VAERS 2021 Database www.vaers.hhs.gov

Main Page | All 2021 Deaths | Videos
VAERS Updated: 10/01/2021
** VAERS DATABASE Last updated: October 1, 2021**
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Manufacturers

Total Manufacturer

Incidents per State

State Total
92,076
AK1,880
AL6,345
AR4,151
AS46
AZ14,991
CA66,887
CO12,550
CT8,943
DC1,795
DE2,009
FL42,724
FM4
GA17,031
GU124
HI2,580
IA4,919
ID2,892
IL22,128
IN24,197
KS5,047
KY9,111
LA5,500
MA15,718
MD13,434
ME3,351
MH8
MI20,971
MN13,585
MO10,747
MP30
MS3,198
MT2,477
NC18,051
ND1,501
NE3,109
NH3,218
NJ20,216
NM4,218
NV4,728
NY37,667
OH20,793
OK6,692
OR9,244
PA25,607
PR2,588
QM2
RI2,163
SC7,261
SD1,282
TN10,445
TX39,890
UT4,618
VA15,980
VI67
VT1,830
WA16,071
WI12,042
WV2,571
WY926
XB5
XL1
XV2

ID: 1040072
Sex: F
Age: 44
State: AZ

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: penicillin

Symptom List:

Symptoms: left side of my neck, where my lymph note is, it is swollen

Other Meds: none

Current Illness: none

ID: 1040073
Sex: M
Age: 0
State: OR

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: None

Symptom List:

Symptoms: On Monday 2/15, the patient got vaccinations and was fussy afterwards. Mother states that this is normal for the patient following immunization. Around 6:00 PM that day the mother noticed the patient became rigid and was staring at nothing. She describes it as "seizure like activity" and lasted about 30 seconds. The patient then became responsive and screamed hysterically. Mother was able to console the patient and call EMS where she was recommended PCP follow up. 2/17/21 at approximately 10:00 PM, the patient had another episode of "seizure like activity" where the patient was sitting in the mother's arms when he became increasingly fussy then went limp and lost consciousness. Patient then began jerking his head and arm. Mother reports this episode was approximately 1 minute long. Mother called the non emergent line and they recommended coming to the ED. Mother additionally notes the patient had significant decrease in PO intake. She reports associated fevers, cold sweats, and fatigue.

Other Meds: None

Current Illness: None

ID: 1040074
Sex: F
Age: 39
State: TX

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

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

Lab Data:

Allergies: Latex Amoxicillan Augmentin Ativan Methotrexate

Symptom List:

Symptoms: Throat tight, hard to swallow, extreme dry mouth, chills, shaking, anxiety

Other Meds: Hydrocodone 5-325 Daily vitamins 1000 vitamin d 1000 vitamin b12 Folivan

Current Illness: Rhumetoid arthritis Migraines Low iron Anxiety

ID: 1040075
Sex: F
Age: 94
State: PA

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: Unknown

Symptom List:

Symptoms: Pt possibly received normal saline diluent instead of the Pfizer vaccine. There was an error in preparation. Pt was contacted on 2/16/21. No adverse reaction reported.

Other Meds: Unknown

Current Illness: Unknown

ID: 1040076
Sex: F
Age: 57
State: PA

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 02/18/2021
Hospital:

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

Lab Data:

Allergies: duloxetine(only generic gets brand) ezetimibe polymyxin b trimethoprim pt only gets brand meds due to allergies per pt

Symptom List:

Symptoms: rash, itching

Other Meds: Humalog,cymbalta,trazodone,topamax,gabapentin, abilify.lisinopril

Current Illness:

ID: 1040077
Sex: F
Age: 21
State: MI

Vax Date: 02/18/2021
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: Approximately 20 minutes after receiving 2nd dose of Pfizer Covid-19 vaccination, pt reports dull feeling in left-side of chest. Pt reports no difficulties breathing, rash, itching, fever, or other issues. Pt escorted to EMS who took vital signs. BP 120/85, HR 65, O2 100% on RA, Temp 98.7F. Pt provided with juice box. After approximately 20 more minutes of waiting, pt reports symptoms have not improved, but are also not worse. No other issues noted. Pt ambulated by self out of clinic home. Pt refused to have vitals rechecked.

