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: 1187985
Sex: F
Age: 24
State: IN

Vax Date: 03/25/2021
Onset Date: 04/05/2021
Rec V Date: 04/09/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: Bleeding/spotting between periods - currently 5 days of continuous, light bleeding 2 weeks before period should start.

Other Meds: Lupin birth control; loratadine 10 mg

Current Illness: N/A

ID: 1187986
Sex: F
Age: 31
State: CA

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/09/2021
Hospital:

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

Lab Data:

Allergies: CODEINE

Symptom List:

Symptoms: C/O DIZZYNESS AND FEELS LIKE PASSING OUT PROCEEDED WITH L ARM PAIN AND CHEST PAIN. EMS CALLED AND ADMITED BUT DISCHARGED OUT OF THE EMERGENCY ROOM.

Other Meds: LAMICATAL 100 MG TAB LAMICTAL 25 MG TAB

Current Illness:

ID: 1187987
Sex: F
Age: 18
State: CT

Vax Date: 04/01/2021
Onset Date: 04/07/2021
Rec V Date: 04/09/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: injection site (where they put the vaccine in my arms) started itching profusely and getting a big red circle about 2 days ago. the itchiness has only increased. the area is hot, hard, and red, right where the needle went.

Other Meds: none

Current Illness: none

ID: 1187989
Sex: F
Age: 22
State: LA

Vax Date: 03/19/2021
Onset Date: 04/05/2021
Rec V Date: 04/09/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: A little over two weeks after my first dose of the Moderna vaccine, I received my period unexpectedly, and it was heavier than usual, and I had breakthrough bleeding after.

Other Meds: Effexor, Lamictal, Spironolactone, Acetyl-L-Cartnine

Current Illness: None

ID: 1187990
Sex: M
Age: 49
State: FL

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/09/2021
Hospital:

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

Lab Data:

Allergies: n/a

Symptom List:

Symptoms: One minute after he got the shot, he did not feel ok, he was shaking, sweating and dropped his phone. The pharmacist was next to him, we called 911 immediately. They came like 10 minutes after, but by this time, he was ok, they checked his blood pressure , it was 115/75. He was completely alert, and did not want to go with them. we asked him to stay at the pharmacy till he feels completely fine. we called him at 7 pm to follow up, he said he is ok.

Other Meds: n/a

Current Illness: n/a

ID: 1187991
Sex: F
Age: 52
State: WV

Vax Date: 04/01/2021
Onset Date: 04/05/2021
Rec V Date: 04/09/2021
Hospital:

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

Lab Data:

Allergies: Penicillin, Bactrim, levaquin

Symptom List:

Symptoms: Body rash on arms, legs, neck and head

Other Meds: Attarax, Claritin. Singulair, Lipitor, vitamins

Current Illness: None

ID: 1187992
Sex: M
Age: 60
State: TX

Vax Date: 03/19/2021
Onset Date: 03/20/2021
Rec V Date: 04/09/2021
Hospital:

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

Lab Data:

Allergies: Neosporin

Symptom List:

Symptoms: I ran a low grade fever (100.1) for approximately one week. I had body aches (separate from the sore injection site for a single day starting 3/20/2021) and some headaches, but no life-threatening issues, nor enough reason to seek professional medical treatment. After the contiguous week was over, I had similar off and on symptoms for the following week, but these symptoms lessened with time.

Other Meds: Morphine Sulphate, Hydrocodone, Accipex, Triamterene / HCTZ

Current Illness: N/A

ID: 1187993
Sex: F
Age: 20
State: NJ

Vax Date: 04/05/2021
Onset Date: 04/05/2021
Rec V Date: 04/09/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient stated that she has a previous history of fainting when receiving vaccination, and was nervous to be vaccinated. Patient was seated but became pale, sweaty, and fainted for approximately 5 seconds after receiving the vaccination. Conversation was maintained with the patient through out the entire transaction. Pt was evaluated by emergency personnel, refused treatment, and went home to rest.

