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: 1117172
Sex: F
Age: 29
State: MO

Vax Date: 03/16/2021
Onset Date: 03/16/2021
Rec V Date: 03/19/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Dysphagia, Epiglottitis

Symptoms: 100.4 fever, chills, headache, body aches, dizziness, light headed, nausea, fatigue started 9 hours after vaccine. All of the previously listed reactions continued the second day, with addition to abdominal pain, cough, slight bloody nose, and ear ache. The third day most reactions were gone except fatigue, headache, done light headedness, some body aches, cough and some ear pain. Today I have a cough, some fatigue, and body aches.

Other Meds: None

Current Illness: None (Info possibly needed: Diagnosed with a mutated strain of Covid-19 in January 2021)

ID: 1117173
Sex: M
Age: 63
State: AZ

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

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

Lab Data:

Allergies: None

Symptom List: Anxiety, Dyspnoea

Symptoms: Patient requested vaccine be administered into gluteus due to bilateral rotator cuff issues. Vaccine was administered deep IM in the patient's left gluteus. Lead RN was notified after the administration of the vaccine. Research performed on acceptable vaccine administration sites. Moderna contacted for guidance and recommendations. Patient tolerated vaccine. Recommendations were not to re administer vaccine.

Other Meds: N/A

Current Illness: None

ID: 1117174
Sex: M
Age: 34
State: NY

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

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

Lab Data:

Allergies: None

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

Symptoms: Patient is a 34 year old male with a past medical history of asthma who presented to the vaccine site today for his first dose of the vaccine. He received his dose at about 1710 and went t o observation area for his 15 min wait. About 5 minutes into his wait he reports feeling lightheaded and feeling hot then had a syncopal episode with loss of consciousness and fell out of his chair. He hit the left side of his head on the floor. This writer her a loud thud and looked out to see him on floor. I immediately ran over to him. He was unresponsive to tactile and verbal stimuli. He finally regained consciousness with sternal rub. He was out for about 30-45 seconds.

Other Meds: Inhaler for asthma (unknown drug)

Current Illness: None

ID: 1117175
Sex: F
Age: 34
State: TN

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

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

Lab Data:

Allergies: None known aside from certain adhesive bandages

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Sudden facial discomfort on left side of face (pressure, numbness, tingling) and unexpected crying; 24 hours later mostly subsided but still decreased sensation in left side of face and feeling of pressure/tightness in left side of face.

Other Meds: Apri; multivitamin

Current Illness: None

ID: 1117176
Sex: F
Age: 67
State: MN

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

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

Lab Data:

Allergies: None

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

Symptoms: At 10:00 pm I started getting severe chills I had a severe headache, joints and muscles starting to hurt and I had I was nauseous

Other Meds: Vitamin D3 (2000 IU) Sertraline 50mg Xatelto 20mg

Current Illness: None

ID: 1117177
Sex: F
Age: 49
State: OK

Vax Date: 03/11/2021
Onset Date: 03/13/2021
Rec V Date: 03/19/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Light Dizziness

Other Meds:

Current Illness:

ID: 1117178
Sex: M
Age: 72
State: CA

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

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

Lab Data:

Allergies: No Known Allergies

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Patient received a 2nd dose of undiluted pfizer covid vaccine (0.3ml). The patient was observed for full 15 minutes after administration and followed up 45 minutes after administration. No adverse drug reaction was noticed.

Other Meds: trazodone, tamsulosin, sodium chloride, sennosides, promethazi

Current Illness: choledocholithiasis, weakness of bilat legs

ID: 1117179
Sex: M
Age: 35
State: MO

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

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

Lab Data:

Allergies: NKDA

Symptom List: Pharyngeal swelling

Symptoms: Fever, body aches, headache, fatigue. Started aprox 7 hours after vaccination.

