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
85,281
AK1,772
AL5,995
AR3,898
AS44
AZ14,266
CA63,353
CO11,925
CT8,581
DC1,718
DE1,828
FL40,597
FM3
GA15,077
GU90
HI2,406
IA4,655
ID2,684
IL21,046
IN23,424
KS4,713
KY8,058
LA5,212
MA15,025
MD12,879
ME3,219
MH8
MI19,701
MN12,505
MO9,845
MP30
MS3,003
MT2,337
NC17,037
ND1,410
NE2,975
NH3,079
NJ19,090
NM4,024
NV4,515
NY35,746
OH19,729
OK6,398
OR8,731
PA24,520
PR2,388
QM2
RI2,055
SC6,788
SD1,217
TN9,748
TX37,825
UT4,393
VA15,159
VI61
VT1,760
WA15,137
WI11,332
WV2,403
WY878
XB5
XL1
XV2

ID: 1074572
Sex: M
Age: 92
State: MD

Vax Date: 02/05/2021
Onset Date: 02/12/2021
Rec V Date: 03/05/2021
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Allergies: nkda

Symptom List:

Symptoms: Patient admitted 2/12 for COVID pneumonia. Started to feel unwell approximately 2-3 days after receiving the vaccine. Presented to ED with cough and weakness. Patient treated with remdesivir/dexamethasone, improved and was discharged 2/14. Readmitted 2/19 for further pneumonia. Improved but requiring 5L of O2. Discharged to rehab 3/1.

Other Meds:

Current Illness:

ID: 1074573
Sex: F
Age: 34
State: PA

Vax Date: 02/05/2021
Onset Date: 03/05/2021
Rec V Date: 03/05/2021
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Allergies: PPD Test, Amoxicillin

Symptom List:

Symptoms: First vaccine I could feel the vaccine go into my body and down into my legs. It was a very strange sensation. I felt very fatigued 30 min after the vaccine but ignored it because it was not normal to have symptoms after the first vaccine. That night i did feel a litlle bit of swelling in my lips that continued into the next day but it was not severe. The muscle aches, joint pain and allodynia the 2nd day were so severe I don't really remember any other symptoms i may have had. I took Benadryl and Tylenol and slept for 2 days straight. After the 1st vaccine I did have shortness of breath for about 3 days post. Then I received the 2nd vaccine, I did not feel it go in this time. About 30 min after the second vaccine I felt very fatigued. About an hour later I started to feel slight swelling in my lips that increased and around 2 1/2 hours my eyes and lips were noticeably swollen and I was flushed. My husband noticed my ears and cheeks were bright red. I felt my heart racing and took my pulse it was around 120. I felt dizzy and like there was a lump in my throat. I requested an appointment via video call from the emergency line. I didn't feel like I was having trouble breathing and stayed calm, my pulse went down to 100 after about 20 min. while waiting for my video call. I spoke to the doctor and they recommended going to the ER. I asked since the pulse went down and it felt like I was slowly reacting, if I could try taking Benadryl and see how I felt. She said that was ok but if I felt any difficulty breathing to go to the ER right away. I took 50 mg of Benadryl and felt better and rested. The next morning lips and eyes were swollen again but a little worse. Difficulty swallowing persisted as well as severe muscle pain, joint pain, and allodynia. The symptoms were worse with 2nd vaccine. Noticed shortness of breath just walking up and down steps. These symptoms lasted a little bit longer. 4 days after the vaccine I noticed the lip swelling was not getting better so I called my PCP. He recommended taking the next 2 days off , rest with benadryl and tylenol. I listened and felt good enough to go into work. It is now 4 weeks since i had the vaccine and i am still experiencing some symptoms that seem to be in relation to after i eat. That includes lip swelling, tightness in the muscles around my throat (feel as if they are strained), stomach burning, indigestion, heartburn. Called PCP again who recommended I see an allergist/immunologist.

Other Meds: Letrozole, Adderall, Ovidrel, Follistim

Current Illness: None

ID: 1074574
Sex: F
Age: 68
State: NC

Vax Date: 03/04/2021
Onset Date: 03/04/2021
Rec V Date: 03/05/2021
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Allergies: Sulfur Drugs, Steroids', eggs, Dairy products

Symptom List:

Symptoms: Within 6 minutes left side of face, neck and head started getting numb. Had a rash on neck and chest. Blood pressure went up. Got really weak. Was necessary to go to hospital for meds and monitoring. This morning March 6th, still weak with hurting joints.

Other Meds: Diltiazem HCL,24 mg; Potassium Chloride ER20; Hydrochlorothiazide 25 mg: Cholestyramine 4gm; vitamin D, Vitamin E.

Current Illness: None

ID: 1074575
Sex: M
Age: 76
State: PA

Vax Date: 03/04/2021
Onset Date: 03/05/2021
Rec V Date: 03/05/2021
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Symptoms: 24 Hours after receiving my second dose of the Pfizer Covid-19 vaccine, I fainted. I was only unconscious for s few seconds, and seemed OK upon regaining consciousness. So far, it has not recurred.

Other Meds: Xarelto, Toprol XL, Centrum Heart Specialist Vitamins

Current Illness: A-Fib, Anal Fissures

ID: 1074580
Sex: M
Age:
State: CA

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 03/05/2021
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Symptoms: inadvertently received a regular full dose of Gardasil 9 in each arm; This spontaneous report was received from a medical assistant and refers to a 17-year-old male patient. The patient's concomitant therapies included diphtheria toxoid (+) pertussis acellular vaccine (unspecified) (+) tetanus toxoid vaccine (reported as Tdap) and unspecified vaccine reported as Vacsera. There was no information about the patient's concurrent conditions or medical history provided. On 26-FEB-2021, the patient was inadvertently vaccinated with regular full dose of hpv rl1 6 11 16 18 31 33 45 52 58 vlp vaccine (yeast) (GARDASIL 9) in each arm (exact dose, route of administration, lot # and expiration date were not provided) for prophylaxis. The patient was observed at the office for 20 to 30 minutes and did not experience any adverse events from receiving 2 hpv rl1 6 11 16 18 31 33 45 52 58 vlp vaccine (yeast) (GARDASIL 9) doses on the same day. At the time of reporting, it was unknown if he would receive another dose of hpv rl1 6 11 16 18 31 33 45 52 58 vlp vaccine (yeast) (GARDASIL 9) and he did not have any reaction to receiving two doses in the same day.

