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
88,334
AK1,815
AL6,133
AR3,993
AS45
AZ14,539
CA64,759
CO12,159
CT8,719
DC1,747
DE1,868
FL41,499
FM3
GA16,132
GU92
HI2,477
IA4,739
ID2,763
IL21,496
IN23,655
KS4,844
KY8,414
LA5,328
MA15,281
MD13,105
ME3,277
MH8
MI20,143
MN12,873
MO10,275
MP30
MS3,073
MT2,392
NC17,450
ND1,440
NE3,023
NH3,124
NJ19,456
NM4,089
NV4,600
NY36,525
OH20,140
OK6,525
OR8,918
PA24,920
PR2,483
QM2
RI2,092
SC6,952
SD1,243
TN10,038
TX38,745
UT4,482
VA15,477
VI62
VT1,780
WA15,487
WI11,573
WV2,461
WY894
XB5
XL1
XV2

ID: 1120157
Sex: F
Age: 38
State: TX

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies: xifan, abilify, bactrim, erythromycin, orencic, penicillin, sulfa, vancomycin

Symptom List:

Symptoms: Extreme muscle pain, headache, itching

Other Meds: ativan, rizatiptain, albuteral, prozac, protonix, xyzal, seroquel, cymbalta, aimoving

Current Illness: none

ID: 1120158
Sex: F
Age: 58
State: OH

Vax Date: 03/19/2021
Onset Date: 03/20/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies: Allergic to sulfa

Symptom List:

Symptoms: Shingles like blisters on torso

Other Meds: Levothyroxine. Multi vitamin Calcium with Vit D

Current Illness: None

ID: 1120159
Sex: F
Age: 43
State: GA

Vax Date: 03/19/2021
Onset Date: 03/20/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient reported elevated blood pressure.

Other Meds:

Current Illness:

ID: 1120160
Sex: F
Age: 72
State: PA

Vax Date: 03/16/2021
Onset Date: 03/19/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: three days after vaccine, severe chills, no temp above 99.9, body aches, headaches. Took tylenol and/or aleeve

Other Meds: Zestril for B/P, Crestor, Lunesta (sleep) and 81 mg aspirin - tylenol and/or Aleeve

Current Illness: none

ID: 1120161
Sex: F
Age: 55
State: MO

Vax Date: 02/26/2021
Onset Date: 03/13/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: 3/15/21 @ 10:30 AM, TOP LIP SWOLLEN 3/16/21 RASHES APPEAR ON LEFT Arm. Every day, more itchy rashes appears and spread to other areas. 3/19/21 FACE STARTS SWELLING AND FEELS HOT AND ITCHY.

Other Meds: Metformin, clonazipan , flexirel, indapamide, rusovastatin, nadalol, fish oil, ozempic, aimovig

Current Illness: None

ID: 1120162
Sex: F
Age: 37
State: NJ

Vax Date: 03/16/2021
Onset Date: 03/19/2021
Rec V Date: 03/21/2021
Hospital: Y

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Had ?typical? reaction on the day of the vaccine then body aches the following day. On Thursday 3/18 late in the night started feeling collarbone pain on Friday 3/19 pain for increasing worse and a large lump formed. Consulted a family meme we who is a Chiropractor and he informed me to seek medical attention because of the injection. I came to the hospital because my doctor was closed.

Other Meds: Trokendi Furacet

Current Illness:

ID: 1120163
Sex: M
Age: 72
State: MA

Vax Date: 03/20/2021
Onset Date: 03/21/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: Pt reports the morning after receiving the 2nd dose of Moderna covid vaccine feeling "electrical shock in my heart". Pt reports "feeling miserable" reports chills

Other Meds: eliquis 2.5mg daily; ASA 81mg daily; Ativan 0.5mg BID PRN Anxiety; Metoprolol Succinate 12.5mg daily; Nexium 40mg daily; Moega - 3 fatt acid fish oil 1 tab daily; SAw Palmetto 160mg daily; Valsartan 160mg daily

Current Illness: none

ID: 1120164
Sex: F
Age: 58
State: IN

Vax Date: 03/18/2021
Onset Date: 03/18/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies: Ampicillin

Symptom List:

Symptoms: Chills fever body aches vomitting severe head ache fatigue

Other Meds:

Current Illness: No

ID: 1120165
Sex: F
Age: 83
State: FL

Vax Date: 03/19/2021
Onset Date: 03/20/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Chills, Headache, Feeling unwell, injection site pain Treatment : Acetaminophen

Other Meds:

Current Illness:

ID: 1120166
Sex: F
Age: 60
State: VA

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: 10 minutes after receiving the vaccine, the client had a vaso vagal reaction in the waiting area. She fell out of her chair to the floor. Staff immediately responded. She was able talk but shaking. BP and HR elevated initially. Assisted to wheelchair after monitoring. Vitals returned to normal range, client no longer shaking and speech clear.

Other Meds:

Current Illness:

ID: 1120167
Sex: F
Age: 74
State: IN

Vax Date: 03/19/2021
Onset Date: 03/20/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies: Nka

Symptom List:

Symptoms: Second dose, ran a temp and fatigue, lasted ten hours

Other Meds: Zinc, daily vitamin, 81mgasa, bioten, vitamin D

Current Illness: None

ID: 1120168
Sex: F
Age: 50
State: CA

Vax Date: 03/19/2021
Onset Date: 03/20/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies: Ibuprofen, Penicillin

Symptom List:

Symptoms: Full body aches and pains and pain at injection site on arm; unable to sit or lay down for long periods of time.

Other Meds: Levothyroxine, Amlodipine, Lisinopril

Current Illness: None

ID: 1120169
Sex: F
Age: 56
State: CA

Vax Date: 03/17/2021
Onset Date: 03/20/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies: Immune reaction to dairy products

Symptom List:

Symptoms: Three days after injection, there was a sudden onset of hives over much of my body, accompanied by an intense feeling of heat. Affected areas were face, neck, arms, hands, and knees. I took one Benadryl and went to bed. The next morning, most visible signs of the rash are gone, with a slight itchiness remaining.

Other Meds: Occasional Tylenol Occasional naproxen 200 mg Magnesium Glycinate Complex 250 mg Calcium Citrate-Malate 2000IU D3 150mcg K2-7 Vitamin B12 50 mg Vitamin B3 Melatonin nightly

Current Illness: None

ID: 1120170
Sex: F
Age: 35
State: TN

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies: No known allergies

Symptom List:

Symptoms: Immediate pain in collar bone and hand. 2 minutes later feeling hot, dizzy and nauseated and about to lose consciousness. Went to medical within facility and was monitored for 30 min until getting better. In addition, woke up with dizziness 48 hours later.

Other Meds: Humira 40 mg

Current Illness: None

ID: 1120171
Sex: F
Age: 38
State: PA

Vax Date: 03/10/2021
Onset Date: 03/15/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Pain, inflammation, itching

Other Meds: Lamotrigrine, Sertriline, Jardiance, Metformin, Norvasc, Hydrocholorithizide, Lisinopril, Atorvastatin, Zyrtec, Prilosec, Probiotic

Current Illness:

ID: 1120172
Sex: F
Age: 72
State: NC

Vax Date: 03/15/2021
Onset Date: 03/16/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies: Prescription pain meds, causes hives

Symptom List:

Symptoms: Redness, warmness, itching, area got larger over 6 days. Reminds me of when I took allergy shots 20 years ago. Benadryl cream for insect bites and itching. Started out size of nickel, now the size of my palm. Plan on calling doctor tomorrow, Monday, March 22, 2021.

Other Meds: Blood thinner, blood pressure, GERD, Aminorodone, Calcium, Multi-vitamin, Iron, Vitamin B-12, Tylenol, Citalapram, cholesterol med

Current Illness: None

ID: 1120173
Sex: F
Age: 47
State: CA

Vax Date: 03/13/2021
Onset Date: 03/13/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies: Sulfa, penicillin, bromide

Symptom List:

Symptoms: Extreme body aches, 103-degree fever-lasting 36 hours, low-grade fever and sweats lasting 12. more hours. Fatigue.

