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: 1063627
Sex: F
Age: 80
State: NY

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: IV contrast dye sensitivity

Symptom List:

Symptoms: I had the vaccine at 1:00 PM, and that same night I attended the wake of a family member, and I wasn't feeling well and I was feeling itchy and burning. That night I didn't sleep at all. So that night I called the doctor and I went to the doctor Friday morning, and was diagnosed with the worst case of Shingles she had ever seen. She prescribed prednisone on a taper, Valtrex (generic) 1 gram tablet 3x daily for one week, and topical ointment (flutisone propionate) .005 strength twice daily, and 500 mg tylenol every six hours.

Other Meds: levothyroxine omeprazole prolia shot (once every six months. last rec'vd Nov) vitamin C vitamin D

Current Illness: no

ID: 1063628
Sex: F
Age: 72
State: NJ

Vax Date: 02/12/2021
Onset Date: 02/19/2021
Rec V Date: 03/01/2021
Hospital:

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

Lab Data:

Allergies: LAYTEX

Symptom List:

Symptoms: I RECEIVED THE FIST DOES OF THE MODERMA VACCINE ON FEB 12 BETWEEN 10 AND 10:30 AM I HAD NO PAIN OR SWELLING THAT DAY. ON THE 19TH IN THE EVENING MY ARM WAS ITCHY BUT I NEVER EVEN LOOKED AT IT BY MORNING A PATCH ON MY ARM WAS HOT AND RED. A RASH TWO INCHES IN DIAMETER AND ABOUT 3 INCHES LONG WAS OBVIOUS. TWENTY FOUR HOURS LATER THE RASH FADED AND THE PAIN DISAPPEARED I DID NOTHING TO RELIEVE THE PAIN OR REDUCE THE SWELLING

Other Meds: MELATONIN : MULTI VITAMIN : XOPINEX : VITAMIN D :CALCIUM

Current Illness: NONE

ID: 1063629
Sex: M
Age: 35
State:

Vax Date: 02/27/2021
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:

Symptoms: Lightheadedness, tachycardia Pt with heart racing and feeling lightheaded a few minutes after vaccination. Initial VS 133 with BP of 173/97. Quickly improved to 131/91 with HR 76 after bottle of water. Pt denies cp, sob, rash, nausea, or trouble swallowing.

Other Meds:

Current Illness:

ID: 1063630
Sex: F
Age: 39
State: AZ

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: none

Symptom List:

Symptoms: 36 hours after vaccination was received, I woke with painful stiffness on left side of neck and back of head. Swollen occipital lymph node on left side. As time progressed, pain spread across scalp and neck. Swelling and pain followed. I went to visit my primary care physician today (Monday, March 1st) and was diagnosed with SHINGLES.

Other Meds: 1) Triamterene HCTZ 37.5 (daily) 2) Zoloft - 25mg (daily)

Current Illness: none

ID: 1063631
Sex: F
Age:
State: IL

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

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

Lab Data:

Allergies: None...had reaction to Nasal spray but none since one episide

Symptom List:

Symptoms: Aching, headache, swelling/tenderness at site, swelling to left eye 16 hours later. Extreme fatigue and restlessness.

Other Meds: Celexa, multi vitamin, vitamin C, Flonase, Motrin Tylenol

Current Illness: Evaluation for hypothyroidism. Depression/anxiety

ID: 1063632
Sex: M
Age: 75
State: DE

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: Sulfa

Symptom List:

Symptoms: This second dose resulted in a slight headache; joint pain; fatigue; nausea but no vomiting. Please note: I previously reported AFTER MY FIRST DOSE that my right eyelid is drooping. This condition is still a problem and causing me to have double vision.

Other Meds: Avodart (.5 mg/day); multi-vitamin, fish oil supplement; vit. C supplement; calcium withVit.D supplement

Current Illness: None

ID: 1063633
Sex: F
Age: 73
State: KY

Vax Date: 02/21/2021
Onset Date: 02/24/2021
Rec V Date: 03/01/2021
Hospital:

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

Lab Data:

Allergies: Codeine, Tetanus Toxoids, Tuberculin Tests

Symptom List:

Symptoms: Body Aches

Other Meds: Nadolol Tablet 20 MG, metFORMIN HCl Tablet 1000 MG, Nephro-Vite Tablet 0.8 MG (B Complex-C-Folic Acid), Spironolactone Tablet 25 MG, Donepezil HCl Tablet 5 MG, Pepcid Tablet 40 MG (Famotidine), Pepto-Bismol Suspension , Oystercal-D Tablet

Current Illness: N/A

ID: 1063634
Sex: F
Age: 17
State: NJ

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: Denied

Symptom List:

Symptoms: Patient received dose one of Moderna vaccine and was told before injection what she was receiving. Patient was given her CDC card with vaccination information. Vaccination was given to Patient with out difficulty. Mother stated after injection that her daughter was supposed to get the Pfizer vaccine because she is only 17. Patient became light headed and dizzy post injection. She is a known diabetic who has had this same thing happen after blood work or other shots. Problem self corrected with no medical intervention. Mother stated she knew she was to get Pfizer and the website gave her this site as an option.

Other Meds: Unknown

Current Illness: Unknown

ID: 1063635
Sex: F
Age: 50
State: VA

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

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

Lab Data:

Allergies: TB test black rubber mix shellfish-shrimp,scallops crabs milk lactose intolerance

Symptom List:

Symptoms: dizziness,shortness of breath,sweating , nausea,confusion,dull chest pain and loss of appetite

Other Meds: Naproxen Amnolodopine singular

Current Illness: sinuses drainage mucus sciatica pain

ID: 1063636
Sex: F
Age: 62
State: KY

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

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

Lab Data:

Allergies: Sulfa, Ccodeine, latex, bee stings

Symptom List:

Symptoms: Mouth blisters, dizziness, chills, fever, fever blisters, cough, rash, and arm pain about 2 hours after injection of vaccine.

Other Meds: Eliquis, Synthroid, Metoprolol, Vitamin B-12, Lasix

Current Illness: Recovering from total hip replacement on 2/1/2021

ID: 1063637
Sex: F
Age: 69
State: IL

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: Penicillins, compazine, codeine, Mastisol

Symptom List:

Symptoms: Patient presents with vaccine reaction Had first dose Pfizer COVID vaccine and walked into waiting room for observation and started to feel like drank sometimes warm and then became dizzy shortly after that. Waited a couple minutes in waiting room and then told observer up front what she was feeling. Was asked if wanted a wheelchair to come back to examination room and patient declined and able to walk back down the hall accompanied by her husband. Denies nausea, abdominal pain, no SOB, no syncope, no recent illness, denies fevers cough, ill contacts Working wood burning project and was up till 3am and then unable to go sleep yet today. Also has stress with only child with being treated for stage 4 breast cancer Did eat breakfast around 9am- granola and cup of tea this am. Nothing since then. Current B/P 164/110 and then 10 minutes later was 150/86. Patient verbalized has history hypertension even with medication. Denies visual changes, denies headaches Vaccine reaction Symptoms resolved. Told patient if start to feel bad again let someone know (husband, COVID hotline, PCP). Increase fluids, discussed sleep hygiene.Patient and/or guardian verbalized understanding

Other Meds: albuterol (ProAir HFA) 108 (90 Base) MCG/ACT Aerosol Solution amitriptyline (ELAVIL) 25 MG Tablet atorvastatin (LIPITOR) 40 MG Tablet bisoprolol-hydroCHLOROthiazide (ZIAC) 5-6.25 MG Tablet calcium carbonate (TUMS E-X 750) 750 MG Chewable Ta

Current Illness: none

ID: 1063638
Sex: F
Age: 36
State: NY

Vax Date: 02/26/2021
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: sulfa drugs

Symptom List:

Symptoms: Fever, stomach cramps, migraine, chills, nausea, vomitting, diarrhea, fatigue, muscle ache, arm pain/redness/numbness

Other Meds:

Current Illness:

ID: 1063639
Sex: M
Age: 64
State: CA

Vax Date: 02/26/2021
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:

Symptoms: patient was given lower dose than required

Other Meds:

Current Illness:

ID: 1063640
Sex: F
Age: 37
State: VA

Vax Date: 02/22/2021
Onset Date: 02/23/2021
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:

Symptoms: extreme body fatigue, chills (~10 hours); heavy/sore arm (48 hours)

Other Meds: buproprion

Current Illness: none

ID: 1063641
Sex: M
Age: 66
State: MO

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:

Symptom List:

Symptoms: PATIENT RECEIVED 3 DOSES. EACH 28 DAYS APART

Other Meds:

Current Illness:

ID: 1063642
Sex: F
Age: 67
State: NM

Vax Date: 02/25/2021
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: Penicillin, latex, shellfish, red wine, peas, bee stings

Symptom List:

Symptoms: I received the vaccine at approximately 1 p.m. in my left arm. I informed the technician that I had allergies and had previously had anaphylaxtic reactions to foods and some medications. I had noticed that the Pharmacy was not requiring people to stay after receiving the vaccine, so I told the technician that I would stay until I was sure I did not have a reaction. No one came to check on me, and in about 15 minutes, I noticed that my scalp was starting to itch and my face felt hot. I decided to go home, which was only a 5 minute drive from the store. I took off my mask in the car and discovered that my face was very red and starting to feel tight. I got home and took 1 Benadryl pill. By the time I got home, around 1:25 my ears were itchy and my lips were starting to swell. I waited an hour and started to feel better, the color in my face was returning to normal, and I had no swelling of my throat, which I have experienced with food allergies. At hour 2 I took a second Benadryl and went to sleep for 2-3 hours. When I woke up, I felt better, my lips were still slightly swollen, but my face, scalp and ears were back to normal.

Other Meds: hydrocholorothizide, QVar Inhaler, Albuterol Inhaler

Current Illness: None

ID: 1063643
Sex: F
Age: 50
State: MN

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:

Symptom List:

Symptoms: Leaky syringe. More than 1/2 dose administered. Dose not repeated.

Other Meds:

Current Illness:

ID: 1063644
Sex: M
Age: 84
State: MT

Vax Date: 01/22/2021
Onset Date: 02/08/2021
Rec V Date: 03/01/2021
Hospital: Y

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

Lab Data:

Allergies: Latex?

Symptom List:

Symptoms: Pt called for Dose 2 appointment. Contracted COVID right after Dose 1 Moderna Vaccine. Hospitalized 2/08/2021. Discharged 2/10/2021. Admitted with nausea, diarrhea, lightheadedness, and weakness. Pt treated for Covid-19 Infection with GI symptoms, Acute Kidney Injury, Leukocytosis

Other Meds: UNknown

Current Illness: unknown

ID: 1063645
Sex: F
Age: 45
State: NC

Vax Date: 02/22/2021
Onset Date: 02/23/2021
Rec V Date: 03/01/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: Lymph nodes on left side swollen, Neck, upper shoulder/clavicle, & arm pit, Also right neck lymph node

Other Meds: N/A

Current Illness: N/A

ID: 1063646
Sex: F
Age: 72
State: PA

Vax Date: 02/26/2021
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: Penicillin, aspirin, NSAIDs - all anaphylactic (asthma, hives, facial swelling) Cashews, walnuts, carob, pets, trees, grass, dust, mold

Symptom List:

Symptoms: Shortness of breath after injection which has become worse over the following days

Other Meds: Pulmicort flexhaler 90 mcg, hydrochlorothazide 25 mg, levothyroxine 100 mcg, trazodone 50 mg, D3 25 mcg, super B-complex, glucosamine HCl 1500 mg with MSM 1500 mg, daily vitamin

Current Illness: None

ID: 1063647
Sex: F
Age: 87
State: MI

Vax Date: 02/23/2021
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: NONE

Symptom List:

Symptoms: Redness and itching in lower legs beginning after 2 days (2/25/21). Redness of skin on face beginning 2/27/21 with swelling and redness by 3/1/21

Other Meds: Levothyroxine Losartan

Current Illness: NONE

ID: 1063648
Sex: F
Age: 21
State: IN

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: seasonal allergies

Symptom List:

Symptoms: received vaccine on 2/24/21 at 530pm. this was her second dose and had no issues with first dose. on 2/25/21 around 12pm she became woozy and then around 5:15pm began seeing black spots. She didn't eat dinner and went to get in shower. At injection site she was red and warm to touch. She took Benadryl 50mg and then later began having difficulty swallowing. She went to local ED at 9pm. At the ED they gave her a normal saline bolus zofran, solumedrol, and rocephin. She fell asleep at the ED and after 1 hour her swallowing improved. On 2/26 her arm was still sore with redness and swelling at injection site. no hives or weakness noted. She went home on prednisone and antibiotic.