Other Meds: Fluoxetine, Albuterol

Current Illness: None

ID: 1117180
Sex: F
Age: 54
State: TX

Vax Date: 03/12/2021
Onset Date: 03/12/2021
Rec V Date: 03/19/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Same day I received the shot, I experienced naseau, fever, and chills. On Sunday (2 days later), I awoke covered in a raised, itchy rash all over my body. It lasted until Tuesday. On Wednesday, I had severe muscle tightening in both calves, originating in the muscle behind my knees. It was so painful, I couldn?t stand in one spot for longer than 10-15 seconds. I had to either sit or walk. I finally have relief from that pain today (Friday).

Other Meds: Lisinopryl

Current Illness: None

Date Died: 03/19/2021

ID: 1117181
Sex: F
Age: 67
State: AZ

Vax Date: 03/16/2021
Onset Date: 03/19/2021
Rec V Date: 03/19/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Diarrhoea, Nasal congestion

Symptoms: THE POLICE OFFICER CALLED US TODAY TO NOTIFY US THAT THE PATIENT PASSED AWAY WITH NO FURTHER INFORMATION WHETHER THE DEATH IS RELATED TO THE VACCINE OR NOT.

Other Meds: None

Current Illness: None

ID: 1117182
Sex: F
Age: 62
State: CA

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 03/19/2021
Hospital:

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

Lab Data:

Allergies: shell fish

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

Symptoms: Sudden onset one hour after vaccine of severe irritable bowel. Became diaphoretic, bradycardic and hypotensive and extreme abd pain. Was taken to the Emergency Room by coworker (I work in the hospital)

Other Meds: Cozar 50 mcg

Current Illness:

ID: 1117183
Sex: M
Age: 62
State: IN

Vax Date: 03/17/2021
Onset Date: 03/18/2021
Rec V Date: 03/19/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List: Rash, Urticaria

Symptoms: Extreme fatigue, was unable to go to work day after vaccination. Lasted 12 hours.

Other Meds: Eliquis, Metoprolol, and Furosemide

Current Illness: No

ID: 1117184
Sex: F
Age: 31
State: MD

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

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

Lab Data:

Allergies: No

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

Symptoms: Severe body aches, fever, chills, nausea

Other Meds: Vitamin c

Current Illness: Depression

ID: 1117185
Sex: F
Age: 66
State: TX

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

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

Lab Data:

Allergies: Hydrocodone

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

Symptoms: No appetite. Feeling tired.

Other Meds: Regular medicine

Current Illness: High blood pressure, COPD

ID: 1117186
Sex: M
Age: 36
State: MO

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

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

Lab Data:

Allergies: Ceclor - hives

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

Symptoms: 3:00PM - patient reported throat felt tingly, somewhat constrictive and his right eye was twitching 3:07PM - 25mg of benadryl given 3:13-3:20 - throat symptoms improving but still feeling somewhat constrictive, eye still twitching 3:23PM - blood pressure 137/97 3:34PM - blood pressure 135/87 3:37PM - patient feeling well enough and comfortable to leave with wife as a driver due to benadryl Called the patient at 7:00PM to check in. Symptoms had resolved completely and the patient required no further interventions

Other Meds:

Current Illness:

ID: 1117187
Sex: M
Age: 48
State: IL

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

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

Lab Data:

Allergies: None

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

Symptoms: 1449: Pt reporting complaints of lightheadedness, nausea, weakness, tingling in toes, BP 82/42, HR49, O2 96%, Blood glucose 93 1454: Provided pt crackers and sprite to pt d/t him not eating at all today 1455: BP 78/40, HR 56, O293% EMS called 1501: BP Rarm 88/42, BP Larm 90/50, HR 59, O2 95%, pt declines nausea/SOB/dyspnea 1507: EMS left with pt via stretcher

