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: 1091805
Sex: F
Age: 21
State: NY

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: NKDA allergies to pollen, trees, grass, flowers "bad response" to other vaccines in the past like Tdap Shellfish

Symptom List: Dysphagia, Epiglottitis

Symptoms: 5 mins post 1st dose vaccination patient began feeling nauseous, throat felt tight with mild pain when swallowing, tingling sensation from the chest down to her toes, facial flushing, and dizziness. She states these symptoms are common due to her history of EDS but today they are slightly worse since she got the vaccine. She was brought to the medical evaluation area via wheelchair and evaluated by us and EMS. Patient was administered Benardyl 50mg and provided orange juice and water. Vitals taken throughout and were slightly high in the beginning and then stabilized. Patient states her throat felt better and the tingling localized to her hands after 5 mins. Patient was monitored for over 45 mins. She was instructed to contact her PCP and her allergist to be cleared for her second vaccine dose. She was informed her 2nd dose should be administered at a facility where she can be observed closely. She declined transport to the hospital but agreed to follow up to the ER with any worsening signs of anaphylaxis. The nausea resolved and she felt less groggy upon leaving with her boyfriend.

Other Meds: Camirese Lo Sertraline Xopenex HCI

Current Illness:

ID: 1091806
Sex: M
Age: 53
State: IN

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

Vax Type:
Manufacturer:
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Lot:
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Lab Data:

Allergies: Uloric

Symptom List: Anxiety, Dyspnoea

Symptoms: Numbness of scalp, face, ear and neck on right side. Started around 1:30 PM the day after injection of the vaccine. Symptoms persist 24 hours later.

Other Meds: Lisinopril, Testosterone, Pepcid, Claritin

Current Illness: None

ID: 1091807
Sex: F
Age: 78
State: IN

Vax Date: 02/18/2021
Onset Date: 02/27/2021
Rec V Date: 03/11/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
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Lab Data:

Allergies: Animal dander,mold,pollen, seafood during pregnancy,

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

Symptoms: Inflammation beginning on 10th. day, with redness, heat, itching at site, which increased daily until saw MD at Clinic on day 15.

Other Meds: Verapamil, glucosamine,sertraline, omeprazole, quinapril HCTZ, pravastatin, vitamin, lutein, COQ10.

Current Illness: None

ID: 1091808
Sex: M
Age: 83
State: MD

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

Vax Type:
Manufacturer:
Vax Name:
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Lab Data:

Allergies: none listed

Symptom List: Dizziness, Fatigue, Mobility decreased

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

Other Meds: none listed

Current Illness: none at time of vaccination

ID: 1091809
Sex: F
Age: 73
State: MO

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: Hx of severe allergic reaction

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

Symptoms: Case reported that in the night she would have periods of chills, H/A, and joint pain. Woke up a couple of times but it did not prevent her from getting rest.

Other Meds: unknown

Current Illness: None reported

ID: 1091810
Sex: F
Age: 70
State: MN

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

Vax Type:
Manufacturer:
Vax Name:
Lot:
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Lab Data:

Allergies: Codeine

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

Symptoms: Hoarseness, joint and muscle aches, chills, dizziness, diarrhea. Symptoms present upon waking next day after vaccine and have continued for 36 hours. They are unresolved at this time.

Other Meds: Omeprazole/zettabytes/Flovent Multivitamin/calcium/magnesium/Vit D/VitB

Current Illness: None

ID: 1091811
Sex: M
Age: 41
State: OH

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:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Janssen COVID-19 Vaccine EUA. Approximately 15 hours after the vaccine the left eyelid began swelling. the swelling has lasted for 36 hours

Other Meds:

Current Illness:

ID: 1091812
Sex: F
Age: 61
State: IN

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

Vax Type:
Manufacturer:
Vax Name:
Lot:
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Lab Data:

Allergies: Sulfa

Symptom List: Pharyngeal swelling

Symptoms: Third and fourth fingers of left hand (vaccination arm) went completely numb for 2 hours. Massaged for 2 hours and numbness changed to tingling for another 10 hours. Within 24 hours of vaccination time symptoms cleared.