Other Meds:

Current Illness:

ID: 1074581
Sex: M
Age:
State: MA

Vax Date: 10/19/2014
Onset Date:
Rec V Date: 03/05/2021
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Symptoms: pneumonia; sensorineural hearing loss; COPD exacerbation; varicella-like rash; This spontaneous report was received from a lawyer, regarding a case in litigation and refers to a male patient of unknown age. The patient's concurrent conditions, medical history and concomitant medications were not reported. On or around 19-OCT-2014, the patient was vaccinated with zoster vaccine live (ZOSTAVAX) (exact dose, site and route of administration, lot# and expiration date were not reported) for routine health maintenance and for its intended purpose: the prevention of shingles (herpes zoster). On an unknown date, shortly after receiving zoster vaccine live (ZOSTAVAX) vaccine, the patient suffered worsening cough, wheezing and pneumonia. The patient was diagnosed with chronic obstructive pulmonary disease (COPD) exacerbation and pneumonia. He additionally suffered from sensorineural hearing loss and varicella-like rash. As a direct and proximate result of zoster vaccine live (ZOSTAVAX) vaccine, the patient's symptoms resulted in physical limitations not present prior to the vaccination. He also experienced mental and emotional distress due to resulting physical limitations and seriousness of his condition. As a result of the manufacture, marketing, advertising, promotion, distribution and/or sale of zoster vaccine live (ZOSTAVAX), the patient sustained severe and permanent personal injuries. Further, as a tragic consequence of zoster vaccine live (ZOSTAVAX), he suffered serious, progressive, permanent, and incurable injuries, as well as significant conscious pain and suffering, mental anguish, emotional distress, loss of enjoyment of life, physical impairment and injury. As a direct and proximate result of zoster vaccine live (ZOSTAVAX), the pt suffered and incurred damages, including medical expenses; the loss of accumulations; and other economic and non-economic damages. The outcome of the events was not recovered. The relatedness between the events and zoster vaccine live (ZOSTAVAX) was related. Upon internal review, the events of pneumonia and sensorineural hearing loss were determined to be medically significant. All of the events were considered to be disabling.

Other Meds:

Current Illness: Routine health maintenance

ID: 1074582
Sex: F
Age:
State:

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Rec V Date: 03/05/2021
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Symptoms: allergy to the adjuvant in the shingrix vaccine; This case was reported by a consumer via other manufacturer and described the occurrence of allergy to vaccine in a female patient who received Herpes zoster (Shingrix) for prophylaxis. On an unknown date, the patient received Shingrix. On an unknown date, unknown after receiving Shingrix, the patient experienced allergy to vaccine. On an unknown date, the outcome of the allergy to vaccine was unknown. It was unknown if the reporter considered the allergy to vaccine to be related to Shingrix. Additional details were provided as follows: The age at vaccination was not reported. The patient experienced allergy to the adjuvant in the shingrix vaccine. The caller asked if the Covid vaccine has any adjuvants in it. Unable to contact reporter after corresponding phone attempts. The reporter did not consent to follow up.

Other Meds:

Current Illness:

ID: 1074583
Sex: U
Age:
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Vax Date:
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Rec V Date: 03/05/2021
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Symptoms: Fever; This case was reported by a consumer via interactive digital media and described the occurrence of fever in a adult patient who received Herpes zoster (Shingrix) for prophylaxis. On an unknown date, the patient received the 2nd dose of Shingrix. On an unknown date, 1 day after receiving Shingrix, the patient experienced fever. On an unknown date, the outcome of the fever was unknown. It was unknown if the reporter considered the fever to be related to Shingrix. Additional details were provided as follows: The age at vaccination was not reported. The patient experienced fever on the day after. The patient asked that if she/he need to take anything for fever.

Other Meds:

Current Illness:

ID: 1074584
Sex: M
Age:
State: CT

Vax Date:
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Rec V Date: 03/05/2021
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Symptoms: injection site discomfort; This case was reported by a consumer via other manufacturer and described the occurrence of injection site discomfort in a 76-year-old male patient who received Herpes zoster (Shingrix) for prophylaxis. The patient's past medical history included covid-19, lung disease, smoker (Family History), pancreatic cancer (Family History) and lung cancer (Family History) (Oat cell). Concurrent medical conditions included psoriatic arthritis (diagnosed 30 years ago) and blood pressure high. Concomitant products included valsartan (Diovan). On an unknown date, the patient received Shingrix. On an unknown date, less than a month after receiving Shingrix, the patient experienced injection site discomfort. On an unknown date, the outcome of the injection site discomfort was unknown. It was unknown if the reporter considered the injection site discomfort to be related to Shingrix. Additional details were reported as follows: The concomitant medication included Diovan started 3.5 years for high blood pressure. The reporter mentioned that he only takes some health store vitamins. The patient historical condition included COVID 19 in Mar 2020. They were all smokers in his family and he was not. His sister died of Pancreatic cancer and his mother died of Oat Cell Lung Cancer. The patient had an issue with a lung disease when he went to another country. He took Remicade. It was 5 years ago. He was taking this Remicade Arthritis medication administered intravenously and apparently it lowered his immune system and he wound up in the hospital with a lung infection. He recovered completely. The patient had 2nd dose of Shingrix 4 weeks ago in upper left arm and experienced slight injection site discomfort. It was administered in the physician office and he did not went to that doctor anymore. The patient received Pfizer BioNtech COVID 19 vaccine on 26th Jan 2021 and had slight injection site discomfort. The reporter consented to follow up.

