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
80,476
AK1,701
AL5,710
AR3,685
AS44
AZ13,853
CA60,990
CO11,475
CT8,253
DC1,678
DE1,764
FL38,659
FM3
GA14,218
GU90
HI2,296
IA4,504
ID2,566
IL20,334
IN23,040
KS4,480
KY7,502
LA5,005
MA14,587
MD12,454
ME3,114
MH8
MI18,878
MN11,891
MO9,381
MP30
MS2,845
MT2,236
NC16,249
ND1,310
NE2,876
NH2,992
NJ18,316
NM3,852
NV4,335
NY34,408
OH18,998
OK6,170
OR8,358
PA23,687
PR2,231
QM2
RI1,973
SC6,455
SD1,172
TN9,255
TX36,119
UT4,236
VA14,624
VI50
VT1,727
WA14,504
WI10,837
WV2,313
WY851
XB5
XL1
XV2

ID: 1124655
Sex: F
Age: 40
State: NJ

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:

Symptom List:

Symptoms: Immunizer administered vaccine too low. Patient reported administration site in tricep instead of deltoid as usual for IM immunizations.

Other Meds: Levothyroxine, Sertraline

Current Illness:

ID: 1124656
Sex: F
Age: 58
State: GA

Vax Date: 03/19/2021
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: Bloating,, nausea, temperature, fatigue. 1 day

Other Meds: Vitamin D, Calcium, Aspirin, Multi-vitamin

Current Illness: None

ID: 1124657
Sex: F
Age: 30
State: VA

Vax Date: 02/09/2021
Onset Date: 02/16/2021
Rec V Date: 03/22/2021
Hospital: Y

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

Lab Data:

Allergies: Minocycline, clomid

Symptom List:

Symptoms: Received 2nd dose of covid vaccine at 11 weeks, 6 days. Had follow up normal ultrasound at 12 weeks, 2 days. Missed miscarriage noted at 15 weeks, 1 day. Last measurement of baby noted to be 12 weeks, 6 days. Closely monitored during first trimester with no abnormalities noted. Normal ultrasound at 12 weeks, several days after baby stopped growing with fetal demise at some point there after

Other Meds: prenatal vitamin

Current Illness:

ID: 1124658
Sex: F
Age: 43
State: OH

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 known

Symptom List:

Symptoms: Pfizer-BioNTech Covid-19 Vaccine EUA

Other Meds: Ferrous sulfate 325 mg Triamcinolone .1% cream

Current Illness: Anemia

ID: 1124659
Sex: F
Age: 41
State: AZ

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: Amoxicillin, prednisone, contrast dey

Symptom List:

Symptoms: After vaccine was administered, patient experienced an allergic reaction to the covid-19 vaccine (Modern) boost lot number 026A21A. The patient complained of red itchy skin which was warm to touch and radiate heat around 13:50. Pharmacist gave 2 capsules of diphenhydramine 25 mg, one capsule was given immediately, and the second capsule was given to the patient to take home. Dr. educate the patient on how to take diphenhydramine capsule and what to expect from the medication. Dr personally checked on the patient every 5 minutes, and kept the patient for 30 minutes for observation. Dr explained to the patient about angioedema symptoms and the need to come back to the emergency department right away if symptoms worsen. Dr gave patient a call around 16:40 and left a message to the patient to call back if she need anything else.

Other Meds: none

Current Illness:

ID: 1124660
Sex: F
Age: 0
State: NM

Vax Date: 02/18/2021
Onset Date: 02/18/2021
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: RN administered Pentacel (Dtap/IPV component) in addition to fully reconstituted Pentacel (Dtap-IPV-HIB) vaccine. Provider and family were informed, no treatment indicated. Family reported low grade temp within 24 hours, no additional symptoms.

Other Meds: None

Current Illness: None known

ID: 1124661
Sex: F
Age: 58
State: IL

Vax Date: 01/16/2021
Onset Date: 01/17/2021
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: Severe pain in upper arm/shoulder/back following with weakness, numbness, tingling in the shoulder, arm, forearm , hand, and fingers . Diagnosed as Parsonage-Turner Syndrome.

Other Meds: Xiidra eyedrops, calcium vitamins

Current Illness: None

ID: 1124662
Sex: F
Age: 60
State: WA

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: Shellfish, dust, cats and some reaction to citrus.