Other Meds:

Current Illness:

ID: 1040079
Sex: F
Age: 27
State: KS

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: None, just some seasonal allergies that go away when I take a daytime allergy pill

Symptom List:

Symptoms: Around 1 am I woke up having to sneeze and blow my nose over and over again. It got better for a few hours while I slept and then worse again around 9:30 am. I had to call in from work. I?ve been blowing my nose and having watery eyes all day. I took my usual allergy pill but it did not help. I?m reporting this because runny nose isn?t listed as a common symptom. I have soreness in my arm but no other symptoms other than maybe a slight headache and fatigue. I?m worried I might actually be sick but I?ve hardly left my house for months so that seems unlikely.

Other Meds: Citalopram 20mg Terra Health Acid Reflux Kit (betaine hcl with pepsin and herbal supplement) Ibuprofen as needed (but not right before the vaccine) Juice Plus somewhat irregularly Cetirizine Hydrochloride 10 mg as needed (most days durin

Current Illness: None

ID: 1040080
Sex: M
Age: 59
State: MO

Vax Date: 02/18/2021
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: NSAIDs & sporins

Symptom List:

Symptoms: Injection site pain, systemic arthritic pain

Other Meds: Flonase (Fluticasone Propoionate) 50mcg Linisopril 20mg Maxalt MLT 10 mg D (5K IU) + K (500 mcg) + Centrum (Senior Men?s) Tylenol Arthritis 650mg Metformin ER 1000mg Vitamin B-12 3000IU Glucosamine/Chondroitin/MSM 1000/500/500 mg Fenofibric

Current Illness: N/A

ID: 1040081
Sex: F
Age: 49
State: IL

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: Latex

Symptom List:

Symptoms: Severe and excruciating back pain, muscle pain and body aches

Other Meds: None

Current Illness: None

ID: 1040082
Sex: F
Age: 65
State: CA

Vax Date: 02/10/2021
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: none

Symptom List:

Symptoms: four day after 1st dose of Moderna Covid-19 vaccine EUA developed a red, very itchy rash on back of neck. Rash has spread into scalp and top of shoulder area with secondary splotches on hip, abdomen & inner area of left arm.

Other Meds: Levothyroxine Calcium Vit D Magnesium

Current Illness: none

ID: 1040083
Sex: F
Age: 90
State: CA

Vax Date: 02/05/2021
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:

Symptom List:

Symptoms: Having more severe stomach pain than normal. Interfering with ability to sleep at night. Visited urgent care this morning because of the pain.

Other Meds: Blood pressure medication

Current Illness: Occasional stomach pain

ID: 1040084
Sex: F
Age: 70
State: OH

Vax Date: 02/01/2021
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: codeine/ penicillin/ sulfa drugs

Symptom List:

Symptoms: Sore arm after administration, resolved. moderna sore arm not exactly at injection site red, no fever. got a cold after 1st shot 5 days then sore again after another 5 days reported 2-18-21

Other Meds: valsartan/hctz 320/25

Current Illness: unknown

ID: 1040085
Sex: F
Age: 42
State: VA

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 02/18/2021
Hospital:

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

Lab Data:

Allergies: Lactose & gluten allergies Allergic to Lamictal medication

Symptom List:

Symptoms: immidiate: red at injection sight, swelling, sore and tender my arm was never symptom free (from immediate to 3 weeks after vaccine) after 3 weeks: a large red/blue/purple large lesion from injection site 2-3 inches in length and down my arm, tendor, sore, warm, hard and tight, itching, 3 separate red lesions that are painful to the touch and sore without being touched

Other Meds: Levothyroxine Buspirone HCL Lithium Carbonate Gabapentin Quetiapine ER Vitamin D3

Current Illness: none

ID: 1040086
Sex: F
Age: 30
State: TN

Vax Date: 01/06/2021
Onset Date: 01/07/2021
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: Really fatigued and my muscles were really sore, chills, low grade fever. I couldn't grasp anything. Flu like symptoms. Doctor said to follow up in two days if not better but was better by then.

