VAERS 2021 Database www.vaers.hhs.gov

Main Page | All 2021 Deaths | Videos
VAERS Updated: 10/01/2021
** VAERS DATABASE Last updated: October 1, 2021**
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Manufacturers

Total Manufacturer

Incidents per State

State Total
92,076
AK1,880
AL6,345
AR4,151
AS46
AZ14,991
CA66,887
CO12,550
CT8,943
DC1,795
DE2,009
FL42,724
FM4
GA17,031
GU124
HI2,580
IA4,919
ID2,892
IL22,128
IN24,197
KS5,047
KY9,111
LA5,500
MA15,718
MD13,434
ME3,351
MH8
MI20,971
MN13,585
MO10,747
MP30
MS3,198
MT2,477
NC18,051
ND1,501
NE3,109
NH3,218
NJ20,216
NM4,218
NV4,728
NY37,667
OH20,793
OK6,692
OR9,244
PA25,607
PR2,588
QM2
RI2,163
SC7,261
SD1,282
TN10,445
TX39,890
UT4,618
VA15,980
VI67
VT1,830
WA16,071
WI12,042
WV2,571
WY926
XB5
XL1
XV2

ID: 1073377
Sex: F
Age: 69
State: WI

Vax Date: 02/16/2021
Onset Date: 02/17/2021
Rec V Date: 03/04/2021
Hospital:

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Lab Data:

Allergies: Allergy to aspirin, sulfur. Chocolate. Animals, dust, pollen, mold, trees.

Symptom List: Dysphagia, Epiglottitis

Symptoms: I did not feel ok starting Wednesday , symptoms increased daily with Saturday being the worst. Tired, feeling warm Friday and Saturday, exhaustion increasing Wednesday until Saturday, the worst day being Saturday, and headaches. I felt more flu like symptoms on Wednesday and Thursday and not so noticable on Friday and Saturday. About 8/9 pm on Saturday I felt fine, like you snapped your fingers and all the side effects were gone.

Other Meds: Vitamin D-3, Allegra.

Current Illness: None.

ID: 1073379
Sex: M
Age: 24
State: SD

Vax Date: 03/03/2021
Onset Date: 03/03/2021
Rec V Date: 03/04/2021
Hospital:

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Lab Data:

Allergies: Penicillin

Symptom List: Anxiety, Dyspnoea

Symptoms: Patient reports having a grand mal seizure 45 minutes after receiving the vaccine.

Other Meds: Paxil 30 mg daily

Current Illness:

ID: 1073380
Sex: F
Age: 44
State: MD

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 03/04/2021
Hospital:

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Lab Data:

Allergies: Ketamine

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

Symptoms: 6 day long migraine, Weak, nausea, body chills, stiffness, dizzy, body aches all lasted 6 days. No fever though. After day 3, I went to hospital thinking I had Meningitis because my head hurt so bad and my neck was stiff. They ran an urinalysis and found a pretty bad UTI. The doctor said that the UTI exacerbated the side effects of shot. I don't know if that's true. I got I. V. Keflex and prescription. Migraine continued for another 3 or so days. I missed 4 days of work. Honestly the symptoms felt like I was doing chemo again. It was awful.

Other Meds: Adderall, XYREM, Suboxone, Vitamins,

Current Illness: N/A

ID: 1073381
Sex: M
Age: 71
State: CO

Vax Date: 02/26/2021
Onset Date: 03/02/2021
Rec V Date: 03/04/2021
Hospital:

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Lab Data:

Allergies: none

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: HIVES OUTBREAK

Other Meds: benazepril atorovastatin trazodone

Current Illness: none

ID: 1073382
Sex: M
Age: 55
State: NV

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 03/04/2021
Hospital:

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Lab Data:

Allergies: no

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

Symptoms: Within two hours Swelling on the left arm - upper part and it was painful. The first dose of the vaccine, the pain started the second day and the injection site got swollen. But this second dose was within 2 hours of my vaccine even more and overwhelming fatigue. - aches, chills, muscle cramps, coughing, sweating - those lasted three days; headache - ever present and felt like head was in a vice; breathing was an issue - asthma was triggered on Sunday - I started prednisone - informal dr consultation with a friend - on Tuesday because of the asthma and by Friday I was feeling halfway better again and by the following Sunday about 75% better. 9 days later I was back at work. It took that week back at work though to get back out of the funk and by the following weekend I was close to 90%. Pain in the shoulder lasted about two weeks - it was quite tender for that long.

