VAERS 2021 Database www.vaers.hhs.gov

Main Page | All 2021 Deaths | Videos
VAERS Updated: 10/01/2021
** VAERS DATABASE Last updated: October 1, 2021**
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Manufacturers

Total Manufacturer

Incidents per State

State Total
92,076
AK1,880
AL6,345
AR4,151
AS46
AZ14,991
CA66,887
CO12,550
CT8,943
DC1,795
DE2,009
FL42,724
FM4
GA17,031
GU124
HI2,580
IA4,919
ID2,892
IL22,128
IN24,197
KS5,047
KY9,111
LA5,500
MA15,718
MD13,434
ME3,351
MH8
MI20,971
MN13,585
MO10,747
MP30
MS3,198
MT2,477
NC18,051
ND1,501
NE3,109
NH3,218
NJ20,216
NM4,218
NV4,728
NY37,667
OH20,793
OK6,692
OR9,244
PA25,607
PR2,588
QM2
RI2,163
SC7,261
SD1,282
TN10,445
TX39,890
UT4,618
VA15,980
VI67
VT1,830
WA16,071
WI12,042
WV2,571
WY926
XB5
XL1
XV2

ID: 1125299
Sex: F
Age: 39
State: OH

Vax Date: 03/18/2021
Onset Date: 03/19/2021
Rec V Date: 03/23/2021
Hospital:

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

Lab Data:

Allergies: environmental, Rocephin

Symptom List: Dysphagia, Epiglottitis

Symptoms: Fever 102F- lasted 3 hours- treated with nyquil/ibuprofen Nausea/vomiting/diarrhea/ wide spread body ache, muscle cramps, with lower extremity numbness and tingling- lasted - 48 hours- supportive care brain fog- ongoing Wide spread rash- Benadryl, calamine lotion- ongoing

Other Meds: Adderall xr: 10 mg : BID, lexapro 20 mg : qd, daily mulivitamin, xyzal

Current Illness: none

Date Died: 03/21/2021

ID: 1125300
Sex: M
Age: 93
State: WI

Vax Date: 02/19/2021
Onset Date: 03/21/2021
Rec V Date: 03/23/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Anxiety, Dyspnoea

Symptoms: Patient had no known ill effects or complaints directly after receiving his first COVID-19 vaccine on 02/19/2021. However, on 03/21/2021, he was found deceased on his bedroom floor due to a suspected cardiac arrhythmia. It is unknown if there is any correlation.

Other Meds: Allopurinol, Eliquis, Furosemide, Imdur, Lisinopril, Crestor, Shingrix, and Tamsulosin.

Current Illness: None.

ID: 1125301
Sex: M
Age: 76
State: FL

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 03/23/2021
Hospital:

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

Lab Data:

Allergies: Monofilament sutures

Symptom List: Chest discomfort, Dysphagia, Pain in extremity, Visual impairment

Symptoms: Approximately 8 hrs after the second Moderna vaccination I starting having chills. These continued and increased in intensity along with the onset of fever. I did not have an accurate means of taking my temperature at the time. Over the course of the night on the 17th/18th of February the chills and fever never subsided, even with two doses of Tylenol. The day of the 18th, fever and chills continued along with a feeling of intense malaise. My sternum was very sore and it hurt to breathe as a result of the prolonged shivering. I had no appetite and ate absolutely nothing the day of the 18th. In the early morning hours of the 19th my fever broke as did the chills. However, later in the day, a thermometer was obtained and my fever was 101.4 degrees. When taken at bedtime, it was down the 99 degrees and returned to normal later with no future spikes. On the morning of the 20th when I awoke, I noticed a stinging soreness in my mouth and lip area, followed later in the day with my nostrils and inner nose. This turned out to be an intense outbreak of Herpes. The roof of my mouth, gums, upper surface of my tongue, lips, nostrils, and inner nose ultimately became covered and extremely painful. These lesions were not typical blebs, but were tiny, albeit most painful. After five days they resolved and I have had no further issues. As a possible area to investigate - I had had the second Shingles booster 14 days prior to my first Moderna COVID vaccination. I understand Shingles is also a Herpes family virus.

