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: 1088054
Sex: F
Age: 40
State: IL

Vax Date: 03/09/2021
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: Cipro, Sulfa, Demerol

Symptom List:

Symptoms: Moderna COVID-19 Vaccine EUA Pain and heat at the injection site, nausea, chills

Other Meds: Zyrtec, Duloxetine, Gabapentin, Nasacort, Florastor, Multivitamin, Benefiber

Current Illness:

ID: 1088055
Sex: F
Age: 39
State: PA

Vax Date: 01/21/2021
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: NKDA

Symptom List:

Symptoms: I was given the second vaccine on 1/21/21, on 3/3/21 I was congested and stuffy. By Friday 3/5/21 I has sinus pressure, headache, fatigue, and very congested.

Other Meds: Lexapro; 5 mg. 1 tab daily

Current Illness:

ID: 1088056
Sex: F
Age: 77
State: NJ

Vax Date: 03/05/2021
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: Sulfa

Symptom List:

Symptoms: Rash fading but continuous Chills, aches, fatigue, lethargy, poor appetite for about 60 hours No fever

Other Meds: Nadolol Linsinopril/hctz Asa VitD 3

Current Illness:

ID: 1088057
Sex: F
Age: 67
State: NH

Vax Date: 03/05/2021
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: Fever, chills, aches, fatigue for 2 days. Then lethargic and headache for 2 days.

Other Meds: Lisinopril Atorvastatin Metoprolol Hydrochlorothiazide fish oil Vitamin D

Current Illness: None

ID: 1088058
Sex: F
Age: 67
State: TX

Vax Date: 03/02/2021
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: Sulfa

Symptom List:

Symptoms: Fever of 102 for 12 hours, headache, nausea

Other Meds: Lexapro, zyrtec, multivitamin, fish oil, turmeric, probiotic, D-3 glucosamine

Current Illness: common cold previous week

ID: 1088059
Sex: F
Age: 60
State: NY

Vax Date: 02/28/2021
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: None

Symptom List:

Symptoms: Pain and swelling in left upper arm and axilla 3 days after receiving shot

Other Meds: Insulin

Current Illness: None

ID: 1088060
Sex: M
Age: 52
State: NC

Vax Date: 03/01/2021
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: None

Symptom List:

Symptoms: Sensitive skin started developing on 3/6/21; diagnosed with shingles on 3/8/21

Other Meds: None

Current Illness: None

ID: 1088066
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: 24 hour fever; chills; This case was reported by a consumer via interactive digital media and described the occurrence of fever in a 64-year-old patient who received Herpes zoster (Shingrix) for prophylaxis. The patient's past medical history included shingles (experienced on eyelid, forehead and scalp two years ago from the reporting date, at the age of 62 years) and eye swelling. On an unknown date, the patient received the 1st dose of Shingrix. On an unknown date, less than 2 years after receiving Shingrix, the patient experienced fever and chills. On an unknown date, the outcome of the fever and chills were recovered/resolved. It was unknown if the reporter considered the fever and chills to be related to Shingrix. Additional details were provided as follows: The patient had reported the case for herself/himself. The patient had the old shot and she/he did not understand at first why her/his eye was so swollen. The patient got it treated fast and it was not very painful. The age at vaccination was not reported. The patient received Shingrix shot which gave her/him 24 hour fever and chills and she/he stated that it was so far so good. The follow-up would not possible, as no contact details were available. For tolerance of 2nd dose, refer case US2021AMR039337.; Sender's Comments: US-GLAXOSMITHKLINE-US2021AMR039337:Same reporter

Other Meds:

Current Illness:

ID: 1088067
Sex: F
Age:
State: AL

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: injection site was warm; injection site was warm and hard; hives on her neck and chest; This case was reported by a nurse via sales rep and described the occurrence of injection site warmth in a 17-year-old female patient who received Men B NVS (Bexsero) for prophylaxis. Co-suspect products included meningococcal B recom vaccine + aloh + omv pre-filled syringe device (Bexsero Pre-Filled Syringe Device) injection syringe for prophylaxis and MENACTRA for prophylaxis. Previously administered products included Menactra (received 1st dose on an unknown date). On an unknown date, the patient received the 1st dose of Bexsero, Bexsero Pre-Filled Syringe Device and the 2nd dose of MENACTRA. On an unknown date, unknown after receiving Bexsero and Bexsero Pre-Filled Syringe Device, the patient experienced injection site warmth, injection site induration and hives. The patient was treated with benadryl (nos) (Benadryl). Bexsero was interrupted. On an unknown date, the outcome of the injection site warmth, injection site induration and hives were recovered/resolved. It was unknown if the reporter considered the injection site warmth, injection site induration and hives to be related to Bexsero and Bexsero Pre-Filled Syringe Device. This report is made by GSK without prejudice and does not imply any admission or liability for the incident or its consequences. Additional details were provided as follows: The age at vaccination was not reported. After receiving Bexsero and Menactra vaccine, the patient had hives on her neck and chest that lasted for several days. Also, the patient also had injection site was warm and hard. The patient's mother gave her Benadryl and the hives resolved and the patient was ok. The nurse said that, had decided not to give the second shot of Bexsero to the patient. The reporter consented to follow up.

Other Meds:

Current Illness:

ID: 1088068
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: How long does headache last; This case was reported by a consumer and described the occurrence of headache in a adult patient who received Herpes zoster (Shingrix) for prophylaxis. On an unknown date, the patient received Shingrix. On an unknown date, unknown after receiving Shingrix, the patient experienced headache. On an unknown date, the outcome of the headache was not recovered/not resolved. It was unknown if the reporter considered the headache to be related to Shingrix. 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 Shingrix, the patient experienced headache. The reporter asked, how long does headache last after shingles vaccine.

Other Meds:

Current Illness:

ID: 1088069
Sex: F
Age: 76
State:

Vax Date: 02/19/2021
Onset Date: 02/20/2021
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: TIA; A spontaneous report was received from a nurse concerning a 76-year-old, female patient, who received Moderna's COVID-19 Vaccine (mRNA-1273) and who experienced TIA. The patient's medical history was not provided. Concomitant medications were Lipitor 10 and metformin. On 19 Feb 2021, the patient received their first dose of mRNA-1273 (Batch number: 00620) approximately one day prior to the onset of the symptoms for prophylaxis of COVID-19 infection. On 20 Feb 2021 patient was admitted to the hospital with TIA. On 21 Feb 2021 patient went undergone for Magnetic resonance imaging (MRI) and Echo cardio. The test results were not provided by the reporter. Treatment medication upon hospitalization included blood thinners and Lipitor 80. Action taken with the drug in response to the event was not reported. On 22 Feb 2021 patient was released from the hospital. The outcome of events was unknown.; Reporter's Comments: Based on the current available information and temporal association between the use of the product and the onset date of the event of TIA, a causal relationship cannot be excluded. Elderly age may have been contributory.

Other Meds: LIPITOR; METFORMIN

Current Illness:

ID: 1088070
Sex: F
Age: 26
State: OR

Vax Date: 03/05/2021
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:

Symptom List:

Symptoms: Patient had a syncopal episode approximately 10 minutes after injection. She briefly passed out. She was gently lowered to the floor. She had no injury.