Other Meds:

Current Illness: none

ID: 1063649
Sex: M
Age: 31
State: NY

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:

Symptom List:

Symptoms: Member became vasovagal about 5 minutes after administering vaccine. Was given IV fluids on scene but still had low blood pressures Was transported to ED by EMS.

Other Meds:

Current Illness:

ID: 1063650
Sex: F
Age: 34
State: CA

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 03/01/2021
Hospital:

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

Lab Data:

Allergies: I am allergic to penicillin, clindamycin and tree nuts.

Symptom List:

Symptoms: I had a soreness in my arm. The two weeks later on the 21st of January, I had a routine OB appointment and we did an US only to find out that the fetus was no longer alive. I had to have a DNC the following week. Participant is not sure if it is vaccine related but wanted to file a report anyway.

Other Meds: No

Current Illness: No

ID: 1063651
Sex: F
Age: 66
State: OH

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

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

Lab Data:

Allergies: none known

Symptom List:

Symptoms: Started with extreme exhaustion 1 hour after vaccination, very loose stools X3 days, extreme joint pain 1 1/2weeks- pain continues until present, headache for 12hours with headache off & on continues, cough x 5 days

Other Meds: vitamins-daily

Current Illness: none

ID: 1063652
Sex: F
Age: 17
State: CA

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: No adverse event reported. The patient was given a vaccine outside the indicated age.

Other Meds:

Current Illness:

ID: 1063653
Sex: F
Age: 48
State: TX

Vax Date: 02/25/2021
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:

Symptoms: Report fever, chills, HA, dizziness and fatigue. Treatment: Tylenol Outcome: Mild improvement does not interfere with ADLs.

Other Meds:

Current Illness:

ID: 1063654
Sex: M
Age: 41
State: DC

Vax Date: 02/08/2021
Onset Date: 02/16/2021
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:

Symptoms: Patient received first dose of Covid-19 vaccine (Pfizer) on 02/08/2021. Rash started on 02/16/2021, first rash started behind left ear. Rash has progressed in cranial to caudal fashion. Maculopapular rash that has been blistering and covers neck, chest then has progressed to extremities.

Other Meds: None

Current Illness: None

ID: 1063655
Sex: F
Age: 60
State: TX

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

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

Lab Data:

Allergies: Previous reaction to Flu.

Symptom List:

Symptoms: Patient began to feel Sort of Breath, Warm to the touch, and have a headache during the 30 minute wait time after receiving her vaccine. She has had a previous reaction to flu so the nurses were already checking on her periodically. She was given some water, something cool to put on the injection site, and then asked to wait a little longer to see if she felt better. After about 20 minutes she was feeling well enough that everyone felt comfortable letting her go. We saw her later that day and she was completely fine.

Other Meds:

Current Illness:

ID: 1063656
Sex: F
Age: 59
State: WY

Vax Date: 02/23/2021
Onset Date: 02/24/2021
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:

Symptoms: Burning red welt as big as my hand at vaccination site. Lasted three days then swelling went down and was itchy for one day.

Other Meds: none

Current Illness: none

ID: 1063657
Sex: F
Age: 27
State: MN

Vax Date: 02/27/2021
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: Unknown

Symptom List:

Symptoms: The equipment provided in the ancillary kit leaked at the hub during injection causing vaccine to run down recipients arm. After reviewing with medical director, the decision was made to repeat the dose immediately in the other arm.The equipment was Magellan 3mL syringe with 25G x 1" needle.

Other Meds: Unknown

Current Illness: Unknown

ID: 1063658
Sex: F
Age: 69
State: OH

Vax Date: 09/28/2020
Onset Date: 09/30/2020
Rec V Date: 03/01/2021
Hospital:

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

Lab Data:

Allergies: Nkda

Symptom List:

Symptoms: Pain in right shoulder with hyperextension

Other Meds: Omeprazole belsomra mirtazapine mg ca asa ducosate sodium atorvastatin

Current Illness: Cll Insomnia Gastric reflux Ossteopenia

ID: 1063659
Sex: M
Age: 75
State: OR

Vax Date: 02/22/2021
Onset Date: 02/23/2021
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:

Symptoms: Generalized pain across shoulders and back settling in low back with nerve pain shooting down leg for greater than 1 week

Other Meds: Metoprolol Probiotic Eliquis CardiOmega EPA Losartan Zinc Multivitamin/Mineral C vitamin

Current Illness: total hip replacement Dec. 14, 2020

ID: 1063660
Sex: F
Age: 46
State: KY

Vax Date: 02/26/2021
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: PENICILLINS SINGULAIR PREDNISONE AZITHROMYCIN OSELTAMIVIR

Symptom List:

Symptoms: Patient reports dry mouth and thirst beginning a few hours after vaccination and still currently present. I advised patient to check blood glucose, which was normal. Patient says if symptom doesn't resolve by tomorrow, she will call her primary care provider.