Other Meds: Doxazosin, Finasteride, Tadalafil, HCTZ, Atenolol, Lisinopril, Ezetimibe, Simvastatin, Carisoprodol, NORCO, Vitamin D3, CBD Oil

Current Illness: None

ID: 1125305
Sex: U
Age:
State: NY

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

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

Lab Data:

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: arm soreness; pain; This case was reported by a consumer via call center representative and described the occurrence of pain in arm in a adult patient who received Herpes zoster (Shingrix) for prophylaxis. On an unknown date, the patient received the 1st dose of Shingrix. On an unknown date, immediately after receiving Shingrix, the patient experienced pain in arm and pain. Shingrix was discontinued. On an unknown date, the outcome of the pain in arm and pain were unknown. It was unknown if the reporter considered the pain in arm and pain to be related to Shingrix. Additional details were provided as follows: The age at vaccination not reported. The age group has been selected as per vaccine specification. Reporter claims that he knows of 5 different people that did not get the second Shingrix shot because of arm soreness and pain. The soreness in arm and pain AEs came after the first dose of shingrix. This is 1 of 5 cases reported by the same reporter.; Sender's Comments: US-GLAXOSMITHKLINE-US2021054377:same reporter US-GLAXOSMITHKLINE-US2021AMR055618:Original Case : US2021054379 US-GLAXOSMITHKLINE-US2021AMR055621:Original Case : US2021054379

Other Meds:

Current Illness:

ID: 1125306
Sex: M
Age:
State: CA

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 03/23/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: headache / lo grade headache; frequent diarrhea; fatigue has improved; chills; body ache; This case was reported by a nurse via call center representative and described the occurrence of fatigue in a male patient who received Herpes zoster (Shingrix) for prophylaxis. Previously administered products included Shingrix (received 1st dose on an unknown date). On 17th February 2021, the patient received the 2nd dose of Shingrix. On 17th February 2021, less than a day after receiving Shingrix, the patient experienced fatigue, chills, general body pain, headache and diarrhea. On an unknown date, the outcome of the fatigue, chills, general body pain and diarrhea were recovered/resolved and the outcome of the headache was not recovered/not resolved. It was unknown if the reporter considered the fatigue, chills, general body pain, headache and diarrhea to be related to Shingrix. Additional details were provided as follows: The reporter was the patient's wife. The patient was an athletic man with no pre-existing issues. The age at vaccination was not reported. The reporter stated that, for the first 48 hours, the patient experienced frequent diarrhea, headache, body ache and chills. The patient also experienced fatigue, which has improved, however on the day of reporting patient still had low grade headache. The reporter stated that, the patient was fine with 1st dose of Shingrix. The reporter consented to follow up.

Other Meds:

Current Illness:

ID: 1125307
Sex: F
Age:
State: CA

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

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

Lab Data:

Allergies:

Symptom List: Chills, Confusional state, Eye inflammation, Headache, Laboratory test

Symptoms: did not feel like eating; fatigue; low energy; This case was reported by a consumer via call center representative and described the occurrence of appetite absent in a 65-year-old female patient who received Herpes zoster (Shingrix) for prophylaxis. On an unknown date, the patient received the 1st dose of Shingrix. On an unknown date, unknown after receiving Shingrix, the patient experienced appetite absent, fatigue and energy decreased. On an unknown date, the outcome of the appetite absent, fatigue and energy decreased were unknown. It was unknown if the reporter considered the appetite absent, fatigue and energy decreased to be related to Shingrix. Additional details were provided as follows: The age at vaccination was not reported. The case was reported by patient's mother. The patient received Shingrix and experienced fatigue, low energy, and did not feel like eating. The reporter consented to follow up. This case was 2 of the 3 cases, reported by the same reporter.; Sender's Comments: US-GLAXOSMITHKLINE-US2021063952:same reporter US-GLAXOSMITHKLINE-US2021063955:same reporter

Other Meds:

Current Illness:

ID: 1125308
Sex: F
Age: 65
State: NJ

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

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

Lab Data:

Allergies: None

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Itchy red rash.

