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: 1062997
Sex: F
Age: 51
State: TN

Vax Date: 02/24/2021
Onset Date: 02/25/2021
Rec V Date: 03/01/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Dysphagia, Epiglottitis

Symptoms: Within 24 hours of receipt of 2nd vaccine, emp noted itching to left arm around injection site, and red bumps described like "mosquitoe bites" to upper part of arm. Emp states she has used an OTC itching ointment which did help with the itching, but the bumps have not gone away.

Other Meds:

Current Illness:

ID: 1062998
Sex: F
Age: 61
State: PA

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

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

Lab Data:

Allergies: none

Symptom List: Anxiety, Dyspnoea

Symptoms: arm/joint pain, vomiting chills low grade fever overnight, headache. Severe pain in shoulders, hips and lower back lasted 3 days. lymph nodes in armpits very sore. headache lasted 2 days. vomiting lasted 8 hrs. fever(99-101) lasted 2 days. had 3 minor breathing incidents which was alleviated by using rescue inhaler(albuterol) Called in to Health Service and messaged primary care, was advised to take advil, tylenol, lots fluids and get tested for COVID19.

Other Meds: advair inhaler, montelucast, famotadine vit c, b12, melatonin, calcium

Current Illness: none

ID: 1062999
Sex: F
Age: 36
State: NY

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 03/01/2021
Hospital:

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

Lab Data:

Allergies: n/a

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

Symptoms: 1/8 vaccination Within 24 hours, I started having a minor red rash on upper arm. It became progressively over all extremities, minus face. Itchy, red rash. I went to the doctor on Monday. She wasn't sure if related to vaccine. Symptom mgt. Antihistamines. She prescribed Singular to help with the itchiness and monitoring. It lasted for 7 days after vaccine.

Other Meds: sertraline 50 mg daily, levothyroxine 88 mg/ daily

Current Illness: n/a

Date Died: 02/27/2021

ID: 1063000
Sex: M
Age: 79
State: WI

Vax Date: 01/25/2021
Onset Date: 02/27/2021
Rec V Date: 03/01/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Patient passed away within 60 days of receiving a COVID vaccine

Other Meds:

Current Illness:

ID: 1063001
Sex: F
Age: 47
State: IN

Vax Date: 02/24/2021
Onset Date: 02/26/2021
Rec V Date: 03/01/2021
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, Injection site warmth

Symptoms: PATIENT GOT HIVES 2 DAYS LATER SHE TOOK CLARITIN FOR IT AND IT WENT AWAY THEN TODAY 3/1 HER FACE WAS RED AND WARM.

Other Meds:

Current Illness:

ID: 1063002
Sex: F
Age: 46
State: NJ

Vax Date: 02/22/2021
Onset Date: 02/22/2021
Rec V Date: 03/01/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
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Vax Site:

Lab Data:

Allergies: None

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

Symptoms: About 5 minutes after the shot, I developed a sudden sharp pounding headache at the top of the head & near the temple. I also got clammy/sweaty in my neck & the back of head. My hair got damp at the scalp. At nurse took my BP & it was 142/88 which is very high for me. I usually average a low BP. This reaction slowly subsided within 30 minutes. I was able to drive home. I felt nothing more on this day other than soreness in the injection site. On 2/23/21 I woke up with stomach cramping & had looser stools than usual. I also had fatigue & lethargy all day, which got stronger towards the evening. This lasted until 2/25/2021.

Other Meds: Xultolphy Xeljanz XR Methotrexate Zanaflex Omeprazole Folic Acid Metformin

Current Illness: Diabetes 2 Rheumatoid Arthritis

ID: 1063003
Sex: F
Age: 47
State: VA

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 03/01/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Since being treated for Hashimoto's in November my symptoms had resolved, after my vaccine all symptoms slowly crept back in. I noticed about a week after the shot that my arm pain had moved into my right upper shoulder and into my neck, my tiredness, and foggy thinking also returned, with extreme chest tightness and pain in my neck (when I had undiagnosed Hashimoto's I also had right sided neck pain)

