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
47,267
AK1,353
AL3,427
AR2,259
AS40
AZ10,078
CA43,161
CO8,304
CT5,512
DC1,115
DE1,165
FL23,122
FM3
GA9,144
GU61
HI1,555
IA3,391
ID1,865
IL14,028
IN19,656
KS3,249
KY4,352
LA3,157
MA10,522
MD8,957
ME2,315
MH7
MI12,530
MN8,394
MO6,483
MP15
MS1,673
MT1,697
NC10,810
ND941
NE2,065
NH2,287
NJ11,379
NM2,735
NV2,759
NY23,292
OH13,136
OK4,571
OR6,158
PA15,931
PR1,547
QM1
RI1,544
SC4,080
SD857
TN5,904
TX22,832
UT3,061
VA10,578
VI34
VT1,327
WA10,495
WI7,789
WV1,664
WY622
XB5
XL1
XV2

ID: 1109529
Sex: M
Age: 31
State: OR

Vax Date: 03/15/2021
Onset Date: 03/16/2021
Rec V Date: 03/17/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Stinging feeling in my left eye lid and face. Progressively got worse. Change in feeling and temperature on the left side of the face between my eyebrows and chin.

Other Meds:

Current Illness:

ID: 1109530
Sex: M
Age: 71
State: CO

Vax Date: 03/05/2021
Onset Date: 03/06/2021
Rec V Date: 03/17/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Extremely sore/painful arm the next day after the shot. Pain still there the following day but much improved. Fatigue to the point of sleeping most of the next day.

Other Meds: Tart Cherry extract

Current Illness: none

ID: 1109531
Sex: F
Age: 71
State: ME

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: 8 hrs after shot got sore joints, bones, and muscles, head ache, chills, fever up to 101. Fever broke 8 am the next morning. Soreness for the next 2 days. tired for 4 days.

Other Meds: Vitamin D Lorazopam 1 mg Roprinirole .5 mg Lisinopril 5 mg Rosuvastatin 40 mg

Current Illness: None

ID: 1109532
Sex: M
Age: 39
State: TX

Vax Date: 02/25/2021
Onset Date: 03/10/2021
Rec V Date: 03/17/2021
Hospital:

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

Lab Data:

Allergies: Gentamicin

Symptom List:

Symptoms: Noticeable itchy, red rash grew from upper arms to lower arms. Had to see doctor since it became uncontrollably itchy even with using skin cream.

Other Meds: Levothyroxin, Descovy, Finasteride, Eliquis

Current Illness: N/A

ID: 1109533
Sex: M
Age: 70
State: GA

Vax Date: 02/15/2021
Onset Date: 03/16/2021
Rec V Date: 03/17/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Hospitalized testing positive for COVID-19 after 2 doses

Other Meds:

Current Illness:

ID: 1109534
Sex: F
Age: 49
State: PA

Vax Date: 03/17/2021
Onset Date: 03/17/2021
Rec V Date: 03/17/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Within a few minutes of receiving her vaccine, the patient reported feeling warm and light headed. Her blood pressure was 67/48 initially. We gave her a cold pack to place on her neck/face and continued to monitor her bp every 5 minutes. Each bp reading was higher than the last (98/62, 126/77, 116/83). After the fourth bp reading, the patient reported that she felt well enough to go home and she left.

Other Meds:

Current Illness:

Date Died: 03/11/2021

ID: 1109535
Sex: M
Age: 78
State: TN

Vax Date: 02/26/2021
Onset Date: 03/10/2021
Rec V Date: 03/17/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: My Father had a hemorrhagic stroke. He passed away 13 days after receiving the second Modern?s vaccine.

Other Meds: Don?t know the prescriptions being taken

Current Illness: Not aware of any

ID: 1109536
Sex: M
Age: 69
State: CA

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Lost balance and fell on left side. Alert and oriented x 3. BP 140/77 (pulse 92).

Other Meds:

Current Illness:

ID: 1109537
Sex: F
Age: 58
State: TN

Vax Date: 03/17/2021
Onset Date: 03/17/2021
Rec V Date: 03/17/2021
Hospital:

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

Lab Data:

Allergies: nsaids ativan

Symptom List:

Symptoms: SEVERE RIGHT ARM PAIN AND INTO SHOULDER. SWELLING AT INJECTION SITE. PAIN TO EVEN TOUCH MY ARM AT SITE.

