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: 1141999
Sex: F
Age: 62
State: PA

Vax Date: 03/10/2021
Onset Date: 03/14/2021
Rec V Date: 03/28/2021
Hospital:

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

Lab Data:

Allergies: Allergies to dust, mold, ragweed, a few trees and grasses

Symptom List:

Symptoms: Vertigo, Chills, Fatigue, Body Aches, Tinnitus

Other Meds: Accolate, Symbicort, Elestrin Gel, esomeprazole, multi-vitamin, Glucosamine-Chondroiton-MSM, Lemon Balm

Current Illness: no

ID: 1142000
Sex: M
Age: 41
State: IL

Vax Date: 03/28/2021
Onset Date: 03/28/2021
Rec V Date: 03/28/2021
Hospital:

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

Lab Data:

Allergies: Peanuts

Symptom List:

Symptoms: Patient c/o tightness in face, itching in back of throat, and rash on face and back of neck was noted.

Other Meds: None

Current Illness: None

ID: 1142001
Sex: F
Age: 55
State: CA

Vax Date: 03/24/2021
Onset Date: 03/24/2021
Rec V Date: 03/28/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Within the first few min of getting the injection my throat got tight and my tongue swelled up and got numb. I could still breathe fine. Didn't need any additional help. Throat cleared up after a few hours. Tongue still numb and swollen a bit for around 4 days after. Each day got better but took a few days for it to return to normal. Still having some occasional numbness on day 5 but not swollen and only on the edge of tongue. At this reporting I seem to have mostly recovered. I had a video conference with my doctor a couple days after to discuss my reaction.

Other Meds: Lipitor, vitamin B Complex, Elderberry extract, vitamin D, probiotic

Current Illness: none

ID: 1142002
Sex: F
Age: 27
State: CA

Vax Date: 03/27/2021
Onset Date: 03/27/2021
Rec V Date: 03/28/2021
Hospital:

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

Lab Data:

Allergies: HPV vaccine

Symptom List:

Symptoms: 27 year old female comes in 3/27/21 at 4:15pm to get Pfizer COVID vaccine. She has no family doctor. On her VAR form she states no seizure or history of seizure but does have reaction to HPV vaccine where her throat swelled up and her MD had to give her oxygen year ago. I asked about any other reactions to any other vaccinations and she said no and was willing to get this vaccine. I told her to wait 30 minutes after vaccination to make sure no reaction. At 4:25pm her sister and mom tell us that patient is feeling week and dizzy and ask for water, I go out and check and she is pale and is ready to faint. Mother asks for orange juice which she takes a sip. I ask her if she has any health conditions like diabetes, seizures and they say no, then patient has what looks like a petit mal (absence) seizure. While sitting in the chair her eyes flutter, roll back she tenses up and her body freezes for about 20-30 seconds. I tell staff to call 911 and her sister says she's having "another" seizure. We don't move her but make sure she doesn't fall, once the seizure passes we move her to the ground to lie down. She regains consciousness and is coherent but confused. I do not give EpiPen because I witnessed a seizure. The fire and ambulance arrive to assist her and then her family mentions she did have seizures years ago. After 20 minutes or around 4:50pm she feels better and does not want to go to the hospital and walks out assisted by fire/ambulance staff. The next day I call her and she says she feels better and just has a sore arm and will find new doctor check her out.

Other Meds: none

Current Illness: none

ID: 1142003
Sex: F
Age: 27
State: GA

Vax Date: 03/23/2021
Onset Date: 03/23/2021
Rec V Date: 03/28/2021
Hospital:

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

Lab Data:

Allergies: Seasonal allergies, cats, shellfish

Symptom List:

Symptoms: Within 15 minutes, I began feeling numbness and swelling up the left side of my neck and face (through the jaw and cheek). After this lasted about five more minutes, my heart began to race very rapidly and my body began to shake. I felt dizzy and lightheaded. The numbness lasted for about 4 hours. My heart continued to race on and off for about 3 hours.

Other Meds: June?s Birth Control, Daily Vitamins

Current Illness: None

ID: 1142004
Sex: F
Age: 52
State: GA

Vax Date: 03/16/2021
Onset Date: 03/24/2021
Rec V Date: 03/28/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Shot date 3/16/21. About eighth day after injection got large red, swollen upper arm rash around injections site, irregular shape, spread to upper arm near shoulder and towards inner arm. Site after several days become more and more hot. By 3/27 , went to urgent care due to skin tight, red, swollen, itchy and hot. I suspected cellulitis, but also suspected it must be from injection. Nurse Practitioner prescribed Cephalexin and Prednisone.