Other Meds: DIOVAN

Current Illness: Blood pressure high; Psoriatic arthritis (diagnosed 30 years ago)

ID: 1074585
Sex: M
Age:
State: NY

Vax Date:
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Rec V Date: 03/05/2021
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Symptoms: he fell; bumped his head; This case was reported by a nurse via other manufacturer and described the occurrence of fall in a 72-year-old male patient who received Herpes zoster (Shingrix) for prophylaxis. The patient's past medical history included partial gastrectomy (from July 2016) and stroke (in 2015). Previously administered products included Flu vaccine with an associated reaction of no adverse event (kind of vaccine with no reaction.), Hepatitis vaccine with an associated reaction of no adverse event (kind of vaccine with no reaction) and Shingrix with an associated reaction of nasopharyngitis (1st dose received on unknown date and also had clammy, diaphoretic, high blood sugar and many more, refer case US2021AMR032604). Concurrent medical conditions included dementia, diabetes (since from 2005) and allergy nos. On an unknown date, the patient received the 2nd dose of Shingrix. On an unknown date, less than a year after receiving Shingrix, the patient experienced fall and local swelling. On an unknown date, the outcome of the fall and local swelling were unknown. It was unknown if the reporter considered the fall and local swelling to be related to Shingrix. Additional details were reported as follows: This case was reported by patient's spouse. The age at vaccination was not reported but it could be 71 or 72 years old. The patient was allergic to various things and would had to clear patient's throat. The patient has not had the reaction in the past to the vaccines received and he had every kind of vaccine with no reaction. The patient did not have the reaction to the Flu or Hepatitis vaccines. The Shingrix was for 2 doses and the patient decided to get the 2nd dose. The patient received the 2nd dose of Shingrix and the patient fell and bumped his head with that reaction. The reporter could tried giving the patient an extran blood pressure pill. The patient did not have NDC, lot or expiry to provide. The reporter tried to saw if there were components that match up but she did not see any components that were the same. The reporter consented to follow up.; Sender's Comments: US-GLAXOSMITHKLINE-US2021AMR032604:Same patient, same reporter, same product, different dose (2nd dose)

Other Meds:

Current Illness: Allergy NOS; Dementia; Diabetes (since from 2005)

ID: 1074586
Sex: F
Age:
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Rec V Date: 03/05/2021
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Symptoms: Feel sicker than she had ever felt before; This case was reported by a consumer via interactive digital media and described the occurrence of sickness in a female patient who received Herpes zoster (Shingles vaccine) for prophylaxis. On an unknown date, the patient received Shingles vaccine. On an unknown date, unknown after receiving Shingles vaccine, the patient experienced sickness. On an unknown date, the outcome of the sickness was unknown. It was unknown if the reporter considered the sickness to be related to Shingles vaccine. Additional details were reported as follows: The age at vaccination was not reported. The reporter said that my neighbor had the Shingles shot made her feel sicker than the patient had ever felt before. But then the reporter added, might be the patient, spy skilled in the art of propaganda. The information regarding consent to follow up was not reported.

Other Meds:

Current Illness:

ID: 1074587
Sex: U
Age:
State:

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 03/05/2021
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Symptoms: I got my second shingles vaccine yesterday. Today i have chills; This case was reported by a consumer via interactive digital media and described the occurrence of chills in a adult patient who received Herpes zoster (Shingrix) for prophylaxis. On 8th February 2021, the patient received the 2nd dose of Shingrix. On 9th February 2021, 1 days after receiving Shingrix, the patient experienced chills. On an unknown date, the outcome of the chills was unknown. It was unknown if the reporter considered the chills to be related to Shingrix. Additional details was reported as follows: The age at vaccination was not reported Age group was not reported but captured adult as per vaccine indication. The day before reporting date, the patient received Shingrix and on the day of reporting, experienced chills. No other information was available

Other Meds:

Current Illness:

ID: 1074588
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 03/05/2021
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Symptoms: felt horrible day after 1st one; This case was reported by a consumer and described the occurrence of feeling bad in a adult patient who received Herpes zoster (Shingles vaccine) for prophylaxis. On an unknown date, the patient received the 1st dose of Shingles vaccine. On an unknown date, 1 day after receiving Shingles vaccine, the patient experienced feeling bad. On an unknown date, the outcome of the feeling bad was unknown. It was unknown if the reporter considered the feeling bad to be related to Shingles vaccine. Additional details were reported as follows: The age at vaccination was not reported. The age group was not reported but it was captured as adult as per vaccine indication. The patient felt horrible day after 1st dose. The patient received 2nd shot (6 months apart). Second one was supposed to be worse but felt fine day after. The patient stated that he or she knew people who had shingles and he or she did not want shingles.

Other Meds:

Current Illness:

ID: 1074589
Sex: U
Age:
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Vax Date:
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Rec V Date: 03/05/2021
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Symptoms: Muscle aches; This case was reported by a consumer via interactive digital media and described the occurrence of muscle pain in a adult patient who received Herpes zoster (Shingrix) for prophylaxis. On an unknown date, the patient received Shingrix. On an unknown date, 1 day after receiving Shingrix, the patient experienced muscle pain. On an unknown date, the outcome of the muscle pain was unknown. It was unknown if the reporter considered the muscle pain to be related to Shingrix. Additional details were reported as follows: The age at vaccination was not reported. The age group was not reported but it was captured as adult as per vaccine indication. The patient had muscle pain the day after Shingrix vaccination.

Other Meds:

Current Illness:

ID: 1074590
Sex: U
Age:
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Vax Date:
Onset Date:
Rec V Date: 03/05/2021
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Symptoms: Legally blind; Neuropathy; Lymphedema in legs; Arm had swelling; Arm had / itching; Arm had / burning; This case was reported by a consumer via other manufacturer and described the occurrence of blind in a adult patient who received Herpes zoster (Shingles vaccine) for prophylaxis. On an unknown date, the patient received Shingles vaccine. On an unknown date, unknown after receiving Shingles vaccine, the patient experienced blind (serious criteria GSK medically significant), neuropathy (serious criteria GSK medically significant), lymphedema, swelling arm, itchy upper limbs and burning sensation. On an unknown date, the outcome of the blind, neuropathy, lymphedema, swelling arm, itchy upper limbs and burning sensation were unknown. The reporter considered the blind, neuropathy, lymphedema, swelling arm, itchy upper limbs and burning sensation to be related to Shingles vaccine. Additional details were provided as follows: The age at vaccination was not reported. The age group was not reported but selected as adult as per vaccine indication. The patient received shingrix and experienced blind, neuropathy, lymphedema, swelling arm, itchy upper limbs and burning sensation. The reporter wanted to know about ingredients of covid vaccine. The reporter did not consented to follow up.

