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: 1131364
Sex: M
Age: 32
State: NC

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: NO

Symptom List:

Symptoms: Patient went pale, eyes were dilated, and was unresponsive. Emergency protocol was immediately enacted.

Other Meds: Patient is not a normal customer so no record of medications or supplements

Current Illness: No

ID: 1131365
Sex: F
Age: 71
State: CO

Vax Date: 02/25/2021
Onset Date: 03/06/2021
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: On March 6, I woke up feeling like I had a Charlie horse in my left calf. I tried to walk and it was sore but I felt it would go away in a day or two. By Wednesday, March 10, I called my doctor and after telling them my left calf hurt , they had me come right in. After seeing dr I was sent to get a sonogram immediately and was told I had a blood clot inside my left knee. I was sent back to Dr and was given Xerelto 15 mg twice a day for 21 days and the 20 mg once a day until gone. Today,, it is still sore. I am asking if I should take my second shot on March 29 or not.

Other Meds: None

Current Illness: None

ID: 1131366
Sex: F
Age: 50
State: NY

Vax Date: 01/13/2021
Onset Date: 01/15/2021
Rec V Date: 03/24/2021
Hospital:

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

Lab Data:

Allergies: Sulfa, morphine, hydrocodone, keflex, clindamycin, malarone, mucinex, omeprazole, MRI contrast dye

Symptom List:

Symptoms: Swelling in left axilla, pain in lower arm.

Other Meds: Pepcid 20mg daily, MVI 1 tab daily, claritin 10mg

Current Illness: None

ID: 1131367
Sex: F
Age: 34
State: CA

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: Clindomycin

Symptom List:

Symptoms: Disruption of menstrual cycle: cycle is usually regular, but started a week early (started the day after vaccine was administered)

Other Meds: Levothyroxine, amitriptyline, propranolol, bupropion

Current Illness:

ID: 1131368
Sex: M
Age: 62
State: UT

Vax Date: 03/12/2021
Onset Date: 03/12/2021
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: Sore right shoulder/arm, Extreme fatigue and hot sweats. No issue the morning of day two.

Other Meds: 25 MG Protonix, 81 MG Aspirin (Heart Health). Ocuvite (Eye Health)

Current Illness: None

ID: 1131369
Sex: M
Age: 42
State: AK

Vax Date: 01/05/2021
Onset Date: 01/12/2021
Rec V Date: 03/24/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: Localized sore on the vaccine site , then turned into big localized rash 7 days after getting the 2nd dose with itchiness, bumps, and clear discharges. Currently still have marks on the injection site.

Other Meds: Vit D3, Aleve, Omega-Fish oil, Multi-vitamin.

Current Illness: None

ID: 1131370
Sex: F
Age: 62
State: TN

Vax Date: 03/13/2021
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: None

Symptom List:

Symptoms: Injection site is 3? round, red, feels warm to the touch, itches. This started about a week after the injection when I went swimming I?ve taken Benadryl and rubbed Benadryl cream on the area

Other Meds: Synthroid Multi vitamin Adult aspirin

Current Illness: None

ID: 1131371
Sex: F
Age: 33
State: OK

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: doxycycline

Symptom List:

Symptoms: Patient reported that her lips and throat were tingling at 3:07. Her cheeks were flushed and her neck under her jaw was reddened. After observing patient and asking a few questions (no difficulty breathing or swallowing, no injection site soreness or swelling), I decided to give her 25 mg of diphenhydramine syrup at 3:15. Gave her a cup of water. 3:28 : BP was 155/93 P 88 R-16. Patient feeling lightheaded and still flushing at 3:33, so I gave another 25 mg of diphenhydramine (after deciding 180lb required 50mg diphenhydramine). 3:53 BP was 133/87 P 73. 4:05 Patient reported feeling better. Patient left at 4:20. Patient was instructed to call 911 if symptoms arose again.

Other Meds: none

Current Illness: none

ID: 1131372
Sex: F
Age: 68
State: CA

Vax Date: 03/19/2021
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: None

Symptom List:

Symptoms: Injection site is the size of a golf ball and there is a poison oak like itchy rash. It is also slightly red and tender.

