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: 1143226
Sex: F
Age: 46
State: FL

Vax Date: 03/01/2021
Onset Date: 03/13/2021
Rec V Date: 03/29/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List:

Symptoms: I came down with a case of shingles.

Other Meds: SlowFe

Current Illness: No

ID: 1143227
Sex: F
Age: 60
State: AZ

Vax Date: 03/21/2021
Onset Date: 03/23/2021
Rec V Date: 03/29/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Extreme headache for 3 days weak and tired very sore arm at injection site

Other Meds: Plavix vitamin D3

Current Illness: None

ID: 1143228
Sex: F
Age: 42
State: NM

Vax Date: 03/26/2021
Onset Date: 03/27/2021
Rec V Date: 03/29/2021
Hospital:

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

Lab Data:

Allergies: Phenegren, avacado

Symptom List:

Symptoms: Woke up at 3:30am to pain at injection site, headache, muscle pain over entire body, chills, throwing up, feeling tired. This continued throughout the day and the following night.

Other Meds: amlodipine besylate 5mg, montelukast 10mg, flonase

Current Illness:

ID: 1143229
Sex: F
Age: 52
State: MA

Vax Date: 03/16/2021
Onset Date: 03/24/2021
Rec V Date: 03/29/2021
Hospital:

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

Lab Data:

Allergies: Penicillin some bandage adhesives tree pollen

Symptom List:

Symptoms: About a week after receiving the injection, the general area around the deltoid(?) injection site became itchy, warm, swollen. this lasted for approximately 4 - 5 days

Other Meds: Generic Zyrtec, birth control pills

Current Illness: None

ID: 1143231
Sex: F
Age: 68
State: PA

Vax Date: 03/03/2021
Onset Date: 03/15/2021
Rec V Date: 03/29/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

Symptom List:

Symptoms: Mild pain in jaw and then emanating to facial muscles. AT times felt more like tingling. The feeling when novacain wears off. Left side

Other Meds: Riesedronate and Crestor generic

Current Illness: none

ID: 1143232
Sex: M
Age: 86
State: OK

Vax Date: 03/28/2021
Onset Date: 03/28/2021
Rec V Date: 03/29/2021
Hospital:

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

Lab Data:

Allergies: penicillin

Symptom List:

Symptoms: pt states that a couple of hour after taking the 2nd shringrix dose he started have severe pain in his right leg. He says the muscles hurt to the bone in his right leg. He also has other body aches and pains as well as a headache. He went to bed but once he laid down he was not able to raise his body to get up and thought he was going to have to call an ambulance. The next morning he was able to get up. His tastebuds are off and states nothing he puts in his mouth taste good. He does feel like he is somewhat improving.

Other Meds: low dose baby aspirin, losartan 1/2 25mg qd, 1/4 5mg Valium qd

Current Illness: none

ID: 1143233
Sex: F
Age: 48
State: OH

Vax Date: 03/22/2021
Onset Date: 03/27/2021
Rec V Date: 03/29/2021
Hospital:

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

Lab Data:

Allergies: penicillin, ibuprofen, compuzen, regulan

Symptom List:

Symptoms: On Saturday, March 27 at about 8:00 p.m. I had a severe migraine headache that caused vomiting. I don't usually have headaches. The only time I could remember having a similar experience of such a severe headache was the one time in July of 2019 when I had drunk too much water in too short a time span and washed all the sodium from my system. I was treated at the Hospital at that time for that incident, Having had that previous experience, I was concerned for my health and safety having another similar headache on Saturday night. By 11:00 p.m. the pain had intensified and I went to the Hospital for treatment. The doctor ordered a blood panel and a ct scan of my head. All the results came back normal.

Other Meds: none

Current Illness: none

ID: 1143234
Sex: M
Age: 48
State: OH

Vax Date: 03/26/2021
Onset Date: 03/26/2021
Rec V Date: 03/29/2021
Hospital:

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

Lab Data:

Allergies: none known

Symptom List:

Symptoms: At around 10:00pm person stated that he began with swelling in mouth, "delirious", slurring of speech, right arm pain, trouble breathing. These symptoms continued until 8:00am on 3/27/2021. No meds were taken at this time. Person did not go to ER for a visit and did not phone Dr.

