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: 1088210
Sex: F
Age: 46
State: MA

Vax Date: 02/05/2021
Onset Date: 02/23/2021
Rec V Date: 03/10/2021
Hospital: Y

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

Lab Data:

Allergies: Clindamycin: skin rash

Symptom List: Dysphagia, Epiglottitis

Symptoms: Patient presented to BIDMC on 02/23/21 with ~5d of sore throat and intractable fever and was found to have fulminant myocarditis. She required ICU stay with VA ECMO and Impella circulatory support from 02/25/21-03/03/21. She received a course of hydrocortisone. Cause of myocarditis was unclear but felt to be viral or post-viral versus inflammatory. As of this submission she has been transferred to the cardiac floor and seems to be recovering. Symptoms started ~14d after 1st dose COVID vaccine. She also had self limited COVID infection in early January, 2021.

Other Meds: 1. Aspirin 81 mg PO DAILY 2. Atorvastatin 10 mg PO QPM 3. Vitamin D Dose is Unknown PO DAILY 4. Ascorbic Acid Dose is Unknown PO DAILY

Current Illness: Experienced mild COVID-19 infection (loss of taste/smell) in January, 2021 - diagnosed January 5th. Cleared to return to work 01/25/21.

ID: 1088211
Sex: F
Age: 53
State:

Vax Date: 02/27/2021
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 known

Symptom List: Anxiety, Dyspnoea

Symptoms: Seven days after first dose, I developed migraine symptoms and shortly afterwards a "rash" bloomed around the vaccination site on my right arm. I took Advil for the headache, which diminished but didn't remove the pain/discomfort. But it lasted only 24 hours. The "rash" area became brighter and larger over 48 hours, and is now diminishing. The site was hot, itchy, tender. The arm's surface remained smooth.

Other Meds: Vitamin D 1000iu; Vitamin C 1000mg; Vitamin B2 250mg; Magnesium Oxide 400mg

Current Illness: Shingle; moderate case; started late January/early February; "concluded" by February 20thish

ID: 1088212
Sex: M
Age: 30
State: NC

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

Vax Type:
Manufacturer:
Vax Name:
Lot:
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Vax Site:

Lab Data:

Allergies: None

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

Symptoms: Patient developed dizziness, lightheadedness, ~30 minutes after vaccine administration, which persisted despite conservative treatment for possible vasovagal episode.

Other Meds: Vape

Current Illness: Chlamydia, treated

ID: 1088213
Sex: F
Age: 84
State: SD

Vax Date: 02/22/2021
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: Codeine, erythromycin, Motrin, aspirin

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Patient reported losing her "taste buds" and also did not feel hungry and was tired around 3 days after her second dose of the Pfizer-BioNTech COVID-19 vaccination. Patient said this has now resolved but did not state exactly when it resolved.

Other Meds:

Current Illness:

ID: 1088214
Sex: F
Age: 66
State: SC

Vax Date: 03/03/2021
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: Latex bandages

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

Symptoms: I almost immediately felt something behind my sinuses and at the injection site and ignored it, however, about 50 hours later I started itching around my neck and chest, then arms and back, face, and hands, knees, etc. I called the pharmacy on Saturday to make sure I could take Allegra for the itching and they said I could take what I had (Allegra). The itching did subside until Sunday afternoon and a stomach ache began. I have had stomachaches before, not infrequently, but this ache was more like acid indigestion. The stomach ache persisted and I took an antacid and fell asleep. The ache has persisted and is still bothering me. Along with the itch came sneezing and a runny nose which has not been as persistent as the itch and stomachache, but still ongoing. I don't know if my chapped lips are due to the vaccine or not, but I seem to have chapped lips out of character. I have also experienced hot flashes and chills intermittently.

