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: 1082649
Sex: F
Age: 32
State: CA

Vax Date: 03/07/2021
Onset Date: 03/07/2021
Rec V Date: 03/08/2021
Hospital:

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

Lab Data:

Allergies: Strawberry

Symptom List: Dysphagia, Epiglottitis

Symptoms: Pruritis

Other Meds:

Current Illness:

ID: 1082650
Sex: F
Age: 59
State: CO

Vax Date: 03/05/2021
Onset Date: 03/06/2021
Rec V Date: 03/08/2021
Hospital:

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

Lab Data:

Allergies: Allergic to xyzal

Symptom List: Anxiety, Dyspnoea

Symptoms: Fever severe body aches and very severe muscle spasms then today severe nausea

Other Meds: 90 mg armour 20 mg citalopram 10 mg lisinopril

Current Illness: None

ID: 1082651
Sex: F
Age: 72
State: IN

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

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

Lab Data:

Allergies: None

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

Symptoms: Over 24 hours after shot developed rash on left arm BELOW not at the injection site. Similar rash 7 days after first shot. This one came sooner, was more intense. Itching, burning, very red, about 3 inches wide and 4 inches log starting about two inches below the injection site.

Other Meds: Entresto Bumetanide Metropolol Letrozole Meclizine Calcium Multiple Vitamin

Current Illness: None

ID: 1082652
Sex: F
Age: 56
State: NJ

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

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

Lab Data:

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Facial swelling; face red and hot to touch; inside of mouth swelling

Other Meds: Turmeric, St John's Wort, Vit D, magnesium, Vit C

Current Illness:

ID: 1082653
Sex: M
Age: 61
State: IA

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

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

Lab Data:

Allergies:

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

Symptoms: Patient had severe swelling at injection site at a few hours after vaccine for 48 hours. Swelling was 1inch by about 4-5 inches. Patient compared to size of a goose egg or rubber ball. Treated with soaking, ice, topical diclofenac.

Other Meds:

Current Illness:

ID: 1082655
Sex: F
Age: 41
State: OK

Vax Date: 02/26/2021
Onset Date: 03/06/2021
Rec V Date: 03/08/2021
Hospital:

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

Lab Data:

Allergies: Sulfa Lithium EES

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

Symptoms: Approximately 7 days after the injection the upper arm around the injection site became red and welted. It is about 3 in in diameter and has also affected the underarm area. Both places feel hot, tight, and itch.

Other Meds: Loestrin FE Levothyroxine Wellbutrin Effexor Naltrexone

Current Illness: NA

ID: 1082656
Sex: F
Age: 56
State: CA

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

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

Lab Data:

Allergies: allergy to numbness

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Moderna COVID-19 Vaccine EUA In the midnight of my 2nd shot, my whole body felt freezing cold, and I was trembling, teeth were clinching, I almost passed out. I could not take shower. I turned on all heaters and 3 heat pads in my bed, and I put 4 comforters on top of me, wearing my down coat in my bed, and tried to sleep. I was afraid to not able to wake up in the morning if I fall into sleep, so I made myself wake up every 15-20 min, to get up and drink hot water. I woke up about 25 times in the whole night to go to the bathroom to pee and flush out medicine, and I kept drinking hot water each time. In the morning, I started to felt better. That is said, I also felt right head a kind of pain , it is around my ears, I say. It lasted about 5 days including today, still felt a little bit, but a lot of better than before.

Other Meds:

Current Illness: had a minor flu 3 days before the vaccination

ID: 1082657
Sex: M
Age: 68
State:

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

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

Lab Data:

Allergies:

Symptom List: Pharyngeal swelling

Symptoms: nausea, emesis, muscle aches, chills

Other Meds: amlodipine, nefazadone, cetirazine, naproxen

Current Illness:

ID: 1082658
Sex: F
Age: 49
State: NM

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

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

Lab Data:

Allergies: pcn, lyrica, flu vaccine

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Patient states warm left wrist and warm chest

Other Meds: Cetrizine ,Fluticasone., Lasix, Gabapentin, Metformin, Nortriptyline, Omeprazole, Zofran, Tramadol, Ventolin MDI, Zaditor

