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
63,479
AK1,562
AL4,914
AR3,110
AS44
AZ12,730
CA54,886
CO10,464
CT7,347
DC1,568
DE1,561
FL33,514
FM3
GA12,508
GU74
HI2,078
IA4,130
ID2,361
IL18,091
IN22,023
KS4,061
KY6,276
LA4,395
MA13,121
MD11,272
ME2,858
MH8
MI16,697
MN10,689
MO8,360
MP30
MS2,487
MT2,035
NC14,437
ND1,184
NE2,562
NH2,717
NJ16,033
NM3,532
NV3,784
NY30,921
OH17,029
OK5,673
OR7,479
PA21,111
PR1,959
QM2
RI1,833
SC5,601
SD1,087
TN8,048
TX31,896
UT3,791
VA13,180
VI48
VT1,592
WA13,026
WI9,856
WV2,120
WY754
XB5
XL1
XV2

ID: 1060174
Sex: F
Age: 57
State: NY

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

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

Lab Data:

Allergies: corn, cows milk, egg whites,garlic

Symptom List:

Symptoms: Immediately after being vaccinated the patient requested to lie on the floor because she felt dizzy. RN place patient in a reclining position and requested evaluation of patient by NP.Patient was pale, and diaphoretic.Patient denied chest pain, SOB, N/V, negative rash, negative facial swelling,Pt was Hypotensive.EMS was activated .Repeat V/S 3 minutes later were WNL pt remained A&O throughout encounter.Pt stated " this has happened before". Patient was transported to Hospital Via EMS

Other Meds: None

Current Illness: none

ID: 1060175
Sex: F
Age: 45
State: OR

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: prednisone, cortisone, doxycycline,kiwi,walnut,PCN, bees

Symptom List:

Symptoms: pt with dizziness and painful left arm, redness to nose and face. Benadryl 50 mg given

Other Meds:

Current Illness:

ID: 1060176
Sex: F
Age: 39
State: TX

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: n/a

Symptom List:

Symptoms: Patient noticed some tingling their right hand after the vaccine was administered in their left deltoid. Pharmacist on duty told them to monitor it and if it got worse to seek medical attention.

Other Meds: n/a

Current Illness: n/a

ID: 1060177
Sex: M
Age: 51
State: VA

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: NSAID, pecans

Symptom List:

Symptoms: Approximately one hour after the injection he developed hives on his face and ear, and felt a little irritation in his throat, noticed some difference when swallowing.

Other Meds: Vitamins D, C, Zinc, Multivitamin, B12, Metformin, Glipizide, Allegra

Current Illness: none

ID: 1060178
Sex: M
Age: 92
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:

Symptom List:

Symptoms: bad headache that lasted for a few hours the day after; I took aspirin for the pain. I also experienced being very tired a couple hours after receiving the shot and later that evening. I feel more tired than usual the next day. Left arm is quite sore, maybe swollen. Slightly more light-headedness than usual.

Other Meds: prostate medication every other day; Multac for heart stability (atrial fibrillation); asprin once a day

Current Illness:

ID: 1060179
Sex: F
Age: 50
State: VA

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: Cats, nafcilin

Symptom List:

Symptoms: Nausea, fatigue, moderate soreness and swelling

Other Meds: B12, levothyroxin, liothyrinine

Current Illness: No

ID: 1060180
Sex: M
Age: 78
State: FL

Vax Date: 02/11/2021
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: penecillin, ibuprofen, novocaine

Symptom List:

Symptoms: An in-home fall, dizziness, slurred speech, blurry vision, felt very ill. Did not lose consciousness. Was able to sleep. Day after event was okay. Two days after event, dizziness and loss of balance re-occurred twice during the day -- but did not precipitate a fall.

