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
81,113
AK1,714
AL5,764
AR3,714
AS44
AZ13,902
CA61,408
CO11,540
CT8,301
DC1,684
DE1,779
FL38,956
FM3
GA14,350
GU90
HI2,312
IA4,534
ID2,585
IL20,431
IN23,113
KS4,507
KY7,614
LA5,033
MA14,651
MD12,530
ME3,136
MH8
MI19,033
MN12,001
MO9,478
MP30
MS2,865
MT2,259
NC16,365
ND1,362
NE2,902
NH3,001
NJ18,431
NM3,872
NV4,358
NY34,605
OH19,115
OK6,207
OR8,429
PA23,803
PR2,249
QM2
RI1,989
SC6,509
SD1,179
TN9,334
TX36,348
UT4,255
VA14,708
VI50
VT1,730
WA14,596
WI10,934
WV2,320
WY856
XB5
XL1
XV2

ID: 1122300
Sex: F
Age: 46
State: IN

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 that I am aware.

Symptom List:

Symptoms: Itching 25 minutes after the injection. Itching on arm, neck, back, ears, legs. Nausea and vomiting the next day. Mild nausea the third day.

Other Meds: Anti-depressant

Current Illness: Sore throat

ID: 1122301
Sex: F
Age: 68
State: OH

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: light headed, very slight headache

Other Meds: premidone, lexapro,lamictal abilifytrazadone norvasc melatonin vitamin d3 pantoprazole tolcylen amlodipine, phillips milk magnesia

Current Illness: none

ID: 1122302
Sex: F
Age: 26
State: TN

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: None

Symptom List:

Symptoms: Nausea day 1 accompanied with loss of appetite and hot flashes, Day 2 rash and itchiness at injection site, chills while sleeping, muscle aches, headache, fatigue, Hot flashes after chills went away

Other Meds: OTC allergy medicine: 10mg Equate brand Cetirizine Hydrochloride Antihistamine .

Current Illness: None

ID: 1122303
Sex: F
Age: 61
State: TN

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: Demerol: Rash

Symptom List:

Symptoms: Patient reported to nurse after receiving first dose of Pfizer that 3-5 minutes later her left side of neck/throat felt tight and tingled. Nurse alerted Doctor and myself to assist patient. We arrived to patient's car in front of garage at 10:55 AM and walked beside car as the husband pulled forward to park. Patient stated she received her vaccine about 10:45 and then as her husband started pulling forward, she told him about her symptoms. Dr. assessed patient and stayed with patient until 11:13AM. Patient left in passenger seat with her husband driving stating that she no longer felt the tightness in her neck or throat.

Other Meds: Losartan Pantoprazole Daily vitamins

Current Illness: None

ID: 1122304
Sex: F
Age: 55
State: CT

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: NKDA

Symptom List:

Symptoms: Aprrox. 15min after first dose of Moderna vaccine patient reported feeling dizzy. Patients significant other reported patient feels dizzy prior to a seizure. Patient lowered to the floor and had a seizure lasting about 45 seconds. Paramedics activated @ 3:10pm. Patient alert with intermittent confusion. Blood sugar 94. Patient refused transport to the hospital. Paramedics stayed by, patient had a second seizure lasting about 15 seconds. Post seizure patient agreed to go to hospital for eval. Transported via paramedics to hospital.

Other Meds: No list of meds on hand.

Current Illness:

ID: 1122305
Sex: F
Age: 23
State: NM

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 at location of shot on arm. Rash is about 2 inches by 3 inches in size.

Other Meds: Birth Control

Current Illness: none

ID: 1122306
Sex: M
Age: 64
State: CO

Vax Date: 03/16/2021
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: aspirin

Symptom List:

Symptoms: Moderna COVID- 19 Vaccine EUA: patient presents to the emergency department (ED) with shortness of breath, dizziness, abdominal pain, nausea, cough, malaise, and headaches. Symptoms started four days prior to arriving in the ED when shoveling snow. Three days prior to arriving in the ED patient received vaccination and reports fever and persistent shortness of breath ever since. Seen by primary care provider one day before presenting to the ED and prescribed prednisone but did not take it. Initial vital signs showed tachycardia, fever, tachypnea, and decreased oxygen saturations on room air. Physical exam noted faint wheezing. Patient placed on oxygen, received albuterol, ipratropium, and steroids with improvement. Patient discharged to home with steroids, inhalers, and oxygen.