Current Illness:

ID: 1082660
Sex: F
Age: 51
State: NY

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

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

Lab Data:

Allergies: tree nuts-anaphylaxis

Symptom List: Diarrhoea, Nasal congestion

Symptoms: 15 minutes after receiving vaccine, client stated she had symptoms of "hayfever." Eyes itchy, nasal congestion, runny nose, headache, sore throat. Denies feeling of throat closing or SOB. Long history of allergies-esp tree nuts . Brought by wheelchair to med exam area: A&O x 3, BP 138/70, Chest: CTA, Cardio: RRR 85 bpm, eyes erythematous, RR 15. Given cold water and kept in med station for an hour. Declined transfer to local ED for further eval/tx. Stated she was improving, symptoms much better. Eyes appeared clear w/out erythema, eupneic, no SOB. States feeling much better. Client stated she was well enough to go home and asked to leave. She then left for home.

Other Meds: effexor amitryptyline, singular, allegra, fluticasone, neurontin, lamictal, omeprazole, synthroid, topamax

Current Illness: none

ID: 1082661
Sex: M
Age: 70
State: MI

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

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

Lab Data:

Allergies: Revlimid ( lenalidomide) rash

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

Symptoms: Chest pain, shortness of breath, feels like he can't catch his breath. presented to the emergency department with episodes of palpitations and chest pain. Around 530 this evening, the patient was in a store when he started feeling palpitations and irregularity to his heart rate. He states at that time, it did give him a mild anterior chest wall pressure. He denies any diaphoresis, pain radiation or lightheadedness at that time. Symptoms resolved after several hours.

Other Meds: acyclovir (ZOVIRAX) 800 MG tablet atorvastatin (LIPITOR) 10 MG tablet gabapentin (NEURONTIN) 300 MG capsule lansoprazole (PREVACID) 15 MG delayed release capsule levothyroxine (SYNTHROID) 50 MCG tablet metoprolol succinate-XL (TOPROL-XL) 50

Current Illness: Multiple Myeloma

ID: 1082663
Sex: F
Age: 62
State: OH

Vax Date: 03/05/2021
Onset Date: 03/06/2021
Rec V Date: 03/08/2021
Hospital:

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

Lab Data:

Allergies: Nka

Symptom List: Rash, Urticaria

Symptoms: Headache Body aches Chills Fatigue Fever Alternated Motrin/Tylenol Felt somewhat better in the evening on march 6th March 7 - still very fatigued and headache March 8 - better, still a bit weak. Went to work.

Other Meds: Hydrochlorothiazide Losartan 50 mg Potassium Meloxicam Paxil Trazadone Taltz autoinjector

Current Illness: None

ID: 1082664
Sex: M
Age: 40
State: CA

Vax Date: 03/06/2021
Onset Date: 03/06/2021
Rec V Date: 03/08/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Dry mouth, dizziness and throat tightness. Benadryl 25 mg oral administered by . Pt was observed for an additional 30 min, symptoms improved. Pt discharged home.

Other Meds:

Current Illness:

ID: 1082666
Sex: M
Age: 69
State: WA

Vax Date: 01/22/2021
Onset Date: 02/02/2021
Rec V Date: 03/08/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: See previous narrative

Other Meds: I began to feel a deep pain in my left are - not just a soreness around the inoculation, but what felt like a deep headache in my bones. It would only occur when I moved my arm a certain way, and then the pain would spike and go away. The

Current Illness:

ID: 1082668
Sex: F
Age: 40
State: FL

Vax Date: 03/07/2021
Onset Date: 03/07/2021
Rec V Date: 03/08/2021
Hospital:

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

Lab Data:

Allergies: n/a

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

Symptoms: First dose on 02/14/2021 received 10:15 am. Symptoms started approximately 8 to 10 hours later. I experienced Brain fog, fatigue, weakness generalized malaise, headache, sore arm . No treatment, symptoms resolved after 4 days.