Other Meds: NP Thyroid 60 mg, Vitamin D 10,000 IUI every three days, Jarrow probiotics, Lysine, 7-Keto-Zyme (for low DHEA)

Current Illness: Hashimotos

ID: 1063004
Sex: F
Age: 64
State: NY

Vax Date: 02/21/2021
Onset Date: 02/21/2021
Rec V Date: 03/01/2021
Hospital:

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Lab Data:

Allergies: dust mites, mold

Symptom List: Pharyngeal swelling

Symptoms: Post vaccination return of CRPS/RSD related numbness and burning in each site where history of CRPS. Have not been on any medications for the CRPS for over 2 years with minimal to no exacerbation of CRPS events. I have a long history of flair ups with insults to my body (e.g. post accident, post surgery, extensive dental work). The numbness and burning started to return within 2 hours of injection to the right side of my face and my right hand. Then these symptoms started to return to other locations on my body throughout the week (lower back, left knee and right ankle). The only site that has subsided 1 week post injection is my right hand though all symptoms have not resolved there either. The burning in my lower back got so bad on Thursday that I had issues sitting and scheduled an appointment with Dr. for Monday 3/1/21. Telehealth visit with Dr. this AM and returning to medication to treat CRPS/RSD till episode resolved.

Other Meds: dexilant, hydrochlorothiazide, pepcid, montelukast, estradiol, allegra, omega-3

Current Illness: none

ID: 1063005
Sex: F
Age: 60
State: NJ

Vax Date: 02/27/2021
Onset Date: 02/28/2021
Rec V Date: 03/01/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: excessive vomiting, nausea, headache, aches, fatigue

Other Meds: Vitamin D, Vitamin B complex, xanax

Current Illness: none

ID: 1063006
Sex: F
Age: 45
State: MO

Vax Date: 02/25/2021
Onset Date: 02/26/2021
Rec V Date: 03/01/2021
Hospital:

Vax Type:
Manufacturer:
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Lab Data:

Allergies: None

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Sore throat, vomiting, chills, fever, body aches, fatigue start about 12 hours after vaccine, lasting approximately 36 hours. Treatment: tylenol

Other Meds: None

Current Illness: None

ID: 1063007
Sex: F
Age: 56
State: VA

Vax Date: 03/01/2021
Onset Date: 03/01/2021
Rec V Date: 03/01/2021
Hospital:

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

Allergies: None known, although may have had slight issues with blood pressure meds

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

Symptoms: Pt described a difficulty swallowing, slight swelling, and a brief time of altered mental status about 30 minutes after vaccine administration. Pt was able to calm down and described a slight alleviation in symptoms. Pt denied hx of anaphylaxis. Medics were dispatched to the location to transport. No medications given by health department or EMS on scene.

Other Meds: Lipitor

Current Illness: none

ID: 1063008
Sex: F
Age: 78
State: OH

Vax Date: 02/24/2021
Onset Date: 02/26/2021
Rec V Date: 03/01/2021
Hospital:

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

Allergies:

Symptom List: Rash, Urticaria

Symptoms: Husband stated that both the left and right left below the knee was affected with the right leg being the worst. He described the rash/redness as tiny bumps that did not itch. The legs were red with no swelling and no blood. As of today the left leg is clear and the right leg still looks red according to the husband. Recommended to follow up with PCP.

Other Meds:

Current Illness:

ID: 1063009
Sex: F
Age: 61
State: OK

Vax Date: 02/27/2021
Onset Date: 02/27/2021
Rec V Date: 03/01/2021
Hospital:

Vax Type:
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Lab Data:

Allergies:

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

Symptoms: Approx 10 min after receiving vaccine, pt c/o h/a and dizziness. Paramedic took vitals, pulse and b/p wnl, lungs cta. Provided granola bar and water to pt. Approx 10 min after, client c/o sob. EMS called, paramedic laid pt on floor, O2 via non-rebreather, administered epi injection via autoinjector. EMS arrived and transported pt to ER. 3/1/21- attempted to contact pt, no answer, lvm to return call

Other Meds:

Current Illness:

ID: 1063010
Sex: F
Age: 37
State: IL

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

Vax Type:
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Lab Data:

Allergies: None

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

Symptoms: 12hrs after shot- pain at injection site, fever, body aches, headache, and shivering. 36hrs- only a mild headache persisted. No medical treatment sought.

