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: 1129081
Sex: M
Age: 63
State: NC

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 03/24/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Approximately 5-10 minutes after first covid vaccine, patient was witnessed to become pale, eyes roll in the back of head, become stiff, and fell backwards in chair and onto floor. Patient hit back of head after fall. Patient was laying supine on floor and lost consciousness for approximately 30-60 seconds. He did not respond to name or place when asked. He had a strong pulse and was diaphoretic. After approximately one minute, patient opened eyes and stated his name and where he was. During this event, Code Medic was called by another staff member. Patient continued to talk to writer while waiting for code team to arrive. He stated that he had no pain and was starting to feel better. Report given to code team and care transferred. Patient taken to ED for further evaluation.

Other Meds:

Current Illness:

ID: 1129082
Sex: F
Age: 48
State: IN

Vax Date: 03/22/2021
Onset Date: 03/22/2021
Rec V Date: 03/24/2021
Hospital:

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

Lab Data:

Allergies: Penicillin, Bactrum - hives Food sensitivities: Gluten, Dairy

Symptom List:

Symptoms: Nausea, headache, fatigue. Started approximately 4 hours after shot, becoming worse as evening wore on. After sleeping, woke in morning with symptoms improved but present. Approximately 24 hours after onset of symptoms they had dissipated. Treated symptoms with rest. Soreness in injection site continues but 48 hours after injection is nearly gone.

Other Meds: Armour Thyroid, Vitamin D, B complex, D-Hist, Digestive Aid, CBD

Current Illness: None

ID: 1129083
Sex: F
Age: 63
State: IN

Vax Date: 03/22/2021
Onset Date: 03/22/2021
Rec V Date: 03/24/2021
Hospital:

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

Lab Data:

Allergies: Erythromycin

Symptom List:

Symptoms: Feverish, sweating, mid- level headache, and at 8 pm muscle pain especially in breasts, jaws and every joint that has arthritis was very painful. Couldn?t sleep until 3 a.m... Woke up at 5 a.m. and all symptoms were gone. None since.

Other Meds: Multi-vitamin, probiotics, Xyzal, Flonase

Current Illness: None

ID: 1129084
Sex: F
Age: 33
State: TN

Vax Date: 03/20/2021
Onset Date: 03/21/2021
Rec V Date: 03/24/2021
Hospital:

Vax Type:
Manufacturer:
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Lot:
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Vax Site:

Lab Data:

Allergies: Shellfish, nickel

Symptom List:

Symptoms: 3/22/2021, 2:00am - Fever of 102.9 that lasted until 7:00am even after taking 400mg Tylenol. Sweats, chills, muscle and body aches continued through the night into the morning. 03/22/2021, 7:00pm - Fever of 101.2. Went away after Tylenol 400mg. Nursing child had temperature of 99.9 3/23/2021, 9:00am - large bruise over injection site

Other Meds: prenatal vitamins, Levothyroxine Sodium

Current Illness:

ID: 1129085
Sex: F
Age: 49
State: MI

Vax Date: 03/22/2021
Onset Date: 03/23/2021
Rec V Date: 03/24/2021
Hospital:

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

Lab Data:

Allergies: allergic to norco and tramadol

Symptom List:

Symptoms: Started in the morning as feeling dizzy, light-headed. As the day went on, developed severe headache, body aches, naseous, fever (100.4), extreme fatigue and chills By the next morning all symptoms were gone

Other Meds: venlafaxinehcl 75mg - 3 capsules daily hydrochlorothiazide 25 mg once daily

Current Illness: none

ID: 1129086
Sex: M
Age: 35
State: CA

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Chest tightening/chest pain

Other Meds: Simethicone

Current Illness:

ID: 1129088
Sex: M
Age: 35
State: SC

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 03/24/2021
Hospital:

Vax Type:
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Vax Name:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Patient went stiff and went unconscious. Patient was then assisted to the floor by a staff member from the chair. Patient shortly after regained consciousness. Patient was then alert and oriented but had no memory of what happened. Pt was shakey and light headed. EMS was called to the scene. Pt was then transported by ems to the hospital. No epi pen was used.

