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**
PLEASE CHECK BACK SOON
Download the files above while you wait.






Manufacturers

Total Manufacturer

Incidents per State

State Total
88,334
AK1,815
AL6,133
AR3,993
AS45
AZ14,539
CA64,759
CO12,159
CT8,719
DC1,747
DE1,868
FL41,499
FM3
GA16,132
GU92
HI2,477
IA4,739
ID2,763
IL21,496
IN23,655
KS4,844
KY8,414
LA5,328
MA15,281
MD13,105
ME3,277
MH8
MI20,143
MN12,873
MO10,275
MP30
MS3,073
MT2,392
NC17,450
ND1,440
NE3,023
NH3,124
NJ19,456
NM4,089
NV4,600
NY36,525
OH20,140
OK6,525
OR8,918
PA24,920
PR2,483
QM2
RI2,092
SC6,952
SD1,243
TN10,038
TX38,745
UT4,482
VA15,477
VI62
VT1,780
WA15,487
WI11,573
WV2,461
WY894
XB5
XL1
XV2

ID: 1036825
Sex: F
Age: 57
State: TX

Vax Date: 02/03/2021
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: nka

Symptom List:

Symptoms: Red, raised, itchy rash around injection site. Approximately 4 inches by 6 inches. On days 11 and 12. Treated with topical diphenhydramine x 4 applications over the two days. Rash and itchiness resolved after the two days.

Other Meds: metformin rybelsus simvastatin lisinopril

Current Illness: DM II

ID: 1036826
Sex: F
Age: 40
State: MD

Vax Date: 02/03/2021
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: Sulfur and erythmican

Symptom List:

Symptoms: Hives on face, ear,and back as first took 2 benadryl didn't help at all spread to arms and chest took 2 more benadryl pills 4 hours later. Didn't go away until the early am after taking a 3rd dose of benadryl.

Other Meds: Oxycoedine, cyclobenzaprine, 800 ibuprofen

Current Illness: Had covid after 1st shot due to family had covid and I got it

ID: 1036827
Sex: F
Age: 17
State: WA

Vax Date: 01/29/2021
Onset Date: 01/29/2021
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: was under the age of 18 when she received her first vaccine

Other Meds:

Current Illness:

ID: 1036828
Sex: F
Age: 42
State: PA

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

Symptom List:

Symptoms: Terrible arm soreness started 2hr after injection and lasted for abt 24hours. Then next 24hours was sore but not bad. Got fatigued the day of shot. Took afternoon nap and just went to bed early. Felt fine from Sunday to Wednesday. Developed chills on Wednesday. Still have today. No fevers though.

Other Meds: Premarin Gabapentin

Current Illness:

ID: 1036829
Sex: M
Age: 82
State: KS

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: no known

Symptom List:

Symptoms: Patient was found the next morning on the floor, disoriented and weak. Once he was found he became unresponsive. Ambulance was called, low blood pressure was noted. Taken to hospital emergency room from home. Patient recovered after about 2 days

Other Meds: Furosemide, Losartan, Levothyroxine, Tamsulosin, Simvastatin

Current Illness: NO

ID: 1036830
Sex: M
Age: 66
State: WI

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

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

Lab Data:

Allergies: Demerol

Symptom List:

Symptoms: Thirty minutes after 1st vaccine administered mental foggiest and headache and acrid taste in mouth. Then three days post vaccine return of brain fog and headache. Gradually headaches subsided within ten days.

Other Meds: Losartin, Elderberry Supplement, vitamin D, Glucosomine Chondroitin Amlodopine Besylate, Co110, Zince supplement, Metamucil Eplerenone Pravastatin Multi vitamin

Current Illness: None

ID: 1036831
Sex: F
Age: 17
State: WA

Vax Date: 01/29/2021
Onset Date: 01/29/2021
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: She received her first Moderna vaccine before the age of 18

Other Meds:

Current Illness:

ID: 1036832
Sex: F
Age: 61
State: NY

Vax Date: 01/09/2021
Onset Date: 01/12/2021
Rec V Date: 02/17/2021
Hospital: Y

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

Lab Data:

Allergies: Codiene - vomit

Symptom List:

Symptoms: Achy sore/heavy muscles (current to date) , fatigue that grew worse daily ( and current to date) , whole body chills that lasted 2-3 hours (until 1/25 and now on occasion) , night sweats ( 1/12-1/25) , diarrhea (1/23 - 1/25), headache (1/25 to current date), dizziness (1/25). On Jan. 25: Went to bathroom around 3:15 p.m. with diarrhea and became woozy so decided to get off of the toilet and sit down on the floor. Husband found me semi conscious on the floor with drool at about 4:10 p.m. He tried to awaken me and found me not lucid, speech was garbled, fragmented responsiveness and could not keep upright position, could not give details to the situation. Husband called 911. Ambulance transported to hospital ER during hospital exams and tests patient was not lucid and this continued for the next 32 hours. EKG, EEG, CT scan, MRI, Blood/Lab work; all tests were negative indicating no seizure , healthy heart, clear brain scan, no stroke, white blood count normal, dehydrated. All tests negative with all doctors unable to find a reason for this situation other than the Moderna vaccine considered highly for the situation. Advised patient not to take the second dose of Moderna.

Other Meds: Buspirone HCL10 mg - 2 tabs a.m. Vitamin D 1.25 mg weekly Alendronate Sodium 70 mg. weekly Flonaze a.m. 1 spray each side CBD oil 1/4 dropper a.m. and p.m.

Current Illness: IBS flare up - dehydrated

ID: 1036833
Sex: M
Age: 36
State: WA

Vax Date: 12/26/2020
Onset Date: 12/31/2020
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: Received the first dose of Moderna and six days later, I started to notice increase pain, redness and swelling at the injection site. Called my PCP office & got an appointment the same day. Per PCP, I developed cellulitis and was given a round of Keflex. This has resolved the issue.

Other Meds: Descovy, Wellbutrin 300XL, Levothyroxine 125 mcg

Current Illness: None

ID: 1036834
Sex: F
Age: 83
State: FL

Vax Date: 02/12/2021
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: local anesthesia, penicillin, some preservatives in foods

Symptom List:

Symptoms: S.ymptoms: fever 2/14, 2/15 Muscle back pain severe 2/15, Diarrhea 2/14,2/15. Weakness, tired 2/14, 2/15, 2/16, 2/17

Other Meds: synthroid, metoprolol, adult aspirin, atorvastatin, vit.D,, probiiotic

Current Illness: chronic kidney disease

ID: 1036835
Sex: F
Age: 45
State: CA

Vax Date: 02/13/2021
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: Hives, shortness of breath, flushing/sweating. BP 161/109 (heart rate 84); repeat BP 164/111 (pulse 74).

Other Meds:

Current Illness:

ID: 1036836
Sex: M
Age: 17
State: WA

Vax Date: 01/29/2021
Onset Date: 01/29/2021
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: He received the Moderna vaccine prior to his 18th birthday

Other Meds:

Current Illness:

ID: 1036837
Sex: F
Age: 17
State: MN

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: NO

Symptom List:

Symptoms: After vaccination, a reconstitution error was discovered, the vaccination received was slightly more concentrated. The employee was attempted to be contacted, made aware of the incident, educated on reporting signs and symptoms.

Other Meds: NO

Current Illness: NO

ID: 1036838
Sex: F
Age: 36
State: MD

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: "hay fever" ; no medication allergies

Symptom List:

Symptoms: "diffuse itching, itchy feeling in the throat, flushing on face"

Other Meds: bupropion, fetzima, synthroid, gabapentin, morphine sulfate, hydromorphone

Current Illness: none known

ID: 1036839
Sex: F
Age: 78
State: GA

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: Gluten and dairy

Symptom List:

Symptoms: I had fever starting about 12 or 15 hours after the vaccine was given. The fever lasted for about 24 hours. Now I am very tired and sluggish and still don?t feel well five days after the vaccination was given. I felt very well, except for back pain, before being vaccinated.

Other Meds: Ibuprofen, multivitamin, turmeric, D3, zinc, B complex, Sistine ICaps, magnesium oxide, I had finished six days of prednisone the day before the vaccination.

Current Illness: No illness, but two weeks before the vaccination extreme back pain diagnosed as degenerated disc between L5 and S 1 causing inflammation and swelling irritating the nerve. That?s why I was taking the prednisone and ibuprofen.