Other Meds: Multi vitamin

Current Illness: Herpes outbreak

ID: 1131373
Sex: F
Age: 50
State: IN

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: No

Symptom List:

Symptoms: I felt like I had covid all over again, achey joints, hot, then cold, VERY tired.

Other Meds: Multi vitamin, prebiotic, collagen, vitamin D, calcium, levothyroxine

Current Illness: No

ID: 1131374
Sex: F
Age: 54
State: NC

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: None

Symptom List:

Symptoms: Body aches Chills Headache Sore arm

Other Meds: Tylenol

Current Illness: None

ID: 1131375
Sex: F
Age: 24
State: TX

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

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

Lab Data:

Allergies: Pet hair

Symptom List:

Symptoms: I broke out in hives a couple of hours after my vaccine. It covered my arms, legs, feet, hands, and shoulder blade.

Other Meds: N/A

Current Illness: N/A

ID: 1131376
Sex: M
Age: 58
State: NJ

Vax Date: 03/09/2021
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: None

Symptom List:

Symptoms: Seizures 4 days after the vaccine

Other Meds: None

Current Illness: None

ID: 1131377
Sex: F
Age: 42
State: MA

Vax Date: 12/29/2020
Onset Date: 01/20/2021
Rec V Date: 03/24/2021
Hospital:

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

Lab Data:

Allergies: Clarithromycin Pet dander

Symptom List:

Symptoms: On January 20th I got shingles on my left abdomen. second moderna given on 1/28/21. Rash began to heal, but then had another outbreak in the same location February 15th with nerve pain. Treated with valtrex. Two weeks later I had one more small outbreak. Still with continued pain and tiny dots on stomach though seeing improvement.

Other Meds: Vitamin D 2000mcg

Current Illness: None

ID: 1131378
Sex: F
Age: 86
State: OR

Vax Date: 03/06/2021
Onset Date: 03/17/2021
Rec V Date: 03/24/2021
Hospital:

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

Lab Data:

Allergies: nuts

Symptom List:

Symptoms: 11 days later, extreme pain in the trapezius muscle/ strain, to the point that arm was useless. Extreme pain radiated from arm to shoulder and neck area, mimicking symptoms of stroke.

Other Meds: Metoprolol, Glipizide, multi-vitamin

Current Illness: no

ID: 1131379
Sex: F
Age: 53
State: NJ

Vax Date: 03/12/2021
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: Macrobid

Symptom List:

Symptoms: EXTREME debilitating fatigue 4 about 9 days. Unsteady on feet, brain fog

Other Meds: Lamictal, Buproprion, Armour Thyroid, Metformin, Prozac, Vit D, Omega 3, Digestive Enzyme

Current Illness: None

ID: 1131380
Sex: M
Age: 59
State: OH

Vax Date: 03/21/2021
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: Morphine and Demerol

Symptom List:

Symptoms: Fever, chills, sweats, body aches, dizziness, fatigue, nausea

Other Meds: Metoprolol ER 25 mg, Crestor 5 mg, multi-Vitamin, B-12 1000 mg, Vitamin D 5000 IU, Warfarin 5mg, Tumeric 500mg, Tamsulosin HCL 0.4 mg, verapamil ER 180 mg, Buspar 5 mg, Tizanidine 2mg, Zinc 30 mg, Vitamin C 500 mg.

Current Illness: Prostate Cancer

ID: 1131381
Sex: F
Age: 53
State: FL

Vax Date: 03/16/2021
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: SULFA, CASHEWS

Symptom List:

Symptoms: RASH IMMEDIATE AREA SURROUNDING VACCINATION AND SEVERAL AREAS ON THE UPPER ARM. SLIGHTLY RAISED AND HOT TO TOUCH I took claritin reditab 10mg and a holistic Hylands seasonal allergy relief but nothing has helped

Other Meds: Several Rx meds and herbal but on for a long time prior

Current Illness: sinus inflamation, possible infection?

