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: 1119177
Sex: F
Age: 65
State: KY

Vax Date: 03/11/2021
Onset Date: 03/18/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies: None known

Symptom List:

Symptoms: Red rash, slight itch, a little swollen (still have as of today). No treatment has been necessary Also, 5 days after the vaccine I experienced a soreness on the left side of my ribcage area and it spread across entire ribcage area. It hurt to take deep breaths or to try to reach upward. It disappeared in about 24 hours.

Other Meds: Synthroid, Lisinopril, multivitamin

Current Illness: None

ID: 1119178
Sex: M
Age: 89
State: NC

Vax Date: 03/03/2021
Onset Date: 03/05/2021
Rec V Date: 03/20/2021
Hospital: Y

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

Lab Data:

Allergies: None known

Symptom List:

Symptoms: Weakness (Mar 5 evening), not able to stand / walk (March 6) ending up in slurring of voice /lethargic , high BP (morning Mar.7). Called 911 and moved to ER @ Hospital. CT Scan did not show stroke, EEG showed slowness in brain activity, MRI showed minor stroke left side of brain. Low salt (124) at the time of admittance. Released from Hospital on Mar 10.

Other Meds: Losartan(50mg), Clopidogrel tablets USP 75 mg, Alfuzosin hydrochloride 10 mg As extended release tables, Dutasteride 0.5 mg, Miglitol Tablets 25 mg, Piogilitazone Hydrochloride (15mg), Metformin Hydrochloride IP (500mg), Glimepiride USP (2m

Current Illness:

ID: 1119179
Sex: F
Age: 83
State: CA

Vax Date: 03/17/2021
Onset Date: 03/18/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: High Blood Pressure after Vaccine

Other Meds: High blood pressure pills

Current Illness: None

ID: 1119180
Sex: F
Age:
State: OK

Vax Date: 03/16/1921
Onset Date: 03/17/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies: Tetracycline, and Prodnozone in large doses.

Symptom List:

Symptoms: Fever, chills, sweats, huge red and swollen arm at injection site, headaches, can?t hardly move that arm! For, 3 days +

Other Meds: Otezla 30MG, Losartan, Thyroid NP1.5GR, Amlodipine Besylate 5MG, Cyclobenzaprine 10MG, Biotin 10,000, Zink 22MG, Citracal calcium w/D3 2000MG per day.

Current Illness: Phoretic arthritis & Psoriasis

ID: 1119181
Sex: F
Age: 53
State: WA

Vax Date: 03/18/2021
Onset Date: 03/19/2021
Rec V Date: 03/20/2021
Hospital:

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

Allergies: Latex, petroleum, composine, keflex, ondansetron, buspirone, trees, grass, weeds, flowers, dust mites, animals, most soaps and lotions, shampoos, conditioners, hand sanitizers etc.

Symptom List:

Symptoms: I felt/feel wheezy. Like I was experiencing asthma so I used my inhalers more than usual and I took benadryl regularly to minimize the wheezing.

Other Meds: Synthroid Albuteral Alvesco

Current Illness: Bad allergies due to tree pollen

ID: 1119182
Sex: F
Age: 46
State: TX

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Left arm broke out in red bumps at 3pm on March 19, 2021. I took 2 Tylenol for pain in arm. On March 20, 2021, my right arm had developed small red bumps. The red bumps on my left arm disappeared but left a rash on my arm.

Other Meds: None

Current Illness: None

ID: 1119183
Sex: F
Age: 29
State: CA

Vax Date: 03/05/2021
Onset Date: 03/07/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: Swollen lymph node in left armpit

Other Meds: N/A

Current Illness: N/A

ID: 1119184
Sex: F
Age: 64
State: CA

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Moderna Covid-19 Vaccine EUA. Immediately the injection became very tender and red and moving my arm became painful. About 9 hours after I began experinecing fatigue, headache, muscle pain, joint pain, and nausea. It was a particularly awful night, but I am feeling much better today and will be probably be over it by tomorrow. I remain grateful f or the vaccine.