Other Meds:

Current Illness:

ID: 1040087
Sex: F
Age: 69
State: NC

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: Glyzambi, Glipizide, Atorvastatin,Fiber, Omega 3, Vitamin D

Symptom List:

Symptoms: I felt very tired, (slept about 12 hours )and had no energy for about 14 hours. My arm stopped hurting and my energy came back without any physician assistance

Other Meds:

Current Illness: N/A

ID: 1040088
Sex: F
Age: 73
State: IN

Vax Date: 01/22/2021
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: No

Symptom List:

Symptoms: Itchy, red, warm to touch, 2 lumps on left arm. Aware approx 6pm. Lasted 24 hrs Both ankle areas itchy. Started 02/09/2021 through 02/12/2021

Other Meds: Levothyroxin, acebutolol, metformin, restasis, albuterol, aspirin, calcium, vitamin D

Current Illness: No

ID: 1040089
Sex: F
Age: 72
State: NY

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: NKA

Symptom List:

Symptoms: Patient came to pharmacy complaining of a rash on her left arm after getting the COVID shot. On their left arm near the injection site her skin was swollen and red. Per the patient, it was warm to the touch, and hurt a little when she touches it. Patient did not report any other symptoms. Informed patient to see their primary care provider.

Other Meds: Atorvastatin 10mg tablets Hydrochlorothiazide 12.5mg Levothyroxine 100mcg Lisinopril 10mg Ozempic 1mg Pantoprazole 40mg Sucralfate 1gram/10ml Valacyclovir 500mg

Current Illness: None

ID: 1040090
Sex: M
Age: 79
State: WI

Vax Date: 02/01/2021
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: lisinopril and plavix

Symptom List:

Symptoms: lip swelling and itching of jaw

Other Meds: amLODIPine (NORVASC) 10 MG tablet Take 1 tablet by mouth daily. isosorbide mononitrate (IMDUR) 30 MG 24 hr tablet Take 1 tablet by mouth daily. tamsulosin (FLOMAX) 0.4 MG Cap Take 1 capsule by mouth daily after a meal. sertraline (ZOLOFT) 1

Current Illness: none

ID: 1040091
Sex: F
Age: 92
State: CA

Vax Date: 02/12/2021
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: tekturna (leg swelling), procaine (don't feel good)

Symptom List:

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA Received dose #1 in drive thru vaccine clinic and reports shortness of breath, lightheadedness, left hand tingling post vaccination on right arm. Taken to ED for further assessment. Pt has COPD but patient feels these symptoms are different. After some time, daughter feels patient is back to baseline. ED visit on 2/12/21 (12:03p - 15:02p)

Other Meds:

Current Illness:

ID: 1040092
Sex: F
Age: 31
State: ID

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 02/18/2021
Hospital:

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

Lab Data:

Allergies: sulpha; and another antibiotic (can't remember name)

Symptom List:

Symptoms: Woke me up in middle of night - severe pain in hips and shoulders; same severe headache that causes nausea. I had muscle fatigue and overall general fatigue for 48 hours. Injection site - starting 2 inches down from it - I had red blotchiness (about 24 hours after) - grew (to not quite down to my elbow)and swelled and was hot to touch for 72 hours. It itched a little bit. The Monday (11th) following I had Dr. visit - to Primary Care Physician - large allergic reaction. He told me to draw a border around it. It continued to spread but not severely and no streaks down my arm. Applied heat to increase blood flow to the area. The heat helped. It took about seven days to fully go away (the swelling and redness on my arm).

Other Meds: Sentramine

Current Illness: adverse health event - from dose 1 of vaccine - lasted 24 hours - fatigue and headache; no other

ID: 1040093
Sex: F
Age: 80
State: OR

Vax Date: 02/06/2021
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: ~ 10 days post vaccine developed itching and redness in vaccinated are. Slight swelling.

Other Meds: many

Current Illness:

ID: 1040094
Sex: F
Age: 78
State: FL

Vax Date: 02/13/2021
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: item

Other Meds:

Current Illness:

ID: 1040095
Sex: F
Age: 38
State: CA

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 02/18/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: Received 2nd dose of Pfizer vaccine on 1/8 around 12:40pm. Only had a sore arm yesterday. The next morning, woke up with mild abd cramping that resolved over about 1 hour. Throughout the day, had 2 episodes of NB diarrhea. At night, she noticed diffuse body hives and b/l upper and lower eyelid swelling. +accompanying mild SOB with audible wheezing. Pt took benadryl, zyrtec, and pepcid just before arrival to ED and reports feeling better. SOB/wheezing has resolved. Hives are mostly resolved. Only has residual eyelid swelling, Ice applied to eyelid and sent home for observation along with epinephrine pen.