Other Meds: fosinopril, atorvastatin, fluticasone, loratadine

Current Illness: None

ID: 1125309
Sex: F
Age: 45
State: IN

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 03/23/2021
Hospital:

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

Allergies: Compazine stadol

Symptom List: Pharyngeal swelling

Symptoms: Had first COVID vaccine in right arm. 3 weeks later pain and weakness developed. Received covid injection in left are to make sure it was not the vaccine on March 1 and now 3 weeks later I am having the start of same problems. It it a struggle to lift every day items such as a phone or iPad.

Other Meds: Buspar, Wellbutrin, progesteron, estrogen singular multi vitamin

Current Illness: None

ID: 1125310
Sex: M
Age: 25
State: TN

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

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

Lab Data:

Allergies:

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: One bottle of Pfizer was dosed out 6 vaccines and then re-diluted and given 3 doses from the vial. This was caught and patient was called to come back and get another vaccine per manufacturer paperwork. Patient received another vaccine with no adverse reaction to date.

Other Meds:

Current Illness:

ID: 1125311
Sex: M
Age: 45
State: OK

Vax Date: 03/15/2021
Onset Date: 03/16/2021
Rec V Date: 03/23/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Dizziness onset approximately 16 hours post administration typically when laying down and turning over in bed as well as standing up after laying down. Sometimes randomly when sitting.

Other Meds: None

Current Illness: None

ID: 1125312
Sex: M
Age: 65
State: IN

Vax Date: 03/01/2021
Onset Date: 03/19/2021
Rec V Date: 03/23/2021
Hospital:

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

Lab Data:

Allergies: NSAIDS

Symptom List: Vaccination site erythema, Vaccination site pruritus, Vaccination site swelling

Symptoms: Injection site pain and fatigue

Other Meds: Lisinopril, hydrochlorothiazide, armoire thyroid

Current Illness:

ID: 1125313
Sex: F
Age: 33
State: PA

Vax Date: 03/11/2021
Onset Date: 03/17/2021
Rec V Date: 03/23/2021
Hospital:

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

Lab Data:

Allergies: Theophylline, Lamictil

Symptom List: Rash, Urticaria

Symptoms: From about a week since the second dose of the vaccine, I have been experiencing episodes of vertigo/dizziness and an increase in asthma symptoms

Other Meds: Zoloft 200mg 1X daily, pepcid 40 mg 2X daily, multivitamin 1X daily, biotin 1X daily, wixela inhub 1X daily, albuterol PRN, buspar 5mg 2X daily

Current Illness: None

ID: 1125314
Sex: F
Age: 56
State: IN

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

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

Lab Data:

Allergies: Patient reported she allergic to several medications and food products

Symptom List: Blood pressure decreased, Chest pain, Chills, Confusional state, Decreased appetite

Symptoms: Patient received her first dose on 3/22/21 at approximately 1644. Patient states that she stayed at the clinic for 15 minutes (until 1700) but felt fine so she proceeded to the parking lot. Patient states that when she went into her car she started feeling as if she had an itchy throat; she states that at that time she was not very concerned until she brought it up to her husband and he encouraged her to go back inside to be evaluated. Patient arrived to nurse at approximately 1709, patient reported to nurse that she had tightness of throat but denied being unable to swallow. At 1711 oral Benadryl was administered. At this time patient was reporting being tachycardic and short of breath, nurse assessed her oxygenation status, which was at 99%, and her heart rate was at 104. Nurse encouraged patient to deep breath and try to relax. At 1718 Patient reported that her tightness was getting worst, it was getting more difficult for her to swallow. At this time, this nurse collaborated with another nurse for course of action of which we decided to administer 0.5 mg of epinephrine and call 9-1-1. At 1720 Epinephrine was administered intramuscular into the right deltoid. Patient at this time stated that her tightness had expanded into her chest and was progressively getting worst. At 1724 Lung sounds at this time were still clear and her oxygenation status was 99% with heart rate of 125. At 1725 EMS personnel took over care for the patient, after they further assessed they made the decision to transfer the patient to a nearby hospital for further evaluation. At approximately 1729 emergency personnel wheeled out patient on a stretcher.

