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: 1112423
Sex: F
Age: 35
State: TX

Vax Date: 03/18/2021
Onset Date: 03/18/2021
Rec V Date: 03/18/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: codeine

Symptom List: Dysphagia, Epiglottitis

Symptoms: Pain at site of injection 12 minutes after vaccination, No redness. Able to move arm without difficulty

Other Meds: Lisinopril

Current Illness: None

ID: 1112424
Sex: F
Age: 74
State: PA

Vax Date: 03/05/2021
Onset Date: 03/07/2021
Rec V Date: 03/18/2021
Hospital: Y

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

Lab Data:

Allergies: Amoxicillan

Symptom List: Anxiety, Dyspnoea

Symptoms: DVT blood clot in leg

Other Meds: Prozac 40 mg Turmeric 1000 mg.

Current Illness: None

ID: 1112425
Sex: M
Age: 77
State: CT

Vax Date: 02/14/2021
Onset Date: 03/01/2021
Rec V Date: 03/18/2021
Hospital: Y

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

Lab Data:

Allergies: NKA

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

Symptoms: Progressive Left arm pain/shoulder soreness that began 5 days prior to hospital presentation. Seen in ambulatory clinic 7 days prior to presentation, given ibuprofen and percocet without relief. New swelling and erythema brought pt to hospital. Around time of vaccination, the pt was using triamcinolone for left forearm rash (described as small, more-spotty and resolved quickly). MRI revealed an abscess (10 x 6.8 x 1 cm) deep to the deltoid muscle and along the lateral aspect of the left proximal humerus. He also has another abscess within the posterior deltoid muscle (3.1 x 2.1 x 2.8 cm). There is surrounding myositis, fasciitis and cellulitis.

Other Meds: Ascorbic acid, multivitamin with minerals,

Current Illness:

ID: 1112426
Sex: M
Age: 17
State: MN

Vax Date: 03/17/2021
Onset Date: 03/17/2021
Rec V Date: 03/18/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: NKDA or food allergies

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Patient received the Moderna vaccine at the at of 17 years and 8 days, vaccine is recommended for individuals 18 years and older. Attempted contact to mom to see if patient is having any adverse reactions to vaccine outside of side effect potentials as noted on the EUA education provided at the vaccine clinic. There was no answer by mom, will attempt to call again on 3.19.2021.

Other Meds: fluticasone propionate (FLONASE) 50 mcg/actuation nasal Spray, Suspension Inhale 1 Spray into each nostril once daily. HYDROcodone-acetaminophen (HYCET) 7.5-325 mg/15 mL oral Solution Take 10 mL by mouth every 6 hours as needed for moderate

Current Illness: none noted

ID: 1112427
Sex: F
Age: 27
State: GA

Vax Date: 03/14/2021
Onset Date: 03/16/2021
Rec V Date: 03/18/2021
Hospital:

Vax Type:
Manufacturer:
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Vax Site:

Lab Data:

Allergies:

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

Symptoms: Patient received the vaccine on Sunday 3/14/21, and called 3/17/21 to report that she had chest tightness and a fever. Went to her doctors office on 3/17 and tested positive for COVID via nasal swab. Was given Medrol and a Z-Pak.

Other Meds:

Current Illness:

ID: 1112428
Sex: M
Age: 30
State: NJ

Vax Date: 03/14/2021
Onset Date: 03/24/2021
Rec V Date: 03/18/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: None

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

Symptoms: 11pm on day of (Sunday) vaccination felt soreness in left arm at injection site and in entire upper arm when trying to hold it up. Soreness subsided by noon the next day, Monday. No symptoms on Tuesday until late evening when tongue began to feel sore. On Wednesday morning around 6am, woke up with severe body fever, chills, muscle and joint aches, nausea, headache. Hands and fingers very cold to the touch. Severe fatigue and weakness all day. Sore tongue persisted. No respiratory symptoms present. By Thursday (today), body is still feverish, joint and muscle aches persist, light headache at times. Still fatigued and weak. All symptoms today Thursday are much weaker except for the muscle and joint pain which remains high. The reason I am reporting this is that from what I've read and been told, the delayed onset of these symptoms (almost 3 days) is very unusual, especially because I had little/no symptoms in the first 2 days of the vaccine.