Other Meds: None

Current Illness: None

ID: 1142005
Sex: F
Age: 51
State: PA

Vax Date: 03/28/2021
Onset Date: 03/28/2021
Rec V Date: 03/28/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: Patient following vaccine developed right hand tremor following getting vaccine in her left arm. Patient was removed from cell and brought to the medical observation area. Her BP was 128/82, P 62 RR 16 @ 3:25 she was alert and oriented times 3 ,at 3:38 her blood pressure was 141/94 and at 3:45 was 148/91 HR 68 at , O2 sat 100%. Her tremors began in her right hand and then went to her trunk and legs. She began to hyperventilate, patient was warm to the touch and an ice pack was provided to her She was not able to have a mask in place and she was hyperventilating, we asked her to focus and take deep breaths she was responsive to that and stated that helped to calm her down. Her husband was brought to her side, her vital signs continued to be obtained. at 3:50 her bP was 156/99, HR 104, pulse ox 99, at 3:55 BP was 150/102 HR 106. EMS was called as patient continued with tremors and her blood pressure continued to be elevated . EMS arrived , her final blood pressure was 156/99, HR 90 and pulse ox was 99%. EMS transported patient out of the center via stretcher. Patients husband planned to follow her to the hospital

Other Meds: None

Current Illness: none

ID: 1142006
Sex: M
Age: 69
State: MO

Vax Date: 03/01/2021
Onset Date: 03/07/2021
Rec V Date: 03/28/2021
Hospital: Y

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: 3/7/21 Some vision loss noted; 3/13/21 CT due to darkening vision loss to rule out stroke; 3/15 optic nerve images at Ophtamologist noted swelling. 3/16 optic nerve swelling diagnosed by angiogram with contrast, gradual vison loss (holes in visual field, loss of accuity, periodic darkening of visual field and weaking of colors noted. 3/19-3/20 MRI of head noted optic nerve swelling increased severity, no other neurological signs noted. Lumbar puncture to test spinal fluid, that was normal, fluid sent to healthcare facility for further testing of infection or auto-immune issues. Treated with IV steriods for 3 days course, 1 gram daily following out-patient steriod step down with Prednisone 60 mg day

Other Meds: Buprion 100 mg/day, Xtandi 160 mg/day, testostone blocker shot

Current Illness: ADD, prostate cancer in remission

ID: 1142007
Sex: M
Age: 67
State: NC

Vax Date: 03/26/2021
Onset Date: 03/26/2021
Rec V Date: 03/28/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Within 12 hours had high fever 102, taking Tylenol to reduce. Still have fever almost 48 hours later. Fever, chills, body aches, nausea.

Other Meds: Lisinopril Allopurinol Levothyrocine Meloxicam fluocinonid Atrovastatin

Current Illness: None

ID: 1142008
Sex: F
Age: 66
State: OH

Vax Date: 03/25/2021
Onset Date: 03/28/2021
Rec V Date: 03/28/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: Woke up on 3rd day after receiving shot with a red , warm spot the size of a fist 2 inches below injection site. This was new as I had no other symptoms except injection site soreness hours after the injection.

Other Meds: Synthroid, Valsartan, Zetia, Spironolactone, Muiti -Vit, B6, Fish oil, D3

Current Illness: npne

ID: 1142009
Sex: F
Age: 29
State: FL

Vax Date: 03/25/2021
Onset Date: 03/26/2021
Rec V Date: 03/28/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: Sore arm, body aches, fever (100.2), headache, and tiredness

Other Meds: N/A

Current Illness: N/A

ID: 1142010
Sex: F
Age: 65
State: AL

Vax Date: 02/26/2021
Onset Date: 03/27/2021
Rec V Date: 03/28/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: I had a classic "COVID arm" -- woke up with a perfectly round, darkened, raised area around the injection site, maybe 3 inches in diameter and 1/2 inch raised. It was firm to the touch and felt as if it were filled with liquid. It went down in about 24 hours, and there was lingering soreness. I had absolutely no reaction after the 2nd shot given on 03/19/2021, not even any appreciable soreness.

