VAERS 2021 Database www.vaers.hhs.gov

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

Total Manufacturer

Incidents per State

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

ID: 1074828
Sex: F
Age: 44
State: MO

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

Vax Type:
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Vax Site:

Lab Data:

Allergies: none

Symptom List:

Symptoms: Moderna COVID-19 Vaccine EUA; swelling, redness, itchiness, and soreness in the arm that got the shot 7 days after the short. the area is also warm and sensitive to touch

Other Meds: none

Current Illness: none

ID: 1074829
Sex: F
Age: 51
State: TX

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

Vax Type:
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Lab Data:

Allergies: ANTIEMETIC- RESPIRATORY ARREST

Symptom List:

Symptoms: PT C/O OF DIZZINESS, PERIORAL PARESTHESIA, EYE FLOATERS WHICH STARTED A FEW MINUTES AFTER RECEIVING THE VACCINATION. PT HAS A HISTORY OF COVID 19 W/CHRONIC "BREATHING PROBLEMS." 10:02 BP 161/82 HR 77 O2 97% 10:05 AM BP 169/79 HR 75 10:09 AM 156/82 HR 75 O2 97% PT WAS MONITORED WITH REPEAT VITALS FOR 15 MIN IN ADDITION TO REQUIRED OBSERVATION TIME. THE REPORTED FLOATERS STARTED TO RESOLVE, BUT PT CONTINUED TO FEEL SHE WAS HAVING A "MIGRAINE LIKE AURA". THE PARESTHESIAS RESOLVED. NO FURTHER ACUTE CHANGES OCCURRED AND PT FELT COMFORTABLE TO LEAVE OBSERVATION SITE. PT WAS ADVISED TO F/U WITH HER PCP.

Other Meds: VERAPAMIL 40 MG ANTACID PRN PREDNISONE 1 MG SPIRIVA ALBUTEROL FUROSEMIDE OMEPRAZOLE BIOTIN TUMERIC

Current Illness: POST COVID SYMPTOMS (RESPIRATORY CONGESTION AND TACHYCARDIA

ID: 1074830
Sex: F
Age: 45
State: NE

Vax Date: 01/05/2021
Onset Date: 01/08/2021
Rec V Date: 03/05/2021
Hospital:

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Lab Data:

Allergies: None

Symptom List:

Symptoms: Initial soreness in left arm deltoid muscle lasted about 2 days. Then a few days after that there was muscle weakness and soreness when I tried to use my left deltoid muscle. Pain and weakness has yet to go away and it?s been 2 months.

Other Meds: Atorvastatin

Current Illness: None

ID: 1074831
Sex: F
Age: 42
State: TX

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

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Lab Data:

Allergies: Seafood

Symptom List:

Symptoms: Sever GI issues. They have continued for 8 days now. I'm allergic to ALL seafood, and the symptoms I'm experiencing remind me of those: bloody sto, diarrhea, nausea, bloating, stomach cramping. The symptoms started about 30 minutes after the vaccine was administered. It took me this long to figure out it may have been the vaccine. (The above is my main concern. I did also experience a stiff and painful arm which limited my range of motion, and fever. But I expected those reactions. )

Other Meds: Metforman, Topiramite, Oxy...(something- for my bladder), Levothyroxine, Loritadine, Januvia, Sertraline, Montilukes, Trulicity, Vitamin D, Fluconizol.

Current Illness: I'm a Covid long-hauler. I'm still struggling with fatigue, shortness of breath, brain fog, and joint pain.

ID: 1074832
Sex: F
Age: 44
State: SD

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 03/05/2021
Hospital:

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Lab Data:

Allergies: penicillin, sulfa

Symptom List:

Symptoms: Initially there were severe flu like symptoms: chills, shaking, headache & body aches, fatigue starting apx 2 hours following. These continued until apx 24 hours later when additional mental fog set it, difficulty focusing attention, lethargy, trouble walking, dizziness then brief loss of consciousness occurred, extreme difficulty staying awake. I was taken to the emergency room where additional tests were done due to "stroke- like" symptoms. Tests were okay with hospital staff reporting that likely/only known cause was the COVID vaccine given the day before. Symptoms have gradually reduced but occasional mental fog, occasional dizzy spells & chronic fatigue persist.