Other Meds: Pepsi's bupropion levothyroxine escitalopram

Current Illness: IV IRON INFUSION PATIENT AT CANCER CENTER ALL THREE TYPES ANEMIA SEVERE IRRITABLE BOWEL SEVERE WEIGHT LOSS CONTINUES DUE TO STOMACH THYROID DISEASE

ID: 1109538
Sex: M
Age: 70
State: NY

Vax Date: 03/15/2021
Onset Date: 03/17/2021
Rec V Date: 03/17/2021
Hospital:

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

Lab Data:

Allergies: NONE

Symptom List:

Symptoms: I had a horrid reaction to my second covid shot. I got it on Monday 3/15 and was fine Tuesday. I even walked for an hour on he beach with the dogs so I said ?this wasn?t that bad? ON THE MORNING OF 3/17. I woke up about 3 AM with a fever OF 104 and basically an inability to stand. I tried to get ofF the bed to go pee and fell to the floor from which I could not get up as I had no muscle control or ability to lift myself uo and using a small ladder t took a long time for me to be able to manage to get on my feet with my wife assistance. On the way to the bathroom i banged into walls almost falling again. told me later I looked as though I had a stroke. I made it back to bed and my temp was 104. Then 20 minutes later the process started all over again it?s me falling to the floor and not being able to get up. This time when i was finally and my O2 at 80 heart rate 112 was able to get up after about 7 tries I again walked into walls making it to the bathroom. This whole process happened one more time but this time i took a cool shower to cleanup and get my temp down. Got back to bed and took a Vicodin along with two Advil. I woke up at 10 am. No fever, able to stand and walk no problem I sure hope this is over. but tonight will tell. form Item below is checked patient died and there was no death

Other Meds: OZEMPIC, FARXIGA, GLYPIZIDE, SERTRALINE, LOSARTIN, HYDROCODONE

Current Illness: NONE

ID: 1109539
Sex: F
Age: 53
State: IN

Vax Date: 03/12/2021
Onset Date: 03/13/2021
Rec V Date: 03/17/2021
Hospital:

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

Lab Data:

Allergies: (possible Augmentin allergy)

Symptom List:

Symptoms: While lying in bed, I started to experience severe chills that made my entire body convulse violently, My right arm, for instance, was shaking back and forth about 3 inches. M legs were involved, tensing up and shaking as well. The symptoms resolved in about 15 min. as I focused on relaxed breathing and held a heating pad against my body. The following day, my legs felt very weak (as I would have expected.) I did not seek medical treatment, since the episode had ended.

Other Meds: Levothyroxine Elderberry w C and D

Current Illness:

ID: 1109540
Sex: M
Age: 52
State: NJ

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

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

Lab Data:

Allergies: Roxicet, Cefzil, Metronidazol, ZPAC, Levaquin, Deoderant

Symptom List:

Symptoms: Moderna COVID-19 Vaccine EUA was given to the left arm on 3/11/21. Developed a mild/moderate rash on the left forearm on 03/16/21, which was 5 days after the shot was administered. Started treating it with topical Hydrocortisone cream on 3/16/21. By the next day 3/17/21, the rash looked much better (mild), but is still visible.

Other Meds: Rosuvastatin, Esomeprazole

Current Illness:

ID: 1109541
Sex: M
Age: 47
State: TX

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

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Fever and chills 9 hours after Ibuprofen taken within 2hours and fever broke by 2am and was completely fine to work the next morning They requested feedback so this may qualify as anticipated reaction and not adverse but I wanted to give feedback as I know many people will not

Other Meds: Lowest dose blood pressure medication (Iberspart?) something

Current Illness: none

ID: 1109542
Sex: F
Age: 54
State: OK

Vax Date: 03/17/2021
Onset Date: 03/17/2021
Rec V Date: 03/17/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Patient fainted about 5 minutes after receiving immunization. Patient came to with in a minute of fainting and felt fine shortly after.

