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: 1050338
Sex: M
Age: 81
State: CA

Vax Date: 02/20/2021
Onset Date: 02/21/2021
Rec V Date: 02/23/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Dysphagia, Epiglottitis

Symptoms: Extreme fatigue. Could not stand up or walk. Fell a couple of times.

Other Meds: Ramipril, Lipitor, Eliquis

Current Illness: None

ID: 1050339
Sex: F
Age: 65
State: WY

Vax Date: 02/18/2021
Onset Date: 02/21/2021
Rec V Date: 02/23/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Anxiety, Dyspnoea

Symptoms: hives to affected arm soreness starting 2 days post injection pt reported using aniitch cream and benadryl with relief of symptoms

Other Meds:

Current Illness:

ID: 1050340
Sex: F
Age: 58
State: ID

Vax Date: 02/18/2021
Onset Date: 02/20/2021
Rec V Date: 02/23/2021
Hospital:

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

Lab Data:

Allergies: Just allergic to cat hair and dander.

Symptom List: Chest discomfort, Dysphagia, Pain in extremity, Visual impairment

Symptoms: Very itchy skin on arm at and around injection site (where the needle penetrated)

Other Meds: Levothyroxine 137 mcg; Bupropion HCl 150 mg; Buspirone 5mg; Naturewise vitamin D3 10 IU; PreserVision AREDS2 1 twice a day; Equate Allergy Relief- Fluticasone Propionate (Glucocorticoid) nasal spray 100 mcg (skipped this medication for 24 h

Current Illness: None.

ID: 1050341
Sex: F
Age: 44
State: IL

Vax Date: 02/19/2021
Onset Date: 02/20/2021
Rec V Date: 02/23/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Sore arm at injection site and fatigue

Other Meds: None

Current Illness: None

ID: 1050342
Sex: F
Age: 24
State: OK

Vax Date: 02/22/2021
Onset Date: 02/23/2021
Rec V Date: 02/23/2021
Hospital:

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

Lab Data:

Allergies: Penicillin & amoxicillin

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

Symptoms: Fever Whelp at injection site Fever in whelp

Other Meds:

Current Illness: Allergies

ID: 1050343
Sex: F
Age: 23
State: OR

Vax Date: 02/20/2021
Onset Date: 02/20/2021
Rec V Date: 02/23/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: tingling on left side of face, likely mild Bells Palsy

Other Meds: iron supplement

Current Illness: none

ID: 1050344
Sex: M
Age: 77
State: AZ

Vax Date: 02/22/2021
Onset Date: 02/23/2021
Rec V Date: 02/23/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Injection site pain; tiredness; headache; chills; fever; nausea; feeling unwell

Other Meds: Trelegy, Metoprolol, Fluoxetine, Clopidogrel, Montelukast, Trazodone, Amlodipine, Rosuvastatin Latanaprostene Bumpd. Dorzolomide, 81 mg aspirin, multivitamin, Preservision Areds2

Current Illness: none

ID: 1050345
Sex: F
Age: 75
State: CA

Vax Date: 02/20/2021
Onset Date: 02/22/2021
Rec V Date: 02/23/2021
Hospital:

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

Lab Data:

Allergies: Codeine and Darvon

Symptom List: Pharyngeal swelling

Symptoms: Shot #1--no after effects Shot #2--temperature and red arm at point of injection for several days

Other Meds: Magnesium, Tyroid, Cholesterol, HBP, D3, Lysine

Current Illness: none

ID: 1050346
Sex: F
Age: 59
State: TN

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

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

Lab Data:

Allergies: I don?t remember the names

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: None stated.