Other Meds: Symbicort for asthma; centrum multi - vitamin; vit d - 4000 unit; zinc; Vit C - 1000 mg

Current Illness: I felt tired after the first dose of the vaccine

ID: 1073383
Sex: F
Age: 59
State: CA

Vax Date: 02/24/2021
Onset Date: 03/03/2021
Rec V Date: 03/04/2021
Hospital:

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Lab Data:

Allergies: None

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

Symptoms: Arm started to go warm, skin is blotchy red, feel swollen and is itching a lot.

Other Meds: Lisinopril 20mg Estrogen replacement patch - Estradoil 0.1mg/day

Current Illness: None

ID: 1073384
Sex: F
Age: 22
State: PA

Vax Date: 02/22/2021
Onset Date: 02/26/2021
Rec V Date: 03/04/2021
Hospital:

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Lab Data:

Allergies: Allergic to no-aid sunscreen and allergic to Canola Oil

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: I had tested positive with covid in the ending of December after the holidays. With that I lost my sense of taste and smell. Fast foward, on Monday Feb. 22nd I received the second dose to the covid vaccine, on Friday I was eating tacos and I got this taste in my mouth and my stomach was bothering me I believe from the tacos beings bad (2 other people got sick too) but the taste lingers, The next morning I cook breakfast and lunch and I can smell this smell that I taste as well. It is not March 4th, 1 day shy of it being a week and I am still experiencing this. I can not taste any food flavor except this taste that I have, it has replaced all food flavors and smells. Whenever I cook something I can smell the scent I taste (only when Its food or Im cooking, I can smell my coconut lotion and body spray just fine). I do not know how to describe it I started describing it as it being an old grease taste but it could be a metallic taste I am not sure, all I know it is a very unpleasant taste. Whenever I brush my teeth, immediately when I put the toothpaste in my mouth i immediately taste the taste again its like it almost heightens it. The taste lingers in my mouth after that as well. I do have to say that I tried a chocolate covered pretzels and m&m's and notices that I can taste sweet stuff but immediately get the taste when I eat regular foods thats are not sweet. I tried to eat waffles one time and the syrup taste was fine but I could not eat sausage because of the taste. This is very frustrating because its disgusting that I would rather not taste anything at all. I am unsure if my taste was ever fully back after having covid I was able to start tasting things but not sure if it was 100% as well as I could smell somethings but not sure if that was 100%. I talked to some people who thought maybe it is my senses trying to fully come back because they heard about people experiencing weird smells when their senses were coming back but I am unsure I just want to not deal with this anymore. I think its weird it came 3 days after the vaccine and that I can not taste food other than this taste.

Other Meds: Phentermine

Current Illness: N/A, other than I was tested positive for covid in the end of December after the holidays.

ID: 1073385
Sex: M
Age: 66
State: MN

Vax Date: 03/04/2021
Onset Date: 03/04/2021
Rec V Date: 03/04/2021
Hospital:

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Lab Data:

Allergies: No allergies

Symptom List: Pharyngeal swelling

Symptoms: Patient was given Moderna vaccination and was waiting in the post-vaccine area. Patient reported to the associate that he was feeling funny. The pharmacist was called and the patient reported feeling light headed and dizzy. While talking the pharmacist the patients eyes rolled back in his head. The pharmacist held his shoulders and his hand and continued to speak to the patient. He regained consciousness. The patient was able to move to his knees and then to lie on his back on the floor with his feet elevated. The injection site was clear and smooth. He had no fever. After resting 15 minutes his color improved and was conversing well. He was able to sit up and his blood pressure was taken. His blood pressure was within normal range. He sat for another 15 min and drank some juice. He was feeling well enough to go home in the care of his wife.

