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
63,479
AK1,562
AL4,914
AR3,110
AS44
AZ12,730
CA54,886
CO10,464
CT7,347
DC1,568
DE1,561
FL33,514
FM3
GA12,508
GU74
HI2,078
IA4,130
ID2,361
IL18,091
IN22,023
KS4,061
KY6,276
LA4,395
MA13,121
MD11,272
ME2,858
MH8
MI16,697
MN10,689
MO8,360
MP30
MS2,487
MT2,035
NC14,437
ND1,184
NE2,562
NH2,717
NJ16,033
NM3,532
NV3,784
NY30,921
OH17,029
OK5,673
OR7,479
PA21,111
PR1,959
QM2
RI1,833
SC5,601
SD1,087
TN8,048
TX31,896
UT3,791
VA13,180
VI48
VT1,592
WA13,026
WI9,856
WV2,120
WY754
XB5
XL1
XV2

ID: 1122043
Sex: F
Age: 58
State: CO

Vax Date: 03/16/2021
Onset Date: 03/16/2021
Rec V Date: 03/22/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

Symptom List:

Symptoms: After first dose of Moderna COVID 19 I noticed a slight ringing in both ears but did not connect it to the vaccine at that time. After receiving the second dose the ringing became more pronounced after about 6 hrs later from vaccine time. It is still happening.

Other Meds: Synthroid, vitamin d 2000iu

Current Illness: Faint ringing in ears after first moderna vaccine

ID: 1122044
Sex: M
Age: 73
State: MI

Vax Date: 02/25/2021
Onset Date: 02/26/2021
Rec V Date: 03/22/2021
Hospital:

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

Lab Data:

Allergies: penicillin, latex

Symptom List:

Symptoms: Patient stopped at the health department on 3/18/21 and spoke with the secretary stating that he had a blood clot on 2/26/21 after receiving the covid vaccine. She took his information and RN followed up with him on 3/19/21. Patient states he had a blood clot in his left leg a few years ago and on the 26th he experienced the same pain as with his original blood clot. He said it was 10/10 pain in his left leg from just above the knee to right above the ankle around the whole leg. He states it felt warm. He did not speak with his doctor or seek any medical attention. He states he "suffered through it" and it went away after a couple days.

Other Meds: omeprazole, bupropion, ferrous sulfate, cetirizine, fluoxetine, potassium chloride, atorvastatin, docusate, isosorbide, modafinil, furosemide, warfarin

Current Illness: n/a

ID: 1122045
Sex: F
Age: 45
State: FL

Vax Date: 03/11/2021
Onset Date: 03/19/2021
Rec V Date: 03/22/2021
Hospital:

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

Lab Data:

Allergies: Mango

Symptom List:

Symptoms: Dull arm pain, similar to carpal tunnel feeling, pain when lifting arm Redness at injection site, spread in uneven pattern, warm to the touch, itchy, no visible bumps on top of skin but red area raised slightly. Red area spread over 3 days

Other Meds: Zyrtec

Current Illness: Arthritis Rosacea Psoriasis

ID: 1122046
Sex: U
Age: 41
State: MI

Vax Date: 03/20/2021
Onset Date: 03/21/2021
Rec V Date: 03/22/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: No reacton at time of shot. Next day had hives/rash across body, torso arms and back. Still have same symptoms 48hr later

Other Meds:

Current Illness:

ID: 1122047
Sex: F
Age: 68
State: FL

Vax Date: 03/18/2021
Onset Date: 03/18/2021
Rec V Date: 03/22/2021
Hospital:

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

Lab Data:

Allergies: Cipro White potatoes Mangoes Some soy Avocados

Symptom List:

Symptoms: Runny nose and prickly skin like hives were going to occur. I took an eighth of 25 mg Atarax and Clariton D. Again at night. The site was itchy. I used Benadryl cream and massage, which was affective. At no time did I feel sick or unable to go through my normal, retired life. Today is Monday. I am fine.

