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
72,296
AK1,638
AL5,339
AR3,412
AS44
AZ13,316
CA58,147
CO11,002
CT7,824
DC1,626
DE1,670
FL36,235
FM3
GA13,429
GU82
HI2,195
IA4,332
ID2,473
IL19,261
IN22,568
KS4,284
KY6,945
LA4,714
MA13,886
MD11,901
ME2,997
MH8
MI17,865
MN11,345
MO8,919
MP30
MS2,676
MT2,147
NC15,401
ND1,273
NE2,732
NH2,859
NJ17,232
NM3,702
NV4,071
NY32,763
OH18,072
OK5,940
OR7,954
PA22,457
PR2,104
QM2
RI1,911
SC6,055
SD1,133
TN8,691
TX34,122
UT4,023
VA13,944
VI49
VT1,661
WA13,811
WI10,395
WV2,220
WY805
XB5
XL1
XV2

ID: 1038775
Sex: F
Age: 59
State: MO

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/18/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Moderna COVID-19 Vaccine EUA Extreme body pain, especially wrist, ankles and knees. Fever, chills and nausea. Began about 12:00 pm the day after the vaccine and ended about 3:00 the following day. Took Tylenol. No relief.

Other Meds: propranol naproxen zolpidem effexor mutivitamin omeprezol

Current Illness: none

ID: 1038776
Sex: M
Age: 63
State: MA

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Error: Wrong Dose of Vaccine - Too Low

Other Meds:

Current Illness:

ID: 1038777
Sex: M
Age: 67
State: NJ

Vax Date: 02/16/2021
Onset Date: 02/17/2021
Rec V Date: 02/18/2021
Hospital:

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

Lab Data:

Allergies: no

Symptom List:

Symptoms: 12 hours after vaccine, 1:30am on 2/17 I started having chills, chatter, fatigue, aches headache and fever that fluctuated between 98.4 to 101.6. Fever broke this morning and was at 96.9. Still have aches throughout the body today and fever and chills are gone.

Other Meds: no just vitamins

Current Illness: no, only dealing with the results from the first vaccination and long term effects from covid

ID: 1038778
Sex: M
Age: 95
State: IN

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/18/2021
Hospital: Y

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

Lab Data:

Allergies: No Known Allergies

Symptom List:

Symptoms: Patient developed shortness of breath and weakness the morning after he received the COVID vaccine. He also reported diarrhea and fatigue. Per the patient he went to 2 urgent cares before being referred a day or 2 later to the emergency department. The patient was diagnosed with NSTEMI and later transferred hospital.

Other Meds: Amlodipine, Prolia, Eligard, Multivitamin

Current Illness:

ID: 1038779
Sex: M
Age: 71
State: NC

Vax Date: 01/29/2021
Onset Date: 02/05/2021
Rec V Date: 02/18/2021
Hospital:

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

Lab Data:

Allergies: PCN; Sulfa

Symptom List:

Symptoms: States he is extremely cold and dizzy since one week after receiving vaccine

Other Meds:

Current Illness: COPD, Hx. lung cancer

ID: 1038780
Sex: F
Age: 74
State: FL

Vax Date: 02/14/2021
Onset Date: 02/15/2021
Rec V Date: 02/18/2021
Hospital:

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

Lab Data:

Allergies: None known

Symptom List:

Symptoms: Arm red and swollen.

Other Meds: Multi vitamin, vitamin c

Current Illness: Upper neck and back issues. Not taking any medication day before vaccine

ID: 1038781
Sex: F
Age: 55
State: OH

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

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

Lab Data:

Allergies: Sulfa,fish,shellfish

Symptom List:

Symptoms: Woken at midnight by severe chills with teeth chattering, temp of 101.5 with Advil. Dizziness, weakness, severe bone pain of entire right leg from ball of hip joint down to top of foot. Felt like the bone exploded from inside and was full of holes. Lasted for ten hours followed by extreme weakness. Two weeks later I am still weak and tired constantly. Also had weird nerve like pains in various parts of the body. Now still with body aches especially in right leg.

Other Meds: Loratadine

Current Illness: None

ID: 1038782
Sex: F
Age: 72
State: CA

Vax Date: 01/31/2021
Onset Date: 02/08/2021
Rec V Date: 02/18/2021
Hospital:

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

Lab Data:

Allergies: Raw egg whites, raw red chili; raw wheat gluten

Symptom List:

Symptoms: Red, itchy, painful, raised, hot arm = 3?x4?