Other Meds: Benedryl, Motrin PM

Current Illness: None

ID: 1091813
Sex: F
Age: 62
State: OH

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

Vax Type:
Manufacturer:
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Lab Data:

Allergies: contrast dye

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Patient arrived to the outpatient vaccine clinic for her scheduled appointment. Immediately after receiving the vaccine, the patient felt chest pain, dizziness, and passed out. She had swelling of the tongue, lips, eyes, and throat. Patient was admitted to the hospital and treated for anaphylaxis with epinephrine, benadryl, famotidine, methylprednisolone, Duoneb and tylenol. Patient is currently still in the hospital but her condition is stable.

Other Meds: amlodipine fluoxetine hydrochlorothiazide levothyroxine losartan metoprolol succinate mirtazapine Percocet Xtampza Lyrica Chantix Tylenol

Current Illness: N/A

ID: 1091814
Sex: F
Age: 72
State: MI

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 known listed with pharmacy/consent form

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Patient was monitored and at 30 minutes, patient stated feeling itchy with slight rash/redness developing on neck/chest area. Patient stated feeling increased heartrate, however heart rate and sp02 were check twice and at normal levels. Administration of benadryl 50 mg was given. Patient did not have any signs of anaphylaxis , after 1 hour patient still had itchy feeling/rash but no other issues. Patient was recommended to seek medical attention. Contacted later and patient was doing ok with no other symptoms besides tiredness/fatigue from vaccine.

Other Meds: Unknown

Current Illness: unknown

ID: 1091815
Sex: M
Age: 62
State: NV

Vax Date: 12/30/2020
Onset Date: 01/08/2021
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: Vaccination site erythema, Vaccination site pruritus, Vaccination site swelling

Symptoms: After my vaccine, I went to the hospital because I experienced weakness some shortness of breath and some tremors. I am a doctor of training, one aspect the aspect of covid-19 affects testosterone. I got Covid after my first dose. I am still having some symptoms and scheduled to return back to work the third week of March 2021.

Other Meds: alodipem

Current Illness: none

ID: 1091816
Sex: M
Age: 64
State: HI

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

Vax Type:
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Lab Data:

Allergies: amiodarone, amlodipine, metoprolol, iodine

Symptom List: Rash, Urticaria

Symptoms: Subjective fever highest recorded 99.5, chills, myalgias, and fatigue.

Other Meds: Basaglar, Dilaudid, Bystolic, Bumex, clonidine, BuSpar, lisinopril,

Current Illness: Had a COPD exacerbation and was given a Z-pak on 2/11

ID: 1091817
Sex: F
Age: 58
State: OH

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

Vax Type:
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Lab Data:

Allergies: Arythimiacin

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

Symptoms: 1st dose. About 5 mins I could taste vaccine. 30 mins later my palette and roof of my mouth becoming tingly /numb. It then proceeded to my tongue . A few mins later proceeded to my lips. That all lasted about an hour. Later last night, same evening as receiving 1st dose. Around 11 hours later. My gums where tingling . Not as strong as earlier right after receiving the Moderna vaccine. That lasted about 45 mins.

Other Meds: Levothyroxine

Current Illness: None

ID: 1091819
Sex: F
Age: 74
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:
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Lab Data:

Allergies: penicillin, doxycycline hyclate

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

Symptoms: Severe chills, headache, extreme eye ache from 3/9-3/11 a.m. 2" itchy rash at HCHC Maderna injection site. 01zaz1a

Other Meds: carvedilol, hydrochlorothiazide, montelukast, levocetirizine-e, fluticasone, calcium

Current Illness: none

ID: 1091820
Sex: F
Age: 34
State: DC

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

Vax Type:
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Lab Data:

Allergies: Denies

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

Symptoms: Approximately 5 minutes after her second dose of the vaccine, patient stated she felt a "bad feeling" in her stomach and subsequently vomited a large amount of liquid in the post vaccination observation area. We transported her to the Health Unit where she was evaluated and observed approximately 2 hours. Patient's vital signs remained in a normal range. Her physical exam was unremarkable. Stated she felt fine prior to getting her vaccine. She stated she felt much better when she left our Health Unit and returned to work.