Other Meds: none

Current Illness: none

ID: 1040096
Sex: F
Age: 74
State: CA

Vax Date: 02/02/2021
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: Aspirin Motrin Penicillin Keflex Sulfa Vicodin

Symptom List:

Symptoms: 10 days after the vaccine I got a 2 inch red circle on my left arm. There was a hard center and it was itchy. The lump seems to have subsided however the area still remains with a 2 inch red circle and sometimes itchy

Other Meds: Losartan , hydrochrothazide, Levothroxine, Montelukast, Breo Ellipta, Restasis Vitamin A, Zinc

Current Illness: None

ID: 1040097
Sex: F
Age: 83
State: AZ

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

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

Lab Data:

Allergies: Adhesive tapes; Dust mites; Peg 3350; Trazodone; Amiordarone; mold; Quinine; Ciclesonide; Hexachlorophene; Pregabalin; Codiene; Levofloxacin; Sertraline; Dexamethasone; Mometasone; Sulfa

Symptom List:

Symptoms: On day 5 Patient improved with self care

Other Meds: Alburtero; Amitriptyline (nerve pain); Supplement; Bumex; warfarin; Inderole 3 carbinol R/t Ovarian cancer; Flovent; Pravastatin; singulair; levothyroxine; Potassium; Cartia

Current Illness: None

ID: 1040098
Sex: F
Age: 55
State: PA

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: Unknown

Symptom List:

Symptoms: Pt possibly received normal saline diluent instead of the Pfizer vaccine. There was an error in preparation. Pt was contacted on 2/16/21. No adverse reaction reported.

Other Meds: Unknown

Current Illness: Unknown

ID: 1040099
Sex: M
Age: 73
State: AL

Vax Date: 02/15/2020
Onset Date: 02/16/2020
Rec V Date: 02/18/2021
Hospital:

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

Lab Data:

Allergies: allergic to any antibiotic than ends in " VIR " breathing anafalactsis " VALACYCLOVIR "

Symptom List:

Symptoms: Difficulty Breathing while sleeping

Other Meds: Lantas Finasteride Lisinopril Asprin Repatha Cardividol CQ10 Tylenol

Current Illness: No

ID: 1040100
Sex: F
Age: 34
State: MO

Vax Date: 02/18/2021
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: N/a

Symptom List:

Symptoms: 16 weeks pregnant; experienced nausea ~3 hours after injection and vomiting starting ~7 hours after injection

Other Meds: Prenatal vitamin

Current Illness: N/a

ID: 1040101
Sex: F
Age: 51
State: OH

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: None

Symptom List:

Symptoms: 12 hours after severe painful debilitating headache, random stabbing pains all over body sporadically, fever (101.5), chills, body aches. Motrin, Tylenol for 24 hours. After 24 hours of severe symptoms another 12 hours fatigue and low grade headache. 48 hours later just low fatigue.

Other Meds: Vitamin b12, D. Claritin.

Current Illness: None

ID: 1040102
Sex: F
Age: 34
State: TX

Vax Date: 01/18/2021
Onset Date: 01/22/2021
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: The day of the vaccine, I woke up dizzy, lightheaded and weak feeling. It's hard to explain. I felt like I was spinning. I had my BP checked by the NP in the office where I work. I also had arm soreness that lasted 3 or 4 days.

Other Meds: No

Current Illness: No

ID: 1040103
Sex: F
Age: 36
State: AZ

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: No

Symptom List:

Symptoms: No symptoms the first 12 hours. Upon waking up for work, I had severe fatigue, chills, and severe arm pain, no fever.. At 3:30pm, 24 hours after the vaccine, I noticed a large red spot on my arm that appears as though the liquid spread out under my skin (best way to describe it). About 3 inches by 2 inches in size. It could have been there since I woke up, but I didn't notice until later today.

Other Meds: Alli dietary pills

Current Illness: No

ID: 1040104
Sex: M
Age: 43
State: PA

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: None

Symptom List:

Symptoms: Severe Muscle and joint paint started at around 2am, on 2/18. Followed by severe fatigue and trouble standing. Fever of 101.2 noted at 6pm, 2/18. Additional a high heart rate ha been noted since about 4pm, 2/18.