Other Meds:

Current Illness:

ID: 1125315
Sex: F
Age: 75
State: SC

Vax Date: 02/15/2021
Onset Date: 02/16/2021
Rec V Date: 03/23/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List: Dyspnoea, Fatigue, Feeling abnormal, Head discomfort, Headache

Symptoms: Arm got sore and soreness moved to clavicle area in about 2-3 days. Then, lymph nodes around clavical area became swollen and stayed swollen for about 2 weeks but are getting better now. No treatment needed and did not go to MD. Note: vaccine could be lot EU6200 because not sure of writing.

Other Meds: Lisinopril, Atorvastatin, Cetirizine, Flax Seed Oil, Calcium

Current Illness: Slight high Blood Pressure and Cholesterol

ID: 1125316
Sex: M
Age: 59
State: NJ

Vax Date: 03/18/2021
Onset Date: 03/18/2021
Rec V Date: 03/23/2021
Hospital:

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

Lab Data:

Allergies: Dust, grass, pollen, penicillin

Symptom List: Heart rate decreased, Heart rate increased, Hypertension, Injection site pain, Musculoskeletal chest pain

Symptoms: The Patient presents with cricket sound and high pitch Tinnitus in both ears that began 4 days ago. Additional information:2nd dose of pfizer covid vaccine friday at noon. 3 hours later pt got ringing in ears. Noted B/L high pitched chirping in ears about 3 hours after receiving 2nd Pfizer vaccine 5 days ago, no hearing loss, no dizziness or HA feels fatigued and has L arm soreness that has improved

Other Meds:

Current Illness:

ID: 1125317
Sex: F
Age: 29
State: MI

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

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

Lab Data:

Allergies: None

Symptom List: Nausea, Pain, Pain in extremity, Paraesthesia oral, Pyrexia

Symptoms: Patient felt funny and fainted

Other Meds: Zoloft

Current Illness: None

ID: 1125318
Sex: M
Age: 46
State: CO

Vax Date: 03/20/2021
Onset Date: 03/21/2021
Rec V Date: 03/23/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: SARS-CoV-2 antibody test, SARS-CoV-2 test negative

Symptoms: Significant pain at shot site extreme on morning after and continued for three days, significant debilitating and ongoing muscle pain, extreme muscle craps in neck muscles, significant pain in joints, minor but consistent multiple day headache, feeling of severe dehydration, significant upper back pain, all of these symptoms have been severe and consistent for three days and continuing post vaccination and I am unable to return to work, I had very mild Covid early January confirmed with multiple tests

Other Meds: None

Current Illness: None

ID: 1125319
Sex: F
Age: 72
State: OH

Vax Date: 02/19/2021
Onset Date: 02/20/2021
Rec V Date: 03/23/2021
Hospital:

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

Lab Data:

Allergies: unknown

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Mental status changes - confusion lasting 2-3 days after first COVID vaccine and 24-48 hrs post second vaccine on 3-19-21

Other Meds: unknown

Current Illness: unknown

ID: 1125320
Sex: F
Age: 65
State: MD

Vax Date: 03/13/2021
Onset Date: 03/21/2021
Rec V Date: 03/23/2021
Hospital:

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

Lab Data:

Allergies: Beta blockers

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Bump at injection site, itching and small red blotches below was noticed on Sunday, March 21. I applied cortisone 2 times on Monday. Tuesday morning noticed small blotches were now one big red blotch and swelling.

Other Meds: Furosemide 20 mg Losartan 25 mg Atorvastatin 20 mg Vitamin D 50,000 unit Carvedilol 6.26 mg Low dose aspirin

Current Illness: None

ID: 1125321
Sex: F
Age: 59
State:

Vax Date: 03/18/2021
Onset Date: 03/18/2021
Rec V Date: 03/23/2021
Hospital:

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

Lab Data:

Allergies: almond oil bitter, brazil nut, chickpea, peanut butter, pecan, walnut, gabapentin, orange juice, pistachio, tomato, strawberry

Symptom List: Blood pressure increased, Chest discomfort, Heart rate increased

Symptoms: Patient received first dose of Pfizer COVID vaccine. 10 minutes after vaccination patient reported mouth felt 'weird' and throat felt 'swollen' although no difficulty swallowing was reported. Assessed by provider Benadryl PO administered. After 20 minutes patient reported symptoms had resolved. Discharged to home with husband.