Other Meds: None

Current Illness: Denies

ID: 1091821
Sex: F
Age: 62
State: NJ

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

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

Lab Data:

Allergies: NKDA

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

Symptoms: Patient received her second dose of vaccine at 6:40 PM. After the minute observation period, she left the facility en route to her home. When she got to her car, she felt that the base of her tongue was swollen. She returned back to the vaccination center. At 7:05 PM, she was assessed by the post vaccine RN. BP 155/98, HR 103. O2 Sat 98% RA. She continues to verbalize that she feels minor swelling of tongue and "congested" nostrils. 7:15 PM BP 174/112 HR 103 O2 - 97% RA. Patient was also assessed by pharmacy. Epi-pen was not administered. Patient's symptoms were not improving. EMS called to transport patient to hospital for adverse reaction and increased blood pressure. BP 165/102 HR 103. Patient transported to hospital via stretcher.

Other Meds: Ciclopirox 0.77% Protonix 40 mg Rosuvastatin 5 mg Triamcinolone acetonide 0.1% topical cream

Current Illness: None reported

ID: 1091822
Sex: F
Age: 50
State: CA

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: Unk

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

Symptoms: Patient was observed in observation area. Patient was sitting in a chair and fainted to the ground. Patient did not notify RN?s in observation that she was feeling faint, lightheaded or had any symptoms. Code was called for EMS to patient side and safety measures were taken.

Other Meds: Unk

Current Illness:

ID: 1091823
Sex: F
Age: 60
State: IN

Vax Date: 02/15/2021
Onset Date: 02/22/2021
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: Ear pain, Hypoaesthesia

Symptoms: Enlarged lymph nodes following 1st shot-- Diagnostic Mammogram and ultrasound; Severe Diarrhea for 48hrs following 2nd shot. Pain in arm for about 4 days following both shots

Other Meds: Metformin, Sertraline, Pravastin and Dietary supplements.

Current Illness: None

ID: 1091824
Sex: F
Age: 45
State: WY

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: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Sore muscle in upper arm of injection site, moderate headache lasting in to the next day, some mildly sore muscles in shoulders and neck area, and mildly upset stomach the evening of the day of the injection.

Other Meds: Daily Multi-Vitamin

Current Illness: None

ID: 1091825
Sex: F
Age: 21
State: NY

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: none

Symptom List: Blood pressure increased, Chest discomfort, Heart rate increased

Symptoms: patient c/o dizziness and decides to lie down on the floor to avoid falling. Was placed on wheelchair and transfer to the observation room and was observed for 45 minutes. vital signs stable. bp= 110/70 HR =104, lung clear. Patient reports this happens every time she goes to doctor or hospital; she gets very anxious and feels dizzy. History of anxiety on medication. Patient was feeling well and able to go home on her own, she had a friend accompanying her at the vaccine sight.

Other Meds: Zolof 50 mg once a day

Current Illness:

ID: 1091826
Sex: F
Age: 58
State: TX

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: FLOXIN SULFA

Symptom List: Injection site erythema, Injection site pruritus, Injection site swelling, Lymph node pain, Lymphadenopathy

Symptoms: RED WARM AND RAISED IN THE AREA OF THE VACCINE

Other Meds: ASPRIN FISH OIL VIT D TUMERIC CONCURIN VIT C APPLE CIDER VINEGAR BYSTOLIC PENTAPRAZONE FENOFIBRIC LEVOTHOROXYN ATORVOSTATIN OR CRESTOR - CANT REMEMBER MACROBID ANXYETY MEDS...CANT REMEMER THE NAME - SMALL DOSE GIVE FOR HOT FLASHES

Current Illness:

ID: 1091827
Sex: M
Age: 69
State: MI

Vax Date: 02/26/2021
Onset Date: 03/05/2021
Rec V Date: 03/11/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
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Lab Data:

Allergies: Poison ivy, bee stings.

Symptom List: Unevaluable event

Symptoms: Rash on and around injection site, slightly raised and itchy. Took benadryl, went away in 7 days.

Other Meds: Flovent, Flomax, Simvastatin, provigil "Modafinil", celais. Multiple vitamin, leutin, vitamin c, vitamin a, vitamin K-2, amino acids.

Current Illness: None

ID: 1091828
Sex: F
Age: 91
State: NE

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 03/11/2021
Hospital: Y

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

Lab Data:

Allergies: None, per son.