Other Meds: none

Current Illness: sinus infection apx a month prior.

ID: 1074833
Sex: F
Age: 75
State: IL

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

Vax Type:
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Lab Data:

Allergies: Allergen Reactions ? Sulfa Antibiotics Shortness Of Breath

Symptom List:

Symptoms: Office visit - NP Chief Complaint: seen today, 3/4/2021, complaining of or following up for Fever (started today), Nausea (has nausea today), Abdominal Pain (c\o upper and lower abd pain has been constant for the last 3 days started on monday), Diarrhea (states she had diarrhea all day yesterday but has had no bm today), and Fatigue (pt states she is feeling very week today) . HPI Patient comes in to the office complaining of severe abdominal pain. States the pain started on Monday and was less severe, stating the pain has escalated to a 9/10 today and "unbearable." Pt. States she had diarrhea for a 24 hour period yesterday, but denies any bowel movement today. Patient also complains of severe fatigue and states nausea with emesis a "few times over the last 4 days." Patient states that on Tuesday her pain became "a little better," but states since that time it has worsened and is severe at approximately 1230 this morning." Patient states she did not go to the ER because she "knew she had an appointment today." BP 134/84 Pulse 104 Temp 101.6 ?F (38.7 ?C) Resp 20 SpO2 94% Abdominal: General: There is distension. Palpations: Abdomen is rigid. Tenderness: There is generalized abdominal tenderness. There is guarding and rebound. Comments: Tinkling bowel sounds noted to RLQ and RUQ with hypoactive bowel sounds to LUQ and LLQ. Abdomen is rigid and guarding and rebound pain are noted with examination. triaged to Emergency room: HPI 75 y.o. female who presents with complaints of right upper quadrant pain since Monday reports is moderate to severe sharp better right upper quadrant without radiation better with rest and worse with movement FINAL IMPRESSION ICD-10-CM ICD-9-CM 1. Calculus of gallbladder and bile duct with acute cholecystitis without obstruction K80.62 574.60 2. Sepsis, due to unspecified organism, unspecified whether acute organ dysfunction present (HCC) A41.9 038.9 995.91 Final Disposition Transfer to Another Facility current inpatient at Hospital

Other Meds: Current Outpatient Medications: ? amLODIPine (NORVASC) 5 MG tablet, Take 1 tablet (5 mg) by mouth 2 times daily, Disp: 180 tablet, Rfl: 3 ? Blood Glucose Monitoring Suppl (EASY TOUCH HEALTHPRO SYSTEM) W/DEVICE KIT, , Disp: , Rfl: 0 ? cl

Current Illness:

ID: 1074834
Sex: F
Age: 65
State: CO

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

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Lab Data:

Allergies: ASA all Nsaids Peanuts

Symptom List:

Symptoms: rigors, fever body aches muscle and joints, awful headache,Back pain diarrhea last from 03/03/2021 0130 am ending 0715 am 03/05/2021

Other Meds: armour thyroid, Pepcid

Current Illness: none known

ID: 1074835
Sex: F
Age: 80
State: IA

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

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Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: Pt. called 3-5-21 @ 8:34am to report that starting around 10:00 last night the pt. developed a raised rash approximately 1" in diameter at the injection site along with extreme itching and a painful burning sensation. Pt. advised that she may use hydrocortisone cream and ice at the injection site, as well as alternate acetaminophen and ibuprofen for pain.

Other Meds: Albuterol 90mcg PRN, Cipro 500mg, Advair 100-50mcg, Flonase 50mcg nasal spray, Hydroxyzine 50mg, Singulair 10mg, NP Thyroid 90mg

Current Illness: UTI

ID: 1074836
Sex: F
Age: 72
State: WA

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 03/05/2021
Hospital:

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Allergies:

Symptom List:

Symptoms: wheezing, lip swelling, chest heaviness

Other Meds:

Current Illness:

ID: 1074837
Sex: F
Age: 50
State: TX

Vax Date: 02/24/2021
Onset Date: 02/26/2021
Rec V Date: 03/05/2021
Hospital:

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Symptom List:

Symptoms: Headache; chills; aches; itching. I also had pain and severe itching of the left shoulder. I was later treated for shingles one week after the shot. I know the Pfizer triggered this. I had these symptoms of pain and itching within 2 1/2 hours of taking the vaccine.