Other Meds:

Current Illness: None

ID: 1040105
Sex: F
Age: 16
State: MT

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: N/A

Symptom List:

Symptoms: Patient came to clinic requesting vaccination for work with patient registration patient received vaccination, no known side effects Director called to confirm patient did receive vaccination Provider called Parent New preventive measures introduced

Other Meds: N/A

Current Illness: N/A

ID: 1040106
Sex: F
Age: 82
State:

Vax Date: 02/08/2021
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: Pt had general weakness, fatigue for 3-4 days prior to her ED visit on 2-17-2021. No fever or significant pains. Some chills. Oral intake OK. Had second Covid shot a week ago on 2-8-2021. . Had paracentesis 2 days ago on 2-15-2021, gets them every 10-14 days for liver disease. B/P 98/33

Other Meds:

Current Illness:

ID: 1040107
Sex: F
Age: 36
State: WA

Vax Date: 12/17/2020
Onset Date: 12/28/2020
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: After the first first vaccine I developed shingles.

Other Meds: Matoperol, methotrexate, magnesium, acilapram, Zyrtec, lisinopril, Wellbutrin,

Current Illness:

ID: 1040108
Sex: M
Age: 54
State: LA

Vax Date: 02/18/2021
Onset Date: 02/18/2021
Rec V Date: 02/18/2021
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Symptoms: Sore arm

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Current Illness:

ID: 1040109
Sex: F
Age: 73
State: GA

Vax Date: 02/18/2021
Onset Date: 02/18/2021
Rec V Date: 02/18/2021
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Symptoms: Patient reported a "light head" and seeing stars directly after injection. We kept her at the pharmacy for 30 minutes to evaluate and checked her blood pressure. BP was 160/70 (patient reports that to be about normal for her). No other problems while waiting at the pharmacy. We called the patient back at 4:55PM to check on her; she states that she is fine.

Other Meds:

Current Illness:

ID: 1040110
Sex: F
Age: 42
State: CA

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 02/18/2021
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Allergies: None

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Symptoms: Patient complained of numbness and tingling on the Left arm. After a few minutes, patient reported that symptom subsided, but remained constantly on the left hand. Patient was able to move extremity without pain. Patient reported that the symptom was experienced during the first dose, but only lasted for seconds.

Other Meds: None

Current Illness: None

ID: 1040111
Sex: F
Age: 43
State: VA

Vax Date: 02/17/2021
Onset Date: 02/18/2021
Rec V Date: 02/18/2021
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Allergies: Shellfish, cephalosporins, fluoroquinolones, CT contrast dye

Symptom List:

Symptoms: Body aches, fever, chills, headache, sinus congestion

Other Meds: Exemestane, aspirin, Pepcid , tambacor, vit B6, vit B complex, vit D, calcium, valtrex, xyzal, Lipitor, herceptin, perjeta

Current Illness:

ID: 1040112
Sex: F
Age: 51
State: CA

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/18/2021
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Allergies: NKDA

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Symptoms: Chills 7:45pm to 10:00pm, fever started at 99.1 8:00 pm peaked at 102 by midnight. nausea, joint aches, tachycardia 135b/min. Took advil and fever came down sometime during night to 100. Injection site warm to touch and lump present. Fever, malaise, joint aches (particularly lower back and hands), nausea all next day until about 5pm, when fever finally broke. Woke with headache the next morning 2/12/21. stabbing headache above right eye. Lasted all day, did not medicate until evening and responded to excedrin migraine med. Back and hand aches continued for remainder of day. Headache returned 2/13/21 evening and took excedrin migraine again and headache responded and did not return. Injection site had red wheel with indurated center, soreness and itchy beginning on 2/11/21. Soreness and red wheel resolved by 2/13/21 but itchiness lasted until 2/15/21.

Other Meds: NP thyroid, A-Drenal supplement, quercetin supplement, vit C 1000mg, vit D 5000IU, elderberry chews

Current Illness: none

ID: 1040113
Sex: F
Age: 68
State: AZ

Vax Date: 02/02/2021
Onset Date: 02/14/2021
Rec V Date: 02/18/2021
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Allergies: none

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Symptoms: Body aches, chills, low grade fever, and small amount of chest congestion with cough. Seem to have lost taste and smell

Other Meds: none

Current Illness: none

ID: 1040114
Sex: M
Age: 25
State:

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/18/2021
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Allergies: None

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Symptoms: Complained of "rush in my head/front of head" at 9:15am on 2/12/2021. At 11am, no longer complaining of "rush" feeling, but now reporting fatigue. At 11:34am same day, reported feeling much better and symptoms improved.

