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
72,296
AK1,638
AL5,339
AR3,412
AS44
AZ13,316
CA58,147
CO11,002
CT7,824
DC1,626
DE1,670
FL36,235
FM3
GA13,429
GU82
HI2,195
IA4,332
ID2,473
IL19,261
IN22,568
KS4,284
KY6,945
LA4,714
MA13,886
MD11,901
ME2,997
MH8
MI17,865
MN11,345
MO8,919
MP30
MS2,676
MT2,147
NC15,401
ND1,273
NE2,732
NH2,859
NJ17,232
NM3,702
NV4,071
NY32,763
OH18,072
OK5,940
OR7,954
PA22,457
PR2,104
QM2
RI1,911
SC6,055
SD1,133
TN8,691
TX34,122
UT4,023
VA13,944
VI49
VT1,661
WA13,811
WI10,395
WV2,220
WY805
XB5
XL1
XV2

ID: 1069567
Sex: M
Age: 85
State: SD

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

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

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: Patient experienced sweats, fevers, and extreme weakness with difficulty ambulating the afternoon after second COVID vaccine. Patient was admitted to the hospital overnight for observation and was given tylenol to help with fevers, was discharged the following day.

Other Meds: tyelnol, atorvastatin, imdur, tamsulosin, effexor-xr, ASA, multivitamin, CO Q10, glucosamine condroitin

Current Illness: none

ID: 1069569
Sex: M
Age: 50
State:

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient experienced swelling of the left side of face and mouth after vaccination. Patient taken to ED by EMS.

Other Meds:

Current Illness:

ID: 1069571
Sex: M
Age: 66
State: CA

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

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Developed headache within one hour. Dizziness began approx. 2 hours after that. Body aches shortly thereafter. Headaches lasted into the second day, dizziness and aches into the third. All gone by the 4th day.

Other Meds: bupropion. losartan potassium. metoprolol tartrate. atorvastatin. Tamsulosin gcl.

Current Illness: none

ID: 1069572
Sex: M
Age: 75
State: MI

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

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

Allergies:

Symptom List:

Symptoms: Patient received first dose of Moderna Covid-19 vaccine at scheduled clinic on 2-3-21. Patient then received his second dose at scheduled clinic at long term care facility on 3-3-21. Upon billing of the patients insurance, it was flagged that patient may have received dose of Pfizer Covid-19 vaccine on 2-19-21 from Health Department. Facility states they have no record of patient leaving the facility on that date or of him receiving any other Covid-19 vaccine's other than the 2 Moderna doses given to the patient by pharmacy at scheduled visits. Called to confirm Pfizer dose with Health Department, however am still waiting on a reply for confirmation of Pfizer dose. Alerted facility to please monitor patient for any additional signs of adverse reactions.

Other Meds:

Current Illness:

ID: 1069573
Sex: F
Age: 65
State:

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Numbness/tingling of right arm

Other Meds:

Current Illness:

ID: 1069574
Sex: F
Age: 46
State: MN

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

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

Lab Data:

Allergies: Allergies Remicade [Infliximab] Anaphylaxis High 10/12/2017 Past Updates... Clindamycin Rash Not Specified 10/14/2008 Past Updates... Enbrel [Etanercept] Rash Not Specified 12/18/2018 Past Updates... Fd And C No.5 (tartrazine) Itching Not Specified 2/8/2006 Past Updates... itching Sulfa (sulfonamide Antibiotics) Itching Not Specified 10/14/2008

Symptom List:

Symptoms: Chest burning and tightness and SOB. Gave albuterol neb and Benadryl.