Other Meds:

Current Illness:

ID: 1088071
Sex: F
Age: 68
State: PA

Vax Date: 02/25/2021
Onset Date: 02/26/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies: STATINS AUGUMENTIN

Symptom List:

Symptoms: RASH THAT WRAPPED AROUND DELTIOD/BICEP

Other Meds: SYNTHROID METOPROLOL TOUJEO TRANOLPRIL METFORMIN NAPROSYN HUMULIN R ECOTRIN TRIAMTERENE-HCTZ

Current Illness:

ID: 1088072
Sex: F
Age: 71
State: IL

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: Erythromycin Vomiting, Hives Not Specified 9/27/2007 Past Updates... Iodinated Diagnostic Agents Hives Not Specified 9/27/2007 Past Updates... Iodine Hives Not Specified Allergy Past Updates... "hives from head to toe" Morphine Hives Not Specified Topical 8/28/2019 Past Updates... Morphine And Related Hives Not Specified Unknown 9/27/2007 Past Updates... Penicillins Hives Not Specified Allergy 9/27/2007 Past Updates... Povidone-iodine Hives Not Specified 9/27/2007 Past Updates... Propoxyphene Hives Not Specified 9/27/2007 Past Updates... Sulfa Antibiotics Hives Not Specified Allergy 9/27/2007 Past Updates... Z-pak [Azithromycin] Rash Not Specified Allergy 4/25/2013 Past Updates... Adverse Reactions/Drug Intolerances Gluten Meal Diarrhea Not Specified Intolerance 8/28/2019 Past Updates... Metformin Diarrhea Not Specified Intolerance 9/19/2017 Past Updates

Symptom List:

Symptoms: Patient experienced mild reaction following first dose of Pfizer COVID-19 vaccine, so she pre-medicated with 25 mg of oral Benadryl before coming for 2nd dose. Provider authorized administration with 30-minute observation to follow. Shortly after administration, patient experienced facial flushing, itching hands and tongue swelling. No difficulty breathing reported. Patient took second oral dose of 25 mg Benadryl (her own medication from home) with resolution of itching and significant improvement of flushing and tongue swelling. Patient stated 'much improved' prior to discharge. Follow-up call attempted next day to check on patient with no answer--message left to contact PCP office if any ongoing concerns. Second follow-up call: patient symptoms improved evening of immunization.

Other Meds: albuterol (PROAIR HFA) 108 (90 Base) MCG/ACT Aerosol Solution albuterol (PROVENTIL, VENTOLIN) (2.5 MG/3ML) 0.083% Nebulizer Soln amLODIPine (Norvasc) 5 MG Tablet atorvastatin (LIPITOR) 40 MG Tablet Azelastine HCl 137 MCG/SPRAY Solution bude

Current Illness: HTN (hypertension), benign 11 years ago Dyslipidemia 10 years ago Seasonal allergic rhinitis 9 years ago Sleep apnea 9 years ago Insulin resistance 9 years ago Local chart Last Assessment & Plan: Foot check - 10.013 Spinal stenosis 7 years ago Elevated blood sugar 5 years ago Hormone deficiency 4 years ago Posterior vitreous detachment of left eye 3 months ago Hypothyroidism due to acquired atrophy of thyroid 3 months ago Pedal Edema Asthma

ID: 1088073
Sex: F
Age: 35
State: WI

Vax Date: 03/09/2021
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: Penicillin

Symptom List:

Symptoms: Rash, hives, erythema, burning

Other Meds: None.

Current Illness: None.

ID: 1088074
Sex: F
Age: 50
State: MA

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies: Antibiotics

Symptom List:

Symptoms: Flush face and neck then rash on face neck and chest

Other Meds: None

Current Illness: None

ID: 1088075
Sex: F
Age:
State: OR

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

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

Lab Data:

Allergies: Severe allergy to Mac nuts and Hazelnuts. Allergic to imipramine and Trazadone. Lots of other low level allergies like grass, soy, oats.

Symptom List:

Symptoms: 4 inch across red welt, itchy, hot to touch and hard.

Other Meds:

Current Illness: Was very ill November and December of 20/20 with nausea etc. Had surgery 2/4/21.