Other Meds: Armour Thyroid D B Biotin C

Current Illness: No

ID: 1122048
Sex: M
Age: 47
State: CA

Vax Date: 03/20/2021
Onset Date: 03/22/2021
Rec V Date: 03/22/2021
Hospital:

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

Lab Data:

Allergies: Demoral

Symptom List:

Symptoms: Swollen lymph node in left armpit

Other Meds: Atorvastatin - 20mg Fenofibrate - 160mg Probiotics

Current Illness:

ID: 1122049
Sex: F
Age: 46
State: NC

Vax Date: 03/18/2021
Onset Date: 03/19/2021
Rec V Date: 03/22/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: Eye twitching beginning about 12 hours after vaccination

Other Meds: Ibuprofen 800 mg PRN, birth control (unknown brand)

Current Illness: GERD

ID: 1122050
Sex: F
Age: 56
State: IN

Vax Date: 03/11/2021
Onset Date: 03/19/2021
Rec V Date: 03/22/2021
Hospital:

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

Lab Data:

Allergies: Amoxicillin, seasonal allergies, animal fur& feathers

Symptom List:

Symptoms: Sore and slightly swollen arm near injection site-3 days ( felt bruised and lessened each day) Warm and red by injection site- ongoing but lessening each day. Burning itchy feeling around injection site- ongoing Chills and achy body ( 1.5 days) Fatigue ( 2 days) Slight Cough - ongoing

Other Meds: Dupixent 300 mg, Fetzima 80 mg, Valuim 2mg, Trazadone 50 mg, Tylenol 500 mg, daily multi vitamin, Calcium, Claritin, Vitamin D 2000 iu, Fluticasone Propionate cream. 05%

Current Illness: None

ID: 1122051
Sex: F
Age: 28
State: NJ

Vax Date: 03/05/2021
Onset Date: 03/05/2021
Rec V Date: 03/22/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Pt. c/o chest pain. Vitals 132/80, RR 17, spO2 97%, HR 92. Patient examined, felt a lot better. Will follow up with primary care doctor.

Other Meds:

Current Illness:

ID: 1122052
Sex: F
Age: 36
State: FL

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 03/22/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: 9:50 am c/o being slightly lightheaded and anxious. B/P 127/86, HR 91, O2 Sat 98%. 9:55 am stated "starting to feel better." 10:10 am requesting to leave observation area. stated "felt better", denies any complications w/ health or pregnancy. Advised if any symptoms return, pull over and call 911.

Other Meds: Pre-natal

Current Illness: none

ID: 1122053
Sex: F
Age: 37
State: MD

Vax Date: 03/21/2021
Onset Date: 03/21/2021
Rec V Date: 03/22/2021
Hospital:

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

Lab Data:

Allergies: Benzoyl Peroxide

Symptom List:

Symptoms: Tachycardia 120-150 bpm for at least 10 hours

Other Meds: NA

Current Illness: Na

ID: 1122054
Sex: F
Age: 40
State: IL

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 03/22/2021
Hospital:

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

Lab Data:

Allergies: Unknown

Symptom List:

Symptoms: With both doses, eyes became swollen. Saw primary care provider and was prescribed eye drops and oral antibiotics which cleared the infection. PCP stated the "eye infection and stye" was caused by the vaccine.

Other Meds: Unknown

Current Illness: no

ID: 1122055
Sex: F
Age: 84
State: FL

Vax Date: 03/18/2021
Onset Date: 03/18/2021
Rec V Date: 03/22/2021
Hospital:

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

Lab Data:

Allergies: ace inhibitors, epinephine

Symptom List:

Symptoms: about an hr or so after inj.....severe hand/arm tremors followed by complete incoherence,,, muscles like jelly, no use of anything. this total out of it occurence lasted about 12 hrs followed by days of weakness, achy, sleepiness, off and on foggy. general blah feeling

Other Meds: losartan, allopurinal, hctz, atenolol, levothyroxin e,gabapentin ,glipizide,hydralazine, otc presservision areds 2 vit, magnesium, tylenol, vit D