Other Meds: cymbalta, tramadol, anaprox

Current Illness:

ID: 1109543
Sex: F
Age: 17
State: CA

Vax Date: 03/17/2021
Onset Date: 03/17/2021
Rec V Date: 03/17/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Medication error. LVN gave vaccine to 17 year old female patient. Pt didn't have any reaction to vaccine during 15 minute observation

Other Meds:

Current Illness:

ID: 1109544
Sex: M
Age: 24
State: OH

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Pt. became pale & diaphoretic post vaccination. Also c/o nausea. VS @ 08:44AM BP: 80/40, HR 59, OxSat. 99%. VS @ 08:46AM BP 131/87, HR 66. VS @ 08:51AM BP 134/84. VS @ 09:02AM BP 134/68, HR 67. VS @ 0904AM BP 159/86. Pt recover from the adverse event.

Other Meds: None

Current Illness: None

ID: 1109545
Sex: F
Age: 51
State: TN

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 03/17/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: I received the first dose of the Pfizer vaccine on February 25, 2021 at approximately 9:30 AM. About 2 hours later I began to sneeze quite frequently. About 3 1/2 hours after the shot hives began to break out on both my hands. Later, during the early evening hours I began to sneeze more rapidly and repeatedly. I also began blowing my nose repeatedly due to the massive amount of mucous my body was producing. I became very sick with a cold and stayed in the bed Friday (2-26-2021) through Monday (3-1-21). I also began breaking out in hives on the back of my neck in patches and individual hives over various parts of my body. I went to a Medical clinic on Tuesday (3-2-21) and was given Zyrtec. Feeling much worse the next day (3-3-21) I went to the Medical clinic and received a COVID test (both the rapid and PCR tests were negative. I was prescribed cough medicine and given a steroid shot. My symptoms persisted after this visit and did not get better. Particularly, my cough became extremely bad. I coughed so much my throat became sore from the coughing and became nauseated. Also, a patch of hives had surfaced under my chin. I returned to the Medical clinic on March 12th. I was given a COVID rapid test and a Flu test. Both were negative. The chest x-ray was also clear. I was prescribed the following medications during the March 12th visit: Albuterol Sulfate Inhaler, Azithromycin pack, Virtussin cough medicine, and sudafed. My symptoms subsided somewhat, but the cough remained relentless. I want to a Primary Care Physician on March 16th and was prescribed a Methylprednisolone (6-day steroid) pack. I also made an appointment to see an Allergist. I was diagnosed with Asthma and was prescribed Symbicort, fluticasone, and levocetirizine. The Allergist advised that I continue with the steroid pack as well. Please note, I have never been diagnosed with or suffered from allergies or asthma prior to taking the vaccine shot.

Other Meds: Synthroid 75, Vitamin D 50,000, Hair Vitamin, Fish oil

Current Illness: None

ID: 1109546
Sex: M
Age: 53
State: VT

Vax Date: 03/05/2021
Onset Date: 03/07/2021
Rec V Date: 03/17/2021
Hospital:

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

Lab Data:

Allergies: Allergic to Raw fish

Symptom List:

Symptoms: The 2nd day after the shot the Lymphnode on the left side of my neck began to swell. 5 days later it was the size of a baseball and was sensitive to the touch. Currently it is about the size of a golfball.

Other Meds: None

Current Illness: Strep throat 3 weeks prior

ID: 1109547
Sex: F
Age: 48
State: KS

Vax Date: 03/17/2021
Onset Date: 03/17/2021
Rec V Date: 03/17/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Vaccine given at 3:14 pm, She fainted for 10 seconds then vomited twice. 3:18 pm Pulse: 60, SPO2: 96, 3:20 pm BP 88/56 Left Arm, 3:21 pm BP 87/67 Right Arm

Other Meds: Sertraline 150 mg daily, Trazodone 50mg HS, Montelukast 10mg HS

Current Illness: Asthma

ID: 1109548
Sex: F
Age: 40
State: VA

Vax Date: 03/17/2021
Onset Date: 03/17/2021
Rec V Date: 03/17/2021
Hospital:

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

Lab Data:

Allergies: bee allergy, dust allergy

Symptom List:

Symptoms: Moderate to significant muscle aches in entire body started to develop about 7 hours after the vaccine. Mild headache and moderate mental fogginess started about 8 hours after receiving the vaccine.