Symptom List:

Symptoms: About 45 minutes after the injection two large spots on the face had hives, moderate swelling beneath right side of lip, minor swelling beneath left side of lip. Took Zyrtec and symptoms went away.

Other Meds:

Current Illness: Bronchitis

ID: 1124663
Sex: M
Age: 62
State: IN

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: No

Symptom List:

Symptoms: Fever headache chills muscle aches redness on left arm and swelling took about 40 hours to get over it

Other Meds: High blood pressure pills

Current Illness: No

ID: 1124664
Sex: F
Age: 19
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: Nausea, throwing up, Headache, fever, body aches, exhaustion

Other Meds:

Current Illness:

ID: 1124665
Sex: M
Age: 67
State: NV

Vax Date: 02/26/2021
Onset Date: 03/03/2021
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: none

Other Meds: Fiber pills, generic Flomax, stool softener, 1200 mg calcium, 99mg potassium

Current Illness: 2020 prostate cancer (surgery and radiation)

ID: 1124666
Sex: F
Age: 49
State: SC

Vax Date: 03/12/2021
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: Penicillin Cipro Insect bites & stings Cheddar cheese

Symptom List:

Symptoms: 3 inch in diameter swelling at site of injection; firm mass/welt at injection site; warm to touch that appeared about 24 hours after vaccination. I thought it resolved after 48 hours of swelling, but then returned 9 days after vaccination. The swelling is 3 inches in diameter, warm to touch & itchy, now 10 days after the vaccination.

Other Meds:

Current Illness: None

ID: 1124667
Sex: F
Age: 61
State: MO

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: Demerol Lactose Intolerant (also possible allergy) Peach Fuzz (makes my hands swell and turn red, but I?m not allergic to peaches) Was tested for 33 different inhalant allergies and was found to be allergic to all 33 items tested, so they quit testing, saying I appeared to be allergic to everything and simply needed to be in a bubble).

Symptom List:

Symptoms: On March 19, 2021, around 8:30 PM, my left arm began itching very intensely right at the vaccination site. When I went to scratch the itch, I felt a very large (~ size of tennis ball), round, red, hard bump on my arm. It had been nine days since my vaccine, and I hadn?t noticed any other side effects, so I figured it was probably a spider bite (though I haven?t, yet, noticed any spiders in my apartment). I watched it for signs of infection, but so far haven?t seen anything to cause alarm. It?s been three days, and the bump is still there but has gotten a lot smaller. Along with this big bump on my arm, I also began noticing (next day) that I was extremely fatigued - almost to the point of dropping off to sleep while still standing. I would sit down and fall asleep almost immediately and would sleep for about 30-45 minutes. This has happened on and off all day for the past three days, though it?s also getting better. I have no idea if any of this is related to the Covid-19 vaccine but felt I should, at least, report it to someone.

Other Meds: Gabapentin (for neuropathic pain), Atenolol (for migraine prevention), Metformin, Armour Thyroid, Adderall XR, Nexium, Famotodine, Paxil CR, Linzess, Atorvastatin, Temazepam (for insomnia), Hydroxizine, Vitamin D (50,000 Units 1x/wk for ch

Current Illness: None

ID: 1124668
Sex: F
Age: 59
State: OH

Vax Date: 03/11/2021
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: no

Symptom List:

Symptoms: MD believes that the bursa was hit during vaccination. The patient has been complaining for several weeks of severe pain. She now is attending physical therapy. If that does not improve after 2 weeks, then the doctor wants an MRI to see if the rotator cuff was damaged. Doctor is afraid that she will end up with a frozen shoulder.

Other Meds: clonazepam as needed for anxiety (occasionally)

Current Illness: no

ID: 1124669
Sex: F
Age: 52
State: FL

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:

Symptom List:

Symptoms: Person had a seizure-like episode requiring intervention from others to help her lie down. Fiance had sublingual Clonazepam available which was administered. EMTs called, arrived and evaluated. VS stable and pt up and walking, declined transport to hospital with EMT. Left for home with fianc?.

