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
39,213
AK1,240
AL2,927
AR1,910
AS34
AZ8,813
CA36,511
CO6,997
CT4,739
DC964
DE966
FL19,816
FM3
GA7,740
GU56
HI1,312
IA2,919
ID1,564
IL11,712
IN17,918
KS2,824
KY3,683
LA2,767
MA8,804
MD7,592
ME2,038
MH6
MI10,695
MN7,220
MO5,479
MP12
MS1,456
MT1,472
NC9,183
ND812
NE1,786
NH1,979
NJ9,535
NM2,320
NV2,273
NY19,534
OH11,396
OK2,941
OR5,003
PA13,474
PR1,308
QM1
RI1,333
SC3,397
SD771
TN5,004
TX19,186
UT2,641
VA8,975
VI29
VT1,150
WA8,537
WI6,724
WV1,432
WY512
XB4
XL1
XV2

ID: 1057346
Sex: M
Age: 59
State: FL

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

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

Lab Data:

Allergies: no

Symptom List:

Symptoms: Pain at sit of injection for 2 days . Low grade fever, fatigue for 2 days

Other Meds: no

Current Illness: no

ID: 1057347
Sex: F
Age: 70
State: OH

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 02/26/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List:

Symptoms: The evening after vaccine arm throbbing, headache, back hurts and dizzy.

Other Meds: No

Current Illness: No

Date Died: 02/05/2021

ID: 1057348
Sex: F
Age: 88
State: TX

Vax Date: 01/26/2021
Onset Date: 01/28/2021
Rec V Date: 02/26/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Extreme Fatigue, slurring speech, unable to stand, eat. Death on 2/5/21

Other Meds: lasik, blood pressure

Current Illness: congestive heart failure

ID: 1057349
Sex: M
Age: 78
State: IN

Vax Date: 02/18/2021
Onset Date: 02/22/2021
Rec V Date: 02/26/2021
Hospital:

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

Lab Data:

Allergies: most antibiotics

Symptom List:

Symptoms: Pain, swelling, and itching of upper left arm

Other Meds: pradaxa, victoza, flomax, wellbutrin, pravastatin, Areds 2 vitamin, eyelea injection, losartan, hctz,, protonix

Current Illness:

ID: 1057350
Sex: F
Age: 23
State: MO

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 02/26/2021
Hospital:

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

Lab Data:

Allergies: remicade, latex, bleach, zoloft

Symptom List:

Symptoms: Arm is swollen and warm at injection site. Body aches and fatigue. Light headed. Headache

Other Meds: Medical Marijuana, entyvio, Vitamin C, folic acid, sulfasalazine, lexapro, iron, pantoprazole, loratidine, metformin, unisom, hydroxyzine

Current Illness: ulceritive colitis, crohns disease, arthiritis, anemia, depression, anxiety disorder

ID: 1057351
Sex: F
Age: 50
State:

Vax Date: 02/24/2021
Onset Date: 02/24/2021
Rec V Date: 02/26/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Pain at the injection site was nearly immediate. I still have significant swelling and soreness as of 11:07am CST on 2/26/21 Diarrhea from 4:30pm to 7:30pm on 2/24/21 Chills and fever started at 2:00am on 2/25/21 and ended at 3:00am on 2/26/21 Body aches, joint pain, headache started at 6am on 2/25/21 and ended at around 3:00am on 2/26/21

Other Meds: 600mg Gabapentin 100mg Trazadone 100mg Bupropion SR

Current Illness:

ID: 1057352
Sex: F
Age: 37
State: TX

Vax Date: 01/28/2021
Onset Date: 02/03/2021
Rec V Date: 02/26/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: 6 days after on February 3, I developed red itchy hives on my torso. 2 on my stomach, 7 on my left side. They were very itchy and red. No fluid underneath. They remained itchy for about 3 days after they developed.

Other Meds: Prenatal vitamins and prenatal DHA

Current Illness: N/A

ID: 1057353
Sex: F
Age: 69
State: NY

Vax Date: 02/25/2021
Onset Date: 02/26/2021
Rec V Date: 02/26/2021
Hospital:

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

Lab Data:

Allergies: Boniva and Actonel

Symptom List:

Symptoms: Vomiting, diarrhea, mild headache, lasted about 1 hour

Other Meds: Rosuvastatin 10 mg, Low-Dose Naltrexone, 2 tsp, CoQ10, Vitamins C, D, Multi, other supplements Magnesium, Joint Collagen, Gut Collagen, Glucosamine with Chondroitin, Zinc, Complete Omega 3, Pro-biotic, MCT oil.