Other Meds: right after vaccination; 1 Tylenol

Current Illness: none

ID: 1142011
Sex: F
Age: 42
State: TN

Vax Date: 03/23/2021
Onset Date: 03/24/2021
Rec V Date: 03/28/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: Patient came to our clinic today because she is concerned with a rash on left left Deltoid appearing one day after she got vaccinated at pharmacy. She has swelling, redness, and pain on the affected site. She was advised to take Benadryl, avoid scratching area. She can also apply cortisone cream instead of scratching area. She was told to monitor and report any symptoms that occur.

Other Meds: NO

Current Illness: no

ID: 1142012
Sex: F
Age: 59
State: MO

Vax Date: 03/26/2021
Onset Date: 03/27/2021
Rec V Date: 03/28/2021
Hospital:

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

Lab Data:

Allergies: allergic to codeine and sulpha

Symptom List:

Symptoms: Woke up with fever, body aches, severe headache and vomiting. These symptoms lasted all day until late evening. I slept most of the day running a fever off and on. Vomiting again late afternoon - could not eat anything. Finally at around 9pm I started feeling better. Woke up Sunday morning, headache, fever and aches were gone. Just felt a bit tired but otherwise good.

Other Meds: HydroxyChloroquine 200 mg 2 x day Meloxicam 15 mg 1 day Losartan Potassium 50 mg 2 x day Gabapentin 100 mg 1 x nightly Tumeric Curcumin w/Ginger Powder 500 mg, Calcium Citrate+D3 (2 x day) , Vit D3 (2,000 IU) 1xday

Current Illness: None

ID: 1142013
Sex: F
Age: 49
State: NY

Vax Date: 03/27/2021
Onset Date: 03/28/2021
Rec V Date: 03/28/2021
Hospital:

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

Lab Data:

Allergies: Erythromycin

Symptom List:

Symptoms: Achy, fever, tired headache

Other Meds: No

Current Illness: None

ID: 1142014
Sex: F
Age: 51
State: FL

Vax Date: 03/28/2021
Onset Date: 03/28/2021
Rec V Date: 03/28/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Lightheadedness, nausea, headache, chills, dry mouth, bad taste in mouth, excessive urination, feeling drugged/altered.

Other Meds: HCTZ, Levothyroxine, Nasocort

Current Illness: None

ID: 1142015
Sex: F
Age: 57
State: WI

Vax Date: 03/26/2021
Onset Date: 03/27/2021
Rec V Date: 03/28/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Body Aches, Fever 101, Very Tired, Chest Flushing

Other Meds: Tegretol, Synthroid.

Current Illness: None

ID: 1142016
Sex: M
Age: 47
State: NC

Vax Date: 03/25/2021
Onset Date: 03/26/2021
Rec V Date: 03/28/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: Nausea, fever, chills, headache, body ache, swollen lymph node under right arm.

Other Meds: Bupropion

Current Illness: N/A

ID: 1142017
Sex: F
Age: 52
State: NC

Vax Date: 03/26/2021
Onset Date: 03/26/2021
Rec V Date: 03/28/2021
Hospital:

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

Lab Data:

Allergies: lettuce, bees, contrast dye, tegretol

Symptom List:

Symptoms: Right arm swelling, pain Patient also reports intermittent tongue tingling and scratchy throat, no sign of anaphylaxis on exam, neuro exam is normal. This exam occurred 2 days after her vaccine

Other Meds: Exforge, zyrtec, prozac, flonase, gabapentin, hydroxychloroquine, omeprazole, tramadol, otc multivitamin, probiotic

Current Illness:

ID: 1142018
Sex: F
Age: 50
State: VA

Vax Date: 02/24/2021
Onset Date: 02/25/2021
Rec V Date: 03/28/2021
Hospital:

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

Lab Data:

Allergies: shrimp, lisinopryl, xarelto, latex

Symptom List:

Symptoms: Soreness at injection site: 2/24, beginning approx. 9:00 PM Soreness at injection site and when lifting left arm: 2/25 - 3/3 Extreme fatigue: Unable to keep eyes open/stay awake - 2/25 Feeling sluggish: Body felt heavy/tired, but able to stay awake - 2/26

Other Meds: Eliquis (10 mg), AMLODIPINE BESYLATE 5 MG, HYDROCHLOROTHIAZIDE 12.5 MG, Claritin 24 hour, non-drowsy, over-the-counter

Current Illness:

ID: 1142019
Sex: F
Age: 62
State: IN

Vax Date: 03/26/2021
Onset Date: 03/27/2021
Rec V Date: 03/28/2021
Hospital:

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

Lab Data:

Allergies: Epinephrine causes rapid heart beat.