Other Meds: clonazepam

Current Illness: Seizure disorder

ID: 1124670
Sex: F
Age: 36
State: CA

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: From report provided by event staff: "At 2:35pm a second dose vaccine for COVID-19 (Moderna) was attempted to be given to the recipient, , but the syringe came apart when the person who was injecting, student nurse, , pushed on the plunger of the syringe. It appeared that probably most of the dose was lost, not injected. The dose splattered down the recipient's arm and sprayed on the facial visor of the student nurse giving the injection. Time of Evaluation of incident by MD on-site for clinic: At approximately 2:37pm was brought to the MD on-site. At 2:42 pm administered the 2nd dose of the Moderna vaccine for COVID-19 to in the deltoid area of her left arm. She was observed for 15 minutes and did not have any signs or symptoms of reaction"

Other Meds:

Current Illness:

Date Died: 03/10/2021

ID: 1124671
Sex: M
Age: 95
State: NJ

Vax Date: 03/05/2021
Onset Date: 03/08/2021
Rec V Date: 03/22/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: 3 days after vaccination, person was somewhat disoriented. 4th day after vaccination, patient fell, hit head and developed subdural hematoma from which he subsequently died.

Other Meds: ATORVASTATIN; GLIMEPIRIDE; LISINOPRIL; METFORMIN XR; PROPANOLOL ; COUMADIN; CENTRUM SILVER VITAMIN DAILY

Current Illness:

ID: 1124672
Sex: F
Age: 55
State: MI

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:

Symptom List:

Symptoms: Around 11 hours after injection - muscle aches/pain that lasted for multiple days with chills/cold sweats.

Other Meds:

Current Illness:

ID: 1124673
Sex: M
Age: 80
State: CO

Vax Date: 03/02/2021
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: No known allergies

Symptom List:

Symptoms: Patient went to ER on Saturday, March 20, 2021 complaining of stroke-like symptoms. Medical staff determined that patient was suffering from symptoms similar to Bells Palsy. Presently he still suffers from being unable to close left eye without also closing right eye and the right corner of his mouth droops downward.

Other Meds: Finasteride 5mg, Tamsulosin 0.4mg, Flecainide 100mg, Carvedilol 25mg

Current Illness: Unknown

ID: 1124674
Sex: F
Age: 50
State: OH

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:

Symptom List:

Symptoms: Abdominal crampy and diarrhea

Other Meds:

Current Illness:

ID: 1124675
Sex: F
Age: 46
State: CA

Vax Date: 03/13/2021
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: wheat

Symptom List:

Symptoms: Moderna COVID-19 Vaccine EUA Starting about 7 days after injection: Itchy, swollen, red, warm area surrounding injection site, on left arm. Also, swollen & slightly painful lymph nodes in left arm pit.

Other Meds: Lisinopril

Current Illness: None

ID: 1124676
Sex: F
Age: 56
State: WI

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: norvasc

Symptom List:

Symptoms: severe chills from 8pm to 1 am

Other Meds: lisinopril lveityroxin

Current Illness: none

ID: 1124677
Sex: M
Age: 43
State: PA

Vax Date: 03/18/2021
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: Very sore throat, swollen neck. No fever or other symptoms. Started 2 days ago and has not improved.

Other Meds: Lisinopril, hydrochlorothiazide, atenolol

Current Illness: None

ID: 1124678
Sex: M
Age: 16
State: TX

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:

Symptom List:

Symptoms: Patient is only 16 years of age and received a second COVID vaccination at our store. After talking to patient, he states he received his first dose at a drive through clinic on 02/22/2021 out of the lot 022M20A. Informed patient after the fact that one must be 18 years old to receive this vaccine.

Other Meds:

Current Illness:

ID: 1124679
Sex: F
Age: 69
State: WA

Vax Date: 02/23/2021
Onset Date: 03/16/2021
Rec V Date: 03/22/2021
Hospital: Y

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

Lab Data:

Allergies: several list not available

Symptom List:

Symptoms: Stroke - globus pallidus area Lost ability to speak and recognize objects. Immediately taken to ER and evaluated and TPA given. Results good following drug administration sent home after two days. Some mental affects still.