Current Illness: None

ID: 1057354
Sex: F
Age: 50
State: NJ

Vax Date: 02/13/2021
Onset Date: 02/24/2021
Rec V Date: 02/26/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Started with a lump on 2/24 then itching on 2/25 to waking up to a large itchy heated lump on the left arm on and around the injection site. Also experienced some crusting of the eyes that morning and some odd feelings in the lips also not sure if they are related or just symptoms of other issues or nervousness.

Other Meds: Metoprolol succ er 25 mg 1daily Eliquis 5mg 2daily Lupo-bc vitamin supplements (bcomplex and fat burners pantothenic acid , vitamin c ) 2daily SlowFe iron supplement 1 daily Centrum women multivitamin 1daily Lipostat plus injection 1 w

Current Illness:

ID: 1057355
Sex: F
Age: 85
State: OH

Vax Date: 02/23/2021
Onset Date: 02/24/2021
Rec V Date: 02/26/2021
Hospital:

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

Lab Data:

Allergies: Sulfac 10%

Symptom List:

Symptoms: o Chief Complaint Pt is an 85 y/o female presenting to the ED by squad with c/o nausea, body aches, and feeling bloated s/p receiving her first COVID-19 vaccine shot yesterday. Pt states that she felt fine up until last night. Pt denies HA, dizziness, lightheadedness, CP, SOB, cough, V/D, abd pain, urinary complaints, fevers, chills, or rashes. PMHx includes COVID-19 pneumonia in December.

Other Meds: Ascriptin Enteric 81 mg tablet: 1 tab(s) orally once a day o Avapro 300 mg oral tablet: 1 tab(s) orally once a day o simvastatin 40 mg oral tablet: 1 tab(s) orally once a day (at bedtime) o Protonix 40 mg oral granule, delayed release

Current Illness: recent covid pneumonia

ID: 1057357
Sex: M
Age: 40
State: CO

Vax Date: 02/23/2021
Onset Date: 02/25/2021
Rec V Date: 02/26/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: At 36 hours after injection, lymph node under right arm became swollen and tender. On day 3, the swelling is the size of a tennis ball and tender.

Other Meds: Vitamin B, Multivitamin, Zinc, Low Dose Aspirin

Current Illness:

ID: 1057358
Sex: F
Age: 66
State: CO

Vax Date: 02/18/2021
Onset Date: 02/21/2021
Rec V Date: 02/26/2021
Hospital:

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

Lab Data:

Allergies: Erythromycin, Tetracycline, Bactrim

Symptom List:

Symptoms: One day 4 after injection itchy, red rash was noted on abdomen. By day 7 the rash covered arms, legs, and trunk. As of today, day 9, the rash remains unchanged.

Other Meds: Boniva

Current Illness:

ID: 1057360
Sex: M
Age: 72
State: IN

Vax Date: 02/24/2021
Onset Date: 02/25/2021
Rec V Date: 02/26/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: This nurse contacted patient via phone about post-discharge care after released to home from nursing facility after covid pna dx. Member first stated he received covid 19 shot on 2/24/2021 during the day and then took his heart medication at 8 PM that evening. He asked if his heart medication could have caused interaction with the covid shot. Stated was feeling funny last night after taking heart pill, arm was hurting and did not feel good, and at first stated he felt as he was going to die but then stated to this nurse later in the call that he did not really feel like that but instead felt dizzy at at midnight or 1 AM and took heart medicine at 8 PM. THis nurse contacted the PCP and advised on symptoms and patient concern about heart medication interacting with covid 19 shot.

Other Meds: metoprolol 25 mg, Lipitor 40 mg, pantoprazole 40 mg, asa 81 mg, centrum multivitamin 50 +, may have been taking lisinopril 20 mg and hydrochlorothiazide 25 mg (unsure if these had been restarted after discharge from nursing facility on 2/23

Current Illness: had Covid 19 infection diagnosed 10 days prior to presentation to the ER as noted by physician note from inpatient discharge summary on 2/5/2021. Member was admitted to hospital from ER on 1/30/2021. Member has diabetes history, Acute hypoxic respiratory failure/covid 19 pneumonia, deconditioning, AKI, HTN, HLD

ID: 1057361
Sex: F
Age: 76
State: AL

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 02/26/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: scratchy and tingling in throat.

