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
17,632
AK759
AL1,450
AR1,077
AS19
AZ4,682
CA16,926
CO3,061
CT2,201
DC324
DE422
FL8,523
FM2
GA3,450
GU38
HI628
IA1,400
ID830
IL5,213
IN7,816
KS1,432
KY1,917
LA1,253
MA3,960
MD3,391
ME914
MH3
MI4,545
MN3,141
MO2,573
MP9
MS728
MT907
NC4,125
ND432
NE961
NH915
NJ4,218
NM1,268
NV980
NY9,186
OH5,027
OK1,542
OR2,309
PA5,632
PR713
QM1
RI605
SC1,436
SD428
TN2,154
TX9,086
UT1,272
VA3,950
VI17
VT544
WA3,658
WI3,034
WV746
WY249
XB1
XL1

ID: 1063779
Sex: M
Age: 77
State: NJ

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

Vax Type:
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Lot:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Fever as high as 101.8 on 02/28/2021 Fever 99.1 morning of 03/01/2021 severe headache (starting to subside as of this writing 4:30 PM 03/01/2021) nausea (starting to subside as of this writing 4:30 PM 03/01/2021) Tiredness

Other Meds: Multi-vitamin, vitamin d3, Vitamin c, Hyaluronic Acid, Colon Health

Current Illness:

ID: 1063780
Sex: F
Age: 88
State: KY

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

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Lab Data:

Allergies:

Symptom List:

Symptoms: Patient is a resident at a LTCF. Walgreens went to their facility to do three off site COVID vaccine clinics that were spaced at least 21 days apart per our CDC contract. Patient received 3 doses total of Pfizer. They were vaccinated on 1/08/21, 1/29/21, and 2/19/21. The facility has been notified of this incident. At this time, no adverse affects have been reported.

Other Meds:

Current Illness:

ID: 1063781
Sex: F
Age: 38
State:

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Headache, chill, fatigue, and nausea. These adverse effects were onset 8 hours after the vaccine and drag on the next day.

Other Meds:

Current Illness:

ID: 1063782
Sex: M
Age: 39
State: CO

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

Vax Type:
Manufacturer:
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Lot:
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Vax Site:

Lab Data:

Allergies: ALLERGIC TO CHOCOLATE

Symptom List:

Symptoms: Chills, fever, headache, aches, shooting pains - lasting 3.5 days. Pain around joints and inside bones. It is 3/1/2021 and the symptoms have seemed to subside.

Other Meds: B12, VITAMIN C, BIOTIN, ADDERRAL.

Current Illness: NONE

ID: 1063783
Sex: F
Age: 41
State: NJ

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

Vax Type:
Manufacturer:
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Lot:
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Lab Data:

Allergies: Celebrex

Symptom List:

Symptoms: Arm swelling ( double in size), heavy, and throbbing with or without movement. Started a couple hours after vaccine, went to bed that night and woke with minor pain in the arm and considerable less swelling.

Other Meds: Plaquenol, Wellbutrin, Synthroid, Yaz

Current Illness: NA

ID: 1063784
Sex: F
Age: 73
State: MA

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:

Symptom List:

Symptoms: Pt received Moderna Covid vaccine Lot #010A21A in R deltoid on 2/26/21 and developed itching of arms and legs in first 15min of observation. Pt sat an additional 15 minutes and developed redness on right arm and continued itching in both arms and legs. Pt felt it was a similar reaction that she had previously to contrast dye. Pt was offered Benadryl and declined but then was getting ready to leave and changed her mind. She was given 50mg IM Diphenhydramine and asked to wait an additional 15 minutes. She said symptoms were improving at that time and was allowed to leave.

Other Meds:

Current Illness:

ID: 1063785
Sex: F
Age: 76
State: OK

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

Vax Type:
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Vax Name:
Lot:
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Lab Data:

Allergies: Sulfa, Iodine, morphine,lisinopril, augmentin, ceftriaxone, nitrofurantoin mono

Symptom List:

Symptoms: Aprox 10 minutes after receiving the vaccine client started c/o stinging and tingling in her hands and they were red, she felt flushed. No medications given. She felt better shortly afterwards. She did not let her PCP know of this information.

