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
38,878
AK1,239
AL2,904
AR1,891
AS34
AZ8,770
CA36,271
CO6,944
CT4,712
DC960
DE956
FL19,668
FM3
GA7,689
GU56
HI1,304
IA2,897
ID1,548
IL11,628
IN17,864
KS2,811
KY3,643
LA2,737
MA8,738
MD7,542
ME1,996
MH6
MI10,613
MN7,153
MO5,447
MP12
MS1,450
MT1,464
NC9,126
ND808
NE1,773
NH1,971
NJ9,455
NM2,305
NV2,252
NY19,387
OH11,324
OK2,924
OR4,944
PA13,367
PR1,303
QM1
RI1,319
SC3,375
SD767
TN4,966
TX19,047
UT2,627
VA8,887
VI29
VT1,144
WA8,443
WI6,686
WV1,424
WY510
XB4
XL1
XV2

ID: 1090926
Sex: F
Age: 21
State: OH

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: Unknown/not reported

Symptom List:

Symptoms: Patient received her 2nd dose of Pfizer Covid-19 vaccine Lot #EN6199 in her left deltoid on 3/9/2021 around 4:07pm at Public Health Vaccination Clinic. While waiting in parking lot near ambulance, patient alerted medics for assistance. Patient was experiencing a rash that began near her right shoulder. Medics gave 25mg Benadryl. Rash worsened and spread across chest and to left shoulder. Medics then gave 0.3ml Epinephrine IM to patient, and rash resolved. Patient refused transport to a local hospital.

Other Meds: Unknown

Current Illness: Unknown/not reported

ID: 1090927
Sex: F
Age: 75
State: MD

Vax Date: 02/24/2021
Onset Date: 02/24/2021
Rec V Date: 03/11/2021
Hospital:

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

Lab Data:

Allergies: none listed

Symptom List:

Symptoms: Patient may have been inadvertently given 1cc of Moderna COVID vaccine instead of 0.5cc. Patient was notified. State notified

Other Meds: none listed, on a blood thinner

Current Illness: none at the time of vaccination

ID: 1090928
Sex: F
Age: 38
State:

Vax Date: 02/19/2021
Onset Date: 02/19/2021
Rec V Date: 03/11/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: 2/19/21 1200: received second dose of COVID-19 vaccine (Moderna, lot 016M20A) 2/19/21 1800: experienced fever (102.3 on acetaminophen) and chills; took acetaminophen 500 mg PO Q6h x 2 doses 2/20/21 am: fever and chills resolved; experienced fine rash on back of thighs and upper buttocks; took loratadine 10mg PO x 1, and topical hydrocortisone cream x 3 days 2/20/21 pm: experienced vaginal yeast infection; took miconazole 1200 vaginal ovule x 1 2/23/21: rash and yeast infection resolved

Other Meds: prenatal vitamin

Current Illness: upper respiratory tract infection

ID: 1090929
Sex: M
Age: 88
State: NC

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

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

Lab Data:

Allergies: none known

Symptom List:

Symptoms: Sleepy and diificulty concentrating -- need afternoon sleep and early bed (a bout 7pm). Usually wake up at 7.00 am feeling very good

Other Meds: none

Current Illness: none

ID: 1090930
Sex: M
Age: 37
State: NY

Vax Date: 02/27/2021
Onset Date: 03/04/2021
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 son had the 1st dose of the Pfizer vaccine on Saturday February 27th. Today, 6 days later, he woke up with a rash all over his body. I suspect the vaccine. I gave him a Xyzal this morning, but did not do anything to diminish the rash. I am not sure if he should get the second dose due March 20th. Have you heard of a delayed rash happening days later and how long this might last? Please let me know or forward to someone who knows.