Current Illness: gout, htn, diabetic, neuropathy, CKD stage III, thyroid, seasonal allergies, stiff neck

ID: 1122056
Sex: M
Age: 28
State:

Vax Date: 03/20/2021
Onset Date: 03/20/2021
Rec V Date: 03/22/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Rash in dorsum of hand - given benadryl 25mg

Other Meds:

Current Illness:

ID: 1122057
Sex: F
Age: 51
State: OH

Vax Date: 03/20/2021
Onset Date: 03/20/2021
Rec V Date: 03/22/2021
Hospital:

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

Lab Data:

Allergies: Morphine, latex, and spicy food including pepper

Symptom List:

Symptoms: Burning sensation started in my left chest area through to the back of the left shoulder blade. Then a light of tightness and hard to breath in the middle of my chest near my throat. then a later that day into the next day burning sensation in the very middle of my chest.

Other Meds: none

Current Illness: No

ID: 1122058
Sex: F
Age: 65
State: TX

Vax Date: 03/01/2021
Onset Date: 03/01/2021
Rec V Date: 03/22/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Tinnitus

Other Meds: Thyroid, vitamin B and D, magnesium, methylated folate

Current Illness:

ID: 1122059
Sex: F
Age: 50
State: MN

Vax Date: 03/10/2021
Onset Date: 03/19/2021
Rec V Date: 03/22/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: About 9 days after vaccination, developed a red, itchy, hot area on arm near injenction site.

Other Meds: Mirena IUD, multivitamin, various herbal and OTC supplements

Current Illness: None

ID: 1122060
Sex: M
Age: 62
State: VA

Vax Date: 03/16/2021
Onset Date: 03/16/2021
Rec V Date: 03/22/2021
Hospital:

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

Lab Data:

Allergies: codeine

Symptom List:

Symptoms: Deviation from recommended use before 6 hours after vial was punctured.

Other Meds: blood pressure kit-extra large cuff traMADoL 50 mg tablet PO q6h PRN pain gabapentin 800 mg tablet TAKE 1 TABLET BY MOUTH THREE TIMES DAILY simvastatin 40 mg tablet 1 PO qhs for cholesterol triamterene 37.5 mg-hydrochlorothiazide 25

Current Illness:

ID: 1122061
Sex: F
Age: 56
State: OH

Vax Date: 02/23/2021
Onset Date: 02/23/2021
Rec V Date: 03/22/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Pt described "Covid arm", which took 2 weeks to see the redness dissapate.

Other Meds:

Current Illness:

ID: 1122062
Sex: F
Age: 49
State: TX

Vax Date: 03/13/2021
Onset Date: 03/13/2021
Rec V Date: 03/22/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: Developed increased left eye lacrimation the morning of 3/13. Then received Moderna vaccine at 11:30 AM. Then developed facial droop, loss of nasolabial fold, increased lacrimation of left side. Was evaluated on 3/18/2021 with diagnosis of Bell palsy.

Other Meds: BYDUREON BCISE 2 MG/0.85ML AUIJ, , Disp: , Rfl: FARXIGA 10 MG TABS, TOME UNA TABLETA TODOS LOS D AS, Disp: , Rfl: fluoxetine (PROZAC) 10 MG capsule, TOME UNA C PSULA TODOS LOS D AS, Disp: , Rfl: gabapentin (NEURONTIN) 300 MG capsule, TOM

Current Illness: None

ID: 1122063
Sex: F
Age: 57
State: MO

Vax Date: 03/20/2021
Onset Date: 03/20/2021
Rec V Date: 03/22/2021
Hospital:

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

Lab Data:

Allergies: Keflex compozine

Symptom List:

Symptoms: Fever of 100* muscle aches and headache , nausea

Other Meds:

Current Illness:

ID: 1122064
Sex: F
Age: 69
State: MS

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 03/22/2021
Hospital:

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

Lab Data:

Allergies: Macrobid, levoquin cause bad headaches

Symptom List:

Symptoms: Chills, fever, headache, fatigue, nausea

Other Meds: Lisinopril half of a 10mg tablet once a day

Current Illness: None

ID: 1122065
Sex: F
Age: 60
State: MO

Vax Date: 03/18/2021
Onset Date: 03/18/2021
Rec V Date: 03/22/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Fatigue, chills, fever up to 101.2, stomach ache

Other Meds: Vitamin D and C

Current Illness: None

ID: 1122066
Sex: F
Age:
State: OH

Vax Date:
Onset Date:
Rec V Date: 03/22/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Flushing, palpitations

Other Meds: None

Current Illness: None

ID: 1122067
Sex: M
Age: 34
State: GA

Vax Date: 03/21/2021
Onset Date: 03/21/2021
Rec V Date: 03/22/2021
Hospital:

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

Lab Data:

Allergies: NKDA``

Symptom List:

Symptoms: Anaphylactic reaction (throat swelling), sweaty, cold skin, elevated blood pressure (211/137 mmHg) gradual onset within 15 minutes of vaccine administration.

Other Meds: N/A

Current Illness: N/A

ID: 1122068
Sex: F
Age: 58
State: NY

Vax Date: 03/22/2021
Onset Date: 03/22/2021
Rec V Date: 03/22/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Most of dosage spilled out of the needle. Per DOH guidelines, full dose was re-administered

Other Meds: high blood pressure and diabetic medications

Current Illness: Diabetes, Arthritis, and Hypertension

ID: 1122069
Sex: M
Age: 66
State: IN

Vax Date: 03/17/2021
Onset Date: 03/18/2021
Rec V Date: 03/22/2021
Hospital:

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

Lab Data:

Allergies: penicillin, sulfa, keflex

Symptom List:

Symptoms: low grade fever 98.5, achey all over, pain urinating, headache, swolen@ injection site with pain

Other Meds: tylenoyl & alleve

Current Illness: none

ID: 1122070
Sex: F
Age: 38
State: IN

Vax Date: 03/11/2021
Onset Date: 03/18/2021
Rec V Date: 03/22/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Rash on arm at site of injection

Other Meds: Ibuprofen Lexapro

Current Illness: None

ID: 1122071
Sex: M
Age: 65
State: IN

Vax Date: 03/19/2021
Onset Date: 03/20/2021
Rec V Date: 03/22/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Flu Like symptoms. Severe fatigue for full 24 hour period. Had nausea when trying to eat. I could not eat for over 24 hours. I had fever as high as 101.3F. Also, had chills. Symptoms better after 24 hours with loss of appetite still present. Temperature at 98.0F as of 3-22-21.

Other Meds: Levothyroxine

Current Illness:

ID: 1122072
Sex: F
Age: 67
State: RI

Vax Date: 03/01/2021
Onset Date: 03/14/2021
Rec V Date: 03/22/2021
Hospital:

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

Lab Data:

Allergies: Iburophen

Symptom List:

Symptoms: Terrible panic attacks,depression,faint,lightheaded

Other Meds: Suralfate,clonopin,vitamins Zocor elavil

Current Illness: Fibomyalgia, History of anxiety and panic and depression,

ID: 1122073
Sex: F
Age: 54
State: FL

Vax Date: 03/21/2021
Onset Date: 03/22/2021
Rec V Date: 03/22/2021
Hospital:

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

Lab Data:

Allergies: Medications: penicillin and amoxicillin Food: bivalval shellfish (mussels, clams, oysters, squid and octopi)

Symptom List:

Symptoms: Violent chills began just after midnight on 3/22 (my whole body was shaking and teeth were chattering uncontrollably). Noted fever of 101.5 at 1:30 am with extreme fatigue/weakness, headache. As of 8:30 am, still had fever, 101.7. I took Tylenol at 8:30 am and as of 9:27 am, my temperature is 100.7

Other Meds: none

Current Illness: none

ID: 1122074
Sex: F
Age: 68
State: NJ

Vax Date: 03/05/2021
Onset Date: 03/05/2021
Rec V Date: 03/22/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient c/o nausea, Vital signs BP 140/81, RR 16, HR 99, spO2 97%. Patient felt anxiety after 2nd dose of vaccine. Physical exam unremarkable. Patient felt better and able to go home.

