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: 1087323
Sex: F
Age: 55
State: NV

Vax Date: 02/26/2021
Onset Date: 03/09/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: I have a really sore throat and pains in my lower calf muscles. I have been taking tylenol every 4 hours since yesterday

Other Meds: Tumeric, vitamin D and B plus, iron, collagen, ginko, allergy pill,

Current Illness: None

ID: 1087324
Sex: F
Age: 29
State: FL

Vax Date: 03/08/2021
Onset Date: 03/09/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: 1:20am: woke up with full body chills and felt feverish. Temperature was 99.1 4:30am: woke up with full body chills. Temperature 101.7. full body aches. headache. 6:30am: took ibuprofen. 8:00am-4pm: fever went away. aches and headache remained. 12:00pm: took ibuprofen 4pm: diarrhea 7pm: achy and lethargic. took ibuprofen 8pm: went to bed. 6:00am: woke up sweaty. Felt 99% back to normal. Left arm still sore.

Other Meds: Spironolactone Prenatal Vitamins Kyleen IUD

Current Illness: none

ID: 1087325
Sex: F
Age: 24
State: WI

Vax Date: 03/08/2021
Onset Date: 03/09/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Nausea- most of the day Vomiting- >6 times in 6 hours Diarrhea- >2 times in 3 hours

Other Meds:

Current Illness:

ID: 1087326
Sex: M
Age: 77
State: NE

Vax Date: 02/23/2021
Onset Date: 02/25/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies: Aspirin

Symptom List:

Symptoms: On 2/25 he started having severe itching all over for the knees up. On Friday he had facial swelling and swelling with both hands and puffy fingers. Between his fingers he became very red and his face was red.

Other Meds:

Current Illness:

ID: 1087327
Sex: F
Age: 58
State:

Vax Date: 03/03/2021
Onset Date: 03/03/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: Days 1, 2 had chills, headache, aches. Fine for Days 3, 4, 5, 6, Day 7 headache and chills returned

Other Meds: Valerian, Pain Medication for Back, Benadryl, Ibuprofen

Current Illness: None

ID: 1087328
Sex: F
Age: 56
State:

Vax Date: 03/09/2021
Onset Date: 03/09/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Very sore shoulder (no other vaccines have done this to me) Stiff joints

Other Meds: Symbacort

Current Illness: None

ID: 1087329
Sex: F
Age: 69
State: FL

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

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

Lab Data:

Allergies: shellfish

Symptom List:

Symptoms: Pt. c/o itching to the left palm of hand which then progressed to generalized itching. No rash noted on pt. skin. Pt. seen and assessed by EMT and vital signs are BP 118/80, HR 65, O2 sat 98. Pt. stated that no other symptom was felt. Pt. observed scratching body. Pt. advised to call MD or go to ER if symptoms worsen and cleared to go home by EMT. Pt. verbalized understanding.

Other Meds: Synthroid, Rosuvastatin, Amlodopin, Benzopril, Lidocain patch

Current Illness: none

ID: 1087330
Sex: F
Age: 85
State:

Vax Date: 03/06/2021
Onset Date: 03/07/2021
Rec V Date: 03/10/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Weakness, headache, pancytopenia 89

Other Meds:

Current Illness:

ID: 1087331
Sex: F
Age: 31
State:

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

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

Lab Data:

Allergies: Zythromax

Symptom List:

Symptoms: Approximately 24 hours after receiving the second dose of the Moderna vaccine the patient consumed alcohol (3 alcoholic beverages over the course of 2.5 hours which is a typical consumption rate for the patient). The patient then experienced a sudden onset of vomiting and dizziness. Vomiting continued for approximately 12 hours. Lethargy was present for the following 36 hours. Symptoms then resolved on their own without treatment.

Other Meds: trintellix, multivitamin, b complex

Current Illness: none

ID: 1087332
Sex: F
Age: 30
State: NY

Vax Date: 03/10/2021
Onset Date: 03/10/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Syncope and fell on her hands and knees. No head trauma. No other injuries. BP 110/77, 85, O2 sat 96%. She was observed for 35 minutes. She felt better and went home.

Other Meds:

Current Illness:

ID: 1087333
Sex: F
Age: 65
State:

Vax Date: 02/28/2021
Onset Date: 03/09/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies: Dust, pollen

Symptom List:

Symptoms: Redness and slight pain and hardness just below injection site.