ID: 1088076
Sex: F
Age: 75
State: DE

Vax Date: 02/26/2021
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: codeine IV contrast latex

Symptom List:

Symptoms: patient had 2nd vaccine on 2/26/21. she called the office on 3/1/21 and stated that she had hives/welts with extreme itching. she states she had diarrhea and was nauseous. she was taking Benadryl and Caladryl lotion for the itchiness. she stated at that time she was feeling better as the day went on. she called back the office on 3/3/21 and stated that she still had the hives and itching and that the Benadryl helped. she also stated that she was not willing to leave the house to go out to the pharmacy for any meds that might have been prescribed.

Other Meds: metformin 500mg BID K-Dur 10meq Omprazole 20mg lisinopril/hctz 20-25mg simvastatin20 mg

Current Illness:

ID: 1088077
Sex: F
Age: 40
State: NC

Vax Date: 12/16/2020
Onset Date: 12/16/2020
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: The patient reports fever, chills, body aches, diarrhea, left axillary lymph node enlargement, and left breast tenderness following first dose of Pfizer vaccine. Constitutional symptoms lasted less than 1 week and were managed conservatively. The left axillary lymph node and left breast remained painful and enlarged for approximately 1 month.

Other Meds: Cellsomra, Vitamin D supplements, Vitamin C supplements, Topamax

Current Illness: None

ID: 1088078
Sex: F
Age: 34
State: IL

Vax Date: 02/26/2021
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: NA

Symptom List:

Symptoms: Developed Shingles shortly after: Skin sensitivity began 3/1/21, severe back pain following 2 days later, and rash appeared 3/6/21

Other Meds: daily vitamin

Current Illness: NA

ID: 1088079
Sex: F
Age: 85
State: WA

Vax Date: 02/09/2021
Onset Date: 02/28/2021
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: R facial droop

Other Meds:

Current Illness: None

ID: 1088080
Sex: F
Age: 56
State: MI

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

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

Lab Data:

Allergies: Allergy status to other drugs, medicaments and biological subs

Symptom List:

Symptoms: Patient had general malaise unknown cause . Onsite EMS was called vitals BP 126/86 HR 68 99% O2 . Patient refused evaluation/care and released against medical advise.

Other Meds:

Current Illness:

ID: 1088081
Sex: M
Age: 72
State: GA

Vax Date: 02/18/2021
Onset Date: 02/19/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies: nka

Symptom List:

Symptoms: c/o severe pain at site of injection and above into the shoulder area with limited range of motion. had pcp examine arm and has been rx'd pain medication.

Other Meds: none reported

Current Illness: none reported

ID: 1088082
Sex: F
Age: 66
State: WY

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: Approximately 18 hours after the injection I developed a high fever (101.2) along with a slight ache in the joints. This continued approx. 18 hours and the fever decreased. The fever is significant in that my normal body temperature is 96.4 so it was an increase of almost 5 degrees. Currently I' m feeling fine .

Other Meds: Lisinopril HCTZ 10/12.5 mg tablets One per day

Current Illness: None

ID: 1088083
Sex: M
Age: 75
State: CA

Vax Date: 03/05/2021
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: Received Pfizer coronavirus vaccine Friday PM, Sunday AM woke up with painful rash, diagnosed as shingles, on contralateral (Left) shoulder.

Other Meds: telmisartan 40 mg QD Voltaran gel

Current Illness:

ID: 1088084
Sex: F
Age: 61
State: TX

Vax Date: 03/08/2021
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: Shaking hands that continue, more so in the side the shot was given.

Other Meds: glucosamine msm+chondroitin

Current Illness: none

ID: 1088085
Sex: M
Age: 52
State: IN

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: Fever, aches, joint pain, and nausea

Other Meds: Blood pressure and anxiety med daily

Current Illness:

ID: 1088086
Sex: F
Age: 26
State: MA

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, Bactrim, codeine

Symptom List:

Symptoms: Throughout the night and into the next morning, my heart has been racing and I?ve been having some palpitations. I haven?t had a fever so it?s not related to that.