ID: 1131382
Sex: F
Age: 30
State: CA

Vax Date: 01/07/2021
Onset Date: 01/07/2021
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: After a few hours experienced swollen throat, difficulty breathing for about 1week. Use personal inhaler and Benadryl to self medicate. Did not seek medical care outside the home--father is a surgeon.

Other Meds: unknown

Current Illness: unknown

ID: 1131383
Sex: F
Age: 59
State: AZ

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

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

Lab Data:

Allergies: Iodine(contrast die), codine

Symptom List:

Symptoms: 16 min after injection i feltmlike i needed fresh air as it felt like i couldn't get a good breath. I asked to go outside and was told no. I moved from back to the front as i felt cold and was swearing. It was sift chsnge and the staff was huddled in a corner and i called for help.2x before taking off my mask amd callinf a thried time. By this point i felt like vomiting and nedded immediate water. The thirst was intrnse. The University of Arizona didn't have anything for me to throw-up into except a half full used large janitorial garbage can. I was given water and that really helped the thirst and nausea. The nurse came and put a monitor on my finger and immediately took me to a back area where rhe cold sweat and chills now covered my whole body and the thirst returned. Tje nurse took my vitals and i remember my heartbeat reading in the 30s and had a very low blood pressure. No one ever experienced what was happening and i asked if i was going to die. The only thing they had to lie down on was an army cot 6" off rhe ground. I wanted to lie down so badly buy it had no sheets, pillow or anything. With all the money they get from the feds they should be able to afford a gurney. I was never told the truth about what had happened to me. I was let go with a very low heart rate of 51. My normal is 68 to 78. No follow up instructions.

Other Meds:

Current Illness:

ID: 1131384
Sex: F
Age: 48
State:

Vax Date: 03/11/2021
Onset Date: 03/12/2021
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 started the following morning and increased to 102 degrees. Left arm sore but also welt formed the following day. Arm was sore for nearly a week. I had headaches, joint pains and fatigue. The fever lasted for approximately a day and a half. 102 for the first and evening. Took 2 Advil and the fever broke but returned but was only low grade. Fatigued lasted a week but that could have been because my seasonal allergies started around the same time (not sure if it came on naturally or from the vaccine).

Other Meds: Losartan Rescue inhaler Multivitamin

Current Illness: N/A

ID: 1131385
Sex: F
Age: 46
State: VA

Vax Date: 03/15/2021
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: Tree Nuts

Symptom List:

Symptoms: I developed a rash at the injection site one week following my injection. The rash started that evening. It was a small, hard, red bump, pea size in diameter, and itched. The next morning it was still red and hard. It was the size of a nickel and continued to itch. I went to see my primary care physician that afternoon. He diagnosed it as a reaction to the vaccine. Now, 48 hour plus, it has continued to grow and itch. It has remained red and hard. I have been putting ice one the areay, Advil a couple of times a day, and I take allergy medicine daily.

Other Meds: Albuterol Inhaler, Claritin, Ditropan, One A Day Vitamin, Herbal Menopausal Tea

Current Illness:

Date Died: 03/22/2021

ID: 1131386
Sex: M
Age: 69
State: OR

Vax Date: 03/20/2021
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: WELLBUTRIN TABLETS, CONTRAST MEDIA, MORPHINE, CHANTIX

Symptom List:

Symptoms: death

Other Meds: 1. CHOLECALCIF 25MCG (D3-1,000UNIT) TAB Take two tablets by mouth every day 2. CYANOCOBALAMIN 1000MCG TAB Take one tablet by mouth every day 3. LIDOCAINE 5% OINT Apply thin film topically to affected area four times a day As