Other Meds: hormone replacement therapy, multivitamin, glucosamine and chondroitin

Current Illness: none

ID: 1119185
Sex: F
Age: 58
State: WA

Vax Date: 03/20/2021
Onset Date: 03/20/2021
Rec V Date: 03/20/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
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Lab Data:

Allergies: Iodine, shellfish, levaquin, duloxetine, tramadol

Symptom List:

Symptoms: Dry cough, diarrhea

Other Meds: irbesartan, amlodipine, probiotic, sulfasalazine, gabapentin, Super B Complex , Ca + Vit D, iron, E, extra Vit C, flonase, Voltaren gel

Current Illness:

ID: 1119186
Sex: F
Age: 33
State: GA

Vax Date: 03/12/2021
Onset Date: 03/20/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: ?Covid arm?. Rash and swelling around injection site 8 days after the vaccine. Rash is red and splotchy. Roughly the size of a golf ball.

Other Meds: Sprintec Women?s multi vitamin

Current Illness: None

ID: 1119187
Sex: M
Age: 66
State: NM

Vax Date: 03/19/2021
Onset Date: 03/20/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies: Wine allergy .cabbage allergy. hay fever .

Symptom List:

Symptoms: Headache and aches

Other Meds:

Current Illness:

ID: 1119188
Sex: F
Age: 51
State: PA

Vax Date: 03/12/2021
Onset Date: 03/19/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies: Na

Symptom List:

Symptoms: Vertigo, dizzy, nausea, more than 24 hours The above occurred 7 days after my vaccine

Other Meds: Enbrel - 2 weeks prior to the vaccine

Current Illness: Rheumatoid arthritis

ID: 1119189
Sex: F
Age: 44
State: IL

Vax Date: 03/10/2021
Onset Date: 03/17/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Moderna COVID-19 Vaccine EUA. There is a severe Red Rash on the left arm near the site of injection. It started after 1 week of injection and is causing lot of itching, red spots across the arm. Started taking Over the counter - Claritin non-Drowsy on 3/20/2021 and will monitor for 3-4 days. if doesn't improve then will visit Dr.

Other Meds: Levothyroxine

Current Illness: None

ID: 1119190
Sex: F
Age: 47
State: TX

Vax Date: 03/17/2021
Onset Date: 03/18/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies: Dilaudid

Symptom List:

Symptoms: Fever Chills Nausea Swollen lymph nodes on clavicle and under arms

Other Meds: Lisinopril 10mg Escitalopram 10mg Clonodine 0.1mg Hydroxyzine 25mg Rosuvastatin calcium 5mg Montelukast 10mg Femynor 28

Current Illness:

ID: 1119191
Sex: F
Age: 51
State: IN

Vax Date: 03/19/2021
Onset Date: 03/20/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies: sulfa

Symptom List:

Symptoms: fever chills upset stomach body aches headache fatigue

Other Meds: none

Current Illness: none

ID: 1119192
Sex: F
Age: 63
State: TX

Vax Date: 03/20/2021
Onset Date: 03/20/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies: NO KNOWN ALLERGIES

Symptom List:

Symptoms: APPROXIMATELY 20 MINUTES AFTER THE PATIENT RECEIVED THE VACCINE SHE DEVELOPED DYSPNEA, SUBJECTIVE DIFFICULTY SWALLOWING AND MENTIONED TONGUE SWELLING/PARESTHESIA OF THE LIPS. SHE WAS RAPIDLY ATTENDED TO; AN EPIPEN WAS ADMINISTERED IN LEFT THIGH AND SYMPTOMS PERSISTED. EMS WAS CALLED AT 5:20PM. VITAL SIGNS WERE MONITORED AND RECORDED. SHE LATER REPORTED CHEST PRESSURE; EMS ARRIVED AND SHE WAS TAKEN TO THE HOSPITAL.

Other Meds: PLAVIX, METFORMIN, TRAMADOL, BACLOFEN, INSULIN-HUMALOG, GLYXAMBI, ASPIRIN, ZYRTEC, GABAPENTIN, TRESIBA, CELECOXIB

Current Illness: UNKNOWN

ID: 1119193
Sex: F
Age: 66
State: FL

Vax Date: 02/24/2021
Onset Date: 02/25/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies: SULFA AUGMENTUM

Symptom List:

Symptoms: HEADACHES AND EXTREME FATIGUE FOR 3.5 WEEKS

Other Meds: LISINOPRIL 5MG MEGA FOOD THYROID SUPPLEMENT SOLAR RAY THYROID SUPPLEMENT

Current Illness: NONE

ID: 1119194
Sex: F
Age: 51
State: PA

Vax Date: 03/19/2021
Onset Date: 03/20/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies: Lamisil