Other Meds: Valsartan; Fish Oil; Elderberry; Vitamin C; Zinc

Current Illness: High blood pressure

ID: 1074838
Sex: F
Age: 79
State: MD

Vax Date: 01/23/2021
Onset Date: 02/13/2021
Rec V Date: 03/05/2021
Hospital:

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Lab Data:

Allergies: apricot, peach

Symptom List:

Symptoms: Patient presented to ED o 2/13 for right knee pain post fall (pain level 10/10) starting 11/3/2020 post rehab. Right knee x-ray showed extensive osteoarthritis with periarticular calcification, intra-articular loose bodies, no fracture. Pain initially managed with Percocet. PT/OT recommended outpatient physical therapy and NSAIDS. Patient stable and discharged for further rehab 2/15. Per , hospitalizations are to be reported irrespective of attribution to the vaccine. This hospitalization does not appear to be related to the vaccine.

Other Meds:

Current Illness:

ID: 1074839
Sex: F
Age: 34
State: MA

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

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Lab Data:

Allergies: None

Symptom List:

Symptoms: Swollen lymph node above clavicle near acromion on same side as injection site - no other symptoms to indicate other underlying health issue

Other Meds: Multivitamin, zinc , vitamin C, D, K

Current Illness: None

ID: 1074840
Sex: F
Age: 68
State: MO

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

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Lab Data:

Allergies: Lisinopril

Symptom List:

Symptoms: Initially a medicine like taste in mouth. But 45 minutes later having burning sensation on my tongue that is still here today as 03-052021. Vaccine was 2-25-2021. As a side note, years ago ,my dentist described me as having Geographical tongue.The vaccine seemed to stir something maybe.

Other Meds: lipitor, metformin earlier in morning

Current Illness: sinus infection

ID: 1074841
Sex: U
Age: 64
State: CA

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

Vax Type:
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Lab Data:

Allergies: none

Symptom List:

Symptoms: Fever, extreme muscle pain, headache, fatigue, lasted approximately 30 hours

Other Meds: none

Current Illness: none

ID: 1074842
Sex: F
Age: 50
State: KS

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

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Allergies:

Symptom List:

Symptoms: Progress Notes APRN (Nurse Practitioner) Cosigned by: MD at 2/28/2021 7:27 AM Expand All Collapse All COVID VACCINE CLINIC 2/24/2021 Date: 2/24/2021 Subjective: is a 50 y.o. female who was seen at COVID Vaccine Clinic today for her first dose of the COVID 19 vaccination. She was given the Pfizer vaccination in the left deltoid muscle. During her 15 minute waiting period after the injection, the patient began to experience throat tightness. She denied rash, hives, welts, difficulty breathing, difficulty swallowing, wheezing, hoarseness, stridor, itching, lightheadedness, dizziness, facial swelling, lip swelling and tongue swelling. This provider was notified of patient reaction and she was then assessed in the emergency bay area. Monitored patient for severe reaction symptoms, including but not limited to blood pressure abnormality , chest pain, collapse, hypotension, increased swelling, rapid progression of symptoms, respiratory distress, skin changes and tongue swelling. PMH: DM, hypothyroidism, asthma ALLERGY REVIEW OF SYSTEMS: Patient denies chills, fever, malaise/fatigue, facial swelling, sore throat, frequent throat clearing, eyes itching, cough, chest tightness, shortness of breath, wheezing, rash, hives, eczema, itching of skin, abdominal pain, muscle aches, dizziness and headaches Previous Reactions: none Objective Vitals Vitals: 02/24/21 1350 02/24/21 1352 BP: (!) 152/93 (!) 142/80 Pulse: 85 SpO2: 100% Physical Exam Constitutional: General: She is not in acute distress. Appearance: Normal appearance. She is well-developed. She is obese. She is not diaphoretic. HENT: Mouth/Throat: Mouth: Mucous membranes are moist. Pharynx: Oropharynx is clear. Comments: Clear/patent oral airway Eyes: Conjunctiva/sclera: Conjunctivae normal. Neck: Thyroid: No thyromegaly. Cardiovascular: Rate and Rhythm: Normal rate and regular rhythm. Heart sounds: Normal heart sounds. Pulmonary: Effort: Pulmonary effort is normal. No respiratory distress. Breath sounds: Normal breath sounds. No wheezing. Musculoskeletal: Cervical back: Neck supple. Skin: General: Skin is warm and dry. Capillary Refill: Capillary refill takes less than 2 seconds. Neurological: General: No focal deficit present. Mental Status: She is alert and oriented to person, place, and time. Psychiatric: Mood and Affect: Mood normal. Thought Content: Thought content normal. Judgment: Judgment normal. Assessment/Plan Treatment included: antihistamines Follow up response to treatment: excellent. Patient discharge: Stable to go home and follow up with PCP. Differential Diagnosis: Vaccine-Related Anxiety (include misc mental health) and Red flag symptoms (CP, SOB, NVD, Visual/Neuro concerns) VS stable. Improving symptoms/resolved. Monitored for 1 hour. Low suspicion for anaphylaxis. More likely generalized allergies and/or anxiety. Doing well. Pt going home with husband. APRN Electronically Signed 2/24/2021 1:56 PM

