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
72,296
AK1,638
AL5,339
AR3,412
AS44
AZ13,316
CA58,147
CO11,002
CT7,824
DC1,626
DE1,670
FL36,235
FM3
GA13,429
GU82
HI2,195
IA4,332
ID2,473
IL19,261
IN22,568
KS4,284
KY6,945
LA4,714
MA13,886
MD11,901
ME2,997
MH8
MI17,865
MN11,345
MO8,919
MP30
MS2,676
MT2,147
NC15,401
ND1,273
NE2,732
NH2,859
NJ17,232
NM3,702
NV4,071
NY32,763
OH18,072
OK5,940
OR7,954
PA22,457
PR2,104
QM2
RI1,911
SC6,055
SD1,133
TN8,691
TX34,122
UT4,023
VA13,944
VI49
VT1,661
WA13,811
WI10,395
WV2,220
WY805
XB5
XL1
XV2

ID: 1126899
Sex: F
Age: 25
State: OH

Vax Date: 03/23/2021
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:

Symptom List:

Symptoms: After getting a shot patient felt dizziness for 15 - 20 minutes. pulse 67, o2 sat 92. gave patient cold water. continuous monitoring for 30 minutes. gave salty snacks. checked for orthostatic hypotension. patient left after about 75 minutes. called back from home and was doing well

Other Meds:

Current Illness:

ID: 1126900
Sex: F
Age: 57
State: IL

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 known

Symptom List:

Symptoms: Moderna COVID-19 Vaccine EUA Patient received Moderna Vaccine - first dose on 3/15/21 around 3 pm. Patient returned to the vaccine clinic to speak with doctor (reporter of event) on Wednesday 3/17 to inquire on the left-sided facial numbness and droopiness the patient was experiencing. Pt stated the left-sided facial reactions started on Tuesday, 3/16 in the morning. Doctor assessed for further signs of other neurodeficit (i.e. stroke) and patient denied. Doctor encouraged patient to contact PCP. Patient contacted PCP that day (3/17), and then saw her PCP on Thursday 3/18. From phone follow up with patient on Monday, 3/22, patient stated her PCP diagnosed her with Bells Palsy, and initiated her on a 10 day course of prednisone along with valacyclovir. Pt since last Thursday, 3/18 has taken a leave of absence from work. Pt has upcoming physical therapy scheduled for Wednesday, 3/24. Follow up still in progress.

Other Meds: None known - not collected

Current Illness: None known

ID: 1126901
Sex: F
Age: 29
State: VA

Vax Date: 03/04/2021
Onset Date: 03/04/2021
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: Pt received vaccine, and waited required 15 minutes without incident. While proceeding to registration for 2nd dose appointment, pt exhibited signs/symptoms of seizure activity. Pt became non-responsive and slumped in wheelchair while twitching in extremities, cycling between rigidity and limpness. Mother reported seizure activity (common) controlled by medication taken that AM. O2RA: 94, Pulse: 84, BP: 184/100. RN and Nurse Manager maintained airway (neck position) while awaiting EMS. EMS arrived in 15 minutes, administered IM anticonvulsant, transport to ER with family present.

Other Meds:

Current Illness:

ID: 1126902
Sex: F
Age: 48
State: CA

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: Allergies to pain medication and antibiotics

Symptom List:

Symptoms: Patient experienced anaphylactic reaction which includes fainting, sudden increase in secretions from eyes and nose, weakness, numbness in upper extremity (fingertips) agitation, flushing dizziness, feeling something wrong, and extreme headache. The patient was treated with epipen and pharmacist called 911 and advised patient to go to the hospital. Patient recovered in approximately 30 minutes but refused to go to the hospital and called in a ride by the husband.

Other Meds: NA

Current Illness: Unknown

ID: 1126903
Sex: F
Age: 51
State: MI

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: Shellfish, Iodine, Sulfa, Latex, Tree Nuts, Fruits with pits.