Other Meds:

Current Illness:

ID: 1120174
Sex: M
Age: 66
State: AZ

Vax Date: 03/18/2021
Onset Date: 03/21/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies: Clydamycin

Symptom List:

Symptoms: Red rash ( no itch ) at axilla ,groin, *forearms, and neck Eyes are slightly puffy with slight pink face * Have some pictures of representative rash area

Other Meds: Vit D3 1000iu

Current Illness: None

ID: 1120175
Sex: F
Age: 63
State: IN

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Chills, headache, painful arm, couldn?t sleep

Other Meds: None

Current Illness: None

ID: 1120176
Sex: F
Age: 42
State: AL

Vax Date: 03/12/2021
Onset Date: 03/19/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Day 1(day after vaccine 3.13.21). tired and general malaise Day 2- tired, malaise and diarrhea Day 3-tired, malaise, diarrhea Day 4-improved fatigue, malaise and diarrhea No sx Day 5 Day 6-right arm felt itchy, no redness. Day 7 (3.19. 2021) RT arm worsening pruritus, hard to to scratch it, it felt like there was a nodule underneath the skin. When I got home from the clinic I looked at my arm and found a large 2-2.5 inch erythema circle-like shape that was warm to touch, not hot to touch. I put hydrocortisone cream on it. Day 8- No change with RT arm-still present. It is hard to not scratch it. Put more hydrocortisone cream on the site. Day 9- No change with RT arm. Still the same size, color, and warm to touch. Put hydrocortisone cream on it. Read to use benedryl, will take today. Will be going to PCP for follow-up and to seek counsel about the second vaccine. I read I should still take it, but I have concerns.

Other Meds: Took 200mg ibuprofen, one tablet, 2 hours prior to vaccine for mild shoulder pain after a fall which occurred the week prior (on 3.6.21). Dietary supplements include Omega fatty acids and vitamin D--took them day before the vaccine and o

Current Illness: none

ID: 1120177
Sex: F
Age: 52
State: MI

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Pain in arm restricting movement, severe level lasting for 24 hours; mild pain continuing thereafter. Mild nausea and dizziness/lightheadedness. Mild fatigue.

Other Meds: Gabapentin, Benadryl, Zyrtec, multi-vitamin

Current Illness: None

ID: 1120178
Sex: M
Age: 71
State: MA

Vax Date: 03/11/2021
Onset Date: 03/12/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Constant headache, ringing in ears, sinusitis. Still experiencing systems, this should not be for this long a time frame.

Other Meds: hctz, lisinopril, simvaststin

Current Illness: none

ID: 1120180
Sex: F
Age: 57
State: IN

Vax Date: 03/11/2021
Onset Date: 03/19/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: 8 days after receiving Moderna vaccine, the area on my arm where the shot was administered became itchy and red (warm).

Other Meds: Silymarin, magnesium, calcium, benfotiamine.

Current Illness: none

ID: 1120181
Sex: F
Age: 59
State: FL

Vax Date: 03/10/2021
Onset Date: 03/20/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Rash and tenderness where injections was given. Started a little over a week after getting the injection.

Other Meds: Tylenol

Current Illness: None

ID: 1120182
Sex: F
Age: 70
State: FL

Vax Date: 03/11/2021
Onset Date: 03/17/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Reaction began 6 days after vaccination. My arm , from injection site to elbow was swollen, red, hard, hot and very itchy. Condition has lasted approximately 4 days. Itching has stopped, swelling has gone down, redness it better, not has hot to the touch or hard. I hope to be getter in the next day or two. I did not go to the doctor.

Other Meds: Lipitor 10 mg

Current Illness: None

ID: 1120183
Sex: F
Age: 41
State: AR

Vax Date: 03/03/2021
Onset Date: 03/05/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies: NO

Symptom List:

Symptoms: March 5th left side of face started twitching lasted all weekend. Headaches, arm pains, chest pains, tingling of toes and hands, numbness of tip of tongue started March 8th, 2021. Currently 3/21/2021 my face is tingling continuously with small twitches from time to time. Headaches off and on lasting about 4 hours. My right eye hurts, feels like electrical shocks to my head and scalp of my head periodically.