Other Meds: OMEPRAZOLE 40MG CAPSULE FLUOXETINE 10MG CAPSULE ESTARYLLA TABLET CELECOXIB 200MG CAPSULE HYDROXYZINE HCL 25MG TABLET

Current Illness: STOMACH VIRUS ONE MONTH PRIOR

ID: 1063661
Sex: M
Age: 51
State: KS

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 03/01/2021
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Allergies: NKA

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Symptoms: onset started as itchy around armpits around 10:15pm. Then hands, eyes and feet started to itch. Then feet and fingers started swelling, and about five minutes after swelling started, he states he was swollen all over. Nose, ears, eyes were all swollen. He states that after the swelling he started developing hives all over and redness all over. About 30 minutes later he became short of breath and went to the ER at around 1145 pm.

Other Meds: none

Current Illness: none

ID: 1063662
Sex: F
Age: 36
State: GA

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

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Symptoms: Arm pain within two hours. After 11:30 the next day chills, muscle aches and loss of energy. Arm pain started subsiding but "covid arm" happened. An area of about 4 inches around the injection site appeared and has not gone away. There's tingling down my left arm (shot arm) down into my hand. It's not severe, but noticeable and the redness in my arm is prominent. I have no idea how long it will last but wanted to make you aware of the reaction.

Other Meds: n/a

Current Illness: none

ID: 1063663
Sex: F
Age: 68
State: IL

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

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Symptoms: Started with severe headache Continued with all over body aches Next day woke up with fever Even when treated with Tylenol, fever got as high as 102. 4 Within 24 hours I was better but very sluggish and still a little light headed

Other Meds: Levothyroxine Aspirin 81mg Tylenol 650 mg Stool Softener Probiotic Gummy Vitamin D Fish Oil Omeprazole 40mg Carvedilol 3.125mg Chlorthalidone 25mg

Current Illness: None

ID: 1063664
Sex: F
Age: 26
State: GA

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

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Symptoms: Arm pain began in early afternoon with skin tenderness beginning in the evening, which were followed by extreme chills, body aches that hurt to be still, muscle spasms, fever (102-101.4), throbbing headache (treated with ibuprofen x2 200mg Q4hr which helped some), then around 12am became hot and sweaty with aches and spasms persisting. Was able to sleep off and on every time I turned over onto my vaccine arm I woke because of the pain. Next morning I spent the day in bed with lingering chills, muscle aches, headache, and spasms, but less than night before. High Fever persisted (101.4) and a cough with mild shortness of breath developed. The night of 2/28 I took ibuprofen (same dose as before) and Benadryl which allowed me to sleep all night. This morning (3/1) I feel better, with fatigue, lightheaded, a mild fever of 99.3, and minimal muscle aches. Cough persists.

Other Meds: Vyvanse 60mg, Adderall 10mg, ibuprofen 200mg, birth control daily pack

Current Illness: No

ID: 1063665
Sex: F
Age: 70
State: TN

Vax Date: 02/22/2021
Onset Date: 02/24/2021
Rec V Date: 03/01/2021
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Allergies: NKA

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Symptoms: " I started itching and noticed welps on my legs on Wednesday. They moved up to my back and neck." Pt reports taking benadryl before she went to PCP. Reports PCP prescribed steroids.

Other Meds: Amolodipine. Telmisartan

Current Illness: none

ID: 1063666
Sex: M
Age: 65
State: CA

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 03/01/2021
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Symptoms: patient did not receive full dose of vaccine

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ID: 1063667
Sex: F
Age: 40
State: MN

Vax Date: 03/01/2021
Onset Date: 03/01/2021
Rec V Date: 03/01/2021
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Allergies: IV contrast dye

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Symptoms: Patient had mild tingling and swollen lips after first dose. Took Benadryl at home. After second dose (aprox. 10 minutes after shot) patient again experienced tingling and swelling of lips. Patient offered PRN benadryl at site. Refused and said she would monitor at home after additional wait of 15 minutes. Waited 45 minutes total.