Other Meds: Metformin 1000 mg, Lantus 75 u/day, novolog as needed, simvastatin, irbesartin, D3, Alpha Lipoic AcidCoQ10, krill oil, Biotin

Current Illness: None

ID: 1088215
Sex: F
Age: 38
State: MD

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: I received the 1st dose of the Moderna Vaccine on January 6, 2021 at 01:49 pm. Approximately 4.5 hours later on January 6, 2021, I went outside in the cold temperatures. Upon returning inside to warmer air, the bilateral fingertips of both hands were pale white, numb, and painful. The time was 06:30 pm on January 6, 2021. At 06:47 pm, I felt a different feeling in the bilateral tips of my fingertips, and could see the color changing from pale white to a mixture of purple/black. January 6, 2021 at 06:32 pm was the first time I have ever had my hands respond in this manner to cold temperatures. I have felt one fingertip go numb and turn white for a split second, only one time in my life but it was not a repeat occurrence, and it only lasted for about a second when it occurred. This experience and reaction I currently have lasts from 15-30 minutes of bilateral fingertip numbness and discoloration with pain. The bilateral fingertips of both hands now respond in this manner every time they are exposed to cold temperatures. I signed up for V-Safe and did state that I was having this symptom through the Vaccine reporting system on V-Safe under ?other'' multiple times. Treatment I received from a health provider are as follows; I had a telemedicine visit on January 14, 2021 at 12:51 pm to address my concern of ?reaction to Covid vaccine, fingertips were numb, lasting 30 mins?. On 1/14/2021, I received a primary diagnosis of Raynaud's Syndrome by my Primary Care Provider. On 1/28/2021, I was seen in person by my Primary Care Provider for a Well Visit to complete a physical with my primary care provider. I was provided with a referral to a Rheumatologist for further advice about receiving the additional second Covid vaccination in the series. I also was ordered to do lab work. On 2/2/2021, I was seen by a Rheumatologist for new diagnosis of Raynaud?s Syndrome, and advised that risk outweighed the benefits in regards to receiving the second vaccination in the Moderna Covid-19 series.

Other Meds:

Current Illness: N/A

Date Died: 02/24/2021

ID: 1088216
Sex: F
Age: 67
State: IL

Vax Date: 02/03/2021
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: Adhesive bandage; adhesive tape; cephalexin; cipro; latex; motrin; NSAIDS; Paxil; Sulfa; Zosyn

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Death within 30 days of vaccination

Other Meds: Unknown

Current Illness: Unknown prior to first dose; in between first and second dose Hospitalization for UTI with septic shock, hypothermia; metabolic encephalopathy; severe metabolic acidosis

ID: 1088217
Sex: F
Age: 71
State: CA

Vax Date: 02/26/2021
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: Aspirin, penicillin

Symptom List: Pharyngeal swelling

Symptoms: "Covid Arm." Itchy, red, patch about 5 inches in diameter at injection site. Started 9 days after shot. Getting better, treated with antihistamine cream.

Other Meds: Atenolol, Vitamin D

Current Illness: none

ID: 1088218
Sex: M
Age: 72
State: CA

Vax Date: 03/05/2021
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: Abdominal pain, Chills, Sleep disorder

Symptoms: Flu like Muscle aches, hot flashes & chills, lack of energy

Other Meds: nifedipine er 90 mg

Current Illness: none

ID: 1088219
Sex: F
Age: 62
State: IN

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: Only allergic to Eye medications polymyxin and tobramycin

Symptom List: Diarrhoea, Nasal congestion

Symptoms: My shot was at noon on March 5. That evening around 9 pm I started feeling very sore on my arm where the shot took place. During the night and throughout the next day and night of March 6 I felt bad. I had a fever that ranged from 100.3 to 101.5. I had chills, a backache, headache, slight upset stomach, tiredness, overall feeling of malaise, and a sore arm at the shot site which became somewhat swollen and was red all around it. I really did not want to take Tylenol since I was concerned as to not knowing if it would interfere with antibody production. After my first shot, I had to take Tylenol since my headache became unbearable. After this shot, it was not unbearable so I did not take any Tylenol. When waking up at 8:00 am on March 7, I felt better. Only symptom that remained was redness and some soreness around shot area. That diminished each day for the next few days.

