/2021
Rec V Date: 02/17/2021
Hospital:

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

Lab Data:

Allergies: Benadryl, Vasotec, Motrin, Flexeril

Symptom List:

Symptoms: First I noticed some red spots on my left thigh and then the next morning when I got up they had spread. Which happened on a Tuesday night and Wednesday morning I called the doctor but I couldn't get in that day so I got an appointment for that Thursday. Every day they were spreading more on my inner and outer left thigh and my left buttock. They didn't go above my waist and they just stayed on my lower left thigh but didn't go up to my stomach and I didn't have any on my stomach. My doctor told me it was shingles.

Other Meds: Atorvastatin 20 mg 1 per day, Amlodipine/valsartan 10 mg, B6, Vitamin C and D, 81 mg Aspirin

Current Illness: No

ID: 1036492
Sex: F
Age: 32
State: NY

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

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

Lab Data:

Allergies: No

Symptom List:

Symptoms: I had fatigue on the first day that continued to the next day. I then had body aches.

Other Meds: No

Current Illness: No

ID: 1036493
Sex: F
Age: 67
State: WA

Vax Date: 02/02/2021
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: none

Symptom List:

Symptoms: Two days after receiving the 2nd shot, i developed shingles.

Other Meds: Vitamin D, Lysine - 500 mg.

Current Illness: none

ID: 1036494
Sex: F
Age: 31
State: HI

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:

Symptoms: Symptoms: c/o ?dizziness, palpitations, lightheadedness, feeling of a rush? Intervention: VS stable. Stayed an additional 15 minutes, total 30 min. Symptoms subsided.

Other Meds:

Current Illness:

ID: 1036495
Sex: M
Age: 81
State: NY

Vax Date: 02/12/2021
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: None

Symptom List:

Symptoms: Leg weakness/collapse leading to falls, ongoing. Hiccups, began at 24 hrs continued for 2 days .

Other Meds: Sinemet, metformin, Carbidopa, pravastatin, Valsartan, donepezil, alfuzosin, mirabegron, amantadine, cholestyramine, vitamin D, aspirin, acetaminophen, turmeric, magnesium

Current Illness:

ID: 1036496
Sex: F
Age: 23
State: PA

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: Seasonal

Symptom List:

Symptoms: Approximately, 29 hours after being vaccinated developed rash on face and fever.

Other Meds: Birth control

Current Illness: N/A

ID: 1036497
Sex: F
Age: 56
State: FL

Vax Date: 02/04/2021
Onset Date: 02/05/2021
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:

Symptoms: Headache, profuse sweating and shivering, body pains followed by body aches as the day wore on, dry heaving. Lasted 24 hours. Took Tylenol every 4 hours.

Other Meds: Humalog insulin Montelukast Levothyroxin Losartan Avorastatin Duloxetine Gabapebtin Vitamin C Vitamin D3 Zinc CBD cream

Current Illness: Diabetes Hyperthyroid

ID: 1036498
Sex: F
Age: 64
State: AK

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

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

Lab Data:

Allergies: doxycycline compazine PCN phenergan

Symptom List:

Symptoms: According to the information I have gathered, she became dizzy, nauseated, vomiting later in the day. This continued for nearly two weeks. She then presented to an emergency room and was diagnosed with a cerebellar stroke that likely started on the same day as her vaccine per that physicians report.

Other Meds: humira vitamin d restasis erythromycin opthalmic flonase folic acid lisinopril c hctz plaquenil synthroid methotrexate rybelsus zocor

Current Illness: unk

ID: 1036499
Sex: F
Age: 84
State: SD

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

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

Lab Data:

Allergies: Celebrex, egg

Symptom List:

Symptoms: Patient reports her symptoms started on 2/16/2021 with fevers, generalized weakness, mild disorientation, and dizziness when she presented to the ER.