Symptom List:

Symptoms: Difficulty breathing, severe tingling in hands and feet, spike in heart rate and blood pressure, closing throat, itching and hives, heart palpitations and taste of vaccine after injection and nausea.

Other Meds: Synthroid 50 mcg daily, 100 mcg Sunday, Claritin daily, One a Day Multivitamin daily, Vitamin D(3) 1000 units daily, Vitamin B12 tablet every 21 days, Omeprazole 20 mg daily before dinner and Ducosate Sodium Stool Softener each night.

Current Illness: None.

ID: 1126904
Sex: M
Age: 83
State:

Vax Date: 03/17/2021
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: Latex, pregabalin

Symptom List:

Symptoms: After the patient received the 2nd vaccine dose on 03/17, he became weak and unable to walk. He also experienced headache, nausea, and diarrhea. On 03/18, he was sent to the emergency department where we received a diagnosis of acute on chronic hypoxia related to the 2nd dose of COVID-19 vaccine. He required up to 2 L of O2 during the night time. He was given his regular home medications and Lovenox 40 mg SQ QD for DVT prophylaxis. On 03/21 he was discharged as his SpO2 improved. His hypoxia returned to his baseline level upon discharge.

Other Meds: aspirin 81 mg ,1 tab, Oral, Dailyamoxicillin 500 mg oral capsule, 4 cap, Oral, Once, PRN FLUoxetine 40 mg, 1 cap, Oral, Daily furosemide 40 mg oral tablet, See Instructions, TAKE 1 TABLET BY MOUTH IN THE MORNING AND 1/2 AT NOON gabapentin 3

Current Illness:

ID: 1126905
Sex: F
Age: 51
State: NC

Vax Date: 03/09/2021
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:

Symptoms: Developed itching hives on ankles and legs. Slight itching arms and shoulders. Presenting as small red bumps and at times raised skin colored areas. Treating with Benadryl and hydrocortisone cream. Have contacted doctors office to see if there is anything else for treatment. Symptoms started 10 days after receiving J&J covid vaccination and at this time have lasted for 4 days.

Other Meds: Irbesartan

Current Illness: None

ID: 1126906
Sex: M
Age: 67
State: VA

Vax Date: 03/09/2021
Onset Date: 03/09/2021
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: Patient reported chest pain approximately 10 minutes post vaccination. Patient transported to ER via EMS.

Other Meds:

Current Illness:

ID: 1126907
Sex: F
Age: 53
State: CA

Vax Date: 03/23/2021
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: topamax, acetaminophen, doxycycline, Rexulti, Acetaminophn-isometh-dichloral, lamotrigine, doxycycline, influenza vaccine, erythromycin, lexapro

Symptom List:

Symptoms: About 5 minutes after the vaccination, patient felt generalized pruritis and warmth. There were no respiratory symptoms, abdominal symptoms, no rash, and vital signs stable. patient improved after 5-10 minutes. She was administered diphenhydramine 50 mg IM.

Other Meds: ? Cyclobenzaprine (FLEXERIL) 10 mg Oral Tab, Take 1 tablet by mouth 3 times a day, ? Rosuvastatin (CRESTOR) 10 mg Oral Tab, Take 1 tablet by mouth daily to reduce cholesterol and risk of heart attacks and strokes, ? EPINEPHrine (ADRENA

Current Illness: none

ID: 1126908
Sex: F
Age: 50
State: OH

Vax Date: 03/09/2021
Onset Date: 03/09/2021
Rec V Date: 03/23/2021
Hospital:

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

Lab Data:

Allergies: I have allergies to various trees, grasses, molds, weeds, and cats.

Symptom List:

Symptoms: Received muscle pain, redness, swelling, and heat at site of injection that started within a couple hours after the vaccine was given. This continued and got bigger and worse by the next morning and became itchy. Ice pack was applied by me which helped the pain but the swelling, redness, and itching continued for the next 5 days. On day 3 I did start to apply Diphenhydramine Hcl 2% topical gel every 6 hours with some relief.