Other Meds: Zoloft, Zyrtec

Current Illness: None

ID: 1088087
Sex: F
Age: 76
State: CA

Vax Date: 03/09/2021
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: pork, gin

Symptom List:

Symptoms: caller states the pt woke up on 3/10/2021 w/ tender arm, headache, nauseated, dry-heaving, very weak, diarrhea, slight fever, and chills. Pt will go to the ER if her symptoms do not improve.

Other Meds: acetaminophen, Synthroid, metoprolol,

Current Illness: no

ID: 1088088
Sex: M
Age: 68
State: VA

Vax Date: 03/09/2021
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: Penicillin

Symptom List:

Symptoms: Strong pain in the arm during the middle of the night. While getting up to get an ice pack, I felt nauseous and fainted, apparently from the pain. I stayed on the floor for some minutes in quite a bit of pain and then it subsided all at once.

Other Meds: Tylenol

Current Illness: None

ID: 1088089
Sex: F
Age: 56
State: SC

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: Sulfa drugs, ibuprofen

Symptom List:

Symptoms: About five hours after vaccination received 3/8, chills and fever started, then severe headache, followed by projectile vomiting off and on all night. Heart was racing/pounding. Unable to keep anything down and became dehydrated. Contacted pharmacy in morning on 3/9 and started taking Pedialyte late morning. Also took liquid children's Tylenol every four hours. Also talked with doctor's office (GP); advised to go to Urgent Care if could not keep anything down for extended period. Stayed in bed and continued regimen until went to bed 3/9. Today, 3/10, symptoms substantially better although I am weak and have some stomach uneasiness. Urination back to normal.

Other Meds: Humira, prednisone, aspirin, claritin, multi-vitamin

Current Illness:

ID: 1088090
Sex: F
Age: 44
State: MS

Vax Date: 03/05/2021
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: peanuts

Symptom List:

Symptoms: SWOLLEN LYMPH NODES, KNOT UNDER MY SKIN

Other Meds: Tylenol

Current Illness: n/a

ID: 1088091
Sex: F
Age: 71
State: IN

Vax Date: 03/02/2021
Onset Date: 03/02/2021
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: Sore shoulder same day. Fatique on second day. No other symptoms.

Other Meds: Levothyroxine, Rosuvastatin, low dose Bayer aspirin

Current Illness: None

ID: 1088092
Sex: F
Age: 72
State: GA

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

Vax Type:
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Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: Patient reported losing consciousness in the evening after the shot and being admitted to the hospital.

Other Meds: Desvenlafaxine 25mg 1 po qd, Metformin 500mg 2 po bid, Synthroid 88mcg 1 po qd, Nadaolol 40mg 1 and one-half po qd, Dexilant 60mg 1 po qd, Nateglinide 120mg 1 po tid before meals, lantus 86 units sq hs

Current Illness: Unspecified upper respiratory infection

ID: 1088093
Sex: F
Age: 79
State: WI

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

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Lab Data:

Allergies: Sulfa, all pain killers

Symptom List:

Symptoms: Headache the evening of the vaccination. The next day I had headache, chills, whole body ache, stomach upset. I took Tylenol, as directed, for two days.

Other Meds: Tylonal, atorvastatin, calcium &magnesium carbonates, coQ10, Essie?s tea, echinacea, losartan, melatonin, vitamin D, vitamin K2, refresh eye drops, polysorbate 80-glycerin op.

Current Illness: Shingles

ID: 1088094
Sex: F
Age: 68
State: GA

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

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Lab Data:

Allergies:

Symptom List:

Symptoms: My ears have been ringing since the first dose. I have not yet received the second dose.