Symptom List:

Symptoms: Headache muscle ackes- neck, back, Site very sore Lethargic Mildly nauseated, no appetite Restless, miserable

Other Meds: Lamicatal, Zoloft, crestor, potassium chloride, bit b complex, D multi, aspirin Omega

Current Illness: Sinus infection two weeks ago

ID: 1119195
Sex: F
Age: 68
State: CO

Vax Date: 03/04/2021
Onset Date: 03/17/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies: Penicillin class, Cephalosporins, Clindamycin/Lincomycin Class, Cephalexin, Shellfish Derived Products

Symptom List:

Symptoms: I received my first CoVid vaccine March 4th, - exactly 2 weeks out. Last night, March 17, my arm was itching.... so I scratched... (due to the cataract removal/eye surgery, not the best vision last night everything still blurred), When I looked this morning, March 18 and it felt, warm to the touch, no lumps/bumps, itchy and red... I do not have a fever, temps for cataract eye surgery were fine yesterday and at this morning's post op F/U. Did not notice anything yesterday morning. Nor did anyone in the pre op area say anything (I had on short sleeves) and had to change in to a lovely patient gown. Today March 20, still red, no itching, smaller in size.

Other Meds: Protonics, Simvastatin, Propranolol

Current Illness: none,

ID: 1119196
Sex: F
Age: 58
State: OH

Vax Date: 03/12/2021
Onset Date: 03/19/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies: Latex, bananas, avocados, water chestnuts, watermelon, cashews. Opioids

Symptom List:

Symptoms: Initially had a sore shoulder at injection site for approx. 3 days. Now 1 week out the lymph node under that arm is aching, sore and swollen, and I am having numbness, tingling and electrical type buzzing in my 2 middle fingers. Both wrists ache.

Other Meds: Citalopram, valacyclovir, levothyroxine, meloxicam, vit B12

Current Illness: none

ID: 1119197
Sex: F
Age: 51
State: AZ

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies: Neosporin, latex, sulfa drugs

Symptom List:

Symptoms: Asthma and allergy flare-up. Used emergency inhaler and took Claritin Reditab and symptoms cleared within half an hour.

Other Meds: AllegraD, QVAR 80mcg

Current Illness: None

ID: 1119198
Sex: F
Age: 36
State: WA

Vax Date: 03/15/2021
Onset Date: 03/19/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies: N/a

Symptom List:

Symptoms: On the morning of day four I started get very nauseous and only making myself cold or a cold pack and fresh air would help. A few hours later the painful and extreme/ non stop gas/explosive diarrhea started. Nothing helps. I?ve been eating Imodium like candy. It does nothing to help. I have prescribed anti nausea msds for my migraines and they don?t help. I?ve only had water in two days and haven?t been able to pee in two days. It?s all coming out as the runs. About every 20 minutes. I know my body. This isn?t something I ate. This is the vaccine. I?m so dehydrated because nothing will not stay in me. I tried eating a slice of plain bread and a banana and it was out in 15 minutes.

Other Meds: amphetamine-dextroamphetamine 15 MG 24 hr capsule clonazePAM 1 MG tablet QUEtiapine 50 MG tablet topiramate 50 MG tablet DULoxetine 90 MG capsule memantine 5 MG tablet SUMAtriptan 50 MG tablet hyoscyamine 0.125 MG tablet gabapentin 300 M

Current Illness:

ID: 1119199
Sex: M
Age: 46
State: CA

Vax Date: 03/16/2021
Onset Date: 03/19/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies: NO

Symptom List:

Symptoms: ON THE THIRD DAY I BEGAN TO FEEL A LOT OF NAUSEA AND AT 10:00 AM I STARTED TO DIZZY AND THAT LAST ALL DAY AND IN THE AFTERNOON I FEEL FATIGED AND WITH IRRITATED SKIN, THE FOLLOWING DAY IN THE MORNING I FEEL A LITTLE DIZZY BUT JUST A MOMENT AND THEN DISAPPEAR

Other Meds: METFORMIN, ATENOLOL, OZEMPIC, OLMESARTAN, ATORVASTATIN

Current Illness: DIABETES TYPE 2 HYPERTENSION

ID: 1119200
Sex: F
Age: 39
State: WA

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: Fever, body aches, chills following the first Moderna vaccine shot. Symptoms lasting over 24 hrs and continuing