Other Meds: prednisone, albuterol, fluticasone-salmeterol, ipratropium

Current Illness: asthma attack

ID: 1122307
Sex: M
Age: 47
State: CA

Vax Date: 03/11/2021
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: NKDA

Symptom List:

Symptoms: total body pruritic started about 6 hours after administration: per pt, started from feet, then spread to legs, lower back, sides, then forearms. he took two Benadryl and it subsided while he slept (so exact duration unknown). he did use a dose of sildenafil the night prior to getting the vaccine.

Other Meds: Sildenafil

Current Illness: none

ID: 1122308
Sex: M
Age: 71
State: AZ

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: none

Symptom List:

Symptoms: There are no side effects. You r'e info said I missed my appointment, I did not. My Wife and I were there and received our Second Shot to complete our Vaccination. When We got to the staging area, your people could not find our reservation, even though we showed them your paperwork. So they put us in as a Walk-in. \ Once again, We should up, and received our Vaccination.

Other Meds: none

Current Illness: none

ID: 1122309
Sex: M
Age: 31
State: NY

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:

Symptom List:

Symptoms: 20minutes after vaccine as per patient was diaphoretic. had palpitations and dizziness. The vaccine center called a rapid response. the team transferred patient to ED. Patient stated that after he was seen by a physician ,he spent 2 hours in waiting area and then went home

Other Meds:

Current Illness:

ID: 1122310
Sex: M
Age: 46
State: AR

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: None

Symptom List:

Symptoms: Experienced mild swelling in hands and angles due to water retention.

Other Meds: Omeprazole, Lisinopril, Atorvastatin, multi-vitamin, and D3.

Current Illness: None

ID: 1122311
Sex: F
Age: 58
State: CA

Vax Date: 03/14/2021
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: Painful, itchy rash at vaccination site 1 week after vaccine. Just started today so I will try Benadryl and Advil.

Other Meds: Vitamins: zinc, D, C, B-12, omega-3

Current Illness: None

ID: 1122312
Sex: F
Age: 54
State: VA

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: Feeling of tingling midline that radiated down mid chest to l/r; feeling of cold; no sob; no chest pain; No heart or lung hx; Ambulatory with crew; requested transport for followup as recommended by Dr. Transported to Hospital. BP 185/70 at 1543 BP 175/82 at 1549

Other Meds:

Current Illness:

ID: 1122313
Sex: F
Age: 49
State: TX

Vax Date: 03/17/2021
Onset Date: 03/17/2021
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: Upon injection reaction was similar to allergies; runny nose and congestion. Later in the afternoon and overnight chills, fatigue, body ache. Left arm at injection site was sore and could not be raised over her shoulder. Thursday - fatigue and body aches and arm sore. Friday - free range of movement with arm, fatigue no aches no fever no chills, Saturday same but dizziness like vertigo started; Sunday - irritation on left side of body, left foot itched like a rash but no visible rash; Monday morning left side of neck visibly swollen, right side swollen but not as severe; left foot still itches; vertigo still an issue, patient says it feels like the whole left side of body is swollen.

Other Meds: singulair and symbicort

Current Illness: none

ID: 1122314
Sex: M
Age: 67
State: TX

Vax Date: 03/02/2021
Onset Date: 03/08/2021
Rec V Date: 03/22/2021
Hospital:

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

Lab Data:

Allergies: Fluoroquinolones, metronidazole

Symptom List:

Symptoms: existing idiopathic peripheral neuropathy spread from extremities to my entire body and has increased in intensity from a level 1 to a level 3 and has not receded.

Other Meds: Losartan, Metoprolol, Warfarin, aspirin, folic acid

Current Illness: none

ID: 1122315
Sex: M
Age: 74
State: KY

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: Patient received 1 dose at the health department on 1-13-21. He received another dose (what we were led to believe was his 1st dose) at our store on 2-17-21. His second dose for the health department (third dose total) was shortly after that (possibly 2-18-21 but I'm unable to confirm the exact date). What we though was his second dose (in reality, his fourth dose) was given 3-18-21. We tried to phone him over the weekend, but no answer. We were able to get in touch with him today (3-22-21) and he stated he hasn't had any symptoms from any of his 4 doses of vaccine. His primary care physician was notified this morning.