Other Meds: 4mg Melatonin at night

Current Illness: None

ID: 1112429
Sex: F
Age: 37
State: TX

Vax Date: 03/17/2021
Onset Date: 03/17/2021
Rec V Date: 03/18/2021
Hospital:

Vax Type:
Manufacturer:
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Vax Site:

Lab Data:

Allergies: None

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: I had an immediate reaction with dizziness, and tightness in throat within less than a minute of vaccine administration. That whole incident maybe lasted 10 seconds with throat tightness peaking at 6-7 seconds. I didn?t require epiPen or emergency care and the tightness went away 90% after 10 seconds with some minor difficulty swallowing for about additional 15 mins or so. I felt completely normal after 30 mins and have not had any other reactions since.

Other Meds: None

Current Illness: None

ID: 1112430
Sex: F
Age: 24
State: TX

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

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Lab Data:

Allergies: Allergies: Soy, pineapple; Intolerances: Gluten, Dairy

Symptom List: Pharyngeal swelling

Symptoms: Within 15 minutes of receiving vaccine, swelling of the tongue and lips began, similar to pt's food allergy reaction. No loss of breathing or swallowing. Pt took 25mg of Benadryl which stopped the swelling within the hour. By 20 minutes, left side of face from top of head to collarbone became numb which persisted over the next 72 hours, with numbness/discomfort lasting through the week after the injection (today is 1 week). Twitching of fingers, arms, and legs also began around minute 20 and subsided about an hour after injection. No weakness of muscles or droopiness. Pt also experienced severe pain at injection site over the following 48 hours, immobilizing the left arm.

Other Meds: Isibloom, turmeric supplement

Current Illness:

ID: 1112431
Sex: F
Age: 76
State: CA

Vax Date: 02/27/2021
Onset Date: 03/04/2021
Rec V Date: 03/18/2021
Hospital:

Vax Type:
Manufacturer:
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Lab Data:

Allergies: NKA

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Patient c/o extreme fatigue, pain and swelling to right neckline onset 3/4/21. She states the pain and swelling increased over the next 4 days, swollen area was now the size of a golf ball. She was seen and evaluated on 3/9 by her PCP, DR. CMP, Thyroid Profile and Lipid Panel were completed, all results were within normal limits. Pain began to ease up on 3/11/21. On 3/17/21 she is still c/o extreme fatigue, no change in the swelling to her neck. She is calling her PCP to schedule another appointment for next Friday 3/26.

Other Meds: Synthroid 100mcq daily Spironolactone 25mg bid

Current Illness: None

ID: 1112432
Sex: F
Age: 69
State: CA

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

Vax Type:
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Lab Data:

Allergies: none

Symptom List: Diarrhoea, Nasal congestion

Symptoms: headache - dizziness - soreness at shot location - abdominal pain

Other Meds: rosuvastatin - 10 mg. 1 daily, lisinopril/10/12.5 1 daily

Current Illness: finished chemo @ radiation about 2 mnths prior for throat cancer

ID: 1112433
Sex: F
Age: 62
State: TN

Vax Date: 03/12/2021
Onset Date: 03/13/2021
Rec V Date: 03/18/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: NKDA

Symptom List: Vaccination site erythema, Vaccination site pruritus, Vaccination site swelling

Symptoms: Patient received COVID vaccine (dose 1) at local Pharmacy on afternoon of 3-12-2021. She says early the next morning she began itching and proceeded to break out into hives. Since that time, the hives have spread diffusely over most of her body and are still present at the visit today in the clinic on 3-18-2021.

Other Meds: alprazolam, atorvastatin, cephalexin, vit D3, entresto, furosemide, gabapentin, hydrocodone 5/325, levemir U-100, metoprolol succinate ER,

Current Illness: crush injury of toe

ID: 1112434
Sex: F
Age: 58
State: MO

Vax Date: 02/18/2021
Onset Date: 02/19/2021
Rec V Date: 03/18/2021
Hospital:

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Lab Data:

Allergies: Azithromycin, doxycycline, pseudoephedrine, morphine

Symptom List: Rash, Urticaria

Symptoms: Severe headache as well as mild chills, nausea and fatigue. My morning just a light headache and that was gone by midafternoon

Other Meds: Lisinopril, gabapentin, nortriptyline, metformin, pravastatin, neutralize, loratidine, B-12, calcium + D, Centrum

Current Illness: None

ID: 1112435
Sex: F
Age: 68
State: WA

Vax Date: 03/09/2021
Onset Date: 03/09/2021
Rec V Date: 03/18/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: Penicillin

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

Symptoms: Tenderness to touch, itchy, large red area, warm to touch, treated with antibiotic, Zyrtec and warm compresses, just started today.