Other Meds: Metoprolol, Atorvastatin, Lipitor, Plavix

Current Illness: None

ID: 1117188
Sex: F
Age: 67
State: NY

Vax Date: 03/13/2021
Onset Date: 03/14/2021
Rec V Date: 03/19/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: 102.9F fever the next day, swollen glands, nausea and dry heaves no appetite. treated with Tylenol every 6 hours then the 2nd day - bad nausea, fever 101F then when up in temp on Monday to Tuesday Tues. morning glands going down but top of the left shoulder painful Wed . swollen glands on the left of neck , below the neck front a swollen lump and below neck left shoulder a 2 inch wide ridge swollen and 1 inch wide and now starting on the right side

Other Meds:

Current Illness:

ID: 1117189
Sex: M
Age: 77
State: MI

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

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

Lab Data:

Allergies: Clindamycin

Symptom List: Ear pain, Hypoaesthesia

Symptoms: SEVERE COPD EXACERBATION

Other Meds: Metoprolol Losartan Warfarin Flow max Amlodipine Budesonidr

Current Illness: None

ID: 1117190
Sex: F
Age: 51
State: TX

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 03/19/2021
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: Patient reported numbness and tingling on vaccination arm right site.

Other Meds: None

Current Illness: None

ID: 1117191
Sex: F
Age: 70
State: AR

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

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

Lab Data:

Allergies: Fish/Seafood, NSAID'S, Sulfa, Quinolones, Valtrex, Z-pak, Mantoux skin test, Hepatitis B vaccine, Sulfites, Aspertame, Tartrazine

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

Symptoms: Took Benadryl 50mg prophylactically prior to vaccine. 5 min after shot experienced heart racing, mild air hunger and SOB. 15 min after symptoms started to subside. At 30-36 min later felt normal.

Other Meds: Levothyroxin .25mg Metoprolol XL 25mg Vitamins C,D, B12, Methylfolate

Current Illness: None

ID: 1117192
Sex: F
Age: 43
State: CA

Vax Date: 03/01/2021
Onset Date: 03/10/2021
Rec V Date: 03/19/2021
Hospital:

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

Lab Data:

Allergies: Nuts, tuna, penicillin,

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

Symptoms: Ringing in my ears/head. A loud high pitched ring. Making me crazy. Started around March 10th. Is not getting better.

Other Meds:

Current Illness:

ID: 1117193
Sex: F
Age: 63
State: NH

Vax Date: 03/17/2021
Onset Date: 03/17/2021
Rec V Date: 03/19/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Unevaluable event

Symptoms: Fever,chills, aches, fatigue

Other Meds: Advair, atorvastatin

Current Illness:

ID: 1117194
Sex: F
Age: 52
State: GA

Vax Date: 03/05/2021
Onset Date: 03/14/2021
Rec V Date: 03/19/2021
Hospital:

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

Lab Data:

Allergies: None known

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

Symptoms: I developed a large, circular skin rash at the injection site. The area was slightly inflamed with a mild itch on the day that I noticed it. I treated it by applying hydrocortisone cream 2-3 times a day for 3 days. The rash has gradually decreased in size and color over the past 5 days and hasn't itched since the first day. Although there is still some faint skin redness, there is no inflammation and I consider this reaction recovered.

Other Meds: Multi-vitamin, fish oil, vitamin D3

Current Illness: None

ID: 1117195
Sex: F
Age: 54
State: ID

Vax Date: 03/16/2021
Onset Date: 03/16/2021
Rec V Date: 03/19/2021
Hospital:

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

Lab Data:

Allergies: Penicilliin

Symptom List: Injection site pain, Pain

Symptoms: 2nd dose given too early, 1st dose 2/27/21, 2nd dose 3/16/21

Other Meds: unknown

Current Illness: unknown

ID: 1117196
Sex: F
Age: 16
State: CA

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

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

Lab Data:

Allergies: none

Symptom List: Injection site pain, Menorrhagia

Symptoms: PT RECEIVED 1ST DOSE OF PFIZER COVID VACCINE. SHE SAT ON A CHAIR FOR 15 MINUTES AND WAS FINE WHILE SEATED. AFTER 15 MINUTES SHE STOOD UP TO LEAVE AND WALKED ABOUT 25 YARDS WHERE SHE SUDDENLY FELT DIZZY AND PASSED OUT. SHE FELL TO THE GROUND, HER FACE SLAMMING THE FLOOR. AFTER A FEW SECONDS SHE WAS CONSCIOUS AND BREATHING. WE KEPT HER LAYING ON THE GROUND AND TOLD HER TO KEEP BREATHING. SHE WAS CONSCIOUS AND RESPONDING TO OUR QUESTIONS. WE CALLED 911 AND EMT ARRIVED AND TOOK OVER HER TREATMENT

Other Meds: none

Current Illness: none

ID: 1117197
Sex: M
Age: 60
State: DC

Vax Date: 03/17/2021
Onset Date: 03/17/2021
Rec V Date: 03/19/2021
Hospital:

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

Lab Data:

Allergies: No

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

Symptoms: Chills, aches, muscle pain, upset stomach, Diarrhea and cramps, tiredness, pain and redness at injection site, headache

Other Meds: Alfuzosin

Current Illness: No

ID: 1117198
Sex: F
Age: 62
State: MO

Vax Date: 02/27/2021
Onset Date: 02/27/2021
Rec V Date: 03/19/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Patient received 1st dose of Moderna vaccine on 01/30/2021. Patient received second dose on 2/27/2021 and within an hour noticed slurred speech and drooped face. Patient went to ER and was transferred to another Hospital on 2/27/21 due to stroke. Now patient believes stoke may have started 2/26/21, as she was somewhat confused that day, but didn't realize stroke until after vaccine.

Other Meds:

Current Illness:

ID: 1117199
Sex: F
Age: 47
State: MI

Vax Date: 03/15/2021
Onset Date: 03/15/2021
Rec V Date: 03/19/2021
Hospital:

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

Lab Data:

Allergies: Severe latex airborne, dairy, xanthum gum,

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Felt faint at first , hives with in 10 mins, chewed 12.5 Benadryl, more hives chewed another Benadryl. Seemed ok after 45 post shot was allowed to leave drove home. Then about 1 hr post shot tight chest , itchy lips, puffy feeling lips, drive to urgent care, oxygen sat was 92 coughing swollen tongue gave myself epi, taken by ambulance to ER. Given more epi, Pepcid, steroids, Benadryl and Ativan. Was stable and discharged after 4 hrs. Next day very tired, throat sore lymph nodes swollen. Day 2 worse fever exhausted, sore muscles and joint pain. Increased Pepcid to 2 a day and 3 antihistamine a day. Day three increased steroids to 40 mg a day. Day 2 of increased steroids. Lymph nodes down , still exhausted, nausea, sore.

Other Meds: Levothyroxine 50, losatran 50, xyzal, Xolair 150, birth control, cymbatla 60 , melatonin, Pepcid , hydrochlorthizne 25, magnesium, vitamin d3, turmeric

Current Illness: Chronic urticaria, latex allergy, hypothyroidism, high blood pressure, fibromyalgia

ID: 1117200
Sex: F
Age: 91
State: CA

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

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

Lab Data:

Allergies: Penicillin

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

Symptoms: Administered 0.5 ml of Moderna Covid EUA vaccine IM to patient's left arm. Patient went out to waiting room after told to wait 15 minutes before leaving store. Approximately 2 minutes later caregiver and patient approached register and stated patient wasn't feeling well. Brought patient back into consultation room. Patient was slouching and not responding to questions. "Are you okay" & "Can you sit up" Patient continued to slouch. Administered EpiPen 0.3mg to patients left thigh and called 911. Patient then began to respond to questions. Paramedics showed up and assessed patient. Paramedics took patient to emergency room after their evaluation of patient.