Other Meds: Lisinopril Metformin Allergy meds

Current Illness:

ID: 1143235
Sex: F
Age: 64
State: CO

Vax Date: 03/20/2021
Onset Date: 03/27/2021
Rec V Date: 03/29/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Extreme dizziness, muscle weakness in the legs, tingling in the arms and legs, nausea

Other Meds: Triamterene Montelukast

Current Illness: None

ID: 1143236
Sex: F
Age: 56
State: FL

Vax Date: 03/27/2021
Onset Date: 03/27/2021
Rec V Date: 03/29/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: Low grade fever, diarrhea and body aches - took tylenol for fever was better 24 hours later

Other Meds: Aspirin probiotic

Current Illness: NONE

ID: 1143237
Sex: M
Age: 75
State: FL

Vax Date: 03/23/2021
Onset Date: 03/23/2021
Rec V Date: 03/29/2021
Hospital:

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

Lab Data:

Allergies: None.

Symptom List:

Symptoms: Got the vaccine and immediately had a pungent medicine smell that is coming out of his pours. People won't get near him 10-15 feet due to the odor. People notice the odor, he can't get rid of the smell, and has to stuff paper up his nose to try to get rid of the smell, but nothing is helping. It comes and goes and sometimes he's okay, but then it hits and it envelopes himself and the entire room that he is in.

Other Meds: Tegretol, Isosorbide dinitrate, Seroquel, Atorvastatin, zinc, vitamin C, baby aspirin, Lisinopril, Lamotrigine, Vitamin D3, centrum silver.

Current Illness: Sinus infection.

ID: 1143238
Sex: F
Age: 61
State: MI

Vax Date: 03/25/2021
Onset Date: 03/25/2021
Rec V Date: 03/29/2021
Hospital:

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

Lab Data:

Allergies: Chocolate, latex, thermosol

Symptom List:

Symptoms: Lips began itching/swelling after 2 hours. Itching stopped after 24 hours, swelling in upper lip still evident after 4 days. No trouble breathing. Continuing to monitor.

Other Meds: Prescrip: Atenolol 25 mg; LisinoPril 2.5 MG; Levothyroxine 150 MCG OTC: Opurity Bariatric Multi vitamin; Opurity Iron plus Vitamin C; Zyrtec

Current Illness: none

Date Died: 03/13/2021

ID: 1143239
Sex: M
Age: 87
State: PR

Vax Date: 02/11/2021
Onset Date: 02/27/2021
Rec V Date: 03/29/2021
Hospital:

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

Lab Data:

Allergies: None reported

Symptom List:

Symptoms: He was taken to hospital 2/27/2021 for respiratory problems, diagnosed with pneumonia and died in hospital.

Other Meds: Valsartan 160 mg, Metoprolol 50 mg, Glucosamina, Omega 3, Buspirone 15 mg, Paroxetine 40 mg, Metformin 1000 mg, Gabepentine 800 mg, Aspirina 81 mg, Atorvastatin 10 mg, Alprazoram 2 mg, Synthroi 25 mg, Pre- Protein

Current Illness: None reported

Date Died: 03/27/2021

ID: 1143240
Sex: M
Age: 84
State:

Vax Date: 03/05/2021
Onset Date: 03/17/2021
Rec V Date: 03/29/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Acute renal failure (ARF) (CMS/HCC) Septic shock (CMS/HCC)

Other Meds:

Current Illness:

ID: 1143242
Sex: F
Age: 43
State: NY

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 03/29/2021
Hospital:

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

Lab Data:

Allergies: peanuts, amoxicillin, Augmentin

Symptom List:

Symptoms: 2/9/2021 Almost instantly had nausea, dizziness, blurred vision. Lower extremities hot to touch, almost sweating. Upper extremities cold. R hip pain to the point I almost thought I broke my hip. Urgent care; steroid shot for hearing loss. ENT; stated I have Meniere's disease. Will have the rest of my life. Weeks zero appetite, diarrhea.