Other Meds: Levothyroxine, carvedilol, vit d3, magnesium, soma, hydrocodone

Current Illness: No

ID: 1050347
Sex: F
Age: 54
State: CA

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 02/23/2021
Hospital:

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

Lab Data:

Allergies: ceftin; doxycycline

Symptom List: Diarrhoea, Nasal congestion

Symptoms: ill-effects started 16 hours after injection; sore arm; brief low-grade fever; vomited; intense malaise for 24 hours followed by 2.5 days of fatigue

Other Meds: Valproic acid

Current Illness: chronic seizure disorder and migraines

ID: 1050348
Sex: F
Age: 61
State: GA

Vax Date: 02/14/2021
Onset Date: 02/22/2021
Rec V Date: 02/23/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Vaccination site erythema, Vaccination site pruritus, Vaccination site swelling

Symptoms: Painful Itching & rash at injection site appearing 8 days after injection and sore throat

Other Meds: Baby aspirin & vitamin D

Current Illness: None

ID: 1050349
Sex: F
Age: 44
State: MA

Vax Date: 02/22/2021
Onset Date: 02/22/2021
Rec V Date: 02/23/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List: Rash, Urticaria

Symptoms: PSVT 3 hours after the vaccine, heart rate went up to 150

Other Meds: No

Current Illness: No

ID: 1050350
Sex: F
Age: 56
State: CA

Vax Date: 01/16/2021
Onset Date: 01/16/2021
Rec V Date: 02/23/2021
Hospital:

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

Lab Data:

Allergies: lisinopril and contrast dye

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

Symptoms: Reaction happened 20 minutes after. Itching. A little headache. Lasted a few hours. Followed up at ER and was discharged after an hours observation.

Other Meds: losartan, amlodipine, Lipitor, HCTZ

Current Illness:

ID: 1050351
Sex: F
Age: 68
State: FL

Vax Date: 02/13/2021
Onset Date: 02/20/2021
Rec V Date: 02/23/2021
Hospital:

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

Lab Data:

Allergies: None known

Symptom List: Dyspnoea, Fatigue, Feeling abnormal, Head discomfort, Headache

Symptoms: A itchy rash appeared around the injection site a week after the injection. The area felt warm to the touch and itchy. Treated with oral antihistamine (Benadryl) and application of cortisone cream.

Other Meds: Elmiron 100mg 2Xdaily, Multivitamin, Vitamin D 1,000 IU, Citracal 1200 slow release plus D

Current Illness: None

ID: 1050352
Sex: F
Age: 67
State: OH

Vax Date: 02/11/2021
Onset Date: 02/19/2021
Rec V Date: 02/23/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Covid Arm

Other Meds: Metoprolol, Armour thyroid, vyzulta Vitamin D, Fish oil, Biotin

Current Illness: None

ID: 1050353
Sex: F
Age: 71
State:

Vax Date: 02/18/2021
Onset Date: 02/18/2021
Rec V Date: 02/23/2021
Hospital:

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

Lab Data:

Allergies: Sulfa Macrodantin

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

Symptoms: This is odd and probably not vaccine related, but I thought I would report on off chance someone else experiences this. After receiving the second vaccine, I sneezed and had a constantly runny/blocked nasal passages for almost 24 hours. It was a long night. I must have sneezed more than 100 times. Never had anything like this before in my life. about 10 AM the following day it simply stopped as fast as it started and has not reoccurred. I received the Pfizer vaccine. Had muscle/joint aches but nothing that happened was a big deal

Other Meds: Atenolol Allopurinal Losartin Vit D3 Rosuvastin

Current Illness: None

ID: 1050354
Sex: M
Age: 70
State: NY

Vax Date: 02/07/2021
Onset Date: 02/21/2021
Rec V Date: 02/23/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Erythema at the injection site, red blotchy discoloration covering the entire left deltoid presenting two weeks after injection

Other Meds: Rosuvastatin, multi-vitamin, fish oil, ubiquinol, allicin, blueberry extract, Vitamin D3, betasitosterol, 81mg aspirin, collagen, zinc

Current Illness: None

ID: 1050355
Sex: F
Age: 23
State: FL

Vax Date: 02/15/2021
Onset Date: 02/22/2021
Rec V Date: 02/23/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Patient has red rash around injection site.