Other Meds: Lisinopril Atorvastatin Multivitamin Calcium with Vitamin D Iron

Current Illness: None

ID: 1088220
Sex: F
Age: 53
State: VA

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: Vaccination site erythema, Vaccination site pruritus, Vaccination site swelling

Symptoms: immediate low blood pressure after vaccine

Other Meds: none

Current Illness: none

ID: 1088221
Sex: F
Age: 66
State: MD

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: none

Symptom List: Rash, Urticaria

Symptoms: watery eyes, dizziness, headache BP 140/61 HR 90 Pulse ox 96%on RA

Other Meds:

Current Illness:

ID: 1088222
Sex: F
Age: 69
State: IN

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

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

Lab Data:

Allergies: Tetracyclines, sulfa, lyrica, voltaren, actos,latex products

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

Symptoms: Restless sleep, brain fog upon awakening, quite a bit of bone pain and muscular aches, fatigue . Lasted most of day after injection.

Other Meds: Metformin, glimeperide, losartan, simvastatin, vitamin d, vitamin c, turmeric, baby aspirin

Current Illness: none

ID: 1088223
Sex: F
Age: 46
State: NC

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: sulfa, nickel

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

Symptoms: 4 hours later, fever of 101, chills , muscle aches, nausea, continues 24 hours + later

Other Meds: multivitamins, effexor 150 xr po, adderall xr 10 mg

Current Illness: none

ID: 1088224
Sex: F
Age: 51
State: IN

Vax Date: 03/06/2021
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: latex and ilosone

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

Symptoms: One hour and 15 min after the shot extreme fatigue began. Also my Left Arm was hurting. Then when I got in bed at 10pm, all of my muscles began hurting really badly, and I was awake most of the night, feeling sick with nausea, dry mouth, and pain all over. The next day I felt really wrecked, way worse than my usual Fibromyalgia/Anxiety symptoms. My body really hurt all over and I was really fatigued. I felt general malaise all day long and my left arm hurt a lot. That second night I slept better and the next day I was better except my left arm was still sore that day also.

Other Meds: Vitamins B12, D3, and E; Magnesium Glycinate... and Elderberry tincture (prn)

Current Illness:

ID: 1088225
Sex: F
Age: 60
State: PA

Vax Date: 03/05/2021
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: amoxicillian makes me nauseous

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

Symptoms: I began experiencing shortness of breath the day after the vaccine. I went to my primary care physician and he referred me for a chest xray. There was a small area of linear opacity near the right lung base. This could be related to atelectasis or acute infection. The remainder of the lungs clear, no pleural effusions. Heart size not enlarged. Normal contour of the mediastinum. No acute osseous findings.

Other Meds: Zoloft Protonix sulfasalazine Wellbutrin probiotic

Current Illness: none

ID: 1088227
Sex: F
Age: 23
State: NC

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: Amoxicillin and shellfish

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

Symptoms: Patient complained of itching all over, coughing, dizziness and chest pain. Happened about 7 minutes after her first dose of the Pfizer vaccine. Vital signs were within normal range while evaluating her. EMS was called but patient refused to go to the hospital. She stayed for a hour, while constantly being evaluated.

Other Meds:

Current Illness: Asthma

ID: 1088228
Sex: F
Age: 24
State: MN

Vax Date: 02/26/2021
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 that I?m aware of

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Itchy hands and feet. Red dots on hands and feet. Feels almost like blisters on toes. Hands feels like recovering from being ?burned? like on a stove. - minor red spots, not fully covered - about 6 on my hands - about 4 on my feet - unsure if vaccine caused this but wanted to report anyways - happened 10/11 days after vaccine

Other Meds: Celexa

Current Illness: None

ID: 1088229
Sex: F
Age: 73
State: PA

Vax Date: 02/10/2021
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:

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Patient experienced warm itchy rash that extended down past elbow

Other Meds:

Current Illness:

ID: 1088230
Sex: M
Age: 33
State: CA

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: Blood pressure increased, Chest discomfort, Heart rate increased

Symptoms: Shaking fever and chills all night, waking up every two hours freezing cold despite lots of clothing and blankets. Woke up today feeling slightly better but still have a slight fever today, chills, and naesuea. Super lethargic and monitoring my condition daily.

Other Meds: None

Current Illness: None

ID: 1088231
Sex: F
Age: 29
State: CA

Vax Date: 03/04/2021
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: Injection site erythema, Injection site pruritus, Injection site swelling, Lymph node pain, Lymphadenopathy

Symptoms: Patient reports sore arm and fatigue lasting 3 days post vaccine. On 03/9/2021 associate reports symptoms of headache and runny nose. Been tested for COVID-19 and awaiting results.