Other Meds: Lamictal ER 700mg AM Zonogram 500MG PM MultiVitamins, EFA.DHA

Current Illness: None

ID: 1090931
Sex: M
Age: 37
State: VA

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: none

Symptom List:

Symptoms: Vaccine was not administered on 3/8/21. Provider realized error and patient was contacted on 3/9/21 to come in for vaccine. He returned to clinic and received correct dose of vaccine. No harm to patient

Other Meds: none

Current Illness: none

ID: 1090932
Sex: F
Age: 66
State: ME

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: alcohol, narcotics

Symptom List:

Symptoms: itching and swelling at injection site a week later

Other Meds: amLODIPine Besylate-Valsartan 5-160 MG Oral Tablet

Current Illness: NA

ID: 1090933
Sex: M
Age: 26
State: IL

Vax Date: 03/10/2021
Onset Date: 03/11/2021
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: He began convulsing in his sleep, almost like a seizure except he woke up and became aware of what his body was doing. He could not control his body or limbs to move or stop the shaking. He did not have a fever at the time and could not determine whether or not he felt cold. The uncontrollable shaking was consistent for about ten minutes and then continued sporadically for an hour or so, though it became much more controllable. Hours later, he has more typical symptoms like a bad headache and a fever. The shaking has not come back.

Other Meds:

Current Illness:

ID: 1090934
Sex: F
Age: 24
State: NC

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 03/11/2021
Hospital:

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

Lab Data:

Allergies: Mushrooms - anaphylaxis

Symptom List:

Symptoms: Vaccination 0828 0835 reports numbness & tingling in left hand. Reports "random rashes" after 1st dose of COVID vaccine (not reported prior to vaccination). Also has history of anaphylactic reaction to mushrooms. BP 121/80, HR 68, O2 98 0845 administered diphenhydramine 25 mg. Reports relief in numbness/tingling but hand "feels" swollen. Cleared to leave at 0913 with instructions to seek care if symptoms persist or worsen.

Other Meds:

Current Illness:

ID: 1090935
Sex: F
Age: 74
State: ND

Vax Date: 02/26/2021
Onset Date: 02/27/2021
Rec V Date: 03/11/2021
Hospital:

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

Lab Data:

Allergies: Diclofenac, Tramadol, Nickel

Symptom List:

Symptoms: 22 hours after vaccination and one hour after taking morning pills, patient developed full body rash and itching. Morning meds she consumed were: Losartan, amlodipine, pravastatin, escitalopram, baby aspirin, vitamin D3. Episode of rash and itching improved with oral Benadryl 50 mg. The next day patient took her meds same time and one hour later developed rash. Took Benadryl and rash resolved. Patient then stopped medications for 1 week and had no occurrences of rash. Restarted medications morning of 3/10/21 and developed full body rash with itching and early anaphylaxis, one hour after medication consumed. It should be noted, patient has been on these medications for several years without reaction. Reaction started after she had received the Moderna COVID19 vaccination. On 3/10/21 when she had full body rash with anaphylaxis, patient presented to our clinic and was given 2 rounds of IM epinephrine, IM Benadryl 50 mg, IM Solu-Medrol 125 mg, and oral Zyrtec. Episode took 2.5 hours to resolve. Patient prescribed tapering course of prednisone, Zyrtec once daily, famotidine 20 mg once daily for the next 7 days, outpatient. We will be restarting one medication at a time to assess for medication reaction.

Other Meds: Losartan, Amlodipine, Escitalopram, Pravastatin, Vitamin D3, Aspirin, Magnesium, Zinc

Current Illness: Hypertension, Hyperlipidemia, Depression, Fibromyalgia, Obstructive Sleep Apnea

ID: 1090936
Sex: F
Age: 62
State: IN

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

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

Lab Data:

Allergies: Ciprofloxacin Codeine Flexeril Nabumetone Sumatriptan Flu shots

Symptom List:

Symptoms: extreme bone pain, diarrhea, insomnia

Other Meds: Vitamin C 500 mg 1x daily Turmeric 538 mg 1 x daily Claritin 10 mg 1 x daily Flonase spray 1 x daily Simvastin 40 mg 1 x daily Metformin 500 mg 2 x daily Losartin 25 mg 1 x daily Omeprazole 20 mg 2x daily Levalbuterol inhaler 3 x daily 45 m

Current Illness: none

ID: 1090937
Sex: M
Age: 62
State: IN

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: Shellfish Bactrim Dust Pollens Animals

Symptom List:

Symptoms: Slight lump in throat, of the kind experienced with previous anaphylaxis episodes, that developed a couple of hours after vaccination, and is continuing.