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

Symptoms: As reported by son and by DON of Medical Center: 02.06.2021 Son reports that patient had spoken with her daughter the morning of 02.06 via phone and that patient sounded fine. Patient's son tried to call her around 3:30 or 4 and there was no answer. Son called the facility where patient resided and staff went to check on her, where they found patient on the floor, conscious. Patient was communicating fine when they found her. It is unclear if she bumped her head when she fell, but patient deteriorated and was taken to ER where a CT was done and it was determined patient had a brain bleed as well as a UTI. Patient was admitted to hospital. Patient subsequently had a stroke while in hospital. Patient was discharged to rehab facility on 02.23.2021 and while she has regained the ability to walk with a walker and some use of her right hand, she remains unable to speak.

Other Meds: Aspirin 81 mg EC tablet, calcium carbonate-vitamin D3 600 mg, calcium 200 unit Cap, clopidogrel 75 mg tablet, desonide 0.05% cream, iosartan 50 mg, metroprolol 100 mg, multivitamin oral, pantoprazole 40 mg tablet, pravastatin 20 mg tablet,

Current Illness: UTI at time of admission to hospital on 02.06.2021

ID: 1091829
Sex: F
Age: 46
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: Penicillin

Symptom List: Injection site pain, Pain

Symptoms: 1. Severe body aches, pain all over body; fever for 24 hours 2. Soreness in left armpit, starting approximately two days after the injection and lasting approximately 5-7 days.

Other Meds: Magnesium and Vitamin D3 gummy vitamins

Current Illness: None

ID: 1091830
Sex: F
Age: 69
State: NJ

Vax Date: 02/17/2021
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: No

Symptom List: Injection site pain, Menorrhagia

Symptoms: On 2/20/2021 morning the tips of my fingers on both hands started tingling On 02/26/21, evenings the tips of my toes on both feet started tingling. The tingling sensation continues moves up . Today, 03/11/2021, my palms & the back of my hands & the first half of my soles have tingling sensation. I went to see my family doctor on 02/26/21. The doctor order the blood test and results was normal. Since the tingling sensation moved up , I went to urgent care on 03/08/2021. The doctor order a blood test and CAT scan for my head and asked me to go ER of nearby hospital to get further test . In the ER , the doctor ordered 2 MRI tests . One for head , the other for neck . The CAT scan and MRI test results can be obtained from doctor So far , I haven?t gotten any solution for the tingling sensation on my hands & feet

Other Meds: Atorvastatin

Current Illness: No

ID: 1091831
Sex: F
Age: 26
State: TX

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

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

Lab Data:

Allergies: Allergic to penicillin, and bar soap

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

Symptoms: Starting about 1 minute after vaccination I became extremely dizzy, blacked out/lost vision, had shortness of breath and a tight chest, lost feeling in my hand and fingers on my left side (the side I got the vaccine), was sweating but felt cold flowing through my body. These feelings lasted for about 30 minutes and my vision and feeling in my fingers and hand came back as the dizziness subsided and my body temp returned to normal. Around 40 minutes after the vaccine I started experiencing echoing in my left ear (the side I got the vaccine on) and soreness around the vaccination site. The echoing in my left ear lasted about 30 minutes and then subsided. The arm pain spread to the rest of my arm and I began to get a headache. About 4 hours after the vaccine I began to experience intense back, hip, foot and hand pain making me unable to do any regular activities. The back pain feels like intensely sharp pain in my spine and hurts to the gentle touch. I previously had no back pain prior to the vaccine. The muscles surrounding my spine up to my shoulders were also painful/sore. This pain subsided after 6 days. On about the 4th day after the vaccine I began experiencing underarm and breast pain on the side I got the vaccine. It is now exactly 1 week since my vaccination and I am still experiencing the underarm and breast pain. I have experienced lethargy since vaccination.

Other Meds: Propranolol Lamotrigine Trazodone Cambia

Current Illness:

ID: 1091832
Sex: F
Age: 75
State: IA

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

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

Lab Data:

Allergies: No known allergies

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Patient developed Right sided Bells Palsy 3 days after having COVID 19 vaccine. Patient continues to have symptoms on 03/11/2021.