Other Meds: Daily multi vitamin, daily tri lo sprintec, daily Zyrtec

Current Illness: None

ID: 1063011
Sex: F
Age: 67
State: NY

Vax Date: 02/17/2021
Onset Date: 02/01/2021
Rec V Date: 03/01/2021
Hospital:

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

Lab Data:

Allergies: Penicillin, Advil, Motrin,Aleve

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

Symptoms: The day after the shot I had arm pain, headaches, Muscle aches, pain on my left side and pain on my left leg. The weekend of 2/26/2021 my left arm itched and I now have a large rash on my arm injection site.

Other Meds: Pravastatin 20mg

Current Illness: None

ID: 1063012
Sex: F
Age: 84
State: IA

Vax Date: 02/23/2021
Onset Date: 02/23/2021
Rec V Date: 03/01/2021
Hospital:

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

Allergies: lead, nickel, gluten, dairy products, sensitive to deodorant, lipstick

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

Symptoms: High blood pressure 2 1/4 hours after the injection, tightness of chest

Other Meds: Blood pressure meds-Irbesartan, Verapamil, Vit C., D, Omega 3-6-9,

Current Illness: none, UTI before that

ID: 1063013
Sex: F
Age: 61
State: OH

Vax Date: 02/16/2021
Onset Date: 02/17/2021
Rec V Date: 03/01/2021
Hospital:

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

Allergies: Seasonal Allergy/Dust

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

Symptoms: Client states that she has weakness, body aches, and dizziness since vaccine. Continues to have these symptoms

Other Meds: Aspirin, Astelin Nasal Spray, Bystolic, Zyrtec, Vitamin D 400 Units, Flonase Nasal Spray, Meloxicam, Singular, Benicar, Prilosec, Zoloft, Topamax

Current Illness: None

ID: 1063014
Sex: F
Age: 40
State: WA

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

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

Lab Data:

Allergies:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Patient describes hives over anterior neck and chest approximately 1-2 hours after receiving the injection. The rash lasted about 3-4 days and then resolved.

Other Meds:

Current Illness:

ID: 1063015
Sex: F
Age: 71
State: ME

Vax Date: 02/25/2021
Onset Date: 02/26/2021
Rec V Date: 03/01/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: Bactrim, Tetanus Toxoid vaccination

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: ON Feb 26, I got up with extreme joint pain (much worse that my usual arthritis pain) the gradually developed muscle aches, fever and headache. Also had a loss of appetite for a few days. I was mostly off my feet for 2 to 3 full days. Then I was extremely sweaty for the morning of the final day, like when a fever finally breaks after flu. The site of the injection (left deltoid) got a softball sized red hard itchy and somewhat tender spot.

Other Meds: Synthroid, Hydrochlorothiazide, Ibuprofen, multivitamins, antiacids

Current Illness: none

ID: 1063016
Sex: M
Age: 72
State: IL

Vax Date: 02/25/2021
Onset Date: 02/26/2021
Rec V Date: 03/01/2021
Hospital:

Vax Type:
Manufacturer:
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Lab Data:

Allergies: Niacin

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

Symptoms: Tachycardia event the night of Feb. 27 Pulse rate of 200 beats per minute lasting approx 3 hours duration beginning at 11:30 pm accompanied by mild nausea and an overwhelming feeling of anxiety. I was awakened from a sound sleep by this event.

Other Meds: Doxazosin Mesylate, 4 mg/day

Current Illness: None

ID: 1063017
Sex: M
Age: 77
State: WV

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 03/01/2021
Hospital:

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

Lab Data:

Allergies: Nasal allergies

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

Symptoms: Very sore left arm, About 9 hours after injection began to feel cold, shaky, leg muscle ache and increasing temperature.