Other Meds:

Current Illness:

ID: 1074591
Sex: F
Age: 78
State: MI

Vax Date: 09/01/2020
Onset Date: 12/01/2020
Rec V Date: 03/05/2021
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Symptoms: thrush / felt like a terrible poison ivy on her back, arms, shoulders to her elbow on both sides of her body / thrush went all the way up to the hairline and to her butt; soreness when she would roll over when sleeping; scabs; swelling of the arm; couldn't sleep; sore arm; digging at the thrush because it felt like sand under the skin / itch; was miserable/ felt like sand under the skin; terrible poison ivy on back, arm, shoulder to elbow on both side of body; ill with COPD; coughing badly; illness; fever; throwing up; diarrhea; This case was reported by a consumer via call center representative and described the occurrence of chronic obstructive pulmonary disease in a 78-year-old female patient who received Herpes zoster (Shingrix) for prophylaxis. Previously administered products included Zostavax (received vaccine years ago). Concomitant products included methylprednisolone. In September 2020, the patient received the 1st dose of Shingrix. In December 2020, between 2 and 4 months after receiving Shingrix, the patient experienced chronic obstructive pulmonary disease, cough and illness. On an unknown date, the patient experienced thrush, general body pain, scab, fever, vomiting, diarrhea, swelling arm, difficulty sleeping, pain in arm, pruritus, feeling miserable and poison ivy rash. On an unknown date, the outcome of the chronic obstructive pulmonary disease, cough, illness, thrush and scab were not recovered/not resolved and the outcome of the general body pain, fever, vomiting, diarrhea, swelling arm, difficulty sleeping, pain in arm, pruritus, feeling miserable and poison ivy rash were recovered/resolved. It was unknown if the reporter considered the chronic obstructive pulmonary disease, cough, illness, thrush, general body pain, scab, fever, vomiting, diarrhea, swelling arm, difficulty sleeping, pain in arm, pruritus, feeling miserable and poison ivy rash to be related to Shingrix. Additional details were provided as follows: The reporter was reported for herself. The age at vaccination was not reported. The patient received 1st dose of Shingrix in the left arm. The reporter stated that, few days after vaccination, had sore arm, swelling of the arm and soreness when would roll over when sleeping. A few days later experienced diarrhea, throwing up, fever which lasted 3 days. The patient described as thrush which felt like a terrible poison ivy on her back, arms, shoulders to her elbow on both sides of her body. The patient would wake up at night digging at the thrush because it felt like sand under the skin and would dig the head off and still had scabs where she dug so badly. The thrush went all the way up to the hairline and to her butt where the patient sat and was miserable. The reporter stated that, the only symptom that remains today was thrush. The reporter did mention at the end of the conversation that she was currently ill with COPD and she was coughing badly. She said that her illness started 2 weeks ago and it was a seasonal thing for her. The physician prescribed medication for the itch because she could not sleep. The patient was advised by her physician to not get the second dose of Shingrix. The reporter consented to follow up.

Other Meds: METHYLPREDNISOLONE

Current Illness:

ID: 1074592
Sex: F
Age: 66
State: LA

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 03/05/2021
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Symptoms: flu-like symptoms; headache; aches, pain; fever; This case was reported by a consumer via call center representative and described the occurrence of influenza-like symptoms in a 66-year-old female patient who received Herpes zoster (Shingrix) for prophylaxis. On 3rd February 2021, the patient received the 2nd dose of Shingrix (intramuscular). On 3rd February 2021, less than a day after receiving Shingrix, the patient experienced influenza-like symptoms, headache, pain and fever. In February 2021, the outcome of the influenza-like symptoms was recovered/resolved. On an unknown date, the outcome of the headache, pain and fever were recovered/resolved. It was unknown if the reporter considered the influenza-like symptoms, headache, pain and fever to be related to Shingrix. Additional details were provided as follows: Reporter was spouse of patient. The patient received the Shingrix on right arm and experienced flu-like symptoms, headache, aches, pain and fever. The reporter did not consent to follow up. This case was linked with US2021034621 reported by the same reporter.; Sender's Comments: US-GLAXOSMITHKLINE-US2021034621:same reporter

Other Meds:

Current Illness:

ID: 1074593
Sex: M
Age: 63
State: WA

Vax Date: 10/09/2020
Onset Date:
Rec V Date: 03/05/2021
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Symptoms: shoulder deltoid pain/Shoulder joint pain anterior and posterior; pain sometimes is in the upper arm muscles/radiates to the lower arm muscle; This case was reported by a pharmacist via call center representative and described the occurrence of shoulder pain in a 63-year-old male patient who received Herpes zoster (Shingrix) (batch number 7557J, expiry date unknown) for prophylaxis. Previously administered products included Shingrix (1st dose received on unknwon date). On 9th October 2020, the patient received the 2nd dose of Shingrix. On an unknown date, less than 4 months after receiving Shingrix, the patient experienced shoulder pain and muscle pain. On an unknown date, the outcome of the shoulder pain and muscle pain were unknown. It was unknown if the reporter considered the shoulder pain and muscle pain to be related to Shingrix. Additional details were provided as follows: Pharmacist reported that after receiving the dose of Shingrix patient experienced worsening left shoulder deltoid pain and has been working on range of motion exercises. The pain sometimes was in the upper arm muscles, occasionally radiates to the lower arm muscles and sometimes was around the shoulder joint anterior greater than posterior. It was stated that the pain got worse a couple weeks after the vaccination and fluctuated. The patient did not have any sign of mass/abscess palpable or inflammation at site. Pharmacist did not have the expiration date of this dose. The reporter consented to follow up.

Other Meds:

Current Illness:

ID: 1074594
Sex: M
Age: 63
State: CO

Vax Date: 11/01/2020
Onset Date:
Rec V Date: 03/05/2021
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Symptom List:

Symptoms: decreased mobility of the injected arm; pain in his rotator cuff; arm soreness; This case was reported by a consumer via call center representative and described the occurrence of injected limb mobility decreased in a 63-year-old male patient who received Herpes zoster (Shingrix) for prophylaxis. The patient's past medical history included gastric ulcer. In November 2020, the patient received the 1st dose of Shingrix (intramuscular). On an unknown date, 5 days after receiving Shingrix, the patient experienced injected limb mobility decreased, arthralgia and pain in extremity. On an unknown date, the outcome of the injected limb mobility decreased, arthralgia and pain in extremity were not recovered/not resolved. It was unknown if the reporter considered the injected limb mobility decreased, arthralgia and pain in extremity to be related to Shingrix. Additional details were provided as follows: In late november 2020, the patient received Shingrix in the right arm. The patient reported that about 5 days later, he experienced arm soreness, pain in his rotator cuff, and decreased mobility of the injected arm. The reporter consented to follow up.

