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: 1139938
Sex: F
Age: 67
State: AZ

Vax Date: 03/23/2021
Onset Date: 03/25/2021
Rec V Date: 03/27/2021
Hospital:

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

Lab Data:

Allergies: Shellfish

Symptom List:

Symptoms: Pt reports having swelling, pain, skin redness and aches on L arm. Pt states pain is approx. 4-5 inches down from where vaccine was placed. Pt also reports a bump below where the vaccine was placed. It is not hard or warm to touch. Pt denies N/V/D and fever.

Other Meds: Adderall XR 25 mg CAP PO QD.

Current Illness: n/a

ID: 1139939
Sex: F
Age: 63
State: IL

Vax Date: 03/13/2021
Onset Date: 03/14/2021
Rec V Date: 03/27/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: PT CALLED ON 3-27 TO REPORT A BLOOD CLOT IN HER EYE AFTER RECEIVING THE VACCINE ON 3-13, STILL PRESENT

Other Meds:

Current Illness:

ID: 1139940
Sex: F
Age: 37
State: SD

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

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

Lab Data:

Allergies: Not on file.

Symptom List:

Symptoms: Patient reported feeling numbness and tingling in her Right arm (opposite of injection site). She was not feeling any other symptoms (shortness of breath, itching, feverish, dizzy, etc.). She stated she was comfortable going home and would follow up with provider next week (or seek medical attention if it became severe).

Other Meds: Not on file.

Current Illness: Not on file.

ID: 1139941
Sex: F
Age: 64
State: CO

Vax Date: 03/25/2021
Onset Date: 03/26/2021
Rec V Date: 03/27/2021
Hospital: Y

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

Lab Data:

Allergies: Malarone, Prilosec, HCTZ

Symptom List:

Symptoms: within 24 hours of her second Pfizer vaccine, she developed a right pneumothorax and was hospitalized.

Other Meds: Losartan, Estradiol, rizatriptan

Current Illness: none

ID: 1139942
Sex: F
Age: 35
State: NY

Vax Date: 03/18/2021
Onset Date: 03/24/2021
Rec V Date: 03/27/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Firm, slightly raised, 2-inch diameter swelling that is itchy (like a giant mosquito bite). Pregnancy so far unaffected :)

Other Meds: Metformin 500mg twice a day Prenatal vitamin Prenatal DHA Vitamin D3, 5000 iu Vitamin C with rose hips Zinc capsules

Current Illness: None

ID: 1139944
Sex: F
Age: 48
State: NY

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

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

Lab Data:

Allergies: Latex, ginger

Symptom List:

Symptoms: Numbness in outer left thigh 2 hours later. Numbness in neck and face 4 hours later

Other Meds: 2 ibuprofen at 11am Metformin 500 mg

Current Illness: No

ID: 1139945
Sex: F
Age: 70
State: NY

Vax Date: 03/26/2021
Onset Date: 03/26/2021
Rec V Date: 03/27/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Severe Chills, cold hands, high fever (102.4) Rectal...persisting now over 12 hours...treated with tylenol and advil; alternating doses with only partial and temporary relief...We were told about possible fever but not how high it might go...

Other Meds: VITAMIN D, biotin, lipitor 20mg, metamucil, co q 10, melatonin

Current Illness: none

ID: 1139946
Sex: M
Age: 66
State: WI

Vax Date: 03/16/2021
Onset Date: 03/16/2021
Rec V Date: 03/27/2021
Hospital:

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

Lab Data:

Allergies: Levofloxacin or Fluoroquinolone, Amlodipine Besylate, Beta Blockers

Symptom List:

Symptoms: Wheezing, tired, fever of 101.4, chills, muscle and joint pain, severe headaches, extreme nausea , swelling, itching and redness at injection site.

Other Meds: Alvesco Inhaler, Stiolto Respimat, Albuterol Inhaler,Loratadine, Fluticasone, Triam/Hctz, Losartan, Omeprazole, Mepolizumab, Centrum silver vitamin , Magnesium 400mg

Current Illness: Had reaction to first shot of Moderan 02/16/2021. Coughing, wheezing, raspy voice.