Other Meds: Magnesium, Vitamin D, Vitamin B-12, Certic

Current Illness: None

ID: 1063018
Sex: M
Age: 86
State: IA

Vax Date: 02/05/2021
Onset Date: 02/26/2021
Rec V Date: 03/01/2021
Hospital: Y

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

Lab Data:

Allergies: milk, bananas, corn

Symptom List: Unevaluable event

Symptoms: The local hospice agency notified us that this patient was now under their care. The patient is experiencing severe intestinal inflammation to the point that he was admitted to the hospital for shortness of breath due to the inflammation of the intestines reducing space for the expansion of his lungs within the chest cavity. He discharged from the hospital under hospice care.

Other Meds:

Current Illness:

ID: 1063019
Sex: F
Age: 63
State: AZ

Vax Date: 01/25/2021
Onset Date: 02/03/2021
Rec V Date: 03/01/2021
Hospital:

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

Lab Data:

Allergies: PCN

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

Symptoms: Severe swelling under left arm and into left upper chest area

Other Meds:

Current Illness:

ID: 1063020
Sex: F
Age: 69
State: MI

Vax Date: 02/21/2021
Onset Date: 02/27/2021
Rec V Date: 03/01/2021
Hospital:

Vax Type:
Manufacturer:
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Lab Data:

Allergies: sulfas and shellfish specifically mollusks

Symptom List: Injection site pain, Pain

Symptoms: Day1- headache in nasal sinus area and between eyes, Day 2- muscle aches, joint pain, dizziness, nausea, lack of appetite. That evening, awoke out of sleep at 3 am with extreme abdominal pain, walked to bathroom and almost passed out, had to lay on the floor for 15 minutes.. After a half our it happened again. No diarrrhea but had 2 soft formed stools (very unusual for me). A lot of nausea, weakness and abdominal pain. Chills for 2 days.

Other Meds: none

Current Illness: none

ID: 1063021
Sex: F
Age: 31
State:

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

Vax Type:
Manufacturer:
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Lot:
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Vax Site:

Lab Data:

Allergies:

Symptom List: Injection site pain, Menorrhagia

Symptoms: Fatigue, arm pain that went down my arm, some achy ness

Other Meds:

Current Illness:

ID: 1063022
Sex: F
Age: 41
State: TX

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

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

Lab Data:

Allergies: None

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

Symptoms: fever (102.3), sore arm, sore arm pits, headache, brain fog, chills, body ache, food aversion, nausea, fatigue

Other Meds: Labetalol, Indapamide, Concerta, Excedrin, Singular

Current Illness: None

ID: 1063023
Sex: F
Age: 44
State: OH

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 03/01/2021
Hospital: Y

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

Lab Data:

Allergies: Sulfa and Lisinopril

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Left leg began hurting one hour after shot. Throat started to swell causing increased clearing of throat, swollen glands, with difficulty swallowing. Throat, esophagus was swollen 5 hours later. Went to emergency room and was given Benedryl, Epinephrine, Pepcid, and Solumedrol. Kept in ER for 8 hours, Throat still swollen, but better, provided second doses of Benedryl and Epinephrine, then admitted for observation for 24 hours. Throat and swallowing difficulties continued for approximately 3 days after discharge. Hoarseness, difficulty swallowing, having to push liquids and food into diaphram was uncomfortable.

Other Meds: Atenelol 25 MG Celexa 20MG

Current Illness: Diabetes High Blood Pressure Depression/Anxiety

ID: 1063024
Sex: F
Age: 76
State: MD

Vax Date: 03/01/2021
Onset Date: 03/01/2021
Rec V Date: 03/01/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Dizziness, Nausea/vomiting, palor,

Other Meds: Prestiq, Lansoprazole, Flonase, Spiriva, Breo, Albuteral (inhaler), Chantix, Benicar, Buspar

Current Illness: No new illnesses

ID: 1063025
Sex: F
Age: 63
State: MD

Vax Date: 02/09/2021
Onset Date: 02/25/2021
Rec V Date: 03/01/2021
Hospital:

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

Lab Data:

Allergies: Heparin, Azithromycin, Dexilant, Penicillin

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

Symptoms: Low grade fever (100.3) after one week with progressive weakness, fatigue and swallowing dysfunction analogous to exacerbation of her autoimmune disease (LUPUS) which had been in remission (on medication) for 5 years.