Other Meds:

Current Illness:

ID: 1129089
Sex: F
Age: 63
State: OH

Vax Date: 03/15/2021
Onset Date: 03/15/2021
Rec V Date: 03/24/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
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Vax Site:

Lab Data:

Allergies: Scallops

Symptom List:

Symptoms: Immediately after receiving the vaccine, stood up and felt dizzy and could feel headache moving to my scalp. At bedtime, around 10:30 pm, I could not fall asleep, was freezing, achy, in and out of sleep. Took temperature at around 2:00 AM. My temp was 102 deg. F, my pulse was at 125 bpm. I could feel my heart rate beating rapidly. Was still dizzy. At around 6:30 AM, my temp was 101.9 deg. F. Stayed home from work. Got out of bed around 2:00 PM. As I went to the restroom during the morning, early afternoon, my temp gradually decreased, my heart rate gradually decreased. Still had headache. Was very fatigued. The next day, my temp was normal, had mild headache and was still fatigued.

Other Meds: Ergocalcifer, 50,000 units, Effexor, Levothyroxin, Nexium, Zyrtec, Metformin, Atorvastatin, Stool Softener

Current Illness:

ID: 1129090
Sex: F
Age: 64
State:

Vax Date: 03/20/2021
Onset Date: 03/20/2021
Rec V Date: 03/24/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
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Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Extreme fatigue and muscle ache throughout body, fever, chills and shaking, intense headache. Vaccine was administered at 9:30 am. Symptoms began around 3:30 pm and lasted until approximately 5:00 am the next day.

Other Meds:

Current Illness:

ID: 1129091
Sex: M
Age: 70
State: MN

Vax Date: 03/04/2021
Onset Date: 03/04/2021
Rec V Date: 03/24/2021
Hospital:

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

Lab Data:

Allergies: eggs

Symptom List:

Symptoms: Patient felt light headed and some throat irritation , he asked for some Benadryl and we gave him a 10ml liquid dose . Patient was fine in a few minutes.

Other Meds: none given

Current Illness: none known

ID: 1129092
Sex: F
Age: 63
State: OH

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 03/24/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: Started with chills, fever ,Nausea aches and pains for 2 days went into full sinue infection, weal and its been 5 days,

Other Meds: Synthroid, Prednisone, Amlodipine, Lisinopril, Omega 3, Vit D3, Multi vit, Vit C

Current Illness: no

ID: 1129093
Sex: F
Age: 65
State: KY

Vax Date: 01/11/2021
Onset Date: 03/23/2021
Rec V Date: 03/24/2021
Hospital:

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

Lab Data:

Allergies: Iodinated Diagnostic AgentsRash Kiwi Levaquin [Levofloxacin]Nausea And Vomiting Morphine And RelatedNausea And Vomiting

Symptom List:

Symptoms: Pt diagnosed with COVID after immunity date (1/25)

Other Meds: acyclovir (ZOVIRAX) 200 MG capsule albuterol-ipratropium (DUO-NEB) 0.5-2.5 mg/3 mL nebulizer benzonatate (TESSALON) 200 MG capsule calcium carbonate (OS-CAL) 1250 (500 elemental Ca) MG tablet DENOSumab (PROLIA) 60 MG/ML syringe ergocalcifer

Current Illness: none

ID: 1129094
Sex: F
Age: 68
State: PA

Vax Date: 03/12/2021
Onset Date: 03/13/2021
Rec V Date: 03/24/2021
Hospital:

Vax Type:
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Lot:
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Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Swollen arm , red rash 2 full weeks after vaccination. Hot to touch.