Other Meds: several, list not available

Current Illness: none

ID: 1124680
Sex: M
Age: 66
State: LA

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: NKDA

Symptom List:

Symptoms: HARD LUMP AT SITE OF INJECTION, APPROXIMATELY 5 INCHES IN DIAMETER. NO REDNESS, WARMTH, FEVER, SWELLING OF THROAT, NOR ITCHING. RECOMMENDED TO WATCH SITE EVERYDAY; THE LUMP WAS GOING AWAY

Other Meds: AMITRIPTYLINE DUONEB LANTUS NOVOLIN R

Current Illness: N/A

ID: 1124681
Sex: M
Age: 80
State: WA

Vax Date: 03/05/2021
Onset Date: 03/21/2021
Rec V Date: 03/22/2021
Hospital: Y

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

Lab Data:

Allergies: Mild allergy to Morphine sulfate and naproxen sodium

Symptom List:

Symptoms: Sudden onset of memory loss while paying for gasoline. Had been driving and stopped for gas. Paid and then couldn't recall where he was or what he was doing. EMS responded and transported to Hospital.

Other Meds: unknown

Current Illness: None

ID: 1124682
Sex: F
Age: 34
State: NY

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: Allergy to Pencillin, Fluoroquinolones. Food allergy to bivalves. Intolerance due to migraines of any foods with tyramine, such as fava beans or fermented soy.

Symptom List:

Symptoms: No pain or adverse event for the first 4 hours after vaccination. Starting at 2pm, which was 4 hours after my vaccine, , my chest began to tighten. It was not severe; I took a normal walk and was just mildly uncomfortable. It escalated hourly for about 10- 12 hours. At 8pm, the pain, pressure, and tightness around the chest went from mild to moderate, from a pain level of 2 to about 3 or 4. The sensation was one of a stack of books on my chest. There was pressure and mild pain (again, not severe), about 8-10 inches horizontally across my chest, from about the bottom of my sternum to the collarbone. I also felt some pressure in my lower throat, perhaps the bottom third of my neck. I did not have any shortness or breath, swelling, or difficulty swallowing. At about 9 pm, I became itchy on my neck, ankles, and flank. I developed some red spots, which were not large enough to be hives, They mostly became red from my itching, though they were more moderately itchy than seriously itchy. I have had hives before, and they did not appear to be hives, more just isolated red spots. Once I became itchy, I went to the ER. They worked me up for cardiac issues and a blot clot, but all tests were negative. I did not take any medication other than my standard Oxcarbazepine 8pm dose of 300 mg. The itchiness went away at about 11pm (two hours after onset), and the chest pain did not worsen. The following morning, it was significantly better, and about 36 hours after I first received the vaccine, it was gone entirely.

Other Meds: 750 mg Oxcarbazepine; 10mg Melatonin; monthly Aimovig; daily multivitamin; Ubrelvy 100mg; 4mg Granisetron occasionally; Yazmin birth control

Current Illness: mouth sores treated by prescription topical medicine 2 weeks prior.

ID: 1124683
Sex: F
Age: 77
State: WI

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: Sulfites

Symptom List:

Symptoms: Rash, "covid arm"

Other Meds: Advil, multivitamin, probiotic

Current Illness: None

ID: 1124684
Sex: F
Age: 38
State: CO

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: no

Symptom List:

Symptoms: Approximately 4 hours after the vaccine, I left chilled and had diarrhea. This continued and worsened over the course of the day. By evening, I was very cold, had horrible stomach pains and was very achy. I never experienced a fever but felt extremely chilled. Approximately 12 hours after the vaccine (10p), I began to experience a sore throat and tingly in my mouth, tongue and lips. I began to feel pins and needles across my body, like a skin tingly feeling. I took advil to help with the pain and chills, which helped. And then I took Benadryl when the tingling began and that helped as well. Today, I am still experiencing stomach pain and nausea.

Other Meds: Wellbutrin, daily vitamins, vitamin C

Current Illness: no

ID: 1124685
Sex: F
Age: 61
State:

Vax Date: 03/12/2021
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:

Symptom List:

Symptoms: extreme headache, extreme muscle aches, chills, low grade fever, nausea

Other Meds:

Current Illness:

ID: 1124686
Sex: F
Age: 49
State: CO

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: Patient came back 2 days after the vaccine with red patchy area (not itchy), tender and swollen. The reaction was an inch below the injection site.