Other Meds: Metoprolol, Topamax, Prozac, chronophin, gabapentin.

Current Illness: n/a

ID: 1143243
Sex: F
Age: 14
State: NJ

Vax Date: 03/02/2021
Onset Date: 03/02/2021
Rec V Date: 03/29/2021
Hospital:

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

Lab Data:

Allergies: Cephalosporins

Symptom List:

Symptoms: 3/2/21 Received Gardasil 9, at first red, hard and getting bigger, about size of quarter, then itchy, no streaking, did cool compress and benadryl and itching went away, stopped getting bigger, still tender to touch, afebrile, no history of any reactions with immunizations. On PE L upper arm with less than 1cm red bump on skin with less than 1cm induration, some tenderness to palpation. Dx: Hematoma. Treatment: Warm compress and massage may take weeks to months for resolution.

Other Meds: Claritin and Fluticasone PRN

Current Illness: None

ID: 1143244
Sex: M
Age: 31
State: IA

Vax Date: 03/25/2021
Onset Date: 03/25/2021
Rec V Date: 03/29/2021
Hospital:

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

Lab Data:

Allergies: Sulfas

Symptom List:

Symptoms: Approx 15 mins post injection, right arm heaviness and pain. Then extreme fatigue, vagal stimulus when stood up, vasovagal near syncope, diaphoretic. Approx 18-20 mins after injection throat and tongue tingling and swelling. PO liquid diphenhydramine 50mg given at that time. Then taken to ER for further observation. In the ER, right arm did lock up. No further treatment given.

Other Meds: Biktarvy, Tramadol, Adderall, Hydroxyzine, Ibuprofen, Cetirizine, Fiber supplement, Multivitamin

Current Illness:

ID: 1143245
Sex: M
Age: 33
State: MN

Vax Date: 03/18/2021
Onset Date: 03/21/2021
Rec V Date: 03/29/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Whole-body edema, particularly pronounced in feet and hands. Onset: 3 days after vaccination. Got worse over 5 days, then gradually improved.

Other Meds: dextroamphetamine 15mg ER capsule

Current Illness: none

ID: 1143246
Sex: F
Age: 20
State: IN

Vax Date: 03/26/2021
Onset Date: 03/26/2021
Rec V Date: 03/29/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Was really tired, ran a 100.6 fever, chills, couldn?t get warm. Had neck pain. Had a headache, felt tingling in my fingers, was super sore all over. Soreness at injection sight. Symptoms only lasted 36 hours.

Other Meds: Digestive probiotics, low- estrogen based birth control

Current Illness:

ID: 1143247
Sex: F
Age: 68
State: TX

Vax Date: 02/26/2021
Onset Date: 02/27/2021
Rec V Date: 03/29/2021
Hospital:

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

Lab Data:

Allergies: Fluconazole Ketoconazole Diovan

Symptom List:

Symptoms: body aches and extreme fatigue. Was feeling bad but when I got up in the morning, it was over. Got COVID arm/rash reaction 8 days later. It lasted 2 days. No treatments were used for either condition.

Other Meds: Atorvastatin Carvedilol Ramipril low-dose aspirin

Current Illness: none

ID: 1143248
Sex: M
Age: 29
State: IL

Vax Date: 03/26/2021
Onset Date: 03/26/2021
Rec V Date: 03/29/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: dose given 23 days after first dose

Other Meds:

Current Illness:

ID: 1143249
Sex: F
Age: 72
State: MD

Vax Date: 03/18/2021
Onset Date: 03/18/2021
Rec V Date: 03/29/2021
Hospital:

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

Lab Data:

Allergies: Ceclor and Penicillin

Symptom List:

Symptoms: Right after vaccine had a metallic taste. About four hours later started itching. That evening overnight face became numb tongue swelling . Next morning metallic taste linguered. Was able to swallow but more difficult. Drank a lot of water continually. These symptoms lasted into the next day. Felt better by Sunday. Itching continue on and off. Feelin Better. Contacted the Health Dept. and left a message for primary care doctor. Plan to follow up with him this week.