Other Meds:

Current Illness:

ID: 1122316
Sex: M
Age: 48
State: GA

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: Penicillin

Symptom List:

Symptoms: Moderna COVID-19 Vaccine EUA

Other Meds: None

Current Illness:

ID: 1122317
Sex: F
Age: 53
State: LA

Vax Date: 02/28/2021
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: none

Symptom List:

Symptoms: acute autoimmune hemolytic anemia; patient had a history of PCR documented mild COVID in 4/2020

Other Meds: none

Current Illness: none

Date Died: 03/18/2021

ID: 1122318
Sex: M
Age: 72
State:

Vax Date: 03/15/2021
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:

Symptom List:

Symptoms: Received second dose of Pfizer Covid vaccine on 3-15 and he passed away 3 days later on 3/18/21

Other Meds:

Current Illness:

ID: 1122319
Sex: F
Age: 56
State: NJ

Vax Date: 01/02/2021
Onset Date: 01/04/2021
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: A few days post vaccine #1 I noticed small rash on lower extremities, which progressed to hives all over body. Saw dermatologist and started taking Allegra 4x/day. Symptoms seemed to subside. Received vaccine #2 on Jan 30th, and hives increased severely. Went to ER on Jan 9th with swollen lips and eyes, and hives over entire body. Received IV Solumedrol, IV Benadryl. Followed up with Allergist who said I was having a reaction to the vaccine. Am currently taking Doxepin 3 tabs/ nightly, Zyrtec 2x/day and Singulair. I am on week # 12 with hives with no relief.

Other Meds: Pristiq

Current Illness: None

ID: 1122320
Sex: F
Age: 48
State: MA

Vax Date: 03/18/2021
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: Shrimp, lobster

Symptom List:

Symptoms: Initial headache, increased blood pressure and pain at injection site directly after injection. Warm, redness and knot in arm with limited use day after injection. Pain on left side of head, neck, ribs second day after injection, Skin rashes and bleeding gums third day after injection.

Other Meds: None

Current Illness: None

ID: 1122321
Sex: F
Age: 59
State: GA

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

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

Lab Data:

Allergies: NO NSAIDS?causes extreme elevation in BP, wheat gluten

Symptom List:

Symptoms: see below

Other Meds: see below

Current Illness: none

ID: 1122322
Sex: F
Age: 64
State: OH

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: covid arm spreading to abdomen/breast area, 101 fever

Other Meds:

Current Illness:

ID: 1122323
Sex: M
Age: 67
State: SC

Vax Date: 02/15/2021
Onset Date: 03/13/2021
Rec V Date: 03/22/2021
Hospital: Y

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

Lab Data:

Allergies: None indicated

Symptom List:

Symptoms: Patient developed Gilliam Barre after administration of the second dose of Covid vaccine on 2/15/21; After multiple calls, clinic was where patient received vaccine with LOT #EN6200 (expiration date unavailable in computer system per pharmacist); pt then went to a hospital and was diagnosed as above; treated in the ED for several days per notes at the hospital and was not put in a room due to bed shortages so was transferred to another hospital; patient subsequently developed an NSTEMI, seizures, and was intubated.

Other Meds: rosuvastatin 10 mg daily; clopidogrel 75 mg daily; tadalafil 20 mg up to twice per week; vitamin D3 2000 units Daily; Neurontin 400 mg tid

Current Illness: s/p hip replacement, s/p shoulder replacement; blindness in one eye; nicotine dependence

ID: 1122324
Sex: F
Age: 21
State: VA

Vax Date: 02/03/2021
Onset Date: 02/03/2021
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: Per client, approximately forty-five minutes post first vaccine- she stated her throat felt like it was closing and she become short of breath. She stated she did not require any medical assistance. She stated it slowly resolved itself. Client presented to get her second Moderna vaccine on 3/05/2021 and informed staff at that time of reaction post first vaccine. Client stated she had informed her PCP. Who felt it was alright for her to get her second shot. Client was informed at the time of her second shot, that she would not be receiving it that day. The clinic that day was as a POD site. Client was informed that the health department would get in touch with her at a later time to determine if she was eligible to get second dose. Client verbalized understanding. It was determined that due to client having an immediate reaction after the first vaccine, that she would not be eligible to receive the second vaccine at the health department. Client was called to inform her of this the following week and the client did not answer the phone.