Other Meds:

Current Illness:

ID: 1187994
Sex: M
Age: 36
State: ID

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/09/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient reported feeling short of breath and tight in the chest about 25 minutes post vaccine administration

Other Meds: unknown

Current Illness:

ID: 1187995
Sex: M
Age: 36
State: CA

Vax Date: 02/26/2021
Onset Date: 03/28/2021
Rec V Date: 04/09/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: 18hrs after shot, fever 100.5, chills, body ache. I felt better 36hrs after shot. A few days following the shot, my taste and smell started to change. Certain things have a very distinct smell and matching taste. Most are liquids. For example Coke and Gatorade smell and taste exactly the same and it?s a terrible taste. Shampoo, tooth paste the same. Foods have recently started to taste the similar, there has been no improvement since it came on.

Other Meds: None

Current Illness: None

ID: 1187997
Sex: F
Age: 35
State: OH

Vax Date: 04/08/2021
Onset Date: 04/09/2021
Rec V Date: 04/09/2021
Hospital:

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

Lab Data:

Allergies: Penicillin, amoxycilin, arythromicin

Symptom List:

Symptoms: Uterine bleeding at cycle day 10; no history of early menstrual periods or bleeding with ovulation.

Other Meds: Sertraline, metformin

Current Illness: None

ID: 1187998
Sex: M
Age: 24
State: OK

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/09/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Pt became nauseated and began dry-heaving within 5 minutes of vaccination. Did not vomit, but did become pale. Pt was seated when symptoms began and remained seated throughout. Applied cool, wet, paper towel to back of neck. Dry-heaves resolved after approx 1 min, and provided pt with water to sip. Pt denied any other symptoms. Recovered completely after about 10 minutes.

Other Meds: Unknown

Current Illness: None reported

ID: 1187999
Sex: F
Age: 19
State: VA

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/09/2021
Hospital:

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

Lab Data:

Allergies: Peanuts and eggs

Symptom List:

Symptoms: Patient reported dizziness, assessment completed, vitals taken SBP noted to be elevated. Symptoms of resolved SBP decreased after it was taken a second time. Patient referred to PCP for evaluation for further elevated blood pressure evaluation.

Other Meds: Unknown.

Current Illness: Unknown

ID: 1188000
Sex: M
Age: 50
State: OR

Vax Date: 03/26/2021
Onset Date: 03/26/2021
Rec V Date: 04/09/2021
Hospital:

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

Lab Data:

Allergies: shellfish somewhat

Symptom List:

Symptoms: Two to three hours after injected, I bit my inner lip several time while eating. My wife said left side of face seem swelling. The next morning has symptoms of Bell's Palsy. Left side of face seem paralysis. As days progress, the symptoms was more obvious. Text doctor on Sunday and Doctor office called on Monday and recommend i go to ER to confirm .

Other Meds: 1. AmLODIPine Besylate (NORVAS): 5 Mg - Nightly 2. AtorvaSTATin Calcium (Lipitor): 80 Mg - Nightly 3. Chlorthalidone: 25/2 Mg - 1/2 Pill Daily 4. Insulin Aspart (rDNA Origin Novolog ): 5 Units - 3 Before Meal 5. Jardiance (Emp

Current Illness: None

ID: 1188001
Sex: F
Age: 23
State: NC

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/09/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: PATIENT COMPLAINED OF FEELING LIGHT HEADED IMMEDIATELY AFTER INJECTION OF THE VACCINE. THE PATIENT WAS MOVED TO THE PHARMACY BENCH AND WAS ASSISTED IN LYING DOWN WITH HER FEET ELEVATED. THE PATIENT WAS INSTRUCTED TO TO SLOWLY BREATHE IN AND OUT. THE PATIENT STATED THAT SHE FELT BETTER AFTER APPROXIMATELY 15 MINUTES AND WANTED TO SIT UP. THE PATIENT STATED THAT SHE DID PASS OUT FOR A FEW SECONDS. AT THIS TIME, THE PATIENT WAS FIVEN A BOTTLE OF WATER AND A CANDY BAR. THE PATIENT STAYED IN THE PHARMCY FOR APPROXIMATELY ANOTHER 15 MINUTES. A PHARMACY ASSOCIATED WALKED THE PATIENT TO HER VEHICLE TO MAKE SURE SHE WAS OK. AFTER ARRIVING AT HER CAR, THE PATIENT STATED THAT SHE WAS FINE AND DID NOT NEED ANY FURTHER ASSISTANCE.