Other Meds: Vyvanse, sertraline

Current Illness:

ID: 1050356
Sex: F
Age: 21
State: CA

Vax Date: 02/23/2021
Onset Date: 02/23/2021
Rec V Date: 02/23/2021
Hospital:

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

Lab Data:

Allergies: eggs, sulfur

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: 21 yo female return from 2nd dose , c/o SOB , Flushed, foggy brain. 1608 BP- 128/88, SPO2- 98, P-87, R-18 Administered 50 mg Benadryl, pt began to feel increased dizziness, lowered patient to the floor and administered 6L of O2. doctor assessed patient, patient Alert and Oriented X3 lowered O2 level to 2L, Sat patient up in chair @1623 BP-146/98, SpO2-98, P-83, R-20. Pt sated she felt better and was released to aunt @ 1627.

Other Meds: Allegra

Current Illness: na

ID: 1050357
Sex: M
Age: 65
State: PA

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 02/23/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Blood pressure increased, Chest discomfort, Heart rate increased

Symptoms: Atrial fibrillation onset at 8 PM converting to sinus rhythm at 11 PM.

Other Meds: atorvastatin pepcid albuterol inhaler

Current Illness: none

ID: 1050358
Sex: F
Age: 70
State: SC

Vax Date: 02/15/2021
Onset Date: 02/23/2021
Rec V Date: 02/23/2021
Hospital:

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

Lab Data:

Allergies: NKA

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

Symptoms: 2in by 3in oval patch of itchy red inflammation, Left Upper Arm , 1/2 in below injection site

Other Meds: Fish oil Vit D3 Lisinopril/HTHZ 10/12.5mg

Current Illness: None

ID: 1050359
Sex: M
Age: 23
State: TX

Vax Date: 01/20/2021
Onset Date: 01/23/2021
Rec V Date: 02/23/2021
Hospital:

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

Lab Data:

Allergies: No allergies to anything

Symptom List: Unevaluable event

Symptoms: Patient describes becoming dizzy after getting second MODERNA COVID-19 dose about three days after. Patient reports feeling lightly dizzy almost on a daily basis having one to two episodes per day. Usually having the first episode at the start of the day and getting the second one at the end of the day when resting.

Other Meds: Montelukast 10mg ,Vitamin C, Multi Vitamin Gummies One a Day.

Current Illness: None

ID: 1050360
Sex: M
Age: 44
State: KY

Vax Date: 02/14/2021
Onset Date: 02/22/2021
Rec V Date: 02/23/2021
Hospital:

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

Lab Data:

Allergies: NSAIDs

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

Symptoms: Low body temp on 2/20 followed by elevated temp on 2/21. Normal temp by 2/22. Soreness and lump at injection site evening of 2/22, with local burning pain. Left arm muscle soreness on 2/23 with red skin patch approx 3cm x 6cm at injection site.

Other Meds: Vitamin C, D, E.

Current Illness:

ID: 1050361
Sex: F
Age: 61
State: LA

Vax Date: 02/12/2021
Onset Date: 02/21/2021
Rec V Date: 02/23/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Injection site pain, Pain

Symptoms: Classic ?Covid arm?, subcutaneous hypersensitivity. Began ten days after shot and currently 48 hours since apparent onset. Site size steadily increasing, puffy, red, hot to touch. Originally itched but that has decreased. Still active situation. Not recovered yet. Note: I had a similar reaction to a pneumonia shot in Spring 2016. Was just surprised this took so long as everything seemed fine. But reading online, it appears normal but still small number with this reaction.