Other Meds: Enteric aspirin ?81 mg., 1 x per-day Omneprazole ? 20 mg, 2 x per-day Simvastatin ? 40 mg, 1 x per-day Lorazapam ? 1 mg, 2 x per-day Lisinopril ? 5 mg, 1 x per-day Metoprolol tartrate ? 25 mg, 1/2 tablet 2 x per-day Tamsulosin .4 capsule ?

Current Illness: NOTE; First Covid vaccine (Moderna) administered on 01/13/2021. Incident of a fall, dizziness, slurred speech, occurred after the second Moderna vaccine dose on 02/11/2021.

ID: 1060181
Sex: F
Age: 70
State: AL

Vax Date: 02/16/2021
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: no

Symptom List:

Symptoms: swollen lymph node in collar bone area of left shoulder

Other Meds: yes

Current Illness: no

ID: 1060182
Sex: F
Age: 60
State: TX

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

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

Lab Data:

Allergies: Codeine

Symptom List:

Symptoms: Fever 101.1, aching joints, shortness of breath that I still have week later, loss of taste,

Other Meds: Atenolol 50mg, Rosuvastatin 20mg, Magnesium 250mg, COQ10 50MG, Lisinipril 10mg

Current Illness: none

ID: 1060183
Sex: F
Age: 39
State:

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

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

Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: Constipation after both dose 1 and 2 for about a week. Resulting in hard bloody stool

Other Meds: Oxybutinin, armour thyroid, montalukast, levocetrizine

Current Illness: None

ID: 1060184
Sex: F
Age: 39
State: NY

Vax Date: 01/30/2021
Onset Date: 02/07/2021
Rec V Date: 02/27/2021
Hospital:

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

Lab Data:

Allergies: Minocyclen

Symptom List:

Symptoms: During the first & second week I was fatigued. After a week of recieving dose 1 my arm started to hurt where I recieved the shot. It became swollen, warm to touch, it was hard and bruised. This lasted about a week & half and into the 3rd week my arm was left with a black & blue for another week & slight pain when touched.

Other Meds:

Current Illness:

ID: 1060185
Sex: F
Age: 65
State: PA

Vax Date: 02/01/2021
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: HCTZ

Symptom List:

Symptoms: Fever of 101, chills, body aches

Other Meds: Breo 100/25, albuterol, atorvastatin 20mg/day, Vallarta 320mg/day, montelukast 10mg/day, esomeprozole 40mg/day, loratidine 10mg/day, naproxen 220mg twice/day, vit C 2,000mg/day, vit D3 100mcg/day

Current Illness: Asthma, allergies, GERD, hi BP, hi cholesterol, arthritis

ID: 1060186
Sex: F
Age: 65
State: MI

Vax Date: 02/18/2021
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:

Symptoms: Covid arm - rash and swollen at site of injection 9 days after vaccine administered

Other Meds: None

Current Illness: None

ID: 1060187
Sex: F
Age: 50
State: CA

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:

Symptoms: Friday, 2/26, around 11 AM, in addition to the soreness I felt waking up, I started to feel fatigued. At 2:00 pm, I had a mild fever of 100.7. At 5:00, fever of 101.7, chills, felt soreness in my left arm pit. I had been taking Tylenol through out the day. Around 6:30 pm I started vomiting. I kept vomiting throughout the night till 4 am. I did not have much to eat that day because of nausea. The only thing I ate that day was an English muffin around 11:00 am. Saturday, 2/27, I have had a fever of throughout the day of 100.6, I feel tired, and have mild soreness at the injection site and under my left arm pit.