Other Meds: zestril hctz metformin simvastatin synthroid omeprazole fish oil vitamin D3 benadryl

Current Illness:

ID: 1088095
Sex: M
Age: 79
State: MI

Vax Date: 03/01/2021
Onset Date: 03/04/2021
Rec V Date: 03/10/2021
Hospital:

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Fever, chills, swollen at injection site, weak, slept 24 hr, rash on arm

Other Meds: Heart, blood pressure, vitamins

Current Illness:

Date Died:

ID: 1088096
Sex: F
Age: 68
State: KS

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 03/10/2021
Hospital:

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Allergies:

Symptom List:

Symptoms: Fever, fatigue, runny nose the day after the 1st dose. . Pt deceased from COVID less than one month after 1st dose of vaccine

Other Meds:

Current Illness:

ID: 1088097
Sex: F
Age: 70
State: IL

Vax Date: 03/05/2021
Onset Date: 03/06/2021
Rec V Date: 03/10/2021
Hospital:

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Lab Data:

Allergies: Bactrim

Symptom List:

Symptoms: After my second vaccination shot on 3/5/21 I started with a low grade fever on 3/6/21. On 3/7/21 after getting up I started feeling funny while going to the restroom. I laid on the floor for a while and then proceeded to the couch. I passed out on the couch. Upon waking up I was sweating very bad. My clothes were wet.

Other Meds: Levothyroxin, Vitamin D3 and B12

Current Illness: None

ID: 1088098
Sex: F
Age: 48
State: PA

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

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Lab Data:

Allergies: venlafaxine, lisinopril

Symptom List:

Symptoms: Loose BM, felt funny in the head. Reports "white coat syndrome" BP 154/93, HR 80. Observed for 50 minutes. Reported that symptoms had resolved. BP 137/87, HR 78.

Other Meds: unknown

Current Illness: unknown

ID: 1088099
Sex: F
Age: 58
State: NY

Vax Date: 03/05/2021
Onset Date: 03/06/2021
Rec V Date: 03/10/2021
Hospital:

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Lab Data:

Allergies: penicillin

Symptom List:

Symptoms: March 6: Severe body aches and chills, 101.1 fever, extreme tiredness March 7: Body aches and chills, 100.2 fever, extreme tiredness March 7: 99.3 fever, tiredness for first half of day

Other Meds: BREO Ellipta Incruse100 mcg Albuterol Dexilant Lisinopril /HCTZ Amlodipine Besylate Atorvastatin Meloxicam Strattera Escitalopram (Lexapro) Estroven

Current Illness: Post COVID symptoms , daily headaches, fatigue, brain fog

ID: 1088100
Sex: F
Age: 58
State: IN

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

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Lab Data:

Allergies: none

Symptom List:

Symptoms: Shoulder and arm slightly sore; one day; vaccine area still slightly tender legs muscles extremely tight; warm soak in epsom salt and overnight rest seem to dissolve the situation

Other Meds: Methatrexate Amlodopine Losartin Folic Acid

Current Illness:

ID: 1088101
Sex: F
Age: 45
State: NJ

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 03/10/2021
Hospital:

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Lab Data:

Allergies: None

Symptom List:

Symptoms: On day 7 almost exactly 7 days give it or take a few minutes a bi red rash started to appear in the injection site. It started about the size of a half dollar and for the next hours it continued to grow, got very swollen, hot to the touch, painful and itchy. Almost looked like cellulitis. It grew to the size a silver dollar pancake, it started on 01/14 around noon and that is when I had the telehealth visit and they told me to go to the health dept. where it was given and they told me to be seen in person b my PCP. In 01/17 it went away. At home I used Tylenol and ice. No prescribed medication since I was waiting on FU in person appt. Since it resolved on its own, I never made the appt. He only suggested me to take Benadryl ahead of the second dose and I did not have the same site reaction as the first dose.

Other Meds: Nothing

Current Illness: No

ID: 1088102
Sex: F
Age: 67
State: FL

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

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Lab Data:

Allergies: Nickel sulfate, insect bites (bees, wasps), formaldehyde, thimerosal, penicillin, latex, rubber, peanut butter, neomycin, butylphenol, some adhesives, wool

Symptom List:

Symptoms: Day 8 after the shot, awoke to very deep pain in right shoulder (felt like a bee or wasp sting). Red area where vaccinated, got larger and swelled to about 6.5X7" in a couple of days. Very itchy, warm, painful but not at bad as at first. Applied ice and topical corticosteroid cream 2-3x per day. Started to subside a bit by day 12 post shot and continued to subside until 6-7 days after the initial day 8 post shot occurrence. Stopped using ice after swelling subsided, still use light amount of topical corticosteriod to counter slight itchiness.