Other Meds: No active medications

Current Illness: None

ID: 1073386
Sex: F
Age: 69
State: CO

Vax Date: 03/03/2021
Onset Date: 03/03/2021
Rec V Date: 03/04/2021
Hospital:

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Lab Data:

Allergies: Amoxicillin, Erythromycin

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Patient reports tingling in hand and fingers about 2 hours following vaccination. There was no change in color. Tingling went away since

Other Meds: Multivitamin, Probiotic

Current Illness: No

ID: 1073387
Sex: F
Age: 26
State: ID

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

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Lab Data:

Allergies: N/A

Symptom List: Diarrhoea, Nasal congestion

Symptoms: 1617 PT PRESENTS W/ HIVES, DENIES ITCHY. LACEY RASH, REDNESS AND RASH ON FACE, NECK AND UPPER CHEST AND BACK. BP 140/90 HR 81 RESP 15 O2SAT 99 AT 1620. SKIN CLAMMY DIAPHORETIC, RASH AND HIVES. ISOLATED AND OBSERVED. 1635 BP 124/88 HR 73 RESP 15 O2SAT 99, SKIN CLAMMY DIAPHORETIC RASH AND HIVES. BREATH SOUND CLEAR BILATERALLY. REASESS IN 15 MINUTES DISPOSITION. HOME BY SELF.

Other Meds: "ANTIDEPRESSANT BIRTHCONTROL ANXIETY"

Current Illness: N/A

ID: 1073389
Sex: F
Age: 81
State: MD

Vax Date: 02/25/2021
Onset Date: 02/27/2021
Rec V Date: 03/04/2021
Hospital:

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Allergies: None

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

Symptoms: Chills and dizziness

Other Meds: Amlodipine Besylate 2.5 mg; hydrochlorothiazide 25 Mg; or pravastatin 20 mg

Current Illness: None

ID: 1073390
Sex: F
Age: 70
State: NM

Vax Date: 03/03/2021
Onset Date: 03/03/2021
Rec V Date: 03/04/2021
Hospital:

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Lab Data:

Allergies: adhesive tape latex some dental s?dations bee wasp stings pollen

Symptom List: Rash, Urticaria

Symptoms: couple of hours after receiving the injection, I had a large hive on my mid chest area. Later I had one on my hip. I was not concerned as I have them on occasion. I felt fine. Went to bed that evening and woke up with extreme burning and itching in my index finger and thumb of my right hand. Also a very large hive on the inside of my arm about 2 1/2 inches from my wrist bend. Intense itching. I took a Benadryl tablet and felt better almost immediately. Later in the day about 6 1/2 hours later, I had more itching on my hip where the high was located. I took another Benadryl. I am fine. I also call my doctor and reported it.

Other Meds: Atorvastatin Losartin Qvar

Current Illness: sinus infection

ID: 1073391
Sex: F
Age: 50
State: WI

Vax Date: 03/04/2021
Onset Date: 03/04/2021
Rec V Date: 03/04/2021
Hospital:

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Lab Data:

Allergies: Fruits, Veggies, Ibuprofen

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

Symptoms: Scratchy, dizzy, rash, faint

Other Meds:

Current Illness:

ID: 1073392
Sex: M
Age: 29
State: AL

Vax Date: 03/03/2021
Onset Date: 03/04/2021
Rec V Date: 03/04/2021
Hospital:

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Lab Data:

Allergies: None

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

Symptoms: Restricted mobility of arm receiving shot, body aches, chills, fever, headache. All lasted almost a full day

Other Meds: None

Current Illness: None

ID: 1073393
Sex: F
Age: 72
State:

Vax Date: 02/25/2021
Onset Date: 02/26/2021
Rec V Date: 03/04/2021
Hospital:

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Lab Data:

Allergies: Coconut

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

Symptoms: Day 2 aches & chills. Day3 muscle weakness fatigue. Day 4 still fatigued. One week later still have noticeable muscle weakness.

Other Meds: Multivitamin; Synthroid; Vitamin D

Current Illness:

ID: 1073394
Sex: F
Age: 73
State: WI

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

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Lab Data:

Allergies: Amlodipine Atorvastatin Probiotic Multi-vitamins

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

Symptoms: Pain tenderness in upper left arm 1st vacinne 2/1/21, lasted 2 1/2 days. Second vaccine, 3/2/21 pain left arm to neck. extreme tiredness, fever at highest 99.7, chills, no appetite. Similar to flu-symptoms aching, no energy. Felt better next day 3/4/21, normal temp of 98.1, but tiredness continued with tenderness in upper left arm. My husband received the Pfizer Vaccine with no side effects.

