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
78,537
AK1,674
AL5,595
AR3,609
AS44
AZ13,661
CA60,074
CO11,306
CT8,061
DC1,665
DE1,732
FL37,921
FM3
GA13,952
GU87
HI2,255
IA4,437
ID2,528
IL20,036
IN22,886
KS4,406
KY7,345
LA4,936
MA14,326
MD12,283
ME3,068
MH8
MI18,573
MN11,688
MO9,216
MP30
MS2,799
MT2,204
NC15,950
ND1,301
NE2,823
NH2,955
NJ17,960
NM3,802
NV4,264
NY33,837
OH18,688
OK6,100
OR8,229
PA23,333
PR2,196
QM2
RI1,944
SC6,315
SD1,161
TN9,032
TX35,493
UT4,166
VA14,361
VI50
VT1,715
WA14,283
WI10,703
WV2,276
WY843
XB5
XL1
XV2

ID: 1052916
Sex: F
Age: 48
State: VA

Vax Date: 02/22/2021
Onset Date: 02/24/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: -Common severe fatigue for roughly 36 hours -low grade fever resolved hour 40 -rash covering trunk front and back beginning at approx. hour 42, itchy and red -elevated HR noticed at hour 48 (100BPM)

Other Meds: Wellbutrin 150mg Vitamin B sublingual Vitamin D3 5000IU

Current Illness: None

ID: 1052917
Sex: F
Age: 36
State: KS

Vax Date: 02/03/2021
Onset Date: 02/23/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies: succinyl choline, Toradol

Symptom List:

Symptoms: Ocular Migraine- vision became blurry like looking through a heat wave for 2 hours. The vision disturbance stopped for 30 minutes, and then an intense headache set in for 7 hours. Took tylenol with caffeine, heatpack on neck, icepack on head and it helped alleviate the headache.

Other Meds: Humira, nuvaring, pepcid, protonix, oxycodone, Robaxin, hydroxyzine

Current Illness: none

ID: 1052918
Sex: M
Age: 27
State: OH

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies: Depakote; Tegretol

Symptom List:

Symptoms: Severe chronic diarrhea and weight loss due to the diarrhea. Cannot hold stools. Total liquid stools no form.

Other Meds: Risperdal; Ability; Metformin; Omeprazole

Current Illness: No

ID: 1052919
Sex: F
Age: 77
State: IN

Vax Date: 02/02/2021
Onset Date: 02/16/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Non raised circular rash (10cm) around injection site. Not swollen. No inflamation. No pain. Has lasted and just today beginning to fade. No other rashes on other parts of body.

Other Meds: Losartan, Hydrocholothiazide, Levothyroxin Cinnamon, Vit C, Multivitamin, Vit D

Current Illness: none

ID: 1052920
Sex: M
Age: 74
State: ID

Vax Date: 02/16/2021
Onset Date: 02/17/2021
Rec V Date: 02/24/2021
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. On the morning of 02/17 at 04:20 I woke up with chills and muscle cramps that felt just like the flu. One additional symptom was muscle spasms in my upper back between the shoulder blades. This experience I had never had before. Now that it has been 7 days after the vaccine; all the after effects were gone after the second day. All is well. Thank you.

Other Meds: Vitamin supplements only

Current Illness: None

ID: 1052921
Sex: F
Age: 75
State: TX

Vax Date: 02/24/2021
Onset Date: 02/24/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient complained of lightheadedness with slight disorientation, chest heaviness. Patient transported to ER for further evaluation & treatment.

Other Meds:

Current Illness:

ID: 1052922
Sex: F
Age: 66
State: AL

Vax Date: 02/11/2021
Onset Date: 02/24/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies: None known

Symptom List:

Symptoms: Rash on arm where vaccine was given

Other Meds: Amlodipine Besyl 5 mg, Hydrochlorothiazide 25 mg, vitamin D3 25mcg, and Calcium 600 mg+D3

Current Illness:

ID: 1052923
Sex: M
Age: 74
State: MN

Vax Date: 02/22/2021
Onset Date: 02/23/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: The Pfizer vaccine was reconstituted with sterile water instead of normal saline and administered to the patient. The patient did not report any adverse effects.