Other Meds: Nexium,chlortalidione, visoprolol, aleparinol,levothyroxine, several supplemts

Current Illness: none

ID: 1063786
Sex: F
Age: 41
State: VA

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:

Symptoms: Friday at 4pm I experience severe unquenchable thirst and mild injection site soreness. Saturday morning was restless sleep and headache with severe joint pain and thirst. All Saturday same. Skin hurt to touch and knees and finger knuckles hurt to touch. Vomiting. Throbbing injection arm pain and the urge to constantly stretch all limbs. Sunday all subsided except the throbbing arm pain. Sunday evening at 8 pm throbbing arm worse and headache. Monday 3am restless sleep and miserable comfortableness. Throbbing arm and restless painful shockwaves through entire body. Skin severely hurt to touch. Went to the ER. Treated with Atavan and prescription Motrin.

Other Meds: Hydrochlorothiazide Trintellix Norephedrine Zrytec

Current Illness: None

ID: 1063787
Sex: U
Age: 66
State: NY

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

Vax Type:
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Lab Data:

Allergies: dust mites, dust, latex

Symptom List:

Symptoms: chills, headache, body joint pain , very tired

Other Meds: none

Current Illness: high blood pressure, high colesteral, diabetes, asthma

ID: 1063788
Sex: F
Age: 67
State: TX

Vax Date: 02/01/2021
Onset Date: 02/14/2021
Rec V Date: 03/01/2021
Hospital:

Vax Type:
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Lot:
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Vax Site:

Lab Data:

Allergies: Streptomycin Fluoroquinolones

Symptom List:

Symptoms: First dose gave me Covid arm in left arm. Second dose gave me severe itching, rash, red bumps. in both arms but injection arm was more severe. Finally went to the dermatologist after 9 days. Iced in here in Texas and without power so had to wait. Received topical to assist in itching. At 2+ weeks still have some red bumps but no itching. Never had fever or any other issues.

Other Meds: Synthroid Bisoprolol Vitamin D

Current Illness: None

ID: 1063789
Sex: F
Age: 46
State: IA

Vax Date: 02/23/2021
Onset Date: 02/25/2021
Rec V Date: 03/01/2021
Hospital:

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

Lab Data:

Allergies: sulfa cipro

Symptom List:

Symptoms: arm swelling, tenderness, armpit swelling

Other Meds: xanax ability prozaz prilosec remeron

Current Illness: none

ID: 1063790
Sex: M
Age: 71
State: IA

Vax Date: 02/18/2021
Onset Date: 02/23/2021
Rec V Date: 03/01/2021
Hospital:

Vax Type:
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Vax Site:

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: High fever 103-104, confusion, nausea, body aches, headache, chills, lasting about 2-3 days. Is feeling better since then, just has some hip aches.

Other Meds: Immuran, hx of kidney transplant, blood thinner, heart medication,

Current Illness: None

ID: 1063791
Sex: F
Age: 75
State: NY

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

Vax Type:
Manufacturer:
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Vax Site:

Lab Data:

Allergies: Cats

Symptom List:

Symptoms: feb 26th: muscle pain, joint pain, whole-body rash treatment: steroid cream, zyrtec, tylenol outcome: ongoing

Other Meds: Multivitamin; Raloxifene

Current Illness:

ID: 1063792
Sex: F
Age: 30
State: OH

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

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Lab Data:

Allergies:

Symptom List:

Symptoms: For the entire night after getting the vaccine I was the most sick I have EVER been. Fever of 103, vomiting profusely, diarrhea, chills. It was terrible. Then for the next week I had a headache that felt like someone hit me with a hammer between my eyes. I get tested weekly for corona and have always tested negative... I had a negative result the same day I got the second dose of the vaccine as well. All I know is that I NEVER want to feel like that again ?? my lungs still bother me and it?s a month later

Other Meds:

Current Illness: None

ID: 1063793
Sex: F
Age: 35
State: IA

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

Vax Type:
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Lab Data:

Allergies: Penicillin, amoxicilin, arithomycin,

Symptom List:

Symptoms: Extreme fatigue, headache, body ache

Other Meds: Sertraline, wellbutrin, valacyclovir, atorvastatin, lisinopril

Current Illness:

ID: 1063794
Sex: F
Age: 83
State: MO

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

Vax Type:
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Lot:
Dose Series:
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Vax Site:

Lab Data:

Allergies: Sulfa

Symptom List:

Symptoms: Chills, fever, headache, intense all-over body aches, unable to sit up or turn over in bed, loss of appetite.