Other Meds: Carbamazepine; Metoprolol; Lipitor; PremPro; baby aspirin

Current Illness: None

ID: 1038783
Sex: M
Age: 72
State: MA

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Error: Wrong Dose of Vaccine - Too Low

Other Meds:

Current Illness:

ID: 1038784
Sex: F
Age: 86
State: IL

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

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

Lab Data:

Allergies: morphine, kidney dye, Crestor, Pravachol,

Symptom List:

Symptoms: pt states that her left arm is sore all the way to her shoulder. Her left arm is also itchy, red, and swollen around the injection site which is warm to the touch. Pt has not contacted PCP regarding these symptoms yet.

Other Meds: levothyroxine 50 mg.

Current Illness: no

ID: 1038786
Sex: M
Age: 80
State: MS

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/18/2021
Hospital: Y

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

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: FEVER, CHILLS, SOB, RAPID HEART RATE; HOSPITAL ADMISSION 02/13/2020 TO PRESENT

Other Meds: ascorbic acid (Tablet) ascorbic acid (vitamin C) 500 MG Take 500 mg by mouth one (1) time a day cholecalciferol (vitamin D3) (Capsule) cholecalciferol 5,000 unit (125 mcg) Take 5,000 Units by mouth 2 (two) times a day 2 tabs daily cyanoco

Current Illness: NONE

ID: 1038787
Sex: F
Age: 37
State: CT

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/18/2021
Hospital:

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

Lab Data:

Allergies: AMOXICILLIN

Symptom List:

Symptoms: Started at 8:45am with administrator hitting my bone with the 1.5" needle she was using (I am 125 lbs) and caused me to bleed. By 12pm my arm was swollen, red and hurt to move. That evening I woke up and vomited, had a fever of 100.6 and my body hurt like I had the flu. I slept all day Saturday and Sunday I woke up, my body pain was gone but my arm was red and swollen. Monday I went to work and had the APRN look at it as the redness was to my elbow and she diagnosed me with Cellulitis and treated me with 10 days of Doxycycline.

Other Meds: BIRTH CONTROL

Current Illness: NONE

ID: 1038788
Sex: F
Age: 36
State: IN

Vax Date: 01/02/2021
Onset Date: 01/10/2021
Rec V Date: 02/18/2021
Hospital:

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

Lab Data:

Allergies: tizanidine- sever makes me hallucinate, extreme fatigue and paranoia

Symptom List:

Symptoms: I have started to have uncontrolled hand tremors, It gets increasingly worse when actually using my motor skills. As a nurse this is very scary and effecting my job. For patients they do not want a nurse coming at them with a needle when I look like I have Parkinson's, or I am withdrawing . I have never in my life had this issue. I am starting to become very concerned as it is getting worse and not better. I didn't even think of connecting it to the vaccine until my doc and I started going over all the possible new things and I wrote every thing down. They pulled my vaccine record and it triggered me. I have no noting new no foods no meds, no health issues that happened prior to this. I cannot do my job with my hands like this. I am very much pro vaccines, this is very scary for me.

Other Meds: Valtrex 1g per day prenatal (not pregnant I take them since I had three children back to back I lost a lot of hair) magnesium 400mg 1 per day Vyvanse 70mg 1 per day at 5am ( been on this and never had issues stopped taking it every other d

Current Illness: none.

ID: 1038789
Sex: F
Age: 93
State: MA

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Error: Wrong Dose of Vaccine - Too Low

Other Meds:

Current Illness:

ID: 1038790
Sex: M
Age: 16
State:

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 02/18/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient received Moderna vaccine, even though he is not >18 years of age. This was an over-site; however, the patient tolerated the vaccine and no adverse events were experienced.

Other Meds:

Current Illness:

ID: 1038791
Sex: F
Age: 56
State: MO

Vax Date: 02/02/2021
Onset Date: 02/04/2021
Rec V Date: 02/18/2021
Hospital:

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

Lab Data:

Allergies: Demerol, Contrast Dye, Latex

Symptom List:

Symptoms: Patient had a hive below injection site, swollen and red per patient 2-4-21, patient is still having a persistent rash and is having a almost zoster like rash around injection site on 2-6-21. Patient said the rash has gotten better but still has a bruise near the injection site. She had been treating herself with benadryl to help with the rash.