Other Meds: None

Current Illness: None

ID: 1143250
Sex: F
Age: 56
State: OH

Vax Date: 03/24/2021
Onset Date: 03/24/2021
Rec V Date: 03/29/2021
Hospital:

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

Lab Data:

Allergies: LISINOPRIL

Symptom List:

Symptoms: 3-24-21 7:25PM PT 'ITCHING TO BOTH ARMS, BACK AND LT LEG'. SLIGHT REDNESS NOTED. NO SOB/DYSPNEA, NO DIFFICULTY SWALLOWING. A/O, PINK, W/D, RESP WITH EASE.NO ACUTE DISTRESS NOTED. BENADRYL 50MG PO GIVEN. 7:31PM PT STATES SHE IS 'FEELING BETTER AND OK TO GO HOME'. AMBULATORY TO EXIT - GAIT BRISL AND STEADY.

Other Meds:

Current Illness:

ID: 1143252
Sex: F
Age: 65
State:

Vax Date: 03/15/2021
Onset Date: 03/15/2021
Rec V Date: 03/29/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Pruritus and urticaria within 1-2 hours of receiving vaccine dose #1

Other Meds:

Current Illness:

ID: 1143253
Sex: F
Age: 68
State: IN

Vax Date: 03/23/2021
Onset Date: 03/23/2021
Rec V Date: 03/29/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Received 1st dose Pfizer 3/23/21 1345 Reaction at 1400, hives and itching Waited total of 30 min with additional monitoring and gave 25mg Benadryl PO

Other Meds:

Current Illness:

Date Died: 03/24/2021

ID: 1143254
Sex: M
Age: 72
State:

Vax Date: 03/17/2021
Onset Date: 03/24/2021
Rec V Date: 03/29/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Death

Other Meds:

Current Illness:

ID: 1143255
Sex: M
Age: 45
State: MO

Vax Date: 02/05/2021
Onset Date: 03/02/2021
Rec V Date: 03/29/2021
Hospital:

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

Lab Data:

Allergies: No.

Symptom List:

Symptoms: Severe arthritis developed in left knee with no previous history of pain.

Other Meds: No.

Current Illness: Sinus infection in previous month.

ID: 1143256
Sex: F
Age: 60
State: IN

Vax Date: 03/27/2021
Onset Date: 03/27/2021
Rec V Date: 03/29/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Nausea, vomiting, extreme fatigue, fever up to 101 degrees Fahrenheit

Other Meds: Zyrtec, Montelukast, SOD 10mg, Flonase

Current Illness:

ID: 1143257
Sex: F
Age: 62
State: NC

Vax Date: 03/26/2021
Onset Date: 03/26/2021
Rec V Date: 03/29/2021
Hospital:

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

Lab Data:

Allergies: Sulfur drugs, some antibiotics like Reflex and Macrobid

Symptom List:

Symptoms: Moderna COVID-19 Vaccine EUA - Severe swelling the size of a softball under right arm. Severe pain in right arm. Unable to lift arm very high. Low grade fever, sweats, headache, fatigue. Swelling is getting worse and it is the 3rd day since vaccine.

Other Meds: Prevacid Armour Thyroid Atenelol

Current Illness: none

ID: 1143258
Sex: M
Age: 55
State: GA

Vax Date: 03/17/2021
Onset Date: 03/18/2021
Rec V Date: 03/29/2021
Hospital:

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

Lab Data:

Allergies: no

Symptom List:

Symptoms: Muscle pain at the entire body,Redness where vaccine was applied,i notice a feel red dots on my forehead,headache.

