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: 1090268
Sex: F
Age:
State:

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Nausea; dry heaving; Temp climbed to102/ Fever broke at 630 am; chills came on; body aches; This is a spontaneous report from a non-contactable consumer. This 59-year-old female consumer (patient) received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE) , via an unspecified route of administration on unspecified date at 4:00PM at single dose for covid-19 immunisation . The patient medical history was not reported. The patient's concomitant medications were not reported. The patient reported that temperature started at 11:30, "temp climbed to102 and fever broke at 06:30AM with Tylenol" (onset date not reported) with outcome of recovered, then chills came on on an unspecified date with outcome of unknown. The patient also continued having body aches on an unspecified date with outcome of not recovered, dry heaving on an unspecified date with outcome of not recovered and nausea on an unspecified date with outcome of unknown. Her doctor prescribed Zofran because the nausea and dry heaving was awful. The patient stated she was "down in bed for 2 days and missed 2 days of work". Lab tests and procedures included body temperature of 102 (no units provided) on unknown date. Therapeutic measures were taken as a result of "temp climbed to102/ fever broke at 6:30 AM, dry heaving and nausea. No follow-up attempts are possible. Information about lot/batch number cannot be obtained. No further information is expected.

Other Meds:

Current Illness:

ID: 1090269
Sex: M
Age:
State: FL

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: arm soreness 2nd shot; This is a spontaneous report received from a contactable consumer (patient). An 84-year-old male patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot Number: EL9243), via an unspecified route of administration on 02Feb2021 at the age of 84-year-old in Left Arm at single dose for covid-19 immunisation. The patient's medical history and concomitant medications were not reported. The patient previously received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) at the age of 84 years old on 12Jan2021 for Covid-19 immunization and the following morning on 13Jan2021, he experienced headache and loose stools/ had really loose stool and was squirting liquid/diarrhea. The patient experienced arm soreness on an unspecified date which the patient was admitted to hospital. The outcome of the event was unknown.; Sender's Comments: Linked Report(s) : US-PFIZER INC-2021050412 Same patient/drug, different dose

Other Meds:

Current Illness:

ID: 1090305
Sex: F
Age: 74
State: UT

Vax Date: 08/24/2020
Onset Date: 09/01/2020
Rec V Date: 03/11/2021
Hospital:

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

Lab Data:

Allergies: Penicillin, Codeine, Aleve, Aspirin, Coconut, tree nuts, red dye 40, Caramel color, Annotto Color, Polysorbate 80, bananas

Symptom List:

Symptoms: On September 1, 2020, I had a seizure that lasted about 20 minutes. Following the seizure, I had a temp of 95.8 and chills. I was not aware of falling, but when I woke up, I was on the floor, and it took some time before I could get up. I had hit my back on the corner of the wall, and had to wrap my ribs with elastic bandages while it got better. I had what was probably Covid-19 in April, 2020. I have never had this type of reaction to a flu shot before, only some slight pain where the shot was injected. When I had this "different flu" in April, I had hollowness around my eyes, severe headaches, chills, diarrhea, and some vomiting. I felt like I had to gasp for air, but I could breathe well enough to stay home. I had no elevation in my temperature. I haven't had a problem with temperature since I started taking my chemo therapy medication. I later decided I must have had Covid-19, and my immune system must have changed from the covid-19.

Other Meds: n/a

Current Illness:

ID: 1090306
Sex: F
Age: 53
State: UT

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

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

Lab Data:

Allergies: No

Symptom List:

Symptoms: Temp of 102.5. Aches Chills Short breath (spouse opinion)

Other Meds: 2 aspirin Tumeric excedrin

Current Illness: None

ID: 1090307
Sex: F
Age: 35
State: WI

Vax Date: 01/01/2021
Onset Date: 02/01/2021
Rec V Date: 03/11/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: missed period with confirmed negative pregnancy tests x2. course has not ended as period has yet to return.