Other Meds: losartan, zinc sulfate, carBAMazepine, metoprolol tartrate, triamcinolone, atorvastatin, Synthroid, alendronate, multivitamin, cholecalciferol, vitamin D3, CALCIUM

Current Illness: cellulitis after first COVID injection

ID: 1036500
Sex: M
Age: 51
State: NY

Vax Date: 02/17/2021
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:

Symptoms: felt rush in chest and then "felt Off"

Other Meds: atorvastin

Current Illness: ht

ID: 1036501
Sex: F
Age: 32
State: PA

Vax Date: 02/06/2021
Onset Date: 02/07/2021
Rec V Date: 02/17/2021
Hospital:

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

Lab Data:

Allergies: cillian family of medicine

Symptom List:

Symptoms: headache 24 hours following vaccine increased heart rate and anxiety following vaccine (normal RHR is ~70 and it increased to 87-90) and lasted one week 4 days post-vaccine a rash appeared on the trunk of the patient - both L and R side and onto the back of the trunk (rash still remains but the pain of it subsided around day 8) left armpit lymph node was slightly swollen (began day 4 and lasted to day 8) left ear was painful and throbbing (began day 4 and lasted to day 6) left pinky toe painful to the touch and throbbing (began day 4 and lasted to day 8) right big toe painful to touch and throbbing(began day 4 and lasted to day 8)

Other Meds: zinc, Vit D, Vit C, Sertraline

Current Illness: none

ID: 1036502
Sex: F
Age: 21
State: PA

Vax Date: 02/17/2021
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: chocolate

Symptom List:

Symptoms: Patient was very anxious before vaccination and stated that the shot would probably cause an asthma attack. Vaccine administration proceeded without complication. Shortly after receiving vaccination, while the patient was in the waiting room during observation she stated that her chest was feeling tight and her heart was racing. Pharmacist brought her back into clinic room so she could breath freely without her mask and take a puff of her proair inhaler. After 5-10 minutes, she stated that her chest was still tight and her back hurt. Family members were called to take her home/to ER. She did not want to wait so a store employee drover her to patient's preferred emergency room for a breathing treatment.

Other Meds: Proair, hydroxyzine, sprintec

Current Illness: unknown

ID: 1036503
Sex: F
Age: 72
State: FL

Vax Date: 02/10/2021
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:

Symptom List:

Symptoms: Rash on upper body, bruising

Other Meds: Effecxor75 g Synthroif .75 mcg Claritin

Current Illness: Excema

ID: 1036504
Sex: M
Age: 65
State: NH

Vax Date: 02/01/2021
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: no known allergies

Symptom List:

Symptoms: Patient called on 2/4/21 with complaints of eye irritation, drainage at the time of visit patient treated for conjunctivitis, given abx eye drops, no improvement, patient seen at eye care on 2/11/21 diagnosed with herpes simplex keratitis os stopped abx, started on valacyclovir po

Other Meds: albuterol, aspirin, fluticasone, Zirgan, losartan, metformin, multi-day plus minerals, omega-23, pravastatin, valacyclovir

Current Illness: dyspnea on exertion, ekg reassuring

ID: 1036505
Sex: F
Age: 62
State: GA

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: none

Symptom List:

Symptoms: Swollen lt. arm, severe body aches and pain, headache, excessive sweating for 14 hrs. Missed work on 1/27/2021. 8 hrs.

Other Meds: D3, vitamin for hair and nails, Wellbutrin XL, Nuvigil, Teffid

Current Illness: none

ID: 1036506
Sex: F
Age: 31
State: NE

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: Penicillin, Sulfa, Doxycycline, Cefdinir

Symptom List:

Symptoms: My injection site became itchy within 20 minutes after injection was given. At about 8pm that same night the injection site was red, raised, swollen, warm to touch and very painful. At this same time I developed a fever of 101.5. The rash became bigger and more swollen into Sunday (02/14/21). I also had fatigue, severe body aches, headache and jaw pain. The fever lasted 24 hours and subsided Saturday night at 8pm (02/13/21). I felt ill into Tuesday (02/16/21). As of now 2pm on 02/17/21 my only side effect left is the injection site is very itchy. The redness has gone away.