Other Meds:

Current Illness:

ID: 1124687
Sex: F
Age: 59
State: NY

Vax Date: 03/12/2021
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: All seafood, Quinoline antibiotics, Iodine, Demerol, Latex-surface, Adhesives, Red and Yellow dye, Bronchiodialators, seasonal allergies, etc.

Symptom List:

Symptoms: 8 days after the vaccine, my left upper arm at the site of the injection began to feel itchy and uncomfortable. On day 9, a red circular, itchy rash appeared. This expanded on day 10 (today). It is sore, itchy, red, has bumps, and my lymph node under my left armpit may be enlarged. Shoulder is slightly uncomfortable.

Other Meds: vitamin D3

Current Illness: None

Date Died: 03/20/2021

ID: 1124688
Sex: M
Age: 81
State: MI

Vax Date: 03/17/2021
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: Sudden death March 20, 2021

Other Meds: Atorvastatin, Levothyroxine, Novolog, Iron ,Lisinopril, Aspirin,

Current Illness: Insulin Dependent DM, HTN, Hypercholesterolemia, Underweight, Hypothyroidism

ID: 1124689
Sex: F
Age: 63
State: OH

Vax Date: 03/17/2021
Onset Date: 03/17/2021
Rec V Date: 03/22/2021
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Allergies: Penicillin Morphine

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Symptoms: Started with a bad headache and very sore arm the first night. The morning of the day after I was vaccinated, I took my temperature and it was up to 101, which is high for me. I ached everywhere and my neck was so stiff, I could hardly stand to turn my head. My left arm, where I was vaccinated felt sore and tight in my shirt, but I couldn?t turn my head far enough to look at it to see if it was red or not. My temp went up to 102, the highest it?s been since I had osteomyelitis after my accident- no kidding! I slept most of the day both Thursday and Friday. I woke up Saturday at 2 pm and felt fine again- like nothing happened. But, I thought it was Friday. I was sick enough & sleeping enough that I acted lost a day completely! I never got nauseous- just terrible headache, stiff neck, joint & muscle pain , fatigue and 102 fever. There is a question of whether I have had Covid. I was very sick for 4 weeks- the whole month of February, 2020. My daughter had been in (Country) on business and met with collegues from all over the (Country), including (Country), in January, 2020. My brother died unexpectedly while she was gone. She flew back to (State) on a Thursday night and then got right back on a flight to (city) to stay with me for a week. She missed the wake, but was a comfort to me. I get very sick about a week after she left.

Other Meds: Duloxetine 60mg. BID Topirimate 200mg. BID Diclofenic Sodium 75mg. BID Bupropion XR 150mg. BID Triamterine/Hydrochlorothiazide 37.5/25mg qd in the a.m. (diuretic- I did not take until afternoon that day because of waiting in line.) Pantop

Current Illness: Seasonal allergies

ID: 1124690
Sex: F
Age: 71
State: FL

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

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Symptoms: Awakened by very loud roaring , tinnitus, in right ear only. Approximate time 0300. Loud noise, roaring subsided at approximately 0600. No other side effects other than pain at the site of injection,, left arm. Pain in left arm eased up after two days. FYI:: Patient had contacted COVID-19 in November and had recovered.

Other Meds: Progestrone Estradiol patch Estring One a Day Multi Vitamin

Current Illness: None

ID: 1124691
Sex: M
Age: 46
State: IN

Vax Date: 03/22/2021
Onset Date: 03/22/2021
Rec V Date: 03/22/2021
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Allergies: NKDA

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Symptoms: Patient complained of feeling nausea and lightheaded around 3:54 pm. The patient was assisted to patient room and sat in chair. Patient began to sweat and skin was pale. The patient verbalized he felt like he was "going down". EMS called. Vital signs at 3:56 pm were blood pressure 82/50, pulse 58, oxygen saturation 95%. 0.3 mg of epi administered intramuscularly to right arm at 3:58 pm. Patient verbalized improvement in symptoms around 4:03 pm. Oxygen dropped to about 88% and back up to 96% and heart rate 88. EMS arrived around 4:10 pm and took blood pressure of 133/86. Patient transported to ER for further evaluation. Patient alert and oriented x4 at time of transfer.