Other Meds: Aripiprazole, bupropion, vitamin c, multi vitamins, green tea extract

Current Illness: Chills a few days before vaccination

ID: 1119201
Sex: F
Age: 15
State: OH

Vax Date: 10/10/2020
Onset Date: 10/10/2020
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: 15 yo female patient presented to clinic for influenza vaccine. Vaccine consent filled out and signed by parent. 0.5mL FluBlok Quad administered IM to L deltoid. Patient educated to remain at clinic for observation x 15 minutes. No adverse reaction or sx noted. 2/18/21 18:15 After two patient identifiers verified, father of patient notified FluBlok was given. States no unexpected effects or sx noted. Denies having other questions or concerns at this time.

Other Meds:

Current Illness:

ID: 1119202
Sex: F
Age: 25
State: MA

Vax Date: 03/18/2021
Onset Date: 03/20/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: I had an optical migraine that began on Saturday March 20th at 2:30 pm which resulted in nausea and vomiting as well as chills and hot flashes

Other Meds: Sertraline 75 MG, Spirnolactone 100 mg, Tylenol

Current Illness: N/A

ID: 1119203
Sex: F
Age: 34
State: IL

Vax Date: 03/11/2021
Onset Date: 03/11/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Labored breathing following by coughing for relief

Other Meds: Nuvaring, vitamin D3, probiotic, valacyclovir, topiramate

Current Illness: None

ID: 1119204
Sex: M
Age: 49
State: CA

Vax Date: 03/18/2021
Onset Date: 03/18/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies: None reported

Symptom List:

Symptoms: After vaccination, the patient was monitored for 15 minutes. He reported he was feeling fine when leaving the pharmacy. The patient's relative called in the evening reporting he was having nausea with vomiting. The patient was counselled to seek medical care to manage nausea and take tylenol for body aches. The pharmacist followed up with the patient the next day. Nausea subsided and patient reported feeling fine again. He said he had left message with his doctor and hadn't heard back.

Other Meds: None reported

Current Illness: None reported

ID: 1119205
Sex: F
Age: 36
State: NC

Vax Date: 03/12/2021
Onset Date: 03/19/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies: Unknown

Symptom List:

Symptoms: Apx one week post injection the site started itching regularly. 24 hours after that the area approximately one inch around the injection site is firm, hot to the touch, and broken out in a red rash. The area also aches when the arm is used. Itchiness comes and goes.

Other Meds: N/A

Current Illness: None

ID: 1119206
Sex: F
Age: 50
State: MI

Vax Date: 03/20/2021
Onset Date: 03/20/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies: Ancef and tree nuts

Symptom List:

Symptoms: Immediate Itchy, swollen lips and tongue. Nose got itchy as time went on. Sweaty palms and armpits. Flush face, blotches on neck. Hoarse voice. Hot feeling.

Other Meds: None

Current Illness: None

ID: 1119207
Sex: F
Age: 71
State: GA

Vax Date: 03/20/2021
Onset Date: 03/20/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies: unknown

Symptom List:

Symptoms: patient received moderna as 1st dose and inadvertently given pfizer as 2nd dose. correct dosage given during both administrations

Other Meds: unknown

Current Illness: unknown

ID: 1119208
Sex: F
Age: 50
State: CO

Vax Date: 03/06/2021
Onset Date: 03/16/2021
Rec V Date: 03/20/2021
Hospital: Y

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

Lab Data:

Allergies: Fish, Tree Nuts, and Decyl Glouside

Symptom List:

Symptoms: 10 days after my second shot of the Covid vaccine, I was short of breath and my heart rate was elevated. I went to the hospital and they found blood clots in both lungs and I had to be hospitalized.

Other Meds: Dupixent, Nuvaring, Multivitamin, Eucrisa

Current Illness:

ID: 1119209
Sex: F
Age: 35
State: SC

Vax Date: 03/12/2021
Onset Date: 03/15/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies: allergic to PCN

Symptom List:

Symptoms: I tested positive for COVID on January 24th. I never had a fever throuhgout my illness; however I did have mild cold symptoms, and lost all sense of taste and smell. My taste and smell just started to return a few weeks ago. I received the Pfizer vaccine on Friday, March 12th. On Monday, March 15th, I lost all smell and taste. When I completed a virtual care visit, I was advised that since I had COVID within the past 12 weeks, I was not eligible to be retested for COVID. However, I was informed that loss of taste and smell were not side effects of the vaccine and that I needed to go home and quarantine for 2 weeks. I requested a second opinion, and was instructed from my second opinion to get retested (although this was against routine CDC guidelines). My retest was negative for COVID. I have been advised that my loss of taste and smell should be reported to the CDC as a side effect of the vaccine. I still do not have taste or smell as of March 20.