Other Meds:

Current Illness:

ID: 1052924
Sex: F
Age: 73
State: NJ

Vax Date: 02/23/2021
Onset Date: 02/23/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies: None known

Symptom List:

Symptoms: About 20 minutes after vaccine, the right side of my face (including nose, some of my tongue) felt numb or tingly. Very mild. Symptoms disappeared within, say, a half hour and did not return. The following morning I had fleeting head aches on right side - each lasting a' second or so only, and several hours apart. By the afternoon they disappeared. I am having no other symptoms. My arm never hurt at the injection site. I'm not even concerned but feel I should mention this reaction because I will be getting a second shot on March 16. Is it safe? Again, I have no symptoms any longer and feel great.

Other Meds: Amlodipine 10 mg. Atorvastatin Calcium Tablets, 20 mg. Alosartan-HCTZ 100-12.5 mg.

Current Illness: None

ID: 1052925
Sex: F
Age: 34
State: IL

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: I am 1 week post receipt of second dose and have had nearly constant dizziness for the last week as well as an accelerated heart rate with intermittent bouts of nausea. I feel like I am going to tip over when walking/standing - impacting my ability to perform normal functions.

Other Meds: Prenatal vitamin, vitamin d3, b complex, coQ10, Chinese herbs and supplements for fertility, baby aspirin

Current Illness: I take progesterone during the latter half of my menstrual cycle (200mg per day) for fertility reasons

ID: 1052926
Sex: M
Age: 51
State: KY

Vax Date: 02/04/2021
Onset Date: 02/07/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies: Ceclor

Symptom List:

Symptoms: Started being more fatigue and right arm stays sore everyday in the bend shoulder on right side stays sore

Other Meds: Lipitor, duloxetine 60 mg

Current Illness: None

ID: 1052927
Sex: M
Age: 50
State:

Vax Date: 02/23/2021
Onset Date: 02/23/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: At 6pm on day of second vaccination the patient suddenly developed a fever, HA, and widespread myalgias. His fever has been from 100f to 104f. He has been alternating Tylenol and ibuprofen to bring down the fever, then it will go right back up. He was covid tested today and was negative with a rapid covid test.

Other Meds:

Current Illness:

ID: 1052928
Sex: M
Age: 51
State: CA

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies: Ginger (food allergy)

Symptom List:

Symptoms: Headache, very tired, muscle aches, joint pain, muscles aches, soreness in arm and I really didn't feel well.They were alot more intense symptoms than the first dose. I was down and couldn't function. I took Ibuprofen and tylenol - and it helped with aches and pains a little but not with tiredness and overall feeling bad. I took the 3rd and 4th off but went back to work on 5th although I was sluggish. Felt a lot better on Saturday.

Other Meds: once a day 800 mg Ibuprofen; multi-vitamin; prescriptions: Metformin; Atorvastatin. baby aspirin

Current Illness: Adverse symptoms after receiving Dose 1 of COVID 19 vaccine - Moderna

ID: 1052929
Sex: F
Age: 83
State: UT

Vax Date: 02/18/2021
Onset Date: 02/21/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies: Amoxicillan

Symptom List:

Symptoms: Sever swollen hives on face, head, neck, and torso. Itching. Went to ER, they gave a injection of dose of Pepsid and told her to take claritin and pepcid daily. Said it should clear up. She has been doing that now her eyes are itching and body again, plus has a sever sore throat now.

Other Meds: Vit E, D-3, Calcium, omeprazole, atorvastatin 40mg

Current Illness: None

ID: 1052930
Sex: F
Age: 16
State: KY

Vax Date: 02/22/2021
Onset Date: 02/22/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: Moderna COVID 19 Vaccine given to child under the age of 18. According to the child no adverse reactions have occurred from the injection.

Other Meds: None

Current Illness: None

ID: 1052931
Sex: M
Age: 42
State: IL

Vax Date: 02/11/2021
Onset Date: 02/17/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies: Gluten sensitivity.

Symptom List:

Symptoms: Felt immediate headache, followed by extreme exhaustion, fatigue, body aches (the same day as the 2nd dose) within about 10 minutes after it; and for the next two days. Felt better by 02/14/2021. Began feeling ill again on 02/17/2021, body aches, extreme fatigue, feeling very hot but not having a fever, nausea. It seemed to get better on about 02/21/2021, but then on 02/22/2021, all of the same feelings and symptoms came back and are still present today. I have reached out to my primary doctor to let him know and he suggested that I submit this information here as well.

