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: 1125892
Sex: F
Age: 45
State: IN

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:
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Vax Site:

Lab Data:

Allergies: Sulfa antibiotic Prazosin Morphine

Symptom List:

Symptoms: Erythema and swelling at the injection site. Low grade fever and malaise, even with Ibuprofen and Tylenol. Lasted for about 48hrs.

Other Meds: Metformin Viibryd Lo-Estrin birth control Clonazipam Flinestone Vitamins

Current Illness: Sinus infection treated with Doxycycline but was done with medication at least a week before shot

ID: 1125893
Sex: F
Age: 62
State: FL

Vax Date: 03/16/2021
Onset Date: 03/17/2021
Rec V Date: 03/23/2021
Hospital:

Vax Type:
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Vax Name:
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Lab Data:

Allergies: allergic to codeine, adhesive tape, tegaderm

Symptom List:

Symptoms: Day 1 post vaccine- headache, nausea, hot sweats, chills, loss of appetite, fatigue, overall aching

Other Meds: metformim, meloxicam, D-3, nexium, coreg, losartin, levothyroxin, zetia, lopid, coQ10, magnesium oxide, multi-vitamin

Current Illness:

ID: 1125894
Sex: F
Age: 47
State: MA

Vax Date: 03/15/2021
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: Sulfer Dairy and Gluten

Symptom List:

Symptoms: 1 week later I have a red, swollen, itchy rash in the area I got the shot.

Other Meds: Remeron Webutrin

Current Illness: no

ID: 1125895
Sex: F
Age: 67
State: IL

Vax Date: 03/11/2021
Onset Date: 03/19/2021
Rec V Date: 03/23/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: PCN, Sulfa, Clindamycin

Symptom List:

Symptoms: 3/19 pt right upper arm became tender, warm to touch, redness/rash, itchy, w/edema on right deltoid, also, tenderness & swelling right axillary Patient did no self interventions (med/ice pack/or /inform/call PCP) Contacted and left message to SPHD on 3/21 3/22 - SPHD returned message - all symptoms are resolving with no continued issues

Other Meds: Amlodipine

Current Illness: none

ID: 1125896
Sex: F
Age: 40
State: IN

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

Vax Type:
Manufacturer:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Chills, fever up to 102, severe body aches, severe headache, vomiting, nausea, dizziness, stomachaches

Other Meds: Escitalopram 10 mg, Saccharomyces boulardi 420mg, Allegra 180mg, vitamin D 2000 iu, epa gems 1000mg, goli apple cider vinegar gummies , NP thyroid 90mg and levothyroxine 25mcg

Current Illness: Fatigue and thyroid levels off

ID: 1125897
Sex: M
Age: 35
State: MD

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

Vax Type:
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Lab Data:

Allergies: Peanuts, tree nuts

Symptom List:

Symptoms: Client received the Pfizer COVID-19 vaccine and during the post-vaccination wait time he complained of itching around the eyes and face, and felt that his face was swollen. He stated that he had an anaphylactic episode in the past involving peanuts and nut trees, and because of that, he carries an epipen. "911" was called and his vital signs were as follows: BP=173/117; Pulse=76. Engine 205 responded to the call and evaluated the client, but was not transported to the hospital. Client did not receive 2nd dose of the Pfizer vaccine.

Other Meds: Unknown

Current Illness: Unknown

ID: 1125898
Sex: F
Age: 45
State: IA

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 03/23/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: None

Symptom List:

Symptoms: Approximately 15 minutes after receiving second COVID vaccine dose I developed a red somewhat itchy rash to chest, abdomen, back and bilateral arms. I was wheelchaired over to the Urgent care section of the building with a Dr following along. By the time I reached the Urgent Care room I was feeling the same strange feeling in my mouth tongue and throat that I had felt with the first vaccine. I felt as if my tongue and possibly lips may be swelling a little though I don?t think they were. It was hard to swallow but I have a mitochondrial disorder which causes trouble swallowing at times too so it may have been a little worse than what I usually feel with that. I seemed to be having trouble pronouncing words as my tongue seemed to be in the way and my voice weaker. By blood pressure was elevated as it was after the first vaccine. I was given a subcutaneous shot of epinephrine and the symptoms started to improve within approximately 15-20 minutes though I was very shaky and anxious from the epi. I was then given an IM injection of Benadryl. After possibly an hour and a half I was sent home with my husband an epi pen and a script for prednisone. I continued to have a strange feeling in my mouth and throat on and off for a couple of days but less severe and I did not use the epi pen for