ID: 1139947
Sex: F
Age: 24
State: LA

Vax Date: 03/24/2021
Onset Date: 03/24/2021
Rec V Date: 03/27/2021
Hospital:

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

Lab Data:

Allergies: Tree nuts

Symptom List:

Symptoms: About 5 hours after my vaccine I had already been asleep for around 30 minutes when I was startled awake by my own rapid heartbeat, it was beating so fast and hard that I could hear it and it woke me up. I reviewed my literature about the vaccine I received at the pharmacy and saw this reaction could be due to an allergic reaction but as an uninsured person I had to just wait it out to see if it would go away. I drank a lot of water and started developing a headache but my heart rate finally slowed down enough that I was no longer alarmed, but it was still faster than usual. I went back to sleep around 2am only to awake once again around 5am because I had begun to experience the worst body aches I?ve ever felt as well as nausea and a pounding headache. I live on a semi truck with no bathroom so my fianc? had to take me to my parents house so I would have access to a bathroom. I took ibuprofen and Tylenol for my pain and took 6 showers in 24 hours just to soothe my body aches. It felt worse than any flu I?ve ever had (I received the flu vaccine back in January if that matters). I was extremely ill and had no appetite and pretty much just slept and cried for about 36 hours total, but yesterday afternoon I finally felt a little better although still experiencing a terrible headache. Today I woke up feeling completely fine. I just wanted to report my side effects.

Other Meds: None

Current Illness: None

ID: 1139948
Sex: M
Age: 60
State: CT

Vax Date: 03/24/2021
Onset Date: 03/24/2021
Rec V Date: 03/27/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: 1. Fever ~101 for 48 hours, dropping to 99.5 next 24 hours 2. Very achy muscles for ~48 hours, slight to moderate achy next 24 hours. 3. Very fatigued 36 hours, gradual improvement for next 32 hours. 4. Painful skin on both arms and hands for ~36 hours. 5. Swollen lower right leg and ankle for 24 hours. 6. Water retention for 12 hours. Treated self with Tylenol initial 12 hours then Advil afterwards.

Other Meds: Meloxicam

Current Illness: None

ID: 1139949
Sex: F
Age: 54
State: MT

Vax Date: 03/17/2021
Onset Date: 03/17/2021
Rec V Date: 03/27/2021
Hospital:

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

Lab Data:

Allergies: Morphine

Symptom List:

Symptoms: Severe arm pain. Inability to move or use it. Followed by a flare in arthritis through out my body. Severe pain. Swelling in joints. Fatigue. More than 10 days and ongoing.

Other Meds: Inability to move or use arm. Severe pain. Followed by autoimmune arthritis flare. Severe join and back pain. Fatigue.

Current Illness: Spondyloarthritis

ID: 1139950
Sex: M
Age: 21
State: MO

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

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

Lab Data:

Allergies: No allergies

Symptom List:

Symptoms: Patient reported feeling dizzy. Patient was sitting in chair and fainted approximately 5 minutes after receiving the vaccine. Patient was unresponsive for about 30 seconds. Patient was not injured from fainting (This writer was able to catch him and guide him to the ground). Patient remained in pharmacy for about 45 minutes. Patient was given water, a cold compress, and candy (Patient felt that his blood sugar was low and requested candy). Patient left feeling well.

Other Meds: Unknown

Current Illness: None

ID: 1139951
Sex: F
Age: 42
State:

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

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

Lab Data:

Allergies: Anaprox, shrimp, bees

Symptom List:

Symptoms: A lemon size swelling has appeared on my forehead. It is changing brown in color- resembles ringworm with swelling but no ring showing , metallic taste continues

Other Meds: Wellbutrin 300Xl, Botox migraine treatments

Current Illness: None

ID: 1139952
Sex: F
Age: 34
State:

Vax Date: 03/26/2021
Onset Date: 03/27/2021
Rec V Date: 03/27/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Breastfeeding exclusively an 11 week old infant boy. I have no adverse effects other than sore arm but within 24 hrs baby appetite decreased and vomited once so far.