Other Meds: Levocetirizine 5 mg 1 tablet qd; Vit D3 2000 IU BID; Flonase intranasal spray Bid; Psyllium powder 500mg BID; One A Day vitamin for 50+ Women 1 tablet qd; Probiotic 10 billion/capsule 1 bid; Mega Red Krill Oil capsule extra strength 1 qd; B

Current Illness: none

ID: 1126909
Sex: F
Age: 76
State: AZ

Vax Date: 03/16/2021
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: cilantro and bell peppers

Symptom List:

Symptoms: The evening of the first shot on February 5, I had a strong headache, muscle aches and was extremely tired for the next two days. I had brain fog for the next 2 weeks. Tylenol and Advil mostly relieved physical discomfort. I had the second shot March 16. The next day I had a severe headache, no energy, achy body, chills and fever and on the second day after the shot my temperature was 101.4 - 101.8. Tylenol and Advil relieved the symptoms. Today, one week after the second shot I developed a pungent chemical taste in my mouth and a similar sense of smell. The tip of my tongue is tingling, and while I can breathe in deeply, my chest feels heavy, like I'm not getting enough oxygen.

Other Meds: Fish oil, 5000 i.u. Vitamin D3, Probiotic

Current Illness: none

ID: 1126910
Sex: F
Age: 45
State: SC

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 03/23/2021
Hospital:

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

Lab Data:

Allergies: cipro penicillin

Symptom List:

Symptoms: On the day after my vaccine I was sweating all day but did not think anything of it. By the end of the day I was not feeling myself, I went home and felt like I needed to rip my clothes off because I was so hot. I was sweating but freezing at the same time. I changed my clothes and went to bed. I then began freezing where I my teeth were chattering and could not get warm. I had on 3 blankets and was shaking. I fell asleep and was having hallucinations and talking to my grandparents that are deceased. I woke up not know anything but what I was told by my husband and daughter. I took my temperature and it was 104.1. I then continued to alternate between tylenol and ibuprofen for the rest of the night. I slept from 6:00 pm the night of the 12th to 10:00 am on the 13th. I still had a fever but developed a headache that nothing was helping. my fever was 101.4. I was told to go to the doctors to get checked by my job which I did, they examined me and the next day I went back for a COVID swab. I was in bed for the next 12 days and everyday I was developing various symptoms. By day 4 I had no taste and impaired smell and day 5-12 I had body aches, congestion and a cough that would not go away. I was our of work from 01/12/21-01/25/21.

Other Meds: tylenol extra strength 500 ibuprofen 200

Current Illness: migraine the week before

ID: 1126911
Sex: F
Age: 75
State: MI

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

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

Lab Data:

Allergies: sulfa, gluten sensitivity

Symptom List:

Symptoms: Stiff, achy muscles & joints, nausea, headache, vertigo all culminating in Shingles.

Other Meds: Premarin, Sudafed, Muscinex, Benedryl, Hydroxyzine, daily vitamin supplement, calcium, potassium, D3.

Current Illness: None

ID: 1126912
Sex: F
Age: 50
State: CA

Vax Date: 03/16/2021
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: Pork products

Symptom List:

Symptoms: 3/22/21: I woke up feeling itchy. I thought something bit me on my left arm. (6 am) I got to work by 730 I was itching badly on my knees and top of my hands. I took 1 Benadryl but it did not help. I thought maybe my under shirt was itchy so I took if off and I saw lots of 2" sized welts. I took a second one by 8am and it help. I felt better. 7pm I started to feel itchy again. This time the hives were on my back. I took 2 Benadryl. 3/23/2021: 8am I started seeing hives on my arms. I took 2 Benadryl.