Other Meds: Biotin, MV, zinc, vitamin C, D, B-complex, magnesium not daily but in the weekly basis

Current Illness: n/a

ID: 1082669
Sex: F
Age: 40
State: MI

Vax Date: 03/05/2021
Onset Date: 03/06/2021
Rec V Date: 03/08/2021
Hospital:

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

Lab Data:

Allergies: Dust, cats, grass pollen

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

Symptoms: Sore arm beginning 3-4 hours after vaccination and increasing in severity, peaking about 12 hours after vaccination. Slight fever (99.5), chills, and body aches beginning morning after vaccination and persisting all day. Extreme fatigue beginning several hours after vaccination and persisting until morning of the second day following vaccination. Mild fatigue and mild stomach upset / diarrhea three days after vaccination.

Other Meds: Flovent 50 mcg one puff every other day; daily multivitamin

Current Illness: None

ID: 1082670
Sex: F
Age: 48
State: WA

Vax Date: 02/25/2021
Onset Date: 02/28/2021
Rec V Date: 03/08/2021
Hospital:

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

Lab Data:

Allergies: Dairy. Gluten. Brewers yeast. Eggs. Kidney beans. Green beans. Green bell peppers. Molds. Cats. Mushrooms

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

Symptoms: Covid arm

Other Meds:

Current Illness:

ID: 1082671
Sex: F
Age: 52
State: IL

Vax Date: 02/18/2021
Onset Date: 03/01/2021
Rec V Date: 03/08/2021
Hospital:

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

Lab Data:

Allergies: environmental only

Symptom List: Ear pain, Hypoaesthesia

Symptoms: On Monday, March 1st noticed itchy, raised hives on both elbows, that were painful to the touch; thought they were an allergic reaction. The next day the hives had turned into blisters that then turned bright red. A week later and my elbows are still red, blotchy & painful to the touch.

Other Meds: Bupropion XL 300mg, Estradiol 0.5mg, Progesterone Micro 100mg

Current Illness: n/a

ID: 1082672
Sex: F
Age: 80
State: IA

Vax Date: 03/04/2021
Onset Date: 03/05/2021
Rec V Date: 03/08/2021
Hospital:

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

Lab Data:

Allergies: Ketolides Macrolide Antibiotics Penicillin Quinolone Antibiotics Sulfa Drugs

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Husband called our clinic on Saturday, March 6th at approximately 10:15 to report that on 3-5-21, this patient seemed confused, was not responsive to questions he asked her, and did not make any meals. He does report that she was oriented to person, place and time, but did not eat any food, would not shower and could not use the phone. Her temperature at bedtime was 101 degrees. The husband was offered an office visit for evaluation of symptoms, but he declined stating that she seemed to be coming around on Saturday 3-6-21. The husband was advised that pt. could take Tylenol for fever. Husband was advised that if symptoms worsened over the weekend that she should be evaluated by the nearest ER.

Other Meds: Albuterol 2.5mg/3mL inhaled solution; Allergy Drops; Allopurinol 300mg; Flonase 50mcg nasal spray; Furosemide 40mg; Glucosamine Chondroitin; Keflex 500mg; Levothyroxine 125mcg; Metoprolol Tartrate 25mg; Miralax 17gm PRN; Singulair 10mg; Nas

Current Illness: None

ID: 1082674
Sex: M
Age: 72
State: MI

Vax Date: 02/26/2021
Onset Date: 02/27/2021
Rec V Date: 03/08/2021
Hospital: Y

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

Lab Data:

Allergies: No Known Allergy

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

Symptoms: Patient received Covid19(Pfizer) vaccine on 02/26/2021 at 3.55pm and on 02/27/2021 in the morning he had swelling in his left leg ( patient had knee replacement in same leg 9 months ago). He waited 2 days and still no improvement. He went to Beaumont urgent care on 03/03/2021 and he was referred to emergency room at hospital. He was admitted due to blood clot in left leg and lungs, where he had leg surgery. He was prescribed Eliquis 5 mg twice a day.