Other Meds:

Current Illness:

ID: 1057362
Sex: F
Age: 68
State: MI

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 02/26/2021
Hospital:

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

Lab Data:

Allergies: unknown

Symptom List:

Symptoms: Patient experienced dizziness and high blood pressure (140s/100s) and tongue tingling. Patient was monitored for 30 minutes and the dizziness improved. We gave her a bottle of water to drink and crackers and she said she felt better. The tongue tingling went away as well before the 30 minutes ended. Her blood pressure was retaken before she left and it remained in the 140s/100s. She said this is higher than her normal but it could be due to anxiety.

Other Meds: unknown

Current Illness: unknown

Date Died: 02/15/2021

ID: 1057363
Sex: M
Age: 89
State:

Vax Date: 02/13/2021
Onset Date: 02/13/2021
Rec V Date: 02/26/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient with severe dementia in Hospice Care

Other Meds:

Current Illness:

ID: 1057365
Sex: F
Age: 28
State: IL

Vax Date: 02/24/2021
Onset Date: 02/25/2021
Rec V Date: 02/26/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: FEVER, NAUSEA, HEADACHES, AND BODY ACHES

Other Meds:

Current Illness:

ID: 1057366
Sex: F
Age: 70
State: NC

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/26/2021
Hospital:

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

Lab Data:

Allergies: some seafood and penicillin

Symptom List:

Symptoms: Problem swallowing , scratchy throat. Duration <60 minutes.

Other Meds: Procardia, Micardis, Flexeril, Pepcid, Dilaudid

Current Illness: none

ID: 1057367
Sex: F
Age: 50
State: PA

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

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: history of MS, feels bilateral upper extremity weakness, throat tightness and a feeling of shortness of breath. Fortunately her O2 sat is 100% on room air, she is not tachypneic. Her lungs demonstrate no wheezing, her oropharynx is widely patent. She was observed for 3 hours after given Benadryl, Pepcid and Solu-Medrol, was able to ambulate to the bathroom. Still with some remaining symptomatology but appears more comfortable. Will discharge with close outpatient follow-up with PCP and neurologist. Recommended patient follow-up with her neurologist and her PCP regarding guidance regarding second vaccination dose as this did not truly represent an anaphylactic reaction but still symptoms could worsen with second vaccine.

Other Meds: bupropion HCl 150 mg oral Every morning cholecalciferol (vitamin D3) 5,000 Units oral Daily cyanocobalamin (vitamin B-12) 1,000 mcg oral Daily dimethyl fumarate 240 mg oral 2 times daily gabapentin 200 mg oral 3 times daily levothyro

Current Illness: unknown

ID: 1057368
Sex: F
Age: 79
State: NY

Vax Date: 02/20/2021
Onset Date: 02/21/2021
Rec V Date: 02/26/2021
Hospital:

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

Lab Data:

Allergies: Pneumovax - severe redness and swelling from shoulder to wrist in 2011 Azithromycin -rash and hives Lidocaine with Epinephrine - I get very hyper ( used for dental and local anesthesia) Perfumes and some other chemicals - not specifically known but produces nasal disturbances

Symptom List:

Symptoms: After almost two days of just minor pain in the arm area, the vaccination site became extremely red with pain and swollen and very hot. The area affected was approximately 7 inches by 5 inches and was like that for almost three days. For the last two days it has been itching in that area,still is on and off. I did not take any medications for it. I did apply ice packs to the area fairly regularly and even heat a few times.

Other Meds: HCTZ 12.5 mg., Amlodipine Besylate 5 mg. , Premarin 0.3mg. Vitamins: B complex, B-12 2000 mcg,, C 2000mg., D 25mcg, E 400 IU, Folic acid 800 mcg., Fish Oil 1200mg.

Current Illness: None

ID: 1057369
Sex: M
Age: 68
State: MD

Vax Date: 01/01/2021
Onset Date: 02/09/2021
Rec V Date: 02/26/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Admitted to ER on 2/19/21. CT scan showed two pulmonary embolisms one in each lung. I'm currently on blood thinners.