Other Meds: Humulin 70/30

Current Illness: None

ID: 1126913
Sex: M
Age: 36
State: NC

Vax Date: 03/20/2021
Onset Date: 03/20/2021
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: 2021-03-20 07:30 PM - chills, 11:00 PM - vomited, 11:30 PM- seen in the Emergency Department 2021-03-21 11:30 AM - fatigue, somnolescence, nausea 2021-03-22 08:00 AM - nausea, 11:30 AM - altered mental status, vision loss, headache, balance problems, numb left arm and hand, hypoxia (SpO2 < 50%), 01:00 PM - seen in the Emergency Department, 03:00 PM Creatinine > 6.8, eGFR < 10

Other Meds: doxycycline 100 MG capsule, tadalafil (ADCIRCA) 20 mg tablet, calcitRIOL 0.25 MCG capsule, warfarin 4 MG tablet, bosentan 125 MG tablet, fluticasone propionate 50 mcg/actuation nasal spray, sevelamer carbonate 800 mg tablet, TORsemide 20 MG

Current Illness: None.

ID: 1126914
Sex: F
Age:
State: KS

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: no

Symptom List:

Symptoms: passed out due to low blood pressure

Other Meds: no

Current Illness: no

ID: 1126915
Sex: F
Age: 55
State: FL

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: Amoxicillin Lentils

Symptom List:

Symptoms: Fatigue by around 15:00 Intense body aches by 19:00 Headache 4 Advil at 21:15 99.9 fever at 21:19 99.6 at 22:54 99.8 at 06:50 100.4 at 09:12 Ibuprofen 99.5 at 10:28 99.6 at 11:26 99.4 at 14:25 Ibuprofen Headache remains 101.0 at 03:23 Ibuprofen Muscle aches Headache 100.4 at 04:47 97.9 at 08:43 Ibuprofen 99.1 at 21:37

Other Meds: HRT

Current Illness: NA

ID: 1126916
Sex: F
Age: 54
State: CA

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:

Symptoms: Slightly dizzy, weird feeling. BP 154/73, pulse 97, Os sat 100%. F/U BP 156/67 (pulse 92). Bit of a headache.

Other Meds:

Current Illness:

Date Died: 03/10/2021

ID: 1126917
Sex: F
Age: 60
State:

Vax Date: 03/06/2021
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:

Symptom List:

Symptoms: N/a

Other Meds:

Current Illness:

ID: 1126918
Sex: F
Age: 50
State: IL

Vax Date: 03/12/2021
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: Allergic to dust, pollen.

Symptom List:

Symptoms: Lymphatic swelling on same side as injection site 7 days after vaccine received, rash around injection site 11 days after vaccine received

Other Meds: Montelukast, biotin, peppermint oil capsules, B-complex with vitamin C, Cal/mag with vitamin D supplement

Current Illness:

ID: 1126919
Sex: F
Age: 28
State: VA

Vax Date: 02/19/2021
Onset Date: 02/19/2021
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: Felt weak and racing heart post vaccination. Transported to ER via EMS.

Other Meds:

Current Illness:

ID: 1126920
Sex: F
Age: 22
State: TX

Vax Date: 02/26/2021
Onset Date: 03/15/2021
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: BELLS PALSY-DIAGNOSED AT EMERGENCY ROOM

Other Meds: NONE

Current Illness: NONE

ID: 1126921
Sex: F
Age: 72
State: MA

Vax Date: 03/04/2021
Onset Date: 03/21/2021
Rec V Date: 03/23/2021
Hospital: Y

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

Lab Data:

Allergies: no know allergies

Symptom List:

Symptoms: Seizures

Other Meds: lamictal, zonisamide,zyrtec

Current Illness: None

ID: 1126922
Sex: M
Age: 40
State: CA

Vax Date: 03/05/2021
Onset Date: 03/05/2021
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: Around 16:00 day of vaccination started feeling sore. Pain worsened as day progressed into night. Entirety of body felt as if beat up with a meat tenderizer. General muscle soreness throughout body. Unable to sleep, Conditions got better starting in the morning. Felt normal by 16:00 day after vaccination.