Other Meds:

Current Illness:

ID: 1139953
Sex: F
Age: 47
State: IN

Vax Date: 03/25/2021
Onset Date: 03/27/2021
Rec V Date: 03/27/2021
Hospital:

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

Lab Data:

Allergies: Keflex, sulfa, Contrast dye (iodine), latex, Gluten (celiac), cinnamon

Symptom List:

Symptoms: Left arm -severe pain, numbness and tingling in left hand (occurred within a few hours of receiving vaccine). Left leg numbness and tingling from left hip all the way into left foot. Woke up with this on 3/27/2021. No recent low back injury. Did have a 2-disc lumbar fusion in 2001 that I have never had a problem with. Never had any low back pain, no further injuries, no leg symptoms/sciatica ever since 2001. Left leg feels like I sat on it for a long time and it went to sleep and now it is ?waking up? with pins and needles and numbness. It will not subside. Been going on for almost 6 hours (how long I?ve been awake).

Other Meds: Linzess, Montelukast sodium, synthroid, omeprazole, oxycontin, oxycodone, senna, Flonase, Advil

Current Illness: N/A

ID: 1139954
Sex: F
Age: 64
State: NY

Vax Date: 03/07/2021
Onset Date: 03/13/2021
Rec V Date: 03/27/2021
Hospital:

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

Lab Data:

Allergies: perfumes,dyes, chemicals ,mushrooms

Symptom List:

Symptoms: 6 days after 1st shot - woke up to severe veritgo (spinning) ,, dizzy,sweating , nauseous, lasted 2 1/2 full days . tingling of hairline and under the eyes, eyes were blurry for two days, starting getting heart palpatations, and blood pressure high and resting heart rate low and other times blood pressure was real low and resting heart rate as high as 125 even at rest not due to exercise... this continued with the heart irregularaties for abour two weeks. . i experienced unusal forgetfulness and couldnt recall things I knew .. i had mild fatigue... 3 weeks later Im about 90 percent but a little sluggish. finally was able to do yoga(bending over ) weights,,walking,etc.

Other Meds: omeprazole 20 mg multivitamin

Current Illness: none

ID: 1139955
Sex: F
Age: 68
State:

Vax Date: 03/22/2021
Onset Date: 03/25/2021
Rec V Date: 03/27/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: erythematous rash to right thigh

Other Meds:

Current Illness: no

ID: 1139956
Sex: F
Age: 70
State: MO

Vax Date: 03/26/2021
Onset Date: 03/26/2021
Rec V Date: 03/27/2021
Hospital:

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

Lab Data:

Allergies: none known

Symptom List:

Symptoms: Had side effects from the 2nd moderna vaccine. Side effects started the first day of the vaccine were fatigue, slight headache muscle pain, nausea. The following day the symptoms were worse with fatigue nausea, joint and muscle pain, and fever of 99.8. and headache that comes and goes, just feeling unwell. I plan to take tylenol to get through this. As of right now at 2 in the afternoon nothing has eased up yet. I know that you can experience side effects for 1 to 3 days but felt I should report these.

Other Meds: hydroxychloroquine meloxicam hydrochlorothiazide calcium with vitamin d3 vitamin b12

Current Illness: none

ID: 1139957
Sex: F
Age: 51
State: VA

Vax Date: 03/19/2021
Onset Date: 03/22/2021
Rec V Date: 03/27/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Friday, March 19, 2021 thru Sunday, March 21, 2021 - sore left arm on Monday, March 22, 2021 sore left arm was gone but tip of my tongue was numb and began with a slight ear ache with continue thru Thursday, March 25, 2021 woke up with my right side of my face paralyzed. Facial paralysis has continue from Thursday, March 25, 2021 until current today March 27, 2021. Doctor is treating symptom as bell's palsy and medication given is Prednisone 20MG tablets and Acyclovir 800 MG Tablets for a week if symptom proceeds physical therapy will follow.

Other Meds: none

Current Illness: none

ID: 1139958
Sex: F
Age: 61
State: HI

Vax Date: 03/26/2021
Onset Date: 03/26/2021
Rec V Date: 03/27/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Upset stomach. Aches. Fatigue. Weak.

Other Meds: Calcium. Vitamins D K B12 C

Current Illness:

ID: 1139959
Sex: F
Age: 51
State: CA

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: developed chest pain with numbness radiating down left arm. Paramedics called, patient refused transportation to ED for evaluation. Patient instructed to seek care if symptoms continue or get worse. Patient verbalized understanding of all information.

