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: 1074314
Sex: F
Age: 62
State: CT

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

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

Lab Data:

Allergies: sulfites

Symptom List:

Symptoms: headache, fatigue, high blood sugars

Other Meds: levemir

Current Illness: none

ID: 1074315
Sex: F
Age: 50
State: FL

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

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

Lab Data:

Allergies: Codine, Latex

Symptom List:

Symptoms: After receiving her vaccine client complained of pressure in her chest. Vital signs obtained by EMS. BP 162/106, HR 82, O2 Sat 99%. Client states she feels better. Client discharged home by EMS.

Other Meds: Thyroid and HTn meds

Current Illness: nka

ID: 1074316
Sex: F
Age: 68
State: LA

Vax Date: 03/03/2021
Onset Date: 03/03/2021
Rec V Date: 03/05/2021
Hospital:

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

Lab Data:

Allergies: topical iodine

Symptom List:

Symptoms: general moderate joint pain, chills, moderate headache, fatigue mostly gone by the morning of 3/5/2021

Other Meds: Bystolic, Bupropion HCL XL, Atorvastatin, Methylphenidate, Prolia, Aspirin 81mg, calcium, vitamin D3

Current Illness: None

ID: 1074317
Sex: F
Age: 61
State: IN

Vax Date: 02/23/2021
Onset Date: 03/04/2021
Rec V Date: 03/05/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Redness, pain, swelling, rash, itching

Other Meds: Calcium, Bariatric Multivitamin, Biotin

Current Illness: None

ID: 1074318
Sex: F
Age: 53
State: MN

Vax Date: 02/25/2021
Onset Date: 03/04/2021
Rec V Date: 03/05/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: The injection site is sore and swollen 1 week after the injection. It was sore 1 day after, subsided, and returned suddenly 1 week later

Other Meds: birth control, tylenol

Current Illness: none

ID: 1074319
Sex: M
Age: 34
State: CA

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Error: Wrong Route (SC, IM, etc.)

Other Meds:

Current Illness:

ID: 1074320
Sex: F
Age: 47
State: NJ

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

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

Lab Data:

Allergies: No

Symptom List:

Symptoms: Large red blotch. Hot, itchy.. looks like a giant hive Also was tired and achey with headache.

Other Meds: Bupropion, serevent, Advair, D3, Iron, B12, Berkeley Jensen Allergy relief Occasional Alprazolam.

Current Illness: None

ID: 1074321
Sex: F
Age: 30
State: OK

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Error: Wrong Vaccine Formulation (ex. different manufact. initial and booster)

Other Meds:

Current Illness:

ID: 1074322
Sex: M
Age: 69
State: MI

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

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

Lab Data:

Allergies: Sulfa

Symptom List:

Symptoms: Swelling under left eye

Other Meds: Multi vitamins,niacin,low dose aspirin,atorvastatin,Allegra

Current Illness: None

ID: 1074323
Sex: M
Age: 25
State: DE

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Fever (Tmax 101.2? F), nausea, and lethargy began at 0200 the morning following 2nd dose of COVID-19 vaccine, with symptoms lasting 24 hours. Before I experienced these side effects after both the 1st and 2nd doses of the COVID-19 vaccine, I had never experienced even expected side effects after a vaccine.

Other Meds: None

Current Illness: Side effects after COVID-19 vaccine 1st dose

ID: 1074324
Sex: F
Age: 67
State: VA

Vax Date: 02/28/2021
Onset Date: 02/28/2021
Rec V Date: 03/05/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Site: Redness at Injection Site-Mild, Systemic: Allergic: Rash Generalized-Mild, Additional Details: redness of injection arm

Other Meds:

Current Illness:

ID: 1074325
Sex: F
Age: 74
State: NC

Vax Date: 02/22/2021
Onset Date: 03/01/2021
Rec V Date: 03/05/2021
Hospital:

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

Lab Data:

Allergies: NONE

Symptom List:

Symptoms: Enlarged nymph node under left armpit Swollen left arm with pain along the inner left arm

Other Meds: QUITE A FEW PRESCRIPTIONS. SEE ATTACHED.