Other Meds: Lipitor 10 mg daily; Gabapentin 900mg twice a day

Current Illness: None

ID: 1057370
Sex: F
Age: 27
State: MN

Vax Date: 02/25/2021
Onset Date: 02/26/2021
Rec V Date: 02/26/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Sore arm, headache, malaise

Other Meds: None

Current Illness: None

ID: 1057371
Sex: M
Age: 59
State: TX

Vax Date: 02/24/2021
Onset Date: 02/24/2021
Rec V Date: 02/26/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Elevated BP and Heart Rate for 48 hours. Treatment was rest at home.

Other Meds: Pravastatin 20mg 1 time per day Prasugrel 10mg 1 time per day Aspirin 80 mg Losartan Potassium 75 mg daily

Current Illness: COVID December 24 to Jan 2 -

ID: 1057372
Sex: F
Age: 75
State: IN

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 02/26/2021
Hospital:

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

Lab Data:

Allergies: unknown

Symptom List:

Symptoms: patient was diaphoretic x 15 secs. symptoms resolved.

Other Meds: unknown

Current Illness: unknown

ID: 1057373
Sex: M
Age: 55
State: NJ

Vax Date: 02/16/2021
Onset Date: 02/17/2021
Rec V Date: 02/26/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: The following day I had abdominal pain and was diagnosed with appendicitis and underwent an appendectomy the day after that.

Other Meds: niacin 500 MG ER tablet atorvaSTATin 40 mg tablet omega-3 fatty acids 1000 MG capsule sacubitril-valsartan 49-51 MG Tabs per tablet (2x) metoprolol TARTRATE 50 MG tablet (2x) aspirin 81 MG tablet Topiramate (TOPAMAX PO) MAGNESIUM ASPARTATE

Current Illness: none

ID: 1057374
Sex: F
Age: 55
State: IL

Vax Date: 02/24/2021
Onset Date: 02/25/2021
Rec V Date: 02/26/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: FEVER, NAUSEA, HEADACHE, BODY ACHE

Other Meds:

Current Illness:

ID: 1057376
Sex: F
Age: 61
State: IA

Vax Date: 02/19/2021
Onset Date: 02/23/2021
Rec V Date: 02/26/2021
Hospital:

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

Lab Data:

Allergies: Nickel-rash

Symptom List:

Symptoms: On day 4 after receiving the vaccine I awoke with a sore throat. Then on day 6 after the vaccination I have a rash the circles the injection site. The rash also goes down about 5 inches below the injection site and goes around 1/2 of my upper arm.

Other Meds: Lisinopril 10 mg qd VitD 2000 IU qd Pravastatin 40 mg qd Victoza 0.6 qd Metformin 1000 bid Humera 0.4 every other week oxybutynin 5 mg qd Venlafaxine 150mg qd

Current Illness: None

ID: 1057377
Sex: F
Age: 76
State: WI

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/26/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: On the evening of the first vaccination, my sister experienced chills and fever. The next morning she experienced a kind of paralysis, could not sit up or stand up, was falling out of bed and out of her chair, had to be carried to the bathroom, although she usually can walk by herself. This lasted about a day. I took her to the ER where they excluded other possible causes of her condition and simiply attributed it to the vaccine. No treatment was prescribed.

Other Meds: Several anti-depressants and anti-psychotic medications

Current Illness: Covid infection 70 days before vaccination

ID: 1057378
Sex: M
Age: 77
State: NJ

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 02/26/2021
Hospital:

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

Lab Data:

Allergies: nka

Symptom List:

Symptoms: Patient said his neck felt itchy about 20 minutes after getting the vaccine. He said it was topical and localized. No problem breathing/swelling/shortness of breath. Said the itching was not internal, just externally. Gave him 25mg benadryl liquid. It did not change the itching but it also did not get any worse. Patient waited 30 minutes with no increase in symptoms and said he felt fine to go home.

Other Meds: aspirin 81mg metoprolol er 50 lisinopril 20 vitamin d 50,000 imdur 30 rosuvastatin 10 latanoprost 0.05%

Current Illness: n/a

ID: 1057379
Sex: F
Age: 25
State: PA

Vax Date: 02/16/2021
Onset Date: 02/24/2021
Rec V Date: 02/26/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Pt reported that she had soreness in arm after her 2nd vaccine. She reports that the person who gave it apologized that she hit her bone when injecting the needle into her arm. Pt can't lift arm due to shoulder pain since she received the vaccine.