Other Meds:

Current Illness:

ID: 1125322
Sex: M
Age: 67
State: SC

Vax Date: 03/17/2021
Onset Date: 03/17/2021
Rec V Date: 03/23/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Injection site erythema, Injection site pruritus, Injection site swelling, Lymph node pain, Lymphadenopathy

Symptoms: Red itchy at injection site day 7 now.

Other Meds: None

Current Illness: None

ID: 1125323
Sex: M
Age: 63
State: IN

Vax Date: 03/03/2021
Onset Date: 03/19/2021
Rec V Date: 03/23/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Unevaluable event

Symptoms: Constant Diarrhea

Other Meds: Rosuvastatin

Current Illness: None

ID: 1125324
Sex: F
Age: 27
State: FL

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

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

Lab Data:

Allergies: None

Symptom List: Chills, Dizziness, Injection site pain, Myalgia, Pyrexia

Symptoms: Started to feel nauseous around 10:30 pm. As I got up to go to bathroom I became extremely dizzy. Barely able to walk and make it to the bathroom less than 10 feet away. Body was very weak. Lowered myself to the floor. Woke up a out 15 minutes later sweating, shaking, and having urinated on myself. Extremely weak body after until I fell asleep.

Other Meds: None

Current Illness: None

ID: 1125325
Sex: F
Age: 62
State: PA

Vax Date: 03/17/2021
Onset Date: 03/18/2021
Rec V Date: 03/23/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Injection site pain, Pain

Symptoms: Fever 101, body aches, chills, headache, red swollen eyes, arm at site began to swell, turn hot and itch. Rash traveled down and around my arm for abut 8 inches. The rash started on 3/21.

Other Meds: Prozac

Current Illness:

ID: 1125326
Sex: F
Age: 50
State: TX

Vax Date: 03/13/2021
Onset Date: 03/21/2021
Rec V Date: 03/23/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Injection site pain, Menorrhagia

Symptoms: Red, swollen area at injection site about 3 inches in diameter. Feels warm to the touch and like a bruise when touched.

Other Meds: Levothyroxine

Current Illness: None

ID: 1125327
Sex: F
Age: 25
State: MA

Vax Date: 02/27/2021
Onset Date: 02/27/2021
Rec V Date: 03/23/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Arthralgia, Chills, Headache, Mobility decreased, Myalgia

Symptoms: Day of vaccination, fatigue, aches, headache, dizziness, diarrhea, severe arm pain at injection site. Diarrhea has persisted since hours after the vaccine, almost a month later including painful stomach cramping. These gastrointestinal symptoms were not present beforehand and appeared at the same time as the other side effect but the GI issues have not resolved or even lessened. I may need to seek medica attention if it persists.

Other Meds: Novolog, levemir, Lisinopril, loratadine

Current Illness: None

ID: 1125328
Sex: F
Age: 64
State: IN

Vax Date: 03/11/2021
Onset Date: 03/22/2021
Rec V Date: 03/23/2021
Hospital:

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

Lab Data:

Allergies: Sulfa medd Morphine

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Rash around injection area

Other Meds: Losartan Spironolactone Carvedilol Multiple vitamin Benadryl Vitamin D Krill oil

Current Illness: None

ID: 1125329
Sex: M
Age: 32
State: NY

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

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

Lab Data:

Allergies: Penicillins

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Muscle soreness, weakness, and limited mobility in the area of the injection, peaked in intensity 10 hours after the dose was administered. Soreness is still ongoing as of this form submission, but isn't as intense. Insomnia, occurred 12 hours after the dose was administered, it took me about 2.5 hours to fall asleep after going to bed (12:00AM - 2:30 AM)

Other Meds: Lisinopril,

Current Illness: N/A

ID: 1125330
Sex: F
Age: 38
State: OH

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 03/23/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List: Headache, Heart rate increased, Injection site erythema, Injection site pain, Injection site swelling