Other Meds: Miralax, singulair, birth control, pantoprazole,COQ10, carnitine, multivitamin,

Current Illness: None

ID: 1125899
Sex: F
Age: 54
State: IL

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

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Lab Data:

Allergies: None

Symptom List:

Symptoms: Fever 101 body aches sweat chills arm pain weak headache naseua

Other Meds: Vitamins

Current Illness: Vitiligo autoimmune gerd

ID: 1125900
Sex: F
Age: 95
State: TX

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

Vax Type:
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Vax Name:
Lot:
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Vax Site:

Lab Data:

Allergies: Penicillin (Amoxil) Rash. Erythromycin (stomache), Attenol (low heart rate)

Symptom List:

Symptoms: About 8 pm the chills started I went to bed , 9:30 my muscles and joints ached. My fever was 99.6, I don't believe I have ever had anything hurt so bad. 10:30 I took an extra strength Tylenol. Back to bed about 12 I did not hurt as bad but still cold. My fever in the morning was 100.2. Took another Tylenol. So tired. Slept for 2 hrs. and felt a little better but my muscles still hurt and still had fever. Monday morning I was a little better and by evening I thought I would live. If it had been a two shot deal. no way would I have gone back for another one.

Other Meds: I take most of my medications after my evening meal so I had not taken anything but Levothyroxine that morning. I take Levothyroxine 88mg in the morning, Omesartan 40mg, 1 a day, Doxazosin 4mg, 1 a day Plexus Bio Cleanse 2 a day, m

Current Illness: Nothing

ID: 1125901
Sex: F
Age: 71
State:

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

Vax Type:
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Lot:
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Lab Data:

Allergies: None

Symptom List:

Symptoms: Left leg and hip charleyhorse and pain standing up

Other Meds: Vitamins D2 Metformin Hydrochlotothiazide Meloxicam Trazodone Gabapentin Tizanidine

Current Illness: None

ID: 1125902
Sex: F
Age: 69
State: MA

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 03/23/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
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Lab Data:

Allergies: Pennicillin, poison ivy

Symptom List:

Symptoms: Initially: dizziness followed by tingling of and fullness feel in lips. Later that evening, fatigue. muscle aches, chills, headache, loss of appetite that persisted for the next 48 hours. I spent that time in bed sleeping, resting and drinking tea and water with occasional bites of toast. I took Tylenol for the aches. My arm injection site was very sensitive to touch for the first 3 days and remained sore for a week. No bruising or edema at site.

Other Meds: Lisinopril, Amlodipine, Atorvastin, multivitamin, Glucosamine Chondritin with MSM, CoQ10

Current Illness: none

Date Died: 03/23/2021

ID: 1125903
Sex: F
Age: 86
State: ME

Vax Date: 03/18/2021
Onset Date: 03/21/2021
Rec V Date: 03/23/2021
Hospital:

Vax Type:
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Lot:
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Vax Route:
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Lab Data:

Allergies: Acetaminophen, codeine, oxycodone, sulfa, morphine (none listed as anaphylactic type reactions)

Symptom List:

Symptoms: Patient stayed in health center under routine observation for 15-20 minutes after vaccine injection and showed no symptoms and was subsequently released to go home. A friend drove her home after her injection. On 3/19/21 at 09:09 a.m. a medical assistant from our facility called pt. to inform her of normal lab results. On 3/21/21 at approximately 05:43 p.m. the on call provider took a call from Deputy from the Sherriffs office informing us that pt. was found deceased in her bed on the afternoon of 3/21/21.