Other Meds: Thiamin , folic Acid, Docusate Sodium, Mylanta Suspension, Multivitamin

Current Illness: Unknown

ID: 1082675
Sex: F
Age: 70
State:

Vax Date: 02/12/2021
Onset Date: 02/18/2021
Rec V Date: 03/08/2021
Hospital: Y

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

Lab Data:

Allergies:

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

Symptoms: Patient received first Pfizer COVID-19 vaccine on 1/20/2021 and second dose on 2/12/2021. Patient had minor symptoms such as body aches with both vaccine doses which resolved. Patient then stated she started to experience headache, nausea, and body aches, decreased oral intake, and chill starting on 2/18/2021. On 2/20/2021 patient had several loss of consciousness episodes. Patient presented to the Emergency Department on 2/21/2021 with a chief complaint of syncope, nausea, and vomiting and subsequently admitted to the hospital for potential sepsis, syncope, hyponatremia, dehydration, lactic acidosis. (Continued on second page)

Other Meds:

Current Illness:

ID: 1082676
Sex: F
Age: 72
State: PA

Vax Date: 02/26/2021
Onset Date: 03/08/2021
Rec V Date: 03/08/2021
Hospital:

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

Lab Data:

Allergies: Levofloxacin Doxycycline Morphine Codeine Omeprazole

Symptom List: Unevaluable event

Symptoms: Rash on Left arm, near but not on injection site. Rash is flat, red, appx 3"x 4"

Other Meds: IgG Advair Spiriva Flovent Albuterol Gabapentin Lansoprazole Amoxicillin & Clavulanate Potassium Ambien Alprazolam

Current Illness: Fracture of ulna cervical spine Ligament strain IgG deficiency asthma COPD Sodium Deficiency UTI pericardial effusion

ID: 1082677
Sex: F
Age: 59
State: NJ

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

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

Lab Data:

Allergies: Sulfa medications (itchy rash) silk glue from certain band aids causes a rash on that spot

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

Symptoms: My arm began itching very soon after getting vaccine but grew worse by the evening and next day when there was a red, hard and swollen, painful and extremely itchy area. It lasted for about 5 days in the extremely itchy state and was still somewhat itchy at 7 days and then faded. (It was painful as well, but the itchiness was the worse part). I took Advil and saw online that this was a normal reaction some people get and so I did not report it to the doctor.

Other Meds: Levothyroxine, Caltrate, Cosamin, MacuHealth (eye supplement)

Current Illness: none

ID: 1082678
Sex: M
Age: 78
State: IN

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

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

Lab Data:

Allergies: Penicillin

Symptom List: Injection site pain, Pain

Symptoms: Chills, shakes, aching joints - overnight

Other Meds: amLODIPine 5mg, Myrbetriq 50mg, Diclofenac 50mg, Turmeric 1300, Vit D3, Asprin 81mg, Fero Sul, 20 mg,

Current Illness: None

ID: 1082679
Sex: F
Age: 68
State: IN

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

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Menorrhagia

Symptoms: Diarrhea - lasting c. 8 hours No unusual foods were eaten, the effect cleared up completely within 24 hrs. I?m attributing it to the vaccine (without complaint), but it is a guess. So grateful for the opportunity to receive the vaccine.

Other Meds: Losartan Metoprolol Multi Fish oil B complex C

Current Illness:

ID: 1082680
Sex: F
Age: 17
State: NC

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

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

Lab Data:

Allergies: kiwi Zoloft Augmentin

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

Symptoms: Patient received Moderna COVID 19 vaccine, patient is under 18 years old.

Other Meds: ADDERALL XR 15 mg 24 hr capsule albuterol 2.5 mg /3 mL (0.083 %) nebulizer solution albuterol HFA 90 mcg/actuation inhaler buPROPion (WELLBUTRIN SR) 200 MG 12 hr tablet cetirizine (ZYRTEC) 10 MG tablet dextroamphetamine-amphetamine (ADDERAL

Current Illness: unknown

ID: 1082682
Sex: F
Age: 66
State: CA

Vax Date: 02/27/2021
Onset Date: 02/28/2021
Rec V Date: 03/08/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: sore arm, headache, fatigue Vomiting and nausea from 32 hours after injection to approximately 56 hours after injection

Other Meds: Lexapro (10 mg) Ativan (5 mg) multivitamin, D-Mannose, Gabapentin (300mg) Atorvastatin