Other Meds: Tamsulosin .4MG Zyrtec Allregra Alaway Nasacort Cranberry Extract Fish Oil Vitamine D3 1000 iu Centrum Silver Men's Vitamine C 1000 MG

Current Illness:

ID: 1090938
Sex: F
Age: 66
State: MD

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

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

Lab Data:

Allergies: Flu vaccine

Symptom List:

Symptoms: Pt reported difficulty breathing and feeling hot, mask removed, monitored for 30 mins, Stating 98% on pulse ox, HR 77, lung sounds clear

Other Meds: Unknown

Current Illness:

ID: 1090939
Sex: F
Age: 54
State: NY

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

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

Lab Data:

Allergies: Penicillin, vancomycin, tequin, allergic to dogs, seasonal allergies

Symptom List:

Symptoms: severe itching all over body in ears and eyes, all over rash red sunburn type , hot skin head to toe, massive headache , nausea, all over body ache, Doctor prescribed a Medrol dose pack ( prednisone) and Benadryl on March 4th most symptoms continue today ( still experiencing headache, all over body itch, head congestion, body aches and stomach upset ) Dr currently told me to use over the counter Benadryl for itch, Motrin for headache, and Sudafed and Flonase for congestion and see what happens for a few days. as the prednisone is wearing off the itch is becoming more severe.

Other Meds: multi vit, vit d3, vit b,

Current Illness: fibromyalgia, degenerative disc disease, osteoarthritis,

ID: 1090940
Sex: F
Age: 68
State: VA

Vax Date: 02/28/2021
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: Epi, Aspirin, Aspertame

Symptom List:

Symptoms: Soreness when moving and touching, intermittent pain, heat at site, small red bump at injection site

Other Meds: Losartan, Atorivastatin, Coreg, Welbutrin, Vitamins B, B-12, D-3, Biotin, Magnesium, Co-Q10

Current Illness: Headache,

ID: 1090941
Sex: F
Age: 29
State: CA

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

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

Lab Data:

Allergies: Cantaloupe, pistachios, cashews (but not all tree nuts)

Symptom List:

Symptoms: Arm sore after injection. Loss of appetite for dinner. Woke up around 2:00 AM with chills. Added more clothes and tried to go back to sleep. Felt hot and took temperature and had a temperature of 100. Body aches. Took Tylonel around 3:30 AM. Couldn't sleep. Tylonel helped and I was able to fall back asleep. Woke up at 6:00 AM for my day. Fever gone, aches still a little there, tired from lack of sleep and a little bit of chills. It was a rough night but overall feeling good today.

Other Meds: Birth Control Pills (Portia-28 Tablet) and Ketoconazole 2% Shampoo (applied to my skin twice a week for the last 2 weeks)

Current Illness: No

ID: 1090942
Sex: F
Age: 26
State: CT

Vax Date: 03/06/2021
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: no

Symptom List:

Symptoms: I felt dizzy, nauseous, massive headache, it felt like my brain was swelling. hips and joints where so sore. dehydrated. i was exhausted all day and night. these symptoms lasted up untill today.

Other Meds: no

Current Illness: no

ID: 1090943
Sex: F
Age: 31
State: NJ

Vax Date: 02/27/2021
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: NKA

Symptom List:

Symptoms: vomited once and had chills and a headache for about 24 hours

Other Meds: Blisovi, multi vitamin

Current Illness: none

ID: 1090944
Sex: F
Age: 31
State: VA

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: Cant breathe in fully . Feels like lungs can not expand . Pain in chest area

Other Meds: None

Current Illness: None

ID: 1090945
Sex: M
Age: 57
State: TX

Vax Date: 02/26/2021
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: Penicillin

Symptom List:

Symptoms: Initial soreness at injection site, rash/redness developed on 3/6/21 (2 inch radius around injection site--initially itchy which has subsided--but redness continues).