ID: 1036840
Sex: F
Age: 36
State: VA

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:

Symptom List:

Symptoms: Patient was vaccinated at approx. 2:07 PM on 2/17/2021. Patient was told to wait in waiting area for 30 minutes prior to leaving to monitor for adverse events. At approximately 2:17 pm patient started to feel "unwell" and was seated next to nurse for close observation. At 2:18 patient was given 50mg benadryl due to request and felling itchiness in throat. At 2:35 pm Epi-pen was administered due to patient complaint of swelling in the throat and tingling of the tongue. Emergency services called at 3:35. Vitals were as follows BP 181/115 pulse 100 SpO2 97 on RA.

Other Meds:

Current Illness:

ID: 1036841
Sex: M
Age: 87
State: NE

Vax Date: 02/01/2021
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: not sure if any food or medications are associated with worsening of my chronic skin rashes or itchiness

Symptom List:

Symptoms: substantially unacceptable elevation of s/d blood pressure value especially dark hours of each night every day

Other Meds: none

Current Illness: possibly moderate hypertension mainly during dark hours most days of every week

ID: 1036842
Sex: F
Age: 75
State: PA

Vax Date: 02/06/2021
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: not known

Symptom List:

Symptoms: Dr Diagnosed patient with Bells Palsey on the left side at 10:00am on Feb.10th,2021

Other Meds: do not know

Current Illness: none

ID: 1036843
Sex: F
Age: 58
State: CA

Vax Date: 12/23/2020
Onset Date: 01/13/2021
Rec V Date: 02/17/2021
Hospital:

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

Lab Data:

Allergies: codiene

Symptom List:

Symptoms: On 1/13/21 my 2nd injection I was fine the next day I felt fine but in the afternoon around 2:30 I noticed my left side of my neck was swollen so I had asked 2of the M.D.'s and a N.P. to check it and they felt 2 lumps along with the swelling and asked me to keep a eye on it, After a few days the swelling in my neck was gone but the lumps were still there so they asked me to contact my PCP which I did and a few days later she ordered a ultra sound which I had done on 2/4/21 and the results showed there were 3 lumps. I was asked by my PCP to wait 2-3weeks to see if they subside and if not she will order a new ultra sound(which I am waiting to hear back from her)

Other Meds: Maxide, lovastation, atenonol ,vitD

Current Illness: none

ID: 1036844
Sex: F
Age: 66
State: NC

Vax Date: 02/05/2021
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: Vicodin codeine mophine flu shot

Symptom List:

Symptoms: At her visit on 2/10/21 she was found to have a left supraclavicular lymph node that was swollen. She received her first Moderna injection on 2/5. She has not called VAERS. 2/15/21 Since then she developed pain, redness, and swelling to the left arm at the injection site. She reports she has a history of delayed responses (ex. bee-stings). The pain in her arm causes her to have pain at night. She has tried to ice the area without relief from pain. Pain radiates from left deltoid to neck

Other Meds: cyclobenzaprine diclofenac hydrochlorothiazide lasix magnesium nystatin pregabalin tylenol

Current Illness:

ID: 1036845
Sex: F
Age: 78
State:

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:

Symptoms: Very High Blood Presser---Concerned about a Heart Attach--Teeth Aching--Back Pain--Chest Pain--Feeling like a heavy object was on her chest or stomach--Pain from back moved to her sides.

Other Meds:

Current Illness: none

ID: 1036846
Sex: F
Age: 55
State: AL

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: NKDA

Symptom List:

Symptoms: Slight burning in my chest x approximately 7-10 minutes

Other Meds: Sectral, Protonix, MS Contin, Zanaflex, Xanax, Mobic, Flonase, atrovent nasal spray, sudafed PE, ASA 81mg, norco, Paxil, Metformin, Basaglar Kwikpen insulin, benadryl, chlorpheniramine, vit c, vit D3, magnesium, zinc, MVI, Nystatin oral, S

Current Illness: Sinus infection tx w/ Augmentin (started 12/31/20); oral thrush tx w/ Nystatin s&s (2 wks ago)

ID: 1036847
Sex: M
Age: 68
State: MD

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: None

Symptom List:

Symptoms: Moderate soreness at injection site. Mild headache.

Other Meds: Vitamin D, Atorvastatin 40 mg HS, Zolpidem 10 mg HS

Current Illness: None

ID: 1036848
Sex: F
Age: 43
State: AZ

Vax Date: 12/26/2020
Onset Date: 12/26/2020
Rec V Date: 02/17/2021
Hospital:

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

Lab Data:

Allergies: penicillin; Kaflex

Symptom List:

Symptoms: My lips started swelling and my tongue swelled and throat got all itchy. My eyes were really puffy. I took Benadryl - I took 2. It made me sleep. I slept for about 1 hour and went back to sleep. I went back to sleep for 9 hours and the next day I I was a little tired and had some aches. Was fine after that.