Other Meds: Pantoprazole, calcium, vitamin D, Colace

Current Illness: None

ID: 1112436
Sex: F
Age: 30
State: NV

Vax Date: 03/17/2021
Onset Date: 03/18/2021
Rec V Date: 03/18/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: Coconut, triptans

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

Symptoms: Nausea, headache, fatigue, tiredness, irritability

Other Meds: Depo birth control, centrum women?s multi vitamin

Current Illness: No

ID: 1112437
Sex: M
Age: 61
State: MD

Vax Date: 01/25/2021
Onset Date: 02/01/2021
Rec V Date: 03/18/2021
Hospital:

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

Allergies: penicillin - hives aspartame - GI upset, headache

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

Symptoms: onset of self-described 'sinusitis' a week after vaccine administration, and then 2 days after that developed severe tinnitus

Other Meds: none that I can determine

Current Illness: none known

ID: 1112438
Sex: M
Age: 78
State: LA

Vax Date: 02/23/2021
Onset Date: 03/15/2021
Rec V Date: 03/18/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: lisinopril

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

Symptoms: > shortness of breath , weakness, fatigue, edema to BLE

Other Meds: imdur, plavix, diltiazem, glipizide, omeprazole, atoravastatin

Current Illness: just chronic

ID: 1112439
Sex: F
Age: 18
State: GA

Vax Date: 03/15/2021
Onset Date: 03/16/2021
Rec V Date: 03/18/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: 03/16/2021: At around 8:00 am my head and stomach began to hurt. A wave of drowsiness overcame me and I slept from 8:30 am- 1:30 pm. I then experienced body aches and extreme body weakness, thoughts were difficult to articulate and process, and I began to feel nauseated. This continued until 03/17/2021 in which I felt only nauseated, bloated. My headache was kept at bay with acetaminophen.

Other Meds: Acetaminophen and bismuth subsalicylate

Current Illness: None

ID: 1112440
Sex: F
Age: 59
State: LA

Vax Date: 03/13/2021
Onset Date: 03/14/2021
Rec V Date: 03/18/2021
Hospital:

Vax Type:
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Lot:
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Lab Data:

Allergies: allergic to Motrin - Stomach upset Adhesive - skin irritant

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Fever, pain throughout body, diarrhea, weakness all over, brain fog, drowsiness, knots on arm by injection sight for 4 days, 5th day all the same symptoms but seems to be let up some.

Other Meds: INSULIN,GLARGINE,HUMAN 55 ML NAPROXEN 500MG TAB 2 Tab daily

Current Illness: Diabetes 2

ID: 1112441
Sex: F
Age: 67
State: MO

Vax Date: 02/25/2021
Onset Date: 03/18/2021
Rec V Date: 03/18/2021
Hospital:

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

Allergies: sulfa

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: post injection patient reported chills headache, runny nose sneezing and coughing for 2 weeks. at day 15 reported coughing up sputum with bright red blood for last 2 days of coughing

Other Meds: vraylar, pristiq, tylenol

Current Illness: 2 days later a flu or cold like symptoms: chills headache, runny nose sneezing, last part of cold was coughing for two week post injection

ID: 1112442
Sex: F
Age: 29
State: IN

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

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

Allergies: Sensitive to anti-psychotics

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

Symptoms: Flu like symptoms. Nausea, chills, diarrhea, fatigue, weakness. Felt back to normal by next morning.

Other Meds: Zoloft, Ritalin, buspar, multivitamin, Zantac, Zyrtec

Current Illness: None

ID: 1112443
Sex: F
Age: 64
State: FL

Vax Date: 03/15/2021
Onset Date: 03/15/2021
Rec V Date: 03/18/2021
Hospital:

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

Lab Data:

Allergies: sulfa, seasonal allergies

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

Symptoms: EXTREMELY sore arm first then fever, shakes, achy body, headache. The sore arm was better the next day but the flu like symptoms lasted the whole next day.