Other Meds: Zinc, Vitamin D3, Amlodopine 5mg

Current Illness: None

ID: 1090946
Sex: F
Age: 65
State: IN

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: Prednisone

Symptom List:

Symptoms: About 45 minutes after injection I had tingling lips, the first inch of my tongue felt numb, and when I licked my lips there was a tinny, metallic taste. These symptoms lasted approximately 15 minutes. I was able to swallow and drank water.

Other Meds: Levothyroxin 50 mcg

Current Illness: None

ID: 1090947
Sex: F
Age: 34
State: LA

Vax Date: 03/05/2021
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:

Symptom List:

Symptoms: Subject woke up to use the bathroom and passed out while on the toilet. She called my name immediately prior to the event. She fell prostrate on the floor resulting in facial bruising/cuts. Subject regained conciousness one minute later. She was able to work the next day and had chills for the next 2 days.

Other Meds:

Current Illness:

ID: 1090948
Sex: F
Age: 55
State: OH

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: Avelox Codeine Hycodan Bee Venom

Symptom List:

Symptoms: Acute urticaria. Eyes swelled almost closed. Had trouble keeping them open.

Other Meds: Propranolol 60 mg Singular 2.5 mg Hydrochlorothiazide 25 MG

Current Illness: None

ID: 1090949
Sex: F
Age: 38
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:

Symptom List:

Symptoms: Patient became very hot and flushed during her 30 minute observation time following vaccine administration. Patient became tearful. She stated it felt like her throat was beginning to swell. Rapid response was called and patient was wheeled to Emergency Department with Rapid Response Team.

Other Meds:

Current Illness:

ID: 1090950
Sex: F
Age: 35
State: OH

Vax Date: 12/31/2020
Onset Date: 01/09/2021
Rec V Date: 03/11/2021
Hospital:

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

Lab Data:

Allergies: Minocycline

Symptom List:

Symptoms: Developed rash on palms and swollen, painful, reddish/purplish color to right pointer finger. Pain in right hand joints as well.

Other Meds: Oral contraceptive pill, women's postnatal multivitamin

Current Illness: N/a

ID: 1090951
Sex: M
Age: 34
State: FL

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: amoxicillin

Symptom List:

Symptoms: 102.7 Fever, felt completely freezing, significant body aches, so tired it was hard to open my eyes. Took Tylenol Extra Strength and put ice on forhead Hour later fever came down to 101.7 Body kept switching between sweating and freezing entire night 24 hours later at 7:30AM the next day, i was still very tired, sweating, but fever was gone. 48 hours later - i'm still a bit foggy and have a light cough

Other Meds:

Current Illness:

ID: 1090952
Sex: F
Age: 90
State: IL

Vax Date: 03/07/2021
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: Hives began at injection site (raised, red rash); spread to back - initially looking like pimples but when spread resembled site reaction. Now hives are on buttocks, legs, arms/hands; and scalp. Saw doctor yesterday (3/10/21). Prescribed Zyrtec and Pepcid. So far no relief.

Other Meds: Clindamycin for a dog bite (was a newer prescribed medication) Multi-vitamin B-12 Vitamin D

Current Illness: She was bitten by a dog on 2/27/21 and sustained an open fracture to her right thumb. She was initially put on Amoxicillin and then switched to the Clindamycin on 3/2/21.

ID: 1090953
Sex: F
Age: 68
State: FL

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: None

Symptom List:

Symptoms: Approximately 2 hours afterwards?intense sweating Later that evening?Nausea, body aches, fever, headache

Other Meds: HRT?bi estrogen w/testosterone , progesterone, DHEA, linsinipril, mybetriqic .vitamin D3, B complex, berberine, Coq 10, red yeast rice,

Current Illness: None

ID: 1090954
Sex: M
Age: 57
State: NJ

Vax Date: 02/16/2021
Onset Date: 02/17/2021
Rec V Date: 03/11/2021
Hospital: Y

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Woke up with double vision, and an unstable gate. admitted to hospital for testing.

Other Meds: Lexipro

Current Illness: None

ID: 1090955
Sex: F
Age: 27
State: NY

Vax Date: 02/12/2021
Onset Date: 03/02/2021
Rec V Date: 03/11/2021
Hospital:

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

Lab Data:

Allergies: Ceclor

Symptom List:

Symptoms: Developed a red rash at injection site that was painful and stings/burns. Rash spread down toward my elbow. Rash has healed by the top part of my arm but has since spread to my elbow and still hurts down there. Has shown some signs of clearing up.