Other Meds: Levothyroxine 75mcg Rexulti 2mg

Current Illness: N/A

ID: 1117201
Sex: F
Age: 30
State: TX

Vax Date: 03/10/2021
Onset Date: 03/10/2021
Rec V Date: 03/19/2021
Hospital:

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

Lab Data:

Allergies: bees, wasps, hornets, yellow jackets, fire ants, bullet ants, cats, hamsters, ragweed, mold, cedar pollen, oranges and tangerines ALL Sulfa drugs PolyTrim Eye Drops

Symptom List: Nausea

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA headache first day, immediate itching and redness and lump at injection site, nausea and shortness of breath, tenderness on injection site, arm soreness it is now day 9 since my 1st shot, and everything else has gone away except for the redness, itchiness, and the lump size which has progressively gotten worse not cleared up in 7 to 10 days

Other Meds: norethindrone 1 mg

Current Illness: none

ID: 1117202
Sex: F
Age: 63
State: IL

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

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

Lab Data:

Allergies: NKDA

Symptom List: Injection site pain

Symptoms: Feels super warm and abnormal. Felt better after sitting or 5 minutes without any interventions

Other Meds: metformin

Current Illness: none

ID: 1117203
Sex: M
Age: 60
State: WA

Vax Date: 01/04/2021
Onset Date: 01/12/2021
Rec V Date: 03/19/2021
Hospital:

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

Lab Data:

Allergies: no

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

Symptoms: Injection was put in the fatty tissue and not in the actual muscle tissue - it may have been administered too low in my arm. Everything was fine for first five days - and I noticed where the shot mark was and I noticed a lighter ring around it and about 3 or 4 days later - ring around it that was four inches in size- it was warm to the touch; swollen. Inner part was bright red and about five inches out it was lighter - it looked like an infection. I sent a photo to my doctor and asked him and was put on antibiotic - about a week - just in case. It may have helped a little - after the antibiotics, I could still see it was there (although no swelling anymore).

Other Meds: 20 mg Omeprazole - for acid reflux

Current Illness: no

ID: 1117204
Sex: M
Age: 85
State: MI

Vax Date: 03/14/2021
Onset Date: 03/01/2021
Rec V Date: 03/19/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: weakness in legs and trying to stand up and keep my balance

Other Meds: none

Current Illness: none

ID: 1117205
Sex: M
Age: 52
State: VA

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 03/19/2021
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Allergies: NKDA

Symptom List: Tremor

Symptoms: Patient received vaccine at 3:42 pm. At 3:50pm, patient was unconscious but breathing in his chair in the post-vaccine waiting area. 911 was called. Patient was placed on the floor in the recovery position, he regained consciousness after about 1 minute. He stated that he has passed out previously after giving blood as he has a fear of needles. EMS took his BP several times (last reading at 4:13 pm was 96/63) after arriving at 3:57pm. At 4:13 pm he signed a waiver that he did not want to go to the ER.

Other Meds: Unknown

Current Illness: Unknown

ID: 1117206
Sex: F
Age: 68
State: NC

Vax Date: 03/17/2021
Onset Date: 03/17/2021
Rec V Date: 03/19/2021
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Allergies: None known

Symptom List: Erythema, Pruritus

Symptoms: Extreme nausea, abdominal cramping, diarrhea, dizziness. Also headache and warm face (low fever) occurring for 2 hours , beginning 4 hours after vaccination. Then a little less severe for the following 2 hours. Then further diminishing over the next four hours. Felt OK after 12 hours.

Other Meds: none

Current Illness: None

ID: 1117207
Sex: M
Age: 68
State: VT

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 03/19/2021
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Allergies: androgel, nitro glycerin, cipro, doxepin, premadone, thorazine, doxycycline, batrim, flonase, omeprazole, chlorine, bees, clorhexidine, gabapentin, myrbetrig

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

Symptoms: wobbly legs, spinning head, shortness of breath

Other Meds:

Current Illness:

ID: 1117208
Sex: M
Age: 67
State: AR

Vax Date: 03/12/2021
Onset Date: 03/12/2021
Rec V Date: 03/19/2021
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Allergies: none

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

Symptoms: The night of the second dose the wife reports that he experienced hallucinations, amnesia and incontinence. According to the wife, an ambulance was called and he was taken to the hospital.