Current Illness: none

ID: 1082683
Sex: F
Age: 90
State:

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

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

Lab Data:

Allergies: Iodine contrast Tetanus toxoid Phentermine HCL Latex Ofloxin OT

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: received the Covid-19 vaccine. She reports symptoms of Other: Pt daughter reported her mother had a rash on her cheeks, tip of the nose and chin that wasn't there prior to the vaccine administration. .. I have observed patient sitting comfortably in recliner, no c/o dizziness, sob, itchiness, chest pain, HA , vision or swallowing difficulties. Note redness on checks , tip of nose, chin and noted red rash on forehead. Pt and daughter state pt has history of whitecoat syndrome. After last set of VS taken- bumps on forehead skin were noted. Pt transferred to ED via wheelchair daughter present. Treatment/intervention upon noting redness by daughter, pt monitored VS were: 1452: B/P 193/88, P80, R16, O2Sat 96% 1502: B/P 179/75, P76, R16, O2Sat 97% 1515: B/P 174/71, P73, R16, O2Sat 97% Bumps noted on forehead, patient transferred to ED via wheelchair. Daughter at side

Other Meds:

Current Illness:

ID: 1082684
Sex: F
Age: 77
State: PA

Vax Date: 02/25/2021
Onset Date: 02/28/2021
Rec V Date: 03/08/2021
Hospital:

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

Lab Data:

Allergies: bactrim, benadryl

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

Symptoms: vertigo

Other Meds: atenolol, aspirin, hctz, pantoprazole, simvastatin, B complex, vit D, omega 3

Current Illness: none

ID: 1082685
Sex: F
Age: 63
State: IL

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

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

Lab Data:

Allergies: None

Symptom List: Nausea

Symptoms: Low grade fever, chills, tired, pain in left arm.

Other Meds: Tegretol

Current Illness: None

ID: 1082686
Sex: F
Age: 51
State: VA

Vax Date: 03/07/2021
Onset Date: 03/08/2021
Rec V Date: 03/08/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

Symptom List: Injection site pain

Symptoms: Fatigue, headache, nausea, muscle and joint aches. Treatment=sleep and fluids

Other Meds: Losar?an, Synthroid, Junel, Metformin, Pravastatin, Rainbow Light Women?s Multivitamin, Pomegranate Plus, Albuterol, Cardiogenics Intensive Care, SuperK Elite, Blue-green algae, Detox Support, Cellular Detox Fuel

Current Illness: None

ID: 1082687
Sex: F
Age: 30
State: MN

Vax Date: 03/05/2021
Onset Date: 03/05/2021
Rec V Date: 03/08/2021
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Lab Data:

Allergies: Amoxicillin

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

Symptoms: Fever 100.4-101 >48 hours Headache Chills, Muscle aches Ipsilateral to vaccine site Lymphadenopathy- axillary, breast, supraclavicular >48 hours Axillary swelling and tenderness Breast tenderness

Other Meds: Prenatal (breastfeeding) Magnesium oxide supplement Fiber supplement

Current Illness: Pregnancy- 3 weeks Postpartum at time of vaccination Gestational hypertension

ID: 1082688
Sex: F
Age: 46
State: CA

Vax Date: 03/04/2021
Onset Date: 03/07/2021
Rec V Date: 03/08/2021
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Lab Data:

Allergies: NONE

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

Symptoms: SORE LEFT ARM AT SITE OF SHOT. PAIN RADIATED UP TO LEFT SIDE OF THE NECK, BASE OF HEAD. HEADACHE. VERTIGO AND DIZZINESS WITH NAUSEA. VERTIGO PERSISTENT.

Other Meds: NONE

Current Illness: NONE

ID: 1082689
Sex: F
Age: 63
State: MI

Vax Date: 03/04/2021
Onset Date: 03/04/2021
Rec V Date: 03/08/2021
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Lab Data:

Allergies: Contrast Dye [Ivp Dye, Iodine Containing]Rash Corn And Corn Products Dairy Products Egg Allergy LevaquinMyalgia PenicillinsShortness of Breath, Rash Shellfish Allergy Wheat And Wheat Products

Symptom List: Tremor

Symptoms: Intense burning of my skin all over my body. I have multiple food allergies that cause this type of reaction so I dealt with the burning in the same way that I do got good allergies. It helped. After two days the burning stopped.