Other Meds: Metoprolor, Atorvastatin, Hydrochlorothiazide, Lisinipril, Zioptan eye drops, Vitamin D capsule.

Current Illness: None

ID: 1063795
Sex: M
Age: 82
State: TN

Vax Date: 02/04/2021
Onset Date: 02/04/2021
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: Patient received second dose of vaccine 2 days too early.

Other Meds: inknown

Current Illness: inknown

ID: 1063796
Sex: M
Age: 87
State: MI

Vax Date: 02/23/2021
Onset Date: 02/24/2021
Rec V Date: 03/01/2021
Hospital:

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

Lab Data:

Allergies: iodine, IVP dye (iodine containing)

Symptom List:

Symptoms: Pt presented to the ED after a syncopal episode at home. Pt was on the toilet having a bowel movement when he developed sudden-onset nausea, light-headedness, and dizziness. He felt that he was going to pass out and his daughter came into the room and helped him. He did not lose consciousness or hit his head. Symptoms resolved "several minutes later." Pt complains of new-onset heartburn. Pt states that the symptoms he felt during the episode were similar to the sensation he felt during a heart attack he had several years ago.

Other Meds: symbicort, coreg, lisinopril, plavix, lipitor, albuterol, cyanocobalamin, tylenol, aspirin, dulcolax, plaquenil

Current Illness:

ID: 1063797
Sex: M
Age: 18
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:
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Vax Route:
Vax Site:

Lab Data:

Allergies: Nuts

Symptom List:

Symptoms: Patient said he got dizzy within minutes of receiving vaccine and that resolved by 10 minutes after vaccine. Around 10 minutes after vaccine patient said both his arms felt heavy and numb but he was able to move them and his fingers. Patient had no other symptoms and walked out of pharmacy with his mother.

Other Meds:

Current Illness:

ID: 1063798
Sex: F
Age: 45
State: IL

Vax Date: 02/19/2021
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: aspirin cipro

Symptom List:

Symptoms: soreness, rash, swelling, warmth, itching ice, benedryl cream continues with pain, itching, swelling and warmth

Other Meds: atenelol pravastatin liosinopril gabapentin trulicity levomir prandin tramodol invakana effexor clonipin imlodapine vit d

Current Illness: diabetic

ID: 1063799
Sex: F
Age: 67
State: FL

Vax Date: 02/15/2021
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: Possibly Sulfates (not sure)

Symptom List:

Symptoms: Five days after receiving the Moderma Covid Vaccine, welts began appearing on various body parts. Some the size of quarters, some smaller. Itchy, red, raised skin. As of this date (March 1) they have appeared and remain on my inner thigh, stomach area, chest, and top of foot.

Other Meds: Nature Thyroid, Losartan, Diltiazem

Current Illness: none

ID: 1063800
Sex: F
Age: 72
State: CA

Vax Date: 02/01/2021
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:

Symptom List:

Symptoms: "COVID Arm" discoloration and ecchymosis at vaccine ste

Other Meds:

Current Illness:

ID: 1063801
Sex: F
Age: 82
State: AR

Vax Date: 02/22/2021
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: Developed pneumonia

Other Meds:

Current Illness:

ID: 1063802
Sex: F
Age: 74
State: NH

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: penicillin

Symptom List:

Symptoms: headache, full body aches for 36 hours

Other Meds: none

Current Illness: none

ID: 1063803
Sex: M
Age: 80
State: TX

Vax Date: 02/13/2021
Onset Date: 02/14/2021
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: Next day confusion, problems with balance and inability to walk, mumbling speech, scattered thought, unable to follow or understand speech which lasted 24 hours and resolved spontaneously without medical intervention.