Other Meds: Metformin 1000 mg Amlodipine 5 mg Pantoprazol 40 mg Rosuvastatin 40 mg Glimepride 5 mg

Current Illness: no

ID: 1143260
Sex: F
Age: 65
State: IN

Vax Date: 03/27/2021
Onset Date: 03/28/2021
Rec V Date: 03/29/2021
Hospital:

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

Lab Data:

Allergies: Artificial sweeteners

Symptom List:

Symptoms: Soreness at injection site on day one. Day two, dizziness, fever of 100.5, joint soreness in hips arms knees and neck, lethargy. Day 3, symptoms are improving. Still tired but not as much achiness and no fever

Other Meds: Hydrochlorothiazide Multivitamin

Current Illness: None

ID: 1143261
Sex: F
Age: 64
State: TN

Vax Date: 03/12/2021
Onset Date: 03/28/2021
Rec V Date: 03/29/2021
Hospital: Y

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Large volume obstructive PEs with bilateral pleural and pericardial effusions

Other Meds: Synthroid

Current Illness: None

ID: 1143262
Sex: F
Age: 0
State: IN

Vax Date: 03/29/2021
Onset Date: 03/29/2021
Rec V Date: 03/29/2021
Hospital:

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

Lab Data:

Allergies: Lodeine, Walnuts, Peanuts

Symptom List:

Symptoms: Body aches, swollen area in left arm pit, elevated temperature, exhaustion. Elevated temperature resolved on 3/28/2021 but other symptoms continue at this time

Other Meds: Gabapentin, Vitamin C, Vitamin D3, Meloxicam, Probiotic, Fish Oil, Oxybutynin

Current Illness: Long Term COVID symptoms--headaches, stomach upset

ID: 1143263
Sex: F
Age: 33
State: TX

Vax Date: 03/19/2021
Onset Date: 03/20/2021
Rec V Date: 03/29/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: My arm started hurting a bit in the evening, but had no issues going to bed. I woke up in the middle of the night around 1am, shivering, with chills and my teeth clattering. I was so cold, I had to put on socks and was using two blankets. I went to the bathroom and was very dizzy that I almost fell twice. I also noticed my lips were blue/purple and my temperature was 99.9. I struggled to go back to sleep because I was still very cold, but also very tired and felt my body drained of energy and had the most intense headache ever. I felt my head throbbing and like it was about to explode. I was still cold, dizzy and with a headache the next day. Two days later, I still had a headache but lighter. Took Tylenol since Friday night, but I did not feel a difference. I missed two days of work because of my symptoms.

Other Meds: None

Current Illness: None

ID: 1143264
Sex: F
Age: 50
State: TX

Vax Date: 03/25/2021
Onset Date: 03/26/2021
Rec V Date: 03/29/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: On Mar 26 I was achy and frigid. On Mar 27 I have poke up to a red rash on chest, face and neck, swollen lymph nodes in throat, sore throat, and very large swollen lymph node in left arm pit. This lasted thru Sunday Mar 28. On Mar 29 I woke up to severe, frequent watery diarrhea and stomach gurgling along with burping and general gastro discomfort.

Other Meds: Sertraline, crestor, Zyrtec, pantoprazole, chlorthalidone, CoQ-10

Current Illness: None

ID: 1143265
Sex: F
Age: 18
State: NY

Vax Date: 03/29/2021
Onset Date: 03/29/2021
Rec V Date: 03/29/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Itchy Throat

Other Meds:

Current Illness:

Date Died: 03/25/2021

ID: 1143266
Sex: M
Age: 74
State:

Vax Date: 02/19/2021
Onset Date: 03/25/2021
Rec V Date: 03/29/2021
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Symptoms: Death

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Current Illness:

ID: 1143268
Sex: F
Age: 38
State: NC

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 03/29/2021
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Allergies: Penicillin

Symptom List:

Symptoms: Nausea, dizziness, fatigue, confusion, high blood pressure, tightness in chest, rapid heart beat, numbness and tingling, nerve pain, shortness of breath.

