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: 1060073
Sex: F
Age: 32
State: AZ

Vax Date: 02/25/2021
Onset Date: 02/26/2021
Rec V Date: 02/27/2021
Hospital:

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

Lab Data:

Allergies: N/a

Symptom List: Dysphagia, Epiglottitis

Symptoms: Covid arm, extreme tenderness, numbness, redness/heat, arm firm

Other Meds: N/a

Current Illness: N/a

ID: 1060074
Sex: F
Age: 73
State: UT

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/27/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Anxiety, Dyspnoea

Symptoms: extreme fatigue,sore guns,canker sores,loss of appetite,diarrhea, rectal bleeding, no smell, no taste, extreme thirst rash on front of both legs and both arms,night sweats, runny nose

Other Meds: armour,azathioprie, budiesonide,celebrex, estradiol,metformin,pantoprazole,,zocor, calcium,vit d, aspirin 81 mg

Current Illness: none

ID: 1060075
Sex: M
Age: 80
State: WV

Vax Date: 02/27/2021
Onset Date: 02/27/2021
Rec V Date: 02/27/2021
Hospital:

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

Lab Data:

Allergies: Unknown

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

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA- Received Moderna Covid-19 Vaccine on 1/29/2021. Received Pfizer BioNTech COVID-19 Vaccine today

Other Meds: Unknown

Current Illness: Unknown

ID: 1060076
Sex: F
Age: 63
State: CO

Vax Date: 02/11/2021
Onset Date: 02/16/2021
Rec V Date: 02/27/2021
Hospital:

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

Lab Data:

Allergies: penicillin, sulfa

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Rash on face - red, dry patches, some bumps, itching,burning Treated with topical antihistamine

Other Meds: herbal supplements

Current Illness: none

ID: 1060077
Sex: M
Age: 36
State: NJ

Vax Date: 02/25/2021
Onset Date: 02/26/2021
Rec V Date: 02/27/2021
Hospital:

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

Lab Data:

Allergies: Aspartame and Sucralose

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

Symptoms: Dizziness in waves. Not dizzy, then a sudden burst of dizziness and feeling faint for several minutes, then feeling not dizzy. Feverish, chills. Dizziness got worst on the second day after vaccine injection. For item 21, I?m still on the second day and very dizzy. Considering going to the doctor since dizziness is not listed as a symptom

Other Meds: Aleve

Current Illness: None

ID: 1060078
Sex: F
Age: 69
State: AR

Vax Date: 02/23/2021
Onset Date: 02/24/2021
Rec V Date: 02/27/2021
Hospital:

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

Lab Data:

Allergies: Sulfa drugs

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

Symptoms: I woke up during night after vaccine, and couldn't move on my whole right side of body. Extreme pain in joints and muscles. My chest was in the same pain. The next morning it got better but still have symptoms. Aching and tingling in legs and aching in shoulders.

Other Meds: Oxazepam; Dicyclomine

Current Illness: No

ID: 1060079
Sex: F
Age: 44
State: OH

Vax Date: 02/27/2021
Onset Date: 02/27/2021
Rec V Date: 02/27/2021
Hospital:

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

Lab Data:

Allergies: Gluten

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: The patient felt more pressure on her eyes than usual. She stated that her eyes felt different, there were halos on the lights, itchy eyes, itchy throat, and her body felt warmer. She had an increased blo0od pressure of 150/100mmHg.

Other Meds: No current medications

Current Illness: None

Date Died: 01/16/2021

ID: 1060080
Sex: F
Age: 101
State: CA

Vax Date: 01/13/2021
Onset Date: 01/16/2021
Rec V Date: 02/27/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Pharyngeal swelling

Symptoms: Death

Other Meds: none

Current Illness: none

ID: 1060081
Sex: F
Age: 73
State: WA

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

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

Lab Data:

Allergies: tetanus shot, aspartame, very mild lasix

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Extremely mild: headache, site injection soreness. Mild: difficulty breathing - required oxygen & sleepiness. Also, antagonized my dry eye problem - requiring drops every couple of hours round the clock instead of just twice a day.