Other Meds: artificial tears, peg 400-propylene glycol, (SYSTANE) 0.4-0.3 % dpet ophthalmic atenoloL (TENORMIN) 25 mg tablet cetirizine (ZYRTEC) 10 mg tablet cholecalciferol (VITAMIN D3) 5,000 unit capsule cyclobenzaprine (FLEXERIL) 10 mg tablet cycloS

Current Illness: no acute illness

ID: 1069575
Sex: F
Age: 41
State: NJ

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

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Shakes, chills, mild temperature (100), insomnia, nausea, exhausted, weak. Entire left side hurt, lymph node under arm - near breast on side of vaccination swollen for 4 days. Headache Onset of chills began at 1am. Around 5am I started shaking and nauseous and I had not been able to fall back to sleep. 5am 2/25 until I woke up for the day 2/26 at 6am, I had the nausea, chills, weak. Lymph node swollen stayed for 4 days. I felt very confused, like I couldn't hold a full thought. No reaction to 1st vaccine except a sore arm

Other Meds: none

Current Illness: none

ID: 1069576
Sex: F
Age: 60
State: FL

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

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: pain in right arm, difficult to lift & move arm, hot & cold chills, wiped out feeling, sick to stomach

Other Meds: metoporolol tartrate 25mg 1x, furosemide 80 mg 1x, zarelto 20 mg 1x, propafenone hcl er 425 mg 2x

Current Illness: none

ID: 1069577
Sex: F
Age: 67
State:

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: 6 days after receiving the vaccine patient started having mouth problems, loss of taste and smell. Also had vision changes.

Other Meds:

Current Illness:

ID: 1069578
Sex: F
Age: 38
State: CA

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Severe Muscle aches all over the body, chills, increased temperature without fever, severe headache, nausea, dehydration, nose congestion, sharp needle pain on various areas of body, sore arm

Other Meds: None

Current Illness: None

ID: 1069579
Sex: M
Age: 77
State: FL

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

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

Lab Data:

Allergies: Adhesive bandage, Cipro, Latex, Levaquin, Percocet 5/325, Silicone, tramadol

Symptom List:

Symptoms: 48 hours after the 2nd dose of the COVID-19 vaccine, he had generalized body aches that had worsened, chills, agitation/anxious, dizzy, and hyperventilating/ shortness of breath. He went to the hospital with his wife on 3/1/2021. He stated "I think I'm going to die". Patient had been off Cymbalta for 3 days completely- treating neuropathy (previous daily medication that his primary physician advised him with weaning down the dose). The patient was manic and had tangential thoughts- from crying/angry to laughter. It is believed that the agitation could be due to medication withdraw.

Other Meds: acetaminophen-codeine #3- 1 tab by mouth twice daily as needed, atorvastatin 40mg- 1 tab by mouth daily , clopidogrel 75mg daily- 1 tab by mouth daily, dicyclomine 10mg- 1 tablet by mouth twice daily, duloxetine 30mg - 1 tablet by mouth o

Current Illness: None

ID: 1069580
Sex: M
Age: 66
State: CA

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

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

Lab Data:

Allergies: nka

Symptom List:

Symptoms: pain and adenopathy for 2 weeks

Other Meds: ibuprofen

Current Illness: hypertension

ID: 1069581
Sex: M
Age: 35
State: AK

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

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

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: Patient began feeling lightheaded shortly after the vaccine was administered. Reported mild blurred vision. Diphenhydramine given. Symptoms subsided within 20 minutes.

Other Meds: None.

Current Illness: none

ID: 1069582
Sex: F
Age: 69
State: MA

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

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

Lab Data:

Allergies: Bactrim, Cipro

Symptom List:

Symptoms: Heightened pain in areas that I normally have pain in. Neuropathy in feet is more pronounced. Ankle tear in left ankle and wrist pain is also more pronounced. Right ankle from surgery two years ago is more pronounced.

Other Meds: Synthroid. Lamotrigine. Ambien. Clonazepam (.25mg - weaning off). Macrobid (1 per day-maintenance). Uvifam insert. Ritzatryptan (as needed) Multi vitamin. B12-5000mg. D3C, Zinc, Probiotic, Cranberry supplement, herbal liver detox, M

Current Illness:

ID: 1069583
Sex: F
Age: 44
State: TX

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Nausea, lightheaded, vertigo, confusion, feeling cold and weak, numbness to right hands and feet

Other Meds: St. John's Wort, Oxystem Pro

Current Illness: None

ID: 1069584
Sex: F
Age: 69
State: NC

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

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

Lab Data:

Allergies: sulfa (hives)

Symptom List:

Symptoms: "feeling lightheaded", no chest pain, no sob. She has not eaten, symptoms resolved after crackers and ginger ale

Other Meds:

Current Illness:

ID: 1069585
Sex: F
Age: 72
State: OK

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

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

Lab Data:

Allergies: n/a

Symptom List:

Symptoms: Patient presented to the pharmacy in need of 2nd Covid vaccine. Patient stated that she received Moderna. This is what our pharmacy is using. Proceeded with 2nd vaccine. Patient called later at home stating that she was wrong and her 1st vaccine was pfizer.

Other Meds: n/a

Current Illness: n/a

ID: 1069586
Sex: F
Age: 72
State: MN

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

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

Lab Data:

Allergies: metal

Symptom List:

Symptoms: sore arm at injection site, body aches and pain all over her body, extreme fatigue, feverish, upset stomach (3 days after receiving injection)

Other Meds: Fluoxetine Hcl, Furosemide, Levothyroxine Sodium tablet, Orphenadrine Citrate

Current Illness: none

ID: 1069587
Sex: F
Age: 66
State: SC

Vax Date: 02/15/2021
Onset Date: 02/23/2021
Rec V Date: 03/03/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Pain at sjte,fatigue,muscle pain at site, swelling of upper arm,red raised rash,upper arm itching, severe gout pain in left toe and swelling of toe.

Other Meds: Losartan 25mg , Famotidine 20mg , Loratadine 10 mg Vitamin D3 5000 IU , aspirin 80 mg., Calcium 600mg.

Current Illness: None

ID: 1069588
Sex: F
Age: 58
State: CA

Vax Date: 01/25/2021
Onset Date: 02/10/2021
Rec V Date: 03/03/2021
Hospital:

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

Lab Data:

Allergies: Lisinopril

Symptom List:

Symptoms: lip swelling 3 times the normal size, skin peeling to right forearm, both hands itching, swelling of both hands. unable to grasp with both hands, dark spot in middle of hand.

Other Meds: Losartan

Current Illness:

ID: 1069589
Sex: F
Age: 51
State:

Vax Date: 02/10/2021
Onset Date: 02/12/2021
Rec V Date: 03/03/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: myalgia, neck pain - occurred 2 days after vaccine given.

Other Meds:

Current Illness:

ID: 1069590
Sex: F
Age: 82
State: CA

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

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

Lab Data:

Allergies: Shell fish, aspirin, amoxicillin

Symptom List:

Symptoms: Disorientated; racing heart rate; fever of 101, had to call paramedics

Other Meds: Insulin

Current Illness:

ID: 1069591
Sex: M
Age: 58
State: NY

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

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: 5-10 mins after giving the moderna covid vaccine, pt had a hypotension followed by chest tightness and difficulty of breathing. Benadryl, Epi IM and Solumedrol given. Pt awake, alert and oriented all the time. Did not lead to cardiac arrest but pt stated he was not feeling better and pt ended up going to the hospital. pt was on the dialysis machine with his treatment when the vaccine was given.

Other Meds: protonix, cyproheptadine

Current Illness: none

ID: 1069592
Sex: F
Age: 77
State: FL

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

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

Lab Data:

Allergies: nkda

Symptom List:

Symptoms: Acute onset rep distress

Other Meds: amlodipine, doxepin, meloxicam, pravastatin, tramadol, trazodone

Current Illness: denied

ID: 1069593
Sex: F
Age: 63
State: AZ

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

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

Lab Data:

Allergies: Allergies Alondranate (Fosimax) Propoxyphene (Darvocet) Imipramine (Tofrinil) Tetracycline Hives blisters Food allergy?s Peanut gluten

Symptom List:

Symptoms: COVID shots Shot Feb 1, 2021 Day one of shot fatigue Day two of shot thigh cramps Day three of shot nausea Day four of shot back and joint pain Day five of shot sick feeling aching all over. Muscle and joint pain and fatigue. Chest pressure, cough, Hoarse voice Day six of shot headache fatigue pain through right eye. 2/5Temp 96.6, 98.6, 1:00pm SPO% 93% Resting heart rate 90 6:30pm SPO% 89%-91% Resting heart rate 102 Tylenol 100 mg 9:00am, 3:30pm TEMP 4:30pm 99.7* Symptoms of the freezing chest and cough as well as headache and feeling poorly kept rising several times a week. Covid 3/1/21 Covid symptoms return just like after Covid 19 1st vaccine. Body aches, joint pain, Chest pain, muscle aches, frozen feeling in lungs, cough, abdominal pain,eye ache, headache and fever. Temp 95.5 SPO 89% - 94% Resting heart rate 92 - 95 (After Covid shot 89%SPO, RHR 105, temp 99.7) 12:25pm temp 99 2/2/21 Feeling a little better. Still fatigue and ill feelings. At nighttime cough comes back with freezing lung feeling. Also started and body aches and joint stiffness. Went to bed took ibuprofen. 2/3/21 Still feeling ill . Woke with productive cough a little looser. Headache fatigue just feeling crummy.

Other Meds: Med list 1/4/2021 Latanoprost 2.5ml Glaucoma Levocetirizine 5mg 1PODaily Montelukast 10mg 1PODaily Levothyroxine 88mcg1PODaily Cymbalta 60mg 1PODaily Crestor 40mg 1PODaily Azelastine HCL0.1%nasal soln Levalbuterol .045mcg/puff inhlr *Plaque

Current Illness: Illnesses Diverticulosis Hypothyroidism Cyclic leukopenia/neutropenia Diabetes type two Carotid artery disease Diverticulosis Twisted/torturous colon IBS d Asthma Hashimoto?s Rheumatoid arthritis Tacharrhythmia Ataxia Osteoporosis Diplopia Neoplasm of cerebrum EDS POTS Celiac

ID: 1069594
Sex: F
Age: 35
State: NC

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

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

Lab Data:

Allergies: Cefaclor (hives), doxycycline (hives), PCN (hives)

Symptom List:

Symptoms: 35 y/o female with a h/o HFrEF develops L sided 6/10 chest pressure radiating to the L arm 15 minutes after COVID-19 vaccine. She was evaluated by EMS and taken to ED.

Other Meds: Toprol XL 25mg daily

Current Illness:

ID: 1069595
Sex: F
Age: 61
State: CT

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

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

Lab Data:

Allergies: Sulfa

Symptom List:

Symptoms: 24 hours later - body aches, fever (3 degrees) continued to 36 hours later

Other Meds: lexapro, armour, multi vitamin, vitamin d and dhea

Current Illness:

ID: 1069596
Sex: F
Age: 22
State: MI

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

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

Lab Data:

Allergies: Sulfa

Symptom List:

Symptoms: Swollen, prominent, and tender lymph node above left collar bone.

Other Meds: Iron Supplements 65mg Depo shot (birth control) Zoloft 100mg Fish oil vitamins B-12 vitamins women's once daily vitamin

Current Illness:

ID: 1069597
Sex: F
Age: 74
State: PA

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Tingly, nausea; pallor

Other Meds: Unknown

Current Illness: None

ID: 1069598
Sex: M
Age: 56
State: AK

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: 2 days post vaccination, client began experiences fever, chills, severe headaches, severe body aches, joint pain, nausea and shortness of breath. Still experiencing symptoms at this time. Has taken Advil with some relief.

Other Meds: Allopurinol, Resperidone, Zoloft, Omeprazole

Current Illness: None

ID: 1069599
Sex: F
Age: 79
State: AR

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

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

Lab Data:

Allergies: Penicillin, Epinephrine, codeine, Ace Inhibitor, Clarithromycin, Zocor, Lipitor, Sulfa, Latex, Biaxtin, Aspirin. Allergic to Night Shade Group.

Symptom List:

Symptoms: Experiencing a spotty, itchy, rash below the injection site, since last night.