Other Meds: dutasteride, clonazepam, pravastatin, clopidogrel

Current Illness: none

ID: 1117209
Sex: F
Age: 67
State: CA

Vax Date: 03/17/2021
Onset Date: 03/17/2021
Rec V Date: 03/19/2021
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Allergies: none

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Aches, chills, fever about 7 hours after receiving the dose. Lethargic, tired the next day. Same symptoms but less but less severity than the night before. Slept all day the second day. The third day almost back to normal except for a little listlessness. Took Tylenol the first night and the next morning.

Other Meds: Atenolol, Maxide

Current Illness: None

ID: 1117210
Sex: F
Age: 68
State: MI

Vax Date: 03/18/2021
Onset Date: 03/18/2021
Rec V Date: 03/19/2021
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Allergies: NKDA

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

Symptoms: NONE

Other Meds: AMOLODIPINE 10MG LOSARTAN 100 MG ATORVASTATIN 80 MG METOPROLOL 100 MG METFORMIN 1000 MG GABAPENTIN 300 MG

Current Illness: N/A

ID: 1117211
Sex: F
Age: 51
State: ID

Vax Date: 01/27/2021
Onset Date: 01/29/2021
Rec V Date: 03/19/2021
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Allergies: cipro

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

Symptoms: Day 3 of swollen face . started to get rash and eyes all puffy. some rash underneath armpits and right knee randomly. None on the rest of body. Had trouble breathing after first dose of vaccine and was started on steroids. when she went to get her second dose she started the steroids immediately. she ended last Tuesday or Wednesday and the rash and puffy eyes started 3 days ago . was on antibiotic with the first dose but none since . Intermittently has had trouble breathing. breathing felt much better when on steroid.

Other Meds: Multivitamin , albuteral sulfate, loratidine, vitamin D3

Current Illness:

ID: 1117212
Sex: F
Age: 80
State: CO

Vax Date: 03/01/2021
Onset Date: 03/02/2021
Rec V Date: 03/19/2021
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Allergies: Fosamax - severe myalgias,

Symptom List: Pain in extremity

Symptoms: Severe fatigue and subjective fevers, with bilateral upper extremity pain, unable to raise arms above shoulders for 2 weeks, malaise, fatigue and body aches persisting for ~ 18 days but improving. Had received the following vaccines recently: Moderna 2/4/2021, 1/7/2021 Shingrix 12/16/2020, 03/01/2021

Other Meds: Gabapentin, mirtazapine, atenolol, levothyroxine,

Current Illness: none

Date Died: 03/10/2021

ID: 1117213
Sex: M
Age: 78
State: KY

Vax Date: 02/03/2021
Onset Date: 03/10/2021
Rec V Date: 03/19/2021
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Allergies: Medical records state an allergy to brimonidine and timolol.

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

Symptoms: Case tested positive for COVID-19 on 3/1/2021 by rapid antigen and then again on 3/3/2021 by PCR. Case was admitted to hospital on 3/3/2021 for shortness of breath and occult infection. Case was previously admitted and discharged from hospital on 2/22/2021 after a lumbar compression fracture. Case had monoclonal antibody infusions; was afebrile and denied chills, but had a dry cough. Case was a previous smoker, quit 2 years prior. Case developed pneumonia. Case required supplemental oxygen.

Other Meds: Unknown

Current Illness: Unknown

ID: 1117214
Sex: M
Age: 36
State: AK

Vax Date: 02/27/2021
Onset Date: 03/07/2021
Rec V Date: 03/19/2021
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Allergies: No allergies to meds/food/products

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

Symptoms: developed episodic HA. "Feels like a pressure in my head." Travels from one spot to another. Episodic. Lasts for several minutes before spontaneously resolving.