Other Meds:

Current Illness:

ID: 1188002
Sex: F
Age: 52
State: MN

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/09/2021
Hospital:

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

Lab Data:

Allergies: Amoxcillin-rash

Symptom List:

Symptoms: Patient seen at the Lindstrom clinic for her COVID-19 vaccine. She received her 1st Moderna COVID-19 vaccine. (1150) Within 10 min after injection patient complained of both arms having a blotchy red rash (size of pea and flat) and which spots were hot. Denied feeling SOB, no dysphagia, etc. VSS. 132/84, 98.2, HR 72, 98% RA. Spoke with available Dr. Got ok to give benadryl 25 mg PO. To continue to monitor patient longer. Would need to get a note cleared by her provider to get second dose. Patient stated that her mother had similar effects but she received Pfizer injection. She had rash on upper chest and lips were tingly so patient chose to have Moderna. Her mother did get the second vaccine without any issues. Benadryl 25 mg PO was administered NDC 00536121429 exp. 6/30/21 at 1205pm. Kept patient until 12:20 pm. With frequent monitoring every few minutes. Had a few more blotchy red spots on her abdomen. No dyspnea. Got one more set of vitals which were stable. Cleared by Dr. that she could leave with her family member. Will place in VAERS. Gave patient fax number to clinic.

Other Meds: Vitamin D 1,000 IU B Complex vitamin

Current Illness: unknown

ID: 1188003
Sex: F
Age: 49
State: AZ

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/09/2021
Hospital:

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

Lab Data:

Allergies: Eggs and seafood

Symptom List:

Symptoms: Headache, 101 fever, large welt like looking thing about 2 to 3 inches below the injection that is very painful

Other Meds: None

Current Illness:

ID: 1188004
Sex: M
Age: 50
State: CA

Vax Date: 04/03/2021
Onset Date: 04/05/2021
Rec V Date: 04/09/2021
Hospital:

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

Lab Data:

Allergies: Shrimp allergy

Symptom List:

Symptoms: Moderate to severe burning affect on left side on tongue. started almost day after or so still having it as of now 4/9 but little better than before.

Other Meds: Vitamin B12 500mg Vitamin D3 5000 IU

Current Illness: none

ID: 1188005
Sex: F
Age: 62
State: WA

Vax Date: 03/30/2021
Onset Date: 04/07/2021
Rec V Date: 04/09/2021
Hospital:

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

Lab Data:

Allergies: Mango skin causes skin rash. Carbamide peroxide applied to ear caused lip and tongue swelling.

Symptom List:

Symptoms: 8 days post vaccine, my arm became slightly reddened, swollen, and slightly itchy. It is still.present on day 10.

Other Meds: Aldendronate 70 mg. weekly, Calcium citrate with vitamin D, Zyrtec daily

Current Illness: None

ID: 1188006
Sex: M
Age: 33
State: NC

Vax Date: 04/03/2021
Onset Date: 04/04/2021
Rec V Date: 04/09/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List:

Symptoms: I became physically stronger. As of today can lift up to 100 lbs with ease. Before I would struggle with 50lbs. Can also push, pull with my left arm, before only my right. Not as tired, wasn?t tired before but now sleep at night. (Work 2 full time jobs. Also have a more positive/renewed zest for life.

Other Meds: No

Current Illness: No

ID: 1188007
Sex: F
Age: 31
State: CT

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/09/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Six hours after receiving the fist shot of the Moderna vaccine there was pressure in my head that made my ears stuffy. My arm also started to hurt at this time. 23 hours after the shot I felt extreme fatigue, dizziness, stiffness and pain at the injection site, and nausea. The nausea was intensified after looking at a computer screen. 48 hours after the vaccine the fatigue reduced but the dizziness and nausea were still there. I vomited from looking at a computer screen for a work meeting 59 hours after the vaccine was administered. The nausea was caused by pressure in my head and also caused the stuffy ears and dizzy feeling.