Other Meds: Silenor

Current Illness: none

ID: 1109549
Sex: F
Age: 51
State: IN

Vax Date: 03/13/2021
Onset Date: 03/14/2021
Rec V Date: 03/17/2021
Hospital:

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

Lab Data:

Allergies: None known

Symptom List:

Symptoms: I got severe headache and very stiff neck especially where neck is at base of skull

Other Meds: 300 mg Bupropion, 88 mcg Levothyroxine, 40 mg Nexium, 40 mg valsartan

Current Illness: None

ID: 1109550
Sex: F
Age: 20
State: TX

Vax Date: 03/04/2021
Onset Date: 03/11/2021
Rec V Date: 03/17/2021
Hospital:

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

Lab Data:

Allergies: Augmentin

Symptom List:

Symptoms: 1 week after recieving the first shot of the Moderna vaccine, I bumped my right arm about 2 inches below the injection site. Throughout the course of the day, my arm progressively became swollen and sore, to the point where I couldn't move it much or sleep on it. The next day it got progressively better on its own, and then I began taking an antibiotic prescribed by my doctor that helped it heal the rest of the way. I'm not positive if the rest of the healing was on its own, or directly because of the antibiotic.

Other Meds: Buproprion, Buspirone, fiber, probiotics

Current Illness: N/A

ID: 1109551
Sex: F
Age: 39
State: GA

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

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

Lab Data:

Allergies: Ibuprofen Sulfa drugs

Symptom List:

Symptoms: 7 days after injection I have a rash at the injection site. The area is swollen and warm to the touch and is itchy. There is dull pain at the site and sharper pain in the armpit of the same arm.

Other Meds: Birth control pill Allegra

Current Illness: Seasonal allergies

Date Died: 03/11/2021

ID: 1109552
Sex: F
Age: 82
State: OR

Vax Date: 03/06/2021
Onset Date: 03/06/2021
Rec V Date: 03/17/2021
Hospital: Y

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

Lab Data:

Allergies: Unknown

Symptom List:

Symptoms: Family call Clinical Lead to car for elderly woman in backseat of car who had become unresponsive. Patient lying on side. Wearing portable NC o2. Unresponsive to verbal/sternal rub. No pulse, No resps. Called AMR to car side who called 911. Transferred patient to a gurney and began CPR as we transferred to AMR rig. EKG - showed PEA - CPR continued - patient intubated by AMR - epi is given. Pt transported by AMR/Fire to hospital. Pt was a full code on Hospice - she passed away 3/11/21 with the following cause of death: 1.Acute-on-chronic hypoxemic/hypercarbic respiratory failure, multifactorial in origin. 2. Possible aspiration pneumonia, present on admission. 3. Bronchiectasis, chronic, secondary to asbestosis. 4. Acute combined metabolic and toxic encephalopathy, present on admission. 5. Out of hospital pulseless electrical activity arrest. 6. Hyperkalemia. 7. Cardiogenic shock. 8. Acute kidney injury. 9. Lactic acidosis. 10. Acute diastolic congestive heart failure. 11. Severe protein-calorie malnutrition.

Other Meds: Unknown

Current Illness: PMHx: 02 use for chronic pneumonia and Ascending Aortic Aneurysm - on Hospice Full Code

ID: 1109553
Sex: F
Age: 51
State: IN

Vax Date: 03/11/2021
Onset Date: 03/15/2021
Rec V Date: 03/17/2021
Hospital:

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

Lab Data:

Allergies: Shellfish (shrimp), gabapentin

Symptom List:

Symptoms: Headache, brain fog, extremely tired, body aches

Other Meds: Flint stones multi-vitamin, iron, vitamin B12, baby aspirin

Current Illness: None

ID: 1109554
Sex: M
Age: 69
State: CO

Vax Date: 02/26/2021
Onset Date: 03/13/2021
Rec V Date: 03/17/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: On March 13, I woke with a headache, a sinus pain, and generally feeling exhausted and groggy. This persisted through Sunday. On Tuesday March 16 I awoke and could not focus my eyes: I was seeing double. This got better during the course of the day but I could not work on my computer. On Wednesday March 17, I woke with double vision again. During the day I gradually became able to focus if I looked at an object, but as soon as I move my eyes, it was back to double vision. I felt much better physically that day.