Other Meds: N/A

Current Illness: N/A

ID: 1126923
Sex: F
Age: 61
State: CA

Vax Date: 03/23/2021
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: Avelox, carafate, cleocin, demerol, duramorph, fentanyl, flexeril, guaifenesin, inderal, macrobid, midazolam, naproxen, norco, phenothiazines, sucralfate, sudafed, sulfamethoxasole trimethoprim, codein, vibramycin, vicodin

Symptom List:

Symptoms: throat tightening and some difficulty breathing, given epi .3mg, paramedics called, went to ER for obs

Other Meds: vitamin d

Current Illness:

ID: 1126924
Sex: M
Age: 62
State: CT

Vax Date: 03/17/2021
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: n/a

Symptom List:

Symptoms: Cellulitis. Hard red area about the size of a pancake. Hot to touch

Other Meds: Vitamin D3, Metamucil

Current Illness: n/a

ID: 1126925
Sex: M
Age: 78
State: TN

Vax Date: 02/12/2021
Onset Date: 03/13/2021
Rec V Date: 03/23/2021
Hospital: Y

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

Lab Data:

Allergies: Oxycodine

Symptom List:

Symptoms: Massive Stroke

Other Meds: N/A

Current Illness: NONE

ID: 1126926
Sex: F
Age: 57
State:

Vax Date: 03/21/2021
Onset Date: 03/22/2021
Rec V Date: 03/23/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient presented with progressive facial swelling and shortness of breath

Other Meds:

Current Illness:

ID: 1126927
Sex: F
Age: 33
State: PA

Vax Date: 03/14/2021
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: none

Symptom List:

Symptoms: headache-especially behind eyes fatigue fever-chills and hot-sweats body aches

Other Meds: Miralax

Current Illness: none

ID: 1126928
Sex: F
Age: 69
State: AZ

Vax Date: 03/14/2021
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: none

Symptom List:

Symptoms: Swelling of face, throat, around eyes, hives ,rash on face and neck and some on right arm and itching. Swelling has subsided but redness and some hives and itching continues 7 days post first shot.

Other Meds: Amlodopine 7.5 Lisiniprol 40 mg Atorvastatin 20 mg Levothyroxin 88 mg Hydroxychloroquine 200 mg

Current Illness: low sodium

ID: 1126929
Sex: F
Age: 44
State: NY

Vax Date: 02/24/2021
Onset Date: 02/24/2021
Rec V Date: 03/23/2021
Hospital:

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

Lab Data:

Allergies: Penicillin clindamycin sulfur phenobarbital celebrex elavil Depakote walnuts peanuts raw vegetables mangos cantaloupe honeydew watermelon and avocados

Symptom List:

Symptoms: Throat almost completely closed. Had to take three 50 mg visteral that's 150 mg of visteral . Throat continued to close off then disappeared. Almost had to be rushed to the emergency room.

Other Meds: Trileptal incruse ellipta topomax nexium zofran Setraline fluphenazine im fluphenazine pills

Current Illness: Lupus anticoagulant fibromyalgia arthritis bipolar anxiety Factor v leiden petite mal seizure disorder

ID: 1126930
Sex: F
Age: 61
State: OK

Vax Date: 03/13/2021
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: SIDE EFFECTS (NOT allergies): levsin / levsinex, bentyl / dicyclomine, Skin reactions: surgical tape adhesive with iodine based scrub.

Symptom List:

Symptoms: Slight neuropathy over thumb into thumb - tingling to outright pain on touch. Is subsiding at this time, but still present but less painful.

Other Meds: None

Current Illness: None

ID: 1126931
Sex: F
Age: 83
State: OH

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: Bactrum

Symptom List:

Symptoms: I got the shot on Wednesday and on Friday I was shivering so bad I thought my chest was going to pop out and so nausea. I called my neighbor and took me to the ER . They ran Blood test and urine test and everything was ok. They told me i was a side effect for the vaccine and sent me home. I went to bed and didn't feel good, the next day I still didn't feel good. I got so chilled again and nausea and went back to the ER and say the same Dr. and took my Blood work again and said my blood work was better than the night before. I also had a fever and they told me to take Tylenol and it was just a side effect. I feel so weak and sick at my stomach still.