Other Meds: Vitamin D3

Current Illness: No

ID: 1087334
Sex: M
Age: 63
State: LA

Vax Date: 02/23/2021
Onset Date: 02/25/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies: NKA, NKDA

Symptom List:

Symptoms: ringing in the ears

Other Meds: N/A

Current Illness: n/a

ID: 1087335
Sex: F
Age: 73
State: GA

Vax Date: 01/19/2021
Onset Date: 01/21/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: Red Circle under shot site, hot to touch , started itching few days before it subsided. Appeared maybe 2 days after shot and lasted a little over a week

Other Meds: Sprycel,atenolol,famotidine,hydrochlorothiaz,potassium,rosuvastatin,vitamin e,aspirin

Current Illness: N/a

ID: 1087336
Sex: F
Age: 42
State: FL

Vax Date: 03/08/2021
Onset Date: 03/09/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Received shot at 7:15 in the evening on March 8th. When I woke up March 9th I had a basic headache. Starting at around 1:30 on that headache worsened to debilitating, migraine like. I couldn?t get out of bad, I felt nauseated on and off. I couldn?t look at electronics and had a little bit of light sensitivity. I slept as much as I could. The headache lasted all evening. When I woke up today, March 10th, the headache was almost gone and no nausea.

Other Meds: Supplements: Vitamin Code Multi Vitamin for Women; Natural Life Labs Vitamin C+ Muti-System Immune Defense 1,700 mg; Vitamin D3 1000 IU

Current Illness: None

ID: 1087337
Sex: F
Age: 56
State: TX

Vax Date: 03/06/2021
Onset Date: 03/10/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: leg cramp

Other Meds: Zinc, Multivitamin

Current Illness: none

ID: 1087338
Sex: F
Age: 65
State: ME

Vax Date: 02/23/2021
Onset Date: 02/24/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies: Latex (swelling) Quinine (low platelets, mouth sores)

Symptom List:

Symptoms: Muscles aches, fever to 102F, chills, sweats, severe headache. 6 days to resolve.

Other Meds: Famotidine 20 mg, anastrozole 1 mg, atenolol 25 mg, desvenlafaxine 150 mg,HCTZ 25 mg, lisinopril 20 mg, lorazepam 1 mg, omeprazole 20 mg, asa 81 mg, folic acid 800 mcg, Vit B12 1000 mcg, MVI, calcium-vit D 600-400, acidophilus probiotic, be

Current Illness: none

ID: 1087339
Sex: M
Age: 54
State: PA

Vax Date: 02/11/2021
Onset Date: 02/23/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: Unspecified adverse effect of drug or medicament, initial encounter R51.9Headache, unspecified reported this to support team to complete VAERS. Patient aware. Not sure yet if related to vaccine versus other etiology. Please be seen in person in urgent care today for further work up."

Other Meds: Advair, Zyrtec, Albuterol

Current Illness: None

ID: 1087340
Sex: F
Age: 50
State: IN

Vax Date: 03/09/2021
Onset Date: 03/09/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies: High intolerance to egg whites & macadamia nuts, no known food allergies tho. Allergies to all grasses and most trees - seems unnecessary to mention tho now that I did.

Symptom List:

Symptoms: Fever, chills, shivering, whole body aches

Other Meds: Multivitamin, vit D,

Current Illness: allergies

ID: 1087341
Sex: F
Age: 55
State: KY

Vax Date: 03/01/2021
Onset Date: 03/09/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: Arm is itching, hard knot, red and hot to touch and tender to touch.

Other Meds: Phenofibrate

Current Illness: N/A

ID: 1087342
Sex: F
Age: 56
State: IN

Vax Date: 03/07/2021
Onset Date: 03/07/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Fever, chills, body aches & shaking, headache, leg cramping, lethargic

Other Meds: Alieve & Ibprofen when needed. Probiotic & vitamin daily.

Current Illness: none

ID: 1087343
Sex: F
Age: 65
State: VA

Vax Date: 03/04/2021
Onset Date: 03/06/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies: morphine, mold, dust, beef, chocolate, rice, beans, tuna, pepper, hot peppers, etc.

Symptom List:

Symptoms: 2 days later: Sore throat, runny nose, cough, congestion, sinus pain. 3 days later: Worsening of symptoms. 4 and 5 days later: In bed with flu-like symptoms continuing, with addition of sinus pain, migraine, painful jaw and head, slight fever.