Current Illness: NSCLC in RUL diagnosed 3/2019 s/p XRT Local recurrence diagnosed 8/2020 based on radiographic diagnosis. CT on 11/2/20 - expanding suprahilar lesion 4.9 x 2.8 -- > 6.7 x 4.1, new satellite nodule 1.3 x 0.6. Undergoing definitive XRT and wife states he had his 6th treatment today. Erosive change L4 VB adjacent to penetrating aortic ulcer, without bone marrow edema or enhancement - non-invasive ID evaluation was non-diagnostic - Ceftriaxone was started 9/17-dosed continously through 1/6/21 endovascular surgery - Daptomycin 9/17-9/29 but stopped due to elevated CK (in 2000s) and transitioned to dalbavancin, 1st dose 10/1, dosed *continuously* thereafter with last dose 12/29/20 Was last seen by Dr. on 1/25/21, and plan is to continue cefdinir and doxy 4 weeks post-surgery: through Feb 3, then stop. AAA with a saccular component eroding into vertebral body. Endovascular stent placement and aortic biopsy on 1/6/21 as above, all blood and tissue cultures were negative. COPD, severe Worked in a foundry, covered in soot, for many years Dependent on home O2, 3 lpm with activity and 1 lpm with sleep. PFT in 10/2016 showed severe airflow obstruction post-bronchodilator. HFpEF Followed by cardiology service TTE 10/2018: Technically limited study. The left ventricle is borderline dilated. Normal systolic function. The right ventricle is normal in size

ID: 1131387
Sex: F
Age: 27
State:

Vax Date: 03/19/2021
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: Aloe

Symptom List:

Symptoms: Fever of 104.1 lasting for 24 hours, Brady aches, chills, swelling the size of a baseball and redness at injection site

Other Meds: Cetrizine

Current Illness:

ID: 1131388
Sex: F
Age: 56
State: MA

Vax Date: 02/19/2021
Onset Date: 02/19/2021
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: Fever, chills, fatigue. Began within 10 hours of receiving the vaccine. Symptoms lasted overnight. Next morning, no symptoms. Then 36 hours after the vaccine (by 6:00 pm next day), low grade fever and chills and fatigue again. Sore arm on day 2 only.

Other Meds: Levothyroxine, Benadryl

Current Illness: None

ID: 1131389
Sex: F
Age: 51
State: CT

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: valacyclovir, adhesives

Symptom List:

Symptoms: I got my shot around 12:20pm. After about 10-15 minutes, my tongue felt strange (like it was larger or heavier) and my mouth was dry. I thought maybe I was just thirsty. Shortly after that, I felt a pressure toward the bottom of my neck, like someone was pushing their thumb on my lower neck. Then, I felt pressure going down my chest. I told the monitor, and she brought the nurses over. The nurses took me to a different location for monitoring. I took some benadryl at about 12:45 pm. At 12:55pm, my throat began to close up, and when I breathed in, it was like a tiny straw was in my throat. The nurses gave me an epinephrine shot and called the ambulance. This event happened on 3/20/2021. On 3/21, I was physically and emotionally drained. I still had a slight pressure going down my chest. On 3/22, I went to work and developed a headache and was nauseous and my stomach was cramping by 10am. I went to the allergist at 3pm. She told me to take non-PEG liquid benadryl and Pepcid AC. On 3/24/2021, I still feel like I have some tightness in my chest (very minimal but still present) and a headache and am continuing to take liquid Benadryl.

Other Meds: Singulair, Zyrtec, flovent, rescue inhaler

Current Illness: none

ID: 1131390
Sex: M
Age: 52
State: CA

Vax Date: 02/17/2021
Onset Date: 02/21/2021
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: Grade 3 worsening of psoriasis: START DATE 02/21/2021; ONGOING Grade 3 psoriatic arthritis: START DATE 02/27/2021; ONGOING CLINICAL COURSE: SEVERE FLARE SKIN PSORIASIS, W/ PAIN, PRURITIS AND BLEEDING SECONDARY TO ITCHING. SEVERE PAIN LEFT SHOULDER (9/10), MILD PAIN RIGHT SHOULDER (1-2/10) W/ COMPROMISE OF ADLs (DRESSING, COMBING HAIR AND TRANSFERRING) ACTION TAKEN WITH STUDY DRUG (VACCINE): N/A MANAGEMENT OF BOTH ADVERSE EVENTS: FIRST DOSE OF TREMFYA 100MG SC SCHEDULED FOR 03/25/2021

Other Meds:

Current Illness:

ID: 1131391
Sex: F
Age: 30
State: NH

Vax Date: 02/19/2021
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: None

Symptom List:

Symptoms: Shingles

Other Meds: Adderall, zyrtec

Current Illness: None

ID: 1131392
Sex: F
Age: 66
State: FL

Vax Date: 03/01/2021
Onset Date: 03/02/2021
Rec V Date: 03/24/2021
Hospital:

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

Lab Data:

Allergies: NA

Symptom List:

Symptoms: Moderna COVID-19 Vaccine EUA Soreness in the arm the evening of the day given the shot. The next morning I had a mild headache and chills. I put on warm clothes and turned the heat to 76, which I never do. The headache and chills were gone by 8:00 pm.