Other Meds: none

Current Illness: none

ID: 1060188
Sex: F
Age: 30
State: PA

Vax Date: 02/20/2021
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:

Symptoms: Itchy rash with firm bump underneath that reappeared 6 days after vaccine

Other Meds: None

Current Illness: None

ID: 1060189
Sex: F
Age: 65
State: AZ

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

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

Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: After vaccine felt fine except for my joints felt very achy and my arm hurt. Took Tylenol and ate dinner at 5:30pm went to bed as I was exhausted. Woke up at 10:00 pm and notice a warm red rash on my leg not bumpy or raised by warm leg was swelling a little and my leg hurt from ankle to knee. Took a benadryl and went back to bed in the morning my leg still hurt and it was red. Leg hurt when it brushed against something. As of today 2/27/21, still have some swelling and slight tenderness

Other Meds: Vitamin C, Garlic 1000mg, Claritin

Current Illness: none

Date Died: 02/27/2021

ID: 1060190
Sex: M
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:

Symptoms: Patient received Covid Vaccine Moderna at 1145, multiple syncopal episodes at pharmacy, sent to ER. Outcome Death

Other Meds: unknown

Current Illness: unknown

ID: 1060191
Sex: F
Age: 70
State: NC

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

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

Lab Data:

Allergies: Levaquin Versed

Symptom List:

Symptoms: headache, chills, fever, red swollen right arm, nausea, and fainted four times on day two. all symptoms lasted 5 full days and nights.

Other Meds: multivitamin calcium fish oil

Current Illness: none

ID: 1060192
Sex: F
Age: 80
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: none

Symptom List:

Symptoms: fever,body aches tired. 100.9 first day 99.7 second day better after 48hours. took Advil

Other Meds:

Current Illness: none

ID: 1060193
Sex: F
Age: 27
State: IN

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:

Symptoms: Bone aching pain and headache started about 12hrs after 2nd dose. Dizziness and lethargy 24 hours after 2nd dose of vaccine. No adverse events after the first dose of COVID vaccine. Taking 600mg ibuprofen every 6 hours.

Other Meds: lexapro 10mg, yaz, prenatal vitamin, collagen

Current Illness: none

ID: 1060194
Sex: M
Age: 65
State: NY

Vax Date: 02/24/2021
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: None

Symptom List:

Symptoms: Blacked out , dehydrated 14 hours later

Other Meds: Bisoprolol,omeprazole,xarelto

Current Illness: None

ID: 1060195
Sex: F
Age: 33
State: PA

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

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

Lab Data:

Allergies: Amoxicillin, latex, peanuts, milk

Symptom List:

Symptoms: 2.5 hours after receiving 2nd vaccine I developed left lower facial numbness. And additional 30-45 minutes after that I began having throat swelling/tightness and chest tightness. I went to the ER and was found to have and elevated heart rate and blood pressure. I had taken Benadryl prior to going to the ER and was given IV prednisone and Pepcid there. After a 2 hour observation my symptoms had subsided and I was released. The next morning I began having chest tightness again. My PCP called in a script for prednisone and advised me to also take Benadryl and Motrin as needed. I am still have intermittent facial/neck numbness, anterior and posterior neck pain; as well as intermittent headaches and axillary pain.

Other Meds: None

Current Illness: None

ID: 1060196
Sex: F
Age: 75
State: CA

Vax Date: 01/26/2021
Onset Date: 02/04/2021
Rec V Date: 02/27/2021
Hospital:

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

Lab Data:

Allergies: all stations and lisiniprol

Symptom List:

Symptoms: on 2/4/21 I woke up with an swollen area just below the injection site. An area approx 3x3ins. It was a little itchy. (fyi: The day before I had had major abdomen surgery to remove large, benign growths from my ovaries and was in Hospital at that time) nurses were informed, they didn't take any action. I also had the same reaction when I had the second COVID Vaccine on 2/22/21

Other Meds: Zetia 10.5mg daily Metropolol 12.5 mg daily Centrum silver 1x day

Current Illness: none

ID: 1060197
Sex: F
Age: 29
State: MD

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: Allergic - Azithromycin; Shellfish

Symptom List:

Symptoms: Arm sore arm; itchy.