Other Meds: Nutrafoil Hair Vitamins

Current Illness: None

ID: 1188008
Sex: F
Age: 64
State: PA

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/09/2021
Hospital:

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

Lab Data:

Allergies: Ibuprofen, NSAIDS, quinolone, Bactrum, lamictal, preservatives, sulfa

Symptom List:

Symptoms: Within 15 minutes of receiving the vaccine in my right arm I felt a little unsteady. I waited the 30 minutes required and after the 30 minutes I remove my mask and my face was bright red it was the deeper read over my cheeks and nose area the cheek areas were burning. I also had redness on my chin and neck and top of my chest. IWho is advised by my physician and I did take a dose of Benadryl and a dose of Pepcid 30 minutes before receiving the vaccine. I had the same reaction when I got shot number one. However my face was swollen with the second shot.

Other Meds: Trulicity, vitamin C 1000 mgs, zinc,, enalpril, cymbals, triliptal,

Current Illness: CRPS, diabetes type 2, obesity,

ID: 1188009
Sex: F
Age: 36
State: VA

Vax Date: 02/24/2021
Onset Date: 02/25/2021
Rec V Date: 04/09/2021
Hospital:

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

Lab Data:

Allergies: Environmental allergies - dust, mold, mildew, pet dander, certain trees/grasses

Symptom List:

Symptoms: Vasovagal syncope - Once I started feeling sick the morning after the second dose, I was unable to sit up or stand without feeling like I was going to faint. This persisted throughout the day. The fainting feeling was accompanied by dizziness, nausea, drop in BP, and needing to lay down to catch my breath. I had a fever that day and took NyQuil which allowed me do sleep and broke my fever. But the fainting feeling persisted throughout the day until 8 pm when I was able to sit up and eat.

Other Meds: Venlafaxine XR 150 mg Levothyroxine 0.625 mcg Methylphenidate XR 26 mg Labetalol 100 mg (twice a day) Cetirizine 10mg Melatonin

Current Illness:

ID: 1188010
Sex: F
Age: 38
State: MA

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 04/09/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: From 12-24 hours after receiving the vaccine I experienced: Chills, fever, arm soreness, racing heart, joint stiffness

Other Meds: Levothyroxine

Current Illness: None

ID: 1188011
Sex: F
Age: 36
State: NY

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/09/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: I received my vaccine at 10am and by 5 pm I was feeling extremely tired couldn?t keep my eyes open. For the rest of the night I had a fever of around 102 and chills and stomach pain and nausea. These symptoms lasted the entire next day along with extreme fatigue and dizziness that also has lasted up until and ongoing on 04/09/2021 at 8pm fever is on and off at about 101.

Other Meds: None

Current Illness: None

ID: 1188012
Sex: F
Age: 46
State: NY

Vax Date: 12/22/2020
Onset Date: 01/15/2021
Rec V Date: 04/09/2021
Hospital:

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

Lab Data:

Allergies: Gluten, nucynta, tramadol, benazapril, erythromycin, Zithromax, rispodral

Symptom List:

Symptoms: I was diagnosed with a pulmonary embolism on 1/15/21

Other Meds: Botox for migraines, b12, vitamin d, verapamil, baclofen, nuva ring, Pepcid, ibuprofen, losartan, Claritin, Paxil, seroquel, Xanax

Current Illness: Asthma

ID: 1188013
Sex: F
Age: 18
State: ME

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/09/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: The patient fainted a few minutes after receiving the vaccine. She came to shortly thereafter and checked out thoroughly by paramedics. All vitals were normal and she was picked up by another party.

Other Meds:

Current Illness:

ID: 1188014
Sex: F
Age: 27
State: FL

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/09/2021
Hospital:

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

Lab Data:

Allergies: Birth control sharobel

Symptom List:

Symptoms: Patient was sitting in chair for 15 minutes and started to feel dizzy and tried to get up from chair and passed out for 5 to 10 seconds, hitting her head on the aisle as she went down. Myself the Pharmacist ran down the aisle to her where I instructed her to remain laying down on her side as we called 911 for help! She was alert and oriented with no rash or breathing difficulties! I sat with her until paramedics arrived and evaluated her and recommended that she get checked out by someone at a hospital or her own doctor. She was released without future assistance from us! She did complain of a headache and was told by paramedics that it maybe the vaccine or the head injury and needs to seek medical attention.