Other Meds: Motrin and Tyenol

Current Illness: Unknown

ID: 1057380
Sex: F
Age: 34
State:

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

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

Lab Data:

Allergies: Sulfas

Symptom List:

Symptoms: lethargy, fever, chills, nausea, from 12 hours after to 48 hours after

Other Meds: none

Current Illness: none

ID: 1057382
Sex: F
Age: 34
State: TX

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 02/26/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: NA just wanted to let you know I was pregnant

Other Meds:

Current Illness:

ID: 1057383
Sex: F
Age: 42
State: UT

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/26/2021
Hospital:

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

Lab Data:

Allergies: Sulfa Penicillin Wasps Shrimp Mango

Symptom List:

Symptoms: I cannot think of an illness or previous vaccine response where I felt worse than I did following this vaccination. Fever 105.8F for roughly 54 hours. After the first 24 hours, the fever would reduce to about 103F with Tylenol. I continued to fever/chill intermittently (ranging from normal to 103F) until 5 days post-vaccination. Brain fog (inability to think or reason normally for about 5 days--the brain fog decreased over time--it was the worst when the ever was the highest) I took aspirin once, although I don't know why I chose aspirin and not Tylenol. I wasn't thinking very well. Rigors-duration of the fever, very strong and intense Body aches-severe Headache-possibly the worst I have ever experienced Fatigue Enlarged/swollen lymph node, very painful, (right side/side of vaccine)--roughly 2 1/2-3 inches in diameter. Weakness--barely able to get out of bed when I absolutely need to use the restroom. Required help. Nausea/Loss of appetite-I did not eat while the fever was high. I struggled to even drink water My reaction symptoms were what I anticipated but much for profound than I expected.

Other Meds: Prior to the vaccine=none After vaccine=Tylenol (as needed) and aspirin (one dose)

Current Illness: 02/03/2021: Allergies (the cat slept on my bed) or cold (lots of potential exposure to anything going around at vaccine clinics). Because we were doing 70+ vaccine clinics that day, out of an abundance of caution I tested for COVID just to make sure. The test was negative

ID: 1057384
Sex: F
Age: 79
State: UT

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: 7 days after getting Moderna vaccine (my first shot) my arm at injection site started itching.

Other Meds: Losartan; Omeprazole; Myrbetriq; Fish Oil; Senior Vitamin; Hydrochlorothiazide; D3-5000; Probiotic 10; Magnesium 400; Calcium 1200; Atorvastatin; Tylenol

Current Illness: None

ID: 1057385
Sex: F
Age: 76
State: AL

Vax Date: 02/20/2021
Onset Date: 02/26/2021
Rec V Date: 02/26/2021
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Allergies: Sulfa drugs and nickel

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Symptoms: 4 days after 2nd dose: hives all over my body and swelling of face and eyes. Called Telemedicine at Urgent Care Huntsville Hospital. Was given instructions to take 40 mg of Prednisone first day and taper off, 2-3 doses of antihistamine and Hydrocortisone on welts. Needed to go to ER for IV if face swelling did not go down. Today (second day after call): Face swelling is down but hives are possibly worse (large welts over large portion of body plus on hands and feet and chin)

Other Meds: None

Current Illness: None

ID: 1057386
Sex: F
Age: 70
State: CA

Vax Date: 02/24/2021
Onset Date: 02/25/2021
Rec V Date: 02/26/2021
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Allergies: Penicillin, sulfa, septra

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Symptoms: Stiff neck, headache, joint and muscle aches. Some tightness in chest and mild cough. Treated with Tylenol.

Other Meds: Omeprazole, zetia, simvastatin, simethicone

Current Illness:

ID: 1057388
Sex: M
Age: 53
State: FL

Vax Date: 02/19/2021
Onset Date: 02/19/2021
Rec V Date: 02/26/2021
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Allergies: nka

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Symptoms: Severe shoulder pain, unable to lift arm. Pain and restricted movement persistent for 1 week without improvement in intensity. Points to injection site

Other Meds: acetaminophen, dexlansoprazole, ibuprofen, cetirizen, Mucinex D, sumatriptan, pregabalin

Current Illness:

ID: 1057389
Sex: F
Age: 81
State: MN

Vax Date: 02/15/2021
Onset Date: 02/24/2021
Rec V Date: 02/26/2021
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Symptoms: Patient developed an itchy red area on the top front of her arm about 9 days after her vaccination. It was not at the site of injection., but starting at the shoulder bone and down about 5 inches by 2 and 1/2 inches wide. She states it is warm to the touch

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Current Illness:

ID: 1057390
Sex: F
Age: 41
State: NJ

Vax Date: 02/24/2021
Onset Date: 02/25/2021
Rec V Date: 02/26/2021
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Allergies: Previously - not at this time

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Symptoms: Large 2 1/2 inch welt painful and warm to touch, itchy.