Other Meds:

Current Illness:

ID: 1088232
Sex: M
Age: 76
State: NH

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: Unevaluable event

Symptoms: After receiving vaccine patient became unresponsive and had ?posturing like behavior. After a minute or two patient responded to strong sternal rub and was transported to ER for further evaluation.

Other Meds:

Current Illness:

ID: 1088233
Sex: M
Age: 32
State: NC

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: No Known Drug Allergies.

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

Symptoms: Patient developed dizziness, lightheadedness 30 minutes after vaccine. Was treated conservatively as vasovagal, without resolution and was transferred to local ER for further workup.

Other Meds: Vaping

Current Illness: None

ID: 1088234
Sex: F
Age: 67
State: NV

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: NONE

Symptom List: Injection site pain, Pain

Symptoms: THE PATIENT RECEIVED EXPIRED VACCINE ( OVER ROOM TEMP AFTER 6 HOURS).

Other Meds: NONE

Current Illness: NONE

ID: 1088235
Sex: F
Age: 88
State: MA

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: unknown

Symptom List: Injection site pain, Menorrhagia

Symptoms: There was fluid found in the cap of the 3ml syringe and the vaccinator suspected that less than 1/2 of the 0.5ml dose was administered. The patient and family member were alerted immediately.Moderna was contacted and case created, and we were advised to call the patient back ASAP for vaccine admin of 0.5 ml in the opposite arm. The patient is scheduled to return on 3/11/21 for vaccination.

Other Meds: unknown

Current Illness: unknown

ID: 1088236
Sex: F
Age: 85
State: IN

Vax Date: 03/06/2021
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: Not sure

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

Symptoms: The area was itchy and at this point around the shot it's black and blue.

Other Meds: Allopurinol 100mg ?2, furosemide 40mg, levothydex 25mcg, metoprolol 100mg, pota chloride 20meq , vitamin d3 50 mcg and b12 1000mcg

Current Illness: First covid-19 shot 2/6/21

ID: 1088237
Sex: F
Age: 43
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: penicillin, amoxicillin, and clindamycin

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: brief dizziness followed by onset of chills and muscle aches that lasted for approximately 2 hours. Now, approximately 22 hours later, I am experiencing fatigue, light nausea, headache, and hot flashes.

Other Meds: zoloft

Current Illness:

ID: 1088238
Sex: F
Age: 60
State: MO

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: AmmoniaSwelling CodeineNausea and Vomiting Decadron [Dexamethasone]Other (See Comments) Toradol [Ketorolac Tromethamine]Other (See Comments) AdhesiveItching Bactrim [Sulfamethoxazole-trimethoprim]Renal Dysfunctions HydroxyzineUnknown KetorolacOther (See Comments) LatexRash

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: raised, red rash bilateral hands from inside of thumbs to mid-forarm. provided 50mg of diphenhydramine. observed patient for additional 30 minutes. rash decreased in severity and there were no other symptoms (difficulty breathing, increased heart rate, etc)

Other Meds: lisinopriL (PRINIVIL) 40 mg tablet HYDROcodone-acetaminophen (NORCO) 5-325 mg tablet ALPRAZolam (XANAX) 0.5 mg tablet chlorzoxazone (PARAFON FORTE) 500 mg tablet clonazePAM (KlonoPIN) 1 mg tablet metoprolol tartrate (LOPRESSOR) 50 mg tablet

Current Illness: None known

ID: 1088239
Sex: F
Age: 80
State: PA

Vax Date: 03/06/2021
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: bactrim(upset stomach)

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

Symptoms: 24hours after immunization patient experienced dyspnea - called office 3-8-21 - referred for CTA chest given symptoms + for bilateral pulmonary emboli, NO history of such and NO obvious predisposing risk

Other Meds: vitamin D, viactiv, prilosec OTC, lipitor, paxil, benazepril, amlodipine, levothyroxine, fosamax

Current Illness: N/A

ID: 1088240
Sex: F
Age: 75
State: IN

Vax Date: 03/01/2021
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: Sulfa codine

Symptom List: Nausea

Symptoms: Swelling of injection sight area red rash about 2 inches round and swelling about same. I did take a picture of it.