Other Meds: Prozac (prescribed medication)

Current Illness: none

ID: 1119210
Sex: F
Age: 33
State: UT

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies: Red meat, penicillin

Symptom List:

Symptoms: About a minute after I had the injection, my arm started hurting and it felt like hot water was coursing through my veins. I got an immediate headache that progressed into light headedness, my vision got blurry and I saw colors and then I started to lose my hearing, it felt like there was cotton in my ears. The nurses said I went pale and they called it a panic attack, but it was unlike any panic attack I have ever had in my life. I?ve had my TDAP updated a few years ago and got a flu shot and did not feel anything like this. I was rolled out of the room on a wheel chair because I was too dizzy to walk and then threw up several times into a bag and peed myself. It took about 20 minutes before I felt normal again. The following day my arm felt numb and incredibly sore, I couldn?t raise it that far up without excruciating pain. I felt weak, fatigued and dizzy and was unable to use the bathroom. I had fever sweats and chills on and off. I was not able to sleep well, but I think that?s because of the pain in my arm.

Other Meds: Quetiapine, sertraline, hydroxyzine

Current Illness: None

ID: 1119211
Sex: F
Age: 25
State: PA

Vax Date: 03/19/2021
Onset Date: 03/20/2021
Rec V Date: 03/20/2021
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Allergies: no unknown allergy. smoke sometimes is lead me to get cold

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Symptoms: I took the first dose of Moderna around 15.30 pm at vaccination site on 19th March 2021. On that day, my body felt very cold and did not get sleep at that night. Saturday morning, my head was dizzy and no appetite. But took some meal around 9.30 a.m. Then I started vomiting from 12 p.m. to 3 p.m. several times. My whole body was dizzy and tired for a whole day.

Other Meds: None

Current Illness: N/A

ID: 1119212
Sex: F
Age: 63
State: MI

Vax Date: 03/11/2021
Onset Date: 03/20/2021
Rec V Date: 03/20/2021
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Allergies: Penicillin, Morphine, Prolia

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Symptoms: Today 9 days after injection the injection site is swollen,red, and a little itchy

Other Meds: Atacand, Hydrochlorthiazide, Cartia XT, Vit D3, Norco, Lyrica, Clonazepam

Current Illness: None

ID: 1119213
Sex: F
Age: 33
State: CO

Vax Date: 03/20/2021
Onset Date: 03/20/2021
Rec V Date: 03/20/2021
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Allergies: Peanuts (anaphylaxis)

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Symptoms: 33 yr.. female AAO x4, CC possible allergic reaction. Pt. had Pfizer Covid-19 vaccination (lot EP6955 exp 06/31/21) and started to experience some tightness in her throat. Paramedics on site evaluated and of medical site lead a decision was made to activate EMS due to pt. advising her bottom lip was swelling a little and her voice was changing slightly. Crew showed up scene, evaluated pt. and got an AMA release with the caveat that her mom would drive her direct to the hospital. On site paramedics also advised pt. Had wheezing in upper R lobe, which resolved upon arrival. Pt. has medical hx of anaphylaxis to peanuts (carries EpiPen) and bipolar type ii disorder, medications of Lamictal and bupropion. Tx: pt was administered 25 mg Benadryl PO . Pt was further evaluated with course listed as above. Vitals were BP 110/72, P 90 R 16 97% on RA Pox. Follow-up: pt went, was seen in ED and was given diphenhydramine, Pepcid and a steroid. Pt. discharged to home with no further incident. Pt. advised to advise vaccination staff of reactions she had for second appointment.