Other Meds:

Current Illness:

ID: 1090956
Sex: F
Age: 56
State: FL

Vax Date: 03/09/2021
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: Fatigue, Body Aches, Fever, Chills, Headache

Other Meds: Benazepril, Xanax, Fexofenadine, Albuterol

Current Illness: None

ID: 1090957
Sex: M
Age: 21
State: AZ

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: Allergy to contrast

Symptom List:

Symptoms: Fever Body pain Headache Fatigue

Other Meds: None

Current Illness: Alpha 1 antitrypsin deficiency

ID: 1090958
Sex: M
Age: 71
State: WI

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: Soreness at injection site, 1 day General fatigue, 1 day

Other Meds: Renflexis infusion Folic Acid Methotrexate Sodium Lisinipril

Current Illness: None

ID: 1090959
Sex: F
Age: 69
State: MO

Vax Date: 03/05/2021
Onset Date: 03/07/2021
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: pt states that a couple of days after taking the vax she developed dark purple circles under each eye. Her eyes are swollen with bags under them. The whites of her eyes are very red and burning. Pt still has these symptoms. Pt has not taken any meds or put any drops in her eyes since this started and she is waiting for a CB from her PCP.

Other Meds: citalopram, lovastatin, metoprolol, buspirone, hydralazine,

Current Illness: no

ID: 1090960
Sex: F
Age: 38
State: MO

Vax Date: 03/06/2021
Onset Date: 03/07/2021
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 had fever, extreme chills, a terrible headache, super fatigue, upset stomach-loose bowels Sunday into Monday. Fever, extreme chills, a terrible headache, super fatigue lasted until Tuesday. July 30, 2021 is my estimated date of delivery. I am 19 weeks gestation.

Other Meds: I take prenatal vitamins, baby asprin and Floricet.

Current Illness: No

ID: 1090961
Sex: F
Age: 24
State: FL

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: Janssen COVID-19 Vaccine EUA. I had the vaccine at around 4:00 pm and felt fine until I woke up around 12:30 am. I had severe chills and shakes, body aches, and a headache. It eventually turned into sweating. Around 8:30am, it's not as severe. I took tylenol around 8:30 am and do not feel like I have the chills anymore, just body aches and some fatigue.

Other Meds: Nexplanon

Current Illness: none

ID: 1090962
Sex: F
Age: 69
State: IN

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

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Symptoms: Pt went vasovagal after dose of Johnson and Johnson vaccine. This has happened before. She did nit lose consciousness. We slowly moves pt from seated position to lying on the floor. She denied use of a cot and a juice box. We had a cold pack on the back of her neck. Eventually she was able to transfer from the floor to the chair and felt better. We started pts 15 minute observation time after she was stable in a chair. Pt felt better before she left.

Other Meds: Unknown

Current Illness: Unknown

ID: 1090963
Sex: F
Age: 21
State: IN

Vax Date: 03/09/2021
Onset Date: 03/10/2021
Rec V Date: 03/11/2021
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Symptoms: 3/10/2021 -- Pain in left arm (more than any other vaccine, biofreeze and 800mg ibuprofen at 5:30 pm 3/11/2021 -- pain in arm lessened but headache and body aches all over, 400mg ibuprofen at 9:30 am

Other Meds:

Current Illness:

ID: 1090964
Sex: F
Age: 48
State:

Vax Date: 03/10/2021
Onset Date: 03/10/2021
Rec V Date: 03/11/2021
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Symptoms: Vasovagal response - dizziness, vertigo. Improved with reclining and PO fluids.