Other Meds: Nexium Multivitamin Xyzal Refrigerated probiotic Tylenol

Current Illness: none

ID: 1057391
Sex: F
Age: 71
State: PA

Vax Date: 02/24/2021
Onset Date: 02/26/2021
Rec V Date: 02/26/2021
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Allergies: DIlaudid Rag Weed

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Symptoms: Conjunctivitis in the left eye

Other Meds: Amor Thyroid 32.5 mg daily Vitamins : D31000 daily; Calcium ; B complex ; Magnesium Citrate Indomethacin 25 mg occasionally form Ankylosing Spondilitis

Current Illness: Chronic arthritis Ankylosing Spondylitis Tooth implant surgery

ID: 1057392
Sex: F
Age: 68
State: AZ

Vax Date: 02/20/2021
Onset Date: 02/22/2021
Rec V Date: 02/26/2021
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Allergies: E Mycin

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Symptoms: I have itching all over my body, but especially behind knees and around my waistline where my pants fasten. Sometimes it is between my thighs.

Other Meds: Synthroid, Claritin, Vitamin B12, Vitamin B9, NAC, Lorazapem, Zolpidem, Probiotic, Vitamin C, Vitamin D, Biotin, Lysine, Spirulina

Current Illness: Burning tongue and food caught in back of throat

ID: 1057393
Sex: F
Age: 71
State: TX

Vax Date: 02/25/2021
Onset Date: 02/26/2021
Rec V Date: 02/26/2021
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Allergies: Coumadin [Warfarin (Bulk)]Hypotension Actifed Allergy Daytime/nightRash Adhesive TapeItching, Rash Amoxil [Amoxicillin]Rash Betadine [Povidone-iodine] Ciprofloxacin Claritin [Loratadine]Rash Clindamycin Dexamethasone Sodium PhosphateRash HydrocodoneItching Iodine OtherRash Pseudoephedrine-dm-guaifenesinRash Sulfa (Sulfonamide Antibiotics) Triprolidine-pseudoephedrine Zithromax [Azithromycin]Rash

Symptom List:

Symptoms: Shortly after receiving the vaccine the patient complained of a headache and nausea

Other Meds: Aspirin 81mg Zestoretic 10-12.5mg

Current Illness: N/A

ID: 1057394
Sex: M
Age: 65
State: IN

Vax Date: 12/22/2020
Onset Date: 02/10/2021
Rec V Date: 02/26/2021
Hospital: Y

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Allergies: None.

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Symptoms: Acute renal failure, needed dialysis.

Other Meds: amlodipine 5 mg metoprolol 100 mg prilosec 20 mg losartan 25 mg

Current Illness: None

ID: 1057395
Sex: M
Age: 40
State: TN

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 02/26/2021
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Allergies: NONE

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Symptoms: 10:05 AFTER RECEIVING INJECTION TO L DELTIOD CLIENT C/O MOUTH AND BACK OF TONGUE SWELLING. B/P 150/112, R-18 EVEN AND UNLABORED, P-86 AND REGULAR. CLIENT ALERT AND ORIENTED. FACE AND TONGUE ASSESSED; NO SIGNS OF SWELLING NOTED. FACIAL SKIN TONE APPEAR PALE AND ASHEN. NO SWEATING OBSERVED. CLIENT REFUSED EPI INJECTION. 911 CALLED. 10:15- B/P 162/128 R- 18 EVEN AND UNLABORED, P-68 AND REGULAR. CLIENT IS SPEAKING WITHOUT DIFFICULTY. ALERT AND ORIENTED. CLIENT CONTINUES TO APPEAR PALE WITH NO SWEATING. CLIENT CONTINUES TO REPORT TONGUE FEELING "NUMB". ADVISED CLIENT TO DISCUSS 2 ND WITH PCP. 10:18-B/P 165/122 BY EMS. CLIENT ALERT AND ORIENTED. SPEAKING. RESPIRATION UNLABORED. 10:25- CLIENT LEFT FACILITY VIA EMS ALERT AND ORIENTED TIMES 5.