Other Meds: Humira, Levothyroxine

Current Illness: None

ID: 1050362
Sex: M
Age: 43
State: CO

Vax Date: 02/15/2021
Onset Date: 02/17/2021
Rec V Date: 02/23/2021
Hospital:

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

Lab Data:

Allergies: no

Symptom List: Injection site pain, Menorrhagia

Symptoms: headache, nausea, fatigue, shortness of breath- started two days after vaccine and lasted about 5 days. Was tested for COVID19- results were negative

Other Meds: NA

Current Illness: NA

ID: 1050363
Sex: F
Age: 54
State:

Vax Date: 02/12/2021
Onset Date: 02/21/2021
Rec V Date: 02/23/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

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

Symptoms: Large red and itchy circle around the injection site , a week after the injection. Lasted around 48 hours.

Other Meds: Symbicort

Current Illness: N/A

ID: 1050364
Sex: F
Age: 24
State: NY

Vax Date: 02/21/2021
Onset Date: 02/22/2021
Rec V Date: 02/23/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Fever 100 for one day and half

Other Meds: Vitamin C Vitamin Omega Rampril

Current Illness:

ID: 1050365
Sex: F
Age: 75
State: OH

Vax Date: 02/20/2021
Onset Date: 02/22/2021
Rec V Date: 02/23/2021
Hospital:

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

Lab Data:

Allergies: Cat dander

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Had my 2nd dose last Saturday, Feb. 20, at Hospital, Toledo, Ohio. Had both injections in my left arm. Noticed my left arm was sore at the injection site and now my arm is red and a bit swollen from my shoulder to my elbow, plus a little itchy but no rash. Was taking Tylenol and icing it until my friend told me not to ice it.

Other Meds: Revlimid, full dose aspirin, Allopurinol, multi-vitamin, Caltrate +D

Current Illness: None

ID: 1050366
Sex: M
Age: 34
State: VA

Vax Date: 02/22/2021
Onset Date: 02/23/2021
Rec V Date: 02/23/2021
Hospital:

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

Lab Data:

Allergies: Nothing

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

Symptoms: Body aches, joint pain, fatigue, cold body temperature

Other Meds: Teylon and Advil

Current Illness: Nothing

ID: 1050367
Sex: M
Age: 60
State: CO

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/23/2021
Hospital:

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

Lab Data:

Allergies: Topamax

Symptom List: Nausea

Symptoms: Injection site swelling (~2" Diameter), muscular twitching, nerve irritation. No treatment to date.

Other Meds: Omeprazole, Lisinopril, Atorvastatin, Levothyroxine, Imitex.

Current Illness: None

ID: 1050368
Sex: F
Age: 81
State: CO

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

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

Lab Data:

Allergies: Bactrim

Symptom List: Injection site pain

Symptoms: Patient presented with three weeks of progressive back pain and bilateral lower extremity radiculopathy, associated with night sweats (no fevers, no leukocytosis), found to have extensive T9-S1 spinal epidural abscess due to MSSA. Symptoms started at around the time the patient received her first COVID-19 vaccination on 1/26/2021. No other obvious source of infection (she does have an ear wound but this did not appear infected). She was admitted to the Hospital on 2/17/2021. Adverse event reported on 2/23/2021. She remains hospitalized as of this report.

Other Meds: APAP 500-1000 TID PRN, ferrous sulfate daily, Xanax 0.25 mg BID PRN, amlodipine 5 mg qhs, Eliquis 5 mg bid, Lipitor 40 mg qd, Citalopram10 mg qd, HCTZ 12.5 mg daily, Norco 5-325 1-2 tabs BID PRN, Synthroid 175 mcg daily, Losartan 50 mg dail

Current Illness:

ID: 1050369
Sex: F
Age: 27
State: MA

Vax Date: 01/30/2021
Onset Date: 01/30/2021
Rec V Date: 02/23/2021
Hospital:

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

Lab Data:

Allergies: N/a

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

Symptoms: Numbness in face for remainder of day. More intense for about 1 hour after injection. More so on one side of face.