Other Meds: Microgestion Birth Control, Zyrtec, Tylenol

Current Illness:

ID: 1036507
Sex: F
Age: 33
State: NC

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

Symptom List:

Symptoms: Sore arm at injection site. Within 2 hours. Headache and sore neck in 4 hours

Other Meds: None

Current Illness: None

ID: 1036508
Sex: F
Age: 73
State: MI

Vax Date: 02/06/2021
Onset Date: 02/07/2021
Rec V Date: 02/17/2021
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Symptoms: Approximately 36 hours after injection I became dizzy, could not sleep due to constant dizziness, off-balance and found it difficult to rise from a sitting/laying position without being overcome by dizzy spells. Also felt slight tightness in my head. I begin to take my blood pressure which was well over what was normal for me. BP ranged from highest of 155/84 to 145/78. Blood pressure begin to lower as I begin to take my Blood Pressure medication doubling the dose from 5mg to 10mg Amlodipine. I also take the medication at night, versus my normal routine to take medication during the day. Not sure if this was just a coincident or precipitated by the vaccine.

Other Meds: Amlodipine Besylate 5mg, Rosuvastatin 10mg

Current Illness:

ID: 1036509
Sex: F
Age: 66
State: FL

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/17/2021
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Allergies: MILD ALLERGY TO PEANUT BUTTER>CAUSES A COUGH

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Symptoms: Client reported that her face felt like it was burning and she felt "odd". Client wanted to sit outside to get fresh air. Client stated that she was very nervous about getting the vaccine. After sitting outside x 15 minutes, client felt much better and wanted to leave. Client called on 2/11/2021 to report redness and warmth to injection site. Client could also feel a lump that was slightly smaller than the palm of her hand. Recommended client follow up with her PCP.

Other Meds:

Current Illness: NONE

ID: 1036510
Sex: F
Age: 65
State: CA

Vax Date: 02/09/2021
Onset Date: 02/11/2021
Rec V Date: 02/17/2021
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Allergies: None that I'm aware of.

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Symptoms: On February 11, 2 days after my vaccination, I woke up with pain and swelling under my left eye. Over the next 2 days, the left side of my face under the eye experienced redness and swelling then subsided and localized into a large stye on the lower left eyelid. Now, a week later, the stye is still red and pus filled but has improved and is slowly resolving. I would not normally think that this affliction had anything to do with getting a vaccine but it does seem strange that something like this could occur in someone who is very healthy and and does not experience any side effects from vaccines. The last time I had a stye was in my 20's and it wasn't nearly as bad as the one I am now experiencing. Since the Covid vaccine is so new and however unrelated this coincidental affliction seems, I thought I should report it regardless.

Other Meds: Multivitamin, calcium, astaxanthin, and probiotic.

Current Illness: None

ID: 1036511
Sex: M
Age: 87
State: FL

Vax Date: 02/12/2021
Onset Date: 02/17/2021
Rec V Date: 02/17/2021
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Allergies: NA

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Symptoms: EMS WAS CALLED PATIENT BECAME WARM BUT CLAMMY, PALE AND LETHARGIC WHEN EMS ARRIVED PATIENT WAS ALERT AND RESPONSIVE

Other Meds:

Current Illness:

ID: 1036512
Sex: F
Age: 61
State: NH

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/17/2021
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Allergies: Oxybutynin Sulfa Rubber Adhesive tape

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Symptoms: The night after receiving the vaccine the patient states her tongue and inside of lips were swollen and painful. She was even unable to remove her dentures due to the tightness. This continued into the next day. No shortness of breath reported. She took some Benadryl which she reports helped however it has been 5 days now and she continues to have poor taste and tongue is still feeling strange. She also states today she is developing the tongue and lip swelling again, she denies trouble breathing and is aware if at any time this begins or there is any concern this may start to call 911 for emergency care. She is taking Benadryl again now which has helped with this since the immunization and has left a message with her PCP. I am currently calling her PCP to report this also.