Other Meds: Lisinopril, Hydrochorothiazide, Metformin, Januvia, Allopurinol, Metprolol, Actos, Low-dose aspirin, Senior 1-a-day supplement

Current Illness: None

ID: 1109555
Sex: M
Age: 35
State: OR

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 03/17/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Flu shot reaction, "loss of feeling in right hand" Visable skin irratation and bruising ongoing since 1/7/21 noted on 1/28/21 in medical chart. Patient seen again on 3/9/21 - "Has noticed ongoing numbness/tingling in R arm, specifically in R hand in a glove distribution. Intermittent and less frequent than it was before. Pins and needles in R hand after surf trip last week." Is improving so will wait and see. Home PT prescribed along with NSAIDS.

Other Meds:

Current Illness:

ID: 1109556
Sex: M
Age: 56
State: NY

Vax Date: 03/04/2021
Onset Date: 03/13/2021
Rec V Date: 03/17/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Red rash on arm and slight swelling

Other Meds: Took ibuprofen at night on the day I got vaccinated

Current Illness:

ID: 1109557
Sex: F
Age: 65
State: MD

Vax Date: 02/02/2021
Onset Date: 02/10/2021
Rec V Date: 03/17/2021
Hospital:

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

Lab Data:

Allergies: scallops

Symptom List:

Symptoms: Burning eyes & swollen eyelids, numbness in left temple, pain in left jaw, swelling in left cheek & around eyes, numbness in chin

Other Meds: multi-vitamins, ibuprofen

Current Illness: none

ID: 1109558
Sex: F
Age: 49
State: PA

Vax Date: 03/10/2021
Onset Date: 03/15/2021
Rec V Date: 03/17/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Painful lymph nodes and very itchy at shot site. Swollen hot and slightly painful and red

Other Meds: Premarin baby aspirin two kinds of blood pressure medication allergy pill

Current Illness: None

ID: 1109559
Sex: F
Age: 51
State:

Vax Date: 03/12/2021
Onset Date: 03/14/2021
Rec V Date: 03/17/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: The two days immediately following the second dose, I felt general malaise and was lethargic despite having an extremely sore arm at the injection site. I could not raise my arm above my head without pain. COVID arm appeared two days after the second dose. It covered about a three inch diameter. (I previously developed COVID arm nine days after the first shot in my other arm.) My digital thermometer read 97 degrees on my forehead and 100 degrees F on my injection site. I put an ice pack on my arm to alleviate some of the pain, heat and redness. On the fifth day after the vaccination, the COVID rash subsided.

Other Meds: Women's multivitamin

Current Illness: none

ID: 1109560
Sex: F
Age: 33
State:

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Itchiness and rash close to the injection site.

Other Meds:

Current Illness:

ID: 1109561
Sex: F
Age: 35
State: KY

Vax Date: 03/08/2021
Onset Date: 03/16/2021
Rec V Date: 03/17/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: One week after receiving the vaccine my arm turned red around the injection site. It is hot to the touch and itches.

Other Meds: None

Current Illness: None

ID: 1109562
Sex: M
Age: 36
State: FL

Vax Date: 03/17/2021
Onset Date: 03/17/2021
Rec V Date: 03/17/2021
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Symptoms: Mild dizziness and nausea

Other Meds: Multivitamin, probiotics, CLA, apple cider vinegar gummies

Current Illness:

ID: 1109563
Sex: M
Age: 66
State: IN

Vax Date: 03/16/2021
Onset Date: 03/17/2021
Rec V Date: 03/17/2021
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Allergies: Penicillin

Symptom List:

Symptoms: Fever, chills and light-headedness

Other Meds: Multivitamin

Current Illness: None

ID: 1109564
Sex: F
Age: 32
State: CA

Vax Date: 03/03/2021
Onset Date: 03/13/2021
Rec V Date: 03/17/2021
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Symptoms: Symptoms of Shingles started to developed on March 13. Virtual visit doctor confirmed it is Shingles and prescribed Valacyclovir HCL 1 Gram Tablet to take 1 table 3 times a day for 7 days. As of today, the symptoms are not better yet.