Other Meds: PAROXETINE 30 MG TABLET

Current Illness: N/a

ID: 1050370
Sex: F
Age: 61
State: IL

Vax Date: 02/23/2021
Onset Date: 02/23/2021
Rec V Date: 02/23/2021
Hospital:

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

Lab Data:

Allergies: NKDA

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

Symptoms: Pt and husband came in to get 2nd dose of their Shingrix. Husband received 1st dose 12/15/20 and wife which is the pt received her first dose 1/2/21. Pt stated their doctor said they are both due for their 2nd dose. Checked the 1st dose date of husband and mistakenly wrote that was 1st dose date for both patients. Upon scanning vaccine consent forms later in the day into EPRN, realized that the pt's 2nd dose of Shingrix is ~1 week early. No reported adverse events as of today.

Other Meds: Rosuvastatin 5mg, Duloxetine 60mg, Gabapentin 100mg,, Anastrozole 1mg, Zolpidem 10mg, Clonazepam 0.5mg

Current Illness: Unknown

ID: 1050371
Sex: M
Age: 49
State: NY

Vax Date: 02/23/2021
Onset Date: 02/23/2021
Rec V Date: 02/23/2021
Hospital:

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

Lab Data:

Allergies: Yes, food/seasonal?

Symptom List: Tremor

Symptoms: Swelling of sites of prior dermatologic filler work in face, resolved on its own within 4 hours of onset.

Other Meds: None

Current Illness: None

ID: 1050372
Sex: F
Age: 65
State: MI

Vax Date: 02/13/2021
Onset Date: 02/13/2021
Rec V Date: 02/23/2021
Hospital:

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

Lab Data:

Allergies: Sulpha

Symptom List: Erythema, Pruritus

Symptoms: Sore arm for threes days. Since 2/17 body itching. Site has been red and bumpy ever since the shot. Getting better today

Other Meds: Multivitamin, calcium

Current Illness: None

ID: 1050373
Sex: F
Age: 83
State: PA

Vax Date: 02/12/2021
Onset Date: 02/21/2021
Rec V Date: 02/23/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

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

Symptoms: Redness/swelling at injection site

Other Meds: Metformin, lisinopril, buspar, tamoxifen

Current Illness:

ID: 1050374
Sex: M
Age: 80
State: CA

Vax Date: 02/18/2021
Onset Date: 02/19/2021
Rec V Date: 02/23/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
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Allergies: Asprin

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

Symptoms: Nausia, chills, fever, and taste modification. Modification in tongue sinsitivity. Soreness in arm of injection Taste and toungue sensitivity lingers. Fever and chills lasted one day .

Other Meds: Tramadol, Rosuvastatin, Tamazapam, Tamsulosin, Celecoxib, Testosterone Topical Gel

Current Illness: nonelamiectomies

ID: 1050375
Sex: F
Age: 79
State: CA

Vax Date: 02/18/2021
Onset Date: 02/23/2021
Rec V Date: 02/23/2021
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Allergies: none

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Rash somewhat similar to hives on thigh, abdomen, lower arms. Began on date given. Red rash-like areas. Some itching. Better by 8 hrs after onset. .

Other Meds: Enbrel methotrexate injectable

Current Illness: none

ID: 1050376
Sex: M
Age: 83
State: FL

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/23/2021
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Allergies: None

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

Symptoms: Approx 10 hrs after shot began to see black circle with football shape inside of circle. Entire thing kept moving away and then coming closer. Could not see during this event. Tried closing eyes but was still there when I opened them. Fell asleep approximately 20 minutes later and eyes were fine in morning. Note that I did have eye surgery about 6 years ago and had surgical lens implants.