Other Meds: Amitriptyline, artificial tears, aspirin, atenolol, citalopram, clonazepam, glipizide, melatonin, Montelukast, multivitamin, omeprazole, refresh plus eye drops.

Current Illness: Thrombocytopenia (only on one lab, platelet count 122 on 2/26/21- repeat lab 3/18/21 revealed platelet count of 155)

ID: 1125904
Sex: F
Age: 80
State: FL

Vax Date: 03/12/2021
Onset Date: 03/12/2021
Rec V Date: 03/23/2021
Hospital:

Vax Type:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Caller is an 80 YOF that received the Janssen Vaccine. Just today she noted that the site was bruised. she is a retired RN and had them do the Z track method to admin medication. she does not report pain to site but does say the bruise is noticeable. She has also noted some memory lapses where she forgets something she just read and this is not typical for her. adv to continue to monitor site. may apply warm compresses to site. if pain, take OTC analgesics. adv tof/u w/PCP if s/s persist/worsen.

Other Meds:

Current Illness:

ID: 1125905
Sex: M
Age: 49
State: KY

Vax Date: 03/10/2021
Onset Date: 03/11/2021
Rec V Date: 03/23/2021
Hospital:

Vax Type:
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Lab Data:

Allergies: No known drug or food allergies

Symptom List:

Symptoms: Pruritic rash on extremities began 3/11/21 and on 3/14/21 developed lip and facial swelling on right side of face requiring trip to emergency room at hospital

Other Meds: Lisinopril Levothyroxine Vitamin D3

Current Illness: None

ID: 1125906
Sex: F
Age: 35
State: TX

Vax Date: 03/06/2021
Onset Date: 03/06/2021
Rec V Date: 03/23/2021
Hospital:

Vax Type:
Manufacturer:
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Lab Data:

Allergies: Hazelnut, Shellfish

Symptom List:

Symptoms: At 10:50 am Patient complained of feeling light headed and having and usual feeling heart beat. V/S BP 129/85, HR 73. Gave patient a bottle of water and advised to sit for additional 15 minutes. 11:10 am patient stated she feels ok. to leave. BP 115/90 and HR 93.

Other Meds: Singlair

Current Illness: N/A

ID: 1125907
Sex: F
Age: 39
State: WA

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

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

Allergies: Penicillin, Wellbutrin

Symptom List:

Symptoms: Tongue feels "weird" and throat is tight. Placed on oxygen and provided 25 mg Benadryl. BP 147/71 HR 113

Other Meds: Flonase, albuterol

Current Illness: Asthma and allergies

ID: 1125908
Sex: M
Age: 60
State: NE

Vax Date: 11/10/2020
Onset Date: 02/04/2021
Rec V Date: 03/23/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
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Lab Data:

Allergies: No

Symptom List:

Symptoms: Second Shingrix vaccination January 26, 2021. Developed Bell's Palsy on February 4, 2021.

Other Meds: No

Current Illness: Covid -19

ID: 1125909
Sex: F
Age: 36
State: MI

Vax Date: 02/09/2021
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: compazine - anxiety, extrapyramidal symptoms

Symptom List:

Symptoms: Exposure to coworker with COVID. Tested positive 2/17/2021 but no symptoms.

Other Meds: multivitamin, microgestin tablet

Current Illness: none

ID: 1125910
Sex: F
Age: 55
State: OH

Vax Date: 03/12/2021
Onset Date: 03/14/2021
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:

Symptoms: Throat swollen and inside cheeks swollen, no taste tongue and cheeks feel burning sensation when eat or drink.