Symptoms: PATIENT PRESENTED FOR 1ST DOSE OF COVID19 VACCINE, DISCLOSED TO US THAT SHE HAD MCAS, BUT WANTED TO GO AHEAD WITH VACCINE WEIGHING RISK/BENEFITS. SO POSSIBILITY OF ANAPHYLAXIS WAS PRESENT AHEAD OF TIME. PATIENT RECEIVED DOSE, THEN SAT DOWN FOR 30 MINUTES, DURING THAT TIME SHE STARTED FEELING FLUSHED, HOT, TONGUE STARTED SWELLING. RPH ON CLINIC PROCEEDED TO GIVE ONE DOSE OF EPI INTRAMUSCULAR THEN WE CONTACTED 911 FOR SQUAD TO COME TAKE CARE OF PATIENT. SQUAD PICKED UP PATIENT AND TRANSPORTED TO HOSPITAL FOLLOWING REACTION.

Other Meds: Singulair, Zyrtec, Cromolyn, Pepcid.

Current Illness: MCAS, Mast cell activation syndrome.

ID: 1125331
Sex: F
Age: 45
State: KY

Vax Date: 03/18/2021
Onset Date: 03/18/2021
Rec V Date: 03/23/2021
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Allergies: Penillins

Symptom List: Nausea

Symptoms: Patient received the vaccine at 1:17 pm, felt fine after administration. per our usual protocol, we asked pt to wait around pharmacy for 15 minutes. She did so then left. Around 1:50pm, pt came back to pharmacy and informed tech that her face was starting to feel "tingly". Tech informed pharmacist and pharmacist gave patient one dose of Benadryl. Blood pressure was also checked. Initially it was 140/83, pt states her blood pressure is usually normal even though it is not checked regularly. After a few minutes, blood pressure is checked again and it is 136/82. Patient states as time passes she feels the tingling on her face diminishing. Husband was with her, although they drove separate, I recommended she drive with him so that she is not drowsy from the dose of Benadryl she took. Patient wanted to go home and asked patient if she needed EMS to be called, patient declined. Counseled patient to be cautious of a more emergency type reaction such as throat, lip or mouth swelling. Patient felt comfortable enough to leave. Pharmacist called patient at 8pm to check in with her. She said the tingling feeling in her face went away shortly after she left the pharmacy.

Other Meds:

Current Illness:

ID: 1125332
Sex: F
Age: 67
State: MD

Vax Date: 03/16/2021
Onset Date: 03/16/2021
Rec V Date: 03/23/2021
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Allergies:

Symptom List: Injection site pain

Symptoms: Chills, low fever, achey muscles, achey joints, fatigue, headache,

Other Meds: Vitamin D

Current Illness:

ID: 1125333
Sex: F
Age: 31
State: GA

Vax Date: 03/22/2021
Onset Date: 03/22/2021
Rec V Date: 03/23/2021
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Allergies:

Symptom List: Injection site induration, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Patient reported no allergies to medications, never experienced seizures, Guillian-Barre Syndrome or any other neurological disorder, had not received a vaccination within 2 weeks prior to this vaccine. Patient is currently 20 weeks pregnant. Patient received vaccination around 8:00am and was waiting in pharmacy during 15 minute observation period. Patient was seated and after about 10 minutes, patient became unconscious. Eyes rolled back in head, faint pulse, 911 immediately called. As 911 was called, patient was becoming conscious again. Pulse still faint. EMS arrived within 5 minutes of call. EMS reported patient blood pressure very low and took patient to hospital for further observation.

Other Meds:

Current Illness:

ID: 1125334
Sex: F
Age: 55
State: NC

Vax Date: 03/14/2021
Onset Date: 03/22/2021
Rec V Date: 03/23/2021
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Lab Data:

Allergies: Sulfa

Symptom List: Chills, Dizziness, Nausea, Pain, Tachycardia

Symptoms: 4? red welt near injection site. No pain or itching.