Other Meds: fluoxitine, Lipitor, glucosamine, zyrtec, losartan, montelukast, fish oil,

Current Illness: none

ID: 1112444
Sex: F
Age: 66
State: IL

Vax Date: 03/17/2021
Onset Date: 03/17/2021
Rec V Date: 03/18/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: Medication allergy Clindamycin High - Anaphylaxis Medication allergy Vancomycin High - Anaphylaxis Medication allergy Zithromax [azithromycin] High - Swelling, Vomiting Medication allergy Amoxicillin Trihydrate No severity specified - throat swelling Medication allergy Amoxicillin-pot Clavulanate No severity specified - Diarrhea, Swelling Medication allergy Bactrim [sulfamethoxazole-trimethoprim] No severity specified - Shortness of Breath Medication allergy Cefdinir No severity specified - Other (see Comments), throat swelling Medication allergy Ceftriaxone Sodium No severity specified - throat swelling Medication allergy Cipro Xr No severity specified - Rash Medication allergy Ciprofloxacin Hydrochloride No severity specified - Palpitations, RASH Medication allergy Clavulanate Potassium No severity specified - throat swelling Medication allergy Doxycycline No severity specified - Rash, throat swells Other allergy Egg Extract No severity specified - Sensitivity Medication allergy Gemifloxacin No severity specified - Rash Medication allergy Moxifloxacin Hydrochloride No severity specified - Rash, throat swelling Med

Symptom List: Unevaluable event

Symptoms: Patient reported flushing in her ears after 5 mins in observation after receiving her 1st Moderna vaccine , she was brought to room 1 with no additional symptoms Her vitals were as follows B/P 168/88 Heart rate 84 SPO2 100 Dr. called to consult 104 pm , patients skin is warm and dry to touch, her injection site is clear of any rash or redness and is cool to touch. Patient denies chest pain, or Shortness of breath, no nausea or dizziness. Dr. did advise the patient to take an additional Zyrtec this pm if she is still feeling flushing in her ears. Vitals 12:09 pm B/P 162/86 Heart RAte 810 SPO2 100% Vitals 12:13 pm B/P 158/80 Heart Rate 64 SPO2 100% Patient symptoms remain stable no new symptoms and the flushing in her ears remains unchanged. Vitals 12:20 pm 159/80 Heart Rate 57 SPO2 100% Dr. did consult and released the patient to her vehicle. She will call our office to report any additional symptoms or phone 911 if anything emergent arises.

Other Meds: Acetaminophen (TYLENOL PO) albuterol 108 (90 Base) MCG/ACT Aerosol Solution ALPRAZolam (XANAX) 0.25 MG Tablet azelastine (ASTELIN) 0.1 % Solution CALCIUM PO CPAP SUPPLIES EPINEPHrine (EPIPEN 2-PAK) 0.3 MG/0.3ML Solution Auto-injector esomep

Current Illness: GERD (gastroesophageal reflux disease) 12 years ago h/o of Graves Disease s/p RAI ablation 12 years ago Hypothyroidism 12 years ago HTN (hypertension) 12 years ago Pancreas cyst 11 years ago Local chart Dr. Addendum on 3/31/11 Reviewed imaging and mri of 10/2010 was compared to 2006 and other imaging (CTs) 2012 pancreas ok on CT Atypical squamous cells of undetermined significance (ASCUS) on Papanicolaou smear of cervix 9 years ago Local chart Dr Dermatitis due to food taken internally 7 years ago Allergic rhinitis due to pollen 7 years ago Palpitation 7 years ago OSA (obstructive sleep apnea) 6 years ago Local chart OSA CPAP 7 Hanif Mild intermittent asthma 6 years ago Local chart Dr. Allergic rhinitis due to animal (cat) (dog) hair and dander 6 years ago Dermatographic urticaria 6 years ago Allergic rhinitis due to mold 5 years ago Diverticulitis of sigmoid colon 4 years ago LLQ abdominal pain 4 years ago Bloody stool 4 years ago Cough 3 years ago Vaginal wall prolapse 2 years ago Upper resp inflam d/t chemicals, gas, fumes and vapors, NEC (HCC) 1 year ago Dyslipidemia 1 year ago Food allergy 8 months ago Allergic conjunctivitis of both eyes 8 months ago Vitamin D deficiency 6 months ago Abnormal weight loss 6 years ago Colonic diverticular abscess 4 years ago Gastric reflux 4 years ago Irritable bowel syndrome 6 years ago Colonospasm 4 years ago Indigestion 6 years ago Pruritus ani 6 years ago Left lower quadrant pain 6 years ago Localized abdominal pain 4 years ago

ID: 1112445
Sex: F
Age: 35
State: OH

Vax Date: 03/10/2021
Onset Date: 03/18/2021
Rec V Date: 03/18/2021
Hospital:

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

Lab Data:

Allergies: Levaquin

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

Symptoms: Large swollen lymph node on left side of neck above collarbone. Started the morning of 3/18/21. Still swollen. Very bad nasal drainage and sneezing from 3/15 to 3/16. Felt like i had developed severe allergies all of a sudden, but i don't have any allergies that i know of. The drainage cleared and i felt fine on 3/17, then woke up for work with the swollen lymph node, only on the left side.