Current Illness: BACK PAIN; BREATHING PROBLEMS

ID: 1074326
Sex: F
Age: 29
State: MA

Vax Date: 02/20/2021
Onset Date: 02/20/2021
Rec V Date: 03/05/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Medium

Other Meds:

Current Illness:

ID: 1074327
Sex: F
Age: 64
State: SC

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Systemic: Chills-Mild, Systemic: Diarrhea-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: FAINTING- NO LOSS OF CONSCIOUSNESS-Medium, Systemic: Nausea-Medium, Systemic: Shakiness-Mild, Systemic: Tingling (specify: facial area, extemities)-Mild, Additional Details: IMMEDIATELY AFTER VACCINE, PATIENT STATED SHE WAS LIGHT HEADED. THEN PROGRESSED TO NAUSEA AND PLACED HEAD BETWEEN LEGS SAYING SHE FELT HOT. ICE PACKS WERE PLACED ON PATIENTS NECK. SHE SAID SHE NEEDED TO LAY DOWN AND TRIED TO TAKE HER TO MINUTE CLINIC BUT SHE WAS PLACED ON FLOOR BECAUSE SHE WAS UNSTABLE WALKING. SHE LOST CONTROL OF HER BOWELS AND HAD DIARRHEA ON HERSELF AND THE FLOOR. 911 WAS CALLED AND VITALS WERE TAKEN AND SHE WAS STABLE. SHE REFUSED TO GO TO ER BECAUSE SHE SAID SHE WAS BETTER.

Other Meds:

Current Illness:

ID: 1074328
Sex: F
Age: 69
State: GA

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Systemic: Allergic: Difficulty Breathing-Mild, Systemic: Allergic: Itch (specify: facial area, extremeties)-Mild, Systemic: Allergic: Rash (specify: facial area, extremeties)-Mild, Systemic: Visual Changes/Disturbances-Mild, Additional Details: Pt complained of blurred vision and anxiety 15 min after injection. After another 10 min, pt complained breathing was becoming difficult. She refused oral Benadryl. I called 911. Paramedics gave her IM Bendaryl. Pt refused to go to ER as symptoms had improved. She waited an additional 20 minutes in pharmacy before going home.

Other Meds:

Current Illness:

ID: 1074329
Sex: F
Age: 65
State: MD

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Site: Itching at Injection Site-Medium, Additional Details: PATIENT HAD UPPER SKIN REACTION (REDNESS OF BOTH ARMS BUT LEFT ARM WAS MORE, ITCHIING AND LATER USED THE RESTROOM. SHE REPORTED OK IN UNDER 30 MINUTES AND LEFT THE FACILITY. i CALLED AFTER WORKING HOURS AT 8 P.M TO FOLLOW UP AND NO ONE PICKED UP THE PHONE, I LEFT A MESSAGE

Other Meds:

Current Illness:

ID: 1074330
Sex: F
Age: 36
State: CT

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Systemic: Allergic: Itch (specify: facial area, extremities)-Mild. Systemic: Allergic: Itch Generalized-Mild. Systemic: Chest Tightness/Heaviness/Pain-Medium. Systemic: Tingling (specify: facial area, extremities)-Medium.

Other Meds:

Current Illness:

ID: 1074331
Sex: F
Age: 22
State: IL

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

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Red, Painful, Swollen at injection site 2 inch circumference. Fatigue. 650 mg Tylenol every 6 hours for 24 hours.

Other Meds: yaz birth control butal migraines vit d amitriptyline migraines folic acid malarone

Current Illness: none

ID: 1074332
Sex: F
Age: 25
State: UT

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

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

Lab Data:

Allergies: Latex Banana

Symptom List:

Symptoms: Tachycardia around 5am the next day. Woke up to tachycardia following sleep and checked pulse and it was over 140. Emergency room advised over the phone to come in. Prior to that, flu like symptoms all day following vaccine; headache, muscle pain, body aches ? unable to ease symptoms through liquids and flu medication.