Other Meds: Multivitamin

Current Illness:

ID: 1188015
Sex: M
Age: 27
State: IN

Vax Date: 04/07/2021
Onset Date: 04/08/2021
Rec V Date: 04/09/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: 102 degree fever, headache, dizziness, aches, and lethargy from +8hrs to +24hrs after vaccine administration.

Other Meds: Venlafaxine ER 150MG

Current Illness: n/a

ID: 1188016
Sex: M
Age: 42
State: NY

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 04/09/2021
Hospital:

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

Lab Data:

Allergies: Almonds

Symptom List:

Symptoms: Headache: Moderate headache 6 hours after injection. Became intense 8 hours after injection and disrupted sleep. Stayed intense for 24 hours after injection before moderating. Headache disappeared after 36 hours. Used Tylenol (acetaminophen) 1000 mg every 6 hours. Fever with chills: 8 hours after injection until 24 hours after injection. Fever between 100 and 101 degrees. Treated with Tylenol. Nausea: Again 8 hours after injection until 18 hours after injection.

Other Meds: None

Current Illness: None

ID: 1188017
Sex: M
Age: 53
State: IN

Vax Date: 04/05/2021
Onset Date: 04/06/2021
Rec V Date: 04/09/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Pain and numbness in the neck and back the day after the vaccination on the third day spread to the shoulders

Other Meds: Metoprolol 50MG Hidroclorothiazide 25MG Tamsulosin 0.4MG Pantoprazole 40MG

Current Illness: High blood pressure Enlarged prostate

ID: 1188018
Sex: F
Age: 56
State: FL

Vax Date: 04/06/2021
Onset Date: 04/07/2021
Rec V Date: 04/09/2021
Hospital:

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

Lab Data:

Allergies: marcaine and flagyl

Symptom List:

Symptoms: I was GREAT from the vaccine time of noon Tuesday until 9 am. Wednesday a.m. I started feeling a wall of tiredness followed soon after by chills and back ache. I took tylenol and was able to work until noon. I rested most of the day but the chills increased tremendously, as did the back ache. It was bad - so bad I was prepared to go to hospital if needed. I decided to go to bed instead. I awoke at 5 a.m. Thursday - once again feeling GREAT. Although a rash (looking like a sort of scalding) appeared on both breasts and near my pelvis. It is still there. I read online these rashes can last up to 7 days.

Other Meds: eliquis, xanax, Zinc, C, D, Collegen, Omega 3, melatonin

Current Illness: none

ID: 1188019
Sex: M
Age: 58
State: VA

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 04/09/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: While administrating the COVID vaccine I felt a few drops running down my left arm. I was not looking and could not tell the exact amount that dripped down my arm and dripped off my elbow. Looking at the person administrating the vaccine she had a surprised and concerned look like something had gone wrong. We discussed the incident and I told her I didn't see what happened and it was up to her to decide what we should do. After about 5 minutes she determined that I had received at least half the dosage and it should be OK. She did not feel I needed another dose ( I don't know if one was available, I did a walk in since I could not make my appointment at another pharmacy on Monday) . My concern is I am not sure she was that confident from her body language that I actually received at least half the dosage.

Other Meds: None

Current Illness: None

ID: 1188020
Sex: F
Age: 67
State: CA

Vax Date: 03/12/2021
Onset Date: 03/13/2021
Rec V Date: 04/09/2021
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Allergies: Imitrex, Biaxin, Cipro, Levaquin, Penicillin

Symptom List:

Symptoms: Ended up in the ER. Have been having major changes in my migraines. They are splitting across my forehead. Chills and hot flashes about 30 times a day and night. My temp was so low at the hospital they were concerned. It was 94 degrees. Sleeping much more during the day than ever.