Other Meds: Claritin; Vit D

Current Illness: no

ID: 1036849
Sex: M
Age: 17
State: AZ

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 02/17/2021
Hospital:

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

Lab Data:

Allergies: Unknown

Symptom List:

Symptoms: Patient under 18 years at time of immunization.

Other Meds: Unknown

Current Illness: Unknown

ID: 1036850
Sex: M
Age: 30
State: IL

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

Symptom List:

Symptoms: Patient was given 2 doses in one day, no symptoms developed, no symptoms as of yet (spoke with patient today)

Other Meds: None

Current Illness: None

ID: 1036851
Sex: F
Age: 51
State: OH

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: Sulfa drugs and Novocain (as a child, but no Novocain allergy as an adult)

Symptom List:

Symptoms: Throat began to feel like it was closing/difficulty swallowing, numbing on left side of tongue and jaw and left side of nose. Bad headache. At 5:53pm still feeling numbness on tongue and roof of mouth, but otherwise symptoms of subsided. Called doctor, Took 2 Benedryl (25 mg capsules).

Other Meds: Loratadine 10mg, Vitamin D3 50mcg, Magnesium 400mg, Trunature Probiotic

Current Illness: None

ID: 1036852
Sex: F
Age: 82
State: MN

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: Penicillin

Symptom List:

Symptoms: General Malaise, fevers, swollen/tender at injection site

Other Meds:

Current Illness: None reported

ID: 1036853
Sex: F
Age: 91
State: NC

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: Error: Booster Given Too Early

Other Meds:

Current Illness:

ID: 1036854
Sex: M
Age: 84
State: NE

Vax Date: 01/20/2021
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: Seasonal allergies

Symptom List:

Symptoms: Patient states on the second day, he experienced arm pain. On day 3 (1/22/21), he had flu-like symptoms "I had fatigue and shortness of breath. I was useless." Stated he felt better by day 5

Other Meds: Midodrine; Aspirin, Apixaban, Tiotropium, Simvastatin, Sertraline, Prazosin, Potassium Chloride, Bumetanide, Albuterol

Current Illness: one visit to podiatry

ID: 1036855
Sex: F
Age: 75
State: FL

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: No

Symptom List:

Symptoms: Raised redness, itchy site of injection

Other Meds: No

Current Illness: No

ID: 1036856
Sex: F
Age: 63
State: CA

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:

Symptoms: Patient became nauseated and felt a swelling sensation in her throat approximately 15 minutes after receiving her second dose of vaccine. She was treated with 25mg of benedryl and 10mg of cetirizine.

Other Meds: None

Current Illness: Unknown

ID: 1036857
Sex: M
Age: 67
State: IL

Vax Date: 01/19/2021
Onset Date: 01/20/2021
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:

Symptoms: patient had vaccine injected at village health facility experienced ataxic gait for several weeks brought to office by family initial impression cva seen at ER, admitted had myocardial infarction next day treated immediately with balloon and and stent placement of affected artery RCA underwent bypass coronary becuase of more severe disease that could not be treated by cardiologist

Other Meds: quinipril metoprolol fentanyl hydrocodone

Current Illness: none

ID: 1036858
Sex: F
Age: 49
State: NE

Vax Date: 02/13/2021
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:

Symptom List:

Symptoms: Arrived at emergency department complaining of fatigue, upper epigastric pain, and pain in ne Patient admitted to the emergency room. Vital signs obtained. EKG obtained. Lab obtained. GI cocktail given. Saline lock started. Protonix 40mg IV given x1. Patient states epigastric pain went from a rating of 8/10 down to 0.5/10. Patient then placed in treatment room to await cardiac enzymes 90 minutes after initial along with EKG. In treatment room patient was given 1-L of normal saline IV bolus x1. Ofirmev 1,000mg IV given x 1. Heparin 5000 units IV push given x1. Heparin IV drip started at 1000 units an hour. ASSESSMENT AND PLAN: 1. Epigastric pain 2. Elevated troponin Initick and shoulder area.