Other Meds: Siprol Latoporol lisinopril Prozac fish oil multi vitamin Crestor

Current Illness:

ID: 1126932
Sex: F
Age: 53
State: MO

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

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Symptoms: FACE BEGAN TO TINGLE THEN TONGUE BEGAN TO SWELL. I WAS FINDING IT TO BE AN EFFORT TO TAKE IN A BREATHE. OVER THE NEXT 48 HOURS MY OTHER AREAS WHERE I HAD BEEN BITTEN BY FIRE ANTS AND A HORNET STING BEGAN TO SWELL AGAIN AND MORE BENADRYL AND PEPCID

Other Meds: NONE

Current Illness: NONE

ID: 1126933
Sex: F
Age: 33
State: NY

Vax Date: 02/26/2021
Onset Date: 03/07/2021
Rec V Date: 03/23/2021
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Allergies: Cipro, flagyl, unasyn, bactrim, macrobid, iron infusion

Symptom List:

Symptoms: Hives to LEs 9 days post vaccine resolved with benadryl

Other Meds: Remicade, MVI, Vit D3, Folic Acid, Ferosul

Current Illness:

ID: 1126934
Sex: F
Age: 72
State: MO

Vax Date: 03/04/2021
Onset Date: 03/06/2021
Rec V Date: 03/23/2021
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Allergies: Codeine Sulfa States she is sensitive to medications

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Symptoms: Started with "Brain Fog" on day 2 after vaccine. Then by the next day had pressure in head with ear pain. Also, had some chills. Called doctor on day 4 but was not treated. On day 7 was started on an antibiotic which did help the pressure but did not help the ear pain and noise in ear. Better now but still has "noise in head" but states it is improving.

Other Meds: Toprol XL 50mg Clonazepam 0.25mg BID

Current Illness: None

ID: 1126935
Sex: F
Age: 50
State: FL

Vax Date: 03/09/2021
Onset Date: 03/19/2021
Rec V Date: 03/23/2021
Hospital: Y

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Allergies: MANGO (RASH), CODEINE (RASH)

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Symptoms: Patient came to emergency room complaining of pain, intense, severe locating in epigastric area and diffuse all over the abdomen associated with nausea and vomiting. While admitted it was identified that Pt had Subacute thrombosis of the main trunk of the superior mesenteric artery with no flow distal, 3 cm from the ostium with no flow identified in the right-sided branches or jejunal branches. MD thinks is due to Moderna Vaccine as Pt has no history or clots.

Other Meds: IBUPROFEN, MULTIVITAMINS, BLACK COHOSH

Current Illness: NONE

ID: 1126936
Sex: F
Age: 41
State: MO

Vax Date: 03/06/2021
Onset Date: 03/06/2021
Rec V Date: 03/23/2021
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Allergies: No

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Symptoms: Waves of metalic taste in my mouth on the second dose. On the first dose I had a VERY strong metallic mucus tasted for about 3 days and nausea. After the second dose all my muscles seized up and I had fever, chills, overnight sweats, I had waves of nausea and a terrible headache. I am still nauseous 2 weeks later. I am taking anti nausea meds and drinking ginger teas. Any injury I have ever had like broken bones or torn rotator cuffs have all started hurting so incredibly bad. I also had a COPD flare up.

Other Meds: No

Current Illness: No

ID: 1126937
Sex: F
Age: 36
State: TX

Vax Date: 03/11/2021
Onset Date: 03/23/2021
Rec V Date: 03/23/2021
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Allergies: Erythromyacin

Symptom List:

Symptoms: Today my injection site became red, swollen, heated and itched.