Other Meds: Prednisone 7.5 mg/day Celcept 2000mg/day Nexium 40mg/day

Current Illness: None

ID: 1063026
Sex: F
Age: 34
State: CO

Vax Date: 02/27/2021
Onset Date: 02/27/2021
Rec V Date: 03/01/2021
Hospital:

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

Lab Data:

Allergies: NA

Symptom List: Nausea

Symptoms: At injection site - soreness and aching Full body within 13 hours - vomiting, diarrhea, body aches, fever, chills, cold sweats, intense stomach cramps lasting 12 hours. The following day I still had a slight fever, body aches, headache, and chills.

Other Meds: Prozac 20 mg daily

Current Illness: NA

ID: 1063027
Sex: F
Age: 53
State: MI

Vax Date: 02/18/2021
Onset Date: 02/20/2021
Rec V Date: 03/01/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Injection site pain

Symptoms: Moderate to severe headaches - still continuing 9+ days later.

Other Meds: none

Current Illness: none

ID: 1063028
Sex: F
Age: 30
State: VA

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 03/01/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: arm pain with first dose, nothing more than that. Hives within 2 hours on left arm after 2nd dose, fever and chills 10 hours after, accompanied with bone pain which ended at 11am the next day. I am almost 2 weeks out from the second dose and I still have joint pain, the most severe is in my hands.

Other Meds:

Current Illness:

ID: 1063029
Sex: M
Age: 47
State: WA

Vax Date: 02/05/2021
Onset Date: 02/12/2021
Rec V Date: 03/01/2021
Hospital:

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

Allergies: Coconut and others

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

Symptoms: 2/5/2021 thru 2/12, Started having a red, bumpy rash in Left arm. Then spread over his entire left side. Took 2 weeks to go away, used topical cream, Benadryl and took XT.

Other Meds:

Current Illness:

ID: 1063030
Sex: F
Age: 28
State: CA

Vax Date: 02/16/2021
Onset Date: 02/27/2021
Rec V Date: 03/01/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: Amoxicillin & Septra

Symptom List: Tremor

Symptoms: Fatigue started a few hours after injection. The next morning after injection, the soreness/pain in the right arm was 8/10. Around 2pm, I started to feel chills followed by hot flashes, but did not check my temperature. I slept it off and felt better after a few hours. Later around 10pm, the chills started again and were much worse. It was accompanied by sever body aches and violent shaking/shivering. My fever stayed between 101-102. I took Tylenol & Advil, used a cold compress and gradually brought the fever down. It took about 1 hour for the fever to go down, and almost 3 hours total for all the symptoms to completely subside. The next morning I was fine. Pain in arm was also minimal the next day.

Other Meds: Fiber capsules

Current Illness: N/A

ID: 1063031
Sex: F
Age: 42
State: GA

Vax Date: 03/01/2021
Onset Date: 03/01/2021
Rec V Date: 03/01/2021
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Lab Data:

Allergies: latex, morphine, amoxicillin

Symptom List: Erythema, Pruritus

Symptoms: Patient had an adverse reaction to her first dose of the Moderna Covid-19 vaccination. Patient experienced a metallic taste in her mouth, nausea, headache (slight), slight shaking, and dizziness. She also described a warm, tingly feeling on the side of her neck. She was seated and monitored by pharmacist on duty for at least 30 mins before deciding that she was ok to leave. She decided that she wanted to walk out herself. Her daughter did come to pick her up so she would not have to drive herself. She was instructed to go to the ER if symptoms worsened. I will check back with patient on her condition before end of business today.

Other Meds: blisovi FE 1.5, cymbalta 60mg. metoprolol 25 twice daily, ropinerole 2 mg, nexium BID, claritin D 12 hour daily, meloxicam 7.5mg daily.