Other Meds: Vitamin C, Vitamin D, Probiotic, Zinc, Multivitamin

Current Illness: None

ID: 1112446
Sex: F
Age: 65
State: WI

Vax Date: 03/10/2021
Onset Date: 03/17/2021
Rec V Date: 03/18/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: Tamoxifen, Fareston, Cephalexin ,

Symptom List: Injection site pain, Pain

Symptoms: Vaccination given 3/10/21.... On March 17, 2021 early evening injection site area became red, itchy, swollen and sore. Still the same today 24 hours later.

Other Meds: Vitamin C, Vitamin D3, Probiotics, Calcium Citrate, Alpha-Lipoic Acid, I- Vite, Cerovite Senior multi vitamin, Turmeric

Current Illness: None

ID: 1112447
Sex: F
Age: 61
State: DE

Vax Date: 03/18/2021
Onset Date: 03/18/2021
Rec V Date: 03/18/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List: Injection site pain, Menorrhagia

Symptoms: Pt described later after she got home a "warm sensation in her chest and felt like she swallowed a golf ball". Felt similar to GERD she had in the past but she has not had anything other than the shot to trigger this reaction

Other Meds: unknown

Current Illness: History of GERD per pt

ID: 1112448
Sex: F
Age: 74
State: IL

Vax Date: 03/04/2021
Onset Date: 03/11/2021
Rec V Date: 03/18/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
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Lab Data:

Allergies: Sulfa, erythromycin, ciprofloxacin, house dust, cat dander, mold

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

Symptoms: Transient left hemiplegia, which began 1 week after vaccine administration, lasting less than 1 hour.

Other Meds: aspirin, albuterol sulfate inhaler, alprazolam, Benlysta, fluoxetine, Trelegy Ellipta, irbesartan, methocarbamol, Salagen, pregabalin, tramadol

Current Illness: none

ID: 1112449
Sex: M
Age: 34
State: NY

Vax Date: 03/18/2021
Onset Date: 03/18/2021
Rec V Date: 03/18/2021
Hospital:

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

Lab Data:

Allergies: NONE

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Pt felt light headed and passed out for approx. 30 seconds

Other Meds: NONE

Current Illness: NONE

ID: 1112450
Sex: F
Age: 56
State: TX

Vax Date: 03/10/2021
Onset Date: 03/17/2021
Rec V Date: 03/18/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: After 8 days of receiving the vaccine I developed a red, swollen, welt-like site about the size of a baseball around the injection site. It is warm and sore to the touch.

Other Meds: Rovoustatin Lisiniprol

Current Illness: none

ID: 1112451
Sex: F
Age: 33
State: MO

Vax Date: 03/04/2021
Onset Date: 03/04/2021
Rec V Date: 03/18/2021
Hospital:

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

Lab Data:

Allergies: Codeine, codone.

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

Symptoms: Heart racing, extreme lightheadedness and dizziness, extreme sweating, numb/tingly arms and hands, moderately swollen tounge.

Other Meds: None

Current Illness: None

ID: 1112452
Sex: F
Age: 62
State: PA

Vax Date: 03/12/2021
Onset Date: 03/13/2021
Rec V Date: 03/18/2021
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Allergies: lyrica, eggplant, yeast, guiena pigs

Symptom List: Nausea

Symptoms: Body aches, fever 100.8, chills, loss of appetite, lasted about 24 hrs only. Nausea lasted about 1 hr Sore swollen arm at injection site sore for 6 days. They side affects put me to bed for the 24 hrs...slept through it.

Other Meds: asprin, metoprolol tartrate, farxiga, singulair, norvasc, metformin, vitaman d , and a daily vitaman

Current Illness: none

ID: 1112453
Sex: F
Age: 34
State: KS

Vax Date: 02/18/2021
Onset Date: 03/07/2021
Rec V Date: 03/18/2021
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Allergies: None

Symptom List: Injection site pain

Symptoms: Have whooshing in my left ear. It will go away occasionally. Feels like it?s in time with my heart beat. It started on March 7th, about 2 1/2 weeks after my first shot. As of today 3/18/21 I still have it.