Other Meds: albuterol (PROAIR HFA) 108 (90 Base) MCG/ACT inhaler amitriptyline (ELAVIL) 10 MG tablet budesonide (PULMICORT FLEXHALER) 180 MCG/ACT inhaler Calcium 600 MG TABS estrogens (conjugated) (PREMARIN) 0.3 MG tablet levothyroxine (SYNTHROID) 75 M

Current Illness:

ID: 1082691
Sex: F
Age: 52
State: MO

Vax Date: 02/26/2021
Onset Date: 02/27/2021
Rec V Date: 03/08/2021
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Lab Data:

Allergies: flagyl

Symptom List: Erythema, Pruritus

Symptoms: Irritable bowels and stomach upset. Diarrhea in which anti-diarrhea medications do not seem to help. I have had this going on from 2/27 until now. I keep thinking it will go away, but so far it has not. Also, back in March of 2020, I had all the symptoms of Covid19, but was unable to get tested. Is there a way to find out if I ever had it, going that far back? If this keeps up, I will need to see a doctor.

Other Meds: it is a long list

Current Illness: none

ID: 1082692
Sex: F
Age: 67
State: FL

Vax Date: 02/26/2021
Onset Date: 03/01/2021
Rec V Date: 03/08/2021
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Allergies: NKA

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

Symptoms: Patient began w/ a pruritic rash 03/01/21 all over her body that spread and developed "welts." Patient was instructed to begin Allegra and Benadryl on 03/04/21. Hives worsened on 03/05/21 and Hydroxyzine was prescribed. Spoke w/ patient 03/08/21 and reaction has compeltely resolved.

Other Meds: Albuterol, Atorvastatin Calcium, Vitamin D3, CoQ10, Diazepam,

Current Illness: None

ID: 1082695
Sex: F
Age: 54
State: IN

Vax Date: 02/26/2001
Onset Date: 02/26/2021
Rec V Date: 03/08/2021
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Lab Data:

Allergies: Cipro

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

Symptoms: Headache, fever, chills, stomach cramps very fatigue, couldn't stay awake

Other Meds: Prilosec, letrozole, cymbalta , plaquenel, topiramate

Current Illness: None

ID: 1082696
Sex: F
Age: 70
State: CA

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 03/08/2021
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Lab Data:

Allergies:

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Neurological Disorder

Other Meds:

Current Illness:

ID: 1082697
Sex: M
Age: 52
State: PA

Vax Date: 03/04/2021
Onset Date: 03/04/2021
Rec V Date: 03/08/2021
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Lab Data:

Allergies: Penicillin

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

Symptoms: light fever, aches, muscles sore, loss of energy

Other Meds: None

Current Illness: None

ID: 1082699
Sex: F
Age: 37
State: LA

Vax Date: 03/05/2021
Onset Date: 03/08/2021
Rec V Date: 03/08/2021
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Allergies: None

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

Symptoms: Photosensitivity, pain behind eyes, stiffness in neck, chills and overall body aches lasting over 48 hours post-vaccination.

Other Meds: None

Current Illness: None

ID: 1082700
Sex: F
Age: 49
State: IN

Vax Date: 03/02/2021
Onset Date: 03/03/2021
Rec V Date: 03/08/2021
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Lab Data:

Allergies: None

Symptom List: Pain in extremity

Symptoms: Migraine, body aches, fever, fatigue

Other Meds:

Current Illness: None

ID: 1082701
Sex: M
Age: 75
State: IN

Vax Date: 02/26/2021
Onset Date: 03/01/2021
Rec V Date: 03/08/2021
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Allergies: none

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

Symptoms: Monday March 1 I was so dizzy that I could hardly get out of bed and was close to throwing up because of the dizziness. Each day has gotten much better but one week later, March 8, I still had a little dizziness getting out of bed this morning.