Other Meds: Singulair, hypercare solution, tretinoin cream, gildess, vitamin D

Current Illness: None

ID: 1125335
Sex: F
Age: 72
State: NC

Vax Date: 01/12/2021
Onset Date: 01/14/2021
Rec V Date: 03/23/2021
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Lab Data:

Allergies:

Symptom List: Tremor

Symptoms: One time temp and myalgia. Myalgia only lasted approximately 72 hours and resolved.

Other Meds: Herbal remedies being taken at time of vaccination.

Current Illness:

ID: 1125336
Sex: F
Age: 73
State: NJ

Vax Date: 03/18/2021
Onset Date: 03/19/2021
Rec V Date: 03/23/2021
Hospital:

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Lab Data:

Allergies: none

Symptom List: Erythema, Pruritus

Symptoms: nausea diarrhea fatigue chills prob. fever headache on and off for 5 days

Other Meds: lisinoprel metoprolol mutivits atorvastatin fenofibrate asa

Current Illness: none

ID: 1125337
Sex: F
Age: 68
State: FL

Vax Date: 03/02/2021
Onset Date: 03/10/2021
Rec V Date: 03/23/2021
Hospital:

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Allergies: None known

Symptom List: Injection site erythema, Injection site induration, Injection site pruritus, Injection site swelling, Myalgia

Symptoms: Itchy, red, swollen arm at injection site. Resolved after 4 days, but arm still itches.

Other Meds: Lisinopril Anastrozole Calcium Multi-Vitamin

Current Illness: None

ID: 1125338
Sex: F
Age: 48
State: OH

Vax Date: 03/23/2021
Onset Date: 03/23/2021
Rec V Date: 03/23/2021
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Allergies: None

Symptom List: Cough, Limb discomfort, Pain, SARS-CoV-2 test positive

Symptoms: Developed lightheadedness within 1 minute of receiving the vaccine. She has a history of aversion to needles and similar symptoms to needles in the past.

Other Meds: None

Current Illness: None

ID: 1125339
Sex: M
Age: 32
State: SC

Vax Date: 03/10/2021
Onset Date: 03/17/2021
Rec V Date: 03/23/2021
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Lab Data:

Allergies: Rocephin

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Pain in left armpit; slight swelling and tender to touch. First started approximately one week from injection date; lasted four days. Has currently subsided.

Other Meds: Flonase

Current Illness: n/a

ID: 1125340
Sex: F
Age: 44
State: VA

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 03/23/2021
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Lab Data:

Allergies: NKDA

Symptom List: Injection site erythema, Injection site pain, Injection site swelling

Symptoms: hives/ itching post vaccine

Other Meds: Atenolol, Zyrtec, Pantoprazole

Current Illness:

ID: 1125341
Sex: M
Age: 68
State: NY

Vax Date: 03/18/2021
Onset Date: 03/19/2021
Rec V Date: 03/23/2021
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Allergies: none

Symptom List: Chills, Feeling cold, Feeling hot, Myalgia, Pain

Symptoms: aches, chills , severe pain under left arm (lymph nodes) all upon waking up

Other Meds: hydrochlorothiazide, quinapril, metoprolol, tamsulosin and multivitimin

Current Illness: none

ID: 1125342
Sex: F
Age: 46
State: DC

Vax Date: 03/13/2021
Onset Date: 03/13/2021
Rec V Date: 03/23/2021
Hospital:

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Lab Data:

Allergies: oysters

Symptom List: Pain in extremity

Symptoms: rash on face, treated with hydrocortisone cream

Other Meds: Vit D, Vit B, Allegra, Flonase, astalin, singulair, propranolol, advair, botox

Current Illness: No

ID: 1125343
Sex: F
Age: 40
State: NY

Vax Date: 03/13/2021
Onset Date: 03/20/2021
Rec V Date: 03/23/2021
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Lab Data:

Allergies: Sulfa

Symptom List: Abdominal pain upper, Abnormal behaviour, Adverse reaction, Anger, Asthma

Symptoms: 1 week after getting the shot, the injection site swelled and developed a red rash and was slightly itchy. This lasted for approximately 3 days and has since subsided and is back to normal.

Other Meds:

Current Illness:

ID: 1125344
Sex: M
Age: 59
State: OK

Vax Date: 03/12/2021
Onset Date: 03/12/2021
Rec V Date: 03/23/2021
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Allergies: Amoxicillin, wheat, corn, eggs, and fermented foods.