Other Meds: Aricept, Namenda, Sertraline, Prevacid, Norvasc, Cardizem, Eliquis,Cozaar

Current Illness: None

ID: 1063804
Sex: M
Age: 67
State: CA

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Severe diarrea: taking imodium and fluids: still recovering

Other Meds: lisinopril; metformin; metoprolol; atorvastatin; B vitamin

Current Illness:

ID: 1063805
Sex: F
Age: 46
State: IL

Vax Date: 01/23/2021
Onset Date: 02/09/2021
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:

Symptoms: Severely elevated blood pressure. Ranging 135-168/90-108 Previously well controlled Spiked 2/16/21 and lost work for 2 days. MD added Valsartan with little relief. Then added hydrochlorothiazode with some relief however still experiencing spikes.

Other Meds: Metoprolol, Cymbalta, Claritin, methocarbamol, omeprazol, metormin, florastor, sudafed, ibuprpphen

Current Illness: None

ID: 1063806
Sex: F
Age: 53
State: ID

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:
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Vax Site:

Lab Data:

Allergies: Morphine Surgical tape

Symptom List:

Symptoms: pt c/o dizziness after vaccine administration. patient states history of anxiety with receiving injections. Vital signs 138/60-73-95%O2 Sat. Skin warm and dry. Good cap refil. Breath sound clear bilaterally. VS rechecked after 15 min: 130/88-76-16-95%O2Sat. Breath sounds clear. skni warm and dry, good cap refil. Pt states she is felling fine. Patient discharged home.

Other Meds: No Meds

Current Illness:

ID: 1063807
Sex: F
Age: 78
State: AR

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

Symptoms: Patient received Moderna instead of Pfizer. Pfizer was administered on 01/28/2021. Patient was accidentally administered Moderna on follow up for second dose on 2/24/2021. The health department was contacted regarding the error and we were advised to document and that the patient would not receive a second dose of Pfizer. The moderna vaccine would count as her second dose in the series. All of this was explained to the patient. She did not have any adverse events aside from a sore arm for about 24 hours after injection.

Other Meds:

Current Illness:

ID: 1063808
Sex: F
Age: 57
State: TX

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

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

Lab Data:

Allergies: Codeine

Symptom List:

Symptoms: Arm pain x 3 days; fever for 48 hours, muscle/body pain x 48 hours; fatigue x 48 hours; severe headache has been on and off every day since the day of the injection, now 8 days in a row.

Other Meds: nexium, estring, prempro, vitamin C, vitamin D, B-12, probiotics, tylenol, Zyrtec

Current Illness: None

ID: 1063809
Sex: F
Age: 72
State: CT

Vax Date: 02/18/2021
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: dust mites

Symptom List:

Symptoms: A week after getting the vaccine 2/24 I experienced a headache that lasted two days, accompanied by fatigue and weakness. Since I'm wearing a mask and social distancing I don't think I was exposed to anyone who was sick. I did not see a doctor. I just rested and on the second day 2/25 took an Advil. I felt better the next day but became nauseous the following night 2/26. I had some mild diarrhea and felt week again the following day 2/27. That was followed by a full recovery.

Other Meds: Fluticasone Propitionate, Ceterizene Montelukast, Advair, Prolia, Calcium Citrate, Esther C, Omega 3 fish oil, turmeric, Glucosamin & Chondroitin,

Current Illness: NA

ID: 1063810
Sex: F
Age: 65
State: WI

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: None.

Symptom List:

Symptoms: She said she had itching from her scalp to her toes starting the night of the vaccine. This was gone by Friday morning. She took Benadryl for the itching and it resolved.

Other Meds: None.

Current Illness: None.

ID: 1063811
Sex: F
Age: 99
State: IN

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

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

Lab Data:

Allergies: statins-Hmg-Coa reductase inhibitor (muscle aches)

Symptom List:

Symptoms: Patient was waiting for 15 minutes post-vaccine time in the vaccine clinic lobby and experienced shortness of breath. Patient chose to be evaluated at the facility's Emergency Department on the same site as the State's vaccine clinic. Shortness of breat stared about 15 mintues after receiving 2nd COVID vaccine today. Had shot in left deltoid. No allergic reaction the first time (with 1st vaccine in series). EKG and chest xray were completed as well as nebulizer treatment of albuterol. Patient relieved of symptoms and dismissed home.