Other Meds:

Current Illness:

ID: 1073395
Sex: F
Age: 29
State: PA

Vax Date: 12/27/2020
Onset Date: 01/04/2021
Rec V Date: 03/04/2021
Hospital:

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Lab Data:

Allergies: None

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

Symptoms: Immunization administered on 12/27/2020. On 01/04/2021 I began to break out in full body urticaria with facial edema and joint pain. Followed up with allergist and rheumatology. Both ruled out allergy or rheumatological causes. Elevated CRP of 116. Ongoing urticaria outbreak since onset.

Other Meds: Synthroid, lamictal, Wellbutrin, viibryd, metoprolol

Current Illness: None

ID: 1073396
Sex: F
Age: 45
State: CA

Vax Date: 03/04/2021
Onset Date: 03/04/2021
Rec V Date: 03/04/2021
Hospital:

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Lab Data:

Allergies: Shellfish, grapefruit, squash

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Immediately after receiving the vaccine at 1156, patient felt swelling in throat. The symptoms resolved a few minutes after, however they returned. She was given 25mg of Benadryl around 1201. About 1230, patient took another 25mg of Benadryl. She said the swelling was better, but she was not at baseline. We continued to observe her until 1320. At that time, she felt that throat was normal. She was drinking water, walked to the restroom, and stated she felt better. We had her contact her sister who lives 2 doors down.

Other Meds: None known

Current Illness: None known.

ID: 1073397
Sex: F
Age: 33
State: MS

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

Vax Type:
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Lab Data:

Allergies: None

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Over a week later, injection site red, swollen, warm to the touch, sore, and a small amount of blood

Other Meds: Celexa Wellbutrin Metformin Fenofibrate Zyrtec Ozempic

Current Illness: None

ID: 1073399
Sex: F
Age: 62
State: IA

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 03/04/2021
Hospital:

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Lab Data:

Allergies: cashew, lisinopril, sulfa drugs and environmental allergies

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

Symptoms: Within 5 minutes I had a rash through my body (hot tot he touch) and as quickly as that came it went away. I sat for a little bit and the same thing happen again. My BP started going up and my face started getting red and I just did not feel well, they got concerned with that it progressed to the insides of my cheeks and we were concerned about throat swelling, so they sent me to the ER where I got Benadryl by IV and they also gave me Epi and some other meds and I don't remember what they were. I was there for about 4 hours. About 2AM it started coming back again, inside my cheeks started feeling like it was swelling again and I took Benadryl (I was home). I took another dose in the morning and in the afternoon. In fact I kept taking Benadryl pretty regularly for the next 3-4 days. I decided to go to my PCP and he prescribed something else that made me really drowsy, so I went back to the Benadryl and it took another couple of days to feel that the cheeks stopped with the feeling of swelling. (PCP at the hospital. At this time I still feel tired, energy levels are just not what used to be before vaccination.

Other Meds: labetalol, lisinopril, salmon oil, magnesium oxide, multivitamin, loratadine, calcium, amlodipine, turmeric, CoQ10

Current Illness: no

ID: 1073400
Sex: F
Age: 80
State: MO

Vax Date: 02/25/2021
Onset Date: 02/27/2021
Rec V Date: 03/04/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: I usually have reaction to most drugs doctors try to give me, such as prednisone, cortisone, evista, levaquin, sulfur, cephalexin hydrochloride, but get a flu shot each year and that doesn't bother me.

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

Symptoms: Had shot on Thursday 2/25/21. Friday didn't feel well-laid around all day. Saturday was so dizzy I had to hold on to walls and furniture to walk around house. Sunday was still dizzy and nauseous so I ate a sandwich and 3 or 4 tums. All came up and I continued to vomit throughout the day. Could not even keep water down. Monday I had someone bring Ginger Ale. Nausea gone, but still very dizzy. Never had a temperature but continue to be dizzy. I am a very active 80. Clean my own house and Mow my yard. I play bridge 2 or 3 times a week and walk my 2 Yorkie Dogs several times a week and never have been dizzy before.

Other Meds: none

Current Illness: none

ID: 1073401
Sex: M
Age: 67
State: IL

Vax Date: 02/26/2021
Onset Date: 02/27/2021
Rec V Date: 03/04/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: Sulfa

Symptom List: Unevaluable event

Symptoms: Head ache, unable to concentrate, Blurred vision, cannot focus double vision. Started approx. 4 hours after the injection and is still an issue 7 days later.