Other Meds: Hydroxyzine; Junel; Vitamin D; B12

Current Illness: None

ID: 1060198
Sex: F
Age: 42
State: IL

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 02/27/2021
Hospital:

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

Lab Data:

Allergies: Doxycycline, sulfa, demerol, diclofenac, fentanyl, dicyclomine

Symptom List:

Symptoms: I had the injection at 1000 am. At 8pm, I had chills, fever (Tmax 101), body aches, bone pain, fatigue, and swollen lymph node under my right arm. For about 4 hours, I could barely move because I was in so much pain. These symptoms continued, but after the four hours, was a little better. I still had significant symptoms for another day and a half. The symptoms slowly decreased until gone. I was off of work for 3 days. No treatment outside of OTC Tylenol, Aleve, ice pack, and rest.

Other Meds: Wellbutrin

Current Illness: None.

ID: 1060199
Sex: F
Age: 56
State: NJ

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: Seasonal allergies, dust, mold, mildew, seafood, cheese

Symptom List:

Symptoms: My left arm was and is still swollen and tender to touch. My left shoulder is also tender to touch. The area of my arm that was the most swollen was very warm. Today, it is not warm. I also became very tired and slept 10 hours. Today I am congested and shouldn?t be considering I am following my usual medication routine for my daily allergies.

Other Meds: Montelukast and Levocetirizine

Current Illness: None

ID: 1060200
Sex: F
Age: 66
State: MO

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: sulfa antibiotics and onions

Symptom List:

Symptoms: after vaccination pts face looked flushed and pt claimed to feel dizzy and weak. Pt was given 1 dose of liquid diphenhydramine and sat for 30 minutes. Pt attempted to leave but came back. She drank orange juice and felt better after 15 minutes. Patient was called 1 hour later and stated she felt better.

Other Meds: n/a

Current Illness: n/a

ID: 1060201
Sex: F
Age: 43
State: CA

Vax Date: 01/30/2021
Onset Date: 02/20/2021
Rec V Date: 02/27/2021
Hospital:

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

Lab Data:

Allergies: Ibuprofen

Symptom List:

Symptoms: Received 1st vaccine at 3weeks, 2nd vaccine at 6 weeks, at 7 weeks saw baby and heart beat at 9 w5 d, started to spot and imaging showed no heart activity and baby stopped growing at 8w4d. D&C completed on 2/21 at 9w6d. No side effects from first vaccine, 2nd vaccine, body aches, fever (101) controlled with Tylenol, chills, joint pain, headache. Resolved after 3 days.

Other Meds: Synthroid; Prenatal Vitamins

Current Illness: None

ID: 1060202
Sex: F
Age: 65
State: FL

Vax Date: 01/31/2021
Onset Date: 02/08/2021
Rec V Date: 02/27/2021
Hospital:

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

Lab Data:

Allergies: PCN

Symptom List:

Symptoms: I did not get the adverse reaction until day eight. Then at the injection site I had approximately a 3 inch welt. It was hot and red and itched tremendously. It remained for approximately two days, and then it subsided. It itches so much that I now have some tiny sores waiting to heal. I also find the my arm ?cracks? when I raise it.... sort of like a torn rotator cuff..... this arm had surgery about 5 years ago to repair the rotator cuff. I did not seek medical attention.

Other Meds: Atorvastatin Nadalol Vit D

Current Illness: None

ID: 1060203
Sex: M
Age: 76
State: SC

Vax Date: 02/24/2021
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: none

Symptom List:

Symptoms: Soreness at the site - headache - tiredness - diarrhea; still experiencing all of these symptoms

Other Meds: Tamsulosin - 0.4 mg Allopurinol - 100 mg Nateglinide - 120 mg Torsemide - 20 mg Metoprolol - 200 mg Aspirin - low dose 81 mg Fenofibrate - 145 mg Hydralazine - 50 mg, 3x daily Isosorbide dinitrate - 20 mg Atorvastatin - 40 mg Spironolactone

Current Illness: none

ID: 1060204
Sex: F
Age: 68
State: TX

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

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

Lab Data:

Allergies: Acetaminophen (angioedema), Azithromycin (itch), Prochlorperazine (itch), Hydromorphone (Hives), Penicillins (Rash), Tramadol (Hives), Wasp venom (Swelling), Duloxetine (tachycardia), Prednisone (rash), Fentanyl (Itch), Aspirin (Hives), Allergy Not Specified for the following: Adhesive, Albumin, Cephalosporins, Cholecalciferol, Flecainde, Hydrocodone, Interferon Beta, Iodine, Morphine, Dronedarone, Propyphene, Sotalol, Sulfanilamide.