Other Meds: albuterol, alprazolam, cholecalciferol/vitamin D3, citalopram, diltiazem, furosemide, ibuprofen, levothyroxine, mometasone, potassium chloride, vitaminA/vitamin C/vitamin E/zinc, copper

Current Illness: asthma, carpal tunnel syndrome, heart murmur, hx thyroid disease, hypertension, macular degeneration disease

Date Died: 02/13/2021

ID: 1063812
Sex: M
Age: 79
State: IL

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 03/01/2021
Hospital:

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

Lab Data:

Allergies: Doxycycline

Symptom List:

Symptoms: Resident had severe CAD, DM type 2, and hx of RBKA and left 5 digits on foot amputation. Hx of osteomyelitis post surgical. After last surgery, resident did not have a good appetite, more restless, increased confusion with dementia. Significant other passed away on 12/30/20, resident began refusing meals, decreased eating. Vaccinated on 1/13/21. On 1/25/21 Resident labs showed kidney failure. Dr. spoke with family and transitioned to Comfort care, on 2/5/21 went hospice. Patient passed away on 2/13/2021.

Other Meds:

Current Illness: severe CAD, DM type 2, and hx of RBKA and left 5 digits on foot amputation. Hx of osteomyelitis post surgical. Decreased appetite, more restless, increased confusion with dementia, On 1/25/21 Resident labs showed kidney failure, on 2/5/21 went on comfort care

ID: 1063813
Sex: F
Age: 49
State: OH

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 03/01/2021
Hospital:

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

Lab Data:

Allergies: Sulfa, penicillen

Symptom List:

Symptoms: I had a headache and body aches starting at 2 pm the day following my second vaccine. That subsided within 24 hours. 3 days post vaccine I woke up with a headache, low grade fever, and a rash on my face, chest and inner arms. I have had a headache every day since February 10th. I have extreme fatigue, regardless of how much sleep I get. The rash has reappeared several times.

Other Meds: No

Current Illness: No

ID: 1063814
Sex: M
Age: 64
State: MI

Vax Date: 02/23/2021
Onset Date: 02/27/2021
Rec V Date: 03/01/2021
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Symptoms: Fever (to 103F), Encephalopathy (Confusion, somnolent) - improved with resolution of fever (with Tylenol)

Other Meds: Buspirone, Cetirizine, Divalproex, Donepezil, Finasteride, Lorazepam, Memantine, Risperidone, Tamsulosin, Trazodone, Zafirlukast

Current Illness:

ID: 1063815
Sex: F
Age: 49
State: OH

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 03/01/2021
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Allergies: None known other than environmental allergies such as pollen

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Symptoms: On January 5th, the day after my first COVID vaccine, I awoke to a small rash on my forehead. I also had a bad headache. Knowing I'm prone to migraines, I ignored it at first. The headache and rash got worse, and the rash started to be very painful. The rash was bumpy and weepy - almost like poison ivy. The inflammation in the rash made it bulge out about 1/2 inch high bump and I got periorbital edema in both eyes for about 4 days - almost to the point where I couldn't see because my eyes were so swollen. I went to the doctor on January 11th and he and two other doctors diagnosed it as Shingles. Their best opinion was that while it wasn't caused by the COVID vaccine, the stress on my body from getting the vaccine triggered the shingles virus and made it active. I was given Valtrex to take for 10 days. I also got some CBD pills and oil to help lessen the rash. I went back for a recheck on January 26th. The rash was going down by that point and had stopped being painful. As of this writing (3/1/2021), while the main inflammation I still have discoloration and pockmarks on my forehead where the rash was.

Other Meds: Singulair - 10 mg Iron - 65 mg Calcium - 2000 mg Melatonin - 5 mg Zyrtec

Current Illness: None

ID: 1063816
Sex: F
Age: 77
State:

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 03/01/2021
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Symptoms: Pt received 1st dose of Moderna Lot # 012M20A on 2/3/21 and then received 2nd dose of Pfizer Lot # EN6202 on 02/25/21.