Other Meds:

Current Illness:

ID: 1074595
Sex: F
Age:
State: MA

Vax Date: 02/14/2021
Onset Date: 02/14/2021
Rec V Date: 03/05/2021
Hospital: Y

Vax Type:
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Symptom List:

Symptoms: Atrial fibrillation; Fast heartbeat; A spontaneous report was received from a consumer, an 83 year-old female patient, who received Moderna's Covid-19 vaccine (mRNA 1273), and who experienced atrial fibrillation and fast heartbeat/heart rate increased. The patient's medical history was not provided. Products known to have been used by the patient, within two weeks prior to the event, included thyroid medications and medications for poor blood flow (not specified). On 14-FEB-2021, approximately 12 hour prior to the onset of symptoms, the patient received first of two planned dose of mRNA-1273 (Batch Number -011MZ0A) intramuscularly for prophylaxis of Covid-19 infection. On 14-FEB-2021 the patient went to an emergency room due to fast heartbeat and atrial fibrillation. The treatment for the event included tachycardia converser. Action taken with mRNA-1273 in response to the events was not provided. The outcome of the events, atrial fibrillation and fast heartbeat, were considered unknown.; Reporter's Comments: Very limited information regarding the events has been provided at this time. Further information has been requested.

Other Meds:

Current Illness:

ID: 1074596
Sex: F
Age:
State: NJ

Vax Date: 02/23/2021
Onset Date: 02/23/2010
Rec V Date: 03/05/2021
Hospital:

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Symptom List:

Symptoms: She was given the vaccine intramuscularly in her glute; A spontaneous report was received from a consumer concerning a 79-year-old, female patient, who received Moderna's COVID-19 vaccine (mRNA-1273) and was given the vaccine intramuscularly in her glute. The patient's medical history included breast cancer. There was no concomitant medication provided. On 23-feb-2021, approximately prior to the onset of the events, the patient received her first of two planned doses of mRNA-1273 (Lot number: 022M20A) intramuscularly in the glute for prophylaxis of COVID-19 infection. On 23-Feb-2021, due to her medical history of breast cancer she was unable to receive the vaccine in either of he arm. The patient was given the vaccine intramuscularly in her glute. There was no treatment information provided. Action taken with mRNA-1273 in response to the events was not reported. The events, She was given the vaccine intramuscularly in her glute were considered as recovered/resolved.; Reporter's Comments: This report refers to a case of incorrect route of product administration for mRNA-1273 (lot # 022M20A) with no associated AEs reported.

Other Meds:

Current Illness:

ID: 1074597
Sex: M
Age: 76
State: AZ

Vax Date: 02/09/2021
Onset Date:
Rec V Date: 03/05/2021
Hospital:

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: loosing blood in his stool; feeling weaker and weaker; feeling weaker; A spontaneous report was received from a consumer who is also a 76-year old, male patient who received Moderna's COVID-19 Vaccine (mRNA-1273) and who experienced weakness worsened/ asthenia and loosing blood in his stool/ hematochezia. The patient's medical history included blood disease, some type of anemia, and a heart condition. 09 Feb 2021, the patient received their first of two planned doses of mRNA-1273 (Batch number: 025320-24) intramuscularly for prophylaxis of COVID-19 infection. The patient was feeling weaker, which started before the vaccine, and he took iron and it got a little better. The patient was also loosing blood in his stool. Action taken with the drug in response to the events were not reported. The outcome of the event, asthenia, was improved. The outcome of the event, hematochezia, was unknown.; Reporter's Comments: Based on the current available information and temporal association between the use of the product and the start date of these events, a causal relationship cannot be excluded.

Other Meds:

Current Illness: Anemia (He has some type of anemia where his cells are not as large.); Blood disorder; Heart disorder; Weakness

ID: 1074598
Sex: M
Age: 67
State: MS

Vax Date: 02/13/2021
Onset Date: 02/13/2021
Rec V Date: 03/05/2021
Hospital:

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Symptom List:

Symptoms: little bit sore; possible Bell's Palsy; left side of his face was swollen; Couldn't open his mouth; A Spontaneous case report was received from a consumer concerning a 67 year old male patient ,who received Moderna's COVID-19 vaccine(mRNA-1273) and experienced swelling face, facial paralysis, couldn't open his mouth and pain. The patient medical history, as provided by the reporter, included hypertension and type 2 diabetes. On 13-FEB-2021, prior to the onset of the events, the patient received their first of two planned doses of mRNA-1273(Lot number:024M20A) in the left arm for prophylaxis of COVID-19 infection. On 13-FEB-2021, the patient felt his left side of his face was swollen, and he couldn't open his mouth. On 17-FEB-2021 he went to emergency room and diagnosed with possible Bells palsy. Lab tests was done: x-ray and imaging and couldn't find anything. On 26-FEB-2021 he also felt little bit sore. No treatment was given for the events. Action taken with mRNA-1273 in response to the events was unknown. The events ,swelling face, facial paralysis, couldn't open his mouth were considered resolving on 26-FEB-2021 and pain was considered as not recovered.; Reporter's Comments: Based on the current available information and temporal association between the use of the product and the onset date of the reported events, a causal relationship cannot be excluded.