Symptom List: Consciousness fluctuating, Crying, Dry skin, Epistaxis, Headache

Symptoms: Several hours after vaccine, sinus passages closed to approximately 1/3-1/6 of normal opening. Sinuses opened slightly with normal treatments (sinus medication, saline spray, etc.). After one week, sinuses have opened to approximately 1/2 of normal opening.

Other Meds: Synthroid 0.15 mg Prilosec 40 mg

Current Illness: None

ID: 1125345
Sex: F
Age: 51
State: OH

Vax Date: 03/15/2021
Onset Date: 03/21/2021
Rec V Date: 03/23/2021
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Lab Data:

Allergies: penecillin

Symptom List: Hypotonia, Lethargy, Respiratory rate decreased, Screaming, Skin warm

Symptoms: Vaccination site is red and itchy, swollen

Other Meds: CLA bupropion venlafaxine

Current Illness:

ID: 1125346
Sex: F
Age: 43
State: MT

Vax Date: 03/20/2021
Onset Date: 03/20/2021
Rec V Date: 03/23/2021
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Allergies: Citrus

Symptom List: Vomiting

Symptoms: 5 minutes after shor, experienced lip swelling and went into anaphylaxis

Other Meds:

Current Illness:

ID: 1125347
Sex: F
Age: 31
State: NC

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

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Lab Data:

Allergies: None

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Insomnia, pain/swelling in upper arm down to the elbow, headache

Other Meds: None

Current Illness: None

ID: 1125348
Sex: M
Age: 49
State: NC

Vax Date: 03/14/2021
Onset Date: 03/17/2021
Rec V Date: 03/23/2021
Hospital:

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Allergies:

Symptom List: Back pain, Cold sweat, Headache, Nausea, Vomiting

Symptoms: Received COVID Vaccine on 03/14/2021. Pt had body aches and fatigue but on 03/17/2021 started with itching, pain on lips, forehead and waist line. Patient has lesions and significant pain consistent with shingles.

Other Meds:

Current Illness:

ID: 1125349
Sex: F
Age: 58
State: MO

Vax Date: 03/15/2021
Onset Date: 03/17/2021
Rec V Date: 03/23/2021
Hospital:

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Lab Data:

Allergies: Sulfur

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Moderna vaccine shot arm, hurts and bruising in three places, where the shoot took place, I have two dark bruises right below the shot area, but right below the arm muscle. The are has been hurting for a couple of days now. The soreness is not as bad as before. I could hardly move my arm. The movement is getting a little better. The dark bruising is a concern. My arm area in a circle of each shot area is greenish, the other two spots are large black and blue areas.

Other Meds: AmLoDIPine Tab 5mg Whole-Food Multivitamin HydroCHLOROthiaz 25 mg - three times a week

Current Illness: No

ID: 1125350
Sex: F
Age: 83
State: IN

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 03/23/2021
Hospital:

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Allergies:

Symptom List: Chills, Diarrhoea, Fatigue, Feeling abnormal, Headache

Symptoms: Almost immediately the patients face turned extremely red and swollen on the complete right side of her face. She immediately went to her physicians office and was directed to the emergency room at hospital. She was admitted and received an unknown I.V. and an unknown injection. After 2 hours she was released and was given 2 prescriptions to receive at her local pharmacy. The swelling lasted for 3 days. Five days later she had an identical reaction but it was on her left side of her face. A month later her blood was tested and she has had an abnormally low blood platelet count.

Other Meds:

Current Illness:

ID: 1125351
Sex: F
Age: 62
State: GA

Vax Date: 03/08/2021
Onset Date: 03/22/2021
Rec V Date: 03/23/2021
Hospital:

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Lab Data:

Allergies: relafin

Symptom List: Hot flush, Myalgia, Nausea, Tension headache

Symptoms: One week after injection arm has fist size angry red swollen place around injection site. It is painful, and itchy.

Other Meds: Aleve pm

Current Illness:

Total 2021 VAERS Injuries: 704,237

Page last modified: 26 October 2021 2:21am