Other Meds: Losartan HCTZ 20mg

Current Illness: none

ID: 1073402
Sex: F
Age: 76
State: NY

Vax Date: 02/17/2021
Onset Date: 02/22/2021
Rec V Date: 03/04/2021
Hospital: Y

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

Lab Data:

Allergies:

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

Symptoms: acute CVA, thrombolysed with TPA, with residual hand weakness

Other Meds:

Current Illness:

ID: 1073403
Sex: M
Age: 44
State: VA

Vax Date: 03/03/2021
Onset Date: 03/04/2021
Rec V Date: 03/04/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: Penicilian (Rash)

Symptom List: Injection site pain, Pain

Symptoms: Mild headache began after 9 hours. Moderate chills for about an hour beginning 13 hours after with mildy elevated temp (99.2). Headache became moderate 18 hours after but controlled with tylenol. Moderate tiredness continued through the day until 27 hours after @ about 5 pm.

Other Meds: None

Current Illness: None

ID: 1073404
Sex: F
Age: 28
State: TX

Vax Date: 03/03/2021
Onset Date: 03/04/2021
Rec V Date: 03/04/2021
Hospital:

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Lab Data:

Allergies: NKDA

Symptom List: Injection site pain, Menorrhagia

Symptoms: C/O PERIORAL REGION TINGLING; DENIES VISION CHANGES, CP OR PRESSURE; AND PARATHESIAS IN UPPER/LOWER EXTRIMITIES. AFTER 10 MINUTES, FLUIDS AND A SNACK , PATIENTS SYMPTOMS RESOLVED. SHE WAS ADVISED TO F/U WITH PCP IF SYMPTOMS REOCCURRED 1812 BP 96/71, HR 88, SATS 98% 1818 BP 110/64 HR 71

Other Meds: CHOLOPRAM 20MG QD

Current Illness: NONE

ID: 1073405
Sex: F
Age: 70
State: CA

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

Vax Type:
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Lab Data:

Allergies: None

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

Symptoms: On 7th day, developed covid arm - red and itchy

Other Meds: None

Current Illness: None

ID: 1073406
Sex: F
Age: 34
State: TX

Vax Date: 03/03/2021
Onset Date: 03/04/2021
Rec V Date: 03/04/2021
Hospital:

Vax Type:
Manufacturer:
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Lab Data:

Allergies:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Pain in injection site and swelling. Headcahe, joint pain, muscle pain, chills, some fatigue and temperature of 99.5 f.

Other Meds: Anti depressant and anxiety medication.

Current Illness:

ID: 1073408
Sex: F
Age: 75
State: CA

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

Vax Type:
Manufacturer:
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Lab Data:

Allergies: none

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Woke up at4:00am with a searing pain in my upper left arm. By 6:00am I had the chills and couldn't seem to get warm. By 9:00am started vomiting for the next 3 hours . My whole body ached. Stopped throwing up by noon but the next 36 hours continued with chills and aches. Was able to get soup down 48 hours later. Now over 48 hours later I'm starting to feel better.

Other Meds: excedrine for headaches/ carbamazepine for facial pain

Current Illness: none

ID: 1073409
Sex: F
Age: 41
State: AL

Vax Date: 02/12/2021
Onset Date: 02/21/2021
Rec V Date: 03/04/2021
Hospital:

Vax Type:
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Lab Data:

Allergies:

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

Symptoms: Approximately 10 days after vaccine, developed dime sized rash in the region of the injection site. Within 3 days it had spread to cover most of my upper arm, then on the 4th day it started to go down slightly. I used steroid cream and took benadryl.

Other Meds:

Current Illness:

ID: 1073410
Sex: M
Age: 20
State: WI

Vax Date: 03/04/2021
Onset Date: 03/04/2021
Rec V Date: 03/04/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: cefzil

Symptom List: Nausea

Symptoms: Pt had a syncopal type episode.none

Other Meds: unkown

Current Illness: none

ID: 1073411
Sex: F
Age: 75
State:

Vax Date: 02/27/2021
Onset Date: 02/27/2021
Rec V Date: 03/04/2021
Hospital:

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Allergies:

Symptom List: Injection site pain

Symptoms: Anaphalaxis, began as red face within 15 minutes. (prepped for injection with 50mg of Liquid benadryl 1/2 hour beforehand). On left side of face, swollen eye, swollen gland swelling and numbness left side of mouth. Treated with 2 epipen injections, Bendryl IV and predinisone. Swelling began to withdraw over 3 hours. Continued Benedryl every 4-6 hours for two additional days

Other Meds:

Current Illness:

ID: 1073412
Sex: F
Age: 79
State: FL

Vax Date: 02/23/2021
Onset Date: 02/24/2021
Rec V Date: 03/04/2021
Hospital: Y

Vax Type:
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Lab Data:

Allergies: Sulfur

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

Symptoms: Initial flulike symptoms with fever Tues -Friday. Had a right side stroke 6 AM Saturday morning . Rushed to hospital and had a procedure involving a catheter through the body to the clot in the brain. Came out of that with a weekend left side and was medicated through Sunday night. At 10:30 PM Sunday night had a second stroke on the right side. Did not wake from that. Now I?m not expected to survive.

Other Meds: Gummy vitamins

Current Illness: None

ID: 1073413
Sex: M
Age: 58
State: IL

Vax Date: 02/17/2021
Onset Date: 02/18/2021
Rec V Date: 03/04/2021
Hospital:

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Lab Data:

Allergies: none

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

Symptoms: Nausea; lack of energy; body aches; chills; headache; soreness and swelling at injection site (Upper left arm); All reactions began 26 hours after vaccination; reactions decreased and ended within 60 hours of vaccination; reactions severe enough to have to call in sick to work for one day. Injection site sore for an additional three days after other reactions subsided. Self medicated with Tylenol for 5 days following injection.

Other Meds: 100 mg Sildenafil; 5000 iu Vitamin D; 50 mg magnesium; 50 mg garlic; generic multivitamin; vitamin B

Current Illness: none

ID: 1073415
Sex: F
Age: 63
State: MO

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

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Lab Data:

Allergies: Sulfa, iodine contrast,

Symptom List: Tremor

Symptoms: Extreme muscle weakness for a few hours.

Other Meds: Metformin, losartan, lipitor, farxiga, aspirin, myrbetriq, l-lysine, magnesium, multivitamin, calcium, vitamin d, Krill oil, lipo flavinoid, vitamin b2, peppermint oil,

Current Illness: None

ID: 1073416
Sex: M
Age: 65
State: PA

Vax Date: 01/27/2021
Onset Date: 02/10/2021
Rec V Date: 03/04/2021
Hospital:

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Lab Data:

Allergies: Penicillin

Symptom List: Erythema, Pruritus

Symptoms: diarrhea

Other Meds: Rosuvastatin, Zetia

Current Illness: no

ID: 1073417
Sex: M
Age: 75
State: CA

Vax Date: 03/03/2021
Onset Date: 03/03/2021
Rec V Date: 03/04/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: Amiodarone, Sulfa

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

Symptoms: Patient was given Moderna as a second dose after receiving Pfizer as a first dose on 2/10/2021

Other Meds:

Current Illness:

ID: 1073418
Sex: F
Age: 43
State: OK

Vax Date: 03/04/2021
Onset Date: 03/04/2021
Rec V Date: 03/04/2021
Hospital:

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Lab Data:

Allergies: PFIZER, CODEINE, LATEX

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

Symptoms: GIVEN THE JANSSEN VACCINE. EUA. THE PATIENT STARTED DEVELOPING A RASH IMMEDIATELY AFTER VACCINATION AND SHE STARTED TO FEEL ITCHY. SHE WAS GIVE 25MG OF BENADRYL ORALLY AND WATCHED FOR 30 MINUTES.

Other Meds: BENADRY GIVEN AFTER VACCINATION

Current Illness: N/A

ID: 1073419
Sex: F
Age: 56
State: AZ

Vax Date: 02/24/2021
Onset Date: 03/02/2021
Rec V Date: 03/04/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: None

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: On the 6th day I developed what appears to be hives at the injection location . This is the 2nd day and it's definitely gotten worse. My upper arm is now swollen, red, hot and extremely itchy. It hurts a little but the itchiness far exceeds the pain.