Symptom List:

Symptoms: 1st dose I had soreness in left arm and a stomach nausea the next day. 2nd dose I had at 2:00 p.m. on 3/26/21. Woke up the next morning at 4:00 a.m. with pain in my arm and basically feeling terrible. I had pain in the arm, soreness under arm, achy and severe joint pain all over, headache over my eyes, extreme fatigue, chills on and off, a few instances of sweating, Generally felt really sick. Appetite decreased. The next night woke up in the middle of the night sweating, then later in the night with chills. Aching and pain in joints was miserable. By noon on 3/28/21 was feeling a lot better, still tired and arm just sore. Stomach still a little off.

Other Meds: Propranolol, Tylenol, Estradiol, Xanax, Atorvastatin, Famotidine. Centrum multi-vitamin. Occasional Tumeric and Vitamin D.

Current Illness:

ID: 1142020
Sex: F
Age: 30
State: IL

Vax Date: 03/26/2021
Onset Date: 03/26/2021
Rec V Date: 03/28/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Moderna COVID-19 Vaccine EUA - About 5 minutes after receiving her first dose of the Moderna covid-19 vaccine, pt vomited, became flushed and "felt like her blood pressure dropped." Pharmacist gave her a cool rag and took her blood pressure and she was observed for an additional 30 minutes and no other incident was noted.

Other Meds:

Current Illness:

ID: 1142021
Sex: F
Age: 31
State: MN

Vax Date: 03/27/2021
Onset Date: 03/27/2021
Rec V Date: 03/28/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Fever started 12 hours after vaccine and grew rapidly to of 103.9 at 2 am. My arms were numb. Pounding headache. I felt like I was spinning. Super nauseous. I took tylenol and my fever was still 103. I took ibuprofen at 630 am and got temperature down to 99.7

Other Meds: Prenatal, vitamin C, vitamin d, buspar, mini pill

Current Illness: None

ID: 1142022
Sex: F
Age: 29
State: MI

Vax Date: 03/27/2021
Onset Date: 03/28/2021
Rec V Date: 03/28/2021
Hospital:

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

Lab Data:

Allergies: Relpax Imitrex

Symptom List:

Symptoms: Heartburn. I?ve only ever had heartburn while pregnant. I?m not currently pregnant.

Other Meds: Miralax Claritin

Current Illness: Allergies

ID: 1142023
Sex: F
Age: 33
State: IN

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 03/28/2021
Hospital:

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

Lab Data:

Allergies: Gluten

Symptom List:

Symptoms: 25 minutes after receiving shot: migraine 35 minutes after: hard to breathe. Tight and restricted chest. Neck pain. 7 hours after shot: diaphragm hurt. Couldn?t feel hungry or full. Symptoms went away about 48 hours after receiving the shot, with the exception of fatigue, that lasted 4 days.

Other Meds: Metoprolol succ er 25 mg Sumatriptan succ 100 m Tri femynor 28 tablet Tirosint 75 mcg capsule Lithyronine sod 5 mcg tab tablet

Current Illness: Migraine week prior

ID: 1142024
Sex: M
Age: 66
State: WI

Vax Date: 03/21/2021
Onset Date: 03/21/2021
Rec V Date: 03/28/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient reported chills that started the evening of the vaccination. Stated he felt better the next day.

Other Meds:

Current Illness:

ID: 1142025
Sex: F
Age: 70
State: CA

Vax Date: 02/23/2021
Onset Date: 03/25/2021
Rec V Date: 03/28/2021
Hospital:

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

Lab Data:

Allergies: Adverse reaction to anti-inflammatory drugs and antibiotics: sinuses swell, heart races

Symptom List:

Symptoms: Swollen lymph node on right side of neck, swollen spot on back of right side of head, fatigue and headache, chills n

Other Meds: None

Current Illness: None

ID: 1142026
Sex: M
Age: 65
State: MI

Vax Date: 01/25/2021
Onset Date: 03/08/2021
Rec V Date: 03/28/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Heart racing weeks later , light headed, Atrial flutter, scheduled for oblation therapy