Other Meds: Lisinaprol

Current Illness: Hypertension

ID: 1143269
Sex: M
Age: 56
State: MD

Vax Date: 03/28/2021
Onset Date: 03/28/2021
Rec V Date: 03/29/2021
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Symptoms: patient reported at 1525 with a hx of vagal rx to injections. NKA and mild COPD. 0 CP, 0 SOB, 0 N/V, 0 tightness. Patient diaphoretic, shaky, not answering questions, pale. HR 89, SP02 93%, 105/65. Patient felt better supine, color improved, drink and snack were offered but declined. patient was released to care of wife who was driving home with HR 73, and BP 145/67.

Other Meds:

Current Illness:

ID: 1143271
Sex: M
Age: 76
State: PA

Vax Date: 03/23/2021
Onset Date: 03/27/2021
Rec V Date: 03/29/2021
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Symptoms: Right leg: Red rash above right ankle Left Leg: red streak halfway up his calf - looked like a streak but was actually an oblong circle

Other Meds: Levoappthyroxine, hydrochlorothiazide, lisinopril, simvastatin, vitamin, B12

Current Illness:

ID: 1143272
Sex: F
Age: 59
State: NJ

Vax Date: 03/16/2021
Onset Date: 03/24/2021
Rec V Date: 03/29/2021
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Allergies: Sulphur, animal dander, dust mite

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Symptoms: My upper left arm developed a rash and swollen and hot 9 days after receiving injections. Also started developing signs of my Lyme disease flaring up. Muscle weakness on ledt side of my body stared 3 days after receiving vaccine. Made a Dr appt on Monday 3/22 and complained of weakness in left arm and side of my body since first shot of Moderna Vaccine. Pending my blood test results to see if my Lyme disease is flaring up (it?s been years and I?ve felt great!! Until taking vaccine). I also felt joint pains 9 days when arm rash happened and overall body feels weak and tired. It?s two weeks since Vaccine and I have arm weakness and low strength in side where vaccines was administered. Also note, the rash and swollen arm still continues. It started on 3/25 after my initial visit to my primary dr on Mon 3/22. I did make the office aware of this additional symptom on Friday 3/26.

Other Meds: Nexium (but did not take that a.m.)

Current Illness: Acid Reflux

ID: 1143273
Sex: M
Age: 49
State: IL

Vax Date: 03/25/2021
Onset Date: 03/26/2021
Rec V Date: 03/29/2021
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Symptoms: Moderna COVID-19 Vaccine EUA. Starting the next morning, Fever, body ache, headache, back/joint pain, something in my left armpit swole up between a golf ball to tennis ball size, throat sore, swelling in tongue and gums (kind of blistery like I burnt it on hot pizza is the best way I can describe it). most of the symptoms lasted for a day and a half or so. Four days later, still feverish at times, mouth is still tender (most of the swelling went down but not all) swelling in armpit has went down but not gone.

Other Meds: levothyroxine 100mg

Current Illness:

ID: 1143274
Sex: F
Age: 28
State: PA

Vax Date: 03/24/2021
Onset Date: 03/24/2021
Rec V Date: 03/29/2021
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Symptoms: Patient reports sudden onset of severe nausea, sweating. C/o "not feeling well and feeling hot". Patient was assessed by onsite clinic EMS, vitals were taken and evaluated. Patient was monitored for 30 additional minutes. Patient's symptoms resolved, never vomitted. Patient disposition: went home and recovered feeling fine.