Other Meds: none

Current Illness: none

ID: 1090308
Sex: F
Age: 65
State: FL

Vax Date: 02/01/2021
Onset Date: 02/10/2021
Rec V Date: 03/11/2021
Hospital:

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

Lab Data:

Allergies: Sulfa, bleach

Symptom List:

Symptoms: I was slightly dizzy about 5 minutes after but then was fine. 10 days later I was fatigued, dizzy, nauseous and had the chills. Body ache and fatigue only lasted a few days but the dizzy and nausea remained on and off for next few weeks. Today it has been 38 days later and the dizzy has subsided over past week but I continue to experience nausea on and off and this is very worrisome. Due to this I have not had the second shot because I feel unwell. I saw my primary doctor and did not find anything wrong. I also have not heard of anyone who has had this same experience so I am scared to have the other shot even though I know I need it. I just need some answers. Thanks for responding.

Other Meds: Norvasc, Vitamin D3. Prevacid only occasionally

Current Illness: None

ID: 1090309
Sex: F
Age: 33
State: CA

Vax Date: 02/22/2021
Onset Date: 03/13/2021
Rec V Date: 03/11/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Persistent swollen lymph nodes in armpit region on both left and right sides. Swelling causes notable persistent pain and has interrupted normal sleep pattern. No treatment sought.

Other Meds: Loratadine 10mg daily

Current Illness: none

ID: 1090310
Sex: F
Age: 62
State: CO

Vax Date: 02/25/2021
Onset Date: 02/28/2021
Rec V Date: 03/11/2021
Hospital:

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

Lab Data:

Allergies: no

Symptom List:

Symptoms: I lost muscle control while playing tennis for about 5 minutes. After that I felt very tired, queezy, dizzy for about two days.

Other Meds: Glucosamine Chondroitin MSM Ashwagandha Magnesium

Current Illness: no

ID: 1090311
Sex: F
Age: 37
State: CA

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Dizzy, slight confusion, nausea (history of vasovagal). BP 144/92 (pulse 97), O2 sat 100%.

Other Meds:

Current Illness:

ID: 1090312
Sex: M
Age: 76
State: AZ

Vax Date: 02/26/2021
Onset Date: 02/28/2021
Rec V Date: 03/11/2021
Hospital:

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

Lab Data:

Allergies: Sulfa, Cephaolsporins

Symptom List:

Symptoms: Sudden loss of strength in left hand/arm involving wrist extention and radial deviation and grip strength. Normal range of motion is still present but stregth is significantly diminished and has reurtned only minimally. Right arm is normal.

Other Meds: Eliquis, carvedilol, valsartan, Centrum, B-Comp, Vit C, Co-10,

Current Illness: None

ID: 1090313
Sex: F
Age: 41
State: TX

Vax Date: 03/05/2021
Onset Date: 03/08/2021
Rec V Date: 03/11/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Arm soreness lasting 3 days, starting 12 hours after inejection. First day was the worst. Headache, nausea and diarrhea starting 72 hours after infection and lasting 24 hours.

Other Meds: None

Current Illness: None

ID: 1090314
Sex: M
Age: 54
State: OH

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

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

Lab Data:

Allergies: Nuts, Ragweed, Mold & Duragesic Patches

Symptom List:

Symptoms: I became lightheaded/dizzy within the first few minutes. Symptom subsided but came back in a mild way. When I came home and after Seventeen (17) hours, I am still lightheaded, I have body aches and chills. I have no fever.

Other Meds: Metformin, Lisinopril, Farxiga, and Atorvastatin Calcium

Current Illness: None

ID: 1090315
Sex: F
Age: 40
State: NY

Vax Date: 02/27/2021
Onset Date: 03/10/2021
Rec V Date: 03/11/2021
Hospital:

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

Lab Data:

Allergies: Gluten

Symptom List:

Symptoms: 12 days post vaccine my left arm became swollen and red around the injection site (about two inches around).

Other Meds: 75mcg levothyroxine 4000IUs D3 20 billion probiotic 10mg loratadine

Current Illness: No

ID: 1090316
Sex: F
Age: 26
State: CA

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Dizzy, near syncopal. BP 108/71 (pulse 110), O2 sat 99%. First day of menstrual cycle with painful cramps.