Other Meds: Flomax, Losarten, motrin

Current Illness: sciatica

ID: 1142027
Sex: M
Age: 55
State: NY

Vax Date: 03/27/2021
Onset Date: 03/27/2021
Rec V Date: 03/28/2021
Hospital:

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

Lab Data:

Allergies: Naproxen

Symptom List:

Symptoms: Arm became sore almost immediately. Next morning after being awake for a few hours I started feeling sick; headache and sore throat at first, achiness came on strong soon after followed by a fever that comes and goes. My temp is currently 102.9

Other Meds: Metformin, pota-citrate, tamulosolin, claratin, atvorstatin

Current Illness: None

ID: 1142028
Sex: F
Age: 46
State: FL

Vax Date: 03/05/2021
Onset Date: 03/05/2021
Rec V Date: 03/28/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient felt fine during the 15 minute observation period. While driving home from getting the vaccine, she felt flushed on her neck and through her sinuses. After a couple of hours she experienced a tingling sensation on her tongue. She had no swelling of her tongue. The following morning following her vaccination, she felt a burning sensation on her tongue that last the whole day. The following day (day 2 post vaccination), the patient said her burning tongue sensation was gone but her eyes and nose were burning and irritated. On day 4 post vaccination, she also experienced shivering. She recovered from these adverse events on day 5 post vaccination but later got a sinus infection and subsequent yeast infection about 1-2 weeks later after she received her Remicade. She is going to delay her second dose vaccination until she recovers.

Other Meds: Remicade

Current Illness:

ID: 1142029
Sex: F
Age: 60
State: CA

Vax Date: 03/16/2021
Onset Date: 03/21/2021
Rec V Date: 03/28/2021
Hospital:

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

Lab Data:

Allergies: aspirin

Symptom List:

Symptoms: Pain on the injection site one day after the injection; Swelling of lymph node below the left axilla

Other Meds: Losartan 25 mg; multivitamin gummy; fiber gummy

Current Illness: none

ID: 1142030
Sex: F
Age: 63
State: IN

Vax Date: 03/01/2021
Onset Date: 03/26/2021
Rec V Date: 03/28/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Vomiting, cramps, Fever 101.2, Chills, headache still experiencing

Other Meds: None

Current Illness: None

ID: 1142031
Sex: F
Age: 61
State: FL

Vax Date: 03/15/2021
Onset Date: 03/17/2021
Rec V Date: 03/28/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: patients arm near injection site became hot after 2 days. Also patient had red bump, sore and itchy lasting more than 1.5 weeks. Arm has been feeling a little better past 2 days.

Other Meds: Vitamin C 500mg, Vitamin D 500 IU, Aspirin 325, Docusate Sodium100mg,, Atorvastatin 20mg, CBD Oil,

Current Illness: Broken Thumb and Torn Ligament

ID: 1142032
Sex: F
Age: 33
State: KY

Vax Date: 03/16/2021
Onset Date: 03/25/2021
Rec V Date: 03/28/2021
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Symptoms: Large red itchy circular rash at site of vaccination (left arm). Started over a week after vaccination. Was solid red and hard for three days. Now it is a red circular outline and the middle is back to flesh colored.

Other Meds: Zyrtec Prilosec Amlodipine

Current Illness:

ID: 1142033
Sex: F
Age: 29
State: IN

Vax Date: 03/26/2021
Onset Date: 03/27/2021
Rec V Date: 03/28/2021
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Allergies: Penicillin, sulfa drugs

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Symptoms: I had body aches lasting for 12 hours and a low grade fever of 99.5. After 12 hours, my fever seemed to break and still had minor aches. By the 2nd day after receiving the vaccine, I was back to normal.

Other Meds: Sprintec 28 day

Current Illness: None

ID: 1142034
Sex: F
Age: 41
State: MO

Vax Date: 03/19/2021
Onset Date: 03/27/2021
Rec V Date: 03/28/2021
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Allergies: codeine,

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Symptoms: Pt stated that she had severe swelling and pain at axillary lumph node, as well as tightness/pain across chest

Other Meds: unknown

Current Illness: none known

ID: 1142035
Sex: F
Age: 77
State: WI

Vax Date: 03/23/2021
Onset Date: 03/24/2021
Rec V Date: 03/28/2021
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Allergies: Some pain killers

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Symptoms: Woke up with headache, sweats, chills, joint pain, and low grade fever. Stayed in bed for a day and a half the took it easy for the next two days. Back to normal the following day (Saturday).