Other Meds: Methotrexate 2.5- 3 once a week, Prevastatin 40mg 1 in p.m., Montelukast 10mg 1 in p.m., Losartan 100mg. 1 in p.m., Amlodipine 5mg 1 in a.m., Indapamide 1.25 mg. 1 in a.m., Potassium Cloride 10 meq. 1 in a.m., Famotidine 40 mg. 1 daily, Fol

Current Illness:

ID: 1069600
Sex: F
Age: 46
State:

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: After injection, patient reported a racing heartbeat and onsite EMS was notified. Patient also had redness in back of throat. Given 50mg of Benadryl IM and transferred to ED.

Other Meds:

Current Illness:

ID: 1069601
Sex: F
Age: 60
State: IL

Vax Date: 01/07/2021
Onset Date: 01/11/2021
Rec V Date: 03/03/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: On night of Jan 11, irregular heart rate the entire night. Again on Jan 14, irregular heart rate entire night. Went to Dr office on Jan 15. Blood pressure 176/100. Do not have high blood pressure. Continued with high blood pressure through Jan 25 with highest blood pressure of 200/110. Blood pressure went back to normal after that, no additional meds. On Feb 24, blood pressure spiked at 220/120 and went to Hospital ER. Blood pressure continues to be high even with new blood pressure medicine prescribed. Did not receive 2nd dose of vaccine.

Other Meds: Metropolol, synthroid

Current Illness: toothache

ID: 1069603
Sex: F
Age: 71
State: PA

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

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

Lab Data:

Allergies: zocor and lipitor

Symptom List:

Symptoms: Around 4 o'clock after 2nd dose patient felt like she got hit by a truck. She had severe aches that lasted until Tues 3/2/21. She had similar side effects with the first dose. She had tested positive for Covid July 2020. Developed cellulitis in the right arm. She was seen by PCP.

Other Meds: NA

Current Illness: no

ID: 1069604
Sex: F
Age: 31
State:

Vax Date: 02/26/2021
Onset Date: 02/27/2021
Rec V Date: 03/03/2021
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Symptoms: The patient began having pain in the left underarm area about 24 hours after the shot. Forty hours after the shot patient's left axillary lymph node swelled and has stayed swollen for 4 days. Swelling has spread to neck lymph nodes as well but not as severe. Swelling in the underarm is roughly the size of grapefruit.

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Current Illness:

ID: 1069605
Sex: F
Age: 32
State: MN

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

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Symptoms: Red swollen itchy 1 inch rash next to injection site and feels like a lump

Other Meds: None

Current Illness: None

ID: 1069606
Sex: F
Age: 42
State: NC

Vax Date: 02/25/2021
Onset Date: 02/26/2021
Rec V Date: 03/03/2021
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Allergies: pork

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Symptoms: 18-19 hours after vaccination, pt experienced chest pain, dizziness, hot flash while at rest. She was not anxious. She was in between classes of teaching virtually

Other Meds: celexa, prilosec

Current Illness: none

ID: 1069607
Sex: F
Age: 49
State: KS

Vax Date: 02/19/2021
Onset Date: 02/26/2021
Rec V Date: 03/03/2021
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Allergies: adhesive

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Symptoms: received Pfizer vaccine through on 2/19/2021. Pt woke on 2/26/2021 with a bad headache on left side of her head, left side of her neck was sore & there was a lump on her left clavicle. She went to her PCP's walk-in clinic on 2/26/2021. Diagnosed with a bright red left ear, swollen lymph nodes on the left side of her neck, clavicle & left arm pit. She was prescribed Amoxicillin for 10 days.

Other Meds: Venlafaxine ER 75mg at night, Venlafaxine ER 100mg every morning, Buspirone 5mg 2 tabs 3 times a day, multivitamin daily, hydrocodone 5mg at bedtime

Current Illness: 2 weeks prior: right ear pain & sinus drainage. Was prescribed steriods; had completed prior to be vaccinated

ID: 1069608
Sex: F
Age: 71
State: NY

Vax Date: 02/27/2021
Onset Date: 03/01/2021
Rec V Date: 03/03/2021
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Allergies: pcn,altace,vioxx,tavist,naldecon.