Other Meds: Sotalol, sertraline, losartan, furosemide, melatonin

Current Illness:

ID: 1060082
Sex: F
Age: 69
State: PA

Vax Date: 02/25/2021
Onset Date: 02/26/2021
Rec V Date: 02/27/2021
Hospital:

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

Lab Data:

Allergies: Palm Oil

Symptom List: Diarrhoea, Nasal congestion

Symptoms: 02/25/2021 Pfizer-BioNTech COVID-19 Vaccine EUA 02/26/2021 Mild soreness at site of injection 1 day after first shot; soreness only on that day - no longer sore 02/27/2021 Fever 100.2 degrees F and fatigue 2 days after first shot; took (2) 325mg of Tylenol gel caps and rested/slept

Other Meds: none

Current Illness: none

ID: 1060083
Sex: F
Age: 27
State: CA

Vax Date: 02/26/2021
Onset Date: 02/27/2021
Rec V Date: 02/27/2021
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: Migraine; chills. Migraine treated with NSAIDs painkiller. 2 tablets did not help over the course of 2 hours.

Other Meds: Cetirizine

Current Illness: Seasonal allergies

Date Died: 02/27/2021

ID: 1060084
Sex: M
Age: 66
State: AL

Vax Date: 02/19/2021
Onset Date: 02/27/2021
Rec V Date: 02/27/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Rash, Urticaria

Symptoms: Death in the field approximately 1 week after unknown covid vaccination. Unknown time of death. Found by family who hadn't spoke to pt in almost a week.

Other Meds: Atenolol

Current Illness: Copd, htn

ID: 1060085
Sex: F
Age: 26
State: CA

Vax Date: 02/27/2021
Onset Date: 02/27/2021
Rec V Date: 02/27/2021
Hospital:

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

Lab Data:

Allergies: NKA

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

Symptoms: 1439 Patient states that she was looking at her phone and noticed an increased heart rate. Patient states that she could hear her heartbeat in her ears. Patient assessed. VItals BP 115/70, P 103, O2 97%, R 18. Alert and oriented x 4. Will monitor for 30 minutes. 1509 Vitals BP 115/68, P 97, O2 98%, R 16, alert and oriented x 4. Patient states that symptoms subsided. Patient discharged.

Other Meds: Birth control, Vitamin C, Vitamin D, Biotin, Probiotics

Current Illness: None

ID: 1060086
Sex: F
Age: 38
State: OR

Vax Date: 02/12/2021
Onset Date: 02/23/2021
Rec V Date: 02/27/2021
Hospital:

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

Lab Data:

Allergies: morphine and related

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

Symptoms: large, warm, red area around injection site, remained this way for 11 days post vaccination, referred to pcp for possible infection

Other Meds: none

Current Illness: none

ID: 1060087
Sex: F
Age: 41
State: AK

Vax Date: 02/27/2021
Onset Date: 02/27/2021
Rec V Date: 02/27/2021
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: Significant lightheadedness, multiple spikes in heart rate

Other Meds: Multivitamin; St John's Wort, fish oil

Current Illness: None

ID: 1060088
Sex: F
Age: 50
State: NC

Vax Date: 02/25/2021
Onset Date: 02/26/2021
Rec V Date: 02/27/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: joint pain, body aches, chills, fever, a little nausea, painful, silver dollar size swelling and redness at injection site

Other Meds: Trintellix, Levothyroxide, Terbinafine, Multivitamin, Vitamin D, Vitamin B complex, Eye Health vitamin, Hair, skin, & Nail vitamin,

Current Illness: no

ID: 1060089
Sex: F
Age: 67
State: AK

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 02/27/2021
Hospital:

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

Lab Data:

Allergies: Amoxicillin Penicillin Iodinated Contrast

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

Symptoms: In addition to recognized side effects, approximately 24 hours after injection, I experienced sudden-onset severe pain in my right shoulder that traveled through my biceps and into my elbow. On a scale of 1-10, I?d rate the severity as a 10. This lasted approximately 15 minutes. Over the ensuing 5 days I had noticeable but tolerable intermittent right arm pain. Then beginning on the 10th day following injection, I experienced sudden and severe right shoulder pain that traveled down my biceps into my elbow again. I'd rate the pain at a 9 on the same scale. This time however, the pain started around 11 pm and did not subside. I tried sleeping but couldn?t. I got up and spent the rest of the night holding my arm to immobilize it, however that did nothing to stop the pain. It was about 5 am when I finally took 50 mg diclofenac and in about 2 hours the pain subsided to a tolerable 4 on the same pain scale. As the day wore on, the pain increased again to a level 9 without medication so I continued with 50 mg diclofenac every 8 hours over the following 4 days and knocked it back to a level 3. This pain has occurred in my right shoulder, biceps, elbow, forearm and even my fingers and intensifies toward evening. I have been able to tolerate the pain without medication at about a level 3 for the past 2 days. However, I take a 50 mg tab of diclofenac an hour or 2 before bed as the pain intensifies toward evening. This has allowed me to sleep through the night. In addition to the arm pain I developed muscle weakness in my right biceps about 3 days ago and am unable to lift my right arm above my head. The pain is not what prevents the movement. It?s as though my arm is not receiving the nerve impulse to move. Taking all of this together, I?d say that immunization appears to have triggered Parsonage Turner Syndrome. As I understand this immune-mediated syndrome, several events can trigger it, including immunization. I experienced this phenomenon one other time, approximately 2 years ago but did not correlate it to a vaccination at the time. This time it?s too apparent. I wonder how many other reports you?ve received that are like this and whether the vaccines will trigger the same reactions. I also wonder now whether I should receive a Moderna ?booster? if needed in the near to long term. I have no interest in going through this event a

Other Meds: Vitamin B-12

Current Illness: none

ID: 1060090
Sex: F
Age: 43
State:

Vax Date: 02/12/2021
Onset Date: 02/25/2021
Rec V Date: 02/27/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Fatigued for 3 days after upper respiratory symptoms improved. Difficulty with daily tasks secondary to fatigue. No treatment needed.

Other Meds: none

Current Illness: mild cough

ID: 1060091
Sex: M
Age: 66
State: CA

Vax Date: 02/27/2021
Onset Date: 02/27/2021
Rec V Date: 02/27/2021
Hospital:

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

Lab Data:

Allergies: amoxicillin , amlodipine , lisinopril

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: 4 ROUND RING RASHES ON ABDOMEN. SIZE OF QUARTER (25 CENTS)IN A ROW FROM UNDER HEART FOLLOWING RIB CAGE TO LEFT. DOES NOT ITCH, YET!JUST THERE!

Other Meds: symbicort , hydrochlorathiazide, losartan

Current Illness: none

ID: 1060092
Sex: M
Age: 52
State: KY

Vax Date: 02/18/2021
Onset Date: 02/18/2021
Rec V Date: 02/27/2021
Hospital:

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

Lab Data:

Allergies: None that are known

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

Symptoms: Within 5 minutes of shot had rapid heart beat and trouble breathing. Removed face mask and heart rate and breathing returned to normal within 5 minutes

Other Meds: None

Current Illness: None

ID: 1060093
Sex: F
Age: 22
State: CA

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 02/27/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: came to urgent care on 2/27/2021 complaining of burning and itching -- entire body after vaccination. Also bodyaches and "small red bumps " to scalp Solumedrol IM given

Other Meds:

Current Illness:

ID: 1060094
Sex: M
Age: 37
State: NY

Vax Date: 02/25/2021
Onset Date: 02/26/2021
Rec V Date: 02/27/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Unevaluable event

Symptoms: Rash on back of legs. Sore throat. Fatigue

Other Meds: None

Current Illness: None

ID: 1060095
Sex: F
Age: 54
State: OR

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 02/27/2021
Hospital:

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

Lab Data:

Allergies: Anaphylactic rxn to taxotere, rash and tongue swelling with soltamox, mood dysphoria morphine, reactive hypoglycemia with steroid, joint tear levaquin, gut disturbance from sulfate, gluten, corn, and some nuts, and gut problem and migraine and congestion from dairy or lactose, sensitivity to metals and fumes chemicals in cigarette or charcoal fires and Diesel engines

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

Symptoms: Left side of face ear area fullness numbness progressed later to numb lip on left side and poor vision in left eye , chest pain in center of chest and walking imbalance

Other Meds: Vitamin E 400 iu, and D 1000 mg, multivitamin for women, calcium supplement, 1 mg anastrozole (compounded formula of cellulose powder and anastrozole crystalline powder), Benadryl

Current Illness: Hoarse throat and congestion possible from cat in house

ID: 1060096
Sex: M
Age: 45
State: NY

Vax Date: 02/25/2021
Onset Date: 02/27/2021
Rec V Date: 02/27/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Injection site pain, Pain

Symptoms: Covid arm: slight rash on site of injection. Minor swelling and itching. Used cortisone cream for relief. This stopped the itching and swelling. 2 hours later no sign of rash.

Other Meds: Probiotics

Current Illness: None

ID: 1060097
Sex: F
Age: 71
State: IN

Vax Date: 02/13/2021
Onset Date: 02/21/2021
Rec V Date: 02/27/2021
Hospital:

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

Lab Data:

Allergies: Sulfa drugs Outdoor allergies

Symptom List: Injection site pain, Menorrhagia

Symptoms: I received the first dose on February. 13th at 10:56 AM. in my right arm. I experienced pain and swelling at that time. On February 21st during the night I began to feel itching at the sight. After awakening on the 22nd. I noticed an itchy rash that I still have today on February 26th. The itch is subsiding but the rash appears to be spreading. I call my pcp on February 23rd and told to take two Zyrtec 10 mg each and apply Benadryl cream 3 times a day. The doctor did not believe I needed to be seen when I called to report the problem.

Other Meds: Premarin 0.425 Calcium+vitamin D Fish Oil 1400 mg Multivitamin Meloxicam 7.5 Mg Aller-tec 10 mg

Current Illness: None

ID: 1060098
Sex: F
Age: 38
State: IA

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

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

Lab Data:

Allergies:

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

Symptoms: Fever/chills and exhaustion for about 8 hours

Other Meds:

Current Illness:

ID: 1060099
Sex: F
Age: 48
State: NC

Vax Date: 02/27/2021
Onset Date: 02/27/2021
Rec V Date: 02/27/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Patient reported feeling anxious and warm after receiving the vaccine. Her heart rate was 130 at the time. Subsequent readings: BP 160/110 O2 Sat 95% HR 119 BP 196/120 O2 Sat 96% HR 125 Patient was transported to the hospital.

Other Meds:

Current Illness:

ID: 1060100
Sex: F
Age: 54
State: AK

Vax Date: 02/12/2021
Onset Date: 02/27/2021
Rec V Date: 02/27/2021
Hospital:

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

Lab Data:

Allergies: tramadol, sulfa, tizanidine, buprenorphine, Levaquin family, gabapentin

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Today, day 15, got a 4" red rash which is a bit hot and hard on left upper arm .

Other Meds: baclofen, atorvastatin, Zyrtec, Flonase, magnesium chelate, Montelukast, rhinase, melatonin, b12, vitamin d, Synthroid

Current Illness: none

ID: 1060101
Sex: F
Age: 21
State: NY

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

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

Lab Data:

Allergies:

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

Symptoms: A feeling of a loss of circulation flushing through arms, face, and chest. Went to urgent care, an EKG was taken but symptoms were dismissed as irrelevant. Sensations continued through the night and into the next day (still present but slightly dulled)

Other Meds: Claritin

Current Illness:

ID: 1060102
Sex: F
Age: 70
State: CA

Vax Date: 02/27/2021
Onset Date: 02/27/2021
Rec V Date: 02/27/2021
Hospital:

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

Lab Data:

Allergies: unknown

Symptom List: Nausea

Symptoms: EMT noticed client, (DOB 7/1/1950), was sitting in post-vaccine waiting area with flushed face within 15 min of receiving the COVID vaccine (Pfizer, lot #EN6202, expiration date 6/30/2021, dose 1). EMT approached client, asked how she was feeling, client reported feeling fine. At 1337 EMT took oxygen saturation 98% and pulse 96. EMT informed PHN of client's condition and possible language barrier. EMT stayed with client as PHN called over client's family member who was waiting outside. Family member used FaceTime to call client's daughter for help with translation. Per client's daughter, client suffers from anxiety, asthma, hypertension and hyperlipidemia. EMT took vital signs: blood pressure 140/Palpated, respiratory rate 24, oxygen saturation 97%, pulse 96. Client's list of medications: diltiazem, clopidogrel, atorvastatin, Montelukast, albuterol sulfate, incruise Ellipta, flucatisone propionate, vitamin D, famotidine, benzonatate, losartan, gabapentin, duloxetine, prednisone, and vitamin C. Client's daughter translated and reported that client felt anxious, warm, and had difficulty breathing similar to her asthma flares. PHN noted client's arm was warm to touch, face flushed, anxious movement as noted by repeated touching chest and face, no use of accessory muscles noted. At 1346, vital signs: oxygen saturation 95%, pulse 92, blood pressure 138/70, respiratory rate 24. At 1350, PHN offered client benadryl, client consented and took 2 capsules of benadryl (50mg dose) orally. At 1352, client moved to chair outside on patio in front of CWS in the shade as offered by PHN, gait steady and assisted by family member. At 1352, client signaled to family member that she felt better, PHN noted decreased flushing, posture relaxed with arms at sides while sitting in chair outside. At 1402, PHN advised client and family member to have client follow up with PCP within 24hrs or as soon as possible thereafter. At 1413, vital signs: oxygen saturation 96%, pulse, 84, blood pressure 140/90, respiratory rate 16. PHN noted client yawning, no redness noted in face, no longer warm to touch at 1415. At 1427 vital signs: oxygen saturation 97%, pulse 85, blood pressure 140/100, respiratory rate 16; PHN advised to call 911 if adverse reaction occurs. At 1430, client left, gait steady, with family member to the car. Family member drove.

Other Meds: diltiazem, clopidogrel, atorvastatin, Montelukast, albuterol sulfate, incruise Ellipta, flucatisone propionate, vitamin D, famotidine, benzonatate, losartan, gabapentin, duloxetine, prednisone, and vitamin C.

Current Illness: unknown

ID: 1060103
Sex: F
Age: 46
State: WA

Vax Date: 02/27/2021
Onset Date: 02/27/2021
Rec V Date: 02/27/2021
Hospital:

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

Lab Data:

Allergies: nkda

Symptom List: Injection site pain

Symptoms: Approx six minutes post vaccination the patient began to develop hives on her chest and mid-back. Self-resolved with time. No medication administered.

Other Meds: hctz

Current Illness: no

ID: 1060104
Sex: F
Age: 56
State: WA

Vax Date: 01/24/2021
Onset Date: 02/02/2021
Rec V Date: 02/27/2021
Hospital:

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Lab Data:

Allergies: GI reaction to mollusks

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

Symptoms: Covid arm - injection site reaction, red, itchy, hot to the touch No treatment resolved on it?s own after about a week

Other Meds: Lisinopril, levo thyroxine, statin, metformin, vitamin D, calcium

Current Illness: None

ID: 1060105
Sex: F
Age: 65
State: TX

Vax Date: 02/25/2021
Onset Date: 02/26/2021
Rec V Date: 02/27/2021
Hospital:

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Lab Data:

Allergies: Sulfa

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

Symptoms: Shivering, fever >101, body aches with back and leg pain, nausea x 20 hours

Other Meds: Lopressor Aspirin Omega-3 Tumeric Multivitamin

Current Illness: none

ID: 1060106
Sex: F
Age: 69
State: TN

Vax Date: 02/19/2021
Onset Date: 02/27/2021
Rec V Date: 02/27/2021
Hospital:

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Lab Data:

Allergies: Allergic to ether.