Other Meds: Pyridostigmine ER 180mg x1 Buspirone 15mg x3 Zoloft 50mg x1 L-Methylfolate 1000mcg x1 Iron 15mg x1

Current Illness:

ID: 1074333
Sex: F
Age: 96
State: KS

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Error: Wrong Dose of Vaccine - Too High

Other Meds:

Current Illness:

ID: 1074334
Sex: F
Age: 53
State: WI

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

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

Lab Data:

Allergies: Aspriin, Tramadol

Symptom List:

Symptoms: Within one hour of vaccine, pain at sight of injection. Within three hours of receiving vaccine, body aches, joint aches. Within 8 hours of vaccine, headache.

Other Meds: Vitamin B-12, Vitamin D, Maxalt as needed

Current Illness: None

ID: 1074335
Sex: M
Age: 26
State: CA

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Mild, Additional Details: pt was walking out and collapsed on the floor, pt regained consciousness after couple seconds, pt is alert and responsive, and he thinks he just got up too fast, pharmacy gave pt water and he was okay after sitting and resting

Other Meds:

Current Illness:

ID: 1074336
Sex: F
Age: 30
State: CT

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Error: Wrong Dose of Vaccine - Too Low

Other Meds:

Current Illness:

ID: 1074337
Sex: M
Age: 77
State: AZ

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Systemic: Chills-Medium, Systemic: Dizziness / Lightheadness-Mild, Systemic: Fever-Medium, Systemic: Headache-Mild, Systemic: Nausea-Severe, Systemic: Vomiting-Severe, Systemic: Weakness-Severe

Other Meds:

Current Illness:

ID: 1074338
Sex: F
Age: 50
State: NC

Vax Date: 02/20/2021
Onset Date: 02/27/2021
Rec V Date: 03/05/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Chills, some fatigue and body aches. Left arm sore, red, and hot to touch

Other Meds: None

Current Illness: None

ID: 1074339
Sex: M
Age: 63
State: WI

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

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Mild headache

Other Meds: bupropion

Current Illness: none

ID: 1074340
Sex: F
Age: 50
State:

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

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

Lab Data:

Allergies: Avocado and raw almonds

Symptom List:

Symptoms: Radiating pain at the injection site. Intermittent dizziness and chills. Malaise, joint pain, body aches, sleepiness..

Other Meds: hydrochlorathiazide

Current Illness: No just symptoms after first Covid vaccination shot.

ID: 1074341
Sex: F
Age: 52
State: CA

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Systemic: Seizure-Medium

Other Meds:

Current Illness:

ID: 1074342
Sex: F
Age: 63
State: CT

Vax Date: 03/03/2021
Onset Date: 03/03/2021
Rec V Date: 03/05/2021
Hospital:

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

Lab Data:

Allergies: Penicillin - full blown anaphylaxis occurs

Symptom List:

Symptoms: Headache and Bad upper arm/shoulder pain the first night and second day. Severe upper arm/shoulder pain - so bad that it kept me up at night and I couldn't lay on my left side. Along with the shoulder pain the second night the headache continued on and off (took aspirin to try to help) the second day and through the night and a low grade fever 99.5-100. developed through the second night.

Other Meds: Calcium/magnesium/silica blend, Vit. D, Vit. B12

Current Illness: seasonal allergies /minor sinus congestion

ID: 1074343
Sex: M
Age: 67
State: FL

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Tingling in the arm and high blood pressure of 170/86. Paramedics assessed pt. once symptoms subsided pt. was released to leave. Tent 14.

Other Meds: losatin, aspirin, statin

Current Illness:

ID: 1074344
Sex: F
Age: 57
State: MD

Vax Date: 02/23/2021
Onset Date: 03/04/2021
Rec V Date: 03/05/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: raised red rash covering the bicep, warm to touch, itchy

Other Meds: progesterone vitamin D3 miniville florastor

Current Illness: n/a

ID: 1074345
Sex: F
Age: 77
State: NY

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 03/05/2021
Hospital:

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

Lab Data:

Allergies: I am medicine sensitive.