Other Meds:

Current Illness:

ID: 1139960
Sex: F
Age: 87
State: PA

Vax Date: 02/08/2021
Onset Date: 02/17/2021
Rec V Date: 03/27/2021
Hospital:

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

Lab Data:

Allergies: Allergic - Penicillin / Sensitivity: Codeine / Tramadal / Talwin / Tiagan / Aspirin / Sensitive to most narcotics

Symptom List:

Symptoms: High Liver enzymes

Other Meds: Levothryroxine / Sotalol HCL / Eliquis Verapamil / MSM Centrum Silver / Biotin -

Current Illness: None

ID: 1139961
Sex: F
Age: 86
State: AZ

Vax Date: 03/17/2021
Onset Date: 03/17/2021
Rec V Date: 03/27/2021
Hospital:

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

Lab Data:

Allergies: sulfa, codine

Symptom List:

Symptoms: Rash, chills, temp., loose stool,

Other Meds: Venlaxine Trazodone

Current Illness: none

ID: 1139963
Sex: F
Age: 70
State: MI

Vax Date: 03/24/2021
Onset Date: 03/26/2021
Rec V Date: 03/27/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: Vaccine Dose #1 Swelling on bottom of both feet near toes. Painful when walking. Lasted 2 days Vaccine Dose #2 Nausea, Violent and frequent vomiting, chills, sweating, headache, dizziness left side chest pain, with body and joint pain. Cannot retain liquids. Unable to sleep. All symptoms lasted for about 24 hours. During adverse event: High blood pressure 180/100 due to stress and pain.( Normal Blood Pressure is 110/60. ) Pulse rate = 74-80 bpm, blood oxygen saturation = 96%, and oral temperature = 98.1 F event. 95% Recovered from symptoms 36 hours after start.

Other Meds: Multi Vitaman, D3, Curcumin, Fish Oil

Current Illness: None

ID: 1139964
Sex: M
Age: 67
State: CO

Vax Date: 03/23/2021
Onset Date: 03/24/2021
Rec V Date: 03/27/2021
Hospital:

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

Lab Data:

Allergies: none known

Symptom List:

Symptoms: Chills, headache, fever

Other Meds: Levothyroxine 88 mcg; tamsulosin 0.4 mg

Current Illness: none

ID: 1139965
Sex: F
Age: 64
State: MI

Vax Date: 03/23/2021
Onset Date: 03/24/2021
Rec V Date: 03/27/2021
Hospital:

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

Lab Data:

Allergies: penicillin

Symptom List:

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA. Chills and low grade fever about 11 hrs after being vaccinated and the worse body aches I have ever had and tiredness and a splitting headache. Took some tylenol when I finally got out of bed at about 11:30 a.m. on the 24th, then at around 4:00 p.m. the same day, I started getting chills again, headache and ran 102.6 fever for about 2 hours, then fever gradually went down and was gone by 10:00 p.m. on 24th. The actual body aches finally started to diminish at the same time.

Other Meds: protonix, metoprolol, synthroid, baby aspirin, vitamin C, Zinc, Vitamin D3

Current Illness: none

ID: 1139966
Sex: F
Age: 48
State: OK

Vax Date: 03/26/2021
Onset Date: 03/26/2021
Rec V Date: 03/27/2021
Hospital:

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

Lab Data:

Allergies: Latex, bell peppers (latex free supplies were used)

Symptom List:

Symptoms: Tightening of throat, SOB, dizziness

Other Meds:

Current Illness:

ID: 1139967
Sex: M
Age: 63
State: CA

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

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

Lab Data:

Allergies: n/a

Symptom List:

Symptoms: no adverse reaction as of yet

Other Meds: n/a

Current Illness: n/a

ID: 1139968
Sex: F
Age: 24
State: TN

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: PATIENT CAME IN ALERT AND ORIENTED. STATED HAD A REACTION IN PAST TO VACCINES AND HAS FAINTED. PREVIOUS VACCINE FOR GOING OUT OF COUNTRY. PATIENT AGREED ALONG WITH MOTHER TO GET VACCINE TODAY. PATIENT RECEIVED VACCINE WITH NO INCIDENT. WE HAD HER SIT THERE AND SHE STARTED FEELING FAINT. SECOND VACCINATOR ALSO NEXT TO PATIENT. PATIENT DID FAINT AND SEEMS TO HAVE A SMALL SEIZURE AS HAD INVOLUNTARY ARM MOVEMENT AND HAD LOST CONSCIOUSNESS. PATIENT BECAME ALERT IN ORIENTED WITHIN 30 SECONDS. PATIENT STATED FELT BETTER BUT CALLED 911 FOR THEM TO COME ACCESS HER. MOM CALLED INTO ROOM AND STATED THIS INCIDENT HAD OCCURRED BEFORE. FIRE DEPARTMENT (EMS) IN STORE AND RESPONDED ALMOST IMMEDIATELY. PATIENT WAS ON FLOOR AT THIS TIME BY DIRECTIONS OF PHARMACY STAFF WITH FEET ELEVATED. BREATHING NORMAL, ALERT AND ORIENTED BUT APPEARS PALE (MOM STATES NORMAL SKIN COLOR). PATIENT ASSESSED BY EMS AND BLOOD PRESSURE LOW. PATIENT AGREED TO GO GET CHECKED OUT BY HOSPITAL DUE TO LOW BLOOD PRESSURE, PALE. LEFT WITH EMS STAFF.

Other Meds:

Current Illness:

ID: 1139969
Sex: F
Age: 24
State: CA

Vax Date: 03/26/2021
Onset Date: 03/26/2021
Rec V Date: 03/27/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: At approx. 1155, pt reported dizziness and blurry vision. pt assisted into anti-gravity chair. Pt was diaphoretic and nauseous. Pt stated dizziness and nausea "comes in waves". At 1156 vitals assessed. BP 102/60 mmHg, and PR 60 BPM. Pt reported no history of reactions to prior vaccinations. BP reassessed at 1230. BP 108/72 mmHg. Pt refused transportation. At approx. 1231, pt left facility with steady gait and unlabored breathing.

Other Meds:

Current Illness:

ID: 1139970
Sex: F
Age: 26
State: WI

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

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

Lab Data:

Allergies: Vicodin, uncooked tomatoes, Tri-Nessa.

Symptom List:

Symptoms: Light-headedness and nausea 15 to 20 minutes after the vaccine.

Other Meds: Buproprion XL (300mg), sertraline (150 mg), Chateal, vitamin D, and melatonin (1mg).

Current Illness: None.

Date Died:

ID: 1139971
Sex: F
Age: 72
State: TX

Vax Date: 02/01/2021
Onset Date: 03/27/2021
Rec V Date: 03/27/2021
Hospital: Y

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

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: Per pts husband, pt had been ? normal,? coking and even mowing the grass prior to receiving the covid vaccine. She started to hallucinate and eventually was admitted to our facility and diagnosed with acute encephalopathy. The pt went home on hospice and has since passed Husband reports no one will listen to him regarding the events that took place.

Other Meds: Arimidex Synthroid Cozaar Mobic Pravachol

Current Illness: HTN HYPOTHYROIDISM

ID: 1139972
Sex: F
Age: 33
State: IN

Vax Date: 03/25/2021
Onset Date: 03/26/2021
Rec V Date: 03/27/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Soreness at injection site Body aches Fever Chills Fatigue Sore throat

Other Meds: Birth control Levothyroxine Vit D Allegra Amitryptyline

Current Illness: None

ID: 1139973
Sex: F
Age: 51
State: NC

Vax Date: 03/25/2021
Onset Date: 03/26/2021
Rec V Date: 03/27/2021
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Allergies: Pinicillin

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Symptoms: Sore arm at the injection area. Sore throat. Stiff and sore knees and ankles/heals. Constipation

Other Meds: Vitamin D

Current Illness: none

ID: 1139975
Sex: F
Age: 19
State: PA

Vax Date: 03/27/2021
Onset Date: 03/27/2021
Rec V Date: 03/27/2021
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Allergies: None

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Symptoms: Immediately after receiving her vaccination, she reported feeling lightheaded. She laid down on the floor. She was taken to a private section of the arena for monitoring. Her heart rate and blood pressure within normal limits. Her lightheadedness resolved within 15 minutes of monitoring.