Current Illness: none

ID: 1063032
Sex: F
Age: 74
State: CO

Vax Date: 02/27/2021
Onset Date: 02/28/2021
Rec V Date: 03/01/2021
Hospital:

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Allergies: No

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

Symptoms: Sunday morning I woke up 5:30am with a mild headache. I had a cup of coffee & toast and 5:45 took 1 500mg Tylenol. Felt sleepy, so went back to sleep. I took Tylenol 6 hours later, but this time added 2 tablets of cold calm. Then did drink water throughout the day. Slept afternoon and felt a bit better by 5pm. Took an other Tylenol at 8pm and did not take cold calm. Woke up 5:10 Monday morning, feeling much rested and no headache. I see my Primary Doctor on Thursday and will tell her my reaction.

Other Meds: Tylenol, 2 cold calm tablets pm with afternoon Tylenol

Current Illness: None

ID: 1063033
Sex: F
Age: 49
State: MA

Vax Date: 02/22/2021
Onset Date: 02/26/2021
Rec V Date: 03/01/2021
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Lab Data:

Allergies: latex, almonds, walnuts, cherries

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

Symptoms: Severe hives on face and torso 4 days past injection, getting worse by the day. Cough/congestion starting 3 days after injection continuing to one week (today).

Other Meds: birth control pill, vitamin D

Current Illness: none

ID: 1063034
Sex: F
Age: 73
State: WA

Vax Date: 02/27/2021
Onset Date: 02/28/2021
Rec V Date: 03/01/2021
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Allergies: None

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Fever 101, headache, joints ache, tired. Injection site red and hot and swollen

Other Meds: Lisnipril,plavix,metoperol,astorvostatin, baby aspirin

Current Illness: None

ID: 1063035
Sex: F
Age: 22
State:

Vax Date: 02/27/2021
Onset Date: 02/27/2021
Rec V Date: 03/01/2021
Hospital:

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Lab Data:

Allergies: clindamycin

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

Symptoms: throat itching, observed, water given, improved, discharged to home

Other Meds:

Current Illness:

ID: 1063036
Sex: F
Age: 57
State:

Vax Date: 02/25/2021
Onset Date: 02/26/2021
Rec V Date: 03/01/2021
Hospital:

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Lab Data:

Allergies: none

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

Symptoms: Fever, chills, extreme lethargy

Other Meds: none

Current Illness: none

ID: 1063037
Sex: F
Age: 67
State: CA

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 03/01/2021
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Allergies: None

Symptom List: Pain in extremity

Symptoms: Multiple joints( wrists, elbows, shoulders, and hand fingers) excruciating pain, swelling with hand and shoulder movement limitation. Last two days chest discomfort with some difficulty in breathing. Last night first time developed severe skull pain at posterior area. Symptoms mainly during night time and unable to sleep due to the intensity. Treatment: Voltaren Gel 1%, Generic Mobic 7.5 mg and Sombra Warm Therapy Natural Pain Reliving Gel, Acetaminophen 500mg. Most of the symptoms have been for the last three weeks.

Other Meds: 1. magnesium 400mg 2. Centrum Silver 3. Vitamin E 180mg 400(IU) 5. Super B-Complex 6. D3 50 mcg (2000IU) 7. Probiotic 10 8. Vitamin C 9. Glucosamine 1,500mg/Chondroitin 1,200mg 10. Fish Oil 1,400mg.

Current Illness: None

ID: 1063038
Sex: M
Age: 62
State: NC

Vax Date: 02/27/2021
Onset Date: 02/28/2021
Rec V Date: 03/01/2021
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Allergies: None

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

Symptoms: Headache, muscle ache, bone ache, upset stomach, lack of energy

Other Meds: Metoprolol bitartrate 10 mg 1 twice daily, hydrocodone 10 mg 1 - 2 daily as needed, Atorvastatin 40 mg 1 daily, furosemide 40 mg 1 - 2 daily, lisinopril 5 mg 1 daily, aspirin 325 mg 1 daily, Tylenol capsule as needed up to 6 daily.