Other Meds: No meds

Current Illness: No recent illness

ID: 1117215
Sex: F
Age: 60
State: CA

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 03/19/2021
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Allergies: NKDA

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

Symptoms: HCW was given pfizer first dose on 12/17/20. HCW thought she will have to re-start the series all over because she waited too long to get 2nd dose of pfizer so she opted for the Janssen vaccine. She did not inform vaccinator that she had already received a covid-19 vaccine. HCW denies any side affects or adverse reactions at this time.

Other Meds: None

Current Illness: No

ID: 1117216
Sex: F
Age: 69
State: NM

Vax Date: 03/10/2021
Onset Date: 03/15/2021
Rec V Date: 03/19/2021
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Symptom List: Vomiting

Symptoms: On March 15 my injection sight was really sore so I looked at it and I had a large rash When I massage it feels warm to the touch.

Other Meds: multivitamin ,calcium and one low dose aspirin

Current Illness:

ID: 1117217
Sex: F
Age: 41
State:

Vax Date: 03/06/2021
Onset Date: 03/19/2021
Rec V Date: 03/19/2021
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Allergies: N/A

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Large, fist-sized circular rash near injection site; exacerbated Carpal Tunnel-like symptoms in are

Other Meds: Escitalopram

Current Illness: N/A

ID: 1117218
Sex: F
Age: 65
State: TN

Vax Date: 03/18/2021
Onset Date: 03/19/2021
Rec V Date: 03/19/2021
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Allergies: Aspartame, Penicillin, Nitrofurantonin, General Seasonal Allergies

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

Symptoms: TERRIBLE HEADACHE, NAUSEA, BODY ACHES, SINUS CONGESTION

Other Meds: Probiotic, Dexilant DR 60 MG, Citalopram HBR 20 MG, Hydrochlorothiazide 25 MG, Amlodipine Besylate 10 MG, Diclofenac Sod Dr 75 MG, Loratadine 10 MG, Advar, Vitamin D, Atorvastatin 40 MG, Montelukast Sod 10 MG, Hydroxyzine HCL 10 MG, Levothy

Current Illness:

ID: 1117219
Sex: M
Age: 33
State: CA

Vax Date: 03/14/2021
Onset Date: 03/14/2021
Rec V Date: 03/19/2021
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Allergies: Ibuprofen Excedrin Celery Seasonal allergies Dust Most

Symptom List: Injection site swelling, Limb discomfort

Symptoms: I sat down for 15 min and felt fine for the rest of the day. The hives started about 30 mins after I had dinner. It started on my shoulders and back, so I took a Benadryl, which was expired. So, I went to get some more and took a second dose around midnight. I won't up with none, but they were back around noon. That happened for a few days with it happening around lunch and dinner. On Tues, they started spreading more, so I went to the doctor. There was no swelling of the tongue. They lessened over the next couple of days. As of today, I have a small amount of itching, but nothing bad. I've also been taking Claritin since yesterday. I have not seen any the same size as before, but I notice that they seem to be worse at night. I took my BP a few times and it was high at those times, but it went back to normal the next day. I will be seeing an allergist in the near future.

Other Meds:

Current Illness:

ID: 1117220
Sex: F
Age: 60
State: WA

Vax Date: 02/04/2021
Onset Date: 02/09/2021
Rec V Date: 03/19/2021
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Allergies: no

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

Symptoms: Shot site was fine. No soreness. About five days later, I noticed a rash - 4 inches below the shot site. Nothing bad but nothing around the shot site. No itching. No swelling. A little warm to the touch. No treatment. The rash was there for about a week and a half. - about 10 or 12 days.

Other Meds: 20 mg Omeprazole - for acid reflux

Current Illness:

ID: 1117221
Sex: F
Age: 76
State: GA

Vax Date: 03/17/2021
Onset Date: 03/17/2021
Rec V Date: 03/19/2021
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Allergies: None

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

Symptoms: I had fever, every joint ached extremely painfully

Other Meds: None

Current Illness: None

Total 2021 VAERS Injuries: 704,237

Page last modified: 26 October 2021 2:21am