Other Meds: Loperamide 2mg : 1 in the morning and 1 in the evenign Metamucil 1 in the morning CBD oil drops 3 drops in the morning and 3 drops in the evening Benadryl 25mg 1 in the evening Zyrtec 10mg 1 in the evening Hydrochlorothiazide 25mg 1 in the

Current Illness: None

ID: 1038792
Sex: F
Age: 67
State:

Vax Date: 01/21/2021
Onset Date: 01/29/2021
Rec V Date: 02/18/2021
Hospital:

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

Lab Data:

Allergies: Hydrocodone, nitrous oxide, tape, zofran

Symptom List:

Symptoms: Swelling, erythema, at injection site with temperature of 99F, nausea, vomiting, and body aches. Symptoms resolved after 3 days.

Other Meds: Synthroid, Albuterol, Gabapentin, Simvastatin, Trazodone, Tamoxifen, Tylenol, Calcium carbonate-cholecalciferol, carboxymethylcellulose sodium eye drops

Current Illness: No

ID: 1038793
Sex: M
Age: 73
State: CA

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 02/18/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: chills, slight chest pressure, headache

Other Meds: Lisinopril 10MG, Metformin, 500MG, Atorvastatin40MG, Pioglitazone30MG, Vitamin D3 125 MG.

Current Illness: Diabetic, irregular blood pressure

ID: 1038794
Sex: F
Age: 71
State: FL

Vax Date: 02/10/2021
Onset Date: 02/17/2021
Rec V Date: 02/18/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Red, raised rash about 4 inches in diameter around the injection site. Began itching night of 2/17 and today the circle was noticed because itching intensified

Other Meds: Lisinopril, Glipizide, Levothyroxine, Hydrochlorothiazide, Fenofibrate, Vitamin D

Current Illness: none

ID: 1038795
Sex: M
Age: 78
State: FL

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 02/18/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: First dose given 01/21/21, 2nd dose February 11th 1:30 pm Both first and second dose, first dose only soreness at injection site, second dose had soreness, nausea, cramps in stomach, wheezing, fatigued, chills, vomiting,, diarrhea Symptoms have mostly subsided, just a little stomach craming and fatigue

Other Meds: Finasteride Tamsulosin Motillium Levothyroxine B12

Current Illness:

ID: 1038796
Sex: M
Age: 76
State: MA

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Error: Wrong Dose of Vaccine - Too Low

Other Meds:

Current Illness:

ID: 1038797
Sex: F
Age: 69
State: FL

Vax Date: 01/08/2021
Onset Date: 01/15/2021
Rec V Date: 02/18/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: 0ne week after first shot developed cutaneous Covid in left arm. Very sore uncomfortable itchy red and swollen. Last about 24 to 36 hours. Did seem better after two does of Claritin24 After second shot in right arm about 12 hours later very severe flu like symptoms intense body and joint inflammation over the course of 24 to 36 hours. Only pedialyte and Tylenol during this time. Once improvement began noticed swollen lymph node right arm

Other Meds: Vitamin D3 Centrum multi vitamin

Current Illness: None

ID: 1038798
Sex: F
Age: 60
State: TN

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

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

Lab Data:

Allergies: Sulfa, penicillin

Symptom List:

Symptoms: Pt states she "began to have a headache the evening she received the second COVID- 19 vaccine (02/01/2021)." States "I sat up all night and held my head because I could not lay my head down." Pt states the "pain was on the top of her head. " Pt states she took Excedrin Migraine that evening. The next morning 02/02/2021 pt states her headache had eased up, but she started running a fever. Pt states she had to have heat on her back because of intense pain in between shoulders. states she went to bed that evening 02/02/2021 with a electric blanket and was very achy.

Other Meds: esteadiol patch, sertaline, metoprolol

Current Illness: N/A

ID: 1038799
Sex: F
Age: 72
State: CA

Vax Date: 02/16/2021
Onset Date: 02/17/2021
Rec V Date: 02/18/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Arm swelling, redness, and warmth on L arm around site of injection extending several inches in diameter

Other Meds:

Current Illness:

ID: 1038800
Sex: M
Age: 29
State: CT

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Error: Wrong Dose of Vaccine - Too Low

Other Meds:

Current Illness:

ID: 1038801
Sex: M
Age: 70
State: FL

Vax Date: 02/09/2021
Onset Date: 02/17/2021
Rec V Date: 02/18/2021
Hospital:

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

Lab Data:

Allergies: Pollen Bee stings

Symptom List:

Symptoms: Tiredness, mild fever 98.9,headache, diarrhea, sore joints, sore muscles

Other Meds: Sertraline Rapatha

Current Illness: Nil

ID: 1038802
Sex: F
Age: 57
State:

Vax Date: 02/07/2021
Onset Date: 02/08/2021
Rec V Date: 02/18/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Severe knee and joint pain lasting >10 days

Other Meds:

Current Illness:

ID: 1038803
Sex: F
Age: 67
State:

Vax Date: 01/21/2021
Onset Date: 01/29/2021
Rec V Date: 02/18/2021
Hospital:

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

Lab Data:

Allergies: Hydrocodone, nitrous oxide, tape, Zofran

Symptom List:

Symptoms: Erythema and swelling of injection site, temperature of 99F, nausea, body aches. Resolved over 3 days.