Symptom List: Tremor

Symptoms: On 8th day after vaccine, left arm became uncomfortable then tender, hard knot came up close to site of shot, then a rash developed on the knot.

Other Meds: Amlodipine-Benazepril 5-40mg; Simvastatin 40 mg; Pantoprazole Sod Dr. 40 mg; Sucrafate 1 GM; fish oil, calcium, senior multivitamin; Areds2.

Current Illness: None.

ID: 1060107
Sex: F
Age: 80
State: CA

Vax Date: 02/27/2021
Onset Date: 02/27/2021
Rec V Date: 02/27/2021
Hospital:

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Lab Data:

Allergies: Penicillin

Symptom List: Erythema, Pruritus

Symptoms: Patient reported tongue was tingling and felt "thick". She said she could "taste" the vaccine and had ringing in her ears.

Other Meds: BP meds

Current Illness:

ID: 1060108
Sex: M
Age: 52
State: NY

Vax Date: 01/18/2021
Onset Date: 02/01/2021
Rec V Date: 02/27/2021
Hospital:

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Lab Data:

Allergies:

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

Symptoms: Pt states he developed Bell's palsy two weeks after his first Covid vaccine. He states he saw his PCP. His PCP recommended he still get the second injection-but to put it off as long as possible. Pt said the symptoms from Bell's Palsy have entirely resolved.

Other Meds:

Current Illness:

ID: 1060109
Sex: F
Age: 49
State: MO

Vax Date: 02/24/2021
Onset Date: 02/25/2021
Rec V Date: 02/27/2021
Hospital:

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Lab Data:

Allergies: Doxycycline

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

Symptoms: Fever and body aches for one day the day after. Then 2/26 got large swollen area in underarm of arm where got shot and it is extremely painful.

Other Meds: Percocet, Tylenol, tramadol, atarax and flexeril

Current Illness:

ID: 1060110
Sex: F
Age: 17
State: TX

Vax Date: 02/22/2021
Onset Date: 02/22/2021
Rec V Date: 02/27/2021
Hospital:

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Lab Data:

Allergies: amoxicillin

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Patient came with her mother to get the meningococcal vaccine. After the vaccine mother was waiting for immunization documentation while the patient left the immunization area and was seated in the stores health self-screening machine next to her mother. Patient fainted and she was immediately laid flat on her back at which point she recovered and stood up. Code white was called, but not 911. They where asked to remained in the pharmacy area for approx 20 minutes seated which they complied. When they were ready to leave the store manager brought over a wheelchair and she was wheeled to their vehicle.

Other Meds:

Current Illness:

ID: 1060111
Sex: F
Age: 54
State: LA

Vax Date: 02/24/2021
Onset Date: 02/25/2021
Rec V Date: 02/27/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
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Lab Data:

Allergies: Latex

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

Symptoms: Low grade fever, chills, headache, lethargic , no appetite , ear ache, slight cough.

Other Meds: None

Current Illness: None

ID: 1060112
Sex: F
Age: 58
State: UT

Vax Date: 02/05/2021
Onset Date: 02/10/2021
Rec V Date: 02/27/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: None

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

Symptoms: I have had 3 bloody noses lasting about a half an hour every 5 to 7 days. I had never had a bloody nose in my life up to this vaccine. They are hard to clot.

Other Meds: None

Current Illness: None

ID: 1060113
Sex: M
Age: 17
State: MD

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

Vax Type:
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Lab Data:

Allergies:

Symptom List: Pain in extremity

Symptoms: Patient 17 years old and 5 months and given the covid vaccine

Other Meds:

Current Illness:

ID: 1060114
Sex: F
Age: 29
State: NY

Vax Date: 01/16/2021
Onset Date: 01/24/2021
Rec V Date: 02/27/2021
Hospital:

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Lab Data:

Allergies: Benzoyl peroxide

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

Symptoms: Rash about 1 inch in diameter appeared on left arm at injection site on day 8 after injection. Itchiness, swelling, and redness. Lasted one day.