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Symptoms: third day after second shot arm was red, slightly hard lump, very warm to touch painful and very itchy. shot was in opposite arm from first dose. i used cold compresses and topical benedryl it is slightly better today (day 5)

Other Meds: synthroid,valsartan,atorvastatin,diltiazem,baby aspirin, melotonin , osteo biflex(ease), daily multi vit, , ester c 24 hour immune support,emergen-c elderberry immune+.

Current Illness: none

ID: 1069609
Sex: F
Age: 37
State: CA

Vax Date: 03/02/2021
Onset Date: 03/02/2021
Rec V Date: 03/03/2021
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Symptoms: Dizziness, BP 112/76 (pulse 55), 99% O2 sat.

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Current Illness:

ID: 1069610
Sex: F
Age: 43
State:

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 03/03/2021
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Symptoms: Patient was watched for 1 hour after receiving the 2nd vaccine due to face and neck tingling, chest pressure and racing heart. On the second day follow up to patient, all symptoms had resolved.

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Current Illness:

ID: 1069611
Sex: F
Age: 73
State: FL

Vax Date: 02/17/2021
Onset Date: 02/18/2021
Rec V Date: 03/03/2021
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Allergies: Smoke, dust, mold

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Symptoms: Woke up suddenly at 3:30am freezing and shivering. Every bone, joint, muscle hurt. Headache at neck, top of head and forehead. Fatigue. No fever, After first vaccineshot, lymph node at collar bone on right side arose about the size of a large pea.it took 5 weeks for it to disappear.

Other Meds: Zetia, Lescol, Anastrozole, cinnamon, B6, folic, iron, D3, Fish oil, biotin, asprin

Current Illness: None, breast cancer survivor.

ID: 1069612
Sex: F
Age: 39
State: OR

Vax Date: 02/22/2021
Onset Date: 03/02/2021
Rec V Date: 03/03/2021
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Allergies: rocephin antibiotic, seasonal allergies to tree/grass pollens

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Symptoms: One week after each vaccine, my skin beneath my right eye started swelling, getting very red, and very itchy. I look like I've been punched in the face. The first time, it lasted about 4-5 days before it went away. My vaccine date for dose #1 was Friday 1/29/21 and the swelling started on 2/5 (the following Friday). My second vaccine date was Monday 2/22 and the skin beneath the eye started reacting 3/2 (Tuesday). It itches a huge amount. The skin beneath the eye is dark red, and puffy. The skin beneath the left eye is normal.

Other Meds: claritin, zyrtec, flonase (nasal spray), multi vitamin women's, magnesium.

Current Illness: same thing happened with my first COVID shot. Exactly 1 week after the shot, the reaction began

ID: 1069613
Sex: M
Age: 75
State: GA

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

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Symptoms: Abnormally high temp @ 102.9 with severe chills, fatigue, and injection site soreness. Effect lasting approx 24-30 hours

Other Meds: Metoporol 100 Verapamil 240 Losartan 100 Aspirin 81mg

Current Illness: None

ID: 1069614
Sex: F
Age: 59
State: WV

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

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Allergies: No known

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Symptoms: 48 hours after receiving dose 2 of the Moderna vaccine, patient developed alterations in mental status - cannot recall the events. She was taken to the ED and was found to have a BP of >200/130. Patient had a seizure in the ED - was intubated to protect airway. CT showed some decreased areas of attenuation in the bilateral occipital lobes and cerebellum. MRI showed vasogenic and cytotoxic edema in posterior temporal, parietal and BL occipital and BL cerebellar hemisphere which can be seen with PRES. Patient required inpatient treatment for her elevated BP and neurological evaluation. Was started on Norvasc and Keppra due to concern for PRES. Discharged with follow up in cancer center and with neurology. Hospitalist and neuro teams thought PRES was likely due to her chemo regimen, patient's oncology team though PRES may have been triggered by vaccine due to timing and her dose of Avastin. Pt has extensive oncological history including ovarian cancer w/ metastatic breast cancer in L axilla. Pt recently started on cytoxan, Avastin, pembrolizumab. Also has malignant abdominal ascites.