Other Meds: Victoza. Atorvastatin. Multivitamin.

Current Illness: Type 2 diabetes. Gluten sensitivity.

ID: 1052932
Sex: F
Age: 71
State: NY

Vax Date: 02/07/2021
Onset Date: 02/07/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies: Sulfa drugs

Symptom List:

Symptoms: Numb tongue; feeling of fullness (lump) at back of throat.

Other Meds: Atenolol 50mg, Olmesartan 20mg, Synthroid 88mcg, Liothyronine 5mcg, Rosuvastatin 20mg, Ezetimibe 10mg, Restasis 0.05%. CoQ-10 200mg, Krill Oil 1000mg, Super B Complex, Triple Magnesium Complex 400mg

Current Illness:

ID: 1052933
Sex: M
Age: 55
State: PA

Vax Date: 02/23/2021
Onset Date: 02/24/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: 102.4F FEVER, CHILLS, SWEATS, EXCESSIVE FATIGUE

Other Meds: ROSUVASTATIN 5MG, HYDROCHLOROTHIAZIDE 25MG, AMLODIPINE BESYLATE 10MG, METROPROLO SUCCINATE 50MG, JANUVIA 100MG, CETIRIZINE 10MG, VITAMIN D, MULTIVITAMIN

Current Illness:

ID: 1052934
Sex: F
Age: 55
State: IN

Vax Date: 02/21/2021
Onset Date: 02/21/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies: Morphine

Symptom List:

Symptoms: At 10hrs I started having severe chills. 30 min-1hr later I had severe diarrhea and vomiting 1 time. Joint pain followed in ankles, knees, hips, elbows. Next day I had a severe headache with neck and mouth pain. Next day I was terribly weak.

Other Meds: Atorvastatin 10mg, Multivitamin, Vit D 2000IU, Aspirin 81mg, Zyrtec

Current Illness: None

ID: 1052935
Sex: M
Age: 75
State: MN

Vax Date: 02/22/2021
Onset Date: 02/23/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: The Pfizer vaccine was reconstituted with sterile water instead of normal saline and administered to the patient. The patient did not report any adverse effects.

Other Meds:

Current Illness:

ID: 1052936
Sex: F
Age: 63
State: NJ

Vax Date: 02/11/2021
Onset Date: 02/24/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies: tylenol, pollen, strawberry, mold, peanut, shellfish

Symptom List:

Symptoms: vertigo

Other Meds: none

Current Illness: migraine

ID: 1052937
Sex: M
Age: 72
State: NY

Vax Date: 02/21/2021
Onset Date: 02/22/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Headache, Fever (101.6) chils, body aches, fatigue, loss of appetite. The headache lasted about 30 hours, the Fever about 40 hours, the body aches about 8 hours, the loss of appetite about 40 hours, and the fatigue 40 hours. I still don't feel 100%.

Other Meds:

Current Illness:

ID: 1052938
Sex: U
Age: 40
State: TX

Vax Date: 02/24/2021
Onset Date: 02/24/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient complained of itching at neck and right side of back.

Other Meds:

Current Illness:

ID: 1052939
Sex: M
Age: 38
State: NY

Vax Date: 02/15/2021
Onset Date: 02/24/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Chest pain on exhale, slight cough, shortness of breath, extreme tiredness

Other Meds:

Current Illness: None

ID: 1052940
Sex: F
Age: 76
State: AZ

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List:

Symptoms: day 1-3: take 4 Advil for pain for one day day 4-6: start swell ( red) and itch. Use ice pack day 7: minimum pain and itch remain. Much less adverse events than first time. One week after vaccine, I have no problem to do house work.