Other Meds:

Current Illness:

ID: 1122075
Sex: F
Age: 68
State: FL

Vax Date: 03/14/2021
Onset Date: 03/15/2021
Rec V Date: 03/22/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: pain in arm, mild bruising, headache. Headache got worse on Wednesday , it is getting better today. Patient has been taking Tylenol PM patient no longer has headaches, feeling much better. Taking Tylenol PM as needed.

Other Meds: none

Current Illness:

ID: 1122076
Sex: M
Age: 69
State: TN

Vax Date: 03/21/2021
Onset Date: 03/22/2021
Rec V Date: 03/22/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: fever, arthralgia, myalgia, headache

Other Meds: Atorvastatin, citralopam, amlodipine, losartan, finasteride

Current Illness: sinus infection

ID: 1122077
Sex: F
Age: 24
State: NJ

Vax Date: 02/22/2021
Onset Date: 02/24/2021
Rec V Date: 03/22/2021
Hospital:

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

Lab Data:

Allergies: environmental (dust)

Symptom List:

Symptoms: Facial rash 02/24/21 a.m., increased severity x2 days; notified allergist 02/26/21; as per MD - Benadryl and Allegra PO BID; No improvement; MD office visit 03/02/2021 - Prednisone 60 mg PO day 1, 40 mg PO daily x4 days, 20 mg PO x2 days; rash cleared 03/04/21.

Other Meds: na

Current Illness: na

ID: 1122078
Sex: F
Age: 31
State: FL

Vax Date: 03/21/2021
Onset Date: 03/22/2021
Rec V Date: 03/22/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Fever 101.5 Headache Chills

Other Meds: Levothyroxine Lo loestrin fe

Current Illness: None

ID: 1122079
Sex: F
Age: 48
State: TX

Vax Date: 03/18/2021
Onset Date: 03/19/2021
Rec V Date: 03/22/2021
Hospital:

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

Lab Data:

Allergies: morphine, penicillin, sulfa

Symptom List:

Symptoms: Shingles in the C3-C5 dermatome

Other Meds: none

Current Illness: none

Date Died: 03/21/2021

ID: 1122080
Sex: F
Age: 46
State: PA

Vax Date: 03/12/2021
Onset Date: 03/19/2021
Rec V Date: 03/22/2021
Hospital: Y

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

Lab Data:

Allergies: Augmentin-itching

Symptom List:

Symptoms: Patient's received 2nd dose of Moderna vaccine Friday 3/12. Her husband reported she had not unexpected fatigue, malaise, and fever for 1 day but better after that. On Monday she began complaining of shortness of breath. This progressively worsened and she started having presyncopal episodes. On Saturday she was unable to come down the stairs in the house so husband planned to take her to the hospital but she stood up and passed out and woke up quickly. He decided to call EMS. By the time she presented to our hospital she was cyanotic and agonal breathing. On moving her from EMS stretcher to ED bed she had PEA cardiac arrest. She underwent mechanical device CPR with only brief (<1 min) ROSC x1. She at some point did have a shockable rhythm. Cath lab was notified and she was taken emergently to the cath lab with ongoing mechanical device CPR. Peripheral VA ECMO was placed after about 1.5 hours. Pulmonary angiogram was done which showed massive saddle PE with near complete obliteration of the right pulmonary tree and some filling defects in the left tree as well. At that time she had severe mixed respiratory and metabolic acidosis with a lactate of 24. She also had no gag or corneal reflex, minimally responsive pupils, and no response to noxious stimuli. Mechanical thrombectomy was attempted with some result. She was transferred to the SICU with increasing pressor requirement, and DIC. Ultimately, the venous catheter of the ECMO circuit malfunctioned thought to be secondary propagating IVC thrombosis. Family decided to withdraw care and she passed away.