Other Meds: None

Current Illness: None

ID: 1040115
Sex: F
Age: 43
State: CA

Vax Date: 12/23/2020
Onset Date: 12/24/2020
Rec V Date: 02/18/2021
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Allergies: NKDA

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Symptoms: After the first dose, developed floaters that resolved after 24hr. After the second dose, I developed severe jaw pain, teeth pain and back pain that resolved after 2-3 days.

Other Meds: After the first dose, developed floaters which resolved after 24hrs. After the second dose, developed severe jaw pain, teeth, neck and back pain now resolved.

Current Illness: None

ID: 1040116
Sex: M
Age: 43
State: MD

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 02/18/2021
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Allergies: None

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Symptoms: Soreness in arm, headache, fatigue, body aches, fever

Other Meds: None

Current Illness: None

ID: 1040117
Sex: F
Age: 40
State: CA

Vax Date: 01/08/2021
Onset Date: 01/10/2021
Rec V Date: 02/18/2021
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Allergies: NKDA

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Symptoms: had second dose of COVID vaccine on 1/8/2021, notes initially with rash and swelling of face which went away when she got home. Since then, patient has had HA but noticed swelling to left shoulder on 1/9/21. neck: 3 cm x 3 cm left supraclavicular lymphadenopathy with tenderness to palpation give ibuprofen 600mg PO x1 and discharged with Ibuprofen

Other Meds:

Current Illness:

ID: 1040118
Sex: F
Age: 45
State: CA

Vax Date: 02/01/2021
Onset Date: 02/08/2021
Rec V Date: 02/18/2021
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Symptoms: /20/2021 (day 0) - received Moderna vaccine (Lot 029L20A) at. ? 2/8/2021 (day 19) ? developed horrific headache. Started on the neck, hairline, and ears ? felt deep pressure, and made an analogy to a blanket covering her head. ? 2/9/2021 (day 20) ? severe stomach cramps, and start of debilitating diarrhea (not listed as adverse event in EUA) that made her concerned about soiling herself. ? 2/10/2021 (day 21) ? continued having severe diarrhea, every 1 hour. ? 2/11/2021 (day 22) ? continued having severe diarrhea. Also, start of having generalized body ache (entire body). Tested for COVID-19 at ED ? negative. ? 2/12/2021 (day 23) ? continued having severe diarrhea ? dehydrated and felt irregular heart rate. Went to ED for EKG (unremarkable), COVID-19 testing (negative), and CT scans (unremarkable). ED staff told patient that her symptoms matched other patients? reactions to COVID-19 vaccine (delayed onset, of a few weeks). ? 2/13/2021 (day 24) ? Diarrhea continued, continued body ache. ? 2/14/2021 (day 25) ? diarrhea resolved, along with body ache. ? 2/15/2021 (day 26) ? felt more alert and well, enough to eat more normal food. However, eyes looked glassy, and headache moved to her eye socket. Felt like a golf ball was behind her eyes. ? 2/16/2021 (day 27) ? 1:30 AM, noticed left side of mouth was droopy. Went to ED ? diagnosis of Bell?s Palsy. Given Rx of prednisone and valacyclovir. o Onset of Bell?s Palsy consistent with clinical trial of Moderna Vaccine. Patients had onset of 22, 28, and 32 days after vaccine.