Other Meds:

Current Illness:

ID: 1074843
Sex: M
Age: 69
State: SC

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

Vax Type:
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Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Right arm parathesia, hx of blood clots

Other Meds:

Current Illness:

ID: 1074844
Sex: F
Age: 36
State: MI

Vax Date: 12/01/2020
Onset Date: 01/06/2021
Rec V Date: 03/05/2021
Hospital: Y

Vax Type:
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Lab Data:

Allergies: Cipro

Symptom List:

Symptoms: I started having abdominal pain and bloating around 9 pm. Pain continued to worsen to the point I was throwing up. Took some gas x to see if that helped. It did not. Pain got so bad that I went to er. They thought it was my appendix, how ever CT showed my appendix was good. I had and still have inflammation in my intestines and still have right side pain not sure if it is related to the vaccine or not

Other Meds: Ibuprofen

Current Illness: None

ID: 1074845
Sex: F
Age: 27
State: MN

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: None

Symptom List:

Symptoms: Later in the evening after receiving the vaccine, I experienced a very strong and pounding headache. I took some Ibuprofens and went to sleep around 9pm and the headache was resolved around 11:30pm. However, later during the night the headache came back. Also, my body aches all over and just generally uncomfortable feelings. The injection site felt warm to the touch and sore.

Other Meds: Zoloft, Adderall, oral birth control pills

Current Illness: None

ID: 1074846
Sex: M
Age: 19
State: PA

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 03/05/2021
Hospital:

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Lab Data:

Allergies: None Known

Symptom List:

Symptoms: Student had gotten a flu vaccine on 01/05/21 at pharmacy. He came to the flu clinic on 1/26/21 and received another flu vaccine, his first dose being unbeknownst to the flu clinic staff.

Other Meds: None

Current Illness: None

ID: 1074847
Sex: M
Age: 71
State: PA

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

Vax Type:
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Lab Data:

Allergies: None

Symptom List:

Symptoms: Extreme runny nose and sneezing. Minor body aches. Taken an antihistamine with minor improvement. Also using oxymetazoline hydrochloride nasal decongestant with temporary improvement.

Other Meds: Atorvastatin, flomax

Current Illness: None

ID: 1074848
Sex: F
Age: 56
State: FL

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

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Sore upper arm

Other Meds:

Current Illness:

ID: 1074849
Sex: F
Age: 53
State: MA

Vax Date: 12/22/2020
Onset Date: 12/22/2020
Rec V Date: 03/05/2021
Hospital:

Vax Type:
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Vax Route:
Vax Site:

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: Persistent shoulder soreness ever since receiving the vaccine. Patient complains of occasional "shooting pains down her arm".