Other Meds: None

Current Illness: None

ID: 1112454
Sex: F
Age: 53
State: LA

Vax Date: 03/16/2021
Onset Date: 03/17/2021
Rec V Date: 03/18/2021
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Allergies: None

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

Symptoms: Chills, fever, fatigue, muscle aches, nausea, headache, lasting approximately 36 hours.

Other Meds: Pravastatin (40mg), Synthroid (100Mcg), Melatonin

Current Illness: None

ID: 1112455
Sex: F
Age: 34
State: CA

Vax Date: 02/02/2021
Onset Date: 02/11/2021
Rec V Date: 03/18/2021
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Allergies: Allergic to Zymar (eye drop)

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

Symptoms: 2/11/21 (9 days after receiving vaccine), I woke in the morning to a sore left arm. Large area on upper arm was reddened, swollen, slightly raised and itchy. This was not directly at the site of the injection but several inches lower. All these symptoms remained for 24 hours, with only the redness remaining for a total of approximately 48-60 hours after initial onset.

Other Meds: prenatal vitamins; Zyrtec

Current Illness: none

ID: 1112456
Sex: F
Age: 40
State: CA

Vax Date: 03/15/2021
Onset Date: 03/15/2021
Rec V Date: 03/18/2021
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Lab Data:

Allergies: Penicillin family including amoxicillin, penicillin, bactrum, and keflex

Symptom List: Tremor

Symptoms: Approx 12 hours after second dosage of Pfizer Covid vaccine, I became nauseous and had chills. Then diarrehea began. Next, vomiting and diarrehea began (at the same time).

Other Meds: Minestrin 24 FE, Allegra, Aspirin 81 mg, citalopram 10 mg.

Current Illness: NOne

ID: 1112457
Sex: M
Age: 61
State: OK

Vax Date: 02/23/2021
Onset Date: 02/25/2021
Rec V Date: 03/18/2021
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Allergies: bee stings/insect bites - form hard knot that reoccurs over a period of years flu shot - very ill x 1 wk

Symptom List: Erythema, Pruritus

Symptoms: 2 days following first Pfizer dose, upon awakening noticed right ear was stopped up. He could not hear any sounds except a roar in that ear. It changed tones. He had no pain or other signs of illness.

Other Meds: Insulin Humalog sliding scale Lantus 60 u at night Atenolol 25 mg daily Lisinopril 5 mg daily Amlodipine 5 mg daily Belbuca 600 mg twice daily Plavix 75 mg daily Oxycodone 10/325 mg three times/day Crestor10 mg daily

Current Illness: None

ID: 1112458
Sex: F
Age: 40
State: AL

Vax Date: 03/18/2021
Onset Date: 03/18/2021
Rec V Date: 03/18/2021
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Allergies: Allergic to latex, norco, and food allergies (mangos, bell pepper, beef, pork, bananas, all melons, tomatoes, cherries, onions) Swelling at site of vaccine injections in the past.

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

Symptoms: Patient was advised to receive the vaccine regardless of an itchy throat with the first Pfizer Covid vaccine with some feeling like throat and tongue were swelling but EMTs on the scene administered IV benadryl with the first dose. With doctor recommendation to receive the second dose about 20 minutes after she received the second dose she started feeling her tongue have a fuzzy swelling sensation and began coughing frequently around 11 a.m.. Patient took 50 mg of Benadryl of her own immediately before the vaccine in order to counteract the same reaction from the first one. Due to increasing symptoms she received Epinephrine 0.3 mg/0.3 ml one shot at 11:09 a.m. and a second shot at 11:17 a.m. Patient began to show signs of improvement from the Epipen but not enough with one shot so she proceeded with the second one. She was able to leave the vaccine clinic to see her general practitioner that afternoon. She expressed that she felt jittery after the shots and we determined that the Benadryl liquid she had with her and took had Phenylephrine in it as well which combined with the Epinephrine was causing the shakiness. She felt stabilized but weak. Her blood pressure was 140/100 at 11:50 a.m. and 137/88 at 11:55 a.m. Her allergist and general practitioner were contacted and notified of the incident and they instructed her further to use Benadryl tonight and to contact them tomorrow about any further concerns. She reported this evening at 5:27 p.m. that she was okay and did not have any further issues or the feelings of the allergic reaction.