Other Meds:

Current Illness:

ID: 1090317
Sex: F
Age: 42
State: PA

Vax Date: 02/09/2021
Onset Date: 03/09/2021
Rec V Date: 03/11/2021
Hospital:

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

Lab Data:

Allergies: shellfish, iodine

Symptom List:

Symptoms: At the time of vaccination, Lot # 040A21A at 10 minutes after the vaccine was given to me, my the glands in my throat started to swell. I went back to the pharmacy and they gave me an epi pen injection and then called 911 to get me to the emergency room. I had to take Benadryl, steroids and Pepcid AC through an IV. They also prescribed those three medications and an epi pen to my pharmacy for an additional 4 days. It is day two and there is a slight improvement, but the swelling is still there. I had no issue with the first shot, Lot #013M20A.

Other Meds: Vitamin B12, Vitamin D

Current Illness: I had no other illnesses. At the time of vaccination, at 10 minutes after the vaccine was given to me, my the glands in my throat started to swell. I went back to the pharmacy and they gave me an epi pen and then called 911 to get me to the emergency room. I had to take Benadryl, steroids and Pepsid AC through an IV. They also prescribed those three medications and an epi pen to my pharmacy for an additional 4 days. It is day two and there is a slight improvement, but the swelling is still there.

ID: 1090318
Sex: F
Age: 46
State: TN

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Large itchy rash and swelling on left arm near the site of injection, developed on the seventh day from the day of vaccination.

Other Meds: Vit D, Vit B, magnesium

Current Illness:

ID: 1090319
Sex: F
Age: 68
State: LA

Vax Date: 03/08/2021
Onset Date: 03/09/2021
Rec V Date: 03/11/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: Chills Low grade fever Nausea Stomach pains Light headed

Other Meds: Vitamin B12 Vitamin D3 Aleve Zinc Sulphate EmergenC

Current Illness: None

ID: 1090320
Sex: F
Age: 30
State: CA

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Numbness on left side of body (face, arm, leg) onset at 12:25pm approximately 3 hours after leaving vaccination facility. Dizziness. Heart palpations. Numbness subsides 24 hours later, and had tingling sensations in left hand/ fingers 6 days later.

Other Meds: Paraguard

Current Illness: None

ID: 1090321
Sex: F
Age: 27
State: WA

Vax Date: 03/09/2021
Onset Date: 03/09/2021
Rec V Date: 03/11/2021
Hospital:

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

Lab Data:

Allergies: NONE

Symptom List:

Symptoms: PATIENT HAD DIZZINESS AND BLURRED VISION 1 HOUR AFTER ADMINISTRATION. SHE SAID SHE DID NOT EAT BREAKFAST AND IT HAD HAPPENED TO HER BEFORE WHEN SHE WAS HUNGRY. SHE WAS GIVEN FOOD TO EAT WHILE SITTING DOWN. HER INITIAL BP WAS AROUND 150/90 BUT WENT DOWN TO 127/80 AFTER A FEW MINUTES. HER BLURRED VISION WENT AWAY AFTER SHE ATE ALTHOUGH SHE STILL HAD SOME DIZZINESS. SHE WAS WELL ENOUGH TO WALK AND DRIVE.

Other Meds: UNKNOWN

Current Illness: UNKNOWN

Date Died: 02/17/2021

ID: 1090322
Sex: F
Age: 71
State: CA

Vax Date: 02/13/2021
Onset Date: 02/17/2021
Rec V Date: 03/11/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: MY WIFE DIED UNEXPECTEDLY 4 DAYS AFTER HER SECOND DOSAGE SHOT, ON FEBRUARY 17, 2021. SHE HAD BEEN HEALTHY AND HAD A RECENT CHECKUP AT WHICH THE DOCTOR GAVE HER A CLEAN BILL OF HEALTH. SHE WAS ALERT AND IN GOOD SPIRITS JUST THE NIGHT BEFORE WHEN WE WATCHED A MOVIE TOGETHER. I SAW NO INDICATION THAT SHE WAS FEELING POORLY OR OTHERWISE. I FOUND HER IN BED, DECEASED, UPON COMING HOME FROM WORK THE NEXT DAY.