Symptom List:

Symptoms: I had no reaction to the first shot , except sore arm for one day. After the 2nd shot, the next day I developed a high fever (103) and chills. I called urgent care that evening to see how to bring the fever down. They told me that was my body building antibodies. The fever "broke" later that night. I never have gotten rid of the chills. I did not see a doctor for this reaction. During this time, not exactly sure of the dates, the cardiologist started me on a new medicine - Verapamil. I thought the chills might be from the medicine. She reduced the dosage due to low heart rate, and I'm still taking the medicine. I now have a rash on my side and on my left thigh, which is blotchy, red, and itchy. I do not know if these reactions are from the medicine or from the vaccine, but I suspect it is the Moderna vaccine. The chills are mostly centered in my legs. They are not letting up. I have not seen my doctor about the rash yet. I have had the rash for a couple of weeks, trying to get rid of it myself.

Other Meds: Losartan, Albuteral inhaler, methimazole, Vitamin B complex, VitaminD, pravastatin, Krill Oi, verapamil

Current Illness: COPD, heart palpitations

ID: 1074346
Sex: M
Age: 84
State: FL

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

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: chills, low grade fever 100. just not feeling wee. Started around 1 am. Its 8 am now.

Other Meds: Pantoprazole 40mg Atenolol 25mg Lisinopril 20mg Simvastatin 40mg

Current Illness: none

ID: 1074347
Sex: M
Age: 45
State: DC

Vax Date: 03/03/2021
Onset Date: 03/03/2021
Rec V Date: 03/05/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Reported bruising and left upper arm pain which started on 3/3/2021 after receiving 2nd COVID-19 vaccine and persisted until 3/4/2021. Pain improved on 3/4/2021 but not resolved. Left upper arm/shoulder pain w/full ROM. Reported no side effects after 1st COVID-19 vaccine.

Other Meds:

Current Illness:

ID: 1074348
Sex: F
Age: 80
State: NJ

Vax Date: 02/16/2021
Onset Date: 03/02/2021
Rec V Date: 03/05/2021
Hospital:

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

Lab Data:

Allergies: Spring allergies

Symptom List:

Symptoms: Modern a COVID-19 vaccine EUA arm swelled and rash at injection site 2 weeks after injection

Other Meds: Bystolic 2.5mg, Amlodipine 5mg, Rosuvastatin 5mg, Metrogel 2x day, Montelukast 10mg, Baby aspirin, Vitamin d3 1000IU, Patenol as needed

Current Illness: None

ID: 1074349
Sex: F
Age: 79
State: MA

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient reported 1st dose gave her jaw tingling on her way home after her 15 minute obs. She states on arriving home it had dissappeared. Today we agreed with charge nurse we would keep her additional 15 minutes. As first dose at the 15 min mark she reported tingling in jaw at 20 minutes she reported the tip of her tongue was tingling. She states some times when eating hard candies she has the same sensation with her tongue. At 10:14 she states vaccine side effects have resolved bp 156/86 HR 80 OX 100 % We agreed she would stay 15 minutes longer. We discussed any oral itching of throat itching any airway sensations she will seek medical attention.

Other Meds:

Current Illness:

ID: 1074350
Sex: F
Age: 46
State: AL

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

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

Lab Data:

Allergies: Shellfish

Symptom List:

Symptoms: Body aches, kidney pain, headache, lethargy beginning 12 hours post shot, beginning 24 hours post shot painful lymph node pain under left arm and side of breast

Other Meds: Propranolol Cingulair Allegra Junel Valtrex Protonix

Current Illness:

ID: 1074351
Sex: F
Age: 70
State: VT

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

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

Allergies: Ciproflaxacin Flagyl Hydrochlorothiazide Shrimp Sulfa drugs

Symptom List:

Symptoms: Reported from patient over the phone after the incident: tingling lips with swelling. Scratchy throat and cough. Treated with oral Benadryl with relief of symptoms duration Approx 1 1/2-2hours

Other Meds: Myrbetriq 25mg Lexapro 10mg losartan 10mg levothyroxine 20mcg Inulin 2.5gram Magnesium 250mg Vit D3 1000IU

Current Illness: none

ID: 1074352
Sex: F
Age: 53
State: PA

Vax Date: 02/24/2021
Onset Date: 02/28/2021
Rec V Date: 03/05/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: Allergic to some antibiotics. I don't know exact names.

Symptom List:

Symptoms: Swelling in lymph nodes on left side of body. Armpit area. Painful.