Other Meds:

Current Illness:

ID: 1129096
Sex: M
Age: 30
State:

Vax Date: 12/23/2020
Onset Date: 12/23/2020
Rec V Date: 03/24/2021
Hospital:

Vax Type:
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Lot:
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Lab Data:

Allergies:

Symptom List:

Symptoms: Employee received .2 cc of Pfizer instead of .3 cc which was inadvertently administrated by vaccine nurse. NO ADVERSE REACTION, just reporting medication error. Our Vaccine Task Force, after speaking with CDC and PA, decided to offer the employee an additional COVID-19 vaccine dose. Thanks.

Other Meds:

Current Illness:

ID: 1129097
Sex: M
Age: 21
State: IL

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

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

Lab Data:

Allergies: penicillin

Symptom List:

Symptoms: tunnel vision after shot 90/50, 54, 14

Other Meds: none

Current Illness: none

ID: 1129098
Sex: M
Age: 41
State: IN

Vax Date: 03/22/2021
Onset Date: 03/22/2021
Rec V Date: 03/24/2021
Hospital:

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

Lab Data:

Allergies: Penicillin, keflex, codene, Levaquin, Avelox, Sulfas, Pertussis,

Symptom List:

Symptoms: Soreness in arm, started about 1/2 hrs lost injection, lasted about 24 hours. Headache, started about 6/7 hrs post injection. Increased in severity the next day. Non-issue as of 3/24

Other Meds:

Current Illness: Cold

ID: 1129099
Sex: F
Age: 63
State: MN

Vax Date: 03/18/2021
Onset Date: 03/19/2021
Rec V Date: 03/24/2021
Hospital:

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

Lab Data:

Allergies: Caffeine

Symptom List:

Symptoms: Rapid or fluttery heart beat beginning 1 day after vaccine. Randomly throughout day. Somewhat milder yesterday and today. Vaccine was Pfizer-BioNTech COVID-19 Vaccine EUE

Other Meds: 81 mg coated aspirin, vitamin D3 daily

Current Illness: None

ID: 1129101
Sex: F
Age: 64
State: IL

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: covered in hives throughout the body besides face, hands, and feet. Feeling under the weather,

Other Meds: viibryd, celecoxid, hydroquinone, hair and nail supplement,

Current Illness:

ID: 1129102
Sex: F
Age: 48
State: MA

Vax Date: 03/18/2021
Onset Date: 03/18/2021
Rec V Date: 03/24/2021
Hospital:

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

Lab Data:

Allergies: Amoxicillan and all cillans

Symptom List:

Symptoms: Immediately following vaccine I had a metallic taste in my mouth and my arm felt a tad heavier than the right. I was fine until I woke up 11pm or so with body aches, fever of 100.8 or so, headache, stomach craps and was extremely tired. These side effects went on all of Friday to where I missed work with all symptoms and fever reaching over 102. (I didn't have that when I had Covid.) Saturday and Saturday evening were much of the same but the fever came down to 99.5 or so with improvement on headache and body aches. Slept the better part of Friday through Sunday morning when I had returned to fever free and mostly myself less some mild sleepiness.

Other Meds: Lisinopril daily. On occasion advil, exederine as needed. Flonase as needed.

Current Illness: Diagnosed with Covid in February.

ID: 1129103
Sex: M
Age: 36
State: MA

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Felt fine immediately after the vaccination. Later in the evening around 11pm, my body felt achy. I had very little energy, and felt cold despite a warm temperature in my house. I woke up the next morning feeling an entire body ache and minor pain at the injection site.

Other Meds: None taken at time of vaccination

Current Illness: Diagnosed and recovered from COVID19.