Other Meds: Supplements: Krill Oil, turmeric Curcumin, Lecithin, Multivitamin; Alergy (antihistamine)

Current Illness: None

ID: 1090323
Sex: F
Age: 76
State: IN

Vax Date: 03/08/2021
Onset Date: 03/09/2021
Rec V Date: 03/11/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Vomiting and diarrhea from 4-7 am Tues morning. Followed by fatigue all day and Tues night. Temp on Tues afternoon was 101.4. aches and chills periodically on Tues afternoon. Weakness on Tues morning into late afternoon. Temp 99.6 on wed morning and afternoon. Temp normal at 8pm wed.

Other Meds: Brilinta, omneprozole, baby aspirin, Zyrtec, metaprolol, furosemide, vitamin c, vitamin D3, potassium,

Current Illness: None

ID: 1090324
Sex: M
Age: 25
State: CA

Vax Date: 03/07/2021
Onset Date: 03/08/2021
Rec V Date: 03/11/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Tiredness & fatigue, 48 hours

Other Meds: Sertraline (100 mg)

Current Illness: None

ID: 1090325
Sex: M
Age: 76
State:

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient experienced a rash approximately 3-4 hours after receiving vaccine. Rash located in the same arm as vaccination was placed. Rash extended to the elbow. Patient took benadryl 25 mg and rash subsided.

Other Meds: Diovan

Current Illness:

ID: 1090326
Sex: M
Age: 32
State: CA

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Pain, muscle aches, hot flashes, chills.

Other Meds: Vyvanse, Singulair, Clarinex, kratom (mitragyna speciosa), Marijuana, Tylenol.

Current Illness:

ID: 1090327
Sex: F
Age: 50
State: WA

Vax Date: 03/03/2021
Onset Date: 03/06/2021
Rec V Date: 03/11/2021
Hospital:

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

Lab Data:

Allergies: Walnuts, Brazil nuts, filberts

Symptom List:

Symptoms: Severe headache, dizziness, mild nausea, chills that lasted 5 hours, with milder headache and fatigue for another day

Other Meds: Ibuprofen, multivitamin, B-complex vitamin, D vitamin

Current Illness: None

ID: 1090328
Sex: F
Age: 49
State: NY

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

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

Lab Data:

Allergies: Allergic to medication Sulfa

Symptom List:

Symptoms: Firm/hard red bump that it is itchy around the injection site. It is growing. It was about the size of a pen tip and grew to nickel within a few hours and the size of a quarter within 30 min of itching onset. It is still expanding in size, approximately 11 hrs after shot.

Other Meds: Metoprolol ER Succinate 25mg Rosuvastatin 5mg

Current Illness: None

ID: 1090329
Sex: M
Age: 38
State: NY

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 03/11/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Felt mild numbness on left side of face the same night as I received the vaccine. It got worse the next day. I contacted a doctor via telemedicine and she did an evaluation. She said it was a mild Bell?s Palsy but likely not serious because she couldn?t observe it when asking me to raise my eyebrows or smile ? it was just something I could feel. It went away on its own within another day or so.

Other Meds: Finasteride, multivitamin, vitamin D, calcium, vitamin B, magnesium, vitamin E

Current Illness: None

ID: 1090330
Sex: M
Age: 57
State:

Vax Date: 03/08/2021
Onset Date: 03/08/2021
Rec V Date: 03/11/2021
Hospital:

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

Lab Data:

Allergies: n/a

Symptom List:

Symptoms: extreme cramping in middle lower back lasting less than an hour. Muscle aches all over in upper torso moderate headache , cold all over .relieved with ibuprofin and tylenol every 6 hours .all ending about 24 hours later with a warm mild fever like sensation and 2 hours of sleep.