Other Meds: Gabapentin, methotrexate, duloxetine, folic acid, lovastatin, meloxicam

Current Illness: Fibromyalgia, high cholesterol

ID: 1074850
Sex: F
Age: 34
State: IL

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

Vax Type:
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Vax Site:

Lab Data:

Allergies: None

Symptom List:

Symptoms: It was about 5 minutes after my shot and I started feeling dizzy and going to passout. I got a nurse and my blood pressure and oxygen levels went down. They laid me on the floor and put a ice pack on while I'm breaking out in a sweat. They called the parmetrics to monitor me. They didn't like my reading and took me to the ER to monitor me.

Other Meds: Levothyroxine Baby aspirin Lexapro Deplin

Current Illness:

ID: 1074851
Sex: M
Age: 35
State: OH

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

Vax Type:
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Lab Data:

Allergies: Ambien, Aripiprazole, Ferumoxytol, IV contrast.

Symptom List:

Symptoms: Patient experience shortness of breath and chest pain

Other Meds: Albuterol, amoxil, Lipitor, Pepcid, Tricor. Allegra, Flonase, Melatonin, Metformin, Miralax, Risperdol, Zoloft, Truicity.

Current Illness:

ID: 1074852
Sex: M
Age: 60
State: NY

Vax Date: 02/23/2021
Onset Date: 03/01/2021
Rec V Date: 03/05/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: Penecillin

Symptom List:

Symptoms: ?Covid arm? - swollen red patch at injection site. Hard and itchy.

Other Meds: None

Current Illness: None

ID: 1074853
Sex: M
Age: 31
State: LA

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

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: ?Abnormal feeling? to his lateral, right upper and lower eyelids, and around the region of his right cheek bone, which he can best describe as tingling. He reports he has not had any symptoms to the right eye, itself. He states he has some mild facial drooping involving his right upper eyelid and his right cheek. He reports mild swelling under his right eye, as well as to his right cheek area. He also reports that he can?t fully open his right eye, which impairs his field of vision; otherwise, denies any vision changes. Instructed that the symptoms were suggestive of Bell?s Palsy, but to go straight to ER for further evaluation.

Other Meds:

Current Illness:

ID: 1074854
Sex: F
Age: 39
State: TX

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

Vax Type:
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Lab Data:

Allergies: Medication: Sulfa Food: Jalape?os

Symptom List:

Symptoms: 40 minutes after injection my tongue and throat began to swell and then close. I had no saliva and could not swallow without sipping on water. I stopped at a clinic to be near a facility in case I could not breath anymore. They watched me for a bit (though I did not fully "check in". The doctor suggested I get checked at an ER. I went to ER and sat in the ER parking lot for two hours waiting to see if my symptoms got worse. I did not want to use the ER unless I felt like I was in dire need. After the couple of hours my symptoms weekend (but were still there). I went to a friends place to not be alone in case the swelling increased again. The next night I felt back to normal. I have never had that reaction to anything, so I was a bit scared.

Other Meds: Flonase morning spray Zyrtec morning pill

Current Illness: None

ID: 1074855
Sex: F
Age: 82
State: FL

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

Vax Type:
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Vax Route:
Vax Site:

Lab Data:

Allergies: Flu Virus Vaccine

Symptom List:

Symptoms: Resident previously positive for Covid-19 on 6/29/20. She received both doses of the Pfizer vaccine - 12/17/20 and 1/5/21. She tested positive again for Covid-19 on 3/1/21.

Other Meds: Depakote, Remeron, Klonopin, Levothyroxine, Rivastigmine, Memantine

Current Illness: No acute illness at the time of vaccination or one month prior.

ID: 1074856
Sex: M
Age: 35
State: NC

Vax Date: 01/02/2021
Onset Date: 01/09/2021
Rec V Date: 03/05/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: None

Symptom List:

Symptoms: Adverse events include about 7-10 days of mild redness, itchiness and pain at the site and surrounding area of injection. I treated with over the counter hydrocortisone cream (1x daily). This mild adverse reaction only occurred after the first dose and resolved by around day 10. I had no symptoms or reactions to the second dose (systemic or locally). I had previously contracted COVID-19 in March 2020.