Other Meds: Blood pressure pills

Current Illness: none

ID: 1082702
Sex: F
Age: 26
State: NY

Vax Date: 03/07/2021
Onset Date: 03/08/2021
Rec V Date: 03/08/2021
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Allergies: Percocet Propylene Glycol Apples Pollen Cats and dogs

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

Symptoms: I am feeling extremely dizzy, any time I move my head the room spins and my ears get hot. I feel achy all over my body and very very cold. As the day has gone on the dizziness has gotten worse. At times it feels like I?m going to faint. (I haven?t yet fainted) I have not tried any treatment yet hoping it doesn?t last longer then today.

Other Meds: B12: Taken Twice A Day, morning Folic acid: Taken Once A Day, morning Guanfacine (3 mg): Taken Once A Day, morning Naproxen : Taken Once A Day, morning Venlafaxine (150 mg): Taken Once A Day, morning Venlafaxine (75 mg)

Current Illness:

ID: 1082703
Sex: F
Age: 17
State: MT

Vax Date: 03/04/2021
Onset Date: 03/04/2021
Rec V Date: 03/08/2021
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Allergies: Augmentin

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

Symptoms: Vaccine administered to a 17 year old. Phone contact with mother 03/08/2021. No adverse effects noted at this time.

Other Meds: None

Current Illness: None

ID: 1082704
Sex: F
Age: 39
State: MI

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

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Allergies:

Symptom List: Vomiting

Symptoms: During end of 30 minute observation time veteran's arms appeared erythemic and splotchy. During assessment, she stated that she was feeling like her heart was racing, blurry vision, and dizzy. Denies SOB, no facial swelling noted, swallowing water without difficulty. Vital signs completed at approx. 1344: 194/116, 113 bpm, 16 rr. Repeated 5 minutes later as 176/113, 105 bpm. She later reported that symptoms first began about 15 minutes into timer. She was taken to ER, given IV Benadryl, monitored, and discharged home.

Other Meds:

Current Illness:

ID: 1082705
Sex: F
Age: 84
State: FL

Vax Date: 03/06/2021
Onset Date: 03/07/2021
Rec V Date: 03/08/2021
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Allergies: macadamia nuts, sulfa drugs

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Had chills, fever, nausea and vomiting for several hours on March 7, 2021 No apetite but did drink water. No treatment. Recoveered in the evening.

Other Meds: avorstatin, irbesartan, ezembite, dexilant, Vitamin D, baby aspirin

Current Illness: none

ID: 1082706
Sex: M
Age: 71
State: WA

Vax Date: 02/26/2021
Onset Date: 02/28/2021
Rec V Date: 03/08/2021
Hospital:

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Allergies: codine gives me headaches.

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

Symptoms: Went to the ER with extreme vertigo, lasting 4 hrs. Sunday Feb.28, 2021, Chills on Monday March 1st.

Other Meds: Metropolol . lisinopril, Buspirone, Gabapentin, Citalopram, Celexa, Aspirin, CoQ10, Tumeric, Rovustatin, Qvar, arbuterol

Current Illness: vertigo

Date Died: 03/07/2021

ID: 1082707
Sex: M
Age: 55
State: MO

Vax Date: 03/05/2021
Onset Date: 03/07/2021
Rec V Date: 03/08/2021
Hospital:

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Lab Data:

Allergies:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: death

Other Meds:

Current Illness:

ID: 1082708
Sex: M
Age: 68
State: IN

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

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Allergies: no

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

Symptoms: Mild response about 28 hours after injection - felt like I was coming down with a cold. This passed after 6 hours and I had no other issues after.

Other Meds: several

Current Illness: no

ID: 1082709
Sex: F
Age: 60
State: ND

Vax Date: 03/04/2021
Onset Date: 03/06/2021
Rec V Date: 03/08/2021
Hospital:

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Lab Data:

Allergies: PCN, Sulfa, Vancomycin

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

Symptoms: left arm became red and tender 2 days after the shot- and has continued for a total of 3 days without change

Other Meds: Eliquis

Current Illness: none

Total 2021 VAERS Injuries: 704,237

Page last modified: 26 October 2021 2:21am