Other Meds: lisinopril,lovastatin (alprazolam for sleep)

Current Illness:

ID: 1090332
Sex: F
Age: 58
State: NY

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

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

Lab Data:

Allergies: Shellfish, latex

Symptom List:

Symptoms: Within 20 minutes of jab: Lightheadedness, pressure in the head Within 60 minutes: Slight fatigue Within 90 minutes: Headache, foggy brain, slight focus/concentration issue Within 2 hours: Extreme fatigue After 6 hours: All issues better but still present. Fatigue especially better but still an issue.

Other Meds: Minocycline Minivelle Progesterone Testosterone Dexedrine Vitamin D Multivitamins

Current Illness: None

ID: 1090333
Sex: F
Age: 68
State: CA

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 03/11/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: This is my second report. I have continued to have traveling headaches, tingling, nausea, joint pain, intense fatigue and brain fog. I now have constant tinnitus and am having my hearing checked next week because I feel I have hearing loss. The fatigue is debilitating. I start to feel better and another wave hits me. I was advised by my doctor to not take the second dose. The tinnitus is getting louder. It causes anxiety. I don?t know how I am going to live with it.

Other Meds: Thyroid

Current Illness:

ID: 1090334
Sex: F
Age: 20
State: AR

Vax Date: 03/09/2021
Onset Date: 03/09/2021
Rec V Date: 03/11/2021
Hospital:

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

Lab Data:

Allergies: Bananas, dairy, sunflowers, latex

Symptom List:

Symptoms: Severe pain in arm of injection site, body aches, fatigue, nausea

Other Meds: Duloxetine 20 mg, claritin, women?s vitamins, melatonin

Current Illness: None

ID: 1090335
Sex: F
Age: 38
State: MT

Vax Date: 03/04/2021
Onset Date: 03/05/2021
Rec V Date: 03/11/2021
Hospital:

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

Lab Data:

Allergies: Latex, Vicodin, peanuts allergies

Symptom List:

Symptoms: Second day, March 5th muscle pain all over body, mostly on lower level, legs very painful feeling. Pain level 9 constant. Could not move or do much. Body aches. Third day March 6- continue body pain and aches. Headaches long lasting - pain level continue at 9. Took Tylenol. Every 8 hours. Help for a little bit. Could not sleep headache came back, developed low fever and chills and body pain, legs muscles painful. Day 4- March 7- same as day prior. Day 5- to now March 8-10. Chests pains, back of chests pains. Lung pain, sharp. Very hard to catch a breath, very painful in my longs, lost appetite, blurry vision, my longs hurt while breathing. Difficult to breath. Will make appt with doctor. Pain level 9.

Other Meds: None

Current Illness: None

ID: 1090336
Sex: F
Age: 76
State: MT

Vax Date: 03/04/2021
Onset Date: 03/04/2021
Rec V Date: 03/11/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
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Allergies: I don?t know

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Symptoms: Same day vaccine second dose given March 4. Between 15 minutes reaction was dizziness, difficulty breathing. Went into adverse reaction. Did not wake up - moved to ER

Other Meds: None

Current Illness: None

ID: 1090337
Sex: M
Age: 73
State: CA

Vax Date: 02/17/2021
Onset Date: 02/18/2021
Rec V Date: 03/11/2021
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Symptoms: On February 18th - My dad started with fever/chills within the next day after getting his second shot, stopped eating/lost appetite, couldn't eat anything - couldn't eat any solid food - only had liquids and Ensure for 10 days. He has also experienced pain in his chest pain (unclear if muscle pain). He is still experiencing discomfort. Has lost weight. Then got a little better for 2 days, then lost appetite and unable to get out of bed. Then arm and legs swollen on 3/9/2021 but swelling has gone down today. He is conscious but is having a hard time getting out of bed and has no energy.