Other Meds: Metformin, Atorvastatin, glimepiride and low dose ASA.

Current Illness: None

ID: 1091833
Sex: F
Age: 48
State: TX

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: Yellow cheese - hives.

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Angioedema of the right side of the patient's face from the inferior orbit down, sparing the upper lip, and involving the lower lip. Accompanied by numbness for a few hours which then subsided, with lingering tenderness upon palpation.

Other Meds: ACCU-CHEK AVIVA PLUS TEST STRP Strp atorvastatin (LIPITOR) 40 MG tablet BD ULTRA-FINE NANO PEN NEEDLE 32 gauge x 5/32" Ndle blood-glucose meter (GLUCOSE MONITORING KIT) kit FARXIGA 10 mg Tab insulin degludec (TRESIBA FLEXTOUCH U-200) 200 un

Current Illness: None.

ID: 1091834
Sex: F
Age: 71
State: NY

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

Symptoms: Patient reports that she experienced back pain, nausea, vomiting, chills, low grade fever within 24 hours of receiving the vaccine. Those symptoms did subside. Patient's husband called to report that after 5 days of having no symptoms on 03/11/2021 she has the same symptoms again of nausea, vomiting, back pain, fatigue, and weakness. I advised her husband to contact her primary care office to schedule an appointment.

Other Meds:

Current Illness:

ID: 1091835
Sex: F
Age: 63
State: MD

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

Vax Type:
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Lab Data:

Allergies: none listed

Symptom List: Nausea

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

Other Meds: none listed

Current Illness: not at time of vaccination

ID: 1091836
Sex: F
Age: 48
State: MS

Vax Date: 03/08/2021
Onset Date: 03/08/2021
Rec V Date: 03/11/2021
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Lab Data:

Allergies: Bactrim

Symptom List: Injection site pain

Symptoms: Fever of 101, shaking, chills, headache, joints hurt, sbody stiff, achy all over, fatigue, general not feeling well which all lasted 24 hours and began 12 hours exactly after shot, dizzy (vertigo) and nausea, fatigue, and headache, began 2 days after shot and is still on going

Other Meds: Metformin, lisinopril, protonix, actos, Lasix, vitamin D, elderberry, zinc

Current Illness:

ID: 1091837
Sex: M
Age: 79
State: FL

Vax Date: 03/09/2021
Onset Date: 03/10/2021
Rec V Date: 03/11/2021
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Allergies: Novocaine, Percocet, Ciprofloxacin, Tetracycline.

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

Symptoms: He woke up the next day after the vaccine he did not know where he was and was confused. He did not take his medications, did not remember to take it. He came out to his wife and she heard some noise and he looked over to the dog dish to refill it and didn't refill it as he usually does. Just a lot of forgetful things that he did. He had dizziness and was hanging on the door frame and went to bed, and told his wife that he did not know anything and did not know what he was doing. They took him to the doctor and was seen by the doctor who checked his VS and said that he was okay, and told them that he was having a reaction to the vaccine, and was starting to come around and remembering things while he was in the doctors office. They were advised to take him home and let him rest, and he did and didn't eat until last evening. He had the same reaction that he had when he had the COVID virus. He knew everything this morning and back to his baseline.

Other Meds: Digoxin, Lisinopril, Amlodipine, Atorvastatin, potassium, Furosemide, metformin, metoprolol, Eliquis, Sertraline, Metrocarbamol. Fish oil, vitamin C, vitamin E, vitamin B12, vitamin D, zinc, elderberry gummies.

Current Illness: None.

ID: 1091838
Sex: M
Age: 36
State: NC

Vax Date: 10/25/2020
Onset Date: 10/27/2020
Rec V Date: 03/11/2021
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Allergies: sulfa drugs

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

Symptoms: The patient received his Fluzone Quad vaccine on 10/25/20. On 10/27/20, 2 days after the vaccination, the patient exhibited a marked left-sided facial droop and oro-facial palsy that affected his speech. There was no pain reported. These changes were directly observed by me (father and clinical pharmacist), his mother ( nurse) and his step-mother (PhD genetic scientist). These symptoms were of new onset. He has no history of any reaction following previous childhood and adult vaccinations, including the 2019-20 Afluria Quad vaccination. He was seen by his primary care doctor on 10/29 and by that time, the facial symptoms had nearly completely resolved and his speech returned to his baseline. The provisional diagnosis was Bell's Palsy that resolved.