Other Meds: Entyvio infusions Travatan eye drops Amitriptyline Bumex Phenergan Singulair Neil Med Sinus Rinse Vitamin D3 50,000 unit Vitamin B12 1000 mcg/ml shots Multivitamin Iron Elderberry Vitamin C

Current Illness: Chron's Disease

ID: 1112459
Sex: F
Age: 48
State: AZ

Vax Date: 03/16/2021
Onset Date: 03/16/2021
Rec V Date: 03/18/2021
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Allergies: Penicillin, latex

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

Symptoms: Within 30 minutes of receiving the first dose of the COVID vaccine, I ban to feel tingling on the left side of my face. Within another 30 minutes, I had multiple blisters in the same spot. Within another 2 hours, the lymph nodes on the left side of my neck were swollen.

Other Meds: Liothyronine, Levothyroxine, daily vitamin

Current Illness: None

ID: 1112460
Sex: F
Age: 72
State: VA

Vax Date: 03/15/2021
Onset Date: 03/18/2021
Rec V Date: 03/18/2021
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Allergies: Sulfa. Latex. Bananas

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Left upper arm is large , red, hard, painful and itchy

Other Meds: Tramodol. Probiotics. Claritin. Lorazepam. Lisinopril. Vit D. Vit B12. Sambuccol. Gabapentin

Current Illness:

ID: 1112461
Sex: F
Age: 41
State: IL

Vax Date: 03/18/2021
Onset Date: 03/18/2021
Rec V Date: 03/18/2021
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Allergies: none

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

Symptoms: About 5 minutes after patient came back out into the waiting room she waved the technician over saying she was not feeling well. RPh went out to her and she reported feeling light headed and having trouble breathing. Her breathing did not sound labored and she had no swelling anywhere. We asked her if she wanted us to call an ambulance and she declined. She reported that she had not ate or drank anything all day so we gave her some OJ and a granola bar. She sat in the waiting room under RPh and technician supervision for about another 20 minutes until she eventually felt ok enough to leave and drive.

Other Meds: Unknown

Current Illness: none

ID: 1112462
Sex: F
Age: 21
State: IA

Vax Date: 03/18/2021
Onset Date: 03/18/2021
Rec V Date: 03/18/2021
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Allergies: none

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

Symptoms: Patient had COVID vaccine. Exited vac room & sat in waiting chair by her mother. A few minutes later came out of the vaccine room to let mother know it was her turn for vaccine. Mother said patient was going to pass out. the mother supported the patient as she passed out & they slid down to the floor. yelled for the pharmacist & called 911. Got her feet up, cold packs to cool & water. EMTs came, bp ok, sugars ok. Denied ambulance. Rested then left with mother.

Other Meds: unknown

Current Illness: unknown

ID: 1112463
Sex: F
Age: 55
State: MD

Vax Date: 03/13/2021
Onset Date: 03/13/2021
Rec V Date: 03/18/2021
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Allergies: aspirin - swelling diphenhydramine - swelling celecoxib - unknown ibuprofen - facial swelling naproxen - n/v, dizziness

Symptom List: Pain in extremity

Symptoms: Following vaccination in R arm felt tightness in her R hand and back of her neck within 5 min, stayed for observation for about 20min and was feeling better so left - but about halfway home lips started to swell, tongue started to feel thick and throat started hurting - ate a popsicle which seemed to help. Then that evening took her usual dose of lisinopril and about an hour later noticed tightness developing in her neck and new headache, followed by swelling of lips and tongue. Took tylenol arthritis which she usually takes for her neck problems, and went to bed, but a couple of hours later developed burning in her ears and jaw, headache persisted, and swelling seemed to have gone down with ice chips. Lisinopril d/c'd on 3/14, converted 3/17 to losartan which she started at 5pm and within 2 hours had recurrent angioedema for which she was told to call emergency responders, used EpiPen, discharged from ED after 4 hours with another change in BP medication and Medrol dosepak. Allergist recommends no further COVID vaccines.

Other Meds: lisinopril, gabapentin, plaquenil

Current Illness: none known

ID: 1112464
Sex: F
Age: 36
State: MA

Vax Date: 03/08/2021
Onset Date: 03/08/2021
Rec V Date: 03/18/2021
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Allergies: None

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

Symptoms: About six hours after receiving the vaccine I felt fatigued. Two days after receiving the shot I began having symptoms in addition to extreme fatigue, including nausea, low fever, headache, and muscle aches. Now it is 11 full days after the vaccine and symptoms have not abated at all. The doctor ordered a Covid test and blood work. They also prescribed zofran and meclazine which have not helped. It has been difficult trying to advocate for myself without coming across as an anti-vaxxer or conspiracy theorist. I wish doctors would believe me when I say this is caused by the vaccine. I am not an anti-vaxxer and was enthusiastic about getting the vaccine, but now I am frightened by my body's reaction to it.