Other Meds: 1 tablet a day of: valsartan hctz 320-25mg joint health centrum silver

Current Illness: No

ID: 1052941
Sex: F
Age: 40
State: LA

Vax Date: 02/22/2021
Onset Date: 02/22/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Rash, vomiting nausea on 2/22/2021 Diarrhea on 2/23/2021 Migraine and diarrhea on 2/24/2021

Other Meds: Birth Control

Current Illness: pneumonia

ID: 1052942
Sex: F
Age: 41
State: CA

Vax Date: 02/24/2021
Onset Date: 02/24/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies: pepper, spices, tomato, adhesive

Symptom List:

Symptoms: arm felt cold, headache, itchy all over, bloody nose

Other Meds:

Current Illness: none

ID: 1052943
Sex: M
Age: 28
State: IN

Vax Date: 02/23/2021
Onset Date: 02/24/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies: Na

Symptom List:

Symptoms: Extreme flu like symptoms Chills Fever Muscle pains neck shoulder glute

Other Meds: Lisenopril

Current Illness: Na

ID: 1052944
Sex: M
Age: 77
State: WV

Vax Date: 01/08/2021
Onset Date: 01/24/2021
Rec V Date: 02/24/2021
Hospital: Y

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

Lab Data:

Allergies: allergic to penicillin causes hives

Symptom List:

Symptoms: 11/24/2021 Began with indigestion, chest discomfort and slight arm pain. then on 11/26/2021 symptoms worsened. Admitted to medical center for cath and stint placement.

Other Meds: none

Current Illness: none

ID: 1052945
Sex: M
Age: 85
State: AL

Vax Date: 02/11/2021
Onset Date: 02/22/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies: keflex

Symptom List:

Symptoms: patient received vaccine at Hospital and presented to our office w/ reaction 1.5 in x 2 in desquamation of skin with bleeding present to left upper arm, no purulent drainage, Cleansed area with sterile saline and covered with non adherent pad and Tegaderm, PLAN OF CARE: Obtained culture. Will start prophylactic antibiotic. Discussed skin care. F/u 2 days with prescribed clindamycin 300mg oral TID

Other Meds: ipratropium nasal 42mcg, cetirizine 10mg, lisinopril 40mg, amlodipine 5mg, metoprolol succ. 50mg, mirabegron 50mg, omeprazole 40mg, nitroglycerin 0.4mg, potassium chloride 10mEq, furosemide 20mg

Current Illness:

ID: 1052946
Sex: F
Age: 70
State: MN

Vax Date: 02/20/2021
Onset Date: 02/20/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies: Dilantin

Symptom List:

Symptoms: Body aches, felt feverish, weakness, headache, fatigue, overall malaise

Other Meds: Fluoxetine, Estrogen, Gabapentin, Inderal, Low- Dose Naltrexone, Metformin, Phentermine, Trazedone, Valtrex, Zolpidem Tylenol, Aleve Calcium, Vit D, multiple vitamin

Current Illness: Inflammatory arthritis, migraine, Fibromyalgia, essential tremor

ID: 1052947
Sex: F
Age: 78
State: CA

Vax Date: 02/18/2021
Onset Date: 02/19/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies: Sulfa flowers

Symptom List:

Symptoms: Had increased heart beat on the second day and elevated blood pressure for three days following getting the shot

Other Meds: carvedilol, irbesartan, amlodipine, simvastatin, montelukast, Zyrtec,calcium, L-lysine, biotin, Centrum Silver, CoQ10, Triple Flex glucosamine-chondroitin

Current Illness: high blood pressure controlled with medicine

ID: 1052948
Sex: M
Age: 25
State: AZ

Vax Date: 02/24/2021
Onset Date: 02/24/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Syringe separated from needle when plunger fully depressed. Some backsplash of vaccine, but patient received most of dose. Needle removed safely without incident. Was NOT given a subsequent dose.

Other Meds: Unknown

Current Illness: Unknown

ID: 1052949
Sex: F
Age: 48
State:

Vax Date: 01/07/2021
Onset Date: 02/03/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Pt reported that glucose finger stick 486 next day after her first dose of Moderna. Although reportedly keeping with diet and exercise the numbers continue high with a slow decline. Last finger stick was Feb 24 and result was 174. Pt admits that last finger stick before vaccine was Dec 19 result 109.

Other Meds: Ibuprophen - prn

Current Illness:

ID: 1052950
Sex: M
Age: 74
State: AR

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 02/24/2021
Hospital: Y

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

Lab Data:

Allergies: No

Symptom List:

Symptoms: Extreme weakness, constipation, decreased appetite. Shortness of breath with activity. How many living in to Atrial Fibrillation and heart failure.