Other Meds: Eliquis

Current Illness: No

ID: 1088241
Sex: M
Age: 70
State: ID

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: histamines

Symptom List: Injection site pain

Symptoms: Next day nausea, tiredness, weakness, loss of sleep/ following day shortness of breath, sneezing-- asthmatic chronic affect treated with use of albuterol inhalant

Other Meds: probiotic multivitamin

Current Illness: none

ID: 1088242
Sex: F
Age: 27
State: NY

Vax Date: 01/16/2021
Onset Date: 01/17/2021
Rec V Date: 03/10/2021
Hospital:

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Allergies:

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

Symptoms: Nausea, low grade fevers, lethargy ,Psoriasis Rosasea a few days after but dermatologist didn't think it was from the vaccine

Other Meds:

Current Illness:

ID: 1088243
Sex: M
Age: 64
State: OH

Vax Date: 03/08/2021
Onset Date: 03/08/2021
Rec V Date: 03/10/2021
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Allergies: None

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

Symptoms: COVID-19 Vaccine EUA Slight consistent dizziness

Other Meds: Blood pressure med Statin Multivitamin Glucose condrotin Fish oil Black elderberry

Current Illness: None

ID: 1088244
Sex: F
Age: 67
State: MA

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

Allergies: Codeine, demerol

Symptom List: Tremor

Symptoms: Chills, fatigue, nausea

Other Meds: None

Current Illness: None

ID: 1088245
Sex: F
Age: 44
State: LA

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

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Allergies: N/A

Symptom List: Erythema, Pruritus

Symptoms: eye twitching; all day and sporadic the next day

Other Meds: B12 Levothyroxine 175 MCG Meloxicam 15 MG Pravastatin 20 MG Valsartan-HCTZ 160-25 MG Metformin 500 MG Zyrtec Vitamin D2 1.25 Mg (50,000 units) Flonase Aleve back pain Excedrin Januvia 100 MG Spironolactone 100 MG Ambien 10 MG

Current Illness: N/A

ID: 1088246
Sex: F
Age: 57
State: WA

Vax Date: 03/09/2021
Onset Date: 03/09/2021
Rec V Date: 03/10/2021
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Allergies: Acetaminophen Chamomile codeine Hydrocodone Hydromorphone morphine oxycodone tramadol

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

Symptoms: Dizzy, elevated BP. Her other vitals were normal. Pt was disoriented. Had taken BP meds that morning, had not eaten food since previous evening. During time pt was being monitored approx 45mins, she became nauseous, SOB, lightheaded and had chest pain with exertion.

Other Meds: Advair Albuterol Amlodipine Aspirin Duo-Neb Gabapentin Losartan Methimazole Metoprolol Montelukast Morphine Ozempic Xarelto

Current Illness:

ID: 1088247
Sex: F
Age: 18
State:

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

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Allergies:

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

Symptoms: Dizziness. Drank half cup of water, resolved. BPs 99/52 (pulse 78), 100/54 (pulse 72). O2 sats 100%.

Other Meds:

Current Illness:

ID: 1088248
Sex: F
Age: 45
State: TX

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

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Lab Data:

Allergies: NKDA

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: She started feeling dizzy and nauseous 2 to 3 minutes after receiving the vaccine. According to her mother, she is known to have hypoglycemia after any injections. She received a sip of coke and she started feeling better after 2 to 3 minutes. EMT checked on her and she refused to go to hospital to further getting checked up. She was able to walk with an assistance from one of the associates and go home with her mother.

Other Meds: N/A

Current Illness: She was born with a heart condition.

ID: 1088249
Sex: F
Age: 67
State: NY

Vax Date: 03/07/2021
Onset Date: 03/07/2021
Rec V Date: 03/10/2021
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Allergies: Naproxen . Ibupropen

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

Symptoms: I feel like I am dying. I really do not wish to take the second dose. This is scary!

Other Meds: I haven't taken any of my prescribed medications since taking the 1st dose of MODERNA 036A21A vaccination. I haven't eaten since March 7th 2021. I feel faint, chills and I am sleeping more than usual. I really feel like I'm dying.