Other Meds: Blood pressure, antidepressant, pain killer, vitamin, calcium, fish oil

Current Illness: None

ID: 1142036
Sex: M
Age: 73
State: VA

Vax Date: 03/23/2021
Onset Date: 03/24/2021
Rec V Date: 03/28/2021
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Allergies: morphine. Metoprolol

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Symptoms: Bells Palsy drooping of the left eye and mouth, started approximately 23 hour after the shot

Other Meds: Lisinopril, Atorvastatin, Plavix, Oxycodone, Tylenol, Alopurinol, miralax, mylanta,

Current Illness: anemia, Non Hodgkin's Lymphoma

ID: 1142037
Sex: F
Age: 24
State: NC

Vax Date: 03/28/2021
Onset Date: 03/28/2021
Rec V Date: 03/28/2021
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Allergies: Chlorhexidine

Symptom List:

Symptoms: Metallic taste in mouth, dizziness within 20 minutes of injection

Other Meds: Lamictal, Oxcarbazepine, Lexapro, Lo Loestrin, Calcium/D3, Folic Acid

Current Illness:

ID: 1142038
Sex: F
Age: 43
State: NY

Vax Date: 03/24/2021
Onset Date: 03/25/2021
Rec V Date: 03/28/2021
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Allergies: None

Symptom List:

Symptoms: Swollen lymph node under right arm almost immediately following injection, pain and soreness. Four days post vaccine, lymph node under am is still very swollen, pain and soreness down arm still present.

Other Meds: Famotidine, Xyzal

Current Illness: None

ID: 1142039
Sex: F
Age: 79
State: OH

Vax Date: 03/24/2021
Onset Date: 03/24/2021
Rec V Date: 03/28/2021
Hospital: Y

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Allergies: Sulfa, Celecoxib, loop diuretics, thiazide diuretics, dapsone, sulfonylureas, iodine contrast dye

Symptom List:

Symptoms: Patient states that later in the evening (approximately 6 hours) after getting immunization on March 24th she started feeling muscle aches and itching. Thursday March 25th, in the morning, she was having trouble standing and could not walk, plus confusion understanding husband when he talked to her about her problems. They went to hospital and she was admitted. Do not know what tests or treatment patient got at hospital, but she was released to go home on Saturday March 27, 2021.

Other Meds: Losartan potassium, Eliquis, Metformin

Current Illness: none

ID: 1142040
Sex: F
Age: 47
State: CA

Vax Date: 03/25/2021
Onset Date: 03/25/2021
Rec V Date: 03/28/2021
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Allergies: none

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Symptoms: Patient was given the wrong dosage of medication. Patient was given two 0.5 ml on the same day ( total 1 ml). Patient was monitored but did not have any immediate side effects from the vaccine. A followup call was made the next day and patient stated she was fine but felt a little tire and arm was sore.

Other Meds: none

Current Illness: none

ID: 1142041
Sex: F
Age: 86
State: MN

Vax Date: 02/11/2021
Onset Date: 02/13/2021
Rec V Date: 03/28/2021
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Allergies: None

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Symptoms: Hearing loss in left ear (complete loss). Right ear hearing is diminished. This was confirmed by two hearing tests. Not gradual but sudden onset. Was told it is permanent.

Other Meds: Plavix, 75 mg, 1 a day Cardizen, 120 mg, 1 a day Metoprobol, 25 mg, one in evening Aspirin, 81 mg, 1 a day Vitamin D, 250 mg (10,000 IU), 1 a day (started 12/16/2020) Preservision for eyes (started 2013)

Current Illness: None

ID: 1142042
Sex: F
Age: 56
State: FL

Vax Date: 03/11/2021
Onset Date: 03/12/2021
Rec V Date: 03/28/2021
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Allergies: None

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Symptoms: Pfizer-BioNTech COVID-19 Vaccune EUA Headache, alternating chills/sweating throughout the day, Lower intestinal distress including cramps and minor diarrhea, general muscle aches between shoulders. Occurring on Day after injection (3/12/21), 3 days after injection (3/14/21), 5 days after injection (3/16/21), 7 days after injection (3/18/21), and continuing every other day to every 3rd day through today (3/28/21).