Other Meds: Levothyroxine, albuterol, gabapentin, simvastatin, trazodone, tamoxifen, calcium/Vit D supplement, carboxymethylcellulose eye drops

Current Illness: No

ID: 1038804
Sex: F
Age: 65
State: NJ

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Fever, chills, all over body aches, headache

Other Meds:

Current Illness:

ID: 1038805
Sex: F
Age: 29
State: TN

Vax Date: 02/02/2021
Onset Date: 02/03/2021
Rec V Date: 02/18/2021
Hospital:

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

Lab Data:

Allergies: Ceclor, Amoxicillin, Levsin, Zofran

Symptom List:

Symptoms: I woke up at approx 2:00am 02/03/2021 with my clothes soaking wet,even my bed sheets. I was chilling, very nauseated, had a headache, diarrhea, heart burn, and a fever of 101, very weak, muscle aches, very fatigued, and no appetite. These symptoms lasted all day Wednesday 02/03/2021, Thursday 02/04/2021, and Friday 02/05/2021. I was able to eat very little on Thursday. When I woke up on Friday 02/05/2021 I was much more nauseated. I threw up two times Friday morning and was unable to hold my daily medications down. I still had all symptoms that I listed above. I called my endocrinologist Friday morning and he had me come to the infusion clinic to get a bolus of IV fluids and IV steroids....I was able to sleep for 3 hours whenever I came back from the infusion clinic and was able to hold some food down. 101.8 was the highest that I am aware of that my fever was. Saturday 02/06/2021- Monday 02/08/2021 most symptoms had subsided except mild nausea, heartburn and sinus drainage. I was able to return to work on Tuesday 02/09/2021. I had every symptom of COVID-19 other than loss of taste or smell. I was rapid tested and PCR tested on Friday 02/05/2021 and both results were negative.

Other Meds: Dexamethasone,Fludrocortisone,Viorele, stool softener, Zoloft

Current Illness: N/A

ID: 1038806
Sex: M
Age: 57
State: MN

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 02/18/2021
Hospital:

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

Lab Data:

Allergies: nka

Symptom List:

Symptoms: vomiting

Other Meds: unknown

Current Illness: none

ID: 1038807
Sex: M
Age: 61
State: WA

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 02/18/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: I was fine that day and no real reaction. My arm was getting redder each day and around day 10, I went to the doctor. I was diagnosed with a skin infection, Cellulitis. I was given Keflex. I cleared up after a week.

Other Meds: Lisnapril a day Blood thinner a day Omeprozal a day Tylenol a day

Current Illness:

ID: 1038808
Sex: F
Age: 68
State: FL

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/18/2021
Hospital:

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

Lab Data:

Allergies: Ceftin antibiotic Phenol vaccine preservative

Symptom List:

Symptoms: Severe lower abdominal intestinal cramping initially lasting for 2 hours and continuing sporadically for 13 days

Other Meds: Montelukast Azelastine Hydrochloride Nasal Spray

Current Illness: None

ID: 1038809
Sex: F
Age: 69
State: MA

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Error: Wrong Dose of Vaccine - Too Low

Other Meds:

Current Illness:

ID: 1038810
Sex: F
Age: 39
State: PA

Vax Date: 01/05/2021
Onset Date: 01/08/2021
Rec V Date: 02/18/2021
Hospital: Y

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Overnight 1/8 /21 developed mild right lower quadrant pain, did not change with NSAIDs or acetaminophen. Given location, went to ER for evaluation and diagnosed with acute appendicitis. Underwent laparoscopic appendectomy 1/9/21.