Other Meds: Lamictal, Bupropion

Current Illness:

ID: 1119214
Sex: F
Age: 58
State: OH

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 03/20/2021
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Allergies: Various anti-biotics

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Symptoms: Shot at 2 pm, immediate pain in left side of neck and headache on left side of head. 4 pm got hives. 7 pm chest tightness. 8 pm trouble breathing, so went to ER. Had an EKG and other heart related tests. Had blood work and chest xray. Gave Benadryl. Had taken Pepcid at 4 pm

Other Meds: Erfa Thyroid

Current Illness: None

ID: 1119215
Sex: F
Age: 72
State: CA

Vax Date: 03/02/2021
Onset Date: 03/03/2021
Rec V Date: 03/20/2021
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Allergies: None

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Symptoms: Extreme fatigue, nausea and chills for over two weeks since second vaccine.

Other Meds: None

Current Illness: None

ID: 1119216
Sex: F
Age: 53
State: WA

Vax Date: 03/18/2021
Onset Date: 03/20/2021
Rec V Date: 03/20/2021
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Allergies: Seasonal allergies only. I get runny nose and sneezing throughout the allergy season. But no other allergies of any kind.

Symptom List:

Symptoms: I took 2 Tylenol, 1,000 mg and an hour later took 600 mg of ibuprofen. Headache improved but still coming and going throughout the day and was bad enough I wasn?t able to run errands today. I took a mild opiate type RX pain medicine and headache went away at about 5:00 pm, which I haven?t taken any opiates since hospital visit for back injury 12/27/2020 and discharge medication of Percocet #15.

Other Meds: Vitamin D, cannabis, ibuprofen,

Current Illness: None

ID: 1119217
Sex: M
Age: 71
State: FL

Vax Date: 03/01/2021
Onset Date: 03/18/2021
Rec V Date: 03/20/2021
Hospital: Y

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Allergies: None

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Symptoms: Patient presented with chest pain on 3/18/21, was found to have NSTEMI and underwent cardiac catherization on 3/19/21 that found high-grade left anterior descending disease with 2 sequential lesions. There is moderate disease in the mid circumflex and the right coronary artery. He received PCI to LAD with DES and was discharged home on ASA and plavix on 3/20/21.

Other Meds: Allopurinol, amlodipine, vitamin C, Vitamin D, Vitamin B12, atorvastatin, fenofibrate, losartan, metoprolol, multivitamin, nortriptyline, tamsulosine

Current Illness:

ID: 1119219
Sex: M
Age: 19
State: AZ

Vax Date: 03/20/2021
Onset Date: 03/20/2021
Rec V Date: 03/20/2021
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Allergies: no known allergies

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Symptoms: Patient developed nausea and low-volume emesis within 5 minutes. Rapidly improved and returned to baseline following emesis.

Other Meds: none

Current Illness: fungal skin condition

ID: 1119220
Sex: M
Age: 70
State: WA

Vax Date: 03/01/2021
Onset Date: 03/03/2021
Rec V Date: 03/20/2021
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Allergies: None

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Symptoms: Back started itching then front stomach area and spreed to both side and neck. then hives started appearing. followed by Jagged spots with white ares and jagged round ring. Welt on rump x. chills, on and off. followed buy hot spot ankle side of shins and side of thighs. Went to ER IV Benadryl Took blood sample. Did CBC & Differential. Comprehensive Metabolic Panel. After a few hours the Red color in my forearm started to disappearing. Gave me a prescription for Benadryl and Famotidine 20mg ,Prednisone 50mg. Returned to ER next day as swelling started back up. IV Benadryl sent me home. No improvement. Dr changed to Hydroxyzine 25mg. home no improvement and Most of my body was covered. I had hot spot Hot spots feet, shins, thigh, fore arms. Put wet towels on hot spots to stop pain and itching. change ever 30 minutes no sleep for days Finally got in to DR he increased the famotidine to 40mg. Around 3am I finally slept, When I woke My lip was swollen and my throat was tight had a lump in it. drank water and ate a cookie. would not clear gaged down the Medication some dissolved before I could get them down. Drove to the hospital. They gave me injection in my thigh and IV Benadryl. Added Loratadine and had me get a Epinephrine Pen. Dr increased the medication. Very slowly the welt, and hives started changing to red rash, hot spots and itching continued. only got short sleep during the day and night at times exhausted. coughed several times for minute non stop. Slight fever followed by chills and some shaking. Very nervous at times. As thing started getting better I took some pictures. Could not believe what my body was going threw. March 18 finaly starting to go away getting better skin wise but still cold and hot. Mouth all this time would go from no taste to bad taste. Throw up feeling at times had to fight it off. March 16,17, after I would fall asleep I had very bad pounding headache took Aspirin and Tylenol. after three hours put a wet towel on my forehead. finally let up and was able to sleep a little. the second night same thing except after I went to sleep the towel dropped my core temperature could not get warm took temp 94.4. Turned heat back up to 78 degrees Wrapped upper body as had to keep lower legs in open air with wet towels on hot spots. Stopped taking my Blood Pressure and switch to from Hydroxyzine to (Banophen Diphenhydramin ) The spots are finally getting smaller. Feet are still swollen and are hard to walk on, still have to go everywhere in open slippers and pant legs rolled up. blisters broke on ankle finally getting better. March 20 left foot still swollen and stiff, right foot swelling going down a little. I could not handle filling this out until now. My memory and even my eye site was affected. I had to write it down in case some one asked me. When they asked me I couldnt remember everything. has to look and my notes to remember. Finally got a referral to infectious disease and a allergist.