Symptom List:

Symptoms: Pfizer-BioNTech COVID- 19 Vaccine EUA Approx 5 minute post vaccination, patient began reporting itching. Shortly after, developed a dry cough and reported that her throat "felt funny." Patient began vomiting and having difficulty breathing, speaking in 1-2 word sentences. Pt received epi pen to left thigh, with some resolution of symptoms. Pt continued to have cough and nausea, chest pain. Gave 25 mg benadryl IM at 08:27 am. Patient received 2nd dose of Epi for increased SOB, difficulty breathing, and increasing cough, with some resolution of symptoms. Patient reported increased chest pressure. Began having seizure like activity at 08:30, lasting approx 20 seconds with no post ictal period noted. EMS arrived after 2nd dose of epi. Second "seizure like" activity after EMS arrival, lasting approx 20 seconds. During transport to ambulance, patient had 2 more episodes of seizure like activity with no post ictal phase. ED note states low suspicion for true seizure since patient was awake during episodes of tonic clonic movements, answering questions during, and did not have post ictal state.

Other Meds: Albuterol Q4H Prn, Amlodipine 5 mg Daily, Atorvastatin 80 mg, Atropine Ophth 1 drop Rt Eye daily, Brimonidine 0.2% 1 drop left eye TID, Buspirone 15 mg TID, Cyanocobalamin 1 tab daily, Dorzolamide-Timolol 1 drop both eyes TID, Epipen PRN, F

Current Illness:

ID: 1060205
Sex: F
Age: 76
State: AZ

Vax Date: 02/23/2021
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: NKA

Symptom List:

Symptoms: Large patch of rash on arm, along with constant inflammation.

Other Meds: One-A-Day Vitamin for Women Atorvastatin - 40 MG Citalopram - 40 MG Carbamazepine - 200 MG Metoprolol - 25 MG ER Levothyroxine - 100 MCG

Current Illness: NONE

ID: 1060206
Sex: F
Age: 55
State:

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:

Symptom List:

Symptoms: I developed a rash on the upper left arm around the area of injection. I have had it since February 26, 2021. Today is February 27, 2021. Yesterday the rash was more itchy. Today the rash is less itchy.

Other Meds:

Current Illness:

ID: 1060207
Sex: F
Age: 69
State: KS

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

Symptom List:

Symptoms: Moderns COVID-19 Vaccine EUA . BODY ACHES, HORRIBLE HEADACHE FATIGUE. DIARRHEA. SWELLING,PAIN,ITCHING AND REDNESS APPROXIMATELY 4 inches in diameter.

Other Meds: Vitamin D, Vit B12, Venlafaxine Hal 50 mg ,Omeprzole Dr 20 mg .

Current Illness: Nine

ID: 1060208
Sex: F
Age: 64
State: MN

Vax Date: 02/17/2021
Onset Date: 02/19/2021
Rec V Date: 02/27/2021
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Allergies: Penicillin, Sulfa

Symptom List:

Symptoms: Chills, nausea, vomiting, headache, body aches, fatigue for one day. Second day headache and fatigue. Afebrile both days.

Other Meds: Ompreprazole, Synthroid, estradiol, progesterone, Lexapro, metoprolol, ASA, pepcid

Current Illness: None

ID: 1060209
Sex: M
Age: 66
State: VA

Vax Date: 01/25/2021
Onset Date: 02/27/2021
Rec V Date: 02/27/2021
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Symptoms: Bell's Palsy, drooping and extreme pain started behind ear on February 22. Getting worse each day. Extreme headache immediately after injection and continues to this day.