Other Meds: Valium, BP meds

Current Illness:

ID: 1090965
Sex: F
Age: 80
State: CO

Vax Date: 02/26/2021
Onset Date: 03/09/2021
Rec V Date: 03/11/2021
Hospital: Y

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Allergies: nkda

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Symptoms: Patient is a very pleasant 80 year old female with a history of hypertension and recent pelvic fracture approximately two months ago who presented to the emergency department reporting right sided chest pain. She states that her symptoms started on Sunday. She has pain with a deep breath and also with exhaling. She reports it is a sharp pain. She states that she has had no lower extremity edema or calf pain, however, she did have a shooting pain down her right leg recently. She denies any history of personal or family history of deep venous thrombosis or pulmonary embolus. She reports that she has not had any hemoptysis. She denies feeling short of breath. She denies abdominal pain, nausea, vomiting, or diarrhea. She states that she has not had any COVID exposures or known symptoms. She has received two COVID vaccine doses. She reports that she has not been sick and denies fever, chills, or cough. In the emergency department she was diagnosed with an acute pulmonary emboli in the right main pulmonary artery with extension into the segmental pulmonary arteries. There is concern for early pulmonary infarct. This has prompted admission to the hospital.

Other Meds: Acetaminophen-hydrocodone p.r.n. Cyclobenzaprine 5 mg p.r.n. Dorzolamide ophthalmic 2% t.i.d. Alendronate 70 mg every week. Ropinirole 0.25 mg b.i.d. Estradiol 0.5 mg daily. Lisinopril 20 mg daily.

Current Illness: Pelvic fracture 2 months prior

ID: 1090966
Sex: F
Age: 56
State: NM

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 03/11/2021
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Allergies: Codeine causes nausea.

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Symptoms: The first vaccine my side effect was that my sinuses opened up. That could've been due to the anxiety and then relief of receiving the vaccination causing that effect. I had dry mouth and I was thirsty. The second vaccine EN 6201 I had a headache the next day. Throbbing headache. I read not to take Advil or anything right after. February 09= vaccine February 10=headache February 11= headache didn't go away. I took Advil in the evening. February 12=headache worsened. I took Advil in the afternoon. February 13=I woke up and couldn't see out of my left eye. There was a fog in central vision. About an hour later there was a strange aura. A tornado like tunnel in the central vision started and then shot out from the corner of my left eye. The aura lasted seconds and then the foggy center dissipated throughout the day. The headache throbbed and throbbed. I took Advil around the clock every four hours instead of just one a day. February 14= Full head-ache was gone but sinus throbbed above both eyes. February 16= Eye doctor visit. Know clue if the vaccine caused the ocular migraine or not. I've never had one before and it is super scary. My vision hasn't been clear since then and my dry stable MD turned into wet which I don't think has anything to do with the vaccine. Maybe the headache and the Ocular Migraine was caused by the vaccine. Who knows. I just thought I would report it in case other people have the same. Collecting data is a good thing.

Other Meds: AREDS 2 Indole 3 Carbinol Juice Plus Fruit and Veggies capsules

Current Illness:

ID: 1090967
Sex: F
Age: 68
State: MI

Vax Date: 02/18/2021
Onset Date: 02/27/2021
Rec V Date: 03/11/2021
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Allergies: Penicillin Cipro Bactrim Codeine Sulfa Elocon

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Symptoms: Moderna COVID-19 Vaccine EUA Itching, red area approxximately 2-3 inches in diameter, knot/bump about the size of a dime. Itching lasted less than 24 hours, red area got smaller, lasted approximately 48 hours, knot/bump size went down in approximately 48 hours.

Other Meds: Anastrozole Prevacid Inderal Cozaar Lival baby aspirin Flaxseed oil Benedryl Allergy

Current Illness:

ID: 1090968
Sex: F
Age: 78
State: IN

Vax Date: 03/09/2021
Onset Date: 03/10/2021
Rec V Date: 03/11/2021
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Allergies: Sulfa

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Symptoms: Headache, tired

Other Meds: Vitamins, turmeric

Current Illness: None

ID: 1090969
Sex: M
Age: 65
State: NY

Vax Date: 02/26/2021
Onset Date: 02/27/2021
Rec V Date: 03/11/2021
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Allergies: Gabapentin, Cipro, Methylprednisolone,

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Symptoms: after 24 hours - fatigue which lasted 3 days. next had muscle and joint aches for 1 week moderate to severe. pronounced in neck, wrists, fingers, ankles. head ache moderate for 5 days which still slight after a week.