Other Meds: Ramipril 5mg Rosuvastatin 20mg

Current Illness: None

ID: 1119221
Sex: F
Age: 53
State: MN

Vax Date: 03/17/2021
Onset Date: 03/18/2021
Rec V Date: 03/20/2021
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Allergies: Shrimp, shellfish

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Symptoms: Fever of 102 degrees F, muscle and joint pain, sharp headache, fatigue. Lasted 48 hours. Patient was too tired to get out of bed for the first 36 hours. No noticeable reaction to the first dose of Covid vaccine. No history of noticeable reactions to any vaccines in the past.

Other Meds: None

Current Illness: None

ID: 1119222
Sex: F
Age: 47
State: MI

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 03/20/2021
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Symptoms: NONE

Other Meds:

Current Illness:

ID: 1119223
Sex: M
Age: 63
State: IN

Vax Date: 03/18/2021
Onset Date: 03/18/2021
Rec V Date: 03/20/2021
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Symptoms: Headache, fatigue aches

Other Meds: Simvastatin Metoprolol

Current Illness:

ID: 1119224
Sex: F
Age: 72
State: CA

Vax Date: 03/15/2021
Onset Date: 03/20/2021
Rec V Date: 03/20/2021
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Allergies: Codeine

Symptom List:

Symptoms: Fever ranging from 100 degrees to 102 degrees (more hours of 102 degrees) from 11PM, 3/15 to 3PM , 3/17. Intense chills, front torso and down front of legs Body aches Headache

Other Meds: RX: Levothyroxine 75mcg Supplements: NAC Citrus Bergamot Multivitamin Omega 3 Lugal's Ioine Vitamin D Vitamin A Cosamine Curamed Glucasamine Sodium Chondroitan Curcumin Various minerals formula for bone health (product- Osteoprime Ultra

Current Illness: None

ID: 1119225
Sex: F
Age: 23
State:

Vax Date: 03/11/2021
Onset Date: 03/14/2021
Rec V Date: 03/20/2021
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Allergies: None

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Symptoms: For the past 6 days now, I've been having the following symptoms: headaches, fever, fatigue, night sweats, chills, loss of appetite, and a cough.

Other Meds: None

Current Illness: None. Perfectly healthy.

ID: 1119226
Sex: F
Age: 76
State: CA

Vax Date: 03/10/2021
Onset Date: 03/11/2021
Rec V Date: 03/20/2021
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Allergies: All antibiotics, some vaccines, iodine contrasts and crab

Symptom List:

Symptoms: Extreme fatigue from 3/11/21 to3/19/21; Severe headache from 3/12/21 to 3/18/21; light-headed sensation 3/12/21 to 3/20/21; fainted 3/17/21; gastrointestinal issues and severe cramping the evening of 3/15/21 to 3/17/21; gastrointestinal issues (constipation followed with diarrhea without cramping).Colo

Other Meds: IBGard, Multi-Vit.

Current Illness:

ID: 1119227
Sex: F
Age: 55
State: MS

Vax Date: 03/19/2021
Onset Date: 03/20/2021
Rec V Date: 03/20/2021
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Allergies: None known

Symptom List:

Symptoms: Raised red swelling near injection site, headache, fatigue

Other Meds: Estradiol 1mg

Current Illness: None known

Total 2021 VAERS Injuries: 704,237

Page last modified: 03 October 2021 5:28pm