ID: 1129104
Sex: F
Age: 68
State: CT

Vax Date: 03/21/2021
Onset Date: 03/23/2021
Rec V Date: 03/24/2021
Hospital:

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

Lab Data:

Allergies: Challenge testing done for penicillin: Rheumatoid reactions

Symptom List:

Symptoms: Waited 15 minutes at clinic. Driving home felt tingling in tongue. Went to Hartford Hospital Urgent Care. Developed sunburn rash on arms and upper torso. Given 50 mg benadryl and prednisone injection at 2:52 PM. Observed for 90 minutes. Discharged with prescription for 40 mg prednisone for three days. Had telehealth appointment with Dr on 3/24. Told to continue with prednisone and avoid Pfizer boosters in the future. No breathing issues any time. Pulse ox before prednisone 98% after 100%. rash resolved.

Other Meds: Breo 200/25 In the morning amolodipine 5mg daily Vitamin D3 5,000 Florastor All taken in the morning by 9 AM

Current Illness: none

ID: 1129105
Sex: F
Age: 32
State: WI

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: My right ankle started tingling and mildly swelling. Went away after a few hours, and elevating my foot was enough to keep the swelling down in the meantime. I take amlodipine and used to have a problem with ankle swelling when I was on a much higher dose of it, so I was thinking the drugs may be interacting. I did not accidentally take a second dose of amlodipine or anything yesterday, just my usual 5mg that has never caused ankle swelling before.

Other Meds: Amlodipine 5mg

Current Illness: None

ID: 1129107
Sex: F
Age: 33
State: TX

Vax Date: 03/08/2021
Onset Date: 03/10/2021
Rec V Date: 03/24/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Neutropenia, Leukopenia

Other Meds: Lo Loestrin

Current Illness: None

ID: 1129108
Sex: F
Age: 45
State: PA

Vax Date: 03/20/2021
Onset Date: 03/20/2021
Rec V Date: 03/24/2021
Hospital:

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

Lab Data:

Allergies: Non

Symptom List:

Symptoms: 3 hours later, 5:30 pm Heaviness in legs 9 hours later, 11:30pm low fever, chills, aches for 2 hours. Took acetaminophen for relief. Symptoms did not return. 12-27 hours later, until 5pm the next day, sheer fatigue and exhaustion. Mind seemed sharp. No symptoms again until 3 days later, (72 hours), fatigue and heaviness feeling in head and body, headache, thirsty Sleep helped headache go. Drank water. 3 1/2 days later, in morning, woke with dizziness and vertigo like feelings. Stumbled and head fog. Dull feeling still on this 4th day. Muscles weakness in limbs, feeling faint, tightness in head, dehydrated feeling, congested. Drinking water. Sitting. Still working desk job, teacher.

Other Meds: Ningxia Red antioxidant

Current Illness: Non

ID: 1129109
Sex: F
Age: 25
State: NY

Vax Date: 03/13/2021
Onset Date: 03/13/2021
Rec V Date: 03/24/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: Fever (104); aches, chills, and other flu-like symptoms (moderate). Lasted approximately 10 hours, starting about 8 hours after injection

Other Meds: Wellbutrin (300mg); Cymbalta (60mg)

Current Illness: N/A

ID: 1129110
Sex: F
Age: 71
State: AR

Vax Date: 03/03/2021
Onset Date: 03/07/2021
Rec V Date: 03/24/2021
Hospital:

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

Lab Data:

Allergies: Cipro.

Symptom List:

Symptoms: She received her vaccine, the arm swelled up, turned red and had a rash, and it itched like crazy. Her head started itching as well, and every time she took a shower her hair would fall out and her hair is very thin now due to the hair loss. Every time she combs her hair she gets wads of hair on the comb. She went to her doctor and told him what was going on and gave her a steroid shot to calm it down. The arm soreness eased up after 5 days, but her head still itches some and she still has the hair loss. She can't even cover her ears with her hair anymore, and on top it's really thin as well.

Other Meds: Metformin, Isosorbide mononitrate, Clopidogrel, Omeprazole, Cyclobenzaprine, rosuvastatin, low dose aspirin, Turmeric, Symbicort.

Current Illness: Gallbladder removed late January.