Other Meds: Unknown

Current Illness: History of Vertigo and SVT

ID: 1124692
Sex: F
Age: 68
State: LA

Vax Date: 03/02/2021
Onset Date: 03/20/2021
Rec V Date: 03/22/2021
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Allergies: Penicillin

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Symptoms: Loss of memory of recent events of morning. Occurred when planting flowers. Lasted 3-4 hrs. Regained memory little at a time by 6:00 pm same day. No headache, dizziness, or pain. No signs of physical distress. I knew who and where I was. Recognized the people I was with.

Other Meds: Fluoxetine 20 mg Calcium supplement 750 mg Vitamin D 1000 iu Multivitamin Xyzal

Current Illness: None

ID: 1124693
Sex: F
Age: 90
State: NJ

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

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Allergies: Allergies to some antibiotics

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Symptoms: 3 days after vaccination, patient fell and needed to be taken to ER for potential leg and/or head injury

Other Meds: Gabapentin, Nitrofurantoin , Lipitor, Escitalopram

Current Illness: UTI

ID: 1124694
Sex: F
Age: 59
State: MD

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

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Symptoms: Red, swollen, pain, itching at injection site-still, more than 72 hours after shot

Other Meds: Rouvastatin, multi vitamin, C, D, zinc, aspirin

Current Illness: N/A

ID: 1124695
Sex: F
Age: 26
State: CO

Vax Date: 03/08/2021
Onset Date: 03/08/2021
Rec V Date: 03/22/2021
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Allergies: None reported

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Symptoms: Janssen COVID-19 Vaccine EUA: patient received vaccine in the morning then later that afternoon developed fever, chill, backache, upper abdominal pain, malaise. Presents to emergency department (ED) with vital signs within normal ranges. Temperature 37.7 degrees Celsius. Patient received ondansetron and intravenous fluids. Discharged home medically stable with symptom improvement.

Other Meds: albuterol, levonorgestrel-ethinyl estradiol

Current Illness: COVID-19 illness one month prior to vaccination (did not require hospitalization)

ID: 1124696
Sex: M
Age: 64
State: MA

Vax Date: 03/22/2021
Onset Date: 03/22/2021
Rec V Date: 03/22/2021
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Allergies: Laundry detergent, tree pollen, sensitivity to nitroglycerin and metoprolol

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Symptoms: Patient expericed slight tightening of throat/tingling. But was able to swallow. He was asked to take Benadryl but he refused and was given loratadine 10mg tab (1) by mouth. He was observed for 30 minutes and a was driven home. A follow up was conducted 4 hours later he was fine.

Other Meds: Loratadine 10 mg tab

Current Illness:

ID: 1124697
Sex: F
Age: 65
State: WA

Vax Date: 03/17/2021
Onset Date: 03/18/2021
Rec V Date: 03/22/2021
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Allergies: None

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Symptoms: After receiving second does injection I went to bed at my normal time (10:00pm. I woke up during the night about 1:00 AM with soreness in arm, dizziness, low grade fever and chills. Felt lethargic all through the next two days. Saturday and Sunday my arm was still tender but I had no energy however I was experiencing headaches. Monday went back to work for 5 hours and returned home with low grade fever, chills, headaches and lethargic. Not coughing , I have an appetite and have not lost my since of smell.

Other Meds: Atorvastantin ( 40mg 1pod)

Current Illness: None

ID: 1124698
Sex: F
Age: 30
State: CA

Vax Date: 03/16/2021
Onset Date: 03/16/2021
Rec V Date: 03/22/2021
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Allergies: Cefzil

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Symptoms: High amount of pain as well as burning sensation at site of injection immediately upon being vaccinated. Pain and Burning continued for 4-5 hours following vaccine. Tired and low energy 5-6 hours after receiving and extreme arm soreness for 2-3 days following. Noticed small, swollen/raised red patch underneath vaccine location one day following vaccine. Sore to the tough but went away soon after. Arm had been slightly itchy since vaccine and continues 6 days later. Finally, woke up 3/18 late night/early morning 3/19 with extreme arm tingling (initially thought this was caused by my sleeping position). Woke up 3/20 late night/early morning 3/21 with arm tingling. Arm tingling occurred again today, 3/22, all afternoon.