Other Meds: Xulane birth control patch Prescribed prednisone the day prior to presentation

Current Illness: None

ID: 1122081
Sex: F
Age: 46
State: NY

Vax Date: 03/11/2021
Onset Date: 03/12/2021
Rec V Date: 03/22/2021
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Allergies: Penicillins, Sulfa, Azithromycin

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Symptoms: Pt experiencing pain/achiness in the legs since the day after the second dose was administered. No treatment at this time. Patient is going to PMD today (day 11 after dose).

Other Meds: Cymbalta, Wellbutrin 300 mg, Ferrous sulfate, levocetirizine, Singulair, 150 mg Zinc, Vitamin D

Current Illness: Brief stomach bug 1-2 weeks before

ID: 1122082
Sex: F
Age: 58
State: MN

Vax Date: 03/17/2021
Onset Date: 03/19/2021
Rec V Date: 03/22/2021
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Allergies: tetanus and amox

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Symptoms: Lymph node swelling and fever

Other Meds: crestor, levothyroxine, htn medication

Current Illness: NA

ID: 1122083
Sex: F
Age: 36
State: NH

Vax Date: 03/16/2021
Onset Date: 03/17/2021
Rec V Date: 03/22/2021
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Allergies: pistachios, multivitamins

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Symptoms: I got hives all down my legs, then started getting them on chest. Took benedryl and that did help. Elevated heart rate

Other Meds: adderal, zyrtec, probiotics, also had my period

Current Illness: had my menstrual cycle

ID: 1122084
Sex: F
Age: 30
State: MD

Vax Date: 12/29/2020
Onset Date: 03/19/2021
Rec V Date: 03/22/2021
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Allergies: None

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Symptoms: Developed COVID symptom sand tested positive for COVID via RT-PCR on 3/19/21 and notified the employer.

Other Meds: None

Current Illness: None

ID: 1122085
Sex: F
Age: 56
State: WV

Vax Date: 03/13/2021
Onset Date: 03/21/2021
Rec V Date: 03/22/2021
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Allergies: seasonal allergies

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Symptoms: Covid Arm - round rash area around injection site approximately 1 - 1.5 inches across. Area is a little raised, warm to the touch, painful, and itchy. This just started yesterday so duration and outcome is unknown. Treatment at this time is use of Gold Bond anti-itch cream to alleviate the discomfort of the itch.

Other Meds: synthroid, valsartin, amlodipine, gemmily, vitamin D, bisoprolol, tolterodine, celebrex, one a day women's vitamins.

Current Illness: none

ID: 1122086
Sex: F
Age: 58
State: NE

Vax Date: 02/16/2021
Onset Date: 02/17/2021
Rec V Date: 03/22/2021
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Allergies: None

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Symptoms: Normal reactions such as body aches, fatigue, pain at injection, but also Extremely high temperature (not taken) which resulted in fainting and brief loss of consciousness.

Other Meds: multivitamin, D, C, NAC, Zinc, biotin, magnesium

Current Illness: None

ID: 1122087
Sex: F
Age: 58
State: OH

Vax Date: 03/17/2021
Onset Date: 03/18/2021
Rec V Date: 03/22/2021
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Allergies: NKA

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Symptoms: 3/19/21 Patient called Health Department to report an allergic reaction to her vaccination with Pfizer COVID vaccine on 3/17/21. She attended the Vaccination Clinic. Her appointment was at 1:35 PM. She states she had no symptoms that day. However, she woke up on 3/18/21 with two small hives in groin area which were itchy. By late afternoon her lips became tingly and she developed itchy hives on her arms which then spread to her trunk. By evening her lips with swollen. She took 2 tabs of Benadryl at 9:30 PM and went to bed. She woke up at 3:00 AM with her lips doubled in size and she felt like there was something stuck in her throat. She took two more tabs of Benadryl and went back to bed. She woke up on 3/20/21 with her throat feeling better and no more swelling of the lips. However, the hives remained spread over her arms and trunk. She called her PCP (who she had not seen in eight years) to report her allergic response and they did not want to see her in the office but encouraged her to go to ER or Urgent Care. Patient stated that she felt better by then and did not go to ER or Urgent Care. RN encouraged patient to go to Urgent Care due to seriousness of the original allergic response. Patient instructed to go to ER if symptoms such as the swollen lips or difficulty swallowing resume as they are more severe allergic signs and may require more urgent medical care. Patient verbalized understanding. Patient also encouraged to follow up with PCP and get a referral for allergy testing as appropriate. Patient states she will follow up with physician prior to her next dose of the Pfizer vaccine in 21 days. Patient also states that she has filled out a VAERS report of her own (Report # 366931).