Other Meds: seroquel primidone fiber chewables zoloft

Current Illness: None

ID: 1091839
Sex: F
Age: 17
State: MN

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

Symptom List: Tremor

Symptoms: Patient is not 18 years old (COVID19 Moderna vaccine is recommended in the EUA for 18 years old and older). No adverse outcomes. Patient's mother accompanied her at the vaccination clinic and gave verbal consent.

Other Meds: Not known

Current Illness: None Listed

ID: 1091840
Sex: F
Age: 69
State: FL

Vax Date: 03/09/2021
Onset Date: 03/10/2021
Rec V Date: 03/11/2021
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Lab Data:

Allergies: TAPE, PENICILLIN, COPPER

Symptom List: Erythema, Pruritus

Symptoms: PATIENT DEVELOPED SKIN RASH AND ITCHINESS INVOLVING ARMS AND LEGS FOLLOWING DAY OF THE VACCINE. STARTED IN ANTIHISTAMINES FOR RASH AND ITCHINESS.

Other Meds: GLIPIZIDE 10MG, ASPIRIN 81 MG, METOPROLOL 25MG, METFORMIN 1000MG, LOVASTATIN 20MG, LISINOPRIL 40MG, OMEPRAZOLE 20MG

Current Illness: NONE

ID: 1091841
Sex: M
Age: 22
State: CA

Vax Date: 03/09/2021
Onset Date: 03/10/2021
Rec V Date: 03/11/2021
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Allergies: None

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

Symptoms: The patient was given the vaccine at 1200 noon on 3/9/21 The patient reports left side facial swelling and upper lip swelling. The patient was prescribed benadryl 25 mg 1 tab po q 6 hours The patient was instructed on using a cool pack The patient was instructed on 911 precautions for worsening swelling of face, lips tongue or throat or shortness of breath or trouble breathing

Other Meds: None

Current Illness: Not Applicable

ID: 1091842
Sex: F
Age: 73
State: WI

Vax Date: 03/09/2021
Onset Date: 03/09/2021
Rec V Date: 03/11/2021
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Lab Data:

Allergies: unknown

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

Symptoms: When administering vaccine into right arm resistance was met and only 0.2 ml of vaccine was able to be injected. Upon speaking to the patient, she reported that she does get bi-weekly haldol injections in that arm. Per cdc recommendations, dose was repeated in opposite arm and full dose was given.

Other Meds: unknown

Current Illness: unknown

ID: 1091843
Sex: F
Age: 42
State: IL

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

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: employee received covid vaccine in Lt deltoid. Soon after developed red itchy rash. Given 25 mg Bendadryl orally. C/o feeling dizzy and pins and needles in extremities. Given Benadryl 25mg and Solumedrol 125mg IVP. Monitored until 2:45 pm. Symptoms subsided and patient was discharged home. Followed up same evening and next day. Patient stated by the next day symptoms were gone.

Other Meds:

Current Illness:

ID: 1091844
Sex: M
Age: 62
State: NY

Vax Date: 03/06/2021
Onset Date: 03/06/2021
Rec V Date: 03/11/2021
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Allergies: codeine metoprolol

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

Symptoms: Within 1 minute of vaccine being injected. I started to feel dizzy. I was wheeled in wheelchair to observation area. I kept feeling more dizzy and started to feel tingly in my fingers and legs (both sides equally) After 15 minute observation time was over, I tried to stand up and immediately sat down again as a wave of dizziness hit me. Doctor in observation area saw me and came over. I told him how I felt. He put his fingers to my wrist and felt my pulse. It was initially between 40 and 90, then steadied off around 90-100. He called for EMTs on duty to come over with a stretcher because he thought I should be laid flat. The EMT took my blood pressure and it was 155/94. The doctor said at one point my pulse was thready. By this point the dizziness was stronger and I felt tingly in my teeth as well as other areas. I was asked about my breathing and I said that it was okay. An ambulance was called for and arrived. I don't remember the exact time. The moved me from the wheelchair to a stretcher. I could not stand up on my own and lurched toward the stretcher. I am grateful strong people were there to get me on stretcher and strapped in. All throughout this my normally barely noticeable Atrial Fibrillation was quite apparent and more erratic. This was a major reason for ambulance call. Some of the stroke protocol was done including gripping EMT's fingers equally and following his finger with my eyes. I was very cold throughout. I was brought to the waiting ambulance outside and driven to Medical Center. The EMT took an EKG which showed atrial fibrillation and a line was put into my arm. When we got to the hospital, I was brought into the triage area and had all my vitals taken. Blood pressure was high, so was pulse then for a half hour, I was very hot and sweated a lot after being cold.