Other Meds: NO

Current Illness:

ID: 1120184
Sex: M
Age: 53
State: OH

Vax Date: 03/20/2021
Onset Date: 03/20/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Vaccine given at 10am. He worked all day, home at 11pm. He said the pain from the shot in his arm had traveled to his neck.At around 11:45 pm he got out of bed and became FREEZING, started shaking, teeth chattering, fever of 101. I gave him Tylenol pm to halt the fever. He was up all night shaking, teeth chattering, burning with fever. This morning the fever is 100. He had Covid over Thanksgiving which started the same way. He went to the ER with Covid and could not get out of bed for ten days. No additional medical treatment at this time

Other Meds: None

Current Illness: None

ID: 1120185
Sex: F
Age: 77
State: FL

Vax Date: 03/01/2021
Onset Date: 03/14/2021
Rec V Date: 03/21/2021
Hospital: Y

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: 2-3 WEEKs after receiving vaccine...pain in right foot (rheumatoid arthritis) sore and weak all over, tired-lethargic on 3/19- woke up, sat at edge of bed to text daughter, got up walking to bathroom, got dizzy and collapsed = passed out. Got up and again collapsed passed out =don't remember it happening .... Went to ER for fall and analysis as to what , why, etc. I would be having this acute autoimmune reaction... blood work etc. you can contact the LWRM and Dr for details.

Other Meds: rosuvastatin 10mg, metroplol 500mg,olmesartan 12.5mg coq10, d3,iron, aspirin 81mg

Current Illness: none had a prolapsed surgery procedure February 1

ID: 1120186
Sex: M
Age: 54
State: CA

Vax Date: 03/20/2021
Onset Date: 03/20/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Dizziness, AO x 4. Given water and crackers. BP 154/90 (pulse 71).

Other Meds:

Current Illness:

ID: 1120187
Sex: F
Age: 25
State: TN

Vax Date: 03/20/2021
Onset Date: 03/21/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Fever, chills, aches, loss of appetite beginning the night following the injection

Other Meds: Hydroxyzine, Montelukast

Current Illness: None

ID: 1120188
Sex: F
Age: 59
State: NJ

Vax Date: 03/20/2021
Onset Date: 03/20/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies: penicillin

Symptom List:

Symptoms: 102 Fever, body aches, flush, chills, headache, arm soreness,

Other Meds: Blood Pressure Pill, Zinc

Current Illness: n/a

ID: 1120189
Sex: M
Age: 82
State: SC

Vax Date: 02/25/2021
Onset Date: 03/05/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies: ?shrimp seasonal allergies

Symptom List:

Symptoms: severe nausea, vomiting, inability to drink for 36+ hrs, diarrhea for several days, severe fatigue

Other Meds: simvastatin,Januvia,GlucX,omega pills

Current Illness: none

ID: 1120190
Sex: F
Age: 53
State: OH

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies: Shellfish, stinging insects, mushrooms

Symptom List:

Symptoms: Moderna COVID-19 Vaccine EUA about 12 hours after injections, shivering alternating with sweating associated with elevated temperature (99.9, no higher than 100.1), general lethargy and body aches very similar to flu symptoms

Other Meds: montelukast 10 mg tablet; busPIRone 5 MG tablet; fluticasone propion-salmeteroL 100-50 mcg/dose diskus inhaler; albuterol 90 mcg/actuation inhaler; cetirizine 10 MG tablet; meloxicam 15 mg tablet; melatonin 3 mg tablet; flaxseed oil 1000 mg

Current Illness: N/A

ID: 1120191
Sex: M
Age: 40
State: TX

Vax Date: 01/25/2021
Onset Date: 03/07/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies: Multiple allergies to most citric foods (ie apples, oranges, kiwi, etc), almonds, shrimp, environmental allergens such as pollen, cedar, etc

Symptom List:

Symptoms: Bells Palsy on March 7, 2021 (about 6 weeks after 2nd vaccine dose). Duration of condition is still on going 2 weeks post onset.

Other Meds: Zyrtex, Alive Multivitamin, allergy shots every 4-5 weeks (been on allergy shot regimen for almost 18 months at this time)

Current Illness: None

ID: 1120192
Sex: F
Age: 69
State: CT

Vax Date: 03/12/2021
Onset Date: 03/13/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies: The only medication that produced a negative reaction for me was Cipro

Symptom List:

Symptoms: I have had a fever, aches and chills along with a headache, nausea and dizziness. My most prominent symptom is extreme fatique.