Other Meds:

Current Illness:

ID: 1122325
Sex: F
Age: 71
State: OH

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: x-ray dye

Symptom List:

Symptoms: exhausted and soreness from shoulder to shoulder (across back) 2nd vaccine

Other Meds: Black Elderberry, collagen, turmeric, vitamin D, aspirin metformin, Jardiance, Atorvastatin, glipizide, lisinopril

Current Illness: N/A

ID: 1122326
Sex: F
Age: 61
State: OK

Vax Date: 03/05/2021
Onset Date: 03/06/2021
Rec V Date: 03/22/2021
Hospital:

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

Lab Data:

Allergies: n/a

Symptom List:

Symptoms: Horrible Headache. I couldn't hold my eyes open for 36 hours. Generally feeling lousy.

Other Meds: Potassium; 5mg Lisinopril; 25 mg hydrochlorothiazide; 100 mcg levothyroxine; 1200 mg fish oil, 500 mg turmeric complex, super B complex, zinc, D3, and vitamin C

Current Illness: n/a

ID: 1122327
Sex: F
Age: 55
State: PA

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: none

Symptom List:

Symptoms: Dizziness Tired Muscle & joint pain swelling of lymph nodes terrible headache chills fever nausea

Other Meds:

Current Illness: none

ID: 1122328
Sex: F
Age: 77
State: FL

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

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

Lab Data:

Allergies: No

Symptom List:

Symptoms: I was itching all over for a good two hours. I put topical caladryl and it helped. I tried not to scratch. It happened 2 nights in a row.

Other Meds: Insulin, creon, Vitamin D2, Vitamin D3, Biotin, Calcium, Magnesium, Vitamin B12

Current Illness: No

ID: 1122329
Sex: F
Age: 69
State: WI

Vax Date: 03/17/2021
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: None

Symptom List:

Symptoms: Moderna COVID-19 Vaccine EUA. 2ND injection. Mild red rash around injection site. Itchy.

Other Meds: Eliquis

Current Illness:

ID: 1122330
Sex: M
Age: 52
State: IA

Vax Date: 03/15/2021
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: None

Symptom List:

Symptoms: Began experiencing chills/headache/fever symptoms at 1 pm. Fever spiked to 105 degrees at 8pm. At this time, took measures to reduce fever (Tylenol, Cold Water, Removed clothing). Went to bed around 104 degrees. Fever broke overnight.

Other Meds: None

Current Illness: None

ID: 1122331
Sex: F
Age: 45
State: GA

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: Allergy to Tape, IMDUR, Surgical Glue, Keflex

Symptom List:

Symptoms: Within a minute pain radiates down my arm into my fingers, 2 minutes later I felt like my sinus cavity got full then felt like my throat felt full but mostly my sinus cavity felt very swollen. My arm hurt for 6 days and I had general fatigue and headache. Going for number 2 today will post if more effects

Other Meds: Oxycodone, cardezium, Nasonex, Aspirin, propranolol, singular, amolodophine, thyroid levothyroxine, gabapentim, zanaflex, prednisone

Current Illness: Pulmonary Hypertension, Lupus Anticoagulant disorder, fibromyalgia, spinal degenerate disk disease, osteoarthritis, lymph node infection, sinusitis, TIA repetitive, peripheral nueropathy mild, COPD and cancer survivor

ID: 1122332
Sex: F
Age: 35
State: MD

Vax Date: 03/11/2021
Onset Date: 03/12/2021
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: Large, red, itching welt at location of the injection

Other Meds: Oral Contraceptive

Current Illness: None

ID: 1122333
Sex: F
Age: 58
State: OH

Vax Date: 03/17/2021
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: Swollen lymph nodes in left arm pit - started Monday am, 4th day after 1st shot. No evidence to date in right arm.