Other Meds: 1 tab daily estradiol 1 mg 2 caps daily duloxetine hcl 60 mg cap 1 tab dailyMedroxyprogesterone 2.5mg

Current Illness: None

ID: 1125911
Sex: F
Age: 34
State: MD

Vax Date: 03/05/2021
Onset Date: 03/07/2021
Rec V Date: 03/23/2021
Hospital:

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

Lab Data:

Allergies: cipro, sulfa meds, penicillin

Symptom List:

Symptoms: On 3/7/2021 pt states she developed a rash and hives on her face, back and stomach. Pt treated it w/ Benadryl, Zyrtec and Pepcid AC. These symptoms lasted about 7 days. On 3/5/2021 pt developed serious dizziness and balance issues. pt says she is very unsteady and cannot balance herself and is still having these issues. she states she lost at least 50% of her balance after taking the vax. pt contacted her PCP and was told to go to physical therapy 2 times per week. pt says this is helping but seems to be working very slowly. pt will continue therapy for about 6 weeks and then will FU w/ PCP.

Other Meds: Toprol xl 50mg, Xyzal 5mg,

Current Illness: no

ID: 1125912
Sex: F
Age: 67
State: FL

Vax Date: 02/03/2021
Onset Date: 02/06/2021
Rec V Date: 03/23/2021
Hospital:

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

Lab Data:

Allergies: Sulfa drugs, codeine

Symptom List:

Symptoms: Shingles.......given Valtrex.......still having some fatigue......diagnosed on 02/09

Other Meds: Omeprazole

Current Illness:

ID: 1125913
Sex: F
Age: 63
State:

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:

Symptom List:

Symptoms: After about 12 hours post vaccination, the person vaccinated felt itchiness first over both elbows arms and saw redness discoloration with feeling of warmth over the redness areas. She self-medicated anti-allergic tabs of phenenephrine of 25 mg/tab as necessary which subsided the itchiness. However, the itching and redness kept coming on & off over the weekend which is very disturbing. Monday , she went to consult company clinic where 1 tablet of steroid [ Prednisone 10 mg] was orally taken that day and prescribed for 5 days. The itching subsided and skin rashes mellow down a bit. Yet still persisting on and off itching & redness present but milder since steroid was being taken.

Other Meds: Rifampin Vit.D 1000IU Calcium supplement 300mg Multivitamin supplement

Current Illness:

ID: 1125914
Sex: F
Age: 37
State: KS

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: Environmental allergies, perfumes, latex

Symptom List:

Symptoms: Covid-19 Moderna reaction: Patient was watched for 15 minutes, did not have any issues until the 15 minute mark. Pt reported having some left sided chest pressure that felt like someone sitting on her or as though she had climbed a flight of stairs. Vitals taken at that time 2:15 BP 118/60, P 111, O2 99, and RR 20; 2:25 BP 132/82, P 110, O2 99, RR 24; 2:43 BP 145/80, P 115, O2 99, RR 24. EMS was called at 2:30, they arrived at 2:43, pt was moved to different room before arrival to lay down. She reported chest pressure was starting to radiate across her whole chest, feeling lightheaded and she felt like she does when having a type of allergic reaction. She rated chest pain as 4/10 the whole time without any improvement in the pain. EMTs assessed her and took her by ambulance to the ER.

Other Meds: Allerga D

Current Illness: N/A

ID: 1125915
Sex: F
Age: 41
State: IN

Vax Date: 03/13/2021
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:

Symptoms: Chills, headache, body aches

Other Meds: None

Current Illness: None

ID: 1125916
Sex: M
Age: 71
State: FL

Vax Date: 03/04/2021
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: Sulfa Drugs

Symptom List:

Symptoms: Waking up with severe tinnitus in both ears and echo sounding in L ear. Head sounds like inside a bucket or down at bottom of a pool. Sometimes there is a repeat echo from inside the L ear. Extreme loss of hearing this morning. The first time this happened it cleared up after an hour or so last Sunday but this morning it is not getting better. I have had tinnitus for many years but never this bad or severe sounding where hard to hear everything and this horrible echo sound.