Other Meds: Atorvastatin Glimepiride Januvia Losartan Cetirizine

Current Illness: NA

ID: 1131393
Sex: F
Age: 30
State: CA

Vax Date: 02/05/2021
Onset Date: 02/07/2021
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: 2 hours after second dose had swollen throat, fever and body aches. Used own inhaler and Benadryl. Had premedicated before the second Moderna vaccine with Benadryl and Tylenol.

Other Meds: Pre-medicated with Benadryl and Tylenol beforesecond dose of the Moderna vaccine.

Current Illness: umknown

ID: 1131394
Sex: F
Age: 52
State: CA

Vax Date: 03/14/2021
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: NO

Symptom List:

Symptoms: LIP HERPES, AND EYE LID HERPES, TX. VALACICLOVIR 4 MG X DAY, COLD PACK. VIGINAL DYSPLASIA SECONDARY TO HPV

Other Meds: folic acid, estrogen, co-enzima Q10 (100 mg), calcium, topic estradio

Current Illness: Primary Antifosfolipid Syndrome

ID: 1131395
Sex: M
Age: 33
State: UT

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: 10 to 15 minutes after receiving the vaccination. The patient reported to a pharmacy technician they were feeling unwell. As the patient went to sit down they fainted. Patient was unresponsive for roughly a minute exhibiting tensed arm and neck muscles. Muscles also contracted several times during the episode. Patients eyes were open during the episode but they could not be coaxed to speak signal or blink. Additional patient symptomology as follows: elevated pulse, constricted pupils, flushing/redness in the face & neck. For this reason, medical staff called 911. Patient became responsive and reported losing consciousness and having no recollection of majority of the event. Upon arrival EMT's took over patient care. Patient left with EMT's

Other Meds: unknown - not a usual patient

Current Illness: patient reported no sickness or health conditions

ID: 1131396
Sex: F
Age: 48
State: WA

Vax Date: 03/23/2021
Onset Date: 03/23/2021
Rec V Date: 03/24/2021
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Allergies: arythromycin, latex, adhesive, strawberries, aspartame

Symptom List:

Symptoms: approx 1705 pt recieved vaccine. 1735 pt reported throat closing, has had hx of anaphylaxis in past and requested that we give her benadryl b/c it has helped in past. epinepherine available but pt declined. 1737: gave benadryl 50 mg PO to pt. 1745: pt reported throat feeling better, VS stable, HR a bit elevated according to pt. A&O x 4, no other signs of anaphylaxis. 1800: snack and water given to pt. throat "ok", almost back to normal, reported feeling slightly dizzy or "spinny" 1812 Pt states that she "feels better and OK to leave" with husband, VSS vital signs: 1737 HR 114, BP 134/86, RR 18, O2 98% 1743 HR 111 BP 119/74, RR 16, O2 97% 1748 HR 112, bp 131/86, RR 20, O2 97% 1753 HR 107, BP 134/74, O2 97% 1806 HR 103, BP 139/87, RR 16, O2 97% 1810 HR 99, BP 138/86, RR16, O2 97%

Other Meds:

Current Illness:

ID: 1131397
Sex: F
Age: 85
State: OR

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

Symptom List:

Symptoms: The day after the shot--fever, very tired all day. Very tired the second day after the shot.