Other Meds: none

Current Illness: none

ID: 1122334
Sex: M
Age: 70
State: SD

Vax Date: 03/10/2021
Onset Date: 03/11/2021
Rec V Date: 03/22/2021
Hospital:

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

Lab Data:

Allergies: peas, glucagon, levaquin

Symptom List:

Symptoms: 102.3 fever, body aches, fatigue - missed work for the whole weekend

Other Meds: sildenafil 100mg 1 prn, Vit D3 5000 units daily, Glucosamine Chondroitin with MSM daily, roflumilast 500 mgc daily, Stiolto respimat 2.5mg-2.5mcg 2 inh neb daily, fluticasone 250mcg 1 puff bid inhaler, cyclobenzaprine 10 mg TID prn, diclof

Current Illness: none

ID: 1122335
Sex: F
Age: 71
State: ND

Vax Date: 01/29/2021
Onset Date: 02/12/2021
Rec V Date: 03/22/2021
Hospital: Y

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Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: Patient presented with frequent falls and left sided weakness with severe headaches for greater then 24 hours.

Other Meds: Digoxin 125mcg po as directed, atorvastatin 10mg po daily, warfarin sodium 5mg po daily, spironolactone 25mg po daily, levothyroxine 25mcg po daily, furosemide 80mg po bid, advair 100-50 1 puff inh bid, digoxin 250mcg po as directed, albute

Current Illness: noted to have increased falls at home.

ID: 1122336
Sex: M
Age: 73
State: IA

Vax Date: 03/17/2021
Onset Date: 03/17/2021
Rec V Date: 03/22/2021
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Allergies: none

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Symptoms: Patient got first dose of Moderna in Feb and got second dose Pfizer in March. He reports just a sore arm. No other ADR's

Other Meds:

Current Illness: unknown

ID: 1122338
Sex: M
Age: 57
State: TX

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

Symptom List:

Symptoms: Fever - 101, chills and dizziness. Rotating Tylenol and Motrin every 6 hours. Was seen by primary care physician.

Other Meds: Tylenol, Motrin, Emergn-C

Current Illness:

ID: 1122339
Sex: F
Age: 70
State: NY

Vax Date: 03/22/2021
Onset Date: 03/22/2021
Rec V Date: 03/22/2021
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Allergies: Penicillin Iodine contrast Hepatitis B vaccine

Symptom List:

Symptoms: Pt states immediately after receiving the vaccine her lips became numb. Pt denies any swelling, difficulty swallowing, rash, or hives. NP and EMT determined the pt is having anxiety. Pt refused vitals. After 30 minutes the pt stated she is feeling better and would like to leave. Pt didn?t require transport to hospital. NP referred pt to high risk clinic for second dose.

Other Meds: Pt refused stated she has a ?long list she doesn?t remember ?

Current Illness:

ID: 1122340
Sex: M
Age: 61
State: OK

Vax Date: 03/17/2021
Onset Date: 03/17/2021
Rec V Date: 03/22/2021
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Allergies: Not before this vaccine

Symptom List:

Symptoms: Developed bad, itchy hive-like rash all over trunk of body front and back within 6-7 hours of injection. Treated with 25mg Benadryl for very little relief. By four days post vaccine it has spread to groin and head. Mild nausea and fatigue

Other Meds: Lisin/HCTZ 10/2.5 Simvastatin 40mg VIT C 1000mg D3 50mcg/2,000iu

Current Illness: None

ID: 1122341
Sex: F
Age: 50
State: MN

Vax Date: 03/13/2021
Onset Date: 03/13/2021
Rec V Date: 03/22/2021
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Allergies: Bee stings, Sulfa, Codeine, Cefzil

Symptom List:

Symptoms: Palpitations, hypertension, fatigue, chest tightness following injection

Other Meds: levothyroxine, losartan, B12

Current Illness: None

ID: 1122342
Sex: F
Age: 58
State: FL

Vax Date: 01/27/2021
Onset Date: 03/01/2021
Rec V Date: 03/22/2021
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Allergies: None

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Symptoms: I am having tingling down my left arm, daily, multiple times. I am also having deep pain in legs, when laying down to sleep, daily.