Other Meds: Multiple vitamin, Vitamins B, C, D3, Calcium Citrate, Tumeric, CoQ10, Probiotic, and Magnesium

Current Illness: None

ID: 1188021
Sex: F
Age: 60
State: GA

Vax Date: 04/05/2021
Onset Date: 04/08/2021
Rec V Date: 04/09/2021
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Allergies: Serafim

Symptom List:

Symptoms: Oral issues: bleeding gums, fever blister, and sores inside mouth.

Other Meds: Ibuprofen, flexiril, elavil, lunesta,

Current Illness:

ID: 1188022
Sex: F
Age: 73
State: WV

Vax Date: 03/31/2021
Onset Date: 04/09/2021
Rec V Date: 04/09/2021
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Allergies: cipro, penicillin, sulfa, dye, quinolones, vesed, fentanyl, macrodantin, clindamycin, and others per pt.

Symptom List:

Symptoms: localized site reaction, redness, going up and down arm

Other Meds: na

Current Illness: no

ID: 1188023
Sex: M
Age: 46
State: CA

Vax Date: 03/31/2021
Onset Date: 04/08/2021
Rec V Date: 04/09/2021
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Allergies: Allergic to Codeine

Symptom List:

Symptoms: A large rash developed on my left shoulder on 4/8, eight days after the vaccination. The rash is swollen and itches sometimes.

Other Meds: Ibuprofen before the vaccination

Current Illness: None

ID: 1188024
Sex: F
Age: 21
State: TX

Vax Date: 04/01/2021
Onset Date: 04/09/2021
Rec V Date: 04/09/2021
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Allergies: n/a

Symptom List:

Symptoms: a bruise the size of a nickel appeared on sight on the morning of 4/9 (8 days after the first dose) and has grown to become the size of two quarters by 7PM. it is noticeably swelling and feels warm, and it hurts like a bruise when pressed.

Other Meds: multivitamin

Current Illness: n/a

ID: 1188025
Sex: F
Age: 30
State:

Vax Date: 04/08/2021
Onset Date: 04/09/2021
Rec V Date: 04/09/2021
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Symptom List:

Symptoms: Phantom smells- parosmia.

Other Meds:

Current Illness:

ID: 1188026
Sex: F
Age: 60
State: FL

Vax Date: 04/01/2021
Onset Date: 04/07/2021
Rec V Date: 04/09/2021
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Allergies: Radishes Bee stings Levaquin tendon pain

Symptom List:

Symptoms: Rash. Raised red. Looks like measles. Right arm. Shoulder and back. Very itchy. Taking benadryl and applying hydrocortisone. Rash is still itchy after 2 days. Not going away yet

Other Meds: Metformin Lisinopril Xyzal Vitamin c Vitamin b12 Calcium and vitamin d Levothyroxine

Current Illness: None

ID: 1188027
Sex: F
Age: 45
State: AL

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 04/09/2021
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Symptom List:

Symptoms: Severe Nausea Vomiting 2 hrs after. Forceful vomiting from car door no time to get anywhere. Chills Vulvar pressure- this is strange and I almost don?t mention it except for it came on suddenly same time as vomiting and was severe ! Site soreness up thru neck Cold sweats Loss of apetite Tired Immediately 3-4 hrs after severe fatigue and drowsiness Slowed pulse Foggy brained Hot skin Red skin allover

Other Meds: Bystolic Wellbutrin Adderall Suboxone St johns wort 5 HTP Krill oil Omega 3 Seasonal Allergies med-fexofenadine Estrogen hormone pellets inserted 3x annually

Current Illness:

ID: 1188028
Sex: F
Age: 64
State:

Vax Date: 03/30/2021
Onset Date: 03/30/2021
Rec V Date: 04/09/2021
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Symptoms: Pt received vaccine high in left shoulder, reported pain at injection site immediately after. has had ongoing pain and numbness in ring and little finger.