Other Meds: duloxetine HCL, rosuvastatin calcium, amlodipine besylate, vitamin D

Current Illness: none

ID: 1087344
Sex: F
Age:
State: IN

Vax Date:
Onset Date: 03/10/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient received a COVID-19 vaccine on 07MAR21 @ 0830 and approximately 10 minutes later, she compained of an itchy rash on bilateral ankles. She was evaluated by one of our nurse practitioners for an additional 30 minutes. She was instructed to follow-up if her condition worsened.

Other Meds:

Current Illness:

ID: 1087345
Sex: F
Age: 50
State: IN

Vax Date: 03/07/2021
Onset Date: 03/08/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Chills Fatigue Headache Muscle aches Loss of appetite

Other Meds: Sprinolactone

Current Illness: None

ID: 1087346
Sex: M
Age: 53
State: TX

Vax Date: 03/04/2021
Onset Date: 03/05/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Tinnitus

Other Meds: Lisinopril 40mg

Current Illness: None

ID: 1087347
Sex: F
Age: 68
State: FL

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

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

Lab Data:

Allergies: wheat, soy, sulfate

Symptom List:

Symptoms: Client c/o seeing bright light immediately after receiving the vaccine. Client states that she did not experience any symptoms c the first dose. Client seen and assessed by paramedics and vital signs are BP 110/60, O2 97, HR-82. Within 15 min. of observation client verbalized that she no longer felt symptoms and was cleared to go home by paramedics.

Other Meds: Prolia

Current Illness: none

ID: 1087348
Sex: F
Age: 50
State: IN

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

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

Lab Data:

Allergies: Dairy, Latex, green veggies

Symptom List:

Symptoms: First 3 days migraine ,fever, extreme pain all over. Could barely move injection arm. Still sore all over currently.

Other Meds:

Current Illness:

ID: 1087349
Sex: M
Age: 29
State: IA

Vax Date: 03/09/2021
Onset Date: 03/09/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies: penicillin

Symptom List:

Symptoms: Muscle soreness and fatigue. Starting at around 6:00 last night and continuing into today. Took Tylenol to reduce pain and soreness.

Other Meds: N/A

Current Illness: N/A

ID: 1087350
Sex: F
Age: 52
State: MD

Vax Date: 03/07/2021
Onset Date: 03/07/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies: Levaquin, sulfur and Penicillin

Symptom List:

Symptoms: 10 hours after vaccination experience severe shaking, fever of 102.6 Took 2 (500 mg) Tylenol. Fever kept climbing to 104.5 Took 25 mg of Benadryl for red color of face and small rash on abdomen. Placed call to Dr. Advised every 8 hours Tylenol (1000mg) and cycle with Ibprofen- 2 (200mg). Fever remained at 104 till morning, then 103.1. Fever down for 2 hours and spikes to 104. Took cold bath, reduced fever to 102. Chills, violent shaking a headache behind eyes, very dehydrated. Drank Gatorade and with fatigue slept off and on for 48 hours. Fever finally down by 03/10/2021 to 98.9 with mild headache. Did not have any body or muscle aches during this event.

Other Meds: None

Current Illness: None

ID: 1087351
Sex: F
Age: 22
State: OH

Vax Date: 03/09/2021
Onset Date: 03/09/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies: Allergic to omnicef (ceftiner)

Symptom List:

Symptoms: Muscle pain all over body, specifically glutes, lower back back, and arms. Fever above 99? F Chills and sweats at the same time Headache with pulsating nerve pain on sides and ears. Dryness in mouth no matter how much water intaked Treatment: tylenol and bed rest

Other Meds: Clonazepam . 5 mg Sertraline 100 mg Fish oil D3 Women's multivitamin St. Johns Wort

Current Illness: None

ID: 1087352
Sex: F
Age: 64
State: NY

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

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

Lab Data:

Allergies: IVP Dye

Symptom List:

Symptoms: Patient was given Moderna covid vaccine then 10 minutes later she complained that she was having difficulty swallowing. She was given a dose of epinephrine and sent to Emergency Room via EMS.