Other Meds: Amitriptyline, Singulair, Azelastine, Desert Harvest Freeze Dry Aloe Capsules 1800mg, Milk Thistle 375 mg,, low dose aspirin, Vitamin D 2500 IU, Magnesium 800 mg., Vitamin C 500 mg., Melatonin 5 mg.

Current Illness: I have interstitial cystitis and environmental allergies

ID: 1120193
Sex: F
Age: 77
State: DE

Vax Date: 03/20/2021
Onset Date: 03/20/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies: no contrast one kidney

Symptom List:

Symptoms: Fever 101.4 very unsteady stomach upset some discharge

Other Meds: Am med nebulizer treatment albuterol, spiriva.. symbicort, Mag oxide, sertraline, D3 Vitamin C Calcium taken at 8:00AM

Current Illness: COPD .severe Keytruda infusion for lung cancer once a month

ID: 1120194
Sex: M
Age: 66
State: MD

Vax Date: 03/12/2021
Onset Date: 03/14/2021
Rec V Date: 03/21/2021
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Symptoms: Tinniitus - Ringing in ears: Annoyance level varies daily and hourly. Maximum level in left ear 5 out of 10. Maximum level in right ear 3 out of 10.

Other Meds: Eliquis, Coreg, Lucinapril, Crestor Lovanza Caps & Aspirin 91mg

Current Illness:

ID: 1120196
Sex: F
Age: 27
State: MA

Vax Date: 03/20/2021
Onset Date: 03/20/2021
Rec V Date: 03/21/2021
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Allergies: none

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Symptoms: Pt had a near syncopal episode after injection. Ringing in ears, pale, shaky, light headed. We lied pt down, BP was 90/60 then increased to 110/70 with rest and a snack.

Other Meds:

Current Illness:

ID: 1120197
Sex: F
Age: 29
State: MD

Vax Date: 03/21/2021
Onset Date: 03/21/2021
Rec V Date: 03/21/2021
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Symptoms: Lip and facial tingling, R ear pain started right after vaccination was given. Benign exam, unremarkable vitals. Sensation intact. Suspected anxiety, pt observed in car for 30 minutes, drank Pedialyte, discharged home

Other Meds:

Current Illness:

ID: 1120198
Sex: F
Age: 22
State: VA

Vax Date: 02/24/2021
Onset Date: 02/24/2021
Rec V Date: 03/21/2021
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Symptoms: Immediately following vaccination, client appeared to have a vasovagal reaction. Client states she has had a similar reaction to vaccine in the past. She was immediately assessed by on-site medic unit. BP= 90/60, HR= 70, O2 = 98. Client was given recommendation to transport to hospital, but she declined. She was monitored for 30 minutes by EMS and was accompanied by mother. End vitals: BP = 100/60, HR = 85, O2 = 95.

Other Meds:

Current Illness:

ID: 1120199
Sex: F
Age: 62
State: FL

Vax Date: 03/17/2021
Onset Date: 03/18/2021
Rec V Date: 03/21/2021
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Allergies: none

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Symptoms: Migraine type headache lasted most of day greater than 12 hours, slight fever 1 degree, chills, ache, lower back pain.

Other Meds: ursodiol, estradiol,prempro, synthroid, milk thistle, zinc, potassium, vitamin b12, moringa, vitamin D

Current Illness: none

ID: 1120200
Sex: M
Age: 44
State: MI

Vax Date: 03/01/2021
Onset Date: 03/16/2021
Rec V Date: 03/21/2021
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Allergies: None

Symptom List:

Symptoms: Hives all over my body occurring 4 days after 2nd dose. No allergic reaction after first dose

Other Meds: Xanax Prozac

Current Illness: None

ID: 1120201
Sex: F
Age: 48
State: CA

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 03/21/2021
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Allergies: Amoxicillin

Symptom List:

Symptoms: Rapid heart rate, dizziness , chills , headache at front and back, body aches,

Other Meds: Astepro

Current Illness: None

ID: 1120202
Sex: F
Age: 47
State: GA

Vax Date: 03/09/2021
Onset Date: 03/11/2021
Rec V Date: 03/21/2021
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Allergies: Cephalosporins Ampicillin