Other Meds: Trazadone (100mgs) Welbutrin (300mgs) Levothyroxine (88mcgs)

Current Illness: None

ID: 1073420
Sex: M
Age: 55
State: HI

Vax Date: 03/04/2021
Onset Date: 03/04/2021
Rec V Date: 03/04/2021
Hospital:

Vax Type:
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Lab Data:

Allergies:

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

Symptoms: Patient reported feeling lightheaded and dizzy a few minutes after receiving the vaccine. Medical staff monitored the patient's vital signs, BP was 120/70 and ten minutes later, on discharge, was 130/78. Patient reported those BP values were normal for him. Staff also offered him gatorade and he drank it. Patient recovered and was discharged at 9:30 AM.

Other Meds:

Current Illness:

ID: 1073421
Sex: F
Age: 93
State:

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 03/04/2021
Hospital:

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Lab Data:

Allergies: NKDA

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

Symptoms: Patient became dizzy, tachycardic and hot after getting her second COVID vaccine. She was monitored and discharged home with her daughter, who is her caregiver.

Other Meds:

Current Illness:

ID: 1073422
Sex: F
Age: 56
State: MD

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 03/04/2021
Hospital:

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Lab Data:

Allergies: None

Symptom List: Pain in extremity

Symptoms: Extreme Body aches, extreme headaches, extreme chills, fever 105.2, pain in the arm, dizziness, nausea, fainted at 6 pm on 02/27/21,, no response or movement. Blood pressure dipped down to 60/42 ...Ambulance came. EMT measured the blood pressure... 60/42 Was taking Tylenol 2 tablets of 500 mg. (max out) Fever will go down for an hour but would be back with extreme chills. Symptoms Fever, chills, body aches persisted for 30+ hours.

Other Meds: Centrum Multi vitamins, vitamin D 5000 iu,

Current Illness: None

ID: 1073423
Sex: M
Age: 66
State: PA

Vax Date: 02/22/2021
Onset Date: 03/01/2021
Rec V Date: 03/04/2021
Hospital:

Vax Type:
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Lot:
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Lab Data:

Allergies: possibly penicilian

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

Symptoms: Red rash on limbs and torso starting on week after 2nd dose of moderna. I was fine after the first dose- no reaction.

Other Meds: Montelukast,Lisinopril, and Atorvastatin

Current Illness: none

ID: 1073424
Sex: F
Age: 61
State: IA

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

Vax Type:
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Lot:
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Lab Data:

Allergies: bananas; avocados

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

Symptoms: Pain and redness (bruising) at injection site; Muscle pain; Feeling tired and weak; Headache; Shivering; Fever

Other Meds: hydrochlorothiazide 12.5mg; losartan 100mg

Current Illness: none

ID: 1073426
Sex: F
Age: 35
State: AL

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

Vax Type:
Manufacturer:
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Lot:
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Lab Data:

Allergies:

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

Symptoms: Fever until approx 6 pm (measured orally at 100.1), mild associated chills Brain fog until 9:30 (several hours) Lack of appetite Moderate to severe fatigue all day. Took 30 minute nap at lunch time (~1230) and another 30 minute nap at 5 pm Mild arm soreness around the injection site

Other Meds:

Current Illness:

ID: 1073427
Sex: F
Age: 41
State: NM

Vax Date: 03/04/2021
Onset Date: 03/04/2021
Rec V Date: 03/04/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
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Lab Data:

Allergies: none indicated

Symptom List: Vomiting

Symptoms: Pt was given shot and told to sit for 30 minutes since she put on information form that she has fainted or felt dizzy after shots. All of a sudden she just fell over and both ran out to help patient. We held her head and talked to her to see if coherent, then we took blood pressure which was 110/90 which was normal for pt according to husband. We monitored patient for several more minutes and she said she felt fine. Her and husband walked out after about 20min or so.

Other Meds: none

Current Illness: none indicated

ID: 1073428
Sex: M
Age: 65
State: FL

Vax Date: 02/28/2021
Onset Date: 03/01/2021
Rec V Date: 03/04/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
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Lab Data:

Allergies: NONE

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Long lasting symptoms headache, soreness, weakness, chills. 5 days since injection... Moderna.. do not know the lot number..