Other Meds: Claritin D

Current Illness: none

ID: 1074353
Sex: F
Age: 47
State: NY

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 03/05/2021
Hospital:

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Reported fever of 100.6-101, fatigue,headache, muscle ache. Resolved with rest.

Other Meds:

Current Illness:

ID: 1074354
Sex: F
Age: 49
State: CO

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

Vax Type:
Manufacturer:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Heart palpitations, extreme joint pain, extreme headache, nausea for 72 hours. Over the counter medicine of any kind did not aid in symptom relief.

Other Meds: Armour thyroid

Current Illness:

ID: 1074355
Sex: F
Age: 44
State: IN

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

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

Allergies:

Symptom List:

Symptoms: High fever Body aches Headache Neck pain Sore throat

Other Meds:

Current Illness:

ID: 1074356
Sex: F
Age: 48
State: GA

Vax Date: 01/15/2021
Onset Date: 01/22/2021
Rec V Date: 03/05/2021
Hospital: Y

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

Allergies: Sulfa Morphine

Symptom List:

Symptoms: I had epileptic seizures 6 days later and they haven't stopped. Never had seizures in my life

Other Meds: None

Current Illness: None

ID: 1074357
Sex: F
Age: 65
State: OH

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

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

Allergies: sensitive to oil, gasoline, paint products

Symptom List:

Symptoms: swollen, red, painful tongue with sores lasting for 18 hours followed by sore throat and ear pressure

Other Meds: vitamin d3, iron, vitamin b12

Current Illness: none

ID: 1074358
Sex: M
Age:
State: MN

Vax Date: 10/08/2020
Onset Date: 10/11/2020
Rec V Date: 03/05/2021
Hospital:

Vax Type:
Manufacturer:
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Lab Data:

Allergies: None

Symptom List:

Symptoms: Extreme muscle and joint pain

Other Meds: Atorvastatin 10mg Omeprazole 20mg Men multi vitamin

Current Illness: None

ID: 1074359
Sex: M
Age: 90
State: ME

Vax Date: 02/18/2021
Onset Date: 02/22/2021
Rec V Date: 03/05/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Loss of taste and smell

Other Meds:

Current Illness:

ID: 1074360
Sex: F
Age: 40
State: SC

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

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

Allergies: Keflex and bactrium

Symptom List:

Symptoms: Blisters in my mouth. Extreme tiredness. Headache. Soar throat. Slight fever.

Other Meds:

Current Illness:

Date Died: 02/28/2021

ID: 1074361
Sex: F
Age: 93
State: PR

Vax Date: 02/25/2021
Onset Date: 02/26/2021
Rec V Date: 03/05/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
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Lab Data:

Allergies: None

Symptom List:

Symptoms: General malaise, acetaminophen was given every 6 to 8 hours

Other Meds: Zyrtec HCllOmg. Namenda 10mg, Citalopram 20mg. Temazepan 15m

Current Illness: None

ID: 1074362
Sex: M
Age: 58
State: MA

Vax Date: 02/25/2021
Onset Date: 03/05/2021
Rec V Date: 03/05/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
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Lab Data:

Allergies: Cipro

Symptom List:

Symptoms: Chills, Body Aches, Fever as high as 101.6. Fever started the following day (02-26-2021) at 930am and lasted approximately 12 hours. Was down to 99.0 around 8:30pm

Other Meds: Aspirin. 325mg Lisiniprol, 40mg Simvistatin, 40mg Omeprezole, 20mg Escitalopram, 10mg Atenolol, 25mg

Current Illness: None

ID: 1074363
Sex: F
Age: 84
State: OH

Vax Date: 02/18/2021
Onset Date: 02/18/2021
Rec V Date: 03/05/2021
Hospital:

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

Allergies: None

Symptom List:

Symptoms: Extreme thirst,Fatigue, sleepy, mild muscle pain,joint pain, chills during night

Other Meds: VerapmilHydrochlort 240mg Lisinopril hydrochlorot 20 25g Furosemide 40mg Glyberide metformin 1.25 250 Dexilant 60mg 2x D3, B12, Vit E. Fluticasone, Tramadole only as needed, others 1x day

Current Illness: Sinus cold

Total 2021 VAERS Injuries: 704,237

Page last modified: 03 October 2021 5:28pm