Other Meds:

Current Illness:

ID: 1036859
Sex: F
Age: 49
State: KS

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: Sulfa

Symptom List:

Symptoms: Fever, body and joint pain, headache, swollen red raised area at injection site, lymph nodes swollen and painful

Other Meds: None

Current Illness: None

ID: 1036860
Sex: F
Age: 63
State: ND

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: Pt felt burning sensation in arm immediately after injection and BP dropped to 86/53 causing her to feel as though she would faint. After lying pt. down and providing water, BP did rise to 108/70 and pt. was feeling better after 20 minutes.

Other Meds: none

Current Illness: none

ID: 1036861
Sex: M
Age: 44
State: CA

Vax Date: 02/14/2021
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:

Symptom List:

Symptoms: Jaw pain, tingling sensation of lips, back muscle tightening. BP 133/91 (pulse 102)' repeat BP 115/76. O2 sat 99%.

Other Meds:

Current Illness:

ID: 1036862
Sex: F
Age: 17
State:

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: Pt got very light headed and dizzy, did not pass out. She was also feeling very hot. This happened after first dose but not as severe . Pt laid down with and ice pack for 30?minutes and then was feeling much better

Other Meds: None

Current Illness: None

ID: 1036863
Sex: F
Age: 43
State: PA

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: Fever and chills: 24 hours; body aches (muscle pain/joint pain): 24 hours; headache: still going day 6; swollen, warm, throbbing, painful arm (angioedema) starting at injection site - each day has gotten worse and traveled down entire arm: still going day 6

Other Meds:

Current Illness:

ID: 1036864
Sex: F
Age: 53
State: CA

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: after Covid vaccination, patient start complains of tingling in the mouth. no lip numbness, no angioedema. denies CP/SOB But states, heart racing. vital sign-BP at 1555 186/98 HR 92. patient alert x 4. They told to patient if you walk you don't have to pay but if you will go by ambulances you have to pay. I told to EMS she will go by ambulances but EMS convinced her to walk. patient agreed with EMS advised and sign AMA for EMS. she declined company with nurse to go to the ER and patient walked to the E herself with stable condition. Relief nurse called for report to ER nurse. speaking full sentences. Benadryl 50 mg PO given and continue monitored. Recheck BP 192/100,HR 88. patent still complaining tingling in the mouth and gasping air as per patient. Continue monitoring. no acute distress noted. called EMS to take patient in the ER for further evaluation. EMS checked on her and said everything is ok. EMS asked to patient do you wanna walk to the ER or by ambulances?

Other Meds:

Current Illness:

ID: 1036865
Sex: F
Age: 46
State: TX

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: sulfa, penicillin

Symptom List:

Symptoms: 100.4 fever, body aches, chills, fatigue

Other Meds: birth control, vit. d, b, magnesium, fish oil,

Current Illness: none

ID: 1036866
Sex: F
Age: 74
State: OH

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 02/17/2021
Hospital:

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

Lab Data:

Allergies: E-Mycin, augmentin, paxil, valium, Bee stings

Symptom List:

Symptoms: Noted angry red rash on bilateral Achilles heels on 1/30/2021. Rash was very red and itchy. Tx with Benadryl 25 mg 2-3 times a day and Hydrocort 10 cream as needed. This lasted approximately 1 1/2 weeks. I woke up on 2/13/2021 with pain in both wrist joint, all my finger joints as well as swelling so that I couldn't close my fingers. This is still going on. Today (2/17/2021) I noted joint pain in both my knees and shoulders. I have not had any problem with either my knees or shoulders prior to this.

Other Meds: amlodipine 10 mg QD; neurontin 300 mg TID; senna 8.6/ colace 50 mg 3 tabs QD; famotidine 20 mg QD; PRN- ibuprophen 200 mg one tab; amoxicillin 500 mg Tid for 10 days

Current Illness: Tonsillitis, IBS, GERD, asthma, bronchitis, constipation, hypertension

ID: 1036867
Sex: F
Age: 28
State: NY

Vax Date: 01/19/2021
Onset Date: 01/24/2021
Rec V Date: 02/17/2021
Hospital:

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

Lab Data:

Allergies: Allergic to amoxicillin. Also have had adverse reactions to cortisone shots in the past.

Symptom List:

Symptoms: I had significant pain (that impacted my ability to move my right arm) in my right armpit, back and breast in what felt like swollen lymph nodes. The entire region was very tender to the touch and hurt even when held completely still. The pain lasted for approximately one week .

Other Meds: None

Current Illness: None.