Other Meds: Diclofenac Photonics Valsartan HCT Cardezam Cd Vitamin C Vitamin D Zinc sulfate Actos Lipitor Neto form in

Current Illness: Noel. Cce

ID: 1052951
Sex: F
Age: 72
State: NC

Vax Date: 02/24/2021
Onset Date: 02/24/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies: Latex

Symptom List:

Symptoms: Sore left arm injection site

Other Meds: levothyroxine. .75 micrograms

Current Illness: Hypothyroidism

ID: 1052952
Sex: M
Age: 79
State: MN

Vax Date: 02/22/2021
Onset Date: 02/23/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: The Pfizer vaccine was reconstituted with sterile water instead of normal saline and administered to the patient. The patient did not report any adverse effects.

Other Meds:

Current Illness:

ID: 1052953
Sex: F
Age: 41
State: WI

Vax Date: 02/12/2021
Onset Date: 02/21/2021
Rec V Date: 02/24/2021
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Allergies: Sulfur and Clindamycin

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Symptoms: 9 days after treatment, red swollen rash appeared at injection site. Have seen doctor for followup and was told it is common side affect known as ?covid arm? from vaccine .

Other Meds: Omeprazole, daily vitamin, fiber supplement, probiotic supplement

Current Illness:

ID: 1052954
Sex: F
Age: 49
State: CO

Vax Date: 02/23/2021
Onset Date: 02/23/2021
Rec V Date: 02/24/2021
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Allergies: None

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Symptoms: Within minutes of the vaccine (in my right deltoid), the heavy/warm/numb sensation radiating from the vaccine site moved up my right shoulder to the right side of my neck. There was no itching. One hour after my vaccine, the heavy/warm/numb sensation moved into the entire right side of my face, though my facial movement was unaffected. I kept looking to make sure I had symmetrical movement on both sides of my face, and I did, but it took several hours for that sensation to subside. Note: My daughter and sister have had intermittent Bell's Palsy (unrelated to vaccination) in the past, but I never have. I was concerned that might be what was about to happen, but it subsided. I've not heard of any of my relatives having this reaction to the vaccine, so I wanted to report it for data keeping purposes.

Other Meds: Vitamins: Emergence-C Vitamin powder packet, Vitamin D3 capsule (taken 8 hours prior to vaccine) Supplements: Selenium, Fish Oil (taken 8 hours prior to vaccine) Herbal Remedies: Nettles herbal capsule, Gingko Biloba capsule (taken 8 hours

Current Illness: None

ID: 1052955
Sex: F
Age: 27
State: IA

Vax Date: 02/23/2021
Onset Date: 02/24/2021
Rec V Date: 02/24/2021
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Symptoms: Fever, chills, sore muscles, fatigue, headache,

Other Meds:

Current Illness:

ID: 1052956
Sex: M
Age: 75
State: CA

Vax Date: 02/24/2021
Onset Date: 02/24/2021
Rec V Date: 02/24/2021
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Allergies: Ciprofloxacin-ciprofloxa Hcl Flagyl [Metronidazole Hydrochloride

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Symptoms: Member arrived at the vaccine facility for Pfizer 2nd dose appointment. The nurse administered Moderna instead of Pfizer. Dr. immediately notified and evaluated the patient. Patient was also informed of plan of care. Patient remained in the observation area and it was uneventful. No adverse reactions noted.

Other Meds: Pantoprazole (PROTONIX) 40 mg Oral TBEC DR Tab Sertraline (ZOLOFT) 50 mg Oral Tab Gabapentin (NEURONTIN) 100 mg Oral Cap LORazepam (ATIVAN) 1 mg Oral Tab Carvedilol (COREG) 3.125 mg Oral Tab Polymyxin B -Trimethoprim (POLYTRIM) 10

Current Illness: None

ID: 1052957
Sex: F
Age: 56
State: TX

Vax Date: 02/24/2021
Onset Date: 02/24/2021
Rec V Date: 02/24/2021
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Symptoms: Patient complained of heaviness in chest and lightheaded. Patient remained in observation for and additional 30 minutes before leaving the site.

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Current Illness:

ID: 1052958
Sex: F
Age: 73
State: CA

Vax Date: 02/22/2021
Onset Date: 02/22/2021
Rec V Date: 02/24/2021
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Allergies: Penicillin, several antibiotics

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Symptoms: Feeling sick, AFIB occurrences, had a fever on 2nd day of 100.8, left shoulder hurt from shot and just felt very bad all over!