Other Meds: Atorvastatin 20mg once daily at bedtime Cyanocobalamin 500mcg under the skin once monthly Pantoprazole 40mg delayed release tablet once daily Gabapentin 600mg three times daily, may take an additional tablet at bedime Ipratropium 0.03% nas

Current Illness: Sinus infection

ID: 1036513
Sex: M
Age: 32
State: NY

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 02/17/2021
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Allergies: None

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Symptoms: Severe chills, vomiting (approximately 4 times over several hours starting around midnight the day after vaccination), mild fatigue for several days after.

Other Meds: None

Current Illness: None

ID: 1036514
Sex: F
Age: 39
State: TN

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

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Symptoms: Rash covering all of back Arm pain severe Fever of 100.8 for 24 hours Body pain severe

Other Meds: Probiotics, milk thistle, ginger root, turmeric, nexium

Current Illness: None

ID: 1036515
Sex: F
Age: 37
State: CA

Vax Date: 01/09/2021
Onset Date: 01/09/2021
Rec V Date: 02/17/2021
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Allergies: Compazine - Anaphylactic reaction about 20 years ago; similar reactions to Opioid type products Bee Stings

Symptom List:

Symptoms: About 40 minutes after, I started itching: on face and scalp primarily. But also arm. I didn't have any rash, bumps or redness. No visible symptoms. I emailed my Dr. and the nurse supervisor and they were messaging with me to tell me what to take. Over the next hour, it progressively got worse. After I got home - about an hour or so after symptoms beginning, I took 50 mg Benadryl. After about an hour or two later, I took Zyrtec. Before bed, I repeated dose of Benadryl. I was up at night with itching. In morning, I may have taken a third Benadryl very early morning and so when I woke up for the day, I didn't take it. And the itching resolved about 12:00 or 1:00 pm that next day. I did have a sore arm the day after the vaccine. I took ibuprofen about noon the following day of the vaccine. At 7, I noticed fatigue; chills and body aches. was very tired, as well. At 10:00 I took another dose of ibuprofen for these symptoms and I felt much better after that and the next day, I was fine.

Other Meds: Crestar

Current Illness: No

ID: 1036516
Sex: F
Age: 75
State: FL

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/17/2021
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Allergies: None

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Symptoms: Once again, as with the first shot (dated 2/3/2021) I got an itch on my arm in the area where the shot was given. This time, however, it came about 11 hours after getting the vaccination. It lasted about 4 or 5 days.

Other Meds: None

Current Illness: None

ID: 1036517
Sex: F
Age: 64
State:

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

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Allergies: berries, cherries, red dye

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Symptoms: Right after the vaccine was administered, started with a cough that did not improve for the next few minutes. Needed respiratory therapy

Other Meds: NO

Current Illness: NO

ID: 1036518
Sex: F
Age: 72
State: OH

Vax Date: 02/07/2021
Onset Date: 02/15/2021
Rec V Date: 02/17/2021
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Allergies: Chantix, Zyban, Pravachol, Augmentin, Bupropion, Norvasc

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Symptoms: 2 inch red, raised, warm, itchy area at injection site appeared on the 8th day following 1st dose Moderna vaccine. This reporting is on the 3rd day of the reaction with no improvement yet noted to area. Will notify physician if no improvement on the 4th day. I was given the yearly flu vaccine approx 2 wks prior to the Covid vaccine. I do not know the vac name or lot #

Other Meds: Aldactone 25mg, Lipitor 40mg, Eliquis 5mg, Lasix 20mg, Lisinopril 5mg, Toprol ER 125mg, Tikosyn 250mg, Buspirone hcl 15mg, Spiriva Respimat, Symbicort 160/4.5. Nasonex, Colace 100mg, Aspirin 80mg.