Other Meds: Unknown

Current Illness: Unknown

ID: 1087364
Sex: F
Age: 59
State: NY

Vax Date: 12/01/2020
Onset Date: 12/01/2020
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: nausea; headache; pain all over her body / Laying in bed was painful; pain on her skin / pain when skin was touched / hurt to have covers on. Laying in bed was painful; could not move her body due to pain when skin was touched; could barely get up the stairs due to the pain; This case was reported by a consumer and described the occurrence of general body pain in a 60-year-old female patient who received Herpes zoster (Shingrix) for prophylaxis. Previously administered products included Shingrix with an associated reaction of pain (received 1st dose in October 2020. For the tolerance of 1st dose, refer linked case US2021038354). In December 2020, the patient received the 2nd dose of Shingrix. In December 2020, less than a day after receiving Shingrix, the patient experienced general body pain, skin pain, mobility decreased and activities of daily living impaired. On an unknown date, the patient experienced nausea and headache. Rechallenge with Shingrix was positive. On an unknown date, the outcome of the general body pain, skin pain, mobility decreased, activities of daily living impaired, nausea and headache were recovered/resolved. It was unknown if the reporter considered the general body pain, skin pain, mobility decreased, activities of daily living impaired, nausea and headache to be related to Shingrix. Additional details were provided as follows: Within 2 hours after receiving Shingrix, the patient experienced pain all over her body. It was not muscle pain. It was described as pain on her skin. The patient could not move her body due to pain when skin was touched. She said it hurt to have covers on. Lying in bed was painful. She could barely get up the stairs due to the pain. The patient experienced exact symptoms with same onset date and same resolution time after both doses. All the symptoms last 7 days before resolving. The reporter consented to follow up.; Sender's Comments: US-GLAXOSMITHKLINE-US2021038354:same reporter 2nd dose

Other Meds:

Current Illness:

ID: 1087365
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: got shingles twice; This case was reported by a consumer via interactive digital media and described the occurrence of shingles 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, unknown after receiving Shingles vaccine, the patient experienced shingles. On an unknown date, the outcome of the shingles was unknown. It was unknown if the reporter considered the shingles to be related to Shingles vaccine. Additional details were provided as follows: The age group was not reported but was captured as adult as per the vaccine indication. The age at vaccination was not reported. After receiving Shingles shot, the patient got shingles twice. Note-Since the dose number was not provided but as comment, was considered as the patient only had 1st dose only.

Other Meds:

Current Illness:

ID: 1087366
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: redness; burning on my outer ear; This case was reported by a consumer and described the occurrence of erythema ear in a adult patient who received Herpes zoster (Shingrix) for prophylaxis. On an unknown date, the patient received the 1st dose of Shingrix. On an unknown date, several days after receiving Shingrix, the patient experienced erythema ear and burning sensation in ears. On an unknown date, the outcome of the erythema ear and burning sensation in ears were unknown. It was unknown if the reporter considered the erythema ear and burning sensation in ears to be related to Shingrix. Additional details were provided as follows: The patient was reporting or him/herself. The age group was not reported but was captured as adult as per the vaccine indication. The age at vaccination was not reported. Couple of days after receiving Shingrix, the patient experienced redness, burning on outer ear.

Other Meds:

Current Illness:

ID: 1087367
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Caused me a visit to the emergency room, chest pain; Caused me a visit to the emergency room / difficulty breathing; This case was reported by a consumer and described the occurrence of chest pain in a adult patient who received Herpes zoster (Shingrix) for prophylaxis. Previously administered products included Shingrix with an associated reaction of pyrexia (1st dose received on unknown date for further tolerance refer case US2021AMR043055). On an unknown date, the patient received the 2nd dose of Shingrix. On an unknown date, unknown after receiving Shingrix, the patient experienced chest pain and difficulty breathing. On an unknown date, the outcome of the chest pain and difficulty breathing were unknown. It was unknown if the reporter considered the chest pain and difficulty breathing to be related to Shingrix. Additional details were provided as follows: The age at vaccination was not reported The age group was not reported but was captured as adult as per vaccine indication. The patient received the dose of Shingrix and experienced chest pain and difficulty breathing. The patient stated that the shot caused a visit to the emergency room. The patient wanted to find out the ingredients of the vaccine.; Sender's Comments: US-GLAXOSMITHKLINE-US2021AMR043055:Same reporter.

Other Meds:

Current Illness:

ID: 1087368
Sex: M
Age:
State:

Vax Date: 10/19/2020
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Rec V Date: 03/10/2021
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Symptoms: itches all over his back; This case was reported by a consumer via and described the occurrence of pruritus in a male patient who received Herpes zoster (Shingrix) for prophylaxis. The patient's past medical history included shingles (experienced shingles 5 years before reporting date). On 19th October 2020, the patient received the 1st dose of Shingrix. On an unknown date, less than 2 months after receiving Shingrix, the patient experienced pruritus. On an unknown date, the outcome of the pruritus was unknown. It was unknown if the reporter considered the pruritus to be related to Shingrix. Additional details were provided as follows: The age at vaccination was not reported. The patient received Shingrix and experienced itches all over back. It was stated that on 21st January 2021, the patient will be receiving 2nd dose of Shingrix. The reporter denined permission for follow up.