Other Meds:

Current Illness: none

ID: 1060210
Sex: M
Age: 48
State: CA

Vax Date: 02/26/2021
Onset Date: 02/27/2021
Rec V Date: 02/27/2021
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Allergies: None

Symptom List:

Symptoms: 'Flu-like symptoms: muscle and joint ache, particularly upper arms and back, slight fever, headache and dizziness, fatigue

Other Meds: None

Current Illness: None

ID: 1060211
Sex: F
Age: 55
State: UT

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 02/27/2021
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Allergies: None

Symptom List:

Symptoms: Chills and fever about 9pm. Chills ended about 2am. Elevated resting heart rate, fever of 100. Acute muscle pain. Soreness and lethargy during all of the day after shot.

Other Meds: Lamotrigine, atenolol

Current Illness: None

ID: 1060212
Sex: F
Age: 57
State: NY

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 02/27/2021
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Allergies: Penicillin Chocolate Peaches Mold Tree and grass pollen

Symptom List:

Symptoms: Headache Diarrheea Excess pain at vaccine site Lack of energy

Other Meds: Synthroid Montelukast Albuterol Forosemide Symbicort Multivitamin

Current Illness: COPD Asthma Myotonic Muscular Dystrophy Pulmonary Hypertension Congestive Heart Failure Hypothyroidism

ID: 1060213
Sex: M
Age: 36
State: IN

Vax Date: 02/25/2021
Onset Date: 02/26/2021
Rec V Date: 02/27/2021
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Allergies: Bactrium Elastic Metals

Symptom List:

Symptoms: Flu like symptoms. Headache, fever, chills, diarrhea, big red spot on arm. Sore arm.

Other Meds: Zertec Musinex

Current Illness: None

ID: 1060214
Sex: F
Age: 75
State: WA

Vax Date: 02/27/2021
Onset Date: 02/27/2021
Rec V Date: 02/27/2021
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Allergies: Wine; Compazine; Cephalosporins; Amerge; Versed;Tetanus Toxoids; Biaxin/Clarithromycin.

Symptom List:

Symptoms: Some loss of hearing and bad pressure in ears and jaw.

Other Meds: Ritalin; Detrol; Wellbutrin; Aspirin 81 mg; Metoprolol; D3; Losartan; Calcium-Magnesium; B12; Anastrozole; Lorazepam; Trazodone; Cholestyramine.

Current Illness: Metastatic breast cancer

ID: 1060215
Sex: M
Age: 65
State: CT

Vax Date: 02/14/2021
Onset Date: 02/17/2021
Rec V Date: 02/27/2021
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Allergies: None

Symptom List:

Symptoms: Rapid Heart Beat. Trouble breathing, Dizzy, Unable to focus Tiredness

Other Meds: None

Current Illness: None

ID: 1060216
Sex: F
Age: 60
State: WA

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 02/27/2021
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Allergies: none

Symptom List:

Symptoms: Patient reported dizziness and blurred vision initially. Vital signs checked, BP 174/73, HR 87, SpO2 97% on intial check. She also reported a right frontal headache 5/10. Moved to cot to lie down, VS re-checked. Dizziness did not resolve with lying down. BP remained elevated as well. Once lying down, patient also reported "heaviness" in chest. A nurse remained with patient throughout entire incident and VS assessed frequently. After about 45 minutes, patient still reported HA, dizziness. Patient reported chest heaviness had resolved, but BP and dizziness did not resolve. Discussed calling EMS with patient, she agreed to allow us to call EMS. She was transported to local hospital by EMS at approximately 11:30am.