Symptom List:

Symptoms: Raised Rash on neck and head and back. Tingling in lips

Other Meds: Total Restore Valacyclovir (500 mg daily for Maintance dose of herpes virus on trigeminal nerve) 40mg adderall Prednisone 10mg 3xdaily Spiriva inhaler

Current Illness: Bronchitis Severe asthma Herpes virus on trigeminal nerve

ID: 1120203
Sex: F
Age: 61
State: MI

Vax Date: 03/20/2021
Onset Date: 03/20/2021
Rec V Date: 03/21/2021
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Allergies: Sulfa, Penicilina, Ibuprofen.

Symptom List:

Symptoms: Pain, swelling, hardness in the injection site. Headache, chills, nausea. My temperatura regularly is 95F (35C), today reach 100F (37.9C). Slightly dizziness Weakness; Just want to sleep.

Other Meds: Sertraline HCI 100 mg. Atorvastatin 10 mg. Calcium 750 mg +D+K

Current Illness: Cholesterol under control.

ID: 1120204
Sex: F
Age: 37
State: MD

Vax Date: 03/06/2021
Onset Date: 03/07/2021
Rec V Date: 03/21/2021
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Allergies: Bactrim/ sulfa: hives (non pruritic)

Symptom List:

Symptoms: Extreme lightheadedness or dizziness with any activity which began approximately 24 hours following the second dose on 07 March 2021. Treating with OTC meclizine 12.5 mg (3 to 4 times daily), or 25 mg (as needed) but seems to barely take the edge off the symptoms. I am forcing hydration and forcing myself to rest periodically during the day to help ease the discomfort. Some days I feel the dizziness/lightheadedness are resolving but there are days when the symptoms are just as intense as the first day.

Other Meds: buspirone 15mg, paroxetine 10 mg, Vitron-C

Current Illness: None.

ID: 1120205
Sex: F
Age: 65
State: CA

Vax Date: 03/20/2021
Onset Date: 03/20/2021
Rec V Date: 03/21/2021
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Symptoms: Dizziness, palpitations, racing heart. BP 145/82 (pulse 71), 100% O2 sat. Snack and oral fluids given. BP 123/59 (pulse 66), 100% O2 sat.

Other Meds:

Current Illness:

ID: 1120206
Sex: M
Age: 65
State: NJ

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 03/21/2021
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Allergies: none

Symptom List:

Symptoms: Fatigue, severe headache, stomach discomfort

Other Meds: none

Current Illness: none

ID: 1120207
Sex: M
Age: 53
State: MO

Vax Date: 03/09/2021
Onset Date: 03/15/2021
Rec V Date: 03/21/2021
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Allergies: none

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Symptoms: A rash appeared around the injection site on my left upper arm and at my bicep, and the lymph node under my left armpit became sensitive. The rash was pink, slightly inflamed, and was slightly feverish. I had mild itching associated with the rash. The rash lasted approximately 48 hours. I would categorize the symptoms as mild. The fact that they appeared 6 days after the vaccination was administered was interesting to me.

Other Meds: Famoditine, over-the-counter 20 mg.

Current Illness: none

ID: 1120208
Sex: M
Age: 61
State: WI

Vax Date: 03/18/2021
Onset Date: 03/19/2021
Rec V Date: 03/21/2021
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Allergies: None

Symptom List:

Symptoms: Woke from sleep at 12:45 a.m. on 3/19 with severe pain at injection site. Got up to urinate and take Tylenol. While in bathroom, became dizzy, broke into sweats, and felt I was about to faint. I went to my knees holding onto counter. My wife came in to help me in bathroom. She observed I was incoherent but uttering moaning sounds and breathing heavily. She called 911. While on phone I came to and vomited into sink. It appeared I had not digested anything from dinner that night. After vomiting (1x) I felt much better. First responders reported normal vital signs. I did not go to E.R. that night but went to Urgent Care later that morning and all seemed fine.

Other Meds: Tamsulosin

Current Illness: None

Total 2021 VAERS Injuries: 679,999

Page last modified: 03 October 2021 5:28pm