Current Illness: None

Date Died: 02/17/2021

ID: 1036519
Sex: M
Age: 65
State: IN

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

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Symptoms: Received first SARS-CoV2 vaccination yesterday at local store Experienced new symptoms of chills, nausea as well as worsening from baseline dyspnea at night. Wife states he had rough morning breathing and had sudden loss of consciousness and unresponsiveness and failed to respond to bystander CPR. He expired at his home.

Other Meds: Albuterol-ipratropium, warfarin, hydrochlorothiazide-triamterene, budesonide-glycopyrroltate-formoterol, atorvastatin.

Current Illness:

ID: 1036520
Sex: F
Age: 31
State: VA

Vax Date: 11/12/2019
Onset Date: 11/12/2019
Rec V Date: 02/17/2021
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Allergies: novacaine: oral edema acyclovir: oral edema No history of intolerance or allergy to any foods, natural rubber latex or stinging insects.

Symptom List:

Symptoms: The patient is a healthy 32 yo female with a history of continued left shoulder pain s/p IIV. She received Afluria (SEQ P100136349) on 12 NOV 2019. She recalls her arm being unusually sore. She states placement was OK, and still has a bluish discoloration at the site. She was sitting and the vaccinator was standing. She states she had a PT test 2 or three days after receipt. She had practiced pushups the day before and then performed her test. She states the day after her test she awoke with severe shoulder pain, 9/10, burning, sharp, worse motion (which was severely limited) radiating to her fingertips, with numbness, but no paresis . She had difficulty dressing, reaching. She denies any previous or new specific injury. She did self care with ROM, home PT and NSAIDS. She saw PCP day 14 and requested acupuncture and again on 30 JAN with minimal improvement. COVID disrupted followup. She was in school and is now. She currently has 85-90% of function, most of her ROM. She did not pursue a profile and her subsequent PT tests have been delayed, but thinks she could pass. PCP note 26 NOV states w/ onset following immunizations though increased shoulder muscle use in prep for and doing PRT more likely the precipitating cause. Has mixed picture of findings. Several findings suggest rotator cuff impingement, also w/ + scarf but no AC joint tenderness. Accupuncture note 27 NOV 20 Exam shows tenderness on the distal biceps tendon and worsening pain with resisted biceps action, suggesting a distal biceps tendinopathy. Follow up late January stated Minimally improved over the last few months. Suspect pain is isolated to the anterior deltoid based on physical exam.

Other Meds: Tylenol PRN Ketoconazole shampoo PRN dandruff Tretinoin 0.025 cream for ace Ibuprofen PRN Rizatriptan PRN Cetirizine daily Mometasone daily Concerta 18MG daily Ritalin short-acting dosing when needed.

Current Illness: none

ID: 1036521
Sex: F
Age: 39
State: IN

Vax Date: 02/17/2021
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Symptoms: Pfizer was administered as a second dose vaccine instead of Moderna

Other Meds:

Current Illness:

ID: 1036522
Sex: M
Age: 72
State: GU

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

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Allergies: Zoloft, Ambien, Lisinopril, Gabapentin

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Symptoms: Patient had vaccine on the 12th, Stelara shot on 15th, and symptoms of diffuse erythroderma on the 16th. Seen in ER on 18th and admitted for further treatment.

Other Meds: Stelara, amlodipine, aspirin, paroxetine, buspirone

Current Illness: Psoriasis Had COVID-19 in November of 2020

ID: 1036523
Sex: F
Age: 28
State: RI

Vax Date: 02/01/2021
Onset Date: 02/17/2021
Rec V Date: 02/17/2021
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Allergies: NKA

Symptom List:

Symptoms: lightheaded Tachycardia

Other Meds: amitryptiline

Current Illness: N/a

Total 2021 VAERS Injuries: 296,772

Page last modified: 03 October 2021 5:28pm