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Current Illness:

ID: 1063817
Sex: F
Age: 52
State: MI

Vax Date: 02/15/2021
Onset Date: 02/16/2021
Rec V Date: 03/01/2021
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Allergies: Watermelon, pineapple

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Symptoms: Fainted Fast heart rate Headaches Dizziness

Other Meds: None

Current Illness: None

ID: 1063818
Sex: F
Age: 48
State: MD

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

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Symptoms: I waited in the holding area (mass vax clinic) for 20 min. No symptoms. The lights were very bad and bright flourescent so admittedly I was bothered by them or it could have been the beginning of the whooseyness from the shot. My husband picked me up in the car out front, we were driving and I began to get pressure in my sinuses and mostly the sides of my nose. I did have some head congestion but this feeling had never happened (it should be noted I had negative covid tests to make sure stuffy head was nog covid related). Then I felt pressure in my ears and my face began to feel flush as my cheeks. All of this began at about 35 minutes after the injection. Then my lips began to feel strange. It was a cross between tingly and numb. I made as many faces in the car makeup mirror to make sure my face muscles were moving properly And they were. But there was definitely numbness occurring in my mouth. Tingly-numbness. This all happened within about 10 min of the first onset. Then I noticed some splotchiness on my lower arms. Mostly my left (shot was given in right- no redness at the injection site). I also got some splochiness on my chest and neck. Cheeks were also ruddy and flush. I did NOT have any problem breathing or swallowing at anytime. Nor did my pulse race (other than from a pit of panic from nerves over the reaction). I didnt have a thermometer but don?t think I had a fever either. We pulled over and I called a nurse on call. She told me if things worsened to go to hospital. I did have a little bit of the feeling you get when you are about to pass out and you feel like things are closing in a bit. But it never got past about a 2 on a scale of 1-10. I decided I wanted something to eat (I HAD eatten before) and I went to get a sandwich. I still was a bit light headed but the symptoms did start to subside in about an hour. After that I was only tired and took a nap. Nothing else after those initial reactions.

Other Meds: Zinc supplement, multi vitamin, vitamin C

Current Illness: Head cold / sinus congestion

ID: 1063819
Sex: U
Age:
State: TX

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Rec V Date: 03/01/2021
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Symptoms: Skin started itching on Saturday night (2/27/21), and by Sunday morning hives had started forming on legs. Hives kept getting worse and spreading to groin, hip, arms, armpit, shoulder, and neck. When the hives reached my neck at 3pm CST, my voice started getting hoarse and I was taken to urgent care. Symptoms continued to increase to include abdominal pain and throat swelling while in urgent care. Vital signs at urgent care: Temperature 98.4. Blood pressure 98/70. Heart rate 109. Pulse Oxygen 98%. At urgent care I was given a shot of epinephrine, where the hives and redness decreased and throat opened. After an hour, I was discharged to go home. (Time now about 6:15pm CST) Upon arriving at home, the hives started coming back and spread across my arms and entire stomach. My eyelids had hives too. I went to the ER at about 7pm CST and received Benadryl, Steroids, and Pepcid while getting IV fluids. I was discharged with a prescription to take prenisone 50mg qd, as well as pepcid qd and benadryl as needed.

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Current Illness:

ID: 1063820
Sex: F
Age: 61
State: NC

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 03/01/2021
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Symptoms: 12/29 vaccination Evening, I had a slight temperature of 99.1. 12/30 100.0, went to work, had gone up to 102.3. Sent home. Extreme fatigue, slight HA, slept till 3. 12/31/20210Fever *telemed that Thursday with County Health to get cleared to work / paramedic. *COVID + 10/2020; Fever for 14 days

Other Meds: vit D

Current Illness: COVID; 10/2020

ID: 1063821
Sex: F
Age: 30
State: CA

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 03/01/2021
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Allergies: Bell peppers

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Symptoms: Headache Nausea Chills Body aches

Other Meds: Metoprolol Lexapro Melatonin

Current Illness: None

ID: 1063822
Sex: F
Age: 25
State: VA

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 03/01/2021
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Allergies: shellfish and fish

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Symptoms: pt stated that 10 minutes after receiving the covid vax her throat started closing so she went to the ER. She had hives, chest tightness, and unable to breath. They injected epi-pen and administered steroids, Pepcid and Benadryl. She was released to go home after 5 hours. The next day she had really bad sternum chest pain, back pain, neck pain and fatigue so she went back to the ER. They did chest XRAY that came back clear, did an EKG w/ normal results, and blood work w/ high white blood count. New RX for Naproxen 500mg, lidocaine patches, Zofran and has an EPI pen on order. Pt states since leaving the ER she still has fatigue, pain in neck, arm, back, and now in the face. She states her face is numb and has bad pain and blurred vision in both eyes, more so on the right side. The ER told her to come back if she needed to FU.