Other Meds: Junel

Current Illness: None

ID: 1139976
Sex: F
Age: 56
State: IN

Vax Date: 03/25/2021
Onset Date: 03/26/2021
Rec V Date: 03/27/2021
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Allergies: NA

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Symptoms: Fever, chills, shaking, body aches, and underarm lymph nodes swelled more

Other Meds: Diovan HCT, DoTerra On Guard, Mito 2 Max,

Current Illness: Swollen Lymph Nodes & rash from 1st COVID vaccine

ID: 1139977
Sex: F
Age: 65
State: IN

Vax Date: 03/25/2021
Onset Date: 03/26/2021
Rec V Date: 03/27/2021
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Symptoms: Felt tired, fatigue and weakness and all-over body aches. For at least a 24+ hour period

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Current Illness:

ID: 1139978
Sex: F
Age: 84
State: OR

Vax Date: 03/23/2021
Onset Date: 03/23/2021
Rec V Date: 03/27/2021
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Symptoms: The pattern of ill ide effects generally followed those reported in file except they were more severe and of longer duration extending thru the day on Friday 3/26. The severity of the discomfort was such that I would probably refuse a third injection of this type unless it was a clear life or death decision..

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Current Illness:

ID: 1139979
Sex: F
Age: 27
State: AR

Vax Date: 03/19/2021
Onset Date: 03/26/2021
Rec V Date: 03/27/2021
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Allergies: Sulfa drugs

Symptom List:

Symptoms: Arm is sore, feels warm to touch and has large rash close to injection area

Other Meds: Birth control

Current Illness: None

ID: 1139980
Sex: F
Age: 40
State: IN

Vax Date: 03/25/2021
Onset Date: 03/26/2021
Rec V Date: 03/27/2021
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Allergies: N/a

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Symptoms: Day after vaccine, heart beating fast, chest hurt, back aches, headache, dizzy, difficulty breathing. Lasted all day. 2nd day after shot- no symptoms. Theses side effects aren?t told To you at the time of shot. Should be a warning.

Other Meds: N/a

Current Illness: N/a

ID: 1139981
Sex: F
Age: 86
State: NV

Vax Date: 03/05/2021
Onset Date: 03/07/2021
Rec V Date: 03/27/2021
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Allergies: none

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Symptoms: Severe headaches,chills,,aches

Other Meds: Eliquis,Amlodopine,metoprol,Hydralazine

Current Illness: none

ID: 1139982
Sex: F
Age: 26
State:

Vax Date: 03/27/2021
Onset Date: 03/27/2021
Rec V Date: 03/27/2021
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Symptoms: 3/27/2021 Patient was observed post Covid-19 immunization for 30 minutes based on pre-vaccination screening . During the observation period, she experienced an adverse reaction with the following symptoms: redness and feeling flushed to the facial area. Assessment : Time of assessment 1100am, 1100am Alert and oriented. Voices feeling flushed to face, she has some redness to cheeks, Actions taken: obverservation x 30 minutes, VStaken 1100am BP-145/79, P-93, O2- 100%, recheck VS at 1119am- BP-119/82, P- 90, 1130am- VS are BP-109/85, P- 89, O2- 100% Medications administered: No medication administered. Disposition: Reports no further symptoms of adverse reaction after observation for 30 minutes. Discharged home. Immunizations Administered Name Date Dose VIS Date Route Moderna COVID-19 Vaccine 3/27/2021 10:52 AM 0.5 mL 12/1/2020 Intramuscular Manufacturer: Moderna

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Current Illness:

ID: 1139983
Sex: F
Age: 21
State: PA

Vax Date: 03/27/2021
Onset Date: 03/27/2021
Rec V Date: 03/27/2021
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Allergies: none

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Symptoms: after receiving vaccine patient was waiting her 15 minute and was getting up to leave and then she became dizzy and lighteaded and nauseous, pale and diapooretic and complained that her arms were tingling. She was brought back for observation and her blood pressure on arrival was 78/40, HR 80, RR18, Sat 96% she was placed in trendelenberg on the litter. Laying flat her blood pressure was 96/69, HR 80 and say 97%. Then in a sitting position 104/75, HR 90 and standing she was 104/80 HR 84 sat 98%. Patient had stood and her blood was 96/51 @ 1252 and patient felt lightheaded and dizzy she was then placed on the litter again and was continued to be observed. She was also given water and a snack, and was then placed in a semi folwers position, at 1300 her bp was 111/80 hr 82 she was given another 8 ounces of water and a snack. At 1315 her bp was 128/77 HR 94, at 1321 her bp was 117/74 HR 78 in a sitting position, at 1324 she was 121/73 hr 95 standing, at 1326 Bp was 119/71 HR 96 standing. at 1340 bp 118/72 hr 92 stable and was released.