Other Meds: none

Current Illness: none

ID: 1088103
Sex: M
Age: 19
State: CO

Vax Date: 03/02/2021
Onset Date: 03/07/2021
Rec V Date: 03/10/2021
Hospital:

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Lab Data:

Allergies: Allergy to Pertussis Vaccine

Symptom List:

Symptoms: Sporadic Rash on injection arm, and legs.

Other Meds: Fluoxetine

Current Illness:

ID: 1088104
Sex: F
Age: 66
State: ID

Vax Date: 02/25/2021
Onset Date: 02/27/2021
Rec V Date: 03/10/2021
Hospital:

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Lab Data:

Allergies: None

Symptom List:

Symptoms: Itching rash started on stomach and rib cage then continued to lower back then between breasts and right neck area. Nothing on arms, legs or face. 1 week and 4 days later still rash and itching. Prescribed 25 mg hydroxyzine 3 times a day on March 5 and topical calamine. Seems to be getting better with occasional itching. I HAVE PICTURES, but no place to upload.

Other Meds: Lisinopril 10 mg

Current Illness: None

ID: 1088106
Sex: M
Age: 86
State: IL

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

Vax Type:
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Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: Received COVID vaccine (unknown which manufacturer as was not received at this site) assuming dose #1 on 3/3 Called PCP on 3/9 with complaint of diarrhea, sore throat, cough, fever 101.4 - PCP instructed to take Tylenol Further investigation revealed O2 sat at home of 89% so came to ED. Tested positive for COVID-19 on 3/9 at 2146 via multiplex PCR. Pt was admitted today on 3/10 to the medical COVID floor.

Other Meds:

Current Illness:

ID: 1088107
Sex: F
Age: 47
State: NJ

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

Vax Type:
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Lab Data:

Allergies: Sulfa

Symptom List:

Symptoms: Within 5 minutes of receiving my vaccine, I suddenly felt the back of my mouth, throat, and back of my tongue feel numb. I also felt a slight nausea. The sensation lasted for about a minute. I told the staff at the hospital that was observing me. It started to subside gradually, but twice while I was still being observed the sensation came back, but not as strong and not for as long as it did the first time. I had no other symptoms. I want to add that I was not anxious about receiving the vaccine and nothing like this has ever happened to me before, but it was quite alarming at the time. I was observed for an hour in total after the shot. I was offered to go to the ER if I wanted to but I declined. It is now about 3 hours since the shot and I feel ok now just slightly tired.

Other Meds: None

Current Illness: None

ID: 1088108
Sex: F
Age: 30
State: IN

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

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Lab Data:

Allergies: Propylene Glycol, Codeine, Watermelon, Acrylates

Symptom List:

Symptoms: Felt ill and feverish the day following injection (3/9/21) with a very sore arm. Symptoms worsened around 12:00pm, and took 1000mg Tylenol and did not feel much relief. Around 8pm I took my temperature and it was 103.6 orally. I took it a second time and it remained 103.4. Fever broke overnight and today (3/11/21) I am still fatigued but have a normal temp and arm soreness has improved. (I contacted the Health Department prior to reporting this and they said to go ahead and report.)

Other Meds: Lexapro, Buspar

Current Illness: N/A

ID: 1088109
Sex: F
Age: 64
State: NY

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

Vax Type:
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Lab Data:

Allergies: None

Symptom List:

Symptoms: headache, diarrhea

Other Meds: metoprolol, lisinopril, atorvastatin, allopurinol, fish oil

Current Illness: none

Total 2021 VAERS Injuries: 599,999

Page last modified: 03 October 2021 5:28pm