Other Meds: Current medications and supplements as of 3/23/21 1. Metoprolol Succinate (Lopressor, Toprol XL) 50 MG time release tab 2. Atorvastatin Calcium (Lipitor) 20 MG once per day 3. Clodidogrel Bisulfate 75mg once per day 4. Omeprazole 20mg EC

Current Illness:

ID: 1125917
Sex: F
Age: 45
State: TX

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: Naprosyn, Prednisone, Solumedrol, Solucortef, Ultram,

Symptom List:

Symptoms: 1335 Contact made with pt in observation as she came into the area. pt stated she was having itching on her face and neck, also having an asthma attack. She was coughing, audible wheezing. Took 4 puffs from her own Proair inhaler and took 2- 25 mg Benedryl tab that she had with her. 1340 EMT at car. Pulse Ox 93% HR 107 they placed a O2 mask.1400 Alberturol Tx given by EMT and 50 mg Benedryl IM given. 1425 Pt feeling better and asked to be released. Released by EMT with ER warnings. Pt denied to administering nurse that she had a previous reaction with the Pfizer vaccine.

Other Meds: Baclofen 10 mg QID Morphine ER BID Lortab10/325 QID Triazadone 250 mg Q HS Ambien 10 mg HS Prozac 40 or 80mg QD - Pt unsure of dose

Current Illness: Degenerative Arthritis, Degenerative Facet Disease, Asthma

ID: 1125918
Sex: F
Age: 33
State: OH

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

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

Lab Data:

Allergies: Dicyclomine?

Symptom List:

Symptoms: I exp headache, fever, body aches, chills, sweating and racing heart rate(tachycardia). I went to ER for heart rate shot up to 155 beats per min while sitting in a chair was prescribed Migraine and Benadryl. I do exp heart rate regulation which is usually under control unless I'm hot.

Other Meds: Zoloft, Ortho Tri Cyclen, Probiotics, Magnesium, CLaritin, Vit D, FIsh Oil

Current Illness: No

ID: 1125919
Sex: U
Age:
State:

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

Vax Type:
Manufacturer:
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Lot:
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Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: When I woke up on Sunday, I felt dizzy and when I tried to get up, I lost my balance. After that I don't remember anything except that I was laying down on my bed and that I had fainted.

Other Meds:

Current Illness:

ID: 1125920
Sex: F
Age: 31
State: NY

Vax Date: 02/26/2021
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:

Symptoms: Moderna COVID?19 Vaccine EUA Patient states she was asymptomatic immediately post-vaccination. Symptoms started the next morning when she woke up around 7AM. She noticed she had hives all over her body. She did not notice any other symptoms including difficulty breathing. Hives continued for about 2 weeks on and off. She took benadryl every night before bed to help with symptoms.

Other Meds: none

Current Illness: none

ID: 1125921
Sex: M
Age: 35
State: NJ

Vax Date: 03/21/2021
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: No.

Symptom List:

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA . I have a fever, body aches and chills. I used aspirin to alleviate symptoms.

Other Meds: N/A

Current Illness: N/A

ID: 1125922
Sex: F
Age: 84
State: FL

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: EPI, ACE INHIBITORS

Symptom List:

Symptoms: CLIENT HAD SEVERE TREMORS FOLLOWED BY TOTAL DISORENTATION, COULDN'T STAND OR WALK. UNRESPONSIVE FOR ABOUT 12 HOURS. FOLLOWED UP 3/23/2021 WITH PRIMARY DOCTOR. DR FELT SHE HAD AN EXTREME AUTO IMMUNE RESPONSE. WILL RECHECK ON 4/08/2021

Other Meds: LOSARTEN 100MG, LEVAPROXEN, GLIVASIDE, GAVAPENTEN, ALLOPURINAL, HYDROLOZINE, HZTC, PRAVASTATIN, VITIMN D, MAGNESIUM, PRESERVISON

Current Illness: DIAVETES TYPE 2, GOUT, HYPERTENSION, THYROID, NEUROPHY, COLESTROL, MACULAR DEGENERATION, STAGE THREE CRONIC KIDNEY DISEASE

ID: 1125923
Sex: F
Age: 30
State: OK

Vax Date: 03/20/2021
Onset Date: 03/20/2021
Rec V Date: 03/23/2021
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Allergies: None known

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Symptoms: Near syncopal episode after COVID-19 vaccine 1st dose. Patient became dizzy and lightheaded. Patient reports similar responses to injections in the past. Hypotensive early on but returned to WNL.