Other Meds:

Current Illness:

ID: 1126938
Sex: F
Age: 77
State: VA

Vax Date: 02/15/2021
Onset Date: 02/17/2021
Rec V Date: 03/23/2021
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Symptoms: Patient fainted two days after receiving vaccine and was transported to ER via EMS.

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Current Illness:

ID: 1126939
Sex: U
Age: 18
State: WA

Vax Date: 03/06/2021
Onset Date: 03/06/2021
Rec V Date: 03/23/2021
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Allergies: Unknown

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Symptoms: Using Lot # 002A21A throughout the vaccine clinic. It was discovered after the clinic was finished that there was 1 vial with the Lot # 040A21A. All documentation on the record forms were for Lot # 002A21A and it is unknow which recipients got the Lot # 040A21A as we were using 4 different vaccinators. We are now placing a label on each syringe with the Lot # and the exp. date. This is then placed on the record after the injection.

Other Meds: Unknown

Current Illness: Unknown

ID: 1126940
Sex: F
Age: 55
State: MS

Vax Date: 03/16/2021
Onset Date: 03/16/2021
Rec V Date: 03/23/2021
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Allergies: denies. states she takes a claritin daily for environmental allergies

Symptom List:

Symptoms: states 8 hours after the shot she developed chills, body aches and a sore arm. 24 hours after the shot she developed itching and hives in hands, face and eyes which is what caused her to come to ED.

Other Meds: Amlodipine-Benazepril, Atenolol, Buspar, Claritin, Enbrel, Jardiance, Lantus Insulin, Lexapro, Metformin HCL, Multivitamin, Naproxen, Rosuvastatin Calcium

Current Illness:

ID: 1126941
Sex: F
Age: 61
State: MI

Vax Date: 03/15/2021
Onset Date: 03/19/2021
Rec V Date: 03/23/2021
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Allergies: codeine, adhesive tape

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Symptoms: Patient with 2 Emergency Department visits after vaccination. (3.19.21 & 3.22.21) 3.19.21: Symptoms: Patient had the J&J vaccine on Tuesday, and felt fatigued on Wednesday. Today she is more short of breath than normal and states she has chest pain. Daughter has suggested an ambulance, but patient, who is A&O X 3, declines. Daughter will bring to ED for evaluation. 61-year-old female with history of asthma, sleep apnea, environmental allergies, and hypertension presents emergency department complaining of shortness of breath and cough that started this morning and midsternal chest tightness rating at a 7/10. Sent home with prescriptions to manage cough, inhaler and steroid burst. 3.20.21 Office Visit: Patient states Wednesday 03/17/21 morning cough and mild fatigue started. Thursday 03/18/21 patient had shortness of breath with exertion x2 days. Yesterday 03/19/21 patient went down the stairs and was having severe shortness of breath. Patient felt like she couldn't get enough air in. Patient was seen in ED 03/19/21 and prescribed cough medicine. Patient states cough is constant with intermittent coughing fits. Patient was tested for COVID-19 while in ED and results were negative Shortness of breath is still present, but is better after ED visit. Patient states she feels 50% better today 03/20/21. Patient has been using inhaler and prednisone. Patient is needing to move slower to compensate for shortnbess of breath. Cough is present still. Cough is deep and dry. Yesterday 03/19/21 cough was productive. Today 03/20/21 patient is getting a small amount of phlegm out and it is white in color. Denies fever. No known exposure to COVID-19. History of asthma, not much relief currently with inhaler. When shortness of breath is present, it takes patient about 20-30 minutes to recover. Intermittent wheezing with mild wheezing present currently. Tightness in chest is present and coughing makes it worse. Patient had COVID-19 in April of 2020. Any treatment So Far: ED visit, Inhaler, prednisone, and prescribed cough medicines 3.22.21: Mon Mar 22, 2021 1722 This is a 60 year female presents for evaluation of shortness of breath. Some been going on for about a week now. She was just seen in the emergency department 3 days ago for same complaints. At that time she had a cardiac workup that was unremarkable. On initial evaluation here today she appears in no acute respiratory distress. She has normal room air oxygen saturations. Complete blood count shows a slight leukocytosis of 11.93 which may be elevated secondary to her current prednisone use. About 4 positive relative normal limits. Troponin was normal as was her proBNP. COVID PCR was not detected. CT angiogram thorax was negative for PE, pneumonia or other acute process. Patient is notified of these findings. She otherwise is discharged home with instructions follow up closely with primary care physician.