ID: 1129111
Sex: F
Age: 21
State: TN

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

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

Lab Data:

Allergies: Unknown

Symptom List:

Symptoms: Patient became dizzy immediately after receiving vaccine. Blood pressure systolic 99. Was unable to stand due to fear of potential syncope. Gradually recovered with cold compresses and drinking water and full-sugar soda.

Other Meds: Unknown

Current Illness: Unknown

ID: 1129112
Sex: F
Age: 58
State:

Vax Date: 12/23/2020
Onset Date: 12/23/2020
Rec V Date: 03/24/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Employee received .2 cc of Pfizer instead of .3 cc which was inadvertently administrated by vaccine nurse. NO ADVERSE REACTION, just reporting medication error. Our Vaccine Task Force, after speaking with CDC and department of health, decided to offer the employee an additional COVID-19 vaccine dose. Thanks.

Other Meds:

Current Illness:

ID: 1129113
Sex: F
Age: 72
State: NY

Vax Date: 03/04/2021
Onset Date: 03/04/2021
Rec V Date: 03/24/2021
Hospital:

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

Lab Data:

Allergies: Sulfa Penicillin

Symptom List:

Symptoms: Vaccine brought on an acute episode of Myasthenia Gravis. About 20 minutes after vaccine I felt my symptoms start, right facial weakness and right arm tremors and weakness. When I got home about half hour after vaccine symptoms were worse and I could not swallow . I called 911 and was hospitalized for 12 days.

Other Meds: Pantropraxole Tamoxifen Pyridostigmine Methyprednisolone Clopidogrel Rovusvastatin Leflumonide Oxybutynin Actemra Vit b13 Vit d

Current Illness: Myasthenia Gravis Rheumatoid arthritis Achslasia

ID: 1129114
Sex: F
Age: 67
State: TX

Vax Date: 01/11/2021
Onset Date: 01/18/2021
Rec V Date: 03/24/2021
Hospital:

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

Lab Data:

Allergies: seasonal allergies (injection medicated)

Symptom List:

Symptoms: 1/11 vaccination 1/15 COVID - 1/18 I had a scheduled colonoscopy at 10AM. Close to 11AM, started IV sedation, put me on my side. I remember gagging and then i woke up. My chest was burning and they were talking to them, OZ mask because SPO2 had dropped to 48. They needed to monitor me longer, took to recovery, and put on bronchodilator (?) thru the O2 mask. They started and IV antibiotic for 90 minutes. SPO2 went back to 98. I went home, felt weak. The Dr said to take it easy next couple of days. Work stated to only come back when feeling normal. My husband tested for COVID 20th. 1/26 I tested COVID +. I felt like it would be negative due to having both vaccines but it wasn't.

Other Meds: Lisinopril 20 mg/daily; Omega 3, Vit D

Current Illness: n/a

ID: 1129115
Sex: M
Age: 60
State: NC

Vax Date: 03/10/2021
Onset Date: 03/10/2021
Rec V Date: 03/24/2021
Hospital:

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

Lab Data:

Allergies: Corn

Symptom List:

Symptoms: Runny nose, sensation of throat closing up, difficulty swallowing. I could continue breathing nasally and could also drink water. Event cleared up around 6:00 PM the same day (date of vaccination).

Other Meds: Citrucel, Prevagen, BioHPF, Fish Oil, St. John's Wort

Current Illness: N/A

Date Died: 03/23/2021

ID: 1129117
Sex: F
Age: 56
State: AL

Vax Date: 03/15/2021
Onset Date: 03/23/2021
Rec V Date: 03/24/2021
Hospital:

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

Lab Data:

Allergies: cefdinir

Symptom List:

Symptoms: Patient passed away in her sleep 8 days after receiving 2nd dose of Moderna vaccine. Patient's family reports they believe it was a massive heart attack. They do not believe this was related to the vaccine.