Other Meds: None

Current Illness: None

ID: 1074857
Sex: F
Age: 69
State: AR

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 03/05/2021
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Symptoms: arm swelled an had fever in it with a rash lasted for 5 days

Other Meds: zinc/vit c/vit b/allergy pill/famotidine/tylenol-arthritis/losartan 100mg/carvedilol 12.5 twice daily/sporonolactone 25mgone daily /aspirin81mg/

Current Illness:

ID: 1074858
Sex: F
Age: 77
State: NE

Vax Date: 02/11/2021
Onset Date: 02/13/2021
Rec V Date: 03/05/2021
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Allergies: Penicillin; Tylenol

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Symptoms: Patient developed a rash that occurred 2 days after administration. Patient woke up 2 days later extremely itchy and a rash localized on the right arm which was the one where the vaccine was given. Rash is improving today 3/5 but still present. No severe side effects noted.

Other Meds: Singular; Nabumetone; Omeprazole; Lipitor; Metformin; ASA 81; Lasix Hydrochlorothiazide; Metoprolol; Vitamin B12

Current Illness:

ID: 1074859
Sex: F
Age: 50
State:

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

Symptom List:

Symptoms: itching all over.

Other Meds: Folic Acid 1 mg - once daily Atenolol-Chlorthalidone 50-25 1/2 pill - once daily Sulfasalazine 500 mg - 4 pills twice per day Citalopram HBR 20 mg - once daily Tylenol 500 mg - 2 tabs every 4-6 hours as needed Ambien - one every night

Current Illness:

ID: 1074860
Sex: F
Age: 67
State: KY

Vax Date: 02/26/2021
Onset Date: 02/27/2021
Rec V Date: 03/05/2021
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Allergies: sulfa pcn tdap

Symptom List:

Symptoms: Hives, erythema all over body. 19 x5 on side of stomach, 12x6 right thigh.

Other Meds: magnesium alprazolam trazodone

Current Illness: none

ID: 1074861
Sex: F
Age: 50
State: TX

Vax Date: 03/02/2021
Onset Date: 03/02/2021
Rec V Date: 03/05/2021
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Allergies: none

Symptom List:

Symptoms: Moderna COVID-19 Vaccine EUA Fever/chills starting 5 hours after receiving , achy muscles and joints, fatigue, rapid heart beat and palpitations, and nauseous

Other Meds: synthroid

Current Illness: none

ID: 1074862
Sex: M
Age: 76
State: FL

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 03/05/2021
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Allergies: no

Symptom List:

Symptoms: Had bad chills and bad aches and pains that kept me on the couch for about 6 hours, unable to function normally. Not even able to watch tv

Other Meds: Apriso, metapropol, multi

Current Illness: none

ID: 1074863
Sex: M
Age: 15
State: LA

Vax Date: 02/24/2021
Onset Date: 02/24/2021
Rec V Date: 03/05/2021
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Symptoms: The adolescent and mother misrepresented patients age at time of vaccination. At an outreach clinic one dose of Pfizer was remaining. Vaccine coordinator for site/office asked if this individual could receive a the last dose to exhaust and not have a wastage. The coordinator was informed they could as long as the person was at least 16 y/o old. He was reported as being 16 so mother brought him to site to receive vaccination. Before administering the vaccinator asked patient if he had just turned 16 and he reported "yes". On the consent form his birthday was clearly written. Which would have made him 16 at time of administration. Vaccine was given and individual had no issues on site. While trying to document in patients online/electronic shot record staff could not locate him under the date of birth written and verified by mother and patient. It was later verified by mother that his year was 2006 and not 2005. State immunization MD notified and was informed to administer the second dose when the 21 days is due and to file a Vaers report since adolescent was under 16.

Other Meds:

Current Illness:

ID: 1074864
Sex: M
Age: 65
State:

Vax Date: 02/27/2021
Onset Date: 02/28/2021
Rec V Date: 03/05/2021
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Symptoms: Reports diarrhea for 5 days following the vaccination.