Other Meds: None

Current Illness: None

ID: 1038811
Sex: F
Age: 66
State: FL

Vax Date: 02/14/2021
Onset Date: 02/14/2021
Rec V Date: 02/18/2021
Hospital:

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

Lab Data:

Allergies: Allergic to sulfa and latex

Symptom List:

Symptoms: Did the adverse event start after the first or second vaccination? Fatigue after first, more symptoms after 2nd (Around 6pm the day of receiving vaccine starting having chill, and the rest of the symptoms progressed after) Date and time of vaccination: (list both if they received both shots): 02/14/21 11am 2nd dose

Other Meds: Propanolol Rheumate Multivit Calcium D3 Stopped taking methotrexate for two weeks after vaccination

Current Illness:

ID: 1038812
Sex: F
Age: 53
State: MA

Vax Date: 02/15/2021
Onset Date: 02/15/2021
Rec V Date: 02/18/2021
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Symptoms: Error: Wrong Dose of Vaccine - Too Low

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Current Illness:

ID: 1038813
Sex: F
Age: 70
State: CO

Vax Date: 02/13/2021
Onset Date: 02/13/2021
Rec V Date: 02/18/2021
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Allergies: Augmenting, Amoxicillin, Penicillin, Keflex, Bactrim, Ultram/Tremidal, Demerol. Now Phiser vaccine

Symptom List:

Symptoms: Nausea, flushed, dizzy, after about 20 minutes my throat closed, unable to breath. The workers did not know how to use epi-pen. I used my own epi- pen, ENT used heart monitor, intervenious Benadryl was administered, I was transport to ER at hospital, treatment with more meds, prednisone. I was kept in ER for several hours for monitoring. I had no more reaction.Y

Other Meds: Levothyroxine, Lexapro, Topamax, Repatha, Magnesium, Calcium, D, Cranberry

Current Illness: Healthy. Visually impaired

ID: 1038814
Sex: F
Age: 67
State: CA

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 02/18/2021
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Allergies: Pseudoephedrine Candida Albicans(mold extract) Metronidazole

Symptom List:

Symptoms: AFter lst dose 12/29/2020 Lt Arm- whole lt arm sore, unable to lay on lt side in bed; then developed lt shoulder to fingers felt numb & heavy that I have to use rt arm to move lt arm & unable to make a fist with lt hand This continued on for daily until I received my 2nd dose- Moderna#02L20A on 1/26/2021- then rt arm sore & heavy from elbow to rt fingers but able to raise rt arm & continued on but as of today rt arm better UNLESS I take 1000mg Acetaminophen @0500am wait 45min-lhr unless heaviness both arms subside & able to make a fist; also my legs from knee down felt like 'cement'hard to move & get up from BR commode until I ingest Acetaminophen. Rt arm better by 40% than previous but lt arm still about 20% better until I take Acetaminophen Also had nausea & dizziness on 2/9-that my pcp sent me to ER 2/10 due to arm issues & hx heart-labs all normal; troponin-not detected; CXR-WNL; EKG-having Quadrigeminy/Trigeminy with nause/dizziness-placed on Ziopatch x1week-just mailed 2/17 for result; also appt for myocardial perfusion scan 2/23

Other Meds: Montelukast 10mg tab l daily Folic Acid 1mg tab l daily Flonase 50mcg./inh 2 sprays /nostril daily Loratadine 10mg l tab daily - used as needed only Patanol 0.1% opth solution l gtt both eyes 2x/day- used as needed only

Current Illness: Hx RVOT V-tach 1992-93- 3ablation procedures (2xs@USAF Lackland AFB & l x UCSF cardio) Hx allergic rhinitis-on Claritin as needed/Patanol eye drops Hx Mild Emphysema dx 2015-16-placed on Montelukast

ID: 1038815
Sex: F
Age: 47
State: ND

Vax Date: 01/25/2021
Onset Date: 02/02/2021
Rec V Date: 02/18/2021
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Allergies: Codiene Yellow Dye in tablets Doxepin

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Symptoms: Following 2nd dose of COVID-19 Vaccine, I began having frequent episodes of feeling that my heart was racing. I would experience a cold sensation inside my chest that spread throughout my body and extremities. I felt weak, short of breath, dizzy, lightheaded and nauseaous. I began to have severe, daily anxiety and panic attacks.