Other Meds: thyroid medicine

Current Illness:

ID: 1090338
Sex: F
Age: 69
State: CA

Vax Date: 01/30/2021
Onset Date: 01/31/2021
Rec V Date: 03/11/2021
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Allergies: levofloxacin, hydroxychloroquine

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Symptoms: moderna covid-19 vaccineEUA Lost sight twice 1 second ea . all facial nerve pain & burning mouth has been much more severe

Other Meds: Clonazepam, amitripiline, gabapentin, , nasea, dizzy, metamucill, multi vit

Current Illness: Burning mouth syndrom, Atypical Trigeminal neuralgia/ facial neurve pain

ID: 1090339
Sex: M
Age: 29
State: NY

Vax Date: 03/04/2021
Onset Date: 03/09/2021
Rec V Date: 03/11/2021
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Allergies: amoxicillin

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Symptoms: I experienced pain and swelling in my right arm-pit, as well as pain in my right arm when I move it around beginning on 3/10

Other Meds: None, aside from albuterol inhaler

Current Illness:

ID: 1090340
Sex: M
Age: 27
State: TX

Vax Date: 03/10/2021
Onset Date: 03/11/2021
Rec V Date: 03/11/2021
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Allergies: None known

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Symptoms: Fever, nausea, vomiting

Other Meds: None

Current Illness: None

ID: 1090341
Sex: F
Age: 25
State: CA

Vax Date: 03/03/2021
Onset Date: 03/10/2021
Rec V Date: 03/11/2021
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Allergies: Na

Symptom List:

Symptoms: Itchy rash appeared 1 week after vaccination at injection site

Other Meds: Tri sprintec

Current Illness: Na

ID: 1090342
Sex: F
Age: 58
State: FL

Vax Date: 03/06/2021
Onset Date: 03/07/2021
Rec V Date: 03/11/2021
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Allergies: None

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Symptoms: Fever and chills started about 22 hours after and lasted one day. Shot site has been sore and is still sore. Round red circle about two inches below injection site showed up 2 days after the shot. About 2.5 inch diameter. It hurts and occasionally itches. No medical treatment sought so far. I have taken ibuprofen and Tylenol.

Other Meds: Propranolol ER 120 mg Sertraline 100mg Biotin Fish Oil Vitamin D

Current Illness: None

ID: 1090343
Sex: M
Age: 31
State: OR

Vax Date: 03/07/2021
Onset Date: 03/09/2021
Rec V Date: 03/11/2021
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Symptoms: ITP relapse - platelet drop >10,000 which lead to petechia, bleeding gums, bruising easily.

Other Meds:

Current Illness:

ID: 1090344
Sex: F
Age: 20
State: TN

Vax Date: 03/08/2021
Onset Date: 03/09/2021
Rec V Date: 03/11/2021
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Symptoms: extreme pain in arm the day of the vaccine until 3 days after vaccine, followed by a fever, chills, body aches and headaches only the day after the vaccine

Other Meds: Escitalopram

Current Illness:

ID: 1090345
Sex: F
Age: 49
State: CA

Vax Date: 03/03/2021
Onset Date: 03/10/2021
Rec V Date: 03/11/2021
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Allergies: shellfish, ibuprofren, sulfa drugs, iodine dye, raeglin

Symptom List:

Symptoms: large hard swelling bump 7 days after injection at the injection site, slight pain in armpit as well.

Other Meds: non

Current Illness:

ID: 1090346
Sex: M
Age: 67
State: CA

Vax Date: 02/25/2021
Onset Date: 03/09/2021
Rec V Date: 03/11/2021
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Symptoms: 12 days after his second Moderna COVID vaccine, my father developed Shingles. His left eyelid is incredibly swollen and his right eyelid began to swell today. That is his only symptom. He?s on an antiviral and gabapentin. He had received both doses of his shingles vaccines about 3 years prior. We have no idea if related to COVID vaccine but wanted to make you all aware.

Other Meds:

Current Illness:

ID: 1090347
Sex: F
Age: 30
State: CA

Vax Date: 03/03/2021
Onset Date: 03/03/2021
Rec V Date: 03/11/2021
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Allergies: Latex, Epinephrine, Iodine, Clindamycin, Septra, Floxacins

Symptom List:

Symptoms: I got a 100-101 fever for 24h and then that went away. Also had a headache but that was expected.