Other Meds: no known

Current Illness: none

ID: 1063668
Sex: F
Age: 65
State: GA

Vax Date: 02/27/2021
Onset Date: 03/01/2021
Rec V Date: 03/01/2021
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Allergies: possible penicillin, per my mother when I was young, I don't remember

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Symptoms: This was my 2nd shot and I developed two red, raised area on my arm. One was smaller at the site of the shot, the other was much larger slightly down from where the first one was. My arm hurt and was itchy.

Other Meds: Gabapentin, Carbidopa-levodopa, Sertraline, Thera D

Current Illness:

ID: 1063669
Sex: F
Age: 40
State: VA

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 03/01/2021
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Allergies: Sulfa

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Symptoms: About an hour after vaccination, my throat was tingling and my heart rate went up. It came down after a bit and my throat/tongue felt slightly numb until I took a Benadryl.

Other Meds: Levothyroxine 50 mg

Current Illness: None

ID: 1063670
Sex: F
Age: 60
State: IL

Vax Date: 02/25/2021
Onset Date: 02/28/2021
Rec V Date: 03/01/2021
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Allergies: Multiple antibiotic allergies

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Symptoms: The injection was very painful and pain persisted for 1 day at similar intensity at the very top of the arm near the shoulder. The joint was painful but the muscle was worse. I could not even lift my arm without moderate to severe pain. That pain faded, but my clavicle area on the left side began hurting on day 3 and feeling along the bone I discovered a painful lump. It is on top of the bone about 1 3/4 inches from the notch at the base of the throat. Overnight the lump got less swollen but harder. It is oval, and depending on my position ranges from the size of a green grape to the size of a kumquat.

Other Meds: 5 htp; saccharomyces boulardii; l-tyrosine

Current Illness: None

ID: 1063671
Sex: F
Age: 24
State: MT

Vax Date: 02/24/2021
Onset Date: 02/24/2021
Rec V Date: 03/01/2021
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Symptoms: A Covid vaccine (Moderna) was being given to a pt and as soon as the staff member went to inject the vaccine the needle separated from the syringe leaking the vaccine out and the needle hit and broke the skin of the staff members thumb before hitting the ground. Both the pt and staff member had labs drawn and saw a medical provider. The pt was given another vaccine by a different staff member since the other vaccine leaked out before entering her arm.

Other Meds:

Current Illness:

ID: 1063672
Sex: F
Age: 66
State: FL

Vax Date: 02/18/2021
Onset Date: 02/26/2021
Rec V Date: 03/01/2021
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Symptoms: oval shaped rash on left arm below injection site that was itchy for a week

Other Meds:

Current Illness:

ID: 1063673
Sex: F
Age: 55
State: NJ

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

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Symptoms: Headache Throwing up Stomach upset, only ate toast Sore arm Overall feeling lousy Could not go to work

Other Meds: Nitrofurantoin mono MCR 100MG Multivitamin Calcium VitaminD

Current Illness:

Date Died: 02/21/2021

ID: 1063674
Sex: M
Age: 68
State: MI

Vax Date: 02/05/2021
Onset Date: 02/21/2021
Rec V Date: 03/01/2021
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Allergies: unknown

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Symptoms: EMS responded to a call at his home; he was found unresponsive by family slumped over in a chair

Other Meds: unknown he did not doctor

Current Illness: unknown

ID: 1063675
Sex: F
Age: 43
State: NY

Vax Date: 03/01/2021
Onset Date: 03/01/2021
Rec V Date: 03/01/2021
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Symptoms: History of thyroid cancer, mass found in thyroid bed. Fever off 100 F. followed up with endocrinologist and PCP.

Other Meds:

Current Illness:

ID: 1063676
Sex: F
Age: 38
State: VA

Vax Date: 03/01/2021
Onset Date: 03/01/2021
Rec V Date: 03/01/2021
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Symptoms: Chest pressure, flushed. Evaluated by EMS - BP 165/112, HR 102, O2 99%. 2:18 EKG- NSR. Transported to facility.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 559,999

Page last modified: 03 October 2021 5:28pm