Other Meds:

Current Illness:

ID: 1074865
Sex: F
Age: 72
State: PA

Vax Date: 02/04/2021
Onset Date: 02/06/2021
Rec V Date: 03/05/2021
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Allergies: lactose

Symptom List:

Symptoms: soreness in teeth, jaw and tongue; left side only; location varied; lasted 7 days, stopped for 1 day, resumed for 4 days

Other Meds: thyroid; vitamins

Current Illness: none

ID: 1074866
Sex: M
Age: 52
State: TX

Vax Date: 03/03/2021
Onset Date: 03/03/2021
Rec V Date: 03/05/2021
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Allergies: N/A

Symptom List:

Symptoms: 10:05 PT C/O ITCHING AND REDNESS ON RIGHT HAND AND FOREARM. PT STATES HIS NOSE FEELS CONGESTION. 10:11 PT DENIES ANY SHORTNESS OF BREATH 10:15 AM PT STATES HE CAN DRIVE HOME AND WILL TAKE SOME BENADRYL

Other Meds: N/A

Current Illness: N/A

ID: 1074867
Sex: F
Age: 57
State: WI

Vax Date: 03/04/2021
Onset Date: 03/04/2021
Rec V Date: 03/05/2021
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Allergies: Morphine, Remicaid, Orencia.

Symptom List:

Symptoms: Patient received vaccine at 12:01, she stated that approximately 12:30 she noticed her right palm felt itchy and she noticed red bumps on the inside of her right wrist. She reported the symptoms to the onsite paramedics. She stated that she was placed on a stretcher and given 60 mg of liquid benadryl by the paramedics. She stated she started feeling dizzy, but after 3 minutes the dizziness resolved. She stated that soon after that the itchy right palm resolved, and the red spots on her right wrist diminished. She stated the paramedics took her blood pressure, 150/100 and placed her on oxygen. She stated she was monitored until 1:30 pm, then was discharged, at the time of discharge she had no dizziness, no itching, and only slight red bumps on her wrist. When she got home she stated her eyes felt itchy at about 5:30 pm, she took 2 OTC benadryl tablets, the symptoms resolved. She has been asymptomatic since that time.

Other Meds: Celebrex, fluoxetine, topomax, Propanolol, Hydroxychloroquine, flonase, zyrtec, xiilidra eye drops, sumatrittan, compazine, CBD gummies, xeljanz, and tylenol

Current Illness: None

ID: 1074868
Sex: F
Age: 71
State: RI

Vax Date: 03/05/2021
Onset Date: 03/05/2021
Rec V Date: 03/05/2021
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Allergies: pcn & derivitives, cheese, yeast, alcohol

Symptom List:

Symptoms: 1044 - c/o lips tingling w/inner lips swelling BP 110/70, HR 92 RR 18 O2 99%. 1044 Benadryl 25mg PO administered 1045 119/71 88 18 100%, NAD 1050 118/70 82 18 100% NAD 1100 116/75 84 20 100% NAD, pt states swelling gone, numbness around mouth 1113 107/71 82 18 100% lips numb 1115 states a small amount of numbness remains, NAD 1127 107/62 16 100%, ststae she feels much better, dc to home. advised pt to notify PCP of incident

Other Meds: n/a

Current Illness: ileostomy

ID: 1074869
Sex: F
Age: 55
State: IL

Vax Date: 03/04/2021
Onset Date: 03/04/2021
Rec V Date: 03/05/2021
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Allergies: penicillin

Symptom List:

Symptoms: Leukocytoclastic vasculitis bilateral legs

Other Meds: trazodone, metformin

Current Illness:

ID: 1074870
Sex: F
Age: 73
State:

Vax Date: 02/26/2021
Onset Date: 03/01/2021
Rec V Date: 03/05/2021
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Allergies: No known medication allergies

Symptom List:

Symptoms: Unknown COVID vaccine. Patient did not receive the vaccine at our facility so unable to provide above information. Patient presented to the ED on 3/3/21. ED notes as follows 73 y.o. female who arrived to the emergency department for Facial droop. Patient notes that she got her COVID vaccine on 2/26/21. States that she noted having a facial droop on 3/1/21 and does note that she's had prior history of Bell's palsy. States that he feels similar. She states that she cannot move the left side of her face or close her eye. She denies difficulty with ambulation numbness weakness or tingling of arms or legs, headache or other acute symptoms. Diagnosed with Bell's palsy