Other Meds: Duloxetine HCL DR 60 mg in am, 30 mg in pm Eliquis 5 mg 2x daily Myrbetriq ER PM 50 mg in pm Vitamin D2 1.25 mg 2x weekly Diltiazem 24H ER 180 mg 2x daily Oxcarbazine 150 mg 2x daily Magnesium Oxide 400 mg 2x daily Potassium CL ER 20 MEQ Ta

Current Illness:

ID: 1091845
Sex: F
Age: 63
State: TN

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

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

Symptoms: Pfizer was administered as 1st dose Moderna was administered as the 2nd dose Reported no symptoms except sore arm

Other Meds:

Current Illness:

ID: 1091846
Sex: F
Age: 51
State: IL

Vax Date: 03/03/2021
Onset Date: 03/11/2021
Rec V Date: 03/11/2021
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Allergies: N/A

Symptom List: Pain in extremity

Symptoms: 1 inch by 1 inch size red shaped circle rash at the injection site. From what I can tell it is what is being referred to as Moderna Arm or Covid Arm. I feel an occasion itch every few hours out of the blue, but other than that , I do not even know it is there.

Other Meds: B-2, Magnesium, Vitamin D3, Quercetin, Optimal Omega, Non- dairy pro-biotic, topiramate, zyrtec (otc), Nexium (otc) Sertraline, Woman's Daily multi- vitamin, Qunol, Daily Defense, zinc lozenges

Current Illness: None

ID: 1091847
Sex: F
Age: 78
State: CA

Vax Date: 03/09/2021
Onset Date: 03/10/2021
Rec V Date: 03/11/2021
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Allergies: sulfa, amoxicillin

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

Symptoms: Severe body aches, chills, fever, backache, unable to lift R arm

Other Meds: omeprazole

Current Illness: none

ID: 1091848
Sex: F
Age: 67
State: MA

Vax Date: 03/11/2021
Onset Date: 03/11/2021
Rec V Date: 03/11/2021
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Allergies: Aleve, Chantix, Erythromycin, Macrolide antibiotics, Ciprofloxacin, Wellbutrin, Zantac

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

Symptoms: increased cough, difficulty breathing, anaphylaxis; received IM EpiPen, IM Benadryl, and IV Solumedrol 125mg Symptoms improved; did not need repeat Epi dosing. did not receive Famotidine because has documented allergy to Ranitidine.

Other Meds: Advair HFA 115/21, Albuterol, Flonsae, Synthroid, Prilosec, Zocor, Trazodone, Venlafaxine ER, EpiPen, Tylenol.

Current Illness: COPD exacerbation

ID: 1091849
Sex: M
Age: 61
State: CA

Vax Date: 03/04/2021
Onset Date: 03/06/2021
Rec V Date: 03/11/2021
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Allergies: NKDA

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

Symptoms: On Saturday he felled very tired, Monday experienced tongue numbness, and Monday experienced loss of taste.

Other Meds: Metformin

Current Illness: U/K

ID: 1091850
Sex: F
Age: 81
State: CA

Vax Date: 02/22/2021
Onset Date: 02/23/2021
Rec V Date: 03/11/2021
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Allergies: Codeine and epinephrine sensitivities

Symptom List: Vomiting

Symptoms: See item 11

Other Meds: Multivitamins, magnesium, zinc, CBD oil, collagen protein,

Current Illness: I was exposed to Poison Oak on Feb 15. After my second dose on Covid-19 vaccination on February 22, a "severe" rash spread over my head, neck, belly, sides and upper thighs. Prescription steroid topicals did nothing. I saw a dermatologist on Feb 24 who gave me a shot of cortisone. The rash continued to spread. After another week he put me on oral steroids 15 mg. Now I have tapered off to 5 mg per day and the rash is fading slowly. I have been exposed to poison oak dozens of times in the past without any reaction. I believe that the severity and persistence of this rash are the result of my having had covid-19 in March 2020 and of this exposure occurring between the two doses of the vaccination.