Other Meds:

Current Illness:

Date Died: 02/03/2021

ID: 1074599
Sex: M
Age: 57
State: MN

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

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Symptom List:

Symptoms: Death; A spontaneous report was received from a other health care professional concerning a 57-year-old, male patient who received Moderna's COVID-19 vaccine (mRNA-1273) and died. The patient's medical history included chronic obstructive pulmonary disease (COPD). Concomitant product use was not provided. On 02 Feb 2021, prior to onset of the events, the patient received his first of two planned doses of mRNA-1273 (Lot number: 043L20A) in the left arm for prophylaxis of Covid-19 infection. 03 Feb 2021, it was reported that the patient died. The patient was not experiencing any symptoms prior to death. He was on hospice care, not hospitalized. No further information was provided. Treatment information was unknown. The cause of death was not reported. Plans for an autopsy were unknown. Action taken with the mRNA-1273 in response to the event was not applicable.; Reporter's Comments: Very limited information regarding this event has been provided at this time. Further information has been requested.; Reported Cause(s) of Death: Unknown

Other Meds:

Current Illness: COPD

ID: 1074600
Sex: U
Age:
State:

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

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Symptoms: patient get the shot get sick; Initial information was receive on 11-Feb-2021 regarding an unsolicited valid non-serious social media case from the consumer/non-health care professional. This case involved an unknown age female patient who got the shot get sick (illness), after she received INFLUENZA VACCINE. Medical history, medical treatment, vaccination and family history not provided. On an unknown date, the patient received a dose of suspect INFLUENZA VACCINE produced by unknown manufacturer (lot number and expiry date not reported) via an unknown route at an unknown administration site for prophylactic vaccination. On an unknown date, the patient got sick (illness), (latency: unknown) following the administration of INFLUENZA VACCINE. Details of laboratory data not reported. It was not reported if the patient received a corrective treatment. The event outcome was reported as unknown at the time of reporting. There will be no information available on the batch number for this case

Other Meds:

Current Illness:

ID: 1074601
Sex: U
Age:
State:

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

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Symptom List:

Symptoms: guillain barre syndrome; Initial information was received on 26-Feb-2021 regarding an unsolicited valid serious case received from a consumer/non-health care professional via media. This case involves patient (age and gender unspecified) who had Guillain Barre-syndrome, after he/she received INFLUENZA VACCINE. Past medical treatment(s), vaccination(s) concomitant medication and family history were not provided. The patient had no medical history, concomitant disease or risk factor. On an unknown date, the patient received a dose of suspect INFLUENZA VACCINE produced by unknown manufacturer (lot number and expiry date were not reported) via unknown route in unknown administration site for prophylactic vaccination. On an unknown date, the patient developed a serious Guillain Barre-syndrome (unknown latency) following the administration of INFLUENZA VACCINE. This event was assessed as medically significant. It was unknown if the patient experienced any additional symptoms/events. There were no lab data/results available. It was not reported if the patient received a corrective treatment. At the time of reporting, the outcome of event was unknown. There will be no information available on the batch number for this case.; Sender's Comments: This case concerns patient (age and gender unspecified) who had Guillain barre-syndrome after vaccination with INFLUENZA VACCINE (unknown manufacturer). The time to onset is unknown. Additional information regarding patient's past medical history, condition at the time of vaccination, lab data excluding other predisposing etiologies would be needed for complete assessment of the case. Based upon the reported information, the role of the vaccine cannot be assessed.

Other Meds:

Current Illness:

ID: 1074602
Sex: U
Age:
State:

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

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Symptoms: child patient had drooping of face; Initial information received on 27-Oct-2020 regarding an unsolicited valid serious case from other health professional. This case involves child patient of unknown age who had drooping of face (facial paralysis), after receiving INFLUENZA QUADRIVAL A-B VACCINE [FLUZONE QUADRIVALENT]. The patient had no medical history, concomitant disease or risk factor. Medical treatment(s), vaccination(s), and family history were not provided. On an unknown date, the patient received a dose of suspect INFLUENZA QUADRIVAL A-B VACCINE (Suspension for injection) [lot number and expiry date not reported] via unknown route in an unknown administration site for prophylactic vaccination. On an unknown date, the patient developed drooping of face (facial paralysis) (Unknown latency), following the administration of INFLUENZA QUADRIVAL A-B VACCINE. This event was assessed as medically significant. No laboratory data reported. It was not reported if the patient received a corrective treatment. At the time of reporting, the outcome is unknown for the event facial paralysis. Information regarding the batch number should be requested.; Sender's Comments: This case concerns a child patient who presented with facial paralysis, after vaccination with FLUZONE QUADRIVALENT. The time to onset is unknown. There is, moreover, no information regarding patient's condition at time of vaccination, medical treatments and laboratory tests. Based upon the reported information, the role of the suspect vaccine cannot be assessed.

Other Meds:

Current Illness:

ID: 1074603
Sex: F
Age: 54
State:

Vax Date: 11/23/2020
Onset Date:
Rec V Date: 03/05/2021
Hospital:

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Symptoms: developed tightness in the hands, feet and fingertips; arthritic symptoms; throbbing in the hands and feet; Initial information received on 11-Feb-2021 regarding an unsolicited valid non-serious case from other health professional. This case involves a 54 years old female patient who had developed tightness in the hands, feet and fingertips (joint stiffness), developed arthritic symptoms (arthritis) and throbbing in the hands and feet (pain), after receiving INFLUENZA QUADRIVALENT RECOMBINANT VACCINE [FLUBLOK QIV]. Medical history, vaccination(s), concomitant medication(s) and family history were not provided. On 23-Nov-2020, the patient received dose of suspect INFLUENZA QUADRIVALENT RECOMBINANT VACCINE [lot number: QFAA2038 and expiry date not reported] via unknown route in an unknown administration site for prophylactic vaccination. On an unknown date, the patient developed tightness in the hands, feet and fingertips (joint stiffness), developed arthritic symptoms (arthritis) (One doctor thought it was arthritis and another doctor said that it could be a possible side effect of the vaccine) and throbbing in the hands and feet (pain) (events came on subtly over three weeks) (exact latency unknown) (non-serious events), following the administration of INFLUENZA QUADRIVALENT RECOMBINANT VACCINE. A month later patient went to the doctor when the events got worse. Relevant laboratory test results included: Blood test and X-ray on an unknown date and the result was normal as reported it was coming up as fine. The patient was treated with IBUPROFEN (ADAVIL), ice and heat pads. At the time of reporting, the patient was recovering from all the events as it is reported that patient got lot better but the events were not gone. The Result of Assessment was as not reported.