Other Meds: Metropolol, Spirolactone, Losartan, Gabapentin, Atorvastatin, D3, Cholestyramine, Visbiome, (Took Tylenol and Zyrtec night before but it was13-14 hours after receiving vaccine)

Current Illness: None

ID: 1131398
Sex: M
Age: 71
State: CA

Vax Date: 01/20/2021
Onset Date: 01/23/2021
Rec V Date: 03/24/2021
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Allergies: None

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Symptoms: Approximately 3 days after the 1st dose vaccine developed diarrhea. Significant worsening of the symptoms after the 2nd dose which was given 2/17/2021. Began having severe blood diarrhea and abdominal pain

Other Meds: None

Current Illness: None

ID: 1131399
Sex: M
Age: 84
State: ND

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

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Allergies: amoxicillin, iodinated diagnostic agents, levofloxacin, duloxetine, mometasone, acetylcysteine, gabapentin, pregabalin, statins, trazodone,

Symptom List:

Symptoms: Hospital Course: Patient was admitted 2 days after having received his COVID-19 vaccine and had SIRS including hypotension. Was believed to be a possible reaction to the vaccine. He was admitted to the ICU and briefly he needed vasopressors. The hypotension resolved and did not recur. An echocardiogram showed that he had a moderate pericardial effusion, cardiology saw him and does not believe that this contributed to the hypotension. He also thought his stools were dark however he has had quite dark stools for many years he told me, ever since he was started on iron pills. He could not confirm whether or not the stools might be a little darker than usual for him and he also had 1 out of 3 stool occult blood test that were positive. He has chronic anemia with the hemoglobin slightly lower than his baseline, so GI was consulted and an EGD was performed. He does have Barrett's esophagus and GI discussed with him how he will need follow-up EGDs, and I reminded him of that as well. Warning signs and alarm symptoms were discussed. He was placed back on his Eliquis however he will not be taking the Effient medication. This was based on recommendation from cardiology. He will have lab work done and see his primary care provider within several days. He will also have a video capsule test done and pick this up either today or tomorrow and follow-up in several days with GI. Discussed going back on his low-dose Eliquis with GI. Discussed with cardiology and GI and discussed with the patient the risks, benefits and alternatives. He will watch for any signs of bleeding and stick with a low dose of Eliquis.

Other Meds: pantoprazole, Niferex, albuterol inhaler, apixaban, Symbicort, Vitamin D, clindamycin, cyanocobalamin, Avodart, Folic acid, furosemide, Culturelle, Keppra, Nitrostat, Benicar, Crestor, Zoloft, Thiamine, Spiriva, Vitamin C

Current Illness:

ID: 1131400
Sex: F
Age: 70
State: CA

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 03/24/2021
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Lab Data:

Allergies: Codeine- severe anaphylaxis 42 years ago, generalized muscle cramps 48 hours after majority of influenza vaccines- did not happen after Fluarix quadrivalent in 2019 and also in 2018. Allergy to milk in the early childhood.

Symptom List:

Symptoms: Shortness of breath, severe chest tightness started 5 to 8 minutes after the injection lasted for 5 minutes and were followed by an overwhelming weakness, confusion, later also by abdominal cramps, some urinary urgency- all gradually improved over 30-40 minutes. I felt later agitated, had dry mouth, headache- improved after drinking 8-10 cups of water. I did not seek help. I stayed in the shot area in a large tent.

Other Meds: Losartan 50 mg, Simvastatin 20 mg

Current Illness: HTN, mild GERD, multinodular goiter-euthyroid.

ID: 1131401
Sex: M
Age: 78
State: OH

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

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Allergies: No known allergies

Symptom List:

Symptoms: The patient presented to the ED with complaints of fatigue. The patient was found to have an NSTEMI and suspected pneumonia on x-ray. The patient was started on a heparin drip, ceftriaxone, and azithromycin. BP was 176/101, pulse 93, O2 sat of 95% and temp 99.3 F. Patient is being admitted to the hospital for continued treatment of NSTEMI.