Other Meds: NONE

Current Illness: NONE

ID: 1073429
Sex: M
Age: 40
State: TN

Vax Date: 03/03/2021
Onset Date: 03/04/2021
Rec V Date: 03/04/2021
Hospital:

Vax Type:
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Lot:
Dose Series:
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Vax Site:

Lab Data:

Allergies:

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

Symptoms: Pfizer-bioNTech Covid-19 Vaccine Sore arm Tired

Other Meds: Vitamin D Sertraline PRAMIPEXOLE

Current Illness:

ID: 1073430
Sex: F
Age: 74
State: AR

Vax Date: 02/27/2021
Onset Date: 02/28/2021
Rec V Date: 03/04/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
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Lab Data:

Allergies: N/A

Symptom List: Injection site swelling, Limb discomfort

Symptoms: The next night after getting my 2nd dose the upper part of my arm swelled 3 times the size of my arm normally. The very next morning I woke up to my whole arm hurting and being swollen down to my wrist.

Other Meds:

Current Illness: N/A

ID: 1073431
Sex: M
Age: 56
State: NJ

Vax Date: 03/03/2021
Onset Date: 03/04/2021
Rec V Date: 03/04/2021
Hospital: Y

Vax Type:
Manufacturer:
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Lab Data:

Allergies: none

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

Symptoms: According to NJIIS registry, patient received Moderna dose 1 at "Rite Aid 00994" on 3/3/2021. Patient arrived in ED on 3/4/21 at approx 9AM via ambulance. ED physician note: "56-year-old male brought in by EMS intubated with CPR in progress. It was reported that he arrived to work and then passed out. CPR was initiated almost immediately. BLS determined that he was pulseless and AED was applied. He was defibrillated twice. He was then intubated by ALS and administered epinephrine twice with return of spontaneous circulation. He maintained a pulse for approximately 20 minutes when he again developed cardiac arrest. ACLS guidelines were again initiated and there was no return of pulse for approximately 20-25 minutes until he arrived in the emergency department. Emergency department CPR was continued and he was administered an additional epinephrine with return of a pulse. Is reported that he had no complaints prior to the event." Patient was intubated and ventilated, started on norepinephrine drip in ED. Twelve-lead EKG demonstrated right bundle branch block with left posterior fascicular block and diffuse QRS widening and diffuse repolarization abnormalities. Family consented to Cath Lab. Per Interventional Cardiologist note: "1. Angiography demonstrated proximal to mid LAD hazy 90-95% lesion likely culprit for cardiac arrest. 1 stent placed. 2. Diffuse distal right coronary disease that is likely nonculprit for cardiac arrest. 3. Left ventriculography demonstrated severe anterior wall hypokinesis with overall left ventricular ejection fraction of 40%. 4. Patient electrically and hemodynamically stable. Levophed has been stopped. Amiodarone bolus given in the Cath Lab for frequent ventricular ectopy. No drip was continued due to resolution of ectopy. 5. Dyslipidemia he will be on high-dose statin therapy. 6. Diabetic management as per primary team. 7. Quad-Lumen placed by me. Hypothermia protocol to be initiated in the ICU given GCS score less than 8 with no purposeful movements. Head CT scan completed before cardiac catheterization that demonstrated diffuse cerebral edema. 8. Prognosis guarded and likely poor. The next 24 to 40 hours will be critical. Family was updated in detail." Patient transferred to ICU post Cath Lab. Remains intubated, ventilated in ICU.

Other Meds: Glyburide-metformin 5/500- take 2 tablets twice daily with meals lisinopril 5 mg PO daily pioglitazone 30 mg PO daily simvastatin 20 mg PO daily

Current Illness:

ID: 1073432
Sex: F
Age: 50
State: CA

Vax Date: 02/25/2021
Onset Date: 02/26/2021
Rec V Date: 03/04/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: Aspirin, Demerol, Morphine

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

Symptoms: 2-26-2021 woke up with swollen face and eye lids. member states unable to open eyes. Took OTC Benadryl and swelling resolved over 24 hours

Other Meds: Chantix 0.5 mg oral tablet, See Instructions, 1 refills famotidine 20 mg oral tablet, 20 mg= 1 tabs, Oral, BID, PRN, 3 refills loratadine 10 mg oral tablet, 10 mg= 1 tabs, Oral, QDAY, PRN, 1 refills nicotine 7 mg/24 hr transdermal film, ext

Current Illness: 2-17-2021 flu like symtoms

Total 2021 VAERS Injuries: 704,237

Page last modified: 26 October 2021 2:21am