Other Meds: Glatiramer Acetate 40mg injection 3 times per week. Modafinil 100mg daily

Current Illness: Multiple Sclerosis Diagnosed 1993

ID: 1142043
Sex: F
Age: 55
State: PR

Vax Date: 03/22/2021
Onset Date: 03/24/2021
Rec V Date: 03/28/2021
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Allergies: Percocet

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Symptoms: Strong taste of metal in the mouth from day three to fith after receiving the first dose of Pfizer Covid19 vaccine.

Other Meds: Multi vitamina Centrum

Current Illness: Neurocardiogenic syndrome

ID: 1142044
Sex: F
Age: 84
State: MN

Vax Date: 03/26/2021
Onset Date: 03/28/2021
Rec V Date: 03/28/2021
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Allergies: Demerol, hydrocodone

Symptom List:

Symptoms: I noticed significant swelling and increased pain at the injection site when I went to bed. (The deltoid area had swollen a bit by the first night after injection, so this was the second night. ) I took an OTC sleep aid (50 mg diphenhydramine) and drifted off by 1 am. At 3 am I awoke, whether due to my usual polynocturia or the vaccination reaction I can't say. My upper body, especially my arms and hands, was violently shaking and I had a blinding headache--and likely a fever, too. After that, I awoke at 4, 5, 7 and 8 am, during which time the shaking and headache subsided. I was very tired and my whole body was sore, so I went back to bed and slept until 10 am. By midafternoon, I was back to normal.

Other Meds: Xarelto, atorvastatin, metoprolol tartrate, amlodipine besylate, alendronate, omeprazole (OTC), diphenhydramine HCI (OTC), Centrum Silver Multivitamin/multimineral, and calcium carbonate/vitamin D3.

Current Illness: osteoarthritis, bladder cancer, iron-deficiency anemia, aFib

ID: 1142045
Sex: F
Age: 43
State: WA

Vax Date: 03/07/2021
Onset Date: 03/15/2021
Rec V Date: 03/28/2021
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Allergies: No

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Symptoms: Massive cold sore outbreak 7 to 9 days after first shot

Other Meds: Lexapro

Current Illness: No

ID: 1142046
Sex: F
Age: 43
State: MD

Vax Date: 03/25/2021
Onset Date: 03/25/2021
Rec V Date: 03/28/2021
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Allergies: Sulfa drugs, seasonal allergies

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Symptoms: After receiving vaccine and being directed to waiting area for 30 min of observation, I felt lightheaded and dizziness within 5 minutes of sitting down. Nurses on site at vaccination facility provided me with apple juice and I felt better. I laid down on medical bed for remainder of the 30 minutes and was able to walk out of vaccination site on my own.

Other Meds: Allegra, Flonase, Lo-loestrin

Current Illness: No

Date Died: 03/13/2021

ID: 1142047
Sex: F
Age: 87
State: IN

Vax Date: 03/02/2021
Onset Date: 03/11/2021
Rec V Date: 03/28/2021
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Allergies: None

Symptom List:

Symptoms: Patient received the injection on May 2nd. Following the injection, we noticed an increased weakness and general achiness. On the 8th she was so weak that we purchased a gait belt to assist her. We were not super concerned as we were expecting the second shot to cause body aches or flu like symptoms based on what we had heard from others who had received both vaccine shots. She continued to be unsteady and we found that she has a mild UTI which we had begun treating with prescribed antibiotics. Late afternoon on the 11th, mother suffered a major stroke. we did not take her to the hospital because we had already been told that they would not be able to do anything at her age should she suffer a stroke. On the 12th I called the doctors office and asked for them to send Hospice to the house as we could tell that she was dying. Mother died on the 13th. Just a week prior to her death I had spoken with Dr. and we had discussed how that she was declining in health but that she was not even close to needing Hospice, yet she is dead a week later. Less than 2 weeks after getting her second Covid Shot.

Other Meds: Losartan/HCT, Diclofenac, Levothyroxin, Amlodipine, Myrbetriq, Atorvastatin, Eliquis, Potassium, Mirtazapine

Current Illness: UTI

ID: 1142048
Sex: F
Age: 66
State: PA

Vax Date: 03/26/2021
Onset Date: 03/26/2021
Rec V Date: 03/28/2021
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Allergies: Morphine

Symptom List:

Symptoms: Severe congestion in lungs, cough, chills, sweats

Other Meds: Amour thyroid, duloxetime, aspirin , Lipitor

Current Illness: None

Total 2021 VAERS Injuries: 704,237

Page last modified: 03 October 2021 5:28pm