Other Meds: acetaminophen, amlodipine, aspirin, atenolol, atorvastatin, carbamazepine, cyanocobalamin, ferrous sulfate, Lantus, cholecalciferol

Current Illness:

ID: 1131402
Sex: F
Age: 56
State: FL

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

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Symptoms: Within 5-7 minutes of getting the vaccine, I felt a cold sensation in my brain followed by a tingly sensation in my face, sick on my stomach, dizziness and feeling faint. My husband told me to lean by in my chair, and I did. For a minute or two I felt slightly better, but then it started again; my stomach hurt, I felt dizzy and felt like I was going to faint. My husband got out of the car and went to get the paramedics. When they arrived, they asked me if I could walk to the tent. I knew I had to because I knew I was in trouble. When I got to the tent, I sat down and told the paramedics I was going to faint, and I did. When I regained consciousness, I threw up twice. The paramedics put a heart monitor on me, (from what my husband told me) they took my blood sugar, (I heard the paramedic say the result, and I told him I was not a diabetic). They put an IV in me, and gave me fluids, (from what my husband told me). They sent me by ambulance to ER. In the ED, I told the doctor what happened. She said what happened were not the side effects of the vaccine. After lying supine for sometime, I started to feel the same symptoms again; sick on my stomach, dizziness and feeling like I'm going to faint. I called out for someone. When the doctor came in, I told her I was starting feel the same way as before. She said my labs were great, and they were ready to discharge me; but I could stay if I wasn't ready to go. I told her I trusted her judgement, and was discharged. Throughout the day, I had the same symptoms, but did not faint again.

Other Meds: I starting taking Valacyclovir for a herpes outbreak 10 days prior to my vaccine and stopped taking it 3 days before getting the vaccine.

Current Illness: None

ID: 1131403
Sex: F
Age: 68
State: MA

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

Symptoms: 3/23/21 started fever:temp max 102.9 on and off through 3/24/21 3/24/21: temp max: 100.5 Used Tylenol Extra strength Fevers now resolved Below Lt arm injection site 3in x 1in size, site slightly warm, red, swollen, itching, rash, Called PCP and recommended benadryl

Other Meds:

Current Illness:

ID: 1131404
Sex: F
Age: 30
State: WI

Vax Date: 03/24/2021
Onset Date: 03/24/2021
Rec V Date: 03/24/2021
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Allergies: Amoxicillin, Penicillin

Symptom List:

Symptoms: After the first 10 minutes, vision blurry and anxious, felt like she was going to pass out. Pt unaware if she lost consciousness. then had emesis. Appears pale and dry in oral mucosa. 1910. Now with complaints of stomach cramps. Drinking water. Emergency team called and patient refused transport to ER.

Other Meds: Excedrin, vitamins, vit D, Magnesium, Lamotrigine(last dose 3/22,) Lorazepam

Current Illness:

ID: 1131405
Sex: M
Age: 55
State: CA

Vax Date: 03/01/2021
Onset Date: 03/01/2021
Rec V Date: 03/24/2021
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Allergies: none

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Symptoms: Patient was vaccinated on 3/1/2021 with 1st dose Pfizer, lot EN6205 expiration date 6/30/2021. Patient informed RN that he had flushing, felt hot and dizzy approximately 2min after receiving 1st dose and symptoms resolved 2min afterwards. Patient denied allergies, medications, and medical conditions. Patient suffers from seasonal allergies. RN relayed information to PHN who texted the medical team. Per the medical team, patient is to wait until 28 days post 1st Pfizer dose before receiving Janssen vaccine, it is not recommended to receive Pfizer 2nd dose. Patient was advised to consult with his provider. VAERS report submitted 3/24/2021, confirmation number

Other Meds: none

Current Illness:

ID: 1131406
Sex: F
Age: 58
State: FL

Vax Date: 03/24/2021
Onset Date: 03/24/2021
Rec V Date: 03/24/2021
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Allergies: Penicillin and sea salt

Symptom List:

Symptoms: I received the vaccine and waited the 15 minutes with no issues (just felt a little jittery). I began the drive home and began feeling some nausea around 10 am. I thought it was because I had not eaten, so I stopped and picked up breakfast (scrambled egg with cheese and bacon). I got home, ate breakfast and then began logging in for work and the nausea grew. Around 11:30 am, I felt tired and the need to lie down, which I did for a while, then around 20 minutes later, I got up to go to the bathroom, feeling like I was going to vomit and have diarrhea. When I stood up, I felt really lightheaded, managed to only remove my pants and then got in the tub where I could lie down. I vomited (once) and had diarrhea for I don't know how long. At some point I was able to sit up and use my handheld shower to rinse off and get back to bed where I slept until about 4:30 pm. No more nausea although I am playing it safe and eating crackers and drinking ginger ale. I feel better now. Not sure it this was related to not eating and taking my antidepressant, food poisoning, or the vaccine. But felt I should report.