ID: 1036868
Sex: M
Age: 79
State: FL

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: swollen lymph node on right side of face,rash on head arms back and chest

Other Meds: toprol25mg,crestor5mg,ditropan10mgxl,losarten25mg,enbrel25mg

Current Illness: none

ID: 1036869
Sex: F
Age: 38
State: AZ

Vax Date: 01/18/2021
Onset Date: 01/19/2021
Rec V Date: 02/17/2021
Hospital:

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

Lab Data:

Allergies: Stadol

Symptom List:

Symptoms: The night of the side effects were normal, over all fatigue. The next day my top, left upper lip started to go numb and swell, because of the timeline of the event and the lack of any other symptom I was not thinking allergic reaction, but took a benedryl just in case. I feel asleep and woke up a couple hour later and the top upper lip swelling had started to go down, but my bottom lip had swollen and looked like a sausage. At this point it was pretty late at night and figured the ER had bigger problems to deal with and this was either going to be better by morning or worse and would deal with it then. When I woke up the next day I had some submental pain, but the swelling in my lip had gone down considerable. At this point I noticed I had considerable pain in my collar bone, I felt the area, noticed a mass, went to the mirror and saw what looked like a golf ball under my skin at my collar bone. My lymph nodes were completely swollen. I went to urgent care who instructed me to follow up with my PCP if it didn't go down in a week, my PCP told me we would follow up with an ultrasound if it didn't go down in a month. At this point this is getting ridiculous. I understand that swollen lymph nodes are a side effect, but it should not be for a month. This is causing me discomfort and gets worse the more I move around and on top of that I have been getting numbness in my left arm and hand which is what side the swollen lymph node is on.

Other Meds: Trazodone, Xanax, Topamax

Current Illness: None

ID: 1036870
Sex: F
Age: 31
State: NJ

Vax Date: 02/17/2020
Onset Date: 02/17/2020
Rec V Date: 02/17/2021
Hospital:

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

Lab Data:

Allergies: Macrobid

Symptom List:

Symptoms: About 30 minutes after vaccine delivery I had a very fast heartbeat and felt warmth and a tingle go down my right hand. I felt woozy and had to pull over. When the police arrived, my pulse, oxygen level, and blood pressure were all normal though my blood pressure was 98, on the high end of normal. It took about 30 minutes for my head to clear and I still feel slightly out of it. The paramedic said my description was consistent with an adrenaline rush. I felt a lesser version of this after the first dose but they said I was probably dehydrated and sent me on my way.

Other Meds:

Current Illness: Cold right after first vaccine dose

ID: 1036871
Sex: F
Age: 69
State: MO

Vax Date: 02/04/2021
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: ciprofloxin, contrast dye, linzolid, Inhalers, gabapentin

Symptom List:

Symptoms: red itchy hot rash on right arm

Other Meds: Nifedipine ER , Indapamide, Cholestyramine, multi vitamin, calcium, baby aspirin, fish oil, eye itch drops

Current Illness: none

ID: 1036872
Sex: F
Age: 33
State: GA

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 02/17/2021
Hospital:

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

Lab Data:

Allergies: Codeine and sulfa

Symptom List:

Symptoms: Vertigo, dizziness, joint pain, rash, foggy brain, inability to speak, think and memorize as normal. Sore throat, fluid in ears and lungs. Muscle weakness, headaches...difficulty walking. Insomnia. Flu like symptoms for 2 weeks after dose2. Nerve pain (shooting sensation down both arms. Difficulty standing for more than a few minutes, light headed. Ear pain, nausea, night sweats and unable to grasp normally. Tingling in face. Numbness in face.

Other Meds: Klonopin

Current Illness: Migraines

ID: 1036873
Sex: M
Age: 17
State: AZ

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: Unknown

Symptom List:

Symptoms: Patient under recommended age at time of immunization. Patient returned for second dose and immunization was recommended for the patient to complete the series. Patient was 17 years (DOB:06/26/2003). Patient did not experience unusual side effects.

Other Meds: Unknown

Current Illness: Unknown

Date Died: 12/27/2020

ID: 1036874
Sex: F
Age: 64
State: KY

Vax Date: 12/17/2020
Onset Date: 12/20/2020
Rec V Date: 02/17/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient developed pneumonia Admitted to hospital on 12/25. Determined to have pseudomonas bacteremia and passed away on 12/27.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 679,999

Page last modified: 03 October 2021 5:28pm