Other Meds: birth control

Current Illness: asthma

ID: 1139984
Sex: M
Age: 50
State: TN

Vax Date: 03/24/2021
Onset Date: 03/26/2021
Rec V Date: 03/27/2021
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Symptoms: Injection site swelling and extreme soreness Fatigue Stomach cramping Nauseous Chills Muscle aches Migrane

Other Meds: Ozempic Amlodpine/valsartan Pantoprazole Flonase Metformin Vit D

Current Illness:

ID: 1139985
Sex: F
Age: 61
State: CA

Vax Date: 03/27/2021
Onset Date: 03/27/2021
Rec V Date: 03/27/2021
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Allergies: none

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Symptoms: Traffic personnel brought patient back to observation room after c/o nausea that started at 1030 am. Patient reported no adverse after her 15 minute observation period Vital signs at 10140 am 163/86 56 28 99% O2 sat on room air She reported a history of anxiety. Given cold compresses and water. Symptoms resovlved and she left. Given instructions to call 911 or her PCP as needed. Ambulated out without difficulty. She left with her husband at 1055 am.

Other Meds: none

Current Illness: none

ID: 1139986
Sex: M
Age: 17
State: GA

Vax Date: 03/27/2021
Onset Date: 03/27/2021
Rec V Date: 03/27/2021
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Allergies: ALLERGIES TO CAT

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Symptoms: 10 MINUTES ARE ADMINISTERED DOSE PATIENT LOSS SIGHT, EXPERIENCED PITCH NOISE, FELT FATIGUED AND HEART RACING--IMMEDIATELY WE PUT PATIENT IN SUPINE POSITION--RAISED LEGS WITH COLD COMPRESSED. CHECKED VITALS WITH FINGER MONITORING AND O2 STATS, HEART RATE NORMAL. HE BAGAN TO FEEL BETTER--HE REPORTED WAS ANXIOUS ABOUT VACCINE. KEPT FOR 10 MIN MORE MONITORING. PATIENT PARENTS WILL MONITOR AND ADVISED S/S TO LOOK OUT FOR IF NEED TO GO ER. DID NOT CALL AMBULANCE DUE TO NO ANAPHYLATIC SHOT--EPIPEN WAS NOT USED.

Other Meds: CLARITIN FOR ALLERGIES PRN

Current Illness: ANXIETY

ID: 1139987
Sex: M
Age: 25
State: PA

Vax Date: 03/27/2021
Onset Date: 03/27/2021
Rec V Date: 03/27/2021
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Symptoms: Patient describes dizzy from panic attack/anxiety and lowered himself to the floor. Patient said he would be okay, it has happened twice before (before Dr. appointment). We helped him to a chair right next to him, I took his blood pressure (around 99/70). It was normal range, but low for the patient, he reported. We waited about 15 minutes and he said he was feeling okay and did not want EMS. We had the manager of the store take him home.

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Current Illness:

ID: 1139988
Sex: F
Age: 34
State: CA

Vax Date: 03/27/2021
Onset Date: 03/27/2021
Rec V Date: 03/27/2021
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Allergies: UKDA

Symptom List:

Symptoms: dizziness after 2 minutes, then passed out < 1 minute, then regained consciousness and stability.

Other Meds: NONE

Current Illness: NONE

ID: 1139990
Sex: F
Age: 34
State: TN

Vax Date: 03/26/2021
Onset Date: 03/26/2021
Rec V Date: 03/27/2021
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Allergies: None known

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Symptoms: Around 5:00 pm, my arm started hurting. Around 6:30 I got a fever, then chills and body aches. During the night around 2:00 development extreme vomiting and diarrhea.

Other Meds: Nasacort Multivitamin Xyzal Melatonin

Current Illness: None

ID: 1139991
Sex: M
Age: 70
State: SD

Vax Date: 03/22/2021
Onset Date: 03/26/2021
Rec V Date: 03/27/2021
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Allergies: Penicillin

Symptom List:

Symptoms: Upper arm itching, painful, red and swollen to elbow

Other Meds: Diltiazem, quetiapine, citalopram, vit D

Current Illness: Fronto temporal dementia

Total 2021 VAERS Injuries: 599,999

Page last modified: 03 October 2021 5:28pm