Other Meds: Turmeric, Probiotic, Daily vitamin, calcium, echinacea, fish oil, maca powder, defend mushroom blend mix

Current Illness: N/A

ID: 1124699
Sex: F
Age: 69
State: PA

Vax Date: 02/13/2021
Onset Date: 02/28/2012
Rec V Date: 03/22/2021
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Allergies: None

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Symptoms: Extreme exacerbation of inflammation related nerve pain secondary to slipped discs. More extreme on the right side, excruciating right thigh and hip nerve pain

Other Meds: Numerous anti-inflammatories, such as curcumin, CBD oil, coenzyme Q 10, HRT, thyroid medication, folate, multivitamins, B 12, glucosamine, confronting, MSM

Current Illness: None

ID: 1124700
Sex: F
Age: 62
State: CA

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

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Symptoms: administered Moderna Covid Vaccination earlier than 24 days

Other Meds: declined

Current Illness: no

ID: 1124701
Sex: M
Age: 24
State: SC

Vax Date: 03/22/2021
Onset Date: 03/22/2021
Rec V Date: 03/22/2021
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Allergies: tree nuts

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Symptoms: Patient had tingling of the mouth

Other Meds: none

Current Illness: none

ID: 1124702
Sex: F
Age: 64
State: CA

Vax Date: 03/22/2021
Onset Date: 03/22/2021
Rec V Date: 03/22/2021
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Allergies: Naprosyn

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Symptoms: 350pm pt with a history of COPD/emphysema uncontrolled, on oxygen and nebs at home. about 15 minutes after recieving covid vaccine #1 pt began c/o sob and chest tightness. stated was having a hard time breathing.pt appeared to be having a hard time breathing and catching breath. RNs asisting pt. BP 110/88 P 110 SA O2 95% Called for Dr. per Dr-pt was tight with decreased air exchange. pt with increased work of breathing 353pm V.O Dr epi 1mg IM now Solumedrol 125mg/2ml IM now Albuterol neb 2.5mg/ml now 354pm gave Epi 1mg IM R arm. ................................................................... RN March 22, 2021 5:10 PM 355pm started Albuterol neb 2.5mg/3ml PO ................................................................... RN March 22, 2021 5:10 PM 358pm gave Solumedrol 125mg/2ml IM R arm ................................................................... RN March 22, 2021 5:11 PM pt states she is starting to feel better. not havign as much sob breath. is not having to work as much to breathe. 407pm P 107 SA O2 95% pt states she is feeling alot better. feels a little shaky however denies sob and states can breath alot easier now. albuterol neb is still running. Pt appears to be more comfortable. 410pm albuterol neb is complete BP136/84 P 106 SA O2- 95% PT states feels alot bettter. denies sob, dizziness, swelling of throat or tongue, itchiness or rash, dizziness, hand/fett tinglling or numbness. pt states that she is much more comfortable now and her breathing is alot more easire now. pt appears to be more comfortable now. per Dr- pt has better air exchange now with no wheezing. pt advised to use rescure inhaler and nebs at home. given ER precautions. Pt verbalized understanding. Walked out of clinic on own will to dial a ride. ...................................................................RN March 22, 2021 5:17 PM

Other Meds: Diphenhydramine Norco Prednisone Triamcinolone Ibuprofen Trazadone Sertraline Amlodipine Atorvastatin Loratadine Montelukast Spiriva Duoneb Albuternol neb Budesonide Ventolin Combivent Hydoxyzine Fluticasone

Current Illness: COPD Oral lesion HTN

ID: 1124704
Sex: F
Age: 43
State: FL

Vax Date: 03/14/2021
Onset Date: 03/15/2021
Rec V Date: 03/22/2021
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Allergies: None

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Symptoms: Body aches Chills Fatigue

Other Meds: IUD - Mirena Vaginal health/urinary tract probiotics Flonase

Current Illness: None

ID: 1124705
Sex: F
Age: 40
State: KY

Vax Date: 02/27/2021
Onset Date: 02/27/2021
Rec V Date: 03/22/2021
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Allergies: None

Symptom List:

Symptoms: Muscle and joint soreness in left shoulder and arm from base of neck to elbow; treated with 600 mg qid. Resolved in 48 hours.

Other Meds: Lamotrigine 500 mg, sertraline 200 mg, daily multivitamin, fish oil

Current Illness: None

Total 2021 VAERS Injuries: 635,673

Page last modified: 03 October 2021 5:28pm