Current Illness: None

ID: 1063039
Sex: F
Age: 63
State: IA

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

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Allergies: n/a

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

Symptoms: fever overnight, barely coherent, lethargic, severe joint and muscle pain, headache, vomiting, no appetite, had covid in October

Other Meds: tylenol

Current Illness: n/a

ID: 1063040
Sex: F
Age: 43
State: MN

Vax Date: 02/26/2021
Onset Date: 02/27/2021
Rec V Date: 03/01/2021
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Allergies:

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

Symptoms: Chills, disorientation, black out/white out, fainting

Other Meds:

Current Illness:

ID: 1063041
Sex: M
Age: 74
State: IN

Vax Date: 02/03/2021
Onset Date: 03/12/2021
Rec V Date: 03/01/2021
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Lab Data:

Allergies: sulfa

Symptom List: Vomiting

Symptoms: It was about nine days after getting the shot and I came home from getting my radiation treatment. That night I had chills and all my joints were achy, and the next day my hands all broke out in the rash. Saturday I couldn't get warm, and I couldn't eat. Monday I couldn't go in for treatment, and so Tuesday I went to the ER. I had a 100 degree fever. They did some tests. The ER doctor gave me prednisone treatments.

Other Meds: No

Current Illness: No

ID: 1063042
Sex: F
Age: 43
State: MN

Vax Date: 01/08/2021
Onset Date: 01/17/2021
Rec V Date: 03/01/2021
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Allergies: supha

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Vaccine was on the 8th of January - Headache, rash on the top of my head and down on to my forehead and around my right eye. Doctor visit on 11th. Diagnosed as Shingles. They put me on an anti-viral - Valtrex - for 10 days. It prevented it from spreading. I had the symptoms until about the January 27th.

Other Meds: Omeprazole - (Prilosec); Hydrochlorothiazide; Lisinopril

Current Illness: no

ID: 1063043
Sex: F
Age: 32
State: TX

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

Allergies: Penicillin

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

Symptoms: Sunday 2/28/2021 around 6:00 pm I notice a 2cm diameter red know at injection site that had fever and 3 in down from that was another knot that was itching. Monday 3/2/2021 the site has grown and is 5-6 cm in diameter, red/purple in color, and has fever.

Other Meds: Vyvanse 20mg

Current Illness: None

ID: 1063044
Sex: F
Age: 70
State: AL

Vax Date: 02/19/2021
Onset Date: 02/23/2021
Rec V Date: 03/01/2021
Hospital:

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Lab Data:

Allergies: Sulfa, Diflucan

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Pain and stiffness in hips, knees, and ankles. Fatigue. Legs feel like they have lead weights in them

Other Meds: Synthroid, Avapro, Plaquenil, Estradiol, Celebrex, Protonix, Norfolk

Current Illness: None

ID: 1063045
Sex: F
Age:
State: OH

Vax Date: 02/26/1921
Onset Date: 02/27/2021
Rec V Date: 03/01/2021
Hospital:

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Lab Data:

Allergies: sulfur, penicillin

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

Symptoms: red itchy bumps

Other Meds: Eremestane 25mg, Lisinopril hetz, B-complex, Vit-C, Vit-D3, Q10, calcium, Magnesium, MSM, fish oil, B-12

Current Illness: none

ID: 1063046
Sex: M
Age: 63
State:

Vax Date: 02/19/2021
Onset Date: 02/19/2021
Rec V Date: 03/01/2021
Hospital:

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Allergies:

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

Symptoms: Patient was found on the ground sitting. Reported he was leaving after receiving 1st COVID-19 vaccine and "loss balance". Patient denies hitting head. Laceration to the elbow noted. Patient requested assistance to get up and still felt "dizzy". Patient assisted to wheelchair and recommended to go to ED via ambulance for evaluation. Patient then loss consciousness for 10 seconds. 911 was called. Patient refused all care by EMS. They called by EMS as they deemed patient was not safe to drive due to unsteady gait. It was advised patient to go to ED as instructed by EMS and The provider but refused. They also advised for patient to go to a hotel nearby to rest. Patient refused all recommendations and was escorted by EMS to his car.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 704,237

Page last modified: 26 October 2021 2:21am