Other Meds: Citalopram Aripiprazole Clonazepam

Current Illness: None

ID: 1038816
Sex: F
Age: 63
State: ND

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/18/2021
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Symptoms: 1 day after recieving vaccine - fever, chills 3 days after recieving vaccine - anxiety, racing heart, tingling nerves

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Current Illness:

ID: 1038817
Sex: F
Age: 39
State: MO

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 02/18/2021
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Symptoms: 1443 Feeling anxious and "really hot". BP140/92,HR 110 Sp02 98% 1448 Same feeling but worse,asking to go outside. BP 145/88 HR 120 SpO2 98% 1500 Symptoms continue , BP158/97,HR81 SpO2 99.6% 1515 Symptoms continue , BP 152/89, HR 130 , 97% 1530 Symptoms continue, BP 143/98 HR 117, 97% 1535 Improved symptoms BP 148/98 HR 104, 100% 1540 Symptoms resolved BP 130/91 HR 102 , 100%

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Current Illness:

ID: 1038818
Sex: F
Age: 62
State: GA

Vax Date: 02/16/2021
Onset Date: 02/17/2021
Rec V Date: 02/18/2021
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Allergies: Penicillin Zithromax Wellbutrin

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Symptoms: Swollen lymph nodes in left armpit, some injection site soreness. Lymph node swelling occurred approx 1 day after vaccine

Other Meds: Femara Fluoxitine Pantropazole Levathyroxine Multi-Vitamin Vit D Zinc Glucosamine/Chondroitin Probiotic Tumeric

Current Illness: None

ID: 1038819
Sex: F
Age: 48
State: AZ

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 02/18/2021
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Allergies: nka

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Symptoms: Fever, malaise, muscle aches x36 hours. Ibuprofen helped with symptoms.

Other Meds: omeprazole welbutrin abilify lamotragine

Current Illness: none

ID: 1038820
Sex: F
Age: 63
State: CA

Vax Date: 02/18/2021
Onset Date: 02/18/2021
Rec V Date: 02/18/2021
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Allergies: Sulfa

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Symptoms: Patient reported a rash after 20 min

Other Meds: N/A

Current Illness: None

ID: 1038821
Sex: F
Age: 28
State: NJ

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 02/18/2021
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Allergies: n/a

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Symptoms: headache, fever, muscle aches, joint pain, chills, sore throat; from 2/16/21 - 2/18/21

Other Meds: n/a

Current Illness: n/a

ID: 1038822
Sex: F
Age: 46
State: NH

Vax Date: 02/15/2021
Onset Date: 02/15/2021
Rec V Date: 02/18/2021
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Symptoms: Error: Wrong Dose of Vaccine - Too Low

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Current Illness:

ID: 1038823
Sex: F
Age: 65
State: NY

Vax Date: 01/22/2021
Onset Date: 01/27/2021
Rec V Date: 02/18/2021
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Allergies: nonenone really.Jyst had

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Symptoms: Actually had 2 adverse events, #1 on the night of the vaccine.had terrible heartburn,which i never get,that started in my sleep ,and literally woke me up in the middle of the night.Also alot of gas and burping. Lasted about a day. # Midweek,as I reported. about the wed after receiving first dose friday AM, I started having dry mouth and extremely dry lips, and continuous thirst. Didnt have to drink much, but continued recurring over the course of one and a half to 2 weeks, until finally disappeared. I was advised by one of my physicians to put real lemon juice on tip of tongue to stimulate the salivary glands.That really helped. did hear that this happened to several other patients.

Other Meds: 75 mcg levo-thyroxine . Vit C 1000 mg.Vit D 7000 IU. Calcium/Magnesium ca 1100 mg plus /357 mg. Quercitin 500 mg/Green Tea Extract 1000mg. Zinc 30 mg.

Current Illness: none. Just had a presumed viral mouth /gum inflamation. Probably oral Coxsackie.

ID: 1038824
Sex: F
Age: 43
State: SD

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 02/18/2021
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Allergies: Zofran, Zithromax

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Symptoms: EE reports getting her second Covid (Pfizer) vaccination at 11 AM on 02/16/2021. With having concerns of her throat feeling "hot" for about six hours after her first vaccination, EE pre-medicated with Allegra and Pepcid prior to the second vaccination. EE reports that within 20 minutes after the second vaccination her throat got hot and felt swollen, so she took Benadryl. Between 1900-1930 that same evening EE reports that her throat felt like it was tightening up, so she went to acute care. EE was given Solumedrol IM, Decadron orally, Benadryl 50 mg, and Pepcid. EE states that her HR was in the 140's, and she was flushed at this time.EE reports that she is now on a 10 days course of Prednisone, Zyrtec for 2 weeks, and Benadryl prn.

Other Meds: Zinc, Magnesium, Vitamin C and D3

Current Illness: none

ID: 1038825
Sex: M
Age: 41
State:

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 02/18/2021
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Symptoms: fever, chills, weakness, headache

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 599,999

Page last modified: 03 October 2021 5:28pm