Other Meds: NONE

Current Illness: NONE

ID: 1057396
Sex: M
Age: 73
State: MI

Vax Date: 02/04/2021
Onset Date: 02/08/2021
Rec V Date: 02/26/2021
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Allergies: None

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Symptoms: Four days after the vaccine, episodes of explosive diarrhea began. They are ongoing.

Other Meds: Lutein and zeaxanthin supplement, melatonin

Current Illness: None

ID: 1057397
Sex: F
Age: 26
State: VA

Vax Date: 02/24/2021
Onset Date: 02/25/2021
Rec V Date: 02/26/2021
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Allergies: None

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Symptoms: Vomiting, fever, chills, diarrhea, body aches, cough, shortness of breath, fatigue,

Other Meds: Pantoprazole

Current Illness: None

Date Died:

ID: 1057547
Sex: M
Age:
State: TX

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Rec V Date: 02/26/2021
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Symptoms: 86 year old manager received the two doses of the Moderna vaccine and died; A spontaneous report was received from a consumer, concerning an 86-year-old, male patient who received Moderna's COVID-19 vaccine (mRNA-1273) and passed away. The patient's medical history was not provided. No relevant concomitant medications were reported. On an unspecified date, the patient received their doses of mRNA-1273 (Lot number: unknown) through an unknown route in an unknown arm for prophylaxis of COVID-19 infection. On an unspecified date, it was reported that the patient passed away after receiving both doses. The cause of death was unknown. It was unknown if an autopsy was performed. The patient received both scheduled doses of mRNA-1273 prior to the event; therefore, action taken with the drug in response to the events is not applicable. The outcome of event "86 year old manager received the two doses of the Moderna vaccine and died" was fatal.; Reporter's Comments: Very limited information regarding this event has been provided at this time. No autopsy report provided. Further information has been requested.; Reported Cause(s) of Death: 86 year old manager received the two doses of the Moderna vaccine and died

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Current Illness:

ID: 1057548
Sex: M
Age: 55
State:

Vax Date: 01/02/2021
Onset Date: 01/30/2021
Rec V Date: 02/26/2021
Hospital: Y

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Symptoms: bilateral pulmonary embolism; multiple areas of infarct; back pain; ateltheisis; chest pain; left leg pain; deep vein thrombosis; pulmonary effusions; fever; Chills; myalgia; A spontaneous report was received from a physician who was also a 55-year-old, previously healthy male patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced fever/pyrexia, chills, myalgia, chest and back pains, bilateral pulmonary embolism/pulmonary embolism, multiple areas of infarct/pulmonary infarct, ateltheisis/atelectasis, left leg pain, and deep vein thrombosis. The patient's medical history included daily exercise and no personal or family history of clotting issues and no trauma. Products known to have been used by the patient were not provided. On 02 Jan 2021, prior to the onset of the events, the patient received the first of two planned doses of mRNA-1273 (Lot number: 039k20-2a) intramuscularly for prophylaxis of COVID-19 infection. On 30 Jan 2021, approximately 28 days after the first dose, and prior to the onset of symptoms, the patient received the second of two planned doses of mRNA-1273 (Lot number: 012m20a) intramuscularly for the prophylaxis of COVID-19 infection. On 30 Jan 2021, the patient reports that for the first 18 hours, he experienced fever, chills and myalgia. On 01 Feb 2021, the patient reports that he thought the myalgia was continuing, as he had pain in his chest and back. The chest pains gradually worsened. On 05 Feb 20221, the patient went to the emergency room and was admitted. He was diagnosed with a pulmonary embolism. He was started on enoxaparin sodium but switched to apixaban. A computerized tomography study of the lungs showed that he had bilateral pulmonary embolism, multiple areas of infarct and atelectasis. His dimer was 4800. COVID-19 test was negative. An echocardiograph was performed, no results were reported. An ultrasound of the legs was performed and ruled out deep vein thrombosis. Date of discharge was not specified. On an unknown date two days after discharge, the patient experienced left leg pain and returned to the emergency department. Patient was diagnosed with deep vein thrombosis that ran the entire length of the femoral artery. Patient was switched back to enoxaparin sodium and taken off the apixaban. A repeat computerized tomography study was done to see if the pulmonary embolism was progressing and it was not, however, it showed pulmonary effusions. All current lab work was reported as normal, except for an increased prothrombin time. COVID-19 test was negative. Patient continues to be followed by a pulmonologist and hematologist. Consent to contact patient, pulmonologist and hematologist was obtained. Action taken with mRNA-1273 was not applicable. The outcome of the events, fever/pyrexia, chills, myalgia, chest and back pains, bilateral pulmonary embolism/pulmonary embolism, multiple areas of infarct/pulmonary infarct, ateltheisis/atelectasis, left leg pain, and deep vein thrombosis, was considered not resolved.; Reporter's Comments: Very limited information regarding this events has been provided at this time. Further information has been requested. Company assessed the events to be unlikely related to company product.