Other Meds: Pantoprazole 40mg Mirena IUD Vitamin D, C, Multi, COQ10, Fish Oil, Turmeric

Current Illness: None

ID: 1090348
Sex: F
Age: 38
State: MT

Vax Date: 03/04/2021
Onset Date: 03/05/2021
Rec V Date: 03/11/2021
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Allergies: Latex, Vicodin, peanuts

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Symptoms: March 5- body aches, muscle pain, lower level back and leg muscles painful. Pain level 9. Could not go to work or help around the home with the kids. Took Tylenol. March 6- same level of pain as day prior, plus headache, loss appetite. Low grade fever in the evening, took Tylenol. Could not sleep. March 7- same as March 6. Difficulty breathing. March 8-March 10. - started with low chest pains, progress Throughout the days and now it is very painful. Front and back of my chest I?d very painful. Sharp pain. Difficulty breathing, very weak, blurred vision, constant pain in my chest and lungs. Pain level 9. I will have to make appt with my primary doctor.

Other Meds: None

Current Illness: None

ID: 1090349
Sex: M
Age: 49
State: SD

Vax Date: 03/10/2021
Onset Date: 03/10/2021
Rec V Date: 03/11/2021
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Allergies: Tramadol and hydrocerin

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Symptoms: No adverse event. Pt was mistakenly given flu vaccine instead of TB skin test serum.

Other Meds: Flu vaccine was given to pt by mistake instead of TB shot

Current Illness:

ID: 1090350
Sex: M
Age: 67
State: CA

Vax Date: 02/03/2021
Onset Date: 02/05/2021
Rec V Date: 03/11/2021
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Allergies: None

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Symptoms: Severe lower back ache appeared two days after each dose, sufficient to restrict ordinary movements. Pain abated slowly over following weeks. At time of reporting, two weeks after second dose, significant improvement noted but not full recovery.

Other Meds: Losartan potassium 100mg Glucosamine 1500mg

Current Illness: none

ID: 1090351
Sex: F
Age: 48
State: CA

Vax Date: 03/08/2021
Onset Date: 03/08/2021
Rec V Date: 03/11/2021
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Allergies: Penicillin

Symptom List:

Symptoms: Arm pain at time of injection, then severe arm pain and inability to lift arm.

Other Meds: Lexapro 20mg daily

Current Illness: None

ID: 1090352
Sex: F
Age: 71
State: NY

Vax Date: 01/05/2021
Onset Date: 01/19/2021
Rec V Date: 03/11/2021
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Allergies: Sulfa antibiotics

Symptom List:

Symptoms: Irresistible sleepiness generally culminating in a first ever episode of narcolepsy as I was in my car

Other Meds: Calcium/VitD/Diclofenac/conjugated estrogen/H1 blocker/duloxetine/Wellbutrin/Tylenol prn/rosvostatin/Ambien /EmergenZ/combigan/travetan

Current Illness: None

ID: 1090353
Sex: M
Age: 81
State: WY

Vax Date: 02/25/2021
Onset Date: 02/26/2021
Rec V Date: 03/11/2021
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Allergies: PCN, Amoxicillian, Sulfa, Antihistamine, Chocolate, Caffeine

Symptom List:

Symptoms: 02/26/2021 my father woke up with a headache, chills, pain across his shoulders and his arm felt like it had lead in it. In the afternoon, around 3:30pm he was in the bedroom to change clothes and got severely weak and fell. He felt like he was going to vomit too. He was so weak that he could not get up off the floor by himself. My son lifted him up. He also noticed Friday night that there was a bubble where the vaccine was given in his arm. 02/27/2021, the bubble had burst and liquid was coming out. It was an open wound which was sore and really red. He also had a headache and continued weakness. 02/28/2021, he still had a headache and the arm was sore. 03/01/2021, felt pretty good.

Other Meds: Colestipol, Isosorb Mono ER, Metoprolol tart, Atorvastatin,

Current Illness:

Total 2021 VAERS Injuries: 704,237

Page last modified: 03 October 2021 5:28pm