Other Meds:

Current Illness:

ID: 1074604
Sex: F
Age: 54
State:

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

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Symptom List:

Symptoms: Rash on anterior and posterior trunk

Other Meds:

Current Illness:

ID: 1074605
Sex: U
Age: 73
State: MT

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

Vax Type:
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Symptom List:

Symptoms: After Pfizer COVID vaccine, patient was monitored for 15 minutes. Upon standing up, patient complained of headache and flushing and was transported to the ER. He proceeded to complain of jaw pain that radiated into chest. EKG performed was significant for STEMI. Patient was transported immediately to cath lab and received 3 drug eluting stents to L main/ramus, LAD, and L Cx. Other past medical history significant for hyperlipidemia, hypothyroidism, and remote history of obstructive sleep apnea.

Other Meds:

Current Illness:

ID: 1074606
Sex: F
Age: 67
State: NE

Vax Date: 02/24/2021
Onset Date: 03/04/2021
Rec V Date: 03/05/2021
Hospital:

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Lab Data:

Allergies: Allergic to Penicillin.

Symptom List:

Symptoms: Delayed cutaneous hypersensitivity - approximately 3 cm diameter rash around injection site.

Other Meds: No prescriptions. Daily Biotin, MSM, Calcium, D3/K2, Kelp

Current Illness: None

ID: 1074607
Sex: F
Age: 49
State: OH

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

Vax Type:
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Lab Data:

Allergies: Latex & a lot of environmental

Symptom List:

Symptoms: The day after shot I had itching that went away, felt tired a couple of days, today which is one week later I developed a rash and swollen with a itch again

Other Meds: I am an asthmatic that takes singular, Flonase, septocore, and supplements, vitamins C, fiber gummies, vitamin D, Apple cider vinegar pills.

Current Illness: Asthmatic , gerds, and allergies to mold, pollen, dust, animals, grass,& many other environmental things.

ID: 1074608
Sex: F
Age: 60
State: OH

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

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Lab Data:

Allergies: codeine intolerance - causes nausea

Symptom List:

Symptoms: Widespread itchy rash on my torso, arms, neck, head, legs, but not at the injection site. The vaccine was administered at 8.30AM and the rash didn't appear until 10PM the same day. I am treating with antihistamines - Benadryl (nightime) and Claritin D (daytime). I need to know if I should get the second dose or not .

Other Meds: Atorvastatin 10mg daily Elderberry gummies Vitamin D drops

Current Illness: none

ID: 1074609
Sex: F
Age: 48
State: MN

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

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Lab Data:

Allergies: sensitive to erythromiacin

Symptom List:

Symptoms: I have a large red, hot rash at my injection site that has developed 10 days after my dose. My arm is slightly sore as well.

Other Meds: junel, magnesium, levothyroxine, vitamin D. tumeric, multivitamin, B12, Glucosamine chondrotin, biotin

Current Illness: none

ID: 1074610
Sex: M
Age: 93
State: MD

Vax Date: 02/05/2021
Onset Date: 02/19/2021
Rec V Date: 03/05/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: promethazine

Symptom List:

Symptoms: 2/19 patient presented for chest pain with occasional palpations. admitted for overnight observation. Troponins borderline elevated. Cardiology did not suspect ischemia. Patient discharged 2/20. Per EAU, hospitalizations are to be reported irrespective of attribution to the vaccine

Other Meds:

Current Illness:

ID: 1074611
Sex: F
Age: 55
State: TX

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

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Lab Data:

Allergies: Morphine

Symptom List:

Symptoms: Nurse notified by Client Client reports having a sore throat At 4:21 Client report a soreness and tightness in her throat, difficulty swallowing, and headache Vitals taken: O sat 98, Pulse 88 , BP 170/110 ( left arm), At 4:22 BP taken again on opposite arm (right arm 183/119) At 4:23 EMT assessed client breathing with stethoscope . Airway and breathing Clear At 4:26 Vitals taken : BP 160/110, O Sat 98, Pulse 86, No wheezing, No difficulty breathing At 4:29 EMT speaks with the dispatcher for an ambulance EMT reports client is alert and oriented x 4 and has no difficulty breathing Client reports no difficulty swallowing Client wanted to be transported because of the high blood pressure reading . She has no history of high blood pressure Client states her previous BP reading was not normal. She recently had a check up with her physician At 4:37 Client sat outside for some air and is drinking water Client reports that she feels better At 4:38 BP taken: BP 158/90 Client states that she wants the ambulance paramedics to check her heart on the EKG and will make a decision about being transported EMT called again to check the current location of the ambulance. Ambulance in route on Campus At 4:45 Client reports no tightness in her throat, and no headache Vitals taken: O Sat 96, Pulse 70 Client previously mentioned that she was anticipating her son who is allergic to bees to have a reaction and not herself. She also states that her husband will be so angry about this since he didn?t want them to get the Covid vaccine. She also mentioned traffic was really bad getting to the resource center building At 4:55 EMT assessed vitals: BP 132/ 92 At 5:04 Ambulance arrives Client reports feeling better Paramedics assess client No wheezing, No Shortness of Breath, No chest pain, No nausea Client reports her physical was last week and no issues with Blood pressure At 5:08 Vitals taken on monitor : BP 189/99, Pulse 82, O Sat 99 Manually BP taken by paramedic BP 190/78 At 5:13 Paramedic checks heart reading on the monitor/ EKG in the ambulance At 5:24 Paramedics report No abnormal readings found on the heart monitor / EKG Client decided not to be transported and feels well enough to drive home

Other Meds: Estrogen Hormone Patch

Current Illness: none

ID: 1074612
Sex: F
Age: 82
State: FL

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

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Lab Data:

Allergies: PCN, Tetracycline, shellfish, peanuts, cherry, banana

Symptom List:

Symptoms: Client c/of itching at site of vaccine 15 minutes after receiving. Pt. stated that bilateral itching had started. No reaction noted at site. Client seen and assessed by EMT and vs are as follows: BP 130/70, HR 80, O2 98%. By 3:30 pm pt. stated that symptoms had decreased and was cleared to go home.

Other Meds: Montelukast, Toprol XL

Current Illness: Mitral Valve disease, Arrhythmia

ID: 1074613
Sex: F
Age: 70
State: MA

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

Vax Type:
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Lab Data:

Allergies: antibiotics erythromycin penicillin sulfas

Symptom List:

Symptoms: within 10 minutes I started to sweat and my Blood Pressure went up. I stayed half and hour. I went home fine and then around 4:30-4:45 I woke from a nap and I had a rash that was itchy across my chest on the right side and it lasted an hour and then went away.