Other Meds:

Current Illness: None

ID: 1112465
Sex: F
Age: 63
State: CA

Vax Date: 02/21/2021
Onset Date: 02/21/2021
Rec V Date: 03/18/2021
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Allergies:

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

Symptoms: The vaccine appears to have been delivered subcutaneously, not IM as prescribed. The individual was short, stood behind me, and I did not feel the needle enter the muscle as I had during my first injection. I assumed they were more skilled or I was more relaxed during the injection, so I didn't think anything of it. The next day, there was a small bruise at the injection site and a raised red area emanating from the injection site anteriorly approximately 1 inch over the anterior deltoid. The raised area could be palpated just under the skin and on top of the muscle and took nearly 2 weeks to resolve. This was very different than my first vaccine injection experience approx. 3 weeks prior, when I felt the needle enter the middle deltoid muscle, resulting in a round raised red area about the size of a quarter that felt deep in the muscle the next day, and which resolved in a few days. No other signs or symptoms noted. I called the Health Department, as well as Pfizer to advise them of the incident and to request advice. Both suggested filing a report but neither offered any advise other than to contact my MD, who also had no advice to offer. Questions: Given the temperature requirements of the Pfizer vaccine, and if it was not injected into the muscle, would a slower uptake impact my immunity? What is suggested to assess my current immunity status? Might a booster shot may be indicated? Any advice would be sincerely appreciated.

Other Meds:

Current Illness:

ID: 1112466
Sex: F
Age: 43
State: CA

Vax Date: 03/09/2021
Onset Date: 03/13/2021
Rec V Date: 03/18/2021
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Allergies:

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

Symptoms: rash on arm, then rash on both arms, then rash on legs and abdomen

Other Meds: Aimovig

Current Illness: Rheumatoid Arthritis, chronic migraines

ID: 1112467
Sex: F
Age: 70
State: AZ

Vax Date: 03/11/2021
Onset Date: 03/12/2021
Rec V Date: 03/18/2021
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Allergies: None

Symptom List: Vomiting

Symptoms: Flu like symptoms sore arm swollen arm rash

Other Meds: Verapamil metprol, warafin , levothyroxine,lodartin

Current Illness: None

ID: 1112468
Sex: M
Age: 19
State: IN

Vax Date: 03/16/2021
Onset Date: 03/17/2021
Rec V Date: 03/18/2021
Hospital:

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Allergies:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Muscle soreness, achey feeling all over body, chills, migraine, and a lack of appetite paired with slight upset stomach.

Other Meds:

Current Illness:

ID: 1112469
Sex: F
Age: 74
State: CA

Vax Date: 03/01/2021
Onset Date: 03/17/2021
Rec V Date: 03/18/2021
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Allergies: Milk, peanuts

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

Symptoms: Vertigo, diarrhea, sweats

Other Meds: Metropolol

Current Illness: None

ID: 1112470
Sex: F
Age: 62
State: MA

Vax Date: 03/14/2021
Onset Date: 03/15/2021
Rec V Date: 03/18/2021
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Allergies: N/A

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Flu-like symptoms lasting 3+ days, including lethargy, body aches, light sensitivity/headache, nausea, chest pain

Other Meds: VITAMINS C, D AND B+.

Current Illness: N/A

ID: 1112472
Sex: F
Age: 76
State: NY

Vax Date: 02/09/2021
Onset Date: 03/15/2021
Rec V Date: 03/18/2021
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Allergies: Seashell, Dairy

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

Symptoms: Bells Palsy

Other Meds: Avalide, Trulicity, Rabeprazole Sodium, Vitamin D3, Zinc, Vitamin B12, Calcium

Current Illness:

ID: 1112473
Sex: M
Age: 58
State: LA

Vax Date: 03/16/2021
Onset Date: 03/16/2021
Rec V Date: 03/18/2021
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Allergies: lexapro

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

Symptoms: chills, fever, body aches and then through out the night developed palpitations... heart rate elevated by > 20 bph at visit

Other Meds: ketotifen, mirtazapine, Prozac, flonase

Current Illness: none

Total 2021 VAERS Injuries: 704,237

Page last modified: 26 October 2021 2:21am