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Current Illness:

ID: 1087369
Sex: M
Age:
State: TX

Vax Date:
Onset Date:
Rec V Date: 03/10/2021
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Symptoms: Had redness; This case was reported by a consumer via call center representative and described the occurrence of erythema in a male patient who received Herpes zoster (Shingrix) for prophylaxis. On an unknown date, the patient received the 2nd dose of Shingrix (intramuscular). On an unknown date, unknown after receiving Shingrix, the patient experienced erythema. On an unknown date, the outcome of the erythema was unknown. It was unknown if the reporter considered the erythema 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 for this report. The patient received second dose of shingrix in 2019 and experienced redness. The reporter did not consented to follow up. No further information was available. This case is linked to the case US2021054416, reported by the same reporter.; Sender's Comments: US-GLAXOSMITHKLINE-US2021054416:Same reporter

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Current Illness:

ID: 1087370
Sex: U
Age:
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Rec V Date: 03/10/2021
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Symptoms: use to get the flu every year; Initial information was received on 26-Feb-2021 regarding an unsolicited valid non-serious case from a consumer/non-health care professional via social media. This case involves a patient (age and gender unspecified) who use to get the flu every year (Influenza), when received INFLUENZA VACCINE. Medical history, medical treatment(s), vaccination(s), concomitant medications and family history were not provided. On an unknown date, the patient received a dose of suspect INFLUENZA VACCINE produced by unknown manufacturer lot number not reported via unknown route in unknown administration site for prophylactic vaccination. On an unknown date, the patient was use to get the flu every year (Influenza) (unknown latency, non-serious event) following the administration of INFLUENZA VACCINE. Reporter Comment: Consumer use to get the flu every year. Consumer have stopped flu shots and other medicines, health is wonderful. It was unknown if the patient experienced any additional symptoms/events. Medication Details and reason for taking the medicine: Product Name: Product name was not provided. Since this is a public post on the Sanofi flu shot campaign we are assuming the consumer is referring to the Sanofi flu vaccine. The patient had no medical history, concomitant disease or risk factor. There were no lab data/results available. No laboratory data was provided. It was not reported if the patient received a corrective treatment. At the time of report, the outcome of event was unknown. There will be no information available on the batch number for this case.

Other Meds:

Current Illness:

ID: 1087371
Sex: M
Age: 57
State: CT

Vax Date: 03/09/2021
Onset Date: 03/10/2021
Rec V Date: 03/10/2021
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Lab Data:

Allergies: No allergies

Symptom List:

Symptoms: 100 fever Severe aches pain Headaches Happened 12 am

Other Meds: T1 diabetic for 52 years. Using Insulin pump Humalog. Simvastatin Levoxyl Levothyroxine Flomax Baby aspirin Vitamin D Vitamin C Turmeric

Current Illness: None

ID: 1087372
Sex: M
Age: 51
State: GA

Vax Date: 03/08/2021
Onset Date: 03/09/2021
Rec V Date: 03/10/2021
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Allergies: No

Symptom List:

Symptoms: Pain, tenderness of left arm,chills, headache,no appetite headache

Other Meds: N/a

Current Illness: None

ID: 1087373
Sex: M
Age: 50
State: NY

Vax Date: 03/03/2021
Onset Date: 03/06/2021
Rec V Date: 03/10/2021
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Symptoms: Vertigo

Other Meds: Atorvastin Linsinipril

Current Illness:

ID: 1087374
Sex: F
Age: 65
State: PA

Vax Date: 03/01/2021
Onset Date: 03/09/2021
Rec V Date: 03/10/2021
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Lab Data:

Allergies: Penicillin, Cipro

Symptom List:

Symptoms: 8 days after receiving first dose, right arm became itchy, swollen and hot/red at injection site

Other Meds: Citalopram, Synthroid, Mesalamine

Current Illness:

ID: 1087375
Sex: M
Age: 29
State: MA

Vax Date: 01/06/2021
Onset Date: 01/27/2021
Rec V Date: 03/10/2021
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Symptoms: Positive PCR for Covid 3 weeks after 2nd vaccine

Other Meds:

Current Illness:

ID: 1087376
Sex: F
Age: 30
State: MI

Vax Date: 03/09/2021
Onset Date: 03/10/2021
Rec V Date: 03/10/2021
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Lab Data:

Allergies: Bactrim

Symptom List:

Symptoms: Janssen COVID-19 Vaccine EUA headache, fever, chills, nausea

Other Meds: Apri birth control

Current Illness:

ID: 1087377
Sex: M
Age: 74
State: IN

Vax Date: 03/01/2021
Onset Date: 03/09/2021
Rec V Date: 03/10/2021
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Lab Data:

Allergies: Flaxseed

Symptom List:

Symptoms: Low grade fever, Tylenol. Very bad lower intestinal distress (gas). No treatment

Other Meds: Xarelto 20mg, atorvastatin 10mg, glipizide 5mg, levothyroxine 50mcg, omeprazole 20mg, Ubiqunol 20g, eye promise restore, Vit C 1000 mg, Vit D 50mcg, Magnesium 250mg. All daily

Current Illness: None

ID: 1087378
Sex: F
Age: 51
State: FL

Vax Date: 02/18/2021
Onset Date: 02/18/2021
Rec V Date: 03/10/2021
Hospital:

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Lab Data:

Allergies: no known allergies at this time

Symptom List:

Symptoms: left arm soreness - like inside, like the bones are dying or festering - very hard to describe (at least 21 days as it's never changed nor gone away since starting the day of the injection); whole body joint pain for at least 3 full days (couldn't walk at normal pace or grip chopsticks etc), fatigue for maybe 6/7 days (in bed 10-14 hours barely able to move, but awake and alert so not sleepy per se), muscle numbness in left arm for 2 days.

Other Meds: none

Current Illness: Auto-Immune Hepatitis, Cirrhosis of the Liver, Ulcerative Colitis

ID: 1087379
Sex: F
Age: 46
State: PA

Vax Date: 03/07/2021
Onset Date: 03/08/2021
Rec V Date: 03/10/2021
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Allergies: none known

Symptom List:

Symptoms: Approximately 24 hours after receiving the shot I had serious adverse side effects. On my upper lip I had 20+ enormous cold sores break out on my top lip. My lips had been chapped on Sat/Sun, so it would not have been unusual to get ONE cold sore, but my top lip is absolutely covered in cold sores. I've never had more than 1 at a time, and I might have 30 by now.

Other Meds: none

Current Illness: none

ID: 1087380
Sex: F
Age: 68
State: IN

Vax Date: 03/04/2021
Onset Date: 03/04/2021
Rec V Date: 03/10/2021
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Lab Data:

Allergies: Patient stated that she is allergic to several medications and products.

Symptom List:

Symptoms: Patient reported at 0820, 10 minutes after receiving her second dose of Moderna, that she was feeling hot. She stated it felt like a "hot flash". At this time patient was asked to lay down and was given a wash cloth and water. Patient denied shortness of breath, chest pain, or rapid heart rate. At this time this nurse asked patient to stay for 30 minutes to assure that her symptoms didn't worsen. At 0835 nurse gave patient crackers, more water, and a new wash cloth but denied any new symptoms. At 0908 patient left, prior to leaving she denied any "hot flash" symptoms or tingling. Patient stated she was starting to get a head ache but she would take a tylenol when she got home.

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Current Illness:

ID: 1087381
Sex: M
Age: 85
State: IN

Vax Date: 03/04/2021
Onset Date: 03/05/2021
Rec V Date: 03/10/2021
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Symptoms: Chills, Temp of 104, weakness

Other Meds:

Current Illness:

ID: 1087382
Sex: F
Age: 54
State: FL

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

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Allergies: n/a

Symptom List:

Symptoms: Sick the day after the 2nd shot with 101 fever, chills, aches, etc . Felt fine for 4-5 days after that. Then, nausea, fatigue and fever set in. Have experienced low-grade temperature, nausea and some fatique for several days now.

Other Meds: rosuvastatin

Current Illness: n/a

ID: 1087383
Sex: M
Age: 73
State: IN

Vax Date: 02/25/2021
Onset Date: 03/01/2021
Rec V Date: 03/10/2021
Hospital:

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Manufacturer:
Vax Name:
Lot:
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Lab Data:

Allergies: Penicellin

Symptom List:

Symptoms: Limited ability to move right arm and pain when I tried.

Other Meds: Celebrex,lisinopril,atorivastan

Current Illness: None

Total 2021 VAERS Injuries: 599,999

Page last modified: 03 October 2021 5:28pm