Other Meds: Levonorgestrel and Ethinyl Estradiol 0.15mg/0.03mg (Daily) Amitriptyline HCL 25mg (Daily) Probiotic (Daily) Vitamin C 1000mg (Daily) Medical Marijuana - CBD ~20mg (Daily)

Current Illness:

ID: 1060115
Sex: F
Age: 67
State: OK

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/27/2021
Hospital:

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Lab Data:

Allergies: None

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

Symptoms: I had mild flu symtoms following my 2nd vaccination. I had a rash all over my back that looked like chicken pox. Benedryl eased the red marks. I'm fine now. I'm only reporting this to give information about 2nd Moderna vaccine and possible side effects.

Other Meds: sertraline, trazadone, juice plus

Current Illness: None

ID: 1060116
Sex: M
Age: 78
State: MN

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 02/27/2021
Hospital:

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Manufacturer:
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Lab Data:

Allergies: None reported

Symptom List: Hypotonia, Lethargy, Respiratory rate decreased, Screaming, Skin warm

Symptoms: Body aches; fatigue; headache; sore arm; treating with acetaminophen OTC.

Other Meds: Amlodipine; Carvedilol; Benazepril

Current Illness: None reported

ID: 1060117
Sex: M
Age: 63
State: NJ

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

Vax Type:
Manufacturer:
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Lot:
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Lab Data:

Allergies: None

Symptom List: Vomiting

Symptoms: A little bit fever and pain in the arm

Other Meds: A little bit fever and pain in the arm.

Current Illness: no

ID: 1060118
Sex: M
Age: 65
State: PR

Vax Date: 02/23/2021
Onset Date: 02/24/2021
Rec V Date: 02/27/2021
Hospital:

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Lab Data:

Allergies: Coconut

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: headache, fever, muscle pain for 48 hours

Other Meds: Aspirin 81 mg, Montelukast 10 Mg, Enalapril 20 Mg X 2, Simvastatin 20 Mg, Doxazosin 2 Mg, Flovent HFA 110 Mcg, Albuterol HFA 90 Mcg

Current Illness:

ID: 1060119
Sex: F
Age: 32
State:

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

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
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Lab Data:

Allergies: None

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

Symptoms: Fever over 100 Body aches Chills

Other Meds: None

Current Illness: None

ID: 1060120
Sex: F
Age: 69
State: AZ

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

Vax Type:
Manufacturer:
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Lot:
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Lab Data:

Allergies: Cephalosporins, sulfa

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Severe intestinal cramps and diarrhea; chills; muscle aches

Other Meds: NatureThroid, Mirtazapine, Lorazepam, Faslodex, Ibrance

Current Illness: None

ID: 1060121
Sex: F
Age: 29
State: NY

Vax Date: 02/13/2021
Onset Date: 02/14/2021
Rec V Date: 02/27/2021
Hospital:

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

Lab Data:

Allergies: Benzoyl peroxide

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

Symptoms: Baseball-sized rash near injection site on left arm. Selling, races, itchiness, aching. Lasted 8 days.

Other Meds: Levonorgestrel and Ethinyl Estradiol 0.15mg/0.03mg (Daily) Amitriptyline HCL 25mg (Daily) Probiotic (Daily) Vitamin C 1000mg (Daily) Medical Marijuana - CBD ~20mg (Daily)

Current Illness:

ID: 1060122
Sex: F
Age:
State: CA

Vax Date:
Onset Date:
Rec V Date: 02/27/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Hot flush, Myalgia, Nausea, Tension headache

Symptoms: Covid arm

Other Meds: .05 predisone 1x daily Vit D 50mcg 1xdaily Ropinrole 1 tab evening (rls) Trazodone 50 mg 1 tab at night Calcipotriene creme (psoriasis) Glaucoma eye drops

Current Illness: None

Total 2021 VAERS Injuries: 704,237

Page last modified: 26 October 2021 2:21am