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Current Illness:

ID: 1057549
Sex: F
Age:
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Rec V Date: 02/26/2021
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Symptoms: My first vaccine I received it gluteal; A spontaneous report was received from a consumer regarding themselves, a patient of unreported age and sex regarding receiving the fist dose of Moderna's mRNA-1273 vaccine via the gluteus muscle/inappropriate route of administration. The patient's medical history was not included. Products known to have been used by the patient were not provided. On an unspecified date, the patient received the first of two planned doses of mRNA-1273 (Lot number: unknown) intramuscularly in the gluteus for prophylaxis of COVID-19 infection. Patient was given the injection into the gluteus muscle and not the deltoid muscle. Consent to contact was obtained. Treatment information was not provided. Action taken with mRNA-1273 was not reported. The outcome of the events, dose being administered in the gluteus and not the deltoid muscle, was considered resolved.; Reporter's Comments: This case concerns a female of unknown age who experienced nonserious unexpected event of Incorrect route of product administration with mRNA-1273 (Lot # unknown), with no associated adverse events. Reporter stated that the injection was given into the gluteus muscle and not the deltoid muscle. The event occurred the same day as the first dose of mRNA-1273. Very limited information has been provided at this time. Further information has been requested.

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Current Illness:

ID: 1057550
Sex: F
Age:
State: TN

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 02/26/2021
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Symptoms: has sporadic a-fib (at baseline); She stated she was in real bad stroke territory; she felt like she was going to faint; Her blood pressure was 220/97; tingling in her hands and feet; felt like brain sizzling like it was frying/going to faint; This is a spontaneous report from a contactable consumer, the patient. A 79-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, Lot EN9581, first dose) solution for injection intramuscular in the left arm on 06Feb2021 at 09:30 (at the age of 79-years-old) as a single dose for COVID-19 vaccination. Medical history included ongoing sporadic A fib (atrial fibrillation) for 6 years know about; allergy to polyethylene glycol in 1985 (she had difficulty taking birth, control pills and they found out it was the coating PEG in); cerebrovascular accident prophylaxis; in 1985 She had difficulty taking birth control pills and they found out it was the coating PEG in it. She had an allergy to this where she broke out in bumps on her fingers and mouth and had itchy eyes, a full blown allergy; and when she was 45 going through menopause. Concomitant medication included apixaban (ELIQUIS) for A fib and cerebrovascular accident prophylaxis. The patient did not receive any other vaccine within 4 weeks prior to the vaccine. On 06Feb2021, the patient had sporadic a-fib (at baseline) then put in a medical van requiring emergency room visit. The patient stated, She stated she was in real bad stroke territory, felt like she was going to faint (6 minutes after vaccination), blood pressure was 220/97, tingling in her hands (6 minutes after vaccination) and feet and felt like brain sizzling like it was frying/going to faint (6 minutes after vaccination) on 06Feb2021. Lab tests included blood pressure on an unknown date high 150s and never lower than 187, then on 06Feb2021 was 220/97, on 09Feb2021 was systolic blood pressure 180, then on 10Feb2021 had gone down. The outcome of the events atrial fibrillation and feeling unwell was recovered on 06Feb2021, after 3 hours. The outcome of the events stroke, faint and tingling of extremity was unknown. The outcome of the event blood pressure was 220/97 was recovered on 10Feb2021.

Other Meds: ELIQUIS

Current Illness: AFib (6 years know about)

Total 2021 VAERS Injuries: 362,686

Page last modified: 03 October 2021 5:28pm