Other Meds: Norco 325 mg-7.5 mg tablet 1 tab(s) orally TID prn, Notes: given by Pain clinic Methotrexate Sodium 2.5 mg tablet 3 tabs orally once a week folic acid 1 mg tablet 1 tab(s) orally once a day Periactin 4 mg 1 tab Oral bid for a

Current Illness:

ID: 1129118
Sex: F
Age: 33
State: TX

Vax Date: 03/01/2021
Onset Date: 03/03/2021
Rec V Date: 03/24/2021
Hospital:

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

Lab Data:

Allergies: Ceclor as an infant- no known allergies as an adult.

Symptom List:

Symptoms: 3/2/21-Low grade fever and headache. 3/3/2021-Itching covering entire body started around 7PM. 3/5-Hives started on face. 3/6- Injection site remained swollen, red, warm and firm to the touch. From 3/6-Present had hives moving all over body. Intense itch/burn at times that have been painful. Have been prescribed Atarax 25mg (3/6/2021) and increased to 50mg 3/10/2021, 7 day Medrol Dose Pak(3/10/2021), and a steroid injection (3/18/2021). As of today (3/24/2021) there has been no resolution. Hives continue to move over body, intense itching, and some pain.

Other Meds: Pristiq 100mg, VitD3, Unisom, Hair Skin and Nails vitamin.

Current Illness: None

ID: 1129119
Sex: M
Age: 52
State: PA

Vax Date: 03/20/2021
Onset Date: 03/20/2021
Rec V Date: 03/24/2021
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Allergies: None

Symptom List:

Symptoms: 4 Hours After: Severe Headache 6 Hours After: Fatigue 8 Hours After: Fever, Chills 24 Hours After: Severe Lower Back / Kidney Pain Right Side 48 Hours After: Severe Lower Back / Kidney Pain Right Side, Swollen Lymph-nodes 72 Hours After: Lower Back / Kidney Pain Right Side, Swollen Lymph-nodes

Other Meds: None

Current Illness: None

ID: 1129120
Sex: M
Age: 24
State: MO

Vax Date: 03/19/2021
Onset Date: 03/20/2021
Rec V Date: 03/24/2021
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Allergies: N/A

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Symptoms: Patient passed out 5 minutes after receiving vaccine. 12 hours later the patient had severe chest pain and went to the ED. He received a ketorolac shot there and returned home. 36 hours later, red dots were noticed on the patients feet and ankles (appeared to be petechiae). No other s/sx of bleeding but extreme fatigue, nausea, head fogginess, etc. has been experienced over the past 4-5 days. Patient w/ no PMH of any significance.

Other Meds: N/A

Current Illness: N/A

ID: 1129121
Sex: M
Age: 64
State: FL

Vax Date: 03/16/2021
Onset Date: 03/16/2021
Rec V Date: 03/24/2021
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Allergies: Fish, shellfish/penicillian and sulfur drugs

Symptom List:

Symptoms: Very sore arm for two days after initial injection. I felt warm but no high fever. I also felt like I had very low grade flu symptoms for about a day and a half (i.e. body aches and pains).

Other Meds: Amlodapin and liscinipril (5mg/day)

Current Illness: None

ID: 1129122
Sex: M
Age: 74
State: FL

Vax Date: 03/05/2021
Onset Date: 03/08/2021
Rec V Date: 03/24/2021
Hospital: Y

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Allergies: no

Symptom List:

Symptoms: pt states about 3 days after taking vax he started having severe lower back pains that lasted about 4 days. On 3/15/2021 he went to ER in because his heart was racing. His heart rate went from 64 to 176. He was treated as if he was having a heart attack or stroke. Labs showed he had not had a heart attack. He was admitted for AFIB and irregular heart beat and stayed for 4 days. Pt was discharged to FU w/PCP and Cardiologist. Appt w/ Cardiologist is on 3/26/2021. On 3/24/21 Pt still has a heart rate of 102.