Other Meds:

Current Illness:

ID: 1109565
Sex: M
Age: 77
State: ME

Vax Date: 03/12/2021
Onset Date: 03/13/2021
Rec V Date: 03/17/2021
Hospital: Y

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Allergies: levetiracetam

Symptom List:

Symptoms: Symptoms began the day after the patient received the second shot. He was very tired and weak. By the afternoon, he was so weak he could not lift himself out of the chair. Even with the help of another person, he was too weak to stand. I called for emergency help. He had a fever of 101, was vomiting, very disorientated, confused, could not understand what people were saying to him. At the hospital he continued to feel disorientated, had nausea, dizzyness, a headache, a fever of 104, was dehydrated. He was admitted to hospital and spent one night. Once home, he has begun to regain strength and other symptoms have diminished. Four days after coming home he is feeling stronger and more back to normal.

Other Meds: Apixaban, rosuvastatin. metformin, multi-betic vitamins, asperin 81, metoprolol tartrate, citalopram, lantus solostar insulin glargine injection

Current Illness: none

ID: 1109566
Sex: F
Age: 73
State: CA

Vax Date: 03/17/2021
Onset Date: 03/17/2021
Rec V Date: 03/17/2021
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Allergies: NKDA

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Symptoms: 3:56pm- 71/F in post vaccination area witnessed multiple episodes of vomiting yellow emesis. Appears diaphoretic, initial BP 220/110, HR 110. O2 95%, RR 22. Pt received the vaccine at 3:46pm. She denies blurred vision, no headache, no chest pain or SOB. Denies abdominal pain but her daughter states she recently had a hernia repair and has had issues with cyclic vomiting induced with certain foods or stress, which her doctors are monitoring her for. Her daughter states she was feeling sick before she got her vaccine. Patient states she took her morning medication at 7am, had some breakfast at 10am and states she feels it was some pineapple she ate that caused her to start feeling nauseous. She adds that she is taking several blood pressire medications but when she begins to vomting her blood pressure "gets really high." Pt is AOx4, able to speak in clear complete sentences. 4:05pm- BP 210/120, HR 82, 97%, RR 24. Pt continues to vomit intermittently but states she is starting to feel better. Onsite nurse manager, lead and site lead aware. EMS services requested. 4:10pm- BP 191/100, HR 86, 96%. No vomiting witnessed. 4:14pm- Ems arrives on scene. BP sitting 156/91, standing 140/92. Pt states she feels better. Parameduc offers to transfer her to the hospital but patient declines. Her daughter is at side and she states she would rather her daughter take her home since she is feeling better. Educated regarding when to seek medical attention. Pt AOx4, resp even, skin warm and dry, not actively vomiting, speaks in clear complete sentences. Assisted to POV via wheelchair. Pt in no apparent distress.

Other Meds: amlodipine, Carvedilol, unsure of 3rd med

Current Illness: Post sx vomiting (hernia repair) only occurs intermittently but no fever, URI or respiratory illness

ID: 1109567
Sex: F
Age: 50
State: HI

Vax Date: 03/03/2021
Onset Date: 03/04/2021
Rec V Date: 03/17/2021
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Allergies: none

Symptom List:

Symptoms: daily headache and muscle ache

Other Meds: metoprolol 50 mg, methimazole 10 mg., multi vitamins, vit. c &d

Current Illness: none

ID: 1109568
Sex: F
Age: 38
State: MO

Vax Date: 03/10/2021
Onset Date: 03/17/2021
Rec V Date: 03/17/2021
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Allergies: None

Symptom List:

Symptoms: Large red rash about 3 inches in diameter around the shot site.

Other Meds: None

Current Illness: None

ID: 1109569
Sex: F
Age: 56
State: TX

Vax Date: 03/15/2021
Onset Date: 03/16/2021
Rec V Date: 03/17/2021
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Allergies: none

Symptom List:

Symptoms: patient experiencing body pain, chills , headache, fatigue, chest congestion

Other Meds: vitamin c

Current Illness: none

ID: 1109570
Sex: M
Age: 50
State: NJ

Vax Date: 03/17/2021
Onset Date: 03/17/2021
Rec V Date: 03/17/2021
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Symptoms: Tinnitus , left ear. Sudden onset

Other Meds: Lamictal Seroquel

Current Illness:

ID: 1109571
Sex: M
Age: 32
State: NJ

Vax Date: 03/17/2021
Onset Date: 03/17/2021
Rec V Date: 03/17/2021
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Allergies: NKDA Patient reported no prior history of issues with vaccines

Symptom List:

Symptoms: PATIENT REPORTED TO PHARMACY FOR 1ST COVID VACCINE. PATIENT REPORTED NKDA & NO PRIOR ADVERSE EVENTS WITH VACCINE. PATIENT STAYED FOR MONITORING AND PASSED OUT WITHIN 15 MINUTES OF VACCINE ADMINISTRATION. PATIENT WAS FOUND LYING FACE DOWN. EMERGENCY PERSONNEL WERE CONTACTED IMMEDIATELY. PATIENT WAS ABLE TO BE ROUSED QUICKLY. EMTS EVALUATED PATIENT ON ARRIVAL AND PATIENT DECLINED FURTHER MEDICAL CARE. PHARMACY OFFERED TO CALL FAMILY FOR THE PATIENT AND TO ESCORT THE PATIENT OUT. PATIENT DECLINED.

Other Meds: Sertraline

Current Illness:

ID: 1109573
Sex: F
Age: 55
State: TX

Vax Date: 03/05/2021
Onset Date: 03/09/2021
Rec V Date: 03/17/2021
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Allergies: None

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Symptoms: 2ND Maderna injection Friday, March 5, 2021. Slight loss of right-side facial function on Tuesday, March 9, 2021 at approximately 5:30 PM. Advancing loss of facial function on the right side of my face by Wednesday, March 10, 2021. By 6PM, Wednesday, March 10, 2021, my daughters showed concern about facial drooping on the right-side of my face. Daughter drove me to Medical Center ER. I was attended by ER Doctor. I was admitted to Medical Center, Wednesday, March 10, 2021 around 8PM. Admitting Physician, M.D. I was attended by J M.D. until my discharge from Medical Center Friday, March 12, 2021 at 6PM.

Other Meds: None

Current Illness: None

ID: 1109574
Sex: M
Age: 68
State: CA

Vax Date: 03/17/2021
Onset Date: 03/17/2021
Rec V Date: 03/17/2021
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Allergies: none

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Symptoms: Very Sleepy right after shot. I had trouble driving home. Slept for 2 1/2 hours when I arrived home.

Other Meds: statin, fish oil, baby aspirin, vitamin d

Current Illness: none

ID: 1109575
Sex: M
Age: 61
State: AZ

Vax Date: 03/08/2021
Onset Date: 03/12/2021
Rec V Date: 03/17/2021
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Allergies: N/A

Symptom List:

Symptoms: Headache, fever (TMAX 100.8), fatigue and chills 5 days after vaccination administered

Other Meds: atenolol

Current Illness: Atrial flutter-controlled with meds s/p ablation

ID: 1109576
Sex: F
Age: 46
State: CA

Vax Date: 03/16/2021
Onset Date: 03/16/2021
Rec V Date: 03/17/2021
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Symptoms: Dizziness, shaking. BP 209/117 (pulse 105), 122/108 (pulse 120). Sent to the ED.

Other Meds:

Current Illness:

ID: 1109577
Sex: F
Age: 33
State: MI

Vax Date: 03/05/2021
Onset Date: 03/12/2021
Rec V Date: 03/17/2021
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Allergies: none

Symptom List:

Symptoms: On the evening of 7 days post vaccine through day 9 post vaccine I developed a red raised, hot, and slightly itchy rash (about the size of a deck of cards) on the arm that I received the vaccine and right around the injection site. This did not require any medication and resolved on its own within a few days.

Other Meds: Prenatal vitamin supplement

Current Illness: none

Date Died: 03/17/2021

ID: 1109578
Sex: M
Age: 92
State: KY

Vax Date: 01/28/2021
Onset Date: 03/17/2021
Rec V Date: 03/17/2021
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Symptoms: Patient died at nursing home.

Other Meds:

Current Illness:

ID: 1109579
Sex: F
Age: 68
State: IN

Vax Date: 03/01/2021
Onset Date: 03/12/2021
Rec V Date: 03/17/2021
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Allergies: none

Symptom List:

Symptoms: red rash and swollen arm at injection site. Muscle aches, extreme soreness throughout upper back, and ribcage on both sides

Other Meds: methotrexate estrogen progesterone DHEA calcium/D3 fish oil glutathione Thyroid

Current Illness: Chronic Lyme Scleraderma/autoimmune

Total 2021 VAERS Injuries: 428,283

Page last modified: 03 October 2021 5:28pm