Other Meds:

Current Illness:

ID: 1074871
Sex: F
Age: 26
State: MI

Vax Date: 01/12/2021
Onset Date: 02/19/2021
Rec V Date: 03/05/2021
Hospital: Y

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Allergies: none

Symptom List:

Symptoms: Severe thrombocytopenia Petichiae

Other Meds: Motrin

Current Illness: none

ID: 1074872
Sex: F
Age: 67
State: MS

Vax Date: 03/01/2021
Onset Date: 03/03/2021
Rec V Date: 03/05/2021
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Allergies: None

Symptom List:

Symptoms: Moderna COVID-19 Vaccine EUA Redness, swelling and pain at the injection site. Was most painful and swollen on the day following the injection. The pain and redness lessened each day without any interaction. By the 4th day following the injection, the injection site is still slightly red with a very small bit of pain when touching it.

Other Meds: Armour thyroid, pantoprazole, Zyrtec, Flonase, advil

Current Illness: None

Date Died: 02/26/2021

ID: 1074873
Sex: F
Age: 82
State: MD

Vax Date: 12/29/2020
Onset Date: 02/10/2021
Rec V Date: 03/05/2021
Hospital: Y

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Allergies: lisinopril, sodium hypochlorite, tetanus toxoid, tuberculin.ppd

Symptom List:

Symptoms: Patient had COVID pneumonia in January 2021. Readmitted 2/10 for nausea/vomiting found to be in DKA. Treated with IV insulin, fluids, pressors and admitted to ICU. DKA resolved but continued to have ongoing nausea and dysphagia. EGD showed possible candidiasis, GI symptoms started to improve and was discharged home 2/24 with O2, life care, home health care. Patient recorded deceased 02/26/2021.

Other Meds:

Current Illness: recent COVID-19 pneumonia 1/2021

ID: 1074874
Sex: F
Age: 51
State: WA

Vax Date: 03/04/2021
Onset Date: 03/05/2021
Rec V Date: 03/05/2021
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Allergies: nka

Symptom List:

Symptoms: Syncope, hypotension, Pt. Vitals returned to normal after the 30 minute observation. Pt. stated this was normal for her when she gets injections.

Other Meds: Similin, Levothyroxine,

Current Illness: None

ID: 1074875
Sex: M
Age: 60
State: TN

Vax Date: 03/02/2021
Onset Date: 03/03/2021
Rec V Date: 03/05/2021
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Symptoms: The described waking up around 9pm after going to be early the day after he received the vaccine. He said that his hands burned and itched. He took Benadryl and the symptoms eased after about an hour. He reports he had a similar experience after being exposed to rubella many years ago. At that time the symptoms spread to his whole body.

Other Meds:

Current Illness:

ID: 1074876
Sex: F
Age: 68
State: MN

Vax Date: 03/03/2021
Onset Date: 03/04/2021
Rec V Date: 03/05/2021
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Allergies: No

Symptom List:

Symptoms: Day 1 after shot , left arm was swollen and a little red at shot site and had a mild fever, of 98.5 normal temp for me is around 97.2. Day 2 the red area around the shot site has grown about 2" X 3" and the site itches, and swollen where the red mark is, and hurts to the touch.

Other Meds: Zinc, Vitamin C, Lysine, Cranberry tablets, Vitamin D, Tynenol

Current Illness: NO

ID: 1074877
Sex: F
Age: 63
State:

Vax Date: 02/25/2021
Onset Date: 03/03/2021
Rec V Date: 03/05/2021
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Allergies: penicillin, crabs

Symptom List:

Symptoms: after 6 (six) days of the 1st (first) shot, had fever of 100.2 degree by arm and whole body aches. the symptoms gradually and finally went away in 36 hours

Other Meds: none

Current Illness: none

Total 2021 VAERS Injuries: 599,999

Page last modified: 03 October 2021 5:28pm