Other Meds: Avastin, Cytoxan, Pembrolizumab, levothyroxine, Nexium, Magnesium Oxide, Senokot

Current Illness: Metastatic ovarian cancer to breast under active chemo/immunotherapy

Date Died: 02/10/2021

ID: 1069615
Sex: M
Age: 58
State: OR

Vax Date: 01/31/2021
Onset Date: 01/31/2021
Rec V Date: 03/03/2021
Hospital: Y

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Allergies: MS Contin, naproxen, NSAIDs

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Symptoms: 58-year-old male, history of Down syndrome, who presented from his care facility for approximately one week of progressive fatigue, lethargy, reduced mentation, along with reduced intake, who was found to be less responsive. He was brought to the emergency department where he was found to be hypothermic, hypotensive, hypoxic, and bradycardic. Upon admission to the ED, POLST form discovered _____ DNR, but limited medical interventions. He was then discovered to have COVID-19 pneumonia, likely driving this entire process.

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Current Illness:

ID: 1069616
Sex: F
Age: 66
State: CA

Vax Date: 03/03/2021
Onset Date: 03/03/2021
Rec V Date: 03/03/2021
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Allergies: Phenergan, Codeine

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Symptoms: 1020 am Complaint of dizziness, increased heart rate and anxiety with sweaty palms. Patient stated that she did not take blood pressure medication this morning. BP 165/100, T 97.7, P 113, O2 98%. 1050 am T 97.9, P 67, O2 96%, BP 160/90. Patient states symptoms have subsided. Patient educated on taking blood pressure medication as directed by primary provider. Patient discharged from clinic.

Other Meds: Metoprolol, Losartan, Hormone patch, Vitamin D3, Vitamin B12, Vitamin C

Current Illness: Dizziness Increased heart rate

ID: 1069617
Sex: M
Age: 65
State: IN

Vax Date: 02/10/2021
Onset Date: 02/20/2021
Rec V Date: 03/03/2021
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Allergies: None

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Symptoms: I developed a swollen lymph node in my right side neck just under lower jaw at rear. This presented itself as strong jaw pain like a bad cavity and soreness at the lymph node. I have a sore throat and have not been able to hardly chew or swallow without pain. This is still going on as of 3/3/21 but seems to be easing up a bit. I have a Dr. appointment on 2/9/21 to check it out.

Other Meds: Vitamin D3 1,000 IU, Metoprolol 50 mg, Metformin 800mg, Fish Oil 1200mg, Magnesium 250mg, Iron 325mg

Current Illness: None

ID: 1069618
Sex: F
Age: 70
State: KS

Vax Date: 02/25/2021
Onset Date: 02/28/2021
Rec V Date: 03/03/2021
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Symptoms: Slight itching with red rash starting at top of shoulder running down to elbow. Redder closer to injection site. It is the Moderna vaccine. I had Covid December 4th. I have severe allergies and asthma. I had the injection February 25th and the slight itching started about 3 days later. I didn't look for rash until today so not sure when it started. My arm was extremely sore after shot and still very tender to touch but better.

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Current Illness:

ID: 1069619
Sex: M
Age: 69
State: WI

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

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Allergies: Seasonal hay fever

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Symptoms: Around 9:55 pm on 2/27/2021 client took Afrin nasal spray for nasal congestion. About 5 minutes later (10:00 pm) client states he went into anaphylactic shock. The ambulance was called by his wife. Per client, her received infusions of epi and Benadryl from ambulance staff. Client was taken to Hospital for further treatment. He was subsequently transferred to Heart Hospital for overnight observation due to possible heart issues. Note: Client has take Afrin nasal spray for over 30 years and has never had a reaction.

Other Meds: Lisinopril daily: usually after lunch Afrin nasal spray PRN for nasal congestion (took at 9:55 PM on 2/27/2021

Current Illness: none

Total 2021 VAERS Injuries: 599,999

Page last modified: 03 October 2021 5:28pm