Other Meds: Prozac, metformin, chlorestoral medicine

Current Illness: no

ID: 1063823
Sex: F
Age: 77
State: NY

Vax Date: 02/12/2021
Onset Date: 02/20/2021
Rec V Date: 03/01/2021
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Allergies: None

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Symptoms: I have no known allergies. On February 20th, eight (8) days after first (1st) dose injection on February 12, an inflamed, itchy rash measuring about four (4) inches in diameter appeared around the injection site, on left arm. It is now seventeen (17) days since the injection and although the rash is much smaller, measuring about 1.5-2.0 inches in diameter, it is still itching on and off. I am due for the second (2nd) Covid dose in 11 days. I do not know what to expect with the 2nd dose.

Other Meds: Levothyroxin 88 mcg

Current Illness: None

ID: 1063824
Sex: F
Age: 68
State: FL

Vax Date: 02/20/2021
Onset Date: 02/21/2021
Rec V Date: 03/01/2021
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Allergies: Celebrex. Mango skin.

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Symptoms: My symptoms after the second Moderna COVID-19 Vaccine EUA were as follows; Fatigue, Headache and Nausea.

Other Meds: Red Yeast Rice 2/600 mg, Nortriptyline 75mg, Lisinopril 10 mg, Leutein & Zeaxanthin 25/5mg, Aspirin 81mg.

Current Illness: none

ID: 1063825
Sex: F
Age: 71
State: MD

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 03/01/2021
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Allergies: penicillin; sulfa drugs; iodine contrast; possibly morphine

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Symptoms: Day 1: egg-sized red raised area at sight of injection with a good deal of pain in upper left arm Day 2 am: fever of 101.1 (normal 97.7F); collapsed in kitchen with no dizziness; extreme feeling of brain fog; swollen lymph nodes under both arms; chills; headache; fairly extreme pain at every joint with prior injury--left knee, L4-L5 high right, 4th finger of right hand; extreme fatigue, but inability to sleep though in bed all day Day 3 fever of 100; chills; swollen glands in both sides of neck; still in bed with extreme fatigue and unable to sleep; up for a couple of hours in early evening; double vision; slept for two hours Day 4 am still with extreme fatigue and unable to sleep; 5am visual hallucinations while in bed and sitting on the side of bed; still with double vision; continuing large hot red area around injection site with upper arm pain To now as I am writing this, continued fatigue and general malaise, double vision now gone.

Other Meds: 2 brazil nuts per day for selenium

Current Illness: none

ID: 1063826
Sex: F
Age: 70
State: CA

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

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Symptoms: About 20 - 25 minutes patient developed scratchy throat in the parking lot after initial 15 minute observation period. Was brought back to Observation for assessment. Denies other sx (no SOB, palpitations, sensations of lip or throat swelling, itchiness, etc.) Patient observed for additional 20 minutes . Symptoms improved and no development of additional or denied symptoms. Patient requested to leave after repeat observation. Discharged with strict ED precautions. All questions answered.

Other Meds: Flonase, Allegra

Current Illness: None

ID: 1063827
Sex: F
Age: 88
State: TN

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 03/01/2021
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Symptoms: Patient noticed the evening after receiving the vaccine that her arm began to itch an develop a rash.

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Current Illness:

ID: 1063828
Sex: M
Age: 44
State: TX

Vax Date: 03/01/2021
Onset Date: 03/01/2021
Rec V Date: 03/01/2021
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Symptoms: Chest tightness, lightheaded & nervousness; denies chest pain, SOB or difficulty breathing Vitals: 120/65, HR-80, pulse ox- 97% Client reports history of anxiety, PTSD; takes trazadone 50mg & Abilify 1.25mg nightly 0952- client reports feeling better, cleared by site lead

Other Meds: Trazadone 50mg, Abilify 1.25mg

Current Illness:

Total 2021 VAERS Injuries: 165,716

Page last modified: 03 October 2021 5:28pm