Other Meds: vitamin A, B, B12, D3, C, COQ10, Fish Oil, Eliquis 5mg bds, Tamsulosin 4mg qd, sucralfate 1mg bds, atorvastatin 40mg qhs

Current Illness: no

ID: 1129123
Sex: M
Age: 36
State: GA

Vax Date: 03/23/2021
Onset Date: 03/23/2021
Rec V Date: 03/24/2021
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Allergies: None

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Symptoms: Mild headache, feeling generally unwell, fatigue a little over an hour after injection.

Other Meds: Lexapro

Current Illness: None

ID: 1129124
Sex: F
Age: 42
State: MT

Vax Date: 03/16/2021
Onset Date: 03/18/2021
Rec V Date: 03/24/2021
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Allergies: None

Symptom List:

Symptoms: Red itchy raised welt at injection site. Welt is gradually receding over time but is still visible one week later. Finger joints on left hand are slightly swollen and sore also.

Other Meds: Amolodipine Nexium

Current Illness: None

ID: 1129125
Sex: F
Age: 64
State:

Vax Date: 12/23/2020
Onset Date: 12/23/2020
Rec V Date: 03/24/2021
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Symptoms: Employee received .2 cc of Pfizer instead of .3 cc which was inadvertently administrated by vaccine nurse. NO ADVERSE REACTION, just reporting medication error. Our Vaccine Task Force, after speaking with CDC and DOH, decided to offer the employee an additional COVID-19 vaccine dose

Other Meds:

Current Illness:

ID: 1129126
Sex: M
Age: 35
State: IN

Vax Date: 03/22/2021
Onset Date: 03/22/2021
Rec V Date: 03/24/2021
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Allergies: None

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Symptoms: Hand on arm that shot was administered has a tingling feeling that has been going on since a couple hours after shot. Feels like when your hand is "waking up" after "falling asleep" doesn't hurt, it just won't stop doing it

Other Meds: None

Current Illness: None

ID: 1129127
Sex: F
Age: 66
State: SC

Vax Date: 03/19/2021
Onset Date: 03/20/2021
Rec V Date: 03/24/2021
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Allergies: no

Symptom List:

Symptoms: Approximately 12 hours after shot (during the night), I woke up with debilitating pain in multiple parts of my body: wrists; left groin and leg; neck/shoulders; lower back and had a headache. All of these areas were thrubbing and interrupted sleep. Also was very weak. Was difficult to get out of bed or a chair and to walk. Also had loss of appetite. At no time, did I have a temperature.(Note: I play tennis so was very active early in the week). The course of the symptoms has lasted 96hours but now seems to be subsiding. After 48 hours of inability to do any normal life activities, I contacted my physician who prescribed a cordtisone shot and anti-inflamatory medication, which I've taken for 2 days.

Other Meds: Olmesartan Medoxomil 20 mg Atorvastatin 40 mg D3

Current Illness: no

ID: 1129128
Sex: F
Age: 87
State: NJ

Vax Date: 03/17/2021
Onset Date: 03/18/2021
Rec V Date: 03/24/2021
Hospital: Y

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Allergies: Codeine - Nausea Sulfa - Nausea PCN - Nausea

Symptom List:

Symptoms: Pt states she got her COVID vaccine on Wednesday 3/17 and has been having nausea, vomiting, hoarseness, and fever since.

Other Meds: Home Medications: Vitamin D3 (calcium cit-phos) Omeprazole PO 40 mg every day Plavix PO 745 mg every day Mirtazapine PO 15 every day Vitamin C PO 1 tabs every day Amlodipine Besylate PO 2 mg at bedtime Atorvastatin Calcium PO 40 mg

Current Illness: As per NP who cares for patient at home, patient has a hx of chronic nausea and has been prescribed ondansetron at home.