Current Illness: COPD

ID: 1088250
Sex: M
Age: 61
State: NC

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

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Allergies:

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

Symptoms: None

Other Meds:

Current Illness:

ID: 1088251
Sex: F
Age: 31
State: ND

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

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Lab Data:

Allergies: Pineapple (mild)

Symptom List: Pain in extremity

Symptoms: Fever (102.8), severe headache, moderate body aches, mild nausea.

Other Meds: None

Current Illness: None

ID: 1088252
Sex: F
Age: 42
State: NJ

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

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Allergies: Sulfa Abx

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

Symptoms: Neuropathy, Anxiety, Nausea, Vivid dreams, Head squeezing, Shortness of breath, Fatigue, Light Sensitivity. Going on a week now This was my first vaccine.

Other Meds: Multi vitamins and such

Current Illness: POTS syndrome, Dysautonomia, Lyme Disease, Antiphospholid sydrome all in remission at the time

ID: 1088253
Sex: F
Age: 42
State: CA

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

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Allergies: None

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

Symptoms: Three hours after shot: clear runny nose- constant drip. Around 11pm same evening: woke up clammy 6:30 next day: Headache. Very Sore . Felt like I?d been tubing on the lake all day. Took ibuprofen and felt better. Very tired. 9:00 pm: very bad stomach cramps. Diarrhea started around 11pm. Many times. 7:30am next morning (3/10): faster heart rate. Stomach hurt but not as bad. Little headache. Hot and clammy.

Other Meds: Probiotics Airborne immunity gummies

Current Illness: None

ID: 1088254
Sex: F
Age: 33
State: NY

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

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Allergies: None

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

Symptoms: Mild pain right after the injection lasted for about 30 seconds. About 8 hours later, I started getting some nausea and an upset stomach, along with some mild aches and pains. After taking a short nap, I woke up feeling a little feverish (though no fever).

Other Meds: Sertraline, Lamictrogene, Vyvanse, Meloxicam

Current Illness: None

ID: 1088255
Sex: M
Age: 65
State: IN

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

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Allergies: codeine cough medicine

Symptom List: Vomiting

Symptoms: fever for 12 hours high temp 101.5, joint pain, tiredness Felt normal 48 hours later

Other Meds: Atorvastatin 10mg Latanoprost .005% D3 5,000 units daily Fish Oil Omega 3 500 mg Glucosamine Chondroitin B12 2500 mg

Current Illness: none

ID: 1088256
Sex: F
Age: 54
State: IN

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

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Allergies: stadol, IVP dye

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: body aches starting the next day and lasting a full day

Other Meds: Lisinopril, pravastatin, baby aspirin, doxycycline, heartburn medication

Current Illness: none

ID: 1088257
Sex: F
Age: 70
State: IN

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

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Allergies: None

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

Symptoms: Tiredness, mind fog, diarrhea

Other Meds: Lisiopril, multi vitamin

Current Illness: None

ID: 1088258
Sex: M
Age: 77
State: NC

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

Vax Type:
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Lab Data:

Allergies:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: None

Other Meds:

Current Illness:

ID: 1088259
Sex: F
Age: 19
State: IN

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

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Allergies:

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

Symptoms: Patient received a COVID-19 vaccine on 06MAR21 @ 1030. Approximately 2 hours later, she began developing a reddened area on her arm at the injection site which was hot to touch and became itchy. She reached out to our onsite nurse on 08MAR21. She iced the area and took Benadryl. She was told to follow-up with our onsite nurse if her condition didn't improve. On 10MAR21, she reported she has been taking Benadryl HS and the area is "almost completely cleared up."

Other Meds:

Current Illness:

ID: 1088260
Sex: F
Age: 47
State: WI

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

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Allergies: flagyl

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

Symptoms: Dry heaves, loose stool, headache, body aches, fever (102), chills, sore arm, inflamed/sore lymph node in right armpit, sore throat (brief), and racing heart for first day.

Other Meds: none

Current Illness: none

Total 2021 VAERS Injuries: 704,237

Page last modified: 26 October 2021 2:21am