Other Meds: Aspirin LD Metformin 500mg once Tamsulosin .4 mg twice Ropinirole 2 mg twice Ramipril 10 mg once Gabapenton 600 mg once Vitamin C , Zinc, B12/6

Current Illness: None

ID: 1050377
Sex: F
Age: 75
State: KY

Vax Date: 02/12/2021
Onset Date: 02/22/2021
Rec V Date: 02/23/2021
Hospital:

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Allergies: No known allergies

Symptom List: Chills, Feeling cold, Feeling hot, Myalgia, Pain

Symptoms: Large swollen area of upper arm where injection was given. Hot to the touch. Patient reported putting lotion on to try and help. After looking online, it appears patient has what is known as "Covid Arm"- fits the description and reported to us on day 11 after vaccine- she said symptoms started 10 days post vaccination. Explained to the patient the information I found and explained it should resolve on its own. If it did get worse, or if she did get a fever, it would be the best idea to seek medical attention. Told patient we would follow up with her in the next day or two to see how she was doing.

Other Meds: Unknown

Current Illness: None listed

ID: 1050378
Sex: M
Age: 32
State: NC

Vax Date: 02/01/2021
Onset Date: 02/18/2021
Rec V Date: 02/23/2021
Hospital:

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Symptom List: Pain in extremity

Symptoms: About 3 weeks a ince receiving the vaccination, I am Having a dull and sharp pain in my left shoulder near the injection site when I move or manipulate my shoulder. I have Also developed a sharp pain in the left side of my neck when I tilt my head up or to the right side.

Other Meds:

Current Illness:

ID: 1050379
Sex: M
Age: 77
State:

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 02/23/2021
Hospital: Y

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

Symptoms: More than 20 minutes after vaccination, but within 24 hours, patient experienced throat restriction. He was hospitalized.

Other Meds:

Current Illness:

ID: 1050380
Sex: M
Age: 21
State: TX

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 02/23/2021
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Allergies: None

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

Symptoms: 10 epistaxis in the course of one month. Abnormal for myself. No other side effects I feel generally well.

Other Meds: None

Current Illness: Mild Asthma.

ID: 1050381
Sex: M
Age: 68
State: SC

Vax Date: 02/17/2021
Onset Date: 02/23/2021
Rec V Date: 02/23/2021
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Symptom List: Hypotonia, Lethargy, Respiratory rate decreased, Screaming, Skin warm

Symptoms: feeling extremely week, whole body hurts, no energy, feeling faint

Other Meds: levothyroxine, tamsulosin,myrbetriq

Current Illness:

ID: 1050382
Sex: F
Age: 36
State: AZ

Vax Date: 01/30/2021
Onset Date: 01/30/2021
Rec V Date: 02/23/2021
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Allergies: Penicillin, seasonal allergies

Symptom List: Vomiting

Symptoms: About 10 minutes after getting the shot I suddenly felt like I was having an anxiety attack. My heart was racing and a tingling adrenaline feeling started in my head and spread down through my body. My throat felt strange, but I could still breathe. It started to subside after a couple of minutes but didn?t resolve completely for another hour or so. I also had a headache almost immediately. In the days following the vaccine I had such sore muscles it was hard to get out of chair or go upstairs. That lasted 3 days. About one week after the shot I started noticing my brain felt glitchy. At night I have not slept well since about one week after the vaccination and I frequently awaken feeling confused, stressed, and disoriented. This is not normal for me. Additionally, about 3 weeks after the vaccine I had another mild panic attack. I have not been troubled by panic attacks before getting the vaccine. As of today I am starting to feel less glitchy in my thinking. I am still not sleeping soundly and waking often, sometimes accompanied with confusion.

Other Meds: Zyrtec

Current Illness: N/A

ID: 1050383
Sex: F
Age: 68
State: NY

Vax Date: 02/14/2021
Onset Date: 02/21/2021
Rec V Date: 02/23/2021
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Allergies: Allergic to aspirin and aspirin-like products (ibuprofen, etc.)