Other Meds: Duloxetine 60 mg

Current Illness: None

ID: 1131407
Sex: F
Age: 16
State: WA

Vax Date: 03/24/2021
Onset Date: 03/24/2021
Rec V Date: 03/24/2021
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Symptoms: Patient is 16 years old. Patient was given the moderna vaccine.

Other Meds:

Current Illness:

ID: 1131408
Sex: M
Age: 48
State: WI

Vax Date: 03/10/2021
Onset Date: 03/10/2021
Rec V Date: 03/24/2021
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Allergies: N/A

Symptom List:

Symptoms: 45 minutes to an hour after shot, ears started ringing or buzzing. Within 2 hours it became very loud to the point I could not hear a back ground radio reliably or could hear the ringing over the radio. Since then the ringing has gotten quieter but yet still always there and has not gone away at any point.

Other Meds: N/A

Current Illness: N/A

ID: 1131409
Sex: F
Age: 51
State: IL

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

Symptom List:

Symptoms: Myalgia mild to moderate Headache moderate Ear ache mild to moderate All over a 36 - 48 hour time period

Other Meds: Warfarin Hydroxyurea

Current Illness: None

ID: 1131410
Sex: M
Age: 47
State:

Vax Date: 03/11/2021
Onset Date: 03/23/2021
Rec V Date: 03/24/2021
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Symptoms: Pt received Janssen Covid vaccine on 3/11 and then again on 3/23. This was discovered by the homeless shelter staff on 3/24 and reported to HC provider. Pt denies any symptoms.

Other Meds:

Current Illness:

ID: 1131411
Sex: F
Age: 70
State: SC

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 03/24/2021
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Allergies: Penicillin

Symptom List:

Symptoms: Starting at 11:30pm started feeling queezy; then got chilled. The chills turned into shivering & body shaking & teeth chattering. Neck muscles & jaw muscles hurt. Dressed in polar fleece jammies, socks, flannel bed-sheets, two heavy duvets & couldn't get warm nor stop the shaking. Tried standing to walk it off but legs were like jelly. Tried bio-feedback to relax & stop the shivering but it just continued in wave after wave. My chest tingled and my heart felt like it was working hard. It subsided around 4:30a.m. The next day felt 'punk' muscles still jelly like & jaw really ached from chattering. The 2nd day was fine.

Other Meds: Simvastatin, Calcium, VitD, VitB, Zyrtec

Current Illness:

ID: 1131412
Sex: M
Age: 65
State: TX

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 03/24/2021
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Allergies: None

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Symptoms: Awoke to rapid heart rate and dangerously high BP. He was sweaty and light-headed. Couldn?t reach cardiologist so called PCP. She told him to take another Metoprolol and Multaq. She called in an emergency prescription in case needed during winter freeze we were under. Then the Oncologist reduced his Inlyta dosage.

Other Meds: Xarelto, Lisinopril, atoravastatin, Claritin, metoprolol, metformin, Inlyta, MulTaq, and Keytruda

Current Illness: None

ID: 1131413
Sex: M
Age: 65
State: FL

Vax Date: 03/18/2021
Onset Date: 03/21/2021
Rec V Date: 03/24/2021
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Allergies: Allergies to "certain rays of the sun"

Symptom List:

Symptoms: Pruritic rash that progressed to entire torso, head, extremities and hands that started 3 days after vaccine and worsened. Seen in office 6 days after and provided steroids, antihistamines

Other Meds: Lisinopril, simvistatin

Current Illness: None

Total 2021 VAERS Injuries: 704,237

Page last modified: 03 October 2021 5:28pm