Other Meds: Flecainide, antidepressant

Current Illness:

ID: 1060217
Sex: F
Age: 36
State: NY

Vax Date: 02/25/2021
Onset Date: 02/26/2021
Rec V Date: 02/27/2021
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Allergies: None

Symptom List:

Symptoms: Chills, muscle aches after 1 day, lasted approximately 12 hours. Swelling at injection site, pain, redness, warm to the touch, started 12-16 hours after injection, redness widening from quarter size to about 2/2.5 inches inches in diameter by 2 days. Itchiness at injection site began after 2 days

Other Meds: Dicyclomine Sertraline Larin

Current Illness: None

ID: 1060218
Sex: M
Age: 4
State: CA

Vax Date: 02/24/2021
Onset Date: 02/24/2021
Rec V Date: 02/27/2021
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Symptoms: Incident Description: On 2/24/21 at about 10am, a family of 5 (2 parents and their 3 kids) approached me asking for COVID-19 vaccinations. The parents provided signed, informed consent forms and paperwork for all 5 individuals. Against the parent's initial request, I denied the COVID-19 vaccination to the 13 year old patient. In accordance with the parents? initial request, I administered the vaccine to the other 4 family members, including the 4 year old patient. Active clinical trials and articles with data to support the use of the COVID-19 vaccination in children are below. During my years working at acute care facilities where successful use of medications were often supported by primary literature and clinical trials, I made a judgment decision to administer the vaccination to the 4 year old citing previous success from previous experiences and the below references. References: 1. https://clinicaltrials.gov/ct2/show/record/NCT04581148 2. https://clinicaltrials.gov/ct2/show/NCT04330261 3. https://abcnews.go.com/Health/holiday-covid-19-surge-blame-rising-mis-cases/story?id=75928794 4. https://pubmed.ncbi.nlm.nih.gov/33278108/

Other Meds:

Current Illness:

ID: 1060219
Sex: F
Age: 89
State: OH

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

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Allergies: None

Symptom List:

Symptoms: Trouble breathing, severe fatigue, blood clots in lung and leg.

Other Meds: Korig, lascis, plavax,

Current Illness: Osteoarthritis

ID: 1060220
Sex: F
Age: 47
State: IL

Vax Date: 02/24/2021
Onset Date: 02/26/2021
Rec V Date: 02/27/2021
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Allergies: NA

Symptom List:

Symptoms: itchy skin and hives all over; sore throat

Other Meds: NA

Current Illness: NA

ID: 1060221
Sex: F
Age: 81
State: CA

Vax Date: 02/15/2021
Onset Date: 02/26/2021
Rec V Date: 02/27/2021
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Allergies: none

Symptom List:

Symptoms: Fever to 100.6 with weakness and fatigue on day #11 after 2nd vaccine given. Symptoms resolved within 24 hours.

Other Meds: levothyroxine memantine propanolol pantoprazole FeSo4 loratadine dyazide

Current Illness: none

ID: 1060222
Sex: F
Age: 68
State: NJ

Vax Date: 02/26/2021
Onset Date: 02/27/2021
Rec V Date: 02/27/2021
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Allergies: Codine gives me wicked dreams

Symptom List:

Symptoms: Woke up with blood on my bedsheets, I had a bloody nose sometime during the hours of midnight and 4am

Other Meds: Levothyrixine 88mcg. Acid Reducer Famotidine Tablet 20 mg. Osteo Bi-Flex + Vitamin D 1 tablet. Culturelle Probiotics - Digestive - 1 capsule

Current Illness: no

ID: 1060223
Sex: F
Age: 72
State: CO

Vax Date: 02/27/2021
Onset Date: 02/27/2021
Rec V Date: 02/27/2021
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Allergies: Iodine, Monosodium Glutamate, Sulfa antibiotics, imitrex, oxycodone, adhesive tape

Symptom List:

Symptoms: angioedema to throat with wheezing requiring Epinephrine 0.3mg and 0.5mg IM with IV Benadryl 50mg and IV Decadron 10mg with racemic epinephrine neb.

Other Meds: NO

Current Illness: none

Total 2021 VAERS Injuries: 559,999

Page last modified: 03 October 2021 5:28pm