Other Meds: MVI, B-Complex,D3, Nexium

Current Illness: None

ID: 1122088
Sex: F
Age: 43
State: PA

Vax Date: 03/18/2021
Onset Date: 03/18/2021
Rec V Date: 03/22/2021
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Allergies: None

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Symptoms: Patient received Pfizer vaccine L Deltoid at 0950. At 1003 She complained of swollen, tingling, and red hands b/l. No SOB, throat swelling, itching, scratching, no tongue swelling. AAO x 3. Talking with no difficulty. No known allergies. Benadryl 25 mg PO was administered. She was monitored. No further symptoms.

Other Meds: cholecalciferol

Current Illness: N/A

ID: 1122089
Sex: F
Age: 31
State: NJ

Vax Date: 03/10/2021
Onset Date: 03/10/2021
Rec V Date: 03/22/2021
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Symptoms: Pt reported feeling anxious prior to getting the vaccination. She reported that after the vaccination she continued to feel anxious, dizzy, and lightheadedness. She reported feeling well after 30 minutes. Patient felt better, left site.

Other Meds: vitamin D supplement daily

Current Illness:

ID: 1122090
Sex: F
Age: 66
State: TX

Vax Date: 03/11/2021
Onset Date: 03/11/2021
Rec V Date: 03/22/2021
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Allergies: Sulpha, Recephan

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Symptoms: Injection site swelled, with rash, and knot. Severe pain, hard to raise arm, throbbing, shooting pain down arm. It?s been 9 days and I?m still having pain and it?s hard to use my arm.

Other Meds:

Current Illness:

ID: 1122091
Sex: M
Age: 30
State: NJ

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 03/22/2021
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Allergies: Amoxicillin

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Symptoms: Mild tinnitus has become more intense and persistent. Still only in my left ear

Other Meds: Daily Multivitamin

Current Illness:

ID: 1122092
Sex: M
Age: 66
State: FL

Vax Date: 03/10/2021
Onset Date: 03/18/2021
Rec V Date: 03/22/2021
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Symptoms: Moderna Vaccine First shot Administer March 10 Thursday March 18th In the afternoon Temperature began to rise reached 104.8 during the night. Tired fatigue weakness. In the morning it came down to 99.9 Started to feel better Friday March 19th In the afternoon Temperature began to rise again it reached 104.8 during the night. Tired fatigue weakness. Also, at 2 in the morning I started to shake uncontrollably. I can only describe it as an addict on with drawl, it ended at 4. To weak to get to the phone in the other room, and call for help In the morning my temperature was down to 99.8 again. Feeling better, thought the worst was over. Saturday March 20th Temperature began to rise again in the afternoon by nighttime it was back up to 104.9 Took some Ibuprophin At some point in the night the sheets were soaked in sweet. Pull the sheets and put down new ones. This happened twice. I was running out of sheet. Ibuprophin By morning my temperature was down to 98.6. I was tired, but I felt my strength coming back Sunday March 21th By midmorning my temperature began to rise again. To 103.9 It is now dropping and is at100.1 At three in the morning my temperature was normal. And it has remained there/ I better be immune from the plague after this.

Other Meds: Certolizumab (Rheumatoid Arthritis) 1inj 1mg 1/month Alendronate 70mg 1 Tablet/ week Rosuvastatin 20 mg 1 Tablet/day

Current Illness:

Total 2021 VAERS Injuries: 559,999

Page last modified: 03 October 2021 5:28pm