ID: 1129129
Sex: F
Age: 60
State: IN

Vax Date: 03/22/2021
Onset Date: 03/23/2021
Rec V Date: 03/24/2021
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Allergies: None

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Symptoms: Headache, chills, low fever, tired

Other Meds: None

Current Illness: None

ID: 1129130
Sex: F
Age: 56
State: TX

Vax Date: 03/13/2021
Onset Date: 03/16/2021
Rec V Date: 03/24/2021
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Symptoms: I received my J&J vaccine on 03-13-2021. On 03-16-2021 I woke up and the left side of my shoulder, both knees, both legs and both feet are inflamed. I also have cramps to both of my shoulders. On Saturday 03-20-2021 when I woke up my right eye was also inflamed but only lasted one day. I have spasms to my calves with leg cramps. I can not sleep at night due to the inflammation. I went to see my PCP this morning who prescribed a leg cream for the cramps, but I do not know the name. My blood pressure today in the morning was 154/96. My doctor said it was a reaction to the vaccine.

Other Meds: Metoprolol, Aldomecine

Current Illness:

ID: 1129132
Sex: M
Age: 60
State: MD

Vax Date: 03/24/2021
Onset Date: 03/24/2021
Rec V Date: 03/24/2021
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Allergies: No known allergies

Symptom List:

Symptoms: Patient received his first dose of Moderna vaccine and reported feeling his heart rate go up around 20 minutes later. He alerted the nurse, who checked his vital signs, which were slightly elevated with a minor elevation in heart rate at 106. He denied dizziness, chest pain, extremity numbness/tingling, and any other signs. He continued to feel palpitations for about 30 minutes, but HR continued within normal limits < 100 during that time. After about a half an hour he began to feel better, and was assisted to his car by county staff. EMS offered and declined.

Other Meds: Atenolol 12.5 - 25 mg as needed for palpitations/PVC's Aspirin 81 mg daily

Current Illness: Back injury four days ago

ID: 1129133
Sex: F
Age: 61
State: VA

Vax Date: 01/14/2021
Onset Date: 01/16/2021
Rec V Date: 03/24/2021
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Allergies: No

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Symptoms: I started developing painful nodules upper neck(right), around outside ear(sright) lower jaw line. Being a nurse I thought I was breaking out as the days went by I noticed it was Shingles.

Other Meds: Lexipro

Current Illness: No

ID: 1129134
Sex: F
Age: 13
State: GA

Vax Date: 03/23/2021
Onset Date: 03/23/2021
Rec V Date: 03/24/2021
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Allergies: None

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Symptoms: 13 year of age female vaccinated in error. Under age of 16. Height 5 feet 5 inches; Weight 136 pounds.

Other Meds: None

Current Illness: None

ID: 1129135
Sex: F
Age: 72
State: MA

Vax Date: 02/27/2021
Onset Date: 03/07/2021
Rec V Date: 03/24/2021
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Allergies: no known

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Symptoms: A. itchy rash and hardness with redness developed after a week. used over the counter hydrocortisone cream once that evening. next day the itch has subsided, the redness and hardness took 3 days to slowly fade away.

Other Meds: Valsartan tabs 160mg (one a day), Glipizide XL tab 205mg (three time a day), Hydrochlorothiazide Cap 12.5 mg (twice a day) Calcium Citrate Magnesium ans Zinc with D3 B12 D3

Current Illness: none

ID: 1129136
Sex: M
Age: 45
State: FL

Vax Date: 03/19/2021
Onset Date: 03/22/2021
Rec V Date: 03/24/2021
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Allergies: NONE

Symptom List:

Symptoms: ABDOMINAL PAIN, MORE INTENSE IN THE LOWER LEFT SIDE. RASH ALL OVER THE BODY MORE INTENSE IN HANDS AND HEAD.

Other Meds: NONE

Current Illness: NONE

Total 2021 VAERS Injuries: 599,999

Page last modified: 03 October 2021 5:28pm