Other Meds: triamptimine 37.5-25mg TB atenolol potassium levothyroxine metformin multi vitamin magnesium biotin Vit E Vit D Vit B12 Fish oil

Current Illness: NO

ID: 1074614
Sex: F
Age: 73
State: NH

Vax Date: 02/23/2021
Onset Date: 02/25/2021
Rec V Date: 03/05/2021
Hospital:

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: large red blotch on arm ( itchy only one day)

Other Meds: vitamins with no minerals

Current Illness:

ID: 1074615
Sex: F
Age: 39
State: MN

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

Vax Type:
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Lab Data:

Allergies: shellfish

Symptom List:

Symptoms: Red, hot to touch, hard lump and itchy at injection site

Other Meds:

Current Illness:

ID: 1074616
Sex: F
Age: 78
State: NH

Vax Date: 02/26/2021
Onset Date: 03/01/2021
Rec V Date: 03/05/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: none

Symptom List:

Symptoms: pain in left leg/side. report unable to walk up/down stairs

Other Meds: none

Current Illness: none

ID: 1074617
Sex: F
Age: 58
State: NJ

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

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Lab Data:

Allergies: BENADRY

Symptom List:

Symptoms: CLIENT HAD NUMBNESS IN FACE AND SCRATCHY THROAT, AS WELL AS DIFFICULTY SWALLOWING. LATER ON SHE DEVELOPED A RASH AND STOMACH PAIN. NUMBNESS CONTINUED IN HER FACE, UNTIL MONDAY. SHE STARTED WITH SYMPTOMS WHILE IN OBSERVATION, BUT DID NOT TELL ANYONE, AT THAT TIME. SHE IS ALLERGIC TO BENADRYL, SO DID NOT TAKE AN ANTIHISTAMINE. SHE DID SEE AN NP, AT HER PHYSICIAN'S OFFICE, ON 03/01.

Other Meds:

Current Illness:

ID: 1074618
Sex: F
Age: 70
State: NY

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

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Lab Data:

Allergies: Paxil; pneumonia vaccine

Symptom List:

Symptoms: Upon waking this morning around 8am, I noticed a red blotch on left arm around the area of the injection. This redness appeared today, March 5, 2021 which is 1 week after receiving the Moderna vaccine. My left arm is also a bit achy but not sore to touch.

Other Meds: Metoporol; Telmisartan/hydrochlorothizide; vitamin D3; multivitamin

Current Illness: high blood pressure

ID: 1074619
Sex: F
Age: 68
State: NH

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

Vax Type:
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Lab Data:

Allergies: Codeine

Symptom List:

Symptoms: 3/2/21 @ 3:45 pm - covid moderna shot #2 received in right arm. 3/3/21 - 3/5/21 Severe side effects experienced -- could not go to work or do normal activities. Tired, fever, chills, sweating, nausea, vomiting, diarrhea, sore arm/muscle pain, headache, "covid arm". "Covid Arm" after dose 1 on left arm and again after dose 2 on right arm. Note: I am still recovering but answered "yes" to item 20 below; not back to normal yet.

Other Meds: Eye Drop Prescriptions for Glaucoma: Betimol, Rhopressa, Travoprost Vitamins: Multi-Vitamin, B12, Calcium, D3

Current Illness: None

ID: 1074620
Sex: M
Age: 81
State:

Vax Date: 02/19/2021
Onset Date: 02/20/2021
Rec V Date: 03/05/2021
Hospital:

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: The pt reports having swollen hands three days after the first vaccine (1/22) so started to have symptoms 1/25. PCP did not think this reaction was due to the covid shot. Pt then got second dose 2/19 and now both hands are swollen and some back pain is noted.

Other Meds:

Current Illness:

ID: 1074621
Sex: M
Age: 76
State: NY

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

Symptom List:

Symptoms: Itchy red rash on both upper arms, shoulders, upper and lower back, stomach area, both knees. Began after first shot 22 Jan 2021 and got really bad after 18 Feb. 2021 second shot. Saw skin Doctor on 1 March 2021 and got script for rx cream. Rash continues of this date, but to lessor degree.

Other Meds: blood pressure,

Current Illness: none

ID: 1074622
Sex: F
Age: 42
State: GA

Vax Date: 03/04/2021
Onset Date: 03/05/2021
Rec V Date: 03/05/2021
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Allergies: Morphine, pineapple, grapes

Symptom List:

Symptoms: Fever, chills, body aches, joint pain, and fatigue

Other Meds: Lyrica, famodine, Buspar,

Current Illness: None

ID: 1074623
Sex: M
Age: 76
State: FL

Vax Date: 02/27/2021
Onset Date: 02/28/2021
Rec V Date: 03/05/2021
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Allergies: sulfa drugs

Symptom List:

Symptoms: Loss of taste and smell. Sore neck, shoulder, arm on side vaccination was given. Generalized body aches. Congestion, extreme fatigue and chills all lasting for 3-4 days.

Other Meds: benazepril amlodipine vitamin d3

Current Illness: no

ID: 1074624
Sex: F
Age: 53
State: NC

Vax Date: 02/25/2021
Onset Date: 02/26/2021
Rec V Date: 03/05/2021
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Allergies: None

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Symptoms: Headache, body aches, chills, fever 99.5, fatigue. Also began menstruating 24 hours after receiving the vaccine and I have not had a period in 6 months and 10 months before that.

Other Meds: Armour Thyroid 135 mg Fluoxetine 40 mg

Current Illness: None

ID: 1074625
Sex: F
Age: 73
State: FL

Vax Date: 02/23/2021
Onset Date: 02/26/2021
Rec V Date: 03/05/2021
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Allergies: None

Symptom List:

Symptoms: Warm red mound at injection site, painful if bumped, but arm ok to use. Lasted 3 days, then needle site itchy for 3 days

Other Meds: Benazepril, Atorvastatin, aspirin

Current Illness: None

Total 2021 VAERS Injuries: 663,622

Page last modified: 03 October 2021 5:28pm