Other Meds: albuterol (neb and HFA MDI), benzonatate, cetirizine, diclofenac, epipen, esomeprazole, fluticasone (flonase), fluticasone/salmeterol (advair), guiaiFENesin, linaCLOtide, losartan, meloxicam, montelukast, MVI, olopatadine, oxybutynin, predn

Current Illness: moderate persistent asthma flair, dyspnea on exertion, morbid obesity, GERD, OSA, anxiety / depression, unspecified abdominal pain

ID: 1126942
Sex: M
Age: 35
State: VA

Vax Date: 03/04/2021
Onset Date: 03/04/2021
Rec V Date: 03/23/2021
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Symptoms: 1350 - after receiving the shot, pt reports feeling light headed and hard to breathe. Pt. was helped to cot by friend and biosafety personnel. 1401 - BP 109/69, pulse 112, pt calm and conversational. RN explained the vasovagal response to the patient, who explained that this has happened to him in the past "every time he got a shot". Pt reported feeling much better while lying on cot with a cold compress. MD recommended not drive, friend offered to drive pt home with family. Pt. given water to drink, advised to seek care as needed.

Other Meds:

Current Illness:

ID: 1126943
Sex: F
Age: 41
State: TN

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

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Symptoms: Red rash around injection site with firmness and tenderness

Other Meds: Mg, Vit C, elderberry, zinc

Current Illness: None

ID: 1126944
Sex: F
Age: 87
State: FL

Vax Date: 03/23/2021
Onset Date: 03/23/2021
Rec V Date: 03/23/2021
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Symptoms: at approximately 10 minutes post injection, pt complained of feeling dizzy. BP was elevated at 200's/110's, pt was diaphoretic, c/o nausea and chest pain. NP on site and Paramedic on site immediately evaluated and sent via ambulance to ER for further evaluation.

Other Meds:

Current Illness:

ID: 1126945
Sex: F
Age: 71
State: GA

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 03/23/2021
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Allergies: N/A - Administration Event

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Symptoms: I went to get my second Covid-19 vaccine and when the student nurse went to inject me it ran down my arm onto the table. The shot was only 1/2 mL . It looked like there was more than that on the table. I do not think any of the vaccine went into my arm. The student nurse went to tell the supervisor what had happened and she came over. She said as long as any of it was administered that i would be protected. I purposely did not take any Tylenol or drink extra water because I wanted to have a reaction to know that I got some vaccine. I have felt totally fine. My arm is not sore. I have absolutely no symptoms that the vaccine may cause. I am convinced the vaccine was left on the table. I went back to the health department on March 22 to report my observations. They told me they could not help me.

Other Meds: N/A - Administration Event

Current Illness: N/A - Administration Event

ID: 1126946
Sex: F
Age: 26
State: TX

Vax Date: 03/08/2021
Onset Date: 03/11/2021
Rec V Date: 03/23/2021
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Symptoms: Swollen lymph node

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Current Illness:

ID: 1126947
Sex: F
Age: 36
State: VA

Vax Date: 03/10/2021
Onset Date: 03/10/2021
Rec V Date: 03/23/2021
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Symptoms: Patient fainted after vaccination and fell on floor. Had right knee pain. IV was started and patient was transported to ER via EMS.

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Current Illness:

ID: 1126948
Sex: M
Age: 17
State: IL

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 03/23/2021
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Symptoms: Patient was only 17 years of age and received the Moderna vaccine

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Current Illness:

Total 2021 VAERS Injuries: 599,999

Page last modified: 03 October 2021 5:28pm