Other Meds: AFIB medication taken in the morning.

Current Illness: None

ID: 1052959
Sex: F
Age: 63
State: MN

Vax Date: 01/28/2021
Onset Date: 01/30/2021
Rec V Date: 02/24/2021
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Allergies: Sulfa

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Symptoms: Diarrhea with loose stools 2-3 times a day. Symptoms came on about 36 hours after vaccine administration with associated myalgias, malaise/fatigue. The other symptoms resolved within a few days but loose stools persist over 3 weeks.

Other Meds: Cholecalciferol, cyclobenzaprine, fentanyl patch, tramadol, OTC magnesium gluctonate

Current Illness: None

ID: 1052960
Sex: F
Age: 69
State: IN

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/24/2021
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Allergies: Aspirin, shrimp

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Symptoms: Temperature of 101 headache, extreme fatigue, body aches, brain fog, shortness of breath, loss of taste and smell for 4 days

Other Meds: Armour thyroid , gabapentin D3 zinc B12 vitamin C

Current Illness: covid 19

ID: 1052961
Sex: F
Age: 78
State: MN

Vax Date: 02/22/2021
Onset Date: 02/23/2021
Rec V Date: 02/24/2021
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Symptoms: The Pfizer vaccine was reconstituted with sterile water instead of normal saline and administered to the patient. The patient did not report any adverse effects.

Other Meds:

Current Illness:

ID: 1052962
Sex: F
Age: 29
State: MN

Vax Date: 02/23/2021
Onset Date: 02/24/2021
Rec V Date: 02/24/2021
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Allergies: None

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Symptoms: Extreme exhaustion: dozing off while driving to work. I left early and had to be picked up, because I was too tired to drive. Pounding headache: my head feels like it?s in a rock tumbler. Body aches: my body feels like I got hit by a truck. Anything that touches me hurts, including clothes or blankets. Fever: 101.3F Injection site pain: my arm feels like it?s severed. Treatment: I have been taking 800mg of Ibuprofen every few hours, but have not had any relief. I took Tylenol initially and also did not have any relief.

Other Meds: Burpropion XL, Duloxetine

Current Illness: None

ID: 1052963
Sex: M
Age: 37
State: CA

Vax Date: 02/23/2021
Onset Date: 02/23/2021
Rec V Date: 02/24/2021
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Allergies: NO KNOWN ALLERGIES

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Symptoms: Patient is 37 years old and is immunocompromised. Patient has never received the pneumonia vaccine before. Per patient's Proactive care, patient is due for Prevnar 13 but Pneumovax 23 was administered. Patient tolerated injection well and denies any signs or symptoms at time for vaccination. Spoke with patient the following day 2/24/2021 and patient denies and signs or symptoms with the Pneumovax 23 vaccine.

Other Meds: ALPRAZOLAM (XANAX) 0.5 MG, OMEPRAZOLE (PRILOSEC) 20 MG, MELATONIN 5 MG, ELVITEGRAVIR-COBICISTAT-EMTRICITABINE-TENOFOVIR ALAFENAMIDE (GENVOYA) 150-150-200-10 MG, ALBUTEROL 90 MCG/ACTUATION INHALER, SODIUM BICARBONATE-SODIUM CHLORIDE (NEILMED

Current Illness: GONORRHEA; SYPHILIS

ID: 1052964
Sex: F
Age: 90
State: MI

Vax Date: 02/24/2021
Onset Date: 02/24/2021
Rec V Date: 02/24/2021
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Symptoms: Patient was feeling extremely fatigued after the vaccine. Patient also was shivering and said she felt cold. Her blood pressure was 107/78. Her mental state did not seem far from normal. She was taken home by her son.

Other Meds:

Current Illness:

ID: 1052965
Sex: F
Age: 37
State: OR

Vax Date: 02/20/2021
Onset Date: 02/24/2021
Rec V Date: 02/24/2021
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Allergies: vicodin

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Symptoms: Hives and itching on my arms, hands, ears, neck, stomach and backs of legs. This started 4 days after my 2nd Covid dose. I am taking Benadryl multiple times a day.

Other Meds: Metoprolol, citalopram, birth control, prenatal vitamins, melatonin, vitamin c

Current Illness:

Total 2021 VAERS Injuries: 624,763

Page last modified: 03 October 2021 5:28pm