Other Meds: Nadolol 20mg/day, Losartan potassium 50mg./day, melatonin 5mg./day, Glucosamine HCL with MSM 1500mg./day

Current Illness: High Blood pressure

ID: 1090970
Sex: F
Age: 45
State:

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

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Symptoms: Currently have knot on left arm at injection site with slight rash and itching that began approximately 7 days after receiving vaccine

Other Meds: levothyroxine

Current Illness:

ID: 1090971
Sex: F
Age: 47
State: NM

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 03/11/2021
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Allergies: polyethylene glycol

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Symptoms: After the vaccine shot given around 3 PM , she was fine for the first 30 minutes of observation. 4 hrs later while at home she developed fever, chills for about 1 hr then followed by shortness of breath with palpitation. She also developed nausea with myalgia. She continued to have shortness of breath and palpitation throughout the night. . She tried to take deep breaths and tried to be active. She went to school the following day as a school teacher and she was monitored by her co-teachers . Finally at 10 am her symptoms according to he disappeared .

Other Meds: loratadine, fluticasone nasal spray

Current Illness: seasonal allergy, gastroesophageal reflux disease (GERD), palpitations, childhood asthma

ID: 1090972
Sex: F
Age: 38
State: MO

Vax Date: 03/11/2021
Onset Date: 03/11/2021
Rec V Date: 03/11/2021
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Symptoms: Patient was given a Pfizer 1st dose & Moderna 2nd dose 21 days later.

Other Meds:

Current Illness:

ID: 1090973
Sex: F
Age: 60
State: MS

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

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Symptoms: Headache, lasted 27 hours. starting 15 hours after injection Fatigue starting 10 hours after injection lasting 40 hours

Other Meds: Acetaminophen 500 mg. Sertraline HCI 100 mg TAB NORT. Temazepam 15 mg CAP ASCE. Risperidone 3mg TAB SOLC. Atorvastatin calcium 10mg TAB NORT. Bupropion HCI ER XL 24hr 150mg. Cabergoline .5mg. Lorsartan potassium HCTZ 50-12.5mg TAB CADI. A

Current Illness:

ID: 1090974
Sex: F
Age: 50
State: MS

Vax Date: 03/05/2021
Onset Date: 03/10/2021
Rec V Date: 03/11/2021
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Allergies: Sulfa

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Symptoms: Fever and chills 3/6 and 3/7 Rash/hives entire body 3/10 treated with benedryl

Other Meds: None had Botox day before

Current Illness: None

ID: 1090975
Sex: F
Age: 72
State: IN

Vax Date: 03/02/2021
Onset Date: 03/02/2021
Rec V Date: 03/11/2021
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Allergies: Hayfever from ragweed plant Molds and mildew Vicodin Zylet eye drops

Symptom List:

Symptoms: I received my second Covid-19 injection in the muscle of my upper right arm at about 10:30 a.m. on 3/2/21. Later in the day, around 3 or 4 p.m., I began to feel a bit tired, like I could easily fall asleep. (I never sleep in the middle of the day, only an eight hour night sleep.) Also, my right arm was hurting all the down it. I went to bed a little earlier than usual that night. I was beginning to feel very chilled. During the night, I had to put another blanket over me, because of the chills, and I found that my arm was still bothering me, so I did not sleep on it. In the morning, I stayed snug under the covers. I had a very low appetite for breakfast, so I ate lightly. Around 11 a.m., I feel asleep until about 12:30 p.m. I pushed myself to get up and get a shower, wash my hair. Afterwards, I watched a bit of TV and felt much better after 4 p.m. No chills, no arm pain, and no longer tired. I ate a great supper.

Other Meds: Montelukast Sodium 10 Mg Tab (one tablet per day) Bergamot BPF dietary supplement for cardiovascular health (1-2 capsules per day) Vitamin D3 125 mcg (5000 IU) (one gelcap per day) Wild Alaskan Fish Oil 1400 mg (one softgel per day)

Current Illness: none

Total 2021 VAERS Injuries: 359,999

Page last modified: 03 October 2021 5:28pm