ID: 1091851
Sex: F
Age: 37
State: NY

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

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Lab Data:

Allergies:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Pt. rec'd first vaccine on 01/11/2021. Returned for 2nd dose on 02/05/2021. Pt. reported swelling of face, eyes, lips and tongue, and hives. Did not receive 2nd shot. Referred to allergist for f/u.

Other Meds:

Current Illness:

ID: 1091852
Sex: F
Age: 74
State: NY

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 03/11/2021
Hospital:

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Lab Data:

Allergies: Occasional hives from food

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

Symptoms: 1st Dose: just felt exhausted the next day, with sore arm for a few days. 2nd Dose: Bad reactions. Started with chills during the night. Next day, Saturday, woke with bad headache that lasted all day. Very nauseous and unable to eat. Started vomiting in the evening. Felt better on Sunday, but felt nauseous Monday through Wednesday. Then my head started itching. By Thursday, 6 days after the vaccination, I had large hives on my head, armpits, around the edges of my breasts, down my stomach, and around my groin. They emerged for about a week, seeming to follow my lymph nodes. Also had a couple on each arm, back, neck and rear end. The hives looked like mosquito bites, most about 1/4", two on my stomach were 1/2".

Other Meds: metoprolol, Centrum Senior multivitamin, B12, D3, Prilosec

Current Illness: None

ID: 1091853
Sex: M
Age: 62
State: MI

Vax Date: 01/31/2021
Onset Date: 01/31/2021
Rec V Date: 03/11/2021
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Allergies: penicillin

Symptom List: Injection site swelling, Limb discomfort

Symptoms: I received my second shingle shot Sunday at 4PM. I started feeling some effects within the hour. By midnight I started trembling severely with the chills even though I was under a feather comforter, a wool blanket, a polar tech blanket and I had my mattress heater on the highest setting. I shook severely for three hours. I did manage to get up at about 4:00 a.m. to get a glass of water but then I could not get up again until 1:30 p.m. Monday. Then it took about 2 hours for me to not feel as if I was going to pass out when I walked for more than say 10 ft. and nearly lost continuous even after I sat down, unable to stand for ten to fifteen minutes with my head flat on the kitchen table before I could reattempt walking. I went back to bed at 8:30 p.m. Monday and I slept for 11 hours. The chills returned as I slept to a lesser degree. I had no more chills after this, however, it took four or five days before I returned to relatively normal activity.

Other Meds: Lipitor 40MG, COQ10, fish oil, low dose aspirin, glucosamine chondroitin, probiotic, multi vitamin.

Current Illness: none

ID: 1091854
Sex: F
Age: 65
State: NC

Vax Date: 03/06/2021
Onset Date: 03/07/2021
Rec V Date: 03/11/2021
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Allergies: Allergic to Penicillin, dust, animal dander, mold, MSG

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

Symptoms: 12 hrs. after 1st vaccine, woke up with body aches and headache, feeling like I had the flu. This all passed after 3 hrs. 13 hrs. after 2nd vaccine, woke up at 4:00 a.m., with sever body aches all over, slight fever, headache, severe tiredness, and general feeling sick, like I had the flu. Took Tylenol, went back to bed, and slept 24 hrs,, then woke up feeling somewhat like I had a hangover, but as the day progressed, felt back to normal. Small price to pay to get vaccinated!!!!

Other Meds: Manuka honey, Zyrtec, Vitamin D, Multi-vitamin; Zinc Picolinate

Current Illness: Allergies & Hayfever

ID: 1091855
Sex: F
Age: 40
State:

Vax Date: 02/28/2021
Onset Date: 03/04/2021
Rec V Date: 03/11/2021
Hospital:

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Allergies: Nuts

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

Symptoms: Vertigo for almost 2 weeks, fullness in ear and sinus

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 704,237

Page last modified: 26 October 2021 2:21am