Other Meds: Prozac 80mg/day Tumeric 500mg /day Glucosamine 500 mg /day ALIVE Daily vitamin 50+women 1/day

Current Illness: None

ID: 1122343
Sex: F
Age: 63
State: PA

Vax Date: 03/21/2021
Onset Date: 03/21/2021
Rec V Date: 03/22/2021
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Allergies: none

Symptom List:

Symptoms: racing heart.. dizziness.. felt like she was going to pass out said tongue was swelling and hard to breath

Other Meds: depression and anti anxiety

Current Illness: none

ID: 1122344
Sex: F
Age: 31
State: TX

Vax Date: 03/12/2021
Onset Date: 03/20/2021
Rec V Date: 03/22/2021
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Allergies: Cephalexin

Symptom List:

Symptoms: injection site had a hard knot under it. area around injection site started to turn red on day 8 and spread and became more red in the following days. I took benadryl and put an ice pack on the site. The area faded a bit but continued to grow in size.

Other Meds: Milli Birth Control, Levothyroxin

Current Illness:

ID: 1122345
Sex: F
Age: 41
State: CT

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 03/22/2021
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Allergies: Latex

Symptom List:

Symptoms: Vaccine dose 1 rash and itchy for 3 weeks and slight shortness of breath and tightness Dose 2 severe rash on neck and chest with mild shortness of breath and tightening in chest lasting 24 hours.

Other Meds: None

Current Illness: None

ID: 1122346
Sex: F
Age: 20
State: WA

Vax Date: 03/21/2021
Onset Date: 03/22/2021
Rec V Date: 03/22/2021
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Symptoms: Headache, nausea, pain at injection site, fatigue, body aches, shortness of breath, dizziness.

Other Meds: Ibuprofen

Current Illness:

ID: 1122347
Sex: F
Age: 63
State: TX

Vax Date: 03/15/2021
Onset Date: 03/15/2021
Rec V Date: 03/22/2021
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Allergies: Codeine, Penicillin, latex, perfume

Symptom List:

Symptoms: Approximately 3 hours after my injection I became very lethargic and my heart began to race. I had fever of 101 and became very weak and tired. I experienced nausea, pain in my upper back and my heart raced for approximately 10 hours. On Tuesday, March 16, 2021 I slept on and off for the entire day and continued to have a fever. My heart rate came down within 24 hours after my injection and the fever came down to normal 36 hours after the injection. I felt weakness for approximately 3 days after the injection. I am currently recovered from all symptoms as of March 22, 2021.

Other Meds: Allegra, Mucinex

Current Illness: None

ID: 1122348
Sex: F
Age: 24
State: MI

Vax Date: 03/10/2021
Onset Date: 03/17/2021
Rec V Date: 03/22/2021
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Allergies: none

Symptom List:

Symptoms: 3/17/21 patient developed body aches, headache, nasal congestion, and pharyngitis. tested COVID positive.

Other Meds: acetaminophen, amitriptyline, colace, drysol external solution, estradiol, robaxin, saline nasal spray

Current Illness: single kidney, iliotibial band syndrome affecting lower leg, sacroiliitis, patellofemoral syndrome L knee, lumbar facet joint syndrome, segmental dysfunction of lumbar region

ID: 1122349
Sex: F
Age: 66
State: IL

Vax Date: 03/20/2021
Onset Date: 03/21/2021
Rec V Date: 03/22/2021
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Allergies: No medication allergies known. Allergic reaction/digestive reaction to pork products.

Symptom List:

Symptoms: The left arm injection site became more sore and itchy and a red rash below the injection site.

Other Meds: Tylenol extra strength

Current Illness: NOne

ID: 1122350
Sex: F
Age: 33
State: OK

Vax Date: 03/11/2021
Onset Date: 03/11/2021
Rec V Date: 03/22/2021
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Allergies: Penicillin, Benadryl, Bactrim, Lymictal, Dayquil, Acyclovir

Symptom List:

Symptoms: 3-11-21 @ 9:30am -Nausea 3-12-21 @ 7:30am- Woke with nausea, headache, joint aches, extremely sore arm, low grade fever and tinnitus in left ear 3-12-21 @ 1:00pm- Hearing impairment in the left ear and tinnitus in both ears. 3-14-21 @ 7:30am- Woke with only sore arm, tinnitus in both ears and hearing impairment in both as well. 3-22-21 @ 10:00am- Still have hearing impairment and tinnitus in both ears. Slight improvement in hearing but tinnitus is worsening.

Other Meds: Levothroxine Birth Control

Current Illness:

Total 2021 VAERS Injuries: 639,999

Page last modified: 03 October 2021 5:28pm