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: One week to the day after the injection, on February 21, 2021, I developed large red itchy blotch on left arm at injection site. About 3-4 inches in size. Two days later, today, it is still there. I have since learned that this has a name: "Covid arm". And that it is known only to occur with the Moderna vaccine, and more common in women than men. It is quite itchy, warm to the touch. I have been applying ice and using OTC anti-itch cream.

Other Meds: Acyclovir and Mimvey (hormone replacement therapy)

Current Illness: None

ID: 1050384
Sex: F
Age: 49
State: TX

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 02/23/2021
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Allergies: Allergic to codeine; flagyl; lyrica

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

Symptoms: Very soon after receiving the shot, my throat began to feel tight and I told my husband it felt funny. Within about 45 minutes, it hurt swallow, more than any sore throat I have ever had. It wasn't like a dry, scratchy sore throat, it was almost like ti was on the outside of my throat. Had the clinic that gave me the shot kept me for monitoring, they would have been able to catch this reaction but they didn't. When I called them they told me it could be 24 hours before I would get a call back so I went to the ER because I was afraid I was having an allergic reaction of some type. The ER monitored me for 3 hours and then released me. About 12 hours later, the pain in my throat and when swallowing began to subside.

Other Meds: Gabapentin; Trentillix; Cinnamon; Ibuprofen

Current Illness: None

ID: 1050385
Sex: M
Age: 26
State: CA

Vax Date: 02/02/2021
Onset Date: 02/09/2021
Rec V Date: 02/23/2021
Hospital:

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Allergies: Penicillin

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Having fatigue, chills, alopecia, arthralgias, N/V, diarrhea, intermittent rhinorrhea and nasal congestion, lower back pain, neck pain for the last 2 weeks

Other Meds: Albuterol

Current Illness:

ID: 1050386
Sex: F
Age: 48
State: KY

Vax Date: 01/04/2021
Onset Date: 01/11/2021
Rec V Date: 02/23/2021
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Allergies: Sulfa rx

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

Symptoms: Presented with Shingles on Jan 11/2021. Had a rash on the ribs. Right side, burning sensation on the rib area, both sides and the feeling that my clothes were made of sand paper. I was prescribed acyclovir tablets. 1g every 8 hours for a week. After that shingles progressed and over the next week I developed more discomfort at wearing clothes, the rash moved to my back. I also had numbing sensation in the area and the feeling of warm tickling worms crawling over the area. Finally I started experiencing a lot of pain in the area. All of this caused me to miss about a week and a half of work. I was given gabapentin for the pain, but it messed with my equilibrium a lot so now I am taking l?rica 150mg every 8 hours. The rash is almost gone as are most of the other symptoms except for the pain and occasional discomfort to clothes. I am also on lidocaine cream to help that.

Other Meds: Metformin, topiramate, atorvastatin, vitamin D, iron, fluoxetine, cetirizine, aymovig, duloxetine,

Current Illness: None

ID: 1050387
Sex: U
Age: 45
State: KY

Vax Date: 02/17/2021
Onset Date: 02/23/2021
Rec V Date: 02/23/2021
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Symptom List: Hot flush, Myalgia, Nausea, Tension headache

Symptoms: 45-year-old female presents the emergency room for evaluation of headache, chest discomfort, nausea, hot flash sensation while at work today. States she felt well yesterday. Has not measured a temperature. Has not had any recent Covid testing or no known ill exposures but does work in as a medical assistant in a medical office. Headache is dull in nature frontal, gradual and not of sudden onset. No associated vision/speech change, neck pain or stiffness, focal extremity numbness or weakness. Chest is discomfort with some shortness of breath and congestion but no productive cough or purulent phlegm. No associated palpitations or lightheadedness and no history of heart disease, DVT/PE. Did have nausea but no abdominal pain and did not vomit. No unusual recent foods. Normal bowel movements without constipation, diarrhea, melena. Normal urination. No new leg pain or swelling. Symptoms mostly improved at this time but still has some head discomfort.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 704,237

Page last modified: 26 October 2021 2:21am