Other Meds: Xulane patch Sertraline HCL

Current Illness:

ID: 1125924
Sex: F
Age: 76
State: FL

Vax Date: 03/13/2021
Onset Date: 03/15/2021
Rec V Date: 03/23/2021
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Symptoms: malaise, aches and pains, feels "like a cold" Caller states that she got the first vaccine ons saturday the 13th and within a couple of days starting having runny nose and sniffles, mild headache, shaking to body/hands/arms (shivering) but no fever. Memory loss. hypertension (pre-existing medical condition she takes medication for) and confusion. she has alternated with APAP, ASA, ALKA-SELTZER. she says she always gets sick from the flu vaccine. s/s have been on/off staff adv to f/u w/pcp. adv s/s reported may be ameliorated with OTC analgesics taken as directed on label as well as antihistamines. adv to call back if any questions. someone will follow up to check on her.

Other Meds:

Current Illness:

ID: 1125925
Sex: F
Age: 29
State: MN

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

Symptom List:

Symptoms: Patient did not actually faint but said she gets nervous about the vaccines and after giving the vaccine saw her with her hands on her neck so went to check on her and she said she feels she may faint and when asked if she wants to lay down she said that would be fine. Had her elevate the legs and gave her a cold pack and kept observing her. She said she is feeling okay as she is laying down. She laid down for almost 35-40 minutes and then said she wants to sit . Sat for another 20 min while a tech sat by her and then left after we made sure she was doing okay. She called and said she is doing fine after she reached her office.

Other Meds: None

Current Illness: none

ID: 1125926
Sex: F
Age: 42
State: KS

Vax Date: 03/15/2021
Onset Date: 03/15/2021
Rec V Date: 03/23/2021
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Allergies: n/a

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Symptoms: Vaccine admin. At 8:38 am at Vaccine Clinic. The nurse (I?ve forgotten her name - boomer aged, short gray hair) was standing when she administered the vaccine, and I remember making a note of the whole situation because it was the first time that a nurse did NOT say, ?Relax your arm.? I thought that was odd. I felt nauseous and dizzy within 1-2 min., but after my 15 min. Waiting period was up, I was no longer feeling dizzy or nauseous so I left. Within 10 min. I felt an ache in my arm, deep in the bone, and different then the regular shot-site pain. This is a dull ache that is barely tolerable. A few hours later, my shoulders and neck were experiencing very extreme, sharp pain, and I can barely move my arm, neck, and head. It hurts to hold my head up straight. This pain continues for another 2 days. It is a very intense, throbbing ache, and worse after a fitful night of rest, due to the constant pain in my left arm and neck. 48 hours later, still in intense pain and got a massage. Helped briefly but pain returned within minutes. On day 3, I got another more targeted massage on my shoulders and neck, with only a brief amount of time free from the pain. Day 4, the pain is so intense and I can barely handle it. I make an appointment with a APRN. She does not mention SIRVA but prescribes 800mg of Ibuprofen every 4 hours as needed for pain, and Flexeril, a muscle relaxer. She also gave me a shot of Toradol for the pain. The Flexeril makes me drowsy, and the ibuprofen takes the sharp edge of the pain away, but does nothing to mask the dull, deep ache in my left arm and shoulder. Day 5, 6, 7 all the same. On day 7, a new tingling sensation and numbness in my left hand and fingers start. Contacted office again to request a referral for physical therapy, and also to make a note of SIRVA in my file. Got a prescription for a stronger pain medication; neurontin to hopefully make the pain more manageable.

Other Meds: 50mg Xanax daily

Current Illness: n/a

ID: 1125927
Sex: F
Age: 18
State: KY

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 03/23/2021
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Allergies: NKA

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Symptoms: Within 15 minute waiting period after vaccine administration, patient's mother alerted staff that patient had just had a seizure-like episode after becoming light headed. Patient started flaring with flexion and shaking of upper extremities, nonverbal during event. Staff examined patient and found no signs of a seizure. Patient was sent to the emergency room for further evaluation. Mother states that patient had a similar episode at age 8, but no further details provided. Patient was stable and discharged from the emergency room with a referral to follow-up with primary care physician.