Other Meds:

Current Illness:

ID: 1188029
Sex: F
Age: 31
State: NJ

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 04/09/2021
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Symptoms: Symptoms included fever, nausea, fatigue, headache, chills - confusion, uncontrollable body shaking in legs and arms -

Other Meds: None

Current Illness: None

ID: 1188030
Sex: M
Age: 31
State: CA

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 04/09/2021
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Symptoms: AT TIME OF 2ND DOSE, PATIENT REPORTED EXPERIENCING TINNITUS THAT BEGAN AFTER DOSE 1. HE STATED IT IS LIKE A LOW HUMMING THAT HE NOTICES WHEN IN A QUIET ENVIRONMENT.

Other Meds: PATIENT STATES HE TAKES STELARA FOR CROHNS

Current Illness:

ID: 1188031
Sex: M
Age: 85
State: CO

Vax Date: 03/25/2021
Onset Date: 03/26/2021
Rec V Date: 04/09/2021
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Lab Data:

Allergies: Nka

Symptom List:

Symptoms: Chills, fever, seizures, general malaise

Other Meds:

Current Illness:

ID: 1188032
Sex: F
Age: 53
State: OR

Vax Date: 04/01/2021
Onset Date: 04/07/2021
Rec V Date: 04/09/2021
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Allergies: Amoxicillin, Bactrim

Symptom List:

Symptoms: Localized injection site reaction with 4 cm x 6 cm area of redness, warmth, and pain and erythematous papular rash extending from left arm to anterior neck and chest. Onset on day 6 following vaccination, worse over day 7-8

Other Meds: None

Current Illness: None

ID: 1188033
Sex: F
Age: 43
State: FL

Vax Date: 03/01/2021
Onset Date: 03/01/2021
Rec V Date: 04/09/2021
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Allergies: horse derived products

Symptom List:

Symptoms: Approximately 20-30 minutes after receiving the vaccine left arm became slightly numb, noticeable during the short 10 minute drive home. Within 30 minutes of getting home there was notable numbness in the left arm, especially below the elbow and into the hand with last two fingers being the most affected; numbness was also up into the neck and felt in the left cheek/jaw up to near the left ear and the scalp. This diminished over the course of the evening. The next two days there was lingering soreness in the left neck from where neck meets shoulder and slight tingling in the last two fingers. Ibuprofen 600 mg was taken to assist with any pain, usually in the morning with other medication before going to work. By two to three days after the vaccination there was no more soreness or numbness. While no bruising ever occurred, firm pressure on the site of injection two weeks later is still mildly painful.

Other Meds: venlafexine er 75 mg (1/day @ 9:15am), escitalopram 10mg (1/day @ 9:15 am), calcium carbonate 500mg plus vit D (1/day after 5pm)

Current Illness:

ID: 1188034
Sex: M
Age: 31
State: ME

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/09/2021
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Symptoms: Patient received the vaccine and fainted shortly thereafter. He became very sweaty and came to in a couple of minutes. Paramedics attended to him and deemed it necessary to take him to Medical Center for further evaluation due to irregular heart rate.

Other Meds:

Current Illness:

ID: 1188035
Sex: F
Age: 43
State: CA

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/09/2021
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Allergies: NKDA

Symptom List:

Symptoms: As patient was starting to leave observation area, she became lightheaded and felt dizzy. She had no SOB, chest pain, rash or other symptoms. She returned to observation area and reclined on cot. Oxygen started at 4L per NC. VS: O2 sat 98% P 76 B/P 110/60. Given water to drink. VS remained stable. She drank a bottle of water and final VS at 4:30 B/ P 130/80, P 82, O2 sat 98%. Patient left ambulating without difficulty. Symptoms completely resolved

Other Meds: none

Current Illness: none

ID: 1188036
Sex: F
Age: 44
State: MA

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/09/2021
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Allergies: Bees

Symptom List:

Symptoms: Severe Constant headache, throwing up, body aches, full left side of back in pain, cough, chest congestion, sinus congestion. I don?t want to get the second shot, is that ok?

Other Meds: Multivitamin, vitamin B Complete, prebiotic vitamins, ibuprofen

Current Illness: None

Total 2021 VAERS Injuries: 599,999

Page last modified: 03 October 2021 5:28pm