Other Meds:

Current Illness:

ID: 1040119
Sex: F
Age: 43
State: ND

Vax Date: 01/26/2021
Onset Date: 02/04/2021
Rec V Date: 02/18/2021
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Allergies: Penicillin

Symptom List:

Symptoms: I didn?t notice any symptoms right away. When they started, I didn?t think it was abnormal at first. I am female and still have my menstrual cycle. This time it appeared to be heavier than usual and had some blood clots. However, before I was on birth control it was always that way. Sometimes it is a little heavier when I have more stress or the weather is not ideal. My cycle started around 2/4/21. On 2/8/21, I combed my one cat. She scratched and bit me and has done so in the past. She and I both are vaccinated and I?ve never developed any infections because of it in the past. On 2/10/21, I noticed a cluster of red pinpoint dots underneath my skin on my arms and chest. They weren?t bumpy, warm to the touch, itchy or anything. It just looked odd and I didn?t know how it happened. I work with a Nurse Practitioner and she suggested I go into to a clinic as those usually indicate an infection is developing. I went to the Urgent Care and was treated. He did blood work on me and informed me that my glucose was a little low. It was suppertime so that didn?t surprise me. He told me there was no signs of infection in my blood work but was prescribing two antibiotics in case one developed. When I was getting my meds at the pharmacy, a call was coming through that I didn?t recognize so do to phone scams, I didn?t answer it. I started the antibiotics. Then over the course of 2/13/21 and 2/14/21 weekend days, I felt more fatigued than usual, nauseated, had a decreased appetite and still had my menstrual cycle. I still didn?t think much about it as a side effect of the antibiotics was nausea and decreased appetite and the fatigue could be related to it being so cold and winter usually affects my depression symptoms. Then on 2/14/21 I noticed my lower abdomen was covered in those red, pinpoint blood dot clusters and there were unexplained bruises on my body. I took a shower and when I went to wash my legs, my pelvic area was completely bloody and a blood clot dropped into the bathtub. Never has that occurred when I have my period. It looked like I had just given birth it was so much blood. I became nauseated and dry heaved several times. On 2/15/21, I sent a message to Dr asking what was happening to me. He called me and informed me that he had tried to call me the night he saw me because he saw my platelet count was only 11,000 and should be a minimum of 140,000. Dr asked that I return to Urgent Care as soon as possible. I arrived there around 12:30 pm that day. He had bloodwork done again on me. My platelets went down to 9,000. I explained that my menstrual cycle would not stop and it should?ve but I just keep bleeding. Dr contacted a Hematologist that informed him that recently the blood disorder Immune Thrombocytopenia (ITP) has been linked with the COVID19 vaccination in rare cases. I was scheduled to be seen by a Hematologist and put on the medication prednisone to build up my platelet count. I returned to Urgent Care for blood work again on 2/16/21. My platelets went up to 30,000. I met with Hematology on 2/17/21 and had blood work again, platelets 28,000. All providers looked over my medical record and noted that since my gastric bypass surgery in 2015, my health has been good, my blood work has been normal and I live a clean lifestyle. Again, the only issue showing up in my bloodwork was that my platelets were extremely low. Now I have weekly blood draws, take 80 mg of prednisone and have a Hematologist when just a few weeks ago my health was good.

Other Meds: buPROPion 150 mg SR (12 hr) tablet Commonly known as: WELLBUTRIN SR Take 150 mg by mouth 2 times a day magnesium oxide 400 mg tablet Commonly known as: MAG-OX 400 Take 400 mg by mouth 1 time per day. ferrous sulfate 325 (65 Fe) MG Tbec Co

Current Illness: None

ID: 1040120
Sex: F
Age: 45
State: CA

Vax Date: 02/03/2021
Onset Date: 02/08/2021
Rec V Date: 02/18/2021
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Allergies: latex, rubber, wool

Symptom List:

Symptoms: rash around eyes and upper lip, swelling, redness, severe itching

Other Meds: nuvaring

Current Illness: n/a

ID: 1040121
Sex: F
Age: 53
State: MS

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/18/2021
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Allergies: strawberrys

Symptom List:

Symptoms: Lip/tongue/gums tingling.

Other Meds: unknown

Current Illness: cervical spine pain with radiculopathy.

ID: 1040122
Sex: F
Age: 81
State: OH

Vax Date: 02/11/2021
Onset Date: 02/13/2021
Rec V Date: 02/18/2021
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Allergies: Penicillin

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Symptoms: Started at 5 am throwing up, sore, weak, headache, freezing On Sunday 2 days after shot felt better, still weak and started canker sores in mouth and swelling. Still have symptoms as of today 2/18/21. Doctor calling in steroid.

Other Meds: Vitamin a, setraline hcl 25mg, amlodipine besylate, losartan, atorvastatin

Current Illness: None

Total 2021 VAERS Injuries: 704,237

Page last modified: 03 October 2021 5:28pm