Other Meds:

Current Illness:

ID: 1125928
Sex: M
Age: 58
State: FL

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

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Symptoms: Patient started feeling lightheaded and fainted. Patient was responsive within seconds. The ambulance was called and he was taken away responsive.

Other Meds: Nonexistent

Current Illness: None

ID: 1125929
Sex: F
Age: 69
State: CO

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

Symptom List:

Symptoms: Moderna COVID- 19 Vaccine EUA: patient presents to clinic for follow-up one month after developing hives, shortness of breath and sweling of lips and tongue 36 hours after vaccination. Patient went to an emergency department and treated with steroids and antihistamines. Patient has a history of recurrent hives and lip swelling managed with antihistamines.

Other Meds: calcium carbonate, cyanocobalamin, levothyroxine, loteprednol, magnesium, omeprazole, progesterone, bromfenac, sumatriptan, testosterone, vitamin D3, estradiol topical, certrizine, diphenhydramine

Current Illness: hives, urticaria

ID: 1125930
Sex: F
Age: 45
State: TX

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 03/23/2021
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Allergies: Seafood

Symptom List:

Symptoms: First dose: mild lethargy, mild body aches. lasted for 12 hours. Second dose: Injected at 8 a.m. 4 p.m.: lethargy, headache, earache, toothache 6 p.m.: severe body aches, severe lethargy, severe chills, temperature rose by 2 degrees,cough, headache, dehydration, dizziness, earache, nausea, woke up every hour, lasted till 12 p.m. next day. 12 p.m.: temperature (2 degrees), moderate chills, moderate body aches, dizziness, severe sweating, dehydration 7 p.m.: no temperature, dehydration, dizziness, mild body aches, no chills, moderate sweating 7 a.m.: no temperature, dehydration, dizziness (mild), no body aches, lethargy (mild), no chills, mild sweating Since then still tired but improving.

Other Meds: Vitamin D (vegetarian) Probiotics

Current Illness: Vitamin D deficiency

ID: 1125931
Sex: F
Age: 53
State: VA

Vax Date: 03/02/2021
Onset Date: 03/02/2021
Rec V Date: 03/23/2021
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Allergies: Penicillin, codene, morphine

Symptom List:

Symptoms: Left leg started hurting, and swoll up from my knee to my foot, and the next day was told to go to hospital. They found a blood clot in my leg .

Other Meds: Hydrochlorothiazide,25mg, clonidine, 0.1mg, Amlodipine besylate 10 mg, Corey CR 40mg.

Current Illness: None

ID: 1125932
Sex: F
Age: 54
State: PA

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 03/23/2021
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Allergies: penicillin

Symptom List:

Symptoms: Swelling of tongue, throat and numbness in lips - 30 min after shot - subsided after 10 minutes with no intervention Swelling of tongue, numbness in lips, tingling all over the body - 24 hrs after shot - subsided with Benadryl 102 fever, severe back ache, neck pain 24 hrs after shot Dizziness, mild vertigo and ear pain- 48 hrs after shot - still have 4 days after shot

Other Meds: n/a

Current Illness: COVID Long Hauler Recovery

ID: 1125933
Sex: M
Age: 38
State: IL

Vax Date: 03/14/2021
Onset Date: 03/15/2021
Rec V Date: 03/23/2021
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Allergies: None known

Symptom List:

Symptoms: After second shot/dose getting spasms in left arm. Comes and goes does not hurt but very annoying.