Other Meds:

Current Illness:

ID: 1143275
Sex: F
Age: 84
State: PA

Vax Date: 02/27/2021
Onset Date: 03/01/2021
Rec V Date: 03/29/2021
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Allergies: none

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Symptoms: on and off dizziness, brainfog and nausea, continuous weakness and fatigue, sometimes incapacitating, varying in duration and severity, continuing to present, 3/29/21

Other Meds: lipitor 20 mg once a day eliquis 5 mg. twice a day synthoird 50 mcm once a day, five times a week, 100 mcm. two days a week Centrum vitamin D 2,000 u alprazolam 0.25 mg for sleep

Current Illness: none

ID: 1143276
Sex: F
Age: 63
State: MA

Vax Date: 03/25/2021
Onset Date: 03/26/2021
Rec V Date: 03/29/2021
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Allergies: Contrast dye, spinach

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Symptoms: Headache, feeling tired and slight fever. Member reports taking Tylenol and resting

Other Meds: Mirtazapine 15 mg once daily at bed, Neuropathy Compound Cream 60 Gram Jar 2-3x day PRN, pantoprazole 20 mg oral tablet, delayed release, rosuvastatin 5 mg oral tablet take 1 tablet (5 mg) by oral route once daily, simethicone 180 mg oral

Current Illness:

Date Died: 03/25/2021

ID: 1143277
Sex: F
Age: 84
State:

Vax Date: 03/10/2021
Onset Date: 03/19/2021
Rec V Date: 03/29/2021
Hospital: Y

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Symptoms: Altered mental status Intracranial hemorrhage (CMS/HCC) Hypertension Cerebral brain hemorrhage (CMS/HCC

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Current Illness:

ID: 1143278
Sex: M
Age: 57
State: MN

Vax Date: 01/27/2021
Onset Date: 03/08/2021
Rec V Date: 03/29/2021
Hospital: Y

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Symptoms: Hospitalization within 6 weeks after receiving vaccine

Other Meds:

Current Illness:

ID: 1143279
Sex: F
Age: 62
State: IN

Vax Date: 03/25/2021
Onset Date: 03/26/2021
Rec V Date: 03/29/2021
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Allergies: None

Symptom List:

Symptoms: Red, swollen and soreness. Receive the shot on a Thursday and today Monday injection site if very red swollen and warm to the touch. Put ice on my are yesterday but it doesn't seem to have helped much

Other Meds: MotrinIB Ibuprofen tablets

Current Illness: None

ID: 1143280
Sex: F
Age:
State: FL

Vax Date: 03/25/2021
Onset Date: 03/25/2021
Rec V Date: 03/29/2021
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Symptoms: 1st shot given on 2/24 at 1400 second shot given 3/25 at 1110. Fever of 101, chills, body aches and a headache. Taken otc analgesics: Tylenol and Ibuprofen.

Other Meds:

Current Illness:

ID: 1143281
Sex: F
Age: 65
State: ME

Vax Date: 03/29/2021
Onset Date: 03/29/2021
Rec V Date: 03/29/2021
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Allergies: Allergies Contrast Medium (iv Dye) [I.v. Dye] Anaphylaxis Feraheme [Ferumoxytol] Anaphylaxis Ferrlecit [Na Ferric Gluc Cplx In Sucrose] Anaphylaxis Lasix [Furosemide] Rash Other MRI dye--lobster red flushing and abd cramping Sotalol Other (See Comments) bronchospasm Venofer [Iron Sucrose] Anaphylaxis

Symptom List:

Symptoms: 30 min post vaccine, patient developed slight dry cough and feeling of tightness in back of throat. Noted hoarseness of her voice. Brought to medical area where she then noted flushing, warmth of skin on face, neck, upper arms and chest. Slight nausea. On exam, no abnormalities except flushed skin. Vitals remained normal and stable. Monitored vital signs, had epi pen ready and elected to send her to ED via EMS for further monitoring, esp given her long hx of anaphylaxis. No other tx provided at site.

Other Meds: topiramate 25 MG Tab Dosage: Take 1 tab po bid, may increase to 2 tabs por bid in 2 weeks prn spironolactone 25 MG Tab Dosage: Take 0.5 Tabs (12.5 mg total) by mouth daily potassium chloride 20 MEQ Tab CR Dosage: Take 2 Tabs (40 mEq total)

Current Illness: Rash, joint pain, vascular changes 2-3 weeks prior to vaccine

Total 2021 VAERS Injuries: 704,237

Page last modified: 03 October 2021 5:28pm