Other Meds: Vitamin b complex, vit d, fish oil

Current Illness: None

ID: 1125934
Sex: F
Age: 43
State: TX

Vax Date: 03/01/2021
Onset Date: 03/10/2021
Rec V Date: 03/23/2021
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Allergies: shellfish. Sensitivity to citrus, latex, penicillin

Symptom List:

Symptoms: Severe raised rash on upper chest. Severe rash on left side of face under eye. rash lighted up a bit by day 15. Moderate rash on backs of both arms, both legs. Still have mild rash on upper chest 23 days later. Rash was worse of left side of body in all areas. I did not have any noticeable breathing issues, fever, etc. Arm did hurt within 7 minutes of shot and hurt very badly for 7 days. called my Dr friend and he advised me not to get the second shot. Said I had a reaction.

Other Meds: none

Current Illness: none

ID: 1125935
Sex: F
Age: 30
State: WI

Vax Date: 03/19/2021
Onset Date: 03/20/2021
Rec V Date: 03/23/2021
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Allergies: None

Symptom List:

Symptoms: Fever (4+ days), sweating (4+ days), chills (4+ days), nausea (2 days), headache (2 days), sore joints (4+ days), skin hurt (3 days), fatigue (4+ days), stuffy nose (2 days), sneezing (1 day)

Other Meds: Migraine meds- Aimovig

Current Illness: None

Date Died: 03/21/2021

ID: 1125936
Sex: M
Age: 86
State: IN

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

Symptom List:

Symptoms: 3-21-21 at 5:35am - Intermittent coughing during HS. Afebrile. Upper lung fields noted congestion; clearing when coughing/turned repositioned per staff, Afebrile. 3-21-21 at 9:30am - In residents room repositioning him, resident vomited tube feeding. Turned him on his side and swept out his mouth. Tube feeding pump turned off. Breathing became labored. Second nurse placed non-rebreather mask on him. Called 911 to take resident to hospital. 3-21-21 9:45am EMS now at bedside. Pulse palpable, Cheyne Stokes respirations. O2 on per non-rebreather mask. EMS assessed resident- now in VT/VF CPR initiated. Code cart placed outside of door. 3-21-21 10:00am Resident transferred out to Rig with an organized heart rhythm. Dr. ( on call for Dr.) notified of event and transport to hospital.

Other Meds: Piperacillin-Tazobactam in Dex Solution 3-0.375 GM/50ML Use 3.375 gram intravenously every 8 hours for Staph infection of blood for 13 Days Lovenox Solution (Enoxaparin Sodium) Inject 70 mg subcutaneously one time a day for DVT prevention P

Current Illness: Cough, emesis and chronic health conditions as listed below

ID: 1125937
Sex: M
Age: 59
State: IN

Vax Date: 03/21/2021
Onset Date: 03/22/2021
Rec V Date: 03/23/2021
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Allergies: None

Symptom List:

Symptoms: Tiredness Headache Muscle and joints pain Chills Fever 100.8F

Other Meds: Simvastatin 20mg/d

Current Illness: None

ID: 1125938
Sex: F
Age: 58
State:

Vax Date: 03/23/2021
Onset Date: 03/23/2021
Rec V Date: 03/23/2021
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Symptoms: tongue numbness

Other Meds:

Current Illness:

ID: 1125939
Sex: F
Age: 63
State: FL

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 03/23/2021
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Symptoms: Numbness and tingling in face within 30 min. after vaccine administration. No other symptoms; no difficulty breathing, shortness of breath or chest tightness, no facial swelling. Symptoms resolved after about 4 hrs. No medications taken and no treatment.

Other Meds: unknown

Current Illness:

ID: 1125940
Sex: F
Age: 39
State: NY

Vax Date: 03/14/2021
Onset Date: 03/22/2021
Rec V Date: 03/23/2021
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Symptoms: large red rash on left arm

Other Meds:

Current Illness:

ID: 1125941
Sex: F
Age: 55
State: NC

Vax Date: 03/12/2021
Onset Date: 03/12/2021
Rec V Date: 03/23/2021
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Allergies: no

Symptom List:

Symptoms: Sore arm @ injection site, slightly swollen and red

Other Meds: multi vitamin

Current Illness: no